EN Portable mesh atomiser
Instructions for use
IH 57
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1. INCLUDED IN DELIVERY
Check that the exterior of the cardboard delivery
packaging is intact and make sure that all con-
tents are present. Before use, ensure that there
is no visible damage to the device or atomiser set
(mouthpiece, masks) and that all packaging mate-
rial has been removed. If you have any doubts, do
not use the device and contact your retailer or the
specified Customer Services address.
Nebuliser, Mesh atomiser with medication con-
tainer (hereinafter referred to as “medication
container”), Mouthpiece, PVC adult mask, PVC
children’s mask, Micro USB cable, Storage bag,
These instructions for use
2. SIGNS AND SYMBOLS
The following symbols appear in these instruc-
tions for use.
1. Included in delivery ....................................... 3
2. Signs and symbols ........................................ 3
3. Intended Purpose .......................................... 5
4. Warnings and safety notes ............................ 7
5. Device and atomiser set description ........... 11
6. Initial use ..................................................... 12
7. Usage ......................................................... 13
8. Cleaning and maintenance .......................... 17
9. Accessories and/or replacement parts ....... 21
10. What if there are problems? ...................... 21
11. Disposal ..................................................... 23
12. Technical specifications ............................ 23
13. Guarantee / Service .................................. 25
ENGLISH
Read these instructions for use carefully and keep them for later use. Make them ac-
cessible to other users and note the information they contain.
CONTENTS
4
WARNING
Indicates a potentially impending danger. If it is
not avoided, there is a risk of death or serious
injury.
CAUTION
Indicates a potentially impending danger. If it is
not avoided, slight or minor injuries may result.
NOTICE
Indicates a potentially harmful situation. If it
is not avoided, the device or something in its
vicinity may be damaged.
The following symbols are used on the packaging
and on the type plate for the device and atomiser
set.
Observe the instructions
Read the instructions before starting
work and/or operating devices or
machines
CE labelling
This product satisfies the requirements
of the applicable European and national
directives.
Type BF applied part
B
A
Marking to identify the packaging ma-
terial. A = Material code, B = Material
number: 1-7 = Plastics, 20-22 = Paper
and cardboard
Separate the product and packaging
elements and dispose of them in ac-
cordance with local regulations.
The electronic device must not be
disposed of with household waste
Do not dispose of batteries containing
hazardous substances with household
waste
Manufacturer
Date of manufacture
On/O
Medical device
Item number
Serial number
Unique Device Identifier (UDI) for unique
product identification
5
Type number
IP22
Device protected against foreign
objects ≥ 12.5 mm and against water
dripping at an angle
Protection class II device
Temperature limit
Humidity limitation
Swiss authorised representative
Importer
3. INTENDED PURPOSE
Intended Use
Nebulisers (including compressor, ultrasonic and
mesh nebulisers) are medical devices for the
nebulisation of liquids and liquid medication (aer-
osols). This device produces aerosols by com-
bining an oscillating mesh with holes and a liquid
medication.
The aerosol treatment is suitable for treating the
upper and lower airways.
By nebulising and inhaling the medication pre-
scribed/recommended by your doctor, you can
prevent diseases aecting the airways, or in the
case that you contract such an illness, you can
alleviate symptoms and speed up your recovery.
Intended users
The nebuliser is intended for use in the home
healthcare environment, not in professional
healthcare facilities.
The nebuliser can be used on persons over 2
years of age under supervision; it can be used for
self-treatment by persons over 12 years of age.
The shape and size of the person’s face deter-
mines whether or not the device can be used un-
der supervision. As such, it may not be possible
to use the device under supervision until they are
older. When using a mask to inhale, take care to
ensure the mask fits well and the eyes are unob-
structed.
Clinical benefits
Inhalation is the most eective way to administer
medication for most respiratory system condi-
tions.
6
The benefits are:
• The medication is carried directly to the target
organs
• The local bioavailability of the medication is
significantly increased
• Systemic diusion is reduced substantially
• Only very low doses of the medication are
required
• Quick and eective therapeutic eect
• Side eects are significantly reduced com-
pared to systemic administration
• Humidification of the airways
• Loosening and making (bronchial) secretions
more liquid
• Releasing bronchospasms (spasmolysis)
• Relieving swollen and inflamed bronchial mu-
cosa
• Coughing up secretions
• Fighting viruses that aect the upper and low-
er airways
Indication
The nebuliser can be used for diseases of the up-
per and/or lower airways.
