MXR FLOWMETER USER`S MANUAL
Contents
1. Positive Pressure Demand Valve The Porter fawmeter ie equipped wih a Resusctator Quick Connect which allows for the tachment of an oxygen demand vae The Demand Valve Resusctator provides a fast simple and affective means to ventilate non breathing patients and provide 100 oxygen on demand The Resuactator Flow rate 1e imited up to 40 LPM in ine with the 1992 American Heart Association Recommendations and Guidelines for Resuscitation Reter 10 the User Instructions supplied wih this product for compite details Gas Scavenger Breathing Circuit Gas scavenger system is used fo remove exhaled gases during a dental analgesia conscious Sedation procedure in a dental operatory The breathing rouil consists ot a 22mm 90 elbow Connector resh gas coaxial tubing a comugated hose and hood assembly Atach the nasal inhaler to the coanal tubing assembly using the diamaterandexed connectors Attach one end of he Trash gas corrugated tubing 10 The coaxial tubing assembly at the Fresh gas Y connector and the ather end tothe 22mm right angle adapter Pres fit the 22mm rght angle adapter onto the bag tee Atach the SL bag to the botom Gownspout of he bag tee Anach the vacuum hoses to the vacuum contral source AVS or inline Vacuum Control Block Refer to FM80S for User Instructions Assembly Installation and Cleaning tt chi ae oo a f Inm amm oo Automatic Vacuum Switch AVS Option The AVS is us2. The bag moves End out wth each inhalation and exhalaton Bag Tee Insaistion to Flowmeter Screw Knurled seal down ight onto flowmeter making sure the rubber washer i inside the Seal nut When ight the bag tee should nat NOTE Fit mask to patient so inner mask is puled down ight secure to the face Outer mask shoul not be against the tace Vacuum feeds 10 be drawn info outer mask during inhalation NON REBREATHING VALVE CHECK MONTHLY With unit tumed OFF disconnect the comugated rubber tubing irom the Rubber Goode and breathe into the corrugated ting connected to the bag tee You shouid not be abie 1o fil the bag with exhalation gas I the Dag Ms the system s Non Rebreathing Vaive amp ot functioning propery and shoud be replaced EMERGENCY AIR VALVE CHECK MONTHLY Win unit umed OFF disconnect me corugated ier tig ame uber Goods and draw ar eer your mauttheugh the corrugated tuba nected 1o me bag tee You shoul be tle ta Saw ambient a mougn the Emergency Ar Vale tne gas bag may have tly Calpe ts Ae org tvough the valve sounds dierent than Formal gas ow MONTHLY CALIBRATION CHECK The MXR Flowmeter is designed to maintain is accuracy and perormance without routine user maintenance being required The flowmeter tubes and ball oats are very resistant fo accuracy changes over ime Such thatthe direct readings ofthe Limin on the scales maintain har accuracy However the tier can check the relative accuraci
3. remove the nosepieca and one of the two plastic connectors from the Porler rubber goods Fler to Figure 2 Wih the other plastic connector join the two duplex hoses together making a closed system Taking care not to fll the bag too much bag could burst open the exygen control valve unl the 3 Iter bag stars to over Inia or balloon pen close the vae Observe the 3 iter bag for fve minutes The bag should stay inflated I so the tent has been sucessful and there are no excessive leaks If he bag does not stay infated the Sir bag or rubber goods have an excessive leak Replace any parts that leak and retest unti resus are Successful 6 Disconnect ene of the duplex hoses frm tha plastic connector and re install the nosapiece Figure 2 rT me Soot BAG TEE The Bag Tee assembly features a Non rebeating Vale and an Emergency Air intake located on the Bag Tee which comply with Amercan Dental Association guidelines The nonrebreating valve has a back fow check valve which prevents exhaled gases fom entering the breathing bag no carbon donida buidup The emergency air intake fies a valve that allows room air a be inhaled into the breathing circuit by she patent A breathing bag is attached to the metal portion of the Bag Too and is a reservoir bag forthe Golvered analgesia gases which when taken together with the two valves above becomes the visual barometer for montoring the plants respiration rate
