Infa Warmer i Model 103TP Service Manual and Parts List Sept 2018 .pdf
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Equipment for neonatal and premature infants: Infant Warmer
Atom Infant Warmer Model 103TP
Service Manual & Parts List
TO THE OPERATOR AND THE PERSON IN CHARGE OF
MAINTENANCE AND CARE OF THE UNIT:
●●This Manual describes various kinds of inspection needed to ensure
proper operation of the Atom Infa Warmer i, including instructions for
troubleshooting, those procedures to change certain settings which are not
mentioned in the Operation Manual and important points to bear in mind in
handling the unit.
●●Various kinds of inspection, including periodical inspection, are described in
detail in this Manual. They should be carried out only by those who are fully
familiar with the operation of the unit, having adequate technical knowledge
and skills required in inspecting the unit in general.
●●If repairs seem to be required as a result of any inspection described in this
Manual, either personnel with more advanced knowledge and skills should
undertake the repair or you should contact your local Atom representative
for repair service.
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INTRODUCTION
This Service Manual describes procedures for inspecting, repairing and changing the settings of the Infa Warmer
i. It also describes precautions and troubleshooting in alarm conditions.
The procedures described in this Service Manual should be carried out only by personnel trained in electricity
and the operation of the unit. Neither Atom Medical Corporation nor its representative will be responsible for the
quality and performance of the unit if the unit should not be handled as instructed or if unauthorized parts should
be used in repairs. It should be noted that any responsibility arising from inspecting, repairing or changing the
settings of the unit lies with the person who carried it out.
Read this Service Manual carefully and familiarize yourself thoroughly with its contents before inspecting, repairing
or changing the settings of the unit. Keep this Manual where it is readily accessible for reference when needed.
For more detailed information on inspecting, repairing and changing the settings of the unit, contact your local
Atom representative. Read the Operation Manual thoroughly before using the Service Manual.
SAFETY INFORMATION
Please read the Manual carefully before operating the unit. Please follow the instructions when operating the
unit.
Basic Instructions
1. Medical institutions are responsible for the maintenance, inspection and care of the unit.
2. When you choose to have the unit maintained and inspected or when the unit is found to be in need of
repairs from the results of inspection, consult your local Atom representative and take one of the following
measures.
1) Ask someone who has completed a training course specified by Atom and who has sufficient technical
knowledge and skills to do the work.
2) Ask Atom to send its service engineer if a person who has completed a training course specified by Atom
and who has sufficient technical knowledge and skills is not available.
3) Ask Atom for its approval of returning the unit for repair service.
3. Follow the instructions for safety.
Read the operating precautions thoroughly before operating the unit.
4. Inspect the unit on a periodical basis.
Periodical inspection is needed to use the unit in the optimum condition.
5. Ensure that the unit will not be used if it is found to be defective.
Take proper measures to ensure that a defective unit will not be used by mistake before it is properly inspected,
repaired and has its settings changed for normal operation. Such measures include indicating on the unit that
it is under inspection/ repair and keeping it away from other devices that function correctly.
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Definition of Warning Indication
Three levels of warning indication are used throughout this Service Manual & Parts List and on the unit.
They are defined as follows.
DANGER:
A DANGER notice indicates an immediately 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, or fire.
WARNING:
A WARNING notice indicates an indirectly (potentially) hazardous situation which,
if not avoided, will result in death or serious injury, serous damage to property such as
total loss of use of equipment, or fire.
CAUTION:
A CAUTION notice indicates a hazardous situation which, if not avoided, can result in
minor or moderate injury, partial damage to equipment, and loss of data stored
in computers.
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.
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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.
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.
See Operation Manual
Follow Operation Manual.
5. Other symbols
Symbol
Title and indication
AC power indicator
The indicator lamp comes on in green when the unit is connected to the AC power source. It comes
on in red when no power is supplied to the unit.
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Symbol
Title and indication
(Nellcor)
Interference
Indicates that interference exists.
(Nellcor)
Pulse search
Indicates that no pulse is detected.
Fast response mode indicator
Indicates that the response mode of the pulse oximeter is set to “Fast.”
SatSeconds display
Displays the selected SatSeconds alarm limit setting.
Press
Indicates that the lock function will be released when the key with this symbol is pressed.
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Main screen display switch
Indicates a switch to display the main screen.
Trend screen display switch
Indicates a switch to display the trend screen.
