Atom Transcapsule V-707 Incubator - User Manual PDF
Atom Transcapsule V-707 Incubator - User Manual PDF
Atom Transcapsule V-707 Incubator - User Manual PDF
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This Operation Manual deals with the specifications, operation and maintenance of the Atom Transcapsule V-707.
Atom is by no means responsible for any malfunction arising from a user ignoring the instructions for operation
and maintenance described in this Manual as well as for any accident attributable to repair by someone other than
technical personnel belonging to Atom.
Read this Manual carefully and familiarize yourself thoroughly with its contents before operating the unit. Keep
this Manual where it is readily accessible for reference in case of need. If any technical problem should arise,
please contact your local Atom representative.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before
using it for the first time after purchase.
Used parts and products past their lives should be disinfected and/or sterilized and then disposed
of as medical waste.
INTENDED USE
The Atom Transcapsule V-707 is a closed-type transport incubator for neonatal and premature infants in-
tended to transport low birth weight infants and seriously ill neonates.
SAFETY INFORMATION
Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual
carefully before operating the unit. Please follow the instructions in operating it.
4. EMC
Medical electric equipment needs special precautions regarding EMC. It needs to be installed and put into
service according to the EMC information provided in this Manual.
❉ EMC stands for electromagnetic compatibility. EMC requirements specify measures against emitting and
receiving unwanted electric waves.
−1−
[2] Definition of Warning Indication
Three levels of warning indication are used throughout this Manual and on the unit. They are defined as
follows.
A DANGER notice indicates an immediately hazardous situation which, if not
DANGER: avoided, will result in death or serious injury, serious damage to property such as
total loss of use of equipment, and a fire.
A CAUTION notice indicates a hazardous situation which, if not avoided, can re-
CAUTION: sult in minor or moderate injury, partial damage to property, and loss of
data stored in computers.
General attention
Indicates unspecified general caution or warning.
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.
−2−
3. Symbols to give instructions for action
General instruction
Indicates unspecified general action on the part of the user.
Equipment partially on
Indicates that a part of the device is “ON”.
Alarm setting
Indicates a switch for setting the alarm function.
Fan
Indicates a control switch that controls the fan.
Lighting
Indicates a switch that controls lighting.
Date of manufacture
Indicates the date when the unit was manufactured in the factory.
−3−
Mark Title and Indication
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.
FUSE
Indicates the fuse.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manufac-
turer.
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.
5. Other symbols
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Alarm
Indicates a power failure alarm.
AC power
Indicates that the device is connected to AC power.
Battery
Indicates that the device is being powered by a battery or batteries.
Alarm
Indicates that an audible alarm is silenced.
Alarm
Indicates that a system of the unit is in an abnormal condition.
Alarm
Indicates that the incubator air temperature has exceeded or fallen below the set temperature by
3˚C or more.
−4−
Mark Title and Indication
Alarm
Indicates that the rotation of the fan is abnormal or the fan has not been attached.
Alarm
Indicates a high temperature condition with the incubator air temperature exceeding 39˚C, and
the high temperature adjusting volume.
Setting
Indicates a setting value of the incubator air temperature.
Heater
Indicates a heater output.
Skin temperature
Indicates the infant’s skin temperature, the connecting port of the skin temperature probe and
the connecting port of the skin temperature monitor cable.
Power switch
POWER
Indicates the power switch of the main body.
Breaker
BREAKER
Indicates the breaker of the main body.
Lighting lamp
Indicates the lighting lamp cable connecting port.
Test switch
Indicates the test switch.
Load capacity
Indicates the maximum load capacity.
Gross weight
Indicates that the gross weight when peripheral devices of maximum loading capacity are at-
tached to the product is as inscripted.
−5−
[1] Precautions on Jamming
WARNING
Electric surgical knives, portable and mobile communication equipment, 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 and mobile communication equipment, etc. are often used in medical facilities,
some measures should be taken to prevent jamming due to such devices.
Portable and mobile communication equipment and other devices which generate high frequency
should not be used near the unit during its operation to prevent malfunction of the unit due to
jamming.
CAUTION
It is the user (a hospital, a doctor’s office, a clinic) that is responsible for the operation, mainte-
nance and care of the electric equipment for medical use. The equipment should be used only by
medical personnel.
WARNING
Do not disassemble or modify the unit. Otherwise a fire, an electric shock or injury may result.
CAUTION
Proper periodical inspection is needed to use the unit under optimum conditions.
CAUTION
If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of
order and contact immediately your local Atom representative or service engineer. See this Opera-
tion Manual for whom to make contact.
If any abnormal condition or trouble should occur, do not use the unit until it has been repaired
completely by a service engineer so as to prevent possible danger.
