ResMed VPAP ST User manual

Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia. Distributed by: ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA.
ResMed (UK) Ltd 96 Jubilee Ave Milton Park Abingdon Oxfordshire OX14 4RW UK. See www.resmed.com for other ResMed locations worldwide.
For patent information, see www.resmed.com/ip. S9, VPAP, AutoSet CS and H5i are trademarks of ResMed Ltd and S9 and VPAP are registered in U.S. Patent and Trademark Office.
© 2015 ResMed Ltd. 3681054/1 2015-05
Global leaders in sleep and respiratory medicine www.resmed.com
VPAP™ST
VPAP™S
AutoSet CS™
S9™Auto 25
POSITIVE AIRWAY PRESSURE DEVICES
User Guide
English
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B
C
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S9 VPAP ST indications for use
The S9 VPAP ST is intended to provide non-invasive ventilation for patients weighing more than 13 kg
with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP ST is intended for home
and hospital use.
S9 VPAP S indications for use
The S9 VPAP S is intended to provide non-invasive ventilation for patients weighing more than 13 kg
with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP S is intended for home
and hospital use.
S9 AutoSet CS indications for use
The S9 AutoSet CS is indicated to stabilise the ventilation of adult patients exhibiting central sleep
apnoea (CSA), mixed sleep apnoea and periodic breathing, with or without obstructive sleep apnoea. It
is intended for home and hospital use.
S9 Auto 25 indications for use
The S9 Auto 25 is indicated for the treatment of obstructive sleep apnoea (OSA) in patients weighing
more than 30 kg. The S9 Auto 25 is intended for home and hospital use.
Contraindications
ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with
reduced left ventricular ejection fraction (LVEF ≤ 45%) and moderate to severe predominant central
sleep apnoea.
Positive airway pressure therapy may be contraindicated in some patients with the following pre-
existing conditions:
•severe bullous lung disease
•pneumothorax
•pathologically low blood pressure
•dehydration
•cerebrospinal fluid leak, recent cranial surgery, or trauma.
Adverse effects
Patients should report unusual chest pain, severe headache, or increased breathlessness to their
prescribing physician. An acute upper respiratory tract infection may require temporary discontinuation
of treatment.
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The following side effects may arise during the course of therapy with these devices:
•drying of the nose, mouth, or throat
•nosebleed
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes.
Masks and humidifiers
Recommended masks and humidifiers are available on www.resmed.com on the Products page under
Service & Support. For information on using your mask or humidifier, refer to the manual supplied with
your mask or humidifier.
Setup
Refer to illustration A.
1. Connect the DC plug of the power supply unit to the rear of the device.
2. Connect the power cord to the power supply unit.
3. Plug the other end of the power cord into the power outlet.
4. Connect one end of the air tubing firmly onto the air outlet.
5. Connect the assembled mask system to the free end of the air tubing.
Control panel
Refer to illustration B.
The control panel of your device includes the following items:
1. Start/Stop button: Starts or stops treatment
2. Home menu
3. LCD screen
4. Info menu*: Allows you to view your sleep statistics
5. Setup menu*: Allows you to make changes to settings
6. Push dial: Turning the dial allows you to scroll through the menu and change settings. Pushing the
dial allows you to enter into a menu and confirm your choice.
*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.

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Navigating the menus
Refer to illustration C.
In general, to navigate the menus:
1. Tu r n until the parameter you require is displayed in blue.
2. Press . The selection is highlighted in orange.
3. Turn until you see the setting that you require.
4. Press to confirm your choice. The screen returns to blue.
Getting started
1. Make sure the power is connected.
2. Adjust the ramp time if required.
3. Fit your mask as described in your mask user guide.
4. To start therapy, simply breathe into the mask and/or press .
5. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
6. To stop treatment at any time, remove your mask and/or press .
Notes:
•If your clinician has enabled SmartStart your device will start automatically when you breathe into
the mask and stop automatically when you remove the mask.
•If power is interrupted during treatment, the device automatically restarts therapy when power is
restored.
Cleaning and maintenance
Daily:
Remove the air tubing by pulling on the finger grips on the cuff. Hang it in a clean, dry place until next
use.
Notes:
•Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.
•Do not wash the air tubing in a washing machine or dishwasher.
Weekly:
1. Remove the air tubing from the device and the mask.
2. Wash the air tubing in warm water using mild detergent.
3. Rinse thoroughly, hang, and allow to dry.
4. Before next use, reconnect the air tubing to the air outlet and mask.
Monthly:
1. Wipe the exterior of the device with a damp cloth and mild detergent.
2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary.

