V-808 Atom Transcapsule Operation Manual July 2016.pdf
Page 1
ORIGINAL
0123
Atom Transcapsule
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE OF
MAINTENANCE AND CARE OF THE UNIT:
• Read this Manual carefully before operating the unit.
• Keep this Manual where it is readily accessible for reference in case of
need.
Page 2
EU OFFICE
Via Libia, 54 - 20081 Abbiategrasso (MI) - Italy
Tel: +39 02 99763101 Fax: +39 02 99763110
Page 3
INTRODUCTION
This Operation Manual deals with the specifications, operation and maintenance of the V-808 Atom Transcapsule.
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 certified by Atom.
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 local Atom representative.
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.
INTENDED USE
The V-808 Atom Transcapsule is a closed-type transport incubator for neonatal and premature infants and is
intended to transport low birth weight infants and seriously ill neonates.
SAFETY INFORMATION
Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual
carefully before operating the unit. Please follow the instructions in operating it.
[1] Basic Instructions
1. Follow the instructions for the safe use of the unit.
Follow the operating instructions described in this Manual for the safe use of the unit.
2. Inspect the unit on a periodical basis.
Periodical inspection is needed to operate the unit under optimum conditions (See “⁄1 Maintenance Inspection” of this Manual.)
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 local
Atom representative.
4. EMC
Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided in this Manual.
✽ EMC stands for electromagnetic compatibility. EMC requirements specify measures against emitting and
receiving unwanted electronic interference.
−1−
Page 4
[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.
WARNING：
A WARNING notice indicates an indirectly (potentially) hazardous situation
which, if not avoided, will result in death or serious injury, serious damage to
property such as total loss of use of equipment, and a fire.
CAUTION：
A CAUTION notice indicates a hazardous situation which, if not avoided, can
result in minor or moderate injury, partial damage to property, and loss of data
stored in computers.
[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
where lightning may occur
Connect a ground wire
Instructs the user to connect the ground wire without fail where the unit is provided with a
ground terminal.
−2−
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4. Marks of international standards (IEC)
Mark
Title and Indication
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.
Alarm
Indicates a switch for setting the alarm function.
Audible alarm silenced
Indicates that an audible alarm is silenced.
See operation manual
Follow operation manual.
Fan
Indicates a control switch that controls the fan.
Lighting
Indicates a switch that controls lighting.
Recycle mark (battery)
Indicates that recycling is recommended.
Date of manufacture
Indicates the date when the unit was manufactured in the factory.
WEEE symbol
In the EC area, an electrical and electronic product falling in one of the categories specified by
“DIRECTIVE 2002/96/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 27
January 2003 on Waste Electrical and Electronic Equipment (WEEE)” should be disposed of in a
manner consistent with relevant laws and regulations.
This symbol indicates that the above-mentioned requirement applies to this product.
Fuse
Indicates the fuse.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer.
Authorized representative in the European Community
This symbol indicates the name and the address shown adjacent to the symbol is of the authorized representative in the European Community.
−3−
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5. Other marks
Mark
Title and Indication
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Alarm
Indicates a power failure alarm.
AC power
Indicates that the device is connected to AC power.
Battery
Indicates that the device is being powered by a battery or batteries.
Alarm
Indicates an alarm related to temperature.
External DC power source
Indicates that the unit is operating on an external DC power source.
Alarm
Indicates that an audible alarm is silenced.
Alarm
Indicates that a system of the unit is in an abnormal condition.
Alarm
Indicates that the rotation of the fan is abnormal or the fan has not been attached.
Alarm
Indicates a high temperature condition with the incubator air temperature exceeding 39˚C.
Alarm
Indicates an alarm related to a skin temperature probe or an oxygen sensor.
Battery 1
Indicates the state of Battery 1.
Battery 2
Indicates the state of Battery 2.
O2
Oxygen
Indicates a switch that controls a function related to oxygen, or the state of oxygen.
−4−
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Mark
Title and Indication
Increased %SpO2, pulse rate, or oxygen concentration
Indicates that %SpO2, pulse rate or oxygen concentration has risen above the upper limit.
Decreased %SpO2, pulse rate, or oxygen concentration
Indicates that %SpO2, pulse rate or oxygen concentration has dropped below the lower limit.
