INOmax® DS Troubleshooting
Contents
1. Aiden veces Delivery Stopped will occur one hour from the on the INOMAX cylinder inder Valve Close aaa j pole Ws copa ican aes Connect the Transport Regulator Cap ST Assembly cable to the infrared connector on o the back of the INOmax DS D INOMAX cylinder not present on the Load an INOMAX cylinder onto the INOmax DS Delivery Stopped will INOmax DS cart occur one hour from the point when communication is lost E INOmeter may have failed a Replace the INOMAX cylinder on the INOmax Uog cart F INOmax Ben infrared cart cable is not a Connect infrared cart cable to the infrared connected or has failed connector on the back of the INOmax Ber b Replace the INOmax DS p Symptom Alarm 7 Delivery Failure High Priority Alarms Possible Cause A Monitored NO levels 100 ppm or B The INOmax DS has failed Recommended Action a Ifthe INOblender is available manually ventilate the patient see INOblender Operation Manual Turn the backup mode ON see page 29 of Operation and Maintenance Manual Power the INOmax DSi to STANDBY and then back ON to reset the delivery system If this does not work contact Customer Service Replace the delivery system if in use Do not use the delivery system until serviced 8 Delivery Stopped A Infrared communication link between the INOMAX cylinder and the INOmax DS has been lost for one hour Remove obstruction b2. 29 of Operation and Maintenance Manual d Replace the Injector Module e Set the delivered dose and turn OFF the INOblender or the backup mode C The Injector Module electrical cable may have failed a Turn OFF the INOmax bee set dose to silence the alarm b If the INOblender is available manually ventilate the patient see INOblender Operation Manual Or c Turn the backup mode ON Gee page 29 of Operation and Maintenance Manual d Replace the Injector Module electrical cable e Reset the delivered dose and turn OFF the INOblender or the backup mode High Priority Alarms Symptom Alarm Possible Cause Recommended Action Low Battery Alarm A Battery is running low approximately E 10 minutes or less until battery depletion Check main power indicator Connect to AC main power source Make sure the power cord is fully inserted into the Power Cord Inlet and that the power cord clamp Is secure Check and replace fuse if necessary Contact Customer Service 2 Low NO N Pressure A The NO cylinder supply may be low Make sure the NO cylinder is turned ON If the high pressure cylinder gauge reads less than 200 psig change the cylinder If the INOblender is available manually ventilate the patient see INOblender Operation Manual Turn the backup mode ON see page 29 of Operation and Maintenance Manual B The supply line may not be connected If
3. Maintenance Manual Symptom Alarm 9 Drug Past Expiry Date or Drug Concentration Mismatch m High Priority Alarms Possible Cause A INOMAX cylinder is expired Delivery Stopped will occur two minutes from the point when the cylinder valve is opened B INOMAX cylinder is the wrong concentration Delivery Stopped will occur two minutes from the point when the cylinder valve is opened Recommended Action a Close the cylinder valve b Remove expired INOMAX cylinder from the INOmax DS cart c Replace the expired INOMAX cylinder on the INOmax DS cart a Close the cylinder valve b Remove the INOMAX cylinder with the wrong concentration from the INOmax Dog cat c Replace the expired INOMAX cylinder with the wrong concentration on the INOmax DS cart lO Injector Module Fail A The Injector Module electrical cable may be disconnected B The Injector Module may have failed a Reconnect the Injector Module electrical cable b Turn OFF the INOmax Doa set dose to silence the alarm c Ifthe INOblender is available manually ventilate the patient see INOblender Operation Manual or d Turn the backup mode ON see page 29 of Operation and Maintenance Manual a Turn OFF the INOmax Ber set dose to silence the alarm b If the INOblender is available manually ventilate the patient see INOblender Operation Manual or c Turn the backup mode ON see page
4. calibration sample tee for leaks D Circuit setup incorrect Check circuit setup for correct use of adapters and or check valves High Priority Alarms Symptom Alarm Possible Cause Recommended Action 2 Low NO Alarm Low NO A The Patient Gas Sample line may be disconnected B The Low NO alarm setting may be inappropriately set a Reconnect the Patient Gas Sample line Make sure the Low NO alarm is set less than the Set NO value C The NO calibration may have drifted Perform a low and high range calibration of the NO sensor D The NO sensor may not be properly seated Make sure the sensors are correctly seated with the O rings and the sensor cover Is fully closed E Loss of NO delivery If the INOblender is available manually ventilate the patient see INOblender Operation Manual Or Turn the backup mode ON see page 29 of Operation and Maintenance Manual 3 High NO Alarm High NO P 8 A Incomplete system purge Perform a system purge See Section 3 Pre Use Checkout ao B Ventilator flow stopped Allow the ventilator gas to flush NO and NO from the breathing circuit before connecting to the patient C Two cylinder valves are open D The NO alarm limit may be set too low Close one of the cylinder valves Make sure the NO alarm limit is appropriate for the Set NO level E T
