ResMed Positive Airway Pressure Device VPAP IV Bedienungsanleitung

VPAP™ IV

VPAP™ IV ST

Positive AirwAy Pressure device

User Guide

English

VPAP™ IV

VPAP™ IV ST

POSITIVE AIRWAY PRESSURE DEVICE

User Guide

English

ResMed Ltd (Manufacturer) 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia

ResMed Corp (US Designated Agent) 14040 Danielson Street Poway CA 92064-6857 USA

ResMed (UK) Ltd (EU Authorised Representative) 96 Milton Park Abingdon Oxfordshire OX14 4RY UK

ResMed Offices Australia, Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia,

Mexico, Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, UK, USA (see www.resmed.com

for contact details).

Protected by patents: AU 697652, AU 699726, AU 713679, CA 2235939, EP 0661071, EP 0858352, JP 3638613, US 5199424, US 5522382,

US 6213119, US 6240921, US 6705315. Other patents pending.

Protected by design registrations: AU 302180, AU 302181, AU 302182, AU 302183, AU 302184, AU 302185, AU 302186, CN 200430121211.8,

CN 200430121212.2, CN 200430121213.7, CN 200430121214.1, CN 200430121215.6, CN 200430121216.0, CN 200430121217.5, EU 269436,

HK 0412901.9, JP 1248040, JP 1257662, JP 1257663, JP 1266956, JP 1266957, JP 1267270, JP 1267271, NZ 405614, NZ 406923, NZ 406924,

NZ 406925, NZ 406926, NZ 406927, NZ 406928, US D544598, US D557406, US D557407, US D560795, US D561891. Other designs pending.

SmartStart, TiCONTROL, VPAP, and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U.S. Patent and Trademark

Office.

Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Contraindications 1

Adverse Effects 1

The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Masks 2

Humidifier 2

ResScan Data Card 2

Supplemental Oxygen 2

Using the VPAP IV and VPAP IV ST . . . . . . . . . . . . . . . . . . . . . . . . . 3

Setting up your VPAP 3

Attaching a H4i Humidifier 4

How to Use the Control Panel 4

Using the Menus 5

How to Select the Mask Type 6

SmartStart™ 6

Starting Treatment 6

Stopping Treatment 7

Using the Mask-Fitting feature 7

Reminders on the VPAP LCD 8

Smart Data™ 8

Using the Data Card 9

Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Daily 11

Weekly 11

Monthly 11

Replacing the Air Filter 11

Servicing 12

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Symbols Which Appear On The Device 15

General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

1Introduction

English

Introduction

The VPAPTM IV and the VPAPTM IV ST are intended to provide non-invasive ventilation

for patients with respiratory insufficiency or obstructive sleep apnoea (OSA), in the

hospital or home.

Contraindications

Positive airway pressure therapy may be contraindicated in some patients with the

following pre-existing conditions:

•severe bullous lung disease

•pneumothorax or pneumomediastinum

•pathologically low blood pressure, particularly if associated with intravascular

volume depletion

•dehydration

•cerebrospinal fluid leak, recent cranial surgery or trauma.

Adverse Effects

Patients should report unusual chest pain, severe headache or increased

breathlessness to their prescribing physician. An acute upper respiratory tract

infection may require temporary discontinuation of treatment.

The following side effects may arise during the course of therapy with the device:

•drying of the nose, mouth or throat

•nosebleed

•bloating

•ear or sinus discomfort

•eye irritation

•skin rashes.

WARNING

Read the entire manual before using these VPAP devices.

The VPAP System

Both the VPAP IV and the VPAP IV ST systems comprise the following elements:

•VPAP device

•2 m air tubing

•Power cord

•Travel bag

•ResScan™ Data Card

•ResMed Oxygen Connector Port.

Optional components include:

•3 m air tubing

•DC/DC Converter 24V/50W.

