Dual Incu i Operation Manual

INTRODUCTION This Operation Manual deals with the specifications, operation and maintenance of the Dual Incu i. Atom is by no means responsible for any malfunction arising from a user ignoring the instructions for operation and maintenance described in this Manual as well as any accident attributable to repair by someone other than technical personnel belonging to or authorized by Atom. This Manual contains instructions for operating the oxygen controller, the weight monitor and the pulse oximeter. Please skip any section unrelated to your unit. Read this Manual carefully and familiarize yourself with its contents before operating the unit. Keep this Manual where it is readily accessible for reference when needed. If any technical problem should arise, please contact your local Atom representative.

This product is shipped without being disinfected. Be sure to clean and disinfect the unit before using it for the first time after purchase. This product maintains the ambient temperature around an infant by drawing in the air outside and warming it. It does not have the capability to cool the air drawn from outside. Be sure to set the incubator air temperature at least 3°C higher than the ambient temperature. In particular, if a phototherapy unit, a heated humidifier, or some other heat-generating device is used with the incubator, set the incubator air temperature at least 5°C higher than the ambient temperature. If a lower setting is selected, the incubator may not be controlled correctly.

INTENDED USE The Dual Incu i is an incubator for newborns and premature neonates. It is mainly intended for temperature control in neonatal hypothermia, observation and examination in newborn nurseries, prevention of body temperature drop shortly after delivery, and pre-operative and post-operative intensive care in neonatal surgery. This incubator has the capability to control the infant’s skin temperature.

SAFETY INFORMATION Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual carefully before operating the unit. Please follow the instructions when operating the unit.

Basic Instructions 1. Follow the instructions for the safe use of the unit. Follow the operating instructions described in this Manual for the safe use of the unit. 2. Inspect the unit on a periodical basis. Periodical inspection is needed to use the unit in the optimum condition. 3. Never use the unit if it is found to be defective. If any damage or malfunction of the unit should be noticed, stop using it immediately and contact your local Atom representative. 4. Follow the EMC information given in this Manual. Electric equipment for medical use needs special precautions regarding EMC. It needs to be installed and put into service according to the EMC information provided in this Manual.

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Definitions of Warning Indication Three levels of warning indication are used throughout this Manual and on the unit. They are defined as follows. A DANGER notice indicates an immediately hazardous situation which, 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 WARNING notice indicates an indirectly (potentially) hazardous situation which, 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 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. Manufacturer This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer. Date of manufacture Indicates the date when the unit was manufactured in the factory. 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. 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. See Operation Manual Follow Operation Manual.

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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).

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Symbol

Title and indication 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. 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. 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)

(Nellcor)

Interference Indicates that interference exists. 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.

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Symbol

Title and indication 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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Precautions on Jamming

Electric surgical knives, portable and mobile communication equipment, and other devices which generate high-frequency noise can cause jamming to various kinds of electric equipment for medical use and thus result in malfunction. Since portable and mobile communication equipment, etc. are often used in medical facilities, some measures should be taken to prevent jamming due to such devices. Portable and mobile communication equipment and other devices which generate high frequency should not be used near the unit during its operation to prevent malfunction of the unit due to jamming.

Responsibility for Care of Equipment

It is the user (a hospital, a doctor’s office, a clinic) that is responsible for the operation, maintenance and care of the electric equipment for medical use. The equipment should be used only by medical personnel.

Prohibition of Modification

Do not disassemble or modify the unit. Otherwise, a fire, an electric shock or injury may result.

Periodical Inspection

Proper periodical inspection is needed to use the unit in the optimum condition.

In Case of Trouble

If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of order and contact your local Atom representative or service engineer immediately. If any abnormal condition or trouble should occur, do not use the unit until it has been repaired completely by a service engineer so as to prevent possible danger.

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Contents INTRODUCTION... 1

4-5. Weight Screen... 45 4-6. Menu Screen... 48 4-7. Trend Screen... 52

PLEASE READ WITHOUT FAIL [1]

[2]

Operating Precautions... 10 1-1.

DANGER... 10

1-2.

WARNING... 11

1-3.