SpO2
Indicates a detected current SpO2 value.
Pulse rate
Indicates a detected pulse rate.
Setting
Indicates a setting value of the incubator air temperature.
Incubator air temperature
Indicates a present incubator air temperature and the connecting port of the incubator air temperature sensor cable.
Heater
Indicates a heater output.
Skin temperature
Indicates the infant’s skin temperature, the connecting port of the skin temperature probe and
the connecting port of the skin temperature monitor cable.
POWER
Power switch
Indicates the power switch of the main body.
BREAKER
Breaker
Indicates the breaker of the main body.
24V12V
DC power connecting port
Indicates the DC power connecting port of the main body.
Oxygen monitor switch
Indicates the switch to turn on/off the oxygen monitor function.
Pulse synchronous beep switch
Indicates the switch to enable/disable the pulse synchronous beep.
Lock
Indicates that the locking function becomes released.
Lock
Indicates that the locking function becomes effective.
−5−
Page 8
Mark
Title and Indication
Lock
Indicates that the locking function becomes effective or released alternately.
Test switch
Indicates the test switch.
Button
Indicates that the button should be kept pressed for the specified period of time.
Reset indicator
Indicates the reset indicator.
Reset switch
Indicates the switch to reset.
Battery replacement
Indicates that the battery should be replaced.
Battery
Indicates the battery type, capacity and quantity.
(Lead-acid battery, 6V48Ah, 2 pieces)
Battery
Indicates the battery type, capacity and quantity.
(Lead-acid battery, 12V7.4Ah, 1 piece)
−6−
Page 9
[1] Precautions on Jamming
WARNING
Electric surgical knives, portable and mobile communication equipment, 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 and mobile communication equipment, etc. are often used in medical facilities,
some measures should be taken to prevent jamming due to such devices.
Portable and mobile communication equipment and other devices which generate high frequency
should not be used near the unit during its operation to prevent malfunction of the unit due to
jamming.
[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 to 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 local Atom representative or service engineer. See 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.
−7−
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C
O
N
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N
T
S
INTRODUCTION ............................................................................................. 1
[1] Operating Precautions
DANGER .......................................................................................... 10
1-1.
1-2.
WARNING ........................................................................................ 12
1-3.
CAUTION ......................................................................................... 13
[2] Parts Identification
2-1. Main Body .............................................................................................. 15
2-2. Main Body - Sides .................................................................................. 16
2-3. Main Body - Rear ................................................................................... 17
2-4. Main Body - Inside ................................................................................ 18
2-5. Mount ...................................................................................................... 19
2-6. Control Panel ......................................................................................... 19
[3] Setting Up the Incubator
3-1. Assembling ............................................................................................. 21
3-2. Locking the Caster ................................................................................ 22
3-3. Adjusting the Height of the Stand ........................................................ 22
3-4. Detaching/Attaching the Main Body from/to the Mount ................ 23
3-5. Where to Place the Incubator .............................................................. 24
3-6. Storing the Cylinders ............................................................................ 24
3-7. Fixing of the Incubator to a transport vehicle .................................... 25
3-8. Power Outlet and Grounding ............................................................... 25
3-9. Power Cord and Power Switch ............................................................. 26
3-10. Inspection before Use ........................................................................... 27
[4] Power Sources
4-1. AC Power ................................................................................................ 28
4-2. Internal Battery Power ......................................................................... 29
4-3. External DC Power (DC 12V/24V) ..................................................... 31
[5] Incubator Air Temperature Control and Placing the Infant in the Incubator
5-1. Setting the Incubator Air Temperature ............................................... 32
5-2. Placing the Infant in the Incubator ...................................................... 33
5-3. Skin Temperature Monitoring ............................................................. 35
[6] Pulse Oximeter
6-1. Attaching the Sensor ............................................................................. 37
6-2. Setting the Upper/Lower Alarm Limits .............................................. 39
6-3. Setting the Heartbeat Synchronous Sound ........................................ 40
[7] Oxygen Monitor
7-1. Calibration .............................................................................................. 41
7-2. Setting the Upper/Lower Alarm Limits .............................................. 42
[8] Oxygen Supply ............................................................................................. 43
[9] Other Operating Procedures
9-1. Drawing Out the Mattress Platform .................................................... 46
9-2. Arranging the cords and Tubes ........................................................... 46
9-3. Lighting Lamp ........................................................................................ 47
9-4. I.V Pole .................................................................................................... 47
9-5. Test Switch ............................................................................................. 48
9-6. Reset Indicator/Reset Switch ............................................................... 48
[10] Cleaning, Disinfection and Maintenance ............................................... 49
[11] Maintenance Inspection ............................................................................. 54
[12] Alarms ............................................................................................................. 63
[13] Troubleshooting ........................................................................................... 67
[14] Technical Information
14-1. Technical Data ....................................................................................... 68
14-2. EMC level and classification ................................................................. 72
[15] Accessories, Supplementary Equipment, Used Material .................. 76
Page 12
[1] Operating Precautions
Please follow the operating instructions described in this Manual for the safe use of the unit. The unit should
be operated only by those who have been trained and instructed properly in its operation. The unit should be
operated only for its intended use.
