A750i Service Manual Rev B

A750 A 0i In nfant Tran nsport Inc cuba ator S Syste em with Optiionall PullseOx x Servi S ice M Manua al    

Ph hone: (51 12) 873-00 033 Fa ax: (512) 873-9090 0 E-M Mail: salles@int-b bio.com We ebsite: http://www h w.int-bio..com

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Ma ailing add dress: Intternational Biome edical 82 206 Cross s Park Dr. r. Au ustin, TX 78754 US SA

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Au uthorized d represen ntative in n Europe for Regu ulatory Afffairs: Em mergo Eu urope Prrinsesseg gracht 20 25 514 AP Th he Hague,, The Nettherlands s

TABLE OF CONTENTS LANGUAGE DISCLAIMER ... 4 SECTION 1: GENERAL INFORMATION ... 11 INTRODUCTION ... 11 CLASSIFICATION ... 11 SAFETY SUMMARY ... 12 IMPORTANT SAFETY CONSIDERATIONS ... 12 SYMBOLS ... 18 SECTION 2: SET-UP INSTRUCTIONS ... 19 MODEL A750i UNPACKING AND ASSEMBLY ... 19 ASSEMBLY OF THE AIRWAY MANAGEMENT SYSTEM (OPTIONAL)... 23 INSTALLATION OF THE MVP-10 OR CROSSVENT 2i VENTILATOR (OPTIONAL) ... 24 INSTALLATION OF THE SUCTION UNIT (OPTIONAL) ... 26 AIR AND OXYGEN TANKS ... 27 OPERATIONAL CHECK ... 27 SECTION 3: OPERATING INSTRUCTIONS ... 28 FRONT PANEL DISPLAY FEATURES ... 28 SIDE PANEL FEATURES ... 33 POWER FEATURES ... 34 POWERING UP THE INCUBATOR ... 36 POWERING OFF THE INCUBATOR ... 36 DISPLAY MODES ... 37 TEMPERATURE CONTROL... 37 SETTING THE INFANT CHAMBER AIR TEMPERATURE ... 37 PULSE OXIMETER AND OXYGEN MONITOR CONTROL (OPTIONAL FEATURE) ... 38 ALARMS / INDICATORS ... 38 EXTERNAL LIGHTING ... 41 SKIN TEMPERATURE PROBE ... 41 SECTION 4: PULSE OXIMETRY (OPTIONAL FEATURE) ... 42 PULSE OXIMETER PRINCIPLES OF OPERATION ... 42 PULSE OXIMETER SET-UP INSTRUCTIONS ... 44 INITIAL SET-UP ... 44 SETTING HIGH AND LOW %SpO2 ALARMS ... 44 SETTING HIGH AND LOW PULSE RATE ALARMS ... 45 SETTING THE ALGORITHM MODE (MASIMO ONLY) ... 45 SETTING THE AVERAGING MODE (MASIMO ONLY) ... 46 SETTING THE PERFUSION INDEX (MASIMO ONLY) ... 47 OPERATIONAL ALARMS AND WARNINGS... 47 TEST OF OPERATIONAL ALARMS ... 49 PULSE OXIMETRY SENSORS ... 49 PULSE OXIMETRY TESTERS / SIMULATORS ... 50 SECTION 5: OXYGEN MONITOR (OPTIONAL FEATURE) ... 51 OXYGEN MONITOR PRINCIPLES OF OPERATION ... 51 OXYGEN MONITOR SET-UP INSTRUCTIONS ... 52 INITIAL SET-UP ... 52 SETTING HIGH AND LOW OXYGEN ALARMS ... 52 OXYGEN MONITOR CALIBRATION ... 53 OPERATIONAL ALARMS AND WARNINGS... 54 TEST OF OPERATIONAL ALARMS ... 54 OXYGEN SENSOR ... 55 SECTION 6: PREVENTATIVE MAINTENANCE ... 56 Part No. 715-0080, Rev. B

