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- Frank`s Hospital Workshop

1. aa e 7 2 1 T TS SYMONS PACK AGING esc aya e e e M uc eMe Id aM P ae 7 2 2 Technical Specifications Kit for Integrated Pulse Oxymetry 8 3S Parts Pieces and AGGOSSOLIOS s mp 9 Sls TOO COMMON UN dora ce contre 10 3 1 1 1186 Control Unit Panel with Graphic LCD Display Air Skin Mode Control and Servo Active Humidity with all Opu onale avallable Mec 11 9 2c SUDO Su deu a iic EP anm fce AE ee 11 32 T EiXxed Supporb 0090050600 u iubes oder ns Seded eit 12 9 2 2 BIgomielrc SUPPO SEV u uuu uyu asla i putet ui tl ei a iaa a 12 3 3 5 127mm wheels with brake RE 090 191 600 nnne nn nena nnne nsn 12 34s Drawers omae tri oc dot eripi adosado eirca i dep I IUS 12 DOs UND ONS m eem 13 96e VENCA ee ee EAM c to e et D 14 STROLLING o eux cee P 14 3
2. uu us bod cusa 62 7 1 1 Preventive and Corrective Maintenance Maintenance 62 7 1 2 Instructions for Cleaning and Maintenance nne nnne nnns narrar nnn nnns 63 7 1 3 1166 Microprocessed Controler Unit Panel ur uuu uu oot ede ode erret eve spass eos IEEE 65 1 4 Cleaning and Doe wa pbi etes isti coa pecu i tcc 66 7 1 5 Air Filter Kit with 4 parts Re 090 058 600 nn nnn enarrare nns 66 Esas BEVOIE uuu uu Oddo end S accio ssa auk 66 Z L ebd ot AL ect IL oM me Pee 66 Tto FUSE Gangara Lob EM 67 fA pa oec 67 T OAS CChlarGe ADICTS Atel Y uyu u u uuu IET PR 68 r MESI DOS uuu C C noun sama the ence 68 141 12s Maintebidnce Chant en D Lu xul Lec ua M AA MM LI DA LE 68 Cr 69 1 2 Integraied PulsexOxymelry Monton IIb oido uy
3. 19 2 2 T sdAdlesive si osa iie xu uL I M d M I d Moduli dL cM dci 19 3 22 Integrated Pulse Oxymetry Monitor Kit Re 093 054 900 r 20 3 22 1 OXIMAX Accessories NELLCOR a Tyco Co eese nennen nennen nnne nnne nnn nnns ans 20 929 SGales RE 095 056 9001 2 u uz uu 21 3 24 Soft Inclination Bed Set REF 093 088 600 22 2 25 SlliGone NiatireSSs RE 090 242 3921 uuu uuu u n MEI EE 22 3 26 Auxiliary illumination with LEDS REF 094 053 700 800 850 a 22 3 27 Network Communication Kit RE 090 098 900 a rsen 22 3 28 Neonatal Pillow REF 094 070 600 nnne sinas sns sas rss nsn ans 23 onus S DOME as abate c 23 4 Precautions Restictions and Warnings edd Sen RG 24 S s EdulpmeHt NMSA ALON uu u u Quy Sw 31 6 Egulprment Operati
4. 69 7 2 1 Consumption and Wear ITEMS cece cece cecccceeeeceeeeceececseeeeceeeeseeesseeeeseeeeseeessaeessaeeeseeeeseeseeeseueesseessaeeesaeeesens 69 7222 Maintenance ER MU IM M 70 7 2 9s FANUC Dagos S xe sa uted e cde E sata ey lata dt ab od Rae dap ras 70 1 3 Alarm Checking 14196 IMCUD ALOR uuu U watata aa 70 Sensor MISSING te Seba Seater CO aie 70 Ar Gir DEA TEN 70 T 9 9 Pug Temperature Alarm uuu Eq mtorr en DUE dE 71 LOW Temperature a E akawa S S aq 71 1 93 59 POWSE Eallure u u uuu uuu scum acoso t a a EAE 71 Alar 2 uu uy uu uuu one tones 72 53 15 Water Shortade Alan 2 ee su Pace ea ae s sas eee ae 72 7 9 90 High Oxygen Concentration Alarm use Sees unu uma qq selec aaa a 72 1 0 9 gt Low Oxygen Concentration Alat L uu ua hace sunaha las taces dust deut 72 9 105 Pulse OXVImeity PLAINS a a boa e 72 8 Guar
5. Attention Never remove the sensor from the NB skin by pulling it by the wiring First remove the adhesive and then the sensor Before installing the sensor in the patient check if the sensor body is clean and does not have adhesive remains 58 USER S MANUAL 1186 NEONATAL INCUBATOR Y Attention Never put the Skin Temperature Sensor on the NB or use it to measure the rectal temperature The Skin Temperature Sensor must be in direct contact with the skin to provide precision in the temperature monitoring of the skin temperature of the Failures to keep direct contact with the skin may result in over heating and possible burns Check the NB condition for at least every 15 minutes for the correct fixing of the sensor and feel the NB skin regarding no signs of overheating 6 1 29 Bores for Pipe Inlet Located on the dome lateral walls close to the Access Panel the 1186 NEONATAL INCUBATOR has PVC membranes for the introduction of the breathers feeding intravenous solutions intake and monitoring cable piping Through this membrane system the bed with the NB may be slided forwards on the Access Panel with no need to remove pipes probes or cables Attention All piping intravenous solution intake cables and monitoing introduction to the incubator must be performed through those membranes 6 1 30 System Menus By means of the MENU key the user has access to various functions and operation
6. 10 224 620 002 3 10 BILITRON 3006 Phototherapy RE 006 001 900 Phototherapy with a luminous fountain formed by 5 Super Led s of high intensity which provide an irradiation of centralized light in the blue spectrum of the wave length of 460nm The BILITRON 3006 Phototherapy Unit has anti sliding supports which allow placement on dome in a practical manner without damaging it Attention Optional Item Product registered at ANVISA under nr 10 224 620 049 15 USER S MANUAL 1186 NEONATAL INCUBATOR 3 11 Humidity Servo System The Humidity Servo System controls the dome internal Humidity as it has an immersed sensor in this ambient With a boiling system to generate vapor it provides programmed Humidity by the user Voltage Frequency Re FANEM Volts V Hertz Hz Code 50 60 093 055 700 Humidity System 50 60 093 055 800 50 60 093 055 850 Exclusive use with the 1186 Neonatal Incubator 3 12 Oxygen Servo System Servocontrolled oxygen system that constantly monitors the internal O2 concentration by means of two O2 sensors The O2 inlet flow is automatically adjusted by means of a control valve Voltage Frequency Re FANEM Volts V Hertz Hz Code Servo Controlled 50 60 093 054 700 Oxygen System 220 240 50 60 093 054 800 Attention Optional Item It may be installed the 1186 Neonatal Incubator only wit graphic LCD display panel Attention The O2 Servo Sy
7. 7 3 4 7 3 5 USER S MANUAL 1186 NEONATAL INCUBATOR M High Temperature Alarm 1186 Control Unit LED panel without optionals I LED panel with optionals LCD Penal with optionals Skin Mode Note Trigger at 1 C in relation to the programmed temperature on the control point Select the condition in Skin Mode and actuating on the Temperature Set display program the 36 temperature Insert the Patient Sensor inside the dome and after the system stabilization actuate on the Temperature Set display and decrease at 1 C the previously programmed temperature The High Temperature visual and sound alarm will be immediately actuated Air Mode Note Trigger at 1 5 in relation to the programmed temperature on the control point Select the Air Mode condition and actuating on the Temperature Set Display program the temperature of 36 C After system stabilization actuate on the Temperature Set and decrease the previously programmed temperature at 1 5 C The High Temperature visual and sound alarm will be immediately actuated Low Temperature Alarm 1186 Control Unit LED panel without optionals I LED panel with optionals LCD panel with optionals Skin Mode Note Trigger at 1 0 C in relation to the programmed temperature in the control point Select the condition in Skin Mode and actuating on the Temperature Set display set the temperature
8. C in temperature surpassing mode actuating the gt 37 C condition By actuating on the Control Panel press the function key corresponding to the AIR Mode the display will show the AIR SET screen through the INCREASE or DECREASE keys Air Temperature Set as needed Attention During the Air Temperature Set operation the system itself wi automatically select the High and Low Temperature alarm points Ajuste Temperatura ux gt C Alarmes Alta Baixa FANEM NEONATAL DIVISION alUn Confirm the Air Mode condition by actuating the ON function v To release the Air Temperature setting upper keys gt 370C and for the BIAS graph of Air Temperature actuate in the corresponding function keys and check on the display the actuation of the selected functions by means of a CHECK V confirming the function actuation With the RETURN function the display will return to the Temperature Control initial key or then after 15 seconds the display will automatically revert to the initial screen In case of a power failure the set point will be memorized and retained and will go back to the set value when the power is restored The Low Temperature Alarm will remain with the sound inhibited during 40 minutes as of the moment in which the Incubator is turned on to allow the initial warming this alarm will be actuated after this time has elapsed The incubator will begin the warming process and th
9. FANEM BE TAMH PRO ET SMT FAMEM 7 1 8 Fuse Change To change fuses turn off the incubator from electric power With the help of a screwdriver introduce it on gap of fuse door and rotate counterclockwise until the lid is released 127 V 220 or 240 V F Type F Type REF C63 150 1 7 1 9 Spare Parts For possible spare parts refer to section 3 of this Manual Parts Pieces and Accessories with their respective references The function and safety of the 1186 Incubator will only be guaranteed if the checking maintenance and repair services are performed by the Fanem Technical Assistance or by duly trained and qualified by Fanem Ltda Fanem Ltda holds harmless from any responsibility for damages that may occur in the equipment and with consequences to the patients due to improper maintenance not performed by our Technical Assistance or when original spare parts accessories are not used in a change The materials used in the manufacture of parts and accessories and consumption and wear items aim at guaranteeing the perfect operation of the equipment according to their original characteristics as well as the safety regarding toxicity and inflammability of the employed materials Attention Use only FANEM original parts 7 1 9 1 Consumption and Wear Parts 68 USER S MANUAL 1186 NEONATAL INCUBATOR lt j gt 7 1 10 Rechargeable Bat
10. Right 090 078 600 2 Drawers Set GG Left 090 079 600 Manual Reanimator with Mask 0 not illustrated 020 010 600 Oxygen Servocontrol Kit 127V not illustrated 093 054 700 Oxygen Servocontrol Kit 220 240V not illustrated 093 054 800 Humidity Servocontrol Kit 127V not illustrated 093 055 700 093 055 850 3 1 1186 Control Unit In order to make the installation of optionals flexible different Control Unit Models have been devised Therefore the 1186 Neonatal Incubator may be supplied with 2 types of Control Unit 1186 Control Unit LED Panel LED without optionals 1186 Control Unit LCD Penel with optionals Exclusive use with the 1186 Neonatal Incubator 3 1 1 1186 Control Unit Panel with LED s Air and Skin Mode Control No Optionals ALARM SKIN TEMPERATURE AIR TEMPERATURE GENERAL POWER FAILURE C G WARMING O SENSOR MISSING Ol AIR CIRCULATION SKIN 37 38 CO HIGH TEMPERATURE MODE SELECTION AIR 37 39 O LOW TEMPERATURE c 0 MICROPROCESSING CONTROL UNIT FANEM DIVIS O NEONATAL This Control Unit will always accompany the basic 1186 Neonatal Incubator Its front panel is made up of numeric displays and led s which inform in a single manner and aims at the programmed and controlled parameters As it is a basic Model the installation of the Humidity ServoControl Oxygen ServoControl Integrated Scales and Pulse
11. SING CONTROL UN k e 53 USER S MANUAL 1186 NEONATAL INCUBATOR 2 On the oxymeter specific screen the SpO and BPM values are shown in big digits the pulsation bar and the pletismographic curve On this screen the oxymeter alarms are also informed The access to the ALARMS screens and the BIAS graph screens are performed by means of the indication keys on the left Attention Before using the oxymeter check if the alarm levels are compatible with the prescriiption for the newly born To adjust the alarm levels follow the instructions in item 6 3 Bias On the BIAS screen the 5 and BPM graph wll be displayed for a period of 18 hours The initial part of the graph is indicated in hours and minutes as from the moment in which the equipment is turned on Note Check if the indicators the information of the displays and the sound signs including the alarms are working which indicate that the monitor is in operation Observe the movement of the pulse amplitude indicator or the wave form and pay attention to the pulse bips to check if the measures are being made lin the monitoring mode if the pulse perception is lost the monitor will go into the pulse search mode pulse search If the pulse perception is lost during monitoring the oxymeter will go into the pulse search mode During the pulse search the monitor tries to detect a pulse to measure Access keys To enter the OXYMETER s
12. UR actuating an audivisual alarm in the Control Panel By presing the Inibit Sound key the alarm sound will silence for 15 minutes See item 2 alarms for more information When an alarm condition occurs due to Sensor Failure disconnected sensor or in short circuit the alarm indication will be shown by the display next to the HUMIDITY function UR actuating an audiovisual alarm on the Control Panel By pressing the Inhibit Sound key the alarm sound will silence for 15 minutes See item 2 alarms for additional information 6 1 20 Oxygen Control In this operation mode the Oxygen intake may be performed by means of two different manners Limited Intake Servocontrolled Intake optional Attention before performing the Oxygen Intake revise the Operation Precautions Oxygen item 4 2 of this User s Manual T Attention During the Oxygen intake the increase in the noise level for th patient inside the incubator may occur Limited Intake Through a silicone or latex hose 1 4 connect the outlet of the Oxygen Fluxometer of the line to the oxygen inlet nipple which serves for the intake of LIMITED OXYGEN 48 USER S MANUAL 1186 NEONATAL INCUBATOR gt REF 090 094 600 Q Q A guiding table of the oxygen concentration is supplied and is next to the Air Filter lid also located on the rear part of the incubator SERVO CONTROLADO O OXIG NIO LIMITADO OXYGEN RANGES INLET FLOW LITE
13. 052 600 may only be requested if Bumper Kit is installed If there is not a bumper installed request Rod Kit with arm Exclusive use with the 1186 Neonatal Incubator 3 7 Rotating Shelf Rotating Shelf that can be fixed on the top of the Vertical Rods one per rod Ideal for monitor coupling breathers and infusion pumps each shelf supports the maximum load of 10kg 094 054 600 094 065 600 Attention Optional Item Each shelf depends on a Vertical Rod to be installed Exclusive use with the 1186 Neonatal Incubator 14 USER S MANUAL 1186 NEONATAL INCUBATOR 3 8 Saline Solution Support REF 094 053 600 ES Saline solution support of adjustable height fixed close to column of the vertical pole Attention Optional item that depends on the installation of a Vertical Rod Exclusive use with the 1186 Neonatal Incubator 3 9 BILISPOT 006 BB Phototherapy Halogenous lamp phototherapy that provides high beam intensity it has two filtering systems for infrared rays and ultraviolet rays which are harmful to the skin The BILISPOT 006 BB Phototherapy Unit is fixed on a Vertical Rod providing higher mobility to the unit See reference chart below Voltage Frequency Re FANEM Volts V Hertz Hz Code 006 BB 50 60 006 020 700 006 BB 50 60 006 020 800 Attention Optional item that depends on the installation of a Vertical Rod Product registered at ANVISA nr
14. 3 Alarm Checking 1186 Incubator This may be performed by means of simulation of the indicative alarm check up on the Control Panel Attention When the INHIBIT SOUND key is actuated inhibiting the alarm the alarm will remain inactive during 15 minutes and it goes into the active condition after this period of time has elapsed 7 3 1 Sensor Missing Alarm 1186 Control Unit LED panel without optionals LED panel with optionals LCD panel with optionals With the Patient Sensor connected to the Incubator panel select through the front panel the Skin Mode condition Disconnect the Patient Sensor cable from the lateral panel and the Sensor Missing visual and sound alarm will immediately actuate 7 3 2 Air Circulation Alarm 1186 Control Unit LED Panel without optionals I LED panel with optionals LCD panel with optionals On the Incubator front panel select Air Mode condition and actuating on the Temperature Setting display select the temperature of 36 Let the system stabilize for approximately 30 minutes After this stabilization obstruct the inlet or outlet ventilation duct on the Incubator tray In an interval between 15 to 120 seconds the visual and sound alarm Lack of Ventilation should actuate Attention When the Incubator is turned on this alarm remains unactuated during 40 minutes going to the active condition after this period has elapsed 71 7 3 3
15. 50 60Hz 093 053 850 2A 2PA Dome with 05 oval ports 1 iris sleeve 2 Access Doors Front and Rear 093 053 600 8 Pipe Conductor Compartment enables installation of all accessories dd Dome Double Wall 2PA 093 100 321 2B Access Panel Double Wall 092 116 321 Fixed Support SFV 092 146 600 3 Ergometric Support SEV 127V 50 60Hz 092 063 700 Ergometric Support SEV 220 240V 50 60Hz 092 063 800 4 Bilispot Phototherapy 006BB 127V 50 60Hz 006 020 700 Bilispot Phototherapy 006BB 220V 50 60Hz 006 020 800 Right Left Vertical Rod Kit G3 G3 without arm for bumper 094 052 600 5 Left Vertical Rod Kit G3 G3 without arm without bumper 094 050 600 Right Vertical Rod Kit G3 G3 without arm without bumper 094 051 600 6 Rotating Shelf G3 for Breathers 094 054 600 Column Serum Support G3 094 053 600 USER S MANUAL 1186 NEONATAL INCUBATOR 4 Auxiliary Switches Kit 090 051 600 6 Auxiliary Switches Kit 090 082 600 6 Auxiliary Switches Schuko Type Kit 090 147 600 SS Breather Adapter Goose Neck 013 050 600 Bilitron Phototherapy 3006 BTI 006 001 900 11 Motor group cleaning and disinfection tank model 086 100 321 Recirculating humidifier only applicable on 1186 STD 087 000 600 4 Electric Auxiliary Plugs Set IEC Snap Fit type 094 058 900 13 Adhesive Box for patient s sensor 50 units 086 076 600 Surrounding Bumper Kit 094 055 600 Lateral Bumper Kit 094 056 600 15 Big Drawer Set GV
