Gima CORSIA PROFESSIONAL"" NEBULIZER 230V User guide

AEROSOL CORSIA PROFESSIONALE CON MANOMETRO CORSIA PROFESSIONAL NEBULIZER WITH MANOMETER NÉBULISEUR PROFESSIONNEL CORSIA AVEC MANOMÈTRE PROFESSIONELLER CORSIA-INHALATOR MIT MANOMETER NEBULIZADOR PROFESIONAL CORSIA CON MANÓMETRO AEROSSOL CORSIA PROFISSIONAL COM MANÓMETRO AEROSOL PROFESIONAL CORSIA CU MANOMETRU
28105
Gima S.p.A.
M28105-M-Rev.5-09.20
Via Marconi, 1 20060 Gessate (MI) Italy gima@gimaitaly.com export@gimaitaly.com
www.gimaitaly.com
Made in Italy
0476
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CORSIA PROFESSIONAL NEBULIZER is a piston-type compressor nebulizer system work-
ing at 230V/50Hz. High performance with any type of drug, ideal for intensive hospital and clinic use. Manufactured with high thermal and electric insulation plastic chassis in compli­ance with the latest European Safety regulations. The oil-free piston compressor has long durability and is equipped with the highly efcient HI-FLO jet nebulizer to guarantee quick and accurate drug delivery. The medical device is designed for continuous use. The operator can use the supplied knob to adjust aerosol administration. The device is designed for easy transport and handling and is recommended for atomising antibiotics and bronchodilator
drugs.
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GENERAL INSTRUCTIONS
• CAREFULLY READ THE MANUAL BEFORE USE.
• FOR DRUG INHALATION ALWAYS FOLLOW MEDICAL ADVICE.
• DO NOT DISASSEMBLE THE APPLIANCE. FOR ANY INTERVENTION, CONTACT THE TECHNICAL SERVICE OF THE DISTRIBUTOR AND/OR GIMA’S TECHNICAL SERVICE.
BASIC SAFETY STANDARDS
1.
When opening the packaging, check the integrity of the appliance by paying particular atten­tion to the presence of damage to plastic components which may disclose internal live parts of the appliance and to breakage and/or stripping of the power cable. In this case, do not
connect the plug to the socket. Carry out these operations before each use.
2. Before connecting the appliance, always check that the electrical data indicated on the
label and the type of plug used correspond with the data of the power network to which it
is intended to be connected.
3. Do not leave the appliance plugged unnecessarily: disconnect the plug from the power
network if not used.
4. Comply with the safety standards for electrical appliances. In particular:
- Use only original accessories and components supplied by Gima S.p.A. in order to ensure utmost efciency and security of the device.
- Never immerse the appliance in water.
- Place the appliance on at and stable surfaces in order to avoid obstructing the cooling
openings located on its sides.
- Do not use the appliance in environments with the presence of ammable anesthetic mixture with air, oxygen, or nitrous oxide.
- Avoid touching the appliance with wet hands.
- The use of this appliance by children and/or people with disabilities shall be closely monitored by an adult with full mental capacity.
- Disconnect the appliance from the power supply if not used.
- Do not pull the power cable to disconnect the plug. Grab the plug with the ngers to pull it out from the power network.
- Store and use the appliance in environments protected by atmospheric agents and away from heat sources. After each use, it is recommended to store the device inside its box away from dust and direct sunlight.
- In general, it is not recommended to use simple or multiple adapters and/or extension
cables. If their use is essential, it is necessary to use devices in compliance with the
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safety standards, paying attention not to exceed the maximum power limits indicated on the adapters and on the extension cables.
5. For repair works contact only Gima’s technical service or a technical center authorized by the manufacturer. The device requires the use of original spare parts. Failure to comply with the above may compromise the safety of the appliance.
6.
This appliance shall be solely intended for the use which was designed for and according to the instructions of this manual. Therefore, it shall be used as aerosol therapy system. Any other use is improper and therefore hazardous; the manufacturer
shall not be deemed responsible for damage caused by an improper use or if the appliance is used in electrical installations that do not comply with the safety regulations in force.
7. The medical device requires specic precautions in terms of electromagnetic compatibil­ity and shall be installed and used according to the instructions provided along with the accompanying documents: the Corsia device shall be installed and used away from port­able and mobile RF communication devices (mobile phones, transceivers, etc.) which may affect the appliance.
