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S8 AutoSet Spirit™ II System User Guide

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1. S8 AutoSet Spirit II Masks Humidifier ResScan Data Card Module Accessories How to Use the S8 AutoSet Spirit Il Set Up the S8 AutoSet Spirit Assemble the Mask Start Treatment Stopping Treatment Using the Mask Fitting Feature How to Attach a Humidifier Attach a HumidAire 3i Humidifier How to use the Keypad How to Change the Settings How to Use the Standard Menu How to Use the Detailed Menu Settings Menu Results Menu Options Menu Servicing Menu Messages on the S8 AutoSet Spirit II LCD S8 Modules 2 0 ER et C ue Using a Blank Module Using a ResScan Data Card Module Cleaning and Maintenance Daily Cleaning English Weekly Cleaning Periodic Cleaning Replacing the Air Filter Servicing Frequently Asked Questions Troubleshooting 0 00 00 cece esses System Specifications S8 AutoSet Spirit no Accessories Accessories All Devices where Applicable Limited Warranty 0 00 0 00 cece eee eee ING OX PL Introduction Thank you for choosing the S8 AutoSet Spirit II flow generator The S8 AutoSet Spirit II is a compact all in one package with an inbuilt power supply and the option of integrated data management and humidification This user manual contains the information you need for the correct use of your S8 AutoSet Spir
2. exit RESULTS ener 1 exit OPTIONS entr exit SERVICING entr f exit Figure 2 Detailed menu screens AUTOSET SETTLING 10min men 1 CPAP AUTOSET EPR SETTING 1 MASK ULTRA change 4 exit change exit TUBE LENGTH 2m change 1 exit HUMID NONE change 1 exit SMARTSTART ON change 1 exit MASK ULTRA change 1 exit TUBE LENGTH 2m change 1 exit HUMID NONE change 1 exit LEAK ALERT OFF change f exit SMARTSTART ON change 1 exit LEAK ALERT OFF change f exit USED HRS 08000 y exit USAGE 1000 1068 T exit LANG ENGLISH change exit SN 12345678912 exit PCB 123456789123 4567 1 exit SW SX3960200 T exit You enter the detailed menu from the standby RAMP or SETTLING screen by pressing the Left Menu key The SETTINGS menu screen is displayed How to Use the Detailed Menu English 17 18 Settings Menu Select Enter Left key on the Settings menu to access the options in this menu How to Change the Expiratory Pressure Relief Setting In CPAP mode your clinician may have set up your device to deliver expiratory pressure relief EPR This can be used to help ease any discomfort you may experience when breathing out during treatment There are four settings OFF no EPR 1 lowest EPR 2 3 highest EPR If you have access and want to change the EPR setting scroll to EPR SETTING and select Change Left
3. G 2 Note To protect the data communications port always ensure there is a module attached to the device Using the Data Card to Collect data Please refer to the illustrations in section H of the illustration sheet If your clinician needs to review your treatment they will ask you to use the Data Card to copy data from your S8 AutoSet Spirit Il and to return the card to them The Data Card will be provided in a convenient mailback envelope Data is copied onto the Data Card when it is inserted into the device The original data will remain stored on the device S8 Modules English 21 22 It takes up to 30 seconds to copy data onto the Data Card 1 Insert the Data Card Switch on the S8 AutoSet Spirit and wait until you see the standby RAMP or SETTLING screen Hold the Data Card with the arrow facing up and insert it into the slot in the Data Card module H 1 Push the card in smoothly until it stops moving H 2 and messages start appearing on the LCD 2 Copy Data onto the Data Card e Data copying starts automatically when the Data Card is inserted into the Data Card module The Card Inserted Please Wait message is displayed on the S8 AutoSet Spirit II LCD while data is being copied Copying takes up to 30 seconds The Copy Complete Remove Card message is displayed on the LCD when copying has finished Remove the Data Card from the Data Card module No additional data is copied onto the card
4. try to keep your mouth closed during treatment Air leaks from your mouth can decrease the effectiveness of your treatment If mouth leaks are a problem a full face mask or chin strap may help Contact your clinician or equipment supplier for further details If you are using a full face mask and you have problems trying to get a comfortable mask fit contact your sleep clinic or equipment supplier You may benefit from a different size or style of mask You can also use the mask fitting feature to help you fit your mask properly See Using the Mask Fitting Feature on page 9 Anything special should do before putting the mask on Before wearing your mask wash your face to remove excess facial oils This will allow a better fit and prolong the life of the mask cushion Do not use moisturiser when wearing a mask My mouth feels dry during treatment what can do You may experience dryness of the nose mouth and or throat during the course of treatment especially during winter In many cases a humidifier may resolve this discomfort Contact your clinician for advice My nose is irritated during treatment what can do You may experience sneezing and or a runny or blocked nose during the first few weeks of treatment In many cases nasal irritation can be resolved with a humidifier Consult your clinician or equipment supplier for advice Can travel with the S8 AutoSet Spirit II INTERNATIONAL USE Your S8 AutoSet Spirit I
5. due 20 ResScan Data Card module 6 Results Menu 19 right key 12 S S8 AutoSet Spirit II dimensions 34 servicing 25 setup 7 start treatment 8 travelling with 26 S8 modules 21 serial number 19 Servicing Menu 19 setting up 7 Settings Menu 18 settling time 28 SmartStart 8 SmartStart setting 19 SN 19 software version 16 19 software version number 19 standard menu 15 standby screen 8 start stop key 12 stopping treatment 9 SW 19 System specifications 33 T echnical specifications 34 roubleshooting 28 ube length setting 18 U up key 12 Usage 16 19 use on aircraft 27 Used hours 16 19 W weekly cleaning 24
6. flow generator has an internal power supply that enables it to operate in other countries It will operate on power supplies of 100 240V and 50 60Hz No special adjustment is necessary but you will require an approved power cord for the region in which you are using the device ALTITUDE CHANGES Your S8 AutoSet Spirit automatically adjusts to changes in altitude up to 2 591 m ON AN AIRCRAFT Please consult the medical services department of your carrier if you intend to use your S8 AutoSet Spirit Il on an aircraft The S8 AutoSet Spirit Il complies with US FCC Part 15 Class B requirements if no external data cables are used Note Do not use your S8 AutoSet Spirit II while the aircraft is taking off or landing Can I use my S8 AutoSet Spirit Il if mains AC power is not available You must use a ResMed DC 12 converter to connect the S8 AutoSet Spirit I to a 12V or 24V DC power source Contact your equipment supplier or ResMed for details WARNING The device should not be connected to both AC and DC power sources simultaneously Frequently Asked Questions English 27 28 Troubleshooting If there is a problem try the following suggestions If the problem cannot be Solved contact your equipment supplier or ResMed Do not attempt to open the device Problem No display Possible Cause Power not connected Solution Ensure the appropriate power cord is connected to your S8 AutoSet Spirit and the
