Breas Medical NIPPY JUNIOR +, Instruction Manual

Page 1: ...URE VENTILATOR This book must be kept with the machine Breas Medical Ltd Unit A2 The Bridge Business Centre Timothy s Bridge Road Stratford Enterprise Park Stratford upon Avon Warwickshire CV37 9HW Te...

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Page 3: ...eath Analyser 16 How to use the on screen help 17 Using Help with the Settings Locked 17 Breathing circuits and masks 18 Using the NIPPY Junior Invasively 19 Using a Humidifier with the NIPPY Junior 1...

Page 4: ...ns 36 Accessories and Spares 36 Warnings and Cautions 37 Using Supplementary Oxygen 38 Maintenance User Maintenance Schedule 39 Servicing Repair 40 Technical Information 40 Warranty Transportation 40...

Page 5: ...riginal and unmodified shape and only with accessories specified or approved by Breas Medical Ltd Every other use may lead to risk of personal injury CAUTION Read this manual thoroughly so that you co...

Page 6: ...ng both the internal battery and an external battery when running from the mains electrical supply There are 4 modes of ventilation CPAP Continuous Positive Airway Pressure Constant positive pressure...

Page 7: ...ttings see alarm settings disconnection sensitivity page 25 Breathing Circuit Malfunction This alarm warns of a malfunction of the exhale valve in the IPPV mode circuit High Flow alarm An adjustable a...

Page 8: ...tory effort when the flow rate exceeds the level set by the Inspiratory Trigger sensitivity Expiratory Trigger The expiratory trigger is used in Pressure Support mode only Towards the end of inspirati...

Page 9: ...al is only intended for clinical personnel physicians and trained users who require a working knowledge of the NIPPY Junior Alarms must be tested before use and following a change of the breathing cir...

Page 10: ...ydration Risk of vomiting An oxygen requirement higher than achievable with 15l min of entrained low pressure oxygen and the prescribed ventilation settings Adverse effects Patients should report any...

Page 11: ...n the world without transformers 8 Adjustable flow triggers with trigger indicators 9 Large colour LCD display clearly shows all settings 10 28 days stored On screen compliance data 11 Comprehensive e...

Page 12: ...the switch 3 Ti Selects the inspiratory time adjustment scaled in Seconds Value is displayed on screen adjacent to the switch 4 Back up Selects the Back up Rate adjustment scaled in Breaths Per Minut...

Page 13: ...es minute Value is displayed on screen adjacent to the switch Changes colour to red in alarm condition 14 Hi Alarm Selects the High Flow Alarm adjustment scaled in litres minute Value is displayed on...

Page 14: ...red in flow alarm condition 6 Settings locked symbol This symbol shows that the settings are locked 7 Alarm Muted symbol This symbol shows that the audible alarm has been temporarily silenced 8 I Tri...

Page 15: ...r mode Rear Panel Layout 1 Aux Power 24 Volt connection for external battery Connect only recommended batteries part no 0910 2 RS232 Port For connection to remote alarm or personal computer Isolated t...

Page 16: ...Time Delay Fuse SN Serial Number Date of Manufacture Attention Consult Accompanying Documents Switch ON OFF Increase Button Decrease Button Locked Unlocked Purple total lock Black settings locked Ala...

Page 17: ...left hand side shows the basic ventilator settings IPAP EPAP Ti BACK UP and Mode adjacent to its setting button The centre section shows the airway pressure flow estimated tidal volume and breath rate...

Page 18: ...n Move the selection bar up or down the menu with the or buttons to highlight the desired function and press the SET button Follow the on screen instruction at the bottom of the window Press MENU at a...

Page 19: ...Sigh Settings View Adjust 3 Compliance Data Total Hours View only Compliance Hours View only Average Daily Use View Only Use or button to scroll through the data Press and hold and buttons to reset c...

Page 20: ...om the previous breath The width of the trace is the period of the back up rate displayed in seconds on the X axis E g if back up rate is set to 10BPM the trace width represents 3 seconds The pressure...

Page 21: ...in to exit If during setting up you require a description of a particular parameter select it then press HELP Press HELP again to clear Using Help with settings locked When the settings have been lock...

Page 22: ...level and CPAP 22mm smoothbore tubing including anti bacterial filter and oxygen coupler for non invasive use with a vented mask order code 0792 IPPV Circuit In IPPV mode a single limb circuit with a...

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Page 24: ...circuits Invasive 15mm dry circuit 15mm circuit including anti bacterial filter heat moisture exchange HME flexible adapter tube with integrated exhale port For invasive use for paediatric patients u...

