SULLIVAN® V PLUS SULLIVAN® V ELITE
Contents
1. leading to worsening respiratory failure risk of rebreathing leading to worsening respiratory failure Pneumothorax or pneumomediastinum Emphysematous bullae or past history of pneumothorax risk of pneumothorax Decompensated cardiac failure or hypotension particularly if associated with intravascular volume depletion risk of further hypotension or reduction in cardiac output Massive epistaxis or previous history of massive epistaxis risk of recurrence WARNINGS AND CAUTIONS WARNINGS Pneumoencephalus recent trauma or surgery for example pituitary or nasal that may have produced cranio nasopharyngeal fistula risk of entry of air or other material into the cranial cavity Acute sinusitis otitis media or perforated ear drum The clinician should assess on a case by case basis the relative risks and benefits of nasal CPAP therapy in such a subject When assessing the relative risks and benefits the clinician should understand that the SULLIVAN V series can deliver pressures up to 20 cm H O Also in the unlikely event of certain fault conditions a maximum static pressure of 35 cm H O is possible If such a pressure could present risk to particular patients then this device must not be used For patients with limited respiratory capacity during sleep for example emphysema reduced central drive neuromuscular chest wall or lung parenchymal disease and similar conditions the use of SmartStart feat2. block the mask vent 6 Press the Stop and 20 minutes buttons together and release them The motor will start running and will build up to pressure CALIBRATION 19 20 NOTE 7 Read the pressure on the manometer Adjust the pressure using the 5 minute decrease pressure and 10 minute increase pressure buttons until the pressure on the manometer reads 16 0 2 cm H5O 8 Press the Stop button to revert to normal operating mode or turn the flow generator off Manometer Access port Sensor tube Figure 2 Calibrating the Flow Generator The Lightweight and Plus models will need recalibrating if the patient lives above an altitude of 900m 3000 Contact your supplier for further details The Elite model has a pressure sensor that automatically adjusts for altitude variations CLEANING AND MAINTENANCE DAILY Disconnect the air tubing and hang it up in the shade not in the sun as the tubing may harden and crack over time Clean the mask according to the User Instructions supplied with it If you are using a humidifier clean it in accordance with the instructions in the manual supplied with it WEEKLY Wash the air tube with mild detergent and drip dry Wash the mask and headgear according to the User Instructions supplied with them PERIODICALLY The exterior of the flow generator should be cleaned with a damp clo
3. kg 4 4 Ib Plus 2 0 kg 4 4 Ib Lightweight 1 7 kg 3 7 Ib Weight may vary slightly depending on model POWER SUPPLY Input range 110 240 V 50 60 Hz 120 VA HOUSING CONSTRUCTION Injection molded plastic AIR FILTER STRIPS Outer filter strip polyester fibre Inner filter strip open cell polyester urethane foam ENVIRONMENTAL RATINGS Temperature limits Operating 5 C to 40 C Storage 20 C to 60 C Humidity limits Operating 15 to 95 RH non condensing Storage up to 95 RH non condensing SPECIFICATIONS E 52 AIR TUBING Flexible Hytrel plastic 2 m 6 6 length IEC 601 1 CLASSIFICATIONS Class II Type CF NOTE The manufacturer reserves the right to change these specifications without notice GLOSSARY n Class II double insulated Classe II double isolation v Type CF Applied Part Partie appliqu e du type CF FLOW PRESSURE CURVE Mirage Mask 25 20 15 Pressure cm H20 0 10 20 30 40 50 60 Diffuser Flow L min
4. IMITING THE DELAY TIMER SETTING THE START PRESSURE ELITEMODEL EE SETTING THE REAL TIME CLOCK SMARTSTART AUTOMATIC LEAK ADJUSTMENT DOWNLOADING COMPLIANCE DATA STARTING TREATMENT STOPPING GETTING UP EELER CLEANING AND MAINTENANCE SERVICING 35 0508 SELF TESTING PLUS AND ELITE MODELS TROUBLESHOOTING 42 2 3 22 24 pao usss WARNINGS RELATED TO TREATMENT ACCESSORIES SPARE PARTS SPECIFICA MONS sitsit tata ae Ca ee dee ee een 11 12 13 14 15 15 15 16 16 17 18 18 19 21 23 CONTENTS WARNINGS AND CAUTIONS DEFINITIONS This manual contains special terms and icons that appear in the margins to draw the reader s attention to specific and important information WARNING Alerts the user to possible injury CAUTION Alerts the user to possible equipment problems NOTE An informative or helpful note e Please read this manual carefully before use INDICATIONS The SULLIVAN V nasal CPAP systems are for the treatment of Obstructive Sleep Apnea OSA in adults CONTRAINDICATIONS Nasal CPAP therapy should be used with caution in subjects with the following conditions Existing respiratory failure or insufficiency such as risk of increased work of breathing due either to incomplete reversal of upper airway obstruction or to breathing at high lung volume
