Bedfont NOxBOX mobile Operating Manual

With noxbox + or noxbox o2
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NOxBOX
mobile
®
NOxBOX
®
mobile with NOxBOX
® +
or NOxBOX
®
O
2
breath analysis is the new blood test
www.bedfont.com

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Summary of Contents for Bedfont NOxBOX mobile

  • Page 1 NOxBOX mobile ® NOxBOX ® mobile with NOxBOX ® + or NOxBOX ® breath analysis is the new blood test www.bedfont.com...
  • Page 3: Table Of Contents

    Basic Safety Recommendations Warnings Contraindications System Contents Instrument Layout General Description Manual Handling Maintenance Commissioning Installing a Gas Cylinder Cylinder Changeover Initial Purge Connecting to a Patient Circuit 12-13 Decommissioning Dose Calculation Manual Bagging Calibration Spares Specification Warranty Troubleshooting 20-21 www.bedfont.com...
  • Page 4: Introduction

    Maintain safety devices - Check all safety devices Bedfont Scientific range of products are suitable at least annually or as otherwise required by local for use with the NOxBOX mobile. Refer to the codes or manufacturer recommendations. Properly monitor Instructions for Use for correct operation, maintain safety valves.
  • Page 5: Warnings

    The human lungs are a wet environment, so inhalation of this extremely toxic gas can have severe effects and every reasonable measure should be made to minimise exposure to NO www.bedfont.com...
  • Page 6: System Contents

    A. Gas cylinder pressure gauges B. Changeover unit C. NOxAIR NO environmental sensor D. Single stage regulator E. Outlet pressure gauge F. Trolley G. Low flow indicator H. High flow indicator I. NOxAIR NO environmental sensor J. Spanner attached by chain Figure 1 www.bedfont.com...
  • Page 7: General Description

    1000ppm NO. Bedfont Scientific do not provide delivery of NO is possible. When used correctly, therapeutic gas mixtures for INO therapy. this helps guard against sudden unexpected withdrawal from INO therapy.
  • Page 8: Manual Handling

    Always engage system trolley brakes to stabilise the platform prior to attempting to replace any gas cylinders. Gas cylinders should be properly restrained when on the trolley, using the provided straps. www.bedfont.com...
  • Page 9: Maintenance

    Maintenance procedures should only be NOxBOXmobile undertaken by technicians that have received the appropriate technical and maintenance training from Bedfont Scientific Ltd for the The NOxBOXmobile is supplied as an relevant equipment. assembled system. Correct and safe operation of the...
  • Page 10: Installing A Gas Cylinder

    Do not use any Prior to connecting the cylinder: inappropriate tools on hand-tighten only type connections. ● Ensure the gas control valve is shut (this Figure Repeat the above steps to attach the second Includ cylinder. www.bedfont.com...
  • Page 11: Cylinder Changeover

    Be aware of any connections in place to other systems (e.g. Install the new gas cylinder by following the patient circuit) before moving the system to steps detailed in “Installing a Gas Cylinder” avoid stretching lines. (Page 9). www.bedfont.com...
  • Page 12: Initial Purge

    The outlet pressure gauge dial (Fig. 5, item This will safely remove the toxic nitrogen oxides E) should read 2 bar. from the gas exhaust. Contact Bedfont or your ● Open the valve on the flow meter (Fig. 5, distributor for NOx scrubber information.
  • Page 13 QSG for the patient. circuit. 4. The system is now ready to commence delivery of NO to the patient. 5. Refer to the NOxBOXmobile Quick StartGuide (QSG) for dose setting tables. www.bedfont.com...
  • Page 14 +/- 10%) to this guideline flow rate to achieve the exact dose level. If large adjustments are required to the guideline flow rate to achieve the dose rule out any system error with the equipment (monitoring or delivery systems) www.bedfont.com...
  • Page 15: Decommissioning

    3. Connect the outlet of the NOxBOXmobile to a NOx scrubber filter or an appropriate atmospheric scavenger. Contact Bedfont or your distributor for details of the NOx scrubber. Figure 8...
  • Page 16: Dose Calculation

    NO flow value. See “Troubleshooting” section (page 20) for common diagnostic issues. www.bedfont.com...
  • Page 17: Manual Bagging

    (other standard connections are and manual bagging flow. Allow time for the possible, contact Bedfont or your distributor for pneumatic flow to be read by the INO monitor details). Connect this fitting to an appropriate before making fine-tune adjustments.
  • Page 18: Calibration

    Any element found to be operating outside of these safe operating parameters should be reported to Bedfont or your distributor for repair or replacement as appropriate. Do not attempt to calibrate or repair this device unless authorised to do so by the manufacturer.
  • Page 19: Spares

    Approx. 40kg (complete trolley and cylinders) Construction: Powder coated steel Wheels: 75mm anti-static castors, with kick stop lock Flowmeters: 0-100cc/min and 0-600cc/min Regulator: Single stage, stainless steel, 2 bar max. outlet Changeover: Regulator stainless steel Storage conditions: Dry, clean atmosphere, 0-40ºC www.bedfont.com...
  • Page 20: Warranty

    NOxBOX mobile Operating Manual ® Warranty Bedfont Scientific Ltd warrants instruments of its manufacture to be free from defects in material and workmanship for a period of five years from the date of shipment. Bedfont’s sole obligation under this warranty is limited to repairing or...
  • Page 21: Troubleshooting

    WARNING: sudden withdrawal from NO therapy can have severe effects on the patient, including, but not limited to, hypoxic rebound. Ensure that best practice is observed at www.bedfont.com...
  • Page 22 This can create deep scoring on the valve surface which affects the flow control performance across the flow range. Please report to Bedfont or your distributor for corrective action. Q: Do Bedfont supply the manual bagging circuit systems? A: No, Bedfont cannot supply such materials.
  • Page 24 Issue 5 - April 2013, Part No: LAB211 Cert. No. FM 31664 ©Bedfont Scientific Ltd ISO 13485:2003 Bedfont Scientific Limited reserves the right to change or update this literature without prior notice. Cert. No. MD 502905 Registered office: England and Wales. Registered No: 1289798...

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