ResMed III ST-A manual

VP AP ™ III S T -A User Manual English Front Cover.qxd 9/11/2005 10:31 AM Page 1[...]

Global leaders in sleep and respiratory medicine www .r esmed.com 248139/3 05 1 1 VP AP III S T -A USER RO W ENG Front Cover.qxd 9/11/2005 10:31 AM Page 2[...]

HUMIDIFIERS A B 12 4 Remo vable front cover SETTING UP THE VP AP III S T -A D 1 2 4 LCD screen Handle Control panel Air outlet Air filter cover Serial communications port (9-pin) Power switc h Power soc kets © 2005 ResMed Ltd. © 2005 ResMed Ltd. © 2005 ResMed Ltd. © 2005 ResMed Ltd. O THER A CCESSORIES C 3 SYS TEM COMPONEN TS 1 2 Auxiliary port[...]

USING A P ASSO VER HUMIDIFIER H 4 © 2005 ResMed Ltd. 3 USING A HUMIDAIRE HUMIDIFIER G © 2005 ResMed Ltd. 12 4 3 12 (2 m/3 m) (52 cm) (2 m/3 m) (52 cm) REPLACING THE AIR FIL TER I © 2005 ResMed Ltd. 1 2 3 248139 illos.qxd 9/11/2005 10:33 AM Page 2[...]

VP AP ™ III S T -A User Manual English 248139/3 05 11[...]

Protected by patents: A U 697 652, AU 699726, A U 713679, EP 0661 071, EP 0858352, US 494431 0, US 51 99424, US 5522382, US 62131 19, US 6240921, US 670531 5. Other patents pending. Protected by design registrations: A U 1 47283, AU 1 47335, AU 1 47336, CH 1 28.709, CH 128.71 0, CH 1 28.71 1, CH 1 28.71 2, DE 4020 1 7 23, DE 40202007 , DE 40202008,[...]

iii Contents Cont ents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 User/Owner R esponsibility 1 Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 What the VP AP III S T -A is Intended for 1 Contraindications 1 W arnings 2 Cautions 2 Ad[...]

iv S ystem Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Limited W a r r anty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47[...]

1 Introduction Introduction The VPAP™ III ST-A is a bilevel pressure support ventilator specifically designe d for non-invasive mask ventilation . This user manual contains the information you need for the correct use of your VP AP III S T -A. User/Owner Responsibility The user or owner of this system shall have sole responsibility and liability [...]

2 • hypotension or significant intra vascular v olume depletion • pneumothorax or pneum omediastinum • recent cranial trauma or surger y . Warnings • The entire manual should be read before using the VP AP III S T -A. • Advice contained in this manual should not supe rsede instr uctions given b y the prescribing physician. • The VP AP I[...]

3 Medical Information 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 tre atment. The following side effects may arise duri ng the course of therapy with the VPAP III ST- A: • dr ying of the nose[...]

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5 The VP AP III ST -A Sy stem The VPAP III ST-A System Please ref er to the illustrations in section A of the illustration sheet. Please identify and familiarize yourself with the following components of the VP AP III S T -A: • VP AP III S T -A front view ( A-1 ) • VP AP III S T -A rear view ( A- 2 ) • P ower cord ( A- 3 ) • Carr y bag ( A-[...]

6 Notes: • ResMed VP AP III S T -A has been designed and manu f act ured to provide optimum performance using ResMed vented mask systems. While other vented mask sy stems ma y be used, perfo rmance and data outputs ma y be af f ected. • Not all masks are av ailable in all regions. Humidifiers Please ref er to the illustrations in section B of t[...]

7 Setting up the VP AP III ST -A Sy stem Setting up the VPAP III ST-A System Please ref er to the illustrations in section D of the illustration sheet. Setting up the VPAP III ST-A 1 Place the VP AP III ST -A on a flat surface near the head of your bed. If the device is placed on the floor, ensu re that the area is free from dust and clear of beddi[...]

8 ! WARNING • Make sure the power cord and plug are in good condition and the equipment is not damaged. • The air filter cover protects the devi ce in the event of accidental liquid spillage onto the device. En sure that the air filter and air filter co ver are fitted at all times. 3 Connect one end of the air tubing firmly onto the air outlet [...]

