Clinician User Manual
32 Pages
Preview
Page 1
*smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
*smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
300ml 200ml 100ml 50ml
Clinician User Manual REF 66800164
only
w
EN
Clinician User Manual
only Table of Contents Introduction
4
Clinician information - total time
15
Device description
4
Clinician information - battery charge
15
Features and functions
4
Battery power
16
Important information Monitoring NPWT
7
Troubleshooting Guide
18
Indications for use
7
Accessories
25
Contraindications
7
Maintenance
27
Warnings
7
Device replaceable components
27
Precautions
8
Storage
27
Physician orders
9
Returning device
27
Glossary of symbols
10
Electromagnetic compatibility
28
Dressing changes
11
Specifications
30
Canister selection
11
Caution statements
31
Installing canister
12
Limited Warranty
32
Removing or changing canister
12
Global customer assistance
390
Connect RENASYS Soft Port dressing and canister
12
Disconnect RENASYS Soft Port dressing and canister
12
Device start up
13
Software version
13
Language selection
13
Starting therapy
13
Pause/adjust therapy
14
Lock or unlock keypad
14
Turn off the device
14
Modes of Operation
14
Clinician information - therapy time
15
EN
Introduction
The RENASYS GO runs on AC mains power with an AC power adaptor or internal battery power. The internal battery charges when the device is plugged into AC mains power both during operation and when turned off and not in use.
This user manual contains important information regarding the safe and effective operation of the RENASYS™ GO Negative Pressure Wound Therapy (NPWT) system. This device (REF 66800164) is intended for use by or on the direction of a trained and licensed physician. This manual is intended to aid in the training of personnel and to provide a reference for experienced users.
The RENASYS GO should be positioned no more than 19in or 50cm higher than the wound and face user's/ operator's location. For proper and effective use of the RENASYS GO device, use only with RENASYS GO canisters, RENASYS dressing kits and RENASYS ancillary componentry. Refer to instructions for use provided with dressing kits for additional information on dressing use and maintenance.
Device description The RENASYS GO suction device is designed to provide Negative Pressure Wound Therapy to a closed environment over a wound, in order to evacuate exudates from the wound site to a disposable container, which may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials.
The RENASYS GO is a portable Negative Pressure Wound Therapy (NPWT) device. It is designed to be used with Smith & Nephew power supply (REF 66800161).
The closed environment is created by applying a RENASYS sterile wound dressing to the wound site and connecting the sealed wound to the suction device.
Features and functions User interface
Status/alarm indicator Power button
Display screen
Battery status indicator
Up and down selectors
Start/pause therapy and select Keypad lock
O-ring Inlet port
4
Audio pause
EN
Canisters • 300ml and 750ml (300ml canister shown here)
Canister clips 300ml 200ml
Viewing window
100ml 50ml
Tethered connector caps Canister Tube Quick click connector
! 50ml 100ml 200ml 300ml
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EN
Proper use/correct orientation
Incorrect orientation
X X
*smith&nephew GO RENASYS™ Pressure Wound Negative Therapy
Negative Pressure Therapy
ephew *smith&n ™GO RENASYS
Wound
✓
Negative Therapy
*smith&nephew O RENASYS™G Pressure Wound
RENASYS™ GO device may also be used in a horizontal orientation, with device facing upward. Negative Therapy
ew *smith&nephS™GO RENASYPressure Wound
However, to maximize canister volume and optimize canister over-capacity alarm, upright device orientation is recommended. Caution: When device is operating in horizontal orientation, facing upward, alarm functionality may be compromised. Monitor wound dressing to ensure it is fully compressed and firm to the touch.
