Apria Healthcare 3B Medical Luna II User manual

Your Apria
Sleep Therapy
User Guide for
3B™Medical Luna®II

WELCOME
Thank you for choosing Apria as your home medical provider.
You are receiving this package because your doctor has diagnosed
you with sleep apnea and prescribed Positive Airway Pressure
therapy. Positive Airway Pressure therapy — also known as PAP
therapy or sleep therapy — helps millions of users feel more
energized and refreshed.
We are excited to accompany you on your journey to a better
night’s sleep!
Responsive. On Time.
Apria Delivers.
With over 275 branch locations in the U.S., Apria is ready to
support patients every day and in times of need with well-
established emergency preparedness protocols in place. Apria
has the knowledge, experience, and ability to provide excellent
home health and equipment delivery services in all types
of environments.
Mobilized Eorts: Trained staff members available around the
clock to coordinate urgent and after-hours orders and carry out
emergency services
24/7 Delivery Services: Deliveries to homes, shelters, and other
areas pre- and post-catastrophic events
275+ Locations Nationwide: Local branches with teams ready to
serve patients, day or night
Extensive Inventory: Home oxygen therapy and respiratory
services, sleep therapy and supply refills, non-invasive ventilation
therapy, and negative pressure wound therapy
Care is just around the corner.

Make sure your home address can be easily seen from the street
during both day and night.
If you are expecting a night delivery or visit, turn on the porch
light. Check to see that your address numbers are easy to spot
and can be read from the street. This will allow all Apria and
emergency services to locate your residence easily.
Follow Emergency and Natural Disaster Instructions.
In the event of an emergency or natural disaster, follow the radio
or television instructions of your local authorities.
Overview
Your doctor has prescribed PAP therapy because you have been
diagnosed with sleep apnea. Sleep apnea occurs when a person
repeatedly stops breathing for 10 or more seconds at a time while
sleeping. These events may occur hundreds of times throughout
the night, causing oxygen levels in the blood to drop, putting
stress on the heart. If left untreated, sleep apnea is linked to many
other serious conditions like high blood pressure, diabetes, heart
disease, and stroke.
This guide contains easy step-by-step instructions for using your
PAP equipment, and is designed to help you benefit from therapy
as soon as your equipment arrives. Please watch the sleep apnea
video on the enclosed DVD and review the manufacturer’s user
guides along with the other educational materials that were
included with your equipment. The sleep apnea video can also
be found on Apria’s website at Apria.com/resource-center in
the “Video Library” section located at the bottom of the screen.
Additional information is also available at Apria.com/sleep-apnea.
Your Device and Settings
A licensed Apria clinician has programmed your PAP machine
with the settings prescribed by your physician. If your doctor
recommends changes to your PAP settings, please notify
Apria immediately so that the clinician can make any
necessary adjustments.

To set up the device:
1. Place the device on a firm, flat surface..
2. Install the filter cap into the device.
3. Insert the plug of the power adapter into the DC inlet
on the back of the device. Connect the power cord to
the power adapter. Plug the other end of the power
cord into the power outlet.
4. Connect one end of the tube to the air outlet of the
device. Connect the other end of the tube to the mask
according to the user manual for
the mask.
5. Open the humidifier chamber cap
and fill the water chamber with
approximately 360 mL of water.
Make sure the water does not
exceed the maximum water
level line.
WARNING!
• Change the water before every
use and do not surpass the
MAX fill line.
CAUTION!
• Empty the water chamber
when the heated humidifier is
not in use.
• Distilled water is recommended.
4 |Questions? Call 877.265.2426STEP 1: GET STARTED
GET STARTED
STEP 1
2
3
4
5
Power Adapter
Power Cord
1
DC Inlet
Air Outlet
Tube

|5Questions? Call 877.265.2426 STEP 1: GET STARTED
6. Close the cap after the
water is filled and return it
to the device.
IMPORTANT!
• If the water chamber device
is not in place, the CPAP
machine will not turn on
or operate. The humidifier
chamber must be in place
for device operation.
7. Insert the SD card into the
SD card slot. If the SD card is
inserted correctly, a symbol
indicating the correct insertion
will appear in the main
interface on the screen of the device.
A. If the SD card is inserted correctly,
a symbol indicating the correct insertion
will appear in the main interface on the
screen of the device.
B. If the SD card is inserted incorrectly,
a symbol indicating the incorrect
insertion will appear n the main
interface on the screen of the device.
CAUTION!
• If the SD card is not inserted, there will
not be a symbol in the main interface
on the screen of the device.
• To avoid data loss or any damage to
the SD card, the SD card can only
be removed after the device stops
delivering air.
7
A. Correct
B. Incorrect
6
SD Card Slot

