ResMed NOT014224_vs-integra_user-guide_row_eng PrimeAire ARS Pressure Redistribution Mattress From Hill-Rom USER MANUAL

VS Ultra™ & VS Integra™

Patient manual

English
NOT014224-2 07 10

ResMed Schweiz AG Viaduktstrasse Basel, Switzerland, [phone] or 0800 00 2500 (toll free).
Saime SAS (Manufacturer), Savigny-le-Temple, France. ResMed Corp Poway, CA, USA [phone] or 1 800 424 0737 (toll
free), ResMed Ltd Bella Vista, NSW, Australia, [phone] or 1 800 658 189 (toll free). Offices in Austria, Brazil, China,
Finland, France, Germany, Hong Kong, India, Japan, Malaysia, Netherlands, New Zealand, Norway, Singapore, Spain, Sweden,
Switzerland, United Kingdom (see website for details). Protected by patents: FR 2839893.
Other design registrations and patents pending. VS Ultra and VS Integra are trademarks of Saime and is registered in U.S.
Patent and Trademark Office. Specifications may change without notice. © 2007 Saime SAS is a subsidiary of ResMed Inc.

Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

1. 1 D e f i n i t i o n s 1

1. 2 U s e r / O w n e r R e s p o n s i b i l i t y 1

1. 3 M e d i c a l I n f o r m a t i o n 1

2 Description of the device . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

2.1 Components 3

2.2 Your device 4

2.3 Circuit 8

2.4 Accessories 8

2.5 Device control panel 10

3 Connection procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3.1 Connecting to a power supply 11

3.2 Connecting the circuit 12

3.3 Connecting the mask 15

3.4 Example of fully-assembled system 16

3.5 Connecting accessories 16

4 Switching on and shutting down . . . . . . . . . . . . . . . . . . . . . 19

4.1 Standby 19

4.2 Starting up 19

4.3 Shutting down 19

5 Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . .21

6 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

7 Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

7. 1 D i m e n s i o n s 2 5

7. 2 W e i g h t 2 5

7. 3 P o w e r s u p p l y 2 6

7. 4 T r a n s p o r t 2 6

8 Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

iii

1 Introduction

This manual is provided with the device you have received, a medical
ventilator in the VS range. It does not in any way replace the clinical
manual supplied to your physician or HME provider.

There are two models:

• the VS Ultra™, which is blue

• the VS Integra™, which is red.

These devices are designed to provide ventilation for dependent and
non-dependent patients, with a mask or tracheotomy. However, the
illustrations and text in this manual refer solely to the use of a mask.

1.1 Definitions

This manual contains special terms and icons that appear in the margins.
Their purpose is to draw your attention to specific or important
information.

CAUTION

!

Explains special measures for the safe and effective use of the
device.

WARNING

!

Alerts you to possible injury.

Note: Is an informative or helpful note.

1.2 User/Owner Responsibility

The user or owner of this system is solely responsible and liable for any
injury to persons or damage to property resulting from:

• Operation which is not in accordance with the operating instructions

supplied

• Maintenance or modifications carried out unless in accordance with

authorised instructions and by authorised persons.

Please read this manual carefully before use.

1.3 Medical Information

Purpose of your ventilation device

VS Ultra and VS Integra devices are designed for both adults and
children, in the home or clinical environment.

Introduction

1

The VS Integra and VS Ultra can both be used with single circuit, but only
the VS Ultra model can be used with double circuit.

Warnings

• This manual must be read and understood in full before the device is

used.

• The advice contained in this manual does not replace the instructions

given by your physician (or HME provider), who will already be
familiar with the operation of the device through the clinical manual
provided.

• The device settings must be made by competent and trained staff

under a doctor's supervision.

• The device must be used with the accessories recommended by the

manufacturer or your prescribing physician. The use of inappropriate
accessories is likely to affect the operation of the device.

• In the case of externally visible faults, cease using the device.

