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3101126 Rev A Vapotherm Oxygen Assist Module Instructions for Use 

Page  27

Appendix A

Guidance and manufacturer’s declaration – electromagnetic immunity

The Oxygen Assist Module is intended for use in the electromagnetic environment specified below. The customer or the

user of the Oxygen Assist Module should assure that it is used in such an environment.

IMMUNITY test

IEC 60601

test level

Compliance level

Electromagnetic environment –

guidance

Electrostatic

discharge (ESD)
IEC 61000-4-2

± 8 kV contact

± 2, 4, 8, and 15 kV air

± 8 kV

± 2, 4, 8, and 15 kV air

Floors should be wood, concrete, or 

ceramic tile. If floors are covered with 

synthetic material, the relative humidity 

should be at least 30 %.
10 second wait time between discharges.

Electrical fast

transient/burst
IEC 61000-4-4

± 2 kV for power supply lines

± 1 kV for input/output lines

100 kHz repetition rate

± 2 kV

± 1 kV

100 kHz repetition rate

Mains power quality should be that 

of a typical commercial or hospital 

environment.

Surge
IEC 61000-4-5

± 0.5, 1 and 2 kV Line(s) to 

Ground

± 1 kV line(s) to Line(s)

± 0.5, 1, and 2 kV 
± 1 kV

Mains power quality should be that of a

typical commercial or hospital 

environment.

Voltage dips, 

short

interruptions and

voltage variations

on power supply 

input lines
IEC 61000-4-11

<5 % 

U

t

(>95 % dip in 

U

t

)

for 0,5 cycle at phase angle 

0°, 45°, 90°, 135°, 180°, 225°, 

270°, and 315°

40 % 

U

t

(60 % dip in 

U

t

) for 5 cycles

70 % 

U

t

 

(30 % dip in 

U

t

) for 25 cycles

<5 % 

U

t

(>95 % dip in 

U

t

) for 5 s 

Per Standard

Mains power quality should be that of a

typical commercial or hospital 

environment.

If the user of the Oxygen Assist 

Module requires continued operation 

during power mains interruptions, it is 

recommended that the Oxygen Assist 

Module be powered from an

uninterruptible power supply or a battery.

Power frequency

(50/60 Hz) 

magnetic

field
IEC 61000-4-8

30 A/m

30 A/m

Power frequency magnetic fields should 

be

at levels characteristic of a typical 

location

in a typical commercial or hospital

environment.

NOTE 

U

t

 is the a.c. mains voltage prior to application of the test level.

Summary of Contents for Oxygen Assist Module

Page 1: ...Oxygen Assist Module for use with Vapotherm Precision Flow Instructions for Use...

Page 2: ...ection 7 Patient Admission 12 Section 8 Alarm Setup 13 Section 9 SpO2 Setup 13 Section 10 O2 Setup 16 Section 11 System Shutdown 17 Section 12 Graphical Trend Display 17 Section 13 Logging of Variable...

Page 3: ...osed as an unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment De...

Page 4: ...y Therapy Equipment and Guidelines for Prevention of Nosocomial Pneumonia For more information see the Precision Flow Instructions for Use General Warnings Federal Law U S restricts the use of this de...

Page 5: ...rous oxide To ensure safety avoid stacking multiple devices or placing anything on the device during operation To protect against injury follow the directions below Avoid placing the device on surface...

Page 6: ...lly calibrated in healthy adult volunteers with normal levels of carboxyhemoglobin COHb and methemoglobin MetHb Do not adjust repair open disassemble or modify the Oxygen Assist Module or accessories...

Page 7: ...her use Injury to personnel could occur Disposal of product Comply with local laws in the disposal of the device and or its accessories To minimize radio interference other electrical equipment that e...

Page 8: ...sis of real time measurements and trending to choose the appropriate O2 delivery The use of smart averaging and hysteresis algorithms by the Masimo SET SpO2 monitor protects the system from artifacts...

Page 9: ...ssist Module and provides 12VDC to the Oxygen Assist Module Contact Vapotherm if you believe your power adapter to not be functional or you need a replacement Only use power adapter as provided by Vap...

Page 10: ...w s interface port 6 Plug the Oxygen Assist Module Power Supply into the Oxygen Assist Module and into an electrical outlet marked Hospital Grade or Hospital Only NOTE Ensure proper orientation on Pow...

