SootheNeb NBL100 Operating Instructions Manual

NBL100
Mesh Nebulizer
Operating Instructions
311-7001200-035
Version 4.0 2017/11
Dear SootheNeb NBL100 Owner:
Thank you for purchasing the SootheNeb NBL100, before using this product, please read the following contents thoroughly and carefully.
If you have other questions regarding this product, please contact the place of purchase or call our customer service line at 888.307.8188.
INTENDED USE
SootheNeb NBL100 is an ultrasonic (vibrating mesh) nebulizer system designed to aerosolize physician-prescribed solution for inhalation by the patient, except for Pentamidine. The SootheNeb NBL100 is intended for use by patients in a home care environment.
Cautions: Federal law restricts this device to only be sold by or on the order of a physician.
FEATURES
Delivers aerosol automatically or manually Battery powered or AC adapter connection (optional) Small nebulization particle size – approx. 5 microns Convenient design – compact and lightweight. Ideal for traveling. Short treatment time – with high nebulization rate
CONTENTS INCLUDED & DESCRIPTIONS
Before you start to use your SootheNeb NBL100, please check that the following contents are included in the package and not broken. The use of other contents not listed may constitute a hazard.
INCLUDED PARTS
1.
Unit Lid
2.
Mesh Cap
3.
Connector
4.
Connector Socket
5.
Indicator
6.
Nebulizer Unit
7.
AC Adapter Jack
8.
Mask or Mouthpiece Adapter
Medication Cup
9.
10.
ON/OFF Button
11.
Battery Cover
Mouthpiece
12.
13.
2 “AA” Alkaline Batteries
OPTIONAL PARTS**
14.
Mask
15.
AC Adapter
1.
2.
3.
4.
5.
6.
7.
10.
15.14.
8.
11.
9.
12.
13.
NOTE
1. Mouthpiece and mask are intended for use by one user. DO NOT SHARE.
2. Accessories are consumable parts, e.g. mesh cap. Clean the accessories after each use and replace with new accessories when they become dirty and obstructed.
3. Mask and AC Adapter may be provided separately, please contact your local dealer for purchase, or contact our customer service line for more information.
SAFETY PRECAUTIONS
Use the equipment only for its intended use as described in the operating instructions. Do not use
attachments not recommended by the manufacturer. Use the AC Adapter (Input: AC, 100-240V
& Output: DC, 6V) provided by ForaCare, Inc.
Do not use the device under conditions of inter-hospital transport. This device is not intended for
transport use.
Use the equipment with medications only under the instruction of your physician.
Do not use the equipment if it has any damaged parts, or it has fallen into water.
Prior to using the equipment for the first time, or after storing it for an extended period, be sure to
clean all necessary parts as described in the cleaning instructions.
Do not use while bathing.
The unit should not be left unattended while plugged in or turned on.
Keep the unit out of reach of small unsupervised children. The small parts detached from the device
may be a choking hazard if inhaled or swallowed.
To prevent any dangers or hazards, please do not try to modify the device in any way.
Do not place the device in liquid, nor put it where it could fall into liquid. If the device becomes
wet, unplug the device before touching it.
Do not use the device if it is not working properly, or if it has suffered any damage.
Avoid dropping, smashing, hitting, or tapping the nebulizer unit or the mesh cap.
Please clean the nebulizer accessories after every use, or after storing for a period of time.
Do not expose the nebulizer to direct sunlight, high temperatures or humidity.
Performance information provided by the manufacturer in accordance with the standard EN
13544-1:2007 may not apply to drugs supplied in suspension or high viscosity form. Please consult
the drug supplier for such information.
IMPORTANT INFORMATION ABOUT INHALATION THERAPY
The device is ideally suitable for inhalation at home or when traveling. Carry out inhalation in a quiet and relaxed state, and inhale slowly and deeply, so that the medication can penetrate to the fine, deep bronchial tubes. Exhale normally.
OPERATING INSTRUCTIONS
Important information before use. These operating instructions provide important information to help you use the device properly.
Ensure that all parts are clean and dry.
Before starting treatment, talk to your physician about the duration, dosage and frequency of use
of the nebulizer.
The indicator light will turn green when the device is working normally.
The device automatically turns off when idle for 15 minutes.
Unit Assembly and Usage
1. Pour the prescribed medication slowly into the medication cup. The maximum capacity is 5 ml.
3. Attach the mask or mouthpiece adapter.
4. Attach the mask or the mouthpiece to the adapter.
5. Connect the AC adapter or go to step 6 if the batteries are already installed.
6. Press the ON/OFF button to begin treatment according to the physician’s instructions. See "Delivery Mode" for details on automatic and manual deliveries.
7. To end the treatment, press the ON/OFF button to turn off.
2. Attach the mesh cap and screw it tightly in clockwise direction.
DELIVERY MODE
This system provides you with two delivery modes: automatic or manual.
