ResMed VPAP III ST-A User's Manual
Contents
1. ResMed Corp Danielson Street Poway CA 92064 6857 Tel 1 858 746 2400 or 1 800 424 0737 toll free Fax 1 858 746 2900 Email reception resmed com ResMed UK Limited 65 Milton Park Abingdon Oxfordshire OX14 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 1 800 658 189 toll free Fax 61 2 9878 0120 Email reception resmed com au ResMed Austria GmbH Purtscherstra e 18 9500 Villach sterreich Tel 43 4242 430 830 Fax 43 4242 430 830 4 Email reception resmed at ResMed BV Nieuwe Parklaan 86 2587 BV Den Haag Nederland T l 31 70 358 6263 Fax 31 70 358 4333 Email receptiondh resmed nl ResMed Finland Oy Etel inen Salmitie 2 Masala 02430 Suomi Puh 358 9 8676820 Faksi 358 9 86768222 S hk posti reception resmed fi ResMed GmbH amp Co KG Fraunhoferstra e 16 Martinsried Deutschland Tel 49 0 89 99 01 00 oder 49 0 800 2 777 000 geb hrenfrei Fax 49 0 89 99 01 10 55 Email reception resmed de ResMed Hong Kong Limited 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 17F Fukokuseimei Building 2 2 2 Uchisaiwai cho Chiyoda ku Tokyo 100 0011 Japan Tel 81 3 3592 9555 Fax 81 3 3592 9555 ResMed Malaysia Sdn Bhd Suite E 10 20 Plaza Mon t Kiara No 2 Jalan 1 702. DUTCH SERVICING enter SN 123456789123 456789 View only 1 View only mmm rm a menu item 4 0 10 0 RR10 Settings summary screen 1 2 20 01 View only 7 functor 150 X UM No Settings summary screen 2 setting option 31HP30LV2 View only Setting options bold text 2m 3m indicates default setting Sw 2565020 exit View only Figure 2 VPAP ST A Detailed Menu Series if enabled by your clinician How to Use the VPAP III ST A Menus 21 22 To access the III STA menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within a menu or submenu Press the Up Down key To enter a submenu Press the Left key enter To change a setting option for a function 1 Press the Left key change 2 Press the Up Down key until the desired setting option appears 3 Press the Left key apply to select the setting option To exit without changing options Press the Right key cancel To exit out of a menu or submenu Press the Right key exit Note You can return to the VPAP or Ramp screen at any time by holding the Right key for at least three seconds Menu Functions Detailed Menu only The VPAP SFA menu functions are summarized in Tables 2 6 below with brief description of what each function does and the available setting options T
3. Warnings The VPAP III STA shou If adjacent or stacked use is neces d not be used adjacent or stacked with other equipment sary the III STA s operation in the configuration in w hich it will be used hould be observed to verify normal 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 ST A System Specifications 41 42 Guidance and manufacturer s declaration electromagnetic immunity The SEA is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP SEA should assure that it is used in such an environment 1EC60601 1 2 Compliance Electromagnetic Immunity test environment test level level guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood discharge ESD concrete or ceramic tile If IEC 61000 4 2 x8 kV air 8 kV air floors are covered with synthetic material the relative humidity should be at least 30 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 x1 kV for input Not Applicable environment output lines Surge x1 KV differential 1 KV differential Mains power quality should IEC 61000 4 5 mode mode be that of a typical com
4. and notes appear next to the relevant instructions in the manual Adverse Effects You should report unusual chest pain severe headache or increased breathlessness to your physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy with the VPAP III ST A drying of the nose mouth or throat bloating ear or sinus discomfort eye irritation mask related skin irritations chest discomfort Medical Information 3 The VPAP Ill ST A System Please refer to the illustrations in section A of the illustration sheet Please identify and familiarize yourself with the following components of the VPAP III STA VPAP 111 STA front view 1 VPAP STA rear view A 2 Power cord A 3 Carry bag A 4 2 m air tubing A 5 WARNING Do not connect any device to the auxiliary port Although your health care provider may connect specially designed devices to the auxiliary port of the VPAP ST A connection of other devices could result in injury or damage to the unit In the home environment the only device that may be connected to the communications port is a modem that is locally approved Locally approved modems may also be connected in the clinical environment In the clinical environment any PC that is used with the STA system must be at least 1 5 m away from or at least 2 5 m abo
5. night Check that your air tubing is connected properly and that your mask does not leak excessively Use the mask fitting feature to help you to fit your mask properly If this message appears again contact your clinician System Specifications Dynamic pressure characteristics IPAP 2 cm H20 to 30 cm H20 measured at the end of standard 2 m air tubing EPAP 2 cm H50 to 25 cm 2 measured at the end of standard 2 m air tubing CPAP 4 cm H50 to 20 cm 2 measured at the end of standard 2 m air tubing Maximum single fault pressure 40 cm H O Maximum flow CPAP mode measured at the end of standard 2 m air tubing Pressure Flow cm H20 L min 10 2220 15 2220 20 2220 Sound pressure level 30 tested in accordance with the requirements of ISO 17510 1 2002 Dimensions L x W x H 270 mm x 230 mm x 141 mm Weight 2 3 kg Air outlet 22 mm taper compatible with EN 1281 1 1997 Anaesthetic amp Respiratory Equipment Conical Connectors Pressure measurement Internally mounted pressure transducer Flow measurement Internally mounted flow transducer Power Supply AC 100 240V 2 2A 50 60Hz DC 24V 2A Housing Construction Flame retardant engineering thermoplastic Environmental Conditions Operating Temperature 5 to 40 Operating Humidity 1096 9596 non condensing Storage and Transport Temperature 20 C to 60 Storage and Transport Humidity 10 95 non condensing Electrom
6. page 19 Starting Treatment 13 Stopping Treatment To stop treatment at any time remove your mask and press the Start Stop key or if your clinician has enabled the SmartStart function simply remove your mask and treatment will end SmartStop is not applicable with the Mir Full mask setting Using the HumidAire 2i Warm up Feature If using a HumidAire 2i with the VPAP III ST A you can use the Warm up feature to pre heat the water in the humidifier prior to starting treatment After stopping treatment the VPAP III ST A will continue to blow air gently to assist cooling of the heater plate See the HumidAire 2i User s Manual for further details Using the Mask Fitting Feature The III STA mask fitting feature can be used to help you fit your mask properly The mask fitting feature delivers air pressure for a three minute period prior to starting treatment for checking and adjusting your mask fit to minimize leaks If a Ramp time is selected the mask can be adjusted at a pressure closer to the prescribed pressure To use the mask fitting feature 1 Fit your mask as described in the user instructions 2 Hold down the Start Stop key for at least three seconds until air pressure delivery starts The following display will appear on the LCD screen indicating that the mask fitting feature is in operation The flow generator will ramp to the Mask Fit pressure and will remain at this pressure for three minutes A Mask Fit
