Respironics DreamStation Service & Technical Reference Manual

DreamStation
Service & Technical Reference Manual
1117539, VER. 07
CHAPTER 1: INTRODUCTION
1.0 CPAP/BIPAP SYSTEM OVERVIEW................................................................................. 1-2
1.1 HUMIDIFIER SYSTEM OVERVIEW...................................................................................... 1-4
1.2 SERVICE NOTICE............................................................................................................1-5
1.3 SERVICE TRAINING......................................................................................................... 1-5
1.4 PRODUCT SUPPORT STATEMENT.................................................................................... 1-5
CHAPTER 2: WARNINGS, CAUTIONS, & NOTES
CHAPTER 4: SETUP
4.0 SUPPLYING DC POWER TO THE DEVICE.......................................................................... 4-1
4.1 SUPPLYING AC POWER TO THE DEVICE.......................................................................... 4-2
4.2 CONNECTING THE TUBING TO THE PAP DEVICE.............................................................. 4-3
4.3 CONNECTING THE HUMIDIFIER TO THE PAP DEVICE........................................................ 4-4
4.4 CONNECTING THE TUBING TO THE HUMIDIFIER................................................................ 4-5
4.5 DISCONNECTING THE TUBING .........................................................................................4-6
4.6 DISCONNECTING THE DEVICES........................................................................................ 4-6
4.7 CHECKING THE HUMIDIFIER LID SEAL ............................................................................. 4-7
NSTALLING/REPLACING THE AIR FILTERS....................................................................... 4-8
4.8 I
4.9 STARTING THE DEVICE ................................................................................................... 4-9
4.10 NAVIGATING THE DEVICE SCREENS ............................................................................ 4-10
4.10.1 User Menu Navigation (Therapy On) and Optional Humidification Settings...............4-11
4.10.2 User Menu Navigation (Therapy Off)...............................................................................4-12
4.10.3 Accessing Provider Mode Screens.................................................................................4-18
4.10.4 Navigating the Provider Mode Screens..........................................................................4-18
4.11 PERFORMANCE CHECK DEVICE SCREENING TOOL...................................................... 4-28
4.12 B
LUETOOTH WIRELESS TECHNOLOGY ........................................................................ 4-28
4.12.1 Pairing to your Bluetooth enabled Mobile Device.........................................................4-28
4.13 ACCESSORIES............................................................................................................ 4-29
4.13.1 Humidifier with or without Heated Tubing......................................................................4-30
4.13.2 SD Card..............................................................................................................................4-30
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4.13.3 Link Module .......................................................................................................................4-30
CHAPTER 5: TROUBLESHOOTING AND ERROR CODES
5.0 INTRODUCTION................................................................................................................5-1
5.1 BENCH CHECKOUT .........................................................................................................5-1
5.1.1 PAP Device:...........................................................................................................................5-1
5.1.2 Humidifier:.............................................................................................................................5-1
5.2 VERIFYING PRESSURE.....................................................................................................5-2
5.3 SERVICE CENTER TOOLS SUITE ......................................................................................5-3
5.3.1 Service Center Tools Suite Installation and Device Connection Process...................... 5-4
5.3.2 Clearing the Error and Device Logs....................................................................................5-6
5.3.3 Clearing Therapy Hours and Blower Hours.......................................................................5-6
5.3.4 Setting the Session ID..........................................................................................................5-6
5.4 DEVICE ERROR CODES ...................................................................................................5-8
5.5 FAILURE MODE TROUBLESHOOTING ..............................................................................5-17
5.6 DEVICE ALERTS............................................................................................................5-23
CHAPTER 6: REPAIR & REPLACEMENT
6.0 REPLACEMENT PART (RP) KITS......................................................................................6-2
6.1 REPLACEMENT INSTRUCTIONS.........................................................................................6-4
6.1.1 Replacing the Accessory Module and SD Flip Doors.......................................................6-4
6.1.2 Replacing the SD Card.........................................................................................................6-5
