Atom Incu-I Operation Manual

Equipment for neonatal and premature infants: Incubator
ORIGINAL
0123
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE OF

MAINTENANCE AND CARE OF THE UNIT:
z Read this Manual carefully before operating the unit.

z Keep this Manual where it is readily accessible for reference when needed.
z This Manual describes operations of this unit including instructions for
operating the add-on features. You may skip any section(s) on the functions
that are not included in your specific 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 Air Incu i. Atom is by no
means responsible for any malfunction arising from a user ignoring the instructions for operation and mainte-
nance 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 problems should arise, please contact
your local Atom representative.
The unit is shipped without being disinfected. Be sure to clean and disinfect the unit before using
it for the first time after purchase.
The product and its parts that are past their service lives should be disinfected before being dis-
posed of in accordance with the applicable waste management laws.
This product maintains the ambient temperature around an infant by drawing in the air outside
and warming it. It does not have the capability to cool the air drawn from outside. Be sure to set
the incubator air temperature at least 3°C higher than the ambient temperature. In particular, if a
phototherapy unit, a heated humidifier, or some other heat-generating device is used with the in-
cubator, set the incubator air temperature at least 5°C higher than the ambient temperature. If a
lower setting is selected, the incubator may not be controlled correctly.
INTENDED USE
The Air Incu i is an incubator for newborns and premature neonates. It is mainly intended for temperature con-
trol in neonatal hypothermia, observation and examination in newborn nurseries, prevention of body tempera-
ture drop shortly after delivery, and pre-operative and post-operative intensive care in neonatal surgery. This in-
cubator has the capability to control the infant’s skin temperature.
1
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 when operating the
unit.
Basic Instructions
1. Follow the instructions for the safe use of the unit.
Please follow the operating instructions described in this Manual to help ensure safe use of the unit.
2. Inspect the unit on a periodical basis.

It is necessary to carry out appropriate periodical inspections in order to maintain the unit in optimum condi-
tion.
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.

Electrical 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.
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.
A WARNING notice indicates an indirectly (potentially) hazardous situa-

tion which, if not avoided, will result in death or serious injury, serious dam-
age 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 minor or moderate injuries, partial damage to equipment, and
loss of data stored in computers.
2
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.
Caution:Withstand load
Indicates that the use exceeding the indicated maximum load capacity (withstand load) may
cause falling or damage of the unit.
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.
2. Symbols to prohibit action

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 un-
der certain conditions.
Prohibition of contact
Indicates that touching a certain part of the unit where it may cause injury is prohibited under
certain conditions.
3. Symbols to give instructions for action

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.
3
4. Symbols of international standards (IEC)
Type BF applied part
Indicates that the device is classified as Type BF in terms of the degree of protection against
electric shock.
Type B applied part

Indicates that the device is classified as Type B in terms of the degree of protection against elec-
tric shock.
See Operation Manual

Follow Operation Manual.
See Operation Manual

Follow Operation Manual.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manu-
facturer.
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 autho-
rised 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.
Power on
Indicates the device is “ON”.
Stand-by
Indicates the device is “STAND-BY”.
Bell silenced
Indicates either a control switch to silence the bell permanently or temporarily, or that the bell is
silenced.
4
Equipotentiality
Indicates the terminals which, when connected together, bring the various parts of an equip-
ment or of a system to the same potential.
5. Other symbols
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
Main screen display switch

Indicates a switch to display the main screen.
Trend screen display switch

Indicates a switch to display the trend screen.
Menu screen display switch

Indicates a switch to display the menu screen.
Pulse oximeter screen display switch

Indicates a switch to display the pulse oximeter screen or the function related to the pulse rate.
Weight screen display switch

Indicates a switch to display the weight screen or the function related to weighing the infant.
Incubator air circulation

Indicates the function related to air circulation in the incubator or that the incubator is in manual
control.
Setting
Indicates set values or the setting procedure.
Skin temperature
Indicates the function related to the infant’s 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 temper-
ature alarm.
Peripheral temperature
Indicates the function related to the infant’s peripheral temperature (skin temperature 2).
Low water level/no water

Indicates that there is little or no water in the humidity chamber.
5
Defective humidity chamber

Indicates that something is wrong with the humidity chamber.
Humidity chamber off

Indicates that the humidity chamber is not attached properly.
Humidity
Indicates the function related to humidity.
O2
Oxygen
Indicates the function related to oxygen.
Gross weight
Indicates that the gross weight when peripheral devices of maximum loading capacity are at-
tached to the product is as inscripted.
Avoid getting caught

Indicates that the user must avoid getting caught in the gap in the device.
AC power indicator
The indicator lamp comes on in green when the unit is connected to the AC power source. It
comes on in red when no power is supplied to the unit.
Interference
(Nellcor) Indicates that interference exists.
Pulse search
Indicates that no pulse is detected.
(Nellcor)
%SpO2 Fast response mode indicator

(Nellcor) Indicates that the response mode of the pulse oximeter is set to “Fast.”
SatSeconds SatSeconds display

(Nellcor) Displays the selected SatSeconds alarm limit setting.
Press
Indicates that the lock function will be released when the key with this symbol is pressed.
Oxygen supply port 1

Indicates the oxygen supply port when oxygen is supplied through the flowmeter.
Oxygen supply port 2

Indicates the oxygen supply port for the piping connecting hose when the oxygen controller is
used.
6
Precautions on Jamming
The unit is intended for use in hospitals.

Portable and mobile communication equipment and other devices which generate high frequency
should be used at least 30cm away from the unit, including cables specified by the manufacturer.
Failure to do so may cause malfunction.
Note: The emission characteristics of this unit make it suitable for use in industrial areas or hospi-
tals (CISPR11 Class A). Take care when using the unit in residential environments (normally CIS-
PR11 Class B), as it may not provide adequate protection from wireless frequency communication
services. The user may also need to relocate or realign the unit to alleviate the problem.
Responsibility for Care of Equipment
The user (a hospital, a doctor’s office, a clinic) is responsible for the operation, maintenance and
care of the electrical equipment for medical use.
The equipment should be used only by medical personnel.
Prohibition of Modification
Do not disassemble or modify the unit.

Otherwise, a fire, 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
CAUTION
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.
7
Contents
INTRODUCTION........................................................... 1 5-1-1. Displaying and Setting the Incubator

Air Temperature (Manual Control)..... 41
PLEASE READ WITHOUT FAIL 5-1-2. Setting the Incubator Air Temperature
in the Override Mode .......................... 43
[1] Operating Precautions ............................... 10
5-2. Placing the Infant in the Incubator ............. 44
1-1. DANGER ................................................. 10 5-3. Skin Temperature Monitoring ...................... 46
1-2. WARNING ............................................... 11 5-3-1. Skin Temperature Monitoring ............. 46
1-3. CAUTION ................................................ 13 5-3-2. Monitoring the Skin Temperature at
[2] Parts Identification ........................................ 16 Two Different Sites............................... 48
2-1. Main body ...................................................... 16 5-4. Setting the Skin Temperature
2-2. Display ............................................................ 17 (Servo Control) .............................................. 49
5-4-1. Preparation ........................................... 50
PREPARATION 5-4-2. Placing the Infant in the Incubator .... 50
5-4-3. Attaching the Skin Temperature
[3] Preparation before Use ................................ 18
Probe ..................................................... 51
3-1. Assembly ........................................................ 18
5-4-4. Setting the Servo Control Mode ........ 53
3-1-1. Assembling the hood assembly ........ 18
5-4-5. Setting the Skin Temperature in the
3-1-2. Attaching the Display to the Display
Override Mode ..................................... 54
pole ........................................................ 19
3-1-3. Connecting the Display to the Main [6] Humidity Control ............................................ 55
Body ...................................................... 20 6-1. How to Fill the Humidity Chamber ............. 55
3-2. Where to Install the Incubator ..................... 21 6-2. Setting the Relative Humidity ...................... 56
3-3. Locking the Casters ...................................... 21 [7] Oxygen Supply ................................................ 59
3-4. Power Outlet and Grounding....................... 22 7-1. Using the Oxygen Flowmeter...................... 61
3-5. Power Cord and Power Switch ................... 22 7-2. Using the Internal Oxygen Controller ........ 62
3-6. Adjusting the Hi-Low Stand ......................... 23 7-2-1. Connecting to Oxygen Supply
3-7. Power Failure Alarm ..................................... 24 Source ................................................... 62
3-8. Daily Inspection ............................................. 24 7-2-2. Starting the Oxygen Controller
Function ................................................ 63
OPERATION 7-2-3. Calibrating the Oxygen Sensor ......... 63
[4] Display Screens .............................................. 25 7-2-4. Setting the Oxygen Concentration .... 64
4-1. General Description and Switching of the 7-2-5. Disabling the Oxygen Controller
Screens .......................................................... 25 Function ................................................ 65
4-1-1. General Description of [8] Pulse Oximeter ................................................ 66
the Screens .......................................... 25 8-1. Attaching the SpO2 Sensor ......................... 66
4-1-2. Transition of Screens .......................... 27 8-2. Connecting the Patient Cable ..................... 67
4-2. List of Operations Available on 8-3. Setting Alarm Limits...................................... 68
Each Screen .................................................. 28 8-3-1. Setting Upper/Lower Alarm Limits of
4-3. Main screen ................................................... 28 SpO2 ...................................................... 68
4-4. Pulse Oximeter Screen ................................ 31 8-3-2. Setting Upper/Lower Pulse Rate
4-5. Weight Screen ............................................... 34 Alarm Limits ......................................... 69
4-6. Trend Screen ................................................. 36 [9] Weight Monitor ................................................ 70
4-7. Menu Screen ................................................. 37 9-1. Preparation..................................................... 70
[5] Setting Incubator Air Temperature/ 9-2. Weighing the Infant....................................... 71
Skin Temperature and Placing the Infant 9-3. Weight Trend Graph and a List of Weight
in the Incubator ............................................... 40 Measurements .............................................. 74
5-1. Setting the Incubator Air Temperature 9-4. Switching the Unit of Weight ....................... 75
(Manual Control) ........................................... 40 9-5. Error Messages of the Weight Monitor ...... 75
PLEASE READ WITHOUT FAIL
[10] Other Operation Procedures ..................... 76 12-5. Disposal........................................................ 106
10-1. How to Operate the Menu Screen .............. 76 [13] Alarms ...............................................................107
10-1-1. Deleting Trend Data............................. 77 [14] Troubleshooting ............................................113
10-1-2. Deleting Weight Data .......................... 77
10-1-3. Setting the Trend Period ..................... 77
APPENDIX
10-1-4. Switching the Skin Temperature 2
Display .................................................. 78 [15] Technical Information .................................115
10-1-5. Switching the Unit of Temperature .... 78 15-1. Principle of Operation................................. 115
10-1-6. Setting the LCD Screen 15-1-1. Principle of Operation ....................... 115
PREPARATION
Brightness ............................................ 79 15-1-2. Principle of Measurement ................ 115
10-1-7. Setting the Light Sensor Level .......... 79 15-2. Technical Data ............................................. 116
10-1-8. Setting the Alarm Volume ................... 80 15-3. EMC Level and Classification ................... 123
10-1-9. Setting the Clock ................................. 80
10-1-10. Checking and Resetting the
Operating Time of the Filter ............... 81
10-1-11. Checking and Resetting the Number
of Days the Oxygen Sensors Have
Been Used............................................ 81
10-1-12. Setting the Pulse Synchronization
Beep Volume ........................................ 81
OPERATION
10-1-13. Setting the Sensitivity Mode ............. 82
10-1-14. Setting the Averaging Time ............... 82
10-1-15. Setting the FastSat ............................. 83
10-1-16. Setting the SatSeconds ..................... 83
10-1-17. Setting the Response Mode ............. 84
10-2. Drawing out the Mattress Platform ............. 85
10-3. Tilting the Mattress Platform ....................... 86
10-4. X-ray Cassette Tray....................................... 86
10-5. Feeding Cables and Tubes into or out of
the Incubator.................................................. 87
MAINTENANCE
10-6. I/O port (External communication
connector) ...................................................... 88
10-7. Handle (option).............................................. 89
MAINTENANCE
[11] Cleaning and Disinfection .......................... 90
11-1. Hood Assembly ............................................. 91
11-2. Mattress Platform and Inside of
Incubator ........................................................ 93
11-3. Humidity Chamber ........................................ 96
11-4. Others ............................................................. 98
APPENDIX
[12] Maintenance Inspection .............................. 99

12-1. Inspection Checklist ..................................... 99
12-1-1. Inspection Checklist - Before Use... 100
12-1-2. Inspection Checklist - During Use ... 101
12-1-3. Inspection Checklist - After Use ...... 102
12-2. Periodical Replacement Parts .................. 103
12-3. Replacing the Filter ..................................... 104
12-4. Replacing the Oxygen Sensor .................. 105
Operating Precautions
[1] Operating Precautions
Please follow the operating instructions described in this Manual to help ensure safe use of the unit. The unit
should be operated only by those who have received relevant training and instruction regarding its opera-
tion. The unit should be operated only for its intended use.
1-1. DANGER
Death or serious injury, damage to equipment or a fire will result if the instructions given below are not fol-
lowed.
Monitor the infant’s skin temperature when operating the unit.
Be sure to keep the admittance panels and snap-open access ports closed while the unit
is in use.
Using the unit with the admittance panel or snap-open access port left open may cause the infant to fall out of
the baby compar tment. Be sure to close the admittance panels and the access por ts when providing
phototherapy to an infant.
Do not leave the unit unattended when the admittance panel or snap-open access port is
open.
Otherwise, the infant may fall out of the baby compartment.
Stop using the unit immediately and request repairs if you find any abnormalities, such as
a misaligned admittance panel or snap-open access port, or a loose press lever.
The admittance panel or snap-open access port may unexpectedly open, causing the infant to fall out of the
baby compartment.
When providing phototherapy to an infant in the incubator, watch for a rise in the incubator
air temperature.
Since a mature infant emits a lot of heat, the incubator air temperature may rise if you place the infant in the
incubator and per form 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.
Any type of ignition source, such as a hand warmer, must be kept away from the incubator.
Hand warmers or other items that may catch fire or devices that generate sparks may cause an explosion or a
fire if used near the unit when oxygen is being supplied.
Do not use the unit in the presence of a flammable anesthetic gas.

Otherwise, a fire or an explosion may result.
Do not use ether, alcohol or any other flammable substances.

Even a small amount of ether, alcohol or other flammable substances may cause a fire when mixed with the
oxygen in the incubator.
10
Analyze arterial gas levels repeatedly when a high oxygen environment is required.

When raising the oxygen concentration in the incubator, 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
doctor’s instructions for measuring the oxygen concentration because ignoring essential requirements may
increase the risk of retinopathy of prematurity and other adverse effects.
1-2. WARNING
Death or serious injury, damage to equipment or a fire will result if the instructions given below are not fol-
lowed.
Be sure to follow the doctor’s instructions when setting the incubator air temperature or
the infant’s skin temperature.
Be sure to follow the doctor’s instructions when setting the relative humidity in the incuba-
tor.
The doctor is responsible for making a decision regarding transporting a premature infant.
Be sure to observe the infant continuously during transport.
Transporting a premature infant is associated with a risk of intracerebral hemorrhage due to vibration during
transport.
Smoking is prohibited in the room where the unit is installed. Do not place any potential ig-
nition sources in the room.
Follow the doctor’s instructions when selecting an appropriate method of oxygen adminis-
tration, an appropriate oxygen concentration, and an appropriate duration of administra-
tion.
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. Be sure to follow the doctor’s instructions when
deciding the oxygen concentration on the basis of PaO2 (a measured arterial oxygen partial pressure level).
Only use oxygen for medical use.
Be sure to bear in mind the following precautions when supplying oxygen.

z A hand warmer, a flashlight, oils and fats, or combustible vaporized gases should not be placed in or near the
incubator.
z Use pure cotton for the infant’s clothing, bed sheets, etc. Do not use any material that is easily charged with
static electricity.
z Be sure that the clothing of doctors, nurses and ambulance attendants who handle this unit is made from
pure cotton or fire-proof materials.
Bear in mind the following precautions while using oxygen supply equipment.
z A spontaneous and violent ignition may occur if oil, grease, or greasy substances come in contact with
pressurized oxygen. These substances must be kept away from oxygen regulators, cylinder valves, tubing
and connections, and all other oxygen supply equipment.
z On a high-pressure oxygen cylinder, only use tested pressure reducing or regulating valves marked for
oxygen service. Do not use these valves for air or gases other than oxygen. It is dangerous to use a valve to
supply a gas other than air or oxygen and then to supply oxygen again.
11
Do not use any devices that generate high frequencies near the unit.
Using electric surgical knives, mobile phones, or other devices that generate high frequencies near the unit
may cause malfunctions due to jamming.
Ground the unit securely.

Otherwise, leakage current may cause electric shock. In order to complete the ground connection, be sure to
connect the power plug to a three-prong, correctly grounded outlet. Do not operate the unit if you have any
doubts about its ground connection.
Ground peripheral electric equipment securely.
Take care of the usage environment.

Using the unit in a strong electromagnetic environment may disrupt control over temperature, humidity and
oxygen, or prevent accurate measurement values from being displayed.
Do not use the unit next to other devices.

Using the unit next to or stacked with other devices may cause malfunction.
When it is unavoidable to do so, it is necessary to check that the unit and the other devices are operating
correctly.
Avoid damaging the power cord.

A damaged power cord may cause a fire or electric shock. If a power cord is damaged, it should be immediately
replaced with a new one.
z Do not allow the power cord to get caught between the unit and the wall, a shelf or the floor.
z Do not place the power cord near a heating apparatus or heat it.
z Do not place any heavy objects on the power cord.
z Always grasp the power plug with your hand to remove the power cord from the power outlet.
Use only the power cord supplied with the unit.

Otherwise, a fire or an electric shock may result. A power cord or an AC adapter other than the one supplied
with the unit can generate high frequency noise and cause jamming to other electric devices for medical use
and thus result in malfunction, or make the unit more susceptible to high frequency noise emitted by other
electrical devices and thus result in malfunction.
Do not put multiple loads on one power outlet.

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 place the unit where it can disturb the operation of power plug.
Avoid connecting the unit to a power supply that uses a different voltage level than the rat-
ed one.
The electrical rating of this unit is as follows:
Power voltage AC230V; frequency 50/60Hz; power consumption 600VA; operating voltage range AC230V±10%
Do not connect the unit to any other power source.
Do not touch the power plug with wet hands.

Touching the power plug with wet hands may cause electric shock.
Install the unit on a stable surface.

