PHILIPS Respironics DreamStation BiPAP User manual
User manual
DreamStation
BiPAP Pro
Auto BiPAP
© Koninklijke Philips N.V. , 2018. All rights reserved.
Table of Contents
Intended Use........................................................................................................................................................... 1
Important................................................................................................................................................................. 1
Warnings.................................................................................................................................................................. 1
Cautions................................................................................................................................................................... 2
Contraindications .................................................................................................................................................. 2
Symbols Glossary................................................................................................................................................... 3
System Contents.................................................................................................................................................... 4
How to Contact Philips Respironics ................................................................................................................. 4
System Overview................................................................................................................................................... 5
Installing/Replacing the Air Filters ......................................................................................................................6
Where to Place the Device.................................................................................................................................7
Supplying AC Power to the Device.................................................................................................................... 7
Connecting the Breathing Circuit ......................................................................................................................8
Navigating the Device Screens............................................................................................................................9
Starting the Device................................................................................................................................................ 9
Menu Navigation (Therapy ON) and Optional Humidication Settings .................................................10
Ramp Feature........................................................................................................................................................10
Menu Navigation (Therapy OFF)......................................................................................................................11
Bluetooth® Wireless Technology.........................................................................................................................15
Check Mask Fit.....................................................................................................................................................16
Sleep Progress ......................................................................................................................................................16
Altitude Compensation ......................................................................................................................................16
Device Alerts ........................................................................................................................................................17
Troubleshooting ...................................................................................................................................................20
Accessories ...........................................................................................................................................................22
Traveling with the System ..................................................................................................................................24
Cleaning the Device ............................................................................................................................................24
Caring for the Filters ..........................................................................................................................................24
Cleaning the Tubing..............................................................................................................................................24
Service....................................................................................................................................................................24
Additional Notices...............................................................................................................................................25
Specications ........................................................................................................................................................25
Disposal..................................................................................................................................................................27
EMC Information .................................................................................................................................................27
Limited Warranty...................................................................................................................................Back Page
1User Manual
Caution: U. S. federal law restricts this device to sale by or on the order of a physician.
Intended Use
The Philips Respironics DreamStation systems deliver positive airway pressure therapy for the treatment of Obstructive Sleep Apnea in
spontaneously breathing patients weighing over 30 kg (66 lbs). It is for use in the home or hospital/institutional environment.
Important
The device is to be used only on the instruction of a licensed physician. Your home care provider will make the correct pressure
settings and device congurations including accessories, according to your health care professional’s prescription.
Several accessories are available to make your OSA treatment with the DreamStation system as convenient and comfortable as
possible. To ensure that you receive the safe, effective therapy prescribed for you, use only Philips Respironics accessories.
Warnings
A warning indicates the possibility of injury to the user or the operator.
• This manual serves as a reference. The instructions in this manual are not intended to supersede the health care professional’s
instructions regarding the use of the device.
• The operator should read and understand this entire manual before using the device.
• This device is not intended for life support.
• The device should be used only with masks and connectors recommended by Philips Respironics or with those recommended by the
health care professional or respiratory therapist. A mask should not be used unless the device is turned on and operating properly.
The exhalation port(s) associated with the mask should never be blocked. Explanation of the Warning: The device is intended
to be used with special masks or connectors that have exhalation ports to allow continuous ow of air out of the mask. When
the device is turned on and functioning properly, new air from the device ushes the exhaled air out through the mask exhalation
port. However, when the 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.
• If you are using a full face mask (a mask covering both your mouth and your nose), the mask must be equipped with a safety
(entrainment) valve.
• When using oxygen with this system, the oxygen supply must comply with local regulations for medical oxygen.
• Oxygen supports combustion. Oxygen should not be used while smoking or in the presence of an open ame.
• When using oxygen with this system, turn the device on before turning on the oxygen. Turn the oxygen off before turning the
device off. This will prevent oxygen accumulation in the device. Explanation of the Warning: When the device is not in
operation and the oxygen ow is left on, oxygen delivered into the tubing may accumulate within the device’s enclosure. Oxygen
accumulated in the device enclosure will create a risk of re.
• When using oxygen with this system, a Philips Respironics Pressure Valve must be placed in-line with the patient circuit between
the device and the oxygen source. The pressure valve helps prevent the backow of oxygen from the patient circuit into the
device when the unit is off. Failure to use the pressure valve could result in a re hazard.
• Do not connect the device to an unregulated or high pressure oxygen source.
• Do not use the device in the presence of a ammable anaesthetic mixture in combination with oxygen or air, or in the presence
of nitrous oxide.
• Do not use the device near a source of toxic or harmful vapors.
• Do not use this device if the room temperature is warmer than 35° C (95° F). If the device is used at room temperatures warmer
than 35° C (95° F), the temperature of the airow may exceed 43° C (109° F). This could cause irritation or injury to your airway.
• Do not operate the device in direct sunlight or near a heating appliance because these conditions can increase the temperature of
the air coming out of the device.
• Contact your health care professional if symptoms of sleep apnea recur.
