BiPAP Pro User Manual - Sleep Restfully, Inc.
Contents
1. Contact your home care provider to order all accessories or replacement filters e g humidifier mask The BiPAP Pro does not require routine servicing If you notice any unexplained changes in the performance of this device if it is making unusual or harsh sounds if it has been dropped or mishandled if the enclosure is broken or if water has entered the unit discontinue use Contact your home care provider If the BiPAP Pro malfunctions contact your home care provider immediately Never attempt to open the BiPAP Pro s enclosure Only Respironics authorized service personnel may perform repairs and adjustments Unauthorized service could cause injury could invalidate the warranty or could result in costly damage Total Operation Time ROUTINE MAINTENANCE To display MEO op ra tion time press the dI SUSE Off button below Usage The usage hours will Usage Menu appear for 10 seconds The BiPAP Pro will A then return to the main screen Total Operation Time Display M 100 T 12345 6 Exit B 23456 7 M The amount of memory space available The BiPAP Pro records patient usage information e g a history of pressure settings number of times the system was used for therapy Some physicians and home care providers record this information When M 000 appears contact your home care provider if he she has asked you to monitor the BiPAP Pro s memory level When M appears then the SmartCar2. Atmospheric Pressure 82 8 to 102 kPascals 50 to 102 kPascals This device is designed to conform to the following standards IEC 60601 1 Medical Electrical Equipment General Requirements for Safety IEC 60601 1 2 Electromagnetic Compatibility US Deviations UL 2601 1 1997 Canada Deviations CAN CSAC22 2 No 601 1 M90 The electrical installation of the room must comply with local requirements 100 to 240 VAC 50 60 Hz 1 0 A max 12 VDC 4 0 A max Type of protection against electric shock Class II Equipment Degree of protection against electric shock Type BF Applied Part Degree of protection against ingress of water Ordinary Equipment IPX0 Mode of Operation Continuous Pressure Range 3 to 20 cm H O in 1 cm H O increments 29 SYMBOLS Symbol Key QD Pressure ON OFF e Ramp DC Power Type BF Applied Part n Class Il Double Insulated IPXO Ordinary Equipment A Attention consult accompanying documents CC European CE Marking 0123 30 LIMITED WARRANTY Respironics Inc warrants that the BiPAP Pro device shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of two 2 years from the date of sale by Respironics Inc to the dealer If the product fails to perform in accordance with the product specifications Respironics Inc will repair or replace at its option the defective material or part Respironics Inc will pay c
3. Several accessories are available to make your OSA treatment with the BiPAP Pro system as convenient and comfortable as possible Contact your home care provider to purchase any accessories not included with the BiPAP Pro system Read and understand the entire user s manual before operating this System If you have any questions concerning the use of this system contact your home care provider or health care professional Studies have shown that the following pre existing conditions may contraindicate the use of positive airway pressure therapy for some patients Bullous Lung Disease Pathologically Low Blood Pressure Pneumothorax Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway Pressure Caution should be used when prescribing CPAP for susceptible patients such as those with cerebral spinal fluid CSF leaks abnormalities of the cribriform plate prior history of head trauma and or pneumocephalus Chest 1989 96 1425 1426 The use of positive airway pressure therapy may be temporarily contraindicated if you exhibit signs of a sinus or middle ear infection This device is not for use with patients whose upper airways are bypassed Contact your health care professional if you have any questions concerning your therapy CAUTION WARNING Indicates the possibility for injury to the user or the operator CAUTION Indicates the possibility of damage to the device WARNINGS
4. 2 Connect the power cord Plug the socket end of the power cord into the AC inlet on the back of the BiPAP Pro Plug the pronged end of the power cord into an electrical outlet An international plug adapter may also be required to make your power cord compatible with the electrical outlet of the country you are in If further assistance is required contact Respironics International Customer Service at 1 724 387 4000 or US Customer Service at 1 800 345 6443 Inspect the power cord often for any signs of damage Replace a damaged cord immediately The BiPAP Pro is activated when the power cord is connected The Pressure On Off button only turns the blower on off FIRST TIME SETUP After the BiPAP Pro is plugged in it will perform a brief self diagnostic test The following message will then appear on the display screen Respironics 2001 IMPORTANT DO NOT use the BiPAP Pro if the display is erratic Contact your home care provider for further instructions IMPORTANT DO NOT turn the airflow on until the circuit tubing is connected Device Settings 3 Follow the display screens to change the system settings IMPORTANT Make sure the airflow is turned OFF You cannot change any settings while the BiPAP Pro s airflow is turned ON a The blower status will be displayed and the green signal light will be on Press the button below Menu Blower Off Usage Menu Ee b A message will display aski
