Caution
This product complies with the essential requirements of the medical devices
directive (93/42/EEC).
Introduction
The In-Check DIAL G16 kit is an inhalation airflow training meter system that can help
educate and assess patients who use inhaler devices.
Inhaler devices are designed to deliver medication to the respiratory tract, and the speed of
inhalation through them (the inspiratory flow) can have a significant effect on the quantity
of drug delivered and the clinical efficacy of the product.
The In-Check DIAL G16 kit is designed to simulate the "internal resistance" of common
inhaler devices, and assess inspiratory flow. These assessments enable the healthcare
professional to encourage patients to modify their inspiratory technique (by inhaling with
more, or less effort), in order to achieve a flow rate consistent with clinical efficacy. The
coloured 'flow' icons show the clinically effective flow ranges for each different inhaler
device. These 'flow' icons do not imply any comparison between devices.
Patients that cannot achieve the suggested inspiratory flow for their inhaler may not gain
maximum benefit from their prescribed medication, and healthcare professionals may wish to
take this factor into account when selecting with the patient, the device that is the most suitable.
Inspiratory Flow and Clinically Effective Flow Range
The inspiratory flow through an inhaler is one of the factors that will influence the clinical
effect of the drug delivery from that device. The most effective delivery occurs when the
patient achieves a flow within the clinically effective flow range. Flow rates outside this
range, may result in a diminished deposition and clinical efficacy.
For further information, see:
In-Check DIAL G16
is an assessment device that has a selectable resistance from high to low, shown by the
coloured 'flow' icons on the back cover of this booklet, calibrated to enable the assessment
of airflow as if the patient was using certain different inhalers.
The "conventional pMDI"
conventional pMDI is attached to a holding chamber or spacer device.
When used with the enclosed mouthpiece, In-Check DIAL G16 provides an assessment
of inspiratory flow through five classes of device resistance. However, the resistance is
not precise for all inhalers, e.g. the resistance of the Genuair is slightly lower than the
resistance of the Turbohaler Mk III, but they are both medium resistance inhalers. To mimic
the precise resistance of a particular inhaler, specific adaptors are available to use with the
DIAL set to 'conventional pMDI'.
Should new types of inhaler become available, then In-Check DIAL G16 kit can be used to
assess the new inspiratory flow, by knowing the resistance of the new inhaler.
IMPORTANT
As with any inhalation device, it is important to check for loose foreign objects before the
device is used to prevent debris entering the mouth/throat. The transparent material used
in the construction of the In-Check DIAL G16 enables the user to make a visual check
before inhalation. Patients should be prevented from exhaling through the device prior to
use to avoid damaging the device.
To Reset the In-Check DIAL G16
Hold the instrument vertically with the mouthpiece uppermost, so that the rounded end of the
meter can be tapped firmly against the other hand or a horizontal surface, such as a table.
This will dislodge the magnetic resetting weight, which will return the red cursor to the
start position. The device must now be turned through 180 degrees to return the magnetic
weight to its resting position.
Consult 'Instructions for Use'.
Instructions for Use
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position can be used to approximate the resistance when a
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