Infant Radiant Warmer: Service Manual Guide

Infant Radiant
Warmer
BN-100
SERVICE MANUAL
Guide
Revision 2.1
Infant radiant warmer Service manual
Please read and keep this instruction carefully

Contents
1. Introduction ……………………………………………………………….….1
2. Operating principle of the radiant warmer…………….……..……….…...1
3. Main technical parameter…………………………….......….……….…….3
4. Functions instruction……………………………………………..…….…....4
5. Cleanout and maintenance………………......................………………...12
6. Solution of common failure…………….............……………….………….14
7. APPENDIXⅠ Neonate Phototherapy Unit ……………….…….................….....15
8. APPENDIXⅡ Low-pressure suction apparatus…………………............……..….21
9. APPENDIX III Infant resuscitator……………...………………..…....……….....23
10 Infant radiant warmer assembly..............................................................31
11 Infant radiant warmer radiant source assembly.......................................34
12 BN100 infant radiant warmer tray module assembly...............................35
1
1 Introduction
Infant radiant warmer of model BN-100 adopts anti-explosion quartz infrared radiation tube for its
radiation source. Infant radiant warmer of model BN-100 has three operation modes: pre-heat, auto
and manual, the indicator shows under which mode the equipment is running, the testing temperature
and setting temp is shown independently in the screen, The equipment will alarm with sound and light
if failure and exceptional situation (such as power failure, sensor failure, over temp, temp deviation)
comes out when using the infant radiant warmer.
This instruction consists of instruction of usage and techniques, and is suitable for the
installation, usage, cleanout, maintenance and analysis and solution of common failure of infant
radiant warmer of model BN-100.
Some parts of the products used may not be the same as the ones in the introduction list and
circuit diagram, which is because our company put improved parts and circuits into use before
putting them into printed introduction, but it isn’t affect use this equipment.
2 Operating principle of the radiant warmer

2.1. Principle of heat radiation.
When the heater operates, the reflect cover of parabola type radiates evenly the infrared light emitted
by the heat source to the baby mattress or the skin of the baby, so as to play part in the function of heating.
2.2. Principle of circuit (See Fig.2-1)
DC voltage: 5V for one-chip computer and integrated circuit, 9V for relay and buzzer.
6V built in battery: alarm power while the main power is cut off
Heating controller: includes photoelectric coupling integrated circuit, BTA, 700W heat radiation tube.
Alarm: consist of one buzzer.
2.3. Temp control and principal of display (See Fig.2-2).
2
Shake
brilliantly
T h e w o r k in g
S ta rt
s t a t e in it ia liz in g
O s c i ll a t o r Ee p ro m
I n it ia liz e S a m p le d a t a
A /D S h o w t h e d r iv e
5 4 1 0 AD
Y
S e t u p th e s ta te T r o u b le ？
T re a tm e n t F a u lt a la r m t o in it ia liz e
N
Exp o rt o f
t h e c o n t r o llin g
S e n s o r ja c k Y S e t u p th e ke y ？
te m p C o n tro l a n d e x p o rt
N
N
O v e r t im e ？ Show
The key F a u lt a la r m
is d e a lt w it h
Fig.2-1 hardware principle Fig.2-2 The procedure block diagram
2.4. Parameter revision method (user don’t revise by yourself without experimental condition).
2.4.1. Temperature revision.
When the warmer in operating under “auto” mode, press “set” button all along till the temp display
screen shows “---”, first character is twinkling, press “increase” button once, the screen shows “1--”. Press
“decrease” button once, second character is twinkling, press “increase” twice; the screen shows “12-”.
Press “decrease” button, third character is twinkling, press “increase” three times, the screen shows “123”,
then press “set” button, the system into main menu: the temp set display screen shows “PA.-”.
Press “increase” button once, temp set display screen shows “PA.1”. Then press “set” button, the
screen shows “0”(“0”: to give up; “1”: to determine), press “increase” button, it shows “1”. Press “set”
button, now system go into “temp revision” submenu.
Temp display screen shows P××( the initial value is P2.0), under this state user can presses the
“increase” or “decrease” button to revise the deviation of the temp displayed by the skin temp and the temp
in the standard thermometer(the revise range:±2℃). Then press “set” button, now the temp display screen
shows U××(the initial value is U1.0), under this state revision of temp value for over-temp alarm can be
made(the revise range:±1℃).
After finishing operation above press “set” button twice, the equipment goes back to normal working
state.
Be careful:
The skin temp sensor’s head and the standard thermometer must be put under the same temp(36℃-
37℃), then find out the deviation and revise after it is steady.
3
3 Main technical parameter

3.1. Power supply: ～ 220V, 50/60 Hz
3.2. Power input: 1050VA
3.3. Normal working condition:
a. Environment temperature: 18℃~30℃;
b. Relative humidity: 30%～75%;
c. Atmospheric pressure: 700~1060hPa;
d. Air velocity: ＜0.3m/s
3.4. Temperature control range: 32℃~38℃
3.5. Precision of temperature control: ≤0.5℃
3.6. Functional alarm:
3.6.1. Over-temp: 39℃
The secondary over temp to shut off power: 40℃ （ cut off the heating power, alarm with sound
and light）
3.6.2. Deviation alarm: When the temp goes steady and the deviation reaches ±1℃(+1℃, the heating
power will be shut off), alarm with sound and light.
3.6.3. Sensor alarm: When the skin temp sensor is in short circuit or open circuit state, shut off the
heating power, alarm with sound and light; the sensor overruns the radiation area and temp deviation
reaches to –1℃ for about one minute, the machine will alarm with sound and light automatically and keep
certain power to heat up.
3.6.4. Power failure alarm: When the power breaks off, alarm with sound and light.
3.7. Bed temp uniformity: ≤2℃
3.8. Skin temp sensor precision: ≤0.3℃
3.9. Increasing temp time: 45’
3.10. Transportation and storage
a. Environment temp: -40℃~+55℃
b. Relative humidity range: ≤95%
c. Atmospheric pressure range: 500~1060hPa
4
4 Functions instruction
4.1 LCD display
NO. Name No. Name

