ResMed Oxygen Equipment VPAP ST User's Manual
Contents
1. 20 Respiratory rate 1 BPM Minute ventilation 20 a Results are expressed at ATPD Ambient Temperature and Pressure Dry b Accuracy may be reduced by the presence of leaks supplemental oxygen tidal volumes lt 100 mL or minute ventilation lt 3 L min c Measurement accuracy verified as per EN ISO 10651 6 2009 for Home Care Ventilatory Support Devices Figure 101 and Table 101 using nominal ResMed mask vent flows Pressure accuracy Maximum static pressure variation at 10 cm H20 according to EN ISO 17510 1 2009 Without H5i With H5i Standard air tubing 9 89 cm H20 to 9 97 cm H20 9 82 cm H20 to 9 98 cm H20 SlimLine air tubing 9 76 cm H20 to 9 87 cm H20 9 78 cm H20 to 9 88 cm H20 Maximum dynamic pressure variation according to EN ISO 17510 1 2009 Pressure cm H20 4 8 12 16 20 25 Pressure cm H20 12 16 20 25 Symbols 10 BPM 0 18 0 18 0 21 0 20 0 21 0 20 0 22 0 21 0 23 0 22 0 30 0 31 10 BPM 0 22 0 20 0 23 0 19 0 22 0 21 0 22 0 23 0 24 0 27 0 31 0 31 15 BPM tubing with H5i 0 30 0 30 0 26 0 24 0 26 0 23 0 27 0 26 0 26 0 28 0 54 0 50 15 BPM tubing with H5i 0 28 0 29 0 32 0 29 0 35 0 29 0 41 0 33 0 37 0 34 0 50 0 54 The following symbols may appear on your product or packaging 20 BPM VPAP ST and Standard air tubing without H5i VPAP ST and Standard air 05170 51 0 38 0 36 0 34 0 31 0 36 0 33 02. 38 0 35 0 74 0 71 20 BPM VPAP ST and SlimLine air tubing without H5i VPAP ST and SlimLine air 0 47 0 53 0 41 0 42 0 41 0 45 0 44 0 50 0 48 0 50 0 78 0 84 Caution Read instructions before use IP21 Protection against insertion of fingers and against l vertically dripping water Type BF equipment E Class Il equipment Start Stop Manufacturer Ke European RoHS L T_ Batch code REF_ Catalogue number SN_ Serial number English 13 Direct current Th Lock unlock China pollution control logo 1 0 D China pollution control logo 2 European Authorised Representative IP20 Not drip proof a Keep dry e ah 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
3. A different type of air tubing or accessory may alter the pressure you actually receive reducing the effectiveness of the treatment Only use the ResMed 90W or 30W power supply unit Use the 90W power supply unit to power the system comprising the device H5i air tubing DC DC converter and battery pack The 30W power supply unit is designed to power the device only and recommended for travelling Only ResMed products are designed to be connected to the module connector port Connecting other devices could damage the device Blocking the air tubing and or air inlet of the device while in operation could lead to overheating of the device Z CAUTIONS Do not open the device enclosure There are no user serviceable parts inside Repairs and servicing should only be performed by an authorised ResMed service agent Do not use bleach chlorine alcohol or aromatic based solutions moisturizing or antibacterial soaps or scented oils to clean the device humidifier or air tubing These solutions may cause damage and reduce the life of these products Incorrect system setup may result in incorrect mask pressure reading Ensure the system Is correctly set up Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord Make sure that the area around the device is dry and clean and clear of bedding clothes or other objects that could block the air inlet or cover the power supply unit Ensure that
4. if required Fit your mask as described in your mask user guide To start therapy simply breathe into the mask and or press Lie down and arrange the air tubing so that it is free to move if you turn in your sleep To stop treatment at any time remove your mask and or press OO GN N Notes e If your clinician has enabled SmartStart your device will start automatically when you breathe into the mask and stop automatically when you remove the mask e If power is interrupted during treatment the device automatically restarts therapy when power is restored Cleaning and maintenance You should regularly carry out cleaning and maintenance as described in this section Refer to your mask and humidifier user guides for detailed instructions regarding the care of your device Daily Remove the air tubing by pulling on the finger grips on the cuff Hang it in a clean dry place until next use Notes e Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack Do not wash the air tubing in a washing machine or dishwasher Weekly 1 Remove the air tubing from the device and the mask 2 Wash the air tubing in warm water using mild detergent 3 Rinse thoroughly hang and allow to dry 4 Before next use reconnect the air tubing to the air outlet and mask Monthly 1 Wipe the exterior of the device with a damp cloth and mild detergent 2 Check the air filter for holes and blo
5. the device is protected against water if used outdoors Enclose the device in the S9 travel bag for transport English 17 _ Respiratory Care solutions Making quality of care easy 368551 2 2013 02 VPAP ST User EUR1 EURS VPAP 5T 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 ResMed UK Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK See www resmed com for other ResMed locations worldwide For patent information see www resmed com ip S9 H5i ClimateLine SlimLine SmartStart and VPAP are trademarks of ResMed Ltd and S9 ClimateLine SlimLine SmartStart and VPAP are registered in U S Patent and Trademark Office 2013 ResMed Ltd C 0123 Global leaders in sleep and respiratory medicine www resmed com
