ResMed VPAP Adapt SV
Contents
1. b 4 2 kg Environmental conditions Operating temperature 41 F to 1049F 5 C to 40 C Storage and transport temperature 4 F to 140 F 20 C to 60 C Humidity operating storage and transportation 10 95 non condensing Housing construction Injection moulded plastic Air tubing 1 x 66 2m Air filter Synthetic fiber Patient connection port 22 mm taper compatible with EN 1281 1 1997 Anaesthetic amp Respiratory Equipment Conical Connectors Power supply AC Input range 110 120 V and 220 240 V 50 60 Hz 60 VA DC Input range if using DC converter 12 13 8 V DC Performance Operating pressure range 4 20 cm H O Sound pressure level lt 30 dBA tested in accordance with the requirements of ISO 17510 1 Battery type Lithium Alarm specifications High maximum mask pressure alarm Stops air delivery at 25 cm H20 gt 700 ms High mean mask pressure alarm Stops air delivery when mean mask pressure exceeds 15 cm H O averaged over approximately 1 minute Low mask pressure alarm Mask pressure is less than 3 cm H20 for longer than 5 seconds while the patient is using the VPAP Adapt SV Technical Specifications 39 40 e Insufficient pressure support alarm Is triggered if for 3 breaths in a row the maximum mask pressure achieved at inspiratory to expiratory transition is either lt 875 of the absolute mask pressure targetted at that point or lt absolute mask pressure targeted minus 1 cm H20 whichever is2. monitoring 24 air tubing attaching to mask 10 cleaning 31 connecting 10 air tubing system 7 8 10 alarm flow blocked 29 high leak 28 high pressure 28 low mask pressure 27 power fail 28 alarm LED 19 anti bacterial filter 15 B backlight change setting 24 Cc cautions 2 contraindications 1 CPAP mode 22 F fault message 35 H HumidAire connection 13 HumidAire 2i 12 humidifier connecting 11 types 11 K key alarm mute 19 27 left 19 right 19 start stop 18 up down 18 L language change setting 24 LCD display 35 leak alert 23 learn circuit 22 Luer connector 10 M mask connection 10 indication of fit 24 recommended 8 select from menu 22 medical information 1 menus 19 how to use 20 navigation 21 O Options menu 24 oxygen supplemental 16 P power cord connection 9 pressure sensor tube connecting 10 proximal cuff 8 Q quick setup guide 5 R ramp 22 23 ResLink 15 results menu 23 S Settings menu 21 Smart data 24 SmartStop 23 standby mode 17 starting treatment 17 stopping treatment 17 supplemental oxygen 16 Index 49 50 System Error 7 message 35 T treatment screens 25 U user owner responsibility 1 vV VPAP Adapt SV 7 usage 24
3. Alarm Flow Blocked Alarm o E es es E al Contents Cleaning and Maintenance Daily Weekly Periodically Air Filter Hypoallergenic Air Filter Servicing Troubleshooting Glossary Technical Specifications LII Y Y Lu Introduction VPAP Adapt SV The VPAP Adapt SV flow generator has been designed to be reliable comfortable and easy to use You can observe your treatment and make adjustments to settings using a keypad and LCD screen CAUTION gt USA federal law restricts this device to sale by or on the order of a physician User Owner Responsibility The user or owner of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorized instructions and by authorized persons Please read this manual carefully before use Definitions WARNING J Heading alerts you to possible injury CAUTION Explains special measures for the safe and effective use of the device Medical Information Intended Use The VPAP Adapt SV system is intended to provide non invasive ventilatory support to treat adult patients with obstructive sleep apnea OSA and respiratory insufficiency caused by central and or mixed apneas and periodic breathing This device is intended for use in the hospital or home
4. Contraindications The VPAP Adapt SV is not a life support ventilator and may stop operating with power failure or in the unlikely event of certain fault conditions Before using the VPAP Adapt SV tell your doctor if you have any of the following conditions hypotension or significant intravascular volume depletion e acute sinusitis or otitis media e epistaxis severe nose bleeds causing a risk of pulmonary aspiration conditions predisposing to a risk of vomiting into mask Introduction impaired ability to clear secretions pneumothorax or pneumomediastinum recent cranial trauma or surgery chronic hypoventilation Below are general warnings and cautions Further specific warnings cautions and notes appear next to the relevant instructions in the manual Warnings The VPAP Adapt SV is NOT a life support ventilator The entire manual should be read before using the VPAP Adapt SV Advice contained in this manual should not supersede instructions given by the prescribing physician The VPAP Adapt SV should be used with masks and accessories recommended by ResMed or the prescribing physician Use of incorrect masks and accessories may adversely affect the function of the VPAP Adapt SV The VPAP Adapt SV is designed for use with masks that allow exhaled gases to be flushed out through vent holes Exhaled gases will be rebreathed if the mask is worn with the machine turned off or the vent holes are occluded If this occurs over prolonge
5. High pressure alarm Turn off VPAP Adapt SV at power switch Turn power off HIGH AVG PRESS High pressure alarm Turn off VPAP Adapt SV at power switch Turn power off HIGH LEAK High leak alarm Adjust the mask Check circuit LOW PS Insufficient pressure Check tubing Check circuit support alarm Run LEARN CIRCUIT FLOW BLOCKED Flow blocked alarm Turn off VPAP Adapt SV Check air circuit Turn power off Turn on VPAP Adapt SV Low Mask Pressure Alarm Triggered by pressure sensor line is blocked or disconnected air pressure at the mask has fallen below a set level mask is removed and SmartStop has been disabled If a low pressure alarm sounds 1 Check that the air tube and sensor tube are connected properly 2 Turn the VPAP Adapt SV off and on again at the power switch If the alarm persists return the unit to ResMed for servicing Alarms 21 Will clear when the low pressure condition is fixed treatment is stopped by pressing the Start Stop key Power Fail Alarm Triggered by power failure machine is disconnected or switched off while delivering treatment If a power fail alarm sounds the flow generator stops delivering air pressure Will stop when the Alarm Mute key is pressed or after two minutes or when power is restored CAUTION Remove the mask from your face if the power fails High Pressure Alarm Triggered by the mask pressure exceeds the set tr
