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TREND II 2.150 ENG_2015-09-02_06.indd

1. 22 Description of device USING THE DEVICE COMMISSIONING A CAUTION Before commissioning the device read the section Safety information from page 10 The device must not be operated without a filter cas sette because this could damage your health 1 After having set up the device properly connect the device using the sup plied power cord with the socket outlet 2 The device displays a welcoming message the software version and the current number of treatment hours Thereafter the display shows the date and time 3 Connect the therapy tube to the air outlet 4 Using the device 23 5 Also connect the measuring tube to the measuring tube connection 6 Puton the mask If you have selected the automatic mode the device will start on your first breath In the manual mode press the on off key to start the device 7 The device first of all runs at maximum pressure for the time selected by you for the mask test You should now properly seat the mask in order to eliminate any potential leaks 8 Place the tube such that it does not exert any pulling action on the mask while you are lying down 9 Breathe deeply and calmly If you have activated the soft start function the device initially reduces the pressure after completion of the mask test and will then slowly increase the pressure automatically to the prescribed value allowing you to fall asleep at a lower pressure IMPORTANT In
2. If you do not press any key for 30 seconds while programming the pro gramming mode is automatically exited for safety reasons Unless the changed value is confirmed with the enter key when the program ming mode is exited the original value remains as it is If you select the line Exit Menu and then press the enter key program ming is ended The device has three different menus 1 Info Menu In this menu the set parameters can be displayed 2 Patient Menu In this menu the patient can change settings 3 Clinic Menu In this menu only a physician or service technicians can change settings Use the programming key A for scrolling within the menus The sequence of the menu structure is shown in the table from page 29 28 Device functions INFO MENU By pressing the info key i you get to the Info Menu By pressing the progam ing keys A and W you can see the next parameters For the parameters Use Al or AHI and Leak pressing the enter key lt enables you to display aver age values across different periods of time To exit the Info Menu select the line Exit Menu and then press the enter key If you do not press any keys for 30 seconds the device will automatically switch back to the operating mode The following table shows which parameters are displayed in the Info menu depending on the set mode or device type CPAP FLEX APAP BILEVEL BILEVEL BILEVEL Parameter S ST T Use D lt 4
3. valve Therapy tube Variant 2 Supplying oxygen via an adapter between therapy tube and Oo pressure valve qo o f O pressure Mask wale O source Therapy tube Og supply adapter The Oo supply adapter and Os pressure valve you can order as accessory see page 75 26 Using the device Proceed as follows when using oxygen A WARNING If the device is in standby mode or switched off the oxygen supply must always be switched off 1 Before starting the treatment check that the tube connections are fitted correctly 2 First of all switch the device on and then the oxygen supply 3 Check whether the Auto off automatic mode is active If not program it as described on page 41 4 Switch off the oxygen supply before switching the device off NOTICE Using oxygen influences the therapy pressure Therefore we recommend to inclose oxygen in the therapy pressure determination titration process for every patient who s therapy is intended to include an oxygen supply Using the device 27 DEVICE FUNCTIONS There are three keys for programming the TREND II functions A Programming key W Programming key 4 Enter key The display has two lines Using the programming keys A and V you can select the line to be displayed The triangular symbol k preceding the line indi cates that this line has been selected Press FL Exit Menu Example Pressure IMPORTANT
4. pared hygienically When being given to another patient the device must be prepared hygieni cally by the specialist dealer or the manufacturer If reuse of the mask and the therapy tube is planned they must also be prepared by the specialist dealer or the manufacturer The preparation procedure is described in detail in the corresponding hygiene plan Maintenance 73 DISPOSAL Proper disposal saves natural resources and prevents harmful substances being released into the environment DEVICE The device must not be disposed of with the household waste Please SI contact the relevant customer services department to find out how to dispose of the device properly u E PACKAGING The packaging is taken back by the distributor but it can alternatively ay be recycled ACCESSORIES The accessories like the tubing mask filter cassettes etc should be disposed according to the manufacturer s instructions or with normal household waste 74 Disposal ACCESSORIES TREND II CPAP 0000 2061 TREND Il AUTO 0000 2064 TREND II BILEVEL 0000 2062 TREND II BILEVEL ST20 0000 2063 TREND II BILEVEL ST30 0000 2035 Carrying case 0000 2437 Power supply cable approx 2 30 m 31100015 Filter cassette 0000 2058 Therapy tube 1 80 m measuring tube and tube plugs 0000 7116 SD card formatted with TRENDset 11200010 User s manual 5000 0427 Brief instruction 5000 0434 Standard Nasal Mask Size S 0000 3440 Standard Nasal Mask Size
5. 40 hPa BILEVEL BILEVEL ST20 und ST30 Power consumption DC power Mains power DC power Mains power Standby 5W 5W Operation at 12 hPa 10W 12W 30W lt 33W Short term pressure variation TREND Il CPAP AUTO BILEVEL BILEVEL ST20 in hPa 4 8 12 16 20 4 8 12 IG 20 hPa hPa hPa hPa hPa hPa hPa hPa hPa hPa 10bpm owi 10 09 0 09 KO 3 L009 RON FG LON ROME Ona 15bpm 027 02210211021 021 1 02 0526 02 0 23 0 22 20 bpm 0 41 0 36 0 45 0 34 0 33 0 45 0 41 0 38 0 38 0 36 at heating level 3 Short term pressure variation TREND II BILEVEL ST30 in hPa 4 NOS 7 2929 S0 a lO dr 2949 e hRay ineat ineas aad ENEA Eliza heel nE shear thea 10bpm 0 342 0 312 0 312 0 33 0 19 0 18 b 0 302 053183 ORS 15bpm 2021 0 22 10 251 028 0 20 10 221022 028 0 24 20 bpm 0 48 0 42 0 39 0 389 0 48 0 43 0 35 0 37 0 37 0 37 at heating level 3 Long term pressure 0 3hPa variation Pressure reading 0 5hPa accuracy Average sound pres sure level operating at 1 m distance x 26 dB A at 10 hPa equivalent to a sound power level of x 34 aB A 76 Technical data TREND Il TREND I with AquaTREND uni Air flow rate TREND Il CPAP AUTO BILEVEL BILEVEL ST20 4hPa 208 l min 183 l min 8hPa 198 l min 176 l min 12hPa 188 l min 166 l min 16hPa 177 V min 155 l min 20hPa 164 l min 144 l min Air flow rate TREND II BILEVEL ST30 4hPa 215 l min 209 l min 10 5 hPa 204 l min 197 l min 17 hPa 195 l mi
6. FLEX 2 medium pressure support APmax 2 hPa e FLEX 3 high pressure support A Pmax x 3 hPa The value of pressure increase depends on the value of the breathing flow the Set I FLEX and the set therapy pressure To set I FLEX first go to the Clinic menu Then select FLE using the pro gramming keys A and V Press the enter key 4 Now the device will prompt you to enter the PIN The first digit is flashing Enter the first digit of the PIN with the help of the programming keys A and WV After pressing the enter key lt the second digit will flash Proceed with entering the remaining digits as you did the first After entering the last digit of the PIN you can set I FLEX using the program ming keys A and W Then confirm the selected level by pressing the enter key Next the parameter E FLEX is set IMPORTANT By setting I FLEX to 1 3 the value for P Max can be exceeded during therapy 48 Device functions E FLEX only in modes APAP und FLEX PERE m Exit Menu The E FLEX settings O 3 are for individual adjustment to the patients breath ing flow E FLEX 0 no pressure support APmax 0 hPa E FLEX 1 low pressure support APmax lt 1 hPa E FLEX 2 medium pressure support APmax lt 2 hPa E FLEX 3 high pressure support APmax x 3 hPa The value of pressure decrease depends on the value of the breathing flow the set E FLEX and the set therapy pressure To change E FLEX set I FLEX firs
7. In the automatic mode the turbine is turned off even if the mask or the tube slips off unnoticed during the night 3 Auto Start with mask alarm The third option that can be selected is the Auto Start mode kRuta Start Exit Menu Once you start breathing the turbine of the device is turned on If the mask slips off your face or a leak occurs while you are asleep a visual and audible warning is emitted mask alarm Mask Alarm Check Mask However the turbine is not switched off It can only be switched off by pressing the on off key Device functions 41 IMPORTANT The automatic function can be deactivated in the TREND II BILEVEL ST20 and ST30 with the PC software from the medical staff The device can be switched on or off in every mode by pressing the on off key To set the automatic function first go to the Patient menu hold down the enter key lt for approx 1 second Then select Auta using the programming keys A and V Press the enter key lt to change the setting Display Vt JIEE H DIE Wt ON Exit Menu Here you can set whether the tidal volume and the respiratory status S spontaneous T timed only in ST mode and in S mode when Backup fre quency is ON are displayed during therapy To activate or deactivate the display of the tidal volume first go to the Patient Menu press the enter key lt for approx 1 second Then select Display y t using the programming ke
8. KT Exit Menu First set the I Pressure and E Pressure Then set the desired time using the programming keys A and V Press enter key lt to confirm Next the param eter E Slope is set hPa I Pressure E Pressure E Slope only in modes S T and ST Time of pressure decrease from I Pressure to E Pressure pressure decrease rate FE Slope 3s Exit Menu First set the I Pressure E Pressure and the I Slope Then set the desired time using the programming keys A and V Press enter key lt to confirm Trigger only in mode T To set the Trigger first go to the Clinic menu Then select Trigger using the programming keys A and WV Press the enter key Now the device will prompt you to enter the PIN Pressing the enter key lt again changes the setting from OFF to ON and vice versa 50 Device functions Trigger only in modes S T and ST LU Triager Exit Menu The I Trigger depends on the volume and determines the sensitivity for detect ing inspiration It can be set to three levels 3 puel 2 l5 I E25 To set the I Trigger first go to the Clinic menu Then select l Trigger using the programming keys A and V Press the enter key lt Now the device will prompt you to enter the PIN Now select the desired level by pressing the keys A and WV Press enter key lt to confirm Next the parameter E Trigger is set E Trigger only in modes S and ST FE Trigser Exit M