7. star rating is also displayed See Definitions of Mask Fit Star Rating on page 15 ODVN LW Mask Fit star rating H FHOQW RESMED Notes The Mask Fit star rating display disappears after three minutes The mask fitting feature can only be started from the VPAP or Ramp screen The Mask Fit pressure is the set treatment pressure or 10 cm H30 whichever is greater 3 Adjust your mask mask cushion and headgear until you have a secure and comfortable fit Once you have a secure and comfortable fit check your Mask Fit star rating on the LCD screen Definitions of the Mask Fit star ratings are presented in Table 1 Note If there is another person nearby to check your Mask Fit star rating you can adjust your mask mask cushion and headgear while lying down 4 After three minutes treatment will begin f you do not wish to wait three minutes hold down the Start Stop key for at least three seconds and treatment will begin immediately f you press the Start Stop key for less than three seconds the VPAP 111 STA will return to standby mode the or Ramp screen is displayed Table 1 Definitions of Mask Fit Star Rating Star rating Definition oe Excellent Very good petes Good aS Adjust mask Adjust mask HIGH LEAK Adjust mask Starting Treatment 15 Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section
8. than 50 at an ambient temperature of 35 C For VPAP III ST A temperature specifications see System Specifications on page 37 Troubleshooting 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 III STA Problem No display Possible Cause Power not connected or Switch at back is not on Solution Ensure the power cable is connected and that the Switch at the back of the device is in the ON position Insufficient air delivered from the STA Ramp Time is in use Air filter is dirty Air tubing is kinked or punctured Air tubing not connected properly Mask and headgear not positioned correctly Plug s missing from access port s on mask Pressure required for treatment may have changed Wait for air pressure to build up Replace air filter Straighten or replace tubing Check air tubing Adjust position of mask and headgear Replace plug s See your clinician to adjust the pressure The STA does not start when you breathe into the mask when SmartStart is enabled Power cord not connected properly Power outlet may be faulty The VPAP III STA is not switched on SmartStart not on Mask Alarm has been enabled SmartStart has automatically been disabled Breath is not deep enough to trigger SmartStart Co
9. the device 4 Connect the free end of the medium air tubing to the air outlet of the VPAP III STA G 3 5 Connect the mask system to the free end of the long air tubing The final assembly should look like illustration G 4 6 Plug the HumidAire power cord into a power outlet 7 If the III ST A is not already plugged in see Step 2 on page 7 WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged 8 Navigate to the humidifier setting if available in the STA menu and select HUMIDAIRE See How to Use the Detailed Menu if enabled by your clinician on page 20 The VPAP III STA is now ready for use with the HumidAire To start treatment see Starting Treatment on page 13 Attaching a Passover Humidifier Please refer to the illustrations in section H of the illustration sheet Medium size 52 cm air tubing is a necessary accessory for connecting the VPAP STA to the ResMed Passover humidifier To set up the VPAP III STA with the ResMed Passover 1 Fill the Passover with water as described in the humidifier manual 2 Connect the medium 52 cm air tubing to the right connector port and the long air tubing 2 m or 3 m to the left connector port on the humidifier H 1 3 Place the III STA on top of the Passover H 2 Do not place the VPAP STA underneath the humidifier This is to avoid water spilling into the device 4 Connec
10. 16 ES 153518 ES ES FR 02 1407 GB GB GB GB 3001821 JP 1164265 JP JP JP 8638613 SE SE 75599 SE 75600 SE 75715 US 0467335 US 0468011 US D476077 US D477868 US D487311 US D503796 Other designs pending VPAR Activa HumidAire HumidAire 2i Mirage SmartStart Smart Data Swift Ultra Mirage and Vista are trademarks of ResMed Ltd and VPAP Activa HumidAire HumidAire 2i Mirage SmartStart Ultra Mirage and Vista are C registered in U S Patent and Trademark Office 2005 ResMed Ltd 0120 Contents INTTOUCION societe engine an Teese uses 1 User Owner Responsibility 1 Medical Information 1 What the VPAP III SEA is Intended for 1 Contraindications 1 Warnings 2 Cautions 2 Adverse Effects 3 The III STA System 5 Masks 5 Humidifiers 6 Accessories 6 Setting up the III ST A System 7 Setting up the VPAP III STA 7 Attaching a Humidifier 8 Using the LCD Screen and Keypad 10 Starting Treatment 13 Stopping Treatment 14 Using the HumidAire 2i Warm up Feature 14 Using the Mask Fitting Feature 14 Cleaning and Maintenance 17 Daily Cleaning 17 Weekly Cleaning 17 Periodic Cleaning 17 Testing the Alarm 18 Replacing the Air Filter 18 Servicing 18 How to Use the III STA Menus 19 Ramp Screen 19 Ho
11. 5 BPM 20 BPM 0 00 T T 0 1 2 3 Breaths Pressure Volume Curve 1 3 Max Pressure 2 3 Max Pressure 600 600 4 500 7 4 500 Ge 400 400 B 300 amp 300 3 200 5 200 gt 100 7 100 0 0 6 4 6 45 6 5 6 55 6 6 6 65 67 675 Pressure cm H20 Max Pressure 600 500 400 o 300 200 100 0 19 95 20 20 05 20 1 20 15 20 2 2025 Pressure cm H20 13 25 13 3 13 35 13 4 13 45 13 5 13 55 13 6 Pressure cm H O 10 BPM gt 15 BPM 20 BPM Note The manufacturer reserves the right to change these specifications without notice System Specifications 39 40 Symbols which may Appear on the Product I4 008s e Attention consult accompanying documents Class equipment Type CF equipment Drip proof Start Stop Mask Fit Alarm LEDs Alarm Mute QuickView AC switch only Environmental information WEEE 2002 96 EC is a European Directive that requires the proper disposal of electrical and electronic equipment This device should be disposed of separately not as unsorted municipal waste To dispose of your device you should use appropriate collection reuse and recycling systems available in your region The use of these collection reuse and recycling systems is designed to reduce pressure on natural resources and prevent hazardous substances from damaging the environment If you need information on these dispos
