Respironics REMstar M Series - Mercy Health Healthcare Equipment
Contents
1. SOA JI ONLI sa SIONPOIA mau 0 eyi 5 4 O O qe7 O J9PINOJJ SALAS 1noge 18 pip eJeuM 3 diz oe MO eui jo PIERS ay uo pejeoo siaquinn uoneouimnuep UO9 SIJUOIASIA SILISSU MMM 10 ay aseajd salas N SOINOelldSael WY 02 22 11 0 6 6 gpd e 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 _____51000 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 ____ like to become a member of the ASAA Please send me a free medical al2. Active State The state of the device when power is applied the airflow is on and the device is capable of providing therapy Altitude Allows the user to modify the altitude setting Can be set to 1 2 or 3 cor responding to low medium and high altitudes respectively Apnea A condition marked by the cessation of spontaneous breathing BPM Breaths Per Minute Compliance Represents a code used by the provider to determine the accuracy of Check Value reported therapy data CPAP Continuous Positive Airway Pressure Hours of The total amount of time that the blower has been on Patient Use LPM Liters Per Minute OSA Obstructive Sleep Apnea Patient Data The display mode in which the patient can view certain stored information Mode such as session count Patient Setup The display mode in which the patient can change patient adjustable Mode device settings such as the ramp starting pressure Ramp A feature that may increase patient comfort when therapy is started The ramp feature reduces pressure and then gradually increases the pressure to the prescription setting so patients can fall asleep more comfortably Safe State The state in which the device does not provide therapy The device enters this state if a fault is detected Standby State The state of the device when power is applied but the airflow is turned off Therapy Hours The total amount of time that the blower is on and patient breathing is detected REMstar M S
3. o RESPIRONICS 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA RESPIRONICS Deutschland Gewerbestrasse 17 82211 Herrsching Germany CE 0123 www respironics com 1016452 AM 2 09 06 USER MANUAL RESPIRONICS IMPORTANT Fill in the information below when you receive the REMstar M Series system Serial No located on the bottom of the device System Prescribed for Date of Purchase or Rental Pressure Setting cm H O Mask Type Mask Size If you have any questions concerning the system contact 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 or 1 724 387 4000 The REMstar M Series system is covered by the following patent 6 622 724 Other patents pending REMstar and Whisper Swivel are trademarks of Respironics Inc O 2006 Respironics Inc and its affiliates All rights reserved SALVLS ONT 3HLNI CATV 3l ASVSS3O3N ANVLSOd ON 6208 99 NIN SAI VH vlLOZ Od o SIINOANASIA 33853 00 Ad 38 39 1504 QNVHO 162 ON Iva SSY19 LSHld A 1d38 SSANISNG WY 01 29 01 S0 61 6 pd pre e O SA IS euoug O eN Paa
4. IEC 60601 1 General Requirements for Safety of Medical Electrical Equipment ENISO 17510 1 Sleep Apnea Breathing Therapy Devices ELECTRICAL AC Power Consumption 100 240 VAC 50 60 Hz 1 0 A max DC Power Consumption 12 VDC 3 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 Device Drip Proof IPX1 AC Power Supply Reorder number 1015642 Drip Proof IPX1 Mode of Operation Continuous Electromagnetic Compatibility The device meets the requirements of EN 60601 1 2 2nd edition Fuses There are no user replaceable fuses REMstar M Series User MANUAL 8 1 8 2 PRESSURE Pressure Increments 4 0 to 20 0 cm H O in 0 5 cm H O increments Pressure Stability 4 0 to 20 0 cm H O 1 0 cm Measured in accordance with EN ISO 17510 1 1 3 2 3 and Pmax with BPM set to 10 15 and 20 BPM 68 9 20 C 5 C 50 RH 5 Maximum Flow 35 Measured in accordance with EN ISO 17510 1 1 3 2 3 and Pmax with BPM set to 10 15 and 20 BPM 73 3 6 23 C 2 C 50 RH 5 DisPosAL Dispose of the device in accordance with local regulations REMstar M Series User MANUAL InFORMATION GUIDANCE AND Manuracturer s DECLARATION ELECTROMAGNETIC EMISSIONS This device is intended for use in the electromagnetic envi
5. REMstar M Series User MANUAL CHAPTER 4 Device OPERATION This chapter explains how to start the device and change the settings 4 1 STARTING THE DEVICE 1 Plug the device in to an AC or DC power source The Start Stop b and the Ramp 2 buttons light up The Software Version screen shown below momentarily appears The num ber that appears on your screen will be different from the number shown below 88888 FIGURE 4 1 SOFTWARE VERSION SCREEN 2 The next screen to appear is the Standby screen which displays the cumulative therapy hours When you first begin using this device the number shown will be zero but as you use it the number shown here will increase Your provider may ask you for this number es mm FIGURE 4 2 STANDBY SCREEN 3 When you press the Start Stop button b to turn on the airflow the Active Display screen displays as shown below LIT LIT om LI H20 LI H20 Figure 4 3 THe Active DisPLAY WITHOUT Ramp LEFT AND WITH RAMP RIGHT REMstar M Series User MANUAL 4 1 The Active Display screen shows the prescribed or ramping pressure If the ramp feature is enabled by your health care provider the Ramp symbol also appears as described below SYMBOL DESCRIPTION If the Ramp feature is enabled you can initiate it by pressing the Ramp button When the ramp function is active the Ramp symbol displays on the Active Display screen as shown above 4 Puton your mask asse
6. accumulated in the device enclosure will create a risk of fire e Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame When using oxygen with this system a Respironics Pressure Valve Part Number 302418 must be placed in line with the patient circuit Failure to use the pressure valve could result in a fire hazard 1 2 REMstar M Series User MANUAL not use the device in the presence of a flammable anaesthetic mixture in combination with oxygen or air or in the presence of nitrous oxide e not use this device if the room temperature is warmer than 95 E 35 C If the device is used at room temperatures warmer than 95 35 C the temperature of the airflow may exceed 106 41 C This could cause irritation or injury to your airway e not operate the device in direct sunlight or near a heating appliance because these condi tions can increase the temperature of the air coming out of the device Contact your health care professional if symptoms of sleep apnea recur e fyou notice any unexplained changes in the performance of this device if it is making un usual or harsh sounds if the device or the power supply are dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken discontinue use and contact your home care provider e Repairs and adjustments must be performed by Respironics authorized service personnel
