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1. Class I equipment v Type CF equipment b Drip proof Start Stop amp Mask Fit lt Alarm LEDs Alarm Mute QuickView Enter Exit AC switch only s s Environmental information WEEE 2002 96 EC is a European Directive that requires the proper disposal of electrical and electronic equipment This device should be disposed of separately not as unsorted municipal waste To dispose of your device you should use appropriate collection reuse and recycling systems available in your region The use of these collection reuse and recycling systems is designed to reduce pressure on natural resources and prevent hazardous substances from damaging the environment If you need information on these disposal systems please contact your local waste administration The crossed bin symbol invites you to use these disposal systems If you require information on collection and disposal of your ResMed device please contact your ResMed office local distributor or go to www resmed com environment 44 Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic immunity The VPAP III SFA with QuickNav is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP III ST A with QuickNav should assure that it is used in such an environment Immunity test 1EC60601 1 2 test level Comp
2. AC power cord 1 Connect the power cord Note ResMed recommends using the AC power cord supplied with the unit If a replacement power cord is required contact your ResMed service centre 2 Plug the free end of the power cord into a power outlet CAUTION Do not connect both AC and DC power cords to the device at the same time unless otherwise specified WARNING e Make sure the power cord and plug are in good condition and the equipment is not damaged e 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 device WARNING Only a ResMed patient circuit should be used with the flow generator A different type of patient circuit may alter the pressure actually received and reduce the effectiveness of ventilation Do not use conductive or anti static hoses or tubes 4 Connect a mask system to the free end of the air tubing The VPAP III SFA with QuickNav system is now assembled Before use you will need to select the appropriate mode and set the operating parameters See Navigating the Clinical Menu on page 20 Using Humidifiers WARNING When using a humidifier position it lower than the patient so that any excess condensation drains back into the water chamber and at the same level or lower than the device N
3. gt Patient Standby Screen l Patient Home Screen SE Oximetry Data Ko oo Real Time Data Ti Graphs a Settings Check ali SETTINGS OPTIONS Adjustable Parameters for Circuit Efficacy Data mal Hold Down Enter Exit for quick access to the Language Alarm History Efficacy Data Settings Summary Servicing Key for gt 2 secs to Lock or Unlock the Menu OR Hold Down Exit Key for gt 2 CLINICAL MENU secs to Lock the Menu cr Treatment Standby Screen SS as SS Clinical Home Screen oO Oximetry Data a Real Time Data Settings Check _ Pushing QuickView will toggle from anywhere in the Clinical menu to the Treatment Menu and back again in TREATMENT SUMMARY a x Efficacy Data Usage Data Alarm History Settings Summary Servicing f SETTINGS ALARMS 8 8 Hold Down Enter Exit for quick access to the Efficacy Data UnLocked When entering the Clinical Menu this is the 1stScreen _ displayed OPTIONS Adjustable Adjustable Parameters Parameters for for Therapy Circuit amp Alarm Limits Max Ramp amp Conditions 15 Patient Menus Note For all the clinical and patient menu illustrations and descriptions that follow default values may vary according to region
4. Flow measurement Internally mounted flow transducer Power supply AC 100 240V 50 60Hz 2 2A AC 110V 400Hz 2 2A DC 24V 2A Rated power input 60W VPAP III ST A with QuickNav only or 150 when using H2i Housing construction Flame retardant engineering thermoplastic Environmental conditions e Operating Temperature 5 C to 35 C e Operating Humidity 10 95 non condensing e Storage and Transport Temperature 20 C to 60 C e Storage and Transport Humidity 10 95 non condensing Electromagnetic Product complies with all applicable electromagnetic compatibility 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 45 Air filter Two layered powderbonded polyester non woven fibre Air tubing Flexible plastic 2 m or 3 m length IEC 60601 1 classifications e Class II double insulation e Type CF e Continuous operation This flow generator is not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide entrained in the device airpath 42 Table 12 Displayed values Value Range Accuracy Display Resolution Pressure sensor at air outlet Pressure 5 to 30 cm H20 0 5 cm H20 4
5. 7 Ti Min Ti Max a e a EPAP IPAP One breath cycle One breath cycle One breath cycle Ti time Ti time Ti time Ti time ec IPAP One breath cycle S T EPAP Patient trigger cycle IPAP terminated cycle window Figure 3 VPAP III ST A with QuickNav modes Table 1 VPAP III ST A with QuickNav operating modes Mode S Spontaneous mode The device senses the patient breath and triggers IPAP in response to an increase in flow and cycles into EPAP at the end of inspiration The breath rate and the respiratory pattern will be determined by the patient T Timed mode The fixed breath rate and the fixed inspiration time set by the clinician are supplied regardless of patient effort S T Spontaneous Timed mode The device augments any breath initiated by the patient but will also supply additional breaths should the patient breath rate fall below the clinician s set backup breath rate CPAP mode A fixed pressure is delivered Table 2 Key adjustable settings for VPAP III ST A with QuickNav modes Settings S S T T CPAP CPAP v IPAP v i Vv EPAP v v wa Respiratory Rate v v Ti Max v v Ti v Settings S T T CPAP Ti Min Rise Time V Trigger sensitivity SIS S S SISISIS Cycle sensitivity Non Invasive Ventilation and Leak Management Two critical factors for the success of non invasive ventilation therapy are e ventilator triggering sensing inspirat
6. establishments including domestic establishments and those directly connected to the public low voltage network that supplies buildings used for domestic purposes Harmonic Emissions Class A EC 61000 3 2 Voltage Fluctuations Flicker Emissions IEC 61000 3 3 Complies Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to EMC information provided in this document Warnings The VPAP III ST A with QuickNav should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the VPAP III STA with QuickNav 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 with QuickNav Recommended separation distances between portable and mobile RF communications equipment and the VPAP III ST A with QuickNav The VPAP III SFA with QuickNav is intended for use in an environment in which radiated RF disturbances are controlled The customer or the user of the VPAP III STA with QuickNav can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the VPAP III ST A with QuickNav as recommended below according
7. Patient Treatment Menu When the device is first turned on the Patient Standby screen appears After starting treatment you can display one of the treatment screens below Press the Enter key to scroll through the pages The Main window area displays treatment data in successive screens including TREATMENT 21 53 14 4 OXIMETRY DATA Sp02 0 7 vt_780 RR 10 Treatment Screen 1 Oximetry Data he Leak 1 7 umin ol Vt 780m RR 10pm afi MV 7 8umn wl Est Press 11 8 f20 40 Ramp 19 45 Ti av 1 0 E 1 1 TiMn 0 5 Timx 2 0 Treatment Screen 2 Therapy Data i T 4 0 Tas 1 0 kE 1A 05e 20 pN i NI lo Treatment Screen 3 Ti Graph TREATMENT 21 53 12 0 SETTINGS CHECK w Mode ST Resp Rate 10 bpm Rise Time 150 ms Trigger High 4 0 Cycle High Tiav TO KE 1 1 tiMn 0 5 TiMx 2 0 Treatment Screen 4 Settings Check 16 Treatment Screen 1 Oximetry Data The Oximetry Data screen will only display if an oximeter is attached through ResLink This provides information on e Oxygen saturation level SpO Percentage of oxygen in the blood stream only appears if ResLink and oximeter are attached e Pulse rate HR Measured in beats per minute only appears if ResLink and oximeter are attached Treatment Screen 2 Therapy Data e Leak Cur
8. Description Sets the breaths per minute BPM or backup rate Options 5 30 BPM 1 BPM increment Sets the maximum limit on the time the device allows the patient to spend in inspiration S and S T modes See Setting TiControl on page 38 Note Ti Max is limited depending on the backup rate at a maximum I E ratio of 1 2 Options 0 1 4 0 sec 0 1 sec increment Sets the minimum limit on the time the device spends in IPAP S and S T modes See Setting TiControl on page 38 Options 0 1 sec Ti Max 0 1 sec increment This display represents the ratio of inspiratory time as determined by the Ti Max setting to expiratory time in relation to the total cycle time as determined by the set BPM backup rate Represents the ratio of inspiratory time as determined by the Ti to expiratory time in relation to the total cycle time as determined by the set BPM backup rate See Rise Time Adjustment on page 4 The Rise Time scale can be approximately read as milliseconds eg 150 is approximately 150 ms Notes e The actual rise time achieved is influenced by several factors such as compliance resistance leak pressure differential and patient breathing patterns e A prolonged rise time inhibits fast pressurization therefore rise time should not be set longer than Ti Max or the patient s actual inspiratory time Options MIN 150 900 50 increment Sets the sensitivity for the triggering thres
9. for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical 50 60 Hz location in a typical commercial or hospital environment magnetic field Portable and mobile RF communications equipment should be used no closer to any IEC 61000 4 8 part of the VPAP III STA with QuickNay 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 metres 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 NOTE 1 Ut is the AC mains voltage prior to application of the test level NOTE 2 At 80 MHz and 800 MHz the higher frequency range applies NOTE 3 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths fro
10. LCD Backlight Sets the backlight to either AUTO be on all the time or to AUTO where the backlight will turn off after two mintues and turn on again when any key is pressed Clock Sets the time and date Language Selects the menu language English Low Medium and High ON AUTO English French Spanish Portuguese 1 A tick appears next to the currently selected language 2 The default language depends upon the region 19 Clinical Menu Navigating the Clinical Menu To access the clinical menu hold down the Exit and Up Down keys simultaneously for at least two seconds Hold down for at least two seconds until the padlock icon is unlocked The Menu Overview on page 15 summarizes the menus Clinical Settings Menu SETTINGS m 21 53 SETTINGS m 21 53 SETTINGS 21 53 SETTINGS m 21 53 D eo Apply Factory Defaults D 12 0 Ti Max 20sec O 12 0 Cycle MED aN 12 0 Bea ee aa T Mode ST T Ti Min 0 3sec a Mask Ultra T SmrtStrt Stp Off fall IPAP 10 0420 fl Max I E 1 2 mi Humidifier None mT Max Ramp Off EPAP 4 0 T Rise Time Tube Length 2 Start EPAP cm al OH20 By ise Time 150 ms A ube Length m a ar 4 0420 Resp Rate 10 bpm g Trigger MED AB Filter No g mto Ti Max 2 Qsec fF 4 0 e J e a 7 4 0 F LK 1 7 Vt 780 RR __10 mv _7 8 LK _1 7 Vt _780 RR _10 mv 7 8 LK 1 7 Vt 780 RR _10 mv 7 8 K 1 7 vt 780 RR _10
