inovent pocket guide
TRANSCRIPT
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Setup
Pre-Use Procedures Checklist
Calibration Connection Diagrams
Monthly Checkout Checklist
Circuit Connection Diagrams
Pocket Guide
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Contents
Setup
Setup Checklist 3
INOvent delivery system, front viexxw 4
Injector Module 4
INOvent delivery system, rear view 5
User controls and indicators on the front 6
Pre-Use Procedures
Pre-Use Procedures Checklist 7
Circuit connections for purge and performance test 7
Sample tee connection to the Manual NO delivery system 8
Calibration Connection Diagrams
Connection diagram for NO and NO2high range calibration 9
Connection diagram for O2high range calibration 9
Monthly Checkout
Monthly System Checkout Checklist 10
Low pressure system leak test connection diagram 11
Circuit connections for purge and performance test 12
Circuit Connection Diagrams
Neonatal circuit 13
Pediatric circuit 14
Adult circuit 15
Anesthesia system with ventilator 16
BIO-MED MVP-10 or Infrasonics Infant Star 100 ventilator 17
Self-filling resuscitator bag 18
Hyper-inflation bag 19
Spontaneous breathing circuit 20
Connectors and Adapters List 21
Changing Cylinder & Purging Regulator 22
wImportant: This guide is provided as a convenience and for general
information only. Never use this product without clearly and
thoroughly understanding the most recent revision of the
Operation and Maintenance manual. The manual is the source
for specific, updated information regarding checklists,
diagrams, and/or instructions contained in this Guide.
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Setup
Setup Checklist
1. Connect supply hoses to INOvent delivery system andtherapy gas.
2. Check cylinders for correct product identity labels and NO
concentration.
3. Ensure both cylinders have adequate supply pressure: not
less than 200 psig / 14 kPa x 100 (bar).
4. Empty and clean the fluid trap if necessary.
5. Connect sample line to the INOvent delivery system.
6. Connect the injector module tubing and electrical cable to
both the INOvent delivery system and injector module.
7. Connect the manual NO delivery system.
8. Connect the electrical power cord to an emergency-power-
backed, hospital-grade outlet.
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Setup
INOvent delivery system, front view
Electrical cable
connection to the
INOvent Delivery
System
Inspiratory limb
breathing circuit;
from ventilator
NO/N2injector tube
connection to theINOvent Delivery System
Inspiratory limb breathing
circuit; to humidifier
Injector Module
Display andoperating panel
Manual NO DeliverySystem Activity Indicator
NO/N2Injector
Tube connectorHose clip
Injector Module
Electrical Cable
connector
Fluid
Trap Bottle
Patient Gas
sample line
connector
Fluid Trap FilterCartridge
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Setup
INOvent delivery system, rear view
NO2Sensor
NO
Sensor
Connector
to the O2Flowmeter
NO/N2Input HoseConnectors (2)
Regulator Low
Pressure Hose
with Quick
Connectors (2)
Samplegas outlet
O2
Sensor Cooling Fanand Filter
ON/STANDBYswitch
External
Ground
connection
point
Power Cord
connector
Power Entry
Module
Serial Port
connector
Nurse Call
connector
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Setup
User controls and indicators on the front
Inspired NO2Measured Value
Alarm
message
areaAlarm
Silenced
Countdown
Timer
Alarm
Silence
button
Mains
Power
light
Inspired O2Measured Value Alarms
button
Setup
button
Calibration
button
Pause
Flow
button
Set NO
button
Control
Wheel
NO
Bargraph
Alarm
Historybutton
Alarm
History
indication
area
Inspired NO
Measured
Value
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Pre-Use Procedures
Pre-Use Procedures Checklist
1. Do the Initial connections and leak test.
2. Do the System purge and performance tests.
3. Do the Manual NO delivery system purge and
performance test.
