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AIR-SHIELDS® INFANT INTENSIVE CARE SYSTEM INFANT INTENSIVE CARE SYSTEM FOR THE DELIVERY ROOM FREE STANDING INFANT WARMER WALL MOUNTED INFANT INTENSIVE CARE SYSTEM WALL MOUNTED INFANT WARMER PHOTOTHERAPY SYSTEM ~ MODEL PTM78-2 AND 2E OPERATOR’S MANUAL OPERATING PRECAUTIONS. = GENERAL PRECAUTIONS 1 ofan aan wars shit ha ead only hy propa ned parannnel esc by an apennitaly {ualed physician aware of curontiy known narede and Bonet ‘+The unetional checkout procedure should be performed belor each use. Refer Yo qualita! service personnel the unt does ot pecorm as pected “+ TheGassinet end anasde pa canna bused for ushing or pling te Infant Intensive CareSyatem. ‘+ 0 not lave tho infant unattended inthe Bassinet ofthe Infent Intensive Care System wher the sie panels} oF he ont pane! re flged down. + To avoid overeating or undemeating, skin tmperature must be continuously mantored and cotrollas ‘ner manually or atonal, rectal temperature should neva be used to conto skin tmperture ‘+ Toavoi overheating or underheating when operating in manual mode, observe the fant constantly and Tonto he temperate un the enperature robe sop’ wih ne equpment cote eon ‘+ Thoskin temperature probe mustbe in inmate contac with the skin to provide accurate monting ot ne. ts skin temperature. Faure to mantin inmate skin contact can eau in ovtneaing snd possbie burning, Chack nian condition a east every tite minute for cvrectseneor attachment wadoned skin areas, and proper sin temperature “+The akn torpor probe shouldbe placed at least 15 Incas rom any transcutaneous monorEPOs or {EPCO,) rte to prvent le tanporature ceaions. The skin temperature probe snout be pled oy an area previous usd bya TePOs or EPO, pebe. ‘+ Toavolz overeating he skin, heloeation a the shin temperature probe must be tuch thal theskn eroune {he sensor in dias line wth te rasaton from the warmer. 09 ot pace anything between te radiant * Radar warming rates intense water os Appropriate meses to man proper Hu balnce ‘+ Compressed gas cylinder, such as oxygen evinders, can become hazardous projets fe gas is released rapily due to damage or otter causes. Cylingere must be securely fstoned. To provent ‘movementor damage trom shocor impact tothe equipment ighen cinder aap and yoweaseguted revert eyinder movement + Yoav rrhatng ofthe warmer do nt place object equbment, antl ching ose ae) on top of me waar ELECTRICAL PRECAUTIONS ‘+ -an electra! shock nazar exists within the Warmer Module. Any substitution of components win the Contes mayimpartheinsinsc safety ofthe unt Servicing snouts performed by ale personne ‘+ Connecti power cora ony 10. propery grounded receptacle nat x approvedtornospial use anger Ne ‘Correct vllge, DO NOT USE EXTENSION CORDS. Copyright 1986, AIR-SHIELOS: OPERATING PRECAUTIONS (CONTINUED) “APLOSION PRECAUTIONS + Donat use in te presence of lammable anesthetics. “+ Nee sure the oxygen supe is tured of and ha he equipments cconnaced om the oxygen supe ‘when performing cleaning and malnenance procedures ie and expan hazat exists when Pertorming ‘eaning andlor mainorance procedures In an oxygar-enihod ervrenmon OXYGEN PRECAUTIONS ‘+ Imoroper use of supotemental oxygen may be associated with serous side ofecsincluting Binds, bran damago,and coat The riny vary ih each ent The method, tha eancenvation, andthe duration tt aeygen administration shovls be prescrioea by the atoning physician. It is necessary to administer oxygen in an emergency, the atending physician should be noted ‘mediates NOTE: Soe current eon of "Guidelines for Perna [American Collage of Obstetricians end Gynecologist Care” ofthe American Academy of Pesatics/The ‘+ Te oxygen concentration igpred by an Infant doos not prodicialy determine the paral pressure ot ‘agen (0) nthe Bod. When demoed adaale by the slensng pysican, bleed POs shoud bo rmeasired by accoped linea! ecngues + Onygen tow cates cannot be used as an accurate indiation of oxygen concantations. Oxygen ‘onentations should be messurae wih a caloratadoxypenanalyaeratntrvalerectedbytheatlenaing + Keop matches, ited cigarettes and aotne sources gation out of he room in which the equipments Iocated. Textiles o's, endotnercombustolesare eal gntesand bur withgret nna ina enriched ‘wih onyoen ‘+ Atnough ongen comatbie matorals are use in the oxygen delvery sstom, special care must be taken ‘the high pressure oxygen uch a found in media! oxygen cyindr fe ured. Vile gnton a, ease, ‘ginsyevostanen, eas parle ot us, it ror parca contaminants (oven ral partes tet, {ar ateurin the presence cl high prseure oxygen fer gion tmpertre reached. An iatantaneous ‘reonas in temperature can oecut ao eon, pel acraleratn, of aalabaic compression fe onyG0n {yaa valve ls opened wo apy SERIOUS INJURY MAY RESULT! may