ResMed FAX-TR177, FAX-TR188, Quattro Air, Quattro Air for Her User Manual

Quattro™ Air

™

Quattro

Full Face Mask

User Guide

English

Air for Her

Did you know?

Replacing your mask and supplies is
one of the most important steps in
maintaining effective therapy.

Replace
when...

• The cushion is discolored.

• The cushion is cracked, torn or
damaged in any way.

• The headgear is stretched and needs
to be tightened more than when it
was new.

What to do...

Consult your equipment provider to
learn what replacement schedule may
be available through your insurance policy.

Quattro™ Air /
Quattro™ Air for Her

Full Face mask/ masque Facial/ mascarilla
Facial/ máscara Facial completa

Fitting/ Mise en place/ Colocación/ Ajuste

1

2

4a b

6 7 8

3

5

i

Removal/ Retrait/ Remoción/ Remoção

1

Disassembly/ Démontage/ Desmontaje/
Desmontagem

1

2

2

3

4

ii

Reassembly/ Remontage/ Montaje/ Remontagem

1

2

3

iii

A

9

10

11

7

8

5

4

6

3

2

1

B

iv

Mask components/ Composants du masque/
Piezas de la mascarilla/ Componentes da máscara

Item/
Désignation/
Artículo/
Item

1 Cushion/ Bulle/

2 Upper headgear hooks/

3 Frame/ Entourage rigide/

4 Valve/ Valve/ Válvula/

5 Elbow/ Coude/ Codo/

6 Side buttons/ Boutons

7 Lower headgear hooks/

8 Vent/ Orifice de ventilation/

9 Upper headgear straps/

Description/ Description/
Descripción/ Descrição

Almohadilla/ Almofada

Crochets supérieurs
du harnais/ Ganchos
superiores del arnés/
Ganchos superiores do
arnês

Armazón/ Armação

Válvula

Cotovelo

latéraux/ Botones laterales/
Botões laterais

Crochets inférieurs du
harnais/ Ganchos inferiores
del arnés/ Ganchos
inferiores do arnês

Ventilación/ Respiradouro

Sangles supérieures du
harnais/ Correas superiores
del arnés/ Correias
superiores do arnês

Part number/ Code
produit/ Número de
pieza/ Nº da peça

Quattro Air

Quattro Air
for Her

62736 (XS)

62737 (S)

62738 (M)

62739 (L)

—

—

—

—

—

—

—

—

v

Item/
Désignation/
Artículo/
Item

10 Lower headgear straps/

11 Headgear/ Harnais/ Arnés/

A Complete system/

B Frame system/ Entourage

Description/ Description/
Descripción/ Descrição

Sangles inférieures du
harnais/ Correas inferiores
del arnés/ Correias
inferiores do arnês

Arnês

Système complet/ Sistema
completo/ Sistema
completo

complet/ Sistema de
armazón/ Sistema da
armação

Part number/ Code
produit/ Número de
pieza/ Nº da peça

Quattro Air

62757 (S)
62756 (Std)

62701 (S)
62702 (M)
62703 (L)

62752 (XS)

62753 (S)

62754 (M)

62755 (L)

XS Extra Small / Très Petit / Extra Pequeña / Extra Pequena
S Small/ Petit/ Pequeña/ Pequena
M Medium/ Médium/ Mediana/ Médio
L Large / Large / Grande / Grande
Std Standard / Standard / Estándar / Padrão

Quattro Air
for Her

—

62758 (S)
62759 (Std)

62740 (XS)
62741 (S)
62742 (M)

vi

English

Quattro™ Air

™

Quattro

FULL FACE MASK

Air for Her

Thank you for choosing the Quattro Air / Quattro Air for Her. Please
read the entire manual before use.

Intended Use

The Quattro Air / Quattro Air for Her is a noninvasive accessory used
for channeling airflow (with or without supplemental oxygen) to a
patient from a positive airway pressure (PAP) device such as a
continuous positive airway pressure (CPAP) or bilevel system.
The Quattro Air / Quattro Air for Her is:

 to be used by patients (weighing >66 lb (30 kg)) for whom

positive airway pressure therapy has been prescribed

 intended for single-patient reuse in the home environment and

multipatient reuse in the hospital/institutional environment.

GENERAL WARNINGS

 The mask must be used under qualified supervision for

users who are unable to remove the mask by themselves.
The mask may not be suitable for those predisposed to
aspiration.

