Atom Medical Corporation V-2100G Operation Manual

Infant incubator
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V-2100G Infant Incubator
V-2100G Infant Incubator
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE
OF MAINTENANCE AND CARE OF THE UNIT:
Read this Manual carefully before operating the unit.
After reading this Manual, keep it where it is readily accessible
for reference in case of need.
This Manual contains description of all the functions available,
including the oxygen controller and the infant's weight moni-
tor.
So please skip any section unrelated to your unit.
0123

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  • Page 1 0123 V-2100G Infant Incubator V-2100G Infant Incubator Operation Manual TO THE OPERATOR AND THE PERSON IN CHARGE OF MAINTENANCE AND CARE OF THE UNIT: Read this Manual carefully before operating the unit. After reading this Manual, keep it where it is readily accessible for reference in case of need.
  • Page 2 The name and address of our authorized representative within the community are as stated below. PHARMASERVE-LILLY S.A.C.I. 15th klm National Road Athens-Lamia, 145 64 Kifissia, Greece Post Address : P.O.Box 51288, 145 10 Kifissia, Greece Tel. : 3016294600, Fax. : 3016294610...
  • Page 3: Introduction

    This Operation Manual deals with the specifications, operation and maintenance of the Atom Advanced Infant Incubator V-2100G. Atom is by no means responsible for any malfunction arising from a user ignoring the instruc- tions for operation and maintenance described in this Manual as well as for any accident attributable to repair by someone other than technical personnel belonging to, or authorized by, Atom.
  • Page 4: Safety Information

    SAFETY INFORMATION Instructions to ensure safe operation of the unit are found throughout this Manual. Please read the Manual carefully before operating the unit. Please follow the instructions in operating it. [1] Basic Instructions 1.Follow the instructions for safe use of the unit. Follow the operating instructions described in this Manual for safe use of the unit.
  • Page 5 [3] Definition of Marks 1. Marks to indicate caution or warning Mark 《Title》 and Indication 《General attention》 Indicates unspecified general caution or warning. 《Caution: Hot surface》 Indicates that the surface can be dangerously hot. 2. Marks to prohibit action Mark 《Title》...
  • Page 6 WARRANTIES This equipment is guaranteed by Atom Medical Corporation for a period of one year from the date of delivery to be free of any defects in both materials and workmanship when used normally for its intended purpose. Any parts of this equipment proving to be so defective will be repaired or replaced at no charge during the warranty period.
  • Page 7 [1] Precautions on Jamming WARNING Electro-Surgical apparatus, cellular phones and other devices which generate high-frequency noise can cause jamming to various electric equipment for medical use and thus result in malfunction. Since portable phones and other devices are often used in medical facilities, some measures should be taken to prevent jamming due to such devices.
  • Page 9: Table Of Contents

    C O N T E N T S INTRODUCTION ...................... 1 [1] Operating Precautions 1-1. DANGER ....................8 1-2. WARNING .................... 9 1-3. CAUTION ................... 11 [2] Parts Identification 2-1. Main body ....................12 2-2. Control Panel ................... 15 [3] Preparation before Use 3-1.
  • Page 10: Operating Precautions

    [1] Operating Precautions Please follow the operating instructions described in this Manual for 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.
  • Page 11: Warning

    Ground the unit securely. Otherwise current leakage may cause an electric shock. To complete the ground connection, con- nect the power cord only to a 3P power outlet including a ground terminal and grounded properly. Do not operate the unit if you have any doubt about its ground connection. Do not use near the unit any device generating high frequency.
  • Page 12 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 pinch the power cord between the unit and the wall, a shelf or the floor. ●...
  • Page 13: Caution

    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. Always keep the unit warm to maintain the incubator air temperature at a fixed level during the standby mode.
  • Page 14: Parts Identification

    [2] Parts Identification 2-1. Main body ■ B.C type Name Name Sensor module (B,C type) Front admittance panel operating lever Sensor module (A type) Front admittance panel Iris access port Tube introduction slit assembly Relay box Snap-open access port Test switch Mattress MF rail Control panel...
  • Page 15 ■ A type − 13 −...
  • Page 16 ■ Right side (Power Unit) ■ Rear ● A type ■ Inside ● B type ● C type Name Name Filter cover Top board packing Oxygen connecting port 1 Top board Oxygen connecting port 2 (to use the inter- Fan cover nal oxygen controller) Power switch Conditioning chamber...
  • Page 17: Control Panel

