Service Manual and Parts List
220 Pages
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Equipment for neonatal and premature infants: Incubator
Atom Infant Incubator Model 100 ORIGINAL
0123
Service Manual & Parts List
TO THE OPERATOR AND THE PERSON IN CHARGE OF MAINTENANCE AND CARE OF THE UNIT: ● This Manual describes various inspections needed to ensure proper operation of the Dual Incu i, including instructions for troubleshooting, those procedures to change certain settings which are not mentioned in the Operation Manual, and important points to bear in mind when handling the unit. ● Various inspections, including periodical inspection, are described in detail in this Manual. They should be carried out only by those who are fully familiar with the operation of the unit, having adequate technical knowledge and skills required in inspecting the unit. ● If repairs seem to be required as a result of any inspection described in this Manual, either personnel with more advanced knowledge and skills should undertake the repair or you should contact your local Atom representative for repair service.
INTRODUCTION This Service Manual describes procedures for inspecting, repairing and changing the settings of the Dual Incu i. It also describes precautions and troubleshooting in alarm conditions. The procedures described in this Service Manual should be carried out only by personnel trained in electricity and the operation of the unit. Neither Atom Medical Corporation nor its representative will be responsible for the quality and performance of the unit if the unit should not be handled as instructed or if unauthorized parts should be used in repairs. It should be noted that any responsibility arising from inspecting, repairing or changing the settings of the unit lies with the person who carried it out. Read this Service Manual carefully and familiarize yourself thoroughly with its contents before inspecting, repairing or changing the settings of the unit. Keep this Manual where it is readily accessible for reference when needed. For more detailed information on inspecting, repairing and changing the settings of the unit, contact your local Atom representative. Read the Operation Manual thoroughly before using the Service Manual.
SAFETY INFORMATION Please read the Manual carefully before operating the unit. Please follow the instructions when operating the unit.
Basic Instructions 1. Medical institutions are responsible for the maintenance, inspection and care of the unit. 2. When you choose to have the unit maintained and inspected or when the unit is found to be in need of repairs from the results of inspection, consult your local Atom representative and take one of the following measures. 1) Ask someone who has completed a training course specified by Atom and who has sufficient technical knowledge and skills to do the work. 2) Ask Atom to send its service engineer if a person who has completed a training course specified by Atom and who has sufficient technical knowledge and skills is not available. 3) Ask Atom for its approval of returning the unit for repair service. 3. Follow the instructions for safety. Read the operating precautions thoroughly before operating the unit. 4. Inspect the unit on a periodical basis. Periodical inspection is needed to use the unit in the optimum condition. 5. Ensure that the unit will not be used if it is found to be defective. Take proper measures to ensure that a defective unit will not be used by mistake before it is properly inspected, repaired and has its settings changed for normal operation. Such measures include indicating on the unit that it is under inspection/repair and keeping it away from other devices that function correctly.
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Definitions of Warning Indication Three levels of warning indication are used throughout this Service Manual & Parts List and on the unit. They are defined as follows. A DANGER notice indicates an immediately hazardous situation which, if not avoided, DANGER: will result in death or serious injury, serious damage to property such as total loss of use of equipment, or fire. A WARNING notice indicates an indirectly (potentially) hazardous situation which, WARNING: if not avoided, will result in death or serious injury, serious damage to property such as total loss of use of equipment, or fire. A CAUTION notice indicates a hazardous situation which, if not avoided, can result in CAUTION: minor or moderate injury, partial damage to equipment, and loss of data stored in computers.
Definition of Symbols 1. Symbols to indicate danger, warning or caution Symbol Title and indication General attention Indicates unspecified general danger, warning or caution. Caution: Hot surface Indicates that the surface can be dangerously hot under certain conditions.
