Aeroneb Solo User manual

Instruction Manual
Aeroneb® Solo System
Instruction Manual
Part Number: AG-AS3050-EN Rev. H © 2010 Aerogen
Table of contents
Introduction 1
System description 2 Warnings 5 Electromagnetic susceptibility 7 Symbols 8 Controls and indicators 10 Warranty 12 Life of Product 12
Assembly and Installation 13
Recharging the Battery 19 Installation for use with a ventilator 19
Installation for use with a mask........................................23
Installation for use with a mouthpiece..............................24
Adding medication 25
Nebulization 26
Functional test 28
Cleaning of Pro-X Control Module 29
Troubleshooting 30
Order numbers 33
Specications 35
Physical 35 Environmental 35 Performance 36 Power 36
Aeroneb® Solo System Instruction Manual iii
List of Figures
Figure 1: Aeroneb® Solo System 2 Figure 2: Aeroneb® Pro -X controls and indicators 10 Figure 3: Connecting nebulizer unit to T-piece 13 Figure 4: Connecting control module and nebulizer unit 14 Figure 5: Connecting the Aeroneb® Pro-X AC/DC adapter 14 Figure 6: Connecting tubing to the Aeroneb® Solo for
continuous nebulization 17 Figure 7: Connecting to an adult breathing circuit 20 Figure 8: Connecting to a pediatric breathing circuit 20 Figure 9: Connecting to a neonate breathing circuit 21 Figure 10: Alternative neonatal breathing circuit using
neonate T-piece 21 Figure 11: Control module and universal mounting bracket
(Vertical) 22 Figure 12: Control module and universal mounting bracket
(Horizontal) 22 Figure 13: Equipment mount adapter 22
Figure 14: Connecting to a mask...........................................23
Figure 15: Connecting to a mouthpiece.................................24
Figure 16: Filling the nebulizer unit with a pre-lled ampoule 25 Figure 17: Starting and stopping nebulization 27
List of Tables
Table 1: Aeroneb® Pro-X symbols 8 Table 2: Aeroneb® Pro-X controls and indicators 11 Table 3: Aeroneb® Pro-X troubleshooting 30 Table 4: Aeroneb® Solo Parts List 33
iv Aeroneb® Solo System Instruction Manual
Introduction
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The Aeroneb® Solo System is an iteration of the Aeroneb® Professional Nebulizer System. The indications for use of the Aeroneb® Professional Nebulizer System are given below. The Aeroneb® Solo System, which consists of the Aeroneb® Solo nebulizer and the Aeroneb® Pro-X controller, is a nebulizer system designed for use with mechanically ventilated patients to aerosolize physician-prescribed medications for inhalation which are approved for use with a general purpose nebulizer. The Aeroneb® Solo nebulizer is for single patient use only and the Aeroneb® Pro-X controller is for re-use.
The Aeroneb® Solo System is suitable for use with neonate, pediatric and adult patients as described in this manual. It is a latex-free system for intermittent and continuous nebulization that incorporates Aerogen’s OnQ™ Aerosol Generator.
The Aeroneb® Solo nebulizer is designed to operate in-line with standard ventilator circuits and mechanical ventilators. It operates without changing patient ventilator parameters and
can be relled without interrupting ventilation.
The Aeroneb® Pro-X control module operates from the AC/DC adapter and can be operated on its internal rechargeable battery for up to 45 minutes. The product operates without compressed gas, making it suitable for portable applications.
Indications for Use:
The Aeroneb® Professional Nebulizer System is a portable medical device for multiple patient use that is intended to aerosolize physician-prescribed solutions for inhalation to patients on and off ventilation or other positive pressure breathing assistance. The Aeroneb® Professional Nebulizer System is suitable for use in adult, pediatric and nenoate patients as described in the Instruction Manual.
Aeroneb® Solo System Instruction Manual 1
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System description
The Aeroneb® Solo System (Figure 1) includes the following components: nebulizer unit (Aerosol Generator and plug), T-adapter (adult)* Aeroneb® Pro-X control module, control cable, AC/DC adapter and mounting brackets. (Pedatric & neonate T-adapters and continuous nebulization tube set are Sold separately).
1. Nebulizer unit with plug 2. T-piece (Adult)*
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3. Control module 4. Control Module Cable
5. AC/DC adapter
Tube Set
7. Universal mounting bracket 8. Equipment mount adapter
Figure 1: Aeroneb® Solo System
6. Continuous Nebulization
2 Aeroneb® Solo System Instruction Manual
Aeroneb® Solo System Instruction Manual 3
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1. The nebulizer unit holds up to 6mL of liquid
medication. The nebulizer unit is clear to allow visual monitoring of medication levels and aerosolization. When the nebulizer unit is connected into the ventilator circuit, the silicone plug can be opened and closed in between doses without causing loss of circuit pressure.
Within the nebulizer unit is an OnQ™ Aerosol
Generator, which consists of a domed aperture plate with precision-formed holes that control the size of the aerosol droplets and a vibrational element that creates micro-pumping action to aerosolize medication. Gravity brings the medication in contact with the aerosol generator; the liquid is then drawn through the aperture plate and converted into an aerosol.
2. The T-piece securely connects the nebulizer unit
into the breathing circuit. The T-piece connections are standard male and female 22mm conical ports and connect to standard patient breathing circuits. Aerogen recommend that the Aeroneb® Solo nebulizer be used in conjunction with a relevant disposable T-piece supplied by Aerogen.
3,4,5. The control module can operate from the AC/DC
adapter or the internal rechargeable battery. The control module includes an on/off power button and sockets for the control module cable and the AC/DC adapter. The control module also includes indicators for nebulization cycle selection (30 minutes or continuous), battery charge status and fault conditions.
