Document No. 715-7000
Revision E
Page 27 of 63
INOstat
Kit: Instructions for Use
Your back-up system should be set up and ready for use at all times during inhaled nitric oxide
therapy. Clinicians should familiarize themselves with the use of the INOstat
Kit. The
adjustable overflow valve in the flow inflating manual resuscitator (Bagger) will help to control
the amount of PEEP delivered. It is adjusted by turning the valve to adjust the size of the
opening to atmosphere.
Set-Up:
1.
Connect the large end of the bagger gas supply tubing to an oxygen source. Ensure that
the small end of this tubing is connected to the NO/O
2
gas inlet port on the bagger.
2.
Connect the back-up delivery regulator (P/N 731-9143) to the INOstat
NO gas delivery
line.
3.
Ensure that the sampling port on the bagger gas supply tubing is capped.
4.
Place the system in a place that is readily accessible in the event of an emergency.
Using the Bagger:
1.
Start the oxygen flow at exactly 10 LPM.
2.
Open up the valve on the back-up delivery gas cylinder. NO flow is preset at 0.25 LPM.
3.
Allow 20 seconds for the combined gas supply to flow freely from the bagger. This will
flush out any residual NO
2
that may have formed in the bagger or delivery system since
the bagger was last used.
4.
Begin manually ventilating your patient. If you have properly set the O
2
flow at exactly 10
LPM, the delivered NO dose will be ~ 20 ppm.
5.
Once you are finished using the bagger, turn off the NO gas flow and run O
2
through the
bagger (for at least 60 seconds) to flush out any residual NO or NO
2
.
INOstat
Bagger Specifications:
O
2
Gas Flow
10 LPM
NO Gas Flow
0.25 LPM
Delivered [NO]
~ 20 ppm
NO
2
Generated
Maximum 0.2 ppm @ 20 ppm Delivered [NO]
Reservoir Volume
0.5 L
Bagger Dimensions
12” from Reservoir Bag to Patient Connection, ½” I. D.
Tidal Volume
Maximum 0.5 L (500 cc)
Breath Rate
Maximum 100 bpm at Pressures 18/5 (pip/peep)
Maximum 50 bpm at Pressures 40/5
(Pressures Listed in cmH
2
O)
I:E Ratio
Variable