9. Keep the manual in a safe place close to the device so that you can refer to it immediately if necessary SYMBOLS ON THE PACKAGING Range of humidity for storage and transport 1060 hPa Gs Range of ambient air pressure for storage and transport 265 hPa Range of temperature for storage and transport 20 C SYMBOLS ON THE RATING PLATE Observe the warning and safety instructions in the user s manual BF application part gt gt Protection class II protective insulation CE conformity declaration CE a N Follow the user s manual Manufacturer Do not dispose of the device in the household waste Please con tact the relevant customer services department to find out how to dispose of the device properly Lt E 8 General SYMBOLS USED IN THIS USER S MANUAL Important information is denoted by symbols in this user s manual Be sure to follow these instructions in order to avoid accidents personal injury and mate rial damage In addition the local accident prevention regulations and general safety regula tions in force in the area of use must be observed A This symbol denotes general safety instructions Follow these instructions to avoid accidents personal injury or material damage A DANGER This symbol denotes hazardous situations that lead to serious injuries or death AWARNING This symbol denotes hazardous situations that may lead to serious inju ries or death A CAUTION This sy
10. EHMT Exit Menu FAL E6H1 Bai Exit Menu FRI EN T 6 4 Exit Menu Use D Shows the average operating time of the last ther apy day Use W Shows the average operating time per therapy day in the last week Use M Shows the average operating time per therapy day in the last month Use 6M Shows the total operating time per therapy day in the last 6 months Use Y Shows the average operating time per therapy day in the last year AI D Shows the apnea index of the last night AI W Shows the apnea index of the last week AI MT Shows the apnea index of the last month AI 6M Shows the apnea index of the last 6 months AI Y Shows the apnea index of the last year from 12 00 to 12 00 o clock in TREND II CPAP and TREND Il AUTO AHI Apnea Hypopnea Index instead of Al is displayed Device functions 31 bLeak D 5 Exit Menu Leak Cl Exit Menu tLeak H Exit Menu KLeakL6t a Exit Menu 2 1 a a4 Exit Menu Therapy Exit Menu Exit Menu de RM Samin Exit Menu 4 ShPa KFP RampP Exit Menu Kode Biley 5T Exit Menu Leak D Shows the percentage of the operating time in which increased leakage was detected over the period of the last therapy day Leak W Shows the percentage of the operating time in which increased leakage was detected over the period of the last week Leak M Shows th
11. IMPORTANT To check the power failure alarm the device must have been connected to the power cord and turned on for at least half an hour Use the device with running blower and then pull the power plug out of the wall Socket Now the acoustic warning signal should sound Check once a month if the signal sounds long enough reference value at least 3 minutes After push ing the on off key or turning on the power supply again the signal will stop MASK ALARM This alarm function is activated only if the automatic function is turned to OFF or Start If the mask has slipped off your face or if the tube is pulled off the device the device is not turned off automatically but emits a visual and audible alarm Mask Alarm Check Mask The alarm is silenced after pressing the on off key or eliminating the leak Check Mask Alarm Use the device with running turbine in the manual mode automatic function OFF or Start The mask is open but not applied to your face After a short time an audible signal is emitted Alarm functions of the device 59 PRESSURE ALARM If during the therapy by a hardware error or other circumstances e g due to a bent measuring tube the pressure becomes too high the device will generate an alarm sound and turn off the blower Press too hiah olay 21 33 The alarm is turned off by pushing the on off key and the therapy can be con tinued after solving the error WAKE ALA
12. nose the paranasal sinuses and the ears Dryness and irritation in the nose and throat Nose bleed runny nose sneezing colds Irritated or dry eyes Reddening of the skin swelling of the skin and pressure points in the mask area Difficulty breathing claustrophobia e Stomach problems because of air accumulating in the stomach A CAUTION Please contact your physician for an explanation of the causes should these complaints persist Safety information 15 DESCRIPTION OF DEVICE HOUSING DISPLAY AND CONTROL ELEMENTS Programming keys Heater LED Info key Heater key Unlocking button for humidifier Connection for therapy tube Contact socket for humidifier Connection for measuring tube 16 Description of device Air inlet Power connection 24V DC Power connection RS232 interface 100 240 VAC SD card slot SD card slot Description of device 17 TECHNICAL DESCRIPTION For all devices of the TREND II series the following characteristics apply To generate the necessary pressure the device Air inlet is provided with an electronically controlled blower In order to keep the stress for the l patient as low as possible the blower has been designed with a high reserve capacity and a quick control response Filter The pressure is measured directly in the mask and constantly controlled by the device Con sequently the breathing work for the patient is as easy as pos
13. radiated RF disturbances are controlled The user of the TREND II can help prevent electro magnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the TREND Il as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency output power of of transmitter m transmitter W 150 kHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz d 1 17 NP d 1 7 NP d 2 33 VP 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 da 1 17 2 33 10 3 7 3 7 T 100 11 7 idm 23S For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation 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 manufacturer Note 1 At 80 MHz and 800 MHz the higher frequency range is essential Note2 These guidelines may not apply in all situations Electromagnetic propaga tion is affected by absorption and reflection from structures objects and people 1 Here user is meant in the sense of Responsible Organization 82 Manufacturer s declaration on electromagnetic compatibility DISCLAIMER HOFFRICHTER GmbH is not liable for consequences in terms of safety reli ability and performance of the product where e interventions modification
14. the pressure is 7 8456 hPa or mbar Turbine This menu item shows the total operating time of the turbine the filter and the therapy time Turbine KTurbine 123h Exit Menu The counter indicates the total turbine running time Filter Filter 123h Exit Menu The counter indicates the operating hours of the filter since the last reset Device functions 53 Therapy Therapy 123h Exit Menu The counter indicates the operating time with the therapy pressure applied Standby Standby Exit Menu This counter indicates the time the device was connected to the power supply To display the counter first go to the Clinic menu Then select Turbine using the programming keys A and V Press the enter key lt Each time you press the enter key you see the next counter Backup freq only in mode S in TREND Il BILEVEL BILEVEL ST20 and ST30 Backup Frea 0N Exit Menu In the event of apnea lasting longer than 15 s the patient will continue to be ventilated with a frequency of 10 bpm and an I E ratio of 1 2 To activate or deactivate the Backup frequency first go to the Clinic menu Then select Backup Freq using the programming keys and V The PIN code is now requested Once you have entered the PIN you can change the setting ON or OFF by pressing the enter key lt VT min only in modes S T and ST in TREND Il BILEVEL ST30 Exit Menu The purpose of the target vol
15. the section Device functions from page 28 read how you can adapt the times for soft start and the mask test to suit your personal requirements 24 Using the device ENDING THERAPY To end the therapy press the on off key If you are using an SD card the therapy data is saved on the SD card after the therapy is ended During this time the message Do not remove the SD card is shown on the display Do nat remove the 50 card NOTICE On no account remove the SD card during saving This could lead to loss of data or damage to the SD card SWITCHING OFF THE DEVICE Ensure that the device is in standby mode Then unplug the power plug STANDBY MODE If the turbine is switched off the device switches to standby mode discernable on the display with date and time The TREND II can be kept in standby mode permanently This does not harm it Using the device 25 USING OXYGEN A DANGER If oxygen is using the therapy setting must be set that no backflow of oxygen takes place into the device AWARNING Before using oxygen it is essential to read the safety information on page 13 When supplying oxygen please use a kink resistant tube made of a medically approved material In order to prevent back flow of oxygen into the device we recommend the use of an Os pessure valve There are two variants to supply oxygen Variant 1 Supplying oxygen directly in the mask O source Oo pressure
16. user 1 of the TREND II should assure that it is used in such an environment Immunity test IEC 60601 Compliance Electromagnetic environ Test level level ment guidance Electrostatic discharge 8 kV air x 8 kV air Floors should be wood con ESD acc to crete or ceramic tile If floors IEC 61000 4 2 are covered with synthetic material the relative humid ity should be at least 30 96 Electrical fast transient 1 kV ae jl S Mains power quality should burst acc to input output input output be that of a typical commer IEC 61000 4 4 cial or hospital environment Surge acc to IEC 1 kV volt 1 kV volt Mains power quality should 61000 4 5 age age be that of a typical commer differential differential cial or hospital environment mode mode 1 Here user is meant in the sense of Responsible Organization Manufacturer s declaration on electromagnetic compatibility 79 Guidance and manufacturer s declaration electromagnetic immunity Immunity test Voltage dips short interruptions and volt age variations on power supply input lines acc to IEC 61000 4 11 Power frequency 50 60 Hz magnetic field acc to IEC 61000 4 8 Conducted RF acc to IEC 61000 4 6 80 Manufacturer s declaration on electromagnetic compatibility IEC 60601 Test level 100 96 dip in U for 0 5 cycle 60 96 dip in Ur for 5 cycles 30 96 dip in U for 25 cycles 100 96 dip in Urfor 5s 3 A m V423V 150 kHz 80 MHz Comp
