Q U I CK REF EREN C E GUI DE

Battery low
or charging
(not indicative of
charge level)

Disposable
Blocked tube Water Path
faulty or
absent
General fault
Low Flow
Circuit
Installed

High Flow
Water out Circuit
Installed

Alarm mute
LED Vapor Transfer
Cartridge fault

Alarm mute Gas supply

button fault

Setting
Control Run/Stop
Knob Status LED

Run/Standby
button

This guide provides you with basic instructions on how to set up and operate
the Precision Flow® Heliox. Before operating the Vapotherm Precision Flow®
Heliox, please review the Instructions For Use which can be found at our
website www.vapotherm.com and on the USB drive provided in the Start-Up
Kit.
 ALARM ICON WARNING INDICATES CAUSE ACTION A

Check gas supply. If not

GENERAL FAULT corrected, disconnect patient.
Malfunction of
and Internal Unplug AC power, press and
– – IN FLOW sensor or control component failure hold Run/Standby button for
(FLASHING) system 3 seconds to clear the alarm,
send for service.

GENERAL FAULT Unplug AC power, press and

and Depleted or hold Run/Standby button for
– – IN 02 O₂ sensor fault defective O₂ sensor 3 seconds to clear the alarm.
(FLASHING)
Replace O2 sensor. Restart unit.

Cannot be corrected by user:

GENERAL FAULT disconnect patient. Unplug AC
Overheating or power, press and hold Run/
and Temperature
– – IN TEMP temperature sensor Standby button for 3 seconds
out of range.
(FLASHING) malfunction. to clear the alarm, send for
service.
No water in dispos-
able Replace water bag or straighten
Sterile water empty,
water path. Gas flow inlet tube. Restart unit. If alarm
WATER OUT or obstructed inlet
continues without persists, disconnect patient
tube.
heating or water from therapy.
circulation.

If disposable water path is

Disposable water Disposable water
DISPOSABLE present, place unit into
path faulty or not path defective, not
WATER PATH Standby, remove and replace
(FLASHING) detected. Unit will properly seated or disposable patient circuit to
not run. not installed. reset detector. Restart unit.

BATTERY The internal battery backup is not fully charged. The unit would not run on
CHARGING battery for the full rated time in the event of a power failure. No action is
(STEADY) necessary.

The unit is running

in BATTERY mode.
BATTERY Gas flow and AC power is Reconnect AC power.
(FLASHING) blending continues disconnected
without heat or
water circulation. Pr
Obstructed or Th
kinked cannula/ ad
BLOCKED TUBE delivery tube, incor- Clear obstruction, check ho
High back pressure
(FLASHING) rect cannula for cannula type, re-install DPC
flow rate or DPC he
improperly seated int
GENERAL FAULT ALARMS: Failures in the control or measurement systems will cause a General Fault alarm Co
indicated by this icon accompanied by the Temp display showing numbers between 50 & 84 (error codes) and •N
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.
inj
To reset, first disconnect the unit from AC power and then press the Run/Standby Button. With the exception of O₂ •N
sensor replacement, the unit must be repaired by an approved service facility. • Th
• Th
CANNULA FLOW RATES
Ad
CARTRIDGE CANNULA TYPE OPERATIONAL FLOW RATES su
High Flow Adult, Pediatric/Adult Small, Pediatric Small* 5-40 liters per minute (L/min) Pre
Low Flow Premature, Neonatal, Infant, Intermediate Infant, 1-8 liters per minute (L/min) Pre
Solo, Pediatric Small* Po
*Pediatric Small cannula is intended to deliver flow rates of 1-20 L/min US
 ALARM ICON WARNING INDICATES CAUSE ACTION

Disconnect patient. Remove

t. RUN mode: faulty disposable patient circuit.
Cartridge and/or DPC not sensor or cartridge Check cartridge installation.
r detected. Unit will not run. not detected. Check sensor windows are
clean.

