Bubble CPAP System PRODUCT CATALOGUE

Bubble CPAP System PRODUCT CATALOGUE

Bubble CPAP Contents Section Delivery Systems 1 Diagrams 1.1 Infant Delivery System (BC151) 1.2 Infant Delivery System (BC161) 1.2 Infant Delivery System (BC171) 1.2 Patient Interface 2 Nasal Tubing Midline 2.1 Nasal Tubing Universal 2.1 Nasal Prongs 2.1 Infant Bonnet Midline 2.1 Headgear Midline 2.1 Chinstrap 2.1 Bubble CPAP System Starter Kits 3 Starter Kit Midline Delivery System 3.1 Starter Kit I/F (Flow Driver compatible) Delivery System 3.1 Nasal Prong Starter Kit 3.2 Infant Bonnet Starter Kit 3.2 Starter Kit Midline F&P 50mm 3.2 Starter Kit Midline F&P 70mm 3.2 Starter Kit Midline F&P 100mm 3.2 Starter Kit Midline Universal 50mm 3.3 Starter Kit Midline Universal 70mm 3.3 Starter Kit Midline Universal 100mm 3.3 Accessories / Devices 4 Single-Use Gas Supply Line 2.1m 4.1 Gas Supply Line to 2 flow meters 4.1 Midline Pressure Luer Adaptor 4.1 Mounting Options Humidifier Stand Telescopic 4.2 Mounting Bracket C-Clamp 4.2 Mounting Bracket Pole 15-50mm 4.2 Humidification Humidifier 4.3 Heater Wire Adaptor MR850 4.3 Heater Wire/Temp Probe Kit 4.3 Probe Temp/Flow Ang 1600mm 4.3 Gas Supply Bird MBlender 2-16LPM DISS 4.3 Bird MBlender 2-16LPM NIST 4.3 Bird MBlender Pole Mount Bracket 4.3 Sample Setups 5 Pole Mount Setup 5.1 Infant Warmer Setup 5.2

Bubble CPAP Delivery Systems 1.1 BC161 BC151 10 9 8 7 6 BC171 10 9 8 7 6

Bubble CPAP Delivery Systems 1.2 MR290 Chamber Product Code BC151-10 Includes BC161-10 Includes BC171-10* Includes Description Infant Delivery System MR290 chamber Pressure Manifold CPAP Generator Single-heated Circuit Infant Delivery System MR290 chamber Pressure Manifold CPAP Generator Single-heated Circuit Infant Delivery System MR290 chamber Simplified Pressure Manifold (with attached dry line) CPAP Generator Single-heated Circuit Pressure Damping Filter * Flow Driver compatible circuit Pressure Manifold Simplified Pressure Manifold (BC171-10 only) Single Heated Circuit 10 9 8 7 6 5 Pressure Damping Filter (BC171-10 only) CPAP Generator