2. Symbols to prohibit action Symbol
Title and indication
General prohibition Indicates unspecified general prohibition. Prohibition of disassembly Indicates prohibition of disassembly of the unit where it may cause an electric shock or other hazards. Prohibition of use of fire Indicates prohibition of use of fire where an external use of fire may cause the unit to ignite under certain conditions. 3. Symbols to give instructions for action Symbol
Title and indication
General instruction Indicates unspecified general action on the part of the user. Connect a ground wire Instructs the user to connect the ground wire without fail where the unit is provided with a ground terminal. Remove the power plug from the power outlet Instructs the user to remove the power plug from the power outlet in the case of malfunction or when there is a threat of lightning. 2
4. Symbols of international standards (IEC) Symbol
Title and indication
Power on Indicates in relation to the power switch that the device is connected to the power source. Power off Indicates in relation to the power switch that the device is not connected to the power source. Equipment partially on Indicates that a part of the device is “ON.” Equipment partially off Indicates that a part of the device is “OFF.” Type BF applied part Indicates that the device is classified as Type BF in terms of the degree of protection against an electric shock. Bell silenced Indicates either a control switch to silence the bell permanently or temporarily, or that the bell is silenced. Date of manufacture Indicates the date when the unit was manufactured in the factory. Recyclable (battery) Indicates that recycling is recommended. See Operation Manual Follow Operation Manual. WEEE symbol In the EC area, an electrical and electronic product falling in one of the categories specified by “DIRECTIVE 2002/96/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 27 January 2003 on Waste Electrical and Electronic Equipment (WEEE)” should be disposed of in a manner consistent with relevant laws and regulations. This symbol indicates that the above-mentioned requirement applies to this product. Locked Indicates a locked condition. Unlocked Indicates an unlocked condition. Manufacturer This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer. Authorised representative in the european community This symbol indicates the name and the address shown adjacent to the symbol is of the authorised representative in the European Community.
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5. Other symbols Symbol
Title and indication
Setting Indicates that a setting is increased. Setting Indicates that a setting is decreased. Main screen display switch Indicates a switch to display the main screen. Trend screen display switch Indicates a switch to display the trend screen. Menu screen display switch Indicates a switch to display the menu screen. Pulse oximeter screen display switch Indicates a switch to display the pulse oximeter screen or the function related to the pulse rate. Weight screen display switch Indicates a switch to display the weight screen or the function related to weighing the infant. Battery Indicates whether the incubator is being powered by a battery or not. Incubator air circulation Indicates the function related to air circulation in the incubator in the incubator mode or that the incubator is in manual control. Radiant warmer Indicates the heater output in the radiant warmer mode or that the radiant warmer is in manual control. Setting Indicates set values or the setting procedure. Skin temperature Indicates the function related to the infant’s skin temperature or that the incubator is in servo control. Temperature Indicates, with this symbol alone or with other symbols, a detected temperature or a set temperature alarm. Peripheral temperature Indicates the function related to the infant’s peripheral temperature (skin temperature 2). Low water level/no water Indicates that there is little or no water in the humidity chamber. Defective humidity chamber Indicates that something is wrong with the humidity chamber.
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Symbol
Title and indication Humidity chamber off Indicates that the humidity chamber is not attached properly. Humidity Indicates the function related to humidity.
O2
Oxygen Indicates the function related to oxygen. Load capacity Indicates the maximum load capacity. Gross weight Indicates that the gross weight when peripheral devices of maximum loading capacity are attached to the product is as inscripted. Avoid getting caught Indicates that the user must avoid getting caught in the gap in the device. AC power indicator The indicator lamp comes on in green when the unit is connected to the AC power source. It comes on in red when no power is supplied to the unit.
(Nellcor)
Interference Indicates that interference exists.
(Nellcor)
Pulse search Indicates that no pulse is detected. Fast response mode indicator Indicates that the response mode of the pulse oximeter is set to “Fast.” SatSeconds display Displays the selected SatSeconds alarm limit setting. Press Indicates that the lock function will be released when the key with this symbol is pressed. No humidified oxygen Indicates that humidified oxygen must not be supplied. Oxygen supply port 1 Indicates the oxygen supply port when oxygen is supplied through the flowmeter. Oxygen supply port 2 Indicates the oxygen supply port for the piping connecting hose when the oxygen controller is used. Do not immerse Indicates that the humidity chamber must not be immersed in water.
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CONTENTS INTRODUCTION ... 1 PLEASE READ WITHOUT FAIL [1]
Operating Precautions ... 8 1-1. 1-2. 1-3.
[2]
2-4.
6-1.