bear te ovowing precautions + Ol, grease, greasy substances, dust, and other parol contaminants mst be kept aay rom oxygen ‘epulatore,eynder aves ing and the xygon oqupment ‘Aways open oxygen onder shut valves very slowly and earful *+ Onn pressure oxygen ender use only resure egitors x reducing valves szprovesto oxygen sec, Be net usa oxygen presse registers or reducing valves fra or gasea ata han oxygn ae they may be hazardour. Operate such doves Inset accordance wih the manufacurrs recommendations “tien new or replacement onyoeneyinders ae tobe Insta, thay should have their outlet ports cleared byeraking ths ylnder valve momentary before atiacinent to te equipment. ‘TABLE OF CONTENTS SECTION TABLE OF DEFINITIONS AND SYMBOLS. 1. GENERAL INFORMATION Sr nrosseton 12 Deseripion 13. Spocteatons 14 Egupmert Provided 15. Recoesonee 2 NSTAUATON ‘Uneaceng 22 Aono infant nersve Care Sytem 5 nant intensive Care System Yr th Balvry Roi 29 hasomy ‘Free Standing Infant Warmer 24 hasomy 2 Wal Mounted nent Warmer 25 hssomy + Wal Mourtod Intent intensive Care System 26 Assony and nsaiaton ‘+ Phottnerapy Sytem (Accessory) 3. FUNCTIONAL DESCRIPTION Bt General 32 Functions! Desripion tran iansive Cae Syiom infant nensive Cae Sy {Free standing Ifa Warmer {Wat Meurtoa Infant mensve Care Siem + Wal Mounted Infant Warmer 33 Functional Doserpton + Phottherapy Sytem (Accesso) 4 openaron ‘General 42 Cont, indicts, and Cumacos 2 inant nensive + Horse Cae Sytem forte sive on {Fre Standing fant Warmer {Wal Meurtod intr mensve Cave Siam {Wal Mounted Infant Warmer 43 Operation nant iensive Care System 1 Intant intensive Care System forthe Davery oon {Free Standing infant Warmer ‘Wal iourted intr nensve Cae tem 1 Wal Meurted lnont Warmer 44 Operation + Phottherapy System (Accessory) 5: CLEAUNG AND MAINTENANCE ‘General 82 Searing 53. Disassembly for leering inant mersive Cae System 54 Cleaning Procecies 53. Strhaaton 58 Callraton 59 Sraublesmocting 6. PARTS LISTS 64 Genera {othe Davey Room ® egegs 8 8 sees eReee Roe 3 3 se ‘TABLE OF DEFINITIONS AND SYMBOLS NOTE, IMPORTANT, CAUTION, AND WARNING No’ A Not interted intext to pont out procedures or cantons which may otherwise be misinterpreted or venooked. A Note may alo be uses To any apparently contadetory oF contuing stations IMPORTANT: Similar to a Note but uses when greater emphasis is required CAUTION: A Cautions insertdin text teal tention oa procedure which, Ino followed exact, canleadtodamege Or destracion othe equipment ‘WARNING: A Warring i inert in text to call attention to dangerous or hazardous conditions inherent tthe ‘eran claig an maianance ft eupment ch my retin peo ny or eh he eperor erpalent svmBous. Attention; ensul accomsanying documents SECTION 1 GENERAL INFORMATION 1.4 INTRODUCTION ‘This manual provides nstuton fontaine, operator ‘mantonanes, and roubleshoatng ofthe equipment. Al Shields cannot be retponse fore pecormance othe ‘squlpment ith user Goes net opera the equipment ceardence withthe insrvetons, fle 10 follow the ‘martanance recammendatons n econ 5 oh anv rete ary epara wih unauthorized conpanens Cal ‘ionand repair shouldbe perormac only by gual arcs ereonel Service mani re provided wih he eqiprent ‘This manual should be road, thoroughtyundertond, and ‘eect acesse tal porsenna wh wll be working wih {he squpmort. The manual shoud be sres wth the ‘equipment when not lus. Hf hoe anything you do not Lndrstand, pase contact your A-Shields repressive 1.2 DESCRIPTION ( ‘The equipment is designed to provide an integrated {yt that may be eed immed ster bith, during Special procedures, o fo ong ler Westen of infants ‘eauiting acess, ably, ang thermal support 1.3 SPECIFICATIONS Speciation for Ihe eguoment ate provided in Tables Shand 12" All specications are subject t2 change TABLE 1.1 SPECIFICATIONS - ICS, FSIW, WMIICS, AND WMIW ‘BASIC EQUIPMENT POWER REQUIREMENTS: Na/20v Mas OVERLOAD PROTECTION 00y and 110/200 Model 22072404 Node! (CHASSIS LEAKAGE CURRENT [EXAMINATION LIGHT ILLUMINANCE PROBE FAIL Ser PONT SILENCE/RESET Switch Matunction SKIN TEMPERATURE SET POINT RANGE tov ~, S00 Hs, af 220/240 ~, 50/60 Hz, 680 (One 194 cei breaker ‘wo 7A cet breakers Lose than 100 & 100 fot candies (nominal) Aetuats it Skin Prove ‘oben shorted. unplegged, oe the lon tomperatura roaches 39.0%. 