Bipap Pro 2 User Manual
Contents
1. 1 el mrem ne BiPAP pro 2 SE AND BiPAP plus This BiPAP system is covered by one or more of the following patents US Patent Nos 5 148 802 5 313 937 5 433 193 5 632 269 5 803 065 6 029 664 6 305 374 6 539 940 5 239 995 Re 35 295 5 492 113 5 551 418 5 904 141 5 970 975 and 6 426 689 2003 Respironics Inc All rights reserved TABLE OF CONTENTS CHAPTER l PACKAGE CONTENTS nina ins 4 CHAPTER 2 WARNINGS AND CAUTIONS ssssseeessoseeeeesseeeeessssreeessoreeenessrreeessssrreessereeee 5 SN AE 5 DD Et 7 I INTENDED U SE sonen see as ae E E 7 2 4 CONTRAINDICATIONS E 7 CHAPTER 3 INTRODUCTION ee eege eege geed Eeer 8 3 1 DEFINITIONS nein GE eege GEES 8 3 2 OVERVIEW aisean r un nee EEE E EE Eee ES 9 D2 SHON MIBODS eebe ege eg 11 3 4 How TO CONTACT RESPIRONICS cssccccsssseceseccesscecesceccsseecessssecssseseesseeees 11 CHAPTER 4 CONTROLS AND DISPLAY FEATURES csccesseeessseeesscceeesceecesseecesssecesseeeeees 12 4 1 ee E 12 E RE EE 13 4 3 BREATHING CIRCUIT CONNECTION 14 4A REAR LEE 15 CHAPTERS SETUP eege EE 16 5 1 INSTALLING THE AIR FILTERS cccssscccssscceesssccessececssscecesseecessaeecssseeessseeees 16 5 2 WHERE FO PLAGE THE EE eegene ee ee Ee EN 17 5 3 CONNECTING THE BREATHING CIRCUIT ssssseseessosseesesserrerrsssereeessserrersserree 18 EE ee E 20 5 3 PLUGGING THE UNIT IN cirenean eteki 20 LUNCA EE e ees 21 5 5 2 USING DC POWER ccccccccssssscecccesssccee2. Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you This warranty is given in lieu of all other express warranties In addition any implied warranties including any warranty of merchantability or fitness for the particular purpose are limited to two years Some states do not allow limitations on how long an implied warranty lasts 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 state to state To exercise your rights under this warranty contact your local authorized Respironics Inc dealer or contact Respironics Inc at 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 1 724 387 4000 User Manual 52 User Manual 2 RESPIRONICS INC 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA Deutschland Gewerbestrasse 17 82211 Herrsching Germany 0123 RESPIRONICS CE 1018989 JH 1 22 04
3. all detergent residue Allow the filter to completely dry before reinstalling it If the gray foam filter is torn replace it 6 Ifthe ultra fine filter is dirty or torn replace it 7 Reinstall the filters with the ultra fine filter on the bottom Slide the filters into the air inlet at the rear of the device and push them down into the recess 8 Replace the filter cap Contact your home care provider to order additional filters NOTE To clean the breathing circuit accessories refer to each accessory s instruction sheet User Manual 43 CHAPTER 10 Accesso RIES There are several accessories you can use with the device 10 1 Appme a HUMIDIFIER The REMstar Heated Humidifier and REMstar Integrated Humidifier are available from your home care provider The humidifiers may reduce nasal dryness and irritation by adding moisture and heat if applicable to the airflow CAUTION For safe operation the humidifier must always be positioned below the circuit connection at the mask and the air outlet on the device The humidifier must be level for proper operation Refer to the humidifier instructions for complete setup information 10 2 ADDING OXYGEN To THE Device Oxygen may be added to the mask connection Please note the warnings listed below when using oxygen with the device WARNING Ifyou are using oxygen your device must be equipped with the Respironics Pressure Valve Part number 302418 Failu
4. appliance because these conditions can increase the temperature of the air coming out of the device For proper use the power supply must be placed feet down in the upright position When the device is used with a humidifier position the humidifier so that the water level in the humidifier is lower than you and the humidifier is on the same level or lower than the device Do not attempt to wear your mask without the device turned on Doing so could result in CO rebreathing If 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 Repairs and adjustments must be performed by Respironics authorized service personnel only Unauthorized service could cause injury invalidate the warranty or result in costly damage 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 Pins of connectors identified with the ESD warning symbol should not be touched Connections should not be made to these connectors unless ESD precautionary procedures are used Precautionary procedures include methods to prevent build up of electrostatic discharge e g air condition ing humidification conductive floor co
5. are very low and are not likely to cause any interference in nearby electronic equipment RF radiated emissions This device is suitable for use CISPR 11 in all establishments including domestic establishments and Harmonic emissions those directly connected to the IEC 61000 3 2 Class A public low voltage power supply network Voltage fluctuations Flicker emissions Complies IEC 61000 3 3 User Manual GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment Immunity Test Electrostatic Discharge ESD IEC61000 4 2 Electrical fast Transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interrup tions and voltage variations on power supply input lines IEC 61000 4 11 IEC 60601 Test Level 6 kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines 1 kV differential mode 2 kV common mode lt 5 U gt 95 dip in U for 0 5 cycle 40 U 60 dip in U for 5 cycles 70 U 30 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec Compliance Level 6 kV contact 8 kV air 2 kV for supply mains 1 kV for input output lines 1 kV differential mode 2 kV for common mode lt 5 U gt 95 dip in U for 0 5 cycle 40 U 60 dip in U for 5
6. cycles 70 U 30 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec Electromagnetic Environment Guidance Floors should 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 home or hospital environ ment Mains power quality should be that of a typical home or hospital environ ment Mains power quality should be that of a typical home or hospital environ ment If the user of the device requires continued operation during power mains interruptions it is recommended that the device be powered from an uninterruptible power supply or a battery NOTE U is the a c mains voltage prior to application of the test level User Manual GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment Immunity IEC 60601 Compliance Electromagnetic Test Test Level Level Environment Guidance Power If the pressure deviates more frequency 50 than is indicated in the device 60 Hz specification it may be neces magnetic field sary to position the device further from sources of power IEC 61000 4 8 frequency magnetic fields The power frequency magnetic field should be measured in the intended inst
