Infant Incubator ATOM Rabee Incu-I Operation Manual

Equipment for neonatal and premature infants: Incubator
Atom Infant Incubator 102

ORIGINAL
0123
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE OF

MAINTENANCE AND CARE OF THE UNIT:
Read this Manual carefully before operating the unit.
Keep this Manual where it is readily accessible for reference when needed.
This Manual contains description of all the functions available, including
humidity control. Please skip any section unrelated to you unit.
EU OFFICE
Via Libia, 54 - 20081 Abbiategrasso (MI) - Italy
Tel: +39 02 99763101 Fax: +39 02 99763110
INTRODUCTION
This Operation Manual deals with the specifications, operation and maintenance of the Rabee Incu i. Atom is by no
means responsible for any malfunction arising from a user ignoring the instructions for operation and maintenance
described in this Manual as well as any accident attributable to repair by someone other than technical personnel
belonging to or authorized by Atom.
Read this Manual carefully and familiarize yourself with its contents before operating the unit. Keep this Manual
where it is readily accessible for reference when needed. If any technical problem should arise, please contact
your local Atom representative.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before using it for the first time after purchase.
This product maintains the ambient temperature around an infant by drawing in the air outside and
warming it. It doesnt have the capability to cool the air drawn from outside. Be sure to set the incubator
air temperature at least 3C higher than the ambient temperature. In particular, if a phototherapy
unit, a heated humidifier, or some other heat-generating device is used with the incubator, set the
incubator air temperature at least 5C higher than the ambient temperature. If a lower setting is
selected, the incubator may not be controlled correctly.
INTENDED USE
The Rabee Incu i is a closed-type incubator for newborns and premature neonates. It is mainly intended for temperature control in neonatal hypothermia, observation and examination in newborn nurseries, prevention of body
temperature drop shortly after delivery, and pre-operative and post-operative intensive care in neonatal surgery.
This incubator has the capability to control the infants skin temperature.
SAFETY INFORMATION
Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual
carefully before operating the unit. Please follow the instructions in operating it.
Basic Instructions
1. Follow the instructions for the safe use of the unit.
Follow the operating instructions described in this Manual for the safe use of the unit.
2. Inspect the unit on a periodical basis.
Periodical inspection is needed to use the unit in the optimum condition.
3. Never use the unit if it is found to be defective.
If any damage or malfunction of the unit should be noticed, stop using it immediately and contact your local
Atom representative.
4. Follow the EMC information given in this Manual.
Electric equipment for medical use needs special precautions regarding EMC. It needs to be installed and put
into service according to the EMC information provided in this Manual.
Definitions of Warning Indication

Three levels of warning indication are used throughout this Manual and on the unit. They are defined as
follows.
DANGER:
A DANGER notice indicates an immediately hazardous situation which, if not avoided,

will result in death or serious injury, serious damage to property such as total loss of use
of equipment, or fire.
WARNING:
A WARNING notice indicates an indirectly (potentially) hazardous situation which,

if not avoided, will result in death or serious injury, serious damage to property such as
total loss of use of equipment, or fire.
A CAUTION notice indicates a hazardous situation which, if not avoided, can result in
CAUTION: minor or moderate injury, partial damage to equipment, and loss of data stored
in computers.
Definition of Symbols
1. Symbols to indicate danger, warning or caution
Symbol
Title and indication
General attention
Indicates unspecified general danger, warning or caution.
Caution: Hot surface
Indicates that the surface can be dangerously hot under certain conditions.
2. Symbols to prohibit action

Symbol
General prohibition
Indicates unspecified general prohibition.
Prohibition of disassembly
Indicates prohibition of disassembly of the unit where it may cause an electric shock or other
hazards.
Prohibition of use of fire
Indicates prohibition of use of fire where an external use of fire may cause the unit to ignite under
certain conditions.
3. Symbols to give instructions for action
Symbol
General instruction
Indicates unspecified general action on the part of the user.
Connect a ground wire
Instructs the user to connect the ground wire without fail where the unit is provided with a ground
terminal.
Remove the power plug from the power outlet
Instructs the user to remove the power plug from the power outlet in the case of malfunction or
when there is a threat of lightning.
4. Symbols of international standards (IEC)

Symbol
Power on
Indicates in relation to the power switch that the device is connected to the power source.
Power off
Indicates in relation to the power switch that the device is not connected to the power source.
Type BF applied part
Indicates that the device is classified as Type BF in terms of the degree of protection against an
electric shock.
Bell silenced
Indicates either a control switch to silence the bell permanently or temporarily, or that the bell is
silenced.
Fan
Indicates a switch to control the fan.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manufacturer.
Date of manufacture
Indicates the date when the unit was manufactured in the factory.
Authorised representative in the european community
This symbol indicates the name and the address shown adjacent to the symbol is of the authorised
representative in the European Community.
WEEE symbol
In the EC area, an electrical and electronic product falling in one of the categories specified by
DIRECTIVE 2002/96/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 27
January 2003 on Waste Electrical and Electronic Equipment (WEEE) should be disposed of in a
manner consistent with relevant laws and regulations.
This symbol indicates that the above-mentioned requirement applies to this product.
Locked
Indicates a locked condition.
Unlocked
Indicates an unlocked condition.
See Operation Manual
Follow Operation Manual.
5. Other symbols
Symbol
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Incubator air circulation
Indicates the function related to air circulation in the incubator in the incubator mode or that the
incubator is in manual control.
Setting
Indicates set values or the setting procedure.
Skin temperature
Indicates the function related to the infants skin temperature or that the incubator is in servo
control.
Temperature
Indicates, with this symbol alone or with other symbols, a detected temperature or a set temperature alarm.
Low water level
Indicates that the water level in the humidity chamber is low.
No water
Indicates that there is no water in the humidity chamber.
Humidity chamber off
Indicates that the humidity chamber is not attached properly.
Humidity
Indicates the function related to humidity.
Press
Indicates that the lock function will be released when the key with this symbol is pressed.
No humidified oxygen
Indicates that humidified oxygen must not be supplied.
Do not immerse
Indicates that the humidity chamber must not be immersed in water.
WARRANTIES
This equipment is guaranteed by Atom Medical Corporation to be free of any defects in both materials and workmanship for a period of one year from the date of delivery when used normally for its intended purpose. Any parts
of this equipment proving to be defective will be repaired or replaced at no charge during the warranty period. In
the following cases, however, actual expenses need to be paid even during the warranty period.
(1) Wear and tear of expendables
(2) Trouble and damage due to improper handling, such as dropping the unit during transport or transfer
(3) Trouble and damage due to a fire, salt, gas, extraordinary voltage, earthquake, lightning, storm and flood,
or other natural calamities
(4) Travel expenses in the case of a trip to an isolated island, a remote place, etc. for the purpose of repair
Any damage incurred in transit should be reported promptly to Atom accompanied by the certificate of the carrier concerned.
All correspondence concerning the equipment should specify the model name and the serial number.
WARNING
Atom is by no means held responsible for compensation for death, injury or damage to property if such loss
should occur due to any of the following causes.
1.Trouble or damage due to installation, relocation, maintenance or repair by someone other than:
technical personnel employed by Atom
a sales representative of Atom
an installation company authorized by Atom.
2.Trouble or damage to Atom products caused by a product of another company that is not supplied by
Atom.
3.Trouble or damage due to modification, maintenance or repair using a part other than that specified by
Atom.
4.Trouble or damage due to neglecting the operating precautions or operating instructions described in
the Operation Manual of the unit.
5.Trouble or damage due to operation under ambient conditions, including electrical requirements and
installation requirements, other than those described in the Operation Manual.
6. Trouble due to carelessness or improper modification.
7.Trouble or damage due to using a device sold or repaired by a secondhand goods dealer or a repair shop
without notifying Atom. Trouble or damage due to using a device sold or repaired by the above dealer or
shop without following the instructions specified by Atom.
8.Trouble or damage due to using the unit connected to a peripheral device which is not specified by Atom,
which does not meet the applicable requirements of IEC-60601-1 and IEC-60601-1-1, or which is not
equipped with equivalent safety features.
Precautions on Jamming
WARNING
Electric surgical knives, portable and mobile communication equipment, and other devices which
generate high-frequency noise can cause jamming to various kinds of electric equipment for
medical use and thus result in malfunction.
Since portable and mobile communication equipment, etc. are often used in medical facilities,
some measures should be taken to prevent jamming due to such devices.
Portable and mobile communication equipment and other devices which generate high frequency
should not be used near the unit during its operation to prevent malfunction of the unit due to
jamming.
Responsibility for Care of Equipment
It is the user (a hospital, a doctors office, a clinic) that is responsible for the operation, maintenance and care of the electric equipment for medical use. The equipment should be used only by
medical personnel.
Prohibition of Modification
WARNING
Do not disassemble or modify the unit.
Otherwise, a fire, an electric shock or injury may result.
Periodical Inspection
Proper periodical inspection is needed to use the unit in the optimum condition.
In Case of Trouble
If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of
order and contact your local Atom representative or service engineer immediately.
If any abnormal condition or trouble should occur, do not use the unit until it has been repaired
completely by a service engineer so as to prevent possible danger.
INTRODUCTION..................................................... 1
4-4-3. Attaching the Skin

Temperature Probe.................... 34
4-4-4. Setting the Servo
Control Mode.............................. 35
4-4-5. Setting the Skin Temperature
in the Override Mode................ 36
PLEASE READ WITHOUT FAIL

[1]
1-1.
DANGER........................................... 10
1-2.
WARNING......................................... 11
1-3.
CAUTION.......................................... 13
Parts Identification.................................... 15
2-1. Main body.................................................. 15
2-2. Display........................................................ 18
[5]
5-1.
Oxygen Supply........................................... 40
[7]
Other Operation Procedures.................. 42

7-1.
7-2.
7-3.
7-4.
7-5.
Preparation before Use............................ 20

3-1.
[4]
Incubator Air Temperature/Skin

Temperature Control and Placing the
Infant in the Incubator.............................. 25
[8]
Cleaning and Disinfection....................... 45

8-1.
8-2.
8-3.
8-4.
[9]
Hood Assembly......................................... 46
Mattress Platform and Parts Beneath... 48
Humidity Chamber.................................... 50
Others......................................................... 51
Maintenance Inspection.......................... 52
9-1.
9-2.
9-3.
9-4.
9-5.
9-6.
Inspection before Use.............................. 53

Quarterly Inspection................................. 54
Periodical Replacement Parts................ 55
Replacing the Filter................................... 56
Inspection Checklist................................. 57
Disposal..................................................... 58
[10] Alarms.......................................................... 59
[11] Troubleshooting......................................... 62
4-1.
APPENDIX
[12] Technical Information............................... 63
12-1. Technical Data........................................... 63
12-2. EMC Level and Classification................. 65
APPENDIX
Setting the Incubator Air Temperature

(Manual Control)...................................... 25
4-1-1. Displaying and Setting the
Incubator Air Temperature
(Manual Control)........................ 26
4-1-2. Setting the Incubator Air Temperature
in the Override Mode.................... 27
4-2. Placing the Infant in the Incubator......... 28
4-3. Skin Temperature Monitoring.................. 30
4-3-1. Skin temperature monitoring.... 30
4-4. Setting the Skin Temperature
(Servo Control)......................................... 32
4-4-1. Preparation................................. 33
4-4-2. Placing the Infant in the
Incubator..................................... 33
MAINTENANCE
MAINTENANCE
OPERATION
Setting the Alarm Volume........................ 42