16. BATTERY Change the battery every 12 months 5 TEMP CALIBRATION Every 6 months After performing maintenance such as for example the Air Filter substitution by means of the function keys select the repaired item and confirm by pressing its corresponding key the current date will be recorded together with the date of the next intervention ENTRAR Perlodo Mesas y 12 i RETORNO 12 Preventive rrective Maintenance Maintenan 7 1 1186 Neonatal Incubator 7 1 1 Preventive and Corrective Maintenance Maintenance This section supplies leaning and maintenance instructions Where necessary disassembly instructions are provided The maintenance not provided in this section must only be executed by the qualified authorized technical service On a routine basis inspect the patient compartment and put the accessories again before putting the Incubator into service Attention In order to start a cleaning or maintenance procedure check if the incubator is disconnected from the electric power Attention Ensure that the oxygen supply to the Incubator is off and that the Incubator is disconnected from the oxygen supply when performing cleaning and maintenance procedures risk of fire and explosion exist when performing cleaning and or maintenance procedures in an ambient with oxygen Attention The Heater may be sufficiently hot to cause burns avoid removing or touching the heater until the
17. High Humidity sound and visual alarm should be immediately actuated 7 3 7 Water Shortage Alarm 1186 Control Unit LED Panel without optionals LED Panel with optionals LCD Panel with optionals Note Trigger in 10 in relation to the programmed humidity in control point Set a value of 7096 of relative unit after system stabilization remove water from humidifier reservoir The alarm actuation will occur after 10 minutes on the concentration condition of 1096 below the previously programmed value 7 3 8 High Oxygen Concentration Alarm 1186 Control Unit LED Panel without optionals LED Panel with optionals LCD Panel with optionals Note Trigger in 3 in relation to the programmed concentration in control point Set a value of 5096 oxygen concentration after system stabilization actuate on oxygen control and decrease 3 the previously programmed concentration The O2 High Concentration sound and visual alarm will immediately actuate 7 3 9 Low Oxygen Concentration Alarm 1186 Control Unit LED panel with optionals PLED panel with optionals LCD panel with optionals Note Trigger in 3 in relation to the programmed concentration in control point Set a value of 5096 oxygen concentration after system stabilization actuate on oxygen control and increase 3 the previously programmed concentration and interrupt the O gt feeding After minutes the Low Concentration sound and vi
18. Sensor Failure sensor wire has poor contact or when one of the cells has its date expired Humidity Alarms optional H2O Low Level Actuated if the water level is reduced below the pre determined level SEITE 7 High Humidity UR Actuated if the internal relative Humidity UR is higher than 10 above th setting point re Actuated when the Oxygen UR Sensor Plug is disconnected or when th sensor wire has poor contact Alarm of Low Activated if internal relative humidity 9o UR it is lesser of what 1096 below of Concentration of UR the adjustment point Version 1186 Panel LCD USER S MANUAL 1186 NEONATAL INCUBATOR 2 1 8 Alarms Silencing Restoring Press to Silence Alarm Type For standard the time of duration of the suspension of sonorous alarm of the incubadora is of 15 minutes However in cast that he has been requested the incubadora will come adjusted of plant with time of equal High Air Temperature Skin suspension the 5 minutes Low Water Level Low Air Temperature Skin Oxygen High Concentration Pressures the keyboard key To i I Low Oxygen Concentration inhibit sound to silence per 15 minutes or 5 minutes case this Low SPO2 BPM Level configuration has been requested High SPO2 BPM Level It pressures the keyboard key To inhibit sound one more time to desinibir the sonorous alarms Press to Restore Alarm Type Skin Sensor Dislodging Restore Wa
19. beat BIP may only be inhibited being on the oxymeter screen a graphic information of the inhibited sound will be displayed on the oxymeter screen Attention All alarms when actuated turn on the red led on the control panel Attention Whenever the oxymeter is used check for the alarm limits to ensure that the are appropriate for the patient that is being monitored Attention Optional item USER S MANUAL 1186 NEONATAL INCUBATOR 3 Parts Pi 093 004 700 127V 50 60Hz 093 004 800 220V 50 60Hz 093 004 850 240V 50 60Hz Dome with 5 oval ports 1 iris sleeve 2 Access Doors Front and Rear 8 Pipe Conductor Basic Control Panel with no optionals 093 006 700 127V 50 60Hz Dome with 05 oval ports 1 iris sleeve 2 Access Doors Front and Rear 093 006 800 220V 50 60Hz 8 Pie Conductor LCD Graphic Control Panel enables installation of all 093 006 850 240V 50 60Hz accessories ITEM DESCRIPTION CODE Control Unit 1186 Panel LED without optionals 127V 50 60Hz 093 051 700 Control Unit 1186 Panel LED without optionals 220V 50 60Hz 093 051 800 Control Unit 1186 Panel LED without optionals 240V 50 60Hz 093 051 850 Control Unit 1186 Panel LCD with optionals 127V 50 60Hz 093 053 700 Control Unit 1186 Panel LCD with optionals 220V 50 60Hz 093 053 800 Control Unit 1186 Panel LCD with optionals 240V
20. days and the relative weight curve will be fed through the MEMORIZE key The initial weight of the newly born must be memorized in order to have the zero reference of the graph On the screen the information Start and Last weight will appear The graph may be fed as many times as necessary pressing the MEMORIZE key Attention Always tare the scales before and after reading the weight The difference between the initial and last weight will be indicated in the relative graph In order to earse the graph press the CLEAN key the initial and final weight will also be erased and the graph time counting will be zeroed Position the NB on the bed observing the initial weight on the display and through the corresponding function key actuate the MEMORIZE function In this moment the NB initial weight will be memorized for future comparison and analyses The weight bias graph will indicate the weight variation in relation to the initial weight in 100g to 200g Through the corrresponding function key actuate the RETURN function the system will go back to the temperature initial key showing the actual NB weight on the display Attention The NB must always be weighed in the center of the mattress Maximum load on the bed scales 7 g Attention Toys or other objects on the mattress must not be supported on the Incubator walls on Access Panel Imprecise Readings may occur addition the bed assembly must not be t
21. does not have a reliable grounding wO Never disconnect the feeding cable with the panel Feedina cable Ref 000 208 600 Connect the patient sensor plug Re 092 059 000 to the appropriate switch on the lateral panel To connect the plug check the matching of chamfers in the plug and switch after connection thread lock nut clockwise Never remove the plug by pulling the wire 34 USER S MANUAL 1186 NEONATAL INCUBATOR Turn on the incubator by pressing key I ON located in the lower part GENERAL ofthe front panel Cd When the incubator is turned on all displays and identification leds except the power failure led will be on during 5 seconds The sound alarm will also sound during this period After the auto check up the WARMING incubator begins to operate The initial condition will automatically place the mode selection in AIR at and the AIR setting PL mid temperatures at 34 0 and skin setting at AIR 30 C 39 36 1 C Set AIR temperature reading it on x ec far display by means of the increase and decrease keys as needed The Incubator internal air current temperature will be displayed on the air temperature display in Celsius degree SKIN TEMPERATURE The patient skin current temperature willl be displayed on the skin temperature display in Celsius degrees and lack of air circulation
22. may occur 1 High Concentration when the dome internal concentration value is higher than or equal to 3 above the set value 2 Low Concentration when the dome internal concentration value is lower than or qual to 396 below the set value Under this condition the sound alarm will be inhibited atomatically for 3 minutes 3 Sensor Missing when one or more cells are disconnected from the circuit or the rear panel connector is disconnected Under this condition the control will be off 4 Cell Failure when one of the cells is uncalibrated in relation to the other in more than 5 during 1 minute Under this condition the control will be off and one ATTENTION sign will appear instead of the O values Alert Conditions In Calibration It indicates the the Oxygen Control System is performing the Calibration Procedure of 2196 Calibration Concluded It indicates that the Oxygen Control System was calibrated with success Failure in the Calibration It indicates that the Oxygen Control System failed in the calibration Repeat the Calibration Procedure If the system fails in the second time change the Oxygen Sensor 50 USER S MANUAL 1186 NEONATAL INCUBATOR Calibrating the Oxygen Sensor The Oxygen Cells must be calibrated every 7 days or whenever the incubator is switched on Daily calibrations are recommended To keep system accuracy a maximum cycle of calibration of 7 days is required Attention During the
23. patient is better fixed and it prevents the patient from abrupt movements during the medical and nursing assistance which should cause loosening of the breathing coupling Flexible Adaptor comes together for the Intubation Support Goose Neck B Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 16 20 Manual Reanimator REF 020 010 600 020 Model Reanimator totally constituted in silicon with accumulative tube of oxygen mask 0 size safety valve of 40 cm 2 supplied in plastic case ttention Optional Item Product Registered at ANVISA under number 10 224 620 036 17 USER S MANUAL 1186 NEONATAL INCUBATOR 3 17 Acrylic Helmet Mod 016 Made of optical quality transparent acrylic it guarantees the newly born visualization during treatment It enables oxygen concentrations of 9096 with a small volume Its asepsis may be easily and quickly made It has 2 sizes that can be used in the 1186 Neonatal Incubator as per the following table R Newly Born Total Dimensions Front Ope eference Weight Nec ning for k Diameter Height Width Height gt 1000g Attention Optional Item Product registered at ANVISA under number 10 224 620 003 3 18 Reusable Patient Sensor Re 092 059 600 Put in contact with the newly born skin it provides the temperature control Attention Optional Item Exclusive use with the 1186 Neonatal
24. resistance Call the Authorized Technical Assistance It does no heat even with heating indication on front Feeding Tension 127V 220V panel below specification 127V or 220V Check voltage in hospital network 10 Front Panel Display with wrong random erased E M excess in hospital network I E M indication and alarm sound Electromagnetic irradiation inappropriate time Turn off unit and turn it on again If problems continue call Technical Assistance 7 2 Integrated Pulse Oxymetry Monitor Kit 7 2 1 Consumption and Wear Items 090 152 600 ADH P I bandages WRAPS sensor 1 per patient 090 151 600 FOAN P I bandages WRAPS sensor 1 per patient 70 USER S MANUAL 1186 NEONATAL INCUBATOR lt p 7 2 2 Maintenance Chart The user is responsible to establishing a maintenance routine procedure so as to ensure a correct performance of the equipment with its due safety Cleaning Disinfection Weekly at every patient change User Technician 7 2 3 Failure Diagnosis Turn on and off the incubator again Processor Reading is not performed Check the sensor positioning the sensor Check the sensor positioning Check if there is direct light on sensor if there is direct Check if there is direct light on sensor on sensor Unstable Reading Sensor Check if the sensor optical window is clean Note If the problems continue call the nearest Fanem Authorized Technical Assistance 7
25. the applicable procedures 31 USER S MANUAL 1186 NEONATAL INCUBATOR Attention Before using the Incubator the initial cleaning and disinfection of th equipment should occur as per instructions in section PREVENTIVI CORRECTIVE MAINTENANCE as well as the procedures adopted b the Client s Hospital Infection Control Committee CCIH Attention Never forget to fix the Cabinet Fixing Device to the Incubator body so as to prever imbalance of the set when in use Guidance Drawing 9 093 051 700 800 850 MOD A 093 053 700 800 850 MOD C 32 USER S MANUAL 1186 NEONATAL INCUBATOR EN EN x 0305460 NIERMEDARBOXSET 0809800 03056600 SCALESKIT 1186LCD DISPLAY OPTIONAL 1 00188600 02 CELLS SET COMPARTMENT LCD DISPLAY OPTIONAL EN 09a 122 221 TRAVFORMATIRESSSEATFOR MS Jo 090 058 600 AIR FILTER KIT WITH 4 UNITS See Drawing 026 059 600 1186 CONTROL UNIT FOAM MATTRESS MATTRESS LAYER 093 055 600 RESERVOIR DRAWER KIT 1186 LCD DISPLAY 093 056 700 800 850 ASSEMBLE BOILER FOR 1186 1186 LCD DISPLAY 092 146 600 FIXED SUPPORT V2 P C 186 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6 Equipmen ration 6 1 1186 Model Neonatal Incubator 6 1 1 Microprocessed Control
26. the feeding cable when the panel is on Connect the scales cable scales optional item on the lateral panel Attention If the scales cable is connected after the incubator is on the scales will nc indicate the weight correctly On the lateral panel connect the humidity and oxygen sensor cable oxygen sensor optional item the skin sensor cable and the command cable on Power Outlet connector Turn on the incubator through its general switch which is located on the lower right front part of the equipment Position the general switch in ON mode The LCD panel liquid crystal has contrast adjustment for better visualization The contrast may be set by means of a rotating button which is located in the lower pleft art of the Control Panel When the Incubator is turned on the screen will show the styled figure of an owl Afterwards the display will go into the auto check up process and the Incubator will begin to operate showing on the display its main screen to Control the Temperatures Attention The wheel rotating on the display indicates which mode of operation and what functions are actuated The constant visual observation of the wheel rotating is the user s and th medical doctor s obligaton 43 USER S MANUAL 1186 NEONATAL INCUBATOR 6 1 17 Air Temperature Mode In this operation mode the air temperature may be kept from 20 to 37 C or from 37 to 39
27. the manga iris provides total easiness of passage and positioning of cables fans circuits CPAP circuits or other several applications Made in silicon it is easily removable facilitating the procedures for cleaning and asepsis 23 USER S MANUAL 1186 NEONATAL INCUBATOR 1186 Cupola with double stuffy 2X 1186 Incubator Display Cupola with double stuffy 2X 1186 Incubator 1186 1 Display N Attention Optional item 4 Precautions Restrictions and Warnings 4 1 1186 Model Neonatal Incubator Attention This User s Manual Chapter contains information whic are highly important to guarantee the patient s user and equipment safety and integrity Read it wit ATTENTION Check if the network to which the equipment will be connected has the characteristics to support the equipment electrical conditions indicated on the label that is fixed in the equipment as well as tension and power The feeding cable plug must be connected to a grounded switch permanently fixed on the wall according to the legislations and norms in force for electrical installations of lower tension and electrical legislations for Health Assistance Facilities never use extension Attention Do not use multiple extensions or switches If there is not perfect groundinc do not use the equipment 24 USER S MANUAL 1186 NEONATAL INCUBATOR An incubator that is poorly used may cause serious risks to
28. the newly born This incubator must be operated solely by trained and qualified personnel who may know the risks and benefits of its use under medical guidance This incubator may not be used if any of its functions is not operating properly The qualified technical service must be required The 1186 Vision Incubator was developed for restricted use to only patient Attention The use of the incubator with more than one patient can cause infection risks crossed to the same The 1186 Vision Incubator possesses filters of protection to assist the specifications of the norms of electromagnetic compatibility however it can be affected adversely and to suffer interferences of certain equipments such as surgical equipments of high frequency defibrillators therapies with short waves pacemaker and other connected electric stimulators to the patient Before beginning the monitorization of a physiologic parameter to observe all information and cares about operation and application of the accessories because the incorrect use of these it can cause damages to the patient such as burns e ou electric discharge in an eventual defibrillator discharge Attention Patient s cables and sensor are not protected against the defibrillator effects Although the patients bed made of engineering plastic totally electrically isolated the use of surgical equipments of high frequency is not recommended in united use with the 1186 Vis
29. unit has been turned off for at least 45 minutes 02 li uua sat cn T WnssEr lt TY V a 7 1 2 USER S MANUAL 1186 NEONATAL INCUBATOR Instructions for Cleaning and Maintenance By the time of the initial receipt of equipment and whenever the incubator is turned off inactive or when the newly born is removed from the incubator hospital release or even as per the procedures of the Hospital Infection Control Committee CCIH the procedure of a deep cleaning and disinfection in the Incubator is recommended The most effective cleaning procedure is first by disassembling it and then group the parts in categories according to the required cleaning method Acrylic Dome Clean it carefully and use a soft fabric in all the surfaces of the dome inside and outside with water and neutral soap only with disinfectant for a fixed surface that does not contain agents that would damage the acrylic parts and the metallic parts in general Attention do not expose the acrylic dome to direct radiation of lamps with any adequate filters The ultraviolet radiation may cause cracks and may destroy the acrylic transparency We do not recommend disinfectants that contain alcohol as they may damage the acrylic dome Cleaning Standard Protocol Material used e Enzymatic detergent that does not contain alcohol sodium hypochlorite chlorexidine based products Container to keep detergent e Cleaning Brush b
