dr frei TURBO CAR Compressor Inhaler User Manual

dr frei TURBO CAR Compressor Inhaler

Product Information

Specifications

• Model: TURBO CAR
• Product Type: Compressor Nebulizer

Introduction
A nebulizer is a device used for inhalation therapy. It works by converting liquid medication into a fine mist that can be inhaled into the respiratory system. Nebulizing therapy is commonly used for treating respiratory conditions such as asthma, bronchitis, and allergies.

Advantages of Nebulizing Therapy

• Delivers large drug doses directly to the inflammatory zone.
• Reduces the risk of side effects to other organs.
• Economical means of treatment with purposeful use of medication.
• Suitable for all age groups, including children, elderly, and infirm patients.

Adjustable Particle Size Technology
The Turbo Car Nebulizer features adjustable particle size technology, allowing you to customize the aerosol particle size for efficient treatment of different respiratory regions.

Treatment of Upper Airways (Oropharynx, Larynx, Trachea)
To treat the upper airways, twist the medicine cup to the MAX (II) position. The particle size of the aerosol generated will be 6 microns (MMAD).

Treatment of Lower Airways (Bronchi, Bronchitis)
To treat lower airways, turn the medicine cup to the MIN (I) position. The particle size of the aerosol generated will be 3 microns (MMAD).

Product Usage Instructions

Before Starting to Use the Unit
Before using the Turbo Car Nebulizer, please take note of the following:

• Dispose of electric devices by locally applicable regulations.
• Keep the instruction manual for the entire service life of the unit.

Unit Accessories

• Nosepiece
• Mouthpiece
• Adult mask
• Pediatric mask
• Medicine Cup – topside
• Medicine Cup – underside
• Air filters (5 pcs.) – Replacement
• Piper
• Connecting Tube
• Nasal Washer

Carrying Out Nebulizing Therapy
Operating the Unit

1. Place the device on a flat, stable surface.
2. Ensure that the rated voltage corresponds to the mains voltage supply.
3. Connect the device to the main socket.
4. Open the medicine cup by unscrewing the two parts (A). Insert the paper into the nozzle of the medicine cup – underside.
5. Fill the lower part of the medicine cup with the pharmaceutical (B).

Note : The notches on the lower part of the medicine cup are only indicative.
Close the medicine cup by screwing it back on the two parts.

FAQ

• Q: How does a nebulizer work?
  A: A nebulizer converts liquid medication into a fine mist that can be inhaled into the respiratory system.

• Q: What conditions can be treated with nebulizing therapy?
  A: Nebulizing therapy is commonly used for treating respiratory conditions such as asthma, bronchitis, and allergies.

• Q: Is the Turbo Car Nebulizer suitable for all age groups?
  A: Yes, the Turbo Car Nebulizer can be used for children, elderly, and infirm patients.

DEAR DR. FREI COMPRESSOR NEBULIZER OWNER®
Thank you for choosing Dr. Frei Compressor Nebulizer model TURBO CAR. We are sure that having appraised worthily the high quality and reliability of this device you will become a regular user of the products of the Swiss trademark Dr. Frei®.
Your nebulizer is intended for use in the treatment of asthma, COPD, and other respiratory ailments in which an aerosolized medication is required during therapy. Aerosol easily and quickly comes to both upper and lower respiratory tracks.
APS (Adjustable Particle Size – Technology of particle size adjustment) allows the aerosol with different particle sizes for efficient treatment of the upper and lower respiratory tract. Also, there is a nasal washer in the set. Nasal washing is highly effective for the treatment of colds, allergies, sinusitis, and chronic rhinitis. Saline solutions and medicines are used for the treatment of the above-mentioned diseases. Moreover, nasal rinsing allows for eliminating mucins, dust, and repugnant substances and cleaning the nasal cavity. Before starting to use the compressor nebulizer please study the user’s manual carefully. Following the rules stated in the user’s manual will provide for the faultless operation of the compressor nebulizer for a long period. For all questions concerning the unit please contact the service center of the distributor of the trademark Dr. Frei® in your country.

INTRODUCTION

What is a nebulizer and how does it work?
The compressor nebulizer system is a device that turns a liquid drug into a fine aerosol under the influence of compressed air. Aerosol contains large and small particles. When breathing gravity makes the larger particles accumulate on the walls of the upper respiratory passages while the smaller particles have enough time to reach the lower bronchial branches. Therefore the drug comes to all parts of the patient’s bronchial tree, including the smallest bronchi and alveoli, and gets into the blood vessels on the walls of the alveoli in big therapeutic dozes with tiny or no side effects.

What is nebulizing therapy used for?
Nebulizer systems are used by patients with:

• acute respiratory diseases,
• obstructive pulmonary disease,
• chronic inflammatory processes in respiratory passages such as chronic bronchitis, bronchial asthma (incl. chronic or unstable ones, exacerbation of asthma), chronic pharyngitis,
• respiratory passage infections,
• abnormalities in secretion quality and secreting in bronchi,
• different types of coughing.

