INOvent Pocket Guide

Contents Setup Setup Checklist INOvent delivery system, front viexxw Injector Module INOvent delivery system, rear view User controls and indicators on the front Pre-Use Procedures Pre-Use Procedures Checklist Circuit connections for purge and performance test Sample tee connection to the Manual NO delivery system Calibration Connection Diagrams Connection diagram for NO and NO2 high range calibration Connection diagram for O2 high range calibration Monthly Checkout Monthly System Checkout Checklist Low pressure system leak test connection diagram Circuit connections for purge and performance test Circuit Connection Diagrams Neonatal circuit Pediatric circuit Adult circuit Anesthesia system with ventilator BIO-MED MVP-10 or Infrasonics Infant Star 100 ventilator Self-filling resuscitator bag Hyper-inflation bag Spontaneous breathing circuit Connectors and Adapters List Changing Cylinder & Purging Regulator

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w Important: This guide is provided as a convenience and for general information only. Never use this product without clearly and thoroughly understanding the most recent revision of the Operation and Maintenance manual. The manual is the source for specific, updated information regarding checklists, 2 diagrams, and/or instructions contained in this Guide.

Setup Setup Checklist ❑

1. Connect supply hoses to INOvent delivery system and therapy gas.

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2. Check cylinders for correct product identity labels and NO concentration.

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3. Ensure both cylinders have adequate supply pressure: not less than 200 psig / 14 kPa x 100 (bar).

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4. Empty and clean the fluid trap if necessary.

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5. Connect sample line to the INOvent delivery system.

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6. Connect the injector module tubing and electrical cable to both the INOvent delivery system and injector module.

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7. Connect the manual NO delivery system.

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8. Connect the electrical power cord to an emergency-powerbacked, hospital-grade outlet.

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Setup INOvent delivery system, front view Fluid Trap Filter Cartridge

Display and operating panel

Manual NO Delivery System Activity Indicator

Patient Gas sample line connector

Fluid Trap Bottle Injector Module Electrical Cable connector

Hose clip

NO/N2 Injector Tube connector

Injector Module Electrical cable connection to the INOvent Delivery System

Inspiratory limb breathing circuit; from ventilator 4

NO/N2 injector tube connection to the INOvent Delivery System Inspiratory limb breathing circuit; to humidifier

Setup INOvent delivery system, rear view

NO2 NO Sensor Sensor

Nurse Call connector

Serial Port connector Power Entry Module Power Cord connector

Connector to the O2 Flowmeter

External Ground connection point O2

NO/N2 Input Hose Connectors (2)

Sample Sensor Cooling Fan and Filter gas outlet

ON/STANDBY switch

Regulator Low Pressure Hose with Quick Connectors (2)

5

Setup User controls and indicators on the front

Alarm Silenced Countdown Timer

Alarm message area

Inspired NO2 Measured Value

Inspired NO Measured Value

Alarm History indication area Alarm History button

Alarm Silence button

NO Bargraph

Mains Power light Inspired O2 Measured Value Alarms button

6

Setup Calibration Pause Set NO Flow button button button button

Control Wheel

Pre-Use Procedures Pre-Use Procedures Checklist ❑

1. Do the “Initial connections and leak test.”

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2. Do the “System purge and performance tests.”

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3. Do the “Manual NO delivery system purge and performance test.”

Circuit connections for purge and performance test O2 Flowmeter Injector Module Electrical Cable

NO/N2 Injector Tube

Patient Gas sample line

O2 Tubing

15M x 4.5 mm Adapter

22M/15F x 22M/15F Adapter

Injector Module

300 mm of 22 mm hose

Sample Tee

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Pre-Use Procedures Sample tee connection to the Manual NO delivery system NO/O2 outlet

O2 inlet

O2 supply hose from the O2 flowmeter

Oxygen tubing (user supplied)

Patient Gas sample line Sample Tee 15M x 4.5 mm Adapter

8

NO/N2 input hoses from the regulators

Pressure Compensated O2 flowmeter (user supplied), shown set to OFF (no float activity)

Calibration Connection Diagrams Connection diagram for NO and NO2 high range calibration Patient Gas sample line

Calibration gas cylinder pressure gauge

One-way valve

Cylinder ON/OFF control

Vent to the atmosphere or scavenge - Do not occlude

NO or N2 calibration gas cylinder

Connection diagram for O2 high range calibration O2 to the Sample System

INOvent delivery system Sample Line

100% O2

Flowmeter

Sample Tee

To the Atmosphere

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Monthly Checkout Monthly System Checkout Checklist The monthly system checkout consists of:

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1. Initial connections and leak tests.

