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ResMed NOT014224-2 User's Manual
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1. O gt Yn oc o o N Plug for supplemental oxygen G SWITCHING ON AND SHUTTING DOWN RESMED 2 seconds 1 Plug cable into device 1 Air outlet 2 Push clip down 2 Expiratory valve 3 Connect to mains power supply 2007 ResMed Ltd 3 Pressure tap 2007 ResMed Ltd 2007 ResMed Ltd 2007 ResMed Ltd RESMED VS Ultra amp VS Integra Patient manual English NOTO14224 2 07 10 ResMed Schweiz AG Viaduktstrasse Basel Switzerland 41 61 564 70 00 or 0800 00 2500 toll free Saime SAS Manufacturer Savigny le Temple France ResMed Corp Poway CA USA 1 858 746 2400 or 1 800 424 0737 toll free ResMed Ltd Bella Vista NSW Australia 61 2 8884 1000 or 1 800 658 189 toll free Offices in Austria Brazil China Finland France Germany Hong Kong India Japan Malaysia Netherlands New Zealand Norway Singapore Spain Sweden Switzerland United Kingdom see website for details Protected by patents FR 2839893 Other design registrations and patents pending VS Ultra and VS Integra are trademarks of Saime and is registered in U S Patent and Trademark Office Specifications may change without notice 2007 Saime SAS is a subsidiary of ResMed Inc Contents 1 Uu ge Lo LL Y WE v_ _ _ ese d a ered eee oad Steve Gee ee 1 1 Definitions 1 2 User Owner Responsibility 1 3 Medical Information 2 Description ofthe device is ioi Wd DN DG 2 1
2. avoid any risk of electric shock never immerse the device or power cable in water Always unplug the device before cleaning and be sure that it is dry before plugging it back in CAUTION Do not attempt to open the device casing Repairs and internal servicing should only be performed by an authorised service agent Troubleshooting Alarms will alert you to any problems with your device The instructions in this section will help you to identify the cause of the problem If the fault persists or cannot be identified do not try to open the device and contact your HME provider An alarm will activate an audible signal If you know which alarm has been triggered consult the table below otherwise contact your HME provider Table 3 Table of alarms not an exhaustive list Alarm AD Mains alarm Cause The mains power cable has been disconnected Solution Reconnect the mains power cord a External power supply alarm The external power supply cable has been disconnected This alarm can only be triggered if an external battery is connected to your device Reconnect the external power supply cable Oven Low battery alarm The charge level of the built in battery is low 15 or less Connect the device to a mains power supply without delay to recharge the built in battery Oc Flat Battery alarm The built in battery is flat charge level less than 5 Recharge the built in
3. Components 2 2 Your device 2 3 Circuit 2 4 Accessories 2 5 Device control panel 3 Connection procedures ee oo CG ed See oe Ree 3 1 Connecting to a power supply 3 2 Connecting the circuit 3 3 Connecting the mask 3 4 Example of fully assembled system 3 5 Connecting accessories 4 Switchingonandshuttingdown 4 1 Standby 4 2 Starting up 4 3 Shutting down 5 Cleaning and Maintenance eee o FOUDIESHOOUNG 2 2 ee EG WR Sa eae he AR was 7 Technical Specifications naana nananana 7 1 Dimensions 7 2 Weight 7 3 Power supply 74 Transport 9 PADD CII a iw ick ye iyd dd det Hee ADG ee SW o Head MH IOR a Meic saa Y O O aaa a Ga HF Se aa a 1 1 1 2 1 3 Introduction This manual is provided with the device you have received a medical ventilator in the VS range It does not in any way replace the clinical manual supplied to your physician or HME provider There are two models the VS Ultra which is blue the VS Integra which Is red These devices are designed to provide ventilation for dependent and non dependent patients with a mask or tracheotomy However the illustrations and text in this manual refer solely to the use of a mask Definitions This manual contains special terms and icons that appear in the margins Their purpose is to draw your attention to specific or important information CAUTION Explains special measures for the safe and eff
4. Connection for a double circuit Figure 5 Detailed view of connection for a double circuit Rear view On the rear of the device take particular note of the location of the following The power supply socket 1 The fastening clip for the power connection 2 The anti dust filter 3 You will have to replace this filter see Cleaning and Maintenance on page 21 CAUTION Never block the exhaust vents Two places on the rear of the device are marked with the symbol Y Socket for external battery Anti dust filter Air inlet Fastening Clip Power supply socket Figure 6 Rear view of device Side view Some device models are fitted with a metal connector for attaching an oxygen supply see next Figure For instructions on connecting the oxygen source to the device see Connecting supplemental oxygen optional on page 18 Connector for oxygen circuit Symbol O gt Figure 7 Metal connector for optional O2 pressure Description of the device 7 2 3 2 4 Circuit Depending on the ventilation mode prescribed by your physician you will be using one of the following e Single circuit e Single circuit with expiratory valve e Double circuit To determine the type of circuit prescribed for you and how to connect it to the device see Connecting the circuit on page 12 Accessories Other components in your circuit system may include an antibacterial filter a humidifi