5. SULLIVAN V LIGHTWEIGHT SULLIVAN V PLUS SULLIVAN V ELITE CLINICIAN S MANUAL Reorder No 21805 5 99 RESMED SULLIVAN V LIGHTWEIGHT SULLIVAN V PLUS SULLIVAN V ELITE 0120 CLINICIAN S MANUAL 7 Reorder No 21805 5 99 ResMed Corp 10121 Carroll Canyon Road San Diego CA 92131 1109 USA Tel 1 858 689 2400 or 1 800 424 0737 Fax 1 619 689 2412 ResMed Ltd 97 Waterloo Road North Ryde NSW 2113 Australia Tel 61 2 9886 5000 or 1 800 658 189 Fax 61 2 9887 4872 ResMed UK Limited 67B Milton Park Abingdon Oxon OX14 4RX UK Tel 44 1235 862 997 Fax 44 1235 831 336 ResMed Priess GmbH amp Co KG Karstrase 17A 4 8 Moenchengladbach Germany Tel 49 2161 837037 Fax 49 2161 837072 ResMed SA Parc de la Bandonni re 2 rue Maurice Audibert Saint Priest France Tel 33 0 437 251 251 Fax 33 0 437 251 260 ResMed Singapore Pte Ltd 150 Kampong Ampat 06 06 KA Centre Singapore 368324 Tel 65 284 7177 Fax 65 284 7787 Internet http www resmed com Email reception resmed com au Protected by EP DE FR GB 0088761 JP 1697822 US 4944310 US 5199424 US 5522382 SULLIVAN is a trademark of ResMed Ltd 1999 ResMed All rights reserved CONTENTS WARNINGS AND CAUTIONS THE SULLIVAN V SERIES E E E A Hb MT S EREPARING He RESETTING THE HOUR METER SETTING THE TREATMENT PRESSURE L
6. ask with the palm of your hand however be careful not to block the mask vent 4 Turn the flow generator off Hold down the 5 minute and 20 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the 5 minute and 20 minute buttons illuminate The motor will start running and will build up to the current Start pressure setting 5 Read the pressure on the manometer Adjust the Start pressure using the 5 minute decrease pressure and 10 minute increase pressure buttons until the manometer shows the desired Start pressure If you wish to set the Start pressure to 4 0 cm H5O ptess the Start button 6 Press the Stop button to revert to normal operating mode ELITE MODEL SETTING THE REAL TIME CLOCK ELITE MODEL he real time clock is used to determine compliance and must be set before the flow 3 generator is giv en to the patient To set the clock 1 Hold down the Start and 5 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Start and 5 minute buttons illuminate 2 The hour meter on the underside of the flow generator will display the currently set time Press the 5 minute button to change the hours and press the Start button to change the minutes 3 Press the Stop button to revert to normal operating mode or turn the power off 4 The clock battery has a 5 year life span If you are usin
7. ata that can be downloaded for review and print out Data may also be downloaded via modem Please refer to your compliance software manual for details STARTING TREATMENT 1 The flow generator should be assembled beside the patient s bed with the air tubing and mask system connected See Assembly on page 7 CAUTION e Have the patient lie down in bed and put the mask on Arrange the air tube so that it is free to move if they turn in their sleep this configuration is not possible with the Mirage mask Do not leave long lengths of air tubing around the top of the bed that could twist around the patient s head or neck while sleeping 3 Start the flow generator in one of three ways 18 START BUTTON DELAY TIMER OOO Press the Start button to start the air flow The air will begin flowing slowly and build up to full operating pressure in about 10 15 seconds If the patient has difficulty falling asleep with full pressure they can use the Delay timer The airflow will start very gently while they fall asleep and slowly increase to full operating pressure over a selected time period They can select a delay time of 5 10 or 20 minutes unless you have disabled some of the delay times Choose a delay time and press the corresponding button The air will start to flow automatically There is no need to push the Start button If you the patient has not yet fallen asleep after the delay period th