Installing it on an unstable surface or a slope may cause it to topple, fall, or move, resulting in injury or damage
to it. 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.
12

Do not subject the oxygen sensor to strong impacts.
If the oxygen sensor should break or get damaged, the electrolyte inside may leak out of the sensor. If you
happen to touch the electrolyte, wash it off immediately and thoroughly using a large volume of water.
Do not touch the heaters during use or shortly after use.

The heaters are very hot during use and shortly after use. Allow the heaters to cool down sufficiently before
cleaning and disinfecting them in order to avoid burn injury.
Do not disassemble or modify the unit.

Otherwise, a fire, electric shock or injury may result.
The unit should only be serviced by qualified personnel in accordance with the appropriate
service manual.
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 result in a defect passing unnoticed and
cause a potentially unfavorable outcome.
If the unit fails to operate properly, stop using it immediately.

Indicate on the incubator that it is out of order and contact your local Atom representative.
Check for conformity to the applicable standard if the unit is going to be connected to an-
other 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 60950-1 for data processing equipment). Furthermore all configurations should comply
with IEC 60601-1. However, 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 is responsible for ensuring the medical system complies with the requirements of IEC 60601-1. 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.
Place the infant in the incubator only after the incubator air temperature has stabilized.
Be sure to always preheat the unit in order to keep the incubator air temperature stable.
Do not forcefully twist or pull the cords by force.
When feeding the cords and tubes into the unit, be very careful not to let them wind or
tighten around the infant.
Do not press strongly or rub on the operation panel of the display.

Otherwise, it may be damaged or malfunction.
Do not allow any chemicals to adhere to the display.

If any chemicals do adhere to it, wipe them off immediately.
13
Check that the peripheral devices operate normally.

A device that transmits or receives faint signals may be affected by the electromagnetic waves generated by the
unit. If such a device is used in the vicinity of the unit, check the operation of that device for any detrimental
effects before using the unit in clinical environments. Stop using the unit immediately if any problems occur.
Unplug the power plug before moving the unit to another location or when the unit is not
used for an extended period of time.
Moving the unit to another location with the power plug connected to a power outlet will damage the power cord
and may cause a fire or electric shock.
Do not subject the unit to impacts or allow it to hit anything.

Otherwise, it may be damaged or malfunction.
Do not install the unit in excessively hot or humid places, excessively dusty environments,
or where it will be exposed to steam.
Installing the unit in such a place may cause a fire or electric shock.
Do not install the unit in direct sunlight or near a heating apparatus.
Install the unit out of reach of small children.
Do not place any heavy objects on the unit.
Do not splash liquid directly onto the unit.

Other wise, a fire or electric shock may result, or the unit may malfunction. If a large amount of liquid is
splashed onto the unit, immediately wipe it up and call your local Atom representative to request checking of
the internal electronic circuit.
Be sure to clean and disinfect the unit before using it for the first time after purchase.
The unit is shipped without being disinfected.
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 electric shock.
Do not connect any equipment other than those we specify.
When moving the unit, watch your step to ensure your feet do not get caught in the casters.
When moving the unit, do not put your hand on an admittance panel.
If you push or pull an admittance panel hard, the unit may be damaged. Be sure to assign at least two people to
hold the main body by hand when moving the unit.
Watch out for any obstacles when moving the unit.

Care must be taken not to allow the unit or peripheral devices to hit surrounding objects to prevent it or them
from being damaged.
When taking radiographs with the supplied X-ray cassette tray, read the instruction manual
for the X-ray equipment, and make sure that necessary protection measures are taken.
14
Power cycle the unit once a day.

The unit self-checks the safety function when the power is turned on.
The user must operate the unit at a position facing the operation panel.
The incubator cannot differentiate between an increase in core temperature with a cold
skin (fever) and a low core and skin temperature (hypothermia). Monitor the temperature of
the infant.
15
Parts Identification
[2] Parts Identification
2-1. Main body

JJ Back
① ⑫ ⑱ ⑲⑳
②
⑬
③
④
⑤ ⑭
⑥
⑦ ⑮
⑯
⑧ u
Front Rear
High-Low stand type
Cabinet stand type

No. Name No. Name
Display Humidity chamber cover
Display pole Power switch
Sensor module Skin temperature probe connecting port 1
Admittance panel operating knob Skin temperature probe connecting port 2
Admittance panel Connector for sensor module
Snap-open access port Connector for SpO2 (option)
Mattress Filter cover
Mattress platform tilting knob Pole hook
Drawer (option) Connector for display
Caster AC inlet
Foot switch Potential equalization terminal
Admittance panel operating lever Connector for weight monitor
Canopy securing sliders Cord cleat
Iris access port Oxygen supply port 1
Tube introduction slit packing Oxygen supply port 2 (option)
Handle (option) Cabinet
Note: Connector for SpO2 is an available option.
16 Oxygen supply port 2 is available only on the unit equipped with the oxygen controller.
Parts Identification
JJ Mattress platform/Inside

①
⑪
②
③
④ ③
①
②
⑫
⑤
⑦
(for the unit provided with
a weight monitor)
⑨
No. Name
Tube introduction slit packing
Baby guard
Mattress
⑧ Mattress platform
⑩
X-ray cassette tray
Mattress platform tray
Middle board
Heater
Fan cover
Fan
Weight monitor unit
Tray for weight monitor
Weight monitor module
2-2. Display
① ② ③ No. Name
Alarm lamp
Operation panel
Power failure alarm indicator
Connector for the main body
I/O port
(external communication connector)
JJ Rear
17
Preparation before Use
[3] Preparation before Use
3-1. Assembly
Do not perform the following operation while the infant is in the incubator.
3-1-1. Assembling the hood assembly
(1) Attach the side hoods (head side/foot side) by Side hood (Head side)
placing the side hood fixing knobs to the attach-
ment position. Place the side hood fixing knobs to
the fixing position. Fixing Attachment
position position
Side hood fixing knob Side hood (Foot side)
(2) Move the left and right canopy securing sliders in-
Canopy securing sliders
wards and place the canopy on the side hood while
the unlocked symbols appear.
Secure the canopy by moving the left and right
canopy securing sliders outwards. The labels of the
canopy securing sliders are locked symbols .
18
(3) Attach the front and rear admittance panels by slid- Admittance panel axis slider
ing the admittance panel axis slider in the direction
of the arrow.
Attach the hinge caps to the admittance panel axis
sliders.
Admittance panel
PREPARATION
Hinge cap
3-1-2. Attaching the Display to the Display pole
(1) Insert the display pole into the pole hook on the
Display pole
main body. Tighten the thumbscrew to secure the
pole.
z Avoid moving the incubator while holding the dis-

play pole or pole hook with your hand.
Thumbscrew Pole hook
(2) Insert the display into the pole and secure it by Display
tightening the thumbscrew.
Thumbscrew
19
3-1-3. Connecting the Display to the Main Body
(1) Insert the connector of the display connecting ca-

Connector for the main body
ble into the connector for the main body on the Knobs
rear of the display. After insertion, tighten the two

knobs on the connector. Then, pull the cable lightly
to make sure that the connector does not come off.
(2) Insert the connector on the other end of the cable

into the connector for the display on the main body Connector for the display
of the incubator. After insertion, tighten the two
Knobs
knobs on the connector. Then, pull the cable lightly
to make sure that the connector does not come off.
z When inserting or removing the connector, be

careful not to pull the cable by force or twist it.
(3) Adjust the angle of the display.

The angle of the display is adjustable vertically and
horizontally.
z When adjusting the angle of the display, be care-

ful not to let it hit the hood of the incubator or
some other device nearby.
JJ Assembling the Weight Monitor Unit (for a unit equipped with a weight monitor)
(1) Run the weight monitor module cable through a Boss (reverse
hole in the mattress platform. Place the weight side)
monitor module on the mattress platform, aligning Holes for
two bosses on the back side of the module with attaching Boss
the boss (reverse side)
holes in the mattress platform.
Cable
Hole to pass the

Connector
z When attaching the weight monitor module to the cable through
mattress platform, make sure that the cable is not

caught between them. Failure to do so may lead
to inaccurate measurements.
20
(2) Pass the cable through the cutout in the mattress

Mattress platform
platform.
Cutout
Cable
PREPARATION
(3) Insert the cable into the connector for the weight
monitor on the main body of the incubator. Weight monitor module cable
3-2. Where to Install the Incubator
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 in order to prevent it from being directly affected by
such external thermal conditions.
Install the incubator on a level surface in a location where it is easy to operate. Avoid installing it near a heating
apparatus, beside a window, or where fire is used. Do not place it where chemicals may splash onto the display.
3-3. Locking the Casters

When the incubator is installed in the desired spot, lock
the four casters on the stand. To lock Stopper
JJ To lock
Lower the stopper on the caster to the LOCKED position.
JJ To unlock
Raise the stopper on the caster to the FREE position.
To unlock
z Install the incubator on a horizontal and stable

floor. Step on the stoppers to lock the casters se-
curely. To move the incubator to another place, be
sure to unlock the casters.
21
3-4. Power Outlet and Grounding
The electrical rating of this unit is as follows:

Power voltage AC230V; power consumption 600VA; frequency 50/60Hz; operating voltage
range AC230V±10% Do not connect the unit to any other power source.
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, only connect the power cord to a correctly ground-
ed 3P power outlet.
Do not operate the unit if you have any doubts about its ground connection.
Ground peripheral electrical equipment securely.
3-5. Power Cord and Power Switch

(1) Connect the power cord to the AC inlet on the back
of the main body of the incubator. Then connect
AC inlet
the power plug on the other end of the power cord
to the power outlet.
(2) Turn the power switch on.
Power switch
22
JJ Memory function
Even if the power is turned off or the power supply should be interrupted due to power failure, disconnec-
tion of the power plug or some other cause, the preselected settings and the items to be displayed will be re-
tained in the memory. When the power supply is resumed, the last selected settings and display items will be
displayed and become functional.
3-6. Adjusting the Hi-Low Stand

The height of the Hi-Low stand can be adjusted by step-
ping on the relevant side of the foot switch. Foot switch
PREPARATION
JJ To raise
Step on the right side ( ) of the foot switch con-
tinuously until the desired height is reached.
JJ To lower
Step on the left side ( ) of the foot switch continu-
ously until the desired height is reached.
z 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.
z When adjusting the height of the Hi-Low stand,
ensure the safety of the surroundings. Failing to
do so may result in personal injury or equipment
damage.
z Install the main body and the peripheral devices
in such a way that the cords do not become taut
when the Hi-Low stand is raised.
23
3-7. Power Failure Alarm
If a power failure alarm does not go off when the power switch is turned on with the power
cord disconnected after recharging, contact your local Atom representative.
The unit contains a rechargeable battery for generating an alarm when the power supply has stopped. The
battery needs charging in any of the following cases:
z immediately after purchasing the unit
z after the activation of a power failure alarm
z when the unit has not been in use for a long time
z 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
Always check that the admittance panel operating knobs and the snap-open access ports op-
erate correctly. If an admittance panel or a snap-open access port does not close securely,
stop using the unit and request repairs.
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 out-
come.
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.
24
Display Screens
[4] Display Screens
4-1. General Description and Switching of the Screens
4-1-1. General Description of the Screens

JJ Start screen
The start screen appears when the power switch is
turned on.
JJ Main screen
This screen appears first.
If any other screen is being displayed, touch ,
and the main screen will be displayed.
This screen displays the set temperature, the incuba-
OPERATION
tor air temperature, the skin temperature 1, the skin
temperature 2, the relative humidity, the oxygen
concentration, SpO2, the pulse rate, etc.
JJ Pulse oximeter screen

Touch on any other screen, and the pulse oxim-
eter screen will be displayed.
The screen highlights the pulse oximeter functions,
including SpO2, pulse rate and pulse waves.
In addition, the set temperature, the incubator air
temperature, the skin temperature 1, the skin tem-
perature 2, the relative humidity, the oxygen concen-
tration, etc. are displayed.
JJ Weight screen (This screen is displayed only when
the unit is equipped with the weight monitor unit.)
Touch on any other screen, and the weight
screen will be displayed.
This screen highlights the functions related to
weighing an infant, such as the weighing procedure
and the weight trend graph.
tration, SpO2, the pulse rate, etc. are displayed.
25
Display Screens
JJ Trend screen
Touch on any other screen, and the trend
screen will be displayed.
This screen displays trend graphs.
tration, SpO2, the pulse rate, etc. are displayed.
JJ Menu screen
Touch on any other screen, and the menu
screen for advanced settings will be displayed.
Use this screen to select advanced settings. In addi-
tion, the set temperature, the incubator air tempera-
ture, the skin temperature 1, the skin temperature 2,
the relative humidity, the oxygen concentration,
SpO2, the pulse rate, etc. are displayed.
When this screen is displayed, you can only select
advanced settings of each menu item, or switch the
screen to another.
26
Display Screens
4-1-2. Transition of Screens

Pulse oximeter screen
Main screen Weight screen
Menu screen
Trend screen
OPERATION
[Main screen] display switch
[Pulse oximeter screen] display switch
[Weight screen] display switch
[Trend screen] display switch
Start Screen [Menu screen] display switch
27
Display Screens
4-2. List of Operations Available on Each Screen
Pulse
Setting (measuring) Weight
Main screen oximeter Trend screen Menu screen
Operation screen✽4
screen✽3
Temperature-related
operation (manual/servo)
Setting humidity✽1
Setting oxygen control✽2
Setting SpO 2 /pulse rate

upper/lower alarm limits✽3
Weighing the infant✽4
Selecting other advanced

settings
: Setting (measuring) operation available : Setting operation not available

✽1: Only when the unit is equipped with a humidification function
✽2: Only when the unit is equipped with an oxygen controller ✽3: Option
✽4: Only when the unit is equipped with a weight monitor unit
4-3. Main screen
Temperature area (See p.29)
Pulse area (See p.30)

Oxygen area (See p.29)
Relative humidity area

(See p.29)
Message area (See p.30)
Clock and other indicators

area (See p.30)
Screen display switch area
(See p.30)
28
Display Screens
JJ Temperature area
Touch this area to start the temperature-related setting operation.
No. Name Description
Skin tempera- Displays a detected skin temperature 1
ture 1 display digitally.
Manual Control: Displays a set incubator air
Set tempera- temperature.
ture display Servo Control: Displays a set skin temperature
1.
Incubator air
Displays a detected incubator air temperature
temperature
digitally.
display
Heater output
Indicates the heat supply in 10 levels.
indicator
comes on in manual control and
Mode indicator
comes on in servo control.
Override (in manual control) or (in servo
indicator control) comes on in the override mode.
Displays a detected skin temperature 2 or T
Skin tempera-
(detected skin temperature 1–detected skin
ture 2 display
temperature 2) digitally.
JJ Relative humidity area

Touch this area to start the relative humidity-related setting operation.
OPERATION
Relative
Displays a detected relative humidity in the
humidity
incubator digitally.
display
Set relative
humidity Displays a set relative humidity digitally.
display
Displays a symbol of the condition when the
Water level the level of water in the humidity chamber is
indicator lowered or when the humidity chamber is in
an abnormal condition.
JJ Oxygen area
Touch this area to start the oxygen-related setting operation.
Oxygen
Displays a detected oxygen concentration in
concentration
the incubator digitally.
display
Set oxygen
concentration Displays a set oxygen concentration digitally.
display
Oxygen flow Indicates a detected oxygen flow rate in 6
rate indicator levels.
29
Display Screens
JJ Pulse area
Touch this area to start the pulse oximeter-related setting operation.
Plethysmograph
Indicates changes in the arterial flow.
bar
%SpO2 display Displays a detected SpO2 value digitally.
Pulse rate
Displays a detected pulse rate digitally.
display
Pulse rate Displays a pulse rate upper alarm limit above
alarm limits and a pulse rate lower alarm limit below
display digitally.
SpO2 alarm Displays an SpO2 upper alarm limit above and
limits display an SpO2 lower alarm limit below digitally.
Interference
indicator Comes on when interference is detected.
(Nellcor only)
Pulse search
indicator Comes on when no pulse is detected.
(Nellcor only)
JJ Screen display switch area

Main screen Touch this switch to have the main screen
display switch displayed.
Trend screen Touch this switch to have the trend screen
Menu screen Touch this switch to have the menu screen
Pulse oximeter
Touch this switch to have the pulse oximeter
screen display
screen displayed.
switch
Weight screen Touch this switch to have the weight screen
JJ Clock and other indicators area

Alarm silence Touch this switch to silence an active audible
switch alarm temporarily or reset an alarm condition.
Date display Displays a date in the month/day/year format.
Time display Displays a time in the hour:minute format.
JJ Message area
Messages other than those related to operations are displayed in this area.
Message area
30
Display Screens
4-4. Pulse Oximeter Screen

Pulse area (See p.33)
Numerical values area

(See p.32)
Message area✽ (See p.30)

area✽ (See p.30)
Screen display switch area✽

(See p.30)
✽ The pulse area shown in the figure above is for a Masimo pulse oximeter.
✽ The display of the screen display switch area, clock and other indicators area, and the message area is
the same as that described in “4-3. Main screen”. (Therefore, the explanation is omitted.)
OPERATION
31
Display Screens
JJ Numerical values area

Touch an appropriate area (the temperature area, the relative humidity area, or the oxygen area) to start the
area-related setting operation.
Incubator air
Displays a detected incubator air temperature
temperature
digitally.
display
Temperature Displays a set incubator air temperature in
area
manual control (in the same color as the
Set tempera- detected incubator air temperature). Displays
Relative ture display a set skin temperature 1 in servo control (in
humidity the same color as the detected skin tempera-
area
ture 1).
Oxygen
Override
area Comes on in the override mode.
indicator
Skin tempera- Displays a detected skin temperature 1
ture 1 display digitally.
Displays a detected skin temperature 2 or T
Skin tempera-
(detected skin temperature 1–detected skin
ture 2 display
temperature 2) digitally.
Relative
Displays a detected relative humidity in the
humidity
incubator digitally.
display
Water level Indicates the level of water in the humidity
indicator chamber or the state of the humidity chamber.
Set relative
humidity Displays a set relative humidity digitally.
display
Set oxygen
concentration Displays a set oxygen concentration digitally.
display
Oxygen
Displays a detected oxygen concentration in
concentration
the incubator digitally.
display
32
Display Screens
JJ Pulse area
Touch this area to start the pulse oximeter-related setting operation.
limits display an SpO2 lower alarm limit below digitally.
Pulse rate
display
Displays a pulse rate upper alarm limit above
Pulse rate alarm
and a pulse rate lower alarm limit below
limits display
digitally.
PI display
Displays the perfusion index.
(Masimo only)
Set sensitivity
Indicates the currently selected sensitivity
For the unit equipped with the Masimo indicator
pulse oximeter (Max, Normal, APOD).
(Masimo only)
FastSat
indicator Comes on when the FastSat mode is ON.
(Masimo only)
The numerical value on the left is the SatSec-
onds setting. The circular indicator on the
right changes color little by little clockwise
For the unit equipped with the Nellcor each time a detected SpO2 is found to be above
pulse oximeter the SpO2 upper alarm limit or below the SpO2
SatSeconds
lower alarm limit. When the whole indicator
display
has changed color, either the SpO2 upper limit
(Nellcor only)
OPERATION
alarm or the SpO2 lower limit alarm will occur
appropriately. The discolored area will
decrease little by little counterclockwise each
time a detected SpO2 is found to be within the
acceptable range.✽1
Fast Response Indicates that the response mode is set to
Mode “Fast.” This indicator will disappear when the
(Nellcor only) response mode is switched to “Normal.”
Interference
indicator Comes on when interference is detected.
(Nellcor only)
Pulse search
indicator Comes on when no pulse is detected.
(Nellcor only)
Pulse waves
Displays pulse waves.
display
Displays the Signal IQ (SIQ) bar graph.
The height of each bar is in proportion to the
SIQ display quality of the input signal concerned. The
(Masimo only) more reliable a measured value is, the higher
the bar becomes. The less reliable a measured
value is, the lower the bar becomes.
✽1 The higher the SatSeconds limit is set, the longer it takes for the upper or lower limit alarm to occur. Set
the SatSeconds limit appropriately by taking into consideration the patient’s condition. For example,
select a higher setting for monitoring an active patient whose %SpO2 values tend to fluctuate greatly.
The upper or lower limit alarm will occur even when the whole indicator has not changed color if a
detected %SpO2 value deviates from the acceptable range three or more times within 60 seconds.
Points x Seconds = SatSeconds

