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1. Fill the medication cup with medication or saline strictly following the advice of your veterinarian Fig 3 After the above steps fit the Flexineb to the horses head ensuring a good seal is created between the head and the mask Secure the mask in place using the mask straps For safety reasons stay with the horse at all times during the nebulisation process When the horse is familiar with the device close the vents in the bottom of the mask by rotating the exit valve housing Fig 2 This activates the Inlet and Exit Valves MS 052 Rev 08 Jan 2012 6 Fig 4 Switch on the Controller to begin the nebulisation process After a few seconds the Aerosol Chamber will begin to fill with aerosol and clear as the horse inhales the aerosol On completion of the nebulisation process switch off the controller Alternatively the controller will switch off automatically after 15 minutes complete Medication Cup Aerosol Chamber MS 052 Rev 08 Jan 2012 P i Po j Remove the Flexineb from the horse once nebulisation is Clean the device between uses as described in the Maintenance section of the manual Ir i o H i i i i Long Strap i j Fe i jf la Short Strap fr fm i i j LS d i Figure 1 Flexineb Nebuliser System 7 Mask Seal Air Inlet Valve Aerosol gum Chamber Ny f j j f f f Exit Valve housing Vents can b
2. Jan 2012 14 Compliance The Flexineb system complies with the essential requirements of the following European Directives and Harmonised Standards Directives DIRECTIVE 2004 108 EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 15 December 2004 on the approximation of the laws of the Member States relating to electromagnetic compatibility and repealing Directive 89 336 EEC DIRECTIVE 2006 95 EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 12 December 2006 on the harmonisation of the laws of Member States relating to electrical equipment designed for use within certain voltage limits Harmonised Standards EN61326 EN61000 4 2 EN61000 4 3 EN61000 4 4 EN61000 4 5 EN61000 4 6 EN61000 4 8 EN610004 11 EN61010 1 MS 052 Rev 08 Jan 2012 15 Contact For general technical and scientific information check out our website www nortev com To order replacement parts visit our online shop at www nortev com For Customer Service call 353 91 79 97 78 Postal Address Nortev Limited Unit 18 Corporate Park Claregalway Co Galway Ireland MS 052 Rev 08 Jan 2012 16
3. aintain the function of the medication cup TS it must be washed after each use Put a few drops of washing up liquid and clean warm water in the medication cup close the Cap and shake it Gently squeeze the Cap to push x warm water through the mesh Rinse out TS ut afterwards with clean warm water Shake off AY any water before re using Ly It is essential that the water is clean otherwise it may clog the mesh Controller To maintain the function of the electronic controller it must be used and stored in dry conditions To maintain the battery function it must be charged when the assigned LED flashes green Fig 5 Do not immerse the controller in water or any liquid A General If the equipment is not maintained or is used in a manner not specified by the manufacturer the electrical safety protection provided by the equipment may be impaired MS 052 Rev 08 Jan 2012 12 Troubleshooting Clean the medication cup as instructed under maintenance section of the user manual Check that the drug or liquid used is listed on the Nortev Drug Table supplied with the device If the drug or liquid used is not listed check compatibility with Nortev before use There is no aerosol output from the medication cup or the aerosol output is weak Note that some drugs require dilution for nebulisation Refer to drug table supplied The medication cup may be at end of life depending on usage and drugs nebulised If the p
4. ans an internal reach full charge will electronic fault and you give reduced should contact Nortev to operation time arrange return of the unit for repair Figure 4 Flexineb Controller Functions MS 052 Rev 08 Jan 2012 10 Flexineb Mask with Metered Dose Inhaler MDI The Flexineb can be used with a Metered Dose Inhaler as shown in Fig 5 e Rotate the Aerosol Chamber to a horizontal position e Use the MDI adaptor supplied and insert it into the end of the Aerosol Chamber e Close the vents at the bottom of the mask Fig 2 e Insert the MDI into the MDI Adaptor e The MDI should be in an upright position e Activate the MDI just before the inhalation phase of the horse Mask Assembly f r j 7 ipie 4 AL i i C r3 7 cm ls J d Rotate Aerosol Chamber xc dis h to the horizontal position S FEN m Metered Dose Inhaler MDI not supplied in upright position Adaptor for MDI Figure 5 Flexineb Metered Dose Inhaler Use MS 052 Rev 08 Jan 2012 11 Maintenance VAN Mask When washing the mask remove the medication cup and controller To maintain the function and life of the mask and its parts it must be washed in warm soapy water and rinsed with clean water after every use AN Medication Cup Cover the medication cup electrical connector with the supplied Protective Silicone Cap prior to washing Do not immerse the medication cup in water or any liquid To m
5. e rotated to Vents Closed Vent Open or Vent Open Position Closed position Position Figure 2 Flexineb Mask MS 052 Rev 08 Jan 2012 Extension Cup total volume d with extension cup is 30ml Fixed Medication Cup 10ml Electrical Connector Figure 3 Flexineb Medication Cup Output to I Medication Cup Controller Cable Back Up Power Supply Battery and Battery Charger Battery Door Figure 3 Flexineb Controller Cable and Power Supply MS 052 Rev 08 Jan 2012 9 LED Off System Off LED On System On LED Flashing Low Battery plug in supplied charger to charge battery Flexirco Battery Charging LED 9 O LED On Continuous A The supplied charger is connected and the LED Flashing Amber This means the cable is disconnected or there is battery is charging a break in the electrical circuit The problem may Full charging can take be a broken cable or 4 to 5 hours if the broken wire in the battery is completely medication cup discharged Replace the broken cable E The LED will turn off or medication cup to fix when the battery has the problem On Off Switch reached full charge If the problem persists If the battery cannot with a new cable or new reach full charge the medication cup contact LED will not turn off Nortev to arrange return and the battery may of the unit for repair need replacing LED Continuous Amber A battery that cannot This me