Bubble CPAP Patient Interface 2.1 Length in mm Product Code Description Size Nasal Tubing Midline (BC18x series) Nasal Tubing Universal (BC19x series) Diameter of nares Septum gap Nasal Prongs Nasal Tubing Length BC180-05 Nasal tubing 50mm x5 50mm BC181-05 Nasal tubing 70mm x5 70mm BC182-05 Nasal tubing 100mm x5 100mm BC190-05 Nasal tubing Universal 50mm x5 50mm BC191-05 Nasal tubing Universal 70mm x5 70mm BC192-05 Nasal tubing Universal 100mm x5 100mm Nasal Prongs diameter of nares / width of septum BC3020-10 Nasal prong 3020 10/bx 3.0mm / 2.0mm BC3520-10 Nasal prong 3520 10/bx 3.5mm / 2.0mm BC4030-10 Nasal prong 4030 10/bx 4.0mm / 3.0mm BC4540-10 Nasal prong 4540 10/bx 4.5mm / 4.0mm BC5040-10 Nasal prong 5040 10/bx 5.0mm / 4.0mm BC5050-10 Nasal prong 5050 10/bx 5.0mm / 5.0mm BC5550-10 Nasal prong 5550 10/bx 5.5mm / 5.0mm BC5560-10 Nasal prong 5560 10/bx 5.5mm / 6.0mm BC6060-10 Nasal prong 6060 10/bx 6.0mm / 6.0mm BC6070-10 Nasal prong 6070 10/bx 6.0mm / 7.0mm BC6570-10 Nasal prong 6570 10/bx 6.5mm / 7.0mm Product Code Description Size Infant Bonnet head circumference BC300-05 Infant Bonnet Midline 17-22cm x5 17cm-22cm BC303-05 Infant Bonnet Midline 22-25cm x5 22cm-25cm BC306-05 Infant Bonnet Midline 25-29cm x5 25cm-29cm BC309-05 Infant Bonnet Midline 29-36cm x5 29cm-36cm Infant Bonnet Product Code Description Size Headgear head circumference BC325-05 Headgear Midline 29-36cm x5 29cm-36cm BC328-05 Headgear Midline 35-40cm x5 35cm-40cm BC331-05 Headgear Midline 40-45cm x5 40cm-45cm Headgear Chinstrap face circumference BC351-10 Chinstrap 20-26cm x10 20cm-26cm BC353-10 Chinstrap 26-32cm x10 26cm-32cm BC355-10 Chinstrap 32-38cm x10 32cm-38cm BC357-10 Chinstrap 38-44cm x10 38cm-44cm Chinstrap

Bubble CPAP Bubble CPAP System Starter Kits 3.1 Product Code Description Simplified Pressure Manifold (BC171 only) Infant Bonnet Nasal Tubing Nasal Prongs Damping Filter (BC171 only) BC461-SK Includes Starter Kit Midline Delivery System 5 BC161 Infant Delivery System 5 Nasal tubing 70mm 2 Infant Bonnet 17-22cm 3 Infant Bonnet 22-25cm 3 Infant Bonnet 25-29cm 2 Infant Bonnet 29-36cm 2 Nasal Prong 3520 3 Nasal Prong 4030 4 Nasal Prong 4540 4 Nasal Prong 5040 4 Nasal Prong 5050 4 Nasal Prong 5550 4 Nasal Prong 5560 3 Nasal Prong 6060 2 Nasal Prong 6070 BC471-SK* Starter Kit I/F Delivery System Includes 5 BC171 Infant Delivery System (with simplified pressure manifold and pressure damping filter) 5 Nasal tubing 70mm 2 Infant Bonnet 17-22cm 3 Infant Bonnet 22-25cm 3 Infant Bonnet 25-29cm 2 Infant Bonnet 29-36cm 2 Nasal Prong 3520 3 Nasal Prong 4030 4 Nasal Prong 4540 4 Nasal Prong 5040 4 Nasal Prong 5050 4 Nasal Prong 5550 4 Nasal Prong 5560 3 Nasal Prong 6060 2 Nasal Prong 6070 * Flow Driver compatible circuit Infant Flow compatible circuit 10 9 8 7 6 5 CPAP Generator Pressure Manifold MR290 Chamber

Bubble CPAP Patient Interface Starter Kits 3.2 Product Code Description Nasal Prongs BC260-SK Nasal Prong Starter Kit Includes 2 Nasal Prong 3520 3 Nasal Prong 4030 4 Nasal Prong 4540 4 Nasal Prong 5040 4 Nasal Prong 5050 4 Nasal Prong 5550 4 Nasal Prong 5560 3 Nasal Prong 6060 2 Nasal Prong 6070 Infant Bonnet Nasal Tubing BC360-SK Infant Bonnet Starter Kit Includes 2 Infant Bonnet 17-22cm 3 Infant Bonnet 22-25cm 3 Infant Bonnet 25-29cm 2 Infant Bonnet 29-36cm BC480-SK Starter Kit Midline F&P 50mm Includes 3 Nasal tubing 50mm 2 Nasal Prong 3520 2 Nasal Prong 4030 2 Nasal Prong 4540 1 Nasal Prong 5040 1 Infant Bonnet 17-22cm 2 Infant Bonnet 22-25cm 1 Infant Bonnet 25-29cm BC481-SK Starter Kit Midline F&P 70mm Includes 3 Nasal tubing 70mm 2 Nasal Prong 3520 2 Nasal Prong 4030 2 Nasal Prong 4540 1 Nasal Prong 5040 1 Infant Bonnet 17-22cm 2 Infant Bonnet 22-25cm 1 Infant Bonnet 25-29cm BC482-SK Starter Kit Midline F&P 100mm Includes 3 Nasal tubing 100mm 2 Nasal Prong 4540 2 Nasal Prong 5040 2 Nasal Prong 5050 1 Nasal Prong 5550 1 Infant Bonnet 22-25cm 2 Infant Bonnet 25-29cm 1 Infant Bonnet 29-36cm