6.1.3 Replacing the Upper Enclosure/Keypad:...........................................................................6-5
6.1.4 Replacing the UI Panel.........................................................................................................6-7
6.1.5 Replacing the PCA................................................................................................................6-9
6.1.6 Replacing the Flow and Pressure Sensor Seals..............................................................6-11
6.1.7 Replacing the Blower Upper Cap......................................................................................6-12
6.1.8 Replacing the Blower, Blower Box Assembly, and Rear Panel .....................................6-14
6.1.9 Replacing the Blower Outlet Seal and Blower Isolators.................................................6-22
6.1.10 Replacing the DC Power Cable and DC Jack Color Insert............................................6-24
6.1.11 Replacing the Bottom Enclosure....................................................................................6-25
6.2 CREATING THE SERIAL/MODEL NUMBER LABEL.............................................................6-26
6.2.1 Equipment (Printer)............................................................................................................6-26
6.2.2 Software...............................................................................................................................6-26
6.2.3 Label Printing Options.......................................................................................................6-27
6.3 CLEANING THE THERAPY DEVICE FOR ONE USER .........................................................6-28
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6.4 CLEANING FOR MULTIPLE USERS ................................................................................. 6-28
6.5 CLEANING OR REPLACING THE FILTERS........................................................................ 6-29
6.6 CLEANING THE TUBING ................................................................................................6-30
6.7 PREVENTIVE MAINTENANCE.......................................................................................... 6-30
CHAPTER 7: HUMIDIFIER REPAIR AND REPLACEMENT
7.0 HUMIDIFIER REPLACEMENT PART (RP) KITS...................................................................7-1
7.1 REPLACEMENT INSTRUCTIONS........................................................................................ 7-2
7.1.1 Replacing the Water Tank Assembly..................................................................................7-2
7.1.2 Replacing the Flip Lid and Dry Box Inlet Seals..................................................................7-3
7.1.3 Replacing the Dry Box Assembly........................................................................................7-4
7.1.4 Replacing the Wire Guard....................................................................................................7-5
7.1.5 Replacing the Back Panel Assembly..................................................................................7-8
7.1.6 Replacing the Flip Lid Latch................................................................................................7-9
7.1.7 Replacing the Lifting Tray..................................................................................................7-10
7.1.8 Replacing the Bottom Cover..............................................................................................7-13
7.1.9 Replacing the Heat Shield..................................................................................................7-14
7.1.10 Replacing the Heater Plate O-Ring..................................................................................7-15
7.1.11 Replacing the Bottom/Flip Lid Assembly.......................................................................7-16
7.2 CLEANING THE WATER TANK ....................................................................................... 7-21
7.3 CLEANING THE HUMIDIFIER BASE ................................................................................. 7-21
7.4 CLEANING THE HEATED TUBING ................................................................................... 7-22
OSPITAL AND INSTITUTION DISINFECTION: WATER TANK, SEAL AND HEATED TUBING.. 7-22
7.5 H
7.5.1 Cleaning Prior to Disinfection ...........................................................................................7-22
7.5.2 Disinfection .........................................................................................................................7-23
7.5.3 After Disinfection................................................................................................................7-23
CHAPTER 8: TESTING AND CALIBRATION
8.1 REQUIRED EQUIPMENT...................................................................................................8-1
ESTING PREREQUISITES ...............................................................................................8-2
8.2 T
8.3 T
ESTING ENVIRONMENT SPECIFICATIONS ........................................................................ 8-2
INAL TESTING PROCEDURE........................................................................................... 8-2
8.4 F
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© 2016 Koninklijke Philips N.V. All rights reserved.
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CHAPTER 1: INTRODUCTION
CAUTION
U.S. federal law restricts this device to sale by or on the order of a physician.
