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USER GUIDE
February / 2013
Revision 02
No part of this manual may be reproduced or transmitted by any means and for any purpose without written
permission of Olidef.
This equipment had its project developed and manufactured exclusively by Olidef cz Indústria e Comércio de
Aparelhos Hospitalares Ltda.
Olidef has a policy of continuous improvement of its products and reserves the right to change technical
specifications without previous notice.
The images contained herein are merely illustrative.
Manufacturer:
Olidef cz Indústria e Comércio de Aparelhos Hospitalares Ltda.
Avenida Patriarca, 2223 - Ribeirão Preto/SP – Brasil
ZIP CODE 14031-580.
CNPJ MF 55.983.274/0001-30
I.E. 582.013.221.111
Contacts:
Phone: (16) 3919-9350
Fax: (16) 3919-9351
SAC: 0800 18 3111
Email: comercial@olidef.com.br
Site: www.olidef.com.br
Brazilian Industry
Register at ANVISA: 10227180028
Olidef cz Indústria e Comércio de Aparelhos Hospitalares Ltda. declares that this product complies with the
Brazilian standards, national regulator bodies and the Directives 93/42/EEC of the European Council
concerning medical devices when used according to the instructions provided by the user and technical
guides.
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SUMMARY
1 - IDENTIFICATION ....................................................................................................................................... - 5 -
1.1 - NAME AND MODEL..............................................................................................................................- 5 -
1.2 - PRODUCT DESCRIPTION ...................................................................................................................- 5 -
1.3 - PHYSICAL PRINCIPLES ......................................................................................................................- 6 -
1.4 - PARTS AND ACCESSORIES: ..............................................................................................................- 6 -
1.4.1 – CONTROL MODULE – 1 (MC1) ................................................................................................... - 7 -
1.4.2 - DOME ............................................................................................................................................ - 7 -
1.4.3 - BED WITH MATTRESS ................................................................................................................ - 8 -
1.4.4 - BED TILT – CONVENTIONAL SYSTEM ...................................................................................... - 9 -
1.4.5 – BODY .......................................................................................................................................... - 10 -
1.4.6 – CONVENTIONAL SUPPORT ..................................................................................................... - 10 -
1.4.7 - AIR FILTER ................................................................................................................................. - 11 -
1.4.8 - WATER LEVEL INDICATOR- PASSIVE HUMIDIFICATION ...................................................... - 11 -
1.4.9 - LIMITING OXYGEN VALVE ........................................................................................................ - 12 -
1.4.10 - RN SENSOR (CODE 520041143030) ...................................................................................... - 12 -
1.4.11 - SECONDARY RECHARGEABLE BATTERY (CODE 2650010504) ........................................ - 13 -
1.5 - OPTIONALS, ACCESSORIES AND CONSUMPTION MATERIAL .....................................................- 13 -
1.5.1 - CONTROL MODULE – 2 (MC2).................................................................................................. - 13 -
1.5.2 - CONTROL MODULE – 3 (MC3).................................................................................................. - 14 -
1.5.3 - SERVOCONTROLLED SYSTEM FOR HUMIDITY .................................................................... - 14 -
1.5.4 - SERVO CONTROLLED SYSTEM FOR OXYGEN ..................................................................... - 15 -
1.5.5 - INTEGRATED OXIMETRY SYSTEM .......................................................................................... - 16 -
1.5.6 - EXTENDER CABLE FOR OXIMETRY SENSOR (CODE 2650010403) .................................... - 16 -
1.5.7 - Y-TYPE OXIMETRY SENSOR (CODE 2650010443) ................................................................ - 17 -
1.5.8 - INTEGRATED BALANCE............................................................................................................ - 17 -
1.5.9 - BALANCE LC 5 ........................................................................................................................... - 18 -
1.5.10 - SERIAL COMMUNICATION SYSTEM ...................................................................................... - 18 -
1.5.11 - DOME WITH DOUBLE DOWEL................................................................................................ - 19 -
1.5.12 - DOME WITH FRONT AND REAR ACCESS COVER ............................................................... - 19 -
1.5.13 -DOME WITH DOUBLE DOWEL AND FRONT AND REAR PORT............................................ - 20 -
1.5.14 - INTERNAL DOME ..................................................................................................................... - 20 -
1.5.15 - INTERNAL DOME W/ REAR PORT ......................................................................................... - 21 -
1.5.16 - MONITOR SUPPORT ............................................................................................................... - 21 -
1.5.17 - LOWER SERUM SUPPORT ..................................................................................................... - 22 -
1.5.18 - HIGHER SERUM SUPPORT .................................................................................................... - 22 -
1.5.19 - BALANCE SUPPORT ............................................................................................................... - 23 -
1.5.20 - AUXILIARY LIGHTING .............................................................................................................. - 23 -
1.5.21 - INTEGRAL BUMPER ................................................................................................................ - 24 -
1.5.22 - AUXILIARY OUTLETS .............................................................................................................. - 24 -
1.5.23 - DRAWER FOR X-RAY .............................................................................................................. - 25 -
1.5.24 - SYSTEM OF BED CONTINUOUS TILT.................................................................................... - 25 -
1.5.25 - SUPPORT WITH HEIGHT SET SYSTEM ................................................................................ - 25 -
1.5.26 - EXTERNAL BOX IN ALUMINUM .............................................................................................. - 26 -
1.5.27 - DETACHABLE SUPPORT ........................................................................................................ - 27 -
1.5.28 - DOUBLE DRAWER ................................................................................................................... - 27 -
1.5.29 - LARGE DRAWER ..................................................................................................................... - 28 -
1.5.30 - CLOSET .................................................................................................................................... - 28 -
1.5.31 - AUTOCLAVABLE WATER TANK ............................................................................................. - 28 -
1.5.32 - ICE TANK .................................................................................................................................. - 29 -
1.5.33 - INDICATOR TO USE OXYGEN ................................................................................................ - 29 -
1.5.34 - PASSIVE OXYGEN VALVE ...................................................................................................... - 29 -
1.5.35 - HOSE FOR OXYGEN (CODE 2650010470) ............................................................................ - 30 -
1.5.36 - HOSE FOR COMPRESSED AIR (CODE 2650010902) ........................................................... - 30 -
1.5.37 - CASTER OF 5” .......................................................................................................................... - 30 -
1.5.38 - CASTER OF 6” .......................................................................................................................... - 30 -
1.5.39 - DISPOSABLE RN SENSOR (code 2600040050) ..................................................................... - 31 -
1.5.40 - AUXILIARY TEMPERATURE SENSOR (CODE 2600040040) ................................................ - 31 -
1.5.41 - COVER FOR AUTOCLAVABLE MATTRESS (CODE 1450000078) ........................................ - 31 -
1.5.42 - GEL MATTRESS (CODE 2650010349) .................................................................................... - 31 -
1.5.43 - ADAPTER FOR VENT TUBES (CODE 548081121080) .......................................................... - 32 -
1.5.44 - TRIPLE RULE SET ................................................................................................................... - 32 -
1.5.45 - NEBULIZER (CODE 5010000014) ........................................................................................... - 32 -
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1.5.46 - MANUAL RESUSCITATOR ...................................................................................................... - 33 -
1.5.47 - HOOD FOR OXYGEN THERAPY ............................................................................................. - 33 -
1.5.48 - HALOGEN PHOTOTHERAPY .................................................................................................. - 34 -
1.5.49 - DISINFECTION TANK ............................................................................................................... - 34 -
1.5.50 - AIR FILTER ............................................................................................................................... - 34 -
1.5.51 - ADHESIVES FOR OXYMETRY SENSOR ................................................................................ - 35 -
1.5.52 - ADHESIVES FOR RN SENSOR (CODE 548051121080) ........................................................ - 35 -
1.5.53 - EYE SHIELD FOR PHOTOTHERAPY ...................................................................................... - 35 -
1.6 - TECHNICAL SPECIFICATIONS .........................................................................................................- 36 -
1.6.1 - SYMBOLS USED IN EQUIPMENT ............................................................................................. - 38 -
2 - SPECIAL CONDITIONS OF STORAGE, PRESERVATION AND/OR HANDLING OF PRODUCT:...... - 39 -
2.1 - BEFORE INSTALLATION: ..................................................................................................................- 39 -
2.2 - AFTER INSTALLATION: .....................................................................................................................- 40 -
3 - WARNINGS AND/OR PRECAUTIONS TO BE TAKEN .......................................................................... - 40 -
3.1 - OXYGEN .............................................................................................................................................- 42 -
3.2 - INTEGRATED OXYMETRY ................................................................................................................- 42 -
4 - PERFORMANCES ON ESSENTIAL SAFETY REQUIREMENTS AND EFFICACY OF MEDICAL
PRODUCT ..................................................................................................................................................... - 43 -
4.1 - INDICATION, PURPOSE OR USE THAT THE PRODUCT IS INTENDED .......................................- 43 -
4.2 - SAFETY AND EFFICACY OF PRODUCT: .........................................................................................- 43 -
5 - USE WITH OTHER EQUIPMENT ............................................................................................................ - 46 -
6 - INSTALLATION AND OPERATION ........................................................................................................ - 47 -
6.1 - INSTALLATION OF EQUIPMENT .......................................................................................................- 47 -
6.1.1 - UNPACKING ............................................................................................................................... - 47 -
6.1.2 - PRELIMINARY CHECKING ........................................................................................................ - 47 -
6.1.3 - ASSEMBLY OF EQUIPMENT ..................................................................................................... - 47 -
6.1.4 - ASSEMBLY OF EQUIPMENT WITH HEIGHT ADJUSTMENT SUPPORT (OPTIONAL) .......... - 48 -
6.1.5 INSTALLATION OF MONITOR SUPPORT (OPTIONAL) ............................................................. - 49 -
6.1.7 INSTALLATION OF GREATER SERUM SUPPORT (OPTIONAL) .............................................. - 50 -
6.1.8 - INSTALLATION OF AUXILIARY LAMP (OPTIONAL) ................................................................ - 51 -
6.1.9 - INSTALLATION OF INTEGRATED OXIMETRY (OPTIONAL) ................................................... - 51 -
6.1.10 - INSTALLATION OF INTEGRATED BALANCE (OPTIONAL) ................................................... - 52 -
6.1.11 - INSTALLATION OF LC5 BALANCE (OPTIONAL) .................................................................... - 53 -
6.1.12-INSTALLATION OF PHOTOTHERAPY (OPTIONAL) ................................................................ - 54 -
6.1.13 - INSTALLATION OF NEBULIZER (OPTIONAL) ........................................................................ - 54 -
6.1.14 - INSTALLATION OF AUXILIARY TEMPERATURE SENSOR (OPTIONAL) ......................... - 55 -
6.2 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC1 .........................................................................- 56 -
6.2.1 - USE OF AR MODE ..................................................................................................................... - 56 -
6.2.2 - USE OF RN MODE ..................................................................................................................... - 58 -
6.2.3- HUMIDITY CONTROL .................................................................................................................. - 60 -
6.2.4 - OXYGEN CONTROL ................................................................................................................... - 60 -
6.2.5 LC5 BALANCE (OPTIONAL MODULE) ........................................................................................ - 63 -
6.2.6 - ADDITIONAL RESOURCES ....................................................................................................... - 63 -
6.2.6.1 - LOCK KEY ............................................................................................................................ - 63 -
6.2.7 - OPERATION OF ALARMS.......................................................................................................... - 63 -
6.2.8 - CHECK OF ALARM SYSTEMS .................................................................................................. - 66 -
6.3 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC2 .........................................................................- 67 -
6.3.1 - USE OF AR MODE ..................................................................................................................... - 67 -
6.3.2 - USE OF RN MODE ..................................................................................................................... - 69 -
6.3.3 - HUMIDITY CONTROL................................................................................................................. - 71 -
6.3.4 - OXYGEN CONTROL ................................................................................................................... - 72 -
6.3.5 INTEGRATED BALANCE (OPTIONAL MODULE)........................................................................ - 75 -
6.3.6 SERIAL COMMUNICATION .......................................................................................................... - 75 -
6.3.7 - ADDITIONAL RESOURCES ....................................................................................................... - 76 -
6.3.7.1 - LOCK KEY ............................................................................................................................ - 76 -
6.3.8 - OPERATION OF ALARMS.......................................................................................................... - 77 -
6.3.9 - CHECK OF ALARMS SYSTEM .................................................................................................. - 80 -
6.4 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC3 .........................................................................- 81 -
6.4.1 - USE OF AR MODE ..................................................................................................................... - 82 -
6.4.2 - USE OF RN MODE ..................................................................................................................... - 83 -
6.4.3- HUMIDITY CONTROL .................................................................................................................. - 85 -
6.4.4 - OXYGEN CONTROL ................................................................................................................... - 87 -
6.4.5 OXYMETRY OF INTEGRATED PULSE (OPTIONAL MODULE) ................................................. - 91 -
6.4.6 - INTEGRATED BALANCE (OPTIONAL MODULE) ..................................................................... - 94 -
6.4.7 SERIAL COMMUNICATION .......................................................................................................... - 94 -
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6.4.8 - TREND GRAPHICS .................................................................................................................... - 95 -
6.4.9 - ADDITIONAL RESOURCES ....................................................................................................... - 98 -
6.4.9.1 - KEYBOARD LOCK ............................................................................................................... - 98 -
6.4.9.2 - DATE AND HOUR ................................................................................................................ - 99 -
6.4.9.3 - CONTRAST ........................................................................................................................ - 100 -
6.4.9.4 - KANGAROO MODE ........................................................................................................... - 101 -
6.4.9.5 - NIGHT MODE ..................................................................................................................... - 101 -
6.4.10 - OPERATION OF ALARMS...................................................................................................... - 102 -
6.4.11 - CHECK OF ALARMS SYSTEM .............................................................................................. - 107 -
7 - MAINTENANCE ..................................................................................................................................... - 108 -
7.1 - PREVENTIVE MAINTENANCE .........................................................................................................- 108 -
7.2 - PERIODIC MAINTENANCE ..............................................................................................................- 109 -
7.2.1 - AIR FILTER EXCHANGE .......................................................................................................... - 110 -
7.2.2 - EXCHANGE OF AIR FILTER OF THE PASSIVE OXYGEN VALVE ........................................ - 110 -
7.2.3 - EXCHANGE OF AIR FILTER OF THE LIMITING OXYGEN VALVE ........................................ - 110 -
7.2.4 - EXCHANGE OF AIR FILTER OF SERVO CONTROLLED OXYGEN VALVE ......................... - 111 -
7.2.5 - FUSE EXCHANGE .................................................................................................................... - 111 -
8 - CLEANING AND DISINFECTION .......................................................................................................... - 113 -
8.1 - CLEANING ........................................................................................................................................- 113 -
8.2 - DISINFECTION .................................................................................................................................- 120 -
9 - TROUBLESHOOTING ........................................................................................................................... - 120 -
10 - WARRANTY ......................................................................................................................................... - 121 -
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1 - IDENTIFICATION
1.1 - NAME AND MODEL
Technical name: Incubator for newborn
Trade name: Incubator for newborn
Business model: SCTI LINE 4
-5-
The bed is made of nontoxic radiolucent plastic; it has wide dimensions and can be moved out of the dome
through guides facilitating access to the newborn for additional procedures. The bed also has continuous
system with manual-tilt set, obtaining trendelemburg and inclined positions, and high and low horizontal. A
drawer to the radiographic chassis can be placed under the bed for X-ray procedures.