6. If water enters the VPAP Adapt SV device turn off the main power switch at the back of the unit and unplug it from the power outlet Return the unit to your equipment supplier for checking Connecting a Humidifier Note After connecting or removing a humidifier always perform the Air Circuit Learn function see page 22 WARNING When using a humidifier position it so that it is lower than your head will be during sleep and at the same level or lower than the VPAP Adapt SV VPAP Adapt SV System 11 HumidAire 2i The HumidAire 2i provides heated humidification for the VPAP Adapt SV To attach the HumidAire 2i remove the VPAP Adapt SV front cover and attach the humidifier docking station and water chamber No other accessories are required for use Please refer to the HumidAire 2i User s Manual for details Once you have performed the Air Circuit Learn function the VPAP Adapt SV is ready for use See Starting Treatment on page 17 HumidAire 2i VPAP Adapt SV docking station HumidAire 2i water chamber Figure 8 HumidAire 2i attached to the VPAP Adapt SV A Til TH LATTA J Figure 9 HumidAire 2i attached to VPAP Adapt SV and mask WARNINGS gt Make sure that the water chamber is empty and thoroughly dried before transporting the HumidAire 2i When using the carry bag always separate the VPAP Adapt SV unit and the Humidaire 2i before placing in their respective compartments 12 Hu
7. again Do not place mask on face during warm up 30 seconds Select LEARN CIRCUIT page 22 If the error is not cleared contact your equipment supplier for service Return the device to your equipment supplier for service Troubleshooting 35 36 Glossary Alarms When more than one alarm is activated at the one time the highest priority alarm will be displayed Backlight The backlight turns off if no button has been pressed for two minutes It can also be kept permanently on by selecting Auto in the Backlight screen of the Options menu bpm breaths per minute L min liters per minute Mean The average value of the monitored parameter Minute ventilation A measure of the respiratory rate x tidal volume Proximal cuff A connector between the air tubing and the mask The pressure sensor tubing attaches to the proximal cuff so that pressure at the mask can be detected and monitored SmartStart A feature that starts the VPAP Adapt SV automatically when you breathe into the mask SmartStop A feature that stops the VPAP Adapt SV automatically when you remove the mask You can turn SmartStop on or off in the Settings menu Tidal volume The volume of air in liters breathed in or out in one breath Glossary 37 38 Technical Specifications Dimensions H x W x D 5 6 x 9 8 x 11 5 142 mm x 248 mm x 293 mm Weight Flow generator with cover 8 14 lb 3 7 kg Flow generator with Humidaire 2i empty 9 24
8. mask and air tubing are subject to normal wear and tear Inspect them regularly for damage Remove the power cord Clean the exterior of the flow generator with a damp cloth and mild liguid soap Inspect the air filter to check if it is blocked by dirt or contains holes See full instructions below WARNING Beware of electric shock Do not immerse the flow generator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting CAUTION Do not attempt to open the VPAP Adapt SV There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Air Filter Inspect the air filter every month and check if it is blocked by dirt or contains holes Air filter cover The filter should be replaced every six months or more often if the flow generator is operating in a dusty environment WARNING Do not wash the air filter once it has become soiled The air filter is not washable or reusable Fitting the filter 1 Remove the filter cover at the back of the flow generator 2 Remove and discard the old air filter 3 Insert a new filter the blue tinted side facing towards you Note Match the cut corner of the filter with the shape of the casing 4 Replace the air filter cover Hypoallergenic Air Filter The ResMed hypo allergenic filter is a standard filter to which an electrostatic filter has bee
9. supplies buildings used for domestic purposes Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to EMC information provided in this document Warnings The VPAP Adapt SV should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the VPAP Adapt SV should be observed to verify normal operation in the configuration in which it will be used The use of accessories eg Humidifiers other than those specified in this manual is not recommended They may result in increased emissions or immunity of the VPAP Adapt SV Technical Specifications 43 44 Guidance and manufacturer s declaration electromagnetic immunity The VPAP Adapt SV is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP Adapt SV should assure that it is used in such an environment Immunity test 1EC60601 1 2 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If IEC 61000 4 2 8 kV air 8 kV air floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV Mains power quality should transient burst supply lines be that of a typical IEC 61000 4 4 commercial or hos
10. the lower High leak alarm Leak exceeds 30 L min for more than 20 seconds Flow blocked alarm Flow is less than 6 L min for more than 20 seconds IEC 601 1 classifications Class ll Type CF Class ll medical electrical eguipment provides protection against electric shock either by double insulation or reinforced insulation and does not reguire a protective ground Inspiratory Trigger Characteristics The inspiratory trigger occurs at a flow greater than 0 LPM when tested with EPAP 5 cm H20 IPAP 15cm H320 sinisoidal breath shape The inspiratory trigger response time is lt 600 ms when tested with EPAP 5 cm H20 IPAP 15 cm H20 0 67 L sec inspiratory and expiratory flow rate The time is measured from the beginning of inspiratory flow to the beginning of pressure rise to IPAP Note The ASV algorithm is designed to treat a patient with essentially normal lungs Hence trigger response is less sensitive and pressure ramp up is more gentle than typical non invasive ventilators Table 3 Displayed values Value Range Accuracy Display Resolution Proximal cuff Pressure 3 to 40 cm H O 0 5 cm H20 0 1 cm H20 Mass flow sensor Leak 0 99 L min 12 L min 1 L breath Respiratory rate 8 30 breaths per minute 10 1 breath per minute Tidal volume 0 4500 mL 10 1 mL Minute 0 40 L min 10 0 1 L min ventilation Target MV 0 40 L min 10 0 1 L min Table 4 Maximum low impedance flow at st
