Fisher & Paykel HC230 User Manual

HC230

SERIES

Operating Manual

Manuel de l’utilisation

Manual del Usiario

SECTION

English

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

Francais

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

Español

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

TABLE OF CONTENTS

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

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

3. Oxygen Use Warnings .............................................................................2

4. Intended Use.....................................................................................2

5. Description of the device ...........................................................................3

5.1 Package Contents..............................................................................3

5.2 Important Parts of Your Device ...................................................................3

5.3 Accessories ..................................................................................3

6. Cleaning & Maintenance ...........................................................................4

7. Setup Instructions ................................................................................4

8. Controls and Display ..............................................................................5

8.1 Display Descriptions and Functions ................................................................5

8.2 Patient Menu Summary .........................................................................6

8.3 Patient Menu - Additional Settings Summary .........................................................6

9. Frequently Asked Questions .........................................................................7

10. Product Specifications .............................................................................7

11. Operating conditions .............................................................................8

12. Storage and Transport conditions ....................................................................8

13. Troubleshooting .................................................................................8

PLEASE READ ALL INSTRUCTIONS BEFORE INITIAL USE

Caution: USA Federal Law restricts this device for sale by or on the order of a physician.

A- 1

HC230 SERIES

HUMIDIFIED CPAP SYSTEMS

The HC230 series are a range of CPAP systems designed for use in the home for the treatment of OSA.

For further assistance, please contact your local F&P office – see reverse for addresses. Please keep this manual for future reference.

English

2. WARNINGS

PLEASE NOTE:- This manual refers to the HC230 Series CPAP unit as "the device".

1. The device should only be used with masks, connectors and delivery tubes recommended by Fisher & Paykel Healthcare, or by your physician or respiratory therapist.

2. Never operate the device if: a) it has a damaged power cord or plug, b) the tube has been damaged with holes, tears or kinks, c) it has been dropped or damaged, d) it has been dropped into water, e) it is not working properly. Return the device to an authorised service center for examination and repair.

3. Do not use the device when the room temperature exceeds 35°C (95°F) as this may lead to an elevated airflow temperature which may give rise to an irritation of the airways.

4. Ensure an air filter is fitted when operating your unit.

5. Remove the humidification chamber before filling.

6. Do not fill the chamber with boiling water.

7. When handling the device with chamber and water avoid

tilting the machine to prevent any chance of water entering the unit enclosure.

8. Place your device on a level surface lower than your head height to prevent water entering the respiratory tubing should the device be knocked over.

9. Do not store or use your device where it can fall or be pulled into water. If water has entered the unit enclosure,

disconnect the power cord and discontinue use. Seek advice from your homecare provider.

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

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

12. A mask should not be used unless the device is switched on, and operating properly. The vent hole(s) associated with the mask should never be blocked.

13. Due to the operating temperature of the heater plate, avoid making contact to the exposed heater plate or chamber base.

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

15. Adjusting the pressure control can result in ineffective therapy. The pressure control must only be adjusted by a healthcare professional.

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

17. Always switch off the device and unplug the power cord

from the power socket before cleaning.

18. Empty all the water from the chamber before transporting your device.

19. Refer all maintenance to qualified service personnel except as outlined in this manual.

1. SYMBOL DEFINITIONS

3. OXYGEN USE WARNINGS

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

•

The device 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.

•

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.

4. INTENDED USE

The device is used to assist with patient breathing while sleeping, for the purpose of treating Obstructive Sleep Apnea (OSA). This is done by the delivery of Continuous Positive Airway Pressure (CPAP) in order to prevent airway obstruction. The addition of heated respiratory humidification to the device relieves the drying and irritating effects on the patient airways which usually arises from use of a CPAP system. The CPAP device is for use on adult patients at home or in the sleep lab.

