Duet LX User Manual new
Contents
1. RESPIRONICS INC 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA RESPIRONICS Deutschland Gewerbestrasse 17 82211 Herrsching Germany Ce 0123 1004437 LK 3 29 00 BiPAP D uet LX System Operating Instruction Manual EN RESPIRONIG TABLE OF CONTENTS Unpacking the System uunssnnnsennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 3 LinLigele 8723 1 u eecdGedccsduaceceetanancasadeus DEE ROFRERET TREE LEERE PEREFRNEEERE EEE 4 Warnings amp Cautions uuuuuunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnannnnnnn 5 System Features ice ees eee een 6 First Time Setup u 22 22 a 8 Installing the Filters esse 2 2 een 9 Setting the Ramp u eek 11 Setting the Alert Tone ecccceeesceeeeeeeeeeeteeeeeeeeteneeeees 12 FOSQ Test use 13 SmartCard sense 13 Assembling the Circuit 444444444 HH nnnnnnnnnnnnnnnnn nn 14 ACCESSOS JPERRRER SP ESPARERSTHITEL EL EEE ENECBERTEEREEELLENERTETSFLEBRELTERTSERRELE 15 Adding a Humidifier seen 15 Using DC Power nennen 15 Adding OXY OCI cece aussen Be 16 Catrying CaSe sirr ee ale 16 Ro tine USE ssicaaasteussesaisevaceatennecrdetaawnanaeetee es teapeateacerenennenavaeas 17 Connecting the Circuit anne ea 17 Adjusting the Circuit res 17 Starting Rampen sa ie 18 Turning the System Off eee eeseeeeeeeeseeeeeeeseeeeeeneeaes 18 Helplal klinis zes te en 18 Screen Messages 44444444m4Hnnnnnnnnnnnnonnnnnnnnnnnnnnnnnnn 19 Traveling wi2. is designed to exhaust CO from the circuit Continuous flow is required for safe operation Do not block or otherwise try to seal the air openings on the exhalation port MA If you are using a full face mask i e a mask covering both your mouth and your nose the mask must be equipped with a safety entrainment valve Adding a Humidifier CAUTION CAUTION CAUTION IMPORTANT Using a DC Power System CAUTION CAUTION ACCESSORIES Contact your home care provider for additional information on the accessories available for the Duet LX System Humidifiers are available from your home care provider The humidifiers may reduce nasal dryness and irritation by adding moisture to the air flow For safe operation the humidifier must always be positioned below the circuit connection at the mask and the air outlet on the Duet LX unit The humidifier must be level for proper operation When using a humidifier always disconnect the humidifier tubing from the Duet LX System when it is turned off DO NOT use a room humidifier within six feet 1 83 m from the Duet LX Moisture can build up in the System and cause damage Follow the instructions included with the humidifier When using a heated humidifier avoid using the high temperature setting which may cause water to collect in the tubing The Mask Alert Auto on and Auto off are convenience features that may not work at extreme
3. on e The alert tone will sound in less than 45 seconds if the mask alert feature has been turned on What to do e Press any button on the Duet LX to silence the alert tone and clear the display screen e Check the circuit flexible tubing mask for any leaks and adjust the mask and headgear e Press the Pressure On Off button to restart the air flow IMPORTANT The audible mask alert setting can be turned on or off See the First Time Use section for instructions 2 System Error The Duet LX is not functioning correctly and may need servicing What will happen e The air flow will turn off immediately e The alert tone will sound e The signal light will flash on and off What to do e Reset the Duet LX by unplugging the power cord from the electrical outlet and then plugging it in again e If the message appears again contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the serial number of the Duet LX and the error code ready when you call IMPORTANT This alert setting cannot be turned on or off 3 Remote Connected This message will appear during clinical use only 19 TRAVELING WITH THE SYSTEM 20 Packing the System Security Stations Checking the Power Cord IMPORTANT When traveling the optional carrying case is for carry on luggage only The carrying case will not protect the System if it is put through che
