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ResMed Sleep Apnea Machine VPAP III ST-A User's Manual
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1. Conflauration Continuous Output Peak Output gg Power Rating Power Rating VPAP III ST A with QuickNav without 60W 225W HumidAire 2i humidifier VPAP III STA with QuickNav with 150W 300W 110V inverter HumidAire 2i 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 VPAP III ST A with QuickNav temperature specifications see System Specifications on page 16 Troubleshooting If there is a problem try the following suggestions If the problem cannot be solved contact your equipment supplier or ResMed Do not attempt to open the device Problem Possible Cause Solution No display Power not connected or switch at back is Ensure the power cable is connected and not on that the switch at the back of the device is in the ON position Insufficient air delivered from the device 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 Adjust position of mask and headgear correctly Plug s missing from access port s on Replace plug s mask Pressure required for treatment may have See your clinician to adjust the pressure changed The device does not start when you breathe into the mask when Smart
2. R001 307 2 05 06 wal Manufacturer ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia Distributed by ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA EC REP ResMed UK Ltd 96 Milton Park Abingdon Oxfordshire 0X14 4RY UK See www resmed com for other ResMed locations worldwide For patent information see www resmed com ip SmartStart TICONTROL VPAP and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U S Patent and Trademark Office 2012 ResMed Ltd 248603 1 2012 01 VPAP Ill ST A with QuickNav USER Global leaders in sleep and respiratory medicine www resmed com
3. IPAP 2 cm H20 to 30 cm H20 measured at the end of standard 2 m air tubing EPAP 2 cm H20 to 25 cm H20 measured at the end of standard 2 m air tubing CPAP 4 cm H20 to 20 cm H20 measured at the end of standard 2 m air tubing Maximum single fault 40 cm H20 pressure Maximum flow Pressure cm H20 Flow L min Pressure measured at the end of standard 4 244 2 m air tubing 8 252 12 245 16 248 20 246 Sound pressure level lt 30 dB tested in accordance with the requirements of ISO 17510 1 2002 lt 37 dB tested in accordance with the requirements of ISO 17510 1 2007 Sound power level lt 45 dB tested in accordance with the requirements of ISO 17510 1 2007 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 English Pressure measurement Internally mounted pressure transducer Flow measurement Internally mounted flow transducer Power supply AC 100 240V 50 60Hz 2 2A AC 110V 400 Hz 2 2A DC 24V 2A Housing construction Flame retardant engineering thermoplastic Environmental conditions e Operating Temperature 5 C to 35 C Operating Humidity 10 95 non condensing e Storage and Transport Temperature 20 C to 60 C e Storage and Transport Humidity
4. LEDs will flash To test the alarm manually or to change the volume see Testing the Alarm on page 11 2 Fit your mask as described in the mask user instructions Starting Treatment English 5 3 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep CAUTION Do not leave long lengths of air tubing around the top of your bed It could twist around your head or neck while you are sleeping 4 To start treatment press the Start Stop key or if the SmartStart function is enabled simply breathe into the mask and treatment will begin Patient Standby Screens The Patient Standby screens are displayed when the device is turned on Depending on your configuration and settings these screens may display as follows 22 23 12 Oct 2006 Warm up the Humidifier Set Ramp 40min Using the HumidAire 2i Warm up Feature If using a HumidAire 2i with the device you can use the Warm up feature to pre heat the water in the humidifier prior to starting treatment The humidifier will be automatically detected when the device is turned on and the standby screen will give you the option to start warming up the humidifier After stopping treatment the device will continue to blow air gently to assist cooling of the heater plate BOSE SE Humidifier Warning Set Ramp 40min v Ramp Time Ramp time is a feature which can be enabled
5. communication ports of this device connection of other devices could result in injury or damage to the unit e Inthe clinical environment any PC that is used with this 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 You will also need a ResMed mask supplied separately For information on using your mask see your mask manual For the latest available masks or to select the appropriate setting for your mask see www resmed com on the Products page under Service amp Support Humidifiers A humidifier may be required if you are experiencing dryness of the nose throat or mouth This device is compatible for use with the following ResMed humidifiers e HumidAire 2i heated humidifier e HumidAire 2iC passover humidifier e HumidAire heated humidifier e ResMed Passover humidifier WARNING The HumidAire 2i HumidAire 2iC HumidAire heated humidifier and the ResMed Passover are compatible for use with this device Please refer to Warnings on page 19 Setting up the device Place the device on a flat surface near the head of your bed 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 2 t Power switc
