ResMed S8 Elite System User Manual

1

S8 Elite™ System

ILLUSTRATIONS

ILLUSTRATIONEN / ILLUSTRATIONS

ILLUSTRAZIONI / FIGURAS

ILUSTRAÇÕES / ILLUSTRATIES

Component of 338112 /1

A

Keypad / Tastenfeld / Clavier /
Tastierino / Teclado / Teclado /
Toetsenpaneel

Carry handle / Tragegriff /

Poignée de transport / Maniglia

da trasporto / Asa para el

transporte / Pega de transporte /

Handvat

Air filter cover / Luftfilterabdeckung /
Couvercle du logement du filtre à air /
Coperchio del filtro dell'aria /
Cubierta del filtro de aire / Tampa do
filtro de ar / Afdekkap luchtfilter

Module / Modul / Module / Modulo /

Módulo / Módulo / Module

DC input / DC-Eingang / Entrée CC /

Ingresso CC / Entrada de CC /

Entrada CC / Gelijkstroom-ingang

AC input / AC-Eingang / Entrée CA / Ingresso CA /
Entrada de CA / Entrada CA / Wisselstroom-ingang

LCD screen / LCD-Display /

Ecran LCD / Schermo a cristalli

liquidi / Visor / Mostrador

LCD / LCD-scherm

Air outlet / Luftauslassöffnung /
Sortie d'air / Presa di uscita
dell'aria / Salida de aire / Saída
de ar / Luchtuitlaat

SYSTEM COMPONENTS / SYSTEMKOMPONENTEN / COMPOSANTS DU
SYSTEME / COMPONENTI DEL SISTEMA / COMPONENTES DEL SISTEMA /
COMPONENTES DO SISTEMA / SYSTEEMCOMPONENTEN

Air inlet / Lufteinlassöffnung / Entrée
d'air / Presa di ingresso dell'aria /
Entrada de aire / Entrada de ar /
Luchtinlaat

2 m

2

34 5

OTHER ACCESSORIES / SONSTIGES ZUBEHÖR / AUTRES ACCESSOIRES / ALTRI
ACCESSORI / OTROS ACCESORIOS / OUTROS ACESSÓRIOS / ANDERE
ACCESSOIRES

C

1

5

D

2

3

4

B

INTEGRATED HUMIDIFIER / INTEGRIERTER ATEMLUFTBEFEUCHTER /
HUMIDIFICATEUR INTEGRE / UMIDIFICATORE INTEGRATO / HUMIDIFICADOR
INTEGRADO / HUMIDIFICADOR INTEGRADO / GEÏNTEGREERDE BEVOCHTIGER

32

3 m

1

4

© 2005 ResMed Ltd.

© 2005 ResMed Ltd.

© 2005 ResMed Ltd.

© 2005 ResMed Ltd.

HumidAire 3i

™

Note: Some products not available in all regions. Hinweis: Einige Produkte sind nicht in allen Regionen erhältlich. Remarque : certains produits ne sont pas disponibles dans tous les
pays. Nota:Alcuni prodotti non sono disponibili in tutte le regioni. Nota:Algunos productos no están disponibles en todas las regiones. Nota: Alguns produtos não se encontram disponíveis em todas as
regiões. Opmerking: Sommige producten zijn niet in alle regio's verkrijgbaar.

SETTING UP THE S8™/ AUFSTELLEN DES S8™ / INSTALLATION
DE LA S8

™

/ CONFIGURAZIONE DELL'S8™/ INSTALACIÓN

DEL S8

™

/ MONTAGEM DO S8™ / OPSTELLEN VAN DE S8

™

DATA CARD MODULE / DATENKARTENMODUL / MODULE DE CARTE
DE DONNEES / MODULO PER DATA CARD / MÓDULO TARJETA DE
DATOS / MÓDULO DE CARTÕES DE DADOS / DATA CARD-MODULE

G

12

© 2005 ResMed Ltd.

H

USING THE DATA CARD / GEBRAUCH DER DATENKARTE / UTILISATION DE LA
CARTE DE DONNEES / USO DELLA DATA CARD / USO DE LA TARJETA DE
DATOS / COMO USAR O CARTÃO DE DADOS / GEBRUIK VAN DE DATA CARD

1

3

2

© 2005 ResMed Ltd.

Note: Some products not available in all regions. Hinweis: Einige Produkte sind nicht in allen Regionen erhältlich. Remarque : certains produits ne sont pas disponibles dans tous les pays.
Nota: Alcuni prodotti non sono disponibili in tutte le regioni. Nota: Algunos productos no están disponibles en todas las regiones. Nota: Alguns produtos não se encontram disponíveis em todas as regiões.
Opmerking: Sommige producten zijn niet in alle regio's verkrijgbaar.

HumidAire 3i

E

HUMIDAIRE 3i AND S8 / HUMIDAIRE 3i UND S8 / HUMIDAIRE 3i ET S8 /
HUMIDAIRE 3i E S8 / HUMIDAIRE 3i y EL S8 / HUMIDAIRE 3i E S8 /
HUMIDAIRE 3i EN S8

© 2005 ResMed Ltd.

BLANK MODULE / MODULSCHACHTABDECKUNG / MODULE VIERGE /
FALSO MODULO / MÓDULO EN BLANCO / MÓDULO EM BRANCO /
LEGE MODULE

F

1

2

© 2005 ResMed Ltd.