Circuit connections for purge and performance test
NO/N2Injector Tube
Injector Module
Electrical Cable
O2Flowmeter
O2Tubing
15M x
4.5 mm
Adapter
22M/15F x
22M/15F
Adapter
Injector
Module
300 mm of
22 mm hose
Sample
Tee
Patient Gas
sample line
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Pre-Use Procedures
Sample tee connection to the
Manual NO delivery system
NO/O2outlet
O2inlet O2supply hose from
the O2flowmeter
Oxygen tubing
(user supplied)
15M x 4.5 mm
Adapter
Patient Gas
sample line
Sample
Tee
NO/N2input
hoses fromthe regulators
Pressure
CompensatedO2flowmeter
(user supplied),
shown set to OF
(no float activity
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Calibration Connection Diagrams
Connection diagram for NO and
NO2high range calibration
Patient Gas
sample line
Calibration gas
cylinder
pressure gauge
NO or N2calibration
gas cylinder
Cylinder
ON/OFF
control
Vent to the atmosphere or
scavenge - Do not occlude
One-way
valve
Connection diagram for O2high range calibration
100% O2 Flowmeter Sample TeeTo the
Atmosphere
O2to theSample System
INOvent delivery
system Sample Line
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Monthly Checkout
Monthly System Checkout Checklist
The monthly system checkout consists of:
1. Initial connections and leak tests.
2. Purge and system alarms tests.
3. Calibration and monitoring alarms.
4. INOvent delivery system performance.
5. Manual NO delivery system purge and performance.
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Monthly Checkout
Low pressure system leak test connection diagram
NO/O2outlet
O2inletInjector
Module
Electrical
CableO2tubing
15M x
4.5 mm
Adapter
NO/N2input
hoses from
the regulators
Pressure
Compensated
O2flowmeter
Injector
Module
Squeeze
Bulb
O2supply
hose from the
O2flowmeter
22M/15F x
22M/15F
Adapter
NO/N2Injector Tube
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Monthly Checkout
Circuit connections for purge and performance test
NO/N2Injector Tube
Injector Module
Electrical Cable
O2Flowmeter
O2Tubing
15M x
4.5 mm
Adapter
22M/15F x
22M/15F
Adapter
Injector
Module
300 mm of
22 mm hose
Sample
Tee
Patient Gas
sample line
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Patient Gas
sample line
9 mm I.D.
15 mm I.D.
to 3/8 in.
Tubing
Adapter
22M /15F x
15M Adapter
with gas
sample tee
15 mm O.D. to
3/8 in. Tubing
AdapterHumidifier
22F x 15MAdapter
To
INOvent
delivery
system
22M/15F x22M/15F
Adapter
Ventilator
Inspiratory port
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Circuit Connection Diagrams
Pediatric circuit
Patient Gas
sample line
15 mm,
6 inch
Inspiratory
Extention
22M/15F x
15M Adapter
with gas
sample tee
Humidifier
22F x 15MAdapter
To
INOvent
delivery
system
22M/15F x22M/15F
Adapter
Ventilator
Inspiratory port
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Circuit Connection Diagrams
Adult circuit
Patient Gas
sample line
22M/15F x
22M/15F
Adapter
22M/15F x
15M Adapter
with gas
sample tee
Humidifier
22F x 15M
Adapter
To
INOvent
delivery
system
22M/15F x
22M/15F
Adapter
Ventilator
Inspiratory port
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Circuit Connection Diagrams
Anesthesia system with ventilator
Patient Gas sample
line connection
(Sample Inlet port)
Patient Gas
sample line
Patient
wye
Sample
Tee
22M/15F x
22M/15FAdapter
Expiratory
port
Inspiratory
port
Connections
on absorber
Injector
Module
INOvent
delivery
system
Hose
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Circuit Connection Diagrams
BIO-MED MVP-10 or Infrasonics
Infant Star 100 ventilator
Ventilator
Expiratory
Valve
Ventilator INOvent
delivery
system
Ventilator
Inspiratory
port
22M/15F x
22M/15F
Adapter
Injector
Module
Electrical
Cable
NO/N2
Injector
Tube
Injector
Module
Inspiratory
Breathing
Circuit Hose
Expiratory
Breathing
Circuit Hose
Sample
Tee
Patient
wye
Patient Gas
sample line
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Circuit Connection Diagrams
Self-filling resuscitator bag
wCaution: Tubing length downstream of the O2tubing sample tee
must be minimized. The INOvent monitoring systemoperates at pressures up to 70 cm H2O above ambient
at the sample tee. Excessive tubing length can result in
Monitoring Failure alarm from over-pressurization. To
help ensure proper INOvent delivery system operation,
test the circuit configuration before using it.