7. only Unauthorized service could cause injury invalidate the warranty or result in costly damage e Periodically inspect electrical cords cables and the power supply for damage or signs of wear Discontinue use and replace if damaged e To avoid electric shock unplug the device before cleaning it DO NOT immerse the device in any fluids Using this device at an incorrect elevation setting could result in airflow pressures higher than the prescribed setting Always verify the elevation setting when traveling or relocating e Pins of connectors identified with the ESD warning symbol 2 should not be touched Connections should not be made to these connectors unless ESD precautionary procedures are used Precautionary procedures include methods to prevent build up of electrostatic discharge e g air conditioning humidification conductive floor coverings non synthetic clothing discharging one s body to the frame of the equipment or system or to earth or a large metal object and bonding oneself by means of a wrist strap to the equipment or system or to earth REMstar M Series User MANUAL 1 3 1 3 2 CAUTIONS A Caution indicates the possibility of damage to the device The device may only be operated at temperatures between 41 5 C and 95 35 C If this device has been exposed to either very hot or very cold temperatures allow it to adjust to room temperature before starting therapy Do not immerse the device or
8. If you are using DC power make sure your DC power cord and battery adaptor cable connections are secure Check your battery It may need recharged or replaced If the problem persists check the DC cord s fuse following the instructions supplied with your DC cord The fuse may need to be replaced If the problem still occurs contact your home care provider If you are using a humidifier make sure you follow the instructions for applying power that are provided with your humidifier 5 2 REMstar Series User MANUAL PROBLEM The device does not operate when you press the b button The airflow does not turn on The device s display is erratic Device Resets Reboots Why It HAPPENED There may be a prob lem with the blower The device or power supply has been dropped or mishan dled or the device or power supply is in an area with high Electro magnetic Interference EMI emissions The device comes installed with trouble shooting software that The device shuts down automatically monitors and restarts automati cally during therapy This is unlikely to occur REMstar M Series User MANUAL performance WHAT Do Make sure the device is powered correctly following the instructions on the previous page If the button backlights turn on when you apply power but the airflow does not turn on there may be a problem with your device Contact your home care provider for assistance Not
9. area Clean or replace the air filters as described in Chapter 7 The temperature of the air may vary some what based on your room temperature Make sure that the device is properly ventilated Keep the device away from bedding or cur tains that could block the flow of air around the device Make sure the device is away from direct sunlight and heating equipment If the problem continues contact your home care provider REMstar M Series User MANUAL PROBLEM The mask feels uncom fortable to wear there is significant air leak age around the mask or you experience other mask related issues You have a runny nose You have throat or nose dryness Why It HAPPENED This could be due to improper headgear ad justment or improper mask fitting etc This is caused by a nasal reaction to the airflow The air is too dry Whar Do If you experience any issues with your mask refer to your mask instructions for informa tion on proper fitting etc If the problem continues contact your home care provider Call your health care professional Increase the room humidity Consult with your health care professional about using a Respironics humidifier with the device If you have a humidifier refer to the instructions included with your humidifier to make sure it is working properly You experience nasal You may have a sinus Stop using the device and contact your sinus Or ear pain or middle
10. ear infection health care professional REMstar M Series User MANUAL 5 8 REMstar M Series User MANUAL CHAPTER 6 ACCESSORIES 6 1 ADDING A HUMIDIFIER You can use the M Series Heated humidifier or the M Series Pass over humidifier with your device They 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 Figure 6 1 shows the humidifier by itself and attached to the REMstar M Series device Caution For safe operation the humidifier must always be positioned below the breathing circuit connection at the mask The humidifier must be level for proper operation Humidifer without Device Device with Humidifier Attached FIGURE 6 1 HuwipiriER ALONE AND ATTACHED TO THE DEVICE Refer to the humidifier s instructions for complete setup information REMstar M Series User MANUAL 6 1 6 2 6 2 ADDING SUPPLEMENTAL OXYGEN Oxygen may be added at the mask connection Please note the warnings listed below when using oxygen with the device WARNINGS When using oxygen with this system the oxygen supply must comply with 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 Failure to use the pressure valve could result in a fire hazard Oxygen accelerates fires Keep the device and the oxygen
11. for instructions on navigating the display screens Figure 2 3 provides a view of the entire device control panel with the cover door open Cover Door Previous Screen Button LO Button Ramp Button Placement Area for optional Quick Reference Label Next Screen O Button CMA Increase Button Start Stop Button 2 3 Device CONTROL PANEL 2 2 REMstar M Series User MANUAL 2 1 1 ControL PANEL INACTIVITY Some screens have time out periods The screen s timer starts when the screen is initially displayed and is restarted whenever a button is pressed The screen times out after one minute if there is no activity and returns to the Standby screen 2 2 REAR PANEL Power Inlet Air Outlet Filter Area FiGURE 2 4 Rear PANEL The rear panel contains the following e A filter area where each filter supplied with your device should be inserted e power inlet where the power cord is connected see Chapter 3 Setup for complete information on supplying power to the device e The air outlet port where the breathing circuits flexible tubing is attached REMstar M Series User MANUAL 2 3 2 4 REMstar M Series User MANUAL CHAPTER 3 SETUP This chapter provides instructions on how to e Install the air filters Dosition the device e Connect the breathing circuit e Supply power to the device 3 1 INsTALLING THE FI
12. radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above the device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the device Over the frequency range 150 kHz to 80 MHz the field strengths should be less than 3 V m REMstar M Series User MANUAL A 3 A 4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND RF COMMUNICATIONS EQUIPMENT AND THis Device The device is intended for use in an electromagnetic environment in which radiated RF distur bances are controlled The customer or the user of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communica tions equipment transmitters and this device as recommended below according to the maxi mum output power of the communications equipment RaTED Maximum SEPARATION DisTANCE ACCORDING TO FREQUENCY OF TRANSMITTER Power OUTPUT OF TRANSMITTER 150 kHz 80 MHz 800 MHz 80 MHz 800 MHz 2 5 GHz d 1 2 JP 4 1 24 d 2 3 JP For transmitters rated at a maximum output power not listed above the recommended sep
13. 3 2 3 4 Supplying Power to the Device eene 3 5 3 4 1 Using AC Power 3 4 2 Using DC Power 3 5 Complete Assembly 3 7 Chapter 4 Device Operation ENEE 4 1 AV Starting 1 7 4 1 4 2 Using the Ramp Feature eee eterne ttn rttt nettes nnt nont 4 3 Changing the Device Settings eerte 4 3 1 Navigating the Display 5 5 4 3 1 1 Viewing the Patient Data Screens 4 3 1 2 Viewing and Modifying Patient Setup Screens 4 6 4 4 Reporting Your Therapy By Phone ENEE 4 8 REMstar M Series User MANUAL i Chapter 5 Alerts and Troubleshooting ENEE 5 1 5 1 Device Alerts is 5 2 Troubleshooting cre rentre iia 5 2 Chapter ACCesSOLrl8S lirio id 6 1 6 1 Adding a H midifier isis eins eine rica 6 1 6 2 Adding Supplemental Ovvgen EEN Chapter 7 Cleaning and Maintenance FA Cleaning the Device cnica 7 2 Cleaning or Replacing the Filters 7 3 Cleaning the auci eie mpm d URBE TASC COs m 7 5 Traveling with the Systemi 7 5 1 International Travel rint neret iii Chapter 8 Specification iia ENVIO Mental ida Physical Standards Compliance seseina 8 1 Electrical ae 8 1 IPMS SUING armani a EA 8 2 B
14. ERE TO PLACE THE Device Place the device on a firm flat surface somewhere within easy reach of where you will use it Make sure the filter area on the back of the device is not blocked by bedding curtains or other items Air must flow freely around the device for the system to work properly Make sure the device is away from any heating or cooling equipment e g forced air vents radiators air conditioners 3 3 CONNECTING THE BREATHING CIRCUIT To use the system you will need the following accessories in order to assemble the recommended circuit e Respironics interface e g nasal mask with integrated exhalation port or Respironics inter face with a separate exhalation device such as the Whisper Swivel II e Respironics 6 ft 1 83 m flexible tubing with optional swivel e Respironics headgear for the patient interface Warning If the device is used by multiple persons e g rental devices a low resistance main flow bacteria filter should be installed in line between the device and the circuit tubing to prevent contamination REMstar M Series User MANUAL To connect your breathing circuit to the device complete the following steps 1 Connect the flexible tubing to the air outlet on the back of the device as shown in Figure 3 2 You can use the optional detachable swivel that is provided with your device and already attached to the tubing shown in Figure 3 2 or you can remove the swivel and con nect the tubing
15. I ele 8 2 Appendix Information ENEE A 1 REMstar M Series User MANUAL CHAPTER 1 INTRODUCTION This chapter provides information on e System contents e ntended use e Warnings cautions and contraindications e System overview e Glossary and symbol key e How to contact Respironics 1 1 SvsrEM CoNrENTS Your REMstar M Series system includes the following items lt gt Carrying Case Quickstart Guide Flexible Tubing Reusable Gray Foam Filter Disposable Ultra fine Filter REMstar M Series Device Figure 1 1 System CONTENTS Note If your system includes a humidifier you will receive additional items with your package See the instructions included with your humidifier for more informa tion Note If any of the above items are missing contact your home care provider REMstar M Series User MANUAL 1 1 1 2 INTENDED Use The Respironics REMstar M Series system is a CPAP Continuous Positive Airway Pressure device designed for the treatment of Obstructive Sleep Apnea only in spontaneously breathing patients weighing more than 66 lbs 30 kg The device is to be used only on the instruction of a licensed physician Your home care provider will make the correct pressure settings according to your health care professional s prescription 1 3 WWARNINGS CAUTIONS AND CONTRAINDICATIONS Caution US federal law restricts this device to sale by or on the order of a physi
16. L LEVEL GUIDANCE Power frequency 50 60 3 A m 3 A m Power frequency magnetic fields should be Hz magnetic field at levels characteristic of a typical location in a typical hospital or home environment IEC 61000 4 8 Portable and mobile RF communications equipment should be used no closer to any part of the device including cables than the recommended separation distance calculated from the equation applicable to the frequency ofthe transmitter Conducted RF 3Vrms Recommended separation distance IEC 61000 4 6 150 kHz to 80 d 1 2 Je MHz 124 80MHzto 800 MHz d 23 JP 800MHzto2 5 GHz Radiated RF 3V m IEC 61000 4 3 80 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recom mended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equip ment marked with the following symbol 2 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur
17. LTERS Caution A properly installed undamaged foam filter is required for proper operation The device uses a gray foam filter that is washable and reusable and an optional white ultra fine filter that is disposable The reusable filter screens out normal household dust and pollens while the optional ultra fine filter provides more complete filtration of very fine particles The gray reusable filter must be in place at all times when the device is operating The ultra fine filter is recommended for people who are sensitive to tobacco smoke or other small particles Two reusable gray foam filters and one disposable ultra fine filter are supplied with the device If your filters are not already installed when you receive your device you must at least install the reusable gray foam filter before using the device To install a filter 1 Ifyou are using the optional disposable white ultra fine filter insert it into the filter area first mesh side facing in towards the device 2 Insert the gray foam filter into the filter area as shown in Figure 3 1 Note If you are not using the white disposable filter simply insert the gray foam filter into the filter area REMstar M Series User MANUAL 3 1 Reusable Gray Foam Filter required Disposable Ultra Fine Filter optional FIGURE 3 1 INSTALLING THE AIR FILTER Note See Chapter 7 Cleaning and Maintenance for information on how to clean or replace the air filters 3 2 WH