205°C ‘etuetes the sin tmgeatre “svt 10°C tom sat pit temperature tor ong han 1429 seconds ‘ot power Actuate after 18 savonge “SILENCEIMESET awteh malunctions Fs held depressed for nnger than amore a79\, TABLE 1.1 SPECIFICATIONS - ICS, FSIW, WMIICS, AND WMIW (CONTINUED) BASIC EQUIPMENT (CONTINUED) ‘SKIN TEMPERATURE DISPLAY. pecuracy 202" Tee ‘ital LED wi dC resatton Correation of Dieayes Tomperature "a Sun Temperature “ypicaly 4020 SKIN TEMPERATURE VARIABILITY AT "TEMPERATURE EQUILIBRIUM one MANUAL HEAT CONTROL, Futy agjustabie trom 200 tp maxima hesior power (2000 nominal [NOMINAL DIMENSIONS AND WEIGHT — INFANT INTENSIVE CARE SYSTEM ANO INFANT INTENSIVE. (CARE SYSTEM FOR THE DELIVERY ROOM Height (Masimun) 77 Inches (198: em) Height (Aternatve lower scion) 74% ches (188.9 m) ‘ian (Wan Warmer Module In Center positon 2 nenos (71 em) Depth “nena (108.22) om tress With ‘21 inches (3.34 cm) Matrose Length 2 inces (66.8 cm) ‘Weigh a5 ie (4g) Warme: odie Siva ‘s+ Ener Sid of Carter Postion Matress Height (High Psion) Sa nenes (9 em) Mstess Height (Low Postion) 8. inones 00.3 6m) Bassinet Tot (randelenburg or Reverse Pando) S coyoos NOMINAL OMENSIONS AND WEIGHT — FREE STANDING INFANT WARMER: Helen (Maxum. 77 chos 198.8 om) Help (ntermodiate postion) ‘ince (188 om) eign (Low poston), 71 inches (189 em) Wath (Maximum). 23\ehes (7 em) Depth 385 inches (8 em) Want 103s. (7 19) NOMINAL DIMENSIONS AND WEIGHT — WALL MOUNTED INFANT WARMER: Height (Unmounea) 531. (198 em) ‘gin Wn Warmer Modis Center Postion) 25m (175 om) Depth (nec Wal Sache) 38 hn? om) Woon ‘be, 20) Warmer Module Swivel 15 ler Side of Garter Postion NOMINAL DIMENSIONS AND WEIGHT — WALL MOUNTED INFANT INTENSIVE CARE SYSTEM Hela Unmountes) 59. (150 6m) ‘ist win Warmer Modi in ConarPoston) 22 in (8 en) Depin ncucing Wall Bracket) sein (rT em Natross wis 2h in 63.36 om) Matwese Length 25 in (06.08 em) Wont 124 We (589) Warmer tadla Siva 5 Ener Sid of Conta Postion ENVIRONMENTAL: ‘Ambion Operating Temperature (68°F 20°C) to 86eF (30°C) Homaty tere ration and Shock iermai nursery nanting antigo ‘Sea ove fo". 8 mes kn) ‘TABLE 1.4 SPECIFICATIONS - ICS, FSIW, WMIICS, AND WhtiW (CONTINUED) ACCESSORIES “OXYGEN DELIVERY SYSTEM REQUIREMENTS: ‘oxygen From wail Source 50 psi nomial ‘xygen From Cylinder up to 2500 ps “MONITOR SHELF LOADING 1p to 40 ns. (184g) por snot ‘3 a (227 Wy) por ie ta “CART SHELF LOADING upto 50s. (227 ka) por shot PHOTOTHERAPY SYSTEM (0 Table 2) ‘TABLE 1.2 SPECIFICATIONS — PHOTOTHERAPY SYSTEM (ACCESSORY) POWER REQUIREMENTS: ‘cov Mosel o0w ~ , 50/60 He, 4c0¥ ‘10/1200 Mode: 1/120 ~ 50/60 He, 4407 220/240V Model ea2aov ~ S060 He, 440 ‘OVERLOAD PROTECTION: cov and 110/200 models ‘One 64 and one 0258 2509 {use per moa (internal). Creut bread (on Power Mocule of associated equioment) z0r2e0v Mee! (ne 25A and one 0.258 250¥ fuse per mle (internal), Creu breakers (on Power Mocule of aociatad equipment) [NOMINAL LIGHT ENERGY OUTPUT (Center mates, 00-500 nanometer wavelonsth) 9 4 Wenn (CHASSIS LEAKAGE CURRENT Loss than 100 0 A eight (per module) 5 inches (149 em) With (ger moduta) 4 inenas (105 em) Length gee module). inches (47:3 em) Woight (System, including mounting rack) 1b (6.4 Hg) Walp p07 module. 5 tbs. 27 Ig) ENVIRONMENTAL: Ambion Operating Temperstore 68°F (20°C) 19 86°F (s0"0) Humiaty o1099% Viraton and Shock. Normal nursery ranting aise ‘Sen evel to 1.9 miles (3k 4 EQUIPMENT PROVIDED |i) INFANT INTENSIVE CARE SYSTEM AND INFANT INTENSIVE CARE SYSTEM FOR THE very ROOM The intensive Care Systm and nan Inns Care $jstem‘or the Dtvery Room (gue 11) cons of @ Cart 3rd Bussne Assembly, 8 Warmer Mosul, wih bulla Zramination Ugh, and a Conor Assert. The It ‘onate Care Sysiam is alse equpoos wih wo removable ‘nsrumert trays whic are maura on the Besinet Suppor ihe rata he Basset ‘Tha Wsimer Modu can be moved 65°20 holt oF rt fear poston ermal per positon) aeconmodale Say equipment ithoutsisurbng the nar, by depress: ‘ng he acing lever nated on th ear ef the made. this esiton, the warmer wil conten to delver haat the at {fs are, howave th lvl het Severe th matress {te wl pereace when te warmers poetaned oer fide ofthe conte postion + car and Bassinet — The Basint provides maximum Wisbity and acces tothe snfant: the Cart prowdos & ‘mounting for the Warmer Module ane Bassinet, “+ Warmer Module — The Warmer Mosule houses a heating element and an Examination igh for exami Ion speci! proceaures + Controller — Provides ether manual het conto! or “mati skintomperature coneot 4.4.2 WALL MOUNTED INFANT INTENSIVE ‘CARE SySTEM “Tho Wl Mounted infat nensive Care Sytem is cory ‘Gontica tothe Ina Ienawe Care Syatam excep att Ie ot squpped wih a Car Assombly and Is cblgned for Imouning i a fixed positon on a wal ‘+ Baasine!