Voyager Transport Incubator: Service Manual

®
Voyager Transport Incubator

Service Manual
Voyag
Vo ger
In
nfant Tran
nsport Inc
cuba ator S
Syste
em
with Optiionall PullseOx
x
Servi
S ice M Manua al
 Ph
hone: (5112) 873-00
033
 Fa
ax: (512) 873-90900
 E-M
Mail: salles@int-b
bio.com
 Weebsite: http://www
h w.int-bio..com
 Ma
ailing add
dress:
Intternational Biome
edical
82
206 Cross s Park Dr.
r.
Auustin, TX 78754
USSA
 Au
uthorized
d represen
ntative in
n Europe for Regu
ulatory Afffairs:
Em
mergo Eu urope
Prrinsesseg
gracht 20
25
514 AP
Th
he Hague,, The Nettherlands
s
TABLE OF CONTENTS
LANGUAGE DISCLAIMER ................................................................................................................... 4
SECTION 1: GENERAL INFORMATION ........................................................................................... 11
INTRODUCTION ....................................................................................................................... 11
CLASSIFICATION .................................................................................................................... 12
SAFETY SUMMARY ................................................................................................................. 12
IMPORTANT SAFETY CONSIDERATIONS ............................................................................. 12
SYMBOLS ................................................................................................................................. 18
SECTION 2: SET-UP INSTRUCTIONS .............................................................................................. 19
UNPACKING AND ASSEMBLY OF INCUBATOR AND CART ............................................... 19
ASSEMBLY OF THE VENTILATION SYSTEM ........................................................................ 21
ASSEMBLY OF THE HANDLES .............................................................................................. 22
SECTION 3: OPERATING INSTRUCTIONS ...................................................................................... 23
FRONT PANEL DISPLAY FEATURES .................................................................................... 23
BACK PANEL FEATURES ....................................................................................................... 28
SIDE PANEL FEATURES ......................................................................................................... 29
POWER FEATURES ................................................................................................................. 30
POWERING UP THE INCUBATOR .......................................................................................... 32
POWERING OFF THE INCUBATOR ........................................................................................ 32
DISPLAY MODES ..................................................................................................................... 32
TEMPERATURE CONTROL..................................................................................................... 33
SETTING THE INFANT CHAMBER AIR TEMPERATURE ...................................................... 33
PULSE OXIMETER AND OXYGEN MONITOR CONTROL (OPTIONAL FEATURE) .............. 33
ALARMS / INDICATORS .......................................................................................................... 34
EXTERNAL LIGHTING ............................................................................................................. 37
SKIN TEMPERATURE PROBE ................................................................................................ 37
SECTION 4: PULSE OXIMETRY (OPTIONAL FEATURE) ................................................................ 38
PULSE OXIMETER PRINCIPLES OF OPERATION ................................................................ 38
PULSE OXIMETER SET-UP INSTRUCTIONS ......................................................................... 40
INITIAL SET-UP ............................................................................................................. 40
SETTING HIGH AND LOW %SpO2 ALARMS ............................................................... 40
SETTING HIGH AND LOW PULSE RATE ALARMS .................................................... 41
SETTING THE ALGORITHM MODE (MASIMO ONLY) ................................................. 41
SETTING THE AVERAGING MODE (MASIMO ONLY) ................................................. 42
SETTING THE PERFUSION INDEX (MASIMO ONLY) ................................................. 43
OPERATIONAL ALARMS AND WARNINGS........................................................................... 43
TEST OF OPERATIONAL ALARMS ........................................................................................ 45
PULSE OXIMETRY SENSORS ................................................................................................ 45
PULSE OXIMETRY TESTERS / SIMULATORS ....................................................................... 46
SECTION 5: OXYGEN MONITOR (OPTIONAL FEATURE) .............................................................. 47
OXYGEN MONITOR PRINCIPLES OF OPERATION ............................................................... 47
OXYGEN MONITOR SET-UP INSTRUCTIONS ....................................................................... 48
INITIAL SET-UP ............................................................................................................ 48
SETTING HIGH AND LOW OXYGEN ALARMS .......................................................... 48
OXYGEN MONITOR CALIBRATION ............................................................................ 49
Part No. 715-0084, Rev. A -1-

TABLE OF CONTENTS
OPERATIONAL ALARMS AND WARNINGS........................................................................... 50
TEST OF OPERATIONAL ALARMS ........................................................................................ 50
OXYGEN SENSOR ................................................................................................................... 51
SECTION 6: PREVENTATIVE MAINTENANCE ................................................................................ 52
DAILY MAINTENANCE ............................................................................................................ 52
OPERATIONAL CHECK ................................................................................................ 52
AIR / OXYGEN SYSTEM ................................................................................................ 53
INFANT CHAMBER CHECK .......................................................................................... 54
CART AND ACCESSORIES .......................................................................................... 54
SENSORS AND CABLES (OPTIONAL EQUIPMENT) .................................................. 54
CLEANING OF INCUBATOR AND CHAMBER ............................................................. 55
CLEANING OF CABLES (OPTIONAL EQUIPMENT) ................................................... 55
CLEANING OF PULSE OXIMETRY SENSOR (OPTIONAL EQUIPMENT) .................. 55
CLEANING OF OXYGEN SENSOR (OPTIONAL EQUIPMENT) ................................... 55
MONTHLY MAINTENANCE ..................................................................................................... 56
OPERATIONAL CHECK ................................................................................................ 56
KEYBOARD / LED CHECK (OPTIONAL FEATURE) .................................................... 56
ALARM MUTE CHECK (OPTIONAL FEATURE) .......................................................... 56
TANK INSPECTION ....................................................................................................... 56
INFANT CHAMBER INSPECTION & CLEANING ......................................................... 57
BATTERY TEST ............................................................................................................. 57
AIR FLOW SYSTEM INSPECTION & CLEANING ........................................................ 58
HARDWARE .................................................................................................................. 58
BATTERY CARE ...................................................................................................................... 59
PRODUCT DISPOSAL / RECYCLING ..................................................................................... 59
SECTION 7: TROUBLESHOOTING ................................................................................................... 60
GENERAL TROUBLESHOOTING ............................................................................................ 60
MAIN DISPLAY ERROR CODES ............................................................................................. 61
PULSE OXIMETER AND OXYGEN MONITOR FAILURE CODES (OPTIONAL FEATURE) .. 61
SECTION 8: INTERNAL COMPONENT ACCESS ............................................................................. 64
ELECTRONICS COMPARTMENT ACCESS ............................................................................ 64
BATTERY REMOVAL ............................................................................................................... 65
CONTROL BOARD REMOVAL ................................................................................................ 65
DISPLAY BOARD REMOVAL .................................................................................................. 66
PULSE OXIMETER BOARD REMOVAL (OPTIONAL FEATURE) .......................................... 67
SECTION 9: CALIBRATION PROCEDURES .................................................................................... 68
CALIBRATION TEST EQUIPMENT REQUIRED ...................................................................... 68
SYSTEM CALIBRATION PROCEDURE .................................................................................. 68
CONTROL BOARD CALIBRATION PROCEDURE ................................................................. 71
DISPLAY BOARD CALIBRATION PROCEDURE ................................................................... 74
SECTION 10: CIRCUIT DESCRIPTION ............................................................................................. 75
CONTROL BOARD ................................................................................................................... 75
TEMPERATURE REGULATION .................................................................................... 75
FAILSAFE TEMPERATURE LIMIT ................................................................................ 76
Part No. 715-0084, Rev. A -2-

TABLE OF CONTENTS
ALARMS ........................................................................................................................ 76
POWER FAIL ALARM ................................................................................................... 77
VOLTAGE REFERENCE ............................................................................................... 77
LAMP DRIVE CIRCUIT .................................................................................................. 77
BATTERY CHARGER .................................................................................................... 78
POWER SOURCE SELECTION..................................................................................... 79
DISPLAY BOARD ..................................................................................................................... 79
MEASURED TEMPERATURE DISPLAY....................................................................... 79
MAIN INCUBATOR ALARM AND POWER INDICATORS ............................................ 80
TEMPERATURE SETPOINT .......................................................................................... 80
SETPOINT ALARM ........................................................................................................ 80
PULSE, SpO2, AND OXYGEN DISPLAYS (OPTIONAL FEATURES) .......................... 80
SATURATION, PULSE, OXYGEN, AND PULSE GRAPH DISPLAYS (OPTIONAL
FEATURES) ................................................................................................................... 81
ALARM AND POWER INDICATORS (OPTIONAL FEATURES) .................................. 81
ALARM SETPOINTS (OPTIONAL FEATURE) .............................................................. 81
SETPOINT ALARM (OPTIONAL FEATURE) ................................................................ 81
OTHER ALARM AND WARNING CONDITIONS ........................................................... 81
SECTION 11: SPECIFICATIONS ....................................................................................................... 82
GENERAL MECHANICAL SPECIFICATIONS ......................................................................... 82
ELECTRICAL SPECIFICATIONS ............................................................................................. 83
OPERATIONAL SPECIFICATIONS ......................................................................................... 84
EMC SPECIFICATIONS............................................................................................................ 84
ESSENTIAL PERFORMANCE ................................................................................................. 87
PULSE OXIMETER SPECIFICATIONS (OPTIONAL FEATURE) ............................................ 88
OXYGEN MONITOR SPECIFICATIONS (OPTIONAL FEATURE) ........................................... 90
OPERATING, STORAGE, AND TRANSPORT ENVIRONMENT ............................................. 91
SECTION 12: WARRANTY ................................................................................................................ 92
SECTION 13: SYSTEM DOCUMENTATION ...................................................................................... 93
EUROPEAN REGULATORY AFFAIRS REPRESENTATIVE .................................................. 93
PARTS AND ACCESSORIES................................................................................................... 93
SECTION 14: SCHEMATICS / DRAWINGS ....................................................................................... 94
SYSTEM WIRING DIAGRAM, MASIMO PULSEOX (002-0013) .............................................. 94
SYSTEM WIRING DIAGRAM, NELLCOR PULSEOX (002-0016) ............................................ 95
CONTROL BOARD SCHEMATIC (001-5181) .......................................................................... 96
PULSEOX DISPLAY BOARD SCHEMATIC (001-5193) .......................................................... 97
SCHEMATIC, NON-PULSEOX DISPLAY BOARD (001-5192) .............................................. 103
TEMPERATURE SENSOR RESISTANCE VALUES .............................................................. 105
AIRFLOW DIAGRAM (002-4000) ........................................................................................... 106
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SECTION 1: GENERAL INFORMATION
INTRODUCTION
INDICATIONS FOR USE -
The transport incubator is intended for use by personnel trained in neonatal care to facilitate the
movements of neonates by air or ambulance. The transport incubator circulates warmed air at an
operator selected and controlled temperature when transporting neonatal infants to hospitals prepared
for neonatal infant care. The transport incubator is also intended to carry equipment designed for
airway management and monitoring of the neonatal infant's status.
The International Biomedical Voyager Infant Transport Incubator with optional PulseOx (referred to
herein as the incubator) provides a thermally regulated environment to support an infant’s temperature
requirements and has the capability to monitor vital information during transport. The pulse oximeter
and oxygen monitor measure pulse rate, oxygen saturation, and oxygen concentration and allow the
user to configure high and low alarm settings. The incubator circulates warmed air throughout the
infant chamber to maintain the temperature at a user-selected setpoint. Chamber doors and hand
ports provide quick and easy access to the infant. Positioning straps are provided to limit infant
movement within the infant chamber. Detachable air/oxygen carts or tank modules are available
which have space for up to four cylinders. There are no known contraindications associated with the
incubator.
NOTE: The Pulse oximetry and oxygen monitoring is only available if the PulseOx version of the
incubator was purchased.
This manual is designed to introduce the user to key features of the incubator, including safety issues,
instructions for use, equipment maintenance, and contact information. The manual should be read
and understood by all users before using the transport incubator.
Part No. 715-0084, Rev. A - 11 -

CLASSIFICATION
According to the standard EN60601-1 of the International Electrotechnical Commission, Medical
electrical equipment, Part 1: General requirements for safety, the infant transport incubator is classified
as follows:
 Class I / Internally Powered, according to the type of protection against electric shock
 Type B, according to the degree of protection against electric shock (i.e. the patient may not be
electrically isolated from earth)
 Ordinary, according to the degree of protection against harmful ingress of water
 Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or
with oxygen or nitric oxide.
 Continuous operation for the mode of operation
The pulse oximeter cables and sensors are classified as type BF, per the EN60601-1 electrical
standard.
The skin temperature probe is classified as type BF, per EN60601-1 electrical standard (systems with
optional PulseOx).
The skin temperature probe is classified as type B, per EN60601-1 electrical standard (systems
without optional PulseOx).
SAFETY SUMMARY
The incubator is designed to be used by trained clinical users and/or biomedical engineers and
operated in a manner consistent with the instructions contained in this manual. Refer to any additional
training, procedures, requirements, or documentation beyond those identified here for operation and
policies required within the institution. All personnel operating the incubator must be familiar with the
warnings and operating procedures contained in this manual. International Biomedical is not to be
held responsible if the incubator is used in a manner inconsistent with the instructions herein.
IMPORTANT SAFETY CONSIDERATIONS

The incubator has been tested and found to comply with limits for electromagnetic interference and
susceptibility as defined by EN60601-1-2. However, this equipment can radiate radio frequency (RF)
energy and may cause harmful interference to other devices. The incubator may also be affected by
interference from other devices. If RF interference is suspected, relocate or shield the incubator to
reduce or eliminate the effects.
Part No. 715-0084, Rev. A - 12 -

Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by
an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current
and grounding requirements must be maintained.
Use of accessories, transducers, and cables other than those specified, with the exception of cables
and transducers sold by International Biomedical, may result in increased emissions or decreased
immunity of the incubator.
The transport incubator contains a sealed lead battery and must be recycled or disposed of properly.
Accessory equipment may also contain batteries or other items which present risks during disposal;
please consult the appropriate manual for proper disposal techniques.
Safety concerns or additional pertinent information will be displayed using warnings, cautions, and
notes, having the following significance:
WARNING: Maintenance or operating procedure, technique, etc., which may result

in personal injury or loss of life if not carefully followed.
CAUTION: Maintenance or operating procedure, technique, etc., which may result in

patient harm or damage to equipment if not carefully followed.
NOTE: Maintenance or operating procedure, technique, etc., which is considered

essential to emphasize.
The principal WARNING and CAUTION notices to be observed in use of this incubator are brought
together here for emphasis.
WARNINGS
 OBSERVE BEST PRACTICE: The instructions in this manual in no way supersede established
medical procedures or staff preference concerning patient care.
 ENSURE UNIT IS PROPERLY GROUNDED: To ensure grounding reliability, only connect the
power cord to a properly grounded, 3-wire hospital grade outlet of the proper voltage and
frequency. DO NOT USE EXTENSION CORDS. If the integrity of the connection is in doubt,
the incubator should be operated from its internal battery.
 EXPLOSION HAZARD: Do not use the examination light, the pulse oximeter, or oxygen
monitor in the presence of flammable anesthetics or other flammable gases.
 USE OF OXYGEN INCREASES FIRE DANGER: Spark-producing auxiliary equipment should

not be placed in or near the transport incubator.
Part No. 715-0084, Rev. A - 13 -

 Avoid direct sunlight or radiant heat, which can cause a dangerous increase in chamber air
temperature.
 Avoid eye exposure. Direct light exposure may cause eye damage. Infants must wear eye
protection.
 The use of oxygen may increase the noise level within the infant chamber.
 Air and oxygen tanks are pressurized and must be properly secured.
 The transport incubator is Type B equipment and the baby may not be electrically isolated from
earth. Care must be taken that additional equipment connected to the baby is electrically safe.
To ensure patient electrical isolation, connect only to other equipment with electronically
isolated circuits.
 Do not change the lamp and touch the patient simultaneously.
 When the infant tray is removed, do not touch exposed circuitry and patient simultaneously.
 This incubator was calibrated with the infant chamber originally supplied. If this chamber is
exchanged for an infant chamber of a different configuration or size, the temperature calibration
will be affected. Consult International Biomedical before returning the incubator to service.
 The incubator should be turned off and AC or DC power disconnected when cleaning.
 The use of devices which radiate high intensity electrical fields may affect the operation of the
transport incubator. Constant assessment of the patient and all life support equipment is
mandatory whenever interfering devices are operating on or near patient.
 When using the transport incubator adjacent to or stacked with other equipment, observe the
operation of the transport incubator and the other equipment to ensure normal operation.
 Portable RF communications equipment (including peripherals such as antenna cables and

external antennas) should be used no closer then 30 cm to any part of the transport incubator
and associated cables. Otherwise, degradation of the performance of this equipment could
occur.
 Do not use the pulse oximeter or oximetry sensors during magnetic resonance imaging (MRI)
scanning. Induced current could potentially cause burns. The pulse oximeter may affect the
MRI image and the MRI unit may affect the accuracy of the oximetry results.
Part No. 715-0084, Rev. A - 14 -

 If using pulse oximetry during full body irradiation, keep the sensor out of the irradiation field. If
the sensor is exposed to irradiation, the reading might be inaccurate or the unit might read zero
for the duration of the active irradiation period.
 The pulse oximeter should NOT be used as an apnea monitor.
 If an alarm condition (other than exceptions listed herein) occurs while the MUTE button is
activated, only visual alarm indicators will be activated.
 Pulse rate measurement is based on the optical detection of a peripheral flow pulse and
therefore may not detect arrhythmias. The pulse oximeter should not be used as a replacement
or substitute for ECG based arrhythmia analysis.
 Connecting equipment to the outlets on this device creates a medical electrical system and the
user is responsible for continued compliance with the requirements of IEC 60601-1.
 Do not modify this equipment without proper authorization from International Biomedical.
 An Infant Transport Incubator should be used by appropriately trained personnel and under the
direction of qualified medical staff familiar with currently known risks and benefits of Infant
Transport Incubator use.
 When this incubator is operated on battery in low ambient temperatures, the thermal cover must
be used.
 Skin temperature probe is not a rectal probe. The skin temperature sensor is not to be used as
a rectal probe.
 Do not use liquids in or around the transport incubator.
CAUTIONS
 U. S. Federal and Canadian law restricts this device to sale by or on the order of a physician or
other licensed medical practitioner. Outside Canada and the U. S., check with local laws for
applicable restrictions.
 Use of sharp objects on Front Display Panel will cause permanent damage and will void
warranty.
 Do not touch, press, or rub the display panels with abrasive cleaning compounds, instruments,
brushes, rough-surface materials, or bring them into contact with anything that could scratch the
panel.
Part No. 715-0084, Rev. A - 15 -

