ResMed Mirage Quattro Bedienungsanleitung

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

Mirage Quattro™

FULL FACE MASK

User Guide

English • Svenska • Dansk • Norsk • Suomi

618339/1 2020-06

MIRAGE QUATTRO

USER

EUR 2

618339

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Manufacturer:

ResMed Pty Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153

Australia

See www.resmed.com for other ResMed locations worldwide.

For patent information, see www.resmed.com/ip

Mirage and Mirage Quattro are trademarks of ResMed Pty Ltd and Mirage is registered in U.S.

Patent and Trademark Office.

Velcro is a registered trademark of Velcro Industries B.V. STERRAD and CIDEX are trademarks

of Johnson & Johnson. Alconox is a trademark of Alconox Ltd. Neodisher Medizyme is a

trademark of Chemische Fabrik Dr Weigert. Aniosyme is a trademark of Laboratoires Anios.

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AMask parts / Maskdelar / Maskedele / Maskedeler / Maskin osat

Forehead support / Pandestøtte / Pandestøtte / Pannestøtte / Otsatuki

Forehead support pad / Pannstödsdyna / Pandepude /

Pannestøttepute / Otsatuen pehmike

Mask cushion / Maskens mjukdel

/ Ansigtspude / Maskecushion /

Maskin pehmike

Mask frame / Maskram / Maskeramme / Maskeramme /

Maskin runko

Ports cap / Portlock / Porthætte / Ports cap / Liitännän

korkki

Elbow assembly

/ Bågmontering /

Albuesæt / Kneleddsrør /

Kulmakappalerakenne

Vent / Ventil / Udåndingshuller /

Ventilasjonsåpning / Ilma-aukko

Dial / Justeringsratt

/ Reguleringsknap /

Skivebryter / Säädin

Valve clip / Klaffclips / Ventilklemme / Ventilklips / Venttiilin

kiinnike

Valve hinge / Klaffled / Ventilhængsel /

Ventilhengsel / Venttiilin nivel

Valve membrane / Klaffmembran /

Ventilmembran / Ventilmembran / Venttiilin

kalvo

Valve / Klaff / Ventil / Ventil /

Venttiili

Elbow / Båge / Albue /

Kneleddsrør / Kulmakappale

Swivel / Svängtapp / Drejetap /

Svivel / Pyörivä liitin

Upper straps / Övre remmar /

Øvrestropper / Øvre stropper /

Ylähihnat

Lower straps / Nedre remmar

/ Nedere stropper / Nedre

stropper / Alahihnat

Headgear clip / Clips på

hubudbanden / Hovedbåndsclips

/ Hodestroppklips / Pääremmien

kiinnikkeet

BFitting the mask / Mask inpassning / At tagen masken på / Tilpasse masken / Maskin sovittaminen

12345678

CDisassembling for cleaning / Ta isär masken för rengörning / Adskillelse før rengøring / Demontering av masken før rengjøring / Maskin purkaminen puhdistusta varten

2 3 4 5 6

8 9 10 11

Elbow assembly / Bågmontering / Albuesæt / Kneleddsrør / Kulmakappalerakenne

Cushion clip / Mjukdelsclips / Låsering / Cushionklips /

Pehmikkeen kiinnike

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DReassembling the mask / Montering/ihopsättning av masken / Genmontering af masken / Sette masken sammen igjen / Maskin kokoaminen

Elbow Reassembly / Montera bågen / Genmontering af albuen / Sette kneleddet sammen igjen / Kulmakappaleen kiinnittäminen

Mask Reassembly / Montera masken / Genmontering af masken / Sette masken sammen igjen / Maskin kokoaminen

12345

6 7 8 9

10 11 12 13

Mirage Quattro

Full Face Mask / Full Face mask / Full Face maske / Helmaske /

Kokokasvomaski

Illustrations Sheet / Illustrationsblad / Illustrationsark /

Illustrasjonsark / Kuvasivu

Note: For complete instructions, please read the text section

in conjunction with the illustrations on this sheet.

Obs! Läs textavsnittet tillsammans med illustrationerna på

detta blad för fullständiga anvisningar.

Bemærk: For fuldstændige anvisninger bedes du læse

tekstafsnittene i sammenhæng med illustrationerne på dette ark.

Merk! Fullstendige anvisninger får du ved å lese tekstavsnittet

sammen med illustrasjonene på dette arket.

Huomautus: Jotta saisit ohjeista parhaan hyödyn, lue teksti

katsoen samalla tällä sivulla olevia kuvia.

Component of: 618339/1

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English

Mirage Quattro™

FULL FACE MASK

Thank you for choosing ResMed’s Mirage Quattro Full Face Mask.

The Mirage Quattro is a full face mask that covers your nose and mouth. This

means that you can receive effective therapy even if you breathe through your

mouth.

The mask incorporates vent holes and a built-in valve so that you can continue

to breathe fresh air if the airflow to your mask is impeded for any reason.

Intended Use

The Mirage Quattro channels airflow noninvasively to a patient from a positive

airway pressure device such as a continuous positive airway pressure (CPAP)

or bilevel system.