Data communications port /
Datenkommunikations­anschluss / Port de
communication de
données / Porta dati /
Puerto de comunicación
de datos / Dados
comunicações porta /
Data communicatie poort

S8 ELITE™ SYSTEM

USER’S MANUAL 1

EDIENUNGSANLEITUNG 43

B

M

ANUEL UTILISATEUR 89

M

ANUALE DELL’UTENTE 135

ENGLISHDEUTSCHITALIANO FRANÇAISESPAÑOLPORTUGUÊS

MANUAL DEL USUARIO 179

ANUAL DO UTILIZADOR 223

M

ANDLEIDING VOOR DE GEBRUIKER 267

H

NEDERLANDS

Manufactured by:

ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia

Tel: [phone] or 1 800 658 189 (toll free) Fax: [phone] Email: [e-mail]

ResMed Offices:

ResMed Corp 14040 Danielson Street Poway CA 92064-6857 USA

Tel: [phone] or 1-800-424-0737 (toll free) Fax: [phone] Email: [e-mail]
ResMed (UK) Ltd 65 Milton Park Abingdon Oxfordshire OX14 4RX UK

Tel: [phone] Fax: [phone] Email: [e-mail]
ResMed Asia Pacific Ltd 97 Waterloo Road North Ryde NSW 2113 Australia

Tel: [phone] or 1 800 991 900 (toll free) Fax: [phone] Email: [e-mail]
ResMed BV Nieuwe Parklaan 86, 2587 BV Den Haag Nederland
Tél: [phone] Fax: [phone] Email: [e-mail]
ResMed Finland Niittykatu 6 FIN 02200 Espoo Suomi
Puh: [phone] Faksi: [phone] Sähköposti: [e-mail]
ResMed Gmb H & Co. KG Fraunhoferstraße 16 82152 Martinsried Deutschland
Tel: +49 (0) 89 / 99 01 - 00 or [phone] (gebührenfrei) Fax: +49 (0) 89 / 99 01 - 10 55
Email: [e-mail]

ResMed Hong Kong Ltd Room 1714 Miramar Tower 132-134 Nathan Road Tsim Sha Tsui Hong Kong
Tel: [phone] Fax: [phone] Email: [e-mail]

ResMed Japan Nihonbashi Hisamatsu Bldg. 4F 2-28-1 Nihonbashi-Hamacho Chuo-Ku, Tokyo 103-0007 Japan
Tel: [phone] Fax: [phone]
ResMed Malaysia Sdn Bhd Suite E-10-20, Plaza Mon’t Kiara No. 2, Jalan 1/70C Mon’t Kiara 50480 Kuala Lumpur

Malaysia Tel: [phone] Fax: [phone] Email: [e-mail]
ResMed NZ Ltd PO Box 51-048 Pakuranga Auckland New Zealand

Tel: [phone] (NZ toll free) or [phone] Fax: [phone] (NZ toll free) or [phone]
Email: [e-mail]

ResMed SA Parc de la Bandonnière 2 rue Maurice Audibert 69800 Saint-Priest France
Tel: [phone] Fax: [phone] Email: [e-mail]

ResMed Singapore Pte Ltd 238A Thomson Road # 12-03/04 Novena Square Tower A Singapore 307684
Tel: [phone] Fax: [phone] Email: [e-mail]

ResMed Spain SL C/ Arturo Soria, 245 28033 Madrid España
Tel: [phone] Fax: [phone] Email: [e-mail]

ResMed Sweden AB Industrigatan 2 S-461 37 Trollhättan Sverige
Tel: [phone] Fax: [phone] Email: [e-mail]

Labhardt AG Thannerstrasse 57 CH-4054 Basel Schweiz
Tel: [phone] Fax: [phone] Email: [e-mail]

US DESIGNATED AGENT: ResMed Corp
EU AUTHORISED REPRESENTATIVE: ResMed (UK) Ltd

www.resmed.com

Protected by patents: AU 697652, EP 0661071, US 4944310, US 5199424, US 5522382, US 6240921, US 6705315. Other
patents pending.

Design registrations pending.

S8, S8 Elite, Activa, HumidAire, HumidAire 3i, Mirage, Mirage Swift, Mirage Vista, ResScan and Ultra Mirage are
trademarks of ResMed Ltd. Papillon is a trademark of MAP Medizin-Technologie GmbH.

© ResMed Ltd 2005.

S8 Elite™ System

USER’S MANUAL

English

ENGLISH

1

2

CONTENTS

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

OUR RESPONSIBILITY 5

Y

MEDICAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

BOUT THE S8 ELITE 5

A
C

ONTRAINDICATIONS 5

W

ARNINGS 6

C

AUTIONS 7

A

DVERSE EFFECTS 7

THE S8 ELITE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

LITE 9

S8 E
M

ASKS 9

H

UMIDIFIER 10

R

ESSCAN DATA CARD MODULE 10

A

CCESSORIES 10

HOW TO USE THE S8 ELITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ET UP THE S8 ELITE 11

