Fisher & Paykel HC210 SERIES Operating Manual

HC210

SERIES

Operating Manual

Manuel de l’utilisation

Manual del Usiario

....................................................................SECTION

English

....................... A

Francais

..................... B

Español

...................... C

HC210 SERIES

CPAP SYSTEMS

Convertible

HC210 SERIES

CPAP SYSTEMS

Convertible

The HC210 series CPAP system (HC211) is available as a standard CPAP device, or when

combined with a Conversion Kit, is identical to the HC220LE series model – an integrated CPAP

device with heated humidification and Ambient Tracking

TM

Plus technology for use in the home.

CONTENTS

Symbol Definitions ...........................................2

Warnings ..................................................2

Cleaning & Maintenance .......................................2

Grounding Instructions ........................................3

Package Contents & Accessories ................................3

Important Parts of Your HC210 Series System .......................3

Getting Started ..............................................4

Making the Most of Your HC210 Series System ......................4

Using the HC210 Series Proportional Ramp Pressure Mode .............4

HC210 Series Conversion Kit Features ............................5

Compliance Monitoring .......................................5

Frequently Asked Questions ....................................6

Troubleshooting .............................................6

Product Specifications ........................................6

CAUTION: USA FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN.

English

A- 1

WARNINGS

READ ALL INSTRUCTIONS BEFORE USE
DANGER - To reduce the risk of electrocution:

• Always disconnect the HC210 series immediately after using.

• Do not use the HC210 series while bathing.

• Do not store the HC210 series where it can fall or be pulled
into water.

• Do not place or drop the HC210 series into water or other
liquid.

• Do not reach for an HC210 series that has fallen into the
water. Unplug immediately.

WARNING - To reduce the risk of burns, electrocution, fire or
injury:

• The HC210 series should not be left unattended when
plugged in.

• Close supervision is necessary if the HC210 series is used by,
on, or near children or invalids.

• Use the HC210 series only for its intended use as described
in this manual.

• Never operate the HC210 series if it has a damaged power
cord or plug, if it is not working properly, if it has been
dropped or damaged, or any part of the HC210 series has
been dropped into water. Return the HC210 series to an
authorised service center for examination and repair.

• Keep the power cord away from heated surfaces.

• Never drop or insert any object into any opening or tube.

• Do not use outdoors or operate where aerosol (spray)
products are being used.

• Connect the HC210 series to a properly grounded outlet only.
See Grounding Instructions.

• At low CPAP pressures, the flow through the mask may be
insufficient to clear all exhaled gas from the tubing, and
consequently some rebreathing may occur.

• Adjusting the pressure control can result in ineffective therapy.
The pressure control must only be adjusted by the clinician.

• Equipment not suitable for use in the presence of flammable
anaesthetic, mixed with air or oxygen or nitrous oxide.

• The HC210 series should only be used with masks and
connectors recommended by Fisher & Paykel Healthcare, or
by your physician or respiratory therapist. A mask should not
be used unless the HC210 series is switched on, and
operating properly. The vent hole(s) associated with the mask
should never be blocked.

CAUTION

• Do not use your HC210 series in close proximity to high
frequency apparatus, shortwave or microwave equipment.
Emissions from such devices may effect the HC210 series'
operation.

• Never block the air openings of the HC210 series or place it
on a soft surface such as a bed or couch, where the
openings may be blocked. Keep the air openings free of lint,
hair or the like.

OXYGEN USE

If supplemental oxygen is used with the HC210 series, the oxy­gen flow must be turned off when the HC210 series is not oper­ating. This ensures that oxygen will not flow through the tube and
accumulate in the HC210 series enclosure.

• The HC210 series should be located in a position where
ventilation around the device is not restricted.

• It is recommended that supplemental oxygen be administered
at the mask.

• Oxygen should not be used while smoking or in the presence
of an open flame.

• The use of oxygen in therapy requires that special care be
taken to reduce the risk of fire. Any materials which will burn
in air and some that will not are easily ignited and burn rapidly
in high concentrations of oxygen. Accordingly, for safety it is
necessary that all sources of ignition be kept away from the
product and preferably out of the room in which it is being
used. "NO SMOKING" signs should be prominently displayed.

• A spontaneous and violent ignition may occur if oil, grease or
greasy substances come in contact with oxygen under
pressure. These substances must be kept away from oxygen
regulators, cylinder valves, tubing and connections, and all
other oxygen equipment.

• At a fixed flow rate of supplemental oxygen flow, the inhaled
oxygen concentration will vary, depending on the pressure
settings, patient breathing pattern, mask selection and leak
rate.

DO NOT DISCARD

Cleaning & Maintenance

NOTE: The HC210 series should be cleaned as required.

1. Switch off the HC210 series and unplug from the power socket.

2. Wipe the exterior of the HC210 series with a clean, damp (not wet) cloth and mild dishwashing detergent. Note: do not use harsh
abrasives or solvents, or these may damage the HC210 series.

