Infa Warmer i Model 103 Operation Manual

INTRODUCTION This Operation Manual deals with the specifications, operation and maintenance of the Infa Warmer i. Atom is by no means responsible for any malfunction arising from a user ignoring the instructions for operation and maintenance described in this Manual as well as 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 and the CPR timer. 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 when needed. 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 Infa Warmer i is a radiant-warming open-type incubator for newborns and premature neonates. It is intended for pre-operative and post-operative intensive care in neonatal surgery, temperature control in neonatal hypothermia, observation and examination in newborn nurseries, prevention of body temperature drop shortly after delivery, etc. The Infa Warmer i has the capability to control the infant’s skin temperature as well as the pulse oximeter to measure SpO2 and the pulse rate and the CPR timer.

1

SAFETY INFORMATION Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual carefully before operating the unit. Please follow the instructions when operating the unit.

Basic Instructions 1. Follow the instructions for the safe use of the unit. Follow the operating instructions described in this Manual for the safe use of the unit. 2. Inspect the unit on a periodical basis. Periodical inspection is needed to use the unit in the optimum condition. 3. Never use the unit if it is found to be defective. If any damage or malfunction of the unit should be noticed, stop using it immediately and contact your local Atom representative. 4. Follow the EMC information given in this Manual. Electric equipment for medical use needs special precautions regarding EMC. It needs to be installed and put into service according to the EMC information provided in this Manual.

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 avoided, DANGER: will result in death or serious injury, serious damage to property such as total loss of use of equipment, or fire. A WARNING notice indicates an indirectly (potentially) hazardous situation which, WARNING: if not avoided, will result in death or serious injury, serious damage to property such as total loss of use of equipment, or fire. A CAUTION notice indicates a hazardous situation which, if not avoided, can result in

CAUTION: minor or moderate injury, partial damage to equipment, and loss of data stored in computers.

2

Definition of Symbols 1. Symbols to indicate danger, warning or caution Symbol Title and indication General attention Indicates unspecified general danger, warning or caution. Caution: Hot surface Indicates that the surface can be dangerously hot under certain conditions.

2. Symbols to prohibit action Symbol

Title and indication

General prohibition Indicates unspecified general prohibition. Prohibition of disassembly Indicates prohibition of disassembly of the unit where it may cause an electric shock or other hazards. Prohibition of use of fire Indicates prohibition of use of fire where an external use of fire may cause the unit to ignite under certain conditions. Prohibition of contact Indicates prohibition of contact.

3. Symbols to give instructions for action Symbol

Title and indication

General instruction Indicates unspecified general action on the part of the user. Connect a ground wire Instructs the user to connect the ground wire without fail where the unit is provided with a ground terminal. Remove the power plug from the power outlet Instructs the user to remove the power plug from the power outlet in the case of malfunction or when there is a threat of lightning. 4. Symbols of international standards (IEC) Symbol

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 the device is classified as Type BF in terms of the degree of protection against an electric shock.

3

Symbol

Title and indication Bell silenced Indicates either a control switch to silence the bell permanently or temporarily or that the bell is silenced. Caution Indicates that the user needs to see a relevant accompanying document before operating the unit. Caution against electrostatic discharge Indicates that appropriate precautions must be taken against electrostatic discharge. Lighting Indicates a switch that controls lighting. Recycle mark (battery) Indicates that recycling is recommended. Manufacturer This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer. Date of manufacture Indicates the date when the unit was manufactured in the factory. Authorised representative in the european community This symbol indicates the name and the address shown adjacent to the symbol is of the authorised representative in the European Community. WEEE symbol In the EC area, an electrical and electronic product falling in one of the categories specified by "DIRECTIVE 2002/96/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 27 January 2003 on Waste Electrical and Electronic Equipment (WEEE)" should be disposed of in a manner consistent with relevant laws and regulations. This symbol indicates that the above-mentioned requirement applies to this product.

5. Other symbols Symbol

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.