Where: Points = %SpO2 percentage points outside of the limit
Seconds = number of seconds the %SpO2 remains at that point outside of the limit
33
Display Screens
4-5. Weight Screen

The weight screen is displayed only when the unit is equipped with the weight monitor unit.
Weight area
(See p.35)

(See p.34)
Message area✽
(See p.30)
area✽ (See p.30)
Screen display switch area✽

(See p.30)
✽ The display of the screen display switch area, clock and other indicators area, and the message area is
JJ Numerical values area

Touch an appropriate area (temperature area, relative humidity area, oxygen area, or pulse area) to start the
area-related setting operation.
Temperature limits display an SpO2 lower alarm limit below digitally.
area✽ Pulse rate Displays a pulse rate upper alarm limit above
alarm limits and a pulse rate lower alarm limit below
display digitally.
Relative
Pulse rate
humidity area✽
display
Oxygen area✽
Pulse area
✽ The display of the temperature, relative humidity, and oxygen areas is the same as that described in “4-4.
Pulse Oximeter Screen”. (Therefore, the explanation is omitted.)
34
Display Screens
JJ Weight area

Main weight Displays either the gross weight or the net
display weight (with the tare deducted).
Touch this switch to start the tare deduction
Weigh switch
process automatically.
This switch is displayed only when the tare
Reweigh switch weight is determined. Touch this switch to
omit weighing the tare.
Touch this switch to record the weighed
Memory switch
amount.
Displays a weight trend graph.
Weight trend
Touch the weight trend graph area to have a
area
list of weight records displayed.
Weight unit
selector switch
(This switch is
available only
for the weight Touch this switch to switch the unit of weight
monitor unit from gram to pound and ounce, and vice versa.
without official
verification and
when English is
selected.)
OPERATION
35
Display Screens
4-6. Trend Screen

Trend area (See p.36)
Numerical values area✽1

(See p.34)
Message area✽2 (See p.30)

area✽2 (See p.30)
Screen display switch area✽2

(See p.30)
✽1 The display of the numerical values area is the same as that described in “4-5. Weight Screen”. (Therefore,
the explanation is omitted.)
✽2 The display of the screen display switch area, clock and other indicators area, and the message area is
JJ Trend area

A temperature scale (the incubator air
temperature, the skin temperature 1 and the
skin temperature 2) is provided on the left axis
Trend 1
and a % scale (the relative humidity and the
oxygen concentration) is provided on the right
axis to display a trend graph of each item.
Displays a trend graph of changes in the
Trend 2 heater output (the main heater and the radiant
warmer heater).
A %SpO2 scale is provided on the left axis and
Trend 3 a pulse rate scale (bpm) is provided on the
right axis to display a trend graph of each item.
36
Display Screens
4-7. Menu Screen

Menu area(See p.36-38)
Menu area
(See p.37, 38, 39)
✽1
Numerical valuesarea
✽1
(See p.34)
(See p.32)
Message area✽✽2
Message area 2 (See p.30)
(See p.28)
Clock andother
Clock and otherindicators
indicators
area✽✽22 (See
area (Seep.28)
p.30)
✽2
Screen displayswitch
Screen display switch area
area ✽2
(See p.30)
(See p.27)
✽1 The display of the numerical values area is the same as that described in “4-5. Weight Screen”. (Therefore,
the explanation is omitted.)
✽2 The display of the screen display switch area, clock and other indicators area, and the message area is
OPERATION
JJ Menu area 1
This screen appears first when the menu screen is selected.
Delete Trend Touch this switch to delete the trend data
Data switch displayed on the trend screen.
Delete Weight Touch this switch to delete the weight data
Data switch displayed on the weight screen.
Touch this switch to have the menu area 4
Pulse Oximeter
displayed for the pulse oximeter-related setting
switch
operation.
This switch is used for advanced settings of
Service Menu
the unit. For details of the operation of this
switch
switch, see the Service Manual.
Trend Period Touch this switch to select a trend period to be
selector switch displayed on the trend screen.
Touch this switch to have either a detected
Skin TEMP. 2 skin temperature 2 or ∆T (detected skin
Display switch temperature 1–detected skin temperature 2)
displayed in the temperature area.
°C/°F selector Touch this switch to switch the unit of tem-
switch perature from °C to °F, and vice versa.
Next switch
displayed.
37
Display Screens
JJ Menu area 2
Select [Next] in the menu area 1 to enter this screen.
LCD Screen
Touch this switch to set the brightness of the
Brightness
display screen to a desired level.
selector switch
Light Sensor Touch this switch to set the light sensor level
Level selector to a desired level in switching to the night
switch mode.
Go Back switch Touch this switch to return to the menu area 1.
Alarm Volume Touch this switch to set an alarm volume to a
selector switch desired level.
Clock setting Touch this switch to set the year, the month,
switch the date, the hour and the minute.
Next switch
displayed.
JJ Menu area 3
Select [Next] in the menu area 2 to enter this screen.
Touch this switch to check the number of
Filter used time
hours the filter has been used and reset the
RESET switch
elapsed time.
O2 Sensor days Touch this switch to check the number of days
of use RESET the oxygen sensors have been used and reset
switch the elapsed days.
38
Display Screens
JJ Menu area 4
Select [Pulse Oximeter] in the menu area 1 to enter this screen.
<For the unit equipped with the optional Masimo pulse oximeter>
① ④ ⑤ No. Name Description
Synchronizing
Touch this switch to set the volume of the
Pulse Beep vol-
synchronizing pulse beep of the pulse oxim-
ume selector
eter to a desired level.
switch
Sensitivity Touch this switch to set the sensitivity of the
selector switch pulse oximeter to a desired level.
Averaging Time Touch this switch to set the averaging time of
selector switch the pulse oximeter.
FastSat Touch this switch to enable or disable the
② ③ selector switch FastSat mode of the pulse oximeter.
<For the unit equipped with the optional Nellcor pulse oximeter>
① ④ No. Name Description
Synchronizing
Touch this switch to set the volume of the
Pulse Beep
synchronizing pulse beep of the pulse oxim-
volume selector
eter to a desired level.
switch
SatSeconds
Touch this switch to set SatSeconds as desired.
OPERATION
selector switch
Response Mode Touch this switch to set the response mode of
selector switch the pulse oximeter as desired.
② ③
39
Setting Incubator Air Temperature/Skin Temperature and Placing the Infant in the Incubator
[5] Setting Incubator Air Temperature/Skin Temperature

and Placing the Infant in the Incubator
Two modes of incubator air temperature control are available in using the unit: 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 infant’s skin temperature at a preselected level.
5-1. Setting the Incubator Air Temperature (Manual Control)
Be sure to follow the doctor’s instructions in setting the incubator air temperature.
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.
Check that the air inlets and outlets are not blocked with obstacles such as a diaper, gauze,
etc. If they are blocked, the temperature and the relative humidity in the incubator cannot be
controlled correctly.
Ensure that the sensor module is not covered with a cloth or other object. Otherwise, accurate
temperature and relative humidity readings will not be obtained.
40
5-1-1. Displaying and Setting the Incubator Air Temperature (Manual Control)
(1) When the power switch is turned on, an appropri- Mode Set Incubator air
ate mode indicator ( in manual control or indicator temperature temperature
in ser vo control) appears and, at the same time,

the incubator air temperature and the set tempera-
ture are displayed.
The incubator air temperature is displayed in the
range of 20.0~42.0°C in 0.1°C increments. “LOW”
will be displayed if it is 19.9°C or lower; “HIGH”
will be displayed if it is 42.1°C or higher.
z Set the incubator air temperature at least 3°C

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 5°C higher than the ambient temperature.
If a lower setting is selected, the incubator cannot
be controlled correctly.
OPERATION
(2) To change the set temperature, touch the tempera-
ture area. A message window used to select a tem-
perature control mode will appear.
(3) Touch to select the manual control. A mes-

sage window used to set the incubator air tempera-
ture will appear.
41
(4) Touch • to set the incubator air temperature

to the desired level.
The temperatur e can be set in the range of
23.0~37.0°C in 0.1°C increments. If the range of
37.1~39.0°C is desired, select the override mode
(see “5-1-2. Setting the Incubator Air Temperature
in the Override Mode”).
When the setting procedure is completed, to
close the message window.
z Be sure to follow the doctor’s instructions in set-

ting the incubator air temperature.
(5) Allow about 50-60 minutes for the incubator air

temperature to stabilize (depending on the ambi-
ent temperature). The incubator air temperature is
regarded as stabilized when the incubator air tem-
perature reading is equal or close to the set tem-
perature.
JJ Heater output indicator

The heater output indicator indicates the amount of
heat supply required to maintain the incubator air tem-
perature at a desired level. As the incubator air tempera-
ture 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 with-
in the balanced heat supply range. Thus the heater out-
put indicator helps monitor the changes in incubator air
temperature control.
42
5-1-2. Setting the Incubator Air Temperature in the Override Mode
The incubator air temperature can be set to above 37.0°C in the range of 37.1-39.0°C in 0.1°C increments by
using the override function.
(1) Touch the temperature area. A message window
used to select a temperature control mode will ap-
pear.
(2) Touch to select the manual control. A mes-

sage window used to set the incubator air tempera-
ture will appear.
(3) Touch and then touch • to set the incu-

bator air temperature to the desired level within
the range of 37.1-39.0°C.
When the setting procedure is completed, touch
to close the message window.
OPERATION
(4) When the incubator air temperature is set to
37.0°C or above, will be displayed in the tem-
perature area.
(5) The override mode will be canceled automatically

if the incubator air temperature is set to 37.0°C or
lower.
43
5-2. Placing the Infant in the Incubator
Always check the admittance panel operating knobs and the press levers of the snap-open ac-
cess 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.
NEVER open an admittance panel or an access port in order to lower the incubator air tem-
perature. 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 has been placed in the incubator, check to ensure that the admittance panels
are closed securely.
For the infant’s 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.
Do not place a load weighing 7kg or more (including the infant) on the mattress platform.
Do not apply more force than is necessary on the mattress platform.
Place the infant in the incubator only after the incubator air temperature has stabilized.
While the infant is in the incubator, check the heater output, the incubator air temperature, the
relative humidity, the oxygen concentration, etc. continuously to make sure that the infant is not
disturbed.
Be sure to cover the mattress with an appropriate bed sheet. Since the mattress is not air-per-
meable, it may cause bedsores.
To prevent a bedsore, change the infant’s position frequently.
Opening an admittance panel or an access port, using a sheet to cover the infant or using an
oxygen head box, 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 infant’s skin temperature.
Make sure there are no cords and/or tubes within the range of the motion of the admittance
panels.
44
(1) Turn the admittance panel operating knobs to the Close

“open” side.
Open Admittance panel

operating knob
Admittance panel
Close
operating knob
Open
(2) Push the admittance panel operating lever and

Open
then pull open the admittance panel gently.
Admittance panel
operating lever
Push
(3) Place the infant on the center of the mattress.

(4) After placing the infant, close the admittance panel Close
and turn the admittance panel operating knobs to
OPERATION
the “close” side in order to close the panel secure- Open Admittance panel
ly. operating knob
Admittance panel
operating knob Close
Open
(5) A gentle touch of the elbow on the press lever will

Press lever
open a snap-open access port via a spring action.
(6) To close the port, push the port door until it closes
Red marking
completely. Make sure that the red marking on the
snap-open access por t is not visible after it is
closed. If the red marking is visible, close the ac-
cess port completely again.
45
5-3. Skin Temperature Monitoring

To monitor the skin temperature of the infant placed in the incubator, attach a skin temperature probe to the
infant. Two skin temperature probes can be connected to the unit. The yellow skin temperature probe (ac-
cessory) is usually used for monitoring skin temperatures and servo control. However, to monitor the in-
fant’s skin temperature at two different sites at the same time, the white skin temperature probe (option)
needs to be connected to the skin temperature probe connecting port 2 in addition to the yellow skin temper-
ature probe.
5-3-1. Skin Temperature Monitoring
(1) Insert the cable plug of the yellow skin tempera-

Yellow skin temperature probe
ture probe firmly into the skin temperature probe
connecting port 1 on the back of the main body.
Pull the cable into the incubator through the tube
introduction slit packing. Tube introduction slit packing
Skin temperature probe connecting port 1
z Be sure to connect the yellow skin temperature

probe to the skin temperature probe connecting
port 1. The white skin temperature probe cannot
be connected to this port.
z Be sure to use the skin temperature probes speci-
fied by Atom.
(2) 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.
46
(3) Attach the yellow skin temperature probe to a site

Cover Baby
between the navel and the xiphoid process on the
infant’s abdominal median line using 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.
Skin temperature
Tape probe
z Do not place the skin temperature probe under

Cover Baby
the infant. Do not use it as a rectal probe. Heat-sensing
surface Resin
Metal
Skin
z If the heat-sensing surface of the skin tempera-
ture probe is not correctly attached to the infant,
or if it accidentally comes off the infant, the skin
temperature will not be able to be detected accu-
rately. In servo control operation, in particular, im-
proper attachment of the skin temperature probe
OPERATION
may cause excessive heating. Be very careful
when attaching the skin temperature probe to the
infant.
z Follow the doctor’s instructions as to the site of at-
tachment of the skin temperature probe when the
infant is in a prone position.
(4) The temperature detected by the skin temperature

probe will be displayed on the skin temperature 1
display in the temperature area.
(5) Allow 4-5 minutes after attaching the skin tempera-
ture probe to the infant for the temperature read-
ing to stabilize and then start temperature monitor-
ing using the skin temperature probe.
The skin temperature is displayed in the range of
30.0~42.0°C in 0.1°C increments. “LOW” will be
displayed if it is below 30.0°C; “HIGH” will be dis-
played if it is above 42.0°C.
47
JJ To connect a disposable skin temperature probe (option)

When you use a disposable skin temperature probe (op-
Disposable skin temperature probe (yellow)
tion), insert the plug of the disposable skin temperature Back of the main body
probe connecting cable firmly into the skin temperature [Skin temperature probe
connecting port 1]
probe connecting port 1 and insert the connector of the
Disposable skin temperature
disposable skin temperature probe into the connector probe connecting cable (yellow)
on the other end of the connecting cable, as shown in
the figure on the right. To the patient
The temperature detected by the skin temperature
probe is displayed on the skin temperature 1 display.
5-3-2. Monitoring the Skin Temperature at Two Different Sites
The white skin temperature probe is mainly used to monitor the infant’s peripheral skin temperature.
(1) Follow the procedure described in “5-3-1. Skin
Skin temperature probe
Temperature Monitoring” to attach the yellow skin
connecting port 1
temperature probe to the infant. Skin temperature probe
connecting port 2
(2) Insert the cable plug of the white skin temperature
probe firmly into the skin temperature probe con-
necting port 2. Pull the cable into the incubator
through the tube introduction slit packing.
(3) Attach the white skin temperature probe to the in- White skin temperature probe
fant.
(4) The temperature detected by the white skin tem-

perature probe will be displayed on the skin tem-
perature 2 display in the temperature area.
(5) To have a difference between a detected skin tem-
perature 1 and a detected skin temperature 2 (de-
tected skin temperature 1–detected skin tempera-
ture 2) displayed, access the menu screen and
switch the skin temperature 2 display (see “10-1-4.
Switching the Skin Temperature 2 Display”).
z Be sure to connect the white skin temperature

probe (option) to the skin temperature probe con-
necting port 2. The yellow skin temperature probe
cannot be connected to this port.
48
5-4. Setting the Skin Temperature (Servo Control)
Be sure to follow the doctor’s instructions in setting the skin temperature. The “skin tempera-
ture” is defined as the infant’s “abdominal skin temperature” detected by the skin temperature
probe.
In the servo control mode, if the infant should produce heat spontaneously or should have de-
veloped a fever, the incubator air temperature may drop and/or some other adverse effects to
the infant may result.
Practice and master the operation procedure before placing the infant in the incubator, and
conduct temperature tests while the unit is empty to check that it operates normally.
Before starting servo control operation, have the incubator air temperature stabilized in manual
control first, and then switch the control mode to servo control.
While the infant is in the incubator, check the heater output, the incubator air temperature, the
relative humidity, the oxygen concentration, etc. continuously to make sure that the infant is not
OPERATION
disturbed.
In servo control, bear in mind that the skin temperature probe may cool down due to the in-
fant’s perspiration, which may cause the heater to start heating.
Monitor the infant’s core temperature separately during servo control operation.
In the servo control mode, the incubator air temperature is controlled by giving priority to the maintenance
of the infant’s skin temperature. It detects the infant’s skin temperature with a skin temperature probe at-
tached to the infant’s 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 infant’s
skin temperature at a constant level (i.e. the set temperature); if the infant’s skin temperature is lower than
the set temperature, the incubator air temperature will rise, while if the infant’s skin temperature is higher
than the set temperature, the incubator air temperature will fall.
49
JJ Mechanism to prevent low incubator air temperature