1-1.
DANGER
Death or serious injury, damage to equipment or a fire will result if the instructions given below are not followed.
Turn the lighting switch off before replacing the fluorescent lamp.
The fluorescent lamp becomes hot immediately after use. Before replacing the fluorescent lamp,
make sure that it has cooled down sufficiently.
Do not replace the fluorescent lamp with wet hands.
Be sure to keep the admittance panels and the access ports closed when
using the unit.
If an admittance panel or an access port is left open when the unit is in use, the infant may fall out of
the baby compartment. Be sure to keep the admittance panels and the access ports closed during
phototherapy when an infant is in the incubator.
Do not leave the unit unattended when an admittance panel or an access
port is open.
If an admittance panel or an access port is left open, the infant may fall out of the baby compartment and
sustain life threatening injury. Never leave the unit unattended when an admittance panel or an access
port is open.
If an admittance panel, a snap-open access port or a hook slider should be
found loose or faulty, stop using the unit immediately and ask for repair.
The infant may fall out of the unit.
Always check the 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, do not place
any infant in the unit and ask for the problem to be corrected.
Do not open an admittance panel or an access port in order to lower the
incubator air temperature.
Because the incubator air temperature is controlled automatically at a set temperature, the heater
output will increase dangerously to make up for any temperature drop.
Open and close the snap-open access ports gently.
If you open or close them with to much force, they may not open or close properly, which is dangerous.
After the infant is placed in the incubator, check again that the admittance
panels and the access ports are all closed securely.
For the infant’s safety, never leave the incubator unattended when an admittance panel or an access port is open.
− 10 −
Page 13
Do not fasten the infant fixing bands too tightly.
If they are fastened too tightly, they could injure the infant.
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 experience 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, a leakage current may cause an electric shock. In order 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 a device generating high frequency near the unit.
To prevent malfunction of the unit due to jamming, do not use electric surgical knives, portable and
mobile communication equipment and other devices which generate high frequency near the unit
during its operation.
Analyze arterial gas levels repeatedly when a high oxygen environment is
required.
It is reported to be extremely important and essential to repeatedly analyze arterial gas levels, when
the infant’s conditions call for a high oxygen environment, 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 a risk of retinopaths of prematurity and other adverse effects.
Do not jolt or drop the unit or allow it to be struck by other objects.
The screws or fixed parts may become loose.
Be sure to insert the power plug fully into a power outlet.
Incomplete insertion of the plug may cause heat to generate and a fire may result.
Check the power outlet regularly to make sure that it presents no abnormality.
A loose or damaged outlet can cause a poor electrical connection, which may generate heat and
result in a fire.
Keep the area around the power plug and power outlet free of dust.
Accumulated dust on the plug can cause heat to generate and may lead to a fire.
− 11 −
Page 14
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.
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.
Be sure to follow the doctor’s instructions in setting the incubator air temperature.
Be sure to follow the doctor’s instructions in setting the oxygen concentration in the incubator.
Use only oxygen certified for medical use.
Be sure to bear in mind the following precautions 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-proof materials for the clothing of doctors, nurses and those ambulance
staff who handle this unit.
Bear in mind the following precautions 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 first and then
to supply oxygen again.
The electrolyte may leak out if the oxygen sensor should be damaged. If
you should come in contact with the 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.
