Infant Flow® SiPAP Plus user guide
Contents
1. Power LED Alarm warning bar Transducer interface LED LCD touch screen O control Press high flow meter Connection proximal pressure line H Transducer interface connection Circuit connection inspiratory limb NCPAP pres low flow meter Infant Flow SiPAP NCPAP Press Low L min Press High 12 Q Soft key operation A button that is enabled A button that is inhibited due to non availability of the designated feature or pending acknowledgement of an active alarm condition A selected mode or control pending confirmation is visually highlighted and intermittently flashes between yellow and white text While a button is pressed the edges are highlighted to provide a pressed appearance NCPAP 13 Soft key operation continued When there is an active alarm associated with a measured value the measured value concerned is displayed with RED FLASHING text The associated limit value if any is displayed in RED When an alarm that is associated with a measured value is resolved the device remains in a LOW priority alarm state with the measured value displayed in YELLOW FLASHING text and the associated limit displayed in YELLOW until the alarms are cleared by the operator Manual breath delivers a Biphasic cycle at current settings for T High Press High and 0 Only one BiPhasic cycle is delivered regardless of button press duration If no screen interactions occur for a peri2. attach the transducer assembly and respiratory abdominal sensor HOPIE cube 8 0 5 0 30 s Wis 40 3 H 15 0 1 0 10 Tig CPAP MGRAP Bibhae Bhai Manual Breath 17 Parameter Adjust screen 1 Press the desired parameter button to change Only the relevant controls are visible The selected parameter and associated numeric display are highlighted 2 Use the up and down arrow buttons to adjust the setting 3 Confirm the change by pressing the parameter button If no action is taken the new parameter will take effect after 15 seconds NOTE e Parameter changes can be made during initial setup and normal operation itr ar IW FTE ce Ht 3 0 dt Kanwal ty CAE Breaths Lai Breath Q Incompatible settings e When one parameter A change is incompatible with another parameter B the software will automatically make an adjustment to that parameter B If the adjusted parameter A is restored in less than 15 seconds the parameter B change is reversed When parameter adjustments cause a reduction in another parameter to maintain requirements for minimum breath interval the reduced parameter is displayed in RED for 15 seconds sec Rate bpm EXAMPLE e BiPhasic mode with T High 2 0 seconds As rate is increased above 28 breaths per minute the constraint on minimum T Low requires a reduction in T High If rate is increased to 29 then T High will automat
3. silence active alarms for up to 30 seconds A new high priority alarm condition will cancel the alarm silence Resetting alarms Press the Alarm Reset button for 3 seconds to clear resolved and low priority alarm and to rest alarm limits 22 Bifhetic LER as ei 2 PPEP cn rt tre Ty a i F 20 Mariual Breath Change Tag Ratel Tot Certen HOPAP con ht 4 8 7 Cr a5 lt HCPAP Q Final check and routine inspection Inspect the system at least every 3 to 4 hours to e Ensure the patient is receiving the prescribed level of CPAP e Ensure the generator is stable secure and not pulling upward on the nose e Check for deformation or irritation to the nose or surrounding tissue e Ensure the patient s septum is clearly visible when using prongs e Ensure the patient s eyes are clearly visible and the nares are not blocked when using masks e Inspect the fixation device and straps for proper tension and adjust as needed to maintain a proper fit e Monitor the patient for gastric insufflation and abdominal distension e Monitor for excessive condensation in circuit and generator 23 Troubleshooting 0 lt 18 0 lt 104 High 0 Low 0 Over pressure Low battery Low battery voltage Loss AC High nCPAP Press Low Low nCPAP Press Low High BiPhasic pressure High High High High High Warning Medium High High High High O CAL required Reset FiO ab
