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Bubble Cpap System

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Bubble CPAP System PRODUCT CATALOGUE Bubble  CPAP Contents Section Delivery Systems 1 Diagrams Infant Delivery System (BC151) Infant Delivery System (BC161) Infant Delivery System (BC171) 1.1 1.2 1.2 1.2 Patient Interface 2 Nasal Tubing Midline Nasal Tubing Universal Nasal Prongs Infant Bonnet Midline Headgear Midline 2.1 Chinstrap 2.1 2.1 2.1 2.1 Bubble CPAP System Starter Kits 3 Starter Kit Midline Delivery System Starter Kit I/F (Flow Driver compatible) Delivery System Nasal Prong Starter Kit Infant Bonnet Starter Kit Starter Kit Midline F&P 50mm Starter Kit Midline F&P 70mm Starter Kit Midline F&P 100mm Starter Kit Midline Universal 50mm Starter Kit Midline Universal 70mm Starter Kit Midline Universal 100mm 3.1 3.1 3.2 3.2 3.2 3.2 3.2 3.3 3.3 3.3 Accessories / Devices 4 2.1 Single-Use Gas Supply Line 2.1m Gas Supply Line to 2 flow meters Midline Pressure Luer Adaptor 4.1 4.1 4.1 Mounting Options Humidifier Stand Telescopic Mounting Bracket – C-Clamp Mounting Bracket – Pole 15-50mm 4.2 4.2 4.2 Humidification Humidifier Heater Wire Adaptor MR850 Heater Wire/Temp Probe Kit Probe Temp/Flow Ang 1600mm 4.3 4.3 4.3 4.3 Gas Supply Bird MBlender 2-16LPM DISS Bird MBlender 2-16LPM NIST Bird MBlender Pole Mount Bracket 4.3 4.3 4.3 Sample Setups 5 Pole Mount Setup Infant Warmer Setup 5.1 5.2 Bubble  CPAP Delivery Systems BC161 BC151 10 9 8 7 6 BC171 10 9 8 7 6 1.1 Bubble  CPAP Delivery Systems Product Code Description BC151-10 Infant Delivery System MR290 chamber Pressure Manifold CPAP Generator Single-heated Circuit Includes BC161-10 Includes MR290 Chamber BC171-10* Includes Infant Delivery System MR290 chamber Pressure Manifold CPAP Generator Single-heated Circuit Infant Delivery System MR290 chamber Simplified Pressure Manifold (with attached dry line) CPAP Generator Single-heated Circuit Pressure Damping Filter * Flow Driver compatible circuit Pressure Manifold Simplified Pressure Manifold (BC171-10 only) Single Heated Circuit 10 9 8 7 6 5 Pressure Damping Filter (BC171-10 only) 1.2 CPAP Generator Bubble  CPAP 2.1 Patient Interface Length in mm Nasal Tubing Midline (BC18x series) Nasal Tubing Universal (BC19x series) Diameter of nares Septum gap Nasal Prongs Product Code Description Nasal Tubing BC180-05 BC181-05 BC182-05 BC190-05 BC191-05 BC192-05 Nasal tubing 50mm x5 Nasal tubing 70mm x5 Nasal tubing 100mm x5 Nasal tubing Universal 50mm x5 Nasal tubing Universal 70mm x5 Nasal tubing Universal 100mm x5 Nasal Prongs BC3020-10 BC3520-10 BC4030-10 BC4540-10 BC5040-10 BC5050-10 BC5550-10 BC5560-10 BC6060-10 BC6070-10 BC6570-10 Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Product Code Description Infant Bonnet BC300-05 BC303-05 BC306-05 BC309-05 Infant Infant Infant Infant prong prong prong prong prong prong prong prong prong prong prong Bonnet Bonnet Bonnet Bonnet Size 020 3 3520 4030 4540 5040 5050 5550 5560 6060 6070 6570 Midline Midline Midline Midline Length 50mm 70mm 100mm 50mm 70mm 100mm diameter of nares / width of septum 3.0mm / 2.0mm 3.5mm / 2.0mm 4.0mm / 3.0mm 4.5mm / 4.0mm 5.0mm / 4.0mm 5.0mm / 5.0mm 5.5mm / 5.0mm 5.5mm / 6.0mm 6.0mm / 6.0mm 6.0mm / 7.0mm 6.5mm / 7.0mm 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx Size 17-22cm 22-25cm 25-29cm 29-36cm x5 x5 x5 x5 head circumference 17cm-22cm 22cm-25cm 25cm-29cm 29cm-36cm Infant Bonnet Product Code Description Size Headgear head circumference BC325-05 Headgear Midline 29-36cm x5 29cm-36cm BC328-05 Headgear Midline 35-40cm x5 35cm-40cm BC331-05 Headgear Midline 40-45cm x5 40cm-45cm Headgear Chinstrap Chinstrap BC351-10 Chinstrap 20-26cm x10 BC353-10 Chinstrap 26-32cm x10 BC355-10 Chinstrap 32-38cm x10 BC357-10 Chinstrap 38-44cm x10 face circumference 20cm-26cm 26cm-32cm 32cm-38cm 38cm-44cm Bubble  CPAP Bubble CPAP System Starter Kits Product Code BC461-SK 3.1 Description Starter Kit Midline Delivery System