F&P AIRVO 2 User Manual

User Manual
AIRVO™ 2
A – 1
English
• This User Manual is intended for healthcare professionals.
• This User Manual applies to AIRVO 2 units with LOT numbers 130621 and above.
• Read this User Manual including all warnings. Failure to do so may result in injury. In addition, watch the
AIRVO 2 Video Guide. Keep them both in a safe place for future reference.
• Before the AIRVO 2 is used for the first time, it must be set up according to the instructions in the AIRVO 2 Technical Manual.
• The AIRVO 2 must be cleaned and disinfected between patients according to the instructions in the Disinfection Kit Manual (900PT600).
• For further assistance, please contact your Fisher & Paykel Healthcare representative.
TABLE OF CONTENTS
1. Overview ..................................................................................................................................................... A - 2
Intended Use ............................................................................................................................................................................... A - 2
Warnings ....................................................................................................................................................................................... A - 2
AIRVO 2 and Accessories ....................................................................................................................................................... A - 3
2. Setting up AIRVO 2 ................................................................................................................................. A - 4
3. Using AIRVO 2 .......................................................................................................................................... A - 6
Target dew-point temperature .............................................................................................................................................. A - 7
Target flow ..................................................................................................................................................................................... A - 7
Oxygen ......................................................................................................................................................................................... A - 8
Alarms ......................................................................................................................................................................................... A - 10
4. Reprocessing ............................................................................................................................................. A - 12
Schedule for changing accessories ...................................................................................................................................... A - 12
Filter replacement ...................................................................................................................................................................... A - 12
Servicing ......................................................................................................................................................................................... A - 12
5. Technical Information ............................................................................................................................. A - 13
A – 2
1. OVERVIEW
The AIRVO 2 is a humidifier with integrated flow generator that delivers high flow warmed and humidified respiratory gases to spontaneously breathing patients through a variety of patient interfaces.
INTENDED USE
The AIRVO 2 is for the treatment of spontaneously breathing patients who would benefit from receiving high flow warmed and humidified respiratory gases. This includes patients who have had upper airways bypassed. The flow may be from 2 - 60L/min depending on the patient interface. The AIRVO 2 is for patients in hospitals and long-term care facilities.
USA Federal Law restricts this unit for sale by or on the order of a physician.
!
WARNINGS
• Nasal delivery of respiratory gases generates flow-dependent positive airway pressure (PAP). This must be taken into account where PAP could have adverse eects on a patient.
• The unit is not intended for life support.
To avoid burns:
• The unit should only be used with interfaces, water chambers and breathing tubes specified in this user manual.
• Using the breathing tube or interface for longer than the specified time can result in serious injury including infection.
• Before using oxygen with the unit, read all warnings in the “Oxygen” section of this manual.
• Never operate the unit if:
• the heated breathing tube has been damaged with holes, tears or kinks,
• it is not working properly,
• the case screws have ever been loosened.
• Do not block the flow of the air through the unit and breathing tube.
• The unit should be located in a position where ventilation around the unit is not restricted.
• Never block the air openings of the unit or place it on a soft surface such as a bed or couch/sofa, where
the filter area may be blocked. Keep the air openings free of lint, hair etc.
To avoid electric shock:
• Do not store or use the unit where it can fall or be pulled into water. If water has entered the unit enclosure, disconnect the power cord and discontinue use.
• Never operate the unit if:
• it has been dropped or damaged,
• it has a damaged power cord or plug,
• it has been dropped into water.
• Avoid unnecessary removal of the power cord from the rear of the device. If removal is necessary, hold the
connector during removal. Avoid pulling on the power cord.
• Return the unit to an authorized service center for examination and repair, except as outlined in this manual.
To avoid choking, or inhalation of a foreign object:
• Ensure an air filter is fitted when operating your unit.
• Never drop or insert any object into any opening or tube.
Miscellaneous:
• Do not use the unit when the room temperature exceeds 30°C (86°F) or is below 10°C (50°F) as the unit may switch o. Humidity output will be compromised below 18°C (64°F) and above 28°C (82°F).
• The unit is not suitable for use in the presence of a flammable, anesthetic mixture with air or oxygen or nitrous oxide.
