USE OF PARI DEVICES

Application of PARI Devices

Are PARI products latex-free?

All of our products are latex-free.

Can adults also use the PARI JuniorBOY SX compressor for nebulising?

Yes, there is no technical reason that means it is

not possible to use the JuniorBOY SX compressor with adult patients;

the important decision is which nebuliser chamber is attached to

the tubing!

PARI offers several different nebuliser systems,

all of which are adapted to the anatomy of the airways of different

patient groups. In order to treat the lower airways effectively,

it is important to create a droplet spectrum that is appropriate for

the respective age group and target areas. Normally, an adult would use

the LC SPRINT Nebuliser (blue nozzle insert) for inhaling. But the

correct nebuliser is determined not only by the patient's age but also

by the indication.

Some medications should ideally be deposited in

the peripheral regions of the lungs, others in the central region. The

choice of the most suitable nebuliser therefore depends on the lung

region in which treatment is to be concentrated. The nebulisers produce

progressively finer aerosols, starting with the LC SPRINT Junior

Nebuliser (yellow nozzle insert) and ending with the LC SPRINT STAR

Nebuliser (red nozzle insert). If one is targeting the peripheral

regions of the lungs, and/or if the patient's airways are severely

obstructed, the PARI LC SPRINT Junior Nebuliser or LC SPRINT STAR

Nebuliser may be capable of providing treatment more efficiently for an

adult than the LC SPRINT Nebuliser.

Can hypertonic saline be mixed with medications?

The SmPCs of drugs do not specify whether medications approved for

inhalation can be mixed with hypertonic saline solutions (such as

MucoClear 6% or MucoClear 3%).  Mixing them therefore represents

'off-label' use and as a result, PARI cannot recommend their usage.

Can I use my PARI BOY compressor anywhere in the world?

Different countries around the world use different

voltages for their mains electricity supply, here in the UK we have

240V at 50Hz.

The PARI BOY mobile S is suitable for use any where in the world. The PARI BOY mobile S includes a universal power supply which can be used with voltages between 100 and 240 V and 50 to 40 Hz.

Our mains compressor's voltage requirements can be checked on the

identification label on the underside of the compressor. This should

then be checked to ensure compatibility in the country you are visiting.

Can tap water be used instead of NaCl solution for diluting medications?

Inhalation solutions are not required by law to be sterile.  However,

it is wise to use sterile solutions.  All preparations on the market

are sterile and should only be diluted with a sterile solution.  If the

degree of dilution in water is very high, water can be an irritant and

cause coughing in patients with bronchial hypersensitivity.

PARI recommends the use of PARI NaCl in cases where medication is to be diluted with isotonic saline isotonic saline
An aqueous solution of 0.9 percent sodium chloride, isotonic with the blood and tissue fluid.
solution.

Does continuous nebulising not cause too much medication to go to waste?

The continuous nebulisers from PARI (LC SPRINT and LC PLUS family) are

equipped with a valve system that helps to reduce loss of medication

significantly. It is most important to keep the mouthpiece in the mouth

when breathing out. Inhaling with these nebulisers is very easy, since

the nebulising process does not have to be synchronised with the

breathing rhythm for them.

Does the BABY Bend always have to be used with the baby mask?

Yes, when the baby mask is used for inhaling, it is essential to use the

BABY Bend as well, because the baby mask does not have an expiratory

valve. This means that if the mask fits tightly, the baby cannot exhale.

The slots in the BABY Bend enable the used air to be exhaled.

How often must the filter be replaced?

After 200 operating hours or at least once a year. You should check the

filter for contamination regularly and replace it sooner if necessary.

The instructions for use contain a detailed description of this

procedure.

Is it normal for the connection tubing on the device to become very warm, even hot?

Yes, in short compressing air makes it hot so all nebuliser

compressors will generate a certain amount of heat during normal use.

The currently applicable standard DIN EN 60601-1 Part 1 for medical

electrical equipment defines requirements regarding maximum permissible

temperatures for electrically powered medical products. The

corresponding tests on our devices were conducted by an external,

accredited test laboratory.

All of our compressors meet the specifications of the standard cited above.

What is a PARI "Year Pack"?

PARI recommends that you replace certain components of your nebuliser, or the entire nebuliser, the connection tubing and the filter every year if the device is used regularly.

The plastic in our nebulisers is subject to a certain amount of wear & tear during use (mechanical and thermal stresses). The area around the nebuliser nozzle

is particularly susceptible and this can even alter the composition of

the aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
droplets, which directly impairs the effectiveness of the

treatment; accordingly, we recommend that our nebulisers are replaced on

an annual basis. It is also advisable to replace the nebuliser regularly for hygiene reasons.

To make this easier, we offer convenient PARI Year Packs. These contain all of the individual parts that must be replaced at least once a year.

What is the difference between PARI JuniorBOY SX and TurboBOY SX?

The compressors for these two devices are identical in terms of output. The only difference between them is their colour.