−7−
C O N T E N T S
INTRODUCTION ............................................................................................. 1
[1] Operating Precautions
1-1. DANGER .......................................................................................... 10
1-2. WARNING ........................................................................................ 12
1-3. CAUTION ........................................................................................ 13
[2] Parts Identification ...................................................................................... 15
[3] Setting up the Incubator
3-1. Assembling ............................................................................................. 21
3-2. Locking the Casters ............................................................................... 23
3-3. Adjusting the Height of the HL Stand ................................................. 23
3-4. Connecting the Power Pack to the Main Body .................................. 24
3-5. Where to Place the Incubator. .............................................................. 24
3-6. Fixing the Incubator to transport vehicle ........................................... 24
3-7. Power Outlet and Grounding ............................................................... 25
3-8. Power Cord and Power Switch ............................................................. 26
3-9. Inspection before Use ........................................................................... 27
[4] Power Source
4-1. Using the AC Power (AC220-240V) ..................................................... 28
4-2. Using the Battery Power ...................................................................... 29
4-3. Using the External DC Power (DC12V) ............................................. 30
[5] Incubator Air Temperature Control and Placing the Infant in the Incubator
5-1. Setting the Incubator Air Temperature ............................................... 31
5-2. Placing the Infant in the Incubator ...................................................... 33
5-3. Skin Temperature Monitoring ............................................................. 35
[6] Oxygen Supply ............................................................................................. 37
[7] Other Operating Procedures
7-1. Inserting the Cords and Tubes ............................................................ 39
7-2. Lighting Lamp ........................................................................................ 39
7-3. I.V. Pole (Option) ................................................................................... 39
7-4. Test Switch ............................................................................................. 40
7-5. Check Switch ......................................................................................... 40
7-6. Unlocking the Hood Lock (for opening the rear hood) .................... 40
[8] Cleaning and Disinfection
8-1. Skin Temperature Probe ....................................................................... 41
8-2. Hood ........................................................................................................ 42
8-3. Mattress Platform .................................................................................. 43
8-4. Replacing the Filter ............................................................................... 44
[9] Maintenance Inspection
9-1. Daily Inspection ..................................................................................... 45
9-2. Three-month Inspection ....................................................................... 46
9-3. Periodical Replacement Parts .............................................................. 46
9-4. Inspection Checklist .............................................................................. 47
9-5. Disposal .................................................................................................. 48
[10] Alarms and Alerts ........................................................................................ 49
[11] Troubleshooting ........................................................................................... 51
[12] Technical Data .............................................................................................. 52
[13] EMC level and Classification .................................................................... 54
[14] Accessories, Supplementary Equipment, Used Material .................. 58
[1] Operating Precautions
Please follow the operating instructions described in this Manual for the safe use of the unit. The unit should
be operated only by those who have been trained and instructed properly in its operation. The unit should be
operated only for its intended use.
1-1. DANGER
Death or serious injury, damage to equipment or a fire will result if the instructions given below are not fol-
lowed.
Be sure to keep the front admittance panel and the access ports closed
when using the unit.
If the front admittance panel or an access port is left open when the unit is in use, the infant may fall
out of the baby compartment. Be sure to keep the front admittance panel and the access ports closed
during phototherapy also when it is performed on an infant placed in the incubator.
Do not leave the unit unattended when the front admittance panel or an
access port is open.
If the front admittance panel or an access port is left open, the infant may fall out of the baby compart-
ment and even lose its life. Never leave the unit unattended when the front admittance panel or an
access port is open.
If the front admittance panel, a snap-open access port or a hook slider should
be found loose or faulty, stop using the unit immediately and ask for repair.
The infant may fall.
Always check the front admittance panel operating retainer and the hook
sliders of the snap-open access ports for proper operation. If the front ad-
mittance panel or a snap-open port should not close securely, don’t place
an infant in the unit, and ask for repair.
Do not open the front admittance panel or an access port in order to lower
the incubator air temperature.
Because the incubator air temperature is controlled automatically at a set temperature, the heater
output will increase dangerously to make up for any temperature drop.
After the infant is placed in the incubator, check again that the front admit-
tance panel and the access ports are all closed securely.
Never place a body warmer or other possible ignition sources in or near the
unit.
Use of oxygen will increase a risk of explosion or a fire. A body warmer 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.
− 10 −
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.
If water or any liquid should get into the unit, stop using the unit and re-
quest a repair service.
If the power supply should be short-circuited, it may cause the incubator to ignite or burn out. Chemical
fluids, having entered the unit, may stick to the incubator parts and cause abnormal operation of the
incubator.
− 11 −
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.
Always maintain the incubator air temperature at a fixed level during the
standby.
Place the infant in the incubator only when the incubator air temperature
has stabilized.
Be sure to follow the doctor’s instructions in setting the incubator air tem-
perature.
Bear in mind the following precautions while using oxygen supply equip-
ment.
쎲 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 regula-
tor, the oxygen cylinder valve, piping, connections and other parts of oxygen supply equipment.
쎲 On a high-pressure oxygen cylinder, use only a tested pressure reducing valve or pressure regu-
lating 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 first and then
to supply oxygen again.
Smoking is prohibited in the room where the unit is installed. Do not place
any possible ignition sources in the room.
− 12 −
Before cleaning or disinfecting the unit, be sure to turn off the unit, remove
the power plug and make sure that the incubator air temperature and the
heater temperature have sufficiently fallen.
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 con-
tact with a trailing power cord. Use a separate power outlet for each unit.
