Schill Multisonic MN 80170 User manual

Instructions for Use
multisonic®
Inhaling with ultrasonic
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Carrying case
(depending on design)
2
Overview of inhalation unit
Hand unit MN 80170
ON/OFF switch
Medicine chamber
Stopper for
socket
Socket
12V (DC)
Baffle plate
Rechargeable battery pack MN 81300
(depending on design)
Nebuliser head
Inhalation valve
(dark blue)
Function display
(green, yellow)
charging status
display (yellow)
Button for
capacity test
Plug 12V DC
Plug-in mains supply unit MN 81200
Mouthpiece
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3
Overview of inhalation unit 2
Introduction and general information 4
Starting the unit for the first time 9
Hygiene: Cleaning, disinfection and
sterilization 13
Use of the rechargeable battery pack 19
Trouble shooting 21
Information on medicines 22
Spare parts/consumable 23
Optional accessories 24
Service information and guarantee
conditions 25
Explanation of symbols 26
Technical data and classification 27
Table of Contents
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The multisonic® top is a powerful ultrasonic neb-
uliser unit for preventative and therapeutic deep
inhalation that reflects the latest scientific findings
in this area.
However, the unit has not been designed for life-
saving emergency treatment.
The multisonic® top can be used at home, whilst
travelling and in clinics thanks to its universal vol-
tage supply options (mains or rechargeable battery
pack). The multisonic® top effectively combines
aerosol therapy with the need for safe inhalation
that is environmentally friendly.
Its innovative design prevents the release of medi-
cines into the environment.
The comfort of patients was one of the main con-
siderations in the design of the multisonic® top.
• Universal usage
• Optimal penetration of tissues
• High nebuliser performance and short inhalation
times
• Warming of aerosol
• Low wastage of medicines and ease of setting
doses
• Simple and safe to use
• Easy to clean
• Noiseless in operation
• Modern design
• Small, easy to handle and transport
• Suitable for nebulisation of all common inhala-
tion solutions (see page 22 for list)
Please read the Instructions for Use carefully to
ensure that the unit is used correctly. We would be
happy to answer any questions you may have and
would welcome your comments.
(Service tel. No. +49 3 67 35/4 63-0)
Dear Patient
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5
The basic package comprises
the following components:
1 hand unit
1 nebuliser head
1 mouthpiece
1 baffle plate
1 inhalation valve
1 metering aid
1 plug-in power supply unit
1 carrying case
1 set of Instructions for Use /
Guarantee form
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Points to note
6
• If you interrupt the inhalation procedure then
switch the unit off by pressing the ON/OFF switch.
• Clean the multisonic® top carefully after each
inhalation.
• Carry out the inhalation therapy as directed by
your physician.
• If the user does not use the inhalation unit in
accordance with the Instructions for Use then he
or she assumes liability for its safe operation.
• Check all the accessories regularly for any chan-
ges in appearance and replace the valves, nebuli-
ser head, mouthpiece and baffle plate at the
intervals stated in the Instructions for Use.
• Never remove the nebuliser head or baffle plate
when the unit is switched on.
• If the unit has switched off once only a residual
quantity of substance remains or if the over-tem
perature protection has activated, then the plug
must be pulled out of the socket on the rear side
of the unit and re-inserted to re-start the nebu-
liser.
• The multisonic® top can be used for nebulisation
of all Inhalation solutions that are water-based,
including suspensions and natural therapy agents
that are suitable for inhalation.
• Use only medicines that have been prescribed or
recommended by your physician.
• If you have inhaled the wrong medicine by mis-
take then inform your physician without delay.
• Fill the medicine chamber with the required volu-
me of medicine before each inhalation.
• Never inhale medicines that are left over from a
previous inhalation unless your physician express-
ly says that you may do so.
• Breathe in quietly and uniformly. The first 3 or 4
times you inhale do not do so deeply to allow
yourself time to get used to the aerosol mist.
• After breathing in hold your breath for a short
time (around 2 seconds) to allow the medicine to
be deposited properly in the airways.