    2-2. Control Panel #4 #5 @1 @2 q w y u i o ! 0 ˚C ˚C ˚C ˚F ˚F ˚F SKIN >37.5℃ >37℃ 100% ˚C >37.5℃ .>37℃ ˚F #7 #8 #9 @9 # 0 #1 #2 # 3 @3 @4 @5 !2 !6 !7 !8 Temperature Temperature...
  • Page 18 Humidity Weight Monitor (C Type) Relative humidity display TARE SUBTRACTED indicator Displays a detected relative humidity in the incubator digitally. Illuminates when net weight is displayed. Set relative humidity display STABILIZED indicator Displays a set relative humidity digitally. Illuminates when a measured weight on the display has stabilized. Relative humidity selector switch Weight display Press this switch to set a relative humidity.
  • Page 19: Preparation Before Use

    [3] Preparation before Use 3-1. Assembly The main body of the incubator and the cabinet or the HL stand are separately packed when shipped from the fac- tory. Assemble the separate components correctly. CAUTION At least two people should join forces in as- sembling the unit for safety's sake.
  • Page 20: Where To Install The Infant Incubator

    3-2. Where to Install the Infant Incubator Install the incubator in a horizontal place convenient for work. Avoid installing it near a heating apparatus, by the window or where an open fire is used. CAUTION Avoid installing the incubator in direct sun- shine, near a stove or a radiator, in the cur- rent of an air-conditioner, or by a cold win- dow so that it may not be affected directly by...
  • Page 21: Power Outlet And Grounding

    3-4. Adjusting the HL Stand (HL stand type) (1)The height of the HL stand can be adjusted if neces- sary by stepping on an appropriate side of the elevat- ing pedal. Be sure to connect the power plug of the HL stand to the power outlet.
  • Page 22: Power Cord And Power Switch

    3-6. Power Cord and Power Switch (1)Connect the power cord to the connector of the power unit on the side panel of the main body. Then con- nect the power plug on the other end of the power Power switch cord to the power outlet.
  • Page 23: Rechargeable Battery

    3-7. Rechargeable Battery The unit contains a rechargeable battery intended to give an alarm when the power supply has stopped. The battery needs charging in any of the following cases: immediately after purchasing the unit after the activation of a mains failure alarm after the unit has not been used for a long time when no alarm or only a feeble alarm sounds on the activation of a mains failure alarm by setting the power switch to the ON position with the power cord off...
  • Page 24: Incubator Air Temperature Control

    [4] Incubator Air Temperature Control Air temperature in the incubator can be controlled in two user selectable modes. In the Manual Control mode, the incubator air temperature is controlled to a preselected level, in the Servo Control mode, a skin tempera- ture probe is attached to the infant and the heater output is controlled to maintain the infant's skin temperature at a preselected level.
  • Page 25 CAUTION The set temperature should be at least +3 ℃ higher than the ambient temperature. If a phototherapy unit, a heating humidifier, etc. is used with the incubator, the set tempera- ture should be at least +5 ℃ higher than the ambient temperature.
  • Page 26 4-1-2. Setting the incubator air temperature in the override mode (Manual Control) The incubator air temperature can be set above 37.0℃ in the range of 37.1 - 39.0℃ by pressing the override switch (1)Press the AIR switch for about one second. With the AIR indicator flashing, press the override switch ON.
  • Page 27 DANGER After the infant is placed in the incubator, check again that the front admittance panel and the access ports are all closed securely. For the infant's safety, never leave the incubator unattended when the front admittance panel or an access port is open. CAUTION Place the infant in the incubator only after the incubator air temperature has stabilized.
  • Page 28 (1)Insert the cable plug of the skin temperature probe Cover baby firmly into the port 1 on the sensor module on the left side of the hood. As for the A-type unit, connect the skin temperature probe firmly to the connecting port on the power unit. (2)Pass the plug of the skin temperature probe cable through the tube introduction slit assembly on the Temperature Probe...
  • Page 29: Setting The Skin Temperature (Servo Control)

