v-2100g_operation_manual.pdf
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0123
V-2100G Infant Incubator
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE
OF MAINTENANCE AND CARE OF THE UNIT:
앫 Read this Manual carefully before operating the unit.
앫 After reading this Manual, keep it where it is readily accessible
for reference in case of need.
앫 This Manual contains description of all the functions available,
including the oxygen controller and the infant's weight monitor.
So please skip any section unrelated to your unit.
Page 2
The name and address of our authorized representative within the community are as stated below.
PHARMASERVE-LILLY S.A.C.I.
15th klm National Road Athens-Lamia, 145 64 Kifissia, Greece
Post Address : P.O.Box 51288, 145 10 Kifissia, Greece
Tel. : 3016294600, Fax. : 3016294610
Page 3
INTRODUCTION
This Operation Manual deals with the specifications, operation and maintenance of the Atom Advanced Infant
Incubator V-2100G. 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 for any accident attributable to repair by
someone other than technical personnel belonging to, or authorized by, Atom.
This Manual contains description of all the functions available, including the oxygen controller and the infant's
weight monitor. So please skip any section unrelated to your unit.
Read this Manual carefully and familiarize yourself thoroughly with its contents before operating the unit. Keep
this Manual where it is readily accessible for reference in case of need. If any technical problem should arise,
please contact your Atom distributor.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before
using it for the first time after purchase.
Used parts and other products past their useful lives should be disinfected and disposed of as
medical wastes.
INTENDED USE
The Atom Advanced Infant Incubator model V-2100G is a closed-type incubator designed to provide an optimum
clinical environment for newborn and premature neonates. The Infant Incubator is also designed to offer the
clinical staff optimum conditions for observation and examination, temperature stabilization and management and
post-operative care of their small patients. The Infant Incubator also incorporates the thermoregulatory ability to
adjust the baby's skin temperature.
Features, such as Oxygen Controller and Weight Monitor, are also optionally available.
−1−
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SAFETY INFORMATION
Instructions to ensure safe operation of the unit are found throughout this Manual. Please read the Manual
carefully before operating the unit. Please follow the instructions in operating it.
[1] Basic Instructions
1.Follow the instructions for safe use of the unit.
Follow the operating instructions described in this Manual for safe use of the unit.
2.Inspect the unit on a periodical basis.
Periodical inspection is needed to use the unit under optimum conditions.
3.Never use the unit when faulty.
If any damage or malfunction of the unit should be noticed, stop using it immediately and contact your ATOM
distributor.
[2] Definition 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
DANGER： avoided, will result in death or serious injury, serious damage to property such as
total loss of use of equipment, and a fire.
A WARNING notice indicates an indirectly (potentially) hazardous situation
WARNING： which, if not avoided, will result in death or serious injury, serious damage to
property such as total loss of use of equipment, and a fire.
A CAUTION notice indicates a hazardous situation which, if not avoided, can reCAUTION： sult in minor or moderate injury, partial damage to property, and loss of data
stored in computers.
−2−
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[3] Definition of Marks
1. Marks to indicate caution or warning
Mark
《Title》and Indication
《General attention》
Indicates unspecified general caution or warning.
《Caution: Hot surface》
Indicates that the surface can be dangerously hot.
2. Marks to prohibit action
Mark
《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. Marks to give instructions for action
Mark
《Title》and Indication
《General instruction》
Indicates unspecified general action on the part of the user.
《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 thunder storm conditions threaten and lightning might occur.
《Connect a ground wire》
Instructs the user to connect the ground wire without fail where the unit is provided with a ground terminal.
4. Marks used on the unit
Mark
《Title》 and Indication
Type BF equipment is applied here.
Caution: See the accompanying documents.
−3−
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WARRANTIES
This equipment is guaranteed by Atom Medical Corporation for a period of one year from the date of delivery to be
free of any defects in both materials and workmanship when used normally for its intended purpose. Any parts of
this equipment proving to be so defective will be repaired or replaced at no charge during the warranty period. In
the following cases, however, actual expenses need to be paid even during the warranty period.
（1）Wear and tear of expendables.
（2）Trouble and damage due to improper handling, such as dropping the unit during transport or transfer.