Power inlet and power supply
ephew *smith&n O RENASYS™G Pressure Wound Negative Therapy
AC mains power inlet
Power supply with DC cord
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Important information Monitoring NPWT
Contraindications Use of RENASYS GO is contraindicated in the presence of: • Untreated osteomyelitis • Exposed arteries, veins, organs or nerves • Necrotic tissue with eschar present • Malignancy in wound (with exception of palliative care to enhance quality of life) • Non-enteric and unexplored fistulas • Anastomotic sites
Carefully monitor the patient, device, and dressing frequently to determine if there are any signs of bleeding, exudate accumulation (pooling), infection, maceration, or loss of Negative Pressure Wound Therapy (NPWT). The frequency should be determined by the clinician based on individual characteristics of the patient and wound. NPWT devices are not designed to detect or issue an alarm condition based on the presence of bleeding or pooling. These conditions may only be detected by frequent monitoring.
Warnings
Special attention to the risks of bleeding or loss of NPWT should be considered when prescribing for use in the Home Environment.
1.
NPWT may be impacted by various conditions related to system configuration, set-up and individual characteristics of the patient and wound (e.g. exudate characteristics, patient anatomy). Alignment of the port to the opening in the drape, use of a bridging technique and choice of dressing configuration based on wound characteristics may impact NPWT vacuum delivery over the course of therapy. Exudate volume, viscosity and consistency may influence fluid removal or occlusion formation. A full canister, incorrect canister orientation and device/tubing height relative to the wound can contribute to loss of NPWT and exudate accumulation within the wound, which could lead to maceration, infection, or unrecognized bleeding.
Carefully monitor patients for signs of bleeding, which may lead to interruption in therapy and hemodynamic instability. If such symptoms are observed, immediately discontinue therapy, take appropriate measures to control bleeding, and contact treating clinician.
2. Patients suffering from difficult hemostasis or who are receiving anticoagulant therapy have an increased risk of bleeding. During therapy, avoid using hemostatic products that, if disrupted, may increase the risk of bleeding. 3. Do not use directly on exposed blood vessels or organs. Sharp edges such as bone fragments must be covered or removed prior to initiating therapy, due to risk of puncturing organs or blood vessels drawn closer under the action of negative pressure.
Monitor the wound for infection and ensure that all wound filler is removed at each dressing change to reduce the risk of infection.
4. NPWT has not been studied on pediatric patients. Patient size and weight should be considered when prescribing the device.
Skin grafts should be closely monitored to ensure NPWT is being delivered.
5. Foam or gauze must not be tightly packed or forced into any wound area. Over-packing may interfere with distribution of NPWT evenly across the wound. This may decrease the ability of the wound to properly contract and permit exudate to remain in wound.
Review Contraindications, Warnings & Precautions before use.
Indications for use
6. In the event defibrillation is required, disconnect device from wound dressing prior to defibrillation. Remove wound dressing only if its location will interfere with defibrillation.
RENASYS™ GO is indicated for patients who would benefit from a suction device (Negative Pressure Wound Therapy), as it may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials.
7.
Appropriate wound types include: • Chronic • Acute • Traumatic • Sub-Acute and dehisced wounds • Ulcers (such as pressure or diabetic) • Partial-thickness burns • Flaps and grafts
Device is not MRI compatible. Do not bring device into MRI suite. Prior to entering MRI suite, disconnect device from dressing. Dressing can remain intact on patient.
8. Device is unsuitable for use in areas where there is danger of explosion (e.g., hyperbaric oxygen unit).
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9. When operating, transporting or disposing of device and accessories, there is risk of infectious liquids being aspirated or contamination of device assembly through incorrect use. Universal precautions should be observed whenever working with potentially contaminated components or equipment.
7.
8. When treating enteric fistulas, do not place NPWT dressing in direct contact with exposed bowel. Cover the wound bed, including fistula opening, with non-adherent gauze or with one layer of saline moistened gauze. During the course of treatment patient’s fluid levels must be closely monitored.
10. Device and canister kits are provided non-sterile and should not be placed within a sterile field.
Precautions 1.
In the event a patient with spinal cord injury experiences autonomic dysreflexia, discontinue use of NPWT and immediately seek medical assistance.