4. are not crossed rests with the user Do not allow crossed lines to defeat the safety features of the dental flowmeter andor central gas supply manifold systema Crossed lnes wil create a dangerous and hacardous onatlon where 100 irous onde wil be delivered through the oxygen dental lowmele tube and Sbsequenty to the patient in addition the esusellatorquck connect Would daliver 100 ious oxide to an oxygen demand valve Maintain patient observation during procedures Prevent over sedation i s patient becomes over Sedaled when being delivered 100 oxygen Iisa detinite indication of crossed Iines 1 crossed ines are suspected remove the nasal mask Immediately and encourage mouth breathing Deliver pure oxygen trom an oxygen demand valve only Il the oxygen source ia Independent Irom the Suspected crossed inea area To check tor crossed nes o an instaled Porter Vanguard or Santa Maneld Systm 1 At be manifold system 1n the tanic room start the check trom an operating system wih 50 ps Shon on boin gauges and me indicator ighis ured on elecicloperaton and alarms needed ar the Vanguard tea Than tum ot baih oxygen anks and leave bolh niroua onde lanka on FOr Ie Snel oniy ore unik ol sach gas on a a Ime Tun oe one apen oxygen ark iv othe ne vous aude ta turn ot e indeator Nghia slenirates lars ting he Sera iest 2 An the operatory where the flowered ow 5 1 ee per minute of O oriy Vesly that ba INO tometer
5. drop as the Oxygen flow decreases stopping completely before the Oxygen Toat drops 10 Au Hf the Nitrous Oxide Failsafe System fails to perom as indeated do not use this Product prior to repair Improper function of this safety feature may permit Nitrous Oxide to Tow independently of the fow conval knob potently lowing Nitrous Oxide to Tow to the patient witout Oxygen CONCENTRATION CONTROL KNOB VALVE CHECK MONTHLY Set the Concentrat on Control Knab to 50 and Flow Conta Knab ta 2 to 3 Umin The bal indicators wit be at about the same height not reler to Monthly Calibration Check section on Page 13 for me procedure on checking the accuracy ofthe meter Tum the Concentration Control Knab to zero The NO ow should drop to zero You essentialy perlorm the check at ihe end of every procedure when you oxygenate the patient with 100 O POWER OXYGEN FLUSH CHECK MONTHLY 0 SUPPLY PRESSURE AT 50 PSIG Disconnect the comugated rubber tubing from the bag tes outlet Figure 1 hem 11 Wih bath contral knob valves OFF depress the power O fush button while blocking the fow trom th front of e bag tee For proper operation the gas reservoir bag shouid Mi Witrin about 5 seconde Also test for bag rubber goods leak folowing steps 1 through 6 CABINET MOUNT MODEL Quick Test to Check 3 Liter Bag Rubber Goods for Leaks 1 Wih the flowmeter bag tee and Porte rubber goods in place
6. ninety 99 jaya tom date of purchase No statement or claim about me product by any employee agent representative or dealer o Parker Hann Corporation shal consti waranty by Parker Harit Corporation o gle oie to any bly or obgaton of Paner Hanna Coporaton Parker Hanniin Corporation shat not be lable tor any damage ny or lass arising out ot the use ot Ihe produet wheter as a rest ot a detect n e product or oiera IL prior Io such damage bly bras he product was 1 damaged or misused 2 repared artere of moded by persons oiher than Parter Hamiti Cormoraton 3 not sited sn ariet complance wih applestie codes tnd rdnances or A nor instatag by ant authorized Parker Haein Corporaton dade Parker Hain Corporates obligation or reach ot hs waranty or for nepigence or otherwise shal be sty and excluzivety kerted tothe repat or replacement ol ine product ar part Tis warranty shat be vison Sry prouet on ich Ie sail number has been area delaced or removed ORDERS Al orders are to be made through authorized Parker Hannitin Comoraton distibuiors AI ing wil pe done through sad detours Drect orders wit be hand hough me authorized ocal aaler as determined by Parkar Hamiin Corporaton RETURNS Al returned merchandise wll te handed though the local Parker Hanit Corporaton suber No retune wi be accented uesa authored i wing by Pater Harn Gorporaton Sra sczorpanced bythe gal Shopng ile Al returns are subject lo esochng charge Polc
