Mallinckrodt INOMAX DSir Plus Operation Manual page 5

Warnings tell the user about dangerous conditions that can cause injury to
WARNING:
the operator or the patient if you do not obey all of the instructions in this
manual.
Cautions tell the user about how to properly use the equipment and conditions
Caution:
that could cause damage to the equipment.
Read and obey all warnings and cautions.
Note:
Notes provide clarification or supplemental information.
Blue arrow denotes required user action.
WARNING:
Integrated Pneumatic Backup
• The integrated pneumatic backup is intended for short term use when the electronic
delivery system fails until a replacement NO delivery device can be brought to the
bedside.
• The integrated pneumatic backup delivers a variable concentration of NO to the
patient depending on the ventilator flow being used.
• When using the integrated pneumatic backup with breathing circuit gas flows of
5 L/min, the delivered NO dose will be approximately 40 ppm. Breathing circuit gas
flows less than 5 L/min will deliver an NO dose greater than 40 ppm.
• The integrated pneumatic backup (250 mL/min.) should not be used with the
Bunnell Life Pulse as ventilator flow rates are normally below the recommended
ventilator flows.
Changing Cylinders
• Always secure a cylinder when not using it.
• Never lift a cylinder by its valve or valve protection cap or by using a chain, sling or
magnet.
• Never drop a cylinder.
• Never use a hammer, pry or wedge to loosen a valve or protection cap. The valve
and protection cap should operate by hand.
• Never let oil, grease or other combustible come in contact with a cylinder or valve.
• Never remove or deface cylinder labeling or markings.
• Never modify equipment without first contacting the manufacturer.
• Never use an adaptor to connect a cylinder to the system.
• Never use equipment not designed to use INOMAX mixtures.
• Never attempt to repair a leak on a cylinder valve or its safety relief device.
• Never operate equipment that is leaking.
• Never ship a leaking cylinder.
• Never store cylinders;
- Where damage can result from the elements, such as standing water or
temperatures over 125 degrees F.
- Where they can experience extreme low temperatures.
- Where they can contact corrosive substances.
- Where they can be cut or abraded by an object.
- Next to a walkway, elevator or platform edge.
- Unless they are properly secured.
Part No. 20717 Rev-01
2014-07
iii