ResMed AirSense 10 User manual

YOUR APRIA
SLEEP THERAPY
USER GUIDE
For the ResMed AirSense™10
Use this QR link to our
Sleep Apnea page
for more information.

WELCOME.
Thank you for choosing Apria Healthcare as your home medical
provider. You are receiving this package because your doctor has
diagnosed you with sleep apnea and prescribed Positive Airway
Pressure therapy. Positive Airway Pressure therapy—also known
as PAP therapy or sleep therapy—helps millions of users feel more
energized and refreshed.
We are excited to accompany you on your journey to a better
night’s sleep!
Responsive. On Time.
Apria Delivers.
With over 275 branch locations in the U.S., Apria is ready
to support patients every day and in times of need, with
well-established emergency preparedness protocols in place. Apria
has the knowledge, experience, and ability to provide excellent home
health and equipment delivery services in all types of environments.
MOBILIZED EFFORTS: Trained staff members available around
the clock to coordinate urgent and after-hours orders and carry out
emergency services
24/7 DELIVERY SERVICES: Deliveries to homes, shelters and other
areas pre- and post-catastrophic events
275+ LOCATIONS NATIONWIDE: Local branches with teams ready
to serve patients, day or night
EXTENSIVE INVENTORY: Home oxygen therapy and respiratory
services, sleep therapy and supply refills,
non-invasive ventilation therapy, and negative pressure
wound therapy
Care is just around the corner.

Overview
Your doctor has prescribed PAP therapy because you have been
diagnosed with sleep apnea. Sleep apnea occurs when a person
repeatedly stops breathing for 10 or more seconds at a time while
sleeping. These events may occur hundreds of times throughout the
night, causing oxygen levels in the blood to drop, putting stress on
the heart. If left untreated, sleep apnea is linked to many other serious
conditions like high blood pressure, diabetes, heart disease and
stroke.
This guide contains easy step-by-step instructions for using your
PAP equipment, and is designed to help you benefit from therapy as
soon as your equipment arrives. Please watch the sleep apnea video
on the enclosed DVD and review the manufacturer’s user guides
along with the other educational materials that were included with
your equipment. The sleep apnea video can also be found on Apria
Healthcare’s website at www.apria.com/resource-center in the
“Video Library” section located at the bottom of the screen. Additional
information is also available at www.apria.com/sleep-apnea.
Your Device and Settings
A licensed Apria clinician has programmed your PAP machine with
the settings prescribed by your physician. If your doctor recommends
changes to your PAP settings, please notify Apria Healthcare
immediately, so that the clinician can make any necessary adjustments.
Make sure your home address can be easily seen from the street
during both day and night.
If you are expecting a night delivery or visit, turn on the porch light.
Check to see that your address numbers are easy to spot and read
from the street. This will allow all Apria Healthcare and emergency
services to locate your residence easily.
Follow Emergency and Natural Disaster Instructions
In the event of an emergency or natural disaster, follow the radio or
television instructions of your local authorities.

Questions? Call 888.452.4363
4STEP 1: GETTING STARTED
Please watch the sleep apnea video on the DVD and review the
manufacturer’s user guides and other materials that were included
with your equipment. The sleep apnea video can also be found at
www.apria.com/resource-center in the “Video Library” section
located at the bottom of the screen.
GET STARTED.
STEP 1
Start your therapy tonight so you can feel refreshed in the morning.
1. Open the box and unpack your PAP machine, humidifier chamber, tubing, mask, power
cord and supplies.
2. Attach the power cord and tubing to the PAP machine.
3. Fill the humidifier with distilled water and insert the humidifier into the PAP machine. (It is
recommended that you use distilled water. However, if you do not have distilled water
on hand, in order to start your therapy today, bottled water can be used as a substitute
to distilled water as a temporary measure.)
4. Place the PAP machine on a table next to your bed. The height of the table should be
lower than your head.
5. Plug the power cord into an electric wall outlet.
1 2
3 4

Questions? Call 888.452.4363 5
STEP 1: GETTING STARTED
SLP-4193 10/17
GET FAMILIAR
WITH YOUR PAP
EQUIPMENT.
If your doctor prescribed a specific mask and size, follow the fitting instructions provided by
the manufacturer, then proceed to Step 3. If you received a mask with multiple cushions,
follow the instructions below and on the next page.
There is a mask cushion currently attached to the frame of your mask. This size fits most patients.
Once you begin therapy, if your mask is leaking or feels uncomfortable, try removing the existing
cushion and replacing it with a different size cushion. If you are between sizes, it is best to
use the larger cushion. Use the Fitting Template (for nasal mask and full face mask) and/or the
manufacturer’s instructions included with your mask for help.
STEP 2
5
STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT

6 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 888.452.4363
Nasal Mask
1. Release the lower strap magnets from the frame of the mask. Make sure the logo on the
headgear is facing outward. While holding the mask against your face, pull the headgear
over your head.
2. Position the lower straps so they both sit below the ears. Bring each of the magnets up to
meet their corresponding clips on the frame.
3. Adjust the fastening tabs on the upper straps until the mask feels even and stable.
Do not overtighten. Reattach the fastening tabs.
4. Repeat Step 3 with the lower straps. Reattach the fastening tabs.
5. Connect the hose to the front of the mask. Ensure that the nasal mask fits securely over your
nose. It is normal to feel some air escaping through the small air vents on the elbow of the hose.
Please refer to the manufacturer’s instructions for additional information on topics, such as:
• How to properly remove your mask
• How to remove and change the mask cushion
• How to adjust the length of the mask straps
1.
4.
2.
5.
3.

7
STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
Questions? Call 888.452.4363
4.
3.1.
5. 6.
2.
Nasal Pillow Mask
1. Hold the pillows away from your nose with the left (L) and
right (R) indicators correctly facing towards you.
2. Guide the nasal pillows into your nostrils.
3. Pull the headgear over your head by holding the bottom
strap and stretching it around the back of your head.
4. Adjust the top and bottom straps. The top strap should fit comfortably on the top of your head.
5. Ensure that the nasal pillows fit securely into your nostrils with both pillows positioned upright.
If not, move the mask away from your face and then place it back again.
6. To achieve a comfortable fit, adjust the straps. Spread the straps apart to loosen, or draw them
closer together to tighten.
Please refer to the manufacturer’s instructions for additional information on topics, such as:
• How to properly remove your mask
• How to remove and change the mask cushion
• How to adjust the length of the mask straps

8 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 888.452.4363
Full Face Mask
1. Twist and pull both magnetic clips away from the frame.
With the logo on the headgear facing outward, hold the mask
against your face and pull the headgear over your head.
2. Bring the lower straps below your ears and attach the
magnetic clip to the frame.
3. Undo the fastening tabs on the upper headgear straps. Pull the straps evenly until the mask is
stable and positioned as shown in the illustrations. Reattach the fastening tabs.
4. Undo the fastening tabs on the lower headgear straps. Pull the straps evenly until the mask sits
firmly on the chin and reattach the fastening tabs.
5. Connect the air tubing from your device to the elbow. Attach the elbow to the mask by pressing
the side buttons and pushing the elbow into the mask.
6. To achieve a comfortable fit, readjust the straps. Evenly, apply only enough tension so that a
seal is achieved.
Please refer to the manufacturer’s instructions for additional information on topics, such as:
• How to properly remove your mask
• How to remove and change the mask cushion
• How to adjust the length of the mask straps
4.
3.1.
5. 6.
2.

9
STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT
Questions? Call 888.452.4363
How to Attach Oxygen
to Your PAP Machine
If you are using non-heated tubing, and you are also using prescribed oxygen,
follow these instructions.
Attach the oxygen tee adapter that was included in the box to your PAP machine.
Next, attach the large-bore PAP tubing to the oxygen tee adapter. Finally, connect the
small-bore oxygen tubing to the oxygen tee adapter.
For detailed instructions on oxygen use, you should also review the PAP and oxygen
manufacturer’s user guides included in your package.
Oxygen Tee Adapter
IMPORTANT SAFETY NOTE: If you are using prescribed oxygen with your PAP device, be sure to observe all the fire and safety
rules associated with the use of oxygen. Follow this sequence of steps when turning your oxygen on and off. 1. Always turn
your PAP machine ON before turning ON the oxygen flow from your oxygen source. 2. Always turn OFF the oxygen flow from
your oxygen source before turning OFF the PAP machine.
ClimateLineAir™ and
ClimateLineAir™ Oxy Tubing
The ClimateLineAir™ heated tube is designed to maintain the temperature of the humidified
air as it passes through the tube. ClimateLineAir™ Oxy comes with a built-in oxygen connector for
patients who require supplemental oxygen.
The HumidAir humidifier is part of ResMed’s Climate Control solution. It is designed to seamlessly
integrate with the device and offer relief from dryness and congestion. The humidity level can be
adjusted to suit your preference.
When using ClimateLineAir™ and ClimateLineAir™ Oxy tubing, your device will automatically default
to Climate Control Auto when you plug either of these tubes into your machine (unless your doctor
has prescribed a specific heat and humidity setting).
Please review the ClimateLineAir™/ClimateLineAir™ Oxy manufacturer’s user guide for additional
information.