Menu screen display switch
Indicates a switch to display the menu screen.
Pulse oximeter screen display switch
Indicates a switch to display the pulse oximeter screen or the function related to the pulse rate.
Weight screen display switch
Indicates a switch to display the weight screen or the function related to weighing the infant.
Battery
Indicates whether the unit is being powered by a battery or not.
Radiant warmer
Indicates that the radiant warmer is in manual control.
Setting
Indicates set values or the setting procedure.
Skin temperature
Indicates the function related to the infant’s skin temperature or that is in servo control.
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Symbol
Title and indication
Temperature
Indicates, with this symbol alone or with other symbols, a detected temperature or a set temperature alarm.
Peripheral temperature
Indicates the function related to the infant’s peripheral temperature (skin temperature 2).
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.
Precautions on Jamming
WARNING
When installing and using the unit, follow the information indicated in "11-3. EMC Level and Classification."
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.
Using accessories and cables other than replacement parts sold by Atom may cause the emissions
of the device to increase and immunity to decrease.
Do not use the unit next to other devices. When it is necessary to use the unit next to other devices,
observe and test that the unit operates normally with the required device configuration.
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.
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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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CONTENTS
INTRODUCTION..................................................... 1
PLEASE READ WITHOUT FAIL
[1]
[2]
Operating Precautions............................. 10
1-1.
DANGER............................................ 10
1-2.
WARNING.......................................... 11
1-3.
CAUTION........................................... 13
[7]
Disassembly and Replacement
Procedures.................................................. 60
7-1.
Parts Identification.................................... 15
2-1.
2-2.
[3]
DISASSEMBLY AND REPLACEMENT
Main Body.................................................. 15
Support Column........................................ 16
Display Screens......................................... 17
3-1.
3-2.
3-3.
3-4.
3-5.
3-6.
3-7.
General Description and
Switching of the Screens........................ 17
3-1-1. General Description of the
Screens....................................... 17
3-1-2. Screen Transition Diagram....... 18
List of Operations Available on Each
Screen....................................................... 19
Main screen............................................... 19
Pulse Oximeter Screen............................ 22
Weight Screen (Option)........................... 25
Menu Screen............................................. 27
Trend Screen............................................. 30
7-2.
MAINTENANCE
[4]
Maintenance Inspection.......................... 31
4-1.
4-2.
4-3.
4-4.
[5]
Cleaning and Disinfection....................... 37
5-1.
5-2.
[6]
Inspection before Use.............................. 32
Quarterly Inspection................................. 34
Inspection Checklist................................. 35
Periodical Replacement Parts................ 36
Main Body.................................................. 37
Others......................................................... 38
Troubleshooting......................................... 40
6-1.
6-2.
6-3.
Alarms........................................................ 40
Troubleshooting......................................... 43
Troubleshooting Flowchart...................... 44
6-3-1. Troubleshooting When a
Control Failure Has
Occurred..................................... 44
6-3-2. Troubleshooting When the Unit
Does Not Function Properly..... 45
7-3.
Canopy....................................................... 60
7-1-1.
Replacing the Upper Front
Canopy Cover............................. 61
7-1-2. Replacing the Lower Front
Canopy Cover............................. 61
7-1-3. Replacing the Heater
Module......................................... 62
7-1-4. Replacing the Heater................ 63
7-1-5. Replacing the Microswitch....... 64
7-1-6. Replacing the LED Lighting
Unit............................................. 64
7-1-7.
Replacing the Lighting Lamp
Cover........................................... 65
Support Column........................................ 66
7-2-1. Replacing the Rear Support
Column Cover............................ 66
7-2-2. Replacing the Front Support
Column Cover............................ 66
7-2-3. Replacing the Connection
Cable for SpO2 board................ 66
7-2-4. Replacing the SpO2 Board....... 67
7-2-5. Replacing the Insulating
Substrate..................................... 67
7-2-6. Replacing the Detection
Board........................................... 68
Power Unit.................................................. 69
7-3-1. Replacing the Power Indicator
Board........................................... 70
7-3-2. Replacing the Speaker............. 71
7-3-3. Replacing the Control Power
Transformer..............................71
7-3-4. Replacing the Fuse for the
Main Board................................. 72
7-3-5. Replacing the Buzzer................ 72
7-3-6. Replacing the Battery for
Power Failure Alarm.................. 73
7-3-7. Replacing the Main Board........ 73
7-3-8. Replacing the Light Control
Knob............................................ 74
7-3-9. Replacing the Power Switch/
Light Control Switch.................. 74
7-3-10. Replacing the Pilot Lamp
Board........................................... 75
7-3-11. Replacing the Alarm Lamp
Board........................................... 75
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How to Operate the Service Menu
Screen.......................................................... 96
8-1.
