ResMed AIR104G Users Manual

User guide

English

ENGLISH

Welcome

The AirCurve™ 10 ST-A is a bilevel positive airway pressure device.

WARNING

Read this entire guide before using the device.

CAUTION

In the US, Federal law restricts this device to sale by or on the order of a physician.

Indications for use

AirCurve 10 ST-A

The AirCurve 10 ST-A is indicated to provide non-invasive ventilation for patients weighing more than 30 lb (13 kg) with respiratory insufficiency or obstructive sleep apnea (OSA).

The iVAPS mode is indicated for patients weighing more than 66 lb (30 kg).

The AirCurve 10 ST-A is intended for home and hospital use.

The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment.

Contraindications

Positive airway pressure therapy may be contraindicated in some patients with the following preexisting conditions:

• severe bullous lung disease

• pneumothorax or pneumomediastinum

• pathologically low blood pressure, particularly if associated with intravascular volume depletion

• dehydration

• cerebrospinal fluid leak, recent cranial surgery, or trauma.

Adverse effects

You should report unusual chest pain, severe headache, or increased breathlessness to your prescribing physician. An acute upper respiratory tract infection may require temporary discontinuation of treatment.

The following side effects may arise during the course of therapy with the device:

• drying of the nose, mouth, or throat

• nosebleed

• bloating

• ear or sinus discomfort

• eye irritation

• skin rashes.

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At a glance

The AirCurve 10 includes the following:

• Device with HumidAir

• Water tub

• Air tubing

• Power supply unit

• Travel bag

• SD card (already inserted).

Contact your care provider for a range of accessories available for use with the device including:

• Air tubing (heated and non-heated): ClimateLineAir

• Water tub: Standard water tub, cleanable water tub (can be disinfected)

• Side cover for use without the humidifier

• Filter: Hypoallergenic filter, standard filter

• Air10

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DC/DC converter (12V/24V)

• SD card reader

• Air10 oximeter adapter

• Air10 USB adapter

• Power Station II

• Air10 tubing elbow

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integrated humidifier

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, ClimateLineAir Oxy, SlimLine™, Standard

About your device

Air outlet

HumidAir humidifier (water tub)

Air filter cover

Screen

Retention clip

Adapter cover

Power inlet

SD card cover

Serial number and device number

LED alarm indicator

Press to start/stop therapy.

About the control panel

Start/Stop button

Dial

Home button Press to return to the Home screen.

Different icons may be displayed on the screen at different times including:

Ramp Time

Humidity

Humidifier warming

Humidifier cooling

Press and hold for three seconds to enter power save mode.

Turn to navigate the menu and press to select an option. Turn to adjust a selected option and press to save your change.

Wireless signal strength (green)

Wireless transfer not enabled (gray)

No wireless connection

Airplane Mode

Alarm muted

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Setup

CAUTION

Do not overfill the water tub as water may enter the device and air tubing.

1. With the device on a stable level surface, grip the retention clip on the back of the device and pull up to open. Note: The retention clip is shown in the open position.

2. (a) Plug the power connector into the device power inlet then (b) push down the retention clip to secure in place. Connect one end of the power cord into the power supply unit and the other end into the power outlet.

3. Connect the air tubing firmly to the air outlet located on the rear of the device.

4. Open the water tub and fill it with distilled water up to the maximum water level mark. Do not fill the water tub with hot water.

5. Close the water tub and insert it into the side of the device.

6. Connect the free end of the air tubing firmly onto the assembled mask. See the mask user guide for detailed information.

Recommended masks are available on www.resmed.com.

Note: Ensure the device is placed so that the LED alarm indicator is clearly visible.

The pressure bar shows the inspiratory and expiratory pressures in green.

Usage hours–Indicates the number of hours of therapy you received last

Starting therapy

1. Fit your mask.

2. Press Start/Stop or breathe normally if SmartStart

You will know that therapy is on when the Monitoring screen is displayed.

The green bar will expand and contract as you breathe in and out.

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is enabled.

The screen will go black automatically after a short period of time. You can press Home or the dial to turn it back on. If power is interrupted during therapy, the device will automatically restart therapy when power is restored.

The AirCurve 10 device has a light sensor that adjusts the screen brightness based on the light in the room.

Stopping therapy

1. Remove your mask.

2. Press Start/Stop or if SmartStart is enabled, therapy will stop automatically after a few seconds.

Note: If Confirm Stop is enabled, a message is displayed asking if you want to stop therapy. Turn the dial to select Yes and then press the dial to stop therapy.

Once therapy has stopped, the Sleep Report gives you a summary of your therapy session.

session.

Mask Seal–Indicates how well your mask sealed:

Good mask seal.

Needs adjusting, see Mask Fit.

Humidifier–Indicates if your humidifier is working properly:

Humidifier working.

Humidifier might be faulty, contact your care provider.

If set by your care provider, you will also see:

Events per hour–Indicates the number of apneas and hypopneas experienced per hour.