11. 17 0 04 0 07 0 1 0 37 0 11 0 22 1 1 17 0 35 0 70 10 3 69 1 11 2 21 100 11 70 3 50 7 00 For transmitters rated at a maximum output power not listed above the recommended separation distance din meters m can be determined 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 separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer This warranty is not transferable Product Warranty Period ResMed humidifiers ResControl ResLink ResTraxx 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion 90 Days headgear and tubing Excludes single use devices Note Some models are not available in all regions If the product fails under conditions of normal use ResMed will repair or replace at its option the defective product or any of its components This Limited Warranty does not cover a any damage caused as a result of improper use abuse mo
12. 514 ES 153515 ES 153516 ES 153518 FR 02 1407 GB 3001791 GB 3001819 GB 3001820 GB 3001821 JP 1164087 JP 1164265 JP 1164266 JP 1164267 SE 75598 SE 75599 SE 75600 SE 75715 US D467335 US D468011 US D476077 US D477868 US D493520 US D493884 US D497203 US D498527 Other designs pending Activa HumidAire Mirage ResControl ResLink ResScan Smart Data SmartStart Ultra Mirage Vista VPAP and VPAP Adapt SV are trademarks of ResMed Ltd Activa Humidaire Mirage SmartStart Vista and VPAP are registered in U S Patent and Trademark Office SmartMedia is a trademark of Toshiba 2006 ResMed Ltd Contents Introduction o VPAP Adapt SV User owner responsibility Definitions Medical Information Intended Use Contraindications Warnings Cautions Quick Setup Guide VPAP Adapt SV System 0 VPAP Adapt SV Components Masks Assembling the VPAP Adapt SV System Humidifiers Connecting a Humidifier HumidAire 2iTM HumidAire ResLink Anti bacterial Filter Using DC Power to Run the VPAP Adapt SV Supplemental Oxygen Using the VPAP Adapt SV Starting Treatment Stopping Treatment Standby Mode Control Panel Functions Adjusting Settings Menus Settings Menu Results Menu Options Menu Servicing Menu Treatment Screens Low Mask Pressure Alarm Power Fail Alarm High Pressure Alarm High Leak Alarm Insufficient Pressure Support
13. DC power cord see Using DC Power to Run the VPAP Adapt SV on page 16 ResMed recommends using the AC power cord supplied with the unit The customized ResMed power cord can be held in place with the locking clips To insert the locking clip pinch the free ends together and fit the pins into the holes on both sides of the socket Insert the power cord into the socket Push the locking clip down so that the groove holds the power cord in place Plug one end of the power cord into the power socket at the rear of the unit and the other end into a power outlet Power switch AC locking clip AC power cord Plug the free end of the power cord into a power outlet CAUTIONS Do not connect both AC and DC power cords to the VPAP Adapt SV at the same time Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged VPAP Adapt SV System 9 2 Connect air tubing 10 Connect the air tube firmly onto the air outlet at the front of the unit Air tubing connector Pressure sensor tube connector Figure 4 Front view of VPAP Adapt SV To attach the pressure sensor tube to the unit screw the Luer connector onto the socket on the side of the unit Figure 5 Twisting the Luer lock connectors together WARNING Use care when handling the air tubing Be particu
14. RESMED VPAP Adapt SV User Guide English 26869 2 o VPAP Adapt SV User Global leaders in sleep and respiratory medicine www myresmed com RESMED VPAP Adapt SV User Guide English Reorder number 26869 2 06 04 ResMed Ltd Manufacturer 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia ResMed Corp US Designated Agent 14040 Danielson Street Poway CA 92064 6857 USA ResMed UK Ltd EU Authorized Representative 65 Milton Park Abingdon Oxfordshire OX14 4RX UK ResMed Offices Australia Austria Finland France Germany Hong Kong Japan Malaysia Netherlands New Zealand Singapore Spain Sweden Switzerland UK USA see www resmed com for contact details Protected by patents AU 691200 AU 697652 AU 702820 AU 709279 AU 724589 AU 730844 AU 731800 AU 736723 AU 734771 AU 750095 AU 750761 AU 756622 AU 761189 AU 2002306200 CA 2263126 EP 0661071 JP 3635097 JP 3737698 NZ 527088 US 4944310 US 5199424 US 5245995 US 5522382 US 5704345 US 6029665 US 6138675 US 6152129 US 6240921 US 6279569 US 6363933 US 6367474 US 6398739 US 6425395 US 6502572 US 6532959 US 6591834 US 6659101 US 6945248 US 6951217 Other patents pending Protected by design registrations AU 147283 AU 147335 AU 147336 AU 157903 AU 157904 AU 157905 CH 128 709 CH 128 710 CH 128 711 CN 200330123689 X CN 200330123691 7 CN 200330123690 2 EP 000111190 DE 40202007 DE 40202008 DE 40201723 DE 40202020 ES 153
15. Treatment If SmartStop is enabled treatment will stop automatically when you remove your mask If the SmartStop function has been disabled press the Start Stop key Standby Mode VPAP ADAPT SV menu Figure 12 Standby screen Once you have stopped treatment the VPAP Adapt SV will be in standby mode In standby you can press the power switch at the back to OFF to turn off the flow generator commence treatment again by breathing into the mask or pressing the Start Stop key enter any of the menus by pressing the Left key When in standby mode a gentle non therapeutic flow of air will still be present Note If the SMART DATA AUTO APPEAR option is set to ON the screens available under the Results menu will be displayed automatically for approximately 20 minutes after your session is completed Using the VPAP Adapt SV 17 18 Control Panel Functions The control panel of the VPAP Adapt SV has a keypad that allows you to start or stop treatment adjust settings on the flow generator mute or stop alarms e view treatment data QuickView key LCD display Alarm LEDs Alarm mute key Start Stop Left Up Down Right key key key key Figure 13 The VPAP Adapt SV control panel LCD screen Displays information about flow generator settings alarms and treatment The LCD screen is backlit whenever any key is pressed The lighting will turn off automatically when no button has been pressed
16. arning applies to most types of bilevel machines WARNINGS If oxygen is used with this device the oxygen flow must be turned off when the device is not operating Explanation When the device is not in operation and the oxygen flow is left on oxygen delivered into the ventilator tubing may accumulate within the device enclosure and create a risk of fire Always begin VPAP Adapt SV therapy before the oxygen supply is turned on Always turn the oxygen supply off before stopping VPAP Adapt SV therapy Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame Using the VPAP Adapt SV WARNING gt Before starting therapy with a new mask select the correct mask type in the Settings menu page 22 When adding or removing anew component such as a mask humidifier or anti bacterial filter perform the Air Circuit Learn function page 22 Starting Treatment When the system is fully assembled press the power switch at the back of the VPAP Adapt SV to ON The Welcome screen will be displayed while the flow generator is warming up Allow the unit to warm up for approximately 30 seconds before placing the mask on your face Figure 11 Welcome screen Once the VPAP Adapt SV has warmed up breathing into the mask should start therapy immediately If not press the Start Stop key once to commence treatment The VPAP Adapt SV restarts in the mode in which it stopped Stopping
