ATOM Medical Corporation
Phototherapy Units
BILI-THERAPY Spot Type Unit 106 Service Manual and Parts List Jan 2019
Service Manual
80 Pages
Preview
Page 1
Equipment for neonatal and premature infants: Phototherapy unit
Atom Phototherapy Unit 106 ORIGINAL
0123
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 BILI-THERAPY Spot Type, 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.
INTRODUCTION This Service Manual & Parts List describes procedures for inspecting and repairing the BILI-THERAPY Spot Type. It also describes troubleshooting in faulty conditions. The procedures described in this Service Manual & Parts List 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 or repairing the settings of the unit lies with the person who carried it out. Read this Service Manual & Parts List carefully and familiarize yourself thoroughly with its contents before inspecting or repairing the unit. Keep this Service Manual & Parts List where it is readily accessible for reference when needed. For more detailed information on inspecting and repairing the unit, contact your local Atom representative. Read the Operation Manual thoroughly before using the Service Manual & Parts List.
SAFETY INFORMATION Please read the Service Manual & Parts List 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. Follow the operating precautions described in this Service Manual & Parts List and the Operation Manual for the safe use of the unit. 4. Inspect the unit on a periodical basis. Periodical inspection is needed to use the unit under optimum conditions. 5. Take proper measures to ensure that a defective unit will not be used by mistake before it is properly inspected and repaired for normal operation. Such measures include indicating on the unit that it is under inspection or repair and keeping it away from other devices that function correctly.
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Definitions 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. 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 patient’s eyes with an eye protector Indicates that the patient’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 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 Section 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. Do not use the equipment unless you have the necessary qualifications.
Prohibition of Modification
WARNING Do not disassemble or modify the unit. Otherwise, a fire, an electric shock or injury may result.
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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CONTENTS INTRODUCTION... 1
6-17. Replacing the Lower Arm Cover... 41 6-17-1. Arm Type... 41 6-17-2. Stand Type... 41 6-18. Replacing the AC Adapter... 42 6-18-1. Arm Type/Stand Type... 42 6-18-2. Mount Type... 42 6-19. Replacing the Arm... 43 6-20. Replacing the Upper Arm Cover... 44 6-21. Replacing the Rotating Arm... 44 6-22. Replacing the Rotation Control Plate... 44 6-23. Replacing the Tilt Hinge (on arm side)... 45 6-24. Replacing the Tilt Hinge (on the arm bracket)... 45 6-25. Replacing the Silencing Filter... 45 6-26. Replacing the Height adjustment Assist... 46 6-27. Replacing the End Piece of the Upper Support Column with Packing... 46 6-28. Replacing the Stand Base Cap... 47 6-29. Replacing the Caster... 47 6-30. Replacing the Suction Pad... 47 6-31. Replacing the Connection Relay Cable... 48 6-32. Replacing the Irradiation Head Holder... 48 6-33. Replacing the Guard Plate... 49 6-34. Replacing the Relay Cable... 49
PLEASE READ WITHOUT FAIL [1]
[2]
Operating Precautions... 8 1-1.
DANGER... 8
1-2.
WARNING... 8
1-3.
CAUTION... 11
Parts Identification... 14
MAINTENANCE [3]
Maintenance Inspection... 17 3-1. Measuring the Irradiance Level... 18 3-1-1. Arm Type, Stand Type... 18 3-1-2. Mount Type... 19 3-2. Inspection before Use... 20 3-3. Monthly Inspection... 21 3-4. Inspection Checklist... 22 3-5. Periodical Replacement Parts... 23
[4]
Cleaning and Disinfection... 24
[5]
Troubleshooting... 25 5-1. List of Error Messages... 25 5-2. Troubleshooting... 26 5-3. Troubleshooting Flowchart... 27
DISASSEMBLY AND REPLACEMENT [6]
Disassembly and Replacement Procedures... 32 Replacing the Cushion Rubber... 32 Replacing the Irradiation Head Cover... 32 Replacing the Cover Trim... 32 Replacing the LED Board... 33 Replacing the Inter-board Relay Cable... 33 Replacing the Control Board... 33 Replacing the Power Switch... 34 Replacing the Rotating Shaft for Irradiation Head... 34 6-8-1. Arm Type/Stand Type... 34 6-8-2. Mount Type... 35 6-9. Replacing the Main Unit Cover... 37 6-10. Replacing the Operation Panel Sheet... 37 6-11. Replacing the Pilot Lamp Cover... 38 6-12. Replacing the Rotation Block... 38 6-13. Replacing the Arm Joint Cap... 39 6-14. Replacing the Rotating Washer... 39 6-15. Replacing the Arm Bracket... 40 6-16. Replacing the Fixing Screw... 40 6-1. 6-2. 6-3. 6-4. 6-5. 6-6. 6-7. 6-8.
