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VPAP™ III ST-A - Air Liquide Australia

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1. Alarm Mute key Note The alarm actions listed below are based on having the appropriate alarm settings for your therapy When an alarm is activated confirm the alarm settings with your clinician CAUTION Warning Signal The flow generator stops delivering air pressure Sound Two alternating tones sounding continuously LCD LCD turns off LED Red flashing Alarm Power fail Cause Power failure Machine is disconnected or switched off while delivering treatment Remove the mask from your face if the power fails Action Alarm will stop when the Alarm Mute key is pressed or after 2 minutes or when power is restored The flow generator stops delivering air pressure Sound Single intermittent tone LCD CHECK TUBE LED Yellow flashing Alarm System fault Airtubing disconnected from the HumidAire 2i 21 Hardware failure 1 Check that the air tubing is connected properly to the HumidAire 2i 2iC 2 Check that the HumidAire 2i 2iC or front cover is connected properly to the flow generator 3 Turn the VPAP III ST A off and on again at the power switch If the alarm persists return the unit to ResMed for servicing Sound Single intermittent tone LCD PRESSURE ERROR LED Yellow flashing Alarm Over pressure Treatment pressure delivered above a set level Return the VPAP III ST A for servicing e DO NOT USE THE VPAP III ST A DEVICE Warning Signal
2. LCD Screen 14 LCD Screen and Keypad 14 LED 14 Left Key 14 M Mask Alarm 18 Mask Fitting 28 Mask Flow Pressure Characteristics 38 Mask Fit Star Rating definitions 27 Mask Fitting Feature 27 Masks 6 Medical Information 1 Menu Functions 18 Menu Type 15 Menus using the VPAP 15 Mouth Leaks 28 N Nasal Irritation 29 O Operating Instructions 21 Options Menu 19 P Passover 12 Power cord AC 9 connection 9 DC 9 locking clip 9 Power Supply 35 Preparing for Use 9 R Ramp Screen 15 Ramp time 15 Replacing the Air Filter 32 Responsibility user owner 1 Results Menu 19 Right Key 15 INDEX 45 46 Runny or Blocked Nose 29 S Servicing 32 Servicing Menu 19 Setting Up 9 Settings Menu 18 SmartStart 23 Standard Menu 15 16 Start Stop Key 14 Starting Treatment 21 Stopping Treatment 23 System Specifications 35 T Travelling 29 Troubleshooting 33 U Up Down Key 14 Used time screen 15 User Owner Responsibility 1 Using the Mask Fitting feature 27 Using the Menus 15 W Weekly Cleaning 31 Weight 35 www resmed com Waking people up to sleep
3. Sound Single intermittent tone LCD IPAP LOWER ALARM LED Yellow flashing Alarm Overuse Cause VPAP III ST A is operating outside device specifications Action Continue using and contact your clinician about this alarm Device settings may require adjustment Sound Single intermittent tone LCD SENSOR ERROR LED Yellow flashing Alarm System Fault Hardware error Return the VPAP III ST A for servicing DO NOT USE THE VPAP III ST A DEVICE Sound Single intermittent tone LCD SYSTEM ERROR Call service LED Yellow flashing Alarm System Error Component failure Return the VPAP III ST A for servicing DO NOT USE THE VPAP III ST A DEVICE Sound Single intermittent tone High mask leak for more than 20 seconds Adjust the mask to minimise leak See Using the Mask Fitting Feature on LCD HIGH LEAK page 27 LED Yellow flashing Alarm Mask off Sound Single intermittent Air pressure at the 1 Check that the air tubing is connected tone LCD LOW PRES ALARM LED Yellow flashing Alarm Low mask pressure mask has fallen below a set level Mask is removed and SmartStop has been disabled properly Turn the VPAP III ST A off and on again at the power switch If the alarm persists return the unit to ResMed for servicing Sound Single intermittent tone LCD HIGH PRES ALARM LED Yellow flashing Alarm High mask pressure Mask pressure ex
4. ES 153515 ES 153516 ES 153518 ES 156135 ES 156136 FR 02 1407 GB 3001791 GB 3001819 GB 3001820 GB 3001821 JP 1164087 JP 1164265 JP 1164266 JP 1164267 SE 75598 SE 75599 SE 75600 SE 75715 US D467335 US D468011 US D476077 US D477868 US D487311 Other designs pending VPAP Activa HumidAire HumidAire 2i HumidAire 2iC Mirage SmartStart Smart Data Ultra Mirage and Vista are trademarks of ResMed Ltd and VPAP Activa HumidAire HumidAire 2i HumidAire 2iC Mirage SmartStart Ultra Mirage and Vista are are Registered in U S Patent and Trademark Office C 4 O 2005 ResMed Ltd 0120 CONTENTS INTRODUCTION DEFINITIONS USER OWNER RESPONSIBILITY MEDICAL INFORMATION e WHAT THE VPAP III ST A IS FOR CONTRAINDICATIONS WARNINGS CAUTIONS THE VPAP III ST A SYSTEM VPAP III ST A COMPONENTS MASKS HUMIDIFIER ACCESSORIES PREPARING FOR once nern SETTING UP THE VPAP III ST A FEATURES OF THE VPAP III ST A OPERATING INSTRUCTIONS eA STARTING TREATMENT STOPPING TREATMENT THE ALARMS USING THE MASK FITTING FEATURE USING DC POWER TO RUN THE VPAP III ST A HELPFUL HINTS CLEANING AND MAINTENANCE ee DAILY WEEKLY PERIODICALLY REPLACING THE AIR FILTER SERVICING ooo e c Qi NY a NN Ul CONTENTS ENGLISH INTRODUCTION DEFINITIONS This manua
5. To exit out of a menu or submenu Press the Right key exit Note You can return to the VPAP or Ramp screen at any time by holding the Right key for at least 3 seconds VPAP screen Ramp screen RESMED VPAP III menu OFF 5 10 15 20 25 30 35 40 45 min RAMP 20min menu SETTINGS enter J MASK ULTRA MIRAGE MIR FULL change exit STANDARD ULTRA TUBE LENGTH 2m change exit 2m 3m NONE PASSOVER HUMIDAIRE HUMID NONE If the HumidAire 2i is used the above change exit options do not appear and Hi is displayed SMARTSTART OFF change exit ON OFF MASK ALARM OFF on OFF change f exit e m poo que m E mmu mc mes ee A ee UNES ll I RESULTS l enter 1 exit MASK FIT These menus appear good 1 exit l only if at least one io Smart Data option has l clinician I OPTIONS enter t exit l SMART DATA I enter J exit change exit Su To ENGLISH GERMAN FRENCH change T exit ITALIAN SPANISH PORTUGUESE SWEDISH DUTCH SERVICING enter f exit SN 123456789123 456789 View only PCB 123456789123 Ww Jess a menu item 4567 exit View only represents a submenu item SW S11601009 5 7 ee t View only exit function MASK MIRAGE i i ee setting option bold text indicates 2m 3m default settin
