RESPIRONICS^
vwwv.respironics.com
REMstar!
plus
CPAP
System
User
Manual
o
09
o
IMPORTANT!
Fill
in the information
helow
when you receive the
RFMstar
Plus
CPAP
system.
\
REMstar
Plus
Serial
No.:
.(Located
on the
bottom
of the
REMstar
Plus)
System
Prescribed for:
Date of Purchase or Rental:
Pressure Setting:
cm
H2O
Mask
Type:
Mask
Size:
If
you have any
questions
concerning the System, contact:
•
Home Care Company: —
Telephone Number:
•
Doctor: —
Telephone Number:
•
Respironics, Inc.
1001
Murry Ridge Lane
Murrysville,
Pennsylvania
15668-8550
USA
Customer Service
Telephone Number: 1-800-345-6443 (US and Canada) or 1-724-387-4000
REMstar
Plus
CPAP
systems
are the subject of US
patent
#5,239,995.
Other
patents
pending.
REMstar
Plus, Wfiisper Swivel, and Comfort
Flap
are trademarks of Respironics, Inc.
©Respironics,
Inc. 2001
Table
of
Contents
Symbol
Key
:..::.v
2
Intended Use &
Contraindications
3
Specifications 4
Warnings & Cautions
5
System Features 7
First
Time
Setup 8
o Device Settings 10
o Assembling the Circuit 12
Accessories 13
o Adding a Humidifier 13
o Adding Oxygen to the System 13
o Using DC Power 14
o Using an Ultra-fine Filter 14
o Carrying Case 14
Routine
Use 15
o Connecting the Circuit 15 ^
o Adjusting the Circuit 15
o Ramp Button 16
o Turning the System Off 16
o Helpful Hints 16
Traveling with the System 17
Routine
Maintenance 18
O
Filter 18
O
Cleaning 18
o Reordering 19
O
Service 19
Troubleshooting 20
Warranty 21
REMstar
Plus
User
Manual O /
SYMBOLS
Display
Screen
Elevation
Ramp Start Pressure
XXX. Humidifier Setting
Hours of Use
I
Button
Ligtits
Number of nights
with
more than 4
hours usage
Control
Buttons
6
S
5 5
Pressure
Start/Stop
Ramp
Humidifier On / Off
REMstar
Plus
Device
Attention,
consult
accompanying documents
A
•
AC Power
DC Power
Type BF Applied Part
Class II (Double Insulated)
IPXO
Ordinary Equipment Rating
^
^ European CE Declaration of Conformity
0123
/tj\d Body Approval
(f"
^ |r for Standards Compliance
®
Canadian/US Certification
2 O REMstar Plus
User
Manual
Intended Use
Intended Use The
Respironics
REMstar
Plus
system is a
CPAP
(Continuous Positive
Airway
Pressure) device designed for the
treatment
of adult Obstructive
Sleep Apnea only.
The
REMstar
Plus is to be used only on the instruction of a licensed
physician.
Your
home
care provider
will
make the correct pressure settings
according to your physician's prescription.
Several
accessories are available to make your
OSA
treatment
with
the
REMstar
Plus
CPAP
system as convenient and comfortable as possible. To
ensure
that
you receive the safe, effective therapy prescribed for you, use
only
Respironics accessories.
IMPORTANT!
Read and understand the
entire
user's manual
before
operating
this
system.
If
you
have
any
questions
concerning the use
of
this
system,
contact
your
home
care
provider
or
doctor.
Contraindications studies have shown
that
the following pre-existing conditions may
contraindicate the use of positive airway pressure therapy for some patients:
•
Bullous
Lung
Disease
•
Pneumothorax
•
Pathologically Low
Blood
Pressure
•
Pneumocephalus has been reported in a patient using nasal
Continuous Positive
Airway
Pressure. Caution should be used when
prescribing
CPAP
for susceptible patients such as
those
with:
cerebral
spinal
fluid
(CSF)
leaks, abnormalities of the cribriform plate, prior
history of head trauma,
and/or
pneumocephalus.
