Manual For inc-ac100-200
Contents
1. 110 120 50 60 Hz 350W 220 240V 50 60 Hz 350W MEME 100V 50 60 Hz 350W MEM 119 120 50 60 Hz 350W 220 240V 50 60 Hz 350W MM 100V 50 60 Hz 350W DEMNM 100LA or less Actuated by fan failure or a short circuited Air Flow probe Actuated by a defective Air Skin High Tempera ture or Auxiliary probe or if the Skin Temperature probe is disconnected when operating in Skin Mode Also actuated by an open circuited Air Fiow probe when the temperature sensed below deck is greater than 30 to 31 C Actuates if Air Temperature sensed below deck rises above 39 5 0 5 C Actuates if Skin or Air Temperature fiuctuates from set temperature as foliows In Skin Mode Skin Temperature 1 0 03 10503 0 In Air Mode Air Temperature 1 5 0 5 C 3 0 05 Fn Model C100 only TABLE 1 1 SPECIFICATIONS CONTINUED Alarms cont Power Failure Alarm POWER FAIL An alarm which is actuated if primary power to the incubator fails or the power cord is accidentally disconnected from the wali receptacle Alarm Silence Reset Switch Silence Silences the set temp audible alarm for 12 to 15 minutes alarm silence is automatically over ridden If subsequent alarm occurs within the period of silence Reset2. Cancels High Air Temp Air Flow or Probe Alarm if alarm condition longer exists Temperature Control Hanges Air Temperature Mode 4 20 0 to 38 4 0 4 C Skin Temperature 2 4 34 0 to 37 9 C Temperature Hise Time esas 45 minutes Temperature Variabiliby 0 2 C Temperature Overshoot mss ean en 0 5 C maximum Temperature Uniformity eal saa e 1 C Correlation of Indicated Air Temperature to Actual Incubator Temperature after Temperature Equilibrium is reached 1 0 Correlation of Indicated Temperature to Set Temp after Temperature Equilibrium 15 reached TREE TT TU UU 0 5 C of set temperature up to 38 5 C 2 0 3 C of set temperature up to 37 99 Oxygen Concentration Range 20 9 to 7095 Humidity m ee elt ens Typically between 50 and 60 with water in humidity reservoir Nominal Dimensions Height 134 52 3 47 Depth 22 2 2
3. 55 cm 227 Width 22 2 222 2 2 12 115 4577 Nominal 1 76 Kg 158 105 Noise Level Within Hood Environment 60dBA maximum with 50dBA or less ambient Air Velocity Over Mattress Does not exceed 10 cm sec 20 within Control Zone Model C100 only Refer to Table of Definitions and Symbols WEIGHING SCALE 22 WEIGH HOOK REQD WHEN SCALE IS ON ACCESSORY SHELF POLE ACCESSORY SHELF VAPOJETTE HUMIDIFIER ACCESSORY TRAYS OXYGEN CYLINDER RACK STERILIZER TANK PROBE COVERS 6 BOXES OF 100 EACH FIGURE 1 1 ACCESSORIES SECTION 2 INSTALLATION 2 1 UNPACKING B Place the Guard Rail and Base Assembly on the Cabinet Stand as shown in Figure 2 1 Typically the Cabinet Stand the Hood and Base Assembly and the Guard are shipped in separate WARNING The Incubator must be attached to the cartons When removing the equipment from the cartons Cabinet Stand using the clamps provided Failure take care not to scratch or otherwise damage unprotected lo do so could result in the Incubator separating surfaces Remove all packing materials from the shell from the stand if sufficiently tilted particularly assembly w
4. ISOLETTE9 INFANT INCUBATOR MODELS C100 2 AND 2E C200 1 AND 1E PERATOR S MANUAL LI AIR SHIELDS A HEALTHDYNE COMPANY PRECAUTIONS GENERAL PRECAUTIONS Incubator misuse may result in harm to an infant Incubators should be used only by properiy trained personnel as directed by an appropriately qualified attending physician aware of currently known hazards and benefits The Incubator should not be used it fails to function properly Service should be referred to qualified personnel Mattress temperature may rise above preset level if Access Panelis left open Therefore do not leave open longer than essential Do not rely on temperature indicator when Access Panel is open For infant safety DO NOT leave the infant unattended when the Access Panel is open When the Access Panel is open a curtain of warm air flows from beneath the front edge of the mattress toward the top of the Access Panel opening The temperature of this air shield is higher than the typical Incubator air temperature therefore the infant should be kept clear of this warm air path The Incubator must be attached to the Cabinet Stand using the clamps provided Failure to do so could result in the Incubator separating from the stand if sufficiently tilted particularly with the hood open The air curtain must be properly installed for correct temperature control To avoid overheating the infant due to direct radiation
5. Model C100 only I D ur amp n n oL LLLLEESULZZCZEEEQOIEELCIKDL EAIEEIIDEEIA QN 22 2 20 1 1 OUO 4 OPERATION 4 1 OPERATING CONTROLS INDICATORS AND CONNECTORS controls indicatars and connectors required for operation of the Incubator are shown in Figure 4 1 An explanation of each item is provided in Table 4 1 ACCESS PANEL LATCH RELEASES OXYGEN INPUT CONNECTION ACCESS DOOR LATCH AELEASES HOOD HINGE 1 5 ENTRY PORT LATCH HIDDEN g HOOD LIFT HANDLE TUBING ACCESS PORT ELEYATOR 777 DEVERS HUMIDITY FILL PIPE CASTER LOCK FIGURE 4 1 OPERATING CONTROLS INDICATORS AND CONNECTORS SHEET 1 4 10 TABLE 4 1 CONTROLS INDICATORS AND CONNECTORS NAME DESCRIPTION INCUBATOR Hood Lift Handle Used to lift Hood assembly for cleaning or maintenance Hood Hinge Latch Located on right rear corner of Incubator latches Hood Assembly in open position releases when depressed Mattress Elevator Levers Used to position mattress in Fowler or Trendelenberg position Iris Entry Port Provides access to infant campartment Access Door Release Latch Heleases Latches Access Door Access Panel Rotated to latch release Access Panel Humidity Fill Pipe Provides means of filling humidity reservoir Tubing Access Fort Provides routing for tubing probe leads
6. oh od 4 Ron BOB ROM mS a m w a m m WR m o n w 4d BOW Co doom mos s s mou 4 4 3 CR A OR bow 4 RokRo o 3 6 REPLACEMENTS PARTS 6 1 General a a m m m 4 L A QR wow oa wood a Oo OS Oo Gom bod a a Wok me ROM TABLE DEFINITIONS AND SYMBOLS TECHNICAL DEFINITIONS Control Zone Between two planes 10 and 15 cm above the mattress center and parallel to the mattress measurement points being above the center points of the four quadrants of the mattress Incubator Temperature Air temperature at a point 10 cm 4 above and centered over the mattress surface Temperature Equilibrium The condition reached when the average Incubator Temperature does not vary more than 0 2 C over a period of one hour Temperature Overshoot The amount by which Incubator Temperature exceeds average Incubator Temperature at Temperature Equilibrium resulting from a change in control temperature Temperature Rise Time The time required for the Incubator Temperature to rise 10 C Temperature Unitormity The amount by which the average temperature at each of four points 10 cm 4 in above the mattress surface differs from the
7. nood slope then down your arm lift rear of inner wall puli toward you to release then lower 3 LOWER REAR OF INNER WALL AS AS 4 REMOVE INNER WALL IT WILL GO Dy lowering in direction shown Mode C100 only FIGURE 52 REMOVAL OF INNER WALL 24 C REMOVE ACCESS PANEL INNER WALL HEAT E SHIELD Refer to Figure 5 3 With the Access Panel completely open remove the Inner Wall by simultan eousiy pulling out at the top and pushing in the down ward direction FIGURE 5 3 ACCESS PANEL iNNER WALL REMOVAL D REMOVE MATTRESS TRAY AND AIR CURTAIN COVER Close the Access Panel and latch the Hood Assembly in the open position then lift out the Mattress Tray Hemove and discard the disposable maltress cover Lift the front of the Air Curtain Cover swing it toward the back of the Incubator past the vertical position until you feei it snap free then slide it slightly forward to remove REMOVE MAIN DECK Rotate the Main Deck Retainer Figure 5 4 parallel with the slot then lift out the Main Deck and Hood Seat Gasket n V arme FIGURE 5 4 REMOVAL OF MAIN DECK C100 only 25 F REMOVE AIR INTAKE TUBE Grasp the Air Intake Tube Figure 5 5 twist and pull it toward the front of the Incubator unti the end of the tube clears the gasket Hemove the tube from the base assembly FIGURE 5 5 REMOVAL OF AIR INTAKE TUBE G REMOVE DISPOSABLE ACCE
