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        ResMed Sullivan Comfort User's Manual
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1.      alength of air tubing     to connect the flow generator to the mask     adjustable headgear  to attach the mask to your head  and      anasal cushion     For details on the range of accessories available  refer to section 12  Accessories  and spare parts     ResCap    headgear           mask frame    nasal cushion    flow generator    air tubing    SULLIVAN Comfort bi level system    6 SULLIVAN Comfort Operating Manual            Preparing for use    Assembling the mask system    The mask frame has two access        ia  ports which should be plugged and ct ptiona ar    are not used except for initial  pressure setting by a technican  It  has a swivelling mask elbow which  allows the air tubing to be  positioned without kinks  The air    Detachable  forehead arm          outlet vent allows exhaled air to Swivelling   escape quietly  mask elbow  Access port   The Modular Mask Frame  shown os    right  has a detachable forehead Air outlet vent    arm and T Bar  Modular Mask Frame    1 Before using the mask for the first time  wash the nasal cushion and air  tubing in warm water using a mild detergent  Rinse thoroughly  Hang the  tubing to dry  Wipe all surfaces of the mask frame with a clean  damp cloth  and allow to dry     CAUTION  Do not use bleach or chlorine based solutions to  clean the cushion  mask or air tubing  These may  cause hardening and reduce the life of the  product     Do not hang the air tubing in direct sunlight as  the tubing may crack     2 If you are 
2.    60 3 7877 9099   Fax   60 3 7877 6099   Email  reception resmed com my    ResMed NZ Ltd  PO Box 51 048 Pakuranga  Auckland New Zealand  Tel   64 9530 9049 or    0800 737 633  NZ toll free   Fax   64 95309048  Email  reception resmed com au    ResMed Sweden AB  Industrigatan 2   S 461 37 Tollhattan Sweden  Tel   46 520 420 110   Fax   46 520 397 15   Email  reception  resmed se    Protected by  AU 699726  AU 713679  EP 0088761  DE FR GB   JP 1697822  US 4944310  US 5199424  US 5522382  Other patents pending  SULLIVAN  Bubble Cushion and ResCap are trademark of ResMed Ltd        2000 ResMed Ltd        218023 00 08    
3.  build up gradually to  your prescribed pressures  You will have the comfort of relatively low pressures  while still awake and the assurance that the required pressures will be reached  shortly after you fall asleep  See section 5  Daily operation  for instructions on  use     Note  Your physician may recommend that you do not use the delay timer  or use  it only to a limited degree  In this case your unit may be set accordingly     Use in different countries  Your Comfort is normally used at home  but it may also be taken with you when  you travel  The flow generator has a switch mode power supply which means it  can operate on power supplies in other countries without any special adjustment   It can also be used in trucks and recreational vehicles  See section 7  Use in  different countries     Indications for use    The SULLIVAN Comfort bi level nasal system is for the treatment of obstructive  sleep apnea in adult patients     WARNING  This is not a life support device  It may stop operating with a  power supply interruption or if a fault occurs in the product  If  this could threaten your safety  consult your physician who can  advise you about precautions that should be taken in the event  of such a failure     Section 1  Introduction 5    2 Components of SULLIVAN   Comfort        You should take time to become familiar with the components of your SULLIVAN    Comfort bi level system  see figure below      You should have       afow generator unit          a mask frame 
4.  mask frame is not blocked  Remove any  obstruction with a pin or similar object     3 Wash the mask frame  cushion and air tubing in warm water using a mild  detergent  Rinse thoroughly  particularly the air tubing  and allow to dry     CAUTION  Do not use bleach or chlorine based solutions  to clean the cushion  mask or air tubing  These  solutions may cause hardening and reduce the  life of the product     4 Before next use  refit the cushion to the mask frame  Refit the headgear to    the mask frame  Reconnect the air tubing to the flow generator and mask    For detailed instructions see section 3  Preparing for use      18 SULLIVAN Comfort Operating Manual    Periodically    All items of the mask and air tubing system are subject to normal wear and tear  and may eventually need to be replaced  Check periodically for excessive wear in  these items     1 When dirty  remove the headgear and wash it in warm water using a mild  detergent  about every two weeks   Rinse thoroughly and drip dry  Do not  use bleach     2 Replace the forehead pads if they are dirty or worn  every three to six  months      3 Clean the exterior of the flow generator when necessary with a damp cloth   using a mild detergent  Make sure the flow generator is unplugged before  cleaning  and make sure it is dry before plugging in again     Replacing the air filter    4 The air filter box at the rear of the  flow generator contains two replace   able air filter strips  Check the air  filter strips periodi