Page 11: ...oxygen Using Menus To call up a menu press the desired menu tab Alternately parameter boxes will redirect to the associated menu Notes Unless otherwise stated the change to settings takes effect when...

Page 12: ...tely place the Oxygen Assist Module in Manual O2 Mode A manual change in O2 on the Precision Flow with 120 90 60 30 15 5 seconds selected will suppress Auto Mode O2 titration for that period of time b...

Page 13: ...rm is generated stating No Sensor Connected Alarm messages cycle in the message area For a list of alarm messages and required action please see the section Alarm and Status Messages For alarm indicat...

Page 14: ...ors may cause incorrect SpO2 readings Before using the sensor carefully read the sensor documentation including all warnings cautions and instructions The accuracy of pulse oximetry readings can be ad...

Page 15: ...es Signal IQ values of less than 0 3 The SpO2 display range is from 1 100 A value of indicates that no measurement is available The pulse rate display range is from 1 240 bpm A value of indicates that...

Page 16: ...trol knob Note See description of Fallback O2 Functionality on the following page for more information 3 Insert Oxygen Assist Module Time Card and Press Start Case When the patient is stable press the...

Page 17: ...s If the Oxygen Assist Module has exited the Auto mode check the patient sensor placement connections and settings When clinically indicated place the Oxygen Assist Module back into Auto mode in the P...

Page 18: ...ng and disinfecting instructions for the SpO2 sensor and patient cable see the instructions provided with the sensor Section 14 Cleaning and Disinfecting Section 17 Referenced Documentation Precision...

Page 19: ...Clinical patient condition Check patient Sensor not connected Check sensor and cable connections Sensor off patient Check sensor application Sensor or cables damaged Check sensor and cables Replace i...

Page 20: ...yperbaric cond Storage and Shipping Ambient Temperature 10 50 C Ambient Relative Humidity 20 90 RH Contact with Patient Indirectly via SpO2 sensor and Precision Flow O2 cannula Liquid Ingress Protecti...

Page 21: ...trical Equipment Part 1 6 General requirements for basic safety and essential performance Collateral Standard Usability IEC 60601 1 8 2006 Second Edition Am 1 2012 for use in conjunction with IEC 6060...

Page 22: ...female volunteers with light to dark skin pigmentation in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non repetitive motion bet...

Page 23: ...Case Check SpO2 Defective Cable Replace cable enter MANUAL Mode or End Case Check SpO2 Defective Sensor Replace sensor enter MANUAL Mode or End Case Check SpO2 Incompatible Adhesive Sensor Replace se...

Page 24: ...Demo Mode Reconnect sensor with good signal Check SpO2 Interference Detected Reconnect sensor with good signal Check SpO2 Low Perfusion Index Reconnect sensor with good signal Check SpO2 Low Signal I...

Page 25: ...target and sets the FiO2 delivery rate accordingly The algorithm makes near immediate adjustments within 10 seconds to changes in SpO2 readings learns from past changes and anticipates short term cha...

Page 26: ...s declaration electromagnetic emissions The Oxygen Assist Module is intended for use in the electromagnetic environment specified below The customer or the user of the Oxygen Assist Module should ass...

Page 27: ...y should be that of a typical commercial or hospital environment Surge IEC 61000 4 5 0 5 1 and 2 kV Line s to Ground 1 kV line s to Line s 0 5 1 and 2 kV 1 kV Mains power quality should be that of a t...

Page 28: ...paration distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency range b Interferenc...

Page 29: ...ed maximum output power of transmitter W Separation distance according to frequency of transmitter m 50 kHz to 80 MHz outside ISM bands d 1 2 P 150 kHz to 80 MHz in ISM bands d 1 2 P 800 MHz to 2 5 GH...

Page 30: ...Page 30 3101126 Rev A Vapotherm Oxygen Assist Module Instructions for Use This Page Intentionally Blank...

Page 31: ...3101126 Rev A Vapotherm Oxygen Assist Module Instructions for Use Page 31 This Page Intentionally Blank...

Page 32: ...for Use Vapotherm Inc 100 Domain Drive Exeter NH 03833 USA Phone 603 658 0011 Fax 603 658 0181 RMS UK Limited 28 Trinity Road Nailsea North Somerset BS48 4NU United Kingdom Phone 44 1275 85 88 91 Fax...

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