5. amp CAUTIONS US federal law restricts this device to sale by or on the order of a physician The instructions in this manual are not intended to supersede established medical protocols This device is intended for adult use only This device is not intended for life support All CPAP and bi level devices have the potential to allow rebreathing of exhaled air To reduce this potential observe the following Use only Respironics circuit accessories Do not wear the mask and headgear for more than a few minutes while the device is not operating Do not block or try to seal the vent holes in the exhalation port As with most CPAP and bi level devices At low CPAP pressures some exhaled gas CO may remain in the mask and be rebreathed Do not use this device if the room temperature is warmer than 95 F 35 C If this device is used at room temperatures warmer than 95 F 35 C the temperature of the airflow may exceed 106 F 41 C This could cause irritation to your airway This equipment is not suitable for use in the presence of a flammable anesthetic mixture in combination with oxygen or air or in the presence of nitrous oxide N O To avoid electrical shock disconnect the power cord before cleaning DO NOT immerse the BiPAP Pro in any fluids Contact your doctor if symptoms of sleep apnea recur f you notice any unexplained changes in the performance of this device if it makes unusual or ha
6. provider for further instructions 13 FIRST TIME SETUP IMPORTANT If your health care professional or home care provider instructs you to complete the questionnaire he will provide you with the instructions and the questions and you will enter your answers into the BiPAP Pro Make sure the SmartCard is installed before answering the questions A message will display asking if you want to take the FOSQ test If you want to take the FOSQ Test test Press the button below Yes GE NOTE This screen will not display if the CR SmartCard is not installed If you do not want to take the test press the button below No and the display will go back to the main screen SmartCard A SmartCard is installed in the side of the BiPAP Pro to record information for the home care provider Your home care provider may ask you to periodically remove the SmartCard and send it to him or her for evaluation The arrow in the upper right corner of the display screen signifies that the SmartCard is installed properly Blower Off gt Usage Menu 14 Assembling the Circuit WARNING WARNING FIRST TIME SETUP 4 Assemble the circuit You will need the following accessories in order to assemble the recommended circuit Respironics Flexible Tubing 6 ft 1 83 m x 22 mm I D Respironics Nasal Mask With Exhalation Port Respironics Headgear Do not connect any equipment to the BiPAP Pr
7. any button on the BiPAP Pro to silence the alert tone and clear the display screen Check the circuit flexible tubing mask for any leaks and adjust the mask and headgear Press the Pressure On Off button to restart the airflow IMPORTANT The audible mask alert setting can be turned on or off See the First Time Use section for instructions 21 ROUTINE USE 2 System Error The BiPAP Pro is not functioning correctly and may need servicing What will happen The airflow will turn off immediately The alert tone will sound The signal light will flash on and off What to do Reset the BiPAP Pro by unplugging the power cord from the electrical outlet and then plugging it in again f the message appears again contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the serial number of the BiPAP Pro and the error code ready when you call IMPORTANT This alert setting cannot be turned on or off 3 Remote Connected This message will appear during clinical use only 4 Remove Card The Encore SmartCard has been inserted improperly What to do Remove the SmartCard Reinsert the SmartCard making sure that the printed side of the card is facing up and the end with the arrow goes into the device first If the message appears again remove the card and contact your home care provider to have the SmartCard replaced You can con
8. 1 Remove the filter cap by gently pressing down on the two latches on the top of the filter cap 2 Change the filter a Remove the pollen filter by gently pulling around the edges of the filter Rinse the filter in a steady stream of running water Squeeze out the water and repeat Air dry on a rack for 8 to 12 hours or in a clothes dryer for 15 to 20 minutes b Insert the filter into the filter area on the back of the BiPAP Pro Never install a wet filter into the BiPAP Pro We recommend that you clean the filter in the morning and alternate using the two pollen filters provided with the system to ensure enough drying time for the cleaned filter 3 Replace the filter cap 23 ROUTINE MAINTENANCE Cleaning the System WARNING Reordering Service CAUTION WARNING 24 To avoid electrical shock unplug the BiPAP Pro before cleaning DO NOT immerse the BiPAP Pro into any fluids 1 Disconnect the flexible tubing from the BiPAP Pro Gently wash the flexible tubing daily in a solution of warm water and a mild detergent Rinse thoroughly Air dry 2 Wipe the outside of the BiPAP Pro with a cloth slightly dampened with water and mild detergent Let the BiPAP Pro dry before plugging in the power cord 3 Inspect the BiPAP Pro and all circuit parts for any damage after cleaning Replace any damaged parts 4 For details on cleaning your mask and accessories refer to the instructions packaged with the accessories
