IN-CHECK Introduction

What does it Look Like?

Which Inhalers?

How to Use

Accuracy

Inspiratory flow rates

Care and Cleaning

Validation data

Further Information

 

How to use the In-Check DIAL

 

As with any inhalation device, it is important to check for loose foreign objects before the device is used. The transparent material used in the construction of the In-Check DIAL enables the user to make a visual check before inhalation. Patients should be prevented from exhaling through the device prior to use.

To reset the In-Check DIAL

Hold the instrument vertically with the mouthpiece uppermost, so that the rounded end of the meter can be tapped against the other hand or a horizontal surface, such as a table. A hard tap will dislodge the magnetic resetting weight, which will return the red cursor to a start position. When this has happened, the meter must turn through 180 degrees to return the magnetic weight to its resting position.

Do Not try to reset the In-Check as if it were a mercury thermometer - this action causes serious damage to the piston and pointer. Clement Clarke International will not replace product that has been mis-used in this way.

Click on the thumbnails below for larger graphics>>>

1. Reset the IN-CHECK Dial
2. Align the scale with the desired inhaler device - an audible "click"
   should be heard.
3. Attach a clean mouthpiece (small mouthpieces can be used with
   the supplied adapter)
4. Ask the patient to exhale fully
5. Seal lips around the mouthpiece According to the inhaler chosen,
   instruct the patient to inhale in the manner recommended by the
   manufacturer.
6. Record the inspiratory flow from the position of the red cursor against
   the scale. Reset, and repeat two more times.
7. Compare values achieved with target flows for that device. To operate
   an inhaler device optimally, the patient should be able to achieve
   a flow rate within the Optimal Range.
8. If the patient is not able to achieve these values, then an
   alternative type of inhaler device should be assessed.

            

           

For example - professionals recommend using the Turbohaler with a "deep
and forcefull" inhalation, with the aim of achieveing a high flow rate. However,
with an ordinary pMDI aerosol, the inhalation should be "slow and deep".

Having set the appropriate resistance before inhaling, the In-Check DIAL will quickly show if the technique needs to be improved - by either speeding up, or slowing down the inspiratory manoeuvre.

 

 

 

 

 

 

 

 

 

 

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© by Clement Clarke International Limited 2000