7. repairs Porter Instrument recommends the repairs be made before reusing the device NITROUS OXIDE FAILSAFE SYSTEM CHECK BEFORE EACH USE 1 Set the righthand total Flow Control Knob ta zer and set the eftand Concentraton Contrai Knob te zero See Figure 1 tems 4 and 5 Rotate Control nab to stop 2 Be sure O and N O are connected to your MXR and ine pressure for both gases is 50 PSIG which is standard 2 Tur the Concentration Control Knab to 50 There should be no flow of N O The ie a check of the state positon of the Nitrous Oxide Failsafe System valve NOTE A momentary low fow of NO about 1 Limin for about a second may be seen the Concentration Control nabs tumed 1o zero betore tuming the Flow Contrat Knob to zero This is N O gas rapped between ihe Niirous Oxide Faissie System vave and the Concentration Control Knob valve and 2 normal occurence No ather NO flow should be observed 4 Wh the Concentration Control Knob stil set to 50 tum the Flow Control Krob 0 achieve a ow of 3 to 4 Limin of Os You should observe an equal amount of NO flowing by gradualy turing the Flow Conte Knob Rater to Manthy Calibration Check on Page 13 to read bal fost on foamete tubes 5 Intorupt the ow of O This wil check the dynamic status ofthe Nirous Oxde Fatsale System vave This can be Sone by ether disconnecting the oxygen hss ftom the wall or shuting of the oxygen atthe lark The Nitrous Oxide flow should
8. the Diameter Indexed Sally System DISS fiting located onthe back of the flowmeter Unt itis important thet the regulators for both gases be set io give pressures in the range of 50 PSIG 22 PSIG CContim the absence of leaks at pressure Connections on the unit Bubbles wil sppear Teaking locations when a soap water Soluion is used This procedure recommended each tina a cyinder is changed MONTHLY LEAK CHECK r i connections to flowmeter are disconnected and then reconnected such as afer a fowmeter_ serice at the factory of i the DISSIDISS hose is replaced Leak test the flowmeter system for working pressure leaks Atter all hose connections are vahtened tum the flow contol knobs tothe off poston and the oni swich to the off positon Confirm thatthe DISS Shut OH Vaives are inthe open postion Preseurze tha sedation gas supp Fes wih 50 PSI Observe any pressure decay after an overnight time period 5 PSI op alowed Monitor O gas pressure at the beginning of FLOWMETER MOUNTING OPTIONS The Denial Flowmeter may be mounted to a felescoping wal mount using the existing hanger on the back ofthe flowmeter or to a mobile stand using the threaded hole atthe Bottom ofthe faleste block There are various options tor mounting the flowmeter within cabinets The location selected for mounting Of the side assembiy should provide easy Socess fo reach and unobstructed view of the flowmeter when mounted on th
9. vatre s inne of postion and Tar tere tna dated ow of NEO by observing the elitat resing at he ota fhe glass N O ow tbe is acion wl oe he oxygen copper ig Inas 1 2 OD tom the mana tough me fle wals 1o the owe Nate Matton door nat cause a quck lee down as ere a la sued volume Ihe Is Orlow woud be observed by th poston othe bali fost ne Os ow ibe tr Several tas 3 Rater tan wing othe Os Now to decease go baci 1o the mano taric room and abserve the Os presare gauge on the madon normaly showing approxima S0 PSIG pressure The ins Pressure shad siart to decease narating bleeding of Ine O hat sno longer being replenished by fe tanke On Vanguard systema me alarm wl beep at 40 PSIG a suten wi occu rom one lank he second lank at 30 PSIG actessing the gauge back to 40 PSIG The gauge then shouid vena go downto zero ie O pesaue des nat go doun as sete above and remains at about 50 PSIG I nestes a 4 M Os pressure does nat go down proceed 1o the nxt crossed ine deierminaton check Tum N O ark on in he maniot lark oom and waich he N O gauge Given a erosaed ine corson the N O Gauge ml now go donn qhe Vanguard system wit show a smering aindar 10 step 2 above Ins Bove the O vale fe fownetr ibe th crossed NO inas The NIO gauge wi go own Nitrous Oxide pipe 1e increased to 1 2 Inch pipe size Oxygen pipe remains athe normal Nivous Onide and Oxygen piping is rout the b
10. MXR FLOWMETER USER S MANUAL Instructions and Safety Considerations MXR Models of Porter Conscious Sedation Flowmet And Bag Tee Accessory Wall Mount Models 2000 2000 08 ri sooo re 3000 05 Bag Tee Models Paora E P2ao7A u P14078 Mount modi pariera Porter Flowmeter Mode No Serial Number Table of Contents Features and Specifications Partial Listing of Reference Materials Warnings and Precautions Cross Lines Warning Do not Allow Crossed Lines to Det Equipment Safety Fe Safety ADA Guidelines NFPA Codes Intended Use Flowmeter for Analgesia Delivery System Use Scavenging Gas Supply Connection Monthly Leak Check Flowmeter Mounting Options Wall Mount Cabinet Mount Side Away Movie Stand and Stand MXR Flush Mount Flowmeter Oral Surgery MXR Model 2000 08 Flowmeter Accessories Thee Ltr Bag osive Pressure Demand Valve Gas Scavenging Breathing Circuit Automatic Vacuum Swich AVS In Line Vacuum Control Ki Flowmeter Features 10 Safety Feature Checks Nirous Onide Fatate System Check tore Each Use Concentration Control Knob Valve Check Monthly Power Oxygen Flush Check Monthy 12 Quick Test to Check 3 Liter Bag Rubber Goode for Leaks 12 Bag Te 12 13 Non Fabroating Valve Chock Month 13 Emergency Al Vaive Check Monthy 13 Monthly Calibration Check 13 Directions for Use uis Basic Delvery Techniqu