Main body ... 14 Display ... 17 Display Screens ... 18 2-3-1. General Description of the Screens ... 18 2-3-2. Screen Transition Diagram ... 21 2-3-3. List of Operations Available on Each Screen ... 22 2-3-4. Main screen ... 23 2-3-5. Pulse Oximeter Screen ... 28 2-3-6. Weight Screen ... 33 2-3-7. Menu Screen ... 36 2-3-8. Trend Screen ... 40 Service Menu (How to Operate the Service Menu Screen) ... 42 2-4-1. How to Enter the Service Menu ... 42 2-4-2. Operating the Service Menu Screen ... 43 2-4-3. Calibrating the Touch Panel ... 49 6-2.
Maintenance Inspection... 50 3-1.
3-2. 3-3. 3-4.
Inspection before Use ... 51 3-1-1. Visual Inspection ... 51 3-1-2. Functional Inspection ... 53 3-1-3. Performance Inspection ... 56 3-1-4. Checking and Calibrating the Weight Monitor ... 57 Quarterly Inspection ... 58 Inspection Checklist ... 59 Periodical Replacement Parts and How to Replace them... 60 3-4-1. Replacing the Filter... 61 3-4-2. Replacing the Oxygen Sensor ... 62
Cleaning and Disinfection ... 64 4-1. 4-2. 4-3. 4-4. 4-5.
[5]
Disassembly and Replacement Procedures ... 110
DANGER ... 8 WARNING ... 9 CAUTION... 12
MAINTENANCE
[4]
[6]
Parts Identification ... 14 2-1. 2-2. 2-3.
[3]
DISASSEMBLY AND REPLACEMENT
Hood Assembly ... 65 Mattress Platform and Parts Beneath... 68 Heater for Radiant Warmer ... 70 Humidity Chamber... 71 Others ... 72
Troubleshooting ... 73 5-1. 5-2. 5-3.
Alarms ... 73 Troubleshooting ... 79 Troubleshooting Flowchart ... 81 5-3-1. Troubleshooting When the Unit Cannot Be Controlled Properly ... 81 5-3-2. Troubleshooting When the Unit Does Not Function Properly ... 82
6-3.
Stand ... 110 6-1-1. Removing the Main Body from the Stand... 110 6-1-2. Replacing the Hi-Low Stand Actuator ... 113 6-1-3. Replacing the Foot Switch... 114 6-1-4. Replacing the Relay Board for Foot Switch. ... 115 6-1-5. Replacing the Caster... 116 6-1-6. Replacing the Radiant Warmer (with F-rail Pole, Height Adjustment Unit) ... 116 6-1-7. Replacing Heater for Radiant Warmer... 118 6-1-8. Replacing the Disc-type Thermostat for Radiant Warmer... 119 6-1-9. Replacing the F-Rail Pole Spacer ... 120 6-1-10. Replacing the Canopy (with Hi-Low Unit) ... 121 6-1-11. Replacing the Canopy... 122 6-1-12. Replacing the Photomicroswitch... 123 6-1-13. Replacing the Hi-Low Drive Board ... 124 Hood ... 124 6-2-1. Replacing the Admittance Panel (Rear) ... 124 6-2-2. Replacing the Admittance Panel (Front) ... 126 6-2-3. Replacing the Admittance Panel Lock Holder ... 126 6-2-4. Replacing the Sensor Module Holder ... 127 6-2-5. Replacing the Snap-open Access Port ... 127 6-2-6. Replacing the Admittance Panel ... 128 6-2-7. Replacing the Admittance Panel Hinge ... 128 6-2-8. Replacing the Admittance Panel Operating Lever Right/Left ... 129 6-2-9. Replacing the Admittance Panel Operating Knob... 130 6-2-10. Replacing the Inner Wall Lever Right/Left ... 130 6-2-11. Replacing the Inner Panel Right/Left ... 130 6-2-12. Replacing the Inner Wall Bearing ... 131 6-2-13. Replacing the Inner Wall Shaft Bearing... 132 Main Body ... 132 6-3-1. Removing the Upper Section of the Main Body from the Main Body ... 132 6-3-2. Replacing the Heater for the Main Body ... 134
INFORMATION [7]
Electrical Block Diagram ... 167
[8]
Wiring Diagram... 168 8-1. 8-2. 8-3.