8-2.
8-3.
[9]
How to Enter the Service Menu.............. 96
Operating the Service Menu Screen..... 97
8-2-1. Setting the Key Click Sound..... 97
8-2-2. Setting the Language................ 97
8-2-3. Setting the Baby Check
Alarm........................................... 98
8-2-4. Setting the SC Alarm
Threshold.................................... 99
8-2-5. Apgar Timer Settings................. 99
8-2-6. Alarm History.............................. 99
8-2-7. Adjusting the Weight Monitor
with a 5 kg Weight................... 100
8-2-8. Setting History.......................... 101
Calibrating the Touch Panel.................. 101
Block Diagram.......................................... 102
[10] Parts List.................................................... 103
10-1.
10-2.
10-3.
10-4.
10-5.
10-6.
Fig.1 Overall View and Accessories..... 104
Fig.2 Canopy........................................... 106
Fig.3 Support Column............................ 108
Fig.4 Power Unit...................................... 110
Fig.5 Mattress Platform.......................... 112
Fig.6 Main Body and Base.................... 114
DISASSEMBLY AND REPLACEMENT
APPENDIX
[11] Technical Information............................. 116
11-1. Principle of Operation............................. 116
11-1-1. Description of the Principle of
Operation.................................. 116
11-1-2. Illustration of the Principle of
Operation.................................. 117
11-2. Technical Data......................................... 118
11-3. EMC Level and Classification............... 122
INFORMATION
[12] Disposal..................................................... 126
APPENDIX
7-6.
[8]
MAINTENANCE
7-5.
INFORMATION
PLEASE READ WITHOUT FAIL
7-4.
7-3-12. Replacing the Button
Battery......................................... 76
7-3-13. Replacing the LCD Board........ 76
7-3-14. Replacing the LCD Display...... 76
7-3-15. Replacing the CCFL
Inverter........................................ 77
7-3-16. Replacing the Cable for
Power Supply Part..................... 77
7-3-17. Replacing the Cable for
Detection Board......................... 78
7-3-18. Replacing the Cable for
Lighting Lamp/Tilting Knob...... 78
Table Unit................................................... 79
7-4-1. Replacing the Front Baby
Guard/Side Baby Guard/
Rear Baby Guard....................... 79
7-4-2. Replacing the Pivot Shaft......... 81
7-4-3. Replacing the Rotary
Damper........................................ 82
7-4-4. Replacing the Lock Lever......... 83
7-4-5. Replacing the Mattress
Platform....................................... 84
7-4-6. Replacing the Corner Grip....... 84
7-4-7. Replacing the Table Cover....... 85
7-4-8. Replacing the Wire for Tilting
Unit............................................... 86
7-4-9. Replacing the Tilting Unit for
Mattress Platform....................... 86
7-4-10. Replacing the Table................... 87
Main Body.................................................. 89
7-5-1. Replacing the Cord Cleat......... 91
7-5-2. Replacing the AC Inlet.............. 91
7-5-3. Replacing the Fuse for the
Main Body................................... 91
7-5-4. Replacing the Fuse for the HiLow Drive Board........................ 92
7-5-5. Replacing the Hi-Low Drive
Board........................................... 92
7-5-6. Replacing the Drive Power
Transformer................................ 93
Base............................................................ 93
7-6-1. Replacing the Caster................. 93
7-6-2. Replacing the Relay Board for
Hi-Low Pedal.............................. 94
7-6-3. Replacing the Foot Switch....... 94
7-6-4. Replacing the Hi-Low Stand
Actuator....................................... 95
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Operating Precautions
[1] Operating Precautions
Please follow the operating instructions described in this Service Manual & Parts List 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
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.
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.
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.
If the unit is to be used beyond its expected life span, overall repairs including replacement
of parts must be carried out.
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.
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Operating Precautions
Smoking is prohibited in the room where the unit is installed.
Do not place any possible ignition sources in the room.
Avoid damaging the power cord.
A damaged power cord may cause a fire or an electric shock.
• Do not 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.
Never connect the unit to a power outlet other than that specified.
