BiPAP Synchrony User Guide
Contents
1. 10 Specifications ENVIRONMENTAL N f i S Humidity 15 to 95 Relative 15 to 95 Relative n non condensing non condensing Atmospheric Pressure 83 kPa to 102 kPa 50 kPa to 106 kPa 5600 feet to sea level 20000 feet to sea level at standard pressure at standard pressure PHYSICAL Dimensions 12 Lx7 Wx6 H Weight Approximately 6 lb ELECTRICAL AC Voltage 100 to 240 V 50 60 Hz DC Voltage 12 V AC Current 1 25 A maximum BiPAP Synchrony User Guide DC Current 5 5 A maximum Protection against electric shock Class II Degree of protection against electric shock Type BF Applied Part Degree of protection against harmful ingress of water Ordinary Equipment IPX0 Specifications Modes of Operation Continuous Electromagnetic Compatibility The BiPAP Synchrony Ventilatory Support System meets the requirements of EN 60601 1 2 Fuses There are no user replaceable fuses PRESSURE Outlet 4 to 30 cm H O BiPAP Synchrony User Guide 2 CONTROL ACCURACY suoneoyioeads ar To Sen HO CPAP 4t020cmHO s EO 0 to 30 BPM PC and S T E of 1 BPM or 10 of ek when ea ee ment aero Ventilation Ramp Disabled 0 5 1 0 2 0 3 0 cm H O per breath 0 1 0 25 of setting cm H O breath Measured over the full duration of the programmed ramp Measured at the patient end of circuit with a Whisper Swivel II exhalation port and no flow Dynamic pressure accuracy is 5 cm H O measur2. e an exhalation port to vent exhaled air from the circuit NOTE The exhalation port may be part of the mask or may be part of a separate exhalation device The system senses your breathing effort and changes pressure levels when you inhale and exhale depending on the mode of operation The Synchrony can operate on AC or DC power The DC power option is not intended as a battery backup When DC power is obtained from a vehicle battery the Syn chrony should not be used while the engine of the vehicle is running Figure 2 2 The Synchrony Exhalation Ports one port on each side of elbow Patient Interface Ep m Typical on By ee Exhalation Device Typical Circuit _______ Tubing SS SN Circuit with Mask with Integrated Exhalation Ports Circuit with Separate Exhalation Device Figure 2 3 Typical Breathing Circuits BiPAP Synchrony User Guide i Symbol Meaning AC Power Indicator Symbols The symbols shown at right are used on the Synchrony and throughout this manual DC Power Indicator How to Contact Respironics i A arm Indicator To have your unit serviced contact your home care provider If you need to contact Respironics directly call 1 800 345 6443 or use the following address Type BF Applied Part Class Il for Protection Against Electric Shock Attention consult accompanying documents Standby Key Start Stop RESPIRONICS Up Key
3. Check the headgear adjustment as described in the headgear instructions 2 Improper mask fitting Contact your home care provider for a refitting or a different size of mask SUID GOIg ASEN Significant air leakage around the 1 Improper headgear adjustment Check the headgear adjustment as mask described in the headgear instructions 2 Improper mask fitting Contact your home care provider for a refitting or a different size of mask Redness occurs when the mask 1 Improper mask fitting Contact your home care provider for cushion comes in contact with a refitting or a different size of mask the skin 2 Improper mask cleaning Be sure to thoroughly rinse after cleaning to remove residue See the mask cleaning instructions BiPAP Synchrony User Guide Redness occurs when the mask cushion mask accessory comes in contact with the skin Sore or dry eyes Runny nose 3 Irritation or allergic reaction to Use a barrier between your skin and mask material the mask such as 3M s Microfoam or Squibb s Duoderm 1 Mask not positioned properly Check the headgear adjustment as described in the headgear instructions 2 Improper mask fitting Contact your home care provider for a refitting or a different size of mask Nasal reaction to air flow Call your doctor BiPAP Synchrony User Guide W g Mask Problems Throat or nose dryness 1 Air is too dry 1 Increase the room humidity 2 Consul
4. Expiratory Positive Airway Pressure when you exhale The higher pressure makes it easier to inhale and the lower pressure makes it easier for you to exhale The Synchrony can also provide a single pressure level known as CPAP Continuous Positive Airway Pressure If you require a higher level of ventilatory support the Synchrony can be upgraded to provide modes of ventilation that reinforce your breathing with machine triggered breaths NOTE Throughout this manual you will see the symbol smo When you see this symbol it means that the feature being discussed is only available with the Synchrony S T upgrade package Your Synchrony may or may not be provided with this upgrade Contact your home care provider for details The Synchrony Provides Two Levels of Ventilation IPAP Pressure EPAP Pressure E Rise Time Time Figure 2 1 BiPAP Breathing Levels You can adjust the Rise Time to make the pressure change more comfortable See page 27 BiPAP Synchrony User Guide Introduction 14 Introduction What is the Synchrony The Synchrony shown in Figure 2 2 supplies air pressure through a breathing circuit The circuit shown in Figure 2 3 consists of e circuit tubing to deliver the air from the Synchrony to your interface e g mask e a mask or other interface to deliver the prescribed pressure to your nose or nose and mouth depending on which interface has been prescribed for you
5. 1 00 10 0 HOURS Figure 9 2 Self Test Screen Dial Provider Figure 9 3 Dial Provider Screen BiPAP Synchrony User Guide Step 5 The SENDING REPORT screen appears as shown in Figure 9 4 The STATUS changes from Dialing to Connected to Complete under normal circumstances If you press when ABORT is displayed in the SENDING REPORT screen the call will stop and the STATUS line will go to STATUS Complete STEP 6 When the data has been sent the STATUS line will change to Complete and the ABORT line will change to EXIT as shown in Figure 9 5 STEP 7 Press to EXIT the SENDING REPORT screen and return to the Dial Provider screen Figure 9 3 Press again to return to the self test screen If a problem occurs while attempting to send the data the STATUS line will tell you what the problem is See the following table for a list of the possible STATUS messages and what you can do ENDING REPORT STATUS Dialing mA Figure 9 4 Sending Report Screen ENDING REPORT STATUS Complete Pe EXIT Figure 9 5 Call Complete NOTE If it is convenient you may leave the Synchrony connected to the telephone outlet It will not interfere with your telephone BiPAP Synchrony User Guide Using Optional Modem STATUS Possible Message Cause What to Do No Modem Modem is not installed Call your home care provider properly No Dial Tone A phone