(Chest
1989;96:1425-1426)
The
use of positive airway pressure therapy may be temporarily contraindi-
cated if you exhibit signs of a sinus or middle ear infection. Not for use
with
patients whose
upper
airways are bypassed. Contact your physician if you
have any questions concerning your therapy.
REMstar
Plus
User
Manual O 3
specifications
Device
Size
Product Use,
Transport, and
Storage
Standards Compliance
Dimensions:
Weight:
9
1/2" X 6 7/8" X 4 1/2" (24 x 17 x 12 cm)
<4.0 lbs. (<1.8 kg)
Operation Transport & Storage
Temperature:
41 to 95° F (5 to 35° C) -4 to 140° F (-20 to 60° C)
Humidity:
15 to 95% Non-condensing 15 to 95% Non-condensing
Atmospheric Pressure: 76.7 to 102 kPascals N/A
This
device
is
designed
to conform to the following standard:
lEC
60601-1 General Requirements for Safety of Medical
Electrical
Equipment
Mode of Operation
Power
Requirements
Type
of Protection
Against
Electric
Shock
Degree of Protection
Against
Electric
Shock
Degree of Protection
Against
Ingress of Water
Continuous
AC
Power
Consumption:
100 - 240
VAC,
50/60 Hz, 1.0 A max.
DC Power Consumption:
12
VDC,
3.0 A max.
Class
11
Equipment
Type
BF
Applied Part
IPXO
- Ordinary Equipment
Pressure Increments
Pressure Display
Accuracy
4 to 20 cm HjO (in 1.0 cm H,0 increments)
+/-
(0.15 + 4% of actual reading)
Maximum
Flow
<30
dB(A)
Sound Pressure
Level
35
LPM
4 O
REMstar
Plus
User
Manual
Warnings
&
Cautions
CAUTION!
•
us
federal
law restricts this device to sale by or on the order
of
a
physician.
WARNING!
Indicates
the
possihility for
•
The instructions in this manual are not intended to supersede established
medical protocols.
•
This device is intended
for
adult use only.
•
This device is not intended
for
life support.
injury to the user
or
the operator.
•
CPAP
devices have the potential to allow rebreathing
of
exhaled air.
To
reduce this potential, observe the
following:
-
Use Respironics circuit accessories.
-
Do not wear the mask and headgear
for
more
than a few
minutes
while the device is not operating.
-
Do not block or try to seal the
vent
holes in the exhalation port.
As
with
most
CPAP
devices: At low
CPAP
pressures,
some
exhaled gas
{CO,)
may remain in the mask and be rebreathed.
•
Do not use this device
if
the room temperature is warmer
than
95°
F (35°
C).
If
this device is used at room temperatures warmer
than
95°
F (35°
C),
the temperature
of
the airflow may exceed
106°F(41°C).
This
could cause irritation to your airway.
•
This
equipment
is not suitable
for
use in the presence
of a flammable
anaesthetic mixture in combination with oxygen or
air,
or in the presence of
nitrous oxide.
•
If you
notice
any unexplained
changes
in the
performance
of this device,
if
it is making unusual or harsh
sounds,
if it has
been
dropped
or
mishandled, if the enclosure is broken, or if water has
entered
the unit,
discontinue
use and
contact
your
home
care provider.
•
To
avoid electrical shock, disconnect the power
cord
before cleaning. DO
NOT
immerse the device in any
fluids
•
Contact your health care professional
if
symptoms
of
sleep apnea recur.
•
Using the
REMstar
Plus at an incorrect elevation setting could result in
airflow
pressures higher
than
the prescribed setting. Always verify the
elevation setting when traveling or relocating.
CAUTION!
Indicates
the
•
Tobacco
smoke
may cause tar build-up within the
REMstar
Plus
that
may
result in the
REMstar
Plus malfunctioning.
possihility of damage
to
the device.