The incubator is provided with a mechanism to prevent the incubator air temperature from falling unneces-
sarily due to the infant’s fever, etc.
If the infant’s skin temperature should exceed the set temperature by not more than 0.5°C, the incubator air
temperature will not fall below the infant’s skin temperature by more than 5°C. Even if the infant’s skin tem-
perature should exceed the set temperature by more than 0.5°C, the incubator air temperature will not fall
below 25°C. Thus, during the servo control mode, the incubator air temperature is controlled in the range of
25~38°C.
Example: If the infant’s skin temperature should rise to 36.8°C with the set temperature at 36.5°C, the
incubator air temperature will not fall below the infant’s skin temperature by more than 5°C, so
that it will not fall below 31.8°C. Even if the infant’s skin temperature should rise to 37.2°C and
thus exceed the set temperature by more than 0.5°C, the incubator air temperature will not fall
below 25°C.
5-4-1. Preparation
(1) After turning the power switch on, check that is Mode indicator
displayed on the mode indicator.
If is on, touch the temperature area and select

.
(2) Follow the procedure described in “5-1. Setting the

Incubator Air Temperature (Manual Control)” to set
the incubator air temperature in the manual con-
trol mode.
5-4-2. Placing the Infant in the Incubator
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 following the procedure described in “5-2. Placing the In-
fant in the Incubator.”
50
5-4-3. Attaching the Skin Temperature Probe
(1) Insert the cable plug of the yellow skin tempera-

Yellow skin temperature probe
ture probe firmly into the skin temperature probe
connecting port 1 on the back of the main body.
Pull the cable into the incubator through the tube
introduction slit packing.
Skin temperature probe connecting port 1
z Be sure to connect the yellow skin temperature

probe to the skin temperature probe connecting
port 1. The yellow skin temperature probe is used
for servo control. The white skin temperature
probe cannot be used for servo control.
z Be sure to use the skin temperature probes speci-
fied by Atom.
OPERATION
51
(2) Before attaching the skin temperature probe to the

Cover Baby
infant, clean the site of attachment with alcohol or
lukewarm water to get rid of any fetal fat or dirt.
(3) Attach the yellow skin temperature probe to a site
between the navel and the xiphoid process on the
infant’s abdominal median line using the “Cover
Baby.” The heat-sensing surface should touch the
Skin temperature
skin. Affix a piece of tape at a slight distance from probe
Tape
the tip of the probe and fix the probe securely to
the skin.
Cover Baby
Heat-sensing
surface Resin
z Do not place the skin temperature probe under

Metal
the infant. Do not use it as a rectal probe.
z Attach the skin temperature probe securely to the Skin
infant’s abdominal wall. The skin temperature can-

not be accurately detected if the skin temperature
probe accidentally comes off the infant’s abdomi-
nal 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 infant’s arm, or if it should
be cooled by getting wet with the infant’s urine or
some medical fluid.
z Follow the doctor’s instructions as to the site of at-

tachment of the skin temperature probe when the
infant is in a prone position.
(4) The temperature detected by the skin temperature

probe will be displayed on the skin temperature 1
display in the temperature area.
(5) Allow 4-5 minutes after attaching the skin tempera-
ture probe to the infant for the temperature read-
ing to stabilize and then start temperature monitor-
ing using the skin temperature probe.
The skin temperature is displayed in the range of
30.0~42.0°C in 0.1°C increments. “LOW” will be
displayed if it is below 30.0°C; “HIGH” will be dis-
played if it is above 42.0°C.
52
JJ To connect a disposable skin temperature probe (option)

When you use a disposable skin temperature probe (op-
tion), insert the plug of the disposable skin temperature
probe connecting cable firmly into the skin temperature Back of the main body
[Skin temperature probe
probe connecting port 1 and insert the connector of the connecting port 1] Disposable skin temperature
disposable skin temperature probe into the connector probe connecting cable (yellow)
on the other end of the connecting cable, as shown in
the figure on the right. To the patient
The temperature detected by the skin temperature
probe is displayed on the skin temperature 1 display.
5-4-4. Setting the Servo Control Mode

pear.
OPERATION
(2) Touch to select servo control. A message win-
dow used to set the skin temperature will appear.
(3) Touch an appropriate setting switch ( • ) to

set the skin temperature to a desired level.
The temperature can be set in the range of 34.0-
37.5°C in 0.1°C increments. If the range above
37.5°C, such as 37.6-38.0°C, is desired, select the
override mode (see “5-4-5. Setting the Skin Tem-
perature in the Override Mode”).
z Be sure to follow the doctor’s instructions in set-

ting the skin temperature. The “skin temperature”
is defined as the infant’s “abdominal skin temper-
ature” detected by the skin temperature probe.
53
5-4-5. Setting the Skin Temperature in the Override Mode
The skin temperature can be set to above 37.5°C in the range of 37.6-38.0°C in 0.1°C increments by using
the override function.
pear.
(2) Touch to select servo control. A message win-

dow used to set the skin temperature will appear.
(3) Touch and then touch • to set the skin

temperature to the desired level within the range
of 37.6-38.0°C.
(4) When the skin temperature is set to 37.6°C or
above, will be displayed in the temperature
area.
(5) The override mode will be canceled automatically

if the skin temperature is set to 37.5°C or lower.
54
Humidity Control
[6] Humidity Control
Skip this section if your unit is not equipped with a humidification function.
Humidity should be controlled after the incubator air temperature has stabilized. Be sure to fol-
low the doctor’s instructions in humidity control.
Do not put water directly into 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 in the humidity chamber can be high enough
to cause burns. The temperature of the water in the chamber will exceed 70°C.
Do not leave water inside the humidity chamber except when humidifying the incubator air.
OPERATION
To prevent the multiplication of microorganisms and the contamination of the humidity cham-
ber, 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
40°C.
6-1. How to Fill the Humidity Chamber
(1) Open the humidity chamber cover.

(2) Lower the lever and draw out the humidity cham-
ber until it stops halfway.
z Hold the humidity chamber with both hands when

taking it out of the main body because the humid- Humidity chamber cover
ity chamber is heavy when it is filled with water.
55
Humidity Control
(3) Take out the car tridge tank from the humidity
chamber. Humidity chamber
Cartridge
tank
(4) Open the cartridge tank cap and fill up the tank
with sterile distilled water.
Close the tank cap securely and place the tank Cartridge tank
back into the humidity chamber with the cap side

down.
Sterile distilled
water
(5) Push the humidity chamber gently back into posi-

tion and raise the lever.
(6) Close the humidity chamber cover.
JJ Operation without humidity control

If the incubator is to be used without humidity regulation, do not put any water into the humidity chamber.
A symbol will appear. in this case; however, operate the incubator with the indicator on.
6-2. Setting the Relative Humidity
(1) Touch the humidity area to activate a message win-

dow to enable or disable humidity control.
56
Humidity Control
(2) When you touch , a message window appears

that enables the user to set the relative humidity.
(3) Touch or to set the humidity to the desired

level.
(4) When the water level in the humidity chamber has
become low, the symbol will be dis-
played in the relative humidity area (see “[13]
Alarms”).
If this symbol appears, fill the cartridge tank with
sterile distilled water.
z When adding sterile distilled water, pull out the

humidity chamber until it stops and take the car-
tridge tank out of it. Refill the tank with sterile dis-
tilled water. Be very careful when handling the hu-
OPERATION
midity chamber because the chamber itself may
have become very hot.
(5) If you want to disable humidification, touch the hu-

midity area and select in the message window
for enabling/disabling humidity control. Then,
touch to close the message window.
57
Humidity Control
JJ Meanings of symbols that appear in the water level display

Symbol Description
<No water>
Without humidity control
Indicates that there is no water in the humidity chamber when the humidity is
not controlled.
<Humidity chamber off>
Indicates that the humidity chamber is disengaged from the main body when
the humidity is not controlled.
<Defective humidity chamber>
Indicates that a fault has occurred in the humidity chamber when the humidity
is not controlled.
<Low water level alert>
Indicates that the water level in the humidity chamber is low while the humid-
ity is being controlled.
Humidity control is active
<No water alarm>

(The left and right Indicates that the humidity chamber is empty while humidity is being con-
symbols blink trolled.
alternately.)
<Humidity chamber off>

Indicates that the humidity chamber has been disengaged from the main body
when the humidity is being controlled.
<Defective humidity chamber>

(The left and right Indicates that a fault has occurred in the humidity chamber while humidity is
symbols blink being controlled.
alternately.)
58
Oxygen Supply
[7] Oxygen Supply
The unit is capable of delivering oxygen to the inside of the incubator. If your unit is equipped with the oxy-
gen controller, the oxygen concentration in the incubator can be controlled.
The risk of fire hazards increases while oxygen is being supplied. Do not use body warmers or
other devices that may produce sparks around the unit.
When raising the oxygen concentration in the incubator, 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 doctor’s instructions for measuring the oxygen concentration be-
cause ignoring essential requirements may increase the risk of retinopathy of prematurity and
other adverse effects.
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. Be sure to follow the
OPERATION
doctor’s instructions regarding the concentration of oxygen delivered to the inside of the incu-
bator.
While oxygen is being supplied, continuously measure the oxygen concentrations in the incu-
bator using an oxygen monitor. Pay particular attention to changes in oxygen concentration. If
the oxygen concentration in the incubator deviates from a desired level, make necessary ad-
justments by increasing or reducing the oxygen flow rate.
Only use oxygen for medical use.
A spontaneous and violent ignition may occur if oil, grease, or greasy substances come in
contact with pressurized oxygen. These substances must be kept away from oxygen regula-
tors, cylinder valves, tubing and connections, and all other oxygen supply equipment.
On a high-pressure oxygen cylinder, only use tested pressure reducing or regulating valves
marked for oxygen service.
Never supply humidified oxygen from the oxygen supply port. Humidified oxygen may damage
the internal oxygen supply valve.
The oxygen flowmeter cannot be expected to provide an accurate index of the oxygen concen-
tration in the incubator. Check the oxygen concentration using a calibrated oxygen monitor by
following the doctor’s instructions.
59
Oxygen Supply
The oxygen concentration in the incubator varies with the operating conditions of the incuba-
tor, the accuracy of the oxygen flowmeter, etc. To accurately maintain the oxygen concentration
inside the incubator at a desired level, measure it repeatedly using an accurate oxygen moni-
tor.
If performing the cleaning and maintenance procedures in an oxygen-enriched environment,

there is a risk that a fire or explosion may occur. Turn off the oxygen supply and disconnect the
oxygen supply hose from the incubator before cleaning the incubator. When the incubator is
not in use, turn off the oxygen supply and remove the oxygen supply hose from the incubator.
Before using the incubator, check the oxygen sensors for any sign of deterioration or leakage,
and replace them immediately if any cracks should be found on the outside.
The oxygen sensor is a sealed unit that contains potassium hydroxide electrolyte. The electro-
lyte may leak out if the sensor is damaged when dropped, etc. If contact with the skin or cloth-
ing occurs, wash the area using large amounts of water. In case of eye contact, flush eyes im-
mediately using large amounts of water and consult a doctor.
The power cycle will disable the oxygen controller function.
Be sure to perform the 21% calibration (calibration of the oxygen sensor to the air) when oxy-
gen is not in use before using the unit for a new patient (before disinfection). If the 21% calibra-
tion is performed while oxygen is being supplied to the incubator or after it is supplied to it, oxy-
gen inside the hood will leak and may affect the calibration.
The oxygen concentration in the incubator may be affected when the snap-open access ports
or admittance panels are opened. Any open gaps in the incubator hood may reduce the incu-
bator’s internal oxygen level. Make sure that the tube introduction slit packing is correctly at-
tached.
A dirty filter will affect the oxygen concentration. Check the filter. If it is dirty, replace it.
When you use the oxygen flowmeter to supply oxygen, the supply flow rate must not exceed
10L/min. If it exceeds 10L/min, the oxygen supply hose may come off.
Supplementing oxygen may increase the noise level for the infant inside the incubator.
60
Oxygen Supply
7-1. Using the Oxygen Flowmeter
(1) Connect an oxygen supply source and the oxygen

flowmeter and fit the oxygen supply hose into the
oxygen flowmeter hose fitting.
(2) Connect the oxygen supply hose to the oxygen
supply port 1 on the back of the main body.
(3) Turn the knob on the oxygen flowmeter and adjust
the flow rate to a desired level.
The oxygen concentration in the incubator will sta-
bilize after approximately 40 minutes. Increase the Oxygen supply port 1
supply flow rate if the detected oxygen concentra-
tion in the incubator is lower than the desired level; Oxygen supply hose
reduce the supply flow rate if the detected oxygen
concentration in the incubator is higher than the
desired level.
z Continuously measure the oxygen concentrations

in the incubator using an oxygen monitor until the
OPERATION
oxygen concentration in the incubator has stabi-
lized. Pay particular attention to changes in oxy-
gen concentration.
z Be sure to supply oxygen to the oxygen supply
port 1 through the oxygen flowmeter (option).
61
Oxygen Supply
7-2. Using the Internal Oxygen Controller

The description in this section relates to a unit which is equipped with an oxygen controller. If your unit
doesn’t have one, skip this section.
Be sure to calibrate the oxygen controller with the oxygen in the atmosphere (21%O2) before
using it.
Check the oxygen concentration as appropriate to make sure that oxygen is being supplied at
a prescribed level.
If any abnormal condition or trouble should occur to the oxygen sensors or the oxygen control-
ler while oxygen is supplied, turn the oxygen controller off immediately and then switch the ox-
ygen supply source to the oxygen flowmeter. Measure the oxygen concentrations in the incu-
bator continuously using another oxygen monitor while paying particular attention to any
changes in oxygen concentration. However, this should only be a temporary measure. After
use, indicate on the unit that it is out of order, and do not use the oxygen controller until it has
been repaired.
7-2-1. Connecting to Oxygen Supply Source
Insert the connector of the piping connecting hose into

the oxygen supply port 2 on the back of the main body
and supply oxygen.
Connector
z Do not use the oxygen supply port 1 and the oxy-

gen supply port 2 simultaneously. Oxygen supply port 2
z Be sure to supply oxygen to the oxygen supply
port 2 from a medical gas supply unit. To be obtained
Supplied with the oxygen controller
by the user
Piping jacks are not included in the accessories. To con- Wire hose band
Piping jack
nect to a piping outlet, obtain an appropriate piping jack [for oxygen]
and attach it to the piping connecting hose supplied
with the unit by referring to the figure on the right. Piping connecting hose:for oxygen
[green hose]
✽ If you have any questions concerning piping jacks,
contact your local Atom representative.
JJ Connecting an Oxygen Cylinder

To connect an oxygen cylinder to the unit, use the optional pressure reducing regulator.
62
Oxygen Supply
7-2-2. Starting the Oxygen Controller Function
(1) Check that the oxygen sensors are correctly at-

tached to the sensor module. (For information on
how to attach the oxygen sensors, see “12-4. Re-
placing the Oxygen Sensor”)
(2) Touch the oxygen area. A message appears asking
whether you want to start the oxygen controller
function.
(3) Select . The oxygen concentration in the incu-

bator is displayed in the oxygen area and a mes-
sage appears, prompting you to perform the cali-
bration for a few seconds.
OPERATION
7-2-3. Calibrating the Oxygen Sensor
(1) Unlock the sensor module by pulling it slightly to-

Lever
ward you while pressing the lever. Pull the sensor
module all the way out without removing it from
the hood.
Sensor module
63
Oxygen Supply
(2) The calibrating the oxygen sensor message ap-

pears in the message area and the 21% calibration
is initiated by the oxygen sensor.
When calibration is complete, the message “O 2
sensor calibrated” appears.
Push the sensor module back into the main body.
z Be sure to perform the 21% calibration while no

oxygen is used before using the unit for a new pa-
tient (before disinfection). If the 21% calibration is
performed while oxygen is being supplied to the
incubator or after it is supplied to it, oxygen inside
the hood will leak and may affect the calibration.
7-2-4. Setting the Oxygen Concentration
(1) After calibration is completed, touch the oxygen

area. When you touch that appears in the mes-
sage area, a message window that enables the user
to change the oxygen concentration setting ap-
pears.
(2) Touch or to set the oxygen concentration to
the desired level.
While the oxygen is being supplied, the oxygen

flow rate is indicated in the oxygen area.
64
Oxygen Supply
7-2-5. Disabling the Oxygen Controller Function
(1) To disable the oxygen control, touch the oxygen

area and select in the message area.
(2) A message appears asking whether you want to

disable the oxygen controller function. Select
and then touch to close the message window.
When the oxygen controller function has been dis-

abled, “OFF” will be displayed in the oxygen area.
OFF
OPERATION
65
Pulse Oximeter
[8] Pulse Oximeter
8-1. Attaching the SpO2 Sensor

The procedure for attaching the sensor to the infant varies with the SpO2 sensor to be used. For information
on how to attach sensors to the infant, follow the instructions in the Operation Manual provided with the re-
spective sensor.
Wrap the adhesive tape for securing the sensor, but not too tightly. Wrapping it too tightly will
hinder the circulation of the blood and may result in no measurements.
The sensor is for single patient use only.
The sensors are shipped without being disinfected.
Failure to correctly attach the sensor to the infant may result in inaccurate measurements.
Leaving the sensor attached to the infant for a long time may result in inaccurate measure-
ments. Moreover, it may cause necrosis due to compression, and skin irritation due to applica-
tion of adhesive tape. Change the sensor site at least every eight hours.
Constantly check the circulation distal to the sensor site.
Make sure that the emitter and the detector face each other across the tissue.
Do not use a damaged sensor.
Do not immerse the sensor in any liquid.
Elevated levels of carboxyhemoglobin (COHb) or methemoglobin (MetHb) or the presence of

intravascular dyes may result in inaccurate measurements.
Do not use the sensor during MRI scanning.
Do not attach the sensor to the hand or foot to which a blood pressure cuff or an arterial cath-
eter is at-tached.
Premature infants tend to develop retinopathy of prematurity in a high oxygen environment.