30. 0 in relation to temperature set Skin Low 1 0 C in relation to temperature set Lack of ventilation 120 seconds after the motor stops or ventilation blockage Lack of sensor patients cable disconnected or damaged or loosened sensor off patient s body CEE see een ee indicates temperature below the reading scale on display l M EE T E TEE T ET indicates temperature above reading scale on display 35 USER S MANUAL 1186 NEONATAL INCUBATOR Power Failure Alarm Audio visual it indicates when the electric power is cut off or if the cable is disconnected or when the fuse located on the lateral panel is out This alarm actuates due to a auto rechargeable battery located in the microprocessed unit box Turning off the incubator is necessary by means of the on off swtich whenever this alarm is actuating in order to increase the useful life of the battery Lack of Ventilation Alarm Audio visual it indicates when the air flow is interrupted in case of motor stop or air ventilation duct obstruction The alarm will actuate up to 120 seconds after the occurrence of the failure When this alarm is actuated the warming is interrupted and the sound may be inhibited during approximately 15 minutes When the incubator is t
31. 0 Saline Solution Support REF 094 053 600 u u u eie Se et eost ule nhc Aenea 15 S9 amp BIEISPOT 006 BB Fholotlierapy ssdtteceo aote E CE poe de qb o occ sac artt inea a 15 3 10 BILITRON 3006 BTI Phototherapy RE 006 001 900 a 15 3 11 Humidity Servo 16 342 Oxygen Servo SYSICIN Neat MOS ca UN EA IM xe oL an etd de 16 ORI EG IP Iria Ael eod jue c K H 16 3 14 Goose Neck Breather Adaptor Re 013 050 600 a 17 3 15 Head Positioner RAM 1 Type RE 013 000 600 ssssssssessseseeneeee nennen nennen nnne nnne nnns 17 3 16 Manual Reanimator REF 020 010 600 a nns nsn nnn nns 17 Sms Helmet Mod OTO MEN ER 18 3 18 Reusable Patient Sensor Re 092 059 600 a 18 S TS e Auxiliary Sensor T 6 092 OT 2 600 u iiiuico a co ttu ede recedet beides docete dtp M undue 19 3 20 Disposable Patient Sensor Box with 50 units 092 162 600
32. 1 for the When using surgical degree paper packing and plastic film certify the correct position of the reservoir inside the packing this shall have the nozzle turned to permeable paper side not the plastic film in order to avoid nozzle obstruction and internal over pressure of the reservoir Remove the package from the autoclave and store it up to 30 days N Attention Never sterilize the reservoir set with closed cover We recommend the use of autoclave FANEM model 420 FKO according to its general use recommendations 2 Procedure for Disinfection with Peracetic Acid Receive the reservoir from the Intensive Neonatal Treatment Unit disassemble it and wash with enzyme detergent Remove the product excess with water Rinse again with water and dry mmerge the reservoir and its connections in the container with peracetic acid STERILIFE and leave it there for 10 minutes Remove the reservoir from the solution and rinse with sterile distilled water Pack as appropriate For safety and easy use we recommend the Kit Ref 093 071 600 Water Reservoir Set Thus you can have a unit in operation another one at sterilization Shelf To remove the shelf remove the fixing bolt with a allen wrebch of 2mm force it upwards with the two hands Attention Never put weight higher than 10kg on the shelf 67 USER S MANUAL 1186 NEONATAL INCUBATOR UTILIZE
33. 186 1274 5A USER S MANUAL 1186 NEONATAL INCUBATOR Model Use Fuse 4 Auxiliary Switch Set 220V 240V 3 A F Type 6 Auxiliary Switch Set 127V 10 A F Type 6 Auxiliary Switch Set 220V 240V 5 Type 2 1 3 Classifications and Characteristics Applied Part BF Type Protection Against Water Inlet Protection Against Explosive Atmospheres Maximum of Air Speed on mattress Internal Noise ambient 45 dBA NOTE Values and classifications as per the NBR IEC 60601 1and NBR IEC 60601 2 19 norms o 2 1 4 Control Characteristics Air Temperature and Skin Temperature Performance Range of Air Temperature and Skin Temperature Display Temperature Indication Resolution Control Precision Air and Skin Mode Temperature Rise Time Excess Temperature Temperature Uniformity Temperature Variation 20 0 39 0 C Key 37 C 34 0 38 0 Key 37 C Control Range Air Mode Control Range Skin Mode Oxygen System Display Resolution O Display Performance Range Control Range O2 Control Precision Calibration in 10096 Control Precision Calibration at 21 Inlet Maximum Flow Sensor Calibration ServoControlled Mode Sensor Calibration Pressure Sensor Operation Temperature Range Inlet Nipple ServoControlled Mode Humidity System Display Resolution Humidity Display Performance Ra
34. 186 NEONATAL INCUBATOR Operation General Modes 6 1 26 1 Newly Born Operation Mode Turn on the Incubator 1 one hour before using it with the NB Set the Incubator to heat up to the necessary temperature for the NB After the Internal Air Temperature stability to the dome open the front Access Panel pull the bed forward position the NB on the mattress return the bed to its original position and close the Access Panel After that position the Skin Sensor on the NB skin as per instructions in item 6 3 waiting for the temperature to reach the pre selected temperature 57 USER S MANUAL 1186 NEONATAL INCUBATOR gt Attention Keep the Access Panel and the Ports open the least time possible to avoid temperature losses Position the Skin Sensor correctly with appropriate adhesive tape Before going to the SKIN operation mode wait for the temperature indicated on the SKIN display to stabilize or the body temperature is reached for a normal patient the expected value would be 36 10C after this temperature stabilization actuate the SKIN operation mode From this moment on the Incubator begins to control the temperature according to the newly born needs Attention If the temperature monitored by the Patient Sensor quickly osciliates this will indicate that a disloging of the sensor occurred in relation to the NB body In this condition the SENSOR MISSING alarm will be actuated continously and may stop if the sen
35. 5 Silicone Mattress RE 090 242 321 Produced with atoxic silicone of medical degree it provides higher comfort to the newly born in addition to improving the thermal stability N Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 26 Auxiliary illumination with LEDS REF 094 053 700 800 850 Coupled close to left shelf with visualization of the Infant it can to turn on and to turn off the illumination through the switch It accompanies source for Bilitron 3006 BTI extension cable with plug P4 for Bilitron and 4 plugs IEC Snap Fit type OBS For 4 plugs Schuko type REF 094 054 700 800 850 N Attention Optional item It requests Left Shelf Exclusive use with the 1186 Neonatal Incubator 3 27 Network Communication Kit RE 090 098 900 Communications system in which the neonatal information and control information present in the incubator are sent to a processing center This may enable the storage of information of each newly born such as the general monitoring of the nursery in only one point And to do so each incubator will have a network communication kit installed plus the software N Attention Optional item Exclusive use of 1186 Neonatal Incubator 22 USER S MANUAL 1186 NEONATAL INCUBATOR n q 3 28 Neonatal Pillow REF 094 070 600 Special Density Circular Pillow it distributes the NB head weight and releases the tensions accommodating the
36. For its use fill up the Humidity Chamber with distilled and sterilized water adding 0 5 ml of Lunar Caustic per liter of water solution 1 to 10 000 it helps to prevent the development of microorganisms Only one charge of water from the Humidity chamber is sufficient for at least 24 hours of operation of the Incubator In order to empty the Humidity chamber rotate the plastic lever to the left putting the water in an appropriate recipient The incubator is manufactured with a passive moist system which provides to the patient an ambient in the range of 40 to70 of relative humidity depending on envirnomental conditions but without the effective control of these parameters Attention The maximum recommended load on the patient s bed is 7 0 Kg 6 1 10 Safety Hinge and Lock The transparent domes may be inclined to provide better access to the newly born and make cleaning easier A hinge with a safety lock is used for this operation To open the dome raise it until you feel the safety device is coupled In this position there will be no chance of unnatentively closing the dome To close the dome hold it firmly and push the safety lock lever down located on the right hinge Slowly lower the dome on the fixture which is found on the base Attention Do not lift the dome while th patient is in the incubator 6 1 11 nclined Bed Operation The two manipulators for the bed lifting are in the front part cl
37. Incubator 18 USER S MANUAL 1186 NEONATAL INCUBATOR lt 3 19Auxiliary Sensor Re 092 072 600 Auxiliary Sensor that may be used for monitoring of the other desired temperature Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 20 Disposable Patient Sensor Box with 50 units Re 092 162 600 Place in contact with the newly born skin it provides the temperature control Attention Consumption Item Not supplied with the incubator Exclusive Use with the 1186 Neonatal Incubator 3 21Adhesive Kit Antiallergic Adhesive specially developed for the perfect fixing of the Patient Sensor to the NB skin Provided with 50 or 100 units Adhesive Box 100 units Attention Consumption item It is not provided with the incubator Exclusive Use with the 1186 Neonatal Incubator 19 USER S MANUAL 1186 NEONATAL INCUBATOR lt 3 22 Integrated Pulse Oxymetry Monitor Kit Re 093 054 900 Q The Pulse Oxymetry Kit Re 090 068 900 has been exclusively developed for the 1186 NEONATAL INCUBATOR and integrated to the 1186 Control Unit Graphic LCD Display Panel It is a pulse oxymeter to be used as a continuous non invasive monitor of arterial oxygen saturation SpO2 and pulse frequency for neonatal patients Its use in the 1186 neonatal incubator jointly with other monitoring and control parameters such as Air a
38. Irradiated and Transients Gusts of Winds and Voltage Changings N Attention Mobile and portable RF equipments can damage Electromedical Equipments N Attention The use of accessories transducers sensors and not oroginal net cables can cause increase of Emissions or decrease of immunity for the equipment 28 USER S MANUAL 1186 NEONATAL INCUBATOR Guidelines and the manufacturer s declaration electromagnetic emissions The neonatal Incubator1186 model is destined for use in specified electromagnetic environment below We Recommend that to the customer or user of the neonatal Incubator1186 model guarantees that it Is used in such environment Conformity Electromagnetic environment Guidelines The neonatal Incubator1186 model uses energy um of RF only for its internal functions However its RF emissions ee ee Group 1 emissions of RF are very low and it is not CISPR 11 probable that they cause any interference in next electronic equipment RF emissions Class A The neonatal Incubator1186 model is adjusted CISPR 11 for use in all the establishments that are not Emissions of harmonic Class A domestic servants and can be used in IEC 61000 3 2 residential establishments and those directly hardwired to the public net of distribution of electric energy of low tension that feed constructions for domestic use since that the following acknowlent be understood mesons due thetencion Attention This
39. Oxymeter optionals IS not possible 1186 Control Unit Panel LED w no optionals 127V 50 60Hz 1186 Control Unit Panel LED w no optionals 220V 50 60Hz 1186 Control Unit Panel LED w no optionals 240V 50 60Hz 10 USER S MANUAL 1186 NEONATAL INCUBATOR Attention The Humidity Servocontrol Oxygen Servo Control Integrated Scales Pulse Oxymeter Optional Items MUST not be installed in this Control Unit 3 1 1 1186 Control Unit Panel with Graphic LCD Display Air Skin Mode Control and Servo Active Humidit with all optionals available x HOE x NEONATAL DIVISION This Control Unit may accompany the 1186 Neonatal Incubators with all kinds of available optionals Its front panel contains a graphic LCD Display which fully informs the programmed and controlled parameters such as the temperature graphs Humidity oxygen weight optional saturation beats and plestimographic curves Integrated Oxymeter optional It also has the advantages of preventive maintenance control integrated clock language selection etc 1186 Control Unit Panel LCD w optionals 127V 50 60Hz 1186 Control Unit Panel LCD w optionals 220V 50 60Hz 1186 Control Unit Panel LCD w optionals 240V 50 60Hz Attention All optional items may be installed in this Control Unit 3 2 Supports The 1186 Neonatal Incubator may be suppl
40. REASE AND DECREASE keys one can set the date and hour parameters where the system will take reference CONFIGURATION By actuating the CONFIGURATION parameter under this condition the display will show the following items SCALES PRINTER 005 min NETWORK 60 USER S MANUAL 1186 NEONATAL INCUBATOR CONFIGURACAC ENTRAR b SoungacCenfiguriagho N 005 rin MICROPROCESSING CONTROL UNIT The items relative to the SCALES AND PRINTER parameters have already be reported in Chapter 6 of the USER s Manual The parameter for connection in NETWORK is not available for use yet LANGUAGE Entering the SYSTEM MENU under this condition the display will show the following items to be selected by the user PORTUGUESE ENGLISH SPANISH IDIOMA 4 F Fa Portugu s da Ingl s Y N Espanhol RETORNO 10 47 23 MICROPROCESSING CONTROL UNIT By using the function keys you can select the language and the temperature grading that the system will adopt 61 USER S MANUAL 1186 NEONATAL INCUBATOR Bi gt PREVENTIVE MAINTENANCE By actuating the PREVENTIVE MAINTENANCE parameter under this condition the display will show the following basic items for the user information and warning 1 AIR FILTER Change the Air Filter every 3 months 2 OXYGEN FILTER Wash the O2 Filter every 6 months 3 CELL Change the O2 Cell every 6 months 4 9V
41. RS PER MINUTE ll 30 45 45 60 50 70 55 75 60 85 ATENTION THE OXYGEN FLOW RATES CAN NOT BE USED AS A PRECISI INDICATION IN THE OXYGEN CONCENTRATION IN Al AN INCUBATOR THE OXYGEN CONCENTRATION MUST CONTINUALLY MOINTORED WITH A CALIBRATED ANALYSER T Servo Controlled Inlet By means of a 250 Psi 3 16 Re 004 094 600 pressure woven nylon hose connect the Oxygen Flowmeter outlet of the line to oxygen inlet niple aimed at the SERVO CONTROLLED OXYGEN inlet Attention Inlet Maximum Pressure of O2 3 kgf cmz Oz Nipple 9 16 Thread 18UNF as per NBR 11 906 This inlet nipple niple is found on the incubator rear part right below its compartment to the Air Filter In this operation mode the Oxygen concentration level inside the Incubator is controlled by a soleniod valve system using an Oxygen Sensor Ref 090 074 600 for control and another sensor for monitoring assembled in the O2 and humidity sensor compartments The oxygen concentration in the Incubator is set by a valve that usually interrupts the oxygen flow inside the Incubator this way controlling the required concentration levels In the Oxgen Control Mode the user may set the oxygen level from 2196 to 6596 in increments of 1 Actuating on the Control Panel actuate the function key that corresponds to the OXYGEN Mode the display will show OXYGEN SETTING key by means of the INCREASE AND DECREASE keys set the required conce
42. The low temperature alarm will remain with the inhibited sound during 40 minutes as from the moment in which the incubator is turned on to allow initial warming it will be uninhibited after this time has elapsed The incubator will begin the air temperature warming process and GENERAL the amount of power supplied for the resistance may be seen by means of the Warming Led s The air temperature will gradually increase until this equals the set temperature Air Mode In the first warming cycle the air temperature surpasses 1 0 C beyond the set WARMING temperature Over Shoot and decreases in less than 10 minutes becoming equal to the set temperature When the two temperatures are the same the first warming Led will remain on indicating that the system is controlling the temperature 1 4 of power 6 1 3 Alarm and Safety System Five Led s indicate the safety alarm conditions of the Incubator with the 1186 Controller The sound of each alarm may be inhibited or not during 15 minutes by pressing the INHIBIT SOUND key Each Alarm Alarm Specifications Dome air high temperature gt 38 0 C or 40 0 C Air High Temperature 1 5 C in relation to temperature set Air Low Temperature 3 0 C in relation to temperature set Skin High Temperature 1
43. UAL 1186 NEONATAL INCUBATOR Attention In the initial period of pre heating of the Incubator the low temperature and lack of circulation alarm sound will remain inhibited during 40 minutes and will go back to normal condition after this time has elapsed 6 1 4 Temperature Indication Display Skin Temperature This display indicates the temperature constantly in Celsius Degrees measured by the patients sensor Re 092 059 600 in any operatiom mode air or skin The reading range of this display is 25 0 C up to 43 0 C When the patient sensor is removed from the lateral panel switch the display will indicate C and the sensor missing alarm will be actuated only if operation mode is in Skin Air Temperature This display will indicate the temperature constantly in Celsius Degrees measured by the internal air sensor in any operation mode air or skin The reading range of this display is 25 0 up to 43 0 C 6 1 5 Temperature Sensors Temperature Auxiliary Sensor When this sensor Re 092 060 600 is connected to the lateral panel the indicated temperature by this sensor will be that one shown on the air temperature display only when this sensor has a temperature of over 20 5 C Attention The temperautre auxiliary sensor is only used in cases of dome air temperature measurements The temperature cnotrol and the alarm levels will continue to be made by the temperature measured through the intern