7. less than three seconds the unit will return to standby mode the RAMP or SETTLING screen is displayed Table 1 Definitions of Mask Fit Star Rating Star rating Definition KEELEE Excellent BE Very good KER Good xx Adjust mask bos Adjust mask Adjust mask How to Attach a Humidifier Attach a HumidAire 3i Humidifier Please refer to the illustration in section E of the illustration sheet and your HumidAire 3i manual The HumidAire 3i humidifier attaches to the front of the S8 AutoSet Spirit Il to provide heated humidification No other accessories are required for its use Notes a Make sure the water chamber of the HumidAire 3i is empty before you attach or detach the humidifier b Remove the connector plug on the S8 AutoSet Spirit Il before you attach the HumidAire 3i Reattach the connector plug firmly after you detach the humidifier Storing the HumidAire 3i Store the HumidAire 3i in its mesh top pouch in the S8 AutoSet Spirit I travel bag when not in use How to Attach a Humidifier English 11 How to use the Keypad The control panel of the S8 AutoSet Spirit Il includes an LCD screen and keypad for navigating through the menus and delivering treatment LCD screen Up key Left key Right key Start Stop key Down key LCD Screen The LCD screen displays the menus and treatment screens IL The LCD backlight turns off after two minutes of ina
8. once the Copy Complete Remove Card message is displayed even if the card is left in the device To add additional data to the Data Card reinsert the card and repeat these steps 3 Remove the Data Card Grip the end of the Data Card and pull it out of the Data Card module H 3 4 Store the Data Card Your Data Card should be stored in its mailback envelope when not in use 5 Mail the Data Card to your Clinician When mailing the Data Card to your clinician 1 Insert the Data Card into the pocket provided on the mailback envelope Fold up the mailback envelope Place the mailback envelope containing the Data Card in a postal envelope and seal it Make sure that your clinician s name and address details are on the postal envelope and mail it back immediately Using the Data Card to Update Settings If your clinician has provided a Data Card with new device settings D With the device in standby RAMP or SETTLING mode insert the Data Card into the slot on the Data Card module Updating will start automatically The Card Inserted Please Wait message is displayed on the LCD while updating is in progress Updating takes up to 30 seconds The Settings Success Remove Card message is displayed on the LCD if the settings were updated successfully Note This message only appears once If you re insert the Data Card after you have updated your settings this message is not displayed Remove the Data Card from the
9. or hospital environment Voltage dips short lt 5 U 12V Mains power quality should interruptions and gt 95 dip in Ut gt 95 dip in 240 V be that of a typical voltage variations on or 0 5 cycle or 0 5 cycle commercial or hospital power supply input environment lines 4096 U 96 V If the user of the S8 device IEC 61000 4 11 6096 dip in Ut 6096 dip in 240 V requires continued or 5 cycles or 5 cycles operation during power mains interruptions it is 7096 U 168 V recommended that the S8 3096 dip in Ut 3096 dip in 240 V device be powered from an or 25 cycles or 25 cycles uninterruptible power Source 596 U 12V gt 95 dip in Ut gt 95 dip in 240 V or 5 sec or 5 sec Power frequency 3 A m 3 A m Power frequency magnetic 50 60 Hz magnetic field IEC 61000 4 8 fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Ut is the AC mains voltage prior to application of the test level System Specifications 37 38 Guidance and manufacturer s declaration electromagnetic immunity The S8 series of devices is intended for use in the electromagnetic environment specified below The customer or the user of the S8 device should assure that the device is used in such an environment Immunity IEC60601 1 2 Compliance Electromagnetic environment test test level level guidance Portable and mobile RF communicat
10. Data Card module Store the Data Card in its mailback envelope when not in use WARNING If your clinician has told you to use this Data Card to update the settings on your device and the Settings Success message does not appear contact your clinician immediately S8 Modules 23 English 24 Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section Refer to your mask manual for detailed instructions Daily Cleaning MASK Clean the mask according to the instructions supplied with the mask AIR TUBING Disconnect the air tubing from the S8 AutoSet Spirit II and humidifier if used and hang the tubing and mask in a clean dry place until next use HUMIDIFIER If you are using a humidifier remove it from the S8 AutoSet Spirit ll and clean it according to the instructions in the humidifier user s manual Weekly Cleaning 1 Remove the air tubing from the S8 AutoSet Spirit Il and the mask 2 Wash the air tubing in warm water using mild detergent Rinse thoroughly hang and allow to dry 3 Before next use assemble the mask and headgear according to the user instructions 4 Reconnect the air tubing to the air outlet and mask Periodic Cleaning 1 Clean the exterior of the S8 AutoSet Spirit Il with a damp cloth and mild liquid soap 2 Check the air filter for blockage or holes see Replacing the Air Filter on page 25 WARNING J Beware of electric sh
11. HUMIDAIRE 3i ET S8 HUMIDAIRE 3i E S8 USING THE DATA CARD GEBRAUCH DER DATENKARTE UTILISATION DE LA CARTE DE DE DADOS GEBRUIK VAN DE DATA CARD HumidAire 3i 2007 ResMed Ltd BLANK MODULE MODULSCHACHTABDECKUNG MODULE VIERGE FALSO MODULO MODULO EN BLANCO MODULO EM BRANCO LEGE MODULE Data communications port Datenkommunikationsanschluss Port de communication de donn es Porta dati Puerto de comunicaci n de datos Porta de dados Data communicatie poort NX 2007 ResMed Ltd za UO oO 2 a n e e CH 9 DATA CARD MODULE DATENKARTENMODUL MODULE DE CARTE DE DONNEES MODULO PER DATA CARD M DULO TARJETA DE DATOS M DULO DE CARTOES DE DADOS DATA CARD MODULE 2007 ResMed Ltd Note Some products not available in all regions Hinweis Einige Produkte sind nicht in allen Regionen erh ltlich Remarque certains de ces produits ne sont pas disponibles dans tous les pays Nota Alcuni prodotti non sono disponibili in tutte le regioni Nota algunos productos no est n disponibles en todas las regiones Nota alguns produtos n o se encontram dispon veis em todas as regides Opm Sommige producten zijn niet in alle regio s verkrijgbaar Contents Introduction Your Responsibility Medical Information 0 0 eee ee About the S8 AutoSet Spirit II Contraindications Warnings Cautions Adverse Effects The S8 AutoSet Spirit II System
12. NZ 406923 NZ 406924 NZ 406926 NZ 406927 Others pending S8 AutoSet Spirit HumidAire HumidAire 3i and SmartStart are trademarks of ResMed Ltd and AutoSet and HumidAire are registered in U S Patent and Trademark Office 2007 ResMed Ltd 338376 Eng 1 07 07 C 0120 RESMED INTEGRATED HUMIDIFIER INTEGRIERTER ATEMLUFTBEFEUCHTER HUMIDIFICATEUR INTEGRE SETTING UP THE S8 ANSCHLIESSEN DES S87 INSTALLATION DE LA S8 UMIDIFICATORE INTEGRATO HUMIDIFICADOR INTEGRADO HUMIDIFICADOR INTEGRADO D CONFIGURAZIONE DELL S8 INSTALACI N DEL S87 MONTAGEM DO S8 GEINTEGREERDE BEVOCHTIGER OPSTELLEN VAN DE S87 S8 AutoSet Spirit II System Component of 338376 ILLUSTRATIONS ILLUSTRATIONEN ILLUSTRATIONS ILLUSTRAZIONI FIGURAS ILUSTRA ES ILLUSTRATIES DEL SISTEMA COMPONENTES DEL SISTEMA COMPONENTES DO SISTEMA SYSTEEMCOMPONENTEN HumidAire 3i Carry handle Tragegriff Poign e de transport Maniglia da trasporto Asa para el transporte Pega de transporte Handvat A SYSTEM COMPONENTS SYSTEMKOMPONENTEN COMPOSANTS DU SYSTEME COMPONENTI 2007 ResMed Ltd LCD screen LCD Display Keypad Bedienfeld Clavier Ecran LCD Schermo a cristalli ZS Tenno A EE OTHER ACCESSORIES SONSTIGES ZUBEH R AUTRES ACCESSOIRES ALTRI ACCESSORI liquidi Visor Mostrador LCD xc OTROS ACCESORIOS OUTROS ACESS RIOS ANDERE ACCESSOIRES Display scherm Air outlet Luftaus
