Tranquility Quest Plus
Contents
1. Do not use this CPAP unit in the presence of flammable anesthetics Do not use the CPAP unit around water in any way with the exception of water contained in a Respironics Humidifier If this unit should come in contact with water unplug the unit This unit should never be turned on and left unattended Never operate this unit if the power cord or plug is damaged If this unit has been dropped or damaged contact your distributor or Respironics at once Adjusting the pressure without a physician s instruction could be harmful The CPAP device should only be used with a nasal interface or mask and patient circuit that are supplied by Respironics Never under any circumstances use the nasal interface or patient circuit unless the Tranquility Quest Plus is turned on and operating prop erly Do not block or obstruct the vent hole located on the front of the nasal mask or interface Make sure that all breathing connections are properly secured For 12VDC operation do not use any DC to AC inverter other than that supplied or recommended by Respironics Check and verify fuse rating before replacement When using supplemental oxygen with this system make sure that this CPAP system is switched on before the oxygen source is turned on When you wish to stop using this CPAP system turn off the oxygen flow first before turning this CPAP unit off Oxygen quickly accelerates fire If you are using supplemental oxygen this CPAP syste2. authorized service representative Modification of the system or accessories or MD Use of damaged or unauthorized components or accessories The Scope of this Manual This manual is intended to show you how to operate the Respironics Tranquility Quest Plus Model 7400 nasal CPAP system to provide positive pressure to the breathing passages Read thoroughly and understand this manual before attempting to use this system Introduction Nasal CPAP devices produce small amounts of air pressure that can be applied using a nasal mask This pressure opens the breathing pas sages to prevent blockages and to allow normal breathing The Tranquility Quest Plus system provides one level of pressure This pres sure is controlled by a microprocessor and a pressure transducer to provide accuracy and comfort and adjust to changes in elevation The Tranquility Quest Plus Model 7400 system from Respironics is a medical device that includes a blower controller The blower controller adjusts the blower to deliver the pressure that has been prescribed for you Additionally this compact unit features a linear ramp a convenient handle an easily replaceable or washable filter 2 S 7400 00B QXD 10 21 99 8 03 AM Page 4 d Warnings and Cautions WARNING indicates a potentially harmful situation 1 ET E EN EN e 09v Ze This is a continuous positive airway pressure device and is intended be used in the treatment of adult obstructive sleep apnea
3. etc Under normal conditions this unit will typically draw less than 3 amperes The maximum draw for the inverter is listed in the DC to AC Inverter manual For 10 hours of DC to AC Inverter use this unit will typically consume less than 30 Amp hours 7400 00B QXD 10 21 99 8 03 AM Page 12 Altitude Compensation The Tranquility Quest Plus unit features a pressure transducer that measures pressure delivered to you and a microprocessor that makes the needed adjustments if you travel to a different elevation The unit will automatically adjust the blower speed to compensate for the new elevation and deliver the prescribed pressures Maintenance Changing the Filter The Tranquility Quest Plus is supplied with a reusable filter This filter can be removed from the rear of the unit by pulling it directly out of the filter receptacle The filter should be washed thoroughly with a mild soap and water solution rinsed thoroughly with clear water and allowed to dry completely before use Return the filter to the unit by pressing it against the filter receptacle and tucking the edges into place An optional disposable filter is available for removal of smaller particles Check the condition of the filter prior to each use Cleaning The System The CPAP unit can be cleaned using a cloth moistened with water and a mild soap solution Caution Unplug the unit before cleaning it Do not place the unit in water Do not use alcohol or other organic
4. high grade disposable filters and replacements for the standard filter 10 a humidi fier 9 and an oxygen administration kit 8 and the DC to AC Inverter 7 Contact your Home Care Dealer in order to obtain these accessories 7400 00B QXD 10 21 99 8 03 AM Page 20 ch Limited Warranty Respironics Inc Respironics warrants each new and unused Tranquility Quest Plus CPAP system Model 7400 hereinafter referred as CPAP system or Unit to be free from defects in material or workmanship for a period of twelve 12 months from the initial date of pur chase from Respironics For the purpose of this Limited Warranty the initial date of purchase from Respironics shall be the date of ship ment from Respironics to the initial owner of record Should the Unit be defective in material or workmanship during the term of this Limited Warranty Respironics at its option will repair or replace the defective system or component parts Replacement Units and or parts do not carry a new warranty and shall only be warranted for the unexpired portion of the original Limited Warranty Specifically excluded from this Limited Warranty are ancillary items including but not limited to tubing filters nasal masks and head gear This Limited Warranty does not cover the CPAP system or any component part thereof i which is not operated in accordance with the operating instructions contained in the operating instructions contained in the Patient Manual as amended