9. Avoid use of circumferential dressings except in cases of oedema or heavily exuding extremities, where this technique may be necessary to maintain a seal. Consider using multiple drapes to minimize risk of decreased distal circulation. Regularly assess distal pulses, and discontinue therapy if changes in circulation are detected
More frequent device and wound dressing monitoring, should be taken for patients who are or may be: • Suffering from infected blood vessels • Receiving anticoagulant therapy or platelet aggregation inhibitors, in addition to patients with intrinsic coagulation problems such as low platelet counts • Actively bleeding or have friable blood vessels or organs • Suffering from difficult wound hemostasis • Untreated for malnutrition • Noncompliant or combative • Suffering from wounds in close proximity to blood vessels or delicate fascia
10. Monitor patient for any signs of local or systemic infection. Infected wounds may require more frequent dressing changes. As NPWT is not intended to directly treat infection, if there are any signs of systemic infection or advancing infection at wound area, contact treating clinician immediately. 11. If multiple pieces of foam or gauze are needed to fill the wound profile, count and record how many pieces are present to ensure all pieces are removed at a dressing change to minimize the risk of retention and possible infection.
When monitoring patients for delivery of therapy, ensure wound dressing is free of air leaks, fully compressed and firm to the touch.
12. NPWT should remain on for duration of treatment. The length of time a patient may be disconnected from device is a clinical decision based on individual characteristics of patient and wound. Factors to consider include location of wound, volume of drainage, integrity of dressing seal, assessment of bacterial burden and patient’s risk of infection.
2. As a condition of use, device should only be used by qualified and authorized personnel. User must have necessary knowledge of the specific medical application for which NPWT is being used. 3. For patients with high risk of bleeding use 300ml canister. Ensure the 300ml canister viewing is checked frequently for signs of bleeding.
13. Do not use a dressing kit with breached or damaged packaging. 14. Use of NPWT presents a risk of tissue in-growth. Tissue in-growth may be reduced by reducing therapy pressure, using a wound contact layer or increasing the frequency of dressing changes.
4. In the event of heavy or viscous drainage, drainage with sediment or when blood is present, regular monitoring and more frequent dressing changes may be required to reduce the risk of interruption of therapy, maceration, infection, and ensure proper exudate removal.
15. NPWT should not be painful. If patient reports discomfort, consider reducing pressure setting and use of a wound contact layer. Pressure setting is a clinical decision based on individual characteristics of patient and wound. Factors to consider include location of wound, volume of drainage and integrity of dressing seal.
5. Underlying structures, such as bone, tendons, ligaments and nerves should be covered with natural tissue or a non-adherent dressing layer prior to applying the NPWT dressing to ensure protection and minimize the risk of damage from direct contact with the dressing.
16. Maintain regular monitoring of device and wound site during therapy to ensure therapeutic treatment and patient comfort.
6. To minimize the risk of bradycardia, do not place NPWT in proximity to the vagus nerve. 8
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17. Device is only to be used with Smith & Nephew authorized components. Use of any other products have not been proven safe and effective with RENASYS™ GO device.
28. As with all adhesive products, apply and remove dressing carefully from sensitive or fragile skin to avoid blistering and skin stripping, especially after frequent dressing changes. Use of skin sealant may assist with protection of periwound skin.
18. Ensure canister tubing and RENASYS Soft Port are installed completely and without any kinks to avoid leaks or blockages in vacuum circuit. Position device and tubing appropriately to avoid risk of a trip hazard. Device and system tubing should be positioned no more than 19 inches or 50cm higher than the wound to ensure optimization of therapy and prevent therapy interruption.
29. If patient must be disconnected, the ends of the RENASYS Soft Port and canister tubing should be protected using tethered caps to avoid leakage of fluid and cross contamination.
Physician orders Prior to placement of RENASYS GO, the medical professional treating the wound must assess how to best use the system for an individual wound. It is important to carefully assess wound and patient to ensure clinical indications for Negative Pressure Wound Therapy (NPWT) are met.
19. When bathing or showering patient must disconnect from device, protecting both ends of RENASYS Soft Port tubing using tethered caps. Ensure aeration disc located near quick click connector is free of moisture before reactivation of therapy to ensure proper alarm functionality and prevent interruption in therapy.