What are the advantages of nebulizing therapy?
Nebulizing therapy gives a possibility to quickly affect the inflammatory zone by big drug dozes which increases the influence of the treatment and reduces the risk of side effects to other organs. Nebulizing therapy is the easiest way of inhalation treatment and it is also an economical means of treatment from the point of view of purposeful use of drug. Aerosol treatment with the help of nebulizing systems can be used for children, elderly, and infirm patients.

Adjustable Particle Size Technology

• Adjustable particle size technology allows generating the of aerosol with different particle sizes for efficient treatment of the upper and lower respiratory tract. Particle size adjustment can be made by the user easily, without exchanging parts.
• Twist medicine cup to MAX (II) for treatment of upper airways (oropharynx, larynx, trachea). In the MAX (II) position particle size of the aerosol generated will be 6 microns (MMAD).
• Turn the medicine cup to MIN (I) for treatment of lower airways (bronchi, bronchial). In the MIN (I) position particle size of the aerosol generated will be 3 microns (MMAD).

BEFORE STARTING TO USE THE UNIT

Important Safety Information

• Carefully read the instructions before use. Keep this instruction manual for future reference.
• Use the device only as inhalator for therapeutic purposes. Medicine type, mode and time of application are only under medical limitation. Installation operations have to be done according to the instruction in this handbook and only for the uses declared by the constructor.
• This device is unsuitable for use with inflammable anesthetic mixtures containing air, oxygen or nitrogen protoxide.
• The proper functioning of a device can be affected by electromagnetic interference caused by malfunctioning of your television, radio, etc. If this happens, try to move the device until the interference disappears, or try to connect to a different outlet.
• Never use extension cords or adapters. It is recommended to always carry the power cord to prevent dangerous overheating. Keep the cord away from hot surfaces.
• Always disconnect the device from the main socket after use and before cleaning operations.
• Do not touch the device if it accidentally falls into the water. Unplug it immediately and do not use it afterward. Contact one of the authorized service centers.
• Do not use the device with wet hands.
• Do not obstruct cooling grills.
• During use, make sure that the unit is placed on a flat and stable surface to prevent any spillage.
• Do not use the device when the patient is sleeping.
• Refer all servicing to the Service Centre. Do not open the equipment. If the device does not work properly turn it off and consult the instruction booklet (check additional sheet).
• Do not leave any packaging materials (plastic bags, cardboard boxes, and so on) within the reach of children to prevent dangers.
• Keep accessories out of reach of children. Children and people with reduced physical or mental capacities need to use the device only under the close surveillance of an adult who has read this instruction manual. Keep the medicine cup out of the reach of children under 36 months because it contains small parts that could be ingested.
• Always disconnect the device from the main socket when it is not used.
• It is recommended to use one personal medication set of accessories.
• Do not leave pharmaceutical residuals in the medicine cup and/or into the accessories at the end of the therapy.
• Cleaning and/or maintenance must be done only after turning off the device and unplugging the power cord from the outlet.
• Do not pull the cable or appliance to remove the plug.
• This is a medical device for home use and should be used on medical prescription. Must be run as indicated on this user’s instructions. Patients must read and understand the information for the use and maintenance unit. Contact your dealer or Service Centre for any questions.
• If the equipment’s plug does not fit the socket, contact a qualified technician to substitute the plug. Do not use adaptors, multiple sockets, and/or extensions.
• Do not obstruct the air intake.
• The installation must be done according to the instructions and use declared by the manufacturer. Improper installation and/or improper use may cause damage to persons, animals or things. The manufacturer can not be held responsible.
• Do not use the device while bathing and showering
• Do not expose the device to the action of dust (that could obstruct the cooling grids), heat (that could deform the housings), sunlight or other atmospheric agents that could compromise the safety of the device itself.
• Do not use the device near sources of potential interference (for example: heat sources like fireplaces, electric or gas heaters; steam sources like boilers or kettles, electromagnetic radiation sources like microwave ovens, and Wi-Fi devices).
• Keep away from pets that could contaminate the surface in contact with the patient, close the ventilation grid, or in general avoid the right performance of the therapy.
• The appliance generates compressed air. Secondary consequences could come from the intolerance to the medicine used.

Electric devices must be disposed of under the locally applicable regulations, not with domestic waste.