10 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 888.452.4363
1
2
3
If You Have
ClimateLineAir™
Oxy Heated Tubing:
Attach the oxygen using the illustrations and
directions provided here.
1. Remove the cap from the oxygen connector.
2. Connect the oxygen supply tubing to
the oxygen connector. Make sure it is
firmly attached.
If You Have
ClimateLineAir™
Heated Tubing:
Attach using the illustrations and directions
provided here.
1. Make sure the machine is turned on.
2.Hold the orange cuff of the air tubing and
line up the air tubing connector with the
connector port.
3.Push the cuff until the connector clicks
into place.
“ClimateLineAir connected” will briefly display
on the device screen.
1
2

Questions? Call 888.452.4363
START YOUR
PAP MACHINE.
1. First, put on your mask. Next,
attach the tubing to the mask.
2. Lie down and take four deep breaths.
The machine should start automatically.
If you do not hear the machine start, press
the Start/Stop button. Relax and begin to
take slow breaths through your nose.
3. Check for air leaks. Small leaks
are acceptable. If large leaks
occur, try the following:
•Grasp the mask frame and lift it
away from your face. The cushions
should also lift off your face. Lightly
place the mask back on your face.
• If large leaks still exist, adjust the
headgear. If the headgear is either
too tight or too loose, it can cause leaks.
• Additional tips for managing mask leaks
are provided on the next page.
You should also review the manufacturer’s
user guides provided in your package.
STEP 3
11
STEP 3: START YOUR PAP MACHINE
1
2

12 STEP 3: START YOUR PAP MACHINE Questions? Call 888.452.4363
Helpful Tips
12 HELPFUL TIPS
For Nasal Pillows Masks
•Position the pillow cushion tips into your nostrils so they sit comfortably under your
nose without any gaps. Pull the mask away from your face, then place it back to get a
comfortable fit.
•Adjust the side straps evenly by pulling downwards; the mask should feel secure and
comfortable against your face. Do not overtighten.
•If leaks persist, try the next larger set of cushions.
•If the pillow is not staying in place in your nostrils, try the next smaller cushion size.
For Nasal and Full Face Masks
•To resolve leaks at the upper part of the mask, adjust the upper headgear straps.
•For leaks at the lower part, adjust the lower headgear straps.
•When adjusting straps, loosen or tighten both the left and right straps so that adjustments
are made evenly.
•Adjust only enough for a comfortable seal.
•The upper strap adjustment is the key to seal and comfort.
•Do not overtighten the lower straps. They mainly serve to keep the cushion in position.
Handwashing Technique
Thorough handwashing must be done prior to all procedures. Contaminated, dirty hands are
one of the most common sources of infection.
1. Wet your hands thoroughly with warm water.
2. Use soap.
3. Scrub hands for 20 seconds using a rotary motion and friction. Wash:
• Back and palm of each hand
• Between all fingers
• Fingernails
Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
4. Rinse your hands under the running water.
5. Dry on clean towel or with a paper towel.
For additional good health habits, visit our patient education section on apria.com.

13
STEP 3: START YOUR PAP MACHINE
Questions? Call 888.452.4363 13
GET COMFORTABLE WITH YOUR THERAPY
Use your PAP therapy during all hours of sleep, including during naps. Some people may
need up to one or two weeks to adjust to PAP therapy, but the benefits are well worth it.
Ways to help you adjust:
• Try watching TV or reading while wearing your mask and headgear. Turn on the PAP device
for short periods of time while wearing your mask to get used to the pressure.
• Use your equipment every night.
• Keep the device turned on for as long as you can tolerate, building up each night until you
have reached at least 4 hours per night.
• Keep practicing until you are using PAP therapy during all hours of sleep, including during naps.
GET
COMFORTABLE
WITH YOUR
THERAPY.

