Latex Free

Inthepastifadequateoxygensaturationlevelscouldnotbeachieved,afacemaskwouldbeemployedanddeliveryflowrateswouldbeincreaseduptoasmuchas15LPM.

Oxygenmasksaredesignedtobesoftandcomfortable,howeverbydesignarerestrictiveanduncomfortabletowearforlengthyperiodsoftime.

Anasalcannulaisacosteffectivewaytodeliversupplementaloxygentopatientsinahospitalenvironment,athomeortraveling,butsaturationcouldonlybeachievedwithflowratesfrom1–6LPM.

Now,SalterLabs®hasthe1600HFHigh-FlowCannulathatcandeliverupto15LPMwithahigherFiO2thansimplemasks5plusgivethepatienttheabilitytocommunicatewithclinicalpersonnel,familyandvisitors,takeoralandaerosolmedications,foodandliquidintakewithoutassistance.TheSalter-Style®AdultHFCannulafeatureslargerbore,safetychannelheadsettubingwithanenhancedreservoirfacepiecetoalloweffectivedeliveryofhigheroxygenflows.

Alsoavailableaspartofourhigh-flowdeliverysystemisour350ccDryBubbleHumidifierdesignedspecificallyforusewithwallsourceoxygen,newhighoutputoxygenconcentrators,orotherapplicationswherehigherflowsarerequired.

High-FlowNasalOxygenCannulaandHumidificationSystem

Salter-Style®cannulastheworldwideclinicalstandardforcomfortandefficacy.

TheOxygenCannulathatperformslikeamaskanddelivers...

• High flows up to 15 LPM

• 54% - 75% FiO2, higher than a simple mask

• Greater patient compliance

• Quiet, Comfortable and Effective

Ahumidifierdesignedspecificallyforhigheroxygendelivery

• Hospital, Hospice or Homecare

• Audible, safety pop-off alarm

• Unique 360° rectangular diffusion ports

• Improved hydration

CannulaPartNumber1600HFHumidifierPartNumber7900

AdistinctiveHighFlowCannulaSystemproducespowerfulresultsofferingacosteffective,easytousealternativetoamaskforhighflowsupplementaloxygen.IthasavarietyofapplicationswithintheHospital,LTCare,andHomecaresettingwhensupplementalHFoxygenisindicated

Theuniquedesignelementsincorporatedinthiscannulareducetheresistanceandbackpressurethatresultathigherflowrates.Theheadsettubing,contouredfacepiece,fittings,andconnectorsworkinconjunctiontominimizeflowrestrictionanddampensound.Endresultisacomfortable,costeffectivecannulacapableofdeliveryflowratesupto15LPM.

Recentstudiesindicatethehigh-flowcannulasystemresultsinFiO2rangesof45-80%withflowsupto15LPM(FIG.1).Undersuchvariablesasopen/closedmouthbreathing/andpatients(FIG.2)rapidbreathing(orhyperventilating(FIG.3).

Thesevaluesaresimilartothoseassociatedwhenusingasimplemask4oraNon-Rebreathermaskatequivalentliterflows(FIG.5).

Now a patient can have the performance of a mask with the comfort and convenience of a cannula!

FIG.4IllustratestheFiO2valuesforlowflow1-6LPMandhighflow6-15LPMwiththesubjectrestingbreathingorhyperventilating.ItillustratesincreasingflowdoesincreaseFiO2.3

FIG.2Mean+/-SDforpharyngealFiO2atselectedliterflows.Includesallvaluesobtainedmouthopenandmouthclosedduringrestingbreathing.FiO2rangedfrom26-75%.2

FIG.3Mean+/-SDforpharyngealFiO2atselectedliterflowsduringrapidbreathing.Thelowervalues24-72%wereconsistentwithhigherinspiratoryflowrequirements.2

“Thisdeviceexceedsminimumhumidificationstandardsathigher-then-traditionalflowandmeetsASTM(AmericanSocietyforTestingandMaterials)standards.”1

Thehighflowcombinationproduced72.5%-78.7%relativehumidityduringflowsof5to15LPMatambienttemp21°-32°C.1

“It is apparent that high-flow nasal cannulas are capable of providing moderate to high FiO2 values.”2

FIG.1Displaysthemean+/-SDanalyzedpharyngealFiO2onsamplesobtainedforeachflowsettingwhilebreathingwithmouthclosedandwithmouthopen.Thereweresignificantdifferences(p<0.05)inFiO2betweenmouthopenandmouth-closedbreathingateachliterflow,withmouthopenbreathingresultinginahigherFiO2.2

