ResMed VPAPIII, VPAP III ST User Manual

VPAP™III & III ST

User Manual

English •Deutsch •Français •Italiano

•

Español

Português •Nederlands

248129/2

05 10

VPAP III & III ST

USER

EUR 1

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

VPAP™III & III ST

Illustrations / Abbildungen /
Illustrations / Illustrazioni / Figuras /
Ilustrações / Illustraties

Component of 248129/2

HUMIDIFIERS / ATEMLUFTBEFEUCHTER / HUMIDIFICATEURS / UMIDIFICATORI /
HUMIDIFICADORES / HUMIDIFICADORES / BEVOCHTIGERS

A

B

12

4

Removable front cover /

Abnehmbare Frontabdeckung

/ Capot avant amovible /

Coperchio frontale estraibile /

Cubierta delantera

desmontable / Tampa da

frente removível /

Afneembare frontkap

SETTING UP THE VPAP / AUFSTELLEN DES VPAP / INSTALLATION DE LA
VPAP / CONFIGURAZIONE DEL VPAP / CONFIGURACIÓN DEL VPAP /
MONTAGEM DO VPAP / OPSTELLEN VAN DE VPAP

D

1

2

4

LCD Screen / LCD-Display /

Ecran LCD / Schermo a cristalli

liquidi / Visor LCD / Mostrador

LCD / LCD-scherm

Handle / Tragegriff / Poignée /
Maniglia / Asa / Pega / Hendel

Control Panel / Bedienoberfläche /
Panneau de contrôle / Pannello di
controllo / Panel de control / Painel
de controle / Bedieningspaneel

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

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

Serial communications port (9-pin) /
Serieller Kommunikationsanschluss
(9-Pin) / Port série de communication
(9 broches) / Porta di comunicazione
seriale (9 piedini) / Puerto serial de
comunicaciones (9 clavijas) / Porta de
comunicações de série (9-pinos) /
Seriële communicatiepoort (9-pens)

Power switch /

Hauptschalter / Interrupteur

principal / Interruttore di

accensione / Interruptor

principal / Interruptor /

Elektriciteitsschakelaar

Power socket /

Netzanschlussbuchse / Prise

d’alimentation / Presa del cavo

di alimentazione / Entrada de

corriente / Tomada /

Aansluitpunt

© 2005 ResMed Ltd.

© 2005 ResMed Ltd. © 2005 ResMed Ltd.

© 2005 ResMed Ltd.

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

C

3

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

1

2

Auxiliary port (15-pin) / Aux-Anschluss

(15-Pin) / Port auxiliaire (15 broches) / Porta

ausiliaria (15 piedini) / Puerto auxiliar

(15 clavijas) / Porta auxiliar (15-pinos) /

Hulppoort (15-pens)

34 5

2 m

HumidAire 2i

™

HumidAire 2iC

™

HumidAire

™ ResMed Passover

1

3 m

2

52 cm

3

HUMIDAIRE 2i AND VPAP / HUMIDAIRE 2i UND VPAP / HUMIDAIRE 2i ET
VPAP / HUMIDAIRE 2i E VPAP / HUMIDAIRE 2i Y VPAP / HUMIDAIRE 2i E VPAP /
HUMIDAIRE 2i EN VPAP

E

HUMIDAIRE 2iC AND VPAP / HUMIDAIRE 2iC UND VPAP / HUMIDAIRE 2iC
ET VPAP / HUMIDAIRE 2iC E VPAP / HUMIDAIRE 2iC Y VPAP / HUMIDAIRE 2iC E
VPAP / HUMIDAIRE 2iC EN VPAP

F

© 2005 ResMed Ltd. © 2005 ResMed Ltd.

Docking station /

Andock-Station /

Support / Unità di

alloggiamento /

Estación de carga /

Estação de

ancoragem /

Docking-station

Water chamber /

Befeuchterkammer /

Réservoir / Camera

dell’acqua / Cámara

de agua / Câmara de

água / Waterkamer

Docking station /

Andock-Station /

Support / Unità di

alloggiamento / Estación

de carga / Estação de

ancoragem /

Docking-station

Water chamber /

Befeuchterkammer /

Réservoir / Camera

dell’acqua / Cámara de

agua / Câmara de água /

Waterkamer

ATTACHING A PASSOVER HUMIDIFIER / ANSCHLUSS EINES PASSOVER­ATEMLUFTBEFEUCHTERS / FIXATION D'UN HUMIDIFICATEUR PASSOVER /
CONNESSIONE DI UN UMIDIFICATORE PASSOVER / CONEXIÓN DE UN
HUMIDIFICADOR PASSOVER / CONEXÃO DE UM HUMIDIFICADOR PASSOVER /
BEVESTIGING VAN EEN PASSOVER BEVOCHTIGER

H

4

© 2005 ResMed Ltd.

