My CoughAssist
Contents
1. A patient guide to CoughAssist E70 RESPIRONICS sense simplicity A natural part of life Coughing We often think of a cough as a symptom of a cold or a means to clear our throat Truth is the ability to cough is essential to life Normally the lining of the airways produces small amounts of mucus which trap dirt and bacteria If allowed to accumulate these secretions can result in infection Coughing is the body s way of clearing mucus from the lungs A cough begins with a deep breath in The glottis the opening at the top of the voice box closes allowing the pressure to build up in the lungs The respiratory muscles contract and the glottis opens forcing air back out of the lungs The different steps of coughing Inspiratory phase Irritation Muscles located in our rib cage neck and abdomen play an important role during coughing With many diseases a weakened ability to remove secretions increases the chance of a respiratory infection If coughing becomes difficult your physician may prescribe the use of a manual and or mechanical assisted coughing technique A manual cough assist involves applying firm and rapid pressure to the upper abdomen and or thorax forcing air out of the lungs Expulsive phase Compressive phase A patient guide to CoughAssist E70 CoughAssist E70 is a mechanical insufflation exsufflation device that simulates a natural cough by gradually delivering a large v2. A patient guide to CoughAssist E70 My prescription Preset 1 Mode Cough Trak inspiratory trigger Inhale pressure Inhale flow Inhale time Exhale pressure Exhale time Pause time Oscillation Frequency Inhale Preset 3 Mode Cough Trak inspiratory trigger Inhale pressure Inhale flow Inhale time Exhale pressure Exhale time Pause time Oscillation Frequency Inhale Manual On ____ cmH O Medium sec ___ cmH O SEC SEC Both L OFF Hz Low Exhale Manual On ___ cmH O Medium SEC ___ cmH O SEC wee SEC Both L OFF Hz Low Exhale A patient guide to CoughAssist E70 Automatic Off High NA NA NA NA Automatic Off High NA NA NA NA Preset 2 2 Mode Manual Automatic Cough Trak inspiratory trigger On Off Inhale pressure ___ cmH O Inhale flow Low Medium High Inhale time O sec NA Exhale pressure ___ cmH O Exhale time _____ sec NA Pause time SEC NA Oscillation Inhale 1 Exhale _ Bo
3. be dried completely before each use e The bacteria filter cannot be washed It has to be replaced when blocked with mucus or trapped moisture e Replace the mask if it becomes torn or if you can no longer maintain a good seal pan Dh Whe iZ NES 2N A hS a y 1g P Sy The air filter Under normal usage you should clean the air filter at least once every two weeks and replace it with a new one every six months e If the device is operating stop the airflow Disconnect the device from the power source e Remove the filter from the enclosure Air filter e Examine the filter for cleanliness and integrity removal e Wash the filter in warm water with a mild detergent Rinse thoroughly to remove all residue e Allow the filter to air dry completely Replace the filter if it is torn or damaged Only Philips Respironics filters should be used as replacement filters e Reinstall the filter A patient guide to CoughAssist E70 11 SD card The CoughAssist E70 comes with an SD card inserted in the SD card slot on the side of the device Your clinician may use this card to record information and might ask you to remove the card and forward for evaluation To remove the SD card e Select Safely Remove SD Card option from the Main menu e After the Safely remove SD Card message appears remove the card My doctor My homecare provider My mask and tubing size 12
4. attery cable or external battery If problem persists contact your homecare provider Detachable battery not charging The detachable battery cannot be charged Replace battery If problem persists with a different battery contact your homecare provider Replace detachable battery Detachable battery has failed or has reached end of life Replace battery If problem persists with a different battery contact your homecare provider Internal fan failure see User Manual The internal fan is not working Device should not be used with oxygen added to the patient circuit Before using oxygen with this device contact your homecare provider Card error The device cannot write to or read from the SD card Remove the SD card and use another card if available If problem persists contact your homecare provider A patient guide to CoughAssist E70 9 Cleaning and maintenance 10 The device Unplug the device and clean the external surface using one of the following cleaning agents e A clean cloth dampened with water and a mild detergent e 70 Isopropyl alcohol e DisCide towelettes e 10 chlorine bleach solution Allow the device to dry completely before plugging in the power cord The device does not require routine servicing The breathing circuit interface and bacteria filter e After each use the breathing hose and patient interface should be washed thoroughly with mild liquid detergent and water The parts need to
5. e latest for complete information regarding the CoughAssist E70 device Please visit www philips com respironics PHILIPS 2012 Koninklijke Philips Electronics N V AIl rights are reserved Philips Healthcare reserves the right to make changes in specifications and or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication CAUTION US federal law restricts these devices to sale by or on the order of a physician Broudy AE 7 16 12 MCI 4104777 PN 1099519