NASOPHARYNGEALOXYGENCONCENTRATION(%)RESTING BREATHING HYPERVENTILATING

CANNULA FLOW (L/min) MEAN (SD) RANGE MEAN (SD) RANGE

Low

Flo

w N

asal 1 25.6(5.1) 20-45 24.0(3.5) 21-31

2 33.7(7.7) 22-53 27.7(3.8) 23-363 39.0(9.5) 27-69 32.2(5.3) 24-404 44.8(10.8) 22-74 36.8(7.3) 28-485 50.6(12.5) 32-83 45.2(11.2) 34-706 53.8(11.4) 36-86 45.3(8.0) 32-58

Hig

h F

low

Nas

al

6 54.4(13.0) 35-89 48.9(9.7) 34-687 57.7(12.9) 35-85 52.4(11.3) 39-778 58.0(13.6) 33-87 50.5(11.1) 32-679 63.3(13.5) 38-89 55.6(13.4) 39-7510 65.7(12.9) 40.88 58.5(11.3) 38-7311 67.3(14.5) 36-91 63.0(11.6) 40-7712 68.7(13.4) 37-93 67.2(11.5) 48-8213 70.9(13.6) 42-96 69.4(10.3) 55-8814 73.3(12.5) 41-89 70.9(12.8) 46-8815 75.2(13.0) 39-98 71.7(9.0) 55-84

FIG.5IllustratesFiO2valuesforhighflow6-15LPMNasalCannula,simplemask,NRBMasks5.

O2Flow(L/min)

NasalCannulaFiO2%(mean±SD)

RangeFiO2%

SimpleMaskFiO2%(mean

±SD)

RangeFiO2%

Non-rebreatherFiO2%mean

±SD

RangeFiO2%

PredictedFiO2%

6 54±13 35-89 43±2.6 38-47 45±2.9 40-49 45

8 58±14 33-87 41±2.6 37-47 57±4.6 51-65 53

10 66±13 40-88 57±3 52-63 68±2.3 64-71 61

12 69±13 37-93 69±3.3 64-74 68±2.7 64-73 69

15 75±13 39-98 Nottested 74±2.4 68-77 77

“Thisdeviceexceedsminimumhumidificationstandardsathigher-then-traditionalflowandmeetsASTM(AmericanSocietyforTestingandMaterials)standards.”1

Thehighflowcombinationproduced72.5%-78.7%relativehumidityduringflowsof5to15LPMatambienttemp21°-32°C.1

Humidity and High-FlowsTheModel7900DryBubbleHumidifierisdesignedforusewithwallsourceoxygen,highoutputoxygenconcentratorsorotherapplicationswhereflowsupto15LPMarerequired.Itincorporatespatenteddesignelementsandcomponentsincorporatedinthisuniquebubbletypehumidifiertoovercomeseveralspecificchallengesencounteredbycliniciansincorporatinghumidityathigherflowrates.Thesefeaturesresultinreducedwaterturbulenceandreducedinternalbackpressureswhichtypicallyoccurathigherflowranges.Itwasnotedatflowsof5-15LPM,theHighFlowsystem,cannulaandhumidifier,produced72.5-78.7%relativehumidity1andexceededtheAmericanSocietyforTestingandMaterials(ASTM)minimumhumidificationstandardsevenatitshighestflowrates.1

Thesmoothundersideofthehighdomedlidanddesignoftheoutletpressurerelieffittingscombinetoproduceagasflowpatternwhichdramaticallyreducesdropletrainoutandwaterturbulenceinthejar.Additionally,thegasdiffuserheadfeaturesaseriesofrectangularportswhichdirecttheoxygenflowdownwardandtothesideandproducesmallbubblestohydratethedrygas.

Thediffusersitsataspecificdepthfromthejarbottomtooperatemorequietlyandreducewaterturbulenceinthehumidifierjar.Thepressurereliefportusesasolidbrassweightwithdualgasexitportholestoaccommodatethehigherflows.Itopenstoreleaseexcesspressurethenautomaticallyre-setsprovidingcontinuousoxygenflowtothepatient.Thiscombinationofdesignfeaturesproducesabubblehumidifierwhichissimpletomaintainandoperatewiththeabilitytohydrateathighflowswithoutsplashingwateroutthepressurereliefport.

Multiplerectangularhydrationportsproducefineaerationbubblestohydratethedrygaswithreducedwaterturbulence.

