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Infant Incubator Atom Rabee Incu I Operation Manual PDF
Infant Incubator Atom Rabee Incu I Operation Manual PDF
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Operation Manual
This Operation Manual deals with the specifications, operation and maintenance of the Rabee Incu i. Atom is by no
means responsible for any malfunction arising from a user ignoring the instructions for operation and maintenance
described in this Manual as well as any accident attributable to repair by someone other than technical personnel
belonging to or authorized by Atom.
Read this Manual carefully and familiarize yourself with its contents before operating the unit. Keep this Manual
where it is readily accessible for reference when needed. If any technical problem should arise, please contact
your local Atom representative.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before us-
ing it for the first time after purchase.
This product maintains the ambient temperature around an infant by drawing in the air outside and
warming it. It doesn’t 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 incubator, 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 Rabee Incu i is a closed-type incubator for newborns and premature neonates. It is mainly intended for tem-
perature control in neonatal hypothermia, observation and examination in newborn nurseries, prevention of body
temperature drop shortly after delivery, and pre-operative and post-operative intensive care in neonatal surgery.
This incubator has the capability to control the 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 in operating it.
Basic Instructions
1. Follow the instructions for the safe use of the unit.
Follow the operating instructions described in this Manual for the safe use of the unit.
2
Definition of Symbols
1. Symbols to indicate danger, warning or caution
Symbol Title and indication
General attention
Indicates unspecified general danger, warning or caution.
General prohibition
Indicates unspecified general prohibition.
Prohibition of disassembly
Indicates prohibition of disassembly of the unit where it may cause an electric shock or other
hazards.
Prohibition of use of fire
Indicates prohibition of use of fire where an external use of fire may cause the unit to ignite under
certain conditions.
General instruction
Indicates unspecified general action on the part of the user.
3
4. Symbols of international standards (IEC)
Symbol Title and indication
Power on
Indicates in relation to the power switch that the device is connected to the power source.
Power off
Indicates in relation to the power switch that the device is not connected to the power source.
Bell silenced
Indicates either a control switch to silence the bell permanently or temporarily, or that the bell is
silenced.
Fan
Indicates a switch to control the fan.
Manufacturer
This symbol indicates the name and the address shown adjacent to the symbol is of the manufac-
turer.
Date of manufacture
Indicates the date when the unit was manufactured in the factory.
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.
4
5. Other symbols
Symbol Title and indication
Setting
Indicates that a setting is increased.
Setting
Indicates that a setting is decreased.
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 tempera-
ture alarm.
No water
Indicates that there is no water in the humidity chamber.
Humidity
Indicates the function related to humidity.
Press
Indicates that the lock function will be released when the key with this symbol is pressed.
No humidified oxygen
Indicates that humidified oxygen must not be supplied.
Do not immerse
Indicates that the humidity chamber must not be immersed in water.
5
WARRANTIES
This equipment is guaranteed by Atom Medical Corporation to be free of any defects in both materials and work-
manship for a period of one year from the date of delivery when used normally for its intended purpose. Any parts
of this equipment proving to be defective will be repaired or replaced at no charge during the warranty period. In
the following cases, however, actual expenses need to be paid even during the warranty period.
(1) Wear and tear of expendables
(2) Trouble and damage due to improper handling, such as dropping the unit during transport or transfer
(3) Trouble and damage due to a fire, salt, gas, extraordinary voltage, earthquake, lightning, storm and flood,
or other natural calamities
(4) Travel expenses in the case of a trip to an isolated island, a remote place, etc. for the purpose of repair
Any damage incurred in transit should be reported promptly to Atom accompanied by the certificate of the car-
rier concerned.
All correspondence concerning the equipment should specify the model name and the serial number.
WARNING
Atom is by no means held responsible for compensation for death, injury or damage to property if such loss
should occur due to any of the following causes.
1. Trouble or damage due to installation, relocation, maintenance or repair by someone other than:
• technical personnel employed by Atom
• a sales representative of Atom
• an installation company authorized by Atom.
2. Trouble or damage to Atom products caused by a product of another company that is not supplied by
Atom.
3. Trouble or damage due to modification, maintenance or repair using a part other than that specified by
Atom.
4. Trouble or damage due to neglecting the operating precautions or operating instructions described in
the Operation Manual of the unit.
5. Trouble or damage due to operation under ambient conditions, including electrical requirements and
installation requirements, other than those described in the Operation Manual.
7. Trouble or damage due to using a device sold or repaired by a secondhand goods dealer or a repair shop
without notifying Atom. Trouble or damage due to using a device sold or repaired by the above dealer or
shop without following the instructions specified by Atom.
8. Trouble or damage due to using the unit connected to a peripheral device which is not specified by Atom,
which does not meet the applicable requirements of IEC-60601-1 and IEC-60601-1-1, or which is not
equipped with equivalent safety features.
6
Precautions on Jamming
WARNING
Electric surgical knives, portable and mobile communication equipment, and other devices which
generate high-frequency noise can cause jamming to various kinds of electric equipment for
medical use and thus result in malfunction.
Since portable and mobile communication equipment, etc. are often used in medical facilities,
some measures should be taken to prevent jamming due to such devices.
Portable and mobile communication equipment and other devices which generate high frequency
should not be used near the unit during its operation to prevent malfunction of the unit due to
jamming.
It is the user (a hospital, a doctor’s office, a clinic) that is responsible for the operation, mainte-
nance and care of the electric equipment for medical use. The equipment should be used only by
medical personnel.
Prohibition of Modification
WARNING
Do not disassemble or modify the unit.
Otherwise, a fire, an electric shock or injury may result.
Periodical Inspection
Proper periodical inspection is needed to use the unit in the optimum condition.
In Case of Trouble
If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of
order and contact your local Atom representative or service engineer immediately.
