6 Introduction
Vivo 40 clinician’s manual
Doc. 003886 En-Us A-1e
• Massive epistaxis or previous history of massive epistaxis
(risk of recurrence)
• Pneumoencephalus, recent trauma or surgery that may have produced
cranio-nasopharyngeal fistula
• Cerebral spinal fluid (CSF) leaks
• Acute or unstable respiratory failure or insufficiency
• Conditions predisposing to a risk of aspiration of gastric contents
• Impaired ability to clear secretions
Caution should be used when prescribing positive airway pressure therapy for
susceptible patients, such as patients with abnormalities of the cribriform plate,
or prior history of head trauma.
The use of CPAP therapy may be temporarily contraindicated if the patient
exhibits signs of a sinus or middle ear infection.
1.4 About this Manual
Audience
This manual is primarily intended for care providers, clinical personnel, physi-
cians and others who require a working knowledge of the Breas Vivo 40 system.
The manual comprises detailed information on the settings and functions of the
Vivo 40 to be handled by trained health care personnel only.
Always read this manual before setting up and using the Vivo 40 or per-
forming maintenance on the machine, to ensure correct usage, maxi-
mum performance and serviceability.
Breas Medical AB reserves the right to make changes to the contents of
this manual without any prior notification.
• Patients and other lay users operating the Vivo 40 will find all the informa-
tion they need in the User Manual.
• Service personnel may order the Vivo 40 Service Manual that contains
detailed technical information for maintenance, service and repair.
