User Manual Bilitron 3006
User Manual Bilitron 3006
User Manual Bilitron 3006
IEC 60601-1
IEC 60601-1-2
IEC 60601-2-50
1 – Introduction............................................................................. 01
2 – Technical Characteristics........................................................ 02
9 – Bibliography.............................................................................. 25
USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
1 – Introduction
Phototherapy is commonly used in the treatment of neo-natal neonatal hyperbilirubinemia, by exposing the
patient to radiation, focused on the blue visible light spectrum, for a period to be determined by the attending
physician.
Ever since its very beginning in the end of the 50’5, and later by the marked evolution of the types of lamps
being used, the introduction of phototherapy in the treatment of neo-natal hyperbilirubinemia has minimized
risks without, however, eliminating the adverse collateral effects caused by the ultra-violet and infra-red light
on the patient’s body. The large amount of different type lamps and more recently, of conventional LEDS
which, in order to obtain greater treatment efficiency, require many light sources emanating from the same
device, which renders it cumbersome and heavy.
TM th
BILITRON may be considered a 7 Generation phototherapy equipment available worldwide in the market.
The treatment of hyperbilirubinemia by light started with the use of low-intensity fluorescent lamps. Later on,
fluorescent lamps spreading a blue spectrum were used. Still later, halogen lamps were introduced, as well
as a variation of optical fibers. The LEDS (light-emitting diodes) were also introduced for phototherapy
purposes, but, due to a low light-emission volume, hundreds of LEDS are needed to get satisfactory results.
The coming to the scene of the Super LED, with a high degree of blue spectrum radiation, and bearing a
physical-chemical composition different from that of conventional LEDS, allowed the making of equipment
made up of few LEDS, which made this equipment smaller and lighter.
The Super LEDS issue a safe type of radiation (according to IEC 825, Class 2 norms), completely
eliminating ultra violet and infrared filters (see emissions graph), with the advantage of drastically reducing
risks of burning, eritheme and the unfelt loss of body fluids. It is then an innovating, micro-processed type of
electronic photo-therapy, capable of eliminating undesirable radiations from the ultraviolet and from the
infrared spectrums, incorporating an ellipse bearing a larger area with smaller losses at the edges, allowing
a more anatomic application on the bodies of the patients.
The microprocessor electronics that has been introduced in this type of phototherapy allows the use of
resources never used before, such as radiometers containing optical probes (the probe is optional), time of
treatment, hour counter, luminous intensity adjustment (the first phototherapy with this kind of irradiation
adjustment), a calendar clock, a distance vs. radiation converter, a data memory bank to issue a report and
to communicate with the computer/printer or to communicate with the series 3620 radiometer.
With the intent to preserve its efficiency, and taking into account the nature of the task which the Model 3006
TM
BILITRON purports to accomplish, some special care is needed for the handling and the operation of the
equipment. This User Manual provides general instructions for the installation, the use and the maintenance
TM
of the equipment by the operator, together with flaw diagnosing. FANEM™ will not accept any liability if the
user fails to follow instructions, and if s/he fails to abide by the warning and the maintenance
recommendations contained in this manual, or if the user makes any repairs using non authorized
components. The calibration and repairs must be executed only by qualified personnel. Any additional
information are provided by your local distributor.
This manual must be read and perfectly understood, and it must be made readily available for everybody
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needing to work with the Model 3006 BILITRON phototherapy unit. When not in use, the User Manual
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should be kept together with BILITRON unit. If there is any information that you are unable to understand,
please get in touch with FANEM™ ‘s representatives to get further details.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
2 – Technical Characteristics
2.1 Power Requirements
Spectral Irradiation
Spectral Irradiation
(W/cm2⋅ nm
Wavelength (nm)
Figure 2. Spectral Irradiation from Bilitron™ 3006 power source interval from 400nm to 500nm.
