VAPOTHERM
Precision Flow PLUS Quick Reference Guide Rev A
Quick Reference Guide
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DISPOSABLE PATIENT CIRCUIT • • • • • • •
Attach High or Low Flow Vapor Transfer Cartridge to Disposable Water Path Attach patient delivery tube to Disposable Water Path Open door and install Disposable Water Path into docking station so there is no gap between bottom of the Disposable Water Path and the Docking Station Floor Hang sterile water bag Wipe water spike with alcohol pad and insert into sterile water bag Allow a minimum of 200ml of water to fill into the Disposable Patient Circuit . Precision Flow® Plus is ready for start up
Q U I CK
START UP AND ADJUSTING PARAMETERS • • • • • • •
Install oxygen sensor. Replace sensor annually. Install gas inlet filters on back with filter bowls vertical (glass side down). Replace gas inlet filters every six months. Attach air & O₂ hoses. Plug in power cord. Rotate the blue Setting Control Knob to illuminate display Press in Setting Control Knob to select the parameter and rotate to adjust the value Press and release (do not hold) the Run/Standby button once to start. A GREEN light indicates RUN mode (AMBER light indicates STANDBY mode, No Flow) Green light will stop flashing once temperature is reached
CONNECT TO PATIENT • • • •
The flashing green LED becomes steady when the set variables are reached. Place the cannula on the delivery tube After cannula is attached, it is ready to be placed on patient The unit should not be placed in Standby mode for extended periods of time. For pauses in therapy, remove cannula from the patient, set the parameters to the lowest available setting and clamp the inlet/spike tube when not in use. To reinitiate therapy, before cannula is placed on patient, place the unit into RUN mode to clear accumulated condensate.
INTERNAL BATTERY BACK-UP • • • • •
indicative of charge) level)
Blocked tube
General fault
• • • • •
Alarm mute LED
22 Industrial Drive Exeter, NH 03833 T: 603-658-0011 USA
Technical Support T: +1 (603) 658-5121 International 855 557 8276 Domestic ts@vtherm.com
May be patented. www.vapotherm.com/patents 3100955 Rev. A
High Flow Vapor Transfer Cartridge
Vapor Transfer Cartridge fault (Low flow & High flow)
Gas supply fault
Press and hold the Run/Standby button for 2 seconds. Unit will enter Standby mode (No Flow), indicated by the AMBER light. Clamp the water inlet tube and disconnect it by pulling out the spike. Open the door, remove the Disposable Patient Circuit (includes delivery tube & cartridge) by sliding it upwards out of the docking station Discard all disposables according to hospital guidelines. Disconnect unit from AC power. Wipe down with any of the following: 70-90% Isopropyl Alcohol, 2% (maximum) chlorine cleaning solution, 6% (maximum) Hydrogen Peroxide cleaning solution, CaviWipesTM, or Sani-ClothTM AF3 Germicidal.
VAPOTHERM, INC.
Disposable Water Path faulty or absent Low Flow Vapor Transfer Cartridge
SHUT DOWN •
G U I D E Battery low or charging (not
Water out
The back-up battery is designed for temporary use only, when AC power to the unit has been interrupted. The unit will enter into battery mode and will maintain flow and oxygen percentage for at least 15 minutes. The battery icon will flash. Replace battery every two years. Battery recharges in two hours.
R E FE R E N CE
RMS–UK Ltd. 28 Trinity Road Nailsea, North Somerset BS48 4NU United Kingdom
Alarm mute button
Setting Control Knob
Run/Stop Status LED Run/Standby button
This guide provides you with basic instructions on how to set up and operate the Precision Flow® Plus. Before operating the Vapotherm Precision Flow® Plus, please review the Operating Instruction Manual which can be found at our website www.vapotherm.com and on the USB drive provided in the Start-Up Kit.
ALARM ICON
WARNING GENERAL FAULT and – – IN FLOW (FLASHING)
INDICATES
Malfunction of sensor or control system
CAUSE
ACTION
Internal component failure
Cannot be corrected by user: disconnect patient. Shut off unit, send for service.
ALARM ICON
WARNING
CARTRIDGE FAULT GENERAL FAULT and – – IN 02 (FLASHING)
O₂ sensor fault
GENERAL FAULT and – – IN TEMP (FLASHING)
WATER OUT
DISPOSABLE WATER PATH (FLASHING)
Depleted or defective O₂ sensor
Reset by shutting off unit. Replace O₂ sensor. Restart unit
Temperature out of range.
Overheating or temperature sensor malfunction.
