myAIRVO 2 User Manual Rev G Jan 2019

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User Manual

Page 3

SECTION

English .......................................................................... A

Español ......................................................................... B

Français ........................................................................ C

繁體中文 (Chinese Traditional) ............................. D

Melayu ........................................................................... E

Arabic ............................................................................ F

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1. OVERVIEW

The myAIRVO 2 is a humidifier with integrated flow generator that delivers warmed and humidified respiratory

gases to spontaneously breathing patients through a variety of patient interfaces.

INTENDED USE

The myAIRVO 2 is for the treatment of spontaneously breathing patients who would benefit from receiving

high flow warmed and humidified respiratory gases. This includes patients who have had upper airways

bypassed. The flow may be from 2 - 60L/min depending on the patient interface. The myAIRVO 2 is for

patients in homes and long-term care facilities.

USA Federal Law restricts this unit for sale by or on the order of a physician.

! WARNINGS

• The unit is not intended for life support.

• Appropriate patient monitoring must be used at all times. Loss of therapy will occur if power is lost.

• Nasal delivery of respiratory gases generates flow-dependent positive airway pressure (PAP). This must

be taken into account where PAP could have adverse effects on a patient.

To avoid burns:

• Use only interfaces, water chambers and breathing tubes specified in this user manual.

• Do not use accessories beyond the maximum periods of use specified in this manual.

• Before using oxygen with the unit, read all warnings in the “Oxygen” section of this manual.

• Never operate the unit if:

• the heated breathing tube has been damaged with holes, tears or kinks,

• it is not working properly,

• the case screws have ever been loosened.

• Do not block the flow of the air through the unit and breathing tube.

• Locate the unit in a position where ventilation around the unit is not restricted.

• Never block the air openings of the unit or place it on a soft surface such as a bed or couch/sofa, where

the filter area may be blocked. Keep the air openings free of lint, hair etc.

To avoid electric shock:

• Do not store or use the unit where it can fall or be pulled into water. If water has entered the unit enclosure,

disconnect the power cord and discontinue use.

• Never operate the unit if:

• it has been dropped or damaged,

• it has a damaged power cord or plug,

• it has been dropped into water.

• Avoid unnecessary removal of the power cord from the rear of the device. If removal is necessary, hold the

connector during removal. Avoid pulling on the power cord.

• Return the unit to an authorized service center for examination and repair, except as outlined in this

manual.

To avoid choking, or inhalation of a foreign object:

• Ensure an air filter is fitted when operating your unit.

• Never drop or insert any object into any opening or tube.

Miscellaneous:

• Prior to each patient use, ensure that the auditory alarm signal is audible by conducting the alarm system

functionality check described in the Alarms section.

• Humidity output will be compromised below 18°C (64°F) and above 28°C (82°F).

• To prevent disconnection during use, especially during ambulatory use, use only heated breathing tubes

specified in this manual.

• The unit is not suitable for use in the presence of a flammable, anesthetic mixture with air or oxygen or

nitrous oxide.

• The myAIRVO 2 is not a sealed system. Follow hospital infection control guidelines to reduce risk of crosscontamination

• Use of accessories or power cables not specified by Fisher & Paykel Healthcare could result in increased

electromagnetic emissions, decreased electromagnetic immunity and/or improper operation.

• Use of this equipment adjacent to or stacked with other equipment should be avoided bcause it could

result in improper operation. If such use is necessary, this equipment and the other equipment should be

observed to verify that they are operating normally.

California residents please be advised of the following, pursuant to Proposition 65:

• This product contains chemicals known to the State of California to cause cancer, birth defects and other

reproductive harm. For more information, please visit: www.fphcare.com/prop65

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AUDIO PAUSE

ON/OFF (STANDBY)

Heated

breathing

tube

UP

DISPLAY

DOWN

Patient

interface

MODE

900PT401

WATER BAG (2-Pack)

HEATED BREATHING TUBE

CONNECTION PORT

900PT422

OXYGEN

INLET PORT

CHAMBER PORTS

900PT400

COMPACT STAND

SERIAL PORT

POWER CORD

and

CONNECTOR

900PT912

FILTER COVER

HEATER

PLATE

AUTO-FILL WATER

CHAMBER (MR290)

(with adapter fitted)

FINGER

GUARD

myAIRVO 2

PT100xx

900PT913

AIR FILTER (2-Pack)

Water chamber

REUSABLE WATER

CHAMBER (HC360)

Nasal Cannula (20-pack)

Chamber

kits

Tube & Chamber kits

900PT500E

1

900PT500

10

900PT531

10

RT013

(mask adapter)

OPT870

(direct trache)

OPT846

(large)

OPT844

(medium)

OPT842

(small)

Optiflow™

OPT980

(mask adapter)

OPT970

(direct trache)

OPT946

(large)

OPT944

(medium)

Optiflow™+

OPT942

(small)

Contains

MR290

chamber

OPT318

(pediatric)

Quantity

per pack

OPT316

(infant)

Optiflow™

Junior

AirSpiral™

900PT560E

1

900PT560

10

900PT561

10

900PT290E

1

HC360

1

Note: -E suffix denotes 1-pack

Miscellaneous

OPT012

OPT014

Wigglepads (Optiflow Junior) (20-pack)

Oxygen Tubing (Optiflow Junior)

Some products may not be available in your country. Please contact your local Fisher and Paykel Healthcare representative.

A–3

English

myAIRVO 2 AND ACCESSORIES

Page 8

2. SETTING UP myAIRVO 2

1. BEFORE YOU BEGIN

Place the unit on a low shelf or near the floor beside your bed. It must

be placed below head height and flat. Position the device so the power

cord connection to the power supply is easily accessible and able to be

disconnected.

2. INSTALL WATER CHAMBER

IF USING A HC360 REUSABLE WATER CHAMBER:

With the aid of the supplied funnel, fill the chamber with enough distilled

water for the period of use, but never above the 560 mL maximum water

level line.

Flow setting vs usage time

(HC360 reusable water chamber, at 37 °C target temperature)

L/min

2

5

10

15

20

25

30

35

40

45

50

55

60

hrs

106

42

21

14

10

8

7

6

5

4

4

3

3

WARNINGS

To avoid burns:

• Do not fill the water chamber with hot water.

To avoid electric shock:

• Always remove the water chamber to fill it and always fill with enough water to

prevent it running out.

Fit the water chamber to the unit by pressing down the finger guard and

sliding the chamber on, carefully aligning with the blue chamber port ends.

Push the chamber on firmly until the finger guard clicks into place.

Go to Step 3, “Install Heated Breathing Tube”, below.

CAUTION

Adding substances other than water can adversely affect the humidifier and delivered

therapy.

IF USING THE MR290 AUTO-FILL WATER CHAMBER:

Remove the blue port caps from the chamber by pulling the tear tab

upwards then remove the bracket holding the water supply tube. Fit the

supplied adapter over the two vertical ports on the chamber and push on

fully then clip the water supply tube into position.

Fit the MR290 chamber as described above for the HC360 chamber.

H2O

Attach the water bag to the hanging bracket at least 20 cm (8”) above

the unit, and push the bag spike into the fitting at the bottom of the bag.

