Pulmo-Aide and PulmoMate Series Instruction Guide Rev E Sept 2005

Important

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Safeguards

9. Do not use outdoors. This product is for household use only. 10. Do not use in an oxygen enriched environment. 11. Connect this product (for grounded models) to a properly-grounded outlet only. See Grounding Instructions. 12. Do not use this product with a DC to AC converter, or with any AC voltage and/or frequency other than specified. 13. Do not operate unit in a backpack or carrying bag. 14. Care should be taken when this product is used in the vicinity of other electronic equipment concerning the possible interference between them. They may need to be moved apart. NOTE– This unit employs a temperature and/or current limiting device that will shut off the entire product should a malfunction occur or in the event of product misuse, abuse, or abnormal operation. Contact your qualified Sunrise provider for a replacement unit if necessary. 5650–The unit will restart when the motor cools to an acceptable level. 4650/3655–Contact your qualified Sunrise provider for a replacement. This appliance has a polarized plug (one blade is wider than the other). As a safety feature, this plug will fit in a polarized outlet only one way. If the plug does not fit fully in the outlet, reverse the plug. If it still does not fit, contact a qualified electrician. Do not attempt to defeat this safety feature. If repair or replacement of the cord or plug is necessary, contact your qualified Sunrise provider. NOTE– The exterior surfaces of the unit and the air outlet connector may become slightly warm to the touch during use. Warm air can also be felt exiting the vents on the sides of the case of the unit. This is normal.

MODEL 5650H & 4650D GROUNDING INSTRUCTIONS This product should be grounded. In the event of an electrical short circuit, grounding reduces the risk of electric shock by providing an escape wire for the electric current. This product is equipped with a cord having a grounding wire with a grounding plug. The plug must be plugged into an outlet that is properly installed and grounded.

DANGER Improper use of the grounding plug can result in the risk of electric shock. If repair or replacement of the cord or plug is necessary, contact your qualified Sunrise provider. 1. This unit is for use on a nominal 115V circuit and has a grounding plug. A temporary adapter, which looks like the adapter illustrated in Figures B and C, may be used to connect this plug to a 2-pole receptacle (as shown in Figure B) if a properly grounded outlet is not available. The temporary adapter should be used only until a qualified electrician can install a properly grounded outlet (Figure A). The grounding ear, lug, or wire extending from the adapter must be connected to a permanent ground such as a properly grounded outlet box cover. Whenever the adapter is used, it must be held in place by the metal screw. A-655

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Introduction

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2. If it is necessary to use an extension cord, use only a 3-wire extension cord that has a three-blade grounding plug, and a 3-slot receptacle that will accept the plug on the unit. If power cord is damaged do not use unit, and contact a qualified Sunrise Medical provider.

SAVE THESE INSTRUCTIONS Grounded Outlet Box Grounded Outlet

Adapter

Tab for Grounding Screw Grounding Pin A

B

C

INTRODUCTION Your doctor has prescribed a liquid medication to treat your respiratory condition. To best utilize this liquid medication, he has prescribed a DeVilbiss brand compressor/nebulizer. Your DeVilbiss compressor/nebulizer works to convert the medication to a high-quality mist of fine particles that penetrates deep into the lungs. Be sure that you read and understand the information in this instruction guide. By following these simple instructions and the advice of your physician, your compressor will become an effective addition to your therapeutic routine. Statement of Intended Use The DeVilbiss compressor/nebulizer includes an AC powered air compressor that provides a source of compressed air for home health care use. The compressor is used in conjunction with a jet (pneumatic) nebulizer to convert certain inhalable drugs into an aerosol form for inhalation by a patient. The device can be used with adult or pediatric patients. NOTE– If using a nebulizer other than one distributed by Sunrise Medical, verify that the pressure and/or flow characteristics of the nebulizer (while driven by the DeVilbiss compressor) meet the nebulizer manufacturer’s recommendation.

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Important

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Parts

of

Yo u r

Compressor

IMPORTANT PARTS OF YOUR DEVILBISS 4650 OR 5650 COMPRESSOR (Figures A & B) 1. Storage compartment 2. Storage compartment door with operating instructions 3. Power switch 4. Filter cap 5. Air-outlet connector 6. Carrying handle 7. Power cord storage 8. Nebulizer holder

2

8 7

3

4

1 5 6 Figure A– 4650

NOTE– Models 4650D & 5650H are equipped with a threeprong plug and must be grounded. All other models are equipped with a two-prong plug.