6. 5i Humidifier performance The following settings have been tested at 22 C ambient temperature Mask pressure RH output Nominal system output AH BTPS cm H20 Setting 3 Setting 6 Setting 3 Setting 6 3 90 100 10 18 10 95 100 11 5 21 20 95 100 11 18 25 100 100 12 13 5 a AH Absolute Humidity in mg L b BTPS Body Temperature Pressure Saturated Pneumatic flow path Flow sensor Blower Pressure sensor Mask Air tubing H5i Device Inlet filter 1 2 3 4 ON OOARWN Flow maximum at set pressures The following are measured at the end of the specified air tubing Pressure cm H20 VPAP ST and VPAP ST H5i and VPAP ST and VPAP ST H5i and Standard L min Standard L min SlimLine L min ClimateLine L min 4 200 170 195 170 8 200 170 190 170 12 200 170 184 170 16 200 170 175 170 20 190 170 168 161 25 180 161 144 125 English 11 Displayed values Value Range Pressure sensor at air outlet Display resolution Mask pressure 4 20 cm H2O CPAP 2 25 cm 0 1 cm H20 H20 S ST T PAC iVAPS Flow derived values Leak 0 200 L min 1 L min Tidal volume 0 4000 mL 1 mL Respiratory rate 0 50 BPM 1 BPM Minute ventilation 0 30 L min 0 1 L min Ti 0 1 4 0 sec 0 1 sec I E ratio 1 50 2 1 0 1 Value Accuracy Pressure measurement Mask pressure 0 5 cm H20 4 of measured value Flow measurements Leak 12 L min or 20 of reading whichever is greater at O to 60 L min Tidal volume
7. RESMED VPAP ST NONINVASIVE VENTILATOR User Guide English __ Respiratory Care Solutions Making quality of care easy _ Respiratory Care Solutions Making quality of care easy English Indications for use The VPAP ST is indicated to provide noninvasive ventilation for patients weighing more than 13 kg or more than 30 kg in iVAPS mode with respiratory insufficiency or obstructive sleep apnoea OSA The VPAP ST is intended for home and hospital use Contraindications Positive airway pressure therapy may be contraindicated in some patients with the following pre existing conditions e severe bullous lung disease e pneumothorax or pneumomediastinum pathologically low blood pressure particularly if associated with intravascular volume depletion dehydration e cerebrospinal fluid leak recent cranial surgery or trauma Adverse effects Patients should report unusual chest pain severe headache or increased breathlessness to their prescribing physician An acute upper respiratory tract infection may require temporary discontinuation of treatment The following side effects may arise during the course of therapy with the device drying of the nose mouth or throat e nosebleed bloating e ear or sinus discomfort e eye irritation e skin rashes Masks and humidifiers Recommended masks and humidifiers are available on www resmed com on the Products page under Service amp Support For more info
8. al specifications Mode pressure ranges Maximum single fault pressure Physical Air filter Sound DECLARED DUAL NUMBER NOISE EMISSION VALUES in accordance with ISO 4871 1996 Supplemental oxygen CPAP mode Set Pressure 4 20 cm H20 S ST T and PAC modes IPAP 4 25 cm H20 EPAP 2 25 cm H20 iVAPS mode PS 0 23 cm H20 EPAP 2 25 cm H20 Maximum single fault steady state pressure 30 cm H2O if pressure exceeded for gt 6 sec 40 cm H2O if pressure exceeded for gt 1 sec Nominal dimensions L x W x H 153 mm x 140 mm x 86 mm Weight 835 g Housing construction Flame retardant engineering thermoplastic Air outlet 22 mm conical air outlet complies with ISO 5356 1 2004 Hypoallergenic air filter Acrylic and polypropylene fibers in a polypropylene carrier Standard air filter Polyester non woven fiber Pressure level CPAP mode With SlimLine air 26 dBA with uncertainty of 2 dBA as measured according tubing to EN ISO 17510 1 2009 With Standard air 27 dBA with uncertainty of 2 dBA as measured according tubing to EN ISO 17510 1 2009 With either SlimLine or Standard air tubing and Hoi Power level CPAP mode With SlimLine air 34 dBA with uncertainty of 2 dBA as measured according 28 dBA with uncertainty of 2 dBA as measured according to EN ISO 17510 1 2009 tubing to EN ISO 17510 1 2009 With Standard air 35 dBA with uncertainty of 2 dBA as measured according tubing to EN ISO 17510 1 2009 With eit
9. ckage by dirt or dust Replace the air filter if necessary Replacing the air filter Replace the air filter every six months or more often if necessary 1 Remove the air filter cover from the back of the device 2 Remove and discard the old air filter 3 Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover 4 Replace the air filter cover Notes e Ensure the air filter and air filter cover are fitted at all times e Do not wash the air filter The air filter is not washable or reusable English 3 SD card An SD card has been supplied to gather therapy data from your device and provide settings updates from your clinician When instructed to do so disconnect the device from the power outlet remove your SD card insert it in the protective folder and send it to your clinician For more information on removing and inserting your card refer to the S9 SD Card Protective Folder provided with your device Please retain the S9 SD Card Protective Folder for future use 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 enclosure Problem Possible cause Solution No display Power is not connected Ensure the power cord is connected and the power outlet if available is on The DC plug is partially inserted Fully insert the DC plug into the back of the device or insert