Bubble CPAP Universal Patient Interface Starter Kits 3.3 The Universal Patient Interface Starter Kit is designed to allow connection of other single-heated circuits e.g. Cardinal and Hudson. Product Code Description Nasal Tubing BC490-SK Starter Kit Midline Universal 50mm Includes 3 Nasal Tubing Universal 50mm 2 Nasal Prong 3520 2 Nasal Prong 4030 2 Nasal Prong 4540 1 Nasal Prong 5040 1 Infant Bonnet 17-22cm 2 Infant Bonnet 22-25cm 1 Infant Bonnet 25-29cm Nasal Prongs BC491-SK Starter Kit Midline Universal 70mm Includes 3 Nasal Tubing Universal 70mm 2 Nasal Prong 3520 2 Nasal Prong 4030 2 Nasal Prong 4540 1 Nasal Prong 5040 1 Infant Bonnet 17-22cm 2 Infant Bonnet 22-25cm 1 Infant Bonnet 25-29cm Infant Bonnet BC492-SK Starter Kit Midline Universal 100mm Includes 3 Nasal Tubing Universal 100mm 2 Nasal Prong 4540 2 Nasal Prong 5040 2 Nasal Prong 5050 1 Nasal Prong 5550 1 Infant Bonnet 22-25cm 2 Infant Bonnet 25-29cm 1 Infant Bonnet 29-36cm

Bubble CPAP Accessories 4.1 Single-Use Product Code Description Gas Supply Line (to blender) BC400-10 Gas Supply Line 2.1m BC402-05 Gas Supply Line (to 2 flow meters) BC420-10 Midline Pressure Luer Adaptor Gas Supply Line (to 2 flow meters) Midline Pressure Luer Adaptor

Bubble CPAP Mounting Options 4.2 Product Code 900MR292 900MR170 900MR030 Description Humidifier Stand telescopic Mounting Bracket C-clamp Mounting Bracket Pole 15-50mm Telescopic Humidifier Stand C-Clamp Pole Clamp

Bubble CPAP Devices 4.3 Humidification Product Code MR850 900MR801 900MR823 900MR868 Description Humidifier Heater Wire Adaptor MR850 Heater Wire/Temp Probe Kit Probe Temp/Flow Ang 1600mm MR850 Humidifier Temperature / Flow Probe Heater Wire Gas Supply Low Flow Air/O2 Blender Product Code BC501-01 BC502-01 BC506-01 BC507-01 BC510-01 Description Bird MBlender 2-16LPM DISS Bird MBlender 2-16LPM NIST Blender Oxy/Air Bio-Med (DISS) green Blender Oxy/Air Bio-Med (DISS) white Bird MBlender Pole Mount Bracket Bird MBlender Pole Mount Bracket Blender DISS & NIST fittings available BIO-MED DEVICES O 2% Gas Blenders are available on an individual basis. They come complete with color coded nipples and control knobs. Flowrate 2-16 L/min (Bird) 0-15 L/min (Bio-Med) Includes flowmeter nipples (green or white) Note: Requires 900IW320 Bird Bracket Blender Complete to be fitted to the CosyCot Infant Warmer. Gas hoses not included. Please refer to Fisher & Paykel Healthcare Infant Warming Catalogue.

