User Manual
Contents
1. D j Fa 2 T0 PULSE Next Generation Ear car ME QrX Technology User Manual English Language Version CE 0499 T1 MIRAGE Innovative vision solutions for life Professional Ear Care with Integrity PRO 20 ES Insiruments Professional Ear Care with Integrity Propulse Henckel Style Forceps 3 7 6cm INS0023 Propulse Wax Hook INS0026 Propulse Noots Ear Tank INS0021 Propulse Jobson Horne Style Probe 1 1mm INS0025 Propulse Hartmann Style Crocodile Forceps INS0027 Propulse R R Dressing Scissors INS0024 Propulse Tilley Style Aural Dressing Forceps INSO022 PRO 20 E Accessories Professional Ear Care with Integrity Propulse Cleaning Tablets Propulse QrX Single Use x200 per pack Tip x100 per pack CLOOO1 KIT4002 Propulse Carry Case Propulse Headlamp KIT1005 INSOO14 PRO 7 BS Propulse Replacement Replacement Mushroom Valves amp Reservoir amp Lid Washers KIT1006 KIT4004 INTENDED PURPOSE The Propulse NG Electronic Ear Irrigation System is intended to a Facilitate the removal of cerumen and foreign bodies that are not hygroscopic from the auditory meatus b Remove discharge keratin or debris from the external auditory meatus by irrigation with warm water Reasons for using this procedure are to a Correctly treat otitis externa where the meatus is obscured by debris b Improve conduction of sound into the ear where impacted wax is believed2. battery and the following user controls A footswitch power switch 7 this switch powers the equipment on I and off O in conjunction with the footswitch See d below A water pressure flow control knob 6 A water flow stop button 5 on the QrX Handle See c below Charging mains power light 8 illuminates green when connected to mains power via the power adaptor Power status light 9 illuminates when the Propulse NG Electronic Ear Irrigation System is turned on Note The tricolour light merges trom one colour to the next Green when there is adequate power trom battery or mains Amber battery power level is low and will need to be recharged soon Red connect to mains via the power adaptor battery needs recharging immediately b Water container reservoir 1 is removable to facilitate filling and cleaning Graduations are for indication only c QrX Handle 3 and non detachable hose The QrX Handle accommodates the Propulse QrX Single Use Tips The QrX Handle incorporates a water flow stop button 5 which when pressed and held firmly stops the flow of water The flow of water will resume upon release of the button providing the footswitch is pressed d The footswitch 12 is connected to the main body via a jack plug socket connection 10 The device will only function if the footswitch is connected The footswitch controls the flow of water Depressing the footswitch st
3. is used to prevent damage or contamination Cleaning Do not attempt to clean the Propulse QrX Tip Use one Propulse QrX Tip per patient treatment and discard to clinical waste after use as this reduces the risk of cross infection between patients External cleaning of the Propulse NG Electronic Ear Irrigation System should be done by hand wiping with a damp cloth only Apply liquids to the cloth not the unit Do not immerse the unit in water Mild detergents and disinfectants may be used externally Internal cleaning of the Propulse NG Electronic Ear Irrigation System pumps and waterways The importance of using the correct strength cleaning solution cannot be overstated A solution that is too strong will in time damage the Propulse NG Electronic Ear Irrigation System and one that is too weak will tail to provide the correct level of cleaning and decontamination To this end Mirage Health Group provides a simple to use effective specific strength CHLOR CLEAN Propulse Cleaning tablet PRIOR to use 1 Place one Propulse cleaning tablet into the reservoir fill with warm water to the 500ml mark and wait for the tablet to completely dissolve 2 Run the Propulse NG Electronic Ear Irrigation System for a few seconds to fill the pump and hose 3 Leave to stand for 10 minutes 4 Empty the reservoir of the solution then fill the reservoir with cool boiled water or well run cold tap water and flush through the whole system to ensure n
4. to be the cause of a hearing defect c Examine the external auditory meatus and the tympanic membrane d Remove a cause of discomfort This procedure should ONLY be carried out by a suitably trained clinician WARNINGS AND CAUTIONS This manual must be read and understood before the Propulse NG Electronic Ear Irrigation System is used Only suitably trained staff should use the device Mirage can advise on the availability of training courses offered by relevant organisations The Propulse QrX Tip is Single Use and should be disposed of in accordance with local authority guidelines after use The Propulse NG Electronic Ear Irrigation System must not be immersed in water Only clean the device as specified in this manual See page 10 f any changes in performance occur turn off the Propulse NG Electronic Ear Irrigation System disconnect from the mains electricity supply and DO NOT use See page 11 The device has no user serviceable parts See page 11 Use recommended Propulse accessories only Do not use Propulse accessories with other devices f the device is to be used for domestic visits it is strongly recommended that a Propulse Carry Case is used to prevent damage and contamination The Propulse NG Electronic Ear Irrigation System is not user repairable and should be returned to your Propulse supplier or the Mirage Health Group Certitied Service Centre UK customers only for service
