ResMed Positive Airway Pressure Device VPAP IV User's Manual
Contents
1. Switch on your VPAP and wait until you see the standby Ramp screen Hold the Data Card with the arrow facing up and insert it into the Data Card slot until it stops Data copying starts automatically The Card Inserted Please Wait message is displayed on the LCD while data is being copied Copying takes up to 30 seconds The Copy Complete Remove Card message is displayed on the LCD when copying has finished Remove the Data Card by gripping the end of the Data Card and pulling it out Store the Data Card in its protective folder when not in use Return the card in its protective folder to your clinician using a postal envelope Updating Settings on your VPAP If your clinician has provided a Data Card with new device settings With the device in standby Ramp mode insert the Data Card into the slot on the Data Card module Updating will start automatically The Card Inserted Please Wait message is displayed on the LCD while updating is in progress Updating takes approximately five seconds The Settings Success Remove Card message is displayed on the LCD if the settings were updated successfully Note This message only appears once If you re insert the Data Card after you have updated your settings this message is not displayed Remove the Data Card from the VPAP device Store the Data Card in its protective folder when not in use WARNING If your clinician has told you to use the Data2. Card to update the settings on your device and the Settings Success message does not appear contact your clinician immediately Using the VPAP IV and VPAP IV ST 9 10 Traveling with the VPAP IV and VPAP IV ST International Use Your VPAP 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 reguire an approved power cord for that country Use on an Aircraft Please consult the medical services department of your carrier if you intend to use your VPAP device on an aircraft Note You should not use your VPAP device while the aircraft is taking off or landing Use with DC Power You must use a ResMed DC DC Converter 24V 50W to connect your VPAP to a 12V or 24V DC power source Contact your eguipment supplier or ResMed for details WARNING The device should not be connected to both AC and DC power sources simultaneously Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section Refer to your mask and humidifier manuals for detailed instructions regarding the care of those devices English Daily Disconnect the air tubing and hang it in a clean dry place until next use Weekly 1 Remove the air tubing from the VPAP device and the mask 2 Wash the air tubing in warm water using mild detergent 3 Rinse thoroughly hang a
3. any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organisation that has not been expressly authorised by ResMed to perform such repairs c any damage or contamination due to cigarette 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 English 19 20
4. distance between portable and mobile RF communications eguipment transmitters and the VPAP device as recommended below according to the maximum output power of the communications eguipment Separation distance according to freguency of transmitter m 150 kHz to 80 MHz Rated maximum output 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter W d 1 17 VP d 0 35 VP d 0 7 VP 0 01 0 17 0 04 0 07 0 1 0 37 0 11 0 22 1 117 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 metres m can 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 General Warnings and Cautions 17 18 Guidance and manufacturer s declaration electromagnetic immunity The VPAP device is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP device should assure that the device is used in such an environment Immunity test IEC60601 1 2 test level Compl
5. L VPAP and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U S Patent and Trademark Office 2008 ResMed Ltd 268192 Eng 2 08 10 Contents Introduction Contraindications Adverse Effects The VPAP System Masks Humidifier ResScan Data Card Supplemental Oxygen Using the VPAP IV and VPAPIV ST Setting up your VPAP Attaching a H4i Humidifier How to Use the Control Panel Using the Menus How to Select the Mask Type SmartStart Starting Treatment Stopping Treatment Using the Mask Fitting feature Reminders on the VPAP LCD Smart Data Using the Data Card Cleaning and Maintenance Daily Weekly Monthly Replacing the Air Filter Servicing Troubleshooting 0 000205 Technical Specifications Symbols Which Appear On The Device General Warnings and Cautions Limited Warranty 005 NNNN wo 44 00 60 Introduction The VPAP IV and the VPAP IV ST are intended to provide non invasive ventilation for patients with respiratory insufficiency or obstructive sleep apnoea OSA in the hospital or home Contraindications Positive airway pressure therapy may be contraindicated in some patients with the following pre existing conditions severe bullous lung disease pneumothorax or pneumomediastinum patho
