- Frank`s Hospital Workshop
Contents
1. opmunsns 0009 3 435 mum SNIVA S S Z0 e mnsns NOIX3NOON3INI 30 VAVNOVIG 7 7 7 U 0 9 47 40 Oueld oN OPPZIIO3NV TIDE uy 3SV8 N3WNVM LNVIGVY zing 0002 Z 8 ePefnatd x SOAVY D S910U9J9 O eloustajoy ey99 odin I ii Ve v4 YZJ k mm ell zi wil 6 e 4 of Z 1 DNIO OIOV WNOLLAO 2 ODIOSO e Q e ama J oes L AOZ ASZ IO oz cal ATE d exo 19 L 5S F ASL E LI I si o blob AdVH3H1010Hd H m HOLIMS C __ alll SE y 9 ELA 1 0009 IVMOLSIN INO 0509 1VNOLS3N n posu k e Y uem 0509 I1vWOIS3N TO Y lf YAW 1531 r2 f 0509 lvwOlS3N T SLT 0009 1vWO1S3N SND Se vO ASL ASI Ozers S 1 z rz am BH NWN109 N3ddh o 6 8 9 6 y c ZN o o o o o o C es ISOH 3MIM lt s v 9 Z 1 SN INIA313 ONILV3H e e 0 OF 317 NESTOMAT 6050 MAN 012 Sept 002. NOMENCLATURE OF SYMBOLS IN ALARM MESSAGES Excess temperature alarm Failing temperature alarm Temperautre PDesactive sensor A AIR CONTROL MODE MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 1 SENSOR ALARM In case of air sensor failure or it gets disconnected or out of range the SENSOR Alarm will activate the corresponding LED and buzzer the alarm cannot be silenced The LCD will inform to the attendant displaying ALARM AIR SENSOR The Radiant warmer is now out of service Call to any authorized Service engineer 2 LOW TEMPERATURE ALARM Is activated when temperature reaches aproximately 1 C below the preset temperature See paragrap 10 to change preset temperature alarm range LOW alarm LED will lit to silence acoustic alarm press SILENCE key The LCD will display ALARM AT RH OX The alarm can be silenced by pressing the SILENCE key If SILENCE was pressed and the alarm conditions remain during a period of ten minutes the alarm will be activated again 3 HIGH TEMPERATURE Is activated when the temperature reaches aproximately 1 C higher than the preset temperature See paragrap II 10 to change preset temperature alarm range HIGH alarm LED will lit and the LCD will display ALARM AT RH OX to silende acoustic alarm press SILENCE key If SILENCE was pressed and the alarm conditions remain duri
3. SCREEN AIR C SELECTMODE Press the O2 HUM key the LCD will display AIR 1 0XYG 2 HUMID IMPORTATNT OPTION 2 HUMID IS NOT OPERATIVE FOR RADIANT WARMERS To set the Oxygen range press 1 the LCD will display AIR _ C OX 1 PRG 2 CAL Then press 1 again AT C _ D PRESET O X 21 0 By means of the keypad set the desired value Press ENTER key to confirm Once again you will find following screen AlR e 1 0XYG 2 HUMID Finally press ENTER to confirm values To calibrate the Oxygen Sensor press the O2 HUM key the LCD will display AIR C MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 16 10 XYG 2 HUMID NOTE Duxc ro rHE WEAR OE EFHE O XYGEN CELL SENSOR EE EIS RECOMMENDED TO PERFORM PERIODICALLY ITS CALIBRATION PROCEDURES not located inside the Tent Hood allow to stabilize Press 1 the LCD will display AIR C OX 1 PRG 2 CAL Press 2 the LCD will display OX CALIBR 21 99 PRESS ENTER By pressi NFER the Oxygen sor is already calibrated with a new reference New screen displayed AIR C OX 1 PRG 2 CAL 11 6 ALARMS The NESTOMAT 6050 Alarm System informs to the medical attendant of any incidence may occur The alarm is visible and audible
4. C12 C13 C14 C15 C18 C20 CDI CD2 CD5 CD6 CD7 28 CERAMIC CAPACITOR 27 pF C5 C6 29 CERAMIC CAPACITOR 10nF C7 30 RADIAL CAPACITOR 1 uF 100 V C3 31 RADIAL CAPACITOR 100uF 35V C21 32 TANTALIUM CAPACITOR 10 uF 16 V C10 33 RADIAL CAPACITOR 470uF 16V C17 34 RADIAL CAPACITOR 2200uF 16V CD8 C19 35 RADIAL CAPACITOR 4700 uF 25V C16 36 DIODE 1N4148 DI D2 D4 D5 D6 37 POTENCIOMETER 1K P6 P7 38 POTENCIOMETER 5K P3 39 POTENCIOMETER 10K P1 P2 P4 P5 P8 P9 40 TRANSISTOR BC 548 Q1 Q4 Q5 Q6 4l TRANSISTOR BC 557 Q3 42 TRANSISTOR BC 337 Q2 43 TRANSISTOR AD 580 REI 44 CRISTAL 12 MHZ X1 45 TEST POINTS TP1 TP2 TP3 TP4 TP5 TP6 TP7 TP8 44 CERAMIC RESISTOR 50 Q 4W R53 45 RECTIFICATOR BRIDGE B80 1500 PRI MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 44 NUM REF DESCRIPCION VALOR ORDEN 46 RELAY 12V RLI 47 FUSEHOLDER 2A Fl 48 REGULATOR 7805 RE2 49 REGULATOR 7815 RE 3 51 BUZZER 71 52 74 923 Ul 53 74 573 U6 54 ADCO801 U7 55 CA 3140 U3 U4 U9 56 AD202JN US 57 CD4051 U8 58 SOLID STATE RELAY RL2 59 DISIPATOR L 200 20x20 RE2 60 FIXED RED LED L2 L3 L4 L5 L6 L8 61 INTERMITTENT RED LED 11 62 FIXED GREEN LED L7 63 40 PIN SOCKET U2 64 16 PIN SOCKET U8 65 20 PIN SOCKET U1 U6 U7 66 8 PIN SOCKET U3 U4 U9 68 ARRAY 8x4K7 ARI AR2 69 MICROPROCESATOR DS5000 U2 70 DISPLAY CG57103 MAN 012 NESTOMAT 6050
5. Ed 1 Rev 3 38 GUIDO RAYOS X S A NESTOMAT 6050 MAN 012 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 39 VI SERVICE Service must be performed by qualified and authorized service personnel Call to the manufacturer or its Agent for any service you may require VI 1 INSTRUMENTS REQUIRED To perform the adjustments properly the following instruments are required Digital Voltmeter DVM Temperature and Oxygen Concentration Simulator SIM60TO Screwdriver for adjusting trimmer VI 2 ADJUSTMENTS Before to perofrm the adjustments check the voltage from the mains and from the poser supply Input voltage should be 16 2 V c a between 1 and 2 at J14 Here below are detailed power referenced to ground GND TP8 Power Test point 5V TP6 15 V TP7 Once checked perform the adjustment according to the instructions detailed here below Put DVM probes between GND TP8 and TP3 Twist 6 Potentiometer to read 0 Volts Put DVM probes between GND TPS and 4 Twist 7 Potentiometer to read 1 250 mV Deactivate sensors the Service Menu Turn off the Incubator by pressing I O Switch located at the rear side of the unit Release the connectors J1 J6 J12 Connect on above connectors the wires from the Temperature Simulator SIM60TO as fol
