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

9
Disable oxygen sensor
Disable O2button
1. From Setup screen, press the calibration
(CAL) button.
2. Press the O2Disable button:
a. Oxygen monitoring and the
audible oxygen alarms are disabled.
b. Error Code 55 is displayed.
3. UseanexternaloxygenanalyzertomonitorFiO2.
WARNING
• Alwaysuseanexternaloxygenmonitorifthe
oxygen sensor is disabled

10
Startup menu and leak test
1. Connect prong or mask to generator; occlude
opening to patient.
2. Set nCPAP flow to 9 LPM and press high flow
to 3 LPM.
3. Switch on the driver.
4. Verify measured pressure is 5 ±1% if less than
5 cmH2O is displayed.
5. Touch flashing icon to confirm.
6. Adjust O2% dial to desired setting. Verify
measured value is within 3%.
7. Touch flashing icon to confirm.
8. Adjust high flow as desired and
verify setting.

11
Startup menu and leak test (continued)
9. Touch flashing icon to confirm.
10. Connect transducer assembly to the traducer
interface connector on the front of the Infant
Flow SiPAP, if desired. Touch flashing icon to
confirm.Ared“X”indicatesthetransducer
assembly is not connected.
11. Touch nCPAP or Alarm Mute/Reset button
to set alarms.
12. Measured CPAP should be 5 cmH2O. If not,
check for leaks.
13. Remove occlusion to prongs or mask. Measured
CPAP should drop to 0 to 2 cmH2O. If not, check
for occlusions.

12
Section 2: Operation
21
L/min L/min
Press High
XDCR
Press Low
NCPAP/
Infant Flow®
SiPAP
30
40
50 60 70
80
90
100
XDCR PPROX
BC
A
D
E
F
G
H
I
J
A. Power LED
B. Alarm warning bar
C. Transducer interface LED
D. LCD touch screen
E. %O2control
F. Press high flow meter
G. Connection proximal pressure line
H. Transducer interface connection
I. Circuit connection inspiratory limb
J. nCPAP/pres low flow meter
Infant Flow SiPAP front panel

13
Soft key operation
Description Example
A button that is enabled.
A button that is inhibited due to non-availability of the designated feature or pending
acknowledgement of an active alarm condition.
A selected mode or control pending confirmation is visually highlighted and intermittently flashes
between yellow and white text.
While a button is pressed, the edges are highlighted to provide a pressed appearance.

14
Soft key operation (continued)
Description Example
When there is an active alarm associated with a measured value, the measured value concerned
is displayed with RED FLASHING text. The associated limit value (if any) is displayed in RED.
When an alarm that is associated with a measured value is resolved, the device remains in a
LOW priority alarm state, with the measured value displayed in YELLOW FLASHING text and the
associated limit displayed in YELLOW, until the alarms are cleared by the operator.
Manual Breath delivers a single BiPhasic cycle at current settings for T-High, Press High and %O2.
Only one BiPhasic cycle is delivered regardless of button press duration.
If no screen interactions occur for a period of 120 seconds and there are no active alarms, the
screengoestoa“locked”statetopreventinadvertententries.Touchlockthescreen,pressthe
screen lock button.

Operational modes
15
CPAP is a constant single level of positive
pressuretotheinfant’sairway,facilitatingthe
restoration of functional residual capacity and
correction of hypoxemia.
BiPhasic is two levels of pressures, delivered
based on set Time High (T-High) criteria,
rate and pressure settings. Small incremental
pressure increases of 2 to 3 cmH2O augment
functional residual capacity and can off load
work of breathing.

Operational modes (continued)
BiPhasic tr enables patient-triggered pressure
assists via a respiratory abdominal sensor, with
breath rate monitoring, adjustable apnea time
interval, apnea alarm and adjustable apnea back
up rate. This enables respiratory support without
the need of an endotracheal tube.
Apnea detection is via a respiratory abdominal
sensor. The Apnea alarm will be triggered when
the set time interval is exceeded. If the infant
breath is detected within the next time out
period, the alarm will silence.
16

Alarm set/confirm screen
17
1. Touch the nCPAP or Alarm button for
3 seconds to set the alarm limits. If neither
button is touched within 2 minutes,
the alarm limits will automatically be set.
2. The Mode Select screen will display with
the driver operating in nCPAP mode.

Mode Select screen
18
1. Press the desired mode button. The
display will change to the Parameter
Adjust screen.
NOTE:
• Onlytheavailablemodeswillbe
displayed on the menu bar
• ForApneaandBiphasictrigger(tr)*
modes, attach the transducer assembly
and respiratory abdominal sensor