The equipment is also equipped with auxiliary lighting to enhance the patient view in dark environments.
The incubator was built to operate at power supply of 127/220V~.
To read the values of temperature of AR and RN, the Incubator SCTI LINE 4 has electronic sensors with high
degree of accuracy. These temperatures are displayed independently in the panel display allowing continuous
check.
Aiming the patient and operator safety, the incubator has a complete electronic audiovisual alarm system to
situations of irregularity in the equipment with automatic operation. In both modes of operation, there are
alarms of air circulation lack, cold air, hot air, hypothermia, hyperthermia, overheating, lack of energy and
sensor failure in the equipment.
-6-
1.4.1 – CONTROL MODULE – 1 (MC1)
1-Power Inlet
2-Control Panel
3-Fan
4-Resistance
5-Fuse ports
6-General Key
7-Skin Sensor
1.4.2 - DOME
The Incubator Dome for Newborns SCTI LINE 4 is built in a biocompatible transparent acrylic (ISO 10993-1),
has rectangular shape and a folding port for intensive care in the front port to facilitate the patient access. It
has openings for hand passage with wrist sleeves and oval portholes with nontoxic silicone sealing activated
by touch to elbow. The side has an opening for tube system with iris sleeve. The dome also has passages for
flexible cables and even supports as optional double wall, which are internal walls that facilitate to maintain the
patient temperature.
-7-
Figure 4 – Dome
A – DOME: Made of transparent acrylic, front access port, passages for hands with oval portholes (B),
passage for tube with iris sleeve system (D) and passages for tubes (E).
B - PORTHOLES: Made of transparent plastic material with high mechanical resistance, they have flexible
silicone sealing and removable wrist sleeve which provide perfect sealing preventing sudden changes in air
temperature in the RN compartment. There are five portholes distributed in the dome as follows; two portholes
on the front, two portholes on the rear and one on the right side. The opening of portholes is made by a latch
activated by the touch to elbow, avoiding hand contamination before access the patient.
C - FRONT COVER: Allows quick and secure access to the patient, minimizing heat losses inside the RN
compartment. To open the cover, it should trigger the latches located on its higher part (F).
D - IRIS PORTHOLE: Allows the passage of tubes in the newborn compartment.
E - PASSAGES OF TUBES: Positioned in places of easy access at the intensive care cover opening, these
devices are used for pipe and cable passages, allowing easy removal of the RN without requiring the removal
of such devices (4 passages of tube are installed in the dome).
F - LATCH: To open the access ports, rotate the latches (F).
G - NEBULIZER COUPLER: Device located on the left side of the dome, allowing adaptation of external
nebulizer. It has plastic cover that shall be closed when the coupler is not been used.
Note: The dome may suffer changes in the number of covers and openings according to the customer needs.
-8-
1- Mattress
2- Mattress tray
3-Platform
The newborn bed consists of 3 main parts: the mattress tray, the mattress and the platform.
CAUTION
- The maximum load on the bed should not exceed 10 kg.
Equipped with two metal levers (A) with anti-corrosion and chrome treatment positioned near the dome (A),
this system allows the bed tilt in 12º in the Trendelenburg and Reverse positions.
If both levers are activated simultaneously, the bed will be placed in a high horizontal position.
Note: The levers can be supplied in polished stainless steel.
-9-
1.4.5 – BODY
1- Front (panel)
2 - Inner Basin
3 - Right side (key switch and fuses)
4 - Left side (humidification and oxygen)
5 - Rear (filter)
The incubator SCTI LINE 4 body consists of 2 main parts. The aluminum basin and the outer box.
-The outer box of the incubator body is built in metal sheet with anti-corrosion treatment and painted with
epoxy paint.
1- Front: In this part of the incubator body is installed the control module and its lock system.
2- Right side: contains the opening for cable connection to the control module and one of the hand straps for
transportation.
3- Left side: contains the following devices installed: water level indicator for passive humidification, limiting
oxygen valve, hand strap for transport, oxygen inlet valve servo controlled (optional) and water tank (optional).
4 - Rear: contains the air filter cover
- Inner Basin
The inner basin is composed by one treated and painted cast aluminum part with tank for distilled water, air
conductor and chamber for recirculation.
The air conductor aims to direct the air flow in the right direction, thus leading to the hot and moist air into the
RN compartment.
- 10 -
Figure 10 - Incubator support
Note: This conventional support can be provided in aluminum.
- 11 -
Figure 12 – Water level indicator- passive humidification
Figure 14 – RN Sensor
- 12 -
1.4.11 - SECONDARY RECHARGEABLE BATTERY (CODE 2650010504)
The Newborns Incubator SCTI LINE 4 features a rechargeable Nickel Cadmium battery (NiCd - 8.4V), which
has the function to keep the system in limited operation and a sound alarm if the battery fails.
This battery is automatically recharged when the equipment is plugged in, and its useful life is 12 months.
After this time, the battery should be replaced by a new original one.
1- Fuse holders
2 - Serial output
3 - Sensor Module
4 - Power inlet
5 - Balance Sensor
6 - General Key
7 - Fan
8 - Resistance
9 - Control Panel
10- humidification module
This module has all existing resources in the control mode - 1 and also optional: servo controlled humidifier,
integrated balance, output to PC, skin sensor auxiliary, oxygen servo controlled system, pulse oxymetry
system integrated and allows viewing trend graphs for the last 60 hours.
The panel has all existing resources in the standard control panel; the differential is due to a graphical display
of 6" and inclusion of humidity control keys, balance, oxygen oxymetry and plethysmographic curve.
1- Fuse holders
2 - humidification module
3 - Sensor Module
4 - Oxymetry Sensor
5 - Fan
6 - Resistance
7 - Control Panel
8 - balance Sensor
9 - serial output
10 - Power Inlet
11 - General Key
Figure 17 – MC2 Display panel– humidity control Figure 18 – MC3 Display panel– humidity control
Figure 20 – Oxygen servo control valve Figure 21 – MC3 Display panel– Oxygen control
Note:
- Optional item.
- 15 -
1.5.5 - INTEGRATED OXIMETRY SYSTEM
(Optional exclusively for use in the SCTI LINE 4 incubator)
This item is available regardless other optional, comprising a pair of biocompatible reusable sensors (ISO
10993) fixation adhesive kit and an electronic plate. It is a pulse oximeter to be used as continuous non-
invasive monitor of arterial oxygen (SpO2) and pulse rate that works with the application of a sensor that
contains a dual light source and a photodetector to a pulsatile arterial vascular bed as, for example, a finger.
This system was developed to measure the functional oxygen saturation in the blood. Readings are updated
every second on the display and the values shown are obtained through an arithmetic medium of 15 readings.
The use of an oxymetry system allows viewing of patient's vital parameters in the display control panel of the
incubator:
- Heart rate (BPM)
- Rate of saturated hemoglobin with oxygen in the blood (SpO2)
- Plethysmographic curve
The oxymetry system allows the increase of a unit to set the limits of maximum and minimum rates of SpO2
and BPM alarms activation as oriented by the medical attendant.
The monitoring range of SpO2 ranges from 0 to 100% and the maximum and minimum limits of alarm
activation of 50 to 100% can be set.
The monitoring range of BPM ranges from 20 to 250 bpm and the maximum and minimum limits of alarm
activation of 40 to 250 bpm can be set.
This oxymetry system is manufacture-calibrated, and the calibration is made within the ranges monitoring of
SpO2 and BPM.
Note: Optional available only for MC3 control module.
- 17 -
Figure 28 - Control Module Panel - 3
Note:
- Optional item.
1.5.9 - BALANCE LC 5
(Accessory exclusively for use of the SCTI LINE 4 incubator)
The SCTI LINE 4 incubator can be used jointly with this accessory, which allows the user to weigh the patient
inside the equipment, preventing the baby to be removed from the controlled environment incubator. The
balance consists of two main parts: the plate and balance display (built in biocompatible plastic material - ISO
10993-1), as shown in Figure 28. The balance for Olidef incubator has a load capacity up to 10kg and
accuracy of ± 5g. The patient's weight is indicated on the balance display, as shown in figure 30
Note: The use of balance does not difficult the use of a drawer for X-ray chassis since the weighing sensors of the balance plate are
located at the ends leaving the entire central part of the mattress free for the x-rays passage.
1– Display
2- Balance plate
3 - Balance Sensor
4 - General Key
5 - Fuse
6 - Power Inlet
Figure 29 – Balance LC 5
Note:
- Optional item.
For more information about using this communication system, see item 6.3.6 or 6.4.7.
Note:
- Optional item.
A – DOME: Made of transparent acrylic, with a front access port, passages for hands with oval portholes (E),
passage for tube with double dowel (F) and passages for tubes (D).
B – LATCH: To open the access ports, rotate the latches (B).
C – FRONT COVER: Allows quick and secure access to the patient, minimizing heat losses inside the RN
compartment. To open the cover, it should trigger the latches located on its higher part (B).
D – PASSAGES OF TUBES: Positioned in places of easy access at the intensive care cover opening, these
devices are used for pipe and cable passages, allowing easy removal of the RN without requiring the removal
of such devices (8 passages of tube are installed in the dome – considering the double dowel (F).
E - PORTHOLES: built with transparent plastic material with high mechanical resistance, they have flexible
silicone sealing and removable wrist sleeve which provide perfect sealing preventing sudden changes in air
temperature in the RN compartment. There are five portholes distributed in the dome as follows; two portholes
on the front, two portholes on the rear and one on the right side. The opening of portholes is made by a latch
activated by the touch to elbow, avoiding hand contamination before access the patient.
F – DOUBLE DOWEL: Positioned on the right side of dome, allows the passage of tubes in the newborn
compartment. It is readily removable to facilitate cleaning and sterilization
G – NEBULIZER COUPLER: Device located on the left side of dome, allowing adaptation of external
nebulizer. It has plastic cover that shall be closed when the coupler is not been used.
Note: The dome may change the number of portholes, covers and openings in accordance with customer requirements.
Note:
- Optional item.
1.5.13 -DOME WITH DOUBLE DOWEL AND FRONT AND REAR PORT
(Optional exclusively for use in the SCTI LINE 4 incubator)
This accessory facilitates the access to the patient allowing easy access to the newborn compartment by front
and rear of the incubator. The biocompatible transparent acrylic dome (ISO 10993-1), with front and rear
access has 12 passages for tubes, because it comes with two double dowels on the side of the dome,
contains 5 oval portholes with wrist sleeves and nontoxic silicone sealing, activated by touch to elbow; on the
left side has two double dowels for tube and also supports an optional double wall, which is an internal wall to
facilitate the maintenance of the patient temperature.
Figure 33 -Dome with double dowel and front and rear port
Note:
- Optional item.
- 20 -
Figure 34 - internal dome
Note:
- Optional item.
- 21 -
Figure 36 - Monitor support
CAUTION
- Maximum load: 10Kg
Note:
- Optional item.
CAUTION
- Maximum weight: 1 kg per hook
Note:
- Optional item.
- 22 -
Figure 38- Higher serum support
Note:
- Optional item.
Note:
- Optional item.
Note:
- Optional item.
- 23 -
1.5.21 - INTEGRAL BUMPER
(Accessory exclusively for use in the SCTI LINE 4 incubator)
Provides protection around the whole incubator perimeter protecting it from impacts. It can also be used as
transport strap of the incubator. Built in aluminum.
Type A
Type B
Type C
Figure 41 - Bumpers
Note:
- Optional item.
CAUTION
- Maximum Power: 180W per outlet
Note:
- Optional item.
- 24 -
1.5.23 - DRAWER FOR X-RAY
(Accessory exclusively for SCTI LINE 4 incubator)
Allows obtaining radiographs without the patient is removed from the incubator's bed.
- 25 -
Figure 45 - Height set system for SCTI LINE 4 incubator
1 - Front (panel)
2 - Inner Basin
- 26 -
1.5.27 - DETACHABLE SUPPORT
(Optional exclusively for the SCTI LINE 4 incubator)
This support has the same function as the conventional support with the advantage of reducing the package
size of the equipment. Built with carbon steel and anticorrosive treatment painted with epoxy paint is
comprised of four 4-inch casters with lock. This optional after mounted and fixed in the incubator has the same
setting possibilities of options and accessories offered in the conventional support.
The detachable support assembly should be performed as indicated in the following figure:
A- Allen screws
B- Tray
C- Casters
Note:
- Optional item.
Figure 49 - Drawer
Note:
- Optional item.
- 27 -
1.5.29 - LARGE DRAWER
(Accessory exclusively for use in the SCTI LINE 4 incubator)
It can be coupled to the incubator support and allows the storage of various materials (up to two large drawers
can be installed per incubator)
1.5.30 - CLOSET
(Accessory exclusively for use in the SCTI LINE 4 incubator)
It can be coupled to the incubator support and allows the storage of various materials (up to two closets can
be installed per incubator)
Figure 51 - Closet
Note:
- Optional item.
Figure 55 - Indicator Blocked oxygen inlet Figure 56 - Indicator activated: Released oxygen inlet
Note:
- Optional item.
- 29 -
Figure 57 - Location of passive valve
Note:
- Optional item.
Note:
- Optional item.
1.5.37 - CASTER OF 5”
(Optional exclusively for the SCTI LINE 4 incubator)
The casters provided with equipment can be replaced by others with the diameter of 5 inches. This caster
increases the height of the incubator at 22 mm with the advantage of providing less effort to move the
incubator.
