Dr.Frei NE-SM1 User manual

www.dr-frei.com
SUPER MESH
NEBULIZER
MODEL NE-SM1
USER’S MANUAL
ww
w
w.
dr
-
f
re
e
i.
co
m
www
w.dr fre
ei.com

EN
3
SUPER MESH NEBULIZER
Model NE-SM1
User’s manual (04-27)
СУПЕР МЕШ НЕБУЛАЙЗЕР (ИНГАЛЯТОР)
Модель NE-SM1
Инструкция пользователя (28-52)
СУПЕР МЕШ НЕБУЛАЙЗЕР (ІНГАЛЯТОР)
Модель NE-SM1
Інструкція користувача (53-76)
SUPER MESH NEBULIZATOR
Model NE-SM1
Manual de utilizare (77-101)
RU
UA
RO
MD
EN

4
DEAR DR.FREI® SUPER MESH
NEBULIZER OWNER
Thank you for choosing the Dr. Frei®Ultrasonic Nebulizer model NE-SM1.
We are sure that having appraised worthily the high quality and reliability
of this device you will become a regular user of the products of Swiss
Trademark Dr. Frei®.
Please read this manual carefully before operating the unit. For any ques-
tions arising during unit operation, please contact service center of TM Dr. Frei®
in your country.

EN
5
TABLE OF CONTENTS
INTRODUCTION..................................................................................... 6
What Is Nebulizer and How Does It Work? ............................................. 6
What Is Nebulizing Therapy Used for?.................................................... 6
Advantages of Nebulizing Therapy.......................................................... 6
Mesh Technology. Advantages of Nebulizer NE-SM1 ............................. 7
BEFORE STARTING TO USE THE UNIT .............................................. 7
Essential Safety Rules ............................................................................ 7
Important Information ............................................................................. 8
Product Components............................................................................... 9
Product Descriptions ............................................................................. 10
Use Procedure........................................................................................11
HOW TO USE THE UNIT...................................................................... 12
Assembly............................................................................................... 12
How to Remove the Mesh Cartridge ..................................................... 13
Charging the Internal Battery................................................................. 14
Filling with Medication ........................................................................... 15
Basic Operation..................................................................................... 15
HOW TO MAINTAIN THE UNIT............................................................ 16
Cleaning ................................................................................................ 16
Disinfecting............................................................................................ 18
Storage.................................................................................................. 19
Maintenance.......................................................................................... 19
Replacing Battery .................................................................................. 20
Replacing Mesh Cartridge..................................................................... 21
TROUBLESHOOTING.......................................................................... 22
SYMBOL DESCRIPTION...................................................................... 23
WARRANTY.......................................................................................... 23
SPECIFICATIONS................................................................................. 24
APPENDIX QUICK USE GUIDE........................................................... 26

6
INTRODUCTION
What Is Nebulizer and How Does It Work?
The nebulizer system is a device that turns a liquid drug into a ne aerosol
under the inuence of ultrasound. An aerosol contains larger and smaller
particles.When breathing the gravity makes the larger particles accumu-
late on the walls of the upper respiratory passages while the smaller par-
ticles have enough time to reach the lower bronchial branches. Therefore
the drug comes to all parts of the patient’s bronhial tree, including the
smallest bronchi and alveole, and gets into the blood vessels on the walls
of the alveole in big therapeutic dozes with tiny or none side effects.
What Is Nebulizing Therapy Used for?
Nebulizer systems are used by the patients with:
• acute respiratory diseases;
• obstructive pulmonary disease;
• chronic inammatory processes in respiratory passages such as
chronic bronchitis, bronchial asthma (incl. chronic or unstable ones,
exacerbation of asthma), chronic pharyngitis;
• respiratory passages infections;
• abnormalities in secretion quality and secreting in bronchi;
• different types of coughing.
Advantages of Nebulizing Therapy
Nebulizing therapy gives a possibility to quickly effect the inammatory
zone by big drug dozes which increases the inuence of the treatment and
reduces the risk of side effects to other organs. Nebulizing therapy is the
easiest way of inhalation treatment and it is also an economical means of
treatments from the point of view of purposeful use of drug. Aerosol treat-
ment with the help of nebulizing systems can be used for children, elderly
and inrm patients.