6 |Questions? Call 877.265.2426STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
STEP 2
GET FAMILIAR
WITH YOUR PAP
EQUIPMENT
If your doctor prescribed a specific mask and size, follow the fitting instructions
provided by the manufacturer, then proceed to Step 3. If you received a mask with
multiple cushions, follow the instructions below and on the next page.
There is a mask cushion currently attached to the frame of your mask. This size fits
most patients. Once you begin therapy, if your mask is leaking or feels uncomfortable,
try removing the existing cushion and replacing it with a different size cushion. If you
are between sizes, it is best to use the larger cushion. Use the fitting template (for nasal
mask and full-face mask) and/or the manufacturer’s instructions included with your
mask for help.

|7Questions? Call 877.265.2426 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
1.
4.
2.
5.
3.
Nasal Mask
1. Release the lower strap magnets from the frame of the mask. Make sure the logo on
the headgear is facing outward. While holding the mask against your face, pull the
headgear over your head.
2. Position the lower straps so they both sit below the ears. Bring each of the magnets
up to meet their corresponding clips on the frame.
3. Adjust the fastening tabs on the upper straps until the mask feels even and stable.
Do not overtighten. Reattach the fastening tabs.
4. Repeat Step 3 with the lower straps. Reattach the fastening tabs.
5. Connect the hose to the front of the mask. Ensure that the nasal mask fits securely
over your nose. It is normal to feel some air escaping through the small air vents on
the elbow of the hose.
Please refer to the manufacturer’s instructions for additional information on topics,
such as:
• How to properly remove your mask
• How to remove and change the mask cushion
• How to adjust the length of the mask straps

8 |Questions? Call 877.265.2426STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
4.
3.1.
5. 6.
2.
Nasal Pillow Mask
1. Hold the pillows away from your nose with the
left (L) and right (R) indicators correctly facing
towards you.
2. Guide the nasal pillows into your nostrils.
3. Pull the headgear over your head by holding the
bottom strap and stretching it around the back of
your head.
4. Adjust the top and bottom straps. The top strap should fit comfortably on the top of
your head.
5. Ensure that the nasal pillows fit securely into your nostrils with both pillows
positioned upright. If not, move the mask away from your face and then place it
back again.
6. To achieve a comfortable fit, adjust the straps. Spread the straps apart to loosen,
or draw them closer together to tighten.
7. If the headgear comes with a buckle, adjust the headgear by pulling the headgear
through the buckle to fix mask leaks. Adjust only enough for a comfortable seal
and do not over-tighten. The headgear may need to be adjusted as it can stretch
over time.

|9Questions? Call 877.265.2426 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
4.
3.1.
5. 6.
2.
Full Face Mask
1. Twist and pull both magnetic clips away from
the frame. With the logo on the headgear facing
outward, hold the mask against your face and pull the
headgear over your head.
2. Bring the lower straps below your ears and attach the
magnetic clip to the frame.
3. Undo the fastening tabs on the upper headgear
straps. Pull the straps evenly until the mask is stable and positioned as shown in the
illustrations. Reattach the fastening tabs.
4. Undo the fastening tabs on the lower headgear straps. Pull the straps evenly until the
mask sits firmly on the chin and reattach the fastening tabs.
5. Connect the air tubing from your device to the elbow. Attach the elbow to the mask
by pressing the side buttons and pushing the elbow into the mask.
6. To achieve a comfortable fit, readjust the straps. Evenly apply only enough tension so
that a seal is achieved.
Please refer to the manufacturer’s instructions for additional information on topics,
such as:
• How to properly remove your mask
• How to remove and change the mask cushion
• How to adjust the length of the mask straps