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.
1-3. CAUTION
Injury or damage to ambient 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.
When inserting a cord or a tube into the unit, be careful not to let it wind
around or squeeze the infant inside.
− 13 −
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 or disinfect-
ing the unit.
Cleaning or disinfecting the unit with the power plug connected to the power outlet may cause an
electric shock.
The unit uses rechargeable batteries (a lead-acid battery and a nickel metal
hydride battery). To dispose of the unit, remove the lead-acid battery and
the nickel metal hydride battery from the unit and send them to authorized
recycling facilities for recycling.
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 peripheral devices for any
effect before using the unit in clinical settings. Stop using the unit immediately if any trouble is
detected.
When you transfer the incubator by holding the handles, make sure you do
so with the help of another person.
The power pack weighs about 13kg. Please use caution when handling it.
Be sure to attach the semi-iris access port cover to the snap-open access
port packing.
If you open the snap-open access port without attaching the semi-iris access port cover, the incubator
air temperature and oxygen concentration will drop.
− 14 −
[2] Parts Identification
2-1. Main body
e r t
q
y
w
u
i
!0 !1 !2 !3
!4
❉ The I.V pole (option) can be attached to either side of the incubator.
− 15 −
2-2. Right side of the main body (the power supply)
q w e
No. Name
q Power switch
w Breaker
e DC power connecting port
q e
No. Name
q Filter
w High temperature adjusting volume
e Test switch
− 16 −
2-4. Inside of the main body
No. Name
q Mattress
w Hood packing
e Mattress platform
r Fan cover
t Fan
y Fan cover catch
u Heater
− 17 −
2-5. Stand
쎲 HL stand
No. Name
q Main body
w HL stand
e Power pack for V-707
No. Name
q Main body
w Cabinet stand for internal hospital use
e Power pack for V-707
− 18 −
2-6. Operation panel
u
q
i
o
!0
w
!1
!2
e
!3
r
!4
!5 t
!6 y
!7
− 19 −
2-7. Power pack for V-707
e r t
No. Name
q Display panel
w Fuse (for the battery)
e Power pack cable
r Power cord
t AC inlet
w e
No. Name
q Battery charge level indicator
w Power (charging) indicator
e Check switch
− 20 −
[3] Setting up the Incubator
3-1. Assembling
Assemble the separate components of the incubator cor-
rectly. If you use the HL stand or the Cabinet stand for
internal hospital use with the incubator, attach it correctly
to the incubator as instructed below.
CAUTION
The incubator is heavy. At least two able
people are required to assemble or move the
incubator.
3-1-1. HL stand
− 21 −
3-1-2. Cabinet stand for internal hospital use
Fixing device
WARNING
Be sure to put together the incubator and
the stand securely with the main body fixing
bands. Otherwise the incubator may tip over
when force is applied to open the hood, or it
may fall down when a shock is given during
transport. Never operate the incubator be-
fore it is fixed securely to the stand.
− 22 −
3-2. Locking the Casters
The casters of the HL stand and the cabinet stand for internal hospital use are provided with stoppers. To use
the incubator on the HL stand and the cabinet stand for internal hospital use, take the following steps.
(1) Install the incubator in a desired place and step on
the stoppers on the casters of the stand to lock them.
(2) To move the incubator to another place, unlock the
stoppers of the casters. Lock
CAUTION
Install the HL stand and the cabinet stand for
Stopper
internal hospital use on a horizontal and stable
place. Lock the stoppers on the casters to fix
the stand securely. To move the incubator to
another place, be sure to unlock the casters.
Lock
Stopper
− 23 −
3-4. Connecting the Power Pack to the Main Body
쐽 Insert the connector of the power pack cable into the
DC power connecting port
DC power connecting port on the side of the main body
and turn the ring to attach the connecting cord se- Power pack cable
curely.
Ring
CAUTION
Avoid placing the incubator in direct sunshine, near a stove or a radiator, in the direct airflow of an
air conditioner, or by a cold window. The incubator will be affected directly by these external ther-
mal conditions.
WARNING
Do not use the HL stand and the Cabinet stand for internal hospital use in an ambulance.
− 24 −
3-7. Power Outlet and Grounding
WARNING
The power outlet should be located near the unit to prevent accidental contact with a trailing
power cord. Use a separate power outlet for each unit.
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.
Electrical ratings of the unit for AC 220-240V and DC 12V power sources are as follows:
q AC220-240V: power consumption 220VA; frequency 50/60Hz; operating voltage range; AC198-
264V
w DC12V; 10A; operating voltage range; 11.0-14.0V
The unit should not be connected to any other power source.
Fuse
− 25 −
3-8. Power Cord and Power Switch
Power cord
(2) Connect the power pack cable to the DC power con- Power switch
necting port on the power supply on the side of the
Power pack cable
main body.
(3) Turn on the power switch.
쐽 Memory function
Information stored in the memory will be retained by the memory function supported by the nickel metal
hydride battery in the main board.
If the power supply should be interrupted, the preselected settings will be retained in the memory, so that it is
not necessary to set them anew when the power returns. When the power switch is turned on, the last selected
settings will be displayed.