8. ct a self test to check whether the flow generator s software and hardware are running correctly 1 Hold down the Stop Start and 5 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Stop or Start buttons illuminate The flow generator is now in self testing mode The hour meter on the underside of the flow generator will show tESt 2 Oneata time press the Stop Start 5 minute 10 minute and 20 minute buttons Each time the corresponding button should illuminate 3 Press the 20 minute button again This will initiate three further tests The motor should start the lights on the pressure display should cycle upwards and the hour meter should show a repeating cycle 1111 2222 3333 4444 etc 4 Turn the flow generator off at the main power switch When next switched on the flow generator will revert to normal operating mode SERVICING 23 24 TROUBLESHOOTING Problem Flow generator does not start when you press the Start or Delay timer button and tbe buttons are not illuminated Possible cause Power cord is not connected properly Flow generator is not switched on Power outlet may be faulty Solution Check both ends of the power cord Switch on main switch at reat of unit Try another power outlet SmartStart is enabled Elite only but flow does not start when you begin breathing in the mask Power is not on Br
9. e real time clock and enable or disable SmartStart See Elite model on page 15 The UCU2 can be used to adjust the following settings IPAP pressure delay times available start pressure For further details please refer to the UCU2 Clinical Manual RESETTING THE HOUR METER NOTE NOTE The Plus and Elite and some Lightweight models are equipped with an hour meter The hour meter displays the total number of hours that the motor has been running and may therefore be taken as an indication of compliance The hour meter may be found on the underneath of the flow generator See Bottom View on page 6 The hour meter should be reset to zero when the flow generator is given to a patient You should reset the hour meter before setting the treatment pressure or start pressure To reset the hour meter 1 Hold down the Start 5 minute and 10 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Start 5 minute and 10 minute buttons illuminate 2 Press the Stop and 20 minute buttons together and release them The motor will start running Do not press the Start 5 minute or 10 minute buttons as this may interfere with the pressure calibration of the flow generator If one of these buttons has been pressed by mistake the pressure will need to be recalibrated See Calibration on page 19 3 Press the 20 minute button to reset the hour meter 4 Pre
10. eath is not deep enough to trigger SmartStart Excessive leak SmartStart not enabled Check both ends of the power cord are plugged in properly Check main switch at rear of unit ison Power outlet may be faulty Try another power outlet Take a deep breath in and out through the mask Adjust position of mask and headgear Plugs may be missing from ports on mask Replace them Air tube not connected properly Connect air tube firmly at both ends Air tube kinked or punctured Straighten or replace air tube Check with your clinician SmartStart is enabled but the flow generator does not stop automatically when you remove your mask Flow generator incorrectly calibrated SmartStart not enabled Incompatible humidifier or mask system being used Return to supplier for calibration Contact your clinician Use only equipment as recommended and supplied by ResMed ot have SmartStart disabled Problem Insufficient air flow delivered from the flow generator Possible cause Delay timer is in use Air filter strips are dirty Air tubing is kinked or punctured Air tubing is not connected properly Plugs missing from the mask ports Solution Wait for air pressure to build up gradually or press the Start button to start immediately Replace air filter strips Straighten or replace air tubing Check and tighten both ends of the air tubing Replace plugs Air leaki