17. ated pressures Pressure cm H O Flow L min 4 2 217 8 6 218 13 0 219 Technical Specifications 41 42 Mask setting flow pressure characteristics 60 5 50 7 40 7 30 7 Flow L min 207 0 5 10 15 20 Pressure cm H20 Glossary of symbols N Read the operating manual before using Type CF equipment E AC switch Class ll equipment O quip 25 Full Face Activa Ultra Vista Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic emissions The VPAP Adapt SV is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP Adapt SV should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR11 Group 1 The VPAP Adapt SV uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B Harmonic Emissions IEC 61000 3 2 Class A Voltage Fluctuations Flicker Emissions IEC 61000 3 3 Complies The VPAP Adapt SV is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage network that
18. ct start with the Left key 6 A progress screen is displayed while the Air Circuit Learn function is running LEARNING CIRCUIT LIE 7 When the function is complete a screen will appear saying that the circuit has been learned successfully The next menu item is then displayed Commence treatment as described in Starting Treatment on page 17 If there is a problem with the circuit a screen saying Invalid circuit will be displayed instead of the progress screen Check that all the connections between the pieces of equipment are secure You may need to return to the previous chapter of this manual to check that you have set up the system correctly SmartStop Turn the SmartStop function on or off When SmartStop is on the VPAP Adapt SV will automatically turn itself off when the mask is removed Note The unit will automatically SmartStart whenever you start to breathe into the mask Leak Alert Turn Leak Alert on or off Leak Alert sounds an alarm when you have a high leak from your mask You can then adjust the mask on your face to remove the leak If Leak Alert is turned off an extra leak alert message will be displayed at the end of a session if high leak occurred The message will be displayed until a key is pressed Ramp CPAP mode only Ramp time is the length of time taken for the air pressure to build up to the maximum pressure set by your clinician This setting allows you to increase or decrease th
19. d and mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted heoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which he VPAP Adapt SV is used exceeds the applicable RF compliance level above the VPAP Adapt SV should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the VPAP Adapt SV 9 Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m Technical Specifications 45 46 Recommended separation distances between portable and mobile RF communications equipment and the VPAP Adapt SV The VPAP Adapt SV is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP Adapt SV can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the VPAP Adapt SV as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Ww d 1 17 VP d 0 35 VP d 0 70 VP 0 01 0
20. d periods suffocation may occur In the event of power failure or machine malfunction remove the mask The air flow for breathing produced by this device can be as much as 11 F 6 C higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 90 F 32 C The VPAP Adapt SV can be set to deliver pressures up to 20 cm H30 In the unlikely event of certain fault conditions pressures of up to 40 cm H320 for less than one second are possible The VPAP Adapt SV is not suitable for use in the vicinity of flammable anesthetics If oxygen is used with the VPAP Adapt SV the oxygen flow should be stopped when the device is not operating If oxygen flow continues when the device is not operating oxygen may accumulate within the device and create a risk of fire Do not use the VPAP Adapt SV if there are obvious external defects or unexplained changes in performance Do not open the VPAP Adapt SV case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Cautions You should report unusual chest pain severe headache or increased breathlessness to your physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during a course of therapy with the VPAP Adapt SV drying of the nose mouth or throat bloating ear or sinus disco
21. dification or alteration of the product b repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs c any damage or contamination due to cigarette pipe cigar or other smoke d any damage caused by water being spilled on or into a flow generator Warranty is void on product sold or resold outside the region of original purchase Warranty claims on defective product must be made by the initial consumer at the point of purchase This warranty is in lieu of all other express or implied warranties including any implied warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale installation or use of any ResMed product Some regions or states do not allow the exclusion or limitation of incidental or consequential damages 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 region to region For further information on your warranty rights contact your local ResMed dealer or ResMed office R001 307 2 05 06 Limited Warranty 47 48 Index A Air Circuit Learn function 22 air filter 33 hypo allergenic 33 air pressure
22. e ramp time in 5 minute intervals If you find that you are still awake when the air pressure starts to build you may wish to increase the Ramp time Results Menu This menu has a series of screens showing information about your most recent treatment session If enabled by your clinician the following data may be viewed Mask fit Average Pressure Usage Using the VPAP Adapt SV 23 24 Mask fit Gives a rating of how well the mask was fitting during your last session on the VPAP Adapt SV The stars indicate how good the fit was more stars better fit Star rating Definition FEWR Excellent FERFAU Very good Ex Good Ba Adjust mask t Adjust mask HIGH LEAK Adjust mask Average Pressure Provides information on the average air pressure during your most recent session on the VPAP Adapt SV Usage Tells you how long the VPAP Adapt SV was in use during your most recent session Options Menu The Options menu allows you to change Smart Data Auto Appear Backlight Language Smart Data If the SMART DATA AUTO APPEAR option is set to ON the screens available under the Results menu will be displayed automatically for approximately 20 minutes after your session is completed After this time the data will still be available in the Results menu If you want to turn off AUTO APPEAR select enter in the SMART DATA screen by pressing the Left key The AUTO APPEAR screen will be displayed Selec
