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VECTOR et 2.140-eng-270711-01.indd

1. 16 Technical description otii e a e 18 Rower d o od o 19 VECTOR St CPAP ne na v d a HH 19 VECTOR et AUTO ds fed os d ll sl li 20 VEGTOR et BIBEV ELE une lb bp 21 VECTOR et BILEVEL ST20 and 5 30 22 Using the device se uad e a uu au is 23 G mmissionind S 23 Ending thera Oy iia anomaan onea o nadaan es rre rei nts 24 SWILEHING or ECEE 24 Standby Moderne rennen einen sar Pad bn 24 USING OXYgeNa a ee ee rer 25 DEVICE TUNCHONSS m 26 IMO Metu a a pope ne ale 27 Patient e 33 Clinie sin 41 Contents 3 Alarm tunetions of the deviee una s t ang 54 len u es Br 54 Mask alarm pd db b e bb N le d 54 Pressure alartm si tod sd eod ad a d t 55 d a Iu e bie 55 Low respiratory minute volume only 5 30 55 Apnea alarm only ST30 in mode 5 55 sng ars D Card ide d dd d o d d d ds 56 General information d e coti E A a En ORE 56 Iriserting the SD eard d sd m o E ui p E p E s 56 REMOVING TNE SD Cad qe tque 57 What is saved on the SD 57 Ertor messages sete ee ee ee 59 Important display 0 5 61 Changing the filter cassette cleaning
2. seen een 63 Changing the filter 63 Cleaning TAS MASK re 64 Cleaning of the therapy tube 64 CICAMING TNS device duce tenues tek ru ern ee t a re 65 Cleaning the head 65 Gleaning RR 65 TrOublesSFiOOllg so RR 66 Maintenance seele 68 Preparing the device when changing 68 Disposal e 69 Device nase RU Boa Sons cuum 69 arten 69 AEGESSOrles art BEBE RMA ER GRAB BRON AREER ehe 69 ACCESSONES e 70 Technical data te ta dus tts 71 Manufacturer s declaration on electromagnetic compatibility 74 ERTL EE 78 4 Contents SCOPE OF DELIVERY Therapy device d Carrying case User s manual Power supply Brief instructions Spare T cassette Tube is Therapy tube 1 80 m incl measuring tube Mains cable ll m AM Scope of delivery 5 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 Keep the manual in a safe place close to the device so that you can refer to it immediately if necessary SYMBOLS ON THE RATING PLATE Observe the warni
3. OFF OFF Alarm parameter factory settings VECTOR et BILEVEL ST30 Low MV OFF Apnea OFF Comfort parameter factory settings for all device types Ramp Omin Mask Test Os Auto OFF Display VT OFF Brightness 50 P Unit hPa CE marking as per EC directive 93 42 EEC The manufacturer reserves the right to make technical changes without notice Technical data 73 MANUFACTURER S DECLARATION ELECTROMAGNETIC COMPATIBILITY The VECTOR et is intended for use in the electromagnetic environment specified below The user ofthe VECTOR et should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions acc to CISPR 16 1 2 Group 1 The VECTOR et uses RF energy only for its internal function There fore RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions acc to CISPR 16 1 2 Class B The VECTOR et is suitable for use in all establishments including Harmonic emissons acc to Class A those directly connected to the public low voltage power sup IEC 61000 3 2 ply network that supplies buildings used for domestic purposes Voltage fluctuations flicker emissions Complies acc to IEC 61000 3 3 Guidance and manufacturer s declaration electromagnetic immunity The VECTOR et is intended for use in the electromagnetic environment specified below The user 1 ofthe VECTOR et should assure that it is used in suc
4. hPa gt 4hPa lt I Pres E Pres lt IE Pres E Pres I Pres lt 28 hPa P addit l Pres lt 30 hPa I Pres lt 28 hPa VT min gt 200 ml max 0 15 min 0 15 0 5 hPa 1 Level 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 5 hPa 0 15 0 15 1 Level 1 Level 1 bpm 0 15 15 100 ml 0 5hPa 0 1s 0 15 1 min 0 5hPa 55 0 5hPa 0 5hPa 0 5hPa 0 5hPa 0 5hPa 0 5hPa 0 15 0 15 1 min 0 5hPa 15 Auto OFF Start Stop Start 4 Low OFF 2 101 0 5 l min 0 5 l min 4 Apnea OFF 5 30s Backup freg OFF 1s 1s Display VT ON OFF EX Brightness 0 100 96 10 Language DEU ENG ELL SPA FRA 29 m ITA NLD TUR PLK POR P Unit hPa mbar 2 SE M 1 VECTOR BILEVEL ST30 Device functions 53 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 push ing the on off key After power supply is re established the motor starts automatically and the display will show the following message Res Checking the power failure function IMPORTANT To check the powe
5. using SD the device order avoid unnecessary error messages The following table shows all error codes that can occur in connection with the use of the SD card Error code Meaning T Remedy E00 Writing data has failed Pos The SD card is probably faulty sible causes are power failure Remove the SD card and then removal of card during writing insert it into the device again or a faulty SD card If the error continues to occur send the card back to the phy sician E01 The SD card is faulty Obtain a new SD card from your physician or specialist dealer E02 File system or folder structureis The SD card must be formatted faulty or cannot be read by the physician using TREND set New files cannot be created or The SD card must be formatted the SD card is full by the physician using TREND set Using an SD card 59 Error code Meaning TT 4 5 E06 WOO 05 06 device cannot adopt the therapy 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 60 Using an SD card 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
6. T and ST Shows the selected expiration 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 I 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 31 Frequency only in modes T and ST Shows the selected number of breaths per minute Delay Time only in mode ST Shows the delay for switching from S mode to T mode Backup freq only in mode S in VECTOR et BILEVEL 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 expira tion 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 T and ST Shows whether the alarm for too low respiratory minute volume Low MV is active or deactivated Apnea only ST30 in mode S if backup frequency OFF Shows whether the Apnea alarm is active or deactivated
7. that the air inlet is not covered Ensure that the device is in a horizontal position especially if it is connected 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 equipment such as defibrillators diathermy units mobile phones microwaves remote controlled toys etc Elec tromagnetic fields that exceed 3 V m may adversely affect the operation of the VECTOR et 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 11 INSTRUCTIONS BEFORE COMMISSIONING 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 cassette as described on page 63 Never use the device without the filter cassette Clean your mask system regularly and ch
8. The pressure is gradually The pressure is gradually Pressure increased up to the Pressure increased up to the hPa therapeutic pressure hPa therapeutic pressure I Pressure E Pressure Time 20 4 60 Im 20 40 60 Programmed soft start time Ramp 0 60 minutes Programmed soft start time Ramp 0 60 minutes 36 Device functions dael Tar Mask Test Mask Test en 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 maximum therapy pressure If the FLEXLINE mode is switched on the pressure is raised by 1 hPa at FLEX Level 1 2 hPa at FLEX Level 2 and 3 hPa at FLEX Level VECTOR et CPAP and VECTOR et AUTO If the APAP mode is switched on the pressure is raised to the max pressure VECTOR et AUTO and in the devices VECTOR et BILEVEL and VECTOR et BILEVEL ST20 and ST30 the pressure in the modes S ST and T is raised to the I Pressure If additional pressure is set in VECTOR et BILEVEL ST30 the mask test is carried out with I Pressure P additional To set the mask test first go to the Patient Menu press the enter key for approx 1 second then select Mask Te