CAUTION... 13

[5]

5-1. Setting the Incubator Air Temperature (Manual Control)... 54 5-1-1. Displaying and Setting the Incubator Air Temperature (Manual Control)... 55 5-1-2. Setting the Incubator Air Temperature in the Override Mode... 57 5-2. Placing the Infant in the Incubator... 58 5-3. Skin Temperature Monitoring... 59 5-3-1. Skin Temperature Monitoring... 59 5-3-2. Monitoring the Skin Temperature at Two Different Sites... 61 5-4. Setting the Skin Temperature (Servo Control)... 62 5-4-1. Preparation... 63 5-4-2. Placing the Infant in the Incubator... 63 5-4-3. Attaching the Skin Temperature Probe . ... 63 5-4-4. Setting the Servo Control Mode... 65 5-4-5. Setting the Skin Temperature in the Override Mode... 65

Parts Identification... 16 2-1. Main body... 16 2-2. Display... 19

PREPARATION [3]

Preparation before Use... 20 3-1. Assembly... 20 3-1-1. Attaching the Display to the Function Rail... 20 3-1-2. Connecting the Display to the Incubator... 20 3-1-3. Attaching the Filter... 21 3-2. Where to Install the Incubator... 21 3-3. Locking the Casters... 21 3-4. Power Outlet and Grounding... 22 3-5. Power Cord and Power Switch... 22 3-6. Adjusting the Hi-Low Stand... 24 3-7. Power Failure Alarm... 25 3-8. Daily Inspection... 25 3-9. Function Modes... 26 3-10. Switching the Mode of Operation... 26 3-10-1. Switching from the Incubator Mode to the Radiant Warmer Mode... 27 3-10-2. Switching from the Radiant Warmer Mode to the Incubator Mode... 27 3-10-3. How to Stop Raising or Lowering the Canopy during the Mode-switching Operation... 28

OPERATION [4]

Display Screens... 29 4-1. General Description and Switching of the Screens... 29 4-1-1. General Description of the Screens... 29 4-1-2. Screen Transition Diagram... 33 4-2. List of Operations Available on Each Screen... 34 4-3. Main screen... 35 4-4. Pulse Oximeter Screen... 40

Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator (Incubator Mode)... 54

[6]

Humidity Control (Incubator Mode)... 67 6-1. Setting the Relative Humidity... 67

[7]

Oxygen Supply (Incubator Mode)... 71 7-1. Using the Oxygen Flowmeter... 73 7-2. Using the Internal Oxygen Controller... 74 7-3. Oxygen Control (Oxygen Controller)... 75 7-3-1. Enabling the Oxygen Controller Function... 75 7-3-2. Calibrating the Oxygen Sensor... 76 7-3-3. Setting the Oxygen Concentration... 76

[8]

Pulse Oximeter... 77 8-1. Attaching the Sensor... 77 8-2. Connecting the Patient Cable to the Main Body... 78 8-3. Setting the Pulse Oximeter Upper/Lower Alarm Limits (SpO2, Pulse Rate)... 79 8-3-1. Setting the SpO2 Upper/Lower Alarm Limits... 79 8-3-2. Setting the Pulse Rate Upper/Lower Alarm Limits... 80

Weight Monitor... 81 9-1. 9-2. 9-3. 9-4.

Weighing the Infant... 82 Weight Trend Graph... 84 Switching the Unit of Weight... 85 Error Messages of the Weight Monitor... 85

[10] Heat Control (Radiant Warmer Mode)... 86

[11] Other Operation Procedures... 93

[12] Cleaning and Disinfection... 108 12-1. Hood Assembly... 109 12-2. Mattress Platform and Parts Beneath... 112 12-3. Radiant Warmer... 114 12-4. Humidity Chamber... 115 12-5. Others... 116

[13] Maintenance Inspection... 117 13-1. Inspection before Use... 118 13-2. Quarterly Inspection... 119 13-3. Periodical Replacement Parts... 120 13-4. Replacing the Filter... 121 13-5. Replacing the Oxygen Sensor... 122 13-6. Inspection Checklist... 124 13-7. Disposal... 125

[14] Alarms... 126 [15] Troubleshooting... 132 APPENDIX

OPERATION

[16] Technical Information... 134 16-1. Technical Data... 134 16-2. EMC Level and Classification... 140

MAINTENANCE APPENDIX

11-1. Timer (Radiant Warmer Mode)... 93 11-1-1. Operating the CPR Timer... 93 11-1-2. Operating the Apgar Timer... 94 11-2. Advanced Settings (How to Operate the Menu Screen)... 95 11-2-1. Deleting Trend Data... 96 11-2-2. Deleting Weight Data... 97 11-2-3. Setting the Trend Period... 97 11-2-4. Switching the Skin Temperature 2 Display... 98 11-2-5. Switching the Unit of Temperature... 98 11-2-6. Setting the LCD Screen Brightness... 98 11-2-7. Setting the Light Sensor Level... 99 11-2-8. Setting the Timer... 99 11-2-9. Setting the Alarm Volume... 100 11-2-10.Setting the Clock... 100 11-2-11. Checking How Many Hours the Filter Has Been Used... 101 11-2-12.Checking How Many Days the Oxygen Sensors Have Been Used... 101 11-2-13.Locking the Hi-Low stand... 101 11-2-14.Setting the Synchronizing Pulse Beep... 102 11-2-15.Setting the Sensitivity Mode... 102 11-2-16.Setting the Averaging Time... 103 11-2-17. Setting the FastSat... 103 11-2-18.Setting the SatSeconds... 104 11-2-19.Setting the Response Mode... 104 11-3. Drawing out the Mattress Platform... 105 11-4. Tilting the Mattress Platform... 105

