Medisana IN 500 (NB-212C) - Nebulizer Manual

Device and controls

Compressor unit

1. Connection for air tube
2. Air filter (with cover)
3. On/Off-Switch
4. Carry handle
5. Ventilation slots
6. Nebulizer kit holder

Nebulizer kit

7. Connection for air tube (on nebulizer)
8. Nebulizer tank
9. Nozzle
10. Vaporizer head
11. Inhalation top
12. Connection tube for mouthpiece and hose adaptor
13. Air tube
14. Adult mask with mask connection tube
15. Child mask with mask connection tube
16. Nose adaptor for adults
17. Nose adaptor for children
18. Mouthpiece
19. Replacement air filter

Explanation of symbols

	WARNING These warning notes must be observed to prevent any injury to the user.
	CAUTION These notes must be observed to prevent any damage to the device.
	NOTE These notes give you useful additional information on the installation or operation.
	Device classification: type BF		Keep dry
	Protection class II		Alternating current
	LOT number		Serial number
	Manufacturer		Date of manufacture
	Medical device		Unique device identification
	Importer		Temperature range
	Distributor		Ambient pressure limitation
	EU authorized representative		Humidity range

HONSUN (NANTONG) Co., Ltd.
No. 8 Tongxing Road, Economic&Technilogical Development
Area 2260009 Nantong City, PEOPLE'S REPUBLIC OF CHINA
SRN Manufacturer: CN-MF-000009428

medisana GmbH
Carl-Schurz-Str. 2, 41460 NEUSS, GERMANY

Shanghai International Holding Corp. GmbH (Europe)
EiffestraBe 80, 20537 Hamburg, GERMANY

Safety Information

RETAIN FOR FUTURE USE!
Read the instruction manual carefully before using this device, especially the safety instructions, and keep the instruction manual for future use. Should you give this device to another person, it is vital that you also pass on these instructions for use.

• Use the device only according to its intended purpose as specified in the instruction manual. The warranty will be invalidated if used for purposes other than those for which it is intended.
• Any application other than the herewith described is improper and therefore considered dangerous. If the appliance is not used according to the instructions, the user is liable for the safe operation of the unit.
• A single inhalation application should not exceed 20 minutes.
• Only use genuine accessories and spare parts provided by the manufacturer.
• Use only liquid medications that have been approved for use in inhalation therapy. Before starting therapy, discuss the length, dosage, frequency of use and the selection of the medication with your doctor or pharmacist.
• Do not use only water in the nebulizer for nebulizing purposes.
• This device is not designed to be used by persons (including children) with limited physical, sensory or mental abilities, or by persons with insufficient experience and/or knowledge, unless under observation by a person responsible for their safety, or unless they have been instructed in the use of the device.
• Children must be supervised to ensure that they do not play with the device.
• Small parts (e.g. the air filter) can be swallowed. Therefore keep and dispose of all small parts out of reach of children.
• Do not use or store the appliance, where it may be exposed to noxious fumes or volatile substances.
• Do not operate the device in the vicinity of anaesthetic mixtures, that are inflammable in air or oxygen.
• Avoid contact with pointed or sharp objects.
• Do not block the ventilation slots . Never place the device where the ventilation slots may be obstructed during operation. Do not cover the compressor with a blanket or towel etc, during use.
• Do not block the air filter cover .
• Do not insert objects or parts of the body (fingers etc.) into the interior of the unit.
• Do not run the appliance on carpets or in very dusty environments (e.g. under the bed).
• The nebulizer is not suitable for using in respiration systems for anaesthesia or for artificial respiration systems.
• Never use the device whilst taking a bath or shower.
• Do not use the device at temperatures over +40°C.
• Do not leave the device outside or in a humid environment. The device is not protected against the ingress of liquids.
• Store and operate the appliance only in places where a solid stand is given and where the unit cannot fall. There is a danger of hurts or fractures to anyone or anything below if it falls.
• Do not operate the device in the vicinity of high-frequency electromagnetic transmitters.
• Never touch the mains cable with wet hands.
• Do not operate the unit with a damaged cord or plug.
• To completely isolate the unit from the power source unplug the plug from the power source.
• Hoses and wirings of the device need to be laid in that way, that there is no risk of stumbling, that these are not bended and that the risk of strangulation is completely excluded.
• Do not run the power cord over sharp edges or allow it to be pinched; do not run the appliance nearby heat sources.
• To avoid the risk of electric shock, immediately pull out the plug from the power source:
  • if a malfunction occurs during operation,
  • after each use,
  • before each cleaning or maintenance.
• Do not wind the power cord around the main unit.
• If the mains cable is damaged, it may only be replaced by medisana, and authorized dealer or suitably qualified service personnel.
• Take care to ensure that no water gets inside the device. In case the unit comes in contact with humidity, immediately unplug the power plug and contact the service centre.
• When cleaning, do not hold the device under running water.
• Do not attempt to repair the device your self in the event of a malfunction. Repair should only be carried out by authorised service centres.
• Do not carry or leave the nebulizer kit while the nebulizer tanks contains medication.
• Avoid shocks and do not drop the unit.
• Do not use the appliance on animals.
• Never use the appliance if you are feeling tired or dizzy.
• Consult your family doctor before using the device if you have diabeted or other illnesses.
• Pregnant women should observe the necessary precautions and their personal circumstances; consult your doctor if necessary.
• Do not use the device if the application will come into contact with bruises, burns, inflammations, rashes, wounds or sensitive areas.
• The treatment should be pleasant. Stop using the device and consult your doctor if you feel pain or using the device is unpleasant.