Bubble CPAP Sample Setup (pole) 5.1 Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Low Flow Air/O2 Blender Note: Gas Hoses not included. Please refer to Fisher & Paykel Infant Warming Catalogue BC510-01 Bird MBlender Pole Mount Bracket MR850 Humidifier 900MR801 Heater Wire Adaptor MR850 900MR030 Mounting Bracket Pole 15-50mm (for mounting humidifier) 900MR868 Probe Temp/Flow Ang 1600mm 900MR170 Mounting Bracket C-Clamp (for mounting CPAP generator) 900MR292 Humidifier Stand Telescopic

Bubble CPAP Sample Setup (warmer) 5.2 Low Flow Air/O2 Blender Bird MBlender 2-16LPM BC501-01 (DISS) BC502-01 (NIST) Note: Gas Hoses not included. Please refer to Fisher & Paykel Infant Warming Catalogue BC510-01 Bird MBlender Pole Mount Bracket MR850 Humidifier 900MR030 Mounting Bracket Pole 15-50mm (for mounting humidifier) 900MR801 Heater Wire Adaptor MR850 900MR868 Probe Temp/Flow Ang 1600mm 900IW302 Mounting Pole long 900MR170 Mounting Bracket C-Clamp (for mounting CPAP generator)

MANUFACTURER Fisher & Paykel Healthcare Limited, 15 Maurice Paykel Place, East Tamaki, Auckland 2013; P O Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: info@fphcare.com Web Site: www.fphcare.com AUSTRALIA Tel:+61 3 9879 5022 Fax:+61 3 9879 5232 AUSTRIA Tel: 0800 29 31 23 Fax: 0800 29 31 22 BENELUX Tel:+31 40 216 3555 Fax:+31 40 216 3554 CHINA Tel:+86 20 3205 3486 Fax:+86 20 3205 2132 FRANCE Tel:+33 1 6446 5201 Fax:+33 1 6446 5221 GERMANY Tel:+49 7182 93777 0 Fax:+49 7182 93777 99 INDIA Tel:+91 80 4123 6041 Fax:+91 80 4123 6044 IRISH REPUBLIC Tel: 1800 409 011 ITALY Tel:+39 06 7839 2939 Fax:+39 06 7814 7709 JAPAN Tel:+81 3 3661 7205 Fax:+81 3 3661 7206 NORTHERN IRELAND Tel: 0800 132 189 SPAIN Tel:+34 902 013 346 Fax:+34 902 013 379 SWEDEN Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 SWITZERLAND Tel: 0800 83 47 63 Fax: 0800 83 47 54 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, United Kingdom Tel:+44 1628 626 136 Fax:+44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax:+1 949 453 4001 REF 185043599 Rev F 2009-07 en

Bubble CPAP System Set-up Guide

For full User Instructions, please refer to Bubble CPAP System User Instructions (BC151/BC161 PN 185042847 and BC171 PN 185042848).

BC151 / BC161 BC161 (connects to F&P FlexiTrunk Interface) BC151 (connects to T-bar Interface) 10 9 8 7 6 5 Checks During Operation Regularly observe that the water is feeding into the humidification chamber. Should the water level exceed the maximum level marked on the humidification chamber, the chamber should be replaced. Check that all connections are tight before use and after any adjustment. Ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier. Regularly observe the circuit for condensate. Drain as required. Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling. Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed. Monitor patient oxygen levels. Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level. F & P b u b b l e c p a p s e t - u p G u i d e 1

BC151 / BC161 SET-UP 1. Insert Humidification Chamber Discard the chamber if the seals are not intact when received. Slide the chamber on to the humidifier base. Remove the blue caps. 2. Connect Water Bag Hang the water bag, unwind the water feed set and spike the water bag. Open the vent on the vented spike. Check the humidification chamber for water flow from the bag. If no water is visible in the chamber or water consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. Try gently squeezing the bag to promote water flow. Ensure that the height of the water bag is at least higher than the humidification chamber. If in doubt replace the chamber. Discard the chamber if the water level exceeds the maximum water level line. 3. Fill Bubble CPAP Generator Using the fill-funnel provided, fill the CPAP generator with sterile water until water flows into the overflow container. Set the CPAP probe to 10 cmh 2 O, ready for the leak test. Ensure that the fill-funnel remains on the Bubble CPAP generator. Ensure that the humidifier and Bubble CPAP generator are mounted below the patient. Water level too low Water level correct 2 F & P b u b b l e c p a p s e t - u p G u i d e

