ResMed VPAP ST User Manual

VPAP™ ST

NONINVASIVE VENTILATOR

User Guide

English

Respiratory Care Solutions

Making quality of care easy

Respiratory Care Solutions

Making quality of care easy

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English

Indications for use

The VPAP ST is indicated to provide noninvasive ventilation for patients weighing more than 13 kg or more than 30 kg in iVAPS mode with respiratory insufficiency or obstructive sleep apnoea (OSA). The VPAP ST is intended for home and hospital use.

Contraindications

Positive airway pressure therapy may be contraindicated in some patients with the following preexisting conditions:

 severe bullous lung disease  pneumothorax or pneumomediastinum  pathologically low blood pressure, particularly if associated with intravascular volume depletion  dehydration  cerebrospinal fluid leak, recent cranial surgery, or trauma.

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 device:

 drying of the nose, mouth, or throat  nosebleed  bloating  ear or sinus discomfort  eye irritation  skin rashes.

Masks and humidifiers

Recommended masks and humidifiers are available on www.resmed.com on the Products page under Service & Support. For more information on using your mask or humidifier, refer to the manual supplied with your mask or humidifier.

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Setup

Refer to illustration A.

1. Connect the DC plug of the power supply unit to the rear of the device.

2. Connect the power cord to the power supply unit.

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

4. Connect one end of the air tubing firmly onto the air outlet.

5. Connect the assembled mask system to the free end of the air tubing.

Control panel

Refer to illustration B. The control panel of your device includes the following items:

1. Start/Stop button: Starts or stops treatment

2. LCD screen: Displays the menu, treatment and reminder screens

3. Info menu button*: Allows you to view your sleep statistics

4. Setup menu button*: Allows you to make changes to settings

5. Push dial: Turning the dial allows you to scroll through the menu and change settings. Pushing the dial allows you to enter into a menu and confirm your choice.

*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.

Navigating the menus

Refer to illustration C. In general, to navigate the menus:

1. Turn until the parameter you require is displayed in blue.

2. Press . The selection is highlighted in orange.

3. Turn until you see the setting that you require.

4. Press to confirm your choice. The screen returns to blue.

Getting started

1. Make sure the power is connected.

2. Adjust the ramp time if required.

3. Fit your mask as described in your mask user guide.

4. To start therapy, simply breathe into the mask and/or press .

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

6. To stop treatment at any time, remove your mask and/or press .

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Notes:

 If your clinician has enabled SmartStart your device will start automatically when you breathe

into the mask and stop automatically when you remove the mask.

 If power is interrupted during treatment, the device automatically restarts therapy when power

is restored.

Cleaning and maintenance

You should regularly carry out cleaning and maintenance as described in this section. Refer to your mask and humidifier user guides for detailed instructions regarding the care of your device. Daily: Remove the air tubing by pulling on the finger grips on the cuff. Hang it in a clean, dry place until next use.

Notes:

 Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.  Do not wash the air tubing in a washing machine or dishwasher.

Weekly:

1. Remove the air tubing from the device and the mask.

2. Wash the air tubing in warm water using mild detergent.

3. Rinse thoroughly, hang, and allow to dry.

4. Before next use, reconnect the air tubing to the air outlet and mask.

Monthly:

1. Wipe the exterior of the device with a damp cloth and mild detergent.

2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary.

Replacing the air filter: Replace the air filter every six months (or more often if necessary).

1. Remove the air filter cover from the back of the device.

2. Remove and discard the old air filter.

3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover.

4. Replace the air filter cover.

Notes:

 Ensure the air filter and air filter cover are fitted at all times.  Do not wash the air filter. The air filter is not washable or reusable.

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SD card

An SD card has been supplied to gather therapy data from your device and provide settings updates from your clinician. When instructed to do so, disconnect the device from the power outlet, remove your SD card, insert it in the protective folder and send it to your clinician. For more information on removing and inserting your card refer to the S9 SD Card Protective Folder provided with your device. Please retain the S9 SD Card Protective Folder for future use.

Troubleshooting

If there is a problem, try the following suggestions. If the problem cannot be solved, contact your equipment supplier or ResMed. Do not attempt to open the device enclosure.

Problem/Possible cause Solution

No display

Power is not connected.

The DC plug is partially inserted into the back of the device or inserted too slowly.

Insufficient air delivered from the device

Ramp time is in use. Wait for air pressure to build up or change ramp time. Air filter is dirty. Replace air filter. Air tubing is not connected

properly. Air tubing is blocked, pinched or

punctured. Mask and headgear are not

positioned correctly. Incorrect air tubing selected.

Non-vented mask is used. Only use a vented mask. Mask vents might be blocked.

Ensure the power cord is connected and the power outlet (if available) is on.

Fully insert the DC plug.

Check air tubing.

Unblock or free the air tubing. Check the air tubing for punctures.

Adjust position of mask and headgear.

If you are using the SlimLine, Standard or 3 m air tubing ensure that you have the correct air tubing selected via the menu.

Check if you have sufficient venting. Unblock mask vents if necessary.

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Problem/Possible cause Solution

EPAP may be set too low. Talk to your clinician about your settings.

Device does not start when you breathe into the mask

Breath is not deep enough to trigger SmartStart/Stop.

SmartStart/Stop is disabled because Leak Alert is enabled.

SmartStart/Stop is disabled because Confirm Stop is enabled.

SmartStart/Stop is disabled. Talk to your clinician about enabling the SmartStart/Stop feature. There is excessive leak. Adjust position of mask and headgear.

Device does not stop when you remove your mask

SmartStart/Stop is disabled because Leak Alert is enabled.

SmartStart/Stop is disabled because Confirm Stop is enabled.

SmartStart/Stop is disabled. Talk to your clinician about enabling the SmartStart/Stop feature.

SmartStart/Stop is enabled but the device does not stop automatically when you remove your mask

Incompatible mask system being used.

Incorrect mask setting being used.

The patient is using a nasal pillows mask with a set pressure less than 6 cm H2O.

Take a deep breath in and out through the mask.

Press Start/Stop to start therapy.

A message appears on the screen. To stop therapy, select Yes and press the Push Dial.

Connect the air tubing firmly at both ends.

Press Start/Stop to stop therapy.

A message appears on the screen. To stop therapy, select Yes and press the Push Dial.

Only use equipment recommended by ResMed.

Check the selected mask type in the Setup menu. Change it if necessary.

Disable SmartStart/Stop.

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