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Страница 1: ...E VENTILATOR This book must be kept with the machine Breas Medical Ltd Unit A2 The Bridge Business Centre Timothy s Bridge Road Stratford Enterprise Park Stratford upon Avon Warwickshire CV37 9HW Tel...
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Страница 3: ...Menu 15 Breath Analyser 16 How to use the on screen help 17 Using Help with the Settings Locked 17 Breathing circuits and masks 18 Using the NIPPY 3 Invasively 19 Using a Humidifier with the NIPPY 3 1...
Страница 4: ...ns 36 Accessories and Spares 36 Warnings and Cautions 37 Using Supplementary Oxygen 38 Maintenance User Maintenance Schedule 39 Servicing Repair 40 Technical Information 40 Warranty Transportation 40...
Страница 5: ...riginal and unmodified shape and only with accessories specified or approved by Breas Medical Ltd Every other use may lead to risk of personal injury CAUTION Read this manual thoroughly so that you co...
Страница 6: ...he internal battery and an external battery when running from the mains electrical supply There are 4 modes of ventilation CPAP Continuous Positive Airway Pressure Constant positive pressure is applie...
Страница 7: ...ttings see alarm settings disconnection sensitivity page 25 Breathing Circuit Malfunction This alarm warns of a malfunction of the exhale valve in the IPPV mode circuit High Flow alarm An adjustable a...
Страница 8: ...when the flow rate exceeds the level set by the Inspiratory Trigger sensitivity Expiratory Trigger The expiratory trigger is used in Pressure Support mode only Towards the end of inspiration when the...
Страница 9: ...is only intended for clinical personnel physicians and trained users who require a working knowledge of the NIPPY 3 Alarms must be tested before use and following a change of the breathing circuit as...
Страница 10: ...ration Risk of vomiting An oxygen requirement higher than achievable with 15l min of entrained low pressure oxygen and the prescribed ventilation settings Adverse effects Patients should report any ne...
Страница 11: ...n the world without transformers 8 Adjustable flow triggers with trigger indicators 9 Large colour LCD display clearly shows all settings 10 28 days stored On screen compliance data 11 Comprehensive e...
Страница 12: ...cts the inspiratory time adjustment scaled in Seconds Value is displayed on screen adjacent to the switch 4 Back up Selects the Back up Rate adjustment scaled in Breaths Per Minute Value is displayed...
Страница 13: ...es minute Value is displayed on screen adjacent to the switch Changes colour to red in alarm condition 14 Hi Alarm Selects the High Flow Alarm adjustment scaled in litres minute Value is displayed on...
Страница 14: ...red in flow alarm condition 6 Settings locked symbol This symbol shows that the settings are locked 7 Alarm Muted symbol This symbol shows that the audible alarm has been temporarily silenced 8 I Trig...
Страница 15: ...ode Rear Panel Layout 1 Aux Power 24 Volt connection for external battery Connect only recommended batteries part no 0910 2 RS232 Port For connection to remote alarm or personal computer Isolated to 1...
Страница 16: ...Time Delay Fuse SN Serial Number Date of Manufacture Attention Consult Accompanying Documents Switch ON OFF Increase Button Decrease Button Locked Unlocked Purple total lock Black settings locked Alar...
Страница 17: ...he left hand side shows the basic ventilator settings IPAP EPAP Ti BACK UP and Mode adjacent to its setting button The centre section shows the airway pressure flow estimated tidal volume and breath r...
Страница 18: ...n Move the selection bar up or down the menu with the or buttons to highlight the desired function and press the SET button Follow the on screen instruction at the bottom of the window Press MENU at a...
Страница 19: ...Sigh Settings View Adjust 3 Compliance Data Total Hours View only Compliance Hours View only Average Daily Use View Only Use or button to scroll through the data Press and hold and buttons to reset c...
Страница 20: ...om the previous breath The width of the trace is the period of the back up rate displayed in seconds on the X axis E g if back up rate is set to 10BPM the trace width represents 3 seconds The pressure...
Страница 21: ...in to exit If during setting up you require a description of a particular parameter select it then press HELP Press HELP again to clear Using Help with settings locked When the settings have been lock...
Страница 22: ...e required DO NOT USE THIS TYPE OF CIRCUIT FOR IPPV MODE Part Number 0792 Breathing circuit volume 570 ml including filter In IPPV mode a single limb circuit with an exhalation valve will be required...
Страница 23: ...T USE THIS TYPE OF CIRCUIT FOR IPPV MODE Part Number 0794 Breathing circuit volume 620 ml including filter Using a Humidifier with the NIPPY 3 Heated breathing circuits are available for use with wate...