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Symbol

Title and indication Battery Indicates that the unit is being powered by the Power Pack i (UPS). Alarm Indicates that a system of the unit is in an abnormal condition. Alarm 1. In manual control (when monitoring the skin temperature): Indicates that the skin temperature has become 40°C or higher. 2. In servo control: Indicates that the skin temperature deviates from the set temperature by 1.0°C or by 0.5°C. Alarm Indicates that a wire of the skin temperature probe has snapped or short-circuited. Alarm Indicates that 15 minutes have elapsed since the heater was turned on. Alarm Indicates that the canopy is tilted. Setting Indicates a setting of the skin temperature. Skin temperature Indicates a detected current skin temperature of the infant. Heater Indicates the manual control mode, the manual control mode switch and the heater output. Skin temperature Indicates the servo control mode, the servo control mode switch and the skin temperature probe connecting port. Preheat Indicates the preheat mode and the preheat mode switch. Peripheral temperature Indicates the function related to the infant's peripheral temperature (skin temperature 2). Temperature unit Indicates the switch to select either °C or °F as the unit of the temperature to be displayed. Timer Indicates the timer. Timer Indicates the timer switch.

5

Symbol

Title and indication SpO2 Indicates the alarm limit selector switch.

SpO2 (Masimo) Indicates the sensitivity selector switch. SpO2 Indicates the patient cable connecting port. SpO2 Indicates that the SpO2 lower alarm limit is set to lower than 85%. SpO2 (Masimo) Indicates that the current sensitivity is "APOD." SpO2 Indicates that the current sensitivity is "NORM." (Masimo) SpO2 (Masimo) Indicates that the current sensitivity is "MAX." SpO2 Indicates a detected current SpO2 value.

(Nellcor)

(Nellcor)

(Nellcor)

(Nellcor)

SpO2 Indicates that the SatSeconds limit is set. Also indicates that the SatSeconds point is increasing or decreasing. SpO2 Alarm Indicates an interference alarm. SpO2 Alarm Indicates a pulse search alarm or a pulse timeout alarm. SpO2 Alarm Indicates a sensor off alarm. Pulse rate Indicates a detected pulse rate. Load capacity Indicates the maximum load capacity. Prohibition of lubrication Indicates that lubrication is prohibited. Avoid getting caught Indicates that the user must avoid getting caught in the gap in the device. Locking of the baby guard Indicates that the user must check whether the baby guard is securely locked.

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WARRANTIES This equipment is guaranteed by Atom Medical Corporation to be free of any defects in both materials and workmanship for a period of one year from the date of delivery when used normally for its intended purpose. Any part of this equipment proving to be 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, lightning, 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

Any damage incurred in transit 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 held 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, relocation, maintenance or repair by someone other than: • technical personnel employed by Atom • a sales representative of Atom • an installation company authorized by Atom. 2. Trouble or damage to Atom products caused by a product of another company that is not 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 a device sold or repaired by a secondhand goods dealer or a repair shop without notifying Atom. Trouble or damage due to using a device sold or repaired by the above dealer or shop without following the instructions specified by Atom. 8. Trouble or damage due to using the unit connected to a peripheral device which is not specified by Atom, which does not meet the applicable requirements of IEC-60601-1 and IEC-60601-1-1, or which is not equipped with equivalent safety features.

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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 kinds of 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.

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.

Prohibition of Modification

WARNING Do not disassemble or modify the unit. Otherwise, a fire, an electric shock or injury may result.

Periodical Inspection

CAUTION Proper periodical inspection is needed to use the unit in the optimum condition.

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 your local Atom representative or service engineer immediately. See the end of this Operation Manual for whom to 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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INTRODUCTION... 1 PLEASE READ WITHOUT FAIL [1]

[6]

1-1.

DANGER... 10

1-2.

WARNING... 11

1-3.

CAUTION... 13

[7]

Main Body... 15 Support Column... 16 Operation Panel... 17

Preparation before Use... 20 Where to install the Unit... 20 Locking the Casters... 20 Adjusting the Hi-Low Stand... 21 Power Outlet and Grounding... 22 Power Cord and Power Switch... 22 Power Failure Alarm... 23 Daily Inspection... 24

OPERATION [4]

Heat Control... 25 4-1.

[5]

[8]

Cleaning and Disinfection... 46 8-1. 8-2.

[9]

Main Body... 46 Others... 47

Maintenance Inspection... 48 9-1. 9-2. 9-3. 9-4. 9-5.

Inspection before Use... 49 Quarterly Inspection... 51 Periodical Replacement Parts... 51 Inspection Checklist... 52 Disposal... 53

[10] Alarms... 54 [11] Troubleshooting... 58 APPENDIX

MAINTENANCE

4-2.