14 STEP 3: START YOUR PAP MACHINE Questions? Call 888.452.4363 14 TRACK YOUR PROGRESS

15
STEP 3: START YOUR PAP MACHINE
Questions? Call 888.452.4363
You can track your progress by registering for ResMed’s myAir™ application at
www.resmed.com/myAir or by downloading the myAir™ by ResMed app from the
App Store on your smartphone. You can view your daily sleep score and previous night’s
results. You can also access other helpful information, like videos and guides designed
to help you stay motivated in adhering to your PAP therapy.
Note: Data will be available following the first night using the machine after you register.
TRACK YOUR
PROGRESS.
15
TRACK YOUR PROGRESS

16 STEP 3: START YOUR PAP MACHINE Questions? Call 888.452.4363 16 GET SUPPORT
If you are having difficulties getting used to therapy, try using your machine’s “comfort
features” to help.
Do you have a dry nose or throat, or a runny nose?
Increase the humidity level.
Are there droplets of water or condensation inside your nose, mask, or tubing?
Decrease the humidity level.
How to Change the Humidity Level:
GET SUPPORT.
This information is intended for your general knowledge only and is not a substitute
for medical advice or treatment for a specific medical condition. Should you have any
healthcare-related questions, please consult your doctor.

Is the air pressure making it difficult for you to fall asleep?
Turn on the Auto Ramp or increase the Ramp Time.
Do you feel bloated?
You may be swallowing air. Turn on the Auto Ramp or increase the Ramp Time.
Do you feel like you are not getting enough air?
Turn the Ramp Time to “off.”
How to Change the Ramp Time:
Do you have sore or dry eyes?
Adjust your mask or headgear. It may need to be repositioned. Refer to the instructions provided in
the manufacturer’s user guide for your mask. Also review Steps 2 and 3 in this guide.
Are you experiencing redness on your face where the mask touches the skin?
Your mask may be too tight. Try adjusting your headgear. If redness persists, contact Apria Healthcare.
Do you have nasal, sinus or ear pain?
You may have a sinus or ear infection. Stop using your machine and contact your doctor.
17
STEP 3: START YOUR PAP MACHINE 17
GET SUPPORT
Questions? Call 888.452.4363

18 STEP 3: START YOUR PAP MACHINE Questions? Call 888.452.4363 18 CLEANING, MAINTENANCE AND REPLACEMENT
1. Oil from your face and ingredients in facial products can cause the
PAP mask cushions to wear down and decrease the useful life of the
mask. Get in the habit of wiping down your mask each day, especially
the areas that come in contact with your skin. Clean your mask and
headgear weekly according to the instructions in the mask user guide.
2. Wash the water chamber and air tubing in warm water, using a mild
detergent. Hand wash only. Do not wash in a dishwasher, as it can
deteriorate the plastic.
3. When needed, wipe the exterior of the machine with a dry cloth.
4. Your device has an automatic air filter reminder. Refer to the
manufacturers’s instructions for information on how to replace the filter.
CLEANING,
MAINTENANCE
AND
REPLACEMENT

19
STEP 3: START YOUR PAP MACHINE
Questions? Call 888.452.4363 19
REPLACE SUPPLIES REGULARLY
Questions? Call 888.452.4363
Replace your sleep supplies regularly. This helps to ensure a good mask seal and reduce buildup
of bacteria, viruses, and allergens.1Ordering fresh, clean supplies to replace your old items helps
improve the comfort of your mask and maintains the overall effectiveness of your therapy.
Please note that the frequency of resupply and your insurance’s coverage of supplies will be governed by
your insurance plan and may differ from the schedule provided above.
REPLACE
SUPPLIES
REGULARLY
Recommended Replacement Schedule
Twice Monthly
•Headgear and chin straps
•Humidifier water chamber
•Non-disposable filters
•Mask frame
•Tubing (standard or heated)
•Full-face mask cushions•Nasal mask cushions and
nasal pillows
•Disposable filters
Once Monthly Every 6 MonthsEvery 3 Months
Source:
1. Horowitz A, Horowitz S, Chun C. CPAP Masks are Sources of Microbial Contamination. SleepHealth Centers, Div. of Sleep
Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston. APSS Poster; 2009.

ClimateLineAir and myAir are trademarks and/or registered trademarks
of the ResMed family of companies.
©2021 Apria Healthcare Group LLC SLP-4322 Rev. 07/21_v7
Apria is committed to safe, quality patient care.
We encourage you to report any concerns to your
local Apria Healthcare branch. If your concern
is not resolved, please contact the Patient Satisfaction
team at the number listed below.
800.260.8808
Apria’s customer service team of Kaiser Permanente
experts can be contacted 24 hours a day, seven
days a week:
888.452.4363