Pari Vios Nebulizer User manual
INSTRUCTIONS FOR USE
For single patient use (one person) only
INCLUDES INSTRUCTIONS FOR THE PARI LC® PLUS NEBULIZER
IMPORTANT: READ INSTRUCTIONS AND SAFETY PRECAUTIONS BEFORE USE
READ ALL WARNINGS AND INSTRUCTIONS BEFORE USE. USE THE PRODUCT ONLY FOR ITS INTENDED USE
AS DESCRIBED IN THESE INSTRUCTIONS FOR USE. IMPROPER USE CAN RESULT IN SERIOUS OR FATAL ILLNESS/
INJURY, IMPROPER TREATMENT OR PROPERTY DAMAGE.
REMEMBER
REPLACE YOUR REUSABLE NEBULIZER CUP EVERY SIX MONTHS
Welcome to the Vios experience! The Vios™
Aerosol Delivery System is designed from
PARI’s long legacy of clinically proven products
and consists of two important components:
a Vios
Vios
compressor and a PARI nebulizer.
™
was inspired by the Latin and Greek
™
words for “Life” and our goal is to improve
your quality of “Life” through the efficient
delivery of aerosol.
INDICATIONS FOR USE: LC® PLUS
The PARI LC® Plus reusable nebulizer is used to deliver
aerosolized medication to the lungs. This nebulizer is
used with patients for whom a physician has prescribed
medication for aerosol treatments in the home, doctor’s
office, hospital, or clinic.
A. SAFETY PRECAUTIONS - LC® PLUS
CAUTION
US Federal Law restricts this device to sale by or on the
order of a physician. Use only when prescribed by a
physician and with the prescribed medication.
®
The LC
aerosolize medication approved for nebulization and
prescribed by a physician. The LC
adult and pediatric patients consistent with the indications
for the aerosol medication. Improper use can result in
serious or fatal illness or injury. Nebulizer is not sterile.
Use only when prescribed by a physician and with the
prescribed medication. In order to achieve the specified
droplet characteristics the compressor or central air supply
must provide 3.5 - 8 lpm at a minimum of 20psi.
Plus is a handheld nebulizer, designed to
®
Plus is intended for
WARNING
Your physician has prescribed the Vios
™
to
treat your respiratory symptoms because
of PARI’s reputation for consistent particle
size and fast treatments resulting in targeted
delivery to the lungs. PARI products have
been used in more than 25 clinical trials for
new nebulized medications. Designed with the
patient in mind, these instructions will help you
achieve the best aerosol therapy experience.
We hope the Vios experience allows for a
“Life Inspired”.
SAVE THESE INSTRUCTIONS
FOR FUTURE USE
WARNING
1. To reduce the risk of increased bacterial growth,
infection, illness, or injury from contamination:
thoroughly clean and dry all parts of the nebulizer and
thoroughly dry any moisture or condensation in the
tubing at the end of every treatment following the
instructions below.
2. Cleaning the nebulizer after each treatment is not
enough---you must regularly disinfect or sterilize the
nebulizer between treatments to prevent serious or
fatal illness caused by contamination of the nebulizer.
3. Never use a nebulizer with a clogged nozzle. If the
nozzle is clogged, the aerosol mist will be reduced,
altered or stopped, which will diminish or eliminate
the effectiveness of the treatment. If clogging occurs,
replace with the same model PARI Reusable Nebulizer.
4. Close supervision is necessary when this product is
used by or near children and physically or mentally
impaired. Never use when sleeping or drowsy.
5. This product contains small parts that may present
a choking hazard to small children. The tubing also
presents a strangulation hazard. ALWAYS USE CLOSE
ADULT SUPERVISION WHEN ADMINISTERING A
TREATMENT TO A CHILD. DO NOT LEAVE CHILD
UNATTENDED DURING TREATMENT.
6. Patients under the age of 4 or any patients who have
special needs should use a facemask instead of the
valved mouthpiece.
7. Before use, check PARI Reusable Nebulizer for proper
assembly. All parts should be seated firmly in place.
Use of an improperly assembled nebulizer could
diminish or prevent adequate delivery of medication
and the effectiveness of the treatment.
EN-1
INDICATIONS FOR USE: VIOSTM AEROSOL DELIVERY SYSTEM
The Vios™ is a tabletop, AC-powered air compressor intended to provide a source of compressed air for use with
™
jet nebulizers. The Vios
environments.
B. SAFETY PRECAUTIONS - VIOSTM AEROSOL DELIVERY SYSTEM
Compressor is intended for adult and pediatric patients for use in hospital, clinic, or home
WARNING
Use only with nebulizers and tubing authorized by PARI
for this device. Other nebulizers and tubing may result in
improper treatment.
When using electrical and medical products, especially
when children are present, basic safety precautions must
be followed.
DANGER
To reduce the risk of serious or fatal injury from
electrocution:
1. Do not place or store product where it can fall or be
pulled into a bathtub, sink, water, or other liquid. Do
not place in or drop into water or other liquid. Do not
use while bathing.
