REMstar Pro C-Flex+ - Air Liquide Australia
Contents
1. Display Screen Shows therapy settings patient data and other messages The startup screen is shown temporarily when the unit is first powered Humidifier Icon This Icon lights up when the optional humidifier is attached and heat is being applied The humidifier number settings are only visible when the humidifier is attached and therapy is active Please refer to the humidifier user manual for more information Control Wheel Push Turn the wheel to toggle between options on the screen Press the wheel to choose an option Button Primary function is to turn airflow on off Ramp Button When the airflow is on this button allows you to activate or restart the ramp function This button lights up when therapy is active or during specific alerts Available Therapies The REMstar Pro C Flex device delivers the following therapies CPAP Delivers Continuous Positive Airway Pressure CPAP maintains a constant level of pressure throughout the breathing cycle If your health care professional prescribed ramp for you press the Ramp button to reduce the pressure and then gradually increase the pressure to the therapeutic pressure setting so that you can fall asleep more comfortably CPAP with C Flex Delivers CPAP therapy with pressure relief upon exhalation to improve patient comfort based on patient needs CPAP with C Flex Delivers CPAP therapy with pressure relief taking place at the end of inhalation an2. PHILIPS REMstar Pro C Flex USER MANUAL RESPIRONICS 2010 Koninklijke Philips Electronics N V All rights reserved Table of Contents ME 2 ee teasstvatadedecwana hasecssuaatsecessensats 2 Warnings di 2 A Seege 3 ConitraindieatiOns nit ded tunen lendadetdeunendendedeneabend saatn 3 SR AAA A O A 3 System COM as 4 KREE 4 Control A Ee 5 Available TGA DIOS 5 Inst lling the Air Filters 6 Connecting the Breathing CHE 6 Where to Place the RE 6 Supplying AC Power to the 6 Navigating the Device Seres miccional tense dadde 7 Starting DEVICE votar dennen 7 Ramp SAUS ic Ai 8 ES Criada lidia aiii 8 SE 8 A AR 10 Device Alert inician iii iia di TERE EET 11 Troubleshooting ia 14 Access circadiano 15 Traveling With the SYM initial 16 Cleaning the Device sass cian iii hiet 16 Cleaning or Replacing the Filters uri aia 16 Cleaning the Tu Biri gs doi 16 SOP VICE 16 Specifications aansmeren seen 17 DISPOSAL ita 19 Howto Contact le 19 siroa r EEEIEE i Back Page User Manual Intended Use The Respironics REMstar Pro C Flex system delivers positive airway pressure therapy for the treatment of Obstructive Sleep Apnea in spontaneously breathing patients weighing over 30kg 66 Ibs It is for use in the home or hospital ins
3. nasal mask or full face mask with integrated exhalation port or Respironics interface with a separate exhalation device such as the Whisper Swivel II WARNING If you are using a full face mask a mask covering both your mouth and your nose the mask must be equipped with a safety entrainment valve Respironics 22 mm flexible tubing 1 83 6 ft optional Respironics 15 mm tubing for compatible devices e Respironics headgear for the mask WARNING If the device is used by multiple persons such as rental devices a low resistance main flow bacteria filter should be installed in line between the device and the circuit tubing to prevent contamination To connect your breathing circuit to the device complete the following steps 1 Connect the flexible tubing to the air outlet on the side of the device WARNING If you are using the optional Respironics 15 mm tubing the device tubing type setting must be set to 15 If your device does not have the tubing type setting you must use the Respironics 22 mm tubing Note If required connect a bacteria filter to the device air outlet and then connect the flexible tubing to the outlet of the bacteria filter Note When using the bacteria filter the device performance may be affected However the device will remain functional and deliver therapy 2 Connect the tubing to the mask Refer to the instructions that came with your mask 3 Attach the headgear to the mask if necessary Refer t
4. BR 1 User Manual e Flex FLEX This displays the Flex level set by your home care provider Your home care provider will either enable lock or disable Flex If Flex is enabled and the setting is not comfortable you can increase or decrease this setting If your provider has locked a Flex setting into place you can view the setting but cannot change it and the screen will display a lock symbol If your provider has disabled Flex you will not see this setting Note This same setting is also available under the Flex screen e SYSTEM ONE humidification 3 System One humidity control maintains a consistent mask humidity by monitoring and adjusting for changes in room temperature and room humidity You can enable 1 or disable 0 this feature If the System One humidity control has been disabled the classic style of basic temperature controlled heated humidification will be used This will only display if the humidifier is attached e Humidifier This setting allows you to choose the desired humidity setting 0 1 2 3 4 or 5 If the System One humidity control has been disabled the classic style of basic temperature controlled heated humidification will be used and the display will show 0 C1 C2 C3 C4 or C5 for these settings This will only display if the humidifier is attached Please refer to the humidifier manual if using a humidifier e Ramp Start val This displays the ramp starting pressure You
5. an SD card inserted in the SD card slot on the back of the device to record information for the home care provider Your home care provider may ask you to periodically remove the SD card and send it to them for evaluation Note If the SD card is inserted in the device the SD card icon f_ will display next to Info on the Home screen and it will also display in the lower left corner of the Therapy screen Note The SD card does not need to be installed for the device to work properly The SD card records device usage information for your home care provider You can refer to the Device Alerts section in this manual for more information on the SD card Contact your provider if you have any questions about the SD card Adding Supplemental Oxygen Oxygen may be added at the mask connection Please note the warnings listed below when using oxygen with the device WARNINGS When using oxygen with this system the oxygen supply must comply with local regulations for medical oxygen Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame When using oxygen with this system a Respironics Pressure Valve must be placed in line with the patient circuit between the device and the oxygen source The pressure valve helps prevent the backflow of oxygen from the patient circuit into the device when the unit is off Failure to use the pressure valve could result in a fire hazard Note Refer to the pressu
