Mallinckrodt INOmax DSIR User manual

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Part No. 20728 Rev-01
2012-09
Pocket Guide
(Delivery System)
Pre-Use Procedure
Backup INOMAX®Delivery
Transport Regulator/Cap Assembly
Oxygen Dilution Chart
INOMAX Cylinder Duration Chart
Circuit Connection Diagrams
Changing INOMAX Cylinders
High Calibration Connection Diagrams
INOmax DSIR Disposable Adapters

2
Part No. 20728 Rev-01
2012-09
IMPORTANT: This guide is provided as a convenience
and for general information only. Do not use
this product without clearly and thoroughly
understanding the most recent revision of the
INOmax DSIR®Operation Manual. The Operation
Manual is the source for specic, updated
information regarding warnings, cautions,
checklists, diagrams, and/or instructions
contained in this guide.
Overview
INOmax DSIR
The INOmax DSIR has an interface using infrared (IR) technology
which will allow the INOmax DSIR to communicate with the INOmeter®
(which is mounted to each INOMAX®cylinder).
The INOmax DSIR cart (PN 10018) has a cover with an infrared
transceiver mounted directly above each INOMAX cylinder. When
INOMAX cylinders are loaded, communication will take place between
the INOmax DSIR and the INOmeter after the boot up phase of the
INOmax DSIR is complete. A cylinder icon will be displayed on the
main screen when an INOMAX cylinder is recognized by the
INOmax DSIR.
INOmax DSIR Transport Regulator/Cap Assembly
This assembly is used during medical transport to provide pressurized
INOMAX to the INOmax DSIR as well as communicate INOMAX use
information via Infrared transceivers between the INOmax DSIR
(PN 10007) and the INOmeter.
The transport cap assembly provides Infrared technology molded in
the cap. This allows the INOmax DSIR to communicate via Infrared
with the INOmeter, which is mounted to each INOMAX cylinder.

3Part No. 20728 Rev-01
2012-09
Denitions
INOmeter - The factory installed INOmeter is designed for use
with INOMAX cylinders only. This time-metric device records the
amount of time the cylinder valve is opened.
iButton – Raised silver data port on the side of the INOmeter.
Symbols
Infrared Input/Output
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

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Part No. 20728 Rev-01
2012-09
Contents
Pre-Use Checkout .....................................................................................5
Backup INOMAX Delivery .......................................................................12
Transport Regulator/Cap Assembly.........................................................14
Oxygen Dilution Chart .............................................................................18
INOMAX Cylinder 88-size Duration Chart ...............................................19
INOMAX Cylinder D-size Duration Chart.................................................20
Connection to Various Breathing Systems ..............................................22
A-Plus Medical Babi-Plus Bubble CPAP........................................... 23
Bagging Systems While Using the Injector Module ...........................24
Bunnell Life Pulse High Frequency Ventilator Circuit ........................28
Connecting INOmax DSIR Sample Tee to the Bunnell Life
Pulse Circuit..................................................................................30
Connecting INOmax DSIR Injector Module to the Bunnell Life
Pulse Circuit..................................................................................30
Circle Anesthesia System ..................................................................31
Fisher & Paykel Healthcare Bubble CPAP.........................................32
Fisher & Paykel Healthcare Infant Circuit Nasal Cannula .................33
 Fisher&PaykelHealthcareOptiowBreathingCircuit......................34
Hamilton Arabella Nasal CPAP..........................................................35
ICU Ventilator Circuit .........................................................................36
Sensormedics 3100A/B High Frequency Oscillatory Ventilator
with a Filtered Circuit ....................................................................37
Sensormedics 3100A/B High Frequency Oscillatory Ventilator
with a Rigid or Flexible Circuit.......................................................38
Spontaneous Breathing Patient on a Mask Circuit ............................39
Spontaneous Breathing Patient on a Nasal Cannula ........................40
 TeleexMedicalComfortFloHumidicationSystem.........................41
Transport Ventilator Circuit ................................................................42
Vapotherm 2000i................................................................................46
Vapotherm Precision Flow .................................................................47
Viasys Infant Flow CPAP System; Cardinal Airlife nCPAP System........... 48
Viasys Infant Flow SiPAP...................................................................49
INOblender Circuit Connection................................................................50
Fisher & Paykel Healthcare Neopuff Resuscitator.............................51
Changing INOMAX Cylinders..................................................................52
High Calibration Connection Diagrams ...................................................56
INOmax DSIR Disposable Adapters.........................................................58

