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1.                                                                                                     24    Cleaning or Replacing the Filters                                                                                                                      24    Cleaning the Tubing                                                                                                                                               24    Service                                                                                                                                                                     24    Additional Notices                                                                                                                                                25    Specifications                                                                                                                                                         26    Disposal                                                                                                                                                                   27    EMC Information                                                                                                                                                  27    Limited Warranty                                                                                                                                    Back Page    1  User Manual    Intended Use  The Philips R
2.                                                                                                 10    Bluetooth   Wireless Technology                                                                                                                          14    Check Mask Fit                                                                                                                                                      15    Sleep Progress                                                                                                                                                       15    Altitude Compensation                                                                                                                                       15    Device Alerts                                                                                                                                                         16    Troubleshooting                                                                                                                                                    20    Accessories                                                                                                                                                            22    Traveling with the System                                                                                                                                   23    Cleaning the Device                                         
3.                        3    System Overview                                                                                                                                                    4    Installing Replacing the Air Filters                                                                                                                       5    Where to Place the Device                                                                                                                                  6    Supplying AC Power to the Device                                                                                                                     6    Connecting the Breathing Circuit                                                                                                                       7    Navigating the Device Screens                                                                                                                             8    Starting the Device                                                                                                                                                 8    Menu Navigation  Therapy ON  and Optional Humidification Settings                                                    9    Ramp Feature                                                                                                                                                           9    Menu Navigation  Therapy OFF                        
4.    which means the device will only display icons on the  interface     Check Mask Fit  This feature allows you to check the fit of your mask prior to starting therapy   This is done by measuring the amount of leak     Modem  Allows you to turn modem off temporarily or turn it back on  When modem  is turned off  it will automatically turn on again after 3 days  Only displays when  modem is installed     Bluetooth  Allows you to turn Bluetooth off and on  Also  it allows you to clear the pairing  with a compatible Bluetooth device     Time  Allows you to adjust the time  The default setting is Greenwich Mean Time  but  you may adjust the time in 30 minute increments to match your local time zone   Note  This time setting is not displayed as a clock function on the device  It is  only used to align your therapy data for your Provider   s data reports     14  User Manual    Bluetooth Wireless Technology  Your device has Bluetooth wireless technology  You can pair the therapy device to a mobile device that has the  DreamMapper app installed  DreamMapper is a mobile and web based system designed to help Obstructive Sleep  Apnea  OSA  patients enhance their sleep therapy experience     Pairing to your Bluetooth enabled Mobile Device  Note  You can only pair your therapy device to one mobile device at any given time   Note  Pairing works best when your therapy device and mobile device are in the same room   Follow the steps below to manually pair to your mobile phone or tablet   1  
5.   Note  For Australian and New Zealand customers this warranty replaces the warranty contained above   1  Respironics  Inc   a Philips Healthcare company warrants that the Products shall be free from defects of workmanship and  materials and will perform in accordance with the Product specifications  2  This warranty is valid for a period of two  2  years  from the date of purchase from an authorised Respironics dealer  3 If the Product is found to contain a defect of workmanship  or materials or fails to perform in accordance with the Product specifications during the applicable warranty period  Respironics  will repair or replace  at its option  the defective material or part  4  The customer is responsible for returning the product to  an authorised Philips Respironics dealer  and collecting the product from the authorised Philips Respironics dealer after repair or  replacement  at its own cost  Philips Respironics is responsible only for the freight cost of transporting the product between the  authorised Philips Respironics dealer and Respironics  Respironics reserves the right to charge an evaluation and postage fee for  any returned Product as to which no problem is found following investigation  5  This warranty does not cover damage caused  by accident  misuse  abuse  alteration  and other defects not related to materials or workmanship  6  The warranty provided by  Respironics herein is not transferrable by the Buyer in the event of any sale or transfer of Products 
6.   nasal mask or full face mask  with integrated exhalation port  or Philips Respironics  interface with a separate exhalation device  such as the Whisper Swivel II       Philips Respironics flexible tubing  1 83 m  6 ft        Philips Respironics headgear  for the mask   To connect your breathing circuit to the device  complete the following steps   1  Connect the flexible tubing to the air outlet on the back of the therapy device  Line up the connector  1  at the top  of the heated tube to the top of the air outlet port on the back of the device     2  Press the tubing into place over the air outlet port until the tabs on the side of the tube click into place in the slots  on the sides of the outlet port     Note  If you are using a standard tube  not shown  instead of a heated tube  simply slide the tubing over the air  outlet port on the therapy device   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  When using the bacteria filter  the device performance may be affected  However  the  device will remain functional and deliver therapy   3  Connect the tubing to the mask  For proper placement and positioning  refer to the instructions that came with  your mask   Warning  Do not pull or stretch the tubing  This could result in circuit leaks   Warning  Inspect the tubing for damage or wear  Discard and replace the tubing as necessary   4  Attach the headgear to the mask if neces