Drawing out the Mattress Platform......... 42
Tilting the Mattress Platform................... 43
X-ray Cassette Tray................................... 43
Letting Cords and Tubes into or
out of the Incubator................................. 44
OPERATION
3-2.
3-3.
3-4.
3-5.
3-6.
3-7.
3-8.
Assembly.................................................... 20
3-1-1. Attaching the Display to
the Hood..................................... 20
3-1-2. Connecting the Display to
the Incubator.............................. 20
3-1-3. Attaching the Filter..................... 21
Where to Install the Incubator................. 21
Locking the Casters.................................. 22
Power Outlet and Grounding.................. 22
Power Cord and Power Switch............... 23
Adjusting the Hi-Low Stand..................... 23
Power Failure Alarm................................. 24
Daily Inspection......................................... 24
Setting the Relative Humidity.................. 37
[6]
PREPARATION
[3]
Humidity Control....................................... 37
PREPARATION
[2]
Operating Precautions............................. 10
CONTENTS
Operating Precautions
[1] Operating Precautions

Please follow the operating instructions described in this Manual for the safe use of the unit. The unit should
be operated only by those who have been trained and instructed properly in its operation. The unit should be
operated only for its intended use.
1-1.
DANGER
Death or serious injury, damage to equipment or fire will result if the instructions given below are not followed.
Only those who have been trained properly should operate the unit.
Be sure to keep the admittance panels and the access ports closed when the unit is in use.
Using the unit with an admittance panel or an access port left open may cause the infant to fall out of
the baby compartment. Be sure to close the admittance panels and the access ports when performing
phototherapy on an infant inside the incubator.
Monitor the infants skin temperature when operating the unit.
If the incubator air temperature should rise during phototherapy, proceed with the phototherapy after placing the infant in a cot or an open-type incubator (an infant warmer), as
directed by the doctor.
Since a mature infant emits much heat, the incubator air temperature may rise if you place the infant in
the incubator and perform phototherapy. The incubator air temperature may also rise if you use multiple
phototherapy units at the same time or if the room temperature is high. In such a case, proceed with
the phototherapy after placing the infant in a cot or an open-type incubator, as directed by the doctor.
Take sufficient care when using a cot, as it becomes difficult to observe the infant. Alternatively, placing
an ice bag inside the incubator has the effect of decreasing the incubator air temperature. However,
be sure to close the admittance panels and the access ports in this case also.
Do not leave the unit unattended when an admittance panel or an access port is open.
If an admittance panel or an access port is left open, the infant may fall out of the baby compartment
and get fatally injured. Never leave the unit unattended when an admittance panel or an access port
is open.
Stop using the unit immediately and seek repair if an admittance panel, a snap-open access
port or a press lever should be found loose or faulty in any way.
The infant may fall out of the baby compartment.
Never place a body warmer or any other possible ignition source in or near the unit.
Use of oxygen will increase the risk of explosion or fire. Body warmers or other devices in which fire
is used or which will generate a spark may cause an explosion or a fire if used near the unit.
Do not use the unit in the presence of a flammable anesthetic gas.
The unit may cause an explosion or a fire if used in the presence of such a gas.
10
Ground the unit securely.

Otherwise, a leakage current may cause an electric shock. In order to complete the ground connection,
connect the power cord only to a properly grounded 3P power outlet including a ground terminal. Do
not operate the unit if you have any doubt about its ground connection.
Do not use ether, alcohol or any other ignitable substance.

Even a small amount of ether, alcohol or any other ignitable substance may cause a fire when mixed
with the oxygen in the incubator.
Do not use a device generating high frequency near the unit.

To prevent malfunction of the unit due to jamming, do not use electric surgical knives, portable and
mobile communication equipment and other devices which generate high frequency near the unit
during its operation.
Analyze arterial gas levels repeatedly when a high oxygen environment is required.
When the infant requires a high oxygen environment, it is extremely important and essential to periodically analyze arterial gas levels in order to maintain the desired oxygen concentration in the incubator.
Follow the doctors instructions in measuring the oxygen concentration because ignoring essential
requirements may increase the risk of retinopathy of prematurity and other adverse effects.
Do not give a shock to the unit or let it hit anything.
The screws or fixed parts may become loose.
1-2.
WARNING
Death or serious injury due to a fire or an electric shock will result if the instructions given below are not followed.
Be sure to follow the doctors instructions in setting the incubator air temperature or the
infants skin temperature.
Be sure to follow the doctors instructions in setting the relative humidity in the incubator.
Be sure to follow the doctors instructions in supplying oxygen.
Use only oxygen for medical use.
Be sure to bear in mind the following precautions during oxygen supply.
Do not place a body warmer, a flashlight, oils and fats, or flammable vaporizable matters in the
incubator.
Use pure cotton for the infants clothing, bed sheets, etc. Do not use any material that is easily
charged with static electricity.
Use pure cotton or fire-proof materials for the clothing of doctors, nurses and ambulance staff who
handle this unit.
11
Bear in mind the following precautions while using oxygen supply equipment.
If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent
spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator,
the oxygen cylinder valve, piping, connections and other parts of oxygen supply equipment.
On a high-pressure oxygen cylinder, use only a tested pressure reducing valve or pressure regulating valve indicated specifically for oxygen supply. Do not use such a valve for any gas other than air
or oxygen. It is dangerous to use a valve to supply a gas other than air or oxygen and then to supply
oxygen again.
Smoking is prohibited in the room where the unit is installed.
Do not place any possible ignition sources in the room.
Avoid damaging the power cord.
A damaged power cord may cause a fire or an electric shock.
Do not get the power cord caught between the unit and the wall, a shelf or the floor.
Do not place the power cord near a heating apparatus or heat it.
Do not put anything heavy on the power cord.
Always grasp the power plug with your hand to remove the power cord from the power outlet. A
damaged power cord should be replaced immediately with a new one.
Use only the power cord supplied with the unit.
Otherwise, a fire or an electric shock may result.
Before cleaning and disinfecting the unit, be sure to turn the power switch off, remove the
power plug, and allow the incubator air temperature and the heater temperature to drop sufficiently.
Do not touch the power plug with a wet hand.
Touching the power plug with a wet hand may cause an electric shock.
Do not touch the heaters during use or shortly after use.
The heaters are so hot during use and shortly after use that you may get burned. Allow the heaters to
cool down sufficiently before touching them.
Do not disassemble or modify the unit.
Disassembling or modifying the unit may cause a fire, an electric shock or injury.
Do not install the unit where it will be exposed to excessive humidity, dust or steam.
Installing the unit in such a place may cause a fire or an electric shock.
The power outlet should be located near the unit to prevent accidental contact with a trailing
power cord. Use a separate power outlet for each unit.
Do not put many loads on one power outlet.
In order to complete the ground connection, connect the power cord only to a properly
grounded 3P power outlet including a ground terminal.
Do not operate the unit if you have any doubt about its ground connection.
12
The electrical rating of this unit is as follows:

AC230V; power consumption 600VA (Hi-Low stand: 120VA); frequency 50/60Hz; operating voltage
range AC230V10%
Do not connect the unit to any other power source.
The unit should be serviced only by qualified personnel.
Ground peripheral electric equipment securely.
Be sure to inspect the unit at the start of each day.

Operating the unit without inspecting it at the start of each day may let a defect pass unnoticed and
cause a potentially unfavorable outcome.
The doctor is responsible for making a decision on transporting a premature infant. Watch
the infant continuously during transport.
Transporting a premature infant is associated with a risk of such damage as intracerebral hemorrhage
due to jolting during transport.
Check for conformity to the applicable standard if the unit is going to be connected to another
medical device for use as a system.
Accessory equipment connected to the analogue and digital interfaces must comply with the relevant
IEC standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations should
comply with IEC 60601-1. But the items that are not specified as part of the system should not be connected. Anybody who connects additional equipment to the signal input or signal output configures
a medical system, and therefore should make the medical system comply with the requirements of
60601-1 on his or her own responsibility. If in doubt, consult your local Atom representative.
1-3.
CAUTION
Injury or damage to surrounding objects may result if the instructions given below are not followed.
Be sure to clean and disinfect the unit before using it for the first time after purchase.
The unit is shipped without being disinfected.
During standby, be sure to always preheat the unit in order to keep the incubator air temperature stable.
Place the infant in the incubator only after the incubator air temperature has stabilized.
When feeding the cords and tubes into the unit, be very careful not to let them wind or tighten
around the patient.
Do not twist or pull the cords by force.
If any defect should be found, ask an expert for repair without attempting to repair it yourself.
13
Remove the power plug from the power outlet before moving the unit to another place or
when the unit is not going to be used for a long time.
Moving the unit to another place with the power plug connected to the power outlet will damage the
power cord and may cause a fire or an electric shock.
Remove the power plug from the power outlet before cleaning and disinfecting the unit.
Cleaning and disinfecting the unit with the power plug connected to the power outlet may cause an
electric shock.
Install the unit on a stable surface.
Installing the unit on an unstable platform or a tilted surface will cause it to fall or drop and may injure
someone. Therefore, before installing the unit, make sure that the place where the unit is to be installed
is stable and strong enough to support the weight of the unit.
Install the unit out of reach of small children.
When performing phototherapy on the infant in the incubator, pay special attention to the
infants skin temperature and the incubator air temperature during the treatment.
The infants skin temperature and the incubator air temperature may rise due to the radiant heat
generated by the phototherapy unit.
Do not install the unit in direct sunlight or near a heating apparatus.
Do not expose the unit to extraordinarily high temperature or excessive humidity.
Do not place anything heavy on the unit.
Do not press strongly or rub the operation panel of the display.
Pressing it strongly or rubbing it may damage the display or cause it to malfunction.
Be careful not to let any medical fluid adhere to the display.
Do not attach any peripheral device that is not specified by Atom to the incubator.
Check the operation of the peripheral devices.
If a device transmitting or receiving weak signals is installed near the unit, it may be affected by the
electromagnetic waves generated by the latter. Check the operation of the peripheral devices for
any effect before using the unit in clinical settings. Stop using the unit immediately if any trouble is
detected.
When relocating the unit, watch your step so that you do not have your feet run over by a
caster.
Do not put your hand on an admittance panel when transporting the unit.
Pressing an admittance panel strongly may break it. At least two people are required to transport the
unit by holding the main body or its handles.
Watch out for any obstacles during transport.
If a peripheral device is attached to the main body, the unit may hit surrounding objects and get damaged or broken.
When taking radiographs with the supplied X-ray cassette tray, read the instruction manuals
for the radiation device, and make sure that necessary protection measures are taken.
14
Parts Identification
2-1. Main body

<Fixed-height stand type unit>
<Hi-Low stand type unit>
[2] Parts Identification
No.
Name
Display
Iris access port
Sensor module
Admittance panel operating lever
Snap-open access port
Admittance panel
Mattress platform tilting knob
No.
Name
Caster
Humidity chamber cover
Mattress
Tube introduction slit packing
Admittance panel operating knob
Foot switch
15
Rear
No.
16
Name
Skin temperature probe connecting port
Connector for sensor module
Power switch
Filter cover
Oxygen supply port
Connector for the display
AC inlet
Inside

No.

