BILI-THERAPY Spot Type Unit 106 Operation Manual Jan 2019

INTRODUCTION This Operation Manual deals with the specifications, operation and maintenance of the BILI-THERAPY Spot Type. 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 any accident attributable to repair by someone other than technical personnel belonging to or authorized by Atom. Read this Manual carefully and familiarize yourself 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. Used parts and products past their expected life span should be disinfected and/or sterilized to prevent infection from them and then disposed of in accordance with applicable waste disposal laws and regulations.

INTENDED USE The BILI-THERAPY Spot Type is a phototherapy unit intended for the treatment of neonatal hyperbilirubinemia. This is a device to be used by medical practitioners such as physicians and nurses at a medical institution or an institution.

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 described in this Manual. Medical electrical equipment needs special precautions regarding EMC. It needs to be installed and put into service according to the EMC information described in this Manual.

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Definitions 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.

Definition of Symbols 1. Symbols to indicate danger, warning or caution Symbol

Title and indication General attention Indicates unspecified general danger, warning or caution.

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.

3. Symbols to give instructions for action Symbol

Title and indication General instruction Indicates unspecified general action on the part of the user. Remove the power plug from the power outlet Instructs the user to remove the power plug from the power outlet in the case of malfunction or when there is a threat of lightning. Shield the infant’s eyes with an eye protector Indicates that the infant’s eyes must be shielded with an eye protector when they are exposed to phototherapy light.

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4. Symbols of international standards (IEC) Symbol

Title and indication Lamp Pressing the power switch towards this symbol turns ON the lamp for observation. Alternating current This symbol indicates alternating current. 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. Class II device This symbol shows that the device is categorized into class II device in terms of protection against electric shock. Direct current This symbol indicates direct current. Stepless This symbol indicates stepless adjustment. Caution Indicates that the user needs to see a relevant accompanying document before operating the unit.

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5. Other symbols Symbol

Title and indication Switch Pressing the power switch towards this symbol starts phototherapy. Irradiance level/lighting (bright) button With the power switch depressed to the “ ” side, press this button to switch the irradiance level. With the power switch depressed to the “ ” side, press this button to make the light brighter. With the power switch in the neutral position, press this button to display the operation time of the light source. Patient / lighting (dark) Button With the power switch depressed to the “ ” side, press this button to make the light darker. With the power switch depressed to the “ ” side, press this button to display or reset the patient irradiation time. Plug polarity This symbol indicates that the internal terminal of the plug is positive (+), and the external terminal negative (-). Mounting the irradiation head This symbol indicates to depress the lever of the suction pad, and fix the irradiation head to the top of the incubator hood.

Attaching to the Holder Part This symbol shows that the Mount Type irradiation head should be secured where it does not catch the relay cable between itself and the power source part holder.

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Precautions on Jamming

WARNING The unit is intended for use in hospitals. Portable and mobile communication equipment and other devices which generate high frequency should be used at least 30cm away from the unit, including cables specified by the manufacturer. Failure to do so may cause malfunction. Note: The emission characteristics of this unit make it suitable for use in industrial areas or hospitals (CISPR11 Class A). Take care when using the unit in residential environments (normally CISPR11 Class B), as it may not provide adequate protection from wireless frequency communication services. The user may also need to relocate or realign the unit to alleviate the problem.

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. 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]

[2]

Operating Precautions... 8 1-1.

DANGER... 8

1-2.

WARNING... 8

1-3.

CAUTION... 11

How to Operate the Unit... 26 Checking the LED Lights... 27 Adjusting the Irradiation Position... 27 Phototherapy Treatment... 27 Observing the Infant (with the Lamp)... 28 Storage after Use... 28 Safety Function... 29

MAINTENANCE Cleaning and Disinfection. ... 30 Maintenance Inspection... 31

[7]

Troubleshooting. ... 39

APPENDIX

6-1. Measuring the Irradiance Level... 32 6-1-1. Arm Type, Stand Type... 32 6-1-2. Mount Type... 33 6-2. Inspection before Use... 34 6-3. Monthly Inspection... 35 6-4. Periodical Replacement Parts... 36 6-5. Inspection Checklist... 37 6-6. Disposal... 38

MAINTENANCE

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

[6]