5.  switch at the rear and unplug the unit from the power  outlet  Return the unit to your equipment supplier for  checking     Section 3  Preparing for use 9    Connecting the air tubing    1 The air tubing should already be fitted at one end with the air tubing connector  which inserts into the flow generator  If not  press the barbed end of the  connector into the air tubing as shown below  Make sure it is firmly attached     2 Press the air tubing connector firmly into the air outlet on the flow  generator     3 Fit the other end of the air tubing to the swivelling mask elbow of the mask  frame by sliding on firmly     Note  If you are using an axial swivel connector  supplied with the Modular Mask  Frame or available separately  connect this also  Refer to the User Instructions  supplied with the axial swivel        Swivelling  mask elbow          Air outlet    Air tubing          connector         ill   a1 ON  Ts  TT milk  1 d wll  Ka    Connect the air tubing to the flow generator and mask    IMPORTANT      Make sure the power cord and plug are in good condition  and the equipment is not damaged         Only use the same type of mask and air tubing as  originally supplied with your flow generator  A different  type of mask or tubing may alter the pressure you actually  receive  thus reducing the effectiveness of your treatment     10 SULLIVAN Comfort Operating Manual          Fitting the mask    The mask frame and headgear should be assembled as described in section 3   P
6. LLIVAN Comfort Operating Manual    fe  Helpful hints      When you use your SULLIVAN   Comfort    bi level system for the first  time you may notice an unusual sense of pressure when breathing  Even  though a reduced pressure is delivered when you breathe out  you may still  need to consciously push out when breathing out  This is normal and will  occur automatically when you are asleep  At first you may feel that the  pressure is impeding your breathing but this is not so  Take your time and  learn to adjust to this new sensation  To help you adjust  take a few deep  breaths when you start treatment     The delay timer can help overcome this problem  The pressure will build up  gradually  over the period of time you select  from a barely noticeable level  to your prescribed pressures        Try to keep your mouth closed when using your Comfort  Do not try to talk   If you open your mouth  air will leak out and this may feel a little  unpleasant  When you are asleep your mouth usually stays closed  automatically  However  if you wake at night and open your mouth  the  sensation of air rushing from your mouth might alarm you at first  You  should close your mouth and try to go back to sleep       Some people experience a continuing dryness of the nose  mouth or throat  when on bi level treatment  particularly during the winter months  ResMed  produces a range of humidifiers to relieve these symptoms  Contact your  physician or equipment supplier for specific advice on whether 
7. SULLIVAN  Comfort       Bi level System    Operating Manual    Record of information for future reference    Complete the following details when you receive your SULLIVAN   Comfort     Unit prescribed by  physician        Sleep clinic                Date prescribed   Prescribed pressures  IPAP cm H O  EPAP cm H O   Prescribed IPAP maximum time seconds       Delay timer maximum setting       Mask model and size       Flow generator serial no           Date of purchase    For service  call     Equipment supplier          Telephone no     In case of an emergency  call        Physician       Telephone no     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  and        maintenance or modifications carried out unless in accordance with  authorized instructions and by authorized persons     Please read and understand this manual before using the system     O ON        10  11  12  13    Contents    Introducto     EE    How bi level treatment works  Features of SULLIVAN   Comfort     Delay timer    Components of SULLIVAN Comfort     pe  Preparing TOR USC  aa    Assembling the mask system  Setting up the flow generator  Connecting the air tubing    attert eege  Daily  op  ratioN NEE    Starting   Using the START button   Using the delay timer   Positioning the Bubble Cushion      St
8. a foam insert which fits  inside your mask frame       HC100 Heated Humidifier Passover Humidifier    Air tubing    Your Comfort comes with a two meter length of  air tubing which should be enough for most  needs  If you find this isn   t the case  a three meter  length is available     NT         WM d       Chin restraint    The chin restraint  shown right  is designed to  restrict the mouth opening during treatment and  minimize air loss through the mouth     Spare parts    Parts of your Comfort bi level system will need replacing from time to time   These are available from your equipment supplier who can advise you regarding  cost and delivery     TT Access port plug  lt   Forehead pads    Air filter strips Power cord     specify country of use     Air tubing  Air tubing connector  available in two or               K au  eg three meters       i  Ke Axial swivel   allows air    tubing to swivel at  connection points    24 SULLIVAN Comfort Operating Manual          134 System specifications    SULLIVAN   Comfort    bi level system    Flow generator unit    PERFORMANCE  Operating pressure range  4 18 cm H O  Maximum IPAP time range  0 2 10 8 seconds    DIMENSIONS  H x W x D   145 x 240 x 350 mm   5 7 x 9 5 x 13 8in     WEIGHT  4 1 kg  9 1 1b     POWER SUPPLY  Input range 110 240 V  50 60 Hz  120 VA    HOUSING CONSTRUCTION  Injection moulded plastic    AIR FILTER STRIPS  Outer filter strip     polyester fibre  Inner filter strip     open cell polyester urethane foam    Air tu
