NIPPY Clearway Support

Welcome to the support section for the NIPPY Clearway.

Here you will find a list of frequently asked questions (FAQs) and “ticket support” system through which you can get personal support relating to your product. If you are looking for a product download click here.

 

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Patient Use FAQ’s

Can the same mechanical insufflator–exsufflator be used with different patients?

Can the same mechanical insufflator–exsufflator be used with different patients?

The device should be cleaned between patients and each patient should have a single-use circuit and filter; settings should be checked prior to commencement of treatment. A high-efficiency bacterial filter should be placed between the patient-circuit and device. If you are treating a patient with suspected H1N1, a filter should be placed at the device end and also at the distal end of the circuit before the interface to double-filter and protect the device.

 

The device should not be taken from dirty to clean areas as defined by local infection control policy.

How can I be sure that my patient is receiving the settings I have programmed?

How can I be sure that my patient is receiving the settings I have programmed?

The NIPPY Clearway is an extremely effective and accurate device. Digital settings ensure accurate titration and setting of pressures. The device also measures and monitors pressure at the patient end via the external pressure line.

How many times a day should MI-E be used?

How many times a day should MI-E be used?

MI–E can be used as many times during a 24-hour period as required to clear your patient’s secretions. However it is important to remember that prolonged coughing does induce fatigue, so ensure that you allow adequate rest periods.

Does MI-E negate the need for suctioning?

Does MI-E negate the need for suctioning?

Using MI–E does not necessarily negate the need for suctioning to clear secretions, especially when initially using the technique, due to the success of the therapy. Suction equipment must always be available when treating patients with MI-E.

Should the NIPPY Clearway be used if there are no secretions present?

Should the NIPPY Clearway be used if there are no secretions present?

If it is considered that there is an area of collapse and/or consolidation on chest x-ray, combined with a patient who has an ineffective cough, MI-E can be indicated.

Patients who have a device at home can use it daily to ensure that there are no secretions present. Additionally, the NIPPY Clearway can be used to provide a stretch to the chest wall and used as a method of IPPB.

Considerations for community use and training

Considerations for community use and training

It may be advisable within the community to have a programmed mode to enable use by only one carer. The settings can be titrated and set and then locked before discharging the patient, ensuring safe and accurate treatment within the community setting. There are competency documents available for carers and clinicians.

What information should my patient go home with?

What information should my patient go home with?

The patient and carers should be trained as per the competency guidelines. The patient should always have a written or photocopied document of their settings. The patient or carer can then check the settings against the record. You may want to give the patient some indication of the changes in settings that may be required for when they are unwell.

Circuits FAQ’s

How often does the tubing need replacing?

How often does the tubing need replacing?

Manufacturers’ recommendations are that tubing can be used for up to 7 days.

However, in the community setting, for single-patient use, local infection control policies may be adopted.

Can I use a circuit without a pressure line?

Can I use a circuit without a pressure line?

The NIPPY Clearway is designed to be used with a pressure line to ensure that accurate pressure measurements are delivered to your patient, which enhances performance. Not using a pressure line would cause the performance and accuracy to be reduced.

Can we use AB filters that are different?

Can we use AB filters that are different?

Yes, but the resistance of the filter should be checked to ensure that the device and the patient are protected and that the performance is not affected. Filters should be within resistance levels of 0.4 mbar at 30LPM and 0.7 mbar at 60LPM.

Oxygen FAQ’s

Can I entrain oxygen into the circuit when using the NIPPY Clearway?

Can I entrain oxygen into the circuit when using the NIPPY Clearway?

Yes. The NIPPY Clearway has been designed to be used with low pressure oxygen; it is possible to entrain up to 15 l/min of oxygen into the device. We recommend that this is done distally, at the patient end of the circuit.

Nebuliser FAQ’s

Is it possible to use nebulisers when using the NIPPY Clearway?

Is it possible to use nebulisers when using the NIPPY Clearway?

Yes, it is possible to entrain nebulisers into the circuit for patients using the NIPPY Clearway. We recommend you entrain the nebuliser at the patient end after the AB filter, to ensure that the machine is protected from water or drug particles.

External Battery FAQ’s

If my patient requires the NIPPY Clearway to be used away from the home what options are available?

If my patient requires the NIPPY Clearway to be used away from the home what options are available?

For use of the NIPPY Clearway away from mains supply, you can use an external lithium ion battery, providing up to one hour’s use, or an in-car inverter.

 

 

 

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