Cannot be corrected by user: disconnect patient. Shut off unit and send for service.
No water in disposable water path. Gas flow continues without heating or water circulation.
Sterile water empty, or obstructed inlet tube.
Disconnect patient. Replace water bag or straighten inlet tube. Restart unit.
Disposable water path faulty or not detected. Unit will not run.
Disposable water path defective, not properly seated or not installed.
If disposable water path is present, remove and replace to reset detector.
BATTERY CHARGING (STEADY)
The internal battery backup is not fully charged. The unit would not run on battery for the full rated time in the event of a power failure. No action is necessary.
BATTERY (FLASHING)
The unit is running in BATTERY mode. Gas flow and blending continues without heat or water circulation.
AC power is disconnected
Reconnect AC power.
High back pressure
Obstructed or kinked cannula/delivery tube, incorrect cannula for flow rate or DPC improperly seated
Clear obstruction, check cannula type, re-install DPC
BLOCKED TUBE (FLASHING)
HI
CAUSE
ACTION
Cartridge and/or DPC not detected. Unit will not run.
RUN mode: faulty sensor or cartridge not detected.
Disconnect patient. Remove disposable patient circuit. Check cartridge installation. Check sensor windows are clean.
Gas bubbles in water circulation. Unit continues to operate.
Excessive gas diffusion through cartridge fibers.
Disconnect patient. Shut off unit. Replace disposable patient circuit including water path, cartridge & delivery tube.
Cartridge and/or DPC not detected.
STANDBY mode: missing cartridge.
Remove disposable patient circuit. Check cartridge installation.
CARTRIDGE TYPE
Indicates type of cartridge installed (low or high flow). Not an alarm.
GAS SUPPLY (FLASHING)
Gas supply pressure outside 4-85 psi (28-586 kPa) range. Unit will not operate.
Gas supply is disconnected or exhausted.
Check gas supply and correct as necessary.
Selected flow can not be provided from current gas supply.
Inlet gas pressure too low for selected flow rate.
Increase gas pressure or decrease flow setting.
Temperature 2° > set point
User enters set point much lower than previous temperature.
Silence alarm and wait for temperature to drop.
Temperature 2° < set point
Very low water temperature after bag replacement.
Silence alarm and wait for temperature to rise.
GAS SUPPLY (CONTINUOUS AND FLOW RATE NUMERIC DISPLAY FLASHES)
TEMPERATURE NUMERIC DISPLAY FLASHES
INDICATIONS, WARNINGS AND CAUTIONS
GENERAL FAULT ALARMS: Failures in the control or measurement systems will cause a General Fault alarm indicated by this icon accompanied by the Temp display showing numbers between 50 & 84 (error codes) and dashes in O₂ and Flow displays. When an error code is displayed, gas delivery is stopped. The user needs to monitor the treatment and respond to general fault alarms. General Fault alarms cannot be silenced with the mute button. To reset, first disconnect the unit from AC power and then press the Run/Standby Button. With the exception of O₂ sensor replacement, the unit must be repaired by an approved service facility.
CANNULA FLOW RATES CARTRIDGE
CANNULA TYPE
OPERATIONAL FLOW RATES
High Flow
Adult, Pediatric/Adult Small, Pediatric Small*
5-40 liters per minute (LPM)
Low Flow
Premature, Neonatal, Infant, Intermediate Infant, Solo, Pediatric Small*
1-8 liters per minute (LPM)
*Pediatric Small cannula is intended to deliver flow rates of 1-20 lpm
LO
INDICATES
Primary Indications: Precision Flow® Plus is intended for use to add warm moisture to breathing gases from an external source for administration to a neonate/infant, pediatric and adult patients in the hospital, subacute institutions, and home settings. It adds heat and moisture to a blended medical air/oxygen mixture and assures the integrity of the precise air/oxygen mixture via an integral oxygen analyzer. The flow rates may be from 1 to 40 liters per minute via nasal cannula. Contraindications: General: Precision Flow® Plus: None Known Specific to Nasal Cannula: Patients with occluded or defective nares should not use the system. Additional patient monitoring is necessary if the Precision Flow® Plus is used to give supplementary oxygen. Precision Flow® Plus is not MRI compatible. Precision Flow® Plus Packaging contains: Precision Flow® Plus Unit Operating Instruction Manual on USB Power Cord Air & Oxygen Inlet Particulate Traps with Connectors Quick Set Up Sticker US ONLY - Air and (English speaking countries only) Oxygen Hoses Nurse Call / EMR Communication Cable
Quick Reference Guide O2 Sensor cell Delivery Tube clip