6. Malaysia Sdn Bhd Suite E 10 20 Plaza Mon t Kiara No 2 Jalan 1 70C Mon t Kiara 50480 Kuala Lumpur Malaysia Tel 60 3 6201 7177 Fax 60 3 6201 2177 Email reception resmed com my ResMed NZ Ltd PO Box 51 048 Pakuranga Auckland New Zealand Tel 64 274 737 633 Fax 64 9 239 0193 Email reception resmed co nz ResMed SA Parc de la Bandonni re 2 rue Maurice Audibert 69800 Saint Priest France T l 33 0 4 37 251 251 Fax 33 0 4 37 251 260 Email reception resmed fr ResMed Singapore Pte Ltd 238A Thomson Road 12 03 04 Novena Square Tower A Singapore 307684 Tel 65 6284 7177 Fax 65 6284 7787 Email reception resmed com sg ResMed Spain SL C Arturo Soria 245 28033 Madrid Espana Tel 34 93 5908154 Fax 34 93 5908153 Email angelo resmed es ResMed Sweden AB Industrigatan 2 S 461 37 Trollhattan Sverige Tel 46 520 420 110 Fax 46 520 397 15 Email reception resmed se Labhardt AG Thannerstrasse 57 CH 4054 Basel Schweiz Tel 41 061 307 9711 Fax 41 061 307 9722 Email info labhardt ch US DESIGNATED AGENT ResMed Corp EU AUTHORISED REPRESENTATIVE ResMed UK Ltd Internet www resmed com Protected by patents AU 697652 AU 699726 AU 713679 EP 0661071 US 4944310 US 5199424 US 5522382 US 6213119 US 6240921 US 6705315 Other patents pending Protected by design registrations AU 147283 AU 147335 AU 147336 CH 128 709 CH 128 710 CH 128 711 CH 128 712 DE 40201723 DE 40202007 DE 40202008 DE 40202020 ES 153514
7. and manufacturer s declaration electromagnetic emissions The VPAP III ST A is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP III ST A should assure that it is used in such an environment Electromagnetic environment Emissions test Compliance guidance RF emissions CISPR11 Group 1 The VPAP III ST A 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 The VPAP III ST A is suitable for use in all establishments including domestic Harmonic Emissions Class A establishments and those directly IEC 61000 3 2 connected to the public low voltage network that supplies buildings used for Voltage Fluctuations Flicker Complies domestic purposes 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 VPAP III ST A should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the VPAP III ST A 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 immu
8. cmH 0 are possible The VPAP III ST A is not suitable for use in the vicinity of flammable anaesthetics The VPAP III ST A should not be used with anaesthetised patients whose breathing depends on artificial ventilation If oxygen is used with the VPAP III ST A the oxygen flow should be stopped when the device is not operating If oxygen flow continues when the device is not operating oxygen may accumulate within the device and create a risk of fire Do not use the VPAP III ST A if there are obvious external defects unexplained changes in performance or unusual noises Do not open the VPAP III ST A case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorised service agent CAUTIONS You should report unusual chest pain severe headache or increased breathlessness to your physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy with the VPAP III ST A drying of the nose mouth or throat e bloating e ear or sinus discomfort eye irritation skin rashes chest discomfort The above are general warnings and cautions Further specific warnings cautions and notes appear next to the relevant instructions in the manual MEDICAL INFORMATION ENGLISH 3 THE VPAP Please identify and familiarise yourself with the following components of the
9. control panel of the VPAP III ST A includes an LCD screen and keypad LCD screen QuickView LEDs Left key Right key Start Stop Alarm Mute Up down key The VPAP III ST A control panel has the following displays and keys Display or Key Function LCD Screen Displays various VPAP III ST A information including the menus treatment screens alarm conditions LEDs Displays the status of the device when active Start Stop Starts or stops treatment Extended hold for at least 3 seconds starts the Mask Fitting feature Up Down Allows you to scroll through the VPAP III ST A menus submenus and setting options ID Left Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes menu enter change and apply Display or Key Function Right Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes exit and cancel Alarm Mute Press once to mute alarms If the problem is still present the alarm will sound again after two minutes See The Alarms on page 23 QuickView Clinical menu function key Clinical use only To assist you in adjusting the VPAP III ST A the keypad and LCD are equipped with a backlight The LCD backlight comes on when the unit is turned on or when you press a key and turns off after 2 minutes Your clinician may
10. features of the mask When Mask Alarm is set to ON SmartStart Stop automatically reverts to OFF SmartStop cannot be used with Mask Alarm because if a high leak occurs SmartStop will stop treatment before the Mask Alarm signal is activated RESULTS MENU Note These menus appear only if at least one Smart Data option has been enabled by the clinician See the VPAP Ill Smart Data Diary for further details Table 2 Results Menu Mask Fit Displays a star rating corresponding to the View only Smart Data mask leak from the previous session Usage Displays usage hours from the previous View only Smart Data session OPTIONS MENU Table 3 Options Menu Smart Data The Smart Data menu is displayed only if one ON OFF Auto Appear or more of the options have been set to ON by the clinician If Auto Appear is set to ON the Smart Data screens are displayed upon powering up of the device If Auto Appear is set to OFF Smart Data is displayed in the Results menu only Language Selects the language the VPAP III ST A uses for English German all its display text English is the default French Italian language Spanish Portuguese Swedish Dutch SERVICING MENU Table 4 Servicing Menu Serial Number Displays the serial number for the VPAP III View only SN ST A Printed Circuit Displays the printed circuit board number View only Board PCB Software Displays the current software v