Note: All casters supplied to the incubator SCTI LINE 4 have locks.
Note:
- Optional item.
1.5.38 - CASTER OF 6”
(Optional exclusively for the SCTI LINE 4 incubator)
The casters provided with equipment can be replaced by others with the diameter of 6 inches. This caster
increases the height of the incubator at 80 mm with the advantage of providing less effort to move the
incubator.
Note: All casters supplied to the incubator SCTI LINE 4 have locks.
Note:
- Optional item.
- 30 -
1.5.39 - DISPOSABLE RN SENSOR (code 2600040050)
(Optional exclusively for use in the SCTI LINE 4 incubator)
It has the same function as the conventional RN sensor but showing the single-use feature. Coated sensor in
biocompatible titanium according to ISO 10993-1.
- 31 -
1.5.43 - ADAPTER FOR VENT TUBES (CODE 548081121080)
(Accessory exclusively for use in the SCTI LINE 4 incubator)
This accessory allows that vent tubes be installed safely and comfortably.
For easy positioning, the tube adapter is composed of a flexible rod, installed inside the newborn
compartment.
Note:
- Optional item.
A - Inlet Nozzle
B - Register
C - Role output
Note:
- Optional item.
Figure 65 - Nebulizer
Note:
- Optional item.
- 32 -
1.5.46 - MANUAL RESUSCITATOR
(Accessory not exclusively for use in the SCTI LINE 4 incubator. It has its own registration with ANVISA No.:
10432300009).
This accessory consists of a self-inflating sphere in autoclavable vinyl, face mask with polycarbonate bowl and
inflatable vinyl cushion, inlet connection for oxygen supply, unidirectional polycarbonate valve with safety
valve. It can be provided in two sizes (1 and 2)
Note:
- Optional item.
1 - Cover Hole
2 - Cover
3 - Oxygen Inlet Nozzle for hose of
1/4"
4 - Hood Body
5 - Side Passage
Figure 67 - Hood
Note:
- Optional item.
- 33 -
1.5.48 - HALOGEN PHOTOTHERAPY
(Accessory not exclusively for use in the SCTI LINE 4 incubator. It has its own registration with ANVISA No.:
10227180020).
The Halogen Maxiphoto Phototherapy acts in the hyperbilirubinemia treatment emitting light in the spectrum of
primary radiation in the range between 400nm and 550nm. In this process, the light emitted by the
phototherapy decompose bilirubin into soluble water compounds absorbable by the patient. The light emitted
by the Halogen Maxiphoto is generated by a halogen lamp and the reflector filters ultraviolet and infrared
radiation and directs the light focus to the patient.
The use of this accessory allows the incubator to work with the Halogen Maxiphoto phototherapy coupled to
the column of the support display as shown in Figure 68.
Note: For use instructions, check the manual accompanying the optional equipment.
CONSUMABLE MATERIAL
1.5.50 - AIR FILTER
(Consumable material exclusively for use in the SCTI LINE 4 incubator)
The Newborn Incubator model: SCTI LINE 4 has an air filter whose function is to remove impurities from the
air being introduced into the newborn compartment.
This filter should be replaced at periods shorter than 90 days or whenever the incubator receives a patient with
infectious disease. The filters are exclusively for use in the SCTI LINE 4 incubator.
To ensure the perfect operation and an ideal environmental condition for the patient, use only original Olidef
air filters.
The filters are available in packages with 2 or 10 units.
See item 7.2.1 - Replacement of air filter.
Description Olidef Code
Air filter kit with 2 units 5010000017
Air filter kit with 10 units 5010000026
Note:
- Optional item.
- 34 -
1.5.51 - ADHESIVES FOR OXYMETRY SENSOR
(Consumable material exclusively for use in the SCTI LINE 4 incubator)
To use the oxymetry sensor two different types of disposable adhesives for fixation are available providing
comfort and the correct positioning of the sensor in the patient.
The adhesives are supplied in kits with 25 units in two patterns for newborns of different weights:
Note: It is recommended the use of adhesives size 1 for patients up to 2 kg and adhesives size 2 for patients between 2 and 10 kg
Note:
- Optional item.
Note:
- Optional item.
CAUTION
- Validity: 5 years
Note:
- Optional item.
- 35 -
1.6 - TECHNICAL SPECIFICATIONS
Note:
- Olidef has a continuous improvement policy for its products and reserves the right to change technical
specifications without notice.
Electrical Specifications
Power Supply Automatic selection of voltage
Voltage 127/220V~ ±10%
MC1 2,7A
Current (127/220V)
MC2 and MC3 9,5 A
Mains frequency 50 / 60Hz
MC1 3A
Incubator fuse (127/220 V)
MC2 and MC3 10 A
MC1 380 A
Inlet power
MC2 and MC3 1200 A
Output Power (Auxiliary outlets) 180 W (each)
Tubular electrical resistance in stainless steel.
Heater element - Air
Rated power: 250 W
Tubular electrical resistance in stainless steel.
Heater element - Humidity
Rated power: 250 W
Rechargeable Battery 8,4V
- 36 -
Mechanical Specifications - Incubator with Support w/ Height Set
Support height at maximum position 1540 mm
Support height at minimum position* 1340 mm
Width 900 mm
Depth 540 mm
Level height of Mattress at maximum position 1210 mm
Level height of Mattress at minimum position 1010 mm
Approximate weight without accessories 80 kg
Approximate weight with accessories 90 kg
Caster of 4" w/Brake (Optional 5" and 6" w/Brake) 4 units
Packed weight without accessories 128 kg
*The height with optional caster of 5" increases the height in 22mm, and with 6" increases 80 mm.
- 37 -
1.6.1 - SYMBOLS USED IN EQUIPMENT
Read and understand the meaning of these symbols before using SCTI LINE 4 Incubator.
BPM key
AR mode key
RN mode key
Hot Surface
O2 concentration key
SpO2 key
Silent alarm
Key to turn off the alarm sound (See ALARMS item)
Alarm indicator
- 38 -
Increase of desired range
Auxiliary lighting
Note:
- Both conventional support, support system with height set and detachable support accompanies the product
in a separate packaged.
Handle the packaging with the side indicated by the arrows up.
Maximum Stacking - determines the maximum quantity of boxes can be stacked during
transport and storage.
- 39 -
Determines the temperature limit, among which, the packaging should be stored or
transported.
Preservation
• When using, for cleaning and disinfection of equipment surfaces use mild soap only.
• Keep the equipment clean and disinfected for the next use.
• Do not allow liquids to be stored inside the equipment.
• Do not use caustic or polishing detergent or ultrasonic cleaners, as well as organic solvents as thinner
to clean the equipment.
• Keep the equipment in a clean place, away from dust
- 40 -
• The sensors used by the incubator are not protected against the effects of defibrillation; so, before
you start monitoring a physiological parameter, observe the information, warnings and precautions on the
implementation and the operation mode of accessories in order to avoid the incorrect use, once it may cause
burns and/or electric shocks in an eventual defibrillator discharge.
• Never place objects near the air inlet or output of the RN compartment.
• The use of child safety seats or other accessories inside the incubator can change the air flow standard
and may affect the temperature uniformity of the temperature variation, remained correlation of temperature
from the incubator related to the mattress core temperature and the newborn skin temperature.
• Equipment used in conjunction with the incubator, such as phototherapy or heated mattresses, can affect
the equipment performance changing the distribution of heat on the mattress, affecting the air and patient's
skin temperature.
• To prevent the increase of the patient temperature due to direct radiation, do not position the incubator
where there is direct sunlight or other radiant heat source. In these cases, the operation by the temperature
control by RA mode may be compromised.
• Lock the incubator casters before handling the control panel or when in use.
• For the best incubator stability, always lock the casters when at rest.
• When the incubator is stopped on a ramp, make sure the casters are locked and there is no risk of slipping.
• When moving the incubator using the height set support, always maintain a minimum height adjusted in
order to improve the set stability.
• Do not carry the incubator with the trays loaded.
• Before placing any load on the support for incubator monitors, make sure it is locked, if the load is fully
supported in the tray, it is recommended to stay on top of tabs and/or overlap other equipment, and always
seek to place in the tray center.
• Do not exceed the maximum loads specified in this guide.
• Use of this equipment is restricted to a patient at a time.
• It is not advisable to leave the newborn unattended when the access ports are open.
• Do not leave the patient unattended on the mattress if any alarm is activated.
• It is essential monitoring of the incubator operator independently of the newborn temperature.
• The incubator cannot distinguish between an increase in the inner body temperature with a cold skin (fever)
and a low inner body temperature (hypothermia). It is recommended to monitor the temperature of the patient.
• The incubator cannot measure or control the patient's skin temperature if the RN sensor is not correctly
placed on the patient.
• Check regularly if the RN sensor and adhesive for fixation are properly placed in the patient. Check
regularly if the RN sensor and adhesive for fixation are properly placed in the patient. Ensure that the RN
sensor is always in direct contact with the baby's skin.
• Rectal temperatures are not suitable for controlling the heater output from the incubator.
• The sensors' module and/or RN sensor should always be connected to the control module.
• Never leave the dome access port open more than necessary because the incubator may not accurately
reflect the temperature shown on the panel.
• Check if the RN sensor cables, balance and other extender tubes are correctly placed in tube passages or
if the iris sleeve is correctly installed, otherwise the temperature stability of the incubator may be interfered.
• Use RN sensors supplied directly by Olidef only or the authorized representatives.
• Regularly inspect the locks of the dome covers, portholes and mattress bed as there may be risk of falling
of the newborn.
• To avoid possible injury to the patient not to increase the dome while the tubes are connected to it and/or
the bed is tilted in Trendelenburg or High Horizontal position.
• Before lifting the dome make sure all tubes and cables are disconnected from the control module.
• When lowering the dome make sure the newborn body and limbs are all within the limits of the mattress.
• Only qualified personnel should perform maintenance procedures and equipment calibration.
• Do not touch the metal surfaces of the heater.
• To avoid the possibility of burns while maintenance and cleaning procedures are being performed, make
sure that the incubator is disconnected from the electrical mains and check if the heater is not hot.
• To avoid risk of electric shock while performing the cleaning and maintenance procedures, disconnect the
equipment from electrical mains and disconnect the general key.
• Check if the oxygen and compressed air supply for the incubator transport are closed before procedures of
cleaning and maintenance. There is a risk of fire and explosion if the maintenance or cleaning of the incubator
is performed in an environment enriched with oxygen.
• Disconnect the RN sensor of the control module pulling it from the connector. Do not apply excessive force
to the sensor cable during use or cleaning and inspection procedures.
• Do not remove the RN sensor from the patient pulling the cable with excessive force. Such a procedure
can damage the RN sensor or irritate the patient skin.
- 41 -
• Disconnect the sensor module in the incubator dome by pulling the existing tab. Do not apply excessive
force to the sensor cable during use or cleaning and inspection procedures.
• Do not use solvents or abrasive cleaning solutions to clean the surfaces of the incubator. The use of
alcohol on acrylic surfaces can cause it to dry out, leaving it opaque.
• Do not expose the plastic and acrylic surfaces to direct radiation from germicidal lamps. The ultraviolet
radiation from these sources can cause drying of these materials.
• Before applying chemicals for cleaning the incubator surfaces, make sure they are not aggressive to
plastic, acrylic, chrome or painted parts. In case of doubt, consult your supplier.
• Disconnect and hold off the oxygen supply during cleaning procedures of the incubator.
• When X-rays are taken through the dome, the acrylic dome may show up on the image as a radiolucent
shadow, and may result in an incorrect diagnosis.
• Do not place equipment or other accessories on the dome. During an emergency it can be quickly opened.
• Use original Olidef spare parts and accessories only to ensure best performance and safety of the
equipment.
• It is not allowed to modify the product, under any conditions. Any disassembly or change will cause the
guarantee invalidity.
3.1 - OXYGEN
• The incorrect use of supplemental oxygen may be associated with serious side effects including blindness,
brain cell damage and death. The risk varies with each patient. The method, concentration and oxygen
administration time should be prescribed by a qualified physician aware of risks and benefits.
• If you need to administer oxygen in an emergency, the attending physician should be notified immediately.
• The oxygen flow rates marked on the incubator, flow of oxygen released by the flow meter and the
percentages shown on the display of the control module panel should not be used as an indication of correct
oxygen concentration in the incubator, and should only be used as a guide. Oxygen concentrations must be
measured with an oxygen analyzer calibrated at regular intervals defined by the attending physician.
• The rate of oxygen flow marked in the table on the left side is not valid when working in a Servo controlled
mode of Oxygen.
• Opening the access port, it may occur a decrease in the oxygen concentration. To make a new
measurement, wait a while so the concentration is restored.
• The oxygen concentration inhaled by a child does not determine the partial oxygen pressure in advance in
the blood.
• Do not use oxygen in the presence of flammable anesthetics.
• Keep all ignition sources (e.g., matches, cigarettes, sparking equipment, etc.) away from the room where
the incubator is operating. Fabrics, oils or other fuels ignite easily when the air is enriched with oxygen.
• Dirt on the air filter can affect the oxygen concentration in the incubator and/or cause the formation of
carbon dioxide (CO2). Make sure the filter is clean and/or is being exchanged within the time specified, or
whenever necessary.
• The risk of retrolental fibroplasia incidence is incremented when applying oxygen concentrations greater
than 40% in newborn with cardiorespiratory disease.
• Do not connect the oxygen hoses in both oxygen inlet nipples at the same time.
• Use oxygen sensors supplied directly by Olidef only or the authorized representatives only.
- 42 -
4 - PERFORMANCES ON ESSENTIAL SAFETY REQUIREMENTS AND
EFFICACY OF MEDICAL PRODUCT
4.1 - INDICATION, PURPOSE OR USE THAT THE PRODUCT IS INTENDED
Indication: Clinics, medical units, hospitals and maternity units that need to provide ideal thermal comfort for
newborns, and especially premature and newborns at risk, offering propitiate environmental conditions to
those presenting disorders in the neonatal period or commitment of body thermo-regulation.
Purpose: Maintain a human newborn allowing its viewing through a dome with transparent acrylic and double
wall. Inside the newborn compartment, environmental conditions can be maintained as per the RN needs by
maintaining the air heating, increasing of oxygen concentration and relative humidity beyond soundproofing
and low level of noise produced by the equipment. In addition, the product allows monitoring of heart rate /
SPO2 of such patients.