11. a window of opportunity to cycle into EPAP For some patients whose inspiratory effort flow are weak and insufficient Ti Min prevents the premature cycling to EPAP Premature cycling to EPAP can result in insufficiently supported breaths and a reduction in tidal volume When breath detection becomes difficult due to excessive leak or inhibited exhalation effort flow Ti Max effectively prevents prolonged inspiration TiControl Ti Ti Min Max Time Time Cycle Window Patient Flow Figure 2 TiControl Ti Min and Ti Max Time Parameters sets the Cycle Window Rise Time Adjustment Rise time sets the time taken for the device to reach IPAP The greater the rise time value the longer it takes for pressure to increase from EPAP to IPAP Patients with a high ventilatory demand may require a shorter rise time while patients who are slow breathers may prefer a longer rise time Note A prolonged rise time inhibits fast pressurization therefore rise time should not be set longer than Ti or the patient s normal inspiratory time Modes of Operation The following diagrams illustrate the modes of operation available on the VPAP III ST A with QuickNav There is also a CPAP mode where a single level of continuous pressure is provided Very short breath Long breath Restrictive lungs Leak or obstructive lungs Inspiration Patient Breath Pattern No breath effort Expiration t IPAP M
12. a guide to selecting the Ti Max and Ti Min values that best correspond to the patient s respiratory rate ideally while using the ventilator at rest Table 11 TiControl Calculation Guide Patient Breath Trot l E 1 2 LE 1 1 I E 1 3 BPM 60 BPM Reference eg restrictive eg COPD ee Ti Min Ti Max Ti Max 10 6 2 1 0 2 0 1 5 15 4 1 3 1 0 2 0 1 3 20 3 1 0 0 8 1 5 1 0 25 2 4 0 8 0 7 1 2 0 8 30 2 0 7 0 6 1 0 0 7 35 1 7 0 6 0 5 0 8 0 7 40 1 5 0 5 0 5 0 7 0 7 39 Troubleshooting If there is a problem try the following suggestions CAUTION l If the problem cannot be solved contact your equipment supplier or ResMed Do not attempt to open the device case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent Problem Possible Cause Solution No display Power not connected or switch at back is not on Ensure the power cable is connected and that the switch at the back of the device is in the ON position Treatment pressure seems low Ramp Time is in use Wait for air pressure to build up Air filter is dirty Replace air filter Air tubing is kinked or punctured Straighten or replace tubing Air tubing is not connected properly Check air tubing Mask and headgear not positioned correctly Adjust position of mask and headgear Plug s missing from access port s on
13. amp Support To select the appropriate setting for your mask see Settings for Mask Types on page 22 Notes e ResMed VPAP devices have been designed and manufactured to provide optimum performance using ResMed vented mask systems While other vented mask systems may be used performance and clinical measures or monitored results may be affected e Not all masks are available in all regions e ResMed s Mirage Kidsta Nasal Mask is recommended for pediatric use with this device Humidifiers A humidifier may be required if your patient experiences dryness of the nose throat or mouth The following humidifiers supplied separately are compatible for use with the device e HumidAire 2i heated humidifier e HumidAire heated humidifier e HumidAire 2iC passover humidifier e ResMed Passover humidifier Note Not all humidifiers are available in all regions ResControl and ResLink The ResControl or ResLink may be connected to the device Please refer to the relevant user manual for details Note ResMed regularly releases new products Please check our website at www resmed com Setting up the device Place the device on a flat surface CAUTION e Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord e Make sure the area around the flow generator is dry and clean It should also be clear of bedding clothes and other potential blockages
14. designs pending QuickNav SmartStart TICONTROL VPAP and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U S Patent and Trademark Office 2008 ResMed Ltd Contents INtFOGUCTION 443 42 s40 6 cee RA ade id ba tah da th dahon ee hee dans Soho na User Owner Responsibility Medical Information 0 ea a ccc ccc t tte t ete teen ANA Indications for Use Contraindications Warnings Cautions Adverse Effects Operating Information 4 2 4 lt 266 Yad edad lone oe ew oe ed eked eae bao Wed ade bn Bilevel Pressures TiControl Inspiratory Time Control Rise Time Adjustment Modes of Operation Non Invasive Ventilation and Leak Management Triggering and Cycling Alarms The VPAP III ST A with QuickNav 00 00 0 00 c cece eens Masks Humidifiers ResControl and ResLink Setting up the device 200 Using Humidifiers Using the LCD QuickNav Screen and Keypad 00 0 000005 Menu Navigation Delivering Therapy reciiwiyosii rean a ok oe a ee we ee See A oS ae ae EA Starting Therapy Stopping Therapy Using the HumidAire 2i Warm Up Feature Using the Ramp Feature Resetting the Flow Generator Setup for Home Treatment Using the Mask Fitting Feature Using the MENUS s 3 o cee sae eine aide sad satel es iaa kes a a aa a cok R NA Menu Overview Patient Menus artoari an anne Oe aie sh centre a aoe Mag a eb a ig entre dg ended e
15. filter 3 Ensure the patient is triggering the device spontaneously when S or ST mode is used 4 lf appropriate test the mask alarm See Testing the Alarms on page 25 Note e If triggering or cycling is not performing correctly adjust the trigger and cycle sensitivities see Clinical Settings Menu on page 20 e The antibacterial filter setting on the device has been optimized for a specific range of filters Therefore if you are using a filter with an impedance significantly lower or higher than 2 cm H20 at 60 L min reliable triggering and cycling can be achieved by setting the AB Filter setting to NO 35 Using a Battery to Power the Device Information regarding suitable DC and battery power supplies for this device can be found on www resmed com on the Products page under Service and Support gt Ventilation Accessories Inverter or UPS The power specifications for an inverter or a UPS uninterruptible power supply are listed in the following table Configuration Continuous Output Power Peak Output Rating Power Rating VPAP III ST A with QuickNav without 60W 225W HumidAire 2i humidifier VPAP III SFA with QuickNav 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 50 C at an ambient temperature of 35 C For device temperature specifications see Technic
16. is enabled e f oxygen is used turn off the oxygen supply before stopping the device Using the HumidAire 2i Warm Up Feature A If using a HumidAire 2i with the device you can use the Warm Up feature to pre 22 23 heat the water in the humidifier prior to starting treatment The HumidAire 2i will be automatically detected when the device is turned on and the Patient Standby screen provides the option to start warming the humidifer 12 Oct 2006 Warm up the Humidifier Set Ramp 40min kal Gl OfS3 2 After stopping treatment the device 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 Ramp Feature If the patient experiences difficulty falling asleep with full pressure they may wish to use the Ramp feature The airflow starts very gently while they fall asleep and slowly increases to the set treatment pressures over a selected time period The Set Ramp option appears on the Patient Standby screen if a Max Ramp time has been set The patient may select any value up to the maximum The timer may be set to between 5 45 minutes Figure 5 shows the Ramp option on the Patient Standby screen therapy running with Ramp and illustrates the Ramp feature in bilevel mode 12 A IPAP E Humidifier Warning Set Ramp 40min EPAP i 2 1 53 Start pressure fall 12 Oct 2006 0 Time SS R i amp 19
17. of measured 0 1 cm H20 value Flow sensor in flow generator Leak 0 120 L min 1 1 L min Tidal volume 50 3 000 mL T 1 mL Respiratory rate 6 60 BPM 0 5 BPM t 1 BPM Minute ventilation 0 6 60 L min t 0 1 L min Ti Avg 0 0 4 0 sec 10 0 1 sec Results are expressed at ATPD Ambient Temperature and Pressure Dry Results may be inaccurate in the presence of leaks or supplemental oxygen t The displayed values are estimates They are provided for trending purposes only tt Results may be inaccurate if the tidal volume is below 50mL Pressure Variation 25 00 5 Max Pressure 20 00 S E 15 00 5 2 3 Max Pressure 2 A 2 2 10 00 4 1 3 Max Pressure 5 00 4 10 BPM 15BPM 20 BPM 0 00 7 Breaths 43 Pressure Volume curve 1 3 Max Pressure 600 500 i 400 A 300 200 2 3 Max Pressure 600 500 400 300 Volume mL 100 0 6 4 645 65 655 66 665 6 7 6 75 Pressure cm H20 Max Pressure 600 500 400 oO E 300 2 200 gt 100 0 a n r 19 95 20 20 05 20 1 20 15 20 2 20 25 Pressure cm H20 200 100 Volume mL 13 25 13 3 13 35 13 4 13 45 13 5 13 55 13 6 Pressure cm H20 10 BPM 15 BPM 20 BPM Note The manufacturer reserves the right to change these specifications without notice Symbols which may Appear on the Product A Follow instructions for use
18. the mask from the patient e The device can be set to deliver pressures up to 30 cm H320 In the unlikely event of certain fault conditions pressures up to 40 cm H320 are possible e The device is not suitable for use in the vicinity of flammable anaesthetics e The device should not be used with anaesthetised patients whose breathing depends entirely on mechanical ventilation e f oxygen is used with the device the oxygen flow should be stopped when the device is not operating If oxygen flow continues when the device is not operating oxygen may accumulate within the device and create a risk of fire e Do not use the device if there are obvious external defects unexplained changes in performance or unusual noises e Do not open the device case There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorized service agent e The use of an antibacterial filter is recommended in situations in which cross contamination is possible Cautions e At low EPAP pressures the flow through the mask vent holes may be inadequate to clear all exhaled gases and some rebreathing may occur e The air flow for breathing produced by this device can be as much as 6 C higher than the temperature of the room Caution should be exercised if the room temperature is warmer than 32 C Note The above are general warnings and cautions Further specific warnings cautions and notes appear next to th
