infant_incubator_v-2200_operation_manual.pdf
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Atom Infant Incubator Model V-2200
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 pulse oximeter, the oxygen controller and
the infant’s weight monitor.
So please skip any section unrelated to your unit.
Page 2
The unit for 100V region doesn’t suit the CE mark.
For further information or questions, please contact the following representative if you are in an
EU member state. In other countries, please contact your distributor or Atom Medical International, Inc.
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 model V-2200. 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 pulse oximeter, 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-2200 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 the oxygen controller, pulse oximeter 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
which,
if not avoided, will result in death or serious injury, serious damage to
WARNING：
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 indicating 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 indicating actions to be taken
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 electrical 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.
−3−
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4. Marks of international standards (IEC)
Mark
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 in terms of the degree of protection against an electric shock the device is classified as Type BF.
Bell
Indicates a switch for controlling the bell function.
Bell silenced
Indicates a control switch that can switch off the bell, or the state of the bell function.
Fan
Indicate a control switch that controls the fan.
Illuminance, Brightness
Indicates a control switch for illuminance or brightness.
Screen changeover
Indicates a switch that changes over the screen.
5. Other marks
Mark
Title and Indication
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Alarm
Indicates a low voltage alarm.
Alarm
Indicates a system failure alarm.
−4−
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Mark
Title and Indication
Temperature rise
Indicates that temperature is above a set point.
Temperature
Indicates temperature or a function related to temperature.
Skin temperature probe
Indicates a function related to a skin temperature probe.
Humidity chamber off
Indicates that the humidity chamber cover is open or that the humidity chamber is out of place.
Low water level
Indicates that there is little water in the humidity chamber.
Humidity sensor
Indicates a function related to a humidity sensor.
Humidity
Indicates a function related to humidity.
O2
O2
O2
5F
5F
Oxygen
Indicates a function related to oxygen.
Oxygen flow rate
Indicates a function related to an oxygen flow rate.
Oxygen sensor
Indicates a function related to an oxygen sensor.
Increased % SpO2
Indicates that %SpO2 has risen above the high limit.
Decreased % SpO2
Indicates that %SpO2 has dropped below the low limit.
Increased pulse rate
Indicates that pulse rate has risen above the high limit.
Decreased pulse rate
Indicates that pulse rate has dropped below the low limit.
5F
Pulse oxisensor
Indicates a function related to a sensor for pulse oximeter.
−5−
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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 expendable.
(2) Problems and damage due to improper handling, such as dropping the unit during transport or transfer.
(3) Problems and damage due to a fire, salt, gas, extraordinary voltage, earthquake, electrical, storm and
flood, 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 incurred during 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. Problems or damage due to installation, maintenance or repair by someone other than technical personnel belonging to, or authorized by, Atom.
2. Problems or damage to Atom products caused by a product of another company other than that supplied by Atom.
3. Problems or damage due to modification, maintenance or repair using a part other than that specified
by Atom.
4. Problems or damage due to neglecting the operating precautions or operating instructions described in
the Operation Manual of the unit.
5. Problems or damage due to operation under abnormal conditions, including electrical requirements
and installation requirements, other than those described in the Operation Manual.
6. Problems due to carelessness or improper modification.
7. Problems 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, IEC60601-1-1 and/or IEC60601-1-2.
−6−
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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 immediately contact 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.
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C
O
N
T
E
N
T
S
INTRODUCTION ............................................................................................. 1
[1] Operating Precautions
1-1.
DANGER .......................................................................................... 10
1-2.
WARNING ........................................................................................ 11
1-3.