쎲Do not pinch the power cord between the unit and the wall, a shelf or the floor.
쎲Do not place the power cord near a heating apparatus or heat it.
쎲Do not put anything heavy on the power cord.
쎲Always 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.
− 12 −
Page 15
Use only the power cord supplied with the unit.
Otherwise a fire or an electric shock may result.
Before sanitizing the unit, be sure to turn off the unit, remove the power
plug and check 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.
In order to complete the ground connection, connect the power cord only to
a 3P power outlet including a ground terminal which is properly grounded.
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 source other than that specified.
The unit should be serviced only by qualified personnel.
Be sure to inspect the unit before starting a day’s work.
Operating the unit without inspecting it before starting a day’s work may let a defect pass unnoticed
and cause a serious accident.
1-3.
CAUTION
Injury or damage to nearby objects may result if the instructions given below are not followed.
If the unit has been kept disconnected from the electrical outlet for a long
period of time (for about 3 months), the internal battery will be left in a discharged condition. Turn the power switch to the ON position. If the charge
level indicator of battery 1 or 2 does not come on, plug the power cord in the
electical outlet to charge the battery.
− 13 −
Page 16
Be sure to clean and disinfect the unit before using it for the first time after
purchase.
The unit is shipped without being disinfected.
When inserting a cord or a tube into the unit, be careful not to let it wind
around or squeeze the infant inside.
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 and stability of the place where the unit is to be placed or installed.
Install the unit out of reach of small children.
Do not install the unit in direct sunshine or near a heating apparatus.
Do not place anything heavy on the unit.
Check the operation of the peripheral devices.
If a device transmitting of 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.
Be sure to cover the mattress with a mattress sheet.
Do not place any baby directly on the mattress.
Be sure to attach the semi-iris access port cover to the snap-open access
port packing.
If you open the snap-open access port without attaching the semi-iris access port cover, the incubator
air temperature and oxygen concentration will drop.
− 14 −
Page 17
[2] Parts Identification
2-1. Main Body
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!2
!0
!1
!3
!4
쎲 Main body
No.
q
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쎲 Mount
Name
Lighting lamp
Front admittance panel
Snap-open access port
Control panel
I.V pole
Head-end admittance panel
Iris access port
Tube introduction slit packing
Hood fixing device
No.
!0
!1
Name
Main body locking device
Mount
쎲 Stand
No.
!2
!3
!4
− 15 −
Name
Operating lever
Gas spring
Caster
Page 18
2-2. Main Body - Sides
쐽 Right side
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q
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쐽 Left side
i
No.
q
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o
Name
!0
No.
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i
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!0
!1
Power switch
AC power input
External power input (24V/12V)
Oxygen supply port
AC power breaker
DC power breaker (for 24V)
− 16 −
!1
Name
DC power breaker (for 12V)
Test switch
Oxygen sensor connecting port
Connector for SpO2
Skin temperature probe connecting port
Page 19
2-3. Main Body - Rear
q
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No.
q
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t
y
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Name
Oxygen sensor module
Main board box
Fuse (for Battery 1)
Reset indicator
Reset switch
Battery 1
− 17 −
y
Page 20
2-4. Main Body - Inside
q
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i
!0
o
!1
!2
!3
No.
q
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Name
No.
i
o
!0
!1
!2
!3
Mattress
Mattress platform
Middle deck
Middle deck packing
Fan cover
Fan fixing screw
Fan
− 18 −
Name
Incubator air temperature sensor
Conditioning chamber
Heater
Connector (on the main body)
Connector (on the mount)
Mount
Page 21
2-5. Mount
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q
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No.
q
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Name
Battery cover
Connector (on the mount)
Mount switch
Main body locking device
Fuse (for Battery 2)
Reset indicator
Reset switch
2-6. Control Panel
@1 @2 @3
@6
@4 @5 !4 !5
@7
!7 !6 q
!8 !9 @0
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!1
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!2
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!3
@9 @8
#1
#0
#2 #3
#4
No.
Name
No.
Name
q
High temperature alarm indicator
Comes on when a detected incubator air temperature is too high.
Alarm silence indicator
Comes on when an audible alarm is silenced.
Skin temperature probe alarm indicator
Comes on when a skin temperature probe is faulty.
