İndir - Plusmed
Contents
1. Class Il Equipment Degree of protection against electric SHOCK Type B Applied Part Degree of protectionagainstingressofwater Drip Proof IPX1 8 3 Environmental Conditions Atmospheric POSS USS cee eme ar le m le lane allik er 83 to 102kPa Operatinglemperature 5 C to 35 C 41 F to 95 F storagelemperature m W 20 to 60 C 4 F to 140 F Operating amp Storage Humidity semen em eymen tam Akra ae yen 15 to 95 RH 8 4 Standards Compliance IEC 60601 1 Medical Electrical Equipment General Requirements for Safety IEC 60601 1 2 Electromagnetic Compatibility EN ISO 17510 1 Sleep Apnea Breathing Therapy Devices 31 8 5 Symbols C E European CE Declaration of Conformity Our medical product is labeled with this symbol in accordance with European Directive 2002 96 EG Waste Electrical and Electronic Equipment WEEE to indicate that at the end of its live it must be disposed separately from other household waste Please contact your local authority or waste disposal service for the return and recycling of this product Warning el DC Power Type B Applied Part in gt Observe the operating manual IPX1 Drip Proof Equipment E Class II Double Insulated 8 6 Models amp Specifications aooo OO2. foxygenis used with this device the oxygen flow must be turned off when the device is not operating Contact your doctor if symptoms of sleep apnea recur e Do not operate the device in direct sunlight or near a heating appliance because these conditions can increase the temperature of the air coming out of the device When the BPAP is used with a humidifier position the device so that the water level in the humidifier is lower than you f you notice any unexplained changes in the performance of the device if it is making unusual or harsh sounds if it and or the power supply has been dropped or mishandled if the enclosure is broken or if water has entered the unit discontinue use and contact your home care provider e Repairs and adjustments must be performed by Plusmed authorized service personnel only Unauthorized service could cause injury invalidate the warranty or result in costly damage e Periodically inspect electrical cords cables and the power supply device for damage or signs of wear To avoid electrical shock unplug the device before cleaning it 2 2 Cautions The device may only be operated at temperatures between 11 F 5 C and 90 F 32 C A properly installed undamaged reusable inlet filter is required for proper operation Do not immerse the device or allow any liquid to enter the enclosure or the inlet filter Condensation may damage the device Always allow the device to reach room temperatu
3. i iig Data yy mm dd Fig 16 Configuration Screen Time h m Autosave Save the Data into Micro SD Card Waveforms Waveform display on the screen Menu Flip The screen will flip 180 to display P Unit Pressure Unit cmH20 kPa Tube Length Selects the length of air tubing which connecting your mask and the device Navigate the Data menu In modes screen alarm screen configuration screen press A V may to select the Parameter circularly 3 4 Humidifier Setting Press the Humidifier key can adjust the water temperature level of the humidifier to the desired setting The LED indicator on the humidifier will light on wi Humidifier Key The humidifier key is used to control the temperature of the humidifier The key has 6 settings range from 0 to 5 with O indicating OFF LED Indicator The LED indicator locating on the humidifier key reflects the status of the humidifier It provides an indicator of the humidifier setting Fig 17 Humidifier Key CAUTION The humidifier key must remain on 0 if there is no water in the humidifier tank or the humidifier tank is not installed NOTE The LED indicator will not turn on if you did not start the blower on the therapy device or if the humidifier key is set to 0 Section 4 Operation Instruction 4 1 Place the Device Place the device on its base somewhere within easy reach of where you will use it Make sure that the air inlet on the rear of the device is not blocked If you
4. Bu b l m BPAP cihaz n n temizli i ve bak m n n nas l yap laca ile ilgili bilgiler sunmaktad r Bu b l mde anlat lan temizlik ve bak m d zenli olarak yap lmal d r UYARI Elektrik arpmas n n n ne ge mek i in temizlikten nce her zaman BPAP cihaz n n g kablosunu prizden kar n ve tekrar takmadan nce kuru oldu undan emin olun UYARI BPAP cihaz n herhangi bir s v i erisine BATIRMAYIN veya herhangi bir s v n n kutu giri filtresi veya herhangi bir a kl k i erisine girmesine izin vermeyin 5 1 Kabinin Temizlenmesi G kablosu hortum maske ve nemlendirici deposunun ba lant lar n kesin BPAP cihaz n n d kabinini su ile hafif e nemlendirilmi bir bez ve yumu ak bir deterjan kullanarak silin G kablosunu takmadan nce BPAP cihaz n n tamamen kurumas na izin verin 5 2 Giri Filtresinin Temizlenmesi ve De i tirilmesi Gri s nger normal kullan mda en az iki haftada bir temizlenmeli ve her alt ayda bir yenisiyle de i tirilmelidir Y kama esnas nda ovmay n z 12 NOT Bu filtreyi en az haftada bir defa veya tozlu bir ortamda kullan l yorsa daha s k olarak temizleyin Ayr ca de i tirme zaman bu duruma g re k salt lmal d r B t nl k ve temizlik i in gerekti i ekilde giri filtresini d zenli olarak kontrol edin E er y rt lm sa yenisiyle de i tirin 5 3 Hortum ve Maskenin Temizlenmesi Hortum ve maskenin temizlenmesi
5. Ear or sinus discomfort Eye irritation Mask related skin irritations Chest discomfort Section 3 Device Controls amp Displays 3 1 Control Panel Keys A Up key Allow you to increase the settings on the setup screens also allow you to navigate to the previous Data menu V Down key Allow you to decrease the settings on the setup screens also allow you to navigate to the next Data menu Enter the setting menu also allow you to Menu key navigate to the next Setup menu Modify amp Allows you to modify and confirm the Data confirm key menu Return key Quickly exit the Setup menu On Off key Starts or stops treatment In standby screen press On Off Button to put the device into the Operate state and turn on the airflow In monitor screen press On Off Button to put the device into the standby state and turn off the airflow Unplug the power if not use for a long time Alarms Mute key You can mute an alarm by pressing the Alarm mute key once If the problem is still present the alarm will sound again after two minutes 3 2 Display Screen There are two ways of display Pressure bar graph Data and Waveform Data display ree 10 0 18 8 emMH20 rp 4 ae 92 emH20 j gt LERLE R Fig 11 S Mode Screen Fig 12 S T Mode Screen Pressure bar graph Data Waveform Data display 3 3 Menu Setting Screen switch Press the menu key to switch the device Screen Follow monitor screen to Modes Alarm scree
