Fisher & Paykel HC220LE, HC221LE User Manual
English-Francais-Español
with Ambient Tracking™ PLUS
HC220
HC220LE/HC221LE
SERIES
Patents Pending in Principal Countries of the World
....................................................................SECTION
English
....................... A
Francais
..................... B
Español
...................... C
HC220
HC220LE/HC221LE
SERIES
HC220
HUMIDIFIED CPAP SYSTEM
with Ambient Tracking™ PLUS
The HC220 Series (HC220LE / HC221LE) humidified CPAP system is an integrated CPAP
and heated humidifier with Ambient TrackingTMPLUS technology for use in the home.
CONTENTS
Symbol Definitions ...........................................2
Warnings ..................................................2
Cleaning & Maintenance .......................................2
Grounding Instructions ........................................3
Package Contents ...........................................3
Important Parts of Your HC220 Series System ......................3
Getting Started ..............................................4
Making the Most of Your HC220 Series System .....................4
Using the HC220 Series Warm-up Mode ..........................4
Controlling Humidity ..........................................5
Ambient Tracking
™
PLUS ......................................5
Compliance Monitoring (HC221LE only) ............................5
Frequently Asked Questions ....................................6
Product Specifications ........................................6
Troubleshooting .............................................6
CAUTION: USA FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN.
English
A- 1
SERIES
WARNINGS
READ ALL INSTRUCTIONS BEFORE USE
DANGER - To reduce the risk of electrocution:
• Always disconnect the HC220 Series immediately after using.
• Do not use the HC220 Series while bathing.
• Do not store the HC220 Series where it can fall or be pulled
into water.
• Do not place or drop the HC220 Series into water or other
liquid.
• Do not reach for an HC220 Series that has fallen into the
water. Unplug immediately.
WARNING - To reduce the risk of burns, electrocution, fire or
injury:
• Do not touch the heater plate. The heater plate temperature
may exceed 65° C(149° F)
• The HC220 Series should not be left unattended when
plugged in.
• Close supervision is necessary if the HC220 Series is used
by, on, or near children or invalids.
• Use the HC220 Series only for its intended use as described
in this manual.
• Never operate the HC220 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 HC220 Series has
been dropped into water. Return the HC220 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 HC220 Series to a properly grounded outlet
only. See Grounding Instructions.
• Remove humidification chamber before filling, and fill
humidification chamber with distilled water only. See
Getting Started.
• 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 HC220 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 HC220 Series is switched on, and
operating properly. The vent hole(s) associated with the mask
should never be blocked.
CAUTION
• Do not use your HC220 Series in close proximity to high
frequency apparatus, shortwave or microwave equipment.
Emissions from such devices may effect the HC220 Series'
operation.
• Never block the air openings of the HC220 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 HC220 Series, the oxygen flow must be turned off when the HC220 Series is not operating. This ensures that oxygen will not flow through the tube and
accumulate in the HC220 Series enclosure.
• The HC220 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 HC220 Series should be cleaned as required.
1. Switch off the HC220 Series and unplug from the power socket.
2. Wipe the exterior of the HC220 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 HC220 Series.
3. Daily - Rinse the water chamber and breathing tube with warm, soapy water.
4. Weekly - Soak the inside of the chamber for 10 minutes in a solution of one part white vinegar to ten parts water.
5. Replace the air filter when it becomes significantly discolored.
WARNING
• Refer all other maintenance to qualified service personnel.
• Always switch off the HC220 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 BWarm-up
Mode
ATTENTION
Consult
accompanying
documents
Alternating
Current
Drip Proof CE Mark
93/42/EEC
Class IIb
Double
Insulated
Humidity
Control
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 HC220 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 HC220 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 HC220 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 HC220 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
1 x HC221LE Humidified CPAP system
(includes compliance download option)
or
1 x HC220LE Humidified CPAP system
1 x spare water
chamber
1 x tube 1 x spare air filter 1 x water funnel
Important Parts of Your HC220 Series System
Accessories
900HC221 TUBE
HEATER PLATE OFF
900HC010
CONNECTOR
OUTLET PORT
HC345 WATER CHAMBER
HC220 SERIES OUTLET
HEATER PLATE
CHAMBER GUARD
WARM-UP
INDICATOR
LIGHT
WATER FILL LINE
INLET PORT
AIR FILTER
FILTER HOLDER
POWER CORD
POWER
SWITCH
CONTROL COVER
COMPLIANCE MONITOR
AND PRESSURE
DISPLAY
WARM-UP BUTTON HUMIDITY CONTROL
A- 3
English
Getting Started
1. Remove your HC220 Series from its packaging.
2. Place the HC220 Series on a low shelf or on the floor beside your bed. Warning: Ensure that the HC220 Series
is placed at a level lower than head height while sleeping.