Includes Nasal Tubing Infant Bonnet Nasal Prongs Damping Filter (BC171 only) Simplified Pressure Manifold (BC171 only) 5 5 2 3 3 2 2 3 4 4 4 4 4 3 2 BC161 Infant Delivery System Nasal tubing 70mm Infant Bonnet 17-22cm Infant Bonnet 22-25cm Infant Bonnet 25-29cm Infant Bonnet 29-36cm Nasal Prong 3520 Nasal Prong 4030 Nasal Prong 4540 Nasal Prong 5040 Nasal Prong 5050 Nasal Prong 5550 Nasal Prong 5560 Nasal Prong 6060 Nasal Prong 6070 BC471-SK* Includes 5 Starter Kit I/F Delivery System BC171 Infant Delivery System (with simplified pressure manifold and pressure damping filter) 5 2 3 3 2 2 3 4 4 4 4 4 3 2 Nasal Infant Infant Infant Infant Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal tubing 70mm Bonnet 17-22cm Bonnet 22-25cm Bonnet 25-29cm Bonnet 29-36cm Prong 3520 Prong 4030 Prong 4540 Prong 5040 Prong 5050 Prong 5550 Prong 5560 Prong 6060 Prong 6070 * Flow Driver compatible circuit 10 9 8 7 6 5 Infant Flow compatible circuit CPAP Generator Pressure Manifold MR290 Chamber Bubble  CPAP Patient Interface Starter Kits Product Code BC260-SK Description Nasal Prong Starter Kit Includes Nasal Prongs 2 3 4 4 4 4 4 3 2 Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Nasal Prong Prong Prong Prong Prong Prong Prong Prong Prong 3520 4030 4540 5040 5050 5550 5560 6060 6070 BC360-SK Infant Bonnet Starter Kit Includes Infant Bonnet 2 3 3 2 Infant Infant Infant Infant Bonnet Bonnet Bonnet Bonnet 17-22cm 22-25cm 25-29cm 29-36cm BC480-SK Starter Kit Midline F&P 50mm Includes Nasal Tubing 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant tubing 50mm Prong 3520 Prong 4030 Prong 4540 Prong 5040 Bonnet 17-22cm Bonnet 22-25cm Bonnet 25-29cm BC481-SK Starter Kit Midline F&P 70mm Includes 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant tubing 70mm Prong 3520 Prong 4030 Prong 4540 Prong 5040 Bonnet 17-22cm Bonnet 22-25cm Bonnet 25-29cm BC482-SK Starter Kit Midline F&P 100mm Includes 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant tubing 100mm Prong 4540 Prong 5040 Prong 5050 Prong 5550 Bonnet 22-25cm Bonnet 25-29cm Bonnet 29-36cm 3.2 Bubble  CPAP Universal Patient Interface Starter Kits 3.3 The Universal Patient Interface Starter Kit is designed to allow connection of other single-heated circuits e.g. Cardinal and Hudson. Product Code BC490-SK Description Starter Kit Midline Universal 50mm Includes Nasal Tubing Nasal Prongs 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant Tubing Universal 50mm Prong 3520 Prong 4030 Prong 4540 Prong 5040 Bonnet 17-22cm Bonnet 22-25cm Bonnet 25-29cm BC491-SK Starter Kit Midline Universal 70mm Includes 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant Tubing Universal 70mm Prong 3520 Prong 4030 Prong 4540 Prong 5040 Bonnet 17-22cm Bonnet 22-25cm Bonnet 25-29cm BC492-SK Starter Kit Midline Universal 100mm Includes Infant Bonnet 3 2 2 2 1 1 2 1 Nasal Nasal Nasal Nasal Nasal Infant Infant Infant Tubing Universal 100mm Prong 4540 Prong 5040 Prong 5050 Prong 5550 Bonnet 22-25cm Bonnet 25-29cm Bonnet 29-36cm Bubble  CPAP Accessories Single-Use Gas Supply Line (to blender) Gas Supply Line (to 2 flow meters) Product Code Description BC400-10 Gas Supply Line 2.1m BC402-05 Gas Supply Line (to 2 flow meters) BC420-10 Midline Pressure Luer Adaptor Midline Pressure Luer Adaptor 4.1 Bubble  CPAP 4.2 Mounting Options Telescopic Humidifier Stand Product Code Description 900MR292 Humidifier Stand – telescopic 900MR170 Mounting Bracket – C-clamp 900MR030 Mounting Bracket – Pole 15-50mm C-Clamp Pole Clamp Bubble  CPAP 4.3 Devices Humidification Product Code Description MR850 Humidifier 900MR801 Heater Wire Adaptor MR850 900MR823 Heater Wire/Temp Probe Kit 900MR868 Probe Temp/Flow Ang 1600mm MR850 Humidifier Temperature / Flow Probe Heater Wire Gas Supply Low Flow Air/O2 Blender Blender DISS & NIST fittings available Product Code Description BC501-01 Bird MBlender 2-16LPM DISS BC502-01 Bird MBlender 2-16LPM NIST BC506-01 Blender Oxy/Air Bio-Med (DISS) green