If any abnormal condition or trouble should occur, do not use the unit until it has been repaired
completely by a service engineer so as to prevent possible danger.
7
CONTENTS
PREPARATION
[6] Oxygen Supply........................................... 40
[2] Parts Identification.................................... 15
2-1. Main body.................................................. 15 [7] Other Operation Procedures.................. 42
2-2. Display........................................................ 18 7-1. Setting the Alarm Volume........................ 42
7-2. Drawing out the Mattress Platform......... 42
PREPARATION 7-3. Tilting the Mattress Platform................... 43
7-4. X-ray Cassette Tray................................... 43
[3] Preparation before Use............................ 20
7-5. Letting Cords and Tubes into or
3-1. Assembly.................................................... 20
out of the Incubator................................. 44
3-1-1. Attaching the Display to
the Hood..................................... 20 MAINTENANCE
3-1-2. Connecting the Display to
[8] Cleaning and Disinfection....................... 45
OPERATION
the Incubator.............................. 20
3-1-3. Attaching the Filter..................... 21 8-1. Hood Assembly......................................... 46
3-2. Where to Install the Incubator................. 21 8-2. Mattress Platform and Parts Beneath... 48
3-3. Locking the Casters.................................. 22 8-3. Humidity Chamber.................................... 50
3-4. Power Outlet and Grounding.................. 22 8-4. Others......................................................... 51
3-5. Power Cord and Power Switch............... 23 [9] Maintenance Inspection.......................... 52
3-6. Adjusting the Hi-Low Stand..................... 23 9-1. Inspection before Use.............................. 53
3-7. Power Failure Alarm................................. 24 9-2. Quarterly Inspection................................. 54
3-8. Daily Inspection......................................... 24 9-3. Periodical Replacement Parts................ 55
9-4. Replacing the Filter................................... 56
MAINTENANCE
OPERATION 9-5. Inspection Checklist................................. 57
[4] Incubator Air Temperature/Skin 9-6. Disposal..................................................... 58
1-1. DANGER
Death or serious injury, damage to equipment or fire will result if the instructions given below are not fol-
lowed.
Only those who have been trained properly should operate the unit.
Be sure to keep the admittance panels and the access ports closed when the unit is in use.
Using the unit with an admittance panel or an access port left open may cause the infant to fall out of
the baby compartment. Be sure to close the admittance panels and the access ports when performing
phototherapy on an infant inside the incubator.
If the incubator air temperature should rise during phototherapy, proceed with the photo-
therapy after placing the infant in a cot or an open-type incubator (an infant warmer), as
directed by the doctor.
Since a mature infant emits much heat, the incubator air temperature may rise if you place the infant in
the incubator and perform phototherapy. The incubator air temperature may also rise if you use multiple
phototherapy units at the same time or if the room temperature is high. In such a case, proceed with
the phototherapy after placing the infant in a cot or an open-type incubator, as directed by the doctor.
Take sufficient care when using a cot, as it becomes difficult to observe the infant. Alternatively, placing
an ice bag inside the incubator has the effect of decreasing the incubator air temperature. However,
be sure to close the admittance panels and the access ports in this case also.
Do not leave the unit unattended when an admittance panel or an access port is open.
If an admittance panel or an access port is left open, the infant may fall out of the baby compartment
and get fatally injured. Never leave the unit unattended when an admittance panel or an access port
is open.
Stop using the unit immediately and seek repair if an admittance panel, a snap-open access
port or a press lever should be found loose or faulty in any way.
The infant may fall out of the baby compartment.
Never place a body warmer or any other possible ignition source in or near the unit.
Use of oxygen will increase the risk of explosion or fire. Body warmers or other devices in which fire
is used or which will generate a spark may cause an explosion or a fire if used near the unit.
10
Operating Precautions
Analyze arterial gas levels repeatedly when a high oxygen environment is required.
When the infant requires a high oxygen environment, it is extremely important and essential to periodi-
cally analyze arterial gas levels in order to maintain the desired oxygen concentration in the incubator.
Follow the doctor’s instructions in 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 due to a fire or an electric shock will result if the instructions given below are not fol-
lowed.
Be sure to follow the doctor’s instructions in setting the incubator air temperature or the
infant’s skin temperature.
Be sure to follow the doctor’s instructions in setting the relative humidity in the incubator.
11
Operating Precautions
Bear in mind the following precautions while using oxygen supply equipment.
• If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent
spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator,
the oxygen cylinder valve, piping, connections and other parts of oxygen supply equipment.
• On a high-pressure oxygen cylinder, use only a tested pressure reducing valve or pressure regulat-
ing valve indicated specifically for oxygen supply. Do not use such a valve for any gas other than air
or oxygen. It is dangerous to use a valve to supply a gas other than air or oxygen and then to supply
oxygen again.
Before cleaning and disinfecting the unit, be sure to turn the power switch off, remove the
power plug, and allow the incubator air temperature and the heater temperature to drop suf-
ficiently.
Do not install the unit where it will be exposed to excessive humidity, dust or steam.
Installing the unit in such a place may cause a fire or an electric shock.
The power outlet should be located near the unit to prevent accidental contact with a trailing
power cord. Use a separate power outlet for each unit.
In order to complete the ground connection, connect the power cord only to a properly
grounded 3P power outlet including a ground terminal.
Do not operate the unit if you have any doubt about its ground connection.
12
Operating Precautions
The doctor is responsible for making a decision on transporting a premature infant. Watch
the infant continuously during transport.
Transporting a premature infant is associated with a risk of such damage as intracerebral hemorrhage
due to jolting during transport.
Check for conformity to the applicable standard if the unit is going to be connected to another
medical device for use as a system.
Accessory equipment connected to the analogue and digital interfaces must comply with the relevant
IEC standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations should
comply with IEC 60601-1. But the items that are not specified as part of the system should not be con-
nected. Anybody who connects additional equipment to the signal input or signal output configures
a medical system, and therefore should make the medical system comply with the requirements of
60601-1 on his or her own responsibility. If in doubt, consult your local Atom representative.