[9]
Drive Unit ... 168 Main Body ... 169 Peripheral Units... 170
Parts List... 171
INFORMATION
Fig-1 Main Body and Accessories... 172 Fig-2 Display ... 174 Fig-3 Humidity Chamber... 176 Fig-4 Mattress Platform... 178 Fig-5 Upper Section of the Main Body 1 ... 180 9-6. Fig-6 Upper Section of the Main Body 2 ... 182 9-7. Fig-7 Upper Section of the Main Body 3 ... 184 9-8. Fig-8 Lower Section of the Main Body ... 186 9-9. Fig-9 Power Unit ... 188 9-10. Fig-10 Oxygen Controller Assembly... 190 9-11. Fig-11 Upper and Lower Sections of the Main Body and Filter Case Assembly ... 192 9-12. Fig-12 Stand ... 194 9-13. Fig-13 Stand ... 196 9-14. Fig-14 Canopy ... 198 9-15. Fig-15 Pulse Oximeter (Masimo) ... 200 9-16. Fig-16 Pulse Oximeter (Nellcor) ... 202 9-1. 9-2. 9-3. 9-4. 9-5.
DISASSEMBLY AND REPLACEMENT
APPENDIX [10] Technical Information... 204 10-1. Technical Data ... 204 10-2. EMC Level and Classification ... 210
[11] Disposal ... 213
APPENDIX
6-5.
6-6.
MAINTENANCE
6-4.
Replacing the Speaker ... 160 Replacing the Alarm Lamp Board ... 161 6-5-8. Replacing the Power Indicator Board ... 162 6-5-9. Replacing the LCD Display Board ... 162 6-5-10. Replacing the Backlight Power Board ... 163 6-5-11. Replacing the Button Cell Battery for the Display ... 164 6-5-12. Replacing the Connector Cap ... 164 Mattress Platform ... 165 6-6-1. Replacing the Baby Guard (Front/Rear)/Baby Guard (side) ... 165 6-6-2. Replacing the Latch ... 166 6-5-6. 6-5-7.
PLEASE READ WITHOUT FAIL
Replacing the Fan Motor ... 135 Replacing the High Temperature Sensor... 136 6-3-5. Replacing the Control Box Cover ... 136 6-3-6. Replacing the Switch Board ... 138 6-3-7. Replacing the Power Switch ... 138 6-3-8. Replacing the Detection Board ... 139 6-3-9. Replacing the Tilting Unit... 139 6-3-10. Replacing the Position Detection Board (for the Detection of the Middle Board) ... 140 6-3-11. Replacing the Filter Joint ... 140 6-3-12. Replacing the Humidity Chamber Cover Packing... 141 6-3-13. Replacing the Humidity Chamber Cradle ... 141 6-3-14. Replacing the Humidity Chamber Cover ... 142 6-3-15. Replacing the Humidity Chamber Cradle Packing ... 142 6-3-16. Replacing the Humidity Chamber Connector ... 142 6-3-17. Replacing the Position Detection Board (for the Detection of the Boiler Cap) ... 143 6-3-18. Replacing the Position Detection Board (for the Detection of the Humidity Chamber Cover) ... 143 6-3-19. Replacing the Control Power Transformer ... 144 6-3-20. Replacing the Drive Power Transformer ... 145 6-3-21. Replacing the Oxygen Controller... 145 6-3-22. Replacing the Mass Flow Valve ... 146 6-3-23. Replacing the Solenoid Valve ... 147 Power Unit... 147 6-4-1. Replacing the Main Board ... 147 6-4-2. Replacing the Battery for Power Failure Alarm ... 149 6-4-3. Replacing the Heater Control Board ... 150 6-4-4. Replacing the AC Inlet ... 152 6-4-5. Replacing the Buzzer ... 152 6-4-6. Replacing the Noise Filter ... 153 6-4-7. Replacing the Hi-Low Drive Board ... 153 6-4-8. Replacing the Rectifier Board... 154 6-4-9. Replacing the Circuit Breaker... 154 6-4-10. Replacing the Insulating Board for SpO2 Unit ... 155 Display ... 156 6-5-1. Replacing the F-Rail Arm ... 156 6-5-2. Replacing the Cable Guide ... 156 6-5-3. Replacing the Front Panel ... 157 6-5-4. Replacing the Rear Panel (with Alarm Lamp) ... 158 6-5-5. Replacing the LCD Display ... 159 6-3-3. 6-3-4.
