Introduction
Thank you f or purchasing the unique 3in1 Compressor Nebulizer NK1000 which integ rates with a
nebulizer kit, a nasal washer , and a nasal aspirator .
This product is developed in conjunction with respiratory therapists for the eective tr eatments
of asthma, C OPD , chronic bronchitis , nasal and/or sinus congestion/stuness/ allergic symptoms
and other respiratory ailments. T reatments are deliv ered quickly, saf ely and conv eniently mak ing
this unit ideal for all ages in health car e structures like hospitals and home care. Y our compressor
nebulizer should be used under the super vision of a licensed physician and/or a r espirator y
therapist. T ogether with your physician and/or r espirator y therapist, you can f eel comfortable
and condent k nowing that y ou are obtaining the most eective inhalation and nasal aspiration
treatments f or your respirat or y condition.
NO TE: This is a medical device. Operate the device only as instructed by your doctor and/or
respiratory therapist. Please consult with your physician and/or phar macist to determine if your
prescription medication is appro ved for use with this nebuliz er . F or t ype, dose and r egime of
medication follo w the instructions of your doc tor or r espirator y therapist.
Please read this manual car efully befor e use and be sure to keep this manual.
How the nebulizer kit w orks
V alv e Adjustable T echnology
The proprietar y adjustable valve is able t o deliver medications of
dier ent viscosity level according to every user ’ s conditions and
needs at ease. Our V A technology allows users to adjust dier ent
levels of nebulization rate ranging ≥ 0.1 – 0.3 ml/min at consist ent
par ticle size .
The nebulization rates can be adjusted b y the user in a ver y easy
way without ex changing par ts. Higher nebulization rate/fully open
is for higher viscosity medications and higher breathing capacity
user while lower nebulization rate with closed valv e will be more
appropriate f or k ids / infants with lower br eathing capacity .
How the nasal washer w orks
Nasal washer connected to 3 in 1 compressor nebulizers , nebulizes an aqueous solutions for
ushing the nasal cavities by pr essing the button on the ergonomic handle to activate the
nebulization and collects the return solutions. It can be used with saline solutions (isotonic and
hypertonic solutions, warm water) or medicated solutions f or aerosol therapy . The body of nasal
washer has two adjacent chambers, inside one f or holding the solution to be nebulized and the
outside for collecting the return solutions.
How the nasal aspir ator w orks
The compressed air is generat ed by the suction pump which creates a vacuum sucking the mucus
into the collection chamber . Thanks to the Dual pump design , nebulization and suction pump,
provides the maximum h ygiene t o avoid cross inf ection and extends the life of the unit.
Preliminary Remarks
This device fulls the provision of the European Medical De vice Directive 93/42/EEC amended
by 2007/47/EC and the European Standard EN 13544-1:2007+A1:2009 Respiratory therapy
equipment - P ar t 1: Nebulizing systems and their components .
Cautions
Please use general safety precautions when operating your nebulizer . This unit should be used
only for its int ended purpose as described in this guidebook and with medications only under
the super vision and instruction of your physician. Do not use the device in anesthetic or ventilator
breathing cir cuits.
Product cautions
READ THE FOLL OWING BEFORE USING
• T o avoid electrical shock : keep unit away fr om water .
• Do not immerse the unit in liquid.
• Do not use while bathing.
• Do not reach f or a unit that has fallen into water immediately unplug the unit.
• Do not use the unit if it has any damaged par ts (including plug), if it has been submersed in
water or dropped . P romptly send the unit f or examination and repair .
• The unit should not be used where ammable gas, oxygen or aerosol spray products are being
used.
• Keep the air vents open. D o not place the unit on a sof t sur face where the openings can be
blocked.
• If any abnormalit y occurs, discontinue using until the unit has been examined and r epaired .
• The unit should not be left unattended while plugged in.
• Do not tilt or shake the unit when in operation.
• Disconnect the unit from the electrical outlet before cleaning , lling and after each use.
• Do not use attachments unless recommended by the manufacturer .
• Do not plug or unplug the AC adapter into the electrical outlet with wet hands.
• Unplug the AC adapter fr om the electrical outlet af ter using the device.
• Do not disassemble or attempt to repair the unit.
• Do not use the device in anesthetic or ventilator breathing cir cuits.
• Use only original Rossmax accessories/par ts as included in the product.
• Plug the device into the appropriate voltage outlet. D o not overload power outlets or use
extension power cords .