6. asleep and then gradually increases ramps the pressure until your prescription setting is reached allowing you to fall asleep more comfortably If ramp is enabled on your device after you turn on the airflow press the RAMP 241 button on the top of the device You can use the RAMP button as often as you wish during the night Note If the Ramp feature is on the Ramp icon el will display in the lower right corner of the Therapy screen Note If the Ramp feature is disabled nothing will happen when you press the RAMP button Flex Screen FLEX From the Home screen highlight Flex or the FLEX icon and press the wheel The following Flex screen will appear Back Flex Flex demo Flex Screen Icon Mode Flex Screen Text Mode Note Flex shown above in Text mode only will display as the current Flex setting chosen by the provider e Flex FLEX The Flex comfort feature allows you to adjust the level of air pressure relief that you feel when you exhale during therapy Your home care provider can enable lock or disable this feature When your provider enables Flex a level will already be set for you on the device If this is not comfortable you can increase or decrease the setting The setting of 1 provides a small amount of pressure relief with higher numbers providing additional relief If the provider has disabled this feature the flex screen will display Flex is disabled If the provider has locked t
7. 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 or Deutschland Gewerbestrasse 17 82211 Herrsching Germany 49 8152 93060 PHILIPS Respironics Inc Respironics Deutschland REF 1058279 1001 Murry Ridge Lane Gewerbestrasse 17 aasian Murrysville PA 15668 USA 82211 Herrsching Germany 0123 JR 8 5 2010 EN INTL
8. 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 If you are using a full face mask a mask covering both your mouth and your nose the mask must be equipped with a safety entrainment valve If you are using the optional Respironics 15 mm tubing the device tubing type setting must be set to 15 If your device does not have the tubing type setting you must use the Respironics 22 mm tubing When using oxygen with this system the oxygen supply must comply with local regulations for medical oxygen Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame When using oxygen with this system turn the device on before turning on the oxygen Turn the oxygen off before turning the device off This will prevent oxygen accumulation in the device Explanation of the Warning When the device is not in operation and the oxygen flow is left on oxygen delivered into the tubing may accumulate within the device s enclosure Oxygen accumulated in the device enclosure will create a risk of fire When using oxygen with this system a Respironics Pressure Valve must be placed in line with the patient circuit between the device and the oxygen source The pressure valve helps prevent the backflow of oxygen from the patient circuit into the device when the unit is off Failure to use the pressure valve co
9. can increase or decrease the ramp starting pressure in 0 5 cm H O increments This is only available if Ramp time has been set to gt 0 and CPAP pressure gt 4 e Tubing Type A This setting allows you to select the correct size diameter tubing that you are using with the device You can choose either 22 for any Respironics 22 mm tubing or 15 for the optional Respironics 15 mm tubing WARNING If you are using the optional Respironics 15 mm tubing the device tubing type setting must be set to 15 If your device does not have the tubing type setting you must use the Respironics 22 mm tubing e SYSTEM ONE resistance lt This setting allows you to adjust the level of air pressure relief based on the specific Respironics mask Each Respironics mask may have a System One resistance control setting Contact your home care provider if you cannot find this resistance setting for your mask If your provider has locked the resistance setting into place you can view the setting but cannot change it and the screen will display a lock symbol If your provider has disabled resistance you will not see this setting e Auto on 9 1 You can enable 1 this feature if you want the device to automatically turn the airflow whenever you apply the interface mask to your airway You can also disable 0 this feature Auto off You can enable 1 this feature if you want the device to automatically turn th
10. ce has only 5 days of data to use for the calculation the 5 day average value will be seen under the 7 day display This screen only displays if your home care provider has enabled it e Periodic Breathing CSR During any given night the device recognizes the percentage of time the patient was experiencing periodic breathing This screen displays the average of these individual nightly values of periodic breathing over a 7 day and 30 day time frame provided the device has at least 7 or 30 days of data respectively If the device has only 5 days of data to use for the calculation the 5 day average value will be seen under the 7 day display If you see a large increase in the percent of time in periodic breathing indicated here contact your home care provider for assistance This screen only displays if your home care provider has enabled it 10 User Manual Device Alerts e High Priority These alerts require immediate operator response The alert signal consists of a high priority sound which is a continuous two beep pattern indicated in the following table Additionally the backlights on the buttons will provide a high priority flashing pattern consisting of a continuous bright to off two flash pattern indicated in the following table as 00 00 e Medium Priority These alerts require prompt operator response The alert signal consists of a medium priority sound which is a continuous one beep pattern indicated in th