All orders should include: • Wound location, size and type • Smith & Nephew wound dressing kit • Pressure settings • Frequency of dressing changes • Adjunctive dressings
20. If any liquids penetrate device, discontinue use and return to your Smith & Nephew authorized provider for service. 21. CT scans and x-ray have the potential to interfere with some electronic medical devices. Keep device out of x-ray or scanner range. 22. Use caution if device is used in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. 23. AC mains power can only be removed by disconnecting power cord or AC power adaptor. Take care in positioning the device to allow access to cord receptacle. 24. If power cord is damaged, wires are frayed or exposed, do not use power cord. Contact your Smith & Nephew representative for a replacement cord. 25. Canisters should be changed at least once a week, whenever there is a change in patient or in the event that canister contents reach maximum volume indication (300ml or 750ml fill line). Do not wait for the canister over-capacity alarm to activate to change canister. 26. Canisters kits are single use devices. Do not reuse. 27. Do not apply SECURA™ No-sting barrier film wipes directly to open wounds. SECURA No-sting barrier film is flammable. Use in a well ventilated area. Avoid using around flames and sources of ignition Keep out of reach of children. For external use only.
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Glossary of symbols Keypad lock Locks keypad to restrict accidental adjustment of therapy. When activated, the light will illuminate solid blue.
Power Turns device ON and OFF. Battery indication Shows status of device battery life.
Audio pause Pauses alarm for approximately 2-3 minutes. When activated the light will illuminate and flash yellow.
Up selector Allows pressure setting to be increased and scroll through menu options.
If a new alarm occurs, the audio pause will cancel. (This feature available with software version 0.66 and later).
Down selector Allows pressure setting to be decreased and scroll through menu options.
Start/pause therapy and select Starts or pauses therapy. It is also used to confirm settings within therapy.
Equipment Classification Isolation type BF applied part
Single Use Do not reuse
European Representative
CSA International Classification
Keep Dry
Lot Number
EU: Not for general waste
Storage Temperature
Serial Number
Refer to instruction manual/booklet
Date of Manufacture
Product Catalogue Number
Caution: Follow instructions for use
Manufacturer
CE Mark
Do not use if package is damaged
MR
MRI Unsafe
Caution: U.S. Federal
only law restricts this device to sale by or on the order of a physician
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Dressing changes
Canister selection
Refer to instructions for use provided with dressing kits for additional information on dressing use and maintenance.
Device is to be used with RENASYS™ GO 300ml or 750ml canisters.
1.
RENASYS GO canisters use an integral two stage bacterial filter for protection of device against overflow and spread of aspirated micro-organisms.
Foam dressings should be changed every 48 to 72 hours after the initial application of therapy. If no leak is present and the patient is comfortable, subsequent dressing changes should occur no less than 3 times per week.
Canisters are designed for single patient use. Do not re-use. Canisters are provided non-sterile and should not be used in a sterile field.
2. Gauze dressings should be changed 48 hours after the initial application of therapy. If no leak is present and the patient is comfortable, subsequent dressing changes should occur 2–3 times per week.
Canisters should be changed at least once a week, whenever there is a change in patient or in the event the canister contents reach maximum volume indication (300ml or 750ml fill line). Do not wait for alarm activation to change canister.
3. In the event of heavy or viscous drainage, drainage with sediment or when blood is present, regular monitoring and more frequent dressing changes may be required.
Canisters may have to be changed regularly within single-patient treatment episodes if exudate levels are high. Check canisters regularly to monitor exudate levels, ensuring they are below maximum volume indication (300ml or 750ml fill line).
4. When dressing a wound involving a difficult to seal anatomy or exposure to external moisture, frequent inspection of dressing is recommended to ensure a seal is maintained. Ensure wound dressing is fully compressed and firm to the touch.
Check canister for any signs of cracks or damage. If noted, discard and replace canister. Ensure canister viewing window is checked frequently for signs of bleeding.
5. Ensure all wound filler material placed in the wound has been removed before redressing the wound. If foam dressing adheres to the wound, apply saline into the wound dressing and let it set for 15–30 minutes before gently removing the foam. Appropriately discard used wound dressings observing your institution’s protocol for medical waste handling.