• In the event of functional problems (e.g. you find it difficult to breathe

or trigger an inspiratory phase), contact your HME provider.

• Do not open the device casing. Repairs and internal servicing should

only be performed by an authorised service agent.

The above are general warnings. Other specific warnings and notes will
be found throughout the text of the manual.

2

2Description of the device

2.1 Components

The picture below shows the set of components available from your
HME provider:

• Yo u r d e v i ce

• The power cable

• The circuit

• An interface (mask or tracheotomy)

• The travel bag .

5

1

2

4

3

Figure 1: Components available from your HME provider.

Description of the device

3

2.2 Your device

Front view

The device comprises:

• A control panel

• An area for connecting the circuit .

1

Figure 2: Front view of the device.

The control panel comprises a screen and a keypad.

2

LCD Screen

Keypad

Figure 3: Device control panel.

4

The circuit connection area comprises:

• An air outlet

• Single circuit support with exhalation and pressure line connection.

Air outlet

Single circuit support
with exhalation and
pressure line connection

Figure 4: Detailed view of single circuit support with exhalation and
pressure line connection.

There is a different type of circuit support for double circuit (see next
Figure).

Description of the device

5

Air outlet

Connection for a
double circuit

Figure 5: Detailed view of connection for a double circuit.

Rear view

On the rear of the device, take particular note of the location of the
following:

• The power supply socket

• The fastening clip for the power connection

• The anti-dust filter . You will have to replace this filter (see

“Cleaning and Maintenance” on page 21).

CAUTION

!

Never block the exhaust vents. Two places on the rear of the

device are marked with the symbol .

6

Socket for external battery

3

2

1

Figure 6: Rear view of device.

Anti-dust filter
(Air inlet)

Fastening clip

Powe r su pply so cket

Side view

Some device models are fitted with a metal connector for attaching an
oxygen supply (see next Figure).

For instructions on connecting the oxygen source to the device, see
“Connecting supplemental oxygen (optional)” on page 18.

O

2

2

O

Connector for
oxygen circuit

(Symbol )

Figure 7: Metal connector for optional O2 pressure.

Description of the device

7

2.3 Circuit

Depending on the ventilation mode prescribed by your physician, you will
be using one of the following:

• Single circuit

• Single circuit with expiratory valve

• Double circuit

To determine the type of circuit prescribed for you and how to connect
it to the device, see “Connecting the circuit” on page 12.

2.4 Accessories

Other components in your circuit system may include an antibacterial
filter, a humidification system and a water trap. For further details, read
the instructions provided with the individual accessories used in your
system.

Some ResMed accessories are available as optional extras with this
device:

• An external battery

• An oxygen coupling for connecting a supplemental flow of oxygen

to the device

• A remote alarm (accessory not described in this manual).

8

External battery (optional)

An external battery increases the utilisation period away from a mains
power supply, and also provides a back-up supply in the event of a power
outage.

This accessory comprises:

• The external battery , attached to its holder

• The cable connecting the device to the external battery .

1

3

2

Figure 8: External battery in its holder and cable connecting the device to
the external battery.

The external battery allows use of the device at home, outside, in a
vehicle or when sitting in a wheelchair. It comes with a travel bag.

For more details, see “Connection of external battery (optional)” on
page 16.

Coupling for supplemental oxygen flow (optional)

The oxygen coupling is used to connect a supplemental flow of oxygen
to the device.

Ventilat ion device Oxyg en supply

Figure 9: Oxygen coupling.

For instructions on connecting a supplemental oxygen flow to the
device, see “Connecting supplemental oxygen (optional)” on page 18.

Description of the device

9

2.5 Device control panel

The device control panel comprises an LCD screen and a keypad.

LCD Screen

Navigation panel

2 min.

Figure 10: Front view.

Indicator lights (LEDs)
Alarm silence button

On/Off button

The buttons on the keypad are listed in the table below.
The keypad consists of buttons and LED indicator lights.

