Oxygen Concentrators Perfecto2 (IRC5P, IRC5PO2) Perfecto2V ...
Humidification System · The Model 7900 Dry Bubble Humidifier is designed for use with wall source...
Transcript of Humidification System · The Model 7900 Dry Bubble Humidifier is designed for use with wall source...
Latex Free
Inthepastifadequateoxygensaturationlevelscouldnotbeachieved,afacemaskwouldbeemployedanddeliveryflowrateswouldbeincreaseduptoasmuchas15LPM.
Oxygenmasksaredesignedtobesoftandcomfortable,howeverbydesignarerestrictiveanduncomfortabletowearforlengthyperiodsoftime.
Anasalcannulaisacosteffectivewaytodeliversupplementaloxygentopatientsinahospitalenvironment,athomeortraveling,butsaturationcouldonlybeachievedwithflowratesfrom1–6LPM.
Now,SalterLabs®hasthe1600HFHigh-FlowCannulathatcandeliverupto15LPMwithahigherFiO2thansimplemasks5plusgivethepatienttheabilitytocommunicatewithclinicalpersonnel,familyandvisitors,takeoralandaerosolmedications,foodandliquidintakewithoutassistance.TheSalter-Style®AdultHFCannulafeatureslargerbore,safetychannelheadsettubingwithanenhancedreservoirfacepiecetoalloweffectivedeliveryofhigheroxygenflows.
Alsoavailableaspartofourhigh-flowdeliverysystemisour350ccDryBubbleHumidifierdesignedspecificallyforusewithwallsourceoxygen,newhighoutputoxygenconcentrators,orotherapplicationswherehigherflowsarerequired.
High-FlowNasalOxygenCannulaandHumidificationSystem
Salter-Style®cannulastheworldwideclinicalstandardforcomfortandefficacy.
TheOxygenCannulathatperformslikeamaskanddelivers...
• High flows up to 15 LPM
• 54% - 75% FiO2, higher than a simple mask
• Greater patient compliance
• Quiet, Comfortable and Effective
Ahumidifierdesignedspecificallyforhigheroxygendelivery
• Hospital, Hospice or Homecare
• Audible, safety pop-off alarm
• Unique 360° rectangular diffusion ports
• Improved hydration
CannulaPartNumber1600HFHumidifierPartNumber7900
AdistinctiveHighFlowCannulaSystemproducespowerfulresultsofferingacosteffective,easytousealternativetoamaskforhighflowsupplementaloxygen.IthasavarietyofapplicationswithintheHospital,LTCare,andHomecaresettingwhensupplementalHFoxygenisindicated
Theuniquedesignelementsincorporatedinthiscannulareducetheresistanceandbackpressurethatresultathigherflowrates.Theheadsettubing,contouredfacepiece,fittings,andconnectorsworkinconjunctiontominimizeflowrestrictionanddampensound.Endresultisacomfortable,costeffectivecannulacapableofdeliveryflowratesupto15LPM.
Recentstudiesindicatethehigh-flowcannulasystemresultsinFiO2rangesof45-80%withflowsupto15LPM(FIG.1).Undersuchvariablesasopen/closedmouthbreathing/andpatients(FIG.2)rapidbreathing(orhyperventilating(FIG.3).
Thesevaluesaresimilartothoseassociatedwhenusingasimplemask4oraNon-Rebreathermaskatequivalentliterflows(FIG.5).
Now a patient can have the performance of a mask with the comfort and convenience of a cannula!
