the Breeze SleepGear User`s Guide

PURITAN
BENNETT
Breez{ SleepGear*
UsernsGuide
Guided'utilisation
Benutzerhandbuch
ManualeOperativo
Manualdel usuario
Guiado utilizador
Gebruiksaanwijzing
Contents
Thismanual
is available
onlineat:
http://www.mallinckrodt.com/respiratory/resp/Serv_Supp/PBProductManuals.
html
Nellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Breeze,
SleepGear, a'ndDreamSeal aretrademarks of Nellcor Puritan Bennett Inc.
@ 2004 Nellcor Puritan Bennett Corporation. All rights reserved.
BreezeSleeoGear
Contents
Warnings
A
tl
Warningsare identifiedby the WARNINGsymbolshownabove.
Warningsalertthe user to potentialserious outcomes (death, injury,or adverse events)
to the patientor user.
WARNINGS:
A
. Do not block or modify vent hole.
. To ensure sufficient air for respiration, do not wear mask and tubinq until
they are connected to a propeily operating CpAp machine_
. At low CPAP pressures, flow through the vent hole mav be inadequate
to
clear all exhaled gas from tubing. Sbme rebreathing miy occur.
. lf irritation develops, discontinue use and consult your physician.
. qglyg"n is.used with mask or CPAP machine turn oxygen flow off when
CPAP machine is off.
Cautions
@
Cautions are identifiedby the CAUTION symbol shown above.
Cautions alert the user to exercise care necessaryfor the safe and effectiveuse of the
Breeze S/eepGear.
Caution: By US Federal law, this device may be sold or used only as
ordered by a licensed physician.
Notes
@
Notes are identifiedby the NOTE symbol shown above and provide additionalhelpful
information.
4
BreezeSleepGear
Overview
The Puritan-BennettBreeze SleepGear(Single Patient Use) is
offered in two airway assembly configurations:
. Nasal Pillows
. DreamSeal
User informationfor both configurationsis presentedin this guide.
Components
The primary componentsthat comprise the Breeze S/eepGearare:
. Nasal Pillows(or DreamSeal)
. Shell
. Vent Hole lnsert
. Wing Knob
. Pivot
. Hose
. Hose Guide
' CliP
. Outrigger
. Spine Adapter
. Swivel Adapter
. Cradle
. Halo Straps
Refer to the figures on the following page.
BreezeSleepGear
Overview
Nasal Pillows
1. Nasal Pillows
2. Shell
3. Vent hole insert (outside
of shell)
4. Wing knob (adjustangle
of Nasal Pillowsshell)
5. Clip
6. Hose
7. Hose guide
8. Outrigger
9. Swivel adapter
10.Spineadapter
11. Cradle
12.Halo straps (not shown)
DreamSeal
1. DreamSeal
2. Shell
3. Vent hole insert (outside
of shell)
4. Pivot (adjust angle of
DreamSealshell)
5. Hose
6. Hose guide
7. Outrigger
8. Swivel adapter
9. Spine
10.Cradle
11. Halo straps (not shown)
BreezeSleepGear
Overview
Indicationsfor Use
This productis intendedfor use with devicesthat delivercontinuous
positive airway pressure (CPAP) and bi-level positiveairway
pressure in patientsweighing at least 30 kg. Refer to the warnings
on page 4.
Technical Data
The followingtable providesthe technicaldata for both the Nasa/
Pillow and DreamSeal configurations.
Vent Floq Pressure Range, and Materials
Parameter
Vent Flow
CPAPPress.
(cm water)
Flow Rate
(Umin)
3
13
5
16
8
21
10
23
12
25
15
28
18
31
20
32
25
34
30
38
35
40
PressureRange
3 - 35 cmHzO
Materials
Nasal Pillows:medical-gradesilicone
DreamSealPerimeterSeal: medicalgrade silicone
Halo Straps:Velstretch@
BreezeSleepGear
Assembly
Assembly
Before using the Breeze S/eepGearfor the first time, assemble
it as follows:
1.
Insertthe nasalainrvayassembly(item 1) into the SleepGear
assemblyspine adapter(item2). The hose guideslidesback and
forth in the spineadapterwith a ratchetingsound.
Nasal Pillowsairwayconfiguration:
While pinchingthe Nasal
Pillowsbetweenthe thumb and forefinger,insertthe NasalPillows
into the shell holeswith a gentlerotatingmotion.
n#x
DreamSealairway configuration:Perform the following steps and
refer to the figure on the next page.
. Attachthe Dreamsealto the shell by insertingthe lip on the
bottom of the DreamSeal into the notch on the bottom of the
shell.
. Place your thumb and forefingeron the two raised circles on the
DreamSeal.
. Rotate the DreamSealtoward the shell and squeeze gently to
engage the two side latches.
BreezeSleepGear
Use
4.
Optional:Thread the halo straps through the slots in the cradle
(see figurebelow,item 1). Then threadthe halo strapsthroughthe
outrigger(item2) or throughthe optionalclip accessory(item3 Nasal Pillowsonly).Engagethe Velcro@
fastenerson the straps.
NasalPillows- Side
Note:
You may wish to try fittingthe Breeze SleepGear
without the halo straps first, then add the straps if a
better fit is required. Refer to the Adjustmeni section
on the followingpage.
