React Health BMC Luna II CPAP User manual

User Manual
Luna®II CPAP / Luna®II Auto CPAP
LG2000 / LG2A00

Luna®II CPAP / Luna®II Auto CPAP User Manual
Table of Contents
1. Introduction ··························································································· 1
2. Symbols·································································································1
2.1 Control Buttons············································································· 1
2.2 Device Symbols ············································································ 1
3. Warning, Caution and Important Tip ························································ 4
4. Intended Use ························································································· 4
5. Contraindications··················································································· 5
6. Specifications ························································································ 6
7. Available Therapies ················································································ 8
8. Glossary·································································································8
9. Model ··································································································· 9
10. Package Contents ············································································· 10
11. System Features·················································································· 11
12. First Time Setup ··················································································· 12
12.1 Placing the Device···································································· 12
12.2 Installing the Air Filter and Filter Cap············································ 13
12.3 Connecting to Power ································································ 13
12.4 Assembling the Tube and Mask ·················································· 14
12.5 Using Oxygen with the Device···················································· 15
12.6 Inserting the SD Card (Only for the device that equipped with SD
card) ······························································································ 17
12.7 Using the Cellular Module ·························································· 18
12.8 Starting Treatment····································································· 18
13. Routine Use ························································································ 18
13.1 Connecting the Tube ································································ 18
13.2 Adjusting the Tube ···································································· 18
13.3 Turning on the Airflow ································································ 18
13.4 Heating the Water ···································································· 18
13.5 Using the Ramp Button ······························································ 19
13.6 Turning the Device Off······························································· 19
14. Heated Humidifier··············································································· 19
14.1 Filling the Water Chamber ························································· 19
14.1.1 Removing the Water Chamber········································ 19
14.1.2 Filling Water ··································································· 20
14.1.3 Inserting the Water Chamber ·········································· 21
14.2 Emptying the Water Chamber ··················································· 21
14.3 Setting the Humidity Level·························································· 22
15. Navigating the Patient Menu······························································· 23
15.1 Steps to Navigating the Patient Menu········································· 23
15.1.1 Accessing the Main Interface ·········································· 23
15.1.2 Bringing up the Initial Setup Interface ······························· 23
15.1.3 Accessing the Setup Interface········································· 24
15.1.4 Selecting Options ··························································· 24
15.1.5 Adjusting Options ··························································· 24
15.1.6 Confirming Adjustments ·················································· 25
15.1.7 Turning Pages·································································25
15.1.8 Exiting the Patient Menu·················································· 25

Luna®II CPAP / Luna®II Auto CPAP User Manual
15.2 Options of the Patient Menu and Corresponding Descriptions ······ 27
16. Alert ·································································································· 28
17. Cleaning···························································································· 29
17.1 Cleaning the Mask and Headgear ············································· 30
17.2 Cleaning the Cellular Module ···················································· 30
17.3 Cleaning the Water Chamber···················································· 30
17.4 Cleaning the Enclosure······························································ 31
17.5 Cleaning the Tube ···································································· 31
17.6 Cleaning and Replacing the Air Filter·········································· 31
18. Traveling ···························································································· 32
18.1 Traveling with the Device··························································· 32
18.2 Traveling by airplane ·································································32
19. Reordering ························································································· 32
20. Technical Support··············································································· 33
21. Disposal ····························································································· 33
22. Troubleshooting ·················································································· 33
22.1 Common Problems in Patients and Corresponding Solutions········· 34
22.2 Common Problems in the Device and Corresponding Solutions ···· 36
23. EMC Requirements ············································································· 37
24. Limited Warranty ················································································ 43

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1. Introduction
Thank you for your purchase of the Luna®II CPAP / Luna®II Auto CPAP. This User
Manual will provide you with information about your device. Please read it carefully.
If you experience any difficulties or problems during use, please contact your
homecare provider or physician.
2. Symbols
2.1 Control Buttons
Ramp Button
Mute Button
Knob
2.2 Device Symbols
Follow Instructions for Use
Consult Instructions for Use
Type BF Applied Part (mask)
Class II (Double Insulated)
AC Power
DC Power
IP22
≥12.5 mm Diameter, Dripping (15ºtilted)
Hot Surface
Logo of BMC Medical Co., Ltd.
Serial Number