11. ent pressure setting Read the pressure on the manometer Adjust the pressure using the 5 minute decrease pressure and 10 minute increase pressure buttons until the manometer shows the desired pressure If you wish to set the pressure to 10 cm H O press the Start button The hour meter on the underside of the flow generator will display the set pressure while in pressure setting mode However a manometer should be used when accurate pressure setting is required 6 Press the Stop button to revert to normal operating mode Remember to replace the plug in the access port of the mask Manometer Access port Figure 1 Setting the Treatment Pressure LIMITING THE DELAY TIMER The delay timer starts treatment very gently while the patient falls asleep and slowly increases to full operating pressure over a selected time period You can limit the delay times available to the patient The delay times are 0 none 5 minutes 10 minutes and 20 minutes 1 Hold down the 5 minute and 10 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Stop and Start buttons illuminate Some other buttons may also light up 2 The lit buttons indicate which delay times are available Press the 20 minute button to add delay times and the Start button to remove them 3 Press the St
12. ey may press one of the delay buttons again SMARTSTART ELITE ONLY A STOPPING O When SmartStart is enabled the flow generator will automatically start when the patient breathes into the mask and stop when they remove it If the patient wants to use the Delay timer they will need to press a delay button to start treatment However the flow generator will still stop automatically SmartStart can only be enabled by the clinician See Elite model on page 15 The patient may stop treatment at any time by pressing the Stop button If they have the Elite model and SmartStart is enabled they can simply remove their mask and treatment will stop automatically GETTING UP If the patient needs to get up during the night they must remove their mask and turn the flow generator off The patient should be reminded to replace their mask when they return to bed and turn the flow generator on again CALIBRATION NOTE The flow generator is factory calibrated before delivery and will not require periodic calibration for home use Howevet for clinical use such as titrations the calibration should be checked every month Some countries require all medical equipment to bave a periodic service and calibration Please check the regulations in your country QUICK CHECK To check the calibration of the flow generator 1 Set the treatment pressure to 16 cm H5O using the hour meter display on the bottom of the flow generator To do
13. g the flow generator to monitor patient compliance be sure to contact your supplier to have the battery replaced before the end of the battery life span SMARTSTART When SmartStart is enabled the flow generator will automatically start when the patient breathes into the mask and automatically stop when they remove the mask To enable SmartStart 1 Hold down the Start 5 minute and 20 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the pressure display lights come on 2 Press the Start button to enable disable SmartStart If the Start button is lit then SmartStart is enabled If the Start button is not lit then SmartStart is disabled 3 Ifthe patient is using a humidifier then the humidifier setting must be set to ON Press the 20 minute button to set the humidifier setting If the 20 minute button is lit then the humidifer setting is ON If the 20 minute button is not lit then the humidifer setting is OFF 4 Press the Stop button to revert to normal operating mode or turn the power off AUTOMATIC LEAK ADJUSTMENT 15 16 The Elite model uses a pressure sensor to accurately determine the treatment pressure at the patient s mask If a leak should occur the flow generator will increase the air flow slightly to maintain the treatment pressure at the set level DOWNLOADING COMPLIANCE DATA The Elite model records up to 200 nights of patient compliance d
14. les Core San Dogo USA na ResMed UK Lt Abingdon UK ResMed Asia Paci Ltd Sydney Australia ResMed Priess GmbH amp Ca KG Moenchengladbach Germany ResMed SA Lyon France ResMed Malaysia SDN BHO Kuala Lumpur Malaysia Lena GR yr 008755162 w s Protected by EP DE FR GB 0088761 JP 1657822 US 4044810 s 1 US 5199424 US5522382 SULLIVAN is a trademark ot ResMed Lid oF ested Cy Hour meter Plus and Elite only Carry handle Air outlet ASSEMBLY 1 Check that you have the following items ASSEMBLY e a SULLIVAN V flow generator unit a power cord alength of air tubing an air tubing connector a mask system supplied separately 2 CAUTION NOTE e Place the flow generator on a table near the head of the bed Be careful to place it where it cannot be bumped and where someone will not trip over the power cord The flow generator may be placed on the floor beside or underneath the patients bed However you Should ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet 3 Plug the power cord into the power socket at the rear of the flow generator Assemble the mask system according to the user instructions supplied with the mask system Connect the air tubing connector to the air outlet of the flow generato
