User Manual
Contents
1. SETTING UP PROCEDURE Initial cleaning Although the device has been thoroughly cleaned after manufacture it is recommended that it is cleaned and sterilised prior to use See Cleaning Guidelines The Propulse Il Ear Irrigator must only be used with a mains power supply that is the same as that indicated on the data panel on the base of the device The manufacturer cannot accept responsibility for damage or injury however sustained from connecting the device to a non compatible power supply Adapters should not be used when connecting the device to the power supply Caution The product is not permanently disconnected from the mains in the off O position Please remove the plug from mains when not in use to prevent overheating Page 6 Filling the water container Although the mains voltage is isolated from exposed wiring in the device it is recommended thot i The water container reservoir 1 is removed from the device for filling and that the lid is always in place when the water container is in situ on the device ii The water container is not overtilled iii The water used to fill or clean the water container does not exceed normal body temperature Fitting the disposable one use jet tip applicators The Propulse II Ear Irrigator is supplied with ten disposable one use jet tip applicators 2 use one disposable one use jet tip per patient To remove a jet tip applicator pull the jet2. DATA Voltage rating 220 to 240 V AC Power rating 20 VA Frequency 50 to 60 Hz Static Pressure with stop button closed Minimum setting 0 27 bar 27 kpa to 1 11 bar 111 kpa Maximum setting 1 35 bar 135 kpa to 3 45 bar 345 kpa Water jet pulses at 50 Hz 1200 at 60 Hz 1440 Maximum operating time 10 minutes with a recommended rest time of 2 hours Storage temperature range 5 C to 65 C Storage relative humidity Up to 80 Guide to safety symbol Class Il Equipment Attention Consult Accompanying Documents Eo T Type B F Equipment IPX4 Protected Against Splashing Water Page 4 SAFETY INFORMATION The Propulse Il is CE marked for and complies with Medical Devices Directive CE 0499 Electrical Safety EN60601 1 EMC Safety EN55014 EN61000 EN60601 DESCRIPTION The Propulse II Ear Irrigator consists of a The main body containing the motor and pump a power cord terminating in a UK standard 13 amp mains plug or appropriate overseas plug a green power supply on indicator 8 and user controls Note The green power supply on light indicates that the device is connected to the mains power supply only It does not indicate that the operating switch is in the ON position User Controls are i An operating switch 7 this switch powers the equipment on and off in conjunction with the footswitch
3. See d next page ii A pressure flow control knob 6 that determines the pressure and flow of the water at the water jet tip iii A water jet stop button 5 see water jet tip holder next page b the water container reservoir 1 the clear plastic container and it s detachable lid is removable for filling and cleaning Page 5 c the water jet tip holder 3 is attached to the main body of the device by a coiled tube This tube is not detachable The water jet tip holder accommodates disposable one use jet tip applicators Only disposable one use jet tip applicators designed for the Propulse Il Ear Irrigator must be used The manufacturer cannot accept responsibility for damage or injury however caused through the use of non approved jet tip applicators The water jet tip holder incorporates a water jet stop button 5 This button will stop the flow of water when it is pressed fully in The pressure flow set by the pressure flow control knob will be resumed upon release of the water stop button or by pressing or depressing the footswitch d the foot switch 10 attached to the main body by a detachable socket connection The device will only function if the foot switch is connected and the operating switch is in the ON position Pressing the footswitch causes the device to produce water at the water jet tip applicator at the pressure flow set by the pressure flow control knob
4. out by a trained nurse or doctor REASONS for using this procedure In order to a Correctly treat an ear infection or otitis externa where the meatus is obscured by debris and is too painful to toilet b Improve conduction of sound into the ear where impacted wax is believed to be the cause of a hearing defect c Examine the external auditory meatus and the tympanic membrane d Remove a cause of discomfort DO NOT IRRIGATE the ears when a There has been a past history of ear problems such as tympanic membrane perforation b There is a recent history of otalgia or recent past or present middle ear infection c There have been untoward experiences following this procedure in the past d There is a healed old perforation Irrigate with care as the healed area is more susceptible to rupture e Grommets are in place except in certain circumstances f NEVER irrigate mastoid cavities g The patient has a cleft palate repaired or not Page 8 Equipment Waterproof cape and towel Auriscope Propulse Head Lamp or Head mirror and light and spare batteries Propulse machine with foot control Jug containing tap water to 40 degrees C Noots tank Jobson Horne probe and cotton wool Tissues and receivers for dirty swabs and instruments Sufficient disposable one use jet tips for the treatment programme This procedure should be carried out with both participants seated and under direct vision using a
