Neonatus installs the Infant Radiant Warmer as the centrepiece of the resuscitation station. The overhead radiant heater uses a parabolic reflector and a quartz heating element, delivering 600 W of infrared energy to the mattress surface, with a servo-controlled skin temperature probe maintaining the infant’s abdominal skin at 36.5 plus or minus 0.3 °C. The height-adjustable warmer column 80 to 130 cm allows positioning over the delivery bed or a dedicated resuscitation cot. A built-in timer starts when the warmer is switched to Manual mode at maximum output, beginning the 10-minute pre-warm cycle before delivery; the mattress surface must reach 34 °C before the infant is placed.

The warmer’s integrated monitor displays the infant’s skin temperature, the set point, and the heater output as a percentage. An audiovisual alarm activates if the skin temperature falls below 36.0 °C for more than 1 minute hypothermia or exceeds 37.5 °C hyperthermia. A colour-coded observation light enables Apgar scoring at 1 and 5 minutes, and a built-in clock displays elapsed time since birth. The warmer’s side panels are transparent, allowing the neonatal team to work from three sides.

Technical Note: The skin temperature probe must be placed on the right upper quadrant of the abdomen, avoiding the liver area metabolic heat and bony prominences. It must be covered with a reflective adhesive disk to prevent direct radiant absorption, which would otherwise produce a falsely elevated reading of up to 1.5 °C. The probe site is inspected every 15 minutes for thermal injury.

Neonatus provides a self-inflating Resuscitator 500 mL bag with an oxygen reservoir, a pressure-limiting pop-off valve set at 35 cmH2O, and a manometer port. The device is assembled with a cushioned, anatomical mask in two neonatal sizes size 0 for less than 2500 g, size 1 for 2500 g and above. For preterm infants, a T-piece resuscitator is also available, allowing the operator to set a continuous distending pressure PEEP of 5 cmH2O and a peak inspiratory pressure PIP of 20 to 25 cmH2O. The T-piece is driven by a blended air-oxygen source 21 to 100 percent FiO2 from a wall-mounted blender.

The resuscitator is pre-connected to the oxygen supply and placed on the warmer’s instrument tray, with the mask positioned for one-hand application. During training drills, the team practices the sequence warm and dry, stimulate, suction if needed, position head in neutral, apply mask, ventilate at 40 to 60 breaths per minute. A disposable colourimetric CO2 detector is placed between the mask and the bag; a colour change from purple to yellow within 5 breaths confirms tracheal placement and effective ventilation.

Technical Note: The pop-off valve must be tested weekly by occluding the patient port and squeezing the bag firmly; the valve must open at 35 plus or minus 5 cmH2O. A valve that does not open can deliver pressures exceeding 50 cmH2O, causing pneumothorax in a premature infant. The T-piece circuit must be checked for leaks before every use by occluding the patient port and pressurising to 20 cmH2O; a pressure drop more than 2 cmH2O over 10 seconds indicates a leak that must be located and sealed.

Neonatus mounts the portable electric Aspirator on the side rail of the radiant warmer. The unit generates a negative pressure of 100–600 mmHg, adjustable via a rotary regulator, with a flow of 25 L/min at the collection canister. The suction line is connected to a 10 French gauge soft-tipped suction catheter with a thumb-controlled vent. For meconium-stained amniotic fluid in a non-vigorous infant, the protocol calls for direct laryngoscopy under the warmer’s light, suction of the oropharynx and trachea using a meconium aspirator adapter at 150 mmHg.

The collection canister 250 mL is single-patient use and contains a hydrophobic shut-off filter that prevents aerosolised fluid from reaching the vacuum pump. A second canister is kept in the warmer’s drawer for rapid replacement if the first fills. The aspirator’s noise level is less than 55 dBA at 1 metre, allowing the team to communicate effectively during resuscitation.

Technical Note: The suction pressure must be limited to 100 mmHg for airway suctioning of preterm infants less than 32 weeks; higher pressures cause mucosal injury and can trigger bradycardia via vagal stimulation. After each resuscitation, the suction catheter is discarded, and the vacuum line is flushed with sterile water for 30 seconds to prevent protein build-up in the lumen.

Neonatus integrates the Vein Detector, a near-infrared 850 nm transillumination device mounted on an articulated arm attached to the radiant warmer. The device projects real-time venous anatomy onto the skin surface, with veins appearing as dark lines against a green background on the integrated LCD screen. It can visualise superficial veins up to 8 mm deep, with a resolution of 0.2 mm. The device’s paediatric mode filters out deeper veins exceeding 3 mm depth, reducing the false-positive rate.

During neonatal resuscitation, the vein detector is activated as soon as the infant is placed under the warmer. It guides the placement of an umbilical venous catheter UVC for emergency access to deliver volume expanders, glucose, or adrenaline. The saphenous vein at the ankle is the preferred peripheral access site; the device highlights its course, and the operator can mark the skin with a surgical marker before needle insertion. First-attempt venous cannulation success rate is improved from 55% to 85% in published audits when using vein visualisation.

Technical Note: The near-infrared light source must be calibrated annually using a tissue phantom with known vascular depth. The device’s cooling fan filter must be cleaned monthly; a clogged filter causes the LED to overheat and reduces its output intensity by 10%, diminishing deep-vein visibility. The articulated arm’s friction joints should be checked quarterly for resistance; a loose joint can cause the detector head to drift during the procedure.

Neonatus packages the resuscitation station with a simulation module that includes a neonatal manikin with an anatomically correct airway, umbilical cord with vessels, and a wireless tablet pre-loaded with resuscitation scenarios shoulder dystocia, cord prolapse, meconium aspiration, extreme prematurity. The team midwife, obstetrician, paediatrician performs a simulated resuscitation at the beginning of each month, with the video captured on the warmer’s integrated camera. The video is reviewed during a debrief, with a structured checklist covering: time to effective ventilation, mask leak assessment, correct compression-to-ventilation ratio 3:1, and team communication.

The simulation software tracks team performance metrics longitudinally, generating a competency report for each staff member. Any staff member who misses two or more key steps on two consecutive simulations is assigned to a hands-on remediation session. The clinical educator signs off the annual competency in the staff member’s electronic portfolio.

Technical Note: The manikin’s airway must be replaced after every 200 intubations, as the silicone vocal cords lose elasticity and allow the endotracheal tube to pass with unrealistically low resistance. The camera’s recording must be stopped before any patient is brought into the room to prevent inadvertent breach of privacy; a simulation mode LED on the warmer signals the camera status.