Apex Digital Mini-Plus User manual
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Apex Digital Mini-Plus is a compressor nebulizer system designed for aerosol therapy, providing a source of compressed air to convert medication into an inhalable aerosol mist. It's suitable for both pediatric and adult patients with respiratory conditions like asthma, bronchitis, and COPD. The device features an integrated carrying handle for portability, a filter cap with a disposable filter for clean operation, and a cooling air vent to prevent overheating during use.
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Compressor Nebulizer Model No: 9R-021 series Please read the instruction manual before use. IMPORTANT SAFEGUARDS .......................................... ..... 1 1. INTRODUCTION............................................................... 6 2. PRODUCT DESCRIPTION ............................................... 7 3. OPERATION ..................................................................... 8 4. CLEANING ........................................................................ 9 5. STORAGE ......................................................................... 9 6. MAINTENANCE .............................................................. 10 7. TROUBLESHOOTING .................................................... 10 8. SPECIFICATIONS .......................................................... 11 9. EXPECTED SERVICE LIFE............................................ 11 APPENDIX A: EMC INFORMATION ................................... 12 English CAUTION - U.S. Federal Law restricts this device to sale by or on the order of a physician. This product has been tested and successfully approved to the following standards: EN 60601-1 EN 60601-1-2 0197 IMPORTANT SAFEGUARDS SAVE THESE INSTRUCTIONS READ ALL INSTRUCTIONS BEFORE USING DANGER - To reduce the risk of electrocution: 1. 2. 3. 4. Always unplug this product immediately after using. Do not use while bathing, showering, dish washing, or close to water sources of any kind. Do not place or store product where it can fall or be pulled into a tub or sink. Do not place in or drop into water or other liquid. 5. Do not reach for a product that has fallen into water. Unplug immediately. WARNING - To reduce the risk of burns, electrocution, fire or injury to persons: 1. This product should never be left unattended when plugged in. 2. Close supervision is necessary when this product is used by, on or near children or invalids. Choking accident may result from a child swallowing a small part that has become detached from the device or its accessories. 3. Use this product only for its intended use as described in this manual. Use this product only under doctor’s direction. Do not use attachments not recommended by the manufacturer. 4. Never operate this product if a) it has a damaged cord or plug, b) it is not working properly, c) it has been dropped or damaged, or d) it has been dropped into water. Return the product to a specified service center for examination and repair. 5. Do not wrap the power cord around the compressor (main unit). 6. Disconnect the power plug by pulling the plug, not by pulling on the compressor (main unit), or the cord. 7. If the power cord or plug becomes frayed or otherwise damaged, do not use. 8. Do not place heavy objects on the power cord, or bend and pull the cord harder than necessary. These actions could cause an electric shock or fire. 9. Keep the cord away from heated surfaces. 10. Never block the air openings of this product or allow objects to fall or be inserted into the air vent openings or place it on a soft surface such as bed or couch, where the air openings may be blocked. 11. Never use while sleeping or feeling drowsy. 12. Never drop or insert any object into any opening or hose. 13. No modification of this equipment is allowed. 14. Do not use in outdoors or operate where aerosol (spray) products are being used or where oxygen is being administered in a closed environment such as an oxygen reservoir. 15. Potential allergic reactions to accessible materials used in the Compressor Nebulizer equipment. If any signs of allergic reaction or hypersensitivity happen, stop the treatment immediately, and notify the doctor or nurse. 16. Potential contact injuries for patients used in the Compressor Nebulizer equipment. If any contact injuries happen, stop the treatment, and notify the doctor or nurse. 17. When using any electrical appliance certain important safety measures must always be observed, including the following: 3 English NOTE, CAUTION, WARNING STATEMENTS AND SYMBOLS: NOTE - Indicates information that user should pay special attention to. CAUTION - Indicates correct operating or maintenance procedures in order to prevent damage to or destruction of the equipment or other property. WARNING - Calls attention to a potential danger that requires correct procedures or practices in order to prevent personal injury. EMC Warning Statement This equipment has been tested and found to comply with the limits for medical devices to the EN 60601-1:2007. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to other devices, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: Reorient or relocate the receiving device. Increase the separation between the equipment. Connect the equipment into an outlet on a circuit different from that to which the other device(s) are connected. Consult the manufacturer or field service technician for help. 4 English SYMBOLS – Manufacturer Authorized representative in the European community O Off, disconnection from the mains I On, connection to the mains ~ IP2X Alternating current CAUTION should be used to highlight the fact that there are specific warnings or precautions associated with the device. Protected against solid foreign objects having a diameter of 12.5 mm and greater. No protection against vertically falling water drops, Keep dry ! Refer to instruction manual/ booklet Class II Temperature limitation “BF” symbol, indicate this product is according to the degree of protecting against electric shock for the type BF equipment. Disposal of Electrical & Electronic Equipment (WEEE): This product should be handed over to an applicable collection point for the recycling of electrical and electronic equipment. For more detailed information about the recycling of this product, please contact your local city office, household waste disposal service or the retail store where you purchased this product. CAUTION 1. If there is a possibility of electro-magnetic interference with mobile phones, please increase the distance (3.3m) between devices or turn off the mobile phone. 5 English 1. Introduction 1.1 Intended Use The Mini Plus Compressor Nebulizer System is intended to provide a source of compressed air for aerosol therapy. It is used in conjunction with a jet (pneumatic) nebulizer to produce medicated aerosols for inhalation by pediatric and adult patients with respiratory symptoms. CAUTION - Indications for therapy include asthma, chronic bronchitis, infection of the upper respiratory tract, chronic obstructive pulmonary disease and other respiratory disorders in accordance with a medical doctor’s prescription. Other than the usage mentioned above, please do not use this product for any other purpose. This device can be used with adults or pediatric patients under physician’s prescription. 1.2 Safety Precaution Instruction When using this electrical product, especially when children are present, one should always follow basic safety precautions. Do not install, maintain or operate this equipment without reading, understanding and following the proper Mini Plus Compressor System instruction manual, otherwise injury or damage may result. Important information is highlighted by using the following bulletin: : Urgent safety information for hazards that will cause serious injury or death. WARNING:Important safety information for hazards that might cause serious injury or property DANGER damage. :Information for preventing damage to the product. CAUTION 6 English 2. Product Description 1. Power Switch 2. Filter Cap (disposable filter inside) 3. Air-Outlet Connector 4. Integrated Carrying Handle 5. Power Cord 6. Tubing Holder 7. Cooling Air Openings 7 English 3. Operation NOTE - Before first use, the nebulizer cup assembly should be cleaned following instructions described in the “Cleaning” section. WARNING - Before connecting the power cord, make sure the I/O (ON/OFF) switch is in the O (OFF) position. The plug is also used to disconnect the device. Do not position the equipment so that it is difficult to disconnect the device. The device is also equipped with a plug to enable connection to the electric power supply. 3.1 Daily Use Operation CAUTION - The Mini Plus Compressor is designed for intermittent use only. Do not operate it continuously for more than 30 minutes for a single use without turning it off and allowing a cooling period of at least 30 minutes. 1. Before each use inspect the Mini Plus Compressor and nebulizer cup assembly for damage or wear, and replace as needed. 2. Place the Mini Plus Compressor on a table or other flat stable surface. Be sure you can easily reach the controls when seated. Do not use this device on the floor. 3. With the power switch in the O (OFF) position, plug the power cord into an appropriate electrical wall outlet. 4. Connect one end of the tubing to the compressor air-outlet connector. 5. Assemble the nebulizer cup and add indicated medication to the nebulizer cup before use. 6. Attach the other end of the tubing into the air-inlet connector at the bottom of the nebulizer cup. 7. Turn on the Compressor by pressing the power switch to the I (ON) position and begin treatment. 8. If treatment needs to be interrupted, simply press the power switch to the O (OFF) position. 9. When the treatment is complete, turn off the compressor by pressing the power switch to the O (OFF) position and unplug the unit from the electrical outlet. Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. This device has no AP or APG protection. 8 English 3.2 Safety Overload NOTE - Do not exceed 30 minutes of continuous operation. 1. The motor of this device has a built-in thermal overload protector. Should the motor overheat, the protector will automatically shut off the motor. Should this occur, turn the I/O (ON/OFF) switch to the O (OFF) position and allow the motor to cool down for approximately 30 minutes before turning it on again. 2. If the overload protector shuts off the motor frequently, you may have an unstable voltage situation. 3. If the unit shuts down and cannot restart, it may need to be replaced. Call your provider immediately. 4. Cleaning 4.1 Compressor Outer Case Cleaning WARNING - Electric shock hazard. Do not remove outer case of this unit. All disassembly and maintenance of this unit must be done by a qualified service technician. Refer servicing to qualified service personnel. WARNING - This unit does not require oil. Do not attempt to lubricate any internal parts. WARNING - Unplug unit before cleaning. Do not submerge in water for cleaning. 1. Wipe the main unit with a damp cloth every few days to keep it dust-free. 2. Do not use any powdered cleaners or soap. Do not submerge the unit into water. 4.2. Nebulizer Cup Cleaning All parts of the disposable nebulizer, except tubing, should be thoroughly cleaned after each use. If your doctor specifies a specific cleaning procedure, follow that procedure. WARNING - To prevent possible risk of infection from contaminated medication, cleaning of the nebulizer is recommended after each treatment. 1. After each use, disassemble the nebulizer cup, tube and mouthpiece completely, wash all parts in warm soapy water and rinse thoroughly. Allow to air dry. Store in a clean, dry location. 2. Once daily, after washing as above, soak nebulizer components in a fresh solution consisting of one part warm water and one part white vinegar for 30 minutes followed by a warm water rinse. NOTE - The disposable nebulizer kit is for single patient use only. NOTE – Please follow national requirements to dispose of the unit properly. 5. Storage Keep the unit and accessories dry. Avoid direct sunlight. 9 English 6. Maintenance 6.1 General Information 1. This unit is oil-less. Do Not Lubricate. 2. Risk of electric shock. Do not disassemble the main unit. 3. All maintenance must be performed by qualified service personnel. 6.2 Filter Change NOTE - Change the filter once every month or when filter turns gray. Please follow the instructions below as shown to the right. 1. Open the filter cap. 2. Remove dirty filter with a small, pointed object. Discard the filter. 3. Replace with a clean filter. Additional filters should be purchased from your provider. 4. Put the filter cap back. CAUTION - Do not use cotton or any other material as a filter. Do not wash or reuse the filter. Do not operate the unit without a filter. 7. Troubleshooting If your Mini Plus Compressor Nebulizer fails to function, consult the Troubleshooting guide below. If the problem persists, consult your equipment provider. Problem Device doesn’t Cause and Solution • Check if plug is properly fitted into an appropriate electrical outlet. • When device has been running continuously for over 30 minutes right before using, an auto shut down may be activated by the built-in thermal protector; operate. Weak Nebulization cool down device for 30 minutes before next usage. • Check for proper electrical voltage. • Check tubing for blockage or air leakage at connection to Mini Plus compressor or nebulizer cup, and replace as needed. • Check the nebulizer cup to see if it is properly assembled and not damaged. If there is any damage, replace as needed. • Check if filter is too dirty, replace as needed. 10 English 8. Specifications Electrical Rating (Note: Refers to the rating 230VAC,60Hz,0.6A 230VAC,50Hz,0.6A (for 230V system) (for 230V system) label on the product) ≧35 psi ≧35 psi Operating Flow Rate ≧6.0 lpm ≧5.5 lpm Nebulization Rate 0.2 - 0.3 ml/min Particle size 0.5 ~ 5 microns* Classification Class II. Applied part Mouthpiece or Mask Maximum Compressor Pressure Dimensions (W x D x H) BF equipment. IP2X. No AP/APG protection. × 18.8 × 10.0 cm / 5.5” × 7.4” × 3.9” 14.0 Weight 1.6 kg / 3.5 lb Fuse (see note 3) T1.6AL 250VAC for 230V system ℃ to 40℃/ 50℉ to 104℉ Storage: -15℃ to 50℃ / 5℉ to 122℉ Transport: -15℃ to 70℃/ 5℉ to 158℉ Operation: 10 Temperature Operation: 10% to 90%RH non-condensing Environment Humidity Storage: 10% to 90%RH non-condensing Transport: 10% to 90% RH non-condensing Atmospheric pressure Note: Operation: 700-1013.25 hPa 1. *Values are determined by supplier’s nebulizer. 2. Consult distributor(s) or EU representative(s) for additional technical documents. 