4.2 - SAFETY AND EFFICACY OF PRODUCT:
The SCTI LINE 4 incubator is totally safe as long as safety rules are followed and all recommendations
described in this User Guide.
The equipment is designed and manufactured with standard materials (nontoxic) for medical/hospital use and
allow easy disinfection. It is practical and designed to ensure complete safety
When kept (stored) and maintained as mentioned in item 2 - Special conditions of storage, preservation and /
or handling of the product of this guide, the equipment will not lose or change the physical and dimensional
features.
The Newborn Incubator model: SCTI LINE 4 was designed, evaluated and meets the following safety and
performance standards:
NBR IEC 60601-1 NBR IEC 60601-2-49 IEC 61000-3-3 IEC 61000-4-5
NBR IEC 60601-1-1 NBR ISO 9919 IEC 61000-4-2 IEC 61000-4-6
NBR IEC 60601-1-2 CISPR 11 IEC 61000-4-3 IEC 61000-4-8
NBR IEC 60601-2-19 IEC 61000-3-2 IEC 61000-4-4 IEC 61000-4-11
CAUTION
- Electric-medical equipment requires special precautions regarding EMC (electromagnetic
compatibility) and must be installed and put into service according to the EMC information
provided in this guide. This incubator does not emit electromagnetic interference above the level
compatible with its category, and also presents certain immunity to electromagnetic interference
around it. General standards and electromagnetic compatibility tests for neonatal incubators
have been applied to this equipment and determined the environment and precautions to be
taken for its installation and subsequent operation, see the tables below:
- 43 -
Guidance and Manufacturer's Statements - Electromagnetic Emission
The SCTI LINE 4 model is designed for use in electromagnetic environment specified below. The customer or the user
of such model must ensure that the unit is used in such environment.
Separation distances recommended between communication equipment of handle and mobile RF and the
SCTI LINE 4 Incubator
The Incubator is designed for use in an electromagnetic environment in which RF disturbances are controlled. The
Incubator customer or user can help prevent electromagnetic interference by maintaining a minimum distance
between the RF communication equipment (transmitters) and the handle and mobile incubator as recommended
below, according to the maximum output power of the communication equipment.
Nominal Maximum Separation Distance Recommended According to Transmitter Frequency (m)
Power of the 150 kHz to 80 mHz 150 kHz to 80 mHz in
Transmitter Output 80 MHz to 800 MHz 800 MHz to 2,5 GHz
out of ISM bands ISM bands
0,01 0,12 0,12 0,12 0,23
0,1 0,38 0,38 0,38 0,73
1 1,2 1,2 1,2 2,3
10 3,8 3,8 3,8 7,3
100 12 12 12 23
For transmitters with maximum power rate of output not listed above, the recommended d separation distance in
meters (m) can be determined using the equation applicable to the transmitter frequency, where P is the maximum
power rate of output of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, applies the separation distance for the higher frequency range.
NOTE 2: The ISM band (industrial, scientific and medical) between 150 kHz and 80 MHz are 6.765 MHz to 6.795
MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz
NOTE 3: An additional factor of 10/3 is used in the calculation of recommended separation distance for transmitters in
the ISM bands between 150 kHz and 80 MHz and frequency range from 80 MHz to 2.5 GHz to decrease the likelihood
of mobile/handle communication equipment to cause interference if it is inadvertently brought into patient areas.
NOTE 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
- 44 -
Guidance and Manufacturer's Statements - Electromagnetic Immunity
The SCTI LINE 4 Incubator is intended for use in the electromagnetic environment specified below.It is
recommended that the buyer or user of Incubator ensures that it is used in such environment
Trial Level of IEC Accordance
IMMUNITY Trial Electromagnetic Environment - Guidance
60601 Level
It is not convenient that communication
equipment per mobile or portable RF be used at
distances smaller in relation to any part of the
incubator, including cables, than the separation
distance recommended calculated from the
equation applicable to the transmitter frequency.
Separation distance recommended
IEC 61000-4-3 80 MHz to 2,5 GHz d=2,3 P 1/2 800 MHz a 2,5 GHz
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
a:
The ISM band (industrial, scientific and medical) between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz;
13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
b
The compliance levels in the ISM frequency bands between 150KHz and 80MHz and frequency range between
80MHz up to 2.5 GHz is intended to reduce the probability of mobile and portable communication equipment to
cause interference if inadvertently brought to the patient's environment. For this reason, an additional factor of
10/3 is used in distance calculation of recommended separation for transmitters in these frequency ranges.
c
Field intensity established by fixed transmitters, such as base stations, telephone (mobile/cordless) and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically
with accuracy..
To assess the electromagnetic environment due to fixed RF transmitters, it is recommended to consider an
electromagnetic inspection in the site. If the measure of the field intensity in the site which the SCTI LINE 4
Incubator is used exceeds the applicable RF compliance level applied above, it is recommended to observe the
incubator in order to check whether the operation is normal. If abnormal performance is observed, additional
procedures may be necessary, such as reguidance or replacement of the Incubator.
d
Over the frequency range of 150 kHz to 80 MHz, the field resistance should be less than 1 V/m.
- 45 -
Guidance and Manufacturer's Statements - Electromagnetic Immunity
The SCTI LINE 4 Incubator is intended for use in the electromagnetic environment specified below. It is recommended
that the buyer or user of Incubator ensures that it is used in such environment.
Electromagnetic
IMMUNITY Trial Trial Level of IEC 60601 Accordance Level
Environment - Guidance
Electrostatic Discharge ± 6 kV contact ± 6 kV contact It is important that floors
(ESD) should be wood, concrete or
ceramic. If floors are covered
± 8 kV air ± 8 kV air with synthetic material, the
IEC 61000-4-2 relative humidity should be at
least 30%.
Fast/Save Electrical ± 2 kV for power supply ± 2 kV for power supply
It is important that quality of
Transient lines lines
the mains supply be typical
of a commercial or hospital
± 1 kV for inlet/output ± 1 kV for inlet/output
environment.
IEC 61000-4-4 lines lines
Outbreaks ± 1 kV line(s) to line(s) ± 1 kV differential mode It is important that quality of
the mains supply be typical
of a commercial or hospital
IEC 61000-4-5 ± 2 kV line(s) to land ± 2 kV common mode environment.
Voltage breaks, short < 5% UT < 5% UT It is important that quality of
interruptions and voltage (break > 95% in UT) (break > 95% in UT) the mains supply be typical
variations on the inlet lines per 0,5 cycle per 0,5 cycle of a commercial or hospital
of power supply environment. If the user
40% UT 40% UT needs the Incubator
IEC 61000-4-11 (break > 60% in UT) (break > 60% in UT) continued operation during
per 5 cycles per 5 cycles interruptions of mains supply,
it is recommended that the
70% UT 70% UT incubator is powered by an
(break > 30% in UT) (break > 30% in UT) uninterrupted source or
per 25 cycles per 25 cycles battery.
< 5% UT < 5% UT
(break > 95% in UT) (break > 95% in UT)
per 5 s per 5 s
Magnetic field generated by 3 A/m 3 A/m If distortion occurs, it may be
the mains frequency (50/60 necessary to position the
Hz) incubator further of magnetic
IEC 61000-4-8 field sources in the mains
frequency of power supply or
install a magnetic shield. It is
important that the magnetic
field in the mains frequency
of power supply be
measured in the site for
installation to ensure that it is
sufficiently low.
NOTE - UT is the a.c. mains voltage prior to application of the test level.
3. Connect the AC power cord (supplied with the unit) in the plug of control module located on the right side
of the incubator.
4. Connect the power cord into a 3-way hospital outlet with supply voltage of 127/220 V~.
CAUTION
- Do not connect the Incubator if the hospital outlet does not have a reliable grounding. Check if
the voltage and mains current which is being linked to the incubator correspond to the
specifications on the nameplate of the device (located on the back, next to the air filter).
- 47 -
5. Turn on the main switch located on the control module on the right side of the incubator.
6. Remove the RN sensor from the package. Connect it to the control module located on the right side of the
incubator, as Figure 74 and pass the sensor by the tube passages supporting it on the mattress. If the control
module is the MC2 or MC3, connect the sensor in the sensor module located in the RN compartment as
figures 75 and 76.
Figure 74 - Installing the RN sensor - MC1 Figure 75 - Installing the RN sensor - MC2
- 48 -
3. Connect the AC power cord (supplied with the unit) in the plug of control module located on the right
side of the incubator.
4. Connect the power cord into a 3-way hospital outlet with supply voltage of 127/220 V~.
CAUTION
- Do not connect the Incubator if the hospital outlet does not have a reliable grounding. Check if
the voltage and mains current which is being linked to the incubator correspond to the
specifications on the nameplate of the device (located on the back, next to the air filter).
Figure 78 - Installing the RN sensor - MC1 Figure 79 - Installing the RN sensor - MC2
- 49 -
3. Do it with the four screws.
4. Place the axis of the monitor support and enter the tube locking the knob, as shown in figure 82.
Note: If there is need to extend the length of the sensor cable, OLIDEF provides an extension cable for pulse
oxymetry.
- 51 -
6.1.10 - INSTALLATION OF INTEGRATED BALANCE (OPTIONAL)
1. After installation of balance plate (B) under the mattress tray (C), which is under the platform (D) put
the mattress (A) Figure 88.
2. Connect the cable from the balance plate in the control module on the right side of the incubator and
turn the main key as shown in figure 89.
- 52 -
6.1.11 - INSTALLATION OF LC5 BALANCE (OPTIONAL)
1. After installing the balance plate (B) under the mattress tray (C), which is under the platform (D) put
the mattress (A) Figure 90.
2. Fit the balance bearing in the balance support located on the support for monitor and press the knob
(A) until locks it securely, as shown in figure 91.
3. Connect the balance plate cable on the rear panel of the balance and press the power key.
- 53 -
6.1.12-INSTALLATION OF PHOTOTHERAPY (OPTIONAL)
1. Place the monitor support into the right position, aligning all holes as shown in figure 93
2. Using a 5mm hex wrench put the internal hex socket screw (1) with the washer (2) into the hole and
tighten it.
5. Connect the power cord to the AC of phototherapy (supplied with the equipment) in the power inlet
plug located at the bottom of the own phototherapy.
6. Connect to a power source.
CAUTION
Check the voltage key which voltage is in the product before connecting the power supply.
- 54 -
Figure 95 - Nebulizer coupled in the dome
2. Check the reading at the top of the display as shown in figure 97.
- 55 -
6.2 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC1
PANEL
Use of Mains
- Connect the power cable of the incubator in a compatible outlet with voltage specified on the equipment.
CAUTION
- SCTI LINE 4 Incubator can be connected to mains automatic 127/220 V~, frequency 50/60 Hz
- Turn on the main key located on the control module on the right side of the incubator.
- Press the ON key located on the control panel.
- 56 -
- To set the desired value for the AR temperature, press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION until the desired value by the operator.
The SCTI LINE 4 Incubator allows the operator to program temperatures above 37ºC. To program high values
(above 37ºC):
- Elevate the temperature to reach 37°C with more than one touch and will be issued 2 beeps and then AR
LEDs IN THE DOME AND NEWBORN will start flashing intermittently.
-
Press the OPERATION MODE to enable a set point between 37.1ºC to 39ºC, the LED > 37ºC will light
indicating that the > 37°C range is enabled as shown in Figure 100.
- To set the desired value for the AR temperature (above 37ºC), press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION keys until the desired value by the operator.
- 57 -
Notes:
- Within the AR field, the number shown is the current value read. The number indicated in the DESIRED
TEMPERATURE field represents the programmed value (set point).
- The incubator will automatically control the power of the heating resistance to stabilize the incubator
temperature as the programmed temperature set by the user.
- On the panel there is a proportional indicator of heating as Figure 101.
The SCTI LINE 4 Incubator allows the operator to program temperatures above 37ºC. To program high values
(above 37ºC):
- Elevate the temperature to reach 37°C with more than one touch and will be issued 2 beeps and then AR
LEDs IN THE DOME AND NEWBORN will start flashing intermittently.
- Press the OPERATION MODE to enable a set point between 37.1ºC to 38ºC, the LED > 37ºC will light
indicating that the > 37°C range is enabled as shown in Figure 104.
- 58 -
Figure 104 - LED indicator key "> 37°C”
- To set the desired value for the RN temperature (above 37ºC), press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION keys until the desired value by the operator.
Notes:
- Within the RN field, the number shown is the current value read. The number indicated in the DESIRED
TEMPERATURE field represents the programmed value (set point).
- The incubator will automatically control the power of the heater to stabilize the RN temperature as the
programmed temperature set by the user.
- On the panel there is a proportional indicator of heating as Figure 105.
- The RN weight, age, medical condition, and other metabolic and environmental factors will affect the time
required for temperature stabilization of the patient related to the programmed temperature.
CAUTION
- The skin sensor should never be used to control rectal temperature because the patient could
receive insufficient or excessive heat.
- The SCTI LINE 4 Incubator cannot measure or monitor the skin temperature of the patient if the
RN sensor is not correctly placed on the patient. The disconnection or failure in the direct sensor
contact with the patient's skin will cause an incorrect reading of temperature, and the incubator
cannot regulate the necessary heat for the patient.
- Use temperature sensors provided only by OLIDEF or its authorized representatives. The use of
different specified sensors may cause errors in the temperature reading and therefore risks to the
patient.
- 59 -
6.2.3- HUMIDITY CONTROL
Relative passive humidity of air
To increase the humidity concentration in the newborn compartment, fill the incubator tank, set water level.
The maximum tank capacity is about 3 liters. The hot air flow produced by the control panel will pass over the
water surface, causing humidity in the inside of the dome. Replace the water tank daily or every patient
change. The use of water is optional; the equipment can operate normally with no water in the tank.
How to use passive humidity.
- To fill the tank, open the cover (A) and slowly put distilled water until the water level of the tank reaches
among the maximum (B) and minimum (C) level indicated in the plastic cup of the water level set.
- Turn on the incubator; the hot air flow produced by the control panel will pass over the water surface, causing
humidity in the inside of the dome.
- To drain the water from the tank, open the meter (D) of level indicator, collecting the water in a container.
Note:
- Maximum capacity of the tank is 3L.
CAUTION
- Use distilled or deionized water only.