6. The Aeroneb® Solo can be operated continuously
by attaching the continuous nebulization tube set accessory. The continuous nebulization tube set is designed for use with a syringe pump for continuous drug dosing.
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7. A universal mounting bracket clamps the control
module to standard IV poles and medical rail systems.
8. An equipment mount adapter mounts the control
module on standard equipment mounts.
4 Aeroneb® Solo System Instruction Manual
Aeroneb® Solo System Instruction Manual 5
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Warnings
Read and study all instructions before using the Aeroneb® Solo system. Only medical personnel should operate the device.
Perform functional test prior to use to ensure correct operation (see page 28).
This is a single patient use device not to be used on more than one patient to prevent cross infection.
Do not use beyond dened life (see page 12).
During use observe for correct functioning of the nebulizer.
The nebulizer unit and T-piece, as packaged, are not sterile.
Do not autoclave the Aeroneb® Solo nebulizer.
The continuous mode can only be operated from the mains supply and cannot be operated by battery power.
To ensure correct and safe connection between the nebulizer and the medication reservoir, trace the medication tube from the nebulizer back to the medication reservoir to make sure the medication tube is connected to the correct source.
Do not use a lter or heat-moisture exchanger (HME) between
the nebulizer and patient airway.
Do not wrap the nebulizer cable tightly around any of the system components.
Do not place the control module in an incubator during use.
To avoid exhaled medication affecting the ventilator, follow ventilator manufacturer’s recommendations for use of a
bacterial lter in the expiratory limb of a breathing circuit.
Only use physician prescribed solutions that are approved for use with a general purpose nebulizer.
To ensure optimum drug administration, consult the drug manufacturer’s instructions regarding suitability for nebulization.
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Warnings Continued
Do not use in the presence of a ammable anesthetic mixture
combined with air or with oxygen or nitrous oxide.
Do not use to aerosolize alcohol-based medications, which can ignite in oxygen-enriched air under high pressure.
To avoid the risk of re, do not use in the presence of ammable substances.
To avoid damage to the nebulizer:
• Donotapplyunduepressuretothedomedaperture
plate in the center of the nebulizer.
• DonotpushouttheOnQTM Aerosol Generator.
• Donotuseasyringewithaneedletoadd
medication.
• Donotuseabrasiveorsharptoolstocleanthe
nebulizer unit.
Do not use the Aeroneb® Solo nebulizer with the reusable connectors available with the Aeroneb® Pro nebulizer. Aerogen recommend use of the relevant disposable T-pieces and adapters provided by Aerogen with the Aeroneb® Solo nebulizer.
Inspect all parts before use, and do not use if any parts are missing, cracked or damaged. In case of missing parts, malfunction or damage, contact your Aerogen product sales representative.
Do not immerse or autoclave the control module or AC/DC adapter.
Use only with components specied by Aerogen.
Do not use or store outside of specied environmental
conditions.
To avoid mechanical or electrical damage, do not drop the nebulizer unit or the control module.
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Aeroneb® Solo System Instruction Manual 7
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Warnings Continued
Do not use in the presence of devices generating high
electromagnetic elds such as magnetic resonance imaging
(MRI) equipment.
The Aeroneb® Pro -X control module contains a nickel metal hydride (NiMH) rechargeable battery, which should be disposed of in accordance with local governing restrictions at the end of its useful life.
Follow local laws and recycling plans regarding disposal or recycling of components, batteries and packaging.
The Aeroneb® Solo nebulizer is designed for use in continuous mode only when used with the Aeroneb® Pro –X controller.
Do not use the Aeroneb® Pro Nebulizer in continuous mode.
Caution: Federal law restricts this device to sale by or on the
order of a physician
Electromagnetic susceptibility
This device meets the requirements of the Electromagnetic Compatibility (EMC), pursuant to the Collateral Standard, EN 60601-1-2 (second edition), which addresses EMC in North America, Europe and other global communities. This
includes immunity to radio frequency electric elds and
electrostatic discharge, in addition to the other applicable requirements of the standard. Compliance with EMC standards does not mean a device has total immunity; certain devices (cellular phones, pagers, etc.) can interrupt operation if they are used near medical equipment. Follow institutional protocol regarding the use and location of devices that could interfere with medical equipment operation.
Note: This device is classied as Class II Type BF medical electrical equipment and the device complies with specied
safety levels for electrical isolation and leakage current. The Aeroneb® Solo AC/DC adapter (AG-AP1040-XX) has no connection to earth ground because the necessary level of protection is achieved through the use of double insulation.
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Symbols
The following symbols apply to Aeroneb® Pro-X controller and appear on the back of the control module and on the packaging:
Table 1: Aeroneb® Pro-X symbols
Symbol Meaning
AP-YYXXXX
Serial number, where YY is the year of manufacture and XXXX is the serial number.
Attention, consult accompanying documents.
Degree of protection against dripping water.
Class II equipment per IEC 60601-1.
Type BF equipment per IEC 60601-1.This label applies to the Aeroneb® Solo Nebulizer only.
On/off power button (standby).
30 (mins.)
8 Aeroneb® Solo System Instruction Manual
30 minute operating mode
Continuous operating mode (International)
8
Control Module Input – DC voltage.
Control Module Output – AC voltage.
Components are latex free
Aeroneb® Solo System Instruction Manual 9
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NON
STERILE
Table 1: Aeroneb® Pro-X symbols
Symbol Meaning
Output
Battery status indicator.
Fragile, handle with care.
Keep dry.
Rx Only
Federal (US) law restricts this device to sale by or on the order of a physician.
Classied by TUV with respect to electric shock, re and mechanical hazards.
US
This device complies with the requirements of the Medical Devices Directive (93/42/EEC).
Non-Sterile
Consult Instructions for Use
Use by (YYYY-MM)
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