19. time of 1 6 seconds may be chosen Note For COPD patients ensure the resultant I E ratio is at least 1 2 ideally 1 3 to allow sufficient time for exhalation You may need to shorten Ti Max to provide a more appropriate I E ratio Setting Ti Min Ti Min may be useful in patients with extremely weak inspiratory efforts or in some patients with restrictive disorders eg chest wall deformity neuromuscular diseases Lengthening the Ti Min setting may help to ensure that an appropriate inspiratory time and thus minute ventilation is maintained during periods when inspiratory effort is minimal Most patients with obstructive pulmonary disease do not have problems with premature cycling therefore the Ti Min setting can remain at the default setting Note Care should be taken not to set Ti Min longer than the patient s spontaneous inspiratory time as this may fight against the patient attempts to exhale creating discomfort and increased work of breathing If the patient complains that inspiratory time is too long consider reducing the value Procedure ideally when patient ventilation is stable 1 Observe the patient s inspiration time and respiratory pattern The measured Ti and I E ratio on the treatment screens may help 2 Adjust the Ti Min at the measured Ti or until the patient feels the inspiratory time is slightly too long 3 Reduce the Ti Min by 0 2 or 0 3 seconds TiControl Calculation Guide The following table is
20. to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output power of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz transmitter w d 1 17 VP d 0 35 VP d 0 7 P 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 transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be determined 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 applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 46
21. 0 6mths Used Since Used Usage 12 Oct 2006 740 nrs 102 106 days 7 15 hrs day SUMMARY m 21 53 Gs ALARMS 10Sep 12 00 11Sep 12 00 Sensor Error Check Tube fll IPAP Lower rai High Leak Low IPAP E High Pressure 07 00 01 52 01 45 00 36 11 Sep 06 11 Sep 06 11 Sep 06 11 Sep 06 21 42 10 Sep 06 21 31 10 Sep 06 LK SUMMARY 1 7 vt _780 RR m 21 53 10 mv _7 8 ON SETTINGS SUMMARY SETTINGS Mode IPAP EPAP Resp Rate ST 12 0 cmH20 4 0 cmH20 10 bpm m 21 53 Machine Hours SN SW X1231234 12 00000 nrs 12345678912 Efficacy Data Statistics quoted on the Efficacy Data screen include e Leak 95th centile value for mask on time only e Vt tidal volume 5th and 95th centile values for mask on time only e Resp Rate respiratory rate 5th and 95th centile values for mask on time only e MV minute ventilation 5th and 95th centile values for mask on time only e Spont T percentage spontaneous flow triggered breath e Spont C percentage spontaneous flow cycled breath Usage Data The Usage Data screen reports total hours the device has been used since the data was last erased the Usage in hours per day and the number of days the device was used compared to the total days since the hourmeter was last reset For Efficacy and Usage Data
22. 49 Ramp Time Figure 5 a Patient Standby screen with Max Ramp set b Therapy running with Ramp c Ramp in bilevel mode Resetting the Flow Generator Erasing Data Patient Usage Hours To reset zero the patient hour counter and erase the saved usage and efficacy data navigate to the ERASE DATA setting in the Clinical Options menu see page 29 and press the Enter key erase It will ask ARE YOU SURE If you select YES Enter then the usage and efficacy data will be erased and the counter reset The MACHINE RUN HOURS counter cannot be reset Restoring Factory Defaults To restore all factory defaults navigate to the APPLY FACTORY DEFAULTS setting in the Clinical Settings menu see page 29 and press the Enter key reset It will ask ARE YOU SURE If you select YES Enter you will hear a confirmation beep that all the settings are erased and the flow generator is returned to factory defaults Note Restoring factory defaults will not disturb the calibration settings MACHINE RUN HOURS counter clock or the language setting Setup for Home Treatment You may be required to set up a device for a patient to take home There are a number of things to be aware of 1 Always set parameters and oxygen levels with the equipment set up in exactly the same way it will be used at the patient s home eg same mask system with the humidifier connected the oxygen line entrained at the same place filters in the same position a
23. Leak Vt RR MV Est Press TREATMENT mf 21 53 12 0 SETTINGS CHECK T Mode Resp Rate Rise Time Trigger 32 12 0 OXIMETRY DATA T Sp02 Treatment screen 2 displays e Leak Tidal volume e Respiratory rate e Minute ventilation e Estimated pressure e Remaining ramp time if ramp is operating Treatment screen 3 displays the live Ti bar history Ti Graph The far left Ti bar to the right of the Pressure bar is constantly active showing the current breath this Ti bar also appears on other screens during treatment The Ti graph displays the animated Ti bar history for 10 breaths before the screen refreshes The far right bar always shows the most recent breath Treatment screen 4 shows the device settings from the Treatment menu including IPAP and EPAP displayed on the pressure bar Reviewing Data in the Patient and Clinical Menus To assess the patient data for the previous session may be compared to median values for the last week the last month the last six months and the last year as displayed in the Summary menu Clinical Summary Menu A comprehensive set of data is available in the Clinical Summary menu including Efficacy Data Usage Data Alarm History Settings Summary and Servicing information SUMMARY 21 53 LEFFICACY DATA Leak 14 4 Lmin Vt 0400 1000 mi RR MV Spont T Spont C 8 15 bpm 3 2 15 0 L min 7
24. NOT USE THE DEVICE LCD SYSTEM ERROR xxx TURN OFF amp CALL SERVICE The device stops delivering air pressure Component failure e Return the device for servicing e DO NOT USE THE DEVICE LCD HIGH LEAK e High mask leak for more than 20 seconds Adjust the mask to minimise leak see Using the Mask e Mask off Fitting Feature on page 13 or put the mask back on the patient LCD LOW PRESSURE XX e Air pressure at the mask has fallen below 1 Check that the air tubing is connected properly the alarm setting level 2 Turn the device off and on again at the power switch If e Mask is removed while SmartStop has the alarm persists return the unit to ResMed for been disabled servicing 28 Warning Signal Cause Action Mask pressure exceeds alarm setting level 1 The treatment will stop 2 Turn power off 3 Turn power back on 4 Try using the flow generator one more time 5 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 LCD LOW MV XX Minute ventilation level has dropped below Contact your clinician the alarm setting level LCD NO MASK VENT e Connection of a non vented mask e Ensure your mask has an expiratory flow port vent e Mask expiratory flow port vent may be e Ensure your mask expiratory flow ports vents are not blocked blocked e Use of s
25. ON the LCD backlight will be on continually The keypad backlight is on at all times when the device is powered LEDs The Therapy LED white may be set to be on during treatment The Alarm LEDs Red Yellow are on during an alarm condition or during alarm testing LCD QuickNav Screen The LCD screen displays the menus treatment screens and alarm conditions The parts of the screen are shown below The Title bar top displays e Menu type e Lock symbol Title bar Soft key display SUMMARY 21 53 i EFFICACY DATA H e Localtime PA oone e Soft key zone displays current page number of pages or all 4 ml ji j Menu mi RR 8 15 bom ff Scroll bar time period icons El Mmv 3 2 15 0 L min i 1 Spont T Di The Main window area displays treatment data setting Spont C fv Main window IK 1 7 v 780 RR 10 mv 7 8 options menus and sub menus e a Therapy Status bar The Therapy Status bar bottom allows you to view treatment data while therapy is running Menu Navigation Table 3 Control panel display key functions Display or Key Function s LCD Screen e Displays various information including the treatment screens menus alarm conditions mask fitting results and Smart Data 10 Display or Key LEDs e Alarm LEDs e Therapy LED Start Stop Up Down cD Enter green Exit red Alarm Mute QuickView Exit Up Down F
26. RESMED VPAP Ill ST A with QuickNav Clinical Guide 248216 1 os03 VPAP III ST A with QuickNav Clinical Global leaders in sleep and respiratory medicine www resmed com RESMED VPAP Ill ST A with QuickNav Clinical Manual ResMed Ltd Manufacturer 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia ResMed Corp US Designated Agent 14040 Danielson Street Poway CA 92064 6857 USA ResMed UK Ltd EU Authorized Representative 96 Milton Park Abingdon Oxfordshire OX14 4RY UK ResMed Offices Australia Austria Brazil China Finland France Germany Hong Kong India Japan Malaysia Netherlands Norway New Zealand Singapore Spain Sweden Switzerland UK USA see www resmed com for contact details VPAP III II ST UI STA Ill STA with QuickNav Protected by patents AU 697652 AU 699726 AU 713679 AU 2002233025 CN ZL02804936 5 EP 0661071 EP 0858352 HK 1065483 US 5199424 US 5522382 US 6213119 US 6240921 US 6705315 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 3638613 NZ 527088 SE 75598 SE 75599 SE 75600 SE 75715 US D467335 US D468011 US D476077 US D477868 US D487311 US D503796 Other
27. a Table 10 Displayed data descriptions Parameter Range Description Resolution Leak 0 120 L min Leak is derived by analyzing inspiratory and expiratory airflows 1 L min and expected mask vent flows measured by a flow sensor in the device Note Accuracy can be affected in the presence of a large leak greater than 24 L min or 0 4 L sec and or a variable leak The correct mask setting is essential for accurate results Sampling frequency 50 Hz 20 ms 30 Parameter Tidal Volume Respiratory Rate Minute Ventilation Spontaneous triggered breaths Spontaneous cycled breaths Range Resolution 50 3000 mL 1 mL 6 60 BPM 0 1 BPM 0 6 60 L min 0 25 L min Description Tidal volume is calculated as the integral of respiratory flow based on the leak flow the mask vent flow and the total flow rate The display is based on the five breath moving average updated every breath Note Accuracy can be affected in the presence of a large leak greater than 24 L min or 0 4 L sec and or a variable leak The correct mask setting is essential for accurate results Sampling frequency 50 Hz 20 ms Respiratory rate is calculated by averaging the last five breaths greater than 50 mL detected by the device Note The reported respiratory rate may be less than the backup rate in the Settings menu As the reported respiratory rate is based on a breath greater than 50 mL some patient breaths may no