（3）Trouble and damage due to a fire, salt, gas, extraordinary voltage, earthquake, electrical storm and
flooding, or other natural calamities.
（4）Travel expenses in the case of a trip to an isolated island, a remote place, etc. for the purpose of repair.
Damage in shipment should be reported promptly to Atom accompanied by the certificate of the carrier concerned.
All correspondence concerning the equipment should specify the model name and the serial number.
WARNING
Atom is by no means responsible for compensation for death, injury or damage to property if such loss
should occur due to any of the following causes.
1. Trouble or damage due to installation, maintenance or repair by someone other than technical
personnel belonging to, or authorized by, Atom.
2. Trouble or damage of Atom products caused by a product of another company other than that
supplied by Atom.
3. Trouble or damage due to modification, maintenance or repair using a part other than that specified by Atom.
4. Trouble or damage due to neglecting the operating precautions or operating instructions described
in the Operation Manual of the unit.
5. Trouble or damage due to operation under ambient conditions, including electrical requirements
and installation requirements, other than those described in the Operation Manual.
6. Trouble due to carelessness or improper modification.
7. Trouble or damage due to using secondhand equipment.
8. If an accessory device which does not meet the safety requirements of this unit is used in combination with the unit, the safety level of the resulting system may be compromised. When selecting an
accessory device, the following point should be taken into consideration.
Evidence that the safety of the accessory device was certified in accordance with a national standard conforming to IEC60601-1 and/or IEC60601-1-1.
−4−
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[1] Precautions on Jamming
WARNING
Electro-Surgical apparatus, cellular phones and other devices which generate high-frequency
noise can cause jamming to various electric equipment for medical use and thus result in
malfunction. Since portable phones and other devices are often used in medical facilities,
some measures should be taken to prevent jamming due to such devices. Portable phones
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.
[2] Responsibility for Care of Equipment
CAUTION
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.
[3] Prohibition of Modification
WARNING
Do not disassemble or modify the unit. Otherwise, a fire, an electric shock or injury may
result.
[4] Periodical Inspection
CAUTION
Proper periodical inspection is needed in order to maintain and use the unit under optimum conditions.
[5] In Case of Trouble
CAUTION
If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of
order and contact immediately your Atom distributor or service engineer. See the end of this
Operation Manual for where to make contact.
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.
−5−
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Ｃ Ｏ Ｎ Ｔ Ｅ Ｎ Ｔ Ｓ
INTRODUCTION ...................................................................................................... 1
[1] Operating Precautions
DANGER .............................................................................................. 8
1-1.
1-2.
WARNING ............................................................................................ 9
1-3.
CAUTION ........................................................................................... 11
[2] Parts Identification
2-1. Main body ................................................................................................ 12
2-2. Control Panel ........................................................................................... 15
[3] Preparation before Use
3-1. Assembly ................................................................................................. 17
3-2. Where to Install the Infant Incubator ................................................... 18
3-3. Locking the Casters ................................................................................ 18
3-5. Power Outlet and Grounding ................................................................ 19
3-4. Adjusting the HL Stand (HL stand type) .............................................. 19
3-6. Power Cord and Power Switch .............................................................. 20
3-7. Rechargeable Battery ............................................................................. 21
3-8. Start-up Inspection .................................................................................. 21
[4] Incubator Air Temperature Control ..................................................... 22
4-1. Setting the Incubator Air Temperature (Manual Control) ................. 22
4-2. Setting the Skin Temperature (Servo Control) ................................... 27
[5] Humidity Control ........................................................................................... 32
[6] Oxygen Supply
6-1. Using the Oxygen Flowmeter ............................................................... 35
6-2. Using the Internal Oxygen Controller (B,C type) ............................... 35
[7] Weight Monitor (C type)
7-1. Calibrating the Weight Monitor ............................................................ 39
7-2. Setting the Weighing Mode ................................................................... 41
7-3. Weighing Procedure .............................................................................. 42
7-4. Recording the Weight ............................................................................ 44
7-5. Correcting the Time ............................................................................... 45
[8] Other Operation procedures
8-1. Drawing out the Mattress Platform ...................................................... 46
8-2. Tilting the Mattress Platform ................................................................ 46
8-3. X-ray Cassette Tray ................................................................................. 47
