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When critical moments arise, INOmax Total Care is there to help support uninterrupted delivery of INOMAX. Watch the stories of a parent and practitioners who appreciate the support INOmax Total Care provides.

Learn more about the unmatched offering you receive to help ensure uninterrupted delivery of nitric oxide when you’re contracted with INOmax Total Care.

See which common underlying diseases can cause hypoxic respiratory failure (HRF).

INOMAX is an inhaled pulmonary vasodilator that selectively dilates the pulmonary vasculature and improves ventilation and perfusion (V/Q) mismatch.1 Learn how INOMAX can help stop the cascade of hypoxic respiratory failure (HRF) in term and near-term neonates diagnosed with pulmonary hypertension.

Reference: 1. INOMAX. Package insert. Mallinckrodt Pharmaceuticals.

Ventilation and perfusion (V/Q) matching is required for optimal oxygenation of the pulmonary vasculature.1 INOMAX is an inhaled pulmonary vasodilator that can improve V/Q matching.1

See how INOMAX works

Reference: 1. INOMAX. Package insert. Mallinckrodt Pharmaceuticals.

INOMAX has been studied on over 5000 subjects.

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*Primary endpoint of INOMAX CINRGI and NINOS registration studies.

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Recommended dosing, administration, and weaning instructions here.

INOmax DSIR Plus Delivery Systems bring together innovative engineering with an intuitive user experience.1 See the complete array of patient safety features now.

Reference: 1. Data on file. Mallinckrodt Pharmaceuticals

Compare the different features of INOmax DSIR Plus Delivery Systems.

Review key safety features of the INOmax DSIR Plus Delivery Systems.

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Access case studies and other supplemental resources on inhaled nitric oxide as treatment for HRF associated with pulmonary hypertension.

Hear highly respected clinicians discuss treatment of neonates with HRF associated with pulmonary hypertension in this INOMAX webinar. Images are used with permissions.

Many organizations are focused on reducing device-related errors and failures. Download information on the latest efforts to improve patient safety.

In addition to on-site training, your INOmax Total Care contract includes access to several online training resources. Access the INOmax DSIR Plus virtual training simulator here.

Have a specific or technical question about an INOmax DSIR Plus Delivery System? Access our complete library of operation manuals, instructional materials, technical bulletins, and safety data sheets.

Find easy-to-understand information about hypoxic respiratory failure (HRF), and answers to some of the most commonly asked questions parents have.

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Prescribing Information
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Home › Device Warnings

Device Warnings

APPLICATIONS

  • The INOmax DSIR Plus Delivery Systems deliver INOMAX (nitric oxide) gas, for inhalation. The INOmax DSIR Plus Delivery Systems must only be used in accordance with the indications, usage, contraindications, and warnings and precautions described in the INOMAX package inserts and labeling. The approved patient population is limited to neonates. Refer to the INOMAX Full Prescribing Information prior to use.
DEVICE WARNINGS

  • Abrupt discontinuation of INOMAX can lead to worsening oxygenation and increasing pulmonary artery pressure (rebound pulmonary hypertension syndrome). To avoid abrupt discontinuation, use the INOblender® or backup mode immediately to reinstate INOMAX therapy and refer to the INOMAX package insert.
  • If the high NO2 alarm activates, the delivery system should be assessed for proper setup while maintaining INOMAX delivery.
  • Do not connect items that are not specified as part of the system.
  • If an alarm occurs, safeguard the patient first before troubleshooting or repair procedures.
  • Use only INOMAX, pharmaceutical grade NO/N2.

Use in an MR Environment

  • Only use a size “88” (1,963 liters) cylinder that is marked “MR Conditional. Keep cylinder at 100 gauss or less.” With the DSIR Plus MRI while in the scanner room. Use of any other cylinder may create a projectile hazard.
  • The INOmax DSIR Plus MRI is classified as MR Conditional with MR scanners of 1.5 or 3.0 Tesla strength ONLY in areas where the field strength is less than 100 gauss.
  • This device contains ferromagnetic components and hence will experience strong attraction close to the magnet. It should be operated at a fringe field of less than 100 gauss.
  • A strong magnetic field such as that from an MRI system can affect the ability of the INOmeter to detect if the cylinder valve is open. This can cause a “Cylinder Valve Closed” alarm to occur when the cylinder valve is actually open. If this alarm occurs, reposition/rotate the INOmax DSIR Plus MRI cart outside the 100 gauss area to reduce the magnetic interference in the area of the INOmeter until the cylinder handle graphic on the display turns green. This will resolve the “Cylinder Valve Closed” alarm. Typically the required INOmax DSIR Plus MRI cart location adjustment is less than 6 inches (15 cm)/90 degrees. Note that interruption of INOMAX therapy will occur one hour from point when the “Cylinder Valve Closed” alarm is activated if the alarm is not resolved.

Rx Only

Consult the Operation and Maintenance Manual, which may be found at www.inomax.com/training-and-education/device-support-resources, for complete information. For technical assistance, call (877) 566-9466.