InstruccionesUso PDF
InstruccionesUso PDF
InstruccionesUso PDF
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®
Aeroneb Professional
Nebulizer System
Instruction Manual
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Table of contents
Introduction .......................................................................... 1
System description ..........................................................2
Warnings.........................................................................4
Cautions..........................................................................5
Electromagnetic susceptibility ..........................................6
Symbols ..........................................................................7
Controls and indicators ....................................................9
Warranty ....................................................................... 11
Life of Product ............................................................... 11
Assembly and Installation ................................................... 12
Recharging the Battery .................................................. 14
Installation for use with a ventilator ................................ 15
Installation for use with a mask ...................................... 19
Installation for use with a mouthpiece ............................ 21
Adding medication ......................................................... 22
Nebulization ....................................................................... 24
Functional test .................................................................... 26
Cleaning, disinfection and sterilization ................................ 27
Troubleshooting.................................................................. 32
Order numbers ................................................................... 35
Specifications ..................................................................... 37
Physical......................................................................... 37
Environmental ............................................................... 37
Performance.................................................................. 39
Power............................................................................ 39
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Aeroneb Professional Nebulizer System Instruction Manual v
List of Figures
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Figure 1: Aeroneb Pro......................................................... 2
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Table 1: Aeroneb Pro symbols ............................................ 7
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Figure 2: Aeroneb Pro controls and indicators ..................... 9
Table 2: Aeroneb® Pro controls and indicators .................... 10
Figure 3: Connecting nebulizer unit to T-adapter................. 12
Figure 4: Connecting control module and nebulizer unit ...... 13
Figure 5: Connecting the AC/DC adapter ............................ 14
Figure 6: Connecting to an adult breathing circuit................ 16
Figure 7: Connecting to a pediatric breathing circuit ............ 16
Figure 8: Connecting to a neonatal breathing circuit............ 16
Figure 9: Alternative neonatal breathing circuit using neonate
T-piece AG-AP1035 ........................................... 17
Figure 10: Control module and universal mounting bracket
(vertical)............................................................. 17
Figure 12: Equipment mount adapter .................................. 18
Figure 13: Connecting to a mask ........................................ 20
Figure 14: Connecting to a mouthpiece............................... 21
Figure 15: Filling the nebulizer unit with a pre-filled ampoule
.......................................................................... 22
Figure 16: Maximum fill indication point............................... 23
Figure 17: Starting and stopping nebulization...................... 25
Table 3: Aeroneb® Pro troubleshooting ............................... 32
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Table 4: Aeroneb Pro parts list .......................................... 35
List of Tables
Table 1: Aeroneb® Pro symbols ............................................ 7
Table 2: Aeroneb® Pro controls and indicators .................... 10
Table 3: Aeroneb® Pro troubleshooting ............................... 32
Table 4: Aeroneb® Pro parts list .......................................... 35
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vi Aeroneb Professional Nebulizer System Instruction Manual
Introduction
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The Aeroneb Professional Nebulizer System is a portable
medical device for multiple patient use that is intended to
aerosolize physician-prescribed medications for inhalation that
are approved for use with a general purpose nebulizer. This
device can be used by patients on and off mechanical
ventilation or other positive pressure breathing assistance.
Aeroneb® Pro is suitable for use by neonate, pediatric to adult
patients as described in this manual. It is a latex-free medical
device for continuous nebulization that incorporates the
Aerogen® OnQTM Aerosol Generator.
Aeroneb® Pro is designed to operate in-line with standard
ventilator circuits and mechanical ventilators in acute and
subacute care environments. It operates without changing
patient ventilator parameters and can be refilled without
interrupting ventilation.
The control module operates from the AC/DC adapter and can
be operated on its internal rechargeable battery for up to
45 minutes. The product operates without compressed gas,
making it suitable for portable applications.
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Aeroneb Professional Nebulizer System Instruction Manual 1
System description
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The Aeroneb Professional Nebulizer System (Figure 1)
includes the following components: nebulizer unit (Aerosol
Generator and filler cap), T-adapter (adult) with plug, control
module, control module cable, AC/DC adapter, and mounting
brackets.
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Figure 1: Aeroneb Pro
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2 Aeroneb Professional Nebulizer System Instruction Manual
1. The nebulizer unit holds up to 10 mL of liquid
medication. The nebulizer unit is translucent to allow
visual monitoring of medication levels and
aerosolization. When the nebulizer unit is connected
into the breathing circuit, the filler cap can be opened
or removed from the nebulizer unit without causing
loss of circuit pressure.