6. CPAP Monitoring Screen The S S T PC and T mode Monitoring screen is shown in Figure 4 10 A 1 2y cm H20 cm H20 BPM Figure 4 10 S S T PC and T Mode Monitoring Screen For the S T PC and T modes S is replaced with S T PC or all Bhs Note the indicator next to IPAP It indicates the pressure is currently at the IPAP level It will move from IPAP to EPAP as the pressure changes Another indicator will appear next to the RR if the Synchrony starts a breath The unit will start a breath only in the optional S T PC and T modes The upper right of the screen indicates that this is Page 1 of 2 and the indicator shows that the or key will move to Page 2 of 2 BiPAP Synchrony User Guide Dn vo lt P Sam Q N ON om fom S CONTROL SCREENS Q N S fa o Dn If the modem is being used you can press the key while in the Monitoring screen The Synchrony displays Page 2 of 2 called the Control screen In the CPAP mode the Control screen contains one option as shown in Figure 4 11 CONTROLS Provider PDial Figure 4 11 CPAP Control Screen The selected control is the Dial Provider command With this command selected when you press the Synchrony automatically dials your home care provider to send information about the Synchrony NOTE The word Provider may be replaced with the name of your
7. Panel 16 Controls and Indicators 17 Details 17 Control Screens S S T PC T Mode 28 Controls Control Keys 17 Down Key 17 Enter Key 17 Ramp Silence Key 17 Standby Key 17 Up Key 17 Corrective Actions Mask 38 Synchrony 37 CPAP Defined 11 Monitoring Screen 27 D Data Sending to Care Giver 46 DC cord retainer 20 DC Indicator 17 18 DC Inlet 20 DC Power 25 Definitions Apnea 11 CPAP 11 EPAP 11 High Priority Alarm 11 IPAP 11 Low Minute Ventilation 11 Low Priority Alarm 11 OSA 11 Pressure Control Mode 11 Ramp 11 Rise Time 11 Spontaneous Mode 11 Spontaneous Timed Mode 12 Timed Mode 12 Dialing with Modem 28 Display 17 Display Indicators 18 Activity 18 BiPAP Synchrony User Guide Index xapuy Navigation 19 Progress 19 Ramp 19 Selection 19 Down Key 17 E Electrical Specifications 50 Enter Key 17 Environmental Specifications 50 EPAP 13 Defined 11 Exhalation Port 23 Expiratory Positive Airway Pressure 13 F Filters Air Filter Cover 20 Bacteria Optional 22 Cleaning Replacing 42 43 Gray Pollen 21 Installing 21 Ultra Fine 21 G Gray Pollen Filter 21 H Handle 16 High Priority Alarm Defined 11 Humidifier Placement 22 Indicators 18 AC 17 18 Activity 18 DC 17 18 Display 18 Medium Low Priority Alarm 18 Navigation 19 Progress 19 Ramp 19 Selection 19 Inlet Filters Cleaning Replacing 42 43 Inspiratory Positive Airway Pressure 13 Installing the Air Filters 21 Intended Use 8 Int
8. is off the hook Press to exit check the telephone line connection Lift the receiver of or telephone line is your telephone to make sure that you have a dial tone not working Line Busy The caregiver s line is The unit will try to make the connection again after a slight delay Press in use if you wish to stop the redialing Your home care provider has set the modem to try several times before stopping Send Failed 1 If occurs shortly after 1 Press to exit contact your home care provider first try the Synchrony unit does not have a phone number entered into it 2 If occurs after many 2 Press to exit try again later Line Busy and Retry messages the Synchrony unit tried too many times with the line busy w poy puodo SuN Table 9 1 Problems with Calling the Home Care Provider BiPAP Synchrony User Guide Sending Data During Therapy 4 CONTROLS 2 2 STEP 1 Connect a telephone line to the Synchrony as shown in Figure 9 1 Dial Provider 2 STEP 2 Press The Synchrony displays the CONTROLS screen as shown in Figure 9 6 CPAP Controls oc S STEP 3 If the Dial Provider command is already CONTROLS S selected as shown by the indicator press eRise Time 3 8 a press to select the command then iad Pprocider bp press STEP 4 Follow Steps 5 to 7 on the page 45 S S T T PC Controls Figure 9 6 Controls Screens BiPAP Synchrony User Guide
9. may affect Synchrony perfor mance Regularly examine the inlet filters as needed for integrity and cleanliness Step 1 Verify that the Synchrony is not operating and disconnect the power cord from the wall outlet Step 2 As shown in Figure 7 1 remove the filter panel by pressing down on the top of the panel to release the tabs then swinging the panel out from the Synchrony s body Step 3 Remove the filters from the enclosure as shown in Figure 7 2 The top filter is the reusable gray foam filter The bottom filter is the optional disposable white ultra fine filter Step 4 Check the filters to see if they are dirty or torn Reusable Foam Filter Disposable Ultra fine s Filter Figure 7 2 Removing the Air Filters BiPAP Synchrony User Guide Step 5 If needed wash the foam filter in warm water and a mild detergent Rinse the filter thoroughly to remove all detergent residue Allow the filter to completely dry before reinstalling it If the foam filter is torn replace it Step 6 If the ultra fine filter is dirty or torn replace it Step 7 Reinstall the filters with the ultra fine filter on the bottom Slide the filters into the air inlet at the rear of the Synchrony and push them down into the recess Step 8 Replace the filter panel Contact your home care provider to order filters NOTE To clean the breathing circuit accessories refer to each accessory s instruction sheet BiPAP Synch
10. priority alarm Red UPGRADE BiPAP Synchrony User Guide Indicates the pressure is at the EPAP level MODE S IPAP 15 EPAP 9 RR 20 A 1 2y cm H20 cm H20 BPM Indicates an active alarm message aoe Patient Disconnect A 1 27 ndicates the current breath was started by the unit MODE S T EP IPAP 15 RR 20 A 1 47 cm H20 cm H20 BPM Selection Indicator This indicator appears next to an item that can be selected with the ENTER key The indicator is moved by pressing the UP Q or DOWN O key Indicates that Rise Time will be selected for change gparacis 2 2 Rise Time 3 Navigation Indicator This indicator next to a page number shows that the and keys can be used to change pages If it appears next to a value it flashes and shows that the UP and DOWN keys can be used to change the value Indicates that the page is scrolled with the UP and DOWN keys gt MODE S 1 28 IPAP 16 cm H20 EPAP 9 cm H20 RR 20 BPM Indicates that the Rise Time value can be changed CONTROLS J 2 2 Rise Time 34 sec Dial Provider Ramp Indicator 1 This indicator shows when Ventilation Ramp has been started by pressing the RAMP SILENCE C key Indicates that the Ventilation ramp has been initiated MODE S y 1 2 amp IPAP 16 cm H20 EPAP 9 cm H20 RR 20 BPM Progres
11. the Air Filters Where to Place the Synchrony D g D ya gt MN lt O a lt S z D oO Place the Synchrony on its base somewhere within easy reach of where you will be using it Make sure that the air inlet on the rear of the unit is not blocked Place the unit on a hard flat surface If you block the air flow around the unit the unit may not work properly If you are using a humidifier be sure to place the humidifier and unit on a placemat or other waterproof material to protect your furniture from moisture Position the humidifier such that the water level in the humidifier is lower than you and the humidifier is on the same level or lower than the ventilator See the humidifier instructions for the complete setup Connecting the Breathing Circuit STEP Connect one end of the circuit tubing to the outlet of the bacteria filter if using one and connect the inlet of the bacteria filter to the large connector on the Synchrony as shown in Figure 4 3 If you are not using a bacteria filter connect the end of the circuit tubing directly to the outlet connector on the Synchrony Filter Optional Figure 4 3 Connect the Tubing to the Outlet NOTE Follow the recommendations of your home care provider for using the optional bacteria filter BiPAP Synchrony User Guide STEP 2 STEP 3 STEP 4 Connect the open end of the circuit tubing to the exhalation po