9 Setting up the VP AP III ST -A Sy stem To set up the VP AP III S T -A with the HumidAire: 1 . Fill the HumidAire with water as described in the humidifier manual. 2. Place the filled water chamber inside the HumidAire. Conn ect the medium (52 cm) air tubing to the right connector port, and the long air tubing (2 m or 3 m) to the left connector po[...]

10 ! WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged. 7 . Navigate to the humidifier set ting (if available) in the VP AP III S T -A menu and select "P ASSO VER". See “How to Use the Deta iled Menu (if enabled by y our clinician)” on page 20. The VP AP III ST -A is now ready for us[...]

11 Setting up the VP AP III ST -A Sy stem Keypad Keys The VP AP III ST -A keypad has the following keys: Keypad and LCD Backlight To assist you in adjusting the VP AP II I S T -A, the keypad and LCD are equipped with a backlight. The LCD backlight comes on when the unit is turned on or when you press a key, and turns off after 2 mi nutes. Your clin[...]

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13 Starting T reatment Starting Treatment The VP AP III ST -A should be asse mbled beside your bed with the air tubing and mask system connected. See “Setting up the VPAP III ST-A” on page 7. 1 Turn the main power switch at the back of the device to on ( I ) . When the VP AP III ST -A is turned on, a welcome message is displayed on the LCD scre[...]

14 Stopping Treatment To stop treatment at any time, remove your mask and press the Start/Stop key or if your clinician has enabled the SmartS tart function, simply remove your mask and treatment will end (SmartStop is no t applicable with the "Mir Full" mask setting). Using the HumidAire 2i Warm-up Featu r e If using a HumidAire 2i with [...]

15 Starting T reatment Once you ha ve a secure and comfortable fit, c hec k y our Mask-Fit star rating on the LCD screen. Definitions of the Mask-Fit st ar ratings are presented in T able 1. Not e: If there is anot her person nearby to c hec k your Mask-Fit star rating, you can adjust y our mask, mask cush ion and headgear while lying down. 4. Afte[...]

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17 Cleaning and Maintenance Cleaning and Maintenance You should regularl y carry out the clea ning and maintenance described in this section. Daily Cleaning Mask Clean the mask according to the ins tructions supplied with the mask. Air tubing Disconnect the air tubing from the VPAP III ST-A (and humidifier, if used) and hang the tubing and mask in [...]

18 ! CAUTION Do not attempt to open the VPAP III ST-A. There are no user serviceable parts inside. Repairs and in ternal serv icing should on ly be performed by an authorized service agent. Testing the Alarm Test the alarm weekly. See “Testing the Alarm ” on page 29. Replacing the Air Filter Please ref er to the illustrations in section I of th[...]

19 How to Use the VP AP III ST -A Menus How to Use the VPAP III ST-A Menus The VP AP III ST -A provides a set of functions arranged in menus and submenus. Via the LCD screen, the menus and sub menu s allow you to view and change the settings for a particular function. Y ou can access the menus regardless of whether the VP AP III ST -A is in stand b[...]

20 Figure 1: V PAP III ST-A Standard M enu Series • T o access the VP AP III ST -A menus: Pr ess the Lef t k ey (menu) while the VP AP (or Ramp) screen is displa yed. • T o scroll through items within the menu : Pr ess the Up/Do wn key • T o exit out of the menu: Pr ess the Right k ey (exit) Settings Summary Screens The settings summary scree[...]

21 How to Use the VP AP III ST -A Menus Figure 2: V PAP III ST-A Detailed M enu Series (if enable d by your clinician) SETTINGS OPTIONS enter exit enter exit SER VICING enter exit 456789 exit SN:123456789123 MASK: UL TRA change exit TUBE LENGTH: 2M change exit TUBE LENGTH: 2m HUMID: NONE change exit SMARTST AR T: OFF change exit MASK ALARM: ON chan[...]

22 • T o access the VP AP III ST -A menus: Pr ess the Lef t k ey (menu) while the VP AP (or Ramp) screen is displa yed. • T o scroll through items within a menu or su bmenu: Pr ess the Up/Do wn key . • T o enter a submenu: Pr ess the Lef t k ey (enter). • T o c hange a set tin g option for a function: 1 . Pr ess the Lef t k ey (c hange). 2.[...]