4. Infant Flow SiPAP Plus user guide CareFusion Table of contents Section 1 CUr Sep t Operation modes 15 Open bed or crib and isolett smens 2 Alarm Set Confirm screen 16 Abdominal sensor 3 Mode Select screen 17 Pressure nomogram for Parameter Adjust screen ce eeeeeeeeeeeeeeeees 18 mtani Flow LP SYSTEM ssnin 4 Incompatible settings 0 ccc eee 19 PAULO RE 5 6 Main SRB eines 20 Two point oxygen calibration 7 8 Monitored Parameter screen 21 Disable oxygen sensor 9 Alarm MANAd MEME 22 Startup menu and leak test 10 11 Final check and routine inspection 23 section 2 Operations 12 TrOUBISSAGONINS diner 24 Soft key operation ccceeeeeeeeeee WSO NOR na 25 Q Section 1 Circuit setup WARNING e Do not attach generator to patient until verification and initial setup are complete CAUTION e Follow manufacturer s instructions for setup and operation of humidifier OPTIONAL e Use transducer interface for Apnea and Low Breath Rate alarm and BiPhasic Tr mode Intl only gt 50 cm Use extension tube with isolette Remove extension tube if excessive condensation occurs Q Abdominal sensor placement 1 Connect transducer to driver 2 Connect respiratory sensor to transd
5. ically reduce to 1 9 seconds If rate is reduced back to 28 within 15 seconds the previous T High setting 2 0 sec is restored NOTE e T High automatically reduces to maintain a minimum T Low of 100 milliseconds Main screen e The Main screen displays current mode of operation alarm status battery charge status monitored parameters and pressure time graphic display e Only the active parameters for the selected mode are available for adjustment T if 15 e Press the Change Screen button to access the Monitored Parameter screen Change Lie Hanval Screen DE TT Le 20 Monitored Parameter screen 1 The Monitored Parameter screen displays measured values and parameter settings for all BiPhasic modes 2 Active parameters are available for adjustment 3 Press the Change Screen button to return to the Main screen 21 rf P cahan PIP omlleO 1 94 4E PEER oe Heel 9 0 oh Gt at bc 10 LE Change fa Manual Serten MODE Breath Bifhiass LER HAP c ae FEB embist 6 03 98 z Ela PEEP cmh 5 0 Hate tpa Tean 15 10 20 sat Ratet Tin Green MODE cited Seneeny Breath Alarm management Audible alarm priority e High priority A series of 10 tones every 10 seconds flashing red e Medium priority Three audible tones every 15 seconds flashing yellow e Low priority Two audible tones every 30 seconds solid yellow Silencing audible alarms Pressing the Alarm Reset button will
6. int calibrations are required with initial setup and circuit changes Q Disable oxygen sensor Disable O button 1 From Setup screen press the calibration CAL button 2 Press the O Disable button a Oxygen monitoring and the audible oxygen alarms are disabled b Error Code 55 is displayed 3 Use an external oxygen analyzer to monitor FiO WARNING e Always use an external oxygen monitor if the oxygen sensor is disabled Startup menu and leak test 1 Connect prong or mask to generator occlude opening to patient 2 Set nCPAP flow to 9 LPM and High flow to 3 LPM 3 Turn on the driver 4 Verify measured pressure is 5 1 If less than 5 cmH O is displayed check for leaks 5 Touch flashing icon to confirm 6 Adjust O dial to desired setting Verity measured value is within 3 7 Touch flashing icon to confirm Q Startup menu and leak test continued 8 Adjust press High flow as desired 9 Touch flashing icon to confirm 10 Connect transducer assembly to the traducer interface connector on the front of the Infant Flow SiPAP if desired Touch flashing icon to confirm 11 Touch NCPAP or Alarm Mute Reset button to set alarms 12 Measured CPAP should be 5 cmH O If not check for leaks 13 Remove occlusion to prongs or mask Measured CPAP should drop to 0 to 2 cmH 0 If not check for occlusions 11 Section 2 Operation m A B C D
7. od of 120 seconds and there are no active alarms the screen goes to a locked state to prevent inadvertent entries To unlock the screen press the lock icon 14 Operational modes CPAP is a constant single level of positive pressure to the infant s airway facilitating the restoration of functional residual capacity and correction of hypoxemia BiPhasic is two levels of pressures delivered at a set Time High T High criteria rate and pressure settings Small incremental pressure increases of 2 to 3 cmH O augment functional residual capacity and may off load work of breathing Low breath rate LBR detection is via a respiratory abdominal sensor The LBR alarm will be triggered when the set time interval is exceeded If the infant s breath is detected within the next time out period the alarm will silence 15 Alarm set confirm screen 1 Touch the nCPAP or Alarm button for 3 seconds to set the alarm limits If neither button is not touched within 2 minutes the alarm limits will automatically be set 2 The screen will change to Mode Select screen with the driver operating in nCPAP mode 10 HGPAF L EFhask Maraual CPAP ii EsPreasic a Freath Mode Select screen 1 Press the desired mode button The rs display will change to the Parameter HOP em Ha Adjust screen 5 0 oy NOTE Che 40 e Only the available modes will be displayed on the menu bar e For Low Breath Rate LBR modes