5. INOmax DS Troubleshooting Warning Use caution when troubleshooting the INOmax DS while in use for a patient When possible replace the unit in question and perform troubleshooting procedure once the unit is removed from the patient If the system fails to operate properly Check the patient condition and take appropriate action Verify that the system is set up as detailed in Section 2 Setup of the Operation and Maintenance Manual Use the INOblender see INOblender Operation Manual or backup mode if necessary see page 29 of manual Find a symptom or alarm condition in the troubleshooting table which best describes the problem and follow the recommended actions to resolve the problem If the problem can t be corrected Contact Customer Service on 1300 198 565 Troubleshooting Guide High Priority Alarms Symptom Alarm Possible Cause Recommended Action High NO Alarm 3 High NO inappropriately set A Note A newly installed NO sensor will give high readings until fully conditioned about 5 hours and calibrated B The High NO alarm level may be After installation of the NO sensor perform a low and high calibration Wart 5 hours and repeat both the low and high calibration Make sure the High NO alarm is set greater than the Set NO value C The NO calibration may have drifted Perform a low and high range calibration of the NO sensor Check
6. etween the INOMAX cylinder and the INOmax DS p Move the interfering light or the cart to reduce the high intensity light in the area of the INOmeter If the INOblender is available manually ventilate the patient see INOblender Operation Manual Turn the backup mode ON see page 29 of Operation and Maintenance Manual B INOMAX cylinder is expired and cylinder valve has been open for two minutes Remove the INOMAX cylinder from the INOmax ber cart Connect an INOMAX cylinder to the INOmax DS with a valid expiration date C INOMAX cylinder is the wrong concentration and cylinder valve has been open for two minutes D INOmeter may have failed Remove the INOMAX cylinder with the wrong concentration from the INOmax DS cart Connect an INOMAX cylinder to the INOmax SSF with a valid concentration Replace the INOMAX cylinder on the INOmax BER cart E INOMAX cylinder valve is closed Open INOMAX cylinder valve If the INOblender is available manually ventilate the patient see INOblender Operation Manual Turn the backup mode ON see page 29 of Operation and Maintenance Manual F INOMAX cylinder not present on the INOmax DS p Load an INOMAX cylinder onto the INOmax DS cart If the INOblender is available manually ventilate the patient see INOblender Operation Manual c Turn the backup mode ON Gee page 29 of Operation and
7. has not been entered A The set dose has been set to zero and the INOMAX cylinder valve is still open Enter patient identifier Close the INOMAX cylinder valve if treatment has been stopped 25 Running on Battery A Device is operating on the battery Connect to AC main power source when available A Check main power indicator Make sure the power cord is fully inserted into the Power Cord Inlet and that the power cord clamp Is secure
8. he NO calibration may have drifted Perform alow and high range calibration of the NO sensor Check calibration sample tee for leaks F Out of date or the wrong calibration gas was used Verify the calibration gas expiration date If needed replace the calibration gas and perform a low and high range calibration of the NO sensor G The patient circuit setup may be incorrect Make sure the patient circuit hoses and lengths are correct see Section 4 Patient Application of Operation and Maintenance Manual Verify the humidifier chamber is less than 480 mL H Sample line occlusion In this case this alarm may occur with a Sample Line Block alarm Confirm whether the High NO alarm occurs concurrently with a sample line block alarm _ Ifso this alarm will clear within 10 seconds after the sample line fault is remedied The INOmax DS may have failed Contact Customer Service Replace the delivery system if in use Do not use the delivery system until serviced High Priority Alarms Symptom Alarm Possible Cause Recommended Action 4 High O Alarm A The O alarm setting may be inappropriate a Make sure the High O alarm is set appropriately for the O setting being used NA High O on the ventilator B The O calibration may have drifted Perform alow and high range calibration of the 2 sensor Change the O sensor if the monitor fa
