BOC CD, ZD, HX, ZX Instructions For Use Manual

Best-in-class cylinder packages
BOC Healthcare pioneers the medical gas products and services that will deliver tomorrow’s patient care today. Our unrivalled commitment to improving medical gas technology, reduces costs, and optimises patient treatment. All BOC Healthcare gas cylinders are designed to be robust, reliable, convenient to use and safe to handle. To provide the highest quality, all cylinders are tested at every fi ll to ensure patient safety.
BOC was the fi rst UK company to introduce integral valve cylinders to the healthcare sector. These simple, ready to use cylinders require no additional equipment. The lightweight packages in the range are more convenient to use and hold more gas than conventional cylinders.
The benefi ts and features of these cylinders are:
• constantly live gauge indicates gas levels, even when the cylinder is not turned on
• higher gas capacity for less cylinder changes
• lightweight for less lifting effort, making it Ideal for ambulatory use
• clear product labelling to avoid selecting the wrong gas
• improved manual handling, minimising the risk of injury
• easier to store and handle due to its flat stable base and carry handle
• eliminates the costs of buying and maintaining separate regulators
• tamper-evident covers to ensure the gas is uncontaminated and safe for the patient
• no need for a cylinder key
• simple push fit connection to save time.
With BOC as your provider, you can be sure to benefi t from leading­edge technology.
Medical oxygen.
Integral valve cylinders (CD, ZD, HX, ZX).
BOC: Living healthcare
Cylinder features
Convenient carry handle
Easy on/off hand wheel
Clear product identit y
Flat base
Flow selector
“Live”
content gauge
Batch label
Collar label
Cylinder bar code
Firtree outlet
Capstan
Schrader outlet
03Cylinder instr uctions
5.4 Turn the fl ow sele ctor to zero.
5.1 Remove the mask or nasal
cannula from the pat ient.
4.2 Ensure the clinical co ndition
of the pa tient remai ns satisfa ctory throughout the th erapy.
4.1 Place a mask or nasal
cannula onto patient .
If using a mask ensure a tig ht seal. Check the gas i s fl owing and that there are no leak s indicated by a hissin g sound.
(1)
3.1 Insert the oxygen prob e into
the Schrader out let.
Ensure the probe cli cks securely into place.
5.6
Check the cylin der gauge, for content level (refer to duration chart).
Return the cylin der to a designated ‘in use’ or e mpty storage area.
5.3
Disconnect e quipment.
i) Remove the tubing by fi rmly
pulling the tube whilst holding the cylinder handle.
4.4 Check the contents gauge at
regular intervals, to ensure there is suffi cient gas (as described in
2.3).
3.3 Check for leak s which
maybe indicated by a hissing sound.
(1)
5.5 Replace the outlet cover.
i) Pull up the hinged grey cove r. ii) Refi t the red cover.
5.2 Turn off the cyl inder by
rotating the hand wheel clockwise until it comes to a stop.
Do not use excessive force.
4.3
Use pulse oximetry w here appropriate.
3.2 Slowly turn on the c ylinder
by rotating the hand whe el anti­clockwise unti l it comes to a stop.
Do not use excessive force.
ii)
Release the probe by tw isting
the capstan cloc kwise.
5. After use.
4. Monitoring during use.
3. Using the Schrader outlet. Note:
(1)
If you suspect that you h ave a leak, turn off the cylinder and check the equipm ent is properly connected. Turn on th e cylinder and re-check for leak s. If the leak continues, turn off and quarantine the cylinder and co ntact BOC Healthcare.
02 Cylinder instr uctions
Instructions for use.
1. Initial safety checks.
Before handling cy linders ensure your hands are clean. If yo u have been using alcohol b ased gel or liquids to decontaminate your h ands make sure the alcohol has tot ally evaporated.
2.1 Ensure you have the correct
medical gas by chec king the cylinder label.
2.7 Attach tubing from m ask or
nasal cannula to the fi rtree outlet.
Ensure the tubing is p ushed on securely.
2.6 Remove the valve outlet cover. i) The hinged grey cover is pul led
down.
Do not remove the grey cover and refi t after us e.
2.5
Prepare the cylinder for use
before placing near the patient.
Do not place the cyli nder on the bed before you have set up the cylinder.
When s electi ng the c ylinder for use, c heck th at the cy linder i s clean a nd free from any damage. E nsure the cylinder is free from oi l and grease, particularl y around the Schrader and fi rtree outlets.
2.3 Make sure the contents gau ge
is in the green zone. This indicate s that the cylinder i s FULL.
2.9 Set the prescribed fl ow by
rotating the dial fl ow selector.
Ensure that the corre ct fl ow rate number is clearly v isible in the fl ow selec tor window. Check the gas is fl owing.
2.2
Check the expir y date on the
batch label fi t ted to the cylinder.
2.8 Slowly turn on the c ylinder
by rotating the hand whe el anticlockwis e until it comes to a complete stop.
Do not use excessive force.
2.4
Remove the tamper evide nt handwheel cover by pulli ng the tear ring.
Discard the cover into the recycle bin. If the c ylinder has been used before this cove r will not be present.
2.10
Ensure the cylind er is turned on and leak tested before pla cing near the patient. Use a sui table cylinder holde r where possible.