6. kesmek icin g kayna kablosunu elektrik k ndan kar n G kablosunda herhangi bir hasar olup olmad n s k s k kontrol edin Hasarl g kablosunu hemen de i tirin Yaln zca tedarik inizden alabilece iniz Plusmed DC g adapt r n kullan n Ba ka herhangi bir adapt r n kullan m cihazda hasara sebep olabilir 4 1 5 Nemlendirici Montaj E er burun bo az veya a z kurulu u ya yorsan z bir nemlendiricinin kullan lmas gerekebilir Ana cihaz nemlendirici taban na yerle tirin Ana cihaz nemlendirici zerindeki hava giri portu cihaz zerindeki hava k portuna denk gelecek ekilde konumland r n Nemlendirici taban ndaki mandal ana cihaz nemlendiriciye do ru bir ekilde ba lamak i in k lavuz olarak kullan n ekil 24 Ana cihaz n ba lanmas Suyun Nemlendirici deposuna doldurulmas 1 Nemlendiricinin sa taraf ndaki nemlendirici kapa n evirin 2 Nemlendirici deposunu nemlendirici taban ndan kayd rarak kar n 3 Depoyu su ile alkalay n Depoyu oda s cakl ndaki distile su ile Maksimum 225 ml doldurma izgisine kadar doldurun D KKAT Depoda sadece distile su kullan n Nemlendiriciyi yaln zca oda s cakl ndaki su ile doldurun Nemlendiriciyi ok so uk veya ok s cak su ile doldurmak nemlendiricide hatalara LED g stergesinin yan p s nmesine sebep olabilir Su deposunu gere inden fazla doldurmay n Bu
7. m 6 Cihaz Alarm Bu b l m cihaz alarmlar n ve bir alarm ald nda ne yapman z gerekti ini anlatmaktad r BPAP alarm durumlar iki ekilde g sterilir Bir ses ile Surekli bip sesi Bir ekran mesaj ile Alarm n t r Alarm n t r ekil 26 Alarm g r nt ekran ekil 27 Alarm sessiz tu u Alarm sessiz Alarm ald nda iki dakikal na sessize almak i in Alarm sessiz tu una bas n Cihaz alarm ald nda ikaz sesini dinleyin g r nt lenen mesaja bak n ve olas z mler i in a a daki tabloya ba vurun Alarm zet Tablosu Olas Sebep Hasta Eylemi Alarm sesini kapatmak i in cihaz zerindeki Alarm Maske alarm Maske kar ld veya yerinden sessiz tu una bas n Sistem devrede b y k bir s z nt oynat ld tespit etti veya hava ak n kapatmadan nce maskeyi kard n z S z nt lar i in devre ba lant lar n kontrol edin Kullanm yorsan z bekleme durumuna ge mek i in a ma kapama tu una bas n 13 Apne alarm D k Dakika Ventilasyon Alarm Y ksek Oran alarm D k Oran alarm Hasta nefes alm yor veya ventilatoru tetikleyemiyor Hasta ventilat rden ayr Hastan n cihazla ba lant s kesik veya b y k bir s z nt mevcut Hasta oran veya tidal hacimde azalma Yanl ayarlanm alarm s n r Hastan n nefes alma oran nda y kselme Yanl ayarlanm alarm s n r
8. n kordonlar ve g kayna cihaz n d zenli ekilde hasar veya a nma i in kontrol ediniz e Elektrik arpmas n nlemek i in cihaz temizlemeden nce fi ini prizden kart n z 2 2 nlemler Cihaz yaln zca 5 C ve 32 C s cakl klar aras nda al t r labilir Do ru al ma i in d zg n ekilde tak lm hasar bulunmayan yeniden kullan labilir bir giri filtresi gereklidir Cihaz suya bat rmay n veya herhangi bir s v n n kutu i erisine yahut giri filtresine girmesine izin vermeyin Yo unla ma cihaza hasar verebilir Cihaz kullanmadan nce her zaman oda s cakl na ula mas n sa lay n Nemlendirici deposunda su yoksa veya nemlendirici deposu monte edilmemi se nemlendirici tu u 0 da kalmal d r NOT K lavuzun tamam boyunca ek uyar lar nlemler ve notlar bulunmaktad r 2 3 Kullan m Amac BPAP iki dereceli sistemleri yaln zca yeti kinlerde Obstruktif Uyku Apnesi Sendromu OSAS tedavisi i in pozitif hava yolu bas nc terapisi uygulamaktad r 2 4 Kontrendikasyonlar Noninvazif ventilasyon tedavisinde k sa s reli kesintileri tolere etmek i in yetersiz bir solunum sistemine sahipseniz BPAP cihaz kullan lmamal d r BPAP cihaz suni ya am destek solunum cihaz de ildir ve bir elektrik ar zas veya belli ar za durumlar ndaki beklenmeyen olaylarda al may durdurabilir E er a a dakilerden birine sahipseniz BPAP cihaz n kullanmad
9. nemlendiricide veya tedavi cihaz nda hasara sebep olabilir UYARI Nemlendiricide su varsa cihaz hareket ettirmeyiniz ters evirmeyiniz bir yere yaslamay n z veya cihaz sallamay n z ilk nce suyu bo alt n z Aksi takdirde su makine i erisine akabilir ve ar za veya hasara sebep olabilir 11 ekil 25 Su deposunun doldurulmas 4 3 lemin Ba lat lmas 1 Cihaza enerji sa lamak i in cihaz bir AC g kayna na ba lay n LCD ekran ayd nlanacakt r 2 3 4 Uzan n ve hava hortumlar n serbest hareket edebilece iniz ekilde d zenleyin Doktorun verdi i parametreleri ayarlay n Hava ak ba lad nda maske d zene inizi tak n 5 Rahatlay n Burnunuzdan normal ekilde nefes al n NOT Maskeniz ile sorun ya yorsan z baz neriler i in B l m 7 Sorun giderme k sm na bak n Herhangi bir zamanda i lemi durdurmak i in maskenizi kar n ve elektrik fi ini kar n D KKAT BPAP cihaz n hareket ettirmeden nce her zaman su deposunu bo alt n 4 4 BPAP Cihaz ile Seyahat Seyahat ederken BPAP cihaz ta ma antas yaln zca el bagaj olarak kullan labilir Ta ma antas BPAP korumayacakt r dolay s yla nakliye i in uygun de ildir Kendi g venli iniz i in cihazla beraber kullan m k lavuzunu da yan n zda g t r n D KKAT Nemlendiriciyi paketlemeden nce her zaman su deposunu bo alt n Bol m 5 Temizlik ve Bak m
10. ane dizme kalibi siri 83 ila 102kPa Calisma e hez e e MA RK YY e epey 5 C ila 35 C 41 F ila 95 F Saklama S cakl sese em erine ire eti l al ame dil 20 ila 60 C 4 F ila 140 F al maveSaklamaNemi m m m 15 ila 95 RH 8 4 Standartlara Uygunluk IEC 60601 1 Medikal Elektrikli Ekipman Genel G venlik Gereksinimleri IEC 60601 1 2 Elektromanyetik Uyumluluk EN ISO 17510 1 Uyku Apnesi Nefes Alma Tedavisi Cihazlar 15 8 9 Semboller C Avrupa CE Uygunluk Beyan Medikal r n m z Avrupa Y netmeli i 2002 96 EG At k Elektrikli ve Elektronik Ekipmanlar WEEE uyar nca kullan m mr n n sonunda di er ev tipi at klardan ayr olarak imha edilece i eklinde i aretlenmi tir Bu r n n iadesi ve geri d n m i in l tfen yerel makamlar veya at k imha servisi ile orusun Ls N yi mez EE GE DC Do ru ak m G c B Tipi Uygulamal Par a a Kullan m k lavuzunu dikkate al n IPX1 Damlama nleyici Ekipman E S n f Il ift Yal t ml 8 6 Modeller ve Teknik zellikler parame e OOOO O ma NC OO CPAP S S T T PC IPAP Y kselme Zaman 100 600 ms Solunum H z BPM Ayarlanabilir O 40 CPAP Rampas 0 60 dakika Ekran Verileri IPAP EPAP Vt Vleak Envenom OO Alarmlar Elektrik kesintisi Maske Alarm Apne Alarm Y ksek D k H z Alarm D k Dakika Ventilasyon Alarm Veri depol
11. block the air flow around the device may not work properly Place the device in a hard flat surface with clear ventilated environment away from heating equipment and cooling device WARNING Position the device with humidifier so the water level is lower than you see the humidifier instructions for complete setup information 25 4 2 Setup the BPAP Unit 4 1 1 Assemble Main Device The main therapy device can be used alone Install the air outlet port connection to the main therapy device and then connecting the breathing circuit and power refer to 4 3 and 4 4 Fig 18 air outlet port Fig 19 install air outlet port 4 1 2 Micro SD Card Installation Mirco SD card may save treatment and BPAP system s information Install the SDcard before using the BPAP device Open the micro SD cover in the nail and put the micro SD card into the SD seat 4 1 3 Connecting the Breathing Circuit To use the unit you will also need a Nasal Mask with integrated exhalation port or Full Face Mask supplied separately You will need to assemble the following accessories to get the recommended circuit e Plusmedinterface e g nasal mask with integrated exhalation port e Plusmed 1 8m 6 ft flexible tubing e Plusmed headgear for the patient interface 1 2 3 4 Connect the flexible tubing to the air outlet on the side of the device as shown in Figure 20 Connect the mask s connector to the flexible tubing as shown in figu