8-1. Technical Data... 40 8-2. EMC Level and Classification... 42

OPERATION

OPERATION

[5]

Technical Information. ... 40

PREPARATION

Preparation before Use... 17 3-1. Power Outlet... 17 3-1-1. Arm Type, Stand Type... 17 3-1-2. Mount Type... 18 3-2. Installation... 19 3-2-1. Arm Type... 19 3-2-2. Stand Type... 20 3-2-3. Mount Type... 21 3-3. Daily Inspection... 24 3-4. Attaching the Eye Mask to the Infant... 25

[4]

[8]

Parts Identification... 14

PREPARATION [3]

APPENDIX

PLEASE READ WITHOUT FAIL

CONTENTS

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. The unit should be operated only for its intended use.

1-1.

DANGER

Death or serious injury will result if the instructions given below are not followed. 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 the unit with an infant to whom phototherapy has not been prescribed.

1-2.

WARNING

Death or serious injury due to a fire, an electric shock, tipping over of the unit, etc. will result if the instructions given below are not followed. Be sure to inspect the unit at the start of each day. Operating the unit without inspecting it at the start of each day may let a defect pass unnoticed and cause a potentially unfavorable outcome.

Do not look directly at the LED light. Cover the infant’s eyes with an eye protector during phototherapy treatment. Otherwise, damage may occur to the infant’s eyes.

Before using the unit, be sure to check that there is no risk of the infant falling off the incubator, the infant warmer, etc. Make sure that the infant will not fall off even if he or she moves.

The electrical rating of this unit is as follows: Rating: AC100-240V; Power consumption: 30VA; Frequency: 50/60Hz; Operating voltage range: AC100-240V±10%. Do not connect the unit to any other power source.

Before using the unit, be sure to check that the arm mount is attached securely to the incubator or the infant wamer. If the arm mount is not attached securely, the unit may fall..

Be sure to fix the upper support column of the Stand Type securely with the fixing knob to prevent it from sliding down. Take care of the usage environment. Using the unit in a strong electromagnetic environment may affect the irradiance level or turn OFF the light source output.

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Operating Precautions

Using the unit next to or stacked with other devices may cause malfunction. When it is unavoidable to do so, it is necessary to check that the unit and the other devices are operating correctly.

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.

PLEASE READ WITHOUT FAIL

Do not use the unit next to other devices.

Use only the power cord and the AC adapter supplied with the unit. Otherwise, a fire or an electric shock may result. A power cord or an AC adapter other than the one supplied with the unit can generate high frequency noise, cause jamming to other electric devices for medical use and thus result in malfunction. In addition, when such a power cord or an AC adapter is used, the unit may become susceptible to high frequency noise generated by other electric devices and thus result in malfunction.

Do not touch the power plug with a wet hand. Touching the power plug with a wet hand may cause 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. 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.

Do not disassemble or modify the unit. Disassembling or modifying the unit may cause a fire, an electric shock or injury.

Use only the parts and accessories specified for the unit Otherwise, the unit may malfunction or break down.

Place the unit in such a way that an infant near it will not be exposed to phototherapy light. If phototherapy light should get in the eyes of an infant who is not receiving phototherapy treatment, problems may occur to his or her eyes. Cover the eyes of an infant ajacent to the unit with a phototherapy mask if necessary.

Nursing staff should be cautious about symptoms of visual discomfort. Staying in an irradiated area for a long time may cause a headache, nausea or mild vertigo. To reduce such symptoms, use the unit in a well-lighted area or wear glasses with yellow lenses. Turn off the unit while the infant is being taken care of under the unit.

The unit does not use a cold light. Pay attention to the rise of the infant’s skin temperature when using the unit.

Do not use the unit in a high oxygen environment. The unit is not designed to be used in a high oxygen environment. Operate the unit surrounded by room air.

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Operating Precautions

Do not pour any liquid directly on the unit. Otherwise, a fire, an electric shock or damage to the unit will result. If a copious amount of liquid should be poured on the unit accidentally, wipe it off immediately and check the electronic circuits inside the unit.

Do not operate the unit where it is exposed to excessive humidity, dust or steam. Operating the unit in such a place may cause a fire or an electric shock.

Do not place photosensitive medicines near the unit. Photosensitive medicines may deteriorate when exposed to phototherapy light. Never place or store such medicines near or within the irradiated area.