BC507-01 Blender Oxy/Air Bio-Med (DISS) white BC510-01 Bird MBlender Pole Mount Bracket Gas Blenders are available on an individual basis. They come complete with color coded nipples and control knobs. • Flowrate 2-16 L/min (Bird) Bird MBlender Pole Mount Bracket 0-15 L/min (Bio-Med) • Includes flowmeter nipples (green or white) BIO-MED DEVICES O2% Note: Requires 900IW320 Bird Bracket Blender Complete to be fitted to the CosyCot™ Infant Warmer. Gas hoses not included. Please refer to Fisher & Paykel Healthcare Infant Warming Catalogue. Bubble  CPAP Sample Setup (pole) Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not included. Please refer to Fisher & Paykel Infant Warming Catalogue MR850 Humidifier Low Flow Air/O2 Blender BC510-01 Bird MBlender Pole Mount Bracket 900MR030 Mounting Bracket Pole 15-50mm (for mounting humidifier) 900MR801 Heater Wire Adaptor MR850 900MR868 Probe Temp/Flow Ang 1600mm 900MR170 Mounting Bracket C-Clamp (for mounting CPAP generator) 900MR292 Humidifier Stand Telescopic 5.1 Bubble  CPAP 5.2 Sample Setup (warmer) Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) BC510-01 Bird MBlender Pole Mount Bracket Note: Gas Hoses not included. Please refer to Fisher & Paykel Infant Warming Catalogue MR850 Humidifier 900MR030 Mounting Bracket Pole 15-50mm (for mounting humidifier) 900MR801 Heater Wire Adaptor MR850 900MR868 Probe Temp/Flow Ang 1600mm 900IW302 Mounting Pole long 900MR170 Mounting Bracket C-Clamp (for mounting CPAP generator) en REF 185043599 Rev F 2009-07 MANUFACTURER Fisher & Paykel Healthcare Limited, 15 Maurice Paykel Place, East Tamaki, Auckland 2013; P O Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: [email protected] Web Site: www.fphcare.com AUSTRALIA Tel:+61 3 9879 5022 Fax:+61 3 9879 5232 AUSTRIA Tel: 0800 29 31 23 Fax: 0800 29 31 22 BENELUX Tel:+31 40 216 3555 Fax:+31 40 216 3554 CHINA Tel:+86 20 3205 3486 Fax:+86 20 3205 2132 FRANCE Tel:+33 1 6446 5201 Fax:+33 1 6446 5221 GERMANY Tel:+49 7182 93777 0 Fax:+49 7182 93777 99 INDIA Tel:+91 80 4123 6041 Fax:+91 80 4123 6044 IRISH REPUBLIC Tel: 1800 409 011 ITALY Tel:+39 06 7839 2939 Fax:+39 06 7814 7709 JAPAN Tel:+81 3 3661 7205 Fax:+81 3 3661 7206 NORTHERN IRELAND Tel: 0800 132 189 SPAIN Tel:+34 902 013 346 Fax:+34 902 013 379 SWEDEN Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 SWITZERLAND Tel: 0800 83 47 63 Fax: 0800 83 47 54 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, United Kingdom Tel:+44 1628 626 136 Fax:+44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax:+1 949 453 4001 Bubble CPAP System Set-up Guide For full User Instructions, please refer to Bubble CPAP System User Instructions (BC151/BC161 PN 185042847 and BC171 PN 185042848). BC151 / BC161 BC161 (connects to F&P FlexiTrunk™ Interface) BC151 (connects to T-bar Interface) 10 9 8 7 6 5 Checks During Operation • Regularly observe that the water is feeding into the humidification chamber. • Should the water level exceed the maximum level marked on the humidification chamber, the chamber should be replaced. • Check that all connections are tight before use and after any adjustment. • Ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier. • Regularly observe the circuit for condensate. Drain as required. • Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling. • Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed. • Monitor patient oxygen levels. • Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level. F & P bubb l e cpap s e t - up G ui d e     1 BC151 / BC161 SET-UP 1. Insert Humidification Chamber Discard the chamber if the seals are not intact when received. • Slide the chamber on to the humidifier base. • Remove the blue caps. 2. Connect Water Bag Hang the water bag, unwind the water feed set and spike the water bag. • Open the vent on the vented spike. • Check the humidification chamber for water flow from the bag. • If no water is visible in the chamber or water consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. Try