13. RESMED S8 AutoSet Spirit Il System User Guide English ResMed Ltd Manufacturer 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia e ResMed Corp US Designated Agent 14040 Danielson Street Poway CA 92064 6857 USA e ResMed UK Ltd EU Authorised Representative 65 Milton Park Abingdon Oxfordshire OX14 4RX UK e ResMed Offices Australia Austria Brazil China Finland France Germany Hong Kong India Japan Malaysia Netherlands New Zealand Norway Singapore Spain Sweden Switzerland UK USA see www resmed com for contact details Protected by patents AU 691200 AU 697652 AU 709279 AU 724589 AU 730844 AU 736723 AU 750095 AU 750761 AU 764761 AU 779327 CN 02804930 6 EP 0651971 EP 0661071 EP 0920845 EP 0934723 EP 1028769 EP 1126893 EP 1502618 JP 3580776 JP 3778797 NZ 504595 US 4944310 US 5199424 US 5245995 US 5522382 US 5704345 US 6029665 US 6138675 US 6240921 US 6363933 US 6367474 US 6398739 US 6425395 US 6502572 US 6591834 US 6635021 US 6705315 US 6745768 US 6817361 US 6988498 US 7004908 US 7040317 US 7100608 US 7141021 Other patents pending Protected by design registrations AU 302180 AU 302181 AU 302182 AU 302183 AU 302184 AU 302185 AU 302186 CN 200430121212 2 CN 200430121213 7 CN 200430121211 8 CN 200430121214 1 CN 200430121215 6 CN 200430121216 0 CN 2004301212175 EP 269436 HK 0412901 9 JP 1257662 JP 1257663 JP 1266956 JP 1266957 JP 1267270 JP 1267271 NZ 405614
14. ask setting on the MASK screen is the one recommended for the mask you are using see the table in How to Select the Mask Type on page 15 The S8 AutoSet Spirit Il is now ready for use D 4 How to Use the S8 AutoSet Spirit II English 7 Start Treatment 1 Make sure the power is on A welcome message is displayed briefly on the LCD screen then the standby screen appears In CPAP mode the standby screen displays the word RAMP In AutoSet mode the standby screen displays the word SETTLING The key and LCD backlights also turn on Lie down and arrange the air tubing so that it is free to move if you turn in your sleep CAUTION Donotleave long lengths of air tubing around the top of your bed They could twist around your head or neck while you are sleeping Make sure the area around the flow generator is dry and clean It should also be clear of bedding clothes and other potential blockages Alter the ramp or settling time if required see How to Change the Ramp or Settling Time on page 14 To start treatment press the Start Stop key unless your clinician has set up your device to start delivering therapy automatically If so your device will start when you breathe into your mask see SmartStart for details Fit your mask as described in the mask user instructions WARNING A mask should not be used unless the S8 AutoSet Spirit Il device is powered and operating properly When ramping or settl
15. be considered If the measured field strength in the location in which he S8 device is used exceeds the applicable RF compliance level above the S8 device should be observed o verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the S8 device Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m Recommended separation distances between portable and mobile RF communications equipment and the S8 series of devices The S8 series of devices is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the S8 device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the S8 device as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Ww d 1 17 VP d 0 35 NP d 0 7 NP 0 01 0 17 0 04 0 07 0 1 0 37 0 11 0 22 1 1 17 0 35 0 7 10 3 69 1 11 2 21 100 11 70 3 50 7 For transmitters rated at a d in metres m can be de manufacturer maximum output power not listed above the recommended separation distance ermined using the equatio
16. connected properly Connect firmly at both ends Air tubing kinked or punctured Straighten or replace S8 AutoSet Spirit II unit does not stop when you remove your mask SmartStart Stop is disabled Enable SmartStart Stop SmartStart is enabled but the flow generator does not stop automatically when you remove your mask Incompatible humidifier or mask system being used Use only equipment as recommended and supplied by ResMed Pressure rises inappropriately Talking coughing voluntarily breath holding eg while rolling over in bed or intentionally breathing in an unusual manner Mask cushion is buzzing against the skin Cushion seated incorrectly Cushion seated incorrectly causing excessive leak Air tubing is kinked or punctured Humidifier control dial set too high resulting in accumulation of water in the air tubing Avoid talking with a nasal mask on and breathe as normally as possible Adjust the headgear Adjust headgear or re fit cushion Straighten or replace air tubing Turn humidifier control dial down and empty the water from the air tubing Troubleshooting 29 30 Problem Display error message Check tube Key if done Possible Cause The air tubing is loose or blocked Solution Check that the air tubing is connected securely to your mask and the air outlet on the front of the S8 AutoSet Spirit Il When you have checked the air tub
17. ctivity It turns back on when you press a key Keypad Keys The S8 AutoSet Spirit Il keypad has the following keys Key Function Start Stop Starts or stops treatment Extended hold for at least three seconds starts the mask fitting feature Up 3t Allows you to scroll through the S8 AutoSet Spirit ll menus and submenus and increase the setting options Down e Allows you to scroll through the S8 AutoSet Spirit Il menus and submenus and decrease the setting options Left Performs the function indicated by the guiding text A displayed above it on the LCD screen Guiding text includes menu change and apply Right A Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes exit and cancel 12 When the S8 device is in standby mode all keys remain lit During therapy the keypad backlight turns off after two minutes of inactivity and the Start Stop key dims How to Change the Settings You can change settings on the S8 AutoSet Spirit Il by using the keypad and LCD When the S8 AutoSet Spirit is in standby mode you can display a series of screens a menu on the LCD screen in order to view and change the settings for a particular function Your clinician will preset the menu to either a standard view or a detailed view See How to Use the Standard Menu on page 15 and How to Use the Detailed Menu on page 17 for more informa
18. ded polyester non woven fibre Air Tubing Flexible plastic 2 m Air Outlet The 22 mm conical air outlet complies with EN 1281 1 IEC 60601 1 Classifications Class double insulation Type CF System Specifications 33 Noise Level AutoSet Spirit Il CPAP mode 10 cm H O set pressure Measured total A weighted sound pressure level 24 dBA dB re 20 uPa Uncertainty dB re 20 Pa 2 dBA Measured values are determined according to the noise test procedure given in ISO 17510 1 Note The sum of a measured noise emission value and its associated uncertainty represents an upper boundary of the range of values that is likely to occur in measurements Declared dual number noise emission values in accordance with ISO 4871 Accessories Data Card Dimensions L x W x D 65 04 mm x 22 15 mm x 0 85 mm Data Card Module Dimensions H x W x D 49 7 mm x 42 2 mm x 12 mm All Devices where Applicable Housing Construction Flame retardant engineering thermoplastic Environmental Conditions Operating Temperature 5 C to 36 C Operating Humidity 10 95 non condensing Storage and Transport Temperature 20 C to 60 C Storage and Transport Humidity 1096 9596 non condensing Operating Altitude sea level to 2591 m Electromagnetic Compatibility Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC60601 1 2 for residential commercial and light industry environme