1-3. CAUTION
Injury or damage to surrounding objects may result if the instructions given below are not followed.
Be sure to clean and disinfect the unit before using it for the first time after purchase.
The unit is shipped without being disinfected.
During standby, be sure to always preheat the unit in order to keep the incubator air tem-
perature stable.
Place the infant in the incubator only after the incubator air temperature has stabilized.
When feeding the cords and tubes into the unit, be very careful not to let them wind or tighten
around the patient.
13
Operating Precautions
Remove the power plug from the power outlet before moving the unit to another place or
when the unit is not going to be used for a long time.
Moving the unit to another place with the power plug connected to the power outlet will damage the
power cord and may cause a fire or an electric shock.
Remove the power plug from the power outlet before cleaning and disinfecting the unit.
Cleaning and disinfecting the unit with the power plug connected to the power outlet may cause an
electric shock.
When performing phototherapy on the infant in the incubator, pay special attention to the
infant’s skin temperature and the incubator air temperature during the treatment.
The infant’s skin temperature and the incubator air temperature may rise due to the radiant heat
generated by the phototherapy unit.
Do not attach any peripheral device that is not specified by Atom to the incubator.
When relocating the unit, watch your step so that you do not have your feet run over by a
caster.
Do not put your hand on an admittance panel when transporting the unit.
Pressing an admittance panel strongly may break it. At least two people are required to transport the
unit by holding the main body or its handles.
When taking radiographs with the supplied X-ray cassette tray, read the instruction manuals
for the radiation device, and make sure that necessary protection measures are taken.
14
Parts Identification
① ①
② ②
③ ③
④ ④
⑫ ⑫
⑪ ⑪
⑩ ⑩
⑦ ⑦
⑤ ⑤
⑥ ⑥
⑨ ⑨
⑧ ⑧
15
Parts Identification
◾◾ Rear
⑭
⑮
⑳ ⑱
No. Name
⑭ Skin temperature probe connecting port
⑮ Connector for sensor module
⑯ Power switch
⑰ Filter cover
⑱ Oxygen supply port
⑲ Connector for the display
⑳ AC inlet
16
Parts Identification
◾◾ Inside
No. Name
Mattress platform
X-ray cassette tray
Mattress platform tray
Middle board
Fan cover
Heater
Fan
Baby guard
Tube introduction slit packing
17
Parts Identification
2-2. Display
① ② ③ ④ ⑤ ⑥ ⑦ ⑧
⑨ ⑪
⑫~⑮
(from the left)
⑰~⑲
(from the left) ⑳
18
Parts Identification
3-1. Assembly
To release
CAUTION
●● When fixing the display, be careful not to apply
To fix
excessive force to the cable, twist the cable or
get it caught.
●● When fixing the display to the hood, make sure
that the hood surface and the sucking disk are Sucking disk
dry.
●● The sucking disk provided with the unit is intended
to be attached to the top surface of the hood. Never
attach it to any other surface.
CAUTION Connector
●● When inserting or removing the connector, be
careful not to pull the cable by force or twist it.
20
Preparation before Use
Holder hook
PREPARATION
Holder hook
CAUTION
●● When adjusting the angle of the display, be careful
not to let it hit the hood of the incubator or some
other medical device nearby.
●● When attaching the display or inserting the con-
nector, be careful not to pull the cable by force,
twist the cable or get it caught.
CAUTION
Avoid installing the incubator in direct sunlight, near a stove or a radiator, in the direct airflow of an
air conditioner, or by a cold window so that it may not be affected directly by such external thermal
conditions.
21
Preparation before Use
To unlock
CAUTION
●● Install the incubator on a horizontal and stable
floor. Step on the stoppers to lock the casters
securely. To move the incubator to another place,
be sure to unlock the casters.
WARNING
The power outlet should be located near the unit to prevent accidental contact with a trailing power
cord. Use a separate power outlet for each unit.
In order to complete the ground connection, connect the power cord only to a properly grounded
3P power outlet.
Do not operate the unit if you have any doubt about its ground connection.
22
Preparation before Use
PREPARATION
◾◾ Memory function
Even if the power is turned off or the power supply should be interrupted due to power failure, disconnection of
the power plug or some other cause, the preselected settings and the items to be displayed will be retained in
the memory. When the power supply is resumed, the last selected settings and display items will be displayed
and become functional.
CAUTION
●● The operation of the foot switch should be limited
to three minutes per hour. Continuous operation
of the foot switch should be limited to one minute.
Wait at least 20 minutes before operating the foot
switch again.
●● When adjusting the height of the Hi-Low stand,
pay attention to surrounding objects. You may
inure yourself if your hands or feet are hit or get
caught. A peripheral device may get in the way
and be broken if it comes into contact with sur-
rounding objects.
●● Install the main body and the peripheral devices
in such a way that the cords do not become tense
when the Hi-Low stand is raised.
23
Preparation before Use
CAUTION
If a power failure alarm does not sound when the power switch is turned on with the power cord
disconnected after recharging, contact your local Atom representative.
The unit contains a battery for generating a power failure alarm when the power supply has stopped. The bat-
tery needs charging in any of the following cases:
• immediately after purchasing the unit
• after the activation of a power failure alarm
• when the unit has not been in use for a long time
• if no alarm or only a feeble alarm is heard when a power failure alarm is activated by turning the power
switch on with the power cord disconnected
The battery is charged automatically when the unit is connected to the supply mains.
It takes about 50 hours for a completely discharged battery to be fully recharged.
DANGER
Always check the admittance panel operating knobs and the snap-open access ports for proper
operation. If an admittance panel or a snap-open access port should not close securely, do not
place the infant in the incubator and seek repair.
