S8 Escape User Manual
Contents
1. Key Function Start Stop Starts or stops treatment Co Up Allows you to increase settings options and scroll through the S8 ESCAPE menu Down Allows you to decrease settings options and scroll through the S8 ESCAPE menu Left Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes menu S change and apply Right Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes exit and cancel BACKLIGHTS The keypad and LCD are equipped with backlights that come on when the device is powered The LCD backlight turns off after two minutes of inactivity and comes back 10 VZ e 33817512 book Page 11 Wednesday January 19 2005 1 42 PM on when you press a key Once the Start Stop key has been pressed to start treatment the LCD backlight stays on for two minutes The keypad backlight is always on while the S8 ESCAPE is on How TO CHANGE THE SETTINGS ON YOUR S8 ESCAPE You can change settings such as Ramp Time Altitude on the S8 ESCAPE by using the keypad and LCD When the S8 ESCAPE is in standby mode you can display a series of screens a menu on the LCD screen in order to view and change the settings for a particular function 58 ESCAPE PATIENT MENU RAMP 10min MENU ALT 0 610m Change t Exit USED HRS 960 Exit USAGE 120 180 Exit LAN2. The Card Inserted Please Wait message is displayed on the LCD while updating is in progress Updating takes approximately five seconds The Settings Success Remove Card message is displayed on the LCD if the settings were updated successfully Note This message only appears once If you re insert the Data Card after you have updated your settings th s message is not displayed Remove the Data Card from the Data Card module Store the Data Card in its mailback envelope when not in use 1 WARNING f your clinician has told you to use this Data Card to update the settings on your device and the Settings Success message does not appear contact your clinician immediately 15 o Zs 33817512 book Page 16 Wednesday January 19 2005 1 42 PM CLEANING AND MAINTENANCE You should regularly carry out the cleaning and maintenance described in this section Refer to your mask manual for detailed instructions DAILY CLEANING Mask Clean the mask according to the instructions supplied with the mask Air tubing Disconnect the air tubing from the S8 EsCAPE and humidifier if used and hang the tubing and mask in a clean dry place until next use Humidifier f you are using a humidifier clean it according to the instructions in the humidifier user s manual WEEKLY CLEANING Remove the air tubing from the S8 ESCAPE and the mask 2 Wash the air tubing in warm water using mild detergent Rinse thorough
3. 858 746 2900 Email reception resmed com ResMed UK Ltd 65 Milton Park Abingdon Oxfordshire 4 4RX UK Tel 44 1235 862 997 Fax 44 1235 831 336 Email reception resmed co uk ResMed Asia Pacific Ltd 97 Waterloo Road North Ryde NSW 2113 Australia Tel 61 2 9886 5000 or 800 991 900 toll free Fax 61 2 9889 1471 Email reception resmed com au ResMed Finland Niittykatu 6 FIN Espoo Suomi Tel 358 9 8676820 Fax 358 9 86768222 Email reception resmed fi ResMed GmbH amp Co KG FraunhoferstraBe 16 82157 Martinsried Deutschland Tel 49 0 89 99 01 00 Fax 49 0 89 99 01 10 55 Email reception resmed de ResMed Hong Kong Ltd Room 1714 Miramar Tower 132 134 Nathan Road Tsim Sha Tsui Hong Kong Tel 852 2366 0707 Fax 852 2366 4546 Email reception resmed com hk ResMed Japan Nihonbashi Hisamatsu Bldg 4F 2 28 1 Nihonbashi Hamacho Chuo Ku Tokyo 103 0007 Japan Tel 81 3 3662 5056 Fax 81 3 3662 5040 ResMed Malaysia Sdn Bhd Suite E 10 20 Plaza Kiara 2 Jalan 1 70C Mon t Kiara 50480 Kuala Lumpur Malaysia Tel 60 3 6201 7177 Fax 60 3 6201 2177 Email reception resmed com my ResMed NZ Ltd PO Box 51 048 Pakuranga Auckland New Zealand Tel 0800 737 633 NZ toll free or 64 274 737 633 Fax 0800 737 634 NZ toll free or 64 9 239 0193 Email reception resmed co nz ResMed SA Parc de la Bandonni re 2 rue Maurice Audibert Saint Priest France Tel 33 0 4 37 251 251 Fax 33 0 4 37 251 260 Email
4. humidifier 18 cleaning 16 humidifiers 6 I international use 18 K keypad 5 10 keypad keys functions 10 L language setting 12 LCD 5 7 10 error messages 21 messages 13 left key 10 M mailback envelope 15 mask 18 20 air leak 18 attaching 7 cleaning 16 removing 18 mask leak 18 mask port 20 masks 5 medical information 1 menu screens 11 access 11 change 11 exit 11 scrolling 11 module attaching 5 blank 14 Data Card 14 modules 14 blank 14 N nasal irritation 18 gt lt Q Z 29 SA SP aK e 33817512 book Page 30 Wednesday January 19 2005 1 42 PM P power cord 5 20 connecting 7 power sockets 5 power sources 19 power supply 23 R ramp time 8 12 20 reminder call provider 13 insert card 13 replace filter 13 replace mask 13 reminders 13 service due 13 ResScan Data Card module 6 right key 10 S S8 Escape dimensions 23 servicing 17 settings 11 set up 7 start treatment 8 stop treatment 8 travelling with 18 setting up 7 software version number 12 standby screen 7 start stop key 10 SW 12 system specifications 23 T troubleshooting 20 U up key 10 Usage 12 use on aircraft 19 Used hours 12 weekly cleaning 16 30 NZ