Setting the Heater Output (Manual Control)... 25 4-1-1. Setting Preheating (Manual Control)... 26 4-1-2. Skin Temperature Monitoring (Skin Temperature Probe: Yellow and White)... 27 4-1-3. Heater Output Indicator... 29 Setting the Skin Temperature (Servo Control)... 29

MAINTENANCE

OPERATION

3-1. 3-2. 3-3. 3-4. 3-5. 3-6. 3-7.

Other Operation Procedures... 39 Timer... 39 7-1-1. Operating the Timer... 39 7-1-2. Setting the Timer Mode... 39 7-2. I/O Port (Communication Connector)... 40 7-3. Lighting... 41 7-4. Rotating/Tilting the Canopy... 41 7-5. Baby Guard... 42 7-6. Support Column Rail... 42 7-7. X-ray Cassette Tray... 43 7-8. Setting the Alarm Volume... 44 7-9. Changing the Temperature Deviation Limit of the Set Temperature Alarm... 44 7-10. Enabling/Disabling the Key Click... 45

PREPARATION [3]

Operating the Mattress Platform... 38

7-1.

Parts Identification... 15 2-1. 2-2. 2-3.

Tilting the Mattress Platform... 38 6-1.

Operating Precautions... 10

Turning on/off the Pulse Oximetry Function... 37

PREPARATION

[2]

5-7.

PLEASE READ WITHOUT FAIL

CONTENTS

[12] Technical Data... 59

Pulse Oximeter... 32 5-1.

5-5. 5-6.

APPENDIX

5-2. 5-3. 5-4.

Attaching the Sensor... 32 5-1-1. Connecting the Patient Cable to the Main Body... 33 Setting the Upper/Lower Alarm Limits... 33 Setting the Sensitivity (Masimo)... 34 Setting the Synchronizing Pulse Beep Volume and the Averaging Time... 35 SatSeconds (Nellcor)... 35 Setting the Fast Response (Nellcor)... 36

Operating Precautions

[1] Operating Precautions Please follow the operating instructions described in this Manual for the safe use of the unit. The unit should be operated only by those who have been trained and instructed properly in its operation under the supervision of qualified medical personnel familiar with the currently known risks and benefits associated with the use of a radiant warmer. 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. Monitor the infant’s skin temperature when operating the unit. The operator must monitor the infant’s skin temperature when operating the unit. Avoid unattended use of the unit. Do not leave the unit unattended with the baby guards folded down. If the baby guards are left folded down, the infant may fall out and get fatally injured. Never leave the unit unattended with the baby guards folded down. Do not tilt the mattress platform with the baby guards folded down. If the mattress platform is tilted with the baby guards folded down, the infant may fall out. When you pull up and lock the baby guards in position, be sure to check that no mattress sheet or linen is caught between any of the baby guards and the mattress platform. Make sure that the baby guards are locked securely. If linen or other object is caught between any of the baby guards and the mattress platform, remove it. Otherwise, the baby guards will not be locked completely. The baby guards may swing down and the infant may fall out of the unit and suffer serious or fatal injury. Stop using the unit immediately and seek repair if the locking mechanism of the baby guards or other related parts should be found faulty in any way. The infant may fall out. Never place a body warmer or any other possible ignition source in or near the unit. Use of oxygen will increase the risk of explosion or fire. Body warmers or other devices in which fire is used or which will generate a spark may cause an explosion or a fire if used near the unit. Do not use the unit in the presence of a flammable anesthetic gas. The unit may cause an explosion or a fire if used in the presence of such a gas. Do not use ether, alcohol or any other ignitable substance. Even a small amount of ether, alcohol or any other ignitable substance may cause a fire when mixed with the oxygen supplied to the unit. Do not hang any flammable materials on the canopy. It may cause a fire.

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Operating Precautions

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.

PLEASE READ WITHOUT FAIL

Ground the unit securely. Otherwise, a leakage current may cause an electric shock. In order to complete the ground connection, connect the power cord only to a properly grounded 3P power outlet including a ground terminal. Do not operate the unit if you have any doubt about its ground connection.

