NIOX 09-1000 User Manual Download Page 4

2

Warning!

• Handle the NIOX MINO

®

 instrument as 

stated in this manual. Circassia accepts no 

responsibility for damaged equipment or 

faulty results if the equipment is not handled 

according to this manual.

• Do not use a damaged NIOX MINO instrument 

or damaged components.

• Use only the power supply unit provided.
• Keep the instrument out of water. Ensure 

that no liquid is spilled or dripped on the 

instrument.

• Do not heat or dispose of the instrument or 

Sensor in fire. Please refer to the "Disposal of 

used/expired products" section.

• Take care not to drop the instrument or subject 

it to strong impact.

• It is recommended not to use NIOX MINO 

in the proximity of areas where volatile 

substances such as organic fluids or 

disinfectants are being used. Special attention 

should be paid to aerosols and disinfection 

baths (either open vessels or ultrasonic baths). 

• NIOX MINO should not be used adjacent to or 

stacked with other equipment. 

• The NIOX MINO Sensor contains chemicals 

that could be harmful if swallowed.

• Touch only the grey cap when exchanging the 

Sensor.

• Do not clean the Sensor. Cleaning of the 

Sensor with ethanol or similar disinfectant 

might destabilize it for a non-predictable time 

period.

• Keep the Sensor out of water. Ensure that no 

liquid is spilled or dripped on the Sensor.

• The NO scrubber contains potassium 

permanganate and should be disposed of as 

hazardous waste in accordance with the local 

waste disposal regulations.

• 

When selecting an accessory for your 

NIOX MINO please keep in mind that an 

accessory not recommended by Circassia 

may result in loss of performance, damage to 

your NIOX MINO, fire, electric shock, injury 

or damage to other property. The product 

warranty does not cover product failure or 

damage resulting from use with non-approved 

accessories. Circassia takes no responsibility 

for health and safety problems or other 

problems caused by the use of accessories 

not ap proved by Circassia. 

• No modification of the NIOX MINO instrument 

or the Sensor is allowed.

Also see Cautions page 19.

Intended use (Europe)

NIOX MINO

®

 Airway Inflammation Monitor 

measures Fractional Exhaled Nitric Oxide (

FeNO

in human breath. The level of Nitric Oxide is 

elevated when eosinophilic airway inflammation 

is present and decreases as a response to anti-

inflammatory treatment. The 

FeNO concentration 

in expired breath can be measured by NIOX MINO 

with assurance that such measurements are 

repeatable and according to guidelines for NO 

measurement established jointly by the European 

Respiratory Society and the American Thoracic 

Society

1

.

Measurement of FeNO by NIOX MINO is a 

quantitative, non-invasive, simple and safe method 

to measure the FeNO concentration in patients 

with asthma-like airway symptoms in order to 

establish and monitor the presence of eosinophilic 

airway inflammation. 
NIOX MINO is suitable for children, approximately 

4 - 17 years, and adults 18 years and older. 

FeNO measurements should be used as part 

of the regular assessment and monitoring of 

asthma patients to improve the patient’s asthma 

management. NIOX MINO should be used 

as directed in the NIOX MINO User Manual. 

NIOX MINO may not be used with infants or by 

children approximately under the age of 4, as 

measurement requires patient cooperation.

1

 

Am J Respir Crit Care Med 2005; 171: 912-930.

Training requirements

NIOX MINO should only be used as directed in this 

manual, by trained physicians, nurses, respiratory 

therapists and laboratory technicians. “Trained” 

status is achieved only after careful reading of this 

manual.

Summary of Contents for 09-1000

Page 1: ...E N G L I S H NIOX MINO User Manual ...

Page 2: ... NIOX MINO in the proximity of areas where volatile substances such as organic fluids or disinfectants are being used Special attention should be paid to aerosols and disinfection baths either open vessels or ultrasonic baths Always use a NIOX MINO Bag closed for transportation and storage of NIOX MINO when it is disconnected from the power outlet The NIOX MINO Bag is sold separately Shelf life NI...