5. DATA CARD e Switch on the S8 ESCAPE and wait until you see the standby Ramp screen un Hold the Data Card with the arrow facing up and insert it into the slot in the Data E a Card module F 1 e Push the card in smoothly until it stops moving F 2 and messages start appearing on the LCD A 2 COPY DATA ONTO THE DATA CARD Data copying starts automatically when the Data Card is inserted into the Data Card module he Card Inserted Please Wait message is displayed on the S8 EscAPE LCD while data is being copied Copying takes approximately five seconds The Copy Complete Remove Card message is displayed on the LCD when copying has finished Remove the Data Card from the Data Card module 3 REMOVE THE DATA CARD Grip the end of the Data Card and pull it out of the Data Card module F 3 4 STORE THE DATA CARD Your Data Card should be stored in its mailback envelope when not in use 5 MAIL THE DATA CARD TO YOUR CLINICIAN If your clinician has requested that you mail your Data Card back to them make sure their name and address is on the mailback envelope Then place the Data Card in the envelope and seal it and mail it back immediately USING THE DATA CARD TO UPDATE SETTINGS If your clinician has provided a Data Card with new device settings With the device in standby Ramp mode insert the Data Card into the slot on the Data Card module Updating will start automatically
6. MIRAGE FULL FACE MASK NZ SP ES e 33817512 book Page 6 Wednesday J 19 2005 1 42 PM Als J ge ednesday January 19 E WARNING Only ResMed mask systems are compatible for use with the S8 Escape Please refer to Warnings on page 2 HUMIDIFIERS A humidifier may be required if you are experiencing dryness of the nose throat or mouth The S8 ESCAPE is compatible for use with e HUMIDAIRE heated humidifier Figure G on the illustrations sheet RESSCAN DATA CARD MODULE The RESSCAN Data Card module and RESSCAN Data Card 1 may be used with the S8 ESCAPE either to help your clinician to monitor your treatment or to provide you with updates to your device settings See Using a ResScan Data Card Module on page 14 for information about how to use the Data Card module and Data Card ACCESSORIES Please refer to the illustrations in section B of the illustration sheet Other accessories for use with the S8 ESCAPE e Air tubing 3 m B 2 Medium air tubing 52 cm for HUMIDAIRE connection B 3 DC I2 converter B 4 Blank module B 5 Note ResMed regularly releases new products Please check our website at www resmed com o e 33817512 book Page 7 Wednesday January 19 2005 1 42 PM How TO USE THE S8 ESCAPE Please refer to the illustrations in section C of the illustration sheet SET UP THE S8 ESCAPE 1 Place the S8 EsCAPE on a table near
7. RESSCAN DATA CARD MODULE Please refer to the illustrations in section E of the illustration sheet The RESSCAN Data Card module is an accessory to the S8 ESCAPE Use a RESSCAN Data Card with the Data Card module to collect data and update settings in the S8 Escape The module and card give your clinician convenient access to data about your treatment and can provide you with new device settings from your clinician without your having to leave home ATTACHING THE MODULE To attach the Data Card module push it onto the data communications port at the back of your S8 ESCAPE until it clicks into place 1 REMOVING THE MODULE To remove the Data Card module pull it off the back of the S8 EscAPE E 2 Note To protect the data communications port always ensure there is a module attached to the device UsiNG THE DATA CARD TO COLLECT DATA Please refer to the illustrations in section F of the illustration sheet f your clinician needs to review your treatment they will ask you to use the Data Card to copy data from your S8 ESCAPE and to return the card to them The Data Card will be provided in a convenient mailback envelope Data that is copied to a Data Card is still stored and available on the S8 ESCAPE t takes approximately five seconds to copy data onto the Data Card 14 NZ SP ES e 33817512 book Page 15 Wednesday J 19 2005 1 42 PM ADS ge ednesday January 19 1 INSERT THE
8. and replace your for replacement mask with a new one CALL May appear as a Press the Left Ok key to remove the PROVIDER reminder to message from your LCD and contact your contact your clinician clinician for example to discuss how your therapy is going REPLACE ay appear as a Press the Left Ok key to remove the FILTER reminder to message from your LCD and replace the replace the air air filter filter on your device SERVICE DUE ay appear as a Press the Left Ok key to remove the reminder to message from your LCD return your device for service 13 NZ K2 Zs 33817512 book Page 14 Wednesday January 19 2005 1 42 PM S8 MODULES Note Do not remove modules while power is connected to the S8 Escape Your S8 ESCAPE will have one of two modules fitted to the back a blank module or a RESSCAN Data Card module USING A BLANK MODULE Please refer to the illustrations in section D of the illustration sheet The blank module is a protective cover on the S8 ESCAPE At times you may wish to remove or attach this module for example to use the serial adapter To remove the blank module pull it off the back of the S8 EsCAPE to show the data communications port D 1 To attach the blank module push the blank module onto the data communications port until the module clicks into place D 2 Note To protect the data communications port always ensure there is a module attached to the device UsiNG A
9. fluid leak recent cranial surgery or trauma WARNINGS Read the entire manual before using the S8 ESCAPE e Advice contained in this manual should not supersede instructions given by the prescribing physician A patient should not connect a device to the data communication port unless instructed to do so by their health care provider or physician Only ResMed products are designed to be connected to the data communication port Connecting other devices could result in injury or damage to the S8 ESCAPE device he S8 EsCAPE should only be used with masks and connectors recommended by ResMed or by a physician or respiratory therapist A mask should not be used unless the S8 ESCAPE device is turned on and operating properly The vent hole or holes associated with the mask should never be blocked Explanation The S8 is intended to be used with special masks or connectors which have vent holes 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 vent holes However when the device is not operating insufficient fresh air will be provided through the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This applies to most models of CPAP devices n the event of power failure or machi
