Fisher & Paykel HC244, HC242, SleepStyle 200 HC244, SleepStyle 200 HC242 Operating Manual

Operating Manual

Model HC244, HC242

SleepStyle™ 200 Series

HUMIDIFIED CPAP SYSTEMS

The SleepStyle™ 200 Series is a range of CPAP
systems designed for use in the home for the
treatment of OSA. This manual is specific to the
operation of CPAP models HC244 and HC242*.

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

* SleepStyle™ 242 is not available in all countries.

English

Table of ConTenTs

1. Symbol Definitions ................................................................................................................................................................... A - 2

2. Intended Use ............................................................................................................................................................................ A - 2

3. Warnings, Cautions, Contraindications .................................................................................................................................. A - 2

4. Description of the Device ........................................................................................................................................................ A - 3

4.1 Package Contents .............................................................................................................................................................. A - 3

4.2 Important Parts of Your Device ......................................................................................................................................... A - 3

4.3 Accessories ......................................................................................................................................................................... A - 3

5. Device Technology ................................................................................................................................................................... A - 3

5.1 Ambient Tracking™ Plus ................................................................................................................................................... A - 3

6. Setup Instructions .................................................................................................................................................................... A - 4

6.1 System Setup ...................................................................................................................................................................... A - 4

6.2 Updating Settings .............................................................................................................................................................. A - 4

7. Oxygen Use .............................................................................................................................................................................. A - 4

8. Controls and Display ................................................................................................................................................................ A - 5

8.1 Display Descriptions and Functions ................................................................................................................................. A - 5

8.2 Patient Menu Summary ..................................................................................................................................................... A - 6

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

9. Cleaning and Maintenance ..................................................................................................................................................... A - 7

10. Frequently Asked Questions ................................................................................................................................................... A - 7

11. Product Specifications ............................................................................................................................................................. A - 8

12. Operating Conditions .............................................................................................................................................................. A - 8

13. Storage and Transport ............................................................................................................................................................. A - 8

14. Troubleshooting ....................................................................................................................................................................... A - 8

15. Device and Consumables Disposal Instructions ................................................................................................................... A - 8

P L E A S E R E A D A L L I N S T R U C T I O N S B E F O R E I N I T I A L U S E

Cau tio n: US A F ed e ra l L aw res tri cts t his d evi ce fo r s al e b y or on th e ord e r of a ph y si c ia n .

A - 1

1. Symbol DefinitionS

Type BF

Applied Part

ATTENTION

Consult accompanying

documents

Do not

throw away

Drip-proof

Alternating

Current

Class ll

Double-insulated

Standby

93/42/EEC

Class IIb

2. intenDeD USe

The SleepStyle™ 200 Series CPAP Humidifier (HC244/HC242) is for use on adult patients for the treatment of Obstructive Sleep Apnea.

The device is for use in the home or sleep laboratory.

3. WarningS, CaUtionS, ContrainDiCationS

NOTES

• This manual refers to the SleepStyle™ 200 CPAP Series unit as "the
device".

• If required to use CPAP by a referring physician, you should use
your device every time you sleep. Should your device stop working
for any reason, contact your healthcare provider immediately.

• The user of this system shall have sole responsibility and liability
for any injury to persons or damage to property resulting from
operation of the device which is not in accordance with the
operating instructions supplied.

• The device should only be used with ISO 17510-2 compliant masks,
connectors and delivery tubes recommended by Fisher & Paykel
Healthcare, or your healthcare provider.

• We recommend use of Fisher & Paykel Healthcare masks to ensure
true data accuracy.

• Under normal operating conditions, the air supplied by the device
will not exceed 105.8 ºF (41 ºC).

• Refer all repairs and maintenance to Fisher & Paykel Healthcare.

• Only insert or remove the SmartStick™ when the device is in
standby mode or not connected to mains power.

• The SmartStick™ should only be removed when downloadable
data is required by your healthcare provider.

• To avoid data loss, do not remove the SmartStick™ from the device
while the light is flashing.

• Use only Fisher & Paykel Healthcare-supplied SmartSticks™.

• Do not operate the device without the SmartStick™ cap secured
over the SmartStick™ port.

• Do not operate the device without the cover over the serial port
adapter.

WARNINGS
To avoid electric shock from your device, do not:

• Operate the device if the power cord or plug is damaged.

• Operate the device if it has been dropped in water.

• Plug the device into the power socket if it is wet.

• Clean the device while connected to the power socket.

• Store or use the device where it can tilt, fall or be pulled into water.

If water has entered the unit enclosure, disconnect the power cord

and discontinue use. Seek advice from Fisher & Paykel Healthcare.

