Nidek Mark 5 Nuvo Lite User manual

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USER'S GUIDE
Mark 5 Nuvo(Std)
Lite
OXYGEN CONCENTRATOR
[Original language is English]
Federal Law (US) restricts this device to sale or use by, or on the order of, a licensed phy­sician. This oxygen concentrator should be used only under the supervision of a licensed physician.
Contents
Danger: Do not smoke when using oxygen or when near this device
.
GLOSSARY OF SYMBOLS.......................................... 1
GENERAL SAFETY GUIDELINES ............................ 2
1 Unpacking and Packaging.......................................3
1.1 Method for disposing of waste.................................3
1.2 Method for disposing of device................................3
2 DESCRIPTION.......................................................3
2.1 F
2.2 Rear panel (Fig. 2.2) .............................................. 4
3 STARTING-UP / INSTALLATION .......................4
3.1 Use in direct oxygen therapy ...................................4
3.2 Turning off device.....................................................5
4 CLEANING-MAINTENANCE...............................5
4.1 Cleaning ...................................................................5
ront panel (Fig.2.1)...........................................4
GLOSSARY OF SYMBOLS
: ON (power switched on)
I
: OFF (power switched off)
O
: Type B device
: Class II protection
4.2
Daily disinfection.............................. ............................5
4.3 Maintenance..............................................................6
5 USEFUL INFORMATION........................................6
5.1 Accessories and spare parts.......................................6
5.2 Material in direct or indirect contact with patient..... 7
5.3 Operating principles..................................................7
5.4 Alarms-Safety devices-Indications ........................... 7
5.5 Useful Information ...................................................8
5.6 Technical characteristics ........................................... 8
5.7 Standards...................................................................9
5.8 Troubleshooting.......................................................10
Notes.................................................................................11
: Do not use oil or grease
: Technical information
: Consult the accompanying documents
: Keep in the vertical position
: Fragile - handle with care
: Do not expose to open  ames
: Oxygen concentration warning light
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GENERAL SAFETY GUIDELINES
Only persons who have read and understood this entire manual
should be allowed to operate the MARK 5 Nuvo Lite
.
The WARNINGS below indicate a potential hazardous situation. If conditions are not avoided a situation could occur that results in serious injury or death.
Oxygen is not a  ammable gas, but it • accelerates the combustion of materials. Do notuse inexplosive atmosphere.To avoidrisk
of  re and explosion the concentrator should
be kept away from Flames, Heat sources, Incandescent sources, Smoking Materials, Matches, Oil, Grease, Solvents, Aerosols, etc. Do not allow oxygen to accumulate on upholstery or other fabric such as bedding or personal clothing. Ifconcentratorisoperating while not connected to patient, position
cannula so that the gas  ow is diluted in the
ambient air.
Improper patient connection to and use of• the cannula may result in injury including strangulation.
Use of other accessories not described in this• User's Guide is not recommended. Patient
bene t may be diminished.
No modi cation to the equipment is allowed. To do so may affect patient bene t.
Contraindications; Those who continue to
smoke (because of the increased  re risk
and the probability that the poorer prog­nosis by smoking will offset the treatment
bene t).
Device must have power to operate. In the• event of power loss and for continued op­eration a backup source is recommended.
DO NOT disassemble due to danger of• electrical shock. Refer servicing to quali-
 ed service personnel.
The CAUTIONS below indicate a potentially hazardous situation. If conditions are not avoided a situation could occur that results in property damage or minor injury or both.
Use the power cord provided, and check that• the electrical characteristics of the power socket used match those indicated on the manufacturer’s plate on the rear panel of the device.
We recommend against the use of extension• cordsoradapters,asthey arepotentialsources
of sparks and  re.
The Mark 5 Nuvo Lite has an audible alarm to warn the user of problems. In order that the alarm may be heard, the maximum dis­tance that the user can move away from it must be determined to suit the surrounding noise level.
The Mark 5 Nuvo Lite must only be used for oxygen therapy and only on a medical prescription. The indicated daily duration
and  ow must be followed, otherwise it may
present a risk to the health of the patient.
Do not use in a specifically magnetic• environment (MRI, X-ray, etc.). May cause device malfunction.
This unit may be equipped with a polarized• plug. That is one blade wider than the other.
If it does not  t into the outlet, reverse the plug. If it still does not  t, contact a quali ed electrician. Do not defeat this
safety feature.
Note: Medical Device Regulations require• users and service providers to report to the manufacturer any incident that could, if
repeated, result in injury to any person.