6. RESMED VPAP IV VPAP IV ST POSITIVE AIRWAY PRESSURE DEVICE User Guide English REsMEp VPAP IV VPAP IV ST POSITIVE AIRWAY PRESSURE DEVICE User Guide English ResMed Ltd Manufacturer 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia ResMed Corp US Designated Agent 14040 Danielson Street Poway CA 92064 6857 USA ResMed UK Ltd EU Authorised Representative 96 Milton Park Abingdon Oxfordshire 0X14 4RY UK ResMed Offices Australia Austria Belgium Brazil China Finland France Germany Greece Hong Kong India Ireland Italy Japan Malaysia Mexico Netherlands New Zealand Norway Portugal Singapore South Africa Spain Sweden Switzerland UK USA see www resmed com for contact details Protected by patents AU 697652 AU 699726 AU 713679 CA 2235939 EP 0661071 EP 0858352 JP 3638613 US 5199424 US 5522382 US 6213119 US 6240921 US 6705315 Other patents pending Protected by design registrations AU 302180 AU 302181 AU 302182 AU 302183 AU 302184 AU 302185 AU 302186 CN 200430121211 8 CN 200430121212 2 CN 200430121213 7 CN 200430121214 1 CN 200430121215 6 CN 200430121216 0 CN 200430121217 5 EU 269436 HK 0412901 9 JP 1248040 JP 1257662 JP 1257663 JP 1266956 JP 1266957 JP 1267270 JP 1267271 NZ 405614 NZ 406923 NZ 406924 NZ 406925 NZ 406926 NZ 406927 NZ 406928 US D544598 US D557406 US D557407 US D560795 US D561891 Other designs pending SmartStart TiCONTRO
7. anel of your VPAP device includes an LCD screen which displays the menus and treatment screens as well as a keypad for navigating through the menus and delivering treatment The keypad has the following keys Key Function Start Stop Co Starts or stops treatment Extended hold for at least three seconds starts the mask fit feature Allows you to increase settings options and scroll through the Up oM zee 0 Allows you to decrease settings options and scroll through the Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes menu change and apply Left PONN menu Performs the function indicated by the guiding text displayed above Right 9 it on the LCD screen Guiding text includes exit and cancel Using the Menus The VPAP IV and VPAP IV ST provide a set of functions which are 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 To navigate and make selections 1 Press or to scroll through items within a level N 3 Press options Press gJ to enter a submenu and to apply an option choice to navigate out of a menu or submenu and to exit without changing Your clinician has preset the menu to either a standard menu or an advanced menu The following illustration summarises these views WELCOME gt gt gt gt gt gt RAMP 10min menu ES S
8. ency 3 A m 3 A m Power frequency magnetic fields should be at levels 50 60Hz magnetic characteristic of a typical location in a typical field IEC 61000 4 8 commercial or hospital environment Portable and mobile RF communications equipment should be used no closer to any part of the VPAP device 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 d 1 17 VP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 VP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 VP 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 eguipment marked with this symbol cy A NOTE 1 Ut is the AC NOTE 2 At 80 MHz a NOTE 3 These guide mains voltage prior to application of the test level nd 800 MHz the higher freguency range applies ines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 5 Field strengths from fixed transmitters such as ba
9. five years from the date of purchase 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 authorised ResMed service centre CAUTION Do not attempt to open the VPAP case There are no user serviceable parts inside e Inspection and repair should only be performed by an authorised agent Under no circumstances should you attempt to service or repair the flow generator yourself Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your eguipment supplier or ResMed Do not attempt to open the device a 7 Problem Possible Cause Solution No display Power is not connected Ensure the power cable is connected and the power switch if available is on Insufficient air delivered from the VPAP device Ramp time is in use Wait for air pressure to build up or change ramp time Air filter is dirty Replace air filter Air tubing is not connected Check air tubing properly Mask and headgear are not Adjust position of mask and headgear positioned correctly Cushion seated incorrectly Adjust headgear or re fit cushion causing excessive leak Humidifier control dial set too Turn humidifier control down and empty the water from the air high resulting in accumulation of tubing water in
10. h an environment Ha Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR11 Group 1 The VPAP device 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 eguipment RF emissions CISPR 11 with serial adapter Class B The VPAP device is suitable for use in all establishments including domestic RF emissions CISPR 11 with USB adapter Class B establishments and those directly connected to the public low voltage network that supplies Harmonic Emissions IEC 61000 3 2 Class A buildings used for domestic purposes Voltage Fluctuations Flicker Emissions IEC Complies 61000 3 3 Warnings The VPAP device should not be used adjacent to or stacked with other eguipment If adjacent or stacked use is necessary the VPAP device should be observed to verify normal operation in the configuration in which it will be used 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 VPAP device Recommended separation distances between portable and mobile RF communications eguipment and the VPAP series of devices The VPAP device is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP device can help prevent electromagnetic interference by maintaining a minimum