 Use an oxygen analyzer when oxygen is delivered to the infant.
 The incubator electronics contain static sensitive components that can be damaged by improper
handling. Use approved grounding techniques for work areas and service personnel.
 The infant tray grounding tabs are sharp; use care when cleaning air flow system.
 Do not move the incubator by pushing on the infant chamber. The infant chamber is not
designed to sustain the forces to push the incubator. Stress fractures in the infant chamber can
occur.
 DO NOT leave the 12 volt cord attached to the DC connector of the incubator.
 Do not overtighten the infant chamber screws. Do not strip the aluminum into which these
screws are threaded.
 Do not drip cleaning solution through the holes where the swell latches fit into the air flow
assembly.
 The incubator MUST be plugged into AC power and the battery recharged after any battery
usage. The battery will sustain damage if drained of power and not placed on recharge soon.
 CLEANING AND CARE: Do not autoclave, pressure sterilize, or gas sterilize the incubator,
cables, or sensors. Use cleaning solutions sparingly as excessive solution can flow into the
incubator and cause damage to internal components. Do not soak or immerse the incubator or
sensors in any liquid. Do not use petroleum-based, alcohol, acetone, or other harsh solvents.
See cleaning instructions of reusable sensors and cables in directions for their use.
 Check alarm limits each time the system is used to ensure that they are appropriate for the
patient being monitored.
 Use only parts, accessories, transducers, and cables designated by International Biomedical for
use with the transport incubator. Cables and accessories other than those supplied by
International Biomedical may result in unacceptable operation of the transport incubator and will
void the equipment warranty.
 If a sensor or cable is damaged in any way, discontinue use immediately.
 The Maxtec MAX-250E oxygen sensor is a sealed device containing a mild acid electrolyte,
lead (Pb), and lead acetate. Lead and lead acetate are hazardous waste constituents and
Part No. 715-0084, Rev. A - 16 -

should be disposed of properly, or returned to Maxtec or International Biomedical for proper
disposal or recovery.
 Pulse oximeter probes and cables are designed for use with specific monitors. Only use
Masimo sensors and patient cables for Masimo pulse oximetry model. Only use Nellcor
sensors and patient cables for Nellcor pulse oximetry model. Verify the compatibility of the
monitor, sensor, and cable before use, otherwise patient injury can result.
 Only use International Biomedical cable and Maxtec sensor for oxygen monitoring.
 Calibrate the oxygen sensor daily when in use or if environmental conditions change
significantly (i.e., Temperature, Humidity or Barometric Pressure).
 Dropping or severely jarring the oxygen sensor after calibration may shift the calibration point
enough to require recalibration.
 Oxygen sensor and pulse oximetry cables must be contained within cart or otherwise secured
when not in use.
Part No. 715-0084, Rev. A - 17 -

SECTION
N 1: GE
ENERA
AL INFO
ORMAT
TION
SY
YMBOLLS
Th
he following
g symbols appear
a in th
he incubatorr documenttation and labels. The
ese internattionally
reccognized sy
ymbols are defined by
y the Interna
ational Elecctrotechnica
al Commisssion, IEC 417A and IE
EC
87
78.
On (power: connection to the mains)
Off (Standby)
Atte
ention, consult accompanyying documents
(Blue Background)
Alte
ernating Curre
ent
Dire
ect Current
Prottective earth (ground)
Typ
pe B equipment (EN60601--1)
Typ
pe BF equipment (EN60601
1-1)
Rec
cycle or dispo
ose of properlyy, contains se
ealed lead ba
atteries
MANUAL
L EXPLA
ANATION
SYMBOL
REFERENC
R CE
ALARM
M Designates locatiion of alarms on front pane
el
HIGH
H TEMP High
h temperature
e alarm indica
ator
SYS FA
AIL Systtem failure ala
arm indicatorr
AIR FLO
O Air flow
f blockage
e alarm indica
ator
SENS
S FA
AIL Prim
mary temperatture sensor m
malfunction alarm indicatorr
Incu
ubator not connnected to AC
C nor DC, and
d battery pow
wer is
PWR
P FA
AIL belo
ow 10.1 volts
MUTE
E Mute
e button silen
nces audible a
alarms for app
proximately 1 minute
BABY TEMP Baby probe temp

perature mode
e
BAT CH
HG Battery charging indicator
AC OP
P Incu
ubator conneccted to AC po
ower
DC OP
P Incu
ubator conneccted to DC po
ower
Incu
ubator operati ng on interna
al battery due to no externa
al power
BAT OP
P conn
nected
LOW BA
AT Low
w battery indiccator
Parrt No. 715-008

84, Rev. A - 18 -
SECTION
N 2: SE
ET-UP INSTRU
I UCTION
NS
UNPACK
KING AND ASS
SEMBL
LY OF IN
NCUBA
ATOR A
AND CA
ART
Th
he Voyager Incubator (see Figure
e 2 - 1) typic
cally ships in 4 separa
ate boxes. Upon arriva
al, inspect all
bo
oxes for any
y damage.
he Voyager Incubator is a highly customizab

Th c not all configurations can
ble transporrt incubatorr, as such, n c
be
e covered in
n this docum
ment. Figure 2 - 1 rep
presents the
e two most common configuration
ns of the
inccubator. Th
he assemblly instructio
ons detail th
he steps to be taken to
o unpack an
nd assemble incubators
co
onfigured on
nly in this manner;
m how
wever, mos
st of the asssembly step
ps are comm
mon acrosss all
co
onfigurations.
Figure
F 2 - 1 Voyagerr Incubatorr with Air/O
Oxy Cart and Access
sory Module
A. Chamber
B. Incubator /
Accessory
Module
M
C.
C Air/Oxy
Cart
C
ead these in
Re nstructions thoroughly
y before any
y assemblyy.
1. Open all boxes. Do not rem ems at this time. Identtify contentts (i.e. infan
move any ite nt chamber,,
main module,
m acc
cessory mo
odule, and air/oxygen
a ccart or strettcher).
2. Remov
ve the Air/O
Oxy Cart, ite
em C in Fig
gure 2 - 1, ffrom the bo
ox marked 2 38 ½  22 ½ 
222-7311 (3
20 box
x). Set asid
de any loos
se items sto
ored with the
e air/oxyge
en cart in the shipping box.
3. Lock th
he two whe
eels with the
e black brakes. The lo
ocking whe
eels are to b
be on the side of the
incuba
ator facing the
t operato
or.
4. Remov
ve the incubator and accessory
a module,
m item
m B in Figu
ure 2 - 1 (sh
hipped toge
ether in box
x
310, or 42  27  20 box) and pla
222-73 ace on the a
air/oxy cartt. The stora
age opening
g on the
access
sory module is to be on
o the same
e side as th
he locking b
brakes.
Parrt No. 715-008

84, Rev. A - 19 -
SECTION
N 2: SE
ET-UP INSTRU
I UCTION
NS
5. Use th
he draw latc
ches on all four
f cornerrs of the acccessory mo
odule to seccure the acccessory
module
e to the carrt.
6. Find th
he infant po
ositioning sttraps, usually shipped in the main
n module b
box. Loop the straps
through the slits in the side of
o the infant bed and V
Velcro into place. The
ere will be fo
our pieces of
wo complete
straps, making tw e belts. See Figure 2 - 2.
Figure 2 - 2 Po
ositioning Strap Mou
unting
7. Open the
t final bo mately 34  21  17, m
ox (approxim marked partt# 222-7312
2), remove the inner,
clear Plexiglas
P inffant chamb
ber out of th
he box, and place on th
he top of th
he main mo
odule, carefully
fitting iti in the gas
sket materia
al. The larg
ge opening on the side
e of the cha
amber shou
uld be place
ed
facing the front, with
w the cut out for the head door on the left..
8. Take the outer, clear Plexiglas infant ch

hamber outt of the boxx and place over the in
nner chamb
ber.
The large door sh
hould be fac
cing the fro
ont of the in cubator, wiith the head
d door on th
he left.
9. e both cham
Secure mbers to the incubatorr by insertin
ng the four push/pull p
pins located
d at both ends
on the top of the main modu
ule (see Figure 2 - 3). Adjust the chambers until the pin
ns are easily
inserte
ed.
Figure
e 2 - 3 Cha
amber and
d Lamp Mo
ounting
Lamp mou unting

location
Chambe
er push/pull pin
n
10
0. Locate
e the lamp. The lamp base is loc
cated on the
e top right b
back cornerr of the maiin module, just
j
behind
d the infant chamber. See Figure
e 2 - 3. Inse
ert the conn
nector from
m the lamp tto the lamp
base.
Parrt No. 715-008

84, Rev. A - 20 -
SECTION
N 2: SE
ET-UP INSTRU
I UCTION
NS
A
ASSEMBBLY OF
F THE VENTILA
V ATION S
SYSTE
EM
Th
he assembly
y instructions are for the MVP-10
0 or Crossvvent configu he assembly
urations, but most of th
pro
ocess is als
so applicab
ble to other ventilator models.
m
Th
he airway su
upplies suc
ch as the ble
ender, flow
wmeter, and
d associated
d brackets are wrappe
ed and
shipped eithe
er in the Air//Oxy cart box or the se
eparate acccessories b
box.
1. Mount the blender bra

acket to the
e left side o
of the incubator using tthe hardwa
are that is
attached to
o the incubator. See Figure
F 2-4
4.
Figu
ure 2 - 4 Blender
B Bra
acket Mou nting and Hose Loca
ation
2. Slide the blender

b into
o the mountting brackett.
3. Connect th
he green ho
ose with the
e straight fittting that is protruding from the slot in the
incubator to
t the side outlet
o of the
e blender.
4. Connect th a air hoses with the

he oxygen and e elbow fittin
ngs that are
e coming ou
ut of the rou
und
hole benea
ath the slot to the botto
om of the b
blender as sshown in Fiigure 2 - 5.
5. Screw the flowmeter bracket ontto the blend

der brackett.
6. Connect th
he short flow
wmeter hos
se to the bo
ottom cente
er outlet porrt on the ble
ender as
shown in Figure
F 2 - 5.
Figure 2 - 5 Blender / Flowme

eter Hose C
Connection
n
Parrt No. 715-008

84, Rev. A - 21 -
SECTION 2: SET-UP INSTRUCTIONS
ASSEMBLY OF THE HANDLES
1. Locate the two high rise handles and the two standard handles. These handles are usually
stored in the accessories box or the air/oxy cart box.
2. Unscrew the nuts on the four bolts located on both ends of the main module.
3. Slide the high rise handle (large inverted U-shape) on first and then the standard handle.
Replace the nuts, tighten.
4. Repeat the above steps to attach the two handles to the other end of the main module.
Part No. 715-0084, Rev. A - 22 -

SECTION 3: OPERATING INSTRUCTIONS
This section contains operating procedures for the incubator. The incubator should be operated with
external power whenever possible. The incubator’s battery should be fully charged prior to use by
connecting the unit to an AC power supply for at least 8 hours. When not in use, the incubator should
be plugged into an AC power source in order to recharge the battery. It is not recommended for the
incubator to be on and heating when not in use as this will shorten the life of system components.
WARNING: Avoid direct sunlight or radiant heat which can cause a dangerous increase in
chamber air temperature.
FRONT PANEL DISPLAY FEATURES

The incubator controls are located on a front display panel. Figure 3 - 1 shows a drawing of the
membrane panel and highlights important features. A description of each of the features follows.
CAUTION: Use of sharp objects on Front Display Panel will cause permanent damage and will
void warranty.
CAUTION: Do not touch, press, or rub the display panels with abrasive cleaning compounds,
instruments, brushes, rough-surface materials, or bring them into contact with
anything that could scratch the panel.
Part No. 715-0084, Rev. A - 23 -

SECTION
N 3: OP
PERAT
TING INSTRUC
CTIONS
S
Figure
F 3 - 1 Front Di splay Pane
el
1. Systeem Fail Alarm Indicator (SYS S FAIL)

2. Senssor Fail Alarm IIndicator (SENNS FAIL)
3. Air T
Temperature Se etpoint >37 C Indicator
4. Air F
Flow Alarm Indiicator (AIR FLO O)
5. Highh Temperature Indicator (HIGH H TEMP)
6. AC FFail Indicator
7. Powe er Fail Indicato
or (PWR FAIL)
8. Mainn Display Scree en
9. Air T
Temperature Diisplay Indicatorr
10. Sett Air Temperatu ure Indicator
11. Bab by Temperature e Display Indiccator
12. Batttery Life Displa
ay Indicator
13. Bab by Temp. Displlay Button (BA ABY TEMP)
14. Sett Air Temperatu ure Down Butto on
15. Sett Air Temperatu ure Button
16. Sett Air Temperatu ure Up Button
17. Mutte Button and IIndicator (MUT TE)
* 18. Oxygen Saturatiion Display Scrreen
* 19. Puulse Rate Disp play Screen
* 20. Oxygen Display Screen
* 21. Oxygen Sensor Cal. Indicator
* 22. Puulse Strength Indicator
* 23. Oxygen Setpoint Low Indicatorr
* 24. PuulseOx SET Bu utton
* 25. PuulseOx Up / Do own Arrows
26. Batttery Life Displa
ay Button
27. Loww Battery Indica ator (LOW BAT T)
28. Battt. Charging Inddicator (BAT CH HG)
29. AC Power Indicato or (AC OP)
30. DC Power Indicattor (DC OP)
31. Batttery Power Ind dicator (BAT OP P)
32. Pow wer Button
* NOT
TE: Ite
ems 18 - 25
5 are featurres exclusivve to the Pu
ulseOx verssion of the iincubator.
Parrt No. 715-008

84, Rev. A - 24 -
1: System Fail Alarm Indicator (SYS FAIL)
Yellow LED indicator that illuminates when the displayed temperature exceeds 39.0 C
2: Sensor Fail Alarm Indicator (SENS FAIL)
Yellow LED indicator that illuminates when the temperature being sensed by the primary temperature
sensor is outside the normal temperature range of the incubator (10 - 45 C)
3: Air Temperature Setpoint > 37 C Indicator
Yellow LED that illuminates when the chamber air temperature setpoint is set above 37 C
4: Air Flow Alarm Indicator (AIR FLO)
Yellow LED indicator that illuminates when the air flow is blocked
5: High Temperature Alarm Indicator (HIGH TEMP)
Yellow LED indicator that illuminates when the displayed temperature exceeds 38.5 C
6: AC Fail Indicator
Yellow LED indicator that illuminates when the incubator is unplugged from an AC power source
7: Power Fail Indicator (PWR FAIL)
Yellow LED indicator that illuminates when the incubator is unplugged from AC and DC power and the
internal battery voltage falls below 10.1 volts
8: Main Display Screen
Seven segment digital display that displays chamber air temperature, baby temperature, battery life
status, and HI or LO temperature alarms
9: Air Temperature Display Indicator
Indicator is illuminated when the Main Display Screen displays the current air temperature in the infant
chamber.
10: Set Air Temperature Indicator
Indicator is illuminated when the user is adjusting the infant chamber air temperature set point.
11: Baby Temperature Display Indicator
Indicator is illuminated when the BABY TEMP button is pressed and held.
Part No. 715-0084, Rev. A - 25 -

12: Battery Life Display Indicator
Indicator is illuminated when the Battery Life Display button is pressed and held.
13: Baby Temperature Button (BABY TEMP)
When button is pressed, the Main Display Screen will display the temperature measured by the baby
temperature probe.
14: Set Air Temperature Down Button
Button will decrease the setpoint temperature in 0.1 C increments.
15: Set Air Temperature Button
When button is pressed, the infant chamber air temperature can be adjusted.
16: Set Air Temperature Up Button
Button will increase the setpoint temperature in 0.1 C increments.
17: Mute Button (MUTE)
Button is used to silence audible alarms for approximately one minute. The warning LED to the left of
the Mute Button will be illuminated for the duration of the mute cycle.
NOTE: The LED is only available with the PulseOx version of the incubator.
18: Oxygen Saturation Display Screen (Optional Feature)
Screen displays functional oxygen saturation (units: percent).
19: Pulse Rate Display Screen (Optional Feature)
Screen displays pulse rate (units: beats per minute).
20: Oxygen Display Screen (Optional Feature)
Screen displays the oxygen concentration (units: percent).
21: Oxygen Sensor Cal. Indicator (Optional Feature)
Indicator is illuminated when the user is calibrating the oxygen sensor.
22: Pulse Strength Indicator (Optional Feature)
Bar graph will illuminate at the rate shown on the Pulse Rate Display Screen with a calculated
intensity.
Part No. 715-0084, Rev. A - 26 -

23: Oxygen Setpoint Low Indicator (Optional Feature)
Indicator is illuminated when the oxygen concentration lower alarm limit is set to a value below 21%.
24: PulseOx SET Button (Optional Feature)
Button used to enter modes to set pulse oximetry and oxygen monitor alarm limits and to calibrate the
oxygen sensor
25: PulseOx Up and Down Arrows (Optional Feature)
Buttons used to set pulse oximetry and oxygen monitoring variables
26: Battery Life Display Button
Button used to display the status of the battery on the Main Display Screen
27: Low Battery Indicator (LOW BAT)
Yellow LED indicator that illuminates when the battery voltage is less than 11 volts
28: Battery Charging Indicator (BAT CHG)
Green LED indicator that illuminates when the battery is actively being charged
29: AC Power Indicator (AC OP)
Green LED indicator that illuminates when the incubator is on and connected to external AC power
30: DC Power Indicator (DC OP)
Green LED indicator that illuminates when the incubator is on and connected to external DC power
31: Battery Power Indicator (BAT OP)
Green LED indicator that illuminates when the incubator is on and no external power is applied,
indicating the unit is operating off of internal battery power
32: Power Button
Button is used to turn the incubator on and off. When turned on, it enables the temperature display,
pulse oximetry and oxygen monitor displays, alarms, and infant chamber air temperature control.
Part No. 715-0084, Rev. A - 27 -

SECTION
N 3: OP
PERAT
TING INSTRUC
CTIONS
S
B
BACK PA
ANEL FEATUR
F RES
Th
he back pan
nel of the in
ncubator is where
w pow
wer cords co
onnect and where circuit breakerss are locate
ed.
Fig
gure 3 - 2 shows
s a dra
awing of the
e back pane
el and highlights impo
ortant featurres. A desccription of
ea
ach of the fe
eatures follo
ows.
Fiigure 3 - 2 Incubator Back Pan

nel
1. Accessory Power Corrd Connecto

ors 5. 3 A Accessoory Circuit B
Breakers
2. AC Power Cord Connnector 6. 10 A Circuit Breakers
3. DC Power Cord Connnector 7. P
Potential Eq
qualization S
Stud
4. Fuse 8. A
Accessory PPower Cord d Connectorrs
1: Accessory
y Power Co
ord Conne
ectors
Au
uxiliary pow
wer cord con
nnectors alllow for additional equiipment to b
be connecte
ed to the AC
C input pow
wer
fro
om the incubator. Accessories plugged into these outle
ets will onlyy be powere
ed by AC w
when the
inccubator is plugged
p into
o AC. If the
e incubator is disconne
ected from AC, accesssories will rrevert to the
eir
ow
wn internal battery
b pow
wer, if availa
able.
2: AC Powerr Cord Con

nnector
When operating on AC power,

p the AC power cord
c conne
ects to this cconnection point.
3: DC Powerr Cord Con

nnector
When operating on DC power,

p the DC power cord conne
ects to this connection point.
Parrt No. 715-008

84, Rev. A - 28 -
SECTION
N 3: OP
PERAT
TING INSTRUC
CTIONS
S
4: Fuse
Th
his replacea
able 15 A fu
use is a sec
condary tran
nsformer fu
use.
5: 3 A Acces
ssory Circu
uit Breakerrs
Th
hese 3 Amp
p circuit breakers are connected
c to
t the accesssory powe
er cord connector circu
uits.
6: 10 A Circu
uit Breakerrs
Th
hese 10 Am
mp circuit brreakers are connected
d to the batttery and the
e external D
DC input.
7: Potential Equalizatio
E on Stud
Th
his stud is used
u for pottential equa
alization.
8: Accessory
y Power Co
ord Conne
ectors
Au
uxiliary pow
wer cord con
nnectors alllow for additional equiipment to b
be connecte
ed to the AC
C input pow
wer
fro
om the incubator. Accessories plugged into these outle
ets will onlyy be powere
ed by AC w
when the
inccubator is plugged
p into
o AC. If the
e incubator is disconne
ected from AC, accesssories will rrevert to the
eir
ow
wn internal battery
b pow
wer, if availa
able.
SIDE PA
ANEL FE
EATURES
Th
he side panel of the inc
cubator is where
w the pulse
p oxime
eter sensor,, oxygen monitor senssor, and
tem
mperature probe
p conn
nect. Figure
e 3 - 3 show
ws a drawin
ng of the se
ensor panell and highlig
ghts importtant
fea
atures. A description
d of
o each of the
t features
s follows.
Figure
F 3 - 3 Incubato
or Side Pan
nel
Baby Te
emperature
e Oxygen
Cable Connector S
Sensor Connector
Pu
ulse Oxime
eter
Sen
nsor Conne
ector
Parrt No. 715-008

