Nortev Flexineb User manual

Portable Equine Nebuliser System
INSTRUCTIONS FOR USE
Intended Use
The Flexineb® is a portable equine nebuliser system intended to aerosolize veterinarian
prescribed liquid solutions into a fine mist for inhalation into the airways of the horse. The end
user is liable for the safe operation of the Flexineb® and its parts as outlined in the Instructions
for Use. Medications must be prescribed by a veterinarian and end users should follow the
advice of their veterinarian at all times.
Safety Information
When using the Flexineb® for the first time remember it is the first time for the horse too so
caution is advised. Softly place the Flexineb® over the horses’ nose and mouth with the bottom
exit valve open so the horse can breathe normally. Push up until the nostrils are covered and a
seal is made around the nose and mouth. Once the horse is breathing normally and is getting
used to the Flexineb®, shut the bottom valve by twisting the exit valve and commence
treatment. If the horse is resisting the mask be patient and let them look at it and smell it before
attempting to fit the mask again. If the horse starts to get scared during treatment, slightly open
the exit valve so more air is being inhaled. Close the valve again once the horse is relaxed.
In an emergency situation the exit valve on the bottom of the mask can be pulled out to allow
the horse breathe freely. Although the mask material is soft and flexible the front aerosol
chamber and battery controller is hard plastic therefore caregivers should be mindful of the risk
posed by the horse shaking its head with the Flexineb® fitted.
Meter Dose
Inhaler (not
supplied)
Adaptor
(supplied)
Instructions for Use
Flexineb Nebuliser (Fig. 1):
1. Please read the Intended Use, Safety Information and Maintenance sections before
using Flexineb
2. Check Inlet and Exit Valves are moving freely before placing the Mask on the horse
3. Rotate and open the Vent at bottom of Mask to allow the horse become familiar with the device
4. Fill the Medication Cup strictly following advice of your veterinarian
5. Close the vent in the bottom of the Mask when the horse is familiar with the Mask
6. Switch on the Controller and nebulisation will begin after a few seconds
7. You will see the Aerosol Chamber fill with aerosol and empty when the horse inhales
8. The Controller will time out after approximately 18 minutes or it can be switched off manually
9. To re-charge the battery only use the Nortev supplied charger
Flexineb MDI Use (Fig. 2):
1. Remove the Controller, Cable and Medication Cup
2. Plug the supplied Adaptor into the port on top of the Aerosol Chamber
3. Rotate the Aerosol Chamber to the horizontal position
4. Insert the MDI and administer medication following the advice of your veterinarian
Figure 1: Flexineb Nebuliser
Use
Figure 2: Flexineb MDI Use
Medication Cup
Exit Valve and Vent
Controller
(Battery or Mains
Operated)
Inlet Valve
Aerosol
Chamber
Mask
Short Strap
Long Strap
Cable
®
MS-052 Rev. 11 ENGLISH

Technical Information
Flow Rate:
Typically ≥1.0 ml/min with 0.9% NaCl solution. The flow rate is dependent on the drug used.
Aerosol Particle Size:
Typically 70% of particles generated are less than 5 microns VMD measured using Malvern
Spraytech with 0.9% NaCl solution.
Medication Cup Volume:
The medication cup will hold 10ml of liquid but is expandable to 30ml using the plug in extension
cup supplied. The controller has a timer function therefore, if the extension cup is used the
controller will need to be re-started to complete the dose.
Battery Power:
Battery Type: 7.4V Li-ion rechargeable battery. Use the Nortev supplied battery only.
Use of another type of battery may present a risk of fire or explosion.
Operating Time: >3 hours from fully charged.
Battery Charging:
Use the Nortev supplied charger only. Use of an alternative charger may present a risk of fire or explosion.
The battery charging time is approximately 2 hours.
Mains Power Supply:
The Flexineb™ can also be operated using the Power Supply provided with the system.
The same Power Supply charges the battery. Use the Nortev Power Supply only.
Use of an alternative Power Supply may present a risk of fire or explosion.
Environmental Conditions:
Operating: 5°C to 45°C and up to 95% RH
Storage and Transportation: -20°C to +45°C and 15% to 95% RH
Controller Functions
Troubleshooting Guide
Problem
Check the following
There is no
aerosol output
from the
medication cup or
the aerosol output
is weak
Clean the medication cup as instructed under maintenance section of the user
manual.
Check that the drug or liquid used is listed on the Nortev Drug Table supplied with
the device. If the drug or liquid used is not listed check compatibility with Nortev
before use.
Note that some drugs require dilution for nebulisation. Refer to drug table supplied.
The medication cup may be at end of life depending on usage and drugs nebulised.
The mesh in the medication cup may be worn out and liquid leaks through.
The aerosol
chamber on the
front of the mask
does not empty
when the horse
inhales
Check that the vents in the bottom of the mask are closed and exit valve is inserted
and working correctly.
Check that mask is fitted properly and creating a good seal around the head of the
horse.
The horse
becomes uneasy
during use
Some horses may reject the smell or taste of some medications and become uneasy
during use. Check that the Inlet Valve and Exit Valve are functioning correctly and
the horse is getting adequate air intake.
Controller Issues
Refer to Controller Function diagram
Maintenance
Medication Cup: It is very important to use Nortev supplied Steri-7 to clean the Medication cup.
Refer to bottle for instructions. Use of other cleaning solutions may damage the device and reduce
its life. Always cover the electrical connector with the supplied orange protective cap when washing.
For continuity of treatment it is highly recommended to carry spare medication cups
Mask: Wash with clean warm water and a few drops of washing up liquid
Controller: To maintain the function of the electronic controller it must be used and stored in dry
conditions. To maintain the battery function it must be charged when the assigned LED flashes green. Do
not immerse the controller in water or any liquid.
Warranty
Mask Assembly (excluding valves), Controller (excluding battery) and Cable, Power Supply (charger):
12 months. Battery: 6 months. The Medication Cup is a wearing part and its life is very dependent on
drugs nebulised and how well it is maintained therefore it is not covered by warranty. Damage
caused by improper handling or misuse is not covered by warranty.
Compliance
Flexineb complies with the essential requirements of all relevant European Directives and
Harmonised Standards
Contact
For general, technical and scientific information check out our website www.nortev.com
To order replacement parts visit our online shop or call our customer service line
Customer Service call [phone] or email [email protected]m
Postal Address: Nortev Limited, Unit 18, Corporate Park, Claregalway, Co. Galway, Ireland
LED On/Off
LED Flashing = Low Battery, plug
in supplied charger to charge
battery
LED Flashing Amber
This means the cable is
disconnected or there is a break in
the electrical circuit. The problem
may be a broken cable or broken
wire in the medication cup.
Replace the broken cable or
medication cup to fix the problem.
If the problem persists with a new
cable or new medication cup,
contact Nortev to arrange return of
the unit for repair.
LED Continuous Amber This
means an internal electronic fault
and you should contact Nortev to
arrange return of the unit for repair.
Battery Charging LED
LED On Continuous
The supplied charger is
connected and the battery is
charging.
Full charging can take 4 to 5
hours if the battery is
completely discharged.
The LED will turn off when
the battery has reached full
charge.
If the battery cannot reach
full charge the LED will not
turn off and the battery may
need replacing.
A battery that cannot reach
full charge will give reduced
operation time.
On / Off Switch