Mallinckrodt INOMAX DSir Plus User manual

Part No. 20003 Rev - 01
Part No. 20717 Rev-01
2014-07
Operation Manual
(800 ppm INOMAX® (nitric oxide) for inhalation)
Series 3 software

Part No. 20717 Rev-01
2014-07
User Responsibility
This Product will perform in conformity with the
description contained in this operating manual
and accompanying labels and/or inserts, when
assembled, operated, maintained and repaired
in accordance with the instructions provided. This
Product must be checked prior to use following the
Pre-Use Checkout procedure described in section
two. A defective Product should not be used. Parts
that are broken, missing, visibly worn, distorted or
contaminated should be replaced immediately.
Should such repair or replacement become
necessary, the manufacturer recommends that a
telephone request for service advice be made to
the local distributor. This Product or any of its parts
should not be repaired other than in accordance with
written instructions provided by the manufacturer or
local distributor. The Product must not be altered.
The user of this Product shall have the sole
responsibility for any malfunction which results
from improper use, faulty maintenance, improper
repair, damage, or alteration by anyone other than
Mallinckrodt Representatives.
Caution: U.S. Federal and Canadian law restrict
thisdevicetosalebyorontheorderofalicensed
medical practitioner. Outside the U.S.A. and
Canada, check local laws for any restrictions
that may apply.
Inhaled Nitric Oxide mixtures must be handled
and stored in compliance with federal, state and
local regulations.
These products have unit serial numbers with coded
logic which indicate the year of manufacture and a
sequential unit number for identication.
No license is conveyed, either expressed or implied, with the purchase or usage hereof under any patent or patent application covering this
product. See Patents www.mallinckrodt.com/patents and any respective foreign equivalents thereof.
Open Source Software
A CD-ROM is available upon request containing the full source code to the open source software used within this product.
Portions of this software are copyright © 1996-2002 The FreeType Project (www.freetype.org).All rights reserved.
Korean fonts Baekmuk Batang, Baekmuk Dotum, Baekmuk Gulim, and Baekmuk Headline are registered trademarks owned by Kim Jeong-Hwan.
Mallinckrodt, the “M” brand mark and the Mallinckrodt Pharmaceuticals logo are trademark of a Mallinckrodt company. Other brands are
trademarks of a Mallinckrodt company or their respective owner. ©2016 Mallinckrodt
Important:
Before using the INOmax DSIR, read through this manual.
Read through the manuals for the ventilator, humidier and any other accessory items used. Follow the manual
instructions and obey the Warnings and Cautions.
Keep this manual readily available to answer questions.
SN 20051234 The rst four numeric digits indicate the year of product manufacture, and the next
four digits are the sequential unit number produced.
Ref 10007 INOmaxDSIR part number