9. bing  Flexible plastic  2 m  6 ft 6 in  length    IEC 601 1 Classifications  Class II  Type CF    Note  The manufacturer reserves the right to change these specifications without  notice     Glossary    Read Operating Manual before using Lire le manuel d utilisation avant emploi  Class II  double insulated  Classe II  double isolation     Type CF equipment Appareil de classe CF    elo  gt     Section 13  System specifications 25    ResMed Corp   I14040 Danielson Street  Poway CA 92064 6857 USA  Tel   1  858  746 2400 or   1  800  424 0737   Fax   1  858  746 2900  Email  reception resmed com    ResMed Ltd   97 Waterloo Road   North Ryde 2113 Australia   Tel   61  2  9886 5000 or   1 800 658 189   Fax   61  2  9889 1483   Email  reception resmed com au    ResMed  UK  Limited   67B Milton Park Abingdon  Oxon OX14 4RX UK   Tel   44  1235  862 997   Fax   44  1235  831 336  Email reception resmed co uk    ResMed GmbH  amp  Co KG  RudolfstraBe 10   D 41068   M  nchengladbach Germany  Tel   49  0 2161  3521 0  Fax   49  0 2161  3521 299  Email  reception  resmed de    ResMed SA   Parc de la Bandonniere 2   rue Maurice Audibert  F 69800 Saint Priest France  Tel   33  04  3725 1251  Fax   33  04  3725 1260  Email  reception  resmed fr    ResMed Singapore Pte Ltd  150 Kampong Ampat  06 06  KA Centre Singapore  Tel   65 284 7177   Fax   65 284 7787   Email  reception  resmed com sg    ResMed Malaysia Sdn Bhd  Unit 4 04  Wisma BICMA   Jalan 243 51A   Petaling Jaya Selangor Malaysia  Tel
10. cally and replace  them when they become noticeably  dirty  about every six months  or  more often if your unit is in a dusty  environment      To remove the air filter box          press down firmly on the  center of the filter box between Remove air filter box at    the two moulded arrows  rear of flow generator      slide out the box     Detailed instructions supplied with the new filter strips describe how to  disassemble the filter and replace the strips     CAUTION      Do not immerse the unit or power cord in water as serious  damage could result         Do not use bleach  alcohol based or chlorine based  solutions to clean the flow generator nasal cushion  mask  orairtubing  These solutions may cause hardening and  reduce the life of the products         Do not wash or dry the mask frame in atemperature  above 80  C  175  F   Exposure to higher temperatures  may reduce the life of the product     Section 9  Cleaning and maintenance 19    20    Do not wash the filter strips as they will be damaged and  will not function effectively     Do not attempt to open the flow generator unit  Repairs  and internal servicing should only be performed by an  authorized service agent     Do not allow water from a humidifier to spill through the air  tubing into the flow generator  This may result in failure of  the motor   Damage so caused is not covered under  warranty      Do not drop or insert any objects into the air tubing or air  outlet on the flow generator     SULLIVAN Comfo
11. eriodically  see  section 9  Cleaning and Maintenance  for details     8 SULLIVAN Comfort Operating Manual             2    Switch the main switch at the rear of the flow generator on  I   Press the  START button on the front panel  see figure below      Allow the unit to run for a few seconds  then press the STOP button        STOP button  START button                   Comfor  bi   level    SULLIVAN           Ly             Delay timer            buttons  Pressure strip   oo   light display  Front panel   3 Positioning the flow generator       Place the flow generator on atable close to the head of your bed   Position it carefully so that it could not be bumped from the table  during the night  Make sure that you could not trip on the power cord  when walking near the bed        Make sure that the area around the unit is kept dry and clean  If dust or  foreign particles are drawn into the unit it may affect treatment        Keep the unit well clear of articles such as clothing  bedding or towels   If these obstruct the air inlet at the rear of the unit it may cause  overheating and damage the unit      Do not place the unit near a heater or a source of hot or cold air    4 If using a water humidifier  do not position it so that water could spill from  the humidifier to the flow generator if the humidifier is bumped or over   turned  Do not position a water humidifier on top of the flow generator    CAUTION  e If water is spilt inside the flow generator  turn off the main   
