Invacare Twilight ISP2000L Large User manual

1
ASSEMBLY, INSTALLATION, AND
OPERATING INSTRUCTIONS
Invacare® Twilight
Nasal Mask and Headgear
MODEL NO: ISP2000L LARGE
DEALER: THIS MANUAL MUST BE GIVEN TO THE END USER.
USER: BEFORE USING THIS NASAL MASK AND HEADGEAR, READ THIS
MANUAL AND SAVE FOR FUTURE REFERENCE.
For more information regarding
Invacare products, parts, and services,
please visit: www.invacare.com
LATEX
FREE

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WARNING
DO NOT INSTALL, MAINTAIN OR OPERATE THIS
EQUIPMENT WITHOUT FIRST READING AND
UNDERSTANDING THIS MANUAL. IF YOU ARE
UNABLE TO UNDERSTAND THE DANGERS/
WARNINGS/CAUTIONS AND INSTRUCTIONS,
CONTACT YOUR HOME HEALTHCARE PROVIDER
BEFORE ATTEMPTING TO USE THIS EQUIPMENT
- OTHERWISE INJURY OR DAMAGE MAY RESULT.
SPECIAL NOTES
SPECIAL NOTES
DANGER/WARNING/CAUTION notices as used in this manual
apply to ha ards or unsafe practices which could result in personal
injury or property damage.
NOTICE
THE INFORMATION CONTAINED IN THIS DOCUMENT IS
SUBJECT TO CHANGE WITHOUT NOTICE.
CHECK ALL PARTS FOR SHIPPING DAMAGE. IF SHIPPING
DAMAGE IS NOTED, DO NOT USE. CONTACT DEALER/CARRIER
FOR FURTHER INSTRUCTION.
THE INVACARE TWILIGHT NASAL MASK IS INTENDED TO BE
USED WITH POSITIVE AIRWAY PRESSURE DEVICES SUCH AS
CPAP, TO PROVIDE 3-20 cmH2O FOR THE TREATMENT OF
ADULT OBSTRUCTIVE SLEEP APNEA. THE MASK IS INTENDED
FOR SINGLE PATIENT USE. THE MASK IS TO BE USED ON
ADULT PATIENTS (> 66 LBS [30 kg]) FOR WHOM POSITIVE
AIRWAY PRESSURE THERAPY HAS BEEN PRESCRIBED.

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SAFETY SUMMARY
To ensure the safe and proper installation and use of the
Invacare Twilight Nasal Mask and Headgear, these
instructions MUST be followed:
WARNING
T is Twilig t Nasal Mask s ould be used only wit
CPAP systems recommended by your p ysician or
respiratory t erapist. A mask s ould not be used unless
t e CPAP system is turned on and operating properly.
NEVER block t e vent ole or oles associated wit
t e mask.
Explanation of Warning: CPAP systems are intended
to be used wit special masks wit connectors w ic
ave vent oles to allow continuous flow of air out of
t e mask. W en t e CPAP mac ine is turned on and
functioning properly, new air from t e CPAP mac ine
flus es t e ex aled air out t roug t e attac ed mask
ex alation port. However, w en t e CPAP mac ine is
not operating, not enoug fres air is provided t roug
t e mask, and ex aled air may be rebreat ed.
Rebreat ing of ex aled air for longer t an several
minutes can in some circumstances lead to suffocation.
T is warning applies to most models of CPAP systems.
T e entire mask system is for single patient use, and
must not be reused on anot er person. T is is to avoid
risk of cross-infection.
SAFETY SUMMARY

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HEADGEAR/MASK ASSEMBLY, PLACEMENT
AND USAGE (FIGURE 1)
NOTE: Wash the headgear before using it for the first time, as dye may
run. Refer to CLEANING T E MASK AND EADGEAR in this manual.
NOTE: Invacare recommends washing your face before fitting the
mask. This will remove excess facial oil and extend the life of the mask.
1. Check the nasal mask, ensuring that the nasal cushion is attached,
the swivels function, and the exhalation ports are clear.
2. Attach the headgear to the nasal mask by sliding the upper
headgear straps through the loophole of the forehead support.
3. Ad ust each strap by folding it back and attaching it to itself,
using the hook and loop fastener straps.
4. Slide the lower headgear strap through the loopholes of the
headgear clips.
5. Loosely secure the straps by folding them back and using the
hook and loop fastener straps.
6. Connect a standard 22mm bore, 6-foot tube from your flow
generator to the tubing swivel by pressing the tube end over
the swivel.
7. Turn ON the flow generator BEFORE placing the mask on
your face.
8. Place mask on face with headgear straps behind head.
9. Ad ust the mask position on the nose. Depress the forehead
support ad ustment tab and slide the forehead support up or
down until it contacts the forehead and the upper portion of the
nasal cushion lightly touches the bridge of the nose. The mask
should fit comfortably.
10. Place the mask loosely over the nose, with minimal pressure.
11. Attach the headgear clips to the nasal mask.
NOTE: If a leak occurs, tighten the headgear straps by readjusting the
hook and loop fasteners.
HEADGEAR/MASK ASSEMBLY, PLACEMENT
WARNING
DO NOT pull the straps too tight, this can cause skin
irritation and may deform the nasal cushion, causing a leak.
If the mask and headgear are adjusted correctly and a
problem persists, contact your healthcare professional.

