ResMed Flow Generator VPAP Adapt SV manual

1 VP AP™ A dapt S V User Guide English 228234-Eng/3 08 10 228234 VPAP Adapt SV User Guide USA Eng .book Page 1 Mo nday, October 13, 2008 2:15 PM[...]

2 Cont ents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 VP AP™ A dapt S V 3 User/o wner responsibilit y 3 Definitions 3 Medical Info rmation 3 Quic k Setup Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 VP AP Adapt SV S ystem . . . . . [...]

3 Introduction English Introduction VPAP™ Adapt SV The VP AP Adapt S V flow generato r has been designed to be re liable, comfortable and easy to use. You can observe your treatment and mak e adjustments to settings using a keypad and LCD screen. ! CAUTION USA federal law restricts this device to sale by or on the order of a physician. User/Owner[...]

4 • impaired abilit y to clear secretions • pneumothorax or pn eumomediasti num • recent cranial trauma or surger y • c hronic hypov entilation. Belo w are g ener al war nings and caut ions. Fur ther specific war nings, cautions and not es appear next t o the relev ant instr uctions in the manual. ! WARNINGS • The VP AP Adapt SV is NO T a[...]

5 Quick Setup Guide English The following side effects may arise during a course of therapy with the VP AP A dapt S V: • drying of the nose, m outh, or throat • bloating • ear or sinus discomfort • ey e irritation • skin rashes • c hest discomfort. Quick Setup Guide 1 Attach the air tubing and pressure sensor tube to the VP AP A dapt S [...]

6 7 Remove your mask to stop treatment. If SmartStop is enabl ed, treatment will stop automatically. If th e SmartStop function has been disabled, press the Start/St op key once. VPAP Adapt SV System VPAP Adapt SV Components The VP AP Adapt S V flow g enerator is supplied with air t ubing and a p o wer cord. Masks are supplied separately , as you a[...]

7 VP AP Adapt SV System English Figure 2: Rear of VPAP Adapt SV See page 14 to connect a ResLink™. See page 30 to replace the air filter. Figure 3: Air tubing fully ass embled All necessary air tubing components are packed w ith the VP AP A dapt SV: • a 6’6" (2 m) length of air tubing • a pressure sensor t ube (to measure pressure at t[...]

8 Assembling the VPAP Adapt SV System Complete the following steps to assemb le the VP AP Adapt S V system. Make sure the area around the unit is clean (dus t free) and clear o f bedding, clo thes and any other potential blockag es. To add a hum idifier see page 10. ! WARNING Use only the ai r tubing system supp lied with the VPAP Adapt SV system. [...]

9 VP AP Adapt SV System English 2 Connect air t ubing Connect the a ir tube fir mly ont o t he air outlet at the front of the unit . Figure 4: Front view of VPAP Adapt SV T o attac h the pr essur e sensor t ube to the unit, s crew the Luer connector ont o the soc ket on the side of the unit. Figure 5: Twist ing the Luer lock connect ors together ! [...]

10 Humidifiers A humidifier may be required if you are experiencing dryness of the nose , throat, or mouth. The followi ng ResMed humidifiers are compatib le with the VP AP A dapt S V: Figure 7: Humidifi ers compatible with the VPAP Adap t SV When usin g a humid ifier , stop the VP AP Adapt S V by using the Start/Stop key or by removing the mask to[...]

11 VP AP Adapt SV System English HumidAire 2i™ The HumidAire 2i provides heated hu midification for the VPAP Adapt SV. To attach the HumidAire 2i, remove the VP AP A dapt S V front cover and attach the humidifier docking st ation and water chamber. No other accessories are required for use. Please refer to the HumidAi re 2i User’s Man ual for d[...]

12 HumidAire™ You will need a medium size 21" (52 cm) air tube to connect the VPAP Adapt SV unit to the HumidAire™ (see Figure 7). 1 Make sure both the HumidAire and the VP AP Adapt S V are turned off. Fill the HumidAire with water as described in the humidifier manual. Place the filled water chamber inside th e HumidAire. 2 Gently det ac [...]

13 VP AP Adapt SV System English 5 Connect the mask system to the free end of the long air tubing. The final assembly should look like this: 6 Switch on the HumidAire and the VP AP A dapt SV . ! WARNING Make sure that the powe r cords and plugs are in good condition and the equipment is not damaged. 7 Perform the Air Circuit Learn function (see pag[...]

14 ResLink™ The Re sLink is a device that records da ta on to a SmartMedia™ card during your therapy. The card can be returned to your clinician so th at they can observe your progress and adjust flow generator parameters if nece ssary. The ResLink connects to the back of VP AP A dapt S V as shown. For full details on usin g the Re sLink, pleas[...]