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Principle of function
Air inflow
Inhalation valve
Baffle plate
Medicine
Ultrasound waves
Ultrasonic
generator
(quartz)
Aerosol exit
Air and particles
Aerosol
ON/OFF-Button
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8
An example of periodic inhalation
(mg) Average pulmonary
deposition (NaCl 0.9%)
20
15
10
5
0
0 2 4 6 8
Duration of inhalation (secs)
Inhalation
Breathing in slowly & deeply
Pause in breathing
Hold breath
Exhalation
Exhale deeply
Yellow LED is lit
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9
Fig. 1 Fig. 2 Fig. 3
Plug the plug-in mains supply
unit into the mains socket out-
let (230V AC).
Pull the stopper out of the
mains socket of the unit and
plug in the 12V DC plug of the
plug-in power supply unit or
rechargeable battery into the
socket.
Remove the nebuliser head
from the hand unit and place
the hand unit on a flat surfa-
ce such as a table. Ensure that
all parts of the unit are fully
dry before commencing the
inhalation process.
Using the multisonic®top for the first time
Please note
The multisonic® top must not be used in rooms such as bathrooms that have a high humidity level because
of the danger of electric shock.
230 VA
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Fig. 1 Fig. 2 Fig. 3
Fill the medicine – dose and
quantity as directed by your
physician – directly into the
medicine chamber (max. 5 ml).
Hold the hand unit at a slight
angle so that no bubbles form
on the ceramic during filling
that might prevent or reduce
the nebulisation process (Fig. 1)
Ensure that the baffle plate is
inserted correctly in the groo-
ve as shown in Fig. 2. Place
the nebulizer head on the
hand unit (Fig. 3) by placing
Inhalation
resting it on the inner edge
of the side of the hand unit
indicated by the arrow, tilting
it backwards and snapping it
into place.
• Always hold the hand unit vertically.
• Ensure that the medicine chamber always has medicine solution
in it.
• Some drops of the medicine will cling to the walls of the nebuli-
ser head and the chamber after use. This is a residual quantity
of < 1 ml.
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11
Fig. 4 Fig. 5 Fig. 6
Fit the mouthpiece and the
inhalation valve (dark blue)
onto the nebuliser head as
shown. Make sure that the
inhalation valve is fitted with
the valve disc facing down-
wards.
Lift up the hand unit and
press the button “ON/OFF“.
A yellow function lamp lights
up to show that the unit is
operational (Fig. 5).
A few seconds after the unit
has been switched on the aero-
sol mist forms below the baffle
plate. The mist remains within
the unit until you inhale.
Bring the hand unit up to your
mouth. Insert the mouthpiece
between the front teeth and
put your lips around it.
Upon inhalation the correspon-
ding quantity of aerosol will
directly penetrate the airways.
Inhale the aerosol as instructed
by your physician.
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12
After inhaling, hold your breath
for approximately 2 seconds to
allow the aerosol to deposit in
your airways. Then breathe out
again through the unit. Repeat
the procedure until the unit
switches off.
If you interrupt the inhalation
process then turn the unit off
by pressing the ON/OFF button.
If the unit switches itself off
be-cause the medicine has been
used up down to the residual
quantity or because the over-
heating protection has been
triggered then the plug has to
be pulled out of the socket on
the rear of the unit and re-
inserted before the unit can be
used again.
Examples of various uses of the multisonic®top
Fig. 1 Fig. 2
Inhalation via the mouthpiece Inhalation via a mask
Caution:
Children and persons who
need care should only use the
inhalation unit under the
supervision of other adults or
care personnel.
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15
Fig. 3
It is recommended that gloves
be worn when cleaning the
unit. Suitable cleaning agents
include Palmolive and Fairy
Ultra. Perfectan, Kohrsolin or
Sekusept may be used for
disinfection. The hand unit
and the accessories should be
washed under warm running
water. The hand unit, nebuli-
ser head, mouthpiece, baffle
plate and valve should be dis-
infected using a disinfectant
that is compatible with
plastics. They may be cleaned
in a dishwasher or disinfected
in a vaporizer. The nebuliser
head, mouthpiece, baffle
plate and valve may be boiled
or autoclaved at up to 134 °C.