Ta bl e 1: B u tt on s on d ev i ce c on tr o l p a ne l.

Button Function

On/Off button Used to switch the device on and off.

Alarm silence button Used to silence the audible alarm.

Either the orange or red LED will start flashing,
depending on the type of alarm.

Menu button Displays your ventilation program settings (button

used by your installation technician).

Adjustment buttons For adjusting your ventilation program settings

(buttons used by your installation technician).

10

3Connection procedures

Place the device on a flat surface. Ensure the area is dust-free, and
cleared of any objects that could block the dust filter.

CAUTION

!

Be careful not to place the device where it could be knocked over or
where someone is likely to trip over the power cord.

3.1 Connecting to a power supply

1. P l u g t h e p o w e r c a b l e i n t o t h e r e a r o f t h e d e v i c e
(see Figure below).

2. Remember to push down the fastening clip to hold the power cord

in place. This will prevent accident disconnection of the power
supply .

3. Plug the cable into the mains power supply .

2

1

Figure 11: Connection to mains power supply.

Your device is now in standby mode.

3

Connection procedures

11

Notes:

• If your device is fitted with a rechargeable built-in battery (available

as an optional extra with the VS Integra), it can be used without a
mains power supply, with the battery lasting 2 – 4 hours,
depending on your settings.

• The battery recharges automatically when the device is connected

to the mains supply.

CAUTION

!

Ask your HME provider whether your device has a built-in
battery.

3.2 Connecting the circuit

Connect the single circuit to the air outlet at the front of the unit:

• For instructions on connecting a single circuit, see “Option 1 –

Single circuit”.

• For instructions on connecting a single circuit with expiratory

valve, see “Option 2 – Single circuit with expiratory valve and
pressure line” on page 13.

• For instructions on connecting a double circuit, see “Option 3 –

Double circuit” on page 15.

CAUTION

!

Only the air circuit supplied by your HME provider may be used
with your device. A different type of air circuit may reduce the
effectiveness of your treatment.

12

Option 1 – Single circuit

1. Connect one end of the horizontally-ribbed tube firmly to the air

outlet, as shown in the Figure below :

1

Horizontally-ribbed
tube

Figure 12: Connection of single circuit to the device.

Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.

Option 2 – Single circuit with expiratory valve and pressure
line

(see illustrations overleaf)

1. Connect the air outlet firmly to one branch of the horizontally-

ribbed tube .

2. Then connect the expiratory valve tube (the only one fitted with

a white connector) into the valve control , then turn the
connector slightly to the right to make the connection secure.

3. Finally, connect the other tube (with no connector fitted) to the

pressure line .

Note: Your circuit configuration may not include a pressure tap
tube, so this third step will not apply in your case.

Connection procedures

13

2

1

3

Expiratory valve tube

Pressure line tube

Figure 13: Connection of single circuit with expiratory valve and pressure
line. See the next Figure for a detailed view of the connection panel.

14

Expiratory valve

2

control

Pressure line

P

3

Figure 14: Detailed view of circuit connections to the single circuit support.

Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.

Option 3 – Double circuit

1. Firmly connect one limb of the circuit to the

air outlet .

2. Then connect the other limb .

Symbol
identifying air

outlet

1

Symbol
identifying

air return

Figure 15: Connection of a double circuit.

Note: In most cases, your circuit configuration will not be exactly as
shown in this illustration. It may also include a humidification system,
antibacterial filter or water trap. Contact your HME provider if you have
any doubts about connecting your circuit.

Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.

2

3.3 Connecting the mask

Refer to the instructions given by your physician or HME provider.

CAUTION

!

It is essential to use only the mask supplied by your physician or
HME provider.

Connection procedures

15

3.4 Example of fully-assembled system

Figure 16: Example of fully-assembled system (single circuit with
expiratory valve and pressure line).

