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TABLE OF CONTENTS TABLE OF CONTENTS REGISTER YOUR PRODUCT 4 SPECIAL NOTES 5 IMPORTANT SAFEGUARDS 6 INTRODUCTION 11 TYPICAL PRODUCT PARAMETERS 12 SUPPLEMENTAL INFORMATION 14 Compressor 14 Extension Cords 14 SECTION 1-HANDLING 15 Shipping Instructions 15 Unpacking 15 Inspection 15 SECTION 2-OPERATING INSTRUCTIONS ....... 16 Setup...16 Treatment Instructions for Nebulizer 19 Treatment Instructions for Mask 20 SECTION 3-CLEANING AND DISINFECTING ... 21 Cleaning the Outer Case 21 Cleaning the Nebulizer and Mask 22 Part No 1160837 3 Invacare® Pediatric Bear

Section	Page
Invacare® Pediatric Bear	1
Nebulizer System	1
Compressor Nebulizer System	1
Model IRC 1740	1
m warning	2
DO NOT use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as owner’s manuals, service manuals or instruction sheets supplied with...	2
Invacare products are specifically designed and manufactured for use in conjunction with Invacare accessories. Accessories designed by other manufacturers have not been tested by Invacare and are not recommended for use with Invacare products.	2
m Warning	2
This is NOT a toy. When not administering treatment, keep out of the reach of small children. Some of the parts of the nebulizer are small enough for children to swallow. Small parts may present a choking hazard.	2
Register Your Product 4	3
special notes 5	3
important safeguards 6	3
introduction 11	3
typical product parameters 12	3
supplemental information 14	3
Compressor 14	3
Extension Cords 14	3
section 1—handling 15	3
Shipping Instructions 15	3
Unpacking 15	3
Inspection 15	3
section 2—operating instructions 16	3
Setup 16	3
Treatment Instructions for Nebulizer 19	3
Treatment Instructions for Mask 20	3
section 3—Cleaning and Disinfecting 21	3
Cleaning the Outer Case 21	3
Cleaning the Nebulizer and Mask 22	3
Cleaning the Compressor 24	4
Cleaning the Mouthpiece 24	4
section 4—mAINTENANCE 25	4
Routine Care 25	4
Storage 25	4
Nebulizer Change 26	4
Filter Change 26	4
section 5—TROUBLESHOOTING 27	4
Limited Warranty 29	4
Register Your Product	4
The benefits of registering include:	4
1. Safeguarding your investment.	4
2. Ensuring long-term maintenance and servicing of your product.	4
3. Receiving updates with product information, maintenance tips and industry news.	4
Register online at warranty.invacare.com	4
Please have your model number and purchase date available to complete your registration.	4
Any registration information you submit will only be used by Invacare Corporation and protected as required by applicable laws and regulations.	4
special notes	5
Signal words are used in this manual and apply to hazards or unsafe practices which could result in personal injury or property damage. Refer to the table below for definitions of the signal words.	5
Signal Word	5
meaning	5
NOTICE	5
The information contained in this document is subject to change without notice.	5
important safeguards	6
m warning	6
IMPORTANT SAFEGUARDS contains important information for the safe operation and use of this product.	6
caution	6
Federal law restricts this device to sale or rental by or on the order of a physician, or any other practitioner licensed by the law of the State in which he/she practices to use or order the use of this device.	6
“This appliance has a polarized plug (one blade is wider than the other). As a safety feature, this plug will fit in a polarized outlet only one way. If the plug does not fit fully in the outlet, reverse the plug. If it still does not fit, contact ...	6
m warning	6
When using electrical products, especially when children are present, basic safety precautions should always be followed, including the following:	6
READ ALL INSTRUCTIONS BEFORE USING	7
c danger	7
FIRE RISK - DO NOT use this product in an oxygen enriched environment (i.e – oxygen tent).	7
Risk of electric shock. DO NOT disassemble. Refer servicing to qualified service personnel.	7
To Reduce the Risk of Electrocution:	7
ALWAYS unplug this product IMMEDIATELY after using.	7
DO NOT use while bathing.	7
DO NOT place or store product where it can fall or be pulled into a tub or sink.	7
DO NOT place in or drop into water or other liquid.	7
DO NOT reach for a product that has fallen into water. Unplug IMMEDIATELY.	7
m warning	8
To Reduce the Risk of Burns, Electrocution, Fire and Injury to Persons:	8
This product should NEVER be left unattended when plugged in.	8
Close supervision is necessary when this product is used by, on, or near children and physically challenged individuals.	8