6. any 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 d 0 70 VP 800 MHz to 2 5 GHz 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 oy 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 from 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 elec
7. 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 properly see Troubleshooting on page 15 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 Helpful Hints Travelling with the VPAP III ST A with QuickNav International Use Your device has an internal power adapter that enables it to operate in other countries It will operate on power supplies of 100 240V 50 60Hz and 110V 400Hz No special adjustment is necessary but you will require an approved power cord for that country 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 Inverter or UPS The power specifications for an inverter or a UP S are listed in the following table English
8. kV for power 2 kV Mains power quality should be that of a typical commercial transient burst supply lines or hospital environment IEC 61000 4 4 1 kV for input Not Applicable output lines Surge 1 kV differential 1 kV differential Mains power quality should be that of a typical commercial IEC 61000 4 5 mode mode or hospital environment 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 for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be at levels 50 60 Hz characteristic of a typical location in a typical commercial or magnetic field hospital environment IEC 61000 4 8 Portable and mobile RF communications equipment should be used no closer to
9. two stars indicate that you should adjust your mask Tl Mask Fitting Good g i r E The mask fit star rating display disappears after three minutes LK _1 7 Press 10 3 If necessary adjust your mask mask cushion and headgear to reduce leak and check your mask fit star rating again on the LCD screen 4 After three minutes treatment will begin e If you do not wish to wait three minutes hold down the Start Stop key for at least two seconds and treatment will begin immediately e If you press the Start Stop key for less than two seconds the device will return to standby mode Stopping Treatment To stop treatment at any time remove your mask and press the Start Stop key or if the SmartStart function is enabled simply remove your mask and treatment will end SmartStop is not applicable with the Mir Full mask setting and certain alarms see SmartStart on page 10 1 The mask fit feature can also be accessed from the Patient Settings Menu 2 The mask fit pressure is the set treatment pressure or 10 cm H20 whichever is greater Starting Treatment English 7 How to Use the Menus QuickNav Screen Soft key display Tite bar Summary 92753 ESD EFFICACY DATA s Leak 14 4 Limin Scroll bar Menu icons 0400 1000 mi Main window gt Therapy Status bar Menu Navigation Press the Up Down key to highlight your selection To scroll through the menu ic
10. 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 20 Air filter Two layered powder bonded polyester non woven fibre Air tubing Flexible plastic 2 m or 3 m length IEC 60601 1 e Class II double insulation classifications 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 flow generator airpath Displayed values Value Accuracy Display Resolution Pressure sensor at air outlet Pressure 5 to 30 cm H2O 0 5 cm H20 4 of 0 1 cm H20 measured value Flow sensor in flow generator Leak 0 120 L min ee 1 L min Tidal volume 50 3 000 mL es TmL Respiratory rate 6 60 BPM 0 5 BPMt 1 BPM Minute ventilation 0 6 60 L min ae 0 1 L min Results may be inaccurate in the presence of leaks or supplemental oxygen The displayed values are estimates They are provided for trending purposes only t Results may be inaccurate if the tidal volume is below 50mL System Specifications 17 18 Notes e The manufacturer reserves the right to ch
11. 61000 3 3 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 f 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 ST A 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 SFA 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 to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Ww d 1 17 VP d 0 35 VP d 0 7 P 0 01 0 1
12. 7 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 Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity 21 22 Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer This warranty is not transferable tubing Excludes single use devices Product Warranty Period ResMed humidifiers ResControl ResLink ResTraxx 1 Year ResMed flow generators 2 Years Accessories mask systems including mask frame cushion headgear and 90 Days Note Some models are not available in product or any of its components This Limite all regions f the product fails under conditions of normal use ResMed will repair or replace at
13. NT e Connection of a non vented mask e Ensure your mask has an expiratory flow port i e Mask expiratory flow port vent vent 2 may be blocked e Ensure your mask expiratory flow ports e Use of supplemental oxygen with vents are not blocked a vented mask e Contact your clinician Note The non vented mask alarm activates within 30 seconds 15 sec on average of using therapy with a non vented mask Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section Daily Cleaning Mask Clean the mask according to the instructions supplied with the mask Air tubing Disconnect the air tubing from the device and humidifier if used and store the tubing and mask in a clean dry place until next use CAUTION l Do not store the air tubing in direct sunlight as the tubing may harden over time and eventually crack Humidifier If you are using a humidifier clean it according to the instructions 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 lt 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 ca
