B & D Electromedical NIPPY Clearway Instructions For Use Manual
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B & D Electromedical NIPPY Clearway Instructions For Use Manual

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NIPPY CLEARWAY
COUGH ASSISTOR

INSTRUCTIONS FOR USE

This book must be kept with the machine
B & D Electromedical
Unit A2 The Bridge Business Centre
Timothy's Bridge Road
Stratford–upon-Avon,
Warwickshire. CV37 9HW
Tel: 01789 293460 Sales
01789 721577 Technical Support
Fax: 01789 262470
www.nippyventilator.com
Copies of these instructions may be downloaded from
www.nippyventilator.com/downloads
0985 Version 2 February 2011

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  • Page 1: Instructions For Use

    NIPPY CLEARWAY COUGH ASSISTOR INSTRUCTIONS FOR USE This book must be kept with the machine B & D Electromedical Unit A2 The Bridge Business Centre Timothy’s Bridge Road Stratford–upon-Avon, Warwickshire. CV37 9HW Tel: 01789 293460 Sales 01789 721577 Technical Support Fax: 01789 262470 www.nippyventilator.com...
  • Page 2 0985 Version 2 February 2011...

  • Page 3: Table Of Contents

    Nippy Clearway in Manual Mode Auto Modes Treatment Review Screen Auto Modes manual Override Nippy Clearway in Basic Auto Mode 18-19 Nippy Clearway in Prog. Timed Auto Mode 20-21 Nippy Clearway in Prog. Triggered Auto Mode 22-23 Nippy Clearway in NIV. Mode Advanced Settings - Airway Pressure Vibration Advanced Settings –...
  • Page 4 0985 Version 2 February 2011...

  • Page 5: Description

    The settings can be achieved using the buttons around the outside of the display. More advanced features and adjustments can be accessed via the menu. It is designed for non-continuous use. The Nippy Clearway may be used for up to 30 minutes in any 1 hour period.
  • Page 6 This may take a few minutes. The user cannot replace this battery. Refer to qualified technical personnel if the alarm operates when the Nippy Clearway is in daily use. Inspiratory Trigger The Nippy Clearway employs a unique triggering mechanism. When the patient...

  • Page 7: Intended Use

    Secretions will usually be cleared to the mouth so yankauer suction may be required to clear from the mouth. Very young or weak individuals may still need to use naso pharengeal suction. Nippy Clearway must be prescribed by, and used only under the supervision of a qualified physician. Contraindications Pneumothorax or pneumo-mediasinum Facial trauma –...

  • Page 8: Features

    FEATURES Lightweight, compact fully self-contained unit with lockable settings. Can be used with mouthpiece, full-face mask or tracheotomy. 5 Treatment modes. User friendly intuitive software. Easily understood alarm messages displayed onscreen. Employs state of the art microprocessor control. Universal internal mains input, operates anywhere in the world without transformers.
  • Page 9 Explanation of Symbols used on Nippy Clearway and Accessories Type B Applied parts to EN 60601-1 Alternating Current Direct Current Time Delay Fuse Serial Number Date of Manufacture Attention. Consult Accompanying Documents Switch ON /OFF +► Increase Button ◄- Decrease Button...

  • Page 10: Fascia Buttons

    Fascia Buttons 1. Ins Selects the insufflation positive airway pressure adjustment (scaled in cmH O). Value is displayed on screen adjacent to the switch. 2. Ti Selects the insufflation time adjustment (scaled in seconds). Value is displayed on screen adjacent to the switch. 3.

  • Page 11: Fascia Display

    12.Set Selects the current menu function displayed by the selection bar OR double press for hours till next service. 13.◄- Decrements the selected parameter or moves the selection bar up the menu. 14. Start/Stop - Press to start or stop treatment 15.

  • Page 12: Rear Panel Layout

    Clearway Fascia 1. Ins/Exs Switch - Manual insufflation/exsufflation switch 2. Mask Pressure - Pressure input. 3. Outlet Patient outlet port. Rear Panel Layout Aux. Power 24 Volt connection for external battery. Connect only recommended batteries, part no 0788. Cooling Vent Cooling air outlet.