8. C100 only Each time unit is turned on the low set temp alarm for the selected mode is delayed for about 1 hour or until the temperature stays within set temp for about 2 4 minutes 14 TABLE 4 1 CONTROLS INDICATORS AND CONNECTORS CONT SIDE PANEL CONTROL CIRCUIT BREAKER S Provide overload protection depress to reset CONNECTORS PATIENT PROBE Accepts skin temperature probe for monitoring and con trolling infant skin temperature When connected SKIN TEMP C indicates temperature sensed by probe when disconnected SKIN TEMP C 15 blank AUXILIARY AIR PROBE Accepts auxiliary air temperature probe and disconnects the internal air temperature probe to permit air temperature control auxiliary probe POWER CORD Accepts AC power cord Model C190 only PATIENT PROBE AUXILIARY AIR PROBE 5 C r USE ONLY AIR SHIELDS USE ONLY AIR SHIELOS P N 863 205 70 FOR C100 USE ONLY PATIENT PROBE AUXILIARY AIR PROBE 9 C USE ONLY AlR SHIELDS USE ONLY AIB SHIELGS P M 209 70 58209 80 FOR CTOO USE ONLY P N 5B 209 B FOWER LORD FOR PHUPER GAROUNO RELIABILITY USE AECEPTACLE MARKED HOSPITAL GRADE OR HOSTAL USE PUSH TO RESET TO REMOVE CONTROLLER ALL CONNECTIONS MUST BE REMOVED FROM THIS PANEL FOR RDPER GROUND RELIABMITT USE RECEPTACLE MARKED HOSPITAL GRADE OR HOSPITAL USE PUSH TO PUSH TO RESET RESET CIRC
9. Incubator s controlled environment are on the rear surface included are the air temperature probe the fan impeller the heater the gaskets and the surface of the Controller to which these components are mounted CAUTION Failure to clean could result in sufficient lint buildup reduce airflow which will affect temperature control and cause high oxygen concen trattons 1 Remove any lint buildup pay particular attention to the fan impeller heater air temperature probe and air flow sensor 2 Cleanthese surfaces with adisinfectant detergent then dry with a clean cloth or paper towel NOTE disinfecting tank is available as an accessory from Air Shields to facilitate cleaning the rear surface of the Controiler The Controller rear surface is im Nee mersed into the tank after filling it with a disinfectant NECS EU detergent then allowed to soak as recommended by the manufacturer of the cleaning solution SU VS Vs tt MATTRESS TRAY AIR CURTAIN COVER MAIN DECK n X ME C8 de Use a disinfectant detergent to clean all surfaces miis thoroughly then dry with a clean cloth or a paper towel HOOD AND CABINET STAND Use a disinfectant detergent to ctean all surfaces of the hood thoroughly including the inner and access door heat shield Make sure to clean all holes indentations baffles etc then dry with a clean cloth or paper towel CAUTION Alc
10. Temperature Display second sensor within the air temperature probe serves as backup to limit the temperature sensed below deck to between 39 0 and 40 0 C at this temperature an alarm is activated and the heater is shut off lf desired an auxiliary probe can be used to monitor and control the I ncubator temperature This probe 18 suspended above the mattress through the weighing scale hole and plugged into a special receptacle on the side of the Incubator When plugged in the primary air temperature probe is disconnected but the backup sensor within the primary temperature probe remains connected Thus the auxiliary probe becomes the controlling element for the air temperature In the Arr Temperature mode of operation the infants lemperature will be a function of the air temperature and the infants ability to establish and maintain its own temperature A small infant or one with underdeveloped homeostatic control may not be able to maintain stable temperature at the optimum level AIR CIRCULATION WITH INCUBATOR DOOR CLOSED DITELE WIFFLE 1 7 5 1 AIR CIRCULATION WITH INCUBATOR DOOR OPEN FIGURE 3 1 AIR O CIRCULATION SYSTEM SKIN TEMPERATURE MODE Model C100 In this mode of operation the infant s skin temperature can be maintained at a temperature from 34 0 to 37 9 C as selected by the SKIN SET TEMP C thumbwheel switch on the f
11. average Incubator Temperature at Temperature Equilibrium The four points are the centers of four areas formed by lines that divide the width and length of the mattress surface Temperature Variability The variability of the temperature at a fixed point in the incubator above the mattress that will be observed over a one hour period after Temperature Equilibrium has been reached and all accesses remain closed NOTE IMPORTANT CAUTION AND WARNING NOTE A Note is inserted in text to point out procedures or conditions which may otherwise misinterpreted or overlooked Note may aiso be used to clarify apparently contradictory or confusing situations UT IMPORTANT Similar to a Note but used where greater emphasis is required CAUTION A Caution is inserted in text to call attention to a procedure which if not followed exactly can lead to damage or destruction of the equipment WARNING Warning is inserted in text to cail attention to dangerous or hazardous conditions inherent to the operation cleaning and maintenance of the equipment which may result in personal injury or death of the operator or patient SYMBOLS Attention consult accompanying documents Type B equipment with an F type isolated floating applied part Protective earth ground SECTION 1 GENERAL INFORMATION 1 1 INTRODUCTION This manual provides instructions for installation use operator maintenance
12. do not position the Incubator in direct sunlight or under other sources of radiant heat The high air temperature alarm might not be actuated under these conditions Phototherapy units located too close to the Incubator may affect hood wall temperature Incubator air temperature and infant skin temperature When an x ray is taken through the hood the hole in the top of the hood used with the optional weighing scale could show up on the x ray as a radiolucent shadow and could result in incorrect diagnosis To prevent harm to the infant the Hood should not be raised while leads or tubing are connected to the infant There should be no need to raise the hood at any time while the infant is cared for in the Incubator All necessary access to the infant can be achieved by means of the Access Panel and Access Doors The use of infant seats head hoods or other accessories within the Incubator which can alter the air flow pattern may affect temperature uniformity temperature variability the correlation of the Incubator temperature reading to center mattress temperature and infant skin temperature ELECTRICAL PRECAUTIONS To ensure grounding reliability connect the AC Power Cord only toa properly grounded 3 wire hospital grade or hospital use outlet Do not use extension cords If any doubt exists as to the grounding connection do not operate the equipment An electric shock hazard exists within the Controller when the cover is removed
13. is provided in Figure 4 12 This guide also appears on the Air Input Filter Cover on the back of the Incubator Attach Probe FIGURE 4 10 ATTACHING SKIN PROBE OXYGEN CONCENTRATION GUIDE 50H 60Hz OPERATION OXYGEN INPUT NORMAL RANGE Oo 75 CONNECTING LINE PRESSURE SHOULD NOT EXCEED 20 i OXYGEN ONLY EN TRATION ANT THE en fe 5 a e MINLTES FOR FINAL CONCENTAATIONS AFTER EACH CHANGE OF E Rudi sg P 5 LEGEN CT LOS gf METRES NOTE THE ABOVE VALUES ARE INTENDED AS GUIDELINES ONLY READJUST FLOW AS SO ONE E REQUIRED TO ACHIEVE PRESCHIBED CONCENTRATION SEE WARMING LABEL AND IMPORTANT scsi IMPORTANT OPERATING INSTRUCTIONS i T SEIT m Ut FIGURE 411 OXYGEN INPUT VALVE FIGURE 4 12 OXYGEN CONCENTRATION GUIDE 2 1 D HUMIDITY RESERVOIR if additional humidification is prescribed by the attending physician fill the hu midity reservoir Figure 4 13 with 2200 cc of sterile distilled water single filling is enough for atleast one full day of operation relative humidity inside the Incubator is typically at 50 60 under these condi lions NOTE The level of relative humidity attained within the Incubator will be influenced by the ambient relative humidity of the operating environment When the temperature inside the Incubator is s