6. Pressing AIR key the LCD will display AIR PSETAIR _ By means the numerical keypad set the heating device working range between 20 and 40 C NOTE WHEN SETTING TEMPERATURE ENTER ALWAYS 3 DIGITS EVEN IN CASE DECIMALS S EXAMPLE PRESS 3 THEN 7 THEN 0 TO SET 37 DEGRESS Then press ENTER to confirm the LCD will display A PRESS STAR Then press START to start the heating The heat lamp will indicate the operation of the heating device By reaching the selected heating range the heating devices will modulate to keep the temperature stable The LCD will display the air registered temperature as well as will inform too the set temperature displaying ACTIVED UNIT to inform the heating device is in operation MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 13 AT CO UNITACTIVE The selected heating range can be modified at any time by pressing START STOP and after ENTER key you will find displayed following message AIR C SELECTMODE Then set the new temperature by the keypad as previously explained and confirm by pressing ENTER key The LCD will display the messages described above Then press START key B SERVO CONTROL MODE ATTENTION BEFORE SELECTING SERVO CONTROL MODE PROCEED TO PREHEAT THE RADIANT WARMER AS EXPLAINED PREVIOUSLY IN THE IL2 TO PREHEAT CHAPTER Before anything display
7. The electronic starters allow a reliability over 30 000 switching on operations The lamps emit at 8 u W cm nm measured at 80 cm distance For an effective treatment 4 uW em nm are required at least Relative radiation intensity gt e ENEP A CETEL EEEE OET IEEE n 350 400 450 500 550 600 nm 650 Wavelength After operation hours the lamps lose gardually their output power being recommended to check periodically the radiation power with the appropriate measuring equipment When radiation drops below 4 uW cm nm the lamps should be replaced IV 2 RESUSCITATION ASPIRATION ASSEMBLY Provided with peak inspiratory pressure control valve and pressure relief back up valve manometer gauge patient circuit Flowmeter with humidifier and Venturi suction device for aspiration with collecting jar Using the NEOPUFF Infant Resuscitator MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 24 Please read and unsderstand the instructions fully before using the Neopuff resuscitator and related accessories The Neopuff resuscitator is to be used only by persons trained in infant resuscitation It is responsibility of the purchaser to ensure that all users of this device have been adequately trained in resuscitation techniques The Neopuff resuscitator should only be used after checking that correct pressures will be delivered to the baby Ensure no smo
8. on the screen following message AIR C SELECTMODE Press SERVO key the LCD will display SKIN C PSETSKIN _ Set the patient temperature between 20 and 40 C by means of the keypad confirm by pressing ENTER key NOTE WHEN SETTING TEMPERATURE ENTER ALWAYS 3 DIGITS EVEN IN CASE DECIMALS 8 EXAMPLE PRESS 3 THEN 7 THEN 0 SET 37 DEGRESS The LCD will display S C _ PRESS START MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A NOTE ST MEANS PRESENT TEMPERATURE TEMPERATURE BRACKETS MEANS PRESET TEMPERATURE Then press START to start the heating The heat lamp will indicate the operation of the heating device By reaching the selected patient temperature the heating device will modulate to keep the temperature stable The LCD will inform the patient temperature and the selected one By displaying UNIT ACTIVE will inform the heating device is on operation The set patient temperature can be modified at any time by pressing START STOP and after ENTER key you will find displayed following message AIR SELECTMODE Then set the new temperature by the keypad as previously explained and confirm by pressing ENTER key The LCD will display the messages described above Then press START key ATTENTION IF A MOMENTARY PAUSE WITHOUT CHANGING THE SET PATIENT TEMPERATURE 15 REQUIRED PRESS STOP KEY P
9. Alarm Silence Pressing this key turns the audible alarm off either for two minutes or until the key is pressed again Pressing and holding it for 3 seconds turns the alarm off until the key is pressed again or the I O is turned off and on 10 Alarm LED Indicates a patient or system alarm The LED flashes or remains steady depending on the alarm condition See Alarms and Indicators Chapter Alarms and Indicators 1 Patient Pulse beat detection A short beep sounds each time a pulse beat is detected The volume is adjustable including off independently from the alarm volume Matched or Exceeded Alarm Limit A two tone alarm sounds when the alarm is not silenced the red Alarm LED flashes and the triangular indicator for the violated alarm limit flashes Low Pulse Amplitud LOW PULSE is displayed Drop in SaO2 A lower tone beep sounds 2 System Probe Off patient or not connected to unit double beep sounds every second when the alarm is not silenced CHECK SENSOR is displayed and the red alarm LED lights continuously Searching too long for Pulse double beep sounds every second when the alarm is not silenced PULSE SEARCH is displayed and the red alarm LED lights continuously Starting Pulseoximetry WARNING OPERATION OF PULSEOXIMETRY MAY BE AFFECTED IN THE MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 34 PRESENCE OF STRONG ELECTROMAGNETIC SOURCES
10. ER ON OFF Indication of heating device operation Switch the heating control Displays information messages etc Patient Temperature operation mode Air Temperature operation mode Start Stop operation Numerical sensitive keypad Confirm the set values Preheating Select Oxygen readout optional High temperature alarm Low temperature alarm Sensor failure alarm Power failure alarm High or Low oxygen alarm Silence alarms MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A TEST TIMER SENSORS 1 2 3 4 5 an 1O LCD 5 5 SIL AIRE AIR O PACIENTE SKIN Start up of the timer Indication of operation Display Indicator of timer operation Start stop operation and silence alarm Indication of time Audible alarm End of time Air temperature sensor Oxygen sensor Optional Skin temperature sensor MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A MAT 00000 1 Start up phototherapy 2 Treatment clock with zero reset 3 Total operation clock 4 Illumination lamp start up 5 NESTOMAT On Off switch 6 Power led MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 10 Il OPERATION IMPORTANT BEFORE TO USE THE RADIANT WARMER wiru PATIENT IT IS NECCESSARY TO CHECK ITS GOOD PERFORMANCE CONDITIONS AS WELL AS THOSE FROM THE ACCESSORIES AND OPTIONS 11 1 TO OP