  • Page 13: Internal Memory Back Up Battery

    Internal Memory Back-up Battery The Clearway contains a rechargeable internal memory back-up battery. This battery is charged when the Clearway is switched on. Due to the intermittent nature of use, this battery may discharge, particularly after long periods of storage. If the battery becomes discharged, a message will be displayed on the screen accompanied by an audible beep.

  • Page 14: Getting Started

    Connect the patient interface to the opposite end of the large tube. To Switch On Place the Nippy Clearway on a clean, smooth, hard surface. (NOT carpet) Connect the power lead to the mains power connector on the rear panel. Plug into the mains power supply.

  • Page 15: The Main Screen

    Also number of times to repeat the cycle, CYCLE RPT and icons for ext battery and locked settings. How to adjust the Nippy Clearway Select the desired parameter with the relevant button. The reading adjacent to the button will be highlighted by a purple flashing box.

  • Page 16: How To Use The On-Screen Menu

    Menu Screen The Main Menu gives access to further adjustments and allows you to view information relating to the machine usage. How to use the on-screen menu Press the MENU button. The menu window will be displayed in front of the main screen.

  • Page 17: Structure Of The Main Menu

    Structure of the Main Menu 1. Treatment Review Screen View only 2. Adjust Trigger Levels View / Adjust 3. Settings and Options User Preferences Alarm Volume View / Adjust Display Brightness View / Adjust Display Contrast View / Adjust Keypad Tone Select On/Off Advanced Setting Ins vibration level...

  • Page 18: How To Use The On-Screen Help

    How to use the On-screen Help Press the HELP button at any time for a list of help topics. Follow the simple on- screen instructions. Press HELP again to exit. If during setting up, you require a description of a particular parameter, select it then press HELP for a context sensitive help message.
  • Page 19 Operation All parameters and user inputs are displayed on a large, clear, colour LCD screen. Insufflation and exsufflation pressures are set using the keypad. Settings may be locked to prevent accidental adjustment. The patient must not be left unattended during treatment. Modes of Operation Mode Selection Options The physician may select the modes available...
  • Page 20 Manual mode Ins / exs is controlled with the integral joystick switch or remote hand held joystick. The machine outputs the set pressures as the joystick is operated. There are no graphical treatment display screens associated with manual mode Setting up the Clearway in manual mode. Switch on the clearway and select Manual mode from the Mode select list.
  • Page 21 Automatic modes A range of automatic treatment modes is available. The Clearway may be programmed to administer the treatment as a sequence of insufflation and exsufflation. As an option, at the end of the sequence, two insufflations may be added to help the patient to recover from the effort required during treatment.
  • Page 22 Manual override Occasionally, secretions mobilised by this treatment can cause obstruction of the airways, making the auto sequence inappropriate for the desired outcome. The treatment can be cancelled and forced into manual mode by operation of the manual switch at any time during the auto sequence and for 1 minute after the treatment has finished.
  • Page 23 Setting up the Clearway in Basic Auto mode. Switch on the clearway and select Basic Auto mode from the Mode select list. (If • basic auto does not appear in the list, this function is not available). Press INS to select the insufflation pressure and use the ◄- and +►buttons to •...
  • Page 24 Timed Programmable Auto mode The Nippy Clearway can be pre programmed to deliver a timed sequence, which could include one or more insufflations before exsufflation. This sequence can be repeated up to 10 times if desired. As an option, at the end of the sequence, two insufflations may be added to help the patient to recover from the effort required during treatment.
  • Page 25 Setting up the Clearway in Timed Programmable Auto mode. Switch on the clearway and select Prog. Timed Auto mode from the Mode select • list. (If Prog. Timed Auto does not appear in the list, this function is not available). Press INS to select the insufflation pressure and use the ◄- and +►buttons to •...
  • Page 26 Triggered Programmable Auto mode The Nippy Clearway can be pre programmed to deliver a triggered/timed sequence, which could include one or more insufflations before exsufflation. This sequence can be repeated up to 10 times if desired. As an option, at the end of the sequence, two...
  • Page 27 Setting up the Clearway in Triggered Programmable Auto mode. Switch on the clearway and select Prog. Trig. Auto mode from the Mode select • list. (If Prog. Trig. Auto does not appear in the list, this function is not available). Press INS to select the insufflation pressure and use the ◄- and +►buttons to •...
  • Page 28 NIV Mode A few minutes non-invasive ventilation may be used to help the patient recover from the exertion of the cough assist treatment. The Clearway will cycle between IPAP and EPAP at the back up rate. Press the Mode switch. Select NIV from the mode select screen.

