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The objective of this work focuses on the study of the main sources of noise associated with incubators and the acoustic effects that derive from them. The method that has been established is based on tests carried out under different operating conditions of the incubators. Noise levels are analyzed under different boundary conditions (Neonatal ICU and “Controlled environment rooms”). Under normal operating conditions, the levels inside the incubator are around 56 dB (A), values that exceed the maximum limits recommended by the American Academy of Pediatrics. The scope of this study is to evaluate the existing noise levels in the incubator and analyze possible design improvements. The study was carried out in the hospitals of Cádiz, Huelva, and Malaga.

The study aims to diagnose the sound pressure levels inside incubators in a controlled environment under free-field conditions. The tests were carried out in a semi-anechoic room under the standard UNE-EN ISO 3745:2012/A1:2018 in three different operating states: off, on, and on with a temperature alarm triggered. Sound pressure levels were analyzed in three different models of incubators, both inside and outside. The main noise indices analyzed were the corrected equivalent continuous level (LKeq) and the equivalent continuous level (Leq) in third-octave bands. The results obtained under normal operating conditions showed variations among the different incubators, with overall values between 48.8 and 56.3 dBA. The influence of the alarm considerably worsened these data. The values obtained showed that premature newborns are exposed to noise levels above international recommendations. All incubators tested showed the presence of tonal components, both outside and inside the incubator cabin, and, in some cases, low-frequency components, but no impulsivity components were observed in any case.