Unpacking the
System
After
unpacking the system, check to make sure you have everything shown
here:
IMPORTANT! if
any
of
the
above
parts
are
missing,
contact
your
home
care
provider.
6 O REMstar Plus
User
Manual
System
Features
AC
Inlet Connect the
AC
power cord here.
Air
Outlet Connect
flexible
tubing here.
Communications
Connector For
clinical
use
with
the
Encore®
Pro
Data
Management Software
or an
lEC
950 approved
device.
Connect the communications
cable
here
(only
on
REMstar
Plus
devices
with a serial
number of
2,000,000
or greater).
DC
Inlet Connect the optional
DC
power cord here.
Display
Screen
All
System
settings, total operating time, and therapy hours
will
be
displayed
here.
Displays
the pressure and elevation settings.
Filter
Cap & Filters
The
pollen
filter
screens out normal household dust and pollens.
The
optional, ultra-fine
filter
is also included for more complete
filtration
of
very
fine
particles. The
filter
cap is designed to reduce
the noise
from
the
CPAP
device.
Humidifier
Button
This
button turns the
REMstar
heated humidifier
on/off
and
allows
the heat setting to be adjusted. The humidifier is an optional
accessory
that may be purchased separately.
Medical
Product
Note
For ease at airport security stations, there is a
note
on the bottom of
the
REMstar
Plus
stating that it is medical equipment. It may help
if
you also take this manual
with
you when you
travel.
Pressure
Start/Stop
Button
This
button turns starts or stops the
airflow.
Ramp
Button
This
button starts the ramp
cycle.
REMstar
Plus
User
Manual
O 7
First
Time Setup
WARNING!
Do not use the
REMstar
Plus system until an
appropriate
professional
adjusts
the settings! To order any accessories not included
with
this
System,
contact your home care provider.
Note
to home care provider: Before beginning setup, be sure
that
you have
available
the
REMstar
Plus Home Care Provider Setup Instructions. It
contains instructions for
setting
up the
REMstar
Plus.
WARNING!
DO NOT connect any
equipment
to the
REMstar
Plus unless recommended by
Respironics
or your
health
care professional.
CAUTION!
ATTENTION!
CAUTION!
If
the
REMstar
Plus has been exposed to either
very
hot or
very
cold
temperatures,
allow
it to adjust to room
temperature
(approximately
2 hours)
before beginning setup.
Large
elevation
changes will affect the pressure being delivered by the
REMstar
Plus. Refer to the "Traveling
with
the System" section
if
you relocate
or travel to areas
with
a significantly higher or lower
elevation.
Your
home care provider will have
installed
the filter(s).
The
pollen
filter
must
be in place at all
times
when the
REMstar
Plus is operating. The
white
ultra-
fine
filter
is optional and can be used in
addition
to the pollen
filter.
The
ultra-fine
filter
is recommended for
people
who are
sensitive
to tobacco smoke
or other small particles.
8 O
REMstar Plus
User
Manual
First
Time Setup
Power
Cord
IVPORTAhni
WARNING!
WARNING!
CAUTION!
1.
Connect the power cord.
Plug
the socket end of the power cord into the
AC
inlet on the back of the
device.
Plug
the
pronged end of the power cord into an
electrical
outlet.
To
remove
AC
power,
disconnect the
power
cord from the electrical
outlet.
Inspect the
power
cord
often
for any signs
of
damage.
Replace a
damaged
cord
immediately.
This
device is
activated
when the
power
cord is connected. The Pressure Start/
Stop
button
turns
only
the
airflow
on/off.
2. Place the device on a
firm,
flat surface.
Make
sure the device is
away
from any
heating or cooling
equipment
(e.g.,
forced
air
vents,
radiators, air conditioners).
Also,
make
sure
that
bedding,
curtains, or
other
items
are not blocking the
filter
or
vents
of
the device. Air
must
flow
freely
around the device for the
system
to work
properly.