12. C Mon t Kiara 50480 Kuala Lumpur Malaysia Tel 60 3 6201 7177 Fax 60 3 6201 2177 Email reception resmed com my ResMed Middle East 66 Ahmed Shawki St Mostafa Kamel Alexandria 21111 Egypt Tel 20 3 546 8825 Fax 20 3 544 6984 ResMed NZ Ltd PO Box 51 048 Pakuranga Auckland New Zealand Tel 64 274 737 633 Fax 64 9 239 0193 Email reception resmed co nz ResMed SA Parc de la Bandonniere 2 rue Maurice Audibert 69800 Saint Priest France T l 33 0 4 37 251 251 Fax 33 0 4 37 251 260 Email reception resmed fr ResMed Schweiz Thannerstrasse 57 CH 4054 Basel Schweiz Tel 41 061 307 9711 Fax 41 061 307 9722 Email info resmed ch ResMed Singapore Pte Ltd 238A Thomson Road 12 03 04 Novena Square Tower Singapore 307684 Tel 65 6284 7177 Fax 65 6284 7787 Email reception resmed com sg ResMed Spain SL C Arturo Soria 245 28033 Madrid Espana Tel 34 93 5908154 Fax 34 93 5908153 Email angelo resmed es ResMed Sweden AB Industrigatan 2 S 461 37 Trollhattan Sverige el 46 520 420 110 Fax 46 520 397 15 Email reception resmed se US DESIGNATED AGENT ResMed Corp EU AUTHORIZED REPRESENTATIVE ResMed UK Ltd Internet www resmed com Protected by patents AU AU AU EP 0661071 EP US US 5199424 US US US US Other patents pending Protected by design registrations AU AU AU 147336 CH 128 709 CH 128 710 CH 128 711 CH 128 712 DE 40201723 DE 40202007 DE 40202008 DE 40202020 ES 153514 ES 153515 ES 1535
13. Daily Cleaning Mask Clean the mask according to the instructions supplied with the mask Air tubing Disconnect the air tubing from the VPAP III ST A and humidifier if used and hang the tubing and mask in a clean dry place until next use CAUTION Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack Humidifier If you are using a humidifier clean it according to the instructions in the humidifier user manual Weekly Cleaning 1 Remove the air tubing from the STA and the mask 2 Wash the air tubing in warm water using mild detergent Rinse thoroughly 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 CAUTION Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturizing or antibacterial soaps to clean the air tubing or the VPAP III ST A These solutions may cause hardening and reduce the life of the product Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack Periodic Cleaning 1 Clean the exterior of the VPAP III STA with a damp cloth and mild liquid soap 2 Inspect the air filter to check if it is blocked by dirt or contains holes See Replacing the Air Filter on page 18 WARNING Beware of electric shock Do not immerse the flow gener
14. RESMED VPAP ST A User Manual 48139 3 on VPAP STA USER ROW Global leaders in sleep and respiratory medicine www resmed com RESMED VPAP Ill STA Illustrations A SYSTEM COMPONENTS LCD screen Removable front cover Air filter cover Power switch Power sockets T 2 Auxiliary port 15 pin B HUMIDIFIERS Component of 248139 3 1 HumidAire 21 Handle Control panel Air outlet 3 HumidAire Serial communications port 9 pin 2005 ResMed Ltd 2 HumidAire 2iC 4 ResMed Passover 2005 ResMed Ltd 2005 ResMed Ltd D SETTING UP THE III ST A 2005 ResMed Ltd E HUMIDAIRE 2i AND VPAP III ST A Docking station Water chamber HUMIDAIRE 2iC AND VPAP III STA Docking station Water chamber 5 es N rs Lo A 2005 ResMed Ltd PFI 4000 REPLACING THE AIR FILTER PFI 9007 cc LLI gt 5 oc LLI 5 a a Wal 2 22 PFI 4000 2 m 3 m G USING A HUMIDAIRE HUMIDIFIER RESMED VPAP STA User Manual 248139 3 05 11 Manufactured by ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia Tel 61 2 8884 1000 or 1 800 658 189 toll free Fax 61 2 8883 3114 Email reception resmed com au Distributed by
15. The flow generator stops delivering air pressure Sound Single intermittent tone LCD SENSOR ERROR LED Yellow flashing Alarm System Error Hardware error Return the VPAP STA for servicing DO NOT USE THE VPAP SEA DEVICE Warning Signal The flow generator stops delivering air pressure Sound Single intermittent tone LCD SYSTEM ERROR Call service LED Yellow flashing Alarm System Error Cause Component failure Action e Return the VPAP SEA for servicing DO NOT USE THE VPAP III SFA DEVICE Sound Single intermittent tone LCD HIGH LEAK LED Yellow flashing Alarm Mask off High mask leak for more than 20 seconds Adjust the mask to minimise leak See Using the Mask Fitting Feature on page 14 Sound Single intermittent tone LCD LOW PRES ALARM LED Yellow flashing Alarm Low mask Air pressure at the mask has fallen below the alarm setting level Mask is removed 1 Check that the air tubing is connected properly 2 Turn the III STA off and on again at the power switch If the alarm persists return the unit to ResMed for servicing pressure while SmartStop has been disabled Sound Single Mask pressure The treatment will stop intermittent tone LCD HIGH PRES ALARM LED Yellow flashing Alarm High mask pressure exceeds alarm setting level Turn power off Turn power back on Try using the flow generator one mo
16. Time on page 13 Ramp time can be altered in five minute increments from OFF to a maximum ramp time set by your clinician by using the Up Down key How to Use the Standard Menu The standard menu allows you to view details about the time used a summary of your device settings and the current software version of your STA The Used time screen displays the total number of hours for which the device has been used It also displays the number of days the III SEA was used out of the total number of days available for use For details on the settings summary screens see Settings Summary Screens on page 20 Figure 1 summarizes the VPAP STA standard menu series How to Use the VPAP III ST A Menus 19 VPAP screen Ramp screen RESMED VPAP III menu Options OFF 5 10 15 20 25 30 35 40 45 min RAMP OFF menu f USED 00000hrs 00000 00000days View only ST 4 0 10 0 RR10 20 01 1 12 Settings summary screen 1 M M 150 UM No VMLP 3 t HP30LV 2 Settings summary screen 2 SW SX384 0204 cit View only Figure 1 VPAP ST A Standard Menu Series Toaccess the VPAP III STA menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within the menu Press the Up Down key To exit out of the menu Press the Right key exit Settings Summary Screens The settings summary screens enable your clinician to q
17. VPAP STA changes the pressure when you are exhaling indicates a patient cycled change T Treatment screen 1 and TiMn and TiMx Treatment screen 3 indicate a device cycled change Pressure bar graph Graphical display of the changing pressure Leak Current mask leak units liters per minute Respiratory rate Number of breaths per minute Minute ventilation Volume of air inhaled per minute units liters per minute It is the product of respiratory rate and tidal volume Tidal volume Volume of air inhaled per breath units milliliters per breath Measured inspiration time The average inhalation time measured by the VPAP ST A Set IPAP Max The maximum inhalation time set by your clinician Measured I E ratio The inhalation to exhalation ratio measured by the VPAP III ST A Oxygen saturation level Percentage of oxygen in your blood stream only appears if ResLink and oximeter are attached Pulse rate HR Measured in beats per minute only appears if ResLink and oximeter are attached Non vented Mask Alarm Screen If the non vented mask alarm has been disabled by your clinician the following Screen is displayed after starting therapy To exit this screen press any key to display the treatment screens or stop treatment NON VENTED MASK DISABLED exit How to Use the VPAP III ST A Menus 27 28 The Alarms The STA unit is fitted with alarms to alert you to changes tha