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Manufacturer
Disassembly is prohibited
Batch Code
Non-Ionizing Radiation
SD Card
Marking of Electrical and Electronic Equipment
Air Inlet
Air Outlet
Made in China
MR Unsafe
Complies with RTCA DO-160 section 21, category M.
Caution
Medical Device
Prescription only
Catalogue number
Unique device identifier
Model Number

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Temperature Limit
Humidity Limit
Atmospheric Pressure Limit

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3. Warning, Caution and Important Tip
WARNING!
Indicate the possibility of injury to the user or operator.
CAUTION!
Indicate the possibility of damage to the device.
IMPORTANT TIP!
Indicate the possibility that such operation may affect the effectiveness or ease of
use of the device.
Warnings, Cautions, and Important Tips appear throughout this manual as they
apply.
4. Intended Use
The Luna®II CPAP and Luna®II Auto CPAP are intended to deliver positive pressure
for the treatment of obstructive sleep apnea. The optional integrated heated
humidifier is indicated for the humidification and warming of air from the flow
generator. These devices are intended for single patient use by prescription in the
home or hospital/institutional environment on adult patients.
WARNINGS!
• This device is intended for adult use only.
• This device is not intended for life support.
• The instructions in this manual are not intended to supersede established medical
protocols.
• Do not bring the device or accessories into a Magnetic Resonance (MR)
environment as it may cause unacceptable risk to the patient or damage to the
device or MR medical devices. The device and accessories have not been
evaluated for safety in an MR environment.
• Do not use the device or accessories in an environment with electromagnetic
equipment such as CT scanners, Diathermy, RFID and electromagnetic security
systems (metal detectors) as it may cause unacceptable risk to the patient or
damage to the device. Some electromagnetic sources may not be apparent, if you
notice any unexplained changes in the performance of this device, if it is making
unusual or harsh sounds, disconnect the power cord and discontinue use. Contact
your home care provider.
CAUTIONS!
• Federal law restricts this device to sale by or on the order of a physician.
• The device is intended for use by operators trained or experienced in similar
equipment.
• The patient is an intended operator.

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• Cleaning can be performed by the patient.
IMPORTANT TIP!
• Read and understand the entire user manual before operating this system. If you
have any questions concerning the use of this system, contact your home care
provider or health care professional.
5. Contraindications
Studies have shown that the following pre-existing conditions may contraindicate
the use of positive airway pressure therapy for some patients:
Absolute Contraindications: Pneumothorax, mediastinal emphysema; cerebrospinal
fluid leak, traumatic brain injury, or pneumocephalus; shock caused by a variety of
conditions before treatment; active epistaxis; upper gastrointestinal bleeding
before treatment; coma or impaired consciousness making the use of mask during
therapy impossible; giant vocal fold polyp, etc.
Relative Contraindications: Severe coronary heart disease complicated with left
ventricular failure, acute otitis media, excessive respiratory secretions and weak
cough, weak spontaneous breathing, nasal or oral tracheal intubation and
tracheotomy, severe nasal congestion caused by a variety of conditions, lung
bullae, and allergies to breathing masks, etc.
The following side effects may occur during treatment:
- Dryness of the mouth, nose and throat
- Abdominal bloating
- Ear or sinus discomfort
- Eye irritation
- Skin irritation due to the use of a mask
- Chest discomfort
IMPORTANT TIPS!
• An irregular sleep schedule, alcohol consumption, obesity, sleeping pills, or
sedatives may aggravate your symptoms.
• Please use a mask which meets ISO 17510:2015.
CAUTION!
• Contact your health care professional if symptoms of sleep apnea recur. Contact
your health care professional if you have any questions concerning your therapy.

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6. Specifications
Device Size
Dimensions: 274 mm × 184 mm ×115 mm
Weight: 1.9 kg
Water capacity: To maximum fill line 360 mL
Product Use, Transport and Storage
Operation Transport and Storage
Temperature: 5°C to 35°C (41°F to 95°F) -25°C to 70°C (-13°F to 158°F)
Humidity: 15% to 93% Non-condensing 15% to 93% Non-condensing
Atmospheric Pressure: 760 to 1060 cmH2O 760 to 1060 cmH2O
Altitude: Sea level to 2300 m Sea level to 2300 m
Heated Humidifier
Humidifier Settings: off, 1 to 5 (95°F to 154.4°F / 35°C to 68°C)
Humidifier Output: No less than 10 mg H2O/L
Environmental Conditions: Maximum airflow, 35°C, 15% relative humidity
Mode of Operation
Continuous
Work Mode
For LG2000: CPAP
For LG2A00: CPAP, Auto
SD Card
The SD card can record patient data and fault information
AC Power Consumption
100 V - 240 V , 50 Hz / 60 Hz, Max 2 A
Device offer to Communications Port
5 V 2.0 A
Type of Protection Against Electric Shock
Class II Equipment
Degree of Protection Against Electric Shock
Type BF Applied Part
Degree of Protection Against Ingress of Water
IP22
Pressure Range
4 to 20 cmH2O (in 0.5 cmH2O increments), ≤ 30 cmH2O under single fault conditions.
Static Pressure Stability
±0.5 cmH2O

