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Respironics REMstar Plus Setup

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1. Assembling 5 Assemble the circuit To use the system you will need the following the Circuit accessories in order to assemble the recommended circuit e Respironics Nasal Mask with integrated exhalation port or Respironics mask with separate exhalation port such as the Whisper Swivel II e Respironics 6 ft 1 83 m Flexible Tubing e Respironics Headgear for the mask WARNING If multiple persons are going to use the REMstar Plus with C Flex e g rental devices a low resistance main flow bacteria filter should be installed in line between the REMstar Plus with C Flex and the circuit tubing Pressures must be verified by your home care provider when alternate or optional accessories are in place a Connect the flexible tubing to the air outlet on the front of the REMstar Plus with C Flex q b If you are using a mask with a built in exhalation F N Mask s port connect the mask s bad eas connector to the flexible i tubing d p Rotating If you are using a mask with a separate exhala Ta wonnector tion port connect the flexible tubing to the Sige arsine exhalation port Position the exhalation port so ae i m gt Vent Holes that the vented air is blowing away from your Ht pedi face Connect the mask s connector to the Tubing exhalation port WARNING Do not block or otherwise try to seal the air openings vent holes on the
2. exhalation port Explanation of the warning The REMstar Plus with C Flex is intended to be used with masks and circuits that have an exhalation port designed to exhaust CO from the circuit When the REMstar Plus with C Flex is turned on and functioning properly new air from the REMstar Plus with C Flex flushes the exhaled air out through the exhalation port When the REMstar Plus with C Flex is turned off enough fresh air will not be provided through the mask and exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This warning applies to most CPAP devices WARNING If you are using a full face mask i e a mask covering both your mouth and your nose the mask must be equipped with a safety entrainment valve REMstar Plus with C Flex User Manual O
3. First Time Setup WARNING WARNING CAUTION Do not use the REMstar Plus with C Flex system until an appropriate professional adjusts the settings To order any accessories not included with this system contact your home care provider Note to home care provider Before beginning setup be sure that you have available the REMstar Plus with C Flex Home Care Provider Setup Instructions Setup instructions are not provided in this manual DO NOT connect any equipment to the REMstar Plus with C Flex unless recommended by Respironics or your health care provider If the REMstar Plus with C Flex has been exposed to either very hot or very cold temperatures allow it to adjust to room temperature approximately 2 hours before beginning setup O REMstar Plus with C Flex User Manual Installing the Filter CAUTION Power Cord IMPORTANT WARNING WARNING CAUTION First Time Setup cont 1 Install the filters and filter cap The foam filter must be in place at all times when the REMstar Plus with C Flex is operating The white ultra fine filter is optional and can be used in addition to the foam filter The ultra fine filter is recommended for people who are sensitive to tobacco smoke or other small particles ultra fine filter a Place one of the foam filters over the ultra fine filter If you are not using the ultra fine filter simply place the foam filter into the filter area on the back of the REMstar
4. Plus with C Flex An extra filter is included for your convenience gray foam filter filter cap b Attach the filter cap Position the cap so that the small opening on the cap is facing down Insert the cap s tabs into the filter area opening 2 Connect the power cord Plug the socket end of the power cord into the AC inlet on the back of the REMstar Plus with C Flex Plug the pronged end of the power cord into an electrical outlet To remove AC power disconnect the power cord from the electrical outlet Inspect the power cord often for any signs of damage Replace a damaged cord immediately The REMstar Plus with C Flex is activated and ready for use when the power cord is connected The pressure start stop button turns the blower on off 3 Place the REMstar Plus with C Flex on a firm flat surface Make sure the REMstar Plus with C Flex is away from any heating or cooling equipment e g forced air vents radiators air conditioners Also make sure that bedding curtains or other items are not blocking the filter or vents of the device Air must flow freely around the device for the system to work properly REMstar Plus with C Flex User Manual O First Time Setup cont Device Settings IMPORTANT Once the power cord is plugged in REMstar Plus with C Flex s system version number the total hours of use and then the total therapy hours will appear Display Screen Heated Humidifier Butt
