Incu i Terminal Cleaning Instruction Guide July 2017

INTRODUCTION WARNING Before cleaning and disinfecting the unit, be sure to turn the power off, remove the power plug from the power outlet, and allow the incubator and the heaters to cool down sufficiently.

CAUTION This product is shipped without being disinfected. Be sure to clean and disinfect the bed before using it for the first time after purchase. See the accompanying document of the disinfectant you are going to use for appropriate concentration, contact time and handling. Follow the directions for use and dosage and precautions given in the document. Before cleaning or maintaining the unit, check that the oxygen supply to the incubator has been stopped and that the incubator has been disconnected from the oxygen supply source. Cleaning or maintaining the incubator in a high oxygen environment may cause a fire or an explosion. Clean and disinfect the unit whenever you use it for another infant. Clean and disinfect the unit whenever you notice dirt or stains which might cause an infection. After cleaning and disinfection, assemble the removed parts correctly and check that the unit operates normally. After cleaning and disinfection, remove the disinfectant solution completely before using the incubator.

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Contents INTRODUCTION...1 [1] Parts Identification ...4 1-1. Main Body ...4 1-2. Display ...5

[2] Ensuring Sufficient Work Space ...6 [3] Preparations of Necessary Items and Actions of the Operator...7 [4] Disassembling...8 [5] Cleaning, Immersing, and Disinfecting Parts ... 13 5-1. Cleaning Contaminated Parts... 13 5-2. Parts to Be Immersed and the Type of Medical Fluids ... 14

[6] Cleaning the Parts ... 16 6-1. Basic Cleaning with Medical Fluid ... 16 6-2. Parts to Be Cleaned and the Type of Medical Fluids ... 22

[7] Drying the Parts... 26 [8] Assembling ... 27 [9] Storing the Incubator... 33

Parts Identification

[1] Parts Identification 1-1. Main Body ① ② ③ ④ ⑤ ⑥ ⑦ ⑧

⑯ ⑮ ⑭

■ Rear ⑰ ⑱ ㉙

⑨ ⑬

⑲ ⑳

⑫ ⑩ ⑪

㉑ ㉘

㉒ ㉓

㉗ ㉖ ㉕ ㉔

No.

Name

Skin temperature probe connecting port 1

Iris access port

Skin temperature probe connecting port 2

Dovetail rail

Power switch

Sensor module

Connector for sensor module

Admittance panel operating lever

Filter cover

Snap-open access port

Oxygen supply port 1

Admittance panel

Oxygen supply port 2

Mattress platform tilting knob

Connector for weight monitor

X-ray cassette tray door locking knob

Connector for the display

Foot switch

Connector for the Power Pack i (UPS)

Caster

AC inlet

Drawer

Connector for SpO2

Humidity chamber cover

Cord cleat

Tube introduction slit packing Admittance panel operating knob

4

Name

Display

Mattress

Note:

No.

Drawer is an available option.

Note:

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

Parts Identification

㉜

■ Inside ㊶

㉝ ㊷

㉚

㊵ ㉞ ㉛

㉛

㉟

No.

Name Mattress platform X-ray cassette tray

㊱

Weight monitor unit ㊲

Mattress platform for weight monitor Tray for weight monitor Mattress platform tray

㊳

㊴

Middle board Fan cover Heater Fan Baby guard Tube introduction slit packing Weight monitor module Note:

Weight monitor unit is an available option.

1-2. Display ■ Front No.

①

Name Alarm lamp Operation panel

②

Power failure alarm indicator I/O port (External communication connector)

③

Connector for the main body Communication port (LAN)

■ Bottom

■ Rear

⑥

⑤④ 5

Ensuring Sufficient Work Space

[2] Ensuring Sufficient Work Space Ensure that there is sufficient work space, and clean the cleaning space with mild detergent. Make sure that the work space meets the following requirements. • A location where there is space of 1.5–2.0m in front of the sink (A) and to the right or left side of the sink (B). • A location where zoning clean/dirty areas is possible.

6

Sink

Preparations of Necessary Items and Actions of the Operator

[3] Preparations of Necessary Items and Actions of the Operator (1)

Prepare the following necessary items. •A wagon •Disinfectant cloth or paper •Garbage bags •Protective equipment (an apron, a mask, goggles, and gloves) •A clean sponge •Mild detergent •Disinfectant •Measuring cylinders •A clean towel

(2)

Follow the instructions of your facility to disinfect your hands and fingers.

(3)

Wear the protective equipment in the following order. Apron ➞ mask, goggles ➞ gloves

(4)

Visually inspect the contamination status and breakage of each part of the main body. If you detect contamination, clean it. If there is a broken part such as a piece of packing, replace it.

MEMO • For information on the disinfectant, refer to the table on p.14–15 and use the appropriate disinfectant for each part.

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Disassembling

[4] Disassembling (1)

Turn the admittance panel operating knobs to the “open” side. Push down the admittance panel operating lever and then pull open the admittance panel gently.

Admittance panel operating knob

(2)

(3)

Remove the rubber packing (five locations) from the access ports.

(4)

Remove the rubber packing (main body: eight locations, mattress platform: two locations) from the tube introduction slit.