11. d at the start of exhalation to improve patient comfort based on patient needs User Manual 5 Installing the Air Filters CAUTION A properly installed undamaged gray foam filter is required for proper operation The device uses a gray foam filter that is washable and reusable and a white ultra fine filter that is disposable The reusable filter screens out normal household dust and pollens while the ultra fine filter provides more complete filtration of very fine particles The gray reusable filter must be in place at all times when the device is operating The ultra fine filter is recommended for people who are sensitive to tobacco smoke or other small particles The reusable gray foam filter is supplied with the device A disposable ultra fine filter may also be included H your filter is not already installed when you receive your device you must at least install the reusable gray foam filter before using the device To install the filter s 1 If you are using the white disposable ultra fine filter insert it into the filter area first mesh side facing in towards the device 2 Insert the required gray foam filter into the filter area after the ultra fine filter Note If you are not using the white disposable filter simply insert the gray foam filter into the filter area Connecting the Breathing Circuit To use the system you will need the following accessories in order to assemble the recommended circuit Respironics interface
12. dications When assessing the relative risks and benefits of using this equipment the clinician should understand that this device can deliver pressures up to 20 cm H O In the event of certain fault conditions a maximum pressure of 30 cm H O is possible Studies have shown that the following pre existing conditions may contraindicate the use of CPAP therapy for some patients e Bullous Lung Disease e Pathologically Low Blood Pressure Bypassed Upper Airway e Pneumothorax 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 Chest 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 Not for use with patients whose upper airways are bypassed Contact your health care professional if you have any questions concerning your therapy Symbol Key The following symbols may appear on the device and power supply DEFINITION DEFINITION Nef Separate collection for electrical and electronic pH Consult accompanying instructions for use equipment per EC Directive 2002 96 EC DC Power Type BF Applied Part We For Indoor Use Only Drip Proof Equipment Class Il Do
13. e airflow off whenever you remove the interface mask from your airway You can also disable 0 this feature e Mask alert You can enable 1 or disable 0 the mask alert setting If this feature is enabled the mask alert will appear on the display screen when a significant mask leak is detected and an audible alert will sound Refer to the Device Alerts section for more information about the mask alert e Humidifier LED backlight 3 You can enable 1 or disable 0 the LED backlight for the humidifier number settings on the device Note If the Humidifier LED Backlight is enabled or disabled the humidifier icon will always remains on if humidifier is attached and heat is being applied but will dim after 30 seconds of inactivity e Language Se If available on your device this feature allows you to choose which language to display on the interface when in Text mode You can choose English EN German DE French FR Spanish ES Italian IT or Brazilian Portuguese BR You can also turn off 0 text mode which means the device will display the Icon Mode on the interface Note Both Icon Mode and English Text Mode are shown throughout this guide for your reference User Manual 9 Info Screen From the Home screen highlight Info or the O icon and press the wheel The following Info screen will appear The user cannot change settings in the Info menu Note These screens are only fo
14. e device has at least 7 or 30 days of data respectively If the device has only 5 days of data to use for the calculation the 5 day average value will be seen under the 7 day display e Days gt 4 x gt 4 This screen displays the cumulative number of device therapy sessions that exceeded 4 hours over a 7 day and 30 day time frame e Large leak 1 During any given night the device recognizes the percentage of time the patient was experiencing what it deemed to be a large leak Large leak is defined as the level of leak that is so large it is no longer possible to determine respiratory events with statistical accuracy This screen displays the average of these individual nightly values of percentage of time in large leak over a 7 day and 30 day time frame provided the device has at least 7 or 30 days of data respectively If the device has only 5 days of data to use for the calculation the 5 day average value will be seen under the 7 day display If you see a large increase in the percent of time in large leak indicated here contact your home care provider for assistance This screen only displays if your home care provider has enabled it e AHI AHI The device accumulates individual Apnea Hypopnea indices AHI for each session the patient used the device This screen displays the average of these individual nightly AHI values over a 7 day and 30 day time frame provided the device has at least 7 or 30 days of data respectively If the devi
15. e following table as Additionally the backlights on the buttons will provide a medium priority flashing pattern consisting of a continuous bright to dim one flash pattern indicated in the following table as 0 0 Alert Summary Table The following table summarizes the alerts Service Required Mask Alert VISUAL INDICATOR 00 00 Screen displays Service required or the following animated symbol A 0 0 Screen displays Mask alert or the following animated symbol EN TK Device ACTION The device enters the Safe state in which the device power remains on but the airflow is disabled Alert present until action is taken POSSIBLE CAUSE Device failure The breathing circuit is disconnected or there is a large air leak PATIENT ACTION Press either the wheel or ramp button to silence the alert Remove the power supply cord from the device to remove power Plug the cord back into the device s power inlet to restore power H the alert continues to occur contact your home care provider Turn off airflow Check your breathing circuit connections and reconnect the tubing if it has come loose Make sure your mask is on properly before you restart the airflow If the alert continues to occur contact your home care provider to have your mask checked You may need a mask refitting Humidifier Alert Instant Message User Manual single beep Screen dis