Stop using the unit immediately if any trouble is detected. If the unit does not function normally, stop using it immediately, indicate on the unit clearly that it is out of order and contact your local Atom representative.

The unit should be serviced only by qualified personnel according to an appropriate service manual. Be sure to lock the caster stopper on the stand type except when the unit is being moved. As Mount Types are only designed for incubators, they must not be applied to other products. Be sure to attach the F-Rail Attachment or Pole Mounting Attachment of the Mount Type to the power source part. Also, when mounting the Pole Mounting Attachment high-load or the F-Rail Attachment to the Arm Type, be sure to attach it to the arm mount of the unit. Be sure to connect the relay cable of the unit to the connector area of the irradiation head of the Mount Type. Do not also connect the relay cable to any other product than the unit. It may cause damage to the equipment.

Be sure to attach the irradiation head of Mount Type to the top surface of the incubator hood. Do not attach it to the sloping section of the hood whenever possible. Do not also attach it to the curved surface of the hood. It may cause the irradiation head to fall off the hood.

Before attaching the irradiation head of the Mount Type, be sure to check the surface of the hood and suction pad, and do not attach the irradiation head if either of them is damaged. If so, the adhesiveness of the suction pad is reduced, so that it may cause the irradiation head to fall off the hood.

The Mount Type must not be used for treatment while the canopy of Dual Incu i is being raised. Be sure to perform the treatment with the canopy being lowered. As the irradiation distance from an infant under treatment to the unit is too long when the canopy is raised, the efficacy of treatment will be reduced.

Before attaching the irradiation head of the Mount Type, clean the incubator hood surface and Mount Type suction pad. If dust or dirt adhere to the surface and suction pad, the absorption power of the suction pad is reduced, so that it may cause the irradiation head to fall off the hood.

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Operating Precautions

Do not get the relay cable of the Mount Type pinched. It may cause the cable to be broken.

Be sure to check that the relay cable is not pinched before inserting the irradiation head into the holder. When trying to insert the irradiation head into the holder part with the relay cable of the Mount Type being pinched between the irradiation head and power source part, the irradiation head cannot be securely fixed to the power source part and may fall off.

PLEASE READ WITHOUT FAIL

Check that the relay cable of the Mount Type is positioned so that it does not interfere with the operation of the incubator, etc. or the treatment of an infant.

Only attach the Arm Type to the I.V pole. Do not attach it to the I.V stand. Doing so may cause it to fall over.

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.

Before using the unit, it is recommended that you measure the irradiance level of the unit according to “6-1. Measuring the Irradiance Level”, and follow the doctor’s treatment policy. The unit should be operated within the ambient temperature of 10-30ºC. Do not operate the unit outside of the temperature range mentioned above. When the LEDs are used properly, deterioration of their light output can be minimized throughout their service life. The LEDs operate for approximately 10,000 hours. However, if they are used in an environment outside the operating conditions, their service life may be reduced.

Be sure to clean the irradiation head cover. If the irradiation head cover is dirty, radiant energy will be reduced and the infant may not be treated properly.

Bear in mind the following points when operating the unit. 1. Endeavor to identify the cause of neonatal jaundice (hemorrhage, infection, bleeding, etc.) and provide appropriate causal therapy concurrently. 2. The infant’s skin color becomes less correlated with his or her serum bilirubin level during phototherapy treatment. Therefore, readings obtained by the icterometer are not reliable at all. Measure the infant’s serum bilirubin level at least once a day. It has been reported that in very rare cases, separated serum may assume a brownish tinge (methemalbuminemia).

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.

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Operating Precautions

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 covered with a cloth, etc. Operating the unit covered with a cloth or pressed tightly against a 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 place anything heavy on the unit. Do not let the unit hit anything or let it tip over. Do not drop it. After operating the Arm Type, be sure to fold the arm and then move the unit to a storage area by holding the arm base. After operating the Stand Type, be sure to fold the arm, slide down the upper support column to the lowest position and tighten the fixing knob and the auxiliary fixing knob. Then unlock the caster stopper, move the unit to a storage area by holding the stand column and lock the stopper. Phototherapy can disturb the water balance of the infant. Make sure that the water balance of the infant is maintained during phototherapy treatment. Be sure to push the lever of the suction pad of the Mount Type until it reaches the end. Do not forcibly try to remove the irradiation head from the holder while the suction pad of the Mount Type is fixed to the power source part. Be sure to remove the suction pad before removing it from the incubator. It may cause damage to the equipment.