7. decrease the ramp starting pressure as needed You can adjust the setting from 4 0 cm H O to your EPAP setting The setting increases or decreases in 0 5 cm H O increments 6 2 2 6 CHANGING THE PATIENT DISCONNECT SETTING To change the Patient Disconnect alert setting complete the following steps 1 From the Ramp Start Setting screen press the Right User button to access the Patient Disconnect Setting screen shown in Figure 6 15 Figure 6 15 Patient Disconnect Setting Screen User Manual 33 2 You can turn the patient disconnect audible alert on or off by using the Heat or Ramp buttons to select 0 to disable the alert or 1 to enable the alert NOTE Setting the Patient Disconnect parameter to 1 also enables the Auto Off feature which causes the unit to automatically change from the Operate state to the Standby state whenever the mask is removed from the airway WARNING If your physician indicates that the Patient Disconnect alert is necessary for you do not disable it 6 2 2 7 CHANGING THE LED BACKLIGHT SETTING When airflow is turned on and the device is in the Operate state you can turn the control panel lighting behind the buttons on or off using the LED backlight setting NOTE The lights are always on when the airflow is off and the unit is in Standby To change the LED backlight setting complete the following steps 1 From the Patient Disconnect Setting screen press the Right User button
8. of three beeps followed by a pause and then two more beeps until a button is pressed This pattern is indicated in Section 7 3as 9 90 e Continuous An audible alert sounds continuously This pattern is indicated in Section 7 3 as EEE User Manual 35 2 Medium Priority Sound The medium priority sound repeats a pattern of two beeps with a short interval between each set of beeps until a button is pressed This pattern is indicated in Section 7 3 as Sg 3 Low Priority Sound The low priority sound repeats a pattern of two beeps with a longer interval between each set of beeps until a button is pressed This pattern is indicated in Section 7 3as 99 g 7 1 1 2 DispLav BEHAVIOR For high medium and low priority alerts the display shows ALERT and the name of the alert 7 2 Wuatto Do WHEN AN ALERT Occurs The following example applies to most alert conditions Follow these steps unless otherwise directed by the alert table that follows 1 Listen to the alert sound 2 Look at the display for text ALERT PATIENT Figure 7 1 Sample Alert Display The word ALERT appears at the top of the screen to indicate an alert Additional codes and icons may also appear depending on the type of alert 3 Press any button to silence the alert 4 Look up the alert in the table in Section 7 3 and perform the action specified User Manual 36 7 3 ALERT SUMMARY TABLE The following table summarizes the
9. the bacteria filter if using one and connect the inlet of the bacteria filter to the large connector on the device as shown in Figure 5 3 If you are not using a bacteria filter connect the end of the circuit tubing directly to the outlet connector on the device NOTE Follow the recommendations of your home care provider for using the optional bacteria filter Circuit Tubing Filter Optional Figure 5 3 Connecting the Tubing to the O utlet 2 Connect the tubing to the mask A Ifyou are using a mask with a built in exhalation port connect the mask s connector to the circuit tubing as shown in Figure 5 4 Exhalation Port Mask s Connector Flexible Tubing Connector WT Figure 5 4 Connecting a Mask with a Built In Exhalation Port User Manual 19 B Ifyou are using a mask with a separate exhalation device connect the open end of the circuit tubing to the exhalation device as shown in Figure 5 5 Position the exhalation device so that the vented air is blowing away from your face yer Circuit Exhalation Tubing Device Figure 5 5 Connecting an Exhalation Device Connect the mask s connector to the exhalation device as shown in Figure 5 6 See the mask instructions for complete setup informa tion Mask or Other See Interface Mask Connector Exhalation Device ZN Figure 5 6 Connecting the Mask WARNING The exhalation device is designe
10. to access the LED Backlight Setting screen shown in Figure 6 16 LIGHT CI Figure 6 16 LED Backlight Setting Screen 2 Press the Heat or Ramp button to select a new setting A setting of 1 means the light is on while 0 means the light is off User Manual CHAPTER 7 Device ALERTS This chapter describes the device alerts and what you should do if an alert occurs 7 1 INTRODUCTION The device provides three alert levels high medium and low priority High Priority These alerts require immediate operator response The alert signal consists of a high priority sound The display has the message ALERT at the top of the screen Medium Priority These alerts require prompt operator response The alert signal consists of a medium priority sound The display has the message ALERT at the top of the Screen Low Priority These alerts require operator awareness The alert signal consists of a low priority sound The display has the message ALERT at the top of the screen Some audible alerts are self cancellable This means that the alert sound stops when the cause of the alert is corrected 7 1 1 Overview oF ALERT BEHAVIOR Alert conditions are signalled by the device in two ways a sound and a display message Each signal type behaves differently depending on the type of alert 7 1 1 1 Auer Sounps BEHAVIOR 1 High Priority Sounds There are two possible high priority sounds e High Priority The sound repeats a pattern
11. BiPAP Plus system as convenient and comfortable as possible Contact your home care provider to purchase any accessories not included with your system The device shown in Figure 3 1 supplies air pressure through a breathing ciruit Figure 3 1 The BiPAP Pro 2 BiPAP Plus Device User Manual 10 The circuit shown in Figure 3 2 consists of e Circuit tubing to deliver air from the device to your interface e g mask e A mask or other patient interface device to deliver the prescribed pressure to your nose or nose and mouth depending on which interface has been prescribed for you e An exhalation device to vent exhaled air from the circuit Exhalation Port Patient Interface Typical Mask s M Device Connector Flexible Circuit Tubing Tubing Connector NS Circuit with Separate Circuit with Mask with Exhalation Device Integrated Exhalation Port Figure 3 2 Typical Breathing Circuits NOTE The exhalation port may be part of the mask or may be part of a separate exhalation device but is required to minimize the potential for CO rebreathing The system senses your breathing effort and changes pressure levels when you inhale and exhale depending on the mode of operation WARNING The device can operate on AC or DC power The DC power option is not intended as a battery backup CAUTION When DC power is obtained from a vehicle battery the device should not be used while the v
