Little Doctor LD-221C User manual

LD-221С
Compressor Nebulizer LD
Instruction Manual
Ингалятор компрессорный LD
Руководство по эксплуатации
Ауа сығымдағыш LD ингаляторы
Пайдалану жөніндегі басшылық құжат
ENG RUSKAZ

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PARTS AND COMPONENTS
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LD-221C
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DEVICE PARTS DESCRIPTION
№ position
on the
scheme
NAME DESCRIPTION
1Compressor Nebulizer compressor unit for to create air pressure.
2Power Switch Tumbler I/O – switch on/switch off power.
3
Connector of Compressor Fitting compressor for connecting an inhalation tube.
4Intake Holes for air intake to cool the compressor.
5Nebulizer holder Holder for the nebulizer.
6Socket for the filter Position the air filter for nebulizer.
7Adult mask LD-N041 Adult inhalation mask. Expendable material.
8Child mask LD-N040
Child inhalation mask . Expendable material.
9Nebulizer LD-N105 Chamber for inhalation of aerosol from a solution.
9.1 Upper part of the nebulizer Part of the aerosol chamber. Place of connection to the
sleeve.
9.2 Baffle "A" (Yellow) LD-N001
Inhalation baffle (mainly the lower respiratory tract).
Consist of two parts: cone and cylinder. Expendable
material.
9.3 Baffle "C" (Red) LD-N003 Inhalation baffle (mainly the upper respiratory tract).
Expendable material.
9.4 Baffle "B" (Blue) LD-N002 Inhalation baffle (universal). Expendable material.
9.5 Nozzle
Cone-shaped nozzle to create a thin air jet.
9.6 Lower part of nebulizer
Part of the aerosol chamber ( for inhalation solution with a
seat for the bump).
9.7
Air tube connector Socket for connecting an inhalation tube.
10 Air tube LD-N051 Inhalation tube. Expendable material.
11
Inhalation mouthpiece
LD-N022
Inhalation mouthpiece. Expendable material.
12 Air filter LD-N055 Filter inhalation. Expendable material.
13 Adult Nasal Nozzle LD-N058
Adult nozzle for inhalation through the nose. Expendable
material.
14 Child Nasal Nozzle LD-N059 Child
nozzle for inhalation through the nose . Expendable
material.
15 Bag Accessories storage bag

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NEBULIZER THERAPY – WHAT IS IT?
NEBULIZER IS A DEVICE FOR FORMATION AND SPRAYING OF AEROSOL. THE WORD
“NEBULIZER” IS DERIVED FROM THE LATIN WORD “NEBULA” (FOG, CLOUD) AND
WAS FIRST USED IN 1874 FOR A DEVICE THAT TURNS A LIQUID SUBSTANCE INTO
AN AEROSOL FOR MEDICAL PURPOSES. ONE OF THE FIRST PORTABLE “AEROSOL
APPARATUSES” WAS CREATED BY J. SALES-GIRONS IN PARIS IN 1859. THE FIRST
NEBULIZERS WERE USED AS STEAM JET ENERGY SOURCES AND WERE APPLIED
FOR INHALATION THE VAPORS OF RESINS AND ANTISEPTICS BY TUBERCULOSIS
PATIENTS. PRESENTLY, THE TERM “INHALER” IS OFTEN USED INSTEAD OF “NEBU-
LIZER”.
The purpose of the nebulizer therapy is to quickly deliver to the respiratory passages a thera-
peutic doze of a preparation in aerosol form. Continuous supply of aerosol allows, within
several minutes, creating high concentration of a medicine in the upper and lower respiratory
passages and lungs, with low probability of any by-effects. Respectively, effective broncho-
dilation (bronchi expansion) is reached, and the need for hospitalization is eliminated or the
hospital stay is reduced.
Little Doctor Internatiоnаl (S) Pte. Ltd. offers you to use inhaler LD-221C, whose distinctive
features are the possibility to use a wide range of medicines, low inhalation solution residual
volume, and reliable and simple use. We thank you for your choice.
GENERAL INFORMATION
Compressor nebulizer LD is designed for treating the diseases of respiratory passages
and lungs by medicine solution aerosols.
This Instruction Manual is designed to assist the user with safe and effective operation of
the Compressor Nebulizer LD.
Use this Device according to the rules described in this Manual. Operate the Device only as
intended. Do not use the Device for any other purposes. Read and understand the whole
Instruction Manual.
Functionally, the device consists of an air compressor and nebulizer (aerosol formation
chamber). The air compressor, on/off power switch and air filter are united in one casing.
From the air compressor, the compressed air is fed through a pipe to the nebulizer, where
aerosol is formed. For cooling the compressor, air is force-feed into the device’s casing.
INDICATIONS FOR USE
The LD compressor nebulizer is designed for the treatment of respiratory diseases
such as rhinitis, pharyngitis, laryngotracheitis, acute and chronic bronchitis, bronchial
asthma.
CONTRAINDICATIONS
The LD compressor nebulizer is сontraindicated for use if there are malignant neoplasms,
systemic blood diseases, severe general exhaustion, stage III hypertension, pronounced
atherosclerosis of the cerebral vessels, diseases of the cardiovascular system in the

