INOmax DS ir INOblender Pre-Use Checkout Rev -02

Pre-Use Checkout A. Initial Connections 1. Check white plastic tip on regulator

E. Perform Backup delivery test 1. Turn Backup delivery ON 2. Verify “Backup ON” alarm activates

2. Connect high pressure regulator B. Perform high pressure leak test Note: Make sure INOmax DSIR backup and INOblender are OFF

3. Verify values

1. Open/Close INOMAX® cylinder valve

NO2 = <1.0 ppm

2. Wait 30 seconds and ensure no pressure drop (second menu level) Note: Once the calibration is completed (bars turn green) press the menu button twice to return to the main screen D. Perform purge and alarm verification 10

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4. Turn Backup delivery OFF F. Complete INOmax DSIR Performance Test

C. Perform low range calibration

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NO = 14-26 ppm

1. Ensure oxygen flow of 10 L/min 2. Set INOMAX dose to 40 ppm 3. Verify Acceptable NO Value values Acceptable NO2 Value 4. Turn the FiO2 INOMAX dose to zero

35-45 ppm <1.5 ppm 95% ±3%

G. Perform INOblender Test

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1. Remove the Pre-Use set-up oxygen tubing from the oxygen flowmeter and connect it to the front of the INOblender 2. Remove the injector module from the Pre-Use set up and reconnect the adapters 2 2

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1. O2 Flowmeter 2. O2 Tubing 3. 15 M x 4.5 mm Adapter 4. 22 M / 15 F x 22 M / 15 F Adapter 5. Injector Module 6. 300 mm of 22 mm hose 7. Gas Sample Tee 8. Patient Gas Sample Line 9. NO/N2 Injector Tube 10. Injector Module Electrical Cable

Assemble connectors and tubing as shown 1. Ensure cylinder valve is closed 2. Connect to wall or cylinder oxygen 3. Set O2 Flowmeter to 10 L/min 4. Set INOMAX dose to 40 ppm “Cylinder Valve Closed” alarm will occur 5. Purge is complete when “Low NO/N2 Pressure” alarm activates 6. Open cylinder valve 7. Turn INOMAX dose to zero (note: The “Set Dose is Zero, Close Cylinder Valve” indicator will appear)

40 ppm 3

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3 10 L/min 5 1

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3. On the INOblender, set the INOMAX dose to 40 ppm and O2 flow to 10 L/min Acceptable NO Value

32 - 48 ppm

4. Verify values on the INOmax DSIR 5. Turn the dose and flow to zero and remove the Pre-Use set-up from the INOblender

The INOmax DSIR is now ready to connect to the patient Warning: If not starting therapy within 10 minutes, depressurize the INOMAX regulator End of Pre-Use Checkout

WARNING: This reference card is not a substitute for the INOmax DSIR and INOblender Operation and Maintenance manuals. Refer to these manuals for all applicable cautions and warnings.