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CONFORMITY WITH IEC60601-1 (2nd Edition)
"The manufacturer, assembler, installer or distributor are not considered to be responsible themselves for the consequences on the safety, reliability and characteristics of a device unless the:
Assembly,  tting, extensions, adjustments, modi cations or repairs have been performed
by persons authorized by the party in question. Electrical installation of the corresponding• premises complies with local electrical codes. (e.g. IEC / NEC). Device is used in accordance with the• instructions for use.
If the replacement parts used for the periodic servicing by an approved technician do not
comply with the manufacturer’s speci cations,
the manufacturer is not responsible in the event of an accident.
1.1 METHOD FOR WASTE DISPOSAL
All waste from the device (Patient Circut, Filters, Etc.) must be disposed of using methods appropriate to the civil authority of the location where disposed.
1.2 METHOD FOR DISPOSING OF DEVICE
This device has been supplied by an environ­mentally aware manufacturer. A majority of the parts in the device are recyclable.
Follow local governing ordinances and recy­cling plans regarding disposal of the device or components normally used in operation. Any accessories not original to the device must be disposed of in accordance with the individual product markings for disposal.
2. DESCRIPTION
This device complies with the requirements of the FDAQuality System Regulation and 93/42/ EEC European directive but its operation may be affected by other devices being used near by, such as diathermy and high frequency electro-
surgical equipment, de brillators, short wave
therapy equipment, mobile telephones, CB and other portable devices, microwave ovens, induction plates or even remote control toys or any other electromagnetic interferences which
exceed the levels speci ed by the EN 60601-
1-2 standard.
1. UNPACKING and PACKAGING
The Oxygen Concentrator is packaged to protect the device from damage while being transported and stored. Check for damage to the packaging. After device is removed from the package inspect for damage. If damage is detected please contact your equipment provider. Operating environmental condi­tion guidelines are discussed later in another section of this User's Guide.
The Mark 5 Nuvo Lite is intended to supply supplemental oxygen to persons requiring low
 ow oxygen therapy. It is not intended to be
life supporting or life sustaining. It produces oxygen enriched product by concentrating the oxygen contained in room air. It can be used to administer oxygenwith nasal cannulasor another type of device.
The Mark 5 Nuvo Lite is easy to use.
The single  ow adjustment knob allows:
The device to be easily adjusted to the
prescribed  ow rate,
The equipment supplier or medical staff to
limit  ows to a speci c  ow rate with a built-
in locking device.
It has a power failure alarm and an operating fault alarm.
Note: the performances described pertain to the use of the Mark 5 Nuvo Lite with the accessories recommended by Nidek Medical Products, Inc. Refer to section 5.
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3. STARTING UP / INSTALLATION
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5
5
5
2.1. Front panel (Fig. 2.1)
1 - I/O (ON/OFF) Switch 2 - Indicator Lights 3 - Oxygen product outlet 4 - Flow adjustment knob (l/min.) 5 - Circuit Breaker
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9
1
3
3
3
4
3.1. Use in direct oxygen therapy
a. Ensure that the switch (Item1 in Fig.2.1) is in the O (OFF) position.
b. For use without Humidi er Bottle connect
the cannula directly to the concentrator oxygen product outlet (Item 3 in Fig 2.1). Simply slide the cannula over the oxygen outlet (Fig 3.1).
c. If a Humidifier Bottle is prescribed:
Unscrew the lid from the bottle and  ll with water, per the humidi er bottle manufacturer's
recommendation. Re-attach the lid to the bottle and connect to the oxygen concentrator. Place the bottle on the concentrator and secure with the attachment straps as indicated in (Fig.2.2). Connect the clear plastic tube supplied to the
Humidi er Bottle by use of the DISS  tting.
Connect the other end of the tube to the oxygen outlet (Item 3 in Fig 2.1). Connect the cannula
to the outlet on the Humidi er Lid (Fig. 3.2).
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NOTE: The tube between the cannula and
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the Mark 5 Nuvo Lite should be limited to 20 meters (60 feet) long.
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10
2.2. Rear panel (Fig. 2.2)
6 - Humidi er 7 - Filter 8 - Power Cord
9 - Elapsed Time Meter 10 - Technical Label 11 - Humidi er Tube 12 - Humidi er Bottle Attachment Strap 13 - Power Cord Retainer
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d. Ensure that all of the parts are connected correctly to avoid leaks.
No Humidi er Bottle.
This illustration shows the Cannula attached directly
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to the oxygen product outlet connection on the concentrator.
(Fig. 3.1)
This illustration shows the
Humidi er Bottle in place. A
tube is attached to the DISS
 tting on the bottle lid and
to the oxygen product outlet connection. The cannula is attached to the outlet on the bottle lid.