Operating Precautions
[1] Operating Precautions Please follow the operating instructions described in this Service Manual & Parts List for the safe use of the unit. The unit should be operated only by those who have been trained and instructed properly in its operation. The unit should be operated only for its intended use.
1-1.
DANGER
Death or serious injury, damage to equipment or a fire will result if the instructions given below are not followed. Only those who have been properly trained should operate the unit. Be sure to keep the admittance panels and the access ports closed when the unit is in use. Using the unit with an admittance panel or an access port left open may cause the infant to fall out of the baby compartment. Be sure to close the admittance panels and the access ports when performing phototherapy on an infant inside the incubator. Monitor the infant’s skin temperature when operating the unit. If the incubator air temperature should rise during phototherapy, proceed with the phototherapy in the radiant warmer mode or after placing the infant in a cot or an open-type incubator (an infant warmer), as directed by the doctor. Since a mature infant emits much heat, the incubator air temperature may rise if you place the infant in the incubator and perform phototherapy. The incubator air temperature may also rise if you use multiple phototherapy units at the same time or if the room temperature is high. In such a case, proceed with the phototherapy in the radiant warmer mode or after placing the infant in a cot or an open-type incubator, as directed by the doctor. Take sufficient care when using a cot, as it becomes difficult to observe the infant. Alternatively, placing an ice bag inside the incubator has the effect of decreasing the incubator air temperature. However, be sure to close the admittance panels and the access ports in this case also. Do not leave the unit unattended when an admittance panel or an access port is open. If an admittance panel or an access port is left open, the infant may fall out of the baby compartment and get fatally injured. Never leave the unit unattended when an admittance panel or an access port is open. Stop using the unit immediately and seek repair if an admittance panel, a snap-open access port or a press lever should be found loose or faulty in any way. The infant may fall out of the baby compartment. Never place a body warmer or any other possible ignition source in or near the unit. Use of oxygen will increase the risk of explosion or fire. Body warmers or other devices in which fire is used or which will generate a spark may cause an explosion or a fire if used near the unit. Do not use the unit in the presence of a flammable anesthetic gas. The unit may cause an explosion or a fire if used in the presence of such a gas.
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Operating Precautions
PLEASE READ WITHOUT FAIL
Do not use ether, alcohol or any other ignitable substance. Even a small amount of ether, alcohol or other ignitable substances may cause a fire when mixed with the oxygen in the incubator. Do not hang any flammable materials on the radiant warmer. It may cause a fire. Ground the unit securely. Otherwise, a leakage current may cause an electric shock. In order to complete the ground connection, connect the power cord only to a properly grounded 3P power outlet including a ground terminal. Do not operate the unit if you have any doubt about its ground connection. Do not use a device generating high frequency near the unit. To prevent malfunction of the unit due to jamming, do not use electric surgical knives, portable and mobile communication equipment and other devices which generate high frequency near the unit during its operation. Analyze arterial gas levels repeatedly when a high oxygen environment is required. When the infant requires a high oxygen environment, it is extremely important and essential to periodically analyze arterial gas levels in order to maintain the desired oxygen concentration in the incubator. Follow the doctor’s instructions in measuring the oxygen concentration because ignoring essential requirements may increase the risk of retinopathy of prematurity and other adverse effects. Do not give a shock to the unit or let it hit anything. The screws or fixed parts may become loose. The heaters are consumables. If the heaters are to be used beyond their expected life span, overall repairs including replacement of parts must be carried out.
1-2.
WARNING
Death or serious injury due to a fire or an electric shock will result if the instructions given below are not followed. Be sure to follow the doctor’s instructions in setting the incubator air temperature or the infant’s skin temperature. Be sure to follow the doctor’s instructions in setting the relative humidity in the incubator. Be sure to follow the doctor’s instructions in supplying oxygen. Be sure to follow the doctor’s instructions in setting the oxygen concentration in the incubator. Use only oxygen for medical use.
