Care Fusion Infant Flow User manual

Infant Flow®
SiPAP comprehensive
quick guide

i
Section 1: Circuit setup.................................1
Open bed and isolette....................................2
Abdominal sensor..........................................3
Pressure Nomogram for
Infant Flow LP generator............................4
Alarm test...................................................5-6
Two point oxygen calibration ......................7-8
Disable oxygen sensor....................................9
Startup menu and leak test.....................10-11
Section 2: Operation...................................12
Infant Flow SiPAP front panel .......................12
Table of contents
Soft key operation ..................................13-14
Operational modes .................................15-16
Alarm Set/Confirm screen ............................17
Mode Select screen......................................18
Parameter Adjust screen ..............................19
Incompatible settings .............................. 20
Main screen .................................................21
Monitored Parameter screen ........................ 22
Alarm management.....................................23
Final check and routine inspection ............... 24
Troubleshooting...........................................25

1
Section 1: Circut setup
WARNING:
• Donotattachgeneratorto
patient until verification and
initial setup are complete
CAUTION:
• Followmanufacturer’s
instructions for setup and
operation of humidifier
OPTIONAL:
• Usetransducerinterface
for Apnea and Low Breath
Rate alarm, and BiPhasic
Tr mode (Intl only)
100
90
80
70
60
50
40
30
21
2
1
2
3
4
5
L/minL/min
NCPAP/
PresLowPres High
Infant Flow
SiPAP
4
6
8
10
12
14
XDCR PPROX

Open bed or crib Isolette
2
Useextensiontubewithisolette.
Remove extension tube if excessive
condensation occurs.

3
Abdominal sensor
1. Connect transducer to driver.
2. Connect respiratory sensor to transducer.
3. Compress the sensor gently; LED on the transducer illuminates.
4. Apply the sensor to the infant:
a. Pressure line perpendicular to tape.
b. Place between the umbilicus
and xiphisternum.
c. Alternative placement—the side
of the abdomen.
5. Verify correct placement. Transducer LED illuminates on expiration, and front panel
LED on inspiration.
OPTIONAL:
• UsetransducerinterfaceforApneadetectionandBiPhasicTrmode

4
Pressure Nomogram for Infant Flow System
The Infant Flow SiPAP system is subject to a direct relationship between the controlled gas flow
and airway pressure. For example, 8 to 9 LPM gas flow provides approximately 5 cmH2O.
15.0
13.0
11.0
9.0
7.0
5.0
3.0
1.0
4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0
(LPM)
(cmH2O)

5
Alarm test
WARNING:
Priortopatientapplication,ensurethatallUser
Verification testing and calibration procedures are
successfullycompleted.UserVerificationtestingand
calibration procedures must be done off patient.
1. Connect air and O2gas supply. Connect
power cord to AC outlet. Attach patient
circuit, generator and patient interface.
Occlude the opening to the patient.
2. Power up the driver and allow Power On
Check to complete.
3. From nCPAP mode, with alarms set, remove
occlusion from opening to patient. Low pressure
alarm activates. Restore the occlusion and rest
the alarms.
Alarm test initial settings
Air supply > 30 psig (2.1 bar)
O2 supply > 30 psig (2.1 bar)
Infant Flow LP generator/circuit
nCPAP/press low 9 LPM
%O230%
Press high flow 3 LPM
Mode nCPAP
Use settings below for step 9
Rate 30 bpm
Ti 0.3 sec
Apnea/LBR interval 20 sec

6
Alarm test (continued)
4. Adjust the nCPAP/pres low flow meter to 11 LPM. The high airway pressure alarm activates.
Decrease flow to 8 LPM. Reset the alarms.
5. Adjust the %O2control to 35%. The High %O2alarm activates. Return the O2setting to
30%. Reset alarms.
6. Adjust the %O2to 25%. The Low %O2alarm activates. Return the O2setting to 30%. Reset
the alarms.
7. Disconnect the AC power cord from the wall outlet. The Loss AC alarm activates. Reconnect
the AC power cord. Reset alarms.
8. Occlude exhalation line and increase nCPAP pressure to 11 cmH2O. The High Circuit pressure
alarm activates. Decrease flow to 8 LPM and reset alarms.
9. Select and confirm BiPhasic mode. Change the mandatory rate control setting to 1. Low
Breath rate alarm activates after the default interval of 20 seconds. Return to rate of 30.
Reset the alarms.

7
Two point oxygen calibration
1. Adjust flow meters and turn on driver.
2. Press the Tool button in the Setup screen.
3. Adjust the Oxygen Control to 21%:
a. Press the flashing button to confirm.
b. Allow reading to stabilize.
c. A check mark appears and %O2 display should
read 21%.
4. Adjust the Oxygen Control to 100%:
a. Press the flashing button to confirm.
b. Allow reading to stabilize.
c. A check mark appears and %O2 display should
read 100%.
5. Press Exit button.

8
Two point oxygen calibration (continued)
NOTE:
• Ifcalibrationfails,ared“X”isdisplayed,thealarm
sounds and an Error code is displayed; repeat the
calibration procedure
• Twopointcalibrationsarerequiredwithinitialsetup
and circuit changes