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Parker Digital MXR-D 4065D, User Manual, Page: 19 / 28

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19

BAG TEE 

The Bag Tee assembly features a Non-rebreathing Valve and an Emergency Air Intake located on 
the Bag Tee, which comply with American Dental Association guidelines. The non-rebreathing valve 
has a back flow check valve, which prevents exhaled gases from entering the breathing bag (no 
carbon dioxide buildup).  The emergency air intake has a valve that allows room air to be inhaled 
into the breathing circuit by the patient.  A breathing bag is attached to the metal portion of the Bag 
Tee and is a reservoir bag for the delivered analgesia gases, which when taken together with the 
two valves above, becomes the visual barometer for monitoring the patient’s respiration rate.  The 
bag moves in and out with each inhalation and exhalation.   

Bag Tee Installation to Flowmeter:  Screw knurled seal down tight onto flowmeter making sure the 
rubber washer is inside the seal nut.  When tight, the bag tee should not rotate. 

Note:

  Fit mask to patient so inner mask is pulled down tight secure to the face.  Outer mask should 

not be against the face.  Vacuum needs to be drawn into outer mask during inhalation. 

 

 

Non-Rebreathing Valve—Check Monthly 

Place the On / Standby switch in the STANDBY (Off) position. Disconnect the corrugated rubber 
tubing from the Rubber Goods and breathe into the corrugated tubing connected to the bag tee.  
You should not be able to fill the bag with exhalation gas.  If the bag fills, the system’s Non-
Rebreathing Valve is not functioning properly and should be replaced. 

 
 

 
 
 
 
 
 
 
 
 

 
 

Emergency Air Valve—Check Monthly 

Place the On / Standby switch in the STANDBY (Off) position. Disconnect the corrugated rubber 
tubing from the gas scavenging apparatus and draw air with your mouth through the corrugated 
tubing connected to the bag tee.  You should be able to draw ambient air through the Emergency 
Air Valve (the gas bag may have to fully collapse first).   Air going through the valve sounds 
different than normal gas flow. 

 

 
 

Emergency 
Air 
Intake 

Non-Rebreathing 
Valve 

Summary of Contents for Digital MXR-D 4065D

Page 1: ...DIGITAL MXR D FLOWMETER USER S MANUAL Instructions and Safety Considerations Cabinet Mount MXR D Porter Conscious Sedation Flowmeter and Bag Tee Accessory FM 1061 Rev B 4 11 ...

Page 2: ...UL 60601 1 and CAN CSA C22 2 No 601 1 M90 Symbol Description Protective Earth Ground Class I Device Alternating Current Attention consult the accompanying documents Type B Equipment Distribution of Porter Model 4065D is limited and controlled to United States and Canada only The Porter Model 4065D incorporates fusing only in the ungrounded phase conductor This product must not be used in countries...

Page 3: ...OUTS 14 INITIALIZATION PROCEDURE 15 NITROUS AND OXYGEN FLOW TUBE INDICATORS 16 USAGE DURING POWER OUTAGE 16 FLOWMETER ACCESSORIES 17 Three or Two Liter Reservoir Bag 17 Positive Pressure Demand Valve 17 Gas Scavenger Breathing Circuit 17 Automatic Vacuum Switch AVS Option 18 In line Vacuum Control Kit Option 18 BAG TEE 19 Non Rebreathing Valve Check Monthly 19 Emergency Air Valve Check Monthly 19 ...

Page 4: ... Gas Systems NFPA 99 Copies of NFPA 99 or portions thereof may be obtained by writing to National Fire Protection Association Batterymarch Park Quincy MA 02269 9904 or call 1 800 344 3555 WARNING New or modified installations properly connected gas pipelines are absolutely essential to patient safety The dealer or contractor should provide written documentation that all gas pipelines are connected...

Page 5: ...n and alarms needed for the Vanguard test Then turn off both Oxygen tanks and leave both Nitrous Oxide tanks on For the Sentinel only one tank of each gas is on at a time Turn off the one open Oxygen tank leave on the one Nitrous Oxide tank turn off the indicator lights eliminates alarms during the Sentinel test 2 In the operatory where the flowmeter is installed flow 5 to 6 liters per minute of O...

