DRAGER CALEO INCUBATOR WITH MATTRESS

IT MAINTAINS A PRECISE AND CONSTANT TEMPERATURE AND HUMIDITY

Infants with extremely low birth weight are particularly vulnerable to hypothermia. When these infants experience heat loss, the physiological responses create a demand that exceeds the normal physiological balance. This is because the infant needs to expend energy and metabolize oxygen to produce heat.

This thermal imbalance can cause heat loss and trigger a chain reaction with long-term effects such as hypothermia. Hypothermia can cause a drop in blood pressure, a reduction in plasma volume, and a decrease in cardiac output.² If left untreated, it can cause permanent tissue and brain damage, and even death.

For a fragile newborn, a difference of just one degree can make all the difference. The Caleo 's thermoregulatory capabilities have been clinically documented to meet the specific needs of premature infants.

While ideally premature infants should be kept in a protected environment free from disturbances, in reality, clinicians must have access to the baby to provide necessary care. This can significantly affect the baby. For example, in premature infants weighing less than 1500 g, both peripheral and core temperatures drop during care for 15 to 45 minutes, and it can then take up to two hours for the baby to return to its initial temperature.

The ultimate goal of closed care is to create such a stable environment that very low-birth-weight babies can maintain a constant body temperature. This state is called the thermally neutral zone. Because these infants are unable to tolerate temperature fluctuations, the Caleo was designed using advanced technologies to stabilize the internal environment during procedures. The following graphs illustrate these capabilities.

GOOD ACCESSIBILITY FOR THE BABY WITHOUT COMPROMISING THE ENVIRONMENT

During a nurse's shift, numerous care procedures may need to be performed, such as inserting an umbilical catheter, intubating, taking a chest X-ray, administering IV fluids, repositioning, and suctioning, which requires repeatedly opening the incubator to access the baby. Exclusive JumboPorts™, 40% larger than standard portholes, allow easy access to the infant during these procedures.

The Caleo directly compensates for the temperature drop caused by opening the door by creating a new type of double air curtain that maintains stable temperature and humidity, even during routine procedures. This double air curtain allows the Caleo to maintain thermal stability better than any other system tested.

BE READY FOR THE NEXT PATIENT

Since admission of very low birth weight infants is generally not announced in advance, a warm incubator must be available at all times for an unexpected delivery.5

This is why it is essential to have an incubator capable of heating quickly. In an in vitro comparison of heating devices, the Caleo proved to heat up faster and retain heat and humidity better, even when the access windows were open.

PROVIDING THE IDEAL HUMIDITY

Humidity inside the incubator is essential to prevent transepidermal water loss (TEWL) in premature infants. The table below illustrates the exponential relationship between gestational age and transepidermal water loss on the first day after birth. In extremely premature infants, TEWL gradually decreases, and the difference in TEWL between the most premature and term infants diminishes with age. Even four weeks after birth, TEWL is still twice as high in the former.

INSTANTANEOUS DETECTION OF TEMPERATURE VARIATIONS

A thermograph of a premature infant reveals significant temperature differences across various body parts. The infant's core temperature is not uniform throughout all tissues and organs, and the brain is generally the warmest. Taking a temperature at a single point indicates how well a baby can maintain that temperature but provides no information about the energy expended for thermoregulation. Only the Caleo offers true ThermoMonitoring by measuring, documenting, and displaying both core and peripheral temperatures. This allows you to pinpoint the exact moment a baby is at risk of hypothermia and intervene promptly.

HEAT BALANCE, EASY TO LEARN

Dräger has created Heat Balance, a simple and interactive way for caregivers to learn about the different types of heat loss that can affect the baby and how to use the Caleo settings to create the most thermally neutral environment possible.

This training tool simulates the thermal equilibrium of infants in an incubator and demonstrates the impact of different types of heat loss and gain. Based on known physical algorithms for heat loss and documented clinical experience, it shows how the Caleo maintains thermal stability. This program also highlights the importance of all parameters in regulating the temperature of premature infants.

Since Heat Balance is a smartphone application, it can be used anywhere and anytime for training.

ENABLE FAMILY-CENTRIC CARE

Research shows that family-centered care offers significant benefits for premature infants, including improved well-being, better mental health outcomes, shorter hospital stays, and stronger parent-infant bonding. The Caleo features a kangaroo mode that allows you to continue monitoring the baby's temperature during contact care and adjusts the incubator temperature to match the baby's temperature, ensuring a smooth transition back to an ideal environment.

• Low height setting (80 cm / 31.5 inches) for wheelchair-bound mothers following childbirth or cesarean section.

• Large access windows to allow parents easy access to the infant in a closed care environment, allowing them to participate in their child's care.

• Large, unobstructed canopy for good visibility of the baby. The canopy material is scratch-resistant and designed with rounded corners to eliminate visual distortions.

• A cocoon-like environment, less intimidating and more welcoming for parents experiencing the intensive care unit for the first time. The monitor can be moved out of the way, thus keeping the equipment away from the mother's face for a more human connection.