Masks

The following ResMed mask systems are recommended for use with these devices:

For information on using masks, see your mask manual. For the latest available

masks, see www.resmed.com.

Humidifier

If you are experiencing dryness of the nose, throat or mouth, the H4i heated

humidifier is recommended for use with these VPAP devices.

WARNING

•Only ResMed mask systems are compatible for use with these VPAP devices.

•Only the H4i is compatible for use with these VPAP devices.

ResScan Data Card

The ResScan Data Card may be used with these VPAP devices either to help your

clinician to monitor your treatment or to provide you with updates to your device

settings.

Supplemental Oxygen

The VPAP IV and VPAP IV ST are designed to be compatible with up to 15 L/min of

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

oxygen concentration will vary, depending on the pressure settings, patient breathing

pattern, mask selection, and the leak rate.

WARNING

Always use the ResMed Oxygen Connector Port when adding supplemental

oxygen at the flow generator outlet.

Screen

Keypad

Air outlet DC

Air inlet

Data Card

module

Carry handle

Mask Type Name

Nasal Masks • Mirage Vista™ Nasal Mask

• Ultra Mirage™ Nasal Mask

• Ultra Mirage™ II Nasal Mask

• Mirage Activa™ Nasal Mask

• Mirage Micro™ Nasal Mask

Nasal Pillows Systems • Mirage Swift™ Nasal Pillows System

• Mirage Swift™ II Nasal Pillows System

Full Face Masks • Mirage™ Liberty Full Face Mask

• Mirage™ Quattro Full Face Mask

• Ultra Mirage™ Full Face Mask

3Using the VPAP IV and VPAP IV ST

English

Using the VPAP IV and VPAP IV ST

Setting up your VPAP

1Connect the power cord to the socket at the rear of your VPAP.

2Plug the other end of the power cord into the power outlet.

3Connect one end of the air tubing firmly onto the air outlet.

4Connect the assembled mask system to the free end of air tubing.

For information on assembling your mask, see your mask manual.

WARNING

•Make sure the power cord and plug are in good condition and the

equipment is not damaged.

•Only ResMed air tubing and accessories should be used with the device. Do

not use electrically conductive or antistatic hoses. A different type of air

tubing or accessory may alter the pressure the patient receives, reducing the

effectiveness of the treatment.

•Blocking the hose and/or air inlet of the device while in operation could lead

to overheating of the device.

CAUTION

•Be careful not to place the device where it can be bumped or where

someone is likely to trip over the power cord.

•If you put the device on the floor, make sure the area is free from dust and

clear of bedding, clothes or other objects that could block the air inlet.

Attaching a H4i Humidifier

The H4i humidifier attaches to the front of a VPAP IV or VPAP IV ST device to provide

heated humidification. These devices automatically detect the presence of the H4i

and no other accessories are required for its use. For more information on using your

H4i, please refer to the H4i user guide.

WARNING

•Make sure that the water chamber is empty and thoroughly dried before

transporting the H4i.

•When using the travel bag, always separate the VPAP unit and the H4i and

place the H4i in its pouch.

How to Use the Control Panel

The control panel of your VPAP device includes an LCD screen which displays the

menus and treatment screens as well as a keypad for navigating through the menus

and delivering treatment. The keypad has the following keys:

LCD screen

Keypad

Start/Stop Key

Key Function

Start/Stop Starts or stops treatment. Extended hold for at least three seconds

starts the mask-fit feature.

Allows you to increase settings options and scroll through the

menu.

Down Allows you to decrease settings options and scroll through the

menu.

Left

Performs the function indicated by the guiding text displayed above

it on the LCD screen. Guiding text includes menu, change, and

apply.

Right Performs the function indicated by the guiding text displayed above

it on the LCD screen. Guiding text includes exit and cancel.