8. Some components of the appliance are of small size and might be swallowed by children; keep the device out of reach of children.
9. Keep the accessories out of reach of children. Children and dependents shall always use the medical device under the close supervision of an adult with full mental capacity. Keep the ampoule out of reach of children under 36 months as it contains small parts which be
may swallowed.
Do not leave the device unattended in areas accessible to minors and / or people
with disabilities.
10. The patient can come into contact with the medical device through the nebulizer / masks / mouthpiece and /or nosepiece. These components comply with the requirements of ISO 10993-1, therefore neither allergic reactions nor skin irritation can occur.
11. WARNING: Do not alter this appliance without the authorization of Gima S.p.A..
No electrical and / or mechanical part which the device consists of has been designed to
be repaired by the user.
Failure to do so can compromise the safety of the appliance.
12. The use of the medical device in environmental conditions other than those illustrated in this manual may jeopardize the safety and the parameters of the appliance.
13. The materials used for the contact with drugs are thermoplastic polymers with high chem-
ical stability and resistance.
Such materials have been tested with commonly-used medications (Salbutamol, Be-
clomethasone Dipropionate, Acetylcysteine, Budesonide, Ambroxol) and no interaction has been reported. Nonetheless, given the variety and the ongoing evolution of the med­icines used, potential interactions cannot be ruled out. Therefore, it is recommended to:
- Use up the drug as quickly as possible after its opening.
- Always avoid prolonged contact of the drug with the container. Clean the container
immediately after its use.
- In the event of anomalous situations (e.g. softening or cracks) of the container, do not
introduce any solution and do not inhale. Contact the technical service, specifying the methods of use and the type of drug used.
14. Remember to:
- use this appliance only with medicines prescribed by your doctor;
- perform the treatment by using only the accessory instructed by your doctor according
to the disease.
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Gima S.p.A. cannot be held liable for accidental or indirect damage resulting from alterations of the device, repairs and/or unauthorized technical interventions, or damage to any of its part due to accident, misuse and/or abuse.
Any unauthorized intervention on the device, even the slightest one, will imme­diately invalidate the warranty and does not ensure the compliance with the techni­cal and safety requirements provided by Directive MDD 93/42/EEC (and subsequent
amendments) and by the related reference standards.
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PRODUCT SPECIFICATIONS
TYPE (Directive 93/42/EEC) Medical device Class IIa MODEL Corsia POWER SUPPLY 230V~ / 50Hz ABSORBED POWER 170 VA FUSE F 1 x 1.6A L 250V MAXIMUM PRESSURE 250 kPa (2.5 Bar) MAXIMUM FLOW (in the compressor) 16 l/min OPERATING PRESSURE 130 kPa (1.30 Bar) OPERATIONAL FLOW 5.2 l/min a 130 kPa ATOMIZATION 0.50 ml/min (with 4ml solution NaCl 0.9%) MMAD (measured in accordance
with EN 13544-1) GSD 3.45 WEIGHT 2.20 Kg SIZE 255 x 190 x 165 (h) mm MAXIMUM NOISE LEVEL ~ 57 dB (A) FUNCTIONING Continuous MINIMUM NEBULIZER VOLUME LEVEL 2ml MAXIMUM NEBULIZER VOLUME LEVEL 6ml OPERATING CONDITIONS Room temperature: 10 ÷ 40°C
STORAGE AND TRANSPORT CONDITIONS
3.25
Percentage of humidity in the environment: 20 ÷ 85% RH Atmospheric pressure: 800 ÷ 1060 hPa Altitude: 0 ÷ 2000m above s.l.
Room temperature: -25 ÷ 70°C Percentage of humidity in the environment: 10 ÷ 95% RH Atmospheric pressure: 500 ÷ 1060 hPa
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Copy of the EC Declaration of conformity can be requested to Gima S.p.A. - Via Marconi,
1 - 20060 – Gessate, Milan (Italy)
MMAD = Mass Median Aerodynamic Diam-
eter
GSD = Geometric Standard Deviation
NB: The measures and the curves are not valid in the event of medications supplied in high
viscosity suspension.