3. The Nebulizer is fitted with a fuse as specified in the Specifications chart, which is designed to be maintained by the manufacturer or its agents. Users are not allowed to open the cover to replace a blown fuse. 9. Expected Service Life The products are intended to offer safe and reliable operation when use or installed according to the instructions provided by Apex Medical. Apex Medical recommends that the system be inspected and serviced by authorized technicians if there are any signs of wear or concerns with device function and indication on products. Otherwise, service and inspection of the devices generally should not be required. 11 English Appendix A: EMC Information Guidance and Manufacturer’s Declaration- Electromagnetic Emissions: This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Emissions Test Compliance Electromagnetic Environment-Guidance RF emissions CISPR 11 Group1 RF emissions CISPR 11 Class B Harmonic emissions IEC61000-3-2 Voltage fluctuations / Flicker emissions Class A The device uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The device is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network. Complies IEC61000-3-3 Guidance and Manufacturer’s Declaration- Electromagnetic Immunity: This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test Electrostatic Discharge (ESD) IEC61000-4-2 Electrical fast transient/ burst IEC61000-4-4 IEC60601 level test Compliance Electromagnetic Environment-Guidance ±6kV contact ±6kV contact ±8kV air ±8kV air Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. ±2kV for power supply line ±2kV for power supply line ±1kV for input/out line ±1kV for input/out line Surge ± 1 kV line(s) to line(s) ± 1 kV line(s) to IEC61000-4-5 ± 2 kV line(s) to earth line(s) <5 % UT (>95 % dip in UT)for 0,5 cycle Voltage dips, short 40 % UT (60 % dip in UT) interruptions and voltage for 5 cycles variations on power 70 % UT (30 % dip in UT) supply input lines for 25 cycles IEC61000-4-11 <5 % UT (>95 % dip in UT) for 5 sec Mains power quality should be that of a typical commercial or hospital environment. Mains power quality should be that of a typical commercial or hospital environment. <5 % UT (>95 % dip in UT) for 0,5 cycle Mains power quality should be that of a typical 40 % UT (60 % dip in UT) commercial or hospital environment. If the user of this for 5 cycles device requires continued operation during power 70 % UT (30 % dip in UT) mains interruptions, it is recommended that the device be powered from an uninterruptible power supply or a for 25 cycles battery. <5 % UT (>95 % dip in UT) for 5 sec Power frequency (50/60Hz) magnetic field 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. 3 A/m IEC61000-4-8 NOTE: UT is the a.c. mains voltage prior to the application of the test level 12 English Guidance and Manufacturer’s Declaration - Electromagnetic Immunity: This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC60601 test level Compliance Electromagnetic Environment-Guidance Portable and mobile RF communications equipment should be used no closer to any part of this device, including cables, than there commended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance d = 1.2 P 150kHz to 80MHz d = 1.2 P 150kHz to 80MHz d = 2.3 P 80 MHz to 2.5G MHz Conducted RF IEC 61000-4-6 Radiated RF IEC 61000-4-3 3Vrms150 kHz to 80 MHz outside ISM bandsa 3 Vrms 3 V/m GHz 3 V/m 80 MHz to 2.5 Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).b Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey c, should be less than the compliance level in each frequency ranged. Interference may occur in the vicinity of equipment marked with the following symbol: NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a/ The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795 MHz;13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz. b/ The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz are intended to decrease the likelihood that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas. For this reason, an additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in these frequency ranges. c/ Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device. d/ Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. 13 English Recommended separation distances between portable and mobile RF communications equipment and this device: This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this device as recommended below, according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output Power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,5 GHz d = 1.2 P d = 1.2 P d = 2.3 P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 W For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. 14 APEX MEDICAL S.L. Elcano 9, 6a planta 48008 Bilbao. Vizcaya. Spain APEX MEDICAL CORP. No.9, Min Sheng St., Tu-Cheng, New Taipei City, 23679, Taiwan Manufacturing Facility: Apex Medical (Kunshan) Corp. No. 1368, Zi Zhu Rd.,Kunshan Kai Fa Hi-Tech, Kunshan City, JiangSu Sheng, China www.apexbrand.com Print-2012/All rights reserved
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