ResMed Mirage Micro for Kids Pediatric Sleep Apnea Mask User Manual

Mirage Micro™ for Kids

nasal mask

User Guide

English

Mirage Micro™ for Kids

Fitting/ Mise en place / Ajuste / Colocação e ajuste

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Mirage Micro for Kids

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B C D

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

Item /
Article/
Artículo/
Item

1 Mask frame / Entourage rigide /

2 Dial / Molette de réglage / Disco / Botão giratório
3 Forehead support / Support frontal /

4 Forehead support pad / Tampon frontal / Almohadilla del apoyo

5 Cushion / Bulle / Almohadilla / Almofada
6 Headgear clip / Clip d’attache du harnais /

7 Headgear / Harnais / Arnés / Arnês
8 Ports cap / Bouchon d’entrées /

9 Swivel / Pièce pivotante / Pieza giratoria / Peça giratória
10 Elbow / Coude / Codo / Cotovelo
11 Vent / Orifice de ventilation / Ventilación / Respiradouro
A Complete system / Système complet /

B Frame system / Entourage complet /

C Frame assembly / Ensemble entourage /

D Elbow assembly / Ensemble coude /

Description / Description / Descripción/ Descrição

Armazón de la mascarilla / Armação da máscara

Apoyo para la frente / Suporte para a testa

para la frente / Almofada do suporte para a testa

Broche del arnés / Presilha do arnês

Tapón de los puertos / Tampa das portas

Sistema completo / Sistema completo

Sistema del armazón / Sistema da armação

Montaje del armazón / Conjunto da armação

Conjunto del codo / Conjunto do cotovelo

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Removal / Enlèvement / Cómo quitarse la mascarilla /
Remoção

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Disassembly/ Démontage / Desmontaje / Desmontagem

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(b)

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Reassembly/ Remontage / Montaje / Remontagem

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English

Mirage Micro™ for Kids

NASAL MASK

Thank you for choosing the Mirage Micro for Kids.

Intended use

The Mirage Micro for Kids channels airflow noninvasively to a patient from a
positive airway pressure device such as a continuous positive airway pressure
(CPAP) or bilevel system.
The Mirage Micro for Kids is:

• to be used by children aged 7 and older, and more than 40 lbs (18.2 kg), for
whom positive airway pressure has been prescribed

• intended for single-patient re-use in the home and multipatient re-use in
the hospital/institutional environment.

WARNING

• The mask must be used under qualified supervision for patients
who are unable to remove the mask by themselves. The mask may
not be suitable for those predisposed to aspiration.

• The mask should be used with CPAP or bilevel devices that
allow pressure relief during expiration as recommeded by your
physician or respiratory therapist.

• If the mask is prescribed for children with serious congenital
conditions or cognitive impairments then using a CPAP or bilevel
device with appropriate alarms is recommended.

• The vent holes must be kept clear.

• The mask should not be used unless the device is turned on. Once
the mask is fitted, ensure the device is blowing air.

• This mask is designed to provide a stable, effective air seal with
minimum headgear tension. High headgear tension may lead to
facial deformities with long-term use. Regular clinician review
of growth patterns and the use of different styles of mask is
recommended.

• Ensure that the nasal cushion does not block the nostrils at any
time during fitting or use.

English

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• 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.

• This mask contains small parts that could cause choking. Your
clinician should assess the suitability of the mask.

• 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.

Notes:

• SmartStop may not operate effectively when using this mask with some

CPAP or bilevel devices that have this feature.

• If you experience nasal dryness or irritation, using a humidifier is
recommended.

Fitting

The Fitting illustrations section in this user guide shows the sequence for
obtaining the best fit and comfort when using your mask.

1. Turn the dial, so that the forehead support is fully extended.

2. Hold the mask over your nose and pull the headgear over your head.

3. Bringing the lower straps below your ears, connect the headgear clip

to the the mask frame.

4. Unfasten the Velcro®, pull the upper headgear straps evenly until they

are comfortable and firm, and reattach the Velcro.

5. Repeat step 4 with the lower headgear straps.

6. Connect the main air tubing to the swivel. Then connect the free end

of the air tubing to your device and turn on.