CLEANING OF THE APPLIANCE
The cleaning of the device shall be carried out with a soft and dry cloth and with non-abrasive detergents and no solvents. Do not use excessively wet cloths as the contact of liquids with the electrical parts of the appliance may cause malfunctions or may be hazardous.
While cleaning the device, make sure that no liquids get inside the appliance and that the power outlet is disconnected.
Wait for the device to dry off before storing or using it again.
MAINTENANCE
The Corsia device does not have any part that requires maintenance and/or lubrication. Nonetheless, it is necessary to carry out some checks to verify the function and security of the appliance before each use. Before using the device, carry out disinfection as described in the “CLEANING ACCESSORIES” section. Remove the appliance from the box and always check that there is no visible damage; particular attention should be given to any cracks in plastics which may leave some electrical components exposed. Check also the integrity of the power cable which might have been damaged during the previous use. Then connect the cable to the power network and switch it on. Close the air outlet with one nger and check the correct functioning of the nebulization regulator by turning the knob from left to right. Make sure the indicator of the pressure meter is working correctly. Check that the nebulizer has not suffered any breakage during the previous use (it was stored inappropriately or has suffered impacts). An easily replaceable protection fuse (F 1 x
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1.6A L 250V) situated in the power plug on the back of the device protects the instrument. For its replacement, always check the type and the specied range.
Type of defect Cause Corrective action
1. The device doesn’t work.
2. Poor atomization. Clogged ampoule. Clean and disinfect the ampoule as set
3. Poor atomization. Clogged ampoule. If the washing had no positive outcome,
4. Lack of
atomization.
5. Slow atomization. Excessive oily drug. Dilute the drug with saline.
6. Noisy device. Prolonged use. Contact the reseller or Gima’s technical
Defects 1 - 2 - 3 - 4
- 5 - 6
If the appliance still does not nebulize after having checked the above mentioned conditions, it is recommended to contact the reseller or Gima’s technical service.
BEFORE CARRYING OUT ANY CHECKS IN THE EVENT OF ANOMALIES OR
MALFUNCTIONS, CONTACT GIMA’S TECHNICAL SERVICE. THE MANUFACTURER
OFFERS NO GUARANTEE FOR THE APPLIANCES WHICH HAVE ASSESSED AS TAM­PERED AFTER THE CHECKS CARRIED OUT BY THE TECHNICAL SERVICE.
CLEANING AND WASHING OF ACCESSORIES
Before each use and / or after the cleaning operations, check the integrity of all accessories supplied with the device. Turn off the device before each cleaning operation and disconnect the power cable from the socket.
The plug may be mis­placed in the wall socket. Thermal protector may be on (the device has been
working beyond its limits
and / or near heat sources).
Nozzle stuck.
None of the corrective actions has been effective.
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Make sure the plug is properly placed in the wall socket. Make sure the ON/OFF switch is in position I. Switch off the device by pressing the switch to position 0 and the motor cool
down for at least 30 minutes.
out in the manual.
replace the ampoule. Press hard the nozzle (cylindrical im-
mersion tube) placed inside the poly­carbonate ampoule bottom with a nger.
service.
Contact the reseller or Gima’s technical
service.
PREPARATION
1. Pull out the air hose from the nebulizer leaving it plugged to the air outlet pipe of the de-
vice.
2. Rotate the upper part of the nebulizer anticlockwise.
3. Disconnect the internal pisper at the bottom of the nebulizer with nger force.
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CLEANING
Clean all the components of the nebulizer (except the air hose) before and after each use by choosing one of the methods described below.
Method 1: Thoroughly clean the components for 5 minutes by using hot drinking tap water
(around 40°C – 104°F) and neutral soap.
Method 2: Clean the components (except the air hose) by immersion in a solution of 60%
of water and 40% of white vinegar. At the end of the operation, rinse with plenty of hot drinking water (around 40°C – 104°F).
At the end of the cleaning operations, rinse thoroughly by removing excess water and allow
to air-dry in a clean spot.
DO NOT BOIL OR AUTOCLAVE THE AIR HOSE AND THE MASKS. DO NOT WASH THE ACCESSORIES IN THE DISH WASHER.