CAUTION ........................................................................................ 12
[2] Parts Identification
2-1. Main body ............................................................................................... 14
2-2. Display/Control Panel .......................................................................... 16
[3] Preparation before Use
3-1. Assembly ................................................................................................ 18
3-2. Where to Install the Incubator ............................................................. 21
3-3. Locking the Casters ............................................................................... 21
3-4. Adjusting the HL Stand ......................................................................... 21
3-5. Power Outlet and Grounding ............................................................... 22
3-6. Power Cord and Power Switch ............................................................. 22
3-7. Rechargeable Battery ........................................................................... 24
3-8. Start-up Inspection ................................................................................ 24
[4] Screen Display
4-1. General Description of the Screens and Changeover ....................... 25
4-2. Numerical Value Screen ........................................................................ 26
4-3. Trend 1 Screen ...................................................................................... 28
4-4. Trend 2 Screen ...................................................................................... 29
4-5. Adjusting Brightness ............................................................................. 30
[5] Incubator Air Temperature Control ......................................................... 31
[6] Humidity Control .......................................................................................... 40
[7] Pulse Oximeter
7-1. Attaching the Sensor ............................................................................. 43
7-2. Setting the Upper/Lower Alarm Limits (SpO2, pulse rate) .............. 47
7-3. Graphical Display of the Pulse Oximeter ............................................ 48
7-4. Special Settings ...................................................................................... 48
[8] Oxygen Supply
8-1. Using the Oxygen Flowmeter .............................................................. 50
8-2. Using the Internal Oxygen Controller ................................................ 51
8-3. Graphical Display of Oxygen ................................................................ 53
[9] Weight Monitor
9-1. Calibrating the Weight Monitor ........................................................... 57
9-2. Changing the Weighing Mode ............................................................. 58
9-3. Weighing in the Manual Mode ............................................................. 59
9-4. Weighing in the Automatic Mode ........................................................ 60
9-5. Weighing in the Variation Mode .......................................................... 61
9-6. Recording the Weight Readings and Graphical Display of Weight .. 62
9-7. Other Functions ..................................................................................... 63
9-8. Alarms for the Weight Monitor ............................................................ 65
[10] Other Operation Procedures .................................................................... 66
[11] Cleaning, Disinfection and Maintenance ............................................... 72
[12] Maintenance Inspection ............................................................................. 79
[13] Alarms ............................................................................................................. 88
[14] Troubleshooting ........................................................................................... 96
[15] Technical Data .............................................................................................. 97
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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), as directed by the attending doctor.
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, as directed by the attending doctor. 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 be seriously injured. 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 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.
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.
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 which is 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.
− 10 −
Page 13
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.
쎲 Do not place a body warmer, a flashlight, oils and fats, or flammable vaporizable matters in the
incubator.
쎲 Use pure cotton for the infant's clothing and bed sheets, etc. Do not use any material that is easily
charged with static electricity.
쎲 Use pure cotton or fire-proofed materials for the clothing of doctors, nurses and those ambulance
staff who handle this unit.
Bear in mind the following points while using oxygen supply equipment.
쎲 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.
쎲 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 be damaged, the electrolyte inside
may leak out of the sensor. If you should come in contact with electrolyte,
wash the site immediately and thoroughly with copious amounts of water.
Smoking is prohibited in the room where the unit is installed.
Do not place any possible ignition sources in the room.
Avoid damaging the power cord.
A damaged power cord may cause a fire or an electric shock.
쎲 Do not pinch the power cord between the unit and the wall, a shelf or the floor.
쎲 Do not place the power cord near a heating apparatus or heat it.
쎲 Do not put anything heavy on the power cord.
쎲 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.
− 11 −
Page 14
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 outlet other than that specified.
The unit should be serviced only by qualified personnel.
Be sure to perform a start-up inspection.
Using the unit without performing a start-up inspection may let a defect pass unnoticed and cause a
serious accident.
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.
− 12 −
Page 15
When guiding the cords and tubes into the unit, be very careful not to let
them wind around or entangle the patient.
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.
Fix the pole arm before moving the unit to another place.
Before moving the unit to another place, fix the pole arm to a position convenient for moving the unit.
If you move the unit without fixing the pole arm, the display may not remain stable during the transport and cause breakage or injury.
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 injure
someone. Check the stability of the place where the unit is to be placed or installed.
Install the unit out of reach of small children.
In performing phototherapy on 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.
Do not strongly press or rub the display/control panel.
Although the display has a protective cover, strongly pressing or rubbing it may cause damage to the
screen or cause it to malfunction.
Be careful not to let any fluid adhere to the display/control panel.
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.
− 13 −
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[2] Parts Identification
2-1. Main body
t
y
q
!3
w
u
!4
e
!5
i
o
r
!6
!7
!9
!8
!0
!2
No.
q
w
e
r
t
y
u
i
o
!1
Name
No.
!0
!1
!2
!3
!4
!5
!6
!7
!8
!9
Front admittance panel operating knob
Front admittance panel
Snap-open access port
Humidity chamber cover
Display/Control panel
Pole arm
Front admittance panel operating lever
Mattress
Mattress platform tilting knob
Name
Drawer
Elevating pedal
Caster
Sensor module
Iris access port
Tube introduction slit assembly
Relay box
MF rail
Outer filter cover
Hose cover
Note: !0 Drawer (one-layer type and two-layer type) is optionally available.
Unlike the conventional incubator (V-2100G), the sensor module (!3) does not include an alarm lamp that
comes on during an alarm condition. An alarm lamp is included in the display/control panel(t).
− 14 −
Page 17
■ Rear
@0
■ Right side
@1
@3
@2
■ Inside
@4 @5
@6
■ Left side
#2
#3
#4
#5
@7
#6
@8
@9
#7
#8
$0
#9
No.
Name
No.