3

ATTACHING A HUMIDAIRE HUMIDIFIER / ANSCHLUSS EINES
HUMIDAIRE ATEMLUFTBEFEUCHTERS / FIXATION D'UN HUMIDIFICATEUR
HUMIDAIRE / CONNESSIONE DI UN UMIDIFICATORE HUMIDAIRE /
CONEXIÓN DE UN HUMIDIFICADOR HUMIDAIRE / CONEXÃO DE UM
HUMIDIFICADOR HUMIDAIRE / BEVESTIGING VAN EEN HUMIDAIRE
BEVOCHTIGER

G

© 2005 ResMed Ltd.

12

4

3

12

(2 m/3 m)

(52 cm)

(2 m/3 m)

(52 cm)

REPLACING THE AIR FILTER / AUSWECHSELN DES LUFTFILTERS /
REMPLACEMENT DU FILTRE A AIR / SOSTITUZIONE DEL FILTRO DELL’ARIA /
CAMBIO DEL FILTRO DE AIRE / SUBSTITUIÇÃO DO FILTRO DE AR / VERVANGING
VAN HET LUCHTFILTER

I

© 2005 ResMed Ltd.

1

2

3

VPAP™ III & III ST

User’s Manual 1

Bedienungsanleitung 47

Manuel utilisateur 99

Manuale per l’utente 149

EnglishDeutschItaliano Français

Manual del Usuario 199

Manual do Utilizador 247

Handleiding voor de Gebruiker 295

248129/2 05 10

EspañolPortuguêsNederlands

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]

Distributed by:

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) Limited 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 Austria GmbH Purtscherstraße 18, 9500 Villach Österreich
Tel: [phone] Fax: [phone] Email: [e-mail]
ResMed BV Nieuwe Parklaan 86, 2587 BV Den Haag Nederland
Tél: [phone] Fax: [phone] Email: [e-mail]
ResMed Finland Oy Eteläinen Salmitie 2 Masala 02430 Suomi
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ResMed Hong Kong Limited Room 1714, Miramar Tower 132-134 Nathan Road Tsim Sha Tsui Hong Kong
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Malaysia Tel: [phone] Fax: [phone] Email: [e-mail]
ResMed Middle East 66 Ahmed Shawki St. Mostafa Kamel, Alexandria 21111 Egypt
Tel: [phone] Fax: [phone]
ResMed NZ Ltd PO Box 51-048 Pakuranga Auckland New Zealand
Tel:[phone] Fax:[phone] Email: [e-mail]
ResMed SA Parc de la Bandonnière 2, rue Maurice Audibert 69800 Saint-Priest France
Tél. : [phone] Fax : [phone] Email: [e-mail]
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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]

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

Internet: www.resmed.com

Protected by patents: AU 697652, AU 699726, AU 713679, EP 0661071, EP 0858352, US 4944310, US 5199424,
US 5522382, US 6213119, US 6240921, US 6705315. Other patents pending.
Protected by design registrations: AU 147283, AU 147335, AU 147336, CH 128.709, CH 128.710, CH 128.711,
CH 128.712, DE 40201723, DE 40202007, DE 40202008, DE 40202020, ES 153514, ES 153515, ES 153516, ES 153518,
ES 156135, ES 156136, FR 02 1407, GB 3001791, GB 3001819, GB 3001820, GB 3001821, JP 1164087, JP 1164265,
JP 1164266, JP 1164267, JP 3638613, SE 75598, SE 75599, SE 75600, SE 75715, US D467335, US D468011,
US D476077, US D477868, US D487311, US D503796. Other designs pending.

VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Smart Data, Ultra Mirage and Vista are trademarks of
ResMed Ltd, and VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Ultra Mirage and Vista are
registered in U.S. Patent and Trademark Office.

© 2005 ResMed Ltd.