WASHING
Where diseases with risk of infection and microbial contamination are present, the end user shall carry out the washing operations properly. The washing procedure can be performed only if the components have been previously cleaned (see cleaning section). For the washing procedure, the following operations shall be carried out:
- Fill a container of suitable size to hold every individual component with drinking water and disinfectant (hypochlorite solution easily available in pharmacies) by complying with the proportions indicated on the disinfectant packaging.
- The immersion time in the solution is indicated on the packaging of the hypochlorite solu­tion according to the concentration chosen for the preparation of the solution.
- Rinse with plenty of warm drinking water until removing any trace of solution, dry and store
in a dry and dust-free place.
- Dispose the solution used according to the instructions provided by the manufacturer of the
disinfectant.
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SUPPLIED ACCESSORIES
ACCESSORIES
HI-FLO accessories kit
(HI-FLO ampoule, Adult Mask, Children Mask, Air hose, Mouthpiece and Nosepiece)
1 – Air hose
2 – Ampoule lower part
3 – Nebulizer Nozzle
4 – Ampoule upper part
5 – Mouthpiece
6 – Adult Mask
7 – Children Mask 8 – Nosepiece (non-invasive)
7
4
6
3
2
5
1
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Use only the original accessories intended and indicated by the Manufacturer. NEBULIZER: For each individual patient, it is recommended to use the nebulizer for 6
months or up to 120 applications. The nebulizer shall be replaced after a long period of inactivity, if it is deformed or broken or if the nozzle is clogged by a dry medicine or medicine
in powder form, etc.
Use the Nosepiece only if prescribed by the doctor. NEVER PUT the bifurcations into the nose but place them as closely as possible.
Where diseases with risk of infection and microbial contamination are present, it is recommended to use the accessories and the spray ampoule individually (always
seek medical advice).
The device is equipped with a lter which removes any impurities of the air inhaled from the compressor. Check the conditions of the lter on a periodical basis or if the device is no longer efcient. If the lter is too dirty, it shall be replaced.
AIR FILTER REPLACEMENT: The air lter shall be replaced every 25 hours of operation or when it is too dirty. Open the air lter lid from under the bottom, remove the lter and insert the new one. Place the lid back. Only use original GIMA lters. be replaced when there is evidence of deterioration of their materials.
Expected useful life: More than 1500 operating hours (or 5 years) in accordance with the standard test and operating conditions. Expected shelf life: up to 5 years from the date of
manufacture.
INSTRUCTIONS FOR USE
• Check the device before each use in order to detect malfunctions and / or damage due to
transport and / or storage.
• When inhaling, the patient must sit upright in a relaxed position at a table and not on an armchair to avoid compressing the airways and thus compromising the effectiveness of the
treatment.
WARNING: Place the appliance on at and stable surfaces in order to avoid obstruct­ing the cooling openings located on its sides.
1. Make sure the power cord is thoroughly unrolled to avoid dangerous overheating. In case
the power cord is damaged, contact GIMA technical assistance for replacement.
2. Prepare the HI-FLO nebulizer opening the upper part and pouring the drug prescribed by
your doctor into the lower tank. Close the nebulizer.
3. Connect the air tube into the air outlet placed above the knob of nebulization.
4. Connect the other end of air tube into the bottom of the nebulizer.
5. Connect the selected accessory to the nebulizer: child mask, adult mask, mouthpiece or
nosepiece.
6. Make sure the air lter is placed properly in its seat on the bottom of the device.
7. Press the ON/OFF switch to position I to start nebulization.
8. To interrupt or stop the treatment press again the ON/OFF switch.
9. Adjust the nebulization speedy by turning the knob towards MIN for longer treatments, or
towards MAX for quicker treatments.
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The masks and the air hose shall
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10. At the end of the atomization, set the switch to O and remove the plug from the socket.
11. Wash the nebulizer and its accessories as specied in the “cleaning” section.
12. Store the accessories into the packaging.
Always use the nebulizer facing upwards in order to prevent any substances and / or the medicine from leaking out of the nebulizer during normal use. In the event of overlling, empty the ampoule, clean it and repeat the operation. After having poured the medicine, screw the top again to the bottom and repeat the operations as speci­ed in section “instructions for use”.
