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Summary of Contents for Breas NIPPY Clearway
- Page 1 A Clinical Guide to the NIPPY Clearway...
- Page 2 NIV mode (15 mins max usage) How to add Insufflation & Exsufflation flow oscillations How to change the Insufflation flow profile (aka ‘flow rate’ on the bird) How to change the mode menu options How to lock the NIPPY Clearway...
- Page 3 Why use Mechanical Insufflation Exsufflation? Cough is essential to prevent a build up of mucus/phlegm from our airways. Mucus is important as it traps dirt and bacteria. The mucociliary escalator transports the mucus to the larger airways and is usually cleared with a cough. In order for a cough to be strong and effective the following occurs: •...
- Page 4 The device should be set up by a qualified respiratory physiotherapist/clinician. The NIPPY Clearway gives a deep breath in (Insufflation) followed by a rapid shift to a negative pressure (Exsufflation), in order to augment an expiratory flow sufficient to clear chest secretions...
- Page 5 Back of Device Serial Port for Hand Held Remote Cooling Vent External Battery Air Inlet/Dust Filter – change 1-2 Mains Power Attachment Attachment times per year...
- Page 6 Front of Device Manual Switch Air Outlet Mask Pressure Line Valve...
- Page 7 NIPPY Clearway MI-E Circuit (Single Patient Use) Mask Pressure line – feedback for accurate pressure delivery from exhalation valve Leakage Valve 22mm Clearway circuit Anti Bacterial Filter (changed monthly, but weekly in ICU)) (changed weekly, but daily in ICU)
- Page 8 NIPPY Clearway IPPB Circuit (Single Patient Use) Active valve Active Exhalation pressure line Valve Mask Pressure line – Anti Bacterial Filter feedback for accurate (changed weekly, but daily in ICU) pressure delivery from exhalation valve...
- Page 9 Setting a Prescription Press the ‘Mode’ button to enter the therapy menu Turn the device off and on with the power button...
- Page 10 Manual Mode In Manual mode, you set your Insufflation and Exsufflation Pressure and deliver the pressures via the manual switches – handheld or on the front of the Clearway In manual mode, and for 1 minute after all programmed modes, the green hand on the screen indicates the manual switches can be used to deliver pressures...
- Page 11 Basic Auto Mode The Basic Auto mode delivers a clinically preset cycle of one breath in followed by a cough, followed by a pause. This cycle repeats up to 20 times, or until you stop the treatment Use ‘Start/Stop’ button to commence/stop therapy...
- Page 12 Therapy Tracking Screen The NIPPY Clearway counts the number of completed cycles in the top right corner Note: In the Basic Auto mode, 20 cycles will be delivered as a default unless the therapy is stopped beforehand...
- Page 13 Programmed Timed Auto Mode The Timed Auto mode delivers a clinician preset cycle of multiple insufflations, divided by pauses, followed by an exsufflation. These cycles can be set to repeat a number of times TIMED AUTO Use ‘Start/Stop’ button to commence therapy...
- Page 14 Programmed Triggered Auto Mode The Triggered Auto mode delivers a clinician preset cycle of multiple patient triggered insufflations, divided by pauses, followed by a cough. Lengthen the pause time to give the patient time to trigger the next breath These cycles are set to repeat a number of times Use ‘Start/Stop’...
- Page 15 Setting up for IPPB use Select the Programmed Timed or Triggered mode for IPPB use, and set the Exsufflation pressure to 0.0 cm 0cmH20 Increase the pause time so there is a sufficient gap for the patient to feel comfortable to trigger their 6.00 sec next breath of their own accord.
- Page 16 Non Invasive Ventilation Mode Set an IPAP, EPAP, Inspiratory time and Breathing back up rate for a Pressure Control mode of ventilation The maximum treatment time 15 minutes – useful for reducing patient’s work of breathing pre/post cough therapy if required. Patients should be monitored while using NIV mode due to absence of any clinical alarms.
- Page 17 Setting up the Flow Oscillations Press the Menu Button Select 3: Settings and Options Select 2: Advanced Settings Change Oscillation Magnitude settings by using +/-/set buttons...
- Page 18 Setting up the Insufflation Flow Profile Press the Menu Button Select 3: Settings and Options Select 3: Profile Settings Change Profile setting using +/-/Set...
- Page 19 Setting up the Insufflation Flow Profile Faster Rise Time Slower Rise Time Note the visual difference in the shape of the Insufflation flow curve...
- Page 20 Deactivation of unused modes Press Menu Button Select 3: Settings and Options Select 4: Mode Select Options Turn off any modes you do not want carers to access using +/-/Set buttons...
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