10. e does not stop when you remove your mask SmartStart Stop is disabled Press Start Stop to stop therapy because Leak Alert is enabled SmartStart Stop is disabled A message appears on the screen To stop therapy select Yes and because Confirm Stop is press the Push Dial enabled SmartStart Stop is disabled Talk to your clinician about enabling the SmartStart Stop feature SmartStart Stop is enabled but the device does not stop automatically when you remove your mask Incompatible mask system Only use equipment recommended by ResMed being used Incorrect mask setting being Check the selected mask type in the Setup menu Change it if used necessary The patient is using a nasal Disable SmartStart Stop pillows mask with a set pressure less than 6 cm H20 English 5 Problem Possible cause The patient is using a paediatric mask with a set pressure less than 8 cm H20 Pressure rises inappropriately Talking coughing or breathing in an unusual manner Mask cushion is buzzing against the skin Cushion seated incorrectly causing excessive leak Solution Disable SmartStart Stop Avoid talking with a nasal mask on and breathe as normally as possible Adjust the headgear Adjust headgear or re fit cushion Displays message High temperature fault refer to user manual Device has been left in a hot environment Air filter is blocked Air tubing is blocked Humidity level setting is too high resultin
11. ed too slowly Insufficient air delivered from the device Ramp time is in use Wait for air pressure to build up or change ramp time Air filter is dirty Replace air filter Air tubing is not connected Check air tubing properly Air tubing is blocked pinched or Unblock or free the air tubing Check the air tubing for punctures punctured Mask and headgear are not Adjust position of mask and headgear positioned correctly Incorrect air tubing selected If you are using the SlimLine Standard or 3 m air tubing ensure that you have the correct air tubing selected via the menu Non vented mask is used Only use a vented mask Mask vents might be blocked Check if you have sufficient venting Unblock mask vents if necessary Problem Possible cause Solution EPAP may be set too low Talk to your clinician about your settings Device does not start when you breathe into the mask Breath is not deep enough to Take a deep breath in and out through the mask trigger SmartStart Stop SmartStart Stop is disabled Press Start Stop to start therapy because Leak Alert is enabled SmartStart Stop is disabled A message appears on the screen To stop therapy select Yes and because Confirm Stop is press the Push Dial enabled SmartStart Stop is disabled Talk to your clinician about enabling the SmartStart Stop feature There is excessive leak Adjust position of mask and headgear Connect the air tubing firmly at both ends Devic
12. g in accumulation of water in the air tubing Allow to cool before re use Disconnect the power cord and then reconnect it to restart the device Replace your air filter Disconnect the power cord and then reconnect it to restart the device Check your air tubing and remove any blockages Disconnect the power cord and then reconnect it to restart the device Turn the humidity level setting down and empty the water from the air tubing Displays message Check ResMed 30 90W Power Supply Unit and fully insert the connector The DC plug is partially inserted into the back of the device or inserted too slowly A non ResMed power supply unit is connected to the device The power supply unit is being covered by bedding Fully insert the DC plug Remove the power supply unit and replace with a ResMed power supply unit Make sure that the power supply unit is free from bedding clothes or other objects that could cover It Problem Possible cause Solution Displays message No tube please check your tube is connected Flow is high because air tubing Connect the air tubing firmly at both ends is not connected properly Note The tube disconnection check may not operate when an antibacterial filter is used Displays message Tube blocked please check your tube Air tubing is blocked Check your air tubing and remove any blockages Disconnect the power cord and then reconnect it to restart the device Displays message H