11. ERATE To start operation plug the cord to the mains check voltage and press the I O switch located at the right side of the trolley Press the ON OFF key at the front panel the LCD will display GUIDO RAYOS X VER x x immediately afterwards the Radiant warmer will perform a selftest of all its circuitry 11 2 TO PREHEAT CAUTION BEFORE USE THE RADIANT WARMER WITH THE NEWBORN PREHEAT THE UNIT FOR A BETTER COMFORT OF THE NEWBORN AND AN ACCURATE PERFORMANCE PREHEATING PERIOD OF TIME DEPENDS ON ENVIRONMENTAL TEMPERATURE IF PREHEATING MODE IS NOT DESIRED THE OPERATION MODE AIR OR SERVO CAN BE DIRECTLY SELECTED Pressing any key the LCD will display AIR _ SELECT MODE Press the key PRE to start the preheating until to reach aproximately the factory preset temperature 28 C In the meantime the LCD will display AT C C PREHEATING After symbol we can find present temperature It is possible to modify preset preheating temperature in order to reach nearly temperature of the normal operation temperature Proceed with following steps to change preset preheating temperature Turn the radiant warmer VER X X MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 11 Press any key AIR _ C SELECTMO DE Press AIR AlR PSETAIR 28 0 C Change old preset 28 0 C temperature
12. GUIDO RAYOS X S A INDEX Disclaimer Symbols 4 Specifications 5 Description 6 1 1 Patient Bed Positioning of patient 6 1 2 Stand 6 1 3 Operation controls 10 1 Operation 10 11 1 To operate 10 11 2 To preheat 10 11 3 To heat 12 Air control mode 12 Servo control mode 13 1 4 Test timer 14 11 5 Oxygen monitoring Optional 15 1 6 Alarms 16 Air control mode 17 Sensor alarm 17 Low temperature alarm 17 Servo control mode 18 Sensor alarm 18 Low temperature alarm 18 High temperature alarm 18 Power failure 19 II 7 Sensor activation and deactivation 19 II 8 Software language 20 II 9 Change of display type 21 11 10 On Off Switch SW activation 21 11 11 Change of temperature alarm range High Low 21 Hl Maintenance 22 IV Optional Accessories 23 IV 1 Phototherapy assembly 23 IV 2 Resuscitaion Aspiration Assembly 23 MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A Using the NEOPUFF Infant resuscitator 24 Cleaning 26 Maintenance 27 Functional schematic 28 Assembly diagram 28 Product specifications 29 IV 3 Shelves 30 IV 4 Other optional accessories 30 IV 5 Pulseoximetry module 30 Theory of operation 30 Front Panel Displays Indicators and Keys 32 Alarms and indicators 33 Starting pulseoximetry 34 Measuring Pulse rate and SaO 34 Setting and interpreting alarms 35 Adjusting the audio volume 35 V Installation 36 VI Service 39 VI 1 Instruments required 39 VI 2 Adjustments 39 A Air temperat
13. IENT BED POSITIONING OF PATIENT The infant should be placed on the procedure table directly on the mattress or with a single cloth covering between the infant and the mattress cover The NESTOMAT Radiant Warmer has capability ten locked positions to place the head up or the head down Grasp the locking puller and pull outwards Reposition the table and release knob The table will lock in position Tilting puller is located under the front side of the table The table has hinged transparent panels on the sides and front wich can be positioned upright to retain the infant or downward to ease accessibility to the infant The air temperature sensor is located at the rear panel A space for a X ray cassette tray is provided at the patient platform the radiant heater shroud can be swivelled during operation to allow X ray tratments just only pushing the knob located in the rear side of the shroud 1 2 LV STAND The I V stand is mounted in the accessories rear rail its height is adjustable OPERATION CONTROLS operation controls are located on the front and the rear of the upper column MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 1 2 3 6050 HEAT CALOR U HIGH LOW J SENSOR J POWER 0 SIL HEAT CALOR ON OFF DISPLAY SERVO AIR START STOP 1 0 ENTER PRE O HIGH LOW SENSOR POWER O SIL IAI SERVO ENT
14. ING DEVICES IF CONTRARY UNPLUG EN RADIANT WARMER AND CALL TO THE AUTHORISED SERVICE ENGINEER 3 HIGH TEMPERATURE Is activated when the temperature reaches aproximately 1 C higher than the preset temperature See paragrap II 10 to change preset temperature ALARM ST RH OX to silence acoustic alarm press SILENCE key HEAT lamp will switch off f SILENCE was pressed and the alarm conditions remain during a periad of ten minutes the alarm will be activated again t Check if heat sources are close to the Radiant warmer location if positive keep them away If the alarm is still effective unplug the unit from the power source remove the patient from the radiant warmer and call to the authorised service engineer MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 19 C POWER FAILURE Is activated when failure of the power from the mains The alarm circuit includes a rechargeable battery and operation conditions of it must be checked periodically To switch off the alarm operation if desired refer to chapter 6 SENSORS ACTIVATION AND DEACTIVATION 11 7 SENSORS ACTIVATION AND DEACTIVATION The applications program of the NESTOMAT 6050 Radiant warmer allows to the user at any moment to deactivate or activate the sensors of the monitored parameters if required for calibration procedures or non essential parameters cancellation Oxygen and or Relative Humidity If the
15. LOW PULSE is displayed when the pulse amplitude is low A lower tone beep sounds when a drop in SaO2 is detected Adjusting the Audio Volume Alarms Use the Up Down arrow keys to adjust the audio alarm volume when not setting the alarm limits and the alarm is not silenced Pulse Beep Silence the audio alarms by pressing the Alarm Silence key be sure ALARM SILENCED is displayed Now use the Up Down arrow keys to set the pulse beep volume reaches off MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 36 V INSTALLATION To carry out the installation of NESTOMAT Radiant Warmer following steps must be executed 1 2 3 4 m Remove the rear lid of the column unscrewing the screws Unscrew the screws Introduce the radiant heater device with the cables O through the bushing Place the radiant heater device taking care that the blind holes are in front of the holes where the screws are positioned Replace the screws and tighten them firmly Connect the cable as per electric diagram in page 35 Replace the rear lid and replace the screws MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 37 GUIDO RAYOS X S A
