Mallinckrodt INOMAX DSir Plus Operation Manual page 136

• Abrupt discontinuation of INOMAX may lead to worsening oxygenation and
WARNING:
increasing pulmonary artery pressure, i.e., Rebound Pulmonary Hypertension
Syndrome. To avoid abrupt discontinuation, utilize the INOblender or integrated
pneumatic backup if necessary. If Rebound Pulmonary Hypertension occurs,
reinstate INOMAX therapy immediately. (See the INOMAX prescribing
Information for further details).
• If the high NO
proper setup while maintaining INOMAX delivery. Adjust INOMAX and/or FiO
as appropriate. (See INOMAX Prescribing Information for further details on
the effects of Nitrogen Dioxide, NO
increased NO
Alarm
Continuous Audible Tone
Alarm Help
Alarm
1. High NO alarm
5-6
alarm activates, the delivery system should be assessed for
2
levels, call technical support and do not discontinue therapy.
2
Continuous Audible Tone
Possible Cause
A component within the
INOmax DS has failed.
IR
High Priority Alarms
Possible Cause
a. The High NO alarm level
may be inappropriately set.
b. Circuit setup incorrect.
c. The NO calibration may
have drifted.
d. Injector module may not be
functioning properly.
). If unable to determine the cause of the
2
Recommended Action
1. If the INOblender is available, manually
ventilate the patient (see INOblender
Operation Manual).
2. Replace the delivery system and remove from
service.
3. Contact Technical Support.
Recommended Action
All of these actions can be performed while
delivering INOMAX to the patient:
Confirm high NO alarm limit is set appropriately.
Check circuit for correct setup.
1. Perform low calibration.
2. Perform high NO calibration.
INOMAX delivery will be interrupted.
Manually ventilate patient with the INOblender
or
turn integrated pneumatic backup delivery ON
(verify at least five L/min ventilator gas flow in
patient circuit).
1. Change injector module.
2. Change injector module cable.
"Injector Module Failure" alarm will occur
and NO delivery will be interrupted. This
will resolve when injector module cable is
reconnected.
Contact Technical Support.
2
Part No. 20717 Rev-01
2014-07