1 Audio paused 9 Time display
2 APGAR timer start/hold 10 Control mode display
5
3 unlock 11 Skin temp set display

4 Air temp display 12 Skin temp display
5 Aux temp set display 13 Timer reset
6 Aux temp display 14 APGAR timer
7 Heating power display 15 Alarm display
8 Temperature profile
Fig.7-1
NO. Name No. Name
1 Vacuum gauge 5 Skin temp

sensor(peripheral)
2 Vacuum regulator knob 6 Lighting switch
3 Suction unit switch 7 Alarm
4 Skin temp sensor(central)
Fig.7-2
6
4.2 Examination of the functions.

You should take function inspection for the infant radiant warmer when the installation is
finished, or disassemble every part and reinstall it because of cleaning or maintenance to
insure that the warmer works normally.
Inspect power failure alarm
Turn on the power supply switch before the warmer’s power supply plug insert into AC jack, the
equipment should exist the power failure alarm both audio and visual. Turn off the switch, the
alarm will be released.
Notice: when inspecting this function, the alarm time should not be too long for fear of consuming
much battery energy
4.3 Usage of the equipment

4.3.1 Preparation before operating
9.1.1 Clean and disinfect the equipment, examine the functions.
9.1.2 Lock the brake wheel of the warmer tight so as to prevent it from moving while in use.
9.1.3 Insert the skin temp sensor into the skin temp sensor jack.
9.1.4 Insert one end of the power wire into the power input jack behind the warmer, insert the
other end into AC 220V, 50Hz power socket.
Be careful: the grounding of the power socket must be tight and reliable
4.3.2 Operating method

 Air temp , skin temp , skin temp control set value, aux temp , aux temp alarm set value,
control mode, heating indicator, APGAR timer, 5 minutes curve, display in main screen.
Normal alarm sign and menu not display.
 APGAR timer have timer reset and APGAR timer start / hold two key, can control APGAR
timer reset, start or hold.
 When happened temperature

deviation (constant temperature
reappear skin temperature
deviation ±1.0℃), sensor open circuit or short circuit, over temperature, sensor location
failure, manual overtime, main screen will display trumpet , together with sound, press
trumpet will display audio pause sign can pause audio once.
Main screen
have one
lock key to
lead into main menu, press ,main screen upper right have a choice
7
window, “Y” into main

menu, “N” or not choice
automatic exit main menu
operation
The operation of after into the

main menu operation
Press MODE key into control mode

elect menu
Press have three mode to

choice: Preheat , auto control,
manual control,
Press exit main
8
menu or auto exit main menu.
mode to choice: Preheat , auto

control, manual
control,
Default work mode is after

starting on equipment first 30%
preheat 15 second, 50% heating
30 second, 100% heating 15
second, then auto switch to auto
control mode, preheat mode just
suit for first time use this
equipment, after preheat mode
will not repeat this mode again,
automatic into auto mode.
9
Press AUTO SET key into skin

temp set menu.

Press ,
reduce the set value,

press increase the
set value, the
maximum is 37.0℃ ,
when set value equal
with 37.0℃, now will
jump out one key ask
if need proceed
greater than 37.0℃
operation(increase of
risk please operate
seriously) , this can
ignore it, if press this
key will appear sign,
allow skin temp set
value is the max.
38.0℃, when set
value less than
37.0℃,key and sign
autohide, press key
can exit main menu or
auto exit main menu.
 During
auto
mode,
and in
whole state(100%
heating) skin temp
sensor induction
temperature not
change the system
will take protect limit
temp action(30%
10
heating), screen will

display flash,
together with sound.
Press key can alarm
off
once, if
problem still exist,

after one minutes,
audio and video
indication and limit
temp protect still have
effect.
Press MAN.SET key into manual

set menu.
 Press key,
reduce set
value, press key
increase set value,
adjustment range is 0-
10 , stepping is 2 ,
corresponding heating
power is 0-50%. Press
11
key can exit main menu

or auto exit main menu.
 During in manual mode,
continuous working 15
minutes, screen will
display flash, together

with sound indication,
press key alarm off
once.
Press SYS.SET key into system

set menu.
12
Choice aux temp set
Press key, reduce set value, press key

increase set value, max. to 38.0℃.press
key can exit main menu or auto exit main
menu.
Aux temp set value can make one auxiliary temperature alarm point as one auxiliary function of over
temperature detection, temperature monitoring. If aux real temperature over the set value will have
over temperature alarm, audio and video indication same time cut off power stop heating.
Choice time set
 Press key, into time set state,

continue press 12 numbers, order as 2 is
year, 2 is month,2 is day, 2 is minute, 2 is
hour, 2 is second, after finished press “ok”
key, if input wrong press C key, exit main menu
must press ‘return’ key.
During time menu about exit have some rules as

follows:
 If now into the time set state can directly
press key exit main menu. After into time
set state, have two situation, a) if already finished input, press key, then press key can exit main menu. b) if not
finished input, must press cleanout key,then press key exit main menu.
13
Aux temp amend