14. RESMED VPAP Ill ST A with QuickNav User Guide English RESMED VPAP Ill ST A with QuickNav User Manual English Introduction sce ees heer ce oct aE Als de tite ee i 1 User Owner Responsibility 1 Medical Information roes uro a E EEEE UNE eee 1 Intended Use 1 Contraindications 1 Adverse Effects 1 The VPAP III ST A with QuickNav 2 Masks 2 Humidifiers 2 Setting Up the device soos acne niecwmaGha vies EEEE E ees 88S 3 Attaching a Humidifier 4 Using the LCD QuickNav Screen and Keypad 4 Starting Treatment nananana 5 Patient Standby Screens 6 Using the Mask Fit Feature 7 Stopping Treatment 7 How to Use the Menus 0 anaa aaa 8 QuickNav Screen 8 Menu Navigation 8 Patient Treatment Menu 8 Patient Summary Menu 8 Patient Settings Menu 9 Patient Options Menu 10 WKEAlIrMSa sri folk te aE aa lr N aa a a aaa 11 Alarms Troubleshooting 11 Cleaning and Maintenance 0 0000 13 Servicing 14 Helptulbints 54 53 74 9 o20 5359 2c8 Ber eee ie eo Re ee 14 Troubleshooting 0 0000 ae N EE E 15 System Specifications aoaaa aaae 16 General Warnings and Cautions 19 Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity oaaae 20 Limited Warranty aaau anaana aeea errr 22 Introduction The VPAP IIl ST A with QuickNav is a bilevel pressure support ventilator specifically designed for non invasive mask v
15. Start 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 Troubleshooting 15 16 Problem Possible Cause Solution Breath is not deep enough to trigger Take a deep breath in and out through the SmartStart 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 Press the Start Stop key filter oxygen connector in the air circuit The device does not stop when you remove your 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 Use only equipment as recommended and being used supplied by ResMed Leak Alarm or Low MV Alarm is set to ON Consult your clinician Displays error message SYSTEM ERROR Call service Component failure Return your device for servicing Excessive motor noise Component failure Return your device for servicing System Specifications Dynamic pressure characteristics
16. able parts inside Repairs and internal servicing should only be performed by an authorised service agent A caution explains special measures for the safe and effective use of the device At low EPAP pressures the flow through the mask vent holes may be inadequate to clear all exhaled gases and some rebreathing may occur f 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 the relevant instructions in the manual System Specifications English 19 20 Guidance and Manufacturer s Declaration Electromagnetic Emissions and Immunity Guidance and manufacturer s declaration electromagnetic immunity 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 SFA with QuickNav should assure that it is used in such an environment Immunity test 1EC60601 1 2 test level Compliance level Electromagnetic environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If floors discharge ESD 8 kV air 8 kV air are covered with synthetic material the relative humidity IEC 61000 4 2 should be at least 30 Electrical fast 2
17. ange these specifications without notice e Further clinical information is available through your authorised ResMed service centre Symbols which may Appear on the Product i Follow instructions for use Class Il equipment v Type CF equipment EC REP European Authorised Representative b Drip proof Start Stop Mask Fit lt Alarm LEDs Alarm Mute QuickView Enter Exit AC switch only tal Manufacturer R 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 General Warnings and Cautions A warning alerts you to possible injury The entire manual should be read before using the de
18. by your clinician If you have difficulty becoming accustomed to the full pressure select a ramp time The airflow will start very gently and slowly increase to full operating pressure over the selected ramp time If your clinician has set a maximum ramp time the Set Ramp option is displayed on the Patient Standby screen Ramp time can be altered in five minute increments from OFF to a maximum ramp time set by your clinician by using the Up Down key ST a 21 53 all 12 Oct 2006 E Ramp 19 45 Patient Home Screen Treatment Screen This screen displays the time and date the pressure bar and the remaining Ramp time if a Ramp time has been set If you do not have a H2i attached and or your clinician has not enabled Ramp time these options will not appear Using the Mask Fit Feature This device includes a mask fit feature to help you fit your mask properly If a Ramp time is selected the mask can be adjusted at a pressure closer to the prescribed pressure To use the mask fit feature 1 Fit your mask as described in the user instructions 2 Hold down the Start Stop key for at least two seconds until air pressure delivery starts The flow generator will ramp to the mask fit pressure and will remain at this pressure for three minutes SETTINGS __f _ 21 53 The LCD also displays a mask fit star rating from zero to Oy five stars Three to five stars indicate a good fit Zero to ww