As the adhesiveness decreases, which may cause the irradiation head to fall off, when the suction pad of the Mount Type is dirty, be sure to clean the pad with a soft cloth dampened with a disinfectant solution and wipe it again with a soft dry cloth after use. Remove the irradiation head of the Mount Type when raising or lowering the canopy of the Dual Incu i. If you raise or lower the canopy when the irradiation head is attached, strain is placed on the canopy, which may cause the emergency stop alarm to sound.

Since phototherapy treatment may increase the temperature of the child, use the servo control to set the temperature according to the body temperature of the child on the incubator and the infant warmer. In case the body temperature of the child goes up, lower the incubator air temperature setting.

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Operating Precautions

Please be careful when using reflective foil the child’s body temperature may reach a critical level. Do not place anything that interrupts or deteriorates the light irradiating the child. This equipment treats high bilirubin polycythemia by irradiating the child. If light does not reach or deteriorates, curative effect will decrease.

PLEASE READ WITHOUT FAIL

Please be careful that the bilirubin photoisomer may cause a toxic effect.

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Parts Identification

[2] Parts Identification ■■Arm Type ⑫ ⑥

⑪ ⑦

⑧ ⑨

⑤ ④

⑨

③

⑩

①

⑬⑭

②

No. ① ② ③ ④ ⑤ ⑥ ⑦ ⑧

Name Irradiation head Irradiation head cover Power switch Pilot lamp Operation panel Arm Arm base Arm mount

No. ⑨ ⑩ ⑪ ⑫ ⑬ ⑭

Name Fixing knob AC adapter F-Rail Attachment (optional accessory) Pole Mounting Attachment high-load (optional accessory) Power cord (120V) Power cord (230V)

■■Operation panel ⑮

⑱

⑯ ⑰ ⑲

14

No. ⑮ ⑯ ⑰ ⑱ ⑲

Name Time display (1-hour unit) Lamp operation time indicator Patient irradiation time indicator Irradiance level/lighting (bright) Button Patient / lighting (dark) button

Parts Identification

⑥

PLEASE READ WITHOUT FAIL

■■Stand Type ⑦ ⑧ ⑤

⑨

④

⑩

③

⑪

①

⑫

②

⑮⑯

⑰

⑬ ⑭

No. ① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨

Name Irradiation head Irradiation head cover Power switch Pilot lamp Operation panel Arm Arm base AC adapter Cord cleat

No. ⑩ ⑪ ⑫ ⑬ ⑭ ⑮ ⑯ ⑰

Name Upper support column Fixing knob Stand column Stand base Caster (with stopper) Power cord (120V) Power cord (230V) Auxiliary fixing knob

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Parts Identification

■■Mount Type

⑨ ⑫ ⑦ ⑬

⑥

⑩ ⑧

① ⑤ ④

②

⑪ ③ ⑭⑮

No. ① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨

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Name Irradiation head Irradiation head cover Power switch Pilot lamp Operation panel Suction pad Holder part Cover guard Relay cable

No. ⑩ ⑪

Name Power source part AC adapter

⑫

Pole Mounting Attachment (Optional accessory)

⑬

F-Rail Attachment (Optional accessory)

⑭ ⑮

Power cord (120V) Power cord (230V)

Preparation before Use

[3] Preparation before Use 3-1.

Power Outlet

3-1-1. Arm Type, Stand Type

WARNING

The power outlet should be located near the unit to prevent accidental contact with a trailing power cord. Use a separate power outlet for each unit. Do not put many loads on one power outlet.

PREPARATION

The electrical rating of this unit is as follows: Rating: AC100-240V; Power consumption: 30VA; Frequency: 50/60Hz; Operating voltage range: AC100-240V±10%. Do not connect the unit to any other power source.

The unit should be serviced only by qualified personnel according to an appropriate service manual. Be sure to use the replacement parts specified by Atom.

(1)

Connect the power cord to the AC adapter.

Power cord AC adapter (2)

Plug the power cord connected to the AC adapter into the power outlet.