CAUTION
To prevent a malfunction, allow at least one minute or so after the activation of the breaker before
pressing the pushbutton.
− 26 −
쐽 How to replace the fuse (for the battery)
If any faulty condition should occur to the circuit, the fuse will burn out to shut off the battery power in order
to prevent possible accidents. To replace the fuse, take the following steps:
(1) Turn off the power switch.
Turn the fuse holder while pressing it,
(2) Remove the power cord from the AC power source. and the fuse holder can be removed.
WARNING
Be sure to inspect the unit before using it. Operating the unit without inspecting it before use may
let a defect pass unnoticed and cause a serious accident.
DANGER
Always check the front admittance panel retainers and the hook sliders of the snap-open access
ports for proper operation. If the front admittance panel or a snap-open access port should not
close securely, don’t place an infant in the unit, and ask for repair.
− 27 −
[4] Power Source
This incubator is powered by the AC power source (AC220-240V), the battery (DC12V) or the external DC
power source (DC12V).
CAUTION
If the power cord is not connected to the power outlet or if the AC power source (AC220-240V) is
shut off, the unit will automatically switch to its battery power.
Power cord
CAUTION
At least five seconds must elapse before the
power is applied again.
− 28 −
4-2. Using the Battery Power
CAUTION
The battery will wear out fast when it is used to power the incubator. Use the battery only when the
AC power source (AC220-240V) or the external DC power source (DC12V) cannot be used. Use
the AC power whenever possible.
The battery is a consumable part which will deteriorate over time whether it is used or not. The
battery life has come to an end when the operating time with the battery is noticeably short even
after the battery is fully charged. Ask for replacement immediately.
The battery charged for at least 20 hours (fully charged) enables approx. 90 minutes of continuous operation
[with the ambient air temperature at 15˚C and the incubator air temperature stable at 36˚C].
(1) Make sure that the unit is connected neither to the
Power switch
AC power nor to the external DC power (DC12V).
Power pack cable
(2) Turn on the power switch of the incubator ( side).
The batter y power indicator adjacent to “ ” will
illuminate, the power will be supplied to the unit and
the unit will start operation.
(3) Press the check switch on the power pack to check Battery charge level 0 Fully charged
the battery charge level (voltage) of the power pack.
When all the five LEDs of the battery charge level
indicator are on, the battery is fully charged (after
Check switch
being charged for approx. 20 hours).
The number of the illuminating LEDs decreases
from 5 씮 4 씮 3 씮 2 as the battery discharges.
When the only two LEDs in the white range are on,
recharge the battery as soon as possible.
− 29 −
4-3. Using the External DC Power (DC12V)
CAUTION
Use only an external DC power source which meets the requirements of the international standers
IEC 60601-1 and IEC 60601-1-2 or which is equivalent in safety.
Only personnel familiar with electricity should connect the external DC power source. Make sure
that the external DC power source can supply the rated voltage and current and that it is provided
with a device to protect an overcurrent, such as a breaker.
− 30 −
[5] Incubator Air Temperature Control and Placing the Infant in the Incubator
5-1. Setting the Incubator Air Temperature
Practice and master the operation procedure before placing the infant in the incubator. Conduct temperature
tests with the unit empty in order to make sure that it operates normally.
WARNING
Be sure to follow the doctor’s instructions in setting the incubator air temperature.
CAUTION
Practice and master the operation procedure before placing the infant in the incubator. Conduct
temperature tests with the unit empty in order to make sure that it operates normally.
While the infant is in the incubator, check the heater output, the incubator air temperature and the
oxygen concentration continuously to make sure that nothing is the matter with the infant.
Check that the air outlets are not blocked with a diaper, gauze or other materials. If they are blocked,
the temperature in the incubator cannot be controlled correctly.
(1) Turn on the unit and check that the incubator air
temperature and the set temperature are displayed.
The incubator air temperature is displayed in the Incubator air
range of 20.0-42.0˚C in 0.1˚C increments. “ ” will temperature
be displayed if it is 19.9˚C or lower; “ ” will be display
WARNING
Be sure to follow the doctor’s instructions in
setting the incubator air temperature.
Incubator air temperature
Please double check to make sure that the selector switch
− 31 −
(3) Allow about 30-40 minutes for the incubator air tem-
perature to stabilize (depending on the ambient tem-
perature).
The incubator air temperature is regarded as stabi-
lized when it is equal or close to the set tempera-
ture.
Setting switch
− 32 −
5-2. Placing the Infant in the Incubator
WARNING
Place the infant in the incubator only after the incubator air temperature has stabilized.
Front admittance
panel retainer
To unlock the retainers, hold the knob with your Front admittance panel retainer
fingers and push it in the directions of the arrows
q and w.
(4) A gentle touch by the elbow on a hook slider will Hook slider
open a corresponding snap-open access port. To
close the port, push the port door until it closes com-
pletely.
DANGER
Always check the front admittance panel retainers and the hook sliders of the snap-open access
ports for proper operation. If the front admittance panel or a snap-open access port should not
close securely, don’t place an infant in the unit, and ask for repair.
