Atom Dual Incu 100 User manual
Equipment for neonatal and premature infants: Incubator
0123
Atom Infant Incubator Model 100
Service Manual & Parts List
ORIGINAL
TO THE OPERATOR AND THE PERSON IN CHARGE OF
MAINTENANCE AND CARE OF THE UNIT:
This Manual describes var ious inspections needed to ensure proper operation
of the Dual Incu 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 when handling the unit.
Various inspections, 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.
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.
Via F. Croce, 65 - 20081 Abbiategrasso (MI) - Italy
Tel: +39 02 99763101 Fax: +39 02 99763110
EU OFFICE
INTRODUCTION
This Service Manual describes procedures for inspecting, repairing and changing the settings of the Dual Incu i.
It also describes precautions and troubleshooting in alarm conditions. The procedures described in this Ser vice
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 Ser vice 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.
1
2
Definitions of Warning Indication
DANGER:
WARNING
:
CAUTION:
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,
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,
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
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.
3. Symbols to give instructions for action
Symbol Title and indication
General instruction
Indicates unspecified general action on the part of the user.
Connect a ground wire
Instructs the user to connect the ground wire without fail where the unit is provided with a ground
terminal.
Remove the power plug from the power outlet
Instructs the user to remove the power plug from the power outlet in the case of malfunction or
when there is a threat of lightning.
3
4. Symbols of international standards (IEC)
Symbol Title and indication
Power on
Indicates in relation to the power switch that the device is connected to the power source.
Power off
Indicates in relation to the power switch that the device is not connected to the power source.
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.
Date of manufacture
Indicates the date when the unit was manufactured in the factory.
Recyclable (battery)
Indicates that recycling is recommended.
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.
Locked
Indicates a locked condition.
Unlocked
Indicates an unlocked condition.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer.
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.
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5. Other symbols
Symbol Title and indication
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 incubator is being powered by a battery or not.
Incubator air circulation
Indicates the function related to air circulation in the incubator in the incubator mode or that the
incubator is in manual control.
Radiant warmer
Indicates the heater output in the radiant warmer mode or 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 the incubator is in servo
control.
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).
Low water level/no water
Indicates that there is little or no water in the humidity chamber.
5
Symbol Title and indication
O2
(Nellcor)
(Nellcor)
Defective humidity chamber
Indicates that something is wrong with the humidity chamber.
Humidity chamber off
Indicates that the humidity chamber is not attached properly.
Humidity
Indicates the function related to humidity.
Oxygen
Indicates the function related to oxygen.
Load capacity
Indicates the maximum load capacity.
Avoid getting caught
Indicates that the user must avoid getting caught in the gap in the device.
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.
Interference
Indicates that interference exists.
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.
No humidified oxygen
Indicates that humidified oxygen must not be supplied.
Oxygen supply port 1
Indicates the oxygen supply port when oxygen is supplied through the flowmeter.
Oxygen supply port 2
Indicates the oxygen supply por t for the piping connecting hose when the oxygen controller is
used.
Do not immerse
Indicates that the humidity chamber must not be immersed in water.
CONTENTS
INTRODUCTION .................................................... 1
PLEASE READ WITHOUT FAIL
[1] Operating Precautions .............................. 8
1-1. DANGER ............................................. 8
1-2.
1-3.
