Breas Medical Nippy 3+ User manual

8
Monthly
•Replace inlet filter with new filter.
•Wipe down Nippy®3+ and humidifier with a damp
cloth or clinical wipe
Contact us
If you experience any problems or have any difficulties
with your equipment please call the Lane Fox Unit
technical services on 020 7188 3440 (Monday to Friday
8am-5pm)
If your query is related to the mask, clinical issue, or an
urgent technical issue outside of office hours, please
call the Lane Fox Ward on 020 7188 3434/5. This
number is available 24 hours a day.

For more information leaflets on conditions, procedures,
treatments and services offered at our hospitals, please
visit www.guysandstthomas.nhs.uk/leaflets

Leaflet number: 4135/VER1
Date published: September 2015
Review date: September 2018
© 2015 Guy’s and St Thomas’ NHS Foundation Trust


The Lane Fox Respiratory Unit
Nippy®3+
ventilator and
HC150 humidifier
Patient start-up user guide

27
Contents
p.2 Contents
p.3 What is bi-level ventilation?
p.3 What’s included in your bag?
p.3 Nippy®3+ and humidification setup
p.6 Starting treatment
p.6 Stopping treatment
p.6 Controlling the humidity level
p.7 Looking after your equipment
p.8 Contact us
The level of humidity is
adjustable and is
entirely dependant on
how comfortable you
feel. Use the dial on the
front of the humidifier to
adjust the level of
humidity.
If there is excessive moisture in the mask or tubing, the
temperature of the humidifier needs to be reduced.
Alternatively, if you still experience oral or nasal
dryness and there is no condensation in the tubing, the
humidity level needs to be increased. These settings
should normally only need to be adjusted between
1 and 3.
Looking after your equipment
Daily
•Wipe the inside of the mask with a damp cloth or
non-alcoholic wipe.
•Remove the humidifier dome, empty the water,
rinse and refill to 1cm below the ‘max’ line.
Twice a week
•Disconnect tubing,mask and humifier chamber
from the devices and submerge in warm water
with sterilising fluid for 30 minutes. Then rinse
thoroughly with cold water and hang to dry.
•To prevent limescale build-up, remove the
humidifier chamber and add one part white
vinegar to two parts hot water and leave to soak
for two hours. Rinse well before use.

6
The mask shown is for illustration purposes only.
Your own mask may differ from this.
Starting treatment
Turn the humidifier on using the grey button on the right
hand side of the front of the humidifier base unit.
Once you are comfortable press the button once for
two seconds on the Nippy®to start treatment. Air will be
delivered within a few seconds.
Stopping treatment
To stop your treatment at anytime press the button
on the Nippy®3+, twice for two seconds each time.
To turn the humidifier off, press the grey button on the
right hand side of the front of the humidifier base unit.
Controlling the humidifier
A humidifier is a device that is sometimes used in
addition to bi-level ventilation to add extra humidity to
the air that is being delivered. It uses a heater plate to
warm water contained in a small chamber
3
This guide is for the set-up and daily use of your Nippy®
3+ and HC150 humidifier. For full details, please refer to
the manufacturer’s instruction manuals inside your
ventilator bag.
What is bi-level ventilation?
Bi-level ventilation is used to mechanically assist
breathing. It is called bi-level because it delivers two
levels of air pressure into the lungs; a higher pressure
during the ‘breathing in’ phase, and a lower pressure
during the ‘breathing out’ phase. The air is delivered
through a tube or ‘patient circuit’ which is connected to a
close fitting mask.
What’s included in your bag?
In your bag you will find:
•your Nippy®3+ device
•HC150 humidifier
•mains cable
•air tubing
•mask
•inlet filters
•manufacturer’s instruction manuals.
Nippy®3+ and HC150 humidifier
setup
First, find a safe area by the side of your bed to place
the Nippy®3+ unit. The Nippy®3+ should be at the
same height or lower than your body position when you
are lying in bed. This reduces the risk of the unit falling
or being pulled onto you. Position the humidifier at least
6” or 15cm below the level of the ventilator and plug into
the mains.

1. Fill your humidifier chamber up daily with distilled or
cooled boiled water.
•Make sure your humidifier is switched off from the
mains power.
•Hold down the chamber guard and slide the
humidification chamber out.
•Empty out any excess water from the chamber
and rinse thoroughly.
•Fill the chamber with water through either hole on
the chamber to the ‘maximum fill’ line.
•Press and hold down the chamber guard on the
humidifier base.
3. Plug the 3-pin plug into a mains power outlet; do not
use an extension lead
•Carefully replace the chamber back onto the
humidifier base.
4. Connect the short piece of tubing from the ventilator
to either outlet of the humidifier chamber,
5. Connect the long piece of tubing from the other outlet
of the humidifier chamber to the mask,
6. Connect your mask to the other end of the air tubing
Turn on the mains power at the wall for both the Nippy®
and humidifier.
7. Put the mask onto your face using the headgear
supplied as previously instructed. It’s very important that
the mask is air tight against your face to allow the
Nippy®to deliver your prescribed pressure. Please refer
to your mask user instructions for further information.
2. Connect the plug of the power supply unit to the rear
of your Nippy®3+ and secure the metal cable retainer
as shown.
45