18. a HumidAire 2i Humidifier Please refer to the illustrations in section E of the illustration sheet The HumidAire 2i attaches to the front of the VPAP III STA to provide heated humidification No other accessories are required for its use The SFA automatically detects the presence of the HumidAire 2i No menu changes are required Please refer to the HumidAire 2i User s Manual for details Attaching a HumidAire 2iC Humidifier Please refer to the illustrations in section F of the illustration sheet The HumidAire 2iC attaches to the front of a III STA to provide passover humidification No other accessories are required for its use Please refer to the HumidAire 2iC User s Manual for details Attaching a HumidAire Humidifier Please refer to the illustrations in section G of the illustration sheet Medium size 52 cm air tubing is a necessary accessory for connecting the VPAP STA to the HumidAire humidifier To set up the VPAP STA with the HumidAire 1 Fill the HumidAire with water as described in the humidifier manual 2 Place the filled water chamber inside the HumidAire Connect the medium 52 cm air tubing to the right connector port and the long air tubing 2 m or 3 m to the left connector port on the humidifier G 1 Close the HumidAire lid 3 Place the III STA on top of the HumidAire G 2 Do not place the VPAP STA underneath the humidifier This is to avoid water spilling into
19. agnetic 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 41 Air Filter Two layered powder bonded polyester non woven fiber Air Tubing Flexible plastic 2 m or 3 m length System Specifications 37 38 IEC 60601 1 Classifications Class II double insulation Type CF Continuous operation This flow generator is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide entrained in the flow generator airpath Table 7 Displayed values Value Range Accuracy Display Resolution Pressure sensor at air outlet Pressure 5 to 30 cm H20 0 5 H20 0 1 H20 Flow sensor in flow generator Leak 0 120 L min 1 L min Tidal volume 100 3000 mL Tt 1mL Respiratory rate 6 60 BPM x0 5 BPM 1 BPM Minute ventilation 0 6 60 L min Ke 0 1 L min Results may be inaccurate in the presence of leaks The displayed values are estimates They are provided for trending purposes only Pressure Variation 25 00 Max Pressure 20 00 m N E 15 00 2 3 S gt 2 10 00 1 3 Max Pressure 5 00 10 BPM 1
20. al systems please contact your local waste administration The crossed bin symbol invites you to use these disposal systems If you require information on collection and disposal of your ResMed device please contact your ResMed office local distributor or go to www resmed com environment Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic emissions The VPAP ST A is intended for use in the electromagnetic environment specified below The II SFA should assure that it is used in such an environment customer or the user of the VPAP Electromagnetic environment Emissions test Compliance guidance RF emissions CISPR11 Group 1 The VPAP III SFA 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 VPAP III STA 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 Voltage Fluctuations Flicker Complies for domestic purposes Emissions IEC 61000 3 3 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
21. an 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 Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer This warranty is not transferable Product Warranty Period ResMed humidifiers ResControl ResLink ResTraxx M 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion 90 Days headgear and tubing Excludes single use devices Note Some models are not available in all regions If the product fails under conditions of normal use ResMed will repair or replace at its option the defective product or any of its components 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 repairs c any damage or contamination due to ciga
22. ator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting Cleaning and Maintenance 17 Do not attempt to open the VPAP III ST A There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Testing the Alarm Test the alarm weekly See Testing the Alarm on page 29 Replacing the Air Filter Please refer to the illustrations in section I of the illustration sheet Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of a VPAP ST A the air filter needs to be replaced every six months or more often if your device is in a dusty environment To replace the air filter 1 Remove the air filter cover at the back of the STA 1 1 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out 1 2 4 Replace the air filter cover 1 3 WARNING Do not wash the air filter The air filter is not washable or reusable Note The air filter should be inspected once a month Servicing This product III ST A should be inspected by an authorized ResMed service centre 5 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 Re
23. communications equipment should be used no closer to any part of the VPAP ST A 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 1 17 IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 NP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 NP 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 1 At 80 MHz and 800 MHz the higher frequency range applies OTE 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 base stations for radio cellular cordless telephones and and mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted heoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site
24. eaning 17 DC converter 34 locking clip 7 power 34 definitions 1 Detailed Menu 20 21 Dimensions 37 Dryness 33 Dynamic pressure characteristics 37 E Electromagnetic Compatibility 37 Environmental Conditions 37 Error Messages 36 G Glossary of Symbols 40 H Helpful Hints 33 High Leak Message 23 Housing Construction 37 how to use the VPAP 7 HumidAire 8 umidAire 2i 8 umidAire 2iC 8 umidifier 6 cleaning 17 umidifier Use 8 1 60601 1 Classifications 38 nternational Use 33 inverter 34 K ey alarm mute 29 eypad 11 eys functions 11 L LCD screen 10 LED 10 Left Key 11 M Mask Alarm 23 Mask Fitting 33 mask settings 23 mask types 23 Mask Fit Star Rating definitions 15 Mask Fitting Feature 14 Masks 5 maximum flow 37 Medical Information 1 Menu Functions 22 menu type 19 Menus using the VPAP 19 Mouth Leaks 33 N Nasal Irritation 33 Operating Instructions 13 Options Menu 24 P Passover 9 periodic cleaning 17 Index 47 48 Power cord AC 7 connection 7 DC7 locking clip 7 Power Supply 37 R Ramp Screen 19 Ramp time 19 Replacing the Air Filter 18 Responsibility user owner 1 Results Menu 24 Right Key 11 Runny or Blocked Nose 33 S Servicing 18 Servicing Menu 25 setting up 7 Settings Menu 22 settings summary screens 20 SmartStart 23 Standard Menu 20 Start Stop Key 11 Starting Treatment 13 Stopping Treatment 14 System Specificatio
25. es of the socket Insert the power cord into the Socket Push the locking clip down so that the groove holds the power cord in place Power switch AC locking clip AC power cord Plug the free end of the power cord into a power outlet D 1 CAUTION Do not connect both AC and DC power cords to the VPAP III ST A at the same time Setting up the VPAP III ST A System 7 WARNING Make sure the power cord and plug in good condition and the equipment is not damaged The air filter cover protects the device in the event of accidental liquid spillage onto the device Ensure that the air filter and air filter cover are fitted at all times Connect one end of the air tubing firmly onto the air outlet of the VPAP STA D 2 WARNING Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive and reduce the effectiveness of your treatment Assemble your mask system according to the mask user instructions Connect your mask system to the free end of the air tubing D 3 The VPAP III SFA system is now assembled 0 4 To start treatment see Starting Treatment on page 13 Attaching a Humidifier WARNING When using a humidifier position it lower than you and at the same level or lower than the VPAP III ST A Note You must activate the humidifier option in the menus if you are using a HumidAire or Passover humidifier Attaching