S
A

SSEMBLE THE MASK 11

S

TART TREATMENT 12

S

TOPPING TREATMENT 12

U

SING THE MASK-FITTING FEATURE 13

ENGLISH

HOW TO ATTACH A HUMIDIFIER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

TTACH A HUMIDAIRE 3I HUMIDIFIER 14

A

HOW TO USE THE KEYPAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

OW TO CHANGE THE SETTINGS 16

H

HOW TO USE THE STANDARD MENU . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HOW TO USE THE DETAILED MENU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ETTINGS MENU 20

S
R

ESULTS MENU 21

O

PTIONS MENU 21

S

ERVICING MENU 21

M

ESSAGES ON THE S8 ELITE LCD 22

S8 MODULES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

SING A BLANK MODULE 23

U
U

SING A RESSCAN DATA CARD MODULE 23

CLEANING AND MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

AILY CLEANING 25

D

CONTENTS

3

EEKLY CLEANING 25

W
P

ERIODIC CLEANING 25

R

EPLACING THE AIR FILTER 26

S

ERVICING 26

FREQUENTLY ASKED QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

SYSTEM SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

LITE (NO ACCESSORIES) 33

S8 E
A

CCESSORIES 33

A

LL DEVICES (WHERE APPLICABLE) 34

LIMITED WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

4

INTRODUCTION

Thank you for choosing the S8 ELITE™ flow generator. The S8 ELITE is a compact,
all-in-one package with an inbuilt power supply and the option of integrated data
management and humidification.

This user manual contains the information you need for the correct use of your

S8 ELITE.

YOUR RESPONSIBILITY

The owner or user of this system shall have sole responsibility and liability 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.

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

• Warning alerts you to possible injury.

• Caution explains special measures for the safe and effective use of the device.

• Note is an informative or helpful note.

MEDICAL INFORMATION

ENGLISH

ABOUT THE S8 ELITE

The S8 ELITE continuous positive airway pressure (CPAP) system is indicated for the
treatment of obstructive sleep apnoea (OSA) in adult patients.

The

S8 ELITE CPAP system is intended for home and hospital use.

CONTRAINDICATIONS

The S8 ELITE is not a life support device and may stop operating during power failure
or certain fault conditions. It should not be used by patients who are dependent on
continuous therapy.

Positive airway pressure therapy may be contraindicated in some patients with the
following pre-existing conditions:

• severe bullous lung disease

• pneumothorax

• pathologically low blood pressure

• dehydration

• cerebrospinal fluid leak, recent cranial surgery or trauma.

INTRODUCTION

5

WARNINGS

• The entire manual should be read before using the S8 ELITE.

• Advice contained in this manual should not supersede instructions given by the

prescribing physician.

• A patient should not connect a device to the data communication port unless

instructed to do so by their health care provider or physician. Only ResMed
products are designed to be connected to the data communication port.
Connecting other devices could result in injury, or damage to the

• The S8 ELITE should only be used with masks (and connectors)

ResMed, or by a physician or respiratory therapist. A mask should not be used
unless the

S8 ELITE device is turned on and operating properly. The vent hole or

holes associated with the mask should never be blocked.
Explanation: The
connectors)

S8 ELITE is intended to be used with special masks (or

*

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 vent holes. However, when the
device is not operating, insufficient fresh air will be provided through the mask, and
the exhaled air may be rebreathed. Rebreathing of exhaled air for longer than
several minutes can, in some circumstances, lead to suffocation. This applies to
most models of CPAP devices.

• In the event of power failure or machine malfunction, remove the mask.

• The S8 ELITE can be set to deliver pressures up to 20 cm H

of certain fault conditions, pressures up to 30 cm H

• If oxygen is used with this device, the oxygen flow must be turned off when the

O are possible.

2

device is not operating.

Explanation: When the CPAP device is not in operation and the oxygen flow is
left on, oxygen delivered into the air delivery tubing may accumulate within the
CPAP machine enclosure and create a risk of fire. This applies to most types of
CPAP machines.

• Oxygen supports combustion. Oxygen should not be used while you are

smoking or in the presence of an open flame.

• Always ensure airflow is being generated by the device before the oxygen

supply is turned on.

• Always turn the oxygen supply off before stopping the airflow from the device.

Note: At a fixed rate of supplemental oxygen flow, the inhaled oxygen concentration
will vary, depending on where the oxygen is introduced, the pressure settings, patient
breathing pattern, mask selection and leak rate.

• Do not use the S8 ELITE if there are obvious external defects or unexplained

changes in performance.

*

recommended by

O. In the unlikely event

2

S8 ELITE device.

* Ports may be incorporated into the mask or in connectors that are near the mask.

6

• Do not open the S8 ELITE case. There are no user serviceable parts inside. Repairs

and internal servicing should only be performed by an authorised service agent.

• Explosion hazard—do not use in the vicinity of flammable anesthetics.

CAUTIONS

• At low pressures, the flow through the exhalation ports of your mask may not

clear all exhaled gas from the tubing. Some rebreathing may occur.

• The airflow for breathing produced by this device can be as much as 6°C higher

than the temperature of the room. Caution should be exercised if the room
temperature is warmer than 32°C.

• When AC mains power (100–240V AC) is not available, always use a ResMed

DC-12 converter. (The DC-12 converter is available as an optional accessory.)

• If supplied, the RESSCAN™ Data Card module is designed for use with specific

ResMed devices.

• Only use the RESSCAN Data Card module (if supplied) as specified in this manual.