14. servicing should be referred to factory trained or otherwise qualified personnel
15. D MAINTENANCE 5 1 GENERAL This section provides cleaning and maintenance instruc tons Where necessary disassembly instructions are provided Maintenance other than thal provided In this section should performed only by qualified service personnel 5 2 CLEANING When an infant is discharged or at least once a week the Incubator should be Ihoroaughly cleaned and disinfected Cleaning can most efiectively be accomplished by disassembling then grouping the parts and or assem bhes n categories according to the method of cleaning required 8 2 1 DISASSEMBLY CLEANING NOTE For routine cleaning there is no need to separate the Hood Base assembly from the Cabinet Stand If separation is necessary refer to the Installa tion Section WARNIMG The Controller heater can be sufficiently hot to cause burns avoid removing the Controlier or touching the heater until the unit has been switched off FIGURE 5 1 REMOVAL OF CONTROLLER for at least 45 minutes A REMOVE THE CONTROLLER Disconnect the Power Cord and Probes from the side of the Incubator Release the latch on each side of the Controller as shown in Figure 5 1 then withdraw the unit from the incubator 23 REMOVE THE HOOD INNER WALL Remove the Inner Wall as described in Figure 5 2 1 RELEASE FRONT OF INNER WALL 2 RELEASE REAR OF INNER WALL by pushing slightly back in direction while resting front edge of inner wall on
16. EEVE 28 G INSTALL TUBING ACCESS PORT into the front edge of each side of the Hood Heplace if distorted or torn H INSTALL AN ACCESS DOOR GASKET behind each Access Door as shown in Figure 5 9 ACCESS DOOR PLEXIGLAS HOOD CUFF GROOVE INSIDE INCUBATOR ACCESS DOOR GASKET FIGURE 5 9 INSTALLATION OF ACCESS DOOR GASKET L INSTALL NEW ACCESS DOOR CUFF onto each Access Door Gasket by stretching the larger diameter elastic band into the groove in the gasket When installed correctly the cuff has a small opening at its center The Access Door should latch with slight pressure and should open when the latch button 15 depressed NOTE if the Incubator is to be gas sterilized wait until after sterilization to install new sleeves J INSTALL HOOD INNER WALL by reversing the procedure shown in Figure 5 2 INSTALL THE HEAT SHIELD onto the Access Panel Model C100 only 29 L INSTALL A NEW AIR INTAKE MICROFILTER if necessary Replace the Air Intake Microfilter Cover and tighten the two thumbscrews f a new filter is installed indicate the date on the place provided on the cover IMPORTANT A complete functional checkout paragraph 4 2 1 should be performed before returning the unit to service 5 3 GAS STERILIZATION Prior to gas sterilization the entire Incubator should be thoroughly cleaned as described elsewhere in this section Ail used disposable elements such as iris sleeve
17. Figure 3 1 creating a warm air shield which minimizes the drop in Incubator temperature 3 2 2 TEMPEHATURE CONTROL in the Model C100 incubator temperature is regulated using either Incubator air or infant s skin temperature as the controlling parameter the desired mode is selected by a front panel switch The Model C200 provides only air temperature control In either mode of operation the heater output is proportional to the amount of heat required to maintain the desired temperature and relative amount of heat being provided is indicated by the number of lit HEATER output lamps on the front panel Changes in the number of lamps illuminated indicate the amount of power required to maintain a given temperature During skin temperature control Model C100 it provides an indication of the degree of the infant s dependency upon the temperature of its environment to maintain body temperature Each mode of operation is described below AIR TEMPERATURE MODE Models C100 and C200 In this mode of operation the air temperature can be maintained from 20 0 to 38 5 C as selected by the AIR SET TEMP C thumbwheel switch on the front panel The Incubator temperature is monitored by a probe located below deck and compared with the thumbwheel settings The information from this probe is supplied to the heater control circuitry which proportions the heater output to maintain the thumbwheel setting Actual air temperature is displayed on the Air
18. INPUT VALVE FILTER The Oxygen Input Valve Filter Cartridge should be checked once every four months and replaced if the ends are gray or black Refer to the Service Manual and qualified service personnel Model C100 only AA CHECKOUT 16 COMPLETE Disconnect and store the Auxiliary and Patient Probes If the Incubator is to be used set the CONTROL MODE Switch to the AIR position and leave the Incubator running until ready for use If it is not going to be used it may be shut off 4 2 2 OPERATION DURING USE IMPORTANT The Incubator should not be placed in service unless the Genera Operation and Functional Checkout Procedure 4 2 1 has been performed The Incubator should be ventilated and prewarmed in the air temp control mode to the temperature prescribed by the attending physician or according to Nursery Standing Orders Incubator should be run with no water in humidity reservoir during prewarming NOTE The air curtain that functions when the Access Panel is open is very delicate and can be disturbed by drafts fans air conditioning etc Take necessary measures to keep the Incubator away from these drafts WARNING For intant safety do not leave the infant unattended while the Access Panel is open The Mattress temperature may rise above the preset level if the Access panel is teft open Therefore do not leave it open longer than essential The air temperature indicator does not accurately reflect Incub
19. SS DOOR CUFF from each Access Door Gaskel by pulling it off from the outside discard the cuffs REMOVE ACCESS DOOR GASKET from each Access Door hole by pulling it off from the outside REMOVE TUBING ACCESS PORTS from each side of ihe Hood by pulling them free J REMOVE DISPOSABLE IRIS ENTRY PORT SLEEVES by pulling each Sleeve off the retainer rings discard he sleeves REMOVE THE AIR INTAKE MICROFILTER COVER by toosening the two thumbscrews 5 2 2 CLEANING CLEANING AGENTS iodophor or quaternary disinfectant detergent registered by the 0 5 Environ mentai Protection Agency should be used but only after the Incubator is empty and disassembled as described in paragraph 5 2 1 A cleanser such as Air Shields Kleen aseptic Germicidal Surface Cleanser may be used When using any cleaning agent follow the manufacturer s direc tions for use After removing all solid wastes and contamin ants from the disassembled parts clean them as follows SKIN PROBE Use a disinfectant detergent to thoroughly clean all surfaces then dry with a clean cloth or paper towel HUMIDITY CHAMBER AND FILL PIPE AIR INTAKE TUBE ACCESS DOOR GASKETS TUBING ACCESS PORTS AND MAIN DECK GASKET Fill the humidity chamber wilh a disinfectant delergent Then remove the Vy shaped Battle from the chamber and dry it wilh a clean cloth or paper towel Place the Aa dntake Tube Access Door Gaskels Tubing Access Ports and Main Deck Gasket in
