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        ComfortGel Full - Philips Healthcare
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1.   hiatal hernia  It should not be used if the patient is uncooperative  obtunded   unresponsive  or unable to remove the mask by themselves     ComfortGel Full    Symbols    Description Symbol    Warning or  Caution    Consult  instructions  for use    Description    Does not contain  natural rubber  latex    System One  Resistance  Control Setting       INSTRUCTIONS FOR USE    Before Use     Hand wash the mask to remove any   dust that accumulated during shipping or   storage      Read and understand the instructions   completely      Verify that the air entrainment valve   functions correctly      Wash the patient s face      Remove the Quick Start fitting tips  if  attached to the headgear         Entrainment Valve  The entrainment valve consists of an air   inlet and a flapper  With the airflow turned   off  verify that the elbow with the flapper   is lying flat  Figure 2  so that room air can   flow in and out through the air inlet  Next  with  the airflow on  the flapper should now cover  the air inlet and air from the CPAP or bi level  device should flow into the mask  If the flapper  does not close or does not function properly   replace the mask           ComfortGel Full                                     Figure 2    A   Flapper is lying flat  B   Flapper is covering the  air inlet      N Warning    Do not block or   try to seal the  entrainment valve or  the exhalation vents     Cleaning      Hand wash the  washed weekly     nstructions    mask before first use and
2.  daily  The headgear should be hand  or as needed  The headgear does not need to be removed for    daily cleaning of the mask     1  Hand wash the mask and headgear in warm water with a mild liquid dish  washing detergent     A Caution  Do not use bleach  alcohol  cleaning solutions containing  bleach or alcohol  or cleaning solutions containing conditioners or    moisturizers     2  Rinse thoroughly with drinking quality water and air dry out of direct    sunlight        ake sure the mask is dry before use     3  Lay the headgear flat or line dry  Do not place the headgear into the    dryer   4  Inspect all    parts for damage or wear  replace any parts that have visibly    deteriorated  cracking  crazing  tears  etc   Replace the mask if the cushion  becomes hardened     For multi patient use in the hospital institutional environment  use the Mask       Cleaning and D       isinfection Instructions to reprocess the mask between patients     These instructions can be obtained by visiting www sleepapnea com       contacting Respironics Customer Service at 1 800 345 6443  USA or Canada   or 1 724 387 4000     INSTRUCTIONS FOR USE    10    System One Resistance Control    This mask uses the System One Resistance Control  setting i amp     X 1  This symbol may appear on your   therapy device  This symbol represents the level of   mask resistance compensation  Match the setting to  the mask if appropriate        Important Notes       Verify the System One setting if the mask or  
3. 01 Murry Ridge Lane  Murrysville  Pennsylvania 15668   1 800 345 6443  USA and Canada only  or 1 724 387 4000     INSTRUCTIONS FOR USE    Reorder Numbers       040135 S ComfortGel Full Face Mask w  Headgear  040136 ComfortGel Full Face Mask w  Headgear  040137 L ComfortGel Full Face Mask w  Headgear  062004 XL ComfortGel Full Face Mask w  Headgear          040568 S ComfortGel Full Face Mask w o Headgear  040569 ComfortGel Full Face Mask w o Headgear  040570 L ComfortGel Full Face Mask w o Headgear  062003 XL ComfortGel Full Face Mask w o Headgear             044861 RP S ComfortGel Full Flap and Cushion  044862 RP M ComfortGel Full Flap and Cushion  044863 RP L ComfortGel Full Flap and Cushion  062032 RP XL ComfortGel Full Flap and Cushion                040798 RP S ComfortGel Full Face Mask Cushion  040799 RP M ComfortGel Full Face Mask Cushion  040800 RP L ComfortGel Full Face Mask Cushion  062030 RP XL ComfortGel Full Face Mask Cushion                               ComfortGel Full       040795  040796  040797  062031    040138  040139  040114  049398       23  Reorder Numbers    RP S ComfortGel Full Face Mask Flap  RP M ComfortGel Full Face Mask Flap  RP L ComfortGel Full Face Mask Flap  RP XL ComfortGel Full Face Mask Flap    RP ComfortGel Full Headgear  RP Mushroom Swivel Clips  Blue  RP Silicone Pillow Forehead Pad             RP ComfortGel Full Entrainment Valve  Swivel  Blue    INSTRUCTIONS FOR USE    24    ComfortGel Full    
