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B & D Electromedical NIPPY Clearway, Instructions For Use Manual, Page: 28 / 43

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B & D Electromedical NIPPY Clearway Instructions For Use Manual Download Page 28

24 

 

NIV Mode 

 

A few minutes non-invasive ventilation may be used to help the patient recover from 
the exertion of the cough assist treatment. The Clearway will cycle between IPAP 
and EPAP at the back up rate. 
 
Press the 

Mode

 switch. Select 

NIV

 

from the mode select screen. 
Set the desired IPAP, Ti, EPAP, and 
Rate. 
Press the 

Start/Stop

 switch to begin. 

Press again to stop. 
 
Ins trigger sensitivity may be adjusted 
by selecting Trigger levels from the 
main menu. 

 
 
NIV will continue for a maximum of 15 minutes. Do not leave the patient 
unattended. 

At the end of treatment a warning will be displayed on screen 

accompanied by a double beep sound.  

 
Manual override is NOT available in NIV mode. 
 
Setting up the Clearway in NIV mode. 

 

•

  Switch on the clearway and select NIV mode from the Mode select list. (If NIV 

does not appear in the list, this function is not available). 

•

  Press INS to select the inspiratory pressure (IPAP) and use the 

◄

- and 

+

►

buttons to adjust to the required pressure. 

•

  Press Ti to select the inspiratory time (Ti) and use the 

◄

- and +

►

buttons to 

adjust to the required time. 

•

  Press INS Rpt. to select the back up rate and use the 

◄

- and +

►

buttons to 

adjust to the required rate. 

•

  Press Exs to select the expiratory pressure (EPAP) and use the 

◄

- and 

+

►

buttons to adjust to the required pressure. 

•

  Press menu and select treatment review screen to view the waveform if desired. 

Press Menu again to escape. 

•

  Press Start/Stop to begin treatment. 

 

 
 
 
 
 
 
 
 
 

Summary of Contents for NIPPY Clearway

Page 1: ...the machine B D Electromedical Unit A2 The Bridge Business Centre Timothy s Bridge Road Stratford upon Avon Warwickshire CV37 9HW Tel 01789 293460 Sales 01789 721577 Technical Support Fax 01789 262470 www nippyventilator com Copies of these instructions may be downloaded from www nippyventilator com downloads ...

Page 2: ...0985 Version 2 February 2011 ...

Page 3: ...g Up Mode Selection 15 Nippy Clearway in Manual Mode 16 Auto Modes Treatment Review Screen 17 Auto Modes manual Override 18 Nippy Clearway in Basic Auto Mode 18 19 Nippy Clearway in Prog Timed Auto Mode 20 21 Nippy Clearway in Prog Triggered Auto Mode 22 23 Nippy Clearway in NIV Mode 24 Advanced Settings Airway Pressure Vibration 25 Advanced Settings Post Exsufflation Breaths 25 Compliance data 25...

Page 4: ...0985 Version 2 February 2011 ...

Page 5: ...ed on a colour LCD Liquid Crystal Display screen The settings can be achieved using the buttons around the outside of the display More advanced features and adjustments can be accessed via the menu It is designed for non continuous use The Nippy Clearway may be used for up to 30 minutes in any 1 hour period For greater convenience the Nippy Clearway may be powered by an external battery There are ...

Page 6: ... operated by an internal fault In this case the fault will be displayed on screen These alarms may be cancelled by pressing the Set button Low Internal Alarm Memory Battery If the machine has been stored for more than a few months the internal memory back up battery will self discharge An intermittent alarm short beep with no onscreen message indicates a depleted memory back up battery The alarm w...

Page 7: ...so yankauer suction may be required to clear from the mouth Very young or weak individuals may still need to use naso pharengeal suction Nippy Clearway must be prescribed by and used only under the supervision of a qualified physician Contraindications Pneumothorax or pneumo mediasinum Facial trauma interface should be considered Tracheoesophageal fistula Recent or existing barotrauma Bullous emph...

Page 8: ...ssor control 7 Universal internal mains input operates anywhere in the world without transformers 8 Large colour LCD display clearly shows all settings 9 28 days stored on screen compliance data 10 Comprehensive event log stores all adjustments settings and user interventions for download to PC 11 Very low maintenance requirements therefore maintenance costs are extremely low 12 Twelve months part...

Page 9: ...tion Consult Accompanying Documents Switch ON OFF Increase Button Decrease Button Settings Locked Unlocked Battery Charged Battery Discharged Service Reminder Dispose of in Line with Local Authority Guidelines Recycle Do Not Reuse Batch Code Consult Instructions for Use Green Manual Control Faded and Flashing Manual Override available 2 post exsufflation breaths selected at end of auto mode M ...

Page 10: ...ns in an auto cycle Value is displayed on screen adjacent to the switch 5 Mode Displays the mode selection screen 6 Exs Selects the exsufflation negative airway pressure adjustment scaled in cmH2O Value is displayed on screen adjacent to the switch 7 Te Selects the exsufflation time adjustment scaled in seconds Value is displayed on screen adjacent to the switch 8 Cycle Rpt Selects adjustment of t...