9. 5 seconds after you remove the mask Or If your home care provider has not selected the Auto Off feature for you immediately turn the airflow OFF by pressing the Pressure On Off button on the top of the BiPAP Pro If the audible mask alert is turned on the alert tone will sound in less than 45 seconds after you remove the mask IMPORTANT The Auto Off feature may have been disabled by your home care provider Press the Pressure On Off button on the top of the BiPAP Pro to turn the airflow OFF 20 ROUTINE USE Helpful Hints If the alert tone sounds press any button on the BiPAP Pro to silence the alert tone Refer to the Screen Displays section of the manual for further instructions f you want to talk after putting on the mask and ramp has been prescribed for you use the Ramp button to reduce the pressure This will make talking easier Make sure that bedding curtains or other items are not blocking the filter or vents of the BiPAP Pro Air must flow freely around the BiPAP Pro for the system to work properly Screen During use any of the following displays may appear on the screen Displays 1 Mask Alert A large circuit leak such as mask removal has been detected What will happen The alert tone will sound in less than 45 seconds if the mask alert feature has been turned on The airflow will turn off in less than 1 minute if the Auto Off feature has been turned on What to do Press
10. P Pro serviced Please have the BiPAP Pro s serial number ready when you call Discontinue use Contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the BiPAP Pro s serial number ready when you call Discontinue use Contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the BiPAP Pro s serial number ready when you call Make sure that the BiPAP Pro is plugged into a working outlet If you are using a DC battery the battery may need to be recharged or replaced or the fuses may need to be replaced Contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the BiPAP Pro s serial number ready when you call The BiPAP Pro is tested at the factory prior to shipment It may be possible for several hours of testing time to be recorded on the BiPAP Pro Press any button on the BiPAP Pro to silence the alert tone and clear the display screen The system has detected a large leak in the circuit or you have taken the mask off without turning the airflow off Check the circuit connections for leaks 27 TROUBLESHOOTING 28 Problem The Mask Alert is not working Pressing the Ramp button does not reduce the air pressure The airflow will not automatically turn ON or OFF The memory display reads M 000 The memory display reads M The memory disp
11. RESPIRONICS ww respironics com BiPAP Pro Bi level System With Bi Flex RESPIRONICS INC RESPIRONICS User Manual 1001 Murry Ridge Lane Deutschland Murrysville Pennsylvania G 17 15668 8550 USA 82211 Herrsching Germany SS LG 6 21 01 TABLE OF CONTENTS Unpacking the System eere 3 Introduction riale 4 Warnings amp Cautions eee 5 System Features lcd dits eue 6 First Time Setup notice o ete eda concerto eae Rein nes 8 Installing EE 9 Power Cord roe e RN ME cH ete pedes 9 Device ln Te EE 10 Comfort Gontrol eror eb ESA A 11 Bi Flex Level Settingiano 12 Ramp Pressure c ca 12 Setting the Alert Tone i 13 FOSQ T6SLD oui radstea edt a IE Oeo E ha 13 Sitat e ME 14 Assembling the Circuit ii 15 Accessories iii ea 17 Adding a Humidifier EE 17 Using DC Powers 17 POCING ORY QIN eme ccna ada oes best Acasa nadia ete cad 18 le ae be 18 Using an Ultra fine Filter esses 18 ROUTING USC oiii tones arse dp decane 19 Connecting the Circuit EEN 19 Adjusting ihe CUCU uadit decus quce duae Stet e 19 Starting ED 20 Turning the System Off EE 20 Helpful Hints EE 21 Soreern DISDIAVS E 21 Traveling With the System eese 23 PACKING the SyStelri uio orent der ti i tee lh 23 SE HEINEN eege 23 Routine Maintenance sccccceesssseeeseceeeeens