For patients with high risk of bleeding, use 300ml canister.
6. As with all adhesive products, apply and remove dressing carefully from sensitive or fragile skin to avoid skin stripping, especially after frequent dressing changes. Use of skin sealant may assist with protection of periwound skin. 7.
Monitor patient for any signs of local or systemic infection by checking dressing frequently. Infected wounds may require more frequent dressing changes. As NPWT is not intended to directly treat infection, if there are any signs of systemic infection or advancing infection at wound area, contact treating clinician immediately.
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Connect RENASYS™ Soft Port dressing and canister
Installing canister 1.
Ensure device is off.
Connect Soft Port to canister tubing by pushing orange quick click connectors together. An audible click indicates connection is secure.
2. Remove paper tape around canister tubing to release tubing to full length. 3. Open both orange clips on sides of canister. 4. Align canister so that viewing window is facing forward. 5. Push canister gently over device inlet port. 6. Engage both canister clips. Clips will click when properly engaged. 7.
Following canister installation, to verify functional complete blockage alarm, turn device on and insert tethered cap of canister tubing into connector to simulate a blockage. A functional device will activate a complete blockage alarm within 5 minutes. In the case that complete blockage alarm does not activate, check canister installation and contact your Smith & Nephew authorized representative.
Note: Do not cover aeration disc.
Disconnect RENASYS Soft Port dressing and canister 1. *smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
*smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
*smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
*smith&nephew RENASYS™ GO Negative Pressure Wound Therapy
2. Turn device off.
300ml 300ml 300ml 200ml 100ml
200ml 100ml
Hold orange quick click connector above wound to help ensure exudate does not leak from tubing.
3. Disconnect canister tubing from Soft Port.
200ml 100ml 50ml
50ml
50ml
Removing or changing canister 1.
Hold orange quick click connector above wound to help ensure exudate does not leak from tubing.
2. Turn device off. 3. Disconnect canister tubing from Soft Port. 4. Insert tethered cap into both sides of orange quick click connector. 5. Release orange canister clips on sides of canister and gently pull away from device.
4. Insert tethered cap into both sides of orange quick click connector.
Disposal of used canisters should follow facility protocols or local ordinances relating to handling of potentially infected or biohazardous materials.
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Device start up
Language selection
Device operates on both battery and AC mains power.
To change language selection:
If battery operation is required for first use of device, battery must be charged from AC mains power until battery status top indicator light illuminates solid green. During charging process the battery status top indicator light will flash green.
1.
2. Simultaneously press and hold Up
W e l c o m e S t a r t i n g
Up
4. Pressing Select
buttons for 2
buttons to scroll to desired button.
button at this point will power
on the device at a preset 80mmHg in continuous mode, if the device is being used for the first time, or the previously entered pressure setting.
If device is being used for the first time, the user will be given the option to select desired language:
Starting therapy
►E n g l i s h D a n s k
1.
Select prescribed pressure setting using Up
Software version
and Down
2. Press Select
To access software version of a device:
buttons.
button to start therapy.
C o n t i n u o u s ► 1 0 0 mmH g
Turn device off.
3. Finished dressings should be fully compressed,
button for 2 seconds.
firm to the touch and leak free.
Device display will show: W e l c o m e S t a r t i n g
and Down
language, followed by Select
V X . X X
2. Press and hold Power
+ Power
3. Language can now be selected using
button
S t a n d b y ► 1 0 0 mmH g
1.
+ Select
seconds.
If AC mains power is required, connect power supply to the AC mains power inlet, on the side of device. To activate device, press and hold Power for 2 seconds. Device display will show:
Turn device off.
Setting pressure level is a decision that the healthcare provider must make based on an individual assessment of the particular wound.
V X . X X
3. The software version is provided on the lower right-
40-120mmHg is recommended therapeutic pressure range.
hand corner of the welcome display screen.