44. USER S MANUAL FFANEM SAO PAULO BRASIL NEONATAL INCUBATOR 1186 MODEL Seguranca Compuls rio Revis o 06 09 Edi o 04 09 Norma T cnica NBR IEC 60601 1 SMT 5 5535 5811 5812 NBR IEC 60601 1 2 NBR IEC 60601 2 19 NBR IEC 60601 2 49 EQuipment denuledltiQD andi aqua sonet eden do 1 TEE Em 2 ZA 1160 Neonalal InedDalOf sss uu a beanie acer E kusaka 2 eese uiui pte dM uu cat UI dt due a EM 2 2 12 Bree 81 1 61 64 1H 0 6 be PR o TE 2 21 5 Classimicatioris and Characterisli6S iot tat ecu seme asia oed oe et asi 3 2 COMMON u uuu u T TTE 3 2 1 5 Physical Gharacterisli6S ce uu uuu ce er oro erae dE Pera res guts axe dade asusta on exte deste itus 4 PM Maximum EE Er UN 4 VET me cL M er 5 PA a MET E 6 2 1 9 Circumstantial Requirements oo aeos nequa eL 6 PR 8 HY
45. ability Temperature Variation The difference between the Incubator Temperature and the temperature average during the Temperature Stability Condition Excess Temperature The internal temperature that surpasses the Incubator average temperature under the Temperature Stability Condition as a result of the change of the temperature control Measurements Points Measurements performed in 5 points in a parallel plan at 10 cm above the mattress surface A point is found at 10cm above the mattress center the other 4 points are found in the center of 4 areas formed by lines which divide both the width and the height in two parts ATC Control mode where the temperature is automatically controlled by the Air Temperature Sensor at a value set by the user ITC Control mode where the Air Temperature is controlled and which has the additional capacity to automatically control the Incubator Air Temperature so as to maintain the temperature as it was measured bya Skin Sensor close to the value set by the user Routine Calibration The act of calibrating the Incubator or its other functions as per the manufacturer s pre established standards Electrical Specifications Feeding Tension 127V 220V or 240V Network Frequency 50 60 Hz 5A 127V 3A 220 and Nominal Current 240V Scape Current lt 100 Inlet Power Humidifier Group Power 120 W Ergometric Support Power 180 W F Type Incubator 1
46. al sensor Attention Use only FANEM brand sensors Re 092 059 600 patient sensor 092 060 600 auxiliary sensor The use of other type of sensor may cause error in the reading of the temperature and damage to the patient The FANEM sensors are tested and controlled for perfect repeatability and precision also produces adhesives which are especially developed for the fixing of sensor to the patient s skin Thise adhesives are made of atoxic material and are antiallergic and make the removal of the sensor easier without damaging them The box contains 100 units Re 086 068 600 Patient Sensor Re 092 059 600 YrT A Postion the metallic surface in contact with the patient s skin Attention Never remove the sensor from the patient s skin pulling it by the wire First remov the adhesive and then the sensor Attention Before installing the sensor on the patient check if the sensor body is clean and ha no adhesive remains Attention Do not use the sensor to rectal temperature reading 37 USER S MANUAL 1186 NEONATAL INCUBATOR n q 6 1 6 Operation Mode with Newly Born Infants Turn on the incubator 1 one hour before using it with the newly born Position the incubatore to heat up to the necessary temperautre for the newly born After the temperature stability of the internal air in the dome open the front accesss door pull the patient bed forward place the ne
47. andages Operatory field being one bandage for cleaning one bandage for the removal of the excess product and another one for drying 2 pairs of gloves for procedure 1 Cleaning Use a bandage to apply the solution removing the excess of dirt before soaking it again in the solution Change the solution whenever you realize the presence of blood and secretion Procedure Wash hands Put on gloves for procedure Put product in the container in the following dilution 3 ml For each liter of water az Disconnect and remove all extensions such as the skin sensor cable and scales cable etc a Remove the fixtures Begin cleaning by the outer part of the incubator Disassemble and clean the equipment by removing the mattress bed bed support air pipe humidity reservoir deflector double wall and control unit see Controller Unit Panel Cleaning As Clean the cables and fixtures Clean the internal part of the incubator with only one movement upwards downwards and from left to right Remove the procedure gloves 2 Removal of Excess Product and Drying Use a bandage humidified in water to remove the excess product and then apply the dry bandage Procedure Wash the hands Put on the gloves for procedure Remove the product excess with one humidity bandage and use another bandage to dry the internal a
48. another alternative area would be the palm of the hand below the fingers with the cable along the palm D YS DEC4 Extension Cable Re 090 138 600 Used when it is necessary to increase the sensor cable useful length it actuates as a sensor extension cable 20 USER S MANUAL 1186 NEONATAL INCUBATOR Bandages FOAN sensor WRAPS Re 090 151 600 FOAM Fi Bandages ADH P I sensor WRAPS Re 090 152 600 ADH Pi Products Registered at ANVISA under number 10 139 810 074 3 23 Scales Kit RE 093 056 900 Optionally the Incubator 1186 Display LCD may be supplied with the Scales Kit integrated with drawer for X Rays The weighing function is performed by means of 4 charge cells internally contained to the bed platform thus preventing more handling with the newly born ttention Optional Item Exclusive Use with the 1186 Neonatal Incubator 3 23 1 Electronic Scale Microprocessada PN 91 TS REF 019 007 900 Attention Optional item Exclusive Use with the 1186 Neonatal Incubator 21 USER S MANUAL 1186 NEONATAL INCUBATOR 3 24 Soft Inclination Bed Set REF 093 088 600 Manual command with a displacement of the patient s bed for the positioning in Trendelenburg and Proclive 10 in a continuous and soft way without clattering or abrupt movements Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 2
49. antee and Technical Assistance r ese e ese ese e ese ese ese saei s s se sese ens T3 4 T lt USER S MANUAL 1186 NEONATAL INCUBATOR Equipment Identification The 1186 Neonatal Incubator has been developed to fulfill the most varied requests for models enabling the assembly from a basic equipment up to an assortment of optionals By using a high technological level in its operation platform it provides an easy interaction ensuring the user a higher control of all operating parameters Having three kinds of control panels one may choose an intensive care incubator with the possibility to install all available optionals or an intermediary incubator with led s display or even a basic incubator only with air and skin control and led s display The 1186 Neonatal Incubator aims at the following purposes Effective insulation of the newly born regarding the contaminant agents which are transported through the air this insulation is performed through the supply of a micro filtered air which is admitted in the incubator To enable the full visualization and access to the newly born by means of a transparent acrylic dome of optical quality The dome has front and back access panels The newly born warming by means of a controlled air circulation environment and uniform distribution of heat There are two possible temperature control systems one by means of the internal ai
50. bit Sound key the alarm sound will silence during 15 minutes See item 2 7 and 2 8 for additional information 6 1 19 Humidity Control In this operation mode the Humidifier provides Humidity to the Incubator at the range of 30 to 95 UR in increments of 196 The Humidifier Reservoir is located in the laeral part of the Incubator with easy access through a sliding rail system Fill up the Water Reservoir with distilled and sterilized water Actuating on the Control Panel actuate the function key that corresponds to the HUMIDITY Mode the display will show the HUMIDITY SETTING screen by means of the INCREASE or DECREASE keys set the Relative Humidity as needed Attention During the Relative Humidity Setting operation the system itsel automatically selects the High humidity alarm point Ajuste Concentragao _ LIGA DESL Ure dade Aslaiiva 10 Alarmas TENDENCIA RETORNO Alia 75 40 FANEM Confirm the Humidity Mode condition by actuating the ON OFF function in ON Y position To release the BIAS graph of the Relative Humidity actuate in the key of corresponding function and check through the display of the selected function actuation by means of a CHECK v confirming the actuation of the Bias graph By means of the RETURN function the display will return to its initial screen of Temperature Control or then after 15 seconds the display will automatically revert to t
51. ble spills Sterilization The water reservoir set for 1186 Neonatal Incubator may be sterilized by the process of disinfection with peracetic acid or with a gravity autoclave process or also sterilization with Ethylene Oxide and Low Temperature steam with formaldehyde low temperature sterilization process the health institutions using the Peroxide Plasma STERRAD process shall validate the mentioned process It is important to mention that the gravity autoclave process does not use a vacuum pump for the sterilization cycle since the autoclaves using this process may damage the water reservoir together with various exiting packing types such as cotton fabric non woven crepe paper surgical degree paper and plastic filmand others Attention The reservoir set shall not be sterilized in pre vacuum type autoclaves 66 A lt gt 7 1 7 USER S MANUAL 1186 NEONATAL INCUBATOR 1 Sterilization Procedure with Autoclave To sterilize the set first perform a manual cleaning of the parts in question with enzyme detergent with posterior rinsing with tap water and drying Pack the uncovered reservoir in surgical degree paper packing or crepe paper or SMS The reservoir set shall be sterilized with the following parameters Temperature 121 C during 20 minutes Clothes Cycle sterilization Validate your autoclave for the desired temperatures Attention Never overpass the maximum temperature of 12
52. ch side in other words one right and one left The references are 12 USER S MANUAL 1186 NEONATAL INCUBATOR Drawers Drawer Cabinet Re FANEM 1 Big Drawer Set GV 090 078 600 Right 2 Drawers GG Left 090 079 600 Attention Optional Item 3 5 Bumpers In order to protect the 1186 Neonatal Incubator mainly during its transportation two types of bumpers may be installed One Surrounding Model which protects the entire Incubator perimeter and another lateral one which protects the sides of the Incubator Surrounding Re 093 070 600 Lateral Re 093 069 600 Attention Optional Item Attention When installing the Bumper Kit in the 1186 Neonatal Incubator if th installation of a Vertical Rod is required use Right or Left Rod without arm RE 094 052 600 Exclusive Use with the 1186 Neonatal Incubator 13 USER S MANUAL 1186 NEONATAL INCUBATOR 3 6 Vertical Rods The 1186 Neonatal Incubator may have Vertical Rods one Right and One Left one which may support the Rotating Shelf and the Serum Support Kit The installation of the rods is independent of the support configuration and may be installed on the fixed and ergometric supports such as any configuration of drawers and cabinets 094 050 600 LEFT 094 051 600 094 052 600 RIGHT with arm RIGHT with arm OR LEFT without arm Attention Optional Item Attention The Right or Left Rod no arm RE 094
53. creen being on the main one press the MENU key once The left side keys will begin to indicate 5 SCales Settings and Retuin respectively Press the corresponding key to SpO Being on the Oxymeter screen press the BIAS key to enter the Bias graph screen 6 1 22 Tare and Weighing Whenever it is necessary to weigh the newly born the scales must be tared Procedure 1 Place the mattress on the low horizontal position 2 Enter the weighing screen Press the hot key Y or press the MENU key once and the scales indication will appear on the frames press the corresponding key Note when we enter the weighing screen one information Tare the Scales will appear together with an animation picture of this condition 3 Pressing the TARE key during seconds the Automatic Tare information will be displayed and a bar will inform the time in which the scales will be tared After the information appears on the screen lift the newly born off the mattress and wait for the automatic final tare After the tare place the newly born on the mattress and memorize the weight in order to form a new relative graph 54 USER S MANUAL 1186 NEONATAL INCUBATOR PESAGEM i w 9 999 Inicia 0 000 Ultima 0 000 FANEM NEONATAL DIVISION Relative Graph When the incubator is turned off the graph time will be zeroed the time counting begun in the period indicated by the clock This graph has a period of 8
54. e acrylic from the door on the lower central part of door where the lock pin is located Push the acrylic upwards using the two bores until it is released from the two lock points located at the ports G For assembly follow the inverse procedure The FANEMe incubator with intensive care dome allows t quick and total access to the newly born that may want a treatment special exam The access ports for the arms in oval form allows better mobility V The five ports are provided with automatic locks that silence any noise coming from the opening and closing procedure The opening locks have larger dimensions Mov J providing better opening with the elbows to keep the hm wa E hands free i The doors may receive elastic handles of easy application that reduce the caloric loss with the access to patient The access door opens the front panel basculating To open the access door rotate the two buttons located in the upper corners of the door rotating them inwards The patient bed may be slided forward with safety as it is supported on rails which are locked on the dome H Due to safety reasons the patient bed may not be slided outwards when it is in Trendelenburg position Attention The maximum loa recommended the bed is 7 0 Kg 39 USER S MANUAL 1186 NEONATAL INCUBATOR un zn lt p 6 1 9 Operation with Humidity
55. e amount of supplied power to the resistance may be visualized by means of the POWER indication The air temperature in the inside of the incubator will gradually increase until this temperature becomes equal to the adjusted temperature Air Mode In the first warming cycle the Air Temperature will surpass 1 0 C above the set temperature Over Shoot and after that it decreases in less than 10 minutes becoming equal to the set temperature When the two temperatures are equal to the POWER indication for the system will be controlling between 0 and 1096 of power Alarm Conditions When an alarm condition occurs due to HIGH AIR TEMPERATURE or due to LOW AIR TEMPERATURE the alarm indication will be shown by the display next to the AIR function actuating the audiovisual alarm in the Control Panel By Pressing the Inhibit Sound key the alarm sound will silence for 15 minutes See item 2 7 and 2 8 for further information 44 USER S MANUAL 1186 NEONATAL INCUBATOR Attention In all conditions of High Temperature the supply of power for th warming resistance is automatically interrupted 6 1 18 Skin Temperature Mode In this operation mode the NB temperature may be kept from 34 to 37 or from 37 to 38 in temperature surpassing mode actuating the gt 37 C condition Connect the Patient Sensor plug Re 092 059 600 into the switch for the Skin Sensor located on the Incubator lateral panel Actuat
56. e with unauthorized parts Calibration and repairs must only be performed by qualified servicing Any additional information may be evaluated by your local distributor This manual must be fully read and understood and must be accessible to any person who will work with the unit When not in use the User s Manual should be kept with the Incubator Should there be further clarifications please contact the Fanem representatives for additional information USER S MANUAL 1186 NEONATAL INCUBATOR 2 Techni ification 2 1 1186 Neonatal Incubator 2 1 1 9 9 2 1 2 Definitions Control Zone Central Point located at 10 cm on the center of the mattress surface Incubator Temperature Air Temperature measured in the Control Zone Control Temperature Controller s temperature setting selected by the user Incubator Stability Condition It is a condition reached when the Incubator temperature does not vary to over 1 0 for a period of 1 hour These measures are read in Control Temperature of 32 and or 36 Temperature Rising Time The time necessary for the Incubator to raise the temperature in 11 when the Air Control Temperature is less 12 higher than the ambient temperature Temperature Uniformity The quantity by which the average temperature in each one of the four points at 10 cm above the mattress surface it differs from the Incubator Average Temperature under the condition of the Incubator st