4. Duet LX has changed to include unusual or harsh sounds during operation contact your home care provider for directions on having the Duet LX serviced WARNING If the Duet LX malfunctions contact your home care provider immediately Never attempt to open the Duet LX s enclosure If you need technical assistance call Respironics Technical Service Department 1 800 345 6443 US and Canada or 1 412 731 2100 22 ROUTINE MAINTENANCE Maintenance Record Filter s Replaced Mask Replaced Pressures Checked Memory Reset Therapy Hours Total Operation Time Total Operation To display the total operation time Blower Off Time press the button below Usage The Usage usage hours will display for 10 seconds and then return to the main screen Total Operation Time Display M 100 T 12345 6 Exit B 23456 7 N M The amount of memory space available The Duet LX records patient usage information e g a history of pressure settings number of times the system was used for therapy Some physicians and home care providers record this information When M 000 is displayed contact your home care provider if he she has asked you to monitor the Duet LX s memory level If M is displayed contact your home care provider for servicing T The therapy hours are the total number of hours the Duet LX has operated with the air flow turned on Like a trip meter in a car the therapy hours can be reset to ze
5. Duet LX records patient usage information e g a history of pressure settings times the system was used for therapy Some physicians and home care providers record this information to assist in your bi level treatment When 000 is displayed contact your home care provider if he she has asked you to monitor the memory level Information will still be recorded once 000 is displayed The SmartCard is not installed in the side of the Duet LX Your home care provider or doctor may have decided that recording the Duet LX s usage is not important for your therapy The Duet LX may not be operating correctly Contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the serial number of the Duet LX ready when you call The Duet LX may not be operating correctly Reset the Duet LX by unplugging the power cord from the electrical outlet and then plugging it in again If the message appears again contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the serial number of the Duet LX ready when you call The Encore SmartCard has been inserted improperly Remove the SmartCard Reinsert the SmartCard making sure that the printed side of the card is facing up and the end with the arrow goes into the device first If the message appears again contact your home care provider or Respironics for directions on having the Duet LX serviced Pleas
6. IME SETUP When Change Settings is displayed if you press the button below No a screen will appear that says FOSQ Test Yes The FOSQ test is a quality of life questionnaire designed specifically for people with sleep disorders The results allow health care professionals to see how therapy has improved the quality of your life By completing the questionnaire periodically you can provide valuable information about the effectiveness of your treatment The Duet LX has the ability to record your answers on the SmartCard for later review by the health care provider Contact your home care provider for further instructions ES Settings No If your doctor or home care provider instructs you to complete the questionnaire he will provide you with the instructions and the questions and you will enter your answers into the Duet LX Make sure the SmartCard is installed before answering the questions A message will display asking if you want to take the FOSQ test If you want to take Ee eee the test Press the button below Yes NOTE This screen will not display if the amp SmartCard is not installed If you do not want to take the test press the button below No and the display will go back to the main screen A SmartCard is installed in the side of the Duet LX to record information for the home care provider Your home care provider may ask you to periodic
7. Inc 2000 UNPACKING THE SYSTEM After unpacking the System check to make sure you have everything shown here Duet LX User with Manual SmartCard Pollen Filters Optional Ultra Fine Filter IMPORTANT If any of the above parts are missing contact your home care provider Some Duet LX Systems may also include one or more of the following accessories e 6 ft 1 83 m Flexible Tubing 22 mm I D reusable or lightweight e Headgear e Exhalation Port e Nasal Mask e Humidifier e Carrying Case The Encore SmartCard is a feature included with the newest models of the Duet LX which records the device usage Another new feature is the FOSQ Quality of Life questionnaire Your doctor or home care provider may ask you to periodically complete this questionnaire and send your answers recorded on the SmartCard The FOSQ questionnaire is detailed in the enclosed Sleep Apnea Solutions brochure If your Duet LX does not have the SmartCard feature ignore any instructions pertaining to the SmartCard and FOSQ questionnaire INTRODUCTION Intended Use Introduction IMPORTANT Contraindications The Duet LX Bi level System delivers positive airway pressure therapy for the treatment of adult Obstructive Sleep Apnea OSA only The System offers several options in how therapy is delivered so treatment can be personalized to meet your needs The System delivers two different positive pressure levels IPAP