Type BF

Applied Part

ATTENTION

Consult

accompanying

documents

Alternating

Current

Drip Proof

93/42/EEC

Class IIb

Class ll

Double Insulated

A- 2

Standby or

On/Off

A- 3

5. DESCRIPTION OF THE DEVICE

5.1 Package Contents

5.2 Important Parts of Your Device

1 x Spare Air Filter

1 x Power Cord

Accessories

2 x Water Chamber

1 x tube

1 x HC230 series

POWER CORD

900HC221 TUBE

900HC010 CONNECTOR

WATER CHAMBER

CHAMBER GUARD

HEATERPLATE

WATER LEVEL LINE

FILTER HOLDER

DISPLAY

AIR FILTER

ON/OFF BUTTON

5.3 Accessories

HC385 Water Chamber – disposable HC355* Water Chamber – reusable 900HC010 Connector 900HC221 Tube 900HC240 Filter

900HC230 Compliance Maximizer Software 900HC232 Compliance Download Serial Cable HC225 Remote Control (Laboratory) 900HC226 Lead Extension Kit for HC225 *Not available in all countries

1 x Funnel

English

A- 4

6. CLEANING & MAINTENANCE

1. Switch off the device and unplug from the power socket.

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

3. DAILY Clean chamber and tube.

•

Remove the breathing tube from the chamber.

•

Rinse the tube with soapy water. Hang – up hose with hose ends pointing to floor to dry.

•

Remove the chamber by pushing down the finger guard and pulling out the chamber.

•

Pour out & discard the remaining water.

•

Clean the chamber with soapy water, rinse and dry.

4. WEEKLY Thoroughly clean the chamber

•

Soak the inside of the chamber for 10 minutes in a solution of one part white vinegar

to five parts water.

5. Replace the air filter when it becomes significantly discoloured, at least once every 3 months or after 1000 hours machine running time.

•

Remove the filter holder from the back of the device and take out the filter.

•

Replace the old filter with a new filter: Ensure the vertical black line is facing towards the device.

7. SETUP INSTRUCTIONS

HOW TO SET UP YOUR SYSTEM

1. Remove your device from its packaging.

2. Place the device on a low shelf or on the floor beside your bed,

the unit needs to be placed below head height.

3. Remove one water chamber from the packaging.

4. Remove the blue caps and discard them (Fig.1).

5. Fill the chamber up to the water filling line with distilled

water only (Fig.2).

Never fill the chamber while it is attached to the device. When moving your device, 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 device, press down the

finger guard and slide the chamber on (Fig.3) (Fig. 4).

7. When the chamber is fitted correctly, the finger guard will

click into place.

8. One end of the tube has a white plastic connector.

Push this onto the outlet on top of the chamber. (Fig.5)

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

10. Plug the device power cord into your household power socket and

rear of device.

11. Switch on the device by pressing the on/off button (See Fig.6 ).

The current humidity setting is displayed.

12. For changing the setting refer to section 8 “Controls and Display”.

Your device is now ready for use.

Fig.1

Fig.2

Fig.3

Fig.4

Fig.5

Fig.6

A- 5

8. CONTROLS AND DISPLAY

Mode button

Step through the options

Down button

Decrease Setting

Up button

Increase Setting

Ramp button

On/Off Button

KEY FUNCTION & DESCRIPTION OPERATION

ON/OFF

Switches the device ON & OFF

RAMP

Reduces pressure to a lower level to help you fall asleep. The pressure will gradually return to full operating pressure over 20 minutes

INCREASE/DECREASE

Adjusts settings up or down

MODE

To step through options

TO SWITCH “ON”

Press button down briefly The device will default to display the humidity setting.

TO SWITCH “OFF”

Remove your mask Press button down briefly

TO SWITCH “ON”

Press the RAMP button

NB: to reset ramp during a cycle the device must be switched off first

TO SWITCH “OFF”

Press the ON/OFF button

Press the and button to raise or lower settings

Press sequentially to step through and view options available

8.1 DISPLAY DESCRIPTION AND FUNCTIONS

PATIENT MENU DISPLAY OPERATION

For viewing of CPAP settings, humidity, compliance data, altitude and pressure settings

TO VIEW ITEMS

Press the “ ” key to sequentially view:

Humidity setting (default display) For adjusting humidity levels to minimize upper airway side effects from CPAP use Press the and button to raise or lower settings

Total run hours*

Displays the total number of hours the device has been switched on (includes hours without mask use)