* AUTOMATIC AEROSOL DELIVERY
1. Press and release the ON/OFF button. The unit turns on and delivers prescribed medication continuously for up to 15 minutes.
2. Press the ON/OFF
button to switch off
the device and
terminate the
treatment.
* MANUAL AEROSOL DELIVERY
To deliver medication manually, press the ON/OFF button intermittently to accompany your breathing rate.
1. Press and hold the
ON/OFF button for 2
seconds or longer to
begin medication
delivery.
2. Release the ON/OFF
button to stop
medication delivery.
Repeat step 1 and 2 for additional medication deliveries.
CLEANING AND MAINTENANCE
Cleaning of Nebulizer Accessories
Please clean your device accessories after each use. Prior to cleaning, make sure you have some completed the last medicine delivery cycle and is completely turned off.
1. Remove the Mask or Mouthpiece and remove the Mask/Mouthpiece adapter from the Main Unit. Rinse thoroughly and set aside to dry. Then remove the Mesh Cap counterclockwise from the Medication Cup and keep the medication cup attached.
distilled water
on hand and ensure that the device has
2. Pour out any remaining medication.
3. Submerge
ONLY
the
Mesh Cap (NOT the medication cup)
Then, carefully dry with a clean paper towel.
WARNING
Do not wet the medication cup connector and the connector socket.
4. Add a small amount (approximately 1 ml) of
distilled water
5. Twist the mesh cap back on to the medication cup then press the on button to nebulize the distilled water for 1 to 2 minutes to remove residual medication.
into the Medication Cup.
in
distilled water
Distilled
Water
Residual Water
for about 30 seconds.
Table 1 Results of the repeatability test for SootheNeb NBL100.
Features
MMAD (µm)
Geometric St d. D ev. (GSD)
Respirable Fraction (%, 0.5-5 µm)
Ipratropium bromide – 1.89µm Ventolin – 2.87µm Cromolyn sodium – 2.7µm
Ipratropium bromide – 2.05 Ventolin– 2.4 Cromolyn sodium – 2.72
Ipratropium bromide – 85.6% Ventolin – 74.6% Cromolyn sodium – 74.7%
Mean C.V. (%)5%.
I.B. – 1.61
V. – 1.25
C.S. – 1.49
I.B. – 2.69
V. – 2.05
C.S. – 1.52
I.B. – 0.43
V. – 0.72
C.S. – 0.41
Table 2 Summary of the test results for device sample I.
Features
Total output mass (µg)
Respirable Mass (µg, 0.5-5 µm)
Coarse particle Fraction (%)(> 4.7 µm)
Fine particle Fraction (%) (< 4.7 µm)
Ultra-fine particle Fraction (%)(< 1 µm)
Device sample I.
Ipratropium bromide – 438.94µg Ventolin – 889.56µg Cromolyn sodium – 911.49µg
Ipratropium bromide – 86.21µg Ventolin – 224.3µg Cromolyn sodium – 160.51µg
Ipratropium bromide – 11.01% Ventolin – 28.41% Cromolyn sodium – 27.93%
Ipratropium bromide – 88.99% Ventolin – 71.59% Cromolyn sodium – 72.07%
Ipratropium bromide – 18.58% Ventolin – 12.58% Cromolyn sodium – 17.95%
NOTE
Note: If vapor is slow, remove mesh cap and shake off the residual water inside the mesh cap.
NOT
Be careful
to touch the mesh itself.
6. Turn off the device after it's done then remove the medication cap to air DRY on a clean paper towel.
7. Once all components are DRY, assemble device and store in a clean environment.
Cleaning of Nebulizer Unit
1. Use cotton cloth or paper towel to wipe clean the nebulizer unit (refer to Description of part 6)
2. Let it air dry on a clean paper towel.
NOTE
1. The above-named accessories are consumable items. Please replace with new accessories when they become dirty and obstructed. Do not share the accessories with others.
2. Use only the accessories and parts from ForaCare , Inc.
Maintenance for Storage
1. Cover the mesh cap with unit lid (refer to Description of Part #1) to prevent the accumulation of dust.
2. Always handle your nebulizer with care.
3. Disconnect the power plug from the wall outlet when not in use.
4. Keep your nebulizer out of children’s reach.
5. If you store your nebulizer, try to keep it in the following environmental ranges: a) Temperature: -13°F to 158°F (-25°C to 70°C) b) Relative humidity: 10% to 95%
6. If possible, store your nebulizer in a well-ventilated room.
7. Remove the batteries when the nebulizer is not in use for an extended period of time.
Battery Replacement
Replace the batteries when the light indicator is red. To replace the battery, make sure that the nebulizer is turned off.
1. Press the buckle on the battery cover and lift up to remove the cover.
2. Remove the used batteries. Insert the new ones. Correctly align the polarities (+ and -) with battery indication marks on the device.