17. 30 e e e To set the mode first go to the Clinic menu Then select Mode using the pro gramming keys A and V Press the enter key lt Now the device will prompt you to enter the PIN IPIN Code Exit Menu The first digit is flashing Enter the first digit of the PIN with the help of the pro gramming keys A and V After pressing the enter key lt the second digit will flash Enter the second digit of the PIN with the help of the programming keys A and VW and proceed as described for the first digit Enter the third digit accordingly After entering the last digit of the PIN you can switch between the modes by pressing the enter key Leave the menu once the desired mode is selected The device will then save the new mode Press only in modes CPAP and FLEX PSI To set the pressure first go to the Clinic menu Then select Pressure using the programming keys A and V Press the enter key Now the device will prompt you to enter the PIN The first digit is flashing Enter the first digit of the PIN with the help of the programming keys A and WV After pressing the enter key 4 the second digit will flash Enter the second digit of the PIN with the help of the programming keys A and W keys and proceed as described for the first digit Enter the third digit accordingly After entering the last digit of the PIN you can set the pressure using the programming keys A and V Then confirm the selected pressure by pressing t
18. G Do not switch the device on if it has previously been in a very cold environment Wait about 1 hour until the temperature has balanced out Check the filter cassette regularly Change the filter cas sette as described on page 68 Never use the device without the filter cassette Clean your mask system regularly and check all acces sories particularly the therapy tube mask and headgear When doing this observe the manufacturer s safety and cleaning instructions USING OXYGEN Oxygen supports combustion Therefore observe the fire protection regulations applicable for using oxygen Ensure that there is no grease on the oxygen fittings Do not smoke and do not handle naked flames Before the device is used appropriate training must be carried out in the home environment Please be sure to observe the user s manual of the manu facturer or distributor from whom you obtain the oxygen Make sure that the distance between the oxygen source and device is at least 1 m Have your distributor advise you about the use of oxygen In any case follow your physician s instructions Safety information 13 INTENDED USE The TREND II is used to treat obstructive sleep apnea in patients weighing more than 30 kg The device creates continuous positive airway pressure to keep the upper respiratory tracts open The device is not suitable for use with patients undergoing artificial respiration A DANGER This therapy device i
19. HOFFRICHTER GmbH HOFFRICHTER Ed Mettenheimer Stra e 12 14 Quality makes the Difference mm m m 19061 Schwerin Germany Phone 49 385 39925 0 Fax 49 385 39925 25 Email info hoffrichter de www hoffrichter de User s Manual CPAP AUTO BILEVEL BILEVEL ST20 and ST30 TREND Il 2 150 ENG_2015 09 02_06 Art no 5000 0427 as of device software 2 150 TREND Il User s manual 2015 HOFFRICHTER GmbH All rights reserved The content published in this user s manual is the sole property of the HOF FRICHTER GmbH All forms of reproduction editing distribution and any kind of exploitation even in part require the prior written consent of the HOFFRICH TER GmbH The HOFFRICHTER GimbH reserves the right to amend or replace this user s man ual without prior notice Please ensure that you are always working with the most current version of this user s manual Should you have any questions please contact the ventilation device provider or check our information at www hoffrichter de The respiratory device may only be operated and maintained by trained personnel The following documents are available for TREND II in addition to this user s manual Brief instructions for physicians and medical professionals Brief instructions for patients Service manual Hygiene concept SERIAL NUMBER Every HOFFRICHTER GmbH device is supplied with a serial number for trace ability purposes Please enter your device s serial num
20. M 0000 3434 Standard Nasal Mask Size L 0000 3435 Standard Full Face Mask Size S 0000 3441 Standard Full Face Mask Size M 0000 3436 Standard Full Face Mask Size L 0000 3437 Cirri Mini Comfort Nasal Mask Child S 0000 3551 Cirri Mini Comfort Nasal Mask Child M 0000 3552 Cirri Mini Comfort Nasal Mask Child L 0000 3498 Cirri Comfort Nasal Mask Size XS 0000 3497 Cirri Comfort Nasal Mask Size S 0000 3486 Cirri Comfort Nasal Mask Size M 0000 3487 Cirri Comfort Nasal Mask Size L 0000 3488 Cirri Comfort Full Face Mask Size S 0000 3483 Cirri Comfort Full Face Mask Size M 0000 3484 Cirri Comfort Full Face Mask Size L 0000 3485 Nasal Pillow 4in1 Sizes XS S M L 0000 3499 ComfortTube System heated tubing system 0000 3479 Humidifier AquaTREND uni 0000 2073 Filter cassette with frame cover 0000 2057 O2 supply adapter 0000 4943 Oo pressure valve 0000 4947 24 V DC vehicle cable 0000 9212 12V to 24 V converter 0000 7133 For ordering of accessories please contact a HOFFRICHTER service partner Accessories 75 TECHNICAL DATA TREND II TREND II with AquaTREND uni WX 215 x 195 x 105 mm 215 x 320 x 125 mm Weight 2 3 kg 2 65 kg without water Power supply 100 V 240 V 50 60Hz 24 VDC 2 1A Mains power 100 240 V AC 50 60 Hz DC power 24VDC 2 1A Operating time up to 8 years under battery power Pressure range 4 20 hPa mbar BILEVEL ST30 4 30 hPa mbar Max limit pressure 30 hPa CPAP APAP in the event of a fault
21. Nose Mouth e Choose Mose for all nasal masks and pillow masks e Choose Mose Mauth for all nasal mouth masks To select the type of mask first go to the Patient menu hold down the enter key 4 for approx 1 second Then select Mask using the programming keys A and V and press the enter key lt to change the setting Ramp de RM gamin Ex t Meru Whenever the blower has been started the microcontroller of the device checks whether a soft start ramp has been programmed While the programmed time elapses the soft start function increases the pressure from an adjustable initial ramp pressure P Ramp up to the pressure prescribed thus allowing you to fall asleep more easily In particular if you are not yet used to the respiration therapy the soft start can help you get accustomed to the device and fall asleep easily The device allows delay times ranging from zero the prescribed therapy pres sure is applied at once to 60 minutes the prescribed therapy pressure is built up within 60 minutes The initial ramp pressure P Ramp can be set by health professionals within a range from 4 hPa to the pressure prescribed To set the ramp first go to the Patient Menu press the enter key lt for approx 1 second then select Fkarnp with the programming keys A and V Press the enter key Now select the desired time using the programming keys A and V Press enter key lt to confirm Device functions 37 CPAP FLEX and A
22. PAP The pressure is gradually increased up to the Pressure j hPa therapeutic pressure l l 1 l Time O 20 40 60 n Programmed soft start time Ramp 0 60 minutes BILEVEL S ST and T The pressures are gradually increased up to the Pressure i hPa therapeutic pressures Pressure E Pressure Time min 0 20 40 60 Programmed soft start time Ramp 0 60 minutes 38 Device functions Mask Test Mask Test 3H Exit Menu This parameter determines the time when the device performs a mask test To ensure that the mask is tight while the pressure slowly increases in the soft start ramp even with higher pressures you can program a mask testing time from 5 to 90 seconds in 5 second intervals This mask test is carried out before the ramp is started It checks whether the mask is tight even under the maxi mum therapy pressure The following table shows for every model how the pressure during mask test is calculated subject to the mode that has been set Rr E CPAP FLEX APAP EID BILEVEL EE preda ST TREND Il CPAP Press Press I FLEX A P Max TREND Il AUTO Press pend T TREND II BILEVEL Press Pres TREND II BILEVELST20 Press Pres Pres I Pres TREND I BILEVELST30 Press E l Pres l Pres Pres P addit P addit P addit To set the mask test first go to the Patient Menu press the enter key lt for approx 1 sec
23. RM The device is provided with a comfortable integrated alarm clock Using the programming keys you can activate and deactivate this alarm clock The alarm clock emits an alarm at the programmed wake time Press the on off key once to stop the alarm for the next 5 minutes can be set with the help of the PC Software TRENDset and twice to deactivate it completely The alarm clock function may have been deactivated through the PC Software TRENDset Please contact your specialized dealer or service technician for acti vating these functions LOW RESPIRATORY MINUTE VOLUME ONLY ST30 If the respiratory minute volume falls below the set alarm parameter Low MV the device will gives an alarm Ill 8 9hPa Low HU The alarm is turned off by pressing the on off key APNEA ALARM ONLY ST30 IN MODE S If an apnea is detected which is longer in duration than the set alarm parameter Apnea the device gives an alarm Iii 8 ShPa HPnes The alarm is turned off by pressing the on off key 60 Alarm functions of the device USING AN SD CARD GENERAL INFORMATION The use of an SD card during therapy enables the most important therapy data to be saved The physician can read and evaluate this data via the TRENDset PC software Furthermore the physician can set new therapy parameters using TRENDsSet and send them to the patient As soon as the SD card is inserted the device adopts the therapy parameters IMPORTANT Onl
24. T and ST Shows whether the alarm for too low respira tory minute volume Low MV is active or deac tivated Apnea only ST30 in mode S if backup fre quency OFF Shows whether the Apnea alarm is active or deactivated PATIENT MENU Press and hold the enter key lt at least 1 second to move to the programming mode The Patient Menu will now appear on the display The following table shows which parameters can be set in the Patient menu depending on the device type CPAP AUTO BILEVEL BILEVEL BILEVEL Parameter ST20 ST30 e e e e e Wake Time Delete Filter e Mask Ramp e e e e e Mask Test Auto e e e e e Display Vt e Brightness Date e e e e e Time e e e e e Device functions 35 SETTING PARAMETERS AND THEIR MEANING Wake Time Make Time 57 66 Exit Menu The wake time can be set or changed here To set the wake time first go to the Patient menu hold down the enter key 4 for approx 1 second Pressing the enter key lt causes the wake hour to flash It can now be changed using the programming keys A and V After pressing the enter key lt again the minute of the wake time will start flashing Now you can change it using the programming keys A and V Pressing the enter key lt again ends the input and you get back to the menu Changing the wake time will automatically activate the alarm clock After leaving the menu the alarm clock