@0
@1
@2
Filter cover
Oxygen supply port 1
Oxygen supply port 2 (to use the internal
oxygen controller)
Power switch
Weight monitor connector
Display output connector (for right side)
Hood stopper
Display output connector
Connector J2
Connector J1
#0
#1
#2
#3
#4
#5
#6
#7
#8
#9
$0
@3
@4
@5
@6
@7
@8
@9
− 15 −
Name
I/O port 1
Test switch
Mattress platform
Weight monitor assembly
X-ray cassette tray
Top board packing
Top board
Fan cover
Fan
Conditioning chamber
Nozzle
#0 #1
Page 18
2-2. Display/Control Panel
q
w e
r
32.0℃
36.5ûC 32.0ûC
＞37.5℃
1
!9
2 34.5 ûC
＞37℃
0
t
ûC
100
ûF
y
%SpO2
9 8 1 5 0 2 5 %2 5 % 5 0 %5 0 %
u
bpm
MANUAL
!7
!6
1/23/2004
12:34
!5
!4
i
>37.5ûC
>37ûC
O2
M
!8
1000g
!3
− 16 −
!2
!1
!0
o
Page 19
No.
Name
q
Alarm Indicator
Flashes or illuminates when an alarm condition occurs.
Power failure alarm indicator
Illuminates when power supply is interrupted
due to power breakdown or a disconnected
power plug etc.
System alarm indicator
Illuminates when any system error is detected
by the self-diagnosis.
Screen changeover switch
Every time this switch is pressed, the screen
is changed.
Brightness adjusting switch
Press this switch to adjust the brightness of
the screen.
˚C/˚F selector switch
Press this switch to change the temperature
display unit from ˚C to ˚F and vice versa.
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 reset an alarm condition.
Manual Control switch
Press this switch to operate the incubator in
the Manual Control mode.
Servo Control switch
Press this switch to operate the incubator in
the Servo Control mode.
Override switch
Press this switch while the Servo indicator
is flashing to select the override mode; the
“>37.5˚C” indicator will flash, and the high
skin temperature range of 37.6-39.0˚C will be
available.
Press this switch while the Manual indicator
is flashing to select the override mode; the
“>37.0˚C” indicator will flash, and the high incubator air temperature range of 37.1-39.0˚C
will be available.
w
e
r
t
y
u
i
o
!0
!1
No.
!2
!3
!4
!5
!6
!7
!8
!9
Name
Relative Humidity setting switch
Press this switch to set a relative humidity.
When this switch is pressed, the selection of
humidity message will be displayed. and a
relative humidity 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.
O2 switch
Press this switch to set an oxygen concentration. When this switch is pressed, the selection of oxygen concentration message will be
displayed, and an oxygen concentration can
be set.
Select a desired setting by pressing an appropriate setting switch.
Alarm limit selector switch
Press this switch to set an SpO2/pulse rate
alarm limit.
Every time this switch is pressed, selection
of an SpO2 alarm message and the selection
of a pulse rate alarm message will be displayed by turns, and an alarm limit for the
mode currently being displayed can be set.
Select a desired setting by pressing an appropriate setting switch.
Weight switch
Press this switch to weigh or store the measurement value.
Tare switch
Press this switch to tare.
Mode switch
Press this switch to change the weight measurement mode.
Display
Displays an air temperature, a relative humidity and an oxygen concentration in the incubator, skin temperature, %SpO2, pulse rate
and weight of the infant etc. on the Numerical value screen, Trend 1 screen and Trend 2
screen.
Note : !3 and !4 are available only on the unit with
oxygen controller.
!5 is available only on the unit with built-in pulse
oximeter.
!6, !7 and !8 are available only on the unit with
weight monitor.
− 17 −
Page 20
[3] Preparation before Use
3-1. Assembly
The main body of the incubator, display/control panel and
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 HL stand in
such a way that the front side of the main body and
the front side (the side without the power cable) of
the HL stand may face in the same direction. The
metal fittings on the four corners of the upper surface of 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) As shown in the figure on the right, attach the mounting metal fittings to interlock the main body with the
HL stand, and fix them with the screws.
WARNING
Interlock the main body of the incubator securely with the HL stand by means of the
mounting metal fittings. If the mounting
metal fittings are not locked properly, the
main body may fall when force is applied in
opening the hood. Never move or operate
the incubator before the main body is securely fixed to the HL stand. Check for proper
locking in everyday inspection.
The HL stand of this incubator is not compatible with the monitor stand (PIT-250IC/
PIT-250ICR). Never combine one with the
other. Forced combination may cause the
unit to fall down.
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Metal fittings
Page 21
(3) Attach the pole arm to the main body.