Page 3: ...xhalation parameters 16 Memory capacity 16 Transport and storage 16 Patient filter mouthpiece 16 Responsible manufacturer 16 NIOX MINO parts and accessories 17 Connect NIOX MINO to a PC using USB 18 NIOX Panel 18 Special 6s FeNO measurement 19 Nasal measurement 19 Cautions 19 Clinical documentation 20 Vigilance 20 Guidance and manufacturer s declaration 21 Electromagnetic emissions 21 User manual ...

Page 4: ...property The product warranty does not cover product failure or damage resulting from use with non approved accessories Circassia takes no responsibility for health and safety problems or other problems caused by the use of accessories not ap proved by Circassia No modification of the NIOX MINO instrument or the Sensor is allowed Also see Cautions page 19 Intended use Europe NIOX MINO Airway Infla...

Page 5: ...ndard measurement mode page 6 Nasal measurement mode page 19 Return Special 6 s measurement mode page 19 Ambient measurement page 7 Demonstration mode page 7 View measurement results page 7 Settings screen Controlled power off page 10 NO scrubber setup page 10 Bluetooth on off page 8 Return QC on off page 8 Light and sound page 8 Time and date page 8 Information page 10 Main screen Number of remai...

Page 6: ...5 Replace the cover and make sure it snaps in place 6 Attach the power supply unit to the instrument and to a power outlet 7 Wait for the instrument to start up and press the Forward button 8 Reminder to insert a new NO scrubber Press the Forward button 9 Select OTHER on the display Note This screen is only displayed at first start up of the instrument The JAPAN icon is only available for SW 22XX ...

Page 7: ...let However it is recommended to allow a new NIOX MINO Sensor to be connected for two hours before the first measurement is done Measurement Depending on what is shown on the display proceed as follows Stabilization in progress Wait until ready Instrument in sleep mode Touch the display Ready for use Enter patient ID optional Note If Patient ID is used it has to be entered before each measurement ...

Page 8: ...ity The cloud on the display is inflated and the top light is turned off while you inhale The sun cloud rises Inhalation time is displayed by buttons if meter is selected 3 Exhale slowly through the filter until the top light and sound turns off Continuous sound and steady light OK Intermittent high frequency sound and flickering light exhalation too hard Intermittent low frequency sound and flick...

Page 9: ...ement 4 Wait for result approximately 4 minutes Demonstration mode Use this mode for a new patient in order to demonstrate the different steps during a measurement and the corresponding illustrations on the display as well as light and audio feed back Sound volume has to be activated 1 Select Mode 2 Select Demo 3 The inhalation screen is shown and the top light is turned off 4 Use the Forward butt...

Page 10: ...e sound volume 5 Select OK to accept the changes Top light intensity 1 Select Settings 2 Select Sound and Light 3 Select top light 4 The top light setting is shown 5 Use the plus and minus buttons to set the light intensity 6 Select OK to accept the changes Bluetooth on off 1 Select Settings 2 Select Bluetooth 3 The Bluetooth setting is shown 4 Use the buttons to deactivate or activate Bluetooth 5...

Page 11: ...est alerts Note The alert codes in the list are only to be used in contact with Customer support Date of the alert Alert code for customer support purpose only 6 Select Return to go back to the Information screen Turn off NIOX MINO Note When within the specified operating conditions see page 15 it is recommended to keep NIOX MINO with installed Sensor connected to a power outlet whenever possible ...

Page 12: ... is missing or damaged contact your local Circassia representative or Circassia AB Change Sensor Caution Be careful when opening the Sensor can The inside of the opening has sharp edges Do not touch or clean the white Sensor membrane 1 Press and hold the blue button while turning the orange swivel 2 Remove the Sensor 3 Insert the new Sensor 4 Turn back the orange swivel until locked Change NO scru...

Page 13: ...provides a Limited Warranty for this instrument and original accessories delivered with this instrument Conditions are defined when the items are purchased Do NOT try to repair the instrument It is NOT permitted to open the instrument Any attempt will make the warranty invalid and performance according to the specifications can not be guaranteed Troubleshooting Warning Action The inhalation was to...