1.0 CPAP/BIPAP SYSTEM OVERVIEW
DEVICE DESCRIPTION MODEL NUMBER SERIES*
DreamStation CPAP yyX200Szz DreamStation CPAP w/ Humidifier and Standard Tube yyX200Hzz DreamStation CPAP w/ Humidifier and Heated Tube yyX200Tzz DreamStation CPAP Pro yyX400Szz DreamStation CPAP Pro w/ Humidifier and Standard Tube yyX400Hzz DreamStation CPAP Pro w/ Humidifier and Heated Tube yyX400Tzz
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DreamStation Auto CPAP yyX500Szz DreamStation Auto CPAP w/ Humidifier and Standard Tube yyX500Hzz DreamStation Auto CPAP w/ Humidifier and Heated Tube yyX500Tzz DreamStation BiPAP Pro yyX600Szz DreamStation BiPAP Pro w/ Humidifier and Standard Tube yyX600Hzz DreamStation BiPAP Pro w/ Humidifier and Heated Tube yyX600Tzz DreamStation Auto BiPAP yyX700Szz DreamStation Auto BiPAP w/ Humidifier and Standard Tube yyX700Hzz DreamStation Auto BiPAP w/ Humidifier and Heated Tube yyX700Tzz DreamStation Humidifier yyXH DreamStation Humidifier, Core Pack yyXHCP *yy and zz are variables that represent regional configurations, i.e. DOM or INTL mode
X is fixed an
The DreamStation CPAP is a Continuous Positive Airway Pressure therapy device designed for the treatment of Obstructive Sleep Apnea (OSA). The DreamStation CPAP Pro can also deliver CPAP-check therapy, and the DreamStation Auto CPAP can also deliver CPAP-Check and Auto-CPAP therapy.
d represents the DreamStation platform.
ls.
The DreamStation BiPAP Pro can be set up as a Bi-level device, which delivers two different positive pressure levels: IPAP (Inspiratory Positive Airway Pressure) and EPAP (Expiratory Positive Airway Pressure). The DreamStation BiPAP Auto can also be set up as an Auto Bi-level device. Both BiPAP systems can also be set up as a CPAP (Continuous Positive Airway Pressure) device.
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The devices provide several special features to help make therapy more comfortable. The ramp function allows the user to lower the pressure when they are trying to fall asleep. The air pressure will gradually increase until their prescription pressure is reached. Also, the Flex comfort feature provides the user with pressure relief when they exhale during therapy.
Several accessories are also available for use with the devices.
F
IGURE 1-1: DEVICE OVERVIEW AS DESCRIBED IN THE BELOW TABLE
PAGE 1-4
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1.1 HUMIDIFIER SYSTEM OVERVIEW
The DreamStation Heated Humidifier attaches to the therapy device and provides an air outlet port to connect a breathing circuit. The breathing circuit is comprised of patient tubing, a mask, and in some instances a separate exhalation device. The patient tubing can be Respironics heated tubing, 22 mm (non-heated) performance tubing or 15 mm (non-heated) performance tubing.
The DreamSt ation Heated Humidifie r with Heated Tubing is designed to deliver humidification to provide ad ded comfort during therapy. This humidification level is controlled through the output of the heated humidifier as well as the temperature of the optional heated tubing. Use of these two accessories allows for a comfortable level of humidity to be maintained at the mask.
The DreamStation Heated Humidifier is comprised of the following components:
Heated Humidifier - The heated humidifier is the primary source of humidification. Humidification
is controlled by adjusting the temperature of the heater plate . The heater plate is then used to hea water
found in the water tank. This manual includes instructions that explain how to set up an
t
ake care of the heated humidifier . For instructions on how to adjust the heated humidifier settings
refer
to the instructions for use that accompanied the therapy device.
Water Tank - The water tank stores the water that will be used by the heated humidifier . This man-
ual includes instructions that cover how to use and take care of the water tank.
Heated Tubing - The heated tubing is an optional accessory that is used, along with the heated
humidifier ture of the air in order to ensure that it does not cool down pr ior to reaching the mask. This manu in
cludes instructions that cover how to connect and t ake care of the hea ted tubing. For instruction s on how to adjust the temperature of the heated tubing, refer to the instructions for use that accom­panied the therapy device.