Do not place the cyli nder on the patient’s bed unles s there is no alternative.
2. Preparing a new cylinder for use.
Using the fi rtree.
If the cylinder ha s been used before make sure you have suffi cient gas for treatment by inspec ting the contents gauge. If the n eedle is in the red zone there is lim ited capacity and you may need to ch ange the cylinder (see d uration chart overleaf).
ii)
The red cover is removed by
pulling towards you.
Retain the red cover to refi t after use.
2.7
Ensure the fl ow selector on top of the cylinder is s et to zero and the hand wheel is tu rned off before connectin g equipment.
In the event of an emergency, or if you suspect you r cylinder is leaking, contac t BOC Healthcare on 0800 111 333.
04 Cylinder instructions
Oxygen cylinder data summary
Cylinder code CD ZD HX ZX
Cylinder order code 101-CD 101-ZD 101-HX 101-ZX Nominal contents (litres) 460 605 2300 3040 Nominal cylinder pressure (bar) 230 300 230 300 Nominal outlet pressure (bar) 4 4 4 4 Valve outlet fl ow connection 6 mm fi rtree 6 mm fi rtree 6 mm fi rtree 6 mm fi rtree Valve outlet pressure connection BS 5682 Schrader BS 5682 Schrader BS 5682 Schrader BS 5682 Schrader Valve operation handwheel handwheel handwheel handwheel Flow-rate (litres/min) Firtree: 1-15/ Firtree: 1-15/ Firtree: 1-15/ Firtree: 1-15/ Schrader: 40 (nominal) Schrader: 40 (nominal) Schrader: 40 (nominal) Schrader: 40 (nominal) Dimensions (inc. valve) L x D (mm) 520 x 100 525 x 101 930 x 140 930 x 143 Water capacity (litres) 2.0 2.0 10.0 10.0 Nominal weight full (kg) 3.5 4.1 19.0 14.0
Cylinder duration versus selected fl owrate (based on nominal fl owrate and normal cylinder contents)
Gauge contents
Full (100%) Half (50%) Low (25%)
Size Flowrate (ltr/min) (hr.min) (mins) (hr.min) (mins) (hr.min) (mins)
CD oxygen (460 ltrs) 15 0.30 30 0.15 15 0.07 7 9 0.51 51 0.25 25 0.12 12 6 1.16 76 0.38 38 0.19 19 4 1.55 115 0.57 57 0.28 28 2 3.50 230 1.55 115 0.57 57 ZD oxygen (605 ltrs) 15 0.40 40 0.20 20 0.10 10 9 1.06 66 0.33 33 0.16 16 6 1.40 100 0.50 50 0.25 25 4 2.30 150 1.15 75 0.37 37 2 5.00 300 2.30 150 1.15 75 HX oxygen (2300 ltrs) 15 2.33 153 1.16 76 0.38 38 9 4.15 256 2.07 127 1.03 63 6 6.23 383 3.11 191 1.35 95 4 9.35 575 4.47 287 2.23 143 2 19.10 1150 9.35 575 4.47 287 ZX oxygen (3040 ltrs) 15 3.22 202 1.41 101 0.50 50 9 5.37 337 2.48 168 1.24 84 6 8.26 507 4.13 253 2.06 127 4 12.40 760 6.20 380 3.10 190 2 25.20 1520 12.40 760 6.20 380
HLC/504370/UKS/BAMC/0513
The str ipe symbol an d the letters BO C are registered t rade marks of T he BOC Group Li mited. Both BO C Limited and Th e BOC Group Limi ted are members o f The Linde Grou p, the paren t company of whic h is Linde AG. Rep roduction wi thout permi ssion is stric tly prohibi ted. © Copyrigh t 2013
BOC Healthcare
Customer Service Centre, Priestley Road, Worsley, Manchester M28 2UT Phone 0800 111 333, Fax 0800 111 555, Email bochealthcare-uk@boc.com, www.bochealthcare.co.uk
Safety information and precautions
• Oxygen is a non-flammable gas, but strongly supports combustion.
• Do not store or use medical gas cylinders near naked flames, sources of ignition or combustible materials.
• Ensure the oxygen cylinders are stored in a safe and secure area where they cannot fall over and cause injury.
• Clearly identify the storage areas with appropriate signage. Ensure separation of full and empty cylinders.
• Store medical gas cylinders separately from industrial and other non medical cylinders in a well-ventilated area that is clean and dry, preferably inside.
• Smoking should not be permitted in the vicinity where cylinders are used or stored.
• Ensure labels remain clearly visible at all times and not removed or covered. Unauthorised labels/tags must not be fitted.
• Use a suitable trolley to transport large cylinders. Any stationary cylinder trolley in a ward area should be fixed in place to prevent it falling over.
• Where available, always use an appropriately designed cylinder support to hold the cylinder whilst in use adjacent to the patient.
• Ensure the cylinder is set up and tested before placing near the patient.
• Do not place the cylinder on the patient‘s bed unless there is no suitable alternative for retaining the cylinder.
• Do not use oil or grease (or any oil-based products which includes hand creams) in the vicinity of an oxygen cylinder.
• If you need to clean the cylinder do not use any materials which contain ammonium or chlorine compounds.
• Do not refill or tamper with the cylinder package.
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