REMstar
Plus
User
Manual O 9
First
Time Setup
Device
Settings
Once
the power cord is plugged
in,
the hourglass symbol and the hours of use
will
be displayed.
Display
Screen:
All
device settings
will
appear here.
Pressure
Start/Stop
Button:
Use this button to start or stop the
airflow.
DO NOT
start the
airflow
until
the
circuit
tubing is connected.
Humidifier
Button:
Use this button when the optional
REMstar
Heated
Humidifier
has been prescribed.
This
button
will
turn the optional heated
humidifier's
on/off
and control the output.
Follow
the instructions included
with
the humidifier.
Ramp
Button:
Use this button to start the ramp
cycle
(which
lowers the
airflow
pressure).
This
will
allow
you to
fall
asleep more
easily.
Display
Screen
Button
Start / Stop
Button
IMPORTANT!
When the device is in the Setup
Menu,
the
humidifier and ramp buttons
operate
as up and
down keys to change the
settings
and the pressure
on/off
button
will
take
you to the next screen.
10 O
REMstar
Plus
User
Manual
First
Time Setup
Device
Settings
CAUTION!
IMPORTANT!
WARNING!
3.
Verify/Change
the device settings. To start the setup menu, press the
ramp button. (The
airflow
must be turned off.)
DO
NOT use the
REMstar
Plus
if
the
display
is erratic. Contact your
home care provider for further instructions.
Eor
REmstar Plus devices
with
serial numbers of2,000,000 or
greater,
the
display
screen has been changed. Both
display
screens are shown
below.
n
n
1111
a.
The elevation symbol and setting
will
appear:
1
or
Lo
= less than
2,500
ft. (< 762 m)
2
or M = 2,500 to 5,000 ft.
(762m
to 1524 m)
3
or
Hi = 5,001
to 7,500 ft.
(1525
m to 2286 m)
*over
7,500 ft. = The
airflow
pressure may
not be accurate. Contact your home care
provider
to have your pressure setting adjusted.
To
change the
elevation
setting, press the ramp or
humidifier
buttons. Press
and
release the pressure start/stop button to go to the next setting.
Using
the
REMstar
Plus
at an
incorrect
elevation setting
could
result
in
airflow
pressures
higher than the
prescribed
setting.
Always
verify the
elevation
setting when
traveling
or
relocating.
b. The Ramp Starting Pressure symbol and setting
will
appear.
(This
screen
will
not appear if your
medical
professional has not prescribed ramp.)
To
change the setting, press the ramp or humidi-
fier
buttons. Press the pressure start/stop button
to go to the next setting.
c.
The Button
Lights
setting
will
appear.
This
setting
allows
you to have the lights behind the
buttons
turned on or off
(when
the
airflow
is
turned on).
1
- on 0 = off
To
change the setting, press the ramp or
humidifier
buttons. Press the pressure start/stop
button to go to the next setting.
d.
The number of nights
with
more than 4 hours
usage
will
appear.
This
screen is only for
reference.
Your
home care provider may
periodically
ask you for this information. Press
the pressure start/stop button to
exit
the settings.
LEd
REMstar
Plus
User
Manual
First
Time Setup
Assembling
the
Circuit
4, Assemble tbe
circuit.
To use the system, you
will
need the
following
accessories
in order to assemble the recommended
circuit.
•
Respironics nasal
mask
with
integrated
exhalation port
(or Respironics
mask
with
separate
exhalation port such as the
Whisper
Swivel*
II)
•
Respironics 6 ft. (1.83 m) flexible tubing
•
Respironics headgear (for
the
mask; not shown)
WARNING!
If
the
REMstar
Plus is used by multiple persons (e.g., rental devices) a low-
resistance, main
flow
bacteria filter should be installed in-line
between
the
REMstar
Plus and the circuit tubing. Pressures must be verified when
alternate
or optional accessories are
in
place.
a.
Connect the flexible tubing to the
air
outlet on the front of the
REMstar
Plus.
b.