7. Lie down in your sleeping position. Adjust the dial until the mask

is evenly positioned on your face. It should be comfortable, with a
satisfactory seal. Adjust the headgear straps if necessary.

8. Shows how the fitted mask is positioned.

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Removal

To remove the mask, disconnect one of the lower headgear clips and pull
the mask and headgear up over your head.

Disassembly

Refer also to the disassembly illustrations in this user guide.

1. Detach the air tubing.

2. Unclip the headgear clips and unthread the upper headgear straps. It

is not necessary to remove the headgear clips from the headgear.

3. Remove the elbow assembly from the mask frame by pivoting from

the bottom edge.

4. Remove the swivel from the elbow.

5. Note the position on the dial for the next time you use the mask.

Unscrew and remove the dial (a) then pull the forehead support (b)
out of the mask frame.

6. Remove the forehead support pads from the forehead support.

7. Remove the cushion from the mask frame.

8. Remove the ports cap from the mask frame.

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Reassembly

Refer also to the reassembly illustrations in this user guide.

1. Insert the ports cap.

2. Insert the cushion into the mask frame. Ensure that the arrows at

base of the cushion and mask frame are aligned.

3. Push the forehead pads firmly into the forehead support.

4. Insert the forehead support (a) into the mask frame and screw (b)

the dial clockwise onto the pole. Turn the dial until it clicks (c). Ensure
the dial sits flush against the frame.

5. Insert the swivel into the end of the elbow.

6. Insert the assembled elbow into the mask frame.

7. Reattach the top headgear straps by threading them through the

loops.

Cleaning your mask in the home

Your mask and headgear should be gently handwashed only.

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. It may be washed without being disassembled.

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WARNING

• Do not use aromatic-based solutions or scented oils (eg,
eucalyptus or essential oils), bleach, alcohol or products that
smell strongly (eg, citrus) to clean any of the mask components.
Residual vapours from these solutions can be inhaled if not rinsed
thoroughly. They may also damage the mask, causing cracks.

CAUTION

• If any visible deterioration of a system component is apparent
(cracking, crazing, tears or cushion damage etc), the component
should be discarded and replaced.

• Avoid connecting flexible PVC products (eg, PVC tubing) directly
to any part of the mask. Flexible PVC contains elements that can
be detrimental to the materials of the mask, and may cause the
components to crack or break.

Reprocessing the mask between patients

Only Sleep Lab Mask (SLM) variants of the mask are intended for multi-patient
re-use. When using between patients, these masks must be reprocessed
according to cleaning and disinfection instructions available on ResMed.com/
downloads/masks.

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Troubleshooting

Problem/possible cause Solution
Mask is uncomfortable

Headgear straps are too tight. Adjust straps evenly. The forehead

Fit is too tight. Wind out dial.

Mask is too noisy

Ports cap or elbow incorrectly
inserted.

Vent is blocked or partially blocked. If the vent requires cleaning, use a soft

Mask is incorrectly assembled. Disassemble the mask, then reassemble

Mask leaks around the face

Mask not positioned correctly. Gently pull the cushion away from the

Air leaking around the bridge of the
nose.

Air leaking around the top of the lip. Wind the dial out and or tighten the

Mask cushion is misaligned or
creased.

The mask does not fit properly

Cushion and/or mask could be the
wrong size.

Mask is incorrectly assembled. Disassemble the mask, then reassemble

Cushion may be dirty. Clean cushion according to the

Cannot insert forehead support into mask frame

The dial has been inserted into the
frame before the forehead support.

support ‘anchors’ your mask and should
sit firmly on your forehead.

Remove the ports cap or elbow from the
mask, then reassemble according to the
instructions.

bristle brush.

according to the instructions.

face to reinflate. Reposition your mask
according to the instructions.

Wind the dial in.

bottom straps.
Ensure the arrows at the base of the

cushion and mask frame are aligned.
Ensure the cushion has no creases in
it. Undo the headgear clip, check the
cushion and reposition the mask over
your nose.

Talk to your clinician.

according to the instructions.

instructions.

Push the end of the dial onto a hard
surface until the dial comes out of the
frame. Reassemble according to the
instructions.