12. LEANING OR REPLACING THE INLET FILTERS The device has two removable filters at the air inlet The gray foam filter is washable and reusable The optional white ultra fine filter is disposable The gray foam filter should be cleaned at least once every two weeks under normal usage and replaced with a new one every six months The white ultra fine filter is disposable and should be replaced after 30 nights of use or sooner if it appears dirty Do not attempt to clean the ultra fine filter It will damage the filter NOTE Dirty inlet filters may cause high operating temperatures and may affect device performance Regularly examine the inlet filters as needed for integrity and cleanliness 1 Make sure the device is not operating and disconnect the power cord from the wall outlet or DC source 2 As shown in Figure 9 1 remove the filter cap by gently pressing down on the top panel and pulling the cap out away from the device User Manual 42 Figure 9 1 Removing the Filter 3 Remove the filters from the enclosure as shown in Figure 9 2 The top filter is the reusable gray foam filter The bottom filter is the optional disposable white ultra fine filter Reusable Gray Foam Filter an Disposable Ultra fine Filter Figure 9 2 Removing the Air Filters 4 Check the filters to see if they are dirty or torn 5 If needed wash the gray foam filter in warm water and a mild detergent Rinse the filter thoroughly to remove
13. NING AND MAINTENANCE ssssssccceessssteeeccessseeececeessseeeeceessenneeeeeess 41 9 1 CLEANING THE DEVICE EN 4l 9 2 CLEANING OR REPLACING THE INLET FILTERS ccesssscscceeessseeeeceesssnseeeeeess 41 CHAPTER 10 ACCESSORIES cessecesseessecssseseeesseesseecsseceseessaeenseeesueceeeeneeeeseeseseeeseeses 43 JL ADDING A Elte 43 10 2 ADDING OXYGEN TO THE DEVICE cscccssssseesseeeseeeeeseeeseseeessaeeeesaeeeesaaes 43 CHAPTER Eeer e 44 ENVIRONMENTAL ssessiseisisaisprssesessriessude urett irere riksi r Eoan air EE SEs Sraa roir Es raseras 44 EE 44 IEEE URIGAT eege Eege 44 PRESSURE ns er en ne ee eier 45 CONTROL ACCURACY sis inier tastas eE E lode lasdbedasedosecdetassnciesioavelos ed 45 EH e 45 APPENDIX A EMC INFORMATION cccscccessseeessseccssseecssscecesseecesseecessscecesseacessteeensaes 46 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC EMISSIONS cssccessesesseeseeessscesceeeeeceseceseeeseeseaeenseeenees 46 EE WARRANT V2s ee Ee ee 51 User Manual CHAPTER 1 PACKAGE CONTENTS Your device should include the following items If any of these items are missing contact your home care provider Encore Pro Ke SmartCard not BiPAP Pro 2 BiPAP Plus available with the Power Cord Device BiPAP Plus gt Filter Cap Reusable Gray Ultrafine Filter Foam Filters User Manual Flexible Tubing 6 ft 1 83 m X 22 mm i d External AC Power Supply User Manual CHAPTE
14. P to IPAP You can adjust the rise time to find the setting that provides you with the most comfort NOTE The rise time feature is not prescribed for all users If the screen shown in Figure 6 13 does not display you cannot adjust this setting To change the rise time setting complete the following steps 1 From the Session Counter View screen or the FOSQ screen if applicable press the Right User button to access this screen shown in Figure 6 13 Figure 6 13 Rise Time Setting Screen 2 Increase or decrease the rise time setting from 0 to 3 by pressing the Heat or Ramp button until you find the right setting A setting of 0 is the fastest rise time while 3 is the slowest User Manual 6 2 2 5 CHANGING THE RAMP STARTING PRESSURE The device is equipped with an optional ramp feature This feature will reduce the pressure and then gradually increase ramp the pressure to the prescription pressure setting so you can fall asleep more comfortably NOTE The ramp feature is not prescribed for all users If the screen shown in Figure 6 14 does not appear on your display you cannot adjust this setting To change the ramp starting pressure setting complete the following steps 1 From either the Flex or Rise Time Setting screens press the Right User button to access the Ramp Start Setting screen appears as shown in Figure 6 14 Figure 6 14 Ramp Start Setting Screen 2 Press the Heat or Ramp button to increase or
15. R 2 WARNINGS AND CAUTIONS WARNING Indicates the possibility of injury to the user or operator CAUTION Indicates the possibility of damage to the device NOTE Places emphasis on an operating characteristic CAUTION US federal law restricts this device to sale by or on the order of a physician 2 1 WARNINGS e The instructions in this manual are not intended to supersede established medical protocols e You should read and understand this entire manual before using the device e This device is intended for adult use only e This device is not intended for life support e The device should be used only with masks and connectors recommended by Respironics or with those recommended by the health care professional or respiratory therapist A mask should not be used unless the device is turned on and operating properly The exhalation port s associated with the mask should never be blocked Explanation of the Warning The device is intended to be used with special masks or connectors that have exhalation ports to allow continu ous 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 exhalation port However when the device is not operating enough fresh air will not be provided through the mask and exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffoc
16. allation location to ensure that it is sufficiently low User Manual 49 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment Electromagnetic Environment Guidance Portable and mobile RF communica tions equipment should be used no closer to any part of the device including cables than the recom 3 V m mended separation distance calcu 80 MHz to lated from the equation applicable to Radiated 2 5 GHz the frequency of the transmitter RF Recommended separation distance IEC 61000 d 1 P 4 3 d 1 a P_ 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufac turer and d is the recommended separation distance in meters m Field strengths from fixed RF transmit ters as determined by an electromag netic site survey should be less than the compliance level in each fre quency range Interference may occur in the vicinity of equipment marked with the following symbol Q 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 transmit
17. ation e Use only the breathing circuit provided by your home care provider e When using a breathing circuit that contains a mask with an integrated exhalation port or a circuit with a separate exhalation device do not tape seal or otherwise block the vent openings Doing so could result in suffocation e If oxygen is used with the device the oxygen flow must be turned off when the device is not in use Explanation of the Warning When the device is not in operation and the oxygen flow is left on oxygen delivered into the tubing may accumu late within the device s enclosure Oxygen accumulated in the device enclosure will create a risk of fire User Manual Contact your doctor if symptoms of sleep apnea recur If you are using oxygen the device must be equipped with the Respironics Pressure Valve Part number 302418 Failure to use the Pressure Valve could result in a fire hazard Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame Do not use the device in the presence of a flammable anaesthetic mixture in combination with oxygen or air or in the presence of nitrous oxide Do not use 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 Do not operate the device in direct sunlight or near a heating