12. g nl k yap lan nemli bir i tir 1 Esnek hortumu BPAP cihaz ndan s k n Esnek hortumu l k su ve yumu ak bir deterjan sol syonu i erisinde g nl k olarak y kay n G zelce y kay n ve hava ile kurutun 2 Maskeniz ve aksesuarlar n temizlenmesi hakk nda detaylar i in aksesuarlar ile birlikte gelen talimatlara bak n 5 4 Nemlendirici Deposunun Temizlenmesi G kablosunun ba lant s n kesin ve nemlendirici deposunu kart n Nemlendirici deposunu hafif bir deterjan kullanarak su ile y kay n G zelce y kay n ve hava ile kurutun D KKAT BPAP cihaz n n kirli bir filtre ile al t r lmas cihaz n do ru bir ekilde al mas na engel olabilir ve cihaza hasar verebilir D KKAT BPAP cihaz na asla slak bir filtre takmay n Filtreyi sabah temizlemenizi ve temizlenen filtre i in yeterli kuruma zaman sa lamak i in alternatif olarak cihaz ile birlikte sa lanan yedek s nger filtrelerini kullanman z tavsiye ediyoruz NOT Hortumu veya cihaz temizlemek i in beyazlam klorin alkol veya aromatik bazl sol syonlar t m kokulu ya lar dahil nemlendirici ve antibakteriyel sabunlar kullanmay n Bu sol syonlar sertle meye sebep olabilir ve r n n mr n azaltabilir Y kama i in su s cakl 50 C zerinde olmamal d r Hortum zaman i erisinde sertlesebileceginden ve sonu olarak atlayabilece inden hortumu do rudan g ne na maruz b rakmay n Bol
13. giri i nedeniyle cihaz bozulmu olabilir Hastay yeniden de erlendirin ve hasta devresini kontrol edin Hastay ve alarm ayar n yeniden de erlendirin Devre ve hasta ba lant s n kontrol edin Hastay ve alarm ayarlar n yeniden de erlendirin Hastay ve alarm ayarlar n yeniden de erlendirin Hastay ve alarm ayarlar n yeniden de erlendirin G ba lant s n kontrol edin g kablosunun iyi ekilde tak ld ndan emin olun veya al ma durumuna getirmek i in a kapa d mesine bas n Hava filtresini temizleyin veya de i tirin hava k n temizleyin Gerekliyse Rampa s resini iptal edin veya s f rlay n Hortum ba lant lar n kontrol edin Ka ak olup olmad n kontrol edin ve maske ve hortumlar n konumlar n ayarlay n Hava giri ini kontrol edin ve temizleyin Gerekliyle rampa s resini k salt n Filtreyi de i tirin veya temizleyin BPAP cihaz n n cihaz etraf ndaki hava ak n engelleyebilecek yatak veya perdelerden uzakta oldu undan emin olun Cihaz n s tma ekipman ndan uzakta oldu undan rn Havaland rmalar radyat rler emin olun Nefes alma devresinin ba lant s n kontrol edin Ka ak olup olmad n kontrol edin ve maske ve hortumlar n konumlar n ayarlay n Nemlendiriciyi kontrol edin ve yeniden tak n Kullan m durdurun Servis i in tedarik iniz ile g r n Arad n zda l tfen BPAP ser
14. have the serial number of BPAP unit ready when you call Readjust the headgear If the problem continues contact your provider to be fitted for a different mask style or size Nasal sinus or ear inflammation You may have a sinus infection or middle ear infection pain Stop use the device and contact your health care professional Redness on your face Improper mask fitting or Loosen the headgear Check the mask s spacer to see that it where the mask or improper mask cleaning is in good condition Use a barrier between your skin and the accessory contacts Irritation or allergic mask such as 3M s Microfoam tape Be sure to cleaning the your skin reaction to the mask mask thoroughly according to mask cleaning instructions material If the problem continues contact your provider to be fitted for a different mask style or size Contact your health care professional if the problem persists Sore or dry eyes The mask is not properly fitted or positioned Unsuitable type or size Section 8 Models amp Specifications 8 1 Specifications Volume lik kar se e i a li ll ak 0 to 3000ml PAs asc as EN MERE P OE MN ELM EY A sede Oto 999ml Minute VOLUME 104 ccccecsccanc sase sasemisede inde beee laaan el kak s re dele O to 30L 8 2 Power Requirements AG DOWEL scecs cetera O EE Na 100 to 240VAC 50 60Hz 1 0A max DOW Sl ieee m reel al a ar m e ln e 24VDC 2 5A max Iypeofprotectionagainstelectricshock
15. men s nden abuk kma A ma Kapama lemi ba lat r veya durdurur tu u Cihaz al r konuma getirmek ve hava ak n ba latmak i in i in bekleme ekran nda A ma Kapama Tu una bas n z Cihaz al r konuma getirmek ve hava ak n ba latmak i in i in monit r ekran nda Agma Kapama Tu una bas n z Uzun bir s re kullanmayacaksan z g kablosunu kar n Bir alarm Alarm sessiz tu una bir defa Alarm Sessiz tu u basarak susturabilirsiniz E er sorun devam ediyorsa alarm iki dakika sonra tekrar alacakt r 3 2 G r nt Ekran ki e it ekran mevcuttur Bas n ubuk Grafi i Veri ve Dalga formu Veri ekran j a 8 gan Pied S ekil 11 S Modu Ekran ekil 12 S T Modu Ekran Bas n ubuk grafi i Veri Dalga formu Veri ekran 3 3 Men Ayar Ekran a ma Cihaz ekran nda ge i yapmak i in men tu una bas n Modlar Alarm ekran ve yap land rma men s i in ekil 13 te g sterilen monit r ekran n takip edin ekil 13 te g sterilmi tir BPAP25 i in Men Ayar CONFIG ekil 13 Ekran Ge i i Di er modeller daha az se ene e sahiptir B l m 8 Teknik zellikler formuna ba vurunuz Mod Ayarlama Mod se in ve parametre ayarlay n nin a aym Ae bem ge ekil 14 Mod Ekran Mod Parametresi De i tirme Se enek mavi durumdayken de i tirme durumuna girmek i in kutucu a t klay n
16. mode CPAP S S T T PC minutes 1 minute increment I E Ratio BR MV Alarms Power failure Mask Alarm Apnea Alarm High Low Rate Alarm low Minute Ventilation Data storage micro SD 2G 2 8 TFT Displays Pressure bar graph amp Waveform data display Pressure curve Flow rate curve Volume curve Specifications subject to change without notice 32 Section 9 Quality Warranty Please contact your provider to order additional filters and accessories Do not attempt to open the BPAP unit There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent During the warranty period if the product fails under conditions of normal use the damages to the equipments are not caused by man made reasons the provider or the appointed maintenance company is responsible to the maintenance or replacement free of charge The warranty does not include consumables like air tubing inlet filter etc The warranty does not cover Any breakdown or damages caused by improper operation abuse of the product accident or alteration of the products Any products damaged by reason of repairs made to any components without the specific consent of the authorized service agent Any breakdown or damages caused by water being spilled on or into the BPAP device This warranty does not include normal wear and tear or shipping charges Plusmed and the dealer s sole o