gently squeezing the bag to promote water flow. Ensure that the height of the water bag is at least higher than the humidification chamber. If in doubt replace the chamber. Discard the chamber if the water level exceeds the maximum water level line. 3. Fill Bubble CPAP Generator  Water level too low • Using the fill-funnel provided, fill the CPAP generator with sterile water until water flows into the overflow container. • Set the CPAP probe to 10 cmH2O, ready for the leak test. Ensure that the fill-funnel remains on the Bubble CPAP generator. Ensure that the humidifier and Bubble CPAP generator are mounted below the patient. Water level correct 2     F & P bubb l e cpap s e t - up G ui d e 4. Connect Bubble CPAP Pressure Manifold and Breathing Circuit • Connect the oxygen tubing between the pressure manifold and the flow source. • Connect the pressure manifold to the chamber inlet port. • Connect the blue inspiratory tube to the remaining chamber port. • Remove the blue caps from the inspiratory tube and install the temperature probe ports and heaterwire adapter. Ensure that the heater-wire (inside tube) is evenly distributed along the circuit length and is not bunched or kinked. • Connect test elbow to expiratory and inspiratory limbs. 5. Leak Test Check all connections are tight before use. • Set the CPAP probe to 10 cmH2O and the input flow rate to 1 L/min. • Observe the CPAP generator. Gentle, audible bubbling is acceptable; no bubbling means unacceptable leakage. • If no bubbling is observed, check the entire system. Remove the correct port cap from the pressure manifold before connecting any monitoring device. 1 L/min 10 9 8 7 6 5 6. Set Flow Rate 6-8 L/min (<15 L/min) • Adjust the flow rate to the prescribed input flow rate. • Recommended flow rate: 6 to 8 L/min. • Allowable flow range: 4 to 15 L/min. F & P bubb l e cpap s e t - up G ui d e     3 BC151 / BC161 SET-UP Pressure-Flow Table – F&P Bubble CPAP Generator used with F&P Infant Interface, typical mean pressure values (cmH20) WITH NO LEAK Probe Setting (cmH2O) Flow (L/min) 3 4 5 6 7 8 9 10 4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0 5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1 6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2 7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4 8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5 9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6 10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8 11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9 12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1 13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3 14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4 15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6 Note: Other interfaces or circuits may produce varying pressures. 7. Set CPAP Level 10 9 8 7 6 • The number on the CPAP probe above the lid indicates the CPAP pressure in cmH2O. As an example, the illustration shows CPAP setting of 6 cmH2O. • Set the CPAP probe at the prescribed level (3 to 10 cmH2O). 4     F & P bubb l e cpap s e t - up G ui d e 8. Connect Bubble CPAP Circuit to Infant Interface • Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface. • BC161 connects to F&P FlexiTrunk Interface. • BC151 connects to short binasal prongs (T-bar). 9. Set the Humidifier Ensure there is air flow present before turning on the humidifier. • Turn on the humidifier. – If using the MR850, ensure it is on Invasive mode (37 °C). – If using the MR730, set the temperature to 40 °C, -3. • Refer to the MR850 or MR730 User Instructions for further information. MR850: 37 °C MR730: 40 °C, -3 10. Attach Interface to Infant • Connect the interface to the infant using the instructions provided with the interface. BC161 BC151 F & P bubb l e cpap s e t - up G ui d e     5 BC171 BC171 (connects to Flow Driver) 10 9 8 7 6 5 Checks During Operation • Regularly observe that the water is feeding into the humidification chamber. • Should the water level exceed the maximum level marked on the humidification chamber, the chamber should be replaced. • Check all connections are tight before use and after any adjustment. • Ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier. • Regularly observe the circuit for condensate. Drain as required. • Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling. • Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed. • Monitor patient oxygen levels. • Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level. 