9. can set whether the device gives an alarm if the respiratory minute volume falls below the set value To set the alarm parameter Low MV first go to the Clinic menu Then set the desired value using the programing keys A and To confirm press the enter key If the device is in S mode and the Backup fre quency is set to OFF the apnea parameter is set next Tua Apnea only in mode S in VECTOR et BILEVEL ST30 if backup freq OFF 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 programing keys and To confirm press the enter key Device functions 51 PARAMETER SETTINGS Press FLEX Level P Start P Min P Max Mask E Pres E Slope I Trigger E Trigger Frequency EE Delay Time Backup freq VT min P addit TI min max Ramp P Ramp Mask Test 4 20 30 hPa 1 3 4 20 hPa 4 20 hPa 4 20 hPa Nose Nose Mouth E Pres 20 80 hPa 4 hPa I Pres 0 0 1 0s 0 0 1 0s 1 3 1 3 5 30 bpm 0 4 8 0s 0 20s ON OFF OFF 200 1500 ml 1 10hPa OFF 0 1 s Tl max 0 1 s OFF 0 15 4 05 0 60 min 4 hPa E Pres APAP 4 hPa P Start CPAP FLEX 4 hPa Press 0 90s 1 VECTOR et BILEVEL ST30 52 Device functions gt P Min P Max P Start 2 P Start lt E Pres 20 30
10. clear water Let the therapy tube dry completely in the air 5 After cleaning remove both of the tube plugs from the measuring tube NOTICE If water should stay in the measuring tube it could adulterate the pressure measuring or delay the control Both could affect an opti mal therapy 64 Changing the filter cassette cleaning 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 man ual must be observed Changing the filter cassette cleaning 65 TROUBLESHOOTING Pain in the nose the Inflammation of the Stop the treatment and paranasal sinuses or the paranasal sinuses or the contact your physician ears middle ear Feeling that the Malaise with prescribed If you suspect an error pressure is too high high pressure values please ask your physi cian for help Acclimatisation phase Try to relax Use or vary to the pressure not yet the soft start function c
11. clock has been turned off The therapy pressure is too high and the turbine switches off Important display messages 61 The automatic function is turned on You will be requested to put on the mask and breathe After the line voltage has been restored the turbine 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 63 62 Important display messages Put on Mask 25 Mas 1l 22115 Power Failure Restart Turbine Watchdos defect Clinic Menu Pat ient Henu active 2 BhPa Change Filter CHANGING THE FILTER CASSETTE CLEANING AAWARNING 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 Chars ilter Ifthe filter is polluted orthe display shows the message Change Filter the filter cassette must be changed To change the filter cassette proceed as follows 1 To change the
12. integrated alarm clock Using the programing 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 Soft ware TRENDset Please contact your specialized dealer or service techni cian for activating 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 The alarm is turned off by pressing the on off key APNEA ALARM ONLY ST30 IN MODE 5 If an apnea is detected which is longer in duration than the set alarm parameter Apnea the device gives an alarm The alarm is turned off by pressing the on off key Alarm functions of the device 55 USING AN SD CARD GENERAL INFORMATION The use ofan 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 TRENDset and send them to the patient As soon as the SD card is inserted the device adopts the therapy parameters IMPORTANT SD cards with the specification 1 x lt 2 GB used The SD must be formatted with TRENDset
13. membranes in the nose and throat sinus discomfort ear ache runny nose over sensitive reac tions 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 54 Safety information 9 ELECTRICAL SAFETY Do use the device if the housing 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 electromagnetic 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 the device near water containers baths 10 Safety information INSTALLATION REQUIREMENTS AND TRANSPORT 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
14. select the desired level by pressing the keys and Press enter key to confirm Next the parameter E Trigger is set 46 Device functions 1 E E Trigger only in modes S and ST Exit Menu The E Trigger depends on the respiratory flow and determines the sen Sitivity for detecting expiration It can be set to three levels 1 60 96 of max flow value 2 70 x of max flow value 3 80 of max flow value First set the I Trigger Then set the desired level using the programing keys and Press enter key to confirm Frequency 1218 Frequency only in modes T and ST Exit 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 Fre quency using the programing keys and Now the device will prompt you to enter the PIN After entering the PIN set the desired frequency using the programing keys and You can set values from 5 bpm to 30 bpm in 1 bpm intervals Press enter key to con firm Next the parameter is set I E only in modes T and ST Exi Herny The ratio determines the ratio of inspiration to expiration BEFASLUIIN First set the frequency Then set the desired inspiration time using the programing keys and Values between 0 4 s and 8 0 s can be set in 0 1 s steps To confirm press the enter key The ratio E depends on the set in
15. the SD 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 dis cernable on the display with date and time eed The VECTOR et can be kept in standby mode permanently This does not harm it 24 Using the device Tube USING OXYGEN A WARNING Before using oxygen it is essential to read the safety information on page 12 When feeding oxygen directly into the mask please use a kink resistant tube made of a medically approved material Oxygen can also be fed in via an adapter fitted onto the air outlet 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 pro gram it as described on page 38 4 Switch off the oxygen supply before switching the device off Using the device 25 DEVICE FUNCTIONS There are three keys for programing the VECTOR et functions A Programing key Programing key Enter key The display has two l
16. 32 Device functions Freauency 12bpm Exit Menu Delas Time 35 Exit Menu Backup Freq 0N Exit Menu Exit Menu KP addit 35 BhPa Exit Menu rT Exit Menu t Low FU Exit Menu Apres OFF Exit Menu PATIENT MENU Press and hold the enter key at least 1 second to move to the program ing 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 Wake Time Delete Filter Mask Ramp e e e e e Mask Test Auto e e e e e Display VT Brightness Date e e e e e Time e e Device functions 33 SETTING PARAMETERS AND THEIR MEANING Wake Time 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 for approx 1 second Pressing the enter key causes the wake hour to flash It can now be changed using the programing keys A and After pressing the enter key again the minute of the wake time will start flashing Now you can change it using the programing keys A and V Pressing the enter key again ends the input and you get back to the menu Changing the wake up time will automatically activate the alarm clock After leaving the menu the alarm clock can be activated and deacti v