Therefore, be especially cautious in setting the SpO2 upper alarm limit.
Do not expose the sensor to xenon light, phototherapy light, fluorescent light, infrared light or
direct sunlight. Otherwise, the performance of the sensor may be affected.
The plethysmograph on the display is not proportional to the size of the detected pulse. (For
the unit equipped with Masimo pulse oximeter)
66
Pulse Oximeter
The plethysmograph on the display is proportional to the size of the detected pulse.
(For the unit equipped with Nellcor pulse oximeter)
Before attaching the sensor to the infant, connect the patient cable to the unit to confirm that
an alarm occurs.
Only use sensors and patient cables specified by Atom to connect to the pulse oximeter in this
unit. Do not use any other sensors or patient cables.
The above sensors and patient cables are not waterproof.
Do not set alarm limits to extreme values that render the monitoring system useless. Please
check the upper/lower alarm limit settings and confirm that it is appropriate for the patient be-
ing monitored.
8-2. Connecting the Patient Cable
OPERATION
(1) Connect the patient cable to the SpO2 sensor.
(2) Guide the patient cable out of the incubator
through the tube introduction slit and plug the ca-
ble into the connector for SpO2 on the back of the Plug of the patient cable
main body.
After a short time, a detected SpO2 value appear in
the SpO2 display and a detected pulse rate appears
Connector for SpO2
in the pulse rate display.
67
Pulse Oximeter
8-3. Setting Alarm Limits

You can set upper/lower alarm limits respectively for the SpO2 and the pulse rate monitored with the pulse
oximeter. Audible and visual alarms will be given if any of the alarm limits is violated (see “[13] Alarms”).
8-3-1. Setting Upper/Lower Alarm Limits of SpO2
(1) Touch the SpO2 display area, and a message win-

dow will appear to enable the user to select the
SpO2 upper/lower alarm limits.
(2) If is selected, a message window that enables

the user to set the upper alarm limit will appear. If
is selected, a message window that enables
the user to set the lower alarm limit will appear.
These alarm limits can be changed.
(3) Touch or to set the appropriate alarm limit

to the desired value.
The upper alarm limit can be set in the range of 50
to 99% in 1% increments. To set the upper limit
alarm to OFF, touch when 99% is displayed. The
setting will be displayed as “— —”.
The lower alarm limit can be set in the range of
45~95% in 1% increments. To set the lower limit
alarm to OFF, touch when 45% is displayed. The
SpO2 lower alarm limit will be displayed as “— —”.
z Premature infants tend to develop retinopathy of

prematurity in a high oxygen environment. There-
fore, be especially cautious in setting the SpO2
upper alarm limit.
(4) When the setting procedure is completed, touch

68
Pulse Oximeter
8-3-2. Setting Upper/Lower Pulse Rate Alarm Limits
(1) Touch the pulse rate display area, and a message

window will appear that enables the user to select
the pulse rate upper/lower alarm limits.
(2) If is selected, a message window that enables

the user to set the upper alarm limit will appear. If
is selected, a message window that enables
the user to set the lower alarm limit will appear.
These alarm limits can be changed.
(3) Touch or to set the appropriate alarm limit

to the desired value.
The upper alarm limit can be set in the range of
OPERATION
80~240bpm in 5bpm increments. To set the upper
limit alarm to OFF, touch when 240bpm is dis-
played. The pulse rate upper alarm limit will be dis-
played as “— —”.
The lower alarm limit can be set in the range of
35~180bpm in 5bpm increments. To set the lower
limit alarm to OFF, touch when 35bpm is dis-
played. The pulse rate lower alarm limit will be dis-
played as “— —”.
(4) When the setting procedure is completed, touch
69
Weight Monitor
[9] Weight Monitor
This chapter contains instructions for operating the weight monitor. Skip this chapter if your unit is not
equipped with a weight monitor.
Weigh the infant cautiously while observing the infant’s condition.
Ensure that the mattress platform is level before weighing the infant. If the mattress platform is
not level, the user may not be able to obtain accurate readings.
Be sure to place the infant in the center of the mattress in order obtain accurate readings.
Routing of the infusion tubing, the cables of the heart rate monitor, the respiration monitor or
other devices may affect the weight measurement. During the weighing procedure, ensure that
no forces are applied to the tubing and cables.
Do not put any unnecessary objects on the mattress, and be sure to secure a large area on
the mattress when weighing the infant.
Before weighing the infant, make sure that the bed sheet and the instruments on the mattress,
etc. are within the boundary of the mattress. Failure to do so can result in inaccurate readings.
Do not lean on the incubator while weighing the infant. Otherwise, inaccurate readings can oc-
cur.
To ensure accurate readings, calibrate the weight monitor periodically. Please contact your lo-
cal Atom representative for calibration.
9-1. Preparation
Level the mattress platform using the level attached to

it before measuring the weight of the infant.
Level
70
Weight Monitor
9-2. Weighing the Infant
(1) To use the weight monitor, touch in the screen

display switch area, and the weight screen will ap-
pear.
(2) Touch , and a message “Lift up baby from mat-

tress” will appear.
2016
OPERATION
(3) Lift up the infant, and the tare deduction process
will be started automatically. A message “Tare in
progress.” will appear.
✽ If the “Failed to deduct tare” message appears,
see “ If deduction of tare weight or measure-
ment does not work correctly:” on page 73.
71
Weight Monitor
(4) When the tare deduction process is completed suc-

cessfully, a message “Replace baby on mattress.”
will appear. Place the infant gently on the mattress.
(5) Once measuring is complete, the “Measurement

completed. Ready for Recording” message appears
and the measurement is fixed. Once the measure-
ment is fixed, the displayed value remains un-
changed even if a load is changed.
✽ If the “Reading unstable.” message appears, see
“ If deduction of tare weight or measurement
108
does not work correctly:” on page 73.
(6) When you touch , you can re-weigh the infant
without lifting up him (or her).
To cancel the hold, touch .
(7) Touch to record the measurements.

The recorded measurements are plotted on the
weight trend graph and added to a list of weight
measurements.
72
Weight Monitor
JJ If deduction of tare weight or measurement does not work correctly:

Check the following and try again.
If a message “Failed to deduct tare.” should appear.

Place the infant back on the mattress and perform the tare function again while exercising care
not to allow your arm or the infant to come into contact with the mattress platform.
If a message “Reading unstable.” should appear.

The load may not be stable. Wait for the infant’s movement to decrease and then weigh the in-
fant again.
✽ The tare deduction process will not be started automatically if the infant weighs less than
300g.
JJ Weighing in a special mode

To deduct the tare before placing the infant, follow the steps below.
(1) Touch before placing the infant on the mattress.

(2) Touch again while a message “Lift up baby from mattress.” is being displayed.
(3) The tare deduction process will be started and a message “Continuous measurement.” will appear.
✽ If the “Failed to deduct tare” message appears, see “ If deduction of tare weight or measurement
does not work correctly:” described above.
OPERATION
(4) Make sure that the weight reading is “0”, and then gently place the infant on the mattress.
(5) Once the reading has stabilized, touch . The reading will stay constant.
✽ If the “Reading unstable.” message appears, see “ If deduction of tare weight or measurement
does not work correctly:” described above.
73
Weight Monitor
9-3. Weight Trend Graph and a List of Weight Measurements
Every time the weight trend area is touched, the display

alternates between the weight trend graph and a list of
weight measurements.
If the power is tur ned of f, weight data will remain
stored. Be sure to delete past weight data before weigh-
ing a new patient (see “10-1-2. Deleting Weight Data”).
JJ Weight trend graph

z The horizontal axis of the graph shows the month/
the day. One division corresponds to one day (24
hours). The ver tical axis of the graph shows the
weight value. One division corresponds to 50g. The
graph shows data within an appropriate range of 400g
in the overall range of 200~7000g (automatically ad-
justed).
z The weight trend graph plots only recorded weight
readings.
JJ List of Weight Measurements

z The list shows up to 10 latest data of the weight mea-
surements and the date and time when each measure-
ment was recorded.
z When the list area is touched, the next page will ap-
pear.
z The weight data is displayed in ascending order.
74
Weight Monitor
9-4. Switching the Unit of Weight✽

✽ This switch is available only for the weight monitor unit without official verification and when English is se-
lected.
Touch on the screen, and you can switch the unit
of weight from gram to pound and ounce, and vice ver-
sa. The newly selected unit will also be used for the
weight graph and the list of weight records.
9-5. Error Messages of the Weight Monitor

In addition to measurement failures, there are some important messages related to the weight monitor. If
any of the following error messages is displayed, do not use the weight monitor until it returns to its normal
state.
No. Error message Description
The weight measuring section of the weight monitor unit is not
Weight measuring section
OPERATION
1 connected properly.
unconnected
Check the weight measuring section for proper connection.
Weighning scale abnormal An abnormal condition of the weight monitor has been detected.
2
(E-F0) The weight monitor is considered faulty.
Overloading in excess of 7000g (not including the mattress plat-

form) has been detected.
Overloaded
3 Remove the load immediately.
Out of measuring range
If the error message persists, check whether the tray for the
weight monitor is tilted, etc.
75
Other Operation Procedures
[10] Other Operation Procedures
10-1. How to Operate the Menu Screen

When you touch in the respective screen, the menu screen is displayed.
The menu screen transitions as shown below.
Menu area 1 Menu area 4

<For the unit equipped with the optional
Masimo pulse oximeter>
Menu area 2
Menu area 4
<For the unit equipped with the optional
Nellcor pulse oximeter>
Menu area 3
76
10-1-1. Deleting Trend Data
(1) Touch [Delete Trend Data] in the menu area 1, and

a message to confirm whether to delete the trend
data will appear.
(2) Touch to delete the trend data.

Touch to cancel this procedure.
10-1-2. Deleting Weight Data
(1) Touch [Delete Weight Data] in the menu area 1,

and a message to confirm whether to delete the
weight data will appear.
OPERATION
(2) Touch to delete the weight data.
10-1-3. Setting the Trend Period
Note that if the trend period is changed, past trend data will be erased. Erased data cannot be
recovered.
The trend period that is displayed in a single trend screen can be set to 1, 3, 6, 12 or 24 hours.
77
(1) Touch [Trend Period] in the menu area 1, and a

message window for setting the trend period will
appear.
(2) Touch the number corresponding to the desired

trend period before touching .
(3) A message appears, confirming erasure of trend

data. Touch to erase the past trend data and
make the new trend period effective.
If you do not want to erase past trend data, touch
. (In this case, the trend period setting remains
unchanged.)
10-1-4. Switching the Skin Temperature 2 Display
(1) Touch [Skin TEMP. 2 Display] in the menu area 1,

and a message to confirm whether to switch the
skin temperature display will appear.
(2) Every time you touch , the display toggles be-

tween “Skin temperature 2” and “ T”.
10-1-5. Switching the Unit of Temperature
(1) Touch [°C/°F Selection], and a message to confirm

whether to switch the unit of temperature will ap-
pear.
78
(2) Touch to switch the unit of temperature.

10-1-6. Setting the LCD Screen Brightness
(1) Touch [LCD Screen Brightness] in the menu area

2, and a message window for setting the LCD
screen brightness will appear.
(2) Touch and until the desired brightness is

achieved. The larger the numerical value is, the
brighter the screen becomes.
switch to close the message window.
OPERATION
10-1-7. Setting the Light Sensor Level
The unit is provided with a night mode in which the screen background turns black depending on the light
level of its surroundings. The light sensor level at which the screen automatically switches to the night mode
can be set.
(1) Touch [Light Sensor Level] in the menu area 2,
and a message window for setting the light sensor
level will appear.
(2) Touch or to set the light sensor level in a

range of 1 to 4. The larger the number, the sooner
the screen switches to the night mode with the en-
vironment being lighter.
79
10-1-8. Setting the Alarm Volume
(1) Touch [Alarm Volume] in the menu area 2, and a

message window for setting the alarm volume will
appear.
(2) Touch or to set the alarm volume level in a

range of 1 to 10. The larger the number, the louder
the sound. (An alarm sound cannot be muted.)
The minimum alarm volume is 50~60dBA, and the
maximum alarm volume is 70~80dBA.
10-1-9. Setting the Clock
(1) Touch [Clock] in the menu area 2, and a message

window for setting the date and time will appear.
(2) Touch each number in mm/dd/yy/hh/mm and

then touch or to set the date and time. 2016
(3) Touch . The newly set date and time will be

displayed on the screen. The message will then 2016
disappear.
z Be sure to touch after setting the date and

time. If you touch , settings remain un-
changed.
80
10-1-10. Checking and Resetting the Operating Time of the Filter
(1) Touch [Filter used time RESET] in the menu area

3. A confirmation message appears asking whether
or not to reset the filter operating time. The display
shows the number of hours the filter has been
used.
(2) When you only want to check the filter operating

time, touch to close the message window.
When you want to reset the filter operating time,
touch .
10-1-11. Checking and Resetting the Number of Days the Oxygen Sensors Have Been
Used
(1) Touch [O 2 Sensor days of use RESET] in the

menu area 3. A confirmation message appears ask-
ing you to reset the number of days for which the
OPERATION
oxygen sensors have been used. The display shows
the number of days for which the sensors have
been used.
(2) When you only check the number of days for

which the sensors have been used, touch to
close the message window.
When you reset the number of days for which the
sensors have been used, touch .
10-1-12. Setting the Pulse Synchronization Beep Volume

Masimo pulse oximeter and Nellcor pulse oximeter
(1) Touch [Synchronizing Pulse Beep] in the menu

area 4 to display a message window that enables
the user to set the pulse synchronization beep vol-
ume.
✽ The screen is for a Masimo pulse oximeter
81
(2) Touch or to set the pulse synchronization

beep volume level in a range of 0 (OFF) to 10. The
larger the number, the louder the sound.
* The pitch of the synchronizing pulse beep changes as
the SpO2 value raise or fall.
10-1-13. Setting the Sensitivity Mode Masimo pulse oximeter
(1) Touch [Sensitivity Mode] in the menu area 4 to dis-

play a message window that enables the user to set
the sensitivity mode of the pulse oximetry sensor.
In this case the current setting is highlighted.
(2) Set the sensitivity by touching one of [APOD],

[Normal], and [Max].
[Normal] is appropriate for monitoring average in-
fants.
[APOD] is appropriate for monitoring infants that
are at particular risk of the sensor becoming de-
tached. Selecting [APOD] enhances sensor off de-
tection performance.
[Max] is appropriate for characteristic improve-
ment against low perfusion. Selecting [Max] will re-
sult in reduced sensor off detection performance.
10-1-14. Setting the Averaging Time Masimo pulse oximeter
(1) Touch [Averaging Time] in the menu area 4, and a

message window for setting the averaging time will
appear.
82
(2) Touch the number (seconds) corresponding to the

desired averaging time.
z FastSat is automatically enabled in 4 or 6 second

averaging. However, the FastSat indicator does
not come on. It only appears when the FastSat is
enabled.
10-1-15. Setting the FastSat Masimo pulse oximeter
When the FastSat is enabled, it becomes possible to detect rapid changes in %SpO2.
(1) Touch [FastSat] in the menu area 4, and a message
to confirm whether to enable/disable the FastSat
will appear.
When FastSat is currently disabled:
“Enables FastSat”
When FastSat is currently enabled:
OPERATION
“Disables FastSat”
(2) Touch to change the setting.

10-1-16. Setting the SatSeconds Nellcor pulse oximeter
(1) Touch [SatSeconds] in the menu area 4, and a

message window for setting the SatSeconds alarm
limit will appear.
z If no operations are performed for a predeter-

mined period of time after the message appears,
the procedure will be canceled automatically.
(2) Touch [OFF], [10], [25], [50] or [100] to set the de-
sired SatSeconds alarm limit.
83
10-1-17. Setting the Response Mode Nellcor pulse oximeter
(1) Touch [Response Mode] in the menu area 4, and a

message window for setting the response mode of
the pulse oximeter will appear.
When the response mode is currently set to Nor-
mal:
“Response mode will be changed to Fast”
When the response mode is currently set to Fast:
“Response mode will be changed to Normal”
OxiMax™ Algorithm
The advanced signal processing of the OxiMax al-
gorithm automatically extends the amount of data
required for measuring SpO2 and pulse rate de-
pending on the measurement conditions. During
normal measurement conditions in the Normal
Mode, the SpO2 averaging time is six (6) to seven
(7) seconds or approximately three (3) seconds in
Fast Mode. Equivalently, the typical pulse rate av-
eraging time is approximately five seconds, inde-
pendent of response mode.
The OxiMax algorithm automatically extends the

dynamic averaging time required beyond seven (7)
seconds during degraded or difficult measurement
conditions caused by low perfusion, signal artifact,
ambient light, electrocautery, other interference,
or a combination of these factors, which results in
an increase in the dynamic averaging beyond the
minimum as set by the response mode.
If the resulting dynamic averaging time exceeds 20
seconds for SpO 2, the algorithm sets the pulse
search bit while continuing to update SpO2 and
Pulse Rate values every second.
As such measurement conditions extend, the
amount of data required may continue to increase.
If the dynamic averaging time reaches 40 seconds,
and/or 50 seconds for pulse rate, a low priority
alarm state results: the algorithm sets the Pulse
Timeout bit and the module reports a zero satura-
tion indicating a loss-of-pulse condition which
should result in an audible alarm.
84
z If no operations are performed for a predeter-

mined period of time after the message appears,
the procedure will be canceled automatically.
(2) Touch to change the setting.

10-2. Drawing out the Mattress Platform
Before drawing out the mattress platform, check that the mattress platform stopper has en-
OPERATION
gaged the rail. If it has not engaged, the mattress platform will come off, posing a risk of injury.
When the weight monitor unit is being used, do not forcefully pull the cable when sliding the
mattress platform out of the incubator. Do not get the cable caught in the mattress platform
and do not push it into a gap when placing the mattress back into place.
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. When the mattress platform is Mattress platform
drawn out to a certain point, the stopper will function.
85
10-3. Tilting the Mattress Platform
When the mattress platform is tilted, there will only be a little difference in the level between
the mattress and a snap-open access port. If a snap-open access port is left open, the infant
may fall out through it. Be sure to close the snap-open access ports securely.
When the weight monitor unit is being used, do not forcefully pull the cable when tilting the
mattress platform. Do not get the cable caught in the mattress platform and do not push it into
a gap when placing the mattress back into place.
When tilting the mattress platform, be careful not to get any probes or tubes caught.
Turning the mattress platform tilting knob tilts the mat-

tress platform. Slowly operate the mattress platform tilt-
ing knob.
Mattress platform
tilting knob
10-4. 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.
(1) Turn the admittance panel operating knobs to open Close

side.
Open Admittance panel

operating knob
Admittance panel Close

operating knob
Open
86
(2) Push down the admittance panel operating lever

and then pull open the admittance panel gently. Open
Admittance panel
operating lever
Push
(3) Draw out the X-ray cassette tray from under the
mattress platform. X-ray cassette tray
(4) Place an X-ray cassette loaded with an X-ray film

into the tray and put the tray back into position. X-ray cassette tray
OPERATION
10-5. Feeding Cables and Tubes into or out of the Incubator
Always guide the cords and tubes into the incubator in such a way that they will not get
wrapped around the infant.
Always watch the infant to prevent cords or tubes from being wrapped around the infant.
Guide the cords and tubes into the incubator through

the tube introduction slit packing on either side of the
hood. The cables and tubes can be fed into or out of the
incubator from the side of the tube introduction slit
packing.
87
10-6. I/O port (External communication connector)
To prevent a risk of an electric shock, only connect equipment that provides a level of safety
equivalent to medical electric equipment that complies with the requirements of IEC 60601-1:
2005. Connect these devices to a common protective grounding system.
Install any piece of equipment that is connected to the unit to a patient environment defined in
IEC60601-1:2005.
The I/O port is intended to display and log the operations status of the unit on an external com-
puter or other devices. The unit cannot be controlled from the external computer.
Be sure to follow the “External communication specifications” when using the communication
function. For information about the “External communication specifications”, please contact
your local Atom representative.
The I/O port (external communication connector) is

used to connect an external computer or other devices
to the unit to display and log the operations status of the
unit.
I/O port
(external communication
connector) Display
88
10-7. Handle (option)

The handle is used to move the main body. Firmly hold the handle with both hands and move the main body.
z Do not lift the main body while holding the handle.