7.   out before morning     Water chamber  was not full at start  of session  Mask  leak is excessively  high  The ambient  conditions are very  dry cool     Under most conditions  a full water chamber should last for a typical sleep  session  However  many factors impact water consumption  including  the ambient  temperature and humidity in your bedroom  your humidifier or heated tube  settings  the level of mask leak  and the duration of your sleep session   First  make sure that the water chamber is filled to the maximum fill line at the start  of your sleep session  Check that your mask is fitted properly  and adjust as needed  to reduce mask leak to normal levels  You may use the Check Mask Fit function  to evaluate your mask fit  Also  confirm that the device  humidifier  humidifier  seals and tube are connected properly and not leaking  You may also choose to  lower your humidifier and or heated tube settings or change the humidification  mode from Fixed to Adaptive humidification mode to increase the time that your  humidifier water will last     I hear a leak or  whistling sound  coming from my  therapy device or  humidifier  not  related to mask  leak      The therapy device  air inlet may be  obstructed  The  humidifier or  tube is not fully  connected  The  humidifier seals are  not fully seated or  are missing     Check therapy device air inlet is not obstructed  and filters are clean and properly  inserted  Confirm that the device  humidifier  and tube are connecte
8.  0 5 cm H2O increments   Maximum static pressure accuracy  according to ISO 80601 2 70 2015     Pressure  Static Accuracy    10 cm H2O     0 5 cm H2O  Static pressure accuracy has a measurement uncertainty of 3 7   Maximum dynamic pressure variation  according to ISO 80601 2 70 2015     Pressure  10 BPM  15 BPM  20 BPM     lt  10 cm H2O     0 3 cm H2O     0 4 cm H2O     0 6 cm H2O        10 0 to 20 cm H2O     0 4 cm H2O     0 7 cm H2O     0 9 cm H2O  Dynamic pressure accuracy has a measurement uncertainty of 4 3   Note  All tests were performed with and without humidifier and with both 22 mm standard tube and  15 mm heated tube     Maximum Flow Rate  typical     Test pressures  cm H2O     4 0  8 0  12 0  16 0  20 0    22 mm  tubing  Measured pressure at the patient  connection port  cm H2O   2 4  6 8  10 8  14 7  18 6    Average flow at the patient  connection port  l min   137 0  151 0  150 0  160 0  170 0    15 mm  tubing   heated  or non   heated     Measured pressure at the patient  connection port  cm H2O   2 9  6 8  10 8  14 7  18 7    Average flow at the patient  connection port  l min   139 0  139 0  139 0  146 0  151 0    Disposal  Separate collection for electrical and electronic equipment per EC Directive 2012 19 EU  Dispose of this device in  accordance with local regulations     EMC Information  Your unit has been designed to meet EMC standards throughout its Service Life without additional maintenance  There is always  an opportunity to relocate your DreamStatio
9.  cleaned filter       Always ensure that the DC power cord securely fits into your therapy device prior to use  Contact your home care provider or  Philips Respironics to determine if you have the appropriate DC cord for your specific therapy device       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 Philips Respironics DC Power Cord and Battery Adapter Cable  Use of any other system may cause damage to the device   Contraindications  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 H2O  In the event of certain fault conditions  a maximum pressure of 40 cm H2O is possible  Studies have  shown that the following pre existing conditions may contraindicate the use of CPAP therapy for some patients       Bullous Lung Disease      Pathologically Low Blood Pressure      Bypassed Upper Airway      Pneumothorax      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 si
10.  device  from power  Reattach  power cord to  restore power  If the  alert continues to  occur  contact your  home care provider     Incorrect Power  Supply    Notification  Indicates an  incompatible power  supply is attached     Incompatible power  supply  or power cord  is not fully inserted  into device   s power  inlet     Confirm power cord  is fully inserted into  device   s power inlet   Confirm a compatible  Philips Respironics  power supply is  attached  Switch to  compatible power  supply if needed     Low Voltage  Notification  Low voltage   Incompatible power  supply is attached   Confirm a compatible  Philips Respironics  power supply is  attached  Switch to  compatible power  supply if needed  If  battery is being used   ensure battery is  adequately charged     19  User Manual    Alert  Icon  Type  Description  Possible Cause  Action    Automatic Off  Status  Displayed when  therapy ends due to  automatic off function     The mask has been  removed   Put your mask back  on  confirm good fit   and turn airflow on to  resume therapy     Inlet blocked   Check filter     Notification  Blocked airway  Blockage at device  inlet   Check device air inlet  is not obstructed   Check air filter s  are  installed properly and  are clean  replace if  needed     Low Leak  Check  Mask and Tube    Notification  Blocked airway  Blockage at tube or  mask   Check tube is not  crushed or folded  such that air flow  is restricted  Check  mask is attached  properly and without  any
11.  dryers  etc    If the problem still occurs  contact your home care provider for  assistance     The Ramp feature  does not work when  you press the Ramp  button     Your home care  provider did not  prescribe Ramp  for you  or your  therapy pressure is  already set to the  minimum setting     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  current pressure setting on the Therapy screen  If the therapy pressure is set to the  minimum setting  4 0 cm H2O   or the Ramp starting pressure is the same as the  therapy pressure  the Ramp feature will not work  Make sure that the ramp time  setting is  gt 0     The airflow is  much warmer than  usual     The air filters may  be dirty  The device  may be operating  in direct sunlight or  near a heater     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 airflo
12.  for this information     Icon  Text  Description    Therapy Hours  This screen displays the amount of time the user is actually receiving therapy  on the device for the most recent 1 day time frame  It also displays the  average amount of time the patient is actually receiving therapy over the last 7  days and 30 days     AHI  AHI  This screen displays the nightly Apnea Hypopnea indices  AHI  value for the most  recent 1 day time frame  It also displays the average of these individual nightly  AHI values over a 7 day and a 30 day time frame  This screen only displays if  your home care provider has enabled it  Available on CPAP Pro and Auto CPAP  devices     Mask Fit  Displays the value    100  minus Large Leak     Large Leak is the percentage of  time that the mask leak was so high that it is no longer possible for the device  to identify respiratory events with statistical accuracy  Displays the value for the  most recent 1 day  as well as the values over last 7 days and 30 days  This screen  only displays if your home care provider has enabled it  Available on CPAP Pro  and Auto CPAP devices     Periodic  Breathing  Periodic  Breathing  Displays the percentage of time that the user experienced periodic breathing   Displays the value for the most recent 1 day time frame  as well as values for the  last 7 days and 30 days  If you observe a large increase in the percent of time in  periodic breathing indicated her  contact your home care provider for assistance   This screen
13.  main  menu   Note  The screens shown throughout this manual are examples for reference only  Actual screens may vary based  upon device model and provider settings     Starting the Device  1  Ensure power is supplied to the device  The first screen to display will be the Philips Respironics logo  followed by  the device model screen  and then the Home screen     Home Screen  The first time the device is powered on  a pop up will prompt you to set the time on the device  The default setting  is Greenwich Mean Time  but you may adjust the time in 30 minute increments to match your local time zone  If you  choose to skip this initial time setting  the time can always be adjusted under the    My Setup    menu   Note  This time setting is not displayed as a clock function on the device  It is only used to align your therapy data  for your Provider   s data reports   2  Put on your mask assembly  Refer to the instructions supplied with the mask   3  Press the Therapy button      on top of the device to turn on airflow and begin therapy  The current delivered  pressure will display on the screen   4  Make sure that no air is leaking from your mask  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   5  If you are using the device in a bed with a headboard  
