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NIPPY  

INSTRUCTION MANUAL INDEX 

 

 

 

Page

 

 

Introduction 

 

1 

Description   

2-4 

Intended Use  

5 

Contraindications 

6 

Features 

 

7 

 
Explanation of Controls 

 

 

Fascia Buttons 

8-9 

 

Fascia Display 

10 

 

Outlets 

 

11

 

Rear Panel Layout 

11 

 

Explanation of Symbols Used 

12 

 
Getting Started 

 

 

The Main Screen 

13 

 

 

How to Adjust The NIPPY  

13 

 

 

The Menu Window 

14 

 

 

How to use the on-screen Menu 

14 

 

 

Structure of the Main 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  Invasively 

19 

 

 

Using a Humidifier with the NIPPY  

19 

 
Setting Up 

 

 

Setting up the NIPPY  in CPAP Mode 

20 

 

 

Setting up the NIPPY  in Pressure Support Mode 

21 

 

 

Setting up the NIPPY  in Pressure Control Mode 

22 

 

 

Setting up the NIPPY  in IPPV Mode 

23 

 
Setting up the Alarms 

 

 

 

Flow Alarm Auto Set 

24 

 

 

Flow Alarm Manual Set 

24 

 

 

Disconnection Alarm 

25 

 

 

Apnoea Alarm 

26 

 

 

Max Breath Rate Alarm 

26 

 
Alarm Conditions/Tests 

 

High Flow 

 

27 

 

Disconnect   

27 

Содержание NIPPY JUNIOR +

Страница 1: ...URE 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 Te...

Страница 2: ......

Страница 3: ...eath 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 Junior Invasively 19 Using a Humidifier with the NIPPY Junior 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: ...ng both the 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...

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: ...tory effort 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 inspirati...

Страница 9: ...al is only intended for clinical personnel physicians and trained users who require a working knowledge of the NIPPY Junior Alarms must be tested before use and following a change of the breathing cir...

Страница 10: ...ydration 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...

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: ...the switch 3 Ti Selects 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 Minut...

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 Tri...

Страница 15: ...r mode 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 t...

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 Ala...

Страница 17: ...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 rate...

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: ...level and CPAP 22mm smoothbore tubing including anti bacterial filter and oxygen coupler for non invasive use with a vented mask order code 0792 IPPV Circuit In IPPV mode a single limb circuit with a...

Страница 23: ...19...

Страница 24: ...circuits Invasive 15mm dry circuit 15mm circuit including anti bacterial filter heat moisture exchange HME flexible adapter tube with integrated exhale port For invasive use for paediatric patients u...

Страница 25: ...this point Press the Start Stop button and select CPAP mode 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 setti...

Страница 26: ...he 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 be...

Страница 27: ...the interface Objective assessments should be performed to establish effective ventilation is achieved 10 Adjust the Inspiratory time Ti to ensure adequate ventilation and patient comfort 11 If the I...

Страница 28: ...sed 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...

Страница 29: ...dings 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...

Страница 30: ...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 31: ...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 32: ...e 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 NIPP...

Страница 33: ...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 34: ...nected 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 selec...

Страница 35: ...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 36: ...ternal battery that is not used will 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...

Страница 37: ...end of its life and has not been noticed 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...

Страница 38: ...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 39: ...or use with any domestic PC or laptop computer However when assembling a system the completed system should comply with EN60601 1 medical systems For example most computers do not comply with this sta...

Страница 40: ...Rate 6 60 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 Stor...

Страница 41: ...tically 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 breat...

Страница 42: ...lator in direct sunlight Avoid places where there is excessive humidity or dust which may cause damage to internal parts Keep the NIPPY jnr away from extreme direct heat such as fires heating radiator...

Страница 43: ...off 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...

Страница 44: ...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 45: ...ns 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 damage a...

Страница 46: ...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 47: ...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 48: ...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 49: ...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...

Страница 50: ...46...

Страница 51: ...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...

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