User Guide
Contents
1. your sleeping position Ensure the surface is not sensitive to heat and or moisture or use a protective mat Connect one end of the air tubing f irmly onto the air outlet Connect the assembled mask system to the free end of air tubing WARNING e Make sure your flow generato connecting the H4i r is switched off at the power outlet before e The H4i docking station should only be connected or disconnected when the water chamber is empty Water must be prevented from entering your flow generator Do not transport the flow generator with the H4i attached The H4i is contraindicated for invasive use An external humidifier approved for invasive use is recommended according to EN ISO 8185 Filling the water chamber 1 Open the cover 2 Remove the water chamber 3 Fill with fresh clean water up to or below the maximum water level mark Note The water chamber must be removed from the H4i before it is filled or water may enter the flow generator The spill guard must also be in place 4 Return the water chamber to the docking station Note Ensure that no water is collected between the heater plate and the water chamber 5 Close the cover ensuring that it clicks into place CAUTION e Do not overfill the water chamber as water may enter the flow generator and air tubing Do not use any additives eg scented oils and perfumes They may reduce the humidification output of the H4i and or cause deteriorati2. Note The manufacturer reserves the right to change these specifications without notice Symbols which appear on the device A Attention consult accompanying documents Y Type CF equipment Class II equipment 2 Hot surface xX Do not touch Y MAX Maximum water level General warnings A warning alerts you to possible injury Specific warnings and cautions appear next to the relevant instructions in the manual Use the H4i only for its intended use as described in this manual Make sure that the water chamber is empty before transporting the H4i he H4i is designed only for use with specific ResMed PAP devices Do not use the H4i with any other PAP device The H4i should only be used with delivery tubes or accessories recommended by ResMed Connection of other delivery tubes or accessories could result in injury or 4 damage to the device The H4i including the associated tubing is for single patient use and must not be re used on another person This is to avoid the risk of cross infection here exists the possibility that if the device is placed above the level of the patient and is tipped over or if the tubing is filled with condensate the mask might fill with heated water The H4i should therefore be used with caution in patients who are unable to guard their airways or are unable to pull the mask off for example following a stroke Attention should be given to the relative ris
3. EE A A g Aa 11 Introduction The H4i is designed to moisten the air delivered to your airway during Positive Airway Pressure PAP therapy Indications for use The H4i is indicated for humidification of the air delivered from a ResMed compatible CPAP bilevel or non invasive ventilation device The H4i is for use only as recommended by a physician Contraindications The H4i is contraindicated for use with patients whose upper supraglottic airway has been bypassed Please also refer to the relevant system manual for contraindications associated with PAP therapy CAUTION USA ONLY Federal law restricts this device to sale by or on the order of a physician Components of your H4i Air outlet Accessories H4i Water Chamber included e H4i Cleanable Water Chamber e ResMed Tubing Wrap Control dial Indicator light Docking station Water chamber Heater plate Spill guard Latch Setting up your H4i for use Preparation Remove the connector plug from your flow generator a and attach it to the back of the docking station b Introduction 1 English System setup Align your H4i with your flow generator and push them together until they click into place Connect the power cord to the soc Plug the other end of the power co Place the combined unit on a firm et on the rear of your flow generator rd into the power outlet evel surface near your bed at a level lower than
4. external battery 6 months systems Clip type finger pulse sensors 1 year CPAP and bilevel device data modules Oximeters and CPAP and bilevel device oximeter adapters e Humidifiers and humidifier cleanable water tubs Titration control devices e CPAP bilevel and ventilation devices including external 2 years This warranty is only available to the initial consumer It is nott If the product fails under conditions of normal use ResMed wi its O ption the defective product or any of its components ransferable repair or replace at This limited warranty does not cover a any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such smo e repairs and c any damage or contamination due to cigarette pipe cigar or other Warranty is void on product sold or resold outside the region of original purchase Warranty claims on defective product must be made by the initial consumer at the poin This impl of purchase warranty replaces all other expressed or implied warranties including any ed warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you ResMed shall not be responsible for any incidental or consequen