11. alooning at he gas i he vaubiestoatag chat Pa 17 deleted ADA ogo ad siaterment Logo and Adress update ANB RAR Tar tot Tar AE yar yar Parker mwas T
12. aluable resource for the practioner isthe Handbook Of Nitrous Oxide and Oxygen Sedation Inspect and maintain the analgesia delwery writen by Clark and Brunswick and pubished system 10 prevent N O leaks in all hoses by Mosby oma masby com Ths textisa Connections and tings Repair all Tasks concise and contemporary guide for nitrous immediaily xida oxygen administration IMPORTANT NOTE When the Concentration Control knob ig CLEANING METHODS open tha Flow Conl knob is closed and We recommend ihe use of an approved pen tne Flow Control knob is cesed and disinlectant for the dental environment fot tube the Nitrous Oxide Faisafe System wai Saning the outside of the towmeter and be us Cie aaa System ty sbvessories Do nol spray disinfectant direct ep ie fo oF AO However salty onto meter Spray dinectart ino dsposable Shut off mechanism The control knops are towel and wipe unt thoroughly removing formar shutof Excess disinfectant fo eliminate buldup Control knobs can be autoclaved Remove knobs rom flowmeter Clean using an appropriate disinfeciant Rinse wih water ten autoclave Do not exceed 275 F for 15 Handbook of Nitrous Oxide and Oxygen sedation Moms Clark ann Brunk TROUBLESHOOTING CHART FOR MXR FLOWMETERS svuprow POSSIBLE CAUSE REMEDY TH aD YR whee OW TG r regu Tonk oF NO ar Os Ine wight kn I pipeline sytem faxed to give Now S Emoty O cylinders 3 Replace with
13. and Conformation to local fre codes Poner Instrument Nitrous Oxide Sedation Systems meet or exceed the guideines estabished by the National Fre Protacton Associaton for Nonfammable Medial Gas Systeme NFPA 99 Copies of NEPA 99 or portons thereof may be obtained by writing to National Fire Protection Associaton Battrymareh Park Quincy MA 02269 9904 USA or call 1 800 544 3555 INTENDED USE Flowmeter for Analgesia Delivery System This device is intended for paient use by an attending physician or dentist propery trained inte use Porter Instrument recommends the User be thoroughly familar wih the use of Nirous Oxide Oxygen Conscious Sedation for patient analgesia and be propery trained in is administration prior to using this product For raining requirements on the adminisvation of Nirous Oxide Oxygen Conscious Sedation contact the appropriate regulatory aihoriy in your country state or provino Training is recommended to provide a practical hands on capabilty and an Understanding of the behavioral aspects of Nitrous Oxide Sedation and wil complement the safety features of this device USE SCAVENGING Monitor tor NO in the operatory to insure that Como are effective in achieving low levels 5f ppm parts per milion exposure Contact your Porter dealer Tor detass on monitors and testing GAS SUPPLY CONNECTION Atter instalation of the flowmeter connect the nirous oxde and oxide supply Ines to
14. at the tank at the upward movements every 60 seconds amolmeda unti endpoint achieved Patents may ypealy experence relief of anol NOTE Reier to Basic Delivery tinging in exvemites and euphoria Technique on the folowing page Patients typically requte less than 50 BASIC DELIVERY TECHNIQUE NOTE If your unit does not operate as described in Steps 1 through 10 please Practice tration Tiration is a method of contact your Dental Dealer or Porter administering a substance by adding Instrument definitiva amounts of a drag until an endpoint fe reached For nitrous onide oxygen NO 0 sedation NO is gwen in incremental MAINTENANCE AND SERVICE doses unti a patent has reached a t is advisable on a two 2 year cycle to Jaxed siate of sedaton The have the MXR Flowmeter factory checked N is a sgnifeant advantage and serviced Tho Narous Oxide Failsafe mits the amount of drug fo tnat System is made of moving pars Botwo tich s reaured by the patient Itiraton sarveng intervals tis advisable 1o safeguard done propery the paient does not recae against potential malfunctons by performing ry more ofthe drug than is necessary The the fasta check before each and every Use amount of N O required by a patient on any of the unt Safe operating techniques ven day or time varies leamed during your N O O Conscious Sedation raining should always be used For information on tivation a most v