17. HOFFRICHTER Quality makes the Difference m m m m E e User s Manual CPAP AUTO BILEVEL BILEVEL ST20 and ST30 as of device software 2 140 SERIAL NUMBER Every HOFFRICHTER GmbH device is supplied with a serial number for traceability purposes Please enter your device s serial number here You will find the serial num ber on the rating plate on the bottom of the device Senalmumber E E E Please always quote the serial number for all queries and complaints CONFORMITY The device complies with the requirements of Directive 93 42 EEC 2 Info CONTENTS Scope of deliVery art cn ate a t as 5 Generals so oves teniente ttt ttt ttt 6 Information on user s 222 6 Symbols on the rating 6 Symbols used in this user s 7 DALSLY IMTORMALOM xo anne REBEL BERLINER 8 General safety instructions 8 Electrical Safety anna i oto teile RELI of o eo tof na 10 Installation requirements and 11 Instructions before commissioning esascs cced eee 12 SING OXYGEN 28h AGRA RAN LR m 12 Iritended dseeiss sos mte to eoo to ORE LI 13 B ntraindie tions T OI ENTE N 14 SIGG CMeCIS dr p d d e lei 15 Description Of device t tei o p ded se 16 Housing display and control elements
18. SD card If this occurs frequently the device should be examined by a service techni cian Confirm with key The old SD card is defective Continue to use the new SD card see error code E05 E06 7 Mask Test 45 1 141 Slumber 5 hPa Wake Alarm OFF Press ON OFF Alarm Clock OFF IMPORTANT DISPLAY MESSAGES The sections below describe the most important display messages Alll further messages will be clear from their context 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 programing key during operation There will be a mes sage 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 off key once to initiate the slumber phase Press the key once again to turn off the alarm clock completely You have pressed the on off key and stopped the slumber phase You pressed the programing key W in the normal operating mode There will be a message that the alarm
19. ah sel Exit Menu EE Exit Menu FRI ENT 5 9 Exit Men AILM 6 5 Exit Menu Al E6H1 6 8 Exit Menu PAY T 22222 6 4 Exit Menu MEANING OF THE PARAMETERS IN THE INFO MENU Use D Shows the average operating time of the last therapy 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 M Shows the apnea index of the last month Shows the index of the last 6 months AI YT Shows the apnea index of the last year 1 from 12 00 to 12 00 o clock 2 inVECTOR et AUTO AHI Apnea Hypopnea Index instead of Al is displayed Device functions 29 Leak D Shows the percentage of the operating time in which increased leak age was detected over the period of the last therapy Leak W Shows the percentage of the operating time in which increased leak age was detected over the period of the last week Leak M Shows the percentage of the operating time in which increased leak age was detected over the period of the last month Leak 6M Shows the per
20. ated with the help of the programing keys A and Press program ing key A to activate the alarm function The display briefly shows the wake time allowing you to verify it After that a bell symbol in front of the time display shows that the wake alarm function is activated Press the programing key to deactivate the wake alarm function The bell symbol disappears Delete Filter 34 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 key for approx 1 second then select Delete Filter with the pro graming keys and Press the enter key The system will now ask you whether you are sure that you want to perform a reset Press the enter key 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 programing keys and or wait until the system leaves the menu item automatically Device functions Exit Ui Press ON OFF Alarm ON Press ON OFF zg Has 11 iz z2B ON OFF m Clock Filter a Euh Mask Exit Manu only in mode APAP in VECTOR et AUTO 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 Nose Mouth e Choose Hase for al
21. before use INSERTING THE SD CARD If connected disconnect the humidifier from the device Ensure that the device is in standby mode Carefully lift the device Insert the SD card into the SD card slot see picture The device initializes and the message Do not remove the SD card is shown on the display The time required for initialization depends on the device settings 9r de 99 9 T NOTICE On no account remove the SD card during initialization This could lead to loss of data or damage to the SD card Do not remove 6 After initialization the message disappears If the SD card contains the SD card new therapy parameters these parameters are adopted by the device and the message New Parameters were accepted is dis New Parameters played were accepted By pressing the enter key or after 10s the message will be disap pear IMPORTANT After the takeover of the parameters enter the Info Menu and com pare the displayed parameters with the values of your prescription 56 Using an SD card REMOVING 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 Carefully push the SD card into the card slot and remove the SD card NOTICE Only remove the SD card standby mode see page 24 Otherwise data may be lost or the SD card damaged WHAT IS SAVED ON THE SD CARD The last 100 ev
22. centage of the operating time in which increased leak age was detected over the period of the last 6 months Leak Y Shows the percentage of the operating time in which increased leak age 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 30 Device functions FL eakED EM Exit Menu KLeakEll 25 Exit Menu L sak M Exit Menu L ak 6M Exit Menu L ak Y Exit Menu Therapy Exit Menu Exit Menu FLEA Leu2l Exit Menu KkP 5tart T ShPa Exit Menu KP Hin 5 hPa Exit Menu 1 Exit Menu Pres 14 GhPa Exit Menu k E Praes 5 hPa Exit Menu 51 Exit Menu E 510P8 55 Exit Menu Press only in modes CPAP and FLEX Shows the selected therapy pressure FLEX Level only in mode FLEX Shows the selected FLEX Level 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 only in modes S T and ST Shows the selected inspiration pressure E Pres only in modes S
23. contact your physician for explanation of the causes should these complaints persist Safety information 15 DESCRIPTION OF DEVICE HOUSING DISPLAY AND CONTROL ELEMENTS Display Programing keys Heater LED Filter cassette Heater key 222 are 2 7 Enter key Unlocking button for humidifier Connection for measuring tube Connection for therapy tube Contact socket for humidifi or humidifier SUD IV 16 Description of device SD card slot Rating plate RS232 interface Power connection 24V DC Description of device 17 TECHNICAL DESCRIPTION For all devices of the VECTOR et series the following characteristics apply To generate the necessary pressure the device is provided with an elec tronically controlled blower In order to keep the stress for the patient as low as possible the blower has been designed with a high reserve capac ity and a quick control response The pressure is measured directly in the mask and constantly controlled by the device Consequently the breathing work for the patient is as easy as possible There are two separate tubings in the device One is for respiratory air and one is for the convection air required for cooling the electronics The device contains a built in microcontroller which controls all of its func tions A quartz alarm clock further adds to the comfort when using the device Further comfort functions include a soft start ramp the aut
24. e 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 usage of the device at home respira tory 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 associ ated 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 Observe 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 8 Safety information Please see your physician immediately if dryness of the mucous
