ResMed Nebulizer Pixi User Guide

User Guide  
English  
TM  
Pixi  
PEDIATRIC MASK  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Mask components / Maskenkomponenten /  
Composants du masque / Componenti della maschera /  
Maskkomponenter / Maskedele / Maskens komponenter /  
Maskin osat  
3
A
2
4
1
5
8
9
6
10  
7
11  
13  
18  
14  
12  
15  
16  
17  
ii  
Download from Www.Somanuals.com. All Manuals Search And Download.  
B
Mask components / Maskenkomponenten /  
Composants du masque / Componenti della maschera /  
Maskkomponenter / Maskedele / Maskens komponenter /  
Maskin osat  
Item /  
Description / Beschreibung / Description /  
Descrizione / Beskrivning / Beskrivelse /  
Part number /  
Teilenummer /  
Code produit /  
Codice prodotto /  
Artikelnummer /  
Delnummer /  
Artikel /  
Composant / Beskrivelse / Nimitys  
Elemento /  
Artikel / Del /  
Artikkel /  
Osa  
Delenummer /  
Tuotenumero  
1.  
Short tube assembly / Verbindungsschlauch-  
Satz / Ensemble tuyau court / Gruppo circuito  
corto (mount) / Kort slangmontering / Kort  
slange / Kort slange / Lyhyt letku  
2.  
3.  
Elbow / Kniestück / Coude / Gomito  
girevole / Knärör / Vinkelstykke / Kneledd /  
Kulmakappale  
Plug tether / Verschlussbefestigung / Point  
d’attache du bouchon d’obturation / Attacco  
del tappo / Plugghållare / Propforankring /  
Pluggforankring /Tulpan kiinnitysnauha  
4.  
Mask frame / Maskenrahmen / Entourage  
rigide /Telaio della maschera / Maskram /  
Maskeramme / Maskeramme / Maskin runko  
iii  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Item /  
Description / Beschreibung / Description /  
Descrizione / Beskrivning / Beskrivelse /  
Part number /  
Teilenummer /  
Code produit /  
Codice prodotto /  
Artikelnummer /  
Delnummer /  
Artikel /  
Composant / Beskrivelse / Nimitys  
Elemento /  
Artikel / Del /  
Artikkel /  
Osa  
Delenummer /  
Tuotenumero  
5.  
Frame nodes / Rahmenanschlüsse / Points  
de fixation de l’entourage / Nodi del telaio /  
Fäste för huvudband / Rammeknopper /  
Rammenoder / Kiinnitysnystyrät  
6.  
Mask socket / Maskenfassung / Cavité  
du masque / Scanalatura della maschera /  
Mjukdelsfäste / Maskestudse / Maskens  
tilkoblingshull / Maskin kiinnityskohdat  
7.  
Plug / Verschluss / Bouchon d’obturation /  
Tappo / Plugg / Prop / Plugg /Tulppa  
8.  
9.  
Cushion / Maskenkissen / Bulle / Cuscinetto / 61033  
Mjukdel / Pude / Pute / Pehmike  
Vent / Ausatemöffnung / Ensemble orifices  
de ventilation / Fori per l’esalazione / Ventil /  
Lufthul / Ventil / Ilma-aukko  
10.  
Cushion shoulder / Maskenkissenrand /  
Rebord de la bulle / Spalla del cuscinetto /  
Mjukdelskant / Pudeansats / Puteskulder /  
Pehmikkeen uloke  
11.  
Pressure port / Druckanschluss / Port de  
pression / Presa della pressione /Tryckport /  
Trykport /Trykkslange / Paineletku  
12.  
13.  