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TABLE OF CONTENTS DAILY MAINTENANCE ... 56 OPERATIONAL CHECK ... 56 AIR / OXYGEN SYSTEM ... 57 INFANT CHAMBER CHECK ... 58 CART AND ACCESSORIES ... 58 SENSORS AND CABLES (OPTIONAL EQUIPMENT) ... 58 CLEANING OF INCUBATOR AND CHAMBER ... 59 CLEANING OF CABLES (OPTIONAL EQUIPMENT) ... 59 CLEANING OF PULSE OXIMETRY SENSOR (OPTIONAL EQUIPMENT) ... 59 CLEANING OF OXYGEN SENSOR (OPTIONAL EQUIPMENT) ... 59 MONTHLY MAINTENANCE ... 60 OPERATIONAL CHECK ... 60 KEYBOARD / LED CHECK (OPTIONAL FEATURE) ... 60 ALARM MUTE CHECK (OPTIONAL FEATURE) ... 60 TANK INSPECTION ... 60 INFANT CHAMBER INSPECTION & CLEANING ... 61 BATTERY TEST ... 61 AIR FLOW SYSTEM INSPECTION & CLEANING ... 62 HARDWARE ... 62 BATTERY CARE ... 63 PRODUCT DISPOSAL / RECYCLING ... 63 SECTION 7: TROUBLESHOOTING ... 64 GENERAL TROUBLESHOOTING ... 64 MAIN DISPLAY ERROR CODES ... 65 PULSE OXIMETER AND OXYGEN MONITOR FAILURE CODES (OPTIONAL FEATURE) .. 65 SECTION 8: INTERNAL COMPONENT ACCESS ... 68 ELECTRONICS COMPARTMENT ACCESS ... 68 BATTERY REMOVAL ... 69 CONTROL BOARD REMOVAL ... 69 DISPLAY BOARD REMOVAL ... 70 PULSEOX DISPLAY BOARD REMOVAL ... 70 PULSE OXIMETER BOARD REMOVAL ... 71 SECTION 9: CALIBRATION PROCEDURES ... 72 CALIBRATION TEST EQUIPMENT REQUIRED ... 72 SYSTEM CALIBRATION PROCEDURE ... 72 CONTROL BOARD CALIBRATION PROCEDURE ... 75 DISPLAY BOARD CALIBRATION PROCEDURE ... 78 SECTION 10: CIRCUIT DESCRIPTION ... 79 CONTROL BOARD ... 79 TEMPERATURE REGULATION ... 79 FAILSAFE TEMPERATURE LIMIT ... 80 ALARMS ... 80 POWER FAIL ALARM ... 81 VOLTAGE REFERENCE ... 81 LAMP DRIVE CIRCUIT ... 81 BATTERY CHARGER ... 82 POWER SOURCE SELECTION... 83 DISPLAY BOARD ... 83 MEASURED TEMPERATURE DISPLAY... 83 MAIN INCUBATOR ALARM AND POWER INDICATORS ... 84 Part No. 715-0080, Rev. B

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TABLE OF CONTENTS TEMPERATURE SETPOINT ... 84 SETPOINT ALARM ... 84 PULSE, SpO2, AND OXYGEN DISPLAYS (OPTIONAL FEATURES) ... 84 SATURATION, PULSE, OXYGEN, AND PULSE GRAPH DISPLAYS (OPTIONAL FEATURES) ... 85 ALARM AND POWER INDICATORS (OPTIONAL FEATURES) ... 85 ALARM SETPOINTS (OPTIONAL FEATURE) ... 85 SETPOINT ALARM (OPTIONAL FEATURE) ... 85 OTHER ALARM AND WARNING CONDITIONS ... 85 SECTION 11: SPECIFICATIONS ... 86 GENERAL MECHANICAL SPECIFICATIONS ... 86 ELECTRICAL SPECIFICATIONS ... 87 OPERATIONAL SPECIFICATIONS ... 87 EMC SPECIFICATIONS... 87 ESSENTIAL PERFORMANCE ... 91 PULSE OXIMETER SPECIFICATIONS (OPTIONAL FEATURE) ... 92 OXYGEN MONITOR SPECIFICATIONS (OPTIONAL FEATURE) ... 94 OPERATING, STORAGE, AND TRANSPORT ENVIRONMENT ... 95 SECTION 12: WARRANTY ... 96 SECTION 13: SYSTEM DOCUMENTATION ... 97 EUROPEAN REGULATORY AFFAIRS REPRESENTATIVE ... 97 PARTS AND ACCESSORIES... 97 SECTION 14: SCHEMATICS / DRAWINGS ... 98 SYSTEM WIRING DIAGRAM, MASIMO PULSEOX (002-0011) ... 98 SYSTEM WIRING DIAGRAM, NELLCOR PULSEOX (002-0014) ... 99 CONTROL BOARD SCHEMATIC (001-5181) ... 100 PULSEOX DISPLAY BOARD SCHEMATIC (001-5193) ... 101 SCHEMATIC, NON-PULSEOX DISPLAY BOARD (001-5192) ... 107 TEMPERATURE SENSOR RESISTANCE VALUES ... 109 SCHEMATIC, PNEUMATIC A750i CART (002-4010) ... 110