 W
hen amending the aux temp displayed value, press
increase, press reduce, default is 2.0, amend range
is 0-4.0 , corresponding temperature is ±2.0℃
Air temp amend


 W
hen amending air temp, press increase, press
reduce, amend range is 0-4.0, corresponding
temperature is ±2.0℃
Skin temperature amend


When amending skin temperature display value,
press increase, press reduce,amend range is 0-
4.0, corresponding temperature is ±2.0℃
Over temp alarm amend
 W
hen
amending over temp alarm, press increase, press
reduce, amend range is 0-2.0, corresponding alarm
temperature is 37.0℃-39.0℃
Press TEST key into system test menu



Press or key can downward or upward choice 4 type situation.
 Press key can exit main menu or auto exit
main menu.
14
Alarm : before test ,must ensure no

infant on baby bed.
！
After choice test item, exit main menu, start into test, if reuse after test, need turn off the power when
temperature fell to safety then start again. The time should not less 15 second after test to restart
system
Into the main menu.
 Press screen can exit main menu or auto exit main

menu.
Into language menu.

 Press key can exit main menu or auto exit
main menu.
4.3.3 Dealing with alarm

If there is abnormal situation or the equipment has failures, the controller will alarm both audio and
visual. Some alarm may cut off the power supply of heating tube. The operator can press “audio paused”
button to paused the sound alarm, then find out the cause according to the alarm and trouble shooting,
the device can work again normally. (Over temperature alarm needs to press the “RESET” button, the
device can work again normally)
When the power supply is cut off abruptly or has troubles, it will have alarm both audio and visual, you
should turn off the switch immediately (long time alarm will consume the energy of the battery, it may
affect the alarm next time), and check it. When the trouble is eliminated, turn on the device again.
Warning: (power supply breaks off or reset) after turn on the device again, you must check the control
mode again and set the temperature.
15
5 Cleanout and maintenance

5.1 Cleanout
After caring or rescuing a baby, the warmer must be cleaned 、sterilized、disinfected(at least once a
week) fully. The parts and groupware will reach the anticipative effect after been cleaned disassembly, it is
good to clean them by soap, and some disinfectant solvent is ok too; clean them by aseptic water and dry
them soon, then install.
5.1.1 Disassemble the parts.
5.1.1.1 Disassemble the baffles: unload the two baffle supports diagonally of infant bed, the four baffles
around can be taken off.
5.1.1.2 Take out the mattress and take off the cover.
5.1.1.3 Draw the X-ray cassette tray from the side.
5.1.2 Cleanout of the parts
Use registered cleanser; the bed should be empty when do cleaning, and clean after wiping off all
solids and pollutions from the disassembled parts.
5.1.2.1 Cleanout of the skin temp sensor
Clean the surface with disinfectant solvent (Be careful: Do not put the skin temp sensor into the
solvent). Clean it with clean cloth or let it dry by vaporizing.
5.1.2.2 Cleanout of baffle and X-ray cassette tray: disinfect and clean with disinfectant solvent in proper
quantum, wipe the inside out and out after cleanout (including the concave place). Be careful: Do not clean
the baffle with organic solvent, such as alcohol; do not put it under direct radiation of ultraviolet.
5.1.2.3 Cleanout of mattress and cover: brush with cleanser, rinse with clean water and then air to dry.
5.1.2.4 Cleanout the disassembled and cleaned main body: cleanout all of the surfaces and corners of the
equipment out and out with disinfectant cleanser, and then dry them with clean cloth.
5.1.3 Assemble.
After the main body and the parts are cleaned and dry, install in the order opposite to the way of
disassembling them. Do not use lube、alcohol or other objects to lubricate the surface when install. Check
whether the baffle is fixed tight and don’t leave any inflammable objects after installation.
5.2 Maintenance (Operated by professional, the power plug must be pulled off).
5.2.1 Replacement of battery
If the equipment hasn’t been used over six months, start the machine to make it charge
! automatically at least 6 hours, insuring the sufficiency of power to alarm for power
failure.
The battery could be changed by authorized person only!
In the process of examining the alarm of power failure, if the alarm can not sound, or the sound is too
small, charge the battery up or change a new one in time in case that the battery liquid flow out and
damage the parts of the equipment. If the battery liquid flowed out, must wash it cleanly with the cleanser,
so as not to corrode the equipment. While changing the battery, pull out the plug of supply power firstly,
and unload the screws of the operation panel. Demount the rechargeable battery which lies in the PCB
board with electric iron and solder a new one (model:D80H5A2H )onto the circuit board. Collect them
together and dispose them to avoid environment polluting. Don’t abandon the changed batteries at will.
16
5.2.2 Replacement of the power fuse

Pull off the power cord, open the fuse socket of the power socket in the back of the warmer, replace it
with the same type of fuse(F5AL250V, 5×20). The fuse of the transformer is also in the back of the
equipment, replace it with the same type of fuse(F1AL250V, 5×20) and then the replacement is done.
5.2.3 Replacement of the LEDs of lighting