Headgear / Kopfband / Harnais / Copricapo /  
Huvudband / Hovedbånd / Hodestropper /  
Pääremmit  
61034  
Top headgear strap and buckle (light blue) /  
Oberes Kopfband und Clip (hellblau) / Sangle  
et boucle supérieures du harnais (bleu clair) /  
Cinghia e fibbia superiore del copricapo  
(azzurro) / Övre huvudbandsrem och spänne  
(ljusblå) / Øverste hovedbåndsstrop og  
-spænde (lyseblå) / Øvre hodestropp og  
spenne (lyseblå) / Pääremmien ylempi hihna  
ja solki (vaaleansiniset)  
iv  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Item /  
Description / Beschreibung / Description /  
Descrizione / Beskrivning / Beskrivelse /  
Part number /  
Teilenummer /  
Code produit /  
Codice prodotto /  
Artikelnummer /  
Delnummer /  
Artikel /  
Composant / Beskrivelse / Nimitys  
Elemento /  
Artikel / Del /  
Artikkel /  
Osa  
Delenummer /  
Tuotenumero  
14.  
Middle headgear strap and buckle (dark  
blue) / Mittleres Kopfband und Clip  
(dunkelblau) / Sangle et boucle du milieu  
du harnais (bleu foncé) / Cinghia e fibbia  
intermedia del copricapo (blu) / Mellersta  
huvudbandsrem och spänne (mörkblå) /  
Midterste hovedbåndsstrop og -spænde  
(mørkeblå) / Midtre hodestropp og spenne  
(mørkeblå) / Pääremmien keskimmäinen  
hihna ja solki (tummansiniset)  
15.  
Lower headgear strap / Unteres  
Kopfband / Sangle inférieure du harnais /  
Cinghia inferiore del copricapo /  
Nedre huvudbandsrem / Nederste  
hovedbåndsstrop / Nedre hodestropp /  
Alahihna  
16.  
17.  
Quick release clip / Schnell zu öffnender  
Clip / Clip de retrait rapide / Fermaglio di  
rilascio rapido / Säkerhetsspänne / Klemme  
til hurtig udløsning / Hurtigutløsningsklips /  
Pikairrotuskiinnike  
Lower headgear arms / Untere  
Kopfbandhalter / Bras inférieurs du harnais /  
Bracci inferiori del copricapo / Fäste för  
maskram / Nederste hovedbåndsarme /  
Nedre hodestropparmer / Alemmat  
sivukappaleet  
18.  
22 mm Swivel / 22 mm Drehadapter /  
Pièce pivotante 22 mm / Giunto rotante  
da 22 mm / Swivel, 22 mm / 22 mm  
drejestuds / 22 mm svivel / 22 mm:n  
pyörivä liitin  
A
B
Complete system / Komplettes System /  
Masque complet / Sistema completo /  
Komplett system / Komplet maske /  
Fullstendig system / Maski täydellisenä  
61031  
61035  
Frame system / Maskenrahmensystem /  
Entourage complet /Telaio /  
Maskramsystem / Rammesystem /  
Rammesystem / Maskin koko runko  
v
Download from Www.Somanuals.com. All Manuals Search And Download.  
Pixi™  
pediatric mask  
Thank you for choosing the Pixi Pediatric mask. Please read the entire manual  
before use.  
Intended use  
The Pixi Pediatric mask channels airflow noninvasively to a patient from a  
continuous positive airway pressure (CPAP) or bilevel device (‘device’).  
The Pixi Pediatric mask is:  
to be used by children aged between 2 and 7 for whom continuous  
positive airway pressure (CPAP) or bilevel therapy has been prescribed  
intended for single-patient re-use in the home and single patient re-use in  
the hospital/institutional environment.  
WARNING  
This mask is designed to provide a stable effective air seal with  
minimum headgear tension. High headgear tension may lead to facial  
deformities with long-term use. Regular clinician review of growth  
patterns and the use of different styles of mask is recommended.  
The mask must be used under qualified supervision for patients who  
are unable to remove the mask by themselves.  
The mask may not be suitable for those predisposed to aspiration.  
If the mask is prescribed for children with serious congenital  
conditions or cognitive impairments, then using a device with  
appropriate alarms is recommended.The correct operation of the  
complete patient circuit, including alarms must be tested before  
commencing therapy.  
