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        RESmart Fixed CPAP User Manual
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1.     DO NOT use the RESmart if the display is erratic  Contact your home care provider    for further instructions     If at any time you wish to exit the setup menu  press the Pressure Start Stop Button    and the display will go back to the system standby screen     P11    RESmart User Manual V2 4    First Time Setup  cont      Setting the Humidifier a  When the optional InH2    Heated Humidifier is used  this setting can change the    IMPORTANT     Setting the Altitude    IMPORTANT     Setting Auto ON    Setting Auto Off    temperature and humidity of airflow between level 0 to 5  Default setting is 3     Press the Ramp Button to enter change status and press     User Buttons to change the  setting  Press Ramp Button again to confirm the setting     Press     User Buttons to access the next setting     Heater  3    b  The altitude setting can be changed between level 0 to 2  Default setting is 0   0   less than 2 460 ft    lt 750 m   1   2 460 to 4 921 ft   750 m to 1500 m   2   4 924 to 8 202 ft   1501 m to 2500 m    over 8 202 ft    The airflow pressure may not be accurate  Contact your home care    provider to have your pressure setting adjusted     Altitude  0    RESmuart is already with automatic altitude compensation  Even if without setting the    altitude  RESmart still can deliver proper pressure in any altitude worldwide     c  When the RESmart is standby and wearing mask  your deep breath will start airflow    automatically   This function is NOT available on cer
2.    RESmart    CPAP System    User Manual    CE 0123    RESmart User Manual V2 4    Table of Contents    MD CCIIICALIONNS  yenu ran k  sek y   bee ae kk yee x   Saad Sba W   Baw     a Ga n kw   diy   Kas   wa We   w   ky     Warnings  amp  Call O 1S assis yesnieak ki kendin    anada din   na k     ka W   kwa sw k   d a Ua kd w  k  Unpacking the System sk iyilik n  k kulk na ka kk kuh a   n   aiak  System Features  sasyyya durin tul kina k   ly  klk e xes  wa    xwi enka    kada    wan aw   warek br   ano aa  FESI ji ja j   SE       al la SEN N N E a    O Installing the Filter lkA  k  lLLLLLLLLLLLL LL kk kk kk kk kk kk kk kk kk RR RR RR K KK KAKA  O Device SENINGS sa suisskn yen   n   zkuan nen d  yd  n keya k kan   k kk kw     b kwa kedl w  ya k   wa kaka EE  O Assembling the Circuit XkK  K    EKSLLLL LL kk kk kk kk kk kk kK kk kK K AKA KK KK K KA  AGCOSS OTTO S  j a  s    n nina nak na ne   nenena  nan  n ken  n   k  n   b  k E   n   RE   R    KA se H   NARO RAR E KEND AS n SR W  RA kun  O Adding   a HUI dI        ss  y s salnsn nsan sana kala kan   kall u nak ah RN Ea E benu Rek U rak   na    O Adding Oxygen to the System           ccccccccseecseeeeeeeeeeeeeeseseseeeeeeees  ROUNE USE    ssil  n kak danye ka a   we   Aka kw ek sl asan a k   dik e Alb ue ye tainsuneventecerenneedaamenian  O Connecting the CirCU  kl kk kk kk kk kk kk kK KK A KK K KK K KAK KA A  O Adjusting the Circuit kKkK  K    C  LLLL LEK kk kk kk kK kK KAKA KK KA KK KK inane  O Ramp BUHO sarrin nnn ns anek e
3.   The RESmart 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 Group 1   CISPR 11 Class B    Harmonic emissions The RESmart is suitable for use in all establishments  IEC 61000 3 2 Class A including domestic establishments and those directly    connected to the public low voltage power supply network  Voltage fluctuations that supplies buildings used for domestic purposes    flicker emissions Class D  IEC 61000 3 3    RF emissions Group 1   CISPR 11 Class B       P22    RESmart User Manual V2 4    Guidance and manufacturer s declaration   electromagnetic immunity    The RESmart is intended for use in the electromagnetic environment specified below  The user of the       RESmart should make sure that it is used in such an environment     Immunity test    Electrostatic  discharge  ESD     IEC 61000 4 2    Electrical fast  transient burst    IEC 61000 4 4    Surge    IEC 61000 4 5    Voltage dips   short  interruptions and  voltage  variations on  power supply  input lines    IEC 61000 4 11    Power frequency   50 60 Hz   magnetic field    IEC 61000 4 8    IEC 60601 test  level     6 kV contact     8 kV air     2 kV for  power supply lines     1 kV for  input output lines     1 kV  differential mode     2 kV  common mode     lt 5   Ur    gt 95  dip in U   for 0 5 cycle    40  Ur   60  dip in U    for 5 cycles    70  Ur   30  dip in U    for 25 cycl
