NE-C28-E Instruction Manual Nov 2011

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Before using the unit

Contents Before using the unit Introduction ... 3 Intended use ... 3 Important safety instructions ... 4 1. Know your unit ... 7 2. Guide to using the Comp Air ... 9 Operating instructions 3. Preparing the nebuliser for use ... 10 4. Taking medication ... 14 Care and maintenance 5. Cleaning and daily disinfecting ... 17 5.1 Cleaning... 17 5.2 Disinfecting the nebulising parts ... 18 6. Maintenance and storage ... 20 7. Changing the air filter ... 21 8. Troubleshooting ... 22 9. Technical data ... 23 10. Optional parts and accessories ... 27

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Introduction Thank you for purchasing the OMRON Comp Air. This product was developed in conjunction with respiratory therapists for the successful treatment of asthma, chronic bronchitis, allergies and other respiratory disorders. The compressor forces air to the nebuliser. When the air enters the nebuliser, it converts the prescribed medication into an aerosol of microscopic droplets that can easily be inhaled. The Comp Air is a medical device. Operate this device only as instructed by your doctor and/or respiratory therapist.

Intended use Medical Purpose

This product is intended to be used for inhaling medication for respiratory disorders.

Intended User

• Legally certified medical experts, such as doctor, nurse and therapist, or healthcare personnel or patient under the guidance of qualified medical experts. • The user should also be capable of understanding general machine operation and the content of instruction manual.

Intended Patients

This product should not be used by patients, who are unconscious or are not breathing spontaneously.

Environment

This product is intended for use in a medical facility, such as Hospital, clinic and doctor’s office, and in a room of general household.

Durable period

Durable periods are as follows, provided the product is used to nebulise saline 3 times a day for 10 minutes each time at room temperature (23°C). Durable period may vary depending on usage environment. Main unit 5 years Nebuliser Kit (Cap, Inhalation Air Inlet, Baffle, Medication Cup) 1 year Mouthpiece 1 year Air Tube 1 year Air Filter 60 days Child Mask 1 year Adapter for Child Mask 1 year

Precautions for use Warnings and cautions described in the instruction manual should be observed.

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Important safety instructions Read all the information in the instruction manual and any other literature included in the box before using the device. When using an electrical product, especially when children are present, basic safety precautions should always be followed including the following: Warning: Indicates a potentially hazardous situation which, if not avoided, could result in serious injury. (Usage) • For type, dose, and regime of medication follow the instructions of your doctor or respiratory therapist. • Do not use only water in the nebuliser, for nebulising purposes. • Clean and disinfect the nebuliser kit, mouthpiece and optional nosepiece or masks before using them for the first time after purchase, if the device has not been used for a long period of time, or if more than one person uses the same device. • Be sure to wash the parts after use, and ensure that they are thoroughly disinfected and dried, and stored in a clean location. • Keep the device out of the reach of unsupervised infants and children. The device may contain small pieces that can be swallowed. • Store the device and accessories in a clean location. • Do not store the air tube while there is moisture or medication remaining inside it. • Always rinse the nebulising parts with clean hot tap water after disinfecting them. Never leave the cleaning solution in the medication tank or mouthpiece. • Do not use or store the device where it may be exposed to noxious fumes or volatile substances. • Do not use the device where it may be exposed to flammable gas. • 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. • Make sure that the nebuliser kit is clean before use. • Always dispose of any remaining medication after use, and use fresh medication each time. • Do not use in anaesthetic or ventilator breathing circuits. (Risk of electrical shock) • Never unplug the power cord with wet hands. • The compressor and power cord are not waterproof. Do not spill water, or other liquids, on these parts. If liquid does spill on these parts, immediately unplug the power cord and wipe off the liquid with gauze or other absorbent material.

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Important safety instructions