6. escription settings Your clinician will advise you on which prescription preset to use Patient interface When using a mouthpiece nose clips may Bemeduirea e A well fitting soft seal mask Is important to eliminate possible leakage Some patients may need to have their head supported from behind to prevent leaks In order to be effective firm pressure may be required If the patient has a cuffed tracheostomy tube inflate the tube cuff during the CoughAssist treatment Always follow the treatment plan that your physician has prescribed A patient guide to CoughAssist E70 How to set up and use my device e Plug the device into an AC power source DC power source or use the detachable battery e Connect the filter and tubing to the device and the mask PHILIPS M RESPIRONICS mouthpiece or trach adaptor to the tube e Press the power On power Off button to turn the device on and enter Standby e Select the appropriate preset and position the interface on the patient e Press the right Therapy button to begin therapy in the Auto mode the device will cycle from inhale positive to exhale negative if in Manual mode slide the control lever from the right inhale to the left exhale CoughAssist E70 e Press right Standby button to end therapy Breathing Device circuit Face mask connection RESPIRONICS Bacteria filter Circuit tubing Adapter o a
7. olume of air to your lungs similar to a normal deep breath when you breathe in positive pressure and then quickly reversing the flow to pull secretions out negative pressure CoughAssist E70 makes your cough more effective to help keep your airways clear reducing the occurence of respiratory infections A patient guide to CoughAssist E70 Product description 1 Buttons Allow you to perform certain actions PLS specified on the screen 2 Power On power Off button Turns the device on or off 3 Manual switch Activates the insufflation and exsufflation phases Pressing switch to the right activates the insufflation phase Pressing switch to the left activates exsufflation phase The center position activates the pause phase 4 Display screen Allows you to view settings and system status information 5 Breathing circuit connection Connect your circuit to the outlet of the device Blue inhale Yellow exhale and Green pause 4 A patient guide to CoughAssist E70 6 Air outlets Air from inside the device is expelled here 7 AC power inlet Connect the AC power cord here 8 Remote control connector Connect the optional remote control accessory foot pedal here 9 SpO connector If you are using optional oximetry accessory connect it here 10 Airpath inlet where outside air enters the device Insert the filter
8. supplied with the device here 11 Detachable battery slot with optional lithium ion detachable battery inserted here 12 Tubing retainer Route the tubing and mask through this bracket for proper tubing management when the device is not in use A patient guide to CoughAssist E70 Typical treatment A cough cycle is composed of an inhale time an exhale time and a pause time Four to six cycles represent a sequence Between each sequence you may rest for 20 to 30 seconds or more This resting time allows you or your caregiver to remove secretions from the mask mouthpiece or trach tube Four to six sequences represent a typical treatment The number of treatments you take each day may vary During a treatment you should sit upright as tolerated You may want to agree on a signal with your caregiver in the event you wish to alert them that you want to stop treatment Treatment delivery can be manual or automatic This means that cycles can be started either by the manual switch foot pedal or automatically based on your inspiratory effort or a set time Cough Trak is available in Auto mode allowing you to control when you want to start the inspiratory phase CoughAssist E70 s Cough Trak will detect when you are ready to inhale and will deliver the set pressure In addition CoughAssist E70 s oscillation feature can be added to your therapy to increase loosening of secretions Your device allows up to three pr
9. th L1 OFF Frequency TERESA Z NA Recommendations 13 Notes 14 A patient guide to CoughAssist E70 A patient guide to CoughAssist E70 15 Philips Healthcare is part of Royal Philips Electronics How to reach us www philips com healthcare healthcare philips com Asia 49 7031 463 2254 Europe Middle East Africa 49 7031 463 2254 Latin America 55 11 2125 0744 North America 1 425 487 7000 800 285 5585 toll free US only Philips Respironics 1010 Murry Ridge Lane Murrysville PA 15668 Customer Service 1 724 387 4000 800 345 6443 toll free US only Philips Respironics International Headquarters 33 1 47 28 30 82 Philips Respironics Asia Pacific 65 6882 5282 Philips Respironics Australia 61 2 9947 0440 1300 766 488 toll free Australia only Philips Respironics China 86 400 828 6665 86 800 828 6665 Philips Respironics Deutschland 49 8152 93 06 0 Philips Respironics France 33 2 51 89 36 00 Philips Respironics Italy 39 039 203 1 Philips Respironics Sweden 46 8 120 45 900 Philips Respironics Switzerland 41 6 27 45 17 50 Philips Respironics United Kingdom 44 800 1300 845 www philips com respironics CoughAssist Cough Trak and Respironics are trademarks of Koninklijke Philips Electronics N V and its affiliates All rights reserved DisCide is a registered trademark of AliMed Inc This guide contains abstracted information from the User Manual please refer to th
10. wmm co A patient guide to CoughAssist E70 7 Changing preset e Once the device is turned on press the left Settings button e Press the right Modify button and then the top center Edit button to select corresponding preset e Press right OK button to validate the choice or left Cancel to come back to previous screen e Press left Finish button to go back to main screen PHILIPS PHILIPS M RESPIRONICS RESPIRONICS MAAV ba re CoughAssist E70 CoughAssist E70 Note Any change of preset made during therapy will automatically take effect 8 A patient guide to CoughAssist E70 Information log If the information log picture is displayed on the screen it means information is available in the information log screen but it does not necessarily affect therapy To access these messages e From the Standby screen press up Menu key press down Navigate key to Information Log e Press right Select key One of the following messages will appear Informational message User action Battery not charging Temp The detachable battery is too hot and cannot be charged Allow device and or battery to cool to resume charging Remove battery and charge with battery charger accessory If battery still cannot be charged contact your homecare provider Check external battery Power is being drawn from the detachable battery even though the external battery is usable Replace external b
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