PHILIPS Respironics DreamStation 2 Advanced CPAP User manual

DreamStation 2 Advanced CPAP
DreamStation 2 Advanced Auto CPAP
User manual

© Koninklijke Philips N.V., 2020. All rights reserved.

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Table of contents
1. Safety information.................................................................................................................................................................... 1
Intended use.......................................................................................................................................................................... 1
Important................................................................................................................................................................................ 1
Contraindications................................................................................................................................................................. 1
Warnings.................................................................................................................................................................................2
Cautions..................................................................................................................................................................................5
Symbols glossary.................................................................................................................................................................8
System contents.................................................................................................................................................................. 9
How to contact Philips Respironics............................................................................................................................... 9
2. System overview .................................................................................................................................................................... 10
Device with integrated humidier................................................................................................................................. 10
Humidier water tank ........................................................................................................................................................12
3. Device setup ............................................................................................................................................................................ 14
Installing/replacing the air lters................................................................................................................................... 14
Where to place the device................................................................................................................................................15
Supplying AC power to the device.................................................................................................................................15
Setting up the integrated humidier .............................................................................................................................17
Connecting the breathing circuit....................................................................................................................................21
Starting the device.............................................................................................................................................................23
Therapy O display ........................................................................................................................................................... 24
Navigating the device screens ....................................................................................................................................... 25
Settings screens ................................................................................................................................................................. 25
Therapy On display ........................................................................................................................................................... 27
4. Pop-up messages and troubleshooting..........................................................................................................................30
Pop-up messages..............................................................................................................................................................30
Status pop-up messages.................................................................................................................................................32
Reminder pop-up messages ..........................................................................................................................................33
Troubleshooting .................................................................................................................................................................34
5. Connectivity.............................................................................................................................................................................36
Bluetooth wireless technology ...................................................................................................................................... 37
Pairing your therapy device to your Bluetooth-enabled mobile device............................................................ 37
6. Accessories ..............................................................................................................................................................................38
SD card..................................................................................................................................................................................38
Oximeter...............................................................................................................................................................................39
Supplemental oxygen.................................................................................................................................................................... 39
DC power..............................................................................................................................................................................40
Traveling with the system ...............................................................................................................................................40

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7. Cleaning and care................................................................................................................................................................... 41
Home cleaning: device exterior, heater plate, and humidier air inlet seal ..................................................... 41
Home cleaning: humidier water tank (lid, water tank base, and water tank seal) ....................................... 41
Home cleaning: tubing .....................................................................................................................................................42
Caring for the lters...........................................................................................................................................................43
Service...................................................................................................................................................................................43
8. Technical specications .......................................................................................................................................................44
Environmental ....................................................................................................................................................................44
Physical.................................................................................................................................................................................44
Service life............................................................................................................................................................................44
Standards compliance .....................................................................................................................................................44
IEC 60601-1 classication ...............................................................................................................................................45
Electrical...............................................................................................................................................................................45
Water capacity....................................................................................................................................................................45
Heater plate.........................................................................................................................................................................45
Humidity ...............................................................................................................................................................................45
Declared dual-number noise emissions values (in accordance with ISO 4871) ..............................................46
Pressure accuracy..............................................................................................................................................................46
Maximum ow rate (typical)...........................................................................................................................................46
ISO 80601-2-70 Pneumatic Diagram .......................................................................................................................... 47
Wireless notices.................................................................................................................................................................. 47
Radio Specications..........................................................................................................................................................48
Intake Port Filters...............................................................................................................................................................49
Heated Tubing Specications.........................................................................................................................................49
Disposal ................................................................................................................................................................................49
9. EMC information....................................................................................................................................................................50

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1. Safety information
Intended use
The DreamStation 2 Advanced CPAP/DreamStation 2 Advanced Auto CPAP system delivers
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 congurations including accessories,
according to your health care professional’s prescription.
Several accessories are available to make your OSA treatment with the DreamStation 2 system
as convenient and comfortable as possible. To ensure that you receive the safe, eective therapy
prescribed for you, use only Philips Respironics accessories.
Contraindications
When assessing the relative risks and benets of using this equipment, the clinician should
understand that this device can deliver pressures up to 20 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.