4. Connect Bubble CPAP Pressure Manifold and Breathing Circuit Connect the oxygen tubing between the pressure manifold and the flow source. Connect the pressure manifold to the chamber inlet port. Connect the blue inspiratory tube to the remaining chamber port. Remove the blue caps from the inspiratory tube and install the temperature probe ports and heaterwire adapter. Ensure that the heater-wire (inside tube) is evenly distributed along the circuit length and is not bunched or kinked. Connect test elbow to expiratory and inspiratory limbs. 1 L/min 10 9 8 7 6 5 5. Leak Test Check all connections are tight before use. Set the CPAP probe to 10 cmh 2 O and the input flow rate to 1 L/min. Observe the CPAP generator. Gentle, audible bubbling is acceptable; no bubbling means unacceptable leakage. If no bubbling is observed, check the entire system. Remove the correct port cap from the pressure manifold before connecting any monitoring device. 6-8 L/min (<15 L/min) 6. Set Flow Rate Adjust the flow rate to the prescribed input flow rate. Recommended flow rate: 6 to 8 L/min. Allowable flow range: 4 to 15 L/min. F & P b u b b l e c p a p s e t - u p G u i d e 3

BC151 / BC161 SET-UP Pressure-Flow Table F&P Bubble CPAP Generator used with F&P Infant Interface, typical mean pressure values (cmh 2 0) WITH NO LEAK Probe Setting (cmh 2 O) Flow (L/min) 3 4 5 6 7 8 9 10 4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0 5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1 6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2 7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4 8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5 9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6 10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8 11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9 12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1 13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3 14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4 15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6 Note: Other interfaces or circuits may produce varying pressures. 10 9 8 7 6 7. Set CPAP Level The number on the CPAP probe above the lid indicates the CPAP pressure in cmh 2 O. As an example, the illustration shows CPAP setting of 6 cmh 2 O. Set the CPAP probe at the prescribed level (3 to 10 cmh 2 O). 4 F & P b u b b l e c p a p s e t - u p G u i d e

8. Connect Bubble CPAP Circuit to Infant Interface Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface. BC161 connects to F&P FlexiTrunk Interface. BC151 connects to short binasal prongs (T-bar). MR850: 37 C 9. Set the Humidifier Ensure there is air flow present before turning on the humidifier. Turn on the humidifier. If using the MR850, ensure it is on Invasive mode (37 C). If using the MR730, set the temperature to 40 C, -3. Refer to the MR850 or MR730 User Instructions for further information. MR730: 40 C, -3 10. Attach Interface to Infant Connect the interface to the infant using the instructions provided with the interface. BC161 BC151 F & P b u b b l e c p a p s e t - u p G u i d e 5

BC171 BC171 (connects to Flow Driver) 10 9 8 7 6 5 Checks During Operation Regularly observe that the water is feeding into the humidification chamber. Should the water level exceed the maximum level marked on the humidification chamber, the chamber should be replaced. Check all connections are tight before use and after any adjustment. Ensure air flow is present at all times. If air flow is interrupted, turn off the humidifier. Regularly observe the circuit for condensate. Drain as required. Regularly observe the CPAP generator for bubbling. If bubbling is not observed, check for and minimize air leaks in the system and at the patient. If air leaks have been minimized, air flow may be increased to achieve continuous bubbling. Regularly observe the water level in the CPAP generator and overflow container. Refill the CPAP generator if the water level drops below the minimum water level line. Check and empty the overflow container once every 8 hours or as needed. Monitor patient oxygen levels. Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level. 6 F & P b u b b l e c p a p s e t - u p G u i d e