WARNING: The power cable plug is the separation component from the power network; even though the device has the power on / power off switch, the power plug shall be kept accessi­ble once the appliance is in use in order to allow an additional method of disconnection from the power network.
NEVER INHALE IN HORIZONTAL POSITION. DO NOT TILT THE NEBULIZER OVER 60°.
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ELECTROMAGNETIC INTERFERENCE RISKS AND POTEN­TIAL CORRECTIVE MEASURES
This section contains information on the device compliance with EN 60601-1-2 (2015). Cor­sia Nebulizer is a medical device which is particularly useful for intensive hospital and clinic
use.
CISPR classication: group 1, class B. Corsia Nebulizer is an electro-medical device which requires particular precautions regarding electromagnetic compatibility and which must be installed and commissioned according to the electro-magnetic compatibility information sup-
plied.
Avoid using this device close to or overlapped on other appliances because it could not work properly. If such use is necessary and inevitable, special precautions shall be adopted so that the electromedical device works properly in its standard conguration (for instance, by steadily and visually checking the absence of anomalies or malfunctions).
The use of accessories, transducers and cables other those supplied by the manu­facturer of the appliance may cause an increase in the electromagnetic emissions and/or a reduction in the electromagnetic immunity of the device, thus causing a malfunction.
Portable and mobile radio communication devices (mobile phones, transceivers, in­cluding peripheral devices like antennas cables and external antennas, etc.) may affect the medical device and should not be used close to (at more than 30cm from any part of the device, including cables), adjacent to or overlapped on the medical device. If such use is necessary and inevitable, special precautions shall be adopted so that the electromedical device works properly in its standard conguration (for instance, by steadily and visually checking the absence of anomalies or malfunctions).
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The tables below provide information on the EMC characteristics (Electromagnetic Compat­ibility) of this electromedical appliance.
Guide and declaration of the manufacturer – Electromagnetic Emissions
The Corsia aerosol can be used in the following electromagnetic environment. The Cus­tomer and/or the user of the Corsia aerosol shall make sure that the appliance is used in such environment.
Emission test Conformity Guide to the electromagnetic
Radiated emissions /
Conductions CISPR11
Radiated emissions /
Conductions CISPR11 Harmonic currents EN
61000-3-2
Voltage uctuations / icker EN 61000-3-3
Guide and declaration of the manufacturer – Electromagnetic Immunity
The Corsia aerosol can be used in the following electromagnetic environment. The Cus­tomer and/or the user of the Corsia aerosol shall make sure that the appliance is used in such environment.
Immunity test Standard of proof Level of
Electrostatic discharge (ESD) EN 61000-4-2
Fast transient / burst
EN 61000-4-4
Surge EN 61000-4-5 ± 0.5kV e± 1kV
Voltage dips, short
outages and voltage variations
EN 61000-4-11
Group 1 The Corsia aerosol uses RF energy only for
Class [B] The Corsia aerosol is designed for use in
Class [A]
Compliant
± 8kV contact ± 15kV air
± 2kV power supply ± 1kV signal cables
differential mode
5% UT (>95% dip
in UT) per 0.5 cycle
40% UT (60% dip
in UT) per 5 cycles
70% UT (30% dip
in UT) per 25 cycles
<5% UT (>95% dip
in UT) per 5 s
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environment
Internal function. Therefore, its RF emissions
are very low and do not cause any interfer­ence with other nearby electronic applianc­es.
any environment, including households and those directly connected to the public power distribution grid which supplies power to en-
vironments intended for domestic use.
conformity
The appliance
does not alter its status
The appliance
does not alter its status
The appliance
does not alter its status
-- The power supply should be
Guide to the electromag­netic environment
Floors should be in wood, cement or ceramics. If oors are covered by synthetic ma­terial, the relative humidity should be at least 30%.
The power supply should be that of a typical commercial premise or hospital.
The power supply should be that of a typical commercial premise or hospital.
that of a typical commercial premise or hospital. If the user of the Corsia aer­osol requires the appliance to
work continuously, it is rec-
ommended to use it with an
uninterruptible power supply.
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Network frequency magnetic eld EN 61000-4-8
30 A/m The appliance
does not alter its status
The power supply should be that of a typical commercial premise or hospital.