8-4. Taking Out Cords and Tubes ................................................................ 47
8-5. I/O Connector ......................................................................................... 47
8-6. Test Switch .............................................................................................. 48
[9] Cleaning, Disinfection and Maintenance
9-1. Hood ......................................................................................................... 49
9-2. Mattress Platform and Parts Beneath .................................................. 51
9-3. Others ...................................................................................................... 53
9-4. Humidity Chamber ................................................................................. 53
[10] Maintenance Inspection ...................................................................... 55
10-1. Inspection before use ............................................................................ 55
10-2. Three-month Inspection ....................................................................... 56
10-3. Periodical Replacement Parts ............................................................... 57
10-4. Replacing the Filter ............................................................................... 58
10-5. Replacing the Oxygen Sensor (Unit with oxygen controller) ........... 59
10-6. Inspection Check List ............................................................................ 61
10-7. Life ........................................................................................................... 62
10-8. Disposal .................................................................................................. 62
[11] Alarms ............................................................................................................. 63
[12] Troubleshooting ............................................................................................ 67
[13] Technical Data ............................................................................................... 68
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[1] Operating Precautions
Please follow the operating instructions described in this Manual for 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.
Be sure to close the front admittance panel and access ports when the unit is
in use.
Using the unit when the front admittance panel or an access port is left open may cause the infant to
fall out of the baby compartment. Be sure to close the front admittance panel and access ports even
when performing phototherapy on an infant inside the incubator.
If the incubator air temperature rises when performing phototherapy, proceed
with phototherapy after placing the infant in a cot or an open incubator (infant
warmer), according to the doctor's judgment.
Since growing infants release a high level of heat, the incubator air temperature may rise if you place
the infant in the incubator and perform phototherapy. Also, if you use multiple phototherapy units at
the same time, or if the room temperature is high, the incubator air temperature may rise. In this
case, proceed with phototherapy after placing the infant in a cot or an open-type incubator, according
to the doctor's judgment. Take sufficient care when using a cot, as it becomes difficult to watch the
infant. Also, placing an ice bag inside the incubator has the effect of decreasing the temperature.
However, be sure to close the front admittance panel and access ports in this case also.
Do not leave the unit unattended when the front admittance panel or an access port is open.
If the front admittance panel or an access port is left open, the infant may fall out of the baby compartment and even lose its life. Never leave the unit unattended when the front admittance panel or an
access port is open.
If the front admittance panel, a snap-open access port or a hook slider should
be found loose or faulty in any way, stop using the unit immediately and ask
for repair.
The infant may fall out of the incubator.
Never place a body warmer or other possible ignition sources in or near the unit.
Use of oxygen will increase a risk of explosion or a fire.
A body warmer or other devices in which fire is used or which may generate a spark may cause
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 explosion or a fire if used in the presence of such a gas.
Do not use ether, alcohol or other ignitable substances.
Even a small amount of ether, alcohol or other ignitable substances may cause a fire when mixed
with the oxygen in the incubator.
−8−
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Ground the unit securely.
Otherwise current leakage may cause an electric shock. To complete the ground connection, connect the power cord only to a 3P power outlet including a ground terminal and grounded properly.
Do not operate the unit if you have any doubt about its ground connection.
Do not use near the unit any device generating high frequency.
Electro-Surgical apparatus, cellular phones 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.
Analyze arterial gas levels repeatedly when a high oxygen environment is required.
It is reported to be extremely important and essential, when the infant's conditions call for a high
oxygen environment, to repeatedly analyze arterial gas levels in order to maintain the oxygen concentration in the incubator at a desired level. Follow the doctor's instructions in measuring the
oxygen concentration because ignoring essential requirements may increase the risk of retinopathy
of prematurity.
Do not jolt the unit or bump it against anything.
The screws or fixed parts may become loose.
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 setting the oxygen concentration
in the incubator.
Oxygen for medical use should be used.
Be sure to bear in mind the following points 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 and bed sheets, etc. Do not use any material that is easily
charged with static electricity.