1,40E-02
1,20E-02
1,00E-02
R(λ) [A cm ηm/W]
8,00E-03
2
6,00E-03
4,00E-03
2,00E-03
0,00E+00
200 250 300 350 400 450 500 550 600 650
Comprimento de Onda(nm)
Wavelength (ηm)
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
♦ Weight
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
2.6 Specifications
Effective Surface:
Effective Surface where Ebi min / Ebi máx > 0,4 according IEC 60601-2-50:
Distance 30 cm ....................................................................150 x 105 mm
Distance 40 cm.....................................................................140 x 130 mm
Distance 50 cm.....................................................................190 x 140 mm
Radiometer:
2
Measurement band ........................................................................... 0 a 200 µw/cm .nm
2
Resolution ......................................................................................... 0,1 µw/cm .nm
2
Reading precision ............................................................................. ± 1 µw/cm .nm
Environmental Conditions:
Operating temperature tier……... .................................................... 18ºC to 28ºC (room temperature)
Operating humidity tier……… .......................................................... 10% to 95% (non condensing)
Operating Pressure tier……… .......................................................... 700 hPa a 1060 hPa
Note.: These conditions apply to equipment that have been properly packaged.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
Presentations:
TM TM TM
1 – Bilitron 3006 (BTI) 2 - Bilitron 3006 (BTP) 3 - Bilitron 3006 (BTB)
REF: 006.001.900 REF: 006.002.900 REF: 006.000.900
Included with
6 006.132.600 Articulate Arm to be used in Infant Warmer or Incubators
006.000.900
Included with
7 006.133.600 Movable Spindle Set
006.002.900
Attention: Always use the original FANEM™ Power Source Model, because these
modules are controlled and selected individually according to the original project
characteristics.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
Attention: This chapter of the User Manual contains extremely important information to
insure the safety and the physical integrity of the patient, of the user and of
the equipment. Read it CAREFULLY!
TM
♦ It is recommended that BILITRON unit be used at a distance of not less than 30 cm between the light
source and the patient.
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Attention: Do not use BILITRON unit when the Power Source Module is in direct
contact with the body of the patient.
♦ Check as to whether the network to which the equipment will be connected has the necessary characteristics
to support the electric voltage and power outputs of the equipment, which are shown on a label attached to
the device.
♦ The power cord must be plugged into a grounded outlet, set permanently in the wall, according to the norms
and legislation in effect for low-voltage electric installations, and electric standards set by law for Health
Establishments.
Attention: Do not use extensions or multiple plugs. If the ground is not appropriate, do not
use the equipment.
Attention: In order to prevent damage to eyesight, the RN will need to use eye
shades.
TM
♦ BILITRON unit must be used according to the ideal comfort norms established for the nursery (between
23ºC to 27ºC).
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THE SUPERLED PHOTOTHERAPY
♦ A phototherapy unit that is improperly used may expose the newly born to serious risks. This unit must be
operated exclusively by appropriately trained and qualified personnel and under the direction of qualified
medical personnel familiar with currently knows risks and the benefits deriving from its use.
♦ This unit may not be used if any of its functions is not working properly. Technical servicing will be required
in this case.
♦ It is unadvisable to leave the patient unattended when under the equipment.
♦ The temperature of the patient must be constantly monitored by means of a clinical thermometer.
♦ Thermotherapy devices (Heated Cradles, Incubators, Heated Mattresses, Radiation Heaters, etc), when
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coupled to BILITRON unit, may raise the patient’s body temperature to dangerous levels. It is
recommended that these equipment should be operated in a skin-to-skin controlled mode (self-controlled), or
else in a manual mode. The heat rate of the heater must be reduced according to the temperature of the
patient’s body, and it should be monitored through a clinical thermometer.
♦ Always use original lamps. The use of different types of lamps may change the irradiation and temperature
conditions regarding the levels that have been specified for the equipment.
♦ We recommend the usage of a FANEM™ Radiation Monitor to make sure that the lamp is emitting the
2
perfect amount of radiation, in order to insure the minimum radiation of 10 µw/cm nm at a distance of 300
mm from a light source at the highest point of radiation (center of the luminous focus).
2
Note: 4 µw/cm nm is the value that is accepted internationally regarding adequate treatment (this is the least
value according to Mims (1)).
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Attention: Do not place BILITRON unit next to heat sources when of Infant Warmers. Keep at
least 40 cm away from heat source.
TM
Attention: Whenever BILITRON phototherapy equipment is used conjoined with a Infant
Warmer, make sure that the phototherapy equipment is kept away from the area of
the heat being irradiated by the cradle.
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♦ Do not place any cloths or towels over the body of BILITRON unit. This may increase the temperature, and
it will cause the irradiating source to be turned off.
Attention: Do not use the phototherapy equipment close to flammable anesthetics, combustible
gases, or cleaning agents, which may provoke combustion.
Attention: The equipment is not adequate to be used with flammable anesthetic mixtures.