If you are using a mask with a built-in exhalation port
connect the mask's connector to the
flexible
tubing
If
you are using a mask with a separate exhalation
port
connect the
flexible
tubing to the exhalation port.
Position
the exhalation port so that the vented air is
blowing
away
from
your face. Connect the mask's
connector to the exhalation port.
"
Flexible
Tubing
WARNING!
Do not block or otherwise try to seal the air openings on the
exhalation
port.
Explanation
of
the warning: The
REMstar
Plus is intended to be used
with
masks and circuits
that
have an
exhalation port designed to exhaust COifrom the circuit. When the
REMstar
Plus is turned on and
functioning properly, new air from the
REMstar
Plus flushes the exhaled air out through the exhalation
port.
When the
REMstar
Plus is turned off, enough fresh air will not be provided through the
mask,
and
exhaled air may be rebreathed. Rebreathing of exhaled air for longer than several minutes can, in some
circumstances, lead to suffocation.
WARNING!
If
you are using a
full
face
mask
(i.e., a mask
covering
both
your mouth and your
nose),
the
mask
must be equipped
with a safety
(entrainment)
valve.
12 O
REMstar
Plus
User
Manual
Accessories
Adding a
Humidifier
WARNING!
Contact
your home care provider for additional information on the
accessories available for the
REMstar
Plus system. When using
optional accessories, always follow the instructions enclosed with the
accessories.
The
REMstar
Heated
Humidifier
and
REMstar
Pass-over
Humidifier
are available from your home care
provider.
A humidifier may reduce
nasal
dryness and irritation by
adding moisture (and heat
if
applicable)
to the
airflow.
For
safe
operation, the humidifier
must
always
be
positioned
below
the
circuit connection at the
mask
and the air
outlet
on the device. The
humidifier
must
be level for proper operation.
Adding Oxygen
to
the System
Oxygen
may be added at the mask connection. Please
note
the warnings
listed
below when using oxygen
with
this device.
WARNING!
WARNING!
WARNING!
WARNING!
When using oxygen
with
this
system,
the oxygen
supply
must
comply
with
the local regulations for medical oxygen.
When using oxygen
with
this
system,
a Respironics Pressure
Valve
(Part
number 302418)
must
be placed in-line
with
the
patient
circuit.
When using oxygen
with
this
system,
turn the device on before turning the
oxygen on.
Turn
the oxygen
off
before turning the device off. This will
prevent
oxygen accumulation in the device.
Oxygen accelerates fires. Keep the device and the oxygen container
away
from
heat,
open
flames, any
oily
substance, or other sources
of
ignition.
DO
NOT smoke in the area near the device or the oxygen container.
RFMstar
Plus
User
Manual O 13
Accessories
Using
a DC
Power
System
CAUTION!
CAUTION!
You
can also use this device in a stationary
recreational
vehicle,
boat
or motor home
with
a 12
volt
DC
power source. Do not
operate
this device
while
the vehicle is in motion. Contact your home
care provider for additional information.
Use
only
the Respironics DC Power
system
available
from your home care
provider.
Use
of
any
other
system
may
cause
damage
to the
device
or your vehicle.
DC
Power is not
intended
to be used as
battery
back-up. DO NOT
connect the DC Power
system
while the
device
is
operating
on AC
power.
System
damage
may occur.
Carrying
Case The
carrying
case holds the device and accessories. When traveling by
airplane,
the carrying case is for carry-on luggage only. Never check this
device
through the
baggage
department.
14 O
REMstar
Plus
User
Manual
Routine Use
Connecting l- Connect the circuit.
the Circuit
IMPORTANT! Before each use,
examine
the
flexible
tubing
for any
damage
or
debris.
If
necessary,
clean the
tubing
to
remove
the
debris.
Replace
any
damaged
tubing.
a.
Connect the mask to the
headgear,
following the instructions
included
with
the
headgear.
b. Put on the mask and
headgear.
Press the Pressure Start/Stop
button
on the top of the
REMstar
Plus to turn the
airflow
ON.