WARNING ........................................... 9
CAUTION .......................................... 11
[2] Parts Identification ................................... 14
2-1. Main body ................................................. 14
2-2. Display ....................................................... 17
2-3. Display Screens ....................................... 18
2-3-1. General Description of the
Screens ...................................... 18
2-3-2. Screen Transition Diagram ...... 21
2-3-3. List of Operations Available on
Each Screen .............................. 22
2-3-4. Main screen ............................... 23
2-3-5. Pulse Oximeter Screen ............ 28
2-3-6. Weight Screen ........................... 33
2-3-7. Menu Screen ............................. 36
2-3-8. Trend Screen ............................. 40
2-4. Service Menu (How to Operate the
Service Menu Screen) ........................... 42
2-4-1. How to Enter the
Service Menu ............................ 42
2-4-2. Operating the Service Menu
Screen ........................................ 43
2-4-3. Calibrating the Touch Panel .... 47
MAINTENANCE
[3] Maintenance Inspection.......................... 49
3-1. Inspection before Use ............................. 50
3-1-1. Visual Inspection ...................... 50
3-1-2. Functional Inspection ............... 52
3-1-3. Performance Inspection ........... 55
3-1-4. Checking and Calibrating the
Weight Monitor .......................... 56
3-2. Quarterly Inspection ................................ 57
3-3. Inspection Checklist ................................ 58
3-4. Periodical Replacement Parts and
How to Replace them ............................. 59
3-4-1. Replacing the Filter................... 60
3-4-2. Replacing the Oxygen
Sensor ........................................ 61
[4] Cleaning and Disinfection ...................... 63
4-1. Hood Assembly ........................................ 64
4-2. Mattress Platform and Parts Beneath... 67
4-3. Heater for Radiant Warmer .................... 69
4-4. Humidity Chamber ................................... 69
4-5. Others ........................................................ 70
[5] Troubleshooting ........................................ 71
5-1. Alarms ....................................................... 71
5-2. Troubleshooting ....................................... 77
5-3. Troubleshooting Flowchart ..................... 79
5-3-1.
5-3-2. Troubleshooting When the Unit
Troubleshooting When the Unit
Cannot Be Controlled Properly
Does Not Function Properly .... 80
... 79
DISSASSEMBLY AND REPLACEMENT
[6] Disassembly and Replacement
Procedures ............................................... 108
6-1. Stand ....................................................... 108
6-1-1. Removing the Main Body from
the Stand .................................. 108
6-1-2. Replacing the Hi-Low Stand
Actuator ................................... 111
6-1-3. Replacing the Foot Switch..... 112
6-1-4. Replacing the Relay Board for
Foot Switch. ............................. 113
6-1-5. Replacing the Caster .............. 114
6-1-6. Replacing the Radiant Warmer
(with F-rail Pole, Height
Adjustment Unit) ..................... 114
6-1-7. Replacing Heater for Radiant
Warmer..................................... 116
6-1-8.
6-1-9. Replacing the F-Rail Pole
6-1-10. Replacing the Canopy
6-1-11. Replacing the Canopy ............ 121
6-1-12. Replacing the
6-1-13. Replacing the Hi-Low Drive
6-2. Hood ....................................................... 122
6-2-1. Replacing the Admittance
6-2-2. Replacing the Admittance
6-2-3. Replacing the Hood Cover
6-2-4. Replacing the Admittance
6-2-5. Replacing the Sensor Module
6-2-6. Replacing the Snap-open
6-2-7. Replacing the Admittance
6-2-8. Replacing the Admittance
6-2-9. Replacing the Admittance Panel
6-2-10. Replacing the Admittance Panel
6-2-11. Replacing the Inner Wall Lever
6-2-12. Replacing the Inner Panel
6-2-13. Replacing the Inner Wall
6-2-14. Replacing the Inner Wall Shaft
6-3. Main Body ............................................... 130
6-3-1. Removing the Upper Section of
Replacing the Disc-type Thermostat
for Radiant Warmer
Spacer ...................................... 118
(with Hi-Low Unit) ................... 119
Photomicroswitch .................... 121
Board ....................................... 122
Panel (Rear) ............................ 122
Panel (Front) ............................ 124
(Front) ....................................... 124
Panel Lock Holder .................. 125
Holder ....................................... 125
Access Port ............................. 126
Panel ........................................ 126
Panel Hinge ............................. 127
Operating Lever Right/Left .... 128
Operating Knob ....................... 128
Right/Left .................................. 129
Right/Left .................................. 129
Bearing ..................................... 130
Bearing ..................................... 130
the Main Body from the Main
Body .......................................... 130
.................... 117
PLEASE READ WITHOUT FAIL
6-3-2. Replacing the Heater for the
Main Body ................................ 132
6-3-3. Replacing the Fan Motor ...... 133
