GIMA NE-M01 Portable Compressing Nebulizer User Manual

PROFESSIONAL MEDICAL PRODUCTS

User manual

ATTENTION: The operators must carefully read and completely understand the present manual before using the product.

28066 / NE-M01

CONTEC MEDICAL SYSTEMS CO., LTD
No.112 Qinhuang West Street,
Economic & Technical Development Zone, Qinhuangdao,
Hebei Province, PEOPLE’S REPUBLIC OF CHINA
Made in China
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, 20537, Hamburg, Germany

Statements

• Thanks for purchasing the product.
• To ensure correct usage, please read the User Manual carefully before using this product.
• Please keep the User Manual properly were convenient to read.
• The company takes no responsibilities or provides no free maintenance for any abnormal phenomena or damage due to users not following the User Manual to use, maintain and store.
• The company reserves the final explanation right to this manual.

PRECAUTIONS

Please read the user manual carefully in order to ensure safe use.
Warning

•  Prompting the operations with danger or unsafe, if continue operating, it may cause death, severe bodily injury, or property loss.

Attention

•  Emphasizing important notices, instructions or explanations for better use.

** Warning**

• Please follow doctors’ advice about medication species, dosage, and usage. Otherwise, it may cause symptomatic deterioration.

• Please follow the specified operation methods in the user manual, otherwise, it may cause operation failure.

• The accessories of the device are designed for single-use, do not reuse the accessory otherwise, it may cause cross-infection.

• For the first time using this device or if the medication cup is unused for a long time, the medication cup and mask must be cleaned and disinfected. Otherwise, it may cause bacterial reproductive infection.

• Each user must use the accessory separately, otherwise, it may cause cross-infection.

• Please clean the accessories after disinfection, otherwise, the patient may inhale the residual disinfectant, which may cause symptomatic deterioration.

• Used medication can’t be reused, please change new medication for every treatment. Otherwise, the patient may be infected by

• varieties of bacteria, causing symptomatic deterioration.

•  Do not use the device to inhale water, otherwise, it may cause symptomatic deterioration.

• Do not use the device at an ambient temperature above 40°C. Otherwise, it may cause nasal mucosa injury or device failure.

• Do not clean the main body in water or drop it into water or store the device in a humid environment. Otherwise, it may cause device failure.

• Please clean the device after use, and dry it immediately after cleaning.
  Otherwise, patients may be infected by varieties of bacteria.

•  Please keep the device out of the reach of children and people with mental illness. Otherwise, it may cause danger of swallowing small parts.

• Do not use the device near flammable or explosive gas or anesthetic mixture. Otherwise, it may cause personal injury.

• Do not wrap the power cord around children’s necks or other sensitive areas, or it may cause asphyxia.

• The mask of this equipment is made of PVC material. The material passed the relevant test. After the assessment, there are no unacceptable risks.

• This device should not be used where it is difficult to disconnect the power supply device.

• If the storage temperature is lower or higher, please leave the equipment in the normal working environment for more than 1 hour, until it is ready for the intended use.

• It is not allowed to modify the equipment or it may cause damage to the equipment

Attention

• If the device can’t shut down automatically when medication is exhausted, please immediately press the “ON/OFF” button to tum off, in order to avoid damage to the nebulizing sheet. Refer to Chapter 6 Troubleshooting.
• Clean medication cup after each use. Otherwise, the device will not work normally.
• When cleaning the medication cup, do not directly place the device under tap water to prevent water from entering the device.
• Do not use this product near high-frequency electromagnetic transmitters and other high-frequency electronic products.
• Keep the device vertical as much as possible during use.
• Prevent the main unit and medication cup from falling or being subjected to severe impact.
• Do not touch the metal mesh of nebulizing sheet with a cotton swab or other sharp objects. Otherwise, the device may not work.
• This product is subject to the guidance of a doctor. A patient who has sensitive parts with contusion, bums, inflammation, and facial/oral trauma should avoid using the device. If you feel uncomfortable during use, please stop using immediately and consult a doctor.
• Do not mix different types of dry batteries.
• Ensure that a guardian is present when used by children.
• Do not store or carry the device with medication in the medication cup.
• Disposal of waste main parts and accessories shall follow the local government regulations.
• The use of this product is different from the laryngeal and nasal mucosa humidification equipment.
• This product cannot be used in respiratory anesthesia systems and ventilator systems.
• Please take batteries out if you won’t use the device for a long time.
• The device service life is 3 years (excluding consumables).
• The accessories are disposable, the device is sterilized by ethylene oxide, please check the packaging carefully before use, stop using it and contact suppliers if there is obvious damage.
• If necessary, provide circuit diagrams, components lists, and necessary information for maintenance, please contact suppliers.