●Use pure cotton or fire-proofed materials for the clothing of doctors, nurses and those ambulance
men who handle this unit.
Bear in mind the following points 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, pipings, connections and other 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.
−9−
Page 12
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 pinch the power cord 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 sanitizing the unit, ensure that the unit is electrically disconnected and
that the unit and the heater have sufficiently cooled down.
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 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.
Connect the power cord only to a 3P power outlet in order to complete the
ground connection.
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 unit other than that specified.
The unit should be serviced only by qualified personnel.
Be sure to perform start-up inspection.
Using the unit without performing start-up inspection may let a defect pass unnoticed and cause a
serious accident.
− 10 −
Page 13
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.
Always keep the unit warm to maintain the incubator air temperature at a fixed
level during the standby mode.
Place the infant in the incubator only when the incubator air temperature has
stabilized.
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 or disinfecting
the unit.
Cleaning or disinfecting the unit with the power plug connected to the power outlet may cause an
electric shock.
Place the unit on a stable surface.
Placing the unit on an unstable platform or a tilted surface will cause it to fall or drop and may hurt
someone. Check the strength of the place where the unit is to be placed or installed.
Install the unit out of reach of small children.
In performing phototherapy to the infant in the incubator, pay special attention
to the infant's temperature and the incubator air temperature during the therapy.
The infant's skin temperature and the incubator air temperature may rise due to the radiant energy
of light.
Do not install the unit in direct sunshine 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.
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 peripheral devices for any
effect before using the unit in clinical settings. Stop using the unit immediately if any trouble is
detected.
− 11 −
Page 14
[2] Parts Identification
2-1. Main body
■ B.C type
o
q
!0
!1
!2
e
!3
!4
r
t
y
!5
!6
u
i
!7
!8
No.
q
w
e
r
t
y
u
i
o
Name
No.
!0
!1
!2
!3
!4
!5
!6
!7
!8
Sensor module (B,C type)
Sensor module (A type)
Iris access port
Relay box
Test switch
MF rail
Mattress platform tilting knob
Humidity chamber cover
Front admittance panel operating knob
Name
Front admittance panel operating lever
Front admittance panel
Tube introduction slit assembly
Snap-open access port
Mattress
Control panel
Drawer
Caster
Elevating pedal
Note: !5 Drawer (one-layer type and two-layer type) is optionally available.
− 12 −
Page 15
■ A type
w
t
− 13 −
Page 16
■ Right side (Power Unit)
■ Rear
● A type
!9
@0
@1
#5
#6 #4 @2
@5
■ Inside
● B type
@6
@7
@8
@9
@2
@5
● C type
#0
#1
#3
#2
@2
No.
Name
No.
!9
@0
@1
@2
@3
@4
Filter cover
Oxygen connecting port 1
Oxygen connecting port 2 (to use the internal oxygen controller)
Power switch
Weight monitor connector
Printer connector
@5
@6
@7
Hood stopper
Mattress platform
X-ray cassette tray
@8
@9
#0
#1
#2
#3
#4
#5
#6
Note: @7 X-ray cassette tray is optinally available for A type
− 14 −
@3
@4
@5
Name
Top board packing
Top board
Fan cover
Fan
Conditioning chamber
Nozzle
Skin temperature connecting port
Sensor module connector (A type)
I/O connector (A type)
Page 17
2-2. Control Panel
#4 #5
#6
@7 @8 @1 @2 q w
@6
1/
O2
g
e
%
%
%
%
O2
˚C
˚F
˚C
˚F
1
＞37.5℃
＞37℃
0
100
2
˚C
>37.5℃
.>37℃
˚F
@9 #0 #1 #2#3 @3 @4 @5 !2
!3
e
r
t
y
u
i
o
!0
!1
!2
˚C
˚F
AIR
1
!4 !5 !6 !7 !8 !9 @0
$0
$1
Temperature
Temperature
w
!1
21%
100%
O2
q
o !0
2
SKIN
#7 #8 #9
y u i
rt
!3
High temperature alarm indicator
・Servo Control: Illuminates when the incubator air
temperature exceeds 40 ℃.
・Manual control: Illuminates when the incubator air
temperature exceeds 38 ℃ (or 40℃ in the override
mode).