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Operating Precautions
Be sure to bear in mind the following precautions during oxygen supply. t%P OPU QMBDF B CPEZ XBSNFS B nBTIMJHIU PJMT BOE GBUT PS nBNNBCMF WBQPSJ[BCMF NBUUFST JO UIF incubator. t6TF QVSF DPUUPO GPS UIF JOGBOUT DMPUIJOH CFE TIFFUT FUD %P OPU VTF BOZ NBUFSJBM UIBU JT FBTJMZ charged with static electricity. t6TFQVSFDPUUPOPSmSFQSPPGNBUFSJBMTGPSUIFDMPUIJOHPGEPDUPST OVSTFTBOEBNCVMBODFTUBGGXIP handle this unit. Bear in mind the following precautions while using oxygen supply equipment. t*GPJM HSFBTFPSBHSFBTFMJLFTVCTUBODFTIPVMEHFUJODPOUBDUXJUIQSFTTVSJ[FEPYZHFO BWJPMFOU spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator, the oxygen cylinder valve, piping, connections and other parts of oxygen supply equipment. t0OBIJHIQSFTTVSFPYZHFODZMJOEFS VTFPOMZBUFTUFEQSFTTVSFSFEVDJOHWBMWFPSQSFTTVSFSFHVMBUing valve indicated specifically for oxygen supply. Do not use such a valve for any gas other than air or oxygen. It is dangerous to use a valve to supply a gas other than air or oxygen and then to supply oxygen again. If the oxygen sensor should break or get damaged, the electrolyte inside may leak out of the sensor. If you should come in contact with the electrolyte, wash it away immediately and thoroughly with copious amounts of water. Smoking is prohibited in the room where the unit is installed. Do not place any possible ignition sources in the room. Take care of the usage environment. Using the unit in a strong electromagnetic environment may disrupt control over temperature, humidity and oxygen, or prevent accurate measurement values from being displayed. Do not use the unit next to other devices. Using the unit next to or stacked with other devices may cause malfunction. When it is unavoidable to do so, it is necessary to check that the unit and the other devices are operating correctly. Avoid damaging the power cord. A damaged power cord may cause a fire or an electric shock. t%POPUHFUUIFQPXFSDPSEDBVHIUCFUXFFOUIFVOJUBOEUIFXBMM BTIFMGPSUIFnPPS t%POPUQMBDFUIFQPXFSDPSEOFBSBIFBUJOHBQQBSBUVTPSIFBUJU t%POPUQVUBOZUIJOHIFBWZPOUIFQPXFSDPSE t"MXBZTHSBTQUIFQPXFSQMVHXJUIZPVSIBOEUPSFNPWFUIFQPXFSDPSEGSPNUIFQPXFSPVUMFU" damaged power cord should be replaced immediately with a new one. Use only the power cord supplied with the unit. Otherwise, a fire or an electric shock may result. A power cord or an AC adapter other than the one supplied with the unit can generate high frequency noise and cause jamming to other electric devices for medical use and thus result in malfunction, or make the unit more susceptible to high frequency noise emitted by other electrical devices and thus result in malfunction.
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Operating Precautions
PLEASE READ WITHOUT FAIL
Before cleaning and disinfecting the unit, be sure to turn the power switch off, remove the power plug, and allow the incubator air temperature and the heater temperature to drop sufficiently. Do not touch the power plug with a wet hand. Touching the power plug with a wet hand may cause an electric shock. Do not touch the heaters during use or shortly after use. The heaters are so hot during use and shortly after use that you may get burned. Allow the heaters to cool down sufficiently before touching them. Do not disassemble or modify the unit. Disassembling or modifying the unit may cause a fire, an electric shock or injury. Do not install the unit where it will be exposed to excessive humidity, dust or steam. Installing the unit in such a place may cause a fire or an electric shock. The power outlet should be located near the unit to prevent accidental contact with a trailing power cord. Use a separate power outlet for each unit. Do not put many loads on one power outlet. In order to complete the ground connection, connect the power cord only to a properly grounded 3P power outlet including a ground terminal. Do not operate the unit if you have any doubt about its ground connection. Ground peripheral electric equipment securely. Never connect the unit to a power outlet other than that specified. The unit should be serviced only by qualified personnel. Be sure to inspect the unit at the start of each day. Operating the unit without inspecting it at the start of each day may let a defect pass unnoticed and cause a potentially unfavorable outcome. Check for conformity to the applicable standard if the unit is going to be connected to another medical device for use as a system. Accessory equipment connected to the analogue and digital interfaces must comply with the relevant IEC standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations should comply with IEC 60601-1-1. But the items that are not specified as part of the system should not be connected. Anybody who connects additional equipment to the signal input or signal output configures a medical system, and therefore should make the medical system comply with the requirements of 60601-1-1 on his or her own responsibility. If in doubt, consult your local Atom representative.