15. e 15 Maintenance and Service 18 Cleaning Methods 18 Troubleshooting Chart 16 Warranty and Fetus 7 MXR FLOWMETER FEATURES AND SPECIFICATIONS Fanm Woasr Tamno Type number s entation print 2000 2000 08 3000 8 3000 05 a Special 2068W amp aos6w so Flowmeter Indicates flow in Limin and percent N O of total tow with accuracy o Includes Diameter Index Safely System DISS far N O and Os connectors Flowmeter Tubes Direct reading low tubes tor Oxygen and Nirous Oxide tor feeurate visual low readings Dual Seal Fal Sate Automatialy reduces N O if Os is shut olf or pressure Is Block One piece solid aluminum construction Eliminates internal gas Gas Flow Adjustment Knobs Control knob type knobs for quick accurate one hand adjustment of gas tows Emergency alr Valve Automatically provides patient with ambient Alr if gas tlow is Interrupted for any reason Non rebresthing Check Valve Prevents rebreathing of used gases and guards against CO build up Positive ON OFF Switch Eliminates possibility of accidentally leaving the machine fn Color coded for Oxygen Oxygen Power Flush Button Provides extra delivery of Os Button is accessible to override all other gas flows and deliver 100 Qs Color coded ior Oxygen Flow Control knob Total flow adjustment knob which controls tow of both NO and O at any desired concentration Total tow ean be adjusted without aftecting Eoncentration Incl
16. e side assembly Thera should be adequate space at the ear ofthe foameter for Os and N O gas Gelvery hoses Contact your local dental Seale for mounting options Solid Wall Mount Telescoping Model 2020 1 Remove cap trom the mounting post assertiv 2 inset mounting post through mounting bracket on back ot Rowmeter 3 Replace cap on top of mounting post Position small diameter cap down to Siow for swivel mountng Figure A b Posion small diameter cap up to fc rection of fewmater Faure E 4 Tighten screw securely Figure A Pannon I Figure B ae e Cabinet Mount Side Model 2096 Figure C 1 Loosen knab on side of mounting block 2 Remove meunting post from block 3 Insert post through mounting bracket on back of flowmeter 4 Replace post wih fowmeter attached into mounting Back 5 Tighten knob on side of mounting block Figure c H iiis Side Away Mount Model 2035 1 For ease of accomplishing the dual slang moton hold he meter toward the top hal and Ft slightly wile sicing the arm in and out This wal educe the oad on the side and promote a Smoother acion Foure D Mobile Stand 1 Loosen thumbscrew knob 2 Side shat up 8 Insert fowmater hole in bottom of black falsata block onto top of mobie stand pole Foure E 4 While holding the flowmeter stil screw hafint bottom ofthe fone 5 To telescope meter loosen thumb screw knob on side of mobie stand posi
17. e system The ultimate responsibility ot assuring that Iines are not crossed rests With te user WARNING During any power outage remember to tum OFF the Towmeler ard manualy tum OFF the tank valves With Ceriralzed electrically powered gas systems IF oas was flowing when the power went cut and the flowratars iett ON gas w be Towing en the power resiored CAUTION Federal iaw requiras this device tor ine by or on the arder ot a phyacian or deris CAUTION Aways use clean dry medical rade gases Inreducton of moisture ar other Eontaminanis into mi devee may Tes in detecte operaton CAUTON Do not stems to repair ater or fable thie device Unauthorised repair eration er mause ofthis devies 1e Ikay 10 adversely affect the pertormance and wil void the waranty CAUTION Never oilor grease any par of this System minimze te or explosion poten WARNING A NEW OR MODIFIED INSTALLATIONS ALWAYS ASSURE THAT LINES ARE NOT CROSSED WARNING New or modited instalations property connected gas pipelines are absolutely essential to patient safety Me dealer or coniraetor Showa prove wien documentation thal al gas pes te arnecied propel and Pa the stem has been pressure tested prior to use We th 0 good Business prasice is Imgotant thatthe user very by ther oan es Independent the deer or Conic hal gas ppelnas are comecied conecty prior 1o usog the system The llmale esponsibity of assuring th ines