A – 3
English
AIRVO 2 AND ACCESSORIES
OXYGEN
INLET PORT
HEATER
PLATE
FINGER GUARD
AUTO-FILL WATER CHAMBER (MR290) (with adapter fitted)
Heated
breathing
tube
Water chamber
Patient
interface
HOSPITAL
STAND
POLE
MOUNTING
TRAY
Cleaning and Disinfection
900PT600 Disinfection Kit 900PT601 Disinfection Filter (2-Pack) 900PT602 Cleaning Sponge-Stick (20-Pack) 900PT603 Clean Storage Cover (20-Pack)
Miscellaneous
900PT405 Pole mounting tray 900PT421 Hospital stand 900PT422 Oxygen inlet extension kit 900PT912 Filter holder 900PT913 Air filter (2-Pack) OPT012 Wigglepads (OPT316/OPT318)
(20-pack)
OPT014 Oxygen Tubing (Optiflow Junior)
ON/OFF (STANDBY)
AUDIO PAUSE
UP
DOWN
MODE
Tube & chamber kits and patient interfaces
Tube & chamber kit Interfaces
900PT531 Heated breathing tube,
MR290 auto-fill chamber and adapter (10-Pack)
à
OPT316 Nasal Cannula - Infant (20-Pack) OPT318 Nasal Cannula - Pediatric (20-Pack)
900PT501 Heated breathing tube,
MR290 auto-fill chamber and adapter (10-Pack)
à
OPT842 Nasal Cannula - Small (20-Pack) OPT844 Nasal Cannula - Medium (20-Pack) OPT846 Nasal Cannula - Large (20-Pack) OPT870 Tracheostomy Direct Connection (20-Pack) RT013 Mask Interface Adapter - 22mm (20-Pack)
DISPLAY
AIRVO 2
HEATED BREATHING TUBE
CONNECTION PORT
CHAMBER PORTS
MEASUREMENT POINT OF
DISPLAYED DEW POINT
TEMPERATURE
SERIAL PORT
AIR FILTER
FILTER COVER
POWER CORD
and
CONNECTOR
(PT101AZ/
PT101UK)
A – 4
2. SETTING UP AIRVO 2
1. BEFORE YOU BEGIN
The AIRVO 2 should be fixed on a pole mounting tray (900PT405) below patient head height.
Open the packaging of the tube & chamber kit (heated breathing tube, MR290 auto-fill chamber and adapter).
2. INSTALL WATER CHAMBER
Remove the blue port caps from the chamber by pulling the tear tab upwards then remove the bracket holding the water supply tube.
Fit the supplied adapter over the two vertical ports on the chamber and push on fully then clip the water supply tube into position.
Fit the water chamber to the unit by pressing down the finger guard and sliding the chamber on, carefully aligning with the blue chamber port ends.
Push the chamber on firmly until the finger guard clicks into place.
WARNINGS
To avoid burns:
• Do not start the unit without the water chamber in place.
• The water in the chamber becomes hot during use. Exercise caution when
removing and emptying the chamber.
• Do not touch the heater plate, water chamber or chamber base during use.
To avoid electric shock:
• When handling the unit with the water chamber in place, avoid tilting the machine to prevent any chance of water entering the unit enclosure.
• Empty all the water from the water chamber before transporting the unit.
CAUTIONS
To ensure optimal therapy (MR290 only):
• Do not use the auto-fill MR290 chamber if it has been dropped, or been run dry and the “water out” alarm has been activated.
H2O
3. CONNECT WATER BAG
Attach the sterile water bag to the hanging bracket 20cm (8”) above the unit, and push the bag spike into the fitting at the bottom of the bag. Open the vent cap on the side of the bag spike. The chamber will now automatically fill to the required level and maintain that level until the water bag is empty.
To ensure continual humidification, always ensure that the water chamber and/or water bag are not allowed to run out of water.
Check that water flows into the chamber and is maintained below the fill line. If the water level rises above the fill line, replace the chamber immediately.
MR290: Flow setting vs usage time (2-litre sterile water bag)
L/min
2 5 10 15 20 25 30 35 40 45 50 55 60
hrs
379 152 76 51 38 30 25 22 19 17 15 14 13
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