15. ng around nose and eyes Nasal cushion not fitted properly onto mask frame Mask and headgear straps not positioned correctly Plugs missing from mask ports Nasal cushion is torn or distorted Fit cushion properly Adjust position of mask and headgear Note tighter is not always better Replace plugs Replace cushion Stop button flasbing constantly wben flow generator turned on Flow generator fault Return to supplier for service TROUBLESHOOTING 25 WARNINGS RELATED TO TREATMENT WARNING A number of possible problems may arise during the course of CPAP treatment The following Warning is printed in the User s Manual If you experience any of the following symptoms during your CPAP treatment consult your clinician immediately Headache Middle ear or sinus discomfort Chest pain Drtryness of the nose mouth or throat The use of a humidifier may help Your clinician or equipment supplier can advise you on the range of humidifiers available Feeling slightly bloated This is usually the result of swallowing air while you are awake Using the delay timer may help but consult your clinician if the symptoms petsist Air continually leaking out of the mouth while sleeping Recurrence of any sleep apnea symptoms while on CPAP Do not stop your CPAP treatment without the approval of your clinician Always consult your clinician if you expect to be in a situation where
16. nnector 1111 REAR VIEW Air inlet and filter Power plug THE SULLIVAN V SERIES BOTTOM VIEW Foam pad Do not disassemble risk of electrical shock Refer servicing to qualified personnel DANGER Do not operate near anesthetics Read Operating Manual before using Gefahr eines elektrischen Schocks Ger t nicht auseinandemehmen Wartung nur durch qualifiziertes Personal GEFAHR Nicht in der N he von Betaubungsmittein benutzen Benutzung nur auf Verschreibung eines Arztes Ne pas d monter risque d lectrocution S adresser un personnel technique qualifi pour le service DANGER Ne pas faire fonctionner en pr senced anesth sique Lire le manuel d utilisation avant emploi No desmontar Riesgo de descargas el ctricas Solicitar el mantenimiento al personal t cnico cualificado PELIGRO No manipular en presencia de anest sicos Leer el manual de instrucciones antes de utilizar d equipo Non smontare rischio di scossa elettrica Indirizzarsi a personale tecnico qualificato per la manutenzione PERICOLO Non usare in presenza di anestetico Leggere il manuale d istruzioni attentamente prima deluso P P Pb P A amer risk f r est Reparation endast av kvalificerad person FARA Anv nd inte n ra bed vningsmedel Las bruksanvisningen f re anv ndandet SULLIVAN Nasal CPAP Systems 1 10 240V 50 60 Hz 120 VA Made by Rese Lid Sino Anda Rea
17. op button to revert to normal operating mode NOTE Pressing a delay button which has been disabled will activate the next enabled delay For example if the 20 minute delay has been disabled pressing tbe 20 minute delay button will activate the 10 minute delay If all the time delays have been disabled pressing any of the delay buttons will select Start SETTING THE START PRESSURE PREPARING FOR USE 13 14 The Start pressure is the pressure at which the flow generator starts when the delay timer is used To set the Start pressure you will need a reference manometer with a range of 0 22 cm H O in intervals of 0 1 cm fitted with a sensor tube 3 or 2 5 mm internal diameter and a standard Luer taper fitting 1 Assemble the flow generator as the patient would normally use it complete with mask and air tubing and connect all accessories e g humidifier filters O etc that are normally used 2 Turn on the flow generator to allow the pressure transducer to warm up The motor does not need to be running if it does start running press the Stop button to stop the flow Let the flow generator warm up for 15 minutes 3 Remove the plug from one of the access ports on the mask and insert the Luer taper end of the sensor tube The other end of the sensor tube should be fitted to the manometer If you have a blind bubble attach it to the mask If you do not or are using the Mirage Mask you will need to block the opening of the m
