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Document No. 715-7000
Revision E
Page 16 of 63
The AeroNOx
Bedside Set-Up
Prepare the AeroNOx
Bedside Nitric Oxide Titration & Monitoring System
for initial operation as follows:
1.
Unpack the AeroNOx
and inspect for damage.
2.
Install battery as per
SECTION III
, “Battery”.
3.
Secure the therapeutic tanks to the AeroNOx
cart.
4.
Unpack 12 V universal power supply (P/N 293-0040) and Medical Grade Power Cord
(P/N 711-0179). Plug in AeroNOx
and charge for ~ 24 hrs.
5. Calibrate
AeroNOx
using the Calibration Kit (P/N 731-9145) NO and NO
2
Calibration
Gas specified by the manufacturer and the instructions found in
SECTION V
of this manual.
6.
Attach CGA 626 regulators (P/N 731-7142) to delivery gas cylinders as per
“Purge
procedures to follow when changing tanks and/or regulators”
in this section.
7.
Connect selected regulator outlet to the AeroNOx
gas inlet using the stainless steel hose
with quick connect adapters.
8.
Turn on nitric oxide gas supply.
9. Attach
the
AeroNOx
delivery line (P/N 415-0001) found in the AeroNOx
“NO
WORRIES” connector sample pak to the female luer connector marked “NITRIC OXIDE
DELIVERY OUTLET” on the AeroNOx
. Tee the other end of the delivery line into the
patient breathing circuit at least 30 - 40 cm upstream of the sampling site. Attach the “NO
WORRIES” sample line (P/N 415-0004) to the male luer connector marked “ANALYSIS
SAMPLE INLET” on the AeroNOx
.
10.
Select the appropriate sample gas connector from your “NO WORRIES” connector
sample pak and attach it to the free end of the sample line.
11.
Connect the sample gas connector to the patient breathing circuit. The connector should
be placed in the inspiratory limb, just prior to the patient wye connection (refer to Diagram
# 3).
12.
“Flush” your system according to “Suggested “flush” procedure for the delivery portion of
the AeroNOx
system”.
13.
You are now ready to deliver NO gas and sample mixed inspired gases.
CAUTION!
Never turn on the NO delivery gas without first turning on the
ventilator or bagger flow. Failure to do this will result in undiluted
delivery gas entering the sampling chamber and exposing the sensors
to levels of NO and/or NO
2
which may damage the sensors.
CAUTION!
NO
2
gas may have collected in the AeroNOx
delivery circuitry. Prior
to delivering gas to the patient, “flush” your delivery system with
fresh NO delivery gas. This should be repeated every time you begin
NO gas administration. Analyze the gas for high NO
2
levels prior to
patient connection.