Within the nebulizer unit is an OnQTM Aerosol
Generator, which consists of a domed aperture plate
with precision-formed holes that control the size of the
aerosol droplets and a vibrational element that creates
micro-pumping action to aerosolize medication.
Gravity brings the medication in contact with the
aerosol generator; the liquid is then drawn through the
aperture plate and converted into an aerosol.
2. The T-adapter securely connects the nebulizer unit
into the breathing circuit and can be easily removed
for cleaning. The T-adapter connections are standard
male and female 22 mm ISO conical ports and
connect to standard patient breathing circuits.
3,4,5. The control module can operate from the AC/DC
adapter or the internal rechargeable battery. The
control module includes an on/off power button and
sockets for the control module cable and the AC/DC
adapter. The control module also includes indicators
for nebulization cycle selection (15 or 30 minutes),
battery charge status and fault conditions.
6. A universal mounting bracket clamps the control
module to standard IV poles and medical rail systems.
7. An equipment mount adapter mounts the control
module on standard equipment mounts.
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Aeroneb Professional Nebulizer System Instruction Manual 3
Warnings
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Read and study all instructions before using Aeroneb
Pro. Only medical personnel should operate the device.
Do not leave patients unattended during nebulizer operation.
Do not use a filter or heat-moisture exchanger (HME) between
the nebulizer and patient airway.
Do not attach a continuous supply of medication to the
nebulizer; the device operates in 15 or 30 minute cycles.
Clean, sterilize, assemble and perform a functional test
according to the instructions in this manual before first use and
between patients.
Do not place the control module in an incubator during use.
To avoid exhaled medication affecting the ventilator, follow
ventilator manufacturer’s recommendations for use of a
bacterial filter in the expiratory limb of a breathing circuit.
To ensure optimum drug administration, consult the drug
manufacturer’s instructions regarding suitability for
nebulization.
Do not use in the presence of a flammable anesthetic mixture
combined with air or with oxygen or nitrous oxide.
Do not use to aerosolize alcohol-based medications, which
can ignite in oxygen-enriched air under high pressure.
To avoid the risk of fire, do not use in the presence of
flammable substances.
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4 Aeroneb Professional Nebulizer System Instruction Manual
Cautions
Inspect all parts before use, and do not use if any parts are
missing, cracked or damaged. In case of missing parts,
malfunction or damage, contact your Aeroneb® Pro nebulizer
system sales representative.
Disconnect nebulizer unit from control module before cleaning.
Do not immerse or autoclave the control module or AC/DC
adapter.
Disassemble all parts before autoclaving.
Use only with components specified by Aerogen.
Do not use or store outside of specified environmental
conditions.
To avoid mechanical or electrical damage, do not drop the
nebulizer unit or the control module.
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Aeroneb Professional Nebulizer System Instruction Manual 5
Do not use in the presence of devices generating high
electromagnetic fields such as magnetic resonance imaging
(MRI) equipment.
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The Aeroneb Pro control module contains a nickel metal
hydride (NiMH) rechargeable battery, which should be
disposed of in accordance with local governing restrictions at
the end of its useful life.
Electromagnetic susceptibility
This device meets the requirements of the Electromagnetic
Compatibility (EMC), pursuant to the Collateral Standard,
EN 60601-1-2 (second edition), which addresses EMC in
North America, Europe and other global communities. This
includes immunity to radio frequency electric fields and
electrostatic discharge, in addition to the other applicable
requirements of the standard. Compliance with EMC
standards does not mean a device has total immunity; certain
devices (cellular phones, pagers, etc.) can interrupt operation
if they are used near medical equipment. Follow institutional
protocol regarding the use and location of devices that could
interfere with medical equipment operation.
Note: This device is classified as Class II Type BF medical
electrical equipment and the device complies with specified
safety levels for electrical isolation and leakage current. The
Aeroneb Pro AC/DC adapter has no connection to earth
ground because the necessary level of protection is achieved
through the use of double insulation.
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6 Aeroneb Professional Nebulizer System Instruction Manual
Symbols
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The following symbols apply to Aeroneb Pro and appear on
the back of the control module and on the packaging:
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Table 1: Aeroneb Pro symbols
Symbol Meaning
Output
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Aeroneb Professional Nebulizer System Instruction Manual 7
Table 1: Aeroneb® Pro symbols
Symbol Meaning
Keep dry.