• If you notice any unexplained changes in the performance of this device, if it is making unusual or harsh sounds, if it has been
dropped or mishandled, if water is spilled into the enclosure, or if the enclosure is broken, disconnect the power cord and
discontinue use. Contact your home care provider.
• Repairs and adjustments must be performed by Philips Respironics-authorized service personnel only. Unauthorized service could
cause injury, invalidate the warranty, or result in costly damage.
• Do not use any accessories, detachable parts, and materials not recommended by Philips Respironics. Incompatible parts or
accessories can result in degraded performance.
• Use only approved cables and accessories. Misuse may affect EMC performance and should be avoided.
• The Health Industry Manufacturers Association recommends that a minimum separation of six inches be maintained between
a wireless phone and a pacemaker to avoid potential interference with the pacemaker. The DreamStation on-board Bluetooth
communication should be considered a wireless phone in this regard.
• Use only power cords supplied by Philips Respironics for this device. Use of power cords not supplied by Philips Respironics may cause
overheating or damage to the device and may result in increased emissions or decreased immunity of the equipment or system.
• The device should not be used while stacked or in close approximation to other non-approved devices.
• Do not pull or stretch the tubing. This could result in circuit leaks.
2User Manual
• Inspect the tubing for damage or wear. Discard and replace the tubing as necessary.
• Periodically inspect electrical cords and cables for damage or signs of wear. Discontinue use and replace if damaged.
• To avoid electrical shock, always unplug the power cord from the wall outlet before cleaning the device. DO NOT immerse the
device in any uids.
• If the device is used by multiple persons (such as rental devices), a low-resistance, main ow bacteria lter should be installed in-
line between the device and the circuit tubing to prevent contamination.
• Be sure to route the power cord to the outlet in a way that will prevent the cord from being tripped over or interfered with by
chairs or other furniture.
• This device is activated when the power cord is connected.
• For safe operation when using a humidier, the humidier must always be positioned below the breathing circuit connection at
the mask. The humidier must be level for proper operation.
Note: Please see the “Limited Warranty” section of this manual for information on warranty coverage.
Cautions
A Caution indicates the possibility of damage to the device.
• Medical electrical equipment needs special precautions regarding EMC and needs to be installed according to EMC information.
Contact your home care provider regarding EMC installation information.
• Mobile RF communications equipment can affect medical electrical equipment.
• Pins of connectors marked with the ESD warning symbol shall not be touched and connections shall not be made without
special precautions. Precautionary procedures include methods to prevent build-up of electrostatic charge (e.g., air conditioning,
humidication, conductive oor coverings, non-synthetic clothing), discharging one’s body to the frame of the equipment or
system or to earth. It is recommended that all individuals that will handle this device understand these precautionary procedures
at a minimum as part of their training.
• Before operating the device, ensure that the SD card/lter access door and the modem access door are both closed whenever any
of the accessories such as the Link Module or Modem are not installed. Refer to the instructions that came with your accessory.
• Condensation may damage the device. If this device has been exposed to either very hot or very cold temperatures, allow it to
adjust to room temperature (operating temperature) before starting therapy. Do not operate the device outside of the operating
temperature range shown in the Specications.
• Do not use extension cords with this device.
• Make sure the lter area on the side of the device is not blocked by bedding, curtains, or other items. Air must ow freely around
the device for the system to work properly.
• Do not place the device directly onto carpet, fabric, or other ammable materials.
• Do not place the device in or on any container that can collect or hold water.
• A properly installed, undamaged Philips Respironics blue pollen lter is required for proper operation.
• Tobacco smoke may cause tar build-up within the device, which may result in the device malfunctioning.
• Clogged inlet lters may cause high operating temperatures that may affect device performance. Regularly examine the inlet lters
as needed for integrity and to check for accumulated debris.
• Never install a wet lter into the device. You must ensure sufcient drying time for the rinsed lter.
• Always ensure that the DC power cord securely ts into your therapy device prior to use. Contact your home care provider or
Philips Respironics to determine if you have the appropriate DC cord for your specic therapy device.
• When DC power is obtained from a vehicle battery, the device should not be used while the vehicle’s engine is running. Damage
to the device may occur.
• Only use a Philips Respironics DC Power Cord and Battery Adapter Cable. Use of any other system may cause damage to the device.
Contraindications
When assessing the relative risks and benets of using this equipment, the clinician should understand that this device can deliver
pressures up to 25 cm H2O. In the event of certain fault conditions, a maximum pressure of 40 cm H2O is possible. Studies have
shown that the following pre-existing conditions may contraindicate the use of CPAP therapy for some patients:
• Bullous Lung Disease
• Pathologically Low Blood Pressure
• Bypassed Upper Airway
• Pneumothorax
• Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway Pressure. Caution should be used when
prescribing CPAP for susceptible patients such as those with: cerebral spinal uid (CSF) leaks, abnormalities of the cribriform
plate, prior history of head trauma, and/or pneumocephalus. (Chest 1989; 96:1425-1426)
The use of positive airway pressure therapy may be temporarily contraindicated if you exhibit signs of a sinus or middle ear
infection. Not for use with patients whose upper airways are bypassed. Contact your health care professional if you have any
questions concerning your therapy.