6-3-4. Replacing the High Temperature
Sensor ...................................... 134
6-3-5. Replacing the Control Box
Cover ........................................ 135
6-3-6. Replacing the Switch Board .. 136
6-3-7. Replacing the Power Switch . 136
6-3-8. Replacing the Detection
Board ....................................... 137
6-3-9. Replacing the Tilting Unit ....... 137
6-3-10. Replacing the Position Detection
Board (for the Detection of the
Middle Board) .......................... 138
6-3-11. Replacing the Filter Joint ....... 138
6-3-12. Replacing the Humidity
Chamber Cover Packing ........ 139
6-3-13. Replacing the Humidity
Chamber Cradle ..................... 139
6-3-14. Replacing the Humidity
Chamber Cover ....................... 140
6-3-15. Replacing the Humidity
Chamber Cradle Packing ..... 140
6-3-16. Replacing the Humidity
Chamber Connector ............... 140
6-3-17. Replacing the Position Detection
Board (for the Detection of the
Boiler Cap) ............................... 141
6-3-18. Replacing the Position Detection
Board (for the Detection of the
Humidity Chamber Cover) ..... 141
6-3-19. Replacing the Control Power
Transformer ............................. 142
6-3-20. Replacing the Drive Power
Transformer ............................. 143
6-3-21. Replacing the Oxygen
Controller.................................. 143
6-3-22. Replacing the Mass Flow
Valve ......................................... 144
6-3-23. Replacing the Solenoid
Valve ......................................... 145
6-4. Power Unit ............................................... 146
6-4-1. Replacing the Main Board ..... 146
6-4-2. Replacing the Battery for
Power Failure Alarm ............... 147
6-4-3. Replacing the Heater Control
Board ........................................ 148
6-4-4. Replacing the AC Inlet .......... 150
6-4-5. Replacing the Buzzer ............. 150
6-4-6. Replacing the Noise Filter ..... 151
6-4-7. Replacing the Hi-Low Drive
Board ........................................ 151
6-4-8. Replacing the Rectifier
Board ........................................ 152
6-4-9. Replacing the Circuit
Breaker ..................................... 152
6-4-10. Replacing the Insulating Board
for SpO
6-5. Display ..................................................... 154
6-5-1. Replacing the F-Rail Arm ...... 154
Unit ......................... 153
2
6-5-2. Replacing the Cable Guide ... 154
6-5-3. Replacing the Front Panel ..... 155
6-5-4. Replacing the Rear Panel
(with Alarm Lamp) .................. 156
6-5-5. Replacing the LCD Display ... 157
6-5-6. Replacing the Speaker .......... 158
6-5-7. Replacing the Alarm Lamp
Board ........................................ 159
6-5-8. Replacing the Power Indicator
Board ........................................ 160
6-5-9. Replacing the LCD Display
Board ........................................ 160
6-5-10.
6-5-11. Replacing the Button Cell
6-5-12. Replacing the Connector
6-6. Mattress Platform ................................... 163
6-6-1.
6-6-2. Replacing the Latch ............... 164
6-6-3. Replacing the Weight Monitor
Replacing the CCFL Inverter
Battery for the Display ............ 162
Cap ........................................... 162
Replacing the Baby Guard (Front/
Rear)/Baby Guard (side)
Module ...................................... 164
... 161
............ 163
INFORMATION
[7] Electrical Block Diagram ..................... 165
[8] Wiring Diagram........................................ 166
8-1. Drive Unit ................................................ 166
8-2. Main Body ............................................... 167
8-3. Peripheral Units ...................................... 168
[9] Parts List ................................................... 169
9-1. Fig-1 Main Body and Accessories ....... 170
9-2. Fig-2 Display ........................................... 172
9-3. Fig-3 Humidity Chamber....................... 174
9-4. Fig-4 Mattress Platform ......................... 176
9-5. Fig-5 Upper Section of the
Main Body 1 .......................................... 178
9-6. Fig-6 Upper Section of the
Main Body 2 .......................................... 180
9-7. Fig-7 Upper Section of the
Main Body 3 .......................................... 182
9-8. Fig-8 Lower Section of the
Main Body .............................................. 184
9-9. Fig-9 Power Unit .................................... 186
9-10. Fig-10 Oxygen Controller Assembly .... 188
9-11. Fig-11 Upper and Lower Sections of the
Main Body and Filter Case Assembly 190
9-12. Fig-12 Stand .......................................... 192
9-13. Fig-13 Stand ........................................... 194
9-14. Fig-14 Canopy ........................................ 196
9-15. Fig-15 Pulse Oximeter (Masimo) ......... 198
9-16. Fig-16 Pulse Oximeter (Nellcor) .......... 200
APPENDIX
[10] Technical Information ............................ 202
10-1. Technical Data ........................................ 202
10-2. EMC Level and Classification .............. 208
[11] Disposal .................................................... 212
MAINTENANCE
DISASSEMBLY AND REPLACEMENT
INFORMATION APPENDIX
8
Operating Precautions
Operating Precautions[1]
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.