 The elbow and valve assembly have specific safety

functions. The mask should not be worn if the valve is
damaged as it will not be able to perform its safety function.
The elbow should be replaced if the valve is damaged,
distorted or torn.

 The vent holes must be kept clear.
 The mask should only be used with CPAP or bilevel devices

recommended by a physician or respiratory therapist.

 The mask should not be used unless the device is turned on.

Once the mask is fitted, ensure the device is blowing air.

English

1

Explanation: CPAP and bilevel devices are intended to be
used with special masks (or connectors) which have vent
holes to allow continuous flow of air out of the mask. When
the device is turned on and functioning properly, new air
from the device flushes the exhaled air out through the
mask holes. When the device is turned off, the mask valve
opens to atmosphere allowing fresh air to be breathed.
However, a higher level of exhaled air may be rebreathed
when the device is off. This applies to most full face masks
for use with CPAP and bilevel devices.

 Follow all precautions when using supplemental oxygen.
 Oxygen flow must be turned off when the CPAP or bilevel

device is not operating, so that unused oxygen does not
accumulate within the device enclosure and create a risk of
fire.

 Oxygen supports combustion. Oxygen must not be used

while smoking or in the presence of an open flame. Only
use oxygen in well ventilated rooms.

 At a fixed rate of supplemental oxygen flow, the inhaled

oxygen concentration varies, depending on the pressure
settings, patient breathing pattern, mask, point of
application and leak rate. This warning applies to most
types of CPAP or bilevel devices.

 The technical specifications of the mask are provided for

your clinician to check that they are compatible with the
CPAP or bilevel device. If used outside specification or if
used with incompatible devices, the seal and comfort of the
mask may not be effective, optimum therapy may not be
achieved, and leak, or variation in the rate of leak, may
affect the CPAP or bilevel device function.

 Discontinue using this mask if you have ANY adverse

reaction to the use of the mask, and consult your physician
or sleep therapist.

 Using a mask may cause tooth, gum or jaw soreness or

aggravate an existing dental condition. If symptoms occur,
consult your physician or dentist.

2

 As with all masks, some rebreathing may occur at low CPAP

pressures.

 Refer to your CPAP or bilevel device manual for details on

settings and operational information.

 Remove all packaging before using the mask.

Using your mask

When using your mask with ResMed CPAP or bilevel devices that
have mask setting options, refer to the Technical specifications
section in this user guide for mask selection options.
For a full list of compatible devices for this mask, see the
Mask/Device Compatibility List on www.resmed.com on the
Products page under Service & Support. If you do not have internet
access, please contact your ResMed representative.
Use a standard conical connector if pressure readings and/or
supplemental oxygen are required.

Fitting

The fitting illustrations in this guide show the sequence for obtaining
the best fit and comfort when using your mask. A diagram showing
the names of parts can be found in the Mask Components diagram
near the beginning of this guide.

Fitting steps

1. Remove the elbow from the mask by pressing the side buttons
and pulling the elbow away.

2. With both lower headgear straps released, hold the mask against
your face and pull the headgear over your head. Ensure that the
label on the back of the headgear faces outwards when the
headgear is put on.

3. Undo the fastening tabs on the upper headgear straps. Pull the
straps evenly until the mask is stable and positioned as shown.
Reattach the fastening tabs.

4. Bring the lower straps below your ears and loop the headgear
into the lower hooks on the frame.

English

3

5. Undo the fastening tabs on the lower headgear straps. Pull the
straps evenly until the mask sits firmly on the chin and reattach
the fastening tabs.

6. Connect the air tubing from your device to the elbow. Attach the
elbow to the mask by pressing the side buttons and pushing the
elbow into the mask. Turn on your device so that it is blowing air.

7. Undo the fastening tabs on the upper headgear straps. Readjust
the straps evenly only enough that a seal is achieved and
reattach the fastening tabs. Overtightening may cause leaks.

8. Your mask and headgear should be positioned as shown.

Removing your mask

Refer to the removal illustrations section in this guide. A diagram
showing the names of parts can be found in the Mask Components
diagram near the beginning of this guide.

Removal steps

1. Disconnect one or both of the lower headgear straps from the
hook.

2. Pull the mask away from your face and back over your head.

Disassembly

Refer to the disassembly illustrations in this guide. A diagram
showing the names of parts can be found in the Mask Components
diagram near the beginning of this guide.

