Westmed Circulaire II Hybrid User manual

Circulaire® II
Hybrid
Aerosol Drug Delivery System
Disinfect the Entire Circulaire® II HybridSystem After Each Treatment Day:
The Circulaire® II Hybrid Aerosol Drug Delivery System must be disassembled and
disinfected periodically in order to operatecorrectly. Westmed recommends full
disassembly and disinfection of all component parts of the entire system at the end
of each treatment day.
1. Wash and dry your hands.
2. Disassemble the entire Circulaire® II Hybrid System.
3. Wash all parts (except the filter) in liquid dishwashing soap and rinse with sterile water
or soak all parts in a solution of 1 part household bleach and 50 parts water for 3 minutes.
4. Place all parts on a clean surface (fresh paper towel) to air-dry. Place the Elastomeric
Reservoir on its flange to facilitate drainage.
5. After the parts are dry, reassemble the Circulaire® II Hybrid System.
Please discuss the various methods of aerosol administration and proper cleaning
techniques with your medical provider or respiratory home care company.
CAUTION:
When Your Care Is Critical
Instructions for Use
US Patent Numbers 5,020,530 & 5,613,489 and
other US and International Patents Pending
©2013 Westmed, Inc. All rights reserved.
When Your Care Is Critical
Westmed, Inc.
5580 S. Nogales Highway
Tucson, AZ 85706
Toll Free: 800-975-7987
Phone: [phone]
Fax: [phone]
www.westmedinc.com
Assembled in Mexico
PN 78736 Rev. 2 2022/10
For Homecare Use:
Do Not Use Vinegar. Do not reprocess, boil or microwave as high temperatures may
melt some of the plastic parts. Only the VixOne™ Nebulizer is top shelf dishwasher
safe.

1. Wash and dry your hands.
2. Set Variable Expiratory Resistor to
full open position.
3. Fill the Nebulizer with prescribed
medication. Use a Mouthpiece. If a
mask is needed, your medical provider
or respiratory home care company will
supply a special mask for use with the
Circulaire® II Hybrid System.
4. Connect one end of the Oxygen
Supply Tubing to the Nebulizer and
the other end to the oxygen outlet
valve located either on the wall (hospital)
or on the Nebulizer Compressor (home).
5. Set the flow meter for the outlet valve
on the wall to 8 L/minute. Note:
Nebulizer Compressors usually do not
have flow meters. If you are using a
Nebulizer Compressor, turn it on.
6. As soon as the gas flow starts, place
Mouthpiece into your mouth and
breathe in and out normally.
7. Adjust the opening on the Variable
Expiratory Resistor to a setting that
feels comfortable to you. If the
Elastomeric Reservoir fully collapses
during inhalation, you are receiving
maximum medication administration.
A small valve will open automatically
to give room air for the remainder of
your inspired breath
8. The treatment should take approximately
5-7 minutes for 3 mL of medication,
depending on the gas source.
1. Washand dry your hands.
2. Detach the Nebulizer from the Manifold.
3. Twist the purple cap counterclockwise
until it releases and detaches from the
Medication Bowl. Do not touch-
contaminate the inside of the Nebulizer.
4. Set the cap and bowl upright on a clean
surface and add medication.
5. Reattach the cap to the bowl by twisting
clockwise until the cap firmly engages.
6. Reattach the Nebulizer assembly to the
Manifold ensuring a snug fit.
Filling the Nebulizer:
Wash Nebulizer After Each Treatment:
Abbreviated Instructions for Use:
Assemble the parts as shown in the above drawing. Make connections tight.
Open
Minimum 10°
Aerosol Drug Delivery System
C irculaire II
®
4
2
Soft
Mouthpiece
Variable
Expiratory
Resistor
Manifold
VixOne™
Nebulizer
Elastomeric
Reservoir
Nebulizer
Compressor
Oxygen
Supply Tubing
Medication Bowl
Filter available
in some kits.
Open
Maximum 60°
The Circulaire® II Hybrid Nebulizer must be disassembled
and cleaned periodically in order to operate correctly.
Westmed recommends full disassembly and cleaning of
all components at the end of each treatment day. Refer to
Option #1
1. Wash and dry hands.
2. Disassemble the Nebulizer.
3. Wash all parts except Tubing (G), Filter (E) and
Manometer in Pep Kit (J) in warm water and liquid
dishwashing soap. Rinse in clean warm water. Place
Aerosol Reservoir (C) on flat end to drain excess
water. Allow parts to dry thoroughly before
reassembling. Connect Aerosol Reservoir (C) to
Circulaire Body (F).
4. Store in kit until next use.
Option #2
1. Wash and dry hands.
2. Disassemble the Nebulizer.
3. Rinse all parts in sterile distilled water except Tubing
(G), Filter (E) and Manometer in Pep Kit (J). Place
Aerosol Reservoir (C) on flat end to drain excess
water. Connect Nebulizer (H) and Tubing (G) to air
source and clear orifice. Allow parts to dry
thoroughly before reassembling. Connect Aerosol
Reservoir (C) to Circulaire Body (F).
4. Store in kit until next use
Option #3
1. Wash and dry hands.
2. Disassemble the Nebulizer.
3. Shake out excess medication. Connect Nebulizer (H)
and Tubing (G) to air source and clear orifice. Place
Aerosol Reservoir (C) on flat end to drain excess
water. Allow parts to dry thoroughly before
reassembling. Connect Aerosol Reservoir (C) to
Circulaire Body (F).
4. Store in kit until next use.
Hybrid
illustration on insert 71914 for parts grid.