BC171 SET-UP 1. Insert Humidification Chamber Discard the chamber if the seals are not intact when received. Slide the chamber on to the humidifier base. Remove the blue caps. 2. Connect Water Bag Hang the water bag, unwind the water feed set and spike the water bag. Open the vent on the vented spike. Check the humidification chamber for water flow from the bag. If no water is visible in the chamber or water consumption is low, check that the bag is spiked properly and that the feed tube is not kinked or blocked. Try gently squeezing the bag to promote water flow. Ensure that the height of the water bag is at least 50 cm higher than the humidification chamber. If in doubt replace the chamber. Discard the chamber if the water level exceeds the maximum water level line. 3. Fill Bubble CPAP Generator Using the fill-funnel provided, fill the CPAP generator with sterile water until water flows into the overflow container. Set the CPAP probe to 10 cmh 2 O, ready for the leak test. Ensure that the fill-funnel remains on the Bubble CPAP generator. Ensure that the humidifier and Bubble CPAP generator are mounted below the patient. Water level too low Water level correct F & P b u b b l e c p a p s e t - u p G u i d e 7

BC171 SET-UP 4. Connect Pressure Manifold, Dry Line and Circuit Connect the pressure manifold with dry line to the flow driver and chamber inlet port. Connect the blue inspiratory limb to the remaining chamber port. Remove the blue caps from the inspiratory tube and install the temperature probe ports and the heaterwire adapter. Ensure that the heater wire is evenly distributed along the circuit length and is not bunched or kinked. Connect test elbow to expiratory and inspiratory limbs. 1 L/min 10 9 8 7 6 5 5. Leak Test Check all connections are tight before use. Set the CPAP probe to 10 cmh 2 O and the input flow rate to 1 L/min. Observe the CPAP generator. Gentle, audible bubbling is acceptable; no bubbling means unacceptable leakage. If no bubbling is observed, check the entire system. 6. Set Flow Rate Adjust the flow rate to the prescribed input flow rate. Recommended flow rate: 6 to 8 L/min. Allowable flow range: 4 to 15 L/min. 6-8 L/min (<15 L/min) 10 9 8 7 6 Set CPAP Level The number on the CPAP probe above the lid indicates the CPAP pressure in cmh 2 O. As an example, the illustration shows CPAP setting of 6 cmh 2 O. Set the CPAP probe at the prescribed level (3 to 10 cmh 2 O). 8 F & P b u b b l e c p a p s e t - u p G u i d e

Pressure-Flow Table F&P Bubble CPAP Generator used with F&P Infant Interface, typical mean pressure values (cmh 2 0) WITH NO LEAK Probe Setting (cmh 2 O) Flow (L/min) 3 4 5 6 7 8 9 10 4 3.1 4.1 5.1 6.1 7.1 8.1 9.1 10.0 5 3.2 4.2 5.3 6.3 7.3 8.3 9.2 10.1 6 3.4 4.4 5.4 6.4 7.4 8.4 9.3 10.2 7 3.6 4.6 5.6 6.6 7.6 8.5 9.5 10.4 8 3.8 4.8 5.8 6.8 7.8 8.7 9.6 10.5 9 4.0 5.0 6.0 7.0 7.9 8.9 9.8 10.6 10 4.3 5.3 6.2 7.2 8.1 9.0 9.9 10.8 11 4.6 5.6 6.5 7.4 8.4 9.2 10.1 10.9 12 4.9 5.8 6.8 7.7 8.5 9.4 10.2 11.1 13 5.2 6.1 7.0 7.9 8.8 9.6 10.4 11.3 14 5.5 6.4 7.3 8.2 9.0 9.8 10.6 11.4 15 5.8 6.7 7.5 8.4 9.2 10.0 10.8 11.6 Note: Other interfaces or circuits may produce varying pressures. 7. Connect Bubble CPAP Circuit to Infant Interface Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface. F & P b u b b l e c p a p s e t - u p G u i d e 9