Do not open the front admittance panel or an access port in order to lower the incubator air
temperature. Since the incubator air temperature is controlled automatically at a set tempera-
ture, the heater output will increase dangerously to make up for any temperature drop.
− 33 −
DANGER
Open and close the snap-open access ports gently. If you open or close them roughly, they may
not open or close properly, which is dangerous.
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.
Do not fasten the infant fixing bands too tightly. If they are fastened too tightly, they will press the
infant dangerously.
CAUTION
Place the infant in the incubator only after the incubator air temperature has stabilized.
Opening the front admittance panel or access ports, covering the infant with a sheet, or using an
oxygen headbox, etc. in the incubator will change the air circulation pattern inside the incubator.
This may affect the thermal uniformity, thermal changes, the detection and control of the incuba-
tor air temperature, and the infant’s skin temperature.
Avoid opening the entire hood to place the infant in the incubator. It will cause the incubator air
temperature to fluctuate greatly.
Never open the entire hood when the infant is in the incubator because the cords and tubes may
injure the infant. All procedures should be performed through the front admittance panel or the
access ports.
CAUTION
After attaching the semi-iris access port cover,
make sure that the hook slider is holding the
access port securely in place.
− 34 −
5-3. Skin Temperature Monitoring
To monitor the skin temperature of the infant placed in the incubator, it is necessary to attach a skin tempera-
ture probe to the infant. The skin temperature probe is to be connected to the skin temperature probe connect-
ing port on the right side of the main body. The temperature detected by the skin temperature probe will be
displayed on the skin temperature display.
(1) Insert the plug of the skin temperature probe firmly Tube introduction slit packing
in the skin temperature probe connecting port on
Skin temperature probe
the right side of the main body.
connecting port
(2) Pass the skin temperature probe cable through the
tube introduction slit packing on the side of the hood
into the incubator.
(3) Before attaching the skin temperature probe to the Skin temperature probe
infant, clean the site of attachment with alcohol or (Plug)
lukewarm water to get rid of any fetal fat or dirt.
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 when the infant
is in a prone position.
− 35 −
(6) Allow 4-5 minutes after connecting the skin tempera-
ture probe for the temperature reading to stabilize
and then start skin temperature monitoring with the
skin temperature probe.
The skin temperature is displayed in the range of
30.0-42.0˚C in 0.1˚C increments. “ ” will be dis-
played if it is below 30.0˚C; “ ” will be displayed
if it is above 42.0˚C.
CAUTION
If the heat-sensing surface of the skin tem-
perature probe is attached improperly to the
infant, or if it should be dislodged acciden-
tally from the infant, the skin temperature
cannot be detected accurately. Make sure that
the heat-sensing surface has been attached
properly to the infant.
− 36 −
[6] Oxygen Supply
(1) Be sure to connect an oxygen flowmeter between
the oxygen supply source and the oxygen supply Oxygen flowmeter
port of the incubator. Turn the knob on the oxy- I.V. pole (option)
gen flowmeter and adjust the flow rate to a desired
level.
(2) The oxygen concentration in the incubator will Oxygen supply port
stabilize in about 30 minutes.
Increase the supply flow rate if the detected oxygen
concentration in the incubator is lower than the
desired level; decrease the supply flow rate if the
detected oxygen concentration in the incubator is
higher than the desired level.
Pay utmost attention to the changes in the oxygen
concentration in the incubator by monitoring it with
an oxygen monitor till it stabilizes.
WARNING
Be sure to connect an oxygen flowmeter between the oxygen supply source and the oxygen
supply port of the incubator.
Pay utmost attention to the oxygen concentration in the incubator during the oxygen supply.
Never supply humidified oxygen to the oxygen supply port. Supplying humidified oxygen by means
of a humidifying jar or other devices may damage the oxygen supply port of the incubator.
Pay utmost attention to the changes in the oxygen concentration in the incubator by monitoring
it continuously with an oxygen monitor. If the oxygen concentration in the incubator deviates
from a desired level, make necessary adjustments by increasing or decreasing the oxygen flow
rate.
Improper use of supplementary oxygen may cause serious side effects including loss of sight,
damage to the brain and death. The risk of side effects varies with infants. Follow the doctor's
instructions in selecting a desired method of oxygen administration, a desired oxygen concen-
tration and a desired duration of administration.
− 37 −
WARNING
The risk of a fire hazard increases when oxygen is used. Do not place auxiliary equipment which
may generate sparks where the incubator is installed.
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 regu-
lator, the oxygen cylinder valve, piping, connections and other parts of oxygen supply equip-
ment.
When an oxygen flowmeter is not connected to the oxygen supply port, be sure to cover the port
with the cap supplied with the incubator to prevent dust from entering the port.
On a high pressure oxygen cylinder, use only a tested pressure reducing valve or pressure
regulating valve indicated specifically for oxygen supply.
Replace the old filter with a new one every two 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 two-month interval is not over yet.
The oxygen flowmeter cannot be used to provide an accurate index of the oxygen concentration
in the incubator. The oxygen concentration should be checked with a calibrated oxygen monitor
or oxygen controller by following the doctor’s instructions.