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Replacing the air filter:
Replace the air filter every six months (or more often if necessary).
1. Remove the air filter cover from the back of the device.
2. Remove and discard the old air filter.
3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover.
4. Replace the air filter cover.
Notes:
•Ensure the air filter and air filter cover are fitted at all times.
•Do not wash the air filter. The air filter is not washable or reusable.
Troubleshooting
If there is a problem, try the following suggestions. If the problem cannot be solved, contact your
equipment supplier or ResMed. Do not attempt to open these devices.
Problem/Possible cause Solution
No display
Power is not connected. Ensure the power cable is connected and the power outlet
(if available) is on.
The DC plug is partially inserted into the
back of the device or inserted too
slowly.
Fully insert the DC plug.
Insufficient air delivered from the device
Ramp time is in use. Wait for air pressure to build up or change ramp time.
Air filter is dirty. Replace air filter.
Air tubing is not connected properly. Check air tubing.
Air tubing is blocked, pinched or
punctured.
Unblock or free the air tubing. Check the air tubing for
punctures.
Mask and headgear are not positioned
correctly.
Adjust position of mask and headgear.
Incorrect air tubing selected. If you are using the SlimLine, Standard or 3m air tubing
ensure that you have the correct air tubing selected via the
menu.

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Device does not start when you breathe into the mask
Breath is not deep enough to trigger
SmartStart/Stop.
Take a deep breath in and out through the mask.
There is excessive leak.
Note: If Leak Alert is enabled, an
audible alert is activated and a high leak
message is displayed.
Adjust position of mask and headgear.
Air tubing not connected properly. Connect firmly at both
ends.
SmartStart/Stop is disabled.
Note: SmartStart/Stop is not available if
Leak Alert is enabled.
Enable SmartStart/Stop.
Device does not stop when you remove your mask
SmartStart/Stop is disabled.
Note: SmartStart/Stop is not available if
Leak Alert is enabled.
Enable SmartStart/Stop.
SmartStart/Stop is enabled but the device does not stop automatically when you remove your
mask
Incompatible mask system being used. Only use equipment recommended by ResMed.
The patient is using a nasal pillows
mask or pediatric mask with a set
pressure less than 7 cm H2O.
Disable SmartStart/Stop.
Pressure rises inappropriately
Talking, coughing or breathing in an
unusual manner.
Avoid talking with a nasal mask on, and breathe as normally
as possible.
Mask cushion is buzzing against the
skin.
Adjust the headgear.
Cushion seated incorrectly causing
excessive leak.
Adjust headgear or re-fit cushion.
Displays error message: High temperature fault, refer to user manual
Device has been left in a hot
environment.
Allow to cool before re-use. Disconnect the power cord
and then reconnect it to restart the device.
Problem/Possible cause Solution

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Air filter is blocked. Replace your air filter. Disconnect the power cord and then
reconnect it to restart the device.
Air tubing is blocked. Check your air tubing and remove any blockages.
Disconnect the power cord and then reconnect it to restart
the device.
Humidifier setting is too high, resulting
in accumulation of water in the air
tubing.
Turn the humidifier setting down and empty the water from
the air tubing.
Displays error message: Check ResMed 30/90W Power Supply Unit and fully insert the
connector
The DC plug is partially inserted into the
back of the device or inserted too
slowly.
Fully insert the DC plug.
A non-ResMed power supply unit is
connected to the device.
Remove the power supply unit and replace with a ResMed
power supply unit.
The power supply unit is being covered
by bedding.
Make sure that the power supply unit is free from bedding,
clothes or other objects that could cover it.
Displays error message: Tube blocked, please check your tube
Air tubing is blocked. Check your air tubing and remove any blockages.
Disconnect the power cord and then reconnect it to restart
the device.
Displays error message: High leak, please check system setup and all connections
There is excessive leak. Adjust position of mask and headgear.
Air tubing is not connected properly. Connect firmly at both
ends.
Problem/Possible cause Solution