6 (on back) 8 1

7 5

2

3 4 Figure B– 5650

IMPORTANT PARTS OF YOUR DEVILBISS 3655 COMPRESSOR (Figures C & D) 1. Power switch 2. Filter (non-washable) 3. Air-outlet connector 4. Carrying handle 5. Power cord storage recess

2

3

1

5

4

Figure C– 3655 5

Figure D– 3655

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Important

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Nebuliz er

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IMPORTANT PARTS OF YOUR DISPOSABLE NEBULIZER 1. Mouthpiece 2. T-piece 3. Cap 4. Medication Cup 5. Nebulizer Air-Inlet Connector 6. Baffle 7. Tubing Nebulizer parts are not sold separately. Additional nebulizers (part #4650D-621) are available through your Sunrise provider.

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2 3

4 6 7

5

Disposable Nebulizer

1

IMPORTANT PARTS OF YOUR REUSABLE NEBULIZER 1. Mouthpiece 2. Cap 3. Baffle 4. Medication Cup 5. Nebulizer Air-Inlet Connector 6. Interrupter Adapter (if applicable) Nebulizer parts are not sold separately. Additional nebulizers (part #s 800D/800C/800G) are available through your Sunrise provider.

2 3 4 5 6 Reusable Nebulizer

HOW TO OPERATE YOUR COMPRESSOR NOTE– Before initial operation, your nebulizer should be cleaned following cleaning instructions, or as recommended by your physician or Sunrise provider. Models 4650 & 5650 (Steps 1-3 and Steps 4-12) 1. Place compressor on a level, sturdy surface so that the controls can be easily reached when seated. Never block the air openings of the product or place it on a soft surface, such as a patient’s lap or a bed or couch where the air openings may be blocked. 2. Open door to storage compartment. 3. Make sure the power switch is in the “Off” position (Fig. 1). Unwrap power cord and plug power cord into an appropriate wall outlet (refer to Specifications). Plug models 5650H & 4650D into a grounded wall outlet (refer to Grounding Instructions).

Figure 1

DANGER DeVilbiss compressor/nebulizer must be operated on the specified power source to avoid risk of electric shock and damage to the compressor.

Figure 2 A-655

How

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to

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Compressor

Models 3655 (Steps 1-3 and Steps 4-12) 1. Make sure the power switch is in the “Off” position (Fig. 1) and unwrap power cord. 2. Place compressor so that the rubber feet are resting on a level, sturdy surface (Fig. 3) and upon which the controls can be easily reached when seated. Never block the air openings of the product or place it on a soft surface, such as a patient’s lap or a bed or couch where the air openings may be blocked. 3. Plug power cord into an appropriate wall outlet.

DANGER

Figure 3

DeVilbiss compressor/nebulizer must be operated on the specified power source to avoid risk of electric shock and damage to the compressor. All Models (Steps 4-12) 4. Wash hands. 5. Connect one end of the nebulizer tubing to the compressor air-outlet connector (Fig. 2 or 3). NOTE–During high-humidity weather conditions, condensation (water build up) can occur in the nebulizer tubing. 6. Assemble clean nebulizer parts by placing baffle down in medication cup. Add prescribed medication into the medication cup (Fig. 4). Holding cup stationary, screw on nebulizer cap (Fig 5). 7. Assemble mouthpiece and t-piece (if applicable) and insert into the top of the nebulizer cap. If using an aerosol mask, insert the bottom part of the mask directly into the top of the nebulizer cap. 8. Attach tubing to nebulizer air-inlet connector (Fig. 6). 9. Press the power switch “On” (Fig. 1) to start the compressor. 10. Begin treatment by placing the mouthpiece between teeth. With mouth closed, inhale deeply and slowly through mouth as aerosol begins to flow, then exhale slowly through the mouthpiece (Fig. 7). If treatment needs to be interrupted, simply press power switch “Off.”

Figure 4

Figure 5

NOTE–Your physician may recommend a specific breathing pattern during treatment. If so, follow his/her recommendations. Figure 6

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Cleaning

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11. If an aerosol mask is used, place the mask over mouth and nose (Fig. 8). As aerosol begins to flow, inhale deeply and slowly through mouth, then exhale slowly. 12. When treatment is complete, turn unit off by pressing the power switch to the “Off” position. Unplug the unit from the wall power outlet.

NEBULIZER CLEANING All parts of the nebulizer, except tubing, should be cleaned according to the following instructions. Your physician and/or Sunrise provider may specify a certain cleaning procedure. If so, follow their recommendations.

Figure 7

To prevent possible risk of infection from contaminated medication, cleaning of the nebulizer is recommended after each aerosol treatment. Disinfecting is recommended once a day. Clean After Every Use: 1. With power switch in the “Off” position, unplug power cord from wall outlet. 2. Disconnect tubing from the air-inlet connector and set aside. 3. Disassemble mouthpiece or mask from cap. Open nebulizer by turning cap counterclockwise and removing baffle. 4. Wash all items, except tubing, in a hot water/dishwashing detergent solution. Rinse under hot tap water for 30 seconds to remove detergent residue. Allow to air dry. 5. For reusable nebulizer only, clean daily in dishwasher using top shelf.