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INFORMATION [7]
Settings... 50 7-1. Maintenance Mode... 50 7-1-1. How to Enter the Maintenance Mode... 50 7-1-2. The LED Board Temperature Data Display... 50 7-1-3. The Control Board Temperature Data Display... 50 7-1-4. Blue LED Brightness Data Display... 51 7-1-5. Complementary White LED Brightness Data Display... 51 7-1-6. White LED Brightness Data Display... 51 7-1-7. Temperature Data Comparison Chart... 52 7-2. Setup Mode... 53 7-2-1. How to Enter the Setup Mode... 53 7-2-2. Adjusting the Brightness of the Blue LED... 53 7-2-3. Adjusting the Brightness of the Complementary White LED... 53 7-2-4. Adjusting the Brightness of the White LED... 54 7-2-5. Resetting Time Machine Has Been Used... 55
Block Diagram... 57
[9]
Wiring Diagram... 58
[10] Parts List... 59
APPENDIX [11] Technical Information... 70 11-1. Technical Data... 70 11-2. EMC Level and Classification... 72
[12] Disposal... 75
MAINTENANCE
10-1. Fig-1 Irradiation Head... 60 10-2. Fig-2 Arm... 62 10-3. Fig-3 Arm Base... 64 10-4. Fig-4-1 Stand... 66 10-5. Fig-5 Mount Type... 68
PLEASE READ WITHOUT FAIL
[8]
DISASSEMBLY AND REPLACEMENT INFORMATION APPENDIX 7
Operating Precautions
[1] Operating Precautions Please follow the operating instructions described in this Service 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. Use the unit only for an infant to whom phototherapy has been prescribed by the doctor in charge.
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 and cause an electric shock. Be sure to fix the upper support column of the Stand Type securely with the fixing knob and the auxiliary 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. 8
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.
PLEASE READ WITHOUT FAIL
Do not use the unit next to other devices. 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.
••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 must be replaced immediately with a new one. Do not use a power cord or AC adapter other than the one 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 unit should be located near a power outlet to prevent accidental contact with a power cord. Use a separate power outlet for each unit. Do not use adapters to attach multiple devices to the same power outlet the unit is connected to. 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. Do not use parts and accessories other than those specified for the unit. Otherwise, the unit may malfunction or break down. Place the unit in such a way that an infant adjacent to 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. 9
Operating Precautions
The unit does not use a cold light. Temperature on the top surface of the mattress will rise approximately 5°C above the ambient temperature. 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 in the presence of room air. 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 stand type caster when the unit is not to be 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.
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Operating Precautions
Before attaching the irradiation head of Mount Type, be sure to clean the hood surface and suction pad. If dust or dirt adhere to the surface and suction pad, the adhesiveness of the suction pad is reduced, so that it may cause the irradiation head to fall off the hood.
PLEASE READ WITHOUT FAIL
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.
Check that the relay cable of the Mount Type is positioned where it neither hinders the operation of the incubator, etc. nor the treatment of a patient. Do not get the relay cable of the Mount Type caught. 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 with the relay cable of the Mount Type being pinched between the head and power source part, the irradiation head cannot be reliably fixed to the power source part. It may lead to the irradiation head’s falling off. 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 “3-1. 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.
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Operating Precautions
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. 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 fall 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 patient. Make sure that the water balance of the patient is maintained during phototherapy treatment. Be sure to push the lever of the suction pad of the Mount Type until it reaches the end.
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Operating Precautions
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.
PLEASE READ WITHOUT FAIL
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.
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 body temperature of the child, use the servo control mode to control the temperature in the incubator and the infant warmer. In case the body temperature of the child goes up, lower the incubator air temperature setting. Please be aware that the bilirubin photoisomer may cause a toxic effect. Please be careful when using reflective foil, as the child’s body temperature may reach a dangerous 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, the curative effect will decrease.