Take off the shield window which lays outside of the LEDs lamp, and then the replacement of the lamp can
be done.
5.2.4 Replacement of the anti-explosion quartz heat tube
!
Unprofessional is not allowed to open

the top cover of the radiant source, avoid vibration and electric shock.
 Open the right and left top cover of the radiant source, take off the power wire of the two sides of quartz
heat tube, then disassemble the shrapnel and cover of the fixed heat tube, take out the heat tube, install in
the way of the opposite order.
17
6 Solution of common failure
Phenomenon Cause analysis Solution
a. The skin temp sensor has not been Insert the skin temp sensor.
inserted. Check the plug and the
Sensor alarm b. The plug of the skin temp sensor falls off connection.
or bad tangency. Replace the skin temp
c. Skin temp sensor failure. sensor.
Lay the skin temp sensor

Over temp a. Skin temp sensor has not been laid well.
well.
alarm b. BTA failure.
Replace the BTA.
Lay the skin temp sensor

a. The skin temp sensor has not been put in
well.
the center of the bed or there are some
Deviation Stabilize the environment
coverings above.
alarm temp.
b. Great change of the environment temp.
Keep the machine away
c. Heat source beside the machine.
from the heat source.
Check if the power plug has

a. The power plug has not been inserted
inserted.
Power break well.
Turn off the power.
off alarm b. No power support.
Replace the fuse with the
c. The fuse has burnt out.
same type.
Panel button
Panel button failure. Replace the panel..
failure
a. Spotlight lamp socket connect not well
a. deal with the socket
b. Power cable connector not well
Spotlight lamp b. fixed the power cable
c. Transformer or treatment lamp
not bright c. change transformer
transformer is damage
d. change lamp
d. LED lamp is damage
a. Controller failure. Check the controller.

Temp doesn’t
b. Power wire of the heater tube falls off. Fix the power wire tight.
rise up.
c. Failure of the heater tube. Replace the heat tube.
18
7. APPENDIXⅠ
Neonate Phototherapy Unit

BL-60D
7.1. Use
This product is used for light treatment to reduce concentration of bilirubin in the body of infants.
7.2. Features
7.2.1 With its small bulk and light weight, the product has a high efficiency of radiation.
7.2.2.With electron adaptor, power have high adaptive capacity
7.2.3 LCD display the total time of therapy.
7.2.4 With low,middle,high three level to adjust phototherapy radiant.
7.2.5 Auto save 20000 hours accumulated use time.
7.3 Main technical parameter:
Power supply AC110V～240V 60/50HZ
Input power 40VA
Radiant wave length 420nm～490nm
LED lamp quantity 17
Uniformity >0.4
Time accuracy 1min/12hours
Accumulate time range 0～20000hours
Count down time range 30min～48hours
Distance between the Distance between the phototherapy

phototherapy equipment and equipment and the effective surface
the effective surface area :50cm area :36cm
19
Ebi max (maximum total 1620μW/cm2 2800μW/cm2

irradiance for bilirubin)
Ebi avg (The average 1420μW/cm2 2000μW/cm2

total irradiance for
bilirubin)
Humidity range 10%～85%RH

Working condition of
Atmospheric pressure 700hPa～1060hPa
circumstance
Temperature range +18℃～+30℃
Humidity range ≤95%

Transport and storage
Atmospheric pressure 500hPa～1060hPa
condition
Temperature range -10℃～+55℃
7.4. Installation
Instruction: This type phototherapy unit is specially designed to be installed on the infant radiant warmer. So
before installing this phototherapy unit, please install the infant radiant warmer first, then install this phototherapy
unit.
The installing procedure of this phototherapy unit is as follows:

7.4.1 Pull out the power supply plug of infant radiant warmer to make the device power off.
7.4.2 Face to the unit. Rotate the lamphouse of infant warmer unit 900 with clockwise.
Lamphouse of infant warmer

7.4.3
Open
20
packing of phototherapy unit, insert phototherapy fixed seat into the slideway of side of warmer. Then adjust
phototherapy unit to suitable height（advice 450-500mm）. Tighten M8*20 screw thread handle.
slideway
M8*20 screw thread handle phototherapy fixed seat
7.4.4 When use,adjust rotating arm to the clinic needed position. Reset it after use.
Arm can be adjusted
21
Adjust the height

by tightening or
loosening this
screw
phototherapy
unit can be
adjusted
7.4.5 Make sure the radiant warmer main body connect well (including grounding connect well), insert output
end of special phototherapy connect cable into power socket of rear of warmer.
7.5. Introduction for functions panel
Front panel
1.prot
ect
22
label
2.Irradiance key .Adjust the irradiance level by press key. sign means high level sign means middle level sign
means low level sign means pause
3. Clear key: Clear time of this phototherapy.
4.Increasing key. a) check total cumulative time b) increasing value when set count-down time.
5.Decreasing key. a）press it few seconds, enter setting count down time. b) decreasing value when set count down
time.
6.LCD display screen
Back panel
OFF Switch ON
7.6.
Instruction
for use
 Before treating one patient, phototherapy unit should rinse thoroughly and disinfect, avoiding affect the
phototherapy effect.especially the lens surface.
 Put one end of power cable into bear of input connecter.the other end insert auxiliary mains socket-outlet of a
infant warmer.
 After use blinder and perineum cover for patient, move patient to suitable position
 Switch on phototherapy source and turn on the lamp(default is high level irradiance), timer and treatment is
starting.
 The relationship of distance between phototherapy equipment and effective surface,effective surface,irradiance
level and irradiance. Fig7-1
level High middle low

