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PRODUCT CATALOGUE Bubble CPAP System Bubble CPAP System

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Page 1: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

PRODUCT CATALOGUE

Bubble CPAP SystemBubble CPAP System

Page 2: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not
Page 3: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP

Section

Delivery Systems 1Diagrams 1.1Infant Delivery System (BC151) 1.2Infant Delivery System (BC161) 1.2Infant Delivery System (BC171) 1.2

Patient Interface 2Nasal Tubing Midline 2.1Nasal Tubing Universal 2.1Nasal Prongs 2.1Infant Bonnet Midline 2.1Headgear Midline 2.1Chinstrap 2.1

Bubble CPAP System Starter Kits 3Starter Kit Midline Delivery System 3.1Starter Kit I/F (Flow Driver compatible) Delivery System 3.1Nasal Prong Starter Kit 3.2Infant Bonnet Starter Kit 3.2Starter Kit Midline F&P 50mm 3.2Starter Kit Midline F&P 70mm 3.2Starter Kit Midline F&P 100mm 3.2Starter Kit Midline Universal 50mm 3.3Starter Kit Midline Universal 70mm 3.3Starter Kit Midline Universal 100mm 3.3

Accessories / Devices 4Single-USeGas Supply Line 2.1m 4.1Gas Supply Line to 2 flow meters 4.1Midline Pressure Luer Adaptor 4.1

MoUnting optionSHumidifier Stand Telescopic 4.2Mounting Bracket – C-Clamp 4.2Mounting Bracket – Pole 15-50mm 4.2

HUMidificationHumidifier 4.3Heater Wire Adaptor MR850 4.3Heater Wire/Temp Probe Kit 4.3Probe Temp/Flow Ang 1600mm 4.3

gaS SUpplyBird MBlender 2-16LPM DISS 4.3Bird MBlender 2-16LPM NIST 4.3Bird MBlender Pole Mount Bracket 4.3

Sample Setups 5Pole Mount Setup 5.1Infant Warmer Setup 5.2

Contents

Page 4: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP

8 9

10

7 6

89

10

76

BC161

BC171

1.1Delivery Systems

BC151

Page 5: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP

Product Code Description

BC151-10 Includes

Infant Delivery SystemMR290 chamberPressure ManifoldCPAP GeneratorSingle-heated Circuit

BC161-10 Includes

Infant Delivery SystemMR290 chamberPressure ManifoldCPAP GeneratorSingle-heated Circuit

BC171-10* Includes

Infant Delivery SystemMR290 chamberSimplified Pressure Manifold (with attached dry line)CPAP GeneratorSingle-heated CircuitPressure Damping Filter

Delivery Systems 1.2

55

89

10

76

MR290 Chamber

Pressure Manifold

Single Heated Circuit

Simplified Pressure Manifold

(BC171-10 only)

CPAP GeneratorPressure Damping Filter(BC171-10 only)

* Flow Driver compatible circuit

Page 6: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP

Product Code Description Size

Nasal Tubing LengthBC180-05 Nasal tubing 50mm x5 50mm BC181-05 Nasal tubing 70mm x5 70mm BC182-05 Nasal tubing 100mm x5 100mm BC190-05 Nasal tubing Universal 50mm x5 50mm BC191-05 Nasal tubing Universal 70mm x5 70mm BC192-05 Nasal tubing Universal 100mm x5 100mm

Nasal Prongs diameter of nares / width of septumBC3020-10 Nasal prong 3020 10/bx 3.0mm / 2.0mmBC3520-10 Nasal prong 3520 10/bx 3.5mm / 2.0mmBC4030-10 Nasal prong 4030 10/bx 4.0mm / 3.0mmBC4540-10 Nasal prong 4540 10/bx 4.5mm / 4.0mmBC5040-10 Nasal prong 5040 10/bx 5.0mm / 4.0mmBC5050-10 Nasal prong 5050 10/bx 5.0mm / 5.0mmBC5550-10 Nasal prong 5550 10/bx 5.5mm / 5.0mmBC5560-10 Nasal prong 5560 10/bx 5.5mm / 6.0mmBC6060-10 Nasal prong 6060 10/bx 6.0mm / 6.0mmBC6070-10 Nasal prong 6070 10/bx 6.0mm / 7.0mm BC6570-10 Nasal prong 6570 10/bx 6.5mm / 7.0mm