18. ceeeessnececeessneeeeecsssnseeeceesenes 22 CHAPTER 6 OPERATING THE DEVICE ccssscccesseccessceccssseecssscecsstecesseeecssseeessuteeeees 23 6 1 STARTING THE DEVICE ai nennen unse ernennen 23 6 2 CHANGING THE DEVICE SETTINGS sccccesssccessscesesseceesseecesseecesseeceeseeessseees 25 6 2 1 CHANGING THE HUMIDIFIER SETTING cccccceseseceesseeeesseeeeseeeeeseeeeees 26 6 2 2 NAVIGATING THE USER DISPLAY SCREENS sssssssssssssessssesesressreessressrres 26 6 2 2 1 VIEWING THE SESSION COUNTER ssesssceessseeeesscecesseeeesseeessnes 28 6 2 2 2 VIEWING THE FOSQ Screens BIPAP PRO 2 out 28 6 2 2 3 CHANGING THE FLEX SETTING BIPAP Pro 2 ONLY 30 6 2 2 4 CHANGING THE RISE TIME SETTING cccsescceeeseeeesseeeessseeeeeees 31 6 2 2 5 CHANGING THE RAMP STARTING PRESSURE eccccsesseeessseeeeees 32 6 2 2 6 CHANGING THE PATIENT DISCONNECT SETTING ceeeeseeeeeeee 32 6 2 2 7 CHANGING THE LED BACKLIGHT pm 33 User Manual CHAPTER 7 DEVICE ALERTS EE 34 esl INTRODUCTION Er centre eege 34 7 1 1 OVERVIEW OF ALERT BEHAVIOR anna ENEE ee 34 7 1 1 1 ALERT SOUNDS BEHAVIOR scscccesessssseeceesssnseeeceessnseeeceesessaeees 34 KE WE EE e 35 7 2 WHAT TO DO WHEN AN ALERT OCCURS eeenennennnensnnensnensnnensnennnensnennnnnnenennn 35 K ALERT SUMMARY J ABLE nennen lasdeavorsteeneieeveased 36 CHAPTER 8 TROUBLESHOOTING cessecsssessseeesecsseeeeseceseeceseeeseeeeeeceseeeneeesseeeeseeeseeees 3 CHAPTER 9 CLEA
19. cts you to complete the questionnaire he or she will provide you with the instructions and the questions and you will enter your answers into the device Make sure the SmartCard is installed before answering the questions User Manual 29 NOTE These screens only display if you are using a BiPAP Pro 2 device with a SmartCard inserted NOTE Your home care provider may ask you to periodically remove the SmartCard and send it to him or her for evaluation To view the FOSQ screens complete the following steps 1 From the Session Counter View screen press the Right User button The first FOSQ screen appears shown in Figure 6 10 Figure 6 10 FOSQ Screen Part 1 2 The screen in Figure 6 11 allows you to choose whether or not you want to answer the FOSQ questionnaire Choose one of the following options Press the Right User button to move to the next screen if you do not want to answer the FOSQ questionnaire OR Press the Heat or Ramp buttons to access the second FOSQ screen shown in Figure 6 11 if you want to answer the questionnaire Figure 6 11 FOSQ Screen Part 2 User Manual 30 Once in the second FOSQ screen use the Heat and Ramp buttons to change your answers to the questions Use the Left and Right User buttons to navigate the questions The Left User button takes you to the previous question while the Right User button takes you to the next question Once you have reached the la
20. d to exhaust CO from the patient circuit Do not block or seal the ports on the exhalation device 3 Attach the headgear to the mask See the instructions that came with your headgear User Manual 20 5 4 ComPLETE SETUP Figure 5 7 shows the completed breathing circuit setup for the device Patient Interface Exhalation Port Breathing Filter beet OI Circuit Optional Connection Figure 5 7 Complete Breathing Circuit 5 5 PLUGGING THE Unit IN You can use AC or DC power to operate the device WARNING The DC power option is not intended as a battery backup when using AC power WARNING For proper use the power supply must be placed feet down in the upright position as shown in Figure 5 8 User Manual 21 5 5 1 Using AC Power Complete the following steps to operate the device using AC power 1 Plug the pronged end of the AC power supply s cord into an electrical outlet 2 The external AC power supply features a cord retainer to provide strain relief for the AC power cord Wrap the cord around the AC power supply s cord retainer using the wire tie supplied with your power supply WARNING Never plug the AC power supply into an outlet that is controlled by a wall switch WARNING Route the wires to avoid tripping 3 Leaving a small amount of slack in the cord connect the cord on the other side of the power supply to the power inlet on the device as shown
21. e with your device or mask and provides possible solutions Problem Why It Happened What To Do The device does There s no power at the Check the outlet not operate when outlet or the device power and verify you press the is unplugged that the device Start Stop button is plugged m 1 the Otherwise the problem is problem continues in the device call your home care provider The air out of The inlet filters may Clean or replace the the mask is be dirty inlet air filters as much warmer described in Chapter The device may be 9 Make sure the unit is away from bedding or than usual Bae operating in direct sunlight or near a heater E EES block the flow of air around the device Make sure the unit is away from direct sunlight and heating equipment If the problem persists contact your home care provider The mask feels This could be due to Check the headgear uncomfortable improper headgear adjustment as to wear adjustment or improper described in the mask fitting headgear instructions Refer to your mask instructions to make sure the mask is properly fitted If the problem continues contact your home care provider for a refitting or a different size mask User Manual 38 Problem Why It Happened What To Do There is This could be due to Check the headgear significant improper headgear adjustment as described in air leakage around the mask adjustment or imp
22. ehicle s engine is running User Manual 11 3 3 SYMBOLS The symbols shown below are used on the device and throughout this manual Meaning Attention consult accompanying documents DC Power Type BF Applied Part Class II Double Insulated European CE Declaration of Conformity Notified Body Approval for Standards Compliance Canadian US Certification Electrostatic Discharge Drip Proof Equipment UL Recognized for Canada and the United States TUV Safety Standard Compliance No User Serviceable Parts 3 4 How To Contact RESPIRONICS To have your unit serviced contact your home care provider If you need to contact Respironics directly call 1 800 345 6443 or use the following address RESPIRONICS 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 U S A User Manual 12 CHAPTER 4 CONTROLS AND DISPLAY FEATURES 4 1 ControL PANEL The control panel contains the following control buttons shown in Figure 4 1 START STOP HEAT RAMP USER Display Screen Heated Humidifier Buttons Start Stop Button Button Ramp Button Figure 4 1 Control Panel This button starts or stops the unit s airflow Press the button in to turn the airflow on and put the device in the Operate state When the button is turned off the device is in the Standby state When in Standby any ramp in progress is terminated the alerts are reset except for the System Er