9. iating the backup mode Turn ON the INOmax DS set dose Turn the backup mode OFF Make sure the correct calibration gas is used and ensure sample tubing connections are secure and do not leak Make sure the sensors are correctly seated with the O rings and the sensor cover Is fully closed Complete a low calibration first and then repeat the high calibration Sensor needs to be replaced Replace the delivery system if in use Contact Customer Service I7 Failed NO Sensor 18 Failed NO Sensor A The wrong calibration gas may have been used Make sure the correct calibration gas Is used and ensure sample tubing connections are secure and do not leak B There is a leak around the sensors Make sure the sensors are correctly seated with the O rings and the sensor cover is fully closed C NO sensor absent or failed A The wrong calibration gas may have been used B There is a leak around the sensors Complete a low calibration first and then repeat the high calibration Sensor needs to be replaced Replace the delivery system if in use Contact Customer Service Make sure the correct calibration gas is used and ensure sample tubing connections are secure and do not leak Make sure the sensors are correctly seated and the sensor cover Is fully closed C O sensor absent or failed Complete a low calibrati
10. ils to calibrate Contact Customer Service Replace the delivery system if in use Do not use the delivery system until service 5 Low O Alarm A The O concentration setting at the ventilator Make sure the O alarm setting is correct for was reduced the setting at the ventilator Low O B The O alarm setting may be inappropriate The INOmax DS can dilute the O AN concentration set at the ventilator by up to 10 Verify that the alarm is set appropriately for the O setting being used on the ventilator C The O sensor may not be properly seated Make sure the sensors are correctly seated and the sensor cover Is fully closed D The O calibration may have drifted Perform alow and high range calibration of the O sensor Contact Customer Service 6 Cylinder Not Detected A Interference with the Infrared communication Remove obstruction between the INOMAX link between the INOMAX cylinder and the cylinder and the INOmax DS p INOmax DS Delivery Stopped will occur oa Move the interfering light or the cart to one hour from the point when communication reduce the high intensity light in the area of s lost the INOmeter B INOMAX cylinder valve is closed Delivery Open INOMAX cylinder valve Stopped will occur one hour from the point when the cylinder valve is closed or C Transport Cap not connected to the INOmeter a Attach the Transport Cap to the INOmeter
11. on first and then repeat the high calibration Sensor needs to be replaced Replace the delivery system if in use Contact Customer Service Symptom Alarm 19 Monitoring Failure 5 ppm ppm 20 Sample Line Filter Block 21 Two Cylinders Open Symptom Indicator Low Priority Alarms Possible Cause A Monitor is failing to communicate correctly or is reporting a fault A The sample line may be blocked Recommended Action a Does not stop delivery of INOMAX to the patient Contact Customer Service Make sure the sample inlet line and outlet ports are not obstructed Change the sample line B The water separator cartridge may be blocked A Two cylinder valves are open A The water trap bottle on the side of the INOmax DS is full Replace the water separator cartridge Close one of the cylinder valves Empty the water trap bottle B Water trap bottle is empty but the message remains in the alarm message box Remove the water trap bottle and clean the optical sensor level indicator with an alcohol swab C The INOmax DS may have failed Indicators Possible Cause Contact Customer Service Replace the delivery system if in use Recommended Action 23 Patient Info Incomplete Patient Info Incomplete 4 24 Set Dose is Zero Close Cylinder Valve Set Dose is Zero Close Cylinder Valve A Patient identifier
12. the cylinder gauge reads greater than 200 psig Verify the low pressure hoses are connected correctly to the back of the INOmax DS If the INOblender is available manually ventilate the patient see INOblender Operation Manual Turn the backup mode ON see page 29 of Operation and Maintenance Manual I3 Service Required A The INOmax DS has failed Ifthe INOblender is available manually ventilate the patient see INOblender Service Required Operation Manual Turn the backup mode ON see page 29 MEME ED AINET A NEIE of Operation and Maintenance Manual Utilize the INOblender or Backup Delivery Turn the INOQmax DS to STANDBY and then back ON to rest the delivery system Please contact Customer Service and replace the delivery system as soon as possible 14 Set NO and Backup On A The backup mode has been turned ON Turn the INOmax DS set dose to zero BCH ere GOS ealo Sun SeE Correct the reason for initiating the backup mode Turn ON the INOmax DS set dose Turn the backup mode OFF If this does not work contact Customer Service Symptom Alarm 15 Backup On 250ml min l6 Failed NO Sensor Low Priority Alarms Possible Cause A The backup mode has been turned ON and the set dose Is zero A The wrong calibration gas may have been used B There is a leak around the sensors C NO sensor absent or failed Recommended Action Correct the reason for init
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