18. Setup mode automatically times out and returns to the Standby screen REMstar M Series User MANUAL nu 40 H20 REMstar M Series User MANUAL Altitude Adjustment Screen You can adjust the altitude setting by pressing the Plus or Minus buttons to increase or decrease the setting to 1 2 or 3 Use these guidelines to find the setting best for you 1 less than 2500 ft 762 m 2 2500 to 5000 ft 762 m to 1524 m 3 5000 to 7500 ft 1525 m to 2286 m Note Elevations over 7500 ft 2286 m may affect the accuracy of the pressure Your home care provider can verify the pressure setting with a water column manometer Warning If you set the manual altitude setting incorrectly the pressure may be too high or too low depend ing on your location Ramp Starting Pressure Adjustment Screen You can increase or decrease the ramp starting pressure in 0 5 cm H O increments by pressing the Plus or Minus buttons The default setting is 4 cm H O You can adjust the setting from 4 cm H O to the CPAP pressure setting Note This screen appears only if the ramp feature is enabled by your home care provider 4 7 4 8 4 4 REPORTING Your THERAPY By PHONE Your provider may ask you to report certain therapy values by telephone To do so follow the steps below in order D CH c2 9 sl 1 With the device in stand
19. U 3096 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec COMPLIANCE LEVEL 6 kV contact 8 kV air 2 kV for supply mains 1 kV for input out put lines 1 kV differential mode 2 kV for common mode lt 5 0 gt 95 dip in U for 0 5 cycle 40 U 60 dip in U for 5 cycles 70 U 30 dip in U for 25 cycles lt 5 U gt 95 dip in U for 5 sec ELECTROMAGNETIC ENVIRONMENT GUIDANCE Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humid ity should be at least 30 Mains power quality should be that of a typical home or hos pital environment Mains power quality should be that of a typical home or hos pital environment Mains power qual ity should be that of a typical home or hospital environ ment If the user of the device requires continued operation during power mains interruptions it is rec ommended that the device be powered from an uninterrupt ible power supply or a battery NOTE U is the a c mains voltage prior to application of the test level REMstar M Series User MANUAL GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment IMMUNITY TEST IEC 60601 COMPLIANCE ELECTROMAGNETIC ENVIRONMENT Test LEVE
20. a high priority flashing pattern consisting of a continuous bright to off two flash pattern indicated in the following table as 00 00 00 ALERT SUMMARY TABLE The following table summarizes the high priority alerts ALERT VISUAL Device ACTION PossIBLE CAUSE PATIENT ACTION INDICATOR System Error Backlights The device enters the Device failure Remove the power supply cord from the 00 00 00 Safe state in which device to remove power Contact your home the device power care provider The following remains on but the symbol displaysto airflowis disabled indicate that service is required A REMstar M Series User MANUAL 5 1 5 2 TROUBLESHOOTING The table below lists some of the problems you may experience with your device or mask and pos sible solutions to those problems PROBLEM Why It HAPPENED Whar Do Nothing happens There s no power at the If you are using AC power check the outlet when you apply power outlet or the deviceis power and verify that the device is properly to device The unplugged plugged in Make sure the AC power cord is backlights on the but connected correctly to the power supply and tons do not light the power supply cord is securely connected to the device s power inlet If the problem continues to occur contact your home care provider Return both the device and power supply to your provider so they can deter mine if the problem is with the device or power supply
21. al or consequential damages so the above limita tion 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 contact Respironics Inc at 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 1 800 345 6443 1 724 387 4000
22. allow any liquid to enter the enclosure or the inlet filter Condensation may damage the device Always allow the device to reach room temperature before use A properly installed undamaged reusable foam inlet filter is required for proper operation Tobacco smoke may cause tar build up within the device which may result in the device malfunctioning Note Additional warnings cautions and notes are located throughout this manual 1 3 3 CONTRAINDICATIONS When assessing the relative risks and benefits of using this equipment the clinician should understand that this device can deliver pressures up to 20 cm H O In the event of certain fault conditions a maximum pressure of 30 cm H O is possible Studies have shown that the follow ing pre existing conditions may contraindicate the use of CPAP therapy for some patients Bullous Lung Disease Pathologically Low Blood Pressure Bypassed Upper Airway 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 his tory 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 Not for use with patients whose upper airways are b
23. aration distance d in meters can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range plies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is af fected by absorption and reflection from structures objects and people REMstar M Series User MANUAL LiMiTED WARRANTY Respironics Inc warrants that the system 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 defec tive 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 all liability for economic loss loss of profits overhead or consequen tial 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 incident
24. by mode the power is on but the blower is off open the cover door The Standby screen will display your total therapy hours a sample is shown on the left Give the provider the value for total therapy hours as shown on your screen 2 the left arrow button amp to advance to the hours of pa tient use screen a sample is shown on the left Give the provider the value for hours of patient use as shown on your screen 3 the left arrow button amp to advance to the sessions gt 4 screen a sample is shown on the left Give the provider the value for total sessions gt 4 as shown on your screen 4 Press the left arrow button lt to advance to the next screen a sample is shown on the left Give the provider the compliance check value as shown on your screen Press the left arrow button amp again to return to the Standby screen 5 Ifyou are using the device with the optional humidifier your provider may ask you to read the humidifier setting as shown on the humidifier dial For more information about the humidifier see page 6 1 REMstar M Series User MANUAL CHAPTER 5 ALERTS AND TROUBLESHOOTING This chapter describes the device alerts and also provides troubleshooting information for issues you may run into when using the device 5 1 Device ALERTS The device provides high priority alerts These alerts require immediate operator response The alert signal consists of