Open the vent cap on the side of the bag spike. The chamber will now

automatically fill to the required level and maintain that level until the

water bag is empty. Use only distilled water and always ensure sufficient

water is in the water bag to prevent it from running out.

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MR290: Flow setting vs usage time

(Water bag 900PT401, 1000 mL, at 37 °C target temperature)

L/min

2

5

10

15

20

25

30

35

40

45

50

55

60

hrs

189

75

37

25

18

15

12

10

9

8

7

6

6

WARNINGS

To avoid burns:

• Do not start the unit without the water chamber in place.

• Do not touch the heater plate, water chamber or chamber base during use.

• The water in the chamber becomes hot during use. Exercise caution when

removing and emptying the chamber.

To avoid electric shock:

• When handling the unit with the water chamber in place, avoid tilting the

machine to prevent any chance of water entering the unit enclosure.

• Empty all the water from the water chamber before transporting the unit.

CAUTIONS

To ensure optimal therapy (MR290 only):

• Do not use the auto-fill MR290 chamber if it has been dropped or been allowed

to run dry, this could lead to the chamber over filling.

• Do not use the MR290 chamber if the water level rises above the maximum water

level line as this may lead to water entering the patient’s airway.

3. INSTALL HEATED BREATHING TUBE

One end of the heated breathing tube has a blue plastic sleeve. Lift the

sleeve and slide the connector onto the unit. Push the sleeve down to

lock.

WARNINGS

To avoid burns:

• Do not modify the breathing tube or interface in any way.

• Do not allow the breathing tube to remain in direct contact with skin for

prolonged periods of time. The healthcare professional shall assess the conditions

for safe contact, such as duration and skin condition.

• Do not add heat above ambient levels to any part of the breathing tube or

interface e.g. by covering with a blanket or by heating with infrared radiation, an

overhead heater, or an incubator.

• Do not use an insulating sleeve or any similar accessories which are not

recommended by Fisher & Paykel Healthcare.

CAUTIONS

• Position the heated breathing tube away from any electrical monitoring leads

(EEG, ECG/EKG, EMG, etc), to minimize any possible interference with the

monitored signal.

CONDENSATE MANAGEMENT

The unit must be placed below head height and flat, this allows

condensate to drain towards the water chamber, away from the patient.

If excess condensate accumulates in the heated breathing tube,

disconnect the patient interface from the heated breathing tube, drain

the condensate by lifting the patient end of the tube, allowing the

condensate to run into the water chamber.

At higher target flow rates, it may be necessary to first reduce the

target flow rate to 30 L/min or below, to ensure the condensate drains

into the water chamber.

Minimize local sources of cooling acting on the heated breathing tube,

such as a fan to cool the patient or an air-conditioning unit/vent

If condensate persists, consider turning the target temperature down.

A lower target temperature will decrease the humidity output of the

unit, decreasing the level of condensation.

Note: The temperature and humidity level delivered to the patient will

also be reduced.

A–5

English

Check that water flows into the chamber and is maintained below the

maximum water level line. If the water level rises above the maximum

water level line, replace the chamber immediately.

Page 10

4. SELECT PATIENT INTERFACE

The myAIRVO 2 can be used with a variety of patient interfaces. Read the separate user instructions for

the patient interface that will be used, including all warnings.

WARNINGS

To avoid burns:

• Do not modify the breathing tube or interface in any way.

• Do not use any patient interfaces not listed here.

Nasal cannula

Tracheostomy

interface

2

VO

AIR

Mask interface

adapter

TM

Optiflow™+

OPT942E

OPT944E

OPT946E

Optiflow™

OPT842E

OPT844E

OPT846E

Optiflow™ Junior/

OPT316/OPT318

(Refer to “Using AIRVO 2” ”Junior Mode”)

OPT970E /

OPT870E

OPT980E / RT013E (with mask)

Note that the OPT980E/RT013E Mask

Interface Adapter is designed to be used with

vented masks only. Do not use sealed masks.

All patient interfaces are Type BF applied parts.

The following table shows the target dew-point temperature settings and target flow settings able to be

used with these interfaces.

Patient Interface

OPT316

OPT942

2

OPT318

OPT944

2

10

OPT942E

OPT946

OPT944E

OPT870

10

OPT946E

RT013

10

OPT970E

10

OPT980E

10

OPT842E

10

OPT844E

10

OPT846E

10

OPT870E

10

RT013E

10

Low temperature ambient conditions may prevent the unit from reaching a 37 °C target temperature

setting at high target flow settings. In these cases, consider decreasing the target flow setting.

At altitude, the maximum flow rates achievable may be lower than those in the above table, by

approximately 5 L/min per 1000 m (3000 ft).

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1. SWITCH ON UNIT

Plug the unit’s power cord into the mains/utility power socket. The

connector at the other end of the power cord should be well secured to

the rear of the unit.

WARNINGS

To avoid electric shock:

• Ensure that the unit is dry before plugging into the mains/utility power socket.

Switch on the unit by pressing the On/Off button for 5 seconds.

2. WARM-UP

The unit will begin to warm up. You will see a warm-up symbol on the

screen.

“Warm-up” symbol

3. CONNECT THE PATIENT INTERFACE

“Ready for use” symbol

When the “Ready for Use” symbol appears on the display, connect the

patient interface to the heated breathing tube. When you first use the

unit, the air will feel warm. Continue to breathe normally.

4. AFTER USE

When you have finished using the unit, remove your interface and drain

any excess condensate in the breathing tube by lifting the patient end

of the tube, and allowing the condensate to run into the water chamber.

5. DRYING MODE

Then press and hold the On/Off button for 3 seconds until a melody

sounds. The unit will automatically enter Drying Mode and dry the tube

so it is ready for you to use next time. Drying Mode runs for 99 minutes.

The unit will automatically turn off when it is finished.

WARNINGS

To avoid burns:

• Do not wear the interface during Drying Mode. The air is hot and dry and may

cause injury.

• Do not remove the water chamber until drying mode has been completed.

To switch the unit off without completing Drying Mode (this is not

recommended), hold down the On/Off button for 5 seconds.

If you unplug the unit’s power cord from the mains/utility power socket

while the unit is still running, the “Power Out” alarm will sound. Press

the “Audio Pause” button to silence this alarm.

A–7

English

3. USING myAIRVO 2

Page 12

ADVANCED SETTINGS

When you see the “Warm-up” or “Ready for use” symbols, you can

press the Mode button to view and change advanced settings.

TARGET DEW-POINT TEMPERATURE

You can set the myAIRVO 2 to three target dew-point temperature

settings:

• 37°C (98.6°F)

• 34°C (93°F) [if compliance at 37°C is a problem]

• 31°C (88°F) [for face masks only].

You may not have access to all settings, if:

• the unit is in Junior Mode (limited to 34 °C),

• the unit was initially set up with tighter limits.

The myAIRVO 2 will remember its target dew-point temperature setting

when you switch it off.

To change the target dew-point temperature

setting:

Press the Up and Down buttons to choose the new

setting.

The large number in the center of the screen shows

your chosen setting.

The small numbers near the arrow show the minimum

and maximum accessible settings.

Press the Mode button to move on to the next screen.

TARGET FLOW

You can set the myAIRVO 2 to flows between 10 L/min and 60 L/min, in

increments of 1 L/min (10-25 L/min) and 5 L/min (25-60 L/min).

