Page 1
(Delivery System) Pocket Guide Series 3 software Automated Pre-Use Procedure ® Integrated Pneumatic Backup INOMAX Delivery Transport Regulator/Cap Assembly Oxygen Dilution Chart INOMAX Cylinder Duration Chart Circuit Connection Diagrams Changing INOMAX Cylinders High Calibration Connection Diagrams INOmax DS Disposable Adapters For 24 Hour Assistance Call 1-877-566-9466 Part No.
Page 2
IMPORTANT: This guide is provided as a convenience and for general information only. Do not use this product without clearly and thoroughly understanding the most recent revision of the INOmax DS ® Operation Manual. The Operation contained in this guide. Part No.
Pre-Use Checkout Automated Pre-Use Checkout 1. Turn INOmax DS ON, verify speaker function. Note: A low range calibration automatically starts following the self test. A Pre-Use wizard will be displayed on the main screen, which will provide step-by-step instructions to complete the automated Pre-Use procedure.
Page 6
Pre-Use Checkout Part No. 20751 Rev-01 2014-08...
Page 7
Pre-Use Checkout (Intentionally left blank) Part No. 20751 Rev-01 2014-08...
Integrated Pneumatic Backup INOMAX Delivery Note: Use the integrated pneumatic backup function only for a short time, until a replacement delivery system can be obtained. The INOblender can also be used as a backup. If the main delivery system fails, the INOmax DS has an integrated pneumatic backup delivery function that allows the patient to remain connected to the ventilator.
Page 9
Integrated Pneumatic Backup INOMAX Delivery The main screen: · Indicates that backup delivery is on and that the set dose is turned off. · Displays the estimated dose that the patient should be · Displays the NO concentration table Note: If the injector module is not functioning, the estimated backup dose graphic will be inactive.
Cap Assembly WARNING: • A new INOMAX cylinder and regulator must be purged before use to ensure the patient does not receive an excess level of NO and the INOMAX cylinder for more than one hour will result in interruption of INOMAX delivery. Caution: When using the Transport Regulator/Cap Assembly (PN 10022) ensure the cap is in place on the cylinder and the infrared cable is connected to the infrared...
Page 11
Cap Assembly Step Two Connect the INOMAX regulator hose to one of the INOMAX inlets on the back of the INOmax (see Figure 3). Figure 3 Step Three Connect the Infrared cable from the Transport Regulator/Cap Assembly to the back of the INOmax (see Figure 4).
Page 12
Cap Assembly Step Four Place the Cap Assembly over the INOmeter (see Figure 5). Note: Be sure to align the keyway inside the Cap Assembly with the iButton on the INOmeter (see Figure 5 and 6). iButton The electrical cord exits the cap directly above the iButton...
Page 13
Cap Assembly Final Set-up Diagram The following diagram and photo illustrates all of the components connected. Additional Information Communication will take place between the INOmax DS and the INOmeter after the boot up phase of the INOmax DS is complete. Note: Cylinder icons are not visible and the dose control button will remain inactive until the INOmax DS recognizes an...
Oxygen Dilution Chart For delivery with 800 ppm cylinder of Set FiO 1.00 0.21 0.40 0.79 0.99 0.20 0.39 0.78 0.98 0.20 0.38 0.76 0.19 0.36 0.72 0.90 Actual FiO Caution FiO less than 21% Please Note: The calculations on this chart have been determined based on an 800 ppm cylinder of INOMAX (nitric oxide) for inhalation.
Duration Chart INOMAX Cylinder 88-Size For an 88-Size 800 ppm Cylinder Concentration* 39 Days 19.5 Days 9.8 Days 4.9 Days 19.4 Days 9.7 Days 4.8 Days 2.4 Days 9.6 Days 4.8 Days 2.4 Days 1.2 Days 4.7 Days 2.3 Days 1.2 Days 14 Hours 2.2 Days...
Circuit Connection Diagrams Proper use of these products depends on careful reading and understanding of labeling and instructions. Please refer to the INOmax DS and INOblender operation manuals for guidance. Also for use. INOmax DS Warnings: • INOmax DS subtracts gas from the breathing circuit via the some ventilators.
Circuit Connection Diagrams Bagging Systems While Using the Injector Module the following steps should be taken for use with the manual resuscitator bags: • Use the smallest bag adequate to deliver the desired tidal volume. • Oxygen tubing lengths greater than 72 inches should not be used.
Page 23
Circuit Connection Diagrams 1. O 2 Flowmeter (wall outlet or cylinder) 2. O 2 Tubing 3. 15M X 4.5 mm Adapter 4. 22M/15F X 22M/15F Adapter 5. Injector Module 6. 15M X 4.5 mm Adapter 7. O 2 Tubing 8. O 2 Tubing Sample Tee 10.
Circuit Connection Diagrams WARNING: • Part No. 20751 Rev-01 2014-08...
Page 25
Circuit Connection Diagrams Bagging Systems While Using the Injector Module 1. O Flowmeter 8. Pressure Gauge 2. Injector Module Electrical Cable 9. 15M X 4.5mm Adapter 3. NO/N Injector Tube 10. Injector Module 11. 22M/15F X 22M/15F Adapter 5. O Tubing 12.
Page 26
Circuit Connection Diagrams High Frequency Ventilator Circuit WARNING: • The INOmax DS patient to avoid NO delivery transiently exceeding the ventilation as soon as the catheter is removed from the airway. This will limit the extent of over delivery above the NO set dose.
