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        ResMed C Series Tango Manual
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1.   Immunity test    IEC60601 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        8 kV air  8 kV air     IEC 61000 4 2 ile  If floors are covered  with synthetic material   he relative humidity  should be at least 30    Electrical fast  2 kV for power supply  2 kV Mains power quality    transient burst    lines       should be that of a       IEC 61000 4 4   f ypical commercial or   1 kV for input output Not Applicable hospital environment   lines   Surge  1 kV differential mode  1 kV differential mode ains power quality   IEC 61000 4 5 should be that of a        2 kV common mode     2 kV common mode    ypical commercial or  hospital environment                                      Voltage dips  short  lt 5  U  lt 12V Mains power quality  interruptions and voltage  gt 95  dip in Ut    gt 95  dip in 240V  should be that of a  variations on power supply   for 0 5 cycle or 0 5 cycle ypical commercial or  input lines  i i    e ir 10  ut   96V   hospital environment  60  dip in Ut   60  dip in 240V  f the user of the C   or 5 cycles or 5 cycles Series Tango system  requires continued  70  U 168V operation during power  30  dip in Ut   30  dip in 240V  mains interruptions  it is  or 25 cycles or 25 cycles recommended that the   lt 5  U  lt 12V C Series Tango system   gt 95 dip in Ut    gt 95 dip in 240V  be powered from an  or 5 sec 
2.  and maintained according to the instructions provided by  ResMed  Warranty details are provided with the device at the time of original supply   As with all electrical devices  if any irregularity becomes apparent  you should have the  device inspected by an authorized ResMed service center     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     1 Year  ResTraxx      ResMed flow generators 2 Years  Accessories  water chambers and mask systems 90 Days   including mask frame  cushion  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  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    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  o
3.  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   co              Note 1  At 80 MHz and 800 MHz  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           a Field strengths from fixed transmitters  such as base stations for radio  cellular cordless  telephones and land  mobile radios  amateur radio  AM and FM radio broadcast and TV broadcast cannot be predicted theoretically  with accuracy  To assess the electromagnetic environment due to fixed RF transmitters  an electromagnetic site  survey should be considered  If the measured field strength in the location in which the C Series Tango system  is used exceeds the applicable RF compliance level above  the C Series Tango system should be observed to  verify normal operation  If abnormal performance is observed  additional measures may be necessary  such as  reorienting or relocating the C Series Tango system     b Over the frequency range 150 kHz to 80 MHz  field strengths should be less than 10 V m        11    Recommended separation distances between portable and mobile RF communications equipment  and the C Series Tango system    The C Series Tango system is intended for use in an environment in which radiated RF disturbances a
4.  respiratory medicine www resmed com    
5. RESMED    C Series Tango       POSITIVE AIRWAY PRESSURE DEVICE    User Guide    English       C Series Tango       USER GUIDE    Intended Use  The Tango CPAP system is indicated for the treatment of obstructive sleep apnea  OSA  in  patients weighing more than 66 Ib  30 kg   It is intended for home and hospital use        CAUTION    Federal law restricts this device to sale by or on the order of a physician     Contraindication   Positive airway pressure therapy may be contraindicated in some patients with the  following pre existing conditions    e severe bullous lung disease   e pneumothorax   e pathologically low blood pressure   e dehydration   e cerebrospinal fluid leak  recent cranial surgery or trauma     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 Tango    e drying of the nose  mouth or throat   e nosebleed   e bloating   e ear or sinus discomfort   e eye irritation   e skin rashes     Parts of the Tango   Your Tango comprises    e C Series Tango flow generator  shown below   e Powercord   e 6 6     2 m  air tubing     Signal cable socket   humidifier use only     Power cord socket    Air outlet          Air inlet   contains air filter        Masks  The ResMed mask systems recommended for use with the Tang
