92804 3/28/01 8:35 AM Page 2 ™ USER’S GUIDE MODELS CA-3000 & CA-3200 o MODELS CM-3000 & CM-3200 o MEDICAL PRODUCT INNOVATIONS SINCE 1928
92804 3/28/01 8:35 AM Page 3 T A B L E SECTION 1 O F C O N T E N T S 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Warnings and Cautions . . . . . . . . . . . . . . . . . . 3 3 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . 6 4 Controls, Connectors and Visual Indicators . . . . 7 5 Operating Procedure . . . . . . . . . . . . . . . . . . . . 10 6 Cleaning and Disinfection . . . . . . . . . . . . . . . . 14 7 Accessories . . . . . . . . . .
92804 3/28/01 8:35 AM Page 4 SECTION 1 INTRODUCTION The Emerson CoughAssist™ Mechanical In-Exsufflator (MI-E) assists patients in clearing retained bronchopulmonary secretions by gradually applying a positive pressure to the airway, then rapidly shifting to a negative pressure.
92804 3/28/01 8:35 AM Page 5 SECTION 2 WA R N I N G S AND CAUTIONS E Q U I P M E N T C L A S S I F I C AT I O N Per IEC 60601-1, Medical Electrical Equipment, General Requirements for Safety, the CoughAssist MI-E is classified as follows: Class 1 Equipment: Equipment in which protection against electric shock does not rely on basic insulation only, but includes a grounding pin on the power cord. For ground reliability always plug the power cord into an AC grounded outlet.
92804 3/28/01 8:35 AM Page 6 I M P O R TA N T S A F E G U A R D S DEFINITIONS Throughout this guide the following definitions apply: • Warning/DANGER: A condition that could cause electrocution or injury to a user or operator if instructions are not followed. • CAUTIONS: A condition that could cause damage to equipment or cause inaccurate function. WA R N I N G S V Patients known to have cardiac instability should be monitored for pulse and oxygen saturation very closely.
92804 3/28/01 8:35 AM Page 7 WA R N I N G S AND CAUTIONS V Replace fuses only with ones having the same ratings for blow characteristics, current and voltage. V Do not remove the cover; there are no serviceable parts inside the unit. Refer all service to authorized personnel. V Always check time and pressure settings before each treatment. CAUTIONS 5 • Federal Law (USA) restricts this device to use by, or at the direction of a physician.
92804 3/28/01 8:35 AM Page 8 SECTION 3 SPECIFICATIONS Maximum Positive Pressure: 60 cm H2O (44 mm Hg) Maximum Negative Pressure: 60 cm H2O (44 mm Hg) Standards: Conforms to UL STD 2601-1, certified to CAN/CSA - STD C22.2 No. 601.1-M90, Maximum Inhalation Flow: 3.
SECTION 4 CONTROLS, CONNECTORS & V I S U A L I N D I C AT O R S CA-3000, CA-3200 F R O N T PA N E L C O N T R O L S 1. Manual/Auto: Changes the cycling mechanism to either manual or automatic mode. 2. Inhale: Sets time interval (sec) for Inhale phase of automatic cycling. Not operative in the manual mode. 3. Exhale: Sets time interval (sec) for Exhale phase of automatic cycling. Not operative in the manual mode. o 4. Pause: Sets time interval (sec) for Pause phase of automatic cycling.
2804 3/28/01 8:36 AM Page 10 CM-3000, CM-3200 F R O N T PA N E L C O N T R O L S 1. 2. 3. Pressure: Varies the inhalation and exhalation pressures together (also see Inhale Pressure). Manual Control Lever: Use to manually cycle the unit to inhale or exhale. Power: The power switch turns on or off the unit. The “I” symbol on the switch designates the on position. When activated a green light within the switch will illuminate. The “O” symbol designates the off position. 4.
B A C K PA N E L ( A L L 1. Cord Wrap/Breathing Hose Holder 2. Power Cord Receptacle: Securely connects the power cord to the receptacle. 3. Replacement fuse location 4. This symbol, located next to the protective earth terminal inside the unit, signifies that the device is earthed (grounded). 5. This symbol signifies the year of manufacture of the device. The name and address of our authorized representative for Europe appears below it.* 6.