❉ The pole arm can be attached to the right or left
side of the main body. Decide as to which side to
attach the pole arm depending on where to install the incubator.
Arm
receiver
q Open the hose cover or outer filter cover and
check the attachment site.
w Fix the arm receiver with the bolt through the
washer as shown in the figure on the right.
Tighten the bolt with the tool supplied with the
incubator, and then attach the cap.
Bolt
Washer
Cap
❉ Be careful not to attach the arm receiver upside
down.
e Insert the pole arm into the arm receiver and then
tighten the knob. Check that the pole arm has
been attached correctly and close the hose cover.
Arm
receiver
Washer
Bolt
Cap
왖 To attach the right side of the main body
CAUTION
In fixing the pole arm, be careful not to apply
excessive force to the cable, twist the cable
or pinch it.
Pole arm
Main body
Pole arm receiver
(4) Attach the display/control panel.
Display/control panel
CAUTION
Panel receiver
Screw
Before attaching the display/control panel,
affix the pole arm to the desired position. Otherwise, the pole arm will move or change position while attaching the display/control
panel.
Align the four holes in the rear side of the display/
control panel with those in the panel receiver on the
tip of the pole arm, and affix with the screws as shown
in the figure.
(5) Connect the incubator with the display/control panel.
q Insert the connector on the upper end of the pole
arm in the display input connector on the rear of
the display/control panel.
After insertion, pull the connector lightly to make
sure that it doesn’t come off.
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Display input connector
Connector
Page 22
w Insert the connector on the lower end of the pole
arm in the display output connector on the main
body of the incubator. After insertion, pull the
connector lightly to make sure that it doesn’t come
off.
Display output connector
Connector
CAUTION
When inserting or removing the connector,
be careful not to pull the cable with force or
twist it.
쐽 To attach to the right side of the main body
Display output
connector
Connector
쐽 To attach to the left side of the main body
(6) Adjusting the direction
The direction of the display/control panel is adjustable vertically and horizontally without any additional
operation or device. To adjust the direction of the
pole arm itself, loosen the knob on the arm receiver.
CAUTION
In adjusting the direction of the display/control panel and the pole arm, be careful not to let it hit
the hood or a peripheral device.
When inserting, removing, or fixing the arm, or inserting the connector, be careful not to pull the
cable with force or twist it. Make sure that no cables are entangled.
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Page 23
3-2. Where to Install the Incubator
Install the incubator in a horizontal place convenient for work. Avoid installing it near a heating apparatus, by
the window, or where fire is used. Place the incubator where any fluids, etc. will not touch the display/control
panel. These may damage the incubator or cause a fire to start.
CAUTION
Avoid installing the incubator in direct sunshine, near a stove or a radiator, in the current of an airconditioner, 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 HL stand.
(2) To lock a caster, lower the stopper on the caster to
the locking position.
To lock
(3) To unlock a caster, raise the stopper.
CAUTION
To unlock
Install the HL stand of the incubator on a horizontal and stable floor. Step on the two stoppers to lock the casters securely. To move
the incubator to another place, be sure to
unlock the casters.
3-4. Adjusting the HL Stand
(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(왕) of the elevating pedal until a desired height
is achieved. To lower it, step continuously on the
left side(왓) of the elevating pedal until a desired
height is achieved.
CAUTION
Operating the elevating pedal should be limited to three minutes per hour.
While adjusting the HL stand, be careful not
to let the display/control panel hit a peripheral device.
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Elevating pedal
Page 24
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 outlet other than that specified.
The unit should be serviced only by qualified personnel.
3-6. Power Cord and Power Switch
(1) Insert the power relay cord into the connector on
the right side of the main unit of the incubator.
After making certain that the cord is slack enough,
fasten the cord to the main unit with a clip.
Connector
CAUTION
Connect the power relay cord only to the main
unit of the incubator. Do not connect the
power cord to the main unit of the incubator.
Power is supplied to the main unit of the incubator through the power relay cord.
Accordingly only the power cord connected
to the lower part of the HL-stand must be
plugged into the power outlet.
(2) Insert the power cord into the connector on the lower
part of the HL-stand. After making certain that the
power cord is slack enough, fasten the cord to the
HL-stand with a clip.
(3) Plug the power cord into the power outlet, and turn
on the power switch.
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Clip
Power Relay Cord
HL-stand
Power Cord
Clip
Page 25
쐽 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.
쐽 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:
Tripped position
(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.
Normal position
CAUTION
To prevent a malfunction, allow at least one minute or so after the activation of the circuit breaker
before pressing the pushbutton.
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Page 26
3-7. Rechargeable Battery
The unit contains a rechargeable battery which alarms 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 a start-up inspection. Using the unit without performing a 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 snapopen 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.
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