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stage of decompensation, nosebleeds or a predisposition to nosebleeds, hemoptysis,
fever (body temperature above 38 °C), active pulmonary tuberculosis, acute pneumonia,
hypertrophy of the mucous membranes of the respiratory tract, tonsillitis, pleurisy,
epilepsy with frequent seizures, hysteria with severe convulsive seizures, psychosis with
symptoms of psychomotor agitation, alcohol or drug intoxication, individual intolerance to
procedures, general severe patient status. If the patient has recently undergone dental
surgery or if the patient is undergoing treatment related to problems in the mouth or
throat, it is necessary to consult a doctor before use of the device.
SIDE EFFECTS
The use of the LD compressor nebulizer has no side effects if used with the observance
of precautions.
PRECAUTIONS
Important information! For correct work of the nebulizer it is recommended to use all
types of standard inhalation solutions in liquid form for nebulizer therapy produced by phar-
maceutical companies.
• Solutions for inhalation should be prepared under sterile conditions using 0.9%
sodium chloride as a solvent.
Attention! Do not use tap (even boiled) or distilled water to prepare the inhalation solution.
The dishes in which the solution is prepared should be pre-disinfected by boiling.
• The type of inhalation (by mouth, using a mouthpiece or through the nose, using a
mask or a nozzle), the frequency, the inhalation solutions used and the dosage must be
determined by YOUR DOCTOR.
• Place the device on a flat table surface for use.
• To avoid overheating of the device, do not block the air inlet.
• Children must use the device under the supervision of an adult.
• If you are not using the device, disconnect it from the mains by pulling out the plug
from the socket.
• Do not touch the power plug with wet hands.
• Do not place the device in water, under a water drain or in a shower stall. Do not use
when bathing.
• Do not touch the device if it has fallen into water. Unplug it immediately.
• Make sure the power cord is not damaged before use.
• The power cord must not touch hot or heated surfaces.
• If the device does not work, see section “TROUBLESHOOTING TIPS“.
• Use specificied accessories specified for this model and described in this manual.
• This device cannot be used for inhalation anesthesia and artificial ventilation of the
lungs.
• Do not insert foreign objects into the openings of the device.
• The device is not intended for outdoor use.

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USING THE DEVICE
Preparing for inhalation.
Important ! Before using the appliance for the first time it is nec-
essary to make a full cleaning, as described in last paragraph
«SAFETY INFORMATION».
1.
Place the nebulizer in front of you on the table. Make sure the device is
turned off (power switch is in position «O»), and the power cord is not
plugged into the mains.
2. Remove the top of the nebulizer by turning it counterclockwise
(Fig.1).
3. Set the desired baffle.
Factory installed baffle inside the nebulizer is baffle «B» (Blue), which
is effective to affect the entire respiratory tract. For a more effective
impact medicines on the upper respiratory tract, set, instead of the
blue baffle, red baffle «C».
For a more effective impact on the lower respi-
ratory tract – baffle «A» yellow color, which consists of two parts (Fig. 2,
figures indicate the order of assembly). Graphics of the differential particle
size distribution by mass for different nozzles are shown in Fig. 4.
4. Fill the bottom of the nebulizer inhalation solution. The dosage should
not exceed the recommended by your doctor. The number of nebu-
liser solution is determined by the scratches on the case. The maxi-
mum reservoir volume of 10 ml.
5. Attach the nebuliser at the top, turning it clockwise until it stops.
6. Depending on the type of inhalation, using either a mouthpiece or nozzle or mask.
The mask, mouthpiece or nose nozzle is connected directly to the upper part of the
nebulizer
(Fig.3).
Hold the nebulizer vertically.
Important !Each patient is encouraged to use personal
mouthpiece, a mask and / or nozzle for the nose.
7. Plug the power cord to an electrical outlet.
8. Connect one end of the inhalation tube to the fitting of com-
pressor, and others - to the fitting of nebulizer.
9. Turn on the nebulizer, switching the power switch in position
«I». NEBULIZER IS READY FOR INHALATION.
Fig. 1
Fig. 2
Fig. 3