The unit should be operated only for its intended use.
1-1. DANGER
Death or serious injur y, damage to equipment or a fire will result if the instr uctions given below are not followed.
Only those who have been properly trained should operate the unit.
Be sure to keep the admittance panels and the access ports closed when the unit is in use.
Using the unit with an admittance panel or an access port left open may cause the infant to fall out of
the baby compartment. Be sure to close the admittance panels and the access ports when performing
phototherapy on an infant inside the incubator.
Monitor the infant’s skin temperature when operating the unit.
If the incubator air temperature should rise during phototherapy, proceed with the phototherapy
in the radiant warmer mode or after placing the infant in a cot or an open-type incubator (an
infant warmer), as directed by the doctor.
Since a mature infant emits much heat, the incubator air temperature may rise if you place the infant
in the incubator and perform phototherapy. The incubator air temperature may also rise if you use
multiple phototherapy units at the same time or if the room temperature is high. In such a case, proceed
with the phototherapy in the radiant warmer mode or after placing the infant in a cot or an open-type
incubator, as directed by the doctor. Take sufficient care when using a cot, as it becomes dif ficult to
observe the infant. Alternatively, placing an ice bag inside the incubator has the effect of decreasing
the incubator air temperature.
However, be sure to close the admittance panels and the access ports in this case also.
Do not leave the unit unattended when an admittance panel or an access port is open.
If an admittance panel or an access por t is left open, the infant may fall out of the baby compartment
and get fatally injured. Never leave the unit unattended when an admittance panel or an access por t
is open.
Stop using the unit immediately and seek repair if an admittance panel, a snap-open access
port or a press lever should be found loose or faulty in any way.
The infant may fall out of the baby compartment.
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.
9
PLEASE READ WITHOUT FAIL
Operating Precautions
Do not use ether, alcohol or any other ignitable substance.
Even a small amount of ether, alcohol or other ignitable substances may cause a fire when mixed with
the oxygen in the incubator.
Do not hang any flammable materials on the radiant warmer.
It may cause a fire.
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 ar terial gas levels in order to maintain the desired oxygen concentration in the incubator.
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 ef fects.
Do not give a shock to the unit or let it hit anything.
The screws or fixed parts may become loose.
The heaters are consumables. If the heaters are to be used beyond their 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 incubator air temperature or the
infant’s skin temperature.
Be sure to follow the doctor’s instructions in setting the relative humidity in the incubator.
Be sure to follow the doctor’s instructions in supplying oxygen.
Be sure to follow the doctor’s instructions in setting the oxygen concentration in the incuba-
tor.
Use only oxygen for medical use.
10
Operating Precautions
Be sure to bear in mind the following precautions during oxygen supply.
• Do not place a body warmer, a ashlight, oils and fats, or ammable vaporizable matters in the
incubator.
• 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 re-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.
If the oxygen sensor should break or get damaged, the electrolyte inside may leak out of
the sensor. If you should come in contact with the electrolyte, wash it away immediately and
thoroughly with copious amounts of water.
Smoking is prohibited in the room where the unit is installed.
Do not place any possible ignition sources in the room.
Avoid damaging the power cord.
A damaged power cord may cause a fire or an electric shock.
• Do not get the power cord caught between the unit and the wall, a shelf or the oor.
• 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.