20. Servicing should be performed only by qualified personnel OPERATING PRECAUTIONS CONTINUED EXPLOSION PRECAUTIONS Do not use in the presence of flammable anesthetics Make sure that the oxygen supply to the Incubator is turned off and that the Incubator ts disconnected from the oxygen supply when performing cleaning and maintenance procedures a fire and explosion nazard exists when performing cleaning and or maintenance procedures in an oxygen enriched environment OXYGEN PRECAUTIONS Improper use of supplemental oxygen may be associated with serious side effects including blindness brain damage and death The risks vary with each infant The method the concentration and the duration of oxygen administration should be prescribed by the attending physician if it is necessary to administer oxygen in an emergency the attending physician should be notified immediately NOTE See current edition of Guidelines for Perinatal Care of the American Academy of Pediatrics The American College of Obstetricians and Gynecologists The oxygen concentration inspired by an infant does not predictably determine the partial pressure of oxygen in the blood When deemed advisable by the attending physician blood should be measured by accepted clinical techniques Oxygen flow rates cannot be used as an accurate indication of oxygen concentrations in an Incubator Oxygen concentrations should be measured with a calib
21. UIT CIRCUIT BREAKER BREANEA TU REMOVE CONTROLLER ALL CONNECTIONS MUST BE REMOVED FROM THIS PANEL 100 110 120V MODELS 220 240V MODELS FIGURE 4 1 OPERATING CONTROLS INDICATORS AND CONNECTORS SHEET 4 OF 4 15 4 2 OPERATION The operating procedure is divided into two main sections General Operation and Functional Checkout Procedure 4 2 1 and Operation During Use 4 2 2 The operational checkout should be performed each time the Incubator is put into service to verify proper operation of Functions The operation section should be used for subsequent routine operation WARNING The Incubator should not be used if it fails to function as described Service should be referred to qualified personnel The use of infant seals head hoods or other accessories within the Incubator which can alter the air flow pattern may affect temperature uniformity temperature variability the correlation of the Incubator temperature reading to center mattress temperature and infant skin temperature 4 2 1 GENERAL OPERATION AND FUNCTIONAL CHECKOUT PROCEDURE The functional checkout should be performed before the Incubator is first placed into use and after any dis assembly for cleaning or maintenance A BEFORE CONNECTING THE INCUBATOR io the power source depress the POWER switcn the power failure alarm should sound and the POWER FAIL indicator should light This tests the operation of the power failure alarm c
22. air temperature necessary to maintain skin temper ature The AIH Temperature setting will have no control of air temperature OXYGEN Oxygen be administered from a wall source or the oxygen cylinder accessory on the Incubator Cabinet Stand WARNING Improper use of supplemental oxygen can cause serious side effects including blindness brain damage and death The risks vary with each infant The method the concentration and the duration of oxygen administration should be prescribed by the attending physician f it is necessary to administer oxygen in an emergency the attending physician should be notified immediately The use of the Vapojette Humidifier or other means of external humidification will alter predicted incubator oxygen concentrations Hefer to Cat No 26 991 30 for operating instructions for the Vapojette Humidifier The oxygen concentration inspired by an infant does not predictably determine the partial pressure of oxygen pO in the blood When deemed advisable by the attending physician blood should be measured by accepted clinical techniques See current edition of Guidelines for Perinata Care of the American Academy of Pediatrics The American College of Obstetricians and Gynecologists Connect the output of the oxygen flowmeter to the nipple of the Oxygen Input Valve Figure 4 11 using 3 16 inch ID surgical tubing An oxygen concentration guide
23. and troubieshooting of the Air shields ISOLETTE infant Incubators Models C100 and C200 Air Shields cannot be responsible for the per formance of the Incubator if the user does not operate the unit in accordance with the instructions fails to follow the maintenance recommendations in Section 5 of this manual or effects any repairs with unauthorized components Calibration and repair should be performed only by qualified service personnel Technical information is available through your local distributor This manual should be read thoroughly understood and readily accessible to all personnel who will be working with the unit The manual should be stored the shelf in the cabinet stand when notin use If there isanything you do not understand please contact your Air Shields representative for further information 1 2 DESCRIPTION The forced air circulation system of the incubator permits stable temperature control uniform heat distribution humidification effective isolation of the infant from airborne contaminants and control of oxygen con centrations Accessibility to the infant 15 provided by Access Panel Access Doors and Iris Entry Ports When the Access panel is open a curtain of warm air flows from beneath the front edge of the mattress toward the top of the Access Panel opening this air shield minimizes the temperature drop within the hood environment The Incubator is designed for use a nursery environmen
24. ator temperature when the Access Panel is open unless the Auxiliary Probe is being used When the Access Panel is opened a curtain of warm air flows from beneath the front edge of the mattress toward the top of the Access Panel opening The temperature of this air curtain is higher than the typical Incubator air tempera ture therefore the infant should be kept clear of this warm air path Raising the Hood it leads or tubing are connected to the infant can result in harm to the infant There should be no need to raise the hood at any time while the infant is cared for in the Incubator Ali necessary access to the infant can be achieved by means of the Access Panel Access Doors and Iris Entry Ports Phototherapy units located too close to the Incubator may affect hood wall temperature Incubator air temperature and infant skin temperature A PLACE INFANT IN INCUBATOR through opened Access Panel Mattress Tray should be pulled out to stop as shown in Figure 4 5 Return Mattress Tray to normal use position and close Access Panel Both Access Panel Latches must be positively secured to avoid accidential opening ON THE MODEL C100 SELECT TEMPERATURE CONTROL MODE AIR OR SKIN the Model C200 operates with Air Temperature Control only IMPORTANT The temperature control mode and temperature settings should prescribed by the attending physician Infant s rectal and or axillary temperature should be routinely monit
25. cuited or disconnected conditions and the air flow sensor for open condition In the Model C100 Incubator an indicator light flashes and an audible alarm sounds within 18 seconds to indicate a defective air temperature skin temperature or auxiliary sensor or an open circuited air flow sensor see IM PORTANT The probe alarm is also actuated if the skin temperature probe is disconnected while in the Skin Mode The Model C200 Incubator is equipped only for air control therefore no skin probe alarm ts provided The probe alarm is actuated to indicate a defective air temperature or auxiliary sensor or an open circuited air flow sensor see IMPORTANT IMPORTANT The probe alarm will actuated within 910 18 seconds if the air flow sensor is open circuited and the temperature sensed below the mattress deck is greater approximately 30 C however if the temperature sensed below the mattress deck is less than approximately 30 C the alarm will not be actuated During warm up it can take anywhere from 15 30 minutes before the alarm actuates depending on the temperature set point and ambient room temperature The probe alarm indicating an open circuited air flow sensor will not occur if the set point temperature is below 29 C In either Incubator tf a probe shorts except for the air flow probe it will appear as a high set temp violation and the settemp alarm will light This alarm is not self resetting and cann