84, Rev. A - 29 -
Pulse Oximeter Sensor Connector (Optional Feature)
The SpO2 and pulse rate sensor used with the Masimo or Nellcor pulse-oximeter connects to this
connection point. Refer to SECTION 4 for details on the pulse oximeter system.
Baby Temperature Cable Connector
The Baby Temperature Cable connects to this connection point.
Oxygen Sensor Connector (Optional Feature)
The oxygen sensor used with the Oxygen Monitor connects to this connection point. Refer to
SECTION 5 for details on the oxygen monitor system.
POWER FEATURES
The incubator can be operated in one of three power modes: external AC power, external DC power,
or internal battery power.
AC Power Mode
AC power can be supplied using either 120 V or 230 V external AC power, depending on the incubator
configuration. When operating in AC power mode, the AC OP indicator (Figure 3 - 1, item 29) will be
illuminated. AC power has priority over all other power sources, external or internal. AC power should
be used for warming the incubator in preparation for transport and also to recharge the battery.
WARNING: ENSURE UNIT IS PROPERLY GROUNDED: To ensure grounding reliability,

only connect the power cord to properly grounded, 3-wire hospital grade
outlet of the proper voltage and frequency. DO NOT USE EXTENSION
CORDS. If the integrity of the available external power sources is in doubt,
the incubator should be operated from its internal battery.
DC Power Mode
DC power can be supplied using a 12 V power source. When operating in DC power mode, the DC
OP indicator (Figure 3 - 1, item 30) will be illuminated. External DC power is supplied through a 3
conductor circular connector located on the back of the incubator (Figure 3 - 2, item 3). DC power has
priority over internal battery power. While operating in DC power mode, the battery will not be
charged.
Part No. 715-0084, Rev. A - 30 -

Battery Power Mode
Battery power will automatically be selected when neither AC power nor DC power are available.
When operating on internal battery, the BAT OP indicator (Figure 3 - 1, item 31) will be illuminated.
Connecting AC or DC power will supersede battery power operation. The battery charger operates
continually when the incubator is connected to an AC power source. When charging, the green BAT
CHG indicator (Figure 3 - 1, item 28) will be illuminated. The rate at which the battery charges
decreases when the incubator is powered on. A significantly low AC line voltage will also decrease the
rate of battery charge. It takes approximately 8 hours to fully charge a completely discharged standard
26 ampere-hour battery when the incubator is supplied AC power and is powered down. If the
incubator is on and warming up, the battery charge time is two to three times longer. The incubator
will maintain an infant chamber temperature of 37 C for three hours on a fully charged battery with an
ambient temperature of 20 C.
NOTE: When not in use, the incubator should be plugged into an AC source to recharge the
battery. See SECTION 6 on BATTERY CARE.
To determine how much battery life is left, the Battery Life Display Button (Figure 3 - 1, item 26) can be
pressed to display the status of the battery on the Main Display Screen (Figure 3 - 1, item 8). In this
mode, the Battery Life Display Indicator (Figure 3 - 1, item 12) will be illuminated. When operating on
AC power, the Main Display Screen will indicate the state of charge of the battery as an estimated
percentage (to the nearest 20%). A fully charged battery will display 100% and a battery which has
almost reached its safe discharge level will display 0%. When the incubator is operating from battery
power or external DC power, the Main Display Screen will indicate the battery voltage (to the nearest
0.3 volt). Regardless of the power source, error code E03 will be reported if the battery voltage is
outside of the 9.0 volt to 14.5 volt range. To continue normal operation, the battery voltage must be
above 10  0.3 volts.
For general operation, the use of external AC or DC power is HIGHLY RECOMMENDED. The internal
battery should be used only when the incubator has no other energy source available.
Power Interruption / Failure
If external AC or DC power is lost while the incubator is powered on, the incubator will automatically
switch over to battery power with no interruption in incubator performance or degradation of pulse
oximeter and/or oxygen monitor accuracy. In the event of total power loss, all user-programmed
settings (e.g. temperature setpoint, alarm limits) will default to the most recently programmed values.
Part No. 715-0084, Rev. A - 31 -

POWERING UP THE INCUBATOR
To turn the incubator on, press the Power Button (Figure 3 - 1, item 32) on the lower right hand corner
of the Front Display Panel. When the incubator is turned on, all functional LEDs on the display panel
will illuminate and the audible alarm will sound. This Power-up Indicator Test will last approximately
two seconds after which the Main Display Screen will display the infant chamber air temperature set
point. The PulseOx Display screen will alternately display the HI/LO alarm settings for approximately
16 seconds. To interrupt the PulseOx display, press the PulseOx settings button. After the initial start-
up, the PulseOx display will be in the “Off” status. After 5 seconds, if no buttons have been pressed,
the display will change and show the actual measured infant chamber air temperature. The incubator
will immediately attempt to regulate the infant chamber air temperature to the last set point stored in
memory (refer to SECTION 3, SETTING THE INFANT CHAMBER AIR TEMPERATURE, for
instructions on setting the temperature).
One of three power source indicators will be illuminated, indicating which source is currently powering
the incubator.
 AC power indicator (Figure 3 - 1, item 29)
 External DC power indicator (Figure 3 - 1, item 30)
 Internal battery power indicator (Figure 3 - 1, item 31)
POWERING OFF THE INCUBATOR

To turn the incubator off, press the Power Button (Figure 3 - 1, item 32) on the lower right hand corner
of the Front Display Panel. The Power Button provides the means of electrically isolating the incubator
circuits from supply mains simultaneously on all poles.
DISPLAY MODES
The incubator has the ability to display both infant chamber air temperature and infant temperature.
When the incubator is initially powered on, the Main Display Screen (Figure 3 - 1, item 8) displays the
setpoint temperature for a few seconds and then defaults to displaying the current air temperature in
the infant chamber. In this mode, the Air Temperature Display Indicator (Figure 3 - 1, item 9) is
illuminated. To display the infant temperature, the BABY TEMP button (Figure 3 - 1, item 13) can be
pressed. In this mode, the Baby Temperature Display Indicator (Figure 3 - 1, item 11) illuminates and
the infant temperature is displayed on the Main Display Screen. When the button is released, the
display reverts back to infant chamber air temperature.
Part No. 715-0084, Rev. A - 32 -

TEMPERATURE CONTROL
The infant chamber air temperature can be controlled from the front display panel on the incubator.
When the Set Air Temperature Button (Figure 3 - 1, item 15) is pressed, the user can use the up and
down arrows (Figure 3 - 1, items 14 & 16) to adjust the temperature setpoint (in 0.1 C increments).
When in this mode, the Set Air Temperature Indicator (Figure 3 - 1, item 10) will be illuminated. To
maximize heating efficiency, the incubator should be connected to AC power while heating to desired
setpoint. Running the incubator on its internal battery will drastically increase the required time to
reach the desired temperature setpoint. The baby temperature cannot be controlled but can be
displayed on the Main Display Screen by pressing the BABY TEMP button (Figure 3 - 1, item 13).
SETTING THE INFANT CHAMBER AIR TEMPERATURE

To adjust the infant chamber air temperature set point:
1. Turn on the incubator using the Power Button (Figure 3 - 1, item 32).
2. After the Power-up Indicator Test is complete, press the Set Temperature Button (Figure 3 - 1,
item 15).
3. Use the Set Temperature Up and Down Arrow Buttons (Figure 3 - 1, items 14 and 16) to adjust
the temperature setting to the desired value. The temperature can be adjusted from 17.0 C to
38.9 C in 0.1 C increments.
4. When the desired value is set, either press the Set Temperature Button again or wait 5
seconds, after which time the Main Display Screen will return to displaying the measured infant
chamber air temperature.
PULSE OXIMETER AND OXYGEN MONITOR CONTROL

(OPTIONAL FEATURE)
The incubator is calibrated to display functional oxygen saturation (Figure 3 - 1, item 18), pulse rate
(Figure 3 - 1, item 19) and oxygen concentration (Figure 3 - 1, item 20). In addition to these numerical
displays, the pulse rate is also displayed on a pulse strength bar graph (Figure 3 - 1, item 22). The
PulseOx SET button (Figure 3 - 1, item 24) and up and down arrows (Figure 3 - 1, item 25) can be
used to turn the pulse oximeter and/or oxygen monitor on and off. These buttons can also be used to
set high and low alarm limits for each variable. When these buttons are used to reach the oxygen
sensor calibration mode, the Oxygen Sensor Cal. Indicator (Figure 3 - 1, item 21) will be illuminated.
Refer to SECTION 4 and SECTION 5 for more information on using the pulse oximeter and oxygen
monitor features of this incubator.
Part No. 715-0084, Rev. A - 33 -

ALARMS / INDICATORS
The incubator utilizes a visual and audible alarm system. Audible alarms can be silenced for
approximately one minute using the MUTE button (Figure 3 - 1, item 17). The audible alarm will sound
at 65 dB at a distance of 3 m from the operator interface of the incubator.
WARNING: If an alarm condition (other than the exceptions listed herein) occurs while the
MUTE button is activated, only visual indicators will be activated.
Standard System Alarms
Alarm Priority
System Fail Alarm LOW
Sensor Fail Alarm LOW
Air Temperature Setpoint >37C LOW
Air Flow Alarm Indicator LOW
High Temperature Indicator LOW
AC Fail Indicator LOW
Power Fail Indicator LOW
SpO2 Alarms (Optional Feature)
SpO2 % HIGH LOW

SpO2 % LOW MEDIUM
PULSE RATE HIGH LOW
PULSE RATE LOW LOW
O2 % HIGH MEDIUM
O2 % LOW MEDIUM
SpO2 DATA PERIOD LOW
Alarms are indicated by a continuous beep to alert operator to inspect the device to determine the
cause of the alarm.
The SpO2 % LOW, O2 % HIGH, and O2 % LOW alarms are indicated by a series of 3 beeps followed
by a slight pause, and then repeated. This is to alert the operator to these specific alarms and their
Medium Priority.
Part No. 715-0084, Rev. A - 34 -

Power Alarms
When the incubator becomes disconnected from AC power, the AC Fail indicator (Figure 3 - 1, item 6)
illuminates and an audible alarm will sound. When the incubator becomes disconnected from both AC
and DC power and the internal battery voltage falls below 10.1 volts, the PWR FAIL indicator
(Figure 3 - 1, item 7) illuminates and a continuous audible alarm sounds. Power to maintain the
temperature in the infant chamber, and the accuracy of the O2 and the SpO2 monitors (if equipped), is
no longer available and all power to the incubator (other than to power the PWR FAIL indicator and
the audible alarm) is disabled. The indicator illuminates as long as the incubator remains on.
Pressing the MUTE button will not silence the audible alarm. The Power Button should be pressed to
turn the incubator off, silencing the audible alarm, and the incubator should be connected to AC power
to allow the battery to recharge.
In units with the Optional SpO2 feature, the Power Fail alarm is a Medium Priority Technical Alarm.
Temperature Alarms
When the measured air temperature is more than 1 C from the user-configured set point, an
intermittent audible alarm will sound every minute and the Main Display Screen will flash HI or LO
every 5 seconds until the incubator temperature is back to within 1 C of the set point.
When the measured air temperature exceeds 38.5 C, the HIGH TEMP alarm indicator (Figure 3 - 1,
item 5) illuminates and an intermittent audible alarm turns on. The incubator is still fully operational
and the operator, at his/her discretion, may ignore this alarm.
When the measured air temperature exceeds 39.0 C, the HIGH TEMP alarm indicator, the SYS FAIL
alarm indicator (Figure 3 - 1, item 1), and a continuous audible alarm turn on. The incubator’s heater
is disabled and the incubator must cool to below 39 C before the heater is re-enabled.
When the measured air temperature exceeds 39.2 C, the SYS FAIL alarm indicator and a continuous
audible alarm turn on. The incubator’s heater is disabled until the infant chamber temperature is
lowered, at which point the incubator must be turned off and then on again to reset the alarm.
The SENS FAIL indicator (Figure 3 - 1, item 2), coupled with a continuous audible alarm, indicates the
temperature being sensed by the primary temperature sensor is well outside the normal temperature
range of the incubator (10 - 45 C). The activation of this alarm may indicate a problem with the
temperature sensor or the control circuitry, in which case, the incubator needs to be serviced by
qualified personnel.
Part No. 715-0084, Rev. A - 35 -

If the primary temperature sensor is shorted or indicates an extremely high temperature, the SENS
FAIL, HIGH TEMP, and SYS FAIL indicators and alarms will all be activated and the incubator’s
heater will be disabled.
If the primary temperature sensor is open or indicates an extremely low temperature, the SENS FAIL
and SYS FAIL alarms will be activated, and the heater will be disabled.
If the user specifies a chamber set point temperature greater than 37 C, the Air Temperature Setpoint
> 37 C Indicator (Figure 3 - 1, item 3) will illuminate.
Pulse Oximeter and Oxygen Monitor Alarms (Optional Feature)
Below each of the pulse oximeter and oxygen monitor screens are two LEDs, labeled HI and LO.
When any of the three displayed values (oxygen saturation, pulse rate, or oxygen concentration)
exceed the user-programmed high alarm limit, the corresponding HI LED illuminates and an audible
alarm will sound. When any of the three displayed values goes below the user-programmed low alarm
limit, the corresponding LO LED illuminates and an audible alarm will sound.
When calibrating the oxygen monitor, if the low oxygen alarm limit is programmed below 21%, the
Oxygen Setpoint Low Indicator (Figure 3 - 1, item 23) is illuminated.
Other Alarms
When the airflow through the infant chamber is reduced due to an obstruction, such as a blanket, the
AIR FLO alarm indicator (Figure 3 - 1, item 4) illuminates and a continuous audible alarm turns on.
Due to reduced airflow, the incubator’s heater’s temperature will exceed a preset threshold and will be
disabled. After the airflow obstruction is removed and the heating element is allowed to cool, the
heater system will return to normal operation.
NOTE: A blanket should always be used inside the infant chamber between the infant and the
mattress.
When the battery voltage drops below 11 volts, the LOW BAT indicator (Figure 3 - 1, item 27)
illuminates and an intermittent audible alarm turns on. The battery will be able to supply the heater
requirements for only a few minutes after this alarm occurs. The LOW BAT alarm cannot be reset.
The incubator must be connected to AC power to allow the battery to recharge when this alarm occurs.
NOTE: When this alarm activates, the incubator has approximately fifteen (15) minutes of
operational power remaining. This estimate is for a good battery and an ambient
temperature of 20 C.
Part No. 715-0084, Rev. A - 36 -

EXTERNAL LIGHTING
The incubator is equipped with an external examination light. This light can be activated only when the
incubator is turned on.
The light is intended to be used as an external light source. Do not place the light into the inner infant
chamber.
WARNING: Do not change the lamp and touch the patient simultaneously.
WARNING: EXPLOSION HAZARD: Do not use the examination light, the pulse oximeter,
or oxygen monitor in the presence of flammable anesthetics or other
flammable gases.
WARNING: Avoid eye exposure. Direct light exposure may cause eye damage. Infants
must wear eye protection.
SKIN TEMPERATURE PROBE

The Measurement Specialties 409B Reusable Skin Temperature Probe is to be used to monitor the
surface temperature of the infant. Select appropriate site for monitoring according to currently
accepted medical practices.
WARNING: The skin temperature sensor is not a rectal probe. The skin temperature
sensor is not to be used as a rectal probe.
Part No. 715-0084, Rev. A - 37 -

SECTION 4: PULSE OXIMETRY (OPTIONAL FEATURE)
This section contains information regarding the pulse oximetry feature of the incubator. Principles of
operation, set-up instructions, and sensor options are detailed.
PULSE OXIMETER PRINCIPLES OF OPERATION

Pulse oximetry is based on several key principles:
 the absorption of red and infrared light (spectrophotometry) by oxyhemoglobin and

deoxyhemoglobin
 the change in volume of arterial blood in tissue (and hence, light absorption by blood) due to
changes in pulse (plethysmography)
 the fluctuating absorbance of venous blood during arteriovenous shunting contributes to noise
during the pulse
Because oxyhemoglobin and deoxyhemoglobin differ in light absorption, the amount of red and
infrared light absorbed by the blood is related to hemoglobin oxygen saturation. The pulse oximeters
supported by the incubator, Masimo SET and Nellcor OxiMax, decompose the red and infrared
pulsatile absorbance signals into an arterial signal plus a noise component and calculate the ratio of
arterial signals. The ratio of the two arterial pulse-added absorbance signals is used to find the
oxygen saturation in an empirically derived equation in the pulse oximeter software.
Different pulse oximetry sensors can be used with the system. The user should consult the sensor’s
instructions for use to ensure the appropriate sensor is being used. In addition, only Masimo sensors
should be used with the Masimo pulse oximeter and only Nellcor sensors should be used with the
Nellcor pulse oximeter. Sensor accuracy data, found in SECTION 11 (PULSE OXIMETER
SPECIFICATIONS (OPTIONAL FEATURE)), are based on human blood studies in which the values
obtained for healthy adult volunteers in induced hypoxia states during motion and non-motion
conditions were compared to a laboratory co-oximeter.
Part No. 715-0084, Rev. A - 38 -

Erroneous SpO2 readings may be caused by several reasons including, but not limited to, the
following:
 Interfering substances such as Carboxyhemoglobin and Methemoglobin (i.e. an increase in

SpO2 approximately equal to the amount of carboxyhemoglobin present)
 Dyes, or any substance containing dyes, that change usual blood pigmentation
 Severe anemia
 Excessive patient movement
 Venous pulsations
 Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or

intravascular line
 Use during defibrillation (temporary)
WARNING: Do not use the pulse oximeter or oximetry sensors during magnetic
resonance imaging (MRI) scanning. Induced current could potentially cause
burns. The pulse oximeter may affect the MRI image and the MRI unit may
affect the accuracy of the oximetry results.
WARNING: The pulse oximeter should NOT be used as an apnea monitor.
NOTE: The pulse oximeter should be considered an early warning device. As a trend towards
patient hypoxemia is indicated, blood samples should be analyzed by a laboratory co-
oximeter to completely understand the patient’s condition.
Pulse rate measurement is based on the optical detection of a peripheral flow pulse and therefore may
not detect arrhythmias. The pulse oximeter should not be used as a replacement or substitute for
ECG-based arrhythmia analysis.
NOTE: Loss of pulse signal can occur for many reasons including, but not limited to, when the
patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia; there
is arterial occlusion proximal to the sensor; or the patient is in cardiac arrest or is in
shock.
Part No. 715-0084, Rev. A - 39 -