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DETAIL C
DETAIL B
Upper Headgear
Strap
Lower
Headgear
Strap
Hook and Loop
Fastener Straps
Headgear
Clips
Attach Tube From
Flow Generator
Here
NOTE: Two (2) spare
clips are included.
HEADGEAR/MASK ASSEMBLY, PLACEMENT
FIGURE 1 - HEADGEAR/MASK ASSEMBLY,
PLACEMENT AND USAGE
Mask Shell with
E halation Ports
Main
Swivel
Tubing
Swivel
Forehead Support
Adjustment Tab
Forehead
Support Nasal
Cushion
NOTE: The Invacare
Twilight Nasal Mask is
supplied assembled
(except for the headgear
and headgear clips).
DETAIL A

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HEADGEAR/MASK REMOVAL, CLEANING
REMOVING THE MASK AND HEADGEAR
(FIGURE 2)
1. Place your thumb and forefinger around one of the headgear
clips and gently pull the headgear clip away from your face.
NOTE: It is not necessary to remove the headgear straps from the clips
or the forehead support when removing the mask.
2. Pull the mask forward and lift it up and over the head.
CLEANING THE MASK AND HEADGEAR
CAUTION
ALWAYS be sure to remove any foreign material (dirt,
lint, etc.) from t e ex alation ports.
DO NOT use bleac , c lorine, aromatic-based cleaning
solutions, scented oils, or moisturizing or antibacterial soaps,
to clean t e cus ion, mask frame, eadgear, or air tubing.
T ese solutions may cause ardening and reduce t e life of
t e product.
Alco ol may be used to clean t e silicone nasal cus ion
ONLY. DO NOT use alco ol to clean t e mask
frame, ead gear or air tubing.
FIGURE 2 - REMOVING THE MASK AND HEADGEAR
Headgear
Clip
Headgear
Clip

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MASK REMOVAL, DISASSEMBLY AND CLEANING
WARNING
DO NOT expose any part of t e mask system or tubing
to direct sunlig t, as it may cause mask deterioration.
After cleaning, ALWAYS rinse mask t oroug ly. Insuffi-
cient rinsing of cleaning agents can result in severe skin
ras , irritation and skin breakdown.
Wash the entire mask system (except the headgear) after each use.
Wash the headgear at least once per week.
NOTE: ALWAYS hand wash the headgear to increase the life of the
product.
1. Separate the headgear from the mask assembly and hand wash the
mask components using a mild detergent (such as dishwashing
detergent) in warm water. Rinse thoroughly and allow parts to
air-dry out of direct sunlight.
NOTE: It is not necessary to remove the nasal cushion after every use.
It can be cleaned and rinsed while it is mounted to the mask shell.
DISASSEMBLING/REASSEMBLING THE NASAL
CUSHION TO THE MASK SHELL (FIGURE 3)
1. Remove the nasal cushion by slowly pulling it out of the nasal
mask channel. Refer to FIGURE 3.
2. Hand wash the nasal cushion using a mild detergent (such as
dishwashing detergent) in warm water.
3. Prior to rinsing, press the ribbed portion of the nasal cushion
into the channel of the mask shell.
NOTE: Wetting the cushion ribbing sparingly with soapy water will ease
the insertion into the nasal channel.
4. Start with the top of the nasal mask cushion, gradually working
down the sides until the nasal mask cushion is seated in the
nasal mask channel.

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REASSEMBLY
NOTE: Ensure the nasal cushion is COMPLETELY seated in the channel
before use. When properly assembled, the nasal cushion and mask shell
should form a smooth, continuous surface.
5. After the nasal mask cushion is securely reassembled, rinse the
entire mask thoroughly and allow to air dry out of direct sunlight.
NOTE: Make sure the mask is dry before use. Inspect the mask after
cleaning.
CAUTION
Replace t e mask if any parts are damaged or
deteriorated.
FIGURE 3 - DISASSEMBLING/REASSEMBLING THE
NASAL CUSHION TO THE MASK SHELL
Nasal Mask
Channel
Nasal Mask
Channel
Cushion Ribbing
Cushion Ribbing
Nasal Mask
Nasal Mask
Cushion