18. ed 1o contral the vacuum Pew in the gas scavenger breathing crcult and assure atthe scavenging system is activated as soon as N O O is tumed ON Adjust ine vacuum fow using the contral knab Vacuum flow is most effective when the ball float is set witrin the oreen bar area Installation of AVS to Flowmeter Screw AVS 5000 knurled seal nut down Baht fio Towmeter making sure the ruber washer ide The seal nut When ight the AVS should not rotate Then screw Ihe bag tga saal nut onto the AVS Bag iee shouid not rotate Connecting AVS to Vacuum Hoses Attach one end af Ihe vacuum hose to the vacuum hose Y Comestor and the oiher end fo the MASK port ofthe AVS Atach a second vacuum hose To the VAC port of he AVS and the oper end to the vacuum source Portar recommends that effective scavenging can be achieved with the bal float in the green bar area ofthe acrylic sight glass however NIOSH publcatons conclude that higher vacuum flows of Gh fo 45 Limin are most effec To meet the NIOSH racemmendaton of 45 Urin act the Dal above the green bar area nine Vacuum Control Kit Option The Kit includes a vacuum control Block with sight glass vacuum tube holder adaptor T and iragh ting The vacuum contol Bove can be inserted drety into the High Volume Evacuation HVE ine oF may be placed in line by cuting the vacuum hose and attaching the cut ends of the tubing fo bath ends ofthe vacuum contro back Adjust the vacuum flow using the con
19. es ofthe concentration and total fow valve system by performing a simple check A calibration check of the concentration can be done by setting the concentration nab to 509 and the flow control knob to 3 fo 4 Linin Check fo see tha tube readings fre within 0 5 Linn of each other Servicing is indicated if the readings are out of is tolerance NOTE Adequate and sale conscious sedation can Be achieved even i ihe Concentration ie oude of ihe Isted olerance since tube scale accuracies are maniamed However a change in 1e S concentration calisraton is an dication of overal tlowmeter condition Porter servicing Savalable including recalibration pressure testing Internal component checking and replacement and final factory esting by contacting your Authorized Porter Dental Besler t s advisable on a mo 2 year cycle 10 have the MXR Flowmeter actory checked and serviced Figure 3 Read Center Of Ball Float ves Umi Concentration Control Knob DIRECTIONS FOR USE arregar pa s NOTE These drectons detal a basic daivery technique However this is not a Comprehensive desorption and not a Substute tor 2 vaining cours that emphasizes a practica hands on approach together wih instruction on safe administration niques Topics covered in such a course wil include experiences of practitoners in so pectic dental circai setings the pharmacokinetic properties of nirus oxide States to avoid
20. es subject 1o change witout rotis The Quality System tor Porter instrument is certified to ISO 1948S The scope of our registration ia The design manutacture distribution and servicing ot Dental Flowmeters Gas Scavenging Systems Gas Distribution Systeme and Otice Communication Systems for use in ine Dental Profession FM 286 Rev T 10 10 T i m OE Tee osores Paget oxygenate me patent wth NE KS ads add O2 Page 10 Tie Pomer Oxygen Fish was O2 Power Oxygen Flash Update rev nd pit ate Page 13 eure Cleaning Methods using ne wi desea add Conal kneb can be 05 0095 p1 Tabie of Conerns add Crossed Linesip aa ALE WHK 5 aga Warning ter Crossed Lines ada ihaon Equipment Satety Features and Over Sedation p a 5081 Camactr rata p 13 Ast NOTE Pe mask to patent awn outer masking instalata P18 tad Taubiestentg 10r Patent na tang et gases And Bag is goin Tat dag Procedure Update ADA slater Updated picture on rant cover atthe Cabinet JCC WHK Mount Mier 12 updated elu o Gabinet Mount Mier G2 Push Knob p 17 updated Cert ot Waraniy orangea al Porter watument Company Ine 1o Poter Instrument voughout he procedure Fax number on sheet 1 footer was 215 MAM WHK 723 2189 Sheet 3 fent column last paragraph added by te instaler Updated ParkartPonter Logo Pgz Added 300008 ANB SBW SHEXR tourer mogel vumpers Pa 3 added D net 1o Y9 under waring Pg 18 alte B