8. ove limit O CAL O CAL required Reset FiO below limit O CAL 0 setting changed supply gas Correct FiO reset alarm limits failure water trap overflow Blender setting changed supply gas Correct FiO reset alarm limits failure water trap overflow Flow Rate set too high occlusion of Check exhaust tube filter reduce flow exhalation limb blocked silencer filter rate reset alarm limits Battery charge status change Connect to AC Battery disconnect fails to hold charge Connect to AC AC power disconnected Connect to AC Setting change circuit disconnect Reset alarm limits Setting change circuit disconnect leak Reset alarm limits check for leaks Press High setting change Reset alarm limits circuit disconnect 24 Notes 25 A WARNING U S Federal Law restricts this device to sale by or on the order of a physician CareFusion 22745 Savi Ranch Parkway Yorba Linda CA 92887 800 231 2466 toll free 714 283 2228 tel 714 283 8493 fax carefusion com CareFusion 2012 CareFusion Corporation or one of its subsidiaries All rights reserved Infant Flow CareFusion and the CareFusion logo are trademarks or registered trademarks of CareFusion Corporation or one of its subsidiaries RC767 0912 2000 L3429 Rev B
9. ressure alarm activates Decrease flow to 8 LPM Reset the alarms 5 Adjust the O control to 35 The High 0 alarm activates Return the O setting to 30 Reset alarms 6 Adjust the 0 to 25 The Low 0 alarm activates Return the O setting to 30 Reset the alarms 7 Disconnect the AC power cord from the wall outlet The Loss AC alarm activates Reconnect the AC power cord Reset alarms 8 Occlude exhalation line and increase nCPAP pressure to 11 cmH 0 The High Circuit Pressure alarm activates Decrease flow to 8 LPM and reset alarms 9 Select and confirm BiPhasic mode Change the mandatory rate control setting to 1 Low Breath rate alarm activates after the default interval of 20 seconds Return to rate of 30 Reset the alarms Two point oxygen calibration 1 Adjust flow meters and turn on driver 2 Press the calibration CAL button in the Setup screen 3 Adjust the Oxygen Control to 21 a Allow reading to stabilize b Press the flashing button to confirm c A check mark appears and 0 display should read 21 4 Adjust the Oxygen Control to 100 a Allow reading to stabilize b Press the flashing button to confirm c A check mark appears and 0 display should read 21 5 Press Exit button Two point oxygen calibration continued NOTE e f calibration fails a red X is displayed the alarm sounds and an Error code is displayed repeat the calibration procedure e Two po
10. ucer 3 Compress the sensor gently LED on the transducer illuminates 4 Apply the sensor to the infant a Pressure line perpendicular to tape b Place between the umbilicus and xiphisternum c Alternative placement the side of the abdomen 5 Verify correct placement Transducer LED illuminates on expiration and front panel LED on inspiration OPTIONAL e Use transducer interface for Apnea and Low Breath Rate alarm and BiPhasic Tr mode Intl only Pressure Nomogram for Infant Flow system The Infant Flow SiPAP system is subject to a direct relationship between the controlled gas flow and airway pressure For example 8 to 9 LPM gas flow provides approximately 5 cmH O cmH O Q Q Alarm test WARNING Prior to patient application ensure that all User gt 30 psig 2 1 bar Verification testing and calibration procedures are N A successfully completed User Verification testing and calibration procedures must be done off patient 1 Connect air and oxygen gas supply Connect power cord to AC outlet Attach patient circuit generator and patient interface Occlude the opening to the patient 2 Power up the driver and allow Power On Check to complete 3 From nCPAP mode with alarms set remove occlusion from opening to patient Low pressure alarm activates Restore the occlusion and rest the alarms Alarm test continued 4 Adjust the nCPAP Pres Low flow meter to 11 LPM The high airway p
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