In the event you have a wound that is difficult to seal, you may increase the pressure setting to achieve desired negative pressure at the wound bed. Device will show set pressure level. If device detects operation outside of the set pressure, it will result in alarm activation. Caution: Before starting therapy ensure that device and system tubing are located no more than 19in or 50cm higher than the wound and is away from any direct sources of heat.
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Pause/adjust therapy
Modes of Operation RENASYS™ GO offers both continuous and intermittent modes. Selection of therapy mode setting is a clinical decision based on physician judgment, wound type, exudate level, exudate consistency and patient comfort.
Therapy may be paused by pressing Select
button once. When paused, device will
show a standby message on display screen and pressure setting can be changed using Up Down
and
In continuous mode, device will maintain selected pressure setting without stopping until switched off.
buttons.
In intermittent mode, device cycles on and off in increments of 5 minutes “ON” (active vacuum) and 2 minutes “OFF” (no vacuum).
S t a n d b y ► 1 0 0 mmH g
Press Select
Intermittent therapy is not recommended for:
button to restart therapy.
•
Highly exudating wounds
Lock or unlock keypad
•
Wounds with tunnels or undermining
To lock user interface when device is active, press and
•
Wounds in difficult areas where maintaining a seal is problematic
•
Patients who experience pain during intermittent therapy
hold Keypad Lock
button for 2 seconds. When
activated, the light will illuminate solid blue. K e y p a d L o c k e d ► 1 0 0 mmH g
To change therapy between continuous and intermittent mode:
If keypad on user interface has not been used for 15 minutes, keypad will automatically lock.
1.
In active mode, if keypad on user interface has not been used for 15 minutes, keypad will automatically lock. The light above keypad lock button will illuminate solid blue.
2. Simultaneously press and hold
(This feature is available with software version 0.66 and later).
3. Use Up
Down
► 1 0 0
or Down
buttons to scroll
Press the Select
buttons for
button to confirm.
Once therapy is started, display screen will show which mode of therapy has been selected.
A c t i v e mmH g
Note: Locking keypad only locks row of keys under display screen - Power Button is not locked.
Turn off the device Press and hold Power
+ Power
between continuous and intermittent mode.
button for 2 seconds.
K e y p a d
+ Select
2 seconds.
To unlock user interface, press and hold Keypad Lock
Turn device off.
button for 2 seconds to
power off device.
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Clinician information - therapy time
Clinician information - total time
Device displays information which allows clinicians to see therapy time (total hours and minutes of continuous or intermittent therapy) delivered to the patient.
This feature is available with software version 0.66 and later. Device displays total number of hours accumulated in active mode. This time cannot be reset.
To access therapy time: 1.
To access total time display screen:
Turn device off.
1.
2. Simultaneously press and hold Down
+ Select
+ Power
buttons for
2. Simultaneously press and hold
2 seconds.
Down
3. Use Down
to show the following
3. Press Down
display screen:
T o t a l x x x x x
then return to main menu.
option. Press Select
Clinician information - battery charge This feature is available with software version 0.66 and later.
button to show the
following display screen:
Device displays percentage of battery charge remaining.
A c t i v e
To access battery charge display screen: button again to confirm that you
1.
want to clear active time.
Press Select
T i m e H
main menu.
button to scroll to "clear time"
3. Use Down
to show the following
4. Display will show for 5 seconds and then return to
To reset therapy time:
2. Press Select
buttons for
display screen: m
4. Therapy time display will show for 5 seconds and
C l e a r ►T i m e ?
+ Power
button to scroll to "total time"
option. Press Select
A c t i v e T i m e x x x x x H , x x
Use Down
+ Select
2 seconds.
button to scroll to "show time"
option. Press Select
1.
Turn device off.
Turn device off.
2. Simultaneously press and hold Down
button to scroll to "yes" option.
+ Select
+ Power
buttons for
2 seconds.
button to show the following
3. Press Down
display screen:
button to scroll to "battery charge"
option. Press Select
A c t i v e T i m e C l e a r e d
to show the following
display screen:
4. Display will show for 5 seconds and then return to
B a t t e r y x x x %
main menu.