6. ctors   recommended by  ResMed  or by a physician or respiratory therapist  A mask should not be used unless  the Tango is turned on and operating properly  The vent hole or holes associated with  the mask should never be blocked    Explanation  The Tango is intended for use with special masks  or connectors     with  vent holes allowing a 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  If the device is not operating   insufficient fresh air is provided through the mask  and the exhaled air may be  rebreathed  Rebreathing exhaled air for longer than several minutes can sometimes  lead to suffocation  If there is a power failure or the device machine malfunctions   remove the mask    The Tango can be set to deliver pressures up to 20 cm H O  In the unlikely event of  certain fault conditions  pressures up to 30 cm H O are possible    If oxygen is used with this device  the oxygen flow must be turned off when the  device is not operating  If oxygen has been left on while the device is not operating   disconnect the oxygen and wait 30 minutes before turning on the flow generator  again    Explanation  When the CPAP device is not in operation and the oxygen flow is left on   oxygen delivered into the air delivery tubing may accumulate within the CPAP machine  enclosure and create a risk of fire    Oxygen supports combustion  Do not use oxygen while yo
7. e Tango     CAUTION    Be careful to place the device where it cannot be bumped  and where no one will  trip over the power cord    If you put the device on the floor  make sure the area is free from dust and clear  of bedding  clothes or other objects that could block the air inlet    Make sure the area around the device is dry and clean     A   WARNING    SONS    Make sure the power cord and plug are in good condition and the equipment is  not damaged    Only ResMed air tubing should be used with the device  A different type of air  tubing may alter the pressure you actually receive and reduce the effectiveness  of your treatment    Blocking the hose and or air inlet of the device while in operation could lead to  overheating of the device                 Connect the power cord to the rear of the Tango    Plug the other end into a power outlet    Connect the air tubing to the air outlet of the Tango    Connect the assembled mask system to the free end of the air tubing     Using the Tango       Start therapy Press    9 when the Tango is in standby mode  A circulating dash symbol displays on the  LCD   If ramp is set  the ramp time displays on the LCD  When ramping is finished  therapy  continues at the prescribed pressure   If no ramp is set  therapy starts immediately at the prescribed pressure        Stop therapy Press 6     Setramptime 1  Repeatedly press  amp  until the LCD displays the desired time   2  Press     to accept changes and start therapy   The Tango returns 
8. emperature    Storage and transport  humidity    Atmospheric pressure range    Electromagnetic  Compatibility    Air Filter   AirTubing   Air Outlet   IEC 60601 1 Classification    4 to 20 cm H O    8 5  x 74  x 4 5    215 mm x 189 mm x 114 mm     2 4 Ib  1 1 kg     Input range 110V  60Hz  20VA 10W  typical power consumption    36VA 15W  maximum power consumption      41  F to  104  F   5  C to  40  C   10 95  non condensing   4  F to  140  F   20  C to  60  C     10 95  non condensing    1060 hPa  sea level  to 680 hPa   8500   2591 m     Product complies with all applicable electromagnetic compatibility  requirements  EMC  according to IEC60601 1 2  for residential   commercial and light industry environments    Two layered  powder bonded  polyester non woven fiber  Flexible plastic  6 6     2 m    The 0 87     22 mm  conical air outlet complies with EN 1281 1  Class II  double insulation   Type CF    The manufacturer reserves the right to change these specifications without notice     Symbols which appear on the Tango    A Attention  Consult accompanying documents  y Type CF equipment                                   Class Il          equipment  b  Drip proof   amp    Canadian Standards Association     A General Warnings and Cautions  A warning alerts you to possible injury     Read the entire guide before using the Tango    The advice in this guide should not supersede instructions given by the prescribing  physician    The Tango should only be used with masks  and conne
9. esentative  65 Milton Park Abingdon Oxfordshire 0X14 4RX UK   ResMed Offices Australia  Austria  Brazil  China  Finland  France  Germany  Hong Kong  India  Japan  Malaysia  Netherlands   New Zealand  Norway  Singapore  Spain  Sweden  Switzerland  UK  USA  see www resmed com for contact details      C Series Tango   Protected by patents  US 5199424  US 5522382  US 6705315    Protected by design registrations  AU 307932  AU 307933  AU 307934  AU 307935  AU 309812  AU 310045  AU 310046  AU  310165  AU 311258  AU 311273  AU 311486  AU 311487  CN 200630002263 2  CN 200630002264 7  CN 200630002265 1  CN  200630002266 6  CN 200630002267 0  CN 200630002269 X  CN 200630002270 2  CN 200630002271 7  CN 200630137884 1  EU  599634  EU 600176  JP 1293705  JP 1294379  JP 1294380  JP 1296487  JP 1296603  JP 1296604  JP 1296605  JP 1303495  NZ  407118  NZ 408195  NZ 408705  NZ 408706  NZ 408707  NZ 408708  NZ 408709  NZ 408710  US D542900  US D544591  US D545954   US D549321  US D549810  Patents and designs pending    Tango  Mirage  Mirage Activa  Mirage Vista  Ultra Mirage  Mirage Swift  Mirage Liberty  Mirage Quattro and Meridian are  trademarks of ResMed Ltd  Mirage  Mirage Activa  Mirage Vista  Ultra Mirage  Mirage Swift and Meridian are registered in US  Patent and Trademark Office  Papillon and Silent Papillon are trademarks of MAP Medizin Technologie GmbH        2007 ResMed Ltd        34834 1 0709  C Series Tango  USER  USA ENG                   3 4 8 3 4    Global leaders in sleep and