—The Bassinet provides maximum vibiy and ‘cones fo he infant. “+ Wares Module — The Weimer Module houses a hosting ‘lement and en Examination Ugh for examination ot special procedures, + Contolar — Provides ltr manual heat cool or somatic skin temperature contol FREE STANOING INFANT WARMER ‘system 7an0 “The Free Stanaing ntant Warmer functionally ientca! {a th Infant Intensive Care Systom oxcopt hat It not ‘cqupped wih CarvBaeinet Assembly end the Warmer Moguls ine and cannot be swiead om sie tos + Warmer Module — The Warmer Module houses a heating eloment and.an Examination Light for examin on ot specal proceaures. + Controle — Provides ther manual het control or Sutomatic skin temperature contr 14.4 WALL MOUNTED INFANT WARMER sverem 7e40 “Te Wal Mounted Infant Were is unctionaly eontical to tne Infant Intensive Care Sytem except that not ‘sauipped witha Car Bassinet Assombly an is cesigned ir mourking i ised postion on 8 wal ‘+ Warmer Module — Tho Warm thon or epacal procedures ‘+ Contatar — Provides either manuat nest contol or Sutomtie skin temperature con 1.4.5 PHOTOTHERAPY sySsTEM SYSTEM 7650, MODEL PTMTO-2 and 26 ‘Tho Phototherapy System (accessory) consis of Wo ‘Hames modules wich aredesgned ar mourtingon he ‘Ses of tne Warmer Module of he Inn! Intensive Gs ‘Sytem, the Foe Standing infant Warmer, and tne Wa 1.5 ACCESSORIES “1.51 INFANT INTENSIVE CARE SYSTEM AND INFANT INTENSIVE CARE SYSTEM FOR THE DELIVERY ROOM Accessories evluble for use wih the ntant Intense Care Syston are lotedtelow and shown in Figur Rte to Section 6 tr part numbers NOTE: The instumen Tay, Inetument Tay Support and the Pt Brakes usta in gue) are Acessories ‘nthe nant tensive Care Sytem othe Dlvery Room Iason, Pox Handi usraedin Fig 2.2 (tom 3) Is ay Accosery onthe Infant Intensive Gare Systm fr the Darvery Room + Iv. Pale 2 an sei + Monitor Sat 2 Oxygen Dover Systoms + Biret Magaiteaion Radiography (OMR) Cass + Twind. { Photonerany System (not shown) + A's Receptace Box (ot shown) 4 Drawer Module Ki (nt show) 1 Roeuestation Package (nt shawn) Includes Fewectsion Module Fowater without Onygen Take Twindvec Peat Sutton {ir Davey Sytem ‘Oxygen Datvory Sytem ‘Oxygen yin Holder Kt + Airway Pressure Gauge Postve Pressure Pear Resvscttor 1°" Oxygen Suction Unit 1.52 FREE STANDING AND WALL MOUNTED INFANT WARMERS ‘Accorsris avaliable for use with the Free Stans ang ‘Watt Mounted intant Warmers are lsted Below | orto Section 6 or part numbers + Phototherapy Sytem (not shown) WARMER — a . oF moons a es POLE contmouen oa || NS cr vowrononre SS pwvor eracker** OXYGEN DELIVERY, - vere ( Juertownerens BASSINET TWIN-O-VAC™ a) wwstauMent* 4 ‘TRAY . Nevinstrument ha > nouen MDDLE CART SHELF © AUXILIARY OXYGEN DELIVERY SYSTEM BoTTOM CART ? SHELF . v * ACCESSORY ‘** ACCESSORY ON INFANT INTENSIVE CARE SYSTEM FOR THE DELIVERY ROOM FIGURE 1.1 EQUIPMENT PROVIDED AND ACCESSORIES 2.1 UNPACKING Wen remoring the equipment rom te carons seca nottoseratch or aherwise garage unprotctedsuraces remove ll packing mates 2.11 INFANT INTENSIVE CARE SYSTEM AND INFANT INTENSIVE CARE SYSTEM FOR THE DELIVERY ROOM “The Infant intensive Care Systm is shipp in a single Gaon containing the following assomeles which are Dpaewagod sapartely “+ Warmer Maule Assembly 1 Bassinet Ansomoly 5 Murer Modu Post Assembiy 1 Cantand Bassinet Suppor Assembies 1 Controler Asterbly and Power Module 2.12 FREE STANDING INFANT WARMER, “Tm Fre Stanaing Infant Warmar ie shipped in a single faiton containing he folowing assemoles which are Daskagos eoraratoly + Warmer Module Assembly 1 Upper and tower Mounting Posts Base Assemby 1 Contoliar Assumbly and Power Moaule 2.19 WALL MOUNTED INFANT WARMER. “Tre wall Mounted Infant Warmar is shipped ina single fatton contlning the following assemblies which are peskos separately: paces area eae 2.4 WALL MOUNTED INFANT INTENSIVE “Te Wall Mounted nian Inaniva Care Systm i shipped Ins angle carton conaning the folowing assembles wach fr pockeged soparately warmer Module Assemély 4 Bassinet Asser + Mounting Post $ outing Braco 1 Bassinet Super Assamby ‘ Cenvaer ASsomby and Power Module SECTION 2 INSTALLATION 2.4.5 PHOTOTHERAPY SYSTEM (ACCESSORY ‘The Phototnerapy Systems shipped ina sng carton containing the following + Prototnerepy Modul * Noumtng Rack 1 eunting Heraware wo} 22 ASSEMBLY “+ INFANT INTENSIVE CARE SYSTEM AND INFANT INTENSIVE GARE SYSTEM FOR THE DELIVERY ROOM trons forasseling he Inf Intensive Car Sys- mare provided Below no spacial ols are rue It shoul be notes thatthe oveal Height of he fly 35- ‘emoled Infant intensive Care Systom end the height of the Bassant at matress lve is determined bythe pos tion of he Satine Support Assembly ‘The Cat snd Bassinet Suppor Assembles are shipped presesembiag, withthe Bassinet Suppor instatios nthe igh postion ‘This provides 8 maximum oteral unt height ot inches (108.5cm) when tba unitieuly seam Bed! the heght ofthe Gasena, a mates eve. willbe 539 inches (9 cn Wom the oor ityour requirements ciate, the overall hegntotth tant Intenive Care Systm may be lowered fo 72% inches (1899 en) by natalng he Bassinet in th aforatve “Tow” paakon. When insted inthe “Tow” poston the Feito the dase, tmatess eel, wil benches (Gem) trom the aoe Regordies of which postions eect nigh orow).the | Gatance between the matress and tne Warmer Module tril remain constant when tne infant intensive Care Sys {emis ull aesombled 22: INSTALLATION OF BASSINET SUPPORT IN THE [ALTERNATIVE LOW POSITION NOTE: 1! the postion of tha Bassinet Suoport 8 minced thigh positon sates your requremantss omit i bro dure and proceed to paragraph 222 |A.REMOVE THE FOUR ¥10.32 1 14" SCREWS (1) (Fig (Gre) tnat sscurete nstursent Tray Suppor Frame {ay tothe Bessnet Support (S}andramovethe peo" | NOTE: Tho Incrumont Tay Suppor Frame (tem 2, Figure Bi) an eccessry tothe Int Inonsive Care Sym {orth Datory Roam, 1. REMOVE THE TWO 5/6"-18 SHOULDER SCREWS!4) and 5/8” lockwasnars (5) and he two 5/26°-18 x50 ‘SSrews (6) and'516"lockwsnors (7) that sscure Basset Support ta the Cart Assemdly (8) CC.RAISE AND SUPPORT THE FRONT END OF THE BASSINET SUPPORT and siowly push the Basinot ‘Support toward tne rar ofthe cart unt he suppor pine 9) are ceengagad tm tnenigh poston mous Ing matches (10) D.LOWER THE BASSINET SUPPORT and engage te ‘Suppor ina in he low poston mounting sot 19), E LOWER THE FRONT END OF THE BASSINET SUP- PORT anc pul orwars oly ngage mesupporins F. HEASSEMBLE by rvosing steps A ena 8. 222 INSTALLATION OF MOUNTING POST Toinsial tne Mounting Poston the Car Assembly rterto Figure 22 and procoed as folows: IMPORTANT: I the Bassinet Supports installed inte “high” goat (a shipped) nell the Mounting Posts thevhigh poston a deserted in top Atma Gazer Suppotisnstalied in healtemaive"Tow” postion pan ‘raph 22) intl th Mounting PostnthaTow postion {5 cesenbed in sep 8. ‘ALINSTALL THE MOUNTING POST INTHE HIGH Post THON a8 olowe 1. Leoson the four #10321" grows (1) that secure thy Instrument Tray Support Frama (2 tthe Bee etSuncon anasidetnesiportamebackss NOTE: The Instrument Tay Suopon Frame (em 2, gure 22} isan accessory th nat Intnsive Cero Stem fr the Delery Room, Insert the bottom end of the Mounting Pst (rt {reopening the fp of he were! secon ot 4. Slowty lower the Mounting Post unt he betas lige of tho post fly seated inthe mounting (G-on ne nsgerontsurace ofthe vertical ectan ofthe Gan Asser. ‘Aclust the postion of ne Mounting Past unt re ‘Stpportpin(7)onie Bassinet Support sisereain the slated Roe (8) nthe Mounting Post 5. Alone our mounting hols (9) inthe post with 8 fosr mounting nels inte Cartandaeeure na byltaling tne tou" 20 x => screws (10) ‘“ockwashers (1) supplied tighten secure. 0 6 Slide he Instrumont Tray Support rane (2 forward Lunt ti aganat ne Mounting Poet ad ten tne ere eeenen ieee 1. INSTALL THE MOUNTING POST INTHE LOW Post- TION as taiows: 1 Loon ne four #10:92% "sore (tint secure the inwomont Tray Support Frame {2} lo the Bas ‘inet Suppor (2) and sige the suppot frame back. Insert the bottom end ofthe Mounting Post (8 nto the opening a ihe top of te vertical ection () af the Cart sem. 5. Siowly loner tna Mounting Post unt he upper edge cottmelow positon mounting slot 12) itrmiyessted Inthe maunting tab (6 on he insde ron srtace ot the versal sation fine Gat Asser oy. 4. Aout to postion of the Meunting Post unt the ‘Supgod ain (7)on ne Busine Supportelnsartadn {he slotd noe (8) n the Mounting Fost, ‘Align the four mounting holes (0) in thepost wit the ‘our mounting nots inthe Cartan recur place By inating the four 20 arews (10) and ‘ooh Spates ter sc 6. Sido theinstument Tay Suppor Frane 2) uiwara Lt it apuinat he Moving Post and gen the NOTE: The plastic tm stip on the back of the Mounting ot nla on ow wap 'G INSTALL THE MOUNTING POST HANDLE as ‘oon NOTE: The Poet Hance an acessoy tothe nant Intense Care Syste for ho Dovey Ream. 1 Insta pst handle 1) using the e120 14" Bol (05), tho a" lock washer (16) and the to 2" fat washer (4). 2. Make sue the a ofthe hand acing the post and ‘he two fat ashore ara tween the post and te INTING POST. 223 INSTALLATION OF POWER MODULE NOTE: 11 te Power Module hes not been insta the Warmer Module. wil be nacestaryf Install the Power Module betore pertorming tne Warmer Module instal. "ion procedure given im paragraph 224 of his manual. the Power Module has been factory installed, regard Ihe prcesre [A. REFER TO DETAIL A. Postion tho Power Module (1) Inthe Warmer Module (2 a8 shown, and connect he Imvrecnnectng boon cabo (3) fo treconnecter (4). ‘Make sure thatthe key onthe plugs inseted ino the Slot on the connector and sry seated. 8, CAREFULLY SLIDE THE POWER MODULE intone Wiarmar Magis unl the plug on the rear of the module mates withthe connector on the Warmer Mosule ana is trmly seats CINSTALL THE TWO MOUNTING SCREWS (5) end Mat washers (6 tghtan securely. 