12. ames any oily substances or other sources of ignition DO NOT smoke in the area near the BiPAP Pro or the oxygen The carrying case holds the BiPAP Pro and accessories When traveling by airplane the carrying case is for carry on luggage only Never check the BiPAP Pro through the baggage department You can use an optional ultra fine filter in addition to the pollen filter for more complete filtration of very fine particles The ultra fine filter is most beneficial to those who are sensitive to tobacco smoke or to other substances with small particles Connecting the Circuit IMPORTANT Adjusting the Circuit ROUTINE USE 1 Connect the circuit Before each use examine the flexible tubing for any damage or debris Replace any damaged tubing a Connect the mask to the headgear following the instructions included with the mask and headgear b If your home care provider has selected the Auto On feature for you put on the mask and headgear and breathe normally through your nose The airflow should automatically turn ON when you begin breathing through the circuit If the airflow does not turn on within four breaths turn it ON by pressing the Pressure On Off button on the top of the BiPAP Pro When operating the System with some mask types some circuit configurations or at higher altitudes the airflow may NOT automatically turn on Or If your home care provider has not selected the Auto On feature
13. are provider or Respironics for directions on having the BiPAP Pro serviced Please have the serial number of the BiPAP Pro ready when you call Problem The System Error message appears on the display screen The Remove Card message appears on the display screen Device Size Product Use Transport and Storage Standards Compliance Power Requirements TROUBLESHOOTING SPECIFICATIONS Solution s The BiPAP Pro may not be operating correctly Reset the BiPAP Pro by unplugging the power cord from the electrical outlet and then plugging it in again If the message appears again contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Have the serial number of the BiPAP Pro and the error code ready when you call The SmartCard has been inserted improperly Remove the SmartCard Reinsert the SmartCard making sure that the printed side of the card is facing up and the end with the arrow goes into the device first If the message appears again contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Have the serial number of the BiPAP Pro and the error code ready when you call Dimensions 11 42 x 7 09 x 5 51 29x 18 x 14cm Weight 5 8 lbs 2 6 kg Operation Transport amp Storage Temperature 41 to 95 F 5 to 35 C 4 to 140 F 20 to 60 C Humidity 15 to 9596 Relative 15 to 9596 non condensing non condensing
14. d is not installed in your BiPAP Pro T The therapy hours are the total number of hours that the BIPAP Pro has operated with the airflow turned on Like a trip meter in a car the therapy hours can be reset to zero by the home care provider B The total blower time is the total number of hours that the BIPAP Pro has been in use This total includes factory testing time Exit Returns the display to the main screen 25 TROUBLESHOOTING 26 The table below lists common problems you may have with the BiPAP Pro system and possible solutions to those problems If none of the corrective actions solve the problem contact your home care provider Problem Sore or dry eyes Redness on your face where the mask contacts your skin Dryness or burning sensation in your throat or nose Nasal sinus or ear pain The pressure being delivered feels different The airflow from the BiPAP Pro seems warm Solution s Readjust the headgear Contact your home care provider to be fitted for a different mask style or size Loosen the headgear Check the mask s spacer to see that it is in good condition Use a barrier between your skin and the mask such as 3M s Microfoam tape Squibb s Duoderm tape or Hollister s Restore tape Contact your home care provider to be fitted for a different mask style or size Contact your health care professional if the problem persists Consult with your health care professional o
15. for you put on the mask and headgear and immediately turn the airflow ON by pressing the Pressure On Off button on the top of the BiPAP Pro Breathe normally through your nose DO Pressure On Off Button 2 Adjust the circuit a Lie down on your bed and adjust the flexible tubing so it is free to move if you turn in your sleep b Adjust the mask and headgear until you have a comfortable fit and there are no airflow leaks into your eyes 19 ROUTINE USE When the airflow is on the green signal light will go out The word Menu will no longer be displayed and the pressure setting will be shown Starting The Ramp feature will reduce the pressure and then gradually Ramp increase ramp the pressure to the therapeutic pressure setting so that you can fall asleep more comfortably If your health care professional prescribed ramp for you pressing the Ramp button will reduce the air pressure when you are trying to fall asleep NOTE The ramp feature is not prescribed for all users 3 Press the Ramp button on the S top of the BiPAP Pro You can use the Ramp button as A A often as you wish during the I Ramp night e Button Tu rning the 4 Remove the mask and headgear System OFF If your home care provider has selected the Auto Off feature for you the airflow will automatically turn off in less than 1 minute If the audible mask alert is turned on the alert tone will sound in less than 4
