Infection and Contamination Guide
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AVEA™ ventilators Vyaire recommends this as guidance how to use our ventilators and take following steps to avoid infection and contamination:
• Please follow the WHO guidelines to prevent epidemic and pandemic infections from spreading • Please follow the instructions for use for Vyaire (AVEA) ventilators at www.vyaire.com/Covid-19 • Please follow the cleaning and disinfection instructions for www.vyaire.com/Covid-19 • Always use an inspiratory bacteria filter (www.vyaire.com/ Covid-19) to protect the inspiratory side from contamination. • The expiratory valve outlet incorporates a heated filter. There are reusable and single patient use filter/water trap options. • Avea disposable expiratory filter/water trap (Part number: 11790)
• H EPA filtration element filters the expired gas to 0.3 microns
• 99.999% Viral & Bacterial Filtration Efficacy (VFE/BFE)
• 60% lower flow resistance than the reusable configuration
• Single-patient-use reduces risk of process variability
• When patients who are actively humidified please use a bacterial filter on the inspiratory connector. There is no need to connect a bacterial filter between circuit and the expiratory block of the ventilator. • Single-use consumables, such as breathing circuits, flow sensors (where necessary), airway adapters, and filters, can help to mitigate to cross contamination when the ventilator is reprocessed for use of the next patient. A list of consumables suitable for www.vyaire.com/Covid-19 is available on the Vyaire website • When reusable materials are in use follow the hospital, manufacturers or the WHO guidelines for reprocessing these items • For suctioning patients please use a closed suction system like the Verso to prevent cross contamination • Disinfect the outer surfaces of the ventilators regularly during ventilation or after treatment of a patient with a suitable registered disinfectant. Consult the infection control team in your facility regarding the appropriate disinfectant or follow the instructions for use of the ventilator • When using the suction tool on AVEA, ventilation will stop automatically when disconnected to prevent distribution of patient secretion.
Consumables for AVEA ventilators The below products have not been validated for use specifically with the AVEA Circuits for NIV, Adult & Pediatric, active humidification, single patient use AH202
Single-limb, heated wire 5' with AH290 chamber, dry gas line 10 PE
AH102
Adult single-limb heated 5' circuit with dry gas line, 10 PE
AH290
Humidification chamber, 10/cs
Circuits for invasive ventilation and NIV and HFOT, active humidification, single patient use AH280
Dual-limb, dual-heat, 5' circuit with AH290 chamber, dry gas line 10 PE
AH180
Dual-limb, dual-heat, 5' circuit with dry gas line, 10 PE
AH290
Humidification chamber, 10/CS
Circuits for Neonatal and Infants, single patient use AH265
Dual-limb, dual-heat, 4' high-flow infant circuit with AH290
AH165
Dual-limb, dual-heat, 4' high-flow infant circuit, pressure line
AH290
Humidification chamber, 10/cs
NIV masks full face, single patient use NIV041L
Mask, NIV Full Face, Non-Vented, Large
NIV043L
Mask, NIV Full Face, Non-Vented, Large with AAV
301.815.200
Full Face Mask (Adult, Large, Single-Patient, 10/pk)
NIV041M
Mask, NIV Full Face, Non-Vented, Medium
NIV043M
Mask, NIV Full Face, Non-Vented, Medium with AAV
301.815.100
Full Face Mask (Adult, Medium, Single-Patient, 10/pk)
NIV041S
Mask, NIV Full Face, Non-Vented, Small
NIV043S
Mask, NIV Full Face, Non-Vented, Small with AAV
301.815.000
Full Face Mask (Adult, Small, Single-Patient, 1 pack=10pc)
NIV masks full face, reusable 301.817.000
Non-Vented Full Face Mask (Adult, Small, Reusable, 1pc)
301.817.100
Non-Vented Full Face Mask (Adult, Medium, Reusable, 1pc)
301.817.200
Non-Vented Full Face Mask (Adult, Large, Reusable, 1 pc)
Endotracheal closed suction adapters CSC100
Adapter Verso Adult/Ped 45°, double swivel elbow
CSC400
Adapter Verso Adult/Ped 90° elbow
CSC500
Adapter Verso Adult/Ped, T-piece, no swivel
CSC110
Catheter 10fr closed, 50/cs
CSC112
Catheter 12fr closed, 50/cs
CSC114
Catheter 14fr closed, 50/cs
CSC116
Catheter 16fr closed, 50/cs
Filters & HMEF Bacterial Filters 557021200
Filter Engström, 45/pk
557022500
Filter Uni-filter with Gas source port, 60/pk
Heat Moisture Exchangers with Filter (HMEF) M1038637
HMEF 1000 without sampling port, 50/pk
557070100
HMEF 1000/S with gas sampling port, 50/pk
557071500
HMEF 1000 with GSP and Flextube, 30/pk
557071600
HMEF 1000 with Flextube, 30/pk
557085500
HMEF 1000 with Memoflex, 40/pk
M1010534
HMEF 1000/S angled with GSP, 50/cs
8004231
HMEF MINI with GSP, 50/pk
Please note: All filters, HMEs and HMEFs must be routinely changed. The primar y reason for this is to minimize the risk of microbial growth inside the filter/ HMEF. The filter/HMEF should be changed af ter ever y patient or ever y 24 hours when used continuously on the same patient. The filter/HMEF should be changed earlier whenFilters should always be replaced immediately upon detection of moisture on the machine side of the filter media, even if they have been in use less than 24 hours
REFERENCES 1. https://apps.who.int/iris/bitstream/handle/10665/112656/9789241507134_eng.pdf?sequence=1&isAllowed=y Additional sources: World Health Organization. (2020). Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected. Who, 2019 (January), 12. Retrieved from https://www.who.int/internal-publications-detail/clinicalmanagement-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected%0A
G LO B A L H E A D Q UA RT E RS V y a i re M e d i c a l , I n c. 261 2 5 N o r t h R i v e r w o o d s B l vd M e tta w a , I L 6 0 0 4 5 USA
vyaire.com For U.S . distribution. © 2020 Vyaire. Vyaire, the Vyaire logo and all other trademarks or registered trademarks are proper t y of Vyaire Medical, Inc., or one of its af f iliates. Please read the complete Instructions For Use that come with the devices or follow the instructions on the product labelling. V YR-GBL-2000109