Page 25: ...this point Press the Start Stop button and select CPAP mode Set the High Alarm to 160 lpm and the Low Alarm to 20lpm This will help to stop the alarm becoming a nuisance during setting up Alarm setti...

Page 26: ...he face 9 Allow the patient to get used to the interface Objective assessments should verify the settings are suitable and clinically effective 10 If the inspiratory or expiratory trigger needs to be...

Page 27: ...the interface Objective assessments should be performed to establish effective ventilation is achieved 10 Adjust the Inspiratory time Ti to ensure adequate ventilation and patient comfort 11 If the I...

Page 28: ...sed to the interface Objective assessments should be carried out to verify optimal ventilation is being achieved 10 Adjust the Inspiratory time Ti to ensure adequate ventilation 11 If the Inspiratory...

Page 29: ...dings The settings must be verified and the alarm function tested If the alarm settings are not correct or the alarms do not operate when tested proceed to the manual set up Flow Alarm Manual Setting...

Page 30: ...a leak which is less than that required to trigger the standard sensitivity setting This may be useful for very restrictive breathing circuits or small tracheostomy tubes Standard Sensitivity Default...

Page 31: ...tivate the apnoea alarm select ON and select the required time delay The total number of apnoea events during the last seven days or since reset will be displayed along with the time duration of the l...

Page 32: ...e Occlude the outlet and wait 10 seconds The alarm will sound accompanied by the low flow alarm message and the flow display will turn red Power Fail Alarm If both mains and internal power to the NIPP...

Page 33: ...Sigh function is enabled Symbol Sc I shows Cyclic Sigh function is enabled Blue Symbol Sigh mode enabled Green Symbol External sigh trigger acknowledged Purple Symbol Sigh breath activated Sigh breath...

Page 34: ...nected 3 Internal Battery if fitted In order to save battery power the ventilator will always run on mains electricity if it is present If the mains fails or is not connected the ventilator will selec...

Page 35: ...ted to the mains Low Battery Alarm Low battery alarm sound and on screen message Battery Power Running Low and flashing red battery icon Flat Battery alarm sound and on screen message Battery Power Ex...

Page 36: ...ternal battery that is not used will age prematurely An internal battery that is heavily used will age gradually and lose its capacity An internal battery that is moderately used will last longest It...

Page 37: ...end of its life and has not been noticed by the user or for a quick check on a battery that has not been used regularly This test is not an indication that the battery is good but is a useful way of...

Page 38: ...arger as follows Place the charger on a smooth flat surface Connect the charger to the battery socket before switching on the mains power Connect the mains plug to the AC supply and switch on Leave on...

Page 39: ...or use with any domestic PC or laptop computer However when assembling a system the completed system should comply with EN60601 1 medical systems For example most computers do not comply with this sta...

Page 40: ...Rate 6 60 Breaths per minute Type of protection against electric shock Class 1 equipment Degree of protection against electric shock Type B to EN 60601 1 Mode of operation Continuous IP rating X0 Stor...

Page 41: ...tically switch to the back up supply and give an audible and visual indication that it has done so During total power failure there will be no output from the machine The patient will be able to breat...

Page 42: ...lator in direct sunlight Avoid places where there is excessive humidity or dust which may cause damage to internal parts Keep the NIPPY jnr away from extreme direct heat such as fires heating radiator...

Page 43: ...off and disconnect the oxygen supply Switch off the NIPPY and disconnect the breathing circuit Store the breathing circuit in a clean bag or other suitable container DO NOT leave the oxygen connected...

Page 44: ...ith a soft cloth moistened with water Input Air Filter The input air filter should be inspected weekly It is located on the rear of the machine To remove the filter grip the filter housing with the th...

Page 45: ...ns of normal use This warranty does not apply to any unit that has been subjected to misuse or accidental damage or repaired or modified by unauthorised personnel Transportation When shipping damage a...

Page 46: ...ld be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical Fast Transient Burst IEC 61000 4 4 2 kV for power supply lines...

Page 47: ...ronment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance...

Page 48: ...ransceiver 23m 5 W Typical maximum output RF power from a hand held amateur radio transceiver 5m 4 W Typical maximum output power for a Citizens band radio station 27 MHz in many countries 4 6m 2 W Ma...

Page 49: ...ery when the run time is less than 75 of a new battery or the battery is 2 Years old Fully charge the battery connect the breathing circuit and using your normal settings run the ventilator until the...

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Page 51: ...ustment but allows the user to switch the ventilator on and off Total lock The ventilator can be locked to prevent unauthorised adjustment or power off To lock press and and SET buttons simultaneously...