28. al Specifications on page 41 Cleaning and Maintenance The cleaning and maintenance described in this section should be carried out regularly Daily Cleaning Mask Clean the mask according to the instructions supplied with the mask Air tubing Disconnect the air tubing from the device and humidifier if used and store the tubing and mask in a clean dry place until next use Humidifier If a humidifier is being used clean it according to the instructions supplied with the humidifier Weekly Cleaning 1 Remove the air tubing from the device and the mask 2 Wash the air tubing in warm water using mild detergent Rinse thoroughly hang and allow to dry 3 Reconnect the air tubing to the air outlet and mask CAUTION e Do not use bleach chlorine alcohol or aromatic based solutions including all scented oils moisturising or antibacterial soaps to clean the air tubing or the device These solutions may cause hardening and reduce the life of the product e Do not hang or store the air tubing in direct sunlight as the tubing may harden over time and eventually crack Periodic Cleaning 1 Clean the exterior of the device 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 37 36 WARNING Beware of electric shock Do not immerse the flow generator or power cord in water Always unplug the flow gene
29. an Contraindications The use of the VPAP III ST A with QuickNav is contraindicated in patients with insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy The device is not a life support ventilator and may stop operating in the event of power failure or in the unlikely event of certain fault conditions The use of the device may be contraindicated in patients with e acute sinusitis or otitis media e epistaxis causing a risk of pulmonary aspiration e conditions predisposing to a risk of aspiration of gastric contents e impaired ability to clear secretions e hypotension or significant intravascular volume depletion e pneumothorax or pneumomediastinum e recent cranial trauma or surgery Warnings e The entire manual should be read before using the device e Advice contained in this manual should not supersede instructions given by the prescribing physician e The device should be used with masks and accessories recommended by ResMed or the prescribing physician Use of non recommended masks and accessories may adversely affect the function of the device e The device is designed for use with masks that allow exhaled gases to be flushed out through vent holes Exhaled gases will be rebreathed if the mask is worn with the machine turned off or the vent holes are occluded If this occurs over prolonged periods suffocation may occur e In the event of power failure or machine malfunction remove
30. arm to 10 l min 2 Press the Start Stop key to start therapy 3 Block the open end of the tube with your hand The alarm activates within 60 seconds 4 Stop therapy High Pressure Alarm 1 Set the High Pressure Alarm to 4 cm H 0 2 Set CPAP or IPAP and EPAP to 10 cm H30 3 Press the Start Stop key to start therapy 4 Block the open end of the tube with your hand The alarm activates when the pressure rises 5 Stop therapy Low Pressure Alarm 1 Set the Low Pressure Alarm to 5 cm H30 2 Set CPAP or IPAP and EPAP to 10 cm H30 3 Press the Start Stop key to start therapy 4 Leave the open end of the tube unblocked The alarm activates within 30 seconds 5 Stop therapy Note If any of these alarms fail to activate when tested refer to the Troubleshooting section on page 40 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 If a fixed alarm has been activated the LCD screen will display instructions for the user When a user adjustable alarm has been activated the LCD screen will display the alarm setting Notes e The alarm actions listed below are based on having the appropriate alarm settings for the patient s therapy When a user adjustable alarm is activated re confirm the alarm settings e The alarm log and alarm settings ar
31. ble 6 Settings for Mask Types Settings MIRAGE ULTRA STANDARD MIR FULL Mask irage Swift Nasal Pillows System irage Swift Nasal Pillows System Ultra Mirage Nasal Mask Ultra Mirage II Nasal Mask Mirage Activa Nasal Mask irage Vista Nasal Mask irage Micro Nasal Mask irage Kidsta Nasal Mask eridian Disposable Nasal Mask Ultra Mirage Full Face Mask Mirage Quattro Full Face Mask irage Liberty Full Face Mask Hospital Full Face Mask Clinical Alarms Menu The device is fitted with alarms to alert you to changes that will affect the patient s treatment Table 7 Clinical Alarms Menu Fixed Alarms User Adjustable Alarms The alarms pre set for the device are Alarms that can be set are e power fail e leak alarm e over pressure pressure error e non vented mask e over use IPAP lower alarm e low minute ventilation e system fault system error e high pressure e check tube e low pressure Alarm LEDs yellow and red Alarm Mute Key Alarm Mute key TREATMENT wf 21 53 1 4 LCD screen z 1 7 Vt _780 E 10 Mv _7 8 VPAP III ST 4 QuickNav You can mute an alarm for two minutes by pressing the Alarm Mute key once If the problem is still present the alarm will sound again after two minutes or you can un mute the alarm by pressing the Alarm Mute key a second time An Alarm LED will remain lit for as long as the probl
32. connector between the flow generator and the air tubing while still providing safe and effective therapy At the fixed rate of oxygen flow the inhaled oxygen concentration will vary depending on the mask selected where the oxygen is introduced pressure settings patient breathing pattern and leak rate Oxygen tubing Oxygen tubing es k J tubing Full face mask Se Nasal mask Oxygen connector Oxygen connector Note Adding oxygen may affect the trigger and cycle reliability delivered pressure and the accuracy of the displayed leak tidal volume and minute ventilation WARNING e When oxygen is added always ensure that you verify the correct operation of triggering and cycling and activation of mask alarm when enabled e If oxygen is used 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 is left on oxygen delivered into the air tube may accumulate within the device enclosure and increase a risk of fire 34 e Ensure the airflow is being generated by the device before the oxygen is supplied e Turn the oxygen supply off before stopping the airflow from the device e Oxygen supports combustion Oxygen must not be used while smoking or in the presence of an open flame Procedure 1 Fit an oxygen connector to the air outlet of the device and fit the air tubing to the oxygen connector Fit the oxygen supply tubing to the port o
33. d 2 m air tubing Maximum flow Pressure measured at the end of standard 2 m air tubing Pressure cm H320 Flow L min 10 gt 220 20 gt 220 30 gt 120 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 H30 Rise Time Min 2 m air tubing Ultra Mirage mask zero leak 41 Expiratory cycle nominal characteristics The expiratory cycle occurs at the following flow rates e For HI high setting 33 of peak inspiratory flow e For MED medium setting 25 of peak inspiratory flow e For LO low setting 18 of peak inspiratory flow Sound pressure level lt 30 dB tested in accordance with the requirements of ISO 17510 1 2002 Alarm Volume Range The alarm volume range for the settings Low Medium and High is 72 84 dB Data storage 365 days of usage leak tidal volume respiratory rate and minute ventilation data Dimensions L x W x H 270 mm x 230 mm x 141 mm Weight 2 3 kg Air outlet 22 mm taper compatible with ISO 5356 1 2004 Anaesthetic amp Respiratory Equipment Conical Connectors Pressure measurement Internally mounted pressure transducer
34. e maintained when the device is powered down and in the event of a power loss e All the alarms on the device are of equal priority If multiple alarms are active simultaneously the active alarms will be displayed on the LCD in a rolling sequence for two seconds each in reverse chronological order the most recent first When a new alarm activates the display sequence restarts with the new alarm WARNING In the event of power failure or machine malfunction remove the mask from the patient Warning Signal Cause Action For all the medium priority alarms listed below the alarm will beep three times every 25 seconds and the yellow LED will flash LCD LCD turns off The device stops delivering air pressure e Power failure Remove your mask until power is restored 26 Warning Signal Cause Action e Power cord is disconnected or device Remove your mask until power is restored switched off while delivering treatment Notes without pressing the Start Stop key e Treatment will re start when power is restored Unless muted the alarm will sound for at least two minutes in the event of a power failure LCD CHECK TUBE The device stops delivering air pressure e Air tubing disconnected from the 1 Check that the air tubing is connected properly to the humidifier humidifier 2 Check that the humidifier or front cover is connected properly to the device Turn the device off and on again at the power s
35. e relevant instructions in the manual Adverse Effects Patients should report unusual chest pain severe headache or increased breathlessness An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of ventilation with the device e drying of the nose mouth or throat e bloating e ear or sinus discomfort e eye irritation e mask related skin irritations e chest discomfort Operating Information Bilevel Pressures The device assists spontaneous breathing by moving between two pressures in response to the patient flow or a preset fixed time The inspiratory positive airway pressure IPAP or the sum of PEEP and the pressure support level assists inspiration The lower expiratory positive airway pressure EPAP or PEEP eliminates exhaled air through the mask exhaust vent This facilitates exhalation comfort while providing a stent to maintain an open upper airway The difference of the two pressures pressure support level contributes to improved patient ventilation Ti Max IPAP EPAP Breath cycle 0 Figure 1 VPAP III ST A with QuickNav pressure movement TiControl Inspiratory Time Control TiControl is a unique feature of the VPAP series It allows the clinician to set minimum and maximum Ti limits Ti Min and Ti Max can be set to either side of the patient s ideal soontaneous inspiratory time offering
36. ect the appropriate humidifier from the Humidifier menu this is not necessary when using the H2i as it is automatically detected This will adjust the alarms and SmartStart to ensure correct activation with the increased resistance of the humidifier For details on humidifier use see Using Humidifiers on page 9 Setting TiControl The Ti Max and Ti Min settings allow the clinician to vary the minimum and maximum amount of inspiratory time TiControl Ti Ti Min Max Time Time Cycle Window Patient Flow Figure 8 TiControl Ti Min and Ti Max Time Parameters sets the Cycle Window Setting Ti Max Under conditions of high or variable leaks eg mouth leak or where respiratory flow is restricted eg COPD Ti Max provides an inspiratory time limit to better match that patient s ideal inspiratory time Note Care should be taken not to set Ti Max shorter than the patient s actual inspiratory time as this may lead to a decrease in the effectiveness of pressure support and result in discomfort for the patient If the patient complains that inspiratory time is too short consider increasing the value Procedure 1 Observe the patient s inspiration time and respiratory pattern The measured Ti and E ratio on the treatment screens may help 38 2 Set the Ti Max slightly longer ie 0 1 0 2 seconds than the patient s spontaneous inspiratory time Eg if the patient has a spontaneous inspiratory time of 1 5 seconds a Ti Max
