VPAP™ III ST-A
Contents
1. Beware of electric shock Do not immerse the flow generator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting CAUTION Do not attempt to open the VPAP III ST A There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Testing the Alarm Test the alarm weekly See Testing the Alarm on page 26 Replacing the Air Filter Please refer to the illustrations in section I of the illustration sheet Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of a VPAP III ST A the air filter needs to be replaced every six months or more often if your device is in a dusty environment To replace the air filter 1 Remove the air filter cover at the back of the VPAP III ST A 1 1 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out I 2 4 Replace the air filter cover I 3 WARNING Do not wash the air filter The air filter is not washable or reusable Note The air filter should be inspected once a month Servicing This product VPAP III ST A should be inspected by an authorized ResMed service center 5 years from the date of manufacture Prior to this the device is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instruc2. Insert the power cord into the socket Push the locking clip down so that the groove holds the power cord in place Power switch AC locking clip AC power cord Plug the free end of the power cord into a power outlet D 1 CAUTION Do not connect both AC and DC power cords to the VPAP III ST A at the same time WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged The air filter cover protects the device in the event of accidental liquid spillage onto the device Ensure that the air filter and air filter cover are fitted at all times 3 Connect one end of the air tubing firmly onto the air outlet of the VPAP III SFA D 2 WARNING Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive and reduce the effectiveness of your treatment 4 Assemble your mask system according to the mask user instructions 5 Connect your mask system to the free end of the air tubing D 3 The VPAP III SFA system is now assembled D 4 To start treatment see Starting Treatment on page 11 Attaching a Humidifier WARNING When using a humidifier position it lower than you and at the same level or lower than the VPAP III ST A Note You must activate the humidifier option in the menus if you are using a HumidAire or Passover humidifier Attaching a HumidAire 2i Humidifier Please refer to the illus
3. The VPAP III SFA can be set to deliver pressures up to 30 cm H 0 In the unlikely event of certain fault conditions pressures up to 40 cm H 0 are possible The VPAP III STA is not suitable for use in the vicinity of flammable anesthetics The VPAP III SFA should not be used with anesthetized patients whose breathing depends on artificial ventilation If oxygen is used with this device the oxygen flow must be turned off when the device is not operating Explanation of the warning When the device is not in operation and the oxygen flow is left on oxygen delivered into the ventilator tubing may accumulate within the device enclosure Oxygen accumulated in the device enclosure will create a risk of fire This warning applies to most types of flow generators Oxygen supports combustion Oxygen should not be used while smoking or in the presence of an open flame Always ensure air flow is being generated by the device before the oxygen supply is turned on Always turn the oxygen supply off before stopping the air flow from the device Note At a fixed rate of supplemental oxygen flow the inhaled oxygen concentration will vary depending on where the oxygen is introduced pressure settings patient breathing pattern mask selection and leak rate This warning applies to most types of CPAP and bilevel devices Do not use the VPAP III ST A if there are obvious external defects unexplained changes in performance or unusual noises Do no
4. l l l l l l SERVICING enter f exit SN 123456789123 456789 exit View only PCB NONE t exit View only CD a menu item ST 4 0 10 0RR10 Settings summary screen 1 C j erresents a submenu item Ao e A View only Tanetonk MM 150 UMNo Settings summary screen 2 setting option VMLP 3f HP30LV2 View only Setting options bold text 2m 3m indicates default setting SW ad aa i View only Figure 2 VPAP III ST A Detailed Menu Series if enabled by your clinician How to Use the VPAP III ST A Menus 19 To access the VPAP III STA menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within a menu or submenu Press the Up Down key To enter a submenu Press the Left key enter To change a setting option for a function 1 Press the Left key change 2 Press the Up Down key until the desired setting option appears 3 Press the Left key apply to select the setting option To exit without changing options Press the Right key cancel To exit out of a Menu or submenu Press the Right key exit Note You can return to the VPAP or Ramp screen at any time by holding the Right key for at least three seconds Menu Functions Detailed Menu only The VPAP III SFA menu functions are summarized in Tables 2 5 below with a brief description of what each function does and the available setting options To access these functions see H
5. III ST A Menus 24 Oxygen saturation level SpO2 98 Pulse rate HR 75 ft exit This screen only appears if ResLink and oximeter are attached Figure 6 Treatment screen 4 only if ResLink and pulse oximeter are attached The treatment screens contain the following information Treatment mode Mode of treatment set by your clinician Options include CPAP Spontaneous Spontaneous Timed and Timed Ramping indicator Appears if the VPAP III STA is in ramp mode This disappears once the ramp time has elapsed Set pressure s In CPAP mode this displays the set treatment pressure units centimeters of water In other modes it is exhalation and inhalation pressures units centimeters of water Pressure support The difference between exhalation and inhalation pressures units centimeters of water Trigger indicator How the VPAP III ST A changes the pressure when you are inhaling S Spontaneous indicates a patient triggered change and T Timed indicates a device triggered change Cycle indicator How the VPAP III STA changes the pressure when you are exhaling C indicates a patient cycled change T Treatment screen 1 and TiMn and TiMx Treatment screen 3 indicate a device cycled change Pressure bar graph Graphical display of the changing pressure Leak Current mask leak units liters per minute Respiratory rate Number of breaths per minute Minute ventilation Volume of air inhaled per
6. Testing the Alarm Replacing the Air Filter Servicing How to Use the VPAP III ST A Menus Ramp Screen How to Use the Standard Menu How to Use the Detailed Menu if enabled by your clinician Menu Functions Detailed Menu only Treatment Screens Non vented Mask Alarm Screen TRE ALARMS sos SELS acces ART See eae Bee es re Rare non Alarms Troubleshooting Helpful ARS A Se tien GG RAR IRAN ce ea aks CA Troubleshooting System Specifications ON 3 BA Contents Limited Warranty Introduction The VPAP III ST A is a bilevel pressure support ventilator specifically designed for non invasive mask ventilation This user manual contains the information you need for the correct use of your VPAP III ST A User Owner Responsibility The user or owner of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorized instructions and by authorized persons Please read this manual carefully before use This manual contains special terms and icons that appear in the margins to draw your attention to specific and important information Warning alerts you to possible injury Caution explains special measure