If your system does not have any accessories (external battery,
supplemental oxygen), you can now switch your device on, see
“Switching on and shutting down” on page 19.

3.5 Connecting accessories

Any accessories must be attached before the device is switched on.

Connection of external battery (optional)

To connect the external battery:

1. C o n n e c t t h e b l a c k p l u g t o t h e b a t t e r y h o l d e r .

2. Connect the other end to the socket on the rear of the device .

16

2

26V 3A

1

Figure 17: Connection of the external battery to the device.

This Figure is a detailed view of the connection of the cable to the
device .

2

Figure 18: Detailed view of connection to the device.

CAUTION

!

To re mo ve th e co nn ect io n ca ble ( se e ne xt F igu re ):
Press on the black retention pin on the cable connector .
Still holding it down, pull the cable towards you .

1

2

Figure 19: Removing the cable from the external battery.

Connection procedures

17

Connecting supplemental oxygen (optional)

The instructions in this section apply only to the connection of
supplemental oxygen to your device. Refer to the instructions given by
your HME provider or installation technician for starting up the
supplemental oxygen flow.

CAUTION

!

Before connecting the oxygen flow, always ensure that the
oxygen supply has been turned off.

If your oxygen flow becomes disconnected by accident:

• Connect the end of the oxygen coupling to the metal connector on

the device.

• When you hear it click into place, the coupling is correctly

connected to the device.

18

Oxygen supply

Figure 20: Oxygen coupling for connection to the metal connector on the
device.

4Switching on and shutting down

4.1 Standby

When your device is connected to the mains power supply, it goes into
standby mode. The screen display shows:

• The date

• The time

• The types of power supply: mains power supply and built-in

battery . The arrow points to the type of power supply
currently in use.

Date

Time

Figure 21: Standby screen.

Mains power

Built-in battery

4.2 Starting up

To start up the device:

1. P r e s s a n d h o l d t h e O n / O f f b u t t o n f o r

2 seconds.

2. The device will start up, then run its self-test.

3. On completion of the self-test, the device will start delivering

therapy.

4.3 Shutting down

To shut down the device, press the button for 2 seconds.
The device will go into standby mode.

Note: If you disconnect the device from the mains power supply a
continuous alarm will sound. Press the Alarm silence button
to confirm that you wish to shut down the device.

Switching on and shutting down

19

20

5Cleaning and Maintenance

We recommend that you maintain your devi ce and accessori es reg ularly.

CAUTION

!

If you use the following accessories:

• Mask

• Humidifier

• Antibacterial filter

• Water t rap,

follow the instructions provided in the manuals for each
accessory, and the instructions of your physician or HME
provider.

CAUTION

!

Do not use bleach, chlorine, alcohol, or aromatic-based solutions
(including all scented oils), or moisturising or antibacterial soaps.
These solutions may cause hardening and reduce the life of the
plastic components.

Table 2: Frequency of maintenance.

Component Frequency Maintenance

Circuit Weekly. Follow specific

recommendations from
your HME provider.

Mask Before first use, then

weekly.

Mask headgear Monthly. Wash the headgear in

Clean the mask in warm
soapy water, rinse well
and dry thoroughly.

warm soapy water.

Cleaning and Maintenance

21

Component Frequency Maintenance

Exterior of the
device

Monthly. Wipe with a damp cloth

and soapy water

Caution: Never place

the device in contact
with liquid.

Anti-dust filter Monthly. Pull the filter out of its

housing and replace with
a new filter.

WARNING

!

To avo id a ny r is k of e le ct ri c sh ock , nev er i mm er se t he d ev ic e or
power cable in water. Always unplug the device before cleaning
and be sure that it is dry before plugging it back in.

CAUTION

!

Do not attempt to open the device casing. Repairs and internal
servicing should only be performed by an authorised service
agent.