11. iance level Electromagnetic environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If discharge ESD 8 kV air 8 kV air floors are covered with synthetic material the relative IEC 61000 4 2 humidity should be at least 30 Electrical fast 2 kV for power 2 kV Mains power quality should be that of a typica transient burst supply lines commercial or hospital environment IEC 61000 4 4 1 KV for input Not Applicable output lines Surge 1 kV differential 1 kV differential Mains power quality should be that of a typica IEC 61000 4 5 mode mode commercial or hospital environment 2 kV common mode 2 kV common mode Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 Ut gt 95 dip in Ut for 0 5 cycle 40 Ut 60 dip in Ut for 5 cycles 70 Ut 30 dip in Ut for 25 cycles lt 5 Ut gt 959edip in lt 12V gt 959e dip in 240V for 0 5 cycle 96V 60 dip in 240V for 5 cycles 168V 30 dip in 240V for 25 cycles lt 12V gt 95 dip in Mains power quality should be that of a typica commercial or hospital environment If the user of the VPAP device requires continued operation during power mains interruptions it is recommended that the VPAP device be powered from an uninterruptible power source Ut for 5 sec 240V for 5 sec Power frequ
12. ised service agent Explosion hazard do not use in the vicinity of flammable anesthetics Cautions At low pressures the flow through the exhalation ports of your mask may not clear all exhaled gas from the tubing Some rebreathing may occur The airflow for breathing produced by this device can be as much as 11 F 69C higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 90 F 32 C When AC mains power 100 240V AC is not available always use a ResMed DC DC Converter 24V 50W The DC DC Converter 24V 50W is available as an optional accessory It is not supplied with all models Note The above are general warnings and cautions Specific warnings cautions and notes appear with the relevant instructions in the manual Ports may be incorporated into the mask or in connectors that are near the mask t During partial below rated minimum voltage or total power failure IPAP and EPAP pressures will not be delivered When power is restored operation will recommence with no change to settings Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic emissions 25 cm The VPAP IV and VPAP IV ST devices are intended for use in the electromagnetic environment specified below The customer or D the user of the VPAP device should assure that the device is used in suc
13. logically low blood pressure particularly if associated with intravascular volume depletion dehydration cerebrospinal fluid leak recent cranial surgery or trauma Adverse Effects Patients should report unusual chest pain severe headache or increased breathlessness to their prescribing 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 device drying of the nose mouth or throat nosebleed bloating ear or sinus discomfort eye irritation skin rashes WARNING Read the entire manual before using these VPAP devices The VPAP System Both the VPAP IV and the VPAP IV ST systems comprise the following elements VPAP device 2 m air tubing Power cord Travel bag ResScan Data Card ResMed Oxygen Connector Port Optional components include 3 m air tubing DC DC Converter 24V 50W Introduction English 1 Data Card module inlet Masks The following ResMed mask systems are recommended for use with these devices Mask Type Name Nasal Masks e Mirage Vista Nasal Mask Ultra Mirage Nasal Mask e Ultra Mirage Nasal Mask e Mirage Activa Nasal Mask irage Micro Nasal Mask Nasal Pillows Systems e Mirage Swift Nasal Pillows System e Mirage Swift Nasal Pillows System Full Face Masks e Mirage Liberty Full Face Ma
14. n assembling your mask see your mask manual WARNING Make sure the power cord and plug are in good condition and the eguipment is not damaged Only ResMed air tubing and accessories should be used with the device Do not use electrically conductive or antistatic hoses A different type of air tubing or accessory may alter the pressure the patient receives reducing the effectiveness of the treatment Blocking the hose and or air inlet of the device while in operation could lead to overheating of the device CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord If you put the device on the floor make sure the area is free from dust and clear of bedding clothes or other objects that could block the air inlet Using the VPAP IV and VPAP IV ST 3 Attaching a H4i Humidifier The H4i humidifier attaches to the front of a VPAP IV or VPAP IV ST device to provide heated humidification These devices automatically detect the presence of the H4i and no other accessories are reguired for its use For more information on using your H4i please refer to the H4i user guide WARNING e Make sure that the water chamber is empty and thoroughly dried before transporting the H4i e When using the travel bag always separate the VPAP unit and the H4i and place the H4i in its pouch How to Use the Control Panel LCD screen Keypad Start Stop Key The control p