Follow all precautions when using supplemental oxygen.  
Oxygen flow must be turned off when the CPAP or bilevel device is  
not operating, so that unused oxygen does not accumulate within the  
device enclosure and create a risk of fire.  
Oxygen supports combustion. Oxygen must not be used while  
smoking or in the presence of an open flame. Only use oxygen in well  
ventilated rooms.  
The vent holes must be kept clear and must not sit against the nose.  
The mask should not be used unless the device is turned on. Once the  
mask is fitted, ensure the device is blowing air.  
1
Download from Www.Somanuals.com. All Manuals Search And Download.  
Explanation: CPAP and bilevel devices are intended to be used  
with special masks (or connectors) which have vent holes to allow  
continuous flow of air out of the mask. When the device is turned on  
and functioning properly, new air from the device flushes the exhaled  
air out through the mask vent holes. However, when the device is not  
operating, insufficient fresh air will be provided through the mask,  
and the exhaled air may be rebreathed. Rebreathing of exhaled air  
for longer than several minutes can, in some circumstances, lead to  
suffocation.This applies to most models of CPAP or bilevel devices.  
This mask should only be used with CPAP or bilevel devices  
recommended by a physician or respiratory therapist.  
Using a mask may cause tooth, gum or jaw soreness or aggravate an  
existing dental condition. If symptoms occur, consult your physician  
or dentist.  
Remove and dispose of all packaging before using the mask.  
Set up  
Determine which side of the cushion the air tubing will be located. Ideally this  
should be the side that is closest to the device.  
Pixi Hint! If the child has a preference for sleeping on a particular  
side, this should be considered when determining the location of the  
device.  
Changing the side of the air tubing  
1.  
To change the side of the air tubing, remove the plug from the cushion.  
2.  
Insert the combined elbow and air tubing until the cushion meets the  
ridge on the elbow.  
3.  
Ensure the opposite side of the cushion is fully closed by securely  
inserting the plug into the cushion opening.  
Attaching the headgear  
The mask frame has been designed to ensure the headgear is fitted correctly  
every time.  
4.  
Latch the lower headgear arm with the star onto the frame node with  
two stars, so that the frame is nested between the plastic and the  
padding of the headgear.  
5.  
6.  
Gently pull the headgear arm into place until it clicks.  
Repeat steps 4-5 with the other side (without stars).  
Set up is now complete and the mask is ready for fitting.  
2
Download from Www.Somanuals.com. All Manuals Search And Download.  
Set up  
1
3
5
2
4
6
3
Download from Www.Somanuals.com. All Manuals Search And Download.  
WARNING  
Ensure that the nasal cushion does not block the nostrils at any time  
during fitting or use.  
Do not leave long lengths of air tubing around the top of the childs  
bed. It could twist around the childs head or neck while sleeping.  
Fitting  
The fitting illustrations show the sequence for obtaining the best fit and  
comfort when using the mask.  
Pixi Hints!  
If fitting the mask for the first time, we recommend the child be  
sitting in an upright position to ensure correct fit.  
To avoid possible anxiety by the child, ensure all parts of the  
mask frame and headgear are kept clear from the eyes and eye  
area.  
The child will best adapt to therapy if the mask is correctly fitted  
before the device is turned on.  
Fitting steps  
1–2. Hold the mask gently against the childs face, checking that the nose  
is fully enclosed by the cushion and the mouth is clear – pull the  
headgear up over the head. Move the middle strap down over the head  
until it sits across the middle of the back of the head.  
3.  
Keeping your hand on the frame to maintain correct headgear position,  
bring the lower headgear strap behind the back of the neck.  
4–5. Attach the lower headgear strap to the mask by holding the tab and  
hooking the quick release clip onto the lower headgear arm.  
6.  
When fully fitted, the mask and headgear should be positioned as  
shown. Ensure the top strap is vertically aligned with the top of the  
ears and the middle strap sits across the back of the head horizontally  
aligned with the top of the ears.  
