ResMed Mirage Activa Bedienungsanleitung

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Mirage Activa™Nasal Mask

USER’S GUIDE

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B-1

B-2

B-3

B-4B-5

B-6

B-7

B-8

B-9 B-10

Mask Cushion

Bulle du masque

Almohadilla de la mascarilla

Almofada da máscara

Headgear clips

Clips du harnais

Broches del arnés para la cabeza

Clipes do arnês

Ports cap

Bouchon des ports

Tapa de los puertos

Tampa das portas

Mask Elbow

Coude du masque

Codo de la mascarilla

Cotovelo da máscara

Vent cover

Cache des orifices de ventilation

Cubierta de la ventilación

Tampa do dispositivo de ventilação

Short air tubing

Tuyau à air court

Tubo de aire corto

Tubo de ar curto

Swivel

Pièce pivotante

Pieza giratoria

Peça giratória

Upper Velcro®straps

Bandes Velcro®supérieures

Correas superiores de Velcro®

Correias de Velcro®superiores

Cuff

Manchon

Mango

Manga

Mask Frame

Entourage rigide

Armazón de la mascarilla

Armação da máscara

Cushion clip

Clip de la bulle

Traba de la almohadilla

Clipe da almofada

Forehead pads

Tampons frontaux

Almohadillas para la frente

Almofadas da testa

Lower Velcro straps

Bandes Velcro inférieures

Correas inferiores de Velcro

Correias de Velcro inferiores

Forehead support

Support frontal

Apoyo para la frente

Suporte da testa

ActiveCell™

Headgear assembly

Harnais / Arnés para la cabeza / Montagem do arnês

C-2

C-3

C-1

C-4

C-5

C-6

D-1 D-2

D-3

D-5

D-6

C-7

D-7

D-8

D-12

D-4

C-a

D-9

D-10 D-11

(a) (b) (a) (b)

(c)

“click”

ENGLISH

Mirage Activa™Nasal Mask

The MIRAGE ACTIVA™nasal mask is an accessory to a non-

continuous ventilator (respirator), intended for multi-patient use

for adult patients prescribed continuous positive airway pressure

(CPAP) or bilevel therapy in hospital, clinic, and/or home

environments.

CAUTION

In the USA, federal law restricts this device to sale by or on the

order of a physician.

MEDICAL INFORMATION

Note: The mask system does not contain latex materials.

WARNINGS

•This mask should be used only with CPAP or bilevel systems

recommended by your physician or respiratory therapist. A

mask should not be used unless the CPAP or bilevel system is

turned on and operating properly. The exhalation device

should never be blocked.

Explanation of the Warning: CPAP or bilevel systems are

intended to be used with special masks with connectors

which have vent holes or separate exhalation devices to allow

continuous flow of air out of the mask. When the CPAP or

608335.book Page 1 Tuesday, April 10, 2012 11:52 AM

bilevel device is turned on and functioning properly, new air

from the flow generator flushes the exhaled air out through

the attached mask exhalation port. However, when the CPAP

or bilevel device is not operating, 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. This

warning applies to most models of CPAP or bilevel systems.

•The exhaust vent flow is lower at lower mask pressures (see

“Pressure/Flow Curve” on page 9). If the mask pressure during

expiration is too low, there may not be enough exhaust vent

flow to completely flush the air delivery hose of exhaled air

before the start of the next inspiration.

•The MIRAGE ACTIVA features an elbow that can be easily

removed while the mask is fitted. The mask should not be

used with the elbow attached unless the CPAP or bilevel

system is turned on and operating properly.

•The mask must be cleaned and disinfected/sterilized if it is

used between patients. Refer to the section “Cleaning the

Mask between Patients” for details.

•If oxygen is used with the CPAP or bilevel device, the oxygen

flow must be turned off when the flow generator is not

operating.

Explanation of the Warning: When the CPAP or bilevel

device is not in operation, and the oxygen flow is left on,

oxygen delivered into the ventilator tubing may accumulate

within the flow generator enclosure. Oxygen accumulated in

the CPAP or bilevel device enclosure will create a risk of fire.

This warning applies to most types of CPAP or bilevel flow

generators.

•Please refrain from smoking while oxygen is in use.

608335.book Page 2 Tuesday, April 10, 2012 11:52 AM

ENGLISH

•Using a mask may cause tooth, gum or jaw soreness or

aggravate an existing dental condition. If symptoms occur,

consult your physician or dentist.

Note: At a fixed flow rate of supplemental oxygen flow, the inhaled

oxygen concentration will vary depending on pressure settings,

patient breathing pattern, mask selection, and leak rate.

PARTS OF THE MASK

See Figure A for a list of all parts.

The MIRAGE ACTIVA mask cushion uses ResMed's innovative

ACTIVECELL™technology. The ACTIVECELL is an expandable

chamber that inflates during therapy. This technology means that

the MIRAGE ACTIVA is "self sealing" as it responds to factors that

cause leak. This provides you with a better seal, especially when

you are moving during the night. The ACTIVECELL technology

does not require as much headgear strap tension as other masks,

which makes the MIRAGE ACTIVA more comfortable to use.

FITTING THE MASK

Note: Before fitting the mask, refer to the section on “Cleaning the

Mask in the Home” on page 6.

1Squeeze one of the headgear clips to release it from the mask

frame (Fig. B-1).

2Place the mask cushion over your nose.

3Pull the headgear over your head (Fig. B-2). Make sure the

lower straps pass below your ears, and the upper straps pass

over your forehead.

4Connect the free headgear clip to the mask frame (Fig. B-3).