19. entilation This user manual contains the information you need for the correct use of your VPAP III STA with QuickNav User Owner Responsibility The user or owner of this system shall have sole responsibility and liability for any injury to persons or damage to property resulting from operation which is not in accordance with the operating instructions supplied maintenance or modifications carried out unless in accordance with authorised instructions and by authorised 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 Intended Use The VPAP III SFA system is intended to provide non invasive ventilation for patients with respiratory insufficiency or obstructive sleep apnoea OSA in the hospital or home Contraindications This device should not be used if you have an insufficient respiratory drive to endure brief interruptions in non invasive ventilation therapy This device is not a life support ventilator and may stop operating with power failure or in the unlikely event of certain fault conditions If you have any of the following conditions tell your doctor before using this device acute sinusiti
20. ew only Fit fit star rating How to Use the Menus 9 English Function Default Function Description Settings SmartStart OFF If SmartStart is enabled the ON OFF SmrtStrtStp device will start automatically when you breathe into the mask and will stop automatically when you take your mask off SmartStop This means you do not have to press the Start Stop key to begin or end treatment If you select Mir Full as the mask option SmartStop is automatically disabled SmartStart may not work with a full face mask due to safety features of the mask When 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 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 SETUP oO CLOCK al LANGUAGE LK 1 7 Vt 780 RR _10 mv 7 8 Function Function Description Default Settings Setup Alarm Vol Test Allows you to Medium Low Medium and High change and test the 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 LCD Backlight AUTO ON AUTO Clock Allows y
21. h L as AC locking clip 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 1 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 Setting up the device English WARNING Only ResMed air tubing should be used with your flow generator A different type of air tubing may alter the pressure you actually receive and reduce the effectiveness of your treatment Do not use conductive or anti static hoses or tubes 4 Connect your mask system to the free end of the air tubing Attaching a Humidifier WARNING When using a humidifier position it lower than your sleeping position so that any excess condensation drains back into the water chamber and at the same level or lower than the device Notes e You must activate the humidifier option in the menus if you are using a HumidAire or Passover humidifier e For detai
22. its option the defective d Warranty does not cover a any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organisation that has not been expressly authorised by ResMed to perform such repairs c any damage or contamination due to cigarette pipe cigar or other smoke d any damage caused by water being spilled Warranty is void on product sold or resold ou product must be made by the initial consume This warranty is in lieu of all other express or on or into a flow generator side the region of original purchase Warranty claims on defective r at the point of purchase implied warranties including any implied warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limita ion may not apply to you ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale installation or use of any ResMed product Some regions or states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation may not apply to you This warranty gives you specific legal rights and you may a For further information on your warranty right so have other rights which vary from region to region s contact your local ResMed dealer or ResMed office
23. larm LEDs Red Yellow are on during an alarm condition or during alarm testing Keypad Keys The device keypad has the following keys Key Function Start Stop Starts or stops treatment Extended hold for at least two seconds starts the Mask Fitting feature QuickView Clinical menu function key Clinical use only Alarm Mute amp Press once to mute alarms Press a second time to un mute alarms If the problem is still present the alarm will sound again after two minutes See Alarm Mute Key on page 11 Exit red 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 Up Down Allows you to scroll through the device menus submenus and settings Enter green 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 Starting Treatment The device should be assembled beside your bed with the air tubing and mask system connected 1 Turn the power switch at the back of the device to on I When the device is turned on the Patient Standby screen is displayed Notes e Ifyou have the HumidAire 2i attached see Using the HumidAire 2i Warm up Feature on page 6 e When the device is turned on the alarm will sound a test beep and the red and yellow