23 How to Use the VP AP III ST -A Menus SmartStart™ The VP AP III ST -A has a function called SmartStart which can be enabled by your clinician. If SmartStart is enabled, VP AP III S T -A will start automatically when you breathe into the mask and will stop automa tically when you take your mask off. This means you do not have to press the Start/[...]

24 Results Menu Not e: This menu appears only if at least one Smart Data™ option has been enabled by the clinician. See the VPAP III Smart Data Diary for further details. T able 4: Results Men u Options Menu T able 5: Options Menu Fun cti on Fu nction Descrip tion Sett in g Op ti ons Mask Fit (Smart Dat a) Display s a star rating corresponding to[...]

25 How to Use the VP AP III ST -A Menus Servicing Menu T able 6: Servi cing Menu * These items also appear in the Standard Menu. Treatment Screens After starting treatment, you can display one of the treatment screens below. Press the Up /Down key to switch between views. Figure 3: Treatment scre en 1 Figure 4: Treatment scre en 2 Figure 5: Treatme[...]

26 Figure 6: Treatment scree n 4 (only if Re sLink an d pulse oximeter are attached) The treatment screens contain the following information: T reatment mode: Mode of tre atment set by your clinician. Options include: CPAP, Spontaneous, Spontaneous/Time d and Timed. Ramping indicat or: Appears if the VP AP III S T -A is in ramp mode. This disappear[...]

27 How to Use the VP AP III ST -A Menus Non-vented Mask Alarm Screen If the non-vented mask alarm has been disa bled by your clinician, the followi ng screen is displayed after sta rting therapy. To exit th is screen, press any key to display the tre a tment screens, o r stop treatment. NON–VENTED MASK DISABLED e xit[...]

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29 The Alarms The Alarms The VP AP III ST -A unit is fitted with alarms to alert you to changes that w ill affect your treatment. Alarm Mute Key You can mute an alarm by pressing the Alar m Mute key once. If the problem is still present, the alarm will sound again after two minutes. An alarm LED will remain lit for as long as the problem is present[...]

30 W a rning Signal Cause Action The flo w generator stops delivering air pressure. Sound: T wo alternating continuous tones LCD: LCD turns of f LED: Red flashing Alar m: Po we r f a il • Po we r fa i l u r e . • Po we r c o r d i s disconnected or VP AP III ST -A switc hed of f while delivering treatment (without pressing the Start/ Stop ke y)[...]

31 The Alarms The flo w generator stops delivering air pressure. Sound: Single intermit tent tone LCD: SYSTEM ERROR Call service! LED: Y ellow flas hing Alar m: Sys tem Err or Component failure. • Return the VP AP III ST -A for ser vici ng. • DO NO T USE TH E VP AP III ST -A DEVICE. Sound: Single intermit tent tone LCD: HIGH LEAK!!! LED: Y ello[...]

32 Sound: Single intermit tent tone LCD: LOW MV ALARM LED: Ye l l o w f l a s h i n g Alar m: Lo w minute ventil ation Minute ventilation lev el has dropped below the alarm set ting level. Contact your clinician. Sound: Single intermit tent tone LCD: NVENT ALARM LED: Ye l l o w f l a s h i n g Alar m: Non-vented mask • Connection of a non-vented [...]

33 Helpful Hints Helpful Hints Starting out Mouth Leaks If using a nasal mask, try to keep your mouth closed during treatment. Air leaks from your mouth can decrease the effectiveness of your treatment. If mouth leaks are a problem, a full face mask or ch in strap may help. Contact your clinician or equipment supplier for further details. Mask Fitt[...]

34 Please refer to the VP AP III Series B at ter y P o wer Guide for the recommended battery type and capacity, or contact ResM ed's Technical Servic es division for your specific application. ResMed DC-24/30 Converter ResMed supplies the DC-24/30 Converter (product code: 22015) which is compatible with the DC input of the VPAP III ST-A. This [...]

35 T roubleshooting 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 VP AP III S T -A. Pro blem Possible Cause Solu tio n No display . P ow er not connected or switc h at bac k is not on. Ensure the pow er cable is connected a[...]

36 There is e xcessiv e leak. Plugs may be missing from ports on mask. Air tubing not connected properly . Air tubing kink ed or punctured. There is a large impedance (eg, antibacterial filter , oxy gen connector) in the air circuit. Adjust position of mask and headgear . Replace them. Connect firmly at both ends. Straighten or replace. Press the S[...]