The difference between PARI JuniorBOY SX and TurboBOY SX is in their accessories and in the nebuliser type that is supplied with them. For example, the PARI JuniorBOY SX includes the LC SPRINT Junior Nebuliser (yellow

nozzle insert). This delivers an even finer aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
, specially designed

for the smaller airways of babies and infants. In addition, a baby mask

and BABY Bend are included with this device, for use by small patients

who cannot yet inhale through a mouthpiece. The PARI JuniorBOY SX is

thus a device containing accessories particularly suitable for use in

inhalation therapy by babies and infants. The PARI TurboBOY SX does not

include a baby mask or BABY Bend. The PARI LC SPRINT Nebuliser (blue nozzle insert) included in the package, is ideal for an efficient inhalation therapy for older children and adults.

What is the difference between the PARI LC SPRINT BABY and LC SPRINT Junior Nebulisers?

The LC SPRINT BABY Nebuliser generates an extremely fine aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
.

This nebuliser should therefore be used when it is necessary to deliver

the aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
as deeply as possible in a baby's tiny airways.

The PARI LC SPRINT Junior Nebuliser, with the yellow nozzle

attachment, creates an aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
that has slightly largeer droplets. This

nebuliser is very good for treating the central-intermediate regions of

babies' and infants' lungs.

What medications can be nebulised?

Always ask your Doctor whether a given medication is suitable for

inhalation. He or she knows your diagnosis and will perscribe the right

medications and dosage you need. Your chemist can also answer some

questions about your medications. In general the following applies:

given the enormous number of inhalation solutions that are available

commercially for the treatment of various respiratory diseases, it is

not possible to make any specific recommendations here. Your Doctor will

make decisions regarding your treatment. 

What must I do if my nebuliser does not generate an aerosol any more?

This may be due to any (or all) of the following:

  1. Is the nozzle insert in the nebuliser is missing?

  2. The

    nozzle may be blocked (also possible with the LC SPRINT family).

    Please check the nozzle first. If there are crystalline deposits (e.g.

    limescale residue) in the nozzle, it may be possible to remove them

    simply by squeezing the flexible nozzle with your thumb (however, this

    only works with the LC SPRINT nozzle because it is flexible). For more

    stubborn blockage, it often helps to clean the nozzle again by boiling

    the nebuliser. This is also possible for cleaning the LC PLUS Nebuliser nozzle.

    See instructions for use. Please note that the small holes must be

    poked through very carefully and only from the nozzle underside.

  3. Is there enough medication in the nebuliser? Make sure that the medication in the nebuliser reaches the fill mark. Minimum: 2ml, Maximum: 8ml.

 

What should I do if I notice condensation in the connection tubing?

Small amounts of condensation can form in the connection tubing as a

result of air humidity and temperature fluctuations. It is not

medication, just condensed water vapour from the ambient air.

After each nebulising session, you should always switch the

compressor on again and blow the tube dry with the nebuliser

disconnected.

The instructions for use contain a detailed description of this procedure.

Which chemical disinfectants do you recommend for my PARI nebuliser?

In the home, nebulisers and accessories (not the tubing) should only be

disinfected by boiling or using a steam disinfector. There is no

recommendation for chemical disinfectants in this situation.

Why does the mask have to cover the baby's mouth and nose?

This is the only way to ensure effective inhalation.

Why is it not permitted to attach elastic bands to the baby mask?

Since babies often move their heads vigorously, the mask might slip off

even if it were attached with elastic bands. Nebulising with a silicone

mask is intended solely for babies and infants, and they must be

supervised constantly by an adult when inhaling. The nebuliser should be

held in place by hand and should fit snugly over the child's mouth and

nose.

Why is there always some inhalation solution left in my nebuliser?

All nebulisers have a residual volume, this is due to the design

requirements of the systems. A certain residual volume is always remains

in the nebuliser. This is taken into account when medication dosing is calculated by clinicians and drug companies.

Please note that you should stop inhaling as soon as you hear a clear change in the sound the nebuliser makes (from a quiet, smooth hiss to a bubbling or crackling noise) and the aerosol aerosol
An aerosol is a colloid of fine solid particles or liquid droplets, in air or another gas.
mist escapes from the nebuliser irregularly.

Why should the accessories be replaced regularly?

The nebuliser, tube and filter are wearing parts.
To ensure that the quality of the therapy remains consistent, these parts should be replaced once a year.
For this, PARI offers the convenient Year Packs.

Why should the same nebuliser not be used by more than one person?

In the home, each family member should use his or her own nebuliser chamber, this is for hygiene reasons.

In theory, PARI nebulisers could be used by several patients.

However, according to the hygiene regulations currently in force, this

is not permitted unless the nebuliser can be sterilised (e. g. in an autoclave in a hospital).

KIV, boiling in water, cold water disinfection tablets (e.g. Milton

tablets) & 'baby bottle' disinfectors do not sterilise, they just

disinfect (this is a lower hygiene standard).

Will the current PARI accessories fit my old PARI device?

PARI uses a modular system to ensure that the current range of accessories will fit all PARI BOY devices from as early as 1996.