16. RESS START KEY TO CONTINUE OPERATION THE RADIANT WARMER WILL OPERATE ON THE SAME OPERATION MODE AND PARAMETERS ALREADY SET 11 4 TEST TIMER This timer has a visual and audible alarms after 1 5 and 10 minutes 1 4 5 since it is switched on To operate the timer Press I O key to activate TEST TIMER device Press START STOP key to iniciate first cycle 1 minute When the display shows 1 minute the device will stop and alrmas visual and audible will be activated Press START STOP key to silence alarms and begin next cycle 4 minutes When the display shows 5 minutes the device will stop and alrmas visual and audible will be activated Press START STOP key to silence alarms and begin last cycle 5 minutes When the display shows 10 minutes the device will stop and alrmas visual and audible will be activated Press START STOP key to silence alarms the device will be disconected automatically MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 15 11 5 OXYGEN MONITORING OPTIONAL NESTOMAT 6050 Radiant Warmer monitors the oxygen percentage optional when used with a tent hood optional To set the alarm level for above mentioned parameter proceed as follows do the calibration with the sensor out of the tent hood as it has to be done at a concentration of oxygen of 21 which is the oxygen concentration of air NOTE WHEN SELECTING YOU MUST START FROM SELECT MODE
17. Radiant warmer is switched off proceed as follows Press I O switch located at the side of the trolley Press ON OFF key at the front panel The LCD will display GUIDO RAYOSX VER X X then type sequentially SILENCE key 738 SILENCE key ENTER then the LCD will display MAINT O SW 1 LNG 2 SEN 3 DIS 4 RNG Press 2 key and the LCD will display all coded available sensors and their status as follows 1RH 2AT 3ST 4HT 5FA 6 7A2 8Al on at the right side of each coded sensor or deactivated respectively will display meaning activated or RH Relative Humidity Non operative AT Air Temperature ST Skin Temperature HT Heating Device Temperature FA Fan Non operative OX Oxygen Optional A2 and Al pre auxiliary options for future implements To activate deactivate press the corresponding figure key of the sensor Proceed with any sensor you want to activate or deactivate then press ENTER to MAN 012 Sept 00 NESTOMAT 6050 Ed 1 Rev 3 GUIDO RAYOS X S A 20 confirm The LCD will display MAINT 0 SW 1 LNG 2 SEN 3 DIS 4 RNG pressing again ENTER the LCD will display the initial message You can proceed to set the Operation Mode etc as above described II8 SOFTWARE LANGUAGE The applications program of your NESTOMAT 18 delivered from factory in two languages english and spanish At factory your radiant warmer has bee
18. SUCH AS ELECTROSUR GERY EQUIPMENT OPERATION MAY BE AFFECTED IN THE PRESENCE MA GING EQUIPMENT SUCH AS MAGNETIC RESONANCE IMAGING COMPUTED TOMOGRAPH DEVICES ETC SIGNIFICANT LEVELS OF DISFUNCTIONAL HEMO GLOBINS SUCH AS CARBOXYHEMOGLOBIN OR METHEMOGLOBIN WILL AFFECT THE ACCURACY OF THE SAO MEASUREMENT OPERATION MAY BE AFFECTED IN THE PRESENCE OF HIGH AMBIENT LIGHT SHIELD THE PROBE AREA IF NEC CESSARY the bottom of the front label of the equipment jus instructions Connect the probe to the Patient Cable Press the front panel I O key It performs a self test and lights all legends when turned on Upon completion of the self test aproximately 2 seconds the unit will automatically enter the monitoring mode NOTE UPON POWER UP THE UNIT DEFAULTS TO AN EIGHT 8 PULSE AVERA ING MODE FOR SAO MEASUREMENT AND AN EIGHT ECOND AVERAGE FOR PULSE MEASUREMENT Attach the Universal Y probe to the patient as shown in figure here Y probe on the finger attach the LED light source portion of the sensor to the finger nail side of the finger Onc e probe is attached to the patient allow several pulse beats for the monitor to stabilize Observe the pulse bargraph located on the LCD display If the pulse signal strength is low the probe position may need adjustment Measuring the Pulse Rate and 5 After aproximately four or five pulse beats the Pulse Rate and 5 values are displayed The puls
19. Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A WARRANTY GUIDO RAYOS X S A hereinafter referred to as GRX warrants that each NESTOMAT Radiant Warmer will be free from defects in material and workmanship under normal use and service for a period of one year from the date of delivery by GRX to the first purchaser If any such defect occurs during the warranty period the aforesaid purchaser should communicate directly with GRX agent If returned GRX s agent will arrange for repairs or replacement within the terms of warranty The defective instrument should be returned properly packed freight prepaid Loss or damage in shipment to GRX agent shall be at purchaser s risk This same warranty is made for a period of thirty days with respect to the expandable parts In no event shall GRX be liable for any incidental indirect or consequential damages in connection with the purchase or use of the Radiant Warmer This warranty shall not apply to and GRX shall not be responsible for any loss arising in connection with the purchase or use of any such Radiant Warmer wich has been altered by anyone other than an authorized GRX representative or altered in any way so as in GRX s judgement to affect its stability or reliability or wich has been subject to misuse negligence or accident or wich has been used otherwise than in accordance with the instructions furnished by GRX This warranty is in lieu of all other warranties express or implied and o