Name
Mattress platform
X-ray cassette tray
Mattress platform tray
Middle board
Fan cover
Heater
Fan
Baby guard
17
2-2. Display
~
(from the left)
~
(from the left)

No.
Name
Alarm silence indicator
18
Skin temperature probe

alarm indicator
Set temperature alarm

indicator
High temperature alarm

indicator
Fan alarm indicator
System failure alarm

indicator
Power failure alarm

indicator
Mains on indicator
Function
Comes on when an audible alarm is silenced.
(1) Flashes when the wiring of the skin temperature probe has snapped or
short-circuited.
(2) Flashes when the skin temperature probe is not connected in the servo
control mode.
(1) In the servo control mode:
Comes on when a detected skin temperature deviates from the set temperature by 1C or more.
(2) In the manual control mode:
Comes on when a detected incubator air temperature deviates from the
set temperature by 3C or more.
Flashes when a detected incubator air temperature deviates from the set
temperature by 1C or more.
(1) In the servo control mode or in the manual control mode with the override mode function on: 40C
(2) In the manual control mode with the override function off: 38C
Flashes when the fan, the fan cover or the middle board is not attached
properly.
Flashes when the fan rotates at a lower rate than specified or when the filter
cover is left open.
Flashes when an internal error is detected (only with a normal CPU).
Flashes when the power supply is interrupted due to power failure, a disconnected power plug, a broken power cord, a tripped breaker or some other
cause, or when some internal error (a defective CPU or a defective control
board) is detected.
Comes on when the power cord is connected to the supply mains and the
mains power switch is turned on.
Name
Function
Displays a skin temperature detected by the skin temperature probe in the
following range:
30.0~42.0C, Hi (>42.0C), Lo (<30.0C)
Displays a set temperature in the following range.
In the manual control mode: 23.0~39.0C (in 0.1C increments)
In the servo control mode: 34.0~38.0C (in 0.1C increments)
Displays a detected incubator air temperature in the range of 20.1~42.0C.
Hi will be displayed if a detected incubator air temperature is above 42.0C
and Lo will be displayed if it is below 20.0C.
The indicator will flash when the sensor module is not placed in the proper
place.
Flashes when the skin temperature is being set.
Comes on when the incubator operates in the servo control mode.
Flashes during the override mode setting procedure in the servo control
mode.
Comes on when the set temperature is above 37.5C after the procedure is
completed.
Flashes during the override mode setting procedure in the manual control
mode.
Comes on when the set temperature is above 37C after the procedure is
completed.
Flashes when the incubator air temperature is being set.
Comes on when the incubator operates in the manual control mode.
Indicates the heater output in the range of 0~100% with a 10 level LED bar
graph. Any fraction less than 10% will be rounded up.
Skin temperature display
Set temperature display
Incubator air temperature

display
Mode indicator
(servo control)
Mode indicator
(servo control: override)
Mode indicator
(manual control: override)
Mode indicator
(manual control)
Heater output indicator
Humidity chamber off

alarm indicator
Comes on when the humidity chamber is not positioned properly.
No water alarm indicator
Flashes when no water is left in the humidity chamber with the humidity
control on.
Comes on when no water is left in the humidity chamber with the humidity
control off.
Low water level alarm

indicator
Comes on when the water level in the humidity chamber has become low.
Relative humidity display

No.
Displays a detected relative humidity in the incubator in the range of

15~99%Rh.
Lo will be displayed if a detected relative humidity is below 15%Rh.
Set relative humidity
Displays a set relative humidity in the incubator in the range of 40~95%Rh.
display
oF will be displayed if the humidity control is off.
Relative humidity selector Press and hold this switch for one second to change a set relative humidswitch
ity.
Press this switch when setting the skin temperature or the incubator air
Override switch
temperature to extend the upper limit of the setting range to 38C or 39C
respectively.
Servo control mode
Press and hold this switch for one second to change a set skin temperature
changeover/selector switch or to switch from the manual control mode to the servo control mode.
Press and hold this switch for one second to change a set incubator air
Manual control mode
temperature or to switch from the servo control mode to the manual control
changeover/selector switch
mode.
Press this switch to lower a set incubator air temperature, a set skin temSetting down switch
perature or a set relative humidity. Press and hold this switch to lower a
setting continuously.
Press this switch to raise a set incubator air temperature, a set skin temperaSetting up switch
ture or a set relative humidity. Press and hold this switch to raise a setting
continuously.
Alarm silence switch
Press this switch to silence the audible alarm in an alarm condition.
19
Preparation before Use
[3] Preparation before Use

3-1. Assembly
3-1-1.
Attaching the Display to the Hood
(1) Wipe clean both the hood surface where the display is to be attached and the sucking disk of the
display.
Display
(2) Attach the sucking disk of the display straight onto

the hood surface.
Push down the hook lever on the sucking disk and
fix the display to the hood.
(3) Check that the display is fixed securely to the
hood.
To release
CAUTION
When fixing the display, be careful not to apply
excessive force to the cable, twist the cable or
get it caught.
When fixing the display to the hood, make sure
that the hood surface and the sucking disk are
dry.
The sucking disk provided with the unit is intended
to be attached to the top surface of the hood. Never
attach it to any other surface.
3-1-2.
To fix
Sucking disk
Connecting the Display to the Incubator
(1) Connect the display to the incubator.

Insert the connector of the display connecting
cable into the connector for the main body on
the rear of the display. After insertion, tighten the
two screws on the connector with a screwdriver.
Then pull the cable lightly to make sure that the
connector doesnt come off.
Insert the connector on the other end of the cable
into the connector for the display on the main
body of the incubator. After insertion, tighten the
two screws on the connector with a screwdriver.
Then pull the cable lightly to make sure that the
connector doesnt come off.
CAUTION
When inserting or removing the connector, be
careful not to pull the cable by force or twist it.
20
Connector for the main body
Connector
Screw
Connector for the display
Connector
(2) Pass the cable through the holder hooks.

Pass the display connecting cable through the three
holder hooks attached to the hood.
Holder hook
PREPARATION
Holder hook
(3) Adjust the angle of the display.

The angle of the display is adjustable vertically and
horizontally.
CAUTION
When adjusting the angle of the display, be careful
not to let it hit the hood of the incubator or some
other medical device nearby.
When attaching the display or inserting the connector, be careful not to pull the cable by force,
twist the cable or get it caught.
3-1-3.
Attaching the Filter
See 9-4. Replacing the Filter.
3-2. Where to Install the Incubator

Install the incubator on a horizontal surface in a convenient location. Avoid installing it near a heating apparatus,
by the window, or where fire is used. Place the incubator where no medical fluid will touch the display. These
may damage the incubator or cause a fire.
CAUTION
Avoid installing the incubator in direct sunlight, near a stove or a radiator, in the direct airflow of an
air conditioner, or by a cold window so that it may not be affected directly by such external thermal
conditions.
21
3-3. Locking the Casters

(1) Install the incubator in a desired place and lock the
casters.
(2) To lock a caster, lower the stopper on the caster to
the locking position.
To lock
Stopper
(3) To unlock a caster, raise the stopper.

To unlock
CAUTION
Install the incubator on a horizontal and stable
floor. Step on the stoppers to lock the casters
securely. To move the incubator to another place,
be sure to unlock the casters.
3-4. Power Outlet and Grounding

WARNING
The power outlet should be located near the unit to prevent accidental contact with a trailing power
cord. Use a separate power outlet for each unit.
Do not put many loads on one power outlet.
In order to complete the ground connection, connect the power cord only to a properly grounded
3P power outlet.
Do not operate the unit if you have any doubt about its ground connection.
Ground peripheral electric equipment securely.
The electrical rating of this unit is as follows:
AC230V; power consumption 600VA (Hi-Low stand:120VA); frequency 50/60Hz; operating voltage
range AC230V10%
Do not connect the unit to any other power source.
The unit should be serviced only by qualified personnel.
22
3-5. Power Cord and Power Switch

(1) Connect the power cord to the AC inlet on the rear
of the main body of the incubator. Then connect the
power plug on the other end of the power cord to
the power outlet.
(2) Turn the power switch on.
Power switch
AC inlet
Even if the power is turned off or the power supply should be interrupted due to power failure, disconnection of
the power plug or some other cause, the preselected settings and the items to be displayed will be retained in
the memory. When the power supply is resumed, the last selected settings and display items will be displayed
and become functional.
PREPARATION
Memory function
3-6. Adjusting the Hi-Low Stand

(1) The height of the Hi-Low stand can be adjusted if necessary by stepping on an appropriate side of the foot
switch. To operate the foot switch, connect the power
plug of the Hi-Low stand to the power outlet.
Foot switch
(2) To raise the HL stand, step continuously on the right

side ( ) of the foot switch until a desired height is
achieved. To lower it, step continuously on the left
side ( ) of the foot switch until a desired height is
achieved.
CAUTION
The operation of the foot switch should be limited
to three minutes per hour. Continuous operation
of the foot switch should be limited to one minute.
Wait at least 20 minutes before operating the foot
switch again.
When adjusting the height of the Hi-Low stand,
pay attention to surrounding objects. You may
inure yourself if your hands or feet are hit or get
caught. A peripheral device may get in the way
and be broken if it comes into contact with surrounding objects.
Install the main body and the peripheral devices
in such a way that the cords do not become tense
when the Hi-Low stand is raised.
23
3-7.
Power Failure Alarm

CAUTION
If a power failure alarm does not sound when the power switch is turned on with the power cord
disconnected after recharging, contact your local Atom representative.
The unit contains a battery for generating a power failure alarm when the power supply has stopped. The battery needs charging in any of the following cases:
immediately after purchasing the unit
after the activation of a power failure alarm
when the unit has not been in use for a long time
if no alarm or only a feeble alarm is heard when a power failure alarm is activated by turning the power
switch on with the power cord disconnected
The battery is charged automatically when the unit is connected to the supply mains.
It takes about 50 hours for a completely discharged battery to be fully recharged.
3-8. Daily Inspection

Before using the unit, check it carefully for any faults, contamination, missing parts or defective parts to make
sure that it can be operated safely.
DANGER
Always check the admittance panel operating knobs and the snap-open access ports for proper
operation. If an admittance panel or a snap-open access port should not close securely, do not
place the infant in the incubator and seek repair.
WARNING
Be sure to inspect the unit before at the start of each day. Operating the unit without inspecting it at the
start of each day may let a defect pass unnoticed and cause a potentially unfavorable outcome.
24
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
[4] Incubator Air Temperature/Skin Temperature Control

and Placing the Infant in the Incubator
Two modes of incubator air temperature control are available in using the incubator: the manual control mode
and the servo control mode.
In the manual control mode, the heater output is controlled to achieve a preselected incubator air temperature;
in the servo control mode, a skin temperature probe is attached to the infant and the heater output is controlled
to maintain the infants skin temperature at a preselected level.
4-1. Setting the Incubator Air Temperature (Manual Control)

Practice and master the operation procedure before placing the infant in the incubator, and conduct temperature
tests with the unit empty to check that it operates normally.
DANGER
Do not place anything weighing 7kg or more (including the infant) on the mattress platform.
Do not apply more force than is necessary to the mattress platform.
Be sure to follow the doctors instructions in setting the incubator air temperature.
OPERATION
WARNING
CAUTION
Practice and master the operation procedure before placing the infant in the incubator, and conduct
temperature tests with the incubator empty to check that the incubator operates normally.
While the infant is in the incubator, check the heater output, the relative humidity, the incubator air
temperature and the oxygen concentration, etc. continuously to make sure that the incubator is
operating correctly.
Be sure to cover the mattress with an appropriate mattress sheet. The mattress is not breathable
and may cause a bedsore.
Check that the air inlets and outlets are not blocked with obstructions such as a diaper or gauze.
If they are blocked, the temperature and the relative humidity in the incubator cannot be controlled
correctly, which causes a danger to the infant in the incubator.
Do not cover the sensor module with a cloth. Otherwise, accurate temperature and relative humidity
readings may not be obtained.
25
4-1-1.
Displaying and Setting the Incubator Air Temperature (Manual Control)
(1) When the incubator starts operating, an appropriate

mode indicator (
in manual control or
in servo
control) comes on and, at the same time, the incubator
air temperature and the set temperature are displayed.
The incubator air temperature is displayed in the
range of 20.0~42.0C in 0.1C increments. Lo will
be displayed if it is 19.9C or lower; Hi will be
displayed if it is 42.1C or higher.
The temperature can be set in the range of
23.0~37.0C in 0.1C increments. If the range of
37.1~39.0C is desired, select the override mode
(see 4-1-2. Setting the Incubator Air Temperature
in the Override Mode).
CAUTION
Set the temperature at least 3C higher than the
ambient temperature. In particular, if a phototherapy unit, a heated humidifier or some other
heat-generating device is used with the incubator,
set the temperature at least 5C higher than the
ambient temperature.
If a lower setting is selected, the incubator cannot
be controlled correctly.
(2) To change the set temperature, press and hold

for one second. A pip will be heard and
indicator will flash.
or
) to
(3) Press an appropriate setting switch (
change the set temperature to a desired level in the
range of 23.0~37.0C in 0.1C increments.
(4) If no key is operated within three seconds,
indicator will stop flashing and remain on and the
incubator will return to its normal operation.
(5) Allow about 50~60 minutes for the incubator air

temperature to stabilize (depending on the ambient temperature). The incubator air temperature
is regarded as stabilized when the incubator air
temperature reading is equal or close to the set
temperature.
WARNING
Be sure to follow the doctors instructions in setting
the incubator air temperature.
26
Heater output indicator