4.  Airway Pressure  Caution should be used when prescribing CPAP for  susceptible patients such as those with  cerebral spinal fluid leaks  abnormalities of the  cribriform plate  prior history of head trauma  and or pneumocephalus    Chest 1989  96 1425 1426      The use of positive airway pressure therapy may be temporarily contraindicated if you  exhibit signs of a sinus or middle ear infection     Contact your health care professional if you have any questions concerning your therapy     P3    RESmart User Manual V2 4    Specifications  Device Size  Dimensions  220 x 194 x 112mm  313 x 194 x 112 mm  with InH2    heated humidifier   Weight  1 6kg  2 4 kg with InH2    heated humidifier   Product Use  Transport and Storage  Operation Transport and Storage  Temperature  5 to 30  C  20 to 55  C  Humidity   lt  80  Non condensing  lt  93  Non condensing  Atmospheric Pressure  860 to 1060 hPa 500 to 1060 hPa  Mode of Operation  Continuous    AC Power Consumption  100     240V AC  50 60Hz  1 0A max   Type of Protection Against Electric Shock  Class II Equipment   Degree of Protection Against Electric Shock  Type BF Applied Part   Degree of Protection Against Ingress of Water  IPX1    Drip Proof  Vertical   Pressure Range  4 to 20 hPa  in 0 5 hPa increments    Pressure Stability  4 to 20 hPa   1 hPa    Altitude Compensation  Manually setting  level 0  1  2  Automatic altitude compensation   Sound Pressure Level     lt 30 dB  when the device is working at the pressure of 10 hPa    Ma
5.  Pressures must be verified by your home care  provider when alternate or optional accessories are in place     a  Connect the flexible tubing to the air outlet on the front of the RESmart     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 flexible tubing to  the exhalation port  Position the exhalation port so that the vented air is blowing away    from your face  Connect the mask   s connector to the exhalation port     Do not block or otherwise try to seal the air openings  vent holes  on the exhalation    port    Explanation of the warning  The RESmart is intended to be used with masks and circuits that have an  exhalation port designed to exhaust CO   from the circuit  When the RESmart is turned on and functioning  properly  new air from the RESmart flushes the exhaled air out through the exhalation port  When the  RESmart is turned off  enough fresh air will not be provided through the mask  and exhaled air may be  rebreathed  Rebreathing of exhaled air for longer than several minutes can  in some circumstances  lead to    suffocation  This warning applies to most CPAP devices     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     P15    Adding a Humidifier    WARNING     Adding Oxygen    WARNING     WARNING     WARNING     RE
6.  cora often Jor any signs of damage  Keplace a damaged cor  WARNING  I h d often fi j f d   Repl d d cord  immediately   WARNING  The RESmart is powered on for use when the power cord is connected  The pressure  start stop button turns the blower on off   3  Place the RESmart on a firm  flat surface   CAUTION  Make sure the RESmart is away from any heating or cooling equipment  e g   forced  air vents  radiators  air conditioners   Also make sure that bedding  curtains  or other    items are not blocking the filter or vents of the device  Air must flow freely around the    device for the system to work properly     P9    Device  Settings    IMPORTANT     RESmart User Manual V2 4    First Time Setup  cont      Display Screen  All device settings will appear here     Pressure Start Stop Button  Use this button to start stop the airflow  DO NOT start the airflow    until the circuit tubing is connected     Heated Humidifier Button  Use this button when the optional InH2    Heated Humidifier has  been prescribed  This button will control the optional heated humidifier   s output  Follow the    instructions of the humidifier     Ramp Button  When the airflow is turned on  use this button to restart the ramp cycle  which  lowers the airflow pressure and then gradually increases it   This will allow you to fall asleep more  comfortably  When the airflow is turned off  use this button to access the patient menu     Note  The ramp feature is not prescribed for all users     User Butto