Distance between the
Ebi max (maximum total
phototherapy equipment 1620μW/cm2 1200μW/cm2 480μW/cm2
irradiance for bilirubin)
and the effective surface
area :50cm,effective
surface area:60cm*30cm Ebi avg (The average
total irradiance for 1420μW/cm2 1000μW/cm2 400μW/cm2
bilirubin)
Attention: usually, distance between the phototherapy equipment and the effective surface area is about 50cm,and the
centre of effective surface area is coincide with baby mattress centre, Ebi max(maximum total irradiance for bilirubin) is the
maximumm value of the effective surface; Ebi avg is the average value of total irradiance for bilirubin between Ebi max and
Ebi min.
Warning: when using phototherapy equipment,should choice the suitable level according
to the direct of doctor and the needed of patient. Review the therapy effect after 4 hours, to
decide whether change the irradiance level or not.
23
This unit have high,middle,low three level.can adjust the irradiance by press key,and it will display on the
screen.the order is :high – middle – low – pause.
As the fig 7-2. means high level; means middle
level, means low level. All irradiance sign not lighten means phototherapy now is paused.
Irradiance level
Fig.7-2
Attention : when switch off phototherapy unit or cut off power,the unit can remember the
level of irradiance.
It is necessary to measure patient’s body temperature and give patient some water
according to needed.
7.6.1 use the timer

1) when unit is in paused state,timer stop,and display as “hour: minute: second”.press
Key,turn on lamp,timer continue working.
2) Phototherapy unit have the function to auto turn off the lamp at the scheduled time and accumulation timing.if not
set this function,default treating time is 100 hours,then stop auto. Accumulation time is the total value from initial
value to now. and is display as “xxxxx.x”. The max.time is 19999.9 hours.
3) Reset timer: press and don’t move. A few seconds later,timer will reset to zero.
4) Set the time for phototherapy (turn off the lamp on time). As fig.8-3
a) press key some seconds,enter count down mode,default value is 1 hour. Then can press or to increase or
reduce count down time.the range is : 30 minutes *n (n=1-96),when n=97 and display 0, then the range of irradiate
time is 00:30:00-48:00:00’
b) if set the irradiate time when the lamp is lighten,then the irradiance level not change; if set the irradiate time when
the lamp paused,then the irradiance level is high level. And the timer is starting count down till display 0. then
irradiate stopped.(display 03:30:00 means it still have three hours and half till end of irradiate.)
24
Fig.8-3
5)check the time :press some seconds,timer display cumulative time,then auto change former value.(attention ,the
unit is hour,display with decimalism)
If want to end the phototherapy,switch off phototherapy unit and cut off power.
Attention:
1).normally is increasing timer for display phototherapy time, the max value is 100 hours;count down timer is
decreasing timer for display left phototherapy time,the max value is 48 hours.
2).if turn off the phototherapy,the timer display 0,but it will be remembered as accumulative time unless use CLEAR
key.
.
7.7. Maintenance and troubleshooting

7.7.1 When not using the device, you should pull out the power supply plug, and should not connect with AC
mains power.
7.7.2 Use clean cloth to clean the device, especially that there should not be dirt on the surface of the light box
to keep it clean and bright. When not using the device, you should use ventilate cloth to cover the device and put it
well.
7.7.3 The radiance of the LED lamp will reduce as time passes, you should change for new LED lamps when
using 20000 hours accumulatively to guarantee the phototherapy effect.
7.7.4 Changing fuses: pull out the power supply cord plug of the warmer and power connecting plug of fuse
tube, open the fuse box, and take out the old fuses to change for the same type fuses(F 1AL 250VΦ5×20), then push
in the fuse box, insert the power supply connecting plug again.
7.7.5 Common trouble ( see

table 1)
Table 1:
Problem Cause analyze Solutions
1.Connectors of the wire 1.Insert the connectors well.
are not insert well 2.Change the fuse.
Plug in, all the LED 2. The fuse is fail 3.Change the adapter.
lamps are not lightening 3.The adapter is broken 4.press key
4.the equipment with paused
state
Plug in, some LED 1. LED lamps are broken 1.Change the LED lamp
lamps are not lightening 2. Element protection 2. Inspect the circuit.
Calculagraph are not 1. Line panel get loose 1.Weld the lines well
lightening Circuit board break down. 2.Change for a new circuit board.
25
8. APPENDIXⅡ:
Low-pressure suction apparatus (JE-DY-1)
Operating Manual
I. ASSEMBLY AND ADJUSTMENT