Part No. 715-0080, Rev. B

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SECTION 1: GENERAL INFORMATION INTRODUCTION INDICATIONS FOR USE The transport incubator is a neonatal transport incubator. The incubator circulates warmed air at an operator selected, controlled temperature into a transparent chamber containing an infant. The structural integrity and weight of the incubator makes it suitable for ground and air transport. Auxiliary equipment for airway management and vital signs monitoring are not standard equipment. The system is to be operated by trained medical technical personnel. The International Biomedical Model A750i Infant Transport Incubator with optional PulseOx (referred to herein as the incubator) provides a thermally regulated environment to support an infant’s temperature requirements and has the capability to monitor vital information during transport. The pulse oximeter and oxygen monitor measure pulse rate, oxygen saturation, and oxygen concentration and allow the user to configure high and low alarm settings. The incubator circulates warmed air throughout the infant chamber to maintain the temperature at a user-selected setpoint. Chamber doors and hand ports provide quick and easy access to the infant. Positioning straps are provided to limit infant movement within the infant chamber. There are no known contraindications associated with the incubator. NOTE:

The Pulse oximetry and oxygen monitoring is only available if the PulseOx version of the incubator was purchased.

This service manual is designed to introduce the user to key features of the incubator, including safety issues, instructions for use, equipment maintenance and contact information. The manual should be read and understood by all users before using the transport incubator.

CLASSIFICATION According to the standard EN60601-1 of the International Electrotechnical Commission, Medical electrical equipment, Part 1: General requirements for safety, the infant transport incubator is classified as follows: 

Class I / Internally Powered, according to the type of protection against electric shock

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Type B, according to the degree of protection against electric shock (i.e. the patient may not be electrically isolated from earth)

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Ordinary, according to the degree of protection against harmful ingress of water

Part No. 715-0080, Rev. B

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SECTION 1: GENERAL INFORMATION 

Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitric oxide.

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Continuous operation for the mode of operation

The pulse oximeter cables and sensors are classified as type BF, per the EN60601-1 electrical standard. The skin temperature probe is classified as type BF, per EN60601-1 electrical standard (systems with optional PulseOx). The skin temperature probe is classified as type B, per EN60601-1 electrical standard (systems without optional PulseOx).

SAFETY SUMMARY The incubator is designed to be used by trained clinical users and/or biomedical engineers and operated in a manner consistent with the instructions contained in this manual. Refer to any additional training, procedures, requirements, or documentation beyond those identified here for operation and policies required within the institution. All personnel operating the incubator must be familiar with the warnings and operating procedures contained in this manual. International Biomedical is not to be held responsible if the incubator is used in a manner inconsistent with the instructions herein.

IMPORTANT SAFETY CONSIDERATIONS The incubator has been tested and found to comply with limits for electromagnetic interference and susceptibility as defined by EN60601-1-2. However, this equipment can radiate radio frequency (RF) energy and may cause harmful interference to other devices. The incubator may also be affected by interference from other devices. If RF interference is suspected, relocate or shield the incubator to reduce or eliminate the effects. Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current and grounding requirements must be maintained.

Part No. 715-0080, Rev. B

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SECTION 1: GENERAL INFORMATION Safety concerns or additional pertinent information will be displayed using warnings, cautions, and notes, having the following significance: WARNING:

Maintenance or operating procedure, technique, etc., which may result in personal injury or loss of life if not carefully followed.

CAUTION:

Maintenance or operating procedure, technique, etc., which may result in patient harm or damage to equipment if not carefully followed.

NOTE:

Maintenance or operating procedure, technique, etc., which is considered essential to emphasize.

The principal WARNING and CAUTION notices to be observed in use of this incubator are brought together here for emphasis. WARNINGS 

OBSERVE BEST PRACTICE: The instructions in this manual in no way supersede established medical procedures or staff preference concerning patient care.

