Medin medinCNO, User Manual

Page: 28 / 68


+49 8142 448 460
info@medin-medical.com
www.medin-medical.com
medin Medical Innovations GmbH
Adam-Geisler-Str. 1
D-82140 Olching
OP_medinCNO EN
Rev 12 Stand 06.03.2019
28 von 68
5 Operation
The medinCNO
®
can be used to administer pure CPAP therapy, push-supported CPAP therapy or oscillating
CPAP therapy. All versions are based on pure CPAP therapy and the push or modulated oscillation options are
added if required. The medinCNO
®
offers four CPAP modes:
- CPAP
: pure CPAP mode in which a constant CPAP pressure in the Medijet ® is generated by a
constant flow. This mode operates without automatic pushes. However, operators can trigger
manual pushes if necessary.
In addition, the leak assist can be switched on (see chapter 5.7).
- Apnoea CPAP: In this mode, the basic CPAP mode described under CPAP is combined with apnoea
monitoring. The medinCNO
®
assesses the CPAP pressure signal and recognises from this
information whether or not respiratory activity is taking place. If no respiratory activity can be
detected for a length of time that can be set, the medinCNO
® automatically triggers a push to
stimulate the patient.
In addition, the backup function can be used (see chapter 5.6) and the special case NIPPV can be
activated (see chapter 5.8).
- SNIPPV:
(=synchronised non-invasive positive pressure ventilation). In the SNIPPV mode, the
medinCNO
®
has the capability not only of automatically triggering pushes during the apnoea phases
but also of synchronising them with the patient's inspiration. This means that the patient can be
stimulated by automatic pushes both during apnoea and when he or she is breathing normally. In
addition, it is possible to use the backup function.
Nevertheless, the SNIPPV mode is only a CPAP mode and is not a substitute for ventilator respiratory
support by a mechanical ventilator that the patient might need.
- Oscillation: The oscillation mode offers a Medijet
®
pressure of varying frequency within a range of
5 to 20 Hz instead of constant CPAP pressure.
The fifth mode, Standby , can be used for the time between preparation of the medinCNO ® and its actual use
as well as for pauses in the CPAP therapy for a patient.
Some operating steps and settings are common to all medinCNO
®
modes and are transferred when switching
from one mode to another, but some settings are specific to particular modes.
Warning:
- The medinCNO
®
is intended for clinical use only.
- The medinCNO
®
may only be used while the patient’s oxygen saturation is being monitored at the
same time.
- The medinCNO ® may only be used by and under the supervision of expert staff who have been
trained in the device.
- For use only in combination with the Medijet
®
nCPAP generator.
- The medinCNO
®
is a CPAP device. It is suitable only for patients who can breathe spontaneously
and not for patients who are dependent on artificial respiration.
- Ensure that resuscitation equipment is always available while the medinCNO ® is in use.
-
A reliable, adequate power supply (mains or battery) must be available throughout the entire
duration of medinCNO ® operation.
- The medinCNO
®
must not be switched off while it is connected to a patient.
- If unusual or inexplicable events occur while the medinCNO
®
is in use, or if you hear unusual noises
or observe alarm messages that cannot be switched off, shut down the medinCNO
®
and contact a
service technician.