2. Mallinckrodt
  3. INOmax DS IR

Mallinckrodt INOmax DS IR Checklist

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6. Integrated Pneumatic Backup Test:
a. Verifypre-useassemblyowmeter
setto10L/min
b. TurnINOmaxDSIRbackupswitchON
c. Verify measured values
NO 14-26ppm
NO2≤<≤ 1.0ppm
d. TurnbackupswitchOFF
7. Performance Test:
a.VerifyO2owmeterissetto10L/min
b. SetINOMAX
doseto
40ppm
c. Verify
monitored
values
d. SetINOMAXdoseto0ppm
• “SetDoseisZero,PleaseCloseCylinderValve”
reminderwillappear-DONOTclosecylindervalveat
thistime
e. TurnoxygenowmeterOFF
8. INOblender Test:
a. Removeinjectormodulefrompre-useassembly
b. RemoveO2tubingfromowmeterandattachto
INOblenderoutlet
c. SetINOblenderowto10L/min,INOMAXdoseto
40ppm
d. ConrmacceptableNOvalue
NO 32-48ppm
e. SetINOblenderdoseandowto0
Pre-Use Checkout
WARNING:ThisreferencecardisnotasubstitutefortheINOmaxDSIRandINOblenderOperation
andMaintenancemanuals.Refertothesemanualsforallapplicablecautionsandwarnings.
AcceptableNOValue 35-45ppm
AcceptableNO2 Value <1.5ppm
FiO295% ± 3%
1. TurndeviceON,lowcalibrationwillbeginandcomplete
2. Initial Connections:
 Conrmattachmentofthefollowing:
a. Waterseparatorcartridge,watertrapbottle,and
patientgassamplelineinplace
b. Injectormodulecableandtubingareconnected
c. PluginpowercordandverifyACpowerlightisON
d. Regulatorto800ppmINOMAXcylinder
e. RegulatorhosetoINOmaxDSIRinlet
f. INOblenderhoseconnectedandwhitelockinplace
g. Oxygensource(50psig)tobackofINOblender
h. IRcableinplace
3.Assemblepre-useset-upconnectors(diagramonback
ofcard).DonotturnO2owmeterONyet.
4. High Pressure Leak Test:
 Open/closeINOMAX800ppmcylindervalve
a. Verify,atleast500psigcylinderpressure
b. Verify,nodecreaseincylinderpressurefor
30seconds
5. Manual Purge/Alarm Verication:
a. PressCANCELtoexitpre-usewizard.
b. VerifytheINOMAXcylindervalveisclosed.
c. SettheO2owmeterto10L/min
d. PurgeINOmaxDSIR.
•SettheINOMAXdoseto40ppm.
•“CylinderValveClosed”alarmwilloccur.
•Cylindergaugepressureshoulddropto0psig.
•MeasuredNO2willincreaseandthendecreaseas
NO2ispurgedfromthesystem.
•“LowCylinderPressure”alarmwilloccur.
e. OpentheINOMAXcylindervalve.
f. TurntheINOMAXdosetozero.The“SetDoseis
Zero,CloseCylinderValve”indicatorwillappear.
Thisindicatorwilldisplayanytimethesetdose
isreturnedtozero;however,duringthispre-use
procedure,leavethecylinderopenandtouchthe
screentoresettheindicator.
End of Procedure
If device is not used within 10 minutes, depressurize cylinder regulator
(Thefollowinginstructionsareprovidedforwhentheon-screenpre-usewizardisnotused.)
2e 2f
2g
2h
2a
8d
8e
8c
8c
8a
8a
8e
8b
6b
6d
Series 3 software
20753Rev01
2014-08
MallinckrodtManufacturingLLC,6603FemriteDrive,Madison,WI53718-6801USA
ForassistancecontactTechnicalSupport877-566-9466.
“88” Cylinder Duration
FLOW
5 L/min 10 L/min 20 L/min 40 L/min
539Days 19.5Days 9.8Days 4.9Days
10 19.4Days 9.7Days 4.8Days 2.4Days
20 9.6Days 4.8Days 2.4Days 1.2Days
40 4.7Days 2.3Days 1.2Days 14Hours
80 2.2Days 1.1Days 13.3Hours 6.6Hours
INOMAX Dose (ppm)
FiO2 Dilution
Set FiO2
.21 .40 .60 .80 1.00
10 0.21 0.40 0.59 0.79 0.99
20 0.20 0.39 0.59 0.78 0.98
40 0.20 0.38 0.57 0.76 0.95
80 0.19 0.36 0.54 0.72 0.90
Actual FiO2
INOMAX Dose (ppm)
!
1. O2Flowmeter
2. O2Tubing
3. 15Mx4.5mmAdapter
4. 22M/15Fx22M/15FAdapter
5. InjectorModule
6. 300mmof22mmhose
7. PatientGasSampleLinewithNaon
8. GasSampleTee
9. InjectorModuleElectricalCable
10.NO/N2InjectorTube
3
1
10
9
8
25
4
7
6
10 LPM
Off
Pre-Use Assembly
*Allcalculationsinthetableabovearebasedonafull
cylinder,138bar(2000psig),1963liter“88”cylinder,with
acylinderchangeat14bar(200psig).Theguresare
calculatedbasedonatotalcontinuousbreathingcircuit
gasowandacylinderconversionfactorof14.2litersper
bar/0.98litersperpsig.
•INOMAXow=[Desireddose×totalventilatorow]÷
[Cylinderconcentration-desireddose]
•Cylindervolume=Cylinderconversionfactor×cylinder
pressure(bar/psig)
•Cylinder duration (hours) = (Cylindervolume ÷ INOMAX
owrate)÷60
!
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