CARTRIDGE
Disconnect patient. Place
FAULT Gas bubbles in water Excessive gas unit into Standby. Replace
circulation. Unit diffusion through disposable patient circuit
r continues to operate. cartridge fibers. including water path,
cartridge & delivery tube.
nit.
Remove disposable
Cartridge and/or DPC STANDBY mode: patient circuit. Check
: not detected. missing cartridge. cartridge installation.
AC

s
LO HI CARTRIDGE
TYPE Indicates type of cartridge installed (low or high flow). Not an alarm.

ten
rm GAS SUPPLY Gas supply pressure
(FLASHING) Gas supply is
outside 4-85 psi Check gas supply and correct
disconnected or
(28-586 kPa) range. as necessary.
exhausted.
GAS SUPPLY Unit will not operate.
(CONTINUOUS
AND FLOW
Selected flow can not Inlet gas pressure
RATE NUMERIC Increase gas pressure or
e DISPLAY be provided from current too low for decrease flow setting.
FLASHES) gas supply. selected flow rate.

User enters set

point much lower Silence alarm and wait for
Temperature 2° > set point
TEMPERATURE than previous temperature to drop.
NUMERIC temperature.
DISPLAY
FLASHES
Very low water
Silence alarm and wait for
Temperature 2° < set point temperature after
temperature to rise.
bag replacement.

INDICATIONS, WARNINGS AND CAUTIONS

Primary Indications:
The Precision Flow® Heliox is intended 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 heliox (79%
helium, 21% oxygen)/ oxygen mixture and assures the integrity of the precise heliox/oxygen mixture via an
integral oxygen analyzer. The flow rates may be from 1 to 40 liters per minute via nasal cannula.
Contraindications: General:
• Not appropriate for patients who are not spontaneously breathing, are unable to protect their airway or have anatomic or
or
injury induced blockage of the nasal pathway to the nasopharyngeal space
₂ • Not for treating OSA and snoring
• The Precision Flow® Heliox is not for field transport
• The Precision Flow® Heliox is MRI unsafe. Do not use it in an MR environment.
Additional patient monitoring including pulse oximetry is necessary if the Precision Flow® Heliox is used to give
S supplementary oxygen.

Precision Flow® Heliox Packaging contains:

Precision Flow® Heliox Unit Instructions For Use on USB Quick Reference Guide
Power Cord Delivery Tube clip O2 Sensor cell
US ONLY - Heliox and Oxygen Hoses
DISPOSABLE PATIENT CIRCUIT
• Assemble Disposable Patient Circuit according to provided instructions.
• 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 or bottle
• Wipe water spike with alcohol pad or equivalent and insert into sterile water bag
• Allow a minimum of 200ml of water to fill into the Disposable Patient Circuit
• Precision Flow Heliox is ready for start up
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 heliox & 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 patient. Once the unit has reached at least 33°C, connect to
delivery tube
• The unit should not be placed in Standby mode for extended periods of time. For
pauses in therapy, keep unit in RUN mode, remove cannula from the patient, and set
the parameters to the lowest available setting. To reinitiate therapy, before cannula is
placed on patient, clear accumulated condensate
INTERNAL BATTERY BACK-UP
• 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
SHUT DOWN
• Press the Run/Standby button. Unit will enter Standby mode (No Flow), indicated by
the AMBER light
• Clamp the water inlet tube. 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 Super Sani-Cloth®. In addition, if hospital procedures require, the
following may be used: 70-90% Isopropyl Alcohol, 2% (maximum) chlorine cleaning
solution, 6% (maximum) Hydrogen Peroxide cleaning solution, CaviWipesTM, AF3
Germicidal, Incidin® OxyWipe, Bacillol® 30 Tissues, Clinell® Alcohol Wipes, or Tuffie
Disinfectant Wipes
VAPOTHERM, INC. Technical Support 0297
100 Domain Drive T: 855 557 8276 Domestic
Exeter, NH 03833 +1 (603) 658-5121 International RMS-UK Ltd.
T: 603-658-0011 ts@vtherm.com 28 Trinity Road
Nailsea, North Somerset
USA
BS48 4 NU
3101541 Rev. A May be patented. www.vapotherm.com/patents United Kingdom