15 VP AP Adapt SV System English Using DC Power to R un the VPAP Adapt SV The VPAP Adapt SV can be run on DC in case of power failure. ResMed supplies separately a converter that allows a 12 V or 24V batte ry to be connected to the DC input of the VPAP Adapt SV. Wh en using a DC power supply, the p ower is turned on and off via the switch on the co[...]

16 Using the VPAP Adapt SV ! WARNING Before starting therapy with a new mask, select the correct mask type in the Settings menu (page 21). When adding or removing a new component, such as a mask, humi difier, or anti-bacterial fi lter, perfo rm the Air Circuit Learn function (page 21). Starting Treatment When the system is fully assembled press the[...]

17 Using the VP AP Adapt SV English Control Panel Functions The control panel of the VP AP A dap t S V has a keypad that allows you to: • start or stop treatment • adjust set tings on the flow generator • mute or stop alarms • vie w treatment dat a. Figure 13: The VP AP Adapt SV control pane l LCD screen Displays information about fl ow gen[...]

18 Left key (gree n) • Enters a menu. • Confirms and applie s set tings. • P erfor ms the function ind icated b y the text a bov e it in the LCD (eg, ’enter’ , ’c hange’). Right key (red) • P erforms the function indicated by the te xt abov e it in the LCD (eg, ’e xit’). • Cancels operations. • Extended hold: exits to the to[...]

19 Using the VP AP Adapt SV English Example You wish to change the setting for the mask you are using. Figure 14: Usi ng the keys to adju st settings MASK: FULL F ACE change  exit LEARN CIRCUIT? yes  exit SMARTST OP: OFF change  exit SOUND LEVEL: LOW change  exit (ASV MODE) VP AP Adapt SV menu SETTINGS enter  exit RESUL TS enter  [...]

20 Menus The options available in the Settings menu will de pend on the therapy you are receiving (either ASV or CPAP ), as set by your clinician. Figure 15: Navigating the Patient men u. SETTINGS enter  exit VP AP ADAPT SV menu RESUL TS enter  exit SERVICING enter  exit RAMP: 20min change  exit MASK: FULL F ACE change  exit LEARN CI[...]

21 Using the VP AP Adapt SV English Settings Menu You will only see the options relevant to your therapy. In CPAP (Continuous Positive Airway Pressure) mode, the clinician sets a pressure that will be constant throughout treatment. In ASV mode, the VP AP A dapt SV continually measures your breathing and regulat es the air pressure accordingly. Mask[...]

22 7 . When the function is complete, a screen will appear sa ying that the circuit has been learned successfu lly . T he next menu item is then display ed. Commence treatment as described in “St arting T reatment” on page 1 6. If there is a problem with the circuit a screen saying ’Invalid circu it’ will be displayed inste ad of the progre[...]

23 Using the VP AP Adapt SV English Mask-fit Gives a rating of how well the mask was fitting during your last session on the VP AP A dapt SV. The stars indicate how good the fit was (more stars = be tter fit). Average Pressure Provides info rmation on the average air pre ssure during yo ur most recent session on the VP AP A dapt S V . Usage Tells y[...]

24 Servicing Menu This menu di splays the following information: • SN—the f low generator’ s serial number • PCB—the flow generator’ s PCB num ber (PCB—printed circuit board) • SW—the version of sof t ware currently inst alled on the flow generator . Treatment Screens There are th ree Treatment screen s displayed i n the VPAP Adap[...]

25 Alarms English Alarms The VP AP Adapt SV unit is fitte d with alarms to alert you to changes that will affect your treatment. Th e most common reason for an alarm to s ound is because the system has not been properly assembl ed. Check that the air tubing and pressure sensor tube have be en proper ly attache d to the flow generator and mask (and [...]

26 Will clear when: • the low pressure condition is fixed • treatment is stopped by pressing the Star t/St op key . Power Fail Alarm Trigge red by: • pow e r failure • mac hine is disconnected or switc hed of f while delivering treatment. If a power fail alarm sounds: • the flow generator stops deliv ering air pressure. Will stop: • whe[...]

27 Alarms English High Leak Alert Triggered by: • high mask leak (greater than 30 L/min) f or more than 20 seconds • the mask being remo ved while SmartStop is disabled. If a high leak alert sounds: • adjust the mask to minimiz e leak • c hec k that the air tube and sensor t ube are connecte d properly . Will stop when: • the mask leak ha[...]

28 Will stop when: • bloc kage is remov ed. Cleaning and Maintenance You should regul arly carry out th e clea ning and maintenance described in this manual. ! CAUTION Do not wash the pre ssure senso r tube. If fluid enters the pressure sensor tube allow it to dry comple tely by hang ing it in a clean place out of direct sunlight. If th e pressur[...]