Operating cautions
• M icr obial contamination: personal use of all par ts is recommended in or der to prevent any risks
of contagious inf ection.
• Befor e each use, inspect the device and all par ts. If damaged or deteriorated, replace it at once .
• Close adult super vision is highly recommended when the unit is used by childr en or invalids .
• Keep your eyes away fr om the output of medication mist.
• Do not use this unit while operating a vehicle.
• If any discomfort or abnor mality occurs, stop using the unit immediat ely .
• Do not use the device if the air tube is bent.
• Do not ser vice or maintain device while in use.
• Do not use the tubing and/or AC adaptor for any other pur pose than those specied , as the y can
cause risk of strangulation.
• Manufacturer will not be held responsible for inappr opriate use of the device.
• The correct func tioning of the device may be aected by electromagnetic interference caused
by malfunctioning television sets, radios, et c. If this occurs, move the sour ce of inter f erence away
from the device or plug it into a di erent pow er socket.
• Do not inser t any object into the compressor .
Stor age cautions
• Do not store the unit in dir ect sunlight, high temperature or humidity .
• Always keep the unit unplugged while not in use.
• Some par ts of the unit ar e small enough to be swallowed by children and can cause suocation;
keep the unit out of the reach of children.
• Store the device and parts in a clean location to avoid inf ection.
Cleaning cautions
• Check air lter , nebulizer , mouthpiece and any other optional component before each use. Dir ty
or worn par ts should be replaced .
• Do not immerse the unit in water . I t may damage the unit.
• Disconnect the unit from the electrical outlet before cleaning .
• Clean all necessar y par ts after each use as instructed in this guidebook .
• Always dispose of any remaining medication in the medication cup after each use. Use fresh
medication each time you use the device.
• Do not store the air tube with moisture or medication remaining in the air tube. This could result
in infection as a result of bacteria.
• T o prevent possible risk of infection from contaminated cleaning/disinf ection solutions, always
prepar e fresh solution f or each cleaning c ycle and discar d solution after each use.
• Contaminated devices must be thoroughly sanitiz ed prior to disinfection.
• Do not use gravity aut oclave, EOG gas disinfection or low temperatur e plasma sterilizer to disinfect
the unit and par ts.
• When disinfecting the unit by boiling, make sure to disassemble the parts and boil them with
plenty of water to completely immerse each individual part, tak ing care to avoid the parts directly
coming into contact with the bottom of the pot during the boiling.
• Carr y out the cleaning procedures after ever y application for maximum hyg iene to avoid cross
infection and extend the life of the unit.
• Do not use any hard object to clean and/or detach the unit in or der to avoid an y damage.
• Do not use a microwav e oven, dish dr yer or hair dryer to dr y the device or the par ts.
Nebulizer kit: Usage
• P entamidine is not an approv ed medication for use with this device .
• If the medication cup is empt y , do not attempt t o operate the unit.
• The maximum capacity of the medication cup is 5 ml and should not be ov er lled.
• This product should not be used on patients, who are unconscious, sleeping, dro wsy or are not
breathing spontaneously .
• T o avoid medication residue on the face, be sure to clean the patient ’ s face af ter removing the
mask .
Nasal washer: U sage
• If the unit is used for therapeutic ushing, the administration of medication must be prescribed
or recommended by y our physician, respecting the type of medication, doses and duration of
treatment indicated .
• Nasal washer should be used with a physiological saline solution. “ T ap water” is not
recommended .
• Do not use the nasal washer with pneumatic device when tak ing a bath or shower .
• Do not add more than 20 ml of saline solutions to uid chamber .
• Do not inser t any object into the nasal washer-tube connector .
Nasal aspirat or: Usage
• The nasal aspirator should be used exclusiv ely for remo ving the nasal mucus. It cannot be used f or
any other purpose.
• Do not obstruct the openings on the bottom and/or the side of the nasal aspirator .
• If you notice rashes or redness appearing , inside or ar ound the nose during or after using the unit
or anything unusual during use, stop using the unit and consult a ph ysician.
• Do not attach the nasal aspirator to any other device .
MEDICAL DISCLAIMER:
This manual and product are not meant t o be a substitute for advice pr ovided by your doctor or
other medical prof essionals.
Don ’t use the inf ormation contained herein or this product for diag nosing or treating a health
problem or pr escribing any medication. If you have or suspect that you have a medical pr oblem,
promptly consult your doctor .