11. is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instructions provided by ResMed Applicable ResMed warranty details are provided with the device at the time of original supply Of course as with all electrical devices if any irregularity becomes apparent you should exercise caution and have the device inspected by an Authorized ResMed Service Center If you feel that your unit is not performing properly see Troubleshooting on page 33 CAUTION Inspection and repair should only be performed by an authorised agent Under no circumstances should you attempt to service or repair the flow generator yourself 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 unit Problem No display Possible Cause Power not connected or switch at back is not on ENGLISH Solution Ensure the power cable is connected and that the switch at the back of the unit is in the ON position Insufficient air delivered from the VPAP III ST A Ramp Time is in use Air filter is dirty Air tubing is kinked or punctured Air tubing not connected properly Mask and headgear not positioned correctly Plug s missing from access port s on mask Pressure required for treatment may have changed Wait for air pressure to build up Replac
12. or relocating the VPAP III ST A b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m SYSTEM SPECIFICATIONS 41 42 Recommended separation distances between portable and mobile RF communications equipment and the VPAP III ST A The III ST A is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP III ST A can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the VPAP III ST A as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150kHz to 80MHz 80 MHz to 800 MHz 800MHz to 2 5 GHz power of transmitter 1 17 VP 0 35 VP 0 35 NP 0 01 0 17 0 04 0 04 0 1 0 37 0 11 0 11 1 1 17 0 35 0 35 10 3 69 1 11 1 11 100 11 70 3 50 3 50 For transmitters rated at a maximum output power not listed above the recommended separation distance 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 W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all s
13. pressure Leak Current mask leak litres per minute Respiratory rate Number of breaths per minute Minute ventilation Volume of air inhaled per minute litres per minute It is the product of respiratory rate and tidal volume Tidal volume Volume of air inhaled per breath millilitres per breath Oxygen saturation level Percentage of oxygen in your blood stream only appears if RESLINK and oximeter are attached Pulse rate HR Measured in beats per minute only appears if RESLINK and oximeter are attached If the non vented mask alarm has been disabled by your clinician the following screen is displayed after starting therapy To exit this screen press any key to display the treatment screens or stop treatment NON VENTED MASK DISABLED exit RAMP TIME Ramp time is a feature which can be enabled by your clinician If you have difficulty falling asleep with full pressure select a ramp time The airflow will start very gently while you fall asleep The pressure will slowly increase to full operating pressure over the selected ramp time The clinician has set a maximum ramp time you may select any value up to the maximum SMARTSTART The VPAP III ST A has a function called SmartStart which can be enabled by your clinician If SmartStart is enabled VPAP III ST A will start automatically when you breathe into the mask and will stop automatically when you take your mask off This means you do not have to pres
14. the air tubing The VPAP III ST A is now ready for use To start treatment see Operating Instructions on page 21 10 HUMIDIFIER USE WARNING When using a humidifier position it lower than you and at the same level or lower than the VPAP III ST A HUMIDAIRE 21 The HUMIDAIRE 2i attaches to the front of the VPAP III STA to provide heated humidification No other accessories are required for its use The VPAP III ST A automatically detects the presence of the HUMIDAIRE 2i No menu changes are required Please refer to the HumidAire 2i User s Manual for details HUMIDAIRE 2 The HUMIDAIRE 2iC attaches to the front of a VPAP III ST A unit to provide passover humidification No other accessories are required for its use Please refer to the HumidAire 2iC Users Manual for details PREPARING FOR USE ENGLISH 11 HUMIDAIRE AND PASSOVER Medium size 52cm air tubing is a necessary accessory for connecting the VPAP III ST A unit to the HUMIDAIRE and ResMed PASSOVER humidifiers To set up the VPAP III ST A with the HUMIDAIRE or ResMed PASSOVER 1 Fill the HUMIDAIRE or PASSOVER with water as described in the humidifier manual 2 HumidAire Users Place the filled water chamber inside the HUMIDAIRE Connect the medium 52cm air tubing to the right connector port and the long air tubing 2m or 3m to the left connector port on the humidifier Close the HUMIDAIRE lid ResMed Passover Users Conne
15. to the frequency of the transmitter Recommended separation distance d 1 17 NP d 0 35 NP 80 MHz to 800 MHz d 0 70 NP 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 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 NOTE 1 At 80 MHz and 800MHz 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 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 VPAP III ST A is used exceeds the applicable RF compliance level above the VPAP III ST A should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting
16. to trip over the power cord Connect the power cord There are two sockets at the rear of the flow generator the top one for an AC standard mains electricity and the lower one for a DC backup power cord see Using DC Power to Run the VPAP III ST A on page 28 ResMed recommends using the AC power cord supplied with the unit If the customised ResMed power cord is supplied it can be held in place with the locking clips To insert the locking clip pinch the free ends together and fit the pins into the holes on both sides of the socket Insert the power cord into the socket Push the locking clip down so that the groove holds the power cord in place AC power cord DC power cord Plug the free end of the power cord into a power outlet WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged The air filter cover protects the device in the event of accidental liquid spillage onto the device Ensure that the air filter and air filter cover are fitted at all times PREPARING FOR USE 9 3 Connect one end of the air tubing firmly onto the air outlet of the unit WARNING Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive reducing the effectiveness of your treatment 4 Assemble your mask system according to the mask user instructions 5 Connect your mask system to the free end of