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ENSURE UNIT IS PROPERLY GROUNDED: To ensure grounding reliability, only connect the power cord to a properly grounded, 3-wire hospital grade outlet of the proper voltage and frequency. DO NOT USE EXTENSION CORDS. If the integrity of the connection is in doubt, the incubator should be operated from its internal battery.

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EXPLOSION HAZARD: Do not use the examination light, the pulse oximeter, or oxygen monitor in the presence of flammable anesthetics or other flammable gases.

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USE OF OXYGEN INCREASES FIRE DANGER: Spark-producing auxiliary equipment should not be placed in or near the transport incubator.

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Avoid direct sunlight or radiant heat, which can cause a dangerous increase in chamber air temperature.

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Avoid eye exposure. Direct light exposure may cause eye damage. Infants must wear eye protection.

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The use of oxygen may increase the noise level within the infant chamber.

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Air and oxygen tanks are pressurized and must be properly secured.

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SECTION 1: GENERAL INFORMATION 

The transport incubator is Type B equipment and the baby may not be electrically isolated from earth. Care must be taken that additional equipment connected to the baby is electrically safe. To ensure patient electrical isolation, connect only to other equipment with electronically isolated circuits.

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Do not change the lamp and touch the patient simultaneously.

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When the infant tray is removed, do not touch exposed circuitry and patient simultaneously.

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This incubator was calibrated with the infant chamber originally supplied. If this chamber is exchanged for an infant chamber of a different configuration or size, the temperature calibration will be affected. Consult International Biomedical before returning the incubator to service.

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The incubator should be turned off and AC or DC power disconnected when cleaning.

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The use of devices which radiate high intensity electrical fields may affect the operation of the transport incubator. Constant assessment of the patient and all life support equipment is mandatory whenever interfering devices are operating on or near patient.

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When using the transport incubator adjacent to or stacked with other equipment, observe the operation of the transport incubator and the other equipment to ensure normal operation.

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Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer then 30 cm to any part of the transport incubator and associated cables. Otherwise, degradation of the performance of this equipment could occur.

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When the incubator is attached to a Ferno 146 Collapsible Cart, the two highest positions should not be used as they can cause a tip hazard.

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Do not use the pulse oximeter or oximetry sensors during magnetic resonance imaging (MRI) scanning. Induced current could potentially cause burns. The pulse oximeter may affect the MRI image and the MRI unit may affect the accuracy of the oximetry results.

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If using pulse oximetry during full body irradiation, keep the sensor out of the irradiation field. If the sensor is exposed to irradiation, the reading might be inaccurate or the unit might read zero for the duration of the active irradiation period.

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The pulse oximeter should NOT be used as an apnea monitor.

Part No. 715-0080, Rev. B

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SECTION 1: GENERAL INFORMATION 

If an alarm condition (other than exceptions listed herein) occurs while the MUTE button is activated, only visual alarm indicators will be activated.

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Pulse rate measurement is based on the optical detection of a peripheral flow pulse and therefore may not detect arrhythmias. The pulse oximeter should not be used as a replacement or substitute for ECG based arrhythmia analysis.

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Connecting equipment to the outlets on this device creates a medical electrical system and the user is responsible for continued compliance with the requirements of IEC 60601-1.

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Do not modify this equipment without proper authorization from International Biomedical.

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An Infant Transport Incubator should be used by appropriately trained personnel and under the direction of qualified medical staff familiar with currently known risks and benefits of Infant Transport Incubator use.

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When this incubator is operated on battery in low ambient temperatures, the thermal cover must be used.

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Skin temperature probe is not a rectal probe. The skin temperature sensor is not to be used as a rectal probe.

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Do not use liquids in or around the transport incubator.

CAUTIONS 

U. S. Federal and Canadian law restricts this device to sale by or on the order of a physician or other licensed medical practitioner. Outside Canada and the U. S., check with local laws for applicable restrictions.

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Use of sharp objects on Front Display Panel will cause permanent damage and will void warranty.

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Do not touch, press, or rub the display panels with abrasive cleaning compounds, instruments, brushes, rough-surface materials, or bring them into contact with anything that could scratch the panel.

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Use an oxygen analyzer when oxygen is delivered to the infant.

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The incubator electronics contain static sensitive components that can be damaged by improper handling. Use approved grounding techniques for work areas and service personnel.

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The infant tray grounding tabs are sharp; use care when cleaning air flow system.