5. mm x 212 mm Docking station and unfilled water chamber 1 64 lb 744g To maximum fill line 390 mL nput range for ResMed devices with H4i 100 240V 50 60Hz 10V 400Hz 2 5A lt 140 VA 110 W max power consumption nstantaneous peak power consumption lt 340 VA aximum heater element power 85 W Injection molded plastic stainless steel and silicon seal 41 F to 95 F 5 C to 35 C 10 95 non condensing Storage and transport temperature 4 F to 140 F 20 C to 60 C Storage and transport humidity 10 95 non condensing IEC 60601 1 classification Class II double insulation Type CF Electromagnetic compatibility Please refer to your flow generator user s manual for details Actual average power consumption will vary depending on factors such as temperature setting set pressure the use of accessories height above sea level and ambient temperature Technical specifications Docking station and water chamber 5 0 x 6 7 x 8 3 130 mm x Flame retardant engineering thermoplastic plated cast aluminium English 9 10 Humidifier performance The following settings have been tested at 22 C 40 RH ambient conditions CPAP mask pressure RH output Nominal system output AH BTPS cm H20 Setting 3 Setting 6 Setting 3 Setting 6 4 gt 95 gt 95 16 20 10 gt 85 gt 95 14 18 20 gt 75 gt 85 13 16 AH Absolute Humidity in mg L t BTPS Body Temperature Pressure Saturated
6. the humidifier prior to starting treatment If the humidifier is heating the related symbol is displayed at the top of the LCD screen Note The H4i can only be used when the device is connected to mains power supply CAUTION H4i cannot be used for treatment pressures exceeding 35 cm H30 Starting your treatment 1 Turn the humidity control dial to three Ill You can adjust the control dial up or down at any time to find the setting that is most comfortable for you The O setting switches heated humidification off and delivers minimum humidification while a setting of six II delivers maximum humidification Note The ResMed Tubing Wrap is designed to enhance comfort by maximizing heat retention along the air tube Start treatment as described in your device user guide Note The HA Ii is thermostatically controlled to maintain a constant temperature The indicator light will brighten to indicate when the device is actively heating and dim when it has reached ts set temperature 3 Lie down and arrange the tubing so that it moves freely when you turn in your sleep WARNING Do not leave an excessive length of air tubing around the top of your bed It could twist around your head or neck while you are sleeping Stopping your treatment To stop your treatment refer to your device user guide English Note In order to assist the heater plate in cooling some flow generators continue to blow air gently for up to an hour afte
7. RESMED Hai HEATED HUMIDIFIER User Guide English RESMED EC REP H4i HEATED HUMIDIFIER User Guide English Manufacturer ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia Distributed by ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA ResMed UK Ltd 96 Milton Park Abingdon Oxfordshire 0X14 4RY UK See www resmed com for other ResMed locations worldwide For patent information see www resmed com ip H4i S8 Stellar and VPAP are trademarks of ResMed Ltd Stellar and VPAP are registered in U S Patent and Trademark Office O 2013 ResMed Ltd 248671 1 2013 02 English Contents Introduction 220er 1 Indications for use Contraindications Components of your HAi aaua anaana anaana eee 1 Setting up your H4i for use 0 000 0000002 1 Preparation System setup 2 Filling the water chamber 3 Detaching your H4i 3 Starting and stopping treatment 4 Warming your H4i 4 Starting your treatment 4 Stopping your treatment 4 Cleaning and maintenance 0 200000 e ue 5 Disassembling the H4i 5 Cleaning the H4i 5 Reassembling the H4i 7 Servicing 7 Frequently asked questions 7 Tro blesho0ting vs mota Rn 8 Technical specifications cccceeennen 9 Humidifier performance 9 Symbols which appear on the device 9 General warnings 00 000 ccc cee 10 Limited warranty 00 00