13. her SlimLine or Standard air tubing and Hpbi Recommended maximum supplemental oxygen flow 15 L min CPAP S ST T PAC 4 L min iVAPS 36 dBA with uncertainty of 2 dBA as measured according to EN ISO 17510 1 2009 English 9 Air tubing technical specifications Air tubing Material Length Inner diameter ClimateLine heated air tubing Flexible plastic and electrical 2m 15 mm components ClimateLine heated air Flexible plastic and electrical 1 9m 19mm tubing components SlimLine air tubing Flexible plastic 1 8m 15 mm Standard air tubing Flexible plastic 2m 19 mm 3 m air tubing Flexible plastic 3m 19 mm Heated air tubing temperature cut out lt 41 C Notes The manufacturer reserves the right to change these specifications without notice The temperature and relative humidity settings displayed for Climate Control are not measured values Check with your clinician service provider before using the SlimLine air tubing with devices other than the S9 or Hoi The electrical connector end of the heated air tubing is only compatible with the H5i air outlet and should not be fitted to the device or mask When using the SlimLine or ClimateLine above 20 cm H20 the device optimum performance may not be reached if used with an antibacterial filter The device performance must be checked prior to prescribing the SlimLine for use with an antibacterial filter The ClimateLine or ClimateLine is designed only for use with the H
14. igh leak please check system setup and all connections There is excessive leak Adjust position of mask and headgear Note If Leak Alert is enabled Connect the air tubing firmly at both ends an audible alert is activated and a high leak message is displayed The following message is displayed on the LCD after you try to update settings or copy data to the SD card Card error please remove SD card and contact service provider SD card is not inserted correctly Ensure that the SD card is inserted correctly You may have removed the Reinsert the SD card and wait for the Home screen or the SD card before settings were Settings updated successfully press any key message to copied to the device appear on the LCD Note This message only appears once If you re insert the SD card after you have updated your settings the message will not be re displayed The following message is NOT displayed on the LCD after you try to update the settings using the SD card Settings updated successfully press any key The settings were not updated Contact your clinician service provider immediately English 7 General technical specifications Power supply Environmental conditions Aircraft use Electromagnetic compatibility IEC 60601 1 classification 90W power supply unit Input range 100 240V 50 60Hz 115V 400Hz nominal for aircraft use Typical power consumption 7OW 80VA Maximum power consumption 110W 120VA 30W po
15. local distributor or go to www resmed com environment Servicing The VPAP ST device is intended to provide safe and reliable operation when operated in accordance with the instructions provided by ResMed ResMed recommends that the VPAP ST device be inspected and serviced by an authorised ResMed Service Centre if there is any sign of wear or concern with device function Otherwise service and inspection of the devices generally should not be required during the five year design life of the device Limited warranty ResMed Ltd hereafter ResMed warrants that your ResMed product shall be free from defects in material and workmanship from the date of purchase for the period specified below Product Warranty period e Mask systems including mask frame cushion headgear and 90 days tubing excluding single use devices Accessories excluding single use devices Flex type finger pulse sensors Humidifier water tubs e Batteries for use in ResMed internal and external battery 6 months systems Product Warranty period Clip type finger pulse sensors 1 year CPAP and bilevel device data modules Oximeters and CPAP and bilevel device oximeter adapters Humidifiers and humidifier cleanable water tubs Titration control devices e CPAP bilevel and ventilation devices including external 2 years power supply units Battery accessories e Portable diagnostic screening devices This warranty is only available to the initial consumer It is not
16. ng air The vent hole or holes associated with the mask should never be blocked Explanation The device is intended to be used with special masks or connectors which have vent holes to allow continuous flow of air out of the mask When the device is turned on and functioning properly new air from the device flushes the exhaled air out through the mask vent holes However when the device is not operating insufficient fresh air will be provided through the mask and the exhaled air may be rebreathed Rebreathing of exhaled air for longer than several minutes can in some circumstances lead to suffocation This applies to most models of CPAP or bilevel devices Oxygen supports combustion Oxygen must not be used while smoking or in the presence of an open flame Always ensure that the device is turned on and airflow generated before the oxygen supply is turned on Always turn the oxygen supply off before the device is turned off so that unused oxygen does not accumulate within the device enclosure and create a risk of fire 1 Ports may be incorporated into the mask or in connectors that are near the mask 16 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 Do not use electrically conductive or antistatic air tubings Do not use the air tubing if there are any visible signs of damage Only ResMed air tubing and accessories should be used with the device