57. equipment is destined for use flotati only for the professionals of the equipment otation flicker Comply health I dio interf IEC 61000 3 3 health area It can cause radio interference or interrupt equipment operations in the neighborhoods It can be necessary to adopt procedures of reduction such as reorientation or replace of the neonatal Incubator 1186 model or local shield 29 USER S MANUAL 1186 NEONATAL INCUBATOR Guidelines and manufacturer statement Electromagnetic Immunity The neonatal Incubator1186 model is destined for use in specified electromagnetic environment below We Recommend that to the customer or user of the neonatal Incubator1186 model guarantees that it is used in such environment Immunity Essay Essay Level ABNT NBR Level of Electromagnetic environment guidelines IEC 60601 Conformity Mobile or portable equipments of RF communication should not be used near any part of the Incubator1186 including cables with separation distance smaller than the specified estimated from the equation applicable to the transmitter frequency Distance of Specified Separation d 0 35 P 3 V ms _ 1 2 RF Conducted 150 KHz until 80 MHz E IEC 61000 4 6 d 0 7 P 800MHz until 2 5 MHz 3 V ms where P is maximum nominal power for RF Conducted 80 MHz until 2 5 GHz output of transmitter in watts W according IEC 61000 4 3 to the transmitter manufacturer and d is the specified separation distance
58. er of Explosion Precautions Never use the incubator in the presence of inflammable anesthetics Ensure that the supply of oxygen for the incubator is off and that the incubator is disconnected from the oxygen supply when executing the cleaning or maintenance procedures there is risk of fire or explosion when making the cleaning and or maintenance procedures in an environment containing oxygen Keep matches cigarettes and other sources of ignition away from the location where the incubator is located Fabrics oils and other combustibles ignite very easily and burn when the air is enriched with oxygen Small amounts of inflammable agents such as ethylic and alcohol left in the incubator may cause fire in contact with oxygen 4 1 2 Oxygen Precautions Improper use of supplementary oxygen may be associated with serious side effects including blindness damage to the brain and death The risks may vary depending on each patient The method concentration and duration of oxygen administration must be prescribed by a qualified medical doctor If oxygen intake is deemed necessary in an emergency the doctor in charge should be notified immediately The oxygen concentration breathed by the newly born will not determine the oxygen partial pressure in the blood pO2 The oxygen pressure shall be measured with appropriate techniques The oxygen flow measured in the inlet valve may not be used as an accurate indication of oxygen concentration in t
59. erature uu uyu u E nu a sede aeons 44 6 1 16 SkiiY Temperature ModE ade a amu e 45 Grenier ee 47 621 20 OXYGEN COMMON satel 48 6 1 21 Operation with Integrated Pulse Oxymetry Kit optional a 52 6 1 22 Tare ana Weighing OR oru ba oe ons ta ire rab su e eA eG 54 SR E 56 G21 24s IRS 282 OUNO 57 o UZ AUIRIFARY SelISOr 57 6 1 26 1186 NEONATAL INCUBATOR Operation General Modes 57 6 1 27 Operation with Hypothermal Patent uu uuu uuu uu u uu SSS asan odes a Eod deste pee aa 58 6 1 28 Operation with Sensors In General 58 6 1 29 Bores for Pipe u s uuu uuu ayasa yanata erected 59 6 1 90 System MENUS m D MULA yu mL uL o u kam aaa a ere S eee 59 7 Preventive and Corrective Maintenance Maintenance a 62 TANS 1196 Neonatal
60. erature to keep it in the pre set value When the Skin Mode is selected the temperature control and the alarm levels will be referenced to the cutaneous temperature of the newly born The air temperautre will be monitored by the Air Temperature display 6 1 8 Dome with Double Wall The Double Wall dome was developed to provide to the incubator a better temperature stability Its unique format provides an adequate thermal insulation involving the newly born in air circulation with perfectly homogenous temperatures in all its extensions The main characteristic of the Double Wall is the thermal insulation Attention Do not use the incubator without the internal walls The internal temperatur may be changed 38 USER S MANUAL 1186 NEONATAL INCUBATOR n Assembly and disassembly of the Double Wall To disassemble the Double Wall of the dome follow the instructions A Keep the dome lowered i B Open the front access door gt C Press the double acrylic located on the upper front gt part until this comes out of the dome D With both hands hold the double wall rear lower part and with the forearms support the front part if E With the two hands raise the rear part of the wall until it ay is released from the two locking ports Remove the double wall through the access door Ep F Toremove the double wall from access door G Keep it supported and raise th
61. g with precision of 40 Scales Installation on the Incubator Fix the scales box on the serum support as shown in the photo Connect the feeding cable in a switch with grounding Check the tension on the Scales Identification label Weighing Platform Installation Lift the mattress in high horizontal position Open the dome access door Position the platform under the mattress bed as shown in the side photo Pass the panel cable through the piping passage bore in the dome and connect the plug on the scales box Check if the wire is not over the mattress rail or in another position which may hinders the platform movement Connect the adaptor cable in the rear part of the panel connecting the adaptor to corresponding the electrical network Close the access door and lower the mattress in the low horizontal position Check if the mattress is free and not touching in any side of the acrylic dome Tare and Weighing Ref 019 007 900 In order to promote the scales taring two professionals are needed While one nurse keeps the newly born suspended out of the mattress the other professional presses the of the scales key Place the newly born again on the mattress and make the reading of his her weight on the scales a liquid crystal display i Attention Before weight start up the scales should be turned on with a 20 minute advance so that th circuit reaches the working te
62. he Incubator The oxygen concentration must be measured with a calibrated oxymeter in intervals as determined by the medical doctor in charge Not to connect hoses of oxygen in both niples of oxygen entrance at the same time Attention The amount of flow of oxygen marked in the back panel is not 4 valid when it is working in way Servocontrolado de Oxig nio Dirt in the air filter may affect the oxygen concentration in the Incubator and or cause the formation of carbon dioxide CO2 Ensure that the filter is changed in the specific periods or whenever it is necessary The oxygen levels in the dome ambient may be affected when the Ports or Access Panel are open Ensure that all dome fixtures and pipe conductors are appropriately installed Any opening on the incubator dome may reduce the incubator internal oxygen Attention Use an oxygen monitor during the intake of oxygen 26 R USER S MANUAL 1186 NEONATAL INCUBATOR 4 1 2 1 Oxygen Intake Precautions If oxygen intake is deemed necessary it must fulfill the parameters as set by the medical doctor Whenever there is oxygen intake one should as a standard procedure perform routine proofs with an Oxygen Analyzer The manufacturer s instructions should be strictly followed for the use of Monitors Oxygen Controllers The Monitors Oxygen Controllers must be tested routinely taking samples from the ambient and of pure oxygen and to do
63. he Skin Sensor Before placing the sensor on the skin deeply clean and dry well the area of the skin where the sensor wil be placed When the newlly born is lying on his back or is lying sideways place the sensor on the abdomen half between the xyphoid and the nipple When the newly born is lying with his face up place the sensor on its back Couple the Patient s Sensor to the NB using FANEM adhesive Adesivo Kit Re 086 068 600 as shown in figure on page 36 Once the Skin Temperature is stabilized the sensor will automatically control the system within 0 3 C of the Skin temperature setting Alarm Conditions When an alarm condition occurs due to HIGH SKIN TEMPERATURE or due to LOW SKIN TEMPERATURE the indication of the alarms will be shown by the display close to the SKIN function actuating an audiovisual alarm on the Control Panel By pressing the Inhibit Sound key the alarm sound will silence for 15 minutes See items 2 7 and 2 8 for additional information 46 USER S MANUAL 1186 NEONATAL INCUBATOR lt p Attention In High Temperature Conditions the supply of power for th heating resistance is automatically interrupted When an alarm condition occurs due to the Sensor Failure disconnected sensor or in short circuit or even off the NB skin the alarm indication will be shown by the display close to the SKIN function by actuating an audiovisual alarm in the Control Panel By pressing the Inhi
64. he initial key In case of power failure the setting points will be memorized and retained 47 USER S MANUAL 1186 NEONATAL INCUBATOR gt Attention In high humidity levels inside the Incubator Dome typically higher 60 the condensation may be formed the dome internal walls Th concentration the walls is directly related to the internal humidity ii the incubator and ambient temperature Attention High relative humidity in the Incubator in a certain temperatur will reduce the loss of vapor heat of the newly born and ma cause an increase in the temperature This effect will be stronge in premature newly born with too low weight The Temperatur T Control Mode the Temperature Set and Humidity Level Settin shall be prescribed by the attendant medical doctor The newl born armpit and rectal temperature should be routinely monitore according to the recommendations of the attendant doctor or th Nursery standards Attention Only use distilled water to place in the reservoir Tap water may contain organisms which may proliferate in the heated water of the humidifier Check that all fixtures of the access doors are perfectly installed An opening in the Incubator Dome will reduce the internal relative humidity c the Incubator Alarm Conditions When an alarm condition occurs due to HIGH HUMIDITY or due to LOW WATER LEVEL the alarm indication will be shown by the display next to the HUMIDITY function
65. head on the desired condition during the CPAP procedure or phototherapy application It facilitates the works of the operator to avoid cranial deformity originating from lateral decubitus of the newly born Pillow Kit Re 094 070 600 Package with 10 units Exclusive use with the 1186 Neonatal Incubator 3 29 Acrylic Dome Made of optical quality transparent acrylic the dome allows the total visualization of the newly born It has five oval ports it allows the neonatal manipulation both from the front part two ports and the rear part two ports in addition to having a lateral port for the outlet of materials In the other side in 4 the direction of the head of the infant there is a manga iris OS 4 for the fixation of necessary tubes in certain procedures it 17 ij possesses 2 access doors one frontal and other back and eight tubes passages The double intern wall of the 1186 Incubator is formed by three parts one installed in the body Y of the cupola and two in the front and back access doors The double walls optimize and improve the control of the temperatures inside the cupola ia sy a Dome Internal Double Wall 090 237 321 Access Door Internal Double Wall 092 116 321 Exclusive use with the 1186 Neonatal Incubator 3 30 Double Stuffy REF 090 112 322 Installed in factory close to lateral of the cupola in the destined place
66. hototherapy coupled When using the Ergometric Support always transport the incubator in its lowest height to improve stability of the set 25 USER S MANUAL 1186 NEONATAL INCUBATOR For the assembly and transport of the Incubator the procedure is recommended with a person of sufficient strength When using the Incubator s shelves take the following precautions Always place the monitor on the corner of the shelf Check if the monitor fit the shelf edge Avoid over placing the monitors installed on the shelf Respect the maximum load limits of the shelves Do not place equipment or other accessories on the dome During an emergency it may be opened quickly The additional equipment that may be connected to the patient and eventually energized through the auxiliary switch set shall be perfectly grounded and be in conformity with the electric safety norms for electro medical equipment NBR IEC 60601 1 and its private norms or equivalent norms which are in force in the country Never surpass the power range specified by the set of Auxiliary Switches when additional equipment is energized through those switches Do not actuate the command keys with your nails and do not use sharpened objects to actuate them Use only original FANEM parts and accessories to ensure better safety and performance in the equipment Attention Do not raise the acrylic dome while the patient is in the incubator 4 1 1 Dang
67. ied with two support options the Fixed Support SFV and the Ergometric Support SEV Attention The Ergometric Support SEV is an optional item 11 USER S MANUAL 1186 NEONATAL INCUBATOR 3 2 1 Fixed Support SFV Re 090 050 600 Fixed height support SFV model Re 090 050 600 made up of 4 rotating wheels with brake This support may optionally be supplied with a set of drawers or cabinets as per item 3 4 Drawers and Cabinets 092 146 600 Exclusive use with the 1186 Neonatal Incubator 3 2 2 Ergometric Support SEV Optional Support of variable height SEV model electrically actuated with a total course of 200mm having 4 rotating wheels with brake See reference chart below Voltage Frequency Re FANEM E V Hertz Hert Hz Code Ergometric 800 ee 092 063 700 063 700 220 uM MM 240 u SS Exclusive use with the 1186 Neonatal Incubator 3 3 5 127mm wheels with brake RE 090 191 600 It raises the incubator at 12 5mm in addition to providing lesser effort to move the equipment Attention Optional Item Exclusive use wit the 1186 Neonatal Incubator 3 4 Drawers and Cabinets The may be installed on the two types of supports the fixed one and the ergometric one Both on the right and left sides There are two chest of drawers type one with two drawers and other with a big drawer Of these can just be chosen one model for ea
68. in meters m It is recommended that the field intensity established by the RF transmitter according to determination through an in loco electromagnetic inspection is lower than the level of accordance in each frequency Some interference around the equipment can occur marked with the following symbol NOTE 1 At 80 MHZ and 800 MHZ applies to high frequency range NOTE 2 These guidelines may not apply in all situations The electromagnetic propagation is affected by absorption and reflection from structures objects and people Itensities of field established by fixed transmitters such as radiostations telephone mobile wireless and terrestrial mobile radios amateur radio FM radio transmission and TV transmission can be theoretically provided with accuracy To assess the electromagnetic environment due to fixed RF transmitters we advise an electromagnetic inspection of the place If the measurement of field intensity of the place in which the the Incubator1186 is used overpasses the level of accordance used above the cradle need to be observed in order to verify if the operation is normal If an anormal performance is observed aditional procedures can be necessary such as reorientation or replacememnt of the Incubator1186 P Above the frequency band of 150 kHz until 80 MHz the field intensity should be below 10 V m USER S MANUAL 1186 NEONATAL INCUBATOR Distances of separation indicated between mobi
69. ing on the Control Panel actuate the function key corresponding to the SKIN SET the display will show the SKIN SET screen by means of the INCREASE or DECREASE keys set Skin Temperature T as needed Attention During the Skin Temperature Set operation the system itsel automatically selects the High and Low Temperature alarm points Ajuste Temperatura A amp 4 e D C Alarmes Alta 39 0 Baixa 37 0 C 10 47 53 FANEM NEONATAL DIVISION 45 USER S MANUAL 1186 NEONATAL INCUBATOR eee NUN Confirm the Skin Mode condition by actuating the ON function vV To release the Skin Temperature higher Set keys gt 370C and for the Skin Temperature BIAS graph actuate on the corresponding function keys and check through the display of the actuation of the selected functions by means of a CHECK v confirming the actuation of the functions By means of the RETURN function the display will go back to the Temperature Control initial screen or then after 15 seconds the display will automatically revert to the initial screen In case of a power failure the set point will be memorized and retained and will go back to the set value when the power is restored The Low Temperature Alarm will remain with the inhibited sound during 40 minutes as of the moment in which the Incubator is turned on To allow the initial warming this alarm will auto
70. ion Incubator The 1186 Vision Incubator possesses in your constructive form all modules of parameters physiologic equalized to a same potential not existing external driver of potential equalization In order to prevent accidents to the patient the dome must not be raised while it remains in the incubator or the need to raise the dome while the patient is taken care of in the incubator All necessary accesses to the newly born may be performed by means of the front and rear Access Panel as well as through the Ports Check if the door iris sleeve is correctly installed if not the internal temperature will not stabilize The Temperature Display may not reflect precisely the INCUBATOR TEMPERATURE when the Front Access Panel is open Do not leave the Access Panel open more than necessary All Access Doors and Ports locks must be perfectly safe to avoid accidental openings For the patient safety DO NOT leave the patient unaccompanied when the Access Panel or the Ports are open DO NOT raise the dome with the patient The use of infantile seats or other accessories inside the incubator which may alter the air flow standard may affect the temperature uniformity the temperature variability and the incubator temperature reading correlation of the child s skin Do not use mattress with heights that are different from the original mattress The patient s safety and the incubator operation be compromised if the air flow passage is