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Ramp
The ramp time ranges from 0 to 60 minutes.
The A-weighted sound pressure level and sound power level
When the device is working at the pressure of 10 hPa, its sound pressure level and
sound power level shall not be greater than the values in the following table:
Sound Pressure
Level
Uncertainty
Sound Power
Level
Uncertainty
28 dB(A)
2 dB(A)
36 dB(A)
2 dB(A)
Note: Declared dual-number noise emission values in accordance with ISO
4871:1996.
Maximum Flow
Test Pressures (cmH2O)
4
8
12
16
20
Measured Pressure at the Patient
Connection Port (cmH2O)
3
7
11
15
19
Average Flow at the Patient
Connection Port (L/min)
90
150
150
150
145
When the working pressure is set to the values listed in the table, the
average flow rate at the patient end should be greater than 80% of the
corresponding flow value in the table.
Automatic leak compensation
The pressure error ≤ ± 1 cmH2Owhen the air leakage is no more than 70 L / min.
Pressure
Range: 0 ～20 cmH2O
Margin of Error: ± (0.4 cmH2O + 4%)
Tube
Length: 6 ft. (1.8 m)
Maximum Delivered Gas Temperature
≤43°C
The Form and the Dimensions of the Patient Connection Port
The 22 mm conical air outlet complies with ISO 5356-1.

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7. Available Therapies
The device delivers the following therapies:
CPAP –Delivers Continuous Positive Airway Pressure; CPAP maintains a constant
level of pressure throughout the breathing cycle. If your health care professional has
prescribed ramp for you, you can press the Ramp Button to reduce the pressure
and then gradually increase the pressure to the therapeutic pressure setting so that
you can fall asleep more comfortably.
Auto –Delivers CPAP therapy and provides an air pressure no less than the
prescribed one based on the patient’s needs.
8. Glossary
Apnea
A condition marked by the cessation of spontaneous breathing.
Auto
Adjust CPAP pressure automatically to improve patient comfort based on
monitoring of apnea and snoring events.
Auto Off
When this feature is enabled, the device automatically discontinues therapy
whenever the mask is removed.
Auto On
With this feature, the device automatically initiates therapy when you breathe into
the mask.
CPAP
Continuous Positive Airway Pressure.
iCode
A feature that is intended to give access to compliance and therapy management
information. The “iCode” consists of six separate codes displayed in the Patient
Menu, each code is a sequence of numbers. The “iCode QR” and “iCode QR+”
display two-dimensional codes.
LPM
Liters Per Minute.
OSA
Obstructive Sleep Apnea.

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Patient Menu
The display mode in which you can change patient-adjustable device settings,
such as the starting pressure for the Ramp feature.
Ramp
A feature that may increase patient comfort when therapy is started. It begins from
a low pressure and then gradually increases to the prescribed setting pressure so
that the patient can fall asleep more comfortably.
Reslex
A therapy feature that is enabled by your home care provider to provide pressure
relief during exhalation.
Standby State
The state of the device when power is applied but the airflow is turned off.
min
Means the time unit “minute”.
h
Means the time unit “hour”.
yy mm dd / mm dd yy / dd mm yy
Denotes date.
9. Model
Item No.
Product Description
Product
Contents
Optional
Accessory
Work Mode
Maximum
Work
Pressure
(cmH2O)
LG2000
Device
(2.4-inch TFT)
Tube, Mask,
Cellular
Module,
CPAP
20
LG2A00
Device
(3.5-inch TFT)
CPAP,
Auto