10 |Questions? Call 877.265.2426
How to Attach Oxygen to Your PAP Machine
If you are using non-heated tubing,
and you are also using prescribed
oxygen, follow these instructions.
Attach the oxygen tee adapter that was
included in the box to your PAP machine.
Next, attach the large-bore PAP tubing to
the oxygen tee adapter. Finally, connect
the small-bore oxygen tubing to the oxygen
tee adapter.
For detailed instructions on oxygen use, you should also review the PAP and oxygen
manufacturer’s user guides included in your package.
Setting Up Your Device and Tubing
1. Connect the power cord, power adaptor, and tube.
2. Connect the mask and headgear according to the user manual for the mask.
3. Lie down on your bed and adjust the tube so it is free to move if you turn during
sleep. Adjust your mask and headgear until you have a comfortable fit and there are
no airflow leaks around the mask.
4. Turn the knob to turn on the airflow. The screen will display
the treatment pressure.
CAUTION!
• Before each use, examine the tube for any damage or
debris. If necessary, clean the tube to remove the debris.
Replace the tube if it’s damaged. Make sure that your mask
does not leak air.
STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
Oxygen Tee Adapter
Knob turns on airflow

|11Questions? Call 877.265.2426
Turn the knob
STEP 3: START YOUR PAP MACHINE
START YOUR
PAP MACHINE
To Start Therapy
1. Fit your mask and put it on.
2. Connect the tubing to the mask.
3. Connect the device to a power outlet, turn the knob, and the device will start
delivering air.
STEP 3
4. Lie down, relax, and begin to take slow breaths through your nose.
5. Check for air leaks. Small leaks are acceptable. If large leaks occur, try the following:
• Grasp the mask frame and lift it away from your face. The cushions should also lift
off your face. Lightly place the mask back on your face.
• If large leaks still exist, adjust the headgear. If the headgear is either too tight or too
loose, it can cause leaks.
• Additional tips for managing mask leaks are provided on the next page. You should
also review the manufacturer’s user guides provided in your package.

12 |Questions? Call 877.265.2426HELPFUL TIPS
For Nasal Pillows Masks
• Position the pillow cushion tips into your nostrils so they sit comfortably under your
nose without any gaps. Pull the mask away from your face, then place it back to get a
comfortable fit.
• Adjust the side straps evenly by pulling downwards; the mask should feel secure and
comfortable against your face. Do not overtighten.
• If leaks persist, try the next larger set of cushions.
• If the pillow is not staying in place in your nostrils, try the next smaller cushion size.
For Nasal and Full Face Masks
• To resolve leaks at the upper part of the mask, adjust the upper headgear straps.
• For leaks at the lower part, adjust the lower headgear straps.
• When adjusting straps, loosen or tighten both the left and right straps so that
adjustments are made evenly.
• Adjust only enough for a comfortable seal.
• The upper strap adjustment is the key to seal and comfort.
• Do not overtighten the lower straps. They mainly serve to keep the cushion in position.
Handwashing Technique
Thorough handwashing must be done prior to all procedures. Contaminated, dirty hands are
one of the most common sources of infection.
1. Wet your hands thoroughly with warm water.
2. Use soap.
3. Scrub hands for 20 seconds using a rotary motion and friction. Wash:
• Back and palm of each hand
• Between all fingers
• Fingernails
Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
4. Rinse your hands under the running water.
5. Dry on clean towel or with a paper towel.
For additional good health habits, visit our patient education section on Apria.com .
Helpful Tips

|13Questions? Call 877.265.2426 GET COMFORTABLE WITH YOUR THERAPY
GET
COMFORTABLE
WITH YOUR
THERAPY
Use your PAP therapy during all hours of sleep, including during naps. Some people
may need up to one or two weeks to adjust to PAP therapy, but the benefits are well
worth it.
Ways to help you adjust:
• Try watching TV or reading while wearing your mask and headgear. Turn on the
PAP device for short periods of time while wearing your mask to get used to
the pressure.
• Use your equipment every night.
• Keep the device turned on for as long as you can tolerate, building up each night
until you have reached at least 4 hours per night.
• Keep practicing until you are using PAP therapy during all hours of sleep, including
during naps.