16. ir openings on the exhalation port WARNING If you are using a full face mask i e a mask covering both your mouth and your nose the mask must be equipped with a safety entrainment valve 16 IMPORTANT Adding a Humidifier CAUTION CAUTION IMPORTANT Using a DC Power System CAUTION CAUTION ACCESSORIES Contact your home care provider for additional information on the optional accessories When using optional accessories always follow the instructions enclosed with the accessories Humidifiers are available from your home care provider The humidifiers may reduce nasal dryness and irritation by adding moisture to the airflow For safe operation the humidifier must always be positioned below the circuit connection at the mask and the air outlet on the BiPAP Pro device The humidifier must be level for proper operation Condensation may damage the BiPAP Pro Always allow the unit to reach room temperature before use Mask Alert Auto On and Auto Off are convenience features that may not work at extreme altitude levels or with some mask types or circuit configurations e g pass over humidifier full face mask If this occurs press the Pressure On Off button on the BiPAP Pro to turn the airflow on or off This will not adversely affect the therapy you receive from the system You can also use the BiPAP Pro in a stationary recreational vehicle boat or motor home with a 12 volt DC powe
17. lay reads M Solution s Auto On Auto Off and Mask Alert are convenience features that may not work with some mask types circuit configurations or at extreme altitudes This will not adversely affect the therapy received from the System In the settings menu make sure the display reads Mask Alert On Contact your home care provider Ramp may not have been prescribed for you Make sure the ramp pressure setting is lower than your EPAP pressure setting Auto On Auto Off and Mask Alert are convenience features that may not work with some mask types or circuit configurations or at extreme altitudes This will not adversely affect the therapy received from the System The Auto On and Auto Off settings may have been disabled by your home care provider The BiPAP Pro records patient usage information e g a history of pressure settings times the system was used for therapy Some physicians and home care providers record this information to assist in your bi level treatment When 000 is displayed contact your home care provider if he she has asked you to monitor the memory level Information will still be recorded once 000 is displayed The SmartCard is not installed in the side of the BiPAP Pro Your home care provider or health care professional may have decided that recording the BiPAP Pro s usage is not important for your therapy The BiPAP Pro may not be operating correctly Contact your home c
18. nd pollens The filter cap covers the filter which must be in place at all times when the BiPAP Pro is operating For convenience at airport security stations a note on the bottom of the BiPAP Pro states that it is medical equipment Taking this manual with you when you travel also may help you at security checkpoints This button turns the airflow on or off This button decreases the pressure to the minimum ramp pressure setting The green light signals when the BiPAP Pro is ready for use The light will go out when the airflow is turned on A flashing light signals that the BiPAP Pro needs to be serviced The SmartCard records device usage information e g a history of pressure settings and times the system was used for therapy Contact your home care provider for further information about the SmartCard These buttons can be used to change some of the System settings and to answer the FOSQ Quality of Life test FIRST TIME SETUP WARNING WARNING WARNING CAUTION CAUTION ATTENTION DO NOT use the BiPAP Pro Bi level system until an appropriate professional adjusts the settings Note to home care provider Before beginning setup be sure that you have available the BiPAP Pro Home Care Provider Setup Instructions It contains instructions for setting up the BiPAP Pro DO NOT connect any equipment to the BiPAP Pro unless recommended by Respironics or your health care professional Respironics circ
19. ng if you want to change the settings Press the button below Yes Change Settings Yes No If you press No go to page 13 for instructions 10 FIRST TIME SETUP When you choose Yes at the Change Settings screen either the Comfort Control or Bi Flex level setting will appear The display at this screen is set by your home care provider If Comfort Control appears follow the instructions in step c Comfort 1 Yes Comfort Control c Comfort Control establishes the time that the BiPAP Pro takes to change from EPAP to IPAP when you begin inhaling A Comfort Control setting of Off will result in the fastest transition from EPAP to IPAP Settings of 1 2 or 3 will progressively result in a longer transition to IPAP You can adjust this setting for your comfort To adjust the Comfort control press the front panel button that appears under 1 at the Comfort Control screen When the desired setting appears next to Comfort press the front panel button that appears under Yes at the Comfort Control screen 11 FIRST TIME SETUP 12 The Bi Flex d The Bi Flex level setting screen displays the Bi Flex level Level Setting prescribed by your home care provider This setting establishes a level of pressure relief that takes place at the end of inhalation and at the start of exhalation Settings of 1 2 or 3 will progressively provide increased press