21. odaton analgesia NIOSH has recommen hat exposures shouid be minimized Contact NIOSH 1 800 38 NIOSH to receve NIOSH Pubscatons an Conal of Nirous Owae in Denial Operalornas gt Exposure can be minimized by efecive convois Natonal Instnae for Occupatonal Safety and Heath MOSH publeatons stale that controls including System Mainterance Ventlation and Work Praciess can etteetwely reduce N O Concentrators in denai oparatons gt Your flowmeter accessory Porter scavenger system S an important par ot ne system ol contrals WARNING Porter instrument equipment lalizes the croseyprotection system The exis hose ana connectors tat connect 1o the flowmeter are diameter indeed 28 OD Jor Nitrous Oxide and 2 0 0 fr Oxygen The Crosseprotection system is designed to preveni misconnecton of Oxygen and Nous Gide peng DO NOT ATTEMPT TO CHANGE THE DIAMETERS OR CONNECTORS OF THE FLOWMETER Tamporg wih ho erosssprotection system consittes acceptance of kanday by ine WARNING New or moditied instalations properly connected gas pipelines are absolutely essential to patient safety The dealer or contractor shouid prove writen documentation mat al gas pipeines are connected propery and thal the system nas been pressure tested prior 1o use Wes a good business practi ts important hat the uzar verly by their ow test Independent ff ine dealer or contactor ihat an gas Pipelines are connected corectly pror to using D
22. over sedation and alow for so Biological variability and strategies to One maximize patient satisfaction 88 1 Maintain patient observation duri pce 9 6 Flow Control knab may be re acusted to bring the total Yow of gases back to 2 Tum ON unt by pushing in the ON OFF deced levas wien concentaicn Sitch increased or decreased Total fow is 3 Open N O Os tark valves equal to the sum of right and left tube Teadings See Figure 3 to read ball oat 4 Duma Row Cong knon sot Mow reig ot SESDE See Fin Aa Dolas tow omi fond mia T en moa of NO sald Da Coot nae ow See Pue See Tamua ro ew d R ara Fom Contat kob ea teas ws cae Seem naa os ca cae AE aint Bt Tee tt rca z ihe operatory potential patient side fects of lethargy headache or nause ne vous dition into air fed caves 8 When procedure is nally completed turn off both control knob valves for gas shut 5 Set N O concentraton to desired level by Sh rotating Concentration Control Knob See Fue item 8 upwards 9 Place the ON OFF switch primary shut counterclockwise to _incease off mechanism in the OFF postion Push Concentration as read by percentages irom back of ON OFF switch NOTE If inscribed on the contol knob Rotate control valvas are stil open gas flows Slowy uni desired level is achieve Should stop at this point Practica traton with 10 mous 10 Turn OFF the gas supply
23. ton fowmater then retghtan knob Figure E Mise oe ott at ger vu Hens Mobile E Stand Figure F sr to installation and instructions FM 916 for mounting flowmeter to Mabile E Tank Stand Figure F MXR FLUSHMOUNT FLOWMETER Flowmeter Models 2085W 305W and 2070W have Universal conneciors that are easy Switched in the field from back to bottom or Bottom to back position to suit the instalation If ihe connectors are switched ine owm shoud be completely funcion tested after Installation tothe user instructions contained in thee manual CAUTION The postion of the connectors may be swiched by an authorized Porter represematve only Unauthorized repair Meraton or misuse of this device is kely 10 adversely affect the performance and wil void the waranty ORAL SURGERY MXR MODEL 2000 05 The oral surgery flowmeter can achieve 20 LPM N O maximum fow This model includes a special P2407A oral surgery threaded bag toe wih adapter Accessory includes a Directional Y Valve that attaches 10 the threaded bag tee Reter to FMSS lor Directional Y Vale Irstuctons FLOWMETER ACCESSORIES Three Liter Bag Instal he 3 L Reservoir Bag by siding the opening over ie outside of the bag downspout The bag moves in and out wih ch inhalation and exhalation and becomes eval barometer Tor monitoring the patients respration rate Refer to FM 809 for User Tnstuetions Assembyy Instalaton and Cleaning
24. trol Anab Vacuum flow is most effectva when te ball float is set within te green bar nea Refer 10 F1 809 for User Instructions Assembly Instalaton and Cleaning FIGURE 1 FLOWMETER FEATURES meter Tube insieies me 2 Nitrous Oxide Flowm 43 Nitrous Oxide Failsafe System ous fea Vouvray ancetttion setting with any change athe Oz flow or pressure 40 How a proportionately feducee I On te shut ott or the pressure it duced check pelore each use 4 Flow Control Knob convois he amblned tow st Os and Nao for Or tom only r Tube 5 Concentration Control Knob controls nange the Os tow rate 70 Maximum N O teat nec Monty 6 Emergency Air Valve automaticaly provides e patient with ambient ae pas tam fe Intesruptea Cheek Wont thing Valve guards sgsinst Cos bulia up and rebreathing of used pases heck ents 8 Positive On Off Switch fed pep assay sing M 9 Power Flush previses era delivery of Or 18 the nreathing bag Cheek Moniy 10 Oa Quick Connect ett ice ot machina Taciltates connection at postive Presaurel demand valve tor emergency Oxygen 11 Bag Tee Outlet connects to tresh gas iuning 12 3 L Bag Connection SAFETY FEATURE CHECKS IMPORTANT These are safety features which you should routinely check to assure proper function any of these ety festures are notfunetioning propery ontact your Dental Dealer oF Porr Instrument and arrange forthe necessary