GENERAL

2.1 Function and application
The nebulizer can atomize medication into a mist of microscopic droplets, which can be easily inhaled into the respiratory system along with breathing, achieving therapeutic effect for respiratory diseases such as acute inflammation of the upper respiratory tract, acute and chronic tracheitis, bronchitis and swelling, and pain in the throat, etc.

Contraindications:
Patients with bronchial asthma or acute emphysema are not recommended to use the device, please follow the doctor’s advice.

2.2 Features
Power supply: DC 5 V or 2 “AA” alkaline batteries
Input power: <3 VA
Nebulization rate: ≥0.25 mL/min
Noise: ≤50 dB
Equivalent volume particle diameter distribution: the occupation of small atomized particles (diameter < 5 μm) is no less than
90%.
Type of protection against electric shock: Class II
Degree of protection against electric shock: type BF applied part
Degree of protection against ingress of liquid: IP22
Note: please choose the power adapters manufactured by qualified companies(input: AC100-240V, 50Hz / 60Hz, output: DC5V, 1A).
The voltage of 2 “AA” alkaline batteries is DC3V.

2.3 Operational environment
Temperature: 5°C~40°C
Humidity: 15%~90%
Atmospheric pressure: 700hPa~1060hPa

Attention: This product is not suitable for use in strong electromagnetic interference environments (such as various medium/ high-frequency therapeutic instruments, transformers, large electrical cabinets, radio and television transmission towers, other radio frequency transmitting equipment, and other electrical appliances or medical equipment which may generate interference).

2.4 Principles
Principle of nebulization
The high-frequency vibration of the piezoelectric ceramic plate directly leads to the deformation of the microplate, making medication in contact with the microplate extruded from it to form a mist spray effect. The mesh nebulizer is applicable for use in hospitals, clinics,s, and families.

Principle of treatment
The respiratory system is an open system. The atomized medication, after inhalation, can be directly adsorbed on the patient’s oral cavity, throat, trachea, bronchus, and pulmonary alveoli, etc., through its mucous membrane absorption to achieve the purpose of treatment.

PRODUCT COMPOSITION

Component description:
The nebulizer consists of the main unit, medication cup, mask, and power adapters (optional).
Nebulizer:

Accessories:

HOW TO USE

4.1 Assembly

1. Remove all packages
   Attention: For the first time of use, please clean and disinfect the device before use.

2. Assembly of nebulizer
   • Install medication cup to the main unit by pushing it towards the main unit.
   Attention: When installing a medication cup to the main unit, be sure to install it properly until the clasp sound is heard. Otherwise, it may cause electrode conduction failure, then the device cannot atomize normally.
   • Remove medication cup from the main unit. Press and hold the “PUSH” button on the main unit, and push the medication cup away from the main unit. Attention: In order to avoid device damage, please press the “PUSH” button first when removing the medication cup.
   

3. Assembly of battery
   • Open the battery cover.
   • Insert the 2 “AA” alkaline batteries according to the polarity label on the battery cover.
   Attention: Do not reverse the battery. Insert the battery exactly following the label of “+” “-” on the battery cover.
   • Close the battery cover.
   

Battery service life and replacement:

1. When replacing the battery, make sure there is no medication or water in the medication cup. If yes, please remove the medication cup first.
2. When the orange indicator is light, the device can also work for a while, but it is recommended to replace the new batteries.
3. Usually, two new “AA” alkaline batteries can work continuously for 1 hour under normal working situations.

Attention:
Please do not mix batteries of different manufacturers or models, otherwise, the battery life will be affected.
Remove the batteries if the device won’t be used for a long time.