BC171 SET-UP 8. Connect Pressure Line to Flow Driver Connect the pressure line filter end of the pressure line to the flow driver. Connect the pressure line elbow connector end of the pressure line to the nasal tubing pressure port. 9. Set the Humidifier (MR850) Ensure there is air flow present before turning on the humidifier. Turn on the flow driver. Turn on the humidifier. If using the MR850, ensure it is on Invasive mode (37 C). Refer to the MR850 User Instructions for further information. MR850: 37 C A 9A. Set the Humidifier (MR730) Ensure there is air flow present before turning on the humidifier. Turn on the flow driver. Turn on the humidifier. If using the MR730, set the temperature to 40 C, -3. Refer to the MR730 User Instructions for further information. MR730: 40 C, -3 1 0 F & P b u b b l e c p a p s e t - u p G u i d e

10. Attach Interface to Infant Connect the interface to the infant using the instructions provided with the interface. BC171 F & P b u b b l e c p a p s e t - u p G u i d e 1 1

For more information please contact your local Fisher & Paykel Healthcare representative 185034215 REVa EN 2011 Fisher & Paykel Healthcare Limited Manufacturer Fisher & Paykel Healthcare Ltd 15 Maurice Paykel Place East Tamaki, Auckland 2013 PO Box 14 348, Panmure Auckland 1741 New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: info@fphcare.com Web: www.fphcare.com Australia Fisher & Paykel Healthcare Pty Limited 36-40 New Street, PO Box 167 Ringwood, Melbourne Victoria 3134, Australia Tel: +61 3 9879 5022 Fax: +61 3 9879 5232 Austria Tel: 0800 29 31 23 Fax: 0800 29 31 22 Benelux Tel: +31 40 216 3555 Fax: +31 40 216 3554 China Tel: +86 20 3205 3486 Fax: +86 20 3205 2132 France Tel: +33 1 6446 5201 Fax: +33 1 6446 5221 Germany Tel: +49 7181 98599 0 Fax: +49 7181 98599 66 India Tel: +91 80 4284 4000 Fax: +91 80 4123 6044 Irish Republic Tel: 1800 409 011 Italy Tel: +39 06 7839 2939 Fax: +39 06 7814 7709 Spain Tel: +34 902 013 346 Fax: +34 902 013 379 Sweden Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 Switzerland Tel: 0800 83 47 63 Fax: 0800 83 47 54 Taiwan Tel: +886 2 8751 1739 Fax: +886 2 8751 5625 Turkey Tel: +90 312 354 34 12 Fax: +90 312 354 31 01 UK EC REP Fisher & Paykel Healthcare Ltd Unit 16, Cordwallis Park Clivemont Road, Maidenhead Berkshire SL6 7BU, UK Tel: +44 1628 626 136 Fax: +44 1628 626 146 USA/Canada Tel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001 www.fphcare.com

Bubble CPAP System F&P Bubble CPAP SYSTEM With the goal of improving patient care in over 120 countries, Fisher & Paykel Healthcare designed the F&P Bubble CPAP System for use with spontaneously breathing infants requiring respiratory support. Incorporating unique features and world-leading humidification technology, the F&P Bubble CPAP System has been developed to provide a respiratory support system that is safe, effective and easy to use. Adaptability to current practices has been taken into consideration with the choice of various system models. The F&P Infant Interface complements the system, providing comfort and optimum CPAP support to the infant at risk.

F&P Bubble CPAP System FEATURES The F&P Bubble CPAP System is the first complete system available in an All-in-One Pack. It includes the Bubble CPAP generator, heated breathing circuits, humidification chamber and pressure manifold. F&P FlexiTrunk is a lightweight nasal tubing with a unique, flexible extension for a stable prong and mask fixation while allowing for normal infant movement. F&P Bubble CPAP System models include: BC151 connects to other infant CPAP interfaces (e.g. Hudson and Inca prongs) BC161 connects to the F&P Infant Interface BC171 connects to the M672P Infant Flow Driver (IFD) or equivalent BC161 BC171 BC151 10 9 8 7 6 5 10 9 8 7 6 5 10 9 8 7 6 5 Safe and Reliable Used on over a quarter of a million patients globally The unique auto-level mechanism of the Bubble CPAP generator provides consistent and accurate delivery of CPAP The pressure manifold with pressure relief valve promotes infant safety Easy to Use Easy auto-leveling by simply adding water into the Fill Funnel on the Bubble CPAP generator Excess condensate automatically drains into the detachable overflow container (see image on right) Detachable overflow container can be emptied without interrupting CPAP Optimum Humidification The F&P Bubble CPAP System provides respiratory support with body-temperature pressure-saturated gases to the infant Optimal humidity promotes mucociliary clearance and reduces the work of breathing Simple Yet Versatile Adjustable CPAP from 3 to 10 cmh 2 O The Bubble CPAP System can connect to various interfaces