19. e to deliver expiratory pressure relief EPR This can be used to help ease any discomfort you may experience when breathing out during treatment There are four settings OFF no EPR 1 lowest EPR e 2 3 highest EPR The EPR SETTING screen only appears if your clinician has enabled access to EPR settings To change the EPR setting select Change Left key Press the Up or Down keys until you see the setting that you require How to Select the Mask Type Scroll to MASK and select Change Left key Press the Up or Down keys until you see the setting that you require How to Use the Standard Menu 15 16 The following table shows the setting that should be selected for each mask type Table 3 Settings for mask types Settings Mask ULTRA Ultra Mirage Il Nasal Mask MIR FULL irage Liberty Full Face Mask irage Quattro Full Face Mask Ultra Mirage Full Face Mask ACTIVA irage Activa Nasal Mask SWIFT irage Swift Nasal Pillows System irage Swift II Nasal Pillows System MIRAGE irage Nasal Mask STANDARD irage Vista Nasal Mask Papillon Other viewable information You can also view the the total number of hours of treatment USED HRS the number of sessions that the S8 AutoSet Spirit ll was used in a usage period USAGE and the current software version SW How to Use the Detailed Menu Figure 2 shows the detailed menu CPAP WELCOME gt gt gt RAMP 10min men f slo SETTINGS enter
20. ent pressure Settling Selects the settling time OFF 45 min 5 minute AutoSet Mode Settling time is the period during increments only which the S8 AutoSet Spirit II maintains a minimum pressure before it starts to adjust pressure in response to respiratory events Note Ihe maximum ramp or settling time that you can set may be less than 45 minutes depending on what your clinician has set as the maximum time How to Change the Ramp or Settling Time The standby screen displays the current ramp or settling time in the right hand corner To change the time press the Up or Down key until the desired ramp or settling time appears How to Use the Standard Menu Figure 1 shows the standard menu WELCOME gt gt gt gt gt gt RAMP 10min 1 CPAP AUTOSET WELCOME gt gt gt gt gt gt SETTLING 10min menu 1 English USED HRS 08000 y exit USAGE 1000 1068 1 exit MASK ULTRA change t EPR SETTING 1 change exit USED HRS 08000 exit USAGE 1000 1068 1 exit MASK ULTRA change t exit SW SX3960200 1 exit SW SX3960200 T exit exit Figure 1 Standard menu screens CPAP and AutoSet modes You enter the standard menu from the standby RAMP or SETTLING screen by pressing the Left Menu key How to Change the Expiratory Pressure Relief Setting In CPAP mode your clinician may have set up your devic
21. ing begins the LCD will display the word RAMPING or SETTLING with the current pressure indicated as dashes Each dash is approximately equivalent to 2 cm H20 For example 6 dashes represents approximately 12 cm H20 pressure SmartStart The S8 AutoSet Spirit Il has a function called SmartStart that your clinician can enable If SmartStart is enabled your device will start automatically when you breathe into your mask and will stop automatically when you take your mask off This means you do not have to press the Start Stop key to begin or end treatment Note Do not use SmartStart when using a mask with an anti asphyxia valve such as the Mirage Full Face Mask Stopping Treatment To stop treatment at any time remove your mask and press the Start Stop key or if your clinician has enabled SmartStart simply remove your mask and treatment will end Using the Mask Fitting Feature You can use the S8 AutoSet Spirit I mask fitting feature to help you fit your mask properly This feature delivers air pressure for a three minute period prior to starting treatment during which you can check and adjust your mask fit to minimise leaks Note Make sure that the mask setting on the MASK screen is the same as the mask you are using To use the mask fitting feature Fit your mask as described in the mask user instructions Hold down the Start Stop key for at least three seconds until air pressure delivery starts The foll
22. ing press the Start Stop key to restart the device If this does not clear the message disconnect the power cord and then reconnect it to restart the device Display error message SYSTEM ERR nnnn Call service Component failure Record error number and contact your ResMed service centre Display error message High leak in last session Display error message HIGH LEAK Adjust Mask You have experienced excessively high leak levels during the night You have experienced excessively high leak levels for more than 20 seconds Check that your air tubing is connected properly and that your mask does not leak excessively Use the mask fitting feature to help you to fit your mask properly If this message appears again contact your clinician Check that your air tubing is connected properly and that your mask does not leak excessively Use the mask fitting feature to help you to fit your mask properly If this message appears again contact your clinician Display error message Exxxx where Xxxxx defines an error Component failure Return your S8 AutoSet Spirit II for servicing The following message is displayed on the LCD after you try to update settings using the Data Card Card Error Remove Card The Data Card is not inserted correctly Ensure that the Data Card is inserted with the arrow facing up and pointing towards the device Ensure that the device is Swi
23. ions equipment should be used no closer to any part of the S8 device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 Vrms d 1 17 VP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 NP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 NP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol o OTE 1 At 80 MHz and 800 MHz the higher frequency range applies OTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and and mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted heoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should
24. it Il Your Responsibility The owner or user of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorised instructions and by authorised persons Please read this manual carefully before use This manual contains special terms and icons that appear in the margins to draw your attention to specific and important information Warning alerts you to possible injury Caution explains special measures for the safe and effective use of the device Note is an informative or helpful note Introduction 1 English Medical Information About the S8 AutoSet Spirit Il The S8 AutoSet Spirit I self adjusting sleep apnoea system is indicated for the treatment of obstructive sleep apnoea OSA in adult patients The S8 AutoSet Spirit Il self adjusting sleep apnoea system has two treatment modes AutoSet and fixed pressure CPAP The S8 AutoSet Spirit II system is intended for home and hospital use Contraindications The S8 AutoSet Spirit Il is not a life support device and may stop operating during power failure or certain fault conditions It should not be used by patients who are dependent on continuous therapy Positive airway pressure therapy may be contraindicated in some patients with the following pre e