The heater output indicator indicates the amount of heat
supply required to maintain the incubator air temperature
at a desired level. As the incubator air temperature rises
toward the set temperature, the heat supply decreases,
and with it the output level shown on the heater output
indicator also decreases gradually from MAX.
When the incubator air temperature has reached the
set temperature, the reading on the indicator remains
within the balanced heat supply range. Thus the heater
output indicator helps monitor the changes in incubator
air temperature control.
4-1-2.
Setting the Incubator Air Temperature in the Override Mode
The incubator air temperature can be set above 37.0C in the range of 37.1~39.0C by using the override function.
(1) Press and hold
heard and
for one second. A pip will be

OPERATION
(2) When
is pressed while
indicator is flashing,
the >37C indicator will flash and the incubator air
temperature can be set in the range of 23.0~39.0C
in 0.1C increments.
indi(3) If the set temperature is above 37C when
cator stops flashing and remains on, the >37C indicator also will stop flashing and remain on. On the
other hand, if the set temperature is 37C or lower
at that time, the >37C indicator will go out.
27
4-2. Placing the Infant in the Incubator

(1) Turn the admittance panel operating knobs to
the open side. Push down the admittance panel
operating lever and then pull open the admittance
panel gently.
Open
Open
Close
(2) Place the infant on the center of the mattress.

(3) After placing the infant, close the admittance panel
and turn the admittance panel operating knobs to the
close side in order to close the panel securely.
Admittance panel
operating knob
Close
Right side
Left side
(4) A gentle touch of the elbow on the press lever will

open a snap-open access port through spring action.
To close the port, push the port door until it closes
completely.
(5) Make sure that the red marking on the snap-open
access port is not visible after it is closed. If the red
marking is visible, close the access port completely
again.
DANGER
Always check the admittance panel operating
knobs and the press levers of the snap-open access ports for proper operation. If an admittance
panel or a snap-open access port should not close
securely, do not place the infant in the incubator
and seek repair.
Do not open an admittance panel or an access
port in order to lower the incubator air temperature.
This can be dangerous because the heater output
will increase automatically to maintain the incubator air temperature. This may also cause the infant
to fall out of the baby compartment.
After the infant is placed in the incubator, check
again that the admittance panels and the access
ports are all closed securely.
For the infants safety, never leave the incubator
unattended when an admittance panel or an access port is open.
When opening or closing an admittance panel, be
careful not to get the infant caught.
Make sure that the snap-open access port packings are attached properly. Otherwise, the access
ports may not function properly.
28
Open
Push down
Admittance panel
operating lever
Press lever
Red marking
CAUTION
Place the infant in the incubator only after the
incubator air temperature has stabilized.
Opening an admittance panel or an access port,
using a sheet to cover the infant or using an oxygen headbox, etc. in the incubator will change
the air circulation pattern in the incubator. This
may affect the thermal uniformity and change, the
detection and control of the incubator air temperature, and the infants skin temperature.
Do not place anything weighing 7kg or more (including the infant) on the mattress platform.
Do not place any cords or tubes within the moving
area of the admittance panels.
OPERATION
29
4-3. Skin Temperature Monitoring

To monitor the skin temperature of the infant placed in the incubator, it is necessary to attach a skin temperature
probe to the infant. The skin temperature probe is connected to the rear of the main body. The temperature
detected by the skin temperature probe connected to the skin temperature probe connecting port is displayed
in a large size on the skin temperature display. In the servo control mode, the skin temperature probe connected
to the skin temperature probe connecting port will serve as a skin temperature probe for servo control.
4-3-1.
Skin temperature monitoring
(1) Insert the cable plug of the yellow skin temperature

probe firmly into the skin temperature probe connecting port on the rear of the main body.
(2) Let the cable and the heat-sensing portion of the

skin temperature probe into the incubator through
the tube introduction slit packing.

connecting port
(3) Before attaching the skin temperature probe to the

infant, clean the site of attachment with alcohol or
lukewarm water to get rid of any fetal fat or dirt.
Tube introduction
slit packing
Cover Baby
WARNING
Do not place the skin temperature probe under
the infant.
Do not use it as a rectal probe.
Heat-sensing
surface
Resin
Metal
Skin
CAUTION
Follow the doctors instructions as to the site of
attachment of the skin temperature probe when
the infant is in a prone position.
Use only the skin temperature probe specified
by Atom.
(4) Attach the yellow skin temperature probe to a site

between the navel and the xiphoid process on the
infants abdominal median line with the Cover
Baby. The heat-sensing surface should touch the
skin. Affix a piece of tape at a slight distance from
the tip of the probe and fix the probe securely to
the skin.
Cover Baby
Tape
30
Skin temperature
probe
To connect a disposable skin temperature probe (option)

When you use a disposable skin temperature probe (option), insert the plug of the disposable skin temperature
probe connecting cable firmly into the skin temperature
probe connecting port and insert the connector of the
disposable skin temperature probe into the connector
on the other end of the connecting cable, as shown in the
figure on the right.
The temperature detected by the skin temperature probe
is displayed on the skin temperature display.
Disposable skin temperature probe (yellow)

Rear of the main body
[Skin temperature probe
connecting port]
Disposable skin temperature
probe connecting cable (yellow)
Disposable skin temperature probe (yellow)
To the patient
(5) The temperature detected by the skin temperature

probe will be displayed on the skin temperature
display.
CAUTION
If the heat-sensing surface of the skin temperature probe is attached improperly to the infant,
or if it should be dislodged accidentally from the
infant, the skin temperature cannot be detected
accurately. In servo control operation, in particular, improper attachment of the skin temperature
probe may cause excessive heating. Be very
careful when attaching the skin temperature probe
to the infant.
OPERATION
(6) Allow 4~5 minutes after connecting the skin temperature probe for the temperature reading to stabilize
and then start temperature monitoring with the skin
temperature probe.
The skin temperature is displayed in the range of
30.0~42.0C in 0.1C increments. Lo will be displayed if it is below 30.0C; Hi will be displayed if
it is above 42.0C.
31
4-4. Setting the Skin Temperature (Servo Control)

CAUTION
Practice and master the operation procedure before placing the infant in the incubator, and conduct
temperature tests with the incubator empty to check that the incubator operates normally.
While the infant is in the incubator, check the heater output, the incubator air temperature, the relative humidity and the oxygen concentration, etc. continuously to make sure that the infant is not
disturbed.
Monitor the infants core temperature separately during servo control operation.
To prevent a bedsore, change the infants position frequently.
In the servo control mode, the incubator air temperature is controlled by giving priority to the maintenance of
the infants skin temperature. It detects the infants skin temperature with a skin temperature probe attached
to the infants abdomen and maintains the optimum thermal environment through feedback control. In the
servo control mode, the incubator air temperature is controlled automatically to maintain the infants skin
temperature at a constant level (i.e. the set temperature); if the infants skin temperature is lower than the set
temperature, the incubator air temperature will rise, while if the infants skin temperature is higher than the
set temperature, the incubator air temperature will fall.
Mechanism to prevent low incubator air temperature

The incubator is provided with a mechanism to prevent the incubator air temperature from falling unnecessarily due to the infants fever, etc.
If the infants skin temperature should exceed the set temperature by not more than 0.5C, the incubator air
temperature will not fall below the infants skin temperature by more than 5C. Even if the infants skin temperature should exceed the set temperature by more than 0.5C, the incubator air temperature will not fall
below 25C. Thus, during the servo control mode, the incubator air temperature is controlled in the range of
25~38C.
Example: I f the infants skin temperature should rise to 36.8C with the set temperature at 36.5C, the incubator
air temperature will not fall below the infants skin temperature by more than 5C, so that it will not
fall below 31.8C. Even if the infants skin temperature should rise to 37.2C and thus exceed the set
temperature by more than 0.5C, the incubator air temperature will not fall below 25C.
32
4-4-1.
Preparation
(1) After turning the power on, check that either

indicator or
indicator is on.
If
indicator is on, press and hold
for one
second. A pip will be heard and
indicator will
go out. Then
indicator will flash and the incubator will enter the manual control mode.
(2) Follow the procedure described in 4-1. Setting the
Incubator Air Temperature (Manual Control) to set
the incubator air temperature for manual control.
CAUTION
Before starting servo control operation, have the
4-4-2. Placing the Infant in the Incubator
OPERATION
incubator air temperature stabilized in manual

control first, and then start servo control.
Check the infants condition continuously during
servo control operation.
In servo control, bear in mind that the skin temperature probe may cool down due to the infants
perspiration, so that the heater may start overheating.
Allow about 50~60 minutes for the incubator air temperature to stabilize in the manual control mode. After it
has stabilized, place the infant in the incubator by referring to 4-2. Placing the Infant in the Incubator.
33
4-4-3. Attaching the Skin Temperature Probe

(1) Insert the cable plug of the yellow skin temperature
probe firmly into the skin temperature probe connecting port on the rear of the main body.
(2) Let the cable and the heat-sensing portion of the

skin temperature probe into the incubator through
the tube introduction slit packing.

connecting port
(3) Before attaching the skin temperature probe to the

infant, clean the site of attachment with alcohol or
lukewarm water to get rid of any fetal fat or dirt.
WARNING
Do not place the skin temperature probe under
the infant. Do not use it as a rectal probe.
Tube introduction
slit packing
Cover Baby
Heat-sensing
surface
Resin
Metal
Skin
CAUTION
Follow the doctors instructions as to the site of
attachment of the skin temperature probe when
the infant is in a prone position.
(4) Attach the yellow skin temperature probe to a site between the navel and the xiphoid process on the infants
abdominal median line with the Cover Baby.
The heat-sensing surface should touch the skin.
Affix a piece of tape at a slight distance from the tip
of the probe and fix the probe securely to the skin.
(5) The temperature detected by the skin temperature
probe will be displayed on the skin temperature
display.
(6) Allow 4~5 minutes after connecting the skin temperature probe for the temperature reading to stabilize
and then start temperature monitoring with the skin
temperature probe.
The skin temperature is displayed in the range of
30.0~42.0C in 0.1C increments. Lo will be displayed if it is below 30.0C; Hi will be displayed if
it is above 42.0C.
34
Cover Baby
Tape
Skin temperature
probe
4-4-4. Setting the Servo Control Mode