17. or further information on your warranty rights contact your local ResMed dealer or ResMed office English 15 Z WARNINGS Read the entire manual before using the device Use the device only as directed by your physician or healthcare provider Use the device only for the intended use as described in this manual Advice contained in this manual should not supersede instructions given by the prescribing physician If you notice any unexplained changes in the performance of the device if it is making unusual or harsh sounds if the device or the power supply are dropped or mishandled if water is spilled into the enclosure or if the enclosure is broken discontinue use and contact your ResMed Service Center Beware of electrocution Do not immerse the device humidifier power supply or power cord in water In the event of a spill disconnect the device from the power supply and let the parts dry Always unplug the device before cleaning and make sure that all parts are dry before plugging in the device Explosion hazard do not use in the vicinity of flammable anesthetics Make sure the power cord and plug are in good condition and the equipment is not damaged Keep the power cord away from hot surfaces The device should only be used with masks and connectors recommended by ResMed or by a physician or respiratory therapist A mask should not be used unless the device is turned on Once the mask is fitted ensure that the device is blowi
18. rmation on using your mask or humidifier refer to the manual supplied with your mask or humidifier English 1 Setup Refer to illustration A 1 Connect the DC plug of the power supply unit to the rear of the device 2 Connect the power cord to the power supply unit 3 Plug the other end of the power cord into the power outlet 4 Connect one end of the air tubing firmly onto the air outlet 5 Connect the assembled mask system to the free end of the air tubing Control panel Refer to illustration B The control panel of your device includes the following items Start Stop button Starts or stops treatment LCD screen Displays the menu treatment and reminder screens Info menu button Allows you to view your sleep statistics Setup menu button Allows you to make changes to settings Push dial Turning the dial allows you to scroll through the menu and change settings Pushing the dial allows you to enter into a menu and confirm your choice The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician E w N Navigating the menus Refer to illustration C In general to navigate the menus 1 Turn until the parameter you require is displayed in blue 2 Press The selection is highlighted in orange 3 Tum until you see the setting that you require 4 Press to confirm your choice The screen returns to blue Getting started Make sure the power is connected Adjust the ramp time
19. transferable If the product fails under conditions of normal use ResMed will repair or replace at its option the defective product or any of its components This Limited Warranty does not cover a any damage caused as a result of improper use abuse modification or alteration of the product b repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs c any damage or contamination due to cigarette pipe cigar or other smoke and d any damage caused by water being spilled on or into an electronic device Warranty is void on product sold or resold outside the region of original purchase Warranty claims on defective product must be made by the initial consumer at the point of purchase This warranty replaces all other expressed or implied warranties including any implied warranty of merchantability or fitness for a particular purpose Some regions or states do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you ResMed shall not be responsible for any incidental or consequential damages claimed to have resulted from the sale installation or use of any ResMed product Some regions or states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation may not apply to you This warranty gives you specific legal rights and you may also have other rights which vary from region to region F
20. wer supply unit Input range 100 240V 50 60Hz 115V 400Hz nominal for aircraft use Typical power consumption 20W 40VA Maximum power consumption 36W 75VA 90W DC DC converter Nominal inputs 12V 24V Typical power consumption 70W Maximum power consumption 110W Operating temperature 5 C to 35 C Note The air flow for breathing produced by this therapy device can be higher than the temperature of the room Under extreme ambient temperature conditions 40 C the device remains safe Operating humidity 10 to 95 non condensing Operating altitude Sea level to 2 591 m air pressure range 1013 hPa to 738 hPa Storage and transport temperature 20 C to 60 C Storage and transport humidity 10 to 95 non condensing ResMed confirms that the device s meets the Federal Aviation Administration FAA requirements RTCA DO 160 section 21 category M for all phases of air travel Product complies with all applicable electromagnetic compatibility requirements EMC according to EC60601 1 2 for residential commercial and light industry environments It is recommended that mobile communication devices are kept at least 1 m away from the device Information regarding the electromagnetic emissions and immunity of this ResMed device can be found on www resmed com on the Products page under Service and Support Click on the PDF file for your language Class II double insulation Type BF Ingress protection IP21 VPAP ST technic
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