NO/N2Injector Tube
Injector Module
Electrical Cable
O2Flowmeter
O2Tubing
15M x
4.5 mm
Adapter
22M/15F x
22M/15F
Adapter
Injector
Module
15M x
4.5 mm
Adapter
O2Tubing
Patient Gas
sample line
O2Tubing
Sample
Tee
Resuscitator bagwith O2reservoir
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Circuit Connection Diagrams
Hyper-inflation bag
NO/N2Injector Tube
Injector Module
Electrical Cable
O2Flowmeter
O2Tubing
15M x
4.5 mm
Adapter
22M/15F x
22M/15F
Adapter
Injector
Module
15M x
4.5 mm
Adapter
O2Tubing
Patient Gas
sample line
O2Tubing
Sample
Tee
Hyper-
inflation
Bag
Pressure
Gauge
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Circuit Connection Diagrams
Spontaneous breathing circuit
NO/N2Injector Tube
Injector Module
Electrical Cable
O2Flowmeter
O2Tubing
15M x
4.5 mm
Adapter22M/15F x
22M/15F
Adapter
Injector
Module
22M/15F x
22M/15F
Adapter
Sample
Tee
Patient Gas
sample line
One-way
Valves
Face
Mask
Breathing
Circuit
Bag
Breathing
Circuit
Tee
Breathing
Circuit
Hose
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Connectors and Adapters List
Adapters:15M x 4.5 mm
22M / 15F x 22M / 15F22F x 15M
22M /15F x 15M with Sample Tee
15 mm O.D. to 3/8 in. Tubing Adapter
15 mm I.D. to 3/8 in. Tubing Adapter
Others:
O2Tubing Sample TeeOne-way Valve
15 mm, 6 inch Inspiratory Extension
O2Tubing
9 mm I.D. Hose
300 mm of 22 mm Hose
Breathing Circuit Hose
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Changing Cylinder & Purging Regulator
wWARNING You MUST purge the regulator assembly
immediately before using a new NO cylinder.
wImportant: Replace NO therapy gas cylinder when its
pressure is < 200 psig / 14 kPa x 100 (bar).
1. Purge regulator assembly before using new NO therapy gas cylinder:
a. Determine which regulator assembly is not being used and
requires purging. Cylinder valve should be closed on
regulator assembly not being used.
b. On the regulator assembly requiring purging, disconnect the
low pressure hose quick-connect fitting from the NO/N2input on the rear of the INOvent delivery system.
c. Open the cylinder valve on the new NO therapy gas cylinder.
d. Close the cylinder valve on the new NO therapy gas cylinder.
f. Insert low pressure hose quick-connect fitting into purge
manifold:
g. Firmly push and hold the quick-connect fitting in place while
the pressure drops to zero on the regulator gauge.
h. After the pressure drops to zero (about 15 seconds),
reconnect the low pressure hose quick-connect fitting to the
NO/N2
input on the rear of the INOvent delivery system.
2. Open the cylinder valve on the new cylinder.
3. Close the cylinder valve on the empty cylinder and label appropriately.
4. Replace the empty NO therapy gas cylinder. Leave the cylinder valve
on the replacement cylinder turned off until needed.
5. Purge the regulator assembly immediately before use.
Purge
Manifold Low Pressure Hose
Quick-Connect Fitting
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Notes
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Notes
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Notes
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Notes
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Notes
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wImportant: This guide is provided as a convenience and for general
information only. Never use this product without clearly and
thoroughly understanding the most recent revision of the
Operation and Maintenance manual. The manual is the
source for specific, updated information regarding checklists,
diagrams, and/or instructions contained in this Guide.
1605 0110 000
07 98 3 01 21 03
Datex-Ohmeda 1998 N02639-A