before use

Danger of infection from contaminated nebulizer! Follow the hygiene regulations (e.g. thoroughly washing the hands) before each use and make sure that the nebulizer has been cleaned and disinfected before first and after each use according to point "Cleaning and maintenance".

• Disinfect all parts of the nebulizer kit including mouthpiece and mask before first use, after each use and after a long period of non-usage (see "Cleaning and maintenance").
• After disinfection, all parts of the nebulizer kit need to be rinsed with clear, boiled water.
• Check before each use, if the case, the power cord, the plug, the air tube and the air tube connections ( and ) are intact and if the appliance is working normally.
• If the unit is visibly damaged or if you assume a defect, do not use the appliance, unplug the power plug and contact the service centre.
• Before connecting the device to your power supply, please ensure that the supply voltage stated on the rating plate is compatible with your mains supply. Do not use multi sockets or extension cables.
• Do not fill more than 10 ml of a suitable inhalation liquid into the nebulizer tank.
• Before using the device, make sure that all parts are correctly assembled.
• Make sure that the air filter is clean. If the air filter has changed colour, or has been used on average for more than 60 days, replace it with a new one. Make sure, it is correctly mounted.
• In order to avoid that the air tube looses during use, make sure that the air tube is securely attached to the compressor (main unit) and nebulizer kit through the respective connections ( and ). Twist the air tube plug slightly when inserting it into the connectors.

during use

• Always use fresh medication each time.
• Do not block the openings of the inhalation top .
• Hold the device as upright as possible and do not shake it while in use.
• When using this device, there will be some noise and vibration caused by the compressor. This is normal and does not indicate a malfunction.

after use

• Never dry the appliance in microwave ovens or with a hairdryer.
• Store the device and all parts only in completely dry and empty state in a dry and clean location.
• Always dispose of any remaining medication after use. All parts have to be cleaned and disinfected thoroughly, please refer to chapter "Cleaning and maintenance".
• Do not store the device with a creased or twisted air tube .

Intended use

• The medisana Nebulizer IN 500 is suitable for the temporary oral or nasal inhalation therapy with nebulized medication in private households. The unit must only be used by patients, who became familiar with the usage of the device with a recommended or prescribed (by a doctor or pharmacist) liquid medication.
• The use needs to read and understand these instructions of use and needs to understand the general machine operation.
• Always pay attention to the notes in the accompanying information for the medication to be inhaled and follow the instructions of your doctor or pharmacist.

Contraindications

• The medisana Nebulizer IN 500 is only designed to be used by patients, who are able to breath by themselves and are conscious.
• The appliance is not suitable for patients, who breathe through a surgical opening in the windpipe (tracheostoma).

Items supplied and packaging

Please check first of all that the unit is complete and is not damaged in any way. If in doubt, do not use the appliance. Send to a service point. The following parts are included:

• 1 medisana Nebulizer IN 500 with nebulizer kit and air tube, 1 mouthpiece, 1 nose adaptor for adults, 1 nose adaptor for children, 1 adult mask and 1 child mask
• 5 replacement air filters
• 1 Instruction manual

Please ensure that the polythene packing is kept away from the reach of children! Risk of suffocation!