16. ect the power cord and discontinue use Contact your home care provider 16 User Manual Specifications Environmental Operating Temperature 5 to 35 C 41 to 95 F Storage Temperature 20 to 60 C 4 to 140 F Relative Humidity operating amp storage 15 to 95 non condensing Atmospheric Pressure 101 to 77 kPa 0 2286 0 7500 ft Physical Dimensions 18 14 x 10 cm 7 5 5 W x 4 Weight Device with power supply Approximately 1 53 kg 3 37 Ibs Standards Compliance This device is designed to conform to the following standards IEC 60601 1 General Requirements for Safety of Medical Electrical Equipment EN ISO 17510 1 Sleep Apnea Breathing Therapy Devices EN 60601 1 2 Electromagnetic Compatibility RTCA DO 160F section 21 category Emission of Radio Frequency Energy IEC 60601 1 Classification Type of Protection Against Electric Shock Class Il Equipment Degree of Protection Against Electric Shock Type BF Applied Part Degree of Protection against Ingress of Water device amp AC power supply Drip Proof IPX1 Mode of Operation Continuous Electrical AC Power Consumption 100 240 VAC 50 60 Hz 2 1 DC Power Consumption 12 VDC 5 0 A Fuses There are no user replaceable fuses Noise Sound Pressure Level lt 30 dB A This measurement applies to the therapy device with or without the optional Humidifier Sound Power Level lt 38 dB A Pressure Accuracy Pressure Incre
17. ed with your system SD Card Accessory Slot Air Outlet Port Power Inlet Filter Area This figure illustrates some of the device features described in the following table Device FEATURE DESCRIPTION Air Outlet Port Connect the flexible tubing here conical 22 mm SD Card Accessory Slot If applicable insert the optional accessory SD card here SD Card Cover If applicable the optional accessories such as a Link Module or Modem can be installed here Refer to the instructions supplied with the accessory When not using an accessory this cover must be in place on the device Power Inlet Connect the power cord here Filter Area A reusable gray foam filter must be placed in the filter area to screen out normal household dust and pollens A white ultra fine filter can also be used for more complete filtration of very fine particles Side Cover If using a humidifier with the device this side cover can be easily removed with the release tab before attaching the humidifier Refer to the humidifier manual When not using a humidifier this cover must be in place on the device 4 User Manual Control Buttons LCD Display Screen Humidifier amp Number Settings z s __ Control Wheel Push Button Sa PR Ramp Button This figure shows the primary control buttons on the device described in the following table FEATURE DESCRIPTION
18. eriod 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 water ingress and other defects not related to material or workmanship The Respironics Inc Service department shall examine any devices returned for service and Respironics Inc reserves the right to charge an evaluation fee for any returned device as to which no problem is found after investigation by Respironics Inc Service This warranty is non transferable by unauthorized distributors of Respironics Inc products and reserves the right to charge dealers for warranty service of failed product not purchased directly from Respironics or authorized distributors 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 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
19. filters etc Check your mask a new one may be available Call your provider is the default message The provider may change the message SD Card Prescription Accepted single beep SD Card Prescription Rejected single beep Screen displays SD card inserted prescription accepted or the following symbol IS 0 0 Screen displays SD card inserted prescription rejected or the following symbol Alert present for 30 seconds or until user acknowledges Alert present for 30 seconds or until user acknowledges Prescription missing or incorrect Card status can be checked in Status menu Contact your home care provider for correct prescription SD Card Inserted Incorrectly SD Card Full SD Card Remove 12 single beep 0 0 Screen displays SD card inserted incorrectly or the following symbol SL 0 0 Screen displays SD card full or the following animated symbol 0 0 Screen displays SD card removed or the following symbol Alert present until action is taken Alert present until action is taken Alert present for 30 seconds or until user acknowledges SD card inserted incorrectly SD card is full SD card has been removed Alert is present until card is removed Remove SD card and reinsert correctly If the alert continues to occur contact your home care provider Alert is present until card is remo
20. his feature a lock symbol will display next to the setting Note This same setting is also available under the Setup screen Flex demo ELENG The Flex setting allows you to set the Flex level prior to beginning therapy The Flex demo setting allows you to try out the different Flex settings in real time After a period of time of inactivity the device will stop therapy and will use the last Flex demo setting as the new Flex setting for your device When therapy is again started from the Home screen the device will operate using the new Flex setting Setup Screen ec From the Home screen highlight Setup or the ii icon and press the wheel The following Setup screen will appear The user can change settings in the Setup menu Back Flex 1 2 3 SYSTEM ONE humidification on off Humidifier 0123 45 4 0 CPAP pres Ramp start 4 0 CPAP pres 15 22 Tubing type 15 22 1 2 X4 X5 SYSTEMONE resistance X1 2 X4 X5 1 0 Auto on on off Auto off on off Mask alert on off Humidifier LED Backlight off Language EN DE FR ES IT BR 0 Back Setup Screen Icon Mode Setup Screen Text Mode Note The screen will only show 4 lines at a time As you rotate the Wheel to toggle over different options the screen will slide up and down accordingly If the text is too long to completely fit on the screen it will scroll horizontally across the screen when highlighted A u A D A D EN DE FR ES IT