12. g     Section 4  Fitting the mask 11    fe  Daily operation    Starting  1    Connect the air tubing to the mask and flow generator  Switch the main power  switch at the rear of the unit to on  I    See section 3  Preparing for use      The unit will either be in standby mode  as indicated by the light above the  STOP button  or it will start operating     depending on whether the unit was  in standby or operating when it was last switched off at the rear     If the unit starts operating  epress the STOP button to put the unit in standby   Fit the mask to your face  see section 4  Fitting the mask      Settle down in bed and adjust the air tubing so it is free to move with you if  you turn in your sleep  Do not leave long lengths of tubing around the top of  your bed which could twist around your head or neck while sleeping  You  may bring the tubing over the top of your headboard to reduce drag on the  mask  Or you may prefer to run it across your shoulder     You are now ready to start the flow generator        Adjust the air tubing   try both ways and  select whichever is more comfortable    Using the START button  Start the flow generator by pressing the START button  The pressure will rise  quickly to your set pressures     the IPAP and EPAP pressures prescribed by your  physician and set by the sleep clinic staff or your equipment supplier     12 SULLIVAN Comfort Operating Manual            SULLIVAN    Comfort   bi   level          Pressure strip light display        De
13. in      Feeling slightly bloated  This is usually the result of excessive  swallowing of air in response to the pressure sensation from your  Comfort while you are awake  Using the delay timer may help but  contact your physician if symptoms persist       Dryness of the nose  mouth or throat  The use of a humidifier may  help  Contact your physician or equipment supplier for advice on the  range of humidifiers available and whether these are suitable for you       Air continually leaking out of the mouth while sleeping       Do not stop your treatment without the approval of your physician  Always  consult your physician if you expect to be in a situation where you cannot  use your Comfort for more than a few days        If any of the symptoms of sleep apnea recur during the course of your treat   ment  consult your physician       If you are admitted to hospital or are prescribed any other form of medical  treatment  always inform the medical staff that you are receiving nasal bi   level treatment  Make sure that your physician who is treating you for sleep  apnea is contacted         Skin irritation may occur from sensitivity to the material in the mask or from  too much tension in the headgear straps  A correctly fitted mask and optimum  tension in the straps will often prevent skin irritation  If problems persist   contact your equipment supplier or physician for advice       If you experience an infection of the upper respiratory tract  middle ear or  sinus  you should c
14. lay timer buttons       Front panel      The pressure strip light display gives an approximate indication of the  pressure you are receiving  You will notice that the indicator lights  fluctuate as the unit switches between your IPAP and EPAP pressures     Using the delay timer    If you prefer to have the air pressure build up gradually while you fall asleep   select one of the delay timer buttons on the front panel  see figure above   The  number on the button  5  10 or 20  indicates how many minutes it will take for the  pressure to build up from a low  barely noticeable level to your set pressures     If you want the pressure to rise very slowly  press the 20 minute button  You will  soon find the rate of build up that is most comfortable for you  The indicator lights  on the strip light display will come on slowly  and reach your prescribed levels at  the end of the delay period     Note  Your physician may recommend that you do not use the delay timer  or only  use it to a limited degree  In this case  for example  your unit may be set to  allow you to select a time delay of 5 or 10 minutes  but not 20 minutes     You may change the delay period at any time  For example  you may wish to extend  the delay period if you are finding it difficult to fall asleep  Simply select one of  the delay timer buttons  Or you may choose an immediate start by pressing the  START button  The flow generator will always respond to the last button selected     Positioning the Bubble Cushio
15. n       If you are using the Bubble Cushion  the flow generator needs to be running to  inflate the cushion before it can be securely positioned against your nose   Start  the unit using either the START button or the delay timer     whichever you prefer      Position the inflated cushion by lifting it off your face and then resting it gently  against your nose  Adjust the cushion until a comfortable air seal is achieved     You may then need to readjust the headgear straps  The mask should fit just firmly  enough so there are no leaks when the unit is running at your prescribed pressures     Section 5  Daily operation 13    Stopping    1 Press the STOP button to stop the flow generator  To remove the mask     stretch the headgear slightly and pull it over your head  Or release one of the  bottom headgear straps     2 When you are ready to go back to sleep  put your mask back on and restart  the flow generator by pressing START or a delay timer button  Adjust the  mask for comfort and to prevent air leaks     After daily use    Switch off the flow generator at the main power switch at the rear of the unit   Disconnect the air tubing from the flow generator  Follow the daily cleaning  instructions in section 9  Cleaning and Maintenance     As an alternative to removing your mask and  headgear  you may find it easier to disconnect  the air tubing from your mask as shown     When you return to bed  reconnect the air tubing  to the mask and restart the flow generator        14 SU