10. for input Not Applicable environment output lines Surge 1 kV differential 1 kV differential Mains power quality should IEC 61000 4 5 mode mode be that of a typical 2 kV common mode 2 kV common mode commercial or hospital environment Voltage dips short 596 Ut 12V Mains power quality should interruptions and 79596 dip in Ut 79596 dip 240V be that of a typical voltage variations on for 0 5 cycle for 0 5 cycle commercial or hospital power supply input environment lines 4096 U 96V If the user of the S8 device IEC 61000 4 11 6096 dip in Ut 6096 dip in 240V requires continued operation for 5 cycles for 5 cycles during power mains interruptions it is 7096 U 168V recommended that the 58 30 dip in Ut 30 dip in 240V device be powered from an for 25 cycles for 25 cycles uninterruptible power source lt 5 Ut lt 12V gt 95 dip in Ut gt 95 dip in 240V for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic 50 60 Hz magnetic field IEC 61000 4 8 fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Ut is the AC mains voltage prior to application of the test level 26 P 33817512 book Page 27 Wednesday January 19 2005 1 42 PM 2 H H H H H E Guidance and manufacturer s declaration electromagnetic immunity u The S8 series of devices
11. reception resmed fr ResMed Singapore Pte Ltd 238A Thomson Road 12 03 04 Novena Square Tower A Singapore Tel 65 6284 7177 Fax 65 6284 7787 Email reception resmed com sg ResMed Spain SL C Arturo Soria 245 Madrid Espafia Tel 34 93 590 8154 Fax 34 93 590 8153 Email angelo resmed es ResMed Sweden AB Industrigatan 2 S 461 37 Trollhattan Sverige Tel 46 520 420 110 Fax 46 520 397 15 Email reception resmed se Labhardt AG Thannerstrasse 57 CH 4054 Basel Schweiz Tel 41 061 307 9711 Fax 41 061 307 9722 Email info labhardt ch US DESIGNATED AGENT ResMed Corp EU AUTHORISED REPRESENTATIVE ResMed UK Ltd www resmed com Protected by patents US 4944310 US 5199424 US 5522382 US 6705315 Other patents pending Design registrations pending S8 S8 Escape HumidAire Mirage Activa Mirage Vista Ultra Mirage Mirage Swift and ResScan are trademarks of ResMed Ltd Papillon is a trademark of MAP Medizin Technologie GmbH ResMed Ltd 2005 0120 Zs WA aK 33817512 book Page iii Wednesday January 19 2005 1 42 PM CONTENTS un INTRODUCTION be eid be rebels 1 2 YOUR RESPONSIBILITY 1 5 MEDICAL INFORMATION 1 O ABOUT THE S8 ESCAPE 1 CONTRAINDICATIONS 2 WARNINGS 2 CAUTIONS 3 ADVERSE EFFECTS 3 THE S8 ESCAPE SYSTEM hen 5 S8 ESCAPE 5 MASKS 5 HUMIDIFIERS 6 RESSCAN DATA CARD MODULE 6 ACCESSORIES 6 HOW TO U
12. 0 MHz 800MHz to 2 5 GHz power of transmitter w d 1 17 d 0 35 d 0 7 NP 0 01 0 17 0 04 0 07 0 1 0 37 0 11 0 22 1 1 17 0 35 0 7 10 3 69 1 11 2 21 100 11 70 3 50 7 0 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 28 P e 33817512 book Page 29 Wednesday January 19 2005 1 42 PM INDEX A accessories 6 air filter 5 20 replacing 17 air pressure 20 air tubing 5 cleaning 16 connect to air outlet 7 kinked 20 positioning 7 aircraft 19 airflow breathing with 18 altitude setting 12 19 20 B backlight LCD and keypad 10 C carry bag 5 cleaning daily cleaning 16 periodic 16 contraindications 2 CPAP 1 D Data Card 14 copying data 15 data card 21 inserting 15 mailback envelope 15 removing 15 Data Card module 14 DC 12 converter 19 down key 10 dryness mouth nose or throat 18 E error message 21 F frequently asked questions 18 H headgear 20 HumidAire attaching 9
13. 24 o Zs 33817512 book Page 25 Wednesday January 19 2005 1 42 PM GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC EMISSIONS AND IMMUNITY Guidance and manufacturer s declaration electromagnetic emissions The S8 series of devices is intended for use in the electromagnetic environment specified below The customer or the user of the S8 device should assure that the device is used in such an environment SYSTEM SPECIFICATIONS Electromagnetic environment Emissions test Compliance guidance RF emissions CISPR11 Group 1 The S8 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 S8 device is suitable for use in all establishments including domestic Harmonic Emissions Class A establishments and those directly IEC 61000 3 2 connected to the public low voltage network that supplies buildings used for Voltage Fluctuations Flicker Complies domestic purposes Emissions IEC 61000 3 3 Class B for all system configurations except when a PC is attached to the 58 device via a serial adapter in which case the system is Class A compliant Class A is suitable for use in all establishments other than domestic and those directly connected to a low voltage power supply network which supplies buildings used for domestic purposes
