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ResMed VPAP Adapt Information Guide

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1. bloating e ear or sinus discomfort e eye irritation skin rashes H5i indications for use The H5i is indicated for the humidification of the air delivered from a CPAP or bilevel device The H5i is for use only as recommended by a physician The H5i is intended for single patient re use in the home environment and re use in a hospital institutional environment H5i contraindications The H5i is contraindicated for use with patients whose upper supraglottic airway has been bypassed Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supplier or ResMed Do not attempt to open the device or the H5i enclosure Problem Possible cause Solution No display Power is not connected Ensure the power cord is connected and the power outlet if available is on The DC plug is partially inserted Fully insert the DC plug into the back of the device or inserted too slowly The VPAP Adapt and H5i are not Ensure that the VPAP Adapt and H5i are securely attached connected correctly 2 Problem Possible cause Solution Insufficient air delivered from the device Ramp time is in use Air filter is dirty Air tubing is not connected properly Air tubing is blocked pinched or punctured Mask and headgear are not positioned correctly Incorrect air tubing selected The H5i flip lid is not latched correctly The H5i flip lid seal is not fitted co
2. ResMeEpD VPAP Adapt POSITIVE AIRWAY PRESSURE DEVICE H5i HEATED HUMIDIFIER ClimateLine ClimateLine 4 SlimLine Standard AIR TUBING Information Guide English Please read the entire Information and Welcome Guides before using your device A CAUTION In the US Federal law restricts this device to sale by or on the order of a physician Series More Comfort s9 VPAP Adapt indications for use The VPAP Adapt is indicated for the treatment of patients weighing more than 66 Ib 30 kg with obstructive sleep apnea OSA central and or mixed apneas or periodic breathing The VPAP Adapt is intended for home and hospital use VPAP Adapt contraindications Positive airway pressure therapy may be contraindicated in some patients with the following pre existing conditions e severe bullous lung disease pneumothorax or pneumomediastinum pathologically low blood pressure particularly if associated with intravascular volume depletion dehydration e cerebrospinal fluid leak recent cranial surgery or trauma English 1 VPAP Adapt adverse effects Patients should report unusual chest pain severe headache or increased breathlessness to their prescribing physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy with the device drying of the nose mouth or throat nosebleed
3. It could twist around your head or neck while you are sleeping Do not use electrically conductive or antistatic air tubings Do not use the air tubing if there are any visible signs of damage Only ResMed air tubing and accessories should be used with the device A different type of air tubing or accessory may alter the pressure you actually receive reducing the effectiveness of the treatment Only use the ResMed 90W or 30W power supply unit Use the 90W power supply unit to power the system comprising the device H5i air tubing DC DC converter and battery pack The 30W power supply unit is designed to power the device only and recommended for travelling Only ResMed products are designed to be connected to the module connector port Connecting other devices could damage the device Blocking the air tubing and or air inlet of the device while in operation could lead to overheating of the device A CAUTIONS Do not open the device enclosure There are no user serviceable parts inside Repairs and servicing should only be performed by an authorised ResMed service agent Do not use bleach chlorine alcohol or aromatic based solutions moisturizing or antibacterial soaps or scented oils to clean the device humidifier or air tubing These solutions may cause damage and reduce the life of these products Incorrect system setup may result in incorrect mask pressure reading Ensure the system is correctly set up Be careful not to place the d
4. and ventilation devices including external 2 years power supply units e Humidifiers e Battery accessories e Portable diagnostic screening devices This warranty is only available to the initial consumer It is not transferable 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 modification 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 and c any damage or contamination due to cigarette pipe cigar or other smoke 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 replaces all other expressed 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 resulted from 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 limitati