Patient Interface

Nasal Prongs

Nasal Tubing Midline(BC18x series)

Infant Bonnet

Headgear

Chinstrap

Length in mm

Nasal Tubing Universal(BC19x series)

Product Code Description Size

Infant Bonnet head circumferenceBC300-05 Infant Bonnet Midline 17-22cm x5 17cm-22cmBC303-05 Infant Bonnet Midline 22-25cm x5 22cm-25cmBC306-05 Infant Bonnet Midline 25-29cm x5 25cm-29cmBC309-05 Infant Bonnet Midline 29-36cm x5 29cm-36cm

Product Code Description Size

Headgear head circumferenceBC325-05 Headgear Midline 29-36cm x5 29cm-36cmBC328-05 Headgear Midline 35-40cm x5 35cm-40cmBC331-05 Headgear Midline 40-45cm x5 40cm-45cm

Chinstrap face circumferenceBC351-10 Chinstrap 20-26cm x10 20cm-26cmBC353-10 Chinstrap 26-32cm x10 26cm-32cmBC355-10 Chinstrap 32-38cm x10 32cm-38cmBC357-10 Chinstrap 38-44cm x10 38cm-44cm

2.1

Diameter of naresSeptum gap

Page 7: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAPBubble CPAP System Starter Kits

Nasal Tubing

Nasal Prongs

Infant Bonnet

Infant Flow compatible circuit

Simplified Pressure Manifold

(BC171 only)

Damping Filter(BC171 only)

MR290 ChamberPressure Manifold

55

89

10

76

CPAP Generator

Product Code Description

BC461-SK Starter Kit Midline Delivery System Includes

5 BC161 Infant Delivery System

5 Nasal tubing 70mm

2 Infant Bonnet 17-22cm

3 Infant Bonnet 22-25cm

3 Infant Bonnet 25-29cm

2 Infant Bonnet 29-36cm

2 Nasal Prong 3520

3 Nasal Prong 4030

4 Nasal Prong 4540

4 Nasal Prong 5040

4 Nasal Prong 5050

4 Nasal Prong 5550

4 Nasal Prong 5560

3 Nasal Prong 6060

2 Nasal Prong 6070

BC471-SK* Starter Kit I/F Delivery System Includes 5 BC171 Infant Delivery System (with simplified pressure manifold and pressure damping filter)

5 Nasal tubing 70mm

2 Infant Bonnet 17-22cm

3 Infant Bonnet 22-25cm

3 Infant Bonnet 25-29cm

2 Infant Bonnet 29-36cm

2 Nasal Prong 3520

3 Nasal Prong 4030

4 Nasal Prong 4540

4 Nasal Prong 5040

4 Nasal Prong 5050

4 Nasal Prong 5550

4 Nasal Prong 5560

3 Nasal Prong 6060

2 Nasal Prong 6070

* Flow Driver compatible circuit

3.1

Page 8: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAPPatient Interface Starter Kits