EN
7
Mesh Technology.
Advantages of Nebulizer NE-SM1
1. Nebulizer NE-SM1 belongs to a new generation of ultrasonic nebu-
lizers. Membrane mesh nebulizers with Vibrating MESH Technology
(VMT) operate on an advanced mechanism - vibrating membrane with
many microscopic holes (mesh) through which liquid drug passes and
turns into an aerosol. Ultrasonic vibrating mesh releases medication
via 4 mµ of ne holes. Vibrations of ultrasonic mesh do not damage the
large molecules as it happens with compressor nebulizers.
2. Membrane nebulizer NE-SM1 is featured in very small residual volume
of medication bottle (approximately 0,1 ml). The unit provides high lung
deposition of medications, carries out nebulizing of solutions and sus-
pensions, also medications with large molecules (proteins, peptides,
insulin, glucocorticosteroids and antibiotics).
3. Portable device of pocket size (operates on built-in battery) delivers
medication to upper and lower respiratory tracks.
4. The device allows to nebulize at different angles. It can be used to
nebulize in lying position (children, infants).
5. Totally noiseless technology allows to nebulize sleeping child.
6. The device can be used both for adults and for children.
7. The device is simple in operation: only one button.
BEFORE STARTING
TO USE THE UNIT
Essential Safety Rules
1. Operate the unit only as directed by this manual.
2. Electrical connections must comply with relevant regulations.
3. To avoid viral or bacterial infections, disinfect and wash medication
bottle, mouthpiece, mask adapter and mask before use. Disinfect and
wash after purchase and after long periods of storage.
4. Follow your physician-prescribed regimen of drug therapy or symptoms
may worsen.
5. Thoroughly disinfect, wash and dry medication bottle, mesh cartridge,
mouthpiece, mask adapter and especially the mask after each use.

8
6. Rinse thoroughly with water after disinfection. Symptoms may worsen if
disinfectant remains on surfaces.
7. Don’t turn on power without medication, as this may cause damage to
the mesh cartridge.
8. Don’t immerse the main unit in water. This may cause damage and/or
electrical shock.
9. This unit has small parts. Keep these parts away from infants and small
children to prevent swallowing.
10. This unit is a medical device intended for use with a single patient.
KEEP THESE INSTRUCTIONS IN A SAFE PLACE FOR FU-
TURE REFERENCE
Important Information
• Use only factory packed batteries with the unit. Using or charging un-
specied batteries will cause loss of warranty, endanger the user and
may cause injury from re.
• Do not use battery with equipment other than the NE-SM1 nebulizer, or
attempt to modify battery for other uses.
• To save battery power and avoid accidental operation, always turn the
switch to ‘off’ when not in use.
• Don’t use water for inhalation.
• Don’t hit, drop or cause impact to this instrument.
• Don’t drop medications or liquids on the main unit; particularly the
charging inlet as this may cause damage and/or electric shock.
• Don’t disassemble, modify or repair the main unit as this may cause
re and/or electrical shock.
• Don’t touch mesh with ngers or any objects.
• The unit can’t be used while charging the battery.
• This unit is approved by IEC60601-1, please use in areas free from
potential electromagnetic waves.
• Inhalation masks are «applied part of type B», any other parts are «ac-
cessible part».
• Please separate the battery from unit when not in use for long periods.
Please dispose of properly at the end of useful life, following relevant
state and local laws. Battery disposal may be illegal in municipal
waste streams.

EN
9
Product Components
Mesh cartridge
(NE-SM1-1) Medication bottle (NE-SM1-2) Mask adapter (NE-SM1-3)
Small inhalation mask
(NE-SM1-4)
Large inhalation mask
(optional: NE-SM1-5)
Battery locker
(NE-SM1-6)
Rechargeable
lithium battery
(NE-SM1-7)
Mouthpiece
(NE-SM1-8)
AC adaptor & USB charger
(NE-SM1-9)

10
Product descriptions
1Medication bottle and bottle cap.
2 ON/OFF switch.
3The main unit.
4ON lamp (green) and Battery indicator lamp (yellow).
5Mesh cartridge.
6Mask adapter.
7Inhalation mask.
8Battery.
9Battery cover.
9
8
7
6
5
4 3
2
1