7. should only be used with masks and connectors recommended by ResMed or by your physician or respiratory therapist A mask should not be used unless the VPAP III ST A is turned on and operating properly The vent hole or holes associated with the mask should never be blocked Explanation of the warning The VPAP III STA is intended to be used with special masks or connectors which have vent holes 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 vent holes However when the device is not operating enough fresh air will not be provided through the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This applies to most models of CPAP and bilevel devices Ports may be incorporated in the mask or in connectors that are near the mask In the event of power failure or machine malfunction remove the mask Children who are unable to remove the mask should be attended at all times during therapy At low EPAP pressures the flow through the exhalation port may be inadequate to clear all exhaled gas from the tubing Some rebreathing may occur The air flow for breathing produced by this device can be as much as 11 F higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 90 F
8. the prescribed treatment pressure See Ramp Time on page 11 Ramp time can be altered in five minute increments from OFF to a maximum ramp time set by your clinician by using the Up Down key How to Use the Standard Menu The standard menu allows you to view details about the time used a Summary of your device settings and the current software version of your VPAP III ST A The Used time screen displays the total number of hours for which the device has been used It also displays the number of days the VPAP III STA was used out of the total number of days available for use For details on the settings summary screens see Settings Summary Screens on page 18 Figure 1 summarizes the VPAP III ST A standard menu series How to Use the VPAP III ST A Menus 17 VPAP screen Ramp screen RESMED VPAP III menu Options OFF 5 10 15 20 25 30 35 40 45 min RAMP 20min menu USED 00000hrs 00000 00000days View only ST 4 0 10 0 RR10 20 01 1 12 Settings summary screen 1 M M 150 UM No VMLP 3 HP30LV 2 SW SX384 0204 f exit Figure 1 VPAP III ST A Standard Menu Series To access the VPAP III SFA menus Press the Left key menu while the VPAP or Ramp screen is displayed To scroll through items within the menu Press the Up Down key To exit out of the menu Press the Right key exit Settings summary screen 2 View only Settings Summary Screens The se
9. to OFF Smart Data is displayed in the Results menu only Language English Selects the language the English German VPAP III ST A uses for all its French Italian display text English is the Spanish default language Portuguese Swedish Dutch Servicing Menu Table 5 Servicing Menu Function Function Description Setting Options Serial Displays the serial number for the View only Number SN VPAP III SFA Settings Displays your VPAP III STA settings for View only Summary your clinician Screens Printed Displays the printed circuit board number View only Circuit Board PCB Software Displays the current software version View only installed in the VPAP III SFA These items also appear in the Standard Menu Treatment Screens After starting treatment you can display one of the treatment screens below Press the Up Down key to switch between views Ramping indicator Set pressure s Treatment mode S RAMP Trigger indicator S gt gt gt gt gt C Pressure support Pressure bar graph Cycle indicator Figure 3 Treatment screen 1 Leak LK 2L min RR 15 Respiratory rate Minute ventilation MV 10 2 f VT 680 Tidal volume Figure 4 Treatment screen 2 Cycle indicator TiMn C TiMx Trigger indicator Set IPAP Max S C TiMx 2 0 Ti 1 58 1 2 5 Measured inspiration time Measured I E ratio Figure 5 Treatment screen 3 How to Use the VPAP
10. to change these specifications without notice System Specifications 35 36 Symbols which may Appear on the Product A we OOg8ge Attention consult accompanying documents Class Il equipment Type CF equipment Drip proof Start Stop Mask Fit Alarm LEDs Alarm Mute QuickView AC switch only Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic emissions The VPAP III ST A is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP II SFA should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The VPAP III ST A uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B The VPAP III ST A is suitable for use in Harmonic Emissions IEC 61000 3 2 Class A all establishments including domestic establishments and those directly connected to the public low voltage Voltage Fluctuations Flicker Emissions IEC 61000 3 3 Complies network that supplies buildings used for domestic purposes Medical Electrical Equipment needs special precautions regarding EMC and nee
11. 82 US 6213119 US 6240921 US 7614398 Other patents pending Protected by design registrations AU 147283 AU 147335 AU 147336 CH 128 709 CH 128 710 CH 128 711 CH 128 712 DE 40201723 DE 40202007 DE 40202008 DE 40202020 ES 153514 ES 153515 ES 153516 ES 153518 ES 156135 ES 156136 FR 02 1407 GB 3001791 GB 3001819 GB 3001820 GB 3001821 JP 1164087 JP 1164265 JP 1164266 JP 1164267 JP 4420605 NZ 527088 SE 75598 SE 75599 SE 75600 SE 75715 US D467335 US D468011 US D476077 US D477868 US D487311 US D503796 Other designs pending PAP MAX IPAP MIN SmartStart TICONTROL VPAP and Vsync are trademarks of ResMed Ltd and IPAP MAX SmartStart and VPAP are registered in U S Patent and Trademark Office 2010 ResMed Ltd Contents Introduction User Owner Responsibility Medical Information Indications for Use Contraindications Warnings Cautions The VPAP III ST A System Masks Humidifiers Accessories Setting up the VPAP III STA System Setting up the VPAP III ST A Attaching a Humidifier Using the LCD Screen and Keypad Starting Treatment Stopping Treatment Using the HumidAire 2i Warm up Feature Using the Mask Fitting Feature Cleaning and Maintenance Daily Cleaning Weekly Cleaning Periodic Cleaning
12. RESMED VPAP III STA User Guide English RESMED B HUMIDIFIERS D SETTING UPTHE VPAP III ST A E HUMIDAIRE 2i AND VPAP III ST A VPAP III ST A Illustrations Component of 248182 3 A SYSTEM COMPONENTS Dock 1 HumidAire 2i 2 HumidAire 2iC a station Handle Se Water LCD screen chamber Control panel AS Removable A Air outlet A ront cover ra SS FT AA gs Y 2010 ResMed Ltd HUMIDAIRE 2iC AND VPAP III ST A HumidAire 4 ResMed Passover Air filter cover 2010 ResMed Ltd Power switch Serial communications Power sockets port 9 pin C OTHER ACCESSORIES Docking station Water chamber 2010 ResMed Ltd 2010 ResMed Ltd 2010 ResMed Ltd 2010 ResMed Ltd G USING A HUMIDAIRE HUMIDIFIER H USING A PASSOVER HUMIDIFIER REPLACING THE AIR FILTER 2010 ResMed Ltd g D a TD D o 3 oc a 2 Q gt N N RESMED VPAP III ST A User Manual Manufacturer ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia Distributed by ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA ResMed UK Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK See www resmed com for other ResMed locations worldwide Protected by patents AU 697652 AU 699726 AU 713679 AU 2002233025 CA 2235939 CN ZL02804936 5 EP 0661071 EP 0858352 HK 1065483 JP 3638613 JP 4083154 US 5199424 US 55223