(1) Press and hold
heard and
or
) to
change the set temperature to a desired level in the
range of 34.0~37.5C in 0.1C increments.
(3) If no key is operated within three seconds,
indicator will stop flashing and remain on and the
incubator will return to its normal operation.
WARNING
Be sure to follow the doctors instructions in setting
the skin temperature. The skin temperature is defined as the infants abdominal skin temperature
detected by the skin temperature probe.
OPERATION
35
4-4-5. Setting the Skin Temperature in the Override Mode

The skin temperature can be set above 37.5C in the range of 37.6~38.0C by using the override function.
(1) Press and hold
heard and

(2) When
is pressed while
indicator is flashing,
the >37.5C indicator will flash and the skin
temperature can be set in the range of 23.0~38.0C
in 0.1C increments.
(3) If the set temperature is above 37.5C when
indicator stops flashing and remains on, the
>37.5C indicator also will stop flashing and remain
on. On the other hand, if the set temperature is
37.5C or lower at that time, the >37.5C indicator
will go out.
WARNING
Attach the skin temperature probe securely to
the infants abdominal wall. The skin temperature
cannot be detected accurately if the skin temperature probe should be dislodged accidentally
from the infants abdominal wall, or otherwise
attached improperly to the infants abdominal
wall. Additionally, the skin temperature cannot
be detected accurately if the skin temperature
probe should be warmed by being covered with a
blanket, diapers or the infants arm, or if it should
be cooled by getting wet with the infants urine or
some medical fluid.
In the servo control mode, if the infant should
produce heat spontaneously or should have
developed a fever, the incubator air temperature
may drop and/or some other adverse effects to
the infant may result.
36
Humidity Control
[5] Humidity Control

WARNING
Humidity should be controlled after the incubator air temperature has stabilized. Be sure to follow
the doctors instructions in humidity control.
5-1. Setting the Relative Humidity

(1) Open the humidity chamber cover down to the position shown in the figure on the right.
(2) Draw out the humidity chamber until it stops halfway. Lift up the humidity chamber slightly and take
it out.
OPERATION
(3) Take out the cartridge tank from the humidity

chamber.
Humidity chamber
Cartridge tank
(4) Remove the tank cap and fill up the tank with sterile
distilled water. Cap the tank securely. Replace the
cartridge tank to its former position in the humidity
chamber with the cap side down.
Cartridge tank
Sterile distilled
water
(5) Insert the humidity chamber gently and fully into

the main body until it stops and close the humidity
chamber cover.
37
Humidity Control
CAUTION
Do not pour water directly in the humidity chamber. Be sure to fill the cartridge tank with sterile
distilled water.
Allow the humidity chamber and the water in it to
cool down sufficiently before removing the humidity chamber. The temperature of the water will have
exceeded 70C, so that you may get scalded.
Do not leave any water in the humidity chamber
except during humidification.
Hold the humidity chamber with both hands when
taking it out from the main body because the humidity chamber filled with water is heavy.
When the humidity chamber cover is open, the
humidity chamber off alarm indicator will come
on and the incubator cannot be operated.
To prevent the multiplication of micro-organisms
and the contamination of the humidity chamber,
empty the humidity chamber and the cartridge
tank every 24 hours and refill the cartridge tank
with fresh, sterile distilled water.
The temperature of the sterile distilled water to
pour in the cartridge tank should not exceed
40C.
[To enable humidification or to change the relative humidity setting]

(6) Press and hold

heard and the set relative humidity will flash.
or
) to
change the set relative humidity to a desired level in
the range of 45~95%Rh in 1%Rh increments or to turn
off the humidity control (oF will be displayed).
(8) If no key is operated within three seconds, the set
relative humidity will stop flashing and remain on
and the incubator will return to its normal operation.
38
Humidity Control
(9) The water in the humidity chamber will evaporate

and decrease in volume after a long operation.
When the water level in the humidity chamber has
become low, the low water level indicator (
)
will come on.
If this indicator should appear, draw out the humidity chamber, take out the cartridge tank, and supply
additional sterile distilled water.
WARNING
When supplying additional water, draw out the
humidity chamber until it stops and take out the
cartridge tank. Supply additional sterile distilled
water in it. Then put back the refilled cartridge
tank in the humidity chamber. Be very careful
in handling the humidity chamber because the
humidity chamber itself may have become very
hot.
[To disable humidification]

heard and the set relative humidity will flash.
Press
to have oF displayed on the set relative
humidity display.
(11) If no key is operated within three seconds, the set

relative humidity will stop flashing and remain on
and the humidity control procedure will be cancelled.
OPERATION
(10) Press and hold
Operation without humidity control

If the incubator is going to be used without humidity control, do not put any water in the humidity chamber.
Though the no water indicator (
) will appear in this case, operate the incubator with the indicator on.
39
Oxygen Supply
[6] Oxygen Supply

You can supply oxygen to the inside of the incubator.
WARNING
Be sure to follow the doctors instructions in making decisions on oxygen supply.
Pay utmost attention to the oxygen concentration in the incubator during the oxygen supply.
Use only oxygen for medical use.
Never supply humidified oxygen from the oxygen supply port. Supplying humidified oxygen by means
of a humidifier bottle or some other device may damage the internal oxygen supply valve and the
oxygen supply port of the unit.
Pay utmost attention to the changes in the oxygen concentration in the incubator by monitoring it
continuously with an oxygen monitor. If the oxygen concentration in the incubator deviates from a
desired level, make necessary adjustments by increasing or decreasing the oxygen flow rate.
Improper use of supplementary oxygen may cause serious side effects including loss of sight, damage to the brain and death. The risks of side effects vary with infants. Follow the doctors instructions
in selecting an appropriate method of oxygen administration, an appropriate oxygen concentration
and an appropriate duration of administration.
A risk of a fire hazard increases when oxygen is used. Do not place any auxiliary equipment which
may generate sparks in close vicinity to where the incubator is installed.
If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent
spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator,
the oxygen cylinder valve, piping, connections and other oxygen supply equipment.
On a high pressure oxygen cylinder, use only a tested pressure-reducing valve or pressure-regulating
valve indicated specifically for oxygen supply.
A dirty filter will affect the oxygen concentration. Replace the filter regularly.
The oxygen flowmeter cannot be expected to provide an accurate index of the oxygen concentration in the incubator. Check the oxygen concentration with a calibrated oxygen monitor or oxygen
controller by following the doctors instructions.
The oxygen concentration in the incubator varies with the dirtiness of the filter, the operating conditions of the incubator, the accuracy of the oxygen flowmeter, etc. To maintain the oxygen concentration in the incubator accurately at a desired level, measure it repeatedly with an accurate oxygen
monitor.
Calibrate the oxygen monitor periodically with the oxygen in the atmosphere (21%O2).
Be sure to follow the doctors instructions in deciding the optimum oxygen concentration on the
basis of PaO2 (a measured arterial oxygen partial pressure level). When the infant requires a high
oxygen environment, it is extremely important and essential to periodically measure the oxygen
concentration in the incubator and analyze arterial gas levels in order to determine a desired oxygen
concentration
40
Oxygen Supply
WARNING
Cleaning or maintaining the incubator in an environment where the oxygen concentration is at a high
level may lead to a fire or an explosion. Before cleaning the incubator, check that the oxygen supply
has been stopped and that the oxygen hose has been removed from the incubator. When the incubator is not in operation, stop the oxygen supply or remove the oxygen hose from the incubator.
The oxygen concentration in the incubator may be affected when an access port or an admittance
panel is opened. Check that all the access port packings and the tube introduction slit assemblies
are securely attached. Any gap in the hood assembly may cause the oxygen concentration in the
incubator to drop.
Oxygen administration may increase the noise level to the infant in the incubator.
When you use the oxygen flowmeter to supply oxygen, the supply flow rate must not exceed 10L/
min. Otherwise, the oxygen supply hose may come off.
Oxygen supply port
(2) The oxygen concentration in the incubator will stabilize in about 40 minutes. Increase the supply flow rate
if the detected oxygen concentration in the incubator
is lower than the desired level; decrease the supply
flow rate if the detected oxygen concentration in the
incubator is higher than the desired level.
Pay utmost attention to the changes in the oxygen
concentration in the incubator by monitoring it with
an oxygen monitor until it stabilizes.
OPERATION
(1) Connect the oxygen flowmeter between the oxygen

supply source and the oxygen supply port. Connect
the oxygen supply hose to the oxygen supply port.
Turn the knob on the oxygen flowmeter and adjust
the flow rate to a desired level.
Oxygen supply port

Oxygen supply hose
CAUTION
Be sure to supply oxygen to the oxygen supply
port through the oxygen flowmeter (option).
Connecting the oxygen cylinder

To connect the oxygen cylinder, use the optional OX-235 pressure reducing regulator (for oxygen/a jack
type).
41
Other Operation Procedures
[7] Other Operation Procedures

7-1.
Setting the Alarm Volume
(1) The alarm volume is adjustable in 9 levels from
to
for one second while pressing

, and the
Press
current setting of the alarm volume will flash on the
set temperature display.
represents the minimum level and
represents the maximum level.
(2) Press an appropriate setting up/down switch (
or
) to adjust the alarm volume to a desired level.

(3) If no switch is operated for three seconds or longer,
the procedure will be cancelled automatically and
the set temperature display will be reset for normal
operation.
(4) The selected setting will be stored even if the unit is
turned off (it will be stored in the display).
(5) The minimum alarm volume is 50~60dBA, and the maximum alarm volume is 65~75dBA.
7-2. Drawing out the Mattress Platform

WARNING
Before drawing out the mattress platform, check that the mattress platform stopper has engaged
the rail. Otherwise, the mattress platform will come off and be hazardous.
When drawing out the mattress platform with the infant on it, be careful not to get the patient circuit
pulled out or pulled by force.
Open the admittance panel and draw out the mattress
platform toward you. The stopper will function, and the
mattress platform will be locked in place before coming
out completely.
42
Mattress platform
7-3. Tilting the Mattress Platform

DANGER
When the mattress platform is tilted, there will be only a little difference in level between the mattress and a snap-open access port. If a snap-open access port should be left open, the infant
may fall through it. Therefore, be sure to close the access ports securely before tilting the mattress
platform.
When tilting the mattress platform, be careful not to get any probes or tubes caught.
You can tilt the mattress platform by operating the mattress platform tilting knobs provided on the outside of the
hood assembly. Operate the tilting knobs gently.
Mattress platform
tilting knob
OPERATION
7-4. X-ray Cassette Tray
When taking radiographs with the supplied X-ray cassette tray, read the instruction manuals for
the radiation device, and make sure that necessary protection measures are taken.
Open the admittance panel and draw out the X-ray cassette
tray from under the mattress platform. Place a cassette
loaded with an X-ray film and replace the X-ray cassette
tray to its former position. X-ray photographs can be taken
with the infant in the incubator.
Mattress
platform
X-ray cassette tray
43
7-5. Letting Cords and Tubes into or out of the Incubator

CAUTION
When letting the cords and tubes into the incubator, be very careful not to let them wind or tighten
around the patient.
Watch the infant continuously so that no cords or tubes will wind around the infant.
A number of cords and tubes may be connected to the infant in the incubator. Let them out of the incubator
through the tube introduction slit packing so that they will not wind around the patient or get in the way of
procedures.
(1) Let the cords and tubes into or out of the incubator
through the tube introduction slit packing on either
side of the hood.
(2) The cords and tubes can be let into or out of the
incubator from the side of the tube introduction slit
packing.
44
Cleaning and Disinfection
[8] Cleaning and Disinfection