WARNING
Be sure to inspect the unit before at the start of each day. Operating the unit without inspecting it at the
start of each day may let a defect pass unnoticed and cause a potentially unfavorable outcome.
24
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
DANGER
Do not place anything weighing 7kg or more (including the infant) on the mattress platform.
OPERATION
WARNING
Be sure to follow the doctor’s instructions in setting the incubator air temperature.
CAUTION
Practice and master the operation procedure before placing the infant in the incubator, and conduct
temperature tests with the incubator empty to check that the incubator operates normally.
While the infant is in the incubator, check the heater output, the relative humidity, the incubator air
temperature and the oxygen concentration, etc. continuously to make sure that the incubator is
operating correctly.
Be sure to cover the mattress with an appropriate mattress sheet. The mattress is not breathable
and may cause a bedsore.
Check that the air inlets and outlets are not blocked with obstructions such as a diaper or gauze.
If they are blocked, the temperature and the relative humidity in the incubator cannot be controlled
correctly, which causes a danger to the infant in the incubator.
Do not cover the sensor module with a cloth. Otherwise, accurate temperature and relative humidity
readings may not be obtained.
25
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
4-1-1. Displaying and Setting the Incubator Air Temperature (Manual Control)
(1) When the incubator starts operating, an appropriate
mode indicator ( in manual control or in servo
control) comes on and, at the same time, the incubator
air temperature and the set temperature are displayed.
The incubator air temperature is displayed in the
range of 20.0~42.0°C in 0.1°C increments. “Lo” will
be displayed if it is 19.9°C or lower; “Hi” will be
displayed if it is 42.1°C or higher.
The temperature 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 “4-1-2. Setting the Incubator Air Temperature
in the Override Mode”).
CAUTION
●● Set the temperature at least 3°C higher than the
ambient temperature. In particular, if a photo-
therapy unit, a heated humidifier or some other
heat-generating device is used with the incubator,
set the temperature at least 5°C higher than the
ambient temperature.
●● If a lower setting is selected, the incubator cannot
be controlled correctly.
WARNING
●● Be sure to follow the doctor’s instructions in setting
the incubator air temperature.
26
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
OPERATION
(2) When is pressed while indicator is flashing,
the “>37°C” indicator will flash and the incubator air
temperature can be set in the range of 23.0~39.0°C
in 0.1°C increments.
27
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
(3) After placing the infant, close the admittance panel Admittance panel
operating knob Close
and turn the admittance panel operating knobs to the
“close” side in order to close the panel securely. Left side Right side
DANGER
●● Always check the admittance panel operating
knobs and the press levers of the snap-open ac- Open
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.
●● Do not open an admittance panel or an access Push down
Admittance panel
port in order to lower the incubator air temperature. operating lever
This can be dangerous because the heater output
will increase automatically to maintain the incuba-
Press lever
tor air temperature. This may also cause the infant
to fall out of the baby compartment.
●● After the infant is placed in the incubator, check
again that the admittance panels and the access
ports are all closed securely.
●● For the infant’s safety, never leave the incubator
unattended when an admittance panel or an ac-
cess port is open.
●● When opening or closing an admittance panel, be
Red marking
careful not to get the infant caught.
●● Make sure that the snap-open access port pack-
ings are attached properly. Otherwise, the access
ports may not function properly.
28
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
CAUTION
●● Place the infant in the incubator only after the
incubator air temperature has stabilized.
●● Opening an admittance panel or an access port,
using a sheet to cover the infant or using an oxy-
gen headbox, etc. in the incubator will change
the air circulation pattern in the incubator. This
may affect the thermal uniformity and change, the
detection and control of the incubator air tempera-
ture, and the infant’s skin temperature.
●● Do not place anything weighing 7kg or more (in-
cluding the infant) on the mattress platform.
●● Do not place any cords or tubes within the moving
area of the admittance panels.
OPERATION
29
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
(2) Let the cable and the heat-sensing portion of the Tube introduction
Skin temperature probe slit packing
skin temperature probe into the incubator through connecting port
the tube introduction slit packing. ②
WARNING Heat-sensing
Resin
surface
●● Do not place the skin temperature probe under
the infant. Metal
Do not use it as a rectal probe.
Skin
CAUTION
●● Follow the doctor’s instructions as to the site of
attachment of the skin temperature probe when
the infant is in a prone position.
●● Use only the skin temperature probe specified
by Atom.
30
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
OPERATION
CAUTION
●● If the heat-sensing surface of the skin tempera-
ture probe is attached improperly to the infant,
or if it should be dislodged accidentally from the
infant, the skin temperature cannot be detected
accurately. In servo control operation, in particu-
lar, improper attachment of the skin temperature
probe may cause excessive heating. Be very
careful when attaching the skin temperature probe
to the infant.
31
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
CAUTION
Practice and master the operation procedure before placing the infant in the incubator, and conduct
temperature tests with the incubator empty to check that the incubator operates normally.
While the infant is in the incubator, check the heater output, the incubator air temperature, the rela-
tive humidity and the oxygen concentration, etc. continuously to make sure that the infant is not
disturbed.
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 attached
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.
Example: I f 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.
32
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
4-4-1. Preparation
(1) After turning the power on, check that either
indicator or indicator is on.
If indicator is on, press and hold for one
second. A “pip” will be heard and indicator will
go out. Then indicator will flash and the incuba-
tor will enter the manual control mode.
(2) Follow the procedure described in “4-1. Setting the
Incubator Air Temperature (Manual Control)” to set
the incubator air temperature for manual control.
CAUTION
●● Before starting servo control operation, have the
incubator air temperature stabilized in manual
control first, and then start servo control.
●● Check the infant’s condition continuously during
servo control operation.
●● In servo control, bear in mind that the skin tem-
perature probe may cool down due to the infant’s
perspiration, so that the heater may start over-
OPERATION
heating.