(Fig.3.2)
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e.Plugthepower cable intoa poweroutlet(Fig.
3.3) of the correct voltage and frequency as
de ned on the manufacturer's technical label
(Fig 2.2).
3.2 Turning off device
At the end of the treatment, press the I/O Switch to place it in the O (OFF) position to stop the
device. The oxygen enriched air  ow continues
for approximately one minute after the device is stopped.
4. CLEANING - MAINTENANCE
115V (Fig 3.3) 230V
f. Press the power switch (I/O) to the ON position (I). The green indicator light glows indicating power is available.
Note: the required oxygen concentration is
normally obtained within  ve minutes after
the unit is started.
g. Turn the  ow adjustment knob (Item 4 Fig.
2.1) to the prescribed value. This knob may have already been locked in the medically prescribed position. In this case, do not force it. Only the technician or medical personnel are authorized to release it.
Forthe equipment supplieror medical staff:
The  ow adjustment knob can be locked to limit it to a speci c predetermined value.
4.1. Cleaning
Only the outside of the Mark 5 Nuvo Lite is to be cleaned. Use a soft dry cloth, a damp sponge or wipes with alcohol based solution. The cabinet must then be thoroughly dried.
Acetone, solvents or any other in ammable
products must not be used. Do not use abra­sive powders.
The removable cabinet air  lter (Item 2 Fig.4.1)
must be cleaned in warm water and household detergent weekly or after approximately 100 hours of use. Dry before reinstalling. More frequent cleaning is recommended in dusty environments.
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h. Check the oxygen flow out of the administration device (nasal cannula or other) by placing it near the surface of a glass of
water. The  ow should disturb the surface of
the water.
i. Adjust the nasal cannula to suit your face, see (Fig. 3.4).
(Fig. 3.4)
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Fig. 4.1
1. Filter / Silencer
2. Cabinet  lter
3. Ventilation grill
Note: Shown with grate removed.
4.2. Daily disinfection
Because there is a  nal product  lter inside
the device, daily disinfection concerns only the external oxygen therapy accessories: humidifier, nasal cannulas (refer to the respective instructions for use).
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5. USEFUL INFORMATION
The device must be switched off and discon­nected from its power source when alcohol based solutions are used.
a. The following minimum guidelines must be observed
Humidi er: (If prescribed by a physician)
Clean according to the manuf actur er's instructions. If no instructions are provided, do the following:
Daily
• Empty the water from the humidi er.
• Rinse the humidi er  ask under running
water
• Fill humidi er up to the mark with water
per the manufacturer's recommendations.
Regularly
Disinfect the humidi er parts by immersing • them in a disinfection solution. (In general we recommend using a solution of 1 part vinegar diluted with 10 parts water).
Rinse and dry.
• Check that the humidi er lid seal is in
good condition
5.1. Accessories and spare parts
The accessories used with the Mark 5 Nuvo Lite must:
be oxygen compatible.
be biocompatible.
comply with the requirements of the FDA
Quality System Regulation.
The connectors, tubes, nasal cannula, or masks must be designed for oxygen therapy usage.
The accessories with a Nidek Medical part number reference, or included in the set of accessories supplied with the device, comply with these requirements.
Contact your equipment supplier to obtain these accessories.
NOTE: The use of certain administration
accessories which are not speci ed for use with
this concentrator may reduce its performance and void the manufacturer’s responsibility(ISO
8359).
• Oxygen tubing and nasal cannula
Follow the manufacturer’s instructions.
b. For each new patient
Follow the instructions from the humidi er
manufacturer. The Mark 5 Nuvo Lite must be cleaned and disinfected as per the above instruc-
tions. The cabinet air  lter should be washed
or replaced. The entire oxygen administration circuit (oxygen therapy nasal cannula, etc.) must be changed.
4.3. Maintenance
No special maintenance needs to be carried out by the patient. Your equipment supplier
performs periodic maintenance operations to assure continued reliable service from the Mark 5 Nuvo Lite.
AVAILABLE ACCESSORIES
IF PRESCRIBED BY A PHYSICIAN
Humidi er: Ref: 9012-8774
Cannula with 2 m (7 ft) tubing: Ref: 9012-8780
Extension Tubing 7.7 m (25ft): Ref: 9012-8781
Tubing Adapter: Ref: 9012-8783
The items listed above are available from
Nidek Medical Products, Inc.