3. Daily - Rinse the breathing tube with warm, soapy water.

4. Replace the air filter when it becomes significantly discolored.

WARNING

• Refer all other maintenance to qualified service personnel.

• Always switch off the HC210 series and unplug the power cord from the power socket before cleaning.

• Never rinse or place the unit in water or allow water to get into the interior of the unit.

• Ensure that the unit is dry before plugging into the power socket.

Symbol Definitions

Type BRamp

Mode

ATTENTION

Consult

accompanying

documents

Alternating

Current

Drip Proof CE Mark

93/42/EEC

Class IIb

Double

Insulated

A- 2

Grounding Instructions (for CLASS I models only)

NOTE: Models labeled as Class II (Double Insulated) are marked with the symbol and do not require grounding. The following applies
to Class I (three wire) models only.

The HC210 series should be grounded. In the event of an electrical short circuit, grounding reduces the risk of electric shock by
providing an escape wire for the electric current. The HC210 series is equipped with a cord having a grounding wire with a grounding
plug. The plug must be plugged into an outlet that is properly installed and grounded.

DANGER - Improper use of the grounding plug can result in a risk of electric shock.

Check with a qualified electrician or serviceman if the grounding instructions are not completely understood, or if in doubt as to whether
the HC210 series is properly grounded.

Extension Cords:

If it is necessary to use an extension cord, use only a 3-wire extension cord that has a three-blade grounding plug, and a 3-slot receptacle
that fits the HC210 series plug. Replace or repair a damaged cord.

In Canada/USA only:

This product is for use on a nominal 120V circuit, and has a grounding plug that looks like the plug illustrated (Figure 1). A temporary
adaptor, may be used to connect this plug to a 2-pole receptacle if a properly grounded outlet is not available. The temporary adaptor
should be used only until a properly grounded outlet (Figure 1) can be installed by a qualified electrician. The green coloured rigid ear, lug,
etc extending from the adaptor, must be connected to a permanent ground such as a properly grounded outlet box cover. Whenever the
adaptor is used, it must be held in place by the screw.

Figure 1: Grounding methods

If repair or replacement of the cord or plug is necessary, do not connect the grounding wire to either flat blade terminal. The wire with
insulation having an outer surface that is green with or without yellow stripes is the grounding wire.

Grounded
Outlet

Tab for
grounding
screw

Grounding Pin

Temporary

Adaptor

Metal Screw

Grounded

Outlet Box

Package Contents & Accessories

1 x HC211 CPAP system

1 x tube

1 x spare air filter

A- 3

English

Important Parts of Your HC210 Series System

Getting Started

1. Place the HC210 series on a low shelf or on the floor beside your bed.

2. One end of the tube has a white plastic connector. Push this onto the CPAP front cover. (See Fig. 1)

3. Connect the other end of the tube to the mask.

4. Plug the HC210 series power cord into your household power socket.

5. Switch on the HC210 series by pressing the power switch on the right hand side. (See Fig. 2)

6. The HC210 series is now ready for use.

Fig 1

Fig 2

Making The Most Of Your HC210 Series System

Part of the Fisher & Paykel Healthcare philosophy is to design innovative and effective features to ensure your CPAP treatment is always
comfortable and simple. The following unique features are available with your CPAP unit.

Using The HC210 Series Proportional Ramp Pressure Mode

Some users, when first using CPAP therapy, find the airflow uncomfortable. To help you fall asleep comfortably, the HC210 series
provides a gradual increase in pressure if required. We call this feature Proportional Ramp Pressure (PRP).

To use PRP, follow these simple steps:

1. When the HC210 series is switched on (See 'Getting Started'), it will automatically deliver your set pressure (the green ramp light will
be off). To activate ramp mode, simply press the ramp button on the front of the HC210 series (the green ramp light will turn on).

When ramp mode is activated, it will allow you to fall asleep as the unit gradually increases the pressure over a period of 20 minutes
until set pressure is reached. Pressure will start at a minimum of 3cmH20 (if pressure is less than 9cmH20) or 1/3 of set pressure.

Note: To deactivate ramp mode, simply switch off the HC210 series (See 'Getting Started'), pause for a few seconds, then switch it
back on.

2. Activating Ramp mode during the night:
If you want to activate ramp mode during the night, simply press the ramp button on the front of the HC210 series.

A- 4

RAMP BUTTON

RAMP LIGHT

Compliance Monitoring

Sometimes CPAP users find that when they wake in the morning, they have taken their CPAP mask off while they were sleeping.

CPAP therapy is only effective while the user is wearing the mask.
Clinical studies have shown that the use of heated humidification
increases the amount of time that CPAP is used overnight, which
is why Fisher & Paykel Healthcare have designed the HC210
Series for easy conversion to heated humidification.

Compliance monitoring provides you and your medical practitioner
with the information you need to assess your progress with CPAP
therapy ie. Machine on time, Average hours of use per night,
Check sum, and Set pressure.

When the HC220 Series is first turned on, the compliance display will show the following pieces of information for 8 seconds each before
returning to the default display - set pressure.