71. irculation Lock 110V 5A Sensor AR System 220V 3A 1186 Controller Unit Panel Cleaning Cleaning and or disinfection tank EMA model For cleaning proceed as follows 1 Fill up the tank with 5 5 Iters of clean water 2 Add liquid neutral soap in the necessary amount 3 Position the control panel as shown in the figure 4 Connect the feeding cable to the switch and turn it on for 5 minutes e Remove the panel supporting it on a surface Remove the water from the tank substituitng it for 5 5 liters of clean water Attention We recommend the cleaning and disinfection of the controller unit at every change of patient or as per the norms 8 Remove the panel drying it well before installing it in the of the Hospital Infection incubator Control Committee Re 086 100 321 Exclusive use with the 1186 Neonatal Incubator 7 Position the control panel again on the tank to make the rinsing and keep it on for 5 minutes more 65 Y USER S MANUAL 1186 NEONATAL INCUBATOR 7 1 4 Cleaning and Maintenance The non sterile reusable sensors require cleaning with agents such as alcohol at 70 or 1 10 water solution sodium hypochlorite before being used in infected patients or by those who are more prone to infections 7 1 5 Air Filter Kit with 4 parts Re 090 058 600 Attention Disposable consumption Air Filter It must not be cleaned or placed with the dirty face to the in
72. le and portable RF communication equipments and the Incubator1186 The Incubator1186 is used for electromagnetic environment in which RF disturbances radiated are controled The user can help to prevent electromagnetic interference keeping a minimum distance between mibile and portable RF communication equipments transmitters and the Incubator1186as indicated below according to the maximum power of output for communication equipments Maximum nominal power Distance of separation according to the transmitter frequency of output of transmitter W 150 kHz until 80 MHz 80 MHz until 800 MHz 800 MHz until 2 5 GHz d 0 35 P d 0 35 P d 0 7 P For transmitters with maximum norminal power of output not mentioned above the d distance of separation indicated in meters m can be determined through equation applicable for the transmitter frequency where P is the maximum nominal power of output for the transmitter NOTE 1 At 80 MHZ and 800 MHZ applies to high frequency range NOTE 2 These guidelines may not apply in all situations The electromagnetic propagation is affected by absorption and reflection from structures objects and people 5 Equipment installation 5 3 1186 Model Neonatal Incubator Unpack the Incubator checking that all parts are in good condition Also check if all accessories are complete Remove the red lables that protect the panel for transport loosening it and removing them Follow the guide drawing
73. led Unit 1186 Control Unit 1186 Panel with LED s Air and Skin Mode Control With No Optionals 11 10 ALARME TEMPERATURA DA PELE TEMPERATURA DO AR AQUECIMENTO 1 FALTA ENERGIA 2 FALTA SENSOR C C or CIRCULA O L 1 ALTA TEMPERATURA _ BAIXA TEMPERATURA TEMP PELE sec walli SELE O DE EST 597 Bee AR 30 39 M ge J fe 8 GRE MICROPROCESSING CONTROL UNIT FANEM DIVISAO NEONATAL Q 42 33 USER S MANUAL 1186 NEONATAL INCUBATOR 3 VENTILATION MISSING Alarm Indication Led 12 AIR MODE Selection key 13 AIR MODE Indication Led 14 Resistance WARMING Indication Led 15 AIR TEMPERATURE Indication display and or auxiliary sensor 16 SKIN TEMPERATURE Indication Display 18 Temperature Setting Indication Led higher than 37 Temperature Setting key higher than 37 6 1 2 Turning on the 1186 Incubator with 1186 Control Unit Panel with LED s Air Skin Mode Control without optionals Connect the appropriate feeding cable to the lateral panel switch Conect the other end to a hospital installtion power switch Check if network voltage where the feeding cable is connected corresponds to the same voltage indicated on the incubator lateral panel label 127V 220V ou 240V Never turn on the Incubator if the hospital switch
74. mance of a SpO gt sensor Be sure the sensor is correctly applied and is covering the sensor area with opaque material however not opening the sensor of skin temperature Do not use a damaged sensor or sensor cable Do note use a sensor with exposde optical components al USER S MANUAL 1186 NEONATAL INCUBATOR Attention Only use NELLCOR sensors and sensor cables with this monitor Other N sensors and cables can offer an unsatisfactory performance in the kit for Integrated Pulse Oxymetry Do not use a sensor cable to increase the sensor length exceto o DEC 4 REF 090 138 600 performance Do not connect to the input port of sensor any cable suitable for use in computer Do not connect any not yet approved device to the sensor connector FANEM Attention The use of more than one sensor cable can has adverse effect on the tissues Note the regularly the sensor area according to indication in their instructions Attention The incorrect application or prolonged use of a sensor of can damage 4 3 Spare Parts For possible spare parts refer to section 3 of this manual Parts Pieces and Accessories with the respective references To obtain schemes parts components or other additional references please contact Fanem Ltda or its commercial representatives The function and safety of this equipment are only guaranteed if the checking maintenance and repair services are performed by the Fanem Technical A
75. matically actuate after this time has elapsed The Incubator will begin the warming process and the amount of power supplied for the resistance may be visualized by means of POWER inidication close to the BIAS graph The temperature in the inside of the Incubator will gradually increase until it becomes equal to the set temperature Skin Mode In the first warming cycle the temperature surpasses 1 0 C above the set temperature Over Shoot and after that it decreases in less than 10 minutes becoming equal to the setting temperature When the two temperatures are equal to the POWER indication for the system it will be controlling between 0 and 10 of power Attention The Air Temperature is still displayed in the Skin Mode only fo information If the Air Temperature Mode is selected while the Skin Senso is connected the Skin Temperature Display will continue to show th current Skin Temperature but it will not control it Attention Never place the Skin Temperature Sensor under the NB or use to sensor rectal temperature The Skin Temperature Sensor mus be in direct contact with the skin to provide precision in th monitoring of the newly born skin temperature Failure in keepin T 1 direc contact with the skin may result in over heating and possibl burns Check the newly born condition at least every 15 minute for the right fixation of the sensor and feel the newly born skii with for no signs of overheating Placing t
76. mperature and the scales provides the specified precision Attention The dome may not be opened when the scales is installed 41 USER S MANUAL 1186 NEONATAL INCUBATOR liu uGmnm n K sn ssr 6 1 15 1186 Neonatal Incubator LCD Graphic panel with all optional items HEZINATAI Ca With an interactive display the Control Panel of the 1186 NEONATAL INCUBATOR was configured in simple manner and that can be easily operated it is made up of 8 keys and 3 visual indications MENU jM POWER FAILURE a ALARM lt TEMPERATURE gt 37 C INCREASE AND DECREASE or f amp PARAMETERS FA NEM 4 FUNCTION KEYS q 17 lt E _ VISUAL INDICATORS n ALARM SOUND INHIBITION 42 USER S MANUAL 1186 NEONATAL INCUBATOR 6 1 16 Turning on the 1186 NEONATAL INCUBATOR LCD Graphic Panel Connect the appropriate feeding cable in the power inlet of the 1186 NEONATAL INCUBATOR located on the lateral side of the equipment Connect the other end of the feeding cable its network plug into a hospital installation power switch Attention Check if th network voltage where the feeding cable is plugged correspond to the same equipment voltage indicated in the label close to the Incubator power inlet 127V 220V ou 240V Never turn on the Incubator if the hospital switch does not hav reliable grounding Never disconnect
77. nd Skin Temperature oxygen concentration control and monitoring relative Humidity control and monitoring it provides better ways to check the newly born signs Attention This kit must only be used as a complement in the medical evaluation of the patien It must be used together with clinical symptoms and signs This kit uses pulse oxymetry to measure the functional oxygen saturation in the blood The pulse oxymetry works with the use of a sensor to a pulsating arterial vascular bed such as for example a finger The sensor contains a luminous dual fountain and a photo detector The bones tissues pigmentation and venous vases normally absorb a constant volume of light during the time the arteriolar bed pulses and normally absorbs variable amounts of light during pulsations The absorbed light ratio is converted into a functional oxygen saturation measure SpO Note Once the measure of SpO2 depends on the sensor light the excess lighting of the ambient may interfere in this measure Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 22 1 OXIMAX Accessories NELLCOR a Tyco Co D YS Sensor Re 090 137 600 reusable sensor used in babies 3 15kg and in a newly born For use in babies the ideal area for application is the foot big toe with the cable along the sole of the foot For application in a newly born the ideal area for application is the anterior part of the foot sole
78. nd external part of the incubator Remove the excess product and dry the components following the assembly order tray bed support mattress double wall and controller unit see Reassembly of Incubator Remove the excess product and dry the fixtures and cables connecting them to the Incubator Remove the gloves for procedure Wash the hands 63 USER S MANUAL 1186 NEONATAL INCUBATOR Connect the incubator to the electric power and keep it on even without a patient programming a pre set temperature for example 34 or 36 C or as per the operational procedures of the sector This is necessary in order to maintain the cleaning and aseptic conditions through the air filtering and forced circulation until the next use Reassembly of the Incubator Install the air pipe Install the deflector of the humidity reservoir Install the control panel Reposition the water level Install the dome fixture Replace the internal tray checking if it is in the right position as it is shown in the figures below and press the Tray lock button O O O o NO Ne Badly Positioned Tray Correctly Positioned Tray Tray placed on the fixture in one of the side The tray must be seated directly on the base with the allowing air passage fixture around it L E I F d AL Jl f 4 i Qu i k k I g Replace the mattress bed on the elevato
79. nge Control Range Relative Humidity 30 to 95 Control Precision Relative Humidity Reservoir Capacity 950 ml 24 1 h 85 Relative Humidity Operation Time Maximum Capacity Reservoir For ambient temperature 23 19 and Control Temperature 34 USER S MANUAL 1186 NEONATAL INCUBATOR Weighing System Scales Display Resolution 0 29 Performance Range Weight 0 to 10Kg 2 1 5 Physical Characteristics Incubator on Fixed Support 107 cm Weight without Rods and Shelves Rotating Wheel 4 Brake with brake 5 with optional brake Incubator on Ergometric Support Width 107 cm Height Min and Max Height Mattress Level Min and Max Weight with Rods and Shelves Weight without Rods and Shelves Rotating Wheel 4 Brake with brake 5 with optional brake 4 unit Dome Bed Specifications Variations according to dome models 2 1 6 Maximum Loads Auxiliary Shelves 10 kg per shelf USER S MANUAL 1186 NEONATAL INCUBATOR 2 1 7 Alarms System Alarms Actuate if power failure occurs for the Incubator or if the power wire i Power Failure i accidentally disconnected from the system D l Actuated when the internal air flow is interrupted Performance Time afte Air Circulation Failure the failure up to 120 seconds System Failure Actuated when an internal failure occurs in the control microp
80. not kept without obstructions blankets diapers etc during clinical use In order to avoid over heating of the patient due to direct radiation do not position the incubator directly under solar light or under other sources of radiant heat In those cases the functioning condition by the air control may be compromised Do not place surgical lids or blankets on the patient neither hot air forced currents at the same time This may cause induced heat injury and burns Phototherapy units located close to the incubator may affect the dome wall temperature incubator air temperature and the child s skin temperature Never place the Skin Temperature Sensor on the child or use it to sensor the rectal temperature When in Skin Control the Skin Temperature sensor must be in direct contact with the skin to provide the patient s skin perfect temperature monitoring If the Skin Temperature Sensor fails or is poorly positioned on the patient it may result in over heating Routinely check the child s conditions for the correct positioning of the sensor and feel and observe the child s skin for overheating signs When the X Ray is taken through the dome the acrylic dome may be shown on the image as a radiolucent shade and may result in an incorrect diagnosis For a better stability of the incubator always lock the support wheels during use For better safety do not transport the incubator with its shelves loaded and with the Bilispot p
81. nsor recommended for use is the DURA Y sensor 5 Re Fanem 090 137 600 This sensor may be used with the DEC4 extension cable Ref Fanem 090 138 600 Attention This sensor is reusable and its application is with bandage The sensor kit has one DURA Y sensor and 10 bandages 52 USER S MANUAL 1186 NEONATAL INCUBATOR cima 6 1 21 3 Alarm Values Enter the oxymeter screen press the ALARMS key Once on the alarm screen the alarm values will be displayed Press the INCREASE left to choose the value to be altered An arrow indicates the alarm value for setting Press the INCREASE or DECREASE right keys to set the desired value Press RETURN to go back to the oxymeter screen 6 1 21 4 Monitoring Mode The 5 2 is shown for values between 1 to 100 The pulse frequencies are shown for values of 20 to 250 beats per minute and zero beats per minute Pulse frequencies below 20 except zero are shown as 20 and above 250 will be shown as 250 A zero pulse frequency is used to indicate that the monitor is not monitoring the pulse The SpO2 and BPM values information are shown in two manners 1 On the main screen the SpO2 and BPM values are shown in the oxymeter chart together with the pulsation bar 1 On the main screen the SpO2 and BPM values are shown in the oxymeter chart together with the pulsation bar I dee ARN www ml
82. ntration as needed Attention Check on an usual basis with a calibrated Oxygen Analyser the internal concentration of the dome and comapre with the value indicated on the panel Attention During the Oxygen Concentration setting operation the system iself automatically selects the High and Low Concentration alarm points 49 USER S MANUAL 1186 NEONATAL INCUBATOR Ajuste Concentragao LKSAJDESL Oxigenio CALIBRAR 21 TEHDENCIA G RETORNO Alarmes Alta 24 Baixa 18 1 21 is Calibrar o N oxig nio a cada 7 dias 10 47 63 P N FANEM NEONATAL DIVESION Confirm the Oxygen Mode condition actuating the ON OFF function to ON V position To release the BIAS graph of the Oxygen Concentration actuatre in the corresponding function key and check through the display about the selected function actuation by means of a CHECK V confirming the BIAS graph actuation With the RETURN function the display will return to the Temperature Control Initial screen or after 15 seconds the display will automatically revert to the initial screen In case of power failure the seting points will be memorized and retained Attention During the oxygen intake by using the Oxygen Servo Controlled System the Oxygen Concentration Table is not valid Alarm Conditions When the control is one of the alarm indications described as follows
83. of 36 C Insert the Patient Sensor inside the dome and after the system stabilization actuate on Temperature Set display and increase the previously programmed temperature at 1 0 C The visual and sound alarm of Low Temperature will be immediately actuated Air Mode Note Trigger at 3 0 C in relation to the programmed temperature in the control point Select the condition in Air Mode and actuating on the Temperature Set display set the temperature at 34 C after the system stabilization actuate on Temperature Set display and increase the previously programmed temperature at 3 0 C The visual and sound alarm of Low Temperature will be immediately actuated Power Failure Alarm 1186 Control Unit LED panel without optionals LED panel with optionals LCD panel with optionals With the incubator in operation disconnect the power cable off the electric power The visual and sound alarm Power Failure will be immediately actuated 72 USER S MANUAL 1186 NEONATAL INCUBATOR M 7 3 6 High Humidity Alarm 1186 Control Unit O LED Panel without optionals LED Panel with optionals LCD Panel with optionals Note Trigger at 10 in relation to the programmed humidity in control point Set a value of 70 of relative unit after system stabilization actuate in control of humidity and increase previously programmed humidity at 10 the now setting at 80 The