Страница 24: ...his point 5 Press the Start Stop button and select CPAP mode 6 Set the High Alarm to 160 lpm and the Low Alarm to 20lpm This will help to stop the alarm becoming a nuisance during setting up Alarm set...
Страница 25: ...the face 9 Allow the patient to get used to the interface Objective assessments should verify the settings are suitable and clinically effective 10 If the inspiratory or expiratory trigger needs to b...
Страница 26: ...interface Objective assessments should be performed to establish effective ventilation is achieved 9 Adjust the Inspiratory time Ti to ensure adequate ventilation and patient comfort 10 If the Inspir...
Страница 27: ...d to the interface Objective assessments should be carried out to verify optimal ventilation is being achieved 10 Adjust the Inspiratory time Ti to ensure adequate ventilation 11 If the Inspiratory tr...
Страница 28: ...ings The settings must be verified and the alarm function tested If the alarm settings are not correct or the alarms do not operate when tested proceed to the manual set up Flow Alarm Manual Setting L...
Страница 29: ...a leak which is less than that required to trigger the standard sensitivity setting This may be useful for very restrictive breathing circuits or small tracheostomy tubes Standard Sensitivity Default...
Страница 30: ...tivate the apnoea alarm select ON and select the required time delay The total number of apnoea events during the last seven days or since reset will be displayed along with the time duration of the l...
Страница 31: ...e Mute Occlude the outlet and wait 10 seconds The alarm will sound accompanied by the low flow alarm message and the flow display will turn red Power Fail Alarm If both mains and internal power to the...
Страница 32: ...Sigh function is enabled Symbol Sc I shows Cyclic Sigh function is enabled Blue Symbol Sigh mode enabled Green Symbol External sigh trigger acknowledged Purple Symbol Sigh breath activated Sigh breath...
Страница 33: ...ed 3 Internal Battery if fitted In order to save battery power the ventilator will always run on mains electricity if it is present If the mains fails or is not connected the ventilator will select th...
Страница 34: ...ted to the mains Low Battery Alarm Low battery alarm sound and on screen message Battery Power Running Low and flashing red battery icon Flat Battery alarm sound and on screen message Battery Power Ex...
Страница 35: ...l age prematurely An internal battery that is heavily used will age gradually and lose its capacity An internal battery that is moderately used will last longest It has been designed to be used When a...
Страница 36: ...oticed by the user or for a quick check on a battery that has not been used regularly This test is not an indication that the battery is good but is a useful way of identifying a failed battery This t...
Страница 37: ...arger as follows Place the charger on a smooth flat surface Connect the charger to the battery socket before switching on the mains power Connect the mains plug to the AC supply and switch on Leave on...
Страница 38: ...1 1 medical systems For example most computers do not comply with this standard so it should be sited at a distance which makes it impossible to touch the computer and the patient at the same time The...
Страница 39: ...k up Rate 6 43 Breaths per minute Type of protection against electric shock Class 1 equipment Degree of protection against electric shock Type B to EN 60601 1 Mode of operation Continuous IP rating X0...
Страница 40: ...ically switch to the back up supply and give an audible and visual indication that it has done so During total power failure there will be no output from the machine The patient will be able to breath...
Страница 41: ...ilator in direct sunlight Avoid places where there is excessive humidity or dust which may cause damage to internal parts Keep the NIPPY 3 away from extreme direct heat such as fires heating radiators...
Страница 42: ...f and disconnect the oxygen supply Switch off the NIPPY and disconnect the breathing circuit Store the breathing circuit in a clean bag or other suitable container DO NOT leave the oxygen connected wh...
Страница 43: ...ith a soft cloth moistened with water Input Air Filter The input air filter should be inspected weekly It is located on the rear of the machine To remove the filter grip the filter housing with the th...
Страница 44: ...onditions of normal use This warranty does not apply to any unit that has been subjected to misuse or accidental damage or repaired or modified by unauthorised personnel Transportation When shipping d...
Страница 45: ...ld be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical Fast Transient Burst IEC 61000 4 4 2 kV for power supply lines...
Страница 46: ...ronment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance...
Страница 47: ...ransceiver 23m 5 W Typical maximum output RF power from a hand held amateur radio transceiver 5m 4 W Typical maximum output power for a Citizens band radio station 27 MHz in many countries 4 6m 2 W Ma...
Страница 48: ...ery when the run time is less than 75 of a new battery or the battery is 2 Years old Fully charge the battery connect the breathing circuit and using your normal settings run the ventilator until the...
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Страница 50: ...ustment but allows the user to switch the ventilator on and off Total lock The ventilator can be locked to prevent unauthorised adjustment or power off To lock press and and SET buttons simultaneously...