14.  minimum as part of their training       Before operating the device  ensure that the SD card filter access door and the modem access door are both closed whenever any  of the accessories such as the Link Module or Modem are not installed  Refer to the instructions that came with your accessory       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       Make sure the filter area on the side 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       Do not place the device directly onto carpet  fabric  or other flammable materials       Do not place the device in or on any container that can collect or hold water       A properly installed  undamaged Philips Respironics blue pollen filter is required for proper operation       Tobacco smoke may cause tar build up within the device  which may result in the device malfunctioning       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
15.  obstruction     Check Mask Fit  n a  Status  Displayed when  Check Mask Fit  function is enabled  from Patient Menu     n a  This alert can be  cleared by pressing  the Control Dial   Otherwise it will time  out after 60 seconds     Loading Language  and Rebooting    Status  Displayed when a new  language is selected  from the menu     n a  No action needed   Times out when  complete     Busy  Status  Displayed when the  device is temporarily  inaccessible due to  data communication     n a  No action needed        Sleep Progress     n a  Status  Displays last 3 nights  of hourly use   n a  Press Control Dial  to acknowledge and  clear the screen   Otherwise message  times out after 30  seconds     20  User Manual    Troubleshooting  Your device is equipped with a self diagnostic tool call    Performance Check     This tool can evaluate your device for certain errors  It  also allows you to share key device settings with your Provider  Use Performance Check when directed by your provider   The table below lists some of the problems you may experience with your device and possible solutions to those problems     Problem  Why It Happened  What To Do    Nothing happens  when you apply  power to the device   The backlights on  the buttons do not  light     There   s no power  at the outlet or the  device is unplugged     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 
16.  only displays if your home care provider has enabled it  Available on  CPAP Pro and Auto CPAP devices     11  User Manual    Preheat      Preheat On Screen  Preheat Off Screen    When using a humidifier  the device can preheat the water tank for up to 30 minutes prior to starting therapy   In order to activate the preheat mode  the blower must be    off    and a humidifier must be attached  When    Preheat     is selected  you will be able to turn the control dial to choose between    on    or    off     Press the control dial again to  make your selection  During the 30 minute preheat  you will still be able to use the control dial to select other menu  options from the Home screen     Note  This screen only displays when a humidifier is attached     My Provider     When you select    My Provider     you will be able to view the following screens  You cannot change settings in the  Provider menu  These screens are only for reference  Your home care provider may periodically ask you for this  information     Icon  Text  Description    Device Info  This screen displays your therapy device information  serial number  model and  software version     Provider Contact  Info  This screen will display the contact information for your provider if it has been  uploaded to your device     Phone In  This screen displays the total therapy hours for the device  the total blower  hours  the total number of days used when the sessions were greater than 4  hours  and a compliance check numb
17. AC  power cord 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  It 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     The airflow does not  turn on   There may be a  problem with the  blower     Make sure the device is powered correctly  Make sure the Home screen appears on  the user interface  Press the Therapy button on top of the device 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     The device   s display  is erratic   The device has  been dropped or  mishandled  or  the device is in  an area with high  Electromagnetic  Interference  EMI   emissions     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 
18. Electromagnetic Environment   Guidance    RF emissions  CISPR 11  Group 1  The device uses RF energy only for its internal function  Therefore  its RF emissions  are very low and are not likely to cause any interference in nearby electronic  equipment     RF emissions  CISPR 11  Class B  The device is suitable for use in all establishments  including domestic establishments  and those directly connected to the public low voltage power supply network     Harmonic emissions  IEC 61000 3 2  Class A    Voltage fluctuations Flicker emissions  IEC 61000 3 3  Complies    Emission of Radio Frequency Energy  RTCA DO 160G Section 21  Category M  This device is suitable for use onboard commercial airplanes inside passenger cabin     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  IEC 60601 Test Level  Compliance Level  Electromagnetic Environment   Guidance    Electrostatic Discharge  ESD   IEC 61000 4 2    8 kV contact      15 kV air      8 kV contact      15 kV air    Floors should be wood  concrete or ceramic tile   If floors are covered with synthetic material  the  relative humidity should be at least 30      Electrical fast Transient burst  IEC 61000 4 4    2 kV for power supply lines      1 kV for input output lines      2 kV for supply mains      1 kV for input output lines    M
19. Energy  IEC 60601 1 Classification  Type of Protection Against Electric Shock  Class II Equipment  Degree of Protection Against Electric Shock  Type BF Applied Part  Degree of Protection against Ingress of Water   Device  Drip Proof  IP22  Link Module  Drip Proof  IP22  80W power supply  Drip Proof  IP22  Mode of Operation  Continuous  Electrical  AC Power Consumption  with 80W power supply   100     240 VAC  50 60 Hz  2 0 1 0 A  Note  Power supply is part of the medical electrical equipment   DC Power Consumption  12 VDC  6 67 A  Fuses  There are no user replaceable fuses   Radio Specifications  Operating Frequency Range  2402   2480 MHz  Maximum Output Power   4 0 dBm  Modulation   GFSK  P 4 DQPSK  8DQPSK    Intake Port Filters  Pollen Filter   100  Polyester  88  Efficient   7 10 micron size  Ultra fine Filter   Blended Synthetic Fiber  95  Efficient   0 5 0 7 micron size  Declared Dual Number Noise Emissions Values In accordance with ISO 4871  The A weighted sound pressure level is   Device  25 8 dB A  with and uncertainty of 2 dB A    Device with Humidifier  27 9 dB A  with and uncertainty of 2 dB A    The A weighted sound power level is   Device  33 8 dB A  with an uncertainty of 2 dB A    Device with Humidifier  35 9 dB A  with an uncertainty of 2 dB A    Note  Values determined according to noise test code given in ISO 80601 2 70 2015  using the basic  standards ISO 3744 and ISO 4871     27  User Manual    Pressure Accuracy  Pressure Increments  4 0 to 20 0 cm H2O  in
20. To pair to your mobile device  first ensure that the Bluetooth setting is turned ON on your mobile device  Refer to  your mobile device   s instruction manual for more information   2  If you need to select from a list of available Bluetooth devices  the therapy device will appear as    PR BT XXXX      XXXX will be the last four digits of the serial number listed on your therapy device    3  When your therapy device is powered up but the blower is off  initiate pairing from your mobile device   4  If your mobile device is in range  one of the following two steps will apply       Your mobile device has Bluetooth Secure Simple Pairing  SSP   The following icon will pop up on your therapy device screen with a 6 digit number and    Pair         This number is a six digit passkey generated during SSP  Verify that the six digit SSP passkey is the same on both  the mobile device and therapy device  Rotate the Control Dial between    yes    or    no     and then press the Control  Dial to choose  If    no    is selected  or the pop up screen times out after 30 seconds  the device will reject the pair  request  If    yes    is selected  the therapy device will acknowledge the six digit SSP passkey  If the mobile device also  acknowledges the request  the two will now be paired and ready to connect using DreamMapper       Your Bluetooth enabled mobile device does not support Bluetooth SSP  Your mobile device will prompt you to enter a pin code  Enter    1008    on your mobile device  T