Examples of upper respiratory system diseases
include:
• Nasal mucosal inflammation
• Allergic nasal mucosal inflammation
• Nasal sinus infection
• Pharyngitis
• Laryngitis
Examples of lower respiratory system diseases
include:
• Bronchial asthma
• Bronchitis
• COPD (chronic obstructive pulmonary dis-
ease)
• Bronchiectasis
• Acute tracheobronchitis
• Cystic fibrosis
• Pneumonia
Contraindications
• The atomiser is not intended for the treatment
of life-threatening conditions.
• This device must not be used by children un-
der the age of 12 and by people with reduced
physical, sensory (e.g. reduced sensitivity to
pain) or mental abilities or a lack of experience
or knowledge, unless they are supervised or
have been instructed on how to use the de-
vice safely, and are fully aware of the resulting
risks of use.
• Do not use the device on persons who are
ventilated and/or unconscious.
7
• Check whether there are contraindications for
use with the usual systems for aerosol treat-
ment on the medication instruction leaflet.
• If the device does not work properly, or if you
feel unwell or experience pain, stop using it
immediately.
4. WARNINGS AND SAFETY
NOTES
WARNING
• The atomiser has no significant eect on the
ecacy and safety of the medication adminis-
tered and is not intended for the treatment of
life-threatening conditions.
• After proper preparation, the device can be
reused. This preparation includes the re-
placement of all components, including the
atomiser. We recommend that you replace the
medication container and other components
after one year at the latest. This replacement
period is based on the device being used for
max. 3 cycles per day and for ≤ 10 min per
cycle, and provided it is regularly disinfected
and cleaned in accordance with the instruc-
tions for use (8. Cleaning and maintenance).
For hygiene reasons, it is essential that every
user uses their own components.
• Always follow the instructions of your doctor
or pharmacist regarding the type of medica-
tion to be used, the dosage and the frequency
and duration of inhalation. When using with
medications/medication nebulisation, observe
the conditions and restrictions applicable to
these medications. Notice: Use only the med-
ications prescribed by your doctor for treat-
ment according to the respective diagnosis.
• The device is not a substitute for medical con-
sultation and treatment. Always consult your
doctor first in the event of pain or illness.
• If you have health concerns of any kind, con-
sult your GP!
• If the liquid you wish to use is not compati-
ble with steel, PP, PC, silicone and PVC, do
not use this liquid with our nebuliser. If the
information provided with the liquid does
not indicate whether the liquid is compatible
with these materials, please contact the liquid
manufacturer. Examples of compatible liquids
include salbutamol solution and sodium chlo-
ride solution.
• The particle size distribution curve, MMAD,
aerosol delivery and/or aerosol delivery rate
may change if a dierent medication, suspen-
sion, emulsion or highly viscous solution is
used than the one referenced in the technical
specifications for the aerosol values.
8
• Please note the general hygiene measures
when using the nebuliser.
• Before use, ensure that there is no visible
damage to the device or components. If you
have any doubts, do not use the device and
contact your retailer or the specified Customer
Services address.
• No modifications may be made to the device
or its components.
• Use only accessories recommended by the
manufacturer.
• The nebuliser may only be operated with
compatible Beurer atomisers and with the
appropriate Beurer components. The use of
atomisers and components made by other
companies may result in less ecient treat-
ment and could damage the device.
• Keep the device away from your eyes when
it is in use, as the mist of medication could
be harmful.
• Never use the device near flammable gases,
oxygen or nitrogen oxide.
• Store the device and components out of the
reach of children and pets.
• Keep packaging material away from children
(risk of suocation).
• The device must be switched o and the plug
of the micro USB cable pulled out before every
cleaning and/or maintenance procedure.
• If the device was at the maximum storage
temperature, a period of 4 hours is required
before using it in order for the device to cool
down to a level where it is ready for the intend-
ed use. Likewise, if the device was at the mini-
mum storage temperature, a period of 4 hours
is required before using it until the device is
ready for the intended use.
• Never submerge the device in water and do
not use it in the bathroom. Under no circum-
stances may liquid enter the device.
• If the device is dropped, exposed to high lev-
els of moisture or suers any other damage, it
must no longer be used. If in doubt, contact
Customer Services or the retailer.
• Power cuts, sudden interference or other un-
favourable conditions could lead to the device
becoming inoperable. We, therefore, recom-
mend that you obtain a replacement device or
medication (the latter should be agreed with
your doctor).
• To avoid the risk of entanglement and stran-
gulation, store the cable out of the reach of
small children.
• The device must only be connected to the
mains voltage that is specified on the type
plate.