PULSE OXIMETER SET-UP INSTRUCTIONS
The following steps will instruct the user how to initially set up the pulse oximeter and program low and
high alarm settings for SpO2 and pulse rate. Additionally, when using the Masimo pulse oximeter, the
user can also set the algorithm mode, set the averaging mode, and view the oxygen perfusion index.
CAUTION: Check alarm limits each time the system is used to ensure that they are appropriate
for the patient being monitored.
INITIAL SET-UP
1. Turn the incubator power on using the Power Button (Figure 3 - 1, item 32).
2. Connect the pulse oximeter cable to the connector on the side of the incubator
(Figure 3 - 3). Connect pulse oximeter sensor to the cable and to a suitable site on the
patient being monitored.
3. To turn on the pulse oximeter displays, press the SET button (Figure 3 - 1, item 24) one
time and then either the up or down arrow button (Figure 3 - 1, item 25) until the %SPO2
screen displays “On”. If the screen shows “---”, there is no value available.
4. When the pulse oximeter is disabled, the %SPO2 and PULSE screens will display “OFF”.
All alarms related to the pulse oximeter will also be disabled.
SETTING HIGH AND LOW %SpO2 ALARMS

NOTE: The pulse oximeter display will convert back to Normal Operation Mode after 5
seconds if no buttons are pressed.
1. Press the SET button (Figure 3 - 1, item 24) three times (or until the %SPO2 HI LED
illuminates) to set the high SpO2 alarm.
2. Use the up or down arrow buttons (Figure 3 - 1, item 25) to set the high alarm to the
desired setting.
a. Must be at least 1% higher than the SpO2 low alarm setting.
b. Can be set from 85 - 100%.
3. Press the SET button four times (or until the %SPO2 LO LED illuminates) to set the low
SpO2 alarm.
4. Use the up or down arrow buttons to set the low alarm to the desired setting.
a. Must be at least 1% lower than the SpO2 high alarm setting.
Part No. 715-0084, Rev. A - 40 -

SETTING HIGH AND LOW PULSE RATE ALARMS
1. Press the SET button (Figure 3 - 1, item 24) five times (or until the PULSE HI LED
illuminates) to set the high Pulse alarm.
desired setting.
a. Must be at least 1 bpm higher than the Pulse low alarm setting.
b. Can be set from 85 - 241 bpm.
3. Press the SET button six times (or until the PULSE LO LED illuminates) to set the low
Pulse alarm.
a. Must be at least 1 bpm lower than the Pulse high alarm setting.
b. Can be set from 25 - 84 bpm.
SETTING THE ALGORITHM MODE (MASIMO ONLY)

Different algorithm modes can be used depending on the importance of SpO2 sensitivity vs.
probe-off detection. The system will power up in A1 Normal Mode as a default. When setting
the Algorithm Mode, the setting will be displayed on the %SPO2 screen.
1. Press the SET button (Figure 3 - 1, item 24) 10 times (or until HI and LO %SPO2 LEDs
are both illuminated) to set the Algorithm Mode.
2. Use the up or down arrow buttons (Figure 3 - 1, item 25) to choose one of the following
modes:
a. A1 = Normal Mode
i. Provides the best combination of sensitivity and probe-off detection

performance.
ii. This mode is recommended for the majority of patients.
Part No. 715-0084, Rev. A - 41 -

b. A2 = Maximum Mode
i. Interprets and displays data for very weak signals.
ii. This mode is recommended for the sickest patients or during procedures
when clinician and patient contact is continuous.
c. A3 = APOD Mode
i. Least sensitive in picking up a reading on patients with low perfusion but

provides the best detection for probe-off conditions.
ii. This mode is recommended for use on patients that are at particular risk of
the sensor becoming detached (e.g. pediatric, combative, etc.)
SETTING THE AVERAGING MODE (MASIMO ONLY)

The Averaging Mode is used to determine how many values will be used to calculate the SpO2
and pulse rate readings. A lower averaging rate uses fewer values to calculate the readings,
resulting in more unstable readings, but will more quickly alert the user to potentially alarming
patient conditions. The system will power up with C2 Middle Averaging Rate as a default.
When setting the Averaging Mode, the setting will be displayed on the %SPO2 screen.
1. Press the SET button (Figure 3 - 1, item 24) 11 times (or until the HI and LO PULSE
LEDs are both illuminated) to set the Averaging Mode.
2. Use the up or down arrow buttons (Figure 3 - 1, item 25) to choose one of the following
averaging rates:
a. C1 = Low Averaging Rate
i. SpO2 averaging rate is set to 2 - 4 seconds.
b. C2 = Middle Averaging Rate
i. SpO2 averaging rate is set to 8 seconds.
c. C3 = High Averaging Rate
i. SpO2 averaging rate is set to 16 seconds.
Part No. 715-0084, Rev. A - 42 -

SETTING THE PERFUSION INDEX (MASIMO ONLY)
The Perfusion Index value represents a ratio between the pulse signal and noise. It helps
clinicians determine if the pulse oximetry sensor is placed on an optimal monitoring site. The
Perfusion Index value has a range of 0.0 - 20.0 (i.e. the higher the value, the better the
perfusion).
1. Press and hold the down arrow button (Figure 3 - 1, item 25).
2. The perfusion index will be displayed on the %SPO2 screen. A display of “---” indicates
no value is available.
3. Release the down arrow button to switch back to Normal Operation Mode.
NOTE: Calibration and resetting the pulse oximeter algorithm or averaging mode
may cause a slight delay in readings.
NOTE: Setting alarm set points, calibration, and resetting pulse oximeter algorithm
or averaging methods will disable a portion of the pulse oximetry or oxygen
monitoring displays (Masimo only).
OPERATIONAL ALARMS AND WARNINGS

When the measured oxygen saturation or pulse rate falls out of the user-selected range, either “HI” or
“LO” will flash on the appropriate screen approximately every 2 to 3 seconds. An audible alarm will
also be heard every 3 seconds. Pressing the MUTE button will silence the audible alarm for
approximately 1 minute.
Update Period Exceeded
The PulseOx system updates the data being displayed on the display screens every second. After a
period of 5 seconds, if the system has not received an update, the screen will flash “PS”. If an update
still is unavailable after 15 seconds, “PS” will continue to flash and an audible alarm will sound until the
condition is corrected.
Part No. 715-0084, Rev. A - 43 -

Low Perfusion (Masimo Only)
The system displays “LP” when there are very low amplitude arterial pulsations. It has been
suggested that at extremely low perfusion levels, pulse oximeters can measure peripheral saturation,
which may differ from central arterial saturation1. This “localized hypoxemia” may result from the
metabolic demands of other tissues extracting oxygen proximal to the monitoring site under conditions
of sustained peripheral hypoperfusion. (This may occur even with a pulse rate that correlates with the
ECG heart rate.)
NOTE: If the low perfusion message is frequently displayed, find a better-perfused monitoring
site. In the interim, assess the patient and, if indicated, verify oxygenation status through
other means.
Low Signal IQ (Masimo Only)
When the signal quality is very low, the accuracy of the SpO2 measurement may be compromised, and
the system displays “LS” on the PULSE Display Screen. When the “LS” message appears, proceed
with caution and do the following:
 Assess the patient.
 Check the sensor and ensure proper sensor application. The sensor must be well secured to
the site to maintain accurate readings. Also, misalignment of the sensor’s emitter and detector
can result in smaller signals.
 Determine if an extreme change in the patient’s physiology and blood flow at the monitoring site
occurred (e.g., an inflated blood pressure cuff, a squeezing motion, sampling of an arterial
blood specimen from the hand containing the pulse oximetry sensor, severe hypotension,
peripheral vasoconstriction in response to hypothermia, medications, or a spell of Raynaud’s
syndrome).
 With neonates or infants, check that the peripheral blood flow to the sensor site is not
interrupted. Interruption, for example, may occur while lifting or crossing their legs during a
diaper change.
1
Severinghaus JW, Spellman MJ. Pulse Oximeter Failure Thresholds in Hypotension and Vasoconstriction.
Anesthesiology 1990; 73:532-537
Part No. 715-0084, Rev. A - 44 -

TEST OF OPERATIONAL ALARMS
To ensure the pulse oximeter is generating the proper alarm indications, the following instructions
should be followed:
1. After the sensor is attached to the patient, verify the patient alarms are functional by setting the
SpO2 and pulse rate high and low alarm limits beyond the patient readings.
a. An audible alarm should sound.
b. A “HI” or “LO” visual indicator should flash on the appropriate display screen.
2. Verify the sensor alarms are functional.
a. Remove the sensor from the patient.
i. An audible alarm should sound.
ii. Error code “E6” should flash on the %SpO2 display screen.
b. Disconnect the sensor from the incubator.
i. An audible alarm should sound.
ii. Error code “E9” should flash on the %SpO2 display screen.
PULSE OXIMETRY SENSORS

The incubator has been validated to be used with Masimo LNCS sensors and Nellcor OxiMax sensors.
Refer to SECTION 13, PARTS AND ACCESSORIES, for vendor contact information to request sensor
technical data. Before using any sensor, carefully read the sensor’s instructions for use. When
selecting a sensor, consider the patient’s weight, the adequacy of perfusion, the available sensor sites,
and duration of monitoring.
WARNING: If using pulse oximetry during full body irradiation, keep the sensor out of the
irradiation field. If the sensor is exposed to irradiation, the reading might be
inaccurate or the unit might read zero for the duration of the active irradiation
period.
CAUTION: Oxygen sensor and pulse oximetry cables must be contained within cart or otherwise
secured when not in use.
Part No. 715-0084, Rev. A - 45 -

CAUTION: Pulse oximeter probes and cables are designed for use with specific monitors. Only
use Masimo sensors and patient cables for Masimo pulse oximetry model. Only use
Nellcor sensors and patient cables for Nellcor pulse oximetry model. Verify the
compatibility of the monitor, sensor, and cable before use, otherwise patient injury
can result.
Tissue damage can be caused by incorrect application or use of a pulse oximetry sensor, for example,
by wrapping the sensor too tightly. Inspect the sensor site as directed in the sensor instructions for
use to ensure skin integrity and correct positioning and adhesion of the sensor.
High ambient light sources such as surgical lights (especially those with a xenon light source), bilirubin
lamps, fluorescent lights, infrared heating lamps, and direct sunlight can interfere with the performance
of a SpO2 sensor. To prevent interference from ambient light, ensure that the sensor is properly
applied and that the sensor site is covered with opaque material if necessary. Failure to take this
precaution in high ambient light conditions may result in inaccurate measurements.
CAUTION: If a sensor or cable is damaged in any way discontinue use immediately.
PULSE OXIMETRY TESTERS / SIMULATORS

To verify the functionality of the pulse oximeter sensors and cables, some commercially available
functional testers may be used (refer to the testing device’s instructions for use to determine
compatibility). The functional testers are designed to interface with the pulse oximeter’s expected
calibration curves and measure the total error of the pulse oximetry system. However, due to the
complex interaction between the pulse oximeter sensor and patient, these testers cannot be used to
assess the accuracy of the pulse oximeter sensors. Refer to SECTION 11, PULSE OXIMETER
SPECIFICATIONS (OPTIONAL FEATURE), to review sensor accuracy information or contact the
pulse oximeter vendor listed in SECTION 13, PARTS AND ACCESSORIES.
Part No. 715-0084, Rev. A - 46 -

SECTION 5: OXYGEN MONITOR (OPTIONAL FEATURE)
OXYGEN MONITOR PRINCIPLES OF OPERATION
The oxygen monitor is intended to be used to measure and display the oxygen concentration as a
volume fraction percentage (%) in an area to which a Maxtec MAX-250E oxygen sensor is exposed.
The readings are proportional to the partial pressure of oxygen (PO2), which is equal to the percentage
of oxygen times the absolute pressure of the environment being measured. The oxygen monitor can
be influenced by the following:
Temperature
In order for oxygen readings to be accurate, the oxygen monitor must be thermally stable when
calibrated and when measurements are taken. If temperature conditions change, adequate time must
be allowed for the sensor to stabilize and give accurate readings. For best results, calibrate the
oxygen monitor at the same temperature at which the monitor will be used.
Pressure
The readings from the oxygen monitor are proportional to the oxygen concentration only if pressure is
held constant. The oxygen monitor does not compensate for changes in barometric pressure.
Because the flow rate of the gas being sampled can affect the pressure at the sensor in that the back
pressure may change, the oxygen monitor should be calibrated at the same pressure as the sample
gas. Changes in elevation result in calibration error of approximately 1% of reading per 250 feet. In
general, calibration of the instrument should be performed when the geographic elevation at which the
product is being used changes by more than 500 feet. The oxygen monitor should not be calibrated at
a pressure above 2 atmospheres as this is beyond the sensor’s intended use.
Humidity
Condensation due to high humidity can adversely affect the oxygen monitor. The sensor should be
calibrated and used in environments < 95% relative humidity and placed upstream of any humidifier (if
used in a breathing circuit) to reduce the risk of water condensation.
CAUTION: Only use International Biomedical cable and Maxtec sensor for oxygen monitoring.
CAUTION: Use the oxygen monitor when oxygen is delivered to the infant.
Part No. 715-0084, Rev. A - 47 -

OXYGEN MONITOR SET-UP INSTRUCTIONS

The following steps will instruct the user how to initially set up the oxygen monitor, program low and
high alarm settings, and how to calibrate the oxygen sensor.
CAUTION: Check alarm limits each time the system is used to ensure that they are appropriate
for the patient being monitored.
INITIAL SET-UP
1. Turn the incubator power on using the Power Button (Figure 3 - 1, item 32).
2. Connect the oxygen sensor cable to the connector on the side of the incubator
(Figure 3 - 3).
3. Connect the oxygen sensor to the cable and place in area to be monitored.
a. Place the oxygen sensor inside the infant chamber to monitor ambient oxygen
concentration within the chamber.
b. Connect the oxygen sensor to a 15 mm adapter on a patient breathing circuit to

use in conjunction with a ventilator.
4. To turn on the Oxygen display, press the SET button (Figure 3 - 1, item 24) two times
and then either the up or down arrow buttons (Figure 3 - 1, item 25) until the OXYGEN
screen displays “On”. If the screen shows “---”, there is no value available.
5. When the Oxygen Monitor is disabled, the OXYGEN screen will display “OFF”. All
alarms related to the Oxygen Monitor will also be disabled.
SETTING HIGH AND LOW OXYGEN ALARMS

NOTE: The Oxygen Monitor display will convert back to Normal Operation Mode after 5
1. Press the SET button (Figure 3 - 1, item 24) seven times (or until the OXYGEN HI LED
illuminates) to set the high oxygen alarm.
desired setting.
a. Must be at least 1% higher than the low oxygen alarm setting.
Part No. 715-0084, Rev. A - 48 -

3. Press the SET button eight times (or until the OXYGEN LO LED illuminates) to set the
low Oxygen alarm.
a. Must be at least 1% lower than the high oxygen alarm setting.
5. If the low oxygen alarm is set below 21.0%, the yellow “<21%” warning LED (Figure 3 - 1,
item 23) will be illuminated.
OXYGEN MONITOR CALIBRATION

NOTE: The Oxygen Monitor display will convert back to Normal Operation Mode after 5
1. Press the SET button (Figure 3 - 1, item 24) nine times (or until the CAL LED illuminates,
Figure 3 - 1, item 21) to calibrate the oxygen monitor.
2. Use the up or down arrow buttons (Figure 3 - 1, item 25) to change the oxygen
percentage to the concentration of oxygen the sensor is exposed to during the calibration
(use 20.9% if exposed to room air). Expose the sensor to the calibration gas for several
minutes to ensure the sensor reading has stabilized.
a. Can be set from 15.0 - 100%.
NOTE: If using a calibration gas other than room air, procure and dispose of
gas according to hospital policy.
3. Once the calibration setting is set to the desired level, press both the up and down arrow
buttons simultaneously. “CAL” will be displayed on the OXYGEN screen to confirm that
calibration is complete.
NOTE: Calibrate the oxygen sensor daily when in use or if environmental

conditions change significantly (i.e. Temperature, Humidity, or Barometric
Pressure).
Part No. 715-0084, Rev. A - 49 -

For oxygen readings to be accurate, the oxygen monitor must be thermally stable when
calibrated and when measurements are taken. Calibration should also be done at the same
pressure as when in use due to the fact that the flow rate of sample gas can change the back
pressure at the sensing point, changing the oxygen reading. Never calibrate at a pressure
above 2 atmospheres as this is beyond the sensor’s intended use. The sensor should be
calibrated and used in environments < 95% relative humidity and placed upstream of any
humidifier to reduce the risk of water condensation which can affect the oxygen sensor.
CAUTION: Dropping or severely jarring the oxygen sensor after calibration may shift the
calibration point enough to require recalibration.
OPERATIONAL ALARMS AND WARNINGS

When the measured oxygen concentration falls out of the user-selected range, either “HI” or “LO” will
flash on the OXYGEN screen approximately every 3 seconds. An audible alarm will also be heard
every 3 seconds. Pressing the MUTE button will silence the audible alarm for approximately one
minute.
TEST OF OPERATIONAL ALARMS

To ensure the oxygen monitor is generating the proper alarm indications, the following instructions
should be followed:
1. After the oxygen sensor is placed in the area to be monitored, verify the out-of-range alarms are
functional by setting the oxygen high and low alarm limits beyond the oxygen readings of the
area.
b. A “HI” or “LO” visual indicator should flash on the OXYGEN display screen.
2. Verify the sensor alarm is functional by disconnecting the oxygen sensor from the cable
attached to the incubator.
b. Error code “E7” should flash on the OXYGEN display screen.
Part No. 715-0084, Rev. A - 50 -

OXYGEN SENSOR
The Maxtec MAX-250E oxygen sensor is similar in operation as a conventional galvanic cell (lead
anode / KOH electrolyte) oxygen sensor. However, the chemistry of the MAX-250E sensor is unique.
By implementing a weak acid electrolyte, MAX-250 sensors offer superior performance over the
conventional oxygen sensor. The weak acid electrolyte is unaffected by CO2, CO, and NOx. This
results in a sensor with a superior technical advantage over KOH-type sensors in applications where
these gases are present.
Use only Maxtec Max-250E oxygen sensors and International Biomedical supplied cables with the
incubator. Max-250E oxygen sensors offer quick response, stability, and life greater than 9000 hours.
CAUTION: The Maxtec MAX-250E oxygen sensor is a sealed device containing a mild acid
electrolyte, lead (Pb), and lead acetate. Lead and lead acetate are hazardous waste
constituents and should be disposed of properly, or returned to Maxtec or
International Biomedical for proper disposal or recovery.
CAUTION: Oxygen sensor and pulse oximetry cables must be contained within cart or otherwise
secured when not in use.
CAUTION: Only use International Biomedical cable and Maxtec sensor for oxygen monitoring.
Part No. 715-0084, Rev. A - 51 -