SECTION 5 OPERATING PROCEDURE INITIAL SET-UP 1. Install the power cord right angle connector to the receptacle on the rear of the device. Run the cord inside of the lower cord wrap to act as a strain relief. 2. Position the unit on a suitable surface within easy reach of the patient, or the operator of the unit. CAUTION: Position the device so that the air intake ports on the side and rear of the unit are not blocked. 3.
92804 3/28/01 8:36 AM Page 13 PRESSURE ADJUSTMENT Each individual patient may require special settings for the maximum positive (inhalation) and negative (exhalation) pressures. For a patient using this device for the first time, it is advisable to begin with lower pressures, such as 10-15 cm H2O positive and negative, to familiarize the patient with the feel of mechanical insufflation-exsufflation.
92804 3/28/01 8:36 AM Page 14 OPERATING PROCEDURE TIMING ADJUSTMENT (CA-3000, CA-3200 M O D E L S O N LY ) If the automatic feature of the CoughAssist MI-E is to be used, adjust the times as follows: 1. Each cough cycle consists of an inhalation phase, an exhalation phase and a pause phase, after which inhalation begins again. The time for each phase is set with the three knobs on the left side of the front panel.
92804 3/28/01 8:36 AM Page 15 OPERATING PROCEDURE Automatic Operation (CA-3000, CA-3200 models only): 1. Attach the appropriate interface to the patient. 2. To operate the unit automatically, set the manual/auto switch to the auto position. The unit will cycle from inhale (positive) to exhale (negative) to zero pressure, and back to inhale. 3. After 4 to 5 cycles, set the manual/auto switch back to the manual position.
92804 3/28/01 8:36 AM Page 16 SECTION 6 CLEANING & DISINFECTION PAT I E N T C I R C U I T Institutional (hospital) Use: 1. Breathing Hose, Patient Interface and Adapters: If the device is to be used by more than one patient, the circuit must be replaced. 2. Bacterial/Viral Filter: If the device is to be used by more than one patient the filter must be replaced to prevent cross contamination. Do not try to wash the filter. NOTE: The patient circuit should not be sterilized for reuse.
92804 3/28/01 8:36 AM Page 17 SECTION 7 ACCESSORIES The following replacement accessories may be obtained from J.H. Emerson Co. CoughAssist MI-E Patient Circuit The CoughAssist MI-E Patient Circuit consists of one 3-foot long flexible smooth bore tube, a bacterial/viral filter, an adult facemask and an adapter. Part No. 325-9217 Breathing Hose 3-foot long flexible smooth bore tubing with 22mm interior diameter. Part No.
92804 3/28/01 8:36 AM Page 18 SECTION 8 PREVENTIVE MAINTENANCE & TROUBLESHOOTING GUIDE PREVENTIVE MAINTENANCE This device has been designed to provide virtually maintenance-free operation for extended periods of time. Sharp blows to the unit or dropping the unit is to be avoided. No routine maintenance is required. GENERAL SUGGESTIONS 1. Keep the unit’s exterior clean. 2. Check that the air intake ports are not blocked. 3.
92804 3/28/01 8:36 AM Page 19 TROUBLESHOOTING GUIDE 1. Pressure Gauge Adjustment: If the pressure gauge does not go to “0” when the device is turned off it must be readjusted. Remove the adhesive cover over the pressure gauge zero adjust and turn the adjust screw to “0” using a screwdriver. If unable to make this adjustment, the unit should be returned for servicing. 2.
92804 3/28/01 8:36 AM Page 20 SECTION 9 WA R R A N T Y & S E R V I C E WARRANTY The CoughAssist MI-E is warranted to be free of defects in material or workmanship for one year. CUSTOMER SERVICE: For questions about this product please contact Customer Service at: J.H. Emerson Co. 22 Cottage Park Avenue Cambridge, MA 02140-1691 Phone: 800-252-1414 or 617-864-1414 Fax: 617-868-0841 Email: info@jhemerson.com Web: www.coughassist.
92804 3/28/01 8:35 AM Page 1 J.H. EMERSON CO. 22 Cottage Park Avenue Cambridge, MA 02140-1691 Phone: 800-252-1414 or 617-864-1414 Fax: 617-868-0841 Email: info@jhemerson.com Web: www.coughassist.