Use
Inspection
Inspectthe Breeze S/eepGearand its componentsbefore each use
to ensure all parts are firmly connectedand no visible leaks exist.
Fitting
1.
Insertthe Nasal Pillowsinto your nostrilsor placethe DreamSeal
over your nose.
BreezeSleepGear
Use
Caution: Avoid excessive bending of the nasal airway
assembly when putting on lhe Breeze SleepGear.
2.
Placethe cradle(back pad) belowthe curveat the back of your
head.
1.
Adjust the positionof the cradle on the spine so that the cradle sits
comfortablyat the base of your head.
Adjustment
Place your hand on the spine and hold it firmly to the back of your
head. Adjust the length ol lhe Breeze S/eepGear with your free
hand by moving the nasal ainvay assembly toward your face.
Refer to the following figure.
10
3.
Adjustthe heightand angleof the shellso that the NasalPillowsor
DreamSealdeviceis comfortableand there are no audibleleaks.
4.
Optional:Use the halo straps, if needed,to add stabilityand
enhancethe fit ofthe Breeze SleepGear.
BreezeSleepGear
Use
. Adjust the tension of the halo straps for a comfortablefit. Do not
overtightenthe straps.
. lf usingthe optionalclipaccessoryadjustby firstliftingthe clip;
positions
then,slidetheclipto oneof thethreeavailable
along
the hoseguidethatprovidesthe mostcomfortable
fit.
Using Halo Straps With Clip
5.
@
Closeupof Clip Adjustment
Pressurizethe interfacewith your positive ainivaypressure device
and readjust as requiredto eliminate leaks.
ruote;:
The amount of force on your nose should be just enough to
prevent air leaks.
You may need to readjustthe fit of Breeze S/eepGearwhen you
lie down.
Breeze SleepGear
11
Cleaning
Cleaning
@
@
Note:
To prolongthe life of the product,it is recommendedthat
the Breeze S/eepGear be cleaned thoroughlyat least
once per week.
Gaution: Hand clean only. To avoid damage to the Breeze
SleepGear, never use a dishwasher or other
mechanical device to clean the Breeze SleepGear
or any of its components.
1.
Disconnectthe back half of the nasalairwayassembly(item 1)
where the hose guide attachesto the spine adapter(item2).
Removethe Nasal Pillowsor the DreamSealfrom the shell.
To removethe Nasal Pillows,pinchthe Nasal pillowsbetween
your thumb and forefinger;then, pull the Nasalpillowsout of the
shell holes with a gentle rotatingmotion.
w
, &1r.
To removethe DreamSealfrom the shell,do the followingand
refer to the next figure.
. Place your thumb and forefinger on the two raised circles on the
DreamSeal.
12
BreezeSleepGear
Cleaning
Squeezegentlyto disengagethe two side latches.
Rotiatethe DreamSealaway from the shell.
Disengagethe lip on the bottomof the DreamSealfrom the
notchon the bottomof the shell.
3.
Disconnectand removethe hose.
Caution: To avoid damaging the hoses when connecting or
disconnecting them, use the methods described in
the following instructions. Never pull on or twist the
ribbed portions of hoses. Refer to the figures below.
To removethe hosefrom the shell:
. Placeyour thumb and forefingeron the smoothend of the hose
where it attachesto the shell.
. Disconnectthehose from the shell.
. Slidethe hose out of the hose guide.
s
To disconnectthe hose at the swivel adaoter:
. Grasp each hose at its rubber cuff.
. Gentlypull hoses apart.
BreezeSleepGear
13
Cleaning
Removethe vent hole insertfrom the Nasalpillowsshell or the
DreamSealshell.Slideyour fingernailunderthe end of the insert
with the raisedindicatordot(s)and pull the insertup and out.
Note:
lt is recommendedthat you confirm that you have the
correctvent insert.The Nasal Pillowsvent hole insert
features two raised indicatordots, while the DreamSeal
vent hole inserthas a singleraisedindicatordot.
Gaution: Do not immerse components with foam pads
attached. Do not sterilize. Do not use bleach-,
chlorine-, or aromatic-basedsolutions, scented oils,
or moisturizing, antibacterial,deodorizing, or
fragranced soaps to clean the nasal pillows, mask,
headgear,padding, or air tubing. Use of such
substances may cause hardening olyour Breeze
SleepGear,thereby reducing the life ofthe product.
Caution: Do not expose the mask or tubing to direct sunlight.
Exposure to direct sunlight may cause deterioration
of the product.
14
5.
Wash the nasalairwayassemblypartsin warm, soapywater as
necessaryto removedirt, body oils, cosmetics,etc. Rinsethem
thoroughlyin clean runningwater and air dry on a clean,
absorbentsurface.Foam pads may be wipedwith a mild soap
appliedto a moistcloth.
6.
To installthe vent hole insert,alignthe indicatordot(s)on the
insertwith the singledot on the shell.press the vent hole insert
intothe openingin the shell.Makesurethe innerlip on the vent
hole insertis fully insertedinto the shell.
BreezeSleeoGear
Cleaning
lfyou areusingthe halostraps,releasetheendsandpullthe
strapsthroughthe outriggerandcradleslots.Thecradlemaybe
separated
fromthe spineadapterfor cleaning.
Extendthecradle(item't) to its maximum
adjustment
andthen
pullon the cradlemoreforcefullyto separateit fromthe spine
adapter(item2).
BreezeSleepGear
15