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
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 60950-1 for information technology equipment). Furthermore all configurations
should comply with IEC 60601-1. 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 IEC
60601-1 on his or her own responsibility. If in doubt, consult your local Atom representative.
During transport, set the incubator to the lowest level.
If not set to the lowest level, injury or damages may result when the incubator loses balance while
being moved and hits a surrounding object, or falls down.
Use the unit on a flat and stable surface.
Placing the unit on a surface tilted over 10 degrees or on an unstable location may cause it to fall
down.
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.
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 out of reach of small children.
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Operating Precautions
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.
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.
When taking radiographs with the supplied X-ray cassette tray, read the included documentation and instruction manuals for the radiation device, and make sure that necessary protection measures are taken.
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Parts Identification
2-1.
PLEASE READ WITHOUT FAIL
[2] Parts Identification
Main Body
UPS
No.
①
②
③
④
⑤
⑥
⑦
⑧
⑨
⑩*
Name
Canopy
Lighting lamp
Mattress
Baby guard
Foot switch
Caster
Mattress platform tilting lever
Mattress platform
Tube introduction slit packing
Resuscitator
No.
⑪
⑫
⑬
⑭
⑮
⑯
⑰
⑱
⑲
⑳
230V~ 50/60Hz
Name
Operation panel
Alarm lamp
Heater
Connector for weight monitor
I/O port (communication connector)
Lock lever
X-ray cassette tray
Cassette tray (handle)
Connector for the Power Pack i (UPS)
AC inlet
* The figure shows the unit in which the Resuscitation Unit (P type, E type) or the Blender Unit (P type, E
type) is installed. For information on the Resuscitation Unit (P type, E type) or the Blender Unit (P type, E
type), see the Service Manual of the Unit concerned.
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Parts Identification
2-2.
Support Column
∗
No.
①
②
③
④
⑤*
⑥
⑦
⑧
Name
Operation panel
Light control switch
Power indicator
Power switch
Resuscitator
Skin temperature probe connecting port 1
Skin temperature probe connecting port 2
Connector for SpO2
* The figure shows the unit in which the Resuscitation Unit (P type, E type) or the Blender Unit (P type, E type)
is installed. For information on the Resuscitation Unit (P type, E type) or the Blender Unit (P type, E type), see
the Service Manual of the Unit concerned.
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Display Screens
3-1.
General Description and Switching of the Screens
3-1-1.
General Description of the Screens
PLEASE READ WITHOUT FAIL
[3] Display Screens
[Start screen]
The start screen appears when the power is applied.
It is automatically switched to the main screen.
[Main screen]
If any other screen is being displayed, touch
,
and the main screen will be displayed.
This screen displays the heater setting, the heater
output, the skin temperature 1, the skin temperature
2, SpO2, the pulse rate, the timer, etc.
[Pulse oximeter screen]
Touch
on any other screen, and the pulse oximeter screen will be displayed.
This screen highlights the timer, SpO2, and the pulse
rate. Pulse waves are also displayed.
In addition, the heater setting, the heater output,
the skin temperature 1, the skin temperature 2, etc.
are displayed.
[Weight screen] (Option)
Touch
on any other screen, and the weight
screen will be displayed.
This screen highlights weight functions such as the
weighing procedure and the weight trend graph.
In addition, the heater setting, the skin temperature
1, the skin temperature 2, SpO2, the pulse rate, the
timer, etc. are displayed.
17
Page 20
Display Screens
[Trend screen]
Touch
on any other screen, and the trend screen
will be displayed.
This screen displays trend graphs.
[Menu screen]
on any other screen, and the menu screen
Touch
for advanced settings will be displayed.
Use this screen to select advanced settings. In addition, the set temperature, the skin temperature 1,
the skin temperature 2, SpO2, the pulse rate, etc.
are displayed.
When this screen is displayed, you can only select
advanced settings of each menu item or switch the
screen to another.
3-1-2.
Screen Transition Diagram
Pulse oximeter screen
Weight screen
Main screen
Menu screen
Trend screen
: [Main screen] display switch
: [Pulse oximeter screen] display switch
: [Weight screen] display switch
: [Trend screen] display switch
: [Menu screen] display switch
18
Page 21
Display Screens
List of Operations Available on Each Screen
PLEASE READ WITHOUT FAIL
3-2.