Part No. 20717 Rev-01
2014-07 i
Contents
1/ General Information ........................................................................................................................1-1
Indications for Use..........................................................................................................................1-1
Introduction to this Manual.............................................................................................................1-2
INOmeter Operation.....................................................................................................................1-18
Theory of Operation .....................................................................................................................1-22
Environmental Effects ..................................................................................................................1-26
2/ Automated Pre-Use Checkout........................................................................................................2-1
Initial connections...........................................................................................................................2-2
High Pressure Leak Test and Automated Purge ............................................................................2-5
Integrated Pneumatic Backup INOMAX Delivery Test ...................................................................2-7
Performance Test...........................................................................................................................2-8
INOblender Test .............................................................................................................................2-9
Depressurizing the Regulator Supply Line...................................................................................2-10
3/ Patient Application..........................................................................................................................3-1
INOblender Operation....................................................................................................................3-4
INOblender Used as a Stand-Alone Device...................................................................................3-5
INOblender use with the NeoPuff...................................................................................................3-6
Integrated Pneumatic Backup NO Delivery....................................................................................3-7
Changing INOMAX Cylinders and Purging the Regulator Assembly ...........................................3-10
Oxygen Dilution Chart..................................................................................................................3-13
Duration Chart INOMAX Cylinder 88-Size ...................................................................................3-14
Duration Chart INOMAX Cylinder D-Size.....................................................................................3-15
Monitoring the Environment .........................................................................................................3-19
Entering Patient Information.........................................................................................................3-20
Connection to Various Breathing Systems...................................................................................3-24
Acutronics Medical Systems AG Fabian +nCPAP Evolution......................................................3-25
Acutronics Medical Systems AG Fabian HFO............................................................................3-26
A-Plus Medical Babi-Plus Bubble CPAP Circuit.........................................................................3-27
Bagging Systems While Using the Injector Module....................................................................3-28
Bunnell Life Pulse High Frequency Ventilator Circuit.................................................................3-32
Connecting INOmax DSIR Sample Tee to the Bunnell Life Pulse Circuit ...................................3-33
Connecting INOmax DSIR Injector Module to the Bunnell Life Pulse Circuit..............................3-33
Circle Anesthesia System...........................................................................................................3-34
Dräger Babylog VN500/Innity Acute Care System and Heinen & Löwenstein
Leoni-plus Ventilator ................................................................................................................3-36
Fisher & Paykel Healthcare Bubble CPAP .................................................................................3-37
Fisher & Paykel Healthcare Infant Circuit Nasal Cannula..........................................................3-38
Fisher & Paykel Healthcare Optiow Breathing Circuit ..............................................................3-39
Hamilton Arabella Nasal CPAP ..................................................................................................3-40
ICU Ventilator Circuit..................................................................................................................3-41
Sensormedics 3100A/B High Frequency Oscillatory Ventilator with a Filtered Circuit............... 3-42
Sensormedics 3100A/B High Frequency Oscillatory Ventilator with a Rigid or Flexible Circuit.3-43
SLE Life Support SLE5000 ........................................................................................................3-44
Spontaneous Breathing Patient on a Mask Circuit ....................................................................3-45
Spontaneous Breathing Patient on a Nasal Cannula.................................................................3-46
Teleex Medical Comfort Flo Humidication System .................................................................3-47
Vapotherm 2000i........................................................................................................................3-48
Vapotherm Precision Flow..........................................................................................................3-49
Viasys Infant Flow CPAP System; CardinalAirlife nCPAP System............................................3-50
Viasys Infant Flow SiPAP...........................................................................................................3-52

Part No. 20717 Rev-01
2014-07
ii
4/ Transport..........................................................................................................................................4-1
Transport Options ..........................................................................................................................4-1
A. Intrahospital transport (within the hospital) when moving the
INOmax DSIR as a unit (cart and cylinders) .............................................................................4-1
B. Intrahospital transport (within the hospital) when removing the INOmax DSIR and INOblender
from the cart..............................................................................................................................4-2
C. When using the INOblender as a stand-alone device...............................................................4-6
INOblender Test Using the INOmax DSIR to Analyze Output....................................................4-8
INOblender Stand-Alone Pre-use Checkout ...........................................................................4-10
D. InterHospital Transport (Between Hospitals) when using a separate INOmax DSIR and
INOblender for transport...........................................................................................................4-11
Duration Chart..............................................................................................................................4-12
INOMAX Cylinder D-Size.............................................................................................................4-12
Transport Regulator/Cap Assembly Application...........................................................................4-13
Connection to a Dual-Limb Transport Ventilator Circuit .............................................................4-16
Connection to a Single-Limb Transport Ventilator Circuit...........................................................4-17
Cylinder Leak Check....................................................................................................................4-19
5/ Alarms ..............................................................................................................................................5-1
Alarm History..................................................................................................................................5-3
Alarm Help......................................................................................................................................5-5
6/ Calibration........................................................................................................................................6-1
Low Calibration...............................................................................................................................6-2
Oxygen Sensor High Calibration....................................................................................................6-4
NO Sensor High Calibration...........................................................................................................6-7
NO2Sensor High Calibration.........................................................................................................6-11
7/ Maintenance.....................................................................................................................................7-1
Cleaning the INOmax DSIR ...........................................................................................................7-2
Replacing the O2, NO and NO2Sensors........................................................................................7-6
Replacing the Water Separator Cartridge......................................................................................7-8
Cylinder Leak Check....................................................................................................................7-10
Preventative Maintenance.............................................................................................................7-11
Parts and Accessories..................................................................................................................7-12
8/ Product Specications....................................................................................................................8-1
Ventilator Compatibility...................................................................................................................8-1
RS232 Data Output........................................................................................................................8-7
Electromagnetic Compatibility Information.....................................................................................8-9
9/ Appendix ..........................................................................................................................................9-1
Manual Pre-Use Checkout.............................................................................................................9-1
Initial connections.........................................................................................................................9-2
High Pressure Leak Test................................................................................................................9-5
Manual Purge and Alarm Verication ...........................................................................................9-6
Integrated Pneumatic Backup INOMAX Delivery Test .................................................................9-7
Performance Test.........................................................................................................................9-7
INOblender Test ...........................................................................................................................9-8