12. to see if it feels more comfortable STEP 4 Press when complete CONTROLS Rise Time BiPAP Synchrony User Guide Rise Time 30 suey 5 Alarms and What to Do This chapter describes the Synchrony alarms and what you should do if you get an alarm The Synchrony provides three alarm levels high medium and low priority High priority alarms require immediate response The alarm signal consists of a flashing red alarm indicator and a sound that is either continuous beeps or repeats a pattern of three beeps followed by two beeps The display has the message ALARM at the top of the screen Medium priority alarms require prompt response The alarm signal consists of a flashing yellow alarm indicator and a sound that repeats a pattern of three beeps The display has the message WARNING at the top of the screen Low priority alarm require your awareness The alarm signal consists of a continuous yellow alarm indicator and a sound that repeats a pattern of two beeps The display has the message INFO at the top of the screen The alarms indicators are LEDs located on the right side of the front panel as shown in Figure 5 1 High Priority Alarm LED Low Medium Priority Alarm LED RESPIRONICS A p Figure 5 1 Alarm Indicator Locations BiPAP Synchrony User Guide The following example applies to most alarm conditions You should follow these steps unless oth
13. 1001 Murry Ridge Lane Murrysville Pennsylvania nown Ray 15668 8550 U S A Enter Key B E K o A 0 O O A BiPAP Synchrony User Guide Ramp Start Alarm Silence Key 3 A Tour of the Synchrony Carry Overview Handle Figure 3 1 shows the location of e control panel Control e breathing circuit connection e carry handle e optional oxygen valve AuoryIUAS JO INOJ Breating Circuit Connection Optional Figure 3 1 The Synchrony Front and Top BiPAP Synchrony User Guide Control Panel The control panel contains the controls and indicators you will need when you are using the Synchrony e AC power indicator e DC power indicator e Standby key e Control keys Down Up Enter e Ramp Alarm Silence key e Yellow LED Alarm indicator e Red LED Alarm indicator e Display screen The AC and DC power indicators light when the Synchrony is connected to AC or DC power The Standby key starts and stops the Synchrony The Control keys allow you to display information and set controls The Ramp Alarm Silence key starts the ventilation ramp see page 24 and silences an audible alarm for one minute The LED Alarm Indicators alert you when a problem occurs See Chapter 5 for an explanation of what to do when an alarm is activated Display se 17 Screen lt AC Power Red Indicator Alarm Indicator m vo al Yellow 5 p E Alarm Indicator A DC Power
14. BIPAP Synchrony RESPIRONICS User Guide RESPIRONICS 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 U S A 1003121 RAG 6 21 00 BiPAP systems are the subject of one or more of U S Patents 5148802 5239995 531937 5433193 Canadian Patent 2 024 477 European Patent EP0425092 German Patent 69021681 5 08 and other pending U S and foreign patents BiPAP is a registered trademark of Respironics Inc 2000 Respironics Inc All Rights Reserved BiPAP Synchrony User Guide EA Contents Contents of the Package sseosecssossececessoocecsssssoccesssssooceessosoececessoocosessssooessssssosseessssse D 1 Warnings Cautions and Notes seseosesssocoecsssssoceecssssseceesssooeccesssoooeessssssoeesessssese O WANTING vetre nenaon eio EE EEEE TEA EE EEE E E R O E NERE E RE 6 CAUUIOIS EATE A T T T E A E EEEE E E SE 7 NOES eeen aa E EE E E E E E E A E EEE 7 Intended Userin eee E E E E Bigs as a eae oe de ides oi eee nee 8 CON AINGICAT ONS is cssssuicesidsasvscedtivsnenssquasoacesteussavasanesstvbanscoawecsaqes sersupigets R E E EE EA E RE RER ER 8 Pr cautions 251 oc esse vesetece ch eean ae aeS eects Gas E A EE acca EEE a aE Ieee S e e E EE E SETAE 8 Communication Statements for Optional Modem ssesessseseserereessererssresesrssrsrestrresrernsetsseesesteertentrtesreernreetnsresesresesresreees 9 Ipd stry Ca ada Notice cninn aa a E R E RE E E EEEE REESS 10 2 Introduction to the Synchro
15. Indicator O O Down l E EA nter g gt O RESPIRONIS Key Standby KS K ey Up Ramp Key Alarm Silence Key Figure 3 2 The Synchrony Control Panel The Display shows you the current pressure control settings and displays alarm messages NOTE If the display backlight is off the first press of a control key Q or turns the backlight on and does nothing else When you are instructed to press a key this manual assumes that the backlight is already on When you are instructed to press a key this manual assumes that the backlight is already on BiPAP Synchrony User Guide Panel Indicators Display Indicators AC Power indicator a green LED that lights when AC The display uses indicators to show you the pressure levels power is connected and guide you through the screens qe Activity Indicator This indicator shows which S10 VIIPUT pressure level you are receiving during therapy It also shows when the Synchrony starts a timed breath upgrade DC Power indicator a green LED that lights when DC only and when an alarm is still active for the displayed power is connected message Red Alarm Indicator e When flashing indicates a high priority alarm e When on continuously indicates a loss of power or a silenced high priority alarm Yellow Alarm Indicator e When flashing indicates a medium priority alarm e When on continuously indicates a low priority alarm or a silenced medium
16. Jack Communications Retainer Optional internal Port modem only AC Inlet Inlet A Caj Air Filter Cover o ep S Figure 3 4 Rear Panel BiPAP Synchrony User Guide 4 Using the Synchrony Installing the Air Filters CAUTION A properly installed undamaged foam Reusable Gray The Synchrony uses a gray foam filter that is washable and reusable and an optional white ultra fine filter that is disposable One filter of each kind is supplied yee with the Synchrony SS If your home care provider did not install the inlet air filters you must install at least the gray foam filter before using the Synchrony STEP 1 STEP 2 STEP 3 STEP 4 Foam Filter filter is required for proper operation vn ir Filter Cover Disposable Ultra fine Filter Place the foam filter on top of the ultra fine filter if using the ultra fine filter Push the filters down into the air inlet recess at the rear of the Synchrony as shown in Figure 4 1 Place the bottom of the air filter cover into the bottom of the air inlet opening making sure that the catches engage the lip of the opening Figure 4 2 Filter Cover Installed As shown in Figure 4 2 swing the top of the cover into place and press down on it to engage the cover catches in the air inlet opening See Chapter 7 to clean or replace the filters BiPAP Synchrony User Guide Installing