3User Manual
Symbols Glossary
The following symbols may appear on the device, power supply and accessories:
Symbol Denition Reference
Operator’s manual; operating instructions
Consult instructions for use.
IEC 60878
ISO 7000-1641
Symbol 5.4.3, ISO 15223-1
AC power (Alternating current)
Indicates on the rating plate that the equipment is suitable for
alternating current only; to identify relevant terminals.
IEC 60417-5032
DC power (Direct current)
Indicates on the rating plate that the equipment is suitable for direct
current only; to identify relevant terminals.
IEC 60417-5031
IP22 Drip Proof Equipment IEC 60529
Caution, consult accompanying documents. IEC 60878
Symbol 5.1.2, ISO 15223-1
Electrostatic sensitive devices (ESD warning symbol)
Attention – Observe precautions for handling electrostatic sensitive
devices.
IEC 60878
IEC 60417-5134
Class II equipment (Double Insulated)
To identify equipment meeting the safety requirements specied for
Class II equipment.
IEC 60878
IEC 60417-5172
Type BF applied part
To identify a type BF applied part complying with IEC 60601-1.
IEC 60878
IEC 60417-5333
For indoor use only
Equipment is designed primarily for indoor use.
IEC 60878
IEC 60417-5957
Approved for airline use. RTCA/DO-160G section 21,
category M.
Separate collection for electrical and electronic equipment per EC
Directive 2012/19/EU. -
Bluetooth®symbol
Indicates the device has Bluetooth capabilities. -
Non-ionizing electromagnetic radiation Indicates that the equipment
includes RF transmitters.
IEC 60878
IEC 60417-5140
Oximeter Connection -
Serial Connection
Identies a connector for a serial data connection.
IEC 60878
IEC 60417-5850
Keep away from sunlight
Indicates the medical device needs protection from light sources.
IEC 60878
ISO 7000-0624
Symbol 5.3.2, ISO 15223-1
Prescription device
Caution: U. S. federal law restricts this device to sale by or on the
order of a physician.
-
Do not disassemble. -
Therapy on/off (Stand-by)
Identies the button to turn therapy on or off (puts the device in a
stand-by condition).
IEC 60878
IEC 60417-5009
4User Manual
Symbol Denition Reference
Ramp (Variability)
To identify the control device by means of which a quantity is
controlled. The controlled quantity increases with the gure width.
IEC 60878
IEC 60417-5004
Keep dry
Indicates the medical device that needs to be protected from
moisture.
IEC 60878
ISO 7000-0626
Symbol 5.3.4, ISO 15223-1
Fragile, handle with care
Indicates the medical device can be broken or damaged if not handled
carefully.
IEC 60878
ISO 7000-0621
Symbol 5.3.1, ISO 15223-1
Temperature limit
Indicates the storage temperature limits to which the medical device
can be safely exposed.
IEC 60878
ISO 7000-0632
Symbol 5.3.7, ISO 15223-1
Humidity limitation
Indicates the range of humidity to which the medical device can be
safely exposed.
IEC 60878
ISO 7000-2620
Symbol 5.3.8, ISO 15223-1
Manufacturer
Indicates the medical device manufacturer.
IEC 60878
ISO 7000-3082
Symbol 5.1.1, ISO 15223-1
Date of manufacture
Indicates the date when the medical device was manufactured.
IEC 60878
ISO 7000-2497
Symbol 5.1.3, ISO 15223-1
Reorder number
Indicated the manufacturer’s catalogue number so the medical device
can be identied.
ISO 7000-2493
Symbol 5.1.6, ISO 15223-1
Serial number
Identify the manufacturer’s serial number for the medical device.
IEC 60878
ISO 7000-2498
Symbol 5.1.7, ISO 15223-1
Standards Reference
ISO 7000:2014, Graphical symbols for use on equipment – Registered symbols
ISO 15223-1:2012, Medical devices—Symbols to be used with medical devices labels - General requirements
IEC 60417:2002 DB, Graphical symbols for use on equipment
IEC/TR 60878:2015, Graphical symbols for electrical equipment in medical practice
IEC 60529:1989, Degrees of protection provided by enclosures (IP Code)
System Contents
Your DreamStation system may include the following items:
• Device • SD card
• User manual • Flexible tubing
• Carrying case • Reusable blue pollen lter
• Power cord • Disposable light-blue ultra-ne lter (optional)
• Power supply ( 1118499) • Humidier (optional)
Note: If any of these items are missing, contact your home care provider.
How to Contact Philips Respironics
Should you experience trouble with this equipment or require assistance setting up, using, or maintaining the device
or accessories, please contact your home care provider. If you need to contact Philips Respironics directly, call
the Philips Respironics Customer Service department at 1-800-345-6443 or 1-724-387-4000. You can also use the
following address:
Respironics, Inc.