It can damage the handle and may cause the
main body to fall.
OPERATION
89
Cleaning and Disinfection
[11] Cleaning and Disinfection
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.
The heaters remain very hot after use. Allow the heaters to cool down sufficiently before clean-
ing and disinfecting them in order to avoid burns.
A fire and explosion hazard exists when performing cleaning in an oxygen-enriched environ-
ment. Turn off the oxygen supply and disconnect the oxygen supply hose from the incubator
before cleaning the incubator.
The unit is shipped without being disinfected. Be sure to clean and disinfect the unit before us-
ing it for the first time after purchase.
To prevent infections, disinfect the unit at regular intervals. The intervals to disinfect and disinfec-
tion methods vary depending on the usage frequency and the environment in which the unit is
used. Medical institutions that use the unit should determine appropriate disinfection intervals
and methods.
For the concentration, duration of effectiveness and handling of the disinfectants you use, fol-
low the directions for use and dosage and precautions provided by the manufacturers.
Be sure to dilute disinfectants, such as Osvan, Hyamine, and Hibitane. NEVER use undiluted
solution.
Do not use any abrasive cloth, cleaner, alcohol, acetone or other types of solvent for cleaning
or disinfecting.
Turn the power switch off and unplug the power plug before cleaning and disinfecting the unit.
Clean and disinfect the unit whenever it is used for a different infant.
Clean and disinfect the unit whenever you notice any dirt or contamination which may intro-
duce an infection.
After cleaning and disinfecting, reassemble the removed parts correctly and check that the unit
operates normally.
After cleaning and disinfecting, remove the disinfectant solution thoroughly from the incubator
before using it.
Provide a soft clean cloth and a disinfectant solution suitable for cleaning and disinfection.
90
✽ Recommended disinfectant solutions include:

z Benzalkonium chloride aqueous solution (e.g. Osvan)
z Benzethonium chloride aqueous solution (e.g. Hyamine)
z Chlorhexidine aqueous solution (e.g. Hibitane)
11-1. Hood Assembly

(1) Open the admittance panels on both sides and re-
move all of the tube introduction slit packing.
Tube
introduction
slit packing
z When putting the hood assembly back into place,
ensure that it is seated all the way in each pack-
ing on the hood.
(2) Remove all access port covers.
z Have spare access port covers on hand. Whenev-

er a cover is contaminated, replace it immediately.
(3) Remove the connector of the sensor module from

the back of the main body. While pressing the le-
ver, pull the sensor module out of the hood.
MAINTENANCE
Lever
z Do not immerse the sensor module in liquids. Do-

ing so may cause it to malfunction.
Sensor module
(4) Open the admittance panel, gently lift the boss Admittance panel
shown in the right figure with a dotted line and re-
move the inner panel by sliding it in the direction
of the arrow.
Inner panel
91
(5) Remove the hinge caps on the admittance panel,

Hinge cap
slide the admittance panel axis sliders in the direc-
tion of the arrow, and move the admittance panel
from both sides.
Admittance panel axis slider
Admittance panel
(6) Move the left and right canopy securing sliders in-
Canopy securing sliders
wards and lift the canopy to remove while the un-
locked symbols appear.
(7) Turn each of the four hood panel fixing knobs to Side hood (Head side)
unlock the position and remove the side hoods
(head side/foot side).
Lock Unlock
position position
Side hood fixing knob Side hood (Foot side)
92
(8) Disinfect the removed parts.
Parts that are to

be cleaned by Tube introduction slit pack-
immersing them ing
in a disinfectant Access port covers
solution
Parts that are to Sensor module

be cleaned using Inner panel
a soft cloth that
Admittance panel
has been soaked
Canopy
in a disinfectant
solution and Side hood (Head side/Foot
wrung out side)
11-2. Mattress Platform and Inside of Incubator

JJ When the unit is equipped with a weight monitor unit (If your unit is not equipped with it, go to step (2))
(1) Remove the weight monitor module cable from the
connecter on the back of the main body. Weight monitor module cable
(2) Hold the mattress platform at both ends and then

remove it by lift it up slightly. Mattress platform
MAINTENANCE
z When placing the mattress platform back into
place, put it in the center of the mattress platform
tray and make sure that the legs of the mattress
platform are in the groove of the rail.
93
JJ When the unit is equipped with a weight monitor unit (If your unit is not equipped with it, go to step (4))
(3) Remove the tray for weight monitor and weight
Tray for weight
monitor module from the mattress platform. monitor
Weight monitor
z Do not immerse the weight monitor module in liq- module
uids. Doing so may cause it to malfunction.
Mattress
platform
(4) Pull the hook on the mattress platform tray in the Mattress platform tray
direction of the arrow and remove the platform by
lifting it up.
z When placing the mattress platform back into

place, shift the mattress platform tray in the direc-
tion of the arrow, and make sure that the tilting
arm is inserted securely.
Tilting arm
(5) Hold one end of the middle board with one hand Middle board
and hold a slot in the fan cover with the other
hand, and then remove the middle board.
Fan cover
94
Open the fan cover to clean the inside of the fan.

Fan cover
(6) Remove the fan by pulling it up.
Fan
z When placing the fan back into place, be sure to
push the fan onto the shaft as far as it will go.
(7) When all parts have been removed following the

procedures above, the conditioning chamber
comes into view. Raise the heater and clean the in-
side of the conditioning chamber using a soft cloth
that has been soaked in a disinfectant solution and
wrung out.
z Be careful not to get your fingers or hand caught

when raising the heater.
z Do not apply a strong force to the raised heater.
Otherwise, it may cause a malfunction.
MAINTENANCE
z When putting the heater back down, push it down
gently.
z When propping the heater against the condition-
ing chamber, be sure to do so gently.
95
(8) Disinfect the removed parts.
Parts that are to

be cleaned by
immersing them Fan
in a disinfectant
solution
Parts that are to Mattress platform

be cleaned us- Tray for weight monitor (if equipped
ing a soft cloth with a weight monitor)
that has been Weight monitor module (if equipped
soaked in a dis- with a weight monitor)
infectant solution Mattress platform tray
and wrung out Middle board and fan cover
(9) After cleaning and disinfecting, allow each part to

dry suffuciently and reassemble all parts removed
in reverse order.
11-3. Humidity Chamber

Skip to “11-4. Others” if your unit is not equipped with a humidification function.
(1) Lower the lever until the humidity chamber is
pulled halfway out. Lift up the humidity chamber
slightly and take it out.
z Allow the humidity chamber and the water in it to

cool down sufficiently before removing the humidi-
ty chamber. The temperature of the water in the
humidity chamber can be high enough to cause
burns. The temperature of the water in the cham-
ber will exceed 70°C.
z The humidity chamber is heavy. Be sure to hold it
with both hands.
96
(2) Remove the cartridge tank, the tank cap and the Boiler cap Humidity
boiler cap from the humidity chamber and disinfect chamber
them.
Parts that are to
be cleaned by Cartridge tank
immersing them Tank cap
in a disinfectant Boiler cap Tank cap
solution
Cartridge tank
Parts that are to
be cleaned us-
ing a soft cloth
that has been Humidity chamber
soaked in a dis-
infectant solution
and wrung out
Boiler
z The humidity chamber contains electric parts.
Never immerse it in a disinfectant solution. Do not
rub the water level sensor of the humidity cham-
ber or the surface of the boiler with a metal brush
Water level
or any other hard material. Otherwise, it may sensor
cause a malfunction.
(3) After disinfecting, allow each part to dr y suffuc-

iently and reassemble the removed parts of the hu-
midity chamaber to their former positions before
placing it back to the incubator.
MAINTENANCE
z Be sure to attach the boiler cap and the cartridge
tank without fail.
97
11-4. Others
JJ Display
Body: Clean it using a soft cloth that has been soaked
in a disinfectant solution and wrung out.
LCD panel: Clean the surface of the liquid crystal pan-
el lightly with a dry cloth. Use a specified
disinfectant solution when necessary.
z The LCD panel surface is specially treated. Do not

rub it hard. Otherwise, it may cause a malfunction.
When cleaning the surface of the liquid crystal
panel using a disinfectant solution, dampen a
cloth in the solution and wring it out sufficiently to
prevent any solution from entering inside the pan-
el, and then clean the surface gently.
z Never immerse the display in a disinfectant solu-
tion. Otherwise, it may cause a malfunction.
JJ Mattress
Take out the mattress before placing another infant in
Mattress
the incubator. Clean the mattress with a soft cloth
dampened with a disinfectant solution. Since the mat-
tress consists of a special sponge sealed up in a vinyl
cover, the sponge inside cannot be contaminated unless
the cover gets damaged.
JJ Skin temperature probe

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.
z Never clean the skin temperature probe using al-

cohol, otherwise the material will harden.
JJ Patient cables [Masimo]

Clean the Red patient cables by wiping with a 70% iso-
propyl alcohol pad and allowing to dry thoroughly.
98
Maintenance Inspection
[12] Maintenance Inspection
In order to use the unit safely for a longer period, perform the maintenance inspections described below.
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
z Inspection before use

Check the basic functional operation of each part of the unit every time before, during, and after use.
z Periodical inspection
Inspections should be carried out approximately once a year. Contact your local Atom representative for
periodical inspection.
z Periodical Replacement Parts

Some parts need to be replaced periodically depending on their period of use.
12-1. Inspection Checklist
Keep this Manual in a location that is readily accessible should any problems occur on the
MAINTENANCE
unit.
If any problems are detected during any inspection, indicate on the unit that it is out of order,
arrange repairs without fail, and do not use the unit until it has been repaired. Contact your lo-
cal Atom representative for further information on repairs.
The inspection checklist before use is used to carry out an operation check before using the
unit. In order to maintain the cleanliness of the interior of the incubator, it does not contain any
items involving checking of temperature, humidity, or oxygen concentration control functions. If
any problems are detected in relation to any of the control functions during use, indicate on the
unit that it is out of order and do not use the unit until it has been repaired.
99
12-1-1. Inspection Checklist - Before Use
Date of
Device Name Air Incu i
Inspection
Serial No. Inspector
No. Inspection Item to check Yes/No

(1) Are there any appearance-related abnormalities?
(2) Can the casters be securely locked?
1 Main body (3) When the admittance panels and snap-open access ports are fully
closed, do they stay locked in place when they are pushed from
the inside?
(4) Is each part of the unit correctly assembled?
Operation
Before (1) Does the power failure alarm activate when the power switch is
connecting the turned on?
power cord
(1) Is the power cord securely connected?
(2) When the power switch is turned on, does the alarm lamp come on
and is the startup sound emitted?
2
Operation (3) Is it possible to successfully configure the settings for temperature,
After humidity and oxygen concentration?
connecting the * The oxygen concentration can be set when the unit is equipped
power cord with an oxygen controller.
* The humidity can be set when the unit is equipped with a humid-
ification function.
(4) Calibrate O2 sensor. (with an oxygen controller)
100
12-1-2. Inspection Checklist - During Use
Date of
Inspection

(1) Are the main body and hood free of damage and not deformed in
any way?
(2) Is the power cord securely connected?
(3) Are the casters securely locked?
(4) Are the admittance panels and snap-open access ports securely
locked?
1 Main body
(5) Are the air inlets and outlets free of obstacles that may block air
circulation?
* Check that no objects are placed in any spaces other than the
mattress in the incubator.
(6) Are any objects touching the sensor module?

* The sensor module has built-in temperature, humidity, and oxygen
sensors. Be sure to check this item to ensure safe use of the unit.
(1) Is the incubator air temperature controlled as specified?

* Be sure to set the incubator air temperature at least +3°C higher
than the ambient temperature. If a phototherapy unit or a heated
humidifier is used in combination with the incubator, set the in-
cubator air temperature at least +5°C higher than the ambient
temperature.
(2) Is the incubator humidity controlled as specified? (for units

2 Operation
MAINTENANCE
equipped with a humidification function)
* Check the ambient humidity. It is not possible to reduce the incu-
bator humidity below the ambient humidity.
(3) Is the oxygen concentration in the incubator controlled as specified?

(with an oxygen controller)
* Check it when an oxygen controller is in use. Avoid calibrating
any of the oxygen sensors.
101
12-1-3. Inspection Checklist - After Use
Date of
Inspection

(1) Are the main body and hood free of damage and not deformed in
any way?
(2) Are all casters firmly mounted, and able to turn smoothly and be
locked securely?
(3) Are the access port covers free of damage and deformation, and at-
tached securely to the access ports?
(4) Are the packings free of deterioration and attached securely?

[Tube introduction slit packings and iris access port packings]
1 Main body
(5) Do the operating knobs and operating levers on the admittance
panel work correctly to open and close the admittance panels?
When the admittance panels are fully closed, do they stay locked
in place when they are pushed from the inside?
(6) Are the press levers of the snap-open access ports secured tightly
and able to work correctly to open and close the snap-open access
ports?
When the snap-open access ports are fully closed, do they stay
locked in place when they are pushed from the inside?
(1) Does the power switch turn the power on and off reliably?
(2) Does the mattress platform tilting knob turn smoothly? Does the
mattress platform smoothly tilt as the knob is turned?
* Check that the mattress platform is correctly set.
(3) Is it possible to successfully configure the settings for temperature,

humidity and oxygen concentration?
2 Operation * The humidity can be set when the unit is equipped with a humid-
ification function.
* The oxygen concentration can be set when the unit is equipped
with an oxygen controller.
* Depending on the inspection environment and time, check that
the unit operates stably according to each setting.
(4) Is a sound alarm activated when the power switch is turned on and
the power plug is removed from the power outlet?
Overall judg- Are any abnormalities discovered after performing the above inspec-
3
ment tions?
102
12-2. Periodical Replacement Parts

Periodical replacement parts are those which gradually deteriorate and wear down with use. They need to be
replaced periodically in order to maintain the accuracy and performance of the unit at an appropriate level.
Timing of replacement varies with the frequency and conditions of use.
Consult your local Atom representative for replacement services.
Part name Period of use Reason for replacement
Dirtiness due to dust or defective air circulation control due
Filter 3 months
to clogging
Tube introduction slit
1~2 years Decreased air tightness due to breakage or deformation
packing
Iris access port packing 1~2 years Decreased air tightness due to breakage or deformation
Mattress 1~2 years Decreased elasticity due to breakage or deformation
Steam gate 1~2 years Decreased air tightness due to breakage or deformation
Fan motor 3 years Decreased air circulation
Fan 3 years Decreased air circulation
Snap-open access port 3 years Incomplete locking
Humidity chamber
Insufficient humidification due to breakage or deformation
(Humidification function 3 years
Decreased seal performance of the packings
equipped)
Battery for power failure
4 years Defective power failure alarm function due to battery life
alarm
Battery for the display 4 years Defective clock control due to battery life
Oxygen sensor Variable depending on Defective calibration or defective oxygen control due to sen-
(with an oxygen controller) operating conditions✽ sor life
✽ The oxygen sensor is a consumable item and its life is affected greatly by the ambient conditions under which it is
used (i.e. ambient temperature, oxygen concentration). It is recommended to replace an oxygen sensor when more
than one year has passed since it was taken out of its package.
MAINTENANCE
103
12-3. Replacing the Filter
Replace the old filter with a new one every three months as a general rule. The degree of filter
contamination varies with the level of air pollution or frequency of use. Check the filter for con-
tamination through the window of the filter cover. If the filter is discolored, replace it with a new
one even if it has not been used for three months.
Dispose used filters in accordance with the designated disposal procedure of each hospital.
(1) Loosen the screw of the filter cover and open the
cover.
Filter cover
(2) Remove the contaminated filter slowly, taking care

Filter
not let dust spread, and dispose of it.
(3) Clean the filter holder and the filter cover using a
soft cloth that has been soaked in a disinfectant so-
lution and wrung out.
(4) Attach a new filter to the filter holder. Filter cover

(5) Close the filter cover and tighten the screw.
z Do not attempt to reuse a dirty filter by washing it

or attaching it inside out.
z Open the filter cover only to replace the old filter
with a new one.
✽ The unit counts the hours for which the filter is used. When the time comes to replace it, a message
appears on the screen to remind the user to do so. The message remains unless you reset the counter
after the filter is replaced.
To reset the counter, see “10-1-10. Checking and Resetting the Operating Time of the Filter.”
104
12-4. Replacing the Oxygen Sensor

Skip this section if your unit is not equipped with an oxygen controller.
As part of a daily inspection routine, check the oxygen sensor for any signs of deterioration or
leaking liquid. If any cracks are found on the external surface, replace it immediately with a
new one.
The oxygen sensor is a sealed device containing a potassium hydroxide electrolyte. The elec-
trolyte may leak out if the sensor should be damaged when dropped, etc. If the electrolyte
should touch your skin or clothes, wash it away with copious amounts of water. If it should get
in your eye, wash your eye immediately with copious amounts of water and consult the doctor.
Dispose of a used oxygen sensor in accordance with the appropriate disposal procedure.
There are small holes in the bag containing the oxygen sensor. They are intended to prevent a
voltage defect which can occur during initial use if the oxygen sensor is contained in airtight
packaging. Thus there is no effect on the replacement period which Atom recommends for the
oxygen sensor.
Replace the two oxygen sensors at the same time.
If an oxygen sensor alarm remains on, the oxygen sensors may be defective. Replace them.
Wait at least one hour after attaching the oxygen sensor to the incubator before using it. The
electrolytes contained in the oxygen sensor are not equalized immediately after installation, so
MAINTENANCE
sensor output is therefore unstable and an oxygen sensor alarm may occur.
Avoid direct sunlight and high temperature when storing the oxygen sensor.
The life span of the oxygen sensor varies depending on the ambient conditions under which it
is used. It is recommended that an oxygen sensor be replaced when more than one year has
passed since it was first used.
Avoid imposing shocks on the oxygen sensors when replacing them.
105
(1) Remove the sensor module connector from the

back of the main body. While pressing the lever,
pull the sensor module out of the hood.
Lever
Sensor module
(2) Remove the oxygen sensor cap and remove the Oxygen sensor cap
two oxygen sensors from the sensor module.
(3) Attach two new sensors to the module by fitting
each sensor head correctly in the corresponding Cable
holder in the module. Replace the oxygen sensor
cap.
(4) Put the sensor module back into place. After con-
necting the sensor module connector to the main Oxygen sensor
body, calibrate the sensors. (For information on
how to calibrate an oxygen sensor, see “7-2-3. Cali-
brating the Oxygen Sensor”.)
✽ The unit counts the hours for which each oxygen sensor is used. When the time comes to replace it, a
message appears on the screen to remind the user to do so. The counter must be reset after the oxygen
sensors are replaced. Otherwise, the message will remain on.
To reset the counter, see “10-1-10. Checking and Resetting the Operating Time of the Filter.”
12-5. 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 management laws and regulations.
Rechargeable NiMH batteries, a button type lithium battery and oxygen sensors are used in this unit.
Dispose of the batteries and the oxygen sensors in accordance with local regulations.
106
Alarms
[13] Alarms
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 correct measures. If the alarm is caused most
likely by a failure, the unit needs to be repaired. Indicate on the incubator that it is out of order
and contact your local Atom representative.
Condition causing The unit during the Resetting the Alarm