FOCUS ON FEATURES Bubble CPAP Circuit Spiral heater-wire provides even heat distribution, reducing heat loss and condensate build-up Aims to deliver optimal humidity Bubble CPAP Pressure Manifold Limits the pressure delivered in the event of an occlusion Allows connection to a pressuremonitoring device and/or an air/oxygen analyzer MR290 Humidification Chamber Auto-fill, easy to use Maintains constant CPAP Closed system minimizes the risk of infection Bubble CPAP Generator Adjustable CPAP from 3 to 10 cmh2o Detachable overflow container allows uninterrupted CPAP when overflow container is being emptied Includes separate Fill Funnel Mounting bracket is incorporated on the back of the Bubble CPAP generator

F&P Bubble CPAP System SPECIFICATIONS F&P Bubble CPAP System Input Flow Range Recommended Input Flow Set CPAP Pressure Range Intended Patient Population Operating Temperature Range Storage Temperature Range Usage Period Maximum Pressure Limit Oxygen Analyzer Port 4 to 15 L/min 6 to 8 L/min 3 to 10 cmh 2 O Premature neonates and infants up to 10 kg 18 to 26 o C -10 to 50 o C Single patient use, for a maximum of 7 days 17 cmh 2 O @ 8 L/min 22 mm Male or 15 mm Female Pressure Monitoring Port Respiratory Humidifier Female luer F&P MR850 or MR730 only (Invasive Mode) Circuit Length Inspiratory Tube Expiratory Tube BC161 1.1 m (3.61 ft) 1.2 m (3.94 ft) BC151 1.4 m (4.59 ft) includes 300 mm (11.8 in) extension to connect to Hudson Prongs 1.2 m (3.94 ft) BC171 1.1 m (3.61 ft) 1.2 m (3.94 ft) F&P Bubble cpap system models Product Code & Description BC151* BC161* 185034230 EN Rev B 2012 Fisher & Paykel Healthcare Limited BC171* * Box of 10 Note: For ordering information, please refer to the Fisher &Paykel Healthcare Bubble CPAP Product Catalogue (Part No. 185043599). MR850 Humidifier must be purchased separately. www.fphcare.com Manufacturer Fisher & Paykel Healthcare Ltd, 15 Maurice Paykel Place, East Tamaki, Auckland 2013, PO Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: info@fphcare.co.nz Web: www.fphcare.com Australia Tel: +61 3 9879 5022 Fax: +61 3 9879 5232 Austria Tel: 0800 29 31 23 Fax: 0800 29 31 22 Benelux Tel: +31 40 216 3555 Fax: +31 40 216 3554 China Tel: +86 20 3205 3486 Fax: +86 20 3205 2132 France Tel: +33 1 6446 5201 Fax: +33 1 6446 5221 Germany Tel: +49 7181 98599 0 Fax: +49 7181 98599 66 India Tel: +91 80 4284 4000 Fax: +91 80 4123 6044 Irish Republic Tel: 1800 409 011 Italy Tel: +39 06 7839 2939 Fax: +39 06 7814 7709 Japan Tel: +81 3 3661 7205 Fax: +81 3 3661 7206 Northern Ireland Tel: +0800 132 189 Spain Tel: +34 902 013 346 Fax: +34 902 013 379 Sweden Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 Switzerland Tel: 0800 83 47 63 Fax: 0800 83 47 54 Taiwan Tel: +886 2 8751 1739 Fax: +886 2 8751 5625 Turkey Tel: +90 312 354 34 12 Fax: +90 312 354 31 01 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, UK Tel: +44 1628 626 136 Fax: +44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax: +1 949 453 4001