• Never touch the micro USB cable with wet
hands, as you could get an electric shock.
9
• Do not pull the mains adapter out of the sock-
et using the micro USB cable.
• Do not crush or bend the micro USB cable,
pull it over sharp-edged objects or leave it
dangling down, and protect it from sources
of heat.
• We recommend that the micro USB cable is
completely unrolled to avoid dangerous over-
heating.
• If the micro USB cable of this device is dam-
aged, it must be disposed of. Please contact
Customer Services or the retailer.
• If the device is opened, there is a risk of elec-
tric shock. The power supply network not
disconnected unless the adapter is unplugged
(and the micro USB cable has no other power
connection).
CAUTION
• Never store the device (or the micro USB ca-
ble) near to sources of heat.
• Do not use the device in a room in which a
spray has previously been used. Air the room
before carrying out the treatment.
• Never use the device if it is making an abnor-
mal sound.
• Store the device in a location protected from
climatic eects. The device must be stored in
the environmental conditions specified.
• Do not operate the device near electromag-
netic transmitters.
• Protect the device from severe knocks.
• After the battery has been successfully
charged, disconnect the device from the
mains.
• Should you require an adapter or extension
lead, it must meet the applicable safety re-
quirements. The power limit and the maximum
output specified on the adapter must not be
exceeded.
Prior to initial use
• Remove all packaging material before using
the device.
• Protect the device from dust, dirt and humidity
and never cover the device while it is in use.
• Do not operate the device in a very dusty area.
• Switch the device o immediately if it is faulty
or not working properly.
• The manufacturer is not liable for damage re-
sulting from improper or incorrect use.
Repairs
• Under no circumstances should you open or
repair the device yourself. If you do so, it may
10
no longer function correctly. Failure to comply
with this instruction will void the guarantee.
• The device is maintenance-free.
• For repairs, please contact Customer Services
or an authorised retailer.
Notes on handling batteries
WARNING
• Risk of explosion! Risk of fire! Failure to
comply with the points mentioned can result in
personal injury, overheating, leakage, venting,
breakage, explosion, or fire.
• Always use the correct or supplied charging
cable/charger/mains adapter for charging.
• Avoid continuous charging or overcharging.
Unplug the charger when charging is
complete.
• Charge the device under supervision, paying
attention to any heat generated, deformation,
or release of gases. If in doubt, stop charging.
• If batteries/charging cables/chargers are
defective, stop using them and dispose
of them properly as soon as possible (see
chapter on disposal).
• Do not throw the device or batteries into a fire.
• Never forcibly discharge, heat, disassemble,
open, crush, deform, encapsulate, modify, or
knock the device or batteries.
• Never short-circuit batteries or the
connections of the battery-powered device.
• Protect the device or batteries from direct
sunlight, rain, heat, and water.
• Exposure of batteries to an environment with
extremely high temperatures or an extremely
low air pressure may result in explosion or
leakage of flammable liquids and gases.
• If fluid from a battery comes into contact with
your skin or eyes, wash the aected areas with
water and seek medical assistance.
NOTICE
• This device contains a battery that is not
replaceable. Once a battery has reached
the end of its service life, the device must
be disposed of properly (see chapter on
disposal).
Notes on electromagnetic compat-
ibility
• The device is suitable for use in all environ-
ments listed in these instructions for use, in-
cluding domestic environments.
• The use of the device may be restricted if
electromagnetic disturbance occurs. This
could result in issues such as the failure of the
device.
11
• Avoid using this device directly next to other
devices or stacked on top of other devices, as
this could lead to faulty operation. If, however,
it is necessary to use the device in the manner
stated, this device as well as the other devices
must be monitored to ensure they are working
properly.
• The use of an atomiser set other than that
specified or provided by the manufacturer of
this device can lead to an increase in elec-
tromagnetic emissions or a decrease in the
device’s electromagnetic immunity; this can
result in faulty operation.
• Keep portable RF communication devices (in-
cluding peripheral equipment, such as anten-
na cables or external antennas) at least 30 cm
away from all device parts, including all cables
included in delivery.
• Failure to comply with the above could impair
the performance of the device.
5. DEVICE AND ATOMISER SET
DESCRIPTION
The associated drawings are shown on page 3.