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STORAGE, SPECIFICATIONS
TYPICAL VALUES FOR PRESSURE DROP
0.30 cmH2O (.030 kPa) at flow of 50 LPM
1.14 cmH2O (.112 kPa) at flow of 100 LPM
PRESSURE AND FLOW CHARACTERISTICS
EXHAUST VENT PRESSURE VS. FLOW
STORAGE AND OPERATING CONDITIONS
The following Invacare Twilight Mask replacement items and
accessories are available:
 Standard nasal cushions - ISP2010
 Large nasal cushions - ISP2010L
 Headgear - 1122733
 Chin Restraint - 1122734
REPLACEMENT ITEMS/ ACCESSORIES
OPERATING TEMPERATURE: 50 to 104°F (10 to 40°C)
STORAGE TEMPERATURE: -4 to 158°F (-20 to 70°C)
0
10
20
30
40
50
60
0 5 10 15 20 25
Pressure (cmH2O)
Flow (LPM)

10
LIMITED WARRANTY
PLEASE NOTE: THE WARRANTY BELOW HAS BEEN DRAFTED
TO COMPLY WITH FEDERAL LAW APPLICABLE TO
PRODUCTS MANUFACTURED AFTER JULY 4, 1975.
This warranty is extended only to the original purchaser/user of
our products.
This warranty gives you specific legal rights and you may also have
other legal rights which vary from state to state.
Invacare warrants the Twilight Mask to be free from defects in
materials and workmanship for a period of 90 days from date of
purchase. If within such warranty period any such product shall be
proven to be defective, such product shall be repaired or replaced,
at Invacare's option. This warranty does not include any labor or
shipping charges incurred in replacement part installation or
repair of any such product. Invacare's sole obligation and your
exclusive remedy under this warranty shall be limited to such
repair and/or replacement.
For warranty service, please contact the dealer from whom you
purchased your Invacare product. In the event you do not receive
satisfactory warranty service, please write directly to Invacare at
the address on the back cover, provide dealer's name, address,
date of purchase, indicate nature of the defect and, if the product
is seriali ed, indicate the serial number. Do not return products to
our factory without our prior consent.
LIMITATIONS AND EXCLUSIONS: THE FOREGOING
WARRANTY SHALL NOT APPLY TO SERIAL NUMBERED
PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR
DEFACED, PRODUCTS SUBJECTED TO NEGLIGENCE,
ACCIDENT, IMPROPER OPERATION, MAINTENANCE OR
STORAGE, COMMERCIAL OR INSTITUTIONAL USE,
PRODUCTS MODIFIED WITHOUT INVACARE'S EXPRESS
WRITTEN CONSENT (INCLUDING, BUT NOT LIMITED TO,
MODIFICATION THROUGH THE USE OF UNAUTHORIZED
PARTS OR ATTACHMENTS; PRODUCTS DAMAGED BY
REASON OF REPAIRS MADE TO ANY COMPONENT WITHOUT
THE SPECIFIC CONSENT OF INVACARE, OR TO A PRODUCT
DAMAGED BY CIRCUMSTANCES BEYOND INVACARE'S
CONTROL, AND SUCH EVALUATION WILL BE SOLELY
DETERMINED BY INVACARE. THE WARRANTY SHALL NOT
APPLY TO PROBLEMS ARISING FROM NORMAL WEAR OR
FAILURE TO ADHERE TO THE FOLLOWING INSTRUCTIONS.
WARRANTY

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WARRANTY
THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN
LIEU OF ANY OTHER WARRANTIES WHATSOEVER,
WHETHER EXPRESS OR IMPLIED, INCLUDING THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A
PARTICULAR PURPOSE, AND THE SOLE REMEDY FOR
VIOLATIONS OF ANY WARRANTY WHATSOEVER, SHALL BE
LIMITED TO REPAIR OR REPLACEMENT OF THE DEFECTIVE
PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN.
THE APPLICATION OF ANY IMPLIED WARRANTY
WHATSOEVER SHALL NOT EXTEND BEYOND THE DURATION
OF THE EXPRESS WARRANTY PROVIDED HEREIN.
THE MANUFACTURER SHALL NOT BE LIABLE FOR ANY
CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER.
THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH
STATE/PROVINCIAL LAWS AND REQUIREMENTS.

Invacare Corporation www.invacare.com
USA
One Invacare Way Invacare is a registered trademark of
Elyria, Ohio USA of Invacare Corporation.
036-2125 Yes, you can. and Twilight are
800-333-6900 trademarks of Invacare Corporation.
© 2003 Invacare Corporation
2101 E. Lake Mary Blvd. Part No. 1118 05 Rev B - 10/03
Sanford, Florida USA
32773
Technical Support:
Toll Free 800-832- 707