7.  ken   dek   n   k   Weka RO E Wa   Aa    4 Wa RA C   E Va he Gm A O H   KEKE KO KIR    M    O Turning the System Off KK  k kk kk kk kk kk KAK KAK KAK KAK KA  O PI  DIG NINIS sj sinin saarenney nanna naden n k   kekEan     ban     k hU kan AE   l Ll an n   d  nn   ka Ra k  n RARA    Routine Maintenance        ssssssssnnnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn nnmnnn  O Cleaning the Filter      asannsnnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn  O Cleaning the System        sssssssssnnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnna  CO  FREON OL TIL O orsoni REEE EEE   O SOVICE sorrera mena kid pa a award a gk   n      ew      awar   aa olk      e w  ne de kawana a   w   e n     Traveling with the System  sescseesecsiecscwwsncenes ceivetemencsienwseasnewstwunwantencnuc   Tr  OUDIOSTIOOT   T   su sas use nnn cisps cree nein ts yk dik danka saxan n   n  san k   dalal gula dan   ks daka   EMC BQ UITOTI OM       si  xa sual   y  na ua kayan n kek  n dak   aka Ay   dal   kwa kala ek      u uk kan   YAT AIT V aya ey kan kina nena n kak e banka kele   deal ke kl Nal k      k   Wel Si kak NE OS k        r      k   A NEBA   k    P1    RESmart User Manual V2 4    Symbols    Control Buttons     h p    ss El   Pressure Start   Stop Ramp Start     Humidifier On   Off   E3 User Button   User Button   Device   A Attention  Consult Type BF Applied part m Class     Double Insulated     Accompanying Documents       NN AC Power IPX1 Drip Proof  Vertical SN Serial Number
8.  of the product    u4 Manufacturer Authorised Reprisentative in the    European Community               European CE Declaration  of Conformity    RESmart    InH2    are registered trademarks of BMC MEDICAL CO   Ltd        BMC MEDICAL CO   Ltd  2011    P2    Intended Use    Intended Use    IMPORTANT     Contraindications    RESmart User Manual V2 4    The RESmart system is a CPAP  Continuous Positive Airway Pressure  device designed for  the treatment of adult Obstructive Sleep Apnea  OSA  only    The RESmart is to be used only on the instruction of a licensed health care professional   Your home care provider will make the correct pressure settings according to your health  care professional   s prescription    Several accessories are available to make your OSA treatment with the RESmart CPAP  system as convenient and comfortable as possible  To ensure that you receive the safe     effective therapy prescribed for you  use only BMC accessories     Read and understand the entire user manual before operating this system  If you have any    questions concerning the use of this system  contact your home care provider or health    care professional     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     Bypassed Upper Airway   e Pneumothorax   e Pathologically Low Blood Pressure   e Pneumocephalus has been reported in a patient using nasal  Continuous Positive
9.  or harsh sounds  if it has been dropped or mishandled  if the  enclosure is broken  or if water has entered the enclosure  disconnect the power cord  and discontinue use  Contact your home care provider    e To avoid electrical shock  disconnect the power cord before cleaning  DO NOT immerse  the device in any fluids    o Contact your health care professional if symptoms of sleep apnea recur    e Using the RESmart at an incorrect elevation setting could result in airflow pressures  higher than the prescribed setting  Always verify the elevation setting when traveling or    relocating     P5    RESmart User Manual V2 4    Warnings  amp  Cautions Unpacking the System    CAUTION  e Tobacco smoke may cause tar build up within the RESmart   Indicates the that may result in the RESmart malfunctioning    possibility of damage o The use of accessories other than those specified  with the exception of   to the device  cables sold by the manufacturer of the equipment or system as replacement parts    for internal components  may result in increased emissions or decreased immunity    of the equipment or system     Additional warnings and cautions are located throughout this manual as they apply     After unpacking the system  make sure you have everything shown here     RESmart CPAP    Carrying Case PL    4   User Manual   1         IMPORTANT  If any of the above parts are missing  contact your home care provider     P6    RESmart User Manual V2 4    System Features       Handle  Displ
10. MEDICAL CO   LTD  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     To exercise your rights under this warranty  contact your local  authorized dealers or     MANUFACTURER    BMC MEDICAL CO   LTD    5 F North No 2 Building  No 9 Shixing Street  Shijingshan District   Beijing 100041  P R China   Tel  86 10 51663880   Fax  86 10 51663880 Ext  810    EU AUTHORISED REPRESENTATIVE    Shanghai International Holding Corp  GmbH  Europe   Eiffestrasse 80  20537 Hamburg  Germany   Tel  0049 40 2513175   Fax  0049 40 255726    P25    