Use this product only for its intended use as described in this manual and only with the prescribed medication. Use this product only under physician’s direction.	8
NEVER operate this product with a damaged cord or plug, if it is not working properly, if it was dropped or damaged, or if it was dropped into water. Call qualified service personnel for examination and repair.	8
m warning	9
Keep the nebulizer tubing, cord, and unit away from heated or hot surfaces, including space heaters, electric blankets, stoves and similar electrical appliances.	9
NEVER drop or insert objects into any opening or hose.	9
NEVER use while sleeping or drowsy.	9
NEVER block the air openings of the product or place it on a soft surface, such as a bed or couch, where the air openings may be blocked. Keep the air openings free from lint, hair and the like. Blocked openings may cause the unit to shut down. Conta...	9
The compressor nebulizer system uses the surrounding air to effectively administer the prescribed medication through the nebulizer. The user and administrator should be aware of surroundings so as not to have contaminated air filtered through the com...	9
DO NOT use the compressor nebulizer system in these environments. Otherwise, serious bodily injury may occur.	9
This unit is oil-less. DO NOT lubricate.	9
m warning	10
This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with nitrous oxide.	10
When not administering treatment, keep out of the reach of small children. Some of the parts of the nebulizer are small enough for children to swallow. The tubing may present a strangulation hazard.	10
NEVER touch the unit with wet hands.	10
DO NOT pull on the power cord to unplug the unit from an electrical outlet.	10
DO NOT overload wall outlets.	10
Maintenance MUST be performed by a qualified service technician.	10
save these instructions	10
introduction	11
The Invacare Pediatric Bear Nebulizer System is a portable medical device designed to efficiently deliver physician- prescribed medication to the bronchial lung passages. The nebulizer system consists of the following components:	11
• Compressor	11
• Nebulizer	11
• Air tubing	11
• Mouthpiece	11
• Pediatric Mask	11
typical product parameters	12
NOTE: Product parameters and appearance are subject to change without notice for purposes of improvement.	13
NOTE: Nebulization rate and particle size are dependent on the characteristics of the nebulizer chosen.	13
supplemental information	14
Compressor	14
If the unit shuts down frequently, you may have a low voltage situation.	14
Low voltage can also be suspected when:	14
• The motor does not get up to full power or speed.	14
• Home fuses or circuit breakers activate when starting compressor.	14
• Lights dim or remain dim when compressor is started.	14
• Other motor operated appliances fail to operate properly or too many motor operated appliances are on same circuit.	14
Extension Cords	14
If you must use an extension cord, use only a cord having the same or higher electrical rating as the device being connected. Make certain the extension cord is in good condition without any exposed wires or hazardous contacts, and the extension cord...	14
Section 1— handling	15
Shipping Instructions	15
The shipping container has been designed to assure protection of this device.	15
If this device is to be reshipped by common carrier, it should be packed in the same carton.	15
Unpacking	15
1. Check for any obvious damage to the carton or its contents. If damage is evident, DO NOT use. Notify carrier/Invacare or your local Invacare dealer.	15
2. Remove all the loose packing from the carton.	15
3. Carefully remove all the components from the carton.	15
NOTE: Retain carton and packing materials for use in shipping or storing the unit until use is required.	15
Inspection	15
1. Examine exterior for damage. Inspect all components.	15
Section 2— operating instructions	16
m warning	16
DO NOT operate unit without filter.	16
Avoid operating this product in a dusty environment. Otherwise, premature compressor wear could occur.	16
NOTE: Clean and disinfect the nebulizer, mouthpiece and mask before using the device for the first time. Refer to Cleaning and Disinfecting on page 21.	16
Setup	16
NOTE: For this procedure, refer to FIGURE 2.1 on page 17.	16
1. Place the unit on a table or other flat, stable surface. Be sure you can easily reach the controls when you are seated.	16
caution	16
Make sure the power switch is in the off “O” position.	16
2. Gently twist the nebulizer counterclockwise to separate it into two sections.	16