Preparing for inhalation

Clean and disinfect the nebulizer kit as described under "Cleaning and maintenance" in order to avoid a possible infection by contaminated parts!
Additionally general hygiene regulations (e.g. thoroughly washing the hands, hygienic handling of the medication) must be observed.

NOTE
Before starting therapy, discuss the length, dosage and frequency of use with your doctor. The method of use should be appropriate to the aim of the therapy (e.g. lung treatment = use of mouthpiece and treatment of the nasal-pharyngeal area = use of mask). Consult your doctor about this aspect as well.

1. Rotate the inhalation top counterclockwise to remove it from the nebulizer tank .
2. Place the vaporizer head on the nozzle .
3. Fill in the correct amount (min. 2 ml and max. 10 ml) of prescribed medication into the nebulizer tank . If you have overfilled the tank, pour all the liquid out and clean the nebulizer kit as described in "Cleaning and maintenance".
4. Rotate the inhalation top clockwise to properly fix it on the nebulizer tank .
5. 1. Plug either the mouthpiece , or a nose adaptor ( or ) with the connection tube for mouthpiece and nose adaptor onto the inhalation top. Therefore the connection tube needs to be put onto the nozzle on the upper part of the inhalation top with the longer end. Then the mouthpiece or the nose adaptor ( or ) needs to be connected to the shorter end of the connection tube .
   2. Alternatively, you may use the adult or child mask ( or ) for the inhalation. Therefore you need the mask connection tube instead of the connection tube . Make sure, the power switch is turned off ("O"). Connect the power plug to the mains outlet and place one end of the air tube firmly over the connection for air tube of the compressor. Place the other end over the appropriate connection for air tube of the nebulizer kit.

NOTES

• Make sure that all parts are firmly connected to each other. The air tube needs to be securely attached to the compressor (main unit) and nebulizer kit.
• Take care not to spill any medication.
• Use the nebulizer kit holder as a temporary holder for the nebulizer kit.

Perform inhalation

Sit as upright as possible.

1. Inhalation using the mouthpiece:
   Enclose the mouthpiece completely with your lips. Switch on the device by pressing the ON/OFF switch ("I"). The nebulizer starts to generate a visible nebulization (aerosol). Now breathe in slowly and deeply through your mouth and out through your nose. If you need a break, stop using the device for a short time and take the mouthpiece out of your mouth. Then put it into your mouth again (lips enclosing it tightly) and breathe slowly in and out again.
2. Inhalation using the mask resp. the nose adaptor:
   Alternatively, a child inhalation mask , an adult inhalation mask and nose adaptors ( and ) are supplied with the device. These can be used for inhaling aerosol through the nose (preferrably for the upper respiratory tract). This method is particularly suitable for children.
   Mask: Hold the mask pressed lightly over your nose. Make sure, that the mask seals around the nose without being too tight.
   Nose adaptor: Carefully guide the two tubings into the nose and hold there throughout the whole inhalation use.

Switch on the device by pressing the ON/OFF switch ("I"). The nebulizer starts to generate a visible nebulization (aerosol).
Now breathe in slowly and deeply through your nose. Afterwards, breathe out again slowly.

NOTES

• Hold the nebulizer kit as upright as possible. A slight tilt does not affect its use (leakage proof). However, take care during inhalation not to tilt the device more than 45° in any direction.
• You can improve the effectiveness of the therapy, if you hold your breath for a short time after breathing in. However, this is not necessary for general success of the therapy. It is only important that you keep quiet and relaxed while breathing in and out regularly.
  Do not inhale too fast. If you need a break, stop using the device for a short time.

• An inhalation application should not exceed 20 minutes. Do not leave the compressor on for a long period of time. This could result in the compressor overheating or malfunctioning.
  After use, wait at least 40 minutes for the device to cool down.
• Do not block the ventilation slots or the air filter on the compressor.

Finish inhalation

After terminating the inhalation, switch off the device by pressing the ON/OFF switch ("O"), even if you have not used up all the inhalant. Pour out the rest of the inhalant. Do not use it again. Clean the device immediately after each use (also refer to "Cleaning and maintenance").

NOTES

• A larger amount of aerosol remains on the mucosa of the nasal pharynx when using the mask resp. the nose adaptor than when using the mouthpiece.
• Once you have used the mouthpiece for a certain time, several drops of inhalant solution may gather in the attachment pipe. However, this does not affect the operation and function of the device. Wipe off the drops with a soft cloth after use.