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Depending on the type of baffle, the particles of different sizes are dis-
tributed aerosols as follows*:
particle sizes, mkm
% to t
h
e tota
l
mass
0
5
10
15
1
100
60
30
10753
(mainly the upper
respiratory tract)
Dispenser "C" (red)
Dispenser "B" (blue)
Dispenser "A" (yellow)
(universal)
(mainly lower respiratory tract)
For effective delivery medicines to a specific
site of respiratory tract, need to use the
appropriate dispenser.
particle sizes, mkm
% to the total mass
1
100
60
30
10753
0
5
10
15
p
article sizes
,
mkm
% to the total mass
1
100
60
30
10753
0
5
10
15
Fig. 4
* - Measured by Little Doctor International (S) Pte. Ltd.
Performing the inhalation.
The length of one treatment session should not exceed 20 minutes. Consult your attending
physician about the length of the inhalation procedure.
You should always be calm and relaxed during the inhalation. Breathing should be slow
and deep, so that the preparation could fill the lungs well and reach the deep portions of
bronchi.

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Briefly hold your breath, and then exhale slowly. Do not attempt to breathe too rapidly. Make
pauses if you feel that you need it.
Breath-actuated nebulizer.
The special design of the nebulizer in the form
of chambers connected in a certain manner pro-
vides different ways of air streams during inhal-
ing and exhaling.
It allows obtaining the air stream with great-
est aerosol concentration when inhalation and
reducing aerosol loss when exhaling. The effec-
tiveness of inhalation using the breath-actuated
nebulizer is increased significantly.
INHALE EXHALE
Completing the inhalation.
When the inhalation solution is used up and the inhalation time recommended by the doctor
has expired, turn the device off by putting the tumbler in «O» position and unplug it.
After inhalation, breathe fresh air for some time for better treatment effect.
After each application of the device, the residual preparation should be removed out of it. Clean
and wash the device as described in last paragraph «SAFETY INFORMATION».
CARE, STORAGE, REPAIR AND DISPOSAL
1. Before the first use, as well as after each use of the device, it should be cleaned and
disinfected.
Attention! When cleaning and disinfecting, do not allow solutions of detergents and disin-
fectants to get inside the compressor block housing.
At home:
Cleaning of the nebulizer, baffles disconnected from the nebulizer, masks, nozzles for
the nose, mouthpieces and the tube is carried out by rinsing with warm water (with a
temperature not exceeding 45 °C) with the addition of a 0.5% detergent solution (it is
recommended to use detergents for washing children’s dishes or washing children’s
odorless laundry). The compressor block housing is cleaned by wiping with a gauze cloth
soaked in a 0.5% detergent solution.
Disinfection of the nebulizer, baffles disconnected from the nebulizer, masks, nozzles
for the nose, mouthpieces and tube is made by full immersion (soaking) in 3% hydrogen
peroxide solution or in 3-6% vinegar solution (1 part vinegar to 3 parts distilled water).
The disinfection time is 30 minutes. The initial temperature of the solution is 50 °C. The
shelf life of the working solution is 1 day. Make enough solution to dip all of the parts.
Disinfecting solutions must not be reused! Mouthpieces and nozzles for the nose can be
boiled in distilled (or pre-boiled) water for 10 minutes. After handling, wipe all parts of the
appliance dry with a soft cloth.
In medical institutions:
Cleaning and disinfection of the nebulizer, baffles disconnected from the nebulizer,

