EN
INTENDED USE
The nebulizer is intended to be used to deliver aerosol drug
to the patient's lungs. It is to be used by infant, child and
adult patients. The patient is to be awake and can breathe
unassisted. The environments of use include hospitals, clinics
and the home. The nebulizer is single patient, reusable when
used in the home. It is multi-patient, reusable when cleaned
according to the hospital instructions.
Breath actuation only produces aerosol when the patient
inhales. Aerosol is not produced when the patient exhales or
takes a break in treatment. The clinical benefit is more drug
is available to the lungs. Less drug is lost to the environment.
Caution: Breath actuation delivers drug on inspiration
only. This may result in an increase of the dosage to the lungs.
Health care providers should take this into consideration
with regards to dosage.
If you have concerns regarding the use of the nebulizer,
please speak with your health care provider.
Notes
• The nebulizer is designed to aerosolize solutions and
suspensions.
• Only use with drugs prescribed by a health care provider.
• Do not use in an anaesthetic or a ventilator breathing
system.
BEFORE EACH USE
Ensure these instructions have been read and are kept
available at all times. Carefully examine the device. If there
is any visible dust or other debris inside, then clean it. Check
inside the EZ Twist Tubing (
it out if needed. Replace the nebulizer and the tubing (
immediately if they are damaged or have missing parts.
Warning: Do not leave the nebulizer unattended with
children. Contains small parts that can cause choking and
tubing that can cause strangulation.
INSTRUCTIONS FOR USE
1
Ensure the exhalation valve (
faces down.
Warning: It is important to prevent exhaled breath
from blowing near the eyes. Refer to the drug product
monograph for more information.
Note: For patients unable to use the mouthpiece, the
nebulizer can be used with a ComfortSeal* Mask.
2
Inhale and exhale through the nebulizer mouthpiece (
to verify the movement of the green feedback button (
the top of the nebulizer. The button should move up and
down freely.
Notes:
• To operate the nebulizer in continuous mode (
G
the mode selector (
mode position
.
• To return the nebulizer to breath actuated mode (
rotate the mode selector (
breath actuated position
3
Unscrew and remove the top of the nebulizer. Place
prescribed drug into the nebulizer cup (
and gently hand tighten.
Note: Keep the nebulizer in an upright position so the
drug does not spill.
F
) end for fraying or debris, clean
B
) on the mouthpiece (
) clockwise to the continuous
G
) counterclockwise to the
.
E
). Reattach the top
4
Use With Compressor: Attach one end of the tubing
(
F
) to the fitting in the bottom of the nebulizer and the
other end to the compressor. Ensure both ends are securely
attached. Turn on the compressor.
Note: The nebulizer may be used with an Ombra*
Compressor or an air source capable of delivering 103 to
170 kPa (15 to 25 psi) and 4 L/min when connected to the
nebulizer.
Hospital Use With Wall Air: Attach one end of the tubing
F
(
) to the fitting in the bottom of the nebulizer and the other
end to the flowmeter or compressed air source. Ensure both
ends are securely attached. Set the flowmeter to 7 to 8 L/min
with a compressed air source capable of delivering 345 kPa
(50 psi).
5
Place the mouthpiece (
and deeply. As you inhale, the green feedback button (
move into the down position. This indicates the nebulizer is
producing aerosol. Exhale normally. As you exhale, the green
feedback button (
indicates the nebulizer is not producing aerosol.
Notes
• Do not place the lips over the exhalation valve (
on the bottom of the mouthpiece (
prevent the valve from functioning properly.
• Ensure the nebulizer remains upright for proper
nebulization.
6
Continue to inhale from the nebulizer until it starts to
sputter, or as instructed by your health care provider.
7
Turn off the compressed air source.
Note: Disconnect the tubing (
air supply after use.
HOME USE – CLEANING
F
)
Caution: Follow the cleaning instructions. Failure to do
so may affect drug delivery.
Nebulizer: The nebulizer (excluding the tubing (
cleaned after each use.
1
The mode selector (
position
2
Remove the tubing (
A
)
3
Unscrew and remove the nebulizer top (
4
Shake out excess drug.
5
Use any of the following methods to clean the nebulizer:
A
Hand Washing
i. Soak the three parts in a mild solution of liquid dish
detergent and lukewarm clean water for about 5 minutes.
A
)
ii. Agitate gently.
C
) on
iii. Rinse thoroughly with clean water. Shake out excess
water.
B
Dishwasher
i. Secure the three parts in a basket on the top rack.
I
), rotate
ii. Run the dishwasher on a normal cycle. Do not heat dry.
iii. Shake out excess water.
H
),
Note: Dishwashing with overly dirty dishes is not
recommended.
6
Briefly connect the tubing (
nebulizer cup (
air pathway.
7
Allow the parts to air dry thoroughly before reassembling.
A
) in mouth, and inhale slowly
C
) will move into the up position. This
F
G
) should be in the breath actuated
.
F
) from the bottom of the nebulizer.
F
) to the bottom of the
E
) and the compressed air supply to clear the
C
) will
B
)
A
). Doing so will
) from the compressed
F
)) can be
D
).
2