14. 58 Escape System www resmed com Waking people up to sleep Reorder number 338175 2 05 01 USER S MANUAL English 338175r2 Iliustrations qxd 19 01 2005 1 42 PM Page 1 RESMED B OTHER ACCESSORIES SETTING UP THE S8 58 Escape Component of 838175 2 ILLUSTRATIONS 4 ReSScan Data cano A SYSTEM COMPONENTS 2 Carry handle LCD screen Keypad Air outlet o 21 52 cm e 3 Air filter Module cover DC input _ Air inlet AC input 5 2005 ResMed Ltd 2005 ResMed Ltd 2005 ResMed Ltd 338175r2 Iliustrations qxd 19 01 2005 1 42 Page 2 D BLANK MODULE F USING THE DATA CARD Data communications 2005 ResMed Ltd 2005 ResMed Ltd E DATA CARD MODULE 2005 ResMed Ltd 2005 ResMed Ltd Note Some products not available in all regions e 33817512 book Page 1 Wednesday January 19 2005 1 42 PM e 1 REsMED 58 Escape System Reorder number 338175 2 05 01 USER S MAN UAL English T qp Ass V e 33817512 book Page 1 Wednesday January 19 2005 1 42 PM Manufactured by ResMed Ltd Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia Tel 61 2 8884 1000 or 800 658 189 toll free Fax 61 2 8883 3114 Email reception resmed com au ResMed Offices ResMed Corp Danielson Street Poway CA 92064 6857 USA Tel 1 858 746 2400 or 1 800 424 0737 toll free Fax 1
15. 817512 book Page 22 Wednesday January 19 2005 1 42 PM Problem Possible Cause Solution The following message There is a data error on the Data Contact your clinician is displayed on the LCD Card immediately after you try to update the settings using the Data Card Settings Error Remove Card The following message settings were not updated Contact your clinician is NOT displayed on immediately the LCD after you try to update the settings using the Data Card Settings Success Remove Card 22 P AS 33817512 book Page 23 Wednesday January 19 2005 1 42 PM uo SYSTEM SPECIFICATIONS S8 ESCAPE Performance Operating pressure range 4 to 20 cmH O e Dimensions x W x D 112 mm x 164 mm x 145 mm Weight 1 3 kg amp Power Supply Input range e 100 240V 50 60Hz 110 400Hz 2 5A e Refer to the DC I2 converter instructions for DC ratings Only use the ResMed DC 12 converter for DC input Actual power consumption will vary depending on factors such as the use of accessories height above sea level and ambient temperature Power consumption values for typical treatment conditions using a breathing machine set to 0 5 L and 15 breaths min with 2 m air tubing and an ULTRA MIRAGE mask are given in the following table Device Pressure Power Power cm H20 VA W S8 ESCAPE 5 17 8 10 23 12 15 29 16 20 34 20 Power outlet for Accessory Note Accessory currently not avail
16. Contact your clinician for advice MY NOSE IS IRRITATED DURING TREATMENT WHAT CAN I DO You may experience sneezing and or a runny or blocked nose during the first few weeks of treatment In many cases nasal irritation can be resolved with a humidifier Consult your clinician or equipment supplier for advice CAN I TRAVEL WITH THE S8 ESCAPE International use Your S8 ESCAPE flow generator has an internal power supply that enables it to operate in other countries It will operate on power supplies of 100 240V and 50 60Hz No special adjustment is necessary but you may need a plug adapter for the power outlet 18 P _ Zs 33817512 book Page 19 Wednesday January 19 2005 1 42 PM Altitude changes If you are moving or travelling to a higher or lower altitude see How to change the Altitude setting on page 12 On an aircraft Please consult the medical services department of your carrier if you intend to use your 58 ESCAPE on an aircraft The S8 ESCAPE complies with US FCC Part 15 Class requirements CAN I USE S8 ESCAPE IF MAINS AC POWER IS NOT AVAILABLE A DC 12 converter is available to connect the S8 ESCAPE to a 12 or 24V DC power source Contact your clinician for details CAUTION The device should not be connected to both AC and DC power sources simultaneously FREQUENTLY ASKED QUESTIONS SP VA aK e 33817512 book Page 20 Wednesday January 19 2005 1 42 PM e TROUBLESH
17. G ENGLISH Change t Exit SW SX123456789 Exit Use the menu screens to change the ramp time altitude compensation and language You can also view details about the usage and software version of your S8 ESCAPE HOW TO ENTER THE MENU SCREENS When the S8 ESCAPE standby screen is displayed you will see the word Menu in the left hand corner To select the S8 ESCAPE menu press the Left key HOW TO SCROLL THROUGH THE MENU When you are in the menu scroll through items by pressing the Up or Down keys HOW TO CHANGE A SETTING OPTION When you have scrolled to the item you require Press the Left key Change 2 Press the Up or Down keys until you see the setting option that you require 3 Press the Left key Apply to select the setting option If you wish to exit without changing the option press the Right key Cancel HOw TO EXIT OUT OF A MENU Press the Right key Exit This will take you back to the Patient Menu screen HOw USE THE KEYPAD 11 K2 Zs 33817512 book Page 12 Wednesday January 19 2005 1 42 PM HOW TO EXIT OUT OF AN ITEM WITHIN THE MENU Press the Right key Exit How TO CHANGE THE RAMP TIME During ramp time the pressure increases from a low pressure to the prescribed treatment pressure You can set the ramp time in 5 minute intervals from 0 minutes OFF up to a maximum ramp time set by your clinician The standby screen displays the current ramp t
18. LANG and select Change Left key Press the Up or Down keys until you see the language that you require OTHER VIEWABLE INFORMATION You can also view the total number of hours of treatment USED HRS the number of sessions that the S8 ESCAPE was used in a usage period USAGE and the current software version installed on your unit SW Access to all of these screens is provided via the menu See How to enter the menu screens on page 12 NZ EIN 33817512 book Page 13 Wednesday January 19 2005 1 42 PM Q MESSAGES ON THE S8 ESCAPE LCD Your clinician may have set your S8 ESCAPE to remind you about important events such as when to replace your mask when to insert your Data Card if your device is x Data Card enabled and so on The reminder message is displayed on the LCD is visible if the device is not 5 delivering therapy The backlight on the LCD flashes when message is displayed Your clinician can set any of the following reminders on your LCD 2 Message Description Action INSERT May appear if nsert your Data Card and follow any your device is instructions that your clinician has given Data Card you When you have done this the enabled message will disappear from the LCD Pressing the Left Ok key will also remove the message REPLACE Mayappearwhen Press the Left Ok key to remove the MASK your mask is due message from your LCD
19. Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to EMC information provided in this document Warnings The S8 device should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the S8 device should be observed to verify normal operation in the configuration in which it will be used The use of accessories eg humidifiers other than those specified in this manual is not recommended They may result in increased emissions or decreased immunity of the S8 device 25 p 33817512 book Page 26 Wednesday January 19 2005 1 42 PM Guidance and manufacturer s declaration electromagnetic immunity The S8 series of devices is intended for use in the electromagnetic environment specified below The customer or the user of the S8 device should assure that the device is used in such an environment Immunity test IEC60601 1 2 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If IEC 61000 4 2 8 kV air 8 kV air floors are covered with synthetic material the relative humidity should be at least 3096 Electrical fast 2 kV for power 2 kV Mains power quality should transient burst supply lines be that of a typical IEC 61000 4 4 commercial or hospital 1 kV
20. OOTING If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supplier or ResMed Do not attempt to open the device Problem Possible Cause Solution No display Power not connected Ensure the appropriate power cord is connected to your S8 Escape and the power switch if available is on Insufficient air Ramp Time is in use Wait for air pressure to build up delivered from or change ramp time 58 Escape Air filter is dirty Replace air filter Air tubing is kinked or Straighten or replace tubing punctured Air tubing not connected Check air tubing properly Mask and headgear not Adjust position of mask and positioned correctly headgear Cap s missing from access Replace cap s port s on mask Altitude compensation setting is Adjust altitude compensation incorrect setting to the correct altitude range Pressure required for treatment See your clinician to adjust the may have changed pressure Excessive air delivered Altitude compensation setting is Adjust altitude compensation from the S8 Escape incorrect setting to the correct altitude range 20 Problem Display error message Exxxx Call Service where xxxx defines an error or MOTOR FAULT Call Service or UPLOAD LANGUAGES Call Service or DATA LOST Call Service 33817512 book Page 21 Wednesday January 19 2005 1 42 PM Possible Cause Component failure Solution C
21. SE THE S8 ESCAPE 7 SET UP THE S8 ESCAPE 7 ASSEMBLE THE MASK 7 START TREATMENT 7 STOP TREATMENT 8 HOW TO ATTACH A HUMIDIFIER 9 ATTACH A HUMIDAIRE HUMIDIFIER 9 HOW TO USE THE 10 TO CHANGE THE SETTINGS ON YOUR S8 ESCAPE 11 S0 MODU LES ct etn eee e VAS 14 USING A BLANK MODULE 14 USING A RESSCAN DATA CARD MODULE 14 CLEANING AND 16 DAILY CLEANING 16 WEEKLY CLEANING 16 PERIODIC CLEANING 16 REPLACING THE AIR FILTER 17 SERVICING 17 FREQUENTLY ASKED QUESTIONS 18 TROUBLESHOOTING ete Baws 20 SYSTEM SPECIFICATIONS 23 S8 ESCAPE 23 aa 7 Zils a ou 33817512 book Page iv Wednesday January 19 2005 1 42 PM ACCESSORIES 23 ALL DEVICES WHERE APPLICABLE 24 INDEX ax rei ee Eit eM D aaa Tul eee 29 SP 33817512 book Page 1 Wednesday January 19 2005 1 42 PM EIN r2 book Page ednesday January 19 E INTRODUCTION 2 Thank you for choosing the 58 ESCAPE flow generator The S8 ESCAPE is a compact 5 all in one package with an inbuilt power supply and the option of integrated data management and humidification 2 This user manual contains the information you need for the correct use of your 2 S8 ESCAPE YOUR RESPONSIBILITY The owne
22. TREATMENT 1 Make sure the power is on The product name is displayed briefly on the LCD screen then the standby Ramp screen appears The key and LCD backlights also turn on 2 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep e NZ qp YA e 33817512 book Page 8 Wednesday January 19 2005 1 42 PM CAUTION Do not leave long lengths of air tubing around the top of your bed They could twist around your head or neck while you are sleeping Make sure the area around the flow generator is dry and clean It should also be clear of bedding clothes and other potential blockages 3 Alter the ramp time if required see How to Change the Ramp Time on page 12 4 To start treatment press the Start Stop key 5 Fit your mask as described in the mask user instructions 1 WARNING 2 A mask should not be used unless the S8 Escape device is turned on and operating properly 6 When ramping begins the LCD will display the word with the current pressure indicated as dashes Each dash is approximately equivalent to 2 cmH O For example 6 dashes represents approximately 12 cmH3O pressure STOP TREATMENT To stop treatment at any time remove your mask and press the Start Stop key e Zs 33817512 book Page 9 Wednesday January 19 2005 1 42 PM a B HOW TO ATTACH A HUMIDIFIER z 25 ATTACH HUMIDAIRE HUMIDIFIER Please refer to the illustrati