11. RESmart User Manual V2 4    First Time Setup    Do not use the RESmart system until an appropriate professional adjusts the settings  To    order any accessories not included with this system  contact your home care provider   Note to home care provider  Before beginning setup  be sure that you have available    the RESmart Home Care Provider Setup Instructions  Setup instructions are not    provided in this manual     DO NOT connect any equipment to the RESmart unless recommended by BMC or your    health care provider     If the RESmart has been exposed to either very hot or very cold temperatures  allow it to    adjust to room temperature  approximately 2 hours  before beginning setup     P6    RESmart User Manual V2 4    First Time Setup  cont      Installing the Filter 1  Install the filters and filter cap     CAUTION  The foam filter must be in place at all times when the RESmart is operating   a  Place the foam filter into the filter area on the back of the RESmart     b  Attach the filter cap  Position the cap so that the small opening on the cap is    facing down  Insert the cap   s tabs into the filter area opening     2  Connect the power cord  Plug the socket end of the power cord into the AC inlet on    Power Cord  the back of the RESmart  Plug the pronged end of the power cord into an electrical    outlet  System status will appear on the RESmart screen     To remove AC power  disconnect the power cord from the electrical outlet     IMPORTANT   a nspect the power
12. Smart User Manual V2 4    Accessories    Contact your home care provider for additional information on the accessories  available for the RESmart system  When using optional accessories  always follow    the instructions enclosed with the accessories     The InH2    Heated Humidifier is available from your home care provider  The  humidifier may reduce nasal dryness and irritation by adding moisture  and heat if    applicable  to the airflow     The RESmart unit should only be connected to the humidifiers or cacessories  specified in this Manual  Connection of other Items may result in injury or damage to    the RESmart unit     Oxygen may be added at the mask connection  Please note the warnings listed below    when using oxygen with the RESmart     The oxygen supply must comply with the local regulations for medical oxygen     Turn the RESmart on before turning the oxygen on  Turn the oxygen off before    turning the RESmart off   Explanation of Warning  When the RESmart is turned off  but the oxygen flow is still turned on  oxygen    may accumulate within the RESmart enclosure and create a fire risk  Turning the oxygen off before  turning the RESmart off will prevent oxygen accumulation in the RESmart and will reduce the risk of fire     This warning applies to most CPAP devices     Oxygen accelerates fires  Keep the RESmart and the oxygen container away from  heat  open flames  any oily substance  or other sources of ignition  DO NOT smoke in    the area near the RESmart 
13. The ramp feature is not prescribed for all    users     3  Press the Ramp button on the top of the RESmart  You can use the Ramp button as    often as you wish during the night     P17    RESmart User Manual V2 4    Routine Use  cont      Tu rning the System OFF 4  Remove the mask and headgear  Press the pressure start stop button on the top of the    IMPORTANT     Helpful Hints    RESmart to stop the airflow   Or  if the Auto Off setting has been enable  the airflow will automatically turn off     The humidifier button is active only when an InH2 Heated Humidifier is connected    or when the RESmart is in the Setup Menu  Refer to the InH2 Heated Humidifier   s    instructions for additional information       If the alert tone sounds  press any button on the RESmart to silence the alert tone   Refer to the    Troubleshooting    Section of the manual for further instructions    e Make sure that bedding  curtains  or other items are not blocking the filter or vents of  the RESmart  Air must flow freely around the RESmart for the system to work properly     If the airflow from the RESmart feels cold  reposition the circuit tubing so that it runs  under your bed covers to reduce heat loss while you sleep      If interruption of the power supply occurs during system working  the audible alert  a  beeping sound  will start and continue  Restoration of the power supply will stop the  audible alert      After interruption and restoration of the power supply  the RESmart will resume w