25. UTION If the filter is polluted or the display shows the message Change Filter the filter cassette must be changed To change the filter cassette proceed as follows 1 To change the filter cassette pull it out of the device 3 Replace the filter cassette by a new one Mount the filter frame cover onto the new filter cassette Make sure the upper part slit and the filter cassette pin are in the correct position 68 Changing the filter cassette cleaning To set back the message proceed as described in the chapter Patient Menu on page 36 NOTICE Never operate the device without a filter cassette Only and exclusively use original HOFFRICHTER filter cassettes CLEANING THE MASK For reasons of hygiene the mask should be cleaned daily 1 Disconnect the mask from the therapy tube 2 Clean the mask with mild soapy water Do not use any other agents 3 Rinse the mask thoroughly with clear water 4 Let the mask dry completely in the air CLEANING OF THE THERAPY TUBE For reasons of hygiene the therapy tube should be cleaned weekly Make sure the measuring tube is unobstructed at all times Avoid ingress of water into the measuring tube during the weekly cleaning If water droplets should have accidentally entered the measuring tube they must be carefully and thoroughly removed 1 Close the measuring tube tightly with the tube plugs before cleaning 2 Clean the therapy tube with mild soapy water Do n
26. Use W lt lt Use M lt e e Use 6M Use Y A D lt AW AI M 4 e e e e e e AI6GM AI Y Leak D LeakW LeakM lt o Leak 6M lt Leak Y Therapy e e e e e e Filter P e Ramp e e e P Ramp e e e e e e Mode e e e e e e Press Q Pres e e ERES E e P Start z 7 z z z P Min E o z P Max z e FLEX e e z B E FLEX o I Slope s Device functions 29 CPAP FLEX APAP BILEVEL BILEVEL BILEVEL Parameter S ST T E ES e e e E Slope Trigger l Trigger e4 E Trigger Frequency e Backup freq E Delay Time VT min 2 E E e3 e3 e3 P addit 05 05 05 TI min 06 06 TI max 06 6 Low MV e3 03 e3 Apnea oS lt Next parameter is displayed by pressing the enter key 1 Noo wh in TREND Il CPAP and TREND II AUTO AHI Apnea Hypopnea Index instead of Al is displayed only available when activated by physician only TREND II BILEVEL ST30 only if trigger is ON cannot be set if VT min is OFF only TREND II BILEVEL ST20 and ST30 only if Backup frequency is OFF 30 Device functions MEANING OF THE PARAMETERS IN THE INFO MENU 1 2 Exit Menu 8 9h Sah AHI D 3 2 Exit Menu FRI EMIT Exit Menu FRI
27. ber here You will find the serial number on the rating plate on the bottom of the device Senat bees deme eee Lm kie eC tan Please always quote the serial number for all queries and complaints CONFORMITY The device complies with the requirements of Directive 93 42 EEC 4 Info CONTENTS DECODES Ol doliv emie aaae 7 ORIS db csi RSEN a E E NR RARE E REN NUR RIDERE NR 8 Infortmationi on user s manual eee RR RR RR RR EDRRRE AA 8 Symbols ontheqpaokaglhg s ik n nhi RN RR RR 8 Symbols on therating plate 5o ee ARATRI ERR RERO SORT RARIOR EORR ORT ONDARED 8 Symbols used in this user s manual sssssssee 9 Sals MOMAN OMS nsdeendecusicnonancvensevadededieattaadysadedadieadedadvardeistieatedatvaadedetaavens 10 General safety instructions ssesssssssseeeseeeenenne mene 10 Electrical Safety coron ir x REFER de ra EE FREIE ERREUR FRETI REYEHEEEREEYRETUREETE 11 Installation requirements and transport sssssssee 12 Instructions Deore commissioning e 13 NSS UA OXY OSM M 13 Iosue oU pm 14 ContraindicatiON Sissis sated aasissictecsesddtavcisdetasessiaberaadeees 14 Side sei e Ir 15 Description of deviGe iusii erred aa Ria ER IARE REA REIR KEIRA o Fel 16 Housing display and control elements sssssssee 16 Techrical description rer he eor eet V d 18 Power Supply dier set ete t d a e a a P e a M a d 19 e aLe a 528 82 2 82 aai atakacaasa
28. can be activated and deactivated with the help of the programming keys A and V Press programming key A to activate the alarm function The display briefly shows the wake up time allow ing you to verify it Press ON OFF Alarm ON After that a bell symbol in front of the time display shows that the wake alarm function is activated Press ON OFF e3 Has 11 12 2E Press the programming key W to deactivate the wake alarm function The bell symbol disappears Press ON OFF Alarm Clock OFF Delete Filter Delete Filter Exit Menu In this menu item the filter counter can be reset This function should be used at every filter change so that always a current value is displayed To reset the filter counter go to the Patient Menu press the enter key lt key for approx 1 second then select Delete Filter with the programming keys A and V Press the enter key lt The system will now ask you whether you are sure that you want to perform a reset 36 Device functions Press the enter key lt to perform the reset Now the filter counter is reset to zero If you do not want to reset the filter counter leave the menu using the program ming keys A and V or wait until the system leaves the menu item automatically Mask only in mode APAP in TREND II AUTO Exit Menu In this menu item the type of mask can be chosen This is important for the correct function of the therapy device You can choose between Nose and
29. dy 72 Troubleshooting Device is defective Water in the measuring tube Soft start function has been selected Air channels are blocked Measuring tube not connected or clogged Leak in the device Water in the measuring tube Water in the measuring tube Device defective Measuring tube bent Inform customer services Remove the water Reduce soft start time Check air inlet Check the measuring tube Have the device checked by customer services Remove the water Remove the water Notify the service Check for bends MAINTENANCE If operated correctly the device is maintenance free However in order to increase the service life we recommend regular maintenance every 2 years ACAUTION Do not try to open the device Maintenance and repairs may only be per formed by personnel authorized by us because only they have the tools and measuring equipment required You yourself can help to increase the service life of the device and ensure that it continues to work safely e Follow the cleaning instructions from page 68 e Check the system regularly Conduct a visual check for external damage and dirt Check the alarm function Power failure see page 59 Check the alarm function Mask alarm see page 59 PREPARING THE DEVICE WHEN CHANGING PATIENT The devices are only intended for use by a single patient A CAUTION If the device is to be used for another patient it must first of all be pre
30. e percentage of the operating time in which increased leakage was detected over the period of the last month Leak 6M Shows the percentage of the operating time in which increased leakage was detected over the period of the last 6 months Leak Y Shows the percentage of the operating time in which increased leakage was detected over the period of the last year Therapy Shows the total therapy time of the device Filter Shows the time since the last filter change Ramp Shows the remaining time of the soft start ramp P Ramp Shows the ramp start pressure Mode Shows the selected mode 1 from 12 00 to 12 00 o clock 32 Device functions Exit Menu KkP 5tart 7 5hPa Exit Menu KP Hin a2 UhPa Exit Menu KP Max MIS EE Exit Menu hIcRbES o0 3 Exit Menu PE FUES mooi Exit Menu Exit Menu E 5lopPe Exit Menu 3 Press only in modes CPAP and FLEX Shows the selected therapy pressure P Start only in mode APAP Shows the selected start pressure P Min only in mode APAP Shows the selected minimum pressure P Max only in mode APAP Shows the selected maximum pressure I FLEX Level only in modes APAP and FLEX Shows the selected I FLEX Level E FLEX Level only in modes APAP and FLEX Shows the selected E FLEX Level I Pres only in modes S T and ST Shows the selected inspiration pressure E Pres only in modes S T and ST Shows the selected expira
31. e the respiratory mask manufacturer s instructions Always ensure that the small hole in the mask or in the adapter between the mask and the tube is unobstructed so that the exhaled air that is loaded with CO can escape Observe the mask manufacturer s instructions Please see your physician immediately if dryness of the mucous membranes in the nose and throat sinus dis comfort ear ache runny nose over sensitive reactions of the skin irritability loss of voice orientation or memory impairment occur when using the device Inform your specialist dealer immediately if the device is not working properly Check the device s alarm functions regularly see page 59 Safety information ELECTRICAL SAFETY Do not use the device if the housing or the cable of the device or the power supply are damaged Always remove the power plug before cleaning Do not open the device housing under any circumstances Inform your specialist dealer if the device develops a fault The use of accessories or power supplies not approved by us for the device may lead to increased emission of elec tromagnetic radiation or reduced resistence to interference Protect the device from water and dampness Never operate the device in damp places or in a bathroom Do not put any containers full of liquid on the device Do not reach for the device under any circumstances should it fall into water Immediately unplug the power plug Do not put
32. enu The setting of the E Trigger defines the percentage of the peak flow at which the ventilator switches over to expiration It can be set to three levels Level 1 40 of peak flow Level 2 30 96 of peak flow Level 3 20 96 of peak flow First set the I Trigger Then set the desired level using the programming keys A and V Press enter key lt to confirm Device functions 51 Frequency only in modes T and ST Frequency 1Zbpm Exit Menu The frequency determines the breathes per minute only in mode T or in mode ST with apnea To set the frequency first go to the Clinic menu Then select Frequency using the programming keys A and VW Now the device will prompt you to enter the PIN After entering the PIN set the desired frequency using the programming keys A and V You can set values from 5 bpm to 30 bpm in 1 bpm intervals Press enter key lt to confirm Next the parameter E is set I E only in modes T and ST IEE 1 2 191 865 Exit Menu The ratio E determines the ratio of inspiration to expiration First set the frequency Then set the desired inspiration time using the program ming keys A and WV Values between 0 4 s and 8 0 s can be set in 0 1 s steps To confirm press the enter key lt The ratio E depends on the set inspiration time The delay time parameter is set next Delay Time only in mode ST Delay Time 35 Exit Menu The delay time is the time after which the dev
33. ff key once to initiate the slumber phase Press the key once again to turn off the alarm completely You have pressed the on off key and stopped the slumber phase You pressed the programming key W in the nor mal operating mode There will be a message that the alarm clock has been turned off The therapy pressure is too high and the turbine Switches off The automatic function is turned on You will be requested to put on the mask and breathe Power Failure oll Restart Turbine MemoryF defect Clinic HMenu acti Patient Menu Chanae Filt After the line voltage has been restored the tur bine restarts automatically There has been an error during the system start after switching on the voltage supply Contact your dealer You have taken down the mask or the mask has slipped off your face while the automatic function was activated The turbine will turn off after 4 seconds The PIN you have entered is wrong Please enter the correct PIN There has been an error during the system start after switching on the voltage supply Contact your dealer The Clinic Menu has been activated The Patient Menu has been activated Change filter cassette see page 68 Important display messages 67 CHANGING THE FILTER CASSETTE CLEANING AWARNING Make sure that you follow the cleaning instructions If you do not do this it could damage your health because of germs CHANGING THE FILTER CASSETTE A CA