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8 Aeroneb Professional Nebulizer System Instruction Manual
Controls and indicators
On/Off Power
Fault Indicator
Timer Selection
30 Min. Indicator
Battery Status
Indicator
15 Min. Indicator
9V D.C. Input
Control Module
Cable Input
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Aeroneb Professional Nebulizer System Instruction Manual 9
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Table 2: Aeroneb Pro controls and indicators
Control/indicator Function
15 Min. indicator Green (steadily lit) = 15 minute
nebulization cycle on
Green (flashing) = Low battery power
Nebulizer unit automatically powers
off after 15 minutes have elapsed
30 Min. indicator Green (steadily lit) = 30 minute
nebulization cycle on
Green (flashing) = Low battery power
Nebulizer unit automatically powers
off after 30 minutes have elapsed
Fault indicator Amber = Faulty electrical connection
On/off power Pressing and immediately releasing
button selects the 15 minute nebulization
cycle
Pressing and holding for at least three
seconds selects the 30 minute
nebulization cycle
Pressing during nebulization turns off
power to the nebulizer
Battery status Green = Battery fully charged
indicator Amber = Battery charging
No light = Battery in operation
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10 Aeroneb Professional Nebulizer System Instruction Manual
Warranty
Life of Product
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Aeroneb Professional Nebulizer System Instruction Manual 11
Assembly and Installation
1. Clean and sterilize the nebulizer unit and T-adapter(s) as
described in the Cleaning, disinfection and sterilization
section of this manual.
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12 Aeroneb Professional Nebulizer System Instruction Manual
5. Connect the control module and the nebulizer unit
together using the control module cable (Figure 4).
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Aeroneb Professional Nebulizer System Instruction Manual 13
Figure 5: Connecting the AC/DC adapter
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14 Aeroneb Professional Nebulizer System Instruction Manual
Installation for use with a ventilator
1. For adult breathing circuits, connect the nebulizer unit
with adult T-adapter into the inspiratory limb of the
breathing circuit before the patient wye (Figure 6).
For pediatric breathing circuits, connect the nebulizer
unit with pediatric T-adapter into the inspiratory limb of
the breathing circuit before the patient wye (Figure 7).
For neonatal breathing circuits, connect the nebulizer
unit with the pediatric T-adapter and the neonate
adapters approximately 30cm (12 in.) back from the
patient wye (Figure 8). Or alternatively connect the
nebulizer with the Neonate T-adapter either at the patient
wye or 30cm (12 in.) back from the patient wye (figure 9).
WARNING:
Always maintain the nebulizer in a vertical orientation
(with the filler cap uppermost) while in the patient circuit
(Figures 6, 7 and 8). This orientation prevents
condensate from blocking the nebulizer and ensures
proper nebulization. Always visually inspect the nebulizer
prior to placing in the ventilator circuit to assure that no
secretions are blocking the OnQTM Aerosol Generator.
When removing the nebulizer unit from the patient circuit
always replace the T-adapter plug to maintain circuit
pressure.
Condensate can collect and occlude ventilator circuits.
Always position ventilator circuits so that fluid condensate
drains away from the patient.
Always connect a bacteria filter to the expiratory inlet of
the ventilator. Otherwise the function of the expiratory
channel may be degraded.
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Aeroneb Professional Nebulizer System Instruction Manual 15
Wye
ADULT
From ventilator
Adult T-adapter
Wye PEDIATRIC
From ventilator
Pediatric T-adapter
Neonate
adapters
Wye
NEONATE
From ventilator
Pediatric T-adapter
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16 Aeroneb Professional Nebulizer System Instruction Manual
From ventilator
Neonate T-Adapter
Wye
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Aeroneb Professional Nebulizer System Instruction Manual 17
Figure 11: Control module and universal mounting
bracket (horizontal)
Standard
equipment
mount
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18 Aeroneb Professional Nebulizer System Instruction Manual
Installation for use with a mask
Mask kits, which include a vented elbow and mask elbow, are
available separately (see Order numbers section). Contact
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your Aeroneb Pro nebulizer system sales representative for
ordering information.
1. When using a mask, connect the vented elbow, mask
elbow and mask to the nebulizer unit by firmly pushing
the parts together.
2. Rotate the vented elbow to suit the position of the patient
(Figure 13).