23. efer to the HumidAire User s Manual The VPAP Adapt SV is now ready for use with the HumidAire See Starting Treatment on page 17 CAUTIONS Set up the HumidAire and the VPAP Adapt SV unit so that the tubing to the mask runs higher than the machines This will prevent condensation build up If condensation appears in the mask turn the humidifier settings down ResLink The ResLink is a device that records data onto a SmartMedia card during your therapy The card can be returned to your clinician so that they can observe your progress and adjust flow generator parameters if necessary The ResLink connects to the back of VPAP Adapt SV as shown For full details on using the ResLink please refer to the ResLink User s Manual Anti bacterial Filter Your clinician may recommend that you use an anti bacterial filter A filter should be placed in the air tubing between the mask and the flow generator If using a humidifier place the filter between it and the flow generator see Figure 10 below Typically the filter should be replaced daily Check the filter instructions for full details Whenever a filter is added removed or replaced you must run the Air Circuit Learn function see Learn Circuit on page 22 Note Only hydrophobic anti bacterial filters should be used with a HumidAire 2i Anti bacterial filters Figure 10 Inserting anti bacterial filters VPAP Adapt SV Sy
24. for two minutes or can be set to stay on see Options Menu on page 24 An alarm message will overwrite any other message on the screen The original screen will reappear when any key is pressed Start Stop key Press the key once to start or stop treatment Up Down key e Moves backwards and forwards within a menu and between menus e Increases and decreases values of parameters press once to adjust in single increments hold down to move quickly through the values Left key green Enters a menu Confirms and applies settings Performs the function indicated by the text above it in the LCD eg enter change Right key red Performs the function indicated by the text above it in the LCD eg exit Cancels operations Extended hold exits to the top level of the menu QuickView key Takes you immediately to the Treatment screens with information on your current therapy See Treatment Screens on page 25 Alarm LEDs and Alarm Mute The Alarm LEDs are lights that indicate that an alarm has been triggered Alarms can be muted by pressing the Alarm Mute key once The Alarm LEDs will remain lit for as long as the alarm is being triggered See Alarms on page 27 Adjusting Settings ADJUSTMENTS AVAILABLE By using the Left Right and Up Down keys you can adjust some aspects of your treatment The settings can be seen in the LCD display The settings are arranged into five
25. he pressure sensor tubing is not kinked check that the pressure sensor tubing is properly connected run LEARN CIRCUIT Will stop when the pressure sensor tubing is unobstructed and properly connected to the flow generator and mask treatment is stopped Start Stop key or SmartStop the VPAP Adapt SV is turned off Flow Blocked Alarm Triggered by e blockage in air circuit If a flow blocked alarm sounds The treatment will stop Turn power off Check whether there is a blockage in the air circuit Remove blockage Turn power back on If the flow blocked alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal Ooo kRWN gt Will stop when e blockage is removed Alarms 29 30 Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this manual CAUTION Do not wash the pressure sensor tube If fluid enters the pressure sensor tube allow it to dry completely by hanging it in a clean place out of direct sunlight If the pressure sensor tube cannot be dried completely it should be replaced Daily le Disconnect the air tubing and pressure sensor tube and hang them in a clean dry place until next use Do not hang the air tubing in direct sunlight as it may harden and crack over time 2 Clean the mask according to the mask user instructions 3 If you are u
26. igger level 25 cm H20 for more than 700 ms If a high pressure alarm sounds The treatment will stop Turn power off Check that the air tube and sensor tubes are connected properly Turn power back on Remove mask and perform Air Circuit Learn function Try using the flow generator one more time If the high pressure alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal No ON Note The alarm system is designed to ignore coughing However if a cough is especially intense and prolonged it may trigger the high pressure alarm Will stop when the VPAP Adapt SV is turned off High Leak Alarm Triggered by high mask leak greater than 30 L min for more than 20 seconds the mask being removed while SmartStop is disabled If a high leak alarm sounds e adjust the mask to minimize leak check that the air tube and sensor tube are connected properly Will stop when the mask leak has been rectified Note The High Leak alarm can be turned off in the Leak Alert option in the Settings menu Insufficient Pressure Support Alarm Triggered by air pressure at the mask has failed to reach an expected level for 3 breaths the Air Circuit Learn function page 22 has not been run after adding a new component eg new mask humidifier to the system If an insufficient pressure support alarm sounds e check that t
27. larly careful when attaching the Luer connector to the VPAP Adapt SV If you kink or excessively twist the sensor tube it may affect the protection offered by the mask pressure alarm system Attach the mask to the air tubing The mask system should already be assembled If not please refer to the user instructions supplied with the mask Connect the mask system to the free end of the air tubing Proximal cuff Figure 6 Assembling the VPAP Adapt SV system Humidifiers A humidifier may be required if you are experiencing dryness of the nose throat or mouth The following ResMed humidifiers are compatible with the VPAP Adapt SV HumidAire HumidAire 2i heated humidifier heated humidifier Humidifier accessory HumidAire only Zu Medium air tubing amp 21 52 cm Figure 7 Humidifiers compatible with the VPAP Adapt SV When using a humidifier stop the VPAP Adapt SV by using the Start Stop key or by removing the mask to trigger the SmartStop function Do not switch the VPAP Adapt SV off at the power switch or the power source while it is running as this could result in condensation in the motor Please refer to the relevant humidifier user manual for detailed instructions and warnings CAUTIONS J Be very careful not to allow water to enter the VPAP Adapt SV as this could affect therapy and or damage the device Do not tip the humidifier while it is connected to the VPAP Adapt SV