, to control the provided humidification. This is accomplished by controlling the tempera-
d
al
t ,
IGURE 1-2: HUMIDIFIER OVERVIEW AS DESCRIBED IN THE FOLLOWING TABLE
F
1.2 SERVICE NOTICE
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The service technician should have a good working knowledge and understanding of the principles of operation and repair of electro-mechanical sleep therapy devices. By using the most cu rrent version of the service manual (found on my.respironics.com) and the latest testing software, all repairs and testing can be performed. If service training is desired, contact the Philips Respironics service location in your area to schedule training.
1.3 SERVICE TRAINING
Philips Respironics offers service training for the devices. Training includes complete disassembly of the device, troubleshooting sub-assemblies and components, and necessary safety testing. For more information, log onto my.respironics.com, and download the Service Training Schedule brochure from the Service Software and Documentation link.
1.4 PRODUCT SUPPORT STATEMENT
For product support, please contact Philips Respironics Customer Satisfaction.
U.S.A. and Canada
Phone:1-800-345-6443
Fax: 1-800-886-0245
International
Phone: 1-724-387-4000
Fax: 1-724-387-5012
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CHAPTER 2: WARNINGS, CAUTIONS, & NOTES
Warnings, cautions, and notes are used throughout this manual to identify possible safety hazards, conditions that may result in equipment or property damage, and important information that must be considered when performing service and testing procedures on the device.
WARNING
Warnings indicate the possibility of injury to people.
CAUTION
Cautions indicate the possibility of damage to equipment.
NOTE
Notes are used to emphasize a characteristic or important consideration.
Refer to the devices’ User and Provider Manuals for warnings, cautions and notes.
TABLE 2-1: USER & PROVIDER MANUALS
DESCRIPTION PART NUMBER
DreamStation CPAP, User Manual, EN-INTL CE 1121981 DreamStation BiPAP, User Manual, EN-INTL CE 1121982 DreamStation Humid, User Man ual, EN-INTL CE 1121984 DreamStation, Provider Guide, EN-INTL CE 1121983
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CHAPTER 3: SPECIFICATIONS & CLASSIFICATIONS
Refer to the devices’ User and Provider Manuals for specifications and classifications.
TABLE 3-1: USER & PROVIDER MANUALS
DESCRIPTION PART NUMBER
DreamStation CPAP, User Manual, EN-INTL CE 1121981 DreamStation BiPAP, User Manual, EN-INTL CE 1121982 DreamStation Humid, User Man ual, EN-INTL CE 1121984 DreamStation, Provider Guide, EN-INTL CE 1121983
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CHAPTER 4: SETUP
This chapter provides an overview of the system setup including introductory information on the User and Provider modes and menus. Please refer to the device’s User Manual for further information.
WARNING
Inspect the power cord often for any signs of damage.
Replace a damaged power cord immediately.
Be sure to route the power cord to the outlet in a way that
will prevent the cord from being tripped over or interfered with by chairs or other furniture.
This device is activated when the power cord is connected.
CAUTION
If the device has been exposed to either very hot or very
cold temperatures, allow it to adjust to room temperature (approximately two hours) before beginning setup.
Do not use extension cords with this device.
NOTE
Please refer to the Clinical Manual for additional information.
4.0 SUPPLYING DC POWER TO THE DEVICE
A Philips Respironics DC power cord can be used to operate this device in a stationary recreational vehicle, boat, or motor home. In addition, a Philips Respironics DC battery adapter cable, when used with a DC power
cord, allows the device to be operated from a 12 VDC free-standing battery.
CAUTION
Always ensure that the DC power cord securely fits into the th erapy device prior to use.
When DC power is obtained from a vehicle battery, the device should not be used while the
vehicle’s engine is running. Damage to the device may occur.
Only use a Philips Respironics DC Power Cord and Battery Adapter Cable. Use of any
other system may cause damage to the device.
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4.1 SUPPLYING AC POWER TO THE DEVICE
Complete the following steps to operate the device using AC power:
1. Plug the socket end of the AC power cord (included) into the power supply (also included).
2. Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch.
.