You may not have access to all settings, if:

•

the unit is in Junior Mode (limited to 2 - 25 L/min, in increments of

1 L/min)

•

the unit was initially set up with tighter limits.

The myAIRVO 2 will remember its target flow setting when you switch

it off.

At altitude, the maximum flow rates achievable may be lower than those

listed above, by 5 L/min per 1000 m (3000 ft).

To change the target flow setting:

Press the Up and Down buttons to choose the new

setting.

The large number in the center of the screen shows

your chosen setting.

The small numbers near the arrow show the minimum

and maximum accessible settings.

Press the Mode button to move on to the next screen.

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DAY/NIGHT MODES

In “Night” mode, some of the myAIRVO 2 sounds will be made quieter.

The display will become dimmed. Alarms will be unaffected.

The myAIRVO 2 will remember its Day/Night setting when you switch it

off.

To change the Day/Night setting:

Press the Up and Down buttons to choose the new

setting.

à “Day”

à “Night”

Press the Mode button to move on to the next screen.

COMPLIANCE

This screen displays three pieces of compliance data:

Total hours used

83

Total hours used

Displays the total number of hours that the unit has

been switched on.

Hours per day

Displays the average number of hours that the unit has

been used per day.

Checksum

Displays usage information for the medical practitioner.

Press the Mode button to return to the “Warm-up”/”Ready for use”

screen.

JUNIOR MODE

If the patient will be using an Optiflow Junior nasal cannula (OPT316/OPT318), you must activate Junior

Mode. Do not use Junior mode for other patient interfaces.

Junior Mode limits the target settings to: 34 °C and 2 - 25 L/min, in increments of 1 L/min.

To activate Junior Mode:

You must be able to see the “Warm-up” symbol or the “Ready for use” symbol to activate

Junior Mode.

Hold the Mode button for 5 seconds.

New target

settings

New target settings

The target settings for dew-point temperature and flow will be changed automatically. The

colorful icons in the corners of the screen indicate that this unit is in Junior Mode.

To deactivate Junior Mode, follow the same procedure: hold the Mode button for 5 seconds.

If you are unable to activate Junior Mode, it is possible that Junior Mode may not have been enabled for

your device. Contact your Fisher & Paykel Healthcare representative.

A–9

English

You can set the myAIRVO 2 to “Day” mode or “Night” mode.

Page 14

OXYGEN

You can connect up to 15 L/min of supplementary oxygen from a regulated

supply to the myAIRVO 2. Connect the output from the oxygen source

to the oxygen inlet port on the side of the unit. Make sure you push the

oxygen tube firmly onto this connection port.

The fraction of oxygen you breathe with this air/oxygen mixture is

determined by the airflow setting on the unit and the oxygen flow

connected to the unit’s oxygen inlet port.

The following table gives the approximate oxygen fraction delivered for

the range of unit and oxygen airflows (at sea level). The oxygen fractions

given assume that the oxygen source is a home oxygen concentrator.

These values will be higher if the oxygen source is bottled oxygen. At

flows less than 10 L/min, the oxygen fraction delivered varies significantly

with small changes in input oxygen flow. Oxygen flow settings should be

titrated according to blood saturation levels.

myAIRVO 2 Target Flow Setting (L/min)

10

15

20

25

30

35

40

45

50

55

60

29

27

25

24

24

23

23

23

23

23

22

2

38

32

29

28

26

26

25

25

24

24

24

3

45

37

33

31

29

28

27

26

26

25

25

Oxygen Flow

(L/min)

1

4

53

42

37

34

32

30

29

28

27

27

26

5

60

48

41

37

34

33

31

30

29

29

28

7

75

58

50

44

40

37

35

34

32

31

31

10

93

74

61

54

49

45

42

39

37

36

35

It is important that the physician prescribing your oxygen therapy

approves both the flow and oxygen settings and that you do not adjust

these prescribed settings without consulting them.

Check that suitable blood saturation levels are achieved at the prescribed

flow.

Use continuous oxygen monitoring on patients who would desaturate

significantly in the event of disruption to their oxygen supply.

WARNINGS

Before using oxygen with the unit, read all of the following warnings:

• The use of oxygen requires that special care be taken to reduce the risk of fire.

Accordingly, for safety it is necessary that all sources of ignition (e.g. electrocautery

or electrosurgery) be kept away from the unit and preferably out of the room

in which it is being used. Oxygen should not be used while smoking or in the

presence of an open flame. The unit should be located in a position where

ventilation around the unit is not restricted.

• A spontaneous and violent ignition may occur if oil, grease or greasy substances

come in contact with oxygen under pressure. These substances must be kept away

from all oxygen equipment.

• Ensure that the myAIRVO 2 is switched on before connecting oxygen.

• Oxygen must only be added through the special oxygen inlet port on the back of

the unit. To ensure that oxygen enters the unit correctly, the oxygen inlet port must

be fitted properly to the filter holder and the filter holder must be fitted properly to

the unit. The power cord connector should also be well secured.

• Ensure that the myAIRVO 2 target flow rate is higher than the supplementary

oxygen flow rate, to avoid excess oxygen being vented into the surroundings.

• Do not connect more than 15 L/min of supplementary oxygen to the myAIRVO 2.

• The oxygen concentration delivered to the patient can be affected by changes to

the flow setting, oxygen setting, patient interface or if the airpath is obstructed.

When finished, turn off the oxygen source. Remove the output of the

oxygen source from the oxygen inlet port on the back of the unit.

WARNINGS

To avoid burns:

• The oxygen flow must be turned off when the unit is not operating, so that oxygen

does not build up inside the device.

A – 10

Page 15

The myAIRVO 2 has visual and auditory alarms to warn you about interruptions to your treatment. These

alarms are generated by an intelligent alarm system, which processes information from the sensors and

target settings of the unit and compares this information to pre-programmed limits.

ALARM SIGNALS

Symbols

Meaning

Visual alarm signal

Alarm condition.

(message)

Audio paused.

Auditory alarm signal

Press this button to mute the auditory alarm for 115 seconds.

The auditory alarm can be reactivated by pressing this

button again.

3 beeps in 3 seconds.

Repeated every 5 seconds.

ALARM CONDITIONS

All of the alarms listed below have been assessed as “Medium Priority”. These priorities have been

allocated for an operator’s position within 1 meter of the device. The unit also uses an internal priorityranking system. If multiple alarm conditions occur simultaneously, the unit will display the highest-priority

alarm.

The following table lists all of the alarm conditions from highest-priority to lowest priority, their causes,

possible solutions and delays. Alarm conditions that affect oxygen delivery require an immediate response

to assess the patient’s saturation levels. Alarm conditions that affect humidity delivery require a prompt

response to assess potential drying of mucus and associated blockages.

The following alarm delays assume operation in ‘Ready for use’ mode.

Message

Fault

(E###)

Meaning

Affects

delivery of:

Delays

The unit has detected an internal fault and has shut itself down.

Switch the unit off and then restart. If the problem persists, note the fault

code and contact your Fisher & Paykel Healthcare representative.

Oxygen,

humidity.

< 5 seconds

Check tube

The unit cannot detect the heated breathing tube.