28. menus Table 1 Menus and adjustments for VPAP Adapt SV Settings Alarms Results Options Servicing Ramp CPAP Sound level Mask fit Smart data SN serial mode only LOW MED Auto appear on number change time HIGH off Mask type LOW PS Average Backlight Auto on PCB printed change type Pressure circuit board Learn circuit run Usage Language SW English French software German ltalian version Spanish Swedish Portuguese Dutch SmartStop off on Leak alert off on These menus appear only if at least one Smart Data option has been enabled by the clinician Using the VPAP Adapt SV 19 20 To change a setting press the Up Down key until you arrive at the menu you require Press the Left key to enter the menu then use the Up Down key again to scroll through the options Once you find the option you require press the Left key to select the function that is displayed in the bottom left of the screen eg change yes Use the Up Down key to alter the parameters and press the Left key when you have the setting you require Press the Right key to exit from the menu Example You wish to change the setting for the mask you are using VPAP Adapt SV menu Press down arrow on Up Down key to move to next menu Press Left key to enter menu options SETTINGS CH ASV MODE 1 Press Left key to select change MASK FULL FACE 2 Press Up Down key to reach setti
29. mfort eye irritation skin rashes chest discomfort Introduction 3 Quick Setup Guide 1 ao RW N Attach the air tubing and pressure sensor tube to the VPAP Adapt SV and mask page 9 Attach a humidifier if required page 11 Switch on the VPAP Adapt SV Make sure the mask is unblocked Select the mask setting page 22 Perform the Air Circuit Learn function page 22 at first time use or if you are adding or removing a component of the system eg a humidifier or anti bacterial filter Fit the mask and commence breathing into it The SmartStart function should trigger treatment to commence within the first couple of breaths If not press the Start Stop key once to commence treatment page 17 Note You can observe treatment progress eg mask leak via the Treatment screens page 25 Remove your mask to stop treatment If SmartStop is enabled treatment will stop automatically If the SmartStop function has been disabled press the Start Stop key once Quick Setup Guide VPAP Adapt SV System VPAP Adapt SV Components The VPAP Adapt SV flow generator is supplied with air tubing and a power cord Masks are supplied separately as you and your clinician have to decide which mask is best for you Masks that can be used with VPAP Adapt SV are listed on page 8 Some people experience dryness of the nose mouth and throat while using the VPAP Adapt SV system especially during winter Othe
30. midAire You will need a medium size 21 52 cm air tube to connect the VPAP Adapt SV unit to the HumidAire see Figure 7 1 Make sure both the HumidAire and the VPAP Adapt SV are turned off Fill the HumidAire with water as described in the humidifier manual Place the filled water chamber inside the HumidAire 2 Gently detach enough of the tube clips to release the end of the pressure sensor tube from the VPAP Adapt SV air tubing Connect the VPAP Adapt SV air tubing to the left connector port on the humidifier and the medium 21 52 cm air tubing to the right connector port Close the Humid Aire lid JU 3 Place the VPAP Adapt SV on top of the HumidAire Never place the VPAP Adapt SV unit underneath the humidifier This is to avoid water spilling into the unit 4 Connect the free end of the medium air tubing to the VPAP Adapt SV Connect the pressure sensor tube by twisting the Luer lock onto the VPAP Adapt SV see page 10 VPAP Adapt SV System 13 14 rrr TTTT Litt LL AAA g BEN 5 Connect the mask system to the free end of the long air tubing The final assembly should look like this 6 Switch on the HumidAire and the VPAP Adapt SV WARNING Make sure that the power cords and plugs are in good condition and the equipment is not damaged 7 Perform the Air Circuit Learn function see page 22 For information about filling and maintaining your humidifier r
31. n bonded to capture very small particles The filter is intended for those users of ResMed flow generators who will benefit from enhanced filtering of the air delivered during treatment Inspect the air filter every month and check if it is blocked by dirt or contains holes The filter should be replaced every three months or more often if the flow generator is operating in a dusty environment Fit as described above in Air Filter Servicing This product VPAP Adapt SV should be inspected by an authorized ResMed service center 5 years from the date of manufacture Prior to this the device is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instructions provided by ResMed Applicable ResMed warranty details are provided with the device at the time of original supply Of course as with all electrical devices if any irregularity becomes Cleaning and Maintenance 33 34 apparent you should exercise caution and have the device inspected by an authorized ResMed service center If you feel the unit is not performing properly see Troubleshooting on page 35 CAUTION Inspection and repair should only be performed by an authorized service agent Under no circumstances should you attempt to service or repair the unit yourself Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supplier o
32. ng h it 3 Press Left key to enter setting LEARN CIRCUIT yes if exit SMARTSTOP OFF change 1 exit LEAK ALE ch t 4 Press Right key to exit RESULTS enter t OPTIONS enter t exit SERVICING enter t Figure 14 Using the keys to adjust settings Menus The options available in the Settings menu will depend on the therapy you are receiving either ASV or CPAP mode as set by your clinician VPAP Adapt SV menu SETTINGS enter y MASK FULL FACE change exit LEARN CIRCUIT yes exit SMARTSTOP OFF change 1 exit SOUND LEVEL LOW change f exit RESULTS enter 1 MASK FIT good t exit AVG PRESS 10 4 exit USAGE 4 56hrs exit ASV MODE These menus appear CPAP MODE RAMP 20min change exit MASK FULL FACE change 1 exit LEARN CIRCUIT t SMARTSTOP OFF change HE lt lt only if at least one Smart Data option has been enabled by the clinician t LS i SERVICING enter t SN 1234567890123 4567 exit PCB 123456789012 exit SW SX432 0100 t exit Figure 15 Navigating the Patient menu Using the VPAP Adapt SV 21 22 Settings Menu You will only see the options relevant to your therapy In CPAP Continuous Positive Airway Pressure mode the clinician sets a pressure that will be constant throughout treatment In ASV mode the VPAP Adapt SV con