a. Connect pipeline (see also Fig .1)
Fig. A1 Pipeline Connection Diagram
II. OPERATION
AND
MAINTENANCE
a. Operation
• Inspect the
apparatus
according to the procedure of assembly and adjustment. Ensure its performances are satisfactory.
Then connect the disinfected suction hose and catheter used in clinic and set vacuum level by
adjusting the vacuum regulator, then ready for operation.
26
• The storage bottle should be emptied out immediately when the liquid reaches near to 1/2 capacity
of it, which can prevent the pump from damaging.
Note: The aspirator should be operated by professional doctor according to the directions of medical science and
the instruction in the operating manual strictly.
If there is any doubt about operation, please get in touch with supplier or manufacturer.
b. Replacement for fuses
When the unit fuse fixed behind the unit case need to be replaced, cut off the power supply first,
align to the cross-groove of the fuse seating with a screw-driver and turn around in counter-
clockwise to withdraw the seating cover, then inspect or replace the fuses.
c. Maintenance
• Before stop working, sucking a little clear water into the suction tubing will be helpful to make it
clean.
• After stop working, empty storage bottle, eliminate dirt inside storage bottle with soft brush or
cloth and then rinse those including the suction tubing throughout.
• It is recommended that immerse the storage bottle and caps as well as suction tubing into
kangweida disinfect solution (refer to its instructions) for one hour.
Note: Avoid the storage bottles made of glass being knocked against sharp body or falling down.
• The outer casing of the unit may be wiped with disinfected cloth which should be twisted dryer as
to prevent liquid from seeping into the chinks of case.
• The unit should be kept in a dry and clean place, and run it periodically ( once a week in normal
use) to ensure the electronic components not to damage.
III. TROUBLESHOOTING
Item Fault Cause Solution Remarks

1) Leakage in the entrance 1) Clean the entrance of
The power supply
of storage bottle bottle and press bottle cap
must be cut off
Vacuum 2) Leakage in the tightly.
when the parts
(Max.) connection of tubing 2) Make the tubing be
inside the unit
1 ＜10kPa 3) Cracking in storage connected correctly or
case are
bottle. replace the tubing
examined or
4) Fault in vacuum 3) Replace the storage bottle.
repaired by
controller 4) Examine the vacuum
professionals
controller
The fuses 1) Super-voltage
2 Examine the electrical circuit
are fusing 2) Electrical fault
Examining or
The power 1) The power supply is cut 2) Repair or replace the
repairing electrical
indicator off. defective plug or socket.
circuit should be
does not 2) The plug and socket 3) Replace the fuses
3 carried out by
light and the contacts fault. F 0.1A 250V (φ5×20mm)
professionals
unit does 3) The fuses are fusing. 4) Examine the circuit.
not work. 4) Electrical fault
Note : It is recommended that the pump should be unassembled or repaired by professionals. If necessary, please get in touch with
27
the manufacturer.
9. APPENDIX III:
Infant resuscitator (BR-100)
Operating Manual
9.1 Features
a) PIP (Peak Inspiratory Pressure) and PEEP (Positive End Expiratory Pressure) are pre-set by the user,
and displayed on the manometer.
b) Accurately regulate and maintain a constant and uniform PIP (Peak Inspiratory Pressure).
c) Accurately regulate and maintain a constant and uniform PEEP (Positive End Expiratory Pressure).
d) Respiratory rate and IE (inspiration and expiration ratio) are controlled by the time of pressing and
releasing air outlet.
e) Tidal volume is adjusted by adjusting the gas flow and the speed of pressing.
f) The maximum airway pressure can be set.
g) If really necessary, oxygen with content of 100% is available.
h) Simple to operate and the operator can complete with less fatigue.
i) Easily portable.
9.2. The symbols and definitions

Symbol Definition
28
Attention: Consult the Operating Instructions.
The Max Pressure Relief that may be delivered to the patient. (factory set at 40
cmH2O)
Peak Inspiratory Pressure( Adjusted as required)
Gas inlet connection from gas supply (5 to 15L/min)
Gas outlet connection to patient
29
9.3. Performance Specifications and Technical Specification
Performance Specifications
The relation between the adjustment range of the PIP and the gas supply
Input Gas Flow Peak Inspiratory Pressure（PIP）
(L/min) cmH2O (mbar)
*5 2～70
*8 3～74
*10 4～76
*15 10～77
The relation between the adjustment range of the PEEP and the gas supply
Input Gas Flow Positive End Expiratory Pressure（PEEP）
(L/min) cmH2O (mbar)
*5 1～6
*8 1.5～10
*10 3～15
*15 5～25
Input Gas Flow 5L/min～15L/min
Note：Figures with* listed above are representative only.
PEEP and PIP values stated are typical ones. Higher PEEP values can be achieved if higher
PIP values are set.
NOTE：Factory setting of pressure limit valve is at 40 cmH 2O (mbar). Pressure limit valve is to
limit the pressure in the circuit. In particular cases, adjust the upper limit value of pressure to,
or the pressure in the circuit will not exceed 40 cmH2O (mbar).
Technical Specification
Item Parameters
Height 270 mm
Width 200 mm
Depth 110 mm
Weight 1.8 kg
Manometer Range -10 cm～+80 cmH2O
Manometer accuracy ±2%
Storage Temperature: -40℃～+60℃;
environmental condition Humidity: ≤95% RH
Operating Temperature: -18～+50℃;
environmental condition Humidity: 5%～95%RH
Dead Space 6 mL
Recommended Patient Body Weight ≤10 Kg
Delivered Oxygen Concentration Over 85%
30
On the resuscitation devices, “cmH 2O” and “mbar”

represent pressure. And on some other devices
Unit of measurement “hPa” is the unit of measurement. Since 1mbar is
equal to 1hPa and is also equal to 1.016 cmH₂O,
they can be used reciprocally.
5.
6. 9.4 Operation panel, accessories and operating principle