The Mirage Quattro is to be used by adult patients (>30 kg) for whom positive

airway pressure has been prescribed.

The Mirage Quattro is intended for single-patient re-use in the home

environment and multipatient re-use in the hospital/institutional environment.

Before Using the Mask

WARNINGS

•The Mirage Quattro must be used under qualified supervision with

patients who are unable to remove the mask by themselves. The mask

may not be suitable for those predisposed to aspiration.

•The elbow and valve assembly are intended to be used with the

Mirage Quattro and have specific safety functions. The mask should

not be worn if the valve is damaged as it will not be able to perform its

safety function. The valve should be replaced if it is damaged,

distorted or torn.

•The vent holes must be kept clear.

•Follow all precautions when using supplemental oxygen.

618238.book Page 1 Thursday, December 22, 2011 2:09 PM

•Any oxygen flow must be turned off when the flow generator is not

operating, so that unused oxygen does not accumulate within the flow

generator enclosure and create a risk of fire.

•At a fixed flow rate of supplemental oxygen flow, the inhaled oxygen

concentration will vary, depending on the pressure settings, patient

breathing pattern, mask, point of application and leak rate.

•The technical specifications of the mask and flow generator are

provided for your clinician to check that they are compatible. If used

outside specification or if used with incompatible devices, the seal and

comfort of the mask may not be effective, optimum therapy may not

be achieved, and leak, or variation in the rate of leak, may affect the

flow generator function.

•Discontinue using the Mirage Quattro if you have ANY adverse

reaction to any part of the mask system, and consult your physician or

sleep therapist.

•Refer to your flow generator manual for details on settings and

operational information.

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

existing dental condition. If symptoms occur, consult your physician or

dentist.

Using the Mask

Select ‘Mir Full’ or ‘Full Face’ as the mask option when using the Mirage

Quattro with ResMed flow generators that have mask setting options.

Fitting the Mask

The diagrams in section Aon the illustrations sheet show how the parts of the

mask fit together.

The diagrams in section Bshow the sequence for obtaining the best fit and

comfort in using your mask. Please follow these instructions carefully.

1Twist the forehead support dial to Position 24, where the forehead support

is fully extended (Fig. B-1).

2Hold the mask steadily on your face (Fig. B-2) and pull the headgear over

your head.

3Bringing the lower straps below your ears, clip the headgear to the lower

part of the mask frame (Fig. B-3).

4Unfasten the Velcro®, pull the upper headgear straps evenly until they are

comfortable and firm, and reattach the Velcro (Fig. B-4).

5Repeat step 4 with the lower headgear straps (Fig. B-5).

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English

6Test the functioning of the valve by sealing the swivel with your hand and

ensuring that you can still breathe freely.

7Connect the main air tubing to the swivel (Fig. B-6). Then connect the free

end of the air tubing to your flow generator and turn the flow generator on.

8Lie down in your sleeping position. Twist the forehead support dial

(Fig. B-7) until you feel that the mask is evenly positioned on your face. It

should be comfortable, with a satisfactory seal. Gently tighten the lower

headgear straps if necessary.

9The fitted mask is shown in Fig. B-8.

Optimising Mask Seal and Comfort

To receive effective therapy it is important to have the best seal possible

between your mask and your face. If you are experiencing leaks, please ensure

that you have followed the fitting instructions carefully. Carry out a quick check

after fitting your mask:

•Is the mask cushion creased? Creases can allow air to leak out of the mask.

•Have you cleaned your mask cushion recently? Oils on the cushion can

affect the seal.

•Are your headgear straps overtightened? Try not to alter the upper headgear

straps once they have been tightened by your clinician.

•You may need to slightly adjust the dial. Note the dial setting when

comfortable.

•Does the mask seem too close to your eyes? You may need a smaller mask.

If you cannot resolve any problems, look at the Troubleshooting section, or talk

to your clinician. You may require another mask size.

Removing the Mask

To remove the Mirage Quattro, disconnect one of the lower headgear clips and

pull the mask and headgear up over your head.

Disassembling the Mask

See section Con the illustrations sheet.

1Detach the air tubing.

2Unclip the lower headgear clips (Fig. C-1) and unhook the upper headgear

straps (Fig. C-2). It is not necessary to remove the headgear clips from the

headgear.

3Remove the elbow assembly from the mask frame (Fig. C-3). It’s easier to

pivot the bottom of the elbow away from the mask frame than to pull the

elbow straight off.

4Remove the valve clip from the elbow (Fig. C-4).

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5Peel the valve away from the valve clip (Fig. C-5). Do not pull on the

membrane to remove the valve.

6Detach the swivel from the elbow (Fig. C-6).

7Note the position on the dial for the next time you use the mask.

8Fully unscrew and remove the dial then pull the forehead support out of the

mask frame (Fig. C-7).

9Remove the forehead support pads from the forehead support (Fig. C-8).

10 Squeeze and push the upper side tabs on the cushion clip out of the mask

frame. Pivot away from the mask, and gently pull out (Fig. C-9).