22

6Troubleshooting

Alarms will alert you to any problems with your device. The instructions
in this section will help you to identify the cause of the problem. If the
fault persists or cannot be identified, do not try to open the device, and

contact your HME provider.

An alarm will activate an audible signal. If you know which alarm has
been triggered, consult the table below, otherwise contact your HME
provider.

Table 3: Table of alarms (not an exhaustive list).

Alarm Cause Solution

Mains alarm

External power
supply alarm

Low battery alarm

Flat Battery alarm

Disconnection
alarm

The mains power cable
has been disconnected.

The external power
supply cable has been
disconnected. This alarm
can only be triggered if
an external battery is
connected to your
device.

The charge level of the
built-in battery is low
(15% or less).

The built-in battery is flat
(charge level less than
5%).

A component in your
circuit is wrongly
connected or
disconnected.

Reconnect the mains
power cord.

Reconnect the external
power supply cable.

Connect the device to a
mains power supply

without delay to

recharge the built-in
battery.

Recharge the built-in

immediately by

battery
connecting the device to
the mains supply.

Reconnect the circuit.

Tr ou b le sh o ot in g

23

Alarm Cause Solution

P

Low pressure
alarm (LP)

P

High pressure
alarm (HP)

This alarm also indicates
a wrongly connected or
disconnected circuit.

A component in your
circuit is blocked.

Reconnect the circuit.

Clean, empty or replace
the components of your
circuit. Contact your
HME if this alarm is
activated too often.

24

7Technical Specifications

CE-marked device:

0197

7.1 Dimensions

L = 285 mm

H = 135 mm

D = 204 mm

L: Length
H: Height

D: Depth

7.2 Weight

VS Integra model (red) without battery option

3 kg

VS Ultra model (blue) or VS Integra (battery option)

3.5 kg

Technical Specifications

25

7.3 Power supply

Mains power

230/100 VAC; 50-60 Hz; 52 VA, 630 mA.

External power supply

26 VDC; 3 A maximum.

Built-in battery (option for VS Integra)

NiMh 24 V; 2.2-2.7 Ah

Battery life of built-in battery (option for VS Integra)

2 – 4 hours, depending on settings.

Extra battery life with external battery (optional accessory)

1.5 – 4 hours, depending on settings.

7.4 Transport

Tr a n s p o r t t e m p e r a t u r e

-10°C to +50°C

Relative humidity

10% to 90%

26

CAUTION

!

This device is fragile and must be kept dry.

8Appendix

Travelling with your ventilator

For long journeys it is advisable to carry your device in its travel bag, with
the following accessories:

• The power cable

• The circuit and its accessories

• The mask

• The oxygen coupling (if you use the supplemental oxygen option).

If you use an external battery, place in its travel bag:

• The battery in its holder, and

• The connection cable.

If you intend to travel by air with the device, ask your HME provider about
the required formalities.

Appendix

27

28

Index

A

accessories 8, 16
air outlet 5, 15
alarm silence button 10, 19

B

battery 12
battery holder 9, 16
battery life 26
built-in battery 12, 19

C

circuit 21
control panel 4, 10

D

date 19
double circuit 2, 5, 8, 12, 15
dust filter 11

E

expiratory valve 13, 14
external battery 9, 16

F

fastening clip 6, 11

H

horizontally-ribbed tube 13

O

On/Off button 10, 19
oxygen 7, 18

metal connector 7

oxygen coupling 9, 18

P

power supply 26
pressure line 13, 14

S

screen 4, 10
shutting down 19
single circuit 2, 14
single circuit support 5
standby 11, 19
starting up 19

T

time 19
travel bag 3
troubleshooting 23

V

VS Integra 1, 25
VS Ultra 1, 25

W

warnings 2

K

keypad 4, 10

L

LED 10

M

mains power 19
maintenance

anti-dust filter 22
device 22
headgear 21

mask 21
mask 3, 15
medical information 1

29Index

HME provider references

*N0T014224*

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