More Info–Turn the dial to scroll down to view more detailed usage data.

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Power save mode

Highlight My Options and press the dial to see your

Your AirCurve 10 device records your therapy data. In order to allow it to transmit the data to your care provider, you should not unplug the device. However, you can put it into power save mode to save electricity.

To enter power save mode:

• Press and hold Start/Stop for three seconds.

The screen goes black.

To exit power save mode:

• Press Start/Stop once.

The Home screen is displayed.

My Options

Your AirCurve 10 device has been set up for your needs by your care provider, but you may find you want to make small adjustments to make your therapy more comfortable.

current settings. From here, you can personalize your options.

Ramp Time

Designed to make the beginning of therapy more comfortable, Ramp Time is the period during which the pressure increases from a low start pressure to the prescribed treatment pressure.

You can set your Ramp Time to Off or between 5 to 45 minutes.

To adjust Ramp Time:

1. In My Options, turn the dial to highlight Ramp Time and then press the dial.

2. Turn the dial to adjust the ramp time to your preferred setting and press the dial to save the change.

Ramp Down

Ramp Down is intended to make stopping therapy more comfortable by reducing your pressure over a fixed 15 minute period. This option will only be available to you via your care provider.

To enable Ramp Down:

1. In My Options, turn the dial to highlight Ramp Down and then press the

dial.

2. Turn the dial to select On and then press the dial to save the change.

To start Ramp Down:

1. Press the Start/Stop button.

Note: If Confirm Stop is enabled, a message is displayed asking if you want to start Ramp Down. Turn the dial to select Yes and then press the dial to start Ramp Down.

The Ramp Down icon and time remaining will be displayed at the bottom left of the screen.

Once Ramp Down is complete, the device will continue to run at low pressure. To stop therapy at any time, press Start/Stop.

Humidity Level

The humidifier moistens the air and is designed to make therapy more comfortable. If you are getting a dry nose or mouth, turn up the humidity. If you are getting any moisture in your mask, turn down the humidity.

You can set the Humidity Level to Off or between 1 and 8, where 1 is the lowest humidity setting and 8 is the highest humidity setting.

To adjust the Humidity Level:

1. In My Options, turn the dial to highlight Humidity Level and then press the dial.

2. Turn the dial to adjust the humidity level and press the dial to save the change.

If you continue to get a dry nose or mouth, or moisture in your mask, consider using ClimateLineAir heated air tubing. ClimateLineAir together with Climate Control delivers more comfortable therapy.

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Mask Fit

When an alarm is activated, the yellow LED alarm indicator will flash, the

Mask Fit is designed to help you assess and identify possible air leaks around your mask.

To check Mask Fit:

1. Fit the mask as described in the mask user guide.

2. In My Options, turn the dial to highlight Run Mask Fit and then press the

dial. The device starts blowing air.

3. Adjust the mask, mask cushion and headgear until you get a Good result.

To stop Mask Fit, press the dial or Start/Stop. If you are unable to get a good mask seal, talk to your care provider.

More options

There are some more options on your device which you can personalize.

Mask This option shows your mask type setting. If you use more than one type of mask, adjust this

setting when switching between masks.

Run Warm Up This option allows you to pre-heat the water before starting therapy, so that the air is not cold

or dry at the beginning of therapy.

Ramp Down* This option is intended to make stopping therapy more comfortable by reducing your pressure

over a fixed 15 minute period.

SmartStart* When SmartStart is enabled, therapy starts automatically when you breathe into your mask.

*When enabled by your care provider.

When you remove your mask, it stops automatically after few seconds.

Working with alarms

The device is fitted with an alarm feature that monitors your therapy and alerts you to changes that may affect your treatment.

When power is connected to the device, the yellow LED alarm indicator will flash and the alarm will sound to confirm that the alarm is working.

alarm will sound and a message will appear on the screen.

Muting activated alarms

If multiple alarms are activated at the same time, the most recent alarm

To mute the alarm:

1. Press the dial. A list of activated alarms will appear and the flashing alarm mute icon

will be displayed in the top right corner of the screen.

The alarm will be muted for 2 minutes.

2. To return to the previous screen, highlight OK and press the dial.

Once the condition that activated the alarm is corrected, the alarm sound and flashing icon will stop.

If the condition that activated the alarm remains after 2 minutes, the alarm will re-occur.

See the Alarms troubleshooting section for help with managing common alarm conditions.

Multiple alarms

message will be displayed on the screen and any other activated alarms will be shown in the Alarms list.

Viewing the alarms

To view the alarm list:

1. From the Monitoring screen, turn the dial clockwise until the last Monitoring screen is displayed.

2. To view the alarm details, highlight the alarm and press the dial.

Caring for your device

It is important that you regularly clean your AirCurve 10 device to make sure you receive optimal therapy. The following sections will help you with disassembling, cleaning, checking and reassembling your device.

WARNING

Regularly clean the tubing assembly, water tub and mak for optimal therapy and to prevent the growth of germs that can adversely affect the patient’s health.

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