8. Inspiratory Positive Airway Pressure and EPAP Expiratory Positive Airway Pressure Your home care provider will make the correct pressure settings When prescribed by your physician the ramp function allows you to lower the pressure when you are trying to fall asleep The air pressure will gradually increase until your prescription pressure is reached You also have the option of not using the ramp feature at all Several accessories are available to make your OSA treatment with the Duet LX System as convenient and comfortable as possible Contact your home care provider to purchase any accessories not included with the Duet LX System Read and understand the entire user s manual before operating this System If you have any questions concerning the use of this System contact your home care provider or doctor Studies have shown that the following pre existing conditions may contraindicate the use of positive airway pressure therapy for some patients e Bullous Lung Disease e Pathologically Low Blood Pressure 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 contrai
9. ON ATTENTION DO NOT use the Duet LX Bi level System until an appropriate professional adjusts the settings To use the system you will need the following accessories in order to assemble the required patient circuit To order any accessories not included with the Duet LX contact your home care provider e Respironics 6 ft 1 83 m Flexible Tubing e Respironics Mask with Exhalation Port e g Whisper Swivel II or a Respironics Mask with a built in exhalation port Headgear DO NOT connect any equipment to the Duet LX unless recommended by Respironics or your doctor Respironics circuit accessories i e nasal mask exhalation port flexible tubing and Comfort Flap are for single patient use only and are not intended to be used on multiple patients If the Duet LX has been exposed to either very hot or very cold temperatures allow the device to adjust to room temperature approximately 2 hours before beginning setup When operating the Duet LX System make sure bedclothes curtains or other items are not blocking the filter cap openings or the vents on the Duet LX Make sure the Duet LX is away from heating equipment e g forced air vents radiators The SmartCard does not need to be installed for the Duet LX to work properly The SmartCard records device usage information for use by your home care provider Contact your home care provider if you have any questions about the SmartCard Installing Filters P
10. ally remove the SmartCard and mail it to him for evaluation The arrow in the upper right corner of the display screen signifies that the Blower Off gt ba Usage Menu SmartCard is installed properly 13 FIRST TIME SETUP Assembling the Circuit WARNING WARNING WARNING 14 4 Assemble the circuit To use the System you will need the following accessories in order to assemble the recommended circuit 6 ft 1 83 m Flexible Tubing e Nasal Mask with Exhalation Port Headgear If the Duet LX is used for multiple persons e g rental devices a low resistance main flow bacteria filter should be installed in line between the Duet LX and the circuit tubing Appropriate diagnostic pressures must be determined when a bacteria filter and other optional circuit accessories are in place a Connect the flexible tubing to the air outlet on the front of the Duet LX b If you are using a mask with a built in exhalation port Connect the mask s connector to the flexible tubing If you are using a mask with a separate exhalation port Connect the exhalation port to the end of the flexible tubing Position the exhalation port so that the vented air is blowing away from your face Connect the mask s connector to the exhalation in A te it Connector Mask Exhalation Port TT Exhalation lt Port rot Flexibi Flexible exible i Tubing Tubing The exhalation port
11. altitude levels or with some mask types or circuit configurations i e pass over humidifier full face mask If this occurs press the Pressure On Off button on the Duet LX to turn the air flow on or off This will not adversely affect the therapy you receive from the System You can also use the Duet LX in a stationary recreational vehicle boat or motor home with a 12 volt DC power source The Duet LX should not be operated while the vehicle is in motion Contact your home care provider for additional information Only use the Respironics DC Power System available from your home care provider Use of any other system may cause damage to the Duet LX or your vehicle DC Power is not intended to be used as battery back up DO NOT connect the DC Power System while the Duet LX is operating on AC power 15 ACCESSORIES Adding Oxygen to the System WARNING WARNING WARNING WARNING Carrying Case 16 The oxygen must comply with local regulations for medical oxygen use The oxygen flow into the patient circuit must not exceed 15 L min and the oxygen pressure must not exceed 50 psi Please note the warnings listed below when using oxygen with the Duet LX System When using supplemental oxygen with the Duet LX a Respironics Pressure Valve must be placed in line with the patient circuit between the Duet LX and an O Enrichment Attachment Oxygen should be administered only on the order of a physician Consult with yo