20. o unless recommended by Respironics or the health care professional If circuit accessories other than those recommended by Respironics are connected to the BiPAP Pro then pressures must be verified Use of these accessories may alter the pressure received reducing the effectiveness of treatment If the BiPAP Pro is used for multiple persons e g rental devices a low resistance main flow bacteria filter should be installed in line between the BiPAP Pro and the circuit tubing Appropriate diagnostic pressures must be determined when a bacteria filter is in place a Connect the flexible tubing to the air outlet on the front of the BiPAP Pro Flexible Tubing 15 FIRST TIME SETUP C Integrated ayy Exhalati b If you are using a mask with a built in Deuce iis exhalation port Connect the mask s connector to the flexible tubing E Mask s Connector Flexible Tubing Connector If you are using a mask with a separate exhalation port Connect the exhalation port to the end of the flexible tubing Ania ii onnector Position the exhalation port so that the vented air po Whisper is blowing away from your face Connect the Swivel Il mask s connector to the exhalation port ETN vent Holes LL Flexible Tubing WARNING The exhalation port is designed to exhaust CO from the circuit Con tinuous flow is required for safe operation Do not block or otherwise try to seal the a
21. of Purchase or Rental Pressure Settings IPAP cm H O EPAP cm HO Mask Type Mask Size Comfort Flap Nasal Mask Accessory yes no If you have any questions concerning the system contact Home Care Company Telephone Number Doctor Telephone Number Respironics Inc 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA Customer Service Telephone Number 1 724 387 4000 International Customer Service or 1 800 345 6443 US Customer Service Respironics Deutschland Gewerbestrasse 17 82211 Herrsching Germany
22. p P Yes Minimum Ram Pressure OcmH 0 le Ramp Time _ dl Minutes Turning the Alert Tone On or Off IMPORTANT FOSQ Test FIRST TIME SETUP f The audible mask alert is a beeping sound that the BiPAP Pro makes when a large continuous air leak has been detected in the circuit You have the option of turning the alert tone On or Off If the setting is correct press the button below Yes To change the setting press the button below No Press the button below Yes to confirm the setting Mask Alert On Yes No The Mask Alert is a convenience feature that may not work at extreme altitudes or with some mask types or circuit configurations e g pass over humidifier full face mask This will not adversely affect the therapy you receive from the system When Change Settings is displayed if you press the button below No a screen will appear that says FOSQ Test Change Settings Yes No The FOSQ test is a quality of life questionnaire designed specifically for people with sleep disorders The results allow health care professionals to see how therapy has improved the quality of your life By completing the questionnaire periodically you can provide valuable information about the effectiveness of your treatment The BiPAP Pro has the ability to record your answers on the SmartCard for later review by the health care professional Contact your home care
23. r home care provider about using a humidifier with the BiPAP Pro If you are using a nasal mask you may want to also use a chin strap to help keep your mouth closed during the night You may have a sinus infection or middle ear infection Stop using the BiPAP Pro and contact your health care profes sional Contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the BiPAP Pro s serial number ready when you call Replace or clean the filter Make sure the BiPAP Pro is away from bedding or curtains that could block the flow of air around the BiPAP Pro Make sure the BiPAP Pro is away from heating equipment e g forced air vents radiators Problem The noise level of the BiPAP Pro has changed to include unusual or harsh sounds during operation The BiPAP Pro has been dropped or mishandled The enclosure of the BiPAP Pro is broken Water has entered the BiPAP Pro The BiPAP Pro will not turn on The BiPAP Pro has hours recorded on the time meter when it is delivered The Mask Alert message appears on the display screen and the alert tone is sounding TROUBLESHOOTING Solution s Discontinue use Contact your home care provider or Respironics for directions on having the BiPAP Pro serviced Please have the BiPAP Pro s serial number ready when you call Discontinue use Contact your home care provider or Respironics for directions on having the BiPA