(5)

8

Remove the rubber packing (two locations) from the admittance panel.

Turn and loosen the knob on the iris access port, and remove the access port cover.

Admittance panel packing

Tube introduction slit packing

Disassembling

(6)

Remove the rubber packing from the iris access port.

(7)

Remove the iris access port frame.

(8)

Remove the mattress.

(9)

Hold both ends of the mattress platform and slide the mattress platform toward you. When it has been drawn out just halfway, lift it up and take it out.

(10) Remove the baby guards from the mattress platform. To remove the baby guards, press the tab underneath the mattress platform while lifting upwards.

Baby guard

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Disassembling

(11) Remove the X-ray cassette tray from the mattress platform.

X-ray cassette tray

[If the unit is equipped with a weight monitor] 1. Disconnect the weight monitor module connector from the main body.

2. Hold both ends of the tray for the weight monitor and move it to the center of the main unit. Then lift the tray for the weight monitor up and take it out. 3. Remove the mattress platform for the weight monitor. 4. Remove the weight monitor module.

MEMO • For the models without a weight monitor, this procedure is not necessary.

(12) Pull the hook on the mattress platform tray. Lift the tray up and disengage it from the tilting arm.

(13) Remove the middle board. Turn the mattress platform tilting knob to lift up the tilting arm so that the tilting arm will not be in the way when removing the middle board.

Mattress platform tray

Tilting arm

Mattress platform tilting knob

10

Disassembling

With the admittance panels on both sides open, grasp one end of the middle board with one hand and the concave portion of the fan cover with the other hand. Then lift up and remove the middle board.

(14) Pull up and remove the fan.

Fan

(15) Remove the X-ray cassette tray door packing (two locations) from the X-ray cassette tray door.

X-ray cassette tray door packing

(16) Remove the connector of the sensor module from the rear of the main body. While pressing the lever, pull the sensor module out of the hood.

Lever

Sensor module

(17)

Take out the cable and the heat-sensing portion of the skin temperature probe from the tube introduction slit. Pull out the cable plug of the skin temperature probe from the skin temperature probe connecting port 1 on the rear of the main body.

Skin temperature probe Tube introduction slit Skin temperature probe connecting port 1

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Disassembling

(18) Open the humidity chamber cover.

Humidity chamber cover

(19) Draw out the humidity chamber until it reaches halfway. Lift up the humidity chamber slightly and remove it.

CAUTION • Hold the humidity chamber with both hands because the humidity chamber is heavy. (20)

Remove the cartridge tank, tank cap, and the boiler cap from the humidity chamber. Dispose of any water in the cartridge tank.

WARNING • The humidity chamber contains electric parts. Never immerse the humidity chamber in a disinfectant solution. Do not rub the water level sensor or the surface of the boiler of the humidity chamber with a metal brush or any other hard material. Doing so may result in damage to the humidity chamber. • Allow the humidity chamber and the water in it to cool down sufficiently before removing the humidity chamber. The temperature of the water will have exceeded 70°C, so there is a risk of burns.

12

Boiler cap

Humidity chamber

Cleaning, Immersing, and Disinfecting Parts

[5] Cleaning, Immersing, and Disinfecting Parts 5-1. Cleaning Contaminated Parts (1)

Clean the contaminated parts with mild detergent (use a clean, soft sponge), and rinse the parts with running water.

(2) Thoroughly wash off the detergent with running water.

(3)

Ensure that there is sufficient immersion space, and clean the immersion space with mild detergent.

(4)

By following the instructions on the disinfectant solution, prepare the medical fluid for immersion. An example of the medical fluid • Benzalkonium chloride aqueous solution 0.1% • Benzethonium chloride aqueous solution 0.1% • Sodium hypochloride aqueous solution 0.02%

(5)

Immerse all of the parts to disinfect. If some of the parts float, devise a solution, such as using a weight, to immerse the parts completely. Follow the instructions on the disinfectant solution for the duration of disinfection.

CAUTION • For information on the combination of the medical fluid for immersion and parts to immerse, see the table on p.14–15. • Make sure that all of the parts are immersed completely. • Adhere to the instructions on the medical fluid for the appropriate duration of immersion. (6)

Place a lid on the immersion space to prevent volatilization and contamination of the disinfectant solution.

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Cleaning, Immersing, and Disinfecting Parts

5-2. Parts to Be Immersed and the Type of Medical Fluids ○: Possible

×: Impossible Sodium hypochloride

Hydrogen peroxide solution (3%)

Benzalkonium chloride (aqueous solution)

Benzethonium chloride

Chlorhexidine gluconate (aqueous solution)

Alkyldiaminoethylglycine hydrochloride

Number of parts

Maximum Temperature When Using Cleaning Machine

Parts

Suitable for Cleaning Machines

Disinfectant solution

Low-level

Mid-level

○

< 95°C

○

○

○

○

○

○

5

○

< 65°C

○

○

○

○

○

○

2

○

< 95°C

○

○

○

○

○

○

1

○

< 70°C

○

○

○

○

○

○

1

○

< 60°C

×

○

○

○

○

○

1

○

< 60°C

×

×

○

○

○

○

1

○

< 60°C

○

○

○

○

○

○

2 each

Snap-open access port packing

Admittance panel packing

Boiler cap

Cartridge tank

Tank cap

Fan

Baby guard

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Cleaning, Immersing, and Disinfecting Parts