Page 11: ... running on external battery power Fascia Display 1 Pressure Display Indicates insufflation and exsufflation pressure scaled in cm H2O 2 Service Reminder Flashing major service due 3 External battery Indicates external battery is connected Shows red when depleted 4 Settings locked symbol This symbol indicates that the settings are locked 5 Trigger indicator Flashes each time the insufflation cycle...

Page 12: ... port Rear Panel Layout 1 Aux Power 24 Volt connection for external battery Connect only recommended batteries part no 0788 2 Cooling Vent Cooling air outlet Do not obstruct 3 RS232 Port For connection to a personal computer Isolated to 1500 Volts 4 Power Inlet Input mains power connector Double fused Use B D supplied power cable ...

Page 13: ...creen accompanied by an audible beep To recharge the battery plug the Clearway into the mains and switch it on Leave it switched on for approx 7 hours Handheld Ins Exs Switch The handheld ins exs switch mimics the operation of the front panel mounted ins exs switch To use the handheld ins exs switch plug its connector into the RS232 connector on the back of the Clearway In manual mode or during ma...

Page 14: ...he tube before pulling it off Push the small tube onto the Mask Pressure port To disconnect twist the tube before pulling it off Connect the patient interface to the opposite end of the large tube To Switch On Place the Nippy Clearway on a clean smooth hard surface NOT carpet Connect the power lead to the mains power connector on the rear panel Plug into the mains power supply Press the on off but...

Page 15: ...epeat the cycle CYCLE RPT and icons for ext battery and locked settings How to adjust the Nippy Clearway Select the desired parameter with the relevant button The reading adjacent to the button will be highlighted by a purple flashing box Alter it with the or buttons When you have finished move on to the next adjustment or wait a couple of seconds for the flashing box to disappear E g Press INS IN...

Page 16: ...wn the menu with the or buttons to highlight the desired function and press the SET button to select it Follow the on screen instruction at the bottom of the window Press MENU at any time to exit and return to the main screen Eg Press MENU Press button to move the selection bar over Settings and Options Press SET Press SET button to select User Preferences Press SET again to move the and symbols e...

Page 17: ...ths View Select Mode Select Manual View Select Basic Auto View Select Programmed Timed Auto View Select Triggered Timed Auto View Select NIV View Select 3 Clear Patient Settings Resets machine to default settings and clears the compliance data ready for a new patient 4 Warnings Cautions Safety information View only 5 Compliance Data Total Hours View only Compliance Hours View only Average Treatmen...

Page 18: ...ng setting up you require a description of a particular parameter select it then press HELP for a context sensitive help message Press HELP again to clear Using Help with settings locked When the settings have been locked help is limited to a list of more common problems that may arise during use and advice on how to deal with them Follow the on screen instructions ...

Page 19: ...sician may select the modes available to the user Only the selected modes will be displayed on the mode selection screen From the main menu select Settings and Options then Mode Select Options Use the Set button to move up and down the list and the and buttons to select a mode on or off Only modes set to On will be available in the mode selection screen Mode Selection Press the Mode switch to disp...

Page 20: ...e Clearway in manual mode Switch on the clearway and select Manual mode from the Mode select list If manual does not appear in the list this function is not available Press INS to select the insufflation pressure and use the and buttons to adjust to the required pressure Press EXS to select the exsufflation pressure and use the and buttons to adjust to the required pressure Use either the front pa...

Page 21: ... main menu Insufflation Ti is shown as a positive waveform pause P as zero and exsufflation Te is shown as negative The Y axis shows pressure in cm H2O and the X axis time in seconds If the entire sequence can be displayed on one screen width the review screen will look like this In this example the machine has been programmed to deliver two insufflations followed by one exsufflation The following...

Page 22: ...his is set through advanced settings see page 25 After setting pressures and timing the waveform may be viewed using the Treatment Review screen Press the Start Stop button to initiate treatment The clearway will start the sequence and the display will change to the active treatment display This is a graphical representation of the treatment sequence Insufflation is shown as a positive waveform an...

Page 23: ...e insufflation time and use the and buttons to adjust to the required time Press EXS to select the exsufflation pressure and use the and buttons to adjust to the required pressure Press Te to select the exsufflation time and use the and buttons to adjust to the required time Press Pause to select the pause time between cycles and use the and buttons to adjust to the required time Press menu and se...

Page 24: ... Start Stop button to initiate treatment The clearway will start the sequence and the display will change to the active treatment display This is a graphical representation of the treatment sequence Insufflation is shown as a positive waveform and exsufflation is shown as negative The numbers in the top right hand corner of the display indicate the progress In this example it is showing repetition...

Page 25: ...lations and use the and buttons to adjust to the required time Press Ins Rpt to select the number of insufflations before exsufflation Use the and buttons to adjust to the required number Press EXS to select the exsufflation pressure and use the and buttons to adjust to the required pressure Press Te to select the exsufflation time and use the and buttons to adjust to the required time Press Cycle...