37. em is present 23 Testing the Alarm Signal When the device is turned on the alarm LEDs will flash and the alarm will beep twice to test the alarm To test the alarm manually using the menus or to adjust the alarm volume go to the Options menu Clinical or Patient then Setup gt Alarm Vol Test User Adjustable Alarms Alarms that can be set are leak alarm non vented mask low minute ventilation high pressure and low pressure ALARMS 21 53 Leak Alarm On i Non Vented X Off Low MV 2 Lmin High Press 30 20 Low Press 3 20 K 1 7 vt 780 AR 10 Mv _7 8 Figure 6 Alarms menu Table 8 Alarm settings and descriptions Alarm Setting Default Description Leak Alarm ON Enables or disables the Mask Alarm feature when enabled leaks gt 40 L min 0 7 L sec for gt 20 seconds result in an audible alert and a HIGH LEAK message For details see Leak Alarm on page 25 Options ON OFF Non Vented Alarm OFF Sets the non vented mask alarm that activates within 30 seconds 15 Non vented mask alarm seconds on average when a non vented mask is attached during therapy Note Use of supplemental oxygen with a vented mask may activate the non vent alarm see page 34 Options ON OFF Low MV 2 L min Sets the minimum minute ventilation Activates within 30 seconds Low minute ventilation average 15 seconds after the measured level remains below the set limit for 30 seconds Ra
38. en anne el Patient Treatment Menu Patient Summary Menu Patient Settings Menu Patient Options Menu Clinical Menu 0 0 00 0 b erent tebe t ete teeny Clinical Settings Menu Clinical Alarms Menu Alarms Troubleshooting Clinical Options menu Data Management ursi na pee yue sipia enn ok Bhat bb seme deat ale gta dele Interpreting Data Data Management using the Menus 00 00002 eee Treatment Screens Reviewing Data in the Patient and Clinical Menus Contents DAAMDARWWWNHYNNN PH gt NON Clinical Summary Menu Data Management using a PC application Additional Functions 0 0 0 0 0c c cence ee eb bene eben bebe bbb bebe neennnns Adding Supplemental Oxygen Using an Antibacterial Filter Using a Battery to Power the Device Cleaning and Maintenance 0 200 nnn teen Servicing Clinical Problem Solving 2 2 0 0 raanei ire pra a ete teen Setting TiControl AFOUDIESHOOUAG 4 3 2 5 22 deca aaa eaten dala aa GO dee oth Slate hee DERE es 2 Technical Specifications 24 4 scts a eec Adicio a a A E aut aaa E aetna GAN Introduction The VPAP III ST A with QuickNav is a bilevel pressure support ventilator specifically designed for non invasive mask ventilation The VPAP III ST A with QuickNav delivers a positive pressure via a single air circuit with the exhaled air exiting through a mask exhaust vent This manual includes information on how the device op
39. erates as well as information on how to set up the device to optimize ventilation A VPAP III STA with QuickNav User Guide is supplied with the device Please ensure the patient has the user manual 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 e operation which is not in accordance with the operating instructions supplied e 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 e Warning alerts you to possible injury e Caution explains special measures for the safe and effective use of the device e Note is an informative or helpful note Medical Information Indications for Use The VPAP III ST A system is intended to provide non invasive ventilation for adult patients gt 66 Ib with respiratory insufficiency or obstructive sleep apnea OSA in the hospital or home When used with ResMed s Mirage Kidsta Nasal Mask the VPAP III ST A is intended to provide non invasive ventilation for pediatric patients aged 7 years or older gt 40 b with respiratory insufficiency or OSA CAUTION USA ONLY Federal law restricts this device to sale by or on the order of a physici
40. hold Triggering occurs when inspiratory flow increases above a certain level and the device changes from EPAP to IPAP See Triggering and Cycling on page 6 Options LO MED HI Sets the sensitivity for the cycling threshold Cycling occurs when inspiratory flow decreases below a certain level and the device changes from IPAP to EPAP See Triggering and Cycling on page 6 Options LO MED HI Sets the inspiratory time Timed mode Options 0 1 4 0 sec 0 1 sec increment Selects the type of mask used by the patient Options See Settings for Mask Types on page 22 for details 21 Parameter Mode Default Description Humidifier All modes NONE Adjusts the system for treatment with or without a humidifier Note The device automatically detects the presence or absence of the HumidAire 2i Options HUMIDAIRE heated HumidAire PASSOVER ResMed Passover NONE H2i HumidAire 2iC Tube Length All modes 2m Sets the length of tubing used between the unit and the mask Options 2 m 3 m AB Filter All modes NO Adjusts the system for treatment with or without an antibacterial filter For details see Using an Antibacterial Filter on page 35 Options YES NO Check Mask All modes Displays the mask fit star rating For details see Using the Mask Fit Fitting Feature on page 13 SmartStart All modes OFF Enables or disables the SmartStart Stop feature when enabled Stop the unit will start automatically whe
41. larm is enabled but alarm does not activate when the mask is removed during treatment 40 Problem Possible Cause Solution Incompatible air delivery system being used Use only equipment as recommended and supplied by ResMed Humidifier used but Humidifier option has not been Enable the Humidifier option selected IPAP and or EPAP settings are too low for the air Increase IPAP and or EPAP pressure if appropriate delivery components being used Date or time in data files is wrong Date or time on the device is wrong Correct the current time and date in the Options menu Displays error message SYSTEM ERROR Call service Component failure Return your device for servicing Excessive motor noise Component failure Return your device for servicing White LED is flashing Mask fit is in use Stop mask fit or wait until it finishes three minutes Technical Specifications Performance e Operating pressure range 2 to 30 cm H20 e Maximum single fault pressure 40 cm H20 e Pressure Measurement 0 5 cm H20 4 of the measured Tolerance reading e Flow Measurement Tolerance 0 3 L s Dynamic pressure characteristics e IPAP 2 cm H20 to 30 cm H20 measured at the end of standard 2 m air tubing e EPAP 2 cm H20 to 25 cm H20 measured at the end of standard 2 m air tubing e CPAP 4 cm H20 to 20 cm H20 measured at the end of standar
42. liance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast transient burst 2 kV for power supply lines 2 kV Mains power quality should be that of a typical commercial or hospital environment IEC 61000 4 4 1 kV for input output Not Applicable lines Surge 1 kV differential mode 1 kV differential mode Mains power quality should be that of a typical commercial or hospital environment IEC 61000 4 5 2 kV common mode 2 kV common mode Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 Ut gt 95 dip in Ut for 0 5 cycle 40 Ut 60 dip in Ut for 5 cycles 70 Ut 30 dip in Ut for 25 cycles lt 12V gt 95 dip in 240V for 0 5 cycle 96 V 60 dip in 240 V for 5 cycles 168 V 30 dip in 240 V for 25 cycles Mains power quality should be that of a typical commercial or hospital environment If the user of the VPAP III ST A with QuickNav requires continued operation during power mains interruptions it is recommended that the VPAP III SFA with QuickNav be powered from an uninterruptible power source lt 5 Ut lt 12V gt 95 dip in Ut gt 95 dip in 240 V
43. m History Event History Settings Summary and Servicing information The example below shows how to navigate to the Usage Data from the Patient Summary Menu SUMMARY 21 53 SUMMARY 21 53 SUMMARY 21 53 Q LEFFICACY DATA Q LEFFICACY DATA jlusace DATA USAGE DATA O ECTS Used Since 12 Oct 2006 71 ALARM HISTORY 7 ALARM HISTORY 7i Used PERA m SETTINGS SUMMARY SETTINGS SUMMARY Usage 7 15 wasp y SERVICING Press Enter then Down SERVICING Press Enter LK 1 7 vt 780 RR 10 mv 7 8 LK 1 7 vt 780 RR 10 mv 7 8 LK 1 7 vt _780 RR 10 mv 7 8 Function Function Description Viewing Options Efficacy Data e Leak Press Enter to view the data e Vt tidal volume over e RR respiratory rate day e MV minute ventilation week e Spont T percentage patient triggered pressure month change 6 months e Spont C percentage patient cycled pressure year change respectively Usage Data e Used Since displays date device first used since last Press Enter to view Usage reset hrs day data over e Used displays the total number of hours for which the day device has been used and the number of days the week device was used out of the total number of days since month last reset 6 months e Usage Displays the average hours the device was year used each day total hours day
44. m fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur 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 VPAP III ST A with QuickNav is used exceeds the applicable RF compliance level above the VPAP III STA with QuickNav 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 STA with QuickNav Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m 45 Guidance and manufacturer s declaration electromagnetic emissions The VPAP III ST A with QuickNav is intended for use in the electromagnetic environment specified below The customer or the user of the VPAP III ST A with QuickNav should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR11 Group 1 The VPAP III SFA with QuickNav 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 SFA with QuickNav is suitable for use in all
45. mask Replace plug s Pressure required for treatment may have changed Conduct a clinical assessment and adjust pressure if necessary The device does not start when the patient breathes into the mask when SmartStart is enabled Power cord not connected properly Connect power cord firmly at both ends Power outlet may be faulty Try another power outlet The device is not switched on Turn power switch at rear of the device to on I SmartStart not on Enable SmartStart Breath is not deep enough to trigger SmartStart Take a deep breath in and out through the mask There is excessive leak Adjust position of mask and headgear Plugs may be missing from ports on mask Replace plug s Air tubing is not connected properly Connect firmly at both ends Air tubing is kinked or punctured Straighten or replace There is a large impedance eg antibacterial filter Press the Start Stop key oxygen connector in the air circuit Use of a full face mask SmartStart may operate less effectively with a full face mask The device does not stop when the patient removes their mask SmartStart Stop is disabled Enable SmartStart Stop Use of a full face mask SmartStop does not work with a full face mask Incompatible humidifier or mask system being used Use only equipment as recommended and supplied by ResMed Leak Alarm or Low MV Alarm is set to ON Set these alarms to OFF Leak A