84. of the equipment to perform the assembly of the sets parts and accessories General Accessories such as the drawer set vertical rods shelves serum support etc are supplied with their own instructions Assembly of Incubator on Support The Base and Dome Sets are packed in a separate box the Support Set is packed in another separate box In order to assemble the Incubator lock the Support Set wheels carefully couple the Base Set to the support upper part and fix the two sets through the 4 provided bolts Attention The incubator should be perfectly fixed to the support failure in its fixing may result in the separation and drop of the Incubator from the support mainly in leaned surfaces and specially with the dome open General Instructions Before turning on the incubator see the description of your control panel in section EQUIPMENT OPERATION and get acquainted to it To turn on the Incubator follow the orientation described in section TURNING ON THE INCUBATOR More detailed instructions of the incubator general operation can be found in section EQUIPMENT OPERATION If some error occurs in the equipment operation try to solve it by using the section FAILURE DIAGNOSIS that describes the possible failures and its corrections Even though this is not possible to solve them consult a FANEM authorized technical assistance For assembly and transport of the Incubator use people with enough strength for
85. on 002032 51 a wa aac cect ge Ace kan esate 33 6 1 1186 Model Neonatal 1 rna nna nns 33 6 1 1 Microprocessed Controlled Unit 1186 Control Unit 1186 Panel with LED s Air and Skin Mode Control With No Opuonals u TIT 33 6 1 2 Turning on the 1186 Incubator with 1186 Control Unit Panel with LED s Air Skin Mode Control without optionals Mom esl i LUCI DM ieu uM M Ub bu Et o dud 34 1 8 Dome with Double 38 6 1 11 Inclined Bed Operation eet n orna e rn bre enano boe gU a fe cuntur Putete duca MlatesUfu dn 40 6 1 12 Radiotransparency of Bed with Mattress cccceccccssscecceseeeceeseecceeececseeeessueseesaaeeesseueeesauaueeeeseueeesseneesseaes 40 6 1 13 Inlet Bores for Pipes and Connections of Other Auxiliary Equipmenti 40 6 1 14 Use of the Incubator with the Neonatal Scales Mod 91 41 6 1 15 1186 Neonatal Incubator LCD Graphic panel with all optional items 42 6 1 16 Turning the 1186 NEONATAL INCUBATOR LCD Graphic Panel 43 oT T7sAIr Temp
86. onnected from electric Du Connect the cable correctly pressing the On key network Press Turn off key during 2 seconds until the effective turning off occurs in the unit The unit does will not turn Turn off key pressed in a wrong off manner Change fuse located on lateral panel Burned Fuse 5A F Type 127V Power Failure Alarm 3A F Type 220V Check voltage in the hospital network Disconnected Cable Connect power cable on lateral panel Badly positioned tray Position the tray su see Fig page Air High Temperature Alarm Close all access doors and iris sleeve Opened access port or iris sleeve correctly A Badly positioned skin sensor in newly Place the sensor on the newly born arm Low Temperature born Skin Mode correctly Check the motor set fan or obstruction in the air inlet and outlet duct on tray No Air Circulation Lack of Ventilation Resistance high temperature caused When the front access door is open keep by positioning error of Patient Sensor the Patient Sensor inside the Incubator or when the access door is open positioned on patient Opened Access Port or iris sleeve Close all doors Oxygen low concentration Badly positioned tray Correctly position the tray Air filter not installed Check if the air filter is correctly installed Dirty Air Filter Change Air filter Oxygen high concentration Air Inlet pipe not installed Correctly install the pipe Burned heating
87. ons of oxygen intake Attention During the oxygen administration the increase of the noise level may occur for th patient inside the incubator gt 4 2 Precautions Kit for Integrated Pulse Oxymet ional RTM Biocompatibility tests have been accomplished in NELLCO sensors according with ISO 10993 1 biologic Assessment of medical devices Part 1 assessment and test Sensors have been well succeeded in the advised biocompatibility tests and thus they are in accordance with ISO 10993 1 Attention Readings of pulse oxymetry and pulse frequency can be affected by some environmental conditions errors in sensor application and specific conditions of patient Inaccurate measurements can be caused by Incorrect application of sensor Placement of sensor in an extremity with a sleeve of pressure gauge arterial catheter orintravascular access Environmental illumination Prolonged movement of patient Loss of pulse can be cause by the following reasons Sensor is very tightened Sleeve of pressure gauge is inflating in the same extremity as the connected sensor There is arterial occlusion next to the sensor Clean and remove any substance like adhesives from the application ares Check periodically if sensor continues placed in a suitable mode in the patient A strong illumination in the environment like surgical lamps phototherapies Bilitron like or sun light can interfere in the perfor
88. operation if the Sensor Module Cable is disconnected from the oxygen cell the SENSOR MISSING message will be displayed and the oxygen flow will be interrupted Calibration at 21 Ambient Air Rotate the oxygen cell compartment outwards until its total opening Wait for at least 2 minutes until the cells get an air ambient concentration at 21 Attention If the compartment is open when the oxygen control is an audiovisual alarm will indicate this occurrence In this case turn off the Oxygen control or inhibit the arlam sound Enter in the oxygen concentration setting table by pressing the key which corresponds to the oxygen Press the CALIBRATE key to enter in Calibration Procedure key If the cell compartment is closed the information Open the Calibration Compartment will remain blinking If the compartment is already open press the CALIBRATE key The Oxygen in Calibration indication will be blinking until the Calibration Performed Successsfully information will appear indicating the end of the process Attention If one of the cells has a problem or has expired the ERROR2 information will be displayed indicating this occurrence In this case check the cell validity and their connections Attention Never change one of the cells only For the perfect functioning change the two cells as per the valdity indicated Attention Every time the cells are calibrated the control condition will be off and
89. ose to the incubator base When rotating those manipulators down you will obtain Trendelenburg proclive high horizontal positions without violating the patient insulation When there is not need to raise the bed these manipulators should be in the horizontal position in the scales platform and X ray chassis and then should return to the original positions I Attention The high horizontal position must be used only for specific procedures or adjustments 6 1 12 Radiotransparency of Bed with Mattress The bed and the mattress are manufactured with materials that allow the transparency to the X Rays There is a space under the bed for the introduction and positioning of the X ray plates The dome must be slightly open to introduce the X Ray plates under the bed 6 1 13 Inlet Bores for Pipes and Connections of Other Auxiliary Equipment Located in the lower lateral close to the access doors This location makes it easier and provides quick access to introduce connections and pipes for breathing feeding and intravenous solution intake and monitoring cables This 40 USER S MANUAL 1186 NEONATAL INCUBATOR eee h way the bed with the newly born may be slided forward over the access door without the need to remove the pipes probes or cables 6 1 14 Use of the Incubator with the Neonatal Scales Mod PN91 TS The PN91 TS Neonatal Scales is used for the newly born weighing Tthe weighing capacity of this Scales is up to 10k
90. ouching the Incubator Dome Instantaneous Weight Freezing With the option of freezing of the instantaneous weight the weight in that instant is congealed being possible to execute procedures of manipulation in the RN and later to reactivate the unfreeze the reading of the scale will return to the previous weight to the freezing having returned its normal functions Attention Item of optional configuration and installation under consultation 55 USER S MANUAL 1186 NEONATAL INCUBATOR n 6 1 23 Bias Displays The 1186 NEONATAL INCUBATOR has an exclusive parameter visualization system by means of the BIAS Graphs these graphs are visualizaed on the main screen display in its lower part Umidade Inicio 08 41 Potencia 50 10 47 53 05 05 00 BIAS GRAPHS Air Temperature Skin Temperature Relative Humidity The additional BIAS GRAPHS can also be evaluated when the unit is equipped with any of the following options Oxygen Weight Scales Oxymetry The BIAS monitoring time is selected by the user in intervals of 4 8 and 24 hours for all the parameters except the weight which provides a fixed time of eight hours and the oxymeter that is fixed at 18 hours For the configuration of the BIAS graphs by actuating through the function keys select the corresponding function to visualize the graph AIR SKIN HUMIDITY OXYGEN the display will show the corresponding SETTING screen regarding the
91. parameters of the 1186 NEONATAL INCUBATOR DO SISTLW A ake orato to 4 Tb ae By pressing the MENU key the display will show the SYSTEM MENU screen the cursor may be moved by means of the function keys for the following topics PARAMETER SETTING CONFIGURATION LANGUAGE PERIOD BIAS 4 Hs KEYBOARD LOCKING 9 9 59 USER S MANUAL 1186 NEONATAL INCUBATOR R Selecting the desired item press the function key to ENTER on the respective item PARAMETER SETTING Actuating the PARAMETER SETTING on this condition the display will show the following items which may be set AIR TEMPERATURE SKIN TEMPERATURE RELATIVE HUMIDITY OXYGEN SpO CLOCK SCALES The items AIR TEMPERATURE SKIN TEMPERATURE RELATIVE HUMIDITY OXYGEN and SCALES have already been reported in Chapter 6 of this User s Manual 9 9 9 9 9 AJUSTES ENTRAR Temperatura do Ar X b Temperatura da pele un Sr Umida lativa dade Relative RETORNO f Oxigenio 74 x SpO C Rel gio Balanca III MICROPROCESSING CONTROL UNIT FANEM For the item relative to the CLOCK setting one should proceed in the following manner By the function keys take the cursor to the CLOCK item press the function key which corresponds to ENTER the display will show MINUTE HOUR DAY MONTH YEAR Actuating on the corresponding INC
92. r guides h Place the mattress with the cover on the bed Install the ports fixtures As in the figure below j Close the dome Fanem Humidifier optional accessory a Remove the container b Remove the Atomizer assembly rotating it slightly and pulling it outwards c Clean the metallic Atomizer in runnimng water using a small sponge or brush Do not use metal parts to clean the bores d Make the disinfection with the product adpoted by the Hospital Infection Control Committee being careful not to leave residues e Assemble the Humidifier and check that the Atomizer is in its correct position Port Fixture Correct Positioning Location s lt Acrylic Wall Elastic handle optional epson IND _ Fixture Access Door A A 64 USER S MANUAL 1186 NEONATAL INCUBATOR 7 1 3 1186 Microprocessed Controler Unit Panel To remove the control panel first turn off the incubator take out the cables connected on the panel lateral pull the two lock leverslocated on the panel lateral black levers upwards as shown in the figure and holding the panel pull it softly outwards Attention To begin a cleaning or maintenance procedure check if the incubator is disconnected from electric power Patient Sensor Auxiliary Air Embossing No Ventilation Heating Element Code 092 059 600 Sensor Code Attention Sensor 092 060 600 Closing Lateral Panel Mode Air C
93. r temperature monitoring and another one by means of the skin temperature monitoring of the newly born The user may also use an auxiliary temperature sensor optional To enable different concentrations of oxygen under the integral way or simultaneous mixture with the ambient air via two modes the oxygen limiting valve or micro processed control optional using oxygen sensors on the dome To enable the ambient humidification where the newly born is by means of two possible manners through the humidity passive system or through integrated micro control active system optional Another possible optional is the integrated pulse oxymeter to be used as a continuous non invasive monitor of arterial oxygen saturation SpO2 and the pulse frequency of neonatal patients Its use in the 1186 incubator jointly with other monitoring and control instruments provides easier way to check the vital signs of the newly born enable the newly born weight monitoring in the internal ambient of the dome with the Scales Kit optional without the need to remove or handle the patient from the incubator for that control This User s Manual provides general instructions for installation use operator s maintenance and failure diagnosis of the 1186 Model Incubator Faneme will not be responsible if the user does not operate the unit according to its instructions if the maintenance recommendations in this manual are not followed or if any repair is mad
94. rocessor Attention When the incubator is turned on the Air Circulation Failure Alarm remains unactuated during 40 minutes becoming active after this period is elapsed Attention The temperature setting values will remain memorized Temperature Alarms EE Actuated at 38 0 for temperature settings lower than 37 9 P Actuated at 40 0 C for temperature settings higher than 37 C Actuated if the Air Temperature on the dome is 3 0 C below the settin Low Air Temperature point TO High Air Temperature iE if the Air Temperature on the dome is 1 5 higher than the settin Skin Temperature High Actuated if the NB Skin Temperature is 1 0 C higher than the setting point Skin Temperature Low Actuated if the NB Skin Temperature is 1 0 C below the setting point Actuated when the Patient Sensor plug is disconnected or when the sensor Sensor Failure wire has a poor contact or even if the sensor is loosened off the Patient skin It only actuates on Skin Mode Oxygen Alarms optional ED 5 Low Oxygen Actuated when the internal concentration of O is higher than 3 below th setting point High Oxygen Actuated when the internal concentration of O is higher than 3 above th setting point e C lb Actuated when an operational failure occurs during the Oxygen Sensc calibration process Actuated when the Oxygen Sensor UR plug is disconnected or when th
95. s the air temperature at 0 5 C above the temperature set to the patient skin only for the operation mode at Skin When the newly born reaches the expected temperature Set Temperature the control becomes proportional again according to the need of the newly born 6 1 7 Temperature Control Air Mode In this mode of operation the incubator temperature may be kept between 30 0 C and 39 0 C selected through Set Temperature located on the front panel The incubator temperature is monitored through the air sensor located on the inferior deck and the temperature will be read on the Air Temperature display Auxiliary Sensor When this sensor is connected to the incubator the temperature indicated on the Air Temperature display will be read by this sensor only when the temperautre is higher or the same as 20 5 C Attention The Auxiliary Sensor only serves to monitor the air temperature or the patient peripheral temperature and being that the resistance heating control and the alarm levels will continue to be referenced by the internal air sensor located in the lower deck control panel Skin Mode In this operation mode the newly born temperature may be controlled between 34 0 C and 38 0 C selected by means of the Set Temperature located on the front panel The newly born temperature is monitored by the Patient Sensor The heating is proportionally controlled through the newly born cutaneous temp
96. selected function Actuate the BIAS corresponding function key and check through the display about the actuation of the selected function by means of a CHECK V confirming the graph actuation Generally the BIAS graphs are configured in the following manner AIR Bias The graph will display the Air Temeprature C ordinate axis along the Time hs abscissa axis SKIN Bias The graph will display the Skin Temperature C ordinate axis along the Time hs abscissa axis HUMIDITY Bias The graph will display the Relative Humidity ordinate axis along the Time hs abscissa axis OXYGEN Bias The graph will display the Oxygen Concentration ordinate axis along the Time hs abscissa axis For those graphs the time distribution may be 4 8 or 24 hours and is selected on the system MENU screen 56 USER S MANUAL 1186 NEONATAL INCUBATOR gt WEIGHT bias The WEIGHT graph is accessed by means of WEIGHING procedures as decribed in item 6 5 in this manual through the MEMORIZE screen the NB weight is followed during an interval of 8 consecutivre days The graph will show the weight variation in grams ordinate axis along the Time 8 Days abscissa axis Attention If the display is on the main screen one may actuate the WEIGHING screen directly by pressing the Decrease key only 6 1 24 RS 232 Serial Outlet A related serial port is provided This port is config
97. so the manufacturer s instructions should be followed If the instruments indications are correct on the two extremes the intermediary readings will be reliable within the required exact limits The Air filter must be changed routinely at least every three months If the filter element is saturated the oxygen and CO concentration will increase if the incubator is run with no air filter the oxygen concentration will decrease and the newly born insulation will be violated Both cases may cause risks to the patient By the time of oxygen intake no Humidity oxygen should be used as the FANEM incubator provides sufficient Humidity Accessories that are not manufactured by FANEM should not be used in the incubator The use of parts that are not manufactured by FANEM may negatively affect the adequate operation of the incubator and may cause serious risks to the patient Attention The risk of incidence of RETROLENTAL FIBROPLASIA Retinopathy c Prematurity is maximized when oxygen concentrations that are highe than 4096 to the newly born with cardio respiratory diseases Oxygen concentrations higher than 4096 are likely to be dangerous to some newly born infants There are also cases in which in order to raise the oxygen pressure to normal levels it is necessary to raise the concentration to values that are higher than 60 For this reason it is highly important to make the analysis of gases of the arterial blood to set the concentrati