4. Face Mask is intended to provide an interface for  application of CPAP or bi level therapy to patients  The mask is for single  patient use in the home and multi patient use in the hospital institutional  environment  The mask is to be used on patients   gt 66lbs 30kg  who         appropriate candidates for noninvasive ventilation     Important Note  An exhalation port is built into the ComfortGel Full Face  Mask so a separate exhalation port is not required     AN Caution    US  Federal law restricts this device to sale by or on the order of a physician     INSTRUCTIONS FOR USE         Warnings    e  his mask is not suitable for providing life  support ventilation        his mask is designed for use with CPAP or A    bi level systems recommended by your health Warning   care professional or respiratory therapist  Do A warning indicates the  not wear this mask unless the CPAP or bi level     possibility of injury to the  system is turned on and operating properly  Do user or operator    not block or try to seal the exhalation port    Explanation of the Warning  CPAP systems are   intended to be used with special masks with A     connectors which have vent holes to allow Caution  continuous flow of air out of the mask  When    caution indicates the  he CPAP machine is turned on and functioning possibility of damage to  properly  new air from the CPAP machine the device    flushes the exhaled air out through the attached   mask exhalation port  However  when the CPAP   machine 
5. PHILIPS       Respironics Inc     1001 Murry Ridge Lane   PHILIPS    Murrysville  PA 15668 USA i ComfortGel Full   instructions ror use                     ud jwoweno     RESPIRONICS      2010 Koninklijke Philips Electronics      All rights reserved     ComfortGel Full  Full Face Mask    Table of Contents             2 Package Contents   4 Intended Use   5 Warnings   7 Contraindications   8 Before Use and Disposal   9 Symbols   10 Cleaning Instructions   11 Removing the Headgear from the Mask  12 Attaching the Headgear to the Mask  14 Achieving the Right Fit   17 Troubleshooting Tips   20 Removing the Mask and Headgear  21 Tubing Quick Release   22 Replacing the Forehead Pad   23 Cushion and Flap Assembly   24 Specifications   26 Limited Warranty   28 Reorder Information    INSTRUCTIONS FOR USE    Package Contents      Com   inclu  Sure     Com      Instructions for Use      Quid    fortGel Full Face Mask    Seal Technology  SST   fortGel Full Headgear    Start Fitting Tips                ComfortGel Full    des gel cushion and Comfort Flap with       Note     Not all packages contain  listed items  Please  contact your Home Care  Provider or Respironics for  additional items        Figure 1    A   Forehead Support  Slots   B   Forehead Bracket   C   StabilitySelector   D   Forehead Pad   E   Exhalation Port   Do not block    F   Pick Off Port   G   Entrainment Valve   inside mask elbow    H   Quick Clip       Swivel       Swivel Release    Intended Use    The ComfortGel Full 
6. Warning  The technical specifications of the mask are provided  for your healthcare professional to determine if it is compatible  with your CPAP or bi level therapy device  If used outside these  specifications  or if used with incompatible devices  the mask may  be uncomfortable  the seal of the mask may not be effective   optimum therapy may not be achieved  and leak  or variation in  the rate of leak  may affect device function     Intentional Leak    Jy    Whisper Swivel Il H    ComfortGel Full        amp      E  m  g  9          ri  a  e  5  E  d  x   n           16 20 24    Pressure cm H O  hPa        ComfortGel Full    19  Pressure Drop cm H O  hPa     50SLPM 100 SLPM  All mask sizes  4 1 0       Deadspace   Small 260 mL   Medium 280 mL   Large 300 mL   X Large 320 mL   Disposal   Dispose of in accordance with local regulations   Storage Conditions    4   to 140   F   20  to  60   C     1526 to 9576 relative humidity  non condensing    INSTRUCTIONS FOR USE    20    LIMITED WARRANTY    Respironics  Inc  warrants that its mask systems  including mask frame and cushion   the   Product   shall be free from defects of workmanship and materials for a period of ninety   90  days from the date of purchase  the  Warranty Period       If the Product fails under normal conditions of use during the Warranty Period and the  Product is returned to Respironics within the Warranty Period  Respironics will replace   the Product  This warranty is non transferable and only applies to th