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masks, nozzles for the nose, mouthpieces and tubing is performed using specialized
disinfectants.
Nozzles for the noser LD-N058 and LD-N059, mouthpiece LD-N022 can be boiled for 10
minutes. If necessary, the nozzles for the nose LD-N058, LD-N059 and the mouthpiece
LD-N022 can be sterilized in an autoclave at a temperature not exceeding 150 C for 10
minutes. After handling, wipe all parts of the appliance dry with a soft cloth.
2. Regularly check if the filter is dirty and, if necessary, replace the filter. To replace the
filter, open the filter slot by prying the filter slot cover with a screwdriver; install a new
filter; close the filter slot
IT IS RECOMMENDED TO CHANGE THE FILTER AT LEAST ONE TIME A YEAR.
3. The device must be protected from hits and direct sunlight.
4. Do not store or use the device in the immediate vicinity of heaters and open flames.
5. Protect the device from dirt.
6. Do not allow the device to come into contact with aggressive solutions.
7. If necessary, carry out repairs only in specialized organizations.
Contact information is provided in section «MANUFACTURER AND AUTHORIZED
REPRESENTATIVES».
8. The service life of the compressor is 5 years from the start of operation. The service
life of consumables is 1 year from the date of handover of the device to the consumer.
After the expiration of the established service life, you should periodically contact the
specialists (contact information is indicated in the section. «MANUFACTURER AND
AUTHORIZED REPRESENTATIVES») to check the technical condition of the device and,
if necessary, to dispose of it in accordance with the current disposal rules in your region.
The manufacturer has not established special conditions for disposal.
9. The manufacturer does not establish specific standards for the frequency of preventive
inspection and maintenance.
WARRANTY
The following LD product is covered by warranty for the period 36 months. The
warranty does not apply to the consumables (masks, mouthpieces, inhalation tubes etc.).
The warranty liabilities are contained in the warranty card given at the sale of this device
to a purchaser. The addresses of organizations for warranty maintenance are given in the
warranty card.

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COMPLETENESS
№ NAME MODEL QUANTITY, pc.
1 Compressor — 1
2
Nebulizer (with inhalation baffle LD-N002) LD-N105 1
3 Inhalation baffle LD-N001
4 Inhalation baffle LD-N002 1
5 Inhalation baffle LD-N003 1
6 Inhalation mouthpiece LD-N022 2
7 Adult inhalation mask LD-N041 1
8 Child inhalation mask LD-N040 1
9 Inhalation tube LD-N051 1
10 Adult nasal nozzle LD-N058
1
11 Child nasal nozzle LD-N059
1
12 Inhalation filter LD-N055 5
13 Instruction Manual — 1
14 Warranty Card — 1
15 Packaging — 1
16 Bag — 1
TECHNICAL SPECIFICATIONS
Model LD-221C
Type Compressor Nebulizer
Rating: AC 230V, 50Hz
Power Consumption 190VA
Nebulizing Pressure, max 210-400 KPa
Noise Level, approx. 54 dB*
Max capacity of nebulizer kit 10 ml
Residual volume, not more 0,5 ml
Compressor productivity, not more 7 l/min

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Nebulization rate, approximately
Inhalation baffle «A» LD-N001
Inhalation baffle «B» LD-N002
Inhalation baffle «C» LD-N003
0.3 ml/min.*
0.4 ml/min.*
0.5 ml/min.*
Particle size (ММАD)
Inhalation baffle «A» LD-N001
Inhalation baffle «B» LD-N002
Inhalation baffle «C» LD-N003
3.5 mkm*
4.0 mkm*
5.0 mkm*
Operation mode 20 minutes on, 40 minutes off
Operation Temperature and
humidity/ atmospheric pressure
10°C ~ 35°C,
15%-80%/ 860~1060hPa
Transport and storage temperature
and humidity/ atmospheric pressure
-20°C ~ 40°C,
15%-95% / 500~1060hPa
Size 130mm x 98mm x 180mm
Net Weight, no more 1250 g
Protection against electric shock type BF
* - Measured by Little Doctor International (S) Pte. Ltd.
SYMBOLS
CE marking in conformity with EC directive 93/42/EEC
Important: Read the manual
EC Representative
Manufacturer
UA.TR.001
Ukrainian Conformity Mark
Class II
Type BF
Protect from moisture
The device has not been sterilized
35
Storage/operation temperature and humidity
Serial number
Revision date of the present Manual is indicated on the last page as IXXX/YYMM/NN,
where YY is the year, MM is the month and NN is the number of revision. Technical
characteristics may be changed without preliminary notification to improve the opera-
tion and quality of the product.
This device manufacturing is certified according to international standard ISO 13485.
Device comply with the requirements of European Directive MDD 93/42/ЕЕС, interna-
tional standards EN 1041, EN 60601-1, EN 60601-1-2, ISO 14971.