Table 1. List of Setting Operations Available on Each Screen
Setting (measuring)
Operation
Trend
screen
Main
screen
Menu
screen
Pulse
oximeter
screen ∗1
Weight
screen ∗1
Temperature-related
operation (manual/servo)
Setting SpO2/pulse rate
upper/lower alarm limits ∗1
Weighing the infant ∗1
Timer ∗2
Selecting other advanced
settings
: Setting (measuring) operation available
: Setting operation not available
: The function not provided
∗1: Option ∗2: Types selectable on the menu screen
3-3.
Main screen
Heat area (See p.21)
Pulse area (See p.20)
Timer area (See p.21)
Message area (See p.21)
Clock and other indicators area
(See p.20)
Screen display switch area
(See p.20)
19
Page 22
Display Screens
[Pulse area]
∗ Touch this area to start the pulse oximeter-related setting operation.
No.
Name
Description
Plethysmograph Indicates changes in the artebar
rial flow.
Displays a detected SpO2 value
%SpO2 display
digitally.
Pulse rate
Displays a detected pulse rate
display
digitally.
Displays a pulse rate upper
Pulse rate alarm alarm limit above and a pulse
limits display
rate lower alarm limit below
digitally.
Displays an SpO2 upper alarm
SpO2 alarm
limit above and an SpO2 lower
limits display
alarm limit below digitally.
Interference
Comes on when interference
indicator
is detected.
(Nellcor only)
Pulse search
Comes on when no pulse is
indicator
detected.
(Nellcor only)
No.
Name
Main screen
display switch
Trend screen
display switch
Menu screen
display switch
Pulse oximeter
screen display
switch
Weight screen
display switch
[Screen display switch area]
Description
Touch this switch to have the
main screen displayed.
Touch this switch to have the
trend screen displayed.
Touch this switch to have the
menu screen displayed.
Touch this switch to have the
pulse oximeter screen displayed.
Touch this switch to have the
weight screen displayed.
[Clock and other indicators area]
No.
20
Name
Description
Touch this switch to silence an
Alarm silence
active audible alarm temporariswitch
ly or reset an alarm condition.
Displays a date in the month/
Date display
day/year format.
Displays a time in the
Time display
hour:minute format.
Comes on only when the inBattery indicator ternal battery (Power Pack i :
option) is used
Page 23
Display Screens
PLEASE READ WITHOUT FAIL
[Message area]
∗ Messages other than those related to operations are displayed in this area.
Message area
[Heat area]
∗ Touch this area to start the heater output-related setting operation.
No.
Name
Skin temperature 1 display
Description
Displays a detected skin temperature 1 digitally.
Displays a set heater output in
manual control.
Set heat display
Displays a set skin temperature
1 in servo control.
Heater output
Indicates the heat supply in 10
indicator
levels.
Mode indicator
Skin temperature 2 display
comes on in manual control
and comes on in
servo control.
Displays a detected skin temperature 2 or T (detected
skin temperature 1–detected
skin temperature 2) digitally.
[Timer area]
∗ Touch this area to activate the timer.
No.
Name
Timer type indicator
Description
Indicates the timer type currently selected.
Displays how much time
Timer display
has elapsed digitally in the
minute:second format.
A bell appears when a chime
Bell indicator
rings.
Activates ever y 30 seconds
only in the CPR timer mode.
Comes on segment by segment
Second counter
as each second passes (see
“9-1-1. Operating the CPR
Timer”).
21
Page 24
Display Screens
3-4.
Pulse Oximeter Screen
Pulse area (See p.24)
Numerical values area
(See p.23)
Message area∗
(See p.21)
Clock and other
indicators area (See p.20)
Screen display switch area
(See p.20)
∗ The pulse area shown in the figure above is for a Masimo pulse oximeter.
∗ The screen display switch area, the clock and other indicators area, and the message area are the same as
those of the main screen (“3-3. Main Screen”). (Therefore there is no reference to them below.)
22
Page 25
Display Screens
No.
Heat area
Timer area
PLEASE READ WITHOUT FAIL
[Numerical values area]
∗ Touch an appropriate area (the heat area or the timer area) to start the area-related setting operation. ( You
can follow the same procedure as on the main screen.)
Name
Preheat indicator
Description
Comes on in the preheat
mode.
Displays a set heater output in
manual control (in the same
color as the heater output).
Set heat display Displays a set skin temperature
1 in servo control (in the same
color as the detected skin temperature 1).
Skin temperaDisplays a detected skin temture 1 display
perature 1 digitally.