MAINTENANCE

PREPARATION

10-1. Operation Related to Heat Supply... 86 10-1-1. Preheating (Preheat Mode)... 86 10-1-2. Setting the Heater Output (Manual Control)... 87 10-1-3. Setting the Skin Temperature (Servo Control)... 89 10-1-4. Attaching the Skin Temperature Probe . ... 89 10-1-5. Setting the Servo Control Mode... 91 10-1-6. Setting the Skin Temperature in the Override Mode... 91

11-5. X-ray Cassette Tray... 106 11-6. Letting Cords and Tubes into or out of the Incubator... 107 11-7. I/O Port... 107

PLEASE READ WITHOUT FAIL

[9]

Operating Precautions

[1] Operating Precautions Please follow the operating instructions described in this Manual 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 trained properly 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. • Do not place a body warmer, a flashlight, oils and fats, or flammable vaporizable matters in the incubator. • Use pure cotton for the infant’s clothing, bed sheets, etc. Do not use any material that is easily charged with static electricity. • Use pure cotton or fire-proof materials for the clothing of doctors, nurses and ambulance staff who handle this unit. Bear in mind the following precautions while using oxygen supply equipment. • If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent 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. • On a high-pressure oxygen cylinder, use only a tested pressure reducing valve or pressure regulating 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. Avoid damaging the power cord. A damaged power cord may cause a fire or an electric shock. • Do not get the power cord caught between the unit and the wall, a shelf or the floor. • Do not place the power cord near a heating apparatus or heat it. • Do not put anything heavy on the power cord. • Always grasp the power plug with your hand to remove the power cord from the power outlet. A 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. 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.

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Operating Precautions

PLEASE READ WITHOUT FAIL

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. The electrical rating of this unit is as follows: AC230V; power consumption 800VA; frequency 50/60Hz; operating voltage range AC230V±10% Do not connect the unit to any other power source. 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. The doctor is responsible for making a decision on transporting a premature infant. Watch the infant continuously during transport. Transporting a premature infant is associated with a risk of intracerebral hemorrhage due to jolting during transport. 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. 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 on his or her own responsibility. If in doubt, consult your local Atom representative.

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.

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Operating Precautions

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 the 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. 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.

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Operating Precautions

PLEASE READ WITHOUT FAIL

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. Do not put your hand on the canopy or an admittance panel when transporting the unit. Pressing the canopy or an admittance panel strongly may break it. At least two people are required to transport the unit by holding the main body or its handles. Watch out for any obstacles during transport. If a peripheral device is attached to the main body or if the canopy is in a raised position in the radiant warmer mode, the unit may hit surrounding objects and get damaged or broken. When taking radiographs with the supplied X-ray cassette tray, read the instruction manuals for the radiation device, and make sure that necessary protection measures are taken.

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Parts Identification

[2] Parts Identification 2-1.

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Main body

No.

Name Canopy Display Patien circuit slot grommet Radiant warmer Dovetail rail Sensor module Handle Admittance panel operating lever Snap-open access port Admittance panel

Note:

Drawer is an available option.

No.

Name Mattress platform tilting knob X-ray cassette tray door locking knob Foot switch Caster Drawer Humidity chamber cover Mattress Tube introduction slit packing Admittance panel operating knob

Parts Identification

No.

Note:

PLEASE READ WITHOUT FAIL

◾◾ Rear

Name Incubator mode switch Radiant warmer mode switch Skin temperature probe connecting port 1 Skin temperature probe connecting port 2 Power switch Connector for sensor module Filter cover Oxygen supply port 1

No.

Name Oxygen supply port 2 Connector for weight monitor Connector for the display Connector for the Power Pack i (UPS) AC inlet Breaker Connector for SpO2 Cord cleat

Oxygen supply port 2 is available only on the unit equipped with the oxygen controller. Connector for SpO2 is an available option.

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Parts Identification

◾◾ Inside

No.

Note:

18

Name Mattress platform X-ray cassette tray Weight monitor unit Mattress platform for weight monitor Tray for weight monitor Mattress platform tray Middle board Fan cover Heater Fan Baby guard Tube introduction slit packing Weight monitor module Weight monitor unit is an available option.

Parts Identification

Display

PLEASE READ WITHOUT FAIL

2-2. ◾◾ Front

◼ Rear

◼ Bottom

No.

Name Alarm lamp Power failure alarm indicator Operation panel I/O port (External communication connector) Connector for the main body Communication port (LAN)

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