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Warnings
A warning indicates the possibility of injury to the user or operator.
Device usage This device is not intended for life support.
Contact your health care professional if symptoms of sleep apnea recur.
Personnel
qualifications
This manual serves as a reference. The instructions in this manual are not intended to
supersede your health care professional’s instructions regarding the use of the device.
The prescription and other device settings should only be changed on the order of the
supervising physician.
The operator should read and understand this entire manual before using the device.
Operating
temperature
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.
Bacteria filter If the device is used by multiple persons in a hospital environment (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.
Humidication can increase the resistance of the bacteria lter and the operator must
monitor the bacteria lter frequently for increased resistance and blockage to ensure
the delivery of the therapeutic pressure.
Improperly
functioning
device
If you notice any unexplained changes in the performance of the device, if it is making
unusual sounds, if it has been dropped or mishandled, if water is spilled into the
enclosure, or if the enclosure is cracked or broken, discontinue use and contact your
home care service provider.
Power cord 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.
To avoid strangulation hazards, ensure that all cords connected to the device are
properly routed.
This device is activated when the power cord is connected.
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.

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Patient
circuits and
tubing
The device should only be used with compatible patient interfaces (e.g., masks, circuits
and exhalation ports). Proper operation of the device with other circuits has not been
veried by Philips Respironics and is the responsibility of the health care professional.
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 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 can, in some circumstances, lead to
suocation.
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.
An exhalation port is required. Do not block the exhalation port. This can reduce airow
and result in rebreathing of exhaled air.
At low expiratory pressures, the ow through the exhalation port may be inadequate to
clear all exhaled gas from the tubing – some rebreathing may occur.
Do not pull or stretch the tubing. This could result in circuit leaks.
Do not cover the tubing with a blanket or heat it in an incubator or with an overhead
heater. This can aect the quality of the therapy or injure the patient.
Accessories To ensure that you receive the safe, eective therapy prescribed for you, use only
Philips Respironics accessories. The use of accessories, transducers, and cables other
than those specied by Philips Respironics may result in increased emissions or
decreased immunity of the device.
Pulse
oximeter
Use only Philips Respironics recommended pulse oximeter and sensors. Use of
incompatible sensors can result in inaccurate pulse oximeter performance.
Do not use a damaged pulse oximeter or sensor.
Before use, carefully read these instructions and the instructions for use provided with
the pulse oximeter and sensor.

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Integrated
humidifier
For safe operation when using the integrated humidier, the device must always be
positioned below the breathing circuit connection at the mask. The device must be level
for proper operation.
Allow the heater plate and water to cool down for approximately 15 minutes before
removing the humidier water tank. A burn may result from: touching the heater plate,
coming in contact with the heated water, or touching the humidier water tank pan.
Cleaning 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 or spray the device with water or cleaners.
Clean the device with a cloth dampened with an approved cleaner.
Empty and clean the humidier water tank daily to prevent mold and bacteria growth.
Oxygen When using oxygen with this system, the oxygen supply must comply with local
regulations for medical oxygen.
Do not connect the device to an unregulated or high pressure oxygen source.
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 to prevent the back ow of oxygen from the patient circuit into the device when
the unit is o. Failure to use the pressure valve could result in a re hazard.
Oxygen supports combustion. Oxygen should not be used while smoking or in the
presence of an open ame.
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.
When using oxygen with this system, turn the device on before turning on the oxygen.
Turn the oxygen o before turning the device o. 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.

