Parker Digital MXR-D 4065D User Manual

Parker Digital MXR-D 4065D User Manual

Flowmeter, instructions and safety considerations cabinet mount, porter conscious sedation flowmeter and bag tee accessory

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DIGITAL MXR-D
FLOWMETER USER'S MANUAL
I n s t r u c t i o n s a n d S a f e t y C o n s i d e r a t i o n s
C a b i n e t M o u n t M X R - D
P o r t e r C o n s c i o u s S e d a t i o n F l o w m e t e r
a n d B a g T e e ( A c c e s s o r y )
FM-1061 Rev. B 4/11

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  • Page 1 DIGITAL MXR-D FLOWMETER USER’S MANUAL I n s t r u c t i o n s a n d S a f e t y C o n s i d e r a t i o n s C a b i n e t M o u n t M X R - D P o r t e r C o n s c i o u s S e d a t i o n F l o w m e t e r a n d B a g T e e ( A c c e s s o r y )
  • Page 2 For Technical Assistance, contact Dental Customer Service: Parker Hannifin Corporation Porter Instrument Division 245 Township Line Road Hatfield, PA 19440 Phone: 215-723-4000 Fax: 215-723-5106 Internet: www.porterinstrument.com...
  • Page 3: Table Of Contents

    Table of Contents WARNINGS AND PRECAUTIONS....................4 CROSSED LINES WARNING......................5 Do Not Allow Crossed Lines to Defeat Equipment Safety Features.......... 6 NITROUS OXIDE CONSCIOUS SEDATION SYSTEM ILLUSTRATION ......... 7 NITROUS OXIDE CONSCIOUS SEDATION SYSTEM COMPONENTS & ACCESSORIES ... 8 SAFETY: ............................
  • Page 4: Warnings And Precautions

    WARNINGS AND PRECAUTIONS These warnings and precautions are to help you to understand how to safely operate the MXR Flowmeter. A WARNING alerts you to a possible hazard to people. A CAUTION alerts you to the possibility of equipment damage. WARNING: Do not use this device for the administration of general anesthesia or as a part of, or in conjunction with, a general anesthesia administration system.
  • Page 5: Crossed Lines Warning

    CROSSED LINES WARNING N E W O R M O D I F I E D I N S T A L L A T I O N S ALWAYS ASSURE THAT LINES ARE NOT CROSSED! WARNING: New or modified installations - properly connected gas pipelines are absolutely essential to patient safety.
  • Page 6: Do Not Allow Crossed Lines To Defeat Equipment Safety Features

    Do Not Allow Crossed Lines to Defeat Equipment Safety Features Crossed lines in wall structure piping creates hazard of 100% Nitrous Oxide delivery to nasal mask and Oxygen demand valve when Flowmeter is set for 100% Oxygen resulting in over sedation. Over Sedation The init ia l installation potentia l problem: At gas outlet station, the common run of 1/2 inch pipe for Nitrous...
  • Page 7: Nitrous Oxide Conscious Sedation System Illustration

    NITROUS OXIDE CONSCIOUS SEDATION SYSTEM ILLUSTRATION...
  • Page 8: Nitrous Oxide Conscious Sedation System Components & Accessories

    NITROUS OXIDE CONSCIOUS SEDATION SYSTEM COMPONENTS & ACCESSORIES Item Part Number Description 4065D MXR Flowmeter with Power Supply and Cable AVS-5000 5501-RK Vacuum Block Kit 5155-1 Adult Rubber Gds (w/ Vacuum Block) 5155-3 Adult Rubber Gds (no Vacuum Block) P1407A Bag Tee 4100 3L Bag...
  • Page 9: Safety

    TANK REGULATOR SPECIFICATIONS SAFETY: Oxygen Regulator Use Porter O Regulator part number 7000-2 or ADA Guidelines the Oxygen tank regulator should have the In addition to the fail-safe and other safety following specifications: features found on most sedation machines, Regulator should be pre-set at 50 PSIG ± effective August 1976,...
  • Page 10: Intended Use-Flowmeter For Analgesia Delivery System

    INTENDED USE—Flowmeter for SWITCHABLE CONNECTORS Analgesia Delivery System The MXR-D has Universal connectors that are easily switched in the field from back to bottom This device is intended for patient (adult and or bottom to back position to suit the installation. pediatric) use by an attending physician or If the connectors are switched, the flowmeter dentist properly trained in its use.
  • Page 11: Digital Mxr-D Flowmeter Features

    Figure 1 DIGITAL MXR-D FLOWMETER FEATURES O and O Indicator Tubes: Visual N2O Adjustment Knob: Controls the % flow tubes indicating flowrates in L/min of concentration of N O but does not change Nitrous Oxide and Oxygen. Nitrous tube with the O flowrate.
  • Page 12: Directions For Use

    DIRECTIONS FOR USE Note: These directions detail a basic delivery technique. However, this is not a comprehensive description and not a substitute for a training course that emphasizes a practical, hands-on approach together with instruction on safe administration techniques. Topics covered in such a course will include experiences of practitioners in specific dental clinical settings, the pharmacokinetic properties of Nitrous Oxide, strategies to avoid over sedation and allow for biological variability, and strategies to maximize patient satisfaction.
  • Page 13: Basic Delivery Technique

    Basic Delivery Technique “Practice titration. Titration is a method of administering a substance by adding definitive amounts of a drug until an endpoint is reached. For Nitrous Oxide / Oxygen (N O) / O ) sedation, O is given in incremental doses until a patient has reached a comfortable relaxed state of sedation.
  • Page 14: Digital Display Readouts