23. UP IN THE NIGHT If you need to get up during the night remove your mask and stop therapy Always remember to restart therapy and put your mask on when you return to bed WHAT DO DO IF FEEL AIR LEAKING OUT OF THE MASK The flow generator delivers the most effective treatment when the mask is well fitted and comfortable Treatment can be affected by leaks so it is important to eliminate any leaks that may arise For example try repositioning the mask and adjusting the straps f you are using a nasal mask try to keep your mouth closed during treatment Air leaks from your mouth can decrease the effectiveness of your treatment If mouth leaks are a problem a full face mask or chin strap may help Contact your clinician or equipment supplier for further details f you are using a full face mask and you have problems trying to get a comfortable mask fit contact your sleep clinic or equipment supplier You may benefit from a different size or style of mask ANYTHING SPECIAL SHOULD DO BEFORE PUTTING THE MASK ON Before wearing your mask wash your face to remove excess facial oils This will allow a better fit and prolong the life of the mask cushion Do not use moisturiser when wearing a mask MY MOUTH FEELS DRY DURING TREATMENT WHAT CAN 1 DO You may experience dryness of the nose mouth and or throat during the course of treatment especially during winter In many cases a humidifier may resolve this discomfort
24. able Outlet range 100 240 50 60Hz 1 10V 400Hz 2 0A Air Filter Two layered powder bonded polyester non woven fibre Air Tubing Flexible plastic 2 m IEC 60601 1 Classifications Class double insulation Type CF ACCESSORIES DATA CARD Dimensions L x W x D 65 04 mm x 22 15 mm x 0 85 mm DATA CARD MODULE Dimensions x W x D 49 7 mm x 42 2 mm x 12 mm 23 SUA e 33817512 book Page 24 Wednesday January 19 2005 1 42 PM ALL DEVICES WHERE APPLICABLE Housing Construction Flame retardant engineering thermoplastic Environmental Conditions Operating Temperature 5 C to 40 C Operating Humidity 10 95 non condensing Storage and Transport Temperature 20 C to 60 C Storage and Transport Humidity 10 95 non condensing Operating Altitude sea level to 259 m Electromagnetic Compatibility Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC60601 1 2 for residential commercial and light industry environments For further details see Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity on page 25 Note The manufacturer reserves the right to change these specifications without notice SYMBOLS WHICH APPEAR ON THE DEVICE N Attention consult accompanying documents v Type CF equipment Class 1 equipment Drip proof IPX1 Dangerous voltage CoD Start Stop
25. airs and internal servicing should only be performed by an authorised service agent Explosion hazard do not use in the vicinity of flammable anaesthetics CAUTIONS At low pressures the flow through the exhalation ports of your mask may not clear all exhaled gas from the tubing Some rebreathing may occur The airflow for breathing produced by this device can be as much as 6 C higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 32 C When AC mains power 100 240V AC is not available always use a ResMed DC 12 converter The DC 12 converter is available as an optional accessory It is not supplied with all models If supplied the Data Card module is designed for use with specific ResMed devices Only use the Data Card module if supplied as specified in this manual Note The above are general warnings and cautions Specific wamings cautions and notes appear with the relevant instructions in the manual ADVERSE EFFECTS Patients should report unusual chest pain severe headache or increased breathlessness to their prescribing physician An acute upper respiratory tract infection may require temporary discontinuation of treatment 3 SA _ SP VA aK e 33817512 book Page 4 Wednesday January 19 2005 1 42 PM e The following side effects may arise during the course of therapy with the CPAP device drying of the nose mouth or throat nose
26. all service The following message is displayed on the LCD after you try to update settings using the Data Card Card Error Remove Card The Data Card is not inserted correctly The Data Card is only partly inserted You may have removed the Data Card before settings were copied to the S8 Escape The card is not a ResScan Data Card Ensure that the Data Card is inserted with the arrow facing up and pointing towards the device Ensure that the device is switched on and in standby mode before you insert the Data Card Ensure that the Data Card is inserted into the slot on the Data Card module as far as it will go Reinsert the Data Card and wait forthe Settings Success Remove Card message to appear on the LCD Only use a ResScan Data Card The following message is displayed on the LCD after you try to copy data to a Data Card Card Error Remove Card The Data Card is not inserted correctly The card is not a ResScan Data Card Ensure that the Data Card is inserted with the arrow facing up and pointing toward the device Use a ResScan Data Card as specified in this manual The following message is displayed on the LCD after you try to update the settings using the Data Card Settings Invalid Remove Card The identification details on the Data Card do not match the details on your device Contact your clinician immediately TROUBLESHOOTING 21 P WD 33