17. when the mask is well fitted and comfortable Treatment can be affected by leaks so it is important to eliminate any leaks that may arise If you have problems trying to get a comfortable mask fit contact your sleep clinic or equipment supplier You may benefit from a different size or style of mask You can also use the Mask Fitting feature to help you fit your mask properly See Using the Mask Fitting Feature on page 27 Before wearing your mask wash your face to remove excess facial oils This will allow a better fit and prolong the life of the mask cushion NASAL IRRITATION DRYNESS You may experience dryness of the nose mouth and or throat during the course of treatment especially during winter In many cases a humidifier may resolve this discomfort Contact your clinician for advice ENGLISH RUNNY OR BLOCKED NOSE You may experience sneezing and or a runny or blocked nose during the first few weeks of treatment In many cases nasal irritation can be resolved with a humidifier Consult your clinican for advice TRAVELLING WITH THE VPAP III ST A INTERNATIONAL USE Your VPAP III ST A flow generator has an internal power adapter that enables it to operate in other countries It will operate on power supplies of 100 240V and 50 60Hz No special adjustment is necessary but you may need a plug adapter for the power outlet OPERATING INSTRUCTIONS 29 30 CLEANING AND MAINTENANCE You should regularly carry out t
18. VPAP III ST A Reorder number 248107 1 05 02 USER S MANUAL English RESMED VPAP III ST A Reorder number 248107 1 05 02 USER S MANUAL English Manufactured by ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia Tel 61 2 8884 1000 or 1 800 658 189 toll free Fax 61 2 8883 3114 Email reception resmed com au Distributed by ResMed Corp 14040 Danielson Street Poway CA 92064 6857 USA Tel 1 858 746 2400 or 1 800 424 0737 toll free Fax 1 858 746 2900 Email reception resmed com ResMed UK Limited 65 Milton Park Abingdon Oxfordshire OX14 4RX UK Tel 44 1235 862 997 Fax 44 1235 831 336 Email reception resmed co uk ResMed Asia Pacific Ltd 97 Waterloo Road North Ryde NSW 2113 Australia Tel 61 2 9886 5000 or 1 800 991 900 toll free Fax 61 2 9889 1471 Email reception resmed com au ResMed Finland Niittykatu 6 FIN 02200 ESPOO Suomi Puh 358 9 8676820 Faksi 358 9 86768222 S hk posti reception resmed fi ResMed GmbH amp Co KG Fraunhoferstra e 16 82152 Martinsried Deutschland Tel 49 0 89 99 01 00 Fax 49 0 89 99 01 10 55 Email reception resmed de ResMed Hong Kong Limited Room 1714 Miramar Tower 132 134 Nathan Road Tsim Sha Tsui Hong Kong Tel 852 2366 0707 Fax 852 2366 4546 Email reception resmed com hk ResMed Japan Nihonbashi Hisamatsu Bldg 4F 2 28 1 Nihonbashi Hamacho Chuo Ku Tokyo 103 0007 Japan Tel 81 3 3662 5056 Fax 81 3 3662 5040 ResMed
19. VPAP III ST A SYSTEM III ST A COMPONENTS ENGLISH VPAP III ST A unit VPAP III ST A Unit Front View Rear View LCD screen Filter cover Control panel Power switch Removable Power front cap e Auxiliary Serial Air outlet port communications port A Power cord Carry bag Air tubing 2m WARNING Do not connect any device to the auxiliary port Although your health care provider may connect specially designed devices to the auxiliary port of the VPAP III ST A unit connection of other devices could result in injury or damage of the unit In the home environment the only device that may be connected to the communications port is a modem that is locally approved Locally approved modems may also be connected in the clinical environment In the clinical environment any PC that is used with the VPAP III ST A system must be at least 5m 5ft away from or at least 2 5m 8ft above the patient It must also comply with IEC 60950 or equivalent THE VPAP III ST A SYSTEM 5 MASKS You will also need a ResMed mask system supplied separately The following ResMed mask systems are recommended for use with the VPAP III ST A MIRAGE ACTIVA MIRAGE VISTA ULTRA MIRAGE NASAL MASK NASAL MASK NASAL MASK ULTRA MIRAGE MIRAGE MASK MODULAR MASK FULL FACE MASK Note ResMed VPAP III ST A has been designed and manufactured to provide optimum performance using R
20. also displays the number of days the VPAP III ST A was used out of the total number of days available for use PREPARING FOR USE ENGLISH 15 16 Figure summarises the VPAP III ST A standard menu series To access the VPAP III ST A menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within the menu Press the Up Down key To exit out of the menu Press the Right key exit VPAP screen Ramp screen RESMED VPAP III menu OFF 5 10 15 20 25 30 35 40 45 min RAMP 20min menu USED 0000hrs 000 000days exit lew only SW S11601009 5 Figure 1 VPAP III ST A Standard Menu Series DETAILED MENU The detailed menu allows you to view and change settings such as mask type tube length and the humidifier used You can also view the serial number and current software version of your VPAP III ST A Figure 2 summarises the VPAP III ST A detailed menu series To access the VPAP III ST A menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within a menu or submenu Press the Up Down key To enter a submenu Press the Left key enter To change a setting option for a function Press the Left key change 2 Press the Up Down key until the desired setting option appears 3 Press the Left key apply to select the setting option To exit without changing options Press the Right key cancel
21. as recommended and supplied by ResMed Displays error message SYSTEM ERROR Call service Component failure Return your VPAP III ST A for servicing Excessive motor noise Component failure Return your unit for servicing Display error message High leak in last session You have experienced excessively high leak levels during the night Check that your air tubing is connected properly and that your mask does not leak excessively Use the mask fitting feature to help you to fit your mask properly If this message appears again contact your clinician SYSTEM SPECIFICATIONS Dynamic pressure characteristics IPAP 2 cmH 0 to 30 cmH O measured at the end of standard 2m air tubing EPAP 2 cmH 0 to 25 cmH 0 measured at the end of standard 2m air tubing Maximum single fault pressure 40 cmH O ENGLISH Dynamic flow characteristics 130 L min at 2 to 30 cmH O Sound pressure level lt 30 dB tested in accordance with the requirements of ISO 17510 1 2002 Dimensions x W x 270mm x 230mm x 141mm Weight 2 3kg Air outlet 22mm taper compatible with EN 1281 1 1997 Anaesthetic amp Respiratory Equipment Conical Connectors Pressure measurement Internally mounted pressure transducer Flow measurement Internally mounted flow transducer Power Supply AC 100 240 22 50 60Hz DC 24V 2A Housing Construction Flame retardant engineering thermoplastic Environmental Conditions Ope