25. key Press the Up or Down keys until you see the setting that you require How to Select the Mask Type Scroll to MASK and select Change Left key Press the Up or Down keys until you see the setting that you require The following table shows the setting that should be selected for each mask type Table 4 Settings for mask types Settings Mask ULTRA Ultra Mirage Il Nasal Mask MIR FULL irage Liberty Full Face Mask irage Quattro Full Face Mask Ultra Mirage Full Face Mask ACTIVA irage Activa Nasal Mask SWIFT irage Swift Nasal Pillows System irage Swift II Nasal Pillows System MIRAGE irage Nasal Mask STANDARD irage Vista Nasal Mask Papillon How to Change the Tube Length Scroll to TUBE LENGTH and select Change Left key Press the Up or Down keys until you see the setting that you require How to Add a Humidifier or Front Cap Scroll to HUMID and select Change Left key Press the Up or Down keys until you see the setting that you require You can use the device with or without a front cap How to Change the SmartStart Setting SmartStart enables your device to start automatically when you breathe into the mask Scroll to SMARTSTART and select Change Left key Press the Up or Down keys to change the option to ON or OFF How to Change the Leak Alert Setting Leak alert indicates when a high mask leak is present Scroll to LEAK ALERT and select Change Left key Press the Up or Down keys to cha
26. l Face Mask Ultra Mirage Full Face Mask Note Not all masks are available in all regions English The S8 AutoSet Spirit Il System 5 WARNING J For optimal product performance and data recording ResMed mask systems should be used with the S8 AutoSet Spirit Il Please refer to Warnings on page 2 Humidifier Please refer to the illustration in section B of the illustration sheet A humidifier may be required if you are experiencing dryness of the nose throat or mouth The S8 AutoSet Spirit Il is compatible for use with the HumidAire 3i7M integrated heated humidifier ResScan Data Card Module The ResScan Data Card module and ResScan Data Card C 1 may be used with the S8 AutoSet Spirit Il either to help your clinician to monitor your treatment or to provide you with updates to your device settings See Using a ResScan Data Card Module on page 21 for information about how to use the Data Card module and Data Card Accessories Please refer to the illustrations in section C of the illustration sheet Other accessories for use with the S8 AutoSet Spirit II Front cap not available in all regions C 2 Air tubing 3 m C 3 DC 12 converter C 4 Blank module C 5 Note ResMed regularly releases new products Please check our website at www resmed com How to Use the S8 AutoSet Spirit Il Set Please refer to the illustrations in section D of the illustration sheet Up the S8 AutoSet Spirit Il Place
27. lassoffnung Sortie d air Presa di uscita dell aria Salida de aire Sa da de ar Luchtuitlaat ReSScah DATA CARD Air filter cover Luftfilterabdeckung Couvercle du logement du filtre a air Module Modul Module Modulo Coperchio del filtro Cubierta del filtro de dell aria M dulo M dulo Module aire Tampa do filtro de ar Afdekkap luchtfilter DC input DC Eingang Entr e CC Air inlet Lufteinlassoffnung Entr e d air Ingresso CC Entrada de CC Entrada Presa di ingresso dell aria Entrada de aire CC Gelijkstroom ingang d A Entrada de ar Luchtinlaat AC input AC Eingang Entr e CA Ingresso CA Entrada de CA Entrada CA Wisselstroom ingang 2007 ResMed Ltd 2007 ResMed Ltd 2007 ResMed Ltd Note Some products not available in all regions Hinweis Einige Produkte sind nicht in allen Regionen erh ltlich Remarque certains de ces produits ne sont pas disponibles dans tous les pays Nota Alcuni prodotti non sono disponibili in tutte le regioni Nota algunos productos no est n disponibles en todas las regiones Nota alguns produtos n o se encontram dispon veis em todas as regi es Opm Sommige producten zijn niet in alle regio s verkrijgbaar HUMIDAIRE 3i y EL S8 HUMIDAIRE 3i E S8 HUMIDAIRE 3i EN S8 DONNEES USO DELLA DATA CARD USO DE LA TARJETA DE DATOS COMO USAR O CART O E HUMIDAIRE 3i AND S8 HUMIDAIRE 3i UND S8
28. n electromagnetic emissions The S8 series of devices is intended for use in the electromagnetic environment specified below The customer or the user of the S8 device should assure that the device is used in such an environment Emissions test Compliance Electromagnetic A environment guidance RF emissions CISPR11 Group 1 The S8 device uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 with Class B The S8 device is suitable for use in all serial adapter establishments including domestic establishments and those directly RF emissions CISPR 11 with Class B connected to the public low voltage USB adapter network that supplies buildings used for domestic purposes Harmonic Emissions Class A IEC 61000 3 2 Voltage Fluctuations Flicker Complies Emissions IEC 61000 3 3 Class B for all system configurations except when a PC is attached to the S8 device via a serial adapter in which case the system is Class A compliant Class A is suitable for use in all establishments other than domestic and those directly connected to a low voltage power supply network which supplies buildings used for domestic purposes Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to EMC information provided in this docume
29. n applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people System Specifications English 39 40 Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer This warranty is not transferable Product Warranty Period ResMed humidifiers ResControl ResLink ResTraxx 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion 90 Days headgear and tubing Excludes single use devices Note Some models are not available in all regions If the product fails under conditions of normal use ResMed will repair or replace at its option the defective product or any of its components This Limited Warranty does not cover a any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs c any damage or contamination due to cigare
30. nge the option to ON or OFF English Results Menu Select Enter Left key on the Results menu to access the options in this menu Note Your clinician may have customised your device to display Smart Data Contact your clinician for further details about Smart Data Viewing Usage Information You can view the total number of hours of treatment USED HRS and the number of sessions that the S8 AutoSet Spirit ll was used in a usage period USAGE Options Menu Select Enter Left key on the Options menu to access the options in this menu How to change the language setting Scroll to LANG and select Change Left key Press the Up or Down keys until you see the setting that you require Servicing Menu Select Enter Left key on the Servicing menu to access the options in this menu You can view the current software version installed on your unit SW the serial number of the printed circuit board in your device PCB and the serial number of the device SN Messages on the S8 AutoSet Spirit II LCD Your clinician may have set your S8 AutoSet Spirit II to remind you about important events such as when to replace your mask when to insert your Data Card if your device is Data Card enabled and so on The reminder message is displayed on the LCD and is visible if the device is not delivering therapy The backlight on the LCD flashes when a message is displayed How to Use the Detailed Menu 19 20 Your clinician can set an
31. nt Warnings The S8 device should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the S8 device should be observed to verify normal operation in the configuration in which it will be used The use of accessories eg humidifiers other than those specified in this manual is not recommended They may result in increased emissions or decreased immunity of the S8 device Guidance and manufacturer s declaration electromagnetic immunity The S8 series of devices is intended for use in the electromagnetic environment specified below The customer or the user of the S8 device should assure that the device is used in such an environment Immunity test IEC60601 1 2 test level Compliance level English Electromagnetic environment guidance Electrostatic discharge ESD x6 kV contact x6 kV contact Floors should be wood concrete or ceramic tile If IEC 61000 4 2 x8 kV air x8 kV air floors are covered with synthetic material the relative humidity should be at least 3096 Electrical fast x2 kV for power 2 kV Mains power quality should transient burst supply lines be that of a typical IEC 61000 4 4 commercial or hospital x1 kV for input Not Applicable environment output lines Surge x1 kV differential 1 kV differential Mains power quality should IEC 61000 4 5 mode mode be that of a typical 2 kV common mode 2 kV common mode commercial