    CAUTION Be sure to connect the yellow skin tempera- ture probe to the skin temperature probe con- necting port 1. ■To monitor the skin temperature at two different sites The A-type unit doesn't have the following functions. (1)Connect the "Yellow" probe to the skin temperature connecting port1.
  • Page 30 ■ Mechanism to prevent low incubator air temperature The incubator is provided with a mechanism to prevent the incubator air temperature from falling unneces- sarily due to infant's fever, etc. If the infant's skin temperature should exceed the set temperature by not more than 0.5℃, the incubator air temperature will not fall below the infant's skin temperature by more than 5 ℃.
  • Page 31 WARNING Do not place the skin temperature probe under the infant. Do not use it as a rectal probe. CAUTION Follow the doctor's instructions as to where to attach the skin temperature probe to an infant in a prone position. ■...
  • Page 32 4-2-4. Switching to the Servo Control mode (1)Press the SKIN switch for about one second and switch to the Servo Control mode. The SKIN indicator illuminates, and at the same time, the set temperature is switched from the incubator air temperature to the skin temperature. (2)To set or change the skin temperature, press the SKIN switch for about one second.
  • Page 33 4-2-5. Setting the skin temperature in the override mode (Servo Control) The incubator skin temperature can be set above 37.5℃ in the range of 37.6 - 39.0℃ by pressing the override switch (1)Press the SKIN switch for about one second. With the SKIN indicator flashing, press the override switch ON.
  • Page 34: Humidity Control

    [5] Humidity Control WARNING Humidity should be controlled after the incubator air temperature has stabilized. Be sure to follow the doctor's instructions in humidity control. (1)Open the humidity chamber cover. Humidity chamber cover (2)Pull down the arm of the humidity chamber fixing Fixing lever lever toward you until it comes to the position labeled [FREE] on the main body.
  • Page 35 CAUTION Do not pour water directly in the humidity chamber. Be sure to fill the cartridge tank with sterile distilled water. To take out the humidity chamber, pull the fixing lever toward you and draw the humidity cham- ber out of the main body until it stops. Then lifting up the humidity chamber, take it out. Be careful in handling the humidity chamber because it is heavy with water in it.
  • Page 36 ■Prevention of the multiplication of micro-organisms in the humidity chamber The optional Silvita (with silver steam attached, intended for use in the humidity chamber), placed in the humidity chamber, helps inhibit the multiplication of micro-organ- isms. Clean the Silvita gently with a soft cloth damp- ened with a disinfectant solution, once a week, to remove the dirt on the surface.
  • Page 37: Oxygen Supply

    [6] Oxygen Supply WARNING Be sure to follow the doctor's instructions in making decisions on oxygen supply. Pay ut- most attention to the oxygen concentration in the incubator during oxygen supply. Never supply humidified oxygen from the oxygen connecting port. Supplying humidified oxygen by means of a humidifier jar or other devices may damage the internal oxygen sup- ply valve.
  • Page 38 ■ Connecting the oxygen cylinder To connect the oxygen cylinder, use the optional high pressure oxygen hose (for V-505/pressure reducing regulator) and the optional OX-231 pressure reducing regulator (for oxygen). (2)Check that two oxygen sensors are attached to the sensor module on the left side of the hood. Press the ON/OFF switch for about one second, and the oxygen concentration display will illuminate.
  • Page 39 ■ Calibration To use the oxygen controller, be sure to perform the 21% calibration procedure described in (3) above. For more precise oxygen control, perform the 100% calibration procedure described below. ■ 100% calibration To perform the 100% calibration procedure, obtain the 100% oxygen Cablibration switch calibration adapter...
  • Page 40 WARNING The oxygen concentration in the incubator varies with the dirtiness of the filter, the operat- ing conditions of the incubator, the accuracy of the oxygen flowmeter, etc. To maintain the oxygen concentration in the incubator accurately at a desired level, measure it repeatedly with an accurate oxygen monitor.
  • Page 41: Weight Monitor (C Type)

    [7] Weight Monitor (C type) The description in this section relates to a unit in which a weight monitor is installed. If your unit doesn't have one, please skip this section. Two weighing modes are available: the weight mode and the weight difference mode. Choose either mode before monitoring.
  • Page 42 (3) “CA-5” appears on the weight display. The weight monitor is now in the 5kg calibration mode. (4)0kg calibration Press the WEIGHT switch with nothing lying on the mattress platform. The STABLIZED indicator should come on. (5)Check that a four-digit sexadecimal value appears on the weight display.
  • Page 43: Setting The Weighing Mode

    7-2. Setting the Weighing Mode (1)Pull down the power switch of the incubator to turn power off. (2)Pull up the power switch to turn power on while press- ing the ZERO switch. (3)Either “P-1” (in the weight mode) or “P-2” (in the weight difference mode) appears on the weight dis- play.
  • Page 44: Weighing Procedure

    7-3. Weighing Procedure 7-3-1. Weight mode (P-1) Only the infant, excluding the mattress, the bed sheet, etc. is weighed. ● Make sure that the infant's clothes, the bed sheet, etc. are within the boundary of the mattress platform. (1)Press the ZERO switch with the infant lying on the mattress platform.
  • Page 45 7-3-2. Weight difference mode (P-2) The amount of change in the infant's weight including that of the mattress, the bed sheet, etc. is determined. (1)Press the ZERO switch to have the reference weight stored in the memory. “0” appears on the weight display.
  • Page 46: Recording The Weight