1001 Murry Ridge Lane
Murrysville, PA 15668
5User Manual
System Overview
The DreamStation therapy device is designed for the treatment of Obstructive Sleep Apnea (OSA). The DreamStation
BiPAP Pro can be set up as a Bi-level device, which delivers two different positive pressure levels: IPAP (Inspiratory
Positive Airway Pressure) and EPAP (Expiratory Positive Airway Pressure).The DreamStation BiPAP Auto can also
be set up as an Auto Bi-level device. Both BiPAP systems can also be set up as a CPAP (Continuous Positive Airway
Pressure) device.Your home care provider will choose the appropriate pressure settings for you.
When prescribed for you, the device provides several special features to help make your therapy more comfortable.
The ramp function allows you to lower the pressure when you are trying to fall asleep. The air pressure will gradually
increase until your prescription pressure is reached. Also, the Flex comfort feature provides you with pressure relief
when you exhale during therapy.
Several accessories are also available for use with your device. Contact your home care provider to purchase any
accessories not included with your system.
This gure illustrates some of the device features, described in the following table.
# Device Feature Description
1Therapy On/Off Button
Starts and stops the airow for therapy.
If the Therapy On/Off button LED is ashing, you may have a pending
message. Press or turn the knob to display the message.
2 Ambient Light Sensor Detects room light levels and adjusts brightness of LCD Display
Screen.
3Ramp Button Activates the ramp feature during therapy.
4 Door, SD card & Filter Access This door lifts open for access to the SD card and lter area.
5 LCD Display Screen This is the User Interface for the therapy device.
6Control Dial Turn the dial to scroll between options on the screen. Press the dial to
choose an option.
7 Door, Accessory Access This door lifts open for access to the (optional) accessories.
8Humidier Connector Humidier connects to the back of the therapy device. The humidier
pin connector will attach here.
9 Air Outlet Port Connect the tubing here.
10 Power Inlet Connect the power cord here.
6User Manual
Installing/Replacing the Air Filters
Caution: A properly installed, undamaged Philips Respironics blue pollen lter is required for proper operation.
The device uses a reusable blue pollen lter that can be rinsed and and a disposable light-blue ultra-ne lter. The
reusable blue lter screens out normal household dust and pollens, while the light-blue ultra-ne lter provides more
complete ltration of very ne particles. The reusable blue lter must be in place at all times when the device is
operating. The ultra-ne lter is recommended for people who are sensitive to tobacco smoke or other small particles.
The reusable blue lter is supplied with the device. A disposable light-blue ultra-ne lter may also be included. If your
lter is not already installed when you receive your device, you must at least install the reusable lter before using the
device.
This device has an automatic air lter reminder. Every 30 days, the device will display a message reminding you to
check your lters and replace them as directed.
Note: This message is a reminder only. The device does not detect the performance of the lters nor does it
recognize when a lter has been rinsed or replaced.
1. Lift up on the lter access door and swing open. If replacing, pull out the old lter assembly.
2. If applicable, place a dry, reusable blue pollen lter (1) on top of a new, optional disposable light-blue ultra-ne lter
(2) and rmly snap them together.
3. Place the new lter assembly back in the side of the therapy device. Swing the door closed.
7User Manual
Where to Place the Device
Place the device on a rm, at surface somewhere within easy reach of where you will use it at a level lower than
your sleeping position. Make sure the device is away from any heating or cooling equipment (e.g., forced air vents,
radiators, air conditioners).
Note: When positioning the device, make sure that the power cable is accessible because removing power is the
only way to turn off the device.
Caution: Make sure the lter area on the side of the device is not blocked by bedding, curtains, or other items.
Air must ow freely around the device for the system to work properly.
Caution: Do not place the device directly onto carpet, fabric, or other ammable materials.
Caution: Do not place the device in or on any container that can collect or hold water.
Supplying AC Power to the Device
Complete the following steps to operate the device using AC power:
1. Plug the socket end of the AC power cord (included) into the power supply (also included).
2. Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch.
3. Plug the power supply cord’s connector into the power inlet on the side of the device.
4. Verify that the plug at the side of the device, at the power supply, and at the electrical outlet are fully inserted. This
will help to ensure that a secure, reliable electrical connection has been made.
Note: If the following Check Power icon appears on the screen, please repeat step 4.
Important: To remove AC power, disconnect the power supply cord from the electrical outlet.
Warning: Periodically inspect electrical cords and cables for damage or signs of wear. Discontinue use and replace
if damaged.
Caution: Do not use extension cords with this device.
8User Manual
Connecting the Breathing Circuit
To use the system, you will need the following accessories in order to assemble the recommended breathing circuit:
• Philips Respironics interface (nasal mask or full face mask) with integrated exhalation port, or Philips Respironics
interface with a separate exhalation device (such as the Whisper Swivel II)
• Philips Respironics exible tubing, 1.83 m (6 ft.)
• Philips Respironics headgear (for the mask)
To connect your breathing circuit to the device, complete the following steps:
1. Connect the exible tubing to the air outlet on the back of the therapy device. Line up the connector (1) at the top
of the heated tube to the top of the air outlet port on the back of the device.
2. Press the tubing into place over the air outlet port until the tabs on the side of the tube click into place in the slots
on the sides of the outlet port.