17. needs The unit delivers two different positive levels IPAP Inspiratory Positive Airway Pressure and EPAP Expiratory Positive Airway Pressure Your home care provider will make the correct pressure settings When prescribed by your physician the ramp function allows you to lower the pressure when you are trying to fall sleep The air pressure will gradually increase until your prescription pressure is reached You also have the option of not using the ramp feature at all 1 3 BPAP Unit Feature Name amp Function LCD Screen LED Indicators Humidifier Humidifier Cover Key Door Micro SD Card DC Power Connector Communications Connector Air Outlet Water Level Air Intel Filter Watch Window Fig 9 Component Names Unit Feature Description LCD Screen The LCD screen displays the menus treatment screens and alarm conditions Setting parameters and options LED Indicators Reflects the status of the humidifier heating level Humidifier Key Use the key to set or modify the Humidifier heating level Air Outlet Connect the flexible tubing here Water Level Watch the water level through the window Watch Window Humidifier door Open the door to take out or put inside the humidifier tank Air Inlet Filter The sponge filter prevents normal household dust DC Power Connect the 24V DC power cord here Connector Micro SD Card The micro SD card records device usage information e g a history of pressure sett
18. Hastan n nefes alma oran nda azalma Hasta ventilat r tetikleyemiyor Yanl ayarlanm alarm s n r Bol m 7 Sorun Giderme A a daki tablo BPAP cihaz ile kar la abilece iniz genel sorunlar ve bu sorunlara muhtemel z mleri listeler D zeltici i lemlerin hi biri sorunu gidermezse reticiniz ile g r n Olas Sebep z mller Cihaz al m yor Cihaz d k bas n sa l yor fleyici al yor fakat bas n parametre ayar ndan a k ekilde farkl G ba lant s yok veya Bekleme modunda Hava filtresi veya hava k t kanm veya Rampa S resi kullan mda Hava hortumu d zg n ba lanmam Maske veya hava hortumunda ka ak var Yetersiz hava Hava giri i t kanm veya g nderimi Rampa s resi kullan mda BPAP tan gelen hava ak s cak gibi A r g r lt k yor BPAP g r lt seviyesi al ma s ras nda Hava filtresi kirli Hava giri i t kanm Duvar yatak s tma cihazlar vb yak n duruyor Nefes alma devresi do ru ekilde ba lanmam Maske veya hava hortumunda ka ak var Nemlendirici do ru ekilde tak lmam Par a ar zas ola an d veya tuhaf sesler kartacak ekilde de i ti BPAP cihaz yere d t veya yanl kullan ld BPAP cihaz n n muhafazas k r ld BPAP cihaz na su girdi 14 Par a k r lm olabilir Su
19. ama micro SD 2G 2 8 TFT G r nt ler Bas n ubuk grafi i amp Dalga formu veri g r nt s Bas n e risi Ak h z e risi Hacim e risi zellikler bildirim yap lmaks z n de i ikli e tabidir 16 E tetikleyici Otomatik 1 ila 6 Bol m 9 Kalite Garantisi e i Garant S re lave filtre ve aksesuarlar i in l tfen tedarik iniz ile g r n BPAP cihaz n a maya al may n k s mda kullan c n n m dahale edebilece i herhangi bir par a yoktur Tamirler ve i bak m sadece yetkili servis g revlisi taraf ndan yap lmal d r Garanti s resi boyunca r n normal kullan m ko ullar alt nda ar zalan rsa ekipmanlara insan m dahalesi d nda bir zarar gelirse bak m veya de i im cretinden tedarik i veya ilgili bak m firmas sorumludur Garantiye hava hortumlar giri filtresi vo sarf malzemeleri dahil de ildir Garanti kapsam na unlar girmez e Yanl al t rma r n n k t kullan m kaza veya r nlerin de i tirilmesinden kaynaklanan her t rl bozulma veya hasar e Par alara yetkili servis g revlisinin zel izni olmadan yap lan her t rl tamir nedeniyle hasar g ren her t rl r n e BPAP cihaz n n st ne veya i ine su d k lmesi sebebiyle meydana gelen her t rl ar za veya hasar e Bu garanti normal kullan m eskimesini veya nakliye cretlerini i ermez Bu garanti alt nda Plusmed ve bayinin yegane soru
20. an nce doktorunuza s yleyiniz Akut sin zit veya orta kulak iltihab Akci er solunumunda riske sebep olan burun kanamas Gastrik i eri in emiliminde bir riske sebep olan ko ullar Salg lar temizleme yetene inde bozukluk Hipotansiyon veya nemli damar i i hacim azalmas Pn motoraks veya pn momediastinum Yak n zamanda ge irilmi kranial travma veya cerrahi operasyon 2 5 Yan Etkiler Ola and g s a r lar n ciddi ba a r lar n veya artan nefessizlikleri doktorunuza bildirmelisiniz Akut st solunum yollar enfeksiyonu tedavinin ge ici bir s re devam ettirilmemesini gerektirebilir BPAP cihaz ile tedavi s resince a a daki yan etkiler ortaya kabilir Burun a z veya bo azda kuruma e Kulak veya sin s rahats zl e G zlerde tahri e Maskeye ba l cilt tahri leri e G s rahats zl Bolum 3 Cihaz Kontrolleri ve Ekranlar 3 1 Kontrol Paneli Tu lar A Yukar tu u Kurulum ekranlar nda bulunan ayarlar bir st kademeye ta man z ve ayr ca bir nceki Veri men s ne gitmenizi sa lar V A a tu u Kurulum ekranlar nda bulunan ayarlar bir alt kademeye ta man z ve ayr ca bir sonraki Veri men s ne gitmenizi sa lar Ayar men s ne girer ayr ca bir sonraki kurulum men s ne gitmenizi sa lar De i tirme ve Veri men s n de i tirmenizi ve onay tu u onaylaman z sa lar Geri d n tu u Kurulum
21. bligation and your exclusive remedy under this warranty shall be limited to such repair or replacement Plusmed shall not be liable for any consequential or incidental damages whatsoever After the guarantee period or damages excluded in the warranty the provider or the appointed maintenance company will supply customers the paid service 33 tal Trimpeks th hr Tur ve Tic A Eski B y kdere Cad Yunus Emre Sok BA Topcu Is Merkezi No 1 12 34418 4 Levent ISTANBUL TURKIYE bd S O Tel 90 2123195000 Fax 90 2123193050 m 9001 13485 Bas m Tarihi 2014 Mart Trimpeks IB pN BP35PLUS ver1512 Revizyon www plusmed health com
22. e g r n boyut Bir sin s iltihab veya orta kulak iltihab n z olabilir kulak a r s Cihaz kullanmay b rak n ve sa l k uzman n za ba vurun Maske veya Maske yanl tak lm Ba te hizat n gev etin Maskenin ara par as n kontrol aksesuar n cildiniz veya ederek iyi durumda oldu unu kontrol edin Cildiniz ve maske ile temas etti i yerde yanl temizlenmi aras nda 3M in Microfoam band gibi bir bariyer kullan n k zar kl k Maske malzemesine kar Maskeyi maske temizleme talimatlar na uygun ekilde alerjik reaksiyon veya temizledi inizden emin olun tahri E er sorun devam ederse farkl bir maske tipi veya ebad n n tak lmas i in tedarik iniz ile g r n Sorun devam ederse sa l k uzman n z ile g r n B l m 8 Modeller ve zellikler 8 1 Teknik zellikler Tidal e EE AN AY RM E AA EY 0 ila 3000m1 N EM YP ER PEY 0 ila 999ml Dakka e gp A NN E TE EE A O ila 30L 8 2 G Gereksinimleri Eg A dheeetauiewesueds 100 ila 240VAC 50 60Hz 1 0A maks e e A eee ee E E 24VDC 2 5A maks Elektrik arp lmas nakar koruman nt r S n f l Ekipman Elektrik arpmas na kar korunma derecesi Tip B Uygulamal Par a Zararl sugiri inekar korumaderecesi Damlama Yapmaz IPX1 8 3 evresel Ko ullar Atmosfer BASING spss memeyi kak kanl aim dala kik