9.4.1 Operation panel (As shown in the picture below)
9.4.2 Breathing tube and accessories
31
Gas supply Resuscitation

tube breathing tube Test lung
Resuscitation
Mask
9.4.3 Operation principle

Air/oxygen mixture gas of which the gas flow rate is 5～15L/min enters into the machine from the gas inlet
port, pass through MAX-P valve and PIP valve and enters the resuscitation tube from the gas outlet port,
then enters into the patient lung through the mask. Since the positive valve is installed on the end of the
resuscitation tube, the operator can control the inspiratory and expiratory of the infant by pressing and
releasing the PEEP valve. The manometer can show the airway pressure accurately. The Operation
principle is shown bellow:
9.5. Install and parameter adjustment

Before operation, please install and check according to the operation manual to guarantee the normal
work of the infant resuscitator.
9.5.1 Testing of the Manometer
Check that the manometer reads zero before operation. If not, unscrew the transparent plastic cover of the
manometer counterclockwise. And reset the manometer to zero with a suitable screwdriver. Then cover it
with the transparent cover clockwise. As is shown below:
32
9.5.2 Connect Gas Supply

Pull the cap on the gas inlet port.
Connect oxygen or air/oxygen
mixture port to the gas inlet port
with the gas supply line.
9.5.3 Connect the Resuscitation tube
Pull the cap on the gas outlet port. Plug the input side of
the breathing tube into the gas outlet port. Connect the
PEEP valve output port with the test lung.
9.5.4 Adjusting for Input Gas Flow

According to the clinical needs, adjusts the gas supply flow to the value required (Recommended
operating gas flow for the neonate is 8L/min and for the child is 12L/min). Don’t change
the value casually after it is set up, since the change of it will cause the change of the
related pressure set.
9.5.5 The setting up of the Maximum Airway Pressure (Max-P), Peak Inspiratory Pressure (PIP)
and Positive End Expiratory Pressure (PEEP)
9.5.5.1The setting up of the Max-P
① Pull the cap of the Maximum Pressure Relief valve to a suitable height and turn it counterclockwise
for 60°to the position shown below.
② Securely occlude the air outlet of the PEEP valve with the thumb.
③ Close the PIP value by turning the knob fully clockwise.
④ Adjust the Max Pressure Relief knob clockwise or counterclockwise until the manometer indicator
reaches the upper pressure limit value needed (Factory setting of pressure limit value is 40cmH 2O)
⑤ After setting up, turn the cap of the Max-P to the original position clockwise.
33
9.5.5.2 The setting up of PIP (Peak Inspiratory Pressure)

① Securely occlude the air outlet of the PEEP valve with the thumb.
② Turn the PIP knob counterclockwise until the manometer indicator reaches the clinical requirement.
As is shown below:
34
9.5.5.3 The setting up of PEEP

Turn the PEEP control knob clockwise or counterclockwise until the value of manometer indicator
meets the clinical requirement. As is shown below:
35
9.5.5.4 Check the values set up

Occlude and uncover the air outlet of the PEEP valve, observe the manometer value to check if the
maximum and minimum value conform to the PIP and PEEP value set up above. As is shown below:
36
9.5.6 Remove the test lung

Remove the test lung from the PEEP valve and properly keep it.
9.6. To resuscitate
① Set the clinical specifications according to the Chapter9.5.4 and 9.5.5
② Fit the resuscitation mask to the PEEP valve output port and place over the baby’s mouth and nose.
37
③ Resuscitate by pressing and removing over the PEEP outlet port alternating with forefinger to allow
patient for inspiration and expiration. (Refer to below figure)
9.7. Cleaning and Sterilization

9.7.1 Notices when cleaning
a) Explosion and fire hazards can exist when performing cleaning procedures in an oxygen-enriched
environment.
b) Ensure the resuscitation circuit is disconnected from the infant resuscitator before performing
38
cleaning procedures.
c) Dust all surfaces with a clean damp soft cloth.
d) After the clean of the air supply tube, put it in the specific clean place for using next time.
e) In normal case, clean and maintenance is performed rarely.
9.7.2 Sterilization
9.7.2.1 Test Lung
Test lung can be disinfected by autoclaving. Recommended way: It can be disinfected by autoclaving at
121℃, 15psi for 30 minutes. Since there are different sizes and types of autoclave, the
pressure, temperature, humidity and time are different. Please refer to the manufacturer's
instructions or the standard of the sterilization. The way of disinfection with liquid is not
recommend since some agentia may result in the product discoloration.
9.7.2.2 Resuscitation masks
Disinfect before using, as in the above 10.2.1.
9.7.2.3 Resuscitation breathing tube
Resuscitation breathing tube is a single-use part. It can be used if the package is complete. (It is
suggested to disinfect it with ethylene oxide before using)
9.7.2.4 Gas Supply tube
It can be reusable. Clean and disinfect it regularly as requirement with ethylene oxide.
9.7.3 Notice: Do not autoclave or gas-sterilize any part of the main body of the infant
resuscitator.
9.8. Testing of the Manometer and the Valve System