5. tip applicator directly trom the jet tio holder body without using a sideways movement To fit or change a jet tip applicator reverse the above procedure Disposable one use angled jet tips are available in boxes of 100 individually wrapped tips from your normal Propulse supplier or from Mirage direct USING THE PROPULSE II EAR IRRIGATOR The clinical criteria for use of the Propulse Il should be noted before treatment is commenced 1 Follow the setting up procedure 2 Make sure the Foot Switch plug is fully inserted into the foot switch socket 9 3 Set the Pressure Flow control knob 6 to it s lowest setting fully anti clockwise 4 Switch the Operating Switch 7 from to 5 Press the Foot Switch 10 6 Turn the Pressure Flow control knob slowly clockwise from the MIN position until the pressure flow of the water is compatible with the treatment requirements and patient comfort 7 Follow the Cleaning Guidelines Page 7 8 Carry out the treatment as detailed in the sections Guidelines for ear irrigation Equipment Procedure GUIDELINES FOR EAR IRRIGATION USING THE PROPULSE II ELECTRONIC EAR IRRIGATOR PRINCIPLES Irrigating the ear is carried out to a Facilitate the removal of cerumen and foreign bodies which are not hygroscopic from the external auditory meatus b Remove discharge keratin or debris from the external auditory meatus We recommend this procedure is only carried
6. EAR CARE TRAINING Ear Care Training is available and can be purchased Further details are available trom Mirage on 0845 130 5440 MURACE HEALTH GROUP Copyright Mirage Health Group Ltd November 2003 MIRAGE HEALTH GROUP Propulse II Electronic Ear Irrigator User Manual Mirage Health Group Ltd 12 Singer Way Woburn Road Industrial Estate Kempston Bedfordshire MK42 7AE UK Tel 0845 130 5440 Fax 0845 130 6440 Overseas Tel 44 1234 856008 Fax 44 1234 840157 www miragehealthgroup com email uksales miragehealthgroup com Internationalsales miragehealthgroup com Water Container Reservoir Disposable One Use Jet Tip Jet Tip Holder Lid Water Jet Stop Button Pressure Flow Control Knob 4 Operating Switch f Green Power On Light Foot Switch Socket 0 Foot Switch Fa OO EOS OT Os IMPORTANT INFORMATION It_is_ important that you read this user manual before using the Propulse II Ear Irrigator The Propulse II Ear Irrigator is a medical device intended for the removal of cerumen keratin and or foreign bodies from the human ear by irrigation The manufacturer cannot accept responsibility if it is used for any other purpose It is strongly recommended that the Propulse Il Ear Irrigator is only used by suitably trained clinicians Details of training resources are available from Mirage NB The cost of training is NOT included in the cost of the irrigator Page 2 The Propulse
7. Il Ear Irrigator must only be used with the footswitch with which it is supplied The manufacturer cannot accept responsibility if any other footswitch is used neither can it accept responsibility if the footswitch supplied is used for any other purpose The Propulse II Ear Irrigator must not be immersed in water Cleaning should be done by hand wiping with a damp cloth only see cleaning guidelines The Propulse Il Ear Irrigator is not user repairable and must be returned to the manufacturer for repair The address is MIRAGE SERVICE DEPARTMENT 53 Purbeck Drive Lostock Bolton Lancashire BL6 4JF Tel 0845 130 5445 It is recommended that copies of this User Manual supplies of disposable one use jet tips and Propulse Cleaning tablets are available at all points of use of the Propulse Il Ear Irrigator Additional user manuals are available from Mirage Health Group Ltd Technical support and advice is available from the Mirage Service Department at the above address Please note this product is fitted with a safety fuse to protect the product from overheating and will cut out if the following occurs 1 The product is lett switched on at the mains when not in use 2 CONTINUOUS water flow of more than 10 minutes note this should not prohibit normal operation of the product see Using the Propulse II Should the fuse cut out please contact Mirage Service Department on the above number Page 3 TECHNICAL