VPAP™ III & III ST

User Manual

English

English

1

2

Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

User/Owner Responsibility 5

Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

What the VPAP III and VPAP III ST are Intended for 5
Contraindications 5
Warnings 6
Cautions 6
Adverse Effects 7

The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Masks 9
Humidifiers 10
Accessories 10

Setting up the VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Setting Up The VPAP 11
Attaching a Humidifier 11
Using the LCD Screen and Keypad 13

Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Stopping Treatment 16
Using the HumidAire 2i Warm-Up Feature 16
Using the Mask-Fitting Feature 16

Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Daily Cleaning 19
Weekly Cleaning 19
Periodic Cleaning 19
Replacing the Air Filter 20
Servicing 20

How to Use the VPAP Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Ramp Screen 21
How to Use the Standard Menu 21
How to Use the Detailed Menu (if enabled by your clinician) 22
Menu Functions (Detailed menu only) 24
Treatment Screens 27

Helpful Hints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Using a Battery and an Inverter 29

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

English

3Contents

4

Introduction

The VPAP™ III and VPAP III ST are bilevel pressure support ventilators
specifically designed for non-invasive mask ventilation.

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

User/Owner Responsibility

The user or owner 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

What the VPAP III and VPAP III ST are Intended for

The VPAP III and VPAP III ST systems are intended to provide non-invasive
ventilation for patients with respiratory insufficiency or obstructive sleep apnoea
(OSA), in the hospital or home.

Contraindications

The VPAP should not be used if you have an insufficient respiratory drive to
endure brief interruptions in non-invasive ventilation therapy. The VPAP is not a
life support ventilator and may stop operating with power failure or in the unlikely
event of certain fault conditions.

If you have any of the following conditions, tell your doctor before using the
VPAP:

• acute sinusitis or otitis media

• epistaxis causing a risk of pulmonary aspiration

• conditions predisposing to a risk of aspiration of gastric contents

• impaired ability to clear secretions

5Introduction

• hypotension or significant intravascular volume depletion

• pneumothorax or pneumomediastinum

• recent cranial trauma or surgery.

Warnings

• The entire manual should be read before using the VPAP.

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

the prescribing physician.

• The VPAP should be used with masks and accessories recommended by

ResMed or the prescribing physician. Use of incorrect masks and
accessories may adversely affect the function of the VPAP.

• The VPAP is designed for use with masks that allow exhaled gases to be

flushed out through vent holes. Exhaled gases will be rebreathed if the mask
is worn with the machine turned off, or the vent holes are occluded. If this
occurs over prolonged periods, suffocation may occur.

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

• The VPAP can be set to deliver pressures up to 25 cm H

event of certain fault conditions, pressures up to 40 cm H

• The VPAP is not suitable for use in the vicinity of flammable anaesthetics.

• The VPAP should not be used with anaesthetised patients, whose breathing

depends on artificial ventilation.

• If oxygen is used with the VPAP, the oxygen flow should be stopped when

the device is not operating. If oxygen flow continues when the device is not
operating, oxygen may accumulate within the device and create a risk of fire.

• Do not use the VPAP if there are obvious external defects, unexplained

changes in performance or unusual noises.

• Do not open the VPAP case. There are no user serviceable parts inside.

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

O. In the unlikely

2

O are possible.

2

6

Cautions

• At low EPAP pressures, the flow through the mask vent holes may be

inadequate to clear all exhaled gases, and some rebreathing may occur.

• The air flow for breathing produced by this device can be as much as 6

higher than the temperature of the room. Caution should be exercised if the
room temperature is warmer than 32oC.

Note: The above are general warnings and cautions. Further specific warnings,
cautions and notes appear next to the relevant instructions in the manual.

o

C

Adverse Effects

You should report unusual chest pain, severe headache or increased
breathlessness to your 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 VPAP:

• drying of the nose, mouth or throat

• bloating

• ear or sinus discomfort

• eye irritation

• mask-related skin irritations

• chest discomfort.

English

7Medical Information

8

The VPAP System

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

Please identify and familiarise yourself with the following components of the
VPAP unit:

• VPAP front view (A-1)

• VPAP rear view (A-2)

• Power cord (A-3)

• Carry bag (A-4)

• 2 m air tubing (A-5).

WARNING

!

• Do not connect any device to the auxiliary port. Although your health

care provider may connect specially designed devices to the auxiliary
port of the VPAP unit, connection of other devices could result in injury,
or damage to the unit.