5. a warm day or with hot water Allow to cool before re use Disconnect the power cord and then reconnect it to restart the device Discontinue using your humidifier and contact your clinician service provider Allow to cool before re use Ensure the humidifier is filled with water before the start of therapy to avoid running out of water during therapy Use room temperature water Displays message High temperature fault refer to user manual Device has been left in a hot environment Air filter is blocked Air tubing is blocked Humidity level setting is too high resulting in accumulation of water in the air tubing Allow to cool before re use Disconnect the power cord and then reconnect it to restart the device Replace your air filter Disconnect the power cord and then reconnect it to restart the device Check your air tubing and remove any blockages Disconnect the power cord and then reconnect it to restart the device Turn the humidity level setting down and empty the water from the air tubing Displays message Check ResMed 30 90W Power Supply Unit and fully insert the connector The DC plug is partially inserted into the back of the device or inserted too slowly A non ResMed power supply unit is connected to the device The power supply unit is being covered by bedding Fully insert the DC plug Remove the power supply unit and replace with a ResMed power supply unit Make sure that the power supply
6. ain 7510 1 2007 with uncertain 7510 1 2007 with uncertain 7510 1 2007 with uncertain 7510 1 2007 with uncertain 7510 1 2007 yo yo yo yo YO yo Recommended maximum supplemental oxygen f 15 L min CPAP ASV modes 4 L min ASVAuto mode ene fibers in a polypropylene 2 dBA as measured according 2 dBA as measured according 2 dBA as measured according 2 dBA as measured according 2 dBA as measured according 2 dBA as measured according ow English 9 H5i technical specifications Temperature Physical Materials Temperature cu Dimensions L x Weight cleanab 9 Docking station Water tub Injec aximum heater plate tempera Weight water tub Docking sta Water capacity To maximum fil Flame retardant engineering thermoplastic aluminium out 165 F 74 C aximum gas temperature lt 106 F lt 41 C W x H 6 0 x 5 7 x 3 4 153 mm x 145 mm x 86 mm ion and unfilled water tub 1 5 Ib 0 67 kg e water tub Docking station and unfilled water tub 1 7 Ib 0 77 ure 150 F 65 C line 380 mL ion molded plastic aluminium and thermoplastic elastomer Cleanable water tub Injection molded plastic stainless steel and silicone seal Air tubing technical specifications Material Air tubing ClimateLine heated air tubing ClimateLine heated air tubing SlimLine air tubing Standard air tubing 3 m air tubing Heated air tubing tempe
7. an or respiratory therapist A mask should not be used unless the device is turned on Once the mask is fitted ensure that the device is blowing air The vent hole or holes associated with the mask should never be blocked Explanation The device is intended to be used with special masks or connectors which have vent holes to allow continuous flow of air out of the mask When the device is turned on and functioning properly new air from the device flushes the exhaled air out through the mask vent holes However when the device is not operating insufficient fresh air will be provided through the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This applies to most models of CPAP or bilevel devices Oxygen supports combustion Oxygen must not be used while smoking or in the presence of an open flame Always ensure that the device is turned on and airflow generated before the oxygen supply is turned on Always turn the oxygen supply off before the device is turned off so that unused oxygen does not accumulate within the device enclosure and create a risk of fire 1 Ports may be incorporated into the mask or in connectors that are near the mask 16 Do not operate the H5i if it is not working properly or if any part of the bilevel device or H5i has been dropped or damaged Do not leave long lengths of air tubing around the top of your bed
8. esMed device can be found on www resmed com on the Products page under Service and Support Click on the PDF file for your language Class II double insulation Type BF Ingress protection IP21 VPAP Adapt technical specifications Mode pressure ranges Maximum single fault pressure Physical Air filter Sound DECLARED DUAL NUMBER NOISE EMISSION VALUES in accordance with ISO 4871 1996 Supplemental oxygen CPAP mode Set Pressure 4 20 cm H20 ASV and ASVAuto mode EPAP 4 15 cm H20 PS 0 20 cm H20 Maximum single fault steady state pressure 30 cm H2O if pressure exceeded for gt 6 sec 40 cm H2O if pressure exceeded for gt 1 sec Nominal dimensions L x W x H 6 0 x 5 5 x 3 4 153 mm x 140 mm x 86 mm Weight 1 84 Ib 835 g Housing construction Flame retardant engineering thermoplastic Air outlet 22 mm conical air outlet complies with ISO 5356 1 2004 Hypoallergenic air filter Acrylic and polypropy carrier Standard air filter Polyester non woven fiber Pressure level CPAP mode With SlimLine air ubing With Standard air ubing With either SlimLine or Standard air ubing and H5i With SlimLine air ubing With Standard air ubing With either SlimLine or Standard air ubing and H5i 26 dBA wi to 27 to 28 to Power level CPAP mode 34 to 35 to 36 to SO dBA SO dBA SO dBA SO dBA SO dBA SO h uncertain 7510 1 2007 with uncert