14. ay Medical  Screen Product Note  User Buttons  bottom   Humidifier    gt  AC Inlet  Controller meas J    Communications    Connector  Air Outlet Filter Cap  Humidifier els  Power  AC TMC sssrinin Connect disconnect the AC power cord here   Air Outlet                           Connect the flexible tubing  coaxial 22 mm  here   Communications  Connector                           For clinical use with the Data Management Software  Connect the communications cable here   Display Screen                   All system settings  total operating time  and therapy hours will appear here   Filter Cap  amp  Filters           The foam filter screens out normal household dust and pollens  The filter cap is designed to    reduce the noise from the RESmart    Humidifier Controller      This controller turns the InH2 heated humidifier on off and allows the heat setting to be adjusted   The humidifier is an optional accessory that may be purchased separately    Humidifier Power             This socket provides the power to the InH2 heated humidifier    Medical Product Note       For ease at airport security stations  there is a note on the bottom of the RESmart stating that it is  medical equipment  It may help if you also take this manual with you when you travel    User Buttons                      These buttons can be used to turn on off the system and change some of the system settings     Handie spisser This handle is for lifting up the system     P7    WARNING     WARNING     CAUTION     
15. es     lt 5  Ur    gt 95  dip in U    for5s    Compliance level     6 kV contact     8 kV air     2 kV for  power supply lines     1 kV for  input output lines     1 kV  differential mode     2 kV  common mode     lt 5  Ur    gt 95   dip in U7   for 0 5 cycle    40  Ur   60  dip in U7   for 5 cycles    70  Ur   30  dip in U    for 25 cycles     lt 5  Ur    gt 95  dip in Urs   for5s    Electromagnetic environment    guidance    Floor should be wood  concrete or  ceramic tile  If floors are covered with  synthetic material  the relative humidity  should be at least 30      Mains power quality should be that of a  typical home or hospital     Mains power quality should be that of a  typical home or hospital     Mains power quality should be that of a  typical commercial or hospital  environment  If the user of the RESmart  requires continued operation during power  mains interruptions  it is recommended  that the RESmart be powered from an  uninterruptible power supply or from a  battery     If the pressure deviates more than is  indicated in the device specification  it  may be necessary to position the  RESmart further from sources of power  frequency magnetic fields  The power  frequency magnetic field should be  measured in the intended installation  location to ensure that it is sufficiently low        NOTE  Uris the AC mains voltage prior to application of the test level     P23    RESmart User Manual V2 4    Guidance and manufacturer s declaration   electromagnetic immuni
16. ightly dampened with water and a  mild detergent  Let the RESmart dry before plugging in the power cord    3  Inspect the RESmart and all circuit parts for any damage after cleaning  Replace any  damaged parts    4  For details on cleaning your mask and accessories  refer to the cleaning instructions    packaged with the accessories     P19    Reordering    Service    WARNING     WARNING     Traveling with RESmart    Security Stations    RESmart User Manual V2 4    Reordering Service Traveling with the System    Contact your home care provider to order accessories or Replacement filters     The RESmart system does not require routine servicing     The RESmart unit contains electrical and or electronic equipment  When necessary     dispose of the RESmart and accessories in accordance with local regulations     If you notice any unexplained changes in the performance of the RESmart  if it is  making unusual or harsh sounds  if it has been dropped or mishandled  if the  enclosure is broken  or if water has entered the enclosure  discontinue use  Contact    your home care provider     If the RESmart malfunctions  contact your home care provider immediately  Never  attempt to open the RESmart   s enclosure  Repairs and adjustments must be  performed by BMC authorized service personnel only    Unauthorized service could cause injury  invalidate the warranty  or result in costly  damage    If necessary  contact your local authorized dealer or BMC MEDICAL CO   Ltd  for    technical s