10. go system 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 The C Series Tango system is suitable for use in all   E a5 establishments  including domestic establishments and those   Harmonic Emissions Class A directly connected to the public low voltage network that   IEC 61000 3 2 supplies buildings used for domestic purposes    Voltage Fluctuations Flicker   Complies    Emissions IEC 61000 3 3          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 C Series Tango system should no       be used adjacent to or stacked with other equipment     If adjacent or stacked use is necessary  the C Series Tango system 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 decreased immunity of the C Series Tango system        Guidance and manufacturer s declaration     electromagnetic immunity    The C Series Tango system is intended for use in the electromagnetic environment specified below  The  customer or the user of the C Series Tango system should assure that the device is used in such an environment      
11. ilter for holes and blockage by dirt  Replace it every six months  or more  often in a dusty environment    For information on cleaning your mask or humidifier  refer to the manual supplied with   your mask or humidifier     Changing the Air Filter    Air inlet    Air filter             CAUTION    Do not wash the air filter    1  With the power cord and air tubing disconnected  turn the Tango upside down so the  air inlet is facing you  The air filter is inside the air inlet    2  Pull the old air filter out of the air inlet    3  Put the new air filter into the air inlet in the direction shown by the arrow  with the  blue side facing towards you     Troubleshooting    Problem    Tango won t start    Possible Cause    Power cord not connected  properly   Faulty power outlet     Solution    Check power cord     Try another power outlet        No low air flow    The air tubing is not connected  properly    The air tubing is blocked   pinched or punctured     Adjust the air tubing connection     Unblock or free the air tubing  Check the  air tubing for punctures        Treatment pressure  seems either low or too  high    Altitude setting incorrect     Adjust altitude setting        LCD displays an error  message and treatment  stops or can t be started    Problem with motor     Contact your supplier        Technical Specifications    Operating pressure range    Dimensions  L x W x D     Weight  Power supply    Operating temperature  Operating humidity    Storage and transport  t
12. o are                 Mirage    Full Face Mask Series II e  Ultra Mirage    Full Face Mask e  Mirage Swift    Nasal Pillows System e  Mirage Swift II Nasal Pillows System e  Papillon    Nasal Mask e  Silent Papillon    Nasal Mask       Mirage Quattro    Full Face Mask    Meridian    Nasal Mask  Mirage    Nasal Mask   Mirage Activa    Nasal Mask  Mirage Vista    Nasal Mask  Ultra Mirage    II Nasal Mask  Mirage Liberty    Full Face Mask    For information on using masks  see your mask manual     Humidifiers  For information on using the ResMed C Series Heated Humidifier or the ResMed  Passover  see your humidifier manual     The Tango Interface    Power indicator       Heating indicator       Standby mode    When the Tango is powered  the power indicator is lit and the run hours are displayed on  the LCD  All changes to altitude and ramp settings are made in standby mode                 Ramp Setting a ramp time enables therapy to start at a low pressure and build up to full  pressure during the ramp time  see    Set ramp time        Altitude Changes in altitude affect the pressure delivered by the Tango  The altitude feature  compensates for pressure changes related to changes in altitude  see    Set altitude        Run hours Run hours are displayed when the Tango is in standby mode    Humidifier The humidifier buttons are used when using the C Series Heated Humidifier and when    setting the altitude  The heating indicator lights when the humidifier is on        Setting up th