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Operating Precautions
1-3.
CAUTION
Injury or damage to surrounding objects may result if the instructions given below are not followed. Be sure to clean and disinfect the unit before using it for the first time after purchase. The unit is shipped without being disinfected. During standby in the incubator mode, be sure to always preheat the unit in order to keep the incubator air temperature stable. During standby in the radiant warmer mode, be sure to always preheat the unit in order to keep the mattress surface temperature stable. Place the infant in the incubator only after the incubator air temperature has stabilized. When feeding the cords and tubes into the unit, be very careful not to let them wind or tighten around the patient. Do not hang any cables or infusion tubes on the canopy or the canopy arm. Do not pass them above the canopy. Do not twist or pull the cords by force. If any defect should be found, ask an expert for repair without attempting to repair it yourself. Remove the power plug from the power outlet before moving the unit to another place or when the unit is not going to be used for a long time. Moving the unit to another place with the power plug connected to the power outlet will damage the power cord and may cause a fire or an electric shock. Remove the power plug from the power outlet before cleaning and disinfecting the unit. Cleaning and disinfecting the unit with the power plug connected to the power outlet may cause an electric shock. Install the unit on a stable surface. Installing the unit on an unstable platform or a tilted surface will cause it to fall or drop and may injure someone. Therefore, before installing the unit, make sure that the place where the unit is to be installed is stable and strong enough to support the weight of the unit. Install the unit out of reach of small children. Do not operate the radiant warmer covered with a cloth, etc. Operating the unit covered with a cloth or pressed tightly against a wall may cause a fire or an electric shock due to overheating. When performing phototherapy on the infant in the incubator, pay special attention to the infant’s skin temperature and the incubator air temperature during the treatment. The infant’s skin temperature and the incubator air temperature may rise due to the radiant heat generated by the phototherapy unit.
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Operating Precautions
PLEASE READ WITHOUT FAIL
Do not install the unit in direct sunlight or near a heating apparatus. Do not expose the unit to extraordinarily high temperature or excessive humidity. Do not place anything heavy on the unit. Do not place anything on the canopy. Do not lean on the radiant warmer. Do not apply more force than is necessary to the radiant warmer. Do not press strongly or rub the operation panel of the display. Pressing it strongly or rubbing it may damage the display or cause it to malfunction. Be careful not to let any medical fluid adhere to the display. Do not attach any peripheral device that is not specified by Atom to the incubator. Check the operation of the peripheral devices. If a device transmitting or receiving weak signals is installed near the unit, it may be affected by the electromagnetic waves generated by the latter. Check the operation of the peripheral devices for any effect before using the unit in clinical settings. Stop using the unit immediately if any trouble is detected. When relocating the unit, watch your step so that you do not have your feet run over by a caster.
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Parts Identification
[2] Parts Identification 2-1.
Main body
No. ① Canopy
Name
②
Display
⑫
X-ray cassette tray door locking knob
③
Patient circuit slot grommet
⑬
Foot switch
④
Radiant warmer
⑭
Caster
⑤
Dovetail rail
⑮
Drawer
⑥
Sensor module
⑯
Humidity chamber cover
⑦
Handle
⑰
Mattress
⑧
Admittance panel operating lever
⑱
Tube introduction slit packing
⑨
Snap-open access port
⑲
Admittance panel operating knob
⑩
Admittance panel
Note: ⑮ Drawer is an available option.
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No. Name ⑪ Mattress platform tilting knob
Parts Identification
PLEASE READ WITHOUT FAIL
◾ Rear ㉑
㉒ ㉓
⑳
㉔ ㉕ ㉟ ㉖
㉞ ㉝
㉘
㉜ ㉛
㉗
㉚ ㉙
No. Name ⑳ Incubator mode switch
No. Name ㉘ Oxygen supply port 2
㉑
Radiant warmer mode switch
㉙
Connector for weight monitor
㉒
Skin temperature probe connecting port 1
㉚
Connector for the display
㉓
Skin temperature probe connecting port 2
㉛
Connector for the Power Pack i (UPS)
㉔
Power switch
㉜
AC inlet
㉕
Connector for sensor module
㉝
Breaker
㉖
Filter cover
㉞
Connector for SpO2
㉗
Oxygen supply port 1
㉟
Cord cleat
Note: ㉘ Oxygen supply port 2 is available only on the unit equipped with the oxygen controller. ㉞ Connector for SpO2 is an available option.