Silence indicator
Illuminates when an audible alarm is disabled.
Skin temperature display
Displays a detected skin temperature digitally.
Servo Control indicator
Illuminates when the incubator is operating in the
Servo Control mode.
">37.5℃" indicator
Illuminates when the incubator is operating in the
Servo Control override mode.
Set temperature display
・Servo Control: Displays a set skin temperature digitally.
・Manual Control: Displays a set incubator air temperature digitally.
">37℃" indicator
Illuminates when the incubator is operating in the
Manual Control override mode.
Manual Control indicator
Illuminates when the incubator is operating in the
Manual Control mode.
Incubator air temperature display
Displays a detected incubator air temperature digitally.
Power failure alarm indicator
Illuminates when power supply is interrupted due to
power failure, disconnected power plug or other causes.
System failure alarm indicator
Illuminates when an abnormal condition is detected
in self-diagnosis.
℃/ °F selector switch
Press this switch to change the temperature display
unit from ℃ to °
F and vice versa.
!4
!5
!6
Skin temperature 2 switch (B,C type)
As long as this switch is pressed the skin temperature
display shows skin temperature 2.
Skin temperature probe alarm indicator
Servo Control: Illuminates when the skin temperature probe is faulty or not connected.
Manual Control: Illuminates when the skin temperature probe is faulty.
Override switch
Press this switch while the SKIN indicator is flashing
to select the override mode; the ">37.5℃" indicator
will flash, and the high skin temperature range of 37.639.0℃ will be available. Press this switch while the
AIR indicator is flashing to select the override mode;
the ">37℃" indicator will flash, and the high incubator air temperature range of 37.1-39.0℃ will be available.
Fan alarm indicator
Illuminates when the fan is not operating or when the
fan, the fan cover and the top board are not attached
properly.
!7
!8
!9
@0
− 15 −
Servo Control switch
Press this switch to operate the incubator in the Servo
Control mode.
Set point alarm indicator
Servo Control: Illuminates when a detected infant's
skin temperature deviates from the
preselected temperature by more than
± 1 ℃.
Manual Control: Illuminates when a detected incubator air temperature deviates from the
preselected temperature by more than
± 3 ℃.
Manual Control switch
Press this switch to operate the incubator in the Manual
Control mode.
Heater output indicator
Illuminates to indicate heater output in ten levels.
Page 18
Humidity
@1
@2
@3
@4
@5
Weight Monitor (C Type)
Relative humidity display
Displays a detected relative humidity in the incubator digitally.
Set relative humidity display
Displays a set relative humidity digitally.
Relative humidity selector switch
Press this switch to set a relative humidity.
When this switch is pressed, the relative humidity display will flash, and a relative humidity can be set.
Select a desired setting by pressing an appropriate
setting switch.
Humidity chamber off alarm indicator
Illuminates when the humidity chamber is not positioned properly or humidity chamber cover is opened.
Low water level alarm indicator
Flashes and illuminates when there is little water in
the humidity chamber.
#4
#5
#6
#7
#8
#9
Others
$0
Oxygen Controller (B,C Type)
@6
@7
@8
@9
#0
#1
#2
#3
TARE SUBTRACTED indicator
Illuminates when net weight is displayed.
STABILIZED indicator
Illuminates when a measured weight on the display has stabilized.
Weight display
Displays a detected weight digitally.
STORE switch
Press this switch to store (record) a displayed weight.
ZERO switch
Press this switch to have net weight displayed.
WEIGHT switch
Press this switch to weigh.
Oxygen flow rate indicator
$1
Indicates a detected oxygen flow rate in six levels.
Oxygen concentration display
Displays a detected oxygen concentration digitally.
Set oxygen concentration display
Displays a set oxygen concentration digitally.
Oxygen concentration alarm indicator
Flashes when a detected oxygen concentration deviates from the preselected level by more than ± 3%.
Oxygen sensor indicator
Illuminates when the oxygen sensor is faulty.
Oxygen concentration selector switch
Press this switch to set an oxygen concentration. When
this switch is pressed, the set oxygen concentration
display will flash, and an oxygen concentration can
be set.