22. ceeds alarm setting The treatment will stop Turn power off Turn power back on Try using the flow generator one more time If the high pressure alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal OPERATING INSTRUCTIONS ENGLISH 25 Sound Single intermittent Minute ventilation level Contact your clinician tone has dropped below a LCD LOW MV ALARM set limit LED Yellow flashing Alarm Low minute ventilation Sound Single intermittent Connection of a Ensure your mask has an expiratory tone non vented mask flow port vent LCD NVENT ALARM Mask expiratory Ensure your mask expiratory flow LED Yellow flashing flow port vent may ports vents are not blocked Alarm Non vented mask be blocked e Useofsupplemental Contact your clinician oxygen with a vented mask USING THE MASK FITTING FEATURE The VPAP III ST A Mask Fitting feature can be used to help you fit your mask properly The mask fitting feature delivers air pressure for a three minute period prior to starting treatment for checking and adjusting your mask fit to minimise leaks Ifa Ramp time is selected the mask can be adjusted at a pressure closer to the prescribed pressure To use the mask fitting feature ENGLISH 1 Fit your mask as described in the user instructions 2 Hold down the Start Stop k
23. ct the medium 52cm air tubing to the right connector port and the long air tubing 2m or 3m to the left connector port on the humidifier Medium 52cm i up n ir tubing Medium 52cm lt lt air tubing SSS N ERI dn Long air tubing Long air tubing HumidAire ResMed Passover 3 Place the VPAP III ST A on top of the HUMIDAIRE or PASSOVER Do not place the VPAP III ST A unit underneath the humidifier This is to avoid water spilling into the unit HumidAire ResMed Passover 12 4 Connect the free end of the medium air tubing to the air outlet of the VPAP III ST A HumidAire ResMed Passover 5 Connect the mask system to the free end of the long air tubing The final assembly should look like this HumidAire ResMed Passover HumidAire Users Plug the HUMIDAIRE power cord into a power outlet Connect the power cord to the socket at the rear of the VPAP III ST A Plug the other end of the power cord into a power outlet WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged Navigate to the humidifier setting if available in the VPAP III ST A menu See Detailed Menu on page 16 The VPAP III ST A is now ready for use with the HUMIDAIRE or the ResMed PASSOVER To start treatment see Operating Instructions on page 21 PREPARING FOR USE ENGLISH 13 14 FEATURES OF THE VPAP III ST A LCD SCREEN AND KEYPAD The
24. d be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the VPAP III ST A requires continued operation during power mains interruptions it is recommended that the VPAP ST A be powered from an uninterruptible power source Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Guidance and manufacturer s declaration electromagnetic immunity Continued The VPAP III ST A is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP III ST A should assure that it is used in such an environment Immunity test Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 IEC60601 1 2 test level 3 Vrms 150 kHz to 80 MHz 10 V m 80 MHz to 2 5 GHz Compliance level 3 Vrms 10 V m ENGLISH Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the VPAP III ST A including cables than the recommended separation distance calculated from the equation applicable
25. e 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 S e n 2 LIMITED WARRANTY 43 44 INDEX A Accessories 7 Air filter 32 35 Air Tubing 35 B Back light LCD and Keypad 15 C Cautions 2 Cleaning and Maintenance 31 Cleaning Periodically 31 Components 5 D Daily Cleaning 31 DC 28 Definitions 1 Detailed Menu 15 16 17 Dimensions 35 Dryness 29 Dynamic flow characteristics 35 Dynamic pressure characteristics 35 E Electromagnetic Compatibility 35 Environmental Conditions 35 Error Messages 34 F Features of the VPAP 14 G Glossary of Symbols 37 H Helpful Hints 28 High Leak Message 18 Housing Construction 35 HumidAire 2i 11 HumidAire 2iC 11 Humidifier 7 11 Humidifier Use 11 I IEC 60601 1 Classifications 35 International Use 29 K Key alarm mute 23 Keys functions 14 ENGLISH L
26. e air filter Straighten or replace tubing Check air tubing Adjust position of mask and headgear Replace plug s See your clinician to adjust the pressure The VPAP III ST A does not start when you breathe into the mask Power cord not connected properly Power outlet may be faulty The VPAP III ST A unit not switched on SmartStart not on Mask Alarm has been enabled SmartStart has automatically been disabled Breath is not deep enough to trigger SmartStart Connect power cord firmly at both ends Try another power outlet Switch power switch at rear of the VPAP III ST A to ON Enable SmartStart Disable Mask Alarm to enable SmartStart Take a deep breath in and out through the mask TROUBLESHOOTING 33 34 Problem Possible Cause There is excessive leak Solution Adjust position of mask and headgear Plugs may be missing from ports on mask Replace them Air tubing not connected properly Connect firmly at both ends Air tubing kinked or punctured Straighten or replace VPAP III ST A unit does not stop when you remove your mask SmartStart Stop is disabled Use of a Ultra Mirage Full Face Mask Enable SmartStart Stop SmartStop does not work with a full face mask SmartStart is enabled but the flow generator does not stop automatically when you remove your mask Incompatible humidifier or mask system being used Use only equipment
27. edisposing to a risk of aspiration of gastric contents INTRODUCTION 1 impaired ability to clear secretions hypotension or significant intravascular volume depletion pneumothorax or pneumomediastinum recent cranial trauma or surgery WARNINGS The entire manual should be read before using the VPAP III ST A Advice contained in this manual should not supersede instructions given by the prescribing physician The VPAP III ST A should be used with masks and accessories recommended by ResMed or the prescribing physician Use of incorrect masks and accessories may adversely affect the function of the VPAP III ST A The VPAP III ST A is designed for use with masks that allow exhaled gases to be flushed out through vent holes Exhaled gases will be rebreathed if the mask is worn with the machine tumed off or the vent holes are occluded If this occurs over prolonged periods suffocation may occur In the event of power failure or machine malfunction remove the mask At low EPAP pressures the flow through the mask vent holes may be inadequate to clear all exhaled gases and some rebreathing may occur The air flow for breathing produced by this device can be as much as 6 C 11 F higher than the temperature of the room Caution should be exercised ifthe room temperature is warmer than 32 C 90 F The III ST A can be set to deliver pressures up to 30 cmH gt O In the unlikely event of certain fault conditions pressures up to 40