Page 14: ...ter inhalation Code Action A13 Select return and repeat the measurement and do not breathe through the patient filter during analysis A14 Wrong passcode for NO scrubber exchange Instruments alerts A20 Check that the ambient temperature is within specification If necessary shut the instrument down move it to another location and restart the instrument A21 Remove any sources of disturbance such as c...

Page 15: ...ment research application Stored measurement results Nasal flow 2 ml s research application Nasal flow 5 ml s research application Demonstration mode Clock Information Forward OK Return Previous Next Decrease Increase to Number Backspace Button Description Shift to keypad 0 4 Shift to keypad 5 9 Bluetooth on Bluetooth off US time and date settings ISO time and date settings Alert info Sound and to...

Page 16: ...Nasal measurement research application Ambient NO measurement Attach nasal olive to nostril research application Insert Sensor NO scrubber NO scrubber General warning Instrument expiration warning Sensor warning Temperature warning NO scrubber warning Symbol Description Wait Wait time Wait for temperature stabilization Wait for Sensor stabilization ...

Page 17: ...orms to ANSI AAMI ES60601 1 and certified to CAN CSA C22 2 No 60601 1 Base label 2 3 1 1 Instrument expiration date year month 2 Instrument article number 3 Instrument serial number Dimensions and weight Height 230 mm Width 128 mm Depth 96 mm Weight of instrument including Sensor 0 8 kg Electrical data Electrical safety classification The equipment complies with the requirements according to IEC 6...

Page 18: ...OX instrument from Circassia Inhalation parameters Inhalation to TLC Total Lung Capacity before start of exhalation to secure proper activation Minimum 3 cm H2 O trigger only Exhalation parameters Exhalation time Standard mode 10 s clinical use Special 6 s mode 6 s research use All exhalations are to be performed at an exhalation pressure of 10 20 cm H2 O to maintain a fixed flow rate of 50 5 ml s...

Page 19: ...3 Parts delivered separately NIOX MINO NO scrubber 09 1300 NIOX MINO User Manual EPM 000110 Accessories NIOX MINO Test Kit 100 03 4000 contains 1 NIOX MINO Sensor for 100 measurements and 100 NIOX Filters NIOX MINO Test Kit 300 03 4001 contains 1 NIOX MINO Sensor for 300 measurements and 300 NIOX Filters NIOX MINO Test Kit 500 03 4007 contains 1 NIOX MINO Sensor for 500 measurements and 500 NIOX F...

Page 20: ... on the NIOX MINO display to indicate that a USB connection is established Connect NIOX MINO to a PC using Bluetooth 1 Select Settings 2 Select Bluetooth 3 The Bluetooth setting is shown 4 Use the button to activate Bluetooth 5 Select OK to accept the changes 6 Follow the instructions delivered with the PC or from the Bluetooth device manufacturer for how to set up a Blutetooth connection Create a...

Page 21: ...imum of 30 minutes after that The Special 6 s exhalation and nasal modes are intended for research use only The NIOX MINO Sensor shall be kept in its original unopened package before installation For transportation and storage conditions refer to the corresponding section in this manual The NIOX MINO Sensor is sensitive to changes in ambient temperature and humidity Be careful when opening the Sen...

Page 22: ...eld device for the measurement of exhaled nitric oxide Allergy 2007 62 1171 1174 5 Menzies D Nair A Lipworth BJ Portable exhaled nitric oxide measurement Comparison with the gold standard technique Chest 2007 131 2 410 4 The Sensor is already calibrated during manufacturing and does not need to be re calibrated Vigilance Circassia as a medical device manufacturer must have a system in place to rep...

Page 23: ...nments such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast it is possible that high levels of such interferences due to close proximity or strength of a source may result in disruption of performance of the device If abnormal performance is observed it may be necessary to reorient or relocate NIOX MINO Warning...

Page 24: ...AB Uppsala Sweden NIOX MINO and NIOX are registered trademarks of Circassia AB Patents Circassia s NIOX products are protected by a number of patents in the US Europe and a range of other countries A NEW DIMENSION IN ASTHMA CARE Information in this document is subject to change Amendments will be made available by Circassia AB as they occur Copyright 2017 Circassia AB Uppsala Sweden Based on the c...

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