Select a desired setting by pressing an appropriate
setting switch.
ON/OFF switch
Press this switch to turn the oxygen controller on/off.
Calibration indicator
Flashes when O2 sensor calibration is in progress.
− 16 −
Setting switch
Press this switch to set temperature, relative humidity, SpO2/pulse rate alarm limits, etc. to a desired level.
Every time
switch is pressed, a setting increases.
Every time
switch is pressed, a setting decreases.
Alarm silence/reset switch
Press this switch to silence an audible alarm or to reset an alarm condition.
Page 19
[3] Preparation before Use
3-1. Assembly
The main body of the incubator and the cabinet or the HL
stand are separately packed when shipped from the factory. Assemble the separate components correctly.
CAUTION
At least two people should join forces in assembling the unit for safety's sake.
（1）Place the main incubator body on the cabinet or the
HL stand in such a way that the control panel of the
main body and the front surface of the cabinet or the
HL stand may be positioned in the same direction.
The metal fittings on the four corners of the upper
surface of the cabinet or the HL stand should fit in
the sockets in the bottom surface of the main body
without leaving any space between them or without
tilting.
（2）Fit in the interlocking hooks on both sides of the cabinet or the HL stand with the metallic parts on the
main incubator body and lock securely.
WARNING
Fix the main incubator body reliably to the
cabinet or the HL stand by fitting in the
interlocking hooks securely with the metallic parts. Otherwise the main incubator
body might tip over and fall down when
force is applied in opening the hood. Never
move or operate the incubator before the
main incubator body is fixed securely to
the cabinet or the HL stand. Check that
the interlocking hooks are locked in routine inspection.
− 17 −
Interlocking
hook
Page 20
3-2. Where to Install the Infant Incubator
Install the incubator in a horizontal place convenient for
work. Avoid installing it near a heating apparatus, by the
window or where an open fire is used.
CAUTION
Avoid installing the incubator in direct sunshine, near a stove or a radiator, in the current of an air-conditioner, or by a cold window so that it may not be affected directly by
such external thermal conditions.
3-3. Locking the Casters
（1）When the incubator is installed in a desired place,
lock the two casters on the cabinet or the HL stand.
（2）To lock a caster, step down on the stopper tip for the
stopper to be in the LOCKED position.
（3）To unlock a caster, place the stopper in the UNLOCKED position.
CAUTION
Install the cabinet or the HL stand of the incubator on a horizontal and steady floor. Step
on the two caster stoppers to lock the casters
securely. To move the incubator to another
place, be sure to unlock the casters.
− 18 −
To lock
Step down here.
To unlock
Step down here.
Page 21
3-4. Adjusting the HL Stand (HL stand type)
（1）The height of the HL stand can be adjusted if necessary by stepping on an appropriate side of the elevating pedal. Be sure to connect the power plug of the
HL stand to the power outlet.
（2）To raise the HL stand, step continuously on the right
side(△) of the elevating pedal until a desired height
is achieved. To lower it, step continuously on the
left side(▽) of the elevating pedal until a desired
height is achieved.
Elevating pedal
CAUTION
The operation of the elevating pedal should
be limited to three minutes per hour.
3-5. Power Outlet and Grounding
WARNING
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.
Connect the power cord only to a 3P power outlet in order to complete the ground connection.
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 unit other than that specified.
The unit should be serviced only by qualified personnel.
− 19 −
Page 22
3-6. Power Cord and Power Switch
（1）Connect the power cord to the connector of the power
unit on the side panel of the main body. Then connect the power plug on the other end of the power
cord to the power outlet.
（2）Press the power switch to turn power on.
Power switch
Circuit
breaker
Power cord
■ Memory function
If power supply should be interrupted due to power failure, disconnection of a power plug or other causes, the
preselected settings excluding relative humidity and the items to be displayed will be retained in the memory,
so that it is not necessary to set them anew when power returns. Thus, the last selected settings and display
items will be displayed when the power switch is pressed ON.
However, since there are no memory functions for humidity control and the oxygen controller, it is necessary
to operate each switch again to reset the functions after resumption of power.