Check that the heated breathing tube is not damaged and that it is plugged

in correctly. If the problem persists, then change the heated breathing tube.

Oxygen,

humidity.

< 5 seconds

Check for

leaks

The unit has detected a leak in the system.

The most likely cause is that the water chamber has been removed or has

not been pushed into place correctly.

Check that the heated breathing tube is not damaged and that it is plugged

in correctly.

Check that the nasal interface is fitted.

Check that the filter is fitted.

Oxygen,

humidity.

< 120 seconds

The unit has detected a blockage in the system.

Check the heated breathing tube or patient interface for blockage.

Check the air filter and filter holder for blockage.

Check whether the unit should be in Junior Mode. If the patient will be

using an Optiflow Junior nasal cannula (OPT316/OPT318), you must activate

Junior Mode.

Oxygen,

humidity.

< 10 seconds

O2 too low

The measured oxygen level has fallen below the allowed limit.

Check that the oxygen source is still operational and is correctly connected.

Adjust the level of oxygen from the oxygen source as necessary.

Oxygen

< 20 seconds

O2 too high

The measured oxygen level has exceeded the allowed limit.

Check that the myAIRVO flow rate is set correctly.

Adjust the level of oxygen from the oxygen source as necessary.

Oxygen

< 20 seconds

Check

operating

conditions

The unit has detected that it is operating in unsuitable ambient conditions.

This alarm may be caused by a sudden change in ambient conditions.

Leave the unit running for 30 minutes. Switch the unit off and then restart

Humidity

60 +/- 6

seconds

Check for

blockages

A – 11

English

ALARMS

Page 16

(continued)

Message

Meaning

Delays

Affects

delivery

of:

The unit cannot reach the target flow setting.

Cannot

reach target Check the heated breathing tube or patient interface for blockage.

Check whether the target flow setting is too high for the patient interface

flow

being used (refer to “Setting up myAIRVO 2” - ”Select Patient Interface”).

You will be prompted for acknowledgement.

WARNINGS

< 120

seconds

Oxygen

• The oxygen concentration delivered to the patient can be affected by

changes to the flow setting. Adjust the level of oxygen from the oxygen

source as necessary.

Check water The chamber has run out of water.

If using the HC360 reusable chamber: Remove the chamber and refill.

If using the MR290 auto-fill chamber: When a chamber runs dry, the chamber

float may be damaged. Replace the chamber and water bag.

To ensure continual humidification, always ensure that the water chamber

and/or water bag are not allowed to run out of water.

Humidity

< 30

minutes

Humidity

30 +/- 3

minutes

Oxygen,

humidity.

< 5 seconds

The unit cannot reach the target temperature setting.

Cannot

reach target You will be prompted for acknowledgement.

temperature The most likely cause for this is that the unit is operating at a high flow rate in

low ambient conditions. Consider increasing ambient conditions to match the

recommended operating conditions or decreasing the target flow setting.

WARNINGS

• The oxygen concentration delivered to the patient can be affected by

changes to the flow setting. Adjust the level of oxygen from the oxygen

source as necessary.

[Power out] The unit has been disconnected from the mains/utility power socket.

No visual alarm. The auditory alarm will sound for 120 seconds. If power is

reconnected in this time, the unit will automatically restart.-*

WARNINGS

• Appropriate patient monitoring must be used at all times. Loss of therapy

will occur if power is lost.

ALARM LIMITS

Most alarm limits are pre-programmed. The exceptions are listed below. These alarm limits may be

changed to other values by authorized personnel. Changes will be preserved during or after any power

loss.

Alarm

condition

Factory-set

alarm limit

Possible preset

values

O2 too low

21% O2

21 or 25% O2

O2 too high

90% O2

30 – 95% O2

in 5% increments

WARNINGS

• A hazard can exist if different alarm presets are used on different units within any single area, eg. long term care facility

• Alarm limits set to extreme values can render the alarm system useless.

CHECKING ALARM SYSTEM FUNCTIONALITY

The functionality of the alarm system can be checked at any time when the unit is turned on.

Remove the heated breathing tube. You should see the “Check tube” visual alarm signal and hear the

auditory alarm signal. If either alarm signal is absent, do not use the unit. Contact your Fisher & Paykel

Healthcare representative.

AUDITORY INFORMATION SIGNALS

In addition to auditory alarm signals, auditory information signals are provided. These are described below.

Melody

Meaning

Ascending sequence of 5 tones

The “Ready for use” symbol has appeared

Ascending sequence of 3 tones

Activation/deactivation of Junior Mode

Decending scale of 3 tones (within 2 seconds)

Drying Mode has been activated

Single tone every 5 seconds

Measured oxygen level ≥ 33% at turn-off

Single tone every 30 seconds

Measured oxygen level > 95%

A – 12

Page 17

It is important to carefully follow the instructions in this section, to keep the device clean and safe for use

and to extend the life of the consumables.

The following instructions are for single-patient home use. If the unit is ever used by multiple patients,

the unit must be cleaned and disinfected between patients according to instructions in the Disinfection

Kit Manual (900PT600). Single-patient use accessories must be disposed of between patients to prevent

cross-contamination.

Standard aseptic techniques to minimize contamination should be followed when handling the unit

and accessories. This includes proper hand-washing, avoiding hand contact with connection ports, safe

disposal of the used consumables and suitable storage of the unit after cleaning and disinfection.

DAILY CLEANING INSTRUCTIONS

Run Drying Mode / Rinse the patient interface and water chamber

1.

Allow Drying Mode to run after use (refer “Using myAIRVO 2” - “Drying Mode”).

2. Remove the interface, rinse in drinking-quality water then reconnect to the heated breathing tube

whilst still in Drying Mode to dry the interface.

3.

If using the HC360 reusable chamber:

After Drying Mode is complete, remove the water chamber by pushing down the finger guard

and pulling out the chamber. Wash and rinse the chamber then refill it with sufficient distilled

water for the next use.

If using the MR290 chamber:

Do not wash or remove this chamber.

WEEKLY CLEANING INSTRUCTIONS

Clean the patient interface, water chamber and myAIRVO 2

1.

Switch off the unit and unplug from the mains/utility power socket.

2. Remove the heated breathing tube and drain any excess condensate.

3. Remove the interface from the heated breathing tube, wash it in warm water with mild dishwashing

detergent added, rinse it in drinking-quality water, then reconnect it to the heated breathing tube.

4. Remove the water chamber.

5. If using the HC360 chamber: Pour out and discard the remaining water. Remove the chamber base.

Wash the chamber top and base in mild dishwashing detergent then rinse. Soak the chamber in a

solution of vinegar (1 part) and water (2 parts) for 10 minutes. Rinse and dry.

If using the MR290 chamber: Do not wash this chamber. Carefully put the MR290 chamber aside.

6. Thoroughly wipe the inside of the heated breathing tube connection port with a clean, low-lint cloth

dipped in warm water with mild dishwashing detergent added.

7.

Wipe the exterior of the unit with a clean, damp (not wet) cloth dipped in warm water with mild

dishwashing detergent added. Do not use harsh abrasives or solvents, as these may damage the unit.

8. Refit the heated breathing tube.

9. If using the HC360 chamber: Refit the chamber.

If using the MR290 chamber: Refit the MR290 chamber and reconnect to the water bag. Check that

water flows into the chamber and is maintained below the maximum water level line. If the water level

rises above the maximum water level line, replace the chamber immediately.