Page 26: ... by exsufflation repeated twice Press the Start Stop button to initiate treatment The clearway will wait for the patient to trigger the start of the sequence and the display will change to the active treatment display This is a graphical representation of the treatment sequence Insufflation is shown as a positive waveform and exsufflation is shown as negative The numbers in the top right hand corn...

Page 27: ...required time Press Ins Rpt to select the number of insufflations before exsufflation Use the and buttons to adjust to the required number Press EXS to select the exsufflation pressure and use the and buttons to adjust to the required pressure Press Te to select the exsufflation time and use the and buttons to adjust to the required time Press Cycle Rpt To select the number of insufflation exsuffl...

Page 28: ...mpanied by a double beep sound Manual override is NOT available in NIV mode Setting up the Clearway in NIV mode Switch on the clearway and select NIV mode from the Mode select list If NIV does not appear in the list this function is not available Press INS to select the inspiratory pressure IPAP and use the and buttons to adjust to the required pressure Press Ti to select the inspiratory time Ti a...

Page 29: ... and buttons to select the desired vibration level and then Set to accept Default setting is for vibration settings to be off Post exsufflation breaths The post exsufflation breaths function may be accessed via the Advanced Settings screen Press Menu and select Settings and Options and then Advanced Settings from the list Use the Set button to move between Ins and Exs vibration and post breaths se...

Page 30: ...rten run times Average run time is expected to be approx 1 hour External Batteries The external battery pack is supplied specifically to power the Nippy clearway External battery part number 0960 111 0998 External battery charger part number 0960 112 0999 These batteries should never be used to run any other type of equipment DO NOT attempt to connect any battery other than those supplied by the m...

Page 31: ...the case with a soft cloth moistened with water Battery Care DO NOT use any other type of battery charger This could lead to damage to the battery and personal injury The battery should be recharged as soon as possible after use This type of battery does not suffer from the memory effect that is widely talked about and does not need to be fully discharged before charging Batteries like to be used ...

Page 32: ...lways make sure that the battery is fully charged before use Do not switch off charger until battery is fully charged Avoid the temptation to give the battery a quick boost This is of no benefit If you are in doubt the state of charge charge for at least 24 hours If running time suddenly seems considerably shorter than normal make sure that the battery is fully charged Do not charge your battery n...

Page 33: ...h EN60601 1 medical systems For example most computers do not comply with this standard so it should be sited at a distance which makes it impossible to touch the computer and the patient at the same time 1 Fresh air inlet 2 Vacuum connection 3 Pressure Connection 4 Outlet connector 5 6 7 Pressure transducer 2 8 Exhaust Port 9 10 Pressure Exhalation Port 11 Mask Pressure port Pressure transducer 1...

Page 34: ...operate normally Failure of Electrical Power Supply The machine may be operated normally using an external battery During total power failure there will be no output from the machine The patient will be able to breathe spontaneously through the machine and out through the exhale port However some re breathing of exhaled gas is inevitable During power machine failure disconnect the patient from the...

Page 35: ...Nippy Clearway is moved from cold surroundings into a well heated room condensation may form Do not operate the unit for at least 2 hours to allow any condensation to evaporate Do not operate the machine in direct sunlight Avoid places where there is excessive humidity or dust which may cause damage to internal parts Keep the Nippy Clearway away from extreme direct heat such as fires heating radia...

Page 36: ...Exterior of Case To clean wipe the exterior of the case with a soft cloth moistened with water Input Air Filter The input air filter should be inspected weekly Replace when visibly soiled It is located on the rear of the machine To remove the filter grip the filter housing with the thumb and forefinger across the top corners and pull the filter cover away from the machine Remove and inspect the el...

Page 37: ...sibility Use the original packing materials whenever possible In the event of a breakdown or damage to the machine refer servicing or repair to qualified and competent technical personnel Factory Service Repair Damage to either the machine or its mains lead must be inspected by competent technical personnel before use B D Electromedical products returned for factory service or repair must have a R...

Page 38: ...me 0 5 sec at zero pressure Run Time 15 minutes Size 297 x 223 x 132mm Weight 3kg Supply Voltage 100 240 V ac Supply Frequency 47 63 Hz Type of protection against electric shock Class 1 equipment Degree of protection against electric shock Type B to EN 60601 1 Mode of operation Intermittent 30 minutes use in 1 hour External battery Li Ion 24Vdc 5 8 Ahr IP Rating 20 Protection against flammable ana...

Page 39: ...uld 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 1 kV for input output lines 2 kV for supply mains 1 kV for input output lines Mains power quality should be that of a typical home or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2...

Page 40: ...ironment 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 level above the device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as relocating the device Recommended Separation Dis...

Page 41: ...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 Maximum output from a UMTS 3G mobile phone Power class 1 mobiles Maximum output from a GSM850 900 mobile phone 3 25m 500 mW Typical cellular phone transmission power Maximum output from a UMTS 3G mobile...

Page 42: ...38 ...

Page 43: ...ing the settings The settings can be locked to prevent unauthorised adjustment To lock press and buttons simultaneously and hold for 2 seconds To unlock press and buttons simultaneously and hold for 2 seconds This prevents adjustment but allows the user to switch the machine on and off ...

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