Incu i Model 100 Operation Manual Oct 2019.pdf
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Equipment for neonatal and premature infants: Incubator
Atom Infant Incubator 100
ORIGINAL
0123
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE OF
MAINTENANCE AND CARE OF THE UNIT:
●●Read this Manual carefully before operating the unit.
●●Keep this Manual where it is readily accessible for reference when needed.
●●This Manual contains instructions for operating the oxygen controller, the
weight monitor and the pulse oximeter. Please skip any section unrelated to
your unit.
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EU OFFICE
Via Libia, 54 - 20081 Abbiategrasso (MI) - Italy
Tel: +39 02 9466329 Fax: +39 02 9081428
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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.
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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.
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)
(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.
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Symbol
Title and indication
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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Precautions on Jamming
The unit is intended for use in hospitals.
Portable and mobile communication equipment and other devices which generate high frequency
should be used at least 30cm away from the unit, including cables specified by the manufacturer.
Failure to do so may cause malfunction.
Note: The emission characteristics of this unit make it suitable for use in industrial areas or hospitals (CISPR11 Class A). Take care when using the unit in residential environments (normally
CISPR11 Class B), as it may not provide adequate protection from wireless frequency communication services. The user may also need to relocate or realign the unit to alleviate the problem.
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................................................ 14
[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
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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]
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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.
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.
• 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. 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.
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.
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Operating Precautions
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.
During transport, set the incubator to the lowest level.
If not set to the lowest level, injury or damages may result when the incubator loses balance while
being moved and hits a surrounding object, or falls down.
Use the unit on a flat and stable surface.
Placing the unit on a surface tilted over 10 degrees or on an unstable location may cause it to fall
down.
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.
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Operating Precautions
PLEASE READ WITHOUT FAIL
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.
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.
15
Page 18
Parts Identification
[2] Parts Identification
2-1.
16
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
Page 19
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.
17
Page 20
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.
Page 21
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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Page 22
Preparation before Use
[3] Preparation before Use
3-1.
Assembly
3-1-1.
Attaching the Display to the Function Rail
(1)
Loosen the thumbscrew of the function rail attachment.
(2)
Insert the clawed end of the function rail attachment
into the groove of the function rail. Tighten the
thumbscrew and fix the function rail attachment to
the function rail. After tightening the thumbscrew,
make sure that the surface of the swing portion is
aligned with the surface of the function rail attachment.
Display
Thumb screw
Function rail attachment
Before tightening the thumbscrew
Function rail attachment
●● When fixing the function rail attachment, be careful
not to apply excessive force to the cable, twist the
cable or get it caught.
●● Before fixing the function rail attachment, adjust
the position of the display to ensure optimum
viewing.
3-1-2.
(1)
After tightening
the thumbscrew
Swing portion
Thumbscrew
Connecting the Display to the Incubator
Connect the display to the incubator.
Insert the connector of the display connecting
cable into the connector for the main body on
the rear of the display. After insertion, tighten the
two knobs on the connector. Then, pull the cable
lightly to make sure that the connector does not
come off.
Insert the connector on the other end of the cable
into the connector for the display on the main
body of the incubator. After insertion, tighten the
two knobs on the connector. Then, pull the cable
lightly to make sure that the connector does not
come off.
Connector for the main body
Connector
Knobs
Connector for the display
Connector
●● When inserting or removing the connector, be
careful not to pull the cable by force or twist it.
20
Page 23
Preparation before Use
(2)
Adjust the angle of the display.
The angle of the display is adjustable vertically and
horizontally.
●● When adjusting the angle of the display, be careful
3-1-3.
PREPARATION
not to let it hit the hood of the incubator or some
other medical device nearby.
●● When inserting, removing, or fixing the function
rail attachment, or inserting the connectors, be
careful not to pull the cable by force, twist it or
get it caught.
Attaching the Filter
See “13-4. Replacing the Filter”.
3-2.
Where to Install the Incubator
Install the incubator on a horizontal surface in a convenient location. Avoid installing it near a heating apparatus,
by the window, or where fire is used. Place the incubator where no medical fluid will touch the display. These
may damage the incubator or cause a fire.
Avoid installing the incubator in direct sunlight, near a stove or a radiator, in the direct airflow of an
air conditioner, or by a cold window so that it may not be affected directly by such external thermal
conditions.
3-3.
(1)
Locking the Casters
Install the incubator in a desired place and lock the
casters on the Hi-Low stand.
(2)
To lock a caster, lower the stopper on the caster to
the locking position.
(3)
To unlock a caster, raise the stopper.
To lock
Stopper
To unlock
●● Install the Hi-Low stand of the incubator on a
horizontal and stable floor. Step on the stoppers to
lock the casters securely. To move the incubator to
another place, be sure to unlock the casters.
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Page 24
Preparation before Use
3-4.
Power Outlet and Grounding
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.
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.
3-5.
(1)
(2)
22
Power Cord and Power Switch
Connect the power cord to the AC inlet on the rear
of the main body of the incubator. Then connect the
power plug on the other end of the power cord to
the power outlet.
Check that the breaker is on.
Breaker
AC inlet
Power switch
Page 25
Preparation before Use
◾◾ How to reset the breaker
If an overcurrent condition should occur during the operation of the unit, the breaker of the unit will be tripped
to shut off the power to the unit in order to prevent possible accidents. To reset the breaker, take the following
steps:
Turn the power switch off.
Normal position (ON)
Turn the breaker on.
Turn the power switch on.
If the breaker should be tripped again, contact your
local Atom representative.
PREPARATION
Tripped position (OFF)
Breaker
Power cord
(3)
Turn the power switch on.
Power switch
◾◾ Memory function
Even if the power is turned off or the power supply should be interrupted due to power failure, disconnection of
the power plug or some other cause, the preselected settings and the items to be displayed will be retained in
the memory. When the power supply is resumed, the last selected settings and display items will be displayed
and become functional.
23