WARNING
Before cleaning and disinfecting the unit, be sure to turn the power off, remove the power plug
from the power outlet, and allow the incubator and the heaters to cool down sufficiently.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before using it for the first time after purchase.
See the accompanying document of the disinfectant you are going to use for appropriate concentration, contact time and handling. Follow the directions for use and dosage and precautions given
in the document.
Before cleaning or maintaining the unit, check that the oxygen supply to the incubator has been
stopped and that the incubator has been disconnected from the oxygen supply source. Cleaning
or maintaining the incubator in an environment where the oxygen concentration is at a high level
may lead to a fire or an explosion.
Clean and disinfect the unit whenever you use it for another infant.
Clean and disinfect the unit whenever you notice any dirt or stain which might cause infection.
After cleaning and disinfection, assemble the removed parts correctly and check that the unit operates normally.
Obtain a soft clean cloth and a disinfectant solution for cleaning and disinfection.
<Recommended disinfectant solutions>
Benzalkonium chloride aqueous solution (e.g. Osvan)
Benzethonium chloride aqueous solution (e.g. Hyamine)
Chlorhexidine aqueous solution (e.g. Hibitane)
Do not use any abrasive, cleaner, alcohol, acetone or other solvent for cleaning and disinfection. Do not autoclave.
MAINTENANCE
After cleaning and disinfection, remove the disinfectant solution completely and then use the incubator.
45
8-1. Hood Assembly

Snap-open access port packing
Remove the rubber packings from the snap-open access
ports. Immerse and clean them in a disinfectant solution.
To replace each rubber packing to its former position, be
sure to smooth out wrinkles along the packing lip so that
the access port packing will fit perfectly in the groove
around the frame of the snap-open access port as shown
in the figure on the right.
Frame
Packing lip
Snap-open access port packing
CAUTION
The snap-open access port packings are designed for the unit only. Do not attach any other
packings to the unit.
Admittance panel packing

Remove the rubber packings from the admittance panels.
Immerse and clean them in a disinfectant solution.
Admittance panel packing
(Sectional view)

Remove the tube introduction slit packings. Immerse and
clean them in a disinfectant solution.
Tube introduction
slit packing
Access port cover

Remove all the access port covers. Immerse and clean
them in a disinfectant solution.
CAUTION
Spare access port covers should always be on
hand. A dirty cover should be replaced immediately with a new one.
46
Sensor module
Remove the connector from the rear of the main body.
Pull the sensor module out of the hood. Clean the sensor
module with a soft cloth dampened with a disinfectant
solution and wrung out sufficiently.
Lever
CAUTION
Do not immerse the sensor module in water. Im-
Sensor module
mersing it in water may cause it to malfunction.
Inner panel
Open the admittance panel. Push down the inner wall
levers and pull the inner panel away from the hood. Clean
the inner panel with a soft cloth dampened with a disinfectant solution and wrung out sufficiently.
Inner wall lever
CAUTION
The inner panel cannot be removed from the
hood.
Hood
Clean the inside and the outside of the hood with a soft
cloth dampened with a disinfectant solution.
Replace all the removed parts to their former positions.
Make sure that they are attached correctly.
CAUTION
MAINTENANCE
Display
Clean the display with a soft cloth dampened with a disinfectant solution.
Do not immerse the display in water or a disinfectant solution. Immersing it in water or a disinfectant
solution may cause it to malfunction.
47
8-2. Mattress Platform and Parts Beneath

Mattress platform
Hold both ends of the mattress platform and slide the
mattress platform toward you. When it has been drawn
out just halfway, lift it up and take it out. Clean it with a
soft cloth dampened with a disinfectant solution.
To replace the mattress platform to its former position, put
it down on the center of the mattress platform tray. Make
sure that the legs of the mattress platform are attached
to the correct positions.
Mattress platform

Pull the hook on the mattress platform tray. Lift the tray
up and disengage it from the tilting arm. Clean it with a
soft cloth dampened with a disinfectant solution.
To replace the mattress platform tray to its former position, make sure that it is engaged securely with the tilting
arm.
Tilting arm
Middle board
With the admittance panels on both sides open, grasp one
end of the middle board with one hand and the concave
portion of the fan cover with the other hand. Then lift up
the middle board. Clean it with a soft cloth dampened with
a disinfectant solution.
48
Middle board
Fan cover
Fan cover
Open the fan cover and clean it with a soft cloth dampened
with a disinfectant solution.
Fan cover
Middle board
Fan
Pull up and remove the fan. Immerse and clean it in a
disinfectant solution. To replace the fan to its former
position, push it down firmly until it stops.
Fan
Conditioning chamber
The conditioning chamber will become accessible when
all the components mentioned above have been removed.
Pull up the heater and clean the inside of the conditioning
chamber thoroughly with a soft cloth dampened with a
disinfectant solution.
Replace all the removed components to their former
positions in reverse order. Make sure that they are
attached correctly.
CAUTION
MAINTENANCE
When cleaning the conditioning chamber with

the heater up, be careful not to get your fingers
or hand caught.
To replace the heater to its former position, push
it down gently.
Clean the heater gently while it is up. Applying too
much force may damage it.
49
8-3. Humidity Chamber

The description in this section relates to a unit which is equipped with a humidity control. If your unit doesnt
have one, skip this section.
(1) Open the humidity chamber cover and draw out the
humidity chamber until it stops halfway. Lift up the
humidity chamber slightly and take it out.
CAUTION
Allow the humidity chamber and the water in it to
cool down sufficiently before removing the humidity chamber. The temperature of the water will have
exceeded 70C, so that you may get scalded.
Hold the humidity chamber with both hands
because the humidity chamber filled with water
is heavy.
(2) Remove the cartridge tank, the tank cap and the
boiler cap from the humidity chamber. Immerse and
clean them in a disinfectant solution. Never immerse
the humidity chamber in a disinfectant solution.
WARNING
The humidity chamber contains electric parts.
Never immerse the humidity chamber in a disinfectant solution. Do not rub the water level sensor
or the surface of the boiler of the humidity chamber with a metal brush or any other hard material.
The water level sensor and the boiler surface may
get damaged.
Boiler cap
Tank cap
Cartridge tank
Boiler
Water level
sensor
(3) Clean the inside of the humidity chamber and the

humidity chamber receptacle with a soft cloth dampened with a disinfectant solution.
(4) Replace the removed parts to their former positions.
CAUTION
Be sure to attach the boiler cap and the cartridge
tank without fail.
50
Humidity
chamber
8-4. Others
Wipe a used skin temperature probe lightly with a soft dry
cloth. Wipe and disinfect the heat-sensing portion with a
soft cloth dampened with a disinfectant solution. Be sure
to keep the skin temperature probe in its case.
CAUTION
Never clean the skin temperature probe with alcohol, or the material will harden.
Mattress
Take out the mattress before placing another infant in the
incubator. Clean the mattress with a soft cloth dampened
with a disinfectant solution. Since the mattress consists
of a special sponge sealed up in a vinyl cover, the sponge
inside cannot be contaminated unless the cover gets
damaged.
Mattress
MAINTENANCE
51
Maintenance Inspection
[9] Maintenance Inspection

In order to use the unit safely for a longer period, perform the maintenance inspections described below.
CAUTION
Medical institutions are responsible for performing the maintenance inspections.
They are allowed to entrust the maintenance inspections of the unit to an appropriate external
contractor.
Clean and disinfect the unit and its accessories before maintenance inspections, repairs, or disposal.
Inspection before use

Check the basic functional operation of each part of the unit every time you are going to use the unit.
Quarterly inspection
Check the operation of each function of the unit every three months.
Periodical inspection
Contact your local Atom representative annually for periodical inspection.
Parts requiring periodical replacement
Some parts need to be replaced periodically depending on their period of use.
52
9-1. Inspection before Use

Check the following points every time you are going to use the unit.
CAUTION
If you should notice any strange smell, strange noise, overheating or strange vibration in the inspection, stop using the unit immediately and contact your local Atom representative.
Item to check
Description
The main body and the hood should be neither broken nor deformed. (Otherwise, the infant and/or the user may be injured due to breakage, etc.)
Each access port cover should be attached securely to its corresponding
Access port cover
access port packing. It should be neither broken nor deformed. (Otherwise,
the air tight seal may be compromised.)
Each packing should be attached correctly to the access port. It should be
packing
intact. (Otherwise, the air tight seal may be compromised.)
Tube introduction slit
Each packing should be attached correctly to the hood. It should be intact.
packing
(Otherwise, the air tight seal may be compromised.)
It should be neither broken nor deformed. (Otherwise, unsatisfactory control
Sensor module
may result from faulty detection by the sensors.)
Each knob should be held in place securely and should open and close the
Admittance panel operating
admittance panel reliably. (Otherwise, the infant may fall out of the baby
knob
compartment due to incomplete locking.)
With an admittance panel closed, hold the admittance panel operating knobs
Admittance panel operating
and pull the admittance panel toward you. It should not open. (Otherwise, the
lever
infant may fall out of the baby compartment due to incomplete locking.)
It should be neither broken nor deformed. (Otherwise, the infant may fall
Baby guard
out of the baby compartment due to incomplete attachment.)
Each access port should be held in place securely and should open and close
reliably. With the snap-open access port closed, the red line should not be
visible at the locking part. (Otherwise, the infant may fall out of the baby
compartment due to incomplete locking.)
The mattress platform should tilt smoothly when the tilting knob is operated.
Tilting unit
(Otherwise, the mattress platform may not tilt.)
It should turn the power on and off reliably.
Power switch
(Otherwise, it may not function.)
It should be fixed securely with the fixing device. (Otherwise, the display
Display
may become unstable or fall when a switch is operated.)
Each caster should rotate smoothly.
Caster
(Otherwise, the unit cannot be easily relocated.)
It should be clean.
Filter
(Otherwise, air circulation may not be controlled properly.)
An appropriate temperature should be displayed when the skin temperature
probe is connected and the tip of the probe is held in your hand.
The area around the connecting port should be neither broken nor unconnecting port
clean.
AC inlet
The AC inlet should be clean without any adherent medical fluid.
The plug should not be deformed.
Power cord
The cord should not be damaged.
Height-adjustment mechanism It should operate smoothly without making any strange noise.
Appearance
MAINTENANCE
53
Item to check
Activation of alarms
Operation Manual
Description
Before connecting the power cord, check the following:
When the power switch is turned on, the power failure alarm indicator
should flash and an audible alarm should sound.
After connecting the power cord, check the following:
When the power switch is turned on, the alarm lamp should come on and
an audible alarm should sound.
It should be kept where it is readily accessible. (Otherwise, the unit may be
operated incorrectly due to lack of accessible information.)
9-2. Quarterly Inspection

Check the following points every three months.
Item to check
Incubator air
temperature control
Skin temperature
control
Humidity control
Fan
Humidifier
Power failure alarm
54
Procedure
Description
Set the temperature to 36.0C in manual

control.
Place the skin temperature probe at about
10cm above the center of the mattress
surface in the incubator and set the temperature to 36.0C in servo control.
Set RH to 90% with the incubator air temperature set to 32.0C.
The displayed incubator air temperature

should be stable at 36.01C.
The displayed skin temperature should be
stable at 36.00.5C.
The displayed RH should be stable at

903%Rh.
It should be neither broken nor deCheck the exterior by visual inspection.
formed.
Install the cartridge tank without any The no water alarm indicator should
water in it.
come on.
Open the humidity chamber cover.
The humidity chamber off alarm indicator should come on.
Install the humidity chamber with the The humidity chamber off alarm indicaboiler cap off.
tor should come on.
The power failure alarm indicator should
Turn the power on, and then remove the
come on and an audible alarm should
power plug from the power outlet.
sound.
9-3. Periodical Replacement Parts