5. accurate Contact your home care provider to have your pressure setting adjusted To change the elevation setting press the ramp or humidifier buttons Press the right user button to access the next setting Using the REMstar Plus with C Flex at an incorrect elevation setting could result in airflow pressures higher than the prescribed setting Always verify the elevation setting when traveling or relocating REMstar Plus with C Flex User Manual O First Time Setup cont Setting the Minimum Ramp Pressure Exit the Settings f The ramp starting pressure will appear Note This setting will only appear if ramp was prescribed for you The ramp feature will reduce the pressure and then gradually increase ramp the pressure to the prescription pressure setting so that you can fall asleep more comfort ably Your home care provider will have already set a ramp starting pressure If you feel the ramp starting pressure is set too low or too high you can change the setting Range 4 cm H O Prescription Pressure To change the setting press the ramp or humidifier button You can hold the button down to make the setting change faster The settings are complete Press the left user button to access the previous setting or press the pressure start stop button to exit the settings menu Or if you want to return to step a press the right user button O REMstar Plus with C Flex User Manual First Time Setup cont
6. etup menu press and hold the ramp button until the device beeps The airflow must be turned off Pressing the ramp button when the airflow is turned on will lower the airflow pressure if prescribed and then will gradually increase it DO NOT use the REMstar Plus with C Flex if the display is erratic Contact your home care provider for further instructions If at any time you wish to exit the setup menu press the pressure on off button and the display will go back to the main screen a The number of nights the REMstar Plus with C Flex was used for therapy for more than 4 hours will appear This screen is only for reference Your home care provider may periodically ask you for this information Press the right user button to access the next setting REMstar Plus with C Flex User Manual O First Time Setup cont Turning the Alert Tone On or Off Setting the Button Lights b The patient disconnect alert setting will c appear This setting has two functions When a large continuous air leak such 1 as mask removal has been detected in the circuit this setting enables disables 2 the audible alert a beeping sound and the Auto off feature The latter allows the REMstar Plus with C Flex to automatically turn the airflow OFF You have the option of turning the alert tone on or off 1 on 0 off To change the setting press the ramp or humidifier button until the correct setting appears Press the ri
7. ght user button to access the next setting The button lights setting will appear This setting allows you to have the lights behind the buttons turned on or off while the airflow is turned on The lights will always be on when the airflow is off 1 on 0 off To change the setting press the ramp or humidifier button until the correct setting appears Press the right user button to access the next setting O REMstar Plus with C Flex User Manual Setting the C Flex Level Setting the Elevation WARNING d The C Flex level setting displays the First Time Setup cont C Flex level set by your home care provider Note This setting will only appear if C Flex was prescribed for you This setting allows you to adjust the level of air pressure relief that you feel when you exhale during therapy Your home care provider will have already set a C Flex level If this is not comfortable for you you can increase or decrease the setting The setting of 1 provides a small amount of pressure relief To increase the pressure relief change the setting to 2 or 3 To change the setting press the ramp or humidifier button Press the right user button to access the next setting The elevation symbol and setting will ot appear 1 less than 2 500 ft lt 762 m J 2 2 500 to 5 000 ft 762 m to 1524 m 3 5 001 to 7 500 ft 1525 m to 2286 m over 7 500 ft The airflow pressure may not be
8. on er Ramp Buttons Pressure Button Start Stop Button Display Screen All device settings will appear here Pressure Start Stop Button Use this button to start stop the airflow DO NOT start the airflow until the circuit tubing is connected Heated Humidifier Button Use this button when the optional REMstar Heated Humidifier has been prescribed This button will control the optional heated humidifier s output Follow the instructions included with the humidifier Ramp Button When the airflow is turned on use this button to start the ramp cycle which lowers the airflow pressure and then gradually increases it This will allow you to fall asleep more comfortably When the airflow is turned off use this button to access the patient menu Note The ramp feature is not prescribed for all users User Buttons These buttons can be used when entering various menus to change some of the REMstar Plus with C Flex settings In the Setup Menu the humidifier and Previous Next ramp buttons operate as up and down ob keys to change the settings the left right Exit user buttons are used to go to the Settings previous next question or setting and the v start stop button will allow you to exit the Settings Menu O REMstar Plus with C Flex User Manual Device Settings IMPORTANT WARNING IMPORTANT Therapy Hours First Time Setup cont 4 Verify Change the REMstar Plus with C Flex settings To start the s

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