6     F & P bubb l e cpap s e t - up G ui d e BC171 SET-UP 1. Insert Humidification Chamber Discard the chamber if the seals are not intact when received. • Slide the chamber on to the humidifier base. • Remove the blue caps. 2. Connect Water Bag • Hang the water bag, unwind the water feed set and spike the water bag. • Open the vent on the vented spike. • Check the humidification chamber for water flow from the bag. • If no water is visible in the chamber or water consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. Try gently squeezing the bag to promote water flow. Ensure that the height of the water bag is at least 50 cm higher than the humidification chamber. If in doubt replace the chamber. Discard the chamber if the water level exceeds the maximum water level line. 3. Fill Bubble CPAP Generator  Water level too low • Using the fill-funnel provided, fill the CPAP generator with sterile water until water flows into the overflow container. • Set the CPAP probe to 10 cmH2O, ready for the leak test. Ensure that the fill-funnel remains on the Bubble CPAP generator. Ensure that the humidifier and Bubble CPAP generator are mounted below the patient. Water level correct F & P bubb l e cpap s e t - up G ui d e     7 BC171 SET-UP 4. Connect Pressure Manifold, Dry Line and Circuit • Connect the pressure manifold with dry line to the flow driver and chamber inlet port. • Connect the blue inspiratory limb to the remaining chamber port. • Remove the blue caps from the inspiratory tube and install the temperature probe ports and the heaterwire adapter. Ensure that the heater wire is evenly distributed along the circuit length and is not bunched or kinked. • Connect test elbow to expiratory and inspiratory limbs. 5. Leak Test 1 L/min Check all connections are tight before use. • Set the CPAP probe to 10 cmH2O and the input flow rate to 1 L/min. • Observe the CPAP generator. Gentle, audible bubbling is acceptable; no bubbling means unacceptable leakage. • If no bubbling is observed, check the entire system. 10 9 8 7 6 5 6. Set Flow Rate • Adjust the flow rate to the prescribed input flow rate. • Recommended flow rate: 6 to 8 L/min. • Allowable flow range: 4 to 15 L/min. 6-8 L/min (<15 L/min) 10 9 8 7 6 Set CPAP Level • The number on the CPAP probe above the lid indicates the CPAP pressure in cmH2O. As an example, the illustration shows CPAP setting of 6 cmH2O. • Set the CPAP probe at the prescribed level (3 to 10 cmH2O). 8     F & P bubb l e cpap s e t - up G ui d e Pressure-Flow Table – F&P Bubble CPAP Generator used with F&P Infant Interface, typical mean pressure values (cmH20) WITH NO LEAK Probe Setting (cmH2O) Flow (L/min) 3 4 5 6 7 8 9 10 4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0 5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1 6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2 7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4 8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5 9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6 10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8 11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9 12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1 13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3 14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4 15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6 Note: Other interfaces or circuits may produce varying pressures. 