46. mv 7 8 Table 5 Clinical Settings menu descriptions Parameter Mode Default Description Apply All modes Resets machine default settings except for Language Date and Factory Time You will be asked to confirm your selection Defaults Options YES NO Mode All modes SPONT Sets the therapy mode TIMED ST Options CPAP SPONT S SPONT TIMED ST TIMED T CPAP CPAP 8 0cm H2O Continuous Positive Airway Pressure Sets the fixed treatment pressure CPAP mode Note When changing from CPAP to bilevel mode the set CPAP pressure becomes the new IPAP and EPAP pressure Options 4 20 cm H20 0 2 cm H20 increment IPAP S ST T 10 0 cm Inspiratory Positive Airway Pressure H20 IPAP is the pressure which will be delivered to the patient when the device is triggered into inspiration Options 3 30 cm H20 0 2 cm H20 increment EPAP S SIT 4 0 cm H2O Expiratory Positive Airway Pressure 20 EPAP is the pressure which will be delivered to the patient when the device is cycled into expiration Options 3 25 cm H20 always below IPAP 0 2 cm H20 increment Parameter Respiratory Rate Ti Max Ti Min Max imum E Ratio E Ratio Rise Time Trigger Cycle Ti Mask Mode ST T S ST S ST ST S ST T S ST All modes Default 10 BPM 2 0 sec 0 3 sec Display item only Display item only 150 MED MED 2 0 sec ULTRA
47. n the oxygen connector OR Fit the oxygen supply tubing directly to the mask port Attach the other end of the oxygen supply tubing to an oxygen flowmeter Optimize the ventilator settings first and then add oxygen if baseline saturation remains low Titrate oxygen according to institutional guidelines or physician prescription Ol OON Determine an initial oxygen flow rate during wakefulness Only increase oxygen during sleep when titration of pressure is complete 6 If the patient is using oxygen at home complete titration with the oxygen entrained into the circuit at the same place that the patient will be using it at home Using an Antibacterial Filter Antibacterial filters can be used with the device The antibacterial filters increase resistance in the air circuit and may affect triggering and cycling and accuracy of display and delivered pressures ResMed recommends using a filter with a low impedance less than 2 cm H20 at 60 L min The device has an antibacterial filter setting which optimizes the treatment pressures with a filter impedance 2 cm H20 impedance at 60 L min When S or ST mode is used ensure the patient s breath is detected correctly and the device triggers and cycles accordingly Procedure 1 Fit an antibacterial filter to the air outlet of the device 2 Navigate to the AB Filter setting in the Clinical Settings menu page 20 and select YES This setting enables the device to compensate for the
48. n the patient breathes into the mask and stop automatically when the patient takes the mask off For details see SmartStart Stop on page 22 Options ON OFF Max Ramp All modes OFF Limits the ramp times the patient may select Options OFF 45 min 5 min increment Start CPAP CPAP 4 0cmH 0 Sets the pressure at the start of the ramp up to fixed treatment pressure Options 4 cm H 0 CPAP 0 2 cm H20 increment Start EPAP S ST T 4 0 cm H2O Sets the pressure at the start of the ramp up to fixed treatment pressure Options 2 cm H20 EPAP 0 2 cm H20 increment SmartStart Stop If you enable the SmartStart function the patient s device will start automatically when they breathe into their mask and will stop automatically when they take the mask off This means that the patient does not have to press the Start Stop key to begin or end treatment See Table 5 for details about enabling SmartStart Note If you select Mir Full as the mask option SmartStop is automatically disabled SmartStart may not work with a full face mask because of the anti asphyxia valve When the Leak or Low MV minute ventilation Alarm is set to ON SmartStart Stop is automatically set to OFF SmartStart Stop cannot be used with these alarms because if a high leak occurs SmartStop may stop treatment before the alarm signal is activated Settings for Mask Types The following table shows the setting that should be selected for each mask type 22 Ta
49. nd same length air tubing 2 Ensure that the patient has the relevant user guide and understands how to operate the equipment 3 Make sure that the patient has a contact phone number in case of emergency A good place to write this is in the front of the user guide Using the Mask Fitting Feature The mask fitting feature delivers air pressure for a three minute period before therapy begins for adjusting mask fit to minimize leak If a Ramp time is selected the mask can be adjusted at a pressure closer to the prescribed pressure In Spontaneous Spontaneous Timed and Timed modes the mask fit pressure is the set EPAP pressure or 10 cm H20 whichever is greater In CPAP mode the mask fit pressure is the set treatment pressure or 10 cm H20 whichever is greater A star rating is provided to give feedback to the patient on the quality of mask fit When using this device optimal star rating you may expect is three Table 4 Star ratings for the mask fitting feature Star rating Definition of leak L s L min x Excellent 0 0 0 0 2 Very Good 0 0 0 1 2 6 _ _ Good 0 1 0 2 6 10 __ Adjust mask 0 2 0 4 10 25 ____ Adjust mask 0 4 0 5 25 30 HIGH LEAK message Adjust mask gt 0 5 gt 30 1 While using the mask fitting feature the star rating values correspond to instantaneous leak calculated over the last 10 seconds To use the mask fitting feature 1 Instruct the patient to lie down in bed or in thei
50. nge OFF 2 10 L min 1 L min increments High Press 30 cm H2O Sets the high pressure limit Activates when pressure increases High pressure above the set limit for 700 msec Range OFF 4 35 cm H20 1 cm H20 increments Low Press 3 cm H20 Sets the maximum drop in pressure with reference to a set IPAP or Low pressure CPAP pressure Activates when the pressure drops by more than the set level for 12 seconds Note When SmartStart Stop is enabled SmartStop activates before the LOW PRES alarm Range OFF 2 to 10 cm H20 1 cm H20 increments 1 When the Leak or Low MV Alarms are set to ON SmartStop is automatically disabled SmartStop cannot be used with the Leak or Low MV Alarms because if either of these conditions occur SmartStop will stop treatment before the alarm signal is activated 24 WARNING l a In an environment where multiple devices are in use the devices may have different alarm settings CAUTION E Carefully review the alarm settings prior to using the device with a patient to ensure that the alarm settings are appropriate for that patient Leak Alarm The flow generator is equipped with an optional Leak Alarm The alarm will sound if the patient s mask falls off during the night or if there are excessive air leaks from the mask or mouth Use the Leak Alarm menu to enable the alarm see Clinical Alarms Menu on page 23 To temporarily silence the alarm press the Alarm Mute key or fix the cause of
51. or been disabled servicing 27 Warning Signal Cause Action e Power cord is disconnected or device Remove your mask until power is restored switched off while delivering treatment Notes without pressing the Start Stop key e Treatment will re start when power is restored Unless muted the alarm will sound for at least two minutes in the event of a power failure LCD CHECK TUBE The device stops delivering air pressure e Air tubing disconnected from the 1 Check that the air tubing is connected properly to the humidifier humidifier 2 Check that the humidifier or front cover is connected properly to the device Turn the device off and on again at the power switch 3 e There is a blockage in the air circuit 1 Check the air circuit for a blockage 2 Remove blockage 3 Re start therapy e Hardware failure If the alarm persists return the unit to ResMed for servicing LCD PRESSURE ERROR TURN OFF amp CALL SERVICE The device stops delivering air pressure Treatment pressure delivered above a set e Return the device for servicing level e DO NOT USE THE DEVICE LCD IPAP LOWER Device is operating outside device Continue using and contact your clinician about this alarm specifications Device settings may require adjustment LCD SENSOR ERROR TURN OFF amp CALL SERVICE The device stops delivering air pressure Hardware error e Return the device for servicing e DO
52. ory effort and determining the end of inspiration e time taken to reach and maintain the set pressure especially in the presence of leak The device has a unique leak management algorithm Vsync that monitors the leak and adjusts the baseline flow automatically This enables reliable triggering and cycling while maintaining the set pressures Triggering and Cycling Under normal conditions the device triggers initiates IPAP and cycles terminates IPAP and changes to EPAP as it senses the change in patient flow Patient breath detection is enhanced by the device s automatic leak management feature Vsync In addition the device has adjustable trigger cycle sensitivity to optimize the sensing level according to patient conditions High HI trigger sensitivity decreases the flow necessary for the device to move from EPAP to IPAP making it easier for a patient to trigger So for example for patients who have insufficient inspiratory effort flow set the trigger setting to HI to increase sensitivity to patient effort High cycle sensitivity will result in a quicker transition from IPAP to EPAP and low LO cycle sensitivity will delay this transition For example for patients who cannot maintain inspiratory flow or who complain of having their breath cut off set the cycle setting to LO which will delay the transition from IPAP to EPAP This will tend to prolong inspiratory time Adjustable Trigger Sensitivity Adj
53. ote You don t need to activate the humidifier option in the menus if the patient is using a HumidAire 2i but do for other humidifers HumidAire 2i The HumidAire 2i attaches to the front of the device to provide heated humidification No other accessories are required for its use This device automatically detects the presence of the HumidAire 2i No menu changes are required Please refer to the HumidAjire 2i User s Manual for details HumidAire 2iC The HumidAire 2iC attaches to the front of the device to provide passover humidification the device setting is H2i No other accessories are required for its use Please refer to the HumidAire 2iC User s Manual for details HumidAire or Passover Humidifer Medium size 52 cm air tubing is a necessary accessory for connecting the device to the HumidAire or Passover humidifier Refer to the relavant humidifer user manual for details Using the LCD QuickNav Screen and Keypad The control panel of this device includes an LCD screen LEDs and keypad Alarm LEDs Exit key Alarm Mute red QuickView Therapy LED Start Stop Up Down key Enter Soft key green LCD QuickNav screen Keypad and LCD Backlight To assist you in adjusting the device 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 If the Backlight menu option has been set to