21. ments 4 0 to 20 0 cm H O in 0 5 cm HO increments Pressure Stability Dynamic Dynamic lt 10 cm H O gt 10 0 to 20 cm H O Device 0 5 cm H O lt 0 5 cm H O lt 1 0 cm H O Device w Humidifier 0 5 cm HO lt 0 5 cm H O lt 1 0 cm H O User Manual 17 Maximum Flow Rate typical 18 Measured pressure at the patient connection port cm H O Test pressures cm H O 8 0 12 0 16 0 connection port l min Average flow at the patient 84 1 128 7 connection port l min Measured pressure at the patient 3 8 19 0 connection port cm H O Average flow at the patient 85 1 119 2 User Manual Disposal Separate collection for electrical and electronic equipment per EC Directive 2002 96 EC Dispose of this device in accordance with local regulations How to Contact Respironics To have your device serviced contact your home care provider If you need to contact Respironics directly call the Respironics Customer Service department at 1 724 387 4000 or 49 8152 93060 You can also use the following addresses Respironics Inc 1001 Murry Ridge Lane Murrysville PA 15668 Respironics Deutschland Gewerbestrasse 17 82211 Herrsching Germany User Manual 19 20 User Manual Limited Warranty Respironics Inc warrants that the system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a p
22. ng temperatures that may affect device performance Regularly examine the inlet filters as needed for integrity and cleanliness 1 If the device is operating stop the airflow Disconnect the device from the power source 2 Remove the filter s from the enclosure by gently squeezing the filter in the center and pulling it away from the device 3 Examine the filter s for cleanliness and integrity 4 Wash the gray foam filter in warm water with a mild detergent Rinse thoroughly to remove all detergent residue Allow the filter to air dry completely before reinstalling it If the foam filter is torn replace it Only Respironics supplied filters should be used as replacement filters 5 If the white ultra fine filter is dirty or torn replace it 6 Reinstall the filters inserting the white ultra fine filter first if applicable CAUTION Never install a wet filter into the device You must ensure sufficient drying time for the cleaned filter Cleaning the Tubing Clean the tubing before first use and daily Disconnect the flexible tubing from the device Gently wash the tubing in a solution of warm water and a mild detergent Rinse thoroughly Air dry Service The device does not require routine servicing WARNING If you notice any unexplained changes in the performance of this device if it is making unusual or harsh sounds if it has been dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken disconn
23. o the instructions that came with your headgear Where to Place the Device Place the device on a firm flat surface somewhere within easy reach of where you will use it at a level lower than your sleeping position Make sure the filter area on the back of the device is not blocked by bedding curtains or other items Air must flow freely around the device for the system to work properly Make sure the device is away from any heating or cooling equipment e g forced air vents radiators air conditioners CAUTION Do not place the device directly onto carpet fabric or other flammable materials CAUTION Do not place the device in or on any container that can collect or hold water Supplying AC Power to the Device CAUTION Condensation may damage the device If this device has been exposed to either very hot or very cold temperatures allow it to adjust to room temperature operating temperature before starting therapy Do not operate the device outside of the operating temperature range shown in the Specifications WARNING Be sure to route the power cord to the outlet in a way that will prevent the cord from being tripped over or interfered with by chairs or other furniture WARNING This device is activated when the power cord is connected IMPORTANT If you are using your device with a humidifier refer to the instructions included with your humidifier for details on how to power the device and humidifier 6 User Manual Complete the f
24. ollowing steps to operate the device using AC power 1 Plug the socket end of the AC power cord included into the power supply also included 2 Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch 3 Plug the power supply cord s connector into the power inlet on the back of the device 4 Ensure that all connections are secure IMPORTANT To remove AC power disconnect the power supply cord from the electrical outlet WARNING Periodically inspect electrical cords and cables for damage or signs of wear Discontinue use and replace if damaged CAUTION Do not use extension cords with this device Navigating the Device Screens Turn the wheel to toggle between options and settings on the screen Press the wheel to choose an option or setting that is highlighted If you choose Back or the lt icon on any screen it will take you back to the previous screen Note The screens shown throughout this manual are examples only Actual screens may vary slightly Examples are for reference only Note Your device will either display leon Mode or Text Mode Examples will be shown in both modes Starting the Device 1 Supply power to the device 2 The Home screen will appear shown below Therapy Flex Home Screen Icon Mode Home Screen Text Mode Note Flex shown above in Text mode only will display as the current Flex setting chosen by the pr