Nasal Prongs

Nasal Tubing

Infant Bonnet

Product Code Description

BC260-SK Nasal Prong Starter Kit Includes

2 Nasal Prong 3520

3 Nasal Prong 4030

4 Nasal Prong 4540

4 Nasal Prong 5040

4 Nasal Prong 5050

4 Nasal Prong 5550

4 Nasal Prong 5560

3 Nasal Prong 6060

2 Nasal Prong 6070

BC360-SK Infant Bonnet Starter Kit Includes

2 Infant Bonnet 17-22cm

3 Infant Bonnet 22-25cm

3 Infant Bonnet 25-29cm

2 Infant Bonnet 29-36cm

BC480-SK Starter Kit Midline F&P 50mm Includes

3 Nasal tubing 50mm

2 Nasal Prong 3520

2 Nasal Prong 4030

2 Nasal Prong 4540

1 Nasal Prong 5040

1 Infant Bonnet 17-22cm

2 Infant Bonnet 22-25cm

1 Infant Bonnet 25-29cm

BC481-SK Starter Kit Midline F&P 70mm Includes

3 Nasal tubing 70mm

2 Nasal Prong 3520

2 Nasal Prong 4030

2 Nasal Prong 4540

1 Nasal Prong 5040

1 Infant Bonnet 17-22cm

2 Infant Bonnet 22-25cm

1 Infant Bonnet 25-29cm

BC482-SK Starter Kit Midline F&P 100mm Includes

3 Nasal tubing 100mm

2 Nasal Prong 4540

2 Nasal Prong 5040

2 Nasal Prong 5050

1 Nasal Prong 5550

1 Infant Bonnet 22-25cm

2 Infant Bonnet 25-29cm

1 Infant Bonnet 29-36cm

3.2

Page 9: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAPUniversal Patient Interface Starter Kits

Nasal Prongs

Nasal Tubing

Infant Bonnet

Product Code Description

BC490-SK Starter Kit Midline Universal 50mm Includes

3 Nasal Tubing Universal 50mm

2 Nasal Prong 3520

2 Nasal Prong 4030

2 Nasal Prong 4540

1 Nasal Prong 5040

1 Infant Bonnet 17-22cm

2 Infant Bonnet 22-25cm

1 Infant Bonnet 25-29cm

BC491-SK Starter Kit Midline Universal 70mm Includes

3 Nasal Tubing Universal 70mm

2 Nasal Prong 3520

2 Nasal Prong 4030

2 Nasal Prong 4540

1 Nasal Prong 5040

1 Infant Bonnet 17-22cm

2 Infant Bonnet 22-25cm

1 Infant Bonnet 25-29cm

BC492-SK Starter Kit Midline Universal 100mm Includes

3 Nasal Tubing Universal 100mm

2 Nasal Prong 4540

2 Nasal Prong 5040

2 Nasal Prong 5050

1 Nasal Prong 5550

1 Infant Bonnet 22-25cm

2 Infant Bonnet 25-29cm

1 Infant Bonnet 29-36cm

The Universal Patient Interface Starter Kit is designed to allow connection of other single-heated circuits e.g. Cardinal and Hudson.

3.3

Page 10: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAPAccessories

SINgle-USe

Product Code Description

BC400-10 Gas Supply Line 2.1m

BC402-05 Gas Supply Line (to 2 flow meters)

BC420-10 Midline Pressure Luer Adaptor

Midline Pressure Luer Adaptor

Gas Supply Line (to 2 flow meters)

Gas Supply Line(to blender)

4.1

Page 11: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP4.2Mounting Options

Pole Clamp

C-Clamp

Telescopic Humidifier Stand

Product Code Description

900MR292 Humidifier Stand – telescopic

900MR170 Mounting Bracket – C-clamp

900MR030 Mounting Bracket – Pole 15-50mm

Page 12: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP4.3Devices

MR850 Humidifier Heater WireTemperature / Flow Probe

HUmIDIfICaTIoN

Product Code Description

MR850 Humidifier

900MR801 Heater Wire Adaptor MR850

900MR823 Heater Wire/Temp Probe Kit

900MR868 Probe Temp/Flow Ang 1600mm

gaS SUPPly

Product Code Description

BC501-01 Bird MBlender 2-16LPM DISS

BC502-01 Bird MBlender 2-16LPM NIST

BC506-01 Blender Oxy/Air Bio-Med (DISS) green

BC507-01 Blender Oxy/Air Bio-Med (DISS) white

BC510-01 Bird MBlender Pole Mount Bracket

BlenderDISS & NIST

fittings available

Bird MBlender Pole Mount Bracket

Low FlowAir/O2 Blender

Gas Blenders are available on an individual basis.

They come complete with color coded nipples and control knobs.

• Flowrate 2-16 L/min (Bird)

0-15 L/min (Bio-Med)

• Includes flowmeter nipples (green or white)

Note: Requires 900IW320 Bird Bracket Blender Complete to be fitted to the CosyCot™ Infant Warmer. Gas hoses not included. Please refer to Fisher & Paykel Healthcare Infant Warming Catalogue.O2%

BIO-MED DEVICES

Page 13: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP

MR850Humidifier

Sample Setup (pole)

900MR801Heater Wire AdaptorMR850

900MR868Probe Temp/FlowAng 1600mm

Low FlowAir/O2 Blender

Bird MBlender2-16LPM

BC501-01 (DISS)BC502-01 (NIST)

Note:

Gas Hoses not included.

Please refer to Fisher & Paykel

Infant Warming Catalogue BC510-01Bird MBlenderPole Mount Bracket

900MR030Mounting Bracket Pole15-50mm(for mounting humidifier)

900MR170Mounting Bracket C-Clamp(for mounting CPAP generator)

900MR292Humidifier Stand Telescopic

5.1

Page 14: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP5.2Sample Setup (warmer)

Low FlowAir/O2 Blender

Bird MBlender 2-16LPM

BC501-01 (DISS)BC502-01 (NIST)Note:

Gas Hoses not included.

Please refer to Fisher & Paykel

Infant Warming Catalogue

900MR801Heater Wire AdaptorMR850

900MR868Probe Temp/FlowAng 1600mm

900IW302Mounting Pole long

MR850Humidifier

BC510-01Bird MBlenderPole Mount Bracket

900MR170Mounting Bracket C-Clamp(for mounting CPAP generator)

900MR030Mounting Bracket Pole15-50mm(for mounting humidifier)

Page 15: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not
Page 16: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

REF

1850

4359

9 R

ev F

200

9-07

e

n

MANUFACTURER Fisher & Paykel Healthcare Limited, 15 Maurice Paykel Place, East Tamaki, Auckland 2013; P O Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: [email protected] Web Site: www.fphcare.com AUSTRALIA Tel:+61 3 9879 5022 Fax:+61 3 9879 5232 AUSTRIA Tel: 0800 29 31 23 Fax: 0800 29 31 22 BENELUX Tel:+31 40 216 3555 Fax:+31 40 216 3554 CHINA Tel:+86 20 3205 3486 Fax:+86 20 3205 2132 FRANCE Tel:+33 1 6446 5201 Fax:+33 1 6446 5221 GERMANY Tel:+49 7182 93777 0 Fax:+49 7182 93777 99 INDIA Tel:+91 80 4123 6041 Fax:+91 80 4123 6044 IRISH REPUBLIC Tel: 1800 409 011 ITALY Tel:+39 06 7839 2939 Fax:+39 06 7814 7709 JAPAN Tel:+81 3 3661 7205 Fax:+81 3 3661 7206 NORTHERN IRELAND Tel: 0800 132 189 SPAIN Tel:+34 902 013 346 Fax:+34 902 013 379 SWEDEN Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 SWITZERLAND Tel: 0800 83 47 63 Fax: 0800 83 47 54 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, United Kingdom Tel:+44 1628 626 136 Fax:+44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax:+1 949 453 4001

Page 17: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Bubble CPAP System Set-up Guide

Page 18: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

For full User Instructions, please refer to Bubble CPAP System User Instructions (BC151/BC161 PN 185042847 and BC171 PN 185042848).

Page 19: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

F & P B U B B l e C P A P S e t - U P G U I d e     1

5

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BC161 (connects to F&P Flexitrunk™ Interface)

BC151 (connects to t-bar Interface)

BC151 / BC161

CheCks During OperatiOn

• Regularly observe that the water is feeding into the humidification chamber.• Should the water level exceed the maximum level marked on the humidification chamber,

the chamber should be replaced.• Check that all connections are tight before use and after any adjustment.• ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier.• Regularly observe the circuit for condensate. drain as required. • Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check

for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling.

• Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed.

• Monitor patient oxygen levels.• Always use pressure monitoring to verify that the patient is receiving the

prescribed CPAP level.

Page 20: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

BC151 / BC161 set-up

2     F & P B U B B l e C P A P S e t - U P G U I d e

1. Insert Humidification Chamber discard the chamber if the seals are not intact

when received.• Slide the chamber on to the humidifier base. • Remove the blue caps.

2. Connect Water Bag Hang the water bag, unwind the water feed set and

spike the water bag. • Open the vent on the vented spike.• Check the humidification chamber for water flow from

the bag.• If no water is visible in the chamber or water

consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. try gently squeezing the bag to promote water flow. ensure that the height of the water bag is at least higher than the humidification chamber. If in doubt replace the chamber.

discard the chamber if the water level exceeds the maximum water level line.

3. Fill Bubble CPAP Generator• Using the fill-funnel provided, fill the CPAP generator

with sterile water until water flows into the overflow container.

• Set the CPAP probe to 10 cmH2O, ready for the

leak test. ensure that the fill-funnel remains on the Bubble

CPAP generator. ensure that the humidifier and Bubble CPAP generator

are mounted below the patient.

Water level

correct

Water level

too low

Page 21: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

F & P B U B B l e C P A P S e t - U P G U I d e     3

4. Connect Bubble CPAP Pressure Manifold and Breathing Circuit

• Connect the oxygen tubing between the pressure manifold and the flow source.

• Connect the pressure manifold to the chamber inlet port.

• Connect the blue inspiratory tube to the remaining chamber port.

• Remove the blue caps from the inspiratory tube and install the temperature probe ports and heater-wire adapter.

ensure that the heater-wire (inside tube) is evenly distributed along the circuit length and is not bunched or kinked.

• Connect test elbow to expiratory and inspiratory limbs.

5. Leak Test Check all connections are tight before use. • Set the CPAP probe to 10 cmH

2O and the input flow

rate to 1 l/min.• Observe the CPAP generator. Gentle, audible

bubbling is acceptable; no bubbling means unacceptable leakage.

• If no bubbling is observed, check the entire system. Remove the correct port cap from the pressure

manifold before connecting any monitoring device.

6. Set Flow Rate• Adjust the flow rate to the prescribed input flow rate.• Recommended flow rate: 6 to 8 l/min.• Allowable flow range: 4 to 15 l/min.

1 l/min

6-8 l/min(<15 l/min)

5

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Page 22: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

4     F & P B U B B l e C P A P S e t - U P G U I d e

BC151 / BC161 set-up

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7. Set CPAP Level• the number on the CPAP probe above the lid

indicates the CPAP pressure in cmH2O. As an example,

the illustration shows CPAP setting of 6 cmH2O.

• Set the CPAP probe at the prescribed level (3 to 10 cmH

2O).

Note: Other interfaces or circuits may produce varying pressures.

pressure-FlOw taBle – F&p Bubble Cpap generator used with F&p infant interface, typical mean pressure values (cmh

20) with nO leak

PROBe SettING (cmH2O)

Flow (L/min) 3 4 5 6 7 8 9 10

4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0

5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1

6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2

7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4

8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5

9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6

10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8

11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9

12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1

13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3

14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4

15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6

Page 23: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

F & P B U B B l e C P A P S e t - U P G U I d e     5

8. Connect Bubble CPAP Circuit to Infant Interface• Remove the flow test elbow and connect the circuits

to the Infant Interface using the instructions provided with the interface.

• BC161 connects to F&P Flexitrunk Interface.• BC151 connects to short binasal prongs (t-bar).

9. Set the Humidifier ensure there is air flow present before turning on

the humidifier. • turn on the humidifier. – If using the MR850, ensure it is on Invasive mode

(37 °C). – If using the MR730, set the temperature to

40 °C, -3. • Refer to the MR850 or MR730 User Instructions for

further information.

10. Attach Interface to Infant• Connect the interface to the infant using the

instructions provided with the interface.

MR730: 40 °C, -3

MR850: 37 °C

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BC161

BC151

Page 24: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

6     F & P B U B B l e C P A P S e t - U P G U I d e

BC171

5

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BC171 (connects to Flow driver)

CheCks During OperatiOn

• Regularly observe that the water is feeding into the humidification chamber.• Should the water level exceed the maximum level marked on the humidification chamber,

the chamber should be replaced.• Check all connections are tight before use and after any adjustment.• ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier.• Regularly observe the circuit for condensate. drain as required. • Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check

for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling.

• Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed.

• Monitor patient oxygen levels.• Always use pressure monitoring to verify that the patient is receiving the

prescribed CPAP level.

Page 25: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

F & P B U B B l e C P A P S e t - U P G U I d e     7

1. Insert Humidification Chamber discard the chamber if the seals are not intact

when received.• Slide the chamber on to the humidifier base. • Remove the blue caps.

2. Connect Water Bag• Hang the water bag, unwind the water feed set and

spike the water bag. • Open the vent on the vented spike.• Check the humidification chamber for water flow from

the bag.• If no water is visible in the chamber or water

consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. try gently squeezing the bag to promote water flow. ensure that the height of the water bag is at least 50 cm higher than the humidification chamber. If in doubt replace the chamber.

discard the chamber if the water level exceeds the maximum water level line.

3. Fill Bubble CPAP Generator• Using the fill-funnel provided, fill the CPAP generator

with sterile water until water flows into the overflow container.

• Set the CPAP probe to 10 cmH2O, ready for the

leak test. ensure that the fill-funnel remains on the

Bubble CPAP generator. ensure that the humidifier and Bubble CPAP generator

are mounted below the patient.

Water level

correct

Water level

too low

BC171 set-up

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8     F & P B U B B l e C P A P S e t - U P G U I d e

BC171 set-up

4. Connect Pressure Manifold, Dry Line and Circuit• Connect the pressure manifold with dry line to the

flow driver and chamber inlet port.• Connect the blue inspiratory limb to the remaining

chamber port. • Remove the blue caps from the inspiratory tube and

install the temperature probe ports and the heater-wire adapter.

ensure that the heater wire is evenly distributed along the circuit length and is not bunched or kinked.

• Connect test elbow to expiratory and inspiratory limbs.

5. Leak Test Check all connections are tight before use. • Set the CPAP probe to 10 cmH

2O and the input flow

rate to 1 l/min.• Observe the CPAP generator. Gentle, audible bubbling

is acceptable; no bubbling means unacceptable leakage.

• If no bubbling is observed, check the entire system.

6. Set Flow Rate• Adjust the flow rate to the prescribed input flow rate.• Recommended flow rate: 6 to 8 l/min.• Allowable flow range: 4 to 15 l/min.

Set CPAP Level• the number on the CPAP probe above the lid

indicates the CPAP pressure in cmH2O. As an example,

the illustration shows CPAP setting of 6 cmH2O.

• Set the CPAP probe at the prescribed level (3 to 10 cmH

2O).

1 l/min

8910

76

6-8 l/min(<15 l/min)

5

8910

76

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F & P B U B B l e C P A P S e t - U P G U I d e     9

7. Connect Bubble CPAP Circuit to Infant Interface• Remove the flow test elbow and connect the

circuits to the Infant Interface using the instructions provided with the interface.

pressure-FlOw taBle – F&p Bubble Cpap generator used with F&p infant interface, typical mean pressure values (cmh

20) with nO leak

PROBe SettING (cmH2O)

Flow (L/min) 3 4 5 6 7 8 9 10

4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0

5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1

6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2

7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4

8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5

9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6

10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8

11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9

12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1

13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3

14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4

15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6

Note: Other interfaces or circuits may produce varying pressures.

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1 0     F & P B U B B l e C P A P S e t - U P G U I d e

BC171 set-up

9A. Set the Humidifier (MR730) ensure there is air flow present before turning on

the humidifier. • turn on the flow driver.• turn on the humidifier. – If using the MR730, set the temperature to

40 °C, -3. • Refer to the MR730 User Instructions for further

information.

9. Set the Humidifier (MR850) ensure there is air flow present before turning on

the humidifier. • turn on the flow driver.• turn on the humidifier. – If using the MR850, ensure it is on Invasive mode

(37 °C).• Refer to the MR850 User Instructions for further

information.

8. Connect Pressure Line to Flow Driver• Connect the pressure line filter end of the pressure

line to the flow driver.• Connect the pressure line elbow connector end of

the pressure line to the nasal tubing pressure port.

MR730: 40 °C, -3

A

MR850: 37 °C

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F & P B U B B l e C P A P S e t - U P G U I d e     1 1

10. Attach Interface to Infant• Connect the interface to the infant using the

instructions provided with the interface.

BC171

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AustraliaFisher & Paykel Healthcare Pty limited36-40 New Street, PO Box 167 Ringwood, Melbourne Victoria 3134, Australia

tel: +61 3 9879 5022Fax: +61 3 9879 5232

Austriatel: 0800 29 31 23Fax: 0800 29 31 22

Beneluxtel: +31 40 216 3555Fax: +31 40 216 3554

Chinatel: +86 20 3205 3486Fax: +86 20 3205 2132

Francetel: +33 1 6446 5201 Fax: +33 1 6446 5221

Germanytel: +49 7181 98599 0 Fax: +49 7181 98599 66

Indiatel: +91 80 4284 4000 Fax: +91 80 4123 6044

Irish Republictel: 1800 409 011

Italytel: +39 06 7839 2939 Fax: +39 06 7814 7709

Spain tel: +34 902 013 346 Fax: +34 902 013 379

Sweden tel: +46 8 564 76 680 Fax: +46 8 36 63 10

Switzerland tel: 0800 83 47 63 Fax: 0800 83 47 54

Taiwan tel: +886 2 8751 1739Fax: +886 2 8751 5625

Turkey tel: +90 312 354 34 12Fax: +90 312 354 31 01

UK EC REP

Fisher & Paykel Healthcare ltd Unit 16, Cordwallis Park Clivemont Road, Maidenhead Berkshire Sl6 7BU, UK

tel: +44 1628 626 136 Fax: +44 1628 626 146

USA/Canadatel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001

Manufacturer Fisher & Paykel Healthcare ltd 15 Maurice Paykel Placeeast tamaki, Auckland 2013

PO Box 14 348, PanmureAuckland 1741New Zealand

tel: +64 9 574 0100 Fax: +64 9 574 0158 email: [email protected] Web: www.fphcare.com

www.fphcare.com

1850

3421

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For more information please contact your local Fisher & Paykel Healthcare representative

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F&P BUBBlE CPAP SYSTEM

With the goal of improving patient care in over 120 countries, Fisher & Paykel Healthcare designed the F&P Bubble CPAP System for use with spontaneously breathing infants requiring respiratory support.

Incorporating unique features and world-leading humidification technology, the F&P Bubble CPAP System has been developed to provide a respiratory support system that is safe, effective and easy to use.

Adaptability to current practices has been taken into consideration with the choice of various system models.

The F&P Infant Interface complements the system, providing comfort and optimum CPAP support to the infant at risk.

Bubble CPAP System

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Safe and Reliable• Used on over a quarter of a million patients globally

• The unique auto-level mechanism of the Bubble CPAP generator provides consistent and accurate delivery of CPAP

• The pressure manifold with pressure relief valve promotes infant safety

Easy to Use• Easy auto-leveling by simply adding water into the Fill Funnel on the Bubble

CPAP generator

• Excess condensate automatically drains into the detachable overflow container (see image on right)

• Detachable overflow container can be emptied without interrupting CPAP

Optimum Humidification• The F&P Bubble CPAP System provides respiratory support with

body-temperature pressure-saturated gases to the infant

• Optimal humidity promotes mucociliary clearance and reduces the work of breathing

Simple Yet Versatile• Adjustable CPAP from 3 to 10 cmH

2O

• The Bubble CPAP System can connect to various interfaces

F&P Bubble CPAP SyStem | FEATURES

The F&P Bubble CPAP System is the first complete system available in an “All-in-One Pack”. It includes the Bubble CPAP generator,

heated breathing circuits, humidification chamber and pressure manifold. F&P FlexiTrunk™ is a lightweight nasal tubing with a unique, flexible

extension for a stable prong and mask fixation while allowing for normal infant movement.

F&P Bubble CPAP System models include:

• BC151 – connects to other infant CPAP interfaces (e.g. Hudson and Inca prongs)

• BC161 – connects to the F&P Infant Interface

• BC171 – connects to the M672P Infant Flow Driver (IFD) or equivalent

5

89

10

76

5

8910

76

5

89

10

76

BC171BC161

BC151

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FOCUS ON FeAtuReS

Bubble CPAP Circuit• Spiral heater-wire provides even

heat distribution, reducing heat loss and condensate build-up

• Aims to deliver optimal humidity

Bubble CPAP Pressure Manifold• Limits the pressure delivered in

the event of an occlusion• Allows connection to a pressure-

monitoring device and/or an air/oxygen analyzer

Bubble CPAP Generator• Adjustable CPAP from 3 to 10 cmH

2O

• Detachable overflow container allows uninterrupted CPAP when overflow container is being emptied

• Includes separate Fill Funnel• Mounting bracket is incorporated

on the back of the Bubble CPAP generator

MR290 Humidification Chamber• Auto-fill, easy to use• Maintains constant CPAP• Closed system minimizes the risk

of infection

Page 34: Bubble CPAP System - Junnimed Bubble CPAP System.pdf · Probe Temp/Flow Ang 1600mm Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not

Manufacturer Fisher & Paykel Healthcare Ltd, 15 Maurice Paykel Place, East Tamaki, Auckland 2013, PO Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: [email protected] Web: www.fphcare.com Australia Tel: +61 3 9879 5022 Fax: +61 3 9879 5232 Austria Tel: 0800 29 31 23 Fax: 0800 29 31 22 Benelux Tel: +31 40 216 3555 Fax: +31 40 216 3554 China Tel: +86 20 3205 3486 Fax: +86 20 3205 2132 France Tel: +33 1 6446 5201 Fax: +33 1 6446 5221 Germany Tel: +49 7181 98599 0 Fax: +49 7181 98599 66 India Tel: +91 80 4284 4000 Fax: +91 80 4123 6044 Irish Republic Tel: 1800 409 011 Italy Tel: +39 06 7839 2939 Fax: +39 06 7814 7709 Japan Tel: +81 3 3661 7205 Fax: +81 3 3661 7206 Northern Ireland Tel: +0800 132 189 Spain Tel: +34 902 013 346 Fax: +34 902 013 379 Sweden Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 Switzerland Tel: 0800 83 47 63 Fax: 0800 83 47 54 Taiwan Tel: +886 2 8751 1739 Fax: +886 2 8751 5625 Turkey Tel: +90 312 354 34 12 Fax: +90 312 354 31 01 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, UK Tel: +44 1628 626 136 Fax: +44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001

F&P Bubble CPAP SyStem | SPECIFICATIONS

www.fphcare.com1850

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Input Flow Range 4 to 15 L/min

Recommended Input Flow 6 to 8 L/min

Set CPAP Pressure Range 3 to 10 cmH2O

Intended Patient Population Premature neonates and infants up to 10 kg

Operating Temperature Range 18 to 26 oC

Storage Temperature Range -10 to 50 oC

Usage Period Single patient use, for a maximum of 7 days

Maximum Pressure Limit 17 cmH2O @ 8 L/min

Oxygen Analyzer Port 22 mm Male or 15 mm Female

Pressure Monitoring Port Female luer

Respiratory Humidifier F&P MR850 or MR730 only (Invasive Mode)

Circuit Length Inspiratory Tube Expiratory Tube

BC161 1.1 m (3.61 ft) 1.2 m (3.94 ft)

BC151 1.4 m (4.59 ft) includes 300 mm (11.8 in) extension to connect to Hudson Prongs

1.2 m (3.94 ft)

BC171 1.1 m (3.61 ft) 1.2 m (3.94 ft)

F&P BuBBle CPAP SyStem

Note: For ordering information, please refer to the Fisher &Paykel Healthcare Bubble CPAP Product Catalogue (Part No. 185043599).

MR850 Humidifier must be purchased separately.

* Box of 10

Product Code & Description

BC151* • • • •

BC161* • • • •

BC171* • • • •

F&P BuBBle CPAP SyStem modelS