20. an expiration Cleaning Ensure all oxygen and air supplies are turned off and disconnected from the Neopuff before performing cleaning procedures Clean the Neopuff and accessories either weekly or between babies Do not use solvents alcohol based or abrasive cleaning solutions Ensure all parts and accessories are checked before returning the device to service For ethylene oxide gases Some carrier gases can cause stress craking and are not Neopuff Test lung Mask Supply tube T piece Steam autoclavable v v v 136 C 220 kPa 4 minutes Steam autoclavable v v v 120 C 96 kPa 15 minutes Ethylene Oxide Gas Chemical liquid immersion Wipe with soft damp cloth MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 27 suitable If in doubt check with chemical supplier For chemical liquid immersion Some chemicals can be harmful to plastics If in doubt check with chemical supplier There are no user serviceable parts inside this device Maintenance Only qualified personnel should carry out service and maintenance procedures After any maintenance is completed ensure the equipment is functioning corectly in accordance with the published performance specifications Disassembly Remove the front panel fixed by four screws remove gas inlet and outlet connectors using torque driver and special adaptor Unscrew two manifold retainin
21. ay on the Incubator Control Because adjustments are mutual interactive therefore have to be repeated steps 3 and 6 until to get the correct value C Oxygen Concentration Set Simulator switch at 0 Set DVM probes between GND TP8 and 5 Twist P9 Potentiometer to read 5 mV maximum MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 41 Set Simulator switch at 40 99 Twist P8 Potentiometer to read 99 0 at the Oxygen Concentration Display on the Incubator Control Set Simulator switch at 18 21 Twist P9 Potentiometer to read 21 0 at the Oxygen Concentration Display on the Incubator Control Because adjustments are mutual interactive therefore have to be repeated steps 3 and 6 until to get the correct value Once all adjustments are performed proceed as follows Turn off the Radiant Warmer by pressing the I O Switch located at the rear side of the trolley Disconnet the jumper placed at J15 point 1 Air temperature IS VERY IMPORTANT NOT TO FORGET TO DISCONNECT THIS JUMPER Ir YOU DO NOT DISCONNECT IT AND WHEN THE UNIT IS WORKING IT IS DICON NECTED THE AIR TEMPERATURE SENSOR THE UNIT WILL SWITCH OFF Release the Simulator Connect all sensors wires on their locations Turn on the Radiant Warmer by pressing the I O Switch and the ON OFF key Activate on the Activation Deactivation option all those available sensors on the Radiant Warmer Paragraph II 6 Tur
22. d 2 0 C by means of the numerical keypad set the required value and press ENTER the display will show the corresponding hysteresis value this value H can not be changed Then press ENTER again to accept the new values R and H MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 22 III MAINTENANCE For routine cleaning the entire unit may be wiped with a mild soap and water solution Avoid scratching painted surfaces Do not use any cleaning agent containing an abrasive material When sterilization of exterior parts is necessary wipe those parts with a cold sterilization agent not including alcohols nor ethers MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 23 IV OPTIONAL ACCESSORIES IV 1 PHOTOTHERAPY ASSEMBLY To turn on the Phototherapy just press the I O switch Electric starters allow an immediate swiching on WARNING COVER INFANT S EYES TO PROTECT FROM HIGH LIGHT LEVELS Reset the clock to zero when starting the treatment to know the exact time for each patient The total time clock will inform the total time that the Phototherapy is being used In such way the user will know how long the lamps have been operating When the treatment time is over or any time the operator wants to interrupt the treatment press I O to switch off the unit Phototherapy assembly comprises four DULUX L lamps specially designed for this kind of treatment
23. d audibly A custom high contrast Liquid Crystal Display LCD with backlighting indicates the SaO pulse rate pulse signal strength and system messages The tone generator beeps with each pulse beat The pulse beep momentarely changes to a lower tone beep when there is a decrease in SaO It has a flexible alarm system with audible and visual indi cators The high and low alarm limits are user adjustable The audible alarm and pulse beep volume can be adjusted or inhibited by the user Theory of Operation The NESTOMAT 6050 6100 Version determines SaO and pulse rate by passing two wavelengths of light one red and one infrared through body tissue to a photodetector Pulse identification is accomplished by using plethysmographic techniques and oxygen saturation measurements are determined using spectrophotometric oximetry principles During measurement the signal strength resulting from each light source de pends on the color and thickness of the body tissue the sensor placement the intensi ty of light sources and the absorption of the arterial and venous blood including the time varying effects of the pulse in the body tissues The NESTOMAT 6050 6100 Version processes these signals separa ting the time invariant parameters tissue thickness skin color light inten sity and venous blood from the time variant parameters arterial volume and SaO to identify the pulse and calculate the oxygen satura tion Oxygen saturat
24. e beep sounds with each pulse beat when the pulse tone is enabled A lower tone beep sounds when a drop in SaO2 is detected Setting and Interpreting Alarms MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A Alarms are still active while setting but the and triangular indicators do not flash for violated alarms Both indicators act as a cursor to identify the limit selected for adjustment Press the ALARM SELEC key until the cursor is positioned at the alarm parameter you are setting High SaO Low SaO High Pulse Rate Low Pulse Rate Press the Up Down arrow keys to increase or decrease the selected alarma value in the alarm display indicates the alarm parameter is set to OFF NOTE THE ALARMS ARE NOT OVERLAPPING YOU CANNOT SET THE LOW LOW ALARM When an alarm limit is violated a two tone alarm sounds when the alarm is not silenced the red alarm LED flashes and the triangular indicator for the violated alarm limit flashes The alarms stop when the alarm limit is no longer violated Press the Alarm Slilence key to silence the alarm for two 2 minutes ALARM SILENCED flashes on the display Press the Alarm Silence key again to end the two minute alarm silence Press and hold the Alarm Silence key for three 3 seconds to silence the alarm indefinitely ALARM SILENCED is displayed continuously Press the Alarm Silence key again to end the indefinite alarm silence mode