    7-4. Recording the Weight An optional printer can be connected to the weight moni- tor. When the printer is connected, you can select one of the two recording methods: to have a weight value printed on the recording paper by pressing the STORE switch every time you weigh the infant, or to have all the weight values in the memory printed on the time series.
  • Page 47: Correcting The Time

    7-5. Correcting the Time A clock is incorporated in the unit to record the time and date of weighing. If the clock should go wrong, follow the procedure below to correct the time. (1)Pull down the power switch of the incubator to turn power off.
  • Page 48: Other Operation Procedures

    [8] Other Operation procedures 8-1. Drawing out the Mattress Platform Open the front admittance panel and draw out the mat- tress platform toward you. The stopper will function, and the mattress platform will be locked in place before com- pletely coming out. WARNING Mattress platform Before drawing out the mattress platform,...
  • Page 49: X-Ray Cassette Tray

    8-3. X-ray Cassette Tray Open the front admittance panel and draw out the X-ray Mattress cassette tray from under the mattress platform. Place a platform cassette loaded with an X-ray film and replace the X-ray cassette tray to its former position. X-ray photographs can be taken with the infant in the incubator.
  • Page 50: Test Switch

    8-6. Test Switch ■ B.C type Press the test switch, and all LEDs will turn on and the audible alarm will sound. Thus you can check if the alarms operate normally or not. Test switch ■ A type Test switch −...
  • Page 51: Cleaning, Disinfection And Maintenance

    [9] Cleaning, Disinfection and Maintenance CAUTION Be sure to turn the power off, remove the power plug and allow the incubator and the heater to cool down sufficiently before cleaning or disinfecting the unit. This product is shipped without being disinfected. Be sure to clean and disinfect the unit before using it for the first time after purchase.
  • Page 52 ● Snap-open access port packing Snap-open access port packing Remove the rubber packing from the snap-open ac- cess port. Immerse and clean it in a disinfectant solution. ● Front admittance panel packing Remove the rubber packing from the front admittance panel.
  • Page 53: Mattress Platform And Parts Beneath

    ● Hood After all the parts are removed from the hood, wipe clean the inside and the outside of the hood with a soft cloth dampened with a disinfectant solution. ■ Replace the all removed components to their former po- sitions.
  • Page 54 ● Top board and top board packing Hold the top board by the tilting mechanism, lift up the top board and take it out. Remove the top board packing from the top board. Wipe it clean with a soft cloth dampened with a disin- fectant solution.
  • Page 55: Others

    9-3. Others ● Skin temperature probe Wipe a used probe lightly with a soft dry cloth. Wipe the thermistor with a soft cloth dampened with a disin- fectant solution to disinfect. Be sure to keep the skin temperature probe in its case. CAUTION Never wipe the skin temperature probe with alcohol, or the material will harden.
  • Page 56 WARNING Boiler The humidity chamber contains electric parts. Never immerse the humidity cham- ber in a detergent solution. Do not rub the water level sensor and boiler's surface of the humidity chamber with a metal brush Water level sensor or any other hard material. The water level sensor may be damaged.
  • Page 57: Maintenance Inspection

    [10] Maintenance Inspection To use the unit safety for a longer period, perform maintenance inspection as instruction below. ● Parts requiring periodical replacement Some parts need to be replaced periodically. ● Inspection before use Check the operation of each part every time you are going to use the unit. ●...
  • Page 58: Three-Month Inspection

    Item to check Description When it is pressed, all LEDs should turn on and the audible alarm Test switch should sound. Should be clean. Filter (Otherwise, air circulation may not be controlled properly.) Top board should be positioned properly and free of breakage. Rim seal for main deck (Otherwise, adequate positive pressure in the hood may not be maintained.)
  • Page 59: Periodical Replacement Parts

    Item to check Procedure Description Power failure alarm Turn power on, and then remove the Both the audible and visible alarms power plug from the power outlet. should activate. Weight monitor Place a 5kg weight (option) and check The display value should be in the range the display.
  • Page 60: Replacing The Filter

    10-4.Replacing the Filter CAUTION Replace the old filter with a new one every three months in general. The dirtiness of the filter varies with the degree of air pollution and the frequency of operation. Check the dirtiness of the filter through the window of the filter cover. If the filter should be found discolored, replace it with a new one even if the three-month interval is not over yet.
  • Page 61: Replacing The Oxygen Sensor (Unit With Oxygen Controller)