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F
IGURE 4-1: CONNECTING THE AC POWER CORD AND POWER SUPPLY
3. Plug the power supply cord’s connector into the power inlet on the side of the device.
IGURE 4-2: SUPPLYING POWER TO THE DEVICE
F
4. Verify that the plug at the side of the device, at the power supply, and at the electrical outlet are fully inserted. This will help to ensure that a secure, reliable electrical connection has been made.
NOTE
If the following Incorrect Power Supply icon appears on the screen, please repeat step 4.
4.2 CONNECTING THE TUBING TO THE PAP DEVICE
To connect the Tubing to the device, complete the following steps:
1. Connect the flexible tubing to the air outlet on the back of the therapy device. Line up the connec­tor (1) at the top of the heated tube to the top of the air out l et por t on th e ba ck of the devic e.
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IGURE 4-3: CONNECTING THE TUBING TO THE PAP DEVICE
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2. Press the tubing into place over the air outlet port until the tabs on the side of the tube click into place in the slots on the sides of the outlet port.
F
IGURE 4-4: TUBING CONNECTED TO THE PAP DEVICE
NOTE
If you are using a standard tube (not shown) instead of a heated tube, simply slide the tubing over the air outlet port on the therapy device.
PAGE 4-4
WARNINGS
Do not pull or stretch the tubing. This could result in circuit leaks.
Inspect the tubing for damage or wear. Discard and replace the tubing as
necessary.
If the device is used by multiple persons (such as rental devices), a low-
resistance, main flow bacteria filter should be installed in-line between the device and the circuit tubing to prevent contamination.
4.3 CONNECTING THE HUMIDIFIER TO THE PAP DEVICE
CAUTION
Do not move the humidifier while the water tank has water in it.
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1. Place the therapy device and heated humidifier (with an empty water tank) on a firm, flat surface.
2. Line up the back of the therapy device to the front (top lid release latch side) of the heated humidi­fier.
3. Make sure the air outlet port on the therapy device lines up with the air inlet port on the humidifier (not shown).
4. Slide the two units together until they snap into place.
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IGURE 4-5: CONNECTING THE HUMIDIFIER
5. Make sure that the therap y de vice an d the hu mid ifier are completely seated against each other.
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IGURE 4-6: HUMIDIFIER CONNECTED
4.4 CONNECTING THE TUBING TO THE HUMIDIFIER
1. To attach the heated tube to the heated humidifier, line up the connector (1) at the top of the heated tube to the top of the air outlet port (2) on the humidifier.
F
IGURE 4-7: CONNECTING THE TUBING TO THE HUMIDIFIER
PAGE 4-51117539, VER. 07
2. Press the tubing into place over the air outlet port until the tabs on the side of the tube click into place in the slots on the sides of the outlet port.
IGURE 4-8: TUBING CONNECTED TO THE HUMIDIFIER
F
3. If you are using a standard tube (not shown) instead of a heated tube, simply slide the tubing over the air outlet port on the heated humidifier.
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4.5 DISCONNECTING THE TUBING
1. To remove the heated tubing, press in the tabs (1) on the side of the tubing connector and pull the tubing away from the outlet port.
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IGURE 4-9: DISCONNECTING THE TUBING
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2. If you are using a standard tube (not shown) instead of a heated tube, simply pull the tubing away from the outlet port.
4.6 DISCONNECTING THE DEVICES
To avoid spilling, do not disconnect the humidifier from the therapy device with water in the tank. Remove the water tank from the humidifier before disconnecting the therapy device.
1. Disconnect power to the therapy device.
2. Pick up the system.
3. Place one hand on the therapy device and the other on the humidifier.
4. Press the humidifier release button (1) and pull apart to separate.
CAUTION
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IGURE 4-10: DISCONNECTING THE DEVICES
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4.7 CHECKING THE HUMIDIFIER LID SEAL
Under normal use, the humidifier lid seal should not require any maintenance or replacement. The seal may be cleaned as needed by wiping it with a damp cloth. If necessary, the humidifier lid seal may be removed for further cleaning. Gently peel the seal from the humidifier lid and clean it in a solution of warm water and a mild liquid dish-washing detergent. Rinse with clean water. Wipe completely on both sides. Allow the seal to air dry. Inspect the seal for damage. If the humidifier lid seal show signs of wear or damage, it should be replaced.