18. r Connect one end of the air tubing firmly onto the connector and the other end to the mask system Air tubing connector NOTE e IMPORTANT LI Li LULI L Litt L If the patient is using an axial swivel connector supplied with the modular Mask Frame Kit or available separately connect this too For further information please refer to the user instructions supplied with the axial swivel If you are connecting a humidifier please refer to the instructions supplied with the humidifier The Elite model will need to be set to Humidifier ON See Elite model on page 15 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 the flow generator A different type of mask or tubing may alter the pressure the patient receives therefore reducing the effectiveness of the treatment Turn on the power at the outlet and turn the flow generator switch to ON The flow generator is now assembled To start treatment see Preparing for use on page 11 PREPARING FOR USE NOTE Before the flow generator may be used by the patient there are a number of settings that need to be made by the clinician Reset the hour meter Set the treatment pressure Limit the delay times available Set the start pressure On the Elite model you must also set th
19. ss the Stop button to revert to normal operating mode or turn the flow generator off PREPARING FOR USE 11 12 SETTING THE TREATMENT PRESSURE NOTE To set the treatment pressure you will need a reference manometer with a range of 0 22 cm H O in intervals of 0 1 cm fitted with a sensor tube 3 or 2 5 mm internal diameter and a standard Luer taper fitting 1 Assemble the flow generator as the patient would normally use it complete with mask and air tubing and connect all accessories e g humidifier filters O etc that are normally used Turn on the flow generator to allow the pressure transducer to warm up The motor does not need to be running if it does start running press the Stop button to stop the flow Let the flow generator warm up for 15 minutes Remove the plug from one of the access ports on the mask and insert the Luer taper end of the sensor tube The other end of the sensor tube should be fitted to the manometer If you have a blind bubble attach it to the mask If you do not or are using the Mirage Mask you will need to block the opening of the mask with the palm of your hand however be careful not to block the mask vent Turn the flow generator off Hold down the Start and 20 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Start and 20 minute buttons illuminate The motor will start running and will build up to the curr
20. th and mild detergent WARNINGS Beware of electrocution Do not immerse the flow generator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before plugging it back in The mask and air tube are subject to normal wear and tear Inspect them regularly for damage REPLACING THE AIR FILTER STRIPS The air filter strips should be replaced approximately every 6 months or more often if they become noticeably dirty To remove the air filters slide out the air filter covet Instructions on replacing the air filter strip are supplied with the new filters WARNING Do NOT wash the air filter strips The air filter strips are not washable CLEANING AND MAINTENANCE 21 SERVICING CAUTION All SULLIVAN V Series flow generators are designed to give years of trouble free operation They will not require regular servicing provided that they are cleaned and maintained according to the instructions in this manual If you feel that your unit is not performing properly see Self testing Plus and Elite models below and Troubleshooting on page 24 If it is still not working properly consult your equipment supplier or take it to an authorized service agent Inspection and repair should only be performed by an authorized service agent Under no circumstances should you attempt to service or repair the unit yourself SELF TESTING PLUS AND ELITE MODELS You may condu
21. the device enclosure and create a tisk of fire Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame NOTE 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 THE SULLIVAN V SERIES LIGHTWEIGHT PLUS ELITE The SULLIVAN V Lightweight is the standard model of the series It is equipped with a delay timer and international power supply Stop Start 20 Min u 004 eight o Lightwed R210 349 2 K8 ResMeD The SULLIVAN V Plus has all the features of the Lightweight and in addition has a carry bag pressure display on the front panel and an hour meter on the underside Stop Start 20 Min SULLIVAN V gt 8008 z RESMED V R210 344 2 K8 The SULLIVAN V Hlite has all the features of the other models and in addition has pressure feedback compliance data recording and SmartStart SULLIVAN Stop Start 20 Min m O 6000 REsMED THE FLOW GENERATOR Please take some time to become familiar with the features of the SULLIVAN V flow generator For details on the range of accessories available see Accessories Spare parts on page 29 FRONT VIEW Flow generator Mirage mask Control panel Air outlet with air tubing co