Note: The above are general warnings and cautions. Specific warnings, cautions and notes
appear with the relevant instructions in the manual.

ADVERSE EFFECTS

Patients should report unusual chest pain, severe headache or increased breathlessness
to their 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 S8 device:

• drying of the nose, mouth or throat

• nosebleed

• bloating

• ear or sinus discomfort

• eye irritation

• skin rashes

• chest discomfort.

ENGLISH

MEDICAL INFORMATION

7

8

THE S8 ELITE SYSTEM

The S8 ELITE device is part of a system that consists of five elements:

• S8 ELITE flow generator

• Mask

• Humidifier

• Data management products

• Accessories.

S8 ELITE

Please refer to the illustrations in section A of the illustration sheet.

FRONT VIEW (A-1)

Shows the keypad and LCD screen, and the air outlet.

REAR VIEW (A-2)

Shows where the module attaches, and the location of the air filter and power sockets.

POWER CORD (A-3)

Power cord to attach the S8 ELITE to the AC (mains) power.

CARRY BAG (A-4)

The S8 ELITE carry bag contains two pouches: one for storing the S8 device, the other
for storing the integrated humidifier. When storing the humidifier, always put it in the
larger, mesh pouch.

AIR TUBING (A-5)

The 2 m air tubing connects the

S8 ELITE to your mask.

ENGLISH

MASKS

You will also need a ResMed mask system (supplied separately).
The ResMed mask systems that are recommended for use with the

NASAL MASKS

MODULAR NASAL MASK

•

• MIRAGE VISTA™ NASAL MASK

• ULTRA MIRAGE™ NASAL MASK

• MIRAGE™ NASAL MASK

• MIRAGE ACTIVA™ NASAL MASK

• PAPILLON™

NASAL PILLOWS SYSTEMS

•

MIRAGE SWIFT™ NASAL PILLOWS SYSTEM

S8 ELITE are:

THE S8 ELITE SYSTEM

9

ULL FACE MASKS

F

•

MIRAGE™ FULL FACE MASK

• MIRAGE™ FULL FACE MASK SERIES 2

• ULTRA MIRAGE™ FULL FACE MASK

Note: Not all masks are available in all regions.

WARNING

!

Only ResMed mask systems are compatible for use with the S8 Elite. Please refer
to “Warnings” on page 6.

HUMIDIFIER

Please refer to the illustration in section B of the illustration sheet.

A humidifier may be required if you are experiencing dryness of the nose, throat or
mouth. The

S8 ELITE is compatible for use with the HUMIDAIRE 3i integrated heated

humidifier (B-1).

RESSCAN DATA CARD MODULE

The RESSCAN™ Data Card module and RESSCAN Data Card (C-1) may be used with
the

S8 ELITE either to help your clinician to monitor your treatment or to provide you

with updates to your device settings. See “Using a ResScan Data Card Module” on
page 23 for information about how to use the Data Card module and Data Card.

ACCESSORIES

Please refer to the illustrations in section C of the illustration sheet.

Other accessories for use with the

• Front cap (not available in all regions) (C-2)

• Air tubing (3 m) (C-3)

• DC-12 converter (C-4)

• Blank module (C-5).

Note: ResMed regularly releases new products. Please check our website at
<www.resmed.com>.

S8 ELITE:

10

HOW TO USE THE S8 ELITE

Please refer to the illustrations in section D of the illustration sheet.

SET UP THE S8 ELITE

1 Place the S8 ELITE on a table near the head of your bed.

CAUTION

!

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

Note: You can also place your S8 Elite on the floor beside or underneath your bed. Ensure
that the area is free from dust and clear of bedding, clothes or any other objects that could
block the air inlet.

2 Connect the power cord to the socket at the rear of the flow generator (D-1). Plug

the other end of the power cord into the power outlet.

WARNING

!

Make sure the power cord and plug are in good condition and the equipment is not
damaged.

3 Connect one end of the air tubing firmly onto the air outlet (D-2).

WARNING

!

• Only ResMed air tubing should be used with your flow generator. A different

type of air tubing may alter the pressure you actually receive, reducing the
effectiveness of your treatment.

• Blocking the air inlet or tubing while in operation could lead to overheating of

the device.

• In the clinical environment any personal computer that is used with your CPAP

system must be at least 1.5 m away from, or at least 2.5 m above, the patient. It
must also comply with the relevant test standard. For personal computers the
international standard is IEC 60950 or equivalent.

ENGLISH

ASSEMBLE THE MASK

1 Assemble your mask system according to the mask user instructions.

2 Connect your mask system to the free end of the air tubing (D-3).

3 Check that the mask setting on the MASK screen is the one recommended for the

mask you are using (see the table in “How to Select the Mask Type” on page 20).
The

S8 ELITE is now ready for use (D-4).

HOW TO USE THE S8 ELITE

11

START TREATMENT

1 Make sure the power is on.

A welcome message is displayed briefly on the LCD screen, then the standby (Ramp)
screen appears. The key and LCD backlights also turn on.

2 Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.

CAUTION

!

• Do not leave long lengths of air tubing around the top of your bed. They could

twist around your head or neck while you are sleeping.

• Make sure the area around the flow generator is dry and clean. It should also be

clear of bedding, clothes and other potential blockages.