♦ The normal life cycle of the original FANEM™ LED´s is of around 20,000 hours, subject to series of
constructive and operational characteristics. However, it is recommended that the irradiation be constantly
monitored by using FANEM™ Radiation Monitor, pursuant the usual maintenance procedures, in order to get
a better measure of the real efficacy of the LED´s.
♦ Do not activate the command keys with your nails, and do not use sharp pointed instruments to activate
them.
♦ The light emitted for phototherapy equipment can hinder clinical observations by masking skin color
changes, such the cyanosis. To become the evaluation of the coloration of the skin of the patient, the
phototherapy must be off.
♦ Use only original FANEM™ replacement parts and accessories in order to insure better performance and the
safety of the equipment.
™
BILITRON phototherapy unit allows a quick reduction in the serical bilirubin levels , thus reducing the need
to use blood transfusions, and reducing treatment time.
♦ Even if transitory, collateral effects may be observed, as result of phototherapy. Among them, we could
mention the increase in the flow of peripheral blood with the resulting dilation of blood vessels, erythema
and an increase in the unfelt loss of body fluids, as well as changes in the intestinal tract.
♦ The hydric balance of the patient may be changed through the use of phototherapy.
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♦ When newborn babies are exposed to BILITRON unit, as well as to any other type of phototherapy,
they need adequate hydric support during treatment, as well as eyesight protection, besides routine
assistance by nurses and doctors.
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♦ Even if infrequent, some newborn babies exposed to BILITRON unit for over 4 days may present a
tanned hue on their skins. These patients are normally premature babies, or babies showing serical
TM
bilirubin levels in excess of 2 mg%. When BILITRON unit is removed, the tanned hue goes away
gradually without leaving any sequels.
♦ In newborn babies whose skin shows jaundice, it is usual that after of few hours of exposure to
TM
BILITRON unit, the area being illuminated appears to be lighter as well as whitish in color. This is due
to the intense effect of the light over the bilirrubinic pigment deposited on the skin.
♦ When newborn babies present a serious risk of developing high seric bilirubin levels, as well as in babies
in whom the bilirubin concentration keeps on rising in spite of phototherapy, we recommend the use of
TM
two BILITRON unit.
Double exposure to phototherapy allows a quick reduction of the levels of seric bilirubin, reducing the
need of blood transfusions and cutting down on the length of the treatment.
♦ The operator’s eyesight may be harmed if s/he stays for a long time in the area where the patient is.
♦ Patients lying next to the Phototherapy equipment may need to be protected with armored folding
screens, protective eyeglasses, etc.
♦ During the treatment, Bilirubin photo isomers may have a toxic effect.
♦ The seric Bilirubin levels in the patient should be monitored regularly.
♦ Liquid infusions and drugs in general should not be stored inside the area affected by radiation.
♦ Do not use plates or reflection sheets on the phototherapy equipment, since they may provoke
dangerous body temperatures on the patient, and, together with the irradiating heat unit, they may cause
serious injuries to the patient.
♦ The light source irradiated by the Super Led has extremely low levels of infrared rays, which are
responsible for the heating of the bodies of the newborns. It is, therefore, recommended that their
temperatures are checked as a matter of routine through the use of a calibrated clinical thermometer.
Environmental Conditions:
♦ When used in open ambiences, and in unheated cradles, it is recommended that the temperature of the
newborn babies be monitored to prevent hypothermia.
♦ Environmental conditions, such as the movement and the flow of air for instance, may affect the thermal
balance of the patient.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
It is within the parameters that have been specified regarding RF emissions, Immunity, electrostatic
discharges, Irradiated and Transient Electromagnetic Radiofrequency Fields (Voltage Sprays and Bursts).
Attention: The use of accessories, transducers, sensors and not original handles of net can
result in addition of Emissions or decrease of the Immunity of the equipment.
RF Emissions
Class A
CISPR 11
Emissions of harmonic TM
Class A BILITRON 3006 Phototherapy is adjusted for use in all
IEC 61000-3-2
the establishments that are not domestic servants and can
be used in residential establishments and those directly
hardwired to the public net of distribution of electric energy
of low tension that feed constructions for domestic use,
since that the following acknowledgment is understood:
Emissions due the tension Attention: This equipment is destined for use only for the
Flotation / flicker Comply professionals of the equipament health area. It can cause
IEC 61000-3-3 radio interference or interrupt equipment operations in the
neighborhoods. It can be necessary to adopt procedures of
TM
reduction, such as reorientation or replace of BILITRON
3006 Phototherapy or local shield.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
TM
BILITRON is destined for use in specified electromagnetic environment below.