To avoid choking or inhalation of a foreign body:

• Never place any object into any opening of the tube.

• Ensure the air filter is fitted during device use.

To ensure optimal therapy, do not:

• Insert the SmartStick™ into any PC that does not have

PerformanceMaximizer™ software installed. Changing the

directories on the SmartStick™ or attempting to view the data
collected without the correct software will result in all data stored
on the SmartStick™ being lost. If that were to happen, follow-up
therapy would not be possible.

• Operate the device if dropped or damaged.

• Operate the device if not working properly.

• Adjust the pressure. Pressure must only be adjusted by a healthcare
professional.

• Operate the device if the tube has been damaged with holes, tears
or kinks.

• Block the exhaust flow on the interface.

• Use the mask if the unit is not turned on or not operating properly.

To avoid burns, do not:

• Fill the chamber with boiling water.

• Touch the exposed heater plate or chamber base.

To avoid the risk of fire while using oxygen, do not:

• Turn oxygen flow on when the device is not operating; this can lead
to accumulation of oxygen within the device.

• Locate the device in a position where ventilation around the device
is restricted.

• Use oxygen while smoking or in the presence of an open flame.

• Use any materials which will burn in air or ignite easily at high
oxygen concentration.

• Keep any source of ignition near the product. To avoid ignition, it
is preferable to keep all sources of ignition out of the room where
supplemental oxygen is being used.

• Keep oxygen regulators, cylinder valves, tubing, connections and
all other oxygen equipment near oil, grease or greasy substances.
Spontaneous and violent ignition may occur if these substances
come into contact with oxygen under pressure.

Other:

• Place the device on a level surface lower than head height to
prevent water entering the tubing. If water does enter the tubing,
drain excess condensate. Water in the tubing may result in
aspiration.

• The device is intended to be used with CPAP masks and connectors
that have exhaust flow holes to allow continuous flow of air out of
the mask. When the device is turned on and operating properly
new air flushes exhaled air out of the mask through the exhaust
flow holes. At low CPAP pressures and in the event of power failure
or machine malfunction, remove the mask immediately, as flow
through the mask may be insufficient to clear all exhaled gas and
CO2 re-breathing may occur which can be hazardous.

• Failure to select the correct altitude level (for any given location)
will have an adverse effect on delivered pressure.

• This device is not intended for life support.

CAUTIONS
To prevent water damage to your device:

• Remove the humidification chamber from the device before filling.

• Empty water from the chamber before transporting the device.
If the device is required to be handled with water in the chamber,
avoid tilting the device to prevent water entering its enclosure.

Other:

• To prevent damage to your PC, only operate the device if it is
connected to a PC via an isolated serial port adapter (900HC236).

• To prevent airway irritation, do not use the device when room
temperature exceeds 95 °F (35 °C).

CONTRAINDICATIONS

• Research indicates the following pre-existing conditions may
contraindicate the use of positive pressure for some patients:
pneumothorax, bullous lung disease, pneumocephalus,
cerebrospinal fluid leak, recent cranial surgery or trauma,
abnormalities of the cribriform plate, pathologically low blood
pressure or in patients whose upper airways are bypassed.

PRECAUTIONS

• The safety and effectiveness of positive pressure has not been
established in patients with respiratory failure or COPD.

ADVERSE EFFECTS

• Nosebleeds, ear and sinus discomfort may occur from the use of
positive pressure therapy.

Please contact your physician if you have any questions concerning
your therapy.

A - 2

4. DeSCription of the DeviCe

4.1 Package Contents

English

4.2 Important Parts of Your Device

FILTER HOLDER

SmartStick™ CAP

SmartStick™ PORT

AIR FILTER

SERIAL PORT
Note:
For serial data
communication only

2 x HC385S or

1 x HC355*

* Depending on model of device

1 x

POWER CORD

ON/OFF BUTTON

1 x

HEATER PLATE

1 x1 x

1 x

900HC221 BREATHING
TUBE

SmartStick™

DISPLAY

DISPLAY

4.3 Accessories

HC385S Standard Humidification Chamber
HC355* Extended Life Humidification Chamber
900HC010 Connector
900HC221 Breathing Tube
900HC240 Air Filter

5. DeviCe teChnology

FINGER GUARD

WATER CHAMBER

900HC010 CONNECTOR

FUNNEL

WATER LEVEL LINE

900HC611 SmartStick™ (5-Pack)
900HC225 Water Funnel (10-Pack)
900HC630 SmartStick™ Mailer (25 pack)

*Not available in all countries

5.1 Ambient Tracking™ Plus

Ambient Tracking™ Plus provides effective humidification under changing conditions by automatically adjusting the heater

plate in response to changes in room temperature and leaks caused by the mouth and/or mask leak. This humidification
technology maximizes humidity under ambient conditions and minimizes condensation to reduce mask pressure fluctuations,
ensuring the most effective performance of the device.