Breathe normally through your nose.
Adjusting 2. Adjust the circuit.
Lie
down on your bed and adjust the
flexible
tubing
the Circuit ^°
^°
move
if
you
turn in your sleep. Adjust the mask and
headgear
until you have a comfortable fit and
there
are no
airflow
leaks
into your eyes.
REMstar
Plus
User
Manual O 15
Routine Use
Using
the Pressing the Ramp button
will
reduce the air pressure when you are trying to
fall
Ramp Button asleep. The air pressure
will
gradually increase
until
your prescription pressure
is
reached.
You
also have the option of not using the ramp feature at
all.
3.
Press the Ramp button on the top of the
REMstar
Plus.
You
can use the ramp button
as often as you
wish
during the night.
Turning the
System
OFF
4. Remove the mask and headgear.
Press
the Pressure Start/Stop button
on the top of the
REMstar
Plus to turn
the airflow
OFF.
Pressure
Start/Stop
Button
IMPORTANT!
The
humidifier
button
is
active
only
when a Respironics Heated
Humidifier is connected or when the
REMstar
Plus is in the Setup
Menu
(refer to
page
10).
Helpful Hints • Make sure
that
bedding, curtains, or other items are not blocking the
filter
or
vents of the
REMstar
Plus.
Air must
flow
freely around the
REMstar
Plus for
the system to work properly.
•
If the
airflow
from the
REMstar
Plus feels cold, reposition the
circuit
tubing
so
that
it runs under your bed covers to reduce
heat
loss
while
you sleep.
16 O
REMstar
Plus
User
Manual
Traveling
with
the
System
Packing
the System
When
traveling, the carrying case is for carry-on
luggage
only. The carrying case
will
not
protect
the system if it is put through checked
baggage.
Security Stations For convenience at security stations,
there
is a
note
on the
bottom
of the
REMstar
Plus stating
that
it is medical equipment. It may be helpful to bring this
manual along
with
you to help security personnel understand the
REMstar
Plus.
Checking the
Power
Cord
If
you are traveling to a country
with
a line
voltage different than the one you are currently
using,
a different power cord or an interna-
tional
plug
adapter
may be required to make
your power cord compatible
with
the power
outlets of the country to
which
you are
traveling.
Contact your
home
care provider
for
additional information.
Changes in
Elevation
WARNING!
Elevation
changes can affect the pressure being delivered by the
REMstar
Plus.
If
you are traveling or moving to a new area, confirm the elevation.
Using
the
REMstar
Plus
at an
incorrect
elevation setting
could
result in airflow
pressures
higher than the
prescribed
setting.
To
verify/change the elevation setting:
1.
Make sure the
REMstar
Plus is
plugged
in and the airflow is turned
OFF.
2.
Press the ramp button. The elevation symbol and
setting
will
be
displayed.
1
or Lo =
less
than
2,500
ft. (< 762 m)
2 or M =
2,500
to
5,000
ft. (762m to 1524 m)
3
or Hi - 5,001 to
7,500
ft. (1525 m to
2286
m)
*over
7,500
ft = The airflow pressure may not be accurate.
Contact
your
home
care provider to have your
pressure
setting
adjusted.
3.
To change the elevation setting, press the ramp or humidifier button.
The
main screen
will
display after 5-10 seconds.
REMstar
Plus
User
Manual O 17
Routine Maintenance
Cleaning
the
Filter
CAUTION!
The
gray pollen
filter
should be cleaned at least once every two weeks
under normal usage and replaced
with
a new one every six months. The
white
ultra-fine
filter
is disposable and should be replaced after 30 nights of
use or sooner if it appears dirty. DO
NOT
clean the ultra-fine
filter.
Operating the
REMstar
Plus
with a dirty
filter
may
keep
the
system
from
working
properly
and
damage
the
REMstar
Plus.
1.
Remove the filter cap by
gently
pressing down on the two latches on
the top of the filter cap.
2.
Clean
the filter.
a.
