Infant Flow® LP system headgear

Prepare Infant Flow® LP SiPAP driver ...............1Infant Flow LP components ............................2Generator assembly components ...................3Low pressure generator .................................4Nasal prongs ..................................................5Nasal masks ...................................................6Nasal prongs and mask sizing ........................7Headgear sizing .............................................8Generator assembly application .....................9 Headgear application ............................9-11 Check for proper headgear placement .....12 Incorrect headgear placement .............13-14 Attach interface to generator ...................15 Remove the support cradle ......................16 Apply support cradle to headgear ............17 Align generator assembly .........................18

Table of contents

i

Secure the locking strap ...........................19 Attach side straps to generator ................20Final check of generator assembly ................21 Check for correct headgear placement .....21 Check placement of exhalation tube ........22 Check for proper nasal prong position .....23 Incorrect nasal prong position ..................24 Verify proper mask placement ..................25 Incorrect mask placement ........................26 Incorrect mask size—too small .................27 Incorrect mask size—too large .................28Warnings and cautions ................................29Application tips ............................................30Inspect the system .......................................31Notes ......................................................32-33

1

1. Attach the infant circuit to humidifier

and nCPAP driver.

2. Attach generator to the circuit.

3. Perform oxygen sensor calibration

and user verification.

4. Enter desired settings.

Prepare Infant Flow LP SiPAP driver

100

90

80

706050

40

30

21

2

1

2

3

4

5

L/minL/min

NCPAP/Pres Low

Pres High

Infant FlowSiPAP

4

6

8

10

12

14

XDCR PPROX

3 4

1

2

2

A. Prongs and masks

B. Generator

C. Bonnet sizing guide

D. Mask/prong sizing guide

E. Headgear

F. Bonnet

Infant Flow LP components

A

B

E

FD

C

3

Generator assembly components

A. Exhalation tube

B. Securing strap

C. Generator receiver

D. Fixation tab

E. Mask/prong

attachment base

F. Support cradle

G. Pressure and drive lines

C

B

F

E

A

G

D

4

Low pressure generator

• Lowerdrivepressure

– Prevents pressure backup into the

water auto-feed system

• Pressurereliefvalve

Pressure relief valve

5

Nasal prongs

Anatomically designed

A. Flared tip

B. Flexible bellows

C. Base

D. Size indicator

E. Key

A

A

BC

E

B

C

D

D

6

Nasal mask

Anatomically designed

A. Nasal bridge cushion

B. Contour shape

C. Key

D. Flexible bellow

E. Assessment window

F. Size indicator

A

B

C

E

E

D

F

D

• Usesizingguidetodetermineappropriate

mask or prong size

• Nasalprongs:Choosedotsthatfillthe

nare space

• Ifbetweensizes,choosethelargersize

• Nasalmasks:Choosethetrianglethatfits

over the nose

7

Nasal prongs and mask sizing

Headgear sizing

Measure the circumference of the infant’s head; from crown at back of head to brow line

(in centimeters).

8

9

Headgear application

1. Align headgear with the midline of face.

2. Align bottom of the headgear with the

nape of neck.

1.

2

Generator assembly application

Headgear application (continued)

10

3. Place #1 strap just above brow line.

Note:Strapsarelabeled1,2,3.

4. Place #2 strap midline over strap #1.

3.

4.

11

Headgear application (continued)

5. Place #3 strap on top of #1 and

#2 straps.

Note: Strap should be snug—do

not overtighten.

6. Fold #2 strap up and over #3

strap; secure to top strap.

5.

6.

12

Check for proper headgear placement

• Backofheadgearrestsonnapeofneck

• Foreheadstrapsplacedonbrowline

13

Incorrect headgear placement

• Horizontalstraprestsclosetoeye

• Foreheadstrapistoofarabovethe

brow line

14

Incorrect headgear placement (continued)

• Abovethenapeoftheneck,createsa

fold/bulging of headgear

• Topstraptootight,foreheadstrap#3

pulled back

Attach interface to generator

15

Align the notch on the prongs/mask to straddle the pressure lines.

1.

3. 4 .

2.

Remove the support cradle

16

1. Expand the collapsible corrugated tubing.

2. Remove the support cradle from the

generator assembly.

1.

2.