34. g the task uccccaccctcci tct tette t tet t t ett tet t e t e tt at ett 69 Cleaning of the therapy tube ntt rendent 69 CISANING TE CeVICG ccce cc acccatectec accen atc acta ct tct t tt d t t t td 70 Cleaning ie EAC OSA kerainan nnen 70 Cleaning te sUIPMIGITIC Fees cnceemescngnenecneennsncneeenssanenengncnepenenanerenencneeenencneeet 70 TOU DIES HOO UGE sis saan c abun than ahh sham abate saa aan ha a aa Ea a 71 MA QE2 TRO PERI ET TS 73 Preparing the device when changing patient sseeeeeeee 73 PIS DOS MM amenety 74 DEVICE a E Haas aden caaelen tana ance ea anaes 74 E 16 e H 74 ACCES SONES MEME 74 ACCESSOS 75 B einaleziiocictM ML 76 Manufacturer s declaration on electromagnetic compatibility 79 Bericte T nani Aana nanne Anei 83 6 Contents SCOPE OF DELIVERY Carrying case Therapy device SD card formatted Brief instructions Spare filter cassette Mains cable SS n SRM SSA iol fi 555007 Lr Y Ie y SN W 1 o DY S E a mmis li ii SS lil iii AIL LU Lm Therapy tube 1 80 m incl measuring tube Scope of delivery 7 GENERAL INFORMATION ON USER S MANUAL Read this user s manual through carefully before using the therapy device for the first time Follow the safety and cleaning instructions in particular
35. he enter keys lt 46 Device functions P Start only in mode APAP KP 5tart 7 ShPa Exit Menu To set the P Start first go to the Clinic menu Then select P S tart using the programming keys A and V Press the enter key Now the device will prompt you to enter the PIN By using the programming keys A and W you can now set the start pressure Confirm with the enter key Next the param eter P Min is set P Min only in mode APAP Vise BLEU 1 HhPa Exit Menu First set the P Start Then set the minimum pressure using the programming keys A and WV Confirm with the enter key lt Next the parameter P Max is set IMPORTANT Therapy pressure may depending on the set E FLEX level be falling up to 3 hPa below the value set for P Min yet never below 4hPa P Max only in mode APAP KP Hax l hPa Exit Menu First set the P Start and P Min Then set the maximum pressure using the pro gramming keys A and V Confirm with the enter key lt hPa IMPORTANT Therapy pressure may depending on the set I FLEX level be rising up to 3 hPa above the value set for P Max yet never above 20 hPa Device functions 47 I FLEX only in modes APAP und FLEX KIEFBER ST Exit Menu The I FLEX settings 0 3 are for individual adjustment to the patients breath ing flow e FLEX O no pressure support APmax O hPa e FLEX 1 low pressure support APmax 1 hPa e
36. ice switches from S mode into T mode in the event of breath failure First set the frequency and the inspiration time E Then set the delay time using the programming keys A and V Press enter key lt to confirm You can set values from O sec to 20 sec in 1 sec intervals 52 Device functions Language FLansuase ENG Exit Menu The device can emit display messages in German DEU English ENG Greek ELL Spanish SPA French FRA Italian ITA Turkish TUR Polish PLK and Portuguese POR To set the language first go to the Clinic menu Then select Language using the programming keys A and V Press the enter key lt Each time you press the key another language will appear Leave the menu once the desired language is selected The device will then save the new language P Unit KP lnit mbar Exit Menu The device can show the pressure in the pressure units hectopascal hPa mil libar mbar and centimeters of water cm cmH5O To set the unit of pressure first go to the Clinic menu Then select P Llnit using the programming keys A and V Press the enter key lt Each time you press the key another pressure unit will appear Leave the menu once the desired pressure unit is selected The device will then save the new unit A CAUTION When changing the pressure unit from hPa or mbar to cmH2O the pressure will slightly change Conversion 1 hPa 4 1 mbar 1 02 cmH20 Example At 8 cmH20
37. ka aasasa a dasada a dadada a addat 20 TREND AUTO 3a ttti 20 TRENBBIBEMEBL 3 3 3 523 5252 5 8 5 45 5 5 2 82328232 AAAA 21 TREND BIBEVEL S T20 and SISO udis rem nennt 22 IBS Tore Big Xo SV e A NNUS 23 COMMISSIONING oett eed ttt ts 23 Ending therapy ede re se bs be a bend b a b t t ru 25 Switching OM TNS deviee sc ada d dad NNa 25 StatidbytTioeles ssa ter ee Erie Tee eR UTR REF UB ERR UR RI 25 WE TE n EE 26 IDOVIG e TUPIGTOT IS tero Utente Meet tu eati Re aes 28 ITO Mens oed Ete ex ERR te RC ERA RT CR EAA 29 Patient Meu eo tere aero tu ae aue ue uus reteset rere 35 CSG WISIN Ree EN 44 Alarm functions of the device esssssssssne mme 59 Power failure eeesssssssseseseeeenne meer nnne nnn nnns 59 IIa LEE ett trite arte Ter mta 59 Pressure AAI sex ecco aaa Re ERE RR P RE e E UR 60 NNEINc Elia lennter eee MEE 60 Low respiratory minute volume only ST30 ssssee 60 Contents 5 Apnea alarm only ST30 in mode S 60 USING am SD CAG UOS 61 General IMMOMMAUOM Em 61 Inserting the SD Cardo noe dene benc eed 61 REMOVING the SD Cad assxenetonetecetoneneetoneti baton teca t tdi dt 62 Whats saved on the SD Card aed b a d t d a ta 62 Ertor MESSAGES eene anocatondpanetone tanen data dat da 64 Important display messages tnn Pret p rn E DARK i 66 Changing the filter cassette cleaning aoctor 68 Changing the Titer Cassetlecccccncccc tnnc tecc content ccc tec ccce tecc cce ecce 68 Cleanin
38. l in each frequency range P Interference may occur in the vicinity of equipment marked with the following symbol o Note 1 Uris the mains alternating current before application of the test level Note 2 At 80 MHz and 800 MHz the higher frequency range is essential Note3 These guidelines may not apply in all situations Electromagnetic propaga tion is affected by absorption and reflection from structures objects and people a The field strengths from fixed transmitters such as base stations for radio cellu lar cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an elec tromagnetic site survey should be considered If the measured field strength out side the location in which the TREND II is used exceeds the compliance level the TREND Il should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relo cating the TREND Il b Over the frequency range from 150 kHz to 80 MHz the field strength should be lower than 10 V m Manufacturer s declaration on electromagnetic compatibility 81 Recommended separation distances between portable and mobile RF communication equipment and the TREND II The TREND II is intended for use in an electromagnetic environment in which
39. levels A higher level for inspi ration and a lower level for expiration Trigger device The respiration trigger detects the patients efforts to breath in and out and sig nals these efforts to the control device A volume based trigger can be set for inspiration and a flow based trigger for expiration In conjunction with an opti mum slope adjustment this results in a therapy which is very comfortable for the patient and which gives the impression as if the device is following the nat ural respiration without any delay NOTICE During the expiration phase a negative pressure vacuum will not be created CPAP mode The device provides continuous positive pressure for the therapy S mode Spontaneous trigger the change from one pressure level to another is triggered by starting respiration of the patient only When the inspiration flow ends the pressure drops to the lower level set In addition a backup frequency Backup freq can be activated so that in the event of apnea the patient continues to be ventilated with fixed parameters Description of device 21 TREND II BILEVEL ST20 AND ST30 The device has two different adjustable pressure levels A higher level for inspi ration and a lower level for expiration Trigger device The respiration trigger detects the patients efforts to breath in and out and sig nals these efforts to the control device A volume based trigger can be set for inspiration and a flow based t
40. liance level 100 96 dip in U for 0 5 cycle 60 96 dip in Ur for 5 cycles 30 96 dip in Ur for 25 cycles 100 96 dip in U for5s 3 A m 3V Electromagnetic environment guidance Mains power qual ity should be that of a typical commercial or hospital environ ment If the user of the TREND II requires con tinued operation during power mains interrup tion it is recommended that the TREND II is powered from an unin terrupted power supply UPS or a battery Power frequency mag netic fields should be at levels characteristic of a typical location in a typi cal commercial or hos pital environment Portable and mobile communications equip ment should be used no closer to any part of the TREND II including cables than the recom mended separation dis tance calculated from the equation applicable to the frequency of the transmitter Recommended safety distance d 1 17 VP Guidance and manufacturer s declaration electromagnetic immunity Radiated RF acc E 238 V m to 80 MHz IEC 61000 4 3 2 5 GHz 3 V m d 1 17 VP for 800 MHz to 800 MHz d 2 33 VP for 800 MHz to 2 5 GHz with P as the rated maximum output power of the transmitter in watts W according to the transmitter s manufac turer and d as the recommended safety distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey 8 should be less than the com pliance leve
41. lope Frequency l Pres lt 28 hPa P addit l Pres lt 30 hPa l Pres 28 hPa VT min 200 ml Tl max O0 1s Tl min 0 1s 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 1 Level 1 Level 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa onis 0 1s 1 Level 1 Level 1 bpm 1 bpm oiis ONES 1s HS 100 ml x 2096 0 5 hPa 0 5 hPa onis 0 1s O 1s ONES 1 min 1 min 0 5 hPa 0 5 hPa SIS 1s Device functions 57 Settings range Dependency Settings steps Low MV OFF 2 101 min 0 5l min 0 5 l min 4 Apnea OFF 5 30s Backup freq OFF ie 1s Display Vt ON OFF Brightness 0 100 10 Language DEU ENG ELL SPA FRA ITA 2 o o NLD TUR PLK POR P Unit hPa mbar cmH2O 1 TREND Il BILEVEL ST30 58 Device functions ALARM FUNCTIONS OF THE DEVICE POWER FAILURE If a power failure at night would go unnoticed as a result the patient would breathe used air from the therapy tube all night To avoid this the device is equipped with an alarm mechanism that warns you if power or a fuse fail at night You will be woken up with an acoustic signal so you can take the mask off your face and breathe fresh air The alarm is turned off by pushing the on off key After power supply is re established the motor starts automatically and the display will show the following message Power Failure Restart Turt Checking the power failure function