8. away from direct sunlight Weekly Inspect the water chamber for wear and deterioration Replace the water chamber if any component has cracked become cloudy or pitted Replace immediately if there is any leaking from the water chamber White powder or deposits in the water chamber can be cleaned using a solution of one part vinegar to 10 parts water as follows Fill the cleaning plug to the rim with vinegar and pour into empty water chamber Add clean water to the water chamber until the solution reaches the maximum water level mark Let the solution soak for 10 minutes Discard the solution and rinse the water chamber with clean water Cover and cover seal Inspect the cover and cover seal weekly for wear and deterioration Replace any damaged parts When required wash the cover and cover seal in warm water using a mild detergent Rinse them thoroughly with clean water and allow it to dry away from direct sunlight Docking station Periodically wipe the outside of the docking station including the connector seal with a damp cloth CAUTION Do not use any of the following to clean any part of the H4i as these solutions may cause damage and reduce the life of the product bleach chlorine alcohol or ammonia based solutions moisturizing antibacterial or glycerine based soaps water softening and unapproved descaling agents Do not wash the water chamber in a dishwasher Heater plate Do not allow water t
9. ks and benefits Do not attempt to dismantle the H4i docking station There are no userserviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent If liquids are inadvertently spilled into or on the H4i docking station unplug the PAP device from the power outlet Disconnect the docking station from the PAP device and allow the docking station to drain and dry before using Do not operate the HAi if it is not working properly or if any part of the PAP device or H4i has been dropped or damaged Keep the PAP device power cord away from hot surfaces Do not drop or insert any object into any opening or tubes Do not use the H4i in the presence of flammable or explosive materials 4 e Explosion hazard do not use in the vicinity of flammable anesthetics F ollow all precautions when using supplemental oxygen Limited warranty ResMed Ltd hereafter ResMed warrants that your ResMed product shall be free from defects in material and workmanship from the date of purchase for the period specified below power supply units Battery accessories Portable diagnostic screening devices Product Warranty period e Mask systems including mask frame cushion headgear 90 days and tubing excluding single use devices e Accessories excluding single use devices Flextype finger pulse sensors Humidifier water tubs e Batteries for use in ResMed internal and
10. ntrol dial down to a lower setting You may need to adjust your humidity setting from season to season The use of a ResMed Tubing Wrap can help reduce the effects of condensation Do have to use distilled water in the water chamber Using distilled water will maximize the life of the water chamber and reduce mineral deposits What if I still have symptoms of dryness If you have symptoms of dryness then your humidity setting may be set too low to be effective Turn the humidity control dial up If you are still experiencing symptoms of dryness you may be breathing through your mouth Mouth breathing or mouth leaks cause drying and irritation of the upper airway If this is a problem a full face mask or chin strap may help Consult your clinician or equipment supplier for details Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supplier or ResMed Do not open the unit WARNING Problem Device not working no display on LCD screen and or indicator light not lighting up Service and repair should only be performed by an authorized service agent Possible cause Solution Power cord is not plugged in Check that the power cord is plugged firmly properly into the power outlet and the switch if available is on at the outlet Faulty power outlet Try another power outlet Flow generator and docking station Check that the docking sta
11. o collect on the heater plate Wipe it with a clean cloth if necessary Reassembling the H4i Reassemble the parts when they are clean and dry 1 Align the cover seal to the guides on the cover and press along the edges to ensure it is fitted properly 2 Put one cover arm into its pivot point on the docking station and gently flex the other arm into its corresponding point The cover should be able to open and close freely while securely attached to the docking station 3 Reinsert the spill guard into the water chamber recess and push down to fit firmly into place 4 Replace the water chamber in the humidifier docking station Servicing The H4i should be inspected by an authorized 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 Warranty details are provided with the device at the time of original supply As with all electrical devices if any irregularity becomes apparent you should exercise caution and have the device inspected by an authorized ResMed Service Center Cleaning and maintenance English Frequently asked questions Question Why is there condensation in my mask and or air tubing Answer Excessive condensation in your mask or air tubing may occur when the room temperature is low To prevent condensation turn the co