Apply support cradle to headgear

17

1. Apply the support cradle properly

centered on the straps.

2. Secure center tab.

1.

2.

Align generator assembly

1. Center the generator and interface over

patient nose and support cradle.

2.Useagentlerockingmotiontoinsertthe

nasal prongs.

3. Place the drive line and pressure line into

the support cradle with the exhalation tube

resting on top.

18

1. 2. 3.

19

Secure the locking strap

1. Wrap the locking strap over the

exhalation tube and attach to the side

of the support cradle.

2. Position the small slit over the ridge of

the exhalation tube.

1.

2.

20

Attach side straps to generator

1. Wrap the side straps around the

generator tabs.

2. UsetheVelcrotiptosecurethe

strap—loose is better.

3.Usethesidestrapstoadjusttension

on interface—do not over-tighten.

1. 2.

3.

Check for correct headgear placement

21

A. Generator aligned and

centered with nose

B. Side straps properly placed

C. Support cradle tabs secured

to headgear

Note:Strapsshouldbesnug,

but not tight. B

A

C

Final check of generator assembly

Incorrect Correct

22

Check placement of exhalation tube

23

Check for proper nasal prong position

• Bellowsarevisible

• Septumisvisible

• Generatorassemblyhas

no contact with skin

24

Tootight,bellowscompressed

Prong not in the nare

Incorrect nasal prong position

25

Verify proper mask placement

• Maskcoversnasalprofile

• Maskrestsbelowtheeyes

• Bellowsnotcompressed

• Sidestraplowoncheek

Note: Do not over-tighten.

26

Incorrect mask placement

• Toomuchtensionappliedtooneside

• Maskiscollapsed

• Naresarenotvisible

27

Incorrect mask size—too small

• Maskblocksthenares

• Maskunabletocovernose

28

Incorrect mask size—too large

• Highonthebridgeofthenose

• Upagainsttheeyes

• Restontheupperlip

29

Warnings and cautions

WARNING:

• Usethisproductonlyasdirectedintheproductliteraturetoreducetheriskofnasalirritation,

septaldistortion,skinirritationandpressurenecrosis

• Tobeusedbyatrainedpractitioner,underthedirectsupervisionofaqualifiedphysician

• OnlyusetheInfantFlowLPgeneratorwithvariableflownCPAPdrivers

• Donotover-tightenthefixationstraps

30

Application tips

• Selecttheappropriatesizenasalmasktominimizeleaksanddeadspace

• Selecttheappropriatesizenasalprongs;ifbetweensizes,selectthelargersize

• Applicationofanincorrectlysizedprong,mask,bonnetorheadgearwillaffectstabilityof

the generator

• Adjustthestrapstostabilizethegeneratorandmaintainasealatthenoseusingtheleast

tension possible

• Consideralternatingtheuseofprongandmaskinterfacesatsetintervalstochangepressure

points on the infant’s face

• Continuouslymonitorpatient’srespiratorystatus

• Coverbothearsevenly;ensuretheearsarenotfolded

• RecommendhumidificationbeusedwithnCPAPsystems

31

Inspect the system at least every three to four hours to:

• Ensurethepatient’seyesareclearlyvisibleandthenaresarenotblocked,whenusingmasks

• Inspectthefixationdeviceandstrapsforpropertensionandadjustasneededtomaintain

a proper fit

• Monitorthepatientforgastricinsufflationandabdominaldistension

• Monitorforexcessivecondensationincircuitandgenerator

• Alternatetheuseofprongandmaskinterfacestochangepressurepointsonthe

infant’s face

32

Notes

33

Notes

© 2011 CareFusion Corporation or one of its subsidiaries. All rights reserved. Infant Flow is a trademark or registered trademark of CareFusion Corporation or one of its subsidiaries. RC2661-01 (1211/5000) L3414 Rev. B

carefusion.com

CareFusion Germany 234 GmbH Leibnizstrasse 7 97204 Hoechberg Germany

+49 931 4972-0 tel +49 931 4972-423 fax

CareFusion 22745 Savi Ranch Parkway Yorba Linda, CA 92887

800.231.2466 toll-free 714.283.2228 tel 714.283.8493 fax

WARNING—U.S. Federal Law restricts this device to sale by or on the order of a physician.