25. ce any damaged parts 7 2 CLEANING OR REPLACING THE FILTERS Caution Operating the device with a dirty filter may keep the system from working properly and may damage the device Under normal usage you should clean the gray foam filter at least once every two weeks and replace it 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 Caution Dirty inlet filters may cause high operating temperatures that may affect device performance Regularly examine the inlet filters as needed for integ rity and cleanliness 1 Ifthe device is operating stop the airflow by pressing the button Disconnect the device from the power source 2 Remove each filter from the enclosure by gently squeezing the filter in the center and pulling it away from the device as shown in Figure 7 1 REMstar M Series User MANUAL 7 1 7 2 FIGURE 7 1 REMOVING THE FILTERS 3 Examine each filter for cleanliness and integrity 4 Wash the gray foam filter in warm water with a mild detergent Rinse thoroughly to remove all detergent residue Allow the filter to air dry completely before reinstalling it If the foam filter is torn replace it Only Respironics supplied filters should be used as replacement filters 5 Ifthe optional white ultra fine filter is dirty or torn replace it 6 Reinstall the filters inserting the
26. ch the headgear to the mask See the instructions that came with your headgear REMstar M Series User MANUAL 3 4 SUPPLYING POWER TO THE Device You can power the device using AC or DC power Caution If this device has been exposed to either very hot or very cold tempera tures allow it to adjust to room temperature before beginning the following setup procedures Warning Route the wires to avoid tripping Warning This device is activated when the power cord is connected Pressing the b button turns the airflow on or off Important Ifyou are using your device with a humidifier refer to the Quick Start Guide included with your device or the instructions included with your humidifier for details on how to power the device and humidifier 3 4 1 Usiuc AC Power Complete the following steps to operate the device using AC power 1 Plug the socket end of the AC power cord into the power supply as shown in Figure 3 5 Figure 3 5 CONNECTING THE POWER CORD TO THE Power SUPPLY 2 Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch 3 Plug power supply cord s connector into the power inlet on the back of the device as shown in Figure 3 6 REMstar M Series User MANUAL 3 5 FIGURE 3 6 CONNECTING THE Power SuPPLY CORD TO THE DEVICE 4 Ensure that all connections are secure Important To remove AC power disconnect the power supply cord from the elec trical o
27. cian 1 3 1 WARNINGS A warning indicates the possibility of injury to the user or the operator e This manual serves as a reference The instructions in this manual are not intended to super sede the health care professional s instructions regarding the use of the device e operator should read and understand this entire manual before using the device This device is not intended for life support e The device should be used only with masks and connectors recommended by Respironics or with those recommended by the health care professional or respiratory therapist A mask should not be used unless the device is turned on and operating properly The exhalation port s associated with the mask should never be blocked Explanation of the Warning The device is intended to be used with special masks or con nectors that have exhalation ports to allow continuous flow of air out of the mask When the device is turned on and functioning properly new air from the device flushes the exhaled air out through the mask exhalation port However when the device is not operating enough fresh air will not be provided through the mask and exhaled air may be rebreathed foxygen is used with the device the oxygen flow must be turned off when the device is not in use Explanation of the Warning When the device is not in operation and the oxygen flow is left on oxygen delivered into the tubing may accumulate within the devices enclosure Oxygen
28. 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 When using oxygen with this system turn the device on before turning on the oxygen Turn the oxygen off before turning the device off This will prevent oxygen accumulation in the device If administering fixed flow supplemental oxygen the oxygen concentration may not be con stant The inspired oxygen concentration will vary depending on the CPAP setting patient breathing pattern and leak rate Substantial leaks around the mask may reduce the inspired oxygen concentration to less than the expected concentrations Appropriate patient monitor ing should be implemented REMstar M Series User MANUAL CHAPTER 7 CLEANING AND MAINTENANCE This chapter describes how to clean the device and its filters and provides tips on traveling with your REMstar M Series system 7 1 CLEANING THE Device Warning To avoid electrical shock always unplug the power cord from the wall outlet or DC power source before cleaning the device Caution Do not immerse the device in liquid or allow any liquid to enter the enclosure inlet filter or any opening 1 Unplug the device and wipe the outside of the device with a cloth slightly dampened with water and a mild detergent Let the device dry completely before plugging in the power cord 2 Inspect the device and all circuit parts for damage after cleaning Repla
29. cription If your provider has enabled Ramp but the feature still does not work check the CPAP setting on your Active Display screen If CPAP is set to the minimum setting 4 0 cm HO the Ramp feature will not work If you are not using a humidifier you cannot connect your tubing to the device without the detachable air outlet port shown below You must have the port attached properly before connecting your tubing 5 5 PROBLEM Why It You are experiencing excessive air leaks where the tubing con nects to the device The air outlet port is not installed cor rectly and doesn t seal properly The air out of the mask The air filters may be is much warmer than usual dirty The device may be operating in direct sun light or near a heater WHAT Do Remove the port and reattach it to make sure it s properly installed To remove the port a Putyourthumb underneath the port and insert your index finger into the port opening Pivoting from the bottom unsnap the port and pull it away from the device To properly reattach the port a Make sure it is correctly oriented with the port opening at the top and insert the two latches the bottom of the port into the openings on the bottom of the device Push the top of the port down to snap it into place Reattach your tubing turn on the airflow and check to make sure you do not still feel air coming out of the port