32. nts For further details see Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity on page 36 Note The manufacturer reserves the right to change these specifications without notice Symbols which appear on the device A v 1 C E Attention consult accompanying documents English Type CF equipment Class Il equipment Drip proof Dangerous voltage Start Stop and mask fit Environmental information WEEE 2002 96 EC is a European Directive that requires the proper disposal of electrical and electronic equipment This device should be disposed of separately not as unsorted municipal waste To dispose of your device you should use appropriate collection reuse and recycling systems available in your region The use of these collection reuse and recycling systems is designed to reduce pressure on natural resources and prevent hazardous substances from damaging the environment If you need information on these disposal systems please contact your local waste administration The crossed bin symbol invites you to use these disposal Systems If you require information on collection and disposal of your ResMed device please contact your ResMed office local distributor or go to www resmed com environment System Specifications 35 36 Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaratio
33. ock Do not immerse the unit or power cord in water Always unplug the unit before cleaning and be sure it is dry before plugging back in The mask system and air tubing are subject to normal wear and tear Inspect them regularly for damage Replacing the Air Filter To replace the air filter 1 Remove the air filter cover at the back of the S8 AutoSet Spirit II English Air filter cover 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out from the device 4 Replace the air filter cover Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of an S8 AutoSet Spirit II the air filter needs to be replaced every six months or more often if your device is in a dusty environment WARNING Do not wash the air filter The air filter is not washable or reusable The air filter cover protects the device in the event of accidental liquid spillage onto the device Ensure the air filter and air filter cover are fitted at all times Servicing CAUTION Do not attempt to open the S8 AutoSet Spirit Il case There are no user serviceable parts inside Inspection and repair should only be performed by an authorised agent Under no circumstances should you attempt to service or repair the flow generator yourself This product S8 AutoSet Spirit II should be inspected by an authorised ResMed service centre 5 years from the date
34. of manufacture Prior to this the device is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instructions provided by ResMed Applicable ResMed warranty details are provided with the device at the time of original supply Of course as with all electrical devices if any irregularity becomes apparent you should exercise caution and have the device inspected by an authorised ResMed service centre If you feel that your flow generator is not performing properly see Troubleshooting on page 28 Cleaning and Maintenance 25 26 Frequently Asked Questions How will it feel when I am breathing with the S8 AutoSet Spirit II When you first use your S8 AutoSet Spirit Il you may feel uncomfortable breathing against the airflow This is normal You will continue to breathe normally while you sleep Take time to adjust to this new sensation What do I do when I want to get up in the night If you need to get up during the night remove your mask and stop therapy Always remember to restart therapy and put your mask on when you return to bed What do I do if I feel air leaking out of the mask The flow generator delivers the most effective treatment when the mask is well fitted and comfortable Treatment can be affected by leaks so it is important to eliminate any leaks that may arise For example try repositioning the mask and adjusting the straps If you are using a nasal mask
35. one of two modules fitted to the back a blank module or a ResScan Data Card module Using a Blank Module Please refer to the illustrations in section F of the illustration sheet The blank module is a protective cover on your S8 AutoSet Spirit l At times you may wish to remove or attach the module for example to use another module To remove the blank module pull it off the back of the S8 AutoSet Spirit II to show the data communications port F 1 To attach the blank module push the blank module onto the data communications port until the module clicks into place F 2 Note To protect the data communications port always ensure there is a module attached to the back of the device Using a ResScan Data Card Module Please refer to the illustrations in section G of the illustration sheet The ResScan Data Card module is an accessory to the S8 AutoSet Spirit Il Use a ResScan Data Card with the Data Card module to collect data and update settings in the S8 AutoSet Spirit Il The module and card give your clinician convenient access to data about your treatment and can provide you with new device settings from your clinician without your having to leave home Attaching the Module To attach the Data Card module push it onto the data communications port at the back of your S8 AutoSet Spirit Il until it clicks into place G 1 Removing the Module To remove the Data Card module pull it off the back of the S8 AutoSet Spirit II
36. owing display will appear on the LCD screen indicating that the mask fitting feature is operating Your S8 device will ramp to the mask fit pressure and will remain at this pressure for three minutes The LCD also displays a mask fit star rating See Definitions of Mask Fit Star Rating on page 10 MASK FIT excelnt mask fit star rating Note The mask fit star rating display disappears after three minutes The mask fitting feature can only be started from the RAMP or SETILING Screen In AutoSet mode the mask fit pressure is the highest pressure that you are likely to receive based on the previous night s session or 10 cm H30 whichever is greater In CPAP mode the mask fit pressure is the set treatment pressure or 10 cm H20 whichever is greater Adjust your mask mask cushion and headgear until you have a secure and comfortable fit Once you have a secure and comfortable fit check your mask fit star rating on the LCD screen Table 1 explains the mask fit star ratings How to Use the S8 AutoSet Spirit II English 9 10 Note If there is another person nearby to check your mask fit star rating you can adjust your mask mask cushion and headgear while lying down After three minutes the pressure reverts to the set pressure and treatment will begin f you do not wish to wait three minutes hold down the Start Stop key for at least three seconds to start treatment immediately f you press the Start Stop key for