23. hest 1989 96 1425 1426 The use of positive airway pressure therapy may be temporarily contraindicated if you exhibit signs of a sinus or middle ear infection This device is not for use with patients whose upper airways are by passed Contact your health care professional if you have any questions concerning your therapy User Manual CHAPTER 3 INTRODUCTION This chapter contains the following information e Definitions for common terms used throughout this manual e An overview of the device e An explanation of the symbols used on the device and throughout this manual e Contact information 3 1 DEFINITIONS The following terms appear throughout this manual Apnea Auto Off Auto On Bi Flex EPAP High Priority Alert IPAP Low Priority Alert Medium Priority Alert Operate State Standby State A condition marked by the cessation of spontaneous breathing This feature when enabled through the Patient Disconnect setting causes the device to automati cally transition from the Operate state to the Standby state whenever the mask is removed from the airway The device automatically transitions from the Standby state to the Operate state when you begin breathing 3 consecutive breaths on the device A therapy feature that establishes a level of pressure relief taking place at the end of inhalation and at the start of exhalation BiPAP Pro 2 only Expiratory Positive Airway Pressure Alert signal i
24. high priority medium priority and low priority alerts sounds when prescription has been successfully written to the device Alert DL eh Device Action Possible Cause Patient Action System ALERT icon Shuts down and Wee any button Error flashes and eo ee blower cannot Device failure k S Wee system error be restarted Ds un Eyy jove power roae Bor or from the device displays Restore power If Si the alarm continues to occur contact your home care provider CARD icon A problem exists Press any BIDAR Pro 2 flashes and eo ee Operates with the Smart button to silence only card error Card inserted in the alarm Confirm code Cxx the SmartCard that the card is displays connectivity slot properly inserted The card may be inserted upside If the alarm down or continues to backwards occur remove the SmartCard from the device and contact your home care provider Patient Patient circuit is Press any Disconnect in e ee Operates disconnected or button to clear icons flash has a large leak the alarm Reconnect the patient circuit or correct the leak If the alarm continues contact your home care provider Prescription ALERT CARD Prescription No action Complete and cm H20 nn mn SmartCard needed BiPAP Pro 2 icons flash inserted into only device Audible alert U ser Manual 37 CHAPTER 8 TROUBLESHOOTING This chapter describes problems that you may experienc
25. in Figure 5 8 The power cord has a locking connector To properly plug in the cord a Pull the locking mechanism back b Push the connector into place c Release the lock 4 Ensure that all connections are secure NOTE Ifyou need to disconnect the power cord from the device slide the locking connector back before removing the power cord User Manual 22 5 5 2 Usinc DC Power You can operate the device on DC power by using the Respironics DC power adapter accessory when available See the DC power adapter instructions for more information CAUTION Only use the Respironics DC power adapter available from your home care provider Use of any other system may cause damage to the device or the vehicle CAUTION When DC power is obtained from a vehicle battery the device should not be used while the vehicle s engine is running Damage to the device or the vehicle may occur User Manual 23 CHAPTER 6 OPERATING THE DEVICE This chapter explains how to start the device and change the settings 6 1 STARTING THE Device 1 Plug in the device to an AC or DC power source to power up the unit A confirmation alarm sounds and the control panel buttons light up NOTE Ifthe alarm does not sound or the buttons do not light up the device requires servicing Contact your home care provider Several screens appear initially during this step a The first screen that appears is the Self Test
26. in the performance of the device mishandled or water has been spilled onto or into the device or the power supply Contact your home care provider or Respironics for directions on how to have your device serviced Please have the serial number ready when you call A patient disconnect alarm occurs The tubing has become disconnected from the system Press any button to silence the alarm Reconnect the tubing and press the Start Stop button to restart the airflow If the airflow does not restart the device may not be operating correctly Contact your home care provider or Respironics for directions on having the unit serviced Please have your serial number ready when you call The mask feels uncomfortable to wear This could be due to improper headgear adjustment or improper mask fitting Check the headgear adjustment as described in the headgear instructions Refer to your mask instructions to make sure the mask is properly fitted If the problem continues contact your home care provider for a refitting or a different size mask User Manual 40 Problem Why It Happened What To Do Runny nose Nasal reaction to the Call your health care air flow professional The device s The device or power supply Unplug the device and display is erratic has been dropped or the power supply mishandled or the device or power supply is in an area with high EMI e
27. ke sure that no air is leaking from your mask into your eyes If it is adjust the mask and headgear until the air leak stops See the instructions that came with your mask for more information NOTE A small amount of mask leak is normal and acceptable Correct large mask leaks or eye irritation from an air leak as soon as possible 5 Ifyou are using the device while sleeping try placing the tubing from the device over your headboard This may reduce tension on the mask 6 Relax Take normal relaxed breaths through your nose NOTE If you are having trouble with your mask see Chapter 8 Troubleshooting for some suggestions 6 2 CHANGING THE Device SETTINGS You can view the measured pressure on the device display screen Additionally you can view and modify the following settings by pressing and holding the Ramp button while the device is in Standby e Flex BiPAP Pro 2 only e Rise Time e Ramp start pressure e LED backlight e Answers to FOSQ test questions BiPAP Pro 2 only e Patient Disconnect You can also view and modify the Humidifier heat setting by pressing and holding the Heat button until the Humidifier Setting screen appears User Manual 26 6 2 1 CHANGING THE HUMIDIFIER SETTING If you are using the REMstar Heated Humidifier with your device you can adjust the humidifier heat setting by completing the following steps 1 From either the Standby or Monitoring screen press and hold the Heat b