26. dity Chamber WRONG MAIN DECK POSITION Main deck placed up on gasket on one side permitting air flow as shown by dashed line CORRECT MAIN DECK POSITION Main deck placed down on conditioning chamber top Hook the lip on the bottom rear of the Air Curtain onto the rod at the rear of the Main Deck Assembly then lower the cover toward the front af the Incubator tothe rest position Close the Hood Assembly and check for proper operation of the Air Curtain Cover The Air Curtain Cover is operating correctly if it rises slightly when the Access Panel 15 opened Install the Mattress Tray by positioning it a few inches above the mattress rails then lowering straight down E INSTALL DISPOSABLE MATTRESS COVER Place new disposable Mattress cover over the mattress then place the mattress onto the tray FIGURE 5 7 INSTALLATION OF MAIN DECK AND HOOD SEAT GASKET INSTALL DISPOSABLE IRIS ENTRY PORT SLEEVES Install a new tris Entry Port Sleeve as shown in Figure 5 8 NOTE If the Incubator is 10 be gas sterilized watt until after stenlization to install new sleeves 1 Install the smaller diameter elastic band 2 Fold back and slip larger elastic band of a new sleeve over the inner ring of the over the outer ring of the port housing port housing Rotate outer ring to close If properly installed the sleeve will open again if rotation is reversed FIGURE 5 8 INSTALLATION OF IRIS ENTRY PORT SL
27. e it 15 properly supported by the rails and baffles to provide a firm infant platform CHECK ACCESS PANEL LATCHES by closing the Access Panel and rotating both latches until fully engaged Both latches must be fully engaged to avoid accidental opening of the Access Panel L CHECK ELBOW LATCH ACCESS DOORS Gently press the door release with an elbow as shown tn Figure 4 6 Each Access Door should swing apen Clase the doors and check for proper latching M CHECK IRIS ENTRY PORTS Rotate the outer ring of each Ins Fort theirs should open and close as rotation is continued through 360 FIGURE 4 6 ACCESS DOOR OPERATION 17 CHECK MATTRESS ELEVATORS Separately operate each Mattress Elevator by rotating handles downward as shown in Figure 4 7 FIGURE 4 7 MATTRESS ELEVATOR OPERATION NOTE These elevator levers are provided to permit the infant to be positioned Trendelenburg or Fowier position Do not elevate both ends of the mattress al the same time except for possible use during magni fication x ray procedures Never leave the infant un attended while both elevators are raised NOTE The Hood cannot be opened when either Mattress Elevator is raised WARNING dirty Air Intake Microfilter may affect oxygen concentrations and or cause Carbon Dioxide buildup The filter must be checked on routine basis and changed at least every three months CHECK THE AIR INTAKE MICROFILTER Loosen tne two th
28. etc into infant compartment Castor Lock Located diagonal corners of cabinet stand restricts i Incubator movement Oxygen Input Connection Located on rear of Incubator provides connection point to Oxygen Limiter 11 ALARMS CONTROL MOLE SET TEMP Jn rore erre TENDS dco ptc RET 5 REM arde ET LE SHEET 2 OF 4 HEAT ERA DEAD POWER vl SILENCEMESET FIGURE 4 1 OPERATING CONTROLS INDICATORS AND CONNECTORS MODEL C200 SHEET 3 OF 4 12 TABLE 4 1 CONTROLS INDICATORS AND CONNECTORS CONT FRONT PANEL CONTROLS POWER CONTROL MODE SKIN SET TEMP C AIR SET TEMP C SILENCE RESET INDICATORS HEATER AIR Temperature Mode AIR TEMP C Temperature Mode SKIN TEMP ALARMS AIP FLOW Model C100 only Turns incubator on or off illuminates when power 15 on When first turned on the Incubator is automatically stepped through a functional test sequence Selects SKIN or AIR temperature mode of control Thumbwheel switch to adjust skin temperature set temp Setting is adjustable from 34 0 to 37 9 C Thumbwheel switch to adjust air temperature set temp Setting is adjustable from 20 0 to 39 9 C but actual air temperature is limited to 38 5 C Silences the audible portion of set temp alarm for nominally 15
29. he Controller or touching the heater until the unit has been switched off for at least 45 minutes CHECK AIR FLOW ALARM Set the POWER switch to GFF Remove the Controller Figure 5 1 from the Incubator Remove the fan impeller from the fan motor shaft and reinstall the Controller in the Incubator Set the POWER switch to ON and wait for the end of the Auto Test cycle 5 seconds Within 5 minutes the AIR FLOW indicator should flash a pulsating audible alarm snould sound and all HEATER lights should go out Reinstall the fan impeller and restore the Incubator to normal operating condition before proceeding CHECK MAXIMUM AIR TEMPERATURE On the Model C100 position the probe end of the Patient Probe outside the Incubator leave the CONTROL MODE Switch in the SKIM position and set the SKIN SET TEMP C thumbwheel switches to 39 9 On the Model C200 set the thumbwheel switches to 39 9 C Allow the incubator to heat If the SET TEMP alarm actuates depress the Alarm SILENCE RESET Button The incubator should not heat above 38 4 C 0 4 C as indicated on the AIR TEMP C display CHECK HIGH TEMPERATURE ALARM Position probe end of auxiliary probe outside the Incubator 11 the SET TEMP alarm actuates depress the Alarm SILENCE RESET Button When the HIGH TEMPERA TURE Alarm actuates disconnect the auxiliary probe read the AIR TEMP C display the display should read 39 5 0 5 C CHECK THE OXYGEN
30. heating will occur Model C100 only 20 Skin Temperature Control Connect the plug of the Skin Temperature Porbe to the PATIENT PROBE Receptacle Insert the probe into the hood compart ment through the right Tubing Access Port as shown gt in Figure 4 9 FIGURE 4 9 TUBING ACCESS PORT The skin area where the probe is to be placed should be thoroughly cleaned and dried before the probe 15 placed on the skin When the infant is on its back or side the Prope should be placed on the abdomen halfway between the xyphoid and the umbilicus When the infant is prone the probe should be on the infant s back The probe must never be placed under the infant or used rectally Attach the probe to the infant using an Air Shields SofSpcts Probe Cover as shown in Figure 4 10 To stabilize the attached nrobe place a piece of tape over the orobe wire approximately three to four centimeters from the probe tip Set the CONTROL MODE Switch to the SKIN position and set the SKIN SET TEMP thumbwheel to the desired temperature Once stabilized the infant s skin temperature will automatically controlled within 0 3 C of the set temp Note the following The number of HEATER lights Illuminated provides an indication of the amount of heater output required to maintain Skin Temperature he SKIN TEMP C Display indicates actual infant skin temperature The AIR TEMP C Display indicates actual incubator
31. hes set temp whichever occurs first each of these alarms is described below AIR FLOW ALARM Models C108 and C200 A sensor located below deck in the normal air path of the fan con trols this alarm If air flow stops due to a fan failure the temperature of the sel i heated sensor rises causing the AIR FLOW alarm on the front panel to light and produces a pulsating audible tone A short circuited air flow sensor failure will also actuate the alarm within 9to 18 seconds of the occurrence of the failure This alarm is non self resetting and cannot be cancelled by the Alarm SILENCE RESET Button until the alarm condition is corrected HIGH TEMPERATURE ALARM Models C100 and C200 A second sensor within the Air Temperature Probe Sounds this alarm 1f the sensed temperature exceeds 39 5 0 5 C A high temperature alarm is indicated by a flashing light and a continuous audible tone This alarm is non self resetting and cannot be cancelled by the Alarm SILENCE RESET Button until the alarm condition 15 corrected POWER FAILURE ALARM Models C100 and C200 If primary power to the incubator is interrupted for any reason including disconnected power cord an audible aiarm is activated and an alarm lamp lights This alarm can be deactivated only by restoring the primary power or setting the Incubator POWER Switch off PROBE ALARM Circuitry is provided to monitor the air skin and high temperature sensors for short circuited open cir