4. Press Select
Active time should be cleared between patients. This will allow the clinician to monitor patient therapy compliance.
menu.
15
C h a r g e
button to return to the main
EN
Battery power Device can be used on battery power to allow greater user mobility. A fully charged battery will last up to 20 hours. During therapy, if battery level is low, the device can be plugged into AC mains power without interrupting therapy. Battery will recharge while therapy continues to be delivered. Battery status indication RENASYS™ GO contains a lithium ion rechargeable battery. There are several battery level indicators on RENASYS GO device:
Indicator B a t t e r y F u l l ► 1 0 0 mmH g
Battery level
Action
Battery is fully charged and has up to 20 hours active therapy remaining. Battery status top indicator will illuminate solid green.
No action required.
Battery has up to 10 hours active therapy remaining. Battery status top indicator will flash green.
No action required.
Battery has up to 6 hours active therapy No action required. remaining. Battery status top indicator will flash green and battery status bottom indicator will illuminate solid amber. Battery has up to 3 hours active therapy remaining. Battery status bottom indicator will illuminate solid amber. Audible alarm will beep 2 times every 30 seconds.
Audio alarm can be paused by pressing the audio pause button on user interface. Plug device into AC mains power to charge battery.
R E C H A R G E V . L o w B a t t e r y
Battery has up to 1 hour active therapy remaining. Battery status bottom indicator will flash amber. Audible alarm will beep 3 times every 10 seconds.
Device should be plugged into AC mains power to charge battery and ensure continued delivery of therapy.
! ! R E C H A R G E ! ! E X . L OW B A T T E R Y
Battery has only 2 minutes of active therapy remaining. Battery status bottom indicator will flash amber. Audible alarm will sound continuously for 2 minutes.
Device should be plugged into AC mains power or therapy will discontinue.
! !
! ! ! !
A t t e n t i o n L o w B a t t e r y
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Indicator
Battery level
Action
! ! ! !
After 2 minutes in an extremely low battery charge state, device will power off.
Plug device into AC mains power.
When plugged into AC mains power display screen will show “Charging” message and battery status top indicator will flash green.
No action required. Device may take up to 3 hours to charge.
If battery unit within device has failed to charge, display screen will show “Battery Failed” message and battery status bottom indicator will flash amber.
Therapy will only be delivered if plugged into AC mains power. Device will not operate on battery power.
Note: This will only display when connected to AC mains power.
Contact your Smith & Nephew authorized representative.
R E C H A R G E N OW ! B A T T E R Y F A I L
C h a r g i n g ►1 0 0
mmH g
! B A T T E R Y F A I L E D ►1 0 0 mmH g
This feature is available with software version 0.66 and later.
Caution: Keep device away from direct heat sources during charging.
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Troubleshooting Guide Alarm status with display screen
Cause
Remedy
Low Vacuum Alarm ! ! ! !
Vacuum level is lower than NPWT set point by >15mmHg. •
Audible alarm will beep 3 times every 10 seconds.
•
Status/alarm indicator light will flash amber.
•
Once corrected, alarm will automatically reset and status/ alarm indicator will return to solid green.
! ! ! !
•
! ! ! !
•
1.
WA R N I N G L OW V A C U U M
Device is unable to achieve selected vacuum level due to internal device malfunction or a significant leak in the system.
With device actively creating vacuum, check wound dressing for air leaks. Look for loose or decompressed dressing appearance, listen for air movement around dressing and feel for areas less compressed or cooler in temperature. Address identified leaks with transparent film or adhesive gel patch.
2. Ensure the following connections are secure: •
Orange quick click connector between Soft Port and canister tubing
•
Secure engagement of canister to device
3. Disconnect Soft Port from canister tubing at orange quick click connector and insert tethered cap into both connectors.
A U D I O P A U S E D L OW V A C U U M
Pressing audio pause button will pause audible alarm for approximately 2-3 minutes.
•
If alarm condition continues, there is a potential issue with the device or canister. Replace canister and contact your Smith & Nephew authorized representative.