30. directly to the air outlet Detachable Swivel FIGURE 3 2 CONNECTING THE FLEXIBLE TUBING Note If required connect a bacteria filter to the device air outlet and then connect the flexible tubing to the outlet of the bacteria filter 2 Connect the tubing to the mask If you are using a mask with a built in exhalation port connect the mask s connector to the flexible tubing as shown in Figure 3 3 a Exhalation Port i Mask s Connector Flexible Tubing Connector Figure 3 3 CONNECTING A Mask wm BuiLT IN EXHALATION PORT REMstar M Series User MANUAL 3 3 3 4 b Ifyou are using a mask with a separate exhalation device connect the open end of the flexible tubing to the exhalation device as shown in Figure 3 4 Position the exhalation device so that the vented air is blowing away from your face Connect the mask s connec tor to the exhalation device Exhalation Device Flexible Tubing Connector FIGURE 3 4 CONNECTING A Mask WITH A SEPARATE EXHALATION DEVICE Warning The exhalation device e g Whisper Swivel Il or exhalation port on masks with an integrated exhalation port is designed to exhaust CO from the patient circuit Do not block or seal the ports on the exhala tion device 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 entrain ment valve 3 Atta
31. e When the device is functioning cor rectly after you press the Start Stop button b the airflow turns on after a slight delay This brief delay is normal Unplug the device and the power supply Reapply power to the device If the problem continues relocate the device to an area with lower EMI emissions e g away from elec tronic equipment such as cellular phones cordless phones computers TVs electronic games hair dryers etc If the problem still occurs contact your home care provider for assistance Such a reset poses no danger to the pa tient and assures that the patient receives prescribed therapy throughout the night If there is a possibility of damage to the device the device will shut down permanently The product will then display the following system alert symbol A to indicate that the device must be returned to the home care provider for service PROBLEM Why It The device has fallen The device may not off your table or night have been properly stand seated on the night stand or the place ment of the tubing may have caused the device to fall 5 4 WHAT Do Always make sure your device is placed on a hard flat surface so the rubber feet on the bottom of the device can adhere to the sur face make sure there is no fabric under the device The device and humidifer if using must be level for proper operation Also place the device away from the edge
32. ed below BUTTON DESCRIPTION Ramp When the airflow is on this button allows you to A activate or restart the ramp function Ramp lowers the airflow pressure and then gradually increases it allowing you to fall asleep more easily Start Stop This button starts the airflow and places the device the Active state or stops the airflow C and places the device in Standby You can also press this button to exit any setting screen Ifyou do not want to modify the settings that your home care provider has set for you you only need these two buttons to start and stop therapy and do not need to use the display buttons located under the device cover door Figure 2 2 shows the device display and navigation buttons that are under the cover door eo FicurE 2 2 DisPLAY BUTTONS REMstar M Series User MANUAL 2 1 The display buttons are described below BUTTON DESCRIPTION Allows you to access the Data screens Also allows you to navigate to the previous screen when in the Data or Setup mode Allows you to access the Setup screens Also allows you to navigate to the next screen when in the Data or Setup mode Allows you to decrease the settings on the patient setup screens 9 Allows you to increase the settings on the patient setup screens The device s display screen shows the prescribed or ramping pressure and patient data See Chap ter
33. eries User MANUAL 1 6 Kev The following symbols appear on the device and power supply SYMBOL DEFINITION Consult accompanying instructions for use mox DC Power Type BF Applied Part 0 Class Il Double Insulated IPX1 Drip Proof Equipment A Electrostatic Discharge bi European Declaration of Conformity 0123 65 Canadian US Certification Safety Standard Compliance Al UL Recognized for Canada and the United C US States Notified Body Approval for Standards Compli Q No User Serviceable Parts REMstar M Series User MANUAL 1 9 1 7 How ro CONTACT RESPIRONICS To have your device serviced contact your home care provider If you need to contact Respironics directly call the Respironics Customer Service department at 1 800 345 6443 US and Canada only or 1 724 387 4000 You can also use the following address RESPIRONICS 1001 Murry Ridge Lane Murrysville Pennsylvania 15668 8550 USA Visit Respironics web site at www respironics com REMstar M Series User MANUAL CHAPTER 2 Device CONTROLS AND DISPLAYS This chapter describes the device s control buttons and displays patient circuit connections and rear panel connections 2 1 CONTROLS AND DisPLays Figure 2 1 shows the two primary control buttons on the REMstar M Series device Figure 2 1 Primary CONTROL BUTTONS These buttons are describ
34. ert braceletor necklace ____ 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 Sleep Apnea Association AMERICA 1424 K Street NW Suite 302 Washington D C 20005 L E N P A P N E A N Respironics Inc provided a grant to and is recognized as a founding sponsor of the American Sleep Apnea Association As a non profit organization the American Sleep Apnea Association does not endorse or recommend any company or product ASSOCIATIO 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 AMERICAN You are also invited to participate in the A W A K E Alert Well And Keeping Energetic Network which Is LEE P is a nationwide system of local mutual help support groups A W A K E meetings provide the opportunity 1 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 ra