4.2 Operations for treatment use

Preparations before use:

1. Remove the medication cup, please clean and disin­fect it before use.
2. Infusion of medication: Open the cup lid, decant medication into the medication cup, as shown on the right side:

Attention:

• Before using any pharmaceutical products or medicines, please consult your doctor to en­sure that you are using the product
• Do not use medications having high concen­trations, high viscosity, oily medicines, sus­pended or volatile liquid medicine, doing so may lead to abnormal atomizing.
• It is recommended not to exceed the capacity of medication If the medication cup is filled with medication, be sure to cover the cup lid to prevent leakage. Medication in the cup should not be less than 2mL (The maximum capacity for the medication cup is 10mL).

3. Close the cup lid.

4. Install medication cup to the main unit.

5. Assemble the mask, as shown to the side:

Operation method:

1. Turn on the power: Press the “ON/OFF” button for more than 1 sec­ond, power indicator (green) lights, and the device starts atomizing.

Attention:

If the medication cup is not loaded with any medication, the de­vice will automatically shut down after the power Indicator lights up about 1s.
After startup, the quantity of medication mist may change at the beginning of the device working, which Is a normal phenomenon.

2. Inhalation: Hold the device in hand, put on the mask, slowly inhale the medication mist.

Attention:

• The angle of inclination should be within 45° during nebulizing.
• During use, please do not strongly shake the device to prevent abnormal use.
• The duration of each inhalation should be no more than 20 minutes.
• Nebulizing treatment Is easy and comfortable, if you feel uncomfortable during use, please stop the treatment.

3. Turn off the power. When the treatment is over, and medication almost runs out, the nebulizing sheet will generate a high-fre­quency sound, and then the device automatically turns off. If you need to shut the device down during use, please press the “ON/OFF” button for more than 1 second.

Attention:

At the end of treatment, it is normal that a little medication remains left in the medication cup after automatic shutdown.

MAINTENANCE, TRANSPORT, AND STORAGE

5.1 Cleaning and disinfection

Clean and disinfect the device after each use. If the device is not cleaned, the nebulizing will be affected because of drying and coagulation of medication.

1. Remove medication cup, accessory, and batteries from the main unit.
2. Open the cup lid and discard residual medication.
3. Add 75% ethanol solution in the medication cup, cover the cup lid then leave for at least 10mins; it is advisable to gently shake it for better disinfection.
4. Immerse the accessories to be disinfected into a container with an ethanol solution, and put a lid on the container. Use 75% ethanol solution soaking for 10mins or longer.
5. Discard the disinfectant in the medication cup, take accessories out from the disinfectant; clean the medication cup, and accesso­ries with clear water repeatedly.
6. Fill medication cup with clear water, assemble it to the main unit, let the device work 10mins in order to clean the nebulizing
7. After cleaning, use new medical gauze to wipe away the water, and fully dry,
8. Use 75% medicinal alcohol to wipe the surface of the main unit, then air-dry or wipe-dry with a clean, soft cloth.
9. After all, steps above, store the main unit, medication cup, and accessories in a dry, clean place.

Attention:

Do not throw medication cups and accessories into boiling water for disinfection, otherwise, the part may be deformed. Do not put them in a microwave oven for drying.
The parts disinfected with disinfectant must be fully cleaned, or the residual disinfectant may cause symptomatic deterioration.

5.2 Medication cup replacement

The nebulizing sheet is a kind of consumable. In general, the service life of the atomizer is about six months (20 minutes per time, three times a day).
Its service life depends on the use, medication, and degree of cleaning. If no atomizing or little atomizing appears when the device is working, please replace the medication cup in time. (If you need to purchase a medication cup, please contact the dealer.)

5.3 Transport and storage

Transport and storage environment:
Temperature: -40°C—+55°C Relative humidity: 5%-96% Atmospheric pressure: 500 hPa — 1060 hPa

Requirements for transport and storage:

• No corrosion gas and well-ventilated room.
• Keep the device out of the reach of children.
• Do not store the device in conditions such as direct sunlight, high temperature, humidity, dust or water infiltrations, etc.
• Keep the device away from sloping surfaces, vibrations, or shocks.
• Transportation adopts general transportation means or follows the contract requirements. Avoid violent shock, vibration, rain, and snow splash during the process of transportation.