12. before cleaning DO NOT immerse the Duet LX into any fluids The instructions in this manual are not intended to supersede established medical protocols Contact your doctor if symptoms of sleep apnea recur Should the noise level of the Duet LX change to include unusual or harsh sounds during operation discontinue use and contact your home care provider Discontinue using the Duet LX if any of the parts are damaged Replace any damaged parts before continuing use Tobacco smoke may cause tar buildup within the Duet LX that may result in the device malfunctioning The Duet LX is powered when the cord is connected to the main supply The Pressure On Off button enables disables the blower only The Duet LX must be positioned on its base for proper operation Additional warnings and cautions are located throughout this manual as they apply SYSTEM FEATURES AC Power Connector Communications Connector DC Power Connector Display Screen User Buttons Ramp Button Pressure On Off Button Pressure Port Air Outlet SmartCard SYSTEM FEATURES AC Power Connector 0s000 Connect the power cord here Air Outlet eccessnssnsnsssssnsnssnnsonsnnsnnne Connect the flexible tubing here Communications Connector eersorsnssnesersnsnnesnssnsnnennn For clinical use only DC Power Connector s006 Connect the optional DC power cord here Display Screen sccscsscssesseseees Al
13. cked baggage For ease at security stations there is a note on the bottom of the Duet LX stating that it is medical equipment It may be helpful to bring this manual along with you to help security personnel understand the Duet LX If you are traveling to another country an international plug adapter may be required to make your power cord compatible with the power outlets of the country to which you are traveling For more information contact Respironics Customer Service department at 1 800 345 6443 US and Canada or 1 412 731 2100 Cleaning and Replacing the Filters CAUTION CAUTION ROUTINE MAINTENANCE The gray pollen filter should be cleaned at least once every two weeks under normal usage and replaced with a new one every six months The white ultra fine filter is disposable and should be replaced after 30 nights of use or sooner if it appears dirty DO NOT clean the ultra fine filter Operating the Duet LX with a dirty filter may keep the system from working properly and damage the Duet LX 1 Remove the filter cap by gently pressing down on the two latches on the top of the filter cap 2 Change the filters a Remove the pollen filter by gently pulling around the edges of the filter Rinse the filter in a steady stream of running water Squeeze out the water and repeat Air dry on a rack for 8 to 12 hours or in a clothes dryer for 15 to 20 minutes If you are using the white ultra fine filter and it appears
14. cordance with the product specifications for a period of two 2 years from the date of sale by Respironics Inc to the dealer If the product fails to perform in accordance with the product specifications Respironics Inc will repair or replace at its option the defective material or part Respironics Inc will pay customary freight charges from Respironics Inc to the dealer location only This warranty does not cover damage caused by accident misuse abuse alteration and other defects not related to material or workmanship 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 Respironics Inc at 1001 Murry Ridge Lane M
15. dirty discard the filter and replace it with a new one b Place the white ultra fine filter under the clean pollen filter Insert the filter s into the filter area on the back of the Duet LX Never install a wet filter into the Duet LX We recommend that you clean the filter in the morning and alternate using the two pollen filters provided with the System to ensure enough drying time for the cleaned filter 3 Replace the filter cap 21 ROUTINE MAINTENANCE Cleaning the System WARNING To avoid electrical shock unplug the Duet LX before cleaning DO NOT immerse the Duet LX into any fluids 1 Disconnect the flexible tubing from the Duet LX Gently wash the flexible tubing and the tubing swivel in a solution of warm water and a mild detergent Rinse thoroughly Air dry 2 Wipe the outside of the Duet LX with a cloth slightly dampened with water and a mild detergent Let the Duet LX dry before plugging in the power cord 3 Inspect the Duet LX and all circuit parts for any damage after cleaning Replace any damaged parts Reo rdering Contact your home care provider to order all accessories or replacement filters e g humidifier mask Service The Duet LX System does not require routine servicing If symptoms of sleep apnea recur contact your physician e If you feel the Duet LX is not performing properly or delivering the correct air pressure contact your home care provider or Respironics e If the noise level of the