42. mbol denotes hazardous situations that may lead to moderately severe injuries NOTICE This symbol denotes situations that may lead to material damage or dam age to the device IMPORTANT This symbol denotes information tips and instructions for the efficient error free use of the device General 9 SAFETY INFORMATION GENERAL SAFETY INSTRUCTIONS The device must only be used for your own CPAP therapy which is prescribed by the physician Use only accessories and spare parts tested and approved by the manufacturer For operation and usage of the device at home a respi ratory mask specially adapted for the individual patient is required in addition to the therapy device with power cable and therapy tubing system Only use masks that have been prescribed for your treatment by a physician Only use the mask together with a respiratory therapy device and when the device is switched on Unless specified otherwise the mask and therapy tube must only be used by one patient Only use the mask after instruction by a qualified medical person and clarify in particular the intake of medicines and possible contraindications and side effects associated with the use of the mask If you are using oxygen with the CPAP therapy observe the fire protection and safety regulations for using oxygen Do not wear the mask if the therapy device is switched off because this could lead to breathing in air that has already been exhaled Observ
43. min is the minimum inspiration time By setting of TI min a minimum dura tion of the inspiration is guaranteed Breathing out before expire the set TI min is not possible To set the minimum inspiration time first go to the Clinic menu Then select TI mim using the programming keys A and W and press the enter key lt You will now be requested to enter the PIN The first digit will flash Use the pro gramming keys A and to enter the first digit of the PIN After pressing the enter key 4 the second digit will flash Use the programming keys A and V to enter the second digit of the PIN etc After the last digit of the PIN you can use the programming keys A and to enter the minimum inspiration time Con firm the selected value using the enter key lt The TI max parameter is set next TI max only in modes S and ST in TREND II BILEVEL ST20 and ST30 PTL max 3 95 Exit Men TI max is the maximum inspiration time By setting of TI max a maximum dura tion of the inspiration is defined After expiration of TI max the inspiration will be interrupted and the expiration begins First set TI min Then set the desired value using the programming keys A and V To confirm press the enter key lt Device functions 55 Low MV only in modes S T and ST in TREND Il BILEVEL ST30 t Low MW RT Exit Menu Here you can set whether the device gives an alarm if the respiratory minute volume falls below the set value To
44. n 188 l min 23 5 hPa 181 l min 174V min 30hPa 175l min 158 l min Operating 5 C 32 C temperature Ambient temperatures up to 40 C does not harm the device function at all Storage Transport 20 C 470 C temperature Therapy air heating ZB IK depending on the heating level and the ambient conditions Relative humidity Ambient air pressure range Storage Transport Operation Filter Therapy tube connection Product class according to 93 42 EEC Classification according to EN 60601 1 15 95 96 for operation and storage 1060 hPa 265 hPa approx 400 m 10000 m 1060 hPa 800 hPa approx 400 m 2000 m Polyurethane foam on polyester base 80 ppi 30 kg m 22 mm cone gem ISO 5356 1 lla Protection class With increasing altitude the air flow rate decreases Technical data 77 Therapy parameter factory settings Mode Press P Start P Min P Max FLEX E FLEX Mask Pres E Pres Slope E Slope Trigger I Trigger E Trigger Frequency IHE Delay Time Backup freq VT min TI min TI max BILEVEL BILEVEL BILEVEL IPS ST30 Device type CPAP 0 FLEX APAP S 6 0 hPa gt gt 6 0 hPa 4 0 hPa 10 0 hPa 2 2 2 2 gt Nose o 10 0 hPa 6 0 hPa gt gt 0 3s gt 0 3s 2 one 2 Pee ds OFF ST 10 0hPa 6 0 hPa 0 3s 0 3s ST 10 0 hPa 6 0 hPa 0 3s 0 3s Alarm parameter facto
45. nly as high as necessary and as low as possible The device can recognize the following respiratory events Obstructive apnea Hypopnea Central apnea Snoring Normal respiration Increased airway resistance The identification of the different respiratory events is achieved via 3 channels 1 Measurement of any constriction of the respiratory tract 2 Detection of flow limitations by measuring the flow 3 Detection of snoring with the help of sound detection The combined analysis of all results facilitates a very precise differentiation between obstructive and central events The device adjusts the therapy pressure according to the detected events as described below e Increase of pressure for obstructive events e Decrease of pressure for central events and normal respiration In addition the pressure increase can be adjusted in 5 levels according to spe cial requirements and to the individual patient comfort These settings are per formed by the physician with the help of the PC software TRENDset The TREND Il AUTO offers a CPAP APAP and FLEX mode For APAP and FLEX mode a pressure increase for inspiration and a pressure decrease for expiration can be set Both pressure increase and decrease are following the individual 20 Description of device respiration flow proportionately This intelligent method of pressure adjustment facilitates a careful therapy TREND II BILEVEL The device has two different adjustable pressure
46. on the TREND II has an internal switching power supply with a wide input range of 100 240 V alternating current AC 50 60 Hz Thus it is possible to connect it to an energy supply anywhere in the world DC vehicle cable For mobile use of the TREND Il e g in a truck or a caravan it is possible to operate it with a 24 V direct current DC For this you will need the optionally available DC vehicle cable AWARNING Only use the optional DC vehicle cable to connect the device to a DC power supply and do not connect the device to a PC while it is being used Description of device 19 TREND II CPAP The CPAP device is a therapy device for treating obstructive sleep apnea For this purpose the device provides a continuous positive air pressure Apart from the conventional CPAP mode the device offers a proportional increase in pres sure in the FLEX mode to the individual breath flow during inspiration and a pressure drop during the expiration This intelligent method of pressure adjust ment makes a careful therapy possible TREND Il AUTO Within a certain pressure range the device automatically controls the therapy pressure depending on the occurrence of respiratory events APAP Adaptive Positive Airway Pressure In sleep phases with no events the therapy pressure is lowered Starting obstructive events are treated effectively with a slight pres sure increase For a high therapy comfort the therapy pressure should always be o
47. ond then select Mask Test with the programming keys A and V Press the enter key Now select the desired time using the pro gramming keys A and V Press 4 to confirm Device functions 39 CPAP FLEX and APAP AE The pressure is gradually hPa increased up to the Mask Test therapeutic pressure l O d l 7 o V ur 4 s i Und Li l I 4 j Time 1 1 o 20 40 eo ml Programmed soft start time Ramp 0 60 minutes BILEVEL S ST and T Rudd The pressures are gradually hPa increased up to the Mask Test therapeutic pressures 10 Pressure E Pressure Time min 0 20 40 60 Programmed soft start time ramp 0 60 minutes 40 Device functions Auto The automatic mode provides three settings OFF Start Stop Start 1 Auto OFF with mask alarm Eta M OFF Exit Menu If you set Auto OFF the device must be turned on in the evening and turned off in the morning with the on off key If the mask slips off your face or a leak occurs while you are asleep a visual and audible warning is emit ted mask alarm Mask Alarm Check Mask 2 Auto Start Stop Auto Start Stop Exit Menu If you set Auto Start Stop you must simply put the mask on your face Put on Mask e3 Has 1l1 22 15 Once you start breathing the turbine of the device is turned on If you take the mask off the turbine is automatically turned off after a delay time of 5 seconds
48. ost To hide an error message press the enter key lt NOTICE If error messages occur frequently we recommend that the device is examined by a service technician IMPORTANT If you carry out the therapy without recording the therapy data we rec ommend not using an SD card in the device in order to avoid unneces sary error messages 64 Using an SD card The following table shows all error codes that can occur in connection with the use of the SD card Eror code Meaning T Remeay TI E00 E01 E02 E03 E04 E05 E06 WOO WO05 06 Writing data has failed Possible causes are power failure removal of card during writing or a faulty SD card The SD card is faulty File system or folder structure is faulty or cannot be read New files cannot be created or the SD card is full The device cannot adopt the ther apy data The SD card was removed The SD card has fallen out of the card slot The SD card or the device is faulty The device is attempting to repair the SD card But you have inserted a new SD card into the device see error code E05 E06 The SD card is probably faulty Remove the SD card and then insert it into the device again If the error continues to occur send the card back to the physician Obtain a new SD card from your physician or specialist dealer The SD card must be formatted by the physician using TRENDset The SD card must be formatted by the physician
49. ot use any other agents 3 Rinse the therapy tube thoroughly with clear water Let the therapy tube dry completely in the air 5 After cleaning remove both of the tube plugs from the measuring tube 5 NOTICE If water should stay in the measuring tube it could adulterate the pres sure measuring or delay the control Both could affect an optimal therapy Changing the filter cassette cleaning 69 CLEANING THE DEVICE For reasons of hygiene the device should be cleaned weekly 1 Unplug the power plug 2 Wipe the device with a cloth slightly dampened with soapy water 3 Rub the device dry with a cloth IMPORTANT Chemical or thermal disinfecting of the device or the device parts by the user is not necessary CLEANING THE HEAD GEAR Clean the head gear as required 1 Disconnect the head gear from the mask 2 Clean the head gear as described in the head gear manufacturer s User s manual CLEANING THE HUMIDIFIER AWARNING When using a humidifier the cleaning instructions in the user s manual must be observed 70 Changing the filter cassette cleaning TROUBLESHOOTING Pain in the nose the para nasal sinuses or the ears Feeling that the pressure is too high Dryness and irritation in the nose and throat Original symptoms of sleep apnea come back Irritated or dry eyes Cold nose Runny nose sneezing Reddening of the skin in the mask area skin swelling Feeling that the air i