13. ST A Please refer to Warnings on page 2 Accessories Please refer to the illustrations in section C of the illustration sheet The following accessories may be purchased separately 9 10 air tubing C 1 e Medium 21 air tubing for the HumidAire and ResMed Passover humidifiers C 2 e Hypoallergenic air filter Note ResMed regularly releases new products Please check our website at www myresmed com The VPAP III ST A System 5 Setting up the VPAP Ill ST A System Please refer to the illustrations in section D of the illustration sheet Setting up the VPAP III ST A 1 Place the VPAP III ST A on a flat surface near the head of your bed If the device is placed on the floor ensure that the area is free from dust and clear of bedding clothes or any other objects that could block the air inlet CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord Connect the power cord There are two sockets at the rear of the flow generator the top one for an AC standard mains electricity and the lower one for a DC power cord see Using a Battery to Power the VPAP III ST A on page 30 ResMed recommends using the AC power cord supplied with the unit If the customized ResMed power cord is supplied it can be held in place with the locking clips To insert the locking clip pinch the free ends together and fit the pins into the holes on both sides of the socket
14. cleaning and maintenance described in this section Daily Cleaning Mask Clean the mask according to the instructions supplied with the mask Air tubing Disconnect the air tubing from the VPAP III ST A and humidifier if used and hang the tubing and mask in a clean dry place until next use CAUTION Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack Humidifier If you are using a humidifier clean it according to the instructions in the humidifier user manual Weekly Cleaning 1 Remove the air tubing from the VPAP III SFA and the mask 2 Wash the air tubing in warm water using mild detergent Rinse thoroughly hang and allow to dry 3 Before next use assemble the mask and headgear according to the user instructions 4 Reconnect the air tubing to the air outlet and mask CAUTION Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturizing or antibacterial soaps to clean the air tubing or the VPAP III ST A These solutions may cause hardening and reduce the life of the product e Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack Periodic Cleaning 1 Clean the exterior of the VPAP III STA with a damp cloth and mild liquid soap 2 Inspect the air filter to check if it is blocked by dirt or contains holes See Replacing the Air Filter on page 15 WARNING
15. ds to be installed and put into service according to EMC information provide d in this document Warnings The VPAP III ST A shou d not be used adjacent o or stacked with other equipment If adjacent or stacked use is necessary the VPAP III ST A should be observed to verify normal operation in the configuration in which it will be used The use of accessories eg humidifiers other than those specified in this manual is not recommended They may result in increased emissions or decreased immunity of the VPAP III ST A System Specifications 37 38 Guidance and manufacturer s declaration electromagnetic immunity The VPAP III STA is in ended for use in the e ectromagnetic environment specified below The customer or the user of the VPAP III ST A should assure that it is used in such an environment Immunity test IEC60601 1 2 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If IEC 61000 4 2 8 kV air 8 kV air floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV Mains power quality should transient burst supply lines be that of a typical IEC 61000 4 4 commercial or hospital 1 kV for input Not Applicable environment output lines Surge 1 kV differential 1 kV di
16. e LCD CHECK TUBE LED Yellow flashing Alarm System fault e Air tubing disconnected from the HumidAire 2i 2iC e Hardware failure 1 Check that the air tubing is connected properly to the HumidAire 2i 2iC 2 Check that the HumidAire 2i 2iC or front cover is connected properly to the flow generator 3 Turn the VPAP III STA off and on again at the power switch If the alarm persists return the unit to ResMed for servicing The flow generator stops delivering air pressure Sound Single intermittent tone LCD PRESSURE ERROR LED Yellow flashing Alarm Over pressure Treatment pressure delivered above a set level e Return the VPAP III ST A for servicing DO NOT USE THE VPAP III SFA DEVICE Sound Single intermittent tone LCD IPAP LOWER ALARM LED Yellow flashing Alarm Over use VPAP III STA is operating outside device specifications Continue using and contact your clinician about this alarm Device settings may require adjustment The flow generator stops delivering air pressure Sound Single intermittent tone LCD SENSOR ERROR LED Yellow flashing Alarm System Error Hardware error e Return the VPAP III ST A for servicing DO NOT USE THE VPAP III SFA DEVICE The Alarms 21 28 Warning Signal The flow generator stops delivering air pressure Sound Single intermittent tone LCD SYSTEM ERROR Call service LED Yellow flashing Alarm System E
17. e to remove excess facial oils This will allow a better fit and prolong the life of the mask cushion Nasal Irritation Dryness You may experience dryness of the nose mouth and or throat during the course of treatment especially during winter In many cases a humidifier may resolve this discomfort Contact your clinician for advice Runny or Blocked Nose You may experience sneezing and or a runny or blocked nose during the first few weeks of treatment In many cases nasal irritation can be resolved with a humidifier Consult your clinican for advice Travelling with the VPAP III ST A International Use Your VPAP III ST A flow generator has an internal power adapter that enables it to operate in other countries It will operate on power supplies of 100 240V and 50 60Hz No special adjustment is necessary but you will require an approved power cord for that country Using a Battery to Power the VPAP III ST A The VPAP III ST A can be powered by battery using the ResMed DC 24 30 Converter an inverter or a UPS uninterruptible power supply Battery Requirements We recommenda 12V or 24V deep cycle battery Battery capacity is determined by VPAP III ST A s power consumption which is mainly affected by the IPAP pressure usage hours and whether or not an integrated humidifier is connected Please refer to the VPAP III Series Battery Power Guide for the recommended battery type and capacity or contact ResMed s Technical Services divi