Domedlidismoldedwithasmoothundersidetoreduceairandwaterturbulenceandincreaseefficiency

Waterjarremoveswithonly1/2on/offturn.NogaskettoworryaboutandhaspermanentlyetchedMinimumandMaximumwaterlevels

Theaudiblereliefvalvehasdualexitportswhichletthepoppetautomaticallyresetprovidingcontinuousflowtothepatient.

“Giventheincreasedpatientcomfortandcomplianceassociatedwiththeuseofnasalcannulas,comparedtothatofoxygenmaskdevices,theHigh-FlowcannulacombinationmayprovideanattractiveandcostefficientalternativefordeliveryofmoderatetohighFiO2.”

2

PartNumber7900

Units Part WithHighFlowCannulas perCase Number‡ Earcushions

AdultClearCannulawithenhancedfacepiece, 10or25 1600HF-4 1600HFTLC-4and4’brightgreensupplytubing.

AdultClearCannulawithenhancedfacepiece, 10or25 1600HF 1600HFTLCand7’brightgreensupplytubing.

AdultClearCannulawithenhancedfacepiece, 10or25 1600HF-14 1600HFTLC-14and14’brightgreensupplytubing.

AdultClearCannulawithenhancedfacepiece, 10 1600HF-25 1600HFTLC-25and25’brightgreensupplytubing.

AdultClearCannulawithenhancedfacepiece 10 1600HF-50 1600HFTLC-50and50”brightgreensupplytubing

HighFlowBubbleHumidifier

HighFlow350ccBubbleHumidifier,Dry 10or25 7900

100WestSycamoreRoad•Arvin,CA93203Phone:661.854.3166•1-800.421.0024•1.800.235.4203Fax:661.854.3850•TollFreeFax:1.800.628.4690Email:salterlabs@us.salterlabs.com•www.salterlabs.com

As with any oxygen delivery modality, it is recommended that individual patients be tested to titrate dosing and determine suitable flow rates to sustain desired oxygen saturation levels. Patients receiving high flow oxygen should be monitored regularly or continuously for appropriate oxygen saturation levels.

Ordering Information

ISO13485AuthorizedRepresentativeintheE.U.: MTPromedtConsultingGmbH Altenhofstrasse80 D-66386St.IngbertGermany

PrintedinU.S.A.Copyright2009SalterLabs®RevJanuary2011SLML57U.S.PatentNo.‡D369,409OtherU.S.andWorldwidepatentspending

Facts at a Glance 7900

Bubble

Humid

ifier

FOOTNOTE REFERENCE LIST:1.WaughJB,GrangerWM.Anevaluationof2newdevicesfornasalhigh-flowgastherapy.RespirCare2004;49(8)902-9062.WettsteinRB,ShelledyDC,PetersJI.Deliveredoxygenconcentrationsusinglow-flowandhigh-flownasalcannulas.RespirCare2005;50(5)604-6093.WettsteinRB,CantuC,Benavidezl,RodriguezJ,Petersj,ShelledyD.Nasopharyngealoxygenconcentrationsinnormalsubjectswearinglowflowandhighflownasalcannula(abstract)RespirCare2003;48(11)10834.TiepB,BarnettM,Highflownasalvshighflowmaskoxygendelivertrachealgasconcentrationsthroughaheadextensionairwaymodel(abstract)RespirCare2002;47(9):10795.GarciaJ,GardnerD,VinesD,ShelledyD,WettsteinR,PetersJ,TheOxygenconcentrationsdeliveredbydifferentoxygentherapysystems(abstract)Chest2005128/4/389S-b

Patientcaneatordrink

PatientcanwearglassesandreadorwatchT.V.

Patientcantakeaerosolmedicationtreatment

Patientcantakeoralmedications

Patientcanverballycommunicatewithvisitorsandclinicians

Adequatehydrationfullflowrange6-15LPM1

OxygensourcecanbeLOX,Cylinder,WallsourceorHighoutputConcentrator

Pressurereliefpopoffautomaticallyre-setsuntildownstreamobstructioniscleared.Reducespotentialforuninterruptedoxygenflowtopatient

Deliveryflowsof6-15LPMavailablein4,7,14,25and50’asstandardlengths

Optimumquietoperationandcomfortforpatient

Humidifierdesignminimizeswaterspillageathighergasflows

Ifpatientstatuschangestolowflowrequirements,thereisnoneedtochangesetup,simplyresettheLiterPerMinute,flowrateasneeded

1600

HF Can

nula

Oxygen

Mas

k