Periodical replacement parts are those which gradually deteriorate and wear down with use. They need periodical replacement to keep the accuracy and performance of the unit at a proper level. Timing of replacement
varies with the frequency and conditions of use. Consult your local Atom representative for replacement.
Part name
Period of use
Reason for replacement
Filter
3 months
Dirtiness due to dust or defective air circulation control

due to clogging
Tube introduction slit

packing
1~2 years
Decreased air tightness due to breakage or deformation
Admittance panel
packing
1~2 years
Iris access port packing
1~2 years

packing
1~2 years
Mattress
1~2 years
Decreased elasticity due to breakage or deformation
Fan motor
3 years
Decreased air circulation
Fan
3 years
Decreased air circulation
3 years
Incomplete locking
Humidity chamber
3 years
Insufficient humidification due to breakage or deformation
Battery for power failure

alarm
4 years
Defective power failure alarm function due to battery

life
MAINTENANCE
55
9-4. Replacing the Filter

CAUTION
Replace the old filter with a new one every three months in general. The dirtiness of the filter varies with the degree of air pollution and the frequency of operation. Check the dirtiness of the filter
through the window of the filter cover. If the filter should be found discolored, replace it with a new
one even if the three-month interval is not over yet.
(1) Loosen the screw of the filter cover and open the
cover.
Fresh air intank
Filter cover
(2) Detach the filter slowly. Take out the dirty filter,
taking care not to let the dirt fly about.
Filter
CAUTION
Do not block the fresh air intake with a wall or a
cloth, etc.
(3) Discard the dirty filter. Clean the filter cover and
the filter holder with a soft cloth dampened with a
disinfectant solution and wrung out sufficiently.
(4) Attach a new filter to the filter holder. Ensure that the
filter is installed correctly. Enter the date of replacement in the accompanying filter replacement record
card and affix it in place as shown in the figure on
the right for future reference.
(5) Tighten the screw of the filter cover and close the
cover.
WARNING
Do not attempt to reuse the dirty filter by washing
it or attaching it inside out.
Open the filter cover only to replace the old filter
with a new one.
56
Filter cover
Location for
affixing the filter
replacement
record card
9-5. Inspection Checklist

WARNING
If any trouble is detected in any inspection, indicate on the unit that it is out of order and seek repair
without fail.
Contact your local Atom representative for further information on repairs.
Serial No. (
Date of Inspection (
No.
Inspector (
Item to check
)
Judgment
Inspection before use (every time)

1
Are the main body and the hood free of breakage and deformation?
YES / NO
Are the access port covers free of breakage and deformation and attached securely to the
YES / NO
hood?
Are the access port packings free of breakage and attached securely to the access ports?
YES / NO
Are the tube introduction slit packings free of breakage and attached securely to the hood?
YES / NO
Is the sensor module free of breakage and deformation and fixed securely to the hood?
YES / NO
Are the admittance panel operating knobs held in place securely and do they operate reliably? YES / NO
Are the admittance panels locked securely?
YES / NO
Are the baby guards free of breakage and deformation?
YES / NO
Are the access ports held in place securely and do they open and close reliably?
YES / NO
10 Does the tilting unit operate smoothly?
YES / NO
11 Does the power switch turn the power on and off reliably?
YES / NO
12 Is the fixing device of the display free of breakage and is the display fixed securely?
YES / NO
13 Does each caster rotate smoothly and do the caster locks function reliably?
YES / NO
14 Is the filter clean without any blackish dirt?
YES / NO
Is the correct skin temperature displayed when you hold the tip of the skin temperature probe
YES / NO
in your hand?
16 Is the area around the skin temperature probe connecting port free of breakage and dirt?
YES / NO
17 Is the AC inlet clean without any adherent medical fluid?
YES / NO
18 Is the plug of the power cord free of deformation and is the power cord free of damage?
YES / NO
19 Does the height adjustment mechanism operate smoothly without making any strange noise? YES / NO
20 Does the power failure alarm function properly and does the alarm lamp come on properly?
YES / NO
21 Is the Operation Manual readily accessible?
YES / NO
MAINTENANCE
15
Quarterly inspection
1
Is the displayed incubator air temperature stable at 36.01C in manual control?
YES / NO
Is the displayed skin temperature stable at 36.00.5C in servo control?
YES / NO
Is the displayed RH stable at 903%Rh?
YES / NO
Does the oxygen concentration rise to 65%O2 or higher at 10L/min?
YES / NO
Is the fan free of breakage?
YES / NO
Do the no water alarm indicator and the humidity chamber off alarm indicator come on?
YES / NO
Does an audible alarm sound and does the power failure alarm indicator flash when the power
YES / NO
plug is removed from the power outlet?
57
9-6. Disposal
The medical institution concerned is responsible for proper disposal of the main body, old parts past their
expected life span and disposables in accordance with applicable waste disposal laws and regulations.
A rechargeable NiMH battery is used in this unit. Dispose of the battery properly by observing applicable
laws and regulations.
58
Alarms
[10] Alarms
WARNING
This incubator is provided with the following alarms. If an alarm condition should occur, check for a
possible cause of the alarm and take the proper measures. If the incubator seems to be defective,
it is in need of repairs. Indicate on the incubator that it is out of order and contact your local Atom
representative.
Category
Alarm name
MC high temperature alarm
MC (override
mode) or SC high
temperature alarm
Temperature & Heat
Set temperature
alarm (MC3C)
Set temperature
alarm (SC1C)
Condition causing
the alarm
This alarm will occur
before the incubator air
temperature exceeds
38C.
before the incubator air
temperature exceeds
40C.
This alarm will occur if
the incubator air temperature deviates from
the set temperature by
3C or more.1
if the skin temperature
deviates from the set
temperature by 1C or
more.1
Skin temperature
probe alarm (SC)

if the skin temperature
probe is not connected
in the SC mode.
Resetting the alarm
Priority
The alarm will be reset

The incubator heater will automatically when the
Medium
be turned off.
incubator air temperature
falls below 37C.
Medium
be turned off.
incubator air temperature
falls below 38C.
Alarm
silence
10
min.
10
min.

Temperature control will automatically when the
be continued.
deviation is maintained
within 3C.
Low
15
min.

Temperature control will automatically when the
be continued.
deviation is maintained
within 1C.
Low
15
min.
The skin temperature

probe will not function.
(The skin temperature
Remove the skin temcannot be displayed.)
The incubator heater will perature probe from the Medium
be turned off (in the SC infant.
control mode).
will flash on the skin
temperature display.
The heater will be turned
automatically when the
Medium
of f. (SC will not funcskin temperature probe is
tion.).
connected.
1 The alarm will not occur for 30 minutes when the setting is changed.
10
min.
10
min.
MAINTENANCE
Skin temperature
probe alarm

if a wire of the skin
temperatur e pr obe
has snapped or shortcircuited.
The unit during the

alarm condition
59
Alarms
Category
Alarm name
Humidity chamber
off alarm
Low water level

alarm
Humidity
No water alarm
Condition causing
the alarm
if the humidity chamber is not attached.
the humidity chamber
cover is left open.
if the water level in
the humidity chamber
has become low during
humidity control.
if the humidity chamber has become empty
when humidity is controlled.
The unit during the

alarm condition

The humidifying heater
will be turned off.
humidity chamber is attached properly or the
Humidity control will
humidity chamber cover
not start.
is closed properly.
Priority
Alarm
silence
Low
15
min.
Low
15
min.
The alarm will be reset Warning

Humidity control will be automatically when water informacontinued.
is supplied to the humidity tion to
chamber.
the user

The humidifying heater automatically when water
Medium
will be turned off.
is supplied to the humidity
chamber.
10
min.
The humidifying heater

will be turned off.
condensation forms on
will flash on the relthe humidity sensor.
ative humidity display.
the relative humidity in Humidity control will be
the incubator deviates continued.
Set humidity alarm
from the set humidity The relative humidity
by 3% or more for 15 display will flash.
minutes.
This alarm will occur if The humidifying heater
the relative humidity in will be turned off. The
the incubator remains relative humidity display
Low humidity alarm
below the set humidity will flash. The set relative
by 3% or more for at humidity display will
flash.
least one hour.
Humidity sensor
alarm
Resetting the alarm
The alarm will be reset automatically when the conMedium

densation on the humidity
sensor disappears.
10
min.

deviation decreases to less
than 3%.
Low
15
min.
Turn humidification off,

check the condition of the
incubator2, and then turn
humidification on.
Low
15
min.
2 Check that all the ports and admittance panels are securely closed and that the packings are securely
attached.
60
Alarms
Category
Others
The unit during the

Resetting the alarm
alarm condition
The fan will be stopped. The alarm will be reset
be turned off.
filter cover is closed.
Turn the power off, attach
The incubator heater will
the fan properly, and then
be turned off.
turn the power on again.
Turn the power off, attach
The fan will be stopped.
the fan cover or the middle
The incubator heater will
board properly, and then
be turned off.
turn the power on again.
The fan will rotate at an
available rate.
Impossible to reset the
The incubator heater will alarm.
be turned off.
Priority
Alarm
silence
Medium
10
min.
Low
15
min.
Medium
10
min.
Medium
10
min.
High
10
min.
High
10
min.
The humidifying heater Remove the humidifying

will be turned off.
unit.
High
10
min.
No control. All the heat- Impossible to reset the

ers will be turned off.
alarm.
High
10
min.
The incubator heater

will be turned off.
Incubator air temperature control will be
Impossible to reset the
continued.
alarm.
will be displayed
on the incubator air
temperature display.
The incubator heater
will be turned off.
All the bars of the
heater output indicator
will flash.
MAINTENANCE
Condition causing
the alarm
Filter cover alarm
if the filter cover is left
open.
if the fan isnt attached
properly.
if the fan cover or the
middle board isnt atFan alarm
tached properly.
if the fan rotates at a
lower rate than specified.
if a wire of the incubator air temperature
sensor (for control)
has snapped or shortcircuited.
if a wire of the incubator air temperature
sensor (for display)
System failure
has snapped or shortalarm
circuited.
This alarm will occur if a wire of the
incubator heater has
snapped or shortcircuited.
if any disruption is
detected with the
humidifying heater.
the power supply is interrupted due to power
failure, a disconnected
power plug, a broken
Power failure /
power cord or some
internal error alarm
other cause, or if some
internal error (a defective CPU or a defective
control board) has occurred.
Alarm name
61
Troubleshooting
[11] Troubleshooting
WARNING
If the unit seems to be defective, indicate on the unit that it is out of order, stop using it immediately,
and contact your local Atom representative.
CAUTION
Check the following points before requesting repair service.
62
Trouble
Action to take
Nothing is displayed on the

display when the power switch
is turned on, and the power
failure alarm activates.
Check that the unit is connected securely to the power source.