EN
11
Use procedure
STEP 5: HOW TO OPERATE THE NEBULIZER (See page 15)
NOTES:
• Do not turn on power without medication.
• Do not turn on power while battery is charging.
• Nebulizing will not occur when the unit is tilted at too
great an angle.
STEP 1: HOW TO CLEAN THE NEBULIZER (See page 16)
NOTE:
Clean and disinfect nebulizer parts and applicable inhalation
attachments before initial use, or after long periods of storage.
STEP 2: HOW TO INSERT & CHARGE BATTERY (See pages 14&20)
NOTES:
• Insert battery after purchase.
• Charge battery if yellow battery indicator lamp blinks.
STEP 3: HOW TO FILL WITH MEDICATION (See page 15)
NOTES:
• Follow a physican-prescribed regimen of drug therapy.
• Do not drop medication or liquid onto the main unit.
STEP 4: HOW TO INSTALL THE INHALATION MASK (See page 12)
NOTES:
• Nebulizing will not occur if the units is tilted at too great an
angle.
• Be sure to clean washable parts after each use.

12
HOW TO USE THE UNIT
Assembly
1. Insert the medication bottle into the main unit until a "click" is heard, or
the unit may not work correctly.
2. Insert the mesh cartridge at a right
angle to the medication bottle,
then turn downwards and push
until a "click" is heard.
3. Insert the mesh cartridge and push
down as seen in the diagram or unit
may not work correctly.

EN
13
How to remove the Mesh cartridge
1. Remove the medication bottle by pushing buttons on both sides of the
bottle.
2. Push the Battery locker or a coin into the edge of the medication
bottle in the direction of the arrow as seen in the diagram. The mesh
cartridge will pop out.
4. Insert the mask adapter into the main unit
until a «click» is heard.
5. Install mask adapter or mouth
piece, mask to the unit. (mask for
adult is optional).

14
NOTE: Use a Micro 5pin USB smart phone charge adapter (IEC
60950 -1 approved travel adapter, input 100~240V~/50~60 Hz
output DC5V, 500~1000 mA) as shown in the following diagram.
Charging the internal battery
1. Charge battery after use if the yellow battery indicator lamp blinks
during use.
Use a USB power cable for PCs or a micro 5pin USB smart phone charge
adapter (individual purchase). If you use the unit without charging, the unit
will stop automatically.
2. Connect the charge adapter to the charge
receptacle in the main unit after inserting the
specied battery into the main unit; charging
will begin. Over 90% will charge within 3 hours
Low battery. (1000 mA charger adapter).
Charging is complete when the yellow LED
changes over to the green LED. Remove the
USB charger from the unit.
CAUTION:
• Don’t use the unit when the yellow battery
indicator lamp is on during charging.
• Charge battery after emptying residual
medication from the bottle.
• Charging time required: approximately 3
hours.
• Charging life cycle of battery: over 500
cycles.

EN
15
Filling with medication
1. Push up the hook on the
medication bottle, as seen
in diagram. The bottle cover
will open. Make sure there is
a silicone ring on the cover
which provides a proper seal
when the cover is closed.
2. Following a physician-pre-
scribed regimen, pour medi-
cation into the medication
bottle and close the cover
until a "click" is heard.
3. Use the unit as soon as the
medication bottle has lled.
Basic operation
1. Push the on/off switch in front of the unit; nebulizing
will begin.
2. Inhale gas while holding down the sides of the unit
as seen in diagram. In cases where the inhalation
angle is tilted more than 75°, nebulizing will not
occur because mesh must be soaked with medica-
tion.
3. Model 1: Nebulizing stops if the on/off
switch is pushed again.
Model 2: If the on/off switch is pressed for
more than 1.5 seconds, the unit nebulizes
only while the switch is pushed. In this
way you can synchronize nebulizing and
inhalation so that medication can be used
efciently.
1
2