16. o direct exhaled air downwards  and away from partner  Comes with four sizes of  forehead arm and an axial swivel connector     Triangular headgear    Straps easily adjust in several directions for a  comfortable fit  Available in a range of sizes     ResCap       A comfortable  lightweight alternative to  traditional headgear  It has been designed to  provide a more secure mask attachment  resulting  in fewer air leaks  The cap is made of soft   double knit jersey fabric which allows air to  circulate freely  keeping you cool  Available in   a range of sizes        Bubble Cushion        Series 2 and Series 3    The Bubble Cushion is renowned as one of the  lightest  most comfortable cushions on the market  today  Made of soft silicone rubber  the cushion  conforms to the shape of your face  It adjusts       Series 2  itself as you move to help prevent air leaks and to  eliminate the need for tight headgear  Available in  a range of sizes   The series 2 is a soft membrane mounted on a  thicker wall section  The series 3 is a one piece a  design which makes cleani ier  CQ Series 3  esign which makes cleaning even easier S3  Carry bag    The carry bag is designed for easy carrying and  protection of your Comfort bi level system        Section 12  Accessories and spare parts 23    Humidifiers    Bi level treatment sometimes results in a dry or runny nose  ResMed produces a  range of humidifiers to reduce symptoms and make treatment more comfortable        SULLIVAN   HCH Disk    
17. onsult your physician before continuing your treatment   You may be advised to stop treatment until the infection has cleared  If you  continue with treatment during an infection  it is advisable to wash your  mask and tubing more often     Section 8  Warnings related to treatment 17    79 4 Cleaning and maintenance    You should regularly carry out the cleaning and maintenance described in this  section  These procedures do not require a specialist service organization     Daily    1 After daily use  wipe the inside and outside of the mask frame and nasal  cushion with a clean  damp cloth     2 Disconnect the air tubing at the flow generator 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     3 If using a humidifier  remove the short air tubing between it and the flow  generator after each use  Be particularly careful to disconnect the tubing at  the flow generator end first  to make sure that no water spills down the  tubing and into the flow generator     4 Clean and maintain the humidifier in accordance with the operating manual  supplied with it     Weekly  1   Remove the air tubing from the flow generator and from the mask       Remove the headgear from the mask frame by unthreading the  headgear straps       Remove the cushion from the mask  but do not disassemble the mask  frame any further      2 Check that the air outlet vent on the
18. opping    Helpful hints ES  Use in different countries  ee  Warnings related to treatment  et    Cleaning and maintenance               ee    Daily  Weekly  Periodically  Replacing the air filter    SEMIN EE EE  Troubleshooting E  Accessories and spare parts  ee  System specifications  ee    CAUTION  In the USA  Federal Law restricts this device to sale by  or on the    order of  a physician     Contents    Ly Introduction    How bi level treatment works    4    Obstructive sleep apnea or OSA occurs when the tongue and soft palate relax  during sleep  blocking the airway and cutting off the brain   s supply of oxygen  To  treat OSA  nasal CPAP  Continuous Positive Airway Pressure  was developed in  1981 by Dr Colin Sullivan in Australia     In CPAP treatment  a flow generator unit provides air through a nose mask at a  slightly raised pressure which keeps the airway open  The level of air pressure  varies according to individual needs     Conventional CPAP treatment is carried out using a constant air pressure which  can sometimes make breathing out uncomfortable  Bi level treatment is an  extension to conventional CPAP designed to overcome this  Treatment is carried  out in a similar way  except that the flow generator delivers two pressures     a  higher pressure when you breathe in and a lower pressure when you breathe out     Your physician will prescribe two pressures  an inspiratory or IPAP pressure  for when you breath in  and an expiratory or EPAP pressure for when yo