10. Reconnect the unit to the mains/utility power socket.

11. The unit is now ready for another week of use.

A – 13

English

4. CLEANING AND MAINTENANCE

Page 18

SCHEDULE FOR CHANGING ACCESSORIES

The accessories for the unit must be changed frequently to avoid the risk of infection. Parts should be

replaced immediately if they are damaged or discolored; otherwise they must be replaced within the

periods shown in the following table. These periods assume that the correct daily and weekly cleaning

procedures and maintenance schedule described above are adhered to. If these procedures and schedules

are not followed, the maximum periods of use will change to those stated in the AIRVO 2 manual. These

accessories are for single-patient use only.

Maximum

period of

use

Part number and description

Optiflow Junior interfaces

1 week

OPT316

OPT318

Nasal Cannula - Infant

Nasal Cannula - Pediatric

All other patient interfaces

1 month

OPT942 / OPT942E

OPT944 / OPT944E

OPT946 / OPT946E

OPT970 / OPT970E

OPT980 / OPT980E

Optiflow™+ Nasal Cannula - Small

Optiflow™+ Nasal Cannula - Medium

Optiflow™+ Nasal Cannula - Large

Tracheostomy Interface

Mask Interface Adapter

OPT842 / OPT842E

OPT844 / OPT844E

OPT846 / OPT846E

OPT870 / OPT870E

RT013 / RT013E

Optiflow™ Nasal Cannula - Small

Optiflow™ Nasal Cannula - Medium

Optiflow™ Nasal Cannula - Large

Tracheostomy Interface

Mask Interface Adapter - 22mm

All tube & chamber kits

2 months

3 months

or

1000 hours

Reusable

900PT561

900PT560 /900PT560E

AirSpiral ™ heated breathing tube, MR290 auto-fill chamber and adapter

AirSpiral ™ heated breathing tube

900PT290E

900PT500 / 900PT500E

900PT501

900PT531

MR290 auto-fill chamber and adapter

Heated breathing tube

Heated breathing tube, MR290 auto-fill chamber and adapter

Junior heated breathing tube, MR290 auto-fill chamber and adapter

(for use with OPT316/OPT318 only)

900PT913

Air filter (or more often if significantly discolored)

HC360

Reusable water chamber

Some products may not be available in your country. Please contact your local Fisher and Paykel Healthcare representative.

FILTER REPLACEMENT

After the myAIRVO 2 has been switched on for a total of 1000 hours, a prompt will appear indicating that

an air filter change is due. Follow the steps below if filter change is due:

Air filter change

due

Replace now?

Now

Later

1.

2.

Take the filter holder from the back of the unit and remove the filter.

Replace the old filter with a new one.

3.

Reattach the filter holder to the unit (clip the bottom of the filter

holder in first, then rotate it upwards until the top clips into place).

4.

5.

6.

Press the Mode button to move on to the “Replace now” screen.

Press the Up button to select “Now”.

Press the Mode button to confirm.

The hours counter will be reset to zero.

If you choose the “Later” option, the prompt will continue to appear

whenever the unit is switched on.

SERVICING

This device contains no internal serviceable parts.

Refer to the myAIRVO 2 Technical Manual for a list of external spare parts.

A – 14

Page 19

SYMBOL DEFINITIONS

For safety reasons, refer to the

instructions for use

Class II equipment

Caution

Catalogue number

Consult instructions for use

Serial number

Warning, hot surface

Batch code

Manufacturer

Humidity range

Date of manufacture

Temperature range

Date of shelf life expiry

Protected against ingress of small objects

and water drops

Type BF applied part

EU representative

(USA) Federal Law restricts this

device to sale by, or on the order

of a physician.

CE Mark

Alarm symbol

Power on/off (standby)

Alarm pause

Regulatory Compliance Mark (RCM)

A – 15

English

5. TECHNICAL INFORMATION

Page 20

PRODUCT SPECIFICATIONS

Dimensions

295 mm x 170 mm x 175 mm

(11.6” x 6.7” x 6.9”)

Weight

2.2 kg (4.8 lb) unit only,

3.4 kg (7.5 lb) packaged in bag

incl. accessories

Target temperature

settings

Humidity performance

37, 34, 31 °C

>33 mg/L at 37 °C target

>12 mg/L at 34 °C target

>12 mg/L at 31 °C target

Supply frequency

50-60 Hz

Supply voltage/current

100-115 V 2.2 A (2.4 A max†)

220-240 V 1.8 A (2.0 A max†)

Maximum temperature 43 °C (109 °F)

(in accordance with ISO 80601-2-74)

of delivered gas

Sound pressure level

Alarms exceed 45dbA @ 1 m

Auditory alarm pause

115 seconds

Maximum surface

°C (111 °F)

temperature of applied 44

(in accordance with ISO 80601-2-74)

parts

Expected service life

5 years

Flow range (default)

Serial port

The serial port is used for

downloading product data,

using F&P Infosmart™ software.

Flow range

(Junior Mode)

Warm-up time

10 minutes to 31 °C (88 °F),

30 minutes to 37 °C (98.6 °F)

using a MR290 chamber with

flow rate of 35 L/min and

starting temperature 23 ± 2 °C

(73 ± 3 °F)

10-60 L/min*

2-25 L/min*

Maximum oxygen input 60 L/min

Oxygen analyzer

accuracy

<±4%

(within the range 25-95% O2)

Operating conditions:

18-28 °C (64-82 °F),

30-70% RH

* Flow rates are measured in BTPS (Body Temperature/Pressure, Saturated)

† Inrush current may reach 50A

OPERATING CONDITIONS

STORAGE AND TRANSPORT CONDITIONS

Ambient temperature

18 - 28 °C (64 - 82 °F)

Humidity

10 - 95% RH

Altitude

0 - 2000 m (6000 ft)

Mode of operation

Continuous operation

myAIRVO

Ambient temperature

-10 - 60 °C (14 - 140 °F)

Humidity

10 - 95% RH, non-condensing

Tube & chamber kits

Ambient temperature

-10 - 50 °C (14 - 122 °F)

Humidity

10 - 95% RH, non-condensing

The unit may require up to 24 hours to warm up or cool down

from the minimum or maximum storage temperature before it is

ready for use.

WARNING

• Do not use the unit at an altitude above 2000 m (6000 ft) or outside a temperature range of 18 - 28 °C

(64 - 82 °F). Doing so may affect the quality of the therapy or injure the patient.

Designed to conform to the

requirements of:

IEC 60601-1:2005 + A1:2012

IEC 60601-1-2:2014

ANSI/AAMI 60601-1:2005/(R) 2012

CAN/CSA-C22.2 No. 60601-1:2014

EN 60601-1:2006 + A1:2013

ISO 80601-2-74:2017

The unit complies with the electromagnetic compatibility requirements of

IEC 60601-1-2. In certain circumstances, the unit may affect or be affected by

nearby equipment due to the effects of electromagnetic interference. Excessive

electromagnetic interference may affect the therapy delivered by the unit. If this

should happen, try moving the unit or the location of the unit causing interference,

or alternatively consult your healthcare provider. To avoid potential interference, do

not place any part of the device or accessories within 30 cm (12”) of any portable

or mobile radio frequency communication equipment.