5. RESMED VS Ultra amp VS Integra Illustrations Components of the NOT014224 2 System COMPONENTS Components available from your HME provider Ventilator Power cord Horizontally ribbed tube circuit Travel bag 2007 ResMed Ltd B FRONT OF DEVICE View from above Control panel 2 Circuit connection area Circuit connection area Single circuit Double circuit Air outlet Connection for single circuit support with exhalation and pressure line connection Connection for exhalation circuit support with valve for double circuit configuration 2007 ResMed Ltd C REAR VIEW SIDE VIEW Rear view Power socket 2 Fastening clip 3 Dust filter Side view Optional O2 pressure connector 4 Socket for external battery 2007 ResMed Ltd D ACCESSORIES External battery optional Battery Battery support Connection cable Coupling for oxygen socket optional Coupling for connecting a supplemental oxygen supply 2007 ResMed Ltd SETTING UP THE DEVICE H CONNECTING THE ACCESSORIES External battery CONNECTING THE CIRCUIT CONNECTING TO POWER SUPPLY CONNECTING THE CIRCUIT Option 1 Single circuit a Option 3 Double circuit Air outlet 1 Connect to battery support Exhalation circuit support with valve for double circuit configuration WAN NN 2 Connect to device NN Option 2 Single circuit with expiratory valve and pressure line connector 5
6. battery Immediately by connecting the device to the mains supply a4 Disconnection alarm A component in your circuit Is wrongly connected or disconnected Reconnect the circuit Troubleshooting 23 24 Alarm Opt Low pressure alarm LP Cause This alarm also indicates a wrongly connected or disconnected circuit Solution Reconnect the circuit Opt High pressure alarm HP A component in your circuit Is blocked Clean empty or replace the components of your circuit Contact your HME if this alarm is activated too often 7 Technical Specifications CE marked device E 7 1 Dimensions H 135 mm L Length H Height D Depth 7 2 Weight VS Integra model red without battery option 3 kg evi tay VS Ultra model blue or VS Integra battery option 3 5 kg Technical Specifications 25 26 7 3 7 4 Power supply Mains power 230 100 VAC 50 60 Hz 52 VA 630 mA External power supply 26 VDC 3 A maximum Built in battery option for VS Integra NiMh 24 V 2 2 2 7 Ah Battery life of built in battery option for VS Integra 2 4 hours depending on settings Extra battery life with external battery optional accessory 1 5 4 hours depending on settings Transport Transport temperature 10 C to 50 C Relative humidity 10 to 90 CAUTION This device is fragile and must be kept dry Appendix Travelling with your ve
7. by mode Connection procedures 11 12 3 2 Notes If your device is fitted with a rechargeable built in battery available as an optional extra with the VS Integra it can be used without a mains power supply with the battery lasting 2 4 hours depending on your settings The battery recharges automatically when the device is connected to the mains supply CAUTION Ask your HME provider whether your device has a built in battery Connecting the circuit Connect the single circuit to the air outlet at the front of the unit For instructions on connecting a single circuit see Option 1 single circuit For instructions on connecting a single circuit with expiratory valve see Option 2 Single circuit with expiratory valve and pressure line on page 13 For instructions on connecting a double circuit see Option 3 Double circuit on page 15 CAUTION Only the air circuit supplied by your HME provider may be used with your device A different type of air circuit may reduce the effectiveness of your treatment Option 1 Single circuit 1 Connect one end of the horizontally ribbed tube firmly to the air outlet as shown in the Figure below 1 gt Horizontally ribbed 4 tube Figure 12 Connection of single circuit to the device Now that your circuit is connected to the device you can connect the mask to the other end of the circuit Option 2 Single circuit with exp
8. cation system and a water trap For further details read the Instructions provided with the individual accessories used In your system Some ResMed accessories are available as optional extras with this device e An external battery e An oxygen coupling for connecting a supplemental flow of oxygen to the device e A remote alarm accessory not described in this manual External battery optional An external battery increases the utilisation period away from a mains power supply and also provides a back up supply in the event of a power outage This accessory comprises The external battery 1 attached to its holder 2 e The cable connecting the device to the external battery 3 Figure 8 External battery in its holder and cable connecting the device to the external battery The external battery allows use of the device at home outside in a vehicle or when sitting in a wheelchair It comes with a travel bag For more details see Connection of external battery optional on page 16 Coupling for supplemental oxygen flow optional The oxygen coupling is used to connect a supplemental flow of oxygen to the device Ventilation device in Oxygen supply Figure 9 Oxygen coupling For instructions on connecting a supplemental oxygen flow to the device see Connecting supplemental oxygen optional on page 18 Description of the device 9 10 2 5 Device control panel The device control panel comp