Device overview
1
Cover for medication container
2
Mesh atomiser with medication container
(hereinafter referred to as “medication
container”)
3
Housing
4
On/O switch
5
LED indicator
6
Button for unlocking the medication
container (“PRESS”)
7
Micro USB port
8
Micro USB cable
Atomiser set overview
9
PVC adult mask
10
PVC children’s mask
11
Mouthpiece
Atomiser set
Only use the atomiser set recommended by the
manufacturer. If this is not respected, the device
may not function safely.
12
CAUTION
Leakage protection
When pouring the medication into the medica-
tion container, ensure that you only fill it up to the
maximum mark (8 ml). It is recommened to fill the
device up to between 0.5 and 8 ml.
The substance to be nebulised must be contact
with the mesh for nebullisation to take place. If
this is not the case, the nebulisation will stop au-
tomatically.
So, please try to hold the device as vertically as
possible.
6. INITIAL USE
Before using the device for the first
time
NOTICE
• Clean and disinfect the medication container
2
and atomiser set before using them for the
first time. See section “Cleaning and mainte-
nance” on this process.
Assembly
Take the device out of the packaging.
If the medication container
2
has not been as-
sembled, slide it onto the housing
3
horizontally
from the front.
A
Charging the nebuliser battery
To charge the nebuliser battery, proceed as fol-
lows:
• Connect the micro USB cable
8
included in
delivery to the micro USB port
7
on the bot-
tom of the nebuliser and a USB mains adapter
(not included in delivery; the mains adapter
should comply with protection class 2 and
have been tested in accordance with the Eu-
ropean standard EN 60601-1). Insert the USB
mains adapter into a suitable socket.
B
Lie the nebuliser flat on its back during the
charging process.
• While charging, the LED indicator
5
will light
up continuously orange. As soon as the bat-
tery is fully charged, the LED indicator will stay
on green.
• It usually takes approx. 4hours to fully charge
the battery.
• As soon as the battery is completely charged,
remove the micro USB cable
8
with the USB
mains adapter from the socket and the micro
USB port
7
on the nebuliser.
• When the battery is fully charged, the battery
life is approx. 4 hours. If the LED indicator
5
13
lights up orange while you are using the de-
vice, this indicates that the battery level is low.
• The way in which a low battery level is indicat-
ed depends on how you are using the device.
If you have opted for a high nebulisation rate,
the LED indicator
5
will stay on orange; if you
have chosen a low nebulisation rate, the LED
indicator
5
will flash orange slowly.
• The nebuliser cannot be used while it is being
charged.
7. USAGE
7.1 Preparing the nebuliser
• For hygiene reasons, it is essential to clean
and regularly disinfect the medication contain-
er
2
and the atomiser set after each treat-
ment. For this purpose, see section “Cleaning
and maintenance”.
• If the therapy involves inhaling several dier-
ent medications one after the other, please be
aware that the medication container
2
must
be rinsed under warm tap water after each
use. See section “Cleaning and maintenance”
on this process.
7.2 Filling the medication container
• Open the cover of the medication container
2
by lifting up the flap
1
on the rear
C
and
fill the medication container with an isotonic
saline solution or pour the medication straight
in. Avoid overfilling.
• The maximum recommended filling quantity
is 8 ml.
• Use medication only as instructed by your
doctor and ask about the appropriate inhala-
tion period and quantity for you.
• If the prescribed quantity of medication is less
than 0.5ml, it must be topped up with isotonic
saline solution. Dilution is also necessary with
viscous medications (viscosity < 3). Please
observe the instructions of your doctor in this
case, too.
7.3 Closing the medication con-
tainer
• Close the cover of the medication container
2
by pressing the flap on the rear down and
locking it.
D
7.4 Connecting the atomiser set
• Securely connect the part of the atomiser set
that you would like to use (mouthpiece
11
,
adult mask
9
or children’s mask
10
) to the
14
mounted medication container
2
E
. If you
are using the adult mask
9
or children’s
mask
10
, you may attach one of the straps in-
cluded. Ensure that you securely fix the strap
on the mask with a knot.
• Now move the device to your mouth and put
your lips firmly around the mouthpiece. When
using the mask(s), please place it over your
nose and mouth.
• Ensure that you have added fluid before
switching on the device. Start the device by
pressing the On/O switch
4
.
• If the spray mist is flowing out of the device
and the LED indicator
5
is lit up continuously
blue, the device is operating
correctly.
NOTICE
The most eective way of nebulising is by using
the mouthpiece. Nebulisation using a mask is only
recommended if it is not possible to use a mouth-
piece (e.g. for children who are not yet able to in-
hale using a mouthpiece). When using a mask to
inhale, take care to ensure the mask fits well and
the eyes are unobstructed.