25. ent temperature control Patient temperature range Patient temperature digital readout Electrosthatic discharges protection Fuses Operation modes Special functions Alarms Optional Radiant warmer NESTOMAT 6050 External 220 V 125 V 50 60 Hz AC 0 25 A YES 20 40 C YES YES 20 40 C YES Class I Type BF Internal 1 of 2A External 3 of 2A and 3 of 5A Preheating Air control mode Servo control mode Oxygen Air sensor skin sensor oxygen sensor high or low temperature high or low oxygen concentration power failure heating failure motor error Phototherapy assembly resuscitation aspiration assembly shelf monitors instruments shelf holding assembly for two gas cyllinders oxygen tent hood with security valve oxygen servoregulator head frame tray for X ray cassettes drawer assembly MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A I DESCRIPTION The NESTOMAT Radiant Warmer provide a controlled source of radiant heat and illumination The heat is generated by one 500 watt quartz heat tube located above the procedure table The diverging energy emitted from the heating element is reflected back toward the table surface with a parabolic reflector this one focuses the diverging waves of energy into parallel waves which are aimed toward the patient A lamphouse contains one standard 20 watt halogen lamp for illumination of the work area 1 1 PAT
26. f all other obligations or liabilities on GRX s part and GRX neither assumes or authorizes any representative or other person to assume for it any other liability in connection with the sale of such Radiant Warmer GRX disclaims all other warranties express or implied including any implied warranty of merchant ability or of fitness for a particular purpose or application other than those expressly set forth in the appropiate product labelling or user information manual MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 46 Manufactured by GUIDO RAYOS X S A Salcedo 5 28034 Madrid Spain Tel 34 91 358 16 25 Fax 34 91 358 08 69 e mail guidorx guidorx com MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev GUIDO RAYOS X S A 47 MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050
27. g screws at bottom of unit Disconnet monometer tube at top ot T connector by pushing down on collar of T connector and pulling tube free Remove manifold assembly Replacing valve assembly Disassemble Neopuff as aoutlined above Remove the inspiratory valve assembly using the C spanner Valve unscrews anti clockwise Fit new inspiratory valve assembly tighten clockwise with C spanner The inspiratory valve assembly can be identified by the shite restrictor plug located at the bottom end of the valve remove maximum pressure relief valve assembly using C spanner Unscrews anti clockwise Fit new maximum pressure relief valve assembly tighten clockwise with C spanner The masimum pressure relief valve has not restrictor plug Reassemble Neopuff and calibrate The manometer is not a serviceable item and must be replaced by Manometer kit complete MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 28 Functional schematic Gas outlet port Gas inlet port Maximum Circuit Pressure Presure Relief Valve Manometer Peak Inspiratory Pressure Assembly diagram MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 29 ITEM REF DESCRIPTION 1 616050011 Screw 8 x 1 Csk Hd 2 614040153 Screw 8 x 1 Pan Hd 3 500RD007 Manifold block 4 500RD519 Reservoir 5 693040741 E
28. ion calculations can be performed because blood saturated with oxygen predictably absorbs less red light than oxygen depleted blood Since measurement of SaO depends on a pulsating vascular bed any condition wich restricts blood flow such as use of a blood pressure cuff MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A 31 f 5 5 ALARM SILENCED TUM SILENC ALARM MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A or extremes in systemic vascular resistance may cause an inability to determine accurate pulse and SaO readings Front Panel Displays Indicators and Keys 1 SaO2 and Pulse Rate Both are shown in large numerals Smaller numerals show the high alarm limit above and low alarm limit below each display 2 Triangular Indicators The triangular indicators point to the alarm limits to indicate the alarm is selected for setting or flash to indicate the alarm limit has been violated indicates high and L indicates low alarm limit 3 Bargraph The vertical bargraph has eight segments to display pulse activity and strength The bargraph is logarithmically scaled to indicate a wide range of pulse strengths 4 Low Pulse The pulse level is low enough that the reading may be unreliable May indicate improper probe positioning Pulse Search The unit is automatically adjusting signal processing and probe LED drive levels t
29. king naked flames or sources of ignition are present while the unit is in use For connection to flow regulated oxygen or oxygen air mixture only Minimum recommended operating gas flow 5 l min Do not attempt to use higher flow than 15 l min The Maximum Pressure Relief can be adjusted up to a nominal 80 cm and should only be done in exceptional circumstances by persons trained in infant resuscitation Do not attempt to set the Maximum Pressure Relief above 80 cm 0 Use only Fisher 4 Paykel T piece Connect flow controlled oxygen or blender oxygen air supply to the Neopuff Gas Inlet port using oxygen inlet tubing Connect the patient supply tube to the Neopuff Gas Outlet port If reusable tubing is used connect reusable T piece to the patient end of patient supply tube Adjust the oxygen or oxygen air flow between 5 and 15 1 min Do not attempt to use a higher flow that 15 l min To check the Maximum Pressure Relief setting Conect the test lung to the T piece and check gas is flowing through the patient Cantimiard n navt nana MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 25 supply tube Check that the Circuit Pressure gauge reads zero with the Gas inlet disconnected Occlude the samall aperture in the Positive End Expiratory Pressure PEEP cap on the T piece with your thumb Turn the Inspiratory Pressure PIP control clockwise until the manometer needle stops Thi