A - 3

6. SetUp inStrUCtionS

6.1 System Setup

1. Remove the device from its packaging.

2. Place the device on a low shelf or on the floor beside your bed, so the
device is positioned below head height.

3. Chamber Setup

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; an

optional funnel is supplied for easy filling (Fig.2).

Never fill the chamber while it is attached to the device.

When moving your device, ensure 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,

line up the rear chamber hole to the CPAP outlet 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).

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

6. Plug the device power cord into the rear of the device and into your
household power sock

7. When connected to mains power the device will be in standby mode.

8. The SmartStick™ is located at the rear of the device. Detach the cap and
ensure the SmartStick™ is inserted in the correct orientation. The "Fisher
& Paykel Healthcare" logo should be the right way up. If the label is upside
down remove the SmartStick™ and reinsert the SmartStick™ in the correct
orientation. When the SmartStick™ is inserted into the device a small light
at the end of the SmartStick™ will flash. The light will remain illuminated
indicating that data is being logged to the SmartStick™ (Fig.6).

NOTES:

9. Once the SmartStick™ is correctly inserted, secure the SmartStick™ cap over the SmartStick™. If the SmartStick™ is not

10. Activate the device by pressing the on/off button (Fig.8). Upon activation, "ON" will flash three times on the LCD display

11. For changing settings refer to Section 8: Controls and Display.

To download or update settings, only insert or remove the SmartStick™

•

when the device is in standby mode or disconnected from mains power.
Do not insert or remove the SmartStick™ while the pressure is on.

Only SmartSticks™ supplied by Fisher & Paykel Healthcare can be used

•

in the device.

being used, the cap must still be secured in place (Fig.7).

followed by a humidity setting (factory default setting - see Section 8.1).

et.

Your device is now ready for use.

Fig.1

Fig.3

Fig.5

Fig.2

Fig.4

Fig.6

Fig.8Fig.7

6.2 Updating Settings

1. The SmartStick™ can be used by your healthcare provider, to remotely view your compliance or efficacy data and make
adjustments to the settings.

2. Once the device is in standby mode or disconnected from mains power, the SmartStick™ can be safely removed and sent
to your healthcare provider.

3. When the SmartStick™ is returned, follow instructions above to ensure the SmartStick™ is reinserted correctly. A blue
light will illuminate on the end of the SmartStick™ when it is inserted correctly and « USB » will flash on the device LCD.

4. When the blue light has stopped flashing, press any button on the device to acknowledge data download. The settings
will now be updated on the device.

7. oxygen USe

If oxygen is required, it is recommended that supplemental oxygen be administered at the mask. Please see instructions

specific to your mask type.

NOTE:

At a fixed flow rate of supplemental oxygen, the inhaled oxygen concentration will vary, depending on the pressure

•

settings, patient's breathing pattern, mask selection and leak rate.

Before using oxygen with the device, please see oxygen warnings in Section 3.

A - 4

8. ControlS anD DiSplay

8.1 Display Descriptions and Functions

NOTES:
Default Display

For initial use the device will default to display

•

humidity (

When humidity is displayed, the level of humidity

•

can be changed using
if experiencing airway dryness; decrease if
experiencing excessive condensation.

) as per factory settings.

and buttons: increase

KEY FUNCTION AND DESCRIPTION OPERATION

Standby

Turns pressure ON/OFF

Ramp button

Up button

Increase setting

Down button

Decrease setting

Mode button

Step through options

English

STANDBY

Switches the pressure ON and 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

TO START PRESSURE (pressure on)

Press button briefly. "ON" will flash three times on the LCD, then the default

will display

TO STOP PRESSURE (pressure off)

Remove your mask
Press button briefly. "OFF" will flash three times on the LCD, then the device

will return to standby mode and the default will display

TO START PRESSURE (pressure on)

Press the button

Note: To reset ramp during a cycle, the device must be switched off first

TO SWITCH "OFF"

Press the button

<

INCREASE/DECREASE

Adjusts settings up or down

<

MODE

To step through options

PATIENT MENU DISPLAY OPERATION

For viewing settings:
Humidity and Usage Data.