The oxygen concentration in the incubator varies with the dirtiness of the filter, the operating
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 accu-
rate oxygen monitor.
Be sure to follow the doctor’s instructions in deciding an optimum oxygen concentration based
on PaO2 (a measured arterial oxygen partial pressure level). It is reported to be extremely im-
portant and essential, when a high oxygen environment is required, to measure the oxygen
concentration in the incubator and analyze arterial gas levels repeatedly, in order to determine a
desired oxygen concentration.
Cleaning or maintaining the incubator in a high oxygen environment may cause a fire or an
explosion. Before cleaning or maintaining the incubator, make sure that the oxygen supply has
been stopped and that the oxygen hose has been removed from the incubator. The oxygen
supply should be stopped or the oxygen hose should be removed from the incubator when it is
not in operation.
The oxygen concentration inside the incubator hood may be affected when an access port or the
front admittance panel is opened. Check that the access port packings and the tube introduction
slit packing are all attached securely. Any gap in the hood assembly may cause the oxygen
concentration in the incubator to drop.
Oxygen administration may increase the noise level to the infant in the incubator.
− 38 −
[7] Other Operating Procedures
7-1. Inserting the Cords and Tubes
A number of cords and tubes may be connected to the Tube introduction slit packing
infant in the incubator. Insert them through a tube intro-
Skin temperature probe
duction slit packing into the incubator so that they may connecting port
not get in the way of procedures. The tube introduction
slit packing are provided on both sides of the hood.
Lighting switch
WARNING
I.V. pole
− 39 −
7-4. Test Switch
Press the test switch on the rear side of the main body
while the incubator is in operation, and all the LED indi-
cators on the operation panel will illuminate and an au-
dible alarm will sound. In this way you can check the “vi-
sual and audible” alarms for proper functioning.
Test Switch
The number of
Battery charge level
illuminating LEDs
Fully charged
5
(charged for 20 hours)
Near-empty 2
Empty 0
쐽 Near-empty level
When the only two LEDs in the white range are on, recharge the battery as soon as possible.
If an AC power source (AC220-240V) is available, connect the power pack to the AC power source. You can
operate the unit and charge the battery at the same time.
7-6. Unlocking the Hood Lock (for opening the rear hood)
To open the rear hood for cleaning and disinfecting the
inside of the incubator, unlock the hood lock provided on Hood (rear) Hood Lock (for opening
the rear hood)
the left side at the bottom of the hood.
Unlock it and then let the hood fall back gently.
− 40 −
[8] Cleaning and Disinfection
WARNING
Before cleaning or disinfecting the unit, be sure to remove the power cord from the main body,
turn the power off, and allow the incubator air temperature and the heater temperature to fall
sufficiently.
Before cleaning or disinfecting the unit, check that the oxygen supply to the incubator has been
stopped and that the incubator has been disconnected from the oxygen supply source.
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before
using it for the first time after purchase.
Before cleaning or maintaining the incubator, make sure that the oxygen supply to the incubator
has been stopped and that the incubator has been disconnected from the oxygen supply source.
Cleaning or maintaining the incubator in a high oxygen environment may cause a fire or an
explosion.
Clean and disinfect the unit whenever you use it for a new infant.
Clean and disinfect the unit whenever you notice dirt or stain which might cause infection.
After cleaning and disinfection, assemble the removed parts correctly and perform an inspection
before use to ensure that the unit operates normally.
Obtain a soft clean cloth and a disinfectant solution for cleaning and disinfection.
쐽 Do not use any abrasive cloth, cleaner, alcohol, acetone or other solvents for cleaning and disinfection. Do not
autoclave.
CAUTION
Never wipe the skin temperature probe with alcohol, or the probe material will harden.
− 41 −
8-2. Hood
쎲 Snap-open access port packings Snap-open access
Remove the rubber packings from the snap-open ac- port packing
cess ports. Immerse and clean it in a disinfectant solu-
tion.
− 42 −
8-3. Mattress Platform
쎲 Mattress
The mattress consists of a special foam filling completely
sealed up in a vinyl cover. The foam filling inside cannot
be contaminated unless the cover gets damaged.
Remove the mattress before placing a new infant in the
incubator. Disinfect the mattress by immersing the en-
tire mattress in a disinfectant solution.
CAUTION
Always have a spare sterile mattress available and
ready for use. Use only a sterile mattress when-
ever replacing the mattress for a new infant.
쎲 Hood packing
Remove the hood packing from the conditioning cham-
ber and immerse it in a disinfectant solution.
Hood packing
쎲 Conditioning chamber
Wipe clean the conditioning chamber with a soft cloth
dampened with a disinfectant solution.
Conditioning chamber
− 43 −
8-4. Replacing the Filter
The filter (Pneumoclean) should be replaced with a new one when its surface has been covered with dirt and
dust and they have penetrated into the filter. Do not attempt to reuse the dirty filter (Pneumoclean) by washing
it or attaching it inside out.
(1) Loosen the screw on the right side of the filter cover
and open the cover.