Category Alarm name Message Priority
the alarm alarm condition alarm silence
The alarm will be
This alarm will occur
MC high Incubator air The incubator reset automatically
before the incubator 10
temperature temperature is heater will be when the incubator Medium
air temperature min.
alarm rising. turned off. air temperature falls
exceeds 38°C.
below 37°C.
MC (override The alarm will be
mode ) or SC Incubator air The incubator reset automatically
before the incubator 10
high temperature is heater will be when the incubator Medium
air temperature min.
temperature rising. turned off. air temperature falls
exceeds 40°C.
alarm below 38°C.
Incubator air The alarm will be
if the incubator air
Set temperature temperature Temperature reset automatically
temperature deviates 15
alarm deviates from control will be when the deviation Low
from the set tempera- min.
(MC±3°C) the set tempera- continued. decreases to less
ture by 3°C or
Temperature & Heat
ture. than 3°C.

more. ✽1,5
This alarm will occur The alarm will be

Skin tempera-
Set temperature if the skin tempera- Temperature reset automatically
ture deviates 15
alarm ture1 deviates from control will be when the deviation Low
from the set min.
(SC±1°C) the set temperature continued. decreases to less
temperature.
by 1°C or more.✽4,6 than 1°C.
The skin tempera-
MAINTENANCE
ture probe will
not function.
Skin Abnormality in (The skin
if a wire of the skin Remove the skin
temperature yellow skin temperature is 15
temperature 1 probe temperature probe Low
probe alarm temperature not displayed.) min.
has snapped or from the infant.
(MC) probe. The incubator
shortcircuited.✽2
heater will be
turned off (in the
SC mode).
Check the This alarm will occur The incubator The alarm will be
Skin
connection of if the skin tempera- heater will be reset automatically
temperature 10
the yellow skin ture 1 probe is not turned off. when the skin Medium
probe alarm min.
temperature connected in the SC (SC will not temperature probe is
(SC)
probe. mode.✽2 function.) connected.
107
Alarms

Check that the The humidifying
This alarm will occur The alarm will be reset
Humidity humidity heater will be turned
if the humidity automatically when the 15
chamber off chamber is off. Low
chamber is not humidity chamber is min.
alarm attached Humidity control
attached. attached correctly.
properly. will not start.
Fill the humidity The unit will automatically
if the humidity The humidifying
chamber with return to the normal state 10
No water alarm chamber has become heater will be Medium
sterile distilled when sterile distilled water min.
empty during turned off.
water. is added.
humidity control.
The humidifying The unit will automati-
This alarm will occur heater will be cally return to the
Humidity
Humidity if condensation forms turned off. normal state when the 10
sensor is Medium
sensor alarm on the humidity “– – ” will be condensation on the min.
condensing
Humidity
sensor. displayed on the humidity sensor

RH display. disappears.
This alarm will occur The alarm will be reset
The humidify- The humidifying
Humidity if any disruption is automatically when the 10
ing heater is not heater will be Medium
chamber alarm detected with the humidity chamber is min.
operating turned off.
humidifying heater. attached correctly.
Incubator This alarm will occur if the
The alarm will be reset
humidity relative humidity in the
Set humidity Humidity control automatically when the 15
deviates from incubator deviates from Low
alarm will be continued. deviation decreases to min.
the set humid- the set humidity by 3% or
less than 3%.
ity. more for 15 minutes.✽7
This alarm will occur if
Humidification Turn humidification off,
the relative humidity in
disabled to The humidifying check the condition of
Low humidity the incubator remains 15
prevent heater will be the incubator,✽3 and then Low
alarm below the set humidity by min.
condensation turned off. turn humidification on
3% or more for at least
from forming. again.
one hour.
O2 sensor (L) Recalibrate the oxygen
failed calibra- This alarm will occur sensors for a specified
Oxygen sensor
tion. if the oxygen sensors value. Replace the 15
alarm (during Low
O2 sensor (R) have not been defective sensors with min.
calibration)
failed calibra- calibrated properly. functional ones
tion. (calibration required).
Recalibrate the
oxygen sensors for a
the oxygen concentra-
Oxygen sensor specified value.
Calibrate O2 tion detected by one Oxygen control 10
alarm (during Replace the defective Medium
sensor. sensor deviates from that will be continued. min.
sensors with
Oxygen
control)
detected by the other
functional ones
sensor by 7% or more.
(calibration required).
Oxygen This alarm will occur if the The alarm will be
Oxygen concentration in oxygen concentration in the reset automatically
Oxygen control
concentration incubator incubator deviates from the when the deviation Medium 2 min.
will be continued.
alarm (±3%) deviates from set oxygen concentration by decreases to less
the set value. 3% or more.✽8 than 3%.
This alarm will occur if The alarm will be
the oxygen supply is reset automatically
Oxygen flow No oxygen Oxygen control
interrupted or if oxygen when a normal Medium 2 min.
rate alarm delivered. will be continued.
has stopped flowing supply of oxygen is
during oxygen control. detected.
108
Alarms
✽1 When the incubator air temperature deviates continuously from the set temperature alarm threshold range for 10 seconds
during manual control, the alarm will be activated.
However, the alarm will not work for up to 30 minutes after changing the setting value. (When the incubator air temperature
reaches the set temperature warning threshold range or the speed at which the incubator air temperature approaches the
set value is 0.1°C/3 minutes or less, the alarm resumes.)
✽2 If any disruption should occur to the skin temperature 2 probe, warning information will be given to the user.
✽3 Check that all the ports and admittance panels are securely closed and that the packings are securely attached.
✽4 When the skin temperature 1 deviates continuously from the set temperature alarm threshold range for 10 seconds during
servo control, the alarm will be activated.
However, the alarm will not work for up to 30 minutes after changing the setting value.(When the skin temperature 1 reaches
the set temperature warning threshold range or the speed at which the skin temperature 1 approaches the set value is
0.1°C/3 minutes or less, the alarm resumes.)
✽5 Check the unit is set correctly. If the alarm is repeatedly generated despite the fact that the condition of the unit is correct, it
is conceivable that the incubator air temperature sensor is defective. Stop using the unit and perform inspection.
✽6 Check the unit is set correctly. If the alarm is repeatedly generated despite the fact that the condition of the unit is correct, it
is conceivable that the skin temperature probe is defective. Stop using the unit and perform inspection.
✽7 When the incubator humidity deviates continuously from the set humidity alarm threshold range for 15 minutes, the alarm
will be activated.
However, no alarm will occur during 30 minutes after changing the setting value, until the incubator humidity reaches the
set humidity warning threshold range.
✽8 When the oxygen concentration in the incubator deviates continuously from the set oxygen concentration alarm threshold
range for 30 seconds, the alarm will be activated.
However, the alarm will not work for up to 40 minutes after changing the setting value. (When the oxygen concentration in
the incubator reaches the set oxygen concentration warning threshold range or the speed at which the oxygen concentra-
tion in incubator approaches the set value is 0.1%/2 minutes or less, the alarm resumes.)
MAINTENANCE
109
Alarms

Pulse Oximeter The alarm will be
SpO2 reading reset automatically
SpO2 upper if the SpO2 upper Measurement
has exceeded when the reading Medium 2 min.
limit alarm alarm limit is will be continued.
upper alarm falls below the upper
Common to both Masimo and Nellcor
exceeded.
limit. alarm limit.
SpO2 reading reset automatically
SpO2 lower limit if the SpO2 lower Measurement
has exceeded when the reading Medium 2 min.
alarm alarm limit is will be continued.
lower alarm exceeds the lower
deviated.
limit. alarm limit.
Pulse rate Pulse rate reset automatically
if the pulse rate upper Measurement
upper limit reading has when the reading Medium 2 min.
alar m limit is exceed- will be continued.
alarm exceeded upper falls below the upper
ed.
alarm limit. alarm limit.
Pulse rate reset automatically
Pulse rate lower if the pulse rate lower Measurement
reading has when the reading Medium 2 min.
limit alarm alarm limit is will be continued.
exceeded lower exceeds the lower
deviated.
alarm limit. alarm limit.
The unit will automatically
This alarm will return to the normal state
Pulse Oximeter activate if the SpO2 when it is reset by the
No sensor Check the sensor is discon- “– – –” will be Alarm silence switch
High Reset
connected patient cable nected from the displayed. (function disabled) or
Pulse Oximeter
connection. patient cable when the SpO2 sensor and

connector. patient cable are correctly
connected.
Pulse Oximeter This alarm will The alarm will be
Sensor off Confirm proper activate if the SpO2 “– – –” will be reset automatically
High 2 min.
patient placement of sensor comes off the displayed. when the sensor is
the sensor. patient. attached properly.
The unit will
Pulse Oximeter This alarm will
automatically return
Sensor Check the activate if the SpO2 “– – –” will be
to the normal state High Reset
disconnect sensor connec- sensor is not displayed.
when the sensor is
tion. connected.
Masimo
correctly connected.
The unit will automati-
Pulse Oximeter This alarm will occur
“– – –” will be cally return to the
Pulse search No pulse when it is difficult to High 2 min.
displayed. normal state when
detected. detect a pulse.
pulses are detected.
This alarm will activate
Pulse Oximeter Replace the
Defective if the SpO2 sensor has “– – –” will be
Sensor abnor- defective sensor with Low 2 min.
sensor become defective and displayed.
mal. a functional one.
cannot be recognized.
This alarm will occur Replace the
Pulse Oximeter
if the patient cable has “– – –” will be defective patient
Defective cable Patient cable Low 2 min.
become defective and displayed. cable with a
abnormal.
cannot be recognized. functional one.
Pulse Oximeter This alarm will activate
Internal system if the SpO2 sensor is
if the unit has “– – –” will be
Internal error abnormal. not connected (or the Low 2 min.
encountered a displayed.
Power cycle the connector is discon-
problem.
incubator. nected).
110
Alarms

The unit will
Pulse Oximeter This alarm will occur automatically return
Pulse search No pulse when it is difficult to to the normal state High 2 min.
detected. detect a pulse. when pulses are
detected.
This alarm will
The unit will
Pulse Oximeter activate if the SpO2
Sensor Check the sensor is not
to the normal state Medium Reset
disconnect sensor connec- connected (or the
when the sensor is
tion. connector is discon-
correctly connected.
nected).
The unit will
Pulse Oximeter This alarm will
Confirm proper activate if the SpO2
Sensor off to the normal state Medium 2 min.
placement of sensor comes off the
when the sensor is
the sensor. patient.
correctly attached.
Pulse Oximeter
Replace the
Nellcor
“0” or “– – – ” defective sensor with

will be displayed a functional one.
This alarm will
(When the connec-
Pulse Oximeter activate if the SpO2
Defective tor is removed,
Sensor abnor- sensor has become Medium 2 min.
sensor “Defective sensor”
mal. defective and cannot
alarm will be
be recognized.
replaced with
“Sensor disconnect”
alarm.
Pulse Oximeter
Internal system
if the unit has Disable the pulse
Internal error abnormal. Power Low 2 min.
encountered a oximeter function.
cycle the
problem.
incubator.
Pulse Oximeter
Communication
Communication if the unit has Disable the pulse
abnormal. Power Low 2 min.
error encountered a oximeter function.
cycle the
MAINTENANCE
problem.
incubator.
This alarm will activate
if the sensor module is This alarm will be
placed at a position automatically reset
Sensor Place the sensor The fan will
other than the when the sensor
moduleposition module back in continue normal Medium 2 min.
calibration position or module is placed
alarm its proper place. operation.
the normal position for back in its correct
Others
15 or more seconds position.

after calibration.
The fan will be The unit will
This alarm will occur stopped. automatically return
Filter cover Close the filter
if the filter cover is The incubator to the normal state Medium 2 min.
alarm cover.
left open. heater will be when the filter cover
turned off. is closed.
111
Alarms

Disconnect power The fan will continue Attach the fan
and check the fan normal operation. properly, and then 15
if the fan isn’t Low
is properly The incubator heater turn the power on min.
attached properly.
attached. will be turned off. again.
The fan will be The unit will automatically
Check the fan This alarm will occur
stopped. return to the normal state
cover is if the fan cover or the
The incubator when the fan cover or Medium 2 min.
Fan alarm properly middle board isn’t
heater will be middle board is attached
attached. attached properly.
turned off. correctly.
The fan will rotate
Revolving speed at an available rate.
if the fan rotates at a Impossible to reset 10
of the fan is The incubator Medium
lower rate than the alarm. min.
decreased. (E4) heater will be
specified.
turned off.
Abnormality in This alarm will occur if
the incubator a wire of the incubator
The incubator
air temperature air temperature sensor
heater will be
sensor is (for control) has
turned off.
detected. snapped or shortcir-
(E262) cuited. 10
Medium
Abnormality in This alarm will occur if min.
System failure Impossible to reset
the incubator a wire of the incubator
alarm Incubator air tem- the alarm.
air temperature air temperature sensor
perature control
sensor is (for display) has
will be continued.
detected. snapped or shortcir-
(E263) cuited.
Incubator This alarm will occur if The incubator
10
heater abnor- a wire of the incubator heater will be Medium
Others
min.
mal. (E7) heater has snapped. turned off.
No message
(The power Impos-
failure alarm sible
Replace the
indicator This alarm will occur if to
Defective Incubator control defective display
remains lighted the display has encoun- High si-
display will be continued. with a functional
green, and the tered a problem. lence
one.
response on the the
display screen alarm
disappears.)
Impos-
This alarm will occur if The unit will
sible
Display a display connecting automatically return
to
connecting Display screen cable is disconnected, Incubator control to the normal state
High si-
cable has no display. or a wire of the display will be continued. when the display
lence
disconnection connecting cable has connecting cable is
the
snapped. correctly connected.
alarm
the power supply is
inter rupted due to
power failure, a Impos-
No message
disconnected power sible
Power failure/ (The power No control
plug, a broken power Impossible to reset to
internal error failure alarm All the heaters High
cord, a tripped breaker the alarm. silence
alarm indicator will will be turned off.
or some other cause, the
flashes in red.)
or if some internal alarm
error (a defective CPU
or a defective control
board) has occurred.
112
Troubleshooting
[14] Troubleshooting
If the unit seems to be defective, stop using it immediately, indicate on the unit that it is out of
order, and contact your local Atom representative.
Check the following points before requesting repair services.
Trouble Action to take

z Check that the power cord is connected to the AC inlet and a power
Nothing is displayed on the display
outlet.
when the power switch is turned on,
z Check the breaker of the hospital (by connecting another electric device
and the power failure alarm activates.
to the power outlet used for the incubator).
Nothing is displayed on the display, z Check that the display connection cable is correctly connected to the
and an audible alarm is given. main body and the display.
z Check that the incubator air temperature is not set too low.
z Check that the supply voltage is not low. (The incubator should not share
a power outlet with another device.)
The incubator air temperature does
z Check that the fan is neither damaged nor deformed.
not rise.
z Check that the snap-open access ports are closed.
z Check that the admittance panels are closed.
z Check that the tube introduction slit packing is correctly attached.
z Check that the incubator air temperature is not set too high.
z Check that the incubator is not exposed to direct sunlight or affected by a
MAINTENANCE
heating apparatus nearby.
The incubator air temperature rises z Check that the air inlet in the incubator is not blocked by obstacles such
too high. as a diaper, gauze, etc.
z Check that the incubator air temperature is not set too low relative to the
room temperature.
z Check that a phototherapy unit is not in use.
z Check that the air outlets in the incubator are not blocked by obstacles
such as a diaper, gauze, etc.
z Check that the cartridge tank is filled with distilled water.
z Check that the humidity chamber cover is closed properly.
Humidity does not rise.
z Check that the boiler cap is fitted properly.
z Check that the snap-open access ports are closed.
z Check that the admittance panels are closed.
z Check that the tube introduction slit packing is correctly attached.
z Check that the relative humidity is not extremely high due to the rainy
Humidity rises too high.
season or some other cause.
113
Troubleshooting
Trouble Action to take

z Check that oxygen is being supplied reliably (when the oxygen controller
is in use).
The oxygen concentration does not z Check that the flow rate is set properly on the oxygen flowmeter.
rise. z Check that the access ports are closed securely.
z Check that the packings are attached securely.
z Check that the filter is attached securely.
z Check that the cable is not caught in the weighing section.