Before cleaning and disinfecting the unit, be sure to turn the power switch off, remove the
power plug, and allow the incubator air temperature and the heater temperature to drop suf-
ficiently.
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 touch the heaters during use or shortly after use.
The heaters are so hot during use and shortly after use that you may get burned. Allow the heaters to
cool down sufficiently before touching them.
Do not disassemble or modify the unit.
Disassembling or modifying the unit may cause a fire, an electric shock or injury.
11
PLEASE READ WITHOUT FAIL
Operating Precautions
Do not install the unit where it will be exposed to excessive humidity, dust or steam.
Installing the unit in such a place may cause a fire or an electric shock.
The power outlet should be located near the unit to prevent accidental contact with a trailing
power cord. Use a separate power outlet for each unit.
Do not put many loads on one power outlet.
In order to complete the ground connection, connect the power cord only to a 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 at the start of each day may let a defect pass unnoticed and
cause a potentially unfavorable outcome.
Check for conformity to the applicable standard if the unit is going to be connected to another
medical device for use as a system.
Accessory equipment connected to the analogue and digital interfaces must comply with the relevant
IEC standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations should
comply with IEC 60601-1-1. But the items that are not specified as part of the system should not be
connected. Anybody who connects additional equipment to the signal input or signal output configures
a medical system, and therefore should make the medical system comply with the requirements of
60601-1-1 on his or her own responsibility. If in doubt, consult your local Atom representative.
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 standby in the incubator mode, be sure to always preheat the unit in order to keep
the incubator air temperature stable.
During standby in the radiant warmer mode, be sure to always preheat the unit in order to
keep the mattress surface temperature stable.
Place the infant in the incubator only after the incubator air temperature has stabilized.
12
Operating Precautions
When feeding the cords and tubes into the unit, be very careful not to let them wind or tighten
around the patient.
Do not hang any cables or infusion tubes on the canopy or the canopy arm. Do not pass
them above the canopy.
Do not twist or pull the cords by force.
If any defect should be found, ask an expert for repair without attempting to repair it yourself.
Remove the power plug from the power outlet before moving the unit to another place or
when the unit is not going to be used for a long time.
Moving the unit to another place with the power plug connected to the power outlet will damage the
power cord and may cause a fire or an electric shock.
Remove the power plug from the power outlet before cleaning 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 radiant warmer 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.
When performing phototherapy on the infant in the incubator, pay special attention to the
infant’s skin temperature and the incubator air temperature during the treatment.
The infant’s skin temperature and the incubator air temperature may rise due to the radiant heat
generated by the phototherapy unit.
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 place anything on the canopy.
Do not lean on the radiant warmer. Do not apply more force than is necessary to the radiant
warmer.
Do not press strongly or rub the operation panel of the display.
Pressing it strongly or rubbing it may damage the display or cause it to malfunction.
13
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Operating Precautions
Be careful not to let any medical fluid adhere to the display.
Do not attach any peripheral device that is not specified by Atom to the incubator.
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.
When relocating the unit, watch your step so that you do not have your feet run over by a
caster.
14
Parts Identification
⑲
①
②
⑤
⑧
⑨
⑪
⑬
⑩
⑫
③④
⑱
⑰
⑯
⑮
⑭
⑥
⑦
Parts Identification[2]
Main body2-1.
No. Name No. Name
Canopy
①
Display
②
Patient circuit slot grommet
③
Radiant warmer
④
Dovetail rail
⑤
Sensor module
⑥
Handle
⑦
Admittance panel operating lever
⑧
Snap-open access port
⑨
Admittance panel
⑩
Mattress platform tilting knob
⑪
X-ray cassette tray door locking knob
⑫
Foot switch
⑬
Caster
⑭
Drawer
⑮
Humidity chamber cover
⑯
Mattress
⑰
Tube introduction slit packing
⑱
Admittance panel operating knob
⑲
Note: ⑮ Drawer is an available option.
15
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Parts Identification
⑳
Rear
No. Name No. Name
⑳
Incubator mode switch
Radiant warmer mode switch
Skin temperature probe connecting port 1
Skin temperature probe connecting port 2
Power switch
Connector for sensor module
Filter cover
Oxygen supply port 1
Note: Oxygen supply por t 2 is available only on the unit equipped with the oxygen controller.