24. r source The BiPAP Pro should not be operated while the vehicle is in motion Contact your home care provider for additional information Use only the Respironics DC Power System available from your home care provider Use of any other system may cause damage to the BiPAP Pro or your vehicle DC Power is not intended to be used as battery back up DO NOT connect the DC Power System while the BiPAP Pro is operating on AC power System damage may occur 17 ACCESSORIES Adding Oxygen to the System WARNING WARNING WARNING WARNING WARNING Carrying Case Using an Ultra fine Filter 18 Please note the warnings listed below when using oxygen with the BiPAP Pro system When you are using oxygen with the BiPAP Pro the oxygen supply must comply with the local regulations for medical oxygen When you are using oxygen with this system a Respironics Pressure Valve part number 302418 must be placed in line with the patient circuit Oxygen should be administered only on the order of a health care professional Consult with your home care provider if your health care professional has prescribed oxygen for you When using oxygen with the BiPAP Pro system turn the BiPAP Pro on before turning the oxygen on Turn the oxygen off before turning the BiPAP Pro off This will prevent oxygen accumulation in the BiPAP Pro Oxygen accelerates fires Keep the BiPAP Pro and the oxygen container away from heat open fl
25. rsh sounds if it has been dropped or mishandled if the enclosure is broken or if water has entered the unit discontinue use and contact your home care provider Tobacco smoke may cause tar build up that may result in the BiPAP Pro malfunctioning The BiPAP Pro must be positioned on its base for proper operation Additional warnings and cautions are located throughout this manual as they apply SYSTEM FEATURES AC Power MEP Connector Communications Connector DC Power Connector Ramp Button Pressure On Off Button Air Outlet SmartCard AC Power Connector Communications Tree EE ERR EE EE EE EE EE EE ERR EE EE EE ee e DC Power Connector Display Screen Tree EE ERR EE EE EE EE EE EE ERR Ee Ee Filter Cap amp Filter Tree EE ERR EE EE eee ees Medical Product Note Pressure On Off lt o0000000000000000c0c0ceccececcececececese Ramp Button cocccccceceecece0ecececececeecese coccccccececcecececeeecececececceee Coe000000000c00000000000c00eececececcece co000000000000000000c0ceececescese SYSTEM FEATURES Connect the power cord here Connect the flexible tubing here For clinical use with applicable Respironics software and an IEC 950 approved device Connect the communications cable here Connect the optional DC power cord here All System settings total operating time and therapy hours will be displayed here The pollen filter screens out normal household dust a
26. sseeeeceeeeeeeees 23 Power EE 23 elt 23 RG e re 23 Seed BEE 24 cre C ER 24 Total Operation Time senio oe e aa 25 Troubleshooting 2 ns eoecc cirea kan o aos cuu ER pu iaia 26 Specifications iei m tette ta arces ate Dee 29 Symbol ee ercregteanence 30 WATT ert E 31 The BiPAP Pro Bi level device carries a two year warranty See the Warranty section of this manual for details For Information on Sleep Disorders contact American Sleep Apnea Association 2025 Pennsylvania Ave N W Suite 905 Washington DC 20006 Telephone 1 202 293 3650 Fax 1 202 293 3656 http www sleepapnea org links html National Sleep Foundation 729 Fifteenth Street N W Fourth Floor Washington DC 20005 http www sleepfoundation org BiPAP Pro Bi level system is covered by one or more of the following patents 5 148 802 5 313 937 5 433 193 5 632 269 5 803 065 5 239 995 Re 35 295 5 492 113 5 551 418 5 904 141 5 313 937 5 970 975 6 029 664 5 535 738 5 794 615 6 105 575 638054 Australia 661575 Australia 698519 Australia 695046 Australia 2 024 447 Canada 0425092B1 Europe 2832812 Japan 2137336 Japan 660340 Australia 2 122 590 Canada other US and foreign patents pending BiPAP Bi Flex and Whisper Swivel are trademarks of Respironics Inc BiPAP Pro With Bi Flex is the latest edition of the Duet product line Respironics Inc 2001 UNPACKING THE SYSTEM After unpacking the sys
27. tem check to make sure you have everything shown here BiPAP Pro With Carrying e Case Pollen Filters des ale Cap SS Optional Ultra fine Filter Flexible Tubing 6 ft 1 83 m x 22 mm LD IMPORTANT If any of the above parts are missing contact your home care provider Another feature is the Functional Outcomes of Sleep Questionnaire FOSQ Quality of Life test Your doctor or home care provider may ask you to periodically complete this questionnaire and send in your answers recorded on the Encore Data Management SmartCard The FOSQ test is detailed in the enclosed Sleep Apnea Solutions brochure INTRODUCTION Intended Use Introduction IMPORTANT Contraindications The BiPAP Pro Bi level system delivers positive airway pressure therapy for the treatment of adult Obstructive Sleep Apnea OSA only The system offers several options in how therapy is delivered so treatment can be personalized to meet your needs The system delivers two different positive pressure levels IPAP Inspiratory Positive Airway Pressure and EPAP Expiratory Positive Airway Pressure Your home care provider will make the correct pressure settings When prescribed by your physician the ramp function allows you to lower the pressure when you are trying to fall asleep The air pressure will gradually increase until your prescription pressure is reached You also have the option of not using the ramp feature at all