The device medication flow rate is set to “high” in
the factory settings. You can adjust the medica-
tion flow rate during use by pressing and holding
the On/O switch
4
for 3 seconds until the LED
indicator
5
flashes blue. You can switch from
the high to the low nebulisation rate and back
again. If the LED indicator
5
lights up continu-
ously blue, this indicates a high nebulisation rate
of ≥ 0.4 ml/min; if the LED indicator
5
flashes
blue slowly, this indicates a low nebulisation rate
of ≥ 0.2 ml/min.
Adjust the medication flow rate according to your
requirements.
7.5 Inhaling correctly
Breathing technique
• It is important to use the correct breathing
technique to ensure that the particles are
distributed as widely as possible throughout
the airways. To ensure that the particles reach
your airways and lungs, you must breathe
in slowly and deeply, then hold your breath
briefly (5 to 10seconds) and then breathe out
quickly.
• Nebulisers should only be used for the treat-
ment of respiratory diseases after consultation
with your doctor. They will advise you about
chooosing the medications suitable for inha-
lation therapy, and at what dose and how to
use them.
• Certain medications are only available with a
prescription.
15
NOTICE
Certain medications (such as budesonide) might
foam up during their application. If foam builds up
within the medication container, or if the fill level is
low and nebulisation can no longer occur, switch
o the device. Automatic switch-o may no
longer function reliably due to the foam; the mesh
might continue to vibrate and eventually break.
You should hold the device as vertically as possi-
ble. However, a slight angle will not aect usage,
as the container is leak proof. For the device to
work properly, ensure when using it that the med-
ication is in contact with the mesh. If the device
is tipped gently by 45 degrees with a maximum
volume of 8 ml of liquid, the device will work as
before.
CAUTION
For health reasons, essential oils, cough syrups,
gargling solutions and drops to be used as a rub
or in a steam bath are totally unsuitable for inha-
lation with a nebuliser. These additives are also
often viscous and can impair the correct function-
ing of the device and therefore the eectiveness
of usage in the long term.
For individuals with a hypersensitive bronchial
system, medications containing essential oils may
in some cases cause an acute bronchospasm (a
sudden cramp-like restriction of the bronchi with
shortness of breath). Talk to your doctor or phar-
macist about this.
7.6 Stopping inhalation
a) Manually ending nebulisation:
• When you have finished the treatment, switch
o the device using the On/O switch
4
.
• The LED indicator
5
will go o.
b) Automatically ending nebulisation:
• If the inhalant has been nebulised, the LED in-
dicator
5
will flash blue quickly and the de-
vice will switch itself o. For technical reasons,
a small amount of medication will remain in
the medication container. Do not use this.
7.7 Cleaning
See section “Cleaning and maintenance”.
7.8 Automatic switch-o
The device has an automatic switch-o function.
If there is only a very small amount of medication
or fluid left or if the substance to be nebulised is
no longer in contact with the mesh, the device will
switch o automatically to avoid causing damage
to the mesh. If the nebulisation stops automatical-
ly, the automatic switch-o has been activated.
The LED indicator
5
will flash blue quickly and
the device will then switch o. After 15 minutes
16
of nebulisation time, the device switches o au-
tomatically.
Do not operate the device when the medication
container
2
is empty. The device detects when
there is no medication in the medication container
and will switch o automatically.
Colour of the
LED indicator
Explanation
Green
Fully charged:
As soon as the battery is fully
charged, the LED indicator will
light up continuously green.
Colour of the
LED indicator
Explanation
Orange
Charging process:
While the battery is being
charged, the LED indicator will
light up orange continuously.
Low battery level:
If the LED indicator lights up
orange whilst you are using the
device, this indicates that the
battery level is low.
• At a high nebulisation rate:
it will light up orange con-
tinuously
• At a low nebulisation rate: it
will flash orange slowly
Self-cleaning mode:
If you press and hold the On/
O switch for 3 seconds while
the device is switched o, the
LED indicator will flash orange
quickly and the device will go
into self-cleaning mode.
17
Colour of the
LED indicator
Explanation
Blue
Operation and medication
flow:
The blue LED indicator indica-
tes that the device is working
correctly.
• High nebulisation rate of ≥
0.4 ml/min: the LED indica-
tor will light up blue conti-
nuously
• Low nebulisation rate of ≥
0.2 ml/min: the LED indica-
tor will flash blue slowly
Too little medication and
automatic switch-o:
If the inhalant has been
nebulised, the LED indicator
will flash blue quickly and the
device will switch itself o.