11 Separate the cushion from the cushion clip (Fig. C-10).

12 Remove the ports cap from the mask frame (Fig. C-11).

Cleaning the Mask in the Home

Notes:

•The mask and headgear can only be cleaned by handwashing.

•The headgear may be washed without removing the headgear clips.

WARNING

•Do not use aromatic-based solutions or scented oils (eg, eucalyptus or

essential oils), bleach, alcohol or products that smell strongly (eg,

citrus) to clean any of the mask components. Residual vapours from

these solutions can be inhaled if not rinsed thoroughly. They may also

damage the mask, causing cracks.

•Do not iron the headgear as the material is heat sensitive and will be

damaged.

Daily/After Each Use

To optimise the mask seal, facial oils should be removed from the cushion

before use.

Handwash the mask by gently rubbing in warm (30°C) water using mild soap

or diluted dishwashing detergent.

Do not twist the valve during cleaning as this may damage or tear the valve

membrane or hinge. Take care when handling the valve.

If the vent requires cleaning use a soft bristle brush.

Rinse all components well with drinking quality water and allow them to air dry

out of direct sunlight. Do not soak the mask.

Weekly

Handwash the headgear in warm (30°C) water using mild soap or diluted

dishwashing detergent. Rinse well and allow it to air dry out of direct sunlight.

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English

Cleaning the Mask between Patients

The Mirage Quattro should be disinfected or sterilised when used between

patients. All components, except the headgear, are validated for up to 20

disinfection or sterilisation cycles using one of the following processes:

•Thermal disinfection at a maximum temperature–time combination of 93°C

for 10 minutes

•Chemical disinfection (eg, Cidex™ OPA or Cidex Plus™)

•The STERRAD™ Sterilization System (eg, 100S or NX).

The headgear should be thoroughly washed between patients, as described in

“Cleaning the Mask in the Home”.

Detailed disinfection and sterilisation instructions are available from the

ResMed website, www.resmed.com/masks/sterilization, and must be

consulted before multipatient use.

Reassembling the Mask

See section Don the illustrations sheet.

Before reassembling the mask, check that all components are clean and dry.

Check that the valve is not damaged, distorted or torn, and that none of the

other components are broken or cracked. Replace any parts that are damaged.

Flexible PVC contains elements that can be detrimental to the materials of the

mask. If flexible PVC tubing is used continuously, the attachment port should

be inspected for cracking. Replace any parts that are damaged.

Elbow Reassembly

1Insert the valve into the valve clip (Fig. D-1).

2Push the valve clip onto the elbow (Fig. D-2). Make sure both sides click into

place (Fig. D-3).

3Insert the swivel into the end of the elbow (Fig. D-4).

4Insert the assembled elbow (Fig. D-5) into the mask frame.

Mask Reassembly

1Fit the cushion clip into the grooved edge of the mask cushion. Fit the top

section first, then work your way around, pushing the clip into the cushion

(Fig. D-6). Ensure that the cushion is not twisted or distorted around the

clip.

2Align the cushion clip with the mask frame. Push the cushion clip into the

mask frame, ensuring that all three clips click into place (Fig. D-7).

3Push the forehead pads firmly into the forehead support (Fig. D-8).

618238.book Page 5 Thursday, December 22, 2011 2:09 PM

4Insert the forehead support into the mask frame and screw the dial

clockwise onto the pole (Fig. D-9). Turn the dial until it clicks (Fig. D-10).

Ensure the dial sits flush against the frame.

5Insert the ports cap (Fig. D-11).

6Reattach the top headgear by threading it through the loop (Fig. D-12).

7Turn the dial until you reach the setting that gives you good comfort and seal

(Fig. D-13).

Storage

Ensure that the mask is thoroughly clean and dry before storing it for any

length of time. Store the mask in a cool dry place out of direct sunlight.

Disposal

The Mirage Quattro does not contain any hazardous substances and may be

disposed of with your normal household refuse.

Troubleshooting

Problem Possible reason Possible solution

Mask won’t seal properly

or is uncomfortable Mask cushion may be dirty. Clean cushion according to

instructions in “Cleaning the

Mask in the Home”.

Mask may have been fitted

incorrectly or is incorrectly

adjusted.

Carefully follow instructions in

“Fitting the Mask”. Check

headgear and dial are not over-

tightened. Extend dial to apply

more force to chin. Contract dial

to increase force at nose bridge.

Mask cushion is skewed in

cushion clip. Check insertion of cushion and

reinsert correctly.

Mask cushion is misaligned or

creased on face. Ensure cushion is properly

aligned and that there are no

creases in it: undo headgear clip,

check cushion and reposition the

mask on your face.

Mask is wrong size. Talk to your clinician.

Mask is too noisy Vents are blocked or partially

blocked. Clean vents according to

instructions in “Cleaning the

Mask in the Home”.

Valve is misassembled. Reassemble valve.

Cushion is not fully clipped in. Check insertion of cushion.

Mask is assembled incorrectly. Reassemble mask.

Valve is torn or distorted and is

not sealing. Replace valve.

Dial inserted into mask

frame before forehead support Misassembly. Push dial base onto a hard

surface until the dial comes out

of the frame.

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