Note: If you are using a standard tube (not shown) instead of a heated tube, simply slide the tubing over the air
outlet port on the therapy device.
Note: If you are using the optional 12 mm tubing, an adaptor is required to connect to the therapy device.
Note: If required, connect a bacteria lter to the device air outlet, and then connect the exible tubing to the
outlet of the bacteria lter. When using the bacteria lter, the device performance may be affected. However, the
device will remain functional and deliver therapy.
3. Connect the tubing to the mask. For proper placement and positioning, refer to the instructions that came with
your mask.
Warning: Do not pull or stretch the tubing.This could result in circuit leaks.
Warning: Inspect the tubing for damage or wear. Discard and replace the tubing as necessary.
4. Attach the headgear to the mask if necessary. Refer to the instructions that came with your headgear.
Warning: If you are using a full face mask (a mask covering both your mouth and your nose), the mask must be equipped
with a safety (entrainment) valve.
Warning: If the device is used by multiple persons (such as rental devices), a low-resistance, main ow bacteria lter
should be installed in-line between the device and the circuit tubing to prevent contamination.
9User Manual
Navigating the Device Screens
The User Interface (UI) on this device allows you to adjust the device settings and view information about your
therapy.The UI is comprised of the display screen and the control dial. Rotate the control dial in either direction to
scroll through the menu options on the display screen.
Note: The display is not a touch screen.You must use the control dial to navigate the device menu.
To adjust a setting:
1. Rotate the control dial to your desired menu option.
2. Press the control dial to select that setting.
3. Rotate the control dial to change the setting.
4. Press the control dial again to save the change.
Note: The rotate dial icon on any screen indicates to rotate the dial to perform an action.The click dial icon
on any screen indicates to press the dial to perform an action.
Note: Pressing the dial when the down arrow appears on any screen will take you to a sub-menu with more
menu options. Pressing the dial when the up arrow appears on any sub-menu will return you back to the main
menu.
Note: The screens shown throughout this manual are examples for reference only. Actual screens may vary based
upon device model and provider settings.
Starting the Device
1. Ensure power is supplied to the device. The rst screen to display will be the Philips Respironics logo, followed by
the device model screen, and then the Home screen.
Home Screen
The rst time the device is powered on, a pop-up may prompt you to set the time on the device. The default setting
is Greenwich Mean Time, but if prompted you may adjust the time in 30 minute increments to match your local
time zone. The time can always be adjusted under the “My Setup” menu.
Note: This time setting is not displayed as a clock function on the device. It is only used to align your therapy data
for your Provider’s data reports.
2. Put on your mask assembly. Refer to the instructions supplied with the mask.
3. Press the Therapy button ( ) on top of the device to turn on airow and begin therapy. The current delivered
pressure will display on the screen.
4. Make sure that no air is leaking from your mask. If necessary, adjust the mask and headgear until the air leak stops.
See the instructions provided with your mask for more information.
Note: A small amount of mask leak is normal and acceptable. Correct large mask leaks or eye irritation from an air
leak as soon as possible.
5. If you are using the device in a bed with a headboard, try placing the tubing over the headboard. This may reduce
tension on the mask.
6. Press the Therapy button again to turn off therapy.
Note: During therapy, if there is a mains interruption (i.e. power loss) the device will return to the Home screen
once power is restored.You may resume therapy as needed.
10 User Manual
Menu Navigation (Therapy ON) and Optional Humidication Settings
While the device is delivering therapy, you can adjust Tube Temperature or Humidier Settings. Rotate the control dial
to choose either setting. Press and rotate the dial to change the setting.
Note: If you are using the Humidier without the Heated Tube, simply just rotate the control dial to change the
Humidier setting.
Therapy Pressure Screen
# Feature Description
1Therapy Pressure Displays the current delivered pressure.
2Adjustable Tube Temperature
Setting
You can change this setting from 0 to 5. Only displays when optional
heated tube is connected.
3Adjustable Humidier Setting You can change this setting from 0 to 5. Only displays when
humidier is attached.
4Enabled Features Depending on setup, certain enabled therapy features will display
here.
Ramp Feature
The device is equipped with an optional ramp feature that your home care provider can enable or disable. This
feature reduces the air pressure when you are trying to fall asleep and then gradually increases (ramps) the pressure
until your prescription setting is reached, allowing you to fall asleep more comfortably.
If ramp is enabled on your device, after you turn on the airow, press the Ramp ( ) button on the top of the
device. You can use the Ramp button as often as you wish during the night.
When you click the ramp button, the Therapy screen will change to reect the Ramp pressure, and the green circle
will reect the gradual increase in pressure.
Ramp Pressure Screen
Your device has two ramp modes.Your Provider will select the one that is most appropriate for you.The standard
ramp mode increases pressure at a steady rate. Alternately, the SmartRamp mode maintains a constant lower
pressure until the device detects that you require more pressure.
11User Manual
Menu Navigation (Therapy OFF)
From the Home screen, you can scroll between the following menus. Only the menus available and enabled on your
device will display.