8. CLEANING AND MAINTE-
NANCE
WARNING
Follow these hygiene instructions to avoid health
risks.
• The medication container
2
and atomiser set
are intended for multiple use. Please note that
dierent areas of use involve dierent cleaning
and hygiene preparation requirements.
NOTICE
• Do not clean the mesh or the atomiser set
mechanically using a brush or similar device,
as this could cause irreparable damage and
optimum treatment results may no longer be
guaranteed.
• Please consult your doctor about the addition-
al requirements for hygiene preparation (hand
care, handling of medication/inhalation solu-
tions) for high-risk groups (e.g. patients with
cystic fibrosis).
• The cleaning instructions mention water later
on; it should be as soft as possible. Distilled
water is suitable for all cleaning steps except
for self-cleaning.
Disassembling
• Hold the device with one hand. The button
6
on the rear of the device should be facing you.
Press the button
6
using your thumb and
horizontally pull o the medication container
2
forwards using your free hand.
F
• Remove the mouthpiece
11
or the mask (
9
or
10
) from the medication container
2
.
18
• Open the cover of the medication container
2
by lifting up the flap
1
on the rear
G
.
• Reassembly is carried out in reverse order.
Cleaning
After each use, the medication container
2
and
the parts of the atomiser set that were used, such
as the mouthpiece
11
, mask (
9
or
10
), must be
cleaned for approx. 5minutes using (ideally dis-
tilled) warm water at a max. temperature of 40°C.
To clean the medication container, please follow
the self-cleaning instructions described below.
Dry the parts carefully using a soft cloth. Put the
parts together again once they are completely dry
and place them in a dry, sealed container or dis-
infect them.
• Please perform the self-cleaning function
afterwards (see “Self-cleaning function” sec-
tion).
CAUTION
Never hold the whole device under running water
to clean it.
When cleaning, ensure that any residue is re-
moved and dry all parts carefully.
Never use any substances for cleaning that could
potentially be toxic if they were to come into con-
tact with the skin or mucous membranes, or if
they were swallowed or inhaled.
If required, clean the housing of the device using
a slightly damp cloth, which you can moisten with
a mild soapy solution.
• If there is any residue from medical solutions
or contamination on the silver/gold-coloured
contacts of the device or medication container
2
, clean with a cotton bud moistened with
ethyl alcohol.
• Also clean the outer sides of the mesh and
medication container with a cotton bud mois-
tened with ethyl alcohol.
• The device must be switched o and allowed
to cool down each time before cleaning.
• Do not use any abrasive cleaning products.
• Make sure that no water gets inside the de-
vice!
• Do not clean the device or atomiser set in the
dishwasher!
• Do not allow water to splash the device. Only
operate the device if it is completely dry.
We recommend carrying out inhalation continu-
ously since the inhalant may clog the medication
container
2
if the treatment is paused for a sig-
nificant time, and the eectiveness of the admin-
istration may be impaired as a result.
19
Self-cleaning function
To completely remove medication residue and any
blockages, you can use the device’s self-cleaning
function.
To do this, proceed as follows:
1. Disassemble the device as described above.
2.
Open the cover of the medication container
1
and pour out the remaining fluid.
3.
Pour a sucient amount (3-6 ml) of tap water
(soft water) into the medication container
2
.
Then close the cover. Shake the container slight-
ly so that the remaining fluid mixes properly with
the cleaning fluid.
4.
Open the cover of the medication container,
pour out all the liquid and then add enough tap
water (soft water) again.
5.
Place the medication container on the hous-
ing
3
.
6. Press and hold the On/O switch
4
for 3 sec-
onds when the device is switched o. The LED
indicator
5
will then flash orange quickly and
the device will go to self-cleaning mode. The de-
vice will automatically run for 3 minutes. Please
make sure there is sucient fluid in the medi-
cation container.
Disinfection
CAUTION
Ensure that you do not touch the mesh if possi-
ble, as this may destroy it. The masks must not be
placed in hot water!
Please observe the following points when dis-
infecting your medication container
2
and the
atomiser set.
Regular disinfection of the individual parts is rec-
ommended. First, clean the medication container
2
and atomiser set as described in the “Clean-
ing” section.
The details of the disinfection method are listed
below.
Parts Boiling Ethyl alcohol
Medication
container
Cover for medica-
tion container
Mouthpiece
Masks
Use only the method specified for each compo-
nent.
20
Disin-
fection
method
Instructions
Boiling Place the parts in question in boiling
water for 15 minutes.