CAUTION
When the oxygen controller is working, if the power supply is interrupted due to a power failure,
disconnection of the power plug or the like, the oxygen supply does not restart even if power
resumes. Press the ON/OFF switch of the oxygen controller for about one second to set the oxygen controller to ON again. The oxygen concentration value which was set before the power interruption is displayed and oxygen supply resumes. Set the humidity control in the same way.
■ How to reset the circuit breaker
If an overcurrent condition should occur during the operation of the unit, the circuit breaker of the unit will be
tripped to prevent possible accidents. To reset the breaker, take the following steps:
（1）Press the power switch to turn power off.
（2）Allow at least one minute after the breaker was
tripped, and then depress the breaker pushbutton to
reset it to the "Normal" position.
（3）Press the power switch to turn power on.
If the circuit breaker should be tripped again, contact your Atom distributor.
CAUTION
Tripped position
Normal position
To prevent a malfunction, allow at least one
minute or so after the activation of the circuit
breaker before pressing the pushbutton.
− 20 −
Page 23
3-7. Rechargeable Battery
The unit contains a rechargeable battery intended to give an alarm when the power supply has stopped. The
battery needs charging in any of the following cases:
앫 immediately after purchasing the unit
앫 after the activation of a mains failure alarm
앫 after the unit has not been used for a long time
앫 when no alarm or only a feeble alarm sounds on the activation of a mains failure alarm by setting the power
switch to the ON position with the power cord off
The battery is charged automatically while the unit is connected to the wall outlet.
It takes about 50 hours for a completely discharged battery to be fully recharged.
The rechargeable battery should be replaced with a new one every four years or so.
CAUTION
If a mains failure alarm does not sound even after recharging, contact your Atom distributor.
3-8. Start-up Inspection
Before using the unit, check it carefully for any trouble,
contamination, missing parts or defective parts to make
sure that it can be operated safely.
WARNING
Be sure to perform start-up inspection.
Using the unit without performing start-up
inspection may let a defect pass unnoticed
and cause a serious accident.
DANGER
Always check the front admittance panel
operating knobs and the hook sliders of
the snap-open access ports for proper
operation. If the front admittance panel
or a snap-open access port should not
close securely, stop using the uni and ask
for repair.
− 21 −
Page 24
[4] Incubator Air Temperature Control
Air temperature in the incubator can be controlled in two user selectable modes. In the Manual Control mode,
the incubator air temperature is controlled to a preselected level, in the Servo Control mode, a skin temperature probe is attached to the infant and the heater output is controlled to maintain the infant's skin temperature
at a preselected level.
4-1. Setting the Incubator Air Temperature (Manual Control)
Practice and master the operation procedure before placing the infant in the incubator, and conduct temperature tests with the unit empty to check that it operates normally.
WARNING
Be sure to follow the doctor's instructions in setting the incubator air temperature.
CAUTION
Practice and master the operation procedure before placing the infant in the incubator, and conduct temperature tests with the unit empty to check that the incubator operates normally.
While the infant is in the incubator, check the heater output, the incubator air temperature, the
relative humidity and the oxygen concentration continuously to make sure that nothing is the
matter with the infant.
Check that the air outlets are not blocked with a diaper or a gauze. If they are blocked, the temperature and the relative humidity in the incubator cannot be controlled correctly.
4-1-1. Incubator air temperature display and setting
1/
（1）When power is applied to the unit, the AIR or the
SKIN indicator illuminates.
Check that the incubator air temperature and the set
temperature are displayed simultaneously.
If the SKIN indicator should illuminate, press the AIR
switch for about one second and switch to the Manual
Control mode.
Temperature can be displayed either in Centigrade
( ℃) or in Fahrenheit (°F). To change the display
unit from one to the other, use the ℃/°
F selector switch.
The incubator air temperature is displayed in the
range of 20.0-42.0℃ in 0.1 ℃ increments. "Lo" will
be displayed if it is 19.9 ℃ or lower; "HI" will be displayed if it is 42.1 ℃ or higher.
The set temperature can be selected in the range of
23.0-37.0 ℃ in 0.1℃ increments. If the range of 37.139.0℃ is desired, select the override mode.