33. nt Screen 1 Leak Respiratory rate LK 18L min RR 12 VT 428 Tidal volume Figure 17 Treatment Screen 2 Minute ventilation Target ventilation MV 6 2 TARG 5 8 4 exit Figure 18 Treatment Screen 3 Note TARG is not a relevant parameter in CPAP mode Using the VPAP Adapt SV 25 26 Alarms The VPAP Adapt SV unit is fitted with alarms to alert you to changes that will affect your treatment The most common reason for an alarm to sound is because the system has not been properly assembled Check that the air tubing and pressure sensor tube have been properly attached to the flow generator and mask and humidifier if used You can mute an alarm by pressing the Alarm Mute key once Unless the alarm requires you to turn the power off you can press any key again to remove the alarm message from the LCD screen If the problem is still present the alarm will sound and display again after one minute The Alarm LED will remain lit for as long as the problem is present All menus remain available during an alarm We recommend that you test the audible alarm once a week To do this hold down the Alarm Mute key while the VPAP Adapt SV is starting up If the alarm is functioning correctly it will beep twice LCD message Alarm type Action LOW PRESSURE Low mask pressure Check tube connections Check circuit alarm LCD turns off Power fail alarm Turn off VPAP Adapt SV at power switch HIGH PRESSURE
34. pital 1 kV for input Not Applicable environment output lines Surge 1 kV differential 1 kV differential Mains power quality should IEC 61000 4 5 mode mode be that of a typical 2 kV common mode 2 kV common mode commercial or hospital environment Voltage dips short lt 5 U lt 12V Mains power quality should interruptions and gt 95 dip in Ut gt 95 dip in 240V be that of a typical voltage variations on or 0 5 cycle for 0 5 cycle commercial or hospital power supply input environment lines 40 U 96 V If the user of the IEC 61000 4 11 60 dip in Ut 60 dip in 240V VPAP Adapt SV requires or 5 cycles for 5 cycles continued operation during power mains interruptions 70 U 168 V it is recommended that the 30 dip in Ut 30 dip in 240V VPAP Adapt SV be powered or 25 cycles for 25 cycles from an uninterruptible power source lt 5 U lt 12V gt 959edip in Ut gt 959edip in 240V or 5 sec for 5 sec Power freguency 3 Alm 3 A m Power freguency magnetic 50 60 Hz magnetic field IEC 61000 4 8 fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Ut is the AC mains voltage prior to application of the test level Continued next page Guidance and manufacturer s declaration electromagnetic immunity continued The VPAP Adapt SV is intended for use in the electromagnetic environment specified below The cu
35. r ResMed Do not attempt to open the flow generator Problem Insufficient air delivered from flow generator Possible cause Air filter is dirty Air tubing is kinked or punctured Solution Replace air filter Straighten or replace tubing Flow generator operating erratically ie switching on and off pressure varying at random Water may have entered the air tubing Remove the water from the air tubing Pressure rises inappropriately You are talking coughing voluntarily breath holding eg while rolling over in bed or intentionally breathing in an unusual manner Severe mask leak or mouth eak greater than 30 L min Avoid talking with the mask on and breathe as normally as possible Correct your leak condition Alarm stays on continuously Blockage in air circuit nternal malfunction Ensure there is no barrier to the passage of air Return the device to your equipment supplier for service No LCD display Power not connected or switch at back is not on Ensure the power cable is connected and that the switch at the back of the unit is in the on position FAULT message displayed on LCD Internal malfunction Return the device to your equipment supplier for service System Error 7 message Device power on has been interrupted by breathing into the mask during warm up Internal malfunction Turn the flow generator off and on
36. rs may experience sneezing and or a runny or blocked nose during the first few weeks of VPAP treatment In many cases these symptoms of nasal irritation can be resolved with a humidifier See page 11 to connect a humidifier to the VPAP Adapt SV LCD screen Control panel Carry handle Removable front cover Pressure sensor tube connector Se ZZ Air tubing connector Figure 1 VPAP Adapt SV flow generator The control panel allows you to adjust settings on the flow generator and the LCD screen displays information about your treatment See Control Panel Functions on page 18 ResLink attachment point Air filter Power cord Figure 2 Rear of VPAP Adapt SV See page 15 to connect a ResLink See page 33 to replace the air filter VPAP Adapt SV System 7 Proximal cuff Tube clip Pressure sensor tube Luer connector 5 7 a ee arom wg gyn Connect this end Air tubing Connect this end to the mask to the flow generator Figure 3 Air tubing fully assembled All necessary air tubing components are packed with the VPAP Adapt SV a6 6 2 m length of air tubing a pressure sensor tube to measure pressure at the mask with Luer connectors tube clips to hold the pressure sensor tube onto the air tubing a proximal cuff a special connector that attaches the pressure sensor tube into the main air tubing so that you only need to make one attachmen
37. sing a humidifier clean it according to the instructions in the manual Weekly 1 Remove the air tubing and pressure sensor tube from the VPAP Adapt SV unit and the mask 2 Remove the pressure sensor tube and proximal cuff from the air tubing 3 Wash the mask system according to the instructions supplied with it 4 Wash the air tubing and Proximal cuff in warm water using mild liquid soap Rinse thoroughly hang and allow to dry 5 Before next use assemble the mask and headgear according to the mask user Instructions 6 Reconnect the pressure sensor tube to the air tubing then connect both to the Proximal cuff Attach the Proximal cuff to the mask Cleaning and Maintenance 31 32 Air tubing Remove Proximal cuff t l Remove the pressure sensor tube from air tubing gt Tubing clips La Figure 19 Air tubing assembly removed for cleaning CAUTION Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturising or antibacterial soaps to clean the cushion mask air tubing or the VPAP Adapt SV These solutions may cause hardening and reduce the life of the product Do not wash or dry the mask frame at a temperature above 176 F 80 C Exposure to higher temperatures may reduce the life of the product Do not hang the air tubing and pressure sensor tube in direct sunlight as the tubing may harden over time and eventually crack Periodically 1 The