  • Page 29: Compliance Data

    In some cases it may be benificial in the mobilisation of secretions to “vibrate” the airway pressure. The Nippy Clearway can be set to vibrate the insufflation or exsufflation pressure at 4 cycles per second. The level of vibration can be preset to 25%, 50%, 75% or 100% of the working pressure.

  • Page 30: Running On Battery Power

    • Connect the battery to the Nippy Clearway Aux Power input. • The Power light will illuminate. • Switch on the Nippy Clearway. The Ext Batt light will flash and a “Running on battery power” message will be displayed on the Nippy Clearway screen. Press the Set button to hide the message.

  • Page 31: Battery Care

    To Charge a Battery • Place the charger on a smooth flat surface. • Connect the charger to the battery socket before switching on the mains power. • Connect the mains plug to the AC supply and switch on. • Leave on charge until the charged / ready indicator lights. Batteries may produce explosive gases during charging.
  • Page 32 After storage in a cold environment allow 24 hours for the battery to reach room temperature before use. Fully charge the battery every 2 months. Battery Test Test the battery if the running time seems low, a fault is suspected, or to confirm that the battery is good.

  • Page 33: Pneumatic Diagram

    Connecting auxiliary monitoring equipment For monitoring or downloading data the Nippy Clearway may be connected to a PC or Laptop computer. The Nippy Clearway isolated RS232 port is safe for use with any domestic PC or laptop computer. However, when assembling a system, the completed system should comply with EN60601-1 (medical systems).

  • Page 34: Operation Under Extreme Conditions

    The inspiratory / expiratory resistance of the Nippy Clearway and breathing system (Nippy Clearway and circuit) is less than 6cm H O @ 60 l/min. This value must not be exceeded when adding attachments or fittings to the breathing circuit.
  • Page 35 CAUTIONS • The Nippy Clearway should only be used in accordance with the instructions of the supervising physician. Personnel using and operating the Nippy Clearway must become familiar with this instruction manual before using the unit.
  • Page 36 USER MAINTENANCE YOU MUST DISCONNECT THE NIPPY FROM THE MAINS SUPPLY BEFORE ANY MAINTENANCE IS CARRIED OUT User maintenance is limited to cleaning and visual inspection of the machine, the input air filter and the breathing circuit. The machine and the detachable mains cord set should be inspected for signs of external damage weekly.

  • Page 37: Servicing

    Warranty The Nippy Clearway is covered by a full 12 months parts and labour warranty, provided that the unit is properly operated under conditions of normal use. This warranty does not apply to any unit that has been subjected to misuse or accidental damage, or repaired or modified by unauthorised personnel.

  • Page 38: Specifications

    Safety of Electromedical Instruments, General Requirements Electromagnetic Compatibility (In accordance with the EMC Directive 89/336/EMC) B & D Electromedical declares that the Nippy Clearway complies with the following EMC standards. EN60601-1-2: 2007 Test results available for review from B & D Electromedical...

  • Page 39: Emc Information

    EMC Information Guidance and Manufacturer’s Declaration – Electromagnetic Emissions: This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Emissions Test Standard Electromagnetic Environment- Guidance RF emissions (radiated) EN55011 The device uses RF energy only for its internal function.
  • Page 40 Electromagnetic Immunity: This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 TestLevel Compliance Level Electromagnetic Environment- Guidance Conducted RF 3 Vrms 3 Vrms Recommended separation distance:...
  • Page 41 Typical Power Output of Some Common Transmitters This list is provided for general guidance. It is not exhaustive or specific. It not intended to replace the findings of an electromagnetic survey. Suggested Minimum Separation Distance Power Notes This is a very approximate guide. If abnormal operation is observed, disregard this figure and take corrective action.

  • Page 43: Locking The Settings

    THIS PAGE MAY BE REMOVED BEFORE THE INSTRUCTION MANUAL IS PASSED TO THE USER Locking the settings The settings can be locked to prevent unauthorised adjustment. +► ◄- To lock press buttons simultaneously and hold for 2 seconds. +► ◄- To unlock press buttons simultaneously and hold for 2...

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