Figure 8

Figure 9

CAUTION– The DeVilbiss Reusable Nebulizer is dishwasher safe, but do not place any DeVilbiss Disposable Nebulizer parts in an automatic dishwasher; doing so could cause damage.

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Cleaning

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Disinfect Daily: 1. Using a clean container or bowl, soak items in three parts hot water to one part white vinegar for 30 minutes (Fig. 9) OR use a medical bacterial-germicidal disinfectant available through your provider. Be sure to follow manufacturer's instructions carefully. 2. With clean hands, remove items from disinfectant solution, rinse under hot tap water, and air dry on a clean paper towel. Store in a zip-lock bag. NOTE– Do not towel dry nebulizer parts; this could cause contamination. To prevent possible risk of infection from contaminated cleaning solutions, always prepare fresh solution for each cleaning cycle and discard solution after each use. 3. Keep the outer surface of the tubing dust-free by wiping regularly. Nebulizer tubing does not have to be washed because only filtered air passes through it. NOTE– The DeVilbiss Disposable Nebulizer will last at least 15 days and possibly longer, depending on usage. Proper cleaning will also help extend the life of the nebulizer. Because it is disposable, we recommend that an extra nebulizer be kept on hand at all times. Sunrise also manufactures the DeVilbiss Reusable Nebulizer that is dishwasher safe and may be cleaned and reused for up to one year.

COMPRESSOR CLEANING 1. With power switch in the "Off" position, unplug power cord from wall outlet. 2. Wipe outside of the compressor cabinet with a clean damp cloth every few days to keep dust-free.

DANGER Do not submerge in water; doing so will result in compressor damage.

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Filter

Change

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Maintenance

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FILTER CHANGE Models 4650 & 5650 1. Filter should be changed every 6 months or sooner if filter turns completely gray in color. 2. Remove filter cap by grasping it firmly and pulling out of the unit (Figs. A or B). 3. Remove dirty filter with fingers and discard. 4. Replace with a new DeVilbiss filter (part #5650D-602). Additional filters should be purchased from your Sunrise provider. 5. Push filter cap with new filter into position. CAUTION– Do not reuse or wash filter or substitute any other material such as cotton for a DeVilbiss air-inlet filter. It will result in compressor damage. NOTE– An extra filter is packaged with the 4650 & 5650 series units. Model 3655 1. Filter should be changed every 6 months or sooner if filter discolors. 2. Remove filter (Fig. C) by grasping it firmly and pulling out of the unit. Discard old filter. 3. Replace with a new DeVilbiss filter (part #3655D-601). Additional filters should be purchased from your Sunrise provider. 4. Push new filter into position. CAUTION– Do not reuse or wash filter or substitute any other material such as cotton for a DeVilbiss air-inlet filter. It will result in compressor damage.

MAINTENANCE All maintenance must be performed by a qualified Sunrise provider or authorized service center.

DANGER Electric shock hazard. Do not remove compressor cabinet. All disassembly and maintenance must be done by a qualified Sunrise provider.

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Specifications

SPECIFICATIONS Size 3655 Series...7.5" W x 4.0" H x 7.2" D (19.1 cm x 10.2 cm x 18.3 cm) 4650 Series ...7" W x 3.8" H x 13" D (18 cm x 10 cm x 33 cm) 5650 Series ...10.1" W x 10.5" H x 6.5" D (26 cm x 27 cm x 17 cm) Weight 3655 Series...4.8 lbs. (2.18 kg) 4650 Series...5.3 lbs. (2.40 kg) 5650 Series ...7.1 lbs. (3.2 kg) Electrical Requirements 3655D, 3655T, 4650D & 46502 ...2.5 amps, 115 VAC (±10%) 60 Hz 3655I & 4650I...1.4 amps, 230 VAC (±10%) 50 Hz 3655K & 3655P...1.4 amps, 230 VAC (±10%) 60 Hz 5650D, 5650H & 5650C ...1.3 amps, 115VAC 60Hz 5650I ...0.8 amps, 230VAC 50Hz 5650K & 5650P ...0.8 amps, 230VAC 50/60Hz Sound Level 3655 Series ...58 dBA 4650 Series...53 dBA 5650 Series...51 dBA Power Consumption 3655D, 3655T, 4650D & 46502...140 watts maximum 3655I, 3655K, 3655P & 4650I ...160 watts maximum 5650D, 5650H & 5650C ...90 watts maximum 5650I, 5650K & 5650P ...100 watts maximum Maximum Compressor Pressure 3655 & 4650 series ...35 psig or greater (241 kPa)* 5650 series ...30 psig or greater (206 kPa)* Compressor Free Air Flow 3655 & 4650 ...8 lpm or greater* 5650 ...9 lpm or greater* Operating Temperature Range all Models except 5650C ...+40° to +104°F (+5 to +40°C) 5650C ...+40° to +101°F (+5 to +38.5°C) Operating Humidity all Models ...up to 95% non-condensing Storage/Transport Temperature Range all Models ...-40° to +158°F (-40° to +70°C) Storage/Transport Humidity all Models...up to 95% non-condensing Supplied Nebulizer Capacity all models...6 ml (cc) Supplied Nebulizer Nebulization Rate all models...0.15 ml/min or greater* Supplied Nebulizer MMAD all models...5 microns or less** *Conditions may vary based on altitude above sea level, barometric pressure, and temperature. **Value determined with minimum flow rate through the nebulizer (20°C, sea level).