Starting from the default display, press
sequentially to view

NOTE: To exit menu, wait six seconds for LCD
to revert to default display

Press

Press sequentially to step through and view options available

Displays humidity setting

Adjust humidity to minimize upper airway side effects from treatment.
Press and to adjust humidity setting

Apnea Hypopnea Index (AHI)*

Displays the average AHI for the last treatment session

System leak*

Displays system leak history for the last treatment session in liters per minute

Total run hours

Displays the total hours the device has been run with the pressure on

and

(LPM). System leak is comprised of exhaust flow, mask leak and mouth leak.
Exhaust flow is the expected leak at the interface exhalation port required to flush
C02 from the mask. A reading of 60 or below indicates an acceptable level of leak

buttons to raise or lower settings

Average usage hours per night

Displays the average number of hours per night the device has been used

PATIENT MENU - ADDITIONAL SETTINGS DISPLAY OPERATION

To access additional settings:
From the default display
Press the button for three seconds

To view subsequent items:
Press the button

NOTE: To exit menu, wait six seconds for LCD
to revert to default display

*

Activated by your healthcare provider; if not activated, will not be displayed. Refer to your interface instructions regarding exhaust flow characteristics.

Altitude units

Displays altitude units
Select "m" for meters or "ft" for feet using and buttons

Altitude level

Displays altitude level
Press and buttons to alter altitude

A - 5

8.2 Patient Menu Summary

Press to activate

Ramp

Increase

Decrease

Mode

MODEL

HC244
HC242

Humidity Setting

(default)

Apnea

Hypopnea Index

*

<

or

0,1,2,3,4

<

±

0.5 INCREMENT

NOTE: To exit menu, wait six seconds for LCD to revert to default display.

* Only displayed if activated by healthcare provider.

System Leak*

Total Run

Hours

Press once to switch

Average Usage

Hour/night

RETURN

TO DEFAULT

device on/off

Display

Altitude

Pressure

Setting

cmH2O

8.3 Patient Menu - Additional Settings Summary

Mode

MODEL

HC244
HC242

Altitude Units

<

or

Select Units
for Altitude

<

Altitude Level

<

or

<

Increase/Decrease

Altitude Level

Actual

Pressure

RETURN

TO DEFAULT

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

NOTE: To exit menu, wait six seconds for LCD to revert to default display.

A - 6

9. Cleaning anD maintenanCe

PLEASE NOTE: The device should be cleaned as required.

1. Unplug the device from mains power.

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 and mask.

• Clean the tube with warm soapy water. Rinse the tube thoroughly. Hang up the tube with

the tube ends pointing to the floor to dry.

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

• Pour out and discard the remaining water.

NOTE: To completely remove water, guide residual water between vanes and shake well (Fig.1).

• For standard (HC385S) chambers, clean and wash with soapy water, then rinse and dry.

Extended life chambers (HC355) can be cleaned in a domestic dishwashing machine.

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. Empty the vinegar solution and rinse chamber well with water.

5. Replace the air filter when it becomes significantly discolored, at least once every three
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 (Fig.2).

This device does not require routine servicing or calibration.

Fig.1

Fig.2

English

10. 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 healthcare provider 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 (15 cm) 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 ft (183 cm) of tubing will increase condensation.
There are several ways to reduce condensation in the tube:
i. Ensure the device is not positioned in a cool draft.
ii. Decrease the humidity setting on your device slightly. Gradually decrease the setting until the condensation

no longer occurs.

iii. 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 (even if it is passed through

a filter) will often contain minerals which can damage the chamber, causing pitting in the base, corrosion and possibly

leaks.

When do I replace my water chamber?

It is recommended that the chamber is replaced every six months or if the plastic walls of the chamber become cracked

or discolored or the chamber base becomes pitted. Regular cleaning will increase the lifespan of your chamber.
(NOTE: If the chamber leaks at all, it should be replaced immediately.)

When do I replace my breathing tube?

It is recommended that the breathing tube is replaced every six months or if there are any signs of cracking or

deterioration. Regular cleaning will increase the lifespan of your breathing tube.
Can I use my device in other countries?

Yes. Simply use the appropriate electrical socket adapter 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. See Section 7 for more

details.

Which masks are suitable for use with a SleepStyle™ 200 CPAP Series device?
It is recommended that you use a Fisher & Paykel Healthcare mask. Consult your healthcare provider regarding mask

selection.
What happens to my device during power failure?

Upon restoration of the power supply, the device will restart in the same operation mode with the same settings as

before the power failure.