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10. Package Contents
After unpacking the system, make sure you have everything shown here (Different
models of the product may contain different components):
No.
Articles
Qty.
Notes
1
Device
1
2
Air Filter
2
3
Power Adapter
1
4
Power Cord
1
5
Tube
1
6
SD Card
1
Optional
7
Carrying Case
1
8
Enclosed Documents
1
All parts and accessories are not made with natural rubber latex.
If the use, maintenance, cleaning and disinfection are in strict accordance with the
User Manual:
The expected service life of the device is 5 years from first date of use.
The expected service life of the Air Filter is 6 months from first date of use.
The expected service life of the Tube is 6 months from first date of use.
The expected service life of the Water Chamber is 6 months from first date of use.
IMPORTANT TIPS!
• If any of the above parts are missing, contact your home care provider.
• Contact your home care provider for additional information on the available
accessories of this device. When using optional accessories, always follow the
instructions enclosed with the accessories.
WARNINGS!
• This device should only be used with the mask and accessories manufactured or
recommended by REACT HEALTH or with those recommended by your prescribing
physician. The use of inappropriate masks and accessories may affect the
performance of the device and impair the effectiveness of therapy.
• Do not pile up the long tubing at the head of the bed, as it may wrap around the
head or neck of the patient during sleep.
• Do not connect any equipment to the device unless recommended by REACT
HEALTH or your health care provider.
• Please contact REACT HEALTH to obtain an SD card if needed.
• Exceeding the Expected Service life, our company cannot guarantee the normal
function of the device, nor the safety and effectiveness of the device.

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11. System Features
Humidifier Indicator
Mute Button
Knob
Ramp Button
Display Screen
Power Indicator
Fig. 11-1
Name
Function
Humidifier Indicator
Indicate the humidity level. There are five levels in total.
The number of indicator lights that light up is directly
proportional to the humidity level. If the indicator lights
are off, it means the humidifier is turned off
Mute Button
Press this button to mute the alert. However, if the
problem causing the alert is not solved, the alert will
sound again two minutes later
Knob
Start treatment and adjust device settings
Ramp Button
Enable the Ramp feature
Display Screen
Display menus for operation, messages, monitoring
data, etc.
Power Indicator
Indicate the power supply status
CAUTION!
• The pictures in this manual are only for reference, if they are different from the
material object, the latter shall prevail.

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SD Card Slot
Communications Port
DC Inlet
Filter Cap (Air Inlet)
Air Outlet
Fig. 11-2
Name
Function
SD Card Slot
Insert the SD card into this slot
Air Outlet
Deliver pressurized air; connects to the tube
Communications Port
Connected to external equipment (Not for connection
to un-recommended devices)
DC Inlet
An inlet for the DC power supply
Filter Cap (Air Inlet)
Place the cap on the air filter, which is used to filter
dust and pollen in the air entering the device
12. First Time Setup
12.1 Placing the Device
Place the device on a firm, flat surface.
WARNINGS!
• If the device has been dropped or mishandled, if the enclosure is broken, or if
water has entered the enclosure, disconnect the power cord and discontinue use.
Contact your home care provider immediately.
• If the room temperature is warmer than 95°F (35°C), the airflow produced by the
device may exceed 109.4°F (43°C ). The room temperature must be kept below 95°F
(35°C ) while the patient uses the device.
CAUTIONS!
• If the device has been exposed to either very hot or very cold temperatures, allow
it to adjust to room temperature (approximately 2 hours) before beginning setup.
• Make sure the device is away from any heating or cooling equipment (e.g.,
forced air vents, radiators, air conditioners).
• The device is not suitable for use in high humidity environments. Make sure that no
water enters the device.
• Make sure that bedding, curtains, or other items are not blocking the filter or vents
of the device.
• Keep pets or children away from the device and avoid small objects being

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inhaled or swallowed.
• To avoid explosion, this device must not be used in the presence of flammable
gases (e.g. anesthetics).
• Tobacco smoke may cause tar build-up within the device, leading to the
malfunctioning of the device.
• Air must flow freely around the device for it to work properly.
• Empty the water chamber completely before moving the device.
12.2 Installing the Air Filter and Filter Cap
(1) Attach the air filter to the filter cap, as shown in Fig. 12-1.
Filter Cap
Air Filter
Fig. 12-1
(2) Install the filter cap containing the air filter to the device, as shown in Fig. 12-2.
Fig. 12-2
CAUTIONS!
• The air filter must be in place when the device is operating.
• Installing the air filter and filter cap, device must be unplugged.
•Please change the Air Filter regularly and don't block it; Fire, open ignition source
and smoking prohibited. (Refer to 17.6 Replacing the Air Filter)
12.3 Connecting to Power
(1) Insert the plug of the power adapter into the DC Inlet on the back of the device;
(2) Connect the power cord to the power adapter;
(3) Plug the other end of the power cord into the power outlet.