17. Line AC power was lost the unit is now operating on battery DC power BiPAP Synchrony User Guide Your Action Press to confirm that you wish to operate on battery power Continue to use write down error code call your home care provider Press to clear the information message Check AC power seek reliable power source 6 Troubleshooting This chapter lists problems you could experience with your Synchrony or mask and presents possible solutions Does not operate when you press The air out of the mask is much warmer than usual If the power LED is off no power at the outlet or the Synchrony is unplugged If the power LED is on problems in the Synchrony Inlet filters may be dirty The Synchrony may be operating direct sunlight or near a heater The room temperature may be too high BiPAP Synchrony User Guide Troubleshooting Check the outlet power and verify that the Synchrony is plugged in Contact your home care provider for service Clean or replace the inlet air filters as described in Chapter 7 If the Syn chrony is in direct sunlight or near a heater move it If the problem persists contact your home care provider Lower the room temperature If the problem persists contact your home care provider 3s Mask Discomfort and Corrective Actions Why it Happened What You Can Do Mask feels uncomfortable to wear 1 Improper headgear adjustment
18. SHSSHSHSSHHSHSSSHSSHSHSSHSSHHSSHSSSSHSSHSHSSHSHHSSSHSSHSSSHSSHSOSSSSEHSEEEE 37 Mask Discomfort and Corrective Actions ccccccccccesssccscessesscssecesessessccecessecscescessesuseccessessessesceessussesssesssssssecessussseseeceneeaees 38 7 Cleaning and Maintenance seeessssooeecsssscocceesssoocceecssoooecessssooseesssoceceessssoesesessssssess FL Cleaning the Synchrony scsscrssstissssssisccsstessaas spvsesvesnuacstannesvacsveasveunts ites EAEE NEOR PA EE VEn EEE EPE PORE Soar PREE ETETA EEEE EEE EEEE AE 41 Cleaning or Replacing the Inlet Bitets i ccsecsectesicctivasives etewacs vi stecbens e oei io EELE ESE EAEE T ESEE E RE EEEo ESen ri o CEEE ETEA 42 BiPAP Synchrony User Guide 8 Using Oxygen with the Synchrony cccssssssssscscssssssssccssssssssssccscssssssssscsssess 9 Using the Optional Modem e ssssssecsssoocesessscocccessssooecessosocccesssoosecsessosoesessssssesee 46 Sending Data at StartUp secsi ieci esesssssssvscnsesevanstescrassca viasveasesnatenssabagubeapaenypcheaseshwensoabss suacosanevedars sidesbasehoacvasasdapSeesansuypeveaneehas 46 Sending Data D ring Therapy sissies se scevscibvisissietie tos taeecssavabh S RET E E KEE sscubennssnulensvebeviusnsgeedayantrumsoadtv ne E E 49 10 SpecificatiolS s sssssssiissssceisssisinsissssssns ssossuuinusoseessusasissecuaaisnnduissdsssuui nassisti siest riisiin 50 BiPAP Synchrony User Guide Contents of the Package The BiPAP Synchrony package contains e B
19. This is a bi level mode which responds to both your inahalation and exhalation by increasing pressure when you start to inhale and descreasing pressure when you start to exhale There is no automatic delivery of a breath should you not inhale Medium Priority Alarm Alarm signal requiring a prompt response Low Minute Ventilation A condition in which you are not receiving a specified volume of air on a per minute basis BiPAP Synchrony User Guide p D lor S Qu Q Spontaneous Timed S T This is an optional bi level mode which responds to both your inahalation and exhalation by increasing pressure when you start to inhale and descreasing pressure when you start to exhale If you do not start inhaling within a set time the Synchrony will automatically start inhalation When the Synchrony starts inhalation it controls the time of inhalation and automatically decreases the pressure for exhalation within a set time Timed T This is an optional bi level mode in which the Synchrony controls both inhalation and exhalation independent of spontaneous breathing BiPAP Synchrony User Guide What is Bi level Ventilation Bi level ventilation with the Synchrony Ventilatory Support System helps you to breathe by supplying two levels of air pressure The Synchrony provides a higher pressure known as IPAP Inspiratory Positive Airway Pressure when you inhale and a lower pressure known as EPAP
20. be connected to a telephone interface The termination on an interface may consist of any combination of devices subject only to the requirement that the sum of the Ringer Equivalence Numbers of all the devices does not exceed 5 BiPAP Synchrony User Guide 2 Introduction to the Synchrony OSA Obstructive Sleep Apnea Definitions Pressure Control PC This is an optional bi level mode which responds to your inhalation by increasing the pressure The length of the inhalation is controlled by the Synchrony If you do not start inhaling within a set time the Synchrony will automatically start inhalation Apnea A condition marked by the cessation of spontaneous breathing CPAP Continuous Positive Airway Pressure The Synch rod ingle pr re level Bernt net tering ge terns aegis Ramp Ventilator Ramp a feature that may increase your comfort when therapy is started The Synchrony output starts at a low pressure EPAP and is increased at each breath until IPAP is reached Introduction EPAP Expiratory Positive Airway Pressure High Priority Alarm Alarm signal requiring an immediate response POENE p Rise Time Rise time is the time it takes for the Synchrony to change from EPAP to IPAP You can adjust IPAP Inspiratory Positive Air P r A E E E ere this time for your comfort See Figure 2 1 Low Priority Alarm Alarm signal requiring operator e RR Respiratory Rate awareness Spontaneous S
21. chrony Setup sssri erce ae anore Er EEE EEEE EEEE VERE EE AER E ORE EE E E RE RENERE E EEE V eE EE EER EEE Ona E 24 Usine DC POWer ss ssi sitiscuiiestessse soMuasicbaasstvenvsconentenellsebedeussusbesdrebcalie ceshucvertandebsesstsenvates EEE EEEE EEEE E ates sebusaeesenastae setae 25 Plugging the Synchrony In Using AC Power o0 e cee ececseecseseeeeecseeceecaeesaecsacsaecseceaeceesseeeeeseseaeeseseeesseecaecaaesaesaeeaeseeaees 25 Startno the Synchrony oecon rerni einernie eeaeee AEREE E seabeed EEEE EEE EOE TEATRE ETARE UE EEEE EE EENE 26 Using the Optional Ramp Peatute i sccsscvesscssscsssseeseivaaseeisessstvnacstansyasssntouscdeee ee eE EE EEE EAE EE ERE E ERORE E RE RE EEEE EEE 26 Operating the Synchrony esseeride ss cassdieesusebonrssedsebeagusta EE ERE sob EE NEE STERS PAE ESTEE EEEE EAEE EE EEEE EEEE E S ETES 27 5 Alarms and What to DO scissscsscssccsteiissincisteciiscesscssscsssnccescosssesnesd cescessssvstavensunseesneas OO High Priority Alarms esses sessteases scesssssvascesbzsesiucessess dacs Een E SE E ERE RE EEE REEN deny oassebuscssiabhdearsvatesnasbioebeasbeasaevenseseuass 32 Medium Pionty Alaris esiet ascites tists ee r raees E OEST ES EEEE CEE NEE NEE EEE E EE OEE O EEEE 35 Low Priority Alarms sitscsssscsesncsasacesgegvensccevesainssiacessaees ie sobancs vbadvanstebubessnensSbacnauesasnscesesiaaesguadscustapadabesbasbabcostegnaabedsebainasindeataes 36 6 Troubleshooting SOCSOHOHSHSSSSSHSHSSHSSHSSHSHSSSSHSSHSHSSHSHSSSSHSSHSHSSSSHHSSHSSS
22. ct another section of oxygen tubing to the front valve port then to the oxygen enrichment adaptor in the breathing circuit or to one of the sample ports on the mask Step 3 Turn the Synchrony on before turning on the oxygen supply Step 4 Turn the oxygen flow on 45 f D on Circuit D A e From Oxygen Tubing A ra Source z P E Oxygen n Enrichment Attachment Figure 8 2 Attaching oxygen tubing to the Synchrony Exhalation Port Oxygen Tubing from Oxygen Valve Figure 8 3 Attaching oxygen tubing to mask port BiPAP Synchrony User Guide a6 9 Using the Optional Modem wapoyy euOndG SuN If the optional modem has been installed in your Synchrony you may be asked to dial your home care provider and have the Synchrony send information using your telephone line You can send the data when the machine is starting up or during therapy Sending Data at Startup STEP 1 Plug a telephone line from the rear of the Synchrony to a convenient telephone outlet See Figure 9 1 STEP 2 Connect the Synchrony to a power source and press 1 STEP 3 When the Self Test screen appears See Figure 9 2 press Q STEP 4 When the Dial Provider screen appears Figure 9 3 press to select the Dial Provider command then press to contact the provider and download information Continued on next page Figure 9 1 Connecting the Telephone Line mESYSTEM SELF TESTma VER