2. Do not reach for a product that has fallen into water or
other liquid. Unplug immediately.
WARNING
To reduce the risk of serious or fatal injury from
electrocution, fire or burns and to reduce the risk of
damage and malfunction to the product:
1. Before use, check the serial number label on the
bottom of the PARI Vios
the voltage and current indicated on the compressor
label correspond to the voltage and current available.
2. Never operate this product if it has a damaged cord
or plug, if it is not working properly, if it has been
dropped or damaged, or if it has been exposed to any
liquids inside the case. Return the product to PARI for
examination and repair.
3. Keep all electrical cords away from heated surfaces. Do
not overload wall outlets or use extension cords.
4. This appliance has a polarized plug (one blade is wider
than the other). As a safety feature, this plug will fit in
a polarized outlet only one way. If the plug does not fit
fully in the outlet, reverse the plug.
5. Never block the air vents of this compressor or place it
on a soft surface, such as a bed or couch, where the air
vents may be blocked. Keep the air vents free of lint,
hair, and similar substances. Blocked vents could cause
excessive heat buildup. This product should never be
left unattended when plugged in.
™
Compressor to ensure that
WARNING
6. Do not operate outdoors.
7. Not suitable for use in the presence of flammable
anesthetic mixture with air or oxygen or nitrous oxide.
8. Do not operate where oxygen is being administered in
a closed environment such as an oxygen tent.
9. Never drop or insert any object into any openings.
10. Always unplug this product immediately after using.
11. Be sure the PARI Vios
to cleaning.
12. Do not open or disassemble the PARI Vios
Compressor. Refer all servicing to PARI.
™
Compressor is unplugged prior
™
WARNING
To reduce risk that the compressor will fail to operate
properly as a result of decreased electromagnetic
interference, resulting in improper treatment:
1. This device needs special precautions regarding
electromagnetic compatibility (“EMC”) and must be
installed and put into service according to the EMC
information provided in these Instructions For Use.
2. Portable and mobile radio frequency (“RF”)
communication devices can disrupt electrical medical
equipment. Technical EMC information is available on
pages 9-10.
3. Use only with accessories and cables authorized
by PARI for this device. Use of this device with
unauthorized accessories and cables may result in
increased electromagnetic emissions or decreased
electromagnetic immunity of the device.
4. This device should not be used adjacent to, or stacked
with other equipment. If adjacent or stacked use is
necessary, this device should be observed to verify
normal operation.
Questions? 1.800.FAST.NEB (327.8632) | PARI.com/VIOS
EN-2
C. GETTING STARTED
Check your Vios™ package to ensure you have the
following items.
It is important to have a second PARI Reusable Nebulizer
on hand at all times.
Air Filter
Air Outlet
Power Switch
Timestrip®
(Timestrip® Location)
Air Vents
PARI Reusable Nebulizer Holder & Clip
PARI Reusable Nebulizer (2 included)
Nebulizer Insert
Nebulizer Semi-Circle
Nebulizer Outlet
Mouthpiece with Expiratory Valve
Inspiratory Valve Cap
Alignment Rings
Nebulizer Cup
EN-3
Air Intake
Wing Tip™ Tubing
Questions? 1.800.FAST.NEB (327.8632) | PARI.com/VIOS
D. VIOS™ SET-UP
You are 10 Steps away from starting your treatment with
™
. Please follow step by step.
Vios
1. Clean/Disinfect Nebulizer Cup: Refer to Sections F & G
to properly clean and/or disinfect your nebulizer prior
to first use. Re-assemble nebulizer.
2. Set-up Compressor: Place the compressor on a
flat, stable surface free of dust. Avoid cushioned,
upholstered or carpeted surfaces. Make sure power
switch is turned to
cord into wall outlet (Fig A). Activate and attach the
Timestrip
®
label to the front on the Vios™ Compressor
, the “OFF” position. Plug power
as explained in Section E.
3. Connect Tubing To Compressor: Insert one end of
™
Wing Tip
tubing to the air outlet on the compressor.
It should fit snugly (Fig. B).
4. Load Medication: Remove the nebulizer insert by
twisting counter-clockwise until it stops and lift up.
Pour medication into the nebulizer cup. Never fill past
the max fill line of 8ml (Fig. C). Replace the nebulizer
insert making sure the two alignment rings are lined up
with each other.
5. Attach Mouthpiece or Mask: If using the mouthpiece,
attach the mouthpiece to the nebulizer outlet with the
expiratory valve facing up. Then attach the inspiratory
valve cap by pressing it firmly into the top of the
nebulizer. If using a mask, attach mask to the nebulizer
outlet and refer to the mask instructions.
6. Attach Tubing To Nebulizer Cup: Firmly press the other
™
end of the Wing Tip
tubing to bottom of PARI
reusable nebulizer (Fig. D).