Analyze arterial gas levels repeatedly when a high oxygen environment is required. When the infant requires a high oxygen environment, it is extremely important and essential to periodically analyze arterial gas levels. Follow the doctor’s instructions in measuring the oxygen concentration because ignoring essential requirements may increase the risk of retinopathy of prematurity and other adverse effects. Do not give a shock to the unit or let it hit anything. The screws or fixed parts may become loose.

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 infant’s skin temperature. Be sure to follow the doctor’s instructions in supplying oxygen. Use only oxygen for medical use. Be sure to bear in mind the following precautions during oxygen supply. • Do not place a body warmer, a flashlight, oils and fats, or flammable vaporizable matters near the unit. • Use pure cotton for the infant’s clothing, bed sheets, etc. Do not use any material that is easily charged with static electricity. • Use pure cotton or fire-proof materials for the clothing of doctors, nurses and ambulance staff who handle this unit. Bear in mind the following precautions while using oxygen supply equipment. • If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator, the oxygen cylinder valve, piping, connections and other parts of oxygen supply equipment. • On a high-pressure oxygen cylinder, use only a tested pressure reducing valve or pressure regulating valve indicated specifically for oxygen supply. Do not use such a valve for any gas other than air or oxygen. It is dangerous to use a valve to supply a gas other than air or oxygen and then to supply oxygen again. Smoking is prohibited in the room where the unit is installed. Do not place any possible ignition sources in the room.

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Operating Precautions

Avoid damaging the power cord. A damaged power cord may cause a fire or an electric shock. • Do not get the power cord caught between the unit and the wall, a shelf or the floor. • Do not place the power cord near a heating apparatus or heat it. • Do not put anything heavy on the power cord. • Always grasp the power plug with your hand to remove the power cord from the power outlet. A damaged power cord should be replaced immediately with a new one. Use only the power cord supplied with the unit. Otherwise, a fire or an electric shock may result. Do not touch the heater with your hand when the heater is on. You may burn yourself. 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. Before cleaning and disinfecting the unit, be sure to turn the power switch off, remove the power plug, and allow the heater temperature to drop sufficiently. The power outlet should be located near the unit to prevent accidental contact with a trailing power cord. Use a separate power outlet for each unit. Do not put many loads on one power outlet. In order to complete the ground connection, connect the power cord only to a properly grounded 3P power outlet including a ground terminal. Do not operate the unit if you have any doubt about its ground connection. Ground peripheral electric equipment securely. The electrical rating of this unit is as follows: AC230V; power consumption 700VA; frequency 50/60Hz; operating voltage range AC230V±10% Do not connect the unit to any other power source. The unit should be serviced only by qualified personnel. Be sure to inspect the unit at the start of each day. Operating the unit without inspecting it before at the start of each day may let a defect pass unnoticed and cause a potentially unfavorable outcome.

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Operating Precautions

1-3.

PLEASE READ WITHOUT FAIL

Check for conformity to the applicable standard if the unit is going to be connected to another medical device for use as a system. Accessory equipment connected to the analogue and digital interfaces must comply with the relevant IEC standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations should comply with IEC 60601-1-1. But the items that are not specified as part of the system should not be connected. Anybody who connects additional equipment to the signal input or signal output configures a medical system, and therefore should make the medical system comply with the requirements of 60601-1-1 on his or her own responsibility. If in doubt, consult your local Atom representative.

CAUTION

Injury or damage to surrounding objects may result if the instructions given below are not followed. Be sure to clean and disinfect the unit before using it for the first time after purchase. The unit is shipped without being disinfected. During the standby mode, be sure to preheat the unit in order to keep the mattress surface temperature stable. Place the infant on the mattress only after the mattress surface 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. When feeding the cords and tubes into the unit, be very careful not to let them wind or tighten around the patient. Remove the power plug from the power outlet before moving the unit to another place or when the unit is not going to be used for a long time. Moving the unit to another place with the power plug connected to the power outlet will damage the power cord and may cause a fire or an electric shock. Remove the power plug from the power outlet before cleaning and disinfecting the unit. Cleaning and disinfecting the unit with the power plug connected to the power outlet may cause an electric shock. Install the unit on a stable surface. Installing the unit on an unstable platform or a tilted surface will cause it to fall or drop and may injure someone. Therefore, before installing the unit, make sure that the place where the unit is to be installed is stable and strong enough to support the weight of the unit. Install the unit out of reach of small children. Do not operate the unit with the canopy covered with a cloth, etc. Operating the unit covered with a cloth or pressed tightly against the wall may cause a fire or an electric shock due to overheating. Do not install the unit in direct sunlight or near a heating apparatus.