18. evice which may cause severe and costly damage Connect the free end of the medium air tubing to the air outlet of the VPAP III ST A G 3 Connect the mask system to the free end of the long air tubing The final assembly should look like illustration G 4 Plug the HumidAire power cord into a power outlet If the VPAP III ST A is not already plugged in see Step 2 on page 6 WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged 8 Navigate to the humidifier setting if available in the VPAP III SFA menu and select HUMIDAIRE See How to Use the Detailed Menu if enabled by your clinician on page 18 The VPAP III STA is now ready for use with the HumidAire To start treatment see Starting Treatment on page 11 Attaching a Passover Humidifier Please refer to the illustrations in section H of the illustration sheet Medium size 21 air tubing is a necessary accessory for connecting the VPAP III STA to the ResMed Passover humidifier To set up the VPAP III STA with the ResMed Passover 1 2 Fill the Passover with water as described in the humidifier manual Connect the medium 21 air tubing to the right connector port and the long air tubing 6 6 or 9 10 to the left connector port on the humidifier H 1 ace the VPAP III STA on top of the Passover H 2 Do not place the PAP III STA underneath the humidifier This is to avoid water spilling int
19. fferential Mains power quality should IEC 61000 4 5 mode mode be that of a typical 2 kV common mode 2 kV common mode commercial or hospital environment Voltage dips short lt 5 U lt 12V Mains power quality should interruptions and gt 95 dip in Ut gt 95 dip in 240 V be that of a typical voltage variations on or 0 5 cycle for 0 5 cycle commercial or hospital power supply input environment lines 40 U 96 V If the user of the IEC 61000 4 11 60 dip in Ut 60 dip in 240 V VPAP III ST A requires or 5 cycles for 5 cycles continued operation during power mains interruptions 70 U 168 V it is recommended that the 30 dip in Ut 30 dip in 240 V VPAP III ST A be powered or 25 cycles for 25 cycles from an uninterruptible power source lt 5 U lt 12V gt 95 dip in Ut gt 95 dip in 240 V or 5 sec for 5 sec Power frequency 3 A m 3 Am Power frequency magnetic 50 60 Hz magnetic field IEC 61000 4 8 fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Ut is the AC mains voltage prior to application of the test level Continued next page Guidance and manufacturer s declaration electromagnetic immunity Continued The VPAP III ST A is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP III ST A should assure that it is used in such an environmen
20. gs may be missing from ports on mask Air tubing not connected properly Air tubing kinked or punctured There is a large impedance eg antibacterial filter oxygen connector in the air circuit Solution Take a deep breath in and out through the mask Adjust position of mask and headgear Replace them Connect firmly at both ends Straighten or replace Press the Start Stop key VPAP III SFA does not stop when you remove your mask SmartStart Stop is disabled Use of a full face mask Enable SmartStart Stop SmartStop does not work with a full face mask SmartStart is enabled but the VPAP III STA does not stop automatically when you remove your mask Incompatible humidifier or mask system being used Incorrect humidifier or mask settings Use only equipment as recommended and supplied by ResMed Confirm settings are correct Displays error message SYSTEM ERROR Call service Component failure Return your VPAP III SFA for servicing Excessive motor noise Component failure Return your device for servicing Display error message High leak in last session You have experienced excessively high leak levels during the night Check that your air tubing is connected properly and that your mask does not leak excessively Use the mask fitting feature to help you to fit your mask properly If this message appears again contact your clinicia
21. lier or ResMed Do not attempt to open the VPAP III ST A Problem No display Possible Cause Power not connected or switch at back is not on Solution Ensure the power cable is connected and that the switch at the back of the device is in the ON position Insufficient air delivered from the VPAP III STA Ramp time is in use Air filter is dirty Air tubing is kinked or punctured Air tubing not connected properly Mask and headgear not positioned correctly Plug s missing from access port s on mask Pressure required for treatment may have changed Wait for air pressure to build up Replace air filter Straighten or replace tubing Check air tubing Adjust position of mask and headgear Replace plug s See your clinician to adjust the pressure The VPAP III STA does not start when you breathe into the mask when SmartStart is enabled 32 Power cord not connected properly Power outlet may be faulty The VPAP III STA is not switched on SmartStart not on Mask Alarm has been enabled SmartStart has automatically been disabled Connect power cord firmly at both ends Try another power outlet Switch power switch at rear of the VPAP III STA to on I Enable SmartStart Disable Mask Alarm to enable SmartStart if appropriate Problem Possible Cause Breath is not deep enough to trigger SmartStart There is excessive leak Plu
22. main at this pressure for three minutes A Mask Fit star rating is also displayed See Definitions of Mask Fit Star Rating on page 13 Mask Fit KKKKK Mask Fit star rating excelnt RESMED Notes The Mask Fit star rating display disappears after three minutes The mask fitting feature can only be started from the VPAP or Ramp screen The Mask Fit pressure is the set treatment pressure or 10 cm H 0 whichever is greater 3 Adjust your mask mask cushion and headgear until you have a secure and comfortable fit Once you have a secure and comfortable fit check your Mask Fit star rating on the LCD screen Definitions of the Mask Fit star ratings are presented in Table 7 Note If there is another person nearby to check your Mask Fit star rating you can adjust your mask mask cushion and headgear while lying down 4 After three minutes treatment will begin If you do not wish to wait three minutes hold down the Start Stop key for at least three seconds and treatment will begin immediately If you press the Start Stop key for less than three seconds the VPAP III ST A will return to standby mode the VPAP or Ramp screen is displayed Table 1 Definitions of Mask Fit Star Rating Star rating Definition BREESE Excellent Fe Very good ie Good ee Adjust mask Adjust mask HIGH LEAK Adjust mask Starting Treatment 13 Cleaning and Maintenance You should regularly carry out the
