Fisher & Paykel HC230 SERIES Operating Manual

HC230
SERIES
Operating Manual
Manuel de l’utilisation
Manual del Usiario
SECTION
English
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 Important Parts of Your Device - Standard CPAP Range .................................................3
5.2 Important Parts of Your Device -Integrated CPAP Range ...............................................3
5.3 Accessories ..................................................................................3
6. Cleaning & Maintenance ...........................................................................4
7. Setup Instructions ................................................................................4
8. Controls and Display - Integrated CPAP Range ..........................................................5
8.1 Display Descriptions and Functions ................................................................5
8.2 Patient Menu Summary - Integrated CPAP Range......................................................6
8.3 Patient Menu - Additional Settings Summary- Integrated CPAP Range......................................6
9. Controls and Display - Standard CPAP Range............................................................7
9.1 Display Descriptions and Functions ................................................................7
9.2 Patient Menu Summary - Standard CPAP Range.......................................................8
9.3 Patient Menu - Additional Settings Summary- Standard CPAP Range.......................................8
10. Frequently Asked Questions ........................................................................9
11. Product Specifications .............................................................................9
12. Operating Conditions............................................................................10
13. Storage and Transport Conditions ..................................................................10
14. Troubleshooting ................................................................................10
15. Appendix ...................................................................................10
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, f) it is connected to a PC during CPAP treatment. 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.
* Only applicable to integrated CPAP devices
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. Please refer to the HC230-Series Product range listed in the Appendix section of this manual.
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
* *
*
*
*
5. DESCRIPTION OF THE DEVICE
5.1 Important Parts of Your Device - Standard Range
5.2 Important Parts of Your Device - Integrated Range
A- 3
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
HC385S Standard Humidification Chamber HC355* Extended Life Humidification Chamber 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
POWER CORD
ON/OFF BUTTON
DISPLAY
FILTER HOLDER
AIR FILTER
900HC221 TUBE
900HC010 CONNECTOR
FUNNEL
SERIAL PORT
SERIAL PORT
DISPLAY
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, as 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 two 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,
so that the device is positioned below head height.
3. Chamber Setup (only applicable to integrated CPAP devices)
a. Remove one water chamber from the packaging.
b. Remove the blue caps and discard them (Fig.1).
c. 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.
d.To attach the water chamber to the device, press down the
finger guard and slide the chamber on (Fig.3) (Fig. 4).
e.When the chamber is fitted correctly, the finger guard will
click into place.
4. One end of the tube has a white plastic connector.
Push this onto the outlet on top of the chamber (Fig.5) or CPAP outlet
(Fig.5a) .
5. Connect the other end of the tube to the mask.
6. Plug the device power cord into your household power socket and
into the rear of the device.
7. Switch on the device by pressing the on/off button (See Fig.6 ).
The current humidity setting is displayed.
8. 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.5a
Fig.6
A- 5
8. CONTROLS AND DISPLAY - INTEGRATED CPAP RANGE
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 briefly The device will default to display the humidity setting.
TO SWITCH “OFF”
Remove your mask Press button briefly
TO START THE RAMP
Press the button
NB: to reset ramp during a cycle the device must be switched off first
TO SWITCH “OFF”
Press the 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 “ ” button to sequentially view: Humidity Setting (default display)
For adjusting humidity levels to minimize upper airway side effects from CPAP use. Press and buttons 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
hr/
PATIENT MENU - ADDITIONAL SETTINGS DISPLAY OPERATION
To access additional settings:
From the Default setting “HUMIDITY” Press the “ ” key for 3 seconds
To view subsequent items:
Press the “ ” key.
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
NOTE: Failure to select correct altitude setting (for any given location) will have an adverse effect on delivered pressure.
Actual Pressure
Displays actual pressure
NOTE: Only available on devices with Automatic Altitude Adjustment/Leak Compensation feature
3000
<
<
<
<
NOTE: Manual adjustment of altitude is not featured on units where there is the Automatic Altitude Adjustment/Leak Compensation feature
* Only available on devices with Compliance Monitoring.
cmH2O
<
<
English
A- 6
8.2 PATIENT MENU SUMMARY - INTEGRATED CPAP RANGE
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 - INTEGRATED CPAP RANGE
MODE
ADVANCED
PATIENT MENU
RETURN
TO DEFAULT
or
m
ft
Increase/Decrease
altitude Level
Hold for 3 seconds
<
<
or
<
<
or
<
<
or
Average Hours
per night
hr/
Check sumTotal Run Time
hr
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 delivered pressure.
*
ADVANCED
PATIENT MENU
RETURN
TO DEFAULT
Hold for 3 seconds
*
Humidity Setting
(default)
Pressure
Setting
cmH2O
0,1,2,3,4
+
-
0.5 INCREMENT
<
<
or
Average Hours
per night
hr/
Check sumTotal Run Time
hr
RETURN
TO DEFAULT
**
MODELS
HC233 HC234
MODELS
HC237 HC238
MODELS
HC233 HC234
MODELS
HC237 HC238
ACTUAL
PRESSURE
cmH2O
* Only available on devices with Compliance Monitoring.
A- 7
9. CONTROLS AND DISPLAY - STANDARD CPAP RANGE
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 briefly The device will default to display the humidity setting.
TO SWITCH “OFF”
Remove your mask Press button briefly
TO START THE RAMP
Press the button
NB: to reset ramp during a cycle the device must be switched off first
TO SWITCH “OFF”
Press the button
Press the and button to raise or lower settings
Press sequentially to step through and view options available
<
<
9.1 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 “ ” button to sequentially view: Model Type (default display)
Displays model type as default setting
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
hr/
PATIENT MENU - ADDITIONAL SETTINGS DISPLAY OPERATION
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
NOTE: Failure to select correct altitude setting (for any given location) will have an adverse effect on delivered pressure.
Actual Pressure
Displays actual pressure
NOTE: Only available on devices with Automatic Altitude Adjustment/Leak Compensation feature
3000
<
<
<
<
NOTE: Manual adjustment of altitude is not featured on units where there is the Automatic Altitude Adjustment/Leak Compensation feature
* Only available on devices with Compliance Monitoring.
cmH2O
23
x
English
To access additional settings:
From the Default setting Press the “ ” key for 3 seconds
To view subsequent items:
Press the “ ” key.
A- 8
9.2 PATIENT MENU SUMMARY - STANDARD CPAP RANGE
Increase
Decrease
Press to activate
Ramp
Press once to switch
device on/off
Display
MODE
Model
Type
(default)
Pressure
Setting
Altitude Setting
cmH2O
9.3 PATIENT MENU - ADDITIONAL SETTINGS SUMMARY - STANDARD CPAP RANGE
MODE
ADVANCED
PATIENT MENU
RETURN
TO DEFAULT
or
m
ft
Increase/Decrease
altitude Level
Hold for 3 seconds
<
<
or
<
<
or
Average Hours
per night
hr/
Check sumTotal Run Time
hr
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 delivered pressure.
*
ADVANCED
PATIENT MENU
RETURN
TO DEFAULT
Hold for 3 seconds
*
Model
Type
(default)
Pressure
Setting
cmH2O
Average Hours
per night
hr/
Check sumTotal Run Time
hr
RETURN
TO DEFAULT
**
MODELS
HC231 HC232
MODELS
HC235 HC236
MODELS
HC231 HC232
MODELS
HC235 HC236
ACTUAL
PRESSURE
cmH2O
* Only available on devices with Compliance Monitoring.
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