23. d the ringer equivalence number REN both of these items are listed on the equipment label The sum of all the RENS on your telephone lines should be less than five in order to assure proper service from the telephone com pany In some cases a sum of five may not be useable on a given line Ir PROBLEMS ARISE If any of your telephone equipment is not operating properly you should immediately remove it from your telephone line as it may cause harm to the telephone network If the telephone company notes a problem they may temporarily discontinue service When practical they will notify you in advance of the disconnection If advance notice is not feasible you will be notified as soon as possible When you are notified you will be given the opportunity to correct the problem and informed of your right to file a complaint with the FCC Contact your telephone company if you have questions about your phone line In the event repairs are ever needed on the Synchrony they should be performed by Respironics Inc or an authorized representative of Respironics Inc For information contact Respironics at the location shown on page 13 BiPAP Synchrony User Guide Communications Statements z 5 E le D g gt Dn NM m D z a Industry Canada Notice NOTICE The Industry Canada Label identifies certified equipment This certification means that the equipment meets telecommunications net
24. down develops from the mask refer to the mask instructions for appropriate action The following are potential side effects of noninvasive positive pressure therapy e ear discomfort e conjunctivitis e skin abrasions due to noninvasive interfaces e gastric distention aerophagia BiPAP Synchrony User Guide Communication Statements for Optional Modem TYPES OF SERVICE The Synchrony optional internal modem is designed to be used on standard device telephone lines It connects to the telephone line by means of a standard jack called the USOC RJ 11C or USOC FJ45S Connection to tele phone company provided coin service central office implemented systems is prohibited Connection to party lines service is subject to state tariffs TELEPHONE COMPANY PROCEDURES The goal of the telephone company is to provide you with the best service it can In order to do this it may occasion ally be necessary for them to make changes in their equipment operations or procedures If these changes might affect your service or the operation of your equip ment the telephone company will give you notice in writing to allow you to make any changes necessary to maintain uninterrupted service In certain circumstances it may be necessary for the telephone company to request information from you concerning the equipment that you have connected to your telephone line Upon request of the telephone company provide the FCC registration number an
25. duct These kinds of changes do not warrant a reprinting of this manual BiPAP Synchrony User Guide Cautions Notes ie Intended Use p 2 D amp Q eS E le D T gt Dn The Synchrony is intended to provide non invasive ventilation in adult patients gt 30 kg for the treatment of respiratory insufficiency a condition in which the patient can maintain ventilation without mechanical support for some period of time or obstructive sleep apnea This device may be used in the hospital or home The Synchrony is intended for use with nasal masks and full face masks as recommended by Respironics Contraindications The Synchrony should not be used if you have severe respiratory failure without a spontaneous respiratory drive If any of the following conditions apply to you consult your physician before using the Synchrony ventilator e inability to maintain a patent airway or adequately clear secretions e at risk for aspiration of gastric contents e diagnosed with acute sinusitis or otitis media e allergic or hypersensitive to the mask materials where the risk from allergic reaction outweighs the benefit of ventilatory assistance e epistaxis causing pulmonary aspiration of blood e hypotension Precautions Immediately report any unusual chest discomfort short ness of breath or severe headace to your physician If skin irritation or break
26. ed at the patient end of the circuit with a Whisper Swivel II and varying flow conditions CONNECTORS Respironics circuit connectors comply with ISO 5356 1 BiPAP Synchrony User Guide TRIGGERING Respironics BiPAP AutoTrak Sensitivity ACCURACY OF MEASURED AND CALCULATED PARAMETERS PARAMETER ACCURACY Respiratory Rate Greater of 1 BPM or 10 of reading when measured over a four minute period Specifications Exhaled Tidal Volume 25 0 15 of reading ml Exhaled Minute Ventilation 15 of reading 1 L min BiPAP Synchrony User Guide AC Indicator 17 18 AC Power Inlet 20 Plugging 25 Accuracy Specifications 52 Activity Indicator 18 Air Filter Cover 20 Air Filters Installing 21 Alarm Indicators High Priority Alarm 18 Medium Low Priority Alarm 18 Alarms General Instructions 31 High Priority Defined 11 Low Priority Defined 11 Apnea Defined 11 Index Bacteria Filter 22 Bi Level Ventilation 13 Breathing Circuit Complete 24 Connection 16 22 C Carry Handle 16 Cautions 7 Circuit Tubing 14 Cleaning and Maintenance 41 Cleaning The Synchrony 41 Cleaning Replacing the Inlet Filters 42 43 Comfort control 17 Communication Statement 9 Communications Port 20 Connections AC Inlet 20 Breathing Circuit 20 22 Communications Port 20 DC Inlet 20 BiPAP Synchrony User Guide Rear Panel 20 Telephone Jack 20 Contacting Respironics 15 Contents 5 Contraindications 8 Control Keys 17 Control
27. erface 14 Introduction 11 IPAP 13 Defined 11 BiPAP Synchrony User Guide L Limited Warranty 60 Location 22 Low Minute Ventilation Defined 11 Low Priority Alarm Defined 11 Maintenance 41 Mask 14 Mask Discomfort Corrective Action 38 Medium Low Priority Alarm Indicator 18 Modem 46 Communication Statement 9 Sending Data 46 Monitoring Screen CPAP 27 S S T PC T Mode 27 N Navigation Indicator 19 O Operating 27 Optional Oxygen Valve 16 OSA Defined 11 Oxygen Connecting 44 Optional Valve 16 44 Valve 45 P Package Contents 5 Physical Specifications 50 Plugging the Unit In 25 Pressure Assist Mode Defined 11 Pressure Specifications 51 Problems 37 Progress Indicator 19 Provider Dialing with Modem 28 R Ramp Using 26 Ramp Defined 11 Ramp Indicator 19 Ramp Silence Key 17 BiPAP Synchrony User Guide Index xapuy Rear Panel 20 Standby Key 17 Respironics How to Contact Us 15 Starting the Synchrony 26 Rise Time Symbols 15 Controlling 28 Synchrony Defined 11 Breathing Circuit 14 Cleaning 41 S Introduction 11 S S T PC T Mode Operating 27 Control Screens 28 Starting 26 Monitoring Screen 27 Touring 16 Screens Using 21 CPAP Monitoring 27 What itis 14 Monitoring 27 Where to Locate 22 S S T PC T Mode Monitoring 27 Selection Indicator 19 T Sending Data 46 Telephone Specifications Connecting the Modem 46 Accuracy 52 Telephone Jack 20 Electrical 50 Timed Defined 12 Environmental 50 T