Part No. 20717 Rev-01
2014-07 iii
Blue arrow denotes required user action.
WARNING: Integrated Pneumatic Backup
• The integrated pneumatic backup is intended for short term use when the electronic
delivery system fails until a replacement NO delivery device can be brought to the
bedside.
• The integrated pneumatic backup delivers a variable concentration of NO to the
patient depending on the ventilator ow being used.
• When using the integrated pneumatic backup with breathing circuit gas ows of
5 L/min, the delivered NO dose will be approximately 40 ppm. Breathing circuit gas
ows less than 5 L/min will deliver an NO dose greater than 40 ppm.
• The integrated pneumatic backup (250 mL/min.) should not be used with the
Bunnell Life Pulse as ventilator ow rates are normally below the recommended
ventilator ows.
Changing Cylinders
• Always secure a cylinder when not using it.
• Never lift a cylinder by its valve or valve protection cap or by using a chain, sling or
magnet.
• Never drop a cylinder.
• Never use a hammer, pry or wedge to loosen a valve or protection cap. The valve
and protection cap should operate by hand.
• Never let oil, grease or other combustible come in contact with a cylinder or valve.
• Never remove or deface cylinder labeling or markings.
• Never modify equipment without rst contacting the manufacturer.
• Never use an adaptor to connect a cylinder to the system.
• Never use equipment not designed to use INOMAX mixtures.
• Never attempt to repair a leak on a cylinder valve or its safety relief device.
• Never operate equipment that is leaking.
• Never ship a leaking cylinder.
• Never store cylinders;
- Where damage can result from the elements, such as standing water or
temperatures over 125 degrees F.
- Where they can experience extreme low temperatures.
- Where they can contact corrosive substances.
- Where they can be cut or abraded by an object.
- Next to a walkway, elevator or platform edge.
- Unless they are properly secured.
WARNING: Warnings tell the user about dangerous conditions that can cause injury to
the operator or the patient if you do not obey all of the instructions in this
manual.
Caution: Cautions tell the user about how to properly use the equipment and conditions
that could cause damage to the equipment.
Read and obey all warnings and cautions.
Note: Notes provide clarication or supplemental information.