TM
We Recommend that to the customer or user of BILITRON 3006 Phototherapy guarantees that it is used in such
environment.
Immunity Essay Essay Level ABNT NBR Level of Electromagnetic Environment - Guidelines
IEC 60601 Conformity
a.
Itensities of field established by fixed transmitters such as radiostations, telephone (mobile/ wireless) and terrestrial
mobile radios, amateur radio, FM radio transmission and TV transmission can be theoretically provided with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, we advise an electromagnetic inspection of
the place. If the measurement of field intensity of the place in which the the phototherapy is used overpasses the level
of accordance used above, the cradle need to be observed in order to verify if the operation is normal. If an abnormal
performance is observed, additional procedures can be necessary, such as reorientation or replacement of the
phototherapy .
b.
Above the frequency band of 150 kHz until 80 MHz the field intensity should be below 10 V/m.
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
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BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
Electromagnetic Immunity
TM
BILITRON 3006 Phototherapy destined for the use in the following electromagnetic environment
We recommend that the client or the User of the phototherapy ensure that it is used in such an
environment
< 5% UT (>95% fall of < 5% UT (>95% fall ofThe quality of the energy
tension in UT) by tension in UT) by
supply must be standard of
0,5 cycle 0,5 cycle a typical hospital or
Falls of tension, short commercial environment. If
interruptions and 40% UT (60% fall of 40% UT (60% fall of TM
the user of BILITRON 3006
variations of tension tension in UT) by 5 tension in UT) by 5
Phototherapy demands
in the mains supply cycles cycles
operation continued during
of entrance 70% UT (30% fall of 70% UT (30% fall of the energy interruption, is
IEC 61000-4-11 tension in UT) by tension in UT) by recommended that
TM
25 cycles 25 cycles BILITRON 3006
Phototherapy be fed by a
< 5% UT (>95% fall of < 5% UT (>95% fall of uninterrupted source or a
tension in UT) by 5 tension in UT) by 5 battery.
seconds seconds
Magnetic field in the 3 A/m 3 A/m Magnetic fields in the
frequency of mains frequency of the feeding
supply (50/60Hz) would have to be in
IEC 61000-4-8 characteristic levels of a
typical place in a typical
hospital or commercial
environment.
NOTE: UT is the feeding tension A.C. before the application of assay level
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
TM
Attention: Before using BILITRON phototherapy unit, it should be cleaned and
disinfected, as per instructions in chapter 7 of this manual, and/or pursuant
the protocols that have been adopted by the Hospital Control and Infection
Commission.
TM
5.1 – Assembling Trolley Configuration Bilitron 3006 – BTP
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
Fasten the "A" and "B" supports in rivets in the central support.
Note 1: For fixing the parts should be used six lock washers #000.939.001, six flat washers
#000.922.001and six Allen screws M6 #000.142.015.
Note 2 - Use an Allen key to fasten the M6 screws (Allen key not included).
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
Attention: This chapter of the User Manual conveys extremely important information to
insure the safety and the integrity of the patient, of the user and of the
equipment. READ IT CAREFULLY!
♦ The plug of the power cable shall be connected to a grounded power outlet, set permanently in the wall,
according to the norms and the laws in force dealing with low-voltage electric installations, and the laws
pertaining to electric installations within Health Establishments.
Attention: Do not use multiple type extensions or plugs. If the ground is not adequate, do not
use the equipment.
♦ Connect the power cable plug into the power grid, and turn on the general switch located on the side of the
equipment. Check to ascertain whether the lamp was turned on.
♦ Position the phototherapy unit in the incubator or in the cradle where the patient lies. Adjust the height and
the angle of incidence of the light over the patient.
Attention: In order to prevent damages to eyesight, the Newborn will need to have
his/her eyes protected.
Attention: The equipment will reach its normal temperature and irradiation level conditions in
less than 15 minutes.
♦ The angle of light incidence can be adjusted by moving the body of the reflector in the desired direction. The
head can be rotated in order to better adjust the focus in the Articulate Spindle 3006 BTP or 3006 BTB
models.
TM
Attention: BILITRON 3006 BTP model must be only transported with the column in the
lowered position.
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USER MANUAL
BILITRONTM MODEL 3006
THE SUPERLED PHOTOTHERAPY
♦ When coupled to the Infant Warm, the unit will perform the same movements mentioned above, except for
height adjustments. The articulate spindle, which will bring the focus closer, will compensate this movement
or it will move it away from the patient.