35. es User MANUAL 0 co c2 e REMstar M Series User MANUAL Hours of Patient Use View Screen This screen shows you the total number of hours that the blower has been active Your home care provider may peri odically ask for this information Session Counter View Screen This screen shows you the number of sessions greater than four hours Your home care provider may periodically ask for this information Compliance Check Value View Screen This screen shows you the Compliance Check Value which typically is a different number from the one shown here Your home care provider may periodically ask for this infor mation 4 5 4 3 1 2 VIEWING AND MODIFYING THE PATIENT SETUP SCREENS Press the gt button to enter the Setup screens The figure below shows how to navigate the Press gt To Enter These Screens Patient Setup screens Standby Screen showing therapy hours gt gt Le Ramp Start Pressure Altitude Adjustment Adjustment Screen Screen i Figure 4 5 NAVIGATING THE PATIENT SETUP SCREENS NoTE THE RAMP SCREEN APPEARS ONLY IF THE RAMP FEATURE IS ENABLED Press the button to scroll forward through these screens or press the lt button to scroll through the screens in the reverse order From any of these screens press the Start Stop button to return to the Standby screen Note After one minute of inactivity the
36. ession Counter number of sessions greater than 4 hours e Compliance Check Value Additionally you can view and modify the following settings on the Patient Setup screens e Altitude e Ramp starting pressure if enabled by your home care provider Note You can view your therapy usage hours on the Standby screen each time you turn on the device REMstar M Series User MANUAL 4 3 4 3 1 NAVIGATING THE DISPLAY SCREENS Use the gt button to navigate to the next screen and the button to navigate to the previous screen Use the Plus and Minus buttons to adjust the settings on the Patient screens 4 3 1 1 VIEWING THE PATIENT DATA SCREENS Press the button to enter the Data screens Figure 4 5 shows how to navigate the Patient Data screens Press To Enter These Screens Standby Screen showing therapy KC hours gt gt ff Compliance H i Pati Check Value ours o Patient View Screen Use View Screen gt Session Counter View Screen Figure 4 4 NAVIGATING THE PATIENT DATA SCREENS Press the 4 button to scroll forward through these screens or press the button to scroll through the screens in the reverse order From any of these screens press the Start Stop button to return to the Standby screen Note After one minute of inactivity the Data mode automatically times out and returns to the Standby screen 4 4 M Seri
37. ise 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 breathing 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 TABLE OF CONTENTS Chapter Te Introduction ias darias 1 1 1 1 System ao naciendo 1 1 1 2 Intended Use 1 3 Warnings Cautions and Contraindications ees 1 2 A certorum creer de tient eee tees 1 2 US CautiOrs ten atta tandiu eq 1 4 1 3 3 1 4 ESPE E e e o A 1 5 1 4 1 Breathing Circuit Overvie Wo 1 7 1 5 Glossary m 1 6 Symbol Key M 1 8 1 7 How to Contact Respironics rice iii iii 1 10 Chapter 2 Device Controls and Displays ENEE 2 1 2 1 Controls and Displays t i t rti eret ine 2 1 2 1 1 Control Panel Inactivity eene teens 2 3 Ee 2 3 Chapter 3 Setup3 1 3 1 Installing the Air Fite 3 1 3 2 Where to Place the Device 3 2 3 3 Connecting the Breathing Circuit EEN
38. mbly when the air starts to flow 5 Make sure that no air is leaking from your mask into your eyes If it is adjust the mask and headgear until the air leak stops See the instructions provided with your mask for more information Note A small amount of mask leak is normal and acceptable Correct large mask leaks or eye irritation from an air leak as soon as possible 6 Ifyou are using the device while sleeping try placing the tubing from the device over your headboard This may reduce tension on the mask Note If you are having trouble with your mask refer to the instructions supplied with the mask 4 2 UsiNc THE Ramp FEATURE The optional Ramp feature can be enabled or disabled by your home care provider This feature reduces the air pressure when you are trying to fall asleep Then it gradually increases ramps the pressure until your prescription setting is reached allowing you to fall asleep more comfortably If ramp is enabled on your device after you turn on the airflow press the Ramp button lt 1 on the top of the device You can use the Ramp button as often as you wish during the night Note If the ramp feature is disabled nothing will happen when you press the Ramp button REMstar M Series User MANUAL 4 3 CHANGING THE Device SETTINGS You can view the prescribed or ramping pressure on the Active Display screen as well as the fol lowing information on the Patient Data screens e Hours of Patient Use e S
39. of the night stand or table so it doesn t acciden tally get knocked off the table Ifyou are using a humidifier with the device make sure that the device and humidifier are placed below your head and mask so that any condensation in the tubing drains back into the water chamber If the device and humidifier fall and water gets into the device drain all water out of the device and make sure it is completely dry before reapplying power If the placement of the tubing causes the device to fall make sure that you use proper hose management when setting up your device Route the tubing behind the bed s headboard as shown in Chapter 3 Setup If the device falls or water gets into the device upon falling let the device dry completely before restarting it If the device does not operate correctly after falling contact your home care provider REMstar M Series User MANUAL PROBLEM The Ramp feature does not work when you press the Ramp button 22 You are having prob lems connecting the tubing to the device REMstar M Series User MANUAL Why It HAPPENED Your home care pro vider did not prescribe Ramp for you or your CPAP pressure is already set to the minimum setting You have lost the air outlet port or are traveling and forgot to bring the port with you WHAT Do If Ramp has not been prescribed for you discuss this feature with your home care provider to see if they will change your pres
40. ronment specified below The user of this device should make sure it is used in such an environment Emissions TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT GUID ANCE RF emissions Group 1 The device uses RF energy only for CISPR 11 its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The device is suitable for use in all CISPR 11 establishments including domestic establishments and those directly IEC 61000 3 2 connected to the public low voltage Voltage fluctuations Flicker Complies PONE Sup emissions IEC 61000 3 3 REMstar M Series User MANUAL A 1 A 2 GUIDANCE AND 5 DECLARATION ELECTROMAGNETIC IMMUNITY This device is intended for use in the electromagnetic environment specified below The user of this device should make sure it is used in such an environment IMMUNITY TEST Electrostatic Discharge ESD IEC 61000 4 2 Electrical fast Transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 IEC 60601 Test LEVEL 6 kV contact 8 kV air 2 kV for power sup ply lines 1 kV for input out put lines 1 kV differential mode 2 kV common mode lt 5 0 gt 95 dip in for 0 5 cycle 40 U 60 dip in Uj for 5 cycles 7096
