Medela Invia Liberty User Manual

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NEGATIVE PRESSURE WOUND THERAPY SYSTEM
Invia® Liberty
EN
ES
Instrucciones de uso paciente
FR
Mode d’emploi pour le patient
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Assistance
Read the entire instruction manual before trying to operate the device.
If you have any questions about your Invia Liberty Negative Pressure Wound Therapy system, please contact your healthcare provider / physician at the number below:
Keep this Patient instructions for use (IFU) booklet in an easily accessible location.
HEALTHCARE PROVIDER/PHYSICIAN CONTACT INFORMATION:
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EN
General warnings ............................................................................................................................. 4
Purpose of the device
................................................................................................................. 6
Intended use
......................................................................................................................................... 6
When not to use the device (Contraindications)
.............................................. 7
Description of the device
.......................................................................................................... 8
Display
......................................................................................................................................................... 9
Conditions that affect use
....................................................................................................... 9
General safety at home
........................................................................................................... 10
Sleeping
...................................................................................................................................................11
Showering, bathing and washing
...................................................................................11
When you leave the house
.................................................................................................. 12
Set up instructions
....................................................................................................................... 12
Set up carrying case
................................................................................................................. 14
Battery status
.................................................................................................................................... 14
Charge battery
................................................................................................................................. 15
Change canister
............................................................................................................................. 16
Connect / disconnect Quick-connector
....................................................................17
Notifications and troubleshooting
.................................................................................. 19
Alarm table
..........................................................................................................................................20
Cleaning / Disinfection
................................................................................................................ 24
Guarantee
............................................................................................................................................. 24
Maintenance / Safety-related check
............................................................................. 24
Disposal
.................................................................................................................................................. 24
Technical specifications
.......................................................................................................... 25
Signs and symbols
...................................................................................................................... 26
Technical documentation
...................................................................................................... 28
Electromagnetic compatibility (EMC)
......................................................................... 81
Table of contents
EN Instructions for use 2 ES Instrucciones de uso 29 FR Mode d’emploi 56
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General warnings
WARNING
The individual responsible for operating this device on a daily basis (patient, caregiver) must be able to read, understand and follow directions provided in this IFU, on the pump display and by the healthcare professional. The individual must be able to hear and respond to auditory signals. Only use the Invia Liberty NPWT system on the person for whom it was ordered and only for its intended use. Do not perform the therapy without first consulting with healthcare personnel and caregivers trained on the instructions for use and the healthcare professional’s supervision. No modification of this equipment is allowed.
WARNING
Visually check at the wound dressing and the Invia Liberty system frequently. If you see large amounts of blood in the dressing, tubing or canister:
1 Turn off the pump by pressing
and hold for 3 seconds.
2 Apply pressure to your wound. 3 Seek immediate Emergency Medical assistance.
If you have difficulty breathing, seek immediate Emergency Medical Assistance.
WARNING
Immediately contact your healthcare professional if you experience the following symptoms: – Significant vision or hearing loss – Pain, soreness or redness around the wound – Swelling, itching, or rash around the wound – Fever – Strong odor from the wound
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– Thick green drainage or any unusual change in color
of drainage – Nausea or vomiting or diarrhea – Sore throat with swelling – Dizziness or confusion – Allergic reactions like redness, rash or hives, swelling
or severe itching
WARNING
Once the healthcare professional has set the pump pressure and mode settings do not press any other button than the on / off button [
], the standby button [ ] or the mute button [ ].
WARNING The pump must be used 24 hours per day. Do not stop the pump unless instructed by your healthcare professional or if excessive bleeding occurs. If the pump is stopped for more than the time frames shown below, the dressing must be changed. Contact your healthcare professional to request a dressing change.
Gauze dressings: Change dressing if the pump is stopped more than 2 hours.
Foam dressings: Change dressing if the pump is stopped more than 2 hours.
WARNING If the pump stops working and cannot be switched on, immedia­tely call your healthcare professional.
CAUTION: U.S. Federal law restricts this device for sale or rental by or on the order of a physician.
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Purpose of the device
Your healthcare provider has prescribed Negative Pressure Wound Therapy ( NPW T ) for you.
Negative Pressure Wound Therapy has been shown to help promote healing in several different kinds of wounds. Negative pressure (suction) is delivered to a wound through a pump. The suction, or negative pressure, helps to remove fluid and close your wound. Your healthcare professional will place a special dressing on your wound and a tube will go from your wound to the canister on the pump. The pump is then turned on to the prescribed pressure to remove the fluid from your wound. The fluid then goes into the canister. The treatment will be on 24 hours a day.