25. tul cylinder Can oet O Tom bul cantat GET T NO supply not Tarred ON T Turn ON WO ender No fow 2 N20 eytnder empty 2 Replace mith il vind TR REOCOREEATETON aT AGRE VET PATE OME Or THTRTOT BE AT oth toms vary propartionsii pressure Oa mantel pressure i 30 tithe change In Tow sening Pina A2 Pa nots ca Tama ae o WAIN Or Taw Caw OF paaa ag S Cree Or aaor BE UTE sin nenaon cnt Sy anid pete 80 SE RRP TW TE TEL OTT oraaa GO TE Ca DATE TATE Patan lean a E mask Teal TW Flsa ater maak scare ones Popery gates take i Taa but ue mat at 2 Gas tows do not mest 2 Reradust gas tows to patients requirement fitansecepabie Bag action Bag gang Tar cang TG Tow as ao west 1 Renan gaa Tone Te procedure patanta rauronet chats aceptani ag sion fio gates take i edb ie mat a CERTIFICATE OF WARRANTY THIS WARRANTY IS GIVEN IN PLACE OF ALL OTHER WARRANTIES EXPRESS OR IMPLIED OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE OR OTHERWISE Under no cteumstanes shall Parker Hansa Corporation be lable tor incidental or consequent emages as trose terma we defned yn 1e umor commer code Parker Hann Corporation Porter Insvument Dvn warrants that each product or part shall be Tree fom detects 1n wormen and malta under normal use and wth eprops mainte Tar one 1 year tom he date of delivery 1e csiomer unless oeeise specie in witng At rubber and plaste parts and accessories are warranted under ha same condition Tor a period ol
26. udes post stop needle valves tor adjustment ofall llows provents damage fo vaives and seals Oxygen Quick Connect Facilitates connection of resuscitation equipment to the Sentral system PARTIAL LISTING OF REFERENCE MATERIAL Handbook of Nitrous Oxide and Oxygen Sedation Morris Clark Ann Brunick Dentists Desk Reference Materials Instruments amp Equipment American Dental Hany tanga BDS Conscious Sedation in Dental Practice Richard Bennett Sedation A Guide to Patient Management Stanley F Malamea The Practical Use Niraus Oxide Oxygen Conscious Sedation Robert E Hamrie IMPORTANT READ MANUAL COMPLETELY BEFORE OPERATING THIS DEVICE Basic delivery technique is described Alo this manual contains instructions on periodically required checks tobe performed by the user These checks are necessary ta insure Die proper Petformance of this device and is salty features Retain this manual for future reference AX wannincs ano PRECAUTIONS These warnings and precautions are to help you fo understand how 10 saleiy operate he UXA Flowmeter A WARNING alerts you to a possibi hazard to people A CAUTION alerts auta he possibly ot equipment damage WARNING Do not use thie device fo the adminisratan of general anesthesia or as a parol oria cerluncton wih a general Setheala sdminisiaton system WARNING Denta workers are exposed 10 N O during administration of NO10 conscious S
27. uiding walls leading to operator At gas outlet station the Oxygen 1 2 inch pipe is incorrectly decreased down to tne Bigs a a inen size reserved for Nitrous Oxide lines Oxygen i ted into the Nitrous Onide Do Not Allow Crossed Lines to Deteat Equipment Satety Features crossed tines In wall structure piping e At gas outlet station tne common run of 1 2 inch pipe tor Nivous Oxide is Incorrectly allowed to remain at the 1 2 Inch size and is then falsely connected tothe DISS 1 2 inch bulet station Nitrous Oxide i ted into the Oxygen Iines Beier 100 Nirous Oxide vecause of the Srossed lines A patient will become over sedated and may appear to fall sleep when the flowmeter is set for 100 Oxygen An Oxygen demand valve connected 10 the resuscitator Quick connect of the Flowmeter will also deliver 100 SAFETY ADA Guidelines in addition to the fa ste and other safely features found on most Sedation machines effective August 1976 the folowing specifications were added to those required ior acceptance by the ADA Council on Dental Materiais and Devices 1 Emergency Ar Valve 2 Non ebreathing Check Vale and 3 Resusctator Quick Connect In action the ADA Council requires that 1 The gas storage and deivery system meet the recommendations ot the Natonal Fire Protection Association NFPA 2 The system be installed by a competent supplier of gases and equipment NFPA Codes To assure safe operation
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