21. User manual    DreamStation CPAP  DreamStation CPAP Pro  DreamStation Auto CPAP       2015 Koninklijke Philips N V  All rights reserved     Table of Contents    Intended Use                                                                                                                                                            1    Important                                                                                                                                                                  1    Warnings                                                                                                                                                                   1    Cautions                                                                                                                                                                    2    Contraindications                                                                                                                                                   2    Symbol Key                                                                                                                                                               3    System Contents                                                                                                                                                     3    How to Contact Philips Respironics                                                                                           
22. 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 Philips 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   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  If traveling with the optional humidifier  do not travel with water in the water tank   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 security  personnel understand the DreamStation 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 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 h
23. ains power quality should be that of a typical  home or hospital environment     Surge  IEC 61000 4 5    1 kV differential mode      2 kV common mode      1 kV differential mode      2 kV for common mode    Mains power quality should be that of a typical  home or hospital environment     Voltage dips  short  interruptions and voltage  variations on power supply  input lines  IEC 61000 4 11     lt 5  UT   gt 95  dip in UT  for  0 5 cycle at 45 degree  increments    70  UT  30  dip in UT  for  0 5 seconds   lt 5  UT   gt 95  dip in UT  for  5 seconds     lt 5  UT   gt 95  dip in UT  for  0 5 cycle at 45 degree  increments    70  UT  30  dip in UT  for  0 5 seconds     lt 5  UT   gt 95  dip in UT  for  5 seconds    Mains power quality should be that of a typical  home or hospital environment  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     Power frequency  50 60 Hz   magnetic field  IEC 61000 4 8    30 A m  30 A m  Power frequency magnetic fields should be at  levels characteristic of a typical location in a  typical hospital or home environment     NOTE  UT is the a c  mains voltage prior to application of the test level     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 su
24. allowing you to fall asleep more comfortably   If ramp is enabled on your device  after you turn on the airflow  press the Ramp      button on the top of the  device  You can use the Ramp button as often as you wish during the night   When you click the ramp button  the Therapy screen will change to reflect the Ramp pressure  and the green circle  will reflect the gradual increase in pressure     Ramp Pressure Screen  Your device has two ramp modes  Your Provider will select the one that is most appropriate for you  The standard  ramp mode increases pressure at a steady rate  Alternately  the SmartRamp mode maintains a constant lower  pressure until the device detects that you require more pressure     10  User Manual    Menu Navigation  Therapy OFF   From the Home screen  you can scroll between the following four options     My Info  Preheat  My Provider  My Setup  My Info  This menu provides summary statistics of your therapy use   Preheat  This function lets you warm up your humidifier for 30 minutes before starting a therapy session   My Provider  This menu contains information that your provider may direct you to read to them so they can  better assist you over the phone   My Setup  This menu contains comfort settings that you can adjust as needed     My Info     When you select    My Info     you will be able to view the following screens  You cannot change settings in the Info menu   These screens are only for reference  Your home care provider may periodically ask you
25. arantees Act 1993  New Zealand  Our goods come with guarantees that cannot be excluded under the Consumer  Guarantees Act 1993  This guarantee applies in addition to the conditions and guarantees implied by that legislation     1121981    1121981 R00  JR 7 01 2015  EN INTL    1 1 2 1 9 8 1 R 0 0    
26. ble parts  and materials not recommended by Philips Respironics  Incompatible parts or  accessories can result in degraded performance       Use only approved cables and accessories  Misuse may affect EMC performance and should be avoided       The Health Industry Manufacturers Association recommends that a minimum separation of six inches be maintained between  a wireless phone and a pacemaker to avoid potential interference with the pacemaker  The DreamStation on board Bluetooth  communication should be considered a wireless phone in this regard       Use only power cords supplied by Philips Respironics for this device  Use of power cords not supplied by Philips Respironics may cause  overheating or damage to the device and may result in increased emissions or decreased immunity of the equipment or system       The device should not be used while stacked or in close approximation to other non approved devices       Do not pull or stretch the tubing  This could result in circuit leaks       Inspect the tubing for damage or wear  Discard and replace the tubing as necessary     2  User Manual        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 cord 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 filt
27. ch an environment     Immunity Test  IEC 60601 Test Level  Compliance Level  Electromagnetic Environment   Guidance    Conducted RF  IEC 61000 4 6    Radiated RF  IEC 61000 4 3    3 Vrms  150 kHz to 80 MHz    6 Vrms  Amateur Radio  amp  ISM  Bands between 150 kHz  and 80 MHz    10 V m  80 MHz to 2 7 GHz    3 Vrms  150 kHz to 80 MHz    6 Vrms  Amateur Radio  amp  ISM  Bands between 150 kHz  and 80 MHz    10 V m    Portable and mobile RF communications equipment should be  used no closer to any part of the device  including cables  than the  recommended 30 cm separation distance     Interference may occur in the vicinity of equipment marked with the  following symbol     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 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  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  re
28. d  This  alert will not occur during therapy       Alert 2  These alerts consist of the pop up screen  a blinking Power LED and an audible beep when displayed  This  alert can occur during therapy       Safe State  These alerts consist of the pop up screen  a blinking Power LED and a repeating audible beep   Note  Status alerts automatically time out after 30 seconds and their pop up screens disappear  All other alerts  must be acknowledged to clear   Alert Summary Table  The following table summarizes the alerts     Alert  Icon  Type  Description  Possible Cause  Action    Data Activity  Do  not remove SD  card     Status  SD card read write  underway   n a  No action needed     Change Accepted  Status  Confirms acceptance  of prescription change  or device upgrade     n a  No action needed     EZ Start  Pressure  Incremented to  xx x    Status  Displays when  EZ Start mode is  enabled and device  is increasing therapy  pressure setting for  the next session     n a  No action needed     Oximetry  Good  Connection   icon only     Status  Displays on the  therapy screen when  the blower is on  and 3 seconds of  good connection is  detected  Appears  at the beginning of  therapy  This screen  will not display  again if the finger  probe is removed  and reapplied unless  therapy is stopped  and restarted     n a  No action needed     Pair   123456  Yes No    Status  Prompts to accept or  decline pairing to a  Bluetooth compatible  device  This device  can be identified by  the 
29. d properly and  not leaking  Confirm that the humidifier lid seal and dry box seal are present and  properly seated  if needed  gently press around the perimeter of the seals to reseat  them     I accidentally spilled  water into my  humidifier basin     The water  chamber has been  filled beyond the  maximum fill line     A small amount of water spilled in the basin of the humidifier will not harm your  device  A small spill in the humidifier will evaporate under normal humidifier use   However  too much water in the humidifier basin could spill over the humidifier lid  hinge and might damage your furniture   Disconnect power from the device  Remove the water chamber  pour out any  excess water until the water level is at or below the maximum fill line and set the  chamber aside  Separate the humidifier from the therapy device  and pour out the  spilled water  Once the heater plate has cooled  wipe the inside of the humidifier  with a paper towel or soft cloth  If needed  dry the underside of the humidifier and  confirm that your table top is dry  Reconnect the humidifier and power supply  and  reinstall the water chamber     22  User Manual    Accessories  There are several accessories available for your DreamStation system such as a Humidifier  Cellular Modem   Wi Fi Accessory or a Link Module  Contact your home care provider for additional information on the available  accessories  When using optional accessories  always follow the instructions enclosed with the accessori