SECTION 6: PREVENTATIVE MAINTENANCE
To ensure proper operation, standby readiness, and malfunction reporting, International Biomedical
recommends following a preventative maintenance program. The daily preventative maintenance
procedures can be performed by a knowledgeable incubator transport person. Monthly maintenance
procedures should be performed by an appropriately trained biomedical maintenance person. No
other preventative maintenance is required.
NOTE: Perform preventative maintenance procedures on all Accessory Equipment as

recommended in the manual for each piece of equipment.
DAILY MAINTENANCE
The following maintenance procedures should be performed on a daily basis by a knowledgeable
incubator transport person.
OPERATIONAL CHECK
1. Check the AC power cord and ensure that there are no cuts or severe bends in the cord,
that all three prongs on the plug are in good condition, and that the cord is securely
fastened in place. Replace the cord as needed.
2. Ensure the incubator is plugged in to an appropriate AC power source. Verify the BAT
CHG indicator (Figure 3 - 1, item 28) on the front panel is illuminated and that all other
indicators are off when the incubator power is off.
3. With the incubator connected to AC power, press the power button (Figure 3 - 1, item 32)
to turn the incubator on. The incubator will perform a test of all indicators, LEDs, and the
audible alarm. Ensure all the indicators and LEDs illuminate, and that the audible alarm
can be heard. Verify the AC OP indicator (Figure 3 - 1, item 29) remains illuminated
after completion of the test.
4. Place a hand inside the right side of the infant chamber and verify air flow. The fan
should be able to be heard at the left side of the incubator.
5. A few minutes after turning the incubator on, the air temperature inside the infant
chamber should begin to increase and will be displayed on the Main Display Screen.
Verify.
6. Turn on the external light and ensure it operates under AC power. Turn off the light.
Part No. 715-0084, Rev. A - 52 -

7. Disconnect the AC power connection from the incubator and observe that the BAT OP
indicator (Figure 3 - 1, item 31) is illuminated and that the Main Display Screen still
displays the infant chamber air temperature.
8. Turn on the external light and ensure it operates under Battery power. Turn off the light.
9. Turn off the incubator.
10. If external 12 volt DC power is to be used, check the 12 volt DC power cord and ensure
that it has no cuts or severe bends and that the connectors have not been damaged.
11. Connect the incubator to a DC power source. Turn on the incubator and verify the DC
OP indicator (Figure 3 - 1, item 30) is illuminated and that the Main Display Screen still
displays the infant chamber air temperature.
12 Turn on the external light and ensure it operates under DC power. Turn off the light.
13. Disconnect the DC power connection and reconnect AC power to the incubator and turn
the incubator off.
CAUTION: DO NOT leave the 12 volt cord attached to the DC connector of the
incubator when not operating in DC power mode.
14. Inspect the mattress and positioning straps for damage. Repair or replace as needed.
WARNING: The transport incubator is Type B equipment and the baby may
not be electrically isolated from earth. Care must be taken that
additional equipment connected to the baby is electrically safe.
To ensure patient electrical isolation, connect only to other
equipment with electronically isolated circuits.
AIR / OXYGEN SYSTEM

1. If gas tanks are included in the incubator assembly, ensure they are properly secured.
2. With the air and oxygen tank regulators connected to appropriate external devices, open
the valves on the air and oxygen tanks and ensure that each tank is fully pressurized and
ready for use.
3. Ensure that none of the hoses connecting the tanks to external devices are leaking or
kinked.
Part No. 715-0084, Rev. A - 53 -

INFANT CHAMBER CHECK
CAUTION: Do not move the incubator by pushing on the infant chamber. The infant
chamber is not designed to sustain the forces to push the incubator. Stress
fractures in the infant chamber can occur.
1. Ensure that the infant chamber is free from cracks.
2. Ensure that the gasket between the chambers and airflow tray is in place. Check that
the grommets in the tubing through-holes on the infant chamber are also in place.
3. Ensure that the infant chamber is secured to the incubator with the two latches on both
ends of the infant chamber.
CAUTION: Do not overtighten the infant chamber screws. Do not strip the
aluminum into which these screws are threaded.
4. Ensure that the infant chamber is clean and ready for transport, as determined by the
transport team leader.
WARNING: This incubator was calibrated with the infant chamber originally
supplied. If this chamber is exchanged for an infant chamber of
a different configuration or size, the temperature calibration will
be affected. Consult International Biomedical before returning
the incubator to service.
CART AND ACCESSORIES

1. Inspect the casters for wear or damage. Inspect for worn or damaged rubber and
tightness of retaining nuts. Replace damaged casters immediately.
2. Ensure the incubator is securely fastened to the cart.
3. Test operation of other accessories as indicated by manufacturer’s recommendations.
CAUTION: When the incubator is attached to a rigid cart with an internal power
strip, the power cord must be contained within cart or secured on the
end of cart with cord holders when not in use.
SENSORS AND CABLES (OPTIONAL EQUIPMENT)

1. Inspect the oxygen sensor and the pulse oximeter sensor for damage. Replace, if
necessary.
2. Inspect the oxygen sensor cable and pulse oximeter cable for wear or damage.
Replace, if necessary.
Part No. 715-0084, Rev. A - 54 -

CLEANING OF INCUBATOR AND CHAMBER
WARNING: The incubator should be turned off and AC or DC power disconnected
when cleaning.
CAUTION: CLEANING AND CARE: Do not autoclave, pressure sterilize, or gas sterilize
the incubator, cables, or sensors. Use cleaning solutions sparingly as
excessive solution can flow into the incubator and cause damage to internal
components. Do not soak or immerse the incubator or sensors in any liquid.
Do not use petroleum-based, alcohol, acetone, or other harsh solvents. See
cleaning instructions of reusable sensors and cables in directions for their
use.
Wash the chamber, infant mattress, and top surface of the airflow tray with mild soap or
detergent and water solution.
CAUTION: Do not drip cleaning solution through the holes where the swell latches fit into
the air flow assembly.
Household ammonia diluted in water in the concentrations recommended for hospital cleaning
may also be used. These solutions may be applied with a soft absorbent cloth, followed by
rinsing with clean water. Wipe away residue with soft chamois or cellulose sponge material.
CAUTION: The infant tray grounding tabs are sharp; use care when cleaning the air flow
system.
CLEANING OF CABLES (OPTIONAL EQUIPMENT)

Clean the oxygen sensor cable and the pulse oximeter patient cable by wiping with a 70%
isopropyl alcohol pad (or equivalent) and allow the cables to dry before reusing.
CLEANING OF PULSE OXIMETRY SENSOR (OPTIONAL EQUIPMENT)

The provided sensors are disposable and should only be reused on the same patient if the
adhesive still adheres to the skin and the detector window is clear. Otherwise, properly dispose
of the sensor (see SECTION 6, PRODUCT DISPOSAL / RECYCLING, for disposal methods).
For reusable sensors, see the manufacturer’s cleaning instructions.
CLEANING OF OXYGEN SENSOR (OPTIONAL EQUIPMENT)

When cleaning or disinfecting the oxygen sensor, take appropriate care to prevent any solution
from entering the sensor end or the connector end. The oxygen sensor may be cleaned using a
mild detergent and moist cloth and disinfected using standard topical disinfectants.
Part No. 715-0084, Rev. A - 55 -

MONTHLY MAINTENANCE
The following procedures should be performed monthly by a biomedical maintenance person. These
checks should be in addition to the daily maintenance checks.
OPERATIONAL CHECK
1. Connect the incubator to an AC power source and turn the incubator power button on.
2. Adjust the setpoint to 38.9 C and observe the incubator as the temperature rises to
perform the following checks.
3. As the temperature reaches 38.5  0.1 C, the HIGH TEMP indicator should illuminate.
4. Adjust the setpoint to 37 C and allow the temperature to stabilize at that setting.
KEYBOARD / LED CHECK (OPTIONAL FEATURE)

1. Turn the incubator on, press the PulseOx SET button.
2. Press the Up Arrow button and see the display in the Pulse and %SpO2 change from
“OFF” to “On”.
3. Press the Down Arrow button and see the display in the Pulse and %SpO2 change from
“On” to “OFF”.
4. Check that the %SpO2 and Pulse HI and LO LEDs are on. Continue to press the SET
button and check that the LEDs correspond to the marked display.
ALARM MUTE CHECK (OPTIONAL FEATURE)

1. Turn on the Oxygen Monitor and unplug the oxygen sensor.
2. Listen for the alarm. After hearing the alarm, press the MUTE button.
3. Verify the mute on LED lights up and the alarm silences.
4. Wait approximately 1 minute and verify the alarm sounds again.
5. Turn off the Oxygen Monitor and plug the sensor back in.
TANK INSPECTION
1. Inspect the air and oxygen tanks for the date of the last hydrostatic test. Each tank must
be hydrostatically tested periodically according to the manufacturer’s recommendation.
The date of the last test is stamped on the top of the tank in month and year (mmyy).
2. Inspect the recharge record of each tank and, if the record indicates there have been a
maximum number of pressure cycles as per DOT (Department of Transportation)
specifications, the tank should be destroyed and another tank used.
Part No. 715-0084, Rev. A - 56 -

3. Inspect tanks for abrasion, cuts, or other damage.
4. The tanks should be replaced according to the manufacturer’s recommendation.
INFANT CHAMBER INSPECTION & CLEANING

1. Carefully inspect the infant chamber for cracks and crazing of the Plexiglas.
2. Check all screws and knobs for tightness.
CAUTION: Do not overtighten the infant chamber screws!
3. Wash chamber with mild soap or detergent and water solution to clean the Plexiglas.
Household ammonia in water in the concentrations recommended for hospital cleaning is
also excellent. These solutions may be applied with a soft absorbent cloth, followed by
rinsing with clean water. Wipe away residue with soft chamois or cellulose sponge
material.
CAUTION: Any type of alcohol or solvents should never be used for cleaning the
infant chamber, as these solvents tend to soften the surface and often
cause crazing. Cleansing materials containing abrasives or strong
solvents as found in some window cleaning preparations should never
be used to clean the inner and outer infant chamber.
BATTERY TEST
The incubator is equipped with a 12 volt 26 ampere-hour battery. Under normal operating
conditions in an ambient temperature of 20 C, a new fully charged battery should operate the
incubator for over three hours. If the operating time is less than 1 ¼ hours, the battery needs to
be replaced.
The battery is specified for only a finite number of complete discharges. The test of the battery
will completely discharge it. The test can be performed as follows:
1. Ensure the battery is fully charged by connecting the incubator to AC power for 12 hours
with the power switch off.
2. Place the incubator in a room with a temperature of approximately 20 - 23 C. Turn on

the incubator power switch and adjust the setpoint on the front panel to 37 C. Let the
incubator stabilize to its operational temperature with AC power.
3. After the incubator has reached operating temperature, allow an additional twenty
minutes for stabilization.
Part No. 715-0084, Rev. A - 57 -

4. After stabilization, disconnect the AC power and note the time. The incubator will
automatically switch to battery operation.
5. Note the time at which the low battery alarm activates.
6. The difference between the noted times in steps 4 and 5 is the operational time. If this
time is less than 1 ¼ hour, the battery should be replaced.
AIR FLOW SYSTEM INSPECTION & CLEANING

1. Remove the inner and outer infant chambers from the incubator and CAREFULLY set
them aside.
2. Remove the infant mattress. Lift the swell latches on the infant tray and remove the
infant tray. Ensure the swell latches are securely attached to the infant tray. Clean the
infant mattress and infant tray with a hospital approved cleaning solution.
WARNING: Do not remove the infant tray and touch exposed circuitry and
patient simultaneously.
NOTE: The infant tray material is Kydex 100 and the support plate material is
conductive clear chromate aluminum.
3. Lift the two swell latches on impeller cover and remove it. Clean the cover with a
hospital approved cleaning solution.
CAUTION: Entry of fluids into fan motor, thermistors, or warming unit will
significantly reduce service life. Clean this area by wiping with a cloth
dampened with an appropriate cleaning solution and wipe dry.
4. Clean the airflow system with a hospital approved cleaning solution.
WARNING: The infant tray grounding tabs are sharp, use care when cleaning
the air flow system.
5. Dry and reassemble the air flow, infant tray system.
CAUTION: Do not drip any cleaning solution through the holes where the swell
latches fit into the air flow assembly.
HARDWARE
1. Ensure that all screws on the incubator are properly tightened.
CAUTION: Do not strip the aluminum into which the screws are threaded.
Part No. 715-0084, Rev. A - 58 -

BATTERY CARE
The incubator contains a sealed lead battery (P/N 888-0071). If the incubator is not to be used for an
extended period of time, disconnect and remove the battery. After use or complete discharge,
immediately recharge the battery. If not regularly used or maintained on charge, the battery should be
recharged on a monthly basis to prevent battery degradation. The battery is warranted for a period of
ninety days. The life of the battery is dependent on the number and depth of discharge cycles. At the
end of the battery’s life, it must be recycled or disposed of properly.
CAUTION: The incubator MUST be plugged into AC power and the battery recharged after any
battery usage. The battery will sustain damage if drained of power and not
recharged.
Accessory equipment may also contain batteries which must be properly cared for. Consult the
accessory equipment user’s manuals for instructions.
PRODUCT DISPOSAL / RECYCLING

The incubator should be returned to International Biomedical for recycling when it reaches the end of
its life (7 to 10 years). The incubator’s battery can be taken to any battery recycling facility when it
reaches the end of its life (approximately 200 discharge cycles, dependent on depth of discharge).
The pulse oximetry sensors are single-use sensors and should be disposed of in a manner consistent
with local laws.
Part No. 715-0084, Rev. A - 59 -

SECTION 7: TROUBLESHOOTING
GENERAL TROUBLESHOOTING
The following list describes the most common issues that arise through use of the incubator and the
suggested corrective actions. If further assistance is needed, contact International Biomedical.
WARNING: OBSERVE BEST PRACTICE: The instructions in this manual in no way

supersede established medical procedures or staff preference concerning
patient care.
Why is the AC fail alarm sounding when the unit is unplugged?
This is normal. The alarm indicates that the unit is no longer connected to AC power. Press the
MUTE button to clear it.
Why is the Air Flow alarm sounding?
When a certain air flow rate is not met, the alarm sounds. Check for an obstruction, such as a blanket,
in the airflow pathway. Check the chamber for cracks, missing grommets, or missing gaskets. Verify
that the fan impeller is spinning. Verify that all swell latches are present and tightly secured.
Why don’t the buttons do anything when I press them?
Ensure the incubator is turned on. If problem still persists, the membrane panel has been damaged
and the overlay needs to be replaced. Contact International Biomedical for assistance.
Why won’t the light turn on?
Ensure the incubator is turned on; the light gets its power from the incubator and will not work unless
the incubator is on. If the light still doesn’t work with the incubator on, it needs to be replaced (e.g. an
LED may be bad, there may be a short in the circuitry). Contact International Biomedical for
assistance.
Part No. 715-0084, Rev. A - 60 -

MAIN DISPLAY ERROR CODES

Table 7 - 1 shows the failure codes that may be seen on the Main Display Screen. If further
assistance is needed, contact International Biomedical.
Table 7 - 1 Main Display Screen Failure Codes

Error
Failure Corrective Action
Code
The display board needs to be
E01 Set Point Output Voltage Error replaced. Contact International
Biomedical for assistance.
Temperature Out of Range: baby temp. Reconnect temperature probe to
E02 probe is disconnected, damaged, or out incubator. If error persists,
of sensor’s useable range replace temperature probe.
Charge battery by plugging into
Battery Voltage Out of Range: battery is AC power for a minimum of 8
E03
drained or overcharged hours. If problem persists,
battery must be replaced.
Verify temperature using
secondary method. If
Display Range Limit Exceeded: value to temperature seems reasonable,
E04 be shown is outside of the display’s the temperature sensor is faulty
limits and must be replaced. Contact
International Biomedical for
assistance
EEPROM Write Failure: temperature set Turn the incubator off and then
E07
point not saved on again. Repeat temperature
EEPROM Value Out of Range: set procedure. If error still
E08
temperature set point out of range occurs, the display board must
be serviced. Contact
E09 EEPROM Corrupt International Biomedical for
assistance.
PULSE OXIMETER AND OXYGEN MONITOR FAILURE CODES

(OPTIONAL FEATURE)
Table 7 - 2 shows the failure codes that may be seen when using the Masimo Pulse Oximeter. Failure
codes will be displayed in the %SPO2, PULSE, or OXYGEN display screens, as designated in the
table. In some cases, a power down may reset the error; however, the pulse oximeter and/or oxygen
monitor should be used with extreme caution. If further assistance is needed, contact International
Biomedical.
Part No. 715-0084, Rev. A - 61 -

Table 7 - 2 Masimo Pulse Oximetry and Oxygen Monitoring Failure Codes
%SPO2 PULSE OXYGEN
Failure Corrective Action
Display Display Display
Ensure proper sensor
PS
- - Pulse Search application. Reposition sensor, if
(flashing)
necessary.
LP Move sensor to better perfused
- - Low Perfusion
(flashing) site.
Ensure proper sensor
LS
- - Low Signal IQ application. Move sensor to a
(flashing)
better perfused site.
Recalibrate the oxygen sensor
- - E1 O2 Cal. Data Lost
per SECTION 5.
Confirm sensor cable is
Oxygen Value Out attached. Recalibrate oxygen
- - E7
of Range sensor. If error persists, replace
cable.
Alarm Setpoint Set the alarm limits per
E2 E2 -
Data Lost SECTION 4 and/or SECTION 5.
Remove or reduce lighting.
E4 - - Too Much Light Cover sensor from light.
Reposition sensor.
E5 - - Signal Interference Remove outside interference.
E6 - - Sensor Off Patient Reattach sensor to patient.
E7 multiple - Replace sensor. Refer to the
Bad Sensor instructions for the sensor being
E8 - - used.
No Sensor
Connected Confirm a sensor is attached to
E9 - - (or the signal has the incubator and the patient
been lost for more being monitored.
than 4 seconds)
E10 - -
E32 - -
E33 - -
E34 - -
Do not continue to use incubator.
E35 - -
Display board Send unit to service department
E36 - -
failure for repair. Contact International
E37 - -
Biomedical for more information.
E38 - -
E39 - -
E40 - -
E63 multiple -
Part No. 715-0084, Rev. A - 62 -

Table 7 - 3 and Table 7 - 4 show the failure codes that may be seen when using the Nellcor Pulse
Oximeter. In Table 7 - 3, the error code listed will be displayed on the PULSE display screen.
Additional error codes may be displayed on the %SPO2 display screen, but are unnecessary to
describe here. If further assistance is needed, contact International Biomedical.
Table 7 - 3 Nellcor Pulse Oximetry Board and Software Failure Codes