Power outlet 20cm

Check that the pilot lamp of the irradiation head comes on. *K  eep an area of over 20cm around the power outlet clear so that the power cord can be quickly removed. Power cord

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Preparation before Use

3-1-2. Mount Type (1)

Connect the power cord to the AC adapter.

AC adapter

Power cord (2)

Connect the relay cable to the connector area of the irradiation head.

Connector of the relay cable Relay cable

WARNING ●● Be sure to connect the relay cable of the unit to the connector area of the irradiation head. Do not also connect the relay cable to any other product than the unit. It may cause damage to the equipment.

(3)

Plug the power cord connected to the AC adapter to the power outlet.

Connector area of the irradiation head

Power outlet 20cm

* K eep an area of over 20cm around the power outlet clear so that the power cord can be quickly removed.

Power cord

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Preparation before Use

3-2.

Installation

3-2-1. Arm Type

WARNING Be sure to attach the F-Rail Attachment or the Pole Mounting Attachment high-load of the Arm Type to the arm mount.

CAUTION

(1)

Fix the arm mount to the F-Rail of the incubator or the infant warmer. ①H  old the Arm Type with your hands and insert the clawed end of the arm mount into the groove of the F-Rail of the incubator or the infant warmer. ②T  ighten the fixing knob.

①

PREPARATION

When attaching the Arm Type to the incubator, it is necessary to prepare the F-Rail Attachment (optional accessory) or the Pole Mounting Attachment high-load (optional accessory). Follow the included manual to attach the F-Rail Attachment or the Pole Mounting Attachment to the arm mount.

②

• Products to which the Arm Type is attachable: Dual Incu i, Incu i, Infa Warmer i, Infa Warmer V-505 Atom Infant Incubator V-2200, Atom Infant Incubator V-2100G, Rabee Incu i, Air Incu i (Only applicable when the F-Rail Pole is attached.) *F  or information on other products to which the arm type is attachable, contact your local Atom representative. (2)

Check that the unit is positioned where it does not interfere with the operation of the incubator or the infant warmer, or the treatment of the infant.

(3)

As shown in the diagram, with the arm down, adjust the vertical position of the arm mount so that the distance between the irradiation head cover and the infant is at least 30cm. See the figures on the diagrams for proper attachment. However, when the infant is to be irradiated from above the hood of the incubator, adjust the vertical position of the arm mount to the height just above the top surface of the hood.

(4)

Make sure that the arm mount is fixed correctly to the F-Rail of the incubator or the infant warmer to prevent the unit from dropping or sliding out of position during use.

15cm (Unit placement dimensions)

Example of attachment (Dual Incu i )

41cm (Unit placement dimensions)

Example of attachment (Infa Warmer i ) 19

Preparation before Use

(5)

Secure the Pole Mounting Attachment high-load to the I.V pole of the incubator or infant warmer. Check that the Pole Mounting Attachment high-load is secured correctly to the I.V pole (when the Pole Mounting Attachment high-load).

I.V pole Tighten the knob

Pole Mounting Attachment high-load

Fixing knob

For Pole Mounting Attachment (6)

Press the “Patient / lighting (dark) button” twice to reset the irradiation time displayed on the operation panel to “0.”

* “ 0” is also displayed when the duration of previous operation was less than one hour. Be sure to press the “Patient / lighting (dark) button” twice before operating the unit.

Indicator on

“0” is Patient / lighting displayed (dark) button

3-2-2. Stand Type (1)

Move the unit to where the incubator, the infant warmer or a cot is.

(2)

Lock the caster stopper to prevent the unit from moving around.

Stopper

(3)

(4)

20

With the arm down, loosen the fixing knob while holding the support column or arm base with your hand to adjust the vertical position of the stand so that the distance between the irradiation head cover and the infant is at least 30cm. Check that the unit does not hinder the operation of the incubator or the infant warmer, and then tighten the fixing knob. However, when the infant is to be irradiated from above the hood of the incubator, adjust the vertical position of the arm mount to the height just above the top surface of the hood. Check that the unit is positioned where it does not interfere with the operation of the incubator or the infant warmer, or the treatment of the infant.

Hold the upper support column or arm base with your hand. Loosen the fixing knob.

Loosen the auxiliary fixing knob.