    DIGITAL DISPLAY READOUTS The digital display shows a primary and precise digital number readout for the % N concentration setting on the left side and the Total Flow in L/min on the right side. ♦ To increase the Nitrous concentration, turn the % N O knob counter-clockwise.
  • Page 15: Initialization Procedure

    Display / Condition Meaning User Action Adjust % N O and Total Flow knobs to desired concentration. The display will change by every 0.5 Total Flow Normal display condition for Liter increments when the Total 50% N O setting %N2O 50 6 L/M Flow knob is turned, and the % N will change by every 5% increments...
  • Page 16: Nitrous And Oxygen Flow Tube Indicators

    NITROUS AND OXYGEN FLOW TUBE INDICATORS The Nitrous and Oxygen flow tube indicators are factory calibrated separately and indicate the lowest to highest flow of Oxygen with tube markings at 1 and 10 L/min, and lowest to highest flow of Nitrous Oxide with a tube marking at 1 L/min. The glass tubes are secondary indications of flow (digital display is primary) and the Total Flow is the addition of the two indicated ball float positions in the tubes.
  • Page 17: Flowmeter Accessories

    FLOWMETER ACCESSORIES Three or Two Liter Reservoir Bag Install the reservoir bag by sliding the opening over the outside of the bag tee downspout. The bag moves in and out with each inhalation and exhalation and becomes a visual barometer for monitoring the patient’s respiration rate.
  • Page 18: Automatic Vacuum Switch [Avs] (Option)

    Automatic Vacuum Switch [AVS] (Option) The AVS is used to control the vacuum flow in the gas scavenger breathing circuit and assure that the scavenging system is activated as soon as N O / O is turned ON. Adjust the vacuum flow using the control knob.
  • Page 19: Bag Tee

    BAG TEE The Bag Tee assembly features a Non-rebreathing Valve and an Emergency Air Intake located on the Bag Tee, which comply with American Dental Association guidelines. The non-rebreathing valve has a back flow check valve, which prevents exhaled gases from entering the breathing bag (no carbon dioxide buildup).
  • Page 20: Safety Feature Checks

    SAFETY FEATURE CHECKS IMPORTANT: These are safety features, which you should routinely check to assure proper function. If any of these safety features are not functioning properly, contact your Dental Dealer or Porter Instrument and arrange for the necessary repairs. Porter Instrument recommends the repairs be made before reusing the device.
  • Page 21: Nitrous Oxide Failsafe System-Check Before Each Use

    Nitrous Oxide Failsafe System—Check Before Each Use Note: Be sure O and N O are connected to your MXR and the line pressure for both gases is 50 PSIG (which is standard). 1. Turn the Total Flow knob to the right (clockwise) until the pointer on the knob hits the stop and then turn the % N O Concentration knob to the right (clockwise) until the pointer on the knob hits the stop.
  • Page 22: Power Oxygen Flush-Check Monthly [Mechanical Check]

    Power Oxygen Flush—Check Monthly [Mechanical Check] Supply Pressure at 50 PSIG) [Note: the O2 flush is monitored for minimum flow by the MXR-D during every flush button activation.] Disconnect the corrugated rubber tubing from the bag tee outlet. With both knobs positioned so the pointer hits the stop, depress the power, Outlet flush, button while blocking the flow from the...
  • Page 23: Monthly Calibration Check

    MONTHLY CALIBRATION CHECK The MXR Flowmeter is designed to maintain its accuracy and performance without routine user maintenance being required. The display measurement is auto-zeroed at each STANDBY shut- down. The indicator tubes and ball floats are very resistant to accuracy changes over time such that the indicator tubes will maintain their accuracy.
  • Page 24: Technical Specifications

    TECHNICAL SPECIFICATIONS Physical Gas Delivery: Dimensions: 12.6” W; 4.3” H; 3.9” D Oxygen Flush 35 L/min Minimum (50 PSIG input) Cut out hole: 11” x 3 5/8” Maximum Nitrous Oxide Concentration: 70% Weight: 8 lbs. Minimum Oxygen Concentration: 30% Maximum Oxygen Concentration: 100% Fittings: Flow Range at 100% Oxygen: 1 to 10 L/min Fresh Gas Outlet: 15mm ID x 22mm OD (Diameter...
  • Page 25: Performance And Accuracy

    Performance and Accuracy Digital Flow Display: Indicates flow in L/M with accuracy of ± 0.5 L/M Oxygen flow and ± 0.5 L/M Nitrous Oxide flow. Maximum N O Concentration: 70% Nitrous Oxide Failsafe System: Dual-seal oxygen-piloted valve system that automatically maintains the %N O concentration setting with any change in the O flow or pressure.
  • Page 26: Troubleshooting Chart For Mxr Flowmeters

    TROUBLESHOOTING CHART FOR MXR FLOWMETERS SYMPTOM POSSIBLE CAUSE REMEDY No flow of O or N O wh en 1 . O s upp ly no t tur ned 1 . Tu r n O regulator in ON /STAND BY switch is ON .
  • Page 27: Partial Listing Of Reference Material

    PARTIAL LISTING OF REFERENCE MATERIAL Handbook of Nitrous Oxide and Oxygen Sedation – Morris Clark • Ann Brunick Dentists’ Desk Reference: Materials, Instruments & Equipment - American Dental Association Relative Analgesia in Dental: Inhalation Analgesia and Sedation with Nitrous Oxide - Harry Langa, D.D.S. Conscious - Sedation in Dental Practice - C.
  • Page 28: Certificate Of Warranty

    P a r k e r H a n n i f i n C o r p o r a t i o n . Parker Hannifin Corporation shall not be liable for any damage, injury or loss arising out of the use of the product, whether as a result of a defect in the product or otherwise, if, prior to such damage, injury or loss, the product was (1) damaged or misused;...

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