3 Alter the ramp time if required (see “How to Change the Ramp Time” on page 16).

To start treatment, press the Start/Stop key, unless your clinician has set up your
device to start delivering therapy automatically. If so, your device will start when you
breathe into your mask (see “SmartStart” for details).

4 Fit your mask as described in the mask user instructions.

WARNING

!

A mask should not be used unless the S8 Elite device is powered and operating
properly.

5 When ramping begins, the LCD will display the word "RAMPING", with the current

pressure indicated as dashes. Each dash is approximately equivalent to 2 cm H
example, 6 dashes represents approximately 12 cm H

O pressure.

2

SMARTSTART™

The S8 ELITE has a function called SmartStart™ that your clinician can enable. If
SmartStart is enabled, your device will start automatically when you breathe into your
mask, and will stop automatically when you take your mask off. This means you do not
have to press the Start/Stop key to begin or end treatment.

Note: Do not use SmartStart when using a mask with an anti-asphyxia valve, such as the
Mirage Full Face Mask.

O. For

2

12

STOPPING TREATMENT

To stop treatment at any time, remove your mask and press the Start/Stop key

or

if your clinician has enabled SmartStart, simply remove your mask and treatment will
end.

USING THE MASK-FITTING FEATURE

You can use the S8 ELITE mask-fitting feature to help you fit your mask properly. This
feature delivers air pressure for a three-minute period, prior to starting treatment,
during which you can check and adjust your mask fit to minimise leaks.

Note: Make sure that the mask setting on the MASK screen is the same as the mask you
are using.

To use the mask-fitting feature:

1 Fit your mask as described in the mask user instructions.

2 Hold down the Start/Stop key for at least three seconds until air pressure delivery

starts.

The following display will appear on the LCD screen indicating that the mask-fitting
feature is operating. Your S8 device will ramp to the mask-fit pressure and will remain
at this pressure for three minutes.

The LCD also displays a mask-fit star rating. See Table 1, “Definitions of Mask-Fit Star
Rating,” on page 14.

ENGLISH

MASK FIT:

*****

mask-fit star rating

excelnt

Note: The mask-fit star rating display disappears after three minutes.

The mask-fitting feature can only be started from the RAMP screen.

The mask-fit pressure is the set treatment pressure or 10 cm H

3 Adjust your mask, mask cushion, and headgear until you have a secure and comfortable

fit.

Once you have a secure and comfortable fit, check your mask-fit star rating on the
LCD screen. Table 1 explains the mask-fit star ratings.

Note: If there is another person nearby to check your mask-fit star rating, you can adjust
your mask, mask cushion and headgear while lying down.

4 After three minutes, the pressure reverts to the set pressure and treatment will begin.

• If you do not wish to wait three minutes, hold down the Start/Stop key for at

least three seconds to start treatment immediately.

• If you press the Start/Stop key for less than three seconds, the unit will return

to standby mode (the RAMP screen is displayed).

0, whichever is greater.

2

HOW TO USE THE S8 ELITE

13

Table 1: Definitions of Mask-Fit Star Rating

Star rating Definition

***** Excellent

****- Very good

***-- Good

**--- Adjust mask

*---- Adjust mask

----- Adjust mask

HOW TO ATTACH A HUMIDIFIER

ATTACH A HUMIDAIRE 3i HUMIDIFIER

Please refer to the illustration in section E of the illustration sheet, and your HumidAire 3i
manual.

The

HUMIDAIRE 3

humidification. No other accessories are required for its use

Notes:

a. Make sure the water chamber of the HumidAire 3i is empty before you attach or

detach the humidifier.

b. Remove the connector plug on the S8 Elite before you attach the HumidAire 3i.

Reattach the connector plug firmly after you detach the humidifier.

STORING THE HUMIDAIRE 3

Store the HUMIDAIRE 3
not in use.

i

attaches to the front of the S8 ELITE to provide heated

.

i

i

in the larger, mesh-top pouch of the S8 ELITE carry bag when

14

HOW TO USE THE KEYPAD

The control panel of the S8 ELITE includes an LCD screen and keypad for navigating
through the menus and delivering treatment.

LCD screen

Up key

Left key

Down key

LCD SCREEN

The LCD screen displays the menus and treatment screens.

The LCD backlight turns off after two minutes of inactivity. It turns back on when you
press a key.

KEYPAD KEYS

The S8 ELITE keypad has the following keys:

Right key

Start/Stop key

ENGLISH

Key Function

Start/Stop • Starts or stops treatment.

• Extended hold (for at least three seconds) starts the
mask-fitting feature.

Up • Allows you to scroll through the S8 Elite menus and

Down • Allows you to scroll through the S8 Elite menus and

Left • Performs the function indicated by the guiding text displayed

Right • Performs the function indicated by the guiding text displayed

When the

S8 device is in standby mode all keys remain lit. During therapy, the keypad

submenus, and increase the setting options.

submenus, and decrease the setting options.

above it on the LCD screen. Guiding text includes menu,
change and apply.

above it on the LCD screen. Guiding text includes exit and

.

cancel

backlight turns off after two minutes of inactivity and the Start/Stop key dims.

HOW TO USE THE KEYPAD

15

HOW TO CHANGE THE SETTINGS

You can change settings on the S8 ELITE by using the keypad and LCD. When the

S8 ELITE is in standby mode you can display a series of screens (a menu) on the LCD

screen in order to view and change the settings for a particular function.
Your clinician will preset the menu to either a standard view or a detailed view.
See “How to Use the Standard Menu” on page 17 and “How to Use the Detailed

Menu” on page 19 for more information.