25. e second digit will flash Enter the second digit of the PIN with the help of the programing keys and VW and proceed as described for the first digit Enter the third digit accord ingly 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 FLEX APAP BILEVEL S BILEVEL ST BILEVEL T Device type VECTOR et CPAP VECTOR et AUTO e 2 2 2 VECTOR et BILEVEL 2 VECTOR et BILEVEL ST20 e VECTOR et BILEVEL ST30 e Press only in modes and FLEX Exit Menu To set the pressure first go to the Clinic menu Then select Pressure using the programing keys and Press the enter 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 programing keys and After pressing the enter key the second digit will flash Enter the second digit of the PIN with the help of the programing keys and Y 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 pres sure using the programing keys and Then confirm the selected pressure by pressing the enter keys Device functions 43 FLEX Level only in mode FLEX The value of pressure increase and pressure decrease depends
26. eating level 3 0 30 hPa at heating level 3 0 49 hPa at heating level 3 Pa equivalent to a sound power level of lt 33 dB A gt 180 l min gt 1701 gt 1601 gt 1501 gt 1401 5 40 20 0 70 C Technical data 71 EEE VECTOR VECTOR et with AquaDROP et Therapy air heating lt 3K depending on the heating level and the ambient conditions Relative humidity 15 96 95 96 for operation and storage Operating conditions approx 400 3500 m 1060 hPa 700 hPa Filter Polyurethane foam on polyester base 80 ppi 30 kg m Therapy tube 22 mm cone acc to ISO 5356 1 connection Product class lla according to 93 42 EEC Classification Protection class Il according to EN 60601 1 CPAP AUTO BILEVEL BILEVEL ST20 BILEVEL ST30 FLEX S ST ST Mode APAP Press 6 0hPa ES E FLEX Level 2 mm EN E P Start 6 0hPa EU FAT ES P Min 4 0hPa 10 0 hPa Nose 2 SET m Pres 10 0hPa 10 0hPa 10 0hPa E Pres 6 0hPa 6 0hPa 6 0hPa Slope 0 35 0 35 0 35 E Slope 0 35 0 35 0 35 Trigger er dtr I Trigger 2 2 2 E Trigger 2 2 2 T 12 bpm 12 bpm IHE 2 05 2 05 Delay Time dm 5s 5s Backup freq Tm VT min ees me 72 Technical data TI min CPAP AUTO BILEVEL BILEVEL ST20 BILEVEL ST30 OFF OFF TI max 8 m
27. eck 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 manufacturer or distributor from whom you obtain the oxygen Have your distributor advise you about the use of oxygen In any case follow your physician s instructions 12 Safety information INTENDED USE The VECTOR et is used to treat obstructive sleep apnea in patients weigh ing 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 is not a life supporting system The therapy pressure is administered via a respiratory mask which must be fitted with an exhalation valve to ensure that the exhaled air is discharged NOTICE If an AquaDROP humidifier is connected the device the water the humidifier must not contain any additives such as medicines salts aromatic oils or other substances Safety infor
28. ents are saved on the SD card Events are changes of param eters such as therapy settings resetting counters e g 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 Pressure e e Obstruktive Sleep Apnea Mixed Sleep Apnea 2 e 3 2 2 e Airway Constriction e t a b Snoring z General Artifact 2 Adjustment e e Using an SD 57 Device type CPAP APAP BILEVEL BILEVEL BILEVEL Parameter ST20 ST30 Mouth Exhalation Tidal Volume Apnea alarm Low 58 Using SD card ERROR MESSAGES Press ON OFF Two different types of error are distinguished errors with data loss and E p errors without data loss The display Exx denotes errors in which data may have been lost The display Wxx denotes errors in which no data has been lost To hide an error message press the enter key 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 recommend
29. filter cassette pull it out of the device 2 Separate filter cassette and filter frame cover by pulling them apart 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 To set back the message proceed as described in the chapter Patient Menu on page 34 NOTICE Never operate the device without a filter cassette Only and exclu sively use original HOFFRICHTER filter cassettes Changing the filter cassette cleaning 63 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 drop lets 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 not use any other agents 3 Rinse the therapy tube thoroughly with
30. h an environment Immunity test IEC 60601 Compliance level Electromagnetic environment Test level guidance Electrostatic discharge ESD acc to x 8 kV air 8 KV air Floors should be wood concrete or ceramic IEC 61000 4 2 tile If floors are covered with synthetic material the relative humidity should be at least 30 96 Electrical fast transient burst acc to 1 kV 1 Mains power quality should be that of a typical IEC 61000 4 4 input output input output commercial or hospital environment Surge acc to IEC 61000 4 5 1 kV voltage 1 kV voltage Mains power quality should be that of a typical differential mode differential mode commercial or hospital environment 1 Here user is meant in the sense of Responsible Organization 74 Manufacturer s declaration on electromagnetic compatibility Guidance and manufacturer s declaration electromagnetic immunity IEC 60601 Test level Immunity test Voltage dips short interruptions and voltage 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 6 100 96 dip for 0 5 cycle 60 96 dip in U for 5 cycles 30 96 dip in 25 cycles 100 96 dip in U for 5s 3 A m Vi 3V 150 kHz 80 MHz Compliance level 100 96 dip in Ur for 0 5 cycle 60 96 dip in U for 5 cycles 30 96 dip in U for 25 cycles 100 dip in U for5s 3 A m 3V E
31. hat can be selected is the Auto Start mode 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 However the turbine is not Switched off It can only be switched off by pressing the on off key Mask Alarm Check Mask IMPORTANT The automatic function can be deactivated in the VECTOR et BILEVEL ST20 and ST30 with the PC software from the medi cal 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 for approx 1 second Then select Auta using the programing keys A and Press the enter key to change the set ting 38 Device functions Display VT Here you can set whether the tidal volume and the respiratory sta tus S spontaneous T timed only in ST mode and in S mode when Backup frequency is ON are displayed during therapy To activate or deactivate the display of the tidal volume first go to the Clinic menu Then select Display using the programing keys A and and press the enter key to set the desired setting ON or OFF IMPORTANT Display UT Exit Menu The display of the tidal volume during the therapy replaces the display of the date The alarm clock is still active Brightness Exit Menu In this menu i
32. he param eter Slope is set I Slope only in modes S T and ST ec 35 Exit Menu Time of pressure increase from E Pressure to I Pressure pressure increase rate First set the I Pressure and E Pressure Then set the desired time using the programing keys A and Press enter key to confirm Next the parameter E Slope is set Device functions 45 E Slope only in modes S T and ST E Time of pressure decrease from I Pressure to E Pressure pressure Exit Menu decrease rate First set the I Pressure E Pressure and the I Slope Then set the desired time using the programing keys and Press enter key confirm hPa 10 Pressure 8 E Pressure 6 4 2 0 1 2 3 4 5 6 Trigger only in mode T Trigger To set the Trigger first go to the Clinic menu Then select Trigger Exit Menu using the programing keys and Press the enter key Now the device will prompt you to enter the PIN Pressing the enter key again changes the setting from OFF to ON and vice versa I Trigger only in modes S T and ST k Tri1aaar The I Trigger depends on the volume and determines the sensitivity for en detecting inspiration It can be set to three levels 1 10ml 2 15ml 3 25ml To set the l Trigger first go to the Clinic menu Then select l Trigger using the programing keys and W Press the enter key Now the device will prompt you to enter the PIN Now