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Operating Precautions

Do not expose the unit to extraordinarily high temperature or excessive humidity. Do not place anything heavy on the unit. Do not let the unit hit anything, fall, or drop inadvertently. Do not attach any peripheral device that is not specified by Atom to 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 the 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. The mattress is not breathable and may cause a bedsore.

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Parts Identification

2-1.

PLEASE READ WITHOUT FAIL

[2] Parts Identification Main Body ① ⑭ ⑬ ⑫

②

⑪

⑩✽

⑮

⑨

③ ④

⑯

⑧ ⑦

5A

BREAKER

5A

⑰ UPS

230V~ 50/60Hz

⑤

⑤

⑱

⑥

No. ① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨

Name Canopy Lighting lamp Mattress Baby guard Foot switch Caster Mattress platform tilting lever Mattress platform Tube introduction slit packing

No. ⑩* ⑪ ⑫ ⑬ ⑭ ⑮ ⑯ ⑰ ⑱

Name Resuscitator Operation panel Alarm lamp Heater Canopy fixing screw I/O port (communication connector) Breaker Connector for the Power Pack i (UPS) AC inlet

* The figure shows the unit in which a commercially available resuscitation unit and a commercially available

blender unit are installed. For information on the resuscitation unit and the blender unit, see their operation manuals respectively.

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Parts Identification

2-2.

Support Column

①

②✽

③ ④ ⑤ No. ① ②* ③ ④ ⑤

Name Operation panel Resuscitator Skin temperature probe connecting port 1 Skin temperature probe connecting port 2 Connector for SpO2

* The figure shows the unit in which a commercially available resuscitation unit and a commercially available blender unit are installed. For information on the resuscitation unit and the blender unit, see their operation manuals respectively.

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Parts Identification

Operation Panel

PLEASE READ WITHOUT FAIL

2-3.

Alarm

Temperature

Timer

Pulse oximeter

Others (Masimo)

(Nellcor)

Alarm Symbol

Function External alarm indicator Comes on when a high priority alarm occurs, except for a power failure alarm. Mains on indicator Comes on when the power cord is connected to the AC power source. Battery operation indicator Comes on when the optional Power Pack i (UPS: option) is being used as a power source. Power failure alarm indicator Comes on when the power cord gets disconnected from the AC power source while the unit is in operation or in the event of power failure. System failure alarm indicator Flashes when a system error or some other trouble is detected. Alarm silence indicator Comes on when an audible alarm is silenced.

Symbol

Function Set temperature alarm indicator Comes on when a displayed skin temperature deviates from the set temperature by more than 1ºC (or 0.5ºC alternatively) in the servo control mode. Flashes when skin temperature 1 exceeds 40ºC in the manual control mode. Skin temperature probe alarm indicator Flashes when a wire of the skin temperature probe has snapped or short-circuited in the servo control mode. Comes on when it has snapped or short-circuited in the manual control mode. Baby check alarm indicator Comes on in 15 minutes when the heater output is set to 35% or higher. Can be reset by pressing the alarm silence/reset switch but comes on again in another 15 minutes. Canopy tilt alarm indicator Comes on when the canopy is tilted.

17

Parts Identification

Temperature Symbol

 to p.25

Timer

Function Operation mode indicator (servo control mode) The servo control mode indicator is on in servo control operation. (It flashes when the skin temperature is being set.) Operation mode indicator (manual control mode) The manual control mode indicator is on in manual control operation. (It flashes when the heater output is being set.) Preheat indicator Comes on when the preheating function is on (only in the manual control mode). Heater output indicator Indicates the heater output level (1~100%) with a bar graph. Skin temperature display 1) Displays the infant's skin temperature detected by the skin temperature 1 probe. 2) Displays the infant's skin temperature detected by the skin temperature 2 probe while the skin temperature 2 selector switch is being pressed. Setting display 1) Displays a set skin temperature in servo control operation. In this case, the "ºC" indicator on the upper right of the display is on. (The display flashes when the skin temperature is being set.) 2) Displays the heater output in manual control operation. In this case, the "%" indicator on the lower right of the display is on. 3) Displays " " in preheating.