    10-5.Replacing the Oxygen Sensor (Unit with oxygen controller) The description in this section relates to a unit in which an oxygen controller is installed. If your unit doesn't have one, skip this section. WARNING As part of daily inspection, check the oxygen sensor for any sign of deterioration or liquid leakage.
  • Page 62 (4)Remove the oxygen sensor holder from the old oxy- gen sensor. Obtain a new oxygen sensor and attach the oxygen sensor holder to it. Oxygen sensor Oxygen sensor holder (5)Connect the connector to the new oxygen sensor, place the new oxygen sensor in the sensor module and turn it clockwise to attach it as before.
  • Page 63: Inspection Check List

    10-6.Inspection Check List Serial NO.(     ) Date of inspection(  . .  ) Inspector(      ) Item to check Judgement Inspection before use (every time) Are the main body and the hood free of breakage? YES / NO Is the main body fixed securely to the cabinet or the HL stand? YES / NO Are the access port covers free of breakage and attached securely? YES / NO...
  • Page 64: Life

    If any trouble is detected in any inspection, indicate on the unit that it is out of order, and have it repaired without fail. Contact Atom Medical Corporation or your local distributor for further information on servic- ing or repairs.
  • Page 65: Alarms

    [11] Alarms WARNING This incubator is provided with the following alarms. If an alarm condition should occur, check for a possible cause of the alarm. If the incubator seems to be defective, it is in need of repairs. Indicate on the incubator that it is out of order and contact your Atom distributor. 11-1.High Temperature Alarm In the Manual Control mode, the indicator will illuminate and a continuous audible alarm will sound if the...
  • Page 66 CAUTION The unit is so designed that the set point alarm does not activate for 50 minutes after power is applied to the unit, after the set temperature is changed to another level, or after the unit is switched from the Servo Control mode to the Manual Control mode. However, the set point alarm will begin to activate even within 50 minutes of the above-mentioned events if the incubator air temperature should exceed, or fall below, the set temperature.
  • Page 67 11-6.Power Failure Alarm If power supply should be interrupted due to power breakdown, a disconnected power plug, a broken power cord, a tripped circuit breaker or other causes, the indicator will illuminate and an audible alarm will sound. Action to take: Check the connection of the power supply, the system circuit breaker, and the circuit breaker of the hospital.
  • Page 68 11-9.Oxygen Concentration Alarm If the oxygen concentration in the incubator deviates from the set oxygen concentration by more than ± 3%, the oxygen concentration alarm indicator will flash and an audible alarm (continuous) will sound. Action to take: Check that the access ports and the front admittance panel are closed and that oxygen is suffi- ciently supplied.
  • Page 69: Troubleshooting

    [12] Troubleshooting CAUTION Check the following points before requesting repair service. Trouble Action to Take Nothing is displayed on the panel when the ● Check the circuit breaker of the incubator. power switch is pressed ON, and the power ● Is power connected securely? failure alarm activates.
  • Page 70: Technical Data

    [13] Technical Data Power requirements Main body Rating: AC230V 500VA (Maximum) 50Hz Voltage range: AC230V ± 10% HL stand Rating: AC230V 630VA (When actuated) 50Hz Voltage range: AC230V ± 10% Classification Type of protection: Class1. Degree of protection: Type BF Not for use in air and flammable anesthetic gas or oxygen/nitrous oxide and flam- mable anesthetic gas.
  • Page 71 ■ Temperature control Temperature control mode Servo Control/Manual Control also available Temperature setting range Skin temperature(Servo Control): 35.0-37.5 ℃(Override mode:37.6-39.0 ℃) Incubator air temperature (Manual Control): 23.0-37.0℃ (Override mode:37.1-39.0 ℃) In 0.1 ℃ increments Temperature display range Skin temperature: 30.0-42.0℃ (86-107.6° F) Precision : ±...
  • Page 72 ■ Oxygen control (Unit with oxygen controller) Oxygen control mode Servo Control Oxygen concentration 22-65% (in 1% increments) setting range Oxygen concentration 15-105% display range Response time for 30sec (90% response) oxygen concentration display Type of oxygen sensor Galvanic cell type Accuracy of oxygen ±...
  • Page 73 Please contact the Atom distributor from whom you bought this unit for more information and for repair and inspection of the unit.
  • Page 74 C50M021 (V22-10) For EU 3-18-15, Hongo, Bunkyo-ku, Tokyo, Japan. Phone: +81-3-3815-2311 Fax: +81-3-3812-3144 4. 2004. PRINTED in Japan...

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