Different readings are obtained every
z Check that an instrument on the mattress platform leans against an inner
time the infant is weighed.
wall of the incubator.
114
Technical Information
[15] Technical Information
15-1. Principle of Operation
15-1-1. Principle of Operation
1. Temperature control
The air warmed by the heater is sent by the fan into the hood containing the baby.
Temperature control has the following two modes.
z Manual control mode
In this mode, the heater output will be increased or decreased automatically depending on the difference
between the set temperature selected by the user and the incubator air temperature in order to maintain
the incubator air temperature at the set temperature.
z Servo control mode
In this mode, the heater output will be increased or decreased automatically depending on the difference
between the set temperature selected by the user and the skin temperature detected by the skin tempera-
ture probe attached to the infant’s skin in order to maintain the infant’s skin temperature at the set temper-
ature.
2. Humidity control
The water in the humidity chamber is evaporated with a heater and is sent by the air supply fan into the hood
containing the infant.
The humidity inside the hood is measured to control the heater output so that it matches the set humidity.
3. Oxygen control
Oxygen supplied from the oxygen supply port with the outside air is sent by the air supply fan into the hood
containing the infant.
The oxygen concentration in the hood is measured to control the oxygen supply amount so that it matches
the set oxygen concentration.
15-1-2. Principle of Measurement
1. Temperature
The temperature sensor include an incubator air temperature sensor and a skin temperature probe. The tem-
perature sensor uses a thermistor whose resistance varies according to the temperature. Therefore, the tem-
perature can be determined by measuring the impedance of the thermistor.
2. Humidity
A capacitance type humidity sensor whose capacitance changes according to the relative humidity of the am-
bient air is used for the humidity sensor. A voltage corresponding to the relative humidity is output from the
APPENDIX
sensor.
Therefore, the humidity can be determined by measuring of the voltage.
3. Oxygen
This equipment uses a galvanic type oxygen sensor that is composed of two electrodes (noble metal and
base metal), a membrane through which oxygen permeates, and an electrolyte, which provides an output
voltage proportional to the amount of oxygen being permeated through the membrane.
Therefore, the oxygen concentration can be determined by measuring of the voltage.
115
4. SpO2 (arterial blood oxygen saturation)

Oxyhemoglobin (HbO2) and deoxyhemoglobin (Hb) differ in their absorption of red and infrared light.
z When red light around 660nm passes through them, the extinction coefficient of deoxyhemoglobin (Hb)
is much larger than that of oxyhemoglobin (HbO2).
z When infrared light around 805nm passes through them, their extinction coefficients are almost the same.
z When infrared light around 940nm passes through them, the extinction coefficient of oxyhemoglobin
(HbO2) is larger than that of deoxyhemoglobin (Hb).
Measurement of SpO2 (arterial blood oxygen saturation) is based on the above- mentioned principle. The
SpO2 sensor, which is attached to a translucent site with an adequate blood flow such as an earlobe or a fin-
ger of a patient, emits light at 660nm and 940nm and detects light absorption at the site.
15-2. Technical Data

Electrical ratings Rated voltage: AC230V
Frequency: 50/60Hz
Power consumption: 600VA
Operating voltage range: AC230V±10%
Classification Type of protection against electric shock: Class I equipment
Degree of protection against electric shock: Type BF applied part
Unsuitable for use in an air and flammable anesthetic gas mixture, or in 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)
Applied part Type BF : Skin temperature probe, Pulse oximeter sensor (option)
Type B : Mattress
Display Type: Liquid crystal (TFT-LCD)
Size: 7 inches
Dot formation: 800 × 480 dots
Number of colors: 256 colors
Alarm volume 50~80 dBA ( 3m from the unit )
Maximum load capacity Cabinet (cabinet stand type): Approx. 10kg
Display pole: Approx. 2kg (only the display can be mounted)
I.V. pole (option): For High-Low stand type 10kg
For cabinet stand type 5kg
Dimensions High-Low stand type: 101.5(W) cm × 66.5(D) cm × 145~165(H) cm
(excluding the display)
Mattress surface: 84.5~104.5cm in height
(86.5~106.5cm for the unit equipped with a weight
monitor)
Cabinet stand type: 101.5(W) cm × 56.5(D) cm × 158(H) cm (excluding the
display)
Mattress surface: 97.5cm in height (99.5cm for the unit
equipped with a weight monitor)
External display: 22(W) × 5(D) × 14(H) cm
Mattress: 65(W) × 36.5(D) × 2(T) cm
116
Weight High-Low stand type: approx. 82kg (86kg if the unit includes the weight
monitor)
Cabinet stand type: approx. 76.5kg (80.5kg if the unit includes the weight
monitor)
Operating conditions Ambient temperature: 20~30°C
Ambient humidity: 30~75% (no condensation)
Atmospheric pressure: 70~106kPa
Wind velocity: <0.3m/s
Storage conditions Ambient temperature: 0~50°C
Transportation conditions Ambient temperature: 0~50°C
Accessories Skin Temp Probe 5mm O.D.(Y) , 1.65m................................1
Pneumoclean (Electrostatic air filter) ....................................1
Access port cover .....................................................................2
Sensor module ..........................................................................1
Operation Manual ....................................................................1
Skin Temp probe, 5mm O.D.(W) ..........................................✽
Skin Temp probe, 10mm O.D.(Y) .........................................✽
Skin Temp probe, 10mm O.D.(W) ........................................✽
Connecting Cable (Y) .............................................................✽
Connecting Cable (W) ............................................................✽
Dispo Skin Temp Probe (Y) ...................................................✽
Dispo Skin Temp Probe (W)..................................................✽
SpO2 Unit (Masimo) ...............................................................✽
SpO2 Unit (Nellcor) ................................................................✽
HL Stand for Air (AC230V) ....................................................✽
Cabinet Stand for Air ..............................................................✽
O2 Controller Unit for Air .......................................................✽
Weight Monitor Unit for Air...................................................✽
I.V Pole for Cabinet Stand for Air ..........................................✽
I.V Pole for HL Stand for Air ..................................................✽
Handle for Air (Head or Foot Side).......................................✽
Snap-Open Access Port for Air (Head or Foot Side) ...........✽
Cabinet Board for Cabinet Stand for Air...............................✽
Monitor Tray for HL Stand for Air ........................................✽
Drawer w/mounting bracket, for HL Stand for Air .............✽
APPENDIX
✽ Optional Accessories
117
Detachable parts Display

Display pole
Mattress
Pneumoclean (Electrostatic air filter)
Humidity chamber (AC230V) (Humidification function equipped)
Sensor module
Sensor module (Oxygen controller equipped)
Oxygen Sensor (Oxygen controller equipped)
Middle board
Fan
Mattress platform
Access port cover
Admittance panel
Side hood (head side)
Side hood (foot side)
Power cord (AC230V), 3m
Canopy
Display cable, 1.28m
JJ Temperature
Control mode Manual control/servo control (selectable)
Setting range Skin temperature (ser vo control): 34.0~37.5°C (over ride mode:
37.6~38.0°C)
Incubator air temperature (manual control): 23.0~37.0°C (override
mode: 37.1~39.0°C)
Display range Skin temperature: 30.0~42.0°C (Accuracy ±0.3°C)
Incubator air temperature: 20.0~42.0°C (Accuracy ±0.3°C)
Heater output 0~100% (indicated in 10 levels)
Warm-up time Maximum 60 min at an ambient temperature of 25°C
Alarms High temperature, set temperature, skin temperature probe
JJ Humidity (for units equipped with a humidification function)

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 25°C,
incubator air temperature setting 37°C)
Alarms Humidity sensor, low water level, no water, humidity chamber off, set
humidity
118
JJ Oxygen supply
Maximum oxygen concentration 65%O2 (at O2 flow rate 10L/min)
JJ Environment
CO2 concentration in the hood When a gaseous mixture comprising 4% CO2 is delivered at 750mL/
min at a point 10 cm above the center of a mattress and a steady state
is achieved, the CO2 concentration in the hood should not exceed
0.4%.
JJ Pulse oximeter ✽1,5,6,7 [Masimo]

SpO2 Display range: 1~100%
Measurement accuracy: During no motion conditions✽2 ±3 digits (in 70~100%)
During motion conditions✽3 ±3 digits (in 70~100%)
During low perfusion conditions✽4 ±3 digits (in 70~100%)
Update cycle: 1 second
Alarm setting ranges : Upper limit: OFF, 50~99% (in 1% increments)✽8,9
Lower limit: OFF, 45~95% (in 1% increments)✽8,9
Pulse rate Display range : 25~240bpm
Measurement : During no motion conditions✽2 ±3 digits (in 25~240bpm)
accuracy During motion conditions✽3 ±5 digits (in 25~240bpm)
During low perfusion conditions✽4 ±3 digits (in 25~240bpm)
Update cycle : 1 second
Alarm setting : Upper limit: OFF, 80~240bpm (in 5bpm increments)✽8,9
ranges Lower limit: OFF, 35~180bpm (in 5bpm increments)✽8,9
Sensor Wavelength: 660nm (rd) 905nm (ir)
characteristic Brightness: 15mW
Non-sterile, latex-free
Mode setting Averaging time: 4, 6, 8, 10, 12, 14, 16 seconds (selectable)✽8
(Factory default setting is 8 seconds.)
Sensitivity setting: APOD, Normal (normal sensitivity), Max (high sensitivity)✽8
(Factory default setting is Max.)
FastSat : ON, OFF✽8 (Factory default setting is Enabled.)
Available RD rainbow SET MD20-05, 1.5m
patient cables RD rainbow SET MD20-12, 3.7m
Available RD SET Neo
disposable RD SET Inf
sensor RD SET NeoPt
RD SET NeoPt-500
APPENDIX
✽1 This device is calibrated to display functional oxygen saturation.

✽2 SpO2 70~100% hypoxia was induced in healthy male and female adult volunteers with light skin and
dark skin. Accuracy was checked in no motion conditions against a laboratory CO-oximeter and an
ECG monitor. Variability distribution at this accuracy was ±1SD. ±1SD covers 68% of all data.
119
✽3 SpO2 70~100% hypoxia was induced in healthy male and female adult volunteers with light skin and
dark skin. Accuracy was checked by 1~2cm tapping 2~4 times per second and by 2~3cm irregular tap-
ping 1~5 times per second against a laboratory CO-oximeter and an ECG monitor. Variability distribu-
tion at this accuracy was ±1SD. ±1SD covers 68% of all data.
✽4 In a laboratory test, in the range of 70~100% SpO2, accuracy in low perfusion conditions was checked
against the Biotec Index2 Simulator and the Masimo Simulator, both of whose signal strength is 0.02%
or more and permeability 5% or more. Variability distribution at this accuracy was ±1SD. ±1SD covers
68% of all data.
✽5 The materials accessible to the patient and the user comply with ISO 10993-1.
✽6 All the sensors and patient cables that can be used with this device have been tested and verified by us-
ing the Masimo/MX series pulse oximeter technology.
✽7 Since the measurements taken by the pulse oximetry equipment are statistically distributed, only about
two-thirds of them fall in the accuracy (Arms) range of values obtained with a CO-oximeter.
✽8 Even if the power supply is interrupted due to power failure, disconnection of the power plug, or some
other cause, the preselected settings will be retained in the memory. When the power supply is re-
sumed, the unit will start operation with the last selected settings.
✽9 Alarm delays should not exceed 30 seconds other than as specified in this manual.
JJ Pulse oximeter✽3,4,6 [Nellcor]

SpO2 Display range: 1~100%
Measurement accuracy: During no motion conditions✽1 ±3 digits (in 70~100%)
During low perfusion conditions✽2 ±3 digits (in 70~100%)
Alarm setting ranges : Upper limit: OFF, 50~99% (in 1% increments)✽5,7
Lower limit: OFF, 45~95% (in 1% increments)✽5,7
Pulse rate Display range: 25~240bpm
Measurement accuracy: During no motion conditions✽1 ±3 digits (in 25~240bpm)
During low perfusion conditions✽2 ±3 digits (in 25~240bpm)
Alarm setting ranges: Upper limit: OFF, 80~240bpm (in 5bpm increments)✽5,7
Lower limit: OFF, 35~180bpm (in 5bpm increments)✽5,7
Sensor Wavelength: 660nm (rd) 900nm (ir)
characteristic Brightness: Less than 15mW
EOG sterilized, latex-free
Mode setting SatSeconds: OFF, 10, 25, 50, 100 (selectable)✽5
(Factory default setting is Off.)
Response time: Normal, Fast✽5
(Factory default setting is Normal.)
Available DOC-4, 1.2m
pulse DOC-10, 3.0m
oximetry
cable
Available SoftCare SC-PR
disposable OXISENSOR III N-25
sensor OXISENSOR III I-20
120
✽1 Subjects used to validate SpO2 measurement accuracies were healthy and recruited from the local pop-
ulation. Comprised of both men and women, subjects spanned a range of skin pigmentations and
ranged in age from 18-50 years old. Accuracy specifications are based on controlled hypoxia studies
with healthy non-smoking adult volunteers over the specified SpO2 range(s). Pulse oximeter SpO2 read-
ings were compared with SaO2 values of drawn blood samples measured by hemoximetry. All accura-
cies are expressed as ±1SD. Pulse oximeter equipment measurements are statistically distributed;
about two-thirds of pulse oximeter measurements are expected to fall in this accuracy (Arms) range.
Because scatter and bias of pulse oximter SpO2 and blood SaO2 comparison commonly increase as the
saturation decreases, and accuracy specifications are calculated from data spanning the stated range,
different accuracy values may result when describing partially overlapping ranges.
Pulse rate from SpO2 was compared to ECG heart rate.
✽2 Reading accuracy in low perfusion conditions (detected IR pulse modulation amplitude 0.03~1.5%) was
verified by using signals supplied by a patient simulator. SpO2 and pulse rate values were varied across
the monitoring range over a range of weak signal conditions and compared with the known true SpO2
and pulse rate values of the input signals.
✽3 The materials accessible to the patient and the user comply with ISO 10993-1.
✽4 All the sensors and patient cables that can be used with this device have been tested and verified by us-
ing the Nellcor/NELL-1 module pulse oximeter technology.
✽5 Even if the power supply should be interrupted due to power failure, disconnection of the power plug
or some other cause, the preselected settings will be retained in the memory. When the power supply
is resumed, the unit will start operation with the last selected settings.
✽6 This device is calibrated to display functional oxygen saturation.
✽7 Alarm delays should not exceed 10 seconds other than as specified in this manual.
JJ Oxygen control (for the unit equipped with an oxygen controller)

Control mode Servo control
Setting range 22~65% (in 1% increments)
Display range 15~105%
Response time for 30sec (90% response)
display
Oxygen supply pressure 294~490kPa (3~5kgf/cm2)
Type of oxygen sensor Galvanic cell type
Measurement range 15~100%
Measurement accuracy ±2% (15-25%O2)

±3% (25-100%O2)
Calibration 21%O2
Alarms Oxygen sensor, oxygen concentration, oxygen flow rate, oxygen sensor not
calibrated
APPENDIX
Oxygen sensor life span The life span of the oxygen sensor varies depending on the ambient conditions
under which it is used. It is recommended to replace the oxygen sensor when
more than one year has passed since it was taken out of its package.
121
JJ Weight monitor (the unit equipped with the weight monitor unit)
Weighing range 7000g
Scale interval 1g (weight monitor without official verification)
5g (weight monitor with official verification)
JJ Other alarms Fan, system failure, power failure
✽ The product complies with the EMC Standard IEC 60601-1-2.
122
15-3. EMC Level and Classification
JJ Emission test level

The unit is intended for use in the electromagnetic environment specified below.
The customer or the user of the unit should assure that it is used in such an environment.
Emissions test Compliance
Conducted and radiated RF emissions
Group 1
CISPR11
Conducted and radiated RF emissions
Class A
CISPR11
APPENDIX
123
◾ Immunity test level

The unit is intended for use in the electromagnetic environment specified below.
The customer or the user of the unit should assure that it is used in such an environment.
Immunity test Compliance level
Electrostatic discharge ±8kV contact
IEC61000-4-2 ±2kV, ±4kV, ±8kV, ±15kV air
Electrical fast transients/bursts
±2kV(power port, ground port)
IEC61000-4-4
Surges ±0.5kV, ±1kV (Line-to-line)
IEC61000-4-5 ±0.5kV, ±1kV, ±2kV (Line-to-ground)
0%Ut: 0.5cycle
(0,45,90,135,180,225,270,315°)
Voltage dips, Voltage interruptions
0%Ut: 1cycle (single phase: 0°)
IEC61000-4-11
70%Ut: 25/30cycle (single phase: 0°)
0%Ut: 250/300cycle
Rated power frequency magnetic fields (50/60Hz)
30A/m
IEC61000-4-8
3Vrms
Conducted disturbances induced by RF fields 0.15MHz — 80MHz
IEC61000-4-6 6Vrms in ISM bands between 0.15MHz — 80MHz
80%AM at 1kHz
10V/m
80MHz~2.7GHz
Radiated RF EM fields
80%AM at 1kHz
IEC61000-4-3
Refer to another table for the proximity fields from RF
wireless communications equipment
124
JJ Details of test level of proximity fields from RF wireless communications equipment
Test frequency Maximum power Distance Immunity test level

[MHz] [W] [m] [V/m]
385 1.8 0.3 27
450 2 0.3 28
710
745 0.2 0.3 9
780
810
870 2 0.3 28
930
1720
1845 2 0.3 28
1970
2450 2 0.3 28
5240
5500 0.2 0.3 9
5785
APPENDIX
125
• 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.
C75MC010
18-15, Hongo 3-chome, Bunkyo-ku, Tokyo, Japan

Tel: +81 3 38152311 Fax: +81 3 38123144
201904

Atom Incu-I Operation Manual

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Atom Incu-I Operation Manual

Uploaded by

Copyright:

Available Formats

Equipment for neonatal and premature infants: Incubator

TO THE OPERATOR AND THE PERSON IN CHARGE OF

z Read this Manual carefully before operating the unit.

2. Inspect the unit on a periodical basis.

3. Never use the unit if it is found to be defective.

4. Follow the EMC information given in this Manual.

Definitions of Warning Indication

A DANGER notice indicates an immediately hazardous situation which, if

A WARNING notice indicates an indirectly (potentially) hazardous situa-

A CAUTION notice indicates a hazardous situation which, if not avoided, can

Caution: Hot surface

2. Symbols to prohibit action

Prohibition of use of fire

3. Symbols to give instructions for action

Connect a ground wire

Remove the power plug from the power outlet

Type B applied part

See Operation Manual

See Operation Manual

Authorised representative in the european community

Main screen display switch

Trend screen display switch

Menu screen display switch

Pulse oximeter screen display switch

Weight screen display switch

Incubator air circulation

Low water level/no water

Defective humidity chamber

Humidity chamber off

Avoid getting caught

%SpO2 Fast response mode indicator

SatSeconds SatSeconds display

Oxygen supply port 1

Oxygen supply port 2

The unit is intended for use in hospitals.

Responsibility for Care of Equipment

Do not disassemble or modify the unit.

INTRODUCTION........................................................... 1 5-1-1. Displaying and Setting the Incubator

[12] Maintenance Inspection .............................. 99

[1] Operating Precautions

Monitor the infant’s skin temperature when operating the unit.

Do not use the unit in the presence of a flammable anesthetic gas.

Do not use ether, alcohol or any other flammable substances.

PLEASE READ WITHOUT FAIL

Only use oxygen for medical use.

Be sure to bear in mind the following precautions when supplying oxygen.

Ground the unit securely.

Ground peripheral electric equipment securely.

Take care of the usage environment.

Do not use the unit next to other devices.

Avoid damaging the power cord.

Use only the power cord supplied with the unit.

Do not put multiple loads on one power outlet.

Do not touch the power plug with wet hands.

Install the unit on a stable surface.

PLEASE READ WITHOUT FAIL

Do not touch the heaters during use or shortly after use.

Do not disassemble or modify the unit.

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

If the unit fails to operate properly, stop using it immediately.

Do not forcefully twist or pull the cords by force.

Do not press strongly or rub on the operation panel of the display.

Do not allow any chemicals to adhere to the display.