Part No. 20717 Rev-01
2014-07
iv
High Frequency Oscillatory and Jet Ventilator Circuits
• Some high frequency ventilator circuits require a one-way valve to prevent high
NO delivery.
• Place the Bunnell Life Pulse in Standby prior to suctioning the patient to avoid
NO delivery transiently exceeding the set dose by up to 30 ppm. Press ENTER to
reestablish ventilation as soon as the catheter is removed from the airway. This
will limit the extent of over delivery above the NO set dose.
• Do not use dose settings above 40 ppm with the Acutronics Fabian HFO
ventilator. Bidirectional ow through the Injector Module may cause over-delivery
which can lead to measured NO values greater than 100 ppm
Maintenance
• For continued protection against hazard, replace the fuses only with the correct
fuse type and rating.
• Handle and dispose of sensors according to facility biohazard policies. Do not
incinerate.
• If the Injector Module has been used in the wet/humidied part of the breathing
circuit, it should be sterilized between each patient use.
• INOmax DSIR should only be connected to RS-232 ports that have:
- 4 kV input to output isolation
- 4 kV input to mains isolation, and
- an internal “reference voltage” “U” (as dened in section 20.3 of IEC60601-
1 ed. 2) of less than or equal to 50 VDC or 50 VRMS and dielectric isolation
certied in accordance with IEC 60601-1. Interface cabling must not go outside of
the room (e.g., into walls where potential isolation issues could exist). Adherence
to the above provides compliance to clause 20.3 “Value of test Voltage” in edition
2 and clause(s) 8.5.4 “Working Voltage” and Clause 8.8.3 “Dielectric Strength" in
edition 3.
• RS232 cable must be shielded. The RS232 cable shield shall have a minimum
of 90% coverage. The shield shall only be connected at one end of the cable to
minimize noise induced by ground currents.
Manually Bagging a Patient with an Injector Module
• The hyperination bag will, under some conditions, contain NO2in excess of
one ppm. Use of large tidal volume breaths may expose the patients to the NO2
present in the bag for part of the breath. In general, if the inspiratory ow rate
induced by the manual ventilation does not exceed the fresh gas ow rate,
the patient should not be exposed to the concentrations of NO2present in the
hyperination bag.
• Adult and infant hyperination bags generate more NO2when used at lower
minute ventilation. If use of the bag is interrupted (for example to adjust the
tracheal tube), before resuming ventilation of the patient, the user should squeeze
the bag several times to empty residual gas from the bag.
• Because of the potential for inhalation of excessive concentrations of NO2, and
the difculty in monitoring the peak inhaled NO2concentrations, ventilation with
a hyperination bag or self-inating bag is intended only for short term use.
• The monitoring system within the INOmax DSIR will not detect generation of NO2
within the hyperination bag or self-inating bag devices and the alarms for
excessive NO2cannot warn of NO2produced within the manual bag system.
WARNING:

Part No. 20717 Rev-01
2014-07 v
Manually Bagging a Patient with an Injector Module continued
• To minimize the delivered concentration of NO2, the following steps should be
taken for use with the manual resuscitator bags:
- Concentrations greater than 20 ppm NO should not be used because of
excessive NO2generation.
- Use the smallest bag adequate to deliver the desired tidal volume.
- Oxygen tubing lengths greater than 72 inches should not be used (between the
injector module and the bag).
- Use the highest fresh gas ow rate (up to 15 L/min) that is practical.
- Use the lowest practical inspired oxygen concentration.
- After starting fresh gas ow, squeeze the bag several times to empty residual
gas in the bag prior to using the system to ventilate a patient.
Manually Bagging a Patient with the INOblender
•The purge procedure must be followed to help ensure NO2is purged from the
system before the manual resuscitator bag is connected to the patient.
•The manual bag should be squeezed repeatedly during use to avoid NO2building
up in the bag.
•If the bag is not squeezed repeatedly while delivering INOMAX, the bag should
be removed from the patient and the bag purge procedure performed before
continuing.
• The INOblender should be upright when setting the oxygen owrate for accurate
setting.
•Do not use pneumatically powered nebulizers with the INOblender. This will result
in signicant over delivery of INOMAX in excess of 80 parts per million (ppm).
- The INOblender outlet pressure has been validated for use up to 400 millibar (5.8
psig) pressure. The amount of back-pressure generated by pneumatic nebulizers
is signicantly greater (20-30 psig) and will result in over delivery of INOMAX
in excess of 80 ppm. The user adjusted dose setting on the INOblender will not
correlate with, or have an effect on the actual delivered dose.
- In addition, the INOblender owmeter is not back-pressure compensated and will
display a lower ow rate than actual when pressure is applied to the outlet.
Purging Cylinders
• A new INOMAX cylinder and regulator must be purged before use to ensure the
patient does not receive an excess level of NO2.
• If the INOmax DSIR is not going to be used on a patient within 10 minutes,
depressurize the regulator supply line.
• If the INOmax DSIR is not used and is pressurized for more than 10 minutes, repeat
purge procedure.
• If the INOmax DSIR is depressurized and not used within 12 hours, repeat pre-use
procedure.
WARNING:

Part No. 20717 Rev-01
2014-07
vi
Use Outside of Product Labeling
• The INOmax DSIR must only be used in accordance with the indications, usage,
contraindications, warnings and precautions described in the INOMAX (nitric
oxide) drug package inserts and labeling. Refer to this material prior to use.
• The manufacturer does not recommend that the INOmax DSIR be utilized with
helium/oxygen mixtures in any situation. The INOmax DSIR is intended to deliver
INOMAX therapy gas only in conjunction with the delivery of air and oxygen. The
use of helium/oxygen mixtures will lead to over-delivery of INOMAX which may
lead to interruption of therapy.
• The use of devices which radiate high-intensity electrical elds may affect the
operation of the INOmax DSIR. Constant surveillance of all monitoring and life
support equipment is mandatory whenever interfering devices are in operation on
or near a patient.
• Do not connect items which are not specied as part of the system.
• The approved patient population for the INOmax DSIR, as specied in the drug
labeling for INOMAX (nitric oxide) for inhalation, is limited to neonates. The
INOmax DSIR is not intended to be used in other patient populations.
Transport
• If the INOmax DSIR or INOblender is to be used in a transport vehicle, they should
be afxed to the transport mounting post (part number 10009), which is part of
the transport mounting bracket assembly (part number 50041).
• The transport mounting post and/or the transport mounting bracket assembly
should be secured to the transport isolette/transport gurney in a manner which
will secure the INOmax DSIR/INOblender.
Troubleshooting or Calibrating
• If an alarm occurs, safeguard the patient rst before troubleshooting or repair
procedures.
• Use caution when troubleshooting the INOmax DSIR delivery system while
in use for a patient. When possible replace the unit in question and perform
troubleshooting procedure once the unit is removed from the patient.
• If changing an NO sensor while delivering NO to a patient, install the NO sensor
only when the NO high range calibration screen is displayed otherwise there is a
risk that the system will shut down.
• INOMAX can be administered during the sensor calibration process. However,
inspired gases are not monitored and gas monitoring alarms are disabled.
• Loss of communication between the INOmax DSIR and the INOMAX cylinder for
more than one hour will result in interruption of INOMAX delivery.
WARNING:

Part No. 20717 Rev-01
2014-07 vii
Ventilators and Breathing Devices
• The INOmax DSIR subtracts gas from the breathing circuit via the gas sampling
system at 230 mL per minute which can cause the ventilator to auto-trigger.
Adjusting the ow sensitivity may be necessary. The trigger sensitivity of the
ventilator should be checked after connecting the INOmax DSIR to the breathing
circuit.
• Set the INOmax DSIR alarm thresholds for the current patient conditions to
monitor any inadvertent changes in treatment.
• Be certain all cables and hoses are positioned to help prevent damaging or
occluding them.
• The use of pediatric and neonatal ventilator settings with adult size breathing
circuits can result in high levels of NO2. Always use the size of breathing circuit
that is appropriate for the patient.
• The humidier chamber volume should not be more than 480 mL to prevent
elevated NO2values.
• When handling any component of the patient circuit that comes in contact with
patient’s uids wear personal protective equipment (PPE).
• Patient disconnect and high pressure alarms are required for the ventilator.
• Patient circuit pressure and gas loss will result if cap is not in place (secured).
• Use only “Latex-Free” breathing circuits and ventilators when using the
INOmax DSIR.
• If the INOmax DSIR is to be used in a transport vehicle, it should be afxed to the
transport mounting post.
• Avoid recirculation of gases. Undesired recirculation of gases will occur if fresh
gas ows are less than the patient minute volume and may result in:
- Higher NO2levels due to the limited ability of the carbon dioxide absorbent to
remove NO2.
- Higher NO concentrations than those set due to NO recirculated through the
absorber.
- Reduction in O2concentration because nitrogen is the balance gas for nitric
oxide and will be present in the re-circulated gases.
• Only use parts/accessories designated for use with this system.
WARNING:

Part No. 20717 Rev-01
2014-07
viii
(Intentionally left blank)

Part No. 20003 Rev - 01
Part No. 20717 Rev-01
2014-07
1/ General Information
General
Information

Part No. 20717 Rev-01
2014-07
1/ General Information
General
Information

Part No. 20717 Rev-01
2014-07 1-1
1/ General Information
Indications for Use
• The INOmax DSIR (delivery system) delivers INOMAX (nitric oxide for inhalation) therapy gas into the
inspiratory limb of the patient breathing circuit in a way that provides a constant concentration of nitric
oxide (NO), as set by the user, to the patient throughout the inspired breath. It uses a specially designed
injector module, which enables tracking of the ventilator waveforms and the delivery of a synchronized and
proportional dose of NO. It may be used with most ventilators.
• The INOmax DSIR provides continuous integrated monitoring of inspired O2, NO2, and NO and a
comprehensive alarm system.
• The INOmax DSIR incorporates a battery that provides up to six hours of uninterrupted INOMAX delivery in
the absence of an external power source.
• The INOmax DSIR includes a backup NO delivery capability that provides a xed ow of 250 mL/min of NO
which along with user supplied 10 L/min of oxygen provides 20 ppm in the gas ow to a patient's breathing
circuit. It may also use the INOblender for backup.
• The target population is controlled by the drug labeling for INOMAX which is currently neonates; refer to the
drug label for specic information. The primary targeted clinical setting is the Neonatal Intensive Care Unit
(NICU) and secondary targeted clinical setting is the transport of neonates.

Part No. 20717 Rev-01
2014-07
1-2
Introduction to this Manual
Denitions and abbreviations
Term Denition
% v/v % volume/volume
Breathing circuit Part of ventilator or breathing system that connects to the INOmax DSIR®.
Breathing system Non-invasive breathing devices.
Control wheel Rotary control used to change and conrm settings.
Cylinder Aluminum cylinder containing INOMAX®therapy gas.
HFOV High frequency oscillatory ventilation.
INOblender®Back up to the INOmax DSIR. Allows manual ventilation of the patient, providing
uninterrupted delivery of INOMAX.
INOMAX Nitric oxide for inhalation.
INOmeter®Counter mounted on a cylinder that records the amount of time the INOMAX cylinder
valve is open.
Infrared (IR) Infra-red technology by which the INOmax DSIR communicates with the INOmeter
mounted on each cylinder.
N2Nitrogen.
NO Nitric oxide.
NO2Nitrogen dioxide.
O2Oxygen.
ppm Parts per million.
Pre-use circuit Connectors and tubing assembly required for INOmax DSIR for pre-use checkout.
psig Pounds per square inch gauge.
Set NO Dose of INOMAX set by the user.
This manual shows the Set NO displays associated with the 0-80 ppm range.