16. e have the serial number of the Duet LX and the error code ready when you call Device Size Product Use Transport and Storage Power Requirements Symbol Key SPECIFICATIONS Dimensions 29x18x14 cm Weight 5 8 lbs 2 6 kg Operation Transport amp Storage Temperature 41 95 F 5 35 C 4 140 F 20 60 C Humidity 30 75 Non condensing 15 95 Non condensing Atmospheric Pressure 76 7 102 kPascals 50 102 kPascals The electrical installation of the room must comply with local requirements 100 240 VAC 50 60 Hz 1 0 A max 12 VDC 4 ADC max Type of protection against electric shock Class II Equipment Degree of protection against electric shock Type BF Applied Part Degree of protection against harmful ingress of water Ordinary Equipment IPX0 Fuses There are no user replaceable fuses DC Cord Fuse not included 5 A Time Delay Type MDL EMC Interference Meets IEC 60601 1 2 Mode of Operation Continuous Communications Connector Connect only to a computer with IEC 60950 EN 60950 or UL1950 approval PB Pressure ON OFF a Ramp DC Power Type BF Applied Part Class II Double Insulated gt tl gt Attention consult accompanying documents of N N o Conformity mark to the Medical Device Directive 93 42 EEC 27 LIMITED WARRANTY 28 Respironics Inc warrants that the Duet LX device shall be free from defects of workmanship and materials and will perform in ac
17. ected The Pressure On Off button only turns the blower on off FIRST TIME SETUP 10 IMPORTANT IMPORTANT Device Settings IMPORTANT After the Duet LX is plugged into an electrical source it will perform a brief self diagnostic test The following message will then appear on the display screen Respironics 2000 v x 0 L N DO NOT use the Duet LX if the display is erratic Contact your home care provider for further instructions DO NOT turn the air flow on until the circuit tubing is connected 3 Follow the display screens to change the system settings Make sure the air flow is turned OFF You cannot change any settings while the Duet LX s air flow is turned ON a The blower status will be displayed and the green signal light will be on Press the button below Menu Blower Off Usage Menu A b A message will display asking if you want to change the settings Press the button below Yes Change Settings Yes No If you press No go to page 13 for instructions The Ramp Feature Setting the Minimum Ramp Pressure FIRST TIME SETUP The Ramp feature will reduce the pressures and then gradually increase ramp the pressures to the prescription pressure settings so that you can fall asleep more comfortably If your physician prescribed ramp for you the minimum ramp pressure setting will be displayed If ramp has not been prescribed for you go to Step d c The m
18. ight You may have a sinus infection or middle ear infection Stop using the Duet LX and contact your doctor Contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the Duet LX s serial number ready when you call Replace or clean the filter Make sure the Duet LX is away from bedding or curtains that could block the flow of air around the Duet LX Make sure the Duet LX is away from heating equipment e g forced air vents radiators TROUBLESHOOTING Problem Solution s The noise level of the Duet LX has changed to include unusual or harsh sounds during operation The Duet LX will not turn on The Duet LX has hours recorded on the time meter when it is delivered The Mask Alert message appears on the display screen and the alert tone is sounding The Mask Alert is not working Pressing the Ramp button does not reduce the air pressure The air flow will not automatically turn ON or OFF Contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the Duet LX s serial number ready when you call Make sure that the Duet LX is plugged into a working outlet If you are using a DC battery the battery may need to be recharged or replaced or the fuses may need to be replaced Contact your home care provider or Respironics for directions on having the Duet LX serviced Please have the Duet LX s serial numbe