Connector for SpO
2 is an available option.
Oxygen supply port 2
Connector for weight monitor
Connector for the display
Connector for the Power Pack
AC inlet
Breaker
Connector for SpO
Cord cleat
2
i
(UPS)
16
Parts Identification
Inside
No. Name No. Name
Mattress platform
X-ray cassette tray
Weight monitor unit
Mattress platform for weight monitor
Tray for weight monitor
Mattress platform tray
Middle board
Fan cover
Heater
Fan
Baby guard
Tube introduction slit packing
Note: Weight monitor unit is an available option.
17
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Parts Identification
Bottom
Rear
①
②
③
⑥
④⑤
Front
Display2-2.
No. Name
Alarm lamp
①
Operation panel
②
Power failure alarm indicator
③
I/O port (External communication connector)
④
Connector for the main body
⑤
Communication port (LAN)
⑥
18
Parts Identification
Display Screens2-3.
General Description of the Screens2-3-1.
Start screen (This screen is displayed both in the incubator mode and in the radiant warmer mode.)(1)
The start screen appears when the power is applied.
It is automatically switched to the main screen of
the incubator mode if the canopy is in a lowered
position (the incubator mode); it is automatically
switched to the main screen of the radiant warmer
mode if the canopy is in a raised position (the radiant
warmer mode).
Incubator mode(2)
[Main screen]
This screen appears first when the unit enters the
incubator mode.
If any other screen of the incubator mode is being
displayed, touch the
will be displayed. This screen displays the set temperature, the incubator air temperature, the skin
temperature 1, the skin temperature 2, the relative
humidity, the oxygen concentration, SpO2, the pulse
rate, etc. in the incubator mode.
switch, and the main screen
[Pulse oximeter screen]
Touch the switch on any other screen of the
incubator mode, and the pulse oximeter screen of
the incubator mode will be displayed.
This screen highlights SpO2 and the pulse rate in the
incubator mode. Pulse waves are also displayed.
In addition, the set temperature, the incubator
air temperature, the skin temperature 1, the skin
temperature 2, the relative humidity, the oxygen
concentration, etc. are displayed.
[Weight screen] (
Touch the switch on any other screen of the
incubator mode, and the weight screen will be
displayed.
This screen highlights weight functions such as the
weighing procedure in the incubator mode and the
weight trend graph.
In addition, the set temperature, the incubator air
temperature, the skin temperature 1, the skin temperature 2, the relative humidity, the oxygen concentration, SpO2, the pulse rate, etc. are displayed.
This screen is displayed only when the unit is equipped with the weight monitor unit.
)
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PLEASE READ WITHOUT FAIL
Parts Identification
[Trend screen]
Touch the switch on any other screen of the
incubator mode, and the trend screen will be displayed.
This screen displays trend graphs.
[Menu screen]
Touch the switch on any other screen of the
incubator mode, and the menu screen for advanced
settings of the incubator mode will be displayed.
Use this screen to select advanced settings. In addition, the set temperature, the incubator air temperature, the skin temperature 1, the skin temperature
2, the relative humidity, the oxygen concentration,
SpO2, the pulse rate, etc. in the incubator mode are
displayed.
When this screen is displayed, you can only select
advanced settings of each menu item or switch the
screen to another.
Transition mode screen(3)
This screen appears during transition from the
incubator mode to the radiant warmer mode and
vice versa.
This screen displays such vital signs as the skin
temperature 1, the skin temperature 2, SpO
2, and
the pulse rate.
If the transition should be interrupted in emergency,
a message will appear on the screen. The mode cannot be switched on this screen.
Radiant warmer mode(4)
[Main screen]
This screen appears first when the unit enters the
radiant warmer mode.
If any other screen of the radiant warmer mode is
being displayed, touch the
switch, 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. in the radiant
warmer mode.
20
Parts Identification
[Pulse oximeter screen]
Touch the switch on any other screen of the
radiant warmer mode, and the pulse oximeter screen
will be displayed.