26. icator Figure 3 Treatment screen 1 Leak LK 2L min 15 BP yate Minute ventilatio MV 10 2 VT 680 Tidal volume Figure 4 Treatment screen 2 Cycle indicator TiMn C TiMx Trigger indicator Set IPAP Max S C Ti TiMx 2 0 1 2 5 Measured 1 55 1 inspiration time Measured ratio Figure 5 Treatment screen 3 How to Use the VPAP III ST A Menus 25 26 Oxygen saturation level SpO2 98 Pulse rate HR 75 1 This screen only appears if ResLink and oximeter are attached exit Figure 6 Treatment screen 4 only if ResLink and pulse oximeter are attached The treatment screens contain the following information Treatment mode Mode of treatment set by your clinician Options include CPAP Spontaneous Spontaneous Timed and Timed Ramping indicator Appears if the III STA is in ramp mode This disappears once the ramp time has elapsed Set pressure s In CPAP mode this displays the set treatment pressure units centimeters of water In other modes it is exhalation and inhalation pressures units centimeters of water Pressure support The difference between exhalation and inhalation pressures units centimeters of water Trigger indicator How the III SEA changes the pressure when you are inhaling 5 Spontaneous indicates a patient triggered change and Timed indicates a device triggered change Cycle indicator How the
27. llow or Red LEDs are on during an alarm condition Keypad Keys The VPAP III STA keypad has the following keys Key Function Start Stop Starts or stops treatment Extended hold for at least three seconds starts the Mask Fitting feature Up Down Allows you to scroll through the III STA menus submenus and setting options Left green Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes menu enter change and apply Right red Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes exit and cancel Alarm Mute Press once to mute alarms If the problem is still present the alarm will sound again after two minutes See Alarm Mute Key on page 29 QuickView Clinical menu function key Clinical use only Keypad and LCD Backlight To assist you in adjusting the III SEA the keypad and LCD are equipped with a backlight The LCD backlight comes on when the unit is turned on or when you press a key and turns off after 2 minutes Your clinician may have set the LCD backlight to be on continually The keypad backlight is on at all times when the III STA is powered Setting up the VPAP III ST A System 11 Starting Treatment The III STA should be assembled beside your bed with the air tubing and mask system connected See Setting up the VPAP ST A
28. lternating continuous tones LCD LCD turns off LED Red flashing Alarm Power fail Cause Power failure Power cord is disconnected or VPAP STA switched off while delivering treatment without pressing the Start Stop key Action Alarm will stop when the Alarm Mute key is pressed or after 2 minutes or when power is restored The flow generator stops delivering air pressure Sound Single intermittent tone LCD CHECK TUBE LED Yellow flashing Alarm System fault Air tubing disconnected from the HumidAire 2i 2iC Hardware failure 1 Check that the air tubing is connected properly to the HumidAire 2i 2iC 2 Check that the HumidAire 2i 2iC or front cover is connected properly to the flow generator 3 Turn the III STA off and on again at the power switch If the alarm persists return the unit to ResMed for servicing The flow generator stops delivering air pressure Sound Single intermittent tone LCD PRESSURE ERROR LED Yellow flashing Alarm Over pressure Treatment pressure delivered above a set level Return the VPAP III STA for servicing DO NOT USE THE VPAP SEA DEVICE Sound Single intermittent tone LCD IPAP LOWER ALARM LED Yellow flashing Alarm Over use VPAP III SFA is operating outside device specifications Continue using and contact your clinician about this alarm Device settings may require adjustment
29. mercial or hospital 2 kV common 2 kV common environment mode mode Voltage dips short lt 5 U lt 12V Mains power quality should interruptions and gt 95 dip in Ut gt 95 dip in 240V be that of a typical voltage variations on or 0 5 cycle or 0 5 cycle commercial or hospital power supply input environment lines 40 U 96 V If the user of the IEC 61000 4 11 60 dip in Ut 60 dip in 240 V VPAP ST A requires or 5 cycles or 5 cycles continued operation during power mains interruptions 70 168 V itis recommended that the 3096 dip in Ut 3096 dip in 240 V III SEA be powered or 25 cycles or 25 cycles from an uninterruptible power source lt 5 U 12V gt 95 dip in Ut gt 95 dip in 240 V or 5 sec or 5 sec Power frequency 3 A m 3 A m Power frequency magnetic 50 60 Hz fields should be at levels magnetic field characteristic of a typical IEC 61000 4 8 location in a typical commercial or hospital environment NOTE Ut is the AC mains voltage prior to application of the test level Continued next page Guidance and manufacturer s declaration electromagnetic immunity Continued The VPAP III STA is intended for use in the electromagnetic environment specified below The customer or the user of the III STA should assure that it is used in such an environment Immunity IEC60601 1 2 Compliance Electromagnetic environment test test level level guidance Portable and mobile RF
30. nnect power cord firmly at both ends Try another power outlet Switch power switch at rear of the VPAP III SEA to on Enable SmartStart Disable Mask Alarm to enable SmartStart if appropriate Take a deep breath in and out through the mask Troubleshooting 35 36 Problem Possible Cause There is excessive leak Plugs may be missing from ports on mask Air tubing not connected properly Air tubing kinked or punctured There is a large impedance eg antibacterial filter oxygen connector in the air circuit Solution Adjust position of mask and headgear Replace them Connect firmly at both ends Straighten or replace Press the Start Stop key III STA does not stop when you remove your mask SmartStart Stop is disabled Use of a full face mask Enable SmartStart Stop SmartStop does not work with a full face mask SmartStart is enabled but the STA does not stop automatically when you remove your mask Incompatible humidifier or mask system being used Use only equipment as recommended and supplied by ResMed Displays error message SYSTEM ERROR Call service Component failure Return your VPAP ST A for servicing Excessive motor noise Component failure Return your device for servicing Display error message High leak in last session You have experienced excessively high leak levels during the