54. r typical usage position and to put the mask on according to the mask user instructions 2 Hold down the Start Stop key on the control panel see Using the LCD QuickNav Screen and Keypad on page 10 for at least A a two seconds until pressure delivery starts and this screen e a appears a esad LK 1 7 Press 10 Note The mask fitting feature is accessible from the Patient and Clinical menus 3 Adjust the mask and headgear to achieve optimal fit 4 After three minutes treatment will begin Notes e f you do not wish to wait three minutes hold down the Start Stop key for two seconds and treatment will begin immediately e Ifyou press the Start Stop or Enter key briefly ie for less than two seconds the device will return to standby mode Using the Menus The LCD displays a variety of submenus parameters and data Whether the machine is in standby mode or delivering therapy you can view and change settings 14 Menu Overview The below flowchart provides an overview of the menu structure PATIENT MENU Locked ee When Therapy is OFF ie when the device is 1st switched on or when entering the Patient Menu this is the 1st screen displayed When Therapy is ON ie when Start is pressed or after a 1 min timeout in the Patient Menu this is the Screen displayed Hold Down Exit Up or Down n TREATMENT SUMMARY
55. rator before cleaning and be sure that it is dry before reconnecting CAUTION Do not attempt to open the device There are no user serviceable parts inside Repairs and internal servicing should only be performed by an authorised service agent Replacing the Air Filter Inspect the air filter every month to check if it is blocked by dirt or contains holes With normal use of the device 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 device 2 Remove and discard the old air filter 3 Insert a new filter with the blue tinted side facing out 4 Replace the air filter cover WARNING Do not wash the air filter The air filter is not washable or reusable Servicing This product VPAP III ST A with QuickNav should be inspected by an authorised ResMed service centre five 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 instructions 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 authorised ResMed service centre If you feel that your device is not performing p
56. rent unintentional leak units liters per minute or liters per second e Tidal volume Vt Volume of air inhaled per breath units milliliters per breath e Respiratory rate RR Number of breaths per minute e Minute ventilation MV Volume of air inhaled per minute units liters per minute It is the product of respiratory rate and tidal volume e Estimated pressure The estimated pressure at mask units cm H20 or hPa e Ramp Appears if ramp is operating disappears once the ramp time has elapsed Treatment Screen 3 Ti Graph The Ti Graph displays the live Ti bar history The far left Ti bar to the right of the Pressure bar is constantly active showing the current breath this Ti bar also appears on other screens during treatment The Ti graph displays the animated Ti bar history for 10 breaths before the screen refreshes The far right bar always shows the most recent breath See Pressure Bar and Ti Bar on page 17 Treatment Screen 4 Settings Check The Settings Check screen allows you to review the following device settings e Treatment mode Options include CPAP Spontaneous Spontaneous Timed and Timed e Respiratory Rate The set rate or backup rate breaths per minute e Rise Time The set time taken for the pressure to rise from EPAP to IPAP e Trigger Sensitivity for the triggering threshold e Cycle Sensitivity for the cycling threshold The Therapy Status bar at the bottom of the screen allow
57. roperly see Troubleshooting on page 40 CAUTION Inspection and repair should only be performed by an authorised agent Under no circumstances should you attempt to service or repair the flow generator yourself Clinical Problem Solving Mouth Leaks If mouth leaks are a persistent problem the patient may benefit from a chin strap or a full face mask The chin strap fits over the patient s head and helps to hold their mouth closed during the night Full Face Masks that cover both the nose and mouth preventing mouth leaks are available from ResMed Contact your supplier for more details or see www resmed com Indications for Humidification e Nasal stuffiness congestion e Rhinnorhea following the use of mask ventilation 37 e Mouth dryness e Patients with thick secretions eg cystic fibrosis bronchiectasis etc Humidification may be required for patients who experience nasal and upper airway dryness as a consequence of the high flow of air being directed through the nasal and oral passages It may also be required in those individuals who have tenacious secretions Mouth leaks occurring during the use of positive pressure therapy can significantly increase nasal resistance This increase in nasal resistance associated with mouth leaks may be prevented by fully humidifying the inspired air In most cases using heated humidification is the most effective way to decrease nasal resistance Note When using humidification sel
58. s used respectively Alarm History Displays the alarm events log in 24 hr sessions from 12 Press Enter to view the data noon to 12 noon over consecutive days for a Note The alarm events log is maintained when the five day period device is powered off and in the event of a power failure Settings Summary The settings summary screens enable the clinician to View only quickly review the device settings Servicing e Machine hours View only e SN serial number of the device e SW current software version al Patient Settings Menu The Patient Settings menu allows you to view and change settings such as mask type tube length and the humidifier used You can also access the mask fit feature SETTINGS 21 53 GN i Mask Ultra Humidifier None Tube Length 2m Check Mask Fit SmrtStrtStp Off LK 1 7 vt 780 RR 10 Mv 7 8 WARNING If these settings do not match your system set up this may alter the pressure the patient actually receives and reduce the effectiveness of your treatment Function Default Function Description Settings Mask ULTRA Selects your mask type See Settings for Mask Types on page 22 for the correct setting for your mask type 18 Function Default Humidifier NONE Tube Length 2m Check Mask Fit SmartStart OFF SmrtStrtStp Function Description Selects the type of humidifier to be used with the device Selects the length of air tubing connec
59. s you to view treatment data while therapy is running May include e Measured inspiration time Ti Avg The average inspiration time measured by the device averaged over five breaths e Measured I E ratio I E The inspiration to expiration ratio measured by the device averaged over five breaths TiMn The minimum inspiration time Ti Min set by your clinician TiMx The maximum inspiration time Ti Max set by your clinician Leak LK Tidal volume Vt Respiratory rate RR Minute ventilation MV Oxygen saturation level SpO only displays if an oximeter is attached through ResLink Sian Pressure Bar and Ti Bar T TiMx ATi Mn Ti Bar Ti Zero Pressure Bar Spontaneous Time Triggered Ti Max Cycled Ti Min Cycled The Pressure bar and Ti bar show the following Pressure bar Graphical display of the changing pressure In CPAP mode this displays the set treatment pressure units cm H20 or hPa In other modes it is expiration and inspiration pressures units cm H20 Ti bar Graphical display showing how the device changes pressure when you are inhaling and exhaling When the Ti Bar begins or ends with a triangle this indicates that the device has been triggered or cycled by a timed setting Ti Min Ti Max RR no triangle at the end of the bar indicates a patient triggered or cycled change Patient Summary Menu The patient summary menu allows you to view Efficacy Data Usage Data Alar
60. st the device is delivering therapy Options ON OFF 29 Parameter Default Description Press Units cmH 0 Selects the display units for Pressure Options cm H20 or hPa Scroll down for Flow Units L min Selects the display units for Flow Options L min or L sec Erase All Data Allows the clinician to erase the usage and efficacy data stored in the unit and data on the SmartMedia Card when a ResLink is attached Settings date machine run hours and time are not affected Time Sets the current time Date Sets the current date Language English Sets the display language Options English German Spanish French Italian Portuguese Dutch i These parameters appear in both the patient and clinical menus Erasing Data The Erase Data feature in Clinical Menu Options enables you to remove all data stored in the unit except Machine Hours Machine settings are not affected See Erasing Data Patient Usage Hours on page 13 Data Management The VPAP III ST A with QuickNav system may be used to monitor patient usage as well as unintentional leak tidal volume respiratory rate minute ventilation spontaneous triggered breaths spontaneous cycled breaths treatment pressure and the apnea hypopnea index The device stores usage and summary data for up to 365 sessions The stored device data can be viewed using the following e LCD menus page 31 e PC application such as ResScan page 34 Interpreting Dat
61. statistics are provided for five time intervals last day last week last month last six months last year So you can assess the significance of recent events All statistics calculated for a range of dates are median values The median is a more robust measure than an average for a data set that has some extreme values Alarm History Displays the alarm history over a 24 hour period 12 noon to 12 noon for five consecutive days Press Enter to scroll through the five consecutive 24 hour periods Settings Summary Displays a summary of the current device settings Servicing menu Machine Hours Displays the total number of machine hours SN Displays the device serial number SW Displays the current software version Note The Summary screens are also available in the patient menu 33 Data Management using a PC application Note The device is compatible for use with the optional ResLink and ResScan versions 3 5 and above Data can be viewed using a PC application eg ResScan with the device connected directly to the PC For further details on use see the PC application s manual If a ResLink is attached to the device data can be downloaded from the ResLink to your PC application For further details on use see the ResLink manual Oximeter SmartMedia card ResLink Figure 7 ResLink Additional Functions Adding Supplemental Oxygen Up to 15 L min of oxygen can be added at the mask or at an oxygen