There are no hazardous materials used in the construction of this unit, therefore, there are no known risks associated with disposal of the equipment. This product (models 3655D & 3655T) complies with the following electromagnetic compatibility standard: IEC 60601-1-2:2nd Edition 3655D & 3655T Equipment Classifications: Protection against electric shock:...Class II Degree of protection against electric shock: ...Type BF Equipment not suitable for use in the presence of flammable anaesthetic mixture with air or with oxygen or nitrous oxide Mode of operation:...Continuous operation A-655

Wa r r a n t y

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FIVE-YEAR LIMITED WARRANTY ON COMPRESSOR PARTS All DeVilbiss Compressor models are warranted to be free from defective workmanship and material for a period of five years from the date of purchase. Any defective part(s) will be repaired or replaced at Sunrise’s option if the unit has not been tampered with or used improperly during that period. Make certain that any malfunction is not due to inadequate cleaning or failure to follow the instructions. If repair is necessary, contact your authorized Sunrise provider or Sunrise Service Department at 800-333-4000 (814-443-4881) (Canada 800-263-3390 or 905-660-2459) for instructions. NOTE- This warranty does not cover providing a loaner compressor, compensating for costs incurred in compressor rental while said unit is under repair, or costs for labor incurred in repairing or replacing defective part(s). THERE IS NO OTHER EXPRESS WARRANTY. IMPLIED WARRANTIES, INCLUDING THOSE OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE LIMITED TO THE DURATION OF THE EXPRESS LIMITED WARRANTY AND TO THE EXTENT PERMITTED BY LAW ANY AND ALL IMPLIED WARRANTIES ARE EXCLUDED. THIS IS THE EXCLUSIVE REMEDY AND LIABILITY FOR CONSEQUENTIAL AND INCIDENTAL DAMAGES UNDER ANY AND ALL WARRANTIES ARE EXCLUDED TO THE EXTENT EXCLUSION IS PERMITTED BY LAW. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS, OR THE LIMITATION OR EXCLUSION OF CONSEQUENTIAL OR INCIDENTAL DAMAGES, SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state.

MANUFACTURER'S NOTE Thank you for choosing a DeVilbiss compressor/nebulizer. We want you to be a satisfied customer. If you have any questions or comments, please send them to our address on the back of this manual.

FOR SERVICE CALL YOUR AUTHORIZED SUNRISE PROVIDER: ____________________________________________________ ____________________________________________________ ____________________________________________________ Phone ___________________________________________________ Purchase Date _____________________________________________ Serial # __________________________________________________

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Sunrise Medical

Sunrise Medical Canada, Inc.

Sunrise Medical Ltd.

Respiratory Products Division

237 Romina Drive, Unit 3

Sunrise Business Park

100 DeVilbiss Drive

Concord, Ontario L4K 4V3

High Street

Somerset, Pennsylvania 15501-2125

CANADA

Wollaston, West Midlands DY8 4PS

USA

905-660-2459

ENGLAND

814-443-4881

44-138-444-6688

Sunrise Medical Pty. Limited

Sunrise Medical

Sunrise Medical

15 Carrington Road, Unit 7

Division Respiratoire

DeVilbiss Produkte

Castle Hill NSW 2154

13 Rue de la Painguetterie

Industriegebiet

AUSTRALIA

37390 Chanceaux / Choisille

69254 Malsch/Heidelberg

61-2-9899-3144

FRANCE

GERMANY

33-274-55 44-00

49-7253-980-460

Sunrise Medical Benelux

Sunrise Medical

Pascalbaan 3

Rehabsenteret

Nieuwegein 3439 MP

1450 Nesoddtangen

NETHERLANDS

NORWAY

31-3060-82-100

47-66-96-38-00

©Sunrise Medical 09.05 A-655 Rev. E