HOW TO ENTER THE MENU SCREENS

When the S8 ELITE standby (RAMP) screen is displayed you will see the word ‘menu’
in the left-hand corner. To select an

HOW TO SCROLL THROUGH THE MENU

When you are in the menu, scroll through items by pressing the Up or Down keys.

HOW TO CHANGE A SETTING OPTION

When you have scrolled to the item you require:

1. Press the Left key (Change).

2. Press the Up or Down keys until you see the setting option that you require.

3. Press the Left key (Apply) to select the setting option.

If you wish to exit without changing the option, press the Right key (Cancel).

HOW TO EXIT OUT OF A MENU

Press the Right key (Exit). This will take you back to the standby (RAMP) screen.

HOW TO EXIT OUT OF AN ITEM WITHIN THE MENU

Press the Right key (Exit).

S8 ELITE menu, press the Left key.

16

HOW TO CHANGE THE RAMP TIME

During ramp time, the pressure increases from a low pressure to the prescribed
treatment pressure. You can set the ramp time in 5-minute intervals, from 0 minutes
(OFF) up to a maximum ramp time set by your clinician.

The standby screen displays the current ramp time in the right-hand corner. To change
the ramp time, press the Up or Down key until the desired ramp time appears.

Once a ramp time is selected, begin therapy by pressing the Start/Stop key.

HOW TO USE THE STANDARD MENU

Figure 1 shows the standard menu.

WELCOME
>>>>>>

RAMP: 10min
menu

EPR SETTING: 1

change exit

USED HRS: 08000

exit

USAGE: 1000/1068

exit

MASK: ULTRA
change exit

SW: SX3960200
exit

Figure 1 : Standard menu screen

You enter the standard menu from the standby (RAMP) screen, by pressing the Left
(menu) key.

HOW TO CHANGE THE EXPIRATORY PRESSURE RELIEF SETTING

Note: EPR may not be available in all regions.

Your clinician may have set up your device to deliver expiratory pressure relief (EPR).
This can be used to help ease any discomfort you may experience when breathing out
during treatment. There are four settings:

• OFF (no EPR)

• 1 (lowest EPR)

• 2

• 3 (highest EPR).

The EPR SETTING screen only appears if your clinician has enabled access to EPR
settings. To change the EPR setting, select Change (Left key). Press the Up or Down

keys until you see the setting that you require.

HOW TO SELECT THE MASK TYPE

Scroll to MASK and select Change (Left key). Press the Up or Down keys until you
see the mask type that you require.

ENGLISH

HOW TO USE THE STANDARD MENU

17

The following table shows the setting that should be selected for each mask type.

Table 2: Settings for mask types

Settings Mask

ULTRA Ultra Mirage Nasal Mask

MIR FULL Mirage Full Face Mask

ACTIVA Mirage Activa Nasal Mask

SWIFT Mirage Swift Nasal Pillows System

MIRAGE Mirage Nasal Mask

STANDARD Mirage Vista Nasal Mask

Mirage Full Face Mask Series 2
Ultra Mirage Full Face Mask

Modular Nasal Mask
Papillon

OTHER VIEWABLE INFORMATION

You can also view the total number of hours of treatment (USED HRS); the number
of sessions for which the

S8 ELITE was used in a usage period (USAGE); and the current

software version (SW).

18

HOW TO USE THE DETAILED MENU

Figure 2 shows the detailed menu.

WELCOME
>>>>>>

RAMP: 10 min



menu

SETTINGS
enter



RESULTS

enter exit

OPTIONS

enter exit

exit

EPR SETTING: 1
change

exit



MASK: ULTRA
change

exit



TUBE LENGTH: 2m
change

exit



HUMID: NONE
change

exit



SMARTSTART: ON
change

exit



LEAK ALERT: OFF
change

exit



USED HRS: 08000

exit

USAGE: 1000/1068

exit

LANG: ENGLISH

change exit

ENGLISH

SERVICING

enter exit

SN: 12345678912

exit

PCB: 123456789123

4567 exit

SW: SX3960200

exit

Figure 2 : Detailed menu screens

You enter the detailed menu from the standby (RAMP) screen, by pressing the Left
(menu) key. The SETTINGS menu screen is displayed.

HOW TO USE THE DETAILED MENU

19

SETTINGS MENU

Select Enter (Left key) on the Settings menu to access the options in this menu.

HOW TO CHANGE THE EXPIRATORY PRESSURE RELIEF SETTING

Note: EPR may not be available in all regions.

Your clinician may have set up your device to deliver expiratory pressure relief (EPR).
This can be used to help ease any discomfort you may experience when breathing out
during treatment. There are four settings: 1(lowest EPR), 2, 3 (highest EPR) and OFF
(no EPR).

If you have access and want to change the EPR setting, scroll to EPR SETTING and
select Change (Left key). Press the Up or Down keys until you see the setting that

you require.

HOW TO SELECT THE MASK TYPE

Scroll to MASK and select Change (Left key). Press the Up or Down keys until you
see the mask type that you require.

The following table shows the setting that should be selected for each mask type.