My Info Preheat My Provider My Setup
My Info: This menu provides summary statistics of your therapy use.
Preheat (if available): This function lets you warm up your humidier for 30 minutes before starting a therapy
session.
My Provider: This menu contains information that your provider may direct you to read to them so they can
better assist you over the phone.
My Setup: This menu contains comfort settings that you can adjust as needed.
My Info:
When you select “My Info”, you will be able to view the following screens. These screens will only display if they
are available and enabled on your device.You cannot change settings in the Info menu.These screens are only for
reference.Your home care provider may periodically ask you for this information.
Icon Text Description
Therapy Hours This screen displays the amount of time the user is actually receiving therapy
on the device for the most recent 1 day time frame. It also displays the
average amount of time the patient is actually receiving therapy over the last 7
days and 30 days.
AHI AHI This screen displays the nightly Apnea/Hypopnea indices (AHI) value for the most
recent 1 day time frame. It also displays the average of these individual nightly
AHI values over a 7 day and a 30 day time frame. This screen only displays if your
home care provider has enabled it.
Mask Fit Displays the value “100% minus Large Leak”. Large Leak is the percentage of
time that the mask leak was so high that it is no longer possible for the device
to identify respiratory events with statistical accuracy. Displays the value for the
most recent 1 day, as well as the values over last 7 days and 30 days. This screen
only displays if your home care provider has enabled it.
Periodic
Breathing
Periodic
Breathing
Displays the percentage of time that the user experienced periodic breathing.
Displays the value for the most recent 1 day time frame, as well as values for the
last 7 days and 30 days. If you observe a large increase in the percent of time in
periodic breathing indicated here, contact your home care provider for assistance.
This screen only displays if your home care provider has enabled it.
12 User Manual
Icon Text Description
90%
Pressure
90% Pressure This screen displays the nightly value of 90% Pressure for the most recent 1 day
time frame. It also displays the average of these individual nightly values of 90%
Pressure over a 7 day and a 30 day time frame. Available on the Auto model.
IPAP: 90%
Pressure
IPAP: 90%
Pressure
Displays the value of 90% inhalation pressure for the most recent 1 day, as well as the
average values over the last 7 days and 30 days. Available on the BiPAP Auto model.
EPAP: 90%
Pressure
EPAP: 90%
Pressure
Displays the value of 90% exhalation pressure for the most recent 1 day, as well as the
average values over the last 7 days and 30 days. Available on the BiPAP Auto model.
Preheat (if available):
Preheat On Screen Preheat Off Screen
Note: The Preheat menu will only display if it is available on your device.
When using a humidier, the device can preheat the water tank for up to 30 minutes prior to starting therapy.
In order to activate the preheat mode, the blower must be “off” and a humidier must be attached. When “Preheat”
is selected, you will be able to turn the control dial to choose between “on” or “off”. Press the control dial again to
make your selection. During the 30 minute preheat, you will still be able to use the control dial to select other menu
options from the Home screen.
My Provider:
When you select “My Provider”, you will be able to view the following screens. These screens will only display if they
are available and enabled on your device.You cannot change settings in the Provider menu.These screens are only for
reference.Your home care provider may periodically ask you for this information.
Icon Text Description
Device Info This screen displays your therapy device information: serial number, model and
software version.
Provider Contact
Info
This screen will display the contact information for your provider if it has been
uploaded to your device.
Phone-In This screen displays the total therapy hours for the device, the total blower
hours, the total number of days used when the sessions were greater than 4
hours, and a compliance check number used by your home care provider to
validate that the data provided by you is the data taken from this screen.
13User Manual
Icon Text Description
Compliance This screen displays your start date, the total number of days used when the
sessions were greater than 4 hours, and a check code number used by your
home care provider.
VIC90 VIC90 This Visual Inspection Check screen will display a check code number created
from information gathered over the most recent 90 day period. This 15 digit
number will display as: xxx.xxxx.xxxx.xxxx. Your home care provider may
periodically ask you for this information.
A-TRIAL A-Trial If Auto-Trial mode is available, this screen displays Days: xx/xx (where xx/xx is
the number of accumulated trial days / number of selected trial days). Available
on the Pro, Auto, BiPAP Pro, and BiPAP Auto models.
Upload Allows user to initiate a modem call when an optional Cellular Modem or Wi-Fi
Accessory is installed. Signal strength is indicated at the top right of this screen.
After the modem upload has nished, the screen will either display a green
checkmark with the text “Completed” to indicate a successful upload, or a red X
with the text “Failed” to indicate an unsuccessful upload. If the upload fails, initiate
an upload a second time, or contact your home care provider if the issue persists.
This screen is locked if modem is off.
Performance
Check
Your device is equipped with a self-diagnostic tool called “Performance Check.”
This tool can evaluate your device for certain errors. It also allows you to share
key device settings with your home care provider. Use Performance Check when
directed to by your home care provider.
At conclusion of the scan, the screen displays a green checkmark if no issue is
detected. If device displays a red “X,” please contact your home care provider for
assistance.
My Setup:
When you select “My Setup”, you will be able to view the following screens. These screens will only display if they are
available and enabled on your device.You can change the settings in the Setup menu.
