1. Nebulizer Segment

2. Content: Type of Nebulizer Choosing a Nebulizer Medicine used for Nebulizer Important technical specifications Which patient should be treated by Nebulizer CITIZEN systems Japan Nebulizers ✓ Comparison tables Respiratory Diseases What is Nebulizer 1 1 9 9

3. Nebulizers are used in treating respiratory conditions where the medication must be inhaled. Nebulizers are available in small portable versions for home use and travel. nebulizer is used instead of a metered dose inhaler as it provides a better flow of medication to some patients In medicine, a nebulizer is a device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for treatment of cystic fibrosis, asthma, COPD and other respiratory diseases. What is Nebulizer

4. Nebulizers use oxygen, compressed air or ultrasonic power to break up medical solutions/suspensions into small aerosol droplets that can be directly inhaled from the mouthpiece/mask of the device. The definition of an aerosol is a "mixture of gas and liquid particles,“ What is Nebulizer

5. Type of Nebulizer 1.Compressor Nebulizer 2.Ultrasonic Nebulizer Nebulizer Mask Nebulizer Mouthpiece

6. -Compressor Nebulizer uses the compressed air to create the mist which carries the medication to the lungs. -Ultrasonic Nebulizer does not use compressed air the device operates off of sound vibrations. Sound waves at a high frequency are created by a crystal and transform the liquid medication into a fine mist that is inhaled. generally for home use and available in a portable style.

7. -Nebulizer Mask -Nebulizer Mouthpiece To guarantee the proper amount of medication is administered to the patient. The only option for babies and young children is the face mask. Placed in the patient's mouth and inhaled in slow, deep breaths. A method called 'blow by' is sometimes used for young children and babies while they are sleeping. This method uses the mouth inhaler and allows the mist to blow out while the child breathes it in without inserting the mouthpiece in the mouth Unfortunately, a child does not inhale enough medication through the blow by method and it should not be used for treatment

8. connected by tubing to a compressor that causes compressed air or oxygen to flow at high velocity through a liquid medicine to turn it into an aerosol, which is then inhaled by the patient. were used for patients in hospitals who have difficulty using inhalers, such as in serious cases of respiratory disease, or severe asthma attacks. However some manufacturers like CITIZEN have also managed to lower the weight of the Compressor nebulizer down to 400 grams, and thereby started to label it as a portable and home use device. Application of Compressor Nebulizer

9. more portable nebulizer. have an electronic oscillator generate a high frequency ultrasonic wave, which causes the mechanical vibration of a piezoelectric element. This vibrating element is in contact with a liquid reservoir and its high frequency vibration is sufficient to produce a vapor mist. Application of Ultrasonic Nebulizer

10. compressor nebulizersUltrasonic nebulizers more noiseLess noise less portablePortable heavier weight (400 grams)Lighter weight (170 grams) Hospital use / Home useHome use Uses compressed air to generate a fine mist Uses ultrasonic vibrations passed through water to generate a fine mist Offers a range of particle sizes Offers a very consistent particle size Available in tabletop models and handheld models Available in handheld models only No medication restrictions Medication restrictions because heat is transferred to the medication

11. Nebulizer medicines are liquid. For convenience and safety, most nebulizer medicines are delivered in single-dose vials. Albuterol Intal Atrovent Pulmicort Respules Steroids Bronchodilators Beta-2 agonists such as salbutamol, albetrol Ipratropium bromide Nedocromil sodium and etc are also used. Medicines used in nebulizer

12. _ Respiratory patients in hospitals and emergency rooms _ Babies and young children _ Elderly patients, including COPD patients _ Patients receiving a medication that can only be delivered with a nebulizer _ Any patient for whom MDI or DPI devices are insufficient _ patients suffering from cystic fibrosis, asthma and other respiratory diseases. Which patients should be treated by nebulizer

13. Is the nebulizer approved for your medication? Make sure your nebulizer and medication are compatible. Check the patient instructions for each. You should never attempt to nebulizer Medications that are not intended to be nebulized. How much noise does it make? Think about where and when you might need to use the nebulizer. new models are almost silent. Where are you likely to use the nebulizer? Standard units may work well at home; smaller ones are easier to store in apartments, dorm rooms and suitcases. Who will use the nebulizer? Babies, some young children and elderly patients may require face masks or might be more bothered by noisy machines. If it will be used by more than one person, you will need extra nebulizer cups and mouthpieces. Choosing a Nebulizer