28. ersion installed View only in the VPAP III ST A This item also appears in the Standard Menu PREPARING FOR USE 19 20 OPERATING INSTRUCTIONS STARTING TREATMENT The VPAP III unit should be assembled beside your bed with the air tubing and mask system connected See Setting Up the VPAP III ST A on page 9 ENGLISH 1 Turn the main power switch at the back of the unit to on I Main power switch When the VPAP III ST A is turned on a welcome message is displayed on the LCD screen The VPAP or Ramp screen then appears Note If you have the HumidAire 2i attached please refer to the HumidAire 2i User s Manual for operating instructions 2 Fit your mask as described in the mask user instructions 3 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep CAUTION Do not leave long lengths of air tubing around the top of your bed It could twist around your head or neck while you are sleeping Make sure the area around the flow generator is dry and clean It should also be clear of bedding clothes and other potential blockages 4 To start treatment press the Start Stop key or if your clinician has enabled the SmartStart function simply breathe into the mask and treatment will begin After starting treatment you can display one the treatment screens below Press the Up Down key to switch between views OPERATING INSTRUCTIONS 21 22 Ramping
29. esMed vented mask systems Other mask systems may be used however performance and data outputs may be affected To select an appropriate setting for another mask system find the closest match to a ResMed mask in the Mask Flow Pressure Characteristics on page 38 HUMIDIFIER A humidifier may be required if you are experiencing dryness of the nose throat or mouth The VPAP III ST A is compatible for use with the following humidifiers ENGLISH HUMIDAIRE 2i heated humidifier HUMIDAIRE 2iC passover humidifier gt y A VE Y HUMIDAIRE heated humidifier ResMed PASSOVER humidifier WARNING Only the HumidAire 2i HumidAire 2iC HumidAire heated humidifier and the ResMed Passover are compatible for use with the VPAP III ST A Please refer to Warnings on page 2 ACCESSORIES The following accessories are available for use with the VPAP III ST A III ST A ACCESSORY Air tubing 3m HUMIDIFIER ACCESSORY HUMIDAIRE AND RESMED PASSOVER ONLY Medium air tubing 52cm THE VPAP III ST A SYSTEM 7 PREPARING FOR USE SETTING UP THE VPAP III ST A 1 ENGLISH Place the VPAP III ST A unit on a flat surface near the head of your bed If the unit is placed on the floor ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet CAUTION Be careful not to place the device where it can be bumped or where someone is likely
30. ey for at least 3 seconds until air pressure delivery starts The following display will appear on the LCD screen indicating that the Mask Fitting feature is in operation The flow generator will ramp to the Mask Fit pressure and will remain at this pressure for 3 minutes A Mask Fit star rating is also displayed See Definitions of Mask Fit Star Rating on page 27 Mask Fit kkkk k Mask Fit Star rating excelnt RESMED Notes he Mask Fit star rating display disappears after 3 minutes e The Mask Fitting feature can only be started from the VPAP or Ramp screen The Mask Fit pressure is the set treatment pressure or 10 cmH 0 whichever is greater 3 Adjust your mask mask cushion and headgear until you have a secure and comfortable fit Once you have a secure and comfortable fit check your Mask Fit star rating on the LCD screen Definitions of the Mask Fit star ratings are presented in Table 5 Note If there is another person nearby to check your Mask Fit star rating you can adjust your mask mask cushion and headgear while lying down 4 After 3 minutes treatment will begin Definitions of the Mask Fit star ratings are presented in Table 5 If you do not wish to wait 3 minutes hold down the Start Stop key for at least 3 seconds and treatment will begin immediately If you press the Start Stop key for less than 3 seconds the unit will return to standby mode the VPAP or Ramp screen is displayed Table 5 De
31. finitions of Mask Fit Star Rating Star rating Definition Excellent Very good OPERATING INSTRUCTIONS 27 Star rating Definition iiie Good qx Adjust mask Adjust mask HIGH LEAK Adjust mask USING DC POWER TO RUN THE VPAP III ST A The VPAP III ST A can be run on DC in case of power failure ResMed supplies a convertor that allows a 12 battery to be connected to the DC input of the VPAP III ST A When using DC power is turned on and off via the switch on the connector to the power source not the power switch at the back of the VPAP III ST A The DC converter is a separate accessory that can be purchased through your ResMed distributor The humidifier heater will be automatically disabled when the VPAP III ST A is operating from the DC supply Power consumption of the VPAP III ST A varies with treatment settings Adequate battery type and sizing is required before operation on DC and it is recommended that ResMed s Technical Services division be contacted for information on your specific application HELPFUL HINTS STARTING OUT MOUTH LEAKS If using a nasal mask try to keep your mouth closed during treatment Air leaks from your mouth can decrease the effectiveness of your treatment If mouth leaks are a problem a full face mask or chin strap may help Contact your clinician or equipment supplier for further details MASK FITTING The flow generator delivers the most effective treatment