(3) Wipe clean the filter cover and the filter holder with
a soft cloth dampened with a disinfectant solution.
(4) Replace the dirty filter with a new one (Pneumoclean).
Close the cover and tighten the screw again.
CAUTION
The dirtiness of the filter varies with the de-
gree of air pollution and the frequency of op-
eration. Be sure to check the condition of the
filter frequently.
− 44 −
[9] Maintenance Inspection
To use the unit safely for a longer period, perform the maintenance inspections described below.
앫 Inspection before use
Check the basic functional operation of each part every time you are going to use the unit.
앫 Three-month inspection
Check the operation of each function on an every three month basis.
앫 Periodical inspection
Contact your local Atom representative for periodical inspection on an annual basis.
앫 Periodical replacement parts
Some parts need to be replaced periodically depending on their period of use.
CAUTION
Medical institutions are responsible for performing maintenance inspection.
They are allowed to entrust the maintenance inspection of the unit to an appropriate external dealer.
Before maintenance inspection, repair or disposal, clean and disinfect the unit and its accessories.
− 45 −
9-2. Three-month Inspection
Check the following points on an every three-month basis.
− 46 −
9-4. Inspection Checklist
CAUTION
If any trouble should be detected in either inspection, indicate on the unit that it is out of order and
be sure to have it repaired.
Contact your local Atom representative for further information on servicing or repairs.
− 47 −
9-5. Disposal
The main body, the packing materials, any parts beyond the life and disposables should be disposed of prop-
erly by the medical institution concerned according to applicable waste disposal laws and regulations.
The unit contains a rechargeable lead-acid battery and a rechargeable nickel metal hydride battery. Follow
proper disposal procedures to dispose of the batteries.
− 48 −
[10] Alarms and Alerts
(1) High temperature alarm
The high temperature alarm indicator will illuminate and an audible alarm will sound before the incubator
air temperature exceeds 39.0˚C. At the same time, the power supply to the heater will be shut off.
Action to take: The high temperature alarm can be reset by pressing the alarm silence/reset switch after
the incubator air temperature has fallen to a normal level.
− 49 −
(6) System failure alarm
If a wire of the high temperature sensor or the incubator air temperature sensor gets broken or short-
circuited, the system failure alarm indicator will illuminate, an error message will appear on the incubator
air temperature display and an audible alarm will sound. At the same time, the power supply to the heater
will be shut off.
In this case, the audible alarm cannot be silenced by pressing the alarm silence/reset switch. Turn the
power off and start the operation again.
Action to take: When a system failure has occurred, the cause of the trouble can be roughly identified by
checking the error message on the incubator air temperature display. If the error mes-
sage is [ ], [ ], [ ] or [ ], the possible cause is a failure of the incubator
air temperature sensor or the sensor module. Turn the power off and check the connec-
tion of the sensor module. If the error message is [ ] or [ ], the possible cause is
a failure of the relay board or the heater. If the error message is [ ] or [ ], the
possible cause is a failure of the main board. If the same alarm message continues to be
displayed, stop using the incubator and contact your local Atom representative.
− 50 −
[11] Troubleshooting
CAUTION
Trouble Check
Nothing is displayed on the opera- 쎲 Is the power switch of the incubator turned off?
tion panel of the incubator. 쎲 Is the power input connector of the incubator connected securely to
the power output connector of the power pack with the connecting
cord?
쎲 Is the breaker of the incubator tripped (protruded)?
쎲 Has the power input fuse (20A) of the power pack blown?
쎲 Is the battery of the power pack charged?
Press the check switch to check the batter y charge level. (If the
battery voltage should fall during the operation, the low voltage alarm
will occur.)
[Check the following as well if the unit is operating on a car battery.]
쎲 Has the car fuse blown?
The power indicator of the power 쎲 Is the plug of the power cord disconnected from the power outlet?
pack does not illuminate. 쎲 Has the power input fuse (2.5 A) blown?
The battery of the power pack 쎲 Is the plug of the power cord disconnected from the power outlet?
cannot be charged. 쎲 Has the power input fuse (2.5 A) blown?
The incubator air temperature rises 쎲 Is the incubator air temperature set too high?
too high. 쎲 Is the incubator exposed to direct sunshine or affected by a heating
apparatus nearby?
The incubator air temperature does 쎲 Is the incubator air temperature set too low?
not rise. 쎲 Is the supply voltage of the battery of the power pack low?
쎲 Is the incubator exposed directly to a cold wind of air-conditioner?
The oxygen concentration does not 쎲 Is oxygen being supplied reliably?
rise. 쎲 Is the oxygen cylinder empty?
쎲 Check the flow rate on the oxygen flowmeter.
쎲 Is the connecting hose disconnected from the incubator?
The skin temperature is not displayed. 쎲 Is the skin temperature probe connected properly?
WARNING
If the unit seems to be defective, indicate on the unit that it is out of order and contact your local
Atom representative.