24. ls on using humidifiers please see you relevant user manual HumidaAire 2i 2iC Humidifier The HumidAire 2i or 2iC attaches to the front of the device to provide heated or passover humidification respectively No other accessories are required for its use The VPAP III ST A with QuickNav automatically detects the presence of the HumidAire 2i HumidAire or Passover Humidifier Medium size 52 cm air tubing is a necessary accessory for connecting the device to the HumidAire or Passover humidifier Note Place the device on top of the humidifier Do not place the device underneath the humidifier This is to avoid water spilling into the device 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 rad QuickView Therapy LED Start Stop Up Down key Enter Soft key green LCD QuickNav screen LCD Screen The LCD screen displays the menus treatment screens and alarm conditions 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 The LCD backlight may be set to be on continually The keypad backlight is on at all times when the device is powered LEDs The Therapy LED white may be on during treatment if enabled by your clinician The A
25. mv 7 8 LK 1 7 vt 780 RR 10 MV 7 8 LK _1 7 vt 780 RR _10 mv 7 8 The data displayed in the Summary menu screens is view only In some Summary menu screens pressing Enter when the soft key in the title bar is selected allows you to choose a time period over which the data is measured eg a day a week a month etc ll Patient Settings Menu The Patient Settings menu allows you to view and change settings such as mask type tube SETTINGS 21 53 O Mask MIR FULL O Humidifier None Tube Length 2m T Check Mask Fit gt SmrtStrt Stp off LK 1 7 vt 780 RR 10 mv 7 8 WARNING ength and the humidifier used You can also access the Mask Fit feature If these settings do not match your system set up this may alter the pressure you actually receive and reduce the effectiveness of your treatment Function Default Function Description Settings Mask MIR Selects your mask type See www resmed com or FULL ask your clinician for the correct setting for your mask type Humidifier NONE Selects the type of humidifier to NONE H2i HumidAire 2iC be used with the device PASSOVER HUMIDAIRE If the HumidAire 2i is used it is automatically detected and H2i is displayed Tube Length 2m Selects the length of air tubing 2m connecting your mask to the 3m device Check Mask Allows you to check your mask Vi
26. ons or items within a menu or submenu To enter a menu or submenu Press Enter To change a setting or activate a 1 Press Enter function 2 Press the Up Down key until the desired setting appears 3 Press Enter to select the setting To exit from changing settings or Press Enter or Exit options To exit out of a menu or submenu Press Exit To scroll through pages or time periods Press Enter using the soft key display when available O 2 amp amp Pressing Exit will not cancel changes you have made to the settings ON Patient Treatment Menu The patient treatment menu displays a pressure bar and any remaining set Ramp time See Patient Home Screen Treatment Screen on page 6 Patient Summary Menu The patient summary menu allows you to view details about the time used a summary of your device settings and the current software version of your VPAP III ST A with QuickNav The below example shows the progression of screens as you navigate to the Usage Data from the Patient Summary Menu 1 2 3 SUMMARY 21 53 SUMMARY 21 53 SUMMARY 21 53 R LEFFICACY DATA LEFFICACY DATA lUsace Data USAGE DATA Used Since 12 Oct 2006 mj ALARM HISTORY zA ARM HISTORY 7i Used aooe EVENT HISTORY EVENT HISTORY ne E SETTINGS SUMMARY SETTINGS SUMMARY Ed Usage 7 15 nrs aay SERVICING SERVICING LK 1 7 vt 780 RR _10
27. ou to set the time and date Language Selects the menu language English English German French Italian Spanish Dutch Portuguese 10 A tick will appear next to the currently selected language The Alarms This device is fitted with alarms to alert you to changes that will affect your treatment Alarm Mute Key You can mute an alarm by pressing the Alarm Mute key once Pressing this key a second time will un mute the alarm If the problem is still present the alarm will sound again after two minutes An alarm LED will remain lit for as long as the problem is present The Title bar of the LCD will display the alarm description while the alarm is muted Testing the Alarm English When the device is turned on the LEDs will flash and the alarm will beep to confirm that the alarm is working Setting the Alarm Volume You can set and test the alarm volume from the Patient Options Menu The alarm will beep at the selected volume when you press Enter All menus remain available during an alarm Treatment screens are not viewable during an alarm condition Alarms Troubleshooting The most common reason for an alarm to sound is because the system has not been properly assembled Check that the air tubing has been properly attached to the flow generator and mask and humidifier if used When an alarm has been activated the LCD screen will display either alarm information or recommended instructions for you or yo
28. s or otitis media epistaxis causing a risk of pulmonary aspiration 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 Adverse Effects You should report unusual chest pain severe headache or increased breathlessness to your physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy e drying of the nose mouth or throat e bloating Introduction English 1 e ear or sinus discomfort e eye irritation e mask related skin irritations e chest discomfort The VPAP Ill ST A with QuickNav Handle LCD screen Air filter cover Control panel Power switch Air outlet AC Power Socket Removable DC Power Socket Communication ports front cover The VPAP III STA with QuickNav comprises VPAP III SFA with QuickNav shown above e Power cord e Carry bag e 2mair tubing The following accessories may be purchased separately 3 mair tubing e Medium 52 cm air tubing for the HumidAire and ResMed Passover humidifiers e Hypoallergenic air filter WARNING e Do not connect any device to the communication ports Although your health care provider may connect specially designed devices to the