32. igni ficantly higher than the temperature in the nursery condensation may form on the inside of the hood When there 15 relatively little temperature difference between the Incubator and the nursery condensa tion will not form This does not mean the Incubator air 15 not adequately humidified but rather that the difference in temperature is not great enough to produce condensation A relative humidity readout is provided ona disposable humidity card mounted in upper right rear corner of the Incubator hood The card should be changed each time the Incubator is cleaned and or after each useage IMPORTANT To minimize contamination in the humidity reservoir it should be completely drained and refilled daily Never a partially filled humidity reservoir always drain completely before refilling E WEIGHING THE INFANT A weighing scale is available as an accessory for the incubator If used a weigning sling is suspended from the scale through the hole in the top of the Hood 22 NOTE The scale is set below zero at the factory to compensate for the weight of the hook and sling li resetting is ever required place a known weight in the sling and turn the adjustment screw located in the yoke of the scales until the correct weight shows on the scale Do not attempt resetting without a known weight as the empty sling is not heavy enough to give an accurate zero point 5 CLEANING AN
33. ing the Hood Latch as shown Figure 4 2 FIGURE 4 2 HOOD RELEASE OPERATION G CHECK ACCESS PANEL DETENT Rotate both latch releases inwardly and open the Access Panel as shown in Figure 4 3 the Air Curtain Cover should rise slightly as the Access Panel opens and the detenis should create a noliceable drag during initial movement of ihe panel Pivot the Access panel to the full open position hanging straight down FIGURE 4 3 ACCESS PANEL OPERATION CHECK AIR CURTAIN COVER Remove Mattress Tray by lifting straight up to clear the rails on Ihe hood baffles and then withdrawing through the front of the Incubator Check that the rear curved edge of the Air Curtain Cover is retained by the 1 4 rod between the Mattress Tray rails and that the front edge is about 1 above the Main Deck WARNING Do not lift the main deck or touch the heater when performing the following step The heater can be suf ficiently hot to cause burns ee CHECK MAIN DECK by pivoting the Air Curtain Cover to the vertical position and checking the Main Deck Retainer the retainer should be positioned as shown in Figure 4 4 Lower the Air Curtain Cover and reinstall lhe Mattress Tray FIGURE 4 5 MATTRESS TRAY OPERATION MAIN DECK RETAINER FIGURE 4 4 MAIN DECK RETAINER 4 CHECK MATTRESS TRAY by sliding it out to the fully extended position as shown in Figure 4 5 Lean on Mattress Tray make sur
34. ircuit and ensures that tne rechargeable battery that powers the circuit is in good condition Depress the POWER switch a second time to silence the alarm B CONNECT THE POWER CORD CAUTION Make sure that the building power source is compatible with the electrical specifications shown on right side of the incubator For proper grounding reliability connect the power cord only to a properly marked 3 wire hospital grade or hospital use receptacle Do not use extension cords C OM THE MODEL C100 set the CONTROL MODE switch to the AIR position D DEPRESS THE POWER SWITCH When on the switch is illuminated When initially turned on the power unit performs 5 second self test all alarm lamps light the audible alarm is pulsed and each temperature display two in C100 one in C200 shows 3 eights 88 8 If any function does not occur the unit requires service IMPORTANT This test should be performed on daily basis The self test tests the lamps dispiays and audible alarms but does not completely simulate a func tional failure 16 E ADJUST THE AIR SET TEMP C THUMBWHEEL SWITCH TO 34 0 All four HEATER lamps should light indicating full heater output NOTE Allow the unit to operate while continuing the a operational checkout CHECK HOOD HINGE AND LATCH OPERATION for proper positioning Using the Hood Lift handle slowly tilt the Hood back until the Hood Latch engages Close ihe Hood by releas
35. ith the hood open 2 2 ASSEMBLY C Secure the Base Assembly to the Cabinet Stand using the clamp on each side of the Cabinet Stand Clamps Instructions for assembling the Incubator are provided may be adjusted by turning the threaded latch into the below body of the clamp A Attach the Guard Hail to the underside of the Base D Install the Hood Assembly on the Base Assembly as Assembly using the 6 bolts and lock nuts supplied see shown in Figure 2 1 Figure 2 1 E Assemble the power cord bracket onto the Base CAUTION Refer to Figure 2 1 for lifting instructions Base Assembly as shown in Figure 2 1 HOOD ASSEMBLY SHOULDER zai CORD BRACKET GUARD LIFT POINTS FRONT REAR SECURING CLAMP CABINET STAND FIGURE 2 1 ASSEMBLY SECTION 3 FUNCTIONAL DESCRIPTION 3 1 GENERAL This section provides a general description of the Incubator 3 2 FUNCTIONAL DESCRIPTION 3 2 1 OVERALL The contro of temperature humidity and oxygen concentration is achieved by means of the forced air circulation system as shown in Figure 3 1 A controlled amount of room air approximately 35 ipm is drawn through the air oxygen intake filter by means of the motor driven impeiler on the controlier Supplemental oxygen which is introduced through the Oxygen Input Valve on the filter cover displaces a porton of room air to maintain the total gas intake including oxygen at 35 Ipm Since the a
36. minutes alarm silence is automatically overridden if another alarm occurs within the period of silence Also functions as alarm reset for air How high temp and probe alarms but only after alarm condition is corrected Provides indication of relative heater output Indicates Air temperature control mode of operation Digital display of Incubator temperature in air or skin temperature control moda Indicates skin temperature control mode Digital display of skin temperature whether in air or skin temperature mode of operation display is blank if patient probe is disconnected Light flashes and a pulsating alarm sounds to indicate fan failure or a short circuited air sensor This alarm 5 not self resetting and cannot be cancelled or reset unti the alarm condition is corrected TABLE 4 1 CONTROLS INDICATORS AND CONNECTORS FRONT PANEL CONT ALARMS CONT Light flashes and a pulsating alarm sounds to indicate a de fective air temperature sxin temperature orauxiliary sensor or an open circuited air flow sensor see IMPORTANT Also actuated if skin temperature probe is disconnected while in Skin Mode This alarm is not self resetting and can not be cancelled or reset until the alarm condition is cor rected IMPORTANT The probe alarm will be actuated within 9 to 18 seconds if the air flow sensor is open and the tempera ture sensed below the mattress deck is greater than app
37. mount of room air is controlled by the impeller filter characteristics and the amount of oxygen is controlled by the flowmeter setting predictable oxygen concentration within the incubator can be attained When oxygen flow exceeds 8 Ipm a valve within the oxygen inlet nousing 15 activated to restrict air intake so that higher oxygen concentrations can be achieved without excessive flow At 12 Ipm maximum air intake restriction 15 achieved In addition to drawing fresh filtered air into the Incubator the impeller provides for the internal recirculation at much greater flow than that of the fresh gas inflow The total flaw of fresh plus recirculated air is directed past the air flow sensor and around the heater with a predeter mined portion being directed over the humidity reservoir or humidification When the Access Panel of the Hood is closed the Air Curtain Cover is closed and all the air enters the infant compartment up through the slot at the right end of the main deck as shown in Figure 3 1 After circulating within the infant compartment the air is then recirculated down through the slot in the left end of tne main deck past the temperature sensing probe which encapsulates the air temperature control thermistor and a high air temperature alarm thermistor and back to the impelier When the Access Panel of the Hood ts open the Air Curtain Cover Is raised permitting a portion of the air to flow upward past the opening