23. maximum To select a ramp time see Ramp Screen on page 17 Starting Treatment 11 Stopping Treatment To stop treatment at any time remove your mask and press the Start Stop key or if your clinician has enabled the SmartStart function simply remove your mask and treatment will end SmartStop is not applicable with the Mir Full mask setting Using the HumidAire 2i Warm up Feature If using a HumidAire 2i with the VPAP III ST A you can use the Warm up feature to pre heat the water in the humidifier prior to starting treatment After stopping treatment the VPAP III ST A will continue to blow air gently to assist cooling of the heater plate See the HumidAire 2i User s Manual for further details Using the Mask Fitting Feature The VPAP III SFA mask fitting feature can be used to help you fit your mask properly The mask fitting feature delivers air pressure for a three minute period prior to starting treatment for checking and adjusting your mask fit to minimize leaks If a ramp time is selected the mask can be adjusted at a pressure closer to the prescribed pressure To use the mask fitting feature 1 Fit your mask as described in the user instructions 2 Hold down the Start Stop key for at least three seconds until air pressure delivery starts The following display will appear on the LCD screen indicating that the mask fitting feature is in operation The flow generator will ramp to the Mask Fit pressure and will re
24. minute units liters per minute It is the product of respiratory rate and tidal volume Tidal volume Volume of air inhaled per breath units milliliters per breath Measured inspiration time The average inhalation time measured by the VPAP III ST A Set IPAP Max The maximum inhalation time set by your clinician Measured l E ratio The inhalation to exhalation ratio measured by the VPAP III ST A Oxygen saturation level Percentage of oxygen in your blood stream only appears if ResLink and oximeter are attached Pulse rate HR Measured in beats per minute only appears if ResLink and oximeter are attached Non vented Mask Alarm Screen If the non vented mask alarm has been disabled by your clinician the following screen is displayed after starting therapy To exit this screen press any key to display the treatment screens or stop treatment NON VENTED MASK DISABLED exit How to Use the VPAP III ST A Menus 25 The Alarms The VPAP III SFA unit is fitted with alarms to alert you to changes that will affect your treatment Alarm Mute Key You can mute an alarm by pressing the Alarm Mute key once If the problem is still present the alarm will sound again after two minutes An alarm LED will remain lit for as long as the problem is present Testing the Alarm To test the alarm hold down the Alarm Mute key for three seconds On release of the Alarm Mute key the alarm should sound and the LED should flash f
25. n Troubleshooting 33 34 System Specifications Dynamic pressure characteristics IPAP 3 to 30 cm H20 measured at the end of standard 6 6 air tubing EPAP 3 to 25 cm H20 measured at the end of standard 6 6 air tubing CPAP 4 to 20 cm H20 measured at the end of standard 6 6 air tubing Maximum single fault pressure 40 cm H 0 Maximum flow CPAP mode measured at the end of standard 2 m air tubing Pressure Flow cm H 0 L min 10 gt 220 15 gt 220 20 gt 220 Inspiratory trigger nominal characteristics The minimum flow required to initiate IPAP by ASL5000 simulator with chronically weak efforts R20 C20 BPM20 e For HI high setting 2 5 L min e For MED medium setting 4 0 L min e For LO low setting 75 L min accuracy 0 5 L min when tested with IPAP 10 cm H20 EPAP 5 cm H 0 Rise Time Min 6 6 air tubing Ultra Mirage mask zero leak Sound pressure level lt 30 dB tested in accordance with the requirements of ISO 17510 1 2002 Dimensions L x W x H 10 6 x 9 1 x 5 6 Weight 5 1 lb Air outlet 22 mm taper compatible with EN 1281 1 1997 Anesthetic amp Respiratory Equipment Conical Connectors Pressure measurement Internally mounted pressure transducer Flow measurement Internally mounted flow transducer Power Supply AC 100 240V 2 2A 50 60Hz DC 24V 2A Housing Construction Flame retardant engineering thermoplastic Environmental Conditions Operati
26. ng temperature 41 F to 95 F Operating Humidity 10 95 non condensing Storage and transport temperature 4 F to 140 F Storage and Transport Humidity 10 95 non condensing Electromagnetic Compatibility Product complies with all applicable electromagnetic compatibility requirements EMC according to IEC60601 1 2 for residential commercial and light industry environments For further details see Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity on page 37 Air Filter Two layered powder bonded polyester non woven fiber Air Tubing Flexible plastic 6 6 or 9 10 length IEC 60601 1 Classifications Class II double insulation Type CF Continuous operation This flow generator is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide entrained in the flow generator airpath Table 6 Displayed values Value Range Accuracy Display Resolution Pressure sensor at air outlet Pressure 5 to 30 cmH 0 0 5 cm H 0 0 1 cm H 0 Flow sensor in flow generator Leak 0 120 L min Greater of 6 L min 1 L min or 20 Tidal volume 100 3000 mL 5 1mL Respiratory rate 6 60 BPM 0 5 BPM 1 BPM Minute ventilation 0 6 60 L min 7 0 1 L min Results may be inaccurate in the presence of leaks t For tidal volume up to 800 mL For minute ventilation up to 10 L min Note The manufacturer reserves the right
27. nt if enabled by your clinician The Yellow or Red LEDs are on during an alarm condition Setting up the VPAP III ST A System 9 Keypad Keys The VPAP III STA keypad has the following keys Key Function Start Stop Starts or stops treatment e Extended hold for at least three seconds starts the Mask Fitting feature Up Down Allows you to scroll through the VPAP III STA menus submenus and setting options Left green Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes menu enter change and apply Right red Performs the function indicated by the guiding text displayed above it on the LCD screen Guiding text includes exit and cancel Alarm Mute e Press once to mute alarms If the problem is still present the alarm will sound again after two minutes See Alarm Mute Key on page 26 QuickView Clinical menu function key Clinical use only Keypad and LCD Backlight To assist you in adjusting the VPAP III ST A the keypad and LCD are equipped with a backlight The LCD backlight comes on when the unit is turned on or when you press a key and turns off after two minutes Your clinician may have set the LCD backlight to be on continually The keypad backlight is on at all times when the VPAP III ST A is powered Starting Treatment The VPAP III STA should be assembled beside your bed with the air tubing and mask system connected See Set
28. o the device which may cause severe and costly damage lt V Connect the free end of the medium air tubing to the air outlet of the VPAP III ST A H 3 Connect the mask system to the free end of the long air tubing The final assembly should look like illustration H 4 If the VPAP III ST A is not already plugged in see Step 2 on page 6 WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged 7 Navigate to the humidifier setting if available in the VPAP III STA menu and select PASSOVER See How to Use the Detailed Menu if enabled by your clinician on page 18 The VPAP III STA is now ready for use with the ResMed Passover To start treatment see Starting Treatment on page 11 Using the LCD Screen and Keypad The control panel of the VPAP III ST A includes an LCD screen LEDs and keypad LCD screen QuickView LEDs Left key Right key green red Start Stop Alarm Mute Up down key LCD Screen The LCD screen displays the menus treatment screens and alarm conditions To assist you in adjusting the VPAP III ST A the keypad and LCD are equipped with a backlight The LCD backlight comes on when the device is turned on or when you press a key and turns off after two minutes LEDs The LEDs display the status of the VPAP III ST A when active Green Red Yellow The Green LED may be on during treatme