50. rigger for expiration In conjunction with an opti mum slope adjustment this results in a therapy which is very comfortable for the patient and which gives the impression as if the device is following the nat ural respiration without any delay The modes CPAP S ST and T are integrated in the device CPAP mode The device provides continuous positive pressure for the therapy S mode Spontaneous trigger the change from one pressure level to another is triggered by starting respiration of the patient only When the inspiration flow ends the pressure drops to the lower level set In addition a backup frequency Backup freq can be activated so that in the event of apnea the patient continues to be ventilated with fixed parameters ST mode Spontaneous breathing and Timed as long as the patient is breathing spon taneously the device is operating in the S mode If the patient stops breath ing the device automatically switches to the T mode and ventilates the patient with the set frequency The delay time after which the device switches into the T mode is adjustable T mode Timed respiration with prescribed set inspiration time If the trigger function is deactivated the patient is ventilated according to the set parameters If the trig ger function is activated the device accepts only spontaneous trigger signals in the expiration phase NOTICE During the expiration phase a negative pressure vacuum will not be created
51. ry settings TREND II BILEVEL ST30 Low MV Apnea OFF OFF Comfort parameter factory settings for all device types Ramp Mask Test Auto Display Vt Brightness P Unit O min Os OFF OFF 50 96 hPa CE marking as per EC directive 93 42 EEC The manufacturer reserves the right to make technical changes without notice 78 Technical data MANUFACTURER S DECLARATION ON ELECTROMAGNETIC COMPATIBILITY Guidance and manufacturer s declaration electromagnetic emissions The TREND II is intended for use in the electromagnetic environment specified below The user of the TREND II should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions acc to Group 1 The TREND II uses RF energy only for its CISPR 16 1 2 internal function Therefore RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions acc to Class B The TREND II is suitable for use in all estab CISPR 16 1 2 lishments including those directly connected Harmonic emissons Class A to the public low voltage power supply net acc to IEC 61000 3 2 work that supplies buildings used for domes tic purposes Voltage fluctuations Complies flicker emissions acc to IEC 61000 3 3 Guidance and manufacturer s declaration electromagnetic immunity The TREND II is intended for use in the electromagnetic environment specified below The
52. s E Pres Slope E Slope Trigger 2 2 S s l Tigger Re E Trigger Frequency 4 e I E 4 Delay Time z Backup freq VT min Ag 5 ae P addit Tl min i e3 o8 TI max Ramp lt P Ramp Mask Test e Auto e e e e Display Vt AA AAA 44 Device functions CPAP FLEX APAP puc te BILEVEL gium Parameter ST Low MV Apnea 4 Brightness o e Language e e P Unit e e e e e e Turbine Filter 4 E k Therapy 4 Standby Delete Filter e e e e e Date e e e e e e Time e e e e e e Wake Time e e e e e e lt Next parameter is displayed by pressing the enter key a afr why To prevent incorrect parameters being entered it is necessary to enter a PIN This PIN is known to your physician and specialist dealer E Trigger not in T mode I Trigger only if trigger is ON only TREND II BILEVEL ST20 and ST30 Apnea only in mode S if Backup frequency is OFF only TREND II BILEVEL ST30 Device functions 45 THERAPY RELEVANT PARAMETERS AND THEIR MEANING Mode Kode Biley 5T Exit Menu The devices can be operated in different modes The following table shows which modes are available for your device CPAP FLEX APAP arias BILEVEL raed Device type ST TREND I CPAP TREND I AUTO e e e 3 z TREND II BILEVEL e z z TREND II BILEVEL ST20 e e e TREND II BILEVEL ST
53. s extensions calibration repairs and mainte nance are carried out by persons not authorized by us e other manufacturers accessories and spare parts are used that have not been approved by us for use on the product e the product is used other than as described in the user s manual or e the hygiene and cleaning instructions described in the user s manual have not been complied with Statutory guarantee rights remain unaffected by this Disclaimer 83
54. s not a life supporting system The therapy pressure is administered via a respiratory mask which must be fit ted with an exhalation valve to ensure that the exhaled air is discharged NOTICE If an AquaTREND uni humidifier is connected to the device the water in the humidifier must not contain any additives such as medicines salts aromatic oils or other substances CONTRAINDICATIONS A WARNING Respiratory therapy may be contraindicated for certain pre existing con ditions Therefore always talk to the physician treating you before start ing the therapy Pre existing conditions include bullous lung diseases pneumothorax very low blood pressure pneumocephalus after open craniocerebral injury or other head injuries In the event of inflammation of the paranasal sinuses or a middle ear infection it should be checked whether the therapy can continue Please speak to your physician about this 14 Safety information SIDE EFFECTS There is the possibility of undesirable side effects occurring with respiratory therapy Reasons for side effects occurring could be unsuitable therapy set tings not using the device properly or not following the cleaning instructions Normally the side effects disappear when the causes have been eliminated You will find suitable counter measures for some side effects in the section Troubleshooting on page 71 The following side effects may occur during therapy Pain in the
55. s too hot Inflammation of the para nasal sinuses or the middle ear Malaise with prescribed high pressure values Acclimatisation phase to the pressure not yet completed Air is too dry Physical condition or life circumstances have changed Device error Air escapes between the mask and the skin of the face Room temperature too low Reaction to the air flow Normal cold Incorrect mask size Headgear too tight Allergic reaction Filter dirty Air inlet blocked Heater close to the device Stop the treatment and contact your physician If you suspect an error please ask your physician for help Try to relax Use or vary the soft start function Device probably does not have an air humidi fier Speak to your physi cian about retrofitting an humidifier Inform your physician Have the device checked by customer services Check the mask for proper positioning Check the positioning of the mask Replace the mask if the material has become chapped Either increase the humid ity in the room or the tem perature of the humidifier Contact your physician Inform your physician Loosen the headgear Inform your physician Change the filter cassette Change the position of the device Keep the air inlet clear Move the device and the heater further apart Troubleshooting 71 No air flow Very little air flow Blower is running constantly at maximum Speed Therapy pressure not stea
56. set the alarm parameter Low MV first go to the Clinic menu Then set the desired value using the programming keys A and W To confirm press the enter key lt If the device is in S mode and the Backup frequency is set to OFF the apnea parameter is set next Apnea only in mode S in TREND Il BILEVEL ST30 if backup freq OFF BHpnaea zs Exit Menu Here you can set whether the device gives an alarm if an apnea occurs which lasts longer than the set value First set the alarm parameter Low MV Then set the desired value using the programming keys A and VW To confirm press the enter key lt 56 Device functions PARAMETER SETTINGS Settings range Dependency Settings steps Press 4 20 30 hPa P Start 4 20 hPa P Min 4 20 hPa P Max 4 20 hPa FLEX 0 3 E FLEX 0 3 Nose Nose Mask Mouth Pres E Pres 20 30 hPa E Pres 4 hPa I Pres I Slope 0 0 1 0s E Slope 0 0 1 0s Trigger 138 E Trigger 1 3 Frequency 5 30bpm HE 0 4 8 0s Delay Time O 20s Backup freq ON OFF VT min OFF 200 1500 ml P addit 1 1 10hPa TI min OFF 0 1s Tl max 0 1 s TI max OFF 0 1s 4 0s Ramp 0 60 min P Ramp 4 hPa E Pres APAP 4 hPa P Start CPAP FLEX 4 hPa Press Mask Test 0 90s Auto OFF Start Stop Start gt P Min lt P Max lt P Start z P Start lt E Pres 20 30 hPa gt 4hPa lt I Pres I Pres E Pres lt EE I Pres E Pres I Slope E S
57. sible There are two separate tubings in the device Blower One is for respiratory air and one is for the con vection air required for cooling the electronics The device contains a built in microcontroller Pressure which controls all of its functions sensor A quartz alarm clock further adds to the com fort when using the device Further comfort functions include a soft start ramp the auto matic start stop function and the adjustable display brightness While passing through the device the air is heated a little so that it has Connector Air outlet a higher water absorbency When indoor air measuring is dry in winter the mucous membranes in tube mouth and nose may become particularly dry This is unpleasant and may even cause infections in exceptional cases For that reason a therapy might require air humidification AquaTREND uni a clip on humidifier is available as accessory for all TREND II devices If necessary just click the humidifier onto the device Remove it by pressing its release button The heater levels are set in the heater menu The selected heater level is dis played as in the display of the device while the humidifier heating is switched on Press ON OFF Heat f 1945 For more information please see your AquaTREND uni Users manual or con tact your specialized dealer 18 Description of device POWER SUPPLY Internal switched mode power supply For mains operati
58. sing the programming keys A and VW Press the enter key lt again to accept the set date Time KTima 1 Exit Menu Use this menu item to set the time To set the time first go to the Patient menu hold down the enter key lt for approx 1 second Then select Time using the programming keys A and V After pressing the enter key lt the hour will flash and can be set using the pro gramming keys A and After pressing the enter key again the minutes will flash and can be set using the programming keys A and V Press the enter key 4 again to accept the set time With its built in battery the internal clock has a reserve power of 8 years with out connection to the external power supply Device functions 43 CLINIC MENU In addition to the parameters in the Clinic Menu in the Clinic Menu parameters relevant for the therapy can be set This menu is used only by health and ser vice professionals Some parameters are protected by a PIN code in order to prevent incorrect parameters being entered ACAUTION Please do not try to find out the PIN If you are in doubt as to whether the set parameters are correct please consult your physician The following table shows which parameters can be set in the Clinic menu depending on the device type ns ere La 7 we me SEE ER ET Parameter S ST T Mode e e e e e e Press P Start P Min P Max I FLEX 4 E FLEX Mask e Pre