3. Close the battery cover by pressing down firmly until a click is heard.
NOTE
1. Use the AC Adapter (Input: AC, 100-240V & Output: DC, 6V) provided by ForaCare, Inc. DO NOT use any other AC Adapters.
2. Discard the used batteries according to your local regulations.
Disposal
Dispose of the device, components and optional accessories according to your local regulations.
ADDITIONAL INFORMATION
Particle Size Delivery Test according to EN13544:2007
The mass median aerodynamic diameter (MMAD), geometric standard deviation (GSD), respirable fraction (%, 0.5-5 µm), and particle size distribution of the particles generated from the SootheNeb NBL100 are determined by laboratory testing conducted with a cascade impactor method according to the European Standard for nebulizers (EN 13544-1:2007).
The ANOVA statistical analysis of the data from the performance test has been applied in the data analysis. Results show that there is no significant difference (p > 0.05) between the mass size distributions of the medicine particles generated by the proposed device and a legally marketed device (predicate device).
In conclusion, the performance test results support the specifications of SootheNeb NBL100, which has mass-median aerosol diameter (MMAD) less than 5µm and respirable fraction range from 60% to 80% depends on the drug type.
TROUBLESHOOTING
Symptom
The indicator turns red.
The device does not work when the ON/OFF button is pressed.
The indicator is green but the device does not produce mists or produces small amounts of mists.
Probable Cause Solution
The batteries do not have enough power to perform.
The mesh cap is covered with dust. Clean the mesh cap.
No power. Check the batteries.
The mesh cap and medication cup are not assembled properly.
The texture of medicine may be thick.
No medicine is left.
Mesh is clogged or dirty.
Replace the batteries immediately.
If the situation happens again, please replace with a new mesh cap.
Check connection between the AC adapter and the nebulizer.
Re-assemble the mesh cap and medication cup and twist them well.
Gently shake the medicine well.
Add the appropriate amount of medicine prescribed by your physician to the medication cup.
Repeat the cleaning procedures step 1 to 7.
SPECIFICATIONS
Model no.: SootheNeb NBL100 Dimension & Weight: 53(D)mm x 103(H)mm, 83g Power Source: 2 x AA alkaline batteries Input: 100~240V, AC Output: 6V, 1A, DC Operating conditions: 41°F to 104°F (5°C to 40°C), 15% to 93% relative humidity Storage conditions: -13°F to 158°F (-25°C to 70°C), 10% to 95% relative humidity
Power consumption: 1.2W Nebulization rate: 0.25 ml/min Medication capacity: 5 ml MMAD: 5 microns
NOTE
Please contact your dealer for assistance with any other difficulties.
Cascade Impactor Testing*:
Features
MMAD (micron)
GSD(geometric standard deviation)
Respirable fraction (% mass 0.5- 5µm)
*The test method and results are shown in “Additional Information”. The device has been certified to meet the electrical and safety requirements of: IEC 60601-1, IEC 60601-1-2.
Drug Name
Ipratropium bromide
1.89µm
2.05
85.6%
2.87µm
2.4
74.6%
Cromolyn sodiumVentolin
2.7µm
2.72
74.7%
Three different drugs were used in the testing to represent three different drug classes: Ipratropium bromide (anti-cholinergic bronchodilator), Ventolin (as known as albuterol, a beta-agonist bronchodila­tor) and Cromolyn sodium (anti-inflammatory). The dose of each drug that used at the beginning of the cascade impactor testing was:
Ipratropium: 500ug/2mL Ventolin: 5000ug/2.5mL Cromolyn: 8000ug/2mL
The test had involved three runs each of three separate device samples tested with three classes of drugs. The durations of each sample collecting by cascade impactor is about 1-3mins to allow for maximum deposit on each stage without overloading. The result summary of the test is shown in Table 1, CV (%) of repeatability was less than5%.
* I.B. = Ipratropium bromide * V.= Ventolin * C.S.= Cromolyn sodium * MMAD (µm) = mass-median aerosol diameter, the diameter above and below which lies 50 % of the mass of the particles. * GSD= Geometric standard deviation * Respirable fraction (%, 0.5-5 µm) = Respirable mass (µg)/ Particle mass collected by the cascade impactor (µg) x 100%
The test result of device sample I with three classes of drugs each in three runs is provided in Table 2 shown more information, including the total dose delivered, respirable mass (0.5-5 µm), course particles fraction (>4.7 microns) (%), fine particles fraction (<4.7 microns) (%), and extra-fine particles fraction (<1 micron) (%).
Distributed by ForaCare, Inc.
893 Patriot Dr., Suite D Moorpark, CA 93021 USA Products made in Taiwan
Toll Free: 1-888-307-8188 (8:30am-5:00pm PST, Monday-Friday) For assistance outside of these hours, please contact your healthcare professional.
Read instructions before use.
Loading...