Icon Text Description
Ramp This displays the ramp starting pressure. You can increase or decrease the ramp
starting pressure in 0.5 cm H2O increments.
Ramp Time When you set the Ramp time, the device increases the pressure from the value
set on the Ramp screen to the therapy pressure setting over the length of time
specified here.
14 User Manual
Icon Text Description
Flex This allows you to adjust the level of air pressure relief that you feel when you
exhale during therapy. Your home care provider can enable or disable this
feature. When your provider enables Flex, a level will already be set for you on
the device. You can increase or decrease the setting from 1 to 3. The setting of
“1” provides a small amount of pressure relief, with higher numbers providing
additional relief.
Note: If a lock icon is displayed on this screen, it indicates that your
provider has locked this setting and you cannot change it.
Rise Time Rise time is the time it takes for the device to change from EPAP to IPAP. This
screen allows you to adjust the rise time so you can nd the desired setting.
Humidication This displays the Humidication Mode being used. You can choose between
Fixed or Adaptive Humidication. If a heated tube is being used, the device will
automatically switch to Heated Tube Humidication Mode. A “lock” symbol will
appear next to the mode setting indicating that so long as the heated tube is
attached to the device, this mode cannot be changed. However, the heater plate
and tube temperature settings can still be adjusted on the device Therapy screen
as normal.
Mask Type This setting allows you to adjust the level of air pressure relief based on the
specic Philips Respironics mask. Each Philips Respironics mask may have a
“System One” resistance control setting. Contact your home care provider if
you cannot nd this resistance setting for your mask.
Note: If a lock icon is displayed on this screen, it indicates that your
provider has locked this setting and you cannot change it.
Tube Type This setting allows you to select the correct size diameter tubing that you are
using with the device. You can choose either (22) for the Philips Respironics 22
mm tubing, (15) for the Philips Respironics 15 mm tubing, or (12) for the optional
Philips Respironics 12 mm tubing.. When using Heated Tubing, the device will
automatically change this setting to the appropriate tubing type (15H) and you
will not be able to change it.
Note: Tubing is identied on the cuff with the tubing identier symbol: “12”,
“15”, or “15H”. 22 mm tubing contains no symbol.
Note: If a lock icon is displayed on this screen, it indicates that your
provider has locked this setting and you cannot change it.
Language This feature allows you to choose which language to display on the interface. You
can choose English or Spanish.
Check Mask Fit This feature allows you to check the t of your mask prior to starting therapy.
This is done by measuring the amount of leak.
15User Manual
Icon Text Description
Modem Allows you to turn modem off temporarily or turn it back on. When modem
is turned off, it will automatically turn on again after 3 days. Only displays when
modem is installed.
Bluetooth Allows you to turn Bluetooth off and on. Also, it allows you to clear the pairing
with a compatible Bluetooth device.
Time Allows you to adjust the time. The default setting is Greenwich Mean Time, but
you may adjust the time in 30 minute increments to match your local time zone.
Note: This time setting is not displayed as a clock function on the device. It is
only used to align your therapy data for your Provider’s data reports.
Bluetooth Wireless Technology
Your device has Bluetooth wireless technology. which is one method by which you can transfer your therapy device’s
data to DreamMapper. DreamMapper is a mobile and web-based system designed to help Obstructive Sleep Apnea
(OSA) patients enhance their sleep therapy experience.
Pairing your therapy device to your Bluetooth enabled Mobile Device
Note: You can only pair your therapy device to one mobile device at any given time.
Note: Pairing works best when your therapy device and mobile device are in the same room.
Note: The current version of DreamMapper will guide you through these instructions.
Note: After initiating pairing, you will have 30 seconds to complete the setup. After this time, it will be
cancelled automatically.
Follow the steps below to manually pair to your mobile phone or tablet.
1. With your therapy device powered up and the blower off, initiate Bluetooth Setup from the DreamMapper mobile
app.
2. If you need to select from a list of available Bluetooth devices, the therapy device will appear as “PR BT XXXX”
(XXXX will be the last four digits of the serial number listed on your therapy device).
3. You will be required to conrm pairing via one of these two methods:
• Your mobile device may ask you to enter a PIN code
The following icon will appear on your therapy device screen with “Pair?”:
Rotate the therapy device’s Control Dial to select “yes,” and press the Control Dial. Your therapy device will display
a 6 digit PIN. Enter this PIN on your mobile device to complete pairing.
• Your mobile device may ask you to conrm a PIN code
The following icon will appear on your therapy device screen with a 6 digit PIN and “Pair?”:
Verify that the PIN is the same on both the therapy device and the mobile device. If so, rotate the therapy device’s
Control Dial to select “yes” and press the Control Dial. Then, accept on the mobile device to complete pairing.
16 User Manual
Check Mask Fit
The optional check mask t feature can be enabled or disabled by your home care provider. This feature allows you to
check the t of your mask prior to starting therapy. This is done by measuring the amount of leak. Put on your mask
assembly. Refer to your mask instructions if needed. Navigate to the Check Mask Fit screen under “My Setup” and
press the control dial to initiate the check.
