User Manual - CPAP Discount Store
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1. Please have the device s serial number ready when you call Make sure that the REMstar 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 REMstar serviced Please have the devices s serial number ready when you call Contact your home care provider Ramp may not have been prescribed for you Discontinue use Disconnect the power cord from the AC wall outlet Contact your homecare provider or Respironics for directions on having the REMstar serviced Please have the device s serial number ready when you call Limited Warranty Respironics Inc warrants that the REMstar CPAP device shall be free from defects of workmanship and materials and will perform in accor dance 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 customary 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 ALLLIABILITY FOR ECONOMIC LOSS LOSS2. ensure that you receive the safe effective therapy prescribed for you use only Respironics accessories 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 e Bullous Lung Disease e Pneumothorax e Pathologically Low Blood Pressure e 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 contraindi cated if you exhibit signs of a sinus or middle ear infection Not for use with patients whose upper airways are bypassed Contact your health care professional if you have any questions concerning your therapy REMstar User Manual O 3 Specifications Device Size Product Use Transport and Storage Standards Compliance Mode of Operation Power Requirements Type of Protection Against Electric Shock Degree of Protection Against Electric Shock Degree of Protection Against Ingress of Water Pressure I
3. 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 1 800 345 6443 USA and Canada only or 1 724 387 4000 REMstar User Manual O 21 For information on sleep disorders contact the following organizations American Sleep Apnea Association 1424 K Street NW Suite 302 Washington DC 20005 Telephone 1 202 293 3650 Fax 1 202 293 3656 www sleepapnea org National Sleep Foundation 729 Fifteenth Street N W Fourth Floor Washington DC 20005 www sleepfoundation org 22 O REMsStar User Manual IMPORTANT Fill in the information below when you receive the REMstar CPAP system REMstar Serial No __ L
4. a significantly higher or lower elevation Your home care provider will have installed the filter s The pollen filter must be in place at all times when the REMstar is operating The white ultra fine filter is optional and can be used in addition to the pollen filter The ultra fine filter is recommended for people who are sensitive to tobacco smoke or other small particles 8 O REMstar User Manual Power Cord IMPORTANT WARNING WARNING CAUTION First Time Setup 1 Connect the power cord Plug the socket end of the power cord into the AC inlet on the back of the device Plug the pronged end of the power cord into an electrical outlet To remove AC power disconnect the power cord from the electrical outlet Inspect the power cord often for any signs of damage Replace a damaged cord immediately This device is activated when the power cord is connected The Pressure Start Stop button turns only the airflow on off 2 Place the device on a firm flat surface Make sure the device is away from any heating or cooling equipment e g forced air vents radiators air conditioners Also make sure that bedding curtains or R other items are not blocking the filter or A vents of the device Air must flow freely around the device for the system to work properly Cc REMstar User Manual O 9 First Time Setup Device Settings IMPORTANT 10 O REMstar User Manual Once the power cord is plug
5. problem contact your home care provider Problem The Attention symbol and an error code E are flashing on the display screen and the buttons are flashing The pressure being delivered feels different The airflow from the REMstar seems warm The noise level of the REMstar has changed to include unusual or harsh sounds during operation The REMstar will not turn on Pressing the ramp button does not reduce the air pressure The REMstar has been dropped into water or fluids have gotten into the enclosure 20 O REMstar User Manual Solution s Discontinue use Disconnect the power cord from the AC wall outlet Contact your home care provider or Respironics for directions on having the REMstar serviced Please have the device s serial number and the error code ready when you call Check the elevation setting to be sure it is set to your elevation Change the elevation setting if necessary If the elevation setting is correct contact your home care provider or Respironics for directions on having the REMstar serviced Please have the device s serial number ready when you call Replace or clean the filter Make sure the REMstar is away from bedding or curtains that could block the flow of air around the REMstar Make sure the REMstar is away from heating equip ment e g forced air vents radiators Contact your home care provider or Respironics for directions on having the REMstar serviced