PULSE
Error Description Corrective Action
Display
Malfunction Cycle the PulseOx system off and then on again. If
1 or 2 (typically, a failed error persists, the PulseOx system is damaged and
hardware test) needs to be replaced.
Wait for 15 seconds to see if the software resets itself.
If no signal is received after 15 seconds, the PulseOx
4 Software Error
system needs to be serviced. Contact International
Biomedical.
Wait for 15 seconds to see if communications reset. If
5 Communications Error no signal is received, the PulseOx system needs to be
serviced. Contact International Biomedical.
Ensure the sensor is properly connected. Disconnect
and reconnect the sensor. If the error occurs again,
Defective Sensor
6 replace the sensor and/or cable. If the error persists,
Detected
the PulseOx system needs to be serviced. Contact
International Biomedical.
Table 7 - 4 Nellcor Pulse Oximetry Sensor Failure Codes

%SPO2 PULSE
Sensor Status Corrective Action
Display Display
Ensure sensor is connected to the incubator.
Sensor Disconnected E9 1
Reconnect, if necessary.
Sensor Off E6 1 Reattach sensor to patient.
Light Pulse Search - PS
Blink Pulse Search - PS Ensure proper sensor application. Reposition
Light Interference E5 1 sensor, if necessary.
Blink Interference E5 1
Part No. 715-0084, Rev. A - 63 -

SECTION 8: INTERNAL COMPONENT ACCESS
This section contains procedures for accessing and removing components from the incubator chassis.
WARNING: SERVICE ONLY BY QUALIFIED PERSONNEL: The incubator should be

serviced only by qualified personnel in the Electronics Maintenance or
Biomedical Engineering Department within the hospital or by International
Biomedical personnel.
WARNING: HIGH VOLTAGES: Dangerous voltages may be contained on circuitry internal

to the unit. Maintenance should be performed by qualified personnel only.
CAUTION: The incubator electronics contain static sensitive components that can be damaged
by improper handling. Use approved grounding techniques for work areas and
service personnel.
NOTE: Servicing the transport incubator requires special equipment and tools. Do not attempt
to service the transport incubator without proper equipment.
ELECTRONICS COMPARTMENT ACCESS

This section details the procedure to be followed to gain access to the electronics compartment of the
incubator.
1. Turn the incubator power button off and unplug the AC power cord.
2. Remove the inner and outer infant chambers.
3. Remove the four latches that secure the infant chamber (two screws per latch).
4. Remove the two or four screws that secure the lamp assembly and gently pull the assembly to
expose the connector. Disconnect it and remove the lamp assembly.
5. Remove all remaining screws fastening the airflow tray assembly to the main frame (four along
the top front edge, three along the top rear edge).
6. Carefully lift the front edge of the airflow tray assembly just enough to gain sufficient access to
disconnect the two electrical cables and the ground cable. Disconnect both electrical cables
and the ground cable.
7. The airflow tray assembly can now be completely removed.
Part No. 715-0084, Rev. A - 64 -

BATTERY REMOVAL
This section details the procedure to be followed to remove and replace the battery. The procedure
detailed to gain access to the electronics compartment must be followed before beginning this
procedure. Due to the weight of the battery and limited working area, exercise caution when inserting /
removing battery to avoid damage to circuit boards or cables.
service personnel.
1. Loosen the four quarter turn fasteners securing the battery and remove the battery clamping
bracket.
2. Remove the negative lead from the battery terminal. If necessary, the battery may be carefully
lifted or tilted to allow better access to the terminal.
3. Remove the positive lead from the battery terminal. If necessary, the battery may be carefully
lifted or tilted to allow better access to the terminal.
4. The battery can now be carefully removed.
CAUTION: Replace battery only with International Biomedical part number 888-0071.
CONTROL BOARD REMOVAL

This section details the procedure to be followed to remove the control board assembly. The
procedure detailed to gain access to the electronics compartment must be followed before beginning
this procedure.
service personnel.
1. Remove the battery, following the procedure to remove the battery.
2. Disconnect the cables from connectors J1 and J3.
3. From underneath, remove the three screws securing the aluminum heatsink and spacer to the
floor of the electronics compartment. When reassembling, clean the bottom of the aluminum
extrusion and spacer and apply a thin coating of a suitable heatsink compound to all mating
surfaces.
Part No. 715-0084, Rev. A - 65 -

4. Remove the six screws securing the printed circuit board to the six standoffs.
5. The control board can now be lifted out of the frame.
NOTE: Accessory devices (e.g. ECG Monitor) may need to be removed in order to access the
control board hardware.
DISPLAY BOARD REMOVAL

This section details the procedure to be followed to remove the display board assembly. The PulseOx
daughter board will be still attached (see Pulse Oximeter Board Removal procedure for details on
removing the daughter board). The procedure detailed in the previous section to gain access to the
electronics compartment must be followed before beginning this procedure.
service personnel.
1. Disconnect the ribbon cable from the display board (J1).
2. Disconnect the skin temp cable from the display board (J3).
3. Disconnect the oxygen sensor cable from the display board (J11).
4. Remove the PulseOx Input cable from the side panel.
NOTE: The SpO2 flex cable is secured to the PulseOx daughter board and needs to be
removed with the display PCB assembly.
5. Remove the two screws that secure the display board and front panel to the bracket above
them.
6. Pull the PC board towards the rear of the chassis and up. The display board, daughter board,
and the front panel will come out together as a unit.
7. Disconnect the membrane keypad connector from the display board (J4).
8. Remove the four visible screws and nylon spacers securing the PC board to the front panel
standoffs (one in each corner and one in the middle).
9. Remove the PulseOx daughter board in order to access the last Display PCB screw.
a. For Masimo, remove 3 screws and the jumper connected to J13.
b. For Nellcor, remove 2 screws and the jumper connected to J14.
10. The display board may now be removed from the front panel.
Part No. 715-0084, Rev. A - 66 -

PULSE OXIMETER BOARD REMOVAL (OPTIONAL FEATURE)
This section details the procedure to be followed to remove the PulseOx daughter board assembly.
The electronics compartment access procedure and steps 1 - 6 of the Display Board Removal
procedure must be followed before beginning this procedure.
service personnel.
1. Disconnect the PulseOx flex cable from the PulseOx daughter board.
a. For Masimo, connector J3 on PulseOx board
b. For Nellcor, connector J4 on PulseOx board
2. Remove the PulseOx daughter board flex cable.
a. For Masimo, connector J13 on the PulseOx daughter board
b. For Nellcor, connector J14 on the PulseOx daughter board
3. Lift the PulseOx daughter board off the standoffs on the display board.
a. For Masimo PulseOx board, there are 3 standoffs.
b. For Nellcor PulseOx board, there are 2 standoffs.
Part No. 715-0084, Rev. A - 67 -

SECTION 9: CALIBRATION PROCEDURES
The following calibration procedures should be performed only by a person who is experienced in
electronics and has the proper test equipment. The entire system can be calibrated using the System
Calibration Procedure. Individual board calibration procedures (i.e. Control Board Calibration and
Display Board Calibration) should be performed after a board has been repaired. In order to perform
any of the calibration procedures, the circuitry must be accessed (refer to SECTION 8 for instructions
on accessing the electronics compartment).
CALIBRATION TEST EQUIPMENT REQUIRED

 Four Digit Digital Voltmeter
 Variable DC voltage power supply 10 - 20 volts at 10 amperes
 Oscilloscope
 Resistor decade box  1% accuracy
 3 Clip lead jumpers (preferably one red and two black)
 10 k resistor
 Airborne temperature test circuit P/N 387-1190 (Available from International Biomedical)
 Airborne sensor simulator P/N 387-1191 (Available from International Biomedical)
 Calibrated digital temperature measuring device 0.1 C accuracy
SYSTEM CALIBRATION PROCEDURE

The following procedure should be used to calibrate the system after repairs or during routine
maintenance.
1. Locate the J2 connector on the control board and connect the sensor simulator connector. If
not using a sensor simulator, leave the airflow tray connected to J2. Ensure JP1 on the control
board is set to route the Secondary Thermistor to the display board’s “measured temperature”
input. (Jumper JP1 should be on positions 1 and 3.) Connect the incubator to an appropriate
AC power source. Check the voltage at the positive battery terminal. It should be
approximately 13.7  0.2 volts with a fully charged battery.
2. Check the voltage at TP1 on control board. It should be 13.7  0.1 volts with a fully charged
battery. Adjust R1 if necessary. The BAT CHG indicator should be on.
Part No. 715-0084, Rev. A - 68 -

3. Turn the power button on and observe for a couple of seconds; all LEDs should be illuminated,
all seven-segmented LED elements turned on, and the audible alarm on. The BAT CHG and
AC OP indicators should stay on.
4. Remove the sensor simulator. SENS FAIL and SYS FAIL alarms should activate. Reconnect
the sensor simulator to J2 on the control board.
5. Set the thermostat switch on the sensor simulator to OPEN (up position). The AIR FLO
indicator should be on and alarm should sound continuously. Set the thermostat switch to
CLOSED (down position).
6. Turn the incubator power off. Remove the fan impeller from underneath the mattress tray, turn
the unit on, adjust the temperature set point to 37.0 C, and verify that the AIR FLO alarm
activates under twelve minutes. The AIR FLO alarm may sound for a few minutes. Replace
the fan impeller.
7. With the incubator turned on, disconnect the power cord. An audible alarm indicating loss of
AC power should sound, which can be silenced by pressing the MUTE button. Turn the
incubator power off and disconnect the negative battery cable. Set the external power supply to
12 volts and connect the external power supply output to the battery cables, observing proper
polarity.
8. Turn the incubator power on. Connect the digital multimeter leads to the battery cables. Slowly
reduce the supply voltage. The LOW BAT warning LED should illuminate at 10.8  0.3 volts
and the audible alarm should sound at approximately 8 second intervals. The PWR FAIL
indicator should turn on at 10.1  0.1 volts and the incubator power should turn off. The audible
alarm should sound continuously. If these alarms turn on at incorrect voltages, see the
CONTROL BOARD CALIBRATION PROCEDURE.
9. Turn the incubator power off and disconnect the external supply. Reconnect the negative
battery cable to the battery. Connect one end of the red clip lead to TP7 of the control board
and run the other end outside the incubator. Similarly, connect one black clip lead to TP1 and
one black clip lead to TP2 of display board. Disconnect the sensor simulator from J2 on the
control board and connect the airflow tray cable to J2 on the control board. Connect heater and
ground wires also. Install the inner and outer infant chambers.
10. Using the calibrated temperature measuring device, monitor the temperature in the center of the
chamber 10 cm above the center of the mattress.
Part No. 715-0084, Rev. A - 69 -

11. Reconnect the incubator to an appropriate source of AC power and turn the unit on. Adjust the
setpoint temperature to 37.0 C. Operate the unit until the temperature inside the infant
chamber stabilizes (approximately 30 minutes).
12. If the temperature indicated by the monitoring instrument is not 37.0  0.5 C, adjust R3 on the
control board until 37.0 C is achieved. This adjusts for the temperature offset between 10 cm
above the center of the mattress and the location of the control temperature sensor.
13. Wait 10 minutes and repeat the previous step if necessary.
14. Adjust R9 until the incubator displayed temperature matches the measured temperature of the
measuring device,  0.5 C. Operate the incubator long enough to allow the displayed
temperature to stabilize and adjust R9 again as needed.
15. Wait 10 minutes and repeat the previous step, if necessary.
16. Use the two black clip leads to connect the 10 k resistor between TP1 and TP2 on the display
board, while the set point temperature is set at 37.0 C. (This effectively sets the temperature
to 39.9 C). Verify that the HIGH TEMP alarm activates at 38.5  0.1 C as indicated by the
front panel display. The alarm should sound at approximately 8 second intervals. Adjust R8 on
the control board as necessary.
17. As the temperature in the chamber continues to rise, verify that the SYS FAIL alarm activates at
39.0  0.2 C and that the heater is disabled (incubator cools gradually). Adjust R7 on the
control board as necessary. If this adjustment seems to have no effect, check that the
secondary SYS FAIL isn’t activating at too low a temperature (see step 18).
18. With the other black clip lead, ground TP7 on the control board by clipping on to the chassis.
The SYS FAIL alarm should turn off. Verify the SYS FAIL alarm reactivates at 39.2  0.1 C,
and that the heater is again disabled. Adjust R15 on the control board as necessary. This SYS
FAIL alarm should continue to be active even though the incubator cools below 39.2 C - the
incubator must be turned off, then back on, to cancel it.
19. Remove all clip leads. Allow time for the unit to re-establish equilibrium.
20. Disconnect the power cord. The BAT OP indicator should illuminate. The MUTE button will
cancel the AC FAIL alarm. Operate the unit from battery power for five minutes and verify that
the temperature maintained is the same as with AC operation.
Part No. 715-0084, Rev. A - 70 -

21. Connect an external source of 12V DC power to the external 12V DC connector. The DC OP
indicator should illuminate. Verify temperature is maintained while powered from external DC
for five minutes. Disconnect the external power supply and turn the unit off.
CONTROL BOARD CALIBRATION PROCEDURE

The following procedure should be used to calibrate the control board with it installed in the transport
incubator, after any repairs, prior to system calibration.
NOTE: TP11 and TP13 are ground references.
service personnel.
1. Disconnect the AC power cord from any AC power source. Connect the temperature sensor
test circuit to J2 of the control board. Ensure JP1 on the control board is set to route the
Secondary Thermistor to the Display Board’s “measured temperature” input. (Jumper JP1
should be on positions 1 and 3.) Connect the decade box to the temperature sensor test circuit.
Set the temperature sensor test circuit switches as follows:
a. Set the secondary sensor switch to DECADE BOX position.
b. Set the primary sensor switch to 1400  position.
c. Set the decade box to 1454  (37.0 C).
2. Reconnect the AC power cord to an appropriate AC power source. To set the battery charging
voltage, turn off the incubator power switch and check the voltage at TP1. With a fully charged
battery, TP1 should be 13.7  0.05 volts. Adjust R1 as necessary.
a. To check the maximum charging current, measure the voltage from TP14 to Z4 pin 7.
The voltage should be approximately 50  10 millivolts.
NOTE: This maximum current is supplied to a discharged battery. The charging

circuit automatically reduces this current for a charged battery. Be sure to
check the current using a depleted battery, or with a 1.3 , 100 W resistor
in place of the battery.
b. Turn the incubator power switch to on and allow 10 minutes for the voltage references to
stabilize.
Part No. 715-0084, Rev. A - 71 -

c. To check the two independent voltage references, measure the voltage at TP4 and
TP10. The voltage should be 5.000  0.005 volts. If necessary, adjust R4 and R10
respectively.
d. To check the calibration of the setpoint temperature circuit, adjust the setpoint
temperature to 37.0 C. With a properly calibrated display board, the voltage at TP2
should be 3.399  0.005 volts. Adjust R2 on control board as necessary.
e. To check the calibration of the secondary temperature sensor, measure the voltage at
TP9. It should be 3.421  0.005 volts. Adjust R9 as necessary.
f. To check the SYS FAIL alarm, set the decade box to 1326 . The SYS FAIL alarm
should activate at 39.2 C (when switching from 1325  to 1326  100 ). Adjust R15
as necessary. Achieving the exact temperature and ohm values is not critical now as
this alarm will be readjusted more precisely during the system calibration.
g. Ensure JP1 on the control board is set to route the Primary Thermistor to the Display
Board’s “measured temperature” input. (Jumper JP1 should be on positions 1 and 2.)
Set the temperature sensor test circuit switches as follows:
i. Primary sensor switch to DECADE BOX
ii. Secondary sensor switch to 1400 
iii. Set the decade box to 1454  ( 37.0 C).
h. To check the primary sensor calibration, measure the voltage at TP3. It should be 3.399
 0.005 volts. Adjust R3 as necessary.
i. Set the decade box to 1356  100 . The HIGH TEMP alarm should activate at 38.5 C
when switching from 1356 to 1355  100 . Adjust R8 as necessary. Achieving the
exact temperature and ohm values is not critical now, as this alarm will be readjusted
more precisely during the system calibration.
3. Set the decade box to 1329  100  (the HIGH TEMP alarm will be on). The SYS FAIL alarm
should activate while switching at 39.0 C (when switching from 1329 to 1328  100 . Adjust
R7 as necessary. Achieving the exact temperature and ohm values is not critical now, as this
alarm will be readjusted more precisely during the system calibration.
4. Turn off the incubator and unplug the AC cord. Remove the negative lead from the battery
post. Connect the variable DC supply in place of the battery.
Part No. 715-0084, Rev. A - 72 -

5. Adjust the voltage of the DC supply to 18.30  0.05 volts. Connect a jumper across R59. (R59
is located 1.5 inches below variable resistor R7.) Set the decade box to 1576 . Turn the
incubator power switch on. Observe the waveform at TP12 with an oscilloscope. The duty
cycle of the square wave should be 60  5%. Adjust R12 as necessary. Verify that the period
is between 14 ms and 16 ms. Disconnect the jumper on R59.
6. Decrease the voltage output of the DC supply to 10.5 volts. The low battery alarm should
activate.
7. Slowly decrease the applied voltage until the display turns off and the PWR FAIL indicator
illuminates. This should occur at 10.1  0.3 volts. If it does not, perform one of the following
procedures:
a. If the shutdown occurs below 10.1 volts do the following:
i. Increase the applied voltage to 12.0 volts.

ii. Cycle the power switch to off, then to on.
iii. Adjust the applied voltage to 10.1 volts.
iv. Slowly adjust R6 clockwise until the display just shuts down.
b. If the shutdown occurs above 10.1 volts, do the following:
i. Increase the applied voltage to 12.0 volts.

ii. Cycle the power switch to off, then to on.
iii. Adjust R6 fully counter clockwise.
iv. Adjust the applied voltage to 10.1 volts.
v. Slowly adjust R6 clockwise until the display just shuts down.
vi. Turn off power and remove the DC supply and reconnect the battery.
vii. Return JP1 to its original position (pins 1 and 3).
viii. Remove all test apparatus and reassemble unit. Proceed to the System
Calibration.
8. Perform the System Calibration procedure.
Part No. 715-0084, Rev. A - 73 -

DISPLAY BOARD CALIBRATION PROCEDURE
The following procedure should be used to calibrate the display board. It should be performed once
installed in the incubator, after any repairs, and prior to system calibration.
service personnel.
1. Turn the power switch on and observe for a couple of seconds; all LEDs should be illuminated,
all seven-segmented LED elements turned on, and the audible alarm is on.
2. Verify TP3 (relative to TP13) is 5.0  0.1 volts.
3. Adjust R36 for a voltage of 1.809  0.005 volts from TP4 to TP13.
4. Attach decade resistor box across the ground and input lugs of the skin temperature connector.
Set decade resistor box to 1.355 . Adjust R30 for a reading of 3.399  0.005 volts from TP5 to
TP11. The display should show a reading of 37.0  0.1 C when the BABY TEMP button is
pushed.
5. Turn off the power. Remove all test apparatus.
6. Perform the System Calibration procedure.
Part No. 715-0084, Rev. A - 74 -