Sodium hypochloride

Hydrogen peroxide solution (3%)

Benzalkonium chloride (aqueous solution)

Benzethonium chloride

Chlorhexidine gluconate (aqueous solution)

Alkyldiaminoethylglycine hydrochloride

Number of parts

Maximum Temperature When Using Cleaning Machine

Parts

Suitable for Cleaning Machines

Disinfectant solution

Low-level

Mid-level

○

< 95°C

○

○

○

○

○

○

10

○

< 95°C

○

○

○

○

○

○

1

○

< 95°C

○

○

○

○

○

○

2

○

< 65°C

○

○

○

○

○

○

1

○

< 70°C

○

○

○

○

○

○

1 each

○

< 65°C

○

○

○

○

○

○

1

Tube introduction slit packing

Oxygen sensor cap

X-ray cassette tray door packing

Access port cover

Iris access port frame

Iris access port frame packing

15

Cleaning the Parts

[6] Cleaning the Parts Prior to Cleaning •Wear a new apron and mask. Remove the gloves that you are wearing. Disinfect your hands and fingers. Wear new gloves. If any of the protective equipment becomes contaminated during cleaning, dispose of it accordingly.

6-1. Basic Cleaning with Medical Fluid (1)

Visually check the contamination status of each part. If you detect contamination, clean it.

(2)

Wipe with a disinfectant cloth, or spray disinfectant solution onto paper and wipe with the paper.

CAUTION • Do not spray the disinfectant solution directly onto the incubator. (3)

Wipe the inside first and then the outside, from the head end to the foot end, and from top to bottom of the incubator.

(4)

Wipe the incubator in only one direction. Carefully and thoroughly wipe the incubator so that every part of the incubator is cleaned.

(5)

Dispose of the disinfectant cloth or paper accordingly after using it to clean a visually contaminated part.

Inner wall panel (6)

Open the admittance panel. Push down the inner wall levers and pull the inner panel away from the hood. Then clean the inner panel.

CAUTION • The inner panel cannot be removed from the hood.

16

① ② ③

Cleaning the Parts

(7)

Thoroughly wipe the inner wall levers.

Admittance panel (8)

Clean the admittance panel.

Inside of the X-ray cassette tray door (9)

Turn the X-ray cassette tray door locking knob. Open the X-ray cassette tray door and clean the inside.

Conditioning chamber (10) Pull up the heater and clean the inside of the conditioning chamber thoroughly. Use a cotton swab to clean intricate parts.

CAUTION • When cleaning the conditioning chamber with the heater up, be careful not to get your fingers or hand caught. • To replace the heater to its former position, push it down gently. • Do not apply excessive force on the heater when cleaning it. Doing so may result in damage to the heater.

17

Cleaning the Parts

Humidity chamber connector (11) Clean the inside of the humidity chamber connector after thoroughly wiping the water off or drying it completely.

Middle board and fan cover (12) Clean the middle board. Open the fan cover and clean the middle board.

Fan cover

Middle board

Mattress (13) Clean the mattress.

Humidity chamber (14) Dispose of the water from the opposite side of the “DO NOT IMMERSE” label of the humidity chamber.

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Cleaning the Parts

(15) Clean the humidity chamber after thoroughly wiping the water off or drying it completely. Do not immerse the humidity chamber in a disinfectant solution.

WARNING • Never immerse the humidity chamber in a disinfectant solution. The humidity chamber contains electric parts. The humidity chamber is not completely waterproof, therefore the disinfectant solution may penetrate from the connector. Do not rub the water level sensor or the surface of the boiler of the humidity chamber with a metal brush or any other hard material. Doing so may result in damage to the humidity chamber. Sensor module (16) Clean the sensor module. Make sure to clean the cords. If the oxygen sensor cap is contaminated, remove and immerse it.

CAUTION • Do not immerse the sensor module in any liquid. Immersing it in a liquid may cause it to malfunction. Skin temperature probe (17) Clean the skin temperature probe.

CAUTION • Never clean the skin temperature probe with alcohol, or the material will harden. • Disposable skin temperature probes are available for purchase. For more information, please contact your local Atom representative. Patient cable (18) Clean the patient cable.

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Cleaning the Parts

Hood (19) Clean the inside and outside of the hood. Clean the outside of the incubator from the top part first. Wipe the incubator in only one direction.

① ② ③

(20) Wipe the outer sides of the incubator in only one direction from top to bottom.

Access port (21) Clean the press lever on the access port.

Display (22) Gently clean the control panel. Clean the surface of the liquid crystal panel.

CAUTION • The surface of the liquid crystal panel is specially treated. Do not rub the panel surface strongly. Doing so may result in damage to the liquid crystal panel. When cleaning the surface of the liquid crystal panel with a disinfectant solution, clean the surface softly so that no solution gets inside the panel. • Do not immerse the display in any liquid. Doing so may result in damage to the display.

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