2.24 INSTALLATION OF WARMER MODULE AND GonrRoueR Toinstal he Warmer Module. he Mounting Post eter {0 Figue 23 ana proceed a flows: A. LOOSELY THREAD TWO % INCH #10-32 = ‘SCREWS (1) and #90 lockwashars (2) supped, nto ‘mounting Mange (3) 2. RAISE THE WARMER MODULE (4) above ine ose nd of the Mounting Post (9) and insert the Intwconnecting bon cabin (6) inio the open ant ¢. SLOWLY LOWER THE WARMER MODULE MOUNTING FLANGE into the open end of the Mounting Post unt he serews (3) installa step A tre tly sted in het mounting 08 (7) at he IMPORTANT: ake sure thatthe lockaashers (2) Mounting Post DLINGTALL A POWER CORD CLAMP () on tho Powor Cera): postion e clam 1Snches rom he end ot {hetorns Power Cor) Connecoe eter Figure 23 Postiontho soeondclam 6nches om the end ot the feonaie Power Cou . SECURE ONE CORD CLAMP (21 the Mounting Post ‘when isang (igure 23) the wo lowest Wares oes Mounng sews (0) Seow the socond re ting the Power Module mouring sor. Tihion 3 serowe securely. IMPORTANT: The 1Sinch (Birches pus Since) sanice loop lente in Siep D and tha secure vgttonng of the siseleted muting fstanersioniied in Slap E are ocessary 10 ensure te proper poner cable stra rit ‘uring Warmer Medul sol procesures Fle pam ‘hese sition steps caret ean ean deormaton lander asengagement of the 26 power connectors wih ‘esutart heat demage 10 these component. F. CAREFULLY THREAD THE INTERCONNECTING GABLE (6 out through the Conrolor opening atthe Front of the Warmer Modula mouming post ‘cauTion: + wnen connecting the interconnecting cal the ‘Contoler, make wre thal he cables not wisedor crimped. «+ Make sure that the interconnecting eabols dresses ‘own Between the clout board andthe backcross member ofthe Conrler chest + wnen connecting the interconnecting cable to the Contoier make sure thet he key onthe eble plug ‘inserted into the slat onthe connector. G. CAREFULLY THREAD THE INTERCONNECTING GABLE (6) down betwoon tne back crossenember {[iipandine eeu basta (72 on the Controle: ana Connect tne cable plug (13) fo the connector (14), Make sure hat the ey on the plogisinseted ino the CAUTION: When instaling the Contoler in the Mounting Post use care not otis erp, pinch, ot ‘lbermie damage the interconnecting cable H. CAREFULLY DRESS THE INTERCONNECTING GABLE back into he opening inthe Mouny Post Irae ne Contraiar(18) nto te opening, natal the Contre mounting stews (10). {G-INCHES OF CORD BETWEEN 7° CLAMP AND CONNECTOR, FIGURE 2.3 INSTALLATION OF WARMER MODULE AND CONTROLLER: 2255 INSTALLATION OF BASSINET To inet tne Bassinet onthe Basint Suppor ler ta [A. REMOVE THE MATTRESS AND THE XRAY TRAY Adjusting Bracket. - LOWER THE FRONT OF THE BASSINET FRAME [ASSEMBLY unt the two Phot Relesse Mectonim= (a) are in place over the Pvt Block (6) the Bassinet Suppo" (6). ( ACTUATE THE PIVOT RELEASE MECHANISMS. (Geta A) te sow the Bassinet Frame Asser 10 at inthe Phot Blocks: may Benocessarytogonty {o'ock tn ramen place REINSTALL THEX-RAY TRAY AND THEMATTRESS ‘nthe Bassinet Frame Assembly INSTALL THE SIDE AND END PANELS on the Bassines Acruareo FoR INSTALLATION OR REMOVAL, Dera A FIGURE 2.4 INSTALLATION OF BASSINET 226 INSTALLATION OF CART SHELF AND INSTRU: 8. LOOSELY THREAD THE TWO RETAINING KNOBE MENT TRAYS {@binto te Instrument Tray Support Frame (5) 1 intl he Cart Shel and Instrument Trays, rofr to (Cre 25 ans proceed as flows: NOTE: The Insrumant ays ae accessories 0 the ant elit eiaen sa eerrint (©. INSERT THE LOCKING TONGUE (8) ON THE INSTRUMENT TRAY (7) into the sol (8) on ths Mounting Poa ip the mounting bracket on hora | ALIGNTHE TRACKING GROOVESINCART SHEL ‘ver the retaining knob ana tighen the knob (Q) wth he wacks (2) on the Cart an sidotho St! Seawely {Shard the resrof the Car unt the Intening pin fgages the locking groove into underside ofthe felt Chack ha the shel spositvely locked FIGURE 2.5 INSTALLATION OF CART SHELF AND INSTRUMENT TRAYS. 6 23 ASSEMBLY “FREE STANDING INFANT WARMER Tesiuctons for assembling the Mee Standing ltant \armerare provges bow nospeca tools are required Itenould be nots that ne Warmar Post can be assembled {c provide on of ree heght posions to accormeodalo ‘usenet which nave dfernt matteseto-toor heighs while maintaining the spect dsance bewoon te Tower surface of te Warmer Maule snd the matens sirace, 22.3 ASSEMBLY OF UPPER AND LOWER MOUNTING Posts aNO BASE ASSEMBLY A.REFER TO FIGURE 2.6 and mount the Lower 1+ Bocese ne Sis Fee Stnng nant Warner can o-used wih a vary of bastnels wich cold have . WHEN THE X-RAY 16 COMPLETE, move the X-Ray hatte an flu the ay ey, Bassin rot pan! {nd Waimer Modute to normal eraing postions 215 X-RAY PROCEDURES USING DIRECT MAGNIFI- CATION RADIOGRAPHY (OMA) CASSETTE HoUDen (accessonY) INFANT INTENSIVE CARE SYSTEM \ LOWER THE FRONT PANEL of Bassinet and pull ‘he ichay tray out a8 snow in Figure 43: remove ne hay vay S.REFER TO FIGURE 4.5 and Support tha OMA X-Ray Cassette suppor (iow A wth one hand ana rotate ne retaining knob na. counterciocnse rection wit ine ‘ther sie tne DMR suppert up or down to aban ne {Seuies operating postion Tighten theretaningknoe 2 RELEASE THE X-RAY SHELF BRACE from tne aton Bip“ ew 8) and