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SECTION 1: GENERAL INFORMATION 

Do not move the incubator by pushing on the infant chamber. The infant chamber is not designed to sustain the forces to push the incubator. Stress fractures in the infant chamber can occur.

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DO NOT leave the 12 volt cord attached to the DC connector of the incubator.

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Do not overtighten the infant chamber screws. Do not strip the aluminum into which these screws are threaded.

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Do not drip cleaning solution through the holes where the swell latches fit into the air flow assembly.

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The incubator MUST be plugged into AC power and the battery recharged after any battery usage. The battery will sustain damage if drained of power and not placed on recharge soon.

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CLEANING AND CARE: Do not autoclave, pressure sterilize, or gas sterilize the incubator, cables, or sensors. Use cleaning solutions sparingly as excessive solution can flow into the incubator and cause damage to internal components. Do not soak or immerse the incubator or sensors in any liquid. Do not use petroleum-based, alcohol, acetone, or other harsh solvents. See cleaning instructions of reusable sensors and cables in directions for their use.

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Check alarm limits each time the system is used to ensure that they are appropriate for the patient being monitored.

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Use only parts, accessories, transducers, and cables designated by International Biomedical for use with the transport incubator. Cables and accessories other than those supplied by International Biomedical may result in unacceptable operation of the transport incubator and will void the equipment warranty.

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If a sensor or cable is damaged in any way, discontinue use immediately.

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The Maxtec MAX-250E oxygen sensor is a sealed device containing a mild acid electrolyte, lead (Pb), and lead acetate. Lead and lead acetate are hazardous waste constituents and should be disposed of properly, or returned to Maxtec or International Biomedical for proper disposal or recovery.

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Pulse oximeter probes and cables are designed for use with specific monitors. Only use Masimo sensors and patient cables for Masimo pulse oximetry model. Only use Nellcor sensors and patient cables for Nellcor pulse oximetry model. Verify the compatibility of the monitor, sensor, and cable before use, otherwise patient injury can result.

Part No. 715-0080, Rev. B

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SECTION 1: GENERAL INFORMATION 

Only use International Biomedical cable and Maxtec sensor for oxygen monitoring.

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Calibrate the oxygen sensor daily when in use or if environmental conditions change significantly (i.e., Temperature, Humidity or Barometric Pressure).

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Dropping or severely jarring the oxygen sensor after calibration may shift the calibration point enough to require recalibration.

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Oxygen sensor and pulse oximetry cables must be contained within cart or otherwise secured when not in use.

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SECTION N 1: GE ENERA AL INFO ORMAT TION SY YMBOL LS Th he following g symbols appear a in th he incubatorr documenttation and labels. The ese internattionally reccognized sy ymbols are defined by y the Interna ational Elecctrotechnica al Commisssion, IEC 417A and IE EC 87 78. On (power: connection to the mains) Off (Standby) (Blue Background)

Atte ention, consult accompanyying documents Alte ernating Curre ent Dire ect Current Prottective earth (ground) Typ pe B equipment (EN60601--1) Typ pe BF equipment (EN60601 1-1) Rec cycle or dispo ose of properlyy, contains se ealed lead ba atteries

SYMBOL

MANUAL L REFERENC R CE

ALARM M

Designates locatiion of alarms on front pane el

HIGH H TEMP

High h temperature e alarm indica ator

SYS FA AIL

Systtem failure ala arm indicatorr

AIR FLO O

Air flow f blockage e alarm indica ator

SENS S FA AIL

Prim mary temperatture sensor m malfunction alarm indicatorr

PWR P FA AIL

Incu ubator not con nnected to AC C nor DC, and d battery pow wer is belo ow 10.1 volts

MUTE E BABY TEMP

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EXPLA ANATION

Mute e button silen nces audible a alarms for app proximately 1 minute Baby probe temp perature mode e

BAT CH HG AC OP P DC OP P

Battery charging indicator

BAT OP P

Incu ubator operati ng on interna al battery due to no externa al power conn nected

LOW BA AT

Low w battery indiccator

Incu ubator conneccted to AC po ower Incu ubator conneccted to DC po ower

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SECTION N 2: SE ET-UP INSTRU I UCTION NS M MODEL A750i UNPAC U CKING AND A AS SSEMBLY Th he incubator is packed d in three bo oxes: 1) inffant chamb ber, 2) incub bator, and 3 3) incubator cart. Ad dditional boxes may be e required if the incuba ator was pu urchased w with accesso ory equipment. Upon arrrival, inspec ct all boxes s for any da amage. 1.