- The humidity level inside the incubator will depend on the relative humidity of the environment
air.
- When the air temperature inside the incubator is relatively higher than the air temperature, a
condensation may form on the inner walls of the dome. When the difference between the
temperatures is lower, condensation does not appear.
Note:
- The limiting oxygen valve is a line item if the customer chooses the passive oxygen valve, the composition of
equipment will be as follows:
- Limiting oxygen valve;
- Passive oxygen valve.
CAUTION
- Read and understand the warnings contained in item 3 - Warnings and/or precautions to be taken
adopted in this guide.
- The air inside the newborn compartment should be enriched only with oxygen under prescription.
- Install an oxygen monitor, placing the sensor near to the center of the newborn compartment.
- Start the oxygen supply after turning the incubator only to ensure proper mixing of gases within the dome.
- Determine the initial flow of oxygen based on the table located above aside of the relief valve, located on
the right side of the incubator. This table shows approximate values for the oxygen flow required to
maintain the desired concentration. The concentration obtained may vary depending on the relative air
humidity inside the compartment, the state of the air filter, seals of dome, number and frequency of
portholes opening.
- Wait 15 minutes and check the oxygen concentration inside the incubator indicated by O2 monitor without
opening the dome. If necessary, set the oxygen flow through the mains flow meter or cylinders. Repeat O2
concentration reading every 15 minutes.
Note:
- Flows of oxygen above 15 liters per minute will produce oxygen concentrations above the values indicated in
the table.
O2 Concentration (%) 21 21 – 28 22 – 32 24 – 34 27 – 40 30 – 42 32 – 44 35 - 50
CAUTION
- Oxygen therapy may increase the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc.) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
- 61 -
Operating Mode of Passive Oxygen Valve (Optional)
- Turn on the incubator and wait for the stabilization of the inner temperature. If the incubator has to
manage humidification with oxygen application, wait so the air humidity inside the compartment is
stabilized.
- Through a pressure hose with braided nylon 250 PSI nontoxic, connect the flow meter output of vehicle
mains or hospital oxygen cylinder to the oxygen inlet valve nipple from the incubator as Figure 109.
- Install an oxygen monitor, placing the sensor near to the center of the newborn compartment.
- Start the oxygen supply after turning the incubator only to ensure proper mixing of gases within the dome.
- Determine the initial flow of oxygen based on the table located above the air filter cover on the rear of the
incubator. This table shows approximate values for the oxygen flow required to maintain the desired
concentration. The concentration obtained may vary depending on the relative air humidity inside the
compartment, the state of the air filter, seals of dome, number and frequency of portholes opening.
- Wait 15 minutes and check the oxygen concentration inside the incubator indicated by O2 monitor without
opening the dome. If necessary, set the oxygen flow through the mains flow meter or cylinders. Repeat O2
concentration reading every 15 minutes.
Note:
- Flows of oxygen above 15 liters per minute will produce oxygen concentrations above the values indicated in
the table.
21 – 22 – 24 – 27 – 30 – 32 –
O2 Concentration (%) 21 35 - 50
28 32 34 40 42 44
CAUTION
- Oxygen therapy may increase the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc.) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
- 62 -
6.2.5 LC5 BALANCE (OPTIONAL MODULE)
The SCTI LINE 4 incubator has balance with external panel. The Balance LC5 can be plugged into automatic
mains of 127/220 V ~. The balance has weight limit of 10kg, and accuracy of ± 5g. When this weight is
exceeded the panel will indicate an OVERLOAD message.
How to use the balance.
- Make sure the balance sensor is connected.
- Make sure the balance is energized (4).
- Turn on (1) the LC5 Balance.
- Press TARE (2) key to zero the balance (the patient should not be on the mattress).
- Position the patient on the mattress and wait for the stabilization of the weight indication on the display (3).
Note:
When you turn on the incubator the keyboard will always be released for setting.
- 63 -
Through the SILENT ALARM key, the user can inhibit the tone of some alarms (see alarm
function) for a period of 15 minutes. In this condition, the alarm will continue to be indicated by a
red LED (alarm) and the indicator LED of the silent alarm is activated showing to the user that the
alarm is silenced. In case of another alarm activation, even if the alarm is inhibited, the activation
will be emitted by the equipment.
- If the alarm condition remains beyond 15 minutes, the alarm will be reactivated and the indicator
LED of silent alarm will be turned off, the user will be able to inhibit the sound activation for
another 15 minutes pressing the SILENT ALARM key again.
- Always check the cause of activation of alarms to ensure the patient safety.
Note:
- Priority of alarm condition: all alarms indicated by the SCTI LINE 4 incubator are considered high priority.
- Level of sound pressure of alarms: a 3m distance, perpendicular to the front of the incubator and
approximately 1.5 m above the floor is at least 65 dB.
- Delay time inherent to the determination of the alarm condition: the delay time for the alarm activation is less
than 5 seconds.
- Delay in alarm system: the alarm system has time to detection of alarms less than 5 seconds.
CAUTION
- The alarm that cannot be silenced by SILENT ALARM key:
- Alarm of air circulation;
- Alarm of engine failure;
- Alarm of power failure;
- Alarm of overheating (can only be silenced if not on the risk range);
- Alarm of system failure.
GENERAL:
1) Alarm of power failure
This alarm is activated when the power supply by mains of 127 / 220V ~ is interrupted. To activate this alarm,
the equipment uses its internal battery as a power source. This battery is rechargeable and is constantly
recharged while the incubator is being powered by AC mains. The battery keeps the programmed parameters
for a maximum period of 15 minutes without AC supply mains. In addition to the sound alert, there will be a
visual indication of "POWER FAILURE" via red LED on the panel and LED on. The alarm cannot be inhibited
by the SILENT ALARM key until you reset the AC mains supply. Whenever the alarm is activated, the operator
must verify the cause of problem, because in that condition the monitoring systems, air circulation and heating
will be turned off.
2) Alarm of air circulation
This alarm is activated if the engine stop, problem in the fan or reduction of airflow. In addition to the sound
alert, there will be a visual indication of "CIRCULATION FAILURE" via red LED on the display. The alarm
cannot be silenced by the SILENT ALARM key. Whenever the air circulation alarm is activated the incubator
automatically will turn off all servo control systems.
CAUTION
- Whenever the circulation alarm is activated, remove the patient from the incubator because in this
condition the air inside the RN compartment is not being renewed.
- Sudden changes in the temperature inside the incubator dome can cause the alarm activation. If the
alarm is activated, the incubator holds on for 10 minutes. If the air circulation returns to normal, the
incubator will automatically turn off the alarm; if the alarm persists send the equipment to the nearest
service center.
- When the incubator is turn on the air circulation alarm it remains inhibited for 30 minutes.
3) Alarm of system failure
This alarm is activated when the electronic systems detect the failure of any component or operation routine.
In addition to the sound alert, there will be an indication via red LED on the panel and a CODE on the display.
The CODE is the indication of failure occurred in the system. The alarm can not be silenced by the SILENT
ALARM key. Whenever the system failure alarm is activated the incubator automatically will turn off all servo
control systems.
4) Alarm of engine failure
This alarm is activated when the electronic system detects a failure in the engine or electronic whip associated
to it. In addition to the sound alert, there will be an indication via red LED on the panel and a CODE on the
display. The alarm can not be silenced by the SILENT ALARM key. Whenever the engine failure alarm is
activated the incubator automatically will turn off all servo control systems.
- 64 -
TEMPERATURE:
CAUTION
- Activation of alarm during the normal use for long periods may show some kind of technical
problem. If so, call a service center.
CAUTION
- Activation of alarm during the normal use for long periods may show some kind of technical
problem. If so, call a service center.
CAUTION
- When the RN sensor is shorted, the sensor failure alarm will be activated, but can be inhibited.
8) Alarm of hyperthermia
This alarm will be activated RN mode only and will be activated whenever the difference between the desired
temperature set by the user and the newborn temperature is greater than 1.0°C. In addition to the sound alert,
there will be a visual indication via red LED on the panel. The alarm may be inhibited by SILENT ALARM key
for a period of 15 minutes. At the end of such period, if the patient’s hyperthermia condition persists, the alarm
will be reactivated.
9) Alarm of hyporthermia
This alarm will be activated in the RN mode only and will be activated whenever the difference between the
desired temperature set by the user and the newborn temperature is greater than 1.0°C lower than the desired
and programmed temperature. Beyond the sound alert, there will be a visual indication via red LED on the
panel. The alarm may be inhibited by SILENT ALARM key for a period of 15 minutes. At the end of such
period, if the patient’s hyporthermia condition persists, the alarm will be reactivated.
CAUTION
- The use of the incubator in environments with high temperature, direct exposure to sunlight,
incandescent light, thermal mattresses and phototherapy can cause the alarm activation.
- For added security, the electronics and temperature sensor, responsible for triggering this alarm
is independent microprocessor thermostat.
- 65 -
6.2.8 - CHECK OF ALARM SYSTEMS
Use the following procedure to check the alarms operation of the SCTI LINE 4 incubator.
Before you start checking ensure that:
- The incubator has no patient on it.
- The RN sensor is disconnected from the panel.
- The power cable is properly connected to the electrical mains.
1- Press ON key on the control panel and check if the display lights and the system boot begins.
2- Set the desired temperature of 37.0ºC for the air. (See item 6.2.1 - Use of AR mode) Check if the
heating is on.
3- Wait the temperature to stabilize. Open the dome and check if the temperature indicated for AR on the
front panel will fall. The Low Temperature alarm should be activated as soon as the temperature
indicated for AR falls below 34.0°C. Close the dome after the alarm activation.
4- Connect the RN sensor on the side panel and select the RN mode (See item 6.2.2 - Use the RN
mode).
5- Set the desired temperature of 37.0ºC for the RN mode. Position the RN sensor at 10cm away high on
the center of the mattress Wait for the temperature stabilization (RN temperature shown in the display
should be near the desired temperature, i.e., 37.0°C). Before continuing the test, make sure there is
no alarm activated.
6- Remove the RN sensor from the inside of the dome, leaving it exposed to room temperature. Verify if
activation of the Hypothermia alarm occurs, which should occur when the temperature indicated for
the RN is 1.0°C lower than the desired temperature.
7- Place the RN sensor in a container with water under temperature above 38.0°C, for example, water
taken from a tap with heater or an electric shower. Check if the RN temperature rise indicated by the
control module occurs. The Hyperthermia alarm should be activated when the RN temperature
indicated on the display is 1.0°C above the desired temperature. In this situation the heating indicator
should be turned off.
8- Disconnect the RN sensor of the side panel and check the activation of the Sensor Failure alarm
9- On the Incubator front panel select the condition in "AR mode" and adjust the temperature to 36.0°C.
Allow the system to stabilize for about 30 minutes. After this stabilization obstruct the inlet or output of
ventilation in the incubator tray. In the 15-120 seconds range, it shall operate the sound and visual
Circulation Ar alarm. Let the air passage free.
10- Disconnect the power cable from the mains. Make sure the Power Failure alarm is activated.
11- Press the Off key on the control panel.
12- If any tests described do not result in the activation of alarms, request the visit of the nearest service
center.
Note:
- To ensure the patient’s safety, perform this procedure to check the alarms weekly.
- The alarms check does not guarantee the perfect operation of the equipment. The temperature calibration
and test of some alarms can be done by the service center only. Send your incubator to periodic reviews at
intervals not exceeding 6 months.
- 66 -
6.3 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC2
PANEL
1 ON / OFF KEY
2 INDICATOR OF EQUIPMENT ON
3 INDICATOR OF RN OPERATION MODE
4 DESIRED TEMPERATURE INCREASE KEY
5 DESIRED TEMPERATURE REDUCTION KEY
6 SILENT ALARM KEY
7 ALPHANUMERIC DISPLAY
8 INCREASE OF HUMIDITY KEY
9 REDUCTION OF HUMIDITY KEY
10 PROPORTIONAL HEATING INDICATOR
11 HOT AIR ALARM INDICATOR
12 COLD AIR ALARM INDICATOR
13 TARE KEY
14 HYPOTHERMIA ALARM INDICATOR
15 HYPERTHERMIA ALARM INDICATOR
16 SETTING KEY GREATER THAN 37ºC
17 DESIRED TEMPERATURE > 37°C INDICATOR
18 INDICATOR OF AR OPERATION MODE
19 SELECTION KEY OF OPERATION MODE
20 KEYBOARD LOCK KEY
21 LOCKED KEYBOARD INDICATOR
22 ALARM INDICATOR
23 SILENT ALARM INDICATOR
24 LACK OF ENERGY INDICATOR
CAUTION
- SCTI LINE 4 Incubator can be connected to electrical mains automatic 127/220 V~, frequency
50/60 Hz
- Turn on the electrical main key located on the control module on the right side of the incubator.
- Press the ON key on the control panel
"
Figure 115 - LED indicator key "> 37°C" activated
- To set the desired value for the AR temperature (above 37ºC), press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION until the desired value by the operator.
Notes:
- Within the AR field, the number shown is the current value read. The number indicated in the DESIRED
TEMPERATURE field represents the programmed value (set point).
- The incubator will automatically control the power of the heating resistance to stabilize the incubator
temperature as the programmed temperature set by the user.
- On the panel there is a proportional indicator of heating as Figure 116.
- 68 -
6.3.2 - USE OF RN MODE
In the RN mode, the incubator provides the heat necessary for the patient to stabilize his body temperature
through automatic activation of the heater according to the value set by the operator. In this operation mode,
the incubator has HYPERTHERMIA and HYPOTHERMIA alarms which will be activated when the
temperature checked for RN has a difference greater than 1.0ºC related to the desired temperature. The
desired value for the RN temperature can be set within the range of 35 to 37°C in increments of 0.1°C. The
actual value and the desired value will be indicated on the control panel. How to use the RN mode:
- Check if the RN sensor is connected.
- Wash carefully and dry the patient's skin where the sensor will be fixed (on the abdomen or back, if the child
is lying on the stomach).
- Place the sensor on the abdominal skin of the patient and secure it using a non-allergenic adhesive as
shown in Figure 117.
The SCTI LINE 4 Incubator allows the operator to program temperatures above 37ºC. To program high values
(above 37ºC):
- Increase the desired temperature to 37ºC, so the sound alert will work for 3 seconds and the LED (> 37ºC)
will be activated.
- Press the SETTING GREATER THAN 37ºC key to enable a set point between 37.1ºC to 38ºC, the LED will
display as shown in Figure 119.