7. Connect Bubble CPAP Circuit to Infant Interface • Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface. F & P bubb l e cpap s e t - up G ui d e     9 BC171 SET-UP 8. Connect Pressure Line to Flow Driver • Connect the pressure line filter end of the pressure line to the flow driver. • Connect the pressure line elbow connector end of the pressure line to the nasal tubing pressure port. 9. Set the Humidifier (MR850) Ensure there is air flow present before turning on the humidifier. • Turn on the flow driver. • Turn on the humidifier. – If using the MR850, ensure it is on Invasive mode (37 °C). • Refer to the MR850 User Instructions for further information. MR850: 37 °C A 9A. Set the Humidifier (MR730) Ensure there is air flow present before turning on the humidifier. • Turn on the flow driver. • Turn on the humidifier. – If using the MR730, set the temperature to 40 °C, -3. • Refer to the MR730 User Instructions for further information. MR730: 40 °C, -3 1 0     F & P bubb l e cpap s e t - up G ui d e 10. Attach Interface to Infant • Connect the interface to the infant using the instructions provided with the interface. BC171 F & P bubb l e cpap s e t - up G ui d e     1 1 For more information please contact your local Fisher & Paykel Healthcare representative Manufacturer Fisher & Paykel Healthcare Ltd 15 Maurice Paykel Place East Tamaki, Auckland 2013 PO Box 14 348, Panmure Auckland 1741 New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: [email protected] Web: www.fphcare.com Australia Fisher & Paykel Healthcare Pty Limited 36-40 New Street, PO Box 167 Ringwood, Melbourne Victoria 3134, Australia Tel: +61 3 9879 5022 Fax: +61 3 9879 5232 Austria Tel: 0800 29 31 23 Fax: 0800 29 31 22 185034215 REVa EN © 2011 Fisher & Paykel Healthcare Limited Benelux Tel: +31 40 216 3555 Fax: +31 40 216 3554 Spain Tel: +34 902 013 346 Fax: +34 902 013 379 Sweden Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 Switzerland Tel: 0800 83 47 63 Fax: 0800 83 47 54 Taiwan Tel: +886 2 8751 1739 Fax: +886 2 8751 5625 China Tel: +86 20 3205 3486 Fax: +86 20 3205 2132 Turkey Tel: +90 312 354 34 12 Fax: +90 312 354 31 01 France Tel: +33 1 6446 5201 Fax: +33 1 6446 5221 UK Fisher & Paykel Healthcare Ltd Unit 16, Cordwallis Park Clivemont Road, Maidenhead Berkshire SL6 7BU, UK Germany Tel: +49 7181 98599 0 Fax: +49 7181 98599 66 India Tel: +91 80 4284 4000 Fax: +91 80 4123 6044 Irish Republic Tel: 1800 409 011 www.fphcare.com Italy Tel: +39 06 7839 2939 Fax: +39 06 7814 7709 EC REP Tel: +44 1628 626 136 Fax: +44 1628 626 146 USA/Canada Tel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001 Bubble CPAP System F&P Bubble CPAP SYSTEM With the goal of improving patient care in over 120 countries, Fisher & Paykel Healthcare designed the F&P Bubble CPAP System for use with spontaneously breathing infants requiring respiratory support. Incorporating unique features and world-leading humidification technology, the F&P Bubble CPAP System has been developed to provide a respiratory support system that is safe, effective and easy to use. Adaptability to current practices has been taken into consideration with the choice of various system models. The F&P Infant Interface complements the system, providing comfort and optimum CPAP support to the infant at risk. F&P Bubble CPAP System | FEATURES The F&P Bubble CPAP System is the first complete system available in an “All-in-One Pack”. It includes the Bubble CPAP generator, heated breathing circuits, humidification chamber and pressure manifold. F&P FlexiTrunk™ is a lightweight nasal tubing with a unique, flexible extension for a stable prong and mask fixation while allowing for normal infant movement. F&P Bubble CPAP System models include: • BC151 – connects to other infant CPAP interfaces (e.g. Hudson and Inca prongs) • BC161 – connects to the F&P Infant Interface • BC171 – connects to the M672P Infant Flow Driver (IFD) or equivalent