33
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
Cover Baby
WARNING Heat-sensing
●● Do not place the skin temperature probe under surface Resin
Skin
CAUTION
●● Follow the doctor’s instructions as to the site of
attachment of the skin temperature probe when
the infant is in a prone position.
34
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
WARNING
●● Be sure to follow the doctor’s instructions in setting
the skin temperature. The “skin temperature” is de-
fined as the infant’s “abdominal skin temperature”
detected by the skin temperature probe.
OPERATION
35
Incubator Air Temperature/Skin Temperature Control and Placing the Infant in the Incubator
WARNING
●● Attach the skin temperature probe securely to
the infant’s abdominal wall. The skin temperature
cannot be detected accurately if the skin tem-
perature probe should be dislodged accidentally
from the infant’s abdominal wall, or otherwise
attached improperly to the infant’s abdominal
wall. Additionally, the skin temperature cannot
be detected accurately if the skin temperature
probe should be warmed by being covered with a
blanket, diapers or the infant’s arm, or if it should
be cooled by getting wet with the infant’s urine or
some medical fluid.
●● In the servo control mode, if the infant should
produce heat spontaneously or should have
developed a fever, the incubator air temperature
may drop and/or some other adverse effects to
the infant may result.
36
Humidity Control
WARNING
Humidity should be controlled after the incubator air temperature has stabilized. Be sure to follow
the doctor’s instructions in humidity control.
OPERATION
chamber. Humidity chamber
Cartridge tank
(4) Remove the tank cap and fill up the tank with sterile
distilled water. Cap the tank securely. Replace the
cartridge tank to its former position in the humidity Cartridge tank
37
Humidity Control
CAUTION
●● Do not pour water directly in the humidity cham-
ber. 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 humid-
ity chamber. The temperature of the water will have
exceeded 70°C, so that you may get scalded.
●● Do not leave any water in the humidity chamber
except during humidification.
●● Hold the humidity chamber with both hands when
taking it out from the main body because the hu-
midity chamber filled with water is heavy.
●● When the humidity chamber cover is open, the
“humidity chamber off” alarm indicator will come
on and the incubator cannot be operated.
●● To prevent the multiplication of micro-organisms
and the contamination of the humidity chamber,
empty the humidity chamber and the cartridge
tank every 24 hours and refill the cartridge tank
with fresh, sterile distilled water.
●● The temperature of the sterile distilled water to
pour in the cartridge tank should not exceed
40°C.
38
Humidity Control
WARNING
●● When supplying additional water, draw out the
humidity chamber until it stops and take out the
cartridge tank. Supply additional sterile distilled
water in it. Then put back the refilled cartridge
tank in the humidity chamber. Be very careful
in handling the humidity chamber because the
humidity chamber itself may have become very
hot.
OPERATION
heard and the set relative humidity will flash.
Press to have “oF” displayed on the set relative
humidity display.
(11) If no key is operated within three seconds, the set
relative humidity will stop flashing and remain on
and the humidity control procedure will be can-
celled.
39
Oxygen Supply
WARNING
Pay utmost attention to the oxygen concentration in the incubator during the oxygen supply.
Never supply humidified oxygen from the oxygen supply port. Supplying humidified oxygen by means
of a humidifier bottle or some other device may damage the internal oxygen supply valve and the
oxygen supply port of the unit.
Pay utmost attention to the changes in the oxygen concentration in the incubator by monitoring it
continuously with an oxygen monitor. If the oxygen concentration in the incubator deviates from a
desired level, make necessary adjustments by increasing or decreasing the oxygen flow rate.
Improper use of supplementary oxygen may cause serious side effects including loss of sight, dam-
age to the brain and death. The risks of side effects vary with infants. Follow the doctor’s instructions
in selecting an appropriate method of oxygen administration, an appropriate oxygen concentration
and an appropriate duration of administration.
A risk of a fire hazard increases when oxygen is used. Do not place any auxiliary equipment which
may generate sparks in close vicinity to where the incubator is installed.
If oil, grease or a grease-like substance should get in contact with pressurized oxygen, a violent
spontaneous ignition may occur. Do not let such substances stick to the oxygen pressure regulator,
the oxygen cylinder valve, piping, connections and other oxygen supply equipment.
On a high pressure oxygen cylinder, use only a tested pressure-reducing valve or pressure-regulating
valve indicated specifically for oxygen supply.
A dirty filter will affect the oxygen concentration. Replace the filter regularly.
The oxygen flowmeter cannot be expected to provide an accurate index of the oxygen concentra-
tion in the incubator. Check the oxygen concentration with a calibrated oxygen monitor or oxygen
controller by following the doctor’s instructions.
The oxygen concentration in the incubator varies with the dirtiness of the filter, the operating condi-
tions of the incubator, the accuracy of the oxygen flowmeter, etc. To maintain the oxygen concentra-
tion in the incubator accurately at a desired level, measure it repeatedly with an accurate oxygen
monitor.
Calibrate the oxygen monitor periodically with the oxygen in the atmosphere (21%O2).
Be sure to follow the doctor’s instructions in deciding the optimum oxygen concentration on the
basis of PaO2 (a measured arterial oxygen partial pressure level). When the infant requires a high
oxygen environment, it is extremely important and essential to periodically measure the oxygen
concentration in the incubator and analyze arterial gas levels in order to determine a desired oxygen
concentration
40
Oxygen Supply
WARNING
Cleaning or maintaining the incubator in an environment where the oxygen concentration is at a high
level may lead to a fire or an explosion. Before cleaning the incubator, check that the oxygen supply
has been stopped and that the oxygen hose has been removed from the incubator. When the incu-
bator is not in operation, stop the oxygen supply or remove the oxygen hose from the incubator.