30. digits displayed     n a  Rotate control dial to  accept pairing  Yes    or decline  No   then  press control dial to  confirm selection     17  User Manual    Alert  Icon  Type  Description  Possible Cause  Action    SD Card  Removed     Notification  or Alert 2  Indicates SD card  has been removed  from therapy device  and not reinserted  before the start of  the current therapy  session     SD card was not  reinserted into device   Reinsert SD card  or  click to clear alert     Oximetry  Good  Study   icon only     Notification  Notifies that user has  a achieved at least 4  hours of therapy and  oximetry use  Appears  at the end of therapy     n a  Press Control Dial  to acknowledge and  clear the message     SD Card Error   Remove and  Reinsert    Notification  SD card error  detected  Device cannot read  the SD card  A  problem may exist  with the SD card or  it was ejected during  a writing activity   or it was inserted  incorrectly     Remove SD card  and reinsert  If alert  continues to occur   replace with another  card or contact your  provider     SD Card Full   Notification  SD card is full   SD card is full   Remove SD card and  replace with a new  card  or contact your  provider for a new SD  card     Patient Message   Refer to  section     Notification  Message from your  Provider   n a  Press Control Dial  to acknowledge and  clear the message     Change Rejected  Alert 1  A prescription or  settings change was  rejected     Change missing or  incorrect   Con
31. e dealer of the device for help     Notice   Any changes or modifications made to the device that are not expressly approved by Respironics  may void the user   s authority to operate the equipment     Respironics  Inc  declares that this Class 2 Bluetooth 4 0 low energy and 2 1   EDR compliant device is in  compliance with the essential requirements and other relevant provisions of Directive 1999 5 EC     Note  You may request a    Declaration of Conformity    for this product from the Regulatory Affairs  Department by contacting Product Support at 1 724 387 4000 or  49 8152 93060     26  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 m   0   7500 ft   Physical  Dimensions  15 7 x 19 3 x 8 4 cm  6 2    L x 7 6    W x 3 3    H   Weight  Device with power supply   Approximately 1 33 kg  2 94 lbs   Service Life  The expected service life of the DreamStation Therapy Device and Link Module is 5 years   Standards Compliance This device is designed to conform to the following standards   IEC 60601 1 General Requirements for Basic Safety and Essential Performance of Medical Electrical Equipment  ISO 80601 2 70 Sleep Apnea Breathing Therapy Equipment  EN 60601 1 2 Electromagnetic Compatibility  RTCA DO 160G section 21  category M  Emission of Radio Frequency 
32. er 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  The humidifier must be level for proper operation   Note  Please see the    Limited Warranty    section of this manual for information on warranty coverage   Cautions  A Caution indicates the possibility of damage to the device       Medical electrical equipment needs special precautions regarding EMC and needs to be installed according to EMC information   Contact your home care provider regarding EMC installation information       Mobile RF communications equipment can affect medical electrical equipment       Pins of connectors marked with the ESD warning symbol shall not be touched and connections shall not be made without  special precautions  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  It is recommended that all individuals that will handle this device understand these precautionary procedures  at a
33. er used by your home care provider to  validate that the data provided by you is the data taken from this screen     A TRIAL  A Trial  If Auto Trial mode is available  this screen displays Days  xx xx  where xx xx is  the number of accumulated trial days   number of selected trial days   Available  on the Auto CPAP device     90   Pressure  90  Pressure  This screen displays the nightly value of 90  Pressure for the most recent 1  day time frame  It also displays the average of these individual nightly values of  90  Pressure over a 7 day and a 30 day time frame  Available on the Auto CPAP  device     12  User Manual    Icon  Text  Description    Upload  Allows user to initiate a modem call when an optional Cellular Modem or Wi Fi  Accessory is installed  After the modem upload has finished  the screen will either  display a green checkmark with the text    Completed    to indicate a successful  upload  or a red X with the text    Failed    to indicate an unsuccessful upload  If the  upload fails  initiate an upload a second time  or contact your home care provider  if the issue persists  This screen is locked if modem is off     Performance  Check  Your device is equipped with a self diagnostic tool called    Performance Check      This tool can evaluate your device for certain errors  It also allows you to share  key device settings with your home care provider  Use Performance Check when  directed to by your home care provider   At conclusion of the scan  the screen displa
34. erformance  of the device  The red    X    indicates that the leak may affect device performance  however  the device will remain  functional and deliver therapy     Check Mask Fit Screen  Note  If you choose to try to improve your mask fit  you can stop therapy  adjust the fit of your mask  and rerun  the Check Mask Fit  Refer to the instructions that came with your mask and headgear for the proper fitting  procedure   Sleep Progress  Your device provides summary information about your therapy use each time the therapy is turned off  The screen  displays your    Three Night Summary     It shows your nightly usage for the last 3 sleep sessions  measured in 24 hour  periods  ending at noon each day   The most recent session is displayed in the right hand bar  labeled with the number  of hours slept  A green bar indicates that you slept more than 4 hours  and a yellow bar indicates less than 4 hours of  use     Three Night Summary Screen  Altitude Compensation  This device automatically compensates for altitude up to 7 500 feet  No manual adjustment is necessary     16  User Manual    Device Alerts  Device alerts are pop ups that show up on the UI screen  There are 5 types of alerts described here       Status  These alerts are just the pop up screen       Notification  These alerts consist of the pop up screen in addition to a blinking Power LED on top of the device       Alert 1  These alerts consist of the pop up screen  a blinking Power LED and an audible beep when displaye
35. es   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 with or without Heated Tubing  You can use the heated humidifier and the heated tube 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  The humidifier must be level for proper operation   Note  Refer to the humidifier   s instructions for complete setup information   Using the SD Card  The DreamStation system comes with an SD card inserted in the SD card slot on the side 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   Using the DreamStation Link Module  The Link Module is able to receive oximetry data and transfer it to the therapy device for home use or in a laboratory  setting  For use in a 
36. espironics DreamStation systems deliver positive airway pressure therapy for the treatment of Obstructive Sleep Apnea in  spontaneously breathing patients weighing over 30 kg  66 lbs   It is for use in the home or hospital institutional 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 and device configurations including accessories  according to your health care professional   s prescription   Several accessories are available to make your OSA treatment with the DreamStation system as convenient and comfortable as  possible  To ensure that you receive the safe  effective therapy prescribed for you  use only Philips Respironics accessories   Warnings  A 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 Philips 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 b