Fan alarm indicator
앫 Comes on when the rotation of the fan is faulty.
앫 Comes on when the fan or the fan cover is not
attached properly.
t
Set point alarm indicator
Comes on when a detected incubator air temperature deviates from the set point by at least 앐3˚C.
Power failure alarm indicator
Comes on when power supply has stopped.
System failure alarm indicator
앫 Comes on when an incubator air temperature
sensor is faulty.
앫 Comes on when power supply to the heater cannot be controlled.
w
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− 19 −
Page 22
No.
Name
No.
Name
i
Incubator air temperature display
앫 Displays a detected incubator air temperature digitally.
앫 Flashes during a set point alarm.
Skin temperature display
앫 Displays a detected skin temperature digitally.
앫 Flashes when a skin temperature probe is faulty.
앫 Remains blank when a skin temperature probe
has not been connected yet.
Set temperature display
Displays a set temperature digitally.
Incubator air temperature selector switch
Used to set an incubator air temperature.
Heater output indicator
Displays a heat output level of the main heater in
ten grades.
Setting switch
/
Used to set a desired incubator temperature. Also
used to set SpO2/pulse rate/oxygen concentration
alarm limits to a desired level.
Oxygen concentration alarm indicator
앫 Flashes when a detected oxygen concentration
violates the upper or lower alarm limit.
앫 Comes on when an upper or lower alarm limit
for oxygen concentration is being set.
Oxygen sensor indicator
앫 Comes on when an oxygen sensor could not be
calibrated.
앫 Comes on when an oxygen sensor has come off
during oxygen monitoring.
Oxygen concentration display
앫 Displays a detected oxygen concentration digitally.
앫 Remains blank when the oxygen monitor mode is OFF.
앫 Displays an alarm setting when an oxygen alarm
limit is being set.
Oxygen concentration alarm indicator
Comes on when a detected oxygen concentration
violates the alarm settings.
O2 switch
Used to set oxygen concentration alarm limits.
Calibration indicator
Flashes when an oxygen sensor is being calibrated.
Oxygen monitor switch
Switches on/off the oxygen monitor function.
Plethysmograph indicator
Indicates changes in an arterial flow on a bar graph.
SpO2 alarm indicator
앫 Flashes when a detected SpO2 violates the upper or lower alarm limit.
앫 Comes on when an upper or lower alarm limit
for SpO2 is being set.
Pulse rate alarm indicator
앫 Flashes when a detected pulse rate violates the
upper or lower alarm limit.
앫 Comes on when an upper or lower alarm limit
for pulse rate is being set.
@4
%SpO2 display
앫 Displays a detected %SpO2 digitally.
앫 Remains blank when an SpO2 sensor has not
been connected yet or when the SpO2 function
is not provided.
앫 Displays a flashing “
” when an SpO2 sensor has become disconnected.
Displays “ ” with “ ” flashing when an SpO2
sensor has become detached.
앫 Displays an alarm setting when an SpO2 alarm
limit is being set.
Pulse rate display
앫 Displays a detected pulse rate digitally.
앫 Remains blank when an SpO2 sensor has not
been connected yet or when the SpO2 function
is not provided.
앫 Displays a flashing “
” when an SpO2 sensor has become disconnected.
Displays “ ” with “ ” flashing when an SpO2
sensor has become detached.
앫 Displays an alarm setting when a pulse rate alarm
limit is being set.
앫 Displays a setting when a heartbeat synchronous
sound is being set.
0: Synchronous sound OFF
1: Synchronous sound ON
Heartbeat synchronous sound switch
Switches on/off the heartbeat synchronous sound.
Alarm limit selector switch
Used to set SpO2 pulse rate alarm limits.
Battery 1 charge level indicator
앫 Displays a charge level of Battery 1 in ten grades.
앫 Flashes when charging is faulty.
Battery 2 charge level indicator
앫 Displays a charge level of Battery 2 in ten grades.
앫 Flashes when charging is faulty.
앫 Remains blank when the unit is in use with the
mount removed.
Alarm silence/reset switch
Silences an audible alarm or resets an alarm condition.
AC power indicator
Comes on when the unit is connected to AC power.