19. inimum ramp pressure will be displayed Your home care provider will have already set a minimum ramp pressure If you feel the minimum ramp pressure is set too low or too high you can change the setting Range 3 cm H O to EPAP pressure setting If the minimum ramp pressure is correct press the button below Yes To change the pressure in 1 cm H O increments press the button below 1 until the desired pressure is displayed Press the button below Yes to confirm the setting Min Ramp P Yes 1 Air Flow Turned On Ramp Button Pressed Therapy Pressures_ Minimum D Ramp Ta Pressure 0 cm H O z le Ramp Time Minutes 11 FIRST TIME SETUP Turning the Alert d The audible mask alert is a beeping sound that the Duet LX makes Tone On or Off when a large continuous air leak has been detected in the circuit You have the option of turning the alert tone On or Off If the setting is correct press the button below Yes To change the setting press the button below No Press the button below Yes to confirm the setting Mask Alert On Yes No IMPORTANT The Mask Alert is a convenience feature that may not work at extreme altitudes or with some mask types or circuit configurations i e pass over humidifier full face mask This will not adversely affect the therapy you receive from the System 12 FOSQ Test IMPORTANT SmartCard FIRST T
20. l System settings total operating time and therapy hours will be displayed here Filter Cap amp Filters csc00 The pollen filter screens out normal household dust and pollens This must be in place at all times when the Duet LX is operating An optional ultra fine filter is also included for more complete filtration of very fine particles Pressure On Off Button ccccsscsessessresesscssresesecseres This button turns the air flow on or off Ramp Button cursonssorsonssonsnersonnne This button decreases the pressure to the minimum ramp pressure setting Signal Light eeersorsonsonsnssensonne The green light signals when the Duet LX is ready for use The light will go out when the air flow is turned on A flashing light signals that the Duet LX needs to be serviced SmartCard sessssonsssssnsossnnssnsonene The SmartCard records device usage information e g a history of pressure settings and times the system was used for therapy Contact your home care provider for further information about the SmartCard User Buttons cusursonssorsoessonsnersonene These buttons can be used to change some of the System settings Medical Product Note For ease at airport security stations there is a note on the bottom of the Duet LX stating that it is medical equipment It may help if you also take this manual with you when you travel FIRST TIME SETUP WARNING WARNING WARNING CAUTION CAUTI
21. matically turn off in less than 1 minute If the audible mask alert is turned on the alert tone will sound in less than 45 seconds after you remove the mask The Auto off feature may have been disabled by your home care provider Press the Pressure On Off button on the top of the Duet LX to turn the air flow OFF When using a humidifier you must disconnect the humidifier tubing from the Duet LX System when the air flow is turned off Moisture can build up in the System and cause damage to it If the alert tone sounds press any button on the Duet LX to silence the alert tone Refer to the Screen Messages section of the manual for further instructions If you want to talk after putting on the mask and ramp has been prescribed for you use the Ramp button to reduce the pressure This will make talking easier Make sure that bedding curtains or other items are not blocking the filter or vents of the Duet LX Air must flow freely around the Duet LX for the System to work properly If the air flow from the Duet LX feels cold reposition the circuit tubing so that it runs under your bed covers to reduce heat loss while you sleep ROUTINE USE Screen During use any of four messages may be shown on the display screen Messages 1 Mask Alert A large circuit leak such as mask removal has been detected What will happen e The air flow will turn off in less than 1 minute if the auto off feature has been turned
22. me mask types some circuit configurations or at higher altitudes the air flow may NOT automatically turn on or If your home care provider has not selected the Auto On feature for you put on the mask and headgear and immediately turn the air flow ON Pressure On Off Button by pressing the Pressure On Off button on the top of the Duet LX Breathe normally through your nose 2 Adjust the circuit a Lie down on your bed and adjust the flexible tubing so it is free to move if you turn in your sleep b Adjust the mask and headgear until you have a comfortable fit and there are no air flow leaks into your eyes When the air flow is on the green signal light will go out The word Menu will no longer be displayed and the pressure setting will now be shown 17 ROUTINE USE Starting Ramp Turning the System OFF IMPORTANT WARNING Helpful Hints 18 The Ramp feature will reduce the pressure and then gradually increase ramp the pressure to the therapeutic pressure setting so that you can fall asleep more comfortably If your physician prescribed ramp for you pressing the Ramp button will reduce the air pressure when you are trying to fall asleep Note The ramp feature is not prescribed for all users 3 Press the Ramp button on the top of the Duet LX You can use the Ramp button as often as you wish during the night 4 Remove the mask and headgear The air flow will auto