31. ns 37 T Travelling 33 treatment screen 25 Troubleshooting 35 U Up Down Key 11 UPS uninterruptible power supply 33 Used time screen 19 User Owner Responsibility 1 Using the Mask Fitting feature 14 Using the Menus 19 weekly cleaning 17 Weight 37
32. o access these functions see How to Use the Detailed Menu if enabled by your clinician on page 20 Settings Menu The Settings Menu allows you to view and change certain operating features of the STA Table 2 Settings Menu Functions Function Default Function Description Setting Options Mask ULTRA Selects your mask type See Settings for Mask Types on page 23 for details Tube Length 2m Selects the length of air tubing 2m 3m connecting your mask to the VPAP STA Humidifier NONE Selects the type of humidifier to NONE HumidAire 2iC be used with the VPAP III STA PASSOVER HUMIDAIRE If the HumidAire 2i is used the above setting options do not appear and H2i is displayed Function Default Function Description Setting Options SmartStart OFF Turns the SmartStart function on ON OFF or off See SmartStart on page 23 Mask Alarm ON Turns the Mask Alarm signal on or ON OFF off If enabled the Mask Alarm feature will alert you when a high mask leak is detected An audible tone will sound and a high leak message will appear on the LCD Screen SmartStart The VPAP III ST A has a function called SmartStart which can be enabled by your clinician SmartStart is enabled III STA will start automatically when you breathe into the mask and will stop automatically when you take your mask off This means you do not have to press the Start Stop key to begin o
33. on page 7 1 Turn the main power switch at the back of the device to on 1 When the VPAP STA is turned on a welcome message is displayed on the LCD screen The VPAP or Ramp screen then appears Note If you have the HumidAire 2i attached see Using the HumidAire 2i Warm up Feature on page 14 2 Fit your mask as described in the mask user instructions 3 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep CAUTION Do not leave long lengths of air tubing around the top of your bed It 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 4 To start treatment press the Start Stop key or if your clinician has enabled the SmartStart function simply breathe into the mask and treatment will begin After starting treatment you can display one of the treatment screens described in Treatment Screens on page 25 Ramp Time Ramp time is a feature which can be enabled by your clinician If you have difficulty falling asleep with full pressure select a ramp time The airflow will start very gently while you fall asleep The pressure will slowly increase to full operating pressure over the selected ramp time The clinician has set a maximum ramp time you may select any value up to the maximum To select a ramp time see Ramp Screen on
34. patible for use with the VPAP III ST A Please refer to Warnings on page 2 Accessories Please refer to the illustrations in section C of the illustration sheet The following accessories may be purchased separately 3 m air tubing C 1 Medium 52 cm air tubing for the HumidAire and ResMed Passover humidifiers C 2 Hypoallergenic air filter Note ResMed regularly releases new products Please check our website at www resmed com Setting up the VPAP ST A System Please refer to the illustrations in section D of the illustration sheet Setting up the VPAP III ST A 1 Place the III STA on a flat surface near the head of your bed If the device is placed on the floor ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord Connect the power cord There are two sockets at the rear of the flow generator the top one for an AC standard mains electricity and the lower one for a DC power cord see Using a Battery to Power the VPAP III ST A on page 33 ResMed recommends using the AC power cord supplied with the unit If the customized ResMed power cord is supplied it can be held in place with the locking clips To insert the locking clip pinch the free ends together and fit the pins into the holes on both sid
35. ptions Menu Table 5 Options Menu Function Smart Data Auto Appear Default Function Description Setting Options OFF The Smart Data menu is ON OFF displayed only if one or more of the options have been set to ON by the clinician If Auto Appear is set to ON the Smart Data screens are displayed upon powering up of the device If Auto Appear is set to OFF Smart Data is displayed in the Results menu only Language English Selects the language the English German VPAP III ST A uses for all its French Italian display text English is the Spanish default language Portuguese Swedish Dutch Servicing Menu Table 6 Servicing Menu Function Function Description Setting Options Serial Displays the serial number for the View only Number SN VPAP III STA Settings Displays your VPAP ST A settings for View only Summary your clinician Screens PrintedCircuit Displays the printed circuit board number View only Board PCB Software Displays the current software version View only installed in the VPAP III STA These items also appear in the Standard Menu Treatment Screens After starting treatment you can display one of the treatment screens below Press the Up Down key to switch between views Ramping indicato Set pressure s Treatment mode S RAMP 4 0 9 8 gt gt gt gt gt PS 58 Trigger indicator Pressure support Pressure bar graph Cycle ind
36. r end treatment Note If you select Mir Full as the mask option SmartStop is automatically disabled SmartStart may not work with a full face mask due to safety features of the mask When Mask Alarm is set to ON SmartStart Stop automatically reverts to OFF SmartStop cannot be used with Mask Alarm because if a high leak occurs SmartStop will stop treatment before the Mask Alarm signal is activated Settings for Mask Types The following table shows the setting that should be selected for each mask type Table 3 Settings for mask types Settings Mask IRAGE Mirage Swift Nasal Pillows System irage Nasal Mask ULTRA Ultra Mirage Nasal Mask STANDARD Mirage Activa Nasal Mask irage Vista Nasal Mask odular Nasal Mask IR FULL Mirage Full Face Mask irage Full Face Mask Series 2 tra Mirage Full Face Mask c How to Use the VPAP III ST A Menus 23 24 Results Menu Note This menu appears only if at least one Smart Data option has been enabled by the clinician See the VPAP Smart Data Diary for further details Table 4 Results Menu Function Function Description Setting Options Mask Fit Displays a star rating corresponding to the View only Smart Data mask leak from the previous session See Table 1 on page 15 for mask fit star rating description Usage Displays usage hours from the previous View only Smart Data session See Table 1 on page 15 for mask fit star rating description O