28. lter on top of the ultra fine filter if using the ultra fine filter 2 Slide the filters into the air inlet at the rear of the device and push them down into the recess as shown in Figure 5 1 Filter Cap Filter optional E Let Disposable Ultra fine gt Figure 5 1 Installing the Filters User Manual 17 3 Attach the filter cap as shown in Figure 5 2 Position the cap so that the small opening on the cap is facing down Insert the caps bottom tabs into the openings below the filter area Snap the cap into place Figure 5 2 Attaching the Filter Cap NOTE The filter cap should be installed with the air inlet opening at the bottom See Chapter 9 to clean or replace the filters 5 2 WHERE TO 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 unit is not blocked Place the unit on a hard flat surface If you block the air flow around the device it may not work properly WARNING If using an external humidifier position the humidifier so the water level is lower than you and the humidifier is on the same level or lower than the device See the humidifier instructions for complete setup information User Manual 18 5 3 CONNECTING THE BREATHING CIRCUIT To connect your breathing circuit to the device complete the following steps 1 Connect one end of the circuit tubing to the outlet of
29. missions Relocate the device to an area with lower EMI emissions A SmartCard error occurs BiPAP Pro 2 only The SmartCard is not inserted properly It may be inserted upside down or backwards Remove the SmartCard and reinsert it so that the printed side of the card is facing up and the end with the arrow goes into the device first If the error message appears again contact your home care provider or Respironics for directions on having your device serviced Please have your serial number ready when you call User Manual 41 CHAPTER 9 CLEANING AND MAINTENANCE This chapter provides information on how to clean and maintain your system 9 1 CLEANING THE DEVICE Before cleaning or performing any routine maintenance always make sure the device is not operating and disconnect the device from the power source NOTE The following cleaning instructions are for the device only To clean the accessories refer to each accessory s instruction sheet CAUTION Do not immerse the device or allow any liquid to enter the enclosure inlet filter or any openings Clean the front panel and exterior of the enclosure as needed using a cloth dampened with water and a mild detergent Allow the device to dry completely before plugging in the power cord Gently wash the reusable circuit tubing in a solution of warm water and a mild detergent Rinse thoroughly and allow to air dry 9 2 C
30. ndicating a condition that requires immediate attention Inspiratory Positive Airway Pressure Alert signal indicating an informational message Alert signal indicating a condition that requires operator awareness The state of the device when the unit and the airflow are both on The state of the device when the unit is on but the airflow is off User Manual OSA Obstructive Sleep Apnea Ramp A feature that may increase patient comfort when therapy is started The ramp feature reduces the pressure and then gradually increases ramps the pressure to the prescription setting so you can fall asleep more comfortably Rise Time The time it takes for the device to change from EPAP to IPAP You can adjust this time for your comfort 3 2 OVERVIEW This system offers several options in how therapy is delivered so treatment can be personalized to meet your needs The system delivers two different positive pressure 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 asleep 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 Several accessories are available to make your OSA treatment with the BiPAP Pro 2 or
31. ng displayed ERASE Indicates that the user may clear the Therapy Session Counter FLEX Indicates that a Bi Flex comfort setting is being displayed or is active BiPAP Pro 2 only FOSQ Indicates that the FOSQ test is active BiPAP Pro 2 only HEAT Indicates that the humidifier is turned on and or its setting is displayed User Manual 14 HOURS Indicates that the Therapy Hour Meter is being displayed IPAP Indicates that an IPAP pressure setting is being displayed LIGHT Indicates that the control panel LED backlight setting is being displayed or is active NIGHTS Indicates that the session counter is being displayed PATIENT Indicates that a Patient Disconnect alert is active RAMP Indicates that the ramp function is in progress RAMP START Indicates that the ramp starting pressure is being displayed RISE TIME Indicates that a rise time setting is being displayed 4 3 BREATHING Circuit CONNECTION Figure 4 3 shows where the circuit tubing connects to the device Patient Interface Exhalation Port Breathing Circuit Connection Filter Optional Figure 4 3 Typical Breathing Circuit Connection User Manual 15 4 4 Rear PANEL Figure 4 4 shows the rear panel of the BiPAP Pro 2 and BiPAP Plus Communications Power Inlet Connector Port Power Inlet SmartCard Connector O Filter Cap Filter Cap BiPAP Pro 2 BiPAP Plus Figure 4 4 Rear Panels NOTE The SmartCa
32. nsmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maxi mum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people User Manual Lim TED WARRANTY Respironics Inc warrants that the system shall be free from defects of workman ship and materials and will perform in accordance with the product specifications for a period of two 2 years from the date of sale by Respironics Inc to the dealer If the product fails to perform in accordance with the product specifications Respironics Inc will repair or replace at its option the defective material or part Respironics Inc will pay customary freight charges from Respironics Inc to the dealer location only This warranty does not cover damage caused by accident misuse abuse alteration and other defects not related to material or workman ship Respironics Inc disclaims all liability for economic loss loss of profits overhead or consequential damages which may be claimed to arise from any sale or use of this product