This screen highlights the timer, SpO2, and the pulse
rate in the radiant warmer mode. 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] (
This screen is displayed only when the unit is equipped with the weight monitor unit.
Touch the switch on any other screen of the
radiant warmer mode, and the weight screen of the
radiant warmer mode will be displayed.
This screen highlights weight functions such as the
weighing procedure in the radiant warmer mode and
the weight trend graph.
In addition, the heater setting, the skin temperature
1, the skin temperature 2, SpO
2, the pulse rate, the
timer, etc. are displayed.
[Trend screen]
Touch the switch on any other screen of the
radiant warmer mode, and the trend screen will be
displayed.
This screen displays trend graphs.
)
[Menu screen]
Touch the switch on any other screen of the
radiant warmer mode, and the menu screen for
advanced settings of the radiant warmer mode 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. in
the radiant warmer mode are displayed.
When this screen is displayed, you can only select
advanced settings of each menu item or switch the
screen to another.
21
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Parts Identification
Incubator position
Radiant warmer position
Tr ansition potition
Tr ansition mode screen
Start Screen
Main screen Main screen
Incubator mode Radiant warmer mode
✽
Power applied
: [Main screen] display switch
: [Menu screen] display switch
: [Pulse oximeter screen] display switch
: [Trend screen] display switch
: [Weight screen] display switch
Main screen
Menu screen
Trend screen
Pulse oximeter screen
Weight screen
Screen Transition Diagram2-3-2.
Transition diagram between the two operation modes(1)
The start screen is automatically switched to the main screen of the incubator mode if the canopy is in a lowered
position (the incubator mode); it is automatically switched to the main screen of the radiant warmer mode if
the canopy is in a raised position (the radiant warmer mode).
Transition diagram in each operation mode(2)
The screens to be displayed in the incubator mode are shown below. The same transition diagram applies ✽
to the radiant warmer mode.
22
Parts Identification
List of Operations Available on Each Screen2-3-3.
Table 1. List of Setting Operations Available on Each Screen
Upper: Incubator mode Lower: Radiant warmer mode
Setting (measuring)
Operation
Temperature-related
operation (manual/servo)
Setting humidity
Setting oxygen control
Setting SpO2/pulse rate
upper/lower alarm limits
Weighing the infant
✽2
Timer
✽1
Selecting other advanced
settings
Trend
screen
✽2
screen
Main
Menu
screen
Pulse
oximeter
screen
Weight
screen
✽1
: Setting (measuring) operation available
: Setting operation not available
: The function not provided
✽1: Optional function ✽2: Types selectable on the menu screen
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Parts Identification
Temperature area (See p.24)
Relative humidity area (See p.24)
Message area (See p.26)
Clock and other indicators area
(See p.26)
Oxygen area (See p.24)
Screen display switch area
(See p.25)
Pulse area (See p.25)
Heat area (See p.26)
Timer area (See p.27)
Message area (See p.26)
Clock and other indicators area
(See p.26)
Pulse area (See p.25)
Screen display switch area
(See p.25)
Main screen2-3-4.
Incubator mode•
Radiant warmer mode•
24
Parts Identification
③① ②
④
⑥⑦
⑤
① ②
③
① ②
③
[Temperature area] (Incubator mode)
Touch this area to start the temperature-related setting operation. ✽
No. Name Description
Skin temperature
①
1 display
Displays a detected skin temperature 1 digitally.
Displays a set incubator air tem-
Set temperature
②
display
perature in manual control.
Displays a set skin temperature
1 in servo control.
Incubator air tem-
③
perature display
Heater output
④
indicator
Displays a detected incubator
air temperature digitally.
Indicates the heat supply in 10
levels.
comes on in manual control
Mode indicator
⑤
and comes on in servo
control.
Override indica-
⑥
tor
(in manual control) or
(in servo control) comes on in
the override mode.
Displays a detected skin tem-
Skin temperature
⑦
2 display
perature 2 or
skin temperature 1–detected
T (detected
skin temperature 2) digitally.