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Power Adapter
Power Cord
DC Inlet
Fig. 12-3
WARNINGS!
• The device is powered on for use when the power cord and power adapter is
connected. The Knob turns the blower On / Off.
• Use of the device at an AC voltage beyond the stated range (see Section 5 “AC
Power Consumption”) may damage the device or cause device failure.
• Connect to appropriate power for proper operation of the device.
CAUTION!
• Inspect the power cord often for any signs of damage. Replace a damaged cord
immediately.
IMPORTANT TIPS!
• After interruption and restoration of the power supply, the device will restore its
pre-interruption working status automatically.
• To remove AC power, disconnect the power cord from the power outlet.
12.4 Assembling the Tube and Mask
(1) Connect one end of the tube to the air outlet of the device, as shown in Fig.
12-4.
Air Outlet
Tube
Fig. 12-4

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(2) Connect the other end of the tube to the mask according to the user manual for
the mask.
WARNINGS!
• If you are using a mask with a built-in exhalation port, connect the mask’s
connector to the tube.
• If you are using a mask with a separate exhalation port, connect the tube to the
exhalation port. Position the exhalation port so that the vented air is blowing away
from your face. Connect the mask’s connector to the exhalation port.
• If you are using a full-face mask (a mask covering both your mouth and nose), the
mask must be equipped with a safety (entrainment) valve.
• In order to minimize the risk of CO2rebreathing, the patient should observe the
following instructions:
- Use the accompanying tube and mask provided by REACT HEALTH.
- Do not wear the mask for more than a few minutes while the device is not
operating.
- Use only masks with vent holes. Do not block or try to seal the vent holes in the
exhalation port.
•If condensation appears in the tube, remove then drain the tube. Turn down the
humidification.
12.5 Using Oxygen with the Device
Oxygen may be added at the mask connection. Please observe the instructions
listed below when using oxygen with the device.
WARNINGS!
• Connect the oxygen tube to the oxygen inlet of the mask.
• The oxygen supply must comply with the local regulations for medical oxygen.
• Turn on the device before turning on the oxygen. Turn off the oxygen before
turning off the device. Explanation of Warning: When the device is turned off, but
the oxygen flow still exists, oxygen may accumulate within the device's enclosure
and pose a fire hazard. Turning off the oxygen before turning off the device will
prevent oxygen accumulation in the device and reduce the risk of fire. This warning
applies to CPAP devices.
• Oxygen supports combustion. Keep the device and the oxygen container away
from heat, open flames, any oily substances, or other sources of ignition. DO NOT
smoke in the area near your Luna®II or the oxygen container.
• Sources of oxygen should be located more than 1 m from the device.
• When using oxygen with this system, a Pressure Valve must be placed in-line with
the patient circuit between the device and the oxygen source. The pressure valve
helps prevent the backflow of oxygen from the patient circuit into the device when
the unit is off. Failure to use the pressure valve could result in a fire hazard.

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•When the pressure valve is installed, the Auto On function on the device will not
work. To turn on the device either breath into your mask or select the On/Off button.
• Supplemental oxygen must not be used while smoking or in the presence of an
open flame.
• When using the device with an oxygen supply, check the following:
Starting therapy - ensure the device is on and blowing air before the oxygen supply
is turned on.
Stopping therapy - ensure the oxygen supply is turned off first, then the device.
This will ensure oxygen does not accumulate within the device and create a risk of
fire.
• Do not connect the device to an unregulated or high pressure oxygen source. The
pressure of oxygen source does not exceed the work pressure of the device.

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12.6 Inserting the SD Card (Only for the device that
equipped with SD card)
Insert the SD card into the SD Card Slot, as shown in Fig. 12-5.
SD Card Slot
Fig. 12-5
If the SD card is inserted correctly, a symbol indicating correct insertion will appear
in the Main Interface on the screen of the device, as shown in Fig. 12-6.
Fig. 12-6
If the SD card is inserted incorrectly, a symbol indicating incorrect insertion will
appear in the Main Interface on the screen of the device, as shown in Fig. 12-7.
Fig. 12-7
CAUTION!
• If the SD card is not inserted, there will not be a symbol in the Main Interface on
the screen of the device.
• To avoid data loss or any damage to the SD card, the SD card can only be
removed after the device stops delivering air.