33. ous Electromagnetic Compatibility The device meets the requirements of EN 60601 1 2 second edition 2001 User Manual 45 Fuses There are no user replaceable fuses PRESSU RE Output 4 to 25 cm H O BiPAP Pro 2 4 to 20 cm H O BiPAP Plus CoNTROL Accuracy Parameter Range Accuracy IPAP 4 to 25 cm H O BiPAP Pro 2 1 5 cm H O 4 to 20 cm H O BiPAP Plus EPAP 4 to 25 cm H O BiPAP Pro 2 1 5 cm HO to 20 cm H O BiPAP Plus Ramp Duration 0 to 45 minutes 10 of the setting Rise Time 0 to 3 25 Limited to 20 cm H O when in Bi Flex mode Dynamic pressure accuracy is measured at the patient end of the circuit with a Whisper Swivel II and varying flow conditions 77 The range of values correspond to tenths of seconds 0 to 3 corresponds to 0 1 to 0 4 seconds x Measured at the patient end of circuit with a Whisper Swivel II exhalation device and no patient flow D spo SAL When necessary dispose of the device and accessories in accordance with local regulations User Manual 46 Arrpenod x A EMC INFoRMATION GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC Emissions This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment Guidance RF conducted This device uses RF energy emissions only for its internal function CISPR 11 Therefore its RF emissions
34. rd Connector is located on the side of the BiPAP Pro 2 unit There is no SmartCard connector on the BiPAP Plus The BiPAP Pro 2 rear panel contains the following e A power inlet for connecting either the external AC power supply or a Respironics DC power adapter when available e The filter cap that is removed to inspect the inlet air filters The BiPAP Plus rear panel contains the following e A communications connector that accepts the Respironics Communica tions Cable for computer and external communications Use only with an IEC 60950 approved computer e A power inlet for connecting either the external AC power supply or a DC power adapter e The filter cap that is removed to inspect the inlet air filters User Manual 16 CHAPTER 5 SETUP This chapter provides instructions on how to Install the air filters e Position the device e Connect the breathing circuit e Plug the device in using AC or DC power 5 1 INSTALLING THE Air FILTERS CAUTION A properly installed undamaged foam filter is required for proper operation The device uses a gray foam filter that is washable and reusable and an optional white ultra fine filter that is disposable Two reusable gray foam filters and one disposable ultra fine filter are supplied with the device If your home care provider did not install the inlet air filters you must install at least the gray foam filter before using the device 1 Place the gray foam fi
35. re to use the Pressure Valve could result in a fire hazard WARNING Oxygen accelerates fires Keep the device and the O containers away from heat open flames any oily substance or other sources of ignition Do not smoke in the area near the device or the O container WARNING When using oxygen with your device the oxygen supply must comply with the local regulations for medical oxygen WARNING When using oxygen with this system turn the device on before turning the oxygen on Turn the oxygen off before turning the device off This will prevent oxygen accumulation in the device User Manual 44 CHAPTER 11 SPECIFICATIONS ENVIRONMENTAL Operating Storage Temperature 41 F to 95 F 4 F to 140 F Relative Humidity 15 to 95 15 to 95 non condensing non condensing Atmospheric Pressure 83 to 102kPa 5600 feet to sea level PHYSICAL Dimensions 9 75 Lx 6 625 W x 4 4 H Weight Less than 7 lbs ELECTRICAL AC Voltage Source 100 to 240 V 50 60 Hz DC Voltage Source 12 V when operated with the external DC power supply AC Current 1 25 A maximum DC Current 3 0 A maximum Protection against electric shock Class II Degree of protection against electric shock Type BF Applied Part Degree of protection against harmful ingress of water Device Ordinary Equipment IPX0 AC Power Supply Reorder number 1012832 Drip Proof IPX1 DC Power Adapter when available Drip Proof IPX1 Modes of Operation Continu
36. rise time feature is prescribed for you Right User Left User Button Button Ramp Start Pressure Setting Screen Only displayed if the ramp feature is prescribed for you Right User Left User Button Button Patient Disconnect Alert Setting Screen Right User Button LED Backlight Setting Screen Figure 6 7 Navigating the User Display Screens User Manual 28 6 2 2 1 VIEWING THE SESSION COUNTER From the Monitoring or Standby screen you can press and hold the Ramp button for several seconds to access the Session Counter View screen shown in Figure 6 8 Figure 6 8 Session Counter View Screen This screen allows you to view the session counter which tracks the number of sessions in which the device has provided therapy 6 2 2 2 Viewing THE FO SQ Screens BIPAP Pro 2 on ty The FOSQ test is a quality of life questionnaire designed specifically for people with sleep disorders The results allow health care professionals to see how therapy has improved the quality of your life By completing the questionnaire periodically you can provide valuable information about the effectiveness of your treatment The BiPAP Pro 2 has the ability to record your answers on the SmartCard for later review by your health care profes Figure 6 9 Installing the SmartCard sional Contact your home care provider for further instructions IMPORTANT If your health care professional or home care provider instru
37. roper mask fitting the headgear instructions Refer to your mask instruc tions to make sure the mask is properly fitted If the problem continues contact your home care provider for a refitting or a different size mask Redness occurs when the mask cushion comes in contact with the skin This could be due to improper mask fitting or improper mask cleaning Be sure to rinse the mask thoroughly after cleaning to remove residue See the mask cleaning instructions for detailed information If the problem continues contact your home care provider for a refitting or a different size mask Redness occurs when the mask cushion accessory comes in contact with the skin Irritation or allergic reaction to the mask material Use a barrier between your skin and the mask such as 3M s Microfoam or Squibb s Duoderm Refer to your mask instructions for additional information Sore or dry eyes The mask may not be positioned correctly or the mask is not properly fitted Check the headgear adjustment as described in the headgear instructions Refer to your mask instruc tions to make sure the mask is properly fitted If the problem continues contact your home care provider for a refitting or a different size mask User Manual 39 Problem Why It Happened What To Do There are The device or power Discontinue use unexplained supply has been dropped or changes
38. rors alert and the humidifier is turned off This button is also used to exit the parameter screens When the optional REMstar Heated Humidifier is prescribed this button controls the humidifier s heater plate setting Follow the instructions provided with the humidifier You can also use this button to adjust the settings shown in the user menu screens When the airflow is turned on and the ramp function is enabled this button lowers the airflow pressure allowing you to fall asleep more easily You can also use this button to adjust the settings shown in the user menu screens The left and right user buttons allow you to navigate the display screens User Manual 13 NOTE Additionally if an alert occurs pressing any of the buttons on the control panel will clear the alert 4 2 Di spLay SCREEN The display allows you to view the measured pressure and displays alert messages Figure 4 2 shows the device display screen ALERT PATIENT HEAT RAMP SETUP LIGHT START CARD 000 0 0 ERASE RIGHTS IPAP REE TIME HOURS EPAP FLEX Figure 4 2 Display Screen The information shown on the display screen is defined as follows ALERT Indicates that the device requires user attention as indicated on the screen CARD Indicates that a SmartCard is inserted and detected BiPAP Pro 2 only cm H O Indicates that the alphanumeric digits are displaying a pressure value EPAP Indicates that an EPAP pressure setting is bei