28. erwise directed by the alarm tables STEP Look at the alarm indicators and listen to the alarm sound me xe Note color and whether LED is o flashing or solid STEP 2 Look at the display for text ALARM 1 1 as e Patient Disconnect indicator shows what alarm is activated If more than one alarm is listed the indicator shows which alarm is still active STEP 3 Press the RAMP SILENCE key PEO ALARM 1 1 Patient Disconnect gt CLEAR STEP 4 Look up the alarm in the alarm tables and perform Your Action For High and Medium Alarm CLEAR 31 Screen is dis played Alarm LED is P solid a lt Priority Alarms the indicator will go off when the alarm condition is corrected ALARM 1 1 Patient Disconnect CLEAR indicator is off Alarm LED is solid Step 5 Press the Enter key to clear the alarm MODE S IPAP 15 cm H20 EPAP 6 cm H20 RR 20 BPM BiPAP Synchrony User Guide Alarm is reset Display returns to screen that was showing at time of alarm 32 suey k High Priority Alarms Red Flash Red Solid Red Flash Red Flash Alarm Sound Display Message Blank Screen Low Pressure Support What the Unit Does Possible Cause Synchrony Failure Power was lost while the unit was providing therapy An apnea event occurred during therapy Malfunctioning unit BiPAP Synchrons UserGuide s
29. iPAP Synchrony e reusable circuit tubing e power cord e airfilter cover e reusable foam filter e ultra fine filter e User Guide Your home care provider should have pre assembled the tubing exhalation port and mask into a breathing circuit If any of the items are missing please contact your home care provider OPTIONS e DC power cord e oxygen valve required for oxygen use e bacteria filter e humidifier e internal modem e modem cable e carrying case Cast oO BiPAP Synchrony X V Air Filter Cover 3 B Power Cord Optional Modem Cable Disposable Ultra fine Filter Reusable Foam Filter User Guide BiPAP Synchrony BiPAP Synchrony User Guide Reusable Circuit Tubing Brons User Guide Package Contents 6 1 Warnings Cautions and Notes e Do not use the Synchrony in the presence of flammable liquids or gases Do not clean the Synchrony with SSUIUIBAA Warnings A Warning indicates the possibility of injury to you or the operator of the device This manual serves as a reference The instructions in this manual are not intended to supersede the instructions of your care giver You should read and understand this entire manual before using the Synchrony The Synchrony is not intended to provide your total ventilatory requirement The prescription must only be adjusted by a trained home care provider Use only the breathing circuit provided by you
30. k should be corrected as soon as possible STEP 5 Relax Take normal relaxed breaths through your nose NOTE If you are having trouble with your mask see Chapter 6 for some suggestions Using the Optional Ramp Feature The Synchrony is equipped with an optional ramp feature that your home care provider can turn on or off The Ramp feature starts the pressure at the EPAP level The pressure is increased at each breath until IPAP is reached To start the Ramp feature follow Steps 1 to 5 above then press The Ramp indicator will be shown at the top of the display The diagram below illustrates how the ramp changes the pressure levels IPAP LEVEL EPAP Ramp LEVEL Increment Set by Home Care Provider gt 1 Breath BiPAP Synchrony User Guide The ramp feature can provide more comfort for you because of the gradual increase to full pressure Operating the Synchrony When the Synchrony is operating you can use two screens the Monitoring screen and the Control screen MONITORING SCREENS The screen that you see normally is called the Monitoring screen It shows you the current pressure measurements and breathing rate The CPAP mode Monitoring screen is shown in Figure 4 9 If your Synchrony is not using the optional modem the screen will show 1 1 in the upper right MODE CPAP 1729 cm H20 BPM CPAP 10 RR 20 Figure 4 9
31. n Figure 4 8 Leaving some slack in the DC cord push the DC cord into the DC cord retainer Insert the adaptor end of the DC cord into the appropriate DC outlet See the instructions that came with the DC cord for proper DC connections Figure 4 7 Plugging in the AC DC Cord Retainer lt Figure 4 8 Plugging in the DC BiPAP Synchrony User Guide Pa N v E ON 5 ON ON e Starting the Synchrony i iS ar m D ya D oO NM lt lt ie A lt lt STEP 1 Press the STANDBY key The Synchrony will sound two beeps briefly light the alarm indicators and display the startup screen followed by the self test screen This is the internal test performed by the Synchrony STEP 2 Put on your mask assembly when the air starts to flow NOTE If the Synchrony does not sound the two beeps or illuminate the alarm indicators do not try to use the Synchrony Contact your home care provider STEP 3 Make sure that no air is leaking from your mask into your eyes If it is adjust the mask and Softcap or headgear until air stops leaking into your eyes See the instructions that came with your mask STEP 4 Ifyou are using the Synchrony while sleeping try placing the tubing from the Synchrony over your headboard This may reduce tension on the mask NOTE A small amount of mask leak is normal and acceptable Large mask leaks or eye irritation from an air lea
32. ny ssesessssssccceessosoccecessooeecesssocoeesssooeoseessosssessesseosees L DEDINS searre e a e EE E E E E E EEE ES 11 What is BiHlevel Ventilation ninisnienininn nenene ea ds Gain keisha eee aid coke eee aa E EAA ia 13 What is the Synchiony ssnin snee EE AEE E E RA E A A EEEE TER 14 Symbols arrneo i a E O T E EA E EEE EA 15 How to Contact RESpIrOMiCS cisoca ciaee eraa REN EAE e E EEEE REO ETE ERA OEE AEE NE E EERE EE AEE REEE ORERE 15 3 A Tour of the Synchrony sssesecsssocoecesssscocecssssooceesssooccecessoooeesssssooeeessssssseessssssese 16 DS 010 E E A E E A A Ee Pee A E eee 16 Control Panel AEA E ETE AAE AEE TE A EAA A A EE N E EE EEE E EE EE 17 BiPAP Synchrony User Guide Pane Gi at rs seus 250s Se ask E sameos cneudtnevsunsesavsndeesvacssdarsegussedeessnvasedess ausustaenguuctecsunieweenscouvaareuediey Display Indicators Breathing Circuit COMME COM ss c 65 is csdeeessssceseevusenstevesslseh ii one E rets Eep dee Sdaunsnshded soupusvsddesesdsvasetessbabesatuadessh EE EIEEE NA aE 20 Reat Panel 5s icscsested casts TT 20 Installing the Ait FIETS soiien aaea ane a ASEE EEES E ENAA ENE EE e e are Aa EE EA a ER EEEE 21 Wher to Place the SYMCDLONY c ccscessciasescasscsnscesossvand loevednshssvesdasshebd re a a ap ERE eE e EE EEK ESE EEEE TETE ea R EEE TE E E S ER RESER 22 Connecting the Breathing Circ it 5 is sccesdias sists sir roteer esee uens eS E E EEE EEEE EEE EEE EEEE ORE EE EEEE EEEE E E E A 22 Complete Syn
33. of all other express warranties In addition any implied warranties including any warranty of merchantability or fitness for the particular purpose are limited to one year Some states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you This warranty gives you specific legal rights and you may also have other rights which vary from state to state To exercise your rights under this warranty contact your local authorized Respironics Inc dealer or contact Respironics Inc at 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 1 412 731 2100 BiPAP Synchrony User Guide