Open the largest box (appro oximately 38 8”  25”  3 30”, marked d with part n number 222 2-7313) and d ve the cart (see Figure 2 - 1). remov Figure e 2 - 1 Ass sembled A7 750i with P PulseOx

Chamber Main Module

Carrt

2.

Locate e the four mounting m sc crews on the e four corne ers of the ccart and sett aside untill the main module has been n unpacked. The four mounting sscrews (see e Figure 2 - 2) are gen nerally pack ked h but th hey must be e removed to mount th he main mo odule. in the mounting holes, Figurre 2 - 2 Mo ounting Ha ardware Lo ocation

WARN NING:

Parrt No. 715-008 80, Rev. B

When the e incubato or is attach hed to a Fe erno 146 Co ollapsible Cart, the tw wo highest positions p should s nott be used a as they can n cause a ttip hazard.

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SECTION N 2: SE ET-UP INSTRU I UCTION NS 3.

Open the t box for the main module m (app proximatelyy 42”  27”  16”, markked with part number 222-73 310) and re emoved the 2 top piece es of foam. In addition n to the inccubator main module, the t handle es, manuals s, skin temp perature pro obe, positio oning strapss, light systtem, and IV V pole are genera ally packed in this box x. a.

Remove th he main mo odule (Figurre 2 - 1) and set it on ttop of the ccart (Figure 2 - 1).

b.

Align the fo our mountin ng holes on n the bottom m of the ma ain module with the fou ur mounting g plates on the t cart and d insert the mounting sscrews from m undernea ath the main n module (s see Figure 2 - 3). Figure e 2 - 3 Sec curing Mai n Module tto Cart

c.

Tighten mo ounting harrdware for a secure fit . Once the e main module is securely fastene ed to the cart,, locate the two incuba ator handles and attacch them to tthe main module using g an appropriately sized d Allen wre ench (see F Figure 2 - 4)). Figure 2 - 4 Handle e Assembly y

Handle ho oles

Parrt No. 715-008 80, Rev. B

Ha andle moun nting

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SECTION N 2: SE ET-UP INSTRU I UCTION NS NOTE:

When th he incubato or is attache ed to a rigid d cart with a an internal power strip p, the pow wer cord mu ust be conta ained within n the cart o or secured o on either en nd of the cart with the e supplied ccord holderss when not in use.

d.

Loop the in nfant positio oning strap ps through tthe slits in tthe side of tthe infant trray and Velcro into place. There will be four strrap pieces, making two o complete e belts (see Figure 2 - 5). Figure 2 - 5 Infant Positioniing Strap M Mounting

e.

Open the final f box (approximate ely 34”  21”  17”, ma arked with p part number 222-7312) and remov ve the innerr, Plexiglas infant cham mber and p place on top p of the maiin module, carefully fittting it into the gasket material. T The large o opening on the front off the chamb ber should be placed facing the fron nt of the incu ubator, with h the cut ou ut for the he ead door on n the left (oth her hand po ort / door co onfiguration ns are available so the ere may be additional cut outs).

f.

Remove th he outer, Pllexiglas infa ant chambe er from the box and pla ace over th he inner chamber on o the incub bator. The large door with hand p ports shoulld be facing g the front of o the incuba ator with the e head doorr on the leftt. (Other ha and port / d door configu urations are e available so s there ma ay be additional doors and/or han nd ports.)

g.

Secure both chamberrs to the inc cubator by inserting th he four push h/pull pins llocated at both ends of the main n module su urface (see e Figure 2 - 6). Adjust the chamb bers until the pins are ea asily inserte ed.

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SECTION N 2: SE ET-UP INSTRU I UCTION NS Figure e 2 - 6 Cha amber and d Lamp Mo ounting

La amp mounting location

Chamber push/pull pin h.

Locate the e lamp. The e opening for f the lamp p wiring is lo ocated on tthe top right back corn ner of the main n module, just behind the infant cchamber (see Figure 2 - 6). Insert the wiring g through the e opening and a connec ct the two e electrical ad dapters. Th he lamp mo ounting hardware will w be attac ched to the lamp wirin g that is pa art of the ma ain module e, just below w the electric cal adapter.

i.