• In the home environment, the only device that may be connected to the

communications port is a modem that is locally approved. Locally
approved modems may also be connected in the clinical environment.

• In the clinical environment any PC that is used with the VPAP system

must be at least 1.5 m away from, or at least 2.5 m above the patient. It
must also comply with IEC 60950 or equivalent.

Masks

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

Nasal Masks

• Ultra Mirage™ Nasal Mask

• Mirage™ Nasal Mask

• Mirage Activa™ Nasal Mask

• Mirage Vista™ Nasal Mask

• Modular Nasal Mask.

Full Face Masks

• Mirage™ Full Face Mask

• Mirage™ Full Face Mask Series 2

• Ultra Mirage™ Full Face Mask.

To select the appropriate setting for your mask, see “Settings for Mask Types”
on page 25.

Notes:

• ResMed VPAP devices have been designed and manufactured to provide

optimum performance using ResMed vented mask systems. While other
vented mask systems may be used, performance and data outputs may be

English

9The VPAP System

affected. To select an appropriate setting for another mask system, find the
closest match to a ResMed mask in Table 3 on page 25.

• Not all masks are available in all regions.

Humidifiers

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

A humidifier may be required if you are experiencing dryness of the nose, throat
or mouth. The VPAP is compatible for use with the following humidifiers:

• HumidAire 2i™ heated humidifier (B-1)

• HumidAire 2iC™ passover humidifier (B-2)

• HumidAire™ heated humidifier (B-3)

• ResMed Passover humidifier (B-4).

WARNING

!

Only the HumidAire 2i, HumidAire 2iC, HumidAire heated humidifier and
the ResMed Passover are compatible for use with the VPAP. Please refer to
Warnings on page 6.

Accessories

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

The following accessories may be purchased separately:

• 3 m air tubing (C-1)

• Medium (52 cm) air tubing for the HumidAire and ResMed Passover

humidifiers (C-2).

10

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

Setting up the VPAP System

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

Setting Up The VPAP

1 Place the VPAP unit on a flat surface near the head of your bed. If the unit is

placed on the floor, ensure that the area is free from dust and clear of bedding,
clothes or any other objects that could block the air inlet.

CAUTION

!

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

Connect the power cord to the socket at the rear of the flow generator. Plug the

2

other end of the power cord into a power outlet (D-1).

WARNING

!

• Make sure the power cord and plug are in good condition and the

equipment is not damaged.

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

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

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

3

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 and
reduce the effectiveness of your treatment.

English

Assemble your mask system according to the mask user instructions.

4

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

5

The VPAP system is now assembled (D-4). To start treatment, see “Starting
Treatment” on page 15.

Attaching a Humidifier

WARNING

!

When using a humidifier, position it lower than you, and at the same level
or lower than the VPAP.

Attaching a HumidAire 2i Humidifier

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

The HumidAire 2i attaches to the front of the VPAP to provide heated
humidification. No other accessories are required for its use. The VPAP

11Setting up the VPAP System

automatically detects the presence of the HumidAire 2i. No menu changes are
required. Please refer to the HumidAire 2i User’s Manual for details.

Attaching a HumidAire 2iC Humidifier

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

The HumidAire 2iC attaches to the front of a VPAP unit to provide passover
humidification. No other accessories are required for its use. Please refer to the
HumidAire 2iC User’s Manual for details.

Note: You must activate the humidifier option in the menus if you are using a
HumidAire, HumidAire 2iC or Passover humidifier.

Attaching a HumidAire Humidifier

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

Medium size (52 cm) air tubing is a necessary accessory for connecting the VPAP
unit to the HumidAire humidifier.

To set up the VPAP with the HumidAire:

1. Fill the HumidAire with water as described in the humidifier manual.

2. Place the filled water chamber inside the HumidAire. Connect the medium
(52 cm) air tubing to the right connector port, and the long air tubing (2 m or
3 m) to the left connector port on the humidifier (G-1). Close the HumidAire
lid.

3. Place the VPAP on top of the HumidAire (G-2). Do not place the VPAP unit
underneath the humidifier. (This is to avoid water spilling into the unit.)

4. Connect the free end of the medium air tubing to the air outlet of the VPAP
(G-3).

5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure G-4.