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5.2. Materials in direct or indirect contact with the patient
Concentrator casing ................................ABS
Power Cord ........................................... PVC
Cabinet Air Filter ..............................Polyester
I/0 (On/Off) switch................................Nylon
Casters....................................................Nylon
Flow adjustment knob..............................ABS
Oxygen product outlet ...................Aluminum
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Printed labels.............................Polycarbonate
Pipe/Tubing..........................Aluminium,PVC,
polyurethane or silicone
Humidi er.................................Polypropylene
Humidi er tube........................................PVC
Filter .........................................Polypropylene
Power Quality
A rapidly pulsing alarm is indicative of a power quality problem that normally will not affect the devices output. If the problem per­sists contact your power provider.
Process Fault
In the case of a process fault, a visible and audible alarm is activated (continuous red light and audible alarm, see trouble shooting section).
5.4.2. Safety devices
Compressor motor
5.3. Operating principle
The compressor sends  ltered room air to a
solenoid valve, which allows compressed air to pass to the column in production. The columns contain a molecular sieve, whose function is to adsorb the nitrogen and thus allow oxygen to pass. The oxygen enriched product is then directed through a pressure reducing valve to
the adjustable  ow valve and continuing to the oxygen product outlet  tting.
During this time, the column which is being "regenerated" is connected to the ambient air
and  ow of oxygen enriched product is passed
through it (from the column "in production"). In this way, when one column is in production, the other is in a nitrogen desorption or "regenera-
tion" phase. The oxygen enriched product  nally passes through a  nal product  lter located prior to the oxygen outlet  tting.
5.4. Alarms - Safety devices - Indications
5.4.1. Alarms
No Voltage detection:
Thermal safety is ensured by a thermal switch situated in the motor winding (145 ± 5oC).
Electrical protection
A 5A circuit breaker is incorporated into the front cabinet of all models.
Class II devices with insulated casings (EN60601-1 standard)
Safety valve
This is  tted on the compressor outlet and is
calibrated to 2.7 bar (40 psig).
5.4.3 Indicators
The green indicator light (Fig.5.1) indicates• that power is applied to the device and that it is ready to provide oxygen enriched air to the patient. To be lighted, it is necessary that the device power plug be inserted into the wall outlet and ON/OFF (I/O) switch be activated.
In the event of a loss of mains power, an inter­mittent audible alarm is activated. Test alarm by activating the I/O (ON/OFF) switch with power cable unplugged from wall outlet.
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5.4.3 Indicators (continued)
5.5.4 Maintenance of the Device Alarms
The red indicator light is utilized to warn• the patient of a system fault. The event that can cause the red indicator to be light­ed is abnormal system pressure.
Red Indicator Green Indicator
No special maintenance is required. The alarm set-point is factory set and the setting cannot be adjusted.
The equipment supplier veri es that the device
is still operating correctly when the routine checks are performed.
5.6. Technical characteristics
Dimensions: L x W x H: 36x23x58.5 cm (14 x 9 x 23 in.) Caster diameter: 3.8 cm (1.5 in.).
Tilt angle (transport with humidi er  tted)
30o. Weight: 14.5 kg. (32 lbs) varies by model. Noise level 45 to < 40 dBA (depends on model).
Flow values
(Fig. 5.1)
12 position  ow valve 0.125-5 liters/minute.
(Some models may have other values.)
Accuracy of  ow supplied
In compliance with the ISO 8359 standard.
The  ow supplied is equal to the selected  ow,
accurate to within ± 10 % or 200 ml/min, whichever is the larger.
Oxygen Concentration
• at 2 l/min: >90%.
• at 5 l/min: 90%. (+6.5%/-3%) (Values at 21oC and at one atmosphere pres­sure).
Maximum  ow: 5 l/min. The variation of the maximum  ow does not
exceed ± 10 % of the indicated value when a back pressure of 7 kPa (1 psig) is applied to the output of the device. The maximum outlet pressure is 50 kPa (7 psig).
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Electrical power supply:
Mark 5 Nuvo Lite Serial No. ________ _________________________________
Rating: 115/230V 60Hz 230V 50Hz Average Power: 330W(avg) 300 W(avg) Protection Class: Class II Class II Mains Protection: 5A 5A
Filters:
At the rear of the device: a cabinet air  lter. At the compressor input: an inlet air  lter, 5 µm, located behind the cabinet air  lter. Before the oxygen outlet: a  nal product  lter,
< 0.3 µm. (technician only).
Air circulation
A tubeaxial fan cools the compressor compart­ment.
Environmental limit conditions
The performances of the device (especially the oxygen concentration) are quoted at 21oC (70oF) and one atmosphere. They may change with temperature and altitude. For further informa­tion, please consult the maintenance manual Ref # 2010-8405.
• The device must be stored, transported and used in the vertical position only.