6. FEIREE ERS STREEEEFLRFREBBPERTEHESTESERTATTE 18 Os CIS ANMING s N PERRSTLORENNERRERTIRERFHRUEFFERTEROPESEREFEREEFLFFRFER 18 O REOTderiNg inserieren 19 O SOV E an 19 Troubleshooting cciciceecieccccccscecccsec sete cecseectteccssesctececvsscteeseesseeneescs 20 Warranty s220 400440004000000 cesscccteees seccceteesssecnivecsdecttiesesecectiee 21 REMstar User Manual O 1 SYMBOLS Display Screen oA Elevation Humidifier Setting x Hours of Use Sire Q Button Lights Control Buttons cd Pressure Start Stop A Ramp Humidifier On Off REMstar Device Attention consult N accompanying documents nm AC Power DC Power Type BF Applied Part o Class II Double Insulated IPXO Ordinary Equipment Rating European CE Declaration of Conformity 0123 a Notified Body Approval for Standards Compliance GR Canadian US Certification c US 2 OD REMstar User Manual Intended Use IMPORTANT Contraindications Intended Use The Respironics REMstar system is a CPAP Continuous Positive Airway Pressure device designed for the treatment of adult Obstructive Sleep Apnea only The REMstar is to be used only on the instruction of a licensed health care professional Your home care provider will make the correct pressure settings according to your physician s prescription Several accessories are available to make your OSA treatment with the REMstar CPAP system as convenient and comfortable as possible To
7. NING Accessories Contact your home care provider for additional information on the accessories available for the REMstar system When using optional accessories always follow the instructions enclosed with the accessories The REMstar Heated Humidifier and REMstar Pass over Humidifier are available from your home care provider A humidifier may reduce nasal dryness and irritation by adding moisture and heat if applicable 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 device The humidifier must be level for proper operation Oxygen may be added at the mask connection Please note the warnings listed below when using oxygen with this device When using oxygen with this system the oxygen supply must comply with the local regulations for medical oxygen When using oxygen with this system a Respironics pressure valve Part number 302418 must be placed in line with the patient circuit When using oxygen with this system turn the device on before turning the oxygen on Turn the oxygen off before turning the device off This will prevent oxygen accumulation in the device Oxygen accelerates fires Keep the device and the oxygen container away from heat open flames any oily substance or other sources of ignition DO NOT smoke in the area near the device or the oxygen container REMstar User Manual O 13 Accessories Usin
8. RESPIRONICS www respironics com REMstar CPAP System User Manual J RESPIRONICS RESPIRONICS 1001 Murry Ridge Lane Deutschland C Murrysville Pennsylvania Gewerbestrasse 17 15668 8550 USA 82211 Herrsching Germany 0123 HM 1 23 04 Table of Contents SYMDOIKEy 25 24 222240224 204020 E 2 Intended Use amp Contraindications uuussssnnsnnnnnnnnnnnnnnnnnnnnnnnnn 3 Specifications EPASFRRPERTIRLERDEERSERIUURNS anaie aaaea AEE 4 Warnings amp Cautions unnessnnnnnnnnnennnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnennnnn 5 System FoatureS conossen EOE a 7 First Time Setup cccccceceeeeesseeeeeeeeeeeeeeeeeeeeeeesseeeeeeeeeeeeeeeeeeeeeeees 8 O Device SelliNgS running 10 O Assembling the Circuit sessiseaorecsrrens 12 ACCES SONOS araeo E EEA 13 GAdding a Humidifier rsneseane aa 13 O Adding Oxygen to the System 13 O Using DC Power uuusssssesneensnnnnnennnennnnnennnennnnnnnnen nennen 14 O Carrying Case eiee sanken Enuma AAKE ran n an ern Bra 14 Routine Use sicccccccisiccceccecccccsesecteed cassncteessdccccceccecsectecrseccatececeeccotva 15 Connecting the Circuit 15 Oo Adjusting the Circuit en 15 O Ramp BUON net rates 16 Turning the System Off essare a 16 Oe pte HiME sssi an be 16 Traveling with the System uuussnsnennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 17 Routine Maintenance c ccccccesseeeeeeeeeeeeeeeeseeeseeeesneeeeeneesenaees 18 OPET oaia naa caubses ccna cat ITE
9. curate Contact your home care provider to have your pressure setting adjusted To change the elevation setting press the ramp or humidifier buttons Press and release the pressure start stop button to go to the next setting Using the REMstar at an incorrect elevation setting could result in airflow pressures higher than the prescribed setting Always verify the elevation setting when traveling or relocating b The Button Lights setting will appear This setting allows you to have the lights behind the buttons turned on or off when the airflow is turned on I on 0 off To change the setting press the ramp or humidifier buttons Press the pressure start stop button to go to the next setting REMstar User Manual O 11 First Time Setup Assembling 4 Assemble the circuit To use the system you will need the following the Circuit accessories in order to assemble the recommended circuit e Respironics nasal mask with integrated exhalation port or Respironics mask with separate exhalation port such as the Whisper Swivel II e Respironics 6 ft 1 83 m flexible tubing e Respironics headgear for the mask not shown WARNING Ifthe REMstar is used by multiple persons e g rental devices a low resistance main flow bacteria filter should be installed in line between the REMstar and the circuit tubing Pressures must be verified when alternate or optional accessories are in place a Connect the flexible tubing t