Ideally, distilled water should be
used to avoid contamination and
limescale formation.
The parts should not come into con-
tact with the hot base of the pan.
Ethyl
alcohol
(70-75%)
Pour 8 ml of ethyl alcohol into the
medication container. Close the
container. Leave the alcohol in the
container for at least 10 minutes.
For better disinfection, shake the
unit gently back and forth.
Once this is complete, pour the
ethyl alcohol out of the container.
Repeat the process, but this time
using water. Position the medication
container so that you can drip a few
drops of ethyl alcohol onto the mesh
from the outside. Leave this to work
for 10 minutes.
Place the masks and mouthpiece in
a container full of ethyl alcohol so
that the parts are covered with the
alcohol.
Leave the parts in the container for
10 minutes. Then clean the masks
and the mouthpiece with water.
Drying
• Dry the parts carefully using a soft cloth.
• Gently shake the medication container
2
a
few times so that any water is removed from
the tiny holes in the mesh.
• Place the individual parts on a clean, dry and
absorbent surface and leave them to dry com-
pletely (for at least 4hours).
• The medication container
2
must not be
placed in the microwave.
• We guarantee 50 disinfection cycles with boil-
ing water per medication container.
NOTICE
Please ensure that the parts are completely dried
after cleaning, otherwise there is a high risk of
bacterial growth.
When completely dry, reassemble the parts and
place in a dry, sealed container.
Durability of materials
Like all plastic parts, the medication container
2
and the atomiser set are subject to a certain
degree of wear and tear if used frequently and
prepared hygienically. Over time, this may lead to
21
a change in the aerosol, which may reduce the ef-
fectiveness of the treatment. We therefore recom-
mend that you replace the medication container
2
and atomiser set after one year at the most.
Storage
• Do not store in damp conditions (such as in
a bathroom) and do not transport with any
damp items.
• Protect from direct sunlight during storage and
transport.
9. ACCESSORIES AND/OR RE-
PLACEMENT PARTS
To purchase accessories and/or replacement
parts, visit www.beurer.com or contact the corre-
sponding service address (as per the service ad-
dress list) for your country. Accessories and/or re-
placement parts are also available from retailers.
Name (Material) REF
Mouthpiece (PP), adult mask (PVC),
children’s mask (PVC), mesh atomiser
with medication container (PC)
601.43
10. WHAT IF THERE ARE PROB-
LEMS?
Problems/
questions
Possible cause/remedy
The nebu-
liser pro-
duces no
or too little
aerosol.
1. Too little medication in the
medication container
2
.
2. Nebuliser not held vertically.
3. Unsuitable medication fluid
added for nebulisation (e.g.
too viscous. Viscosity must
not be greater than 3. Check
with the pharmacy regarding
viscosity.)
The medication fluid should
be prescribed by a doctor.
4. The battery is flat. Charge it.
22
Problems/
questions
Possible cause/remedy
The output
is too low.
1. There are air bubbles in the
medication container, which
are preventing continuous
contact with the mesh. Please
check this and remove any air
bubbles.
2. Particles on the mesh are
hindering output. In this
case, you should pause the
inhalation process and remove
the mask or mouthpiece.
Then clean and disinfect the
medication container (see
“Cleaning and maintenance”
chapter).
3. The mesh is worn. Replace
the medication container
2
.
Problems/
questions
Possible cause/remedy
Which
medica-
tions are
suitable for
inhaling?
Naturally, only your doctor
can decide which medication
should be used for treating your
condition.
Please consult your doctor
about this.
With the IH 57, you can nebulise
medications with a viscosity of
less than 3.
Medications containing oil
(particularly essential oils) should
not be used, as these attack the
material of the medication con-
tainer, which can lead to faults.
There is
inhalation
solution
residue
in the
medication
container
2
.
This is normal and is due to
technical reasons. Stop the in-
halation as soon as the atomiser
starts to make a notably dierent
sound or the device switches o
automatically due to a lack of
inhalant.
23
Problems/
questions
Possible cause/remedy
What
should be
taken into
account
when
using the
device with
infants and
children?
1. For infants, the mask should
cover the nose and mouth to
ensure eective inhalation.
2. For children, the mask should
also cover both the nose and
mouth. It makes no sense to
use the nebuliser on someone
who is sleeping, since not
enough of the medication will
reach the lungs.
Notice: Inhalation should only be
carried out under the supervision
of an adult and with their assis-
tance and the child should not
be left alone.
Should
each per-
son have
their own
atomiser
set?