7. Starting Treatment: Sit in a relaxed, upright position and
turn the compressor “ON” (
).
8. Nebulizer Position: Place the mouthpiece on top of
tongue and close lips around it. Take slow, deep
breaths. As you inhale, the inhalation valve opens.
9. Breathing: For mouthpiece, inhale and exhale slowly
through your mouth. As you exhale, the valve on
the mouthpiece opens to allow the exhaled mist to
escape. For mask, place mask over nose and mouth
and inhale and exhale slowly.
10. Complete Treatment: Continue until the medication is
gone or you hear a slight “sputtering” sound. Turn
compressor off
.
A NOTE ON TREATMENT TIME
Please note that many factors affect treatment time,
such as a patient’s age, condition, breathing pattern, and
™
medication. The Vios
to deliver respiratory medications, not continuous use
for humidification or prolonged treatments (for example,
over 35 minutes at one time). It is possible with prolonged
treatments that the tubing may get warm and disconnect
from the Vios
™
consecutive (back to back) treatments, resulting in the
use of your Vios
please contact PARI Patient Connection at 1.800.FAST.NEB
(327.8632).
was designed for intermittent use
air outlet. If your physician prescribed
™
for longer than 35 minutes at a time,
A
C D
B
Questions? 1.800.FAST.NEB (327.8632) | PARI.com/VIOS
EN-4
E. TIMESTRIP
®
It is very important to replace your PARI reusable nebulizer
every 6 months for the most effective treatments.
Timestrip
®
is a visual indicator that makes it easy for you to
remember when to replace your nebulizer.
Activating Timestrip
®
: Firmly squeeze the PARI bubble
between your finger and thumb. You may need to squeeze
it more than once to ensure all the liquid has been emptied
from the bubble.
Verify Activation: A red line will appear in the small circle of
the Timestrip
®
within 1 to 2 minutes, indicating activation.
If you do not see the red line after 3 minutes, press the
bubble again.
Attach to compressor: Remove the adhesive tab on the back
of the Timestrip
your compressor as indicated in Section C. IMPORTANT –
DO NOT ATTACH Timestrip
®
and attach the Timestrip® to the front of
®
to your NEBULIZER CUP.
Replace Nebulizer: When you see the word NOW appear
in the window (Fig. E), you know it’s time for a new PARI
reusable nebulizer! Contact your home healthcare provider
or pharmacy to order your new PARI reusable nebulizer.
WARNING
The Timestrip may present a choking hazard to small
children – adult supervision is required.
Timestrip® does not monitor the condition of the PARI reusable nebulizer. Timestrip®
only records the passage of time after it is activated. If activated at the time of first
using the PARI reusable nebulizer then it will serve as a reminder that the PARI reusable
nebulizer can be replaced.
®
The liquid inside the Timestrip
and will not function properly. If the liquid comes into contact with the skin wash with
soap and water. If the liquid comes into contact with eyes rinse immediately with water
for 15 minutes. If irritation develops, seek medical attention.
®
is a registered trademark of Timestrip Plc
Timestrip
is not toxic. If tampered with, the Timestrip® may leak
F. CLEANING YOUR PARI REUSABLE
NEBULIZER
1. Disconnect the tubing from the air intake on the
bottom of the nebulizer cup.
2. If there is any moisture (condensation) in the tubing,
let the compressor run with only the tubing attached
for 2-3 minutes. The warm air from the compressor
will dry out the tubing. Alternatively, you can dry
the tubing by removing it from the compressor and
hanging it up with the “ends down” to allow any
moisture (condensation) to drain out and evaporate.
Use a clean damp cloth to wipe the exterior of
the tubing.
3. Disassemble reusable nebulizer parts as illustrated
on page 3.
4. Wash all parts with warm water and liquid dish soap.
DO NOT WASH THE TUBING.
5. Rinse the reusable nebulizer parts thoroughly with
warm water and shake out water.
6. Air dry or hand dry nebulizer parts on a clean, lint-free
cloth. Reassemble nebulizer when parts are dry
and store.
7. You can also wash all parts of the reusable nebulizer
on the top shelf of a dishwasher. DO NOT WASH
TUBING. Place the reusable nebulizer parts in a
dishwasher basket, then place the basket on the top
rack of the dishwasher. Remove and dry the parts
when the dishwasher cycle is complete.
WARNING
TO REDUCE RISK OF INFECTION:
1. Nebulizer for single patient use (one person) only. Do
not share your nebulizer with other patients.
2. You must regularly disinfect or sterilize the nebulizer
between treatments. Failure to do so could lead to
serious or fatal illness.
REMEMBER REPLACE YOUR REUSABLE NEBULIZER CUP EVERY SIX MONTHS
* Lester, Mary K. Nebulizer Use and Maintenance by Cystic Fibrosis Patients: A Survey Study. Respiratory Care 2004; 49(12): 1504-1508.
E
EN-5
Questions? 1.800.FAST.NEB (327.8632) | PARI.com/VIOS
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