5. 0 seconds in order to circulate the water through the system and eliminate any trapped air or cold water Ensure the water is warm before presentation to the patient During treatment you can pause the flow by releasing the footswitch or firmly pressing and holding the water flow button 5 on the QrX Handle 3 After treatment empty the reservoir and operate the device to purge any residual water Remove the Propulse QrX Tip and dispose of in accordance with local authority guidelines Turn off Power Switch 7 after use and connect to the Power Adaptor to recharge the battery it required Clean the Propulse NG Electronic Ear Irrigation System unit every morning prior to use with a cleaning tablet See page 10 The Propulse NG Electronic Ear Irrigation System should only be transported in a Propulse approved carry case to prevent damage or contamination f any changes in performance occur turn off the Propulse NG Electronic Ear Irrigation System disconnect from the mains electricity supply and DO NOT use Please reter the machine to the Mirage Health Group Certitied Service Centre See page 11 8 DETAILED INFORMATION Fitting the Footswitch The Propulse footswitch is connected to the main unit by a socket 10 in the side of the device The Propulse NG Electronic Ear Irrigation System will NOT operate unless the footswitch is connected Filling the water container It is recommended that i The water cont
6. E 0499 MIRAGE HEALTH GROUP Innovative vision solutions for life Copyright Mirage Health Group Ltd October 2008 PPII MDL 0808
7. Transformer Conditions of Warranty applicable to Propulse NG and Accessory items The warranty does not cover Accidental damage or damaged caused by misuse Faults caused due to lack of maintenance Damaged caused by using the Propulse NG for any use other than its intended use Damage caused as a result of repair by any unauthorised agents ONLY the Mirage Health Group Certitied Service Centre should undertake repairs Damage caused by the use of accessories cleaning products that have not been recommended by Mirage Health Group This warranty is in addition to and does not diminish your statutory or legal rights Additional user manuals and other accessories are available from Mirage Health Group Ltd at MIRAGE HEALTH GROUP Ltd BioPark Hertfordshire Broadwater Road Welwyn Garden City Hertfordshire AL7 3AX UK Tel 0845 130 5440 Manufactured By MIRAGE HEALTH GROUP Ltd BioPark Hertfordshire Broadwater Road Welwyn Garden City Hertfordshire AL7 3AX UK Tel 0845 130 5440 EAR CARE TRAINING UK only Mirage can advise on the availability of training courses offered by relevant organisations Mirage Health Group Ltd BioPark Hertfordshire Broadwater Road Welwyn Garden City Hertfordshire AL7 3AX UK Tel 0845 130 5440 Fax 0845 130 6440 Overseas Tel 44 845 130 5440 Fax 44 845 130 6440 www miragehealthgroup com uksales miragehealthgroup com internationalsales miragehealthgroup com C
8. ainer 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 reservoir must NOT be filled over the 700ml graduation mark to eliminate the risk of spillage The graduations on the reservoir are for indication only iii Water above 40 C should NOT be used in order to avoid the risk of scalding and burns to the user and patient Water below 40 C should NOT be used in order to avoid the risk of patient discomfort and dizziness Fitting the Propulse QrX Tip The Propulse NG Electronic Ear Irrigation System is supplied with Ten Propulse QrX Single Use Tips Use One Propulse QrX Tip per treatment To fit a Propulse QrX Tip 1 Remove tip from packaging Tips are non sterile 2 Push Tip onto QrX Handle whilst retracting the QrX Locking Collar 3 Release the QrX Locking Collar to secure tip to the QrX Handle To remove a Propulse QrX Tip 1 Retract the QrX Locking Collar 2 Grasp the used QrX Tip between forefinger and thumb Pull gently from the QrX Handle 3 Dispose of used tip in accordance with local authority guidelines DO NOT reuse tips Propulse QrX Tips are available in boxes of 100 individually wrapped non sterile tips from your normal Propulse supplier or from Mirage directly UK only Propulse QrX Tips are clearly branded with the Propulse logo on the tip and it s packaging Only branded Propulse QrX Tips should be us