Accessory equipment connected to the serial port of the device must be certified to either IEC 60601-1 or IEC 60950-1.

Furthermore all configurations shall comply with the system standard IEC 60601-1-1. Anyone who connects additional

equipment to the signal input part or signal output part configures a medical system and is therefore responsible for

ensuring that the system complies with the requirements of the system standard IEC 60601-1-1. If in doubt, consult the

technical services department or your local representative.

DISPOSAL INSTRUCTIONS

Unit Disposal Instructions

This unit contains electronics. Please do not discard with regular waste. Return to Fisher & Paykel

Healthcare or dispose according to local guidelines for disposing of electronics. Dispose according to Waste

Electrical and Electronic Equipment (WEEE) directive in European Union.

Consumables Disposal Instructions

Place the interface, breathing tube and chamber in a bag at the end of use and discard with regular waste.

A – 16

Page 21

ANTES DE COMENZAR

• Este manual del usuario está destinado a los pacientes y los profesionales de la atención sanitaria.

• Lea este manual del usuario, incluidas todas las advertencias. De lo contrario, podrán producirse lesiones.

Guarde este manual en un lugar seguro para referencias futuras.

• Antes de utilizar por primera vez myAIRVO 2, debe configurarlo según las instrucciones del manual técnico

de myAIRVO 2. Esto debe ser realizado solo por un profesional de la atención sanitaria o un técnico médico.

myAIRVO 2 requiere precauciones especiales referentes al cumplimiento electromagnético (CEM). Por

tanto, debe instalarse y utilizarse de acuerdo con la información sobre CEM incluida en este manual del

usuario y en el manual técnico.

• Consulte el manual del usuario de myAIRVO 2 para obtener instrucciones

detalladas sobre el uso.

• Consulte las instrucciones para el usuario sobre todos los accesorios pertinentes.

• Vea los vídeos de formación del sitio web de AIRVO 2 www.fphcare.com/airvo

• Para obtener información sobre la resolución de problemas, consulte el manual

técnico de myAIRVO 2.

• Descárguese la aplicación de simulación del AIRVO 2 para aprender a usar el myAIRVO 2.

Puede cambiar los ajustes, simular fallos y probar sus conocimientos.

Disponible en las tiendas de aplicaciones de Apple, Google Play y Windows.

• Visite el sitio web de formación y recursos de Fisher & Paykel www.fphcare.com/education para buscar

cursos autoguiados en línea y eventos de formación locales.

• Si varios pacientes van a usar la unidad, debe limpiarse y desinfectarse después de cada uso individual,

de acuerdo con las instrucciones del manual del Kit de Desinfección (900PT600).

• Si necesita más ayuda, póngase en contacto con su representante de Fisher & Paykel Healthcare.

ÍNDICE DE CONTENIDOS

1. Descripción general .................................................................................................................................. B - 2

Uso previsto .................................................................................................................................................................................. B - 2

Advertencias ................................................................................................................................................................................. B - 2

myAIRVO 2 y accesorios .......................................................................................................................................................... B - 3

2. Configuración de myAIRVO 2 .............................................................................................................. B - 4

3. Uso de myAIRVO 2 ................................................................................................................................... B - 7

Ajustes avanzados ...................................................................................................................................................................... B - 8

Oxígeno ........................................................................................................................................................................................... B - 10

Alarmas ........................................................................................................................................................................................... B - 11

4. Limpieza y mantenimiento .................................................................................................................... B - 13

Instrucciones para la limpieza diaria .................................................................................................................................... B - 13

Instrucciones para la limpieza semanal .............................................................................................................................. B - 13

Programación para el cambio de accesorios ................................................................................................................... B - 14

Sustitución del filtro ................................................................................................................................................................... B - 14

Mantenimiento .............................................................................................................................................................................. B - 14

5. Información técnica .................................................................................................................................. B - 15

B–1

Español

OTRAS REFERENCIAS

Page 22

1. DESCRIPCIÓN GENERAL

El humidificador myAIRVO 2 con generador de flujo integrado administra gases respiratorios calentados y

humidificados a pacientes con respiración espontánea a través de una variedad de interfaces para el paciente.

USO PREVISTO

El myAIRVO 2 está destinado al tratamiento de pacientes que respiran espontáneamente y que se beneficiarían

de la administración de gases respiratorios calentados y humidificados con flujo alto. Los pacientes que hayan

sido intervenidos para recibir un bypass en las vías respiratorias superiores también quedarían encuadrados

dentro de este grupo. El flujo puede estar entre 2 - 60 L/min, dependiendo de la interfaz del paciente. El

myAIRVO 2 debe utilizarse en el hogar de los pacientes o en centros de atención a largo plazo.

! ADVERTENCIAS

• La unidad no está diseñada para proporcionar soporte vital.

• Es necesario supervisar adecuadamente al paciente en todo momento. Si se interrumpe la corriente,

dejará de suministrarse la terapia.

• La administración nasal de los gases respiratorios genera una presión positiva de las vías respiratorias

(PAP) dependiente del flujo. Esto debe tenerse en cuenta cuando la presión positiva en las vías respiratorias

pueda causar efectos adversos en el paciente.

Para evitar quemaduras:

• Utilice únicamente las interfaces, cámaras de agua y tubos respiratorios especificados en este manual

del usuario.

• No use accesorios que hayan sobrepasado el periodo de uso máximo especificado en este manual.

• Antes de usar oxígeno con la unidad, lea todas las advertencias en la sección «Oxígeno» de este manual.

• Nunca utilice la unidad si:

• el tubo respiratorio calentado presenta perforaciones, rasgaduras o está retorcido.

• no está funcionando correctamente.

• los tornillos de la caja se han aflojado alguna vez.

• No bloquee el flujo de aire por la unidad y el tubo respiratorio.

• Coloque la unidad en una posición que no impida la ventilación en torno a ella.

• Nunca obstruya las aperturas de aire de la unidad, ni la coloque en superficies blandas, tales como camas,

divanes o sofás, donde el filtro de aire pueda bloquearse. Mantenga las aperturas de aire libres de cabellos,

pelusas, etc.

Para evitar descargas eléctricas:

• No guarde o use el dispositivo donde pueda caerse al agua. Si se ha introducido agua dentro del recinto

de la unidad, desconecte el cable eléctrico y deje de usarla.

• Nunca utilice la unidad si:

• se ha caído o dañado.

• el cable o el enchufe de alimentación están dañados.

• se ha caído en el agua.

• Evite quitar el cable eléctrico de la parte posterior de la unidad. Si fuera necesario retirarlo, sujete el

conector al hacerlo. Evite tirar del cable eléctrico.

• Envíe la unidad a un centro de servicio autorizado para que la examinen y reparen, salvo cuando se

indique lo contrario en este manual.

Para evitar ahogarse o inhalar un objeto extraño:

• Asegúrese de que el filtro de aire está colocado cuando utilice la unidad.

• No coloque o introduzca nunca un objeto en las aperturas o en el tubo.

Varios:

• Antes de cada uso, asegúrese de que la alarma acústica se puede oír realizando un control de la

funcionalidad del sistema de alarmas según lo descrito en la sección de «Alarmas».