3. Be sure the medication pick-up insert is in place in the bottom section of the nebulizer.	17
Caution	17
DO NOT add over 6 ml of medication to the medication cup.The maximum capacity of the nebulizer medication cup is 6 ml.	17
4. Add the prescribed amount of medication to the cup of the nebulizer using an eyedropper, pre-measured dose or ampoule.	17
Eyedropper	17
FIGURE 2.1 Adding Medication	17
5. Gently twist the top and bottom sections together clockwise to assemble the nebulizer. Be sure the two sections fit securely.	17
6. Attach one end of the air tubing to the air tubing connector located on the back of the compressor.	17
7. Attach the other end of the air tubing to the base of the nebulizer.	18
NOTE: Ensure nebulizer tubing is firmly attached to compressor before use.	18
m warning	18
In the case of high humidity, condensation may form inside the tubing. Run the unit for two minutes before connecting the nebulizer to the tubing.	18
8. Attach the mouthpiece to the top section of the nebulizer. Refer to the nebulizer manual for additional instructions.	18
NOTE: Before starting a cold unit, let the unit reach room temperature in a heated area.	18
9. With the power switch off, plug the power cord into an appropriate electrical outlet.	18
caution	18
This device is for intermittent use: 20 min. ON / 40 min. OFF. Failure to operate within these limits could damage the device beyond repair.	18
Treatment Instructions for Nebulizer	19
NOTE: For this procedure, refer to FIGURE 2.2.	19
1. Turn the unit on, pressing the ON/OFF switch to the “I” position.	19
2. Place mouthpiece between your teeth, close your mouth and tilt the nebulizer toward your mouth.	19
FIGURE 2.2 Using the Nebulizer	19
3. As aerosol begins to flow, inhale deeply, slowly, and hold breath for ten seconds. Then exhale slowly through the mouthpiece.	19
NOTE: If you need to rest during a treatment, be sure the nebulizer remains in an upright position; otherwise, the medication may spill.	19
4. When treatment is complete, turn the unit off by setting the switch to the “O” position and unplug the unit from the electrical outlet.	19
5. Before storing supplies between treatments, clean and dry the nebulizer and accessories. Refer to Cleaning and Disinfecting on page 21.	19
Treatment Instructions for Mask	20
1. Attach nebulizer cup to mask.	20
NOTE: For this procedure, refer to FIGURE 2.3.	20
2. Place mask on face.	20
3. Turn the unit on, pressing the ON/OFF switch to the “I” position.	20
4. As Aerosol begins to flow, inhale deeply, slowly, and hold breath for ten seconds. Then exhale slowly through the mask.	20
FIGURE 2.3 Using the Mask	20
NOTE: If you need to rest during a treatment, be sure the mask and nebulizer remain in an upright position; otherwise, the medication may spill.	20
5. When treatment is complete, turn the unit off by setting the switch to the “O” position and unplug the unit from the electrical outlet.	20
6. Before storing supplies between treatments, clean and dry the mask and accessories.	20
Section 3— Cleaning and Disinfecting	21
Following the cleaning instructions after each use will prevent any remaining medication in the nebulizer cup from drying and causing the device to nebulize ineffectively.	21
It is recommended that the nebulizer, mouthpiece and mask be thoroughly rinsed with hot tap water after each use and cleaned with a mild detergent after the last treatment of the day. The same pieces MUST also be disinfected daily by soaking in a vin...	21
Cleaning the Outer Case	21
m warning	21
Unplug unit before cleaning.	21
DO NOT submerge in water to clean. Clean outer case with damp cloth.	21
c danger	22
DO NOT attempt to separate the outer case of this unit. Removing the case creates a serious electrical shock hazard. All disassembly and maintenance of this unit MUST be done by a qualified technician.	22
Cleaning the Nebulizer and Mask	22
m warning	22
To prevent possible risk of infection due to contamination, follow these instructions:	22
• Clean the nebulizer and mask before initial operations.	22
• Clean the nebulizer and mask after each aerosol treatment.	22
• ALWAYS use fresh cleaning solution.	22
• DO NOT towel dry the nebulizer components or mask after cleaning.	22
DO NOT boil the mask, damage will occur.	22
NOTE: Your physician and/or an Invacare dealer may specify certain cleaning procedures. If so, follow their recommendations. If not, clean according to the following instructions:	22
1. Remove the nebulizer and mouthpiece from the tubing. If using the mask, remove the mask from the nebulizer.	23