9. and or repair It is recommended that the Propulse NG Electronic Ear Irrigation System is serviced annually 4 Please note Damage caused to your Propulse NG Electronic Ear Irrigation System by the use of accessories consumables or service agents not recommended by Mirage Health Group will invalidate your warranty DO NOT IRRIGATE the ears it a Consent is not given and or the patient is uncooperative b Previous complications occurred following this procedure c There is a history of a middle ear intection in the last six weeks d The patient has undergone ear surgery apart from grommets that have extruded at least 18 months previously and the patient has been discharged trom the ENT dept e The patient has a perforation or there is a history of a mucous discharge in the last year f The patient has a cleft palate repaired or not g In the presence of acute otitis externa an oedematous ear canal combined with pain and tenderness of the pinna h If patient complains of pain STOP IMMEDIATELY DESCRIPTION 1 Water Container Reservoir 7 Footswitch Power Switch Marked for indication only 8 Charging Mains Power Light 2 Propulse QrX Tip Single Use 9 Power Status Light 3 QrX Handle 10 Footswitch Socket 4 Lid 11 Power Adaptor Socket 5 Water Jet Stop Button ee 6 Pressure Flow Control Knob The Propulse NG Electronic Ear Irrigation System consists of a The main unit with integral
10. arts the tlow releasing the footswitch stops the flow The flow pressure can be adjusted by rotating the pressure flow control knob 6 on the machine Please note Residual water in the handle and hose will continue to flow if the handle is not held in the vertical position or if the handle is held in a position that is lower than the machine To prevent residual flow it is recommended that the QrX Handle be returned to its holder on the machine TECHNICAL DATA Performance Static pressure between 0 27 bar minimum setting 3 45 bar maximum setting Water jet pulses 1200 per minute approximately Maximum operating time 10 minutes continuous use with a recommended rest time ot 2 hours Storage temperature range 5 C to 65 C Storage relative humidity Up to 80 Rechargeable battery 6v Ni MH 1300mAh Power adaptor Input 100 240v 50 60Hz ax O Output 9v DC 2A Electrical Safety EN60601 1 EMC Compliance EN60601 1 2 GUIDE TO SYMBOLS o Class lla Equipment VAN Type BF Electrical safety Attention Consult Accompanying Documents IPX1 Protected against water droplets D Single use item C 4 Conforms to the Medical Device Directive 93 42 EEC Must be disposed of in accordance with European waste electrical and electronic equipment directive 2002 96 EC OPERATING INSTRUCTIONS These instructions are for general use When required refer to the detailed information in the second
11. ed with the Propulse NG Electronic Ear Irrigation System Replacing the Mushroom Valve The Mushroom Valve is specifically designed to prevent water flowing out of the reservoir whilst filling Should a replacement Mushroom Valve be required please follow the steps below This will help prevent possible damage to the water inlet valve 1 Remove the reservoir from the Propulse NG 2 Remove the old Mushroom Valve from the reservoir and discard 3 Insert a new Mushroom Valve into the reservoir 4 Return the reservoir to the machine Power Adaptor The Power Adaptor can be used to charge the internal battery or to run the device from the mains electrical supply Connect the outlet lead of the Power Adaptor to the Power Adaptor socket 11 marked on the end of the product and to the mains electrical supply Make sure the cord and Power Adaptor are positioned so that they will not be subjected to damage or stress or present a trip hazard Only use a Propulse branded Power Adaptor To reduce the risk of electric shock unplug the unit from the power source before attempting to clean it externally The Power Adaptor must not be used outdoors or in damp areas The Propulse Power Adaptor will have been supplied with an appropriate electrical plug If there are any problems connecting to the mains electrical supply consult a qualitied electrician 9 Battery Use And Care We recommend that the battery be fully charged for 24 hours before
12. half of this manual Ensure that ONLY suitably trained clinicians operate the device Ensure that the warnings and cautions are observed Ensure that the patient exhibits no contra indications 7 Ensure the unit has been cleaned prior to first use refer to page 10 for detailed cleaning guidance Mains electrical power is not necessary if the battery is adequately charged The device may be operated whilst connected to the mains electrical supply using the Power Adaptor provided Ensure that the footswitch is connected The reservoir should be removed prior to filling Fill the reservoir with a maximum of 700ml of warm water at 40 C Monitor temperature regularly to ensure that patient comfort and safety is maintained Retill as necessary Fit a new Propulse QrX Single Use Tip to the QrX Handle Set Pressure Flow switch 6 to minimum by turning anti clockwise Turn the Power Switch 7 to on marked I With the footswitch depressed check that the power status 9 is adequate green indicator If the power status is inadequate amber or red indicator the Propulse NG Electronic Ear Irrigation System must be connected to the mains electrical supply using the Power Adaptor provided Adjust the water pressure tlow to an appropriate value that is compatible with the treatment requirements and patient comfort Direct the irrigator tip into the noots tank and switch on the machine for 10 2