Durable periods are as follo ws, pro vided the product is used to nebulize 2ml of medication 2 times
a day f or 8 minutes each time, 15ml of saline solution 2 times a day f or 5 minutes each time , and
aspirate 6 times a day f or 3 minutes each time at room t emperature (25°C).
Durable period may var y depending on usage and envir onment.
• Main unit 5 years
• Air T ube, Mouthpiece 1 year
• Nebulizer Kit 1 year
• Air F ilter 60 days
• Nasal washer 1 year
• Adult and child masks 1 year
• Nasal aspirator 1 year
Product specications
AC Adaptor: DC12V, 1A
Power: AC100~240V, 50~60Hz
Power Consumption: ≤ 12 W
Sound Level: ≤ 60 dBA (1 meter away from NK1000 with Nebu-
lizer kit, V alve closed)
Compressor Pressure Range: ≥ 16 psi (110 kPa)
Operating Pressure Range: Nebulizer kit: ≥ 8 psi (55 kPa)
Nasal washer: ≥ 9 psi
Operating Vacuum Range: Nasal aspirator: ≤ -450mmHg
Operating Flow Range: Nebulizer kit: ≥ 3.0 lpm
Nasal washer: ≥ 4.2 lpm (for reference only)
Nasal aspirator: ≥ 5.0 lpm
Operating Temperature Range: 50ºF to 104ºF (10ºC to 40ºC)
Operating Humidity Range: ≤ 90% RH
Operating Atmospheric Pressure Range: 700-1060 hPa
Storage Temperature Range: -4ºF to 140ºF (-20ºC to 60ºC)
Storage Humidity Range: ≤ 90 % RH
Dimension (L x W x H): 260mmx170mmx120mm (10.24x6.69x4.72 inches)
Weight: 1540g (without accessories)
Medication Capacity: 5ml(cc) (Nebulizer kit)
Fluid chamber capacity: Max. 20 ml (c.c.) (Nasal washer)
Nasal adaptor with silicone tip size: L: 9mm, M: 7.6mm, S: 6.5mm (OD)
Particle Size (MMAD): ≤ 2.5μm (Nebulizer kit)
Average Nebulization Rate Fully open Valve: ≥ 0.3ml/min (Nebulizer kit) (0.9% Saline Solution)
Average Nebulization Rate Closed Valve: ≥0.1ml/min (Nebulizer kit) (0.9% Saline Solution)
Average Nebulization Rate: ≥ 3.0ml/min (Nebulizer washer) (0.9% Saline Solu-
tion)
Standard Accessories: Nebulizer Kit, Nasal Washer, Nasal Aspirator, Clear
Air Tube, Blue Air Tube, Mouthpiece, Filters (5pcs),
Adult and child masks, Filter (1pc)(Nasal Aspirator).
* Subject to technical modication without prior notice.
* Performance may vary with drugs such as suspensions or high viscosity, See drug supplier’s
data sheet for further details.
AProduct identication
1. Nebulizer Kit 2. Nasal W asher 3. Nasal Aspirator 4. Air F ilter
5. AC Adapt or 6. Clear Air T ube 7. Blue Air T ube 8. Air Outlet
9. V acuum r egulator 10. Air Inlet 11. Po wer Switch 12. Air F ilter Slot
13. AC Adapt or Jack
BUsing the A C A dapter
1. Check that the power switch is in the “OFF” position.
2. Connect the AC adapter with the AC adapt er jack on the left side of the unit.
3. Plug the AC adapter into the socket. (AC adapters with required voltage and cur r ent indicated
near the AC adapter jack.)
4. Pr ess the power -switch to the “ON” position.
C-2 Assembling your nebuliz er kit
1. Gently twist and pull straight up on the lid of the nebulizer k it to separate into two parts
(medication cup and cover).
2. Make sure that the nozzle is pr operly installed on the upper cover . The stem inside the medication
cup inser ts into the tube of the nozzle .
3. Add the pr escribed amount of medication to the medication cup.
4. Reassemble the nebulizer k it by carefully twisting the medication cup and cov er together . M ake
sure that the two parts t securely .
5. Connec t one end of the air tube in clear to the “ AIR OUTLE T” connec tor marked “Nebulizer”
on the left side of the compressor and the other end to the air tube connector at the base of
the nebulizer kit.
C-3 Operating y our nebulizer kit
The nebulizer kit is operable at up to a 45° angle.
If the angle is greater than 45°, no aer osol will
be generated.
1. Attach the angled mouthpiece or mask to
the top of the nebulizer kit.