•
If alarm condition resolves, an air leak is present within the wound dressing or Soft Port. Reassess and replace as needed.
T H E R A P Y S T O P L OW V A C U U M
Device will stop delivering therapy after pausing alarm 5 times, without addressing condition.
Note: If low vacuum alarm is due to a leak in system, the high flow/leak alarm may also activate while low vacuum alarm is active. Note: If over vacuum alarm indicator is illuminated along with low vacuum indicator, follow troubleshooting steps for over vacuum alarm.
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Alarm status with display screen
Cause
Remedy
Device has detected a high vacuum condition potentially due to line blockage or device malfunction.
1.
Device has reached high vacuum level (>235mmHg).
1.
High vacuum alarm ! ! ! !
WA R N I N G H I G H V A C U U M
Vacuum level is higher than NPWT set point by >15mmHg for more than 30 seconds. •
Audible alarm will beep 3 times every 10 seconds.
•
Status/alarm indicator will flash amber.
•
This audio alarm cannot be paused and must be investigated by healthcare provider immediately and corrected.
•
Once corrected, alarm will automatically reset and status/ alarm indicator will return to solid green.
Inspect connections and tubing to ensure they are free of obstructions. Ensure there are no kinks in canister tubing.
2. Replace canister. 3. If alarm condition continues, device may have malfunctioned. Contact your Smith & Nephew authorized representative.
Over vacuum alarm ! ! ! !
T H E R A P Y S T O P O V E R V A C U U M
! ! T H E R A P Y S T O P ! ! R e s t a r t D e v i c e
The system has encountered an excessively high vacuum (of >235mmHg). •
Vacuum safety switch will operate and device will stop delivering therapy.
•
Audible alarm will beep 3 times every 10 seconds.
•
Status/alarm indicator will flash amber.
•
This audio alarm cannot be paused and must be investigated by healthcare provider immediately and corrected.
Press and hold power button for 2 seconds to turn device OFF.
2. Inspect connections and tubing to ensure they are free of obstructions. Ensure there are no kinks in canister tubing. 3. Replace canister. 4. Turn device back ON by pressing and holding power button for 2 seconds. If alarm condition continues, device may have malfunctioned. Contact your Smith & Nephew authorized representative.
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EN
Alarm status with display screen
Cause
Remedy
Complete blockage/canister over-capacity ! ! ! !
WA R N I N G B L O C K A G E / F U L L
Device detects a complete blockage in vacuum circuit. There is no negative pressure at wound site. •
Audible alarm will beep 3 times every 10 seconds.
•
Status/alarm indicator will flash amber.
•
Once corrected, alarm will automatically reset and the status/alarm indicator will return to solid green.
! ! ! !
•
! ! ! !
•
1.
There is a complete blockage in system; this includes a canister where contents have exceeded maximum volume capacity or in the instance that the internal canister filter is covered with exudate.
A U D I O P A U S E D B L O C K A G E / F U L L
Pressing audio pause button will pause audible alarm for approximately 2-3 minutes.
Check canister. If contents have reached maximum volume indication (300ml or 750ml fill line), replace canister.
2. Inspect connections, tubing and Soft Port aeration disc (located on Soft Port, near the orange quick click connector) to ensure they are free of obstructions. Ensure there are no kinks in canister tubing. 3. Disconnect Soft Port from canister tubing at orange quick click connector. Insert tethered cap into Soft Port connector. Allow air to flow freely into canister. •
If alarm condition continues, there is a potential issue with the device or canister. Replace canister and contact your Smith & Nephew authorized representative.
•
If alarm condition resolves, a blockage is present within the Soft Port. Reassess and replace as needed.
Caution: Do not wait for alarm activation to change canister. At point of alarm activation, canister contents have exceeded maximum volume capacity, potentially impacting device alarm functionality.
T H E R A P Y S T O P B L O C K A G E / F U L L
The device will stop delivering therapy after pausing alarm 5 times, without addressing condition.
Note: Device and canister should be kept in an upright orientation to optimize canister overcapacity alarm functionality while maximizing canister volume.
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