5Adjust the lower (Fig. B-4) and then the upper (Fig. B-5)

straps of the headgear so the cushion sits loosely on your

face. Do not tighten the headgear straps at this stage.

608335.book Page 3 Tuesday, April 10, 2012 11:52 AM

6The pads of the forehead support should lightly touch your

forehead when the mask is in place.

Adjust the forehead support by depressing its tab and moving

it to one of the other slot positions (Fig. C-7).

7Connect one end of the main air tubing to your CPAP or

bilevel device and the other end to the swivel.

Note: The swivel, short air tubing, and mask elbow are supplied

assembled.

8Connect the mask elbow to the mask frame. To do this, firmly

push the mask elbow onto the mask frame until it clicks into

place (Fig. B-6).

Check that you have connected the mask elbow correctly by

rotating it. Be careful not to squeeze the sides of the elbow as

it may release from the mask frame. If the mask elbow is fitted

correctly, it should rotate freely and not separate from the

mask frame.

9The fitted mask should look like this (Fig. B-7).

10 Turn your flow generator on. If you feel air leaks around the

cushion, reposition the mask on your face to achieve a better

seal. You may also need to readjust the headgear straps or

forehead support.

Do not over-tighten the straps. The straps should be adjusted

so that the ACTIVECELL is moderately and evenly expanded as

shown in Figure B-8.

The ACTIVECELL should not be collapsed (Fig. B-9) or over-

expanded (Fig. B-10).

Take time to adjust the straps and the position of the mask to

achieve a comfortable and secure fit. If you feel excessive

pressure on your nasal bridge or upper lip, adjust the

forehead support.

608335.book Page 4 Tuesday, April 10, 2012 11:52 AM

ENGLISH

Note: Select "Standard" as the mask option, when using ResMed

AutoSet™ devices.

REMOVING THE MASK

To remove the MIRAGE ACTIVA mask, squeeze the headgear clips

(Fig. C-a). This releases the headgear clips from the mask frame.

Pull the mask and headgear away from your head.

Note: Do not pull the headgear off your head without releasing the

headgear clips first.

TIP!

You can detach the elbow from themask frame while wearing the

mask (see “Disassembling For Cleaning”). This is useful when

therapy needs to be stopped for a short time; for example if you

need to go to the bathroom.

DISASSEMBLING FOR CLEANING

1Detach the mask elbow. To do this, squeeze the raised dots

on the sides of the mask elbow while pulling it away from the

mask frame (Fig. C-1).

2Disconnect and separate the main air tubing, short air tubing,

mask elbow, and vent cover (Fig. C-2).

Notes

•To prevent damage to the short air tubing, disconnect it by

holding it at the cuff.

•The swivel does not need to be disconnected from the short air

tubing.

3Squeeze the headgear clips to release them from the mask

frame. Unfasten the Velcro® straps and unthread the upper

headgear straps through the slots of the forehead support.

4Remove the ports cap from the mask frame (Fig. C-3).

608335.book Page 5 Tuesday, April 10, 2012 11:52 AM

5Detach the cushion assembly from the mask frame. To do

this, squeeze the two side latches on the cushion clip until

they disengage from the mask frame (Fig. C-4). Then pull the

mask cushion assembly out and away from the mask frame

(Fig. C-5).

6Remove the cushion clip from the mask cushion. To do this,

roll back one end of the ACTIVECELL and pull the cushion clip

out (Fig. C-6).

7Depress the forehead support tab and move it past the top

slot position (Fig. C-7). This allows you to remove the

forehead support from the mask frame.

Pull firmly at the base of the forehead pad plugs to release the

forehead pads from the forehead support.

CLEANING THE MASK IN THE HOME

Note: Wash the headgear before first time use, as the dye may run.

It is important to always hand wash the headgear.

WEEKLY

Hand wash the headgear in lukewarm, soapy water. Use pure

soap (see first caution below). Rinse well and allow it to air dry

out of direct sunlight.

DAILY/AFTER EACH USE

Hand wash the mask components in lukewarm, soapy water. Use

pure soap (see first caution below). Rinse the components well

and allow them to air dry out of direct sunlight.

CAUTIONS

•Do not use solutions containing bleach, chlorine, alcohol,

aromatics, moisturizers, antibacterial agents, or scented oils

to clean any part of the mask system or air tubing. These

608335.book Page 6 Tuesday, April 10, 2012 11:52 AM

ENGLISH

solutions may cause damage and reduce the life of the

product.

•Do not expose any part of the mask system or tubing to

direct sunlight as it may cause the product to deteriorate.

•If any visible deterioration of a mask component is apparent

(cracking, crazing, tears, etc), the mask component should

be discarded and replaced.

REPROCESSING THE MASK BETWEEN

PATIENTS

The mask should be reprocessed when used between patients.

Cleaning, disinfection and sterilization instructions are available

from the ResMed website,

www.resmed.com/masks/sterilization/americas. If you do not

have Internet access, please contact your ResMed representative.

REASSEMBLING THE MASK

1Attach the forehead pads to the forehead support. To do this,

place the forehead pad plugs into the two round holes of the

forehead support. Then push firmly behind the base of the

forehead pad plugs (Fig. D-1) until the tip of the plug is

securely seated over the hole. The base of the forehead pad

plug should be flush against the forehead support.

2Reconnect the forehead support to the mask frame

(Fig. D-2). Depress the tab and move the forehead support

into one of the four slot positions.

3Fit the cushion clip into the groove of the mask cushion.

Ensure the cut outs under the cushion clip latches are aligned

with the blocks in the groove of the mask cushion.

608335.book Page 7 Tuesday, April 10, 2012 11:52 AM

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