17. ith    the working status before interruption automatically     P18    RESmart User Manual V2 4    Routine Maintenance    Cleaning the Filter    CAUTION     CAUTION     Cleaning the System    WARNING     The foam filter should be cleaned at least once every two weeks under normal usage    and replaced with a new one every six months     Operating the RESmart with a dirty filter may keep the system from working properly    and may cause damage to the device     1  Remove the filter cap by gently pressing on its bottom    2  Change the filter   a  Remove the foam 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 the filter on a rack for 8 to 12 hours or in a clothes dryer for 15 to 20  minutes   b  Insert the filter into the filter area on the back of the RESmart  Replace the filter    cap     Never install a wet filter into the RESmart  We recommend that you clean the filter in    the morning and alternate using the filter provided with the system to ensure enough    drying time for the cleaned filter     Clean the mask and tubing daily     To avoid electrical shock  unplug the RESmart before cleaning  Do not immerse the    RESmart in any fluids     1  Disconnect the flexible tubing from the RESmart  Gently wash the flexible tubing in  a solution of warm water and a mild detergent  Rinse the tubing thoroughly and air dry    2  Wipe the outside of the RESmart with a cloth sl
18. ns  These buttons can be used when entering various menus to change some of the    RESmart settings     pe Display Screen    User Buttons   Ew      gt  User Buttons    Heated  Humidifier cm        gt  Ramp Button    Button    Pressure Start Stop  Button    In the Setup Menu  the     user buttons are used to go to the previous next question or setting    and operate as up and down keys to change the settings  the ramp button is used to confirm the    setting change  and the start stop button will allow you to exit the Setup Menu without saving     P10    RESmart User Manual V2 4    First Time Setup  cont      Standby    Device Settings    IMPORTANT     WARNING     IMPORTANT     4  After power on  system status will appear on display screen as below     Ramp Timer    Ramp 15  04        08    Ramp Starting Treatment  Pressure Pressure    Ramp Starting Pressure  The starting pressure after blower is turned on  Default    setting is 4hPa     Treatment Pressure  The prescription pressure after ramp time  Default setting is  ShPa     Ramp Timer  The ramp time from starting pressure to prescription pressure  Default    setting is 15 minutes   5  Verify Change the RESmart settings  To start the setup menu  press and hold the  ramp button until the setup menu appear  about 5 seconds  when system standby      The airflow must be turned OFF      Pressing the ramp button  when the airflow is turned on  will lower the airflow    pressure  if prescribed  and then will gradually increase it 
19. or the oxygen container     P16    Routine Use    Connecting the Circuit    IMPORTANT     Adjusting the Circuit    Using the Ramp Button    RESmart User Manual V2 4    1  Connect the circuit     Before each use  examine the flexible tubing for any damage or debris  If necessary     clean the tubing to remove the debris  Replace any damaged tubing     a  Connect the mask to the headgear  following the instructions included with the    headgear     b  Put on the mask and headgear  and breathe normally through your nose  The airflow  should automatically start when you begin breathing through the circuit  If the airflow   does not start within four breaths  press the pressure start stop button on the top of the   RESmart  When operating the system with some mask types or some circuit    configurations  the airflow may NOT automatically start     2  Adjust the circuit  Lie down on your bed  and adjust the flexible tubing so it is free to  move if you turn in your sleep  Adjust the mask and headgear until you have a    comfortable fit and there are no airflow leaks into your eyes     Pressing the ramp button will reduce the air pressure when you are trying to fall asleep   The air pressure will gradually increase until your prescription pressure is reached  If  your physician prescribed ramp for you  pressing the button will reduce the pressure and  then gradually increase  ramp  the pressure to the therapeutic pressure setting so that  you can fall asleep more comfortably  Note  
20. phones  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 RESmart is used exceeds the applicable RF compliance level above  the RESmart  should be observed to verify normal operation  If abnormal performance is observed  additional  measures may be necessary  such as re orienting or relocating the RESmart     P Over the frequency range 150 kHz to 80 MHz  the field strengths should be less than 3 V m     P24    RESmart User Manual V2 4    Limited Warranty    BMC MEDICAL CO   Ltd  warrants that the RESmart    CPAP device shall be free from defects of  workmanship and materials and will perform in accordance with the product specifications for a period of  one  1  year for main unit and three  3  months for all accessories from the date of sale by BMC  MEDICAL CO   Ltd  to the dealer  If the product fails to perform in accordance with the product  specifications  BMC MEDICAL CO   Ltd  will repair or replace  at its option  the defective material or  part  BMC MEDICAL CO   Ltd  will pay customary freight charges from BMC MEDICAL CO   Ltd  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     BMC 