− 22 −
2
˚C
˚F
˚C
˚F
SKIN
1
2
F
1/
＞37.5℃
＞37℃
0
100
1
>37.5℃
.>37℃
2
˚C
˚F
˚C
˚F
SKIN
1
2
˚F
AIR
>37.5℃
.>37℃
＞37.5℃
＞37℃
0
100
1
AIR
Page 25
CAUTION
The set temperature should be at least +3 ℃
higher than the ambient temperature. If a
phototherapy unit, a heating humidifier, etc.
is used with the incubator, the set temperature should be at least +5 ℃ higher than the
ambient temperature. A lower setting in either case cannot be controlled correctly.
（2）To set or change the incubator air temperature, press
the AIR switch for about one second. The AIR indicator will begin to flash.
While it is flashing, press an appropriate setting
switch ( or ) to set the incubator air temperature to a desired level.
The set temperature can be changed as long as the
AIR indicator is flashing. It will stop flashing to remain on when the setting procedure is completed.
Then the heater will begin functioning.
1/
2
˚C
˚F
˚C
˚F
SKIN
1
2
＞37℃
100
2
˚C
˚F
WARNING
˚C
˚F
SKIN
1
Be sure to follow the doctor's instructions
in setting the incubator air temperature.
2
1/
AIR
1
˚C
˚F
˚C
˚F
SKIN
1
2
− 23 −
＞37℃
100
2
>37.5℃
.>37℃
F
■ Heater output indicator
The heater output indicator indicates the amount of heat
supply required to maintain the incubator air temperature at a desired level. As the incubator air temperature
rises toward the set temperature, the heat supply decreases, and with it the output level shown on the heater
output indicator also decreases gradually from 100. When
the incubator air temperature has reached the set temperature, the reading on the indicator remains within the
balanced heat supply range. Thus the heater output indicator helps grasp the changes in incubator air temperature control.
＞37.5℃
0
>37.5℃
.>37℃
F
（3）Allow about 50-60 minutes for the incubator air temperature to stabilize (depending on the ambient
temperature).
The incubator air temperature is regarded as stabilized when the incubator air temperature reading is
equal or close to the set temperature.
AIR
1
>37.5℃
.>37℃
F
1/
＞37.5℃
0
0
＞37.5℃
＞37℃
0
100
AIR
1
100
Page 26
4-1-2. Setting the incubator air temperature in the override mode (Manual Control)
The incubator air temperature can be set above 37.0℃ in
the range of 37.1 - 39.0℃ by pressing the override switch
ON.
（1）Press the AIR switch for about one second. With the
AIR indicator flashing, press the override switch ON.
（2）Press an appropriate setting switch (
or
) to
set the incubator air temperature to a desired level
in the range of 37.1-39.0 ℃ in 0.1 ℃ increments.
The ">37℃" indicator remains on during the air temperature level in the range of 37.1 - 39.0 ℃.
（3）The override mode will be canceled automatically if
the temperature is set to 37.0 ℃ or lower.
1/
2
˚C
˚F
%
˚C
˚F
SKIN
1
%
2
˚C
＞37.5℃
＞37℃
0
100
1
>37.5℃
.>37℃
˚F
AIR
4-1-3. Placing the infant in the incubator
（1）Turn the front admittance panel operating knobs to
open side and then open gently the front admittance
panel with pushing down the front admittance panel
operating lever.
（2）Place the infant on the center of the mattress with
the head to the left and the legs to the right.
（3）After placing the infant, close the front admittance
panel and turn the front admittance panel operating
knobs to close side to close the panel securely.
（4）A gentle touch by the elbow on the hook slider will
open the snap-open access port through spring action.
To close the port, push the port door until it closes
completely.
Open
Open
Close
Front admittance
panel operating knob
Close
Open
DANGER
Always check the front admittance panel
operating knobs and the hook sliders of
the snap-open access ports for proper
operation. If the front admittance panel
or a snap-open access port should not
close securely, stop using the unit and ask
for repair.
Do not open the front admittance panel or
access ports in order to lower the incubator air temperature.
It's rather dangerous that heater output will
increase to keep the incubator air temperature.
− 24 −
Front admittance
panel operating lever
Push down
Hook slider