SECTION 10: CIRCUIT DESCRIPTION
The theory of operation of the incubator’s electronic circuits is described. The individual schematics
for the control board and display board should be referred to when reading the theory of operation.
CONTROL BOARD
This section describes the theory of operation of the incubator’s control board.
TEMPERATURE REGULATION
The air inside the incubator is heated and its temperature is sensed by the components of the air flow
tray. The air flow tray contains the circulating fan, the temperature sensors, the heater, and the heater
switching transistor. The heater power is controlled with pulse width modulation. There are two
separate thermistors in the airflow tray. The first or primary thermistor is used to measure and control
the incubator’s temperature. The second or secondary thermistor is used for display control and an
independent indicator of high temperature.
On the incubator control board are three identical temperature sensor circuits (Z3B, Z9B, Z10B, and
their associated components). Two of these circuits (Z3B and Z10B) convert the two thermistors’
nonlinear resistance values into a voltage proportional to the temperature of the thermistors. The third
bridge circuit (Z9B) converts the voltage output of the setpoint circuit on the display board into a
voltage proportional to the temperature setting.
The difference between the measured temperature and the setpoint temperature is amplified by Z10A
producing an error voltage. Z7B compares this error voltage to a triangular wave produced by a 555
timer oscillator circuit, Z5, R60, and C9. This comparison produces a square wave, the duty cycle of
which is proportional to the error voltage. This square wave is then used to drive the base of the
heater switching transistor. Diode CR12 limits the maximum value of the error voltage seen by
comparator Z7B. The transistor amplifier formed by Q4, R54, R55, R56, R57, and C16, causes this
maximum value limit to decrease approximately as the square of the applied heater voltage. This
results in a relatively constant maximum heater power even though the heater voltage may vary. The
applied heater voltage will vary due to changing AC line conditions, varying states of charge of the
internal battery, or variations in the external DC voltage.
Part No. 715-0084, Rev. A - 75 -

Potentiometer R12 adjusts the DC level of the triangular wave, which controls the relationship between
error voltage and duty cycle. This allows R12 to control maximum heater power. The diodes CR13
and CR17 allow the DC level of the triangular wave to be increased when the incubator is powered by
AC power. When AC power is used, the applied heater voltage is larger than when battery power or
external DC power is used. The higher DC level of the triangular wave results in lower duty cycle
applied to the heater for a given error voltage.
FAILSAFE TEMPERATURE LIMIT

The secondary thermistor and its independent circuitry provide a fail-safe heater disable function. The
secondary thermistor circuit is completely independent of the control loop. It has a completely
separate voltage reference (Z2) and amplifier (Z3B). A comparator (Z3A) is adjusted by means of R15
to activate when a voltage corresponding to a temperature of 39.2 C is reached. This turns off Q3,
which opens the relay K3, and interrupts power to the heater. The SYS FAIL indicator will activate
and the audible alarm will sound.
ALARMS
Four comparators monitor the voltage derived from the primary thermistor. Comparator Z11A
activates if the voltage is greater than 5 volts, indicating a shorted thermistor. Comparator Z11D
activates if the voltage is less than 0.9 volts indicating an open thermistor. Activation of either of these
two comparators will turn on the SENS FAIL indicator, sound the audible alarm, and disable the heater
by turning Q3 off.
Comparator Z11B activates when a voltage corresponding to a temperature of 39 C is reached. This
turns on the SYS FAIL indicator, sounds the audible alarm, and disables the heater.
Comparator Z11C activates when a voltage corresponding to a temperature of 38.5 C is reached.

This turns on the HIGH TEMP indicator and enables Z13, a 555 timer, which sounds an intermittent
audible alarm. The 555 timer Z13 is configured as an asymmetrical square wave oscillator. It
establishes the repetition rate and duration of the intermittent audible alarm.
Comparator Z7A monitors the voltage level of the power source. If this voltage drops below 10.8 volts,
battery operation is assumed and the LOW BAT alarm is turned on. Z13 is also enabled causing the
intermittent audible alarm to sound.
Part No. 715-0084, Rev. A - 76 -

POWER FAIL ALARM
The PWR FAIL alarm activates when the battery voltage drops below 10 volts, causing Z1 to turn off
Q1, which supplies the battery voltage. This removes all power from the control circuitry. The drain of
Q1 will go low which will turn Q2 on. Transistor Q2 then supplies power from the battery to sound the
alarm and turn on the PWR FAIL indicator. Although the battery has insufficient power to operate the
unit, it does have plenty of power to operate the alarm indicators. The unloaded battery voltage will
rebound and exceed the 10 volt level, but because Q1 is off, Z1 is turned off and cannot turn Q1 back
on. This is a latched condition and can be changed only by cycling the power switch, or by application
of an external power source.
Without the application of external power, turning the power switch off will charge a capacitor (C3) on
the display board through R72. Then when the power switch is turned on, this capacitor is switched to
pin 8 of Z1. This provides sufficient power to Z1 to allow it to turn on Q1, if the battery voltage is
sufficient. When Q1 turns on, power is then supplied to Z1 through CR9.
VOLTAGE REFERENCE
Operational amplifier Z9A amplifies the 0.2 volts reference generated by Z8. Potentiometer R4 adjusts
the gain to provide 5 volts at pin 1 of Z9, TP4. This establishes the voltage reference for the control
loop amplifier circuits and all alarm circuits except the fail-safe circuit. The voltage reference for the
fail-safe circuit is generated by Z2 and adjusted by means of R10 to be 5 volts at TP10.
LAMP DRIVE CIRCUIT

Lamp power is regulated by maintaining a constant current through the lamp. A voltage reference
within Z8 provides 0.2 volts at pin 1 which is connected to pins 8 and 3. The amplifier drives the base
of Q7 to a voltage that causes the voltage at Z8 pin 2 to be 0.2 volts. The constant voltage across the
resistance of R38 generates a constant current in the emitter of Q7 and the emitter and collector
currents are approximately equal. Therefore, the collector or lamp current is constant and regulated at
0.42 amps. The constant current drive provides the soft start effect when the lamp is turned on.
Part No. 715-0084, Rev. A - 77 -

BATTERY CHARGER
The battery charger is powered any time the incubator is plugged into a source of AC power. The
charger maintains a constant output voltage of 13.7 volts in the trickle charge mode or limits the
charge current to 5 amps in the current mode. A fully charged battery has a voltage between 13.5
volts and 13.8 volts. The voltage regulator for the battery charger consists of Q5, Z6, and its
associated components. A 200 millivolt reference within Z6 establishes the voltage at the noninverting
input of Z6. The amplifier output drives Q5 at the level necessary to cause the voltage at the inverting
input of Z6 to be equal to the reference voltage. By adjusting the potentiometer R1, the ratio of the
voltage divider string R32, R1, and R34 can be varied to set the voltage at TP1 to equal 13.7 volts.
The battery charging is interrupted when the heater is on to prevent excessive current draw on the
transformer. This is accomplished by means of R35 and CR15. When the heater on signal at TP12
goes high, the heater is turned on and causes a current through R35. The current increases the
voltage at the inverting input of Z6 to exceed the 200 millivolt reference level, causing Z6 to turn off
Q5. During the portion of the duty cycle when the heater signal at TP12 output is low, the heater is
turned off and battery charging resumes. Battery charging will be totally interrupted if the duty cycle of
the heater reaches 100%. With average line voltages the maximum duty cycle is limited to less than
65%. When the battery is depleted, maintaining a voltage of 13.7 volts at TP1 would force a charging
current high enough to damage the battery. Therefore, a current limiting circuit is provided. This
circuit is formed by Q6, Z4, and associated components. Zener diode CR14 establishes a reference
voltage and the potentiometer R14 is adjusted to provide a reference of negative 50 millivolts at TP14
with respect to the AC rectified voltage. The resistor R28 is connected to the AC rectified voltage and
supplies the battery charging current. As long as the voltage across R28 is less than 50 millivolts or
the charging current is less than 5 amps, Z4 keeps Q6 turned off. When the voltage across R28
exceeds 50 millivolts, Z4 causes the drain current of Q6 to be increased until the voltage drop across
R27 matches the voltage drop across R28. The drain current of Q6 flows through R34 producing an
additional voltage to the inverting input of Z6. The output of Z6 responds by lowering the voltage to Q5
and the battery charging current. The control loop responds to current rather than voltage and
regulates to maintain a constant current of 5 amps. The current regulation is maintained until the
battery terminal voltage rises sufficiently to cause TP1 to rise above 13.7 volts and voltage regulation
resumes.
Part No. 715-0084, Rev. A - 78 -

POWER SOURCE SELECTION
Relays K1 and K2 are arranged by means of their contact and drive coil connections to select the
proper power source. AC power is the preferred source and is selected when the only external power
applied is AC. It is also selected when both external DC and AC are applied. External DC is selected
only when it is applied exclusively. When no external source of power is applied, the relays select the
internal battery.
DISPLAY BOARD
This section details the functions provided by the circuitry on the display board. Microcontroller U4 is
the chief component of the incubator display portion of the board. When powered on, dedicated
firmware processes key inputs received from the membrane switch panel; continuously monitors the
incubator air temperature, skin temperature, and battery voltage inputs; selects and updates the
seven-segment digits, display mode LEDs, and temperature setpoint; and provides nonvolatile
memory to restore system settings when power is cycled.
Meanwhile, microcontroller U19 is the chief component of the pulse oximeter and oxygen monitor.
When powered on, dedicated firmware processes key inputs received from the membrane switch
panel and continuously monitors the oxygen content and serial communications from the pulse
oximetry board. It continuously selects and updates the seven-segment digits for %SpO2, Pulse, and
Oxygen concentration, as well as the pulse bar graph and the pulse-oximeter / oxygen display mode
LEDs. It provides early warning for too low of a low oxygen alarm setpoint and drives the alarm
output. It also provides nonvolatile memory to restore system settings when power is cycled.
MEASURED TEMPERATURE DISPLAY

The seven-segment display LEDs (DS1, DS2, and DS3) and the display mode LEDs (D53, D54, D55,
and D56) are updated at 200 Hz and are driven by current source array U11. This refresh rate is
established by the microcontroller, which activates the common cathodes for each display component
using open collector Darlington array U10.
Part No. 715-0084, Rev. A - 79 -

MAIN INCUBATOR ALARM AND POWER INDICATORS
Of the twelve remaining alarm and indicator LEDs for the incubator, nine are driven by U8 and U9,
which are open collector Darlington arrays. Two indicators (BAT CHG and PWR FAIL) are driven
directly since they must operate when the incubator power is turned off. One indicator (>37 C) is
driven by the microcontroller through open collector Darlington array U10. The audible alarm is turned
on as determined by logic on the control board. The audible alarm can be silenced for approximately
60 seconds by pressing the MUTE button. This charges C13 raising the voltage above the reference
voltage generated by R25 and R27. The comparator U14-B compares these voltages and turns off
Q3, which turns off the audible alarm until the C13 discharges through R26. It also turns off an input to
U10, which in turn turns on an input to U10, thus causing the alarm muted LED to come on. The
MUTE button is overridden by a PWR FAIL alarm turning on Q5.
TEMPERATURE SETPOINT
The temperature setpoint is entered from the membrane keypad as described in the Operator’s
Manual. The microcontroller firmware then converts this setpoint to a voltage output, which is written
to the serial digital-to-analog converter U6. This voltage in turn controls the current across fixed
resistor R16 (inserted between TP1 and TP2) and thereby emulates the passive resistor model of an
ordinary thumbwheel switch. The equivalent resistance is input to a temperature sensor circuit on the
control board. The microcontroller U4 also monitors the voltage out of U6 directly to guard against any
failure in the temperature setpoint circuit.
SETPOINT ALARM
This alarm activates when the incubator temperature is more than 1 from the setpoint. The display
will flash HI or LO every 5 seconds. An audio alarm sounds every minute until the incubator
temperature is within 1 of the setpoint.
PULSE, SpO2, AND OXYGEN DISPLAYS (OPTIONAL FEATURES)

The seven-segment display LEDs (DS20 - DS28), the pulse-oximeter / oxygen display mode LEDs
(D38 - D44), and the pulse bar graph LEDs (D45 - D49) are updated at 120 Hz by the microprocessor
on the display daughter card. The oxygen low setpoint below 21% warning LEDs (D35 - D36) is also
driven by the microprocessor on the display daughter card.
Part No. 715-0084, Rev. A - 80 -

SATURATION, PULSE, OXYGEN, AND PULSE GRAPH DISPLAYS (OPTIONAL FEATURES)
The seven-segment display LEDs (DS20 - DS28), the display mode LEDs (D38 - D44), and the
horizontal bar graph of the pulse amplitude (D45 - D49) (all located on the main display board) are
updated at 120 Hz and are driven by current source array U21. This refresh rate is established by the
microcontroller, which activates the common cathodes for each display component using open
collector Darlington array U12 and U20, with some of the selection done via the 3 to 8 line decoder
U23.
ALARM AND POWER INDICATORS (OPTIONAL FEATURES)

The low oxygen limit below 21% warning LED and the alarm are driven by U12. The alarm is the
same one as is used by the incubator so the mute circuitry will shut down all audible alarms.
ALARM SETPOINTS (OPTIONAL FEATURE)

The high and low alarm levels are entered from the membrane keypad as described in the Operator’s
Manual. The microcontroller firmware then compares the setpoints to the serially communicated
inputs from the pulse oximetry board and the serial data from the analog to digital converter, which is
in turn connected to an instrumentation amplifier with a gain of 1 on the oxygen reading level. These
setpoints are stored in the EPROM included in the microprocessor U19.
SETPOINT ALARM (OPTIONAL FEATURE)

This alarm activates when any reading is greater than its respective high setpoints or lower than its low
setpoint. The display will flash HI or LO in the appropriate display at a rate as determined by the alarm
severity. An audio alarm sounds three times every three seconds for a medium priority alarm, and two
times every three seconds for a low priority alarm until the incubator alarming condition is removed or
the incubator is turned off.
OTHER ALARM AND WARNING CONDITIONS

All alarm conditions including error codes are detailed in the operator’s manual and in SECTION 7 of
this Service manual.
Part No. 715-0084, Rev. A - 81 -

SECTION 11: SPECIFICATIONS
GENERAL MECHANICAL SPECIFICATIONS
Height Width Depth Weight
inches (cm) inches (cm) inches (cm) lbs. (kg)
Incubator without infant 10 (25.4) 37.5 (95.2) 19.2 (48.8) 78 (35)
chamber
Standard Infant Chamber 10.75 (27.3) 29 (73.7) 17 (43.2) 17 (7.7)
Large Infant Chamber 11.25 (28.6) 29 (73.7) 17 (43.2) 20 (9.1)

Low Profile Accessory 8 (20.3) 31 (78.7) 19.2 (48.8) 18 (8.2)
Module
Accessory Module 9.5 (24.1) 31 (78.7) 19.2 (48.8) 20 (9.1)
Air/Oxy Transport Cart 14 (35.6) 38 (96.5) 23 (58.4) 26 (11.8)
Mattress Tray dimensions 11 ¾  20 ¼  1 in 29.8  60.3  2.5 cm

Infant Chamber Vertical Clearance 9 in 22.9 cm
Front Access Door w/2 hand ports 8  20 ¼ in 20.3  51.4 cm
NOTE: Dimensions and weights are approximate. Height dimensions are given such that when
added the approximate total height is given.
Part No. 715-0084, Rev. A - 82 -

SECTION
N 11: SPECIF
S FICATIO
ONS
Mo
ounting Prrovisions
Fo
our draw lattches at the
e corners off the incuba
ator are inte
ended to be
e utilized to mount the incubator to
t
an
n interface that will sec
curely fix the
e incubatorr system in a hospital ssetting or e
emergency vehicle as
ap
ppropriate. It is the cus
stomer’s re
esponsibility
y to ensure that any sa
afety requirrements havve been
ad
ddressed on
n the installation. Unle
ess otherwise specified maximum
m additional equipmen
nt weight
lim
mited to 10 lbs.
l
Figure
F 11 - 1
ELECTR
RICAL SPECIF
S ICATIO
ONS
AC
C Power ------------------------------------------------------------ 1 20 VAC 50
0 - 400 Hz 6 Amps
230 VAC 50
0 - 400 Hz 6 Amps
Acccessories ---------------
- ----------------------------------------- 3 Amps
Exxternal DC Power
P ----------------------------------------------- 1 2 volts 10 A
Amps
Intternal Batte
ery ---------------------------------------------------- O
One 12 volt 26 AH Sea
aled Lead/A
Acid type
Ba
attery Life ---------------------------------------------------------- A
Approx. 200
0 cycles
No
ominal Batte
ery Recharrge (90%) Time
T -------------------- 8 Hr. on AC,, Unit Off
No
ominal Batte
ery Operatiion Time ----------------------------- 3 Hr. Chamb
ber at 37 C Ambient 2
20 C
Exxamination Light ------------------------------------------------- 5 Watt
Parrt No. 715-008

84, Rev. A - 83 -
OPERATIONAL SPECIFICATIONS
Temperature Setpoint ----------------------------------------- 17 C to 38.9 C, 0.1 C increments
Digital Display Resolution ------------------------------------ 0.1 C
Digital Display Accuracy --------------------------------------  1 C in range 10 to 45 C
Warmup time2 --------------------------------------------------- 15 minutes  20%, standard chamber
20 minutes  20%, large chamber
3
Carbon dioxide concentration ------------------------------ < 0.5%
Maximum Infant Weight --------------------------------------- 16 lb (7.3 kg)
EMC SPECIFICATIONS
EMC Compliance
The Transport Incubator has been tested and found to comply with limits for electromagnetic
interference and suseptibility as defined by IEC 60601-1-2. However, this equipment may radiate
radio frequency (RF) energy and may cause harmful interference to other devices. The Transport
Incubator is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the Transport Incubator can help prevent electromagnetic
interference by operating the device in the environments and with the minimum separation distances
specified in the Service Manual. Additionally, periodic maintenance as specified by International
Biomedical will allow the device to continue to provide basic safety and essential performance.
GUIDANCE AND MANUFACTURER’S DECLARATION - EMISSIONS

The Transport Incubator is intended for use in the electromagnetic environment specified below.
The customer or user of the Transport Incubator should ensure that it is used in such an
environment.
ELECTROMAGNETIC ENVIRONMENT -
EMISSIONS TEST COMPLIANCE
GUIDANCE
The Transport Incubator uses RF energy
only for its internal function. Therefore, its
RF Emissions CISPR 11 Group 1 RF emissions are very low and are not likely
to cause any interference in nearby
electronic equipment.
Conducted Emissions The Transport Incubator is suitable for use in
Class B
CISPR 11 all establishments, including domestic, and
Harmonics IEC 61000-3-2 Class A those directly connected to the public low-
voltage power supply network that supplies
Flicker IEC 61000-3-3 Complies buildings used for domestic purposes.
2
As determined by EN60601-2-20, clause 201.12.1.107. Time to rise 11 C, when control temperature is set 12 C
above ambient.
3
As determined by EN60601-2-20, clause 201.12.4.2.101. Measured 15 cm from 4% CO2 mixture administered at rate
of 750 ml/min, 10 cm above center of mattress.
Part No. 715-0084, Rev. A - 84 -