32. g Figure 2 VPAP III ST A Detailed Menu Series PREPARING FOR USE ENGLISH 17 18 MENU FUNCTIONS DETAILED MENU ONLY The III ST A menu functions are summarised in Tables 1 4 below with a brief description of what each function does and the available setting options To access these functions see Detailed Menu on page 16 SETTINGS MENU The Settings Menu allows you to view and change certain operating features of the VPAP III ST A unit Table 1 Settings Menu Functions Function Function Description Setting Options Mask Selects your mask type MIRAGE MIR FULL Ultra Mirage Full Face STANDARD Vista Modular ULTRA Ultra Mirage Tube Length Selects the length of air tubing connecting 2m 3m your mask to the VPAP III ST A Humidifier Selects the type of humidifier to be used with NONE PASSOVER the VPAP III ST A HUMIDAIRE If the HumidAire 2i is used the above setting options do not appear and H2i is displayed SmartStart Turns the SmartStart function on or off ON OFF See SmartStart on page 23 Mask Alarm Turns the Mask Alarm signal on or off ON OFF If enabled the Mask Alarm feature will alert you when a high mask leak is detected An audible tone will sound and a high leak message will appear on the LCD screen Note If you select Mir Full as the mask option SmartStop is automatically disabled SmartStart may not work with a Ultra Mirage Full Face Mask due to safety
33. have set the LCD backlight to be on continually The keypad backlight is on at all times when the VPAP III ST A is powered The green treatment LED is clinician selectable and may be on during therapy USING THE MENUS The VPAP III ST A unit provides a set of functions which are arranged in menus and submenus Via the LCD screen the menus and submenus allow you to view and change the settings for a particular function You can access the menus regardless of whether the VPAP III ST A is in standby mode or delivering therapy After the Welcome screen appears and device self checks are complete the VPAP or Ramp screen appears RAMP SCREEN If your clinician has set a maximum ramp time the Ramp screen is displayed after the Welcome screen On the Ramp screen you can immediately set a ramp time Ramp time is the period during which the pressure increases from a low pressure to the prescribed treatment pressure See Ramp time on page 23 Ramp time can be altered in 5 minute increments from OFF to a maximum ramp time set by your clinician by using the Up Down key MENU TYPE Depending on the type of menu that your clinician has set for your machine either a standard menu or a detailed menu appears STANDARD MENU The standard menu allows you to view details about the time used and the current software version of your VPAP III ST A The Used time screen displays the total number of hours for which the device has been used It
34. he cleaning and maintenance described in this section DAILY ENGLISH Disconnect the air tubing and hang it in a clean dry place until next use Do not hang the air tubing in direct sunlight as it may harden and crack over time 2 Clean the mask according to the mask user instructions 3 If you are using a humidifier clean it according to the instructions in the manual WEEKLY Remove the air tubing from the VPAP III ST A unit and the mask 2 Wash the mask system according to the instructions supplied with it 3 Wash the air tubing in warm water using mild detergent Rinse thoroughly hang and allow to dry 4 Before next use assemble the mask and headgear according to the mask user instructions 5 Reconnect the air tubing to the air outlet and mask 6 Test the alarm See The Alarms on page 23 CAUTION Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturising or antibacterial soaps to clean the cushion mask air tubing or the VPAP III ST A These solutions may cause hardening and reduce the life of the product Do not wash or dry the mask frame at a temperature above 80 C 176 F Exposure to higher temperatures may reduce the life of the product Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack PERIODICALLY The mask and air tubing are subject to normal wear and tear Inspect them regularly fo
35. indicator Set pressure s Treatment mode S RAMP S gt gt gt gt gt C 8 0 16 6 PS 8 6 Trigger indicator Pressure support Pressure bar graph Cycle indicator Respiratory rate Leak Minute ventilation LK 24L min 12 MV 12 0 VT 1000 Tidal volume Oxygen saturation level This screen only appears if ResLink and SpO2 93 Pulse rate HR 105 1 oximeter are attached The treatment screens contain the following information Treatment mode Mode of treatment set by your clinician Options include CPAP Spontaneous Spontaneous Timed and Timed Ramping indicator Appears if the VPAP III ST A is in ramp mode This disappears once the ramp time has elapsed Set pressure s In CPAP mode this displays the set treatment pressure centimetres of water In other modes it is exhalation and inhalation pressures centimetres of water Pressure support The difference between exhalation and inhalation pressures centimetres of water Trigger indicator How the VPAP III ST A changes the pressure when you are inhaling S Spontaneous indicates a patient triggered change and T Timed indicates a device triggered change Cycle indicator How the VPAP III ST A changes the pressure when you are exhaling C Spontaneous indicates a patient cycled change and T Timed indicates a device cycled change Pressure bar graph Graphical display of the changing
36. ituations Electromagnetic propagation is affected by absorption and reflection from structures objects and people LIMITED WARRANTY ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial a consumer This warranty is not transferable Z Product Warranty Period ResMed humidifiers ResControl ResLink 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion 90 Days headgear and tubing Excludes single use devices Note Some models are not available in all regions Ifthe 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 To make a warranty claim the initial consumer must return the defective product to the point of purchase freight prepaid This warranty is in lieu of all other express or implied warranties including any implied warranty of merchantability or fitness for a particular purpos
37. l contains special terms and icons that appear in the margins to draw your attention to specific and important information ENGLISH WARNING Alerts you to possible injury CAUTION Explains special measures for the safe and effective use of the device Note Is an informative or helpful note USER OWNER RESPONSIBILITY The user or owner of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorised instructions and by authorised persons Please read this manual carefully before use MEDICAL INFORMATION WHAT THE VPAP III ST A IS FOR The VPAP III system is intended to provide non invasive ventilation for patients with respiratory insufficiency or obstructive sleep apnoea OSA in the hospital or home CONTRAINDICATIONS The VPAP III ST A should not be used if you have an insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy The VPAP III ST A 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 doctor before using the VPAP III ST A acute sinusitis or otitis media epistaxis causing a risk of pulmonary aspiration conditions pr