Remove the
filter
by gently pulling around the
edges
of the
filter.
Rinse
the
filter
in a steady stream of running water. Squeeze out the
water
and
repeat.
Air
dry on a rack for 8 to 12 hours or in a clothes
dryer
for 15 to 20 minutes.
b.
Insert the clean
filter
into the
filter
area on the back of the
REMstar
Plus.
Replace the
filter
cap.
CAUTION!
Never install a wet
filter
into
the
REMstar
Plus.
We
recommend
that
you
clean the
filter
in the morning and
alternate
using the two
filters
provided
with
the
System
to ensure enough drying
time
for the cleaned
filter.
Clean
the mask and tubing daily.
To
avoid
electrical shock, unplug the
REMstar
Plus before cleaning.
Do
not
immerse
the
REMstar
Plus in any fluids.
1.
Disconnect the flexible tubing from the
REMstar
Plus. Gently wash
the flexible tubing in a solution of
warm
water and a mild detergent.
Rinse
thoroughly.
Air
dry.
2.
Wipe the outside of the
REMstar
Plus with a cloth slightly damp-
ened with water and a mild detergent. Let the
REMstar
Plus dry
before plugging in the power cord.
3.
Inspect the
REMstar
Plus and all circuit parts for any damage after
cleaning.
Replace any damaged parts.
4. For details on cleaning your mask and accessories, refer to the
cleaning instructions packaged with the accessories.
18 O REMstar
Plus
User
Manual
Cleaning
the
System
WARNING!
Service
Reordering
Service
Disposal
WARNING!
WARNING!
Contact
your home care provider to order accessories or replacement
filters.
The
REMstar
Plus
system
does
not require routine
servicing.
When
necessary, dispose of the
REMstar
Plus
and accessories in accordance
with
local
regulations.
If
you notice any unexplained changes in the performance
of
this
device,
if
it
is making unusual or harsh sounds,
if
it has
been
dropped
or
mishandled,
if
the enclosure is broken, or if
water
has
entered
the
device,
discontinue use.
Contact your home care
provider.
If
the
REMstar
Plus malfunctions, contact your home care
provider
immediately.
Never
attempt
to
open
the
REMstar
Plus's enclosure. Repairs
and
adjustments
must
be performed by Respironics
authorized
service person-
nel
only.
Unauthorized service could cause injury,
invalidate
the
warranty,
or
result in
costly
damage.
REMstar
Plus
User
Manual
O 19
Troubleshooting
The
table below
lists common problems you may have
with
the REMstar Plus System and possible
solutions to those problems. If none of the corrective actions solve the problem, contact your home
care provider.
Problem Solution(s)
The
"Attention"
s
code
(E-???)
are
f
screen and the
buttons are
flashing.
ymhol
and an error
lashing
on the display
E-888
A
Discontinue
use. Disconnect the power cord from the AC
wall
outlet. Contact your home care provider or Respironics for
directions on having the REMstar Plus serviced. Please have the
device's serial number and the error
code
ready when you
call.
The
pressure being delivered feels
different.
Check
the elevation setting to be sure it is set to your elevation
Change the elevation setting if necessary. If the elevation setting
is
correct, contact your home care provider or Respironics for
directions on having the REMstar Plus serviced. Please have the
device's serial number ready when you
call.
The
airflow from the REMstar Plus
seems
warm.
Replace or clean the filter. Make sure the REMstar Plus is away
from
bedding or curtains that could block the flow of air around
the REMstar Plus. Make sure the REMstar Plus is away from
heating equipment (e.g., forced air vents, radiators).
The
noise level of the REMstar Plus has
changed to include unusual or harsh
sounds during operation.
Contact your home care provider or Respironics for directions
on
having the REMstar Plus serviced. Please have the device's
serial
number ready when you
call.
The
REMstar Plus
will
not
turn
on.
Make sure that the REMstar Plus is
plugged
into a working
outlet. If you are using a DC battery, the battery may need to be
recharged or replaced or the fuses may need to be replaced.