27. bleed bloating earor sinus discomfort e eye irritation skin rashes e chest discomfort P _ WY aK e 33817512 book Page 5 Wednesday January 19 2005 1 42 PM THE S8 ESCAPE SYSTEM The S8 ESCAPE device is part of a system that consists of five elements 58 ESCAPE flow generator Mask e Humidifier Data management products Accessories o gt a lt Q u Nn I S8 ESCAPE Please refer to the illustrations in section A of the illustration sheet FRONT VIEW 1 Shows the keypad and LCD screen and the air outlet REAR VIEW A 2 Shows where the module attaches and the location of the air filter and power sockets POWER CORD A 3 Power cord to attach the S8 ESCAPE to the AC mains power CARRY BAG A 4 AIR TUBING The 2 air tubing 5 connects the S8 ESCAPE to your mask You will need medium 52 cm air tubing see 3 to connect the S8 ESCAPE to the HUMIDAIRE humidifier MASKS You will also need a ResMed mask system supplied separately The ResMed mask systems that are recommended for use with the S8 ESCAPE are NASAL MASKS MODULAR NASAL MASK e MIRAGE VISTA NASAL MASK e ULTRA MIRAGE NASAL MASK e MIRAGE NASAL MASK e MIRAGE ACTIVA NASAL MASK e PAPILLON NASAL PILLOWS SYSTEMS e MIRAGE SWIFT NASAL PILLOWS SYSTEM FULL FACE MASKS e MIRAGE FULL FACE MASK e MIRAGE FULL FACE MASK SERIES 2 ULTRA
28. ime in the right hand corner To change the ramp time press the Up or Down key until the desired ramp time appears Once a ramp time is selected begin therapy by pressing the Start Stop key When ramping begins the LCD will display the word RAMPING with the current pressure indicated as dashes Each dash is approximately equivalent to 2 cmH O For example six dashes represents approximately 12 cmH O pressure HOW TO CHANGE THE ALTITUDE SETTING If you move or travel with your S8 ESCAPE to areas of different altitude you will need to adjust the altitude compensation setting Changes in altitude will affect the pressure delivered by the S8 ESCAPE You can use the Altitude setting ALT to specify the altitude range at which you are using your S8 ESCAPE Select the S8 ESCAPE menu by pressing the Left key in the standby RAMP screen Scroll to ALT and select Change Left key Press the Up or Down keys until you see the setting option that you require There are four altitude settings to choose from 0 609m 610 1219 m e 220 1828 829 259 m For example if you are at an altitude of 947 m your altitude compensation setting would be 610 1219 m as 947 m falls within that range Press the Left key Apply to select the correct setting HOW TO CHANGE THE LANGUAGE SETTING To display menus and messages in a different language select the S8 ESCAPE menu by pressing the Left key in the standby Ramp screen Scroll to
29. ir filter cover are fitted at all times SERVICING CAUTION Do not attempt to open the S8 Escape case There are no user serviceable parts inside nspection and repair should only be performed by an authorised agent Under no circumstances should you attempt to service or repair the flow generator yourself This product S8 ESCAPE should be inspected by an authorised ResMed Service Center five years from the date of manufacture Prior to this the device is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instructions provided by ResMed Applicable ResMed warranty details are provided with the device at the time of original supply Of course as with all electrical devices if any irregularity becomes apparent you should exercise caution and have the device inspected by an Authorised ResMed Service Center If you feel that your flow generator is not performing properly see Troubleshooting on page 20 CLEANING AND MAINTENANCE 17 e e EIN 33817512 book Page 18 Wednesday January 19 2005 1 42 PM FREQUENTLY ASKED QUESTIONS HOW WILL IT FEEL WHEN I AM BREATHING WITH THE S8 ESCAPE When you first use your S8 ESCAPE you may feel uncomfortable breathing against the airflow This is normal You will continue to breathe normally while you sleep Take time to adjust to this new sensation WHAT DO DO WHEN I WANT TO GET
30. is intended for use in the electromagnetic environment specified below The customer or the user of the 58 device should assure that the device is used such an environment 5 IEC60601 1 2 Compliance c Immunity test Electromagnetic environment guidance test level level A Portable and mobile RF communications equipment should be used no closer to any part of the S8 device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 Vrms d 1 17 NP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 VP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as ba
31. ly hang and allow to dry 3 Before next use assemble the mask and headgear according to the user instructions 4 Reconnect the air tubing to the air outlet and mask PERIODIC CLEANING Clean the exterior of the S8 ESCAPE with a damp cloth and mild detergent 2 Check the air filter for blockage or holes see Replacing the Air Filter on page 17 WARNING Beware of electric shock Do not immerse the unit or power cord in water Always unplug the unit before cleaning and be sure it is dry before plugging back in The mask system and air tubing are subject to normal wear and tear Inspect them regularly for damage 16 VZ e 33817512 book Page 17 Wednesday January 19 2005 1 42 PM REPLACING THE AIR FILTER To replace the air filter Remove the air filter cover at the back of the S8 ESCAPE Air filter cover 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out from the device 4 Replace the air filter cover Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of an S8 ESCAPE the air filter needs to be replaced every six months or more often if your device is in a dusty environment WARNING Do not wash the air filter The air filter is not washable or reusable Theair filter cover protects the device in the event of accidental liquid spillage onto the device Ensure the air filter and a