98. sor goes back to its original condition if this does not occur check the correct positioning of the sensor on the NB and after that press the Inhibit Sound key to cancel the alarm 6 1 27 Operation with Hypothermal Patient This Incubator has a safety system that controls the Air Temperature at 0 50C above the set temperature for the NB skin only for the SKIN operation mode When the newly born reaches the expected temperature Set Temperature the control becomes proportional according to the NB need 6 1 28 Operation with Sensors In General The 1186 NEONATAL INCUBATOR sensors have been developed by FANEM especially to be used in their equipment The sensors due to the use characteristics are delicate parts and should be handled with care specially when they are uncoupled and they should not be pulled by the connection wiring FANEM also produces adhesives which are specially devised for the sensor fixing on the NB skin these adhesives are made of atoxic and antiallergic material and the sensor removal is easy without damaging it The box contains 100 units Re 086 068 600 The Patient Sensor Re 092 059 600 must be placed with its metallic surface in direct contact on the NB skin and fixed with the FANEM sensor adhesive thus preventing positioning errors which result from reading failures and several operating alarms Position the metallic surface in contact with the patient skin Patient Sensor Re 092 059 600
99. ssistance or by duly trained and qualified personnel by Fanem Ltda Fanem Ltda holds harmless for damages that possibly occur in the device and with consequences to the patients due to improper maintenance which are not performed by our Technical Assistance or when spare parts accessories which are not original have been used The materials used in the development of the parts and accessories as well as consumption and wear items aims at guaranteeing the perfect operation of the equipment according to its original characteristics as well as the safety relative to inflammability and biocompatibility of the employed materials Attention Use only FANEM original parts 4 4 Electromagnetic Compatibility and Immunit It is the capacity of an equipment and or system to operate in an electromagnetic environment without introducing intolerable electromagnetic disturbances to anything in the environment and on the other hand operate without degradation in the presence of an electromagnetic disturbance This equipment was projected tested and complies with the following electromagnetic norms of compatibility 60601 1 2 IEC 61000 4 3 IEC 60601 1 2 IEC 61000 4 4 CISPR11 IEC 61000 4 5 IEC 61000 3 2 IEC 61000 4 6 IEC 61000 3 3 IEC 61000 4 8 IEC 61000 4 2 IEC 61000 4 11 According to parameters approved for RF Emissions Immunity Electrostatic Discharge Electromagnetic fields of Radiofrequency
100. stem may be provided upon request for installation in plant Exclusive use with the 1186 Neonatal Incubator 3 13 Auxiliary Switch Kit A set of Auxiliary Switches directly fixed to the Incubator supports This Kit may be supplied in the 4 switch configuration Re 090 051 600 or in the 6 switch configuration Re 090 082 600 or even in 4 switch configuration Schuko type Ref 090 147 600 or 4 snapfit switches with 12V outlet For auxiliary lighting and Bilitron Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 16 USER S MANUAL 1186 NEONATAL INCUBATOR w ssm m nM 3 14 Goose Neck Breather Adaptor Re 013 050 600 The Goose Neck breather adaptor is fixed to the dome internal deflector helping the fixation and directing the breather pipe towards the patient Made of flexible metallic rod the Breather Adaptor facilitates the direction of the breather pipes Attention Optional Item Exclusive use with the 1186 Neonatal Incubator 3 15 Head Positioner RAM 1 Type RE 013 000 600 The RAM 1 Head Positioner is aimed at fixing the newly born head providing higher safety in the maneuvers when using the breather piping It accommodates the patient according to the anatomy of each head comfortably as it has auricular protectors with horizontal adjustments It also has height adjustment adapting to the most varied models of breathers The piped
101. sual alarm will immediately actuate 7 3 10 Pulse Oxymetry Alarms 1186 Control Unit LED Panel without optionals LED Panel with optionals LCD Panel with optionals As it regards the NB physiological parameters such as O Saturation Heart Beats per minute etc the checking of those alarms may be performed with the help of a specific simulator for application 73 USER S MANUAL 1186 NEONATAL INCUBATOR 8 ran nd Technical Assistan Like all the Faneme brand equipment this equipment also has a total guarantee of 01 one year for possible defects in the parts see Guarantee Term in the annex For all types of maintenance with or without the guarantee always go to the Fanem Authorized Technical Assistance Do not allow third parties without suitable technical qualification to damage or change the original characteristics of your equipment Always use the Fanem Original parts Registry at ANVISA nr 10 224 620 054 Technician In Charge Eng Orlando Rossi Filho CREA SP 98 435 D EC REP Cinterqual LDA Travessa da Anunciada 10 2 Esq F 2900 238 Set bal Portugal Phone 351 265 238 237 74
102. t consults w sites related to Waste Electrical and Eletronics Equipment WEEE If the equipment disposal is necessary or even its parts and they do not have a specific destination defined by the client the referred item must be sent to the manufacturer or its legal representative for the due disposal measures as per the current national legislation Attention The disposal of batteries must be performed as per the current legislation in the country Note The equipment and or its parts must be sent in clean and aseptic conditions The non fulfillment of those conditions holds the supplier harmless from the responsibilities on possible impacts to the environment and or people 7 1 12 Maintenance Chart It is the user s responsibility to establish a routine maintenance procedure in order to ensure one correct performance of the equipment with due safety Eno Ped _ Air Filter He 086 058 600 3 months Substitution User Technician Imitator Filter He 086 108 320 3 months Washing User Technician Rechargeable Battery Re 092 100 026 12 months Substitution Controller Unit Cleaning and Disinfection Every patient change User Technician Routine Calibration 4 to 6 months 69 USER S MANUAL 1186 NEONATAL INCUBATOR n na 7 1 13 Failure Diagnosis SYMPTOM CAUSE SOLUTION Unit Off General key was not pressed Press the On key The unit will not star even by Cable disc
103. ter Shortage Note Cancel the alarm if the alarm mode does not exist any longer During first the 40 minutes after to bind the incubadora will have sonorous and visual alarm for all the alarm conditions except the following ones Lack of Air circulation sonorous nor visual alarm does not occur Low Air temperature sonorous nor visual alarm does not occur Low skin temperature sonorous nor visual alarm does not occur Low concentration of Humidity sonorous nor visual alarm does not occur Water lack in the reservoir sonorous nor visual alarm does not occur After the ending of 40 minutes the alarms above cited come back to operate completely sonorous and visual detonation Such conditions serve to prevent constant alarms while the incubadora reaches the stabilization 2 1 9 Circumstantial Requirements Humidity Sensor Operation Range 20 C to 42 C Oxygen Sensor Operation Range 20 C to 41 C O Sensor Calibration Pressure 600 to 900 mm Hg Inlet Maximum Pressure Servo 3 5 kgf cm2 USER S MANUAL 1186 NEONATAL INCUBATOR 2 2 Technical Specifications Kit for Integrated Pulse Oxymet Indication Measures 1 to 10096 Alarms Dislodged Sensor when the sensor is plugged to the device but disconnected from the patient indicates that the sensor is moving Alarm Sound Inhibition The sound is inhibited by pressing the INHIBIT SOUND key the heart
104. ternal side It must be changed whenever completely dirty or at the maximum of every 3 months 9 Remove the Filter lid by rotating the fixing buttons at 900 Remove the used Air Filter Clean and dry all filter accommodation surfaces Install the new filtering element and reinstall the rear panel Attention A dirty air filter may affect the O2 concentration and or cause carbon dioxide accumulation in the interior of the incubator Check if the filter is checked in a routine that is compatible with the conditions of location Especially if the incubator is used in an environment that is usually dusty more frequent changes may be deemed necessary Exclusive use with the 1186 neonatal Incubator 7 1 6 Humidity Reservoir Open the access lid to the Humidity reservoir by rotating the fixing button and pulling the set Completely drain the reservoir through its hose for drainage Replace the drainage hose in its stand by nipple and disconnect the system reservoir dislodging it towards the access lid Remove the reservoir by pulling it upwards After the set aseptic cleaning put the reservoir back in its original position coupling it to the system inlet Check if the hose for drainage is perfectly installed and then add distilled and sterilized water by its lid Attention Before performing the removal of the reservoir Check if the humidifier system and its reservoir have no water so as to avoid undesira
105. tery The 1186 Neonatal Incubator control units have a NiCd 9V type rechargeable battery which has the function of feeding the power failure alarm in case of power break This battery is auto rechargeable with the normal use of the equipment and its useful life is estimated for 12 months and once this period has elapsed the battery must be substituted for a new original part Attention Danger of Explosion do not use common or alkaline battery Use only rechargeable battery FANEM Re 092 100 026 Access and substitution of this battery must only be performed by a trained technician In order to perform the battery substitution one should unscrew the control unit front panel actuating on the 4 lateral bolts of the controller unit uncouple the front panel remove the battery from its container and perform the substitution The battery connector is polarized thus eliminating the risk of inattentive connections Battery charge For the full operation of this battery it should be totally charged The battery charge is performed when the incubator is turned on and the initial charge time must be 10 hours 7 1 11 Disposal Don t throw devices or electronic pieces in the garbage when of the discard of the equipment or your pieces um To minimize the pollution and to assure the maximum protection of the global atmosphere please recycle For larger information on the Residues of Electrical and Electronic Equipments i
106. the operator should turn it on again Checking at 100 If a checking of the Oxygen Concentration at 10096 is necessary couple an oxygen hose into a plastic bag coming from a 100 medical degree O2 source in a flow of to 5 Ipm insert the Oxygen Sensor cell in the plastic bag and check the concentration reached on the incubator display At the end of calibration close the cell compartment enter the oxygen concentration setting screen set a desired concentration value and turn on the oxygen control 51 USER S MANUAL 1186 NEONATAL INCUBATOR 6 1 21 Operation with Integrated Pulse Oxymetry Kit optional 6 1 21 1 Application Babies weighing from 3 to 15 kg Ideal area for application the foot big toe with the cable along the sole of the foot Neonatal Infants weighing 1 to 3 kg Ideal area for application sole of the foot anterior part Alternative palm of the hand below the fingers with the cable along the palm Attention Use the adhesive bandages only once Alternate the application area every 4 hours 6 1 21 2 Sensors Dura Y resusable multi area sensor 1 D YS and 10 bandages Multi area The sensor connector must be placed in the correspnding switch in the incubator lateral panel sensor panel If necessary the DEC4 extension cable may be used DEC 4 090 138 600 to increase the sensor cable length Attention The se
107. uated when the skin temperature is higher or equal to 1 0 C in relation to the set temperature and will go back to normal condition after the reestablishment of the temperature The sound may be Inhibited during 10 minutes pressing the Inhibit Sound key c Dome Air Safety High Temperature Yellow Led Off The High Temperature Alarm will actuate when the air temperature reaches 39 C Yellow Led On The High Temperature Alarm will actuate when the temperature reaches 40 C Attention The High Temperature Alarm Sound Dome Safety can not be inhibited Attention In all conditions of high temperature the supply of power for the warming resistance interrupted by means of a safety relay Low Temperature Alarm This alarm actuates in two different conditions a When the mode selection is at Air The alarm is actuated when the Air temperature is lower or equal to 3 0 C in relation to the set temperature and will go back to the normal condition after the restablishment of the temperature The sound may be inhibited during 15 minutes by pressing the INHIBIT SOUND key b When the mode selection is at Skin The Alarm is actuated when the Skin Temperature is lower or equal to 1 0 C in relation to the set temperature and will go back to the normal condition after the reestablishment of temperature The sound may be inhibited during 15 minutes by pressing the Inhibit Sound Key 36 USER S MAN
108. ured as Data Terminal Device and provides the RS232 outlet The following parameters are evaluated through this RS 232 outlet Date of hours Air Current Temperature Skin Current Temperature Relative Humidity Oxygen Concentration optional Weight optional Oxymetry optional 999 9 9 9 This serial port may be connected to a matrix type printer and in pre defined intervals by the user the system prints the date time and control parameters To select the print time do as follows Press the MENU key twice the display will show the SYSTEM MENU screen on the function keys take the cursor to the CONFIGURATION item press the corresponding function key to ENTER The display will show the SYSTEM screen actuating on the function keys take the cursor to the PRINTER 001 MIN item Actuating on the INCREASE or DECREASE keys set the print time in minutes performance range from 1 to 240 minutes 6 1 25 Auxiliary Sensor The Auxiliary Sensor Re 092 072 600 is only used for a routine checking of the Incubator internal temperature or having the patient temperature and having the function of simply operate as an indication thermometer Connect the Auxiliary Sensor plug into the swtich for the Auxiliary Sensor located on the Incubator lateral panel which is used to the sensor coupling in general The auxiliary temperature indication will be displayed on the left upper corner on the screen 6 1 26 1
109. urned on this alarm will remain innactive for 40 minutes going back to the stand by status active after this period has elapsed Sensor Missing Alarm Audio Visual it indicates when the plug of patient sensor is disconnected from the lateral panel switch or in case of sensor failure when the sensor wire is broken or in short circuit or the sensor will become off the patient s skin Under this condition the alarm will be actuated when a temperature variation higher or qual to 0 3 C occurs in a short period of time The audio visual indication Sensor Missing alarm is differentiated under the following conditions a Sensor disconnected from the switch or damaged Sound and Led constantly actuated b Sensor that may come off the patient s skin Intermitent Sound and Led To reset the normal stand by condition of the alarm active when this may come off the patient skin press Inhibit Sound key Attention The Sensor Missing alarm is only actuated when the mode selection is at Skin High Temperature Alarm This alarm actuates in three different situations a When the mode selection is at The alarm is actuated when the air temperature is higher or equal to 1 5 C in relation to the set temperature and will go back to the normal condition after the temperature is reestablished The sound may be inhibited during 15 minutes by pressing the Inhibit Sound key b When the mode selection is at Skin The alarm is act
110. wly born on the mattress return the bed to the original position and close the access door Then connect the cutaneous temperature sensor on the skin of the newly born preferably on the abdominal region waintg for the registered temperature to reach the pre selected temperature Attention Keep the front door and the ports open the least time possible to aoivd temperature loss Position the patient sensor preferably on the abdominal region of the newly born and fix it with appropriate adhesive Before turning the operation mode to Skin wait for the temperature indicated on the Skin Temperature Display to stabilize that is it reaches the body temperature for a normal patient the expected value would be 36 1 C after this temperature stabilization press the Skin Mode key From this moment on the incubator begins to control the temperature according to the need of the newly born Attention If the monitored temperature by the sensor of the patient varies it will indicate that a sensor dislodgging occurred in relation to the newly born body In this situation the lack of sensor alarm wil be actuated intermitently and may stop if the sensor comes back to its original condition if this does not occur check the correct positioning of the sensor to the patient and then press Inhibit Sound key to cancel the sensor missing alarm Operation with Hypothermal Patient This incubator has a safety system that control

- Frank`s Hospital Workshop

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