12. on of the water chamber materials Detaching your H4i 1 Unplug the power cord from the power outlet WARNING Take care when handling your H4i The water and the water chamber base may both be hot Allow 10 minutes for the heater plate and any excess water to cool 2 Remove the water chamber from the docking station 3 Press the large silver button located midway underneath the docking station Setting up your H4i for use English 3 4 Pull the H4i and flow generator apart Note Re attach the connector plug firmly to your flow generator Starting and stopping treatment Warming your H4i with the VPAP or S8 Series The Warm Up feature not available on all ResMed PAP devices is used to pre heat the water before starting treatment Skip this step if you want to start immediately To start the Warm Up feature Select warmup by pressing gt on the control panel The WARMING screen will appear to indicate that the Warm Up feature is activated While your H4i is in Warm Up mode you can Start treatment at any time by pressing Access the menus by pressing Stop the Warm Up feature at any time by pressing This may not apply on all devices The Warm Up feature will automatically turn off after 30 minutes if treatment has not started Warming your H4i with the Stellar Your H4i will be automatically detected when the Stellar is turned on The treatment screen will give you the option to start warming up
13. r treatment has stopped However you can unplug the device from the power outlet at any time and allow the heater plate to cool without airflow Cleaning and maintenance You should regularly carry out cleaning and maintenance of the water chamber cover and cover seal as described in this section WARNING e Beware of electrocution Do not immerse your flow generator docking station or power cord in water Always unplug the device before cleaning and be sure that it is dry before plugging it back in e Take care when handling your H4i The water and the water chamber base may both be hot Allow 10 minutes for the heater plate and any excess water to cool Disassembling the H4i i 1 Remove the spill guard by pushing up from inside the air inlet and pulling it away from the water chamber 2 Discard any excess water from the water chamber 3 Detach the air tubing from the air outlet 4 Remove the cover by gently flexing one cover arm away and up from the docking station until the cover detaches completely 5 Peel the cover seal away from the cover CAUTION Do not remove the tub plate from the water chamber Cleaning and maintenance 5 Cleaning the H4i Water chamber 3 4 Daily Wash the water chamber spill guard tub plate and tub plate seal in warm water using a mild detergent Use the yellow cleaning plug to assist in the cleaning process see steps 1 to 4 Rinse thoroughly in clean water and allow them to dry
14. tial damages claimed to have resulted from the sale installation or use of any ResMed product Some Limited warranty English 12 regions or states do not allow the exclusion or limitation of incidental or consequential damages 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 region to region For further information on your warranty rights contact your local ResMed dealer or ResMed office Filling the Water Chamber Remplissage du r servoir C mo llenar la c mara de agua Como encher o compartimento de gua 248671 1 2013 02 H4i USER Global leaders in sleep and respiratory medicine www resmed com
15. tion is securely not connected correctly attached to the flow generator Indicator light is H4i reflector is dirty Clean the reflector with a damp cloth permanently dull and or air does not feel warm Leaking water The water chamber may be Contact your supplier for a replacement chamber damaged or cracked Problem Possible cause Solution No low air flow The air tubing is not connected Connect the air tubing as described in properly Setting up your H4i for use on page 1 The air tubing is blocked pinched Unblock or free the air tubing Check the air or punctured tubing for punctures The flow generator is not working See the Troubleshooting section in the flow correctly generator manual The cover is not latched correctly Make sure the cover is latched onto the docking station correctly The cover seal is not fitted Make sure the cover seal is facing the right correctly way up and fitted securely Water splashing on The water chamber is overfilled Empty some water from the water chamber your face Condensation is forming in the air Turn the control dial down tube and mask Use the ResMed Tubing Wrap Technical specifications Maximum heater plate temperature 85 F 85 C Temperature cut out 99 F 93 C Maximum gas temperature 06 F 41 C Dimensions H x W x D Weight Water capacity Power supply Docking station Water chamber Operating temperature Operating humidity 70
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