Once operration of the e lamp is co onfirmed, use the fourr mounting sscrews to a attach the lamp to the e main mod dule. Moun nt so the on n/off power switch will be readily a accessible from the end of the in ncubator. NOTE:

j.

The incubator pow wer switch m must be turn ned on to o operate the lamp.

Locate the e IV pole an nd insert it in nto the IV p pole holder located on n the top lefft back corn ner of the main n module.

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SECTION N 2: SE ET-UP INSTRU I UCTION NS A ASSEMB BLY OF F THE AIRWAY A Y MANA AGEMENT SYS STEM (O OPTION NAL) If tthe Airway Manageme ent option was w ordered d, the A750 0i cart will come equipp ped with ad dditional acccessories (see ( Figure e 2 - 7). The e additional equipmen nt will be inccluded in th he incubator cart box. Figure 2 - 7 A750 0i with PulseOx and Airway Ma anagementt Option

1.

After unpacking u and a assemb bling the inc cubator, loccate the air/ r/oxygen ble ender and fflowmeter assem mbly. Attach h the blende er/flowmete er assemblyy to the leftt hand side of the cart using the hardwa are on the bracket (se ee Figure 2 - 8). Figure e 2 - 8 Sec curing Blen nder / Flow wmeter

Input Check C Valves

Blende er/flowmeter mounting holes 2.

Attach the green oxygen hos se and the yellow air h hose to the bottom of tthe blenderr. Ensure connec ctions are snug. s

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SECTION N 2: SE ET-UP INSTRU I UCTION NS 3.

To verrify proper connection, c attach the air and oxyygen coiled d hoses to tthe top set of input che eck valves s (marked “e external”) and a connectt the other end of the hoses to th he hospital a air/oxygen supply y. Turn the flowmeter knob to 16 and confirm m that gas is coming o out the botttom of the flowme eter. Remo ove the air and a oxygen n hoses from the top sset of input check valves and plac ce them on o the botto om set of in nput check valves v (marrked “tankss”). Again, verify flow is coming out o of the flowmeter with w the gas ses turned on.

4.

The Aiirway Mana agement Sy ystem conta ains the folllowing addiitional acce essories tha at are genera ally packed in the cart box as welll: a.

One air an nd one oxyg gen regulato or

b.

One set off air and oxy ygen clear tubing hose es

c.

One set off air and oxy ygen coiled d hoses

d.

Air and oxy ygen quick--connect co onnectors

IN NSTALL LATION N OF TH HE MVP P-10 OR R CROS SSVENT T 2i VENTILA ATOR (O OPTION NAL) If tthe Ventilattor option was w ordered d, the A750i cart will co ome equipp ped with a vventilator in nstalled inside of it. (See Fig gure 2 - 9.) Figurre 2 - 9 A750i with Pu ulseOx witth Airway M Manageme ent, Suction, and Ven ntilator

Blender B / Flo owmeter

Ventilator

Suction

1.

Ensure e that the Airway A Management sy ystem is insstalled corrrectly. Refe er to SECTIION 2, ASSEM MBLY OF THE T AIRWA AY MANAG GEMENT S SYSTEM (O OPTIONAL)), for installa ation instruc ctions.

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SECTION N 2: SE ET-UP INSTRU I UCTION NS 2.

Conne ected to the e ventilator will w be a gre een Y-hose e with two u unconnecte ed oxygen h hoses. Conne ect one hose to the botttom front connector c o on the blend der and the e other hose e to the rea ar connec ctor on the flowmeter. See Figurre 2 - 10. Figure 2 - 10 Ve entilator Ho ose Config guration

Green G ve entilator hose co onnectors 3.

If a Cro ossvent Ve entilator was s ordered, ensure e it is plugged in nto the AC p power strip on the A75 50i cart. Plug P the cart power strrip into AC power to ch harge the vventilator ba attery and a allow AC operattion.

4.

To verrify Crossve ent 2i ventila ator operattion, refer to o page 11 o of the BioMed Devicess Crossvent 2i+ Ins struction an nd Service Manual M thatt is provided.

5.

To verrify MVP-10 0 ventilator operation, refer to pag ge 15 of the e BioMed D Devices MV VP-10 Neona atal/Pediatriic Ventilator Instruction n Manual th hat is provid ded.

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