14 |Questions? Call 877.265.2426TRACK YOUR PROGRESS
Consistency on Use of Your Device for the Best Sleep Therapy Results
The next step in getting a restful night’s sleep is to focus on using your new CPAP device
consistently for the best sleep therapy results. Adjusting to using your CPAP device
regularly can be difficult. The 3B Luna II CPAP device provides numerous ways to track
your device usage, making compliance a little less challenging. Your Apria Care Team will
also need to track your usage so we can provide feedback to your referring physician
and insurance.
3B Luna II Provides Users Three Ways to Obtain the Usage Information
on Your Device
SD Card
Simply remove the SD card from your sleep therapy device and take it to your local
Apria branch office. After this usage information is provided to your Apria Care Team,
Apria will upload the data into the iCodeConnect®software and provide you feedback
on how you are adjusting to therapy.
iCodeConnect Software
To submit the usage information via telephone using iCodeConnect technology, contact
Apria at 877-265-2426 and choose option 4, where an agent will be available to receive
your iCodeConnect information.
How to Retrieve iCodeConnect Information from Device
1. Make sure the device is plugged in and turned on.
2. Enter the patient menu:press and hold “Ramp Button” for 3 seconds, and then you
will see “Heater” be shown on the screen.
3. Press “+” until you see “iCode”, make sure it is “Enable.” If not, press “Ramp Button”
and then press “+” to change it to “Enable.”
4. Press “+”, when you see “Save” on the screen, then press “Ramp Button” to save
the settings.
5. After that, press “Heated Humidifier Button” once, then get “iCode 1.”
6. Repeat it, until the “iCode 365” is displayed and read the iCode Strings.
3B Luna QR
The Luna II sleep therapy device
allows users to track their usage
information on their mobile device
using a QR code. With your mobile
device, take a picture of the QR code
and the usage information will be
downloaded directly to your device.
Search for “3B Luna QR” in the
App Store (Apple) or Google
Play (Android).
Track Your Progress
3B LUNA®QR MOBILE APP
OR ICODECONNECT™
Add: 203 Avenue A NW, Suite 300 | Winter Haven FL 33881
Tel: [phone] Fax: [phone]
3852_04.19_lunaIIQR
Step 1:
Step 2:
Step 3:
REPORTING IN THREE EASY STEPS
Search for 3B™Luna®QR in the Google Play or App Store
and download the FREE app.
Once installed, link the app to your Luna PAP device.
Scan the iCodeQR or iCodeQR+ that is generated on your PAP
device. In seconds your summary compliance data is saved in
your 3B™Luna®QR app and is accessible anywhere you need it.
The first of its kind
~ 3B Luna®QR app
lets you take your
compliance data
with you.
Step 1:
Step 2:
Step 3:
QUICK REPORT FEATURE IN ICODECONNECT™
Go to www.icodeconnect.com
Click on the “Quick Report” button.
Enter required field information; name and report type
• For Android and Apple devices • Compatible with all Luna® models • As simple as taking a picture – free of charge
COMPLIMENTARY
SUPPORT
Contact 3B Medical directly by visiting us at
www.3Bproducts.com
and clicking on “Support”.
Sleep Reporting Made Easy
Put your Compliance Data in the Palm of Your Hand.

|15GET SUPPORT
GET SUPPORT
To order supplies, call 877.265.2426 Select Option 2
SUPPORT RESOURCES
For additional
educational
matertials:
Apria.com/Resource Center
To locate videos and other
patient information regarding
our services
For questions or
troubleshooting
issues with your
equipment:
877-265-2426, option 4
To contact our dedicated
sleep experts who can assist
with your setup remotely and
answer questions about your
sleep therapy needs

16 |Questions? Call 877.265.2426CLEANING YOUR PAP EQUIPMENT
CLEANING
YOUR PAP
EQUIPMENT
The following instructions are for home cleaning. Instructions for reprocessing devices
intended for multi-patient re-use can be found in the clinical guide.
You should clean the device, humidifier tub, air tubing, and outlet connector as described.
Daily:
1. Empty the humidifier tub and wipe it thoroughly with a clean disposable cloth.
Allow it to dry out of direct sunlight.
2. Refill the humidifier tub with distilled water.
Weekly:
1. Wash the components using one of the following options:
• Wash the humidifier tub, air tubing, and outlet connector in warm water using a
household dishwashing liquid. Components should not be washed in temperatures
higher than 149°F (65°C)
OR
• Wash the humidifier tub and outlet connector in a solution of 1 part vinegar and
9 parts water. The air tubing should be washed in warm water using a household
dishwashing liquid. The air tubing should not be washed in temperatures higher
than 149°F (65°C).
2. Rinse each component thoroughly in water.
3. Allow to dry out of direct sunlight or heat
4. Wipe the exterior of the device with a dry cloth.
Notes:
• The use of ozone in the Luna II with a device such as SoClean voids the warranty and
is not recommended by 3B Medical.
• The humidifier tub may be washed in a dishwasher on the delicate cycle (top shelf only).
• Do not wash the heated air tubing in a dishwasher or washing machine.
• The air filter is not washable or reusable.
For cleaning your mask, refer to the mask user guide for detailed instructions.