Unit Accessories

1. Nosepiece
2. Mouthpiece
3. Adult mask
4. Pediatric mask
5. Medicine Cup – topside
6. Medicine Cup – underside
7. Air filters (5 pcs.) – Replacement
8. Pisper
9. Connecting Tube
10. Nasal Washer

CARRYING OUT NEBULIZING THERAPY

The appliance is a medical device of class IIa, which converts medicine from the fluid form to vapor to administer it directly into the breathing apparatus. The appliance nukes medicines both in suspension and in solution. The therapeutic effect could be reduced with oily and/or pasty medicines. The appliance is NOT a nebulizer for essential oil. Don’t nuke liquid and/or alcohol solutions. The medicine cup and all accessories have been NOT sterilized. Before use read the «Unit maintenance» paragraph.

Operating the Unit

1. Put the device on a flat, stable surface.

2. Ensure that the rated voltage corresponds to the mains voltage supply.

3. Connect the device to the main socket.

4. Open the medicine cup unscrewing the two parts (A). Insert the paper in the nozzle of the medicine cup – underside as illustrated in Figure (F).

5. Fill in the lower part of the medicine cup with the pharmaceutical (B).
   NOTE : The notches on the lower part of the medicine cup are only indicative.

6. Close the medicine cup screwing back on the two parts.

7. Connect the air cable (9) to the medicine cup (C).

8. Connect the air cable (9) to the air exit of the appliance.

9. Insert on the medicine cup the needed accessory: mask, mouthpiece, or nosepiece (D).

10. Turn on the device moving the switch to the ON position.

11. For treatment of upper airways, twist the medicine cup to MAX (II), for treatment of lower airways, turn to MIN (I). See picture (E).

12. After the application, turn off the device and unplug it. Before restarting the appliance make sure it has cooled to room temperature environment.

WARNING FOR A GOOD APPLICATION OF THE THERAPY:

• Sit down in a comfortable and upright position.
• If a mask (adult or children) is used, be sure that it adheres to the face. The mask has holes for the airflow during the expiration phase. Breathe easy and have a short pause at the end of each breath.
• If the mouthpiece is used, keep it lightly among the teeth with tight-lipped. Respiration must be done through the mouth.
• If the nosepiece is used, put it softly on the nostrils. Don’t insert it in the nose. Respiration must be done through the nose.
• Therapeutic application ends when the medicine came out in a discontinuous mode (spluttering).

Operating the Nasal Washer

The nasal washer is intended for cleaning of a cavity of a nose and treatment of cold and chronic rhinitis. To use the nasal washer, follow the instructions below:

1. Unscrew the top part (a).
2. Fill in the medicine tank (b).
3. Insert the pisper (c).
4. Close the nasal washer screwing back the two parts.
5. Connect the tube to the air inlet (d).
6. Put the nasal washer near the nostrils. Don’t insert it in the nose.
7. After the therapy, clean carefully the nasal washer.

ATTENTION:
Do not inhale horizontally. Do not tilt the medicine cup over 45°. Keep the accessories well ventilated, and protected from heat and direct sunlight (D).

Changing the Air Filter

The filter has to be substituted after 30 hours of use or when it becomes grey. Filter replacement parts (H). For filter replacement, raise the lid using a flat screwdriver as shown in picture I. Remove the filter and fit the new filter (7). Fit the filter carrier lid into its housing making sure it is adherent to the surface.

UNIT MAINTENANCE

Cleaning the Unit
After each therapy remove the device from the socket and clean the device and the accessories. Attention: use only the accessories supplied with the product, other accessories can lead to ineffective therapy.

CLEANING OF THE MOUTHPIECE AND NOSEPIECE
Use drinking water to carefully clean these accessories, when used. They can be sterilized by boiling for 5-10 minutes in the water or by immersion in a chemical disinfectant (oxidizing electrolytic chloride), following product instructions, and rinsing off with drinking water. Leave to dry naturally.

CLEANING OF THE MEDICINE CUP:
After use, open the two parts, wash them with soap and hot water, and rinse it carefully. Remove the excess of water with a soft, clean, and dry cloth and leave to dry naturally in a clean place. To sterilize, cover the medication container with a cold sterilizing solution, following the instructions on the sterilizer pack. It is recommended to use one personal medication container for each patient, to be used for 6 months or 120 treatments. Do not use boiling water to clean it. Carefully wash mask and hoses with disinfectant solution only.

CONTAMINATION BY MICROBES:
In case of pathologies of microbial or viral origin, where infection is possible, the device and its accessories should not be shared with other patients.

Troubleshooting

inserted in the main supply.

•   Make sure the switch is on and the position turned on (I).

The device is turned on but it’s not nebulizing.| •   Make sure to have inserted the paper into the medicine cup (8).

•   Make sure the air connection pipe is not bent or crushed (9).

•   Make sure the air suction filter is not stopped or dirty. In that case, replace it with a new one (7).

•   Make sure the medicine cup has been filled in with medicine.

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NOTE : If the device shall not take again his correct functioning in spite of inspections affected, contact the ТМ Dr. Frei® service center in your country.