33. ies 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 hygiene and cleaning instructions described in the user s manual have not been complied with Statutory guarantee rights remain unaffected by this 78 Disclaimer HOFFRICHTER GmbH Mettenheimer Strasse 12 14 19061 Schwerin Germany Phone 49 385 39925 0 Fax 49 385 39925 25 E mail info hoffrichter de www hoffrichter de VECTOR et 2 140 eng 27071 1 01 Art no 5000 0448
34. ines Using the programing keys and V you can select the line to be displayed The triangular symbol k preceding the line indicates that this line has been selected IMPORTANT If you do not press any key for 30 seconds while programing the pro graming mode is automatically exited for safety reasons Unless the changed value is confirmed with the enter key when the pro graming mode is exited the original value remains as it is If you select the line Exit and then press the enter key pro graming 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 programing key for scrolling within the menus The sequence of the menu structure is shown in the table from page 27 26 Device functions 2 om T ERG L ien Example Pressure INFO MENU By pressing the info key i you get to the Info Menu By pressing the progam ing keys A and V you can see the next parameters For the parameters Use Al or and Leak pressing the enter key enables you to display average 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
35. ion 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 special requirements and to the individual patient comfort These settings are performed by the physician with the help of the PC software TRENDset In addition to normal and CPAP mode the device offers the FLEXLINE mode a pressure increase which is proportionate to the individual respi ration flow during inspiration and a pressure decrease during expiration 20 Description of device VECTOR et BILEVEL The device has two different adjustable pressure levels A higher level for inspiration and a lower level for expiration Trigger device The respiration trigger detects the patients efforts to breath in and out and signals 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 optimum slope adjustment this results in a therapy which is very comfortable for the patient and which gives the impression a
36. irm press the enter key TI min only in modes S and ST in VECTOR et BILEVEL ST20 and ST30 KTI TI min is the minimum inspiration time By setting of TI min a minimum Exit Menu duration 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 min using the programing keys and and press the enter key You will now be requested to enter the PIN The first digit will flash Use the programing keys and to enter the first digit of the PIN After pressing the enter key the second digit will flash Use the programing keys and to enter the second digit of the PIN etc After the last digit of the PIN you can use the programing keys A and V to enter the minimum inspiration time Confirm the selected value using the enter key The max parameter is set next 50 Device functions max 3 05 TI max only in modes 5 and ST in VECTOR et BILEVEL ST20 and 5 30 LIT DIESE Exit Menu TI max is the maximum inspiration time By setting of TI max a maxi mum duration of the inspiration is defined After expiration of max the inspiration will be interrupted and the expiration begins First set Tl min Then set the desired value using the programing keys A and VW To confirm press the enter key t Lou z B Low MV only modes S T and ST in VECTOR et BILEVEL 5 30 Exit Menu Here you
37. l nasal masks and pillow masks e Choose Mase Maouth for all nasal mouth masks To select the type of mask first go to the Patient menu hold down the enter key for approx 1 second Then select Mask using the programing keys and W and press the enter key to change the setting Device functions 35 Ramp KRamP Semin Whenever the blower has been started the microcontroller of the device Exit Menu checks whether a soft start ramp has been programmed While the programmed time elapses the soft start function increases the pres sure from an adjustable initial ramp pressure P Ramp up to the pres sure 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 ther apy pressure 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 for approx 1 second then select with the programing keys and Press the enter key Now select the desired time using the programing keys and Press enter key to confirm CPAP FLEX and APAP BILEVEL S ST and T
38. lectromagnetic environment guidance Mains power quality should be that of a typical commercial or hospital environment If the user of the VECTOR et requires continued opera tion during power mains interruption it is rec ommended that the VECTOR et is powered from an uninterrupted power supply UPS or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Portable and mobile communications equip ment should be used no closer to any part of the VECTOR et including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended safety distance d 1 17 VP Manufacturer s declaration on electromagnetic compatibility 75 Guidance and manufacturer s declaration electromagnetic immunity Radiated RF acc to IEC 61000 4 3 E 23 V m 3 V m d 1 17 VP for 800 MHz to 800 MHz 80 MHz 2 5 GHz 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 manufacturer 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 compliance level in each frequency range P Interference may occur in the vicinity of equip ment marked with the following symbol N
39. list 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 68 Maintenance 154 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 contact the relevant customer services department to find out how to dis pose of the device properly PACKAGING The packaging is taken back by the distributor but it can alternatively be recycled ACCESSORIES The accessories like the tubing mask filter cassettes etc should be dis posed according to the manufacturer s instructions or with normal house hold waste Disposal 69 ACCESSORIES VECTOR et CPAP 0000 2045 VECTOR et AUTO 0000 2046 VECTOR et BILEVEL 0000 2047 VECTOR et BILEVEL ST20 0000 2048 VECTOR et BILEVEL ST30 0000 2013 Carrying case 0000 2080 Power supply 0000 2020 Power supply cable approx 2 30 m 31100015 Filter cassette 0000 2029 Therapy tube 1 80 m measuring tube and tube plugs 0000 7116 SD card formatted with TRENDset 11200010 User s manual 5000 0448 Brief instruction 5000 0455 Silicone CPAP nasal mask size S 0000 3440 Silicone CPAP nasal mask size M 0000 3434 Silicone CPAP nasal mask size L 0000 3435 Silicone CPAP full face
40. m 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 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 Troubleshooting 67 MAINTENANCE If operated correctly the device is maintenance free However in order to increase the service life we recommend regular maintenance every 2 years A CAUTION Do not try to open the device Maintenance and repairs may only be performed 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 63 e Check the system regularly Conduct a visual check for external damage and dirt Check the alarm function Power failure see page 54 Check the alarm function Mask alarm see page 54 PREPARING THE DEVICE WHEN CHANGING PATIENT The devices are only intended for use by a single patient CAUTION If the device is to be used for another patient it must first of all be prepared hygienically When being given to another patient the device must be prepared hygieni cally by the specia