Disassembly steps

1. Unhook the upper headgear straps from the frame. There is no
need to undo the fastening tabs.

2. Remove the elbow from the mask by pressing the side buttons
and pulling the elbow away. Remove the elbow from the air
tubing.

3. While holding the bottom of the hook, pull the corner of the
frame slightly away from the side of the mask.

4. Remove the frame from the rest of the mask.

4

Reassembly

Refer to the reassembly illustrations in this guide. A diagram
showing the names of parts can be found in the Mask Components
diagram near the beginning of this guide.

Reassembly steps

1. Press the frame onto the rest of the mask, ensuring it clicks into
place at the top and at both bottom corners.

2. Attach the top headgear straps to the frame by looping through
each of the upper headgear hooks. Ensure that the ResMed logo
on the headgear is facing outward and right side up.

3. Attach the elbow to the air tubing. Attach the elbow and air
tubing to the mask by pressing the side buttons and pushing the
elbow into the mask. Pull on the elbow to check that it sits
securely in the mask.

Cleaning your mask in your home

Your mask and headgear should only be handwashed by gently
rubbing in warm (approximately 86°F/30°C) water using mild soap. All
components should be rinsed well with drinking quality water and
allowed to air dry out of direct sunlight.

WARNING

Always follow cleaning instructions and use mild soap. Some
cleaning products may damage the mask, its parts and their
function, or leave harmful residual vapours that could be inhaled
if not rinsed thoroughly.

CAUTION

If any visible deterioration of a system component is apparent
(cracking, discoloration, tears etc.), the component should be
discarded and replaced.

English

5

Daily/After each use:

 Disassemble the mask components according to the

disassembly instructions.

 Thoroughly clean the separated mask components (excluding

headgear), by gently rubbing in warm (approximately 86°F/30°C)
water using mild soap.

 To optimize the mask seal, facial oils should be removed from

the cushion after use.

 Use a soft bristle brush to clean the vent.

 Inspect each component and, if required, repeat washing until

visually clean.

 Rinse all components well with drinking quality water and allow

to air dry out of direct sunlight.

 When all components are dry, reassemble according to the

reassembly instructions.

Weekly:

 Handwash the headgear.

Reprocessing the mask between patients

This mask should be reprocessed when used between patients.
Cleaning, disinfection and sterilization instructions are available from
the ResMed website,
www.resmed.com/masks/sterilization/americas. If you do not have
internet access, please contact your ResMed representative.

6

Troubleshooting

Problem/possible cause Solution

Mask is uncomfortable

Headgear straps are too tight. The cushion membrane is designed to

Mask could be the wrong size. Talk to your clinician to have your face

Mask is too noisy

Elbow incorrectly installed. Remove the elbow from your mask,

Vent is blocked or partially
blocked.

Mask leaks around the face.

Cushion membrane is creased
or folded.

Mask could be the wrong size. Talk to your clinician to have your face

inflate against your face to provide a
comfortable seal with low headgear
tension. Adjust straps evenly. Ensure
that the headgear straps are not too
tight and that the cushion is not crushed
or creased.

size checked against fitting template.
Note that sizing across different masks
is not always the same.

then reassemble according to the
instructions.

Clean with a soft bristle brush until the
vent is clear.

Refit your mask according to the
instructions. Ensure that you position
the cushion correctly on your face
before pulling headgear over your head.
Do not slide the mask down your face
during fitting as this may lead to folding
or curling of the cushion.

size checked against fitting template.
Note that sizing across different masks
is not always the same.

English

7

Technical specifications

Pressure-flow curve The mask contains passive venting to protect

Dead space
information

Therapy pressure 3 to 40 cm H2O
Resistance with Anti

Asphyxia Valve (AAV)
closed to atmosphere

Inspiratory and
expiratory resistance

with Anti Asphyxia
Valve (AAV) open to
atmosphere

Anti Asphyxia Valve
(AAV)
open-to-atmosphere
pressure
Anti Asphyxia Valve
(AAV)
closed-to-atmosphere
pressure

against rebreathing. As a result of
manufacturing variations, the vent flow rate
may vary.

Physical dead space is the empty volume of the
mask to the end of the swivel. Using the large
cushions it is 222 mL.