BC161 BC171 BC151 10 9 8 7 6 5 10 9 8 7 6 5 Safe and Reliable • Used on over a quarter of a million patients globally • The unique auto-level mechanism of the Bubble CPAP generator provides consistent and accurate delivery of CPAP • The pressure manifold with pressure relief valve promotes infant safety Easy to Use • Easy auto-leveling by simply adding water into the Fill Funnel on the Bubble CPAP generator • Excess condensate automatically drains into the detachable overflow container (see image on right) • Detachable overflow container can be emptied without interrupting CPAP Optimum Humidification • The F&P Bubble CPAP System provides respiratory support with body-temperature pressure-saturated gases to the infant • Optimal humidity promotes mucociliary clearance and reduces the work of breathing Simple Yet Versatile • Adjustable CPAP from 3 to 10 cmH2O • The Bubble CPAP System can connect to various interfaces 10 9 8 7 6 5 FOCUS ON FEATURES Bubble CPAP Circuit • Spiral heater-wire provides even heat distribution, reducing heat loss and condensate build-up • Aims to deliver optimal humidity Bubble CPAP Pressure Manifold • Limits the pressure delivered in the event of an occlusion • Allows connection to a pressuremonitoring device and/or an air/oxygen analyzer MR290 Humidification Chamber • Auto-fill, easy to use • Maintains constant CPAP • Closed system minimizes the risk of infection Bubble CPAP Generator • Adjustable CPAP from 3 to 10 cmH2O • Detachable overflow container allows uninterrupted CPAP when overflow container is being emptied • Includes separate Fill Funnel • Mounting bracket is incorporated on the back of the Bubble CPAP generator F&P Bubble CPAP System | SPECIFICATIONS F&P Bubble CPAP System Input Flow Range 4 to 15 L/min Recommended Input Flow 6 to 8 L/min Set CPAP Pressure Range 3 to 10 cmH2O Intended Patient Population Premature neonates and infants up to 10 kg Operating Temperature Range 18 to 26 oC Storage Temperature Range -10 to 50 oC Usage Period Single patient use, for a maximum of 7 days Maximum Pressure Limit 17 cmH2O @ 8 L/min Oxygen Analyzer Port 22 mm Male or 15 mm Female Pressure Monitoring Port Female luer Respiratory Humidifier F&P MR850 or MR730 only (Invasive Mode) Circuit Length Inspiratory Tube Expiratory Tube BC161 1.1 m (3.61 ft) 1.2 m (3.94 ft) BC151 1.4 m (4.59 ft) 1.2 m (3.94 ft) includes 300 mm (11.8 in) extension to connect to Hudson Prongs BC171 1.1 m (3.61 ft) 1.2 m (3.94 ft) F&P Bubble cpap system models 185034230 EN Rev B © 2012 Fisher & Paykel Healthcare Limited Product Code & Description BC151* • • • • BC161* • • • • BC171* • • • • * Box of 10 Note: For ordering information, please refer to the Fisher &Paykel Healthcare Bubble CPAP Product Catalogue (Part No. 185043599). MR850 Humidifier must be purchased separately. www.fphcare.com Manufacturer Fisher & Paykel Healthcare Ltd, 15 Maurice Paykel Place, East Tamaki, Auckland 2013, PO Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: [email protected] Web: www.fphcare.com Australia Tel: +61 3 9879 5022 Fax: +61 3 9879 5232 Austria Tel: 0800 29 31 23 Fax: 0800 29 31 22 Benelux Tel: +31 40 216 3555 Fax: +31 40 216 3554 China Tel: +86 20 3205 3486 Fax: +86 20 3205 2132 France Tel: +33 1 6446 5201 Fax: +33 1 6446 5221 Germany Tel: +49 7181 98599 0 Fax: +49 7181 98599 66 India Tel: +91 80 4284 4000 Fax: +91 80 4123 6044 Irish Republic Tel: 1800 409 011 Italy Tel: +39 06 7839 2939 Fax: +39 06 7814 7709 Japan Tel: +81 3 3661 7205 Fax: +81 3 3661 7206 Northern Ireland Tel: +0800 132 189 Spain Tel: +34 902 013 346 Fax: +34 902 013 379 Sweden Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 Switzerland Tel: 0800 83 47 63 Fax: 0800 83 47 54 Taiwan Tel: +886 2 8751 1739 Fax: +886 2 8751 5625 (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Turkey Tel: +90 312 354 34 12 Fax: +90 312 354 31 01 UK Berkshire SL6 7BU, UK Tel: +44 1628 626 136 Fax: +44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001