29 Cleaning and Maintenance English Figure 19: Air tubin g assembly removed for cleaning ! CAUTION • Do not use bleac h, c hlorine-, alcohol-, or aromatic-b ased solutions (including all scented oils), moisturisi ng or antibacterial soap s to clean the cushion, mask, air tubing, or the VP AP Ad apt S V . These solutions may cause hardening and re[...]

30 Air Filter Inspect the air filter every month and check if it is blocked by dirt or contains holes. The filter should be replace d every six months, or more often if the flow generator is operating in a dusty environment. ! WARNING Do not wash the air fil ter once it has become soil ed. The air filter is not washable or reusab le. Fitting th e f[...]

31 T roubleshooting English Applicable ResMed warranty details are pr ovi ded with the device at the time of original supply. Of course, as with all electrical devices, if any irregularit y becomes apparent, you should exercise caution and have the device inspected by an authorized ResMed service center. If you feel the uni t is not performin g pr [...]

32 Glossary Alarms When more than one alarm is activ ated at the one time, the highest priorit y alarm will be displa yed. Backlight The bac klight t urns of f if no but ton has been pressed for two minutes. It can also be kept p ermanently on by selecting On in the B ac klight screen of the Options menu. bpm breaths per mi nute L/min liters per mi[...]

33 T e chnical Specifications English SmartStop A f eat ure that stops the VP AP Adapt S V automatically when y ou remo ve t he mask. Y ou can t urn SmartStop on or of f in the Set tings menu. Tidal volume The v olume of air , in liters, breathed in or out in one breath. Technical Specifications Dimensions (H x W x D) 5.6" x 9.8" x 11.5&q[...]

34 Alarm specifica tions • High maximum mask pr essur e alar m Stops air deliv er y at 30 c m H 2 O >700 msec. • High mean mask pressur e alar m Stops air deliver y when mean mask pressure e xceeds 22 cm H 2 O ( aver a g e d ov er approx 1 minute). • Low mask pr essure alar m Mask pressure is less than 3 cm H 2 O f or longer than 5 seconds[...]

35 T e chnical Specifications English Display ed values Maximum low impeda nce flow at stated pressures Glossary of symbols Read the relevant operating manual before using Type CF equip ment AC switch Class II Drip proof Va l u e Ra ng e Accuracy Display Re s o l u t io n Pro ximal cuff P ressure -3 to 40 cm H 2 O 0.5 cm H 2 O 0.1 cm H 2 O Mass flo[...]

36 Guidance and Manufacturer’s De claratio n — Electr omagne tic Emissions and Immunity Guidance and manuf acturer’ s declaration – electr omagnetic emi ssions The VP AP A dapt SV is intend ed for use in the electromagnet ic environment specified belo w . The customer or the user of the VP AP A dapt SV sh ould assure that it is used in suc [...]

37 T e chnical Specifications English (Continued next page) Guidance and manuf acturer’ s declaration – electr omagnetic immu nity The VP AP A dapt SV is intend ed for use in the electromagnet ic environment specified belo w . The customer or the user of the VP AP A dapt SV sh ould assure that it is used in suc h an environment. Immunity t est [...]

38 Guidance and ma nuf actur er ’ s de claration – electromagnetic immunity (continued) The VP AP A dapt SV is intended for use in the electromagnetic en vironment specified belo w . The customer or the user of the VP AP Adapt S V should assure that it is used in suc h an environment. Immunity tes t IEC6060 1 -1 - 2 test lev e l Complianc e lev[...]

39 T e chnical Specifications English Recommended separation distances between portable and mobile RF communic ations equipment and the VP AP A dapt SV The VP AP A dapt SV is in tended for use in an en vironment in whic h radiated RF disturbances are controlle d. The custom er or the user of the VP AP Adapt SV can help pre vent electromagne tic int[...]

40 Limited Warranty ResMed warrants that your ResMed product shall be free from defe cts in material and workmanship for the period sp ecified below from the date of purchas e by the initi al consumer. This warranty is n ot transferabl e. Not e: Some models are not avai lable in all regions. If the product fails under conditions o f normal use, Res[...]

41 Index English Index A air circuit learn function 21 air filter 30 hyp oallergenic 30 air pressure monitoring 23 air t ubing at t ac hing to mask 9 cleaning 28 connecti ng 9 air t ubing sy stem 6 , 7 , 9 alarm flow bloc k ed 27 high leak 27 high pressure 26 lo w mask pressure 25 po wer f ail 26 alarm LED 18 anti-bacterial fil ter 14 B bac klight [...]

42 standby mode 16 star ting treatment 16 stopping treatm ent 16 Supplemental o xygen 15 S ystem Error 7 message 32 T T reatment screens 24 U user/o wner responsibility 3 V VP AP A dapt SV usage 23 VP AP A dapt S V Components 6 228234 VPAP Adapt SV User Guide USA Eng .book Page 42 M onday, October 13, 2008 2:15 PM[...]