- 69 -
Figure 119 - LED indicator button "> 37°C”
- To set the desired value for the RN temperature (above 37ºC), press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION until the desired value by the operator.
Notes:
- Within the RN field, the number shown is the current value read. The number indicated in the DESIRED
TEMPERATURE field represents the programmed value (set point).
- The incubator will automatically control the power of the heater to stabilize the RN temperature as the
programmed temperature set by the user.
- On the panel there is a proportional indicator of heating as Figure 120.
- The RN weight, age, medical condition, and other metabolic and environmental factors will affect the time
required for temperature stabilization of the patient related to the programmed temperature.
CAUTION
- The skin sensor should never be used to control rectal temperature because the patient could
receive insufficient or excessive heat.
- The SCTI LINE 4 Incubator cannot measure or monitor the skin temperature of the patient if the
RN sensor is not correctly placed on the patient. The disconnection or failure in the direct sensor
contact with the patient's skin will cause an incorrect reading of temperature, and the incubator
cannot regulate the necessary heat for the patient.
- Use temperature sensors provided only by OLIDEF or its authorized representatives. The use of
different specified sensors may cause errors in the temperature reading and therefore risks to the
patient.
- 70 -
6.3.3 - HUMIDITY CONTROL
The SCTI LINE 4 Incubator may administer humidity in two different ways.
Relative passive humidity of air (optional).
Servo control of Relative humidity of air
- Turn on the incubator; the hot air flow produced by the control panel will pass over the water surface, causing
humidity in the inside of the dome.
- To drain the water from the tank, open the meter (D) of level indicator, collecting the water in a container.
Note:
- Maximum capacity of the tank is 3L.
CAUTION
- Use distilled or deionized water only.
- The humidity level inside the incubator will depend on the relative humidity of the environment air.
- When the air temperature inside the incubator is relatively higher than the air temperature, a
condensation may form on the inner walls of the dome. When the difference between the
temperatures is lower, condensation does not appear.
- 71 -
Figure 122 - Filling the tank
Note:
- Maximum capacity of the tank is 3L.
- It is not necessary to remove the tank to supply the equipment during operation, thus preventing the servo
controls are stopped.
CAUTION
- Use distilled or deionized water only.
- When the air temperature inside the incubator is relatively higher than the air temperature, a
condensation may form on the inner walls of the dome. When the difference between the
temperatures is lower, condensation does not appear.
- 72 -
Note:
- The limiting oxygen valve is a line item if the customer chooses the passive oxygen valve, the composition of
equipment will be as follows:
- Limiting oxygen valve;
- Passive oxygen valve.
CAUTION
-Read and understand the warnings contained in item 3 – Warnings and/or precautions to be taken
adopted in this guide.
-The air inside the newborn compartment should be enriched only with oxygen under prescription.
- Install an oxygen monitor, placing the sensor near to the center of the newborn compartment.
- Start the oxygen supply after turning the incubator only to ensure proper mixing of gases within the dome.
- Determine the initial flow of oxygen based on the table located above aside of the relief valve, located on
the right side of the incubator. This table shows approximate values for the oxygen flow required to
maintain the desired concentration. The concentration obtained may vary depending on the relative air
humidity inside the compartment, the state of the air filter, seals of dome, number and frequency of
portholes opening.
- Wait 15 minutes and check the oxygen concentration inside the incubator indicated by O2 monitor without
opening the dome. If necessary, set the oxygen flow through the mains flow meter or cylinders. Repeat O2
concentration reading every 15 minutes.
Note:
- Flows of oxygen above 15 liters per minute will produce oxygen concentrations above the values indicated in
the table.
O2 Concentration (%) 21 21 – 28 22 – 32 24 – 34 27 – 40 30 – 42 32 – 44 35 - 50
- 73 -
CAUTION
- Oxygen therapy may raise the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc..) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
- Install an oxygen monitor, placing the sensor near to the center of the newborn compartment.
- Start the oxygen supply after turning the incubator only to ensure proper mixing of gases within the dome.
- Determine the initial flow of oxygen based on the table located above the air filter cover on the rear of the
incubator. This table shows approximate values for the oxygen flow required to maintain the desired
concentration. The concentration obtained may vary depending on the relative air humidity inside the
compartment, the state of the air filter, seals of dome, number and frequency of portholes opening.
- Wait 15 minutes and check the oxygen concentration inside the incubator indicated by O2 monitor without
opening the dome. If necessary, set the oxygen flow through the mains flow meter or cylinders. Repeat O2
concentration reading every 15 minutes.
Note:
- Flows of oxygen above 15 liters per minute will produce oxygen concentrations above the values indicated in
the table.
O2 Concentration (%) 21 21 – 28 22 – 32 24 – 34 27 – 40 30 – 42 32 – 44 35 - 50
- 74 -
CAUTION
- Oxygen therapy may raise the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc..) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
- 75 -
MICROCOMPUTER MINIMUM REQUIREMENTS:
• Microcomputer in accordance with IEC 60950-1 and Windows operating system (Windows 2000, XP,
Windows Seven);
• Monitor with minimum resolution of 800x600;
• Serial port (COM) (you can use a Serial adapter - USB in cases of computer with no serial port available,
optional not included);
To use the system, connect the RS 232 cable supplied with the incubator in the side of the control module and
the microcomputer serial inlet port of the incubator.
Note: To get the most appropriate use of this system, make sure that the minimum distance from the microcomputer to the incubator is
1.5 meters as shown in Figure 127.
Note:
When you turn on the incubator the keyboard will always be released for programming.
- 76 -
6.3.8 - OPERATION OF ALARMS
The SCTI LINE 4 incubator has an alarm system, whose function is to alert the equipment user on the
occurrence of a patient's clinical situation out of normal limits on any problems or technical issues of the
equipment.
In all alarms activated, an intermittent alarm and a red indicator LED light is activated. The audio can be muted
temporarily (depending of alarm, see item alarm operation), but the visual indication will remain until the
normal condition be restored.
Note:
- SILENT ALARM KEY
Through the SILENT ALARM key, the user can inhibit the tone of some alarms (see alarm function)
for a period of 15 minutes. In this condition, the alarm will continue to be indicated by a red LED
(alarms indicator) and the indicator LED of the silent alarm is activated showing to the user that the
alarm is silenced. In case of another alarm activation, even if the alarm is inhibited, the activation
will be emitted by the equipment.
- If the alarm condition remains beyond 15 minutes, the alarm will be reactivated and the indicator
LED of silent alarm will be turned off, the user will be able to inhibit the sound activation for another
15 minutes pressing the SILENT ALARM key again.
- Always check the cause of activation of alarms to ensure the patient safety.
Note:
- Priority of alarm condition: all alarms indicated by the SCTI LINE 4 incubator are considered high priority.
- Level of sound pressure of alarms: a 3m distance, perpendicular to the front of the incubator and
approximately 1.5 m above the floor is at least 65 dB.
- Delay time inherent to the determination of the alarm condition: the delay time for the alarm activation is less
than 5 seconds.
- Delay in alarm system: the alarm system has time to detection of alarms less than 5 seconds.
CAUTION
- The alarm that cannot be silenced by SILENT ALARM key:
- Alarm of power failure;
- Alarm of air circulation;
- Alarm of sensor modules disconnected
- Alarm of system failure;
- Alarm of engine failure;
- Alarm of overheating;
- Alarm of UR sensor failure
GENERAL:
1) Alarm of power failure
This alarm is activated when the power supply by mains of 127 / 220V ~ is interrupted. To activate this alarm,
the equipment uses its internal battery as a power source. This battery is rechargeable and is constantly
recharged while the incubator is being powered by AC electrical mains. The battery keeps the programmed
parameters for a maximum period of 15 minutes without AC supply mains. In addition to the sound alert, there
will be a visual indication of "POWER FAILURE" via red LED on the panel and LED on. The alarm cannot be
inhibited by the SILENT ALARM key until you reset the AC electrical mains supply. Whenever the alarm is
activated, the operator must verify the cause of problem, because in that condition the monitoring systems, air
circulation and heating will be turned off.
- 77 -
3) Alarm of sensor modules disconnected
This alarm is activated when the sensor modules is disconnected from the equipment (by the user or
accidentally). In addition to the sound alert, there will be an indication via red LED on the panel and an
SENSOR MODULE DISCONNECTED message on the display. The alarm cannot be silenced by the SILENT
ALARM key.
CAUTION
- The sensor module should remain connected during use of the incubator.
TEMPERATURE:
6) Hot air alarm
This alarm is activated AR mode only when the temperature inside the dome has a difference greater than
1.5°C related to the desired programmed temperature. In addition to the sound alert, there will be an indication
via red LED on the panel and a HOT AIR message on the display. The alarm can be silenced by the SILENT
ALARM key for a period of 15 minutes. By the end of such period, if the hot air condition persists the sound
alert is activated again.
CAUTION
- Activation of alarm during the normal use for long periods may show some kind of technical
problem. If so, call a service center.
CAUTION
- Activation of alarm during the normal use for long periods may show some kind of technical
problem. If so, call a service center.
9) Alarm of hyperthermia
This alarm will be activated RN mode only and will be activated whenever the difference between the desired
temperature set by the user and the newborn temperature is greater than 1.0°C. In addition to the sound alert,
there will be an indication via red LED on the panel and a HYPERTHERMIA message on the display. The
alarm may be inhibited by SILENT ALARM key for a period of 15 minutes. At the end of such period, if the
patient’s hyperthermia condition persists, the alarm will be reactivated.
- 78 -
10) Alarm of hyporthermia
This alarm will be activated in the RN mode only and will be activated whenever the difference between the
desired temperature set by the user and the newborn temperature is greater than 1.0°C lower than the desired
and programmed temperature. In addition to the sound alert, there will be a visual indication via red LED on
the panel and the HYPOTHERMIA message on the display. The alarm may be inhibited by SILENT ALARM
key for a period of 15 minutes. At the end of such period, if the patient’s hyporthermia condition persists, the
alarm will be reactivated.
CAUTION
- The use of the incubator in environments with high temperature, direct exposure to sunlight,
incandescent light, thermal mattresses and phototherapy can cause the alarm activation.
- For more safety, the electronic circuits and temperature sensor responsible for activation of such
alarm are independent of micro processed thermostat.
HUMIDITY (OPTIONAL):
12) Alarm of low water level
This alarm will be activated whenever the humidification system is on and the water level in the tank is below
the minimum level. In addition to the sound alert, there will be an indication via red LED on the panel and a
LOW WATER LEVEL message on the display. The alarm can be inhibited by the SILENT ALARM key.
Whenever the low level alarm is activated, in this condition, the heating of the tank will be turned off and the
servo controlled humidification system will be disabled.
BALANCE (OPTIONAL):
16) Balance disconnected alarm
This alarm is activated when the balance sensor is disconnected from the equipment (by the user or
accidentally). This alarm indicates that the balance plate connector is disconnected. In addition to the sound
alert, there will be an indication via red LED on the panel and a BALANCE DISCONNECTED message on the
display. The alarm can be inhibited by the SILENT ALARM key.
- 79 -
18) Balance Failure alarm
This alarm indicates that there was a failure in the weight reading and that may occur when one of the
weighing plate sensors are damaged or when there is a failure in the cable or connector (open or short circuit).
In addition to the sound alert, there will be an indication via red LED on the panel and a BALANCE FAILURE
message on the display. The alarm can be inhibited by the SILENT ALARM key.
Note:
- To ensure the patient’s safety, perform this procedure to check the alarms weekly.
- The alarms check does not guarantee the perfect operation of the equipment. The temperature calibration
and test of some alarms can be done by the service center only. Send your transport incubator to periodic
reviews at intervals not exceeding 6 months.
- 80 -
6.4 - TURNING ON THE SCTI LINE 4 INCUBATOR - MC3
PANEL
1 ON / OFF KEY
2 RN TEMPERATURE RN 1
3 RN MODE INDICATOR
4 RN MODE KEY
5 AIR TEMPERATURE
6 AR MODE INDICATOR
7 AR MODE KEY
8 DESIRED TEMPERATURE INDICATOR
9 TEMPERATURE INCREASE KEY
10 TEMPERATURE REDUCTION KEY
11 KEYBOARD LOCK KEY
12 LOCKED KEYBOARD INDICATOR
13 BALANCE KEY
14 BPM KEY
15 SPO2 KEY
16 O2 CONCENTRATION KEY
17 RELATIVE HUMIDITY KEY
18 INCREASE KEY
19 TREND GRAPH KEY
20 SILENT ALARM KEY
21 ALARM INDICATOR
22 DESIRED TEMPERATURE GREATER THAN > 37°C INDICATOR
23 PROGRAMMING KEY GREATER THAN 37°C
24 PROPORTIONAL HEATING INDICATOR
25 LACK OF ENERGY INDICATOR
26 REDUCTION KEY
27 DISPLAY OF EQUIPMENT ON
28 GRAPHIC DISPLAY
- Connect the power cable of the incubator in a compatible outlet with voltage specified on the equipment.
CAUTION
- SCTI LINE 4 Incubator can be connected to mains automatic 127/220 V~, frequency 50/60 Hz
- Turn on the main key located on the control module on the right side of the incubator.
- Press the ON key on the control panel
- 81 -
6.4.1 - USE OF AR MODE
AR control mode provides a stable control of the air temperature in the newborn compartment through the
automatic activation of heating resistance as desired temperature programmed by the operator. In this
operation mode, the incubator has HOT AIR and COLD AIR alarms which will be activated when the
temperature is checked for AR with a difference greater than 1.5ºC related to the desired temperature. The
desired value for the air temperature can be set within the range of 20 to 37°C in increments of 0.1°C. The
actual value and the desired value will be indicated on the control panel. How to use the AR mode:
- Check if the sensor module is connected.
- Turn on the incubator model SCTI LINE 4.
- The equipment comes with set point manufacturer-programmed to 34°C. Whenever the equipment is turned
off, the value programmed restarting the AR operation mode will be manufacturer-programmed.
- To set the desired value for the AR temperature, press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION until the desired value by the operator.
- 82 -
Figure 132 - Set point of AR temperature above 37°C
Notes:
- Within the AR field, the number shown is the current value read. The number indicated in the DESIRED
TEMPERATURE field represents the programmed value (set point).
- The incubator will automatically control the power of the heating resistance to stabilize the incubator
temperature as the programmed temperature set by the user.