Symbol

Switch Servo control mode switch Press this switch to select servo control operation. Manual control mode switch Press this switch to select manual control operation. Preheat switch Press this switch in the manual control mode to start preheating. Skin temperature 2 selector switch While this switch is being pressed, the infant's skin temperature detected by the skin temperature 2 probe is displayed on the skin temperature display. C/F selector switch Press and hold this switch for one second to toggle between ºC and ºF.

18

 to p.39 Function Timer display Displays up to 60 minutes 00 seconds. Second counter Counts up 6 seconds twice every 30 seconds. The lamps come on one by one from 0 to 6, indicating 0, 1, 2...6 seconds. Switch Timer switch Press this switch to start/reset the timer.

Pulse oximeter Symbol

 to p.32

Function SpO2 display Displays a detected SpO2. If an SpO2 sensor is not connected or if an SpO2 sensor is not attached properly to the infant, it will be indicated on this display. When the SpO2 upper alarm limit or the SpO2 lower alarm limit is being set, the selected setting is displayed here. If the SpO2 lower alarm limit should be set lower than 85%, the "<85%" indicator on the upper left of the display will come on. Pulse rate display Displays a detected pulse rate. If an SpO2 sensor is not connected or if an SpO2 is not attached properly to the infant, it will be indicated on this display. When the pulse rate upper alarm limit or the pulse rate lower alarm limit is being set, the selected setting is displayed here. SIQ bar graph Indicates the timing of pulses and the quality of input signals. The bar rises and falls in time with a pulse. The height of each bar is in proportion to the quality of the input signal concerned. The more reliable a measured value is, the higher the bar becomes. The less reliable a measured value is, the (Masimo) lower the bar becomes. Blip bar Rises and falls in time with a pulse.

(Nellcor)

Parts Identification

Symbol

(Masimo) (Masimo) (Masimo) (Masimo)

(Nellcor)

(Nellcor)

(Nellcor)

(Nellcor)

 to p.32

Function Alarm limit selector switch Press this switch to select one of the four alarms: the SpO2 upper limit alarm, the SpO2 lower limit alarm, the pulse rate upper limit alarm and the pulse rate lower limit alarm. When either the SpO2 upper limit alarm or the SpO2 lower limit alarm is selected, " " or " " on the left of the SpO2 display flashes. When either the pulse rate upper limit alarm or the pulse rate lower limit alarm is selected, " " or " " on the left of the pulse rate display flashes. Sensitivity selector switch Press this switch to set the sensitivity to a low ("APOD"), normal ("NORM"), or high ("MAX") level. (APOD) sensitivity indicator Comes on when the current sensitivity is "APOD." (NORM) sensitivity indicator Comes on when the current sensitivity is "NORM." (MAX) sensitivity indicator Comes on when the current sensitivity is "MAX." SatSeconds indicator Comes on when the SatSeconds limit is set. Flashes when counting up or counting down. Interference alarm indicator Comes on or flashes when interference is detected. Pulse search alarm indicator Comes on when no pulse is detected. Flashes if it becomes impossible to detect a pulse during SpO2 measurement. Sensor off alarm indicator Flashes if the sensor attached to the patient has come off. Also flashes if the patient cable or the sensor was come off the unit. Comes on when the SpO2 lower alarm limit is set to lower than 85%.

Others Symbol

Function Setting up/down switch Press this switch to set the skin temperature, the heater output, and the upper/lower alarm limits to a desired level. To set the skin temperature, press the servo control mode switch and then this switch. To set the heater output, press the manual control mode switch and then this switch. To set an upper or lower alarm limit, press the alarm limit selector switch to select the SpO2 upper limit alarm, the SpO2 lower limit alarm, the pulse rate upper limit alarm or the pulse rate lower limit alarm, and then press this switch. Alarm silence/reset switch Press this switch to silence or reset an audible alarm. Power switch Press this switch to turn the power on or off. You can turn on the lighting lamp and adjust the height of the HL stand even when the power switch is off. Light control switch Controls the intensity of lighting.

PLEASE READ WITHOUT FAIL

Pulse oximeter

19