5. of the Mask 7 Turn the CPAP unit on using the Power switch located on the front of the unit The set pressure will be delivered by the unit once the mask is in place and flow will begin to move through the hose 7400 00B QXD 10 21 99 8 03 AM Page 9 eb The Ramp button on the front ofthe CPAP unit may be used to decrease the pressure to about 3 Place the Nasal Interface on and adjust it to get rid of any leaks while maintaining comfort Do not overtighten the interface As you breathe in you will find that the airflow will increase slightly The unit s pressure con troller adjusts to constantly deliver the set pressure cm H2O and then increase it to the set pressure over the period of time that has been set by the Home Care Dealer The ramp indicator will remain lit during the ramp period The ramp is helpful in making the CPAP more comfortable as you fall asleep In the morning or whenever you wish to stop using the unit you can switch the unit off by switching the Power switch to the OFF position and removing the Nasal Mask Routine Use Regular use of the Tranquility Quest Plus System involves a simple brief routine that is detailed here 1 Switch the Power switch to the ON position The Power indicator light will come on Airflow will be felt coming out of the hose The pressure will come up to the level set by the Home Care Dealer once the mask is in place Place the Nasal Mask with the Headgear and H
6. see if there is any moisture in the area of this CPAP unit Also check the air inlets and outlets for any blockage or the presence of any dust or dirt If you notice any moisture dry the area completely before use Remove any blockage and or dust or dirt from the air inlets or outlets before each use Do not use a room humidifier within six feet of this CPAP unit 2 Place the CPAP unit in a clean dry place near an electrical outlet not controlled by a wall switch Do not use extension cords or electrical adapters Place this unit in an upright position on a nightstand or other suitable surface with the front facing you Position this CPAP unit so that the vents are never blocked Never allow the CPAP unit to be placed on a table or nightstand that cannot safe ly support the CPAP unit For example a table or nightstand without good support will turn over if it is accidentally bumped 3 Connect the power cord to the AC power connector on the rear of the unit After checking to be sure that the Power switch is in the OFF position plug the other end of the power cord into the electrical outlet 7400 00B QXD 10 21 99 8 03 AM Page 8 4 Attach the CPAP Hose to the Air Outlet Port on the front of the CPAP unit 5 Attach the Nasal Interface to the other end of the CPAP Hose 6 Refer to the Nasal Interface Instruction for information on preparing the interface and making adjustments Do not block the hole bias flow port located at the base
7. 0 00B QXD 10 21 99 8 03 AM Page 15 Maintenance Record Dates Notes Replaced Nasal Mask J of Checked CPAP Pressure 14 7400 00B QXD 10 21 99 8 03 AM Page 16 eb Patient Checklist As you and your Home Care Dealer go through the operation of your CPAP system make sure that you thoroughly understand the fol lowing Q Why your physician has prescribed the CPAP system The importance of using your CPAP System each and every night How to properly connect the Hose to the device and to the Nasal Mask How to put on the Nasal Mask and Headgear to achieve a good fit The importance of not blocking the Inlet Vent on the CPAP unit How to operate the Ramp feature How to care for the Nasal Mask Headgear and Hose How to clean and or replace the filter How to check the operation of the nasal CPAP unit What to do if symptoms of obstructive sleep apnea reappear oc E EL U LUD What to do if you experience any ear nose or sinus pain Annual Inspection It is recommended that a routine inspection of the nasal CPAP system be performed at least once each year This service should include 1 Visually inspecting for any damage 2 Replacing the filter 3 Verifying the pressure setting 4 Checking the condition of the Mask and Headgear Contact your authorized dealer for further information S 7400 00B QXD 10 21 99 8 03 AM Page 17 d Specifications CPAP Pressure Approx 3 to 20 cm H O Weight 4 8 lbs 2 3 k