Contact your home care provider or Respironics for directions on
having
the REMstar Plus serviced. Please have the devices's
serial
number ready when you
call.
Pressing the ramp button
does
not
reduce the air pressure.
Contact your home care provider. Ramp may not have been
prescribed for you.
The
REMstar Plus has been dropped
into
water or fluids have gotten into the
enclosure.
Discontinue
use. Disconnect the power cord from the AC
wall
outlet. Contact your homecare provider or Respironics for
directions on having the REMstar Plus serviced. Please have the
device's serial number ready when you
call.
20
O
REMstar Plus
User
Mamml
Limited
Warranty
Respironics,
Inc.®
warrants
that
the
REMstar®
Plus
CPAP
device
shall
be
free from defects of workmanship and materials and
will
perform in
accordance
with
the product specifications for a period of two (2) years
from
the
date
of sale by
Respironics,
Inc.
to the dealer.
If
the product
fails
to perform in accordance
with
the product specifications, Respironics,
Inc. will
repair or replace, at its option, the defective material or part.
Respironics,
Inc.
will
pay customary freight charges from Respironics,
Inc.
to the dealer location only.
This
warranty
does
not cover
damage
caused by accident, misuse, abuse, alteration and
other
defects not
related to material or workmanship.
RESPIRONICS, INC. DISCLAIMS
ALL
LIABILITY
FOR
ECONOMIC
LOSS, LOSS
OF
PROFITS, OVERHEAD
OR
CONSEQUENTIAL
DAMAGES WHICH MAY
BE
CLAIMED
TO
ARISE FROM
ANY
SALE
OR USE OF
THIS PRODUCT.
SOME
STATES
DO NOT
ALLOW THE EXCLUSION
OR
LIMITATION
OF
INCIDENTAL
OR
CONSEQUENTIAL DAMAGES,
SO
THE ABOVE LIMITATION
OR
EXCLUSION MAY NOT APPLY TO YOU.
THIS WARRANTY
IS
GIVEN
IN
LIEU
OF
ALL OTHER EXPRESS
WARRANTIES.
IN
ADDITION,
ANY
IMPLIED WARRANTIES,
INCLUDING
ANY
WARRANTY
OF
MERCHANTABILITY
OR
FITNESS FOR THE PARTICULAR PURPOSE ARE LIMITED TO TWO
YEARS.
SOME
STATES
DO
NOT ALLOW LIMITATIONS
ON HOW
LONG
AN
IMPLIED WARRANTY LASTS,
SO THE
ABOVE
LIMITATION MAY NOT APPLY TO YOU. THIS WARRANTY GIVES
YOU
SPECIFIC
LEGAL
RIGHTS,
AND YOU
MAY ALSO HAVE
OTHER RIGHTS WHICH
VARY
FROM STATE
TO
STATE.
To
exercise your rights under this warranty, contact your
local,
authorized Respironics, Inc. dealer or Respironics, Inc. at 1001
Murry
Ridge
Lane,
Murrysville,
Pennsylvania 15668,
1-800-345-6443 (US and Canada
only)
or 1-724-387-4000.
REMstar
Plus
User
Manual O 21
For
information on
sleep
disorders, contact the
following organizations:
American
Sleep Apnea Association
2025
Pennsylvania Ave., N.W., Suite 905
Washington, DC
20006
Telephone:
1-202-293-3650
Fax:
1-202-293-3656
www.sleepapnea.org
National Sleep Foundation
729 Fifteenth Street, N.W.,
Fourth
Floor
Washington, DC
20005
www.sleepfoundation.org
22 O
REMstar
Plus
User
Manual
PEOPLE
PRODUCTS
PROGRAMS
RESPIRONICS INC: RESPIRONICS
1001
Muriy Ridge Lane
Deutschland
Murrysville,
Pennsylvania Gewerbestrasse 17
15668-8550 USA 82211 Herrsching Germany
1010355
LK
8/1/02
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