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2. Purge and system alarms tests.

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3. Calibration and monitoring alarms.

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4. INOvent delivery system performance.

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5. Manual NO delivery system purge and performance.

Monthly Checkout Low pressure system leak test connection diagram

NO/N2 Injector Tube

Injector Module Electrical Cable

NO/O2 outlet

O2 inlet

O2 tubing

15M x 4.5 mm Adapter

Injector Module

22M/15F x 22M/15F Adapter

NO/N2 input hoses from the regulators

Squeeze Bulb

Pressure Compensated O2 flowmeter

O2 supply hose from the O2 flowmeter 11

Monthly Checkout Circuit connections for purge and performance test

O2 Flowmeter Injector Module Electrical Cable

NO/N2 Injector Tube

Patient Gas sample line

O2 Tubing

15M x 4.5 mm Adapter

12

22M/15F x 22M/15F Adapter

Injector Module

300 mm of 22 mm hose

Sample Tee

Patient Gas sample line Ventilator Inspiratory port 22M/15F x 22M/15F Adapter To INOvent delivery system

9 mm I.D.

15 mm I.D. to 3/8 in. Tubing Adapter

22M /15F x 15M Adapter with gas sample tee

15 mm O.D. to 3/8 in. Tubing Adapter

22F x 15M Adapter Humidifier

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Circuit Connection Diagrams Pediatric circuit

Patient Gas sample line Ventilator Inspiratory port 22M/15F x 22M/15F Adapter To INOvent delivery system

15 mm, 6 inch Inspiratory Extention

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22M/15F x 15M Adapter with gas sample tee

22F x 15M Adapter Humidifier

Circuit Connection Diagrams Adult circuit

Patient Gas sample line Ventilator Inspiratory port 22M/15F x 22M/15F Adapter To INOvent delivery system 22M/15F x 15M Adapter with gas sample tee

22M/15F x 22M/15F Adapter

22F x 15M Adapter Humidifier

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Circuit Connection Diagrams Anesthesia system with ventilator

Patient Gas sample line connection (“Sample Inlet” port)

Patient Gas sample line

INOvent delivery system

Injector Module Connections on absorber Inspiratory port Expiratory port

Patient wye

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Sample 22M/15F x 22M/15F Tee Adapter

Hose

Circuit Connection Diagrams BIO-MED MVP-10 or Infrasonics Infant Star 100 ventilator Patient Gas sample line

Ventilator

Ventilator Inspiratory port

INOvent delivery system

Patient wye

22M/15F x 22M/15F Adapter Sample Tee

Expiratory Breathing Circuit Hose Inspiratory Ventilator Expiratory Breathing Circuit Hose Valve

Injector Module

NO/N2 Injector Tube

Injector Module Electrical Cable

17

Circuit Connection Diagrams Self-filling resuscitator bag O2 Flowmeter

Resuscitator bag with O2 reservoir Injector Module NO/N2 Electrical Cable Injector Tube

O2 Tubing Sample Tee

O2 Tubing

Patient Gas sample line 15M x 4.5 mm Adapter

22M/15F x 22M/15F Adapter

Injector Module

15M x 4.5 mm Adapter

O2 Tubing

w Caution: Tubing length downstream of the O2 tubing sample tee must be minimized. The INOvent monitoring system operates at pressures up to 70 cm H 2O above ambient at the sample tee. Excessive tubing length can result in “Monitoring Failure” alarm from over-pressurization. To help ensure proper INOvent delivery system operation, test the circuit configuration before using it. 18

Circuit Connection Diagrams Hyper-inflation bag

O2 Flowmeter

Patient Gas sample line

Injector Module Electrical Cable

O2 Tubing Sample Tee

NO/N2 Injector Tube O2 Tubing

O2 Tubing

15M x 4.5 mm Adapter

22M/15F x 22M/15F Adapter

Injector 15M x Module 4.5 mm Adapter

Pressure Gauge

Hyperinflation Bag

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Circuit Connection Diagrams Spontaneous breathing circuit

O2 Flowmeter Injector Module Electrical Cable

O2 Tubing

15M x 4.5 mm Adapter

20

NO/N2 Injector Tube

Sample Tee

Patient Gas sample line

One-way Valves

Injector Breathing 22M/15F x Face Module Circuit 22M/15F Mask Hose Adapter 22M/15F x Breathing 22M/15F Circuit Adapter Tee Breathing Circuit Bag