8. 7400 00B QXD 10 21 99 8 03 AM Page 1 d trangqguei itit y quest pu Compact CPAP System Model 7400 The Respironics Tranquility Quest Plus is a medical device prescribed by EES Patient Operating Instructions 7400 00B QXD 10 21 99 8 03 AM Page 2 d Glossary of Symbols Symbol Description Attention consult accompanying documents such as manuals Read thoroughly and understand this manual before attempting to use this CPAP system O Power switch Off Disconnection from the mains Power switch On Connection to the mains ge Alternating current Rap Class II equipment Double insulated IPX1 Protected against vertically falling water Type BF applied part 7400 00B QXD 10 21 99 8 03 AM Page 3 d User Owner Responsibility This Respironics CPAP Continuous Positive Airway Pressure system and authorized accessories are designed to work as described in this manual You should not use parts that have failed exhibit excessive wear are contaminated damaged or otherwise ineffective Read this entire manual before using this CPAP system The user owner of this system shall have the sole responsibility and liability for any injury to persons or damage to property including this equipment resulting from 1 Operation not in accordance with supplied operating instructions Maintenance not in accordance with authorized maintenance instructions Maintenance by anyone other than a factory
9. Follow the instructions included with the Humidifier regarding cleaning CONTACT YOUR DEALER FOR FURTHER INFORMATION Using Oxygen With This System It is important that you read understand and carefully follow these instructions regarding the use d of oxygen with your Tranquility Quest Plus CPAP system CAUTION Oxygen is a prescription gas and should be used only under the supervision direction of a licensed physician While using oxygen the CPAP system and oxygen source must be kept away from heat and open flame Smoking by anyone in the presence of oxygen must not occur 1 Set up Attach the oxygen tubing to the hose using the loops included with the Oxygen Administration Kit Thread the oxygen tubing through the holes in the loops Attach the T adapter between the mask and the hose Attach one end of the tubing to the T adapter and the other end to the oxygen source Do mo LO HN Coma em 2 Oxygen Use Turn on the CPAP unit so that air flow will begin prior to turning on the flow of oxygen When turning the CPAP unit off always turn the oxygen flow off first and then the CPAP unit NEVER TURN THE CPAP UNIT ON OR OFF WITH OXYGEN FLOWING INTO THE UNIT 9 zz 7400 00B QXD 10 21 99 8 03 AM Page 11 AC Fuse If the CPAP unit s power indicator does not light up when the unit is plugged in and turned on the fuse may need to be replaced When replacing the fuse make sure that the power cord is not plugged in
10. from time to time by Respironics or ii which is not maintained in accordance with the all applicable service manuals regardless of whether such mainte nance is designated as required or recommended maintenance This Limited Warranty shall be void and not apply A Ifthe CPAP system is not installed and connected in accordance with the instructions furnished by Respironics B Ifthe serial number or letter identification of the Unit or any component part thereof has been altered defaced or removed or if pur chaser cannot produce a bill of sale or other evidence to verify the initial purchase of the Unit C To defects arising from misuse abuse negligence or accident or from repair maintenance adjustment modification or replacement made by anyone other than authorized Respironics Personnel and D To any charges for labor or expenses for making field replacement of warranted component parts THIS LIMITED WARRANTY IS IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING WITHOUT LIMITATION IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE TO THE EXTENT THAT STATE OR FEDERAL LAW PROHIBITS EXCLUSIONS OF IMPLIED WARRANTIES ANY SUCH IMPLIED WARRANTY IMPOSED BY LAW SHALL BE LIMITED TO A PERIOD OF NINETY 90 DAYS FROM THE DATE OF INITIAL PURCHASE FROM RESPIRONICS S 7400 00B QXD 10 21 99 8 03 AM Page 21 Respironics responsibilities hereunder are limited to repair and replacement only Resp
11. g Height 5 0 12 3 cm Length 9 5 23 6 cm Width 7 75 18 9 cm Electrical Requirements 100 120 200 240 VAC 50 60 Hz 75VA Warranty 1 year limited Classification IEC Class II Type BF applied part Protected against vertically falling water drip proof Not suitable for use in the presence of a flammable anesthetic mixture with oxygen or nitrous oxide Continuous mode of operation 7400 00B QXD 10 21 99 8 03 AM Page 18 d Storage and Transport Temperature 25 C to 60 C Humidity 10 to 95 noncondensing Atmospheric Pressure 790 523mm Hg Operating Temperature 5 C to 40 C Humidity 10 to 95 noncondensing Atmospheric Pressure 790 523mm Hg Electromagnetic Compatibility The Tranquility Quest Plus model 7400 is designed to comply with EN 60601 1 2 1995 Electromagnetic Compatibility Requirements and Tests Move the CPAP unit away from other electronic equipment if you suspect the electronic equipment is interfer ing with the operation of the CPAP or if the CPAP is interfering with the operation of other electronic equipment 7400 00B QXD 10 21 99 8 03 AM Page 19 ch Accessories Respironics offers a full line of accessories and replacement parts for use with the Tranquility Quest Plus These accessories include our standard 1 and Soft Series 2 nasal masks each available in seven different sizes a bridge support 3 the Nasal Seal 6 two styles of Headgear 4 and a chin strap 5 Also available are