19. reparing for use     To fit the mask to your face     1    To remove the mask a                     Loosen the headgear straps and pull the  headgear over your head  Make sure the  straps are sufficiently loose so that the  nasal cushion is not pulled against   your nose     Position the headgear so that  the bottom straps pass below  your ears and the top center  strap passes over the top  center of your head     Check that the headgear is  not twisted at the back of  your head     Positioning a Bubble Cushion       If you are using a Bubble Cushion  the flow generator needs to be running to  inflate the cushion before it can be securely positioned against your nose   This step is described in the following section  Daily operation     Positioning a standard cushion    You do not need to inflate a standard cushion before positioning securely on  your face  Simply move the mask slightly from side to side and up and down  until a comfortable fit is achieved     With the mask in position  lie down in your           normal sleeping position  Adjust the head     gear straps so that the mask sits comfortably             with the forehead pads lightly touching your   3  forehead       SHY   Do not overtighten the straps  ad      j       Stretch the headgear slightly and pull it up and   over your head  Alternatively  release one or both   of the bottom straps and remove the headgear  You should not need to adjust the  headgear again until it is disassembled  e g  for weekly cleanin
20. rt Operating Manual       104 Servicing    Your SULLIVAN   Comfort    is designed to give years of trouble free operation   It is not necessary to send your unit away for regular servicing provided you  follow the recommendations in section 9  Cleaning and maintenance     Should you feel that your unit is not performing properly  check section 11   Troubleshooting  If there is still a problem  contact your equipment supplier or  sleep clinic     Inspection and repair should only be performed by an authorized service agent     Make sure you return your mask and air tubing with your flow generator and  advise your prescribed pressures     Section 10  Servicing 21    114 Troubleshooting    If you have any problems with your SULLIVAN   Comfort     try the following  suggestions  If it is still not working properly  consult your equipment supplier or  take it to an authorized service agent  Do not attempt to open the flow generator     Problem    Flow generator does  not start when you  press START or delay  timer button     and no indicator  lights are showing on  the front panel     Possible cause    Power cord not connected properly    Flow generator not switched on    Power outlet may be faulty    Solution    Connect power cord firmly at both ends    Switch main power switch at rear of flow  generator to on  I     Try another power outlet       Insufficient air  delivered from flow  generator    Delay timer is in use    Air filter strips are dirty    Air tubing is kinked or  p
21. se the correct  adapter for the type of power outlet in the country you are visiting  Contact  your equipment supplier for information on a suitable adapter       Always remember to pack the detachable power cord with the rest of the  equipment when you travel        Your Comfort can operate from a battery supply  e g  in a truck or recre   ational vehicle   with the use of a suitable inverter unit  The inverter should  be capable of supplying mains voltage in the range 110 240 V and should be  of sufficient capacity     Note  A rated capacity of up to 200 W may be necessary with some brands  of inverter to ensure satisfactory operation       For a list of distributors and agents worldwide  contact your equipment  supplier     16 SULLIVAN Comfort Operating Manual    fe  Warnings related to treatment    The SULLIVAN   Comfort    bi level system is designed to help you have a good  night   s sleep  However  you need to be aware of possible problems that may arise  during the course of your treatment  If you have concerns about any of these  problems consult your physician immediately       You may experience sneezing  a runny nose or nasal obstruction  especially  during the first few weeks of using your Comfort  This may need treatment  such as a nasal spray  Consult your physician for advice       If you experience any of the following symptoms during the course of your  treatment  consult your physician immediately       Headache    Middle ear or sinus discomfort    Chest pa
22. these are  suitable for you  Note that your prescribed pressures may need to be reset if  a humidifier is used       Wash your face to remove excess facial oils before fitting the mask  This  will help prolong the life of the cushion        A tight fit of the mask is not necessary  The most efficient air seal is created  when the mask is well balanced and comfortable  without being pulled tight   Also  pulling the headgear straps tightly may lead to skin irritation or sensiti   vity of the bridge of the nose or the upper lip     It is best to set the final tension of the straps while lying down     Note  A minor leak around the lower part of the face is sometimes preferable  to overtightening the mask  However  you should eliminate any air  leaks blowing in the direction of the eyes as this may cause eye  irritation         If you have a continuing problem with obtaining a comfortable and secure fit  with the nose mask  do not hesitate to contact your sleep clinic or equipment  supplier  They may be able to modify the cushion to improve the fit  or they  may suggest an alternative size or style of cushion  mask frame or headgear  from the wide range now available     Section 6  Helpful hints 15    774 Use in different countries      Your SULLIVAN   Comfort    has a switch mode power supply which  means it will operate on the different power supplies in other countries  The  unit accepts 110 240 V  50 60 Hz        No special adjustment to the unit is necessary but you should u