41. mask size S 0000 3441 Silicone CPAP full face mask size M 0000 3436 Silicone CPAP full face mask size L 0000 3437 ComfortTube System heated tubing system 0000 3479 Humidifier AquaDROP et 0000 2015 Filter cassette with frame cover 0000 2028 24 V DC vehicle cable 0000 9212 12V to 24 V converter 0000 7133 For ordering of accessories please contact a HOFFRICHTER service partner 70 Accessories TECHNICAL DATA VECTOR et VECTOR et with AquaDROP et 230 x 212 x 107 WxDxH mm Dimensions Weight Power supply Operating time under battery power Pressure range Max limit pressure in the event of a fault Power consumption Standby Operation at 12 hPa Short term pressure variation 10bpm 15 bpm 20 bpm Long term pressure variation Pressure reading accuracy Average sound pres sure level operating at 1 m distance Air flow rate 4hPa 7 5hPa 15hPa 22 5hPa 30 hPa Operating temperature Storage temperature DC power 5W 8W 4hPa 10 5hPa approx 2 kg 230 x 342 x 125 WxDxH mm approx 2 35 kg without water 100 V 240 V 50 60Hz 22 VDC 2 1A up to 8 years 4 20 hPa mbar BILEVEL 5 30 4 80 hPa mbar 30 hPa CPAP APAP lt 40 hPa BILEVEL BILEVEL ST20 und ST30 Mains power lt 5W 10W 17hPa 28 5hPa 30hPa 4hPa 0 15 hPa 0 30 hPa 0 46 hPa 0 3hPa 0 5hPa lt 25 dB A at 10h DC power Mains power 28W 32W 10 5hPa 17hPa 23 5hPa 30hPa 0 16 hPa at h
42. mation 13 CONTRAINDICATIONS A WARNING Respiratory therapy may be contraindicated for certain pre existing conditions Therefore always talk to the physician treating you before starting the therapy Pre existing conditions include e bullous lung diseases e pneumothorax e very low blood pressure e pneumocephalus after open craniocerebral injury or other head injuries In the event of inflammation of the paranasal sinuses or a middle ear infec tion 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 respira tory therapy Reasons for side effects occurring could be unsuitable ther apy settings 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 sec tion Troubleshooting on page 66 The following side effects may occur during therapy Pain in the 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 CAUTION Please
43. ng and safety instructions in the user s manual BF application part gt gt Protection class Il protective insulation CE conformity declaration Follow the user s manual Manufacturer Do not dispose of the device in the household waste Please contact the relevant customer services department to find out how to dispose of the device properly Dt ES 6 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 material damage In addition the local accident prevention regulations and general safety regulations in force in the area of use must be observed This symbol denotes general safety instructions Follow these instruc tions to avoid accidents personal injury or material damage A DANGER This symbol denotes hazardous situations that lead to serious inju ries or death A WARNING This symbol denotes hazardous situations that may lead to serious injuries or death CAUTION This symbol denotes hazardous situations that may lead to moder ately severe injuries NOTICE This symbol denotes situations that may lead to material damage or damage to the device IMPORTANT This symbol denotes information tips and instructions for the effi cient error free use of the device General 7 SAFETY INFORMATION GENERAL SAFETY INSTRUCTIONS The devic
44. omatic start stop function and the adjustable display brightness While passing through the device the air is heated a little so that it has a higher water absor bency When indoor air is dry in winter the mucous membranes in 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 AquaDROP et a clip on humidifier is available as accessory for all VECTOR et devices If necessary just click the humidifier onto the device Remove it by press ing its release button The heater levels are set in the heater menu The selected heater level is displayed as in the display of the device while the humidifier heating is Switched on For more information please see your AquaDROP et Users manual or contact your specialized dealer 18 Description of device Air inlet Filter Blower Pressure sensor l Connector Air outlet measuring tube Press Heat 2 61 45 POWER SUPPLY External switched mode power supply For mains operation the VECTOR et has an external 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 VECTOR et e g in a truck or a caravan it is possible to operate it with a 24 V direct current DC F
45. ompleted Dryness and irritation in Air is too dry Device probably does the nose and throat not have an air humidi fier Speak to your physi cian about retrofitting an humidifier Original symptoms of Physical condition or Inform your physician sleep apnea come back life circumstances have changed Device error Have the device checked by customer Services Irritated or Air escapes between Check the mask for dry eyes the mask and the skin of proper positioning the face Check the positioning of the mask Cold nose Room temperature too Replace the mask if the low material has become chapped Runny nose sneezing Reaction to the air flow _ Either increase the humidity in the room or the temperature of the humidifier Normal cold Contact your physician 66 Troubleshooting Reddening of the skin the mask area skin swelling Feeling that the air is too hot No air flow Very little air flow Blower is running con stantly at maximum speed Therapy pressure not steady Incorrect mask size Headgear too tight Allergic reaction Filter dirty Air inlet blocked Heater close to the device 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 your physician Loosen the headgear Infor
46. on the value of the breathing flow the set FLEX Level and the set therapy pressure The three FLEX Levels 1 3 are for individual adjustment to the patients requirements e FLEX Level 1 low pressure support APmax 1 hPa e FLEX Level 2 medium pressure support APmax lt 2 hPa e FLEX Level 3 high pressure support A Pmax lt hPa To set the FLEX Level first go to the Clinic menu Then select FLE Lewel using the programing keys and V Press the enter key Now the device will prompt you to enter the PIN The first digit is flash ing Enter the first digit of the PIN with the help of the programing keys A and After pressing the enter key the second digit will flash Enter the second digit of the PIN with the help of the programing keys 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 set the FLEX Level using the programing keys Then confirm the selected level by pressing the enter key P Start only in mode APAP To set the P Start first go to the Clinic menu Then select F Start using the programing keys and Press the enter key Now the device will prompt you to enter the PIN By using the programing keys A and W you can now set the start pressure Confirm with the enter key Next the parameter P Min is set P Min only in mode APAP 44 First set the P Start Then set the minimum pre