Radiation
Distance between 2
µW/cm .nm Elliptical focus
patient and reflector
(on the center of the
D (mm)
lujminous focus)
d
so as to allow the luminous focus to cover the whole body and the start
of the thighs of the newborn. When the baby has been born
prematurely and underweight, this height must be eventually reduced,
provided the luminous focus covers the whole thorax down to the start
of the thighs. The intensity of the radiation shall increase as the
distance of the light source decreases from the patient. See Table I and
Figure 1.
A
♦ Always keep the focus of light pointed over the body and the start
of the thighs of the newborn baby.
Figure 1
TM
Attention: Do not use BILITRON unit when the Power Source Module is directly in
contact with the body of the patient.
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
Alphanumeric Display: This display informs the user about the following items:
1- A calendar clock displaying the month and the year, the hours, the minutes and the seconds.
2- Overall usage time of the lamps (hour counter).
2
3- Radiation level measured in µW/cm .nm – when used together with an optical sensor probe (optional).
4- Time of exposure.
5- Power level of the lamps when adjusted by the operator.
6- Transmission of data to a printer or to a computer.
INPUT POWER
ALIMENTAÇÃO 12V
12V DC DC
- +
SAÍDA RS 232
TOMADAFOR
SOCKET PARATHE RSCOMUNICAÇÃO
PARA 232 - OUTPUT
SONDA
OPTIC ÓPTICA
SENSOR COMMUNICATION
CHAVE LIGA/DESLIGA
ON/OFF SWITCH _
MENU
SOBE
UP
DESCE
DOWN
CONFIRMAR
CONFIRM
DISPLAY
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
Time of Exposure:
Press the MENU key until the word “Therapy” is displayed, the total number of hours used will be informed on
the second display line. It will be shown in hours.
To zap the counter, press the MENU key until you see “Zap Therapy” displayed.
Press the CONFIRM key to zap the counter.
Lamp Counter:
Press the MENU key until you see the Word “Lamps” displayed.
You will see the lamp usage time displayed in terms of hours on the second line.
The counter showing the number of lamp usage hours will only be turned off when the general switch is
activated while the CONFIRM key stays pressed down.
Note: This operation must be accomplished with the Source Module is replaced by a technician authorized to
do so by FANEM™.
Language:
Press the MENU key until the function "Config. System" is displayed. Press the UP key until the submenu
"Language" is displayed in the first line, with the current language shown in the second line. Press CONFIRM to
change the language. Once the desired language is displayed, press MENU to leave. The other screens will be
displayed in the selected language.
Irradiance Level:
TM
BILITRON 3006 phototerapy unit can also be used as a radiometer. To do so, it is necessary to use a
FANEM™ optical sensor (optional item, ref. 620.058.600). Plug the optical sensor in the outlet orresponding to
TM
the radiometer, located on the right side of BILITRON box. Press the MENU key until the value for irradiance,
2
expressed in µW/cm nm is displayed.
TM
If BILITRON was acquired with the optical sensor, then the radiometer will already be calibrated from factory,
2
and when the optical sensor is disconnected from the phototheray unit, the display will show 0,0 µW/cm nm.
TM
If BILITRON was acquired without the optical sensor, then instead of displaying the irradiance value, the
display will show "Sensor not calibrated". Once an optical sensor is acquired, to enable the radiometer, request
calibration to a Technician authorized by FANEM™.
Attention: For reliable irradiance measurements, always use the same optical sensor
with which the radiometer was calibrated. Otherwise, the measured
irradiance will probably be incorrect.
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USER MANUAL
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THE SUPERLED PHOTOTHERAPY
To store in memory the displayed value of irradiance, first press the CONFIRM key. An indication will appear (*
after R). Then press the UP key to store the irradiance value, together with the date and time at which the
measurement was taken. The file number will be shown very briefly. The memory has the capacity to store up
to 100 irradiation files.
The files may be viewed on the “Report Radiation” screen. Press the UP or DOWN keys. The file number will
be displayed on the first line, and the irradiation amount will be displayed on the second line. If you press the
CONFIRM key, it will be shown the time and date when the value was stored.
Data Transmission:
TM
BILITRON phototherapy unit can generate an information report containing the hour counter, the time of
exposure, the calendar/clock and the stored irradiance files. The report is transmitted to a printer or a computer
TM
through the equipment´s serial port (RS 232). Connect BILITRON to the destination equipment through a
FANEM™ serial cable (provided under request).