38. n mo mom w ROo4 4 4 9 bo S 97 S om mos moms Roh RON OF mon om s Kod mod BOR ok OR m o om 4 n a mom a s s m as d kb W o d BOO a 3 a Bom m sa Roto ROROR ORO 4 ROM OW mom m o h 4 Bo 4 ot op mom hod 3 FUNCTIONAL DESCRIPTION 3 1 General 3 3 2 Functional Description mom w m h m Rb d d d Nob oS S mom God a dod w d ER OR Rom S oon Go 4 Wok 4 OPERATION 4 1 Operating Controls Indicators and Connectors 4 2 Operation n a boh d wow od EON ROM m EF a Bom EROR mos as s h mo od 4 B OR EROR OS X OR som wom Po 4d ON 4 Wok 9 4 m 3 d ton ot 5 CLEANING AND MAINTENANCE 5 1 General 5 2 Cleaning hehehe hh hehe temet eet ann 5 3 Gas Sterilization 54 Troubleshooting m m a m m m m w 4 BE 9 9 X m m w kb a OROR ROS MO S 4 G3 Wow od T m m h B KR m d B B CR Mom s ou a
39. ohol can cause crazing of the clear Plexiglas Hood Do not use alcohol for cleaning Donotexposethe hood assembly to direct radiation trom germicidal lamps Ultraviolet radiation from these sources can cause cracking of gaskets fading of paint and crazing of the clear Plexiglas Hood di Eis FIGURE 5 6 REMOVAL OF HUMIDITY FILL PIPE ASSEMBLY Model C100 only 2 AIR INTAKE MICROFILTER Do not attempt to clean or reverse ihe microfilter If visibly dirty or older than 3 months it should be replaced Before installing a new filter clean the Microfilter chamber and cover with a disinfectant detergent WARNING A dirty Microfilter may affect oxygen concentration and or cause carbon dioxide buildup Be sure the filter is checked on a routine basis commensurate with local conditions INSTALL THE MAIN DECK AND HOOD SEAT GASKET into the Base Assembly as shown in Figure 5 7 Rotate the Main Deck Retainer Figure 5 4 to secure the deck D INSTALL THE AIR CURTAIN COVER AND MAT TRESS TRAY WARNING The Air Curtain Cover must be properly installed for correct temperature control 5 2 3 REASSEMBLY AFTER CLEANING After cleaning all parts and assemblies as described in paragraph 5 2 2 reassemble as described below A INSTALL THE AIR INTAKE TUBE into the Base Assembly by reversing the procedure shown Figure 5 5 INSERT HUMIDITY CHAMBER BAFFLE into the Humi
40. ored according ta the attending physicians orders or Nursery Standing Orders Air Temperature Control Set the CONTROL MODE Switch to the AIR position and set the AIR SET TEMP C thumbwheel to the prescribed temperature Once stabilized the Incubator temperature will be maintained within 0 5 C af set temp Note the following The number of HEATER 1915 illuminated provides an indication af the amountof heater output required to maintain the Inzubalor air temperature The AIR TEMP Display indicates Incubator Temperature f a Skin Probe is connected to the PATIENT PROBE Receptacle the SKIN TEMP Display will indicate temperature otherwise Iis display will be blank Auxiliary Probe Air Temperature Control if desired the auxiliary probe can used the Air Temperature Control Mode of operation When used this probe automatically takes the place of the primary Air Temperature Probe which is located below the rnain deck Otherwise the unit functions as described under Air Temperature Control Insert the probe end through the hole on the top of the Hood Make sure the probe hangs freely inside the incubator To use the probe insert its plug into the AUXILIARY AIR PROBE receptacle WARNING For proper temperature control the Auxiliary Probe must be directly beneath the hole in the Hood Do not operate the Incubator with the Auxiliary Probe outside the Incubator or other than as recommended Over
41. ot be cancelled by the Alarm SILENCE RESET Button until the alarm condition s corrected a probe alarm oecurs simultaneously with a set temp alarrn a shorted probe is probably the true cause of the alarm since a shorted probe will appear as a high temperature condition SET TEMP ALARM The Set Temp alarm is actuated if skin or air temperature fiuctuates from set temperature as follows Skin Temperature 1 0 0 39 C 10 03 Air Temperature 1 5 0 5 C 30 05 temperature below the set temp is indicated by flashing light pulsating audible tone and a low temperature reading a temperature above the set temp 15 indicated by a flashing light continuous audibie tone and a high temperature reading H aset temp alarm occurs simultaneously with a probe alarm a shorted probe is probably the true cause of the alarm since a shorted probe will appear as a high temperature condition The set temp alarm is self resetting that is if the alarm condilion is corrected the audible alarm is automatically silenced and the light is turned off The audible set temp aiarm can be silenced by depressing the SILENCE RESET button the activation of other audible and visual alarms will not be affected by use ofthe 15 minute audible alarm silence When silenced the alarm lamp will remain on until the alarm condition is corrected lf the alarm condition is not corrected within 15 minutes the audible alarm will be reactivated
42. rated oxygen analyzer at intervals directed by the attending physician The use of the Vapojette Humidifier accessory or other means of external humidification after predicted incubator oxygen concentrations dirty air intake filter may affect oxygen concentrations or cause carbon dioxide buildup Keep matches lighted cigarettes and all other sources of ignition out of the room in which the Incubator is located Textiles ois and other combustibles are easily ignited and burn with great intensity in air enriched with oxygen TABLE OF CONTENTS SECTION PAGE TABLE OF DEFINITIONS AND SYMBOLS 1 GENERAL INFORMATION 1 1 Introduction 1 2 Description ee ee 1 3 Specifications 1 4 Accessories mo m m w B WB os m as Hom o EFE 4d s mo ow 4 W EF Ros SB mo iow o t mon mob oh ROT S a a a s Rok m mom 4 Rok od 7 moa mos woo 4 mom ow mom a mona Po Qd 4 amp moa m os amp s oh m B okROR S m os m s om m h 4 ko OR OR G3 Goa ho d d o 2 INSTALLATION 2 1 Unpacking 2 2 Assembly BOR ROooR OOo OR peu
43. ront panel A temperature sensing probe is attached directly to the infant s skin the information from ihe probe is supplied to the heater control circuitry which proportions the heater output to maintain the skin set temperature The air temperature set temp does not control air temperature while in the skin temperature mode but actual air temperature is still displayed The air temperature probe or a properly installed auxiliary probe stil limits the air temperature to 38 5 C If the Mode Selector Switch is set to the Air Temperature mode while the skin probe remains connected the Skin Temperature display will continue to display actual skin temperature but will not control If the probe is disconnected from its receptacle at any time Skin mode of operation the Skin display blanks and an alarm is activated The backup sensor within the Air Temperature probe remains in the circuit to limit maximum displayed air temperature to between 39 0 and 40 0 C 3 2 3 ALARMS The Incubator is equipped with a system of alarms and temperature protection devices Alarm indications are provided for power failure inadequate air flow probe failure high temperature and variation from set temp Each time the unit is turned on the unit is automatically stepped through an alarm check sequence to verify proper alarm function After the automatic alarm check is made the low set temp alarm is disabled for about 60 minutes or until the temperature reac