7.  
Finally, connect the free end of the short tube assembly to the device  
air tubing.  
4
Download from Www.Somanuals.com. All Manuals Search And Download.  
Fitting  
1
3
5
2
4
6
5
Download from Www.Somanuals.com. All Manuals Search And Download.  
Adjustment  
Pixi Hints!  
To achieve optimal seal, adjust the headgear straps starting at the  
bottom strap and working upwards.  
If the child experiences nasal dryness or irritation, using a  
humidifier is recommended.  
Adjustment steps  
1.  
If necessary, adjust the straps by removing the Velcro and gently  
tightening the lower headgear straps until comfortable. Do not  
overtighten.  
2–3. Repeat step 1 with both middle and top straps until comfortable.  
Note:The mask is designed to fit loosely while still providing an  
optimal seal. Do not overtighten the straps.  
1
3
2
6
Download from Www.Somanuals.com. All Manuals Search And Download.  
Attaching the pressure port  
The pressure port is used to measure the air pressure at your mask so  
that the correct pressure is set. This happens during the sleep study at the  
hospital.  
The pressure port is also used to deliver oxygen. This can take place in the  
home or hospital environment. If necessary, your clinician will advise when  
this is required.  
Attachment steps  
1.  
Remove the plug from the cushion.  
2.  
3.  
4.  
Move the plug to the side so that it is not obstructing the vent holes.  
Insert the larger end of the pressure port into the cushion.  
Attach the other end of the pressure port to the oxygen system.  
1
2
4
3
7
Download from Www.Somanuals.com. All Manuals Search And Download.  
Cushion check  
Cushion check steps  
1–2. Ensure the cushion is not creased or folded or caught inside the  
sockets of the mask frame.  
3.  
The Pixi cushion is designed to sit mid-bridge. Ensure that the mask  
does not block the nose or mouth at any time.  
1
3
2
8
Download from Www.Somanuals.com. All Manuals Search And Download.  
Removal  
Removal steps  
1–2. Gently hold the mask against the childs face. Unhook the quick release  
clip from the lower headgear arm by pulling forward and away from the  
arm.  
3–4. Keep holding the mask and remove the headgear by pulling up and  
over the head towards the face.  
1
3
2
4
9
Download from Www.Somanuals.com. All Manuals Search And Download.  
Emergency removal  
In the event of an emergency, remove the mask by placing your finger under  
the lower headgear strap and firmly pulling it away from the child – this will  
activate the quick release clip. Do not use this removal method under normal  
circumstances.  
Disassembly  
Disassembly steps  
1.  
Detach the headgear from the mask frame by unlatching each of the  
lower headgear arms from the frame nodes.  
2.  
3.  
Remove the combined elbow and air tubing from the mask.  
Remove the plug from the cushion.  
4–5. Remove the cushion from the frame by gently pushing it through from  
the front of the frame and pulling it away from the rear of the mask  
frame.  
WARNING  
When disassembling the mask, always keep all accessories and  
components out of the reach of small children as small parts might  
present a choking hazard. Seek immediate medical attention if choking  
occurs or if any small part has been swallowed.  
10  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Disassembly  
1
3
5
2
4
11  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Headgear reassembly  
Pixi Hints!  
You don’t need to disassemble your Pixi headgear to wash it.  
The Velcro straps and plastic buckles have been color coded for  
ease of assembly.  
Headgear reassembly steps  
1.  
Lay the headgear and plastic buckles out on a flat surface as shown,  
ensuring the lower headgear arms are facing up.  
2.  
3.  
4.  
Thread each light blue strap up and over the light blue buckle, then  
secure into place.  
Thread each dark blue strap up and over the dark blue buckle, then  
secure into place.  
Thread the Velcro only end of the lower headgear strap through the  
lower headgear arm, then secure into place. There is no need to  
attach the quick release clip to the headgear now.  