TECHNICAL SPECIFICATIONS

Piston rotary presser, without lubrification. Medical device of class IIA according to Directive 93/42/EEC
Medicine Cup E-neb.

• Particles dimension: 3÷6 µm with regulation MMAD (EN13544-1); Product description: Nebulizer with adjustable medicine cup and nasal washer; Nebulization rate, ml/min: From 0,2 to 0,4 ml/min; Compressor air flow (max): 15±2 l/min;

• Medication capacity: 2-12 ml; Residual volume, ml: 0,85±0,2 ml; Sound noise level: Low noise (around 55 Db); Operating cycles: 30 min-ON/30 min-OFF; Cable storage: No; Accessories: Air tube (1,0 m), adult mask, child mask, mouthpiece, nosepiece, air filters (5 pcs.); Nasal washer: Yes; Power source: 220V/50Hz; Power lead length: 1,4 m; Weight: 1,4 kg; Dimensions: 230165140 mm; Power: 120 VA;

• Operating conditions:
  Ambient temperature: min 5°C – max 40°C; Air humidity: min 15% RH – max 93% RH; Atmospheric pressure: min 700hPa – max 1060hPa (max operating altitude ≤ 2000 m);

• Storage conditions:
  Ambient temperature: min -25°C/max +70°C; Air humidity: min 0%RH – max 93%RH; Atmospheric pressure: min 500 hPa – max 1060 hPa;

• Subject to technical modification without prior notice.
  This device has an expected service life of about 2.000 therapy cycles, based on an average therapy duration of 8 min. Electromedical devices require special care. During installation and use for EMC requirements, it is therefore required that they are installed and/or used according to the manufacturer’s specification. Potential risk of electromagnetic interference with other devices, in particular with other devices for analysis and treatment. Radio and mobile telecommunications devices or portable RF (mobile phones or wireless connections) may interfere with the operation of electromedical devices.

SYMBOL DESCRIPTION

WARRANTY

This device is guaranteed for 2 years from the date of purchase. The warranty does not cover the accessories supplied with the device and those parts are subject to normal wear and tear. The guarantee is valid only on the presentation of the guarantee card completed by the dealer confirming the date of purchase and the receipt.

• Should the unit be damaged due to user misuse or negligence, the manufacturer or authorized dealers shall not be responsible for any damage or loss to the unit.
• All assembly, extension, adjustment or repair of this unit must be performed only by the authorized service center of Dr. Frei® distributor in your country.
• For repairs or to purchase parts, please contact the authorized service center of Dr. Frei® distributor in your country.

MANUAL AND DECLARATION OF THE CONSTRUCTOR – ELECTROMAGNETICS EMISSIONS
The appliance for aerosol therapy can be use in the electromagnetic setting here indicated:

Emission test| Compliance| Manual to the electromagnetic setting
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Irradiate/conducted emission

|

Group1

| The disposal used the energy RF only for its internal function. So its RF emissions are very low and they do not cause any interferences to other electrical appliances.
Irradiate/conducted emissions CISPR11 Harmonic emissions IEC/EN 61000-3-2 voltage/flicker fluctuations IEC/EN 61000-3-3| Class (B)

Class (A)

| The appliance is adapt to be used in all the setting, include the domestic en- vironment and all the settings connecting to the distribution public net which give alimentation to the environment used for domestic use.
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Electrostatic discharges( ESD) IEC/EN 61000-4-2| ±6 kV in contact

±8 kV in air

| The floors should be done in wood, cement or ceramics. If the floors are covered with synthetic material, the relative humidity should be as a maximum of 30%.
Speed/burst transistors IEC/EN 61000-4-4| ±2 kV power| The supply should be typical of a hospital or a commercial setting.
Surge IEC/EN 61000-4-5| ±1 kV differential mode| The supply should be typical of a hospital or a commercial setting.

Voltage hole, short breaks and voltage change IEC/EN 61000-4-11

| <5%UT for 0.5 cycle 40%UT for 05 cycles 70%UT for 25 cycles

<5%UT for 5 sec.

| The supply should be typical of a hospital or a commercial setting. If the user needs a continuing working of the device, it’s recommended to use the appliance under a continuity group.
Magnetic field IEC/EN 61000-4-8| 3A/m| The magnetic field should be typical of a hospital or a commercial setting.
Conducts immunity IEC/EN 61000-4-6| 3Vrms 150kHz to 80 MHz 8 (for appliances life-supporting)|
Irradiate immunity IEC/EN 61000-4-3| 3V/m 80 MHz to 2.5GHz (for appliances NOT life-equipment)|

NOTE : UT is the value of the supply voltage.

Manufactured by the order of: FreiCare Swiss AG, Seepark 6, CH – 9422 Staad SG, Switzerland, phone: + 41 71 855 07 55.
EP SPA, Via Del Commercio 1 – 25039 Travagliato (BS), Italy.
medpack-group.com

References

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