9. e using the device In the event of functional problems e g you find it difficult to breathe or trigger an inspiratory phase contact your HME provider Do not open the device casing Repairs and internal servicing should only be performed by an authorised service agent The above are general warnings Other specific warnings and notes will be found throughout the text of the manual 2 Description of the device 2 1 Components The picture below shows the set of components available from your HME provider Your device 1 The power cable 2 he circuit 3 e An interface mask or tracheotomy The travel bag 5 Figure 1 Components available from your HME provider Description of the device 3 2 2 Your device Front view The device comprises A control panel 1 An area for connecting the circuit 2 Figure 2 Front view of the device The control panel comprises a screen and a keypad LCD Screen Keypad Figure 3 Device control panel The circuit connection area comprises e An air outlet Single circuit support with exhalation and pressure line connection Air outlet Single circuit Support with exhalation and pressure line connection Figure 4 Detailed view of single circuit support with exhalation and pressure line connection There is a different type of circuit support for double circuit see next Figure Description of the device 5 Air outlet
10. ection procedures 17 18 Connecting supplemental oxygen optional The instructions in this section apply only to the connection of supplemental oxygen to your device Refer to the Instructions given by your HME provider or installation technician for starting up the supplemental oxygen flow CAUTION Before connecting the oxygen flow always ensure that the oxygen supply has been turned off If your oxygen flow becomes disconnected by accident e Connect the end of the oxygen coupling to the metal connector on the device e When you hear it click into place the coupling Is correctly connected to the device Oxygen supply Figure 20 Oxygen coupling for connection to the metal connector on the device 4 2 4 3 Switching on and shutting down Standby When your device Is connected to the mains power supply it goes into standby mode The screen display shows The date The time The types of power supply mains power supply Tv and built in battery gg The arrow gt points to the type of power supply currently in use Date Mains power 22 03 07 yD E Built in battery In Time Figure 21 Standby screen Starting up To start up the device 1 Press and hold the On Off button for 2 seconds 2 The device will start up then run its self test 3 On completion of the self test the device will start delivering therapy Shutting down To shut down the device press the The device will
11. ective use of the device WARNING Alerts you to possible injury Note Is an informative or helpful note User Owner Responsibility The user or owner of this system is solely responsible and liable for any injury to persons or damage to property resulting from Operation which is not in accordance with the operating instructions supplied Maintenance or modifications carried out unless in accordance with authorised instructions and by authorised persons Please read this manual carefully before use Medical Information Purpose of your ventilation device VS Ultra and VS Integra devices are designed for both adults and children in the home or clinical environment Introduction 1 The VS Integra and VS Ultra can both be used with single circuit but only the VS Ultra model can be used with double circuit Warnings e This manual must be read and understood in full before the device is used The advice contained in this manual does not replace the instructions given by your physician or HME provider who will already be familiar with the operation of the device through the clinical manual provided The device settings must be made by competent and trained staff under a doctor s supervision The device must be used with the accessories recommended by the manufacturer or your prescribing physician The use of inappropriate accessories Is likely to affect the operation of the device In the case of externally visible faults ceas
12. go into standby mode o button for 2 seconds Note If you disconnect the device from the mains power supply a continuous alarm will sound Press the Alarm silence button to confirm that you wish to shut down the device A Switching on and shutting down 19 20 Cleaning and Maintenance We recommend that you maintain your device and accessories regularly CAUTION If you use the following accessories Mask e Humidifier e Antibacterial filter e Water trap follow the instructions provided in the manuals for each accessory and the instructions of your physician or HME provider CAUTION Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils or moisturising or antibacterial soaps These solutions may cause hardening and reduce the life of the plastic components Table 2 Freguency of maintenance Component Freguency Maintenance Circuit Weekly Follow specific g recommendations from your HME provider Before first use then Clean the mask in warm weekly soapy water rinse well and dry thoroughly Mask headgear Monthly Wash the headgear in warm soapy water Cleaning and Maintenance 21 22 Component Frequency Maintenance Exterior of the Monthly Wipe with a damp cloth device and soapy water Caution Never place the device in contact with liquid Monthly Pull the filter out of its housing and replace with a new filter WARNING To