Ensure that any Velcro or plastic parts are on the outer side of the mask,  
otherwise your headgear may be incorrrectly assembled. The headgear is  
now ready for fitting. Refer to the Set up illustrations in this guide.  
1
2
3
12  
Download from Www.Somanuals.com. All Manuals Search And Download.  
4
13  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Reassembly  
Reassembly steps  
1.  
Insert each side of the cushion into the sockets of the mask frame.  
Ensure the cushion is oriented correctly. The arrows on the cushion  
should be pointing up towards the plug tether. The raised vented area  
of the cushion should also be sitting up against the mask frame.  
2.  
Pull the arms of the cushion through until the collar of the cushion  
shoulder is sitting against the mask frame.  
3.  
4.  
Replace the plug into the appropriate side of the cushion.  
Insert the combined elbow and air tubing into the other side of the  
cushion, ensuring that it is fully inserted.  
5.  
Reattach the headgear. Refer to the Attaching the headgear illustrations  
in this user guide.  
1
3
2
4
14  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Cleaning the mask  
The mask and headgear should only be gently handwashed.  
Daily/After each use:  
Disassemble the mask components according to the disassembly  
instructions.  
Thoroughly clean the separated mask components (excluding headgear),  
by gently rubbing in warm (approximately 30°C) water using mild soap.  
To optimise the mask seal, facial oils should be removed from the  
cushion after use.  
Use a soft bristle brush to clean the vent.  
Inspect each component and, if required, repeat washing until visually  
clean.  
Rinse all components well with drinking quality water and allow to air dry  
out of direct sunlight.  
When all components are dry, reassemble according to the reassembly  
instructions.  
Weekly:  
Handwash the headgear. It can be washed without being disassembled.  
WARNING  
Do not use aromatic-based solutions or scented oils (eg, eucalyptus or  
essential oils), bleach, alcohol or products that smell strongly (eg, citrus)  
to clean any of the mask components. Residual vapours from these  
solutions can be inhaled if not rinsed thoroughly.They may also damage  
the mask.  
CAUTION  
If any visible deterioration of a system component is apparent (cracking,  
crazing, broken parts, tears etc), or, if after cleaning, any component  
remains unclean, the component should be discarded and replaced.  
15  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Troubleshooting  
Problem / possible cause  
Solution  
Mask is too noisy  
Vent is blocked or partially blocked.  
If the vent requires cleaning, use a soft  
bristle brush.  
Elbow or plug is incorrectly inserted.  
Remove the elbow and plug from the  
mask and then reassemble according  
to the instructions.  
Mask leaks around the face  
Mask is not positioned correctly.  
Gently pull the cushion away from the  
face to reinflate. Reposition the mask  
according to the instructions.  
Air leaking around the nose  
Mask is not tightened correctly.  
Tighten the bottom and middle  
headgear straps. The top strap is  
designed to sit quite loosely. Do not  
overtighten.  
Turn off the device and remove the  
mask. Refit the mask according to the  
instructions. Ensure you position the  
cushion correctly on the face before  
pulling headgear over the head.  
The mask does not fit properly  
Mask may be incorrectly assembled.  
Disassemble the mask and reassemble  
according to the instructions.  
Cushion may be dirty.  
Clean the cushion according to the  
instructions.  
16  
Download from Www.Somanuals.com. All Manuals Search And Download.  
WARNING  
The technical specifications of the mask are provided for your clinician  
to check that they are compatible with the CPAP or bilevel device. If  
used outside specification or if used with incompatible devices, the  
seal and comfort of the mask may not be effective, optimum therapy  
may not be achieved, and leak, or variation in the rate of leak, may  
affect the device function.  
Discontinue using this mask if the child has any adverse reaction to  
the use of the mask, and consult your physician or sleep therapist.  
At a fixed rate of supplemental oxygen flow, the inhaled oxygen  
concentration varies, depending on the pressure settings, patient  
breathing pattern, mask, point of application and leak rate.This  
warning applies to most type of CPAP or bilevel devices.  
As with all masks, some rebreathing may occur at low CPAP  
pressures.  