23. ndicated if you exhibit signs of a sinus or middle ear infection Contact your physician if you have any questions concerning your therapy CAUTION WARNING Indicates the possibility for injury to the user or the operator CAUTION Indicates the possibility of damage to the device WARNINGS amp CAUTIONS U S federal law restricts this device to sale by or on the order of a physician This device is intended for adult use only This device is not intended for life support Most CPAP and bi level devices have the potential to allow rebreathing of exhaled air To reduce this potential observe the following Use only Respironics circuit accessories Do not wear the mask and headgear for more than a few minutes while the unit is not operating Do not block or try to seal the vent holes in the exhalation port As with most CPAP and bi level devices At low CPAP pressures some exhaled gas CO may remain in the mask and be rebreathed Under certain conditions the temperature of the air flow from this device can be as much as 18 F 10 C higher than the air temperature in the room Caution should be exercised if the room temperature is warmer than 90 F 32 C This equipment is not suitable for use in the presence of a flammable anesthetic mixture in combination with oxygen or air This equipment is not suitable for use in the presence of nitrous oxide N O e To avoid electrical shock disconnect the power cord
24. ower Cord IMPORTANT CAUTION CAUTION FIRST TIME SETUP 1 Install the filters in the back of the Duet LX The pollen filter must be in place at all times when the Duet LX is operating The white ultra fine filter is optional and can be used in addition to the pollen filter The ultra fine filter is recommended for people who are sensitive to tobacco smoke or other small particles a Place one of the pollen filters over the ultra fine filter Or if you are not using the ultra fine filter simply place the pollen filter into the filter area on the back of the Duet LX An extra pollen filter is included for your convenience b Attach the filter cap Insert the cap s bottom tabs into the openings below the filter area Press down on the cap s top tabs and insert them into the openings above the filter area 2 Connect the power cord Plug the socket end of the power cord into the AC power connector on the back of the Duet LX Plug the pronged end of the power cord into an electrical outlet An international plug adapter may also be required to make your power cord compatible with the electrical outlet of the country you are in If further assistance is required contact Respironics International Customer Service department at 1 800 345 6443 US and Canada or 1 412 731 2100 Inspect the power cord often for any signs of damage Replace a damaged cord immediately The Duet LX is activated when the power cord is conn
25. r ready when you call The Duet LX is tested at the factory prior to shipment It may be possible for several hours of testing time to be recorded on the Duet LX Press any button on the Duet LX to silence the alert tone and clear the display screen The system has detected a large leak in the circuit or you have taken the mask off without turning the air flow off Check the circuit connections for leaks The Auto on Auto off and Mask Alert are convenience features that may not work with some mask types circuit configurations or at extreme altitudes This will not adversely affect the therapy received from the System In the settings menu make sure the display reads Mask Alert On Contact your home care provider Ramp may not have been prescribed for you Make sure the ramp pressure setting is lower than your EPAP pressure setting The Auto on Auto off and Mask Alert are convenience features that may not work with some mask types circuit configurations or at extreme altitudes This will not adversely affect the therapy received from the System The Auto on and Auto off settings may have been disabled by your home care provider 25 TROUBLESHOOTING Problem The memory display reads M 000 The memory display reads M The memory display reads M The System Error message appears on the display screen The Remove Card message appears on the display screen Solution s The