3. Remove one water chamber from the packaging.
4. Remove the blue caps and discard. (See Fig. 1)
5. Using the funnel provided, fill the water chamber up to the black line with distilled water. (See Fig. 2)
NOTE: Never fill the water chamber while it is attached to the HC220 Series. When moving your HC220 Series,
ensure that the water chamber is empty. Machine failure due to water damage is not covered by warranty.
6. To attach the water chamber to the HC220 Series, press down the finger guard and slide the chamber on. (See
Fig. 3)
7. When the chamber is fitted correctly, the finger guard will click into place. (See Fig. 4)
8. One end of the tube has a white plastic connector. Push this onto the outlet on top of the chamber. (See Fig. 5)
9. Connect the other end of the tube to the mask.
10. Plug the HC220 Series power cord into your household power socket.
11. Set the humidity control on the front of the HC220 Series to '2' (or as recommended by your homecare provider or sleep lab). If heated humidification is not required,
set the control to the off region.
12. Switch on the HC220 Series by pressing the power switch on
the right hand side. (See Fig. 6)
The HC220 Series is now ready for use.
Fig 1 Fig 2 Fig 3
Fig 4 Fig 5 Fig 6
Making The Most Of Your HC220 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 HC220 SERIES WARM UP MODE
Some users, when first using CPAP therapy, find the airflow uncomfortable. To help you fall asleep comfortably, the HC220 Series
provides a gradual increase in pressure and humidity if required. We call this feature warm-up. Warm-up can be used with or without
heated humidification. To use warm-up, follow these simple steps:
1. When the HC220 Series is switched on (See 'Getting Started'), it will automatically deliver your set pressure (the green warm-up
light will be off).
To activate warm-up mode simply press the warm-up button on the front of the HC220 Series (the green warm-up light will turn on).
When warm-up mode is activated, it will allow you to fall asleep as the unit gradually increases the pressure over a period of 20 min-
utes 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 warm-up mode, simply switch off the HC220 Series (See 'Getting Started'), pause for a few seconds, then switch
it back on.
2. Activating warm-up mode during the night: If you
want to activate warm-up mode during the night,
simply press the warm-up button on the front of the
HC220 Series.
WARM-UP
BUTTON
WARM-UP
LIGHT
Off
Region
Humidity
Control
A- 4
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
HC220 Series.
Compliance monitoring provides you and your medical practitioner with the information you
need to assess your progress with CPAP therapy.
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 HC220 Series has been switched on (this includes hours with the mask on and hours with
the mask off).
Example:
This means that the HC220 Series has been switched on for a total of 634 hours.
2. Average hours of use per night (identified by the hr/ symbol) (HC221LE only)
This is the average number of hours that the HC220 Series has been used with the mask on each night.
Example:
This means that the HC220 Series has been used with the mask on for an average of 7.4 hours per night.
3. Check sum (identified by the symbol) (HC221LE 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 HC220 Series is set to in cm of H2O – for pressure measurement.
Example:
This means that the HC220 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 HC220 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.
9.5 cm H2O
564
7.4 hr/
634 hr
Compliance Display
Controlling Humidity
CPAP therapy often dries out the nasal passages, sometimes causing discomfort for the user. Clinical studies have shown that heated
humidification helps to reduce this discomfort and can help the user to benefit more from CPAP therapy.
You are able to adjust the amount of humidity that the HC220 Series generates by adjusting the humidity control on the front of the unit.
Occasionally, some users prefer not to use heated humidification. Heated humidity can be disabled by setting the humidity control to the
'off' region.
Ambient Tracking™PLUS
Ambient Tracking™ PLUS maintains humidity due to changes in room temperature and airflow without condensation collecting in the
tube.The heater plate automatically adjusts for changes in room temperature and air leaks caused by mouth leak and/or mask leak to
maximize humidity and minimize condensation.
Off Region
Humidity
Control
English
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