37. evice for the system to work properly   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  Complete the following 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   Note  Example only shown here  Local electrical outlet and power cord may vary     3  Plug the power supply cord   s connector into the power inlet on the side of the device     4  Verify that the plug at the side of the device  at the power supply  and at the electrical outlet are fully inserted  This  will help to ensure that a secure  reliable electrical connection has been made   Note  If the following Incorrect Power Supply icon appears on the screen  please repeat step 4      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     7  User Manual    Connecting the Breathing Circuit  To use the system  you will need the following accessories in order to assemble the recommended breathing circuit       Philips Respironics interface
38. f non original manufacturer approved accessories may violate your local RF exposure  guidelines and should be avoided     Notice   This device complies with part 15 of the FCC Rules  Operation is subject to the following two  conditions   1  This device may not cause harmful interference  and  2  this device must accept  any interference received  including interference that may cause undesired operation     This equipment has been tested and found to comply with the limits for a Class B digital device   pursuant to Part 15 of the FCC Rules  These limits are designed to provide reasonable protection  against harmful interference in a residential installation  This equipment generates  uses  and can  radiate radio frequency energy and  if not installed and used in accordance with the instructions   may cause harmful interference to radio communications  However  there is no guarantee that  interference will not occur in a particular installation  If this equipment does cause harmful  interference to radio  TV reception  or other devices which can be determined by turning the  equipment on and off  the user is encouraged to try to correct the interference by one or more  of the following measures         Reorient or relocate the receiving antenna  on the radio  TV  or other device          Increase the separation between the equipment and receiver         Connect the equipment into an outlet on a circuit different from that to which the receiver is  connected         Consult th
39. ght Sensor  Detects room light levels and adjusts brightness of the Display  Screen     3  Ramp Button  Activates the ramp feature during therapy     4  Door  SD card  amp  Filter Access  This door lifts open for access to the SD card and filter area     5  Display Screen  This is the User Interface for the therapy device     6  Control Dial  Turn the dial to scroll between options on the screen  Press the dial to  choose an option     7  Door  Accessory Access  This door lifts open for access to the  optional  accessories     8  Humidifier Connector  Humidifier connects to the back of the therapy device  The humidifier  pin connector will attach here     9  Air Outlet Port  Connect the tubing here     10  Power Inlet  Connect the power cord here     5  User Manual    Installing Replacing the Air Filters  Caution  A properly installed  undamaged Philips Respironics blue pollen filter is required for proper operation     The device uses a blue pollen filter that is washable and reusable  and a light blue ultra fine filter that is disposable   The reusable blue filter screens out normal household dust and pollens  while the light blue ultra fine filter provides  more complete filtration of very fine particles  The reusable blue 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 blue filter is supplied with the device  A disposable light b
40. he following icon  will pop up on your therapy device screen with the number    001008    and    Pair         Rotate the Control Dial between    yes    or    no     and then press the Control Dial to choose  If    no    is selected   or the pop up screen times out after 30 seconds  the device will reject the pair request  If    yes    is selected  the  therapy device will acknowledge the 001008 passkey  If the mobile device also acknowledges the request  the two  will now be paired and ready to connect using DreamMapper   Note  Do NOT select    yes    on the pop up screen unless you are currently trying to pair your devices  This will  ensure that only your mobile device connects to your therapy device     15  User Manual    Check Mask Fit  The optional Check Mask Fit feature can be enabled or disabled by your home care provider  This feature allows you  to check the fit of your mask prior to starting therapy  This is done by measuring the amount of leak  Put on your  mask assembly  Refer to your mask instructions if needed  Navigate to the Check Mask Fit screen under    My Setup      and press the control dial to initiate the check   The device will deliver a test pressure while the screen counts down 40 seconds  A green bar indicates good fit  while  a red bar indicates improvement is needed  After the test  normal therapy will start and the screen will either display  a green checkmark or a red    X     The green checkmark indicates that the leak found allows for optimal p
41. laboratory setting  the Link Module also includes an RS 232  or    DB9     port to allow remote  control of the DreamStation Sleep Therapy Device by a personal computer   Note  Please consult the instructions that accompany the Link Module for installation and removal   Note  There are no SpO2 alarms available   Note  Oximetry data is not displayed   To clean the module  remove the module from the therapy device  Wipe the outside of the device with a cloth  slightly dampened with water and a mild detergent  Let the device dry completely before reinstalling into the  therapy device   Dispose of the module following the same disposal instructions for your therapy device   Warnings       If you notice any unexplained changes in the performance of this device  if it has been dropped or mishandled   if water is spilled into the enclosure  or if the enclosure is broken  discontinue use  Contact your home care  provider       Repairs and adjustments must be performed by Philips Respironics authorized service personnel only   Unauthorized service could cause injury  invalidate the warranty  or result in costly damage       Do not use any accessories  detachable parts  and materials not recommended by Philips Respironics   Incompatible parts or accessories can result in degraded performance     23  User Manual    Adding Supplemental Oxygen  Oxygen can be added to the patient circuit  Please note the warnings listed below when using oxygen with the device   Warnings       When using ox
42. locked  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 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       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 Philips 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 oxyge
43. lue ultra fine filter may also be included  If your  filter is not already installed when you receive your device  you must at least install the reusable filter before using the  device     This device has an automatic air filter reminder  Every 30 days  the device will display a message reminding you to  check your filters and replace them as directed   Note  This message is a reminder only  The device does not detect the performance of the filters nor does it  recognize when a filter has been cleaned or replaced     1  Lift up on the filter access door and swing open  If replacing  pull out the old filter assembly     2  If applicable  place a clean  reusable blue pollen filter  1  on top of a new  optional disposable light blue ultra fine  filter  2  and firmly snap them together     3  Place the new filter assembly back in the side of the therapy device  Swing the door closed     6  User Manual    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 device is away from any heating or cooling equipment  e g   forced air vents   radiators  air conditioners    Note  When positioning the device  make sure that the power cable is accessible because removing power is the  only way to turn off the device   Caution  Make sure the filter area on the side of the device is not blocked by bedding  curtains  or other items   Air must flow freely around the d
44. n Therapy Device within an environment that contains other devices with their own  unknown EMC behavior  If you believe your unit is affected by locating it closer to another device  simply separate the devices to  remove the condition     Pressure and Flow Accuracy  The DreamStation Therapy Device is designed to perform within the pressure and flowrate accuracies specified in the user manual   If you suspect that the pressure and or flow rate accuracy is affected by EMC interference remove power and relocate the device to  another area  If performance continues to be affected discontinue use and contact your home care provider     SpO2 and Pulse Rate Accuracy  The DreamStation Therapy Device is designed to capture the SpO2 and Pulse Rate oximetry data within the accuracy specification  described in the sensor manufacture   s instructions for use  When 4 hours of successful oximetry data have been achieved the device  indicates this to the user by displaying    Oximetry  Good Study     If you suspect that your unit is affected by EMC interference remove  power and relocate the device to another area  If performance continues to be affected discontinue use and contact your home care  provider     28  User Manual    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     Emissions Test  Compliance  