25. ord is connected correctly to the power supply and the power supply cord is securely connected to the device s power inlet If the problem continues to occur contact your home care provider Return both the device and power supply to your provider so they can determine if the problem is with the device or power supply If you are using DC power make sure your DC power cord and battery adaptor cable connections are secure Check your battery lt may need recharged or replaced If the problem persists check the DC cord s fuse following the instructions supplied with your DC cord The fuse may need to be replaced If the problem still occurs contact your home care provider Make sure the device is powered correctly Make sure Therapy is highlighted when pressing the control wheel to start airflow If the airflow does not turn on there may be a problem with your device Contact your home care provider for assistance Unplug the device Reapply power to the device If the problem continues relocate the device to an area with lower EMI emissions away from electronic equipment such as cellular phones cordless phones computers TVs electronic games hair dryers etc If the problem still occurs contact your home provider for assistance The Ramp feature does not work when you press the Ramp button The airflow is much warmer than usual Your home care provider did not prescribe Ramp for you or your CPAP pressu
26. ovider Note The SD card icon will display next to Info or the O icon if the SD card is inserted 3 Put on your mask assembly Note If you are having trouble with your mask refer to the instructions with the mask 4 Turn the wheel to toggle between the four options Highlight Therapy or the icon Press the wheel to turn on the airflow and begin therapy The Therapy screen will appear which will show the current pressure setting being delivered example shown below 11 0 cm H20 A Therapy Screen Note The SD card icon will display in the lower left corner if the SD card is inserted Note If the Ramp feature is on the Ramp icon will display in the lower right corner 5 Make sure that no air is leaking from your mask into your eyes If necessary adjust the mask and headgear until the air leak stops See the instructions provided 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 6 If you are using the device in a bed with a headboard try placing the tubing over the headboard This may reduce tension on the mask 7 Press the wheel again to turn off therapy and return to the Home screen User Manual 7 Ramp Feature The device is equipped with an optional ramp feature that your home care provider can enable or disable This feature reduces the air pressure when you are trying to fall
27. plays Auto off or the following animated symbol 0 0 Humidifier LED icon will flash on the device AAA Home care provider will supply text to be displayed The airflow shuts off and the device enters the Standby state approximately 45 60 seconds after detection Alert present for 30 seconds or until user acknowledges Only displayed when both the humidifier and therapy is on Only displayed when therapy is off The mask has been removed Humidifier failure Message from the provider Put your mask back on and turn the airflow on to resume therapy Alert is present for 12 minutes or until the condition is fixed Turn off airflow and reconnect the humidifier to the device according to the humidifier instructions If the alert continues to occur contact your home care provider Your home care provider may send an instant message Contact your home care provider with any questions 11 AUDIBLE INDICATOR Patient Reminder single beep VISUAL INDICATOR Screen displays message from the provider or the following symbol es Device ACTION Only displayed when therapy transitions from on to off Alert present for 6 minutes or until user acknowledges POSSIBLE CAUSE Message from the provider PATIENT ACTION Your home care provider may set a patient reminder scheduled to pop up at a particular time to remind you to replace your mask change your
28. r reference Your home care provider may periodically ask you for this information Back Status nl Phone in Therapy hours Days gt 4 Large leak AHI Periodic breathing Back Info Screen Icon Mode Info Screen Text Mode Note The screen will only show 4 lines at a time As you rotate the wheel to toggle over different options the screen will slide up and down accordingly e Status This displays information sent from a peripheral SD card _ modem all etc If two peripherals are attached two lines will appear with corresponding icons Note This will not display if no peripherals are being used e Phone in This screen displays the total therapy hours for the device X the total blower hours QQ and the total number of days used when the sessions were greater than 4 hours since the device was last reset by the home care provider x gt 4 This screen also displays a compliance check number Q used by your home care provider to validate that the data provided by you is the data taken from this screen This setting only appears if your provider has enabled this feature e Therapy hours X The device is capable of recognizing the difference between the time the patient is actually receiving therapy and the time when the blower is simply running This screen displays the average amount of time the patient is actually receiving therapy on the device over a 7 day and 30 day time frame provided th
29. rd from the wall outlet before cleaning the device DO NOT immerse the device in any fluids If the device is used by multiple persons such as rental devices a low resistance main flow bacteria filter should be installed in line between the device and the circuit tubing to prevent contamination Be sure to route the power cord to the outlet in a way that will prevent the cord from being tripped over or interfered with by chairs or other furniture This device is activated when the power cord is connected For safe operation when using a humidifier the humidifier must always be positioned below the breathing circuit connection at the mask and the air outlet on the device The humidifier must be level for proper operation User Manual Note Please see the Limited Warranty section of this manual for information on warranty coverage Cautions Caution indicates the possibility of damage to the device e Pins of connectors 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 charge e g air conditioning humidification conductive floor coverings 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 Before operating the device ensu