5Part No. 20728 Rev-01
2012-09
Pre-Use Checkout Outline
A. Initial Connections
B. High Pressure Leak Test
C. Low Range Calibration
D. Purge and Alarm Verication
E. Backup INOMAX Delivery Test
F. INOmax DSIR Performance Test
G. INOblender Test
Pre-Use Checkout

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Part No. 20728 Rev-01
2012-09
A. Initial Connections
1. Check white plastic tip.
2. Connect high pressure regulator.
Pre-Use Checkout

7Part No. 20728 Rev-01
2012-09
Pre-Use Checkout
3. Connect the INOMAX regulator hose to one of the
INOMAX inlets
4. Connect the INOblender inlet hose to the INOmax DSIR
blender outlet
5. Connect the infrared cable to the back of the INOmax DSIR
6. Connect the oxygen hose to the INOblender oxygen inlet
7. Ensure the water separator cartridge/water trap bottle/
sample line and injector module are all in place
8. Turn INOmax DSIR ON, verify
speaker function.
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7
7
6
8
3 4 5

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Part No. 20728 Rev-01
2012-09
B. Perform High Pressure Leak Test
Wait 30 seconds and ensure
no pressure drop.
C. Perform Low Range Calibration
(Open/Close INOMAX
cylinder valve)
(second menu level)
Pre-Use Checkout
Note: Once the calibration is completed (bars turn green
and single tone sounds) press the menu button
twice to return to the main screen.
Note: Make sure INOmax
DSIR backup and
INOblender are OFF.

9Part No. 20728 Rev-01
2012-09
D. Perform Purge and Alarm Verication
Pre-Use Checkout
1. O2Flowmeter (Connected to wall/tank)
2. O2Tubing
3. 15M x 4.5mm Adapter
4. 22M / 15F x 22M / 15F Adapter
5. Injector Module
3
1
10 98
25
47
6
6. 300mm of 22mm Hose
7. Gas Sample Tee
8. Patient Gas Sample Line
 withNaon
9. NO/N2Injector Tube
10. Injector Module Electrical Cable
(Assemble connectors and tubing as shown)
1. Ensure cylinder valve is closed.
2. Set O2owmeterto10L/min.
3. Purge INOmax DSIR.
a. Set INOMAX dose to 40 ppm
b. “Cylinder Valve Closed” alarm will occur
c. Cylinder gauge pressure should drop to 0 psig
d. Purge is complete when “Low NO/N2Pressure” alarm activates
4. Open cylinder valve.
5. Turn INOMAX dose to zero (note: The “Set Dose is Zero, Close
Cylinder Valve” indicator will appear).

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Part No. 20728 Rev-01
2012-09
F. Complete INOmax DSIR Performance Test
1. Ensure oxygen ow of 10 L/min.
2. Set INOMAX dose to 40 ppm
and allow values to stabilize.
3. Verify values (see table).
4. Turn the INOMAX dose to zero.
NO = 14-26 ppm
NO2= <1.0 ppm
Set Dose
Acceptable NO
Value
Acceptable NO2Value
FiO2
40 ppm
35-45
ppm
<1.5 ppm
95% ±3%
1. Turn backup delivery ON.
2. Verify “Backup ON”
alarm activates.
3. Verify values.
4. Turn backup delivery OFF.
E. Perform Backup INOMAX Delivery Test
Pre-Use Checkout