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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
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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)
Maintenance Inspection
[3] Maintenance Inspection In order to use the unit safely for a longer period, perform the maintenance inspections described below.
WARNING Check every month that the irradiance level reaches the specified value (see “3-1. Measuring the Irradiance Level”).
CAUTION
Clean and disinfect the unit and its accessories before maintenance inspections, repairs, or disposal.
MAINTENANCE
Medical institutions are responsible for performing the maintenance inspections. They are allowed to entrust the maintenance inspections of the unit to an appropriate external contractor.
• Inspection before use Check the basic functional operation of each part of the unit every time you are going to use the unit. • Monthly inspection Check the operation of each function of the unit every month. • Periodical inspection Contact your local Atom representative annually for periodical inspection. • Parts requiring periodical replacement Some parts need to be replaced periodically depending on their period of use. You can check how long the light source (blue LEDs) has been operated by setting the power switch of the irradiation head to the neutral (center) position and pressing the “Irradiance level / lighting (bright) button” on the operation panel. The operation time of the light source is displayed only as long as this button is pressed down and cannot be reset.
Irradiance level/lighting (bright) button
Operation time of the light source
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Maintenance Inspection
3-1.
Measuring the Irradiance Level
3-1-1.
Arm Type, Stand Type
Check every month that the irradiance level reaches the specified value. Use a photometer* to measure the irradiance level. (1)
Cover the mattress with a mattress cover and place the photometer on the mattress cover. Make sure that the irradiation head cover of the unit is parallel to the photometer. The distance between the irradiation head cover and the light detector of the photometer should be 30 cm.
CAUTION
Parallel • 30cm Mattress
Mattress cover
Light detector Effective irradiated area
●● Use a clean mattress cover so that correct measurements can be obtained.
(2)
Depress the power switch of the unit to the “ ”side.
CAUTION ●● Allow at least 10 minutes for the irradiance of the LED light source to stabilize before measuring the irradiance level.
Check that the average of the irradiance levels obtained at the six measurement points (A-F) reaches the specified value.
CAUTION ●● The specified maximum irradiance level is at least 22.5 μW/cm2/nm (1.35 mW/cm2)(when the BiliBlanket® Meter II is used).
Effective irradiated area 5cm
5cm
B
A
10cm
(4)
Place the light detector of the photometer at the six measurement points (A-F) determined by locating the center of the effective irradiated area as shown in the figure on the right and measure the irradiance level at each point.
Center of the effective irradiated area C
D
E
F
10cm
(3)
Depress the power switch.
10cm
* The irradiance level (high) is measured before shipment with the BiliBlanket® Meter II (the specified value: 30 to 40 μW/cm2/nm). * The irradiance level (low) does not require measurement. 18
Maintenance Inspection
3-1-2. (1)
Mount Type Attach the irradiation head to the top surface of the incubator hood. Cover the mattress with a mattress cover and place the photometer on the mattress covers. Raise the bed, position the device radiation head cover so that it is parallel with the photometer, and ensure that the radiation head cover and the light detector of the photometer are 30cm apart. In incubators that cannot be raised, and it is not possible to ensure that the measurement distance is 30cm, place an object under the mattress to adjust its height so that this distance is 30cm.
30cm
MAINTENANCE
CAUTION ●● Use a clean mattress cover so that the correct measurements can be obtained.
(2)
Depress the power switch of the unit to the “ ”side.
CAUTION ●● Allow at least 10 minutes for the irradiance of the LED light source to stabilize before measuring the irradiance level.
Check that the average of the irradiance levels obtained at the six measurement points (A-F) reaches the specified value.
CAUTION ●● The specified maximum irradiance level is at least 22.5 μW/cm2/nm (1.35 mW/cm2)(when the BiliBlanket® Meter II is used).
Effective irradiated area 5cm
5cm
B
A
10cm
(4)
Place the light detector of the photometer at the six measurement points (A-F) determined by locating the center of the effective irradiated area as shown in the figure on the right and measure the irradiance level at each point.
Center of the effective irradiated area C
D
E
F
10cm
(3)
Depress the power switch.
10cm
* The irradiance level (high) is measured before shipment with the BiliBlanket® Meter II (the specified value: 30 to 40 μW/cm2/nm). * The irradiance level (low) does not require measurement. 19