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Hillrom MetaNeb User Manual
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46
The MetaNeb® System Instructions for Use
(174432 REV 10)
Particle Specifications
CPEP Mode at 28
LPM
Particle Specifications with 95% C
onfidence Lev
el for 1 C
ycle
NOTE:
Coarse particles (due to oro-phar
yngeal deposition) and ultra-fine
particle
s (due to exhalation) are not
likely to deposit in the
patient’s
air
way
and provide limited clinical benefit
.
Particle
Characterization
Drug
MetaNeb
MMAD (um)
Albuterol
Ipratr
opium
Cromolyn
0.71-1.12
0.33-0.83
0.27-0.44
GSD
3.99-4.76
3.23-6.93
3.77-5.04
T
otal Do
se Deliv
ered
by
Device ug
389.6-529
149-180.
1
647.5-929.9
T
otal Respirable Dose
(0.5 - 5 um)
89-137.8
16.6-46.4
208-299.
2
Coarse P
ar
ticle Dose
>4.7 microns - ug
205.7-338.6
87.8-119
122.4-150
Fin
e
Par
t
i
cl
e D
o
se
<4.7 microns - ug
146.7-227.6
47.5-74.8
514.3-790.7
Ultra-F
ine Pa
r
ticle Dose
<1.0 Microns - ug
84.4-143.9
30-47.3
307.4-673.4
51
53
Table of Contents
Table of Contents
5
Indications
7
Indications for Use
7
Patient Population
7
Absolute Contraindications
7
Relative Contraindications
7
Possible Adverse Reactions
7
Precautions
8
Introduction
9
Description
9
Theory of Operation
10
Normal Mucus Clearance
10
Mucociliary Escalator
10
Cough
10
Autocephalad Flow
10
The Metaneb® System and Bronchial Hygiene
11
Symbols
12
Document Symbols
12
Product Symbols
13
Features
15
Controller
15
Circuit
16
Assemble the Controller System
17
Stand Assembly and Controller Installation
17
Installation of 183808 and 207384 Stands
17
Installation of M08183 Stand
18
Connect the Oxygen Hose
20
Assemble the Circuit
20
Typical Mouthpiece Configuration
20
Other Configurations
21
Mask
21
Tracheostomy
21
In-Line with Ventilator Circuit
22
Add Medication to the Nebulizer
24
Pre-Use Check
26
Pre-Use Check for In-Line Use with a Ventilator
27
Frequency
27
Procedure
27
Metatherapy® Treatment Protocol
28
Assessment of Outcome
29
Re-Evaluation
29
Frequency
29
Procedure
29
The Metaneb® System In-Line with Ventilator Protocol
30
Assessment of Outcome
31
Re-Evaluation
31
Move the Stand
31
Cleaning
32
Cleaning the Controller and Stand
33
Cleaning the Circuit
33
Troubleshooting and Maintenance
35
Troubleshooting
35
Maintenance
36
Shipping and Packaging
36
Specifications
37
Controller Dimensions
38
Stand Dimensions (183808 and 207384)
39
Stand Dimensions (M08183)
40
Classification and Standards
41
Technical Specification for Performance-Breathing Simulator
42
CHFO Pulses-Airway Pressure Reading
43
CPEP-Airway Pressure Reading
43
Hi Pressure CHFO Pulses-Airway Pressure Reading
44
Hi Pressure CPEP-Airway Pressure Reading
44
Bench Performance Checks-Breathing Simulator
45
Nebulizer Performance
49
Circuit Part Numbers
49
Particle Specifications
50
4
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Hillrom MetaNeb Specifications
General
Brand
Hillrom
Model
MetaNeb
Category
Medical Equipment
Language
English
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