15. nd allow to dry 4 Before the next use reconnect the air tubing to the air outlet and mask Monthly 1 Clean the exterior of the VPAP with a damp cloth and mild liquid soap 2 Check the air filter for holes and blockage by dirt or dust WARNING Beware of electric shock Do not immerse the unit or power cord in water Always unplug the unit before cleaning and be sure it is dry before plugging back in e The mask system and air tubing are subject to normal wear and tear Inspect them regularly for damage Replacing the Air Filter Replace the air filter every six months or more often if necessary 1 Remove the air filter cover at the back of the VPAP device Air filter cover Remove and discard the old air filter Insert a new filter with the blue tinted side facing out from the device BON Replace the air filter cover WARNING e Do not wash the air filter The air filter is not washable or reusable e The air filter cover protects the device in the event of accidental liquid spillage onto the device Ensure the air filter and air filter cover are fitted at all times Cleaning and Maintenance 11 12 Servicing This device is intended to provide safe and reliable operation when operated and maintained in accordance with the instructions provided by ResMed To ensure that your device continues to provide optimum performance it is recommended that this product be inspected by an authorised ResMed Service Centre
16. onded polyester non woven fiber Flexible plastic 1 2m The 22 mm conical air outlet complies with ISO 5356 1 Class II double insulation Type CF The manufacturer reserves the right to change these specifications without notice e Pressure may be displayed in cm Hg0 or hPa Symbols Which Appear On The Device A Caution Lli Follow instructions for use Drip proof Type CF equipment 4 Dangerous voltage Class ll equipment 6 6 Start Stop and mask fit Manufacturer Technical Specifications 15 16 General Warnings and Cautions Warnings Advice contained in this manual should not supersede instructions given by the prescribing physician A patient should not connect a device to the data communication port unless instructed to do so by their health care provider or physician Only ResMed products are designed to be connected to the data communication port Connecting other devices could result in injury or damage to the VPAP device These VPAP devices should only be used with masks and connectors recommended by ResMed or by a physician or respiratory therapist A mask should not be used unless the VPAP device is turned on and operating properly The vent hole or holes associated with the mask should never be blocked Explanation These VPAP devices are intended to be used with special masks or connectors which have vent holes to allow continuous flow of air out of
17. r tubing is connected properly high leak levels for more than 20 Adjust headgear seconds The following message is displayed on the LCD after you try to update settings or copy data to the Data Card Card Error Remove Card Data Card is not inserted Ensure that the Data Card is inserted with the arrow facing up correctly as far as it can go You may have removed the Data Reinsert the Data Card and wait for the Settings Success Card before settings were copied Remove Card orCopy Complete Remove Card to the VPAP device message to appear on the LCD The following message is displayed on the LCD after you try to update the settings using the Data Card Settings Invalid Remove Card The identification details on the Contact your clinician service provider immediately Data Card do not match the details on your device The following message is displayed on the LCD after you try to update the settings using the Data Card Settings Error Remove Card There is a data error on the Data Contact your clinician service provider immediately Card The following message is NOT displayed on the LCD after you try to update the settings using the Data Card Settings Success Remove Card The settings were not updated Contact your clinician service provider immediately Technical Specifications Operating pressure range Maximum single fault steady state pressure Pressure measurement tolerance Flow measurement tolerance S ST and T mode
18. rom your LCD and replace your mask with a new one CALL Reminds you to contact your Press g Ok to remove the message PROVIDER clinician for example to rom your LCD and contact your clinician discuss your therapy service provider REPLACE Reminds you to replace the Press g Ok to remove the message FILTER air filter on your device rom your LCD and replace the air filter SERVICE Reminds you to return your Press Ok to remove the message DUE device for service rom your LCD and contact your clinician service provider Customised Your clinician may also set Press g Ok to remove the message messages reminders for other reasons rom your LCD and contact your clinician for example to call a service provider particular person or number Smart Data Smart Data menus only appear if enabled by the clinician Your clinician can set any of the following Smart Data options Message Description PRESSURE Displays the therapy pressure from the previous session MASK FIT Displays the mask fit star rating from the previous session USAGE Displays the usage hours from the previous session AUTO APPEAR If ON is selected Smart Data screens are automatically displayed when you turn on your device Using the Data Card Copying Data onto a Data Card 3 4 5 If your clinician needs to review your treatment they will ask you to use the Data Card to copy data from your VPAP device and return the card to them English