A QUIET ENVIRONMENT

It is essential for the healthy development of premature infants that noise levels in the Neonatal Intensive Care Unit (NICU) be kept low. The Caleo represents a major advancement, particularly because it maintains the lowest possible noise level. It is designed to reduce disturbances that could disrupt natural sleep rhythms, impact the development of the nervous system, and cause cochlear damage.

• A quiet interior: The Caleo and all its components have been designed to operate quietly and at a low internal noise level (less than 47 dBA). It allows for a low air velocity around the infant (less than 8 cm/s), which means a calm environment with minimal ambient noise. A study conducted by Duke University showed that the Caleo was significantly quieter than all other incubators tested.

• A smart alarm: the sound comes from a speaker located away from the baby and is designed to gradually increase in speed like a chime. The smart alarm can be set to 8 different volume levels and is indicated by different colored lights.

• Silent windows: unlike most incubator windows, which are so noisy that they disturb the baby, the Caleo windows are ultra-quiet when opening and closing.

• Silent tilting: The Caleo can be tilted to move the cab away from sources of air currents and noise in the factory. Silent height adjustment: The Caleo's height adjustment mechanism is very quiet and allows for discreet adjustments between guards.

FACILITATE PROPER POSITIONING

Proper positioning of the infant is essential for their postural development and the resulting locomotor skills. Caleo positioning accessories help the baby maintain a stable posture despite gravity.

• SoftBed mattress – specifically designed to reduce pressure on the infant's skin, the mattress is made of viscoelastic foam and has a breathable cover that is comfortable for the baby in its bassinet.

• Hug it, the Nest and Pillows – these accessories are specially designed to provide physiological stability, containment and support for the baby. They can also be an additional aid for the clinician during procedures.

LIGHT LEVEL MANAGEMENT

As one might expect, bright light is not part of the in-utero environment. If light is necessary for care, light levels must be controlled for the baby's well-being.

• A suitable lamp cover: provides effective protection against unwanted and dangerous light, mimicking the natural environment of premature infants and providing them with the safe haven they need to live and grow.

• 3 dimming levels: The Caleo features a dimming range on the control panel to reduce lighting during night shifts. • Discover other Dräger offerings such as the Circadian Lighting System, which simulates the variation of sunlight throughout the day and helps maintain the circadian rhythms so important for you and your patients.

The Caleo also has features that minimize unnecessary contact with the baby, which would otherwise be an additional source of stimulation. We've configured these options for maximum ease of use, so you can focus on what matters most: your baby. • Access windows: The Caleo features ultra-lightweight, easy-to-use doors on both sides. • Side doors: These large doors on the Caleo 's shorter sides open, providing additional access for procedures such as ultrasounds.

• The hood: in case of emergency, it can be lifted from either side.

• The removable mattress: it allows easy access to the baby when needed, even when the Caleo is in an inclined position.

• The integrated X-ray tray: it allows easy access to the baby without disturbing him/her.

• Exclusive JumboPorts™: 40% larger than standard ports, they open silently and are ergonomically designed to facilitate patient care during procedures. The centrally located port opening mechanism allows both ports to be opened simultaneously with one hand or elbow.

• Tilt function: allows for smooth tilting at the touch of a button. • Adjustable height: allows for smooth adjustment from either side.

• The positionable control panel: it is possible to position the control panel where it best serves your work process.

ASEPTIC AND SAFETY MEASURES

Hygiene in the incubator is therefore imperative. This is why one of the key objectives in the design of the Caleo was to protect the baby against nosocomial infections.

• Closed-loop humidity system: prevents microorganisms present in the air from entering the passenger compartment.

• High temperature cleaning mode: The high temperature cleaning mode at 110°C disinfects the unit and removes residual water from the internal mechanism.

• Narrow closures and rounded corners of the cabin prevent bacteria from accumulating in sensitive areas.

• Minimal design in terms of parts: with only 11 components in total, it facilitates cleaning and allows for systematic disinfection.

SECURITY FUNCTIONS

During the design of the Caleo , priority was given to protecting the baby through safety measures. Special functions and mechanisms were implemented to avoid increasing the baby's stress and allow caregivers to focus on daily care.

• Automatic self-tests: Caleo tests all electronic systems, sensors and functions. It is monitored every eight minutes, which helps to guarantee the safety of the entire system.

• High-quality sensors: The quality of Dräger sensors guarantees the reliability of the displayed measured values: "you see what you really have."

• No higher temperatures: thanks to the innovative double air curtain concept, there is no need for higher temperatures to achieve excellent performance with minimal heating times.

• Thermal shielding technology: it limits the output temperature to a maximum of 45°C, guaranteeing a maximum surface temperature of 43°C on all tangible parts.

• Unobstructed portholes: the bed's incline does not obstruct the portholes because the entire capsule moves, providing access in any position.

• Wall locks: the caregiver cannot leave the incubator without locking the walls because a spring mechanism prevents them from staying straight if they are not locked.