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SD card
An SD card has been supplied to gather therapy data from your device and provide settings updates
from your clinician. When instructed to do so, disconnect the device from the power outlet, remove your
SD card, insert it in the protective folder and send it to your clinician. For more information on removing
and inserting your card refer to the S9 SD Card Protective Folder provided with your device. Please
retain the S9 SD Card Protective Folder for future use.
Technical specifications
The following message is displayed on the LCD after you try to update settings or copy data to
the SD card: Card error, please remove SD card and contact service provider
SD card is not inserted correctly. Ensure that the SD card is inserted correctly.
You may have removed the SD card
before settings were copied to the
device.
Reinsert the SD card and wait for the home screen or the
“Settings updated successfully, press any key”
message to appear on the LCD.
Note: This message only appears once. If you re-insert the
SD card after you have updated your settings, the message
will not be re-displayed.
The following message is NOT displayed on the LCD after you try to update the settings using
the SD card: Settings updated successfully, press any key
The settings were not updated. Contact your clinician/service provider immediately.
Operating pressure range 4 to 20 cm H2O (CPAP); 4 to 25 cm H2O (VAuto, ASV);
2 to 25 cm H2O (S, ST)
Maximum single fault steady state
pressure
30 cmH2O – if pressure exceeded for > 6 secs;
40 cmH2O – if pressure exceeded for > 1 sec
Pressure measurement tolerance ±0.5 cm H2O ± 4% of the measured reading
Flow measurement tolerance ±6 L/min or 10% of reading, whichever is greater
DECLARED DUAL-NUMBER NOISE EMISSION VALUES in accordance with ISO 4871:
Sound pressure level 24 dBA as measured according to ISO 17510-1:2002
26 dBA with uncertainty of 2 dBA as measured according to
EN ISO 17510-1:2009
Problem/Possible cause Solution

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Sound power level 34 dBA with uncertainty of 2 dBA as measured according to
EN ISO 17510-1:2009
Nominal dimensions (L x W x H) 153 mm x 140 mm x 86 mm
Weight 835 g
90W power supply unit Input range 100–240V, 50–60Hz,
Nominal for aircraft use 115V, 400Hz
Typical power consumption 70W (80VA)
Maximum power consumption 110W (120VA)
30W power supply unit Input range 100–240V, 50–60Hz,
Nominal for aircraft use 115V, 400Hz
Typical power consumption 20W (40VA)
Maximum power consumption 36W (75VA)
90W DC/DC converter Nominal inputs 12V, 24V
Typical power consumption 70W
Maximum power consumption 110W
Operating temperature +5ºC to +35ºC
Note: The air flow for breathing produced by this therapy
device can be higher than the temperature of the room.
Under extreme ambient temperature conditions (40ºC) the
device remains safe.
Operating humidity 10–95% non-condensing
Operating altitude Sea level to 2,591 m
Storage and transport temperature -20ºC to +60ºC
Storage and transport humidity 10–95% non-condensing
Housing construction Flame retardant engineering thermoplastic
Supplemental oxygen Recommended maximum supplemental oxygen flow:
4 L/min (VAuto or ASV mode); 15 L/min (S, ST or T mode)
Hypoallergenic air filter Non-woven acrylic and polypropylene fibers with
polypropylene carrier
Standard air filter Polyester fiber
SlimLineTM air tubing Flexible plastic, 1.8 m, 15 mm inner diameter
Standard air tubing Flexible plastic, 2 m, 19 mm inner diameter

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Notes:
•The manufacturer reserves the right to change these specifications without notice.
•The temperature and relative humidity settings displayed for Climate Control are not measured
values.
•Check with your clinician/service provider before using the SlimLine or ClimateLine air tubing with
devices other than the S9 or H5i.
ClimateLine heated air tubing Flexible plastic and electrical components, 2 m, 15 mm
inner diameter
ClimateLineMAX heated air tubing Flexible plastic and electrical components, 1.9 m, 19 mm
inner diameter
Air outlet The 22 mm conical air outlet complies with ISO 5356-1
Electromagnetic compatibility Product complies with all applicable electromagnetic
compatibility requirements (EMC) according to
IEC60601-1-2, for residential, commercial, and light industry
environments.
It is recommended that mobile communication devices are
kept at least 1 m away from the device.
Information regarding the electromagnetic emissions and
immunity of these ResMed devices can be found on
www.resmed.com, on the Products page under Service
and Support. Click on the PDF file for your language.
Aircraft use Medical-Portable Electronic Devices (M-PED) that meet the
Federal Aviation Administration (FAA) requirements of
RTCA/DO-160 can be used during all phases of air travel
without further testing or approval by the airline operator.
ResMed confirms that the S9 meets RTCA/DO-160
requirements.
IEC 60601-1 classification Class II (double insulation), Type BF