− 51 −
[12] Technical Data
Power requirements AC power source AC220AC240V 10%
50/60Hz
220VA
Power pack Capacity : DC12V, 24Ah (one lead-acid battery)
Charging time : Approx. 20 hours
Continuous operation : Approx. 90 minutes (ambi-
ent temperature at 15˚C, incubator air temperature
stable at 36˚C)
External DC power source Rating : DC12V, 10A
Operating voltage range : DC11.014.0V
Maximum load Cabinet stand for internal hospital use (option): Approx. 20kg
I.V pole (option): Approx. 3kg
− 52 −
쐽 Temperature/humidity
Incubator air temperature display range 20.042.0˚C in 0.1˚C increments, accuracy : 1.0˚C
쐽 Alarms/Alerts
Alarm High temperature, set point, power failure, fan, system failure, silence, power
pack, skin temperature probe, low voltage (when the voltage from the battery or
the external DC power source falls to approx.10.5V)
쐽 Oxygen supply
쐽 Environment
CO2 concentration in the hood CO2 concentration stabilized after a mixture of air and 4% CO2 is administered to
a point 10 cm above the center of the mattress at 750ml/min should not exceed
0.5%.
쐽 EMC
Electromagnetic compatibility This product meets the requirements of the international standard IEC60601-1-2.
− 53 −
[13] EMC level and Classification
Guidance and manufacture’s declaration - electromagnetic emissions
The V-707 is intended for use in the electromagnetic environment specified below. The user of V-707 should
assure that it is used in such an environment.
− 54 −
Guidance and manufacture’s declaration - electromagnetic immunity
The V-707 is instended for use in the electromagnetic environment specified below. The user of V-707 should
assure that it is used in such an environment.
5% UT 5% UT
( 95% dip in UT) ( 95% dip in UT)
for 5 sec for 5 sec
NOTE : UT is the A.C. mains voltage prior application of the test level.
Power frequency Power frequency magnetic fields
(50/60Hz) should be at levels characteristic of
3(A/m) 3(A/m)
magnetic field a typical location in a typical com-
IEC 61000-4-8 mercial or hospital environment.
− 55 −
Guidance and manufacture’s declaration - electromagnetic immunity
The V-707 is instended for use in the electromagnetic environment specified below. The user of V-707 should
assure that it is used in such an environment.
3Vrms
(150kHz to 80MHz)
outside ISM bands 10Vrms Recommended separation distance
Conducted RF
(0.1580MHz, d = 0.35 P , outside ISM bands
IEC 61000-4-6
10Vrms 1% step) d = 0.35 P , in ISM bands
(150kHz to 80MHz)
in ISM bands
NOTE 1 : Portable / mobile RF communications equipment should be used no closer to any part of the V-
707, than the recommended separation distance calculated from the equation applicable to the
frequency of the transmitter.
NOTE 2 : Where P is the maximum output power rating of the transmitter in watts(W) according to the
transmitter manufacturer and d is the recommended separation distance in meters(m).
NOTE 3 : At 80MHz and 800MHz, the higher frequency range applies.
NOTE 4 : These guidelines may not apply in all situation. Electromagnetic propagation is affected by ab-
sorption and reflection from structures, objects and people.
NOTE 5 : The ISM (industrial, scientific and medical) bands between 150kHz and 80MHz are 6.765MHz to
6.795MHZ; 13.553MHz to 13.567MHz; 26.957MHz to 27.283MHz; and 40.66MHz to 40.70MHz.
NOTE 6 : An additional factor of 10/3 is used in calculating the recommended separation distance for
transmitters in the ISM frequency bands to decrease the likelihood that mobile/portable com-
munication equipment could cause interface if it is inadvertently brought into patient areas.
NOTE7 : Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) tele-
phones and land mobiles radios, amateur radio AM and FM radio broadcast and TV broadcast
cannot be predicated theoretically with accuracy. To assess the electromagnetic environment
due to fixed RF transmitters, an electromagnetic site survey should be considered. If the mea-
sured field strength in the location in which the V-707 is used exceeds the applicable RF compli-
ance level above, additional measures may be necessary, such as re-orienting or relocating the V-
707.
NOTE 8 : Interference may occur in the vicinity of equipment marked the following symbol:
− 56 −
Recommended separation distances between
Portable / mobile RF communications equipment and V-707
The V-707 is intended for use in the electromagnetic environment in which radiated RF disturbances are
controlled. The user of the V-707 can help prevent electromagnetic interference by maintaining a minimum
distance between portable/mobile RF communications equipment (transmitters) and the V-707 as recom-
mend below, according to the maximum output power of the communication equipment.
− 57 −
[14] Accessories, Supplementary Equipment, Used Material
Part name Material
Snap-open access port PVC
Snap-open access port packing PVC
Semi-iris access port cover PVC
Front admittance panel packing PVC
Tube introduction slit packing Silicone rubber
Mattress PVC
Mattress platform PVC/PMMA
Fan PP
Filter (Pneumoclean) PP
Hood packing PVC
− 58 −
The unit for use in 100V regions doesn’t meet the requirements for CE marking.
For further information or questions, please contact the following representative if you are in an EU member
state. If you are not in an EU member state, please contact your local Atom representative.
C64MC017
201801