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Aeroneb Professional Nebulizer System Instruction Manual 19
Facemask
Elbow
Vented Elbow
Patient Upright
Patient Reclined
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20 Aeroneb Professional Nebulizer System Instruction Manual
Installation for use with a mouthpiece
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Aeroneb Pro works with any standard ISO 22 mm nebulizer
mouthpiece inserted into the adult T-adapter.
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Aeroneb Professional Nebulizer System Instruction Manual 21
Adding medication
1. Open the filler cap tab on the nebulizer unit.
2. Use a pre-filled ampoule or syringe to add medication into
the filler port of the nebulizer (Figure 15).
3. Close the filler cap tab.
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22 Aeroneb Professional Nebulizer System Instruction Manual
Max. fill
indication
point
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Aeroneb Professional Nebulizer System Instruction Manual 23
Nebulization
For doses less than or equal to 3 mL.
1. To start a 15 minute nebulization cycle, add the
medication and press and release the blue on/off power
button (Figure 17). The green 15 Min. indicator lights to
indicate that the 15 minute nebulization cycle is in
progress.
For doses greater than 3 mL.
2. To start a 30 minute nebulization cycle, add the
medication and press and hold the blue on/off power
button for at least three seconds. The green 30 Min.
indicator lights to indicate that the 30 minute nebulization
cycle is in progress.
3. To stop the nebulizer at any time, press the on/off power
button. The indicator turns off to indicate that nebulization
has stopped.
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24 Aeroneb Professional Nebulizer System Instruction Manual
On/Off Power Button
Press and release to
select 15 min
Press and hold for three
seconds to select 30 min.
30 Min. Indicator
15 Min. Indicator
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Aeroneb Professional Nebulizer System Instruction Manual 25
Functional test
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Perform a functional test of Aeroneb Pro prior to first use,
after each sterilization before each patient use or at any time
to verify proper operation. Follow these steps:
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26 Aeroneb Professional Nebulizer System Instruction Manual
Cleaning, disinfection and
sterilization
This section describes how to clean, disinfect, sterilize and
inspect Aeroneb® Pro system components. It is important that
Aeroneb® Pro device components are cleaned and sterilized
prior to first patient use. The components are:
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Aeroneb Professional Nebulizer System Instruction Manual 27
Cleaning nebulizer unit, T-adapters and neonate adapters
1. Remove nebulizer unit from T-adapter. Remove filler cap
from nebulizer unit.
2. Clean all parts with warm water and mild liquid detergent.
3. Rinse parts with sterile water.
4. Shake excess water from parts and allow parts to air dry.
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28 Aeroneb Professional Nebulizer System Instruction Manual
Sterilization of nebulizer unit, T-adapters and neonate
adapters
1. Disconnect the nebulizer unit from the control module,
and then remove the nebulizer unit and adapters from the
ventilator circuit, mask or mouthpiece.
2. Disassemble the nebulizer unit and adapters into
individual components.
3. Remove the filler cap from the nebulizer unit
4. Clean all parts with warm water and mild liquid detergent.
Rinse thoroughly and air dry.
5. Check for cracks or damage and replace if any defects
are visible.
6. Place the disassembled components into appropriate
sterilization wrapping.
Sterilize components:
a. Steam sterilization can be performed using the
following three methods:
(i) autoclave wrapped parts using steam
sterilization pre-vacuum cycle, a minimum of
134°C (270°F - 275°F) for 3.5 minutes with
drying cycle (134°C wrapped cycle).
(ii) autoclave wrapped parts using steam
sterilization pre-vacuum cycle, a minimum of
121°C (250°F) for 20 minutes with drying cycle
(121°C wrapped cycle).
(iii) autoclave wrapped parts using steam
sterilization pre-vacuum cycle, a minimum of
134°C (270°F - 275°F) for 20 minutes with
drying cycle (sometimes referred to as a
“Prion cycle”).
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Aeroneb Professional Nebulizer System Instruction Manual 29
NOTE: Sterilization using the long autoclave cycle ((III)
above) may cause some areas of the nebulizer to become
discolored. This is not indicative of the performance of the
nebulizer unit.
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30 Aeroneb Professional Nebulizer System Instruction Manual
Cleaning of control module, control module cable and
AC/DC adapter
1. Wipe clean with a damp cloth.
2. Do not autoclave.
3. Check for exposed wiring, damaged connectors, or other
defects and replace if any are visible.
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Note: The Aeroneb Pro nebulizer unit contains active
electronic components. Aerogen has validated the
methods of cleaning, disinfection and sterilization above.