30. re is already set to the minimum setting The air filters may be dirty The device may be operating in direct sunlight or near a heater If Ramp has not been prescribed for you discuss this feature with your home care provider to see if they will change your prescription If your provider has enabled Ramp but the feature still does not work check the CPAP setting on your Active Display screen If CPAP is set to the minimum setting 4 0 cm H O or the starting pressure is the same as the prescribed pressure the Ramp feature will not work Make sure that the ramp time setting is gt 0 Clean or replace the air filters The temperature of the air may vary somewhat based on your room temperature Make sure that the device is properly ventilated Keep the device away from bedding or curtains that could block the flow of air around the device Make sure the device is away from direct sunlight and heating equipment If using the humidifier with the device check the humidifier settings Refer to the humidifier instructions to make sure the humidifier is working properly If the problem continues contact your home care provider The airflow pressure feels too high or too low 14 The Tubing type setting may be incorrect Make sure the Tubing type setting 22 or 15 matches the tubing that you are using Respironics 22 mm tubing or the optional Respironics 15 mm tubing If you do not see the Tubing type setting in the
31. re that the SD card cover is replaced whenever any of the accessories such as the Link Module or Modem are not installed Refer to the instructions that came with your accessory e Condensation may damage the device If this device has been exposed to either very hot or very cold temperatures allow it to adjust to room temperature operating temperature before starting therapy Do not operate the device outside of the operating temperature range shown in the Specifications Do not use extension cords with this device Do not place the device directly onto carpet fabric or other flammable materials Do not place the device or on any container that can collect or hold water A properly installed undamaged reusable foam inlet filter is required for proper operation Tobacco smoke may cause tar build up within the device which may result in the device malfunctioning e Dirty inlet filters may cause high operating temperatures that may affect device performance Regularly examine the inlet filters as needed for integrity and cleanliness Never install a wet filter into the device You must ensure sufficient drying time for the cleaned filter e 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 may occur Only use a Respironics DC Power Cord and Battery Adapter Cable Use of any other system may cause damage to the device Contrain
32. re valve s instructions for complete setup information e When using oxygen with this system turn the device on before turning on the oxygen Turn the oxygen off before turning the device off This will prevent oxygen accumulation in the device Do not connect the device to an unregulated or high pressure oxygen source Supplying DC Power to the Device The Respironics DC Power Cord can be used to operate this device in a stationary recreational vehicle boat or motor home The Respironics DC Battery Adapter Cable when used with the DC Power Cord enables the device to be operated from a 12 VDC free standing battery 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 may occur CAUTION Only use a Respironics DC Power Cord and Battery Adapter Cable Use of any other system may cause damage to the device Refer to the instructions supplied with the DC Power Cord and adapter cable for information on how to operate the device using DC power User Manual 15 Traveling with the System When traveling the carrying case is for carry on luggage only The carrying case will not protect the system if it is put through checked baggage For your convenience at security stations there is a note on the bottom of the device stating that it is medical equipment and is suitable for airline use It may be helpful to bring this manual along with you to help secu
33. replace with another card or contact your home care provider Modem Making Call single beep Modem will display its own icon on the device Refer to modem instruction manual Alert present for 30 seconds after call sequence or until user acknowledges Refer to modem instruction manual If modem is making call while therapy is active alert for call sequence is not displayed Modem Unsuccessful Call User Manual single beep 0 0 Modem will display its own icon on the device Refer to modem instruction manual Alert present for 30 seconds or until user acknowledges Refer to modem instruction manual No action needed 13 Troubleshooting The table below lists some of the problems you may experience with your device and possible solutions to those problems PROBLEM Nothing happens when you apply power to the device The backlights on the buttons do not light The airflow does not turn on The device s display is erratic Why IT HAPPENED There s no power at the outlet or the device is unplugged There may be a problem with the blower The device has been dropped or mishandled or the device is in an area with high Electromagnetic Interference EMI emissions WHAT Do If you are using AC power check the outlet and verify that the device is properly plugged in Make sure there is power available at the outlet Make sure the AC power c
34. rity personnel understand the REMstar Pro C Flex device If you are traveling to a country with a line voltage different than the one you are currently using a different power cord or an international plug adaptor may be required to make your power cord compatible with the power outlets of the country to which you are traveling Contact your home care provider for additional information Airline Travel The REMstar Pro C Flex device is suitable for use on airlines when the device is operating from an AC or DC power source Note It is not suitable for airline use with any of the modems or humidifiers installed in the unit Cleaning the Device WARNING To avoid electrical shock always unplug the power cord from the wall outlet before cleaning the device DO NOT immerse the device in any fluids 1 Unplug the device and wipe the outside of the device with a cloth slightly dampened with water and a mild detergent Let the device dry completely before plugging in the power cord 2 Inspect the device and all circuit parts for damage after cleaning Replace any damaged parts Cleaning or Replacing the Filters Under normal usage you should clean the gray foam filter at least once every two weeks and replace it 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 clean the ultra fine filter CAUTION Dirty inlet filters may cause high operati