The device will deliver a test pressure while the screen counts down 40 seconds. A green bar indicates good t, while
a red bar indicates improvement is needed. After the test, normal therapy will start and the screen will either display
a green checkmark or a red “X”. The green checkmark indicates that the leak found allows for optimal performance
of the device. The red “X” indicates that the leak may affect device performance, however, the device will remain
functional and deliver therapy.
Check Mask Fit Screen
Note: If you choose to try to improve your mask t, you can stop therapy, adjust the t of your mask, and rerun
the check mask t. Please refer to the instructions that came with your mask and headgear for the proper tting
procedure.
Sleep Progress
Your device provides summary information about your therapy use each time the therapy is turned off. The rst
screen displays your “Three Night Summary.” It shows your nightly usage for the last 3 sleep sessions (measured in
24 hour periods, ending at noon each day). The most recent session is displayed in the right hand bar, labeled with the
number of hours slept. A green bar indicates that you slept more than 4 hours, and a yellow bar indicates less than 4
hours of use.
The second screen shows the total number of 4+ hour nights that you have slept in the last 30 days. It provides a goal
of sleeping at least 4 hours per night for 70% of the last 30 nights. Therefore the goal is 21 “good nights” of use. This
screen provides a simple way to track your progress. The screen will stop displaying when you reach the goal, or after
the rst 90 days of use has passed, whichever comes rst.
Three Night Summary Screen Goal Progress Screen
Altitude Compensation
This device automatically compensates for altitude up to 7,500 feet. No manual adjustment is necessary.
17User Manual
Device Alerts
Device alerts are pop-ups that show up on the UI screen. There are 5 types of alerts described here:
• Status: These alerts are just the pop-up screen.
• Notication: These alerts consist of the pop-up screen in addition to a blinking Power LED on top of the device.
• Alert 1: These alerts consist of the pop-up screen, a blinking Power LED and an audible beep when displayed. This
alert will not occur during therapy.
• Alert 2: These alerts consist of the pop-up screen, a blinking Power LED and an audible beep when displayed. This
alert can occur during therapy.
• Safe State: These alerts consist of the pop-up screen, a blinking Power LED and a repeating audible beep.
Note: Status alerts automatically time out after 30 seconds and their pop up screens disappear. All other alerts
must be acknowledged to clear.
Alert Summary Table: The following table summarizes the alerts.
Alert Icon Type Description Possible Cause Action
Data Activity: Do
not remove SD
card.
Status SD card read/write
underway.
n/a No action needed.
Change Accepted Status Conrms acceptance
of prescription change
or device upgrade.
n/a No action needed.
EZ-Start Pressure
Incremented to
xx.x
Status Displays when
EZ-Start mode is
enabled and device
is increasing therapy
pressure setting for
the next session.
n/a No action needed.
Oximetry: Good
Connection
(icon only)
Status Displays on the
therapy screen when
the blower is on
and 3 seconds of
good connection is
detected.Appears
at the beginning of
therapy.This screen
will not display again
if the nger probe is
removed and reapplied
unless therapy is
stopped and restarted.
n/a No action needed.
Pair?: 123456
Yes/No
Status Prompts to accept or
decline pairing to a
Bluetooth compatible
device. This device can
be identied by the
digits displayed.
n/a Rotate control dial to
accept pairing (Yes),
or decline (No), then
press control dial to
conrm selection.
18 User Manual
Alert Icon Type Description Possible Cause Action
SD Card
Removed.
Notication
or Alert 2
Indicates SD card has
been removed from
therapy device and not
reinserted before the
start of the current
therapy session.
SD card was not
reinserted into device.
Reinsert SD card, or
click to clear alert.
Oximetry: Good
Study
(icon only)
Notication Noties that user has
a achieved at least 4
hours of therapy and
oximetry use.Appears
at the end of therapy.
n/a Press Control Dial to
acknowledge and clear
the message.
SD Card Error:
Remove and
Reinsert
Notication SD card error
detected
Device cannot read
the SD card. A
problem may exist
with the SD card or
it was ejected during
a writing activity,
or it was inserted
incorrectly.
Remove SD card
and reinsert. If alert
continues to occur,
replace with another
card or contact your
provider.
SD Card Full. Notication SD card is full. SD card is full. Remove SD card and
replace with a new
card, or contact your
provider for a new SD
card.
Patient Message
(Refer to section)
Notication Message from your
Provider.
n/a Press Control Dial to
acknowledge and clear
the message.
Change Rejected Alert 1 A prescription or
settings change was
rejected.
Change missing or
incorrect.
Contact your provider.
Humidication
Error. Contact
support if the
problem persists.
Status Humidier error (only
when humidier is
present)
Humidier heater
plate error or
humidier not
properly connected to
therapy device
Turn off device and
disconnect from
power. Detach the
humidier, visually
check that electrical
contacts are clear, then
reconnect humidier
and power cord. If
alert continues,
contact your provider.
Table of contents
Other PHILIPS Respironics Personal Care Product manuals