14. psi Operating Pressure – it is better to have more pressure Air Flow (micro liters/min) _it is better to have heavier air flow Cup Capillary (I.D. microns) – it is better to have a bigger cup capacity Noise – the less noise the better Particle size – the smaller particle size the better Nebulization rate _ Citizen Nebulizer has adjustable rate in 3 level Weight – the lighter the better/ more portable Pluggable – it is better if the nebulizer is pluggable to use direct electricity in addition of battery Technical important specification to be under consideration:

15. Features CUN-60 2 2 1 Handy design Easy To use Silent operation 3-Speed nebulization rate control Built-in timer Ultrasonic Type CITIZEN nebulizers

16. Features CITIZENBeurer ModelUltrasonic- CUN60 Ultrasonic – IH30 Auto switch offYes Particle size5 microliter5.15 microliter Guarantee3 years replacement- Mouth pick- Yes Child Mask Yes Storage Bag Yes Comparison Table / Ultrasonic Nebulizer

17. Nebulizer brandCITIZENOMRON Model Ultrasonic- CUN60Ultrasonic- C801 Nebulization rate 3- speed adjustable0.3 ml Particle size 5 microliter Weight350 g3 oz Power AC/DC 100 – 240 V 50/60 Hz Comparison Table / Ultrasonic Nebulizer

18. Children and babies with: – Asthma – C.O.P.D disease – chest infection – Wheezing problem – bronchitis are asked to use a Nebulizer treatment. Children and babies using Nebulizer

19. According to the State of the World Allergy Report of the World Allergy Organization, about 300 million people worldwide have asthma, approximately 50% of whom live in developing countries. Respiratory diseases 1 1 Chronic respiratory diseases (CRD) are forecast to be amongst the top five killers by 2030 and at present one person in every fifteen dies globally due to the illness,” said Simon Page, Group Director of Life Sciences at IIR Middle East, the organizer of Arab Health 2011. Respiratory diseases Respiratory dise ase is becoming the second leading cause of death worldwid e and a disease like COPD is becoming the number one burden on healthcare budgets. 33 22

20. TB (Tuberculosis) A common bacterial disease Caused by mycobacteria, usually ''Mycobacterium tuberculosis'' in humans. Usually affecting the lungs. Other parts of the body can also be affected, for example lymph nodes, kidneys, bones, joints, etc. It is spread through the air, when people who have the disease cough, sneeze, or spit.

21. -A long-lasting (chronic) cough. -Wheezing. -Constant coughing, sometimes called "smoker's cough" -Excess sputum production. -Mucus that comes up when you cough. -Shortness of breath while doing activities. -Feeling like you can't breathe. What are the symptoms: 11 22 33 44 55 66 77

22. An estimated 64 million people have COPD worldwide in 2004. More than 3 million people died of COPD in 2005, which is equal to 5% of all deaths globally that year. Almost 90% of COPD deaths occur in low- and middle-income countries. The primary cause of COPD is tobacco smoke (through tobacco use or second- hand smoke). The disease now affects men and women almost equally, due in part to increased tobacco use among women in high-income countries. COPD is not curable, but treatment can slow the progress of the disease. Total deaths from COPD are projected to increase by more than 30% in the next 10 years without interventions to cut risks. World COPD statistics

23. World Asthma statistics Some 235 million people currently suffer from asthma. It is the most common chronic disease among children. Most asthma-related deaths occur in low- and lower-middle income countries. The strongest risk factors for developing asthma are inhaled substances and particles that may provoke allergic reactions or irritate the airways. Medication can control asthma. Avoiding asthma triggers can also reduce the severity of asthma. Appropriate management of asthma can enable people to enjoy a good quality of life.

24. CITIZEN Healthcare products For HumanityTechnologyLeading

25. THANK YOU! www.island-gate.com Tel: 0097142959669 Fax: 0097142955788 Email: info@island-gate.cominfo@island-gate.com