37. power switch if available is on Insufficient air delivered from Ramp or settling time is in use Wait for air pressure to build up or change ramp or settling time S8 AutoSet Spirit II S tax Der Air filter is dirty Replace air filter Air tubing is kinked or Straighten or replace tubing punctured Air tubing not connected Check air tubing properly Mask and headgear not Adjust position of mask and positioned correctly headgear Cap s missing from access Replace cap s port s on mask Pressure required for treatment See your clinician to adjust the may have changed pressure S8 AutoSet Spirit Il Power cord not connected Connect power cord firmly at does not start when you breathe into the mask properly Power outlet may be faulty SmartStart not on Leak Alert has been enabled SmartStart has automatically been disabled Use of a Mirage or Ultra Mirage Full Face Mask Breath is not deep enough to trigger SmartStart both ends Try another power outlet Enable SmartStart Disable Leak Alert to enable SmartStart SmartStart does not work with a full face mask as the anti asphyxia valve will not allow sufficiently high pressure on exhalation Take a deep breath in and out through the mask Problem Possible Cause There is excessive leak Solution Adjust position of mask and headgear English Caps may be missing from ports on mask Replace them Air tubing not
38. scontinuation of treatment The following side effects may arise during the course of therapy with the S8 device D D D drying of the nose mouth or throat nosebleed bloating ear or sinus discomfort eye irritation skin rashes chest discomfort The S8 AutoSet Spirit Il System The S8 AutoSet Spirit device is part of a system that consists of five elements S8 AutoSet Spirit I self adjusting flow generator Mask Humidifier Data management products Accessories S8 AutoSet Spirit Il Please refer to the illustrations in section A of the illustration sheet Front view A 1 Shows the keypad and LCD screen and the air outlet Rear view A 2 Shows where the module attaches and the location of the air filter and power Sockets Power cord A 3 Power cord to attach the S8 AutoSet Spirit II to the AC mains power Travel bag A 4 Air tubing A 5 The 2 m air tubing connects the S8 AutoSet Spirit Il to your mask Masks You will also need a ResMed mask system supplied separately The ResMed mask systems that are recommended for use with the S8 AutoSet Spirit Il are Nasal Masks Mirage Vista Nasal Mask Ultra Mirage I Nasal Mask Mirage Nasal Mask Mirage Activa Nasal Mask Papillon Nasal Pillows Systems Mirage Swift Nasal Pillows System e Mirage Swift Nasal Pillows System Full Face Masks Mirage Liberty Full Face Mask Mirage Quattro Ful
39. sk selection and leak rate Do not use the S8 AutoSet Spirit Il if there are obvious external defects or unexplained changes in performance Do not open the S8 AutoSet Spirit case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorised service agent Explosion hazard do not use in the vicinity of flammable anaesthetics Cautions D D D At low pressures the flow through the exhalation ports of your mask may not clear all exhaled gas from the tubing Some rebreathing may occur The air flow for breathing produced by this device can be as much as 6 C higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 32 C When AC mains power 100 240 V AC is not available always use a ResMed DC 12 converter The DC 12 converter is available as an optional accessory Medical Information English If supplied the ResScan Data Card module is designed for use with specific ResMed devices Only use the ResScan Data Card module if supplied as specified in this manual Note The above are general warnings and cautions Specific warnings cautions and notes appear with the relevant instructions in the manual Adverse Effects Patients should report unusual chest pain severe headache or increased breathlessness to their prescribing physician An acute upper respiratory tract infection may require temporary di
40. tched on and in standby mode before you insert the Data Card Problem Possible Cause The Data Card is only partly inserted You may have removed the Data Card before settings were copied to the S8 AutoSet Spirit I The card is not a ResScan Data Card Solution Ensure that the Data Card is inserted into the slot on the Data Card module as far as it will go Reinsert the Data Card and wait forthe Settings Success Remove Card message to appear on the LCD Only use a ResScan Data Card The following message is displayed on the LCD after you try to copy data to a Data Card Card Error Remove Card The Data Card is not inserted correctly The card is not a ResScan Data Card You may have removed the Data Card before data was copied to it Ensure that the Data Card is inserted with the arrow facing up and pointing toward the device Use a ResScan Data Card as specified in this manual Reinsert the Data Card and wait for the Copy Complete Remove Card message to appear on the LCD The following message is displayed on the LCD after you try to update the settings using the Data Card Settings Invalid Remove Card The identification details on the Data Card do not match the details on your device Contact your clinician immediately Troubleshooting English 31 32 Problem The following message is displayed on the LCD after you try to update the settings using
41. the Data Card Settings Error Remove Card Possible Cause There is a data error on the Data Card Solution Contact your clinician immediately The following message is NOT displayed on the LCD after you try to update the settings using the Data Card Settings Success Remove Card The settings were not updated Contact your clinician immediately System Specifications S8 AutoSet Spirit Il no Accessories Performance Operating pressure range 4 to 20 cm H20 Dimensions H x W x D 112 mm x 164 mm x 145 mm Weight 1 4 kg Power Supply Input range for S8 AutoSet Spirit with HumidAire 3i 100 240V 50 60Hz 110V 400Hz 2 5A 140VA 110 W maximum power consumption Instantaneous peak power consumption 340VA Refer to the DC 12 converter instructions for DC ratings Only use the ResMed DC 12 converter for DC input Actual power consumption will vary depending on factors such as the use of accessories height above sea level and ambient temperature Power consumption values for typical treatment conditions using a breathing machine set to 0 5 L and 15 breaths min with 2 m air tubing and an Ultra Mirage mask are given in the following table English Device Pressure Power Power cm H20 VA w S8 AutoSet Spirit II 5 18 76 10 23 11 6 15 30 15 9 20 39 20 7 Power outlet for HumidAire 3i Outlet range 100 240V 50 60Hz 110V 400Hz 2 0A Air Filter Two layered powder bon
42. the S8 AutoSet Spirit on a table near the head of your bed CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord Note You can also place your S8 AutoSet Spirit ll on the floor beside or underneath your bed Ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet Connect the power cord to the socket at the rear of the flow generator D 1 Plug the other end of the power cord into the power outlet WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged Connect one end of the air tubing firmly onto the air outlet D 2 WARNING Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive reducing the effectiveness of your treatment Blocking the air inlet or tubing while in operation could lead to overheating of the device Intheclinical environment any personal computer that is used with your CPAP system must be at least 1 5 m away from or at least 2 5 m above the patient It must also comply with the relevant test standard For personal computers the international standard is IEC 60950 or equivalent Assemble the Mask Assemble your mask system according to the mask user instructions Connect your mask system to the free end of the air tubing D 3 Check that the m