9. evice where it can be bumped or where someone is likely to trip over the power cord Make sure that the area around the device is dry and clean and clear of bedding clothes or other objects that could block the air inlet or cover the power supply unit Ensure that the device is protected against water if used outdoors Enclose the device in the S9 travel bag for transport Do not open the H5i enclosure There are no user serviceable parts inside Repairs and servicing should only be performed by an authorised ResMed service agent The H5i should only be used with tubing or accessories recommended by ResMed Connection of other delivery tubes or accessories could result in injury or damage to the device English 17 Do not overfill the water tub as water may enter the device and air tubing Do not use any additives eg scented oils or perfumes These may reduce the humidification output of the H5i and or cause deterioration of the water tub materials Take care when handling your H5i as the water water tub may be hot Allow 10 minutes for the heater plate an d any excess water to cool e The H5i should only be connected or disconnected when the water tub is empty Make sure tha the water tub is empty before transporting the H5i Do not operate the H5i on an aircraft as water may enter the bilevel device and air tubing during urbulence Always place the H5i on a level surface below the level of the user to preve
10. g symbols may appear on your product or packaging A Caution Read instructions before use IP21 Protection against insertion of fingers and against vertically dripping water A Type BF equipment LH Class II equipment Start Stop wal Manufacturer ECIREP European Authorized Representative Ke European RoHS LOT Batch code REF Catalogue number LSN_ Serial number Direct current ra m Lock unlock China pollution control logo 1 China pollution control logo 2 IP20 Not drip proof ag Keep dry Not for use on more than one patient MAX Maximum water level Ei Disinfectable up to 200 F 93 C Use distilled or deionized water only Gris Remove tub to fill C Follow instructions for use Rx Only Prescription only In the US Federal law restricts these devices to sale by or on the order of a physician English 13 Environmental information WEEE 2002 96 EC is a European Directive that requires the proper disposal of electrical and electronic equipment This device should be disposed of separately not as unsorted municipal waste To dispose of your device you should use appropriate collection reuse and recycling systems available in your region The use of these collection reuse and recycling systems is designed to reduce pressure on natural resources and prevent hazardous substances from damaging the environment If you need information on these disposal systems please contact your local waste admini
11. ible cause Solution You may have removed the Reinsert the SD card and wait for the Home screen or the SD card before settings were Settings updated successfully press any key message to copied to the device appear on the LCD Note This message only appears once If you re insert the SD card after you have updated your settings the message will not be re displayed The following message is NOT displayed on the LCD after you try to update the settings using the SD card Settings updated successfully press any key The settings were not updated Contact your clinician service provider immediately Water splashing on your face from the H5i The water tub is overfilled atk that the water level is below the maximum water level mark Condensation is forming inthe Turn the humidity level setting down via the menu air tubing and mask Leaking water tub The water tub may be damaged Contact your service provider for a replacement or cracked The cleanable water tub is not Check for damage and reassemble the cleanable water tub assembled correctly correctly Air feels too warm cold in the mask The temperature of the Turn up down the heated air tubing temperature via the menu ClimateLine or ClimateLine heated air tubing is set too high low English 7 General technical specifications Power supply Environmental conditions Aircraft use Electromagnetic compatibility IEC 60601 1 classification 8 90W po
12. nt the mask and ubing from filling with water e f liquids are inadvertently spilled into or on the H5i unplug the device from the power outlet Disconnect the H5i from the device and allow the H5i to drain and dry before re using ual Manufacturer ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia Distributed by ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 ResMed locations worldwide For patent information see ww S9 H5i ClimateLine SlimLine Patent and Trademark Office 2012 ResMed Ltd 368792 2 usa EC REP ResMed UK Ltd 96 Milton Park Abingdon Oxfordshire 0X14 4RY UK See www resmed com for other w resmed com ip SmartStart and VPAP are trademarks of ResMed Ltd S9 ClimateLine SlimLine SmartStart and VPAP are registered in U S 2012 05 Global leaders in sleep and respiratory medicine www resme