45. n from the patient circuit into the  device when the unit is off  Failure to use the pressure valve could 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 Philips Respironics authorized service personnel only  Unauthorized service could  cause injury  invalidate the warranty  or result in costly damage       Do not use any accessories  detacha
46. ning  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     25  User Manual    Additional Notices  Notice   The Bluetooth   word mark and logos are registered trademarks owned by Bluetooth SIG  Inc  and  any use of such marks by Philips Respironics is under license  Other trademarks and trade names  are those of their respective owners     Notice   The DreamStation Therapy Device transmits data between the therapy device and a mobile  device  but it does not store any of your personal data  This connection between the therapy  device and a mobile device is encrypted     Notice   This device contains a FCC certified Bluetooth radio module  located on the main board      Only the co location of this Bluetooth radio with the radio transceivers of the DreamStation Wi Fi  Accessory and Cellular Modem has been FCC approved and is permitted     For compliance with FCC RF exposure guidelines a minimum distance of 20 cm between the Wi Fi  Accessory or the Cellular Modem and the user   s body should be maintained during operation of one  of those accessories together with the DreamStation     Notice   FCC ID  THO1116426    Notice   THO1116426 is the FCC ID of the FCC certified Bluetooth module contained in this device     Notice   Use o
47. nus 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     3  User Manual    Symbol Key  The following symbols may appear on the device  power supply and accessories     Symbol  Definition  Symbol  Definition    Consult accompanying instructions for  use     For Airline Use  Complies with RTCA DO   160G section 21  category M     AC Power    Separate collection for electrical and  electronic equipment per EC Directive  2012 19 EU     DC Power  Bluetooth   symbol    IP22  Drip Proof Equipment  This device contains an RF transmitter     Caution  consult accompanying  documents   Oximeter Connection    ESD Warning symbol  Serial Connection    Class II  Double Insulated   Avoid ultraviolet radiation    Type BF Applied Part  Do not disassemble     For Indoor Use Only     System Contents  Your DreamStation system may include the following items       Device      SD card      User manual      Flexible tubing      Carrying case      Reusable blue pollen filter      Power cord      Disposable light blue ultra fine filter  optional       Power supply    1118499       Humidifier  optional   Note  If any of these items are missing  contact your home care provider     How to Contact Philips Respironics  Should you experience trouble with this equipment or require assistance setting up  using  or maintaining the device  or accessories  please contact your home care pr
48. ovider  If you need to contact Philips Respironics directly  call  the Philips 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    4  User Manual    System Overview  The DreamStation CPAP is a Continuous Positive Airway Pressure therapy device designed for the treatment  of Obstructive Sleep Apnea  OSA   The DreamStation CPAP Pro can also deliver CPAP check therapy  and the  DreamStation Auto CPAP can also deliver CPAP Check and Auto CPAP therapy  Your home care provider will choose  the appropriate pressure settings for you   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  Also  the Flex comfort feature provides you with pressure relief  when you exhale during therapy   Several accessories are also available for use with your device  Contact your home care provider to purchase any  accessories not included with your system     This figure illustrates some of the device features  described in the following table        Device Feature  Description    1  Therapy On Off Button  Starts and stops the airflow for therapy     2  Ambient Li
49. purchased by the Buyer from  an authorised Respironics dealer  7  To the extent permitted by law  where the Buyer has the benefit of an implied guarantee under  the Australian Consumer Law  but the Product is not of a kind ordinarily acquired for personal  domestic or household use or  consumption Respironics    liability shall be limited  at the option of Respironics  to the replacement or repair of the Product or the  supply of an equivalent Product  8  To exercise your rights under this warranty  contact your local authorised Philips Respironics  dealer  A list of all authorised dealers is available at the following link  http   www philips com au healthcare   Alternatively  you can make a claim under this warranty by contacting Respironics directly at  Philips Electronics Australia Limited   65 Epping Road  North Ryde NSW 2113  Australia  Tel  1300 766 488  Email  prcontact philips com  9  The following statement  is provided to a Buyer who is a    consumer    under the Australian Consumer Law  Our goods come with guarantees that cannot be  excluded under the Australian Consumer Law  You are entitled to a replacement or refund for a major failure and for compensation for any  other reasonably foreseeable loss or damage  You are also entitled to have the good repaired or replaced if the goods fail to be of acceptable  quality and the failure does not amount to a major failure  10  The following statement is provided to a Buyer who is a    consumer     under the Consumer Gu
50. r plate  and tube temperature settings can still be adjusted on the device Therapy screen  as normal     13  User Manual    Icon  Text  Description    Mask Type  This setting allows you to adjust the level of air pressure relief based on the  specific Philips Respironics mask  Each Philips 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   Note  If a lock icon is displayed on this screen  it indicates that your  provider has locked this setting and you cannot change it     Tube Type  This setting allows you to select the correct size diameter tubing that you are  using with the device  You can choose either  22  for the Philips Respironics 22  mm tubing  or  15  for the Philips Respironics 15 mm tubing  When using Heated  Tubing  the device will automatically change this setting to the appropriate tubing  type  15H  and you will not be able to change it   Note  Tubing is identified on the cuff with the tubing identifier symbol     15         22    or    15H      Note  If a lock icon is displayed on this screen  it indicates that your  provider has locked this setting and you cannot change it     Language  This feature allows you to choose which language to display on the interface   You can choose between  English  German  Spanish  French  Italian  Brazilian  Portuguese  Danish  Finnish  Norwegian  Swedish  Czech  or Polish  You can also  turn the language off  0
51. rom the device  Refer to the    Installing Replacing the Air Filters    section of this manual   3  Examine the filter s  for cleanliness and integrity   4  To clean the reusable blue pollen filter  first detach the light blue ultra fine filter if applicable  and set aside or  dispose of as needed  Then take the reusable filter to the sink  turn it upside down  and run warm tap water  through the white filter media to rinse away any debris  Next  lightly shake the filter to remove as much water as  possible  Allow the filter to air dry completely before reinstalling it  If the reusable blue pollen filter is torn  replace  it   Only Philips Respironics supplied filters should be used as replacement filters    5  If the light blue ultra fine filter is dirty or torn  replace it   6  Reinstall the filters  Refer to the    Installing Replacing the Air Filters    section of this manual   Caution  Never install a wet filter into the device  You must ensure sufficient drying time for the cleaned filter   Cleaning the Tubing  Clean the flexible tubing before first use and daily  Disconnect the flexible tubing from the device  For the  15 or 22 mm flexible tubing  gently wash the tubing in a solution of warm water and a mild detergent  Rinse  thoroughly  Air dry  Inspect the tubing for damage or wear  Discard and replace if necessary   Note  Refer to the humidifier manual for the instructions on how to clean the heated tube   Service  The device does not require routine servicing   War