To install or reseat your humidifier lid seal, fully open the humidifier lid. Position the seal (1) against the inside of the lid so the seal’s center hole aligns with the humidifier outlet port. Confirm that the seal is p ositioned so the wire channel (2) in the seal is below the humidifier outlet port (3).
F
IGURE 4-11: CHECKING THE HUMIDIFIER LID SEAL
NOTE
The seal only fits properly in one orientation.
With the seal loosely in place, start at the bottom (1) and gently press the edges of the seal into the channel in the lid of the humidifier. Continue sliding your fingers all around the rectangular perimeter of the seal until the outer edge is completely seated. Next, press the seal around the humidifier outlet port (2) until the center of the seal is fully seated. Finally, go back and run your fingers around the rectangular perimeter of the humidifier lid seal once more to confirm it has not become dislodged.
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IGURE 4-12: FLIP LID SEAL
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4.8 INSTALLING/REPLACING THE AIR FILTERS
CAUTION
A properly installed, undamaged Philips Respironics blue pollen filter is required for proper operation.
The device uses a blue pollen filter that is washable and reusable, and a light-blue ultra-fine filter that is disposable.
The reusable blue filter screens out normal household dust and pollens, while the light-blue ultra-fine filter provides more complete filtration of very fine particles. The reusable blue filter must be in place at all times when the device is operating. The ultra-f ine filter is recommended for people who are sensitive to tobacco smoke or other small particles.
The reusable blue filter is supplied with the device. A disposable light-blue ul tra-fine filter ma y also be include d. If your filter is not already installed when you receive your device, you must at least install the reusable filter before using the device.
This device has an automatic air filter reminder. Every 30 days, the device will display a message reminding you to check your filters and replace them as directed.
NOTE
This message is a reminder only. The device does not detect the performance of the filters nor does it recognize when a filter has been cleaned or replaced.
1. Lift up on the filter access door and swing open. If replacing, pull out the old filter assembly.
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IGURE 4-13: REMOVING THE FILTER
PAGE 4-91117539, VER. 07
2. If applicable, place a clean, reusable blue pollen filter (1) on top of a new, optional disposable light­blue ultra-fine filter (2) and firmly snap them together.
IGURE 4-14: POLLEN AND ULTRA-FINE FILTERS
F
3. Place the new filter assembly back in the side of the therapy device. Swing the door closed.
IGURE 4-15: INSTALLING THE FILTER
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4.9 STARTING THE DEVICE
1. Ensure power is supplied to the device. The first screen to display will be the Philips Respironics logo, followed by the device model screen, and then the Home screen.
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IGURE 4-16: HOME SCREEN
The first time the device is powered on, a pop-up will prompt you to set the time on the device. The default setting is Greenwich Mean Time, but you may adjust the ti m e in 30 minute in creme nts to match your local time zone. If you choose to skip this initial time setting, the time can always be adjusted under the “My Setup” menu.
Note: This time setting is not displayed as a clock function on the device. It is only used to align therapy data for Provider’s data reports.
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2. Press the Therapy button on top of the device to turn on airflow and begin therapy. The current delivered pressure will display on the screen.
3. Make sure that no air is leaking from the system.
4. Press the Therapy button again to turn off therapy.
NOTE
During therapy, it there is a mains interruption (i.e. power loss) the device will return to the Home screen once power is restored. You may resume therapy a s needed.
4.10 NAVIGATING THE DEVICE SCREENS
NOTE
The display is not a touch screen. You must use the control dial to navigate the device menu.
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The User Interface (UI) on this device allows you to adjust the device settings and view information about your therapy. The UI is comprised of the display screen and the control dial. Rotate the control dial in either di rection to scroll through the menu options on the display screen.
To adjust a setting:
1. Rotate the control dial to your desired menu option.
2. Press the control dial to select that setting.
3. Rotate the control dial to change the setting.
4. Press the control dial ag ain to sav e th e cha n ge.
.