• Ambient temperature of between 5oC and 40oC (40oF to 104oF) operation.
• Storage temperature from -20oC to 60oC (-4oF to 140oF).
• Relative humidity of between 15% and 95% operation and storage, both non-condensing.
• Altitude(21oC): Up to 2,286m (7,500ft) without degradation; Consult your equip­ment provider for further information re­garding 2,286m to 4000m (7500 to 13000 ft)
• Complies with EN60601-1 standard; spil­ling a glass of water.
5.7. Standards
Date  rst used : __________________
Maintained by: __________________ ________________________________
Your distributor: ________________
Address : _______________________ ________________________________
Telephone : _____________________
PREVENTIVE MAINTENANCE
a. Wash cabinet  lter weekly.
b. Inspect inlet air  lter at each patient visit. Replace  lter every 2 years, or more often
depending on environment.
c. Check oxygen concentration every 5,000
or 1 year.
The manufacturer’s instructions for the preventive maintenance of the devices are
de ned in the maintenance manual. Check
with your service provider for any updates to recommended schedules. The work must be carried out by suitably trained technicians.
Use original spare parts only (see Pg. 10)
Upon request, the supplier can provide circuit diagrams, spare parts lists, technical details
or any other information of use to quali ed
technicalpersonnel for partsofthe devicewhich are designated as being the manufacturer’s responsibility or by the manufacturer as repairable.
EN 60601-1[UL60601-1:2003],CAN/CSA­C22.2 No.601.1-M90 w/A1&A2: Electrical Safety- Medical Devices. EN60601-1-2:2001 Electromagnetic Compat­ibility
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5.8 Troubleshooting.
Observations
The I/O (ON/OFF) button is in the ON position but the device does not operate.
The intermittent alarm sounds.
Red light remains lighted.
A rapidly pulsing alarm.
The alarm test does not work.
See 5.4.1
The compressor operates and the
I/O (ON/OFF) button is in the ON
position but the green light is not lighted.
The I/O (ON/OFF) button is ON and the compressor is operating but there
is no  ow. The audible alarm sounds
(continuously).
Possible Causes
Power cable is not correctly plugged in.
Power failure.
Product pressure is too low or too high.
Power Quality
Capacitor is not charged Internal electrical fault.
Faulty indicator.
Pneumatic connection broken or other pressure problem.
Solutions
Check the cable connection.
Check the circuit breaker on the
front of the unit under the  owme-
ter.
Contact your equipment supplier.
If the problem persist contact your power provider.
Backup Capacitor has discharged; operate unit for approximately 10 minutes and retest.
Contact your equipment supplier.
Contact your equipment supplier.
Stop the device by pressing the I/O (ON/OFF) button and contact your equipment supplier.
The I/O (ON/OFF) button is ON, the compressor is operating, there is a
 ow but the audible alarm sounds
continuously.
The compressor stops in mid-cycle, then starts again after a few minutes.
The oxygen enriched product  ow
is interrupted at the nasal cannula outlet.
The  ow at the nasal cannula outlet
is irregular.
Maintenance Items
Cabinet Air Filter- Ref: 8400-1025; Wash weekly; Replace as needed.
Humidi er Tubing- Ref. 8400-8409; Wash in warm water; Replace as needed.
Inlet Air Filter- Ref: 8400-1180; Inspect at each patient visit, Replace every 2 years.
Please record all maintenance activity on the Maintenance Log found in the Service Manual
and online at www.nidekmedical.com under the 'Maintenance Log' tab.
Internal electrical fault. Pneumatic circuit fault.
Compressor thermal safety device has been activated.
Fan is not working.
Dirty Filters.
Tube disconnected or humidi er
not tight.
Cannula tubing is kinked.
Stop the device and contact your equipment supplier.
Stop the device and wait for it to
cool down. Clean cabinet  lter.Start
up again. Reset the circuit breaker.
Contact your equipment supplier.
If the device does not start, contact your equipment supplier.
Check that tubing connections are secure and that the tubing is not kinked.
Straighten the tubing ; contact your equipment supplier if damaged.
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NOTES
___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
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Nidek Medical Products, Inc.
3949 Valley East Industrial Drive
Birmingham, Alabama 35217 U.S.A.
Tel: 205-856-7200 Fax: 205-856-0533
info@nidekmedical.com
www.nidekmedical.com
EU Representative
mdi Europa GmbH
Langenhagener Str. 71
30855 Hannover-Langenhagen
Germany
Tel: +49-511-39-08 95 30
Fax: +49-511-39-08 95 39
info@mdi-europa.com www.mdi-europa.com
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