23. ebep olabilecek ekilde 41 C zerine kabilir e Bucihaz yaln zca yeti kinler taraf ndan kullan m i indir e BPAP cihaz yan c anestetiklerin yak n nda kullan ma uygun de ildir e BPAP cihaz solunumu yapay ventilasyona ba l olan anestezi etkisi alt ndaki hastalarda kullan lmamal d r e E er bu cihaz ile oksijen kullan l yorsa cihaz al m yorken oksijen ak kapat lmal d r e E er uyku apnesi belirtileri tekrarl yorsa doktorunuzla ileti ime ge in Cihaz do rudan g ne alt nda veya s tma cihazlar n n yan nda al t rmay n nk bu ko ullar cihazdan kan havan n s cakl n artt rabilir e BPAP bir nemlendirici ile birlikte kullan ld nda cihaz nemlendirici i erisindeki su seviyesi sizinkinden daha a a da olacak ekilde konumland r n e E er cihaz n performans nda a klanamayan de i iklikler fark ederseniz cihaz normal olmayan veya iddetli sesler kar yorsa cihaz ve veya g kayna d r lm se ya da bozulduysa kapak k r ld ysa yahut cihaz i erisine su giri i ger ekle tiyse kullanmaya devam etmeyin ve reticiniz ile irtibata ge in e Onar m ve ayarlama i lemleri yaln zca Plusmed yetkili servis personeli taraf ndan yap lmal d r Yetki d servis yaralanmalara sebep olabilir cihaz garanti kapsam d nda b rakabilir veya masrafl bir hasar ile sonu lanabilir e Elektrik kablolar
24. enmedi inden emin olun E er evredeki hava ak n engellerseniz cihaz d zg n al mayabilir Cihaz temiz havaland r lm s tma ekipman ndan ve so utma cihaz ndan uzak sert d zg n bir zemin zerine yerle tirin UYARI Cihaz su seviyesi sizden daha a a seviye olacak ekilde nemlendirici ile birlikte konumland r n tam kurulum bilgileri i in nemlendirici talimatlar na bak n 4 2 BPAP Cihaz n n Kurulmas 4 1 1 Ana Cihaz n Montaj Ana tedavi cihaz tek ba na kullan labilir Hava k ba lant noktas n ana tedavi cihaz na ba lay n ve daha sonra nefes alma devresini ve g kayna n ba lay n b l m 4 3 ve 4 4 e ba vurunuz ekil 18 Hava k ba lant noktas ekil 19 Hava k ba lant noktas n n tak lmas 4 1 2 Micro SD kart Kurulumu Micro SD kart tedaviyi ve BPAP sistem bilgilerini kaydedebilir BPAP cihaz n kullanmadan nce SD kart tak n z Micro SD kapa n t rnak ile a n z ve micro SD kart n yuvas na yerle tiriniz 4 1 3 Nefes Alma Devresinin Ba lanmas Cihaz kullanmak i in ayn zamanda bir Nazal Maskeye entegre soluk verme ba lant noktas ile veya Tam Y z Maskesine ayr olarak tedarik edilen ihtiyac n z olacakt r Tavsiye edilen devreyi elde etmek i in a a daki aksesuarlar n montaj n yapman z gerekmektedir e Entegre nefes verme portu ile birlikte Plusmed aray z rn naza
25. er base Position the main device so that the air inlet port on the humidifier connects to the air outlet port on the device Use the latch on the humidifier base as a guide to properly connect the main device to the humidifier Fig 24 connect the main device Filling the water into Humidifier tank 1 Flip the humidifier door on the right side of the humidifier 2 Remove the humidifier tank by sliding it out of the humidifier base l 4 Max Line 3 Rinse the tank with water Fill the tank to the fill line with room temperature distilled water Maximum 225ml CAUTION Use only distilled water in the tank Fill the humidifier with room temperature water only Filling the humidifier with water that is too cold or too hot may cause errors in the humidifier cause the LED indicator to blink WARNING Do not move upside down lean or shake the device if there is water in the humidifier clear up the water first Otherwise the water may flow into the machine and cause malfunction or damage 27 Fig 25Filling the water tank 4 3 Start Treatment 1 2 3 4 5 Relax Take normal breaths through your nose Plug in the device to an AC power source to power up the unit The LCD screen lights up Set the parameter by physician Put on your mask assembly when the air starts to flow gt N N NN Lie down and arrange the air tubing so that it is free to move NOTE If you have trouble with your mask see Section 7
26. he device alarms and what you should do if an alarm occurs BPAP alarm conditions are signaled in two ways A sound Continue beep sound A display message the type of the alarm on screen Type of the alarm ekil 26 Alarm g r nt ekran Fig 27 Alarm mute key Alarm mute When the alarm appears press the Alarm mute key to mute for two minutes When the device alarms listen to the alert sound look at the displayed message and refer to the following table for possible solutions Alarm Summary Table Possible Cause Patient Action Mask alert Mask removed or dislodged Press Alarm mute key on the device to silence the alert tone The system has detected a large leak in the circuit or you have taken the mask off without turning the airflow off 29 Apnea alert Patient not breathing or unable to Reevaluate the patient and check the patient circuit trigger ventilator Reevaluate the patient and alarm setting separated from the ventilator Low Minute Patient disconnect or large leak Check circuit and patient connection Decrease in patient rate or tidal Reevaluate the patient and alarm settings volume Improperly set alarm limit High Rate alert Increase in patient breathing rate Reevaluate the patient and alarm settings Improperly set alarm limit Low Rate alert Decrease in patient breathing rate Reevaluate the patient and alarm settings Patient unable to trigger ventilator Improperly set alarm limi
27. humidifier Humidifier not installed properly The noise level of the Component failure Stop use Contact your provider for service BPAP has changed Please have the serial number of BPAP unit ready when you to include unusual or call harsh sounds during operation The BPAP unit has Component may break Stop use Contact your provider for service been dropped or Please have the serial number of BPAP unit ready when you mishandled call The enclosure of the BPAP unit is broken Water has entered the The device may break due Stop use Contact your provider for service BPAP unit to water in Please have the serial number of BPAP unit ready when you call 30 The Mask Alert message appears on the display screen and the alert tone is sounding The blower fault message appears on the display screen The Card error message appears on the display screen Mask removed or dislodged Press Alarm mute key on the device to silence the alert tone The system has detected a large leak in the circuit or you have taken the mask off without turning the airflow off Check the circuit connections for leaks Blower fault or improperly Stop use Contact your provider for service connect Please have the serial number of BPAP unit ready when you call The micro SD card Remove the micro SD card and reinsert the card If the inserted improperly message appears again Contact your provider for service Please