• La producción de humedad se verá comprometida con temperaturas inferiores a 18 °C (64 °F) y superiores

a 28 °C (82 °F).

• Para evitar la desconexión durante el uso, en particular durante el uso ambulatorio, utilice únicamente los

tubos respiratorios calentados especificados en este manual.

• Esta unidad no es adecuada para usar en presencia de una mezcla anestésica inflamable con aire u

oxígeno u óxido nitroso.

• myAIRVO 2 no es un sistema hermético. Siga las pautas de control de infecciones del hospital para reducir

el riesgo de contaminación cruzada

• El uso de accesorios o cables de alimentación no especificados por Fisher & Paykel Healthcare podría

aumentar las emisiones electromagnéticas, disminuir la inmunidad electromagnética u ocasionar un

funcionamiento incorrecto.

• Se debe evitar el uso de este equipo junto o apilado con otro equipo, ya que podría ocasionar un

funcionamiento incorrecto. Si fuera necesario utilizarlo de esta forma, deberá observarse tanto este

equipo como el otro para asegurarse de que funcionan normalmente.

B–2

Page 23

myAIRVO 2 Y ACCESORIOS

PAUSA ENCENDIDO/APAGADO

DEL AUDIO

(EN ESPERA)

Tubo

respiratorio

calentado

ARRIBA

PANTALLA

BAJAR

Interfaz del

paciente

MODO

Español

PUERTO DE CONEXIÓN

DEL TUBO RESPIRATORIO

CALENTADO

900PT422

PUERTO DE

ENTRADA

DE

OXIGENO

900PT401 BOLSA

DE AGUA (paquete de 2)

PUERTOS DE LA

CÁMARA

900PT400 SOPORTE

COMPACTO

PUERTO

SERIE

CABLE

ELÉCTRICO

y

CONECTOR

900PT912

CUBIERTA DEL

FILTRO

PLACA

DE CALENTAMIENTO

myAIRVO 2

900PT913

FILTRO DE AIRE

(paquete de 2)

CÁMARA DE

AUTOLLENADO

DE AGUA (MR290)

(con adaptador instalado)

PROTECTOR DE

LOS DEDOS

PT100xx

CÁMARA DE AGUA

REUTILIZABLE (HC360)

Cámara de agua

Cánula nasal (paquete de 20)

Kits de

cámara

Kits de tubo y cámara

900PT500E

1

900PT500

10

900PT531

10

RT013

(adaptador de

la máscara)

OPT870

(directo a

traqueostomía)

OPT846

(grande)

OPT844

(mediano)

OPT842

(pequeño)

Optiflow™

OPT980

(adaptador de la

máscara)

OPT970

(directo a

traqueostomía)

OPT946

(grande)

OPT944

(mediano)

Optiflow™+

OPT942

(pequeño)

Contiene

una

cámara

MR290

OPT318

(Pediátrico)

Cantidad

por

paquete

OPT316

(Bebé)

Optiflow™

Junior

AirSpiral™

900PT560E

1

900PT560

10

900PT561

10

900PT290E

1

HC360

1

Nota: El sufijo -E indica 1 paquete

Varios

OPT012

OPT014

Wigglepads (Optiflow Junior) (paquete de 20)

Tubo de oxigeno (Optiflow Junior)

Es posible que algunos accesorios no estén disponibles en todos los países. Póngase en contacto con el representante

local de Fisher and Paykel Healthcare.

B–3

Page 24

2. CONFIGURACIÓN DE myAIRVO 2

1. ANTES DE COMENZAR

Coloque la unidad en un estante bajo o cerca del suelo, junto a la cama.

Debe colocarse por debajo de la altura de la cabeza y estar plana.

Coloque el dispositivo de forma que se pueda acceder con facilidad a la

conexión del cable con el suministro eléctrico, a fin de desconectarlo.

2. INSTALACIÓN DE LA CÁMARA DE AGUA

SI SE UTILIZA UNA CÁMARA DE AGUA REUTILIZABLE HC360:

Con ayuda del embudo suministrado, llene la cámara con suficiente agua

destilada para el periodo de uso, pero nunca por encima de la línea de

nivel máximo de 560 mL.

Ajuste de flujo en comparación con el tiempo de uso

(Cámara de agua reutilizable HC360 a una temperatura deseada

de 37 °C)

L/min

2

5

10

15

20

25

30

35

40

45

50

55

60

horas

106

42

21

14

10

8

7

6

5

4

4

3

3

ADVERTENCIAS

Para evitar quemaduras:

• No llene la cámara de agua con agua caliente.

Para evitar descargas eléctricas:

• Retire siempre la cámara de agua para llenarla y hágalo siempre con una

cantidad suficiente de agua para evitar que se agote.

Ajuste la cámara de agua a la unidad presionando hacia abajo el

protector de los dedos y deslice la cámara, alineándola cuidadosamente

con los extremos azules de los puertos de la cámara.

Empuje firmemente la cámara hasta que el protector de dedo haga clic al

colocarse.

Continúe en el paso 3, «Instalación del tubo respiratorio calentado»,

detallado a continuación.

PRECAUCIÓN

La adición de sustancias aparte del agua puede afectar negativamente al

humidificador y al tratamiento suministrado.

SI SE UTILIZA LA CÁMARA DE RELLENO AUTOMÁTICO DE

AGUA MR290:

Retire las tapas azules de los puertos de la cámara tirando de la lengüeta

hacia arriba y después retire la abrazadera que sostiene el tubo de

suministro de agua. Fije el adaptador suministrado sobre los dos puertos

verticales de la cámara y empújelo por completo. A continuación,

abroche el tubo de suministro de agua en su lugar.

Instale la cámara MR290 tal y como se describe anteriormente para la

cámara HC360.

H2O

Cuelgue la bolsa de agua en la abrazadera colgante al menos a 20 cm

(8”) por encima de la unidad e introduzca la espiga de la bolsa en el

conector de la parte inferior de la bolsa. Abra la tapa de ventilación en

el lateral de la espiga de la bolsa. La cámara se llenará automáticamente

al nivel requerido y mantendrá ese nivel hasta que la bolsa de agua esté

vacía. Utilice únicamente agua destilada y asegúrese de que siempre

haya suficiente en la bolsa para evitar la falta de agua.

B–4

Page 25

Compruebe que el agua fluye hacia el interior de la cámara y se mantiene

por debajo de la línea de nivel máximo de agua. Si el nivel de agua sube

por encima de la línea de nivel máximo de agua, sustituya la cámara

inmediatamente.

MR290: Ajuste del flujo en comparación con el tiempo de uso

(Bolsa de agua 900PT401, 1000 mL, a una temperatura deseada de 37 °C)

L/min

2

5

10

15

20

25

30

35

40

45

50

55

60

horas

189

75

37

25

18

15

12

10

9

8

7

6

6

PRECAUCIONES

Para asegurar una terapia óptima (solo MR290):

• No utilice la cámara de autollenado MR290 si se ha caído o si se ha permitido

que funcione en seco, ya que podría llenar la cámara en exceso.

• No use la cámara MR290 si el nivel de agua sube por encima de la línea del

nivel máximo de agua, ya que esto provocaría la entrada de agua en las vías

respiratorias del paciente.