62. t be recorded The display of the respiratory rate is a separate function to the delivery of the backup rate So the device will always deliver the set backup rate as intended Sampling frequency 50 Hz 20 ms Minute Ventilation is the product of respiratory rate and tidal volume The display is based on the five breath moving average updated every breath Note Accuracy can be affected in the presence of a large leak greater than 24 L min or 0 4 L sec and or a variable leak The correct mask setting is essential for accurate results Percentage of patient breaths in the session or the median percentage of breaths for the range of sessions selected that were spontaneously flow triggered Percentage of patient breaths in the session or the median percentage of breaths for the range of sessions selected that were spontaneously flow cycled Data Management using the Menus Treatment Screens After starting therapy you can display one of the treatment screens below Press the Enter key to scroll through the screens The soft key display at the top right of the screen shows which page you are on If no oximeter is attached screen 1 4 won t appear and screens 2 4 below will appear as screens 1 3 The Treatment screens can also be viewed from the Patient Menu 31 Treatment screen 1 only if ResLink and pulse oximeter are attached TREATMENT gf 21 53 T Oximeter Detected Successfully TMENT m 21 53
63. the leak WARNING Leak Alarm activation is a function of the flow generator set pressure the air delivery system in use and whether the humidifier mode is set Certain set pressures and combinations of air delivery components may mean the Leak Alarm fails to activate ResMed recommends that you test the Leak Alarm before commencing treatment See Testing the Alarms below Testing the Alarms The alarms should be tested weekly To test each alarm condition follow the procedures described below Initial Setup Ensure the device is setup as follows before carrying out each of the alarm tests 1 Turn off all configurable alarms 2 Set up the flow generator with the tube attached but no mask 3 Set Ramp to OFF 4 Set SmartStart Stop to OFF Power Fail Alarm 1 Press the Start Stop key to start therapy 2 Turn the ON OFF switch on the device to OFF The alarm activates immediately 3 Switch the device back ON The alarm stops 4 Stop therapy Leak Alarm 1 Set the Leak Alarm to ON 2 Leave the open end of the tube unblocked 3 Press the Start Stop key to start therapy The alarm activates within 20 seconds 4 Stop therapy Non vented Mask Alarm 1 Set the Non vented Mask Alarm to ON 1 Press the Start Stop key to start therapy 2 Block the open end of the tube with your hand The alarm activates within 30 seconds 3 Stop therapy 25 Low Minute Ventilation Alarm 1 Set the Low MV Al
64. ting your mask to the device Checks your mask fit star rating If SmartStart is enabled the device will start automatically when the patient breathes into the mask and will stop automatically when they take the mask off SmartStop This means the patient does not have to press the Start Stop key to begin or end treatment 2 Settings H2i HumidAire 2iC PASSOVER HUMIDAIRE NONE If the HumidAire 2i is used it is automatically detected and H2i is displayed 2m 3m View only ON OFF 1 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 2 When the Leak or Low MV Alarms are set to ON SmartStop is automatically disabled SmartStop cannot be used with the Leak or Low MV Alarms because if either of these conditions occur SmartStop may stop treatment before the alarm signal is activated F Patient Options Menu The Patient Options menu allows you to set the local time date and language and to test and change the alarm volume OPTIONS 21 53 W LSETUP CLOCK 7 LANGUAGE LK 1 7 vt 780 RR 10 Mv 7 8 Function Function Description Default Settings Setup e Alarm Vol Test Changes and tests the Medium alarm volume Note When you select the volume level and when you press enter the alarm will beep at the selected volume as a test e
65. ummary Menu on page 33 Delivering Therapy 1 Assemble the device and mask system as instructed See Setting up the device on page 8 2 Change the settings required for the treatment mode For instructions on changing settings see Menu Navigation on page 10 3 Instruct the patient to lie down in bed arrange the air tubing and put on the mask according to steps 1 and 2 in the section Using the Mask Fitting Feature on page 13 WARNING Do not leave long lengths of air tubing around the top of the bed they may twist around the patient s head or neck while sleeping Note If oxygen is used see Adding Supplemental Oxygen on page 34 Starting Therapy Note Before starting therapy check the integrity of the patient circuit Press the Start Stop key to start the airflow Air will begin flowing slowly and will build up to full operating pressure in about 10 to 15 seconds e f SmartStart is enabled instruct the patient to breathe inhale into the mask The device will start automatically see SmartStart Stop on page 22 e f oxygen is used ensure the device is generating airflow before adding oxygen Stopping Therapy Remove the mask and press the Start Stop key to stop airflow e f SmartStart Stop is enabled simply remove the mask and treatment will stop automatically SmartStop is not applicable with the Mir Full mask setting or when the Leak or Low MV minute ventilation Alarm
66. unction s White Therapy is running and LED option is enabled see Table 9 Clinical Options menu descriptions on page 29 Yellow or Red Indicates an alarm condition Starts and stops treatment Extended hold for at least two seconds activates the mask fitting feature e Within a menu or submenu navigates between items in that level Extended hold scrolls through selectable options Allows you to enter or change the menu or function highlighted on the LCD screen Functions of this key includes enter change and apply and it also operates as a soft key Allows you to exit the current menu or go back through the menus The function of this key is to exit from the current menu or setting Extended hold for at least three seconds takes you to the patient home screen Press once to mute alarms Press a second time to un mute If the problem is still present the alarm will sound again after two minutes See Clinical Alarms Menu on page 23 When ventilation is operating QuickView takes you immediately from the clinical menu to the treatment screens See Treatment Screens on page 31 Pushing QuickView again will return the display to where you were previously in the Clinical Menu Extended hold for at least two seconds gives access to the clinical menu from the Standby screen Extended hold for at least two seconds gives quick access to the Efficacy Data only in the Clinical Summary menu see Clinical S
67. upplemental oxygen with a vented Contact your clinician mask Note The non vented mask alarm activates within 30 seconds 15 sec on average of using therapy with a non vented mask Clinical Options menu OPTIONS m 21 53 OPTIONS 21 53 OPTIONS 21 53 OPTIONS 21 53 LSETUP NI LSETUP A LeLocK p LLANGUAGE CLOCK Alarm Vol Test Medium Time 21 53 g ail LANGUAGE Confirm Stop Off ral Date 12 Oct 06 T Deutsch z Backlight Auto z z Espanol Therapy LED Off Frangais Pres Units cm H20 El El Italiano LK 1 7 vt 780 RR Vt 780 RR _ 10 mv _7 8 LK 1 7 vt 780 RR 10 Mv _7 8 LK 1 7 vt 780 RR _10 mv 7 8 Table 9 Clinical Options menu descriptions Parameter Default Alarm Vol Test Medium Confirm Stop OFF Backlight AUTO Therapy LED OFF Description Set the alarm volume and test the alarm Options Low Medium High Enables or disables the Confirm Stop feature When enabled if you press the Stop key during therapy the Confirm Stop screen will appear If YES is selected therapy stops If NO is selected or any other key is pressed therapy continues Options ON OFF Enables or disables the continuous LCD backlight feature If disabled AUTO the LCD backlight turns off two minutes after the last menu selection and turns on when you press any key Options ON AUTO Enables or disables the therapy LED If enabled the white therapy LED is lit whil
68. ustable Cycle Sensitivity TiControl TiControl Ti Min Ti Max Ti Min Ti Max Patient Flow Patient Flow Figure 4 Adjustable trigger and cycle sensitivity Alarms The device is fitted with alarms to alert you to changes that will affect the patient s treatment See Clinical Alarms Menu on page 23 The VPAP Ill ST A with QuickNav Handle LCD screen 4 Control panel Air outlet Removable front cover The VPAP III STA with QuickNav comprises e VPAP III ST A with QuickNav device shown above e Power cord e Carry bag e 2 mair tubing WARNING Air filter cover Power switch AC Power Socket Aux Com Ports DC Power Socket The following accessories may be purchased separately e 3 m air tubing e Medium 52 cm air tubing for the HumidAire and ResMed Passover humidifiers e Hypoallergenic air filter e Antibacterial filter e Do not connect any device to the auxiliary port other than specially designed devices recommended by ResMed Connection of other devices could result in injury or damage to the unit e In the clinical environment any PC that is used with the device must be at least 1 5 m away from or at least 2 5 m above the patient It must also comply with IEC 60950 or equivalent Masks A ResMed mask system is recommended for use with the device For the latest available masks see www resmed com on the Products page under Service
69. witch 3 e There is a blockage in the air circuit 1 Check the air circuit for a blockage 2 Remove blockage 3 Re start therapy e Hardware failure If the alarm persists return the unit to ResMed for servicing LCD PRESSURE ERROR TURN OFF amp CALL SERVICE The device stops delivering air pressure Treatment pressure delivered above a set e Return the device for servicing level e DO NOT USE THE DEVICE LCD IPAP LOWER Device is operating outside device Continue using and contact your clinician about this alarm specifications Device settings may require adjustment LCD SENSOR ERROR TURN OFF amp CALL SERVICE The device stops delivering air pressure Hardware error e Return the device for servicing e DO NOT USE THE DEVICE LCD SYSTEM ERROR xxx TURN OFF amp CALL SERVICE The device stops delivering air pressure Component failure e Return the device for servicing e DO NOT USE THE DEVICE LCD HIGH LEAK e High mask leak for more than 20 seconds Adjust the mask to minimise leak see Using the Mask e Mask off Fitting Feature on page 13 or put the mask back on the patient LCD LOW PRESSURE XX e Air pressure at the mask has fallen below 1 Check that the air tubing is connected properly the alarm setting level 2 Turn the device off and on again at the power switch If e Mask is removed while SmartStop has the alarm persists return the unit to ResMed f

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