Cleaning and maintenance

Follow the below steps for cleaning and disinfection before first use, after each use ad if the device has not been used for a longish period of time (approx. 4 weeks).

Cleaning

1. Make sure that the unit is switched off and the power plug is unplugged from the outlet.
2. Remove the air tube from the nebulizer kit and disassemble the nebulizer kit. Empty out any residue in the nebulizer tank. In order to help reduce water pollution, do not dispose of the medication residue in the waste water system. Wipe it up with tissues and dispose of the tissues with non-recyclable waste.
3. Rinse all parts of the nebulizer kit with warm water (approx. 40°C) and some detergent. Afterwards rinse all parts with warm water (approx. 40°C without any detergent) again. The nebulizer parts now need to be disinfected - please refer to the chapter "Disinfection".
4. Clean the compressor case with a soft, damp cloth. Do not use any aggressive substances for cleaning, such as scouring cream or other detergents, as these may damage the surfaces.

Disinfection

1. Before disinfecting the nebulizer parts, follow the steps under "Cleaning".
2. To disinfect, you can use alcohol or other common alcohol-based disinfectant sprays. Make sure that no disinfectant residues are left behind on the attachments to ensure safe inhalation when next used.
3. Allow all parts to dry thoroughly for about 4 to 5 hours. Additionally the nebulizer unit should be agitated several times to remove remaining drops of water.

Always make sure that all parts are properly dried out, before you assemble them. Lay all parts on a dry, clean and absorbent cloth after disinfection and allow them to dry thoroughly.

Care of the air tube

1. After each use, check the air tube for condensation.
2. Is condensation present, pull the air tube off the nebulizer and let the compressor run, until all moisture has been removed by the airstream (but not longer than 20 minutes!). In this way you avoid a bacterial contamination caused by residual moisture.
3. Do not clean the air tube with cleaning or disinfecting solutions. If the outside of the air tube is dirty, wipe it clean with a soft cloth moistened with water or mild detergent. If the inside of the air tube shows soilings, it must be replaced.

Filter replacement

In case of visible soilings (e.g. color deviances) or humidity, but latest every 60 days, the air filter should be changed. Therefore please proceed as follows:

1. Remove the air filter cover .
2. Remove the old air filter, e.g. with a new toothpick.
3. Insert the new air filter and put the air filter cover back into its place.

• Only use original air filters from medisana, which are suitable for this device.
• Do not wash out the filter.

Life cycle

If the device is used 10 times a day with each 20 minutes of inhalation at room temperature (25°C), the expected life cycle of the compressor is 3 years. The accessories show a different expected life cycle:
Nebulizer unit: 100 days / Mouthpiece & Nose adaptor: 3 months / Air tube: 1 year / Air filter: 2 months / Mask: 1 year

Troubleshooting

Device is not working after switching on

Possible cause: The plug is not correctly connected to the mains outlet.
Solution: Switch off the device ("O") and connect the mains plug to a corresponding outlet. Do not use extension cords etc. Switch on the device.

No nebulization

Possible cause: Vaporizer head is missing or no / resp. too less medication in the nebulizer tank.
Solution: Assemble the nebulizer kit in the correct way. Fill in medication (min. 2 ml / max. 10 ml) into the nebulizer tank.

No nebulization or low nebulization rate

Possible cause: The nebulizer kit is not correctly assembled or is tilted at an incorrect angle. The air tube is not correctly attached or is folded or damaged.
Solution: Follow the instructions in chapter "Preparing for inhalation". Pay attention, that the device is not tilted at an angle greater than 45 in any direction. Check the correct connection of the air tube on the compressor unit and on the nebulizer kit. The air tube must not be folded, kinked or bent. Replace the air tube if damaged.

The device gets very hot

Possible cause: The device is covered or has been used for more than 20 minutes
Solution: Do not cover the device. Allow the device to cool down for at least 40 minutes.

Technical specifications

In accordance with our policy of continual product improvement, we reserve the right to make technical and optical changes without notice.

The service centre address is shown on the attached leaflet.

Documents / Resources

Download manual

Here you can download full pdf version of manual, it may contain additional safety instructions, warranty information, FCC rules, etc.

Download Medisana IN 500 (NB-212C) - Nebulizer Manual