NOTES
The rotate dial icon on any screen indicates to rotate the dial to perform an action. The click dial icon
perform an action.
on any screen indicates to press the dial to
Pressing the dial when the down arrow appears on any screen will take
you to a sub-menu with more menu options. Pressing the dial when the up arrow
appears on any sub-menu will return you back to the main menu.
The screens shown throughout this manual are examples for reference
only. Actual screens may vary based upon device model and provider settings.
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4.10.1 USER MENU NAVIGATION (THERAPY ON) AND OPTIONAL HUMIDIFICATION SETTINGS
While the device is delivering therapy, you can adjust Tube Temperature or Humidifier Settings . Rotate the control dial to choose either setting. Press and rotate the dial to change the setting.
Note: If you are using the Humidifier without the Heated Tube, simply just rotate the control dial to change the Humidifier setting.
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IGURE 4-17: THERAPY PRESSURE SCREEN
Ramp Feature
The device is equipped with an optional ramp feature that can be enabled or d isabled. Th is feature reduces the air pressure when you are trying to fall asleep and then gradually increases (ramps) the pressure until your prescription setting is reached, allowing you to fall asleep more comfortably.
If ramp is enabled on your device, after you tur n on the ai rflow, press the Ramp button on the top of the device. You can use the Ramp button as often as you wish during the night.
When you click the ramp button, the Therapy screen will change to reflect the Ramp pressure, and the green circle will reflect the gradual increase in pressure.
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IGURE 4-18: RAMP PRESSURE SCREEN
The device has two ramp modes. The standard ramp mode increases pressure at a steady rate. Alternately, the SmartRamp mode maintains a constant lower pressure until the device detects that you require more pressure.
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4.10.2 USER MENU NAVIGATION (THERAPY OFF)
From the Home screen, you can scroll between the following four options:
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IGURE 4-19: USER MENU (THERAPY OFF)
My Info: This menu provides summary statistics of your therapy use.
Preheat: This function lets you warm up your humidifier for 30 minutes before starting a therapy
session.
My Provider: This menu contains informatio n that the provider may direct the user to r ead to them
so they can better assist them over the phone.
My Setup: This menu contains comfort settings that you can adjust as needed.
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My Info:
When you select “My Info”, you will be able to view the following screens. You cannot change settings in the Info menu. These screens are only for reference.
ICON TEXT DESCRIPTION
Therapy Hours This screen displays the amount of time the user is actually
receiving therapy on the device for the most recent 1 day time frame. It also displays the average amount of time the patient is actually receiving therapy over the last 7 days and 30 days.
AHI AHI This screen displays the nightly Apnea/Hypopnea indices
(AHI) value for the most recent 1 day time frame. It also displays the average of these individual nightly AHI values over a 7 day and a 30 day time frame. This screen only displays if your home care provider has enabled it. Only available on CPAP Pro and Auto CPAP devices.
ICON TEXT DESCRIPTION
Mask Fit Displays the value “100% minus Large Leak”. Large Leak is
the percentage of time that the mask leak was so high that it is no longer possible for the device to identify respiratory events with statistical accuracy. Displays the value for the most recent 1 day, as well as the values over last 7 days and 30 days. This screen only displays if your home care provider has enabled it. Only available on CPAP Pro and Auto CPAP devices.
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Periodic
Breathing
Preheat:
When using a humidifier, the device can preheat the water tank for up to 30 minutes prior to starting therapy. In order to activate the preheat mode, the blower must be “off” and a humidifier must be attached. When “Preheat” is selected, you will be able to turn the control dial to choose between “on” or “off”. Press the control dial again to make your selection. During the 30 minute preheat, you will still be able to use the control dial to select other menu options from the Home screen.
Note: This screen only displays when a humidifier is attached.
Periodic Breathing
Displays the percentage of time that the user exp erienced periodic breathing. Displays the value for the most recent 1 day time frame, as well as values for the last 7 days and 30 days. If you observe a large increase in the percent of time in periodic breathing indicated her, contact your home care provider for assistance. This screen only displays if your home care provider has enabled it. Only availa b le on CPAP Pro and Auto CPAP devices.