23. u  breathe out  These pressures are determined during a sleep study and set by the  sleep clinic staff or your equipment supplier     The SULLVAN   Comfort    operates in a spontaneous mode  where it delivers  your IPAP and EPAP pressures in response to your breathing pattern  For example   during your inspiratory breath the unit delivers your IPAP pressure  then your  expiratory breath triggers the unit to switch to your EPAP pressure     This spontaneous mode of operation is aided by the set IPAP maximum time   This is the maximum length of time  within each breath period  that the flow  generator will deliver your IPAP pressure before it switches to your EPAP  pressure  Therefore  if your expiratory breath should fail to trigger the unit to  switch to your EPAP pressure  the unit will switch automatically when your IPAP  maximum time is exceeded     The IPAP maximum time is factory set  For some patients only  the physician will  prescribe an individual IPAP maximum time to be set by the sleep clinic staff or  equipment supplier     If you feel that you are no longer getting relief from your symptoms of sleep  apnea  consult your physician immediately for advice     SULLIVAN Comfort Operating Manual    Features of SULLIVAN   Comfort       Delay timer  If you find the initial sensation of pressure uncomfortable while trying to fall  asleep you may use the delay timer  This allows you to select the time it will take   5  10 or 20 minutes  for the air pressure in your mask to
24. unctured   Air tubing is not connected  properly   Plugs are missing from access  ports    Wait for air pressure to build up gradually   according to selected delay period  Or  press START to override delay period    See section 5  Daily operation      Replace air filter strips   see section 9  Cleaning and maintenance   Straighten or replace tubing    Tighten air tubing connections at both ends    Replace plugs       Air leaking around  nose and eyes    Nasal cushion not properly  fitted onto mask frame    Mask and headgear straps not  positioned correctly    Plugs missing from access  ports of mask frame    Nasal cushion is torn or  distorted    Fit cushion onto mask frame  aligning the  two pins on the cushion with the slots on  the mask frame    see section 3  Preparing for use     Adjust position of mask and headgear   Note that if you are using the Bubble  Cushion  the flow generator needs to be  running before the cushion can be  properly fitted   See section 4  Fitting the  mask and section 5  Daily operation      Replace plugs    Replace cushion       22 SULLIVAN Comfort Operating Manual        24 Accessories and spare parts    Accessories    A range of accessories is available to adapt your SULLIVAN   Comfort    to your  needs  Contact your sleep clinic or equipment supplier for further information on  the following items     Modular Mask Frame Kit    Adapts to a wide range of face sizes and features  a T bar for added stability  The outlet vent has  been designed t
25. using the Modular Mask Frame  you may need to fit the forehead  arm and optional T Bar  Refer to the User Instructions supplied with the  Modular Mask Frame     3 Fit the nasal cushion to the  mask frame as shown  below       Fit the cushion onto the  ridge of the mask frame   The two pins on the  cushion should align with  the slots at the bottom of  the mask frame         Make sure the cushion is  sealed all the way around        Fit nasal cushion to mask frame    Section 3  Preparing for use 7    4 Fit the headgear to the mask frame as shown below       Thread the headgear straps  through the slots in the mask  frame     the lower straps  should also pass through the  slots on the cushion     Note  If using the ResCap      position the straps so that the  sewn on    ResCap    label will  be at the back of your head   lower center   facing  outwards     Thread the straps in the  direction of the arrows as  shown        Fit headgear to mask frame    Setting up the flow generator    1 Plug the power cord into the main power inlet at the rear of the flow  generator  Make sure the main power switch on the unit is off  O   Insert the  other end of the power cord into a power outlet     easy  a SA Main power inlet  CT  L    et        Main power switch    EW Power cord          Air inlet  with filter         Plug in power cord at rear of flow generator      At the air inlet an air filter cleans the air that you breathe through  the mask  The air filter strips need to be replaced p
    
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