FIG.4IllustratestheFiO2valuesforlowflow1-6LPMandhighflow6-15LPMwiththesubjectrestingbreathingorhyperventilating.ItillustratesincreasingflowdoesincreaseFiO2.3
FIG.2Mean+/-SDforpharyngealFiO2atselectedliterflows.Includesallvaluesobtainedmouthopenandmouthclosedduringrestingbreathing.FiO2rangedfrom26-75%.2
FIG.3Mean+/-SDforpharyngealFiO2atselectedliterflowsduringrapidbreathing.Thelowervalues24-72%wereconsistentwithhigherinspiratoryflowrequirements.2
“Thisdeviceexceedsminimumhumidificationstandardsathigher-then-traditionalflowandmeetsASTM(AmericanSocietyforTestingandMaterials)standards.”1
Thehighflowcombinationproduced72.5%-78.7%relativehumidityduringflowsof5to15LPMatambienttemp21°-32°C.1
“It is apparent that high-flow nasal cannulas are capable of providing moderate to high FiO2 values.”2
FIG.1Displaysthemean+/-SDanalyzedpharyngealFiO2onsamplesobtainedforeachflowsettingwhilebreathingwithmouthclosedandwithmouthopen.Thereweresignificantdifferences(p<0.05)inFiO2betweenmouthopenandmouth-closedbreathingateachliterflow,withmouthopenbreathingresultinginahigherFiO2.2
NASOPHARYNGEALOXYGENCONCENTRATION(%)RESTING BREATHING HYPERVENTILATING
CANNULA FLOW (L/min) MEAN (SD) RANGE MEAN (SD) RANGE
Low
Flo
w N
asal 1 25.6(5.1) 20-45 24.0(3.5) 21-31
2 33.7(7.7) 22-53 27.7(3.8) 23-363 39.0(9.5) 27-69 32.2(5.3) 24-404 44.8(10.8) 22-74 36.8(7.3) 28-485 50.6(12.5) 32-83 45.2(11.2) 34-706 53.8(11.4) 36-86 45.3(8.0) 32-58
Hig
h F
low
Nas
al
6 54.4(13.0) 35-89 48.9(9.7) 34-687 57.7(12.9) 35-85 52.4(11.3) 39-778 58.0(13.6) 33-87 50.5(11.1) 32-679 63.3(13.5) 38-89 55.6(13.4) 39-7510 65.7(12.9) 40.88 58.5(11.3) 38-7311 67.3(14.5) 36-91 63.0(11.6) 40-7712 68.7(13.4) 37-93 67.2(11.5) 48-8213 70.9(13.6) 42-96 69.4(10.3) 55-8814 73.3(12.5) 41-89 70.9(12.8) 46-8815 75.2(13.0) 39-98 71.7(9.0) 55-84
FIG.5IllustratesFiO2valuesforhighflow6-15LPMNasalCannula,simplemask,NRBMasks5.
O2Flow(L/min)
NasalCannulaFiO2%(mean±SD)
RangeFiO2%
SimpleMaskFiO2%(mean
±SD)
RangeFiO2%
Non-rebreatherFiO2%mean
±SD
RangeFiO2%
PredictedFiO2%
6 54±13 35-89 43±2.6 38-47 45±2.9 40-49 45
8 58±14 33-87 41±2.6 37-47 57±4.6 51-65 53
10 66±13 40-88 57±3 52-63 68±2.3 64-71 61
12 69±13 37-93 69±3.3 64-74 68±2.7 64-73 69
15 75±13 39-98 Nottested 74±2.4 68-77 77
“Thisdeviceexceedsminimumhumidificationstandardsathigher-then-traditionalflowandmeetsASTM(AmericanSocietyforTestingandMaterials)standards.”1
Thehighflowcombinationproduced72.5%-78.7%relativehumidityduringflowsof5to15LPMatambienttemp21°-32°C.1
Humidity and High-FlowsTheModel7900DryBubbleHumidifierisdesignedforusewithwallsourceoxygen,highoutputoxygenconcentratorsorotherapplicationswhereflowsupto15LPMarerequired.Itincorporatespatenteddesignelementsandcomponentsincorporatedinthisuniquebubbletypehumidifiertoovercomeseveralspecificchallengesencounteredbycliniciansincorporatinghumidityathigherflowrates.Thesefeaturesresultinreducedwaterturbulenceandreducedinternalbackpressureswhichtypicallyoccurathigherflowranges.Itwasnotedatflowsof5-15LPM,theHighFlowsystem,cannulaandhumidifier,produced72.5-78.7%relativehumidity1andexceededtheAmericanSocietyforTestingandMaterials(ASTM)minimumhumidificationstandardsevenatitshighestflowrates.1
Thesmoothundersideofthehighdomedlidanddesignoftheoutletpressurerelieffittingscombinetoproduceagasflowpatternwhichdramaticallyreducesdropletrainoutandwaterturbulenceinthejar.Additionally,thegasdiffuserheadfeaturesaseriesofrectangularportswhichdirecttheoxygenflowdownwardandtothesideandproducesmallbubblestohydratethedrygas.
Thediffusersitsataspecificdepthfromthejarbottomtooperatemorequietlyandreducewaterturbulenceinthehumidifierjar.Thepressurereliefportusesasolidbrassweightwithdualgasexitportholestoaccommodatethehigherflows.Itopenstoreleaseexcesspressurethenautomaticallyre-setsprovidingcontinuousoxygenflowtothepatient.Thiscombinationofdesignfeaturesproducesabubblehumidifierwhichissimpletomaintainandoperatewiththeabilitytohydrateathighflowswithoutsplashingwateroutthepressurereliefport.
Multiplerectangularhydrationportsproducefineaerationbubblestohydratethedrygaswithreducedwaterturbulence.
Domedlidismoldedwithasmoothundersidetoreduceairandwaterturbulenceandincreaseefficiency
Waterjarremoveswithonly1/2on/offturn.NogaskettoworryaboutandhaspermanentlyetchedMinimumandMaximumwaterlevels
Theaudiblereliefvalvehasdualexitportswhichletthepoppetautomaticallyresetprovidingcontinuousflowtothepatient.
“Giventheincreasedpatientcomfortandcomplianceassociatedwiththeuseofnasalcannulas,comparedtothatofoxygenmaskdevices,theHigh-FlowcannulacombinationmayprovideanattractiveandcostefficientalternativefordeliveryofmoderatetohighFiO2.”
2
PartNumber7900
Units Part WithHighFlowCannulas perCase Number‡ Earcushions
AdultClearCannulawithenhancedfacepiece, 10or25 1600HF-4 1600HFTLC-4and4’brightgreensupplytubing.
AdultClearCannulawithenhancedfacepiece, 10or25 1600HF 1600HFTLCand7’brightgreensupplytubing.
AdultClearCannulawithenhancedfacepiece, 10or25 1600HF-14 1600HFTLC-14and14’brightgreensupplytubing.
AdultClearCannulawithenhancedfacepiece, 10 1600HF-25 1600HFTLC-25and25’brightgreensupplytubing.
AdultClearCannulawithenhancedfacepiece 10 1600HF-50 1600HFTLC-50and50”brightgreensupplytubing
HighFlowBubbleHumidifier
HighFlow350ccBubbleHumidifier,Dry 10or25 7900
100WestSycamoreRoad•Arvin,CA93203Phone:661.854.3166•1-800.421.0024•1.800.235.4203Fax:661.854.3850•TollFreeFax:1.800.628.4690Email:[email protected]•www.salterlabs.com
As with any oxygen delivery modality, it is recommended that individual patients be tested to titrate dosing and determine suitable flow rates to sustain desired oxygen saturation levels. Patients receiving high flow oxygen should be monitored regularly or continuously for appropriate oxygen saturation levels.
Ordering Information
ISO13485AuthorizedRepresentativeintheE.U.: MTPromedtConsultingGmbH Altenhofstrasse80 D-66386St.IngbertGermany
PrintedinU.S.A.Copyright2009SalterLabs®RevJanuary2011SLML57U.S.PatentNo.‡D369,409OtherU.S.andWorldwidepatentspending
Facts at a Glance 7900
Bubble
Humid
ifier
FOOTNOTE REFERENCE LIST:1.WaughJB,GrangerWM.Anevaluationof2newdevicesfornasalhigh-flowgastherapy.RespirCare2004;49(8)902-9062.WettsteinRB,ShelledyDC,PetersJI.Deliveredoxygenconcentrationsusinglow-flowandhigh-flownasalcannulas.RespirCare2005;50(5)604-6093.WettsteinRB,CantuC,Benavidezl,RodriguezJ,Petersj,ShelledyD.Nasopharyngealoxygenconcentrationsinnormalsubjectswearinglowflowandhighflownasalcannula(abstract)RespirCare2003;48(11)10834.TiepB,BarnettM,Highflownasalvshighflowmaskoxygendelivertrachealgasconcentrationsthroughaheadextensionairwaymodel(abstract)RespirCare2002;47(9):10795.GarciaJ,GardnerD,VinesD,ShelledyD,WettsteinR,PetersJ,TheOxygenconcentrationsdeliveredbydifferentoxygentherapysystems(abstract)Chest2005128/4/389S-b
Patientcaneatordrink
PatientcanwearglassesandreadorwatchT.V.
Patientcantakeaerosolmedicationtreatment
Patientcantakeoralmedications
Patientcanverballycommunicatewithvisitorsandclinicians
Adequatehydrationfullflowrange6-15LPM1
OxygensourcecanbeLOX,Cylinder,WallsourceorHighoutputConcentrator
Pressurereliefpopoffautomaticallyre-setsuntildownstreamobstructioniscleared.Reducespotentialforuninterruptedoxygenflowtopatient
Deliveryflowsof6-15LPMavailablein4,7,14,25and50’asstandardlengths
Optimumquietoperationandcomfortforpatient
Humidifierdesignminimizeswaterspillageathighergasflows
Ifpatientstatuschangestolowflowrequirements,thereisnoneedtochangesetup,simplyresettheLiterPerMinute,flowrateasneeded
1600
HF Can
nula
Oxygen
Mas
k