NoxBox NOxBOXi Operating Instructions Manual
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NoxBox NOxBOXi Operating Instructions Manual

Intelligent nitric oxide delivery and monitoring system
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See also: Operating Instructions Manual
®
NOxBOX
Operating Instructions
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Ensure the device does not require maintenance (monthly) and that the maintenance is not due during the expected duration of the therapy such as:
•
NO sensor high calibration
•
NO
sensor high calibration
2
•
Pump calibration
•
Vent calibration
Checklist
•
Ensure the device is clean and free from damage
•
Ensure the water trap is empty and has been cleaned from previous use
•
Ensure all single use items from previous patient have been discarded
Equipment you will need for set-up:
•
A NOxBOxi system test kit (NOXBOX-I TEST)
•
A NOXKIT (inspiratory limb size dependant)
•
Two cylinders of delivery gas
•
A 22mm one-way valve for HFO ventilator circuits (FXS555)
Additional items
•
NOxAIR Environmental monitors
•
Manual bagging kit
NOTE: If you do not have the parts listed above or the device has not been maintained the NOxBOX
set-up the device. Failure to follow these procedures may result in harm to to the operator or the patient.
Bedfont Scientific Ltd, Station Road, Harrietsham, Maidstone, Kent, ME17 1JA
+44 (0)1622 854868
+44 (0)1622 854860
Issue 6.0 (Software V.17.1) September 2015. Part No: LAB636
© NOxBOX Ltd NOxBOX Limited reserves the right to change or update this literature without prior notice. Registered office: England and Wales. Registered No: 9563860
1
Before you use the Bedfont NOxBOX
intelligent Nitric Oxide delivery and monitoring system it is important to follow these steps:
i
ask@noxboxltd.com
Set- Up
may not be suitable for use and you may be unable to
i
www.noxboxltd.com
ISO 9001:2008
www.noxboxltd.com
Cert No. FM 31664
ISO 13485:2003
Cert No. MD 502905

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Summary of Contents for NoxBox NOxBOXi

  • Page 1 Issue 6.0 (Software V.17.1) September 2015. Part No: LAB636 © NOxBOX Ltd NOxBOX Limited reserves the right to change or update this literature without prior notice. Registered office: England and Wales. Registered No: 9563860 ISO 9001:2008 www.noxboxltd.com Cert No. FM 31664 ISO 13485:2003 Cert No.
  • Page 2 ® Setup NOxBOX Operating Instructions To attach monitor to trolley, Connect power supply to Engage trolley brakes to Press power button to start carefully drop the monitor stabilise system prior to use. suitable rated mains outlet. system. over the attachment plate.

  • Page 3: Cylinder Setup

    ® Cylinder setup NOxBOX Operating Instructions 1000 Check cylinder concentration Engage trolley brakes to Check regulator surfaces and Load cylinders onto trolley. matches the setting for the stabilise system prior to O rings are damage free. Do Secure with straps.

  • Page 4: System Tests

    ® System tests NOxBOX Operating Instructions System test circuit set-up: Re-open NO cylinder. System test takes approx. Connect O supply to NOxFlow arrow points in 5 minutes to run. This purges NOxFlow inlet. Set O flow direction of flow. 1m vent and ensures correct to 10 L/min.
  • Page 5 ® NOxBOX Operating Instructions Ventilator connections Select a vent connector with Change sample line and The NOxFlow is single Push and click-to-lock twin luer port from the NOXKITTM. hydrophobic fliter. patient use. Unwrap and sensor line to unit. Connect the male luer of the carefully uncoil the lines.

  • Page 6: Operating Instructions

    (inactive) dose setting edit dose To set or change dose press ‘edit dose’ . The NOxBOX will then guide you through setting the dose and high/low alarms. Once confirmed the delivery and monitoring will adjust The navigation tabs access the alarm history and user settings screens.

  • Page 7: Cylinder Replacement

    ® NOxBOX Operating Instructions Cylinder replacement Check regulator gauge Engage trolley brakes to Detach hose from monitor and pressure is relieved and Fully close cylinder valve. stabilise system prior to depressurise on purge needle. remove regulator from changing cylinder. depleted cylinder.
  • Page 8 ® Shutdown NOxBOX Operating Instructions Check regulator gauge When ready to shutdown the Confirm on-screen that Fully close each cylinder and pressure is relieved and system, briefly press the power remove regulator from each shutdown is required. Follow depressurise the supply lines button on the monitor.

