Mallinckrodt INOmax DSIR Plus MRI Operation Manual page 6

Maintenance
WARNING:
• Handle and dispose of sensors according to facility biohazard policies. Do not
incinerate.
• If the MR injector module has been used in the wet/humidified part of the
breathing circuit, it should be sterilized between each patient use.
• Do not use the RS 232 data output while in the MR scanner room.
• Use only RS 232 cables that are shielded (see Section 7/ Product Specifications
for more detail).
• Keep the test magnet tool away from pacemakers, ICDs and other implanted
medical devices.
Manually Bagging a Patient with a MR Injector Module
• Do not place the injector module in-line with a manual resuscitation bag.
Manually Bagging a Patient with the INOblender
• The purge procedure must be followed to help ensure NO
system before the manual resuscitator bag is connected to the patient.
• The manual bag should be squeezed repeatedly during use to avoid NO
up in the bag.
• If the bag is not squeezed repeatedly while delivering INOMAX, the bag should
be removed from the patient and the bag purge procedure performed before
continuing.
• The INOblender should be upright when setting the oxygen flowrate for accurate
setting.
• Do not use pneumatically powered nebulizers with the INOblender. This will result
in significant over delivery of INOMAX in excess of 80 parts per million (ppm).
- The INOblender outlet pressure has been validated for use up to 400 millibar (5.8
psig) pressure. The amount of back-pressure generated by pneumatic nebulizers
is significantly greater (20-30 psig) and will result in over delivery of INOMAX
in excess of 80 ppm. The user adjusted dose setting on the INOblender will not
correlate with, or have an effect on the actual delivered dose.
- In addition, the INOblender flowmeter is not back-pressure compensated and will
display a lower flow rate than actual when pressure is applied to the outlet.
Purging the INOmax DS
• All INOmax DS
patient does not receive an excess level of NO
• If the INOmax DS
minutes, depressurize the regulator supply line.
• If the INOmax DS
minutes, repeat automated or manual purge procedure.
• If the INOmax DS
repeat pre-use procedure.
iv
Plus MRI
IR
Plus MRI devices must be purged before use to ensure the
IR
Plus MRI is not going to be used on a patient within 10
IR
Plus MRI is not used and is pressurized for more than 10
IR
Plus MRI is depressurized and not used within 12 hours,
IR
is purged from the
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Part No. 20568 Rev-02
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2015-08