Note: UT is the value of the supply voltage
Guide and declaration of the manufacturer – Electromagnetic Immunity
The Corsia aerosol can be used in the following electromagnetic environment. The Cus­tomer and/or the user of the Corsia aerosol shall make sure that the appliance is used in such environment.
Immunity test
Conducted immunities
EN 61000-4-6
Radiated immunity
EN 61000-4-3
Note 1: At 80 MHz and 800 MHz the highest frequency range applies. Note 2: These guidelines could not apply to all conditions. The electromagnetic propaga-
tion is affected by the absorption and reection of premises, objects and individuals.
Level set out by EN 60601-1-2
3Vrms 150kHz to 80MHz (for non-life­supporting appliances)
10 V/m 80MHz to 2.7GHz (for non-life-equip­ment appliances)
Level of conformity
1
V
=
3 V rms
1
E
=
10 V / m
Electromagnetic Environment ­Guide
Portable and mobile RF communication
devices should be used no closer than the separation distance from any part of the Corsia device, including cables, cal­culated from the equation applicable to the frequency of the transmitter.
Recommended separation distanc­es
1
d= [3.5 / V
] √P
1
d= [12 / E
] √P 80MHz to 800MHz
1
d= [23 / E
] √P 800MHz to 2,7GHz
P is the maximum rated output power of the transmitter in Watt (W) according to the manufacturer of the transmitter
and d is the recommended separation distance calculated in meters (m).
The eld strengths from xed RF trans­mitters, as established in an electro­magnetic survey of the sitea, could be less than the level of conformity of each
frequency rangeb.
It is possible to check the interference close to the appliances labelled with the following symbol:
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a. The eld strengths for xed transmitters like base stations of radiotelephones (mobiles
and cordless) and terrestrial mobile radio networks, amateur radio appliances, AM and FM
radio transmitters and TV transmitters cannot be theoretically and accurately predicted. In order to determine an electromagnetic environment caused by xed RF transmitters, an electromagnetic survey of the site should be taken into account. If the eld strength measured in the place where the Corsia appliance is used exceeds the applicable level of conformity hereinabove, the normal operation of the appliance should be kept under watch. If abnormal performances are noted, additional measures could be necessary, such as a different direction or positioning of the appliance. b. The eld strength on a frequency range between 150 kHz and 80 MHz should be less than 10 V/m.
Recommended separation distances between portable and mobile radio communi­cation appliances and the monitor
The Corsia aerosol is designed to operate in an electromagnetic environment in which the RF radiated interferences are kept under control. The customer or the user of the Corsia
appliance can contribute to prevent electromagnetic interferences by ensuring a minimum
distance between portable and mobile RF communication devices (transmitters) and the Corsia appliance as recommended below, according to the maximum rated output power of the radio communication devices.
Maximum rated output power of the transmitter W
Separation distance at transmitter frequency m
150KHz to 80MHz
d= [3.5 / V
1
] √P
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80MHz to 800MHz
1
d= [12 / E
] √P
800MHz to 2,7GHz
1
d= [23 / E
] √P
0,01 0,12 0,12 0,23
0,1 0,38 0,38 0,73
1 1,2 1,2 2,3
10 3,8 3,8 7,3
100 12 12 23
The recommended separation distance d in meters (m) for transmitters with maximum rated output power not specied above can be calculated from the equation applicable to the fre­quency of the transmitter, in which P is the maximum rated output power of the transmitter in Watt (W) according to the manufacturer of the transmitter. Note 1: At 80 MHz and 800 MHz the separation distance for the highest frequency range
applies.
Note 2: These guidelines could not apply to all conditions. The electromagnetic propaga­tion is affected by the absorption and reection of premises, objects and individuals.
SYMBOLS
Caution: read instructions
(warnings) carefully
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Follow instructions for use
Keep in a cool, dry place
Manufacturer
Product code Lot number
Medical Device complies with Directive 93/42/EEC
WEEE disposal
Class II applied Temperature limit
Humidity limit Atmospheric pressure limit
Disposal: The product must not be disposed of along with other domestic waste. The users must dispose of this equipment by bringing it to a specic recycling point for electric and electronic equipment.
GIMA WARRANTY TERMS
The Gima 12-month standard B2B warranty applies.
Keep away from sunlight
Date of manufacture
Serial number
Type B applied part
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