1. Machine on time (identified by the hr symbol)
This is the total number of hours that the HC210 Series has been switched on (this includes hours with the mask on and hours with the
mask off).

Example:

This means that the HC210 Series has been switched on for a total of 634 hours.

2. Average hours of use per night (identified by the hr/ symbol) (HC211 only)
This is the average number of hours that the HC210 Series has been used with the mask on each night.

Example:

This means that the HC210 Series has been used with the mask on for an average of 7.4 hours per night.

3. Check sum (identified by the symbol) (HC211 only)
This is a number which can help your medical practitioner to check that the other values are correct.

Example:

Your medical practitioner or homecare provider may ask you to give them this number for reporting purposes.

4. Set pressure (identified by the cm H2O symbol)
This is the pressure which the HC210 Series is set to in cm of H2O – for pressure measurement.

Example:

This means that the HC210 Series has been set to a pressure of 9.5 cm H2O. Note: The display will continue
to show only set pressure. To see the other information, simply turn the HC210 Series off, pause for
3 seconds, then turn it back on.

NB) If the key symbol [ ] is displayed alongside set pressure, it has been locked and cannot be adjusted. Please consult with your
medical practitioner or Homecare provider should you wish to change your recommended therapeutic pressure setting.

HC210 Series Conversion Kit Features

The HC210 Series is a standard CPAP machine capable of being converted to heated humidification technology at minimal effort and at little
cost.

With the Fisher & Paykel Healthcare HC210 Series Conversion Kit, your HC210 Series CPAP unit will have the following innovative and unique
features to provide optimal comfort in your CPAP therapy:

• Integrated Heated Humidifier

• Ambient Tracking Plus

• Compliance Monitoring

• Proportional Ramp Pressure

Please refer to the enclosed HC210 Series CPAP brochure for more information, or alternatively consult with your homecare dealer or health
provider.

9.5 cm H2O

564

7.4 hr/

634 hr

Compliance Display

English

A- 5

Dimensions: 5.3" x 6.5" x 11.6"

(135mm x 165mm x 295mm )

Weight: 5 lbs (2.3kg)
Storage/transport temperature: 14°F to 140°F (-10°C to 60°C)

Electrical Ratings

Supply Frequency: 50-60 Hz
Supply Voltage and Current: 100V-115V~, 1.05A

220V-240V~, 0.60A
Note: These values represent
average current

Suitable for use with
a DC to AC inverter: 200W minimum

Heater Plate*: 85W

Temperature Control*

Settings of 1 – 4
Heater Plate Temperature operating maximum of 149°F (65°C)

Performance

Delivered pressure: 3-18cmH2O
Max. delivered gas temperature: 90°F (32°C)
Delivered Humidity*: 0-23mg/L
Warm-up time: 20 minutes

Standards Compliance

Designed to conform to the
requirements of: IEC 60601-1

UL1431
CSA C22.2/No. 68
AS3200.1.0
EN60601-1

Product Specifications (NB * = only relevant to HC210 Series with Conversion Kit / humidification)

A- 6

Frequently Asked Questions

When I wake up in the morning, my nose and throat feel dry. What can I do?

To reduce discomfort from upper airways and nasal symptoms, research supports the use of heated humidification – Install a HC210
Series Conversion Kit.

Can I use my HC210 series in other countries?

Yes. Simply use the appropriate electrical socket adaptor and the HC210 series will automatically adapt to any voltage supply.

How do I replace the air filter?

Remove the filter from the holder as shown:

Note: When inserting the new filter, ensure that the black dot is
facing towards the machine.

Can I use oxygen with my HC210 series?

Yes, oxygen can be administered at the mask. Turn the HC210 series on before turning on the oxygen. Ensure that the oxygen source is
turned off before turning off the HC210 series to avoid oxygen accumulating in the machine.

Troubleshooting

If you feel that your HC210 Series is not operating correctly, consult your homecare dealer. Do not attempt to repair the HC210 Series
yourself.

Squeeze the filter
holder to remove.

Fisher & Paykel Healthcare Offices:
INTERNATIONAL: PO Box 14-348, Panmure, Auckland 6, New Zealand Email: [e-mail] Web Site: www.fphcare.com Tel: [phone] Fax: [phone]

USA: Suite 101, 22982 Alcalde Drive, Laguna Hills, California 92653, USA Tel: [phone] Fax: [phone] Toll Free: [phone]
AUSTRALIA: 36-40 New Street, Ringwood, Victoria 3134, Australia, Tel: [phone] Fax: [phone]
*UK AND IRELAND: Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, SL6 7BU, United Kingdom Tel: [phone] Fax: [phone]
FRANCE/BENELUX: 10 Avenue du Quebec, SILIC S12 - Villebon, 91946, COURTABOEUF CEDEX, France Tel: [phone] Fax: [phone]
GERMANY/AUSTRIA: Hundsbergerstrasse 45, 73642 Welzheim, Postfach 1103, 73636 Welzheim Tel: [phone] Fax: [phone]

*European Authorised Representative

Part Number : 185043071 Rev A 2003-06