34. ouring 16 Physical 50 Trigger Sensitivity 53 Pressure 51 Troubleshooting 37 Spontaneous Mode Tubing 14 Defined 11 Breathing Circuit 20 22 Spontaneous Timed Mode Defined 12 BiPAP Synchrony User Guide U Ultra Fine Filter 21 Up Key 17 Using the Synchrony 21 V Ventilation Bi Level 13 W Warnings 6 7 Warnings Cautions and Notes 6 7 Warranty 60 BiPAP Synchrony User Guide Index Limited Warranty Respironics Inc warrants that the BiPAP Synchrony System shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of one 1 year from the date of sale by Respironics Inc to the dealer If the product fails to perform in accordance with the product specifications Respironics Inc will repair or replace at its option the defective material or part Respironics Inc will pay customary freight charges from Respironics Inc to the dealer location only This warranty does not cover damage caused by accident misuse abuse alteration and other defects not related to material or workmanship Respironics Inc disclaims all liability for economic loss loss of profits overhead or consequential damages which may be claimed to arise from any sale or use of this product Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you This warranty is given in lieu
35. provider or the provider s phone number The modem settings have been preset by your home care provider See Chapter 9 for instructions on installing the telephone line into the rear panel of the Synchrony In the S S T PC and T modes the Control screen contains two options one if the modem is not being used as shown in Figure 4 12 CONTROLS Rise Time 3 Dial Provider Figure 4 12 S S T PC and T Mode Control Screen The selected control is the Rise Time parameter With this command selected when you press the parameter is available for change See Page 10 for a description of Rise Time The next page shows you how to change the Rise Time NOTE If the display backlight is off the first press of a control key Q or turns the backlight on and does nothing else When you are instructed to press a key this manual assumes that the backlight is already on When you are instructed to press a key this manual assumes that the backlight is already on BiPAP Synchrony User Guide To change the Rise Time STEP 1 Use or to select the Rise Time parameter CONTROLS Rise Time 3 Dial Provider Step 2 Press The result is shown below CONTROLS Rise Time 3 STEP 3 Press or to change the value The range is 1 to 6 a setting of 1 is the fastest rise time 6 is the slowest CONTROLS 2 2 Rise Time 64 Dial Provider Allow the Synchrony to run several cycles
36. r home care provider When using a breathing circuit that contains a mask with an integrated exhalation port or a circuit with a separate exhalation device do not tape seal or otherwise block the vent openings Doing so could result in suffocation Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame flammable fluids e If oxygen is used with the Synchrony the oxygen flow must be turned off when the Synchrony is not in use Do not use the device in ambient temperatures above 95 F If the device is used at ambient temperatures above 95 F the temperature of the breathing air may exceed 106 F which could cause thermal irritation or injury to your airway Do not operate the Synchrony in direct sunlight or near a heating appliance because these conditions can increase the temperature of the air coming out of the Synchrony When the Synchrony is used with a humidifier position the humidifier such that the water level in the humidifier is lower than you and the humidifier is on the same level or lower than the Synchrony Repairs and adjustments must be performed by Respironics authorized service personnel ONLY Unauthorized service could cause injury invalidate the warranty or result in costly damage e Periodically inspect electrical cords for damage or signs of wear e To avoid electrical shock unplug the Synchrony before cleaning it BiPAP Synchrony U
37. rony User Guide 43 DN fo D o ea D aa 8 Using Oxygen with the u 34xo SUIS Synchrony If your doctor has prescribed oxygen to be used with your Synchrony follow these instructions to connect oxygen to the breathing circuit WARNING Ifyou are using oxygen your Synchrony must be equipped with the optional oxygen valve shown in Figure 8 1 Failure to use the oxygen valve could result in a fire hazard Contact your home care provider if you require an oxygen valve Valve WARNING Oxygen supports combustion Oxygen should not be used while smoking or in Optional the presence of an open flame Figure 8 1 Optional Oxygen Valve WARNING Turn off the oxygen supply when the Synchrony is not in use To add oxygen to the circuit the oxygen source must comply with the local regulations for medical oxygen The oxygen flow into the oxygen valve cannot exceed 15 Ipm and the pressure cannot exceed 50 psi BiPAP Synchrony User Guide Oxygen tubing from the oxygen valve can be connected either to the mask or to an oxygen enrichment adaptor If using the adaptor you must place it in the breathing circuit between the air outlet of the Synchrony and the breathing circuit tubing Step 1 As shown in Figure 8 2 attach oxygen tubing to the rear oxygen valve port The oxygen valve prevents oxygen from entering the Synchrony enclosure when the Synchrony is stopped Step 2 Conne
38. rt as shown in Figure 4 4 If you are using a mask that has the exhalation port Circuit built into the mask connect the tubing directly Exhalation Tubin to the mask and skip to Step 4 Port g Connect the exhalation port to the mask connector as shown in Figure 4 5 Figure 4 4 Connect the tubing to the Exhalation Port Attach the headgear to the mask see the instructions that came with your headgear Mask or Other Interface r Exhalation Port Figure 4 5 Connect the Mask BiPAP Synchrony User Guide 5 A ON E pm 8 lt gt Sami a e f g el t 9 vo S oS Complete Synchrony Setup ee Patient Interface fl Typical Figure 4 6 shows the completed breathing circuit setup for the Synchrony Exhalation Port Typical Q p oO DN Bacteria Filter Optional Figure 4 6 Synchrony Complete Breathing Circuit BiPAP Synchrony User Guide Plugging the Synchrony In Using AC Power Step 1 STEP 2 WARNING Never plug the Synchrony AC cord into Plug the receptacle end of the AC cord into the AC inlet of the Synchrony as shown in Figure 4 7 Insert the plug end of the AC cord into the wall outlet as shown in Figure 4 7 an outlet that is controlled by a wall switch Using DC Power STEP 1 STEP 2 STEP 3 Plug the receptacle end of the DC cord into the DC inlet of the Synchrony as shown i
39. s Indicator m This indicator empties from top to bottom to indicate the progress of certain tasks Mm SYSTEM SELF TESTE m VER 1 00 10 0 HOURS Page Number The current page and total number of pages in a series of screens is indicated in the upper right of the screen Indicates that this is page 1 of 2 MODE S 1 2 IPAP 15 cm H20 EPAP 9 cm H20 RR 20 BPM BiPAP Synchrony User Guide N Sam Ss Q S Q m ler Q is O 2 2 D z ro D D 2 Breathing Circuit Connection Figure 3 3 shows where the circuit tubing connects to the Synchrony Rear Panel Figure 3 4 shows the rear panel The DC inlet is where the DC plug is connected if you are running the Synchrony from a battery source The communications port is used by the home care provider The DC cord retainer holds the DC cord Used to keep the plug from coming out of the Synchrony The telephone jack is where the telephone line is plugged in if you have the optional modem when you are asked to send the home care provider data from the Synchrony The AC inlet is where the AC receptacle is connected if you are running the Synchrony from house voltage The air filter cover retains the air filters and helps to ensure quiet operation Breathing Circuit Connection Da Figure 3 3 Breathing Circuit Connection Telephone EEEE DC Cord