29. the unit to ResMed for servicing LCD IPAP LOWER Device is operating outside device specifications Continue using and contact your clinician about this alarm Device settings may require adjustment LCD SYSTEM ERROR xxx TURN OFF amp CALL SERVICE The flow generator stops delivering air pressure Component failure Return the device for servicing DO NOT USE THE DEVICE LCD HIGH LEAK High mask leak for more than 20 seconds Adjust the mask to minimise leak See Using the Mask Fit Feature on page 7 LCD LOW PRESSURE XX Air pressure at the mask has fallen below the alarm setting level e Mask is removed while SmartStop has been disabled Check that the air tubing is connected properly Turn the device off and on again at the power switch If the alarm persists return the unit to ResMed for servicing LCD HIGH PRESSURE XX Mask pressure exceeds alarm setting level APUN The treatment will stop Turn power off Turn power back on Try using the flow generator one more time If the high pressure alarm activates repeatedly discontinue use and return to ResMed for servicing If the alarm does not recur then continue to use as normal LCD Low MV XX Minute ventilation level has dropped below the alarm setting level Contact your clinician 12 Warning Signal Cause Action LCD NO MASK VE
30. tromagnetic site survey should be considered If the measured field strength in the location in which the VPAP III STA with QuickNav is used exceeds the applicable RF compliance level above the VPAP III ST A 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 Guidance and manufacturer s declaration electromagnetic emissions 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 SFA with QuickNav should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance G RF emissions CISPR11 Group 1 The VPAP III ST A with QuickNav uses RF energy D only for its internal function Therefore its RF io 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 gt EE use in all establishments including domestic Harmonic Emissions Class A establishments and those directly connected to EC 61000 3 2 the public low voltage network that supplies Voltage Fluctuations Flicker Emissions Complies buildings used for domestic purposes EC
31. ur clinician Note The alarm actions listed below are based on having the appropriate alarm settings for your therapy When an alarm is activated consult your clinician CAUTION In the event of power failure or machine malfunction remove the mask to avoid rebreathing your exhaled air Warning Signal Cause Action For all the medium priority alarms listed below you will hear a single intermittent tone and the yellow LED will flash LCD LCD turns off The flow generator stops delivering air pressure e Power failure Remove your mask until power is restored e Power cord is disconnected or Notes device switched off while Treatment will re start when power is restored delivering treatment without e Unless muted the alarm will sound for at least pressing the Start Stop key two minutes in the event of a power failure LCD CHECK TUBE The flow generator stops delivering air pressure e Air tubing disconnected from the 1 Check that the air tubing is connected HumidAire 2i 2iC properly to the HumidAire 2i 2iC 2 Check that the HumidAire 2i 2iC or front cover is connected properly to the flow generator The Alarms 11 Warning Signal Cause Action 3 Turn the device off and on again at the power switch e There is a blockage in the air circuit i 2 3 Check the air circuit for a blockage Remove blockage Re start therapy e Hardware failure If the alarm persists return
32. use hardening and reduce the life of the product e Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack Periodic Cleaning 1 Clean the exterior of the 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 14 WARNING l Beware of electric shock Do not immerse the flow generator or power cord in water Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting Cleaning and Maintenance 13 14 CAUTION l 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
33. vice Advice contained in this manual should not supersede instructions given by the prescribing physician This device should be used with masks and accessories recommended by ResMed or the prescribing physician Use of incorrect masks and accessories may adversely affect the function of this device This device is designed for use with masks that allow exhaled gases to be flushed out through vent holes or anti asphyxia valves 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 In the event of power failure or machine malfunction no air pressure will be delivered Remove the mask This 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 H20 are possible This device is not suitable for use in the vicinity of flammable anaesthetics This device should not be used with anaesthetised patients whose breathing depends entirely on mechanical ventilation If oxygen is used with this 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 Do not use this device if there are obvious external defects unexplained changes in performance or unusual noises Do not open this device case There are no user service
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