52. sary  Refer to the instructions that came with your headgear   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   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     8  User Manual    Navigating the Device Screens  The User Interface  UI  on this device allows you to adjust the device settings and view information about your  therapy  The UI is comprised of the display screen and the control dial  Rotate the control dial in either direction to  scroll through the menu options on the display screen   Note  The display is not a touch screen  You must use the control dial to navigate the device menu   To adjust a setting   1  Rotate the control dial to your desired menu option   2  Press the control dial to select that setting   3  Rotate the control dial to change the setting   4  Press the control dial again to save the change   Note  The rotate dial icon  on any screen indicates to rotate the dial to perform an action  The click dial icon  on any screen indicates to press the dial to perform an action   Note  Pressing the dial when the down arrow  appears on any screen will take you to a sub menu with more  menu options  Pressing the dial when the up arrow  appears on any sub menu will return you back to the
53. serves 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 Respironics  Inc  reserves the right  to charge dealers for warranty service of failed product not purchased directly from Respironics  Inc  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 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  
54. tact your  provider     Humidification  Error  Contact  support if the  problem persists     Status  Humidifier error  only  when humidifier is  present     Humidifier heater  plate error or  humidifier not  properly connected to  therapy device    Turn off device and  disconnect from  power  Detach the  humidifier  visually  check that electrical  contacts are clear   then reconnect  humidifier and  power cord  If alert  continues  contact  your provider     18  User Manual    Alert  Icon  Type  Description  Possible Cause  Action    Heated Tube  Error  Contact  support if the  problem persists     Status  Heated tube error   only when heated  tube is present     Heated tube may  be overheated or  damaged     Turn off device   Detach heated tube  from humidifier   make sure that tube  is not covered or  obstructed  and then  reattach to humidifier   If alert continues   contact your provider     The attached  power supply  does not support  humidification     Alert 2  Indicates that the  attached power  supply is not capable  of supporting  humidification or  heated tube     Incorrect power  supply   Switch to a Philips  Respironics  DreamStation  power supply that is  capable of supporting  humidification  Or  operate therapy  device without  humidifier     Service Required  Safe State  Indicates an error  which enters device  into    Safe State      This allows power to  remain on but airflow  is disabled     Device error   Press Control Dial  to silence alert   Disconnect
55. try placing the tubing over the headboard  This may reduce  tension on the mask   6  Press the Therapy button again to turn off therapy   Note  During therapy  it there is a mains interruption  i e  power loss  the device will return to the Home screen  once power is restored  You may resume therapy as needed     9  User Manual    Menu Navigation  Therapy ON  and Optional Humidification Settings  While the device is delivering therapy  you can adjust Tube Temperature or Humidifier Settings  Rotate the control dial  to choose either setting  Press and rotate the dial to change the setting   Note  If you are using the Humidifier without the Heated Tube  simply just rotate the control dial to change the  Humidifier setting     Therapy Pressure Screen       Feature  Description    1  Therapy Pressure  Displays the current delivered pressure     2  Adjustable Tube Temperature  Setting  You can change this setting from 0 to 5  Only displays when optional  heated tube is connected     3  Adjustable Humidifier Setting  You can change this setting from 0 to 5  Only displays when  humidifier is attached     4  Enabled Features  Depending on setup  certain enabled therapy features will display  here     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 asleep and then gradually increases  ramps  the pressure  until your prescription setting is reached  
56. umidifiers installed in the unit     24  User Manual    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 reusable blue pollen filter at least once every two weeks and replace it  with a new one every six months  The light blue 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 operating temperatures that may affect device performance  Regularly  examine the inlet filters as needed for integrity and cleanliness   This device has an automatic air filter reminder  Every 30 days  the device will display a message reminding you to  check your filters and replace them as directed   Note  This message is a reminder only  The device does not detect the performance of the filters nor does it  recognize when a filter has been cleaned or replaced   1  If the device is operating  stop the airflow  Disconnect the device from the power source   2  Remove the filter s  f
57. w pressure  feels too high or too  low     The Tubing type  setting may be  incorrect     Make sure the Tubing type setting  22 or 15  matches the tubing that you are using   Philips Respironics 22 or 15 mm tubing    If you are using the Heated Tubing  this setting will be 15H and you cannot change  it     21  User Manual    Problem  Why It Happened  What To Do    Tube Temperature is  turned on in    Setup     screen but Heated  Tubing is not warm     Incorrect power  supply is being  used     Make sure the 80W power supply is being used or a compatible battery or DC  cable is being used     I   m having difficulty  adjusting the heated  humidifier setting  or the heated tube  temperature setting     The blower is  not turned on  or  the humidifier or  heated tube is not  fully connected     The humidifier setting and tube temperature settings can only be adjusted from the  Therapy ON display screen  Confirm that the blower is turned on  and that the  settings are visible on the right side of the screen  then adjust to desired comfort  If  the blower is on but the humidifier settings are not displayed on the Therapy ON  screen  then unplug the device  Confirm that the humidifier and or heated tube  electrical contacts are not obstructed or damaged  Then reconnect the humidifier  and or heated tube  and reconnect the device   s power supply  Turn the blower on   if the settings are still not visible  contact your provider for assistance     The water in the  water chamber runs
58. ygen 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 Philips 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 pressure valve   s instructions for complete setup information       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  A Philips Respironics DC power cord can be used to operate this device in a stationary recreational vehicle  boat   or motor home  In addition  a Philips Respironics DC battery adapter cable  when used with a DC power cord   allows the device to be operated from a 12 VDC free standing battery   Caution  Always ensure that the DC power cord securely fits into your therapy device prior to use  Contact  your home care provider or Philips Respironics to determine if you have the appropriate DC cord for your  specific therapy device   Caution  
59. ys a green checkmark if no issue is  detected  If device displays a red    X     please contact your home care provider for  assistance     My Setup     When you select    My Setup     you will be able to view the following screens  You can change the settings in the Setup  menu  These screens will only display if they are available and enabled on your device     Icon  Text  Description    Ramp  This displays the ramp starting pressure  You can increase or decrease the ramp  starting pressure in 0 5 cm H2O increments     Flex  This allows you to adjust the level of air pressure relief that you feel when you  exhale during therapy  Your home care provider can enable or disable this  feature  When your provider enables Flex  a level will already be set for you on  the device  You can increase or decrease the setting from 1 to 3  The setting of     1    provides a small amount of pressure relief  with higher numbers providing  additional relief   Note  If a lock icon is displayed on this screen  it indicates that your  provider has locked this setting and you cannot change it     Humidification  This displays the Humidification Mode being used  You can choose between  Fixed or Adaptive Humidification  If a heated tube is being used  the device will  automatically switch to Heated Tube Humidification Mode  A    lock    symbol will  appear next to the mode setting indicating that so long as the heated tube is  attached to the device  this mode cannot be changed  However  the heate
    
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