35. setup menu you must use the Respironics 22 mm tubing User Manual Accessories There are several accessories available for your REMstar Pro C Flex system such as humidifier or a modem Contact your home care provider for additional information on the available accessories When using optional accessories always follow the instructions enclosed with the accessories CAUTION Pins of connectors 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 charge e g air conditioning humidification conductive floor coverings 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 Adding a Humidifier You can use the Heated humidifier or the Passover humidifier with your device They are available from your home care provider A humidifier may reduce nasal dryness and irritation by adding moisture to the airflow WARNING For safe operation the humidifier must always be positioned below the breathing circuit connection at the mask and the air outlet on the device The humidifier must be level for proper operation Note Refer to the humidifier s instructions for complete setup information Using the SD Card The REMstar Pro C Flex system comes with
36. titutional environment Important The device is to be used only on the instruction of a licensed physician Your home care provider will make the correct pressure settings according to your health care professional s prescription Several accessories are available to make your OSA treatment with the REMstar Pro C Flex system as convenient and comfortable as possible To ensure that you receive the safe effective therapy prescribed for you use only Respironics accessories Warnings warning indicates the possibility of injury to the user or the operator This manual serves as a reference The instructions in this manual are not intended to supersede the health care professional s instructions regarding the use of the device The operator should read and understand this entire manual before using the device This device is not intended for life support 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 continuous flow of air out of the mask When the device is turned on and functioning properly new air from the device flushes the exhaled air
37. uble Insulated Q Do not disassemble For Airline Use Complies with RTCA DO 160F E Use only with power supply 1058190 section 21 category M User Manual 3 System Contents Your REMstar Pro system includes the following items Device Reusable gray foam filter User manual Disposable ultra fine filter optional Carrying case Side cover panel Power cord and power supply SD card Flexible tubing 22 mm optional 15 mm tubing is also available e Humidifier optional Note If any of these items are missing contact your home care provider System Overview The REMstar Pro C Flex is a CPAP Continuous Positive Airway Pressure device designed for the treatment of Obstructive Sleep Apnea OSA CPAP maintains a constant level of pressure throughout the breathing cycle When prescribed for you the device provides several special features to help make your therapy more comfortable 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 Additionally the C Flex and C Flex comfort features provide you with pressure relief when you exhale during therapy Several accessories are also available for use with your REMstar Pro device Contact your home care provider to purchase any accessories not includ
38. uld result in a fire hazard Do not connect the device to an unregulated or high pressure oxygen source 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 near a source of toxic or harmful vapors Do not use this device if the room temperature is warmer than 35 C 95 F If the device is used at room temperatures warmer than 35 C 95 F the temperature of the airflow may exceed 43 C 109 F This could cause irritation or injury to your airway Do not operate the device in direct sunlight or near a heating appliance because these conditions can increase the temperature of the air coming out of the device Contact your health care professional if symptoms of sleep apnea recur If you notice any unexplained changes in the performance of this device if it is making unusual or harsh sounds if it has been dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken disconnect the power cord and discontinue use 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 and cables for damage or signs of wear Discontinue use and replace if damaged To avoid electrical shock always unplug the power co
39. ved Card status can be checked in the Status menu Remove SD card and replace No action needed User Manual SD Card Data Activity SD Card Corrupt SD Card Remove and Reinsert AUDIBLE INDICATOR single beep VISUAL INDICATOR Screen displays Data activity Do not remove card or the following animated symbol nl 0 0 Screen displays Corrupt card inserted reformat card or the following symbol 0 0 Screen displays SD card error remove and reinsert or the following animated symbol Wa Device ACTION Alert present until user acknowledges or data activity complete Alert present until action is taken Alert present until action is taken POSSIBLE problem exists with the SD card The data may be corrupted Device cannot read the SD card A problem may exist with the SD card or it is inserted incorrectly PATIENT ACTION Only displayed immediately after therapy is turned off when data is transferring to the card Choose yes or the checkmark icon to reformat the card Screen displays Reformatting do not remove card or the following animated symbol If you choose no the alert will disappear and the card will not be reformatted Note Any information on the card will be lost when reformatted Contact your home care provider with any questions Remove SD card and reinsert If the alert continues to occur
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