Intended use
The Medela Invia Liberty Negative Pressure Wound Therapy system is indicated to help promote wound healing, through means including drainage and removal of infectious material or other fluids, under the influence of continuous and/or intermittent negative pressures, particularly for patients with chronic, acute, traumatic, subacute and dehisced wounds, partial thickness burns, ulcers (such as diabetic or pressure), flaps and grafts.
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When not to use the device (Contraindications)
Contraindicated for patients with: – Malignancy of the wound – Untreated osteomyelitis – Unmanaged malnutrition – Non-enteric fistula – Unexplored fistula – Necrotic tissue with eschar present – Do not place Invia Wound Therapy dressing over
exposed blood vessels or organs
– Do not place directly over anastomoses or sutured vessels
If you have concerns, speak with your healthcare professional.
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Description of the device
Check the delivery package of the Invia Liberty system for completeness and general condition.
WARNING Do not use any other accessories than the ones described below.
Invia Liberty pump with instructions for use
Invia Liberty canis­ter 0.3 liter with solidifier
Y- connector
Invia Liberty canis­ter 0.8 liter with solidifier
Charger
Holder with standard rail
Carrying case
Docking station
Invia Liberty tubing set, single, sterile
Drain adapter
Quick- connector
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EN
Display
Buttons to operate the Invia Liberty pump
Conditions that affect use
CAUTION
The Invia Liberty pump must remain in an upright
position during use.
ON / OFF
Mute
Do not press (only
for clinician)
Standby / On
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General safety at home
Please read and observe these warnings and safety instructions before operation. These instructions for use must be kept with the device. Please note that these instructions for use are a general guide for the use of the product. Medical situations must be addressed by a physician.
CAUTIONS / WARNINGS
– Do not use extension cords with the Invia Liberty pump. – Position the power cord so that it will not cause someone to
trip and fall. – Never place the power supply cord around your neck. – Keep the power supply cord away from hot surfaces. – Do not unplug the power supply cord from the wall outlet by
pulling on the cord. – Do not try to fix or repair the Invia Liberty pump. Contact your
healthcare professional if the pump is not working. – Keep the Invia Liberty pump clean and dry. – Never place the Invia Liberty pump in water or liquids. – If the Invia Liberty pump gets wet, dry with a towel. – Do not dry the Invia Liberty pump in a microwave. – Keep the Invia Liberty pump away from children and pets. – Supervision is necessary when the Invia Liberty pump is used
in the vicinity of children. – Keep the Invia Liberty pump protected from direct sunlight. – Explosion hazard – the Invia Liberty pump is not for use in
potentially explosive environments including oxygen enriched
environments and in areas of flammable anesthetics. – The use of mobile telephones, local area networks (LAN)
including wireless (WLAN), walkie-talkies ( two-way radios ) and
cordless telephone sets can affect the Invia Liberty pump.
This may cause insufficient battery charging or may lead to an
internal fault. See the chapter Notifications and roubleshooting
for actions to take in the case of an internal fault. Certain
mobile phones may interfere with the Invia Liberty pump when
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receiving and making calls close to the pump. Prior to using a mobile phone near the Invia Liberty pump, check that it con­tinues to function while making or receiving a call.
If you observe a change in the vacuum level or an error condition, move the Invia Liberty pump at least 1 meter (3.3 feet) from the mobile phone when making or receiving calls. Turn the Invia Liberty pump on and off again to reset it after an error condition. Whenever possible, a safety distance of minimum 1 meter (3.3 feet) between the Invia Liberty pump and a mobile phone is recommended.
Sleeping
– Make sure the Invia Liberty pump tubing will not become kinked. – Prevent the Invia Liberty pump from falling to the floor during
sleep.
– Always charge the Invia Liberty pump when going to bed.
Showering, bathing and washing
– Do not use the Invia Liberty pump while bathing or showering. – The Invia Liberty pump can be disconnected from the dres-
sing for a short period of time ( up to 20 minutes ) in order to change clothes or perform personal hygiene. Discuss bathing
plans with your healthcare professional. – Prevent the Invia Liberty pump from getting wet. – Do not put the Invia Liberty pump where it can fall into a
shower, sink or tub. – Do not touch the Invia Liberty pump when it has fallen into
water. Unplug device immediately from electrical outlet
and disconnect the pump from the dressing.
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Display view when the pump is runing. Run / Standby indicator is rotating [ ].
Set up instructions
WARNING
Check the Invia Liberty pump and dressing frequently to
make sure it is working. Visually check the wound dressing, area around the wound and fluid in the canister for signs of infection or other complications as provided by your health­care professional.
Turn ON
Switch Invia Liberty pump ON by pressing [ ].