A - 7

11. proDUCt SpeCifiCationS

DIMENSIONS: 10.8" x 6.7" x 5.5"
(275 mm x 170 mm x 140 mm)

WEIGHT

(3.0 kg packaged in bag incl. accessories)

PERFORMANCE:

Pressure Range: 4 to 20 cmH2O

Altitude Range: 0 to 9000 ft or 0 to 3000 m
Maximum Flow Rates

Static Pressure Stability (long term)

-0.05 to 0.18 cmH2O pressure difference, measured at the mask
connection port, at the pressure setting of 10 cmH2O

Dynamic Pressure Stability (short term)

Humidity: Maximum Humidity = 43.9 mg/L (BTPS), 100% RH

Gas Temperature: Max = 105.8 ºF (41 ºC)
Noise Level: <30 dBA

: 4.2 lbs (1.9 kg)

(In the unlikely event of fault conditions pressure
may reach up to 30 cmH

CPAP Pressure
Setting (cmH2O) 4 8 12 16 20

Measured pressure at
the patient connection 3 7 11 15 19
port (cmH2O)

Maximum flow rate
(L/Min) at mask 76 85 85 85 86
connection port

CPAP Pressure
Setting (cmH2O) 4 8 12 16 20

Pressure Difference -0.61 -0.66 -0.77 -0.91 -0.98
(cmH2O) at mask to to to to to
connection port +0.94 +0.90 +0.86 +0.85 -0.86

at 4 cmH
Typical Humidity = 27.2 mg/L (BTPS), 99.2% RH
at 10 cmH

O, with humidity setting 4

2

O, with humidity setting 4

2

O)

2

STANDARDS COMPLIANCE:

Complies with: EN / IEC 60601-1
AS3200.1.0
UL 60601-1

ELECTRICAL RATINGS:

Supply Frequency: 50-60 Hz
Supply Voltage and Current: 1.2 A, 1.3 A ~ (100-115 V max),

0.8 A, 1.8 A ~ (220-240 V max)
NOTE: These values represent average current.

DC to AC Inverter Requirements: 115 V - 200 W/300 W surge
230 V - 300 W/500 W surge

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

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 portable mobile radio frequency
communication equipment, due to the effects of electromagnetic
interference. If this should happen, try moving your device or the
location of the equipment causing interference, or alternatively consult
your healthcare provider.

12. operating ConDitionS

AMBIENT TEMPERATURE: 41 - 95 °F (5 - 35 °C)

HUMIDITY: 10 - 95% Relative Humidity

ALTITUDE: 0 - 9000 ft (0 - 3000 m)

NOTE: Above 4500 ft (1500 m), the maximum operating pressure will be reduced.

13. Storage anD tranSport

The device should be stored and transported in environmental conditions of: 14 to 140 °F (-10 to 60 °C).

14. troUbleShooting

If you feel that your device is not operating correctly, please contact your local Fisher & Paykel Healthcare office – see

back cover for addresses and contact information.

15. DeviCe anD ConSUmableS DiSpoSal inStrUCtionS

• Unit Disposal Instructions
This unit contains electronics. Please do not discard as regular rubbish. Dispose according to local guidelines for

disposing of electronics.

• Consumable Disposal Instructions
Place the mask, breathing tube and water chamber in a rubbish bag at the end of use and discard with normal

rubbish.

Fisher & Paykel Healthcare has a policy of continued product improvement and

reserves the right to alter specifications without notice.

A - 8

Fisher & Paykel Healthcare Offices:

MANUFACTURER Fisher & Paykel Healthcare Ltd, 15 Maurice Paykel Place, East Tamaki, Auckland 2013, P O Box 14 348, Panmure, Auckland 1741, New Zealand

Tel: [phone] Fax: [phone] Email: [e-mail] Web: www.fphcare.com

AUSTRALIA Tel: [phone] Fax: [phone] AUSTRIA Tel: [phone] Fax: [phone] BENELUX Tel: [phone] Fax: [phone]
CHINA Tel: [phone] Fax: [phone] FRANCE Tel: [phone] Fax: [phone] GERMANY Tel: [phone] Fax: [phone]
INDIA Tel: [phone] Fax: [phone] IRISH REPUBLIC Tel: [phone] ITALY Tel: [phone] Fax: [phone]
JAPAN Tel: [phone] Fax: [phone] MIDDLE EAST Tel: [phone] Fax: [phone] NORTHERN IRELAND Tel: [phone]
SPAIN Tel: [phone] Fax: [phone] SWEDEN Tel: [phone] Fax: [phone] SWITZERLAND Tel: [phone] Fax: [phone]
UK (EU Authorized Representative) Fisher & Paykel Healthcare UK Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, UK
Tel: [phone] Fax: [phone] USA Tel: [phone] or [phone] Fax: [phone]

185045254 REV A

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