6. Plug the HumidAire power cord into a power outlet.

7. If the VPAP is not already plugged in, see Step 2 on page 11.

12

WARNING

!

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

8. Navigate to the humidifier setting (if available) in the VPAP menu and select
"HUMIDAIRE". See “How to Use the Detailed Menu (if enabled by your
clinician)” on page 22.

The VPAP is now ready for use with the HumidAire. To start treatment, see
“Starting Treatment” on page 15.

Attaching a Passover Humidifier

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

Medium size (52 cm) air tubing is a necessary accessory for connecting the VPAP
unit to the ResMed Passover humidifier.

To set up the VPAP with the ResMed Passover:

1. Fill the Passover with water as described in the humidifier manual.

2. Connect the medium (52 cm) air tubing to the right connector port, and the
long air tubing (2 m or 3 m) to the left connector port on the humidifier (H-1).

3. Place the VPAP on top of the Passover (H-2). Do not place the VPAP unit
underneath the humidifier. (This is to avoid water spilling into the unit.)

4. Connect the free end of the medium air tubing to the air outlet of the VPAP
(H-3).

5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure H-4.

6. If the VPAP is not already plugged in, see Step 2 on page 11.

WARNING

!

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

7. Navigate to the humidifier setting (if available) in the VPAP menu and select
"PASSOVER". See “How to Use the Detailed Menu (if enabled by your
clinician)” on page 22.

The VPAP is now ready for use with the ResMed Passover. To start treatment,
see “Starting Treatment” on page 15.

Using the LCD Screen and Keypad

The control panel of the VPAP includes an LCD screen and keypad.

English

LCD screen

Left key

Up/down key

Start/Stop

Mask-fit

Right key

Front key

LCD Screen

The LCD screen displays the menus and treatment screens.

To assist you in adjusting the VPAP, the keypad and LCD are equipped with a
backlight. The LCD backlight comes on when the unit is turned on or when you
press a key, and turns off after two minutes.

13Setting up the VPAP System

Keypad Keys

The VPAP keypad has the following keys:

Key Function

Front

• Starts or stops treatment.

Start/Stop

Mask-fit

• Extended hold for at least three seconds starts the Mask-

Fitting feature.

Up/Down

• Allows you to scroll through the VPAP menus, submenus

and setting options.

Left (green)

• Performs the function indicated by the guiding text

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

Right (red)

• Performs the function indicated by the guiding text

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

.

The keypad backlight is on at all times when the VPAP is powered.

14

Starting Treatment

The VPAP unit should be assembled beside your bed with the air tubing and
mask system connected. See “Setting Up The VPAP” on page 11.

1 Turn the main power switch at the back of the unit to on (I).

Main
power
switch

When the VPAP is turned on, a welcome message is displayed on the LCD
screen. The VPAP (or Ramp) screen then appears.

Note: If you have the HumidAire 2i attached, see “Using the HumidAire 2i
Warm-Up Feature” on page 16.

Fit your mask as described in the mask user instructions.

2

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

3

sleep.

CAUTION

!

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

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.

To start treatment, press the Front key

4

or

if your clinician has enabled the SmartStart function, simply breathe into the
mask and treatment will begin.

After starting treatment, you can display one of the treatment screens described
in “Treatment Screens” on page 27.

English

Ramp time

Ramp time is a feature which can be enabled by your clinician. If you have
difficulty falling asleep with full pressure, select a ramp time. The airflow will start
very gently while you fall asleep. The pressure will slowly increase to full
operating pressure over the selected ramp time. The clinician has set a
maximum ramp time; you may select any value up to the maximum.

To select a ramp time, see “Ramp Screen” on page 21.

15Starting Treatment

Stopping Treatment

To stop treatment at any time, remove your mask and press the Front key
or

if your clinician has enabled the SmartStart function, simply remove your mask
and treatment will end (SmartStop is not applicable with the "Mir Full" mask
setting).

Using the HumidAire 2i Warm-Up Feature

If using a HumidAire 2i with the VPAP, you can use the Warm-Up feature to pre­heat the water in the humidifier prior to starting treatment.

After stopping treatment, the VPAP will continue to blow air gently to assist
cooling of the heater plate.

See the HumidAire 2i User’s Manual for further details.