6. ey valve and commence treatment If the horse is resisting the mask be patient and let them look at it and smell it before attempting to fit the mask again If the horse starts to get scared during treatment slightly open bottom grey valve so more air is being inhaled Close the valve again once the horse is relaxed In an emergency situation the blue exit valve on the bottom of the mask can be pulled out of its grey housing to allow the horse breathe freely Although the mask material is soft and flexible the front aerosol chamber and battery controller is hard plastic therefore caregivers should be mindful of the risk posed by the horse shaking its head with the Flexineb fitted MS 052 Rev 08 Jan 2012 3 Technical Specification Flow Rate Typically 21 0 ml min with 0 9 NaCl solution The nebuliser flow rate is dependent on the drug used Aerosol Particle Size Typically 50 of particles generated are less than 5 microns VMD measured using Malvern Spraytech with 0 996 NaCl solution Medication Cup Volume The medication cup will hold 10ml of liquid but is expandable to 30ml using the plug in extension cup supplied The controller has a 15 minute timer therefore if the extension cup is used the controller will need to be re started to complete the dose A Battery Power Battery Type 7 4V Li ion rechargeable battery pack Use the Nortev supplied battery only Use of another type of battery may present a risk of fire or exp
7. losion Battery Operating Time gt 3 hours from fully charged MS 052 Rev 08 Jan 2012 4 Battery Charging The battery can be charged using the Nortev supplied Charger Use the Nortev supplied charger only Use of an alternative charger may present a risk of fire or explosion The battery charging time is approximately 2 hours A Mains Power Supply As a backup to battery power the Flexineb can also be operated using the Power Supply provided with the system The same Power Supply charges the battery Use the Nortev Power Supply only Use of an alternative Power Supply may present a risk of fire or explosion Power Supply Charger Details Input 100 240V 50 60Hz 250mA Output 9V TE 1 0A VAN Environmental Conditions Operating 5 C to 45 and up to 95 RH Storage and Transportation 20 C to 45 C and 15 to 95 RH MS 052 Rev 08 Jan 2012 5 Instructions for Use The Flexineb system is very simple to set up and use There are two modes of use 1 Flexineb Nebuliser System 2 Flexineo Mask with Metered Dose Inhaler Flexineb Nebuliser System Before fitting the Flexineb to the horses head check the following Check that the system is assembled Fig 1 Check the Inlet Valve is moving freely Fig 2 Check the Exit Valve is moving freely Fig 2 Open the vents at the bottom of the mask by rotating the exit valve housing Fig 2 This helps the horse become familiar with the device
8. neo ortable Equine Nebuliser System User Manual nortev TM Table of Contents INTENDED USE cR 3 SAFETY INFORMATION eis oet see eae ee epos auos Po eae ee eo eia oh See deer aae PRo ids 3 TECHNICAL SPECIFICATION iie rii eee oiio eataa enaiis 4 INSTRUCTIONS FOR USE ivsssacesssesdccssssdavesnssscanoosdstcostcasscnsssasacssessseconeetss 6 MAINTENANCE sete 12 TROUBLESHOOT ING weiss ssssisccesssuasss sassccescaseasss sens ceossasnscssseisssonsasecnsatss 13 WARRANTY e ene 14 CONPUIANCL rss 15 CONTAC Esse 16 MS 052 Rev 08 Jan 2012 2 Intended Use The Flexineb is a portable equine nebuliser system intended to aerosolize veterinarian prescribed liquid solutions into a fine mist for inhalation into the airways of the horse N The end user is liable for the safe operation of the Flexineb and its parts as outlined in this user manual N Medications must be prescribed by a veterinarian and end users should follow the advice of their veterinarian at all times Safety Information When using the Flexineb for the first time remember it is the first time for the horse too so caution is advised softly place the Flexineb over the horses nose and mouth with the bottom grey valve open so the horse can breathe normally Push up until the nostrils are covered and a seal is made around the nose and mouth Once the horse is breathing normally and is getting used to the Flexineb shut the bottom valve by twisting the gr
9. roblem persists contact Nortev for further advice The aerosol Check that the vents in the bottom of the mask are chamber on closed and exit valve is inserted and working the front of the correctly mask does not empty when Check that mask is fitted properly and creating a the horse good seal around the head of the horse inhales Some horses may reject the smell or taste of some The horse medications and become uneasy during use becomes uneasy during Check that the Inlet Valve and Exit Valve are use functioning correctly Fig 2 and the horse is getting adequate air intake If you still experience problems with your Flexineb system please contact the Nortev customer service line at 353 0 91 79 97 78 Table 1 Troubleshooting MS 052 Rev 08 Jan 2012 13 Warranty The following warranty protection applies to system components Mask Assembly excludes inlet and exit valve 12 months The valves are wearing parts and are not covered by warranty protection Medication Cup The medication cup is a wearing part and its life is very dependent on the drug used and how well it is maintained between uses therefore the medication cup component is not covered by warranty protection Controller and Cable 12 months Battery 6 months Power Supply 12 months Any damage caused by improper handling is not subject to warranty protection The warranty expires when the device has been interfered with by a third party MS 052 Rev 08

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