38. nity of the VPAP III ST A SYSTEM SPECIFICATIONS ENGLISH 39 40 Guidance and manufacturer s declaration electromagnetic immunity The VPAP III ST A is intended for use in the electromagnetic environment specified below The customer or the user of the III ST A should assure that it is used in such an environment Immunity test Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 NOTE Ut is the a c mains voltage prior to application of the test level Continued next page IEC60601 1 2 test level 6 kV contact 8kV air 2 kV for power supply lines 1 kV for input output lines 1 kV differential mode 2 kV common mode lt 5 Ut gt 95 dip in Ut for 0 5 cycle 40 Ut 60 dip in Ut for 5 cycles 70 Ut 30 dip in Ut for 25 cycles lt 5 Ut gt 95 dip in Ut for 5 sec 3 Alm Compliance level 6 kV contact 8 kV air 2 kV Not Applicable 1 kV differential mode 2 kV common mode lt 12V gt 95 dip in 240V for 0 5 cycle 96V 60 dip in 240V for 5 cycles 168V 30 dip in 240V for 25 cycles lt 12V gt 95 dip in 240V for 5 sec 3 A m Electromagnetic environment guidance Floors shoul
39. r damage 2 Clean the exterior of the flow generator with a damp cloth and mild detergent 3 Inspect the air filter to check if it is blocked by dirt or contains holes See Replacing the Air Filter on page 32 WARNING Beware of electric shock Do not immerse the flow generator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting CLEANING AND MAINTENANCE 31 CAUTION Do not attempt to open the VPAP III ST A There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorised service agent REPLACING THE AIR FILTER Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of a VPAP III ST A unit the air filter needs to be replaced every six months or more often if your unit is in a dusty environment To replace the air filter Remove the air filter cover at the back of the VPAP III ST A Air filter cover 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out 4 Replace the air filter cover WARNING M Do not wash the air filter The air filter is not washable or reusable Note The air filter should be inspected once a month SERVICING This product VPAP III ST A should be inspected by an authorized ResMed Service Center 5 years from the date of manufacture Prior to this the device
40. rating Temperature 5 C 41 F to 40 C 104 F Operating Humidity 10 95 non condensing Storage and Transport Temperature 20 C 4 F to 60 C 1 40 F Storage and Transport Humidity 10 95 non condensing Electromagnetic Compatibility Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC6060 2 for residential commercial and light industry environments For further details see Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity on page 39 Air Filter Two layered powder bonded polyester non woven fiber Air Tubing Flexible plastic 2m or 3m length IEC 60601 1 Classifications Class Il double insulation Type CF Continuous operation This flow generator is not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide entrained in the flow generator airpath SYSTEM SPECIFICATIONS 35 Table 6 Displayed values Pressure sensor at air outlet Pressure 5 to 30 cmH5O 0 5 cmH O 0 1 cmH 0 Flow sensor in flow generator Leak 0 120 L min 1 L min Tidal volume 100 3000 mL 1 mL Respiratory rate 6 60 BPM 0 5 BPM 1 BPM Minute ventilation 0 6 60 L min il 0 1 L min Results may be inaccurate in the presence of leaks The displayed values are estimates They are provided for trending purposes only Table 7 Maximum low impedance flow at stated pres
41. s the Start Stop key to begin or end treatment STOPPING TREATMENT To stop treatment at any time remove your mask and press the Start Stop key or if your clinician has enabled the SmartStart function simply remove your mask and treatment will end SmartStop is not applicable with the Mir Full mask setting THE ALARMS The III STA unit is fitted with alarms to alert you to changes that will affect your treatment The most common reason for an alarm to sound is because the system has not been properly assembled Check that the air tubing has been properly attached to the flow generator and mask and humidifier if used You can mute an alarm by pressing the Alarm Mute key once If the problem is still present the alarm will sound again after two minutes An Alarm LED will remain lit for as long as the problem is present To test the alarm hold down the Alarm Mute key for 3 seconds On release of the Alarm Mute key the alarm should sound and the LED should flash for 10 seconds and then stop ResMed recommends testing the alarm each week All menus remain available during an alarm Treatment screens are not viewable during an alarm condition OPERATING INSTRUCTIONS ENGLISH 23 24 LCD screen V PAP m Alarm LEDs ALARMS TROUBLESHOOTING When an alarm has been activated the bottom line of the LCD screen will display either alarm information or recommended instructions for you or your clinician
42. sures 6 6 180 13 2 250 20 0 261 PRESSURE VARIATION 25 00 Max Pressure 20 00 O I 15 00 m 2 3 Max Pressure 5 2 10 00 E 1 3 Max Pressure 5 00 10 BPM 15 BPM 20 BPM 0 00 0 1 2 3 Breaths 36 PRESSURE VOLUME CURVE 1 3 Max Pressure 2 3 Max Pressure a 600 600 o 500 es s _ 500 Q 400 z Z E 400 E 300 g 300 5 200 3 200 100 100 0 0 6 4 6 45 6 5 6 55 6 6 6 65 6 7 6 75 13 25 13 3 13 35 13 4 13 45 13 5 13 55 13 6 Pressure cmH5O Pressure cmH5O Max Pressure gt 10 BPM _ 500 ee E 400 15 BPM 300 20 3 200 100 0 1995 20 20 05 20 1 20 15 20 2 20 25 Pressure cmH5O Note The manufacturer reserves the right to change these specifications without notice SYMBOLS WHICH MAY APPEAR ON THE PRODUCT N Attention consult accompanying documents Class Il equipment Type CF equipment Start Stop eo Mask Fit Alarm LEDs Alarm Mute QuickView AC switch only 082 SYSTEM SPECIFICATIONS 37 MASK FLOW PRESSURE CHARACTERISTICS 70 60 50 40 30 Flow L min 20 10 0 45 6 7 8 9 1011 12 13 14 15 16 17 18 19 20 Pressure STANDARD e MIRAGE z MIR FULL ULTRA GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC EMISSIONS AND IMMUNITY Guidance

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