Using the Mask-Fitting Feature

The VPAP Mask-Fitting feature can be used to help you fit your mask properly.
The mask-fitting feature delivers air pressure for a three-minute period, prior to
starting treatment, for checking and adjusting your mask fit to minimise leaks. If
a Ramp time is selected, the mask can be adjusted at a pressure closer to the
prescribed pressure. To use the mask-fitting feature:

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

2. Hold down the Front key for at least three seconds until air pressure delivery
starts.
The following display will appear on the LCD screen indicating that the Mask­Fitting feature is in operation. The flow generator will ramp to the Mask-Fit
pressure and will remain at this pressure for three minutes. A Mask-Fit star
rating is also displayed. See “Definitions of Mask-Fit Star Rating” on page 17.

16

Mask Fit
excelnt

Notes:

• The Mask-Fit star rating display disappears after three minutes.

• The Mask-Fitting feature can only be started from the VPAP (or Ramp)

screen.

• The Mask-Fit pressure is the set treatment pressure or 10 cm H

is greater.

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

*****

Mask-Fit Star rating

0, whichever

2

Once you have a secure and comfortable fit, check your Mask-Fit star rating
on the LCD screen. Definitions of the Mask-Fit star ratings are presented in
Table 1.

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, treatment will begin.

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

least three seconds and treatment will begin immediately.

• If you press the Front key for less than three seconds, the unit will return

to standby mode (the VPAP or Ramp screen is displayed).

Table 1: Definitions of Mask-Fit Star Rating

Star rating Definition

***** Excellent

****- Very good

***-- Good

**--- Adjust mask

*---- Adjust mask

HIGH LEAK Adjust mask

English

17Starting Treatment

18

Cleaning and Maintenance

You should regularly carry out the cleaning and maintenance described in this
section.

Daily Cleaning

Mask

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

Air tubing

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

CAUTION

!

Do not hang the air tubing in direct sunlight as the tubing may harden over
time and eventually crack.

Humidifier

If you are using a humidifier, clean it according to the instructions in the
humidifier user manual.

Weekly Cleaning

1. Remove the air tubing from the VPAP unit 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.

CAUTION

!

• Do not use bleach, chlorine-, alcohol- or aromatic-based solutions

(including all scented oils), moisturising or antibacterial soaps to clean
the air tubing or the VPAP. These solutions may cause hardening and
reduce the life of the product.

• Do not hang the air tubing in direct sunlight as the tubing may harden

over time and eventually crack.

English

Periodic Cleaning

1. Clean the exterior of the VPAP unit with a damp cloth and mild liquid soap.

2. Inspect the air filter to check if it is blocked by dirt or contains holes. See
“Replacing the Air Filter” on page 20.

19Cleaning and Maintenance

WARNING

!

Beware of electric shock. Do not immerse the flow generator or power cord
in water. Always unplug the flow generator before cleaning and be sure that
it is dry before reconnecting.

CAUTION

!

Do not attempt to open the VPAP. There are no user serviceable parts
inside. Repairs and internal servicing should only be performed by an
authorised service agent.

Replacing the Air Filter

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

Inspect the air filter every month to check if it is blocked by dirt or contains holes.
With normal use of a VPAP unit, the air filter needs to be replaced every six
months (or more often if your unit is in a dusty environment). To replace the air
filter:

1. Remove the air filter cover at the back of the VPAP (I-1).

2. Remove and discard the old air filter.

3. Insert a new filter with the blue tinted side facing out (I-2).

4. Replace the air filter cover (I-3).

WARNING

!

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

Note: The air filter should be inspected once a month.

20

Servicing

This product (VPAP III/VPAP III ST) should be inspected by an authorised
ResMed service centre 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 unit is not performing properly, see “Troubleshooting” on
page 31.

CAUTION

!

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.

How to Use the VPAP Menus

The VPAP unit provides a set of functions arranged in menus and submenus. Via
the LCD screen, the menus and submenus allow you to view and change the
settings for a particular function. You can access the menus regardless of
whether the VPAP is in standby mode or delivering therapy.

Your clinician has preset the menu to either a standard view or a detailed view.
Both of these menus are explained below.

When the VPAP is turned on, a Welcome screen is displayed. After the device
self-checks are complete, the VPAP (or Ramp) screen appears.

Ramp Screen

If your clinician has set a maximum ramp time, the Ramp screen is displayed
after the Welcome screen. On the Ramp screen, you can immediately set a ramp
time. Ramp time is the period during which the pressure increases from a low
pressure to the prescribed treatment pressure. See “Ramp time” on page 15.