28. tinue to use the BiPAP Pro Removing the SmartCard will not affect the performance of the BiPAP Pro If the SmartCard is not installed the device usage will not be recorded When a SmartCard is installed an arrow will appear in the upper right corner of the screen 5 The SmartCard is in place 22 TRAVELING WITH THE SYSTEM ROUTINE MAINTENANCE Packing the System Security Stations Checking the Power Cord IMPORTANT Cleaning and Replacing the Filter CAUTION CAUTION When traveling the optional carrying case is for carry on luggage only The carrying case will not protect the System if it is put through checked baggage For ease at security stations there is a note on the bottom of the BiPAP Pro stating that it is medical equipment It may be helpful to bring this manual along with you to help security personnel understand the BiPAP Pro If you are traveling to another country an international plug adapter may be required to make your power cord compatible with the power outlets of the country to which you are traveling For more information contact Respironics International Customer Service at 1 724 387 4000 or US Customer Service at 1 800 345 6443 The pollen filter should be cleaned at least once every two weeks under normal usage and replaced with a new one every six months Operating the BiPAP Pro with a dirty filter may keep the system from working properly and damage the BiPAP Pro
29. uit accessories e g nasal mask exhalation port flexible tubing are for single patient use only and are not intended to be used on multiple patients If the BiPAP Pro has been exposed to either very hot or very cold temperatures allow the device to adjust to room temperature approximately 2 hours before beginning setup When operating the BiPAP Pro system make sure bedclothes curtains or other items are not blocking the filter cap openings or the vents on the BiPAP Pro Make sure the BiPAP Pro is away from heating or cooling equipment e g forced air vents radiators air conditioners The SmartCard does not need to be installed for the BiPAP Pro to work properly The SmartCard records device usage information for use by your home care provider Contact your home care provider if you have any questions about the SmartCard Installing Filters WARNING Power Cord IMPORTANT CAUTION CAUTION FIRST TIME SETUP 1 Install the filter and filter cap For additional filter options refer to the Accessories section The filter must be in place at all times when the BiPAP Pro is operating a Place the pollen filter into the filter area on the back of the BiPAP Pro An extra pollen filter is included for your convenience b Attach the filter cap Insert the cap s bottom tabs into the openings below the filter area Press down on the cap s top tabs and insert them into the openings above the filter area
30. ure relief You can adjust this setting to suit your comfort level To adjust the Bi Flex setting press the front panel button that appears under 1 at the Bi Flex feature screen When the desired setting appears next to Bi Flex press the front panel button that appears under Yes at the Bi Flex feature screen NOTE If the Bi Flex setting chosen does not correspond to your breathing rate adjust the setting for a more natural breathing rate Setting the e The Ramp feature will reduce the pressures and then gradually Minimum Ramp increase ramp the pressures to the prescription pressure settings so that you can fall asleep more comfortably If your health care professional has prescribed ramp for you the minimum ramp pressure setting will appear next If ramp has not been prescribed for you go to step f Pressure The minimum ramp pressure will be displayed Your home care provider will have already set a minimum ramp pressure If you feel the minimum ramp pressure is set too low or too high you can change the setting Range 3 cm H O to EPAP pressure setting If the minimum ramp pressure is correct press the button below Yes To change the pressure in 1 cm H O increments press the button below 1 until the desired pressure is displayed Press the button below Yes to confirm the setting Airflow Turned On 7 Ramp Button 4 Pressed EN a Therapy Pressures 1 4 1 Min Ram
31. ustomary freight charges from Respironics Inc to the dealer location only This warranty does not cover damage caused by accident misuse abuse alteration and other defects not related to material or workmanship RESPIRONICS INC DISCLAIMS ALL LIABILITY FOR ECONOMIC LOSS LOSS OF PROFITS OVERHEAD OR CONSEQUENTIAL DAMAGES WHICH MAY BE CLAIMED TO ARISE FROM ANY SALE OR USE OF THIS PRODUCT SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER EXPRESS WARRANTIES IN ADDITION ANY IMPLIED WARRANTIES INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR THE PARTICULAR PURPOSE ARE LIMITED TO TWO YEARS SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS 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 STATE TO STATE To exercise your rights under this warranty contact your local authorized Respironics Inc dealer or Respironics Inc at 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 USA 1 724 387 4000 International Customer Service or 1 800 345 6443 US Customer Service 31 32 IMPORTANT Fill in the information below when you receive the BiPAP Pro system BiPAP Pro Serial No located on the bottom of the BiPAP Pro System Prescribed for Date
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