12. ironics shall have no obligations or liabilities in connection with the CPAP system other than as provided herein including without limitation any and all obligations and or liabilities for alleged negligence or for strict liability In no event shall Respironics be liable of any incidental or consequential damages either direct or contingent NOTE Some states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you This Limited Warranty gives you specific rights and you may also have other rights which vary from state to state The terms of this Limited Warranty may not be varied by any person whether or not purporting to represent or act on behalf of Respironics To obtain service under this warranty the owner of the CPAP system must promptly notify Respironics of any defect in materials or workmanship and the serial number and date of purchase of the CPAP system by calling the toll free number 800 345 6443 If Respironics determines that repair is required under this Limited Warranty Respironics shall provide the owner with a Return Authorization Number The owner must return the Bilevel system or designated parts to Respironics factory or an authorized service center designated by Respironics All items returned must be properly packaged insured and shipped to Respironics transportation charges prepaid The costs associated with the return of the CPAP system or component parts to Respiro
13. m as well as the oxygen source must be kept away from heat or open flame Smoking in the area of use must not occur 3 7400 00B QXD 10 21 99 8 03 AM Page 5 eb 16 As with any electrical device do not use this CPAP unit during an electrical storm 17 Do not use this Bilevel unit with a portable electrical generator 18 At low pressures the flow through the exhalation port may not be enough to clear all of the exhaled gases from the hose As a result you may breathe in some of the air that you have breathed out 19 Be aware that interference with the operation of this device can occur from external sources Even though this device contains meth ods and techniques that can provide protection from external sources of interference you should take the following precaution Keep the device at least three feet away from all electrical appliances such as TV sets electric blankets air conditioners cordless tele phones and cellular telephones 20 The air flow for breathing produced by the Quest Plus can be as much as 1 8 F 1 0 C higher than the temperature of the room Exercise caution if the room temperature is warmer than 90 F 32 C CAUTION FEDERAL USA LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A LICENSED PHYSICIAN THIS CPAP UNIT SHOULD BE USED ONLY UNDER THE SUPERVISION OF A LICENSED PHYSICIAN CAUTION indicates a condition that may lead to equipment damage malfunction or inaccurate operation 1 Do no
14. nics for warranty services are not included in the Limited Warranty 20 7400 00B QXD 10 21 99 8 03 AM Page 22 s 7400 00B OXD 10 21 99 8 03 AM Page 23 d RESPIRONICS INC 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA RESPIRONICS Deutschland C Gewerbestrasse 17 82211 Herrsching Germany 577 7400 00 JBM 10 19 99 7400 00B QXD 10 21 99 8 03 AM Page 24 3
15. ose attached on and adjust the Headgear straps as needed Check the mask for any leaks and adjust as needed Press the ramp button to begin the Ramp period The Ramp light will come on and the pressure will be reduced If the Hose becomes disconnected from either the Nasal Mask or the CPAP unit the unit may go into a Flow Limit mode In this mode the pressure will be reduced to prevent any damage to the unit When the connection is reestablished the pressure will return to the level set by the Home Care Dealer If you need to get up during the night turn the Power switch to the OFF position and remove the Mask When you wish to start using the CPAP unit again replace the Nasal Interface and Headgear and turn the unit ON Make sure to check for leaks as you have done previously 7400 00B QXD 10 21 99 8 03 AM Page 10 ch 6 In the morning or when you are through using the unit turn the Power switch OFF and remove the Mask 7 The nasal mask headgear and hose should be removed from the system for cleaning Humidifier Use An optional Humidifier is available through Respironics for use with the system The Humidifier is a reservoir that fits under your unit When properly filled with distilled water it adds moisture to the air flow and reduces nasal dryness and irritation Do not leave water in the Humidifier when the hose is dis connected Small amounts of water may be blown out of the Humidifier if the blower accidentally comes on