13. on 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 English 15 A WARNINGS Read the entire manual before using the device Use the device only as directed by your physician or healthcare provider Use the device only for the intended use as described in this manual Advice contained in this manual should not supersede instructions given by the prescribing physician If you notice any unexplained changes in the performance of the device if it is making unusual or harsh sounds if the device or the power supply are dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken discontinue use and contact your ResMed Service Center Beware of electrocution Do not immerse the device humidifier power supply or power cord in water In the event of a spill disconnect the device from the power supply and let the parts dry Always unplug the device before cleaning and make sure that all parts are dry before plugging in the device Explosion hazard do not use in the vicinity of flammable anesthetics Make sure the power cord and plug are in good condition and the equipment is not damaged Keep the power cord away from hot surfaces The device should only be used with masks and connectors recommended by ResMed or by a physici
14. rature cut out lt 106 F lt 41 C Notes Flexible plastic and electrical components Flexible plastic and electrical components Flexible plastic Flexible plastic Flexible plastic Inner diameter 0 6 15 mm 0 75 19 mm 0 6 15 mm 0 75 19 mm 0 75 19 mm The manufacturer reserves the right to change these specifications without notice The temperature and relative humidity settings displayed for Climate Control are not measured values Check with your clinician service provider before using the SlimLine air tubing with devices other than the S9 or H5i The electrical connector end of the heated air tubing is only compatible with the H5i air outlet and should not be fitted to the device or mask When using the SlimLine or ClimateLine above 20 cm H20 the device optimum performance may not be reached if used with an antibacterial filter The device performance must be checked prior to prescribing the SlimLine for use with an antibacterial filter The ClimateLine or ClimateLine is designed only for use with the H5i Humidifier performance The following settings have been tested at 71 6 F 22 C ambient temperature Mask pressure RH output Nominal system output AH BTPS cm H20 Setting 3 Setting 6 Setting 3 Setting 6 3 90 100 10 18 10 95 100 11 5 21 20 95 100 11 18 25 100 100 12 13 5 a AH Absolute Humidity in mg L b BTPS Body Temperature Pressure Saturated Pneuma
15. rrectly Non vented mask is used Mask vents might be blocked EPAP may be set too low Wait for air pressure to build up or change ramp time Replace air filter Check air tubing Unblock or free the air tubing Check the air tubing for punctures Adjust position of mask and headgear If you are using the SlimLine Standard or 3 m air tubing ensure that you have the correct air tubing selected via the menu Close the flip lid ensuring that it clicks into place Make sure the flip lid seal is facing the right way up and fitted securely Only use a vented mask Check if you have sufficient venting Unblock mask vents if necessary Talk to your clinician about your settings Device does not start when you breathe into the mask Breath is not deep enough to trigger SmartStart Stop SmartStart Stop is disabled because Leak Alert is enabled SmartStart Stop is disabled There is excessive leak Take a deep breath in and out through the mask Press Start Stop to start therapy Talk to your clinician about enabling the SmartStart Stop feature Adjust position of mask and headgear Connect the air tubing firmly at both ends English 3 Problem Possible cause Solution Device does not stop when you remove your mask SmartStart Stop is disabled Press Start Stop to stop therapy because Leak Alert is enabled SmartStart Stop is disabled Talk to your clinician about enabling the SmartStart Stop feature Smar
16. stration The crossed bin symbol invites you to use these disposal systems If you require information on collection and disposal of your ResMed device please contact your ResMed office local distributor or go to www resmed com environment Servicing The VPAP Adapt and H5i are intended to provide safe and reliable operation when operated in accordance with the instructions provided by ResMed ResMed recommends that the VPAP Adapt and H5i be inspected and serviced by an authorized ResMed Service Center if there is any sign of wear or concern with device function Otherwise service and inspection of the devices generally should not be required during the five year design life of the device Limited warranty ResMed Ltd hereafter ResMed warrants that your ResMed product shall be free from defects in material and workmanship from the date of purchase for the period specified below Product Warranty period e Mask systems including mask frame cushion headgear and 90 days tubing excluding single use devices Accessories excluding single use devices Flex type finger pulse sensors Humidifier water tubs Batteries for use in ResMed internal and external battery 6 months systems Product Warranty period Clip type finger pulse sensors 1 year CPAP and bilevel device data modules e Oximeters and CPAP and bilevel device oximeter adapters e Humidifier cleanable water tubs Titration control devices CPAP bilevel