3. INSTALACIÓN DEL TUBO RESPIRATORIO CALENTADO

Uno de los extremos del tubo respiratorio calentado tiene un conector de

plástico azul. Levante el manguito y deslice el conector hacia la unidad.

Empuje el manguito hacia abajo para cerrar.

ADVERTENCIAS

Para evitar quemaduras:

• No modifique el tubo respiratorio ni la interfaz de forma alguna.

• No permita que el tubo respiratorio permanezca en contacto directo con la piel

durante periodos prolongados de tiempo. El profesional sanitario debe evaluar

las condiciones para un contacto seguro, como la duración y el estado de la piel.

• No aumente el calor por encima de los niveles de temperatura ambiente en

ninguna parte del tubo respiratorio o la interfaz, (p. ej.: cubriéndolo con una

manta o calentándolo con infrarrojos, en un calentador elevado para un recién

nacido o en una incubadora).

• No utilice un manguito aislante ni accesorios similares que no hayan sido

recomendados por Fisher & Paykel Healthcare.

PRECAUCIONES

• Coloque el tubo respiratorio calentado lejos de cables eléctricos de

monitorización (EEG, ECG/EKG, EMG, etc.) para minimizar toda posible

interferencia con la señal monitorizada.

CONTROL DE LA CONDENSACIÓN

La unidad debe colocarse por debajo de la altura de la cabeza y plana,

permitiendo que la condensación drene hacia la cámara de agua, lejos

del paciente.

Si se acumula un exceso de condensación en el tubo respiratorio

calentado, desconecte la interfaz del paciente del tubo respiratorio

calentado, drene la condensación levantando el extremo del tubo del

paciente, permitiendo que la condensación fluya hasta la cámara de agua.

Con caudales deseados más altos, puede ser necesario reducir en

primer lugar la configuración del flujo deseado a 30 L/min o menos

para garantizar que la condensación se drene en la cámara de agua.

2

Minimice las fuentes locales de refrigeración en el tubo respiratorio

calentado, como un ventilador para enfriar al paciente o una unidad /

ventilador de aire acondicionado.

A

IR

VO

TM

Si la condensación persiste, plantéese disminuir la temperatura deseada.

Una temperatura deseada más baja reduce la producción de humedad

de la unidad, disminuyendo el grado de condensación.

Nota: También disminuirá la concentración de humedad y la temperatura

que recibe el paciente.

B–5

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ADVERTENCIAS

Para evitar quemaduras:

• No ponga a funcionar la unidad sin que la cámara de agua esté colocada en su lugar.

• No toque la placa de calentamiento, la cámara de agua ni la base de la cámara

durante el uso.

• El agua almacenada en la cámara se calienta durante el uso. Tenga cuidado

cuando retire y vacíe la cámara.

Para evitar descargas eléctricas:

• Al manipular la unidad con la cámara de agua colocada, evite inclinarla para que

el agua no penetre dentro del mismo.

• Saque toda el agua de la cámara de agua antes de transportar la unidad.

Page 26

4. SELECCIONE LA INTERFAZ PARA EL PACIENTE

El myAIRVO 2 puede utilizarse con diversas interfaces para el paciente. Consulte las instrucciones de usuario

específicas de la interfaz del paciente que utilizará, incluidas las advertencias.

ADVERTENCIAS

Para evitar quemaduras:

• No modifique el tubo respiratorio ni la interfaz de forma alguna.

• No utilice interfaces del paciente que no estén incluidas aquí.

Cánula nasal

Interfaz de

traqueostomía

2

VO

AIR

Adaptador de interfaz

de la máscara

TM

Optiflow™+

OPT942E

OPT944E

OPT946E

Optiflow™

OPT842E

OPT844E

OPT846E

Optiflow™ Junior/

OPT316/OPT318

(Consulte «Utilizar

AIRVO 2» - «Modo Junior»)

OPT970E /

OPT870E

OPT980E / RT013E (con máscara)

Tenga en cuenta que el adaptador de la

interfaz de la máscara OPT980E/RT013E

está diseñado para ser utilizado solo con

máscaras que dispongan de ventilación. No

utilice máscaras selladas.

Todas las interfaces de paciente son piezas aplicadas de tipo BF.

En la tabla siguiente se muestran los ajustes de temperatura de condensación y los valores de flujo

deseados que pueden utilizarse con dichas interfaces.

Interfaz

paciente

Patientdel

Interface

OPT316

OPT942

2

OPT318

OPT944

2

10

OPT942E

OPT946

OPT944E

OPT870

10

OPT946E

RT013

10

OPT970E

10

OPT980E

10

OPT842E

10

OPT844E

10

OPT846E

10

OPT870E

10

RT013E

10

Las condiciones de baja temperatura ambiente pueden evitar que la unidad llegue a la configuración de

temperatura deseada de 37 °C con una configuración alta de flujo deseado. En estos casos, considere

reducir el ajuste de flujo deseado.

En altitud, las tasas de flujo máximas alcanzables pueden ser menores a las indicadas en la tabla anterior,

en aproximadamente 5 L/min por 1000 m (3000 pies).

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3. USO DE myAIRVO 2

1. ENCIENDA EL DISPOSITIVO

Conecte el cable de la unidad en la toma de corriente. El conector del

otro extremo del cable eléctrico debe fijarse bien en la parte posterior

de la unidad.

ADVERTENCIAS

Para evitar descargas eléctricas:

• Asegúrese de que la unidad está seca antes de conectarla a la toma de corriente.

2. CALENTAMIENTO

La unidad comenzará a calentarse. Aparecerá en pantalla un símbolo

de calentamiento.

Símbolo de «Calentamiento»

3. CONEXIÓN DE LA INTERFAZ PARA EL PACIENTE

Símbolo «Listo para uso»

Cuando aparezca en la pantalla el símbolo «Listo para uso», conecte

la interfaz del paciente al tubo respiratorio calentado. Cuando utiliza

la unidad por primera vez, el aire se sentirá tibio. Continúe respirando

normalmente.

4. DESPUÉS DEL USO

Cuando termine de utilizar la unidad, retire la interfaz y drene el exceso

de condensación del tubo respiratorio elevando el extremo del tubo del

paciente y dejando que la condensación fluya hacia la cámara de agua.

5. MODO DE SECADO

Para apagar la unidad, mantenga presionado el botón de encendido/

apagado durante 3 segundos hasta que suene una melodía. La unidad

pasará automáticamente al modo de secado y secará el tubo para que

esté listo para el siguiente uso. El modo de secado dura 99 minutos. La

unidad se apagará automáticamente cuando termine.

ADVERTENCIAS

Para evitar quemaduras:

• No se ponga la interfaz durante el modo de secado. El aire está caliente y

puede causarle lesiones.

• No quite la cámara de agua hasta que haya finalizado el modo de secado.

Para apagar la unidad sin terminar el modo de secado (aunque no se

recomienda), mantenga presionado el botón de encendido/apagado

durante 5 segundos.

Si desconecta el cable de la unidad del suministro eléctrico mientras

la unidad está en funcionamiento, sonará la alarma correspondiente a

falta de suministro eléctrico. Presione el botón «Pausa del audio» para

silenciar esta alarma.

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Encienda la unidad, presionando el botón de encendido/apagado

durante 5 segundos.