Battery power indicator
Comes on when the unit is powered by its internal
batteries (Battery 1 and/or Battery 2)
External power indicator
Comes on when the unit is powered by its external power source.
Lighting switch
Switches on /off the lighting lamp.
o
!0
!1
!2
!3
!4
!5
!6
!7
!8
!9
@0
@1
@2
@3
@5
@6
@7
@8
@9
#0
#1
#2
#3
#4
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Page 23
[3] Setting Up the Incubator
3-1. Assembling
The main body of the incubator with the mount attached and the stand are separately packed and shipped from
the factory. Assemble the separate components correctly as instructed below.
CAUTION
The incubator is heavy. At least two able people are required to assemble or move the incubator.
The main body is shipped with the mount attached.
(1) Hang the hook of the mount fixing lever on the right
side of the stand on the frame of the stand by pulling
it slightly toward you. This unlocks the connection
between the stand and the mount.
(2) Place the main body on the stand in such a way that
the front side of the main body and the front side of
stand may face in the same direction.
The two pins on the top surface of the stand (near
left and far right) should fit into the corresponding
holes in the bottom of the mount. This allows the
mount and the stand to be assembled without any
gap between them or tilting.
(3) Remove the hook of the mount fixing lever from the
frame of the stand and let it hang down. Now the
mount with the main body on it and the stand are
locked together.
Frame
Mount fixing lever
To unlock
Frame
Mount fixing lever
To lock
WARNING
Be sure to lock the incubator with the mount
attached to the stand by removing the mount
fixing lever from the frame of the stand. Otherwise the incubator may tip over when force
is applied to open the hood, or it may fall
down if jolted or dropped during transport.
Never operate the incubator before the incubator is locked securely to the stand.
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Page 24
3-2. Locking the Caster
(1) When the incubator is installed in a desired place,
step on the stoppers on two casters of the stand to
lock them in place.
To lock
(2) To move the incubator to another place, unlock the
casters.
CAUTION
Install the incubator on a horizontal and
steady surface. Step-on the stoppers to lock
the casters securely.
To move the incubator to another place, be
sure to unlock the casters.
To unlock
3-3. Adjusting the Height of the Stand
The height of the stand is adjustable. Follow the instructions below to adjust the height.
(1) Check that the incubator is locked securely to the
stand by the mount fixing lever.
(2) While holding the upper frame with your hands,
grasp the operating lever and move the frame up or
down. Release the lever when a desired height is
achieved, and the stand will be locked at that height.
Upper frame
Operating lever
CAUTION
The stand is provided with a spring for elevation. Therefore, be sure to adjust the height
of the stand with the incubator fixed to the
stand. For safety’s sake, two people should
cooperate in performing this procedure. Be
very careful in using the operating lever without the incubator on the stand because the
stand may rise up suddenly.
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Page 25
3-4. Detaching/Attaching the Main Body from/to the Mount
The main body of the incubator is delivered to the customer with the mount attached. However, the main body
can be detached from the mount and used separately.
(1) To unlock, pull up the lever of the main body locking
device on each side of the incubator.
Lever
(2) To detach, hold the handles of the main body with
an associate and join forces to pull up the main body
simultaneously.
(3) To attach the main body to the mount again, hold
the main body over the mount in such a way that the
front side of the main body and the front side of the
mount face in the same direction. Put down the main
body onto the main body locking devices.
Connector
FR
ON
T
“FRONT” mark
(4) To lock, push down the lever of the main body locking device on either side of the incubator.
Lever
WARNING
When the main body is placed on the mount,
be sure to lock them together. Otherwise
the main body may tip over when force is
applied to open the hood, or it may fall down
when a shock is given during transport.
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Page 26
3-5. Where to Place the Incubator
Except during transport, place the incubator on a horizontal surface convenient for work. Avoid placing it near
a heating apparatus, by the window or where fire is used.
CAUTION
Avoid placing 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.
3-6. Storing the Cylinders
Two oxygen or air cylinders can be stored in the stand.
(1) Slide the cylinders through the cylinder holder for
storage. The cylinders can be stored from either side.
Cylinder
Cylinder holder
(2) Attach the cylinders with the cylinder fixing screw.
CAUTION
After storing the cylinders, be sure to attach
them securely with the cylinder fixing screw.
Cylinder holder
Cylinder fixing screw
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