29. or 10 seconds and then stop ResMed recommends testing the alarm each week All menus remain available during an alarm Treatment screens cannot be viewed during an alarm condition yPaP m LCD screen Alarm LEDs Alarm Mute key Alarms Troubleshooting The most common reason for an alarm to sound is because the system has not been properly assembled Check that the air tubing has been properly attached to the flow generator and mask and humidifier if used When an alarm has been activated the bottom line of the LCD screen will display either alarm information or recommended instructions for you or your clinician Note The alarm actions listed below are based on having the appropriate alarm settings for your therapy When an alarm is activated confirm the alarm settings with your clinician CAUTION D In the event of power failure or machine malfunction remove the mask 26 Warning Signal The flow generator stops delivering air pressure Sound Two alternating continuous tones LCD LCD turns off LED Red flashing Alarm Power fail Cause Power failure Power cord is disconnected or VPAP III STA switched off while delivering treatment without pressing the Start Stop key Action Alarm will stop when the Alarm Mute key is pressed or after two minutes or when power is restored The flow generator stops delivering air pressure Sound Single intermittent ton
30. ow to Use the Detailed Menu if enabled by your clinician on page 18 Settings Menu The Settings Menu allows you to view and change certain operating features of the VPAP III STA Table 2 Settings Menu Functions Function Default Function Description Setting Options Mask ULTRA Selects your mask type MIRAGE ULTRA STANDARD MIR FULL Refer to your mask User Guide for the setting for your mask Tube Length 2m Selects the length of air tubing 2m 3m 6 6 9 10 connecting your mask to the VPAP III ST A 20 Function Default Humidifier NONE Function Description Selects the type of humidifier to be used with the VPAP III STA Setting Options NONE HumidAire 2iC PASSOVER HUMIDAIRE If the HumidAire 2i is used the above setting options do not appear and H2i is displayed SmartStart OFF Turns the SmartStart function on ON OFF or off See SmartStart on page 21 Mask Alarm ON Turns the Mask Alarm signal on or ON OFF off If enabled the Mask Alarm feature will alert you when a high mask leak is detected An audible tone will sound and a high leak message will appear on the LCD screen SmartStart treatment he VPAP III ST A has a function called SmartStart which can be enabled by your clinician If SmartStart is enabled VPAP III ST A will start automatically when you breathe into the mask and will stop automatically when you take your mask off This mean
31. ped below the alarm setting level Excessive mask leak Action ils Reposition your mask and check it for a source of leaks If the alarm persists contact your clinician Sound Single intermittent tone LCD NVENT ALARM LED Yellow flashing Alarm Non vented mask Connection of a non vented mask Mask expiratory flow port vent may be blocked Use of supplemental oxygen with a vented mask Ensure your mask has an expiratory flow port vent Ensure your mask expiratory flow ports vents are not blocked Contact your clinician The Alarms 29 Helpful Hints Starting out Mouth Leaks If using a nasal mask try to keep your mouth closed during treatment Air leaks from your mouth can decrease the effectiveness of your treatment If mouth leaks are a problem a full face mask or chin strap may help Contact your clinician or equipment supplier for further details Mask Fitting The flow generator delivers the most effective treatment when the mask is well fitted and comfortable Treatment can be affected by leaks so it is important to eliminate any leaks that may arise If you have problems trying to get a comfortable mask fit contact your clinician or equipment supplier You may benefit from a different size or style of mask You can also use the Mask Fitting feature to help you fit your mask properly See Using the Mask Fitting Feature on page 12 Before wearing your mask wash your fac
32. rror Cause Component failure Action Return the VPAP III ST A for servicing DO NOT USE THE VPAP III STA DEVICE Sound Single intermittent tone LCD HIGH LEAK LED Yellow flashing Alarm Mask off High mask leak for more than 20 seconds Adjust the mask to minimize leak See Using the Mask Fitting Feature on page 12 Sound Single intermittent tone LCD LOW PRES ALARM LED Yellow flashing Alarm Low mask Air pressure at the mask has fallen below the alarm setting level e Mask is removed Reposition your mask and check it for a source of leaks Check that the air tubing is connected properly Turn the VPAP III ST A off and on again at the power switch If the pressure while SmartStop has been disabled alarm persists return the unit to ResMed for servicing e Excessive mask leak Sound Single Mask pressure 1 Turn power off intermittent tone LCD HIGH PRES ALARM LED Yellow flashing Alarm High mask pressure exceeds alarm setting level N Turn power back on Try using the flow generator one more time If the high pressure alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal Warning Signal Sound Single intermittent tone LCD LOW MV ALARM LED Yellow flashing Alarm Low minute ventilation Cause Minute ventilation level has drop
33. rs rated at a d in meters m can be de manufacturer maximum output power not listed above the recommended separation distance ermined 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 NOTE 1 At 80 MHz and 800 MHz the separation dis ance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer This warranty is not transferable Product Warranty Period ResMed humidifiers ResControl ResLink ResTraxx 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion 90 Days headgear and tubing Excludes single use devices Note Some models are not available in all regions If the product fails under conditions of normal use ResMed will repair or replace at its option the defective product or any of its components This Limited Warranty does not cover a any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organization