59. t Afterwards you can set E FLEX using the programming keys A and W Confirm the selected level by pressing the enter key lt IMPORTANT By setting E FLEX to 1 3 the value for P Min can be undercut during therapy I Pres only in modes S T and ST Pressure during inspiration Pres IB BhPa EN To set the I Pressure first go to the Clinic menu Then select I Press using the programming keys A and V Press the enter key Now the device will prompt you to enter the PIN The first digit is flashing Enter the first digit of the PIN with the help of the programming keys A and V After pressing the enter key 4 the second digit will flash Enter the second digit of the PIN with the help of the programming keys A and V and proceed as described for the first digit Enter the third digit accordingly After entering the last digit of the PIN you can set the pressure using the programming keys A and V Then confirm the selected pressure by pressing the enter key lt Next the parameter E Pressure is set E Pres only in modes S T and ST Pressure during expiration AER res 5 BhPa Exit Menu First set the I Pressure Then set the desired pressure using the programming keys A and V Press enter key lt to confirm Next the parameter I Slope is set Device functions 49 I Slope only in modes S T and ST Time of pressure increase from E Pressure to Pressure pressure increase rate K 51laoPe
60. the SD card damaged 62 Using an SD card WHAT IS SAVED ON THE SD CARD The last 100 events are saved on the SD card Events are changes of param eters such as therapy settings resetting counters e 9 filter counters etc The parameters are saved with the date and time they were changed as well as the old and new value All alarms that occurred are also saved with date and time The SD card can only be read using the TRENDset PC software The following therapy related events are also saved on the SD card Device type CPAP APAP BILEVEL BILEVEL BILEVEL Parameter ST20 ST30 e e e e Pressure Respiratory Flow e e e Average System Flow 3 f Leakage Flow Hyperventilation e e e e e Leakage o e e e e Mode e e e e e Frequency e e e e Relative Respiratory i i i Tidal Volume Central Sleep Apnea e 2 E Obstruktive Sleep Apnea e z Mixed Sleep Apnea e 5 Hypopnea e e 5 Apnea e e e e Airway Constriction e z E Snoring e z E 2 General Artifact e z 3 E Adjustment o e e e e Mouth Exhalation e z E B Tidal Volume e e e e Apnea alarm 5 2 e Low MV 2 2 A 3 6 Using an SD card 63 ERROR MESSAGES Two different types of error are distinguished errors with data loss and errors without data loss Press ON OFF SD Erraor EHZ The display Exx denotes errors in which data may have been lost The display Wxx denotes errors in which no data has been l
61. the device near water containers baths Safety information 11 INSTALLATION REQUIREMENTS AND TRANSPORT 12 Place the device near the bed Ideally a firm level surface on your bedside cabinet is suitable Never put the device on a cupboard shelf or under the bed Do not put the device with its back to a wall Ensure that the air inlet is not covered Ensure that the device is in a horizontal position especially if it is connected to a humidifier Ensure that the air can circulate properly round the device Air circulation particularly under and behind the device must not be obstructed by furniture curtains or cushions Place the device in such a way that the mains plug is easily accessible so that it can be unplugged quickly in the event of a hazard Do not put the device close to a source of heat Place the device and accessories in such a position that they are not exposed to direct sunlight The device must never be put near other devices or equip ment such as defibrillators diathermy units mobile phones microwaves remote controlled toys etc Electromagnetic fields that exceed 3 V m may adversely affect the operation of the TREND II When used as a mobile unit it must also be placed on a level firm surface that has a raised edge so that the device cannot fall During mobile use of the device only operate it when the vehicle is stationary Safety information INSTRUCTIONS BEFORE COMMISSIONIN
62. tion pressure I Slope only in modes S T and ST Shows the selected inspiration slope E Slope only in modes S T and ST Shows the selected expiration slope Trigger only in mode T Shows if the inspiration trigger is activated or not Trigger only in modes S T and ST Shows the selected inspiration trigger threshold E Trigger only in modes S and ST Shows the selected expiration trigger threshold Device functions 33 kFreauencs izbrm Exit Menu Delas Time 35 Exit Menu Backup Frea 0N Exit Men KP addit 5 E Exit Menu rT Exit Menu PT max Exit Menu t Loy FU Exit Menu Exit Menu 34 Device functions Frequency only in modes T and ST Shows the selected number of breaths per min ute Delay Time only in mode ST Shows the delay for switching from S mode to T mode Backup freq only in mode S in TREND II BILE VEL BILEVEL ST20 and ST30 Shows whether the backup frequency is Switched on or not LE only in modes T and ST Shows the inspiration duration and the ratio of inspiration to expiration VT min only ST30 in mode ST Shows the target volume per breath P addit only ST30 in mode ST Shows the pressure that is added in order to reach the target volume TI min only ST30 in modes S and ST Shows the minimum inspiration time TI max only ST30 in modes S and ST Shows the maximum inspiration time Low MV only ST30 in modes S
63. ume is to safeguard the respiratory volume per breath during pressure controlled ventilation To set the target volume first go to the Clinic menu Then select T rnin using the programming keys A and WV You will now be requested to enter the PIN The first digit will flash Use the programming keys A and V to enter the first digit of the PIN After pressing the enter key lt the second digit will flash Use the programming keys A and V to enter the second digit of the PIN etc After the last digit of the PIN you can use the programming keys A and V to set the target volume Confirm the selected target volume using the enter key The parameter P addit is set next 54 Device functions P addit only in modes S T and ST in TREND Il BILEVEL ST30 KP addit 35 8hPa Exit Menu To reach the target volume an additional pressure P addit must be set The pressure is then increased until the target volume is reached but no further than the additional pressure set Once the target volume has been reached the additional pressure is decreased again The additional pressure is limited to 2hPa per breath If the I Pressure is set to gt 28 hPa then the target volume is automatically set to OFF P addit can then no longer be selected First set the VT min Then set the desired value using programming keys A and V To confirm press the enter key lt TI min only in modes S and ST in TREND Il BILEVEL ST20 and ST30 TI
64. using TRENDset The SD card must be returned to the physician to check the therapy Insert the SD card again If this occurs frequently the device should be examined by a service technician Change SD card If this occurs fre quently the device should be exam ined by a service technician Confirm with key The old SD card is defective Continue to use the new SD card see error code E05 E06 Using an SD card 65 IMPORTANT DISPLAY MESSAGES The sections below describe the most important display messages All further messages will be clear from their context 66 2 BhPa 18 45 Ill 5 HhPa Slumber HIT MISSE Wake Alarm OFF s ON OFF Clock OFF Put on Mask z9 HMas 11 Important display messages You have 45 sec left for seating the mask properly Once this time has elapsed the device starts with the soft start function or the therapy There will be 10 min and 45 sec left until the full therapy pressure is reached You have activated the display of the respiratory volume and the wake up alarm The mask has slipped off your face or you failed to put the mask on your face while the automatic mode was turned off and the blower was running You pressed the programming key A during oper ation There will be a message that you will be wakened at 07 00 o clock There will be 1 min and 18 sec left until the alarm clock will awake you again The wake alarm has been initiated Press the on o
65. y HOFFRICHTER SD cards can be used These has to be formatted by TRENDset see page 75 INSERTING THE SD CARD 1 If connected disconnect the humidifier from the device 2 Ensure that the device is in standby mode 3 Carefully lift the device 4 Insert the SD card into the SD card slot A SCA 5 The device initializes and the message Do not remove the SD card is shown on the display Do not remove the 50 card The time required for initialization depends on the device settings NOTICE On no account remove the SD card during initialization This could lead to loss of data or damage to the SD card Using an SD card 61 6 After initialization the message disappears If the SD card contains new therapy parameters these parameters are adopted by the device and the message New Parameters were accepted is displayed New Parame Were ee el 7 By pressing the enter key 4 or after 10s the message will be disappear IMPORTANT After the takeover of the parameters enter the Info Menu and com pare the displayed parameters with the values of your prescription REMOVING THE SD CARD If connected disconnect the humidifier from the device Ensure that the device is in standby mode Carefully lift the device Carefully push the SD card into the card slot and remove the SD card NOTICE pomi Only remove the SD card in standby mode see page 25 Otherwise data may be lost or
66. ys A and W and press the enter key lt to set the desired setting ON or OFF IMPORTANT The display of the tidal volume during the therapy replaces the display of the date The alarm clock is still active Brightness Brishtn Exit Menu In this menu item you can set the brightness of the display To set the brightness of the display first go to the Patient menu hold down the enter key lt for approx 1 second Then select Brightness using the programming keys A and VW After pressing the enter key lt the currently set brightness will flash and can then be adjusted using the programming keys A and in intervals of 1096 Press enter key lt for accepting the selected brightness If no key is pressed for 30 seconds the device will reset the bright ness to the old value After pressing any key the brightness of the display will automatically switch to 100 96 for better visibility 42 Device functions Date Mate 25 May 11 Exit Menu Use this menu item to set the date To set the date first go to the Patient menu hold down the enter key lt for approx 1 second Then select Date using the programming keys A and V After using the enter key lt the year will flash and can be set using the program ming keys A and VW After using the enter key lt again the month will flash and can be set using the programming keys A and After using the enter key lt again the day will flash and can be set u

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