16. solvents to clean this unit Let the unit dry completely before plugging it in or operating it Routine Maintenance Other than the cleaning detailed above no other maintenance is required by the user NOTE You should not attempt to open the unit s enclosure there are no user serviceable components inside Unauthorized tampering with the units enclosure or unauthorized servicing will void the warranty and could result in damage and or personal injury zz 7400 00B QXD 10 21 99 8 03 AM Page 13 eb Troubleshooting Guide PROBLEM POSSIBLE CAUSES INSTRUCTIONS 1 Unit does not turn on Unit not connected to live power source Check to see if unit is plugged into a live power source Fuse needs to be replaced Contact your dealer for a new fuse Incorrect fuse was used Contact your dealer for a new fuse 2 No air comes out of device Filter may be blocked by debris Wash or replace filter when it is turned on Internal component has failed Contact your dealer 3 Air from device seems warm Filter may be blocked by debris Wash or replace filter Inlet vent may be blocked Move the device away from the source of blockage Room air temperature has increased Reduce room air temperature 4 Feeling that the pressure is Leak in the system Verify that the mask is not allowing air to leak too high or too low and that there are no leaks in the hose Pressure check at zero flow Filter may be clogged Wash or replace the filter Internal component has failed Contact
17. t use a room humidifier within six feet of this unit Dampness may affect device parts Do not use attachments that are not recommended by Respironics This CPAP system is to be used in the manner described in this manual Never drop or insert any objects into the connecting hose or air outlets or inlets Operating the unit with a dirty filter may keep the CPAP unit from working properly Do not use extension cords or electrical adapters V OY cy Oa ay ot Do not sterilize this unit zz 7400 00B QXD 10 21 99 8 03 AM Page 6 eb Set up and Use Unpacking and Inspection When you get your Tranquility Quest Plus CPAP system carefully open the box and unpack the system making sure that you have the following components and that nothing appears to be damaged Accessories are not included in this basic package and can be ordered separately Included with this system are the following 1 Tranquility Quest Plus Model 7400 nasal CPAP unit AC Power Cord Six foot Hose Carrying Case a E User Instruction Manual You will need a Nasal Interface Nasal Mask or other type of interface in order to use this system IF ANY OF THESE COMPONENTS ARE MISSING OR DAMAGED CONTACT RESPIRONICS AT ONCE 7400 00B QXD 10 21 99 8 03 AM Page 7 d Initial Use 1 Prior to each use inspect this unit for any signs of damage failure or worn parts Contact Respironics or your Home Care Dealer immediately to replace these parts Check to
18. to the electrical outlet Remove the power cord from the receptacle on the rear of the unit Remove the fuse holder by pressing the two tabs together and pulling out The fuse must be replaced with an identi cally rated fuse The correct fuse is a TIA 250V 1 Amp 5mm x 20mm 250 Volt Slo Blo After replacing the fuses in the fuse holder press the holder back into the receptacle and replace the power cord Traveling With Your CPAP System The Tranquility Quest Plus will operate on a range of voltages from 100 VAC to 240 VAC and on 50 or 60 cycles You do not need to switch from one voltage setting to another You will need to use a plug adapter in some locations in order to connect the power cord into the available wall outlet When traveling by airplane do not check your CPAP system as baggage because it may be damaged Always carry this manual with your CPAP system when you travel both for reference and for the notice that this is a medical device that requires regular use This notice may be helpful in dealing with Customs agents DC Operation Operating the Tranquility Quest Plus CPAP system from a DC power source will require the use of a Respironics DC to AC Inverter Part Number 7304 When connecting the DC to AC Inverter turn the CPAP system Power switch OFF Connect the AC power cord to the AC receptacle of the Inverter Then plug the DC to AC Inverter into a cigarette lighter type connector as found in cars trucks boats
19. your dealer Ramp is active Turn power OFF and then ON to deactivate ramp zz 7400 00B QXD 10 21 99 PROBLEM 5 Feelings of discomfort from the sensation of too much pressure 6 Air leaks around the nasal mask irritating the eyes 7 Skin becomes red where mask touches skin 8 Runny nose 9 Dryness of throat or nose 10 Nasal sinus or ear pain 11 Return of original symptoms 8 03 AM Page 14 POSSIBLE CAUSES Pressure from the CPAP unit Mask is not fitting properly Wrong size nasal mask Headgear too tight Wrong size nasal mask General irritation or allergic reaction to the mask material Reaction to air flow Inadequate humidity Sinus infection or middle ear infection Physical condition has changed INSTRUCTIONS An initial period of adjustment of up to two three weeks may be required Relax and take slow deep breaths If discomfort continues after two to three days contact your physician for assistance Try again to fit the mask to your face If leaks continue contact your dealer Contact your dealer Readjust the headgear Contact your dealer Discontinue use and notify your physician Discontinue use and notify your physician Increase humidity or contact physician regard ing the use of a humidifier Discontinue use and notify your physician You may need to be retested Notify your physician Have your dealer verify the proper operation of the CPAP unit 740
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