19. s CPAP mode 2 to 25 cm H20 40 cm H20 English 20 5 cm H20 4 of the measured reading 0 1 or 20 of reading whichever is greater IPAP 4 to 25 cm H20 measured at the mask EPAP 2 to 25 cm H20 measured at the mask Pressure Support 0 to 23 cm H20 4 to 20 cm H2O measured at the mask DECLARED DUAI NUMBER NOISE EMISSION VALUES in accordance with ISO 4871 Sound pressure level Sound power level Dimensions L W H Weight Power supply Housing construction Operating temperature Operating humidity Storage and transport temperature Storage and transport humidity Operating altitude Electromagnetic compatibility Air filter Air tubing Air outlet IEC 60601 1 classification Note 26 dBA with uncertainty of 2 dBA as measured according to ISO 17510 1 2002 28 dBA with uncertainty of 2 dBA as measured according to ISO 17510 1 2007 36 dBA with uncertainty of 2 dBA as measured according to ISO 17510 1 2007 112 mm x 164 mm x 145 mm 1 3 kg Input range 100 240V 50 60Hz 40VA typical power consumption gt 100VA maximum power consumption Flame retardant engineering thermoplastic 5 C to 35 C 10 95 non condensing 20 C to 60 C 10 95 non condensing Sea level to 2 600 m Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC60601 1 2 for residential commercial and light industry environments Two layered powderb
20. se stations for radio cellular cordless telephones and land mobile radios amateur radio AM an electromagnetic envir field strength in the lo d FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the onment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured cation in which the VPAP device is used exceeds the applicable RF compliance level above the VPAP device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the VPAP device 5 Over the freguency range 150 kHz to 80 MHz field strengths should be less than 10 V m 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 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
21. sk e Mirage Quattro Full Face Mask Ultra Mirage Full Face Mask For information on using masks see your mask manual For the latest available masks see www resmed com Humidifier If you are experiencing dryness of the nose throat or mouth the H4i heated humidifier is recommended for use with these VPAP devices WARNING ly Only ResMed mask systems are compatible for use with these VPAP devices e Only the H4i is compatible for use with these VPAP devices ResScan Data Card The ResScan Data Card may be used with these VPAP devices either to help your clinician to monitor your treatment or to provide you with updates to your device settings Supplemental Oxygen The VPAP IV and VPAP IV ST are designed to be compatible with up to 15 L min of supplemental oxygen At a fixed flow rate of supplemental oxygen flow the inhaled oxygen concentration will vary depending on the pressure settings patient breathing pattern mask selection and the leak rate WARNING Always use the ResMed Oxygen Connector Port when adding supplemental oxygen at the flow generator outlet Using the VPAP IV and VPAP IV ST Setting up your VPAP 1 2 3 4 Connect the power cord to the socket at the rear of your VPAP English Plug the other end of the power cord into the power outlet Connect one end of the air tubing firmly onto the air outlet Connect the assembled mask system to the free end of air tubing For information o
22. tStart Stop your device will start automatically when you breathe into your mask and stop automatically when you take your mask off Starting Treatment 1 Make sure the power is on The product name is displayed briefly on the LCD screen then the standby Ramp screen appears The key and LCD backlights also turn on 2 Fit your mask as described in the mask user instructions WARNING A mask should not be used unless your VPAP device is turned on and operating properly 3 Alter the ramp time if required 4 To start therapy simply breathe into the mask or press o 5 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep 6 After starting therapy an introductory treatment screen will display S mode example Mode and pressure display LK 10L min RR 15 MV 10 2 VT 680 Leak and breath information Inspiration information bae ll This screen only displays if ResLink and an oximeter are connected Stopping Treatment To stop treatment at any time remove your mask and press o If your clinician has enabled SmartStart Stop simply remove your mask and treatment will end Note SmartStart Stop does not operate if you have a Full Face Mask or e Leak Alert is enabled Using the Mask Fitting feature The VPAP IV and VPAP IV ST include a mask fitting feature to help you fit your mask properly The mask fitting feature delivers air pressure for a three min