10. djust the mask and headgear until you have a comfortable fit and there are no airflow leaks into your eyes REMstar User Manual O 15 Routine Use Using the Pressing the Ramp button will reduce the air pressure when you are trying to fall Ramp Button 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 3 Press the Ramp button on the top of the REMstar You can use the ramp button as often as you wish during the night Turning the 4 Remove the mask and headgear I Pressure System OFF Start Stop Press the Pressure Start Stop button Button on the top of the REMstar to turn the C airflow OFF IMPORTANT The humidifier button is active only when a Respironics Heated A Humidifier is connected or when the REMstar is in the Setup Menu refer to page 10 Helpful Hints Make sure that bedding curtains or other items are not blocking the filter or vents of the REMstar Air must flow freely around the REMstar for the system to work properly e If the airflow from the REMstar feels cold reposition the circuit tubing so that it runs under your bed covers to reduce heat loss while you sleep 16 O REMstar User Manual Packing the System Security Stations Checking the Power Cord Changes in Elevation WARNING Traveling with the System When traveling the carrying case is for carry on luggage o
11. eep Apnea Association AMERICAN 1424 K Street NW Suite 302 Washington D C 20005 nn ee en u A i ee Respironics Inc provided a grant to and is recognized as a founding sponsor of the American Sleep Apnea Association As a AsanmaTin SS8oc amp on non profit organization the American Sleep Apnea Association does not endorse or recommend any company or product For addresses outside the United States the minimum contribution is U S 50 00 Join the American Sleep Apnea Association As a member of the American Sleep Apnea Association you will receive a newsletter WAKE UP CALL six times each year This newsletter will inform you about the latest in medical advances new technology human interest stories of individual accomplishment home care tips and legislative affairs Also you will receive a medical alert identification bracelet You are also invited to participate in the A W A K E Alert Well And Keeping Energetic Network which is a nationwide system of local mutual help support groups A W A K E meetings provide the opportunity to share information and support with others who have been affected by sleep apnea ASSOCIATION To reduce disability and To improve the clinical To provide Sleep To establish and To raise money for death from Sleep care of Sleep Apnea by Apnea sufferers with nurture mutual and to sponsor Apnea and other educating the public and information about new help support groups research on the breathin
12. g a DC Power System CAUTION CAUTION Carrying Case 14 O REMstar User Manual You can also use this device in a stationary recreational vehicle boat or motor home with a 12 volt DC power source Do not operate this device 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 device or your vehicle DC power is not intended to be used as battery back up DO NOT connect the DC power system while the device is operating on AC power System damage may occur The carrying case holds the device and accessories When traveling by airplane the carrying case is for carry on luggage only Never check this device through the baggage department Routine Use Connecting 1 Connect the circuit the Circuit IMPORTANT Before each use examine the flexible tubing for any damage or debris If necessary clean the tubing to remove the debris Replace any damaged tubing a Connect the mask to the headgear following the instructions included with the headgear b Put on the mask and headgear Press the Pressure Start Stop button on the top of the REMstar to turn the airflow ON Breathe normally through your nose Adjusting 2 Adjust the circuit Lie down on your bed and adjust the flexible tubing the Circuit so it is free to move if you turn in your sleep A
13. g disorders medical profession advances in the treatment for apnea sufferers causes and treatment during sleep about the disorder of Sleep Apnea and their families of Sleep Apnea
14. ged in the hourglass symbol and the hours of use will be displayed Display Screen All device settings will appear here Pressure Start Stop Button Use this button to start or stop the airflow DO NOT start the airflow until the circuit tubing is connected Humidifier Button Use this button when the optional REMstar Heated Humidifier has been prescribed This button will turn the optional heated humidifier s on off and control the output Follow the instructions included with the humidifier Ramp Button Use this button to start the ramp cycle which lowers the airflow pressure This will allow you to fall asleep more easily Display Screen Heated Humidifier Button Ramp Pressure Button Start Stop Button When the device is in the Setup Menu the 4 humidifier and ramp buttons operate as up and Enter down keys to change the settings and the pressure 4 uU on off button will take you to the next screen Device Settings CAUTION WARNING First Time Setup 3 Verify Change the device settings To start the setup menu press the ramp button The airflow must be turned off DO NOT use the REMstar if the display is erratic Contact your home care provider for further instructions a The elevation symbol and setting will appear 1 or Lo less than 2 500 ft lt 762 m 2 or M 2 500 to 5 000 ft 762m to 1524 m 3 or Hi 5 001 to 7 500 ft 1525 m to 2286 m over 7 500 ft The airflow pressure may not be ac