- On the panel there is a proportional indicator of heating as Figure 132.
- 83 -
Figure 134 - Set point of RN temperature
The SCTI LINE 4 Incubator allows the operator to program temperatures above 37ºC. To program high values
(above 37ºC):
- Increase the desired temperature until it reaches 37ºC, and the alarm will be issued with a message " > 37ºC
RANGE DISABLED"; wait for the message to delete.
- Press the >37ºC key to enable a set point between 37.1ºC to 38ºC, the LED will display as shown in Figure
135.
- To set the desired value for the RN temperature (above 37ºC), press the DESIRED TEMPERATURE
INCREASE/DESIRED TEMPERATURE REDUCTION until the desired value by the operator.
Note:
- Maximum capacity of the tank is 3L.
CAUTION
- Use distilled or deionized water only.
- The humidity level inside the incubator will depend on the relative humidity of the environment air.
- When the air temperature inside the incubator is relatively higher than the air temperature, a
condensation may form on the inner walls of the dome. When the difference between the
temperatures is lower, condensation does not appear.
- 85 -
Servo control of Relative humidity of air (optional module)
In the servo-controlled mode, the incubator provides a stable control of humidity in the newborn compartment.
In this operation mode, the incubator has HIGH and LOW HUMIDITY alarms which will be activated when the
humidity is checked for compartment with a difference greater than 5% related to the desired humidity.
This servo-controlled system allows the incubator operator to monitor and set the relative humidity inside the
newborn compartment.
The desired value for the relative humidity of air can be set within the range of 20 to 95% in increments of 1%.
The actual value and the desired value of relative humidity air will be indicated on the control panel.
Filling the water tank:
- Pull out the water tank about 28cm, and carefully apply a constant force to prevent spillage of its content (if
there is water in the tank).
- Remove the tank cover.
- Fill or replace the tank water to the level indicated keeping the water between the minimum and maximum
ranges. The excess of water can cause delay in humidifying the incubator and risk of overflow when the
incubator is tilted.
- Replace the tank cover.
- Return the tank to its normal position.
Note:
- The limiting oxygen valve is a line item; if the customer chooses the passive oxygen valve or the servo
control of oxygen, the composition of equipment will be as follows:
- limiting oxygen valve;
- Passive oxygen valve or oxygen servo control.
CAUTION
-Read and understand the warnings contained in item 3 – Warnings and/or precautions to be taken
adopted in this guide.
-The air inside the newborn compartment should be enriched only with oxygen under prescription.
- Install an oxygen monitor, placing the sensor near to the center of the newborn compartment.
- Start the oxygen supply after turning the incubator only to ensure proper mixing of gases within the dome.
- Determine the initial flow of oxygen based on the table located above aside of the relief valve, located on
the right side of the incubator. This table shows approximate values for the oxygen flow required to
maintain the desired concentration. The concentration obtained may vary depending on the relative air
humidity inside the compartment, the state of the air filter, seals of dome, number and frequency of
portholes opening.
- Wait 15 minutes and check the oxygen concentration inside the incubator indicated by O2 monitor without
opening the dome. If necessary, set the oxygen flow through the mains flow meter or cylinders. Repeat O2
concentration reading every 15 minutes.
Note:
- Flows of oxygen above 15 liters per minute will produce oxygen concentrations above the values indicated in
the table.
- 87 -
Input Flow (L/min) 0 2 4 6 8 10 12 15
O2 Concentration (%) 21 21 – 28 22 – 32 24 – 34 27 – 40 30 – 42 32 – 44 35 - 50
CAUTION
- Oxygen therapy may raise the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc..) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
O2 Concentration (%) 21 21 – 28 22 – 32 24 – 34 27 – 40 30 – 42 32 – 44 35 - 50
CAUTION
- Oxygen therapy may raise the noise level for the RN inside the incubator.
- The flow of oxygen cannot be used as an accurate measurement of oxygen concentration inside
the incubator, oxygen concentrations should be measured with a calibrated oxygen analyzer.
- Improper use of supplemental oxygen may be associated to serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled
about risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen therapy should be done under the supervision of qualified medical personnel only.
- The concentration of oxygen inhaled by a child does not determine in advance the partial oxygen
pressure in the blood.
- Opening of access port may cause a drop in oxygen concentration. To make a new measurement
wait time to restore the concentration.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, devices that produce sparks, etc..) away from
the room where the incubator is operating. Fabrics, oil or other fuel ignites easily when the air is
enriched with oxygen.
- 89 -
- After finishing the programming, the servo controlled oxygen system of the SCTI LINE 4 incubator will
initiate the process until the oxygen reaches the value predetermined by the operator, keeping the oxygen
near to the programmed value.
Notes:
- Within the field O2, the largest number (bottom) represents the current value read. The smaller number
(top) represents the programmed value.
- The use of servo -controlled oxygen system is optional. To deactivate the system, press the reduction key
of parameters until the minimum value (21%) is reached then presses the reduction key again. The display
will continue to indicate the oxygen concentration inside the newborn compartment and the desired value
will be deleted.
- Press the O2 key when the servo-controlled oxygen system is off, the initial value indicated for desired O2
concentration is 21% (minimum value).
- For the servo controlled oxygen system to function properly, calibrate the oxygen sensors at intervals of
no more than 10 days or every time the incubator is turned on.
CAUTION
- It is recommended a daily calibration to maintain accurate system.
- Monitor with an Oxygen Analyzer properly calibrated at O2 concentration in RN compartment and
compare with the value indicated on the incubator display.
- The oxygen administration can increase the noise level for the RN within the incubator.
- Improper use of supplemental oxygen may be associated with serious side effects including
blindness, brain cell damage and death. The risk varies with each patient. The method,
concentration and duration of oxygen administration should be prescribed by a physician skilled in
attendance of risks and benefits.
- If you need to administer oxygen in an emergency, the attending physician should be notified
immediately.
- Oxygen administration should only be made under the supervision of qualified medical personnel.
- The oxygen concentration inhaled by a child does not determine previously the partial oxygen
pressure in the blood.
- Opening the access port may cause a drop in oxygen concentration. To make a new
measurement, wait a while so the concentration is restored.
- Do not use oxygen in the presence of flammable anesthetics.
- Keep all ignition sources (e.g., matches, cigarettes, sparking equipment, etc..) away from the room
where the incubator is operating. Fabrics, oils or other fuels ignite easily when the air is enriched
with oxygen.
- 90 -
Figure 144 - Sensor module (calibrating O2)
- The equipment will sound an alarm and the graph display will show the following message: "Calibrating the
O2 sensor"
- After a period of approximately 30 seconds, another alarm will sound and the following message appears on
the display: "Calibration Complete".
- Return the sensor module to its position within the incubator.
The calibration of oxygen sensors is finished.
Note:
- To perform this calibration procedure, make sure that the room where the incubator is installed shows normal
concentration of oxygen (21%).
- 91 -
- The side of the sensor containing the light emitting
should be on the top side of the foot or on the side of
finger nail; the detector must be in the opposite side. By
placing the sensor on the patient, try to let the receiver and
detector aligned to ensure the best possible signal for the
system.
Note:
- If the sensor is not positioned correctly, the oxymetry system may not function properly.
- The proper placement of the oxymetry sensor is essential for the system operation. Follow carefully the
indicated guidelines.
CAUTION
- Do not use oxymetry sensors that are not provided directly by OLIDEF or its authorized
representatives.
- Discontinue the use of oxymetry sensor if the fixation adhesive cause allergic reactions to the
patient.
- Do not use damaged oxymetry sensors.
- The oxymetry sensors should not be immersed in water or any kind of solution.
- Do not use abrasive or corrosive products to clean the sensors.
- 92 -
Notes:
- Within the field BPM, the largest number (bottom) represents the current value read. Smaller numbers (top)
represent the maximum and minimum alarms.
- The maximum or minimum values within the " MAX BPM " limit will be directly related to the maximum and
minimum "MIN BPM" limit.
- The use of oxymetry is optional. To turn off the system, disconnect the sensor from the sensors’ module in
the incubator and silence the alarm.
- Pulse rate below 20 (except zero) will be displayed as 20 and above 250 will be displayed as 250. A pulse
frequency zero is used to indicate that the monitor is not monitoring the pulse.
SPO2
In this monitoring mode, the incubator has alarms of HIGH SPO2 and LOW SPO2, which will be activated
whenever the rate of hemoglobin saturated with oxygen in the blood reaches the programmed limits. The
monitoring rate will be from 0 to 100% bpm, and the activation limits of the alarms can be set within a range of
50 to 100% in increments of 1%.
The reading value and limits set will be indicated on the control panel. How to set limits:
- The equipment comes with alarm limits for SPO2 set at 90 and 100 bpm. Whenever the equipment is
turned off, the value set will be the manufacturer-programmed at new start of this monitoring mode.
- To set a maximum value, use the SPO2 key. To set a maximum value, use the INCREASE or
REDUCTION of parameters.
- To set the minimum value, press the SPO2 key twice. To set a minimum value, use the INCREASE or
DECREASE keys of parameters.
Notes:
- Within the field SPO2, the largest number (bottom) represents the current value read. Smaller numbers (top)
represent the maximum and minimum alarms.
- The maximum or minimum values within the " MAX SPO2 " limit will be directly related to the maximum and
minimum "MIN SPO2 " limit during the setting.
- The use of oxymetry is optional. To turn off the system, disconnect the sensor from the sensors’ module in
the incubator and silence the alarm.
Plethysmographic Curve
- In this mode you can view the plethysmographic curve. This system shows the plethysmographic curve
proportional to the pulse volume.
- To view the plethysmographic curve, press the BPM or SPO2 key twice (if the heart trend rate graph is
displayed, press the BPM or SPO2 only once).
- An alarm will sound every good perfusion of the patient. To disable the alarm, press the silent alarm. To
reactivate it, press the silent alarm again.
- 93 -
Figure 147 - Graphic Display - Plethysmographic Curve
CAUTION
- The microcomputer to be used in the system should not have only basic insulation to protect against
electric shock.
- The handling, maintenance, cleaning and environmental conditions of the microcomputer, check the
manufacturer's guide.
AR Temperature Trend
To view the trend graphic for air temperature, press the AR MODE key.
The graphic display will present a graphic where air temperature can be analyzed over time:
- 95 -
Figure 150-Trend Graph for AR temperature
RN Temperature Trend
To view the trend graphic for RN temperature, press the MODE key.
The graphic display will present a graphic where the RN temperature can be analyzed over time:
Humidity Trend
To view the concentration trend of air humidity inside the newborn compartment, press the RELATIVE
HUMIDITY key.
The graphic display will present a graphic where the humidity concentration can be analyzed over time:
- 96 -
Oxygen Trend
To view the oxygen concentration trend, press the O2 CONCENTRATION key.
The graphic display will present a graphic where the O2 concentration can be analyzed over time:
SPO2 Trend
To view the SPO2 trend, press the SPO2 key.
The graphic display will present a graphic where the SPO2 can be analyzed over time.
Note:
When you turn on the incubator the keyboard will always be released for programming.
- 98 -
6.4.9.2 - DATE AND HOUR
The control panel has an additional resource indicating date and hour as figure 158.
Note:
- Keep these adjusted data correctly so trend graphics can show the data correctly.
- The clock is accurate to ± 1 second every 24 hours.
6.4.9.3 - CONTRAST
The control panel has an additional resource for control setting as figure 161.
- 100 -
6.4.9.4 - KANGAROO MODE
The KANGAROO MODE is used so the mother can have contact with the RN, opening the incubator port for
greater access. This mode inhibits some alarms that would be generated by opening the port.
How to use the KANGAROO MODE.
- Turn on the incubator model SCTI LINE 4.
- Press the AR MODE (approx. 3 seconds) as shown in Figure 163.
- The incubator will enter the KANGAROO MODE; to exit, press again the AR MODE key (approx. 3 seconds).
Note:
- SILENT ALARM Key
- Through the SILENT ALARM key, the user can inhibit the tone of some alarms (see alarm function)
for a period of 15 minutes. In this condition, the alarm will continue to be indicated by a red LED in the
panel control. In case of another alarm activation, even if the alarm is inhibited, the activation will be
emitted by the equipment.
- If the alarm condition remains beyond 15 minutes, the alarm will be reactivated and the indicator LED
of silent alarm will be turned off, the user will be able to inhibit the sound activation for another 15
minutes pressing the SILENT ALARM key again.
- If the alarm condition remains beyond 2 minutes, the alarm will be reactivated and the indicator LED
of silent alarm will be turned off, the user will be able to inhibit the sound activation for another 2
minutes pressing the SILENT ALARM key again.
- Always check the cause of activation of alarms to ensure the patient safety.
Note:
- Priority of alarm condition: all alarms indicated by the SCTI LINE 4 incubator are considered high priority.
- Level of sound pressure of alarms: a 3m distance, perpendicular to the front of the incubator and
approximately 1.5 m above the floor is at least 65 dB.
- Delay time inherent to the determination of the alarm condition: the delay time for the alarm activation is less
than 5 seconds.
- Delay in the alarm system: the alarm system has time to detection of alarms less than 5 seconds.
CAUTION
- The alarms that cannot be silenced by SILENT ALARM key:
- Alarm of power failure;
- Alarm of air circulation;
- Alarm of dome sensors disconnected;
- Alarm of system failure;
- Alarm of misplaced module of sensors;
- Alarm of air sensor failure;
- Alarm of overheating.
- 102 -
GENERAL:
1) Alarm of power failure;
This alarm is activated when the power supply by mains of 127 / 220V ~ is interrupted. To activate this alarm,
the equipment uses its internal battery as a power source. This battery is rechargeable and is constantly
recharged while the incubator is being powered by AC electrical mains. The battery keeps the programmed
parameters for a maximum period of 15 minutes without AC supply mains. In addition to the sound alert, there
will be a visual indication of "POWER FAILURE" via red LED on the panel and LED on. The alarm cannot be
silenced by the SILENT ALARM key until you reset the AC electrical mains supply. Whenever the alarm is
activated, the operator must verify the cause of problem, because in that condition the monitoring systems, air
circulation and heating will be turned off.
CAUTION
- The sensor module should remain connected during use of the incubator.