40. ser Guide Warnings continued Immediately report any unusual chest discomfort shortness of breath or severe headache to your physician If you detect any unexplained changes in the perfor mance of the Synchrony if the Synchrony is dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken seek the assistance of your home care provider Cautions A Caution indicates the possibility of damage to the device Caution Federal law restricts this device to sale by or on the order of a physician The Synchrony may only be operated at temperatures between 41 F and 95 F A properly installed undamaged reusable foam inlet filter is required for proper operation Do not immerse the Synchrony or allow any liquid to enter the case or the inlet filter Condensation may damage the Synchrony Always allow the Synchrony to reach room temperature before use Notes e Throughout this manual you will see the symbol ures When you see this symbol it means that the feature being discussed is only available with the Synchrony S T upgrade package Your Synchrony may or may not be provided with this upgrade Contact your home care provider for details Additional Warnings Cautions and Notes are located throughout this manual NOTE Illustrations are for reference only Occasionally cosmetic changes may be made to the product that do not affect the performance or specifica tions of the pro
41. stsS Synchrony User Guide Your Action Cannot be silenced remove power from unit and contact home care provider Press to silence restore power Report alarm to home care provider Check for the following dirty inlet filters blocked air intake excessive leak in circuit If alarm continues call your home care provider Alarm Alarm Display What the Possible 3 LED Sound E i E i l E Message High Pressure Invalid Prescription Call Provider Low Minute Ventilation Unit Does Operates Shuts down Operates Cause Malfunctioning unit The prescription data is corrupted Decreased breathing pattern or breathing rate Excessive leak or blockage BiP OOOO BiPAP Smeh UserGuide ssSsS S Synchrony User Guide Your Action Nothing If alarm continues call your home care provider Do not use the unit call your home care provider If you are having respiratory distress or breathing difficulties call your home care provider Check for the following dirty inlet filters blocked air intake excessive leak in circuit If alarm continues call your home care provider Alarms suey Display Message Alarm Alarm LED Sound E a 7 Red Flash Patient Disconnect Red Flash Ventilator Inoperative Displays Codes Red Flash Ventilator Inoperative Battery Failure What the Unit Does Possible Cause Excessive leak or blockage Brea
42. t with your doctor or home 2 Improper mask fitting care provider about using a Respironics humidifier with the Synchrony SUId GO1g ASEN Sinus or middle ear infection Stop using the Synchrony and contact your doctor Nasal sinus or ear pain BiPAP Synchrony User Guide 7 Cleaning and Maintenance Cleaning the Synchrony Before cleaning or performing any routine maintenance always be sure the Synchrony is not operating and disconnect the Synchrony from the power source NOTE The following cleaning instructions are for the Synchrony only To clean the accessories refer to each accessory s instruction sheet CAUTION Do not immerse the Synchrony or allow any liquid to enter the enclosure inlet filter or any openings Clean the front panel and exterior of the enclosure as needed using a cloth dampened with water and a mild detergent Allow the Synchrony to dry completely before plugging in the power cord Gently wash the reusable circuit tubing in a solution of warm water and a mild detergent Rinse thoroughly and allow to air dry BiPAP Synchrony User Guide o Q S vo A z gz S on S S 2 42 SIIMA TU Cleaning or Replacing the Inlet Filters The Synchrony has two removable filters at the air inlet The gray foam filter is washable and reusable The optional white ultra fine filter is disposable NOTE Dirty inlet filters may cause high operating temperatures and
43. thing circuit is disconnected or has a large leak Internal device failure Battery is discharged BiPAP Synchrony User Guide Your Action Check for the following dirty inlet filters blocked air intake excessive leak in circuit If alarm continues call your home care provider Reconnect the circuit or fix the leak Remove power from the unit Call your provider Remove DC power source from the unit replace the battery restore power to the unit or seek reliable AC power source Medium Priority Alarms Display Message Battery Voltage Too High Low Battery What the Possible Unit Does Cause Operates Wrong or malfunctioning battery or charger Operates Battery nearly discharged BiPAP Synchrony User Guide Your Action Remove DC power from the unit use on AC or call home care provider If on battery find another if on AC exchange the battery and charge 36 Low Priority Alarms Alarm Sound LED Yellow Solid gt S lar 7 Yellow Solid Yellow Solid Alarm Display Message What the Unit Does Battery in Operates Use Call for Service Codes are displayed Momentary Loss of Power Power Failure Battery in Use Possible Cause On start up information message that battery is being used to provide power Minor internal error Power was lost for less than 30 seconds while the unit was providing therapy
44. work protective operational and safety requirements as prescribed in the appropirate Terminal Equipment Technical Requirements documents The Department does not guarantee the equipment will operate to the user s satisfaction Before installing this equipment users should ensure that it is permissible to be connected to the facilities of the local telecommunications company The equipment must also be installed using an acceptable method of connec tion The customer should be aware that compliance with the above conditions may not prevent degradation of service in some situations Repairs to certified equipment should be coordinated by a representative designated by the supplier Any repairs or alterations made by the user to this equipment or equip ment malfunctions may give the telecommunications company cause to request the user to disconnect the equipment Users should ensure for their own protection that the electrical ground connections of the power utility tele phone lines and internal metallic water pipe system if present are connected together The precaution may be particularly important in rural areas CAUTION Users should not attempt to make such connections themselves but should contact the appropriate electric inspection authority or electrician as appropriate Ringer Equivalence Number REN The REN assigned to each terminal device provides an indication of the maximum number of terminals allowed to
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