8. ge of the ear irrigator DO NOT leave the solution in the unit for longer than as stated Simple to use and effective in use These tablets are available direct from your normal Propulse supplier or from Mirage direct ALWAYS USE A NEW JET TIP FOR EACH PATIENT Please note Damage caused to your Propulse Il ear irrigator by not using the recommended cleaning agent may invalidate your warranty Page 11
9. headlight or head mirror and light source throughout the procedure PROCEDURE 1 Check whether the patient has had his ears irrigated previously or if there are any contraindications why irrigation should not be performed 2 Explain the procedure to the patient and ask the patient to sit in an examination chair with the head tilted towards the affected ear A child could sit on an adults knee and the child s head held steady 3 Inspect the ear to be irrigated with the auriscope 4 Place the protective cape and towel in position and ask the patient to hold the noots tank under the ear 5 Check your Propulse Headlamp is in place Check the temperature of the water and fill the reservoir of the Propulse machine Set the pressure at minimum remember any variation by more than a few degrees from 38 may cause the patient to feel dizzy If this occurs stop irrigating and ask the patient to stare at a fixed object for a few minutes until the dizziness passes 6 Connect a new disposable one use jet tip applicator to the jet tip holder of machine with firm push action Push until click is felt Page 9 11 12 13 14 Direct the irrigator tip into the noots tank and switch on the machine for 10 20 seconds in order to circulate the water through the system and eliminate any trapped water air or cold water This also enables the noise of the machine to be more easily accepted by the patient and the initial flow of wate
10. r is discarded thus removing any static water remaining in the tube Ensure the light from the headlight is shining over the ear throughout the whole procedure Twist the jet tip so that the water can be aimed in the right direction Gently pull the pinna upwards and backwards to straighten the meatus Directly backwards in children Place the tip of the nozzle into the external auditory meatal entrance Warn the patient that you are about to start and that he she may feel a litle dizzy but the procedure will be stopped if he she feels dizzy or has any pain Switch on the machine using the foot control and direct the stream of water along the roof of the meatus and towards the posterior wall eg 5 to and 5 past clock positions right and left ears respectively Increase the pressure switch as determined by the aural condition It is advisable that a maximum of 2 reservoirs of water are used in any one procedure Periodically inspect the meatus with the auriscope and inspect the solution running into the receiver After removal of wax or debris dry mop excess water from meatus under direct vision using the Jobson Horne probe and best quality cotton wool because stagnation of water and any abrasion of skin during the procedure predisposes to otitis externa or possible pseudomonal infection Examine ear both meatus and tympanic membranes and treat as required or refer to doctor if necessary Remove and discard disposable one u
11. se angled jet tip Record all findings and treatments according to UKCC guide on accountability Give advice regarding ear care and any relevant information NB Irrigating may cause discomfort but should never cause pain If patient complains of pain STOP IMMEDIATELY Instructions and guidelines reproduced by kind permission of the Primary Ear Care Centre Page 10 CLEANING GUIDELINES Disinfecting Tablets for the Propulse II Ear Irrigator the importance of using the correct strength cleaning solution cannot be overstated A solution that is too strong will in time damage the Propulse and one that is too weak will fail to provide the correct level of cleaning and disinfecting To this end the manufacturer has introduced a specitic strength disinfectant tablet to clean the Propulse correctly Propulse II Electronic Ear Irrigator cleaning amp disinfecting instructions To clean the Propulse each day PRIOR to use Simply place one tablet into the reservoir fill with warm water to the 500ml mark on the reservoir and wait for tablet to completely dissolve Run the Propulse II Electronic Ear Irrigator for a few seconds to fill the pump and flexible tubing Leave to stand for 10 minutes Empty the reservoir of the solution then fill the reservoir with cool boiled water and flush through the whole system to ensure no cleaning solution is left This cleaning amp disinfecting procedure should be used prior to each days usa
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