Refer to your device manual for details on settings and operational  
information.  
17  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Technical specifications  
Pressure–flow  
curve  
The mask contains passive venting to protect against  
rebreathing. As a result of manufacturing variations, the  
vent flow rate may vary.  
70  
60  
50  
40  
30  
20  
10  
0
Pressure  
(cm H2O) (L/min)  
Flow  
2
14  
31  
43  
53  
61  
9
16  
23  
30  
2
4
6
8
10  
12  
14  
16  
18  
20  
22  
24  
26  
28  
30  
Mask pressure (cm H2O)  
Dead space  
information  
Physical dead space is the empty volume of the mask  
to the end of the swivel.  
It is 101.7 mL.  
Therapy pressure 2 to 30 cm H2O  
Compliance  
Mask compliance between 5 cm H2O and 15 cm H2O is  
less than 1.57 mL/cm H2O  
Resistance  
Drop in pressure measured (nominal)  
at 50 L/min: 0.8 cm H2O  
at 100 L/min: 3.1 cm H2O  
Sound  
DECLARED DUAL-NUMBER NOISE EMISSION  
VALUES in accordance with ISO 4871. The A-weighted  
sound power level of the mask is 40.6 dBA, with  
uncertainty 4 dBA. The A-weighted sound pressure  
level of the mask at a distance of 1 m is 32.6 dBA, with  
uncertainty 4 dBA.  
Environmental  
conditions  
Operating temperature: +5°C to +40°C  
Operating humidity: 15% to 95% non-condensing.  
Storage and transport: -20°C to +60°C  
Storage and transport humidity: up to 95% non-  
condensing.  
Gross  
dimensions  
Mask fully assembled with elbow assembly – no  
headgear.  
35 mm (H) x 430 mm (W) x 40 mm (D)  
18  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Notes:  
The mask system does not contain PVC, DEHP or phthalates.  
This product does not contain natural rubber latex.  
The manufacturer reserves the right to change these specifications  
without notice.  
Storage  
Ensure that the mask is thoroughly clean and dry before storing it for any  
length of time. Store the mask in a dry place out of direct sunlight.  
Disposal  
This mask does not contain any hazardous substances and may be disposed of  
with your normal household refuse.  
Symbols  
LOT  
Caution, consult accompanying documents;  
Batch Code;  
Humidity limitation;  
Manufacturer;  
Indicates a Warning or  
REF  
Catalogue number;  
Temperature limitation;  
Does not contain natural rubber latex;  
European Authorised Representative;  
Caution and alerts you to a possible injury or explains special measures for the  
safe and effective use of the device;  
Fragile, handle with care.  
Keep away from rain;  
This way up;  
Consumer warranty  
ResMed acknowledges all consumer rights granted under the EU Directive  
1999/44/EG and the respective national laws within the EU for products sold  
within the European Union.  
19  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Manufacturer:  
ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.  
Distributed by:  
ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA.  
ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK.  
Pixi is a trademark of ResMed Ltd.  
Velcro is a trademark of Velcro Industries B.V.  
© 2011 ResMed Ltd.  
Download from Www.Somanuals.com. All Manuals Search And Download.  
2
4
6
1
3
5
618215/1 2011-09  
Pixi  
618215  
USER  
EUR ENG  
Download from Www.Somanuals.com. All Manuals Search And Download.  
Global leaders in sleep and respiratory medicine www.resmed.com  

Quasar TV VCR Combo VV8213 User Guide
Radio Shack Thermometer Thermometer User Guide
RCA MP3 Player TC161 User Guide
Roberts Radio Clock Radio DreamDock User Guide
Roland Musical Instrument PD 125 PD 105 User Guide
Samsung All in One Printer SCX 4216F User Guide
Samsung Car Video System BN68 01517A 00 User Guide
Samsung Telephone SP C700R User Guide
Samsung Universal Remote LER73BD User Guide
Sansui Flat Panel Television SLED3280 User Guide