The oxygen concentration in the incubator may be affected when an access port or an admittance
panel is opened. Check that all the access port packings and the tube introduction slit assemblies
are securely attached. Any gap in the hood assembly may cause the oxygen concentration in the
incubator to drop.
Oxygen administration may increase the noise level to the infant in the incubator.
When you use the oxygen flowmeter to supply oxygen, the supply flow rate must not exceed 10L/
min. Otherwise, the oxygen supply hose may come off.
OPERATION
the flow rate to a desired level.
Oxygen supply port
CAUTION
●● Be sure to supply oxygen to the oxygen supply
port through the oxygen flowmeter (option).
41
Other Operation Procedures
(5) The minimum alarm volume is 50~60dBA, and the maximum alarm volume is 65~75dBA.
WARNING
Before drawing out the mattress platform, check that the mattress platform stopper has engaged
the rail. Otherwise, the mattress platform will come off and be hazardous.
When drawing out the mattress platform with the infant on it, be careful not to get the patient circuit
pulled out or pulled by force.
Open the admittance panel and draw out the mattress Mattress platform
platform toward you. The stopper will function, and the
mattress platform will be locked in place before coming
out completely.
42
Other Operation Procedures
DANGER
When the mattress platform is tilted, there will be only a little difference in level between the mat-
tress and a snap-open access port. If a snap-open access port should be left open, the infant
may fall through it. Therefore, be sure to close the access ports securely before tilting the mattress
platform.
When tilting the mattress platform, be careful not to get any probes or tubes caught.
Mattress platform
tilting knob
OPERATION
7-4. X-ray Cassette Tray
When taking radiographs with the supplied X-ray cassette tray, read the instruction manuals for
the radiation device, and make sure that necessary protection measures are taken.
Open the admittance panel and draw out the X-ray cassette
tray from under the mattress platform. Place a cassette Mattress X-ray cassette tray
platform
loaded with an X-ray film and replace the X-ray cassette
tray to its former position. X-ray photographs can be taken
with the infant in the incubator.
43
Other Operation Procedures
CAUTION
When letting the cords and tubes into the incubator, be very careful not to let them wind or tighten
around the patient.
Watch the infant continuously so that no cords or tubes will wind around the infant.
A number of cords and tubes may be connected to the infant in the incubator. Let them out of the incubator
through the tube introduction slit packing so that they will not wind around the patient or get in the way of
procedures.
(1) Let the cords and tubes into or out of the incubator
through the tube introduction slit packing on either
side of the hood. Tube introduction slit packing
(2) The cords and tubes can be let into or out of the
incubator from the side of the tube introduction slit
packing.
44
Cleaning and Disinfection
WARNING
Before cleaning and disinfecting the unit, be sure to turn the power off, remove the power plug
from the power outlet, and allow the incubator and the heaters to cool down sufficiently.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before us-
ing it for the first time after purchase.
See the accompanying document of the disinfectant you are going to use for appropriate concen-
tration, contact time and handling. Follow the directions for use and dosage and precautions given
in the document.
Before cleaning or maintaining the unit, check that the oxygen supply to the incubator has been
stopped and that the incubator has been disconnected from the oxygen supply source. Cleaning
or maintaining the incubator in an environment where the oxygen concentration is at a high level
may lead to a fire or an explosion.
Clean and disinfect the unit whenever you use it for another infant.
Clean and disinfect the unit whenever you notice any dirt or stain which might cause infection.
After cleaning and disinfection, assemble the removed parts correctly and check that the unit oper-
ates normally.
After cleaning and disinfection, remove the disinfectant solution completely and then use the incu-
bator.
MAINTENANCE
Obtain a soft clean cloth and a disinfectant solution for cleaning and disinfection.
<Recommended disinfectant solutions>
• Benzalkonium chloride aqueous solution (e.g. Osvan)
• Benzethonium chloride aqueous solution (e.g. Hyamine)
• Chlorhexidine aqueous solution (e.g. Hibitane)
Do not use any abrasive, cleaner, alcohol, acetone or other solvent for cleaning and disinfection. Do not auto-
clave.
45
Cleaning and Disinfection
CAUTION
●● The snap-open access port packings are de-
signed for the unit only. Do not attach any other
packings to the unit.
Tube introduction
slit packing
CAUTION
●● Spare access port covers should always be on
hand. A dirty cover should be replaced immedi-
ately with a new one.
46
Cleaning and Disinfection
CAUTION
●● Do not immerse the sensor module in water. Im- Sensor module
• Inner panel
Open the admittance panel. Push down the inner wall
Inner wall lever
levers and pull the inner panel away from the hood. Clean
the inner panel with a soft cloth dampened with a disin-
fectant solution and wrung out sufficiently.
CAUTION
●● The inner panel cannot be removed from the
hood.
• Hood
Clean the inside and the outside of the hood with a soft
cloth dampened with a disinfectant solution.
✽✽ Replace all the removed parts to their former positions.
Make sure that they are attached correctly.
MAINTENANCE
• Display
Clean the display with a soft cloth dampened with a dis-
infectant solution.
CAUTION
●● Do not immerse the display in water or a disinfec-
tant solution. Immersing it in water or a disinfectant
solution may cause it to malfunction.
47
Cleaning and Disinfection
To replace the mattress platform tray to its former posi- Mattress platform tray
tion, make sure that it is engaged securely with the tilting
arm.
Tilting arm
48
Cleaning and Disinfection
• Fan cover
Open the fan cover and clean it with a soft cloth dampened Fan cover
• Fan
Pull up and remove the fan. Immerse and clean it in a
disinfectant solution. To replace the fan to its former
Fan
position, push it down firmly until it stops.
• Conditioning chamber
The conditioning chamber will become accessible when
all the components mentioned above have been removed.
Pull up the heater and clean the inside of the conditioning
chamber thoroughly with a soft cloth dampened with a
disinfectant solution.