Table 3: Settings for mask types

Settings Mask

ULTRA Ultra Mirage Nasal Mask

MIR FULL Mirage Full Face Mask

Mirage Full Face Mask Series 2
Ultra Mirage Full Face Mask

20

ACTIVA Mirage Activa Nasal Mask

SWIFT Mirage Swift Nasal Pillows System

MIRAGE Mirage Nasal Mask

STANDARD Mirage Vista Nasal Mask

Modular Nasal Mask
Papillon

HOW TO CHANGE THE TUBE LENGTH

Scroll to TUBE LENGTH and select Change (Left key). Press the Up or Down keys
until you see the tube length that you require.

HOW TO ADD A HUMIDIFIER OR FRONT CAP

Scroll to HUMID and select Change (Left key). Press the Up or Down keys until you
see the setting that you require. You can use the device with or without a front cap.

HOW TO CHANGE THE SMARTSTART SETTING

SmartStart enables your device to start automatically when you breathe into the mask.
Scroll to SMARTSTART and select Change (Left key). Press the Up or Down keys

to change the option to ON or OFF.

HOW TO CHANGE THE LEAK ALERT SETTING

Leak alert indicates when a high mask leak is present.
Scroll to LEAK ALERT and select Change (Left key). Press the Up or Down keys to

change the option to ON or OFF.

RESULTS MENU

Select Enter (Left key) on the Results menu to access the options in this menu.

Note: Your clinician may have customised your device to display Smart Data. Contact
your clinician for further details about Smart Data.

VIEWING USAGE INFORMATION

You can view the total number of hours of treatment (USED HRS) and the number
of sessions for which the

S8 ELITE was used in a usage period (USAGE).

OPTIONS MENU

Select Enter (Left key) on the Options menu to access the options in this menu.

HOW TO CHANGE THE LANGUAGE SETTING

Scroll to LANG and select Change (Left key). Press the Up or Down keys until you
see the language that you require.

ENGLISH

SERVICING MENU

Select Enter (Left key) on the Servicing menu to access the options in this menu.
You can view the current software version installed on your unit (SW); the serial

number of the printed circuit board in your device (PCB); and the serial number of the
device (SN).

HOW TO USE THE DETAILED MENU

21

MESSAGES ON THE S8 ELITE LCD

Your clinician may have set your S8 ELITE to remind you about important events, such
as when to replace your mask, when to insert your Data Card (if your device is Data
Card enabled), and so on.

The reminder message is displayed on the LCD, and is visible if the device is not
delivering therapy. The backlight on the LCD flashes when a message is displayed.

Your clinician can set any of the following reminders on your LCD:

Message Description Action

INSERT CARD May appear if your

device is Data Card
enabled.

REPLACE
MASK

CALL
PROVIDER

REPLACE
FILTER

SERVICE DUE May appear as a

Customised
messages

May appear when
your mask is due
for replacement.

May appear as a
reminder to contact
your clinician; for
example to discuss
how your therapy is
going.

May appear as a
reminder to replace
the air filter on your
device.

reminder to return
your device for
service.

Your clinician may
also set reminders
for other reasons;
for example to
return equipment
or to call a
particular person or
number.

Insert your Data Card (see Section H of the
illustrations sheet), and follow any instructions
that your clinician has given you. When you
have done this, the message will disappear
from the LCD. Pressing the Left (Ok) key will
also remove the message.

Press the Left (Ok) key to remove the message
from your LCD, and replace your mask with a
new one.

Press the Left (Ok) key to remove the message
from your LCD, and contact your clinician.

Press the Left (Ok) key to remove the message
from your LCD, and replace the air filter.

Press the Left (Ok) key to remove the message
from your LCD.

Press the Left (Ok) key to remove the message
from your LCD.

22

S8 MODULES

Note: Do not remove modules while power is connected to the S8 Elite.

Your

S8 ELITE will have one of two modules fitted to the back: a blank module or a

RESSCAN Data Card module.

USING A BLANK MODULE

Please refer to the illustrations in section F of the illustration sheet.

The blank module is a protective cover on your
remove or attach the module, for example to use another module.

To remove the blank module, pull it off the back of the
communications port (F-1).

To attach the blank module, push the blank module onto the data communications
port, until the module clicks into place (F-2).

Note: To protect the data communications port, always ensure there is a module
attached to the back of the device.

USING A RESSCAN DATA CARD MODULE

Please refer to the illustrations in section G of the illustration sheet.

The

RESSCAN Data Card module is an accessory to the S8 ELITE. Use a RESSCAN

Card with the Data Card module to collect data and update settings in the
The module and card give your clinician convenient access to data about your
treatment, and can provide you with new device settings from your clinician without
your having to leave home.

S8 ELITE. At times, you may wish to

S8 ELITE to show the data

Data

S8 ELITE.

ENGLISH

ATTACHING THE MODULE

To attach the Data Card module, push it onto the data communications port at the
back of your

S8 ELITE until it clicks into place (G-1).

REMOVING THE MODULE

To remove the Data Card module, pull it off the back of the S8 ELITE (G-2).

Note: To protect the data communications port, always ensure there is a module
attached to the device.

USING THE DATA CARD TO COLLECT DATA

Please refer to the illustrations in section H of the illustration sheet.

If your clinician needs to review your treatment, they will ask you to use the Data Card
to copy data from your
be provided in a convenient mailback envelope.