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ELECTROMAGNETIC COMPATIBILITY INFORMATION
Important information on electromagnetic compatibility (EMC)
As the number of electronic devices such as PCs and mobile (cellular) phones
increases, medical devices in use may be susceptible to electromagnetic interference
from other devices. Electromagnetic interference can interfere with the operation of
the medical device and create a potentially unsafe situation. Medical devices should
also not interfere with the functioning of other devices. To regulate the requirements
on EMC (Electromagnetic Compatibility), the IEC 60601-1-2 standard has been
introduced to prevent unsafe product use situations. This standard specifies levels of
immunity to electromagnetic interference as well as maximum levels of electromagnetic
radiation for medical devices. This medical device manufactured by Little Doctor meets
the requirements of IEC 60601-1-2 regarding immunity to interference and radiated
emissions.
However, special precautions should be taken:
Do not use mobile (cellular) phones or other devices that generate strong electric or
electromagnetic fields near this medical device. This can disrupt the operation of the
instrument and create a potentially unsafe situation. It is recommended to maintain a
distance of at least 7 m. Make sure that the device is working correctly if the distance
is less.
The rest of the IEC 60601-1-2 compliance documentation is available from Little Doctor
company’s office at the address provided in this manual. This documentation is also avail-
able on the Littledoctor.sg website.
TROUBLESHOOTING TIPS
No power on device when the power switch is on:
Turn the power switch off. Plug the power plug into an electrical outlet. Turn the device on.•
No nebulization or low nebulization rate when the power is on:
Add the correct amount of prescribed medication to the medication cup.•
Make sure the nebulizer kit is correctly assembled and the inhalation accessory is correctly•
attached.
Hold the nebulizer kit correctly. Do not tilt the nebulizer kit so the angle of the kit is greater than•
45 degrees.
Make sure the air tube is correctly attached to the compressor and the nebulizer kit.•
Make sure the air tube is not folded, kinked or bent. Inspect the air tube for any damage.•
Replace the air tube if damaged.
The device is very hot:
Do not cover the compressor with any type of cover during use. Turn the device off. Wait•
40 minutes before using the device again.

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INFORMATION ON THE MANUFACTURER AND DISTRIBUTORS
 Quality claims are recieved at the following address:
EU: Little Doctor Europe Sp. z o.o.
57G Zawila Street, 30-390, Krakow, Poland
Service phone: [phone]
Kazakhstan: TOO Kazmedimport, 24 Karbysheva Street Ust-Kamenogorsk, 070010
Kazakhstan. Phone: [phone]. E-mail:info@kаzmedimport.kz.
www.kazmedimport.kz
Manufactured under control:
Little Doctor International (S) Pte. Ltd., 7500A, Beach Road, 11-313 The Plaza 199591,
Singapore. Postal address: Yishun Central P.O. Box 9293 Singapore 917699.
Manufacturer:
Little Doctor Electronic (Nantong) Co., Ltd., No.8, Tongxing Road Economic & Technical
Development Area, Nantong 226010, Jiangsu, PEOPLE’S REPUBLIC OF CHINA
Distributor in Europe:
Little Doctor Europe Sp. z o.o.
57G Zawila Street, 30-390, Kraków, Poland
Sales Office phone: [phone], fax: [phone]
E-mail: [e-mail]
www.LittleDoctor.pl
Authorized Representative in the EU:
Little Doctor Europe Sp. z o.o.
57G Zawila Street Krakow 30-390 Poland.

I584/2208/13
®
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