41. rstand the REMstar M Series device If you typically use a humidifier with your device but leave the humidifier home when traveling make sure you attach the air outlet port to your device when you remove the humidifier from the device You need the port to connect the tubing directly to your device Figure 7 3 illustrates how to remove the humidifier from the device and attach the air outlet port Remove the Device From the Humidifier Attach Air Outlet Port to the Device FIGURE 7 3 ATTACHING THE AIR OUTLET PORT TO THE DEVICE 7 5 1 INTERNATIONAL TRAVEL If you are traveling to a country with a line voltage different than the one you are currently using a different power cord or an international plug adaptor 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 REMstar M Series User MANUAL CHAPTER 8 SPECIFICATIONS ENVIRONMENTAL OPERATING STORAGE TEMPERATURE 41 F to 95 F 4 140 5 C to 35 C 20 C to 60 C Humipity 15 to 95 non condensing 15 to 95 non condensing ATMOSPHERIC PRESSURE 77 to 101 kPa 0 7500 ft N A PHYSICAL Dimensions 7 5 in Lx 5 0 in W x 3 125 in H 19 x 12 7 x 7 9 cm Weight Approximately 2 2 lbs 1 kg without a humidifier STANDARDS COMPLIANCE This device is designed to conform to the following standards
42. s a note on the bottom of the device stating that it is medical equipment It may help if you also take this manual with you when you travel Power Inlet Connect the power cord here Ramp Button This button starts or restarts the ramp cycle Start Stop Button This button starts or stops the airflow REMstar M Series User MANUAL 1 4 1 BREATHING Circuit OVERVIEW The patient breathing circuit shown in Figure 1 4 consists of the following Circuit tubing to deliver air from the device to your interface e g mask A mask or other patient interface device to deliver the prescribed pressure to your nose or nose and mouth depending on which interface has been prescribed for you An exhalation device to vent exhaled air from the circuit Patient Interface H Ki Exhalation Device Mask s Exhalation lt x Connector Port Circuit Flexible Tubing Tubing Connector Circuit with Mask with Circuit with Separate Exhalation Device Integrated Exhalation Port Figure 1 4 Typical BREATHING CIRCUITS The exhalation port may be part of the interface or may be part of a separate Note exhalation device but is required to minimize the potential for CO rebreathing REMstar M Series User MANUAL 1 5 GLOSSARY The following terms and acronyms appear throughout this manual DEFINITION
43. utlet Warning Inspect the power cord often for any signs of damage Replace a dam aged power cord immediately 3 4 2 Usinc DC Power The Respironics DC Power Cord Reorder Number 1001956 can be used to operate this device in a stationary recreational vehicle boat or motor home The Respironics DC Battery Adapter Cable Reorder Number 532209 when used with the DC Power Cord enables the device to be operated from a 12 VDC free standing battery Caution When DC power is obtained from a vehicle battery the device should not be used while the vehicle s engine is running Damage to the vehicle or the device may occur Caution Only use a Respironics DC Power Cord and Battery Adapter Cable Use of any other system may cause damage to the device or vehicle Refer to the instructions supplied with the DC Power Cord and adapter cable for information on how to operate the device using DC power REMstar M Series User MANUAL 3 5 Comp ete ASSEMBLY EXAMPLE Figure 3 7 shows an example of how a complete assembly will look with breathing circuit con nected and power applied to the device Figure 3 7 Fwa AssEMBLY EXAMPLE Figure 3 8 shows an example of how you should route your tubing and situate your device on your night stand for the best setup possible This will help prevent the device from falling off your night stand or table FiGURE 3 8 RECOMMENDED DEVICE AND TUBING PLACEMENT REMstar M Series User MANUAL 3 7 3 8
44. white ultra fine filter first if applicable as shown in Figure 7 2 Disposable Ultra Fine Reusable Gray Filter optional Foam Filter required FIGURE 7 2 REINSTALLING THE FiLTERS Caution Never install a wet filter into the device It is recommended that you clean the filter in the morning and alternate using the two foam filters provided with the system to ensure sufficient drying time for the cleaned filter REMstar M Series User MANUAL 7 3 CLEANING THE TUBING Clean the tubing daily Disconnect the flexible tubing from the device Gently wash the tubing in a solution of warm water and a mild detergent Rinse thoroughly Air dry 7 4 SERVICE The REMstar M Series device does not require routine servicing Warning If you notice unexplained changes in the performance of this device ifitis making unusual or harsh sounds if the device or power supply have been dropped or mishandled if the enclosure is broken or if water has entered the device discontinue use and contact your home care provider REMstar M Series User MANUAL 7 3 7 4 7 5 TRAVELING WITH THE SYSTEM When traveling the carrying case is for carry on luggage only The carrying case will not protect the system if it is put through checked baggage For your convenience at security stations there is a note on the bottom of the device stating that it is medical equipment It may be helpful to bring this manual along with you to help security personnel unde
45. y passed Contact your physician if you have any questions concerning your therapy 1 4 REMstar M Series User MANUAL 1 4 System OVERVIEW The REMstar M Series device shown in Figure 1 2 is a sleep apnea therapy system that delivers Continuous Positive Airway Pressure CPAP CPAP maintains a constant level of pres sure throughout the breathing cycle When prescribed for you the device provides a special feature to help make your therapy more comfortable 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 Figure 1 2 REMsrAR M Series Device REMstar M Series User MANUAL 1 5 Figure 1 3 illustrates many of the device features described in the table below Start Stop Ramp Button Button Power Inlet Display Screen under door Air Outlet Medical Equipment Note Filter Area on bottom Figure 1 3 System OVERVIEW Device FEATURE DESCRIPTION Connect the flexible tubing here Display Screen Shows therapy settings and patient data Filter Area Areusable gray foam filter must be placed in the filter area to screen out normal household dust and pollens An optional white ultra fine filter can also be used for more complete filtration of very fine particles Medical Equipment Note For ease at airport security stations there i
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