15. ions are located throughout this manual as they apply REMstar User Manual O 5 Unpacking the System After unpacking the system check to make sure you have everything shown here User Manual I Ultra fine Filter IMPORTANT _ If any of the above parts are missing contact your home care provider 6 O REMstar User Manual System Features Display Screen u Sa Humidifier Button Communications Connector Ramp Pressure Medical Button Start Stop Button Equipment DC Inlet Note on bottom 5 Filter AC Inlet Air Outlet AC Inlet cnssnssnsonsnnsnnsonsonsnnsonsone Connect the AC power cord here Air Outlet eeecssssersossnnsorsorsnnsonsunne Connect flexible tubing here Communications Connector For clinical use with the Encore Pro Data Management Software or an IEC 950 approved device Connect the communications cable here DC Inlet cussessnssssossnnsonsonsnnsonsen Connect the optional DC power cord here Display Screen sscecseseeseees All System settings total operating time and therapy hours will be displayed here Displays the pressure and elevation settings Filters cscssessssscssssesssscsesesseeee The pollen filter screens out normal household dust and pollens The optional ultra fine filter is also included for more complete filtration of very fine particles Humidifier Button 0000 This button turns the REMstar heated humidifier o
16. n off and allows the heat setting to be adjusted The humidifier is an optional accessory that may be purchased separately Medical Product Note For ease at airport security stations there is a note on the bottom of the REMstar stating that it is medical equipment It may help if you also take this manual with you when you travel Pressure Start Stop Button ssersanssorsnsssnesonenunsonennne This button turns starts or stops the airflow Ramp Button eesssssorssorsonenonne This button starts the ramp cycle REMstar User Manual O 7 First Time Setup WARNING WARNING CAUTION ATTENTION CAUTION Do not use the REMstar system until an appropriate professional adjusts the settings To order any accessories not included with this system contact your home care provider Note to home care provider Before beginning setup be sure that you have available the REMstar Home Care Provider Setup Instructions It contains instructions for setting up the REMstar DO NOT connect any equipment to the REMstar unless recommended by Respironics or your health care professional If the REMstar has been exposed to either very hot or very cold temperatures allow it to adjust to room temperature approximately 2 hours before beginning setup Large elevation changes will affect the pressure being delivered by the REMstar Refer to the Traveling with the System section if you relocate or travel to areas with
17. ncrements Pressure Display Accuracy Maximum Flow Sound Pressure Level 4 O REMsStar User Manual Dimensions 9 1 2 x 6 7 8 x 4 1 2 24x 17x 12 cm Weight lt 4 0 Ibs lt 1 8 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 95 Non condensing 15 to 95 Non condensing Atmospheric Pressure 76 7 to 102 kPascals N A This device is designed to conform to the following standard IEC 60601 1 General Requirements for Safety of Medical Electrical Equipment Continuous AC Power Consumption 100 240 VAC 50 60 Hz 1 0 A max DC Power Consumption 12 VDC 3 0 A max Class II Equipment Type BF Applied Part IPXO Ordinary Equipment 4 to 20 cm H O in 1 0 cm H O increments 0 15 4 of actual reading 35 LPM lt 30 dB A CAUTION WARNING Indicates the possibility for injury to the user or the operator CAUTION Indicates the possibility of damage to the device Warnings 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 CPAP devices have the potential to allow rebreathing of exhaled air To reduce this potential observe the following Use Respironics circuit accessories Do not wea
18. nly The carrying case will not protect the system if it is put through checked baggage For convenience at security stations there is a note on the bottom of the REMstar stating that it is medical equipment It may be helpful to bring this manual along with you to help security personnel understand the REMstar If you are traveling to a country with a line voltage different than the one you are currently ae using a different power cord or an interna l tional plug adapter may be required to make your power cord compatible with the power outlets of the country to which you are traveling Contact your home care provider for additional information Elevation changes can affect the pressure being delivered by the REMstar If you are traveling or moving to a new area confirm the elevation Using the REMstar at an incorrect elevation setting could result in airflow pressures higher than the prescribed setting To verify change the elevation setting 1 Make sure the REMstar is plugged in and the airflow is turned OFF 2 Press the ramp button The elevation symbol and setting will be displayed 1 or Lo less than 2 500 ft lt 762 m 2or M 2 500 to 5 000 ft 762m to 1524 m 3 or Hi 5 001 to 7 500 ft 1525 m to 2286 m over 7 500 ft The airflow pressure may not be accurate Contact your home care provider to have your pressure setting adjusted 3 To change the elevation setting press the ramp or humidifier butt