13. igation System is not user repairable and should be returned to your Propulse supplier or the Mirage Health Group Certified Service Centre UK customers only for service and or repair MIRAGE HEALTH GROUP CERTIFIED SERVICE CENTRE 53 Purbeck Drive Lostock Bolton Lancashire BL6 4JF Tel 0845 130 5445 The clinical procedures relating to the use of ear irrigators can be found on the following websites www earcarecentre com www entnursing com earcare htm Mirage is not responsible for the content or maintenance of third party internet sites Mirage can also advise on the availability of training courses offered by the relevant organisations Warranty The Propulse NG Electronic Ear Irrigator carries a twelve months warranty subject to conditions from the date of original purchase Should any detect arise due to faulty material or workmanship Mirage Health Group will provide a replacement unit upon receipt of the faulty Propulse NG proot of purchase information relating to the nature of the fault and details of where the item was purchased Should any of the Accessory items listed below prove to be faulty as a result of defective material or workmanship Mirage Health Group will provide a replacement Accessory item free of charge upon receipt of the faulty accessory subject to conditions Accessory items are Footswitch Reservoir Tank and Lid Mushroom Valve and Washer QrX Tip Power Supply Lead and Power
14. o cleaning solution remains 5 This cleaning procedure should be carried out prior to each day s usage of the ear irrigator 6 DO NOT leave the solution in the unit for longer than stated Propulse cleaning tablets are available from your normal Propulse supplier or direct from Mirage UK only Please note Damage caused to your Propulse NG Electronic Ear Irrigation System by not using the recommended cleaning agent will invalidate your warranty Other instruments used with Propulse NG Electronic Ear Irrigation System should be cleaned according to local guidelines 10 Maintenance amp Safety Inspections To ensure optimum performance the Propulse NG Electronic Irrigation System should be serviced every 12 months Service or repairs conducted by unauthorised agencies organisations invalidate any or implied warranties from Mirage The Propulse NG Electronic Irrigation System should under go routine electrical safety testing to ensure that it remains safe to use Users of the Propulse NG Electronic Irrigation System should carry out regular inspections to ensure that the handle and hose power adaptor and cable reservoir and main body of the machine are free from damage prior to use If any damage is evident the Propulse NG Electronic Irrigation System should NOT be used until replacement parts have been fitted Only Propulse branded items should be used with the Propulse NG Electronic Irrigation System The Propulse NG Electronic Irr
15. you use the Propulse NG Electronic Ear Irrigation System for the first time For subsequent use the battery will normally require 16 hours to fully charge A new battery or one that has not been used for a long time may have reduced capacity the first few times it is used The battery is integral and is only replaceable by a Mirage authorised battery replacement centre Refer to your Propulse supplier or the Mirage Health Group Certitied Service Centre UK customers only It is recommended that the battery is replaced after 400 charge cycles Environmental Protection This symbol on the products and or accompanying documents means that used electrical and electronic products should not be mixed with general waste Please return to Mirage Health Group Penalties may be applicable for incorrect disposal of this waste in accordance with national legislation Disposing of used Propulse QrX Tips Disposal should be in accordance with local authority guidelines and regulations for the disposal of clinical waste Propulse QrX Tips should not be disposed of in municipal waste Transportation Before the Propulse NG Electronic Ear Irrigation System is transported the reservoir must be emptied and the machine should be operated until the handle and hose are empty of liquid The reservoir should then be dried using Q paper towel For safer transportation of Propulse NG Electronic Ear Irrigation System Mirage recommends that the Propulse carry case
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