pull theshebrace toward ve ont ‘of Baeuint te colt mil tk owned (vow C) D.PLACE THE X-RAY CASSETTE on ne shot and => poston Ihe shell 0 he horzontal positon DEPRESS THE WARMER MODULE LOCKING LEVER tnd swing he WarmerModue other ori ofee in (gure 42) a regres fo poston the ay ma WHEN THEX-AAYIS COMPLETE return Varmer Mod Uteto operating postion vemove tne X-Ray cece {na etm the OMA SoRay csselesuppataheltothe Rortzont! positon 2: REINSTALL THE X-RAY TRAY (Figur 4.5) and raise tha ran paral of tha Bassinet tote normal operaing La OPERATION PHOTOTHERAPY SYSTEM (ACCESSORY) es Measures to maintain dered hd balance should =X ‘+ To be used ony by appropriately tained personnel at he direction of and as preserbed by a qualified Dhystlan aware of curentv known sks ana Benes Ita coratonof sor ana soe manor merciectesc nee curse nes ‘The Phototherapy modules require tee air circulation tor coating during normal aperetion Never pace oF hang any eects onthe modulo n such 8 way a6 ‘WARNING: Intent eyes must be covered whenever the Phototherapy Systom isn ute to provent possible oye Injury trom the high intensity light source, Other in latin our foe of the ayer should have hel oy ‘Shielded tom sleet observation ofthe ght source ” "A. CLOSE INFANTS EYELIDS and cover wih Ugh opaque eyeshetdsecurly held in lace by tape oF Bandage The eye covering mest be appiegn such a saya ou not macrntysipoer he ose POSITION THE INFANT under the Phototherapy Sy=- tom to permit epimal exposure fo ight source ‘CONNECT THE AC POWER CORD of equipment on lenin Be Prototerspy System is installed directly Into a dewire grouncea Hospital Grads or Hospital Use receptaco ofthe voltage rating onthe ela tag, Da not Use extension cord orator SET THE PHOTOTHERAPY SWITCH onthe Warmer Module of the assocaled equipment to the ON? poston After a short delay al ights in both phot frorapy mecules shew ight. IMPORTANT: ‘+ tone ofboth ofthe Phototherapy medule allo light, the module(s) must be removed fom service immediately and siaconnectes rom the power + ttt is nacossary 1 turn the Pottery System Derod before ting the system on again. Sirubin ves ae proscribed by te attending phy MEASURE PHOTOTHERAPY IRRADIANCE LEVELS ‘35. function of ne voltage hours of use and lanl ‘ess of te gate sie SECTION 5 CLEANING AND MAINTENANCE 54 GENERAL “Tis section provide casing and maintenance inseue- ths Where ecesuary, cleassembly Instructions ae pro Video, Maintenance ciher than tal provided Inthe Seton shuld be peromed ony by ues See + Worygen sn use, make sure thatthe oxygen supply to the equipment le tamed of and that Iie eanecid fom he oneen spp when peroming ‘leaning and mulntenarce procedures; 2 tie Sticeds Taura uew wren peering Seeing “sndlormaintenanceproceaues in an oxygor-eviched “+ an electcal shock hazard exists when peroring Cleaning and maintenance poceaures; make sure that 52 CLEANING ‘hon an intant ie sacharged or atleast oncea week, he qupment should be thoougly denected. Cleaning Ein most effactvaly be secomplisned by lessening. ‘hon grouping ine parts andor semble in extogoios ‘eording fo the metnod of eeaning require. 5.3 DISASSEMBLY FOR CLEANING ( 1+ INFANT INTENSIVE CARE SYSTEM NOTE: No cstsombiy procedures are requed forthe Free Stanging nd Wal Mounted Infant Warmers or Prototnorapy System (aeceaoey) afer to Sections 5 4nd StorGleaningand Stesznton proceduresfor nese ‘uiements 5.21 DISASSEMBLY AND REMOVAL OF BASSINET [A-TILT THE BASSINET to tn Fowler postion a8 shown NOTE: The sige, ron, antack panes athe Bassinet ite mounted intel thereore, the procestre for femoving any or lof tare panels i he aame. 18. RAISE THE PANEL (Figure5.2) and suing he pane! ‘way trom te Bassinet (C.REMOVE THE PANEL (Figwe 53) by grasping he nds ofthe pane and ising oneend ol he pane! ul ‘Snape ee ofthe detent nthe corner mount ide the other end of he arel cu ofthe corner mount D. REMOVE THE MATTRESS rom the Bassinet ( FIGURE 6.1 TILTING BASSINET « FIGURE 5.2 RAISING SIDE AND END PANELS: FIGURE 5.3 REMOVING SIDE AND END PANELS FROM BASSINET 4 ‘side and pl utara Lit he Bassinet ang ittrom {eo side oretasethelavtorarfromthe wot “juetng brackets on the Sasinet Support Mt he Bessie! rom the Basin! Suppor, F. REPLACE THE BASSINET, by rversing the above procedure ‘Toremove the GartShoives trom he nant intensive Care System, proceed a olows A. REACH THROUGH THE OPENING UNDER THE FRONT OF THE SHELF (Figure 5 view A) ang pal down on the locking knob. sie the Sha forwars Unt reaches 8 postive stop. | REACH THROUGH THE OPENING UNDER THE REAR OF THE SHELF (Figure 9.5. view B) and pul ‘Sown again on the locking Ab, side the Shei omard.and ot of he unit ( REMOVE THE MIDDLE CART SHELF (ACCESSORY). Eyuling down onthe locking nob undeinestN Ne ‘Sha (igure 58) hold te lockingknob he cow” Postion. and sie the Shel oof he ust REPLACING CART SHELVES. Align the track Endalde the Shoftowardverearfthe Can ontithe Isteing pin engages the locking gtoave on the Underside of the shell Check that tye ehel i= Pestvey locked FIGURE 5.4 REMOVING BASSINET FROM CART. ¢ vIEWA VIEW B FIGURE 5.5 REMOVING BOTTOM CART SHELF ¢ FIQURE 5.6 REMOVING MIDDLE CART SHELF (ACCESSORY) 1533 REMOVAL OF MONITOR SHELVES (ACCESSORY) |A. REMOVE ANY MONITOR SHELF, (Figure 5.7 rom sheath ting upon esha oranovernene B. REPLACE ANY MONITOR SHELF, by ovoraing the above procedu. 