9.8.1 Testing of the manometer
a) Check whether the manometer reads zero. If not, the resetting of the manometer to zero procedure
(Section 3.3.4) should be followed.
b) Connect the outlet port of the infant resuscitator to breathing tube of PEEP valve and a calibrated
manometer with a three-way connection( The Positive End Expiratory Pressure value can be used as a
release valve.
c) Set the gas supply to 5-15L/min. Completely close the maximum pressure limit valve by turning the
knob clockwise. With the release valve closed, adjust the Peak Inspiratory Pressure knob until the gauge
reading 20 cmH2O. Check the manometer on the resuscitator under occlude and uncover the release
valve repeatedly to check that the needle on the manometer of the resuscitator rises and falls smoothly.
The readings for the 2 manometer shall be coincident.
d) Set the gauge to 15 cmH2O and 40 cmH2O as the same way above and observe the manometer.
e) If the deviation values between the manometer and the gauge is within +/-2 cmH 2O and the needle
of the manometer can move rise and fall smoothly, the manometer is accurate. If not, please replace a new
one.
39
9.8.2 Testing of the Valve System

a) Set the flow of gas supply to 5 L/min. Completely turning the PIP knob and the Max-P knob
clockwise to close them. Close the release valve with thumb and check that the gauge needle whether
at 70cmH2O.
b) Set the flow of gas supply to 10 L/min. Completely turning the PIP knob and the Max-P knob
clockwise to close them. Close the release valve with thumb and check that the gauge needle whether
at 76 cmH2O.
c) Set the flow of gas supply to 15 L/min. Completely turning the PIP knob and the Max-P knob and
the Max Pressure knob clockwise to close them. Close the release valve with thumb and check that the
gauge needle whether at 77cmH2O.
d) Finally reset the maximum limited pressure and peak inspiratory pressure.
Notice: The larger deviation (more than 5%) shows the faulty of the valve. Please replace a new
one.
40
10 Infant radiant warmer assembly
41
No. Name quantity

1 Wheels 4 J020091
2 Carling of base 2 Z010027
3 Bottom bracket of oxygen cylinder 2 J010354
4 Oxygen cylinder 2 C990106
5 Oxygen cylinder support 2 J013028
6 Bed support 1 Z010065
7 Baffle support 4 J020049
8 Column 1 Z010096
9 Thread handle(M8*20) 3
10 Ripple handle(M4*20) 1
11 Infusion support frame 3
12 Power back panel 1 J013051
13 Infusion hook 1
14 Heating source 1 Z010031
15 LCD touch screen 1
16 Tray 2 J020147
17 Low -pressure suction control panel 1 J023022
18 Phototherapy unit 1 NC030009
19 Infant resuscitator 1
20 Baffle 4
21 Mattress 1
22 Baby bed 1
23 Big end up 2
24 Drawer 2 J020196
25 Vertical support of Base 1 Z010088
26 Small end up 4 J020169
27 Beam of base 1
42
11.Infant radiant warmer radiant source assembly
No. Name Quantity

1 Back cover of radiant source 1 J023015
2 rotate module 1 J013022

3 upper cover 1 Z010082
4 reflect module 2 J013007
5 heater tube 1 D030011
6 front cover of radiant source 1 J023017
7 upper cover of radiant source 1
8 Sleeve of mandril 2 J040056
43
12. BN100 infant radiant warmer tray module assembly
NO. Name Quantity

1 Tray 1 J020147
2 Support cover 1 J020148
3 M6 screw 4 J030058
4 infusion support 1 J040111
5 M8 handle 1 J040019
6 M4 screw 4 J040086
7 Tray support 1 J040111
44

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Infant Radiant Warmer: Service Manual Guide

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Infant Radiant

Please read and keep this instruction carefully

2. Operating principle of the radiant warmer…………….……..……….…...1

3. Main technical parameter…………………………….......….……….…….3

5. Cleanout and maintenance………………......................………………...12

6. Solution of common failure…………….............……………….………….14

7. APPENDIXⅠ Neonate Phototherapy Unit ……………….…….................….....15

8. APPENDIXⅡ Low-pressure suction apparatus…………………............……..….21

9. APPENDIX III Infant resuscitator……………...………………..…....……….....23

10 Infant radiant warmer assembly..............................................................31

11 Infant radiant warmer radiant source assembly.......................................34

12 BN100 infant radiant warmer tray module assembly...............................35

2 Operating principle of the radiant warmer

Fig.2-1 hardware principle Fig.2-2 The procedure block diagram

3 Main technical parameter

NO. Name No. Name

3 unlock 11 Skin temp set display

NO. Name No. Name

1 Vacuum gauge 5 Skin temp

3 Suction unit switch 7 Alarm

4 Skin temp sensor(central)

4.2 Examination of the functions.

4.3 Usage of the equipment

4.3.2 Operating method

 When happened temperature

window, “Y” into main

The operation of after into the

Press MODE key into control mode

Press have three mode to

menu or auto exit main menu.

mode to choice: Preheat , auto

Default work mode is after

Press AUTO SET key into skin

reduce the set value,

heating), screen will

problem still exist,

Press MAN.SET key into manual

key can exit main menu

display flash, together

Press SYS.SET key into system

Choice aux temp set

Press key, reduce set value, press key

Choice time set

 Press key, into time set state,

During time menu about exit have some rules as

Aux temp amend

Air temp amend

Skin temperature amend

Over temp alarm amend

Press TEST key into system test menu

Alarm : before test ,must ensure no

Into the main menu.

 Press screen can exit main menu or auto exit main

Into language menu.

4.3.3 Dealing with alarm

5 Cleanout and maintenance

5.2.2 Replacement of the power fuse

5.2.3 Replacement of the LEDs of lighting

Unprofessional is not allowed to open

6 Solution of common failure

Phenomenon Cause analysis Solution

Lay the skin temp sensor

Lay the skin temp sensor