28. i numaran z yan n zda bulundurun Kullan m durdurun Servis i in tedarik iniz ile g r n Arad n zda l tfen BPAP seri numaran z yan n zda bulundurun Kullan m durdurun Servis i in tedarik iniz ile g r n Arad n zda l tfen BPAP seri numaran z yan n zda bulundurun kranda Maske Maske kar lm veya Alarm sesini kapatmak i in cihaz zerindeki Alarm sessiz Alarm mesaj yerinden oynat lm tu una bas n Sistem devrede b y k bir s z nt tespit etti g r n yor ve alarm veya hava ak n kapatmadan nce maskeyi kard n z sesi duyuluyor S z nt lar i in devre ba lant lar n kontrol edin Ekranda fleyici fleyici ar zas veya yanl Kullan m durdurun Servis i in tedarik iniz ile g r n ar zas mesaj ba lanm Arad n zda l tfen BPAP seri numaran z yan n zda g r n yor bulundurun Ekranda Kart hatas Micro SD kart yanl Micro SD kart n kart n ve yeniden tak n E er mesaj mesaj g r n yor tak lm yeniden g r n rse servis i in tedarik iniz ile g r n Arad n zda l tfen BPAP seri numaran z yan n zda bulundurun A r l veya kuru Maske do ru tak lmam Ba te hizat n yeniden ayarlay n g zler veya konumland r lmam E er sorun devam ederse farkl bir maske tipi veya ebad n n Uygun olmayan tip veya tak lmas i in tedarik iniz il
29. ings and times the unit was used for therapy 20 Ventilation Modes User selectable Ventilation modes are Continuous Positive Airway Pressure CPAP In the CPAP mode the device provides continuous pressure support ventilation at one pressure level Spontaneous S In the S mode the device provides bi level pressure support The device triggers to inspiratory positive airway pressure IPAP in response to spontaneous inspiratory effort and cycles to Expiratory positive airway pressure EPAP during exhalation e Timed T In the T mode the device provides fixed time bi level pressure support The device can deliver IPAP and EPAP in response to setting parameters which breathe rate and inspiration time were set by users The inspiration is time triggered and time cycled the breath rate of patient does not affect the rate and pressure of the device Spontaneous Timed S T The S T mode of the device is similar to the S mode the difference is that it also provides a machine triggered breath if the patient does not spontaneously breathe within a set time Pressure Control PC In the PC mode the device triggers with S ventilation mode and the inspiratory time is controlled by setting parameters when patients breathe normally during the respiratory cycle Section 2 Warnings and Cautions Carefully review and familiarize yourself with the following important notes and warnings these instructions Must be followed to ensure co
30. itif bas n derecesi sunar IPAP nspiratuar Pozitif Hava Yolu Bas nc ve EPAP Ekspiratuar Pozitif Hava Yolu Bas nc reticiniz do ru bas n ayarlar n yapacakt r Doktorunuz taraf ndan nerildi inde rampa fonksiyonu uykuya dalmaya al t n z zaman bas nc d rmenize olanak sa lar Hava bas nc doktorunuz taraf ndan belirlenen bas n de erine ula lana kadar kademeli olarak artacakt r Ayr ca rampa zelli ini hi kullanmama se ene ine de sahipsiniz 1 3 BPAP Cihaz zellikleri Ad ve Fonksiyon LCD Ekran LED G stergeler Nemlendirici Nemlendirici Tu u Kapa Mikro SD Kart DC G Konekt r Konekt r Hava Giri Filtresi Hava k l o Su Seviyesi zleme Penceresi ekil 9 Bile en Adlar nite zelli i A klama LCD Ekran LCD ekran men leri tedavi ekranlar n ve alarm ko ullar n g r nt ler Parametreleri ve se enekleri ayarlar LED G stergeler Nemlendirici s tma seviyesinin durumunu g sterir Nemlendirici Tu u Nemlendirici s tma seviyesini ayarlamak veya de i tirmek i in bu tu u kullan n Hava k snek hortumu buraya ba lay n Su Seviyesi Pencere arac l yla su seviyesini takip edin Izleme Penceresi Nemlendirici deposunu karmak veya i eri koymak i in kapa a n kapa Hava Giri Filtresi S nger filtre normal ev tozunu nler DC G 24V DC g kablosunu bu
31. l maske Plusmed 1 8m esnek hortum e Plusmed ba l hasta aray z i in 1 Esnek hortumu cihaz n yan taraf nda bulunan hava k na ekil 20 de g sterildi i gibi ba lay n z Maskenin konekt r n esnek hortuma ekil 21 de g sterildi i gibi ba lay n z Ba te hizat n maskeye tak n z Daha fazla bilgi i in maskeniz ile birlikte gelen talimatlara bak n z Maskenizi maske yast n z ve ba te hizat n z g venli ve rahat olana kadar ayarlay n z UYARI BPAP cihaz ile sadece Plusmed hava hortumlar ve maskesi veya doktor taraf ndan nerilen aksesuarlar kullan lmal d r Cihaz a k de ilken ve do ru bir ekilde al m yorken maskenizi takmaya al may n z E er bir tam y z maskesi kullan yorsan z maske g venlik kar t rma vanas na sahip olmal d r ekil 20 hortum ba lant s ekil 21 hortum ve maske ba lant s 10 4 1 4 AC G kullan m AC g kullanarak cihaz al t rmak i in a a daki ad mlar izleyin 1 AC g kablosunu DC G Adapt r ne ba lay n 2 AC g kablosunun fi ini ekil 23 te g sterildi i gibi elektrik k na bir duvar anahtar yla kontrol edilmeyen tak n 3 Adapt r konekt r n ekil 22 de g sterildi i gibi cihaz n yan taraf ndaki g giri ine tak n ekil 22 g kablosu ba lant s ekil 23 g kablosu ba lant s D KKAT AC elektrik ba lant s n
32. mlulu u ve sizin tek areniz bu t r tamir ve de i tirmeler ile s n rl olacakt r Plusmed herhangi bir dolayl veya kazara hasardan hi bir ekilde sorumlu olmayacakt r Garanti s resinden sonra veya garantiye dahil olmayan hasarlarda tedarik i veya ilgili bak m firmas m terilere cretli olarak servis sunacakt r 17 This user manual covers the following models of the Plusmed BPAP series non invasive ventilator PLUSMED pM BP35 PLUS with Humidifier PLUSMED pM BP35 BPAP The entire manual should be read before using the BPAP ventilator To have your device serviced contact your provider 18 Section 1 Introduction 1 1 Package contents Your BPAP ventilator includes the following items If any of these items are missing contact your provider Fig 1 BPAP ventilator Fig 2 AC DC Power Adapter Fig 3 AC Power Cord Fig 4 Sponge Filter Fig 5 Main Device Assembly Part Fig 6 SD Card L L e in Ge Gu Livi hur it i k etek me hy Instruction Booklet Fig Breathing Tubing Fig 8 Carry Bag Note You will also need a nasal mask full face mask which is supplied separately 19 1 2 Introduction BPAP series non invasive ventilator is a kind of Bi level positive airway pressure device for the treatment of adult Obstructive Sleep Apnea Syndrome OSAS only The BPAP unit offers several options in how therapy is delivered so treatment can be personalized to meet your
33. n and configuration menu Shown in Fig 13 23 Fig 13 Screen Switch Menu Setting for BPAP25 CONFIG Other Models have less options refer to Section 8 Specification form Mode Setting Choose mode and set parameter Parameter Setting Sequence S T Mode T Mode S Mode CPAP Mode IPAP IPAP IPAP CPAP EPAP EPAP EPAP Ramp Rate Rate Rise time Comfortable Insp Time Insp Time l trigger Rise Time Exp Time E trigger l trigger Rise Time E trigger Fig 14 Mode Screen Mode Parameter Modify When option in blue condition Mode Select 7 press to enter modify status the words turn white Press A or V to select Mode and then press to confirm Press Other parameter modification can also refer to this procedure Alarm Setting Choice alarm functions and set parameter to return to monitor screen SSS Alarm Setting Sequence 2 Mask ON OFF Apnea KAPALI 10 20 30 40 OFF 50 60 Sec HRate OFF 1 99 BPM OFF LRate OFF 1 99 BPM OFF E i EE om Fig 15 Alarm Screen 24 Configuration Setting Choose configuration and set date Configuration Setting Autosave ON OFF Waveforms ON OFF W e N Menu Flip ON OFF H Screen ON OFF Menu Flip 1 Language English Chinese Screen ON P Units cmH2O kPa aS e Tube Length 0 1 8m 2m Language _ Engish f auto a ae