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Parts Identification
◾ Inside
No. Name ㊱ Mattress platform
No. ㊸ Fan cover
㊲
X-ray cassette tray
㊹
Heater
㊳
Weight monitor unit
㊺
Fan
㊴
Mattress platform for weight monitor
㊻
Baby guard
㊵
Tray for weight monitor
㊼
Tube introduction slit packing
㊶
Mattress platform tray
㊽
Weight monitor module
㊷
Middle board
Note: ㊳ Weight monitor unit is an available option.
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Name
Parts Identification
Display
PLEASE READ WITHOUT FAIL
2-2. ◾ Front
◼ Rear
◼ Bottom
No. ① Alarm lamp
Name
②
Power failure alarm indicator
③
Operation panel
④
I/O port (External communication connector)
⑤
Connector for the main body
⑥
Communication port (LAN)
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Parts Identification
2-3.
Display Screens
2-3-1.
General Description of the Screens
(1)
Start screen (This screen is displayed both in the incubator mode and in the radiant warmer mode.) The start screen appears when the power is applied. It is automatically switched to the main screen of the incubator mode if the canopy is in a lowered position (the incubator mode); it is automatically switched to the main screen of the radiant warmer mode if the canopy is in a raised position (the radiant warmer mode).
(2)
Incubator mode [Main screen] This screen appears first when the unit enters the incubator mode. If any other screen of the incubator mode is being displayed, touch the
switch, and the main screen will be displayed. This screen displays the set temperature, the incubator air temperature, the skin temperature 1, the skin temperature 2, the relative humidity, the oxygen concentration, SpO2, the pulse rate, etc. in the incubator mode. [Pulse oximeter screen] Touch the switch on any other screen of the incubator mode, and the pulse oximeter screen of the incubator mode will be displayed. This screen highlights SpO2 and the pulse rate in the incubator mode. Pulse waves are also displayed. In addition, the set temperature, the incubator air temperature, the skin temperature 1, the skin temperature 2, the relative humidity, the oxygen concentration, etc. are displayed. [Weight screen] (This screen is displayed only when the unit is equipped with the weight monitor unit.) Touch the switch on any other screen of the incubator mode, and the weight screen will be displayed. This screen highlights weight functions such as the weighing procedure in the incubator mode and the weight trend graph. In addition, the set temperature, the incubator air temperature, the skin temperature 1, the skin temperature 2, the relative humidity, the oxygen concentration, SpO2, the pulse rate, etc. are displayed.
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Parts Identification
PLEASE READ WITHOUT FAIL
[Trend screen] Touch the switch on any other screen of the incubator mode, and the trend screen will be displayed. This screen displays trend graphs.
[Menu screen] Touch the switch on any other screen of the incubator mode, and the menu screen for advanced settings of the incubator mode will be displayed. Use this screen to select advanced settings. In addition, the set temperature, the incubator air temperature, the skin temperature 1, the skin temperature 2, the relative humidity, the oxygen concentration, SpO2, the pulse rate, etc. in the incubator mode are displayed. When this screen is displayed, you can only select advanced settings of each menu item or switch the screen to another. (3)
Transition mode screen This screen appears during transition from the incubator mode to the radiant warmer mode and vice versa. This screen displays such vital signs as the skin temperature 1, the skin temperature 2, SpO2, and the pulse rate. If the transition should be interrupted in emergency, a message will appear on the screen. The mode cannot be switched on this screen.
(4)
Radiant warmer mode [Main screen] This screen appears first when the unit enters the radiant warmer mode. If any other screen of the radiant warmer mode is being displayed, touch the switch, and the main screen will be displayed. This screen displays the heater setting, the heater output, the skin temperature 1, the skin temperature 2, SpO2, the pulse rate, the timer, etc. in the radiant warmer mode.
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