30. lows Cable Connector Function 1 J7 Air temperature 2 J8 Patient temperature 3 J9 Oxygen concentration MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A Turn on the Radiant Warmer by pressing the I O Switch located at the rear side of the trolley Press the ON OFF key Press three times the PRE key The LCD will display 00 0 00 0 00 0 RH 00 0 Air Temp Patient Temp Oxygen RH Non operative parameter A Air Temperature Place a jumper at J15 Set Simulator switch at 0 Set DVM probes between GND TP8 TP1 Twist P1 Potentiometer to read between 2 to 4 mV Set Simulator switch at 40 99 Twist P2 Potentiometer to read 40 0 C at the Air Temperature Display on the Incubator Control Set Simulator switch at 18 21 Twist Potentiometer to read 18 0 C at the Air Temperature Display on the Incubator Control Because adjustments are mutual interactive therefore have to be repeated steps 3 and 6 until to get the correct value B Patient Temperature Set Simulator switch at 0 Set DVM probes between GND TP8 and TP2 Twist P5 Potentiometer to read between 2 to 4 mV Set Simulator switch at 40 99 Twist P4 Potentiometer to read 40 0 C at the Air Temperature Display on the Incubator Control Set Simulator switch at 18 21 Twist P5 Potentiometer to read 18 0 C at the Air Temperature Displ
31. n off the Radiant Warmer and then Turn on again to make all the above effective MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 42 ELECTRONIC DIAGRAM PEGAR AQUI ESQUEMA DE NESTOMAT 6050 REV 1 2 QUE ESTA DENTRO DEL MANUAL ORIGINAL EN EL ARMARIO MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 43 NUMBER REF DESCRIPTION VALUE 1 RESISTOR 4K7 1 4 W R6 R10 R15 R19 R20 R21 R32 R39 43 44 R49 2 RESISTOR 10K 1 4 W 5 R9 R14 R17 24 R36 R45 3 RESISTOR IK 1 4 W R22 4 RESISTOR 680 Q 1 4 W R34 R35 R37 R40 R41 R42 R48 5 RESISTOR 100K 1 4 W R13 R16 R30 R31 R50 6 RESISTOR 750 1 4 W R3 R25 7 RESISTOR 18K7 1 4 W R2 R33 8 RESISTOR 470 Q 1 4 W R7 R38 9 RESISTOR 2K2 1 4 W R11 R26 R27 R46 10 RESISTOR 4870 1 4 W R28 11 RESISTOR 1 5 1 4 W R8 14 RESISTOR 330 Q 1 4 W R4 15 RESISTOR 2K 1 4 W R47 16 RESISTOR 75K 1 4 W R23 R18 17 RESISTOR 22K 1 4 W R12 18 SQUARE CONECTOR 2 PIN J2 J12 J4 R2 54 19 SQUARE CONECTOR 3 PIN J1 J6 R2 54 20 SQUARE CONECTOR 2 PIN J13 J14 R3 96 21 3 WAY BREAKAWAY J7 J8 J9 J10 J11 22 2 WAY BREAKAWAY J15 23 DOUBLE ROW TIRA 7 WAY J5 BREAKAWAY 24 BOARD 9 WAY BREAKAWAY CN3 25 CHOKE CHI 26 CAPACITOR 150 pF C11 27 CERAMIC CAPACITOR 100 nF C1 C2 C4 C8 C9
32. n preset to english if you want to switch to the language proceed as follows Press I O switch located at the side of the trolley Press ON OFF key at the front panel The LCD will display GUIDO RAYOS X VER X X then type sequentially SILENCE key 7388 SILENCE ENTER then the LCD will display MAINT 0 SW 1 LNG 2 SEN 3 DIS 4 RNG Press 1 key the LCD will display 1 LISH VER 2 SPANISH VER press the corresponding key to the selected language and confirm by pressing ENTER 11 9 CHANGE QF DISPLAY TYPE Press 3 key when applications programm is selected display type will be activated MAN 012 Sept 00 NESTOMAT 6050 Ed 1 Rev 3 GUIDO RAYOS X S A 21 1DISPL 16 CARS 2 DISPL 20 CARS for LCD equipment press 1 for luminiscent display press 2 II 10 ON OFF SWITCH SW ACTIVATION Press 0 key when applications programm is selected The display will show WITH ON OFF WITHOUTON OFF For equipments with ON OFF switch on front panel keypad press the ON OFF key selecting WITH ON OFF option 11 11 CHANGE OE TEMPERATURE ALARM RANGE HIGH LOW Press 4 key when applications programm 15 selected The display will show RNG TMP 0 1 2 0 R _ H Preset value of temperature Range R High low is 1 C To this value corresponds a hysteriris value H of 0 4 C To change the preset value R between 0 1 C an
33. nd cap 6 614040309 Screw 8 x 20 7 693040706 Plug set of 5 8 693041436 Foot 9 Panel plastic 10 043041057 Cover max pressure relief 11 500RD509 Connector 10 mm female gas inlet 12 Front fascia 13 500RD508 Connector 10 mm male gas outlet 14 500RD554 Manometer kit 15 693041444 Cap inspiratory pressure valve 16 500RD506 Valve assemblies pair 17 641040816 Column 18 614040117 Screw M4 x 8 Pan Hd 19 641040809 Handle Product especifications Manometer Range Maximum Pressure Relief Caudal de entrada de gasesInput Gas flow Range Peak inspiratory pressure 10 l min PEEP 10 l min Recommended body weight range 20 a 80 cm H O Between 70 and 84 cm Between 5 and 15 l min 2 to 80 cm H O 2 to 15 cm HO Up to 10 kg MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A IV 3 SHELVES Shelf for monitors Shelf for instruments Those shelves can be installed in both sides of the unit and its height can be regulated using the accessories rail placed on the rear of the column IV 4 OTHER OPTIONAL ACCESSORIES Tray for X ray cassettes Oxygen tent hod with security valve Holding assembly for two gas cylinders Drawers assembly IV 5 PULSEOXIMETRY MODULE The NESTOMAT 6050 6100 Version is a Neonatal Care Center that noninvasively and continuously monitors arterial blood oxygen saturation SaO2 and pulse rate SaO and pulse rate information is conveyed both visually an
34. ng a period of ten minutes the alarm will be again Check if heat sources are close to the Radiant warmer location if positive keep them away If the alarm is still effective unplug the unit from the power source remove the patient from the radiant warmer and call to the authorised service engineer B SERVO CONTROL MODE 1 SENSOR ALARM MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 18 Informs when a failure of the skin probe or if it gets disconnected or out of range The Alarm will activate the corresponding LED and buzzer The LCD will display ALARM SKIN SENSOR being possible to silence The Radiant warmer is now out of service The Radiant warmer can be used on Air Mode if no any circunstances or ala avoidit in case 1t Ts lutely needed switch to Air Operation Mode and call to the authorized service engineer 2 LOW TEMPERATURE Is activated when temperature reaches aproximately 1 C below the preset temperature See paragrap 10 to change preset temperature alarm range LOW alarm LED will lit and the LCD will display ALARM ST RH OX to silence acoustic alarm press SILENCE key If SILENCE was pressed and the alarm conditions remain during a period of ten minutes the alarm will be activated again IMPORTANT CHECK THE CONDITIONS OF THE PATIENT CHECK THIERE IS NOT AIR FLOW IN THE WARD CHECK THE HEAT Lamp Is ON THE MICROPROCESSOR CONTROLS THE HEAT