7. e original owner of  the Product  The foregoing replacement remedy will be the sole remedy for breach of the  foregoing warranty This warranty does not cover damage caused by accident  misuse  abuse   negligence  alteration  failure to use or maintain the Product under conditions of normal use  and in accordance with the terms of the product literature  and other defects not related to  materials or workmanship  This warranty does not apply to any Product that may have been  repaired or altered by anyone other than Respironics     Respironics disclaims all liability for economic loss  loss of profits  overhead  or indirect   consequential  special or incidental damages which may be claimed to arise from any sale or  use of the 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     ComfortGel Full    21    THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER EXPRESS WARRANTIES  IN ADDI   TION  ANY IMPLIED WARRANTY  INCLUDING ANY WARRANTY OF MERCHANTABIL   ITY OR FITNESS FOR A PARTICULAR PURPOSE  IS SPECIFICALLY DISCLAIMED  SOME  STATES DO NOT ALLOW DISCLAIMERS OF IMPLIED WARRANTIES  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 STATETO  STATE     To exercise your rights under this limited warranty  contact your local authorized Respironics   Inc  dealer or Respironics  Inc  at 10
8. is not operating  enough fresh air will    N  te   not be provided through the mask  and exhaled   air may be rebreathed  This warning applies to A note places an   most models of CPAP systems  Rebreathing of emphasis on an operating  exhaled air for longer than several minutes can  characteristic    in some circumstances  lead to suffocation                                   ComfortGel Full    Warnings  cont      If oxygen is used with the device  the oxygen flow must be turned off  when the device is not operating  Explanation of the Warning  When  the device is not in operation  and the oxygen flow is left on  oxygen  delivered into the ventilator tubing may accumulate within the device  enclosure  Oxygen accumulated in the device enclosure will create a  risk of fire     Oxygen supports combustion  Oxygen should not be used while  smoking or in the presence of an open flame     At a fixed flow rate of supplemental oxygen flow  the inhaled oxygen  concentration will vary  depending on the pressure settings  patient  breathing pattern  mask selection  and the leak rate  This warning  applies to most types of CPAP and bi level machines     Some users may experience skin redness  irritation  or discomfort   f this happens  discontinue use and contact your healthcare  professional     The patient s physician should be contacted if the patient experiences  the following symptoms while using the mask or after removing it   Unusual chest discomfort  shortness of breath  stomach d
9. istension   belching  or severe headache  drying of the eyes  eye pain  or eye  infections  blurred vision   Consult an ophthalmologist if symptoms  persist     At low CPAP or EPAP pressures  the flow through the exhalation  port may be inadequate to clear all exhaled gas from the tubing   Some rebreathing may occur        INSTRUCTIONS FOR USE    Warnings  cont      e Aminimum of 3cm H O  hPa  must be maintained when using this  mask      This mask should not be used for patients who are uncooperative    obtunded  unresponsive  or unable to remove the mask          This masks is not recommended for patients who are taking a  prescription drug that may cause vomiting       When including an additional exhalation device to the patient circuit   you may need to adjust the pressure level to compensate for the  additional leak of the exhalation device      The gel mask is not customizable  Do not attempt to heat      Hand wash prior to first use  Inspect the mask  If any visible  deterioration of a system component is apparent  cracking   crazing  tears or cushion damage resulting in gel exposure  etc   the  component should be discarded and replaced      Using a mask may cause tooth  gum or jaw soreness or aggravate an  existing dental condition  If symptoms occur  consult your physician or  dentist        Contraindications    This mask may not be suitable for persons with the following conditions   impaired cardiac sphincter function  excessive reflux  impaired cough reflex  and
10. mask cushion changes            System One setting is not compatible with  masks requiring a separate additional exhalation  device     If your provider has locked the resistance  compensation setting  you can view the setting but  cannot change it  and the screen will display a lock  symbol  If your provider has disabled the resistance  compensation  you will not see this setting              ComfortGel Full    11  Replacing the Forehead Pad    The forehead pad will slide off and on the track of the  forehead pad bracket  Figure 3   The forehead pad is  strong and will stretch without tearing       Figure 3    A   Forehead Pad Tab   B   Forehead Pad Slot   C   StabilitySelector   D   Forehead Support Arm  E   Forehead Bracket   F   Headgear Bracket Slot  G   Forehead Pad          Note    Do not detach the  StabilitySelector from  the faceplate rail     INSTRUCTIONS FOR USE    12    Removing and Attaching the  Headgear and Mask    Method 1  Brackets     a  Removing   Undo the four headgear tabs on  the headgear  Figure 4  and pull the straps out  of the forehead bracket slots and on the Quick  Clips    b  Reattaching   Thread the top headgear straps  into the slots in the forehead bracket and the  Quick Clips  The headgear tabs fold back to  catch the headgear straps        Method 2  Ball Sockets    a  Removing   Disconnec  forehead support arm  Pull the Quick Clip   ball up and away from the socket  Figure 5    Do not pull the ball through the socket  Next   disconnect the f