32. ne malfunction remove the mask The S8 ESCAPE can be set to deliver pressures up to 20 cmH In the unlikely event of certain fault conditions pressures up to 30 cmH O are possible Ports may be incorporated into the mask or in connectors that are near the mask ep _ EIN 33817512 book Page 3 Wednesday January 19 2005 1 42 PM f oxygen is used with this device the oxygen flow must be turned off when the device is not operating Explanation When the CPAP device is operation and the oxygen flow is left on oxygen delivered into the air delivery tubing may accumulate within the z CPAP machine enclosure and create a risk of fire This applies to most types of E CPAP machines z Oxygen supports combustion Oxygen should not be used while you are gt smoking or in the presence of an open flame Always ensure airflow is being generated by the device before the oxygen supply is turned on e Always turn the oxygen supply off before stopping the airflow from the device Note At a fixed rate of supplemental oxygen flow the inhaled oxygen concentration will vary depending on where the oxygen is introduced the pressure settings patient breathing pattem mask selection and leak rate Do not use the S8 ESCAPE if there are obvious external defects or unexplained changes in performance Do not open the S8 ESCAPE case There are no user serviceable parts inside Rep
33. ons in section G of the illustration sheet connect your 58 ESCAPE to a HUMIDAIRE humidifier you need medium sized 52 cm air tubing 1 Fill the HUMIDAIRE water chamber and place inside the HUMIDAIRE Connect the medium 52 cm and long 2 air tubing 1 and close the humidifier lid 2 Place the S8 ESCAPE on top of the HUMIDAIRE G 2 and connect the free end of the medium air tubing to the air outlet G 3 Note To avoid water spilling into the S8 ESCAPE do not put it underneath the humidifier 3 Assemble your mask system and connect it to the free end of the long air tubing G 4 4 Plug the HUMIDAIRE power cord into a power outlet Connect the S8 ESCAPE power cord to the socket at the rear of the S8 EsCAPE and plug the other end into a power outlet Please refer to the HumidAire Users Manual for further details i WARNING 2 Make sure that the power cord and plug in good condition and the equipment is not damaged The S8 ESCAPE is now ready for use with the HUMIDAIRE 9 SUA e 33817512 book Page 10 Wednesday January 19 2005 1 42 PM HOW TO USE THE KEYPAD The control panel of the 58 includes an LCD screen and keypad for navigating through the menus and delivering treatment LCD screen Up key keit Right key Down key Start Stop key LCD SCREEN The LCD screen displays the menus and treatment screens C KEYPAD KEYS The S8 ESCAPE keypad has the following keys
34. r or user of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorised instructions and by authorised persons Please read this manual carefully before use This manual contains special terms and icons that appear in the margins to draw your attention to specific and important information Warning alerts you to possible injury e Caution explains special measures for the safe and effective use of the device Note is an informative or helpful note MEDICAL INFORMATION ABOUT THE S8 ESCAPE The S8 ESCAPE continuous positive airway pressure CPAP system is indicated for the treatment of obstructive sleep apnoea OSA in adult patients The S8 EscAPE CPAP system is intended for home and hospital use 1 NZ EIN 33817512 book Page 2 Wednesday January 19 2005 1 42 PM CONTRAINDICATIONS The S8 ESCAPE is not a life support device and may stop operating during power failure or certain fault conditions It should not be used by patients who are dependent on continuous therapy Positive airway pressure therapy may be contraindicated in some patients with the following pre existing conditions severe bullous lung disease e pneumothorax e pathologically low blood pressure dehydration cerebrospinal
35. se stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the S8 device is used exceeds the applicable RF compliance level above the S8 device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the S8 device gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m 27 P WD AS 33817512 book Page 28 Wednesday January 19 2005 1 42 PM Recommended separation distances between portable and mobile RF communications equipment and the S8 series of devices The S8 series of devices is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the S8 device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the 58 device as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150kHz to 80MHz 80 MHz to 80
36. the head of your bed CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord How TO USE THE S8 ESCAPE Note You can also place your S8 Escape on the floor beside or underneath your bed Ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet 2 Connect the power cord to the socket at the rear of the flow generator C 1 Plug the other end of the power cord into the power outlet WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged 3 Connect one end of the air tubing firmly onto the air outlet C 2 WARNINGS Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive reducing the effectiveness of your treatment Blocking the hose while in operation could lead to overheating of the device n the clinical environment any personal computer that is used with your CPAP system must be at least 1 5 m away from or at least 2 5 m above the patient It must also comply with the relevant test standard For personal computers the international standard is IEC or equivalent ASSEMBLE THE MASK 1 Assemble your mask system according to the mask user instructions 2 Connect your mask system to the free end of the air tubing C 3 The S8 ESCAPE is now ready for use C 4 START
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