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EMC Use of this equipment adjacent to or stacked with other equipment should be avoided
because it could result in improper operation. If such use is necessary, this equipment
and the other equipment should be observed to verify that they are operating normally
Portable and Mobile RF Communications Equipment can aect Medical Electrical
Equipment. See the EMC section of this manual for distances to observe between RF
Generators and the ventilator to avoid interference.
Do not use this device near active high frequency surgical equipment and the Radio
Frequency shielded room of a Medical Electrical system for magnetic resonance
imaging, where the intensity of electromagnetic disturbances is high.
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 2 on-board
Bluetooth communication should be considered a wireless phone in this regard.
Maintenance Never operate the device if any parts are damaged or if it is not working properly.
Replace damaged parts before continuing use.
Periodically inspect electrical cords, cables, tubing, and accessories for damage or signs
of wear. Discontinue use and replace if damaged.
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 device damage. Contact your home care service provider for
maintenance.
Do not use the device if the humidier water tank is leaking or damaged. Replace any
damaged parts before continuing use.
Cautions
A caution indicates the possibility of damage to the device.
US federal
law
Caution! US federal law restricts this device to use by or on the order of a physician

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Electrostatic
Discharge
(ESD)
Do not use antistatic or conductive hoses or conductive patient tubing with the device.
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,
humidication, 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.
Condensation Condensation may damage the device. If the 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
environmental operating ranges listed in the “Technical specications” section later in
this manual.
Filters A properly installed, undamaged Philips Respironics reusable pollen lter is required
for proper operation.
Dirty inlet lters may cause high operating temperatures that may aect device
performance. Regularly examine the inlet lters as needed for integrity and
cleanliness.
Never install a wet lter into the device. You must ensure sucient drying time for the
cleaned lter.
Make sure the air inlet (slotted) 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.
Extension
cords
Do not use extension cords with this device.
DC power Always ensure that the DC power cord securely ts into your therapy device prior to
use. Contact your home care service provider to determine if you have the appropriate
DC cord for your specic 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.

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Tobacco use Tobacco smoke may cause tar build up within the device.
Device
placement
Do not place the device in or on any container that can collect or hold water.
Do not place the device directly onto carpet, fabric, or other ammable materials.
Do not plug the device into an outlet controlled by a wall switch.
Do not place the device in or on any container that can collect or hold water. Take
precautions to protect furniture from water damage.
Do not move the device while the humidier water tank has water in it.
Humidifier
water tank
Remove the humidier water tank, empty all water, and replace the empty humidier
water tank before transporting the device.
Do not ll the humidier water tank above the maximum ll line. If the humidier water
tank is overlled, water may leak into the therapy device, humidier, or onto your
furniture. Damage to the humidier or therapy device may occur.
Use only room temperature distilled water in the humidier water tank. Do not put
any chemicals or additives into the water. Possible airway irritation or damage to the
humidier water tank may result.
If using the integrated humidier, do not start therapy without the humidier water
tank installed.
Do not attempt to ll the humidier water tank while it is still connected to the device.
Cleaning Do not immerse the device or allow any liquid to enter the enclosure or the inlet lter.
Do not steam autoclave the device. Doing so will destroy the device.
Do not use harsh detergents, abrasive cleaners, or brushes to clean the system.
Only the cleaning procedures listed in this manual are recommended by Philips
Respironics. Use of other cleaning processes, not specied by Philips Respironics,
may aect the performance of the product.

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Symbols glossary
The following symbols may appear on the device, power supply, and accessories. For a full
list and description of the symbols used on the device and its packaging, see www.symbols.
philips.com.
Symbol Title and Meaning Symbol Title and Meaning
Consult instructions for use. Type BF applied part
To identify a type BF applied part
complying with IEC 60601-1.
Prescription device
Caution: U.S. federal law restricts
this device to sale by or on the order
of a physician.
DC power (Direct current)
For indoor use only
Equipment is designed primarily for
indoor use.
IP22 Drip proof equipment
MR unsafe
Do not use device in a Magnetic
Resonance (MR) environment.
Approved for airline use.
Bluetooth® symbol
Indicates the device has Bluetooth
capabilities.
Maximum ll line
Do not ll with water.
Indicates that the side cover should
not be lled with water.
Warning: Hot surface
Unique Device Identier
Indicates the Unique Device
Identier information.
Packaging unit
To indicate the number of pieces in
the package.