• Do not immerse the main unit in water or other liquid. • Do not use or store the device in humid locations, such as a bathroom. • Do not operate the unit with a damaged cord or plug. • Keep the power cord away from heated surfaces. Read and follow the “Important information regarding Electro Magnetic Compatibility (EMC)” in the Technical Data Section. Caution: Indicates a potentially hazardous situation which if not avoided, may result in minor or moderate injury, or physical damage. (Usage) • Provide close supervision when this device is used by, on, or near children or invalids. • Make sure that the parts are attached correctly. • Make sure that the vaporiser head is correctly installed before use. • Make sure that the air filter is correctly attached. • 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. • Do not spill liquid or medication on the compressor. • Do not tilt the nebuliser kit so that it is at an angle of greater than 45°, or shake it while in use. • Do not use or store the device while the air tube is creased. • Use only original nebulising parts, air tube, air filter and filter cover. • Do not add more than 7 ml of medication to the medication tank. • Do not carry or leave the nebuliser kit while the medication tank contains medication. • Do not leave the unit unattended with infants or persons who cannot express their consent. • Do not subject the device or the parts to any strong shocks such as dropping the device on the floor. • Do not distort the vaporiser head, or jab the nozzle of the medication tank with a pin etc. • Do not insert fingers or objects inside the compressor. • Do not disassemble or attempt to repair the compressor or power cord. • Do not block the air filter cover. • When sterilising parts by boiling, make sure that the container does not boil dry. • Never place, or attempt to dry the compressor, the power cord or nebuliser in a microwave oven. • Do not use the device while sleeping or if drowsy.

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Important safety instructions

• To avoid injury to the nose mucosa, do not squeeze the nosepiece into the back of the nose. • Do not block the slit between the cap and the inhalation air inlet. • Do not use a microwave oven or hair dryer to dry the nebulising parts. • Approved for human use only. (Risk of electrical shock) • Always unplug the device from the power outlet after use and before cleaning. • Plug the device into the appropriate voltage outlet. Do not overload power outlets or use extension cords. • Do not wind the power cord around the main unit. • Changes or modifications not approved by OMRON Healthcare will void the user warranty. General Safety Precautions: • Inspect the device and parts before using them each time, and check that there are no problems. In particular, be sure to check the following: - That the vaporiser head, nozzle or air tube are not damaged. - That the nozzle is not blocked. - That the compressor operates normally. • When using this device, there will be some noise and vibration caused by the pump in the compressor. There will also be some noise caused by the emission of compressed air from the nebuliser kit. This is normal and does not indicate a malfunction. • Operate the device only as intended. Do not use the device for any other purpose. • Do not use the device at temperatures greater than +40°C. • Make sure that the air tube is securely attached to the compressor (main unit) and nebuliser kit, and does not come loose. Twist the airtube plug slightly when inserting it into the connectors to avoid the tube disconnecting during use. • The plug is provided so that the unit can be completely isolated from the power source. To completely isolate the unit from the power source unplug the plug from the power source. Read and follow the “Correct Disposal of This Product” in the Technical Data Section when disposing of the device and any used accessories or optional parts.

Save these instructions for future reference.

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1. Know your unit C

A

D

A1

D1 A5 A2

A3

B1

D2

D3

D4

5 3

E E1

A4

E2 E3 B2

B

E4

Rear View

A5

E5

E6 5 3

A6 A7 A. Compressor (Main Unit) A1.Power Switch A2.Air Connector A3.Filter Cover (* Air filter inside.) A4.Nebuliser Kit Holder A5.Ventilation Slots A6.Power Cord A7.Power Plug B. Air Tube (PVC, 207cm) B1.Air Plug B2.Air Plug C. Nebulising Parts

E7 D. Inhalation Attachments D1.Mouthpiece D2.Adult Mask (PVC) D3.Child Mask (PVC) D4.Nosepiece E. Nebuliser Kit E1.Cap E2.Inhalation Air Inlet E3.Inhalation Top E4.Vaporiser Head E5.Medication Tank E6.Nozzle E7.Air Tube Connector

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1. Know your unit

Accessories

F

G

F. Spare Air Filters x 5 G. Carrying Bag

H H. Instruction Manual I. Warranty Card

Material of attachment Nebuliser Kit, Mouthpiece, Nosepiece, Adapter for Child Mask (SEBS): Adult Mask (PVC), Child Mask (PVC): Adult Mask (SEBS), Child Mask (SEBS): Air Tube: Air Filter: Air Filter Cover: • Also applicable Section 10. Optional parts and accessories.

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Polypropylene PVC SEBS PVC and Polypropylene Polyester ABS

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2. Guide to using the Comp Air Preparing the Nebuliser for Use (Section 3) Note: Clean and disinfect the nebuliser kit and applicable inhalation attachments before using the device for the first time, or if it has not been used for more than one week.

Taking Medication (Section 4) Notes: • Do not tilt the nebuliser kit so that it is at an angle of greater than 45°. • Do not crease or fold the air tube.

max 5 3

Cleaning Parts After Use (Section 5) Note: Failure to clean the nebulising parts after use may lead to infection.

How the nebuliser kit works The compressed air from the compressor is forced through the nozzle, as it does so, it is mixed with the medication in the vaporiser head and forced upwards. The medication is then turned into a fine aerosol and directed upwards by the baffle, where it is broken down into many smaller aerosol particles.