Displays a detected skin temperature 2 or T (detected
Skin temperature 2 display
skin temperature 1–detected
skin temperature 2) digitally.
Timer type indi- Indicates the timer type curcator
rently selected.
A bell appears when a chime
Bell indicator
rings.
Displays how much time
Timer display
has elapsed digitally in the
minute:second format.
Activates ever y 30 seconds
only in the CPR timer mode.
Comes on segment by segment
Second counter
as each second passes (see
Operation Manual “9-1-1. Operating the CPR Timer”).
23
Page 26
Display Screens
[Pulse area]
∗ Touch this area to start the pulse oximeter-related setting operation.
No.
The unit provided with the Masimo
pulse oximeter
The unit provided with the Nellcor
pulse oximeter
∗1 The higher the SatSeconds limit is set, the longer
it takes for the upper or lower limit alarm to occur.
Set the SatSeconds limit appropriately by taking
into consideration the patient’s condition. For
example, select a higher setting for monitoring an
active patient whose %SpO2 values tend to fluctuate
greatly.
The upper or lower limit alarm will occur even
when the whole indicator has not changed color if a
detected %SpO2 value deviates from the acceptable
range three or more times within 60 seconds.
24
Name
Description
Displays a detected SpO2 value
%SpO2 display
digitally.
Displays an SpO2 upper alarm
SpO2 alarm
limit above and an SpO2 lower
limits display
alarm limit below digitally.
Pulse rate
Displays a detected pulse rate
display
digitally.
Displays a pulse rate upper alarm
Pulse rate alarm
limit above and a pulse rate lower
limits display
alarm limit below digitally.
PI display
Displays the perfusion index.
(Masimo only)
Set sensitivity
Indicates the currently selectindicator
ed sensitivity (Max, Normal,
(Masimo only)
APOD).
FastSat indicator Comes on when the FastSat
(Masimo only)
mode is ON.
The numerical value on the left
is the SatSeconds setting. The
circular indicator on the right
changes color little by little
clockwise each time a detected
SpO2 is found to be above the
SpO2 upper alarm limit or beSatSeconds
low the SpO2 lower alarm limit.
display
When the whole indicator has
(Nellcor only)
changed color, either the SpO2
upper limit alarm or the SpO2
lower limit alarm will occur
appropriately. The discolored
area will decrease little by little
counterclockwise each time a
detected SpO2 is found to be
within the acceptable range.∗1
Indicates that the response
Fast response
mode is set to “Fast.” This
mode indicator indicator will disappear when
(Nellcor only)
the response mode is switched
to “Normal.”
Interference
Comes on when interference
indicator
is detected.
(Nellcor only)
Pulse search
Comes on when no pulse is
indicator
detected.
(Nellcor only)
Pulse waves
Displays pulse waves.
display
Displays the Signal IQ (SIQ) bar
graph.
The height of each bar is in proportion to the quality of the input
SIQ display
signal concerned. The more
(Masimo only)
reliable a measured value is, the
higher the bar becomes. The less
reliable a measured value is, the
lower the bar becomes.
Page 27
Display Screens
Weight Screen (Option)
PLEASE READ WITHOUT FAIL
3-5.
∗ The weight screen is displayed only when the unit is equipped with the weight monitor unit.
Weight area
(See p.26)
Numerical values area
(See p.25)
Message area∗
(See p.21)
Clock and other
indicators area (See p.20)
Screen display switch area
(See p.20)
∗ The screen display switch area, the clock and other indicators area, and the message area are the same as
those of the main screen (“3-3. Main Screen”). (Therefore there is no reference to them below.)
[Numerical values area]
∗ The heat area is the same as that of the pulse oximeter screen.
∗ The timer area is the same as that of the pulse oximeter screen except that the second counter is excluded.
No.
Heat area
Timer area
Pulse area
Name
Timer type indicator
Description
Displays the timer type currently selected.
A bell appears when a chime
Bell indicator
rings.
Displays how much time
Timer display
has elapsed digitally in the
minute:second format.
Displays a detected SpO2 value
%SpO2 display
digitally.
Displays an SpO2 upper alarm
SpO2 alarm
limit above and an SpO2 lower
limits display
alarm limit below digitally.
Displays a pulse rate upper
Pulse rate alarm alarm limit above and a pulse
limits display
rate lower alarm limit below
digitally.
Pulse rate disDisplays a detected pulse rate
play
digitally.
25