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Symbol Title and Meaning Symbol Title and Meaning
AC power (Alternating current) Class II equipment (Double
Insulated)
To identify equipment meeting the
safety requirements specied for
Class II equipment.
Caution, consult accompanying
documents.
Do not disassemble.
Single patient use
Indicates that the tubing is for single
patient use only.
Keep away from sunlight
Indicates the medical device needs
protection from light sources.
Importer
Indicates the entity importing the medical device.
System contents
Your system may include the following items:
• Device • Carrying case • Flexible Tubing
• Humidier water tank • SD Card • 6 ft. (1.83 m) power cord
• User manual • Reusable lter • Power supply
• Quick start guide • Disposable ultra-ne lter (optional)
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

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2. System overview
The DreamStation 2 Advanced CPAP/DreamStation 2 Advanced Auto CPAP is a Continuous
Positive Airway Pressure therapy device designed for the treatment of Obstructive Sleep Apnea
(OSA).
The integrated humidier and optional heated tubing is designed to deliver humidication to
provide added comfort during therapy. This humidication level is controlled through the output
of the heated humidier as well as the temperature of the optional heated tubing. Use of the
integrated humidier with the heated tubing allows for a comfortable level of humidity to be
maintained at the mask.
Several accessories are also available for use with your device. Contact your home care provider
to purchase any accessories not included with your system.
Device with integrated humidier
1
3
10
7
8
5
4
6
9
11
4
2

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# Feature Description # Feature Description
1 Air outlet port Connect the exible
tubing here
7 Filter access Access the lter here.
2Heated tubing
pin connector
Line up and connect the
heated tubing connector
here
8 SD card
access
Access the SD card here.
3 Therapy on/o
button
Starts and stops the
airow for therapy.
9Air inlet for
the humidier
Connects to the
humidier water tank
4 Display screen This is the User Interface
for the therapy device.
10 Humidier air
inlet seal
Provides a seal between
the device humidier
water tank.
5 Humidier
water tank
(optional)
Removable water tank
that holds the water for
humidication (shown
installed)
11 Heater plate Warms the water in the
water tank
6 Air inlet Delivers air to the device 12 Power inlet Connect the power cord
here

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Humidier water tank
4
7
4
5
6 6
3
1
2
8

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# Feature Description
1Lid Removable to ll the water tank.
2Lid front tab Remove lid from here
3Water tank release
indent
Unlatches water tank from the device when pressed
4 Lid hooks Connect over water tank base tabs
5Water tank latch Latches the water tank to the device
6Water tank base tabs Connect water tank lid hooks here to attach the water tank lid
7Maximum ll lines Indicate the maximum water level for safe operation. The ll
lines also appear on the sides of the water tank base.
8Water tank seal Provides a seal between the water tank lid and base.
Removable for ease of cleaning.
9 Grip indent (not
shown)
Grip indent, located on the bottom of the water tank base, for
tank removal

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3. Device setup
Installing/replacing the air lters
Caution: A properly installed, undamaged Philips Respironics reusable pollen lter
is required for proper operation.
The device uses a reusable pollen lter that can be rinsed and a disposable ultra-ne lter.
The reusable lter screens out normal household dust and pollens, while the ultra-ne lter
provides more complete ltration of very ne particles. The reusable 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 lter is supplied with the device. A disposable ultra-ne lter may also be
included. If a lter is not installed when you receive your device, you must at least install the
reusable lter before using the device.
1. Remove the humidier water tank from the device. See the “Removing the humidier
water tank” section later in this manual.
2. To remove an existing lter, pull the white tab on the end of the lter and pull the lter
out of the device
3. If applicable, place a dry, reusable pollen lter on top of a new, optional disposable
ultra-ne lter and rmly snap them together.

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4. Place the lter into the therapy device.
5. Reinstall the humidier water tank.
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 o the device.
Cautions
• Make sure the air inlet (slotted) 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.
Supplying AC power to the device
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.

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Complete the following steps to operate the device using AC power:
1. Plug the power supply cord’s connector into the power inlet on the bottom of the
device 1or 2.
For convenience, the power connection allows for the cord to connect and route in the
direction that works best for your setup.
An inset area on the bottom of the device allows the cord to be routed under the
device 3.
1
OR
2
3