It is recommended that users in
Germany use one of the disin-
fectants listed in the current
DGHM* list. Preparations based
on compounds that release
halogens, strong organic acids
and oxygen-releasing com-
pounds are not suitable as they
may damage the material of
the inhalation unit.
*German Society for Hygiene and
Microbiology.
Please note:
Alternating between disinfec-
tion and autoclaving is not sui-
table as this would shorten the
working life of the unit. Caution
• Do not use solvents such as
acetone or benzene.
• Do not allow water or disin-
fectant solution to enter the
power socket of the hand
unit.
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16
Fig. 2 Fig. 3
Remove the cover and the
central section of the vapori-
zer. Fill the base section with
water.
Place the hand unit with the
opening facing downwards
and the nebuliser head,
mouthpiece, baffle plate and
valve on the grate of the cen-
tral section.
Now place the central section
of the vaporizer on the base
section.
(Continued on the next page).
Disinfection in a vaporizer
Caution
Make sure that the socket of the 12 V inlet of the multisonic® top is sealed with the stopper.
Before using the vaporizer for the first time it is very important that you read the Instructions for Use.
Fig. 1
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Further hygiene measures
Fig. 4 Fig. 5
Cover the central section and
turn the vaporizer on. The
water will have evaporated
after around 10 – 15 minutes
and the disinfection process
will be concluded.
In the home:
After sealing the socket with
the stopper the hand unit
and individual parts can be
cleaned in a dishwasher
(open chamber side facing
downwards).
In clinics:
After sealing the socket with
the stopper the hand unit
can be disinfected / sterilized
through immersion disinfec-
tion, placing it in a chemical-
thermal disinfector (60 °C for
10 minutes) or in a gas sterilizer.
The nebuliser head, valve,
mouthpiece and baffle plate
can be disinfected, gas-steril-
ized or autoclaved at up to
134 °C as described above.
After cleaning and disinfection of the unit in a vaporizer / dishwasher or after chemical-thermal disinfec-
tion the unit must be allowed to cool for approximately 30 minutes before removing the parts and start-
ing the next inhalation procedure.
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18
Hygiene Table
Designation
Multisonic
top
unit &
consumables
Rinsing:
warm
running
water
Dish-
washer
Wiping
& spray
disinfec-
tion
Immersion
in disinfec-
tant solu-
tion
Chemical-
thermal 60 ºC
for 10 mins/
dishwasher
Steam in
vaporizer
Auto-
claving
at 134 ºC
Form-
aldehyde
Plasma
Unit X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Mouthpiece
Nebuliser head
Baffle plate
Valve
XXX
Mask
x = this option may be used
Cleaning Disinfection Sterilization
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19
Use of the rechargeable battery pack MN 81300
The following points must be
observed when using the re-
chargeable battery pack to en-
sure that you can use it with-
out difficulty whilst travelling.
The battery pack is a sealed
maintenance-free unit. Do not
attempt to open it or replace
cells.
Never throw the battery pack
into a fire.
Please do not throw the bat-
tery pack away once its service
life is over – take it to a battery
collection point instead.
To avoid shortening the life of
the pack, avoid exposing it to
strong sunlight, moisture,
chemicals or extreme temper-
ature shock.
Abb. 1
Charging of the battery pack:
The rechargeable battery pack
is charged by connecting a 12 V
power supply to the socket X1.
The green LED 1 of the battery
pack will light up once it is con-
nected to the power supply.
Once charging commences the
yellow LED 2 will flash several
times. The yellow lamp will go
out once the battery pack is
fully charged (Fig. 1). After
around 3 seconds the LED will
light up continuously through-
out the entire charging period.