Average compliance hours per night*

Displays average number of hours the device has been used at night with the mask on

Checksum*

Displays information for medical practitioner or dealer use to check compliance

Altitude setting

Displays altitude setting

Pressure setting

Displays pressure setting

cmH2O

hr/

PATIENT MENU - ADDITIONAL SETTINGS DISPLAY OPERATION

To access additional settings: From the Default setting

“HUMIDITY”

Press the “”key for 3 seconds

Altitude

Select “m” for metres of “ft” for feet using

the and keys

Altitude level

- Press to change altitude level

- Set the altitude level by pressing the and keys

- Press to exit menu

3000

Warning: Failure to select correct altitude setting (for any given location) will have an adverse effect on set pressure delivery.

* only available on devices with compliance monitoring.

English

A- 6

8.2 PATIENT MENU SUMMARY

Increase

Decrease

Press to activate

Ramp

Press once to switch

device on/off

Display

MODE

Humidity Setting

(default)

Pressure

Setting

Altitude Setting

cmH2O

0,1,2,3,4

0.5 INCREMENT

8.3 PATIENT MENU - ADDITIONAL SETTINGS SUMMARY

Increase

Decrease

Press to activate

Ramp

Press once to switch

device on/off

Display

MODE

ADVANCED

PATIENT MENU

RETURN

TO DEFAULT

Increase/Decrease

altitude Level

Hold for 3 seconds

Average Hours

per night

hr/

Check sumTotal Run Time

Select Units for Altitude

3000

RETURN

TO DEFAULT

Warning: Failure to select correct altitude setting (for any given location) will have an adverse effect on set pressure delivery.

9. FREQUENTLY ASKED QUESTIONS

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

Try increasing your humidity setting. If this does not help, please contact your clinician for advice.

How do I prevent condensation in the tubing?

The humidity setting enables adjustment of humidity, so that there should be fine misting in the six inches (183cm) of the breathing tube closest to your face. If the humidity setting is too high for the conditions, condensation may occur in the breathing tube.

Note: Using greater than 6' (183 cm) of tubing will increase condensation.

There are several ways of reducing condensation in the tube:

1. Ensure the device is not positioned in a cool draft.

2. Decrease the humidity setting on your device slightly. Gradually decrease the setting until the condensation no longer occurs.

3. Warm the air in the room.

Do I have to use distilled water with my device?

The use of distilled water will maximize the life of the water chamber. Water from the faucet will often contain minerals which can damage the chamber, causing pitting in the base, even if the water is passed through a filter.

Can I use my device in other countries?

Yes. Simply use the appropriate electrical socket adaptor and the device will automatically adapt to any voltage supply. Note: When moving your device, ensure that the water chamber is empty. Machine failure due to water damage is not covered by warranty.

Can I use supplemental oxygen with my device?

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

When do I replace my water chamber?

Replace the chamber if the plastic walls of the chamber become cracked or cloudy or the chamber base becomes pitted. (Note: If the chamber leaks at all, it should be replaced immediately).

DIMENSIONS: 275mm x 170mm x 140mm

WEIGHT: 1.9kg (3.0kg packaged in bag

incl. accessories)

ELECTRICAL RATINGS Supply Frequency:

50-60 Hz

Supply Voltage and Current: 100-115V~ (1.2A, 1.3A max),

220-240V~ (0.8A, 1.8A max)

Note: These values represent average current

DC to AC Inverter requirements: 115V - 200W/300W surge

230V - 300W/500W surge

Heater Plate : 85W max Heater Plate Temperature: 65°C (149°F) max

PERFORMANCE

Pressure Range 4 to 20 cmH2O Altitude Range 0 to 3000m, or 0 to 9000 ft

STANDARDS COMPLIANCE

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

UL2601-1 CSA C22.2/No.60601.1 AS3200.1.0

The device complies with the electromagnetic compatibility requirements of IEC 60601-1-2. In certain circumstances, the device may affect or be affected by nearby equipment due to the effects of electromagnetic interference. If this should happen, try moving your unit or the location of the device causing interference, or alternatively consult your homecare provider.

10. SPECIFICATIONS

A-7

English

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