19. o the air outlet on the front of the REMstar q b If you are using a mask with a built in exhalation port connect the mask s connector to the flexible tubing 1 N Mask s Connector Flexible If you are using a mask with a separate exhalation Tubing port connect the flexible tubing to the exhalation port Position the exhalation port so that the vented air is PEN blowing away from your face Connect the mask s j Connector connector to the exhalation port Exhalation Port a Flexible Tubing WARNING Do not block or otherwise try to seal the air openings on the exhalation port Explanation of the warning The REMstar is intended to be used with masks and circuits that have an exhalation port designed to exhaust CO from the circuit When the REMstar is turned on and functioning properly new air from the REMstar flushes the exhaled air out through the exhalation port When the REMsaar is turned off enough fresh air will not be provided through the mask and exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation 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 12 O REMstar User Manual Adding a Humidifier WARNING Adding Oxygen to the System WARNING WARNING WARNING WAR
20. ocated on the bottom of the REMstar System Prescribed for Date of Purchase or Rental Pressure Setting _ cm HO Mask Type Mask Size If you have any questions concerning the system contact e Home Care Company Telephone Number e Health Care Professional Telephone Number e Respironics Inc 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA Customer Service Telephone Number 1 800 345 6443 USA and Canada or 1 724 387 4000 REMstar CPAP systems are the subject of US patent 5 239 995 Other patents pending REMstar Whisper Swivel and Comfort Flap are trademarks of Respironics Inc Respironics Inc 2004 An application to join the American Sleep Apnea Association should be attached here If it is not you can contact the American Sleep Apnea Association at 1 202 293 3650 Name Phone No Address City State Zip Please check ____ 1000 500 250 100 50 25 annual membership All memberships include a one year subscription to the newsletter Membership and contributions are deductible for income tax purposes within IRS rules Membership includes a free medical alert necklace or bracelet I would like to become a member of the ASAA Please send me a free medical alert ____braceletor_____necklace am undecided but please send me a free copy of the newsletter I would like to know if there is an A W A K E group near me PLEASE SEND TO American Sl
21. on The main screen will display after 5 10 seconds REMstar User Manual O 17 Routine Maintenance Cleaning the Filter CAUTION CAUTION Cleaning the System WARNING 18 O REMSstar User Manual The gray pollen filter should be cleaned at least once every two weeks under normal usage and replaced with a new one every six months The white ultra fine filter is disposable and should be replaced after 30 nights of use or sooner if it appears dirty DO NOT clean the ultra fine filter Operating the REMstar with a dirty filter may keep the system from working properly and damage the REMstar 1 Clean the filter a Remove the 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 clean filter into the filter area on the back of the REMstar Never install a wet filter into the REMstar We recommend that you clean the filter in the morning and alternate using the two filters provided with the System to ensure enough drying time for the cleaned filter Clean the mask and tubing daily To avoid electrical shock unplug the REMstar before cleaning Do not immerse the REMstar in any fluids 1 Disconnect the flexible tubing from the REMstar Gently wash the flexible tubing in a solution of warm water and a mild detergent Rinse thoroughly Air d
22. r 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 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 anaesthetic mixture in combination with oxygen or air or in the presence of nitrous oxide 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 and contact your home care provider To avoid electrical shock disconnect the power cord before cleaning DO NOT immerse the device in any fluids Contact your health care professional if symptoms of sleep apnea recur Using the REMstar at an incorrect elevation setting could result in airflow pressures higher than the prescribed setting Always verify the elevation setting when traveling or relocating Tobacco smoke may cause tar build up within the REMstar that may result in the REMstar malfunctioning Additional warnings and caut
23. ry 2 Wipe the outside of the REMstar with a cloth slightly dampened with water and a mild detergent Let the REMstar dry before plugging in the power cord 3 Inspect the REMstar 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 cleaning instructions packaged with the accessories Reordering Service Disposal WARNING WARNING Service Contact your home care provider to order accessories or replacement filters The REMstar system does not require routine servicing When necessary dispose of the REMstar and accessories in accordance with local regulations 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 device discontinue use Contact your home care provider If the REMstar malfunctions contact your home care provider immediately Never attempt to open the REMstar s enclosure Repairs and adjustments must be performed by Respironics authorized service personnel only Unauthorized service could cause injury invalidate the warranty or result in costly damage REMstar User Manual O 19 Troubleshooting The table below lists common problems you may have with the REMstar system and possible solutions to those problems If none of the corrective actions solve the
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