Page 6: ...gas outlet station the Oxygen 1 2 inch pipe is incorrectly decreased down to the DISS 3 8 inch size reserved for Nitrous Oxide lines Oxygen is fed into the Nitrous Oxide lines At gas outlet station the common run of 1 2 inch pipe for Nitrous Oxide is incorrectly allowed to remain at the 1 2 inch size and is then falsely connected to the DISS 1 2 inch outlet station Nitrous Oxide is fed into the Ox...

Page 7: ...NITROUS OXIDE CONSCIOUS SEDATION SYSTEM ILLUSTRATION 7 ...

Page 8: ...g 7 A 2633 000 Adapter for Bag Tee 8 A 1679 Remote Bag Tee Adapter 9 B 2460 001 O2 Check Valve 9A B 2461 001 N2O Check Valve 10 8005 O2 Hose Diss Diss 5 Ft 10A 8505 N2O Hose Diss Diss 5 Ft 10B 80012 O2 Hose Diss Diss 12 Ft 10C 85012 N2O Hose Diss Diss 12 Ft 11 PA 450 1 002 O2 Hose 12 Ft 11A PA 450 1 001 O2 Hose 20 Ft 12 A 2508 000 Kit Rubber Gds Hook Mounting Options for Bag Tee and AVS 13 2036 4 ...

Page 9: ...it Bubbles will appear at leaking locations when a soap water solution is used This procedure is recommended each time a cylinder is changed TANK REGULATOR SPECIFICATIONS Oxygen Regulator Use Porter O2 Regulator part number 7000 2 or the Oxygen tank regulator should have the following specifications Regulator should be pre set at 50 PSIG 2 PSIG static Inlet fitting per CGA 540 Outlet fitting per O...

Page 10: ...owmeter are disconnected and then reconnected such as after a flowmeter service at the factory or if the DISS DISS hose is replaced Leak test the flowmeter system for working pressure leaks After all hose connections are tightened turn the N2O and Total Flow control knobs clockwise to the off position and the On Standby Off switch to the STANDBY position Confirm that the DISS Shut Off Valves are i...

Page 11: ...y and perform auto zero Note The flowmeter still has power in the STANDBY position N2O and O2 Indicator Tubes Visual flow tubes indicating flowrates in L min of Nitrous Oxide and Oxygen Nitrous tube with 1 L min marking Oxygen tube with a 1 and 10 L min marking Each tube has a small Circle Flow Guide which indicates 3 L min of flow when the float is set at the center and a larger Circle Flow Guide...

Page 12: ...0 nitrous upward movements every 60 seconds until endpoint achieved Patients may typically experience relief of anxiety tingling in extremities and euphoria Patients typically require less than 50 Nitrous 6 Watching primary digital display Flow Control knob may be re adjusted to bring the total flow of gases back to desired level when concentration is increased or decreased Note also Total flow is...

Page 13: ... feature should not be used as the primary shut off mechanism The N2O and Total Flow control knobs are for primary shut off After primary shut off the On Standby Switch should be placed in the STANDBY off position for final shut off of the unit an auto zero of the unit will be performed NOTE If your unit does not operate as described in Steps 1 through 10 under Directions for Use please contact yo...

Page 14: ...display the digital readout for N2O and Total Flow during the outage Refer to Usage During Power Outage PORTER Digital Display N2O O2 MXR Model No SN Serial No of Unit Ed Mixer Version Check Sum Initial sequence upon a power up of power supply On Standby Switch turned ON is not a power up To see initial sequence Power down unplug wait 1 minute power up Note The serial number of the unit will displ...

Page 15: ... be 50 PSIG 2 PSIG 3 Replace with full cylinder 4 Remove quick connect from O2 Connect port to return display to normal O2 Flush Condition Display will not indicate accurate flow settings When the O2 Flush button is activated pushed in extra delivery of Oxygen about 35 L min is provided to the breathing bag However the reading displayed by the digital display will not display the actual flow and p...

Page 16: ...used as a guide USAGE DURING POWER OUTAGE Note If the power is interrupted to the unit the unit will continue to deliver the same mixture setting during the power outage but the device will not display the digital readouts for the N2O and Total Flow The knobs may be adjusted to move the ball float to the desired positions When safely possible discontinue the procedure using normal delivery techniq...

Page 17: ...elines for Resuscitation Refer to the User Instructions supplied with this product for complete details Gas Scavenger Breathing Circuit Gas scavenger system is used to remove exhaled gases during a dental analgesia conscious sedation procedure in a dental operatory The breathing circuit consists of a 22mm 90 elbow connector fresh gas coaxial tubing a corrugated hose and hood assembly Attach the na...