5Using the VPAP IV and VPAP IV ST

English

Using the Menus

The VPAP IV and VPAP IV ST provide a set of functions which are arranged in menus

and submenus. Via the LCD screen, the menus and submenus allow you to view and

change the settings for a particular function. To navigate and make selections:

1Press or to scroll through items within a level.

2Press to enter a submenu and to apply an option choice.

3Press to navigate out of a menu or submenu and to exit without changing

options.

Your clinician has preset the menu to either a standard menu or an advanced menu.

The following illustration summarises these views:

RAMP: 10min

WELCOME

>>>>>>

00006/00012 days

USED: 00090hrs

SW: SX459-0200

exit

MASK: ULTRA

change exit SETTINGS

enter exit

RESULTS

enter exit

OPTIONS

TUBE LENGTH: 2m

change exit

SMARTSTART: OFF

exit

MASK: ULTRA

change exit

LEAK ALERT: ON

change exit

LANGUAGE:ENGLISH

change exit

SMART DATA

enter exit

SERVICING

SW: SX459-0200

exit

SN: 20080102356

exit

AUTO APPEAR: ON

change exit

SMART DATA

enter exit

USED: 00090hrs

00003/00122days

MASK FIT: *****

excelnt exit

PRESSURE: 8.0

exit

USAGE: 4.00hrs

exit

Standard Menu Advanced Menu

These menus only

appear if your clinician

has enabled Smart Data.

How to Select the Mask Type

Scroll to MASK and select . Press or until you see the setting

you require. The following table shows the setting that should be selected for each

mask:

SmartStart™

If your clinician has enabled SmartStart/Stop, your device will start automatically

when you breathe into your mask and stop automatically when you take your mask

off.

Starting Treatment

1Make sure the power is on.

The product name is displayed briefly on the LCD screen, then the standby (Ramp)

screen appears. The key and LCD backlights also turn on.

2Fit your mask as described in the mask user instructions.

WARNING

A mask should not be used unless your VPAP device is turned on and operating

properly.

3Alter the ramp time if required.

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

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

Settings Mask

ULTRA Ultra Mirage Nasal Mask

Ultra Mirage II Nasal Mask

MIR FULL Mirage Liberty Full Face Mask

Mirage Quattro Full Face Mask

Ultra Mirage Full Face Mask

ACTIVA Mirage Activa Nasal Mask

SWIFT Mirage Swift Nasal Pillows System

Mirage Swift II Nasal Pillows System

STANDARD Mirage Vista Nasal Mask

Mirage Micro Nasal Mask

MIRAGE Mirage Nasal Mask

7Using the VPAP IV and VPAP IV ST

English

6After starting therapy, an introductory treatment screen will display:

Stopping Treatment

To stop treatment at any time, remove your mask and press . If your clinician

has enabled SmartStart/Stop, simply remove your mask and treatment will end.

Note: SmartStart/Stop does not operate if:

•you have a Full Face Mask; or

•Leak Alert is enabled.

Using the Mask-Fitting feature

The VPAP IV and VPAP IV ST include a mask-fitting feature to help you fit your mask

properly. The mask-fitting feature delivers air pressure for a three-minute period, prior

to starting treatment, for checking and adjusting your mask fit to minimise leaks.

To use the mask-fitting feature:

1Fit your mask as described in the mask user instructions.

2Hold down for at least three seconds until air pressure delivery starts and

the following screen appears:

The LCD displays a mask-fit star rating from zero to five stars. Three to five stars

indicates a good fit or better. Zero to two stars indicates that the mask needs to be

adjusted.

LK: 10L/min RR: 15

MV: 10.2 VT: 680

S:RAMP 4.0-10.0

>>>> PS 6.0

S**TiMn TiMx 2.0

Ti 1.5s 1: 1.6

SpO2: 98%

HR : 60 exit

This screen only displays if ResLink and

an oximeter are connected

Inspiration information

Leak and breath information

Mode and pressure display

S mode

example

Mask-fit star rating

MASK FIT:

excelnt

*****

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