34. ol edilir B l m 2 Uyar lar ve nlemler A a daki nemli notlar ve uyar lar dikkatlice inceleyip bilgi edininiz do ru ve g venli bir i letim sa lanmas i in bu talimatlara uyulmal d r Bu cihaz ya am deste i ama l de ildir Nemlendirici i erisinde su varsa cihaz hareket ettirmeyin ters evirmeyin yat rmay n veya alkalamay n ncelikle suyu bo alt n Aksi takdirde su makine i erisine akabilir ve ar za veya hasara sebep olabilir 2 1 Uyar lar e BPAP cihaz kullan lmadan nce kullan m k lavuzunun tamam okunmal d r e Bu k lavuzda yer alan neriler tedaviyi uygulayan doktor taraf ndan verilen talimatlar n n ne ge memelidir e BPAPcihaz yaln zca Plusmed veya doktorunuz ya da solunum terapistiniz taraf ndan tavsiye edilen maskeler ile kullan lmal d r Cihaz a k de ilken ve do ru bir ekilde al m yorken maskenizi takmaya al may n Bunu yapmak yeniden CO2 soluma ile sonu lanabilir Maske ile ili kili hava alma delikleri asla engellenmemelidir Aksi takdirde bu durum nefessizlikten bo ulma ile sonu lanabilir e BPAP cihaz yaln zca 5 C ve 35 C s cakl klar aras nda al t r labilir Eger oda s cakl 32 C den y ksekse nlem al nmal d r e E er oda s cakl 35 C den y ksekse cihaz kullanmay n E er cihaz 35 C zerinde bir oda s cakl nda kullan l yorsa hava ak n n s cakl hava yolunuzda tahri e s
35. plusmed health management Model PM BP35 PLUS BPAP with Humiditier Nemlendiricili Model PM BP35 BPAP TR Kullan m K lavuzu EN Instruction Manual www plusmed health com Bu kullan m k lavuzu Plusmed BPAP serisinin a a daki modellerini kapsar PLUSMED pM BP35 PLUS Nemlendiricili BPAP PLUSMED pM BP35 BPAP BPAP ventilat r kullan lmadan nce kullan m k lavuzunun tamam okunmal d r Cihaz servisi i in tedarik inizle ileti ime ge iniz Bol m 1 Giri 1 1 Paketin i indekiler BPAP ventilat r cihaz n z a a daki par alar i ermektedir Eger bu par alardan herhangi biri eksikse tedarik inizle ileti ime ge in ekil 1 BPAP ventilat r ekil 2 AC DC G Adapt r ekil 3 AC G Kablosu ekil 4 S nger Filtre ekil 6 SD Kart L L hdd ae Ge Ga 7 piy W w e ett it A Kullanim Kilavuzu ekil 7 Nefes Alma Hortumu ekil 8 Ta ma antas Not Ayr ca ayr olarak tedarik edilen bir nazal maskeye tam y z maskesine de ihtiyac n z olacakt r 1 2 Giri BPAP serisi noninvazif ventilat r sadece yeti kinlerde Obstruktif Uyku Apnesi Sendromu OSAS tedavisi i in kullan lan bir e it iki dereceli hava yolu bas nc cihaz d r BPAP cihaz ihtiya lar n z kar lamak i in tedavinin ki iselle tirilebilmesi ad na tedavinin nas l yap laca ile ilgili bir ok se enek sunmaktad r Cihaz iki farkl poz
36. raya ba lay n Konekt r Micro SD Kart Micro SD kart cihaz n kullan m bilgilerini Orn bas n ayarlar n n bir ge mi i ve nitenin tedavi i in kullan ld zamanlar kaydeder Ventilasyon Modlar Kullan c taraf ndan se ilebilir Ventilasyon modlar unlard r S rekli Pozitif Hava Yolu Bas nc CPAP CPAP modunda cihaz tek bas n derecesinde s rekli bas n destekli ventilasyon sa lar Spontane S Cihaz S modunda iki dereceli bas n deste i sa lar Cihaz spontan inspiratuar efora cevaben inspiratuar pozitif hava yolu bas nc n IPAP tetikler ve soluk verme esnas nda Ekspiratuar pozitif hava yolu bas nc na EPAP ge er Zaman Ayarl T Cihaz T modunda sabit zamanl iki dereceli bas n deste i sa lar Cihaz solunum oran n n ve nefes alma zaman n n kullan c taraf ndan ayarland ayar parametrelerine cevaben IPAP ve EPAP sa layabilir Nefes alma zaman tetiklemeli ve zaman d ng l d r hastan n solunum oran cihaz n oran ve bas nc n etkilemez Spontane Zaman Ayarl S T Cihaz n S T modu S modu ile benzerdir aralar ndaki fark hasta ayarlanan zaman i erisinde spontan nefes alm yorsa S T modunun ayr ca makine tetiklemeli solunum sa lamas d r Bas n Kontrol PC PC modunda cihaz S ventilasyon modu ile ba lar ve nefes alma zaman hastalar solunum d ng s esnas nda normal bir ekilde soluk al rken parametrelerin ayarlanmas ile kontr
37. re 21 Attach the headgear to the mask See the instructions that came with your mask for more information Adjust your mask mask cushion and headgear until you have a secure and comfortable fit N N Nr WARNING Only Plusmed air tubing and mask or physician recommended accessories should be used with the BPAP unit Do not attempt to wear your mask without the device turned on and operating properly If you are using a full face mask the mask must be equipped with a safety entrainment valve Fig 20 tube connect Fig 21 tube and mask connect 26 4 1 4 Using AC Power Complete the following steps to operate the device using AC power 1 Connect the AC power cord into DC Power Adapter 2 Insert the plug of AC power cord into the electrical outlet not controlled by a wall switch as shown in Fig 23 3 Plug the Adapter connector into the power inlet on the side of the device as show in Fig 22 Fig 22 power cord connect Fig 23 power cord connect CAUTION To remove AC power disconnect the power supply cord from the electrical outlet Inspect the power cord often for any signs of damage Replace a damaged power cord immediately Only use the Plusmed DC power adapter available from your provider Use of any other adapter may cause damage to the device 4 1 5 Assembly the Humidifier A humidifier may be required if you are experiencing dryness of the nose throat or mouth Place the main device on the humidifi
38. re before use The humidifer key must remain on 0 if there is no water in the humidifer tank or the humidifier tank is not installed NOTE Additional warnings cautions and notes are located throughout this manual 2 3 Intended Use The BPAP Bi level systems delivers positive airway pressure therapy for the treatment of adult Obstructive Sleep Apnea Syndrome OSAS only 2 4 Contraindications The BPAP device should not be used if you have an insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy The BPAP device is not a life support ventilator and may stop operating with power failure or in the unlikely event of certain fault conditions If you have any of the following conditions tell your physician before using the BPAP device Acute sinusitis or otitis media Epistaxis causing a risk of pulmonary aspiration Conditions predisposing to a risk of aspiration of gastric contents Impaired ability to clear secretions Hypotension or significant intravascular volume depletion Pneumothorax or pneumomediastinum e Recent cranial trauma or surgery 2 5 Adverse Effects 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 the course of therapy with the BPAP device Drying of the nose mouth or throat 22