✽✽ Replace all the removed components to their former
positions in reverse order. Make sure that they are
attached correctly.
CAUTION
●● When cleaning the conditioning chamber with
MAINTENANCE
the heater up, be careful not to get your fingers
or hand caught.
●● To replace the heater to its former position, push
it down gently.
●● Clean the heater gently while it is up. Applying too
much force may damage it.
49
Cleaning and Disinfection
CAUTION
●● Allow the humidity chamber and the water in it to
cool down sufficiently before removing the humid-
ity chamber. The temperature of the water will have
exceeded 70°C, so that you may get scalded.
Hold the humidity chamber with both hands
because the humidity chamber filled with water
is heavy.
(2) Remove the cartridge tank, the tank cap and the Boiler cap Humidity
chamber
boiler cap from the humidity chamber. Immerse and
clean them in a disinfectant solution. Never immerse
the humidity chamber in a disinfectant solution.
Water level
sensor
CAUTION
●● Be sure to attach the boiler cap and the cartridge
tank without fail.
50
Cleaning and Disinfection
8-4. Others
• 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.
CAUTION
●● Never clean the skin temperature probe with al-
cohol, or the material will harden.
• Mattress Mattress
Take out the mattress before placing another infant in the
incubator. Clean the mattress with a soft cloth dampened
with a disinfectant solution. Since the mattress consists
of a special sponge sealed up in a vinyl cover, the sponge
inside cannot be contaminated unless the cover gets
damaged.
MAINTENANCE
51
Maintenance Inspection
CAUTION
Medical institutions are responsible for performing the maintenance inspections.
They are allowed to entrust the maintenance inspections of the unit to an appropriate external
contractor.
Clean and disinfect the unit and its accessories before maintenance inspections, repairs, or dis-
posal.
• Quarterly inspection
Check the operation of each function of the unit every three months.
• Periodical inspection
Contact your local Atom representative annually for periodical inspection.
52
Maintenance Inspection
CAUTION
If you should notice any strange smell, strange noise, overheating or strange vibration in the inspec-
tion, stop using the unit immediately and contact your local Atom representative.
MAINTENANCE
The mattress platform should tilt smoothly when the tilting knob is operated.
Tilting unit
(Otherwise, the mattress platform may not tilt.)
It should turn the power on and off reliably.
Power switch
(Otherwise, it may not function.)
It should be fixed securely with the fixing device. (Otherwise, the display
Display
may become unstable or fall when a switch is operated.)
Each caster should rotate smoothly.
Caster
(Otherwise, the unit cannot be easily relocated.)
It should be clean.
Filter
(Otherwise, air circulation may not be controlled properly.)
An appropriate temperature should be displayed when the skin temperature
Skin temperature probe
probe is connected and the tip of the probe is held in your hand.
Skin temperature probe The area around the connecting port should be neither broken nor un-
connecting port clean.
AC inlet The AC inlet should be clean without any adherent medical fluid.
The plug should not be deformed.
Power cord
The cord should not be damaged.
Height-adjustment mechanism It should operate smoothly without making any strange noise.
53
Maintenance Inspection
54
Maintenance Inspection
MAINTENANCE
55
Maintenance Inspection
CAUTION
Replace the old filter with a new one every three months in general. The dirtiness of the filter var-
ies with the degree of air pollution and the frequency of operation. Check the dirtiness of the filter
through the window of the filter cover. If the filter should be found discolored, replace it with a new
one even if the three-month interval is not over yet.
(1) Loosen the screw of the filter cover and open the
Fresh air intank
cover.
Filter cover
(2) Detach the filter slowly. Take out the dirty filter, Filter
taking care not to let the dirt fly about.
CAUTION
●● Do not block the fresh air intake with a wall or a
cloth, etc.
(3) Discard the dirty filter. Clean the filter cover and
the filter holder with a soft cloth dampened with a
disinfectant solution and wrung out sufficiently.
(4) Attach a new filter to the filter holder. Ensure that the
filter is installed correctly. Enter the date of replace-
ment in the accompanying filter replacement record
card and affix it in place as shown in the figure on Filter cover
the right for future reference.
(5) Tighten the screw of the filter cover and close the
cover.
Location for
affixing the filter
replacement
WARNING record card
56
Maintenance Inspection
WARNING
If any trouble is detected in any inspection, indicate on the unit that it is out of order and seek repair
without fail.
MAINTENANCE
in your hand?
16 Is the area around the skin temperature probe connecting port free of breakage and dirt? YES / NO
17 Is the AC inlet clean without any adherent medical fluid? YES / NO
18 Is the plug of the power cord free of deformation and is the power cord free of damage? YES / NO
19 Does the height adjustment mechanism operate smoothly without making any strange noise? YES / NO
20 Does the power failure alarm function properly and does the alarm lamp come on properly? YES / NO
21 Is the Operation Manual readily accessible? YES / NO
Quarterly inspection
1 Is the displayed incubator air temperature stable at 36.0±1°C in manual control? YES / NO
2 Is the displayed skin temperature stable at 36.0±0.5°C in servo control? YES / NO
3 Is the displayed RH stable at 90±3%Rh? YES / NO
4 Does the oxygen concentration rise to 65%O2 or higher at 10L/min? YES / NO
5 Is the fan free of breakage? YES / NO
6 Do the “no water alarm” indicator and the “humidity chamber off alarm” indicator come on? YES / NO
Does an audible alarm sound and does the power failure alarm indicator flash when the power
7 YES / NO
plug is removed from the power outlet?
57
Maintenance Inspection
9-6. Disposal
The medical institution concerned is responsible for proper disposal of the main body, old parts past their
expected life span and disposables in accordance with applicable waste disposal laws and regulations.
A rechargeable NiMH battery is used in this unit. Dispose of the battery properly by observing applicable
laws and regulations.