My Provider:
When you select “My Provider”, you will be able to view the following screens. You cannot change settings in the Provider menu.These screens are only for reference.
ICON TEXT DESCRIPTION
Device Info This screen displays your therapy device information: serial
number, model and software version.
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ICON TEXT DESCRIPTION
1117539, V
ER. 07
Provider Contact Info
This screen will display the contact information for your provider if it has been uploaded to your device.
Phone-In This screen displays the total therapy hours for the device,
the total blower hours, the total number of days used when the sessions were greater than 4 hours, and a compliance check number used by your home care provider to validate that the data provided by you is the data taken from this screen.
Compliance This screen displays your start date, the total number of
days used when the sessions were greater than 4 hours, and a check code number used by your home care provider.
VIC90 VIC 90 This Visual Inspection Check screen will display a check
code number created from information gathered over the most recent 90 day period. This 15 digit number will display as: xxx.xxxx.xxxx.xxxx. Your home care provider may periodically ask you for this information.
A-TRIAL A-Trial If Auto-Trial mode is available, this screen displays Days:
xx/xx (where xx/xx is the number of accumulated trial days / number of selected trial days). Available on the Pr o, Auto, BiPAP Pro, and BiPAP Auto models.
90%
Pressure
IPAP: 90%
Pressure
EPAP: 90%
Pressure
90% Pressure This screen displays the nightly value of 90% Pressure for
the most recent 1 day time frame. It also displays the average of these individual nightly values of 90% Pressure over a 7 day and a 30 day time frame. Availab le on the Auto model.
IPAP: 90% Pressure
Displays the value of 90% inhalation pressure for the mo st recent 1 day, as well as the average values over the last 7 days and 30 days. Available on the BiPAP Auto model.
EPAP: 90% Pressure
Displays the value of 90% exhalation pressure for the most recent 1 day, as well as the average values over the last 7 days and 30 days. Available on the BiPAP Auto model.
Upload Allows user to initiate a modem call when an optional
Cellular or Wi-Fi Accessory is installed. After the modem upload has finished, the screen will either display a green checkmark with the text “Completed” to indicate a successful upload, or a red X with the text “Failed” to indicate an unsuccessful upload. If the upload fails, initiate an upload a second time, or contact your home care provider if the issue persists. This screen is locked if modem is off.
ICON TEXT DESCRIPTION
PAGE 4-151117539, VER. 07
Performance Check
My Setup:
When you select “My Setup”, you will be able to view the following screens. Y ou can change the settings in the Setup menu. These screens will only display if they are available and enabled on the device.
Your device is equipped with a self-diagnostic tool called “Performance Check.” This tool can evaluate your device for certain errors. It also allows you to share key device settings with your home care provider. Use Performance Check when directed to by your home care provider.
At conclusion of the scan, the screen displays a green checkmark if no issue is detected. If device displays a red “X”, please contact your home care provider for assistance.
ICON TEXT DESCRIPTION
Ramp This dis plays t he ram p starting pr essu re. You can increase or decrease
the ramp starting pressure in 0.5 cm H2O increments.
Flex This allows you to adjust the level of air pressure relief that you feel
when you exhale during therapy. Your home care provider can enable or disable this feature. When your provider enables Flex, a level will already be set for you on the device. You can increase or decrease the setting from 1 to 3. The setting of “1” provides a small amount of pressure relief, with higher numbers providing additional relief.
Note: If a lock icon provider has locked this setting and you cannot change it.
Rise Time Rise time is the time it takes for the device to change from EPAP to
IPAP. This screen allows you to adjust the rise time so you can find the desired setting.
Humidification This displays the Humidification Mode being used. You can choose
between Fixed or Adaptive Humidification. If a heated tube is being used, the device will automatically switch to Heated Tube Humidification Mode. A “lock” symbol will appear next to the mode setting indicating that so long as the heated tube is attached to the device, this mode cannot be changed. However, the heater plate and tube temperature settings can still be adjusted on the device Therapy screen as normal.
is displayed on this screen, it indicates that yo ur
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