47. operating mode The following table shows which parameters are displayed in the Info menu depending on the set mode or device type Parameter CPAP FLEX APAP BILEVEL S BILEVEL ST BILEVEL T Use D Use W Use M Use 6M Use Y AI D AI W AI M AI 6M AIN Leak D Leak W Leak M Leak 6M Leak Y Therapy e e ihi Filter Ramp e e e e e Mode e e e e e Press Pres Device functions 27 Parameter CPAP FLEX APAP BILEVEL S BILEVEL ST BILEVEL T e e E Pres FLEX Level gt P Start P Min Slope O E Slope O Trigger Trigger 4 E Trigger 2 2 a Frequency O Backup freq HE e Delay Time VT min P addit oS 5 5 TI min 06 06 TI max 6 6 Low MV 43 43 3 E 43 7 2 Next parameter is displayed by pressing the enter in VECTOR et AUTO AHI Apnea Hypopnea Index instead of AI is displayed only available when activated by physician only VECTOR et BILEVEL ST30 only if trigger is ON cannot be set if VT min is OFF only VECTOR et BILEVEL ST20 and ST30 only if Backup frequency is OFF 28 Device functions T
48. or 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 connect the device to while it is being used VECTOR et 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 pressure in the FLEXLINE mode to the individual breath flow during inspiration and a pressure drop during the expiration This intel ligent method of pressure adjustment makes a careful therapy possible Description of device 19 VECTOR et AUTO Within a certain pressure range the device automatically controls the ther apy 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 effec tively with a slight pressure increase For a high therapy comfort the therapy pressure should always be only 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 chan nels 1 Measurement of any constrict
49. ote 1 the mains alternating current before application of the test level Note2 At 80 MHz and 800 MHz the higher frequency range is essential Note3 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a The field strengths from fixed transmitters such as base stations for radio cellular 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 electromagnetic site survey should be considered If the mea sured field strength outside the location in which the VECTOR et is used exceeds the compliance level the VECTOR et should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the VECTOR et b Over the frequency range from 150 kHz to 80 MHz the field strength should be lower than 10 V m 76 Manufacturer s declaration on electromagnetic compatibility Recommended separation distances between portable mobile communication equipment the VECTOR The VECTOR et is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The user of the VECTOR et can help prevent electromagnetic interference by maintaining a minimum di
50. pressure will slightly change Conversion 1 hPa 4 1 mbar 4 1 02 cmH20 Example At 8 cmH20 the pressure is 7 8456 hPa or mbar Device functions _ ENG Exit Menu Turbine This menu item shows the total operating time of the turbine the filter and the therapy time Turbine 12h melee Exit Menu The counter indicates the total turbine running time Filter 123h Exit Menu The counter indicates the operating hours of the filter since the last reset Therapy Therapy eM MEM Exit Menu The counter indicates the operating time with the therapy pressure applied Im dc 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 programing keys and Press the enter key Each time you press the enter key you see the next counter kEackup Fraa UN Backup freq only in mode S in VECTOR et BILEVEL BILEVEL ST20 Exi t Heny and ST30 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 programing keys A and V The PIN code is now requested Once you have entered the PIN you can change the setting or OFF by pressing the ente
51. r failure alarm the device must have been con nected 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 minutes After pushing 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 Thealarmis 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 func tion OFF or Start The mask is open but not applied to your face After a short time an audible signal is emitted 54 Alarm functions of the device Low HU TIT HPhea 8 ShPa 8 9hPa 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 The alarm is turned off by pushing the on off key and the therapy can be continued after solv ing the error WAKE ALARM The device is provided with a comfortable
52. r key Device functions 49 VT min only in modes S T and ST in VECTOR et BILEVEL ST30 The purpose of the target volume is to safeguard the respiratory vol Exit Menu ume per breath during pressure controlled ventilation To set the target volume first go to the Clinic menu Then select mim using the programing keys and You will now be requested to enter the PIN The first digit will flash Use the programing keys A and to enter the first digit of the PIN After pressing the enter key the second digit will flash Use the programing keys A and Y to enter the second digit of the PIN etc After the last digit of the PIN you can use the programing keys and to set the target volume Confirm the selected target volume using the enter key The param eter P addit is set next P addit only in modes S T and ST in VECTOR et BILEVEL ST30 TETTE IT To reach the target volume an additional pressure P addit must be Exit Menu 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 2 hPa per breath If the I Pressure is set to gt 28 hPa then the target volume is automati cally set to OFF P addit can then no longer be selected First set the VT min Then set the desired value using programing keys A and To conf
53. rent number of treatment hours Thereafter the display shows the date and time 3 Connect the therapy tube 8 tothe air outlet and b tothe mask 4 Also connect the measuring tube to the measuring tube connection 5 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 6 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 7 Place the tube such that it does not exert any pulling action on the mask while you are lying down 8 Breathe deeply and calmly If you have activated the soft start func tion 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 the section Device functions from page 26 read how you can adapt the times for soft start and the mask test to suit your personal requirements Using the device 23 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 NOTICE Do not remove the 50 card account remove
54. s ifthe device is following the natural 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 VECTOR et BILEVEL ST20 AND ST30 The device has two different adjustable pressure levels A higher level for inspiration and a lower level for expiration Trigger device The respiration trigger detects the patients efforts to breath in and out and signals 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 optimum 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 natural 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
55. spiration time The delay time parameter is set next Delay Time only in mode ST Exit Menu The delay time is the time after which the device switches from S mode into T mode in the event of breath failure Delas Time 35 First set the frequency and the inspiration time Then set the delay time using the programing keys and V Press enter key to confirm You can set values from sec to 20 sec in 1 sec intervals Device functions 47 Language 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 Lan guage using the programing keys and Press the enter key 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 48 The device can show the pressure in the pressure units hectopascal hPa millibar mbar and centimeters of water cm cmH 0 To set the unit of pressure first go to the Clinic menu Then select P Llnit using the programing keys and Press the enter key 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 CAUTION When changing the pressure unit from hPa or mbar to cmH2O the