The use of any other means of cleaning, disinfection or
sterilization has not been validated and is likely to reduce
the life of your nebulizer and will invalidate your warranty.
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Aeroneb Professional Nebulizer System Instruction Manual 31
Troubleshooting
If these suggestions do not correct the problem, discontinue
use of any device that appears to be damaged or is not
operating properly and contact your local Aeroneb® Pro
nebulizer system sales representative.
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32 Aeroneb Professional Nebulizer System Instruction Manual
Table 3: Aeroneb® Pro troubleshooting
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Aeroneb Professional Nebulizer System Instruction Manual 33
Table 3: Aeroneb® Pro troubleshooting
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34 Aeroneb Professional Nebulizer System Instruction Manual
Order numbers
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Table 4 lists the Aeroneb Pro nebulizer system order
numbers (see Figure 1 for pictures)
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Aeroneb Professional Nebulizer System Instruction Manual 35
Mask Kit, International (includes 22mm female-
22mm male elbow, 22mm female-22mm female AG-AP1075
vented elbow) autoclavable (5 kits/box)
Instruction Manual AG-AP1080-XX*
Instruction Video CD AG-AP1090
*Consult your local representative for the order code extension
specific to your country and for pricing information.
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36 Aeroneb Professional Nebulizer System Instruction Manual
Specifications
Physical
Nebulizer unit dimensions: 45 mm H x 50 mm W x 50 mm D
(1.8 in. H x 2.0 in. W x 2.0 in. D).
Control module dimensions: 33 mm H x 75 mm W x 131 mm D
(1.3 in. H x 2.9 in. W x 5.2 in. D).
Control module cable: 1.8 m (5.9 ft.) long.
AC/DC adapter cable: 2.1 m (6.7 ft.) long.
Nebulizer unit weight: 25 g (0.9 oz.) nebulizer unit and filler cap.
Control module weight: 230 g (8.1 oz.), including battery and cable.
Nebulizer unit capacity: maximum 10 mL.
Nebulizer and components are latex free.
Environmental
Operating:
Maintains specified performance at circuit pressures up to 90 cm
H2O and temperatures from 5°C (41°F) up to 45°C (113°F ).
Atmospheric pressure: 450 to 1100 hPa.
Humidity: 15 to 95% relative humidity.
Noise level: 35 dB measured at 0.3 m distance.
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Aeroneb Professional Nebulizer System Instruction Manual 37
Disposal:
In accordance with our obligation under the Waste Management
(Waste Electrical and Electronic Equipment) Regulations 2005 giving
affect to Directive 2002/96/EC of the European Parliament, we
remind of the ongoing requirement not to dispose of waste electrical
and electronic equipment as unsorted municipal waste and to have
such waste electrical and electronic equipment collected (as
identified by the crossed out wheeled bin shown below). We advise
of the owners on going role in contributing to reuse, recycling and
other forms of recovery of waste electrical and electronic equipment,
and the potential effects on the environment and human health as a
result of the presence of hazardous substances in electrical and
electronic equipment.
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38 Aeroneb Professional Nebulizer System Instruction Manual
Performance
Flow rate: >0.2mL/min (Average: ≈ 0.4mL/min).
Particle size: mass median aerodynamic diameter (MMAD)
< 3.0 µm with a geometric standard deviation (GSD) ≤ 2.2.
Residual volume: < 0.3 mL.
Performance may vary depending upon the type of drug used. For
additional information contact Aerogen or drug supplier.
Typical particle size distribution for salbutamol as determined by
Anderson Mk II cascade impactor is shown below.
100%
Cumulative undersize %
80%
60%
40%
20%
0%
0.1 1 10
Particle size (microns)
Power
Power source: can operate from AC/DC adapter (input 100 to
240 VAC 50 – 60 Hz, output 9 V) or internal rechargeable battery
(4.8 V nominal output).
Power consumption: < 6.5 Watts (charging), ≤ 2.0 Watts
(nebulizing).
Patient isolation: control module circuitry provides 4 kilovolt (kV)
patient isolation and complies with IEC 60601-1 and UL2601-1.
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Aeroneb Professional Nebulizer System Instruction Manual 39
Manufacturer:
Aerogen, Inc.
2071 Stierlin Court
Mountain View, CA 94043
USA
Customer Service:
Europe:
Telephone: +353-91-502550
US:
Telephone: 1-866-4AEROGEN (1-866-423-7643)
www.aerogen.com