Drop in pressure measured (nominal)
at 50 L/min: 0.2 cm H
at 100 L/min: 0.9 cm H
Inspiration at 50 L/min 0.6 cm H2O
Expiration at 50 L/min 1.0 cm H2O

≤1.6 cm H2O

≤1.8 cm H2O

O

2

2

Pressure
(cm H

319
422
832
10 37
12 41
18 48
20 54
24 60
28 66
30 69
32 72
36 77
40 82

O

O)

2

Flow
(L/min)

8

Environmental
conditions

Gross dimensions Extra Small:

Mask setting options For S9: Select 'FULL FACE'

Operating temperature: 41°F to 104°F
(+5°C to +40°C)
Operating humidity: 15% to 95% non-condensing
Storage and transport temperature: -4°F to 140°F
(-20°C to +60°C)
Storage and transport humidity:
up to 95% non-condensing

5.91" (H) x 4.06" (W) x 4.17" (D)
(150 mm (H) x 103 mm (W) x 106 mm (D))
Small:

5.98" (H) x 4.06" (W) x 4.21" (D)
(152 mm (H) x 103 mm (W) x 107 mm (D))
Medium:

6.54" (H) x 4.06" (W) x 4.21" (D)
(166 mm (H) x 103 mm (W) x 107 mm (D))
Large:

6.77" (H) x 4.06" (W) x 4.21" (D)
(172 mm (H) x 103 mm (W) x 107 mm (D))
Mask fully assembled with elbow assembly (no
headgear)

For other devices: Select 'MIR FULL' (if available),
otherwise select 'FULL FACE' as the mask option.

Storage

Ensure that the mask is thoroughly clean and dry before storing it for
any length of time. Store the mask in a dry place out of direct
sunlight.

Disposal

This mask does not contain any hazardous substances and may be
disposed of with your normal household refuse.

English

9

Symbols

Read instructions before use; Batch code;

Catalogue number; Temperature limitation; Humidity

limitation; Does not contain natural latex rubber; Manufacturer;

Indicates a Warning or Caution and alerts you to a possible injury or

explains special measures for the safe and effective use of the device;

Keep away from rain; This way up; Fragile, handle with care;

Prescription only (In the US, Federal law restricts these devices to

sale by or on the order of a physician.); European Authorized

Representative

Limited warranty

ResMed Ltd (hereafter ’ResMed’) warrants that your ResMed mask
system (including mask frame, cushion, headgear and tubing) shall
be free from defects in material and workmanship from the date of
purchase for the period of 90 days or in the case of disposable
masks the maximum use period. This warranty is only available to
the initial consumer. It is not transferable. If the product fails under
conditions of normal use, ResMed will repair or replace, at its option,
the defective product or any of its components. This limited warranty
does not cover: a) any damage caused as a result of improper use,
abuse, modification or alteration of the product; b) repairs carried out
by any service organization that has not been expressly authorized by
ResMed to perform such repairs; and c) any damage or
contamination due to cigarette, pipe, cigar or other smoke. Warranty
is void on product sold, or resold, outside the region of original
purchase.
Warranty claims on defective product must be made by the initial
consumer at the point of purchase.

10

This warranty replaces all other expressed or implied warranties,
including any implied warranty of merchantability or fitness for a
particular purpose. Some regions or states do not allow limitations on
how long an implied warranty lasts, so the above limitation may not
apply to you.
ResMed shall not be responsible for any incidental or consequential
damages claimed to have resulted from the sale, installation or use
of any ResMed product. Some regions or states do not allow the
exclusion or limitation of incidental or consequential damages, so the
above limitation may not apply to you. This warranty gives you
specific legal rights, and you may also have other rights which vary
from region to region. For further information on your warranty
rights, contact your local ResMed dealer or ResMed office.

English

11

Manufacturer:

ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia

Distributed by:

ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA
ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK
See www.resmed.com for other ResMed locations worldwide.

For patent information, see www.resmed.com/ip
Quattro is a trademark of ResMed Ltd and is registered in U.S. Patent and
Trademark Office.

© 2013 ResMed Ltd.

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Quattro Air for Her

FULL FACE MASK

TM

628042

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628042/5 2013-03

Quattro Air /

Quattro Air for Her

USER

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Quattro Air

FULL FACE MASK

TM

Global leaders in sleep and respiratory medicine www.resmed.com