If the battery pack has only a
very low charge then the charg-
ing cycle will commence with
a pulse charge and the LED 2
will flash during this time. LED
Nos. 3 – 7 indicate the avail-
able capacity (20% - 100%) of
the battery pack. The charging
process stops once a value of
100% is reached and LED 2 will
go out. Recharging can only
be commenced again once the
charge drops below 100%. If
the warning light (LED 3 flash-
ing) is observed whilst in use
then the battery pack should
be recharged again. If the
charge falls to 0% then the
consumer section will discon-
nect automatically from the
battery pack.
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20
• Never use a new battery pack
until it has been fully charged.
A new battery pack must be
charged for a minimum of
4 – 5 hours.
• The hand unit cannot be op-
erated by the battery pack
whilst it is being recharged.
The battery pack has been spe-
cially designed for use with the
multisonic inhalation unit.
The battery pack design is in-
tended to allow an operating
time of at least 60 minutes for
the nebuliser.
The initial charge is very impor-
tant for the performance of
the battery pack. The optimal
operating time will be reached
after 2-3 full charges. If used
and charged correctly, the bat-
tery pack can be charged at
least 500 times.
As with all Ni-MH batteries, the
battery pack will only deliver its
full power if it has been fully
charged.
If the battery pack is not char-
ged correctly then its capacity
will be reduced. It should not
be stored above 40 ºC.
• The battery pack should be
stored in a cool dry place
when not in use.
Note
If not used, a fully-charged battery pack will discharge after approximately 7 days.
The battery pack must be
charged to a value > 20%
(LED 3 lit) before the nebuliser
can be connected again.
The LEDs 3 – 7 will always be
lit when a voltage supply is
connected to the socket X1 or
the nebuliser is connected.
The display may be activated
in a resting state by pressing
the T1 button.
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21
Trouble shooting
If the unit malfunctions then please check the
following:
• Is the unit connected to a power supply (plug-in
mains supply unit or rechargeable battery pack)?
- Check that the plug is correctly inserted.
• Has the ON/OFF button been pressed?
- Press the ON/OFF button.
• Is the rechargeable battery pack charged?
- If not, recharge the battery pack as described on
pages 20/21.
• Does the medicine chamber contain the correct
volume of medicine?
- If not, fill the chamber with inhalation solution
as described in the Instructions for Use to ensu-
re that the nebuliser performance is optimal.
• Has the medicine chamber been treated with
grease or a detergent in error?
- If so, rinse it out thoroughly with water that is
warm/hot (approx. 40°C).
• Has an air bubble developed in the ultrasonic
generator?
- If so, remove it carefully using a blunt instrument.
• Has the overheating protection been triggered?
- Check the quantity of medicine.
- Allow the unit to cool for approx. 5 minutes.
• If the unit has automatically turned itself off be-
cause the medicine has been used up or the over-
heating protection has been triggered then the
plug has to be unplugged from the socket on the
rear of the unit and plugged in again before the
unit can be restarted.
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22
Recommendation
Only use medicines that your
physician has prescribed or re-
commended.
If you accidentally inhal med-
icines that are not suitable
for inhalation or your therapy
then inform your physician
straight away. You can enter
the name of your medicines
for inhalation in the following
table.
Name of medicine
The inhalation unit has been
tested with various medicines,
including Atrovent®, Bero-
tec®, Berudual®, Brom-hexin-
Inhalat®,Cromoglicin-ratioph-
arm®, DNCG Stada®, Emser
Sole®, Eucasil®, Mibrox®,
Mucosolvan®, Sultanol®, sur-
factant, amilorid, Pulmicort®,
Colistin®, Ilo-medin®, Tobra-
mycin®, Pulmozym®.
Dosage
• The unit is not designed for
emergency life-saving meas-
ures.
Respiratory disorders that can
be treated with the multisonic®
top include the following:
- bronchial asthma
- chronic obstructive bronchitis
- bronchiectasis
- cystic fibrosis
- pulmonary hypertension
- acute recurring infections
- chronic diseases of the air-
ways with pulmonary
emphysema
Dilution
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