1534 REMOVAL OF INSTRUMENT TRAYS NOTE: Irerament fay are accesories othe fant erive (Care Sytem forthe Datvery Room ‘Toremove oer of he instrument Teay, rele toFigure [A. LOOSEN THE RETAINING KNOB thst secures Instrrint Tray tothe Instrument Tray Support PULL OUT ON THE TRAY orelense'it tam the Po (© REDLACE THE INSTRUMENT TRAY. Ly seve the ebove procedure. a | Py FIGURE 5.7 REMOVAL OF MONITOR SHELVES (ACCESSORY) FIGURE 5.8 REMOVAL \L OF INSTRUMENT TRAY 4 CLEANING PROCEDURES ‘en an inant is dlschargod, oF at east once @ Wook ‘°c “pment should be tmorsughy eared and Se A) CLEANING AGENTS: \n ledophor or quatomary disinfctantdotergont ris: ‘rod by he US. Envtonmental Protacton Agency should 1 used, but only when the equipment snot use and Heassombled ts daserbed euowharo n th section A Seanser suchas Kleenasoptct Germicidal Sufece loaner may be used, When using any cleaning agen dou tne manutecurrs dreton or use, afore lea fg, romeve al sold wastes and contaminants fom the eacsombled parts \A2 PAINTED SURFACES se a dintctar detergent to aan a surfaces hough, hn cy wi aan clo paper towel 4.3 CLEAR PLASTIC AND ACRYLIC SURFACES saumio "Alcohol can cause crazing of plastic and sry. Do ‘ot use aleohol, acetone, or ay organic solvents for leening. + Do not expose plastic and acrylic to drect radiation ‘tom gemiciallampe, Uraviolet radiation fom these ‘sources can cause cracking and erazing of cer pase ene. 4e a dsintactant- detergent to clea al surfaces thorou- inl. Make sre to clan al ols, indentations, balls, fe sen ory with Sean inn 9 paper tome 4 METAL SURFACES 4350 & dlsintectant-detorgent to thoroughly clean all “aces then ary with a Slean ath oF paper owe! IMPORTANT: Alte cleaning, a complete functional hectout (paragraph 431) should be perormed belore ‘turning the unit to eric. 1545 SKIN PROBE [GAUTION: Do not pul on the ip ofthe ki Use a aisinfectant- detergent fo thoroughly clean al su faces then ry wih alee aot cot or Paper towel 55 STERILIZATION ‘CAUTION: DO NOT STEAM AUTOCLAVE, Gas st zation temperature should not exceed 44° (130°F) Storiaation can be sezompishe wit he following ‘A.COLD STERILIZATION ‘CAUTION: Do not expose plastic and acyl to cect ‘adltion fom germicidal lamps Utraviolt ration {tom theve sources en cause cracking of geaka sur cea, ading of ple and ultimately, crazing of plastic and worl. 18. GAS STERILIZATION (ETHYLENE OXIDE) Por to ‘ger soniization the entre unit mou be tmoroughiy Imove and discal uses siposabieslaments, New sposedie elements should be inated afer steit= Standard gas sterilation procedure as programmed: by automate equlzment such os mage by American Sriiers and Wino! Cele ae satilactory a hese do not normally exceed 544°C (10°F) IMPORTANT: After steviization, @ complete tune ‘ntl enarkout procedure shoud be petormed Blane Feturning tho unit sree 5.6 CALIBRATION ‘Te equipment shouldbe completely checked and ea brated at eartonce evry fourmontheby gualiiedeevioe personnel. eter to te appropriate Service Manwal for Setned instructions 5.7 TROUBLESHOOTING. ‘Troubleshooting or ha operator ofthe equipments pee fentein Table Ife fel cant be ocaszed fom {ho onary, the unt should be removed om o fencing should be reed to fetory Waines ora wee qusiteg serie personne. TABLE $1 TROUBLESHOOTING SYMPTOM POSSIBLE CAUSE REMEDY ics, FSIW, Walics, AND wal ‘No power, and POWER FAIL | WARMER ON-OFF Switch bam a not states, not sotto ON. a oe HARAIER Cv-OFF POWER FAL Asim | Circuit Bresker(s) tipped + nha mar ». Powor Cord unplugged by Make sre he Power Cont is uly nsertd nto te wat nd intant Care Sytem ‘ception. «Detective Power Cord «: peace Power Cvs nose ea ano ser PONT | Prove unooae or a Prob pan or hots pace pe. Skin TEMP ° ndstor 1. nan probe icon Banc wren apr in recta fom Contr * plconect patent robe to Serv ose PHOTOTHERAPY SYSTEM (ACCESSORY) Protheapy anos ‘pyororuenaey euchon |]. sa moromenuer ( on Silowwamemcs” |" Smnorgn ateeoon '. Photonerapy System power |b, Connect Power Cards to ards not connected "0 Phototherapy Conectrs serocted amar ‘on Warmer Maul SECTION 6 PARTS LIST 6.1 GENERAL ‘Thi secon provides «replacement parts and accessory parts Is fr the operator ofthe equpmen. Pars or components

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