26. ro by the home care provider B The total blower time is the total number of hours the Duet LX has been in use This total includes factory testing time Exit Returns the display to the main screen 23 TROUBLESHOOTING 24 The table below lists common problems you may have with the Duet LX System and possible solutions to those problems If none of the corrective actions solve the problem contact your home care provider Problem Sore or dry eyes Redness on your face where the mask contacts your skin Dryness or burning sensation in your throat or nose Nasal sinus or ear pain The pressure being delivered feels different The air flow from the Duet LX seems warm Solution s Readjust the headgear Contact your home care provider to be fitted for a different mask style or size Loosen the headgear Check the mask s spacer to see that it is in good condition Use a barrier between your skin and the mask such as 3M s Microfoam tape Squibb s Duoderm or Hollister s Restore If you are using Respironics Contour Nasal Mask try adding a Comfort Flap mask accessory Contact your home care provider to be fitted for a different mask style or size Contact your doctor if the problem persists Consult with your doctor or home care provider about using a humidifier with the Duet LX If you are using a nasal mask you may want to also use a chin strap to help keep your mouth closed during the n
27. th the System uunnnnsunssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 20 Routine Maintenance urresssnnnannnnnennannnnnannnnnnnnnnnnnnnnn 21 Filters an ee u 2 21 Gleanind ur seele bein 22 Re rdering r eier 22 SENICE eine ner 22 Maintenance Record 2 en ae 23 Troubleshooting e nsscunnee anna 24 SPECIFIC AMON secs cscs se cez cess cssccesacesesesncseraezeevatisacesavsnoseeaasarcees 27 Warranty sed schesececcniustadadeSiceed Sansa axedeatwadetisadaateasweceatencinaarsdiact 28 The BiPAP Duet LX bi level device carries a two year warranty See the Warranty section of this manual for details A warranty comment card should be included with this manual for your completion If it is not contact Respironics Warranty Administrator at 1 800 666 2901 US and Canada or 1 412 731 2100 to register your equipment and receive a FREE package of filters For Information on Sleep Disorders Contact American Sleep Apnea Association 2025 Pennsylvania Ave N W Suite 905 Washington D C 20006 Telephone 1 202 293 3650 National Sleep Foundation 1367 Connecticut Ave N W Suite 200 Washington D C 20036 Telephone 1 202 785 2300 BiPAP Duet LX Bi level System is the subject of U S patents 5148802 5239995 5313937 and 5433193 Other US and foreign patents pending Great Performers Duet Whisper Swivel Monarch GoldSeal Spectrum Plateau and Comfort Flap are trademarks of Respironics Inc Respironics
28. ur home care provider if your physician has prescribed oxygen for you When using oxygen with the Duet LX System turn the Duet LX on before turning the oxygen on Turn the oxygen off before turning the Duet LX off This will prevent oxygen accumulation in the Duet LX Oxygen accelerates fires Keep the Duet LX and the oxygen container away from heat open flames or other sources of ignition DO NOT smoke in the area near the Duet LX or the oxygen Connect the oxygen as l To Controlled shown here Oxygen Source Pressure Oz Enrichment Valve Attachment The carrying case holds the Duet LX and accessories When traveling by airplane the carrying case is for carry on luggage only Never check the Duet LX through the airline baggage department Connecting the Circuit Adjusting the Circuit ROUTINE USE 1 Connect the circuit Before each use examine the flexible tubing for any damage or debris Replace any damaged tubing a Connect the mask to the headgear following the instructions included with the mask and headgear If your home care provider has selected the Auto On feature for you put on the mask and headgear and breathe normally through your nose The air flow should automatically turn ON when you begin breathing through the circuit If the air flow does not turn on within four breaths turn it ON by pressing the Pressure On Off button on the top of the Duet LX When operating the System with so
29. urrysville Pennsylvania 15668 1 800 345 6443 or 1 412 731 2100 IMPORTANT Fill in the information below when you receive the Duet LX System Duet LX Serial No Located on the bottom of the Duet LX System Prescribed for Date of Purchase or Rental Pressure Settings PIAP____cmH O EPAP ____cmH O Mask Type Mask Size Comfort Flap Nasal Mask Accessory yes ___no If you have any questions concerning the System contact e Home Care Company Telephone Number e Doctor Telephone Number e Respironics Inc 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 U S A Customer Service Telephone Number 1 800 345 6443 Us and Canada or 1 412 731 2100
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