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WARNING

• 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.

• 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.

• 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.

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Technical specifications

4 6 8 10 12 14 16 18 20

Pressure–flow
curve

60

50

40

30

20

10

Vent flow rate (L/min)

0

Dead space
information

Therapy pressure 4 to 20 cm H
Resistance Drop in pressure measured (nominal)

Environmental
conditions

Operating:

Storage and
Transport:

Gross dimensions
Small:

Mask setting
options

Notes:

• The mask system does not contain latex, PVC or DEHP materials.

• The manufacturer reserves the right to change these specifications

without notice.

The mask contains passive venting to protect against
rebreathing. As a result of manufacturing variations, the
vent flow rate may vary.

Pressure
(cm H

2

O)

4 19

8 28

12 34

16 40

Mask pressure (cm H2O)

20 45

Physical dead space is the empty volume of the mask to
the end of the swivel. Using the small cushion it is 86 mL.

O

2

at 50 L/min: 0.1 cm H
at 100 L/min: 0.7 cm H

O

2

O

2

Temperature Humidity

+41°F to +104°F
(+5°C to +40°C)

-4°F to +140°F
( -20°C to +60°C)

15% to 95% relative
humidity non-condensing

up to 95% relative humidity
non-condensing

Mask fully assembled - no headgear

5.51“ (H) x 3.58“ (W) x 3.66“ (D)
(140 mm (H) x 91 mm (W) x 93 mm (D))

Select ‘STANDARD’ as the mask option.

Flow
(L/min)

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Storage

LOT

REF

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.

Symbols

English

Caution, consult accompanying documents;
number; Temperature limitation; Humidity limitation; Does not
contain latex; 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. Rx Prescription only (In the US, Federal law restricts these
devices to sale by or on the order of a physician.)

Lot number;

Part

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.
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.

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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.

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Manufacturer:

ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.

See www.resmed.com for other ResMed locations worldwide.

Mirage Micro for Kids
Protected by patents: AU 710733, AU 741003, AU 766623, AU 775051, AU 777033, AU 785376,
CA 2261790, CA 2470671, EP 0956069, EP 1187647, EP 1187648, EP 1187649, EP 1187650,
EP 1314445, EP 1479406, EP 1582230, EP 1640034, HK 1057714, JP 3686609, JP 4354664, NZ
513052, NZ 526165, NZ 526166, NZ 526167, NZ 526168, NZ 538698, US 6112746, US 6119693,
US 6357441, US 6374826, US 6439230, US 6463931, US 6532961, US 6557556, US 6581594, US
6581602, US 6634358, US 6691708, US 6823865, US 6860269, US 6871649, US 6997188, US
7011090, US 7159587, US 7178527, US 7188620, US 7216647, US 7234466, US 7243651, US
7600513, US 7610916. Other patents pending.
Protected by design registrations: AU 304309, AU 319212, AU 319213, AU 319214, AU 319215,
AU 319266, AU 319267, AU 319216, AU 319217, AU 319185, AU 319218, AU 320813, AU
320814, CN 200530117106.1, CN 200730331127.2, CN 200730331128.7, CN 200730331130.4,
CN 200730331134.2, CN 200730331136.1, CN 200730331137.6, CN 200730331138.0, CN

200830120151.6, EU 366844, EU 823497, EU 940234, EU 959408, EU 970374, JP 1264474,
JP 1332693, JP 1332694, JP 1332695, JP 1332696, JP 1332697, JP 1332698, JP 1349614, JP
1350173, JP 1350282, NZ 406357, NZ 410892, NZ 410022, NZ 411316, NZ 411317, NZ 411318,
NZ 411319, NZ 411320, NZ 411321, NZ 411322, NZ 411323, US D532512, US D547439, US
D545960, US D594111, US D594112, US D594113, US D595840, US D597202. Others pending.

Mirage and Mirage Micro are trademarks of ResMed Ltd and Mirage is registered in U.S. Patent
and Trademark Office.
© 2018 ResMed Ltd.

Velcro is a trademark of Velcro Industries B.V

© 2018 ResMed Ltd.

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MICRO FOR KIDS

USER

AMER MUL

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