Baffle

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Aerosol

Aerosol

Nozzle

Vaporiser Head

Medication

Medication

Compressed Air

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Operating instructions

3. Preparing the nebuliser for use Warning: Clean and disinfect the nebuliser kit, mouthpiece and optional nosepiece or masks before using them for the first time after purchase, if the device has not been used for a long period of time, or if more than one person uses the same device. For directions on cleaning and disinfecting the parts of the device refer to Section 5 in this instruction manual. Note: Make sure that the air filter is changed regularly. (See Section 7 “Changing the air filter”.)

1. Make sure that the power switch is turned off. Check that the power switch is in the position.

2. Plug the power plug into a power outlet. Power Plug

3. Remove the mouthpiece and cap from the nebuliser kit.

4. Remove the inhalation top from the medication

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tank.

1) Rotate the inhalation top anti-clockwise. 2) Lift the inhalation top out of the medication tank.

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3. Preparing the nebuliser for use

5. Remove the vaporiser head from the medication tank.

6. Add the correct amount of prescribed medication to the medication tank. Caution: The capacity of the medication tank is 2 to 7 ml.

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Note: Scales on the nebuliser kit are for reference only. The scale on the outside of the tank is with vaporiser head in place. The scale on the inside is with no vaporiser head. Please use the scale on your syringe or vial for accurate measurement of medication.

7. Reattach the vaporiser head to the medication tank.

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8. Put the inhalation top back inside the medication tank.

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1) Align the protrusion on the inhalation top

with the indent on the medication tank, as shown.

2) Rotate the inhalation top clockwise and align with the medication tank until they click in place.

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3. Preparing the nebuliser for use

9. Attach the desired inhalation attachment, as described below. Attaching the mouthpiece Make sure you also attach the cap, when using the mouthpiece.

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1) Attach the cap to the inhalation air inlet. 2) Attach the mouthpiece to the inhalation top.

Attaching the adult mask (PVC) Attach the mask to the inhalation top. Note: If the amount of aerosol is too great, attach the cap.

Attaching the child mask (PVC) Attach the mask to the inhalation top.

1) Attach the cap to the inhalation air inlet. 2) Attach the child mask to the inhalation top.

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Attaching the nosepiece Attach the cap when using the nosepiece.

1) Attach the cap to the inhalation air inlet. 2) Attach the nosepiece to the inhalation top.

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3. Preparing the nebuliser for use

10. Attach the air tube. 1) Attach the air tube to the air connector on the compressor. 2) Attach the other end of the air tube to the air tube connector on the medication tank.

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Notes: • Make sure that the air tube is securely attached to the compressor (main unit) and nebuliser kit, and does not come loose. Twist the airtube plug slightly when inserting it into the connectors to avoid the tube disconnecting during use. • Take care not to spill the medication when attaching the air tube. Keep the nebuliser kit upright. • Use the nebuliser kit holder as a temporary holder for the nebuliser kit.

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4. Taking medication 1. Hold the nebuliser kit as indicated on the right.

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Caution: Do not tilt the nebuliser kit so that it is at an angle of greater than 45°. Medication may flow into the mouth. 3

5

ma

x

45°

2. Press the power switch to the on (

) position.

The compressor starts and nebulisation starts. Note: Observe whether aerosol is generated. To stop nebulisation Press the power switch to the off (

) position.

Warning: Do not block the ventilation slots on the compressor. This could result in the compressor overheating or malfunctioning. Caution: Do not block the air filter cover. Note: Do not leave the compressor on for a long period of time. This could result in the compressor overheating or malfunctioning.

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4. Taking medication

3. Inhale medication according to your doctor’s and/or health care adviser’s instructions. Using the mouthpiece Prepare your mouthpiece according to Section 3.9. Insert the mouthpiece into your mouth and inhale the medication breathing normally. Exhale as normal through the mouthpiece. max 5 3

Using the nosepiece Prepare your nosepiece according to Section 3.9. Inhale the medication through the nosepiece, as shown and exhale through the mouth. max 5 3

Using the adult mask (PVC) Attach the mask so that it covers your nose and mouth and inhale the medication. Exhale through the mask. Note: If the amount of aerosol is too great, attach the cap.

max 5 3

Using the child mask (PVC)

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Prepare your child mask according to Section 3.9. Attach the mask so that it covers your nose and mouth and inhale the medication. Exhale through the mask.

max 5 3

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4. Taking medication

4. When treatment is complete, turn the power off. Check that there is no condensation or moisture in the air tube and unplug the device from the power outlet. Power Plug

Warning: Condensation may occur in the air tube. Do not store the air tube while it contains condensation or moisture. This could result in infection via bacteria. If there is moisture or liquid remaining in the air tube, be sure to follow the procedure below to remove any moisture from within the air tube. 1) Make sure that the air tube is still connected to the air connector on the compressor. 2) Unplug the air tube from the nebuliser kit. 3) Turn on the compressor and pump air through the air tube to expel the moisture.