Part No. 20717 Rev-01
2014-07 1-3
Figure 1-1 INOmax DSIR Front View Figure 1-2 INOmax DSIR Rear View
1. Sample Line Inlet
2. Main Power Indicator
3. Display Screen
4. Alarm Speaker (under front label)
5. Integrated Pneumatic Backup Switch
6. Control Wheel
7. Injector Module Tubing Outlet
8. Injector Module Cable Inlet
9. Water Trap Bottle
10. Purge Port
11. INOMAX Gas Inlets
12. Blender Gas Outlet
13. Ethernet Port
14. Infrared Connector
15. USB Port
16. Water Separator Cartridge
17. Water Trap Bottle
18. Sample Gas Outlet Port
19. Clamp Assembly
20. Electrical Cord Inlet
21. Equipotential Terminal
22. ON/Standby Switch
23. RS232 Port
123
9
6
875
11 13 16
20
22 21 17
12 14
18
10
23
15
4
19

Part No. 20717 Rev-01
2014-07
1-4
6
Figure 1-3 INOmax DSIR and Cart
8
1. INOmax DSIR
2. INOmax DSIR Mounting Post
3. Clamp Assembly
4. INOMAX Regulator (2)
5. INOblender
6. Small Part Bin
7. INOmeter
8. INOMAX Cylinder
9. Cylinder Holding Bracket
10. Cylinder Mounting Strap
11. Oxygen Cylinder Bracket
12. Caster Lock Lever
13. Caster (4)
10
13
2
4
9
11
12
1
5
7
3

Part No. 20717 Rev-01
2014-07 1-5
(Intentionally left blank)

Part No. 20717 Rev-01
2014-07
1-6
Navigating the Display Screens
Main Screen (rst level)
Recent Alarms Screen
(second level) Menu Screen
(second level)
Patient Information Screen
(second level)
Navigating the Menu Screen
(see page 1-8)
Note: The specic level is identied by the highlighted card on the Menu Button.
The red arrows indicate going back to a previous screen.

Part No. 20717 Rev-01
2014-07 1-7
Menu Screen
(second level)
Low Calibration Screen Settings Screen
Pre-Use Wizard Alarm History Screen
High Calibration Screen Automated Purge Screen

Part No. 20717 Rev-01
2014-07
1-8
Main Display Screen
• On the main screen the user can
view alarm messages, monitored
values and graphical information.
• By pressing the “Menu Button” on
the touch screen (top right hand
corner), the user can access the
menu screen (see Figure 1-5 ).
Figure 1-4 Main Display Screen
Figure 1-5 Menu Screen (second level)
Menu Screen (second level)
• On the menu screen the user can
access the Pre-Use Checkout
(#1) and the Auto Purge (#2)
wizards.
Note: The Pre-Use Checkout
and Auto Purge buttons
are inactive (greyed out) if
a dose is set.
• To review the complete alarm
history, press the Alarm History
button (#5), (refer to Section 5/
Alarms).
• To initiate a low (room air) or high
calibration, press either the Low
Cal (#9) or High Cal (#7) buttons.
(refer to Section 6/ Calibration).
• Press the Settings button (#6) to
view circuit ow and calculated
delivery graphs, change display
brightness, change alarm volume,
change time zone and view
software revision(see
F igure 1 - 6).
124
1. Alarm Silence Button
2. Upper Alarm Limit Button
3. Lower Alarm Limit Button
4. Monitored Value
5. Menu Button
6. Text Message Area
35
6
7
8
11 10
12
13
14
15
16
1718
19
7. Monitor Area
8. Graphical Area
9. Patient Information Button
10. Sample Line Icon
11. Water Trap Bottle Icon
12. Inspiratory Limb Icon
123
1. Pre-Use Checkout Button
2. Auto Purge Button
3. Return to Previous Level Button
4. Monitor Area
5. Alarm History Button
4
5
6. Settings Button
7. High Calibration Button
8. High Calibration Due Date
9. Low Calibration Button
10. Last Low Calibration Date
86
7
13. Injector Module Icon
14. Delivery Line Icon
15. Integrated Pneumatic Backup Line Icon
16. Integrated Pneumatic Backup Switch Icon
17. Delivery Setpoint Display
18. NO Delivery Setpoint Button
19. Cylinder Icon
9
910