37. r obstructive sleep apnea OSA in the hospital or home Contraindications The III STA should not be used if you have an insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy The VPAP III STA is not a life support ventilator and may stop operating with power failure or in the unlikely event of certain fault conditions If you have any of the following conditions tell your doctor before using the VPAP STA acute sinusitis or otitis media epistaxis causing a risk of pulmonary aspiration conditions predisposing to a risk of aspiration of gastric contents impaired ability to clear secretions Introduction 1 hypotension or significant intravascular volume depletion pneumothorax or pneumomediastinum recent cranial trauma or surgery Warnings The entire manual should be read before using the VPAP STA Advice contained in this manual should not supersede instructions given by the prescribing physician SEA should be used with masks and accessories recommended by ResMed or the prescribing physician Use of incorrect masks and accessories may adversely affect the function of the VPAP STA The VPAP III STA is designed for use with masks that allow exhaled gases to be flushed out through vent holes Exhaled gases will be rebreathed if the mask is worn with the machine turned off or the vent holes are occluded If this occu
38. re time 5 If the high pressure alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal PWNS The Alarms 31 32 Warning Signal Sound Sing e intermittent tone LCD LOW MV ALARM Cause Minute ventilation level has dropped below the alarm Action Contact your clinician LED Yellow flashing setting level Alarm Low minute ventilation Sound Single Connection of a Ensure your mask has an expiratory intermittent tone non vented mask flow port vent LCD NVENT ALARM Mask expiratory Ensure your mask expiratory flow LED Yellow flashing flow port vent ports vents are not blocked Alarm Non vented mask may be blocked Useof supplemental oxygen with a vented mask Contact your clinician Helpful Hints Starting out Mouth Leaks If 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 Mask Fitting 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 If you have problems trying to get a comfortable mask fit contact
39. rette pipe cigar or other smoke d any damage caused by water being spilled on or into a flow generator 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 point of purchase This warranty is in lieu of all other express or implied warranties including any implied 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 consequential damages claimed to have occurred as a result of the sale installation or use of any ResMed product Some 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 R001 307 2 05 06 Limited Warranty 45 46 Index A AC locking clip 7 Accessories 6 Air filter 18 37 air tubing 37 cleaning 17 B Back light LCD and Keypad 10 11 battery power 33 Cautions 2 cleaning periodic 17 weekly 17 Cleaning and Maintenance 17 cleaning mask 17 Cleaning Periodically 17 converter 34 D Daily Cl
40. rs over prolonged periods suffocation may occur In the event of power failure or machine malfunction remove the mask The III SFA can be set to deliver pressures up to 30 cm H30 In the unlikely event of certain fault conditions pressures up to 40 cm H30 are possible The III STA is not suitable for use in the vicinity of flammable anesthetics The III SFA should not be used with anesthetized patients whose breathing depends entirely on mechanical ventilation If oxygen is used with the III STA the oxygen flow should be stopped when the device is not operating If oxygen flow continues when the device is not operating oxygen may accumulate within the device and create a risk of fire Do not use the III ST A if there are obvious external defects unexplained changes in performance or unusual noises Do not open the VPAP III STA case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Cautions At low EPAP pressures the flow through the mask vent holes may be inadequate to clear all exhaled gases and some rebreathing may occur The air flow for breathing produced by this device can be as much as 6 higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 32 Note The above are general warnings and cautions Further specific warnings cautions
41. sMed 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 authorized ResMed service centre If you feel that your SFA is not performing properly see Troubleshooting on page 35 CAUTION Inspection and repair should only be performed by an authorized agent Under no circumstances should you attempt to service or repair the flow generator yourself How to Use the ST A Menus The VPAP III STA provides a set of functions arranged in menus and submenus Via the LCD screen the menus and submenus allow you to view and change the settings for a particular function You can access the menus regardless of whether the III STA is in standby mode or delivering therapy Your clinician has preset the menu to either a standard view or a detailed view Both of these menus are explained below When the VPAP III ST A is turned on a Welcome screen is displayed After the device self checks are complete the VPAP or Ramp screen appears Ramp Screen If your clinician has set a maximum ramp time the Ramp screen is displayed after the Welcome screen On the Ramp screen you can immediately set a ramp time Ramp time is the period during which the pressure increases from a low pressure to the prescribed treatment pressure See Ramp
42. survey should be considered If the measured field strength in the location in which he III ST A is used exceeds the applicable RF compliance level above the VPAP STA should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the VPAP SEA P Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m System Specifications 43 44 Recommended separation distances between portable and mobile RF communications equipment and the VPAP ST A The III SEA is intended for use an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP III SEA can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the III SEA as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter 1 17 d 0 35 0 7 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 70 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m c
43. t the free end of the medium air tubing to the air outlet of the VPAP STA H 3 5 Connect the mask system to the free end of the long air tubing The final assembly should look like illustration H 4 6 If the VPAP III ST A is not already plugged in see Step 2 on page 7 Setting up the VPAP III ST A System 9 WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged 7 Navigate to the humidifier setting if available in the STA menu and select PASSOVER See How to Use the Detailed Menu if enabled by your clinician on page 20 The VPAP STA is now ready for use with the ResMed Passover To start treatment see Starting Treatment on page 13 Using the LCD Screen and Keypad The control panel of the STA includes an LCD screen LEDs and keypad LCD screen QuickView LEDs Left key Right key green red Start Stop Alarm Mute Up down key LCD Screen The LCD screen displays the menus treatment screens and alarm conditions E To assist you in adjusting the III SEA the keypad and LCD are equipped with a backlight The LCD backlight comes on when the device is turned on or when you press a key and turns off after two minutes LEDs The LEDs display the status of the VPAP III ST A when active Green Red Yellow The Green LED may be on during treatment if enabled by your clinician The Ye