13. or 5 sec uninterruptible power  source   Power frequency 3 A m 3 A m Power frequency     50 60 Hz   magnetic field    IEC 61000 4 8          magnetic fields  should be at levels  characteristic of a  typical location in a  typical commercial or  hospital environment        Note  Ut is the AC mains vo       tage prior to application of the test level        10    Guidance and manufacturer s declaration     electromagnetic immunity    The C Series Tango system is intended for use in the electromagnetic environment specified below  The  customer or the user of the C Series Tango system should assure that the device is used in such an environment        Immunity test 1EC60601 1 2 Compliance level Electromagnetic environment     guidance  test level       Portable and mobile RF communications  equipment should be used no closer to any  part of the C Series Tango system  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 117yP   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  W  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
14. re  controlled  The customer or the user of the C Series Tango system can help prevent electromagnetic interference  by maintaining a minimum distance between portable and mobile RF communications equipment  transmitters   and the C Series Tango system 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 W d   1 17 4P d   0 35 yP d 0 7YP  0 01 0 17 0 04 0 07  0 1 0 37 0 11 0 22  1 1 17 0 35 0 7  10 3 69 1 11 2 21  100 11 70 3 50 70             For transmitters rated at a maximum output power not listed above  the recommended separation distance d in  metres  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  VV  according to the transmitter manufacturer    Hz  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        Note 1  At 80 MHz and 800       12    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 Repr
15. to standby mode    after 5 seconds if no button is pressed    The ramp settings are  in minutes   Off  10  20  45        Set altitude 1  Hold  amp  down for 3 seconds until the current altitude setting is displayed   Press    4 or W to change the altitude setting   Press    9 to accept changes and return to standby mode   The Tango returns to    standby mode after 10 seconds if no button is pressed      The altitude settings are    1  0 2000  0 609 m     2  2001 4000  610 1219 m    3  4001 6000  1220 1828 m    4  6001 8500  1829 2591 m         Cleaning and Maintenance  Z  WARNING    Beware of electric shock  Do not immerse the flow generator or power cord in water   Always unplug the flow generator before cleaning and make sure it is dry before  reconnecting     A CAUTION   e Do not hang the air tubing in direct sunlight as it may harden over time and  eventually crack    e Do not use bleach  chlorine  alcohol  or aromatic based solutions  moisturizing  or antibacterial soaps or scented oils to clean the air tubing or the Tango  These  solutions may cause hardening and reduce the life of the product    Daily  Disconnect the air tubing and hang it in a clean  dry place until next use    Weekly    1  Remove the air tubing and wash it in warm water and mild detergent  Rinse  thoroughly  hang and allow to dry    2  Before next use  reassemble the mask and headgear    3  Reconnect the air tubing    Monthly    e Clean the exterior of the Tango with a damp cloth    e Check the air f
16. u are smoking or in the  presence of an open flame    Always ensure air is flowing from the device before turning on the oxygen supply   Always turn the oxygen supply off before stopping the airflow from the device    Note  At a fixed rate of supplemental oxygen flow  the inhaled oxygen concentration  will vary  depending on where the oxygen is introduced  pressure settings  patient  breathing pattern  mask selection and leak rate    Explosion hazard   do not use in the vicinity of flammable anaesthetics    Do not use the Tango if there are obvious external defects or unexplained changes in  performance    Do not open the Tango case  There are no user serviceable parts inside  Repairs and  internal servicing should only be performed by an authorized service agent     A caution explains special measures for safe and effective use of the device     At low pressures  the flow through the exhalation ports of your mask may not clear all  exhaled gas from the tubing  Some rebreathing may occur    The airflow for breathing produced by this device can be as much as 11  F  6  C  higher  than the temperature of the room  Be careful if the room temperature is warmer than  90  F  32  C      Ports may be incorporated into the mask or in connectors that are near the mask     7    Servicing   The Tango should be inspected by an authorized ResMed service center 5 years from  the date of manufacture  Before this  the device is intended to provide safe and reliable  operation if it is operated
17. utside 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        Guidance and Manufacturer s Declaration   Electromagnetic Emissions and    Immunity    Guidance and manufacturer s declaration     electromagnetic emissions    The C Series Tango system is intended for use in the electromagnetic environment specified below  The  customer or the user of the C Series Tango system should assure that the device is used in such an environment        Emissions test    Compliance    Electromagnetic environment     guidance                RF emissions CISPR11 Group 1 The C Series Tan
    
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