[Relative humidity area] (Incubator mode)
Touch this area to start the relative humidity-related setting operation. ✽
[Oxygen area] (Incubator mode)
Touch this area to start the oxygen-related setting operation. ✽
No. Name Description
Relative humid-
①
ity display
Set relative hu-
②
midity display
Displays a detected relative
humidity in the incubator digitally.
Displays a set relative humidity
digitally.
Indicates the level of water in
Water level
③
indicator
the humidity chamber or the
state of the humidity chamber.
No. Name Description
Oxygen concen-
①
tration display
Set oxygen
concentration
②
display
Oxygen flow
③
rate indicator
Displays a detected oxygen
concentration in the incubator
digitally.
Displays a set oxygen concentration digitally.
Indicates a detected oxygen
flow rate in 6 levels.
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Parts Identification
② ③①
④
⑤
⑥⑦
① ② ③
④ ⑤
[Pulse area]
Touch this area to start the pulse oximeter-related setting operation. ✽
No. Name Description
Plethysmograph
①
bar
2 display
%SpO
②
Pulse rate
③
display
Indicates changes in the arterial flow.
Displays a detected SpO2 value
digitally.
Displays a detected pulse rate
digitally.
Displays a pulse rate upper
Pulse rate alarm
④
limits display
alarm limit above and a pulse
rate lower alarm limit below
digitally.
SpO
⑤
limits display
Interference
indicator
⑥
(Nellcor only)
Pulse search
indicator
⑦
(Nellcor only)
2 alarm
Displays an SpO2 upper alarm
limit above and an SpO2 lower
alarm limit below digitally.
Comes on when interference
is detected.
Comes on when no pulse is
detected.
[Screen display switch area]
No. Name Description
Main screen
display switch
Trend screen
display switch
Menu screen
display switch
Pulse oximeter
screen display
switch
Weight screen
display switch
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.
26
Parts Identification
②
①
③
④
Message area
① ②
③
⑤ ④
⑥
[Clock and other indicators area]
[Message area]
Messages other than those related to operations are displayed in this area. ✽
No. Name Description
Alarm silence
①
switch
Date display
②
Time display
③
Touch this switch to silence an
active audible alarm temporarily or reset an alarm condition.
Displays a date in the month/
day/year format.
Displays a time in the
hour:minute format.
Comes on only when the in-
Battery indicator
④
ternal batter y (Power Pack
option) is used.
i
:
[Heat area] (Radiant warmer mode)
Touch this area to start the heater output-related setting operation. ✽
No. Name Description
Skin tempera-
①
ture 1 display
Displays a detected skin temperature 1 digitally.
Displays a set heater output in
Set heat display
②
manual control.
Displays a set skin temperature
1 in servo control.
Heater output
③
indicator
Override indica-
④
tor
Indicates the heat supply in 10
levels.
comes on in the override
mode.
comes on in manual con-
Mode indicator
⑤
trol and comes on in
servo control.
Displays a detected skin tem-
Skin tempera-
⑥
ture 2 display
perature 2 or
skin temperature 1 –detected
T (detected
skin temperature 2) digitally.
27
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Parts Identification
② ③①
④
[Timer area] (Radiant warmer mode)
Touch this area to activate the timer. ✽
No. Name Description
Timer type indi-
①
cator
Timer display
②
Bell indicator
③
Second counter
④
Indicates the timer type currently selected.
Displays how much time
has elapsed digitally in the
minute:second format.
A bell appears when a chime
rings.
Activates ever y 30 seconds
only in the CPR timer mode.
Comes on segment by segment
as each second passes.
28
Parts Identification
Incubator numerical
values area (See p.29)
Message area✽
(See p.26)
Clock and other
indicators area (See p.26)
Screen display switch area
(See p.25)
Pulse area (See p.31)
Radiant warmer numerical
values area (See p.30)
Message area✽
(See p.26)
Clock and other
indicators area (See p.26)
Screen display switch area
(See p.25)
Pulse area (See p.31)
Pulse Oximeter Screen2-3-5.
Incubator mode•
The pulse area shown in the figure above is for a Masimo pulse oximeter. ✽
Radiant warmer mode•
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 (“2-3-4. Main Screen”). (Therefore there is no reference to them below.)
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