35. o achieve acceptable signal levels and is interpreting the signal to detect the pulse Alarm This indicates the alarm volume is being adjusted with the Up Down arrow keys Beep This indicates the pulse beep volume is being adjusted with the Up Down arrow keys Alarm Silenced Flashing indicates the alarm has been silenced with automatic two minutes reset Non flashing continuous indicates the alarm has been silenced indefinitely Beep Silenced This is displayed for 1 2 seconds when the pulse beep volume is adjusted to off Check Sensor The probe is off the patient needs to be repositioned or is not connected to the unit 5 VO This key turns the Pulseoximetry Operating Mode on and off 6 Display Light Bulb This toggles the display backlight on and off 7 Alarm Selec MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A Press Alarm Selec to step through or set each of the four alarm limits Pressing a fifth time sets the monitor at none selected If neither the Up Down arrows nor the Alarm Selec key are pressed for aproximately 20 seconds the system returns to none selected 8 Up Down Arrows When an alarm limit is not selected these keys increase decrease either the alarm volume when the alarm is not silenced or the pulse beep volume when the alarm is silenced When an alarm limit is selected these keys control scrolling up and down through the alarms limits setting 9
36. s may require few rotations due to the fine thread pitch of the valve The manometer now indicates the current Maximum Pressure Relief Testiung _ setting To adjust the maximum Pressure Relief Determine the current Maximum Pressure relief setting as described in step 4 Occlude the PEEP cap aperture with your thumb Rotate the Maximum Pressure Relief control to the desired Maximum Pressure Relief setting To adjust the Inspiratory Pressure PIP valve Check the test lung is attached to the T piece and occlude the PEEP cap aperture with your thumb Adjust the Inspiratory Pressure contol knob to the desired peal inspiratory pressure as displayed on the manometer To adjust the Positive End Expiratory Pressure PPEP valve Remove your thumb form the PEED cap aperture to allow gas to flow through MAN 012 Sept 00 Ed 1 Rev 3 NESTOMAT 6050 GUIDO RAYOS X S A 26 the PEEP valve Adjust the PEEP cap to set the desired PEEP level as displayed on the manometer 8 Remove the tst lung from the T piece Fit the desired neonatal resuscitation mask or endotracheal tube to the T piece The Neopuff resuscitator is now ready for use 9 Place the mask over the baby s mouth and nose or insert the endotracheal tube into de baby s airway 10 To resuscitate Place your thumb over the PEEP cap aperture on the T piece to produce an inspiration Remove your thumb from the PEEP cap aperture on the T piece to allow
37. to new preheating temperature with numerical keypad By pressing ENTER you will confirm selection C PRESS START Despite it is displayed PRESS START you have to press ENTER This is because this is an special feature of NESTORET 5050 AIR C SELECTMODE Finally press PRE A 9C PREHEATING Once the preheating temperature is reached the LCD will display UNIT READY to be used within a patient displaying the temperature inside the Radiant warmer as well as advising to the medical personnel by means of an acoustic signal Then the Operation Mode should be selected just afterwards the newborn is placed into the Radiant warmer IMPORTANT By PRESSING AGAIN THE PRE KEY THE LCD WILL DISPLAY THE REGISTERED PARAMETERS SUCH AS AIR TEMPERATURE AT PATIENT TEMPERATURE ST NOTE To ser OXYGEN AND RELATIVE HUMIDITY VALUES SEE CHAPTER 5 MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A 12 11 3 TO HEAT If Preheating Mode was not selected proceed as follows Press any key the LCD will display AIR SELECTMODE To select the Operation Mode press AIR or SERVO key AIR key corresponds to Air Control Mode SERVO key corresponds to Servo Control Mode patient skin temperature A AIR CONTROL MODE NOTE THE DIGITAL DISPLAY INFORMS THE TEMPERATURE OF THE AIR WHERE THE NEWBORN IS PLACED
38. ure 40 B Patient temperature 40 C Oxygen concentration 40 Electronic diagram 42 Warranty MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 8 GUIDO RAYOS X S A DISCLAIMER The safety devices and other controls provided in this equipment will perform reliably when operated maintained and repaired in accordance with the instructions of this manual Safety devices must be checked periodically and reset repaired or replaced as necessary to ensure that they will operate reliably Equipment and parts that are broken missing badly worn distorted or contaminated should be replaced with appropriate GUIDO RAYOS X parts The equipment or its components should not be modified without the approval of the manufacturer The Manufacturer disclaims all responsability for any malfunction of this equipment resulting from faulty operation maintenance or repair or if any of its components are damaged or modified by anyone other than the manufacturer MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A SYMBOLS SYMBOL DESCRIPTION C In compliance with the required european norms CEI 601 1 2 y CEI 601 1 r NJ Altern current A Atention read the attached documents Fuse O or On MAN 012 NESTOMAT 6050 Sept 00 Ed 1 Rev 3 GUIDO RAYOS X S A SPECIFICATIONS Description Model Alimentaci n Consumo Air control temperature Air temperature range Air temperature digital readout Pati
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