22. this see Setting the treatment pressure on page 12 2 Measure the pressure at the mask using an accurate manometer If the delivered pressure differs more than 0 5 cm H O from 16 cm H5O then the calibration will need adjusting ADJUSTING THE CALIBRATION To calibrate the flow generator you will need a reference manometer with a range of 0 22 cm H O in intervals of 0 1 cm fitted with a sensor tube 3 or 2 5 mm internal diameter and a standard Luer taper fitting 1 Assemble the flow generator as the patient would normally use it and connect all accessories e g humidifier filters O5 etc that are normally used 2 Turn on the flow generator to allow the pressure transducer to warm up The motor does not need to be running if it does start running press the Stop button to stop the flow Let the flow generator warm up for 15 minutes 3 Remove the plug from one of the access ports on the mask and insert the Luer taper end of the sensor tube The other end of the sensor tube should be fitted to the manometet 4 Turn the flow generator off Hold down the Start 5 minute and 10 minute buttons while you turn on the main power switch at the rear of the flow generator Keep the buttons pressed until the Start 5 minute and 10 minute buttons illuminate 5 If you have a blind bubble attach it to the mask If you do not or are using the Mirage mask block the opening of the mask with the palm of your hand however be careful not to
23. ure may not be advisable if the unit is stopped inadvertently by this feature due to a leak for example the patient may not have strong enough breathing to restart the unit THIS IS NOT A LIFE SUPPORT DEVICE It may stop operating with a power interruption or if a fault occurs in the product Explosion Hazard Do not use in the vicinity of flammable anesthetics The SULLIVAN V nasal CPAP systems must only be used with a suitable mask system as supplied by ResMed ResMed mask systems have a number of special features which are not common to other CPAP mask systems A nasal mask should not be worn unless the machine is turned on and operating properly The vent holes associated with the mask should never be blocked Atlow pressures the flow through the exhalation ports may be inadequate to clear all exhaled gas from the tubing Some rebreathing may occut The air flow temperature for breathing produced by this device can be as much as 6 C 11 F higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 32 C 90 F Do not open the flow generator case or attempt to adjust the unit OXYGEN USE WARNINGS If oxygen is used with this device the oxygen flow must be turned off when the device is not operating Explanation When the device is not in operation and the oxygen flow is left on oxygen delivered into the air delivery tubing may accumulate within
24. you cannot use your CPAP for more than a few days If you are admitted to hospital or prescribed any other form of medical treatment always inform the medical staff that you are being treated with nasal CPAP It is also important to contact the clinician who is treating you for sleep apnea If you experience an infection of the upper respiratory tract middle ear or sinus contact your clinician before continuing your CPAP 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 Skin irritation may occur from sensitivity to the materials 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 clinician for advice WARNINGS RELATED TO TREATMENT 2 ACCESSORIES SPARE PARTS HumidAireTM heated humidifier HCH Humidification Insert Modular mask only ResMed Passover humidifier Chin strap Replacement air filter strips Air tube 2m 6 6 Carry bag Power cord Axial swivel Air tubing connector z Mirage Mask ACCESSORIES SPARE PARTS SPECIFICATIONS SULLIVAN V CPAP FLOW GENERATORS PERFORMANCE Operating pressure range 4 20 cm H5O DIMENSIONS H x W x D WEIGHT NOTE 105 mm x 240 mm x 280 mm 4 1 in x 9 4 in x 11 0 in Elite 2 0
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