13. iratory valve and pressure line see illustrations overleaf 1 Connect the air outlet firmly to one branch of the horizontally ribbed tube 1 2 Then connect the expiratory valve tube the only one fitted with a white connector into the valve control 2 then turn the connector slightly to the right to make the connection secure 3 Finally connect the other tube with no connector fitted to the pressure line 3 Note Your circuit configuration may not include a pressure tap tube so this third step will not apply in your case Connection procedures 13 Expiratory valve tube Pressure line tube Figure 13 Connection of single circuit with expiratory valve and pressure line See the next Figure for a detailed view of the connection panel Expiratory valve control i L Pressure line E Figure 14 Detailed view of circuit connections to the single circuit support 14 Now that your circuit is connected to the device you can connect the mask to the other end of the circuit Option 3 Double circuit 1 Firmly connect one limb of the circuit to the air outlet 1 2 Then connect the other limb 2 Symbol identifying air outlet Symbol identifying F air return Figure 15 Connection of a double circuit Note In most cases your circuit configuration will not be exactly as shown in this illustration It may also include a humidification system antibacterial filter or water trap Con
14. ntilator For long journeys it is advisable to carry your device in its travel bag with the following accessories The power cable The circuit and its accessories The mask The oxygen coupling if you use the supplemental oxygen option If you use an external battery place in its travel bag The battery in its holder and The connection cable If you intend to travel by air with the device ask your HME provider about the required formalities Appendix 27 28 Index A accessories 8 16 air outlet 5 15 alarm silence button 10 19 B battery 12 battery holder 9 16 battery life 26 built in battery 12 19 C circuit 21 control panel 4 10 D date 19 double circuit 2 5 8 12 15 dust filter 11 E expiratory valve 13 14 external battery 9 16 F fastening clip 6 11 H horizontally ribbed tube 13 K keypad 4 10 L LED 10 M mains power 19 maintenance anti dust filter 22 device 22 headgear 21 mask 21 mask 3 15 medical information 1 O On Off button 10 19 oxygen 7 18 metal connector 7 oxygen coupling 9 18 P power supply 26 pressure line 13 14 S screen 4 10 shutting down 19 single circuit 2 14 single circuit support 5 standby 11 19 starting up 19 T time 19 travel bag 3 troubleshooting 23 V VS Integra 1 25 VS Ultra 1 25 W warnings 2 Index 29 Global leaders in sleep and respiratory medicine www resmed com
15. rises an LCD screen and a keypad REsMEp LCD Screen Navigation panel Indicator lights LEDs Alarm silence button On Off button Figure 10 Front view The buttons on the keypad are listed in the table below The keypad consists of buttons and LED indicator lights Table 1 Buttons on device control panel On Off button Used to switch the device on and off O_ Alarm silence button Used to silence the audible alarm Either the orange or red LED will start flashing A a depending on the type of alarm Menu button Displays your ventilation program settings button m used by your installation technician Adjustment buttons For adjusting your ventilation program settings n buttons used by your installation technician o a 3 1 Connection procedures Place the device on a flat surface Ensure the area is dust free and cleared of any objects that could block the dust filter CAUTION Be careful not to place the device where it could be knocked over or where someone is likely to trip over the power cord Connecting to a power supply 1 Plug the power cable into the rear of the device 1 see Figure below 2 Remember to push down the fastening clip to hold the power cord in place This will prevent accident disconnection of the power supply 2 3 Plug the cable into the mains power supply 3 gt Figure 11 Connection to mains power supply Your device Is now in stand
16. tact your HME provider if you have any doubts about connecting your circuit Now that your circuit is connected to the device you can connect the mask to the other end of the circuit 3 3 Connecting the mask Refer to the instructions given by your physician or HME provider CAUTION It is essential to use only the mask supplied by your physician or HME provider Connection procedures 15 3 4 Example of fully assembled system Figure 16 Example of fully assembled system single circuit with expiratory valve and pressure line If your system does not have any accessories external battery supplemental oxygen you can now switch your device on see Switching on and shutting down on page 19 3 5 Connecting accessories Any accessories must be attached before the device is switched on Connection of external battery optional To connect the external battery 1 Connect the black plug to the battery holder 1 2 Connect the other end to the socket on the rear of the device 2 Figure 17 Connection of the external battery to the device This Figure is a detailed view of the connection of the cable to the device 2 Figure 18 Detailed view of connection to the device CAUTION To remove the connection cable see next Figure Press on the black retention pin on the cable connector 1 Still holding it down pull the cable towards you 2 Figure 19 Removing the cable from the external battery Conn
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