44. t will affect your treatment Alarm Mute Key You can mute an alarm by pressing the Alarm Mute key once If the problem is still present the alarm will sound again after two minutes An alarm LED will remain lit for as long as the problem is present Testing the Alarm To test the alarm hold down the Alarm Mute key for three seconds On release of the Alarm Mute key the alarm should sound and the LED should flash for 10 seconds and then stop ResMed recommends testing the alarm each week All menus remain available during an alarm Treatment screens are not viewable during an alarm condition y rar LCD screen Alarm LEDs latus Alarm Mute key Alarms Troubleshooting The most common reason for an alarm to sound is because the system has not been properly assembled Check that the air tubing has been properly attached to the flow generator and mask and humidifier if used When an alarm has been activated the bottom line of the LCD screen will display either alarm information or recommended instructions for you or your clinician Note The alarm actions listed below are based on having the appropriate alarm settings for your therapy When an alarm is activated confirm the alarm settings with your clinician CAUTION gt In the event of power failure or machine malfunction remove the mask The Alarms 29 30 Warning Signal The flow generator stops delivering air pressure Sound Two a
45. uickly review your III ST A settings These screens are displayed in both the standard and detailed patient menus How to Use the Detailed Menu if enabled by your clinician The detailed menu allows you to view and change settings such as mask type tube length and the humidifier used You can also view the serial number settings summary screens see above and current software version of your VPAP STA Figure 2 summarizes the STA detailed menu series VPAP screen Ramp screen RESMED VPAP III RAMP OFF menu menu 1 OFF 5 10 15 20 25 30 35 40 45 min SETTINGS enter exit MASK ULTRA MIRAGE MIR FULL change 4 exit STANDARD ULTRA TUBE LENGTH 2m change exit 2m 3m NONE PASSOVER HUMIDAIRE HUMID NONE If the HumidAire 2i is used the above change exit options do not appear and H2i is displayed SMARTSTART OFF change exit ON OFF MASK ALARM ON change 1 exit ON OFF P mn en pn en mme 1 RESULTS enter 1 exit I MASK These menus appear uec i DES 1 exit only if at least one USAGE 4 34hrs Smart Data option has exit been enabled by the clinician enter f exit SMART DATA 1 enter i exit AUTO APPEAR OFF change exit LANGUAGEENGLISH ENGLISH GERMAN FRENCH change t el ITALIAN SPANISH PORTUGUESE SWEDISH
46. umption which is mainly affected by the IPAP pressure usage hours and whether or not an integrated humidifier is connected Helpful Hints 34 Please refer to the II Series Battery Power Guide for the recommended battery type and capacity or contact ResMed s Technical Services division for your specific application ResMed DC 24 30 Converter ResMed supplies the DC 24 30 Converter product code 22015 which is compatible with the DC input of the VPAP III ST A This is an accessory that may be purchased separately through your ResMed distributor The DC 24 30 Converter can be connected to a 12V or 24V battery or a cigarette lighter socket in a vehicle When using a DC power supply the power is turned on and off via the switch on the converter and not the power switch at the back of the VPAP III ST A No power will be supplied to the HumidAire 2i integrated humidifier when connected to VPAP III ST A using a converter Please refer to the DC 24 30 Converter instructions for further details Inverter or UPS The power specifications for an inverter or a UPS are listed in the following table Continuous Output Peak Output Power Rating Power Rating III STA without HumidAire 21 60W 225W humidifier III STA with HumidAire 2i 150W 300W 110V inverter humidifier 600W 240V inverter Note Use only a pure sine wave inverter when a HumidAire 2i is attached The case temperature should be less
47. ve the patient It must also comply with IEC or equivalent Masks You will also need a ResMed mask system supplied separately The following ResMed mask systems are recommended for use with the VPAP STA Nasal Masks Ultra Mirage Nasal Mask Mirage Nasal Mask Mirage Activa Nasal Mask Mirage Vista Nasal Mask Modular Nasal Mask Nasal Pillows Systems Fu To on Mirage Swift Nasal Pillows System Face Masks Mirage Full Face Mask Mirage Full Face Mask Series 2 Ultra Mirage Full Face Mask select the appropriate setting for your mask see Settings for Mask Types page 23 The VPAP III ST A System 5 Notes ResMed VPAP III SEA has been designed and manufactured to provide optimum performance using ResMed vented mask systems While other vented mask systems may be used performance and data outputs may be affected e Not all masks are available in all regions Humidifiers Please refer to the illustrations in section B of the illustration sheet A humidifier may be required if you are experiencing dryness of the nose throat or mouth The III SFA is compatible for use with the following humidifiers umidAire 2i heated humidifier B 1 HumidAire 2iC passover humidifier B 2 umidAire heated humidifier B 3 ResMed Passover humidifier B 4 WARNING Only the HumidAire 2i HumidAire 2iC HumidAire heated humidifier and the ResMed Passover are com
48. w to Use the Standard Menu 19 How to Use the Detailed Menu if enabled by your clinician 20 Menu Functions Detailed Menu only 22 Treatment Screens 25 Non vented Mask Alarm Screen 27 BREET EE 29 Alarms Troubleshooting 29 Helpf l Hints ea nee 33 Troubleshooting 35 Contents iii Introduction The VPAP III ST A is a bilevel pressure support ventilator specifically designed for non invasive mask ventilation This user manual contains the information you need for the correct use of your VPAP STA User Owner Responsibility The user or owner 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 authorized instructions and by authorized 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 Caution explains special measures for the safe and effective use of the device Note is an informative or helpful note Medical Information What the VPAP is Intended for The VPAP SFA system is intended to provide non invasive ventilation for patients with respiratory insufficiency o
49. your clinician or equipment supplier You may benefit from a different size or style of mask You can also use the Mask Fitting feature to help you fit your mask properly See Using the Mask Fitting Feature on page 14 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 Nasal Irritation Dryness 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 Contact your clinician for advice Runny or Blocked Nose 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 clinican for advice Travelling with the VPAP ST A International Use Your III STA flow generator has an internal power adapter 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 will require an approved power cord for that country Using a Battery to Power the ST A The VPAP III ST A can be powered by battery using the ResMed DC 24 30 Converter an inverter or a UPS uninterruptible power supply Battery Requirements We recommend a 12V or 24V deep cycle battery Battery capacity is determined by VPAP III ST A s power cons
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