21. ressure relief  change the setting to    2         This function is NOT available on certain model   Default setting is 0  disable      Reslex  0    P13    RESmart User Manual V2 4    First Time Setup  cont      Setting the Delay Off h  When the optional InH2    Heated Humidifier is used  this setting allows the air flow    Use Days    Exit the Settings    continue for about 15 minutes at very low pressure  about 2hPa  after RESmart is turned off     This will blow off the left vapor and protect the RESmart  Default setting is Enable     DelayOff    Enable       1  The number of nights the RESmart was used for therapy for more than 4 hours will appear   This screen is only for reference  Your home care provider may periodically ask you for this    information     Use Days  0    The settings are complete  Press the     user button to access the SAVE setting and Ramp    Button to save all changes and exit the settings menu     P14    RESmart User Manual V2 4    First Time Setup  cont      Assembling the Circuit    WARNING     WARNING     WARNING     6  Assemble the circuit  To use the system  you will need the following accessories in    order to assemble the recommended circuit     Nasal Mask with integrated exhalation port  e 6 ft   1 83 m  flexible Tubing   e Headgear  for the mask     If multiple persons are going to use the RESmart  e g   rental devices   a  low resistance  main flow bacteria filter should be installed in line between the    RESmart and the circuit tubing 
22. s set to your altitude  Change  the altitude setting if necessary  If the altitude setting is correct   contact your home care provider for directions on having the RESmart    serviced  Please have the device   s serial number ready when you call     Replace or clean the filter  Make sure the RESmart is away from  bedding or curtains that could block the flow of air around the  RESmart  Make sure the RESmart is away from heating equipment     e g   forced air vents  radiators      Contact your home care provider for directions on having the  RESmart serviced  Please have the device   s serial number ready when    you call     Make sure that the RESmart is plugged into a working outlet  Contact  your home care provider for directions on having the RESmart    serviced  Please have the device   s serial number ready when you call     Contact your home care provider  Ramp may not have been prescribed    for you     Discontinue use  Disconnect the power cord from the AC wall outlet   Contact your home care provider for directions on having the  RESmart serviced  Please have the device   s serial number ready when    you call     P21    RESmart User Manual V2 4    EMC Requirements    Guidance and manufacturer s declaration   electromagnetic emissions    The RESmart is intended for use in the electromagnetic environment specified below  The user of the  RESmart should ensure that it is used in such an environment     Emissions Test Compliance Electromagnetic environment   guidance  
23. tain model   Default setting is Enable     Auto On  Enable    d  When the mask is removed  the RESmart will stop airflow automatically   This function is    NOT available on certain model   Default setting is Enable     P12    RESmart User Manual V2 4    First Time Setup  cont      Auto Off    Enable       Setting the LCD Light e  This setting allows you to adjust the LCD light among Auto  On and Off  Default setting    Setting the Alert    Setting the Reslex    is Auto   Auto  LCD light will be turned on when any button pressing and turned off after few  seconds   On  LCD light will be turned ON always   Off  LCD light will be turned OFF always     Light  Auto    f  This setting allows you to turn on off the patient disconnect Alert  When a large   continuous air leak  such as mask removal  has been detected in the circuit  this setting  enables disables the audible alert  a beeping sound   This setting is only effective when the  Auto Off setting is disabled   This function is NOT available on certain model   Default    setting 1s Disable     Alert  Disable    g  The Reslex setting displays the Reslex level set by your home care provider  This setting  allows you to adjust the level of air pressure relief that you feel when you exhale during  therapy  Your home care provider will have already set a Reslex level  If this is not  comfortable for you  you can increase or decrease the setting  The setting of    1    provides a  small amount of pressure relief  To increase the p