2. Disassemble nebulizer chamber by turning counterclockwise and separating.	23
3. Fill two plastic containers or bowls:	23
a. Washing: Hot water/detergent solution.	23
b. Soaking: Hot water/vinegar solution (one part vinegar to three parts water).	23
4. Thoroughly clean the nebulizer, mouthpiece and mask in hot water/detergent solution.	23
5. Remove from the water/detergent solution and rinse with clear hot tap water.	23
6. Soak in hot water/vinegar solution for 30 minutes.	23
7. Rinse with hot tap water again and air dry thoroughly.	23
NOTE: If using medical disinfectant cleaners, follow manufacturer’s instructions carefully.	23
8. Keep the outer surface of the tubing dust-free by wiping regularly.	23
NOTE: The nebulizer air tubing does not have to be washed internally because only filtered air passes through the tubing.	23
Cleaning the Compressor	24
CAUTION	24
Unplug unit before cleaning. DO NOT submerge in water to clean.	24
DO NOT clean using abrasive cleaners.	24
1. Clean the casing of the main unit daily by using a soft cloth moistened with water or a mild detergent.	24
2. Wipe the casing and immediately dry using a soft clean cloth.	24
Cleaning the Mouthpiece	24
1. Boil the mouthpiece in water for a maximum of five minutes or autoclave at a maximum of 121° C for ten minutes.	24
2. Allow the mouthpiece to air dry.	24
3. Once dry, the mouthpiece may be stored inside the nebulizer top.	24
Section 4— mAINTENANCE	25
c danger	25
DO NOT attempt to separate the outer case of this unit. Removing the case creates a serious electrical shock hazard. All disassembly and maintenance of this unit MUST be done by a qualified technician.	25
Routine Care	25
To keep your device in the best condition and protect the unit from damage, follow these directions:	25
• DO NOT subject the device or the parts to any strong shocks such as dropping the device on the floor.	25
• DO NOT store the device in extreme hot or cold temperatures, high humidity or under direct sunlight.	25
Storage	25
Store the repackaged device in a dry and safe area. DO NOT place other objects on top of the repackaged device.	25
Nebulizer Change	26
The nebulizer is designed for single patient use. The nebulizer MUST be replaced after a long period of inactivity, or when it is obstructed by dry medication, dust, etc. Reusable nebulizers should last from six months to one year with general use. R...	26
Filter Change	26
1. The filter MUST be replaced after approximately 30 hours of use or when it turns grey.	26
2. Open the filter holder to replace the filter with a new one.	26
caution	26
DO NOT use cotton or any other material.	26
DO NOT wash or clean the filter.	26
Use only Invacare filters.	26
DO NOT operate unit without an air filter.	26
Section 5— TROUBLESHOOTING	27
Problem	27
Solution	27
Notes	28
Limited Warranty	29
PLEASE NOTE: THE WARRANTY BELOW HAS BEEN DRAFTED TO COMPLY WITH FEDERAL LAW APPLICABLE TO PRODUCTS MANUFACTURED AFTER JULY 4, 1975.	29
This warranty is extended only to the original purchaser who purchases this product when new and unused from Invacare Corporation or a dealer. This warranty is not extended to any other person or entity and is not transferable or assignable to any su...	29
Invacare warrants this product when purchased new and unused to be free from defects in materials and workmanship for a period of 5 years from date of purchase from Invacare or a dealer, with a copy of the seller’s invoice required for coverage und...	29
For warranty service, please contact the Invacare service department during normal business hours at the toll-free telephone number identified on the back cover of this manual. Upon receiving notice of an alleged defect in a product, Invacare will is...	29
LIMITATIONS AND EXCLUSIONS: THE FOREGOING WARRANTY SHALL NOT APPLY TO SERIAL NUMBERED PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR DEFACED; PRODUCTS SUBJECTED TO NEGLIGENCE, ACCIDENT, IMPROPER OPERATION, MAINTENANCE, OR STORAGE; PRODUCTS MODIFIE...	30
THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER WARRANTIES WHATSOEVER, WHETHER EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND THE SOLE REMEDY FOR VIOLATIONS OF ...	31
Some states do not allow the exclusion or limitation of incidental or consequential damage, or limitation of how long an implied warranty lasts, so the above exclusion and limitation may not be applicable.	31
THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE/PROVINCIAL LAWS AND REQUIREMENTS.	31
Part No 1160837	32