When you leave the house
– Check the battery status and recharge if necessary before
leaving the house.
– For your convenience, place the Invia Liberty pump into
the carrying case.
– Do not forget to take a spare canister and power supply with you.
WARNING
Do not try to perform therapy without the super vision of
your healthcare professional.
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WARNING
The dressing should be changed and therapy restarted by
the healthcare professional if therapy is discontinued for more than 2 hours.
WARNING
Invia Liberty pump does not detect blockage along tubing
connected to the drain adapter or connected to the curved arm of the Y-connector. Check dressing tubing connected to the drain adapter or the curved arm of the Y-connector frequently throughout the day to make sure tubing is not kinked or blocked.
If blockage is identified along tubing connected to the drain adap­ter or tubing connected to the curved arm of the Y-connector, contact your healthcare professional.
Turn OFF
Switch Invia Liberty pump OFF by pressing [ ] for 3 seconds. Press only once.
WARNING
NPWT must run 24 hours a day. Do not stop the therapy
unless instructed by your healthcare professional or if excessive bleeding occurs.
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Set up carrying case
The Invia Liberty pump is intended to be worn in a carrying case during operation.
1 Open the carrying case. 2 Slide the Invia Liberty pump into the designated pocket. 3 Close the velcro over the pump.
The shoulder strap can also be used as a belt strap. To accomplish this, release the strap at the sides of the carrying case and pull it through the two loops located on the back of the carrying case.
Battery status
When the battery is fully charged it should last appro ximately 10 hours. If the Invia Liberty pump is running continuously due to an air leakage, the battery may need to be recharged earlier (after approximately 4 hours).
Battery status symbols
full half full fully discharged (empty)
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Charge battery
If the battery becomes fully discharged (empty), please follow the instructions below.
Open the electrical outlet port. Connect the Invia Liberty pump to the supplied electrical plug from the power supply provided with the pump. Plug the other end of the power supply into a wall out­let. Moving bars on the battery display will indicate charging is occurring.
The battery is fully charged after approximately 4 hours. Once battery is fully charged and continues to be connected to the power source
will appear constantly on the display. After charging is completed, unplug the power supply from the wall and disconnect the Invia Liberty pump from the power supply. Close the electrical outlet port by pressing the protection cover down.
CAUTION
NPWT therapy must be continued while charging
the pump’s battery. Do not turn the pump off while charging.
Always charge the battery overnight.
Electrical outlet port
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Change canister
Change canister when it appears full or when the alarm sounds, in accordance with instructions on the pump display.
1 Wash hands. 2 Clamp the canister tubing. 3 Press the “Standby” button [
> 3 seconds ]
and the pump motor will stop running.
4
Press release button at the top of the
pump and remove canister.
5
Seal used canister with a cap located on
the side of the canister.
6
Unpack new canister, position the feet at
the bottom of the canister into the grooves at the base of the pump. Push the canister up and click into the Invia Liberty pump.
CAUTION
Do not use an Invia Liberty canister if
the sterile packaging is damaged.
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7 Switch the Invia Liberty pump on by
pressing [ ] and slide the pump into the carrying case.
8 Discard the used canister according to instructions provided
by your healthcare professional.
Connect / disconnect Quick-connector
The Quick-connector can be disconnected for a short period of time (up to 20 minutes) in order to change clothes or perform personal hygiene.
1 Wash hands. 2 Clamp the canister tubing and dressing tubing. 3 Press the “Standby” button [
> 3 seconds ]
and the pump motor will stop running.
4
Disconnect the Quick connector by pres-
sing under the sides of the connector.
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5
To reconnect the Quick-connector push
together the Quick-connector until you hear the click.
click
6 Press “On” [ ] to resume therapy.
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Notications and troubleshooting
Do not panic if an acoustic signal sounds. Follow the instructions below.
1 If the Invia Liberty pump is in the carrying case open the lid of
your carrying case.
2 Press [ ] to mute the acoustic signal for
60 seconds (can be pressed every time the signal sounds.
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Alarm table
Warning
401
405
406
Alarm
301
302
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Remarks / potential cause of fault
Recharge the battery either by placing the Invia Liberty pump in the docking station or plug in the charger to the electrical outlet port on the pump.
Remaining time of battery is approximately 30 minutes.
If the pump is in Standby mode for more than 5 minutes, an alarm will go off.
To continue therapy press
“On”
[ ]
Cool Invia Liberty pump down as per instructions on the display.
Dressing:
– Check dressing for air leakage. Press firmly around the edges of
the dressing, around the drain tubing or on the Invia FitPad.
– May apply additional film dressing to seal the leaking area.