39. rrect and safe operation This device is not intended for life support Do not move upside down lean or shake the device if there is water in the humidifier clear up the water first Otherwise the water may flow into the machine and cause malfunction or damage 2 1 Warnings The entire manual should be read and understand before using the BPAP unit Advice contained in this manual should not supersede instructions given by the prescribing physician e The BPAP unit should only be used with masks recommended by Plusmed or by your physician or respiratory therapist Do not attempt to wear your mask without the device turned on and operate properly Doing so could result in CO2 rebreathing The vent holes associated with the mask should never be blocked Otherwise it could result in suffocation The BPAP unit may only be operated at temperatures between 41 F 5 C and 95 F 35 C Caution should be exercised if the room temperatures is warmer than 90 F 32 C e Donotuse the device if the room temperature is above 95 F 35 C If the device is used at room temperatures above 95 F the temperature of the airflow may exceed 105 F 41 C which could cause irritation to your airway This device is intended for adult use only e The BPAP unit is not suitable for use in the vicinity of flammable anesthetics e The BPAP unit should not be used with anesthetized patients whose breathing depends on artificial ventilation 21
40. s filter at least once per week or more frequently if operated in a dusty environment Also the replace time should be shorten accordingly 5 3 Cleaning Tubing and Mask Cleaning the tubing and mask is an important daily work 1 Disconnect the flexible tubing from the BPAP unit Gently wash the flexible tubing daily in a solution of warm water and a mild detergent Rinse thoroughly air dry 2 For details on cleaning your mask and accessories refer to the instructions packaged with the accessories 5 4 Cleaning Humidifier Tank Disconnect the power take out the humidifier tank Wash the humidifier tank in water using mild detergent Rinse thoroughly air dry CAUTION Operating the BPAP unit with a dirty filter may keep the device from working properly and damage the device CAUTION Never install a wet filter into the BPAP unit We recommend that you clean the filter in the morning and alternate using the spare sponge filters provided with the unit to ensure enough drying time for the cleaned filter NOTE Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturizing or antibacterial soaps to clean the tubing or the device These solutions may cause hardening and reduce the life of the product The water temperature for wash should not over 50 C Do not hang the tubing in direct sunlight as the tubing may harden over time and eventually crack Section 6 Device Alarm This section describes t
41. t Ventilation alert Section 7 Troubleshooting The table below lists common problems you may have with the BPAP unit and possible solutions to those problems If none of the corrective actions solve the problem contact your home care provider Possible Cause Solution s The device does not Power not connected or Check the power connection ensure the power cord is well operate Standby status connected or press on off key enter operate state The device deliver low Air filter or air outlet is Clean or replace air filter clean air outlet If necessary pressure blocked or Ramp Time is cancel Ramp time or reset time in use The blower works Air tubing not connected Check the tubing connect but the pressure is properly Check leak and adjust position of mask and tubing obviously different Mask or air tubing leak from setting parameter Ramp time is in use Shorten ramp time if necessary The airflow from the Air filter dirty Replace or clean the filter BPAP seems warm Air inlet blocked Make sure the BPAP unit is away from bedding or curtains Near with wall bedding that could block the flow of air around the device Make sure heating equipment etc the device is away from heating equipment e g forced air vents radiators Excessive noise Breathing circuit not Check the breathing circuit connect connected properly Check leak and adjust position of mask and tubing Mask or air tubing leak Check and reinstall the
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43. troubleshooting for some suggestions To stop treatment at any time remove your mask and unplug the power plug CAUTION Always empty the water tank before move the BPAP unit 4 4 Traveling with the BPAP Unit When you are traveling the BPAP unit carrying case can be used for carry on luggage only The carrying case will not protect the BPAP thus is not suitable for transportation For your own safe take the user manual with the device CAUTION Always empty the water tank before packing the humidifier Section 5 Cleaning and Maintenance This section provides information on how to clean and maintain the BPAP unit The cleaning and maintenance described in this section should be regularly carried out WARNING To avoid electrical shock always unplug the BPAP unit before cleaning and be sure that it is dry before reconnecting WARNING DO NOT immerse the BPAP into any fluids or allow any liquid to enter the enclosure inlet filter or any openings 5 1 Cleaning the Cabinet Disconnect the power tubing mask and humidifier tank Wipe the exterior cabinet of the BPAP unit with a cloth slightly dampened with water and a mild detergent Allow the BPAP unit dry completely before plugging in the power cord 5 2 Cleaning and Replacing the Inlet Filter The gray sponge filter should be cleaned at least once every two weeks under normal usage and replaced with a new one every six months Do not knead while washing 28 NOTE Clean thi
44. yaz lar beyaz renk alacakt r Mod se mek i in A veya V tu lar na bas n ve onaylamak i in kutucu a t klay n Monit r ekran na geri d nmek Parametre Ayar S ras S T Modu T Modu S Modu CPAP Modu IPAP IPAP IPAP CPAP EPAP EPAP EPAP Rampa Oran Oran Yukselme Rahat zaman Soluk Alma Soluk Alma l tetikleyici Zaman Zaman Y kselme Y kselme E tetikleyici zaman zaman l tetikleyici l tetikleyici E tetikleyici Mode Select S i in bu tu a t klay n Di er parametre de i iklikleri de bu prosed r ile ger ekle tirilebilir Alarm n Ayarlanmas Alarm fonksiyonlar n se in ve parametreyi ayarlay n ekil 15 Alarm Ekran L Oran Alarm Ayar Dizisi Maske A IK KAPALI Apne KAPALI 10 20 30 40 50 60 Sn Mvent KAPALI 1 15 L H Oran KAPALI 199 BPM KAPALI 199 BPM Yap land rma Ayar Yap land rmay se in ve tarihi ayarlay n Yap land rma Ayar Otomatik Kaydetme A IK KAPALI Dalga formlar A IK KAPALI i es ON Men D nd rme A IK KAPALI Ekran A IK KAPALI Menu Flip Mel OFF F Dil ngilizce ince Screen ON P Birimleri cmH20O kPa Language ye English ekil 16 Yap land rma Ekran Otomatik Kaydetme Verilerin Micro SD Kart i ine kaydedilmesi Dalga formlar Ekranda dalga formlar n n g r n
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