17. tStart Stop is enabled but the device does not stop automatically when you remove your mask Incompatible mask system Only use equipment recommended by ResMed being used Incorrect mask setting being Check the selected mask type in the Setup menu Change it if used necessary The patient is using a nasal Disable SmartStart Stop pillows mask with a set pressure less than 6 cm H20 Pressure rises inappropriately Talking coughing or breathing in Avoid talking with a nasal mask on and breathe as normally as an unusual manner possible Mask cushion is buzzing against Adjust the headgear the skin Cushion seated incorrectly Adjust headgear or re fit cushion causing excessive leak Displays message Heated tube fault replace tube Device has been left in a hot Allow to cool before re use Disconnect the power cord and then environment reconnect it to restart the device There is a fault in your Discontinue using your ClimateLine or ClimateLine heated air ClimateLine or ClimateLine tubing and contact your clinician service provider Use SlimLine heated air tubing Standard or 3 m air tubing in the interim Problem Possible cause Solution Displays message Humidifier fault replace humidifier Device has been left in a hot environment There is a fault in your humidifier Refilling the humidifier with cold water while humidifier is still hot after therapy Filling the humidifier with ice cold water on
18. tic flow path Flow sensor Blower Pressure sensor Mask Air tubing H5i Device Inlet filter ANOaARWN English 11 Displayed values Value Range Display resolution Pressure sensor at air outlet Mask pressure 4 20 cm H20 CPAP 4 25 cm 0 1 cm H20 H20 ASV ASVAuto Flow derived values Leak 0 200 L min 1 L min Tidal volume 0 4000 mL 1 mL Respiratory rate 0 50 BPM 1 BPM Minute ventilation 0 30 L min 0 1 L min Value Accuracy Pressure measurement Mask pressure 0 5 cm H20 4 of measured value Flow measurements Leak 12 L min or 20 of reading whichever is greater at 0 to 60 L min Tidal volume 20 Respiratory rate 1 BPM Minute ventilation 20 a Results are expressed at ATPD Ambient Temperature and Pressure Dry b Accuracy may be reduced by the presence of leaks supplemental oxygen tidal volumes lt 100 mL or minute ventilation lt 3 L min c Measurement accuracy verified as per ISO 10651 6 2004 for Home Care Ventilatory Support Devices Figure 101 and Table 101 Flow maximum at set pressures The following are measured at the end of the specified air tubing Pressure cm H2O VPAP Adapt and VPAP Adapt H5i VPAP Adapt and VPAP Adapt H5i Standard L min and Standard SlimLine L min and ClimateLine L min L min 4 200 170 195 170 8 200 170 190 170 12 200 170 184 170 16 200 170 175 170 20 190 170 168 161 25 180 161 144 125 Symbols The followin
19. unit is free from bedding clothes or other objects that could cover it English 5 Problem Possible cause Solution Displays message No tube please check your tube is connected Flow is high because air tubing Connect the air tubing firmly at both ends is not connected properly Note The tube disconnection check may not operate when an antibacterial filter is used Displays message Tube blocked please check your tube Air tubing is blocked Check your air tubing and remove any blockages Disconnect the power cord and then reconnect it to restart the device Displays message High leak please check system setup and all connections There is excessive leak Adjust position of mask and headgear Note If Leak Alert is enabled Connect the air tubing firmly at both ends an audible alert is activated and a high leak message is displayed The H5i flip lid is not latched Close the flip lid ensuring that it clicks into place correctly Displays message Please close H5i flip lid attach tube and press any key H5i flip lid is not closed Close the flip lid ensuring that it clicks into place Air tubing is not connected Connect firmly at both ends properly The following message is displayed on the LCD after you try to update settings or copy data to the SD card Card error please remove SD card and contact service provider SD card is not inserted correctly Ensure that the SD card is inserted correctly Problem Poss
20. wer supply unit Input range 100 240V 50 60Hz 115V 400Hz nominal for aircraft use Typical power consumption 70W 80VA aximum power consumption 110W 120VA 30W power supply unit nput range 100 240V 50 60Hz 115V 400Hz nominal for aircraft use Typical power consumption 20W 40VA aximum power consumption 36W 75VA 90W DC DC converter Nominal inputs 12V 24V Typical power consumption 70W aximum power consumption 110W Operating temperature 41 F to 95 F 5 C to 35 C Note The air flow for breathing produced by this therapy device can be higher than the temperature of the room Under extreme ambient temperature conditions 104 F 40 C the device remains safe Operating humidity 10 to 95 non condensing Operating altitude Sea level to 8 500 2 591 m air pressure range 1013 hPa to 738 hPa Storage and transport temperature 4 F to 140 F 20 C to 60 C Storage and transport humidity 10 to 95 non condensing ResMed confirms that the device s meets the Federal Aviation Administration FAA requirements RTCA DO 160 section 21 category M for all phases of air ravel Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC60601 1 2 for residential commercial and light industry environments t is recommended that mobile communication devices are kept at least 1 m away from the device nformation regarding the electromagnetic emissions and immunity of this R

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