Connectors:
– Ensure that the tubing connected to the dressing is connected properly
to the canister tubing.
– Ensure that the canister tubing is inserted straight into the pump.
Canister:
– Ensure that the canister is properly inserted, release the canister
and reposition.
– Ensure that the orange O-ring / gasket, placed beside the canister tubing
on the pump is not missing. Additional O-ring is available via Medela representative.
Call your healthcare professional.
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CAUTION
If you are unable to identify any symbol or do not under-
stand the alarm on the display, contact your healthcare professional.
305
Alarm
306
311
313
Internal fault
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WARNING
If the pump fails or cannot be switched on call your health-
care professional immediately.
Remarks / potential cause of fault
Recharge the battery either by placing the Invia Liberty pump in the docking station or plug in the charger to the electrical outlet port on the pump.
Remaining time of battery is approximately 15 minutes.
Change the canister, see chapter “Change canister”.
Canister: – Release the canister and reposition. Tubing: – Ensure that the tubing is not twisted, kinked or clamped.
Canister: – Release the canister and reposition. Tubing: – Ensure that the tubing is not twisted, kinked or clamped.
Change canister, see chapter “Change canister”.
Restart the pump. If internal fault remains, turn off by pressing [ > 3 seconds ] and contact your healthcare professional.
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Cleaning / Disinfection
The Invia Liberty pump can be wiped with a damp cloth using a mild household cleaner.
Guarantee
Warranty period is for 2 years after date of delivery. The manu­facturer is not liable for any damage or consequential damage caused by incorrect operation, inappropriate usage as well as use by unauthorized persons.
Maintenance / Safety-related check
Service work may only be carried out by authorized personnel. A safety-related check is confined to visual inspection of the housing and charger for damage and must be performed prior to each use. If Invia Liberty pump has not been in use, the battery must be charged approximately once every 6 months to ensure optimum function.
Disposal
Ask your healthcare professional how to dispose of used dressings, canisters and tubing.
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EN
Technical specications
Accessories storage conditions
Accessories must remain in the packaging and stored at a temperature range of – 4° Fahrenheit and + 122° Fahrenheit ( – 20° Celsius and + 50° Celsius ).
Operation environmental conditions
The Invia Liberty pump and accessories must be operated within a temperature range of + 41° Fahrenheit and + 104° Fahrenheit ( + 5° Celsius and + 40° Celsius ). Do not operate the products in extreme cold or heat. Avoid high relative humidity ( 15 – 93 % is pe rmissible ).
CAUTION
Do not operate the Invia Liberty pump above 9,842 feet
above sea level ( 3000 meter above sea level ).
Protection Class IP33
The Invia Liberty pump is protected against ingress of solids larger than 0.1 inch (2.5 millimeter) and dripping water.
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Signs and symbols
This symbol indicates a CAUTION or WARNING associated with the device (see page 3).
This symbol indicates that this is a prescription device. CAUTION: U.S.
Federal law restricts this device to sale by or on the order of a physician (for US only).
This symbol indicates a class II device.
This symbol indicates a type BF applied part.
Do not dispose the device together with unsorted municipal waste (for EU only).
This symbol indicates manufacturer’s catalog number.
This symbol indicates the date of manufacture (four digits for the year and two digits for the month).
This symbol indicates manufacturer’s serial number.
This symbol indicates the name and the address of the manufacturer.
This symbol indicates manufacturer’s batch code.
This symbol indicates the device is sterilized using ethy lene oxide.
This symbol indicates the protection against the ingress of solid foreign objects and against harmful effects due to the ingress of water.
This symbol indicates that the device should not be used after the end of the year and month shown.
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This symbol indicates to follow the Instruction for use.
This symbol indicates the humi­dity limitation for operation and storage.
This symbol indicates the com­pliance with additional USA and Canada safety requirements for medical electrical equipment.
This symbol indicates the atmos­pheric pressure limitation for ope­ration and storage.
This symbol indicates to not use the device if package is dama­ged.
This symbol indicates to keep the device dry.
This symbol indicates the number of items.
This symbol indicates to keep the device away from sunlight.
This symbol indicates the direct current socket.
This symbol indicates to handle the fragile device with care.
This symbol indicates a single use device. Do not reuse the device.
This symbol indicates the com­pliance with the essential requi­rements of the Council Directive 93/42/ EEC of 14 June 1993 concerning medical devices.
This symbol indicates the tem­perature limitation for operation, transport and storage.
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Technical documentation
WARNING
Do not use other accessories than those specified or sold by
the manufacturer as replacement parts for internal components as it may result in increased emissions or decreased immunity of the Invia Liberty pump.
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