|17REPLACE SUPPLIES REGULARLYTo order supplies, call 877.265.2426 Select Option 2
REPLACE
SUPPLIES
REGULARLY
Replace your sleep supplies regularly. This helps to ensure a good mask seal and
reduce buildup of bacteria, viruses, and allergens.¹ Ordering fresh, clean supplies to
replace your old items helps improve the comfort of your mask and maintains the
overall eectiveness of your therapy.
Source:
1. Horowitz A, Horowitz S, Chun C. CPAP Masks are Sources of Microbial Contamination. SleepHealth Centers, Div. of Sleep
Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston. APSS Poster; 2009.
RECOMMENDED REPLACEMENT SCHEDULE
Twice Monthly Once Monthly Every 3 Months Every 6 Months
•Nasal mask
cushions and
nasal pillows
•Disposable filters
•Full-face mask
cushions
•Mask frame
•Tubing (standard
or heated)
•Headgear and
chin straps
•Humidifier water
chamber
•Non-disposable
filters
Please note that the frequency of resupply and your insurance’s coverage of supplies will
be governed by your insurance plan and may differ from the schedule provided above.

18 |CONVENIENT ORDERING OPTIONS To order supplies, call 877.265.2426 Select Option 2
CONVENIENT
ORDERING
OPTIONS
When ordering fresh supplies through Apria, shipping is always free, and we verify and
bill your insurance for you.
Enroll in Apria’s
Continuous Sleep Resupply Program*
Determine if you want fresh PAP supplies shipped to your front door every three or six
months, and let Apria do the rest. Visit Apria.com /papresupply to access the online form
or call a Sleep Resupply Expert at 877.265.2426 and select option 2.
Order Online
Apria.com/PAPresupply — Register for the PAP Patient Portal with your Apria Patient ID
and place an order when you need new supplies.
ApriaDirect.com — Order supplies anytime on the retail (non-insurance) website.
Call Our Automated System
Dial 800.436.5657 to use Apria’s automated phone system available 24/7 to place
your order.
Speak with an Apria Sleep Resupply Expert
Dial 877.265.2426 and select option 2 to order supplies with an Apria Sleep Resupply
Expert. Monday through Friday: 8 a.m. – 9 p.m. EST or Saturday: 8 a.m. – 7 p.m. EST.
Note:
If you decide not to participate in the PAP Resupply Program, you will receive
convenient, automated calls from Apria to remind you that it is time to order
replacement sleep supplies.
*This Continuous Sleep Resupply Program is not available to all Sleep patients. Patients with certain payors, such as Medicare,
Medicaid, Managed Medicaid, or TRICARE, are not eligible.

|19Questions? Call 877.265.2426 APRIA’S PREMIUM CARE SLEEP PROGRAM
We are here for you! With Apria’s Premium Care Sleep™ program, you can rest assured
that you will receive the support you need to achieve a better night’s sleep. It’s not
uncommon to experience discomfort for the first several days. The goal of therapy is to
minimize the impact of your sleep apnea.
Remember that regular use will help improve your overall quality of life, so you can look
forward to:
• Increased energy and alertness
• Improved blood pressure
• Improved glucose tolerance
Data from your PAP machine is securely communicated to Apria using cloud-based
software. You will receive feedback on your therapy results either by phone call, text
message, and/or email. Your feedback is also shared with Apria to ensure your therapy
is working.
If you are struggling to adapt to therapy, one of Apria’s dedicated Patient Health
Advocate team members and/or an Apria respiratory therapist will reach out to you.
If you have questions about your equipment, please call us right away. We are here to
assist you.
Remember to use your PAP therapy anytime you sleep, including during naps.
Compliant use is often defined as at least 4 hours per night for at least 70%
of the days.
You may receive email notifications from: u-sleep[email protected]om
Phone and text notifications will be sent from: 201.420.8904
If you have questions about the notifications you will receive or general questions about
the sleep monitoring program, please contact Apria’s Patient Help Advocate Team.
877.265.2426
Monday through Friday: 8 a.m. – 10 p.m. EST
Saturday and Sunday: 11 a.m. – 7:30 p.m. EST

©2021 Apria Healthcare Group LLC SLP-4340 Rev. 10/21_v5
If you have any questions, or need help setting
up your device and getting started, please call a
member of Apria’s Premium Care Sleep Expert
team. Dial the number below and select option 4.
877.265.2426
Monday through Friday: 8 a.m. - 10 p.m. EST
Saturday and Sunday: 11 a.m. - 7:30 p.m. EST
Apria is committed to safe, quality patient care.
We encourage you to report any concerns to
your local Apria branch. If your concern is not
resolved, please contact the Patient Satisfaction
team at the number listed below.
800.260.8808