23. tandard Menu MASK ULTRA change exit USED 00090hrs 00006 00012 days SW SX459 0200 1 exit I These menus only appear if your clinician I has enabled Smart Data Advanced Menu SETTINGS enter 4 exit MASK ULTRA change 4 exit TUBE LENGTH 2m SMARTSTART OFF exit LEAK ALERT ON change 1 exit RESULTS enter 0 exit USED 00090hrs 00003 00122days Ee SMART DATA F l enter i exit MASK FIT I excelnt exit PRESSURE 8 0 l exit J f SMART DATA enter ext AUTO APPEAR ON change exit LANGUAGE ENGLISH SERVICING change 1 exit enter T exit OPTIONS enter i SN 20080102356 exit SW SX459 0200 iL exit Using the VPAP IV and VPAP IV ST English 5 How to Select the Mask Type Scroll to MASK and select SI Press or until you see the setting you require The following table shows the setting that should be selected for each mask Settings Mask ULTRA Ultra Mirage Nasal Mask Ultra Mirage II Nasal Mask MIR FULL irage Liberty Full Face Mask irage Quattro Full Face Mask Ultra Mirage Full Face Mask ACTIVA irage Activa Nasal Mask SWIFT irage Swift Nasal Pillows System irage Swift Il Nasal Pillows System STANDARD irage Vista Nasal Mask irage Micro Nasal Mask MIRAGE Mirage Nasal Mask SmartStart If your clinician has enabled Smar
24. the air tubing Device does not start when you breathe into the mask Breath is not deep enough to Take a deep breath in and out through the mask trigger SmartStart Stop There is excessive leak Adjust position of mask and headgear Air tubing not connected properly Connect firmly at both ends SmartStart Stop is disabled Enable SmartStart Stop Note SmartStart Stop is not available if you are using a Full Face Mask or if Leak Alert is enabled Device does not stop when you remove your mask SmartStart Stop is not enabled Enable SmartStart Stop Note SmartStart Stop is not available if you are using a Full Face Mask or if Leak Alert is enabled SmartStart Stop is enabled but the flow generator does not stop automatically when you remove your mask Incompatible mask system being Use only equipment recommended by ResMed used Displays error message Check tube Key if done The air tubing is loose or blocked Check that the air tubing is connected securely to your mask and the air outlet Press the Start Stop key to restart the device If this does not clear the message disconnect the power cord and then reconnect it to restart the device Troubleshooting 13 Problem Possible Cause Solution Displays error message Exxxx Call Service where xxxx defines an error Component failure Record error number and contact your ResMed service centre Displays error message HIGH LEAK Adjust Mask You have experienced excessively Check that your ai
25. the mask When the device is turned on and functioning properly new air from the device flushes the exhaled air out through the mask vent holes However when the device is not operating insufficient fresh air will be provided through the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This applies to most Positive Airway Pressure devices In the event of power failure or machine malfunction remove the mask These VPAP devices can be set to deliver pressures up to 25 cm H20 In the unlikely event of certain fault conditions pressures up to 40 cm H20 are possible Follow all precautions when using supplemental oxygen Oxygen flow must be turned off when the flow generator is not operating so that unused oxygen does not accumulate within the flow generator enclosure and create a risk of fire If the oxygen has been left on turn off the device then wait 30 minutes before turning on the device again At a fixed rate of supplemental oxygen flow the inhaled oxygen concentration varies depending on the pressure settings patient breathing pattern mask point of application and leak rate Do not use the VPAP IV or VPAP IV ST if there are obvious external defects or unexplained changes in performance Do not open the VPAP case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an author
26. ute period prior to starting treatment for checking and adjusting your mask fit to minimise leaks To use the mask fitting feature 1 Fit your mask as described in the mask user instructions Hold down Co for at least three seconds until air pressure delivery starts and the following screen appears MASK FIT KKKKK excolni Mask fit star rating The LCD displays a mask fit star rating from zero to five stars Three to five stars indicates a good fit or better Zero to two stars indicates that the mask needs to be adjusted Using the VPAP IV and VPAP IV ST 7 English Reminders on the VPAP LCD Your clinician may have set your VPAP device to remind you about important events such as when to replace your mask when to insert your Data Card if your device is Data Card enabled and so on The reminder message is displayed on the LCD and is visible if the device is not delivering therapy The backlight on the LCD flashes when a message is displayed Your clinician can set any of the following reminders on your LCD Message Description Action INSERT May appear if your device is Insert your Data Card and follow any CARD Data Card enabled instructions that your clinician has given you When you have done this the message will disappear from the LCD Pressing g Ok will also remove the message REPLACE Reminds you that your mask Press g Ok to remove the message ASK is due for replacement
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