1. Fill your humidifier chamber up daily with distilled or
cooled boiled water.
•Make sure your humidifier is switched off from the
mains power.
•Hold down the chamber guard and slide the
humidification chamber out.
•Empty out any excess water from the chamber
and rinse thoroughly.
•Fill the chamber with water through either hole on
the chamber to the ‘maximum fill’ line.
•Press and hold down the chamber guard on the
humidifier base.
3. Plug the 3-pin plug into a mains power outlet; do not
use an extension lead
•Carefully replace the chamber back onto the
humidifier base.
4. Connect the short piece of tubing from the ventilator
to either outlet of the humidifier chamber,
5. Connect the long piece of tubing from the other outlet
of the humidifier chamber to the mask,
6. Connect your mask to the other end of the air tubing
Turn on the mains power at the wall for both the Nippy®
and humidifier.
7. Put the mask onto your face using the headgear
supplied as previously instructed. It’s very important that
the mask is air tight against your face to allow the
Nippy®to deliver your prescribed pressure. Please refer
to your mask user instructions for further information.
2. Connect the plug of the power supply unit to the rear
of your Nippy®3+ and secure the metal cable retainer
as shown.
45

6
The mask shown is for illustration purposes only.
Your own mask may differ from this.
Starting treatment
Turn the humidifier on using the grey button on the right
hand side of the front of the humidifier base unit.
Once you are comfortable press the button once for
two seconds on the Nippy®to start treatment. Air will be
delivered within a few seconds.
Stopping treatment
To stop your treatment at anytime press the button
on the Nippy®3+, twice for two seconds each time.
To turn the humidifier off, press the grey button on the
right hand side of the front of the humidifier base unit.
Controlling the humidifier
A humidifier is a device that is sometimes used in
addition to bi-level ventilation to add extra humidity to
the air that is being delivered. It uses a heater plate to
warm water contained in a small chamber
3
This guide is for the set-up and daily use of your Nippy®
3+ and HC150 humidifier. For full details, please refer to
the manufacturer’s instruction manuals inside your
ventilator bag.
What is bi-level ventilation?
Bi-level ventilation is used to mechanically assist
breathing. It is called bi-level because it delivers two
levels of air pressure into the lungs; a higher pressure
during the ‘breathing in’ phase, and a lower pressure
during the ‘breathing out’ phase. The air is delivered
through a tube or ‘patient circuit’ which is connected to a
close fitting mask.
What’s included in your bag?
In your bag you will find:
•your Nippy®3+ device
•HC150 humidifier
•mains cable
•air tubing
•mask
•inlet filters
•manufacturer’s instruction manuals.
Nippy®3+ and HC150 humidifier
setup
First, find a safe area by the side of your bed to place
the Nippy®3+ unit. The Nippy®3+ should be at the
same height or lower than your body position when you
are lying in bed. This reduces the risk of the unit falling
or being pulled onto you. Position the humidifier at least
6” or 15cm below the level of the ventilator and plug into
the mains.

27
Contents
p.2 Contents
p.3 What is bi-level ventilation?
p.3 What’s included in your bag?
p.3 Nippy®3+ and humidification setup
p.6 Starting treatment
p.6 Stopping treatment
p.6 Controlling the humidity level
p.7 Looking after your equipment
p.8 Contact us
The level of humidity is
adjustable and is
entirely dependant on
how comfortable you
feel. Use the dial on the
front of the humidifier to
adjust the level of
humidity.
If there is excessive moisture in the mask or tubing, the
temperature of the humidifier needs to be reduced.
Alternatively, if you still experience oral or nasal
dryness and there is no condensation in the tubing, the
humidity level needs to be increased. These settings
should normally only need to be adjusted between
1 and 3.
Looking after your equipment
Daily
•Wipe the inside of the mask with a damp cloth or
non-alcoholic wipe.
•Remove the humidifier dome, empty the water,
rinse and refill to 1cm below the ‘max’ line.
Twice a month
•Disconnect tubing,mask and humifier chamber
from the devices and submerge in warm water
with sterilising fluid for 30 minutes. Then rinse
thoroughly with cold water and hang to dry.
•To prevent limescale build-up, remove the
humidifier chamber and add one part white
vinegar to two parts hot water and leave to soak
for two hours. Rinse well before use.

8
Monthly
•Replace inlet filter with new filter.
•Wipe down Nippy®3+ and humidifier with a damp
cloth or clinical wipe
Contact us
If you experience any problems or have any difficulties
with your equipment please call the Lane Fox Unit
technical services on 020 7188 3440 (Monday to Friday
8am-5pm)
If your query is related to the mask, clinical issue, or an
urgent technical issue outside of office hours, please
call the Lane Fox Ward on 020 7188 3434/5. This
number is available 24 hours a day.

For more information leaflets on conditions, procedures,
treatments and services offered at our hospitals, please
visit www.guysandstthomas.nhs.uk/leaflets

Leaflet number: 4135/VER1
Date published: September 2015
Review date: September 2018
© 2015 Guy’s and St Thomas’ NHS Foundation Trust


The Lane Fox Respiratory Unit
Nippy®3+
ventilator and
HC150 humidifier
Patient start-up user guide