43. tion How to enter the menu screens When the S8 AutoSet Spirit I standby RAMP or SETTLING screen is displayed you will see the word menu in the left hand corner To select an S8 AutoSet Spirit II menu press the Left key How to scroll through the menu When you are in the menu scroll through items by pressing the Up or Down keys How to change a setting option When you have scrolled to the item you require 1 Press the Left key Change 2 Press the Up or Down keys until you see the setting option that you require 3 Press the Left key Apply to select the setting option If you wish to exit without changing the option press the Right key Cancel How to exit out of a menu Press the Right key Exit This will take you back to the standby RAMP or SETTLING screen How to exit out of an item within the menu Press the Right key Exit Ramp and Settling If your clinician has set your S8 AutoSet Spirit Il to CPAP mode the RAMP screen is displayed after the Welcome screen If your clinician has set your S8 AutoSet Spirit I to AutoSet mode the SETTLING screen is displayed after the Welcome screen How to use the Keypad English 13 14 Table 2 Ramp and Settling Functions Screen Function Description Setting Options Ramp Selects the ramp time OFF 45 min 5 minute CPAP Mode Ramp time is the period during increments only which the S8 AutoSet Spirit II increases from a low pressure to the prescribed treatm
44. tte pipe cigar or other smoke d any damage caused by water being spilled on or into a flow generator Warranty is void on product sold or resold outside the region of original purchase Warranty claims on defective product must be made by the initial consumer at the point of purchase This warranty is in lieu of all other express or implied warranties including any implied warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale installation or use of any ResMed product Some regions or states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation may not apply to you This warranty gives you specific legal rights and you may also have other rights which vary from region to region For further information on your warranty rights contact your local ResMed dealer or ResMed office R001 307 2 05 06 Index A accessories 6 air filter 5 28 replacing 25 air pressure 28 air tubing 5 cleaning 24 connect to air outlet 7 kinked 28 positioning 8 aircraft 27 airflow breathing with 26 B blank module 21 C cleaning daily 24 periodic 24 weekly 24 contraindications 2 D daily cleaning 24 Data Card 21 30 cop
45. ufficient fresh air will be provided hrough the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead o suffocation This applies to most models of CPAP devices In the event of power failure or machine malfunction remove the mask The S8 AutoSet Spirit Il can be set to deliver pressures up to 20 cm H5O In he unlikely event of certain fault conditions pressures up to 30 cm H50 are possible If oxygen is used with this device the oxygen flow must be turned off when he device is not operating If oxygen has been left on while the device is not operating disconnect the oxygen and wait 30 minutes before turning on the device Explanation When the CPAP device is not in operation and the oxygen flow is left on oxygen delivered into the air delivery tubing may accumulate within the CPAP machine enclosure and create a risk of fire This applies to most types of CPAP machines Oxygen supports combustion Oxygen should not be used while you are smoking or in the presence of an open flame Always ensure airflow is being generated by the device before the oxygen supply is turned on Always turn the oxygen supply off before stopping the airflow from the device Note At a fixed rate of supplemental oxygen flow the inhaled oxygen concentration will vary depending on where the oxygen is introduced the pressure settings patient breathing pattern ma
46. xisting conditions D D D D D severe bullous lung disease pneumothorax pathologically low blood pressure dehydration cerebrospinal fluid leak recent cranial surgery or trauma Warnings D D The entire manual should be read before using the S8 AutoSet Spirit II Advice contained in this manual should not supersede instructions given by the prescribing physician A patient should not connect a device to the data communication port unless instructed to do so by their health care provider or physician Only ResMed products are designed to be connected to the data communication port Connecting other devices could result in injury or damage to the S8 AutoSet Spirit I device The S8 AutoSet Spirit I should be used with masks and connectors recommended by ResMed or by a physician or respiratory therapist A mask should not be used unless the S8 AutoSet Spirit device is turned on and operating properly The vent hole or holes associated with the mask should never be blocked Explanation The S8 AutoSet Spirit is intended to be used with special masks or connectors which have vent holes to allow continuous flow of air out of the mask Ports may be incorporated into the mask or in connectors that are near the mask D When the device is turned on and functioning properly new air from the device flushes the exhaled air out through the mask vent holes However when the device is not operating ins
47. y of the following reminders on your LCD Message Description Action INSERT CARD May appear if your Insert your Data Card see Section H of the device is Data Card illustrations sheet and follow any instructions enabled that your clinician has given you When you have done this the message will disappear from the LCD Pressing the Left Ok key will also remove the message REPLACE May appear when Press the Left Ok key to remove the MASK your mask is due message from your LCD and replace your for replacement mask with a new one CALL May appear as a Press the Left Ok key to remove the PROVIDER reminder to message from your LCD and contact your contact your clinician clinician for example to discuss how your therapy is going REPLACE May appear as a Press the Left Ok key to remove the FILTER reminder to message from your LCD and replace the air replace the air filter filter on your device SERVICE DUE May appear as a Press the Left Ok key to remove the reminder to return message from your LCD your device for service Customised Your clinician may Press the Left Ok key to remove the messages also set reminders message from your LCD for other reasons for example to return equipment or to call a particular person or number CALL CLINICIAN in some countries S8 Modules Note Do not remove modules while power is connected to the S8 AutoSet Spirit Il Your S8 AutoSet Spirit Il will have
48. ying data 22 inserting 22 mailback envelope 22 removing 22 Data Card module 6 21 data management products 21 DC 12 converter 27 detailed menu 17 down key 12 dryness mouth nose or throat 26 lectromagnetic Compatibility 34 EPR setting 15 18 error messages 30 expiratory pressure relief 15 18 F frequently asked questions 26 front cap 6 18 H headgear position 28 HumidAire 3i 6 attaching 11 storage 11 humidifiers alleviating dryness 26 cleaning 24 HumidAire 3i 6 type 18 English international use 26 K keypad 5 key functions 12 L language setting 19 LCD 5 8 12 error messages 31 messages 19 leak alert setting 19 left key 12 M mailback envelope 22 mask air leak 26 attaching 7 cleaning 24 mask type 15 18 port 28 position 28 preparing to use 26 removing 26 types 5 Mask screen 9 mask settings 16 18 mask types 16 18 mask fit 9 star rating 10 medical information 2 menu detailed 17 standard 15 menu screens 13 access 13 Index 41 42 change 13 exit 13 scrolling 13 modules attaching 5 blank 21 Data Card 21 N nasal irritation 26 Noise level 34 O Options Menu 19 P PCB serial number 19 periodic cleaning 24 power cord 5 28 connecting 7 power sockets 5 power sources 27 power supply 33 printed circuit board 19 R Ramp screen 13 ramp time 8 28 reminders 20 call provider 20 customised messages 20 insert card 20 replace air filter 20 replace mask 20 service

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