24. ty    The RESmart is intended for use in the electromagnetic environment specified below  The user of the  RESmart should make sure that it is used in such an environment     Immunity test aa   a died Electromagnetic environment   guidance    Portable and mobile RF communications  equipment should be used no closer to any part of  the RESmart  including cables  than the  recommended separation distance calculated  from the equation applicable to the frequency of  the transmitter     Recommended separation distance  d 1 2VP    d 1 2VP 80 MHz to 800 MHz  d 2 3VP 800 MHz to 2 5 GHz  Conducted RF   3 Vrms 3 Vrms  IEC 61000 4 6   150 kHz to 80 MHz where P is the maximum output power rating of  the transmitter in watts  W  according to the  transmitter manufacturer and d is the   Radiated RF 3 V m 3 V m recommended separation distance in meters  m      IEC 61000 4 3   80 MHz to 2 5 GHz    Field strengths from fixed RF transmitter  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     Kn        NOTE 1  At 80 MHz and 800 MHz  the higher frequency range applied     NOTE 2  These guidelines may not apply in all situations  Electromagnetic propagation is affected by  absorption and reflection from structures  objects and people     a Field strengths from fixed transmitters  such as base stations for radio  cellular cordless  tele
25. upport and documents     When you are traveling  the carrying case is for carry on luggage only  The carrying    case will not protect the system if it is stored as checked baggage     For convenience at security stations  there is a note on the bottom of the RESmart  stating that it is medical equipment    It may be helpful to bring this manual along with you to help security personnel  understand the RESmart     Checking the Power Cord Ifyou are traveling to a country with a line voltage different than the one you are    currently using  a different power cord or an international plug adapter may be  required to make your power cord compatible with the power outlets of the country  to which you are traveling  Contact your home care provider for additional    information     P20    Troubleshooting    RESmart User Manual V2 4    The table below lists common problems you may have with the RESmart system and possible solutions to those problems     If none of the corrective actions solve the problem  contact your home care provider     Problem    The pressure being delivered feels different     The airflow from the RESmart seems warm     The noise level of the RESmart has changed  to include unusual or harsh sounds during    operation     The RESmart will not turn on     Pressing the ramp button does not reduce the    air pressure     The RESmart has been dropped into water or    fluids have gotten into the enclosure     Solution s     Check the altitude setting to be sure it i
26. ximum Flow    Test Preanure hPe  EE KERE E22       Average flow at the patient  connection port L min     P4    RESmart User Manual V2 4    Warning  amp  Cautions    CAUTION     WARNING     Indicates the  possibility for  injury to the user    or the operator     o This device is restricted to sale by or on the order of a physician     o The instructions in this manual are not intended to supersede established    medical protocols    o This device is intended for adult use only    o This device is not intended for life support    e CPAP devices have the potential to allow rebreathing of exhaled air    To reduce this potential  observe the following      Use BMC circuit accessories      Do not wear the mask and headgear for more than a few minutes while the device is  not operating      Do not block or try to seal the vent holes in the exhalation port   As with most CPAP devices  At low CPAP pressures  some exhaled gas  CO2  may  remain in the mask and be rebreathed    e Do not use this device if the room temperature is warmer than 86 F  30 O     If this device is used at room temperatures warmer than 86 F  30 C   the temperature  of the airflow may exceed 106 F  41 C   This could cause irritation to your airway    o This equipment is not suitable for use in the presence of a flammable anaesthetic  mixture in combination with oxygen or air  or in the presence of nitrous oxide    o If you notice any unexplained changes in the performance of the RESmart  if it is  making unusual
    
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