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Care and maintenance

5. Cleaning and daily disinfecting 5.1

Cleaning

Following the cleaning instructions after each use will prevent any remaining medication in the tank from drying, resulting in the device not nebulising effectively and also for preventing infections. Warning: Thoroughly rinse the nebuliser and the mask, nosepiece or mouthpiece with clean hot tap water after each use, and disinfect the parts of the nebuliser kit and applicable inhalation attachments after the last treatment of the day. Note: Do not start operation before the cleaned parts are completely dried.

1. Make sure that the power switch is in the

(off) position.

2. Unplug the power cord from the electrical outlet. 3. Remove the nebuliser kit from the air tube and disassemble the nebuliser kit. (see Section 3)

4. Discard any remaining medication in the max 5

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medication tank.

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5. Wash all the nebulising parts in warm water and mild detergent and rinse in clean hot tap water, or wash in a dishwasher. For instructions on how to disinfect the parts, see the following section.

6. After cleaning and disinfecting the parts, rinse them thoroughly with clean water and allow the parts to air dry in a clean environment.

5 3

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5. Cleaning and daily disinfecting

7. If the compressor is dirty, wipe it clean with a Mild Detergent

soft cloth moistened with water or mild detergent. Caution: The compressor is not waterproof.

8. If the outside of the air tube is dirty, wipe it clean with a soft cloth moistened with water or mild detergent.

9. Reassemble the nebuliser kit. Put the parts in a dry, sealed bag and place in the storage pocket of the carrying bag. Note: Nebuliser kit should be replaced after using for 6 months.

5.2

Disinfecting the nebulising parts

Always clean before disinfection. (See Section 5.1) Always disinfect the medication tank, mouthpiece and other nebulising parts after the last treatment of the day. To disinfect the parts, use one of the methods described below: A. Use a commercially available disinfectant. Follow the instructions provided by the disinfectant manufacturer.

1. Submerge the parts in the cleansing solution for the specified period. 2. Remove the parts and discard the solution. 3. Rinse the parts with clean hot tap water, shake off excess water and allow to air dry in a clean environment. B. Parts may be boiled between 15 to 20 minutes (except for PVC mask). After boiling, carefully remove the parts, shake off excess water and allow to air dry in a clean environment.

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5. Cleaning and daily disinfecting

Handling the Vaporiser Head The vaporiser head is an important part that is used to vaporise medication. Be sure to observe the following precautions when handling it. Caution: • Always wash the vaporiser head after each Baffle use. Failure to do so could cause blockages and a deterioration in your condition due to a failure to vaporise medication effectively. • Do not use a brush or pin etc., to clean the parts. This could damage the baffle and cause a deterioration in your condition due to a failure to vaporise medication effectively. • When disinfecting the parts by boiling, be sure to boil them in plenty of water. If there is insufficient water, the parts could become distorted due to the high temperature near the Vaporiser head bottom of the pan. Distorted parts could cause a deterioration in your condition due to a failure to vaporise medication effectively. • Do not boil vaporiser head together with other objects, other than applicable nebuliser accessories. This could damage the baffle and cause a deterioration in your condition due to a failure to vaporise medication effectively. • Do not use a microwave oven, dish dryer or hair dryer to dry parts. The parts could become distorted due to the high temperature and cause a deterioration in your condition due to a failure to vaporise medication effectively.

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6. Maintenance and storage To keep your device in the best condition and protect the device from damage follow these directions: Caution: • Do not leave the unit unattended with infants or persons who cannot express their consent. • Do not subject the device or the parts to any strong shocks such as dropping the device on the floor. Notes: • Do not store the device in extreme hot or cold temperatures, high humidity or under direct sunlight. • Do not crease or fold the air tube. • Dispose of the device and any used accessories or optional parts according to applicable local regulations. • Never clean with benzene, thinner or a flammable chemical.

Caution: Do not carry or leave the nebuliser while the medication tank contains medication.

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Thinner

Benzene

Always transport the device in its carrying bag, and store the device in the bag if it will not be used for a long period.