Mallinckrodt INOmax DS IR Checklist

Series 3 software
(The following instructions are provided for when the on-screen pre-use wizard is not used.)
1. Turn device ON, low calibration will begin and complete
2. Initial Connections:
Confirm attachment of the following:
a. Water separator cartridge, water trap bottle, and
patient gas sample line in place
b. Injector module cable and tubing are connected
c. Plug in power cord and verify AC power light is ON
d. Regulator to 800 ppm INOMAX cylinder
e. Regulator hose to INOmax DS
f. INOblender hose connected and white lock in place
g. Oxygen source (50 psig) to back of INOblender
h. IR cable in place
2f
2e
3 . Assemble pre-use set-up connectors (diagram on back
of card). Do not turn O
4. High Pressure Leak Test:
Open/close INOMAX 800 ppm cylinder valve
a. Verify, at least 500 psig cylinder pressure
b. Verify, no decrease in cylinder pressure for
30 seconds
5. Manual Purge/Alarm Verification:
a. Press CANCEL to exit pre-use wizard.
b. Verify the INOMAX cylinder valve is closed.
c. Set the O 2 flowmeter to 10 L/min
d. Purge INOmax DS
• Set the INOMAX dose to 40 ppm.
• "Cylinder Valve Closed" alarm will occur.
• Cylinder gauge pressure should drop to 0 psig.
• Measured NO 2 will increase and then decrease as
NO 2 is purged from the system.
• "Low Cylinder Pressure" alarm will occur.
e. Open the INOMAX cylinder valve.
f. Turn the INOMAX dose to zero. The "Set Dose is
Zero, Close Cylinder Valve" indicator will appear.
This indicator will display anytime the set dose
is returned to zero; however, during this pre-use
procedure, leave the cylinder open and touch the
screen to reset the indicator.
WARNING: This reference card is not a substitute for the INOmax DS
and Maintenance manuals. Refer to these manuals for all applicable cautions and warnings.
Pre-Use Checkout
inlet
IR
2h
2g
flowmeter ON yet.
2
.
IR
6. Integrated Pneumatic Backup Test:
a. Verify pre-use assembly flowmeter
set to 10 L/min
b. Turn INOmax DS
c. Verify measured values
NO
NO
2
d. Turn backup switch OFF
7. Performance Test:
a. Verify O
2
b. Set INOMAX
dose to
40 ppm
c. Verify
monitored
values
d. Set INOMAX dose to 0 ppm
2a
• "Set Dose is Zero, Please Close Cylinder Valve"
reminder will appear- DO NOT close cylinder valve at
this time
e. Turn oxygen flowmeter OFF
8. INOblender Test:
a. Remove injector module from pre-use assembly
b. Remove O
INOblender outlet
c. Set INOblender flow to 10 L/min, INOMAX dose to
40 ppm
d. Confirm acceptable NO value
NO
e. Set INOblender dose and flow to 0
8a
8c
8e
8b
If device is not used within 10 minutes, depressurize cylinder regulator
backup switch ON
IR
14-26 ppm
≤
1.0 ppm
≤<
flowmeter is set to 10 L/min
Acceptable NO Value
Acceptable NO Value
2
FiO
2
tubing from flowmeter and attach to
2
32-48 ppm
8d
8c
8e
8a
End of Procedure
and INOblender Operation
IR
6b
6d
35-45 ppm
<1.5 ppm
95% ± 3%