38. stem 15 16 Using DC Power to Run the VPAP Adapt SV The VPAP Adapt SV can be run on DC in case of power failure ResMed supplies separately a converter that allows a 12 V or 24 V battery to be connected to the DC input of the VPAP Adapt SV When using DC power is turned on and off via the switch on the connector that connects the DC DC converter to the battery not the power switch at the back of the VPAP Adapt SV The DC converter is a separate accessory that can be purchased through your ResMed distributor The humidifier heater will be automatically disabled when the VPAP Adapt SV is operating from the DC supply Power consumption of the VPAP Adapt SV varies with treatment settings Adequate battery type and sizing is required before operation on DC and it is recommended that you contact ResMed s Technical Services division or ResMed s website for information on your specific application CAUTION The VPAP Adapt SV uses 30 V DC power Only connect the VPAP Adapt SV to DC power using the VPAP Adapt SV DC Converter P N 26928 specified for this application Supplemental Oxygen The VPAP Adapt SV is designed to be compatible with the use of low flow oxygen therapy provided from an external source and supplied at a fixed rate of up to 15 L min At a fixed flow rate of supplemental oxygen flow the inhaled oxygen concentration will vary depending on the pressure settings patient breathing pattern mask selection and the leak rate This w
39. stomer or the user of the VPAP Adapt SV should assure that it is used in such an environment Immunity 1EC60601 1 2 Compliance Electromagnetic environment test test level e level guidance Portable and mobile RF communications equipment should be used no closer to any part of the VPAP Adapt SY including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 Vrms d 1 17 VP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 VP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts VV according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Ko OTE 1 At 80 MHz and 800 MHz the higher frequency range applies OTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones an
40. t change by pressing the Left key and you will switch from ON to OFF similarly you can turn it from OFF to ON Your clinician may also turn off AUTO APPEAR Backlight On Display a permanent backlight for the LCD Auto Backlight turns off if no button has been pressed for two minutes Language Change the language of the LCD display Languages available are English French German Italian Spanish Portuguese Swedish Dutch Servicing Menu This menu displays the following information SN the flow generator s serial number PCB the flow generator s PCB number PCB printed circuit board SW the version of software currently installed on the flow generator Treatment Screens There are three Treatment screens displayed in the VPAP Adapt SV LCD The LCD will display the Treatment screens when treatment commences and during treatment if no key is pressed for 20 minutes Press the OuickView key at any point within a menu to display Treatment Screen 1 You can return to your original screen if you press the OuickView key again within 20 minutes Press the Right key to move from a Treatment screen to the Standby screen If an alarm is triggered while you are in the Treatment screens the arrow will flash Press the Down key until you reach the alarm message Scroll through the screens in the usual way using the Up Down key Treatment mode Pressure ASV II Y 5 0 15 0 exit Figure 16 Treatme
41. t to the mask The air tubing is supplied with the Proximal cuff connected Attach the tube clips evenly along the air tubing Press the pressure sensor tube into the tube clips and screw the Luer connectors together at the Proximal cuff Make sure the pressure sensor tube is not kinked obstructed or twisted Note ResMed recommends the following tubing products for use with the VPAP Adapt SV replacement air hose only PN14968 replacement air delivery system hose sensor line clips proximal cuff PN26923 Masks The following mask systems supplied separately are recommended for use with the VPAP Adapt SV system Please refer to the table on page 22 to set up your mask correctly for use with the VPAP Adapt SV Mirage Full Face Mask Series 2 Ultra Mirage Full Face Mask Mirage Vista Ultra Mirage Your clinician can explain the features of the masks available and will discuss the mask that best suits your needs Assembling the VPAP Adapt SV System Complete the following steps to assemble the VPAP Adapt SV system Make sure the area around the unit is clean dust free and clear of bedding clothes and any other potential blockages To add a humidifier see page 11 WARNING Use only the air tubing system supplied with the VPAP Adapt SV system Connect the power cord There are two sockets at the rear of the flow generator the top one for an AC standard mains electricity and the lower one for a
42. tinually measures your breathing and regulates the air pressure accordingly Mask Select the type of mask that you will be using you will only need to adjust this if you have more than one mask The following table shows the setting that should be selected for each mask type If your mask type is not mentioned below please contact your clinician Not all mask types can be used with the VPAP Adapt SV Option in Settings menu Use setting with Vista Vista Ultra Ultra Mirage Full Face Mirage Full Face Mask Series Il Ultra Mirage Full Face Mask Activa Activa Table 2 Selecting mask options in the Settings menu Learn Circuit The Air Circuit Learn function takes approximately 20 seconds to run It allows the unit to learn what pressure it needs to build in to its calculations based on the components in the system Select LEARN CIRCUIT every time you add or remove a component eg mask humidifier or move to a significantly different altitude To run this function 1 Set up the entire VPAP Adapt SV system flow generator mask humidifier etc as you wish to use it 2 Make sure that the mask is unobstructed so air can flow from the mask to the flow generator 3 Turn on the VPAP Adapt SV at the power switch 4 Move through the menus until you reach LEARN CIRCUIT and select yes by pressing the Left key 5 A message will remind you to check that the airflow from the mask is clear Sele
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