Data that is copied to a Data Card is still stored and available on the
It takes up to 30 seconds to copy data onto the Data Card.

S8 ELITE, and to return the card to them. The Data Card will

S8 ELITE.

1 INSERT THE DATA CARD

•

Switch on the S8 ELITE and wait until you see the standby (RAMP) screen.

S8 MODULES

23

• Hold the Data Card with the arrow facing up, and insert it into the slot in the

Data Card module (H-1).

• Push the card in smoothly until it stops moving (H-2) and messages start

appearing on the LCD.

2 COPY DATA ONTO THE DATA CARD

•

Data copying starts automatically when the Data Card is inserted into the Data
Card module.

• The “Card Inserted Please Wait” message is displayed on the S8 ELITE LCD

while data is being copied. Copying takes up to 30 seconds.

• The “Copy Complete Remove Card” message is displayed on the LCD when

copying has finished.

• Remove the Data Card from the Data Card module.

3 REMOVE THE DATA CARD

Grip the end of the Data Card and pull it out of the Data Card module (H-3).

4 STORE THE DATA CARD

Your Data Card should be stored in its mailback envelope when not in use.

5 MAILING THE DATA CARD TO YOUR CLINICIAN

A bubble mailer envelope is provided to ensure safe transportation of the Data Card.
When mailing the Data Card to your clinician:

1. Insert the Data Card into the pocket provided on the mailback envelope. Fold up
the mailback envelope.

2. Place the mailback envelope containing the Data Card in the bubble mailer
envelope and seal it.

3. Make sure that your clinician’s name and address details are on the bubble mailer
envelope, and mail it back immediately.

24

USING THE DATA CARD TO UPDATE SETTINGS

If your clinician has provided a Data Card with new device settings:

• With the device in standby (Ramp) mode, insert the Data Card into the slot on

the Data Card module. Updating will start automatically.

• The “Card Inserted Please Wait” message is displayed on the LCD while updating

is in progress. Updating takes up to 30 seconds.

• The “Settings Success Remove Card” message is displayed on the LCD if the

settings were updated successfully.

Note: This message only appears once. If you re-insert the Data Card after you have
updated your settings, this message is not displayed.

• Remove the Data Card from the Data Card module.

• Store the Data Card in its mailback envelope when not in use.

WARNING

!

If your clinician has told you to use this Data Card to update the settings on your
device and the “Settings Success” message does not appear, contact your clinician
immediately.

CLEANING AND MAINTENANCE

You should regularly carry out the cleaning and maintenance described in this section.
Refer to your mask manual for detailed instructions.

DAILY CLEANING

MASK

Clean the mask according to the instructions supplied with the mask.

AIR TUBING

Disconnect the air tubing from the S8 ELITE (and humidifier, if used) and hang the
tubing and mask in a clean, dry place until next use.

HUMIDIFIER

If you are using a humidifier, remove it from the S8 ELITE and clean it according to the
instructions in the humidifier user’s manual.

WEEKLY CLEANING

1. Remove the air tubing from the S8 ELITE and the mask.

2. Wash the air tubing in warm water using mild detergent. Rinse thoroughly, hang,
and allow to dry.

3. Before next use, assemble the mask and headgear according to the user
instructions.

4. Reconnect the air tubing to the air outlet and mask.

PERIODIC CLEANING

1. Clean the exterior of the S8 ELITE with a damp cloth and mild liquid soap.

2. Check the air filter for blockage or holes (see “Replacing the Air Filter” on
page 26).

ENGLISH

WARNING

!

• Beware of electric shock. Do not immerse the unit or power cord in water.

Always unplug the unit before cleaning and be sure it is dry before plugging back
in.

• The mask system and air tubing are subject to normal wear and tear. Inspect

them regularly for damage.

CLEANING AND MAINTENANCE

25

REPLACING THE AIR FILTER

To replace the air filter:

1. Remove the air filter cover at the back of the

2. Remove and discard the old air filter.

3. Insert a new filter with the blue tinted side facing out from the device.

4. Replace the air filter cover.

Inspect the air filter every month to check if it is blocked by dirt or contains holes. With
normal use of an
often if your device is in a dusty environment).

S8 ELITE, the air filter needs to be replaced every six months (or more

S8 ELITE.

Air filter cover

WARNING

!

• Do not wash the air filter. The air filter is not washable or reusable.

• The air filter cover protects the device in the event of accidental liquid spillage

onto the device. Ensure the air filter and air filter cover are fitted at all times.

SERVICING

CAUTION

!

• Do not attempt to open the S8 Elite case. There are no user serviceable parts

inside.

• Inspection and repair should only be performed by an authorised agent. Under

no circumstances should you attempt to service or repair the flow generator
yourself.

This product (
5 years from the date of manufacture. Prior to this, the device is intended to provide
safe and reliable operation provided that it is operated and maintained in accordance
with the instructions provided by ResMed. Applicable ResMed warranty details are
provided with the device at the time of original supply. Of course, as with all electrical
devices, if any irregularity becomes apparent, you should exercise caution and have the
device inspected by an authorised ResMed service centre.

If you feel that your flow generator is not performing properly, see “Troubleshooting”
on page 29.

S8 ELITE) should be inspected by an authorised ResMed service centre

26