37 Sy stem Specifications System Specifications Dynamic pr essure char acter istics IPAP: 2 cm H 2 O to 30 cm H 2 O (measured at the end o f standard 2 m air tubing) EPAP: 2 cm H 2 O to 25 cm H 2 O (measured at the end of standard 2 m air tubing) CPAP: 4 cm H 2 O to 20 cm H 2 O (measured at the end of standard 2 m air tubing) Maximum singl e f ault[...]

38 IEC 6060 1 -1 Classifications Class II (double insulation) Type CF Continuous operation This flow generator is not suitable for use in the presence of a flammable anesthetic mixture with air, or with oxyg en or nitrous oxide entrained in the flow generator airpath. T able 7: Displayed values * Results may be inaccurate in the pr esence of leaks.[...]

39 Sy stem Specifications Pressure Variation Pressure Volume Curve Not e: The manufacturer reserves the right to change these specificatio ns without notice. 0.00 5.00 10.00 15.00 20.00 25.00 0 1 2 3 Breaths Pressure (cm H 2 O) 10 BPM 15 BPM 20 BPM Max Pressure 2/3 Max Pressure 1/3 Max Pressure Max Pressure 0 100 200 300 400 500 600 Pressure (cm H [...]

40 Symbols which may Appear on the Product Attention, consult accompanying documents Class II equipment Type CF equipment Drip proof Start/Stop Mask-Fit Alarm LEDs Alarm Mute QuickView AC switch only Envi ro nmental inf or mation WEEE 2002/96/EC is a European Di re ctive that requires the proper disposal of electrical and electronic equipment. This[...]

41 Sy stem Specifications Guidance and Manufacturer’s De claration - Electromagnetic Emissions and Immunity Guidance and manufact urer’ s declaration – electromagnetic emissions The VP AP III ST -A is in tended for use in the electrom agnetic environment specified below . The customer or the user of the VP AP III ST -A should assu re that it [...]

42 (Continued next page) Guidance and manufact urer’ s declaration – electromagnetic immunity The VP AP III ST -A is intended f or use in the electromagnetic enviro nment specified below . The customer or the user of the VP AP III ST -A should assure that it is used in suc h an environm ent. Immunity t est IEC6060 1 -1-2 test lev el Compliance [...]

43 Sy stem Specifications Guidance and manufact urer’ s declaration – electromagnetic immunity (Continue d) The VP AP III ST -A is intended for use in the electrom agnetic environ ment specified below . The customer or the user of th e VP AP III ST -A shou ld assure that it is used in su c h an environm ent. Immunity tes t I E C 60 6 01- 1- 2 t[...]

44 Recommended separation distances between portable and mobile RF communications equipment and the VP AP III ST -A The VP AP III ST -A is intended f or use in an environmen t in whic h radiated RF disturbances are contr olled. The customer or the use r of the VP AP III ST -A can help prev ent electromagnetic interf erence by maintaining a minimum [...]

45 Limited W arranty Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specifie d below from the date of purchase by th e initial consum er. This warranty is not transferable. Not e: Some models are not avai lable in all regions. If the product fails under conditions of n[...]

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47 Index Index A AC l o ck i n g c l i p 7 Accesso ries 6 Air filter 18, 37 air t ubing 37 cleaning 1 7 B Bac k-light, LCD and Ke ypad 1 0, 1 1 bat ter y pow er 33 C Cautions 2 cleaning periodic 1 7 wee kly 1 7 Cleaning and Maintenance 1 7 cleaning mask 1 7 Cleaning P eriodi cally 1 7 conv erter 34 D Daily Clea ning 1 7 DC conv erter 34 loc king cl[...]

48 Pow e r c o r d AC 7 connection 7 DC 7 loc king cli p 7 P ower Su pply 37 R Ramp Screen 1 9 Ramp time 1 9 Repl acing the Air Filter 1 8 Respon sibility , user/owner 1 Resul ts Menu 24 Right Ke y 1 1 Runn y or Bloc ked Nose 33 S Ser vicing 1 8 Ser vi cing Menu 25 set ting up 7 Set tings Menu 22 set t i ngs summary screens 20 SmartSta rt 23 Standa[...]