Check the breaker of the hospital (by connecting another electric device to
the power outlet used for the incubator).
Nothing is displayed on the

display, and an audible alarm
is given.
Check that the display connecting cable is connected properly to the main
body and the display. (Confirm that it is not inserted at an angle.)
The incubator air temperature

does not rise.
Check that the incubator air temperature is not set too low.
Check that the supply voltage is not low. (The incubator should not share a
power outlet with another device.)
Check that the fan is neither damaged nor deformed.
Check that the snap-open access ports are closed.
Check that the admittance panels are closed.
Check that the introduction slit packings and the admittance panel packings
are attached properly.
The incubator air temperature

rises too high.
Check that the incubator air temperature is not set too high.
Check that the incubator is not exposed to direct sunlight or affected by a
heating apparatus nearby.
Check that the air inlet in the incubator is not blocked by diapers, gauze, etc.
Check that the incubator air temperature is not set too low relative to the
room temperature.
Check that a phototherapy unit is not in use.
Humidity does not rise.
Check that the air outlets in the incubator are not blocked by diapers, gauze, etc.
Check that the cartridge tank is filled with distilled water.
Check that the humidity chamber cover is closed properly.
Check that the boiler cap is fitted properly.
Check that the snap-open access ports are closed.
Check that the admittance panels are closed.
Check that the introduction slit packings and the admittance panel packings
are attached properly.
Humidity rises too high.
Check that the relative humidity is not extremely high due to the rainy
season or some other causes.
The oxygen concentration

does not rise.
Check that the flow rate is set properly on the oxygen flowmeter.
Check that the access ports are closed securely.
Check that the packings are attached securely.
Check that the filter is attached securely.
Technical Information
[12] Technical Information

12-1. Technical Data
Power requirements
Main body
Rating: AC230V; power consumption 600VA; frequency 50/60Hz
Operating voltage range: AC230V10%
Hi-Low stand
Rating: AC230V; power consumption 120VA; frequency 50/60Hz
Operating voltage range: AC230V10%
Classification
Type of protection: Class I equipment

Degree of protection: Type BF applied part
Not for use in an air and flammable anesthetic gas mixture or an oxygen/nitrous oxide and flammable anesthetic gas mixture
Mode of operation: Continuous operation (the Hi-Low stand is designed
for intermittent operation of 3 minutes per hour)
Ambient temperature: 20~30C
Relative humidity: 30~75%
Atmospheric pressure: 70~106kPa
Wind velocity: <0.3m/s
Storage conditions
Ambient temperature: 0~50C

Relative humidity: 30~75%
Atmospheric pressure: 70~106kPa
Maximum load capacity
IV pole (option): Approx. 10kg

Drawer (option): Approx. 3kg
Dovetail rail (option): Approx. 20kg
Dimensions
Main body
Fixed-height stand type unit: 100(W) 60(D) 136(H) cm
(without the display)
Mattress surface: 95cm in height
Hi-Low stand type unit: 100(W) 60(D) 128~148(H) cm
(without the display)
Mattress surface 86~106 cm in height
External display: 18(W) 6(D) 11(H) cm
Mattress: 65(W) 36.5(D) 2(T) cm
Weight
Fixed-height stand type unit: Approx. 80kg

(main body: approx. 50kg)
Hi-Low stand type unit: Approx. 90kg (main body: approx. 50kg)
Accessories
Skin Temp Probe 5mm O.D.(Y).........................1

Pneumoclean (Electrostatic air filter)................1
Access port cover.................................................2
Dust cover.............................................................1
Operation Manual................................................1
APPENDIX
Operating conditions
63
Temperature
Control mode
Manual control/servo control (selectable)
Setting range
Skin temperature (servo control): 34.0~37.5C

(override mode: 37.6~38.0C)
Incubator air temperature (manual control): 23.0~37.0C
(override mode: 37.1~39.0C)
Display range
Skin temperature: 30.0~42.0C

Accuracy: 0.3C
Incubator air temperature: 20.0~42.0C
Accuracy: 0.3C
Heater output
0~100 %(indicated in 10 levels)
Warm-up time
Alarms
60min at ambient temperature 25C

High temperature, set temperature, skin temperature probe
Humidity
Control mode
Servo control
Setting range
40~95% Rh (in 1% increments)
Display range
15~99% Rh
Accuracy: 10%Rh
Continuous humidification without
8 hours
supplying water
Maximum humidity
90%Rh (at ambient humidity 50% Rh, ambient temperature 25C,

incubator air temperature setting 37C)
Alarms
Humidity sensor, low water level, no water, humidity chamber off, set
humidity
Oxygen supply
Maximum oxygen concentration
65% O2 (at O2 flow rate 10L/min)
Environment
CO2 concentration in the hood
When the air mixed with 4% CO2 is administered to a point 10cm above
the center of the mattress at 750mL/min and a stable state is achieved,
the CO2 concentration in the hood should not exceed 0.4%.
Other alarms
Fan, system failure, power failure
The product meets the EMC requirements of IEC 60601-1-2.
64
12-2. EMC Level and Classification

Guidance and manufacturers declaration electromagnetic emissions
The Rabee Incu i is intended for use in the electromagnetic environment specified below. The customer or the
user of the Rabee Incu i should assure that it is used in such an environment.
Emissions test
Compliance
Electromagnetic environment guidance
RF emissions
CISPR 11
Group 1
The Rabee Incu i uses RF energy only for its internal function. Therefore, its RF emissions are very low and are
not likely to cause any interference in nearby electronic
equipment.
RF emissions
CISPR 11
Class A
Harmonic emissions
IEC 61000-3-2
Class A
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
The Rabee Incu i is suitable for use in all establishments,

other than domestic and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes.
There are no prescribed demands for tests in 100V areas.
APPENDIX
65
Guidance and manufacturers declaration electromagnetic immunity

Immunity test
IEC 60601
test level
Compliance level
Electrostatic discharge (ESD)

IEC 61000-4-2
6kV contact
8kV air
6kV contact
8kV air
Floors should be wood, concrete or ceramic tile.

If floors are covered with synthetic material, the
relative humidity should be at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
2kV for power

supply lines
1kV for input/
output lines
2kV for power

supply lines
1kV for input/
output lines
Mains power quality should be that of a typical

commercial or hospital environment.
Surge
IEC 61000-4-5
1kV differential
mode
2kV common
mode
1kV differential
mode
2kV common
mode

commercial or hospital environment.
Voltage dips, short

interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
<5% UT
(>95% dip in UT)
for 0.5 cycle
40% UT
(60% dip in UT)
for 5 cycles
70% UT
(30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT)
for 5 sec
<5% UT
(>95% dip in UT)
for 0.5 cycle
40% UT
(60% dip in UT)
for 5 cycles
70% UT
(30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT)
for 5 sec

commercial or hospital environment. If the user
of the Rabee Incu i requires continued operation
during power mains interruptions, it is recommended that the Rabee Incu i be powered from
an uninterruptible power supply or a battery.
3 A/m
Power frequency magnetic fields should be at

levels characteristic of a typical location in a typical commercial or hospital environment.
Power frequency
(50/60Hz)
magnetic field
IEC 61000-4-8
3 A/m
Note: UT is the a.c. mains voltage prior to application of the test level.
66
Guidance and manufacturers declaration electromagnetic immunity

Immunity test
IEC 60601
test level
Compliance
level

Portable and mobile RF communications equipment
should be used no closer to any part of the Rabee
Incu i, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
3Vrms
150kHz to 80MHz
outside ISM bandsa
3Vrms
10Vrms
150kHz to 80MHz
in ISM bandsa
10Vrms
3V/m
80MHz to 2.5GHz
The equipment continues to perform its
intended function.
10V/m
80MHz to 2.5GHz
The equipment continues to perform its
intended function or
stops without causing any harm.
10V/m
80MHz to 800MHz
800MHz to 2.5GHz
Where P is the maximum output power rating of
the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended
separation distance in meters (m).b
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,c
should be less than the compliance level in each
frequency range.d
Interference may occur in the vicinity of equipment
marked with the following symbol.:
APPENDIX
Note 1: At 80MHz and 800MHz, the higher frequency range applies.

Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
a The ISM (industrial, scientific, and medical) bands between 150kHz and 80MHz are 6.765MHz to 6.795MHz;
13.553MHz to 13.567MHz; 26.957MHz to 27.283MHz; and 40.66MHz to 40.70MHz.
b The ISM compliance level in the ISM frequency band between 150kHz and 80MHz and in the frequency
range 80MHz to 2.5GHz are intended to decrease the likelihood that mobile/portable communications
equipment could cause interference if it is inadvertently brought into patient areas. For this reason an additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in these
frequency ranges.
c Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radio, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
Rabee Incu i is used exceeds the applicable RF compliance level above, the Rabee Incu i should be observed
to verify normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the Rabee Incu i.
d Over the frequency range 150kHz to 80MHz, field strengths should be less than 3V/m.
67
Recommended separation distances between portable and mobile RF communications equipment

and the Rabee Incu i
The Rabee Incu i is intended for use in an electromagnetic environment in which radiated RF disturbances
are controlled. The customer or the user of the Rabee Incu i can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters)
and the Rabee Incu i as recommended below, according to the maximum output power of the communications
equipment.
Rated maximum
output power of
transmitter
(W)
0.01
0.1
1
10
100
Separation distance according to frequency of transmitter

(m)
150kHz to 80MHz
150kHz to 80MHz
80MHz to 800MHz
800MHz to 2.5GHz
outside ISM bands
in ISM bands
0.12
0.38
1.2
3.8
12
0.12
0.38
1.2
3.8
12
0.12
0.38
1.2
3.8
12
0.23
0.73
2.3
7.3
23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
Note 2: The ISM (industrial, scientific, and medical) bands between 150kHz and 80MHz are 6.765MHz to
6.795MHz; 13.553MHz to 13.567MHz; 26.957MHz to 27.283MHz; and 40.66MHz to 40.70MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for the transmitters in the ISM frequency band between 150kHz and 80MHz and in the frequency range 80MHz
to 2.5GHz to decrease the likelihood that mobile/portable communications equipment could cause
interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
68
Reproduction of all or part of this Manual without permission from Atom Medical Corporation is strictly
prohibited.
The contents of this Manual are subject to change without notice due to technical improvement.
All possible measures have been taken to ensure the accuracy of the contents of this Manual. However, if any
errors should be noticed, Atom would greatly appreciate being informed of them.
C65MC125
3-18-15, Hongo, Bunkyo-ku, Tokyo, Japan

Tel: +81 3 38152311 Fax: +81 3 38123144
201303

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Equipment for neonatal and premature infants: Incubator

Atom Infant Incubator 102

TO THE OPERATOR AND THE PERSON IN CHARGE OF

Definitions of Warning Indication

A DANGER notice indicates an immediately hazardous situation which, if not avoided,

A WARNING notice indicates an indirectly (potentially) hazardous situation which,

2. Symbols to prohibit action

Title and indication

Title and indication

4. Symbols of international standards (IEC)

Title and indication

Title and indication

Responsibility for Care of Equipment

4-4-3. Attaching the Skin

PLEASE READ WITHOUT FAIL

Other Operation Procedures.................. 42

Preparation before Use............................ 20

Incubator Air Temperature/Skin

Cleaning and Disinfection....................... 45

Inspection before Use.............................. 53

Setting the Incubator Air Temperature

Setting the Alarm Volume........................ 42

Setting the Relative Humidity.................. 37

PLEASE READ WITHOUT FAIL

[1] Operating Precautions

Ground the unit securely.

PLEASE READ WITHOUT FAIL

Do not use ether, alcohol or any other ignitable substance.

Do not use a device generating high frequency near the unit.

The electrical rating of this unit is as follows:

PLEASE READ WITHOUT FAIL

Ground peripheral electric equipment securely.

Be sure to inspect the unit at the start of each day.

2-1. Main body

<Fixed-height stand type unit>

<Hi-Low stand type unit>

PLEASE READ WITHOUT FAIL

[2] Parts Identification

PLEASE READ WITHOUT FAIL

Skin temperature probe

Set temperature alarm

High temperature alarm

Fan alarm indicator

System failure alarm

Power failure alarm

Skin temperature display

Set temperature display

Incubator air temperature

Heater output indicator

Humidity chamber off

Comes on when the humidity chamber is not positioned properly.

No water alarm indicator

Low water level alarm

Relative humidity display

PLEASE READ WITHOUT FAIL

Displays a detected relative humidity in the incubator in the range of

Preparation before Use

[3] Preparation before Use

Attaching the Display to the Hood

(2) Attach the sucking disk of the display straight onto

Connecting the Display to the Incubator

(1) Connect the display to the incubator.

Connector for the main body