On a computer, a telnet software may be used (e.g., Windows Hyperterminal). The serial interface of the
destination equipment must be set to:
Bits per second: 9600 bps
Data bits: 8
Parity: None
Stop bits: 1
Flow control: Hardware
Press MENU until the display shows "Print files". Press CONFIRM to transmit the report.
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THE SUPERLED PHOTOTHERAPY
TM
Attention: In order to start maintenance or cleaning procedures, make sure that BILITRON
unit has been disconnected from the electrical power grid.
4 screws phillips
For fixing the power source module
Attention: Never replace the Source Module when the device is turned on.
Important Notice
Even if similar, and with the same technical specifications, the Super LEDS that have been specified as
replacement parts must comply with a series of technical requirements specified in the project of the
equipment, such as minimum irradiations, temperature tiers, etc., so as to achieve the maximum degree of
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THE SUPERLED PHOTOTHERAPY
safety and to attain the desired clinical effects. Therefore, do not use non original components. The
Super LEDS sold by FANEM™ are 100% tested according to project requirements.
7.3 - Batteries
This equipment contains two 1.2 Vcc batteries to keep the clock running. These batteries have an average
life cycle of 5 years, and they must be replaced by an authorized technician.
TM
Attention: Do not use regular or alkaline batteries. Use only FANEM™ batteries - REF:
000.103.026.
Attention: The disposal of the batteries should comply with the laws in effect in the
country.
TM
Attention: Only uses power supply FANEM™ – REF: 000.137.900.
Do not use other power supply which can have different electric
characteristics and that they can burn the phototherapy.
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TM
Attention: Use only original FANEM™ replacement parts.
7.7 – Disposal of
If the equipment or its component parts need to be discarded, and if there is no specific destination that
may have been defined by the client, the item in question will have to be sent under responsibility of the
customer to the transport to its legal representative to be disposed of, pursuant the domestic laws that may
be in force.
Attention: The disposal of the batteries must be accomplished pursuant the laws in force
in the country.
Note: The equipment and/or its component parts must be kept clean and aseptic.
Non-compliance with these terms exempts the vendor from any liability regarding possible impacts to the
environment and/or people.
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THE SUPERLED PHOTOTHERAPY
4) The focus of the incident a) The cover of the Super Led a) Remove the cover and put it back, checking
light is not perfect (according Module is badly positioned. the way it fits.
to the manual)
If any of the above suggested solutions fail to resolve the problem, call FANEM™TM ‘ authorized technician or its
closest local representative.
EC REP
Cinterqual Lda
Travessa da Anunciada, 10 – 2 Esq-F
2900-238
Setúbal – Portugal
Phone: +351 265 238 237
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9 - Bibliography
1 - MAISELS MJ: Neonatal Jaundice in Neonatology
Pathophysiology and Management of the Newborn Avery GS (ed).
JB Lippincott Co 2nd ed, page 473,1981
2 - WU PYK, WONG WH: Changes in Blood Flow in the
Skin and Muscle with Phototherapy
Ped Res 8: 257,1974
3 - OH W. KARECHIT: Phototherapy and Insensible
Water Loss in the Newborn Infant.
AM J DIS CHILD 124: 230,1972.
4 - ENNEVER J : Phothoterapy in a New Light
PED CLIN N AM 33: 603,1986
5 - COHEN AN, OSTROW D: New Concepts in Phototherapy:
Photoisomerization of Bilirubin IX and
Pontencial Toxic Effects of Light.
PEDIATICS 65: 740,1980.
6 - ENNEVER J, McDONAGH AF, SPECK W:
Phototherapy for Neonatal Jaundice: Optimal Wavelengths of Light.
J. PEDIATR 103: 295,1983.
7 - TAN KL: The Nature of the Dose-Response Relationship
Phototherapy for Neonatal Hyperbilirubinemia
J. PEDIATR 90: 448,1977.
8 - TAN KL: The Pattern of Bilirubin Response to Phototherapy for
Neonatal Hyperbilirubinemia.
J. PEDIATR Res 16: 670,1982
9 - BELL EF. NEIDICH GA ET AL: Combined Effect of Radiant
Warmer and Phototherapy on Insensible Water Loss in
Low-birth Weight Infants.
J. PEDIATR. 84: 810,1979
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