Page 18: ...hat higher vacuum flows of up to 45 L min are most effective To meet the NIOSH recommendation of 45 L min adjust the ball above the green bar area CAUTION DO NOT PROCESS ANY LIQUIDS OR DEBRIS THROUGH THE AVS This contamination can cause damage and affect the function of the unit The AVS is designed to regulate the vacuum flow level for scavenging of Nitrous Oxide Oxygen gas only CAUTION The vacuum...

Page 19: ...hen tight the bag tee should not rotate Note Fit mask to patient so inner mask is pulled down tight secure to the face Outer mask should not be against the face Vacuum needs to be drawn into outer mask during inhalation Non Rebreathing Valve Check Monthly Place the On Standby switch in the STANDBY Off position Disconnect the corrugated rubber tubing from the Rubber Goods and breathe into the corru...

Page 20: ...itrous is not flowing 2 With total loss of oxygen the Nitrous Oxide delivery is automatically shut off The digital display will reflect status with blank Total Flow and numbers 3 When Oxygen flow is restored to above 1 L min the display will return to normal High Nitrous Percentage Detection The MXR D Flowmeter has a feature to detect a High N2O Percentage above 70 concentration which is outside o...

Page 21: ...yebrow position turn the Total Flow knob until the display reads a flow of 6 L min total flow Turn the N2O concentration knob until display reads N2O 50 You should observe an equal amount of N2O flowing by equal height ball float positions while gradually turning the Total Flow knob The digital display will track 50 and changing total flow 4 Interrupt the flow of O2 This will check the dynamic sta...

Page 22: ... rubber goods in place remove the nosepiece and one of the two plastic connectors from the Porter rubber goods Refer to Figure 2 2 With the other plastic connector join the two duplex hoses together making a closed system 3 Taking care not to fill the bag too much bag could burst open the Oxygen control valve until the reservoir bag starts to over inflate or balloon then close the valve 4 Observe ...

Page 23: ... Flow Knob until the display reads 6 L min Adjust the Total Flow knob so the ball float in the Oxygen tube is within the large circle flow guide See figure below 2 Turn N2O knob until the display reads 50 The figure below shows the float within the circle flow guide of the Nitrous tube on the left and the float within the circle flow guide of the Oxygen tube on the right 3 The ball float in the Ni...

Page 24: ... wired per NEC and local electrical codes The branch circuit breaker is the main disconnect Porter recommends the following 15A UL circuit breaker two wire with ground UL CLASSIFICATION The Porter Digital MXR D is UL Classified to 60601 1 Medical Equipment with respect to electric shock fire and mechanical hazard only in accordance with UL 60601 1 and CAN CSA C22 2 No 601 1 M90 The system consists...

Page 25: ...o minimize the effect of drift the pressure transducer signals are auto zeroed at each STANDBY shut down initiated by the mechanical On Standby slide switch when the switch in placed in the STANDBY Off position Dual Function On Standby Off Switch Will turn On and Off electronic display as well as gas flow Provides positive mechanical gas pressure shut off that reduces the possibility of accidental...

Page 26: ...and return to Porter Cannot get 9 L min O2 flow with N2O concentration knob OFF and flow control knob full ON Low O2 pressure setting Check O2 regulator Be sure O2 manifold pressure is 50 PSIG 2 PSIG If not call Dealer for service Ballooning of the gas bag 90 Elbow connected onto bag tee is pushed on too far blocking movement of the non rebreathing valve Remove rubber goods and 90 elbow from bag t...

Page 27: ...als Instruments Equipment American Dental Association Relative Analgesia in Dental Inhalation Analgesia and Sedation with Nitrous Oxide Harry Langa D D S Conscious Sedation in Dental Practice C Richard Bennett Sedation A Guide to Patient Management Stanley F Malamed The Practical Use Nitrous Oxide Oxygen Conscious Sedation Robert E Hamric D M D ...

Page 28: ...ss the product was 1 damaged or misused 2 repaired altered or modified by persons other than Parker Hannifin Corporation 3 not installed in strict compliance with applicable codes and ordinances or 4 not installed by an authorized Parker Hannifin Corporation dealer Parker Hannifin Corporation s obligation for breach of this warranty or for negligence or otherwise shall be strictly and exclusively ...

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