34. rt is a modem that is locally approved Locally approved modems may also be connected in the clinical environment Inthe clinical environment any PC that is used with the VPAP III ST A system must be at least 5 away from or at least 8 above the patient It must also comply with IEC 60950 or equivalent Masks You will also need a ResMed mask system supplied separately For the latest available masks see www resmed com This device requires a specific mask setting refer to your mask User Guide for the mask setting you should use For information on using your mask refer to the user guide supplied with your mask Notes ResMed VPAP III STA has been designed and manufactured to provide optimum performance using ResMed vented mask systems While other vented mask systems may be used performance and data outputs may be affected Not all masks are available in all regions Humidifiers Please refer to the illustrations in section B of the illustration sheet A humidifier may be required if you are experiencing dryness of the nose throat or mouth The VPAP III STA is compatible for use with the following humidifiers e HumidAire 2i heated humidifier B 1 e HumidAire 2iC passover humidifier B 2 HumidAire heated humidifier B 3 ResMed Passover humidifier B 4 WARNING Only the HumidAire 2i HumidAire 2iC HumidAire heated humidifier and the ResMed Passover are compatible for use with the VPAP III
35. s for the safe and effective use of the device Note is an informative or helpful note Medical Information Indications for Use The VPAP III SFA system is intended to provide non invasive ventilation for adult patients gt 66 lb and pediatric patients aged 7 years or older gt 40 Ibs with respiratory insufficiency or obstructive sleep apnea OSA The device is intended for use in the hospital or home CAUTION USA ONLY Federal law restricts this device to sale by or on the order of a physician Contraindications The VPAP III STA should not be used if you have an insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy The VPAP III ST A is not a life support ventilator and may stop operating with power failure or in the unlikely event of certain fault conditions If you have any of the following conditions tell your doctor before using the VPAP III ST A e acute sinusitis or otitis media e epistaxis causing a risk of pulmonary aspiration Introduction conditions predisposing to a risk of aspiration of gastric contents impaired ability to clear secretions hypotension or significant intravascular volume depletion pneumothorax or pneumomediastinum recent cranial trauma or surgery Warnings The entire manual should be read before using the VPAP III ST A Advice contained in this manual should not supersede instructions given by the prescribing physician The VPAP III SFA
36. s you do not have to press the Start Stop key to begin or end Note If you select Mir Full as the mask option SmartStop is automatically disabled SmartStart may not work with a full face mask due to safety features of the mask When Mask Alarm is set to ON SmartStart Stop automatically reverts to OFF SmartStop cannot be used with Mask Alarm because if a high leak occurs SmartStop will stop treatment before the Mask Alarm signal is activated How to Use the VPAP III ST A Menus 21 22 Results Menu Note This menu appears only if at least one Smart Data option has been enabled by the clinician See the VPAP II Smart Data Diary for further details Table 3 Results Menu Function Mask Fit Smart Data Function Description Setting Options Displays a star rating corresponding to the View only average mask leak from the previous session See Table 1 on page 13 for Mask Fit star rating description Usage Smart Data Displays usage hours from the previous View only session See Table 1 on page 13 for Mask Fit star rating description Options Menu Table 4 Options Menu Function Smart Data Auto Appear Default Function Description Setting Options OFF The Smart Data menu is ON OFF displayed only if one or more of the options have been set to ON by the clinician If Auto Appear is set to ON the Smart Data screens are displayed upon powering up of the device If Auto Appear is set
37. sion for your specific application ResMed DC 24 30 Converter ResMed supplies the DC 24 30 Converter product code 22015 which is compatible with the DC input of the VPAP III ST A This is an accessory that may be purchased separately through your ResMed distributor The DC 24 30 Converter can be connected to a 12V or 24V battery or a cigarette lighter socket in a vehicle When using a DC power supply the power is turned on and off via the switch on the converter and not the power switch at the back of the VPAP III ST A No power will be supplied to the HumidAire 2i integrated humidifier when connected to a VPAP III ST A using a converter Please refer to the DC 24 30 Converter instructions for further details Inverter or UPS The power specifications for an inverter or a UPS are listed in the following table Genagtiaton Continuous Output Peak Output Power Rating Power Rating VPAP III ST A without HumidAire 60W 225W 2i humidifier VPAP III STA with HumidAire 2i 150W 300W 110V inverter humidifier 600W 240V inverter Note Use only a pure sine wave inverter when a HumidAire 2i is attached The case temperature should be less than 122 F at an ambient temperature of 95 F For VPAP III ST A temperature specifications see System Specifications on page 34 Helpful Hints 31 Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supp
38. t Immunity IEC60601 1 2 Compliance Electromagnetic environment test test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the VPAP III ST A including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 Vrms d 1 17 VP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 10 V m 10 V m d 0 35 VP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 0 70 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol C OTE 1 At 80 MHz and 800 MHz the higher frequency range applies OTE 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 and mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predic
39. t open the VPAP III STA case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Cautions You should report unusual chest pain severe headache or increased breathlessness to your physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy with the VPAP III STA drying of the nose mouth or throat bloating ear or sinus discomfort eye irritation skin rashes chest discomfort The above are general warnings and cautions Further specific warnings cautions and notes appear next to the relevant instructions in the manual Medical Information 3 The VPAP Ill ST A System Please refer to the illustrations in section A of the illustration sheet Please identify and familiarize yourself with the following components of the VPAP III ST A e VPAP III ST A front view A 1 VPAP III ST A rear view A 2 e Power cord A 3 Carry bag A 4 e 6 6 air tubing A 5 WARNING Do not connect any device to the auxiliary port Although your health care provider may connect or have you connect specially designed devices to the auxiliary port of the VPAP III ST A connection of other devices could result in injury or damage to the unit Inthe home environment the only device that may be connected to the communications po