39. screen shown in Figure 6 1 This is the internal test performed by the device ALERT PATERT HEE fair SETUP LERNT START CARO 8888 85 St MRT PAF SES ei EMP Figure 6 1 Self Test Screen b The next screen displays the software version as shown in Figure 6 2 Figure 6 2 Software Version Screen NOTE Version 1 0 shown in Figure 6 2 is an example Your device may have a different software version installed User Manual 24 c The third screen to appear is the Blower Hours screen which displays the blower hours time meter Figure 6 3 Blower Hours Screen NOTE The control panel is inactive during these first three screens Each of these screens appears for approximately 1 3 seconds d The next screen that appears is the Standby screen shown in Figure 6 4 This indicates that the device is in the Standby state The screen displays the number of therapy hours Figure 6 4 Standby Screen 2 Press the Start Stop button to put the device into the Operate state The Monitoring screen shown in Figure 6 5 appears Figure 6 5 Monitoring Screen Both the Monitoring and the Standby screens display the PATIENT FLEX and LIGHT icons if these features are enabled Additionally the CARD icon displays if a SmartCard is inserted BiPAP Pro 2 only The Monitoring screen also displays the actual measured pressure User Manual 25 3 Put on your mask assembly when the air starts to flow 4 Ma
40. st question press the Right User or Start Stop button to save your FOSQ answers The first FOSQ screen will appear on the display NOTE If the Left User button is pressed on the first question the answers are not saved and the first FOSQ screen displays again Additionally if the SmartCard is removed while either FOSQ screen is displayed the FOSQ answers are discarded and the next parameter screen is dis played 6 2 2 3 CHANGING THE FLex Setting BIPAP Pro 2 Ony The Flex setting allows you to adjust the level of air pressure relief that you feel when you exhale during therapy NOTE The Flex feature is not prescribed for all users If the screen shown in Figure 6 12 does not appear on your display you cannot adjust this setting To change the Flex setting complete the following steps 1 From the Session Counter View screen or the FOSQ screen if applicable press the Right User button The Flex Setting screen appears as shown in Figure 6 12 Figure 6 12 Flex Setting Screen User Manual 31 2 To increase or decrease the Flex setting press the Heat or Ramp button until the correct setting appears You can choose from 1 to 3 NOTE Itis recommended that you start with the minimum setting of 1 which provides the least relief Levels 2 and 3 progressively increase the pressure relief 6 2 2 4 CHANGING THE RISE TIME SETTING Rise time is the time it takes for the device to change from EPA
41. ters 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 electromag netic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above the device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the device Over the frequency range 150 kHz to 80 MHz the field strengths should be less than 3 V m User Manual 50 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF Communications EQUIPMENT AND THIS DEVICE This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and this device as recommended below according to the maximum output power of the communications equipment Rated Maximum Separation Distance According to Power Output of Frequency of Transmitter m ESCH 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 P d 1 2 JP d 2 3 P KI 8 For tra
42. utton for approximately 4 seconds The Humidifier Setting screen appears as shown in Figure 6 6 HEAT Figure 6 6 Humidifier Setting Screen 2 Press the Heat button to increase the humidifier setting or press the Ramp button to decrease the setting You can adjust the setting from 1 to 5 The change takes effect immediately as you adjust the setting 3 Exit this screen by pressing the Left or Right User buttons or the Start Stop button For additional information on using a humidifier with the device see Chapter 10 6 2 2 NAVIGATING THE U ser Display SCREENS You can navigate the rest of the user display screens by pressing the Left and Right User buttons You can change the settings on any of the display screens by pressing the Heat and Ramp buttons to increase or decrease the setting You can exit any of the user display screens by pressing the Start Stop button User Manual 27 Figure 6 7 shows how to navigate the user display screens Session Counter View Screen This screen displays when you press and hold down the Ramp button from the Monitoring or Standby screen Right User Left User Button Button FOSQ Screen s Only displayed if SmartCard is inserted BIPAP Pro 2 only Right User Left User Button Button Flex Setting Screen Only displayed if the Flex feature is prescribed for you BIPAP Pro 2 only Right User Left User Button Button Rise Time Setting Screen Only displayed if the
43. verings non synthetic clothing discharging one s body to the frame of the equipment or system or to earth or a large metal object and bonding oneself by means of a wrist strap to the equipment or system or to earth User Manual 2 2 CAUTIONS e The device may only be operated at temperatures between 41 F 5 C and 95 F 35 C e A properly installed undamaged reusable foam inlet filter is required for proper operation e Do not immerse the device or allow any liquid to enter the enclosure or the inlet filter e Condensation may damage the device Always allow the device to reach room temperature before use NOTE Additional warnings cautions and notes are located throughout this manual 2 3 INTENDED Use The BiPAP Pro 2 and BiPAP Plus Bi level systems deliver positive airway pressure therapy for the treatment of adult Obstructive Sleep Apnea OSA only 2 4 CONTRAINDICATIONS Studies have shown that the following pre existing conditions may contraindicate the use of positive airway pressure therapy for some patients e Bullous lung disease e Pneumothorax e Pathologically low blood pressure e Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway Pressure Caution should be used when prescribing CPAP for susceptible patients such as those with cerebral spinal fluid CSF leaks abnormalities of the cribriform plate prior history of head trauma and or pneumocephalus C
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