Yes, this is absolutely essential
for hygiene reasons.
11. DISPOSAL
Battery disposal
• Empty, completely flat batteries must be dis-
posed of in specially designated collection
boxes, at recycling points or at electronics
retailers. You are legally required to dispose of
the batteries.
• The codes below are printed on batteries con-
taining harmful substances:
Pb = battery contains lead
Cd = battery contains cadmium
Hg = battery contains mercury
General disposal
For environmental reasons, do not dispose
of the device in household waste at the end
of its service life. Dispose of the device at
a suitable local collection or recycling point
in your country. Dispose of the device in accord-
ance with EC Directive – WEEE (Waste Electrical
and Electronic Equipment). If you have any ques-
tions, please contact the local authorities respon-
sible for waste disposal.
12. TECHNICAL SPECIFICATIONS
Type
IH 57
24
Dimensions
(LxWxH) 46 x 78 x 108 mm
Weight 0,109 kg ± 0,005 kg
Input 5 V DC; 1 A
Energy consump-
tion < 1.5 W
Filling volume min. 0.5 ml
max. 8 ml
Medication flow
rate
Low nebulisation rate:
≥ 0.2 ml/min
High nebulisation rate:
≥ 0.4 ml/min
Vibration fre-
quency 110 kHz ± 10 kHz
Operating con-
ditions
Temperature: +5°C to +40°C
Relative humidity:
15-90% non-condensing
Ambient pressure:
700 to 1060 hPa
Storage and
transportation
conditions
Temperature: -25°C to +70°C
Relative humidity:
≤ 90% non-condensing
Expected service
life of the device
Information on the service
life of the product can be
found on the homepage
Battery:
Capacity
Nominal voltage
Type designation
1,800 mAh
3.7 V
Lithium-ion
Aerosol values
according to
EN 27427:2019
based on adult
breathing
patterns with
salbutamol:
• Aerosol delivery: 0.90
± 0.03 ml
• Aerosol delivery rate: 0.21
± 0.01 ml/min
• Fill volume dispensed in
percent per min.: 28.71
± 3.12%
• Residual volume: 0.004
± 0.001 ml
• Particle size (MMAD):
4.519 ± 0.09 μm
• GSD (geometrical standard
deviation): 2.054 ± 0.04
• RF (respirable fraction
< 5 μm): 55.04 ± 1.21%
• Large particle range
(> 5 μm): 44.96 ± 1.21%
• Medium particle range
(2 to 5 μm): 41.03 ± 0.46%
• Small particle range
(< 2 μm): 14.01 ± 1.03%
Sound pressure ≤ 45 dB(A)
Software version V1.1.2.3
25
The serial number is located on the device.
Subject to technical changes.
(see “Cleaning and maintenance” chapter).
Particle size diagram
Measurements were performed using a salbuta-
mol solution with a “Next Generation Impactor”
(NGI).
The diagram may, therefore, not be applicable to
suspensions or highly viscous medications. You
can obtain more detailed information from the
manufacturer of your medication. Aerosol values
are based on adult breathing patterns and are
likely to vary for paediatric or infant populations.
NOTICE
If the device is not used according to the specifi-
cations, it may not work correctly! We reserve the
right to make technical changes to improve and
develop the product.
This device and its atomiser set comply with the
European standard EN60601-1-2 (Group 1, Class
B, in accordance with CISPR11, IEC61000-3-2,
IEC 61000-3-3, IEC 61000-4-2, IEC 61000-4-3,
IEC 61000-4-4, IEC 61000-4-5, IEC 61000-4-6,
IEC61000-4-7, IEC61000-4-8, IEC 61000-4-11)
and is subject to particular precautions with re-
gard to electromagnetic compatibility.
13. GUARANTEE / SERVICE
More information on the guarantee and guarantee
conditions can be found in the guarantee leaflet
supplied.
Notification of incidents
For users/patients in the European Union and
identical regulation systems, the following ap-
plies: If a major incident occurs during or through
use of the product, notify the manufacturer and/
or their representative of this as well as the re-
26
spective national authority of the member state in
which the you are located.
Subject to errors and changes
27
28
601.42_IH57_2025-07_01_06_IM2_BEU_EN
UK Importer: Beurer UK Ltd., Suite 16, Stonecross Place, Stonecross Lane North,
WA3 2SH Lowton, United Kingdom
Beurer GmbH • Söflinger Str. 218 • 89077 Ulm, Germany
• www.beurer.com • www.beurer-healthguide.com
www.beurer-gesundheitsratgeber.com