16
4. The unit will stop automatically after 20 minutes. The unit may also
stop if running out of medication.
CAUTION:
• The rate of nebulization may be greatly reduced if
used with a high viscosity medication or a medica-
tion at low temperature.
• If the unit isn’t used within 10 minutes after lling
with medication, liquid may leak. If so, wipe with gauze or turn on
power. Nebulizing will begin after 2 seconds of absorption.
• Do not leave children alone while using the nebulizer.
HOW TO MAINTAIN THE UNIT
Сleaning
1. Dispose of residual medication after use. Don’t
store medication or carry the unit while lled with
medication. Medication may leak and/or the unit
may become damaged. After lling with water,
nebulize for 60 seconds in order to clean mesh.
2. Wash and dry all the following parts completely
after every use: medication bottle, mesh cartridge,
mask adapter, mouthpiece and mask.
3. Washable parts: medication bottle, mesh cartridge, mask adapter,

EN
17
mouthpiece and mask.
WASHABLE PARTS
4. There is no need to remove the mesh cartridge from the medication
bottle for cleaning. Put clean water in a container. Gently shake parts in
water after disassembly. Do not clean parts under running water.
5. Dry parts with sterile gauze after washing.
5. Main body: Clean with a soft cloth moistened with water and a non-
abrasive cleanse.
7. Keep all parts dry.
8. Reassemble.
CAUTION:
• Never immerse the main unit in water as this may damage the unit.
• Do not clean parts under running water to avoid possible damage.
• Gently shake parts in water.
• Do not touch mesh with ngers.
• Never dry in a microwave oven.
Mesh
cartridge Medication bottle Mask adapter
Small inhalation
mask Large inhalation mask Mouthpiece

18
• Always unplug this product before cleaning.
CAUTION:
• Maintain cleanliness of electrodes between main unit and mesh
cartridge.
• If Medication or saliva on the outside of the mesh surface will block-
nebulization, absorb with gauze.
Disinfecting
1. Disinfect the medication bottle, mesh cartridge, mask adapter, mouth-
piece and mask by boiling at 100°C for 2 minutes. Don’t boil the mesh
cartridge for more than 2 minutes or damage may occur.
2. When disinfecting with disinfectant, soak parts in a 0.1% solution of
Benzalkonium Chloride for 10 minutes. Don’t soak in disinfectant for
more than 10 minutes.
3. Other types of disinfection agents may cause rust within the unit. You
must rinse off disinfectant with clean water after disinfection and dry
with sterile gauze. Don’t dry with cotton or cloths, as they may be con-
taminated.
4. Dry completely.
5. Reassemble. Make sure you do not lose the silicone ring which pro-
vides a proper seal when the cover is closed. If the silicone ring sepa-
rated from the cover, put it back on its place.
CAUTION: DO NOT BOIL MAIN UNIT, BATTERY, AC ADAPTOR & USB
Gauze

EN
19
CHARGER OR BATTERY COVER.
DO NOT BOIL THESE PARTS:
Storage
• Keep unit and accessories dry.
• Keep unit out of the reach of small children.
• Always keep unit unplugged when not in use.
• Do not store battery in direct sunlight, high temperatures or in humid
conditions.
• Do not place battery on metal or wet surfaces, or inside metal boxes.
• Such placement could short-circuit the battery’s positive & negative
contacts and cause the battery to heat or explode.
• Do not place unit where it could be exposed to excessive impact or
vibration.
• Do not expose unit to chemical or explosive gases.
Maintenance
• Repairs must be performed by authorized personnel. Disassembling
unit or battery may short circuit the battery, causing accidents.
• Should the main unit become contaminated, wipe with sterile gauze.
• Don’t immerse main unit or battery in water as this may cause damage
and electrical shock.
• Don’t touch mesh vibrator or insides of medication bottle as this may
cause breakdown or contamination.
• The unit must be washed after use to prevent contamination with
germs.
• If medication or saliva sticks to the mesh cartridge, it may be broken.
• If medication or saliva sticks to the mesh cartridge you can remove
contaminants by boiling the mesh cartridge. The mesh cartridge is
Main unitBattery
AC adaptor & USB charger

20
consumable.
• If there is residual medication in the bottle after use, liquid can leak
through the mesh. Wipe with sterile gauze.
Replacing Battery
3. When inserting the battery cover, arrow marks must be aligned. Close
the battery cover with a battery locker or use a coin while pushing and
turning clockwise.
4. Close battery cover until a "click" is heard.
1. Open battery cover with a
battery locker or coin.
2. Insert the provided lithium ion
battery into the main unit in the
proper polarity direction.