GUIDANCE AND MANUFACTURER’S DECLARATION - IMMUNITY

environment.
IEC 60601 COMPLIANCE ELECTROMAGNETIC
IMMUNITY TEST
TEST LEVEL LEVEL ENVIRONMENT - GUIDANCE
Floors should be wood, concrete,
ESD  8 kV Contact  8 kV Contact or ceramic tile. If floors are
IEC 61000-4-2  15 kV Air  15 kV Air synthetic, the r/h should be at
least 30%.
Mains power quality should be
EFT  2 kV Mains  2 kV Mains
that of a typical commercial or
IEC 61000-4-4  1 kV I/Os  1 kV I/Os hospital environment.
Mains power quality should be
Surge  1 kV Differential  1 kV Differential
that of a typical commercial or
IEC 61000-4-5  2 kV Common  2 kV Common hospital environment.
> 95% Dip for 0.5 > 95% Dip for 0.5
Cycle Cycle
60% Dip for 5 60% Dip for 5 Mains power quality should be
Cycles Cycles that of a typical commercial or
hospital environment. If the user
30% Dip for 25 30% Dip for 25 of the Transport Incubator
Voltage
Cycles Cycles requires continued operation
Dips/Dropout
during power mains interruption, it
IEC 61000-4-11
> 95% Dip for 5 During the 5 is recommended that the
Seconds Second event, the Transport Incubator be powered
Transport from an uninterruptible power
Incubator supply or internal battery.
switches to
internal battery
power.
Power Frequency Power Frequency magnetic fields
50/60 Hz Magnetic should be that of a typical
30 A/m 30 A/m
Field commercial or hospital
IEC 61000-4-8 environment.
Part No. 715-0084, Rev. A - 85 -

GUIDANCE AND MANUFACTURER’S DECLARATION - IMMUNITY

environment.
ELECTROMAGNETIC
IEC 60601 COMPLIANCE
IMMUNITY TEST ENVIRONMENT -
TEST LEVEL LEVEL
GUIDANCE
Portable and mobile
communications equipment
should be separated from the
Transport Incubator by no
less than the distances
calculated/listed below:
Conducted RF 3 Vrms 3 Vrms
IEC 61000-4-6 150 kHz to 80 MHz 150 kHz to 80 MHz D= 𝟑.𝟓 √𝐏
(AC/DC) (AC/DC) 𝑽𝟏
6 Vrms 6 Vrms 𝟑.𝟓

(in ISM Bands (in ISM Bands D=
𝑬𝟏
√𝐏
between 150 kHz between 150 kHz 80 to 800 MHz
and 80 MHz) and 80 MHz)
𝟕
D=
𝑬𝟏
√𝐏
800 MHz to 2.5 GHz
Radiated RF 3 V/m (V1) Vrms Where P is the max power in

IEC 61000-4-3 80 MHz to 2.5 GHz watts and D is the
recommended separation
distance in meters.
(E1) V/m Field strengths from fixed

transmitters, as determined
by an electromagnetic site
survey, should be less than
the compliance levels (V1 and
E1).
Interference may occur in the

vicinity of equipment
containing a transmitter.
Proximity fields See See This equipment should be

from RF Wireless IEC 60601-1- IEC 60601-1-2:2014 placed no closer than 30 cm
Communication 2:2014 8.10 from the nearest RF Wireless
Equipment 8.10 communication device.
IEC 61000-4-3
Equipment and Systems that are NOT Life-Supporting
Part No. 715-0084, Rev. A - 86 -

RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF
COMMUNICATIONS EQUIPMENT AND THE TRANSPORT INCUBATOR
The Transport Incubator is intended for use in the electromagnetic environment in which
radiated disturbances are controlled. The customer or user of the Transport Incubator can help
prevent electromagnetic interference by maintaining a minimum distance between portable and
mobile RF Communications Equipment and the Transport Incubator as recommended below,
according to the maximum output power of the communications equipment.
SEPARATION (m) SEPARATION (m) SEPARATION (m)
MAX OUTPUT 150 kHz to 80 MHz 80 to 800 MHz 800 MHz to 2.5 GHz
POWER (WATTS)
D=(3.5/V1)(Sqrt P) D=(3.5/E1)(Sqrt P) D=(7/E1)(Sqrt P)
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.17 1.17 2.33
10 3.69 3.69 7.38
100 11.67 11.67 23.33
Equipment and Systems that are NOT Life-Supporting
ESSENTIAL PERFORMANCE
 The accuracy of the set temperature to the real temperature will be maintained within  2 C at
ambient temperatures between 10 and 20 C and within  1.5 C at an ambient temperature of
25 C  1 C for normal operation.
 In the event that the temperature is outside of the prescribed range, an audible alarm will be
supplied.
 The warm up time for the incubator with large chamber, as defined by 60601-2-20 section
201.12.1.107 shall be 20 minutes* - as defined in our IFU.
 The indication of the temperature shall be accurate within 1 C when measured with a standard
thermometer at a point 10 cm above the middle of the mattress.
 The O2 Monitor shall be accurate within 2.5% + 2.5% of gas level (Volume Fraction of Gas
Level).
 When the power supply falls outside of the normal values for operation, the incubator shall
switch over to its internal battery, and shall display an indicator that the device is operating on
battery power.
 For incubators equipped with SpO2 capability, the SpO2 accuracy shall be less than or equal to
4% over the range of 70-100% SaO2.
 For incubators equipped with SpO2 capability, the Pulse Rate accuracy shall be less than or
equal to 5 bpm over the range of 25-240 bpm.
 For incubators equipped with SpO2 capability, SpO2 level low shall create an audible and visual
alarm.
 For incubators equipped with SpO2 capability, alarms shall be generated in the event of probe
or patient cable failures, or if the SpO2 system is incapable of updating the measured data for a
period of 30 seconds.
Part No. 715-0084, Rev. A - 87 -

PULSE OXIMETER SPECIFICATIONS (OPTIONAL FEATURE)
Range
Oxygen Saturation ---------------------------- 1% - 100%
Pulse Rate -------------------------------------- 25-240 bpm
Perfusion Index (Masimo Only) ----------- 0.02% to 20%
Resolution
Oxygen Saturation ---------------------------- 1%
Pulse Rate -------------------------------------- 1 bpm
Sensor Peak Wavelengths
Peak wavelength information may be useful to clinicians, such as those performing
photodynamic therapy.
Masimo ------------------------------------------ 660 nm (red light), 905 nm (infrared light)
Nellcor ------------------------------------------- 660 nm (red light), 900 nm (infrared light)
Sensor Maximum Power Output
Masimo ------------------------------------------ less than 15 mW (at 50 mA pulsed)
Nellcor ------------------------------------------- less than 15 mW
Part No. 715-0084, Rev. A - 88 -

Masimo Sensor Accuracy4
During No Motion Conditions5
Oxygen Saturation - Neonates ------------ 70 - 100%  3%
0 - 69% unspecified
Oxygen Saturation - Pediatrics ------------ 70 - 100%  2%
0 - 69% unspecified
Pulse Rate - Neonates / Pediatrics ------- 25 - 240 bpm  3 bpm
During Motion Conditions6,7
Oxygen Saturation - Neonates / Pediatrics ------ 70 - 100%  3%
0 - 69% unspecified
Pulse Rate - Neonates / Pediatrics ----------- 25 - 240 bpm  5 bpm
Low Perfusion (where 0.02% Pulse Amplitude and % Transmission > 5%)8
Oxygen Saturation - Neonates / Pediatrics ------------------------  2%
Pulse Rate - Neonates / Pediatrics ----------------------------------  3 bpm
4
Masimo sensors have been validated for pulse rate accuracy for the range of 25 - 240 bpm in bench top testing against
a Biotek Index 2 simulator. This variation equals plus or minus one standard deviation, which encompasses 68% of
the population.
5
Masimo SET technology with LNCS sensors have been validated for no motion accuracy in human blood studies on
healthy adult male and female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of
70-100% SpO2 against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard
deviation, which encompasses 68% of the population. The saturation accuracy of the neonatal sensors was validated
on adult male and female volunteers with light to dark skin pigmentation and 1% was added to account for the
properties of fetal hemoglobin.
6
Masimo SET technology with LNCS sensors has been validated for motion accuracy in human blood studies on
healthy adult male and female volunteers with light to dark skin pigmentation in induced hypoxia studies while
performing rubbing and tapping motions, at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non-repetitive motion between
1 to 5 Hz at an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory
co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation, which encompasses 68%
of the population.
7
The Masimo SET Technology with LNCS Neo sensors has been validated for neonatal motion accuracy in human
blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions, at
2 to 4 Hz at an amplitude of 1 to 2 cm and a non-repetitive motion between 1 to 5 Hz at an amplitude of 2 to 3 cm in
induced hypoxia studies in the range of 70-100% SpO2 against a laboratory CO-oximeter and ECG monitor. 1% has
been added to the saturation accuracy to account for the effects of fetal hemoglobin. This variation equals plus or
minus one standard deviation, which encompasses 68% of the population.
8
Masimo SET technology has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2
simulator and Masimo’s simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5%
for saturations ranging from 70 to 100%. This variation equals plus or minus one standard deviation, which
encompasses 68% of the population.
Part No. 715-0084, Rev. A - 89 -

Nellcor Sensor Accuracy9,10
Oxygen Saturation (70-100% range) -------------  2% (Oximax adhesive sensors)
Oxygen Saturation (60-80% range) ---------------  3% (MAX sensors)
Pulse Rate ----------------------------------------------- 20 - 240 bpm  3 bpm
Interfering Substances
Carboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal
to the amount of carboxyhemoglobin present. Dyes, or any substance containing dyes, that change
usual arterial pigmentation may cause erroneous readings.
OXYGEN MONITOR SPECIFICATIONS (OPTIONAL FEATURE)

Measurement Range ------------------------ 10.0% to 100%
Resolution -------------------------------------- 0.1%
Response Time ------------------------------- < 16 seconds for 90% response
< 25 seconds for 97% response
Accuracy ----------------------------------------  4.0% over measurement range
Stability ------------------------------------------ Less than 2% drift over 8 hours at constant
temperature and pressure
Required Sample Flow ---------------------- Minimal 3cc/minute, 100cc/minute typical
Operating Temperature --------------------- 5 to 40 C (31 - 104F)
INTERFERING SUBSTANCES
Interferent Volume % Dry Interference in Oxygen Reading
Nitrous Oxide 75% < 2%
Carbon Dioxide 10% < 2%
Halothane 5% < 2%
Enflurane 5% < 2%
Isoflurane 5% < 2%
Helium 70% < 2%
Sevoflurane 6% < 2%
Desflurane 15% < 2%
9
The NELL-1 PulseOximeter board has been validated, in part, by studies conducted on healthy adult male and female
volunteers, spanning a range of skin pigmentations and ranging in age from 18-50 years old, under controlled
laboratory conditions over the saturation range of 70% to 100%. SpO2 was compared to SaO2 measured to blood CO-
oximetry, and pulse rate was compared to EKG heart rate. Clinical functionality has been demonstrated on a
population of hospitalized neonate and infant patients (MAX sensors: 1-23 days old, weight from 750-4100 grams,
Softcare sensors: 24-40 weeks old, weight from 710-5000 grams).
10
The NELL-1 PulseOximeter board has been validated for low perfusion accuracy using signals supplied by a patient
simulator. SpO2 and pulse rate values were varied across the monitoring range over a range of weak signal conditions
and compared to the known true saturation and pulse rate of the input signals.
Part No. 715-0084, Rev. A - 90 -

OPERATING, STORAGE, AND TRANSPORT ENVIRONMENT
The infant transport incubator requires the following environmental conditions for transport and
storage:
Temperature ----------------------------------------------------- -15 C to 40 C

Humidity ----------------------------------------------------------- 10% to 95% non-condensing
Pressure ---------------------------------------------------------- 50 kPa to 106 kPa
The requirements of the International Standard, EN60601-2-20:2009 are met. The environment, if not
further specified in the standard, is:
Temperature ----------------------------------------------------- 21 C to 25 C

Humidity ----------------------------------------------------------- 45% to 75% non-condensing
Pressure ---------------------------------------------------------- 86 kPa to 106 kPa
Part No. 715-0084, Rev. A - 91 -

SECTION 12: WARRANTY
Unless otherwise specified, International Biomedical warrants all products of its manufacture at the
time of shipment to be free from defects of material and workmanship for a period of twelve months
from the date of shipment when owned by the original purchaser. Any product which is believed to be
defective, if returned within twelve months after date of shipment by the Company with freight prepaid
and found by the Company’s inspection to be defective within the terms of this warranty, will be
repaired or replaced free of charge and shipped, freight prepaid, to any point in the United States. If
inspection by the Company of any such product does not disclose any defect within the terms of this
warranty, the Company’s regular charges for repairs or replacement and freight shall apply. All
consumable and disposable products are guaranteed to be free from defects upon shipment only. The
warranty period for batteries is limited to 90 days from date of shipment.
This warranty specifically excludes and replaces all other express and implied warranties. The
Company shall have no liability under any warranty in any amount greater than the Company receives
for the sale of the product involved. The use and manner of use of the Company’s products shall be
the responsibility of the purchaser and the purchaser covenants and agrees to indemnify and save
harmless the Company in respect to any loss and damage that may arise through the use by the
purchaser, or others, of any of the Company’s products.
This warranty is rendered void and International Biomedical cannot be held liable for conditions
resultant therefrom if:
1. Damage to the unit is incurred as a result of mishandling.
2. The customer fails to maintain the unit in a proper manner.
3. The customer uses any parts, accessories, or fittings not specified or sold by
International Biomedical.
4. Sale or Service is performed by a non-certified service / dealer agency or any other
unauthorized agency.
All shipping claims must be made within 30 days from date of shipment from International Biomedical;
otherwise factory will not be liable for claims of missing items. Any item ordered in error and returned
to the factory for credit, will be subject to a minimum restocking charge of 15%. Requests for returning
items must be made within 30 days of factory shipment date.
International Biomedical will accept no returned goods without a Returned Goods Authorization
number (RGA) obtained from Customer Service Department.
Part No. 715-0084, Rev. A - 92 -

SECTION 13: SYSTEM DOCUMENTATION
EUROPEAN REGULATORY AFFAIRS REPRESENTATIVE
The authorized regulatory affairs representative in Europe for the incubator is:
Emergo Europe
Prinsessegracht 20
2514 AP
The Hague, The Netherlands
PARTS AND ACCESSORIES

Power Cords (vary depending on customer requirements)
216-0350 Strap, Infant Positioning - (Reorder PN 731-2950, Case of 20)
700-3409 409B Skin Temperature Probe, Reusable
711-1860 Cable, Oxygen Sensor to Side Panel
711-0022 Cable Assy, Patient, 10’, Masimo LNCS
711-1920 Cable Assy Patient, 10 Foot, Nellcor Oximax
731-0004 Phototherapy Eye Shields, Small
731-9592 Cover, Thermal, Incubator - Large, Head and Foot Door
For general incubator assistance or for parts and accessories, contact:

International Biomedical
8206 Cross Park Drive
Austin, TX 78754
512-873-0033
www.int-bio.com
For information on Masimo pulse oximeter sensors and cables, contact:

Masimo Corporation
52 Discovery
Irvine, CA 92618
949-297-7000
www.masimo.com
For information on Nellcor pulse oximeter sensors and cables, contact:

Covidien
6135 Gunbarrel Avenue
Boulder, CO 80301
800-635-5267 or 303-530-2300
www.nellcor.com
Part No. 715-0084, Rev. A - 93 -

SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
SYSTE
EM WIR
RING DIAGRAM
M, MAS
SIMO PU
ULSEO
OX (002-0013)
Parrt No. 715-008

84, Rev. A - 94 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
SYSTE
EM WIR
RING DIAGRAM
M, NELLCOR PULSE
EOX (00
02-0016)
Parrt No. 715-008

84, Rev. A - 95 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
CONTR
ROL BO
OARD SCHEM
S MATIC (0
001-518
81)
Parrt No. 715-008

84, Rev. A - 96 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
PULS
SEOX DISPLA
D AY BOA
ARD SCHEMAT
TIC (001
1-5193))
Parrt No. 715-008

84, Rev. A - 97 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 98 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 99 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 10
00 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 10
01 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 10
02 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
SCHE
EMATIC, NON-P
PULSE
EOX DIS
SPLAY BOARD
D (001-5
5192)
Parrt No. 715-008

84, Rev. A - 10
03 -
SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
Parrt No. 715-008

84, Rev. A - 10
04 -
SECTION 14: SCHEMATICS / DRAWINGS
TEMPERATURE SENSOR RESISTANCE VALUES

Temperature Resistance
( C) (ohms)
15 3539
16 3378
17 3226
18 3081
19 2944
20 2814
21 2690
22 2572
23 2460
24 2354
25 2252
26 2156
27 2064
28 1977
29 1894
30 1815
31 1739
32 1667
33 1599
34 1533
35 1471
36 1412
37 1355
38 1301
39 1249
40 1200
41 1152
42 1107
43 1064
44 1023
Part No. 715-0084, Rev. A - 105 -

SECTION
N 14: SCHEM
S MATICS / DRAW
WINGS
AIRFLO
OW DIA
AGRAM
M (002-4
4000)
Parrt No. 715-008

84, Rev. A - 106 -

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Voyager Transport Incubator

Part No. 715-0084, Rev. A -1-

Part No. 715-0084, Rev. A -2-

Part No. 715-0084, Rev. A -3-

Parrt No. 715-008

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Part No. 715-0084, Rev. A - 11 -

IMPORTANT SAFETY CONSIDERATIONS

Part No. 715-0084, Rev. A - 12 -

WARNING: Maintenance or operating procedure, technique, etc., which may result

CAUTION: Maintenance or operating procedure, technique, etc., which may result in

NOTE: Maintenance or operating procedure, technique, etc., which is considered

 USE OF OXYGEN INCREASES FIRE DANGER: Spark-producing auxiliary equipment should

Part No. 715-0084, Rev. A - 13 -

 Do not change the lamp and touch the patient simultaneously.

 Portable RF communications equipment (including peripherals such as antenna cables and

Part No. 715-0084, Rev. A - 14 -

 The pulse oximeter should NOT be used as an apnea monitor.

 Do not use liquids in or around the transport incubator.

Part No. 715-0084, Rev. A - 15 -

 If a sensor or cable is damaged in any way, discontinue use immediately.

Part No. 715-0084, Rev. A - 16 -

Part No. 715-0084, Rev. A - 17 -

On (power: connection to the mains)

Prottective earth (ground)

BABY TEMP Baby probe temp

Parrt No. 715-008

he Voyager Incubator is a highly customizab

Parrt No. 715-008

8. Take the outer, clear Plexiglas infant ch

Lamp mou unting

Parrt No. 715-008

1. Mount the blender bra

2. Slide the blender

4. Connect th a air hoses with the

5. Screw the flowmeter bracket ontto the blend

Figure 2 - 5 Blender / Flowme

Parrt No. 715-008

Part No. 715-0084, Rev. A - 22 -

FRONT PANEL DISPLAY FEATURES

Part No. 715-0084, Rev. A - 23 -

1. Systeem Fail Alarm Indicator (SYS S FAIL)

Parrt No. 715-008

2: Sensor Fail Alarm Indicator (SENS FAIL)

3: Air Temperature Setpoint > 37 C Indicator

4: Air Flow Alarm Indicator (AIR FLO)

5: High Temperature Alarm Indicator (HIGH TEMP)

7: Power Fail Indicator (PWR FAIL)

8: Main Display Screen

9: Air Temperature Display Indicator

10: Set Air Temperature Indicator

11: Baby Temperature Display Indicator

Part No. 715-0084, Rev. A - 25 -