TEMPERATURE:
6) Alarm of air sensor failure
This alarm is activated when the air temperature sensor is disconnected from the control module or is
defective, preventing the equipment operation. In addition to the sound alert, there will be an indication via red
LED on the panel and an AIR SENSOR FAILURE message on the display. The alarm cannot be silenced by
the SILENT ALARM key. In this condition, the heating will be automatically off for the patient safety.
- 103 -
CAUTION
- Activation of alarm during the normal use for long periods may show some kind of technical
problem. If so, call a service center.
CAUTION
- The use of the incubator in environments with high temperature, direct exposure to sunlight,
incandescent light, thermal mattresses and phototherapy can cause the alarm activation.
- For more safety, the electronic circuits and temperature sensor responsible for activation of such
alarm are independent of micro processed thermostat.
- 104 -
HUMIDITY (OPTIONAL);
15) Alarm of low water level
This alarm will be activated whenever the humidification system is on and the water level in the tank is below
the minimum level. In addition to the sound alert, there will be an indication via red LED on the panel and a
LOW WATER LEVEL message on the display. The alarm can be inhibited by the SILENT ALARM key.
Whenever the low level alarm is activated, in this condition, the heating of the tank will be turned off and the
servo controlled humidification system will be disabled.
OXYGEN (OPTIONAL);
18) Alarm of O2 high level
This alarm is activated when the oxygen concentration inside the newborn compartment has a variance
greater than 3% over the programmed value In addition to the sound alert, there will be an indication via red
LED on the panel and an O2 HIGH LEVEL message on the display. The alarm can be inhibited by SILENT
ALARM key for a period of 15 minutes. At the end of such period, if the patient’s O2 HIGH LEVEL condition
persists, the alarm will be reactivated.
- 105 -
OXYMETRY (OPTIONAL);
23) Alarm of oxymetry sensor disconnected
This alarm will be activated whenever there is a valid measure of SpO2 and BPM and a disconnection of
sensor cable of the equipment (by the operator or accidentally). In addition to the sound alert, there will be an
indication via red LED on the panel and an OXYMETRY SENSOR DISCONNECTED message on the display.
The alarm can be inhibited by the SILENT ALARM key
BALANCE (OPTIONAL):
30) Balance disconnected alarm
This alarm is activated when the balance sensor is disconnected from the equipment (by the user or
accidentally). This alarm indicates that the balance plate connector is disconnected. In addition to the sound
alert, there will be an indication via red LED on the panel and a BALANCE DISCONNECTED message on the
display. The alarm can be inhibited by the SILENT ALARM key.
- 106 -
6.4.11 - CHECK OF ALARMS SYSTEM
Use the following procedure to check the alarms operation of the incubator model SCTI LINE 4.
Before you start checking ensure that:
- The incubator has no patient on it.
- The RN sensor is disconnected from the panel.
- The power cable is properly connected to the electrical mains.
1- Press ON key on the control panel and check if the display lights and the system boot begins.
2- Set the desired temperature of 37.0ºC for the air. (See item 6.3.1 - Use of AR mode) Check if the
heating is on.
3- Wait the temperature to stabilize. Open the dome and check if the temperature indicated for AR on the
front panel will fall. The Cold Air alarm should be activated as soon as the temperature indicated for
AR falls below 35.5°C. Close the dome after the alarm activation.
4- Connect the RN sensor on the side panel and select the RN mode (See item 6.3.2 - Use of RN mode).
5- Set the desired temperature of 37ºC for the RN mode. Position the RN sensor at 10cm away high on
the center of the mattress Wait for the temperature stabilization (RN temperature shown in the display
should be near the desired temperature, i.e., 37.0°C). Before continuing the test, make sure there is
no alarm activated.
6- Remove the RN sensor from the inside of the dome, leaving it exposed to room temperature. Verify if
activation of the Hypothermia alarm occurs, which should occur when the temperature indicated for
the RN is 1.0°C lower than the desired temperature.
7- Place the RN sensor in a container with water under temperature above 38.0°C, for example, water
taken from a tap with heater or an electric shower. Check if the RN temperature rise indicated by the
control module occurs. The Hyperthermia alarm should be activated when the RN temperature
indicated on the display is 1.0°C above the desired temperature. In this situation the heating indicator
should be turned off.
8- Disconnect the RN sensor of the side panel and check the activation of the RN Sensor Disconnected
alarm.
9- Disconnect the RN sensor of the side panel and check the activation of the Disconnected alarm.
10- On the Incubator front panel select the condition in "AR mode" and adjust the temperature to 36.0°C.
Allow the system to stabilize for about 30 minutes. After this stabilization obstruct the inlet or output of
ventilation in the incubator tray. In the 15-120 seconds range, it shall operate the audible and visual
Air Circulation alarm. Let the air passage free.
11- Start the humidification system, setting the desired value to 90% of all humidity. Empty all
humidification system. Make sure the Low Water Level alarm is activated.
12- If there is a balance, place a weight exceeding 10 kg but not exceeding 12 Kg. Make sure the
Overload Balance alarm is activated.
13- Disconnect the balance sensor of the side panel. Check if the Balance Disconnected alarm is
activated.
14- In case of integrated pulse oxymetry, plug the oxymetry sensor on the side panel, place the sensor on
the finger, and be sure that the receiver and detector are not aligned. Check if the Signal Failure
alarm is activated.
15- Place the sensor and try to let the receiver and detector aligned to ensure the best possible signal,
increase the minimum in BPM mode. Check the High Heart Rate. Now change to reduce the
Maximum in BPM mode. Check the Low Heart Rate.
16- Repeat the process in SPO2 mode. Check if Low SPO2 and High SPO2 alarms are activated.
17- Disconnect the oxymetry sensor of the side panel. Check if the Oxymetry Sensor Disconnected
alarm is activated.
18- Disconnect the supply cable of the mains. Check if the Power Failure alarm is activated.
19- Press the Off key in the control panel.
20- If any tests described do not result in the activation of alarms, request the visit of the nearest service
center.
Note:
- To ensure the patient’s safety, perform this procedure to check the alarms weekly.
- The alarms check does not guarantee the perfect operation of the equipment. The temperature calibration
and test of some alarms can be done by the service center only. Send your transport incubator to periodic
reviews at intervals not exceeding 6 months.
- 107 -
7 - MAINTENANCE
After performing any maintenance procedure, make sure that the equipment and its alarms are in perfect
working conditions according to the procedure described in item - Verification of Alarms System, as control
module
Make sure that maintenance is always performed by qualified personnel, trained in the manufacturer and the
replacement parts used are original.
Refer to Technical Specifications or call the nearest service center for more detailed information on preventive
and corrective maintenance, spare parts, electric and electronic schemes and technical training.
CAUTION
- Only qualified personnel authorized by the manufacturer should perform the maintenance
procedures and review of the incubator.
- To avoid the possibility of burns while performing maintenance if the incubator, make sure that
the equipment is disconnected from the mains and the oxygen supply, and the air is closed or
disconnected.
Bed
The incubator bed should be verified every six months to ensure its correct operation. The technician must
perform the following procedure:
- Open the dome cover and pull the bed out. Check if the tray handle is not stacked and crashing at the end.
- Check if the bed has no deformation or broken parts.
- Check if the mattress is in good condition, with a plastic cover and no rip or sewn pieces.
Support
The incubator support should be verified every six months to ensure its correct operation. The technician must
perform the following procedure:
- Check if all parts are securely fixed. Check the screws fixation.
- Check if the casters’ operation are spinning freely and the brakes are working properly.
Body
- Check if the incubator box has normal use conditions. There shall be no damaged parts, defective paint or
any abnormality.
Dome
- Check if the incubator dome has normal use conditions. It should not be cracked or broken parts.
Periodic review
- It is recommended that the incubator receives periodic reviews of calibration every 6 months at a service
center authorized by Olidef
- 108 -
7.2 - PERIODIC MAINTENANCE
The equipment operator must check the following items to ensure the correct operation of the transport
incubator.
Parts replacement
It is recommended the periodic replacement of some parts suffering wear according to the terms described in
the table below. The replacements must be made by trained personnel. Always use parts provided by Olidef or
its authorized service centers.
Parts replacement TERM PERFORMER
Auxiliary light bulb 12 months Technician
High pressure hose 12 months User
Sealed battery 12V - 1,3Ah of support with height
18 months Technician
setting
Air filter 3 months User
Particle retention filter 3 months User
O-ring Rings of oxygen valves 12 months Technician
Iris sleeve 6 months Technician
Wrist sleeve 6 months Technician
AR buffer 12 months Technician
Tube passage 12 months Technician
Mattress 6 months User
Mattress cover 12 months User
Oxygen cell 12 months Technician
8,4V battery 12 months Technician
Clock battery (CR2032 Lithium) 18 months Technician
CAUTION
- Batteries should only be replaced by technician certified by the manufacturer.
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7.2.1 - AIR FILTER EXCHANGE
To replace the air filter, remove the knob (A) that locks the cover, then remove the cover (B) to replace the
filter (C).
A- Knob
B - Filter Cover
C - Filter
D - Filter basin
E - Air conductor duct
Figure 167 - Air filter replacement Figure 168 - Air filter (exploded view)
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7.2.4 - EXCHANGE OF AIR FILTER OF SERVO CONTROLLED OXYGEN VALVE
To replace the air filter (A), unscrew the valve inlet nozzle until the end, remove the O-ring (B). Replace the air
filter and return it to its original position as shown in Figure 171.
- Remove the fuse out and insert the new one as Figure 173.
• LC5 Balance
-Unscrew the cover, remove the fuse out and insert the new one as Figure 176.
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• Halogen Phototherapy
- Insert a screw key into the holder fuse slot and turn left to unlock the cover as shown in Figure figura177.
- Remove the fuse out and insert the new one.
Environmental Protection
Disposal
If there is need to disposal of equipment or its parts and they do not have a destination defined by the
customer, the item must be sent to the manufacturer or nearest service center for disposal according to
current law.
Rechargeable batteries used in the SCTI LINE 4 incubator have limited lifetime. After replacement, send the
damaged battery to the manufacturer or nearest service center. Do not disposal the material in the common
trash; the batteries have toxic and heavy metals in the composition.
CAUTION
- Disposal of batteries should be performed in accordance with the current laws of the country.
Cleaning the SCTI LINE 4 Incubator must be made upon initial receipt, off/out of use, return of maintenance,
after the equipment usage (patient withdrawn) or as procedures for inner cleaning and disinfection following
the sequence below:
• Use a soft and clean cloth moistened in water and mild soap.
• Remove dust from the equipment plastic and metal surfaces.
• Clean the monitor support, the serum support and the incubator support.
• Clean the entire body surface of the incubator using a moistened cloth and mild soap.
• MATTRESS
1. Move the dome back until it locks it in the pin.
2. Remove the mattress from the inside of the RN compartment as shown in Figure 179.
• RN COMPARTMENT
To clean the internal RN compartment follows the procedure below:
1. Move the dome back until it locks it in the pin as figure 181.
• DOME
1. To remove the inner dome of the dome port, turn latches of CI located at the port ends as shown in Figure
187.
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3. Pull the inner cover up.
5. Move up to unlock on both sides then carefully remove the inner dome out as shown in figure 191. If the
equipment is assembled with the control module MC3, it will be necessary to remove the sensor module
before removing the inner dome.
• WATER TANK:
1. Remove the water tank from the incubator as shown in Figure 193.
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• CONTROL MODULE
1. Before removing the control module, remove all cables connected to the side panel. Pull the panel latch
located on the control module and pull the tab (A) located on the front side as shown in Figure 195:
7. Then, dip the rear side of the module in the tank as shown in Figure 194, and maintain in it for 10 minutes.
8. Remove the module from the disinfection tank
9. Replace the water of the disinfection tank.
10. Dip the module rear side into the tank again.
11. Wait for 3 minutes and remove the control module from the tank.
12. Dry the module rear side and its components using a clean dry cloth or paper towel.
13. To replace the control module in the incubator, push it to its normal position until you hear the "click" of the
latch.
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8.2 - DISINFECTION
In cases which the incubator has been used for a child with infectious disease, the disinfection must follow a
more strict process. However, due to be a not critical subject, there is no need for sterilization of the
equipment or its parts, being sufficient the disinfection only.
For this, follow the equipment cleaning on the indications of Item 8.1 - Cleaning. Then, after drying the parts,
use a dilute solution of quaternary ammonium that has spectrum of great action for disinfection; however, do
not leave residual susceptible to get in contact with the newborn body and may cause any toxic action . Apply
the solution with a clean cloth over the mattress, bed, RN sensor (do not leave the solution gets into contact
with the RN sensor plug), RN compartment and fan.
The disinfection of acrylic parts, never use products made from alcohols or ethers, due to this liquid may
damage such material.
CAUTION
- Do not autoclave the foam or the mattress cover.
- Do not use solvents or abrasive cleaners to clean the surfaces of the SCTI LINE 4 incubator.
- Do not expose the acrylic or plastic surfaces under direct radiation from germicidal bulbs. The
ultraviolet light can cause drying of these materials.
-Do not autoclave or sterilize any part of the incubator with gas.
- For cold sterilization, make sure the product that will be used can be used with plastic and metal
materials (chrome and painted).
- For immersion in liquids, some chemicals can be harmful to plastics; in case of doubt, consult the
supplier of such products.
9 - TROUBLESHOOTING
The troubleshooting table indicates to the user a series of generic occurrences, its causes and possible
measures to be taken for possible troubleshooting. If such information is not sufficient to correct the failure, the
Newborn Incubator model SCTI LINE 4 must be submitted for review at the nearest authorized service center.
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10 - WARRANTY
The Olidef cz Indústria e Comércio de Aparelhos Hospitalares Ltda assures to the owner of the Newborn
Incubator SCTI LINE 4 warranty against any defect in material or workmanship that it is submitted within
twelve months (12) from the purchase date by the first acquirer.
The warranty responsibility is limited to repair or replacement of defective parts and manufacturing and setting
repairs that may be necessary to operate the unit within its specifications provided it is performed at the
company headquarters as Avenida Patriarca, 2223 - Ribeirão Preto or service centers of Olidef with expenses
and risks of transport and packaging by the owner.
It is excluded from this warranty the defective parts by wear such as power cable, mini resettable circuit
breakers, bulbs, seals, etc. This warranty is void if the equipment, at Olidef criteria, has suffered damage by
accident, fall, or show signs of sets or attempts or repair by unauthorized persons.
Any change or extension of warranty, and strict conditions of this term, will only be valid when taken in writing
directly by Olidef.
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