medin Medical Innovaons GmbH
Adam-Geisler-Str. 1
82140 Olching, Germany
+49 8142 448 460
info@medin-medical.com
www.medin-medical.com
IFU_medin-NC3 EN
Rev 05 Status as of 28.04.2021
34 of 68
Please note:
In order to be able to use the manual push funcon at all mes, the level of the addional push ow (F
insp
) should
be set in advance (e.g. at the start of the CPAP therapy) and adjusted as needed in the event of ow changes.
Factors that can exert an inuence on the adjusng CPAP pressure during a push:
- Paent’s respiraon: In a similar way to the pressure uctuaons that are caused by the paent’s
breathing during CPAP therapy and are displayed on the CPAP pressure curve along with other
parameters, the paent’s respiratory acvity has an inuence on the actual level of push which is
achieved.
- Tube system volume and push level: The volume of air in the tube system must be compressed
before the increased ow triggered by the medin-NC3® causes the CPAP pressure in the Medijet®
to rise. If large tube systems are used, or if the dierence between the basic ow and the total ow
during the push is considerable, it will take some me to reach the desired CPAP pressure. If the
duraon of the push is shorter than this me lag, it will not be possible to achieve the desired push
pressure.
- Changes to the CPAP system and changes in leakage condions: Since the user determines the
necessary amount of addional ow during a push (F
insp
), taking into account any leakage situaon
present at this point in me, the level of the push changes when the leakage changes. If the pressure
values during a push are too low, check for leaks and resolve them. Decreases in the leakage,
changes to the Medijet® and tube system or temperature eects may result in increased pressure
values during a push.
- The rao of inspiraon me and push ow has an inuence on the push pressure which can actually
be achieved. In the case of larger push ows and short inspiraon mes, it is possible that, due to
the sluggishness of the blower, the inspiraon me ends before the full push ow was reached and
transported through the tube system to the paent.
Triggering a manual push:
A push can be triggered manually in all CPAP modes of the medin-NC3®. This is done by pressing buon d in
Figure 5-2. The medin-NC3® responds to this by immediately triggering a push. The duraon of the triggered push
corresponds to the set duraon of the inspiraon. If the buon is held down, no addional push is triggered aer
the rst one has been completed. Another push can only be triggered by releasing the push buon and pressing
it again. The precondion for triggering a manual push is that a push ow (F
insp
) >0 L/min was set.
5.6 CPAP mode
CPAP mode provides a pure basic CPAP therapy. In this mode the medin-NC3® produces a constant ow all the
me which is converted into a constant CPAP pressure in the Medijet®.
The seng, acon and informaon opons are:
- Flow (chapter 5.3)
- FiO
2
oxygen concentraon (chapter 5.3) and start and disconnuaon of the O
2
ush (chapter 5.4)
- F
insp
addional push ow and manual PUSH (chapter 5.5)
- Alarm sengs (chapter 5.13)
- Trend graphs (chapter 5.14)
Inspiraon: Figure 5-3 a