5.4 Pollution-free disposal and recycling

• The service life of the product is 3 years. If the device exceeds the period of use, it must be discarded. Please contact the manufacturer or distributor for more
  information.

  1. The atomizer out of use can be sent back to the manufacturer or distributor for proper recycling.
  2. Used parts can be returned to the manufacturer or distributor for disposal, or treated in accordance with relevant laws and regulations.

TROUBLESHOOTING

Problems

| Reason analysis| Solutions
---|---|---
The device can’t startup.| The battery is not well installed.| Check the installation of the battery, and reinstall the batteries.
No atomizing or little atomizing appears when the device working.| The medication cup is not well installed.| Check the installation of the medication cup, and reinstall it.
No medication in the medication cup.| Trickle medication into medication cup, re-
member not to exceed its maximum capacity.
Improper medication.| Consult a doctor about whether the medica­tion is suitable for the device.
The nebulizing sheet is dirty.| Clean medication cup.
There is water around the nozzle of the nebulizer.| Due to temperature differences, the temperature of the medication cup surface is relatively low, medication mist comes in contact with the nozzle, then condenses into water droplets.| Remove medication cup, pour the water out.
After startup, the power indicator

lights about. 1s, then immediately goes out.

| The medication cup is not well installed.| Install medication cup once again.
The medication cup is not loaded with any medication.| Put the medication into the medication cup after consulting your doctor.
After turning on the device, the power indicator lights once, then it is out immediately or the de­vice cannot work normally.| The battery had run down.| Replace the batteries immediately.
A nebulizer doesn’t automatically shut down when medication is used up.| Medication may generate bubbles in the medication cup.| Press the “ON/OFF” button to turn off the device, and clear up the bubbles.
Medication may be stuck on the nebulizing sheet.| Press the “ON/OFF” button to turn off the device, and clean the medication cup.
The electrodes contacting with the medication cup may be dirty.| Press the “ON/OFF” button to turn off the device, and clean the electrodes.
If the device still can’t work normally alter using all methods above, please contact our after-sales service.

MEANING OF SYMBOLS

| Keep in a cool, dry place| | Stand-by| | Product code
---|---|---|---|---|---
| Keep away from sunlight| | Store between -40 and 55°C| | Lot number
| Fragile, handle with care| | Date of manufacture| | Serial number
| Follow instructions for use| | Medical Device

complies with Directive 93/42/EEC

| | Caution: read instructions (warnings) carefully
| Covering Protection rate| | Type BF applied part| | Manufacturer
| WEEE disposal| | Class II applied| | Authorized Representative in the European community
| Atmospheric pressure for transportation:

500 hPa-1060 hPa

| | Humidity range for transportation: 5%-96%| | This way up

PACKING LIST

1. Main unit 1pc
2. User manual 1pc
3. Medication cup 1pc
4. Accessories 1set (adult mask, child mask)

Appendix I

Equivalent volume particle diameter distribution:

The median particle diameter (D 0.50) is1~4 μm. µm. Error shall be within ±25 %.

Appendix II

Guidance and manufacturer’s declaration — electromagnetic emissions for all EQUIPMENT and SYSTEMS

Guidance and manufacturer’s declaration — electromagnetic emission

The 28066 / NE-M01 is intended for use in the electromagnetic environment specified below. The customer or the user of the 28066 / NE-M01 should make sure that it is used in such an environment.
Emission test| Compliance| Electromagnetic environment — guidance
RF emissions CISPR 11| Group 1| The 28066 / NE-M01 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
RF emission CISPR 11| Class B| The 28066 / NE-M01 is suitable for use in all establishments, in­cluding domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Guidance and manufacturer’s declaration — electromagnetic immunity — for all EQUIPMENT and SYSTEMS

Guidance and manufacturer’s declaration — electromagnetic immunity

The 28066 / NE-M01 is intended for use in the electromagnetic environment specified below. The customer or the user of the 28066 / NE-M01 should make sure that it is used in such an environment.
Immunity test| IEC 60601 test level| Compliance level| Electromagnetic environment guidance
Electrostatic discharge (ESD) IEC 61000-4-2| Air Discharge: ±.2 kV, ±4 kV, ±8 kV, ±15 kV contact: ±8 kV air| Air Discharge: ±2 kV, ±-4kV, ±8 kV, ±15 kV contact: ±8 kV air|

Floors should be wood, concrete, or ce­ramic tile. If the floor is covered with synthetic material, the relative humidity should be at least 30 %.