44. roxi mately 30 Skin Mode Light flashes to indicate that skin tempera ture is 1 C above or below skin set temp Continuous audible alarm indicates 77 C above pulsating audible alarm indicates 1 C below Air Light flashes to indicate that air tempera ture 1 5 C above or 3 C below set temp Continuous audible alarm indicates above pulsating audible alarm indicates below The set temp alarm is self resetting that is if the alarm con dition is corrected the audible alarm is automatically silenced and the light is turned off The audible set temp alarm can be silenced by depressing the SILENCE RESET button the activation of other audible and visual alarms will not be affected by use of the 15 minute audi ble alarm silence When silenced the alarm lamp will remain on until the alarm condition is corrected If the alarm condi tion is not corrected within 15 minutes the audible alarm will be reactivated HIGH TEMP Light flashes to indicate high Incubator temperature a con tinuous audible tone also sounds This alarm is not self resetting and cannot be cancelled by the Alarm SILENCE RESET Button until the alarm condition is corrected POWER FAIL Lights steady to indicate that primary power to the Incubator has been interrupted a steady audible alarm also sounds This alarm can be deactivated only by restoring primary power or setting the Incubator POWER switch to off Model
45. s access door cuffs mattress covers etc should be removed and discarded as described in the cleaning instructions New disposable elements should be installed after sterilization Helease the Controller latches and slide the unit out about 1 4 The Access Panel may be closed but the Access Doors should be left open The Air Intake Microfilter may be left in place CAUTION Sterilization temperature should not exceed 130 F 54 5 C NOTE Gas sterilization does not eliminate the need for routine replacement of the Air Intake Microfilier Standard Gas sterilization procedures as programmed by automatic equipment such as made by American Steri lizer and Wilmot Castle are satisfactory as these do not normally exceed 130 54 5 C Upon completion of gas sterilization an aeration period of 16 to 24 hours should be allowed The Controller should be properly secured in place and the Incubator should be operated in a dry condition for the entire period of aeration at a temperature of 32 to 35 C After aeration if the unit is not to be used immediately a disposable dust cover should be placed on the ncubator IMPORTANT A complete functional checkout proce dure paragraph 4 2 1 should be performed before returning the unit to service 5 4 TROUBLESHOOTING Troubleshooting for the operator of the Incubator is presented in Table 5 1 If the fault cannot be localized from the chart the unit should be removed from use and
46. t having a typical ambient operating temperature range of 22 to 28 C A guard rail is standard on all units the Model C100 Skin or Air Temperature Control is selected by a front panel control The Model C200 is equipped only for Air Temperature Controi Instru mentation includes digital display for temperature relative indication of heater output and a comprehensive visual and audible alarm system which includes an alarm lest feature 1 3 SPECIFICATIONS Specifications for the incubators are provided in Table 1 1 All specifications are subject to change without notice The use of infant seats head hoods or other accessories within the incubator which can alter tne air flow pattern may affect temperature uniformity tempera ture variability the correlation of the Incubator temperature reading to center mattress temperature and infant skin temperature 1 4 ACCESSORIES Accessories available for use with the Incubators are illustrated in Figure 1 1 Refer to Section 6 of this manual for part numbers TABLE 1 1 SPECIFICATIONS Power Requirements Model C100 2 Chassis Leakage Current Alarms Aur 2 High Temperature Set Temperature SET TEMP Model C100 2E Model 200 1 Model C200 1E
47. t the AIR SET TEMP C thumbwheel to 34 0 C When AIR Display has stabilized the number of HEATER Indicator Lamps illuminated wil typically be reduced to no more than two Check that the digital display remains within 0 5 C of set temp for 15 minutes after stabilization CHECK SKIN TEMPERATURE MODE TION Connect the Patient Probe piug to the PATIENT PROBE Receptacle and set the SKIN SET thumbwheel to 36 07 Set the CONTROL MODE Switch to the SKIN position When the SET TEMP alarm actuates depress the Alarm SILENCE RESET Button 3 3 7 x FIGURE 4 8 FILTER COVER REMOVAL Model C100 only U CHECK SKIN SET TEMP ALARM Allow Incubator Temperature to stabilize at 36 0 C Leave the CONTROL MODE Switch in the SKIN position and set the SKIN SET TEMP C thumbwheel to 37 5 C then to 34 5 C An audible and visual alarm should activate at each setting and cancel when the setting is returned to the display reading CHECK SKIN PROBE ALARM Leave the CONTROL MODE Switch in the SKIN position and discon nect the Patient Probe from the receptacle The audible and visual alarms should activate the SKIN TEMP C digital display should blank and the HEATER Indicator Lamps should all go off When the Skin Probe is reconnected the Incubator should return to normal operation WARNING The Controller heater can be sufficiently hot to cause burns avoid removing t
48. to the solution NOTE necessary a larger container may be used bul if Ihe chamber is not used then the Fill Pipe and Humidity Chamber must be cleaned separalely Allow them to soak as recommended by the cleaning solutons mapufacturer then remove them and dry completely with a clean cloth or paper towel Orain Ihe Chamber scrub it theroughly including all indentations then dry the chamber and Fill Pipe inside and aut with clean cloth or paper towel recessary lo remove the fill pipe for cleaning rotate the Fill Pipe Assembly about 1 4 turn To the left Loosen the thumbscrew thal secures the Fil Pipe Brackel and rotale the brackel 1 4 turn ro the teft Unscrew the Fill Pipe Assembly by rotating counterclockwise as shown m Figure 5 6 Clean Fill Pipe Assembly and the sleeve that becomes louse part when the Fill Pipe Assembly 15 unscrewed CONTROLLER The portions of the Controller external to ihe controlled Incubater environment include the front panel and the top bottom and two sides of the chassis These portions may be wiped clean with a cloth dampened with a disinfectant detergent CAUTION Some chemical cleaning agents may be conductive and or leave a residue which may permit a build up of dust or dirt which may be conductive Do not permit cleaning agents to contact electrical components Do not spray cleaning solutions onto any of these surfaces The portions of the Controller that are within the
49. umbscrews of the Air Intake Filter Cover and remove the cover as shown in Figure 4 8 Inspect the microfilter if visibly dirty it should be replaced Refer to paragraph 5 9 for additional instructions CHECK AIR OXYGEN SYSTEM by introducing care fully measured 8 LPM of oxygen then monitoring levels within hood to verify that they reach the predicted level as indicated on the Filter Cover Assembly CHECK AIR TEMPERATURE MODE OF OPERATION With all access openings closed allow the locubator warm up to the thumbwheel setting 34 0 C it should take approximately one hour or less While the unit is warming up suspend the auxiliary probe through the hole in the top of the Incubator Hood and position the patient probe in the center of the mattress surface do not connect the probe plugs to the receptacles When the AIH TEMP C Display has stabilized the number of HEATER Indicator lamps illuminated will typically be reduced to no more than two Check that the digital display remains within 0 5 C of set temp for 15 minutes after stabilization CHECK AIR SET TEMP ALARM by setting the AIR SET TEMP C thumbwheel first to 32 09 C then to 38 0 C An audibte and visual alarm should activate at each setting after a 9 to 18 second delay and cancel when the setting is returned to the display reading CHECK AUXILIARY PROBE Insert the Auxiliary Probe connector into the AUXILIARY AIR PROBE receptacle Se
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