Ramp time can be altered in five minute increments (from OFF to a maximum
ramp time set by your clinician) by using the Up/Down key.

How to Use the Standard Menu

The standard menu allows you to view details about the time used and the
current software version of your VPAP. The Used (time) screen displays the total
number of hours for which the device has been used. It also displays the number
of days the VPAP was used out of the total number of days available for use.

Figure 1 summarises the VPAP standard menu series.

English

VPAP screen Ramp screen

RESMED VP AP III

menu

00000hrs

USED:
00000/00000days

SW: SX3650201

exit

RAMP: 20min

menu

View only

View only

Options:
OFF, 5, 10, 15, 20, 25,
30, 35, 40, 45 min

Figure 1: VPAP Standard Menu Series

• To access the VPAP menus:

Press the Left key (menu) while the VPAP (or Ramp) screen is displayed.

• To scroll through items within the menu:

Press the Up/Down key

• To exit out of the menu:

Press the Right key (exit)

21How to Use the VPAP Menus

How to Use the Detailed Menu (if enabled by your
clinician)

The detailed menu allows you to view and change settings such as mask type,
tube length and the humidifier used. You can also view the serial number and
current software version of your VPAP.

Figure 2 summarises the VPAP detailed menu series.

22

VPAP screen Ramp screen

RESMED VPAP III

menu

SETTINGS

enter exit

RAMP: 20min

menu

MASK: ULTRA

change exit

TUBE LENGTH: 2m

TUBE LENGTH: 2M

change exit

HUMID: NONE

change exit

SMARTSTART: OFF

change exit

OFF, 5, 10, 15, 20, 25,
30, 35, 40, 45 min

MIRAGE, MIR FULL,
STANDARD, ULTRA

2m, 3m
NONE, PASSOVER, HUMIDAIRE.

If the HumidAire 2i is used, the above
options do not appear and H2i is
displayed.

ON, OFF

English

MASK: MIRAGE
change exit

2m, 3m

RESULTS

enter exit

OPTIONS

enter exit

SERVICING

enter exit

represents a menu item

represents a submenu item
function

setting option
Setting options—bold text

indicates default setting

MASK ALARM: OFF

change exit

MASK FIT: ∗∗∗ − −
good exit

USAGE: 4.34hrs

SMART DATA

enter exit

LANGUAGE:ENGLISH

change exit

SN:123456789123
456789 exit

PCB: NONE

exit

SW: SX3650201

exit

exit

ON, OFF

These menus appear
only if at least one
Smart Data option has
been enabled by the
clinician

AUTO APPEAR: OFF
change exit

ENGLISH, GERMAN, FRENCH,
ITALIAN, SPANISH, PORTUGUESE,
SWEDISH, DUTCH

View only

View only

View only

Figure 2: VPAP Detailed Menu Series (if enabled by your clinician)

23How to Use the VPAP Menus

• To access the VPAP menus:

Press the Left key (menu) while the VPAP (or Ramp) screen is displayed.

• To scroll through items within a menu or submenu:

Press the Up/Down key

• To enter a submenu:

Press the Left key (enter).

• To change a setting option for a function:

1. Press the Left key (change)

2. Press the Up/Down key until the desired setting option appears.

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

• To exit without changing options:

Press the Right key (cancel)

• To exit out of a menu or submenu:

Press the Right key (exit)

Note: You can return to the VPAP (or Ramp) screen at any time by holding the
Right key for at least three seconds.

Menu Functions (Detailed menu only)

The VPAP menu functions are summarised in Tables 2–6 below with a brief
description of what each function does and the available setting options. To
access these functions, see “How to Use the Detailed Menu (if enabled by your
clinician)” on page 22.

Settings Menu

The Settings Menu allows you to view and change certain operating features of
the VPAP unit.

Table 2: Settings Menu Functions

24

Function Default Function Description Setting Options

Mask ULTRA Selects your mask type. See “Settings for

Mask Types” on
page 25 for details.

Tube Length 2m Selects the length of air tubing

connecting your mask to the VPAP.

Humidifier NONE Selects the type of humidifier to

be used with the VPAP.

2m / 3m

NONE, PASSOVER,
HUMIDAIRE
If the HumidAire 2i is
used, the above
setting options do
not appear and H2i is
displayed.