11. orehead bracket from the fore   head support arm by pressing in on the center  of the forehead bracket and then squeezing  the upper sides of the support arm together  to disengage the forehead bracket  Figure 6         ComfortGel Full                            the Quick Clips and    Figure 5                   13  b  Reattaching   Place the ball against the socket  and gently press the ball into the socket  Press  in on the center of the forehead bracket and  then squeeze the upper sides of the support  arm together Slide the tabs into the forehead  bracket until they latch into place     Mask Use and Fit    1  Open the headgear to a large size setting  and adjust the forehead arm to the highest  position  To adjust  gently squeeze the  arms of the StabilitySelector and slide the  arm upwards    2  Disconnect one  or both of the Quick  Clips  Place the mask cushion against the  face by first setting the base of the cushion  under the lower lip then roll the cushion  up the nose  Be sure the mouth remains  slightly open  Pull the headgear on over  your head  Connect the Quick Clips if  detached    3  Using both hands  adjust the top headgear  strap first by using the headgear tabs on  the headgear  The forehead pad should be  touching your forehead lightly  Adjust the                      INSTRUCTIONS FOR USE       bottom strap so that the mask is sitting  gently on your face    4  Connect the tubing that is included with  your CPAP or bi level device to the swivel  elbow on 
12. the mask  Figure 7     5  Turn on the airflow    6  Lie down and breathe normally  Be sure  the mouth remains slightly open  If the  forehead pad does not rest comfortably  against your forehead  Tighten the top  headgear strap  If there are any air leaks  make any final adjustments  Some air  leakage is normal  Do not overtighten the  headgear                          Comfort Tips    Adjust the StabilitySelector on the forehead  support arm to reduce leaks or reduce pres   sure points at the bridge of the nose or above  the lip  Follow these tips to adjust for leaks      Forleaks around the bridge of the nose or  into the eyes  gently squeeze the arms of  the StabilitySelector and adjust to a lower  position  Figure 8            ComfortGel Full    For leaks around or below the mouth  gently squeeze the arms of the  StabilitySelector and adjust to a higher  position  Re seat the mask by pulling it  directly away from the face and gently  setting it back into place  Figure 9     The most common mistake is  overtightening the headgear  The headgear  should fit loose and comfortable  If your  skin bulges around the mask  loosen the  headgear straps  If you see red marks or  the mask leaves impressions on your skin   loosen the headstraps  Figure 10                     INSTRUCTIONS FOR USE    15    16    Taking Off the Headgear and Mask    To take off the mask and headgear first remove  one or both Quick Clips from the mask  sockets  Grasp the body of the Quick Clip and  gently p
13. ull the ball out of the socket away from  your face  After the Quick Clip is disengaged   slide the mask over your face  Figure 11      By using the Quick Clip  you ll be able to maintai  gear adjustments every    Tubing Quick Release          to remove your mask   n your mask and head   day     The mask elbow is equipped with a tubing  quick release  Simply squeeze the quick release    tabs and the blue swivel    will disengage from    the mask and come loose with the tubing     Figure 12                        Note to Home Care Providers  If a nasogastric tube or similar  device is in place  use an optional nasogastric tube sealing pad   Position the pad so that its flat surface is against the user s face    and the C shaped opening surrounds the tube     ComfortGel Full       17  Assembling the Cushion and Flap    Remove the Gel cushion by detaching the comfort flap with its  integrated retaining ring from the faceplate  Do this by pressing on the  faceplate tabs at the bottom of the mask  Clean or discard the cushion  as necessary     First  place the Gel cushion onto the faceplate  Figure 13   Then  put  the Comfort Flap over the Gel cushion and push the retaining ring  onto the faceplate until the connection tabs click into place  Gently tug  on the cushion to make sure all of the parts are securely in place     o Figure 13              A   Mask Faceplate  B   Gel Cushion  C   ComfortFlap with  Retaining Ring           INSTRUCTIONS FOR USE    18    Specifications    AN 
    
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