40. ted heoretically 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 he VPAP III STA is used exceeds the applicable RF compliance level above the VPAP III ST A should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the VPAP III ST A Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m System Specifications 39 40 Recommended separation distances between portable and mobile RF communications equipment and the VPAP III ST A The VPAP III ST A is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP III ST A can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the VPAP III SFA as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Ww d 1 17 VP d 0 35 VP d 0 7 VP 0 01 0 17 0 04 0 07 0 1 0 37 0 11 0 22 1 1 17 0 35 0 7 10 3 69 1 11 2 21 100 11 70 3 50 70 For transmitte
41. that has not been expressly authorized by ResMed to perform such repairs c any damage or contamination due to cigarette pipe cigar or other smoke d any damage caused by water being spilled on or into a flow generator Warranty is void on product sold or resold outside the region of original purchase Warranty claims on defective product must be made by the initial consumer at the point of purchase This warranty is in lieu of all other express or implied warranties including any implied warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale installation or use of any ResMed product Some regions or states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation may not apply to you This warranty gives you specific legal rights and you may also have other rights which vary from region to region For further information on your warranty rights contact your local ResMed dealer or ResMed office R001 307 2 05 06 Limited Warranty 41 42 248182 3 2010 05 VPAP III ST A User Global leaders in sleep and respiratory medicine www resmed com
42. ting up the VPAP III ST A on page 6 1 Turn the main power switch at the back of the device to on I switch When the VPAP III ST A is turned on a welcome message is displayed on the LCD screen The VPAP or Ramp screen then appears Note If you have the HumidAire 2i attached see Using the HumidA ire 2i Warm up Feature on page 12 2 Fit your mask as described in the mask user instructions 3 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep CAUTION Do not leave long lengths of air tubing around the top of your bed It could twist around your head or neck while you are sleeping Make sure the area around the flow generator is dry and clean It should also be clear of bedding clothes and other potential blockages 4 Tostart treatment press the Start Stop key or if your clinician has enabled the SmartStart function simply breathe into the mask and treatment will begin After starting treatment you can display one of the treatment screens described in Treatment Screens on page 23 Ramp Time Ramp time is a feature which can be enabled by your clinician If you have difficulty falling asleep with full pressure select a ramp time The airflow will start very gently while you fall asleep The pressure will slowly increase to full operating pressure over the selected ramp time The clinician has set a maximum ramp time you may select any value up to the
43. tions provided by ResMed Applicable ResMed warranty details are provided with the device at the time of original supply Of course as with all electrical devices if any irregularity becomes apparent you should exercise caution and have the device inspected by an authorized ResMed service center If you feel that your VPAP III ST A is not performing properly see Troubleshooting on page 32 Cleaning and Maintenance 15 CAUTION Inspection and repair should only be performed by an authorized agent Under no circumstances should you attempt to service or repair the flow generator yourself How to Use the VPAP III ST A Menus The VPAP III ST A provides a set of functions arranged in menus and submenus Via the LCD screen the menus and submenus allow you to view and change the settings for a particular function You can access the menus regardless of whether the VPAP III ST A is in standby mode or delivering therapy Your clinician has preset the menu to either a standard view or a detailed view Both of these menus are explained below When the VPAP III ST A is turned on a Welcome screen is displayed After the device self checks are complete the VPAP or Ramp screen appears Ramp Screen If your clinician has set a maximum ramp time the Ramp screen is displayed after the Welcome screen On the Ramp screen you can immediately set a ramp time Ramp time is the period during which the pressure increases from a low pressure to
44. trations in section E of the illustration sheet The HumidAire 2i attaches to the front of the VPAP III ST A to provide heated humidification No other accessories are required for its use The VPAP III SFA automatically detects the presence of the HumidAire 2i No menu changes are required Please refer to the HumidAire 2i User s Manual for details Attaching a HumidAire 2iC Humidifier Please refer to the illustrations in section F of the illustration sheet The HumidAire 2iC attaches to the front of a VPAP III STA to provide passover humidification No other accessories are required for its use Please refer to the HumidAire 2iC User s Manual for details Attaching a HumidAire Humidifier Please refer to the illustrations in section G of the illustration sheet Medium size 21 air tubing is a necessary accessory for connecting the VPAP III ST A to the HumidAire humidifier Setting up the VPAP III ST A System 7 To set up the VPAP III ST A with the HumidAire 1 2 6 F Fill the HumidAire with water as described in the humidifier manual Place the filled water chamber inside the HumidAire Connect the medium 21 air tubing to the right connector port and the long air tubing 6 6 or 9 10 to the left connector port on the humidifier G 1 Close the HumidAire lid Place the VPAP III STFA on top of the HumidAire G 2 Do not place the VPAP III STA underneath the humidifier This is to avoid water spilling into the d
45. ttings summary screens enable your clinician to quickly review your VPAP III ST A settings These screens are displayed in both the standard and detailed patient menus How to Use the Detailed Menu if enabled by your clinician The detailed menu allows you to view and change settings such as mask type tube length and the humidifier used You can also view the serial number settings summary screens see above and current software version of your VPAP III STA Figure 2 summarizes the VPAP III STA detailed menu series VPAP screen Ramp screen RESMED VPAP III RAMP 20min OFF 5 10 15 20 25 menu menu 30 35 40 45 min SETTINGS enter exit MASK ULTRA MIRAGE MIR FULL change exit STANDARD ULTRA TUBE LENGTH 2m change exit 2m 3m NONE PASSOVER HUMIDAIRE HUMID NONE If the HumidAire 2i is used the above change exit options do not appear and H2i is displayed SMARTSTART OFF change exit ON OFF MASK ALARM ON ON OFF change exit I RESULTS enter f exit These menus appear only if at least one Smart Data option has been enabled by the clinician MASK FIT good J exit _ _ USAGE 4 34hrs t exit OPTIONS enter exit SMART DATA l enter 4 exit AUTO APPEAR OFF change exit LANGUAGE ENGLISH ENGLISH GERMAN FRENCH change t exit ITALIAN SPANISH PORTUGUESE SWEDISH DUTCH l l l
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