Power frequency (50/60Hz) magnetic field IEC61000-4-8| 30 A/m| 30 A/m| Mains power quality should be that of a typical commercial or hospital environ­ment.
NOTE : U T is the a.c. mains voltage prior to application of the test level.

Guidance and manufacturer’s declaration – electromagnetic immunity – for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING

Guidance and manufacturer’s declaration – electromagnetic immunity

The 28066 / NE-M01 is intended for use in the electromagnetic environment specified below. The customer or the user of the 28066 / NE-M01 should make sure that it is used in such an environment.

Immunity test| IEC 60601 test level| Compliance level| Electromagnetic environment guidance
Radiated RF IEC 61000-4-3| 10 V/m

80 MHz to 2.7 GHz

| 10 V/m|

Portable and mobile RF communications equipment should be used no closer to any part of the 28066 / NE-M01, including cables, than the recommended separa­tion distance calculated from the equation applicable to the frequency of the transmitter.

Recommended separation distance

Where  P is the maximum output power rating of the transmitter in watts (W) according to the transmitter man­ufacturer and d is the recommended separation distance in meters (m).

Interference may occur in the vicinity of  equipment marked with the following symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.

a: Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM, and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the meas­ured field strength in the location in which the 28066 / NE-M01 is used exceeds the applicable RF compliance level above, the 28066 / NE-M01 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the 28066 / NE-M01.

Recommended separation distances between portable and mobile RF communications equipment and the Medical 28066 / NE-M01

Recommended separation distances between portable and mobile RF communications equipment and the Medical 28066 / NE-M01

The “28066 / NE-M01” is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Medical 28066 / NE-M01 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the “28066 / NE-M01” as recommended below, according to the maximum output power of the communications equipment.

The rated maximum output power of the transmitter (W)| Separation distance according to the frequency of the transmitter (m)
150KHz to 80MHz
d=[3.5/V¹]√P| 80MHz to 800MHz
d=[3.5/E¹]√P| 800MHz to 2,5GHz
d=[7/E¹]√P
0,01| 0.12| 0.12| 0.23
0,1| 0.38| 0.38| 0.73
1| 1.2| 1.2| 2.3
10| 3.8| 3.8| 7.3
100| 12| 12| 23

For transmitters rated at a maximum output power not listed above, the recommended separation distance in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.

NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.

Disposal: The product must not be disposed of along with other domestic waste. The users must dispose of this equipment by bringing it to a specific recycling point for electric and electronic equipment.
For further information on recycling, points contact the local authorities, the local recycling center, or the shop where the product was purchased. If the equipment is not disposed of correctly, fines or penalties may be applied in accordance with the national legislation and regulations.

GIMA WARRANTY CONDITIONS

Congratulations on purchasing a GIMA product. This product meets high qualitative standards both as regards the material and the production. The warranty is valid for 12 months from the date of supply of GIMA.

During the period of validity of the warranty, GIMA will repair and/or replace free of charge all the defective parts due to production reasons. Labor costs and personnel traveling expenses and packaging are not included. All components subject to wear are not included in the warranty. The repair or replacement performed during the warranty period shall not extend the warranty.

The warranty is void in the following cases: repairs performed by unauthorized personnel or with non-original spare parts, defects caused by negligence, or incorrect use. GIMA cannot be held responsible for malfunctioning on electronic devices or software due to outside agents such as voltage changes, electromagnetic fields, radio interferences, etc.

The warranty is void if the above regulations are not observed and if the serial code (if available) has been removed, canceled, or changed. The defective products must be returned only to the dealer the product was purchased from. Products sent to GIMA will be rejected.

Gima S.p.A. Via Marconi, 1 – 20060 Gessate (MI) Italy
gima@gimaitaly.com 
export@gimaitaly.com
www.gimaitaly.com

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