58
Alarms
[10] Alarms
WARNING
This incubator is provided with the following alarms. If an alarm condition should occur, check for a
possible cause of the alarm and take the proper measures. If the incubator seems to be defective,
it is in need of repairs. Indicate on the incubator that it is out of order and contact your local Atom
representative.
within 3°C.
3°C or more.✽1
This alarm will occur
The alarm will be reset
if the skin temperature
Set temperature Temperature control will automatically when the 15
deviates from the set Low
alarm (SC±1°C) be continued. deviation is maintained min.
temperature by 1°C or
within 1°C.
more.✽1
The skin temperature
probe will not function.
This alarm will occur (The skin temperature
if a wire of the skin cannot be displayed.) Remove the skin tem-
Skin temperature 10
temperatur e pr obe The incubator heater will perature probe from the Medium
probe alarm min.
has snapped or short- be turned off (in the SC infant.
circuited. control mode). “– – –”
will flash on the skin
MAINTENANCE
temperature display.
This alarm will occur The alarm will be reset
The heater will be turned
Skin temperature if the skin temperature automatically when the 10
of f. (SC will not func- Medium
probe alarm (SC) probe is not connected skin temperature probe is min.
tion.).
in the SC mode. connected.
✽1 The alarm will not occur for 30 minutes when the setting is changed.
59
Alarms
chamber.
trolled.
The humidifying heater The alarm will be reset au-
This alarm will occur if
Humidity sensor will be turned off. tomatically when the con- 10
condensation forms on Medium
alarm “– –” will flash on the rel- densation on the humidity min.
the humidity sensor.
ative humidity display. sensor disappears.
This alarm will occur if
the relative humidity in Humidity control will be The alarm will be reset
the incubator deviates continued. automatically when the 15
Set humidity alarm Low
from the set humidity The relative humidity deviation decreases to less min.
by 3% or more for 15 display will flash. than 3%.
minutes.
This alarm will occur if The humidifying heater
the relative humidity in will be turned off. The Turn humidification off,
the incubator remains relative humidity display check the condition of the 15
Low humidity alarm Low
below the set humidity will flash. The set relative incubator✽2, and then turn min.
by 3% or more for at humidity display will humidification on.
least one hour. flash.
✽2 Check that all the ports and admittance panels are securely closed and that the packings are securely
attached.
60
Alarms
MAINTENANCE
power cord or some High
internal error alarm ers will be turned off. alarm. min.
other cause, or if some
internal error (a defec-
tive CPU or a defective
control board) has oc-
curred.
61
Troubleshooting
[11] Troubleshooting
WARNING
If the unit seems to be defective, indicate on the unit that it is out of order, stop using it immediately,
and contact your local Atom representative.
CAUTION
62
Technical Information
63
Technical Information
◾◾ Temperature
Control mode Manual control/servo control (selectable)
Setting range Skin temperature (servo control): 34.0~37.5°C
(override 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 60min at ambient temperature 25°C
Alarms High temperature, set temperature, skin temperature probe
◾◾ Humidity
Control mode Servo control
Setting range 40~95% Rh (in 1% increments)
Display range 15~99% Rh
Accuracy: ±10%Rh
Continuous humidification without 8 hours
supplying water
Maximum humidity 90%Rh (at ambient humidity 50% Rh, ambient temperature 25°C,
incubator air temperature setting 37°C)
Alarms Humidity sensor, low water level, no water, humidity chamber off, set
humidity
◾◾ Oxygen supply
Maximum oxygen concentration 65% O2 (at O2 flow rate 10L/min)
◾◾ Environment
CO2 concentration in the hood When the air mixed with 4% CO2 is administered to a point 10cm above
the center of the mattress at 750mL/min and a stable state is achieved,
the CO2 concentration in the hood should not exceed 0.4%.
◾◾ Other alarms
Fan, system failure, power failure
64
Technical Information
The Rabee Incu i is intended for use in the electromagnetic environment specified below. The customer or the
user of the Rabee Incu i should assure that it is used in such an environment.
The Rabee Incu i uses RF energy only for its internal func-
RF emissions tion. Therefore, its RF emissions are very low and are
Group 1
CISPR 11 not likely to cause any interference in nearby electronic
equipment.
RF emissions
Class A
CISPR 11
The Rabee Incu i is suitable for use in all establishments,
Harmonic emissions✽
Class A other than domestic and those directly connected to the
IEC 61000-3-2
public low-voltage power supply network that supplies
Voltage fluctuations/ buildings used for domestic purposes.
flicker emissions✽ Complies
IEC 61000-3-3
✽ There are no prescribed demands for tests in 100V areas.
APPENDIX
65
Technical Information
66
Technical Information
ditional factor of 10/3 is used in calculating the recommended separation distance for transmitters in these
frequency ranges.
✽c Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radio, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
Rabee Incu i is used exceeds the applicable RF compliance level above, the Rabee Incu i should be observed
to verify normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the Rabee Incu i.
✽d Over the frequency range 150kHz to 80MHz, field strengths should be less than 3V/m.
67
Technical Information
Note 1: At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
Note 2: The ISM (industrial, scientific, and medical) bands between 150kHz and 80MHz are 6.765MHz to
6.795MHz; 13.553MHz to 13.567MHz; 26.957MHz to 27.283MHz; and 40.66MHz to 40.70MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for the trans-
mitters in the ISM frequency band between 150kHz and 80MHz and in the frequency range 80MHz
to 2.5GHz to decrease the likelihood that mobile/portable communications equipment could cause
interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
68
••Reproduction of all or part of this Manual without permission from Atom Medical Corporation is strictly
prohibited.
••The contents of this Manual are subject to change without notice due to technical improvement.
••All possible measures have been taken to ensure the accuracy of the contents of this Manual. However, if any
errors should be noticed, Atom would greatly appreciate being informed of them.
C65MC125
201303