2. The capacity of the medication cup is 2~5
ml.
3. Place the power switch to the “Nebulizer ”
(−) position.
4. When the compressor is acted on,
nebulization begins and aerosol is generat ed.
Inhale the medication and exhale through
the nebulizer kit.
DNasal washer
D-1 Product identication
1. Nasal adaptor with silicone tip (S/M/L) 2. T op cover 3. Separator 4. Nozzle
5. Fluid/ Nebulization chamber (Max. 20 ml/c .c.) 6. Return uid collec tion chamber
7. Ergonomic washer body 8. Air tube to the nebulizer
9. Nasal washer- tube connector 10. T rigger button
D-2 Assembling your nasal washer
1. Choose the most appropriate nasal adaptor with silicone tip (S/M/L) that ts the size of your
nostrils and inser t it into the top cov er .
2. Inser t the nozzle into the center stem of the unit and make sure the nozzle is pr operly set in
place.
3. P our the solution (10~15ml, max. 20 ml/c.c.) into the inside uid chamber . Always use fresh
solution each time you use the unit.
4. Put the separat or and top cover back.
5. Connect one end of the air tube in clear to the “ AIR OUTLET ” connector mark ed “W asher” on
the left side of the compressor and the other end to the nasal washer- tube connector .
6. Make sure all par ts are correctly inser ted and connected to each other .
D-3 Operating your nasal w asher
I t is recommended t o keep the nasal washer straight or operate at up to a 30° angle while in use.
If the angle is greater than 30°, the r eturn uid from the nose may drip outside the unit.
1. T urn the power switch to the “W asher” (−) position.
2. Place the unit close to the nose and gently insert the nasal adaptor into one nostril.
3. During the application it is advisable to press your nger on the other nostril and keep it closed.
4. Star t the nasal irr igator by holding do wn the trigger button while breathing in and release it
befor e breathing out. At this stage, to help expel the mucus, blow gently through the nostril
treated dir ectly with the Nasal W asher .
5. Repeat above steps for the other nostril , tr ying to evenly distribute the solution between the
two nostrils. Interrupt the nebulization to blow your nose whenever necessar y .
6. When used on children or disabled people, or in any case when ther e are problems in coordinating
the various steps as described 4, we recommend t o run the application alternating the nostrils
about 20 seconds each, pausing in between to expel the mucus.
7. If the unit is used f or therapeutic ushing, it is good idea t o wash your nose with saline solution
befor e administering aerosol tr eatments. This will help to achieve a more e ective distribution
of the medication over the nasal mucosa.
ENasal Aspira tor
E-1 Product identication
1. Silicone tip 2. Silicone tube 3. T op cover 4. F inger opening
5. O-r ing 6. Silicone tube 7. Collection chamber 8. F ilter
E-2 Assembling your nasal aspir ator
1. Inser t the lter mark ed “IN” side to the air tube connector at the base of the nasal aspirator .
2. Make sure that the O -ring is properly attached.
3. Connect one end of the air tube in blue to the “ AIR INLET ” connector mark ed “Nasal
Aspira tor” on the r ight side of the compr essor and the other end to the air tube connector .
Make sure they are inser ted rmly .
Instructions for use
F ollow the cleaning instructions in this guidebook under “Cleaning procedures ” prior to using your
nebulizer f or the rst time or after it has been stored f or an extended period of time.
Note: Always unplug the compressor and make sure the power switch is turned to the “OFF” (O)
position befor e cleaning, assembling and bef ore or after each use.
Operating y our nebulizer
Place the compressor on a at, stable sur face within reach. M ake sure that the power switch is in
the OFF (O) position bef ore use.
After ever y use:
1. Unplug the unit from the pow er source.
2. Allow the unit to completely cool .
3. Carefully detach the air tube fr om the nebulizer and pour out any r emaining medication.
4. F ollow the cleaning pr ocedures pro vided in this guidebook .
Note: A 30-minute int er val is recommended after each use.
CNebulizer kit
C-1 Product identication
1. Nebulizer kit 2. Nozzle 3. Angled Mouthpiece 4. Child M ask 5.Adult Mask
7
A
Max. 5ml (c.c.)
1
2
3
4
4
12
13
8
11
10
9
or
12 3
5
6
B
5
AC Adapt er
(Ø3.8/Ø1.35)
C-1 C-2
C-3
D-3
Max.
20ml
(c.c.)
D-2
5
6
9
78
10
D-1
2
3
4
1