56. ssure using the pro graming keys A and VW Confirm with the enter key Next the param eter P Max is set Device functions 1 3 Exit Menu kP 5tart 7 5hPa Exit Menu FRETI ce 2 BhPa Exit Menu TN TREE dn only in mode APAP Exit Menu First set the P Start and P Min Then set the maximum pressure using the programing keys A VW Confirm with the enter key only in modes 5 T and ST Exit Menu Pressure during inspiration To set the I Pressure first go to the Clinic menu Then selectl Preszz using the programing keys and 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 programing keys A and After pressing the enter key the second digit will flash Enter the second digit of the PIN with the help of the programing keys A and V and proceed as described for the first digit Enter the third digit accord ingly After entering the last digit of the PIN you can set the pressure using the programing keys and Then confirm the selected pres Sure by pressing the enter key A Next the parameter E Pressure is set KE Pras 6 BhPa E Pres only in modes S T and ST Exit Menu Pressure during expiration First set the I Pressure Then set the desired pressure using the pro graming keys and Press enter key to confirm Next t
57. st with the programing keys and Press the enter key Now select the desired time using the programing keys and Press to confirm CPAP FLEX and APAP BILEVEL S ST and T The pressure is gradually Pressure The pressure is gradually neal increased up to the hPa increased up to the Mask Test therapeutic pressure Mask Test therapeutic pressure 10 l Pressure 8 f l p 6 E Pressure Time 4 Time 20 40 eo 20 40 60 Programmed soft start time Ramp 0 60 minutes Programmed soft start time ramp 60 minutes Device functions 37 Auto The automatic mode provides three settings OFF Start Stop Start 1 Auto OFF with mask alarm 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 emitted mask alarm 2 Auto Start Stop Put Mask If you set Auto Start Stop you must simply put the mask on your 25 Mau 11 A face 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 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 t
58. stance between portable and mobile RF communications equipment transmitters and the VECTOR et as recommended below according to the maximum output power of the communications equipment Rated maximum output Separation distance according to frequency of transmitter m power of transmitter W 150 kHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz 1 17 NP 1 17 NP 2 33 NP 0 01 0 12 0 12 0 23 0 1 0 37 0 74 1 1 17 2 33 10 3 7 eur TOn 100 11 7 fuo 23 8 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 propagation is affected by absorption and reflection from structures objects and people 1 user is meant in the sense of Responsible Organization Manufacturer s declaration on electromagnetic compatibility 77 DISCLAIMER HOFFRICHTER GmbH is not liable for consequences in terms of safety reliability and performance of the product where e interventions modifications extensions calibration repairs and maintenance are carried out by persons not authorized by us e other manufacturers accessor
59. t Vig 3 n 43 max Device functions 41 Parameter CPAP FLEX APAP BILEVEL S BILEVEL ST BILEVEL T e e e e e e Ramp e P Ramp Mask Test e e e e e Auto e e e e Display VT Low MV n 5 m m Apnea 4 Brightness Language e e P Unit e e Turbine Filter d 2 2 D 2 Therapy Standby Delete Filter e Date 5 Time e e e e Wake Time e 4 Next parameter is displayed by pressing the enter key 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 VECTOR et BILEVEL ST20 and ST30 Apnea only in mode S if Backup frequency is OFF only VECTOR et BILEVEL ST30 a ar wh 42 Device functions THERAPY RELEVANT PARAMETERS AND THEIR MEANING bMode Biley ST Mode Exit Menu The devices can be operated in different modes The following table shows which modes are available for your device To set the mode first go to the Clinic menu Then select Made using Code OGE the programing keys and WV Press the enter key Now the device Exit Menu will prompt you to enter the PIN The first digit is flashing Enter the first digit of the PIN with the help of the programing keys and After pressing the enter key th
60. tem 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 for approx 1 second Then select Brightness using the programing keys and After pressing the enter key the currently set brightness will flash and can then be adjusted using the programing keys A and W in intervals of 10 Press enter key for accepting the selected brightness If no key is pressed for 30 sec ondas the device will reset the brightness to the old value Brightness After pressing any key the brightness of the display will automatically switch to 100 for better visibility Device functions 39 Date Use this menu item to set the date To set the date first go to the Patient menu hold down the enter key lt approx 1 second Then select Date using the programing keys and After using the enter key the year will flash and can be set using the programing keys and W After using the enter key again the month will flash and can be set using the programing keys A and After using the enter key again the day will flash and can be set using the programing keys A and Press the enter key again to accept the set date Time 40 Use this menu item to set the time To set the time first go to the Patient menu hold down the enter key for approx 1 second Then select Time using the programing keys A and After pressing the en
61. ter key the hour will flash and can set using the programing keys and V After pressing the enter key again the minutes will flash and can be set using the program ing keys A and Press the enter key again to accept the set time With its built in battery the internal clock has a reserve power of 8 years without connection to the external power supply Device functions Mate 25 May 11 Exit Menu KTime Exit Menu CLINIC MENU In addition to the parameters in the Clinic Menu in the Clinic Menu param eters relevant for the therapy can be set This menu is used only by health and service professionals Some parameters are protected by a PIN code in order to prevent incorrect parameters being entered CAUTION 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 Parameter CPAP FLEX APAP BILEVEL S BILEVEL ST BILEVEL T e e e e e e Mode Press FLEX Level P Start P Mn l Pres ERs o 2 5 A l Slope E Slope Trigger l Tigge _ 2 E Trigger Frequency e Delay Time Backup freq VTmin 45 5 45 P addi
62. 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 spontaneously the device is operating in the S mode If the patient stops breathing 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 func tion is deactivated the patient is ventilated according to the set parame ters If the trigger function is activated the device accepts only spontane ous trigger signals in the expiration phase NOTICE During the expiration phase a negative pressure vacuum will not be created 22 Description of device USING THE DEVICE COMMISSIONING CAUTION Before commissioning the device read the section Safety informa tion from page 8 The device must not be operated without a filter cassette because this could damage your health 1 After having set up the device properly connect the device using the supplied power cord with the socket outlet 2 The device displays a welcoming message the software version and the cur

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