  • Page 9: Troubleshooting Guide

    All alarms are graded into high priority or medium priority alerts. NOTE: In all instances of alarms sounding, the health and condition of the patient must be ensured before attempting to resolve any issue with the NOxBOX system.
  • Page 10 ® Troubleshooting Guide NOxBOX Operating Instructions Notifications at Switch on The below are a series of notifications which may be seen at start-up (before the home screen) if an issue is detected with the NOxBOX Notification Priority Possible Cause Recommended...
  • Page 11 Operating Instructions Troubleshooting Guide High Priority Alarms during therapy The below are a series of alarms which may be seen during therapy (once the device has been setup) if an issue is detected with the NOxBOX Alarm Priority Possible Cause...
  • Page 12 Check water trap (including barrel thread) for below the alarm setting boundary. damage and/or leaks. Check sample line is correctly attached to ventilator circuit and NOxBOX water trap inlet. Check no ventilator circuit breaks or leakages have occurred. The NO gas is balanced in N2, this is Check O concentration setting at ventilator.
  • Page 13 Critical charge level has been detected as critical. System continued powered operation of the NOxBOXi and will start to recharge the internal battery. power could fail within the next 10 Check green (mains power) L.E.D on mains power plug is lit indicating mains supply OK. If not, minutes.
  • Page 14 Check the ventilator is connected and supplying sufficient flow. Critical High The NOxBOX has detected a critical fault within If another system is not readily available and patient requires therapy, engage the Delivery the intelligent delivery system, and can no...
  • Page 15 Priority Possible Cause Recommended Action Medium Zero Every 24 hours during use the NOxBOX prompts No special connections are required; the zero calibration is fully automatic. Calibration the user to perform a sensor zero. This operation ensures the most accurate system performance by Press the tick to start the zero calibration.
  • Page 16 NOxBOX Operating Instructions Troubleshooting Guide High Medium To keep the NOxBOX functioning accurately, it is This action may be performed whilst the system is in use via the service Calibration important that the system sensors be fully calibrated by engineer area. However Bedfont strongly recommend that the sensor high Overdue a suitably qualified Service Engineer once a month.

  • Page 17: General Troubleshooting

    Check the Oxygen source is flowing. cannot accurately deliver and monitor Nitric Oxide Check the NOxFLOW is connected to the Oxygen source and the NOxBOX -TEST kit. inintelligent mode. Check the correct orientation of NOxFLOW.
  • Page 18 (use 22F or 15M to vent tube adaptors) 4. Humidifier 5. 0.7m-1.3m Corrugated Tubing (15mm or 22mm) 6. NOxBOX Sample Line 7. 10M - 10F, 12M - 12F, 15M - 15M luer port or 22M-22F luer port connector 8. Patient Y-piece 9.

  • Page 19: Manual Override

    ® Manual override NOxBOX Operating Instructions Find the vent flow setting to Use the look-up tables in this best match patient settings. guide. To set flow rate, find the The column lists the approx. table matching NO dose per valve setting.
  • Page 20 Dose look-up table ® NOxBOX Operating Instructions 1000ppm, 900ppm, 800ppm, 500ppm Flow valve setting Minute flow volume Clinder Concentration (ppm) WARNING: Dose >40 ppm Dose over 20ppm Minute Volume (L/Min) 1000 Dial 10.5 11.5 12.5 13.5 14.5 15.5 16.5 17.5 18.5...
  • Page 21 Dose look-up table ® NOxBOX Operating Instructions 450ppm, 400ppm , 300ppm, 250ppm Flow valve setting Minute flow volume Clinder Concentration (ppm) WARNING: Dose >40 ppm Dose over 20ppm Minute Volume (L/Min) Dial Minute volume (L/Min) Dial 10.5 11.5 12.5 13.5 14.5...
  • Page 22 Dose look-up table ® NOxBOX Operating Instructions 225ppm, 200ppm, 100ppm Flow valve setting Minute flow volume Clinder Concentration (ppm) WARNING: Dose >40 ppm Dose over 20ppm Minute Volume (L/Min) Dial Minute Volume (L/Min) Dial Minute Volume (L/Min) Dial 10.5 11.5 12.5...

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