ResMed Astral 150 User manual

Quick setup guide
English
278074 Astral QSG ROW Eng Ref.indd 1 31/03/2014 12:58:33 PM

278074 Astral QSG ROW Eng Ref.indd 2 31/03/2014 12:58:33 PM

The Astral device
1
2
3
1. Adapter port
Can be fitted with single
limb adapter, single limb leak
adapter or double limb adapter
(Astral 150 only)
2. Handