Infant Flow® LP system headgear - CareFusion

Infant Flow ®
LP system headgear

Prepare Infant Flow ®
LP SiPAP driver ...............1
Infant Flow LP components ............................2
Generator assembly components ...................3
Low pressure generator .................................4
Nasal prongs ..................................................5
Nasal masks ...................................................6
Nasal prongs and mask sizing ........................7
Headgear sizing .............................................8
Generator assembly application .....................9
Headgear application ............................9-11
Check for proper headgear placement .....12
Incorrect headgear placement .............13-14
Attach interface to generator ...................15
Remove the support cradle ......................16
Apply support cradle to headgear ............17
Align generator assembly .........................18
Table of contents
i
Secure the locking strap ...........................19
Attach side straps to generator ................20
Final check of generator assembly ................21
Check for correct headgear placement .....21
Check placement of exhalation tube ........22
Check for proper nasal prong position .....23
Incorrect nasal prong position ..................24
Verify proper mask placement ..................25
Incorrect mask placement ........................26
Incorrect mask size—too small .................27
Incorrect mask size—too large .................28
Warnings and cautions ................................29
Application tips ............................................30
Inspect the system .......................................31
Notes ......................................................32-33

Prepare Infant Flow LP SiPAP driver
1. Attach the infant circuit to humidifier
and nCPAP driver.
2. Attach generator to the circuit.
3. Perform oxygen sensor calibration
and user verification.
4. Enter desired settings.
1
NCPAP/
Pres Low
L/min
14
50
60
70
40
80
12
30
90
10
21
8
100
6
4
2
Infant Flow
SiPAP
XDCR
P PROX
Pres High
L/min
5
4
3
2
1
3 4
1
2

Infant Flow LP components
A. Prongs and masks
B. Generator
C. Bonnet sizing guide
D. Mask/prong sizing guide
E. Headgear
F. Bonnet
D
A
B
2
E
F
C

Generator assembly components
A. Exhalation tube
B. Securing strap
C. Generator receiver
D. Fixation tab
E. Mask/prong
attachment base
F. Support cradle
G. Pressure and drive lines
C
D
E
3
B
F
A
G

Low pressure generator
• Lower drive pressure
– Prevents pressure backup into the
water auto-feed system
• Pressure relief valve
4
Pressure relief valve

Nasal prongs
Anatomically designed
A. Flared tip
B. Flexible bellows
C. Base
D. Size indicator
E. Key
5
A
B
C
D
E
A
B
C
D

Nasal mask
Anatomically designed
A. Nasal bridge cushion
B. Contour shape
C. Key
D. Flexible bellow
E. Assessment window
F. Size indicator
6
A
B
C
D
E
E
D
F

Nasal prongs and mask sizing
• Use sizing guide to determine appropriate
mask or prong size
• Nasal prongs: Choose dots that fill the
nare space
• If between sizes, choose the larger size
• Nasal masks: Choose the triangle that fits
over the nose
7

Headgear sizing
Measure the circumference of the infant’s head; from crown at back of head to brow line
(in centimeters).
8

Generator assembly application
Headgear application
1. Align headgear with the midline of face.
2. Align bottom of the headgear with the
nape of neck.
9
1.
2

Headgear application (continued)
3. Place #1 strap just above brow line.
Note: Straps are labeled 1, 2, 3.
4. Place #2 strap midline over strap #1.
10
3.
4.

Headgear application (continued)
5. Place #3 strap on top of #1 and
#2 straps.
Note: Strap should be snug—do
not overtighten.
6. Fold #2 strap up and over #3
strap; secure to top strap.
11
5.
6.

Check for proper headgear placement
• Back of headgear rests on nape of neck
• Forehead straps placed on brow line
12

Incorrect headgear placement
• Horizontal strap rests close to eye
• Forehead strap is too far above the
brow line
13

Incorrect headgear placement (continued)
• Above the nape of the neck, creates a
fold/bulging of headgear
• Top strap too tight, forehead strap #3
pulled back
14

Attach interface to generator
Align the notch on the prongs/mask to straddle the pressure lines.
1.
3. 4 .
15
2.

Remove the support cradle
1. Expand the collapsible corrugated tubing.
2. Remove the support cradle from the
generator assembly.
16
1.
2.

Apply support cradle to headgear
1. Apply the support cradle properly
centered on the straps.
2. Secure center tab.
17
1.
2.

Align generator assembly
1. Center the generator and interface over
patient nose and support cradle.
2. Use a gentle rocking motion to insert the
nasal prongs.
3. Place the drive line and pressure line into
the support cradle with the exhalation tube
resting on top.
18
1. 2. 3.

Secure the locking strap
1. Wrap the locking strap over the
exhalation tube and attach to the side
of the support cradle.
2. Position the small slit over the ridge of
the exhalation tube.
19
1.
2.

Attach side straps to generator
1. Wrap the side straps around the
generator tabs.
2. Use the Velcro tip to secure the
strap—loose is better.
3. Use the side straps to adjust tension
on interface—do not over-tighten.
20
1. 2.
3.

Final check of generator assembly
Check for correct headgear placement
A. Generator aligned and
centered with nose
B. Side straps properly placed
C. Support cradle tabs secured
to headgear
Note: Straps should be snug,
but not tight. B
A
21
C

Check placement of exhalation tube
Incorrect Correct
22

Check for proper nasal prong position
• Bellows are visible
• Septum is visible
• Generator assembly has
no contact with skin
23

Incorrect nasal prong position
Too tight, bellows compressed
Prong not in the nare
24

Verify proper mask placement
• Mask covers nasal profile
• Mask rests below the eyes
• Bellows not compressed
• Side strap low on cheek
Note: Do not over-tighten.
25

Incorrect mask placement
• Too much tension applied to one side
• Mask is collapsed
• Nares are not visible
26

Incorrect mask size—too small
• Mask blocks the nares
• Mask unable to cover nose
27

Incorrect mask size—too large
• High on the bridge of the nose
• Up against the eyes
• Rest on the upper lip
28

Warnings and cautions
WARNING:
• Use this product only as directed in the product literature to reduce the risk of nasal irritation,
septal distortion, skin irritation and pressure necrosis
• To be used by a trained practitioner, under the direct supervision of a qualified physician
• Only use the Infant Flow LP generator with variable flow nCPAP drivers
• Do not over-tighten the fixation straps
29

Application tips
• Select the appropriate size nasal mask to minimize leaks and dead space
• Select the appropriate size nasal prongs; if between sizes, select the larger size
• Application of an incorrectly sized prong, mask, bonnet or headgear will affect stability of
the generator
• Adjust the straps to stabilize the generator and maintain a seal at the nose using the least
tension possible
• Consider alternating the use of prong and mask interfaces at set intervals to change pressure
points on the infant’s face
• Continuously monitor patient’s respiratory status
• Cover both ears evenly; ensure the ears are not folded
• Recommend humidification be used with nCPAP systems
30

Inspect the system at least every three to four hours to:
• Ensure the patient’s eyes are clearly visible and the nares are not blocked, when using masks
• Inspect the fixation device and straps for proper tension and adjust as needed to maintain
a proper fit
• Monitor the patient for gastric insufflation and abdominal distension
• Monitor for excessive condensation in circuit and generator
• Alternate the use of prong and mask interfaces to change pressure points on the
infant’s face
31

Notes
32

Notes
33

WARNING—U.S. Federal Law restricts this device to sale by or on the order of a physician.
CareFusion
22745 Savi Ranch Parkway
Yorba Linda, CA 92887
800.231.2466 toll-free
714.283.2228 tel
714.283.8493 fax
CareFusion Germany 234 GmbH
Leibnizstrasse 7
97204 Hoechberg
Germany
+49 931 4972-0 tel
+49 931 4972-423 fax
carefusion.com
© 2011 CareFusion Corporation or one of its subsidiaries. All rights reserved.
Infant Flow is a trademark or registered trademark of CareFusion Corporation or
one of its subsidiaries. RC2661-01 (1211/5000) L3414 Rev. B