Page 27
Circuit Connection Diagrams 1. INOmax DS 8. Sample Tee 2. Bunnell Life Pulse 9. Patient Box 10. One-Way Valve 11. Injector Module 5. Conventional Ventilator 12. NO/N Injector Tube 6. Life Port Adapter 13. Injector Module Electrical Cable 7. Endotracheal Tube Part No.
Circuit Connection Diagrams Connecting INOmax DS Sample Tee to the 1. From Patient Box 2. Cut Green tube at midpoint (approximately six inches from the Life Port Adapter) 3. Patient Gas Sample Line with 4. Insert Sample Tee 5. Life Port Adapter 6.
Circuit Connection Diagrams Circle Anesthesia System 1. Patient Gas Sample Line with 8. Absorber Inspiratory Port 9. Absorber 2. Patient Gas Sample Line 10. Injector Module Input Connection a. Injector Module Input End 3. INOmax DS b. Injector Module Output End 4.
Page 33
Circuit Connection Diagrams 10. Breathing Circuit 2. INOmax DS 11. Temperature Probe 3. Oxygen Source 12. Gas Sample Tee 4. Breathing Circuit Hose 13. 22M/15F X 22M/15F Adapter 14. 22 mm ID X 22 mm ID Cuff Adapter 5. Injector Module 6.
Circuit Connection Diagrams Oscillatory Ventilator with a Filtered Circuit a. Injector Module b. 22F Inlet c. 22M / 15F Outlet Part No. 20751 Rev-01 2014-08...
Circuit Connection Diagrams Note: • Validated for use outside of the United States. • A one-way valve is not required for use during high frequency ventilation mode. 1. Patient Wye 7. Injector Module 8. 22F X 15M Adapter 3. SLE5000 4.
Circuit Connection Diagrams Spontaneous Breathing Patient on a Mask Circuit 1. O Tubing 10. One-Way Valve 2. 15M X 4.5 mm Adapter 11. Sealed Face Mask 3. 22M/15F X 22M/15F Adapter 12. One-Way Valve 4. Breathing Circuit Tee 5. Breathing Circuit Bag 14.
Circuit Connection Diagrams Spontaneous Breathing Patient on a Nasal Cannula The INOmax DS can be used with nasal cannula to deliver rate as low as 2 L/min. WARNING: Do not use the INOmax DS backup mode with 1. O Flowmeter 7.
Page 42
Circuit Connection Diagrams 10. Temperature Probe Connector 11. Second Temperature Probe Connector 2. INOmax DS 12. Comfort Flo Cannula 3. Injector Module 13. Injector Module Electrical Cable 4. System Pressure Relief Valve 14. NO/N Injector Tube 5. Air/Oxygen Blender or Oxygen Blender 15.
Vapotherm Precision Flow. It is recommended that after an NO setting • Follow all manufacturer instructions for connection to the Vapotherm Precision Flow. 1. Patient Gas Sample Line 2. INOmax DSIR 3. Precision Flow Unit 4. Injector Module 5. Patient Delivery Tube 6.
INOblender Circuit Connection Diagram INOblender Warnings: • The purge procedure must be followed to help ensure NO before the manual resuscitator bag is connected to the patient. The manual bag should be squeezed continuously during use to avoid NO building up in the bag. If the bag is not squeezed removed from the patient and the purge procedure performed before continuing.
Changing INOMAX Cylinders Changing INOMAX Cylinders WARNING: • A new INOMAX cylinder and regulator must be purged before use to ensure the patient does not receive an excess level of NO the INOMAX cylinder for more than one hour will result in interruption of INOMAX delivery.
Page 53
Changing INOMAX Cylinders B. Perform high pressure leak test. C. Purge the high pressure hose. D. Connect the pressure hose. Part No. 20751 Rev-01 2014-08...
Page 54
Changing INOMAX Cylinders may activate the “Two Cylinders Open” alarm until the empty Note: If using the INOmax DS Transport Regulator/Cap Assembly, transfer the cap from the exhausted INOMAX cylinder to the new INOMAX cylinder at this time; the “Cylinder Not Detected”...
Page 55
Changing INOMAX Cylinders (Intentionally left blank) Part No. 20751 Rev-01 2014-08...
High Calibration Connection Diagrams Connection Diagram for NO and NO High Range Calibration INOmax DS 6a. If the pressure is in the red or black 1. Cylinder Cap zone (0-25 psig) select another INOcal 2. Regulator Seal cylinder. 3. Regulator 7.
Page 57
High Calibration Connection Diagrams Calibration Setup for O High Range Calibration 1. 100% O Source 2. O Tubing 3. 15M x 4.5mm I.D. Adapter 4. Gas Sample Tee Part No. 20751 Rev-01 2014-08...
INOmax DS Disposable Adapters INOmax DS Patient Circuit Disposables (Note: Graphics not actual size) Adapter, Adapter, 22F X 15M 15M Fits 4.5mm ID Tubing Adapter, 22M/15F X 22M/15F Adapter, Cuff, 22mm ID X 22mm ID Adapter, Gas Sample Tee Adapter, 90 degree Sample Port Bunnell Life Pulse Disposable Disk Filter, 0.5 micron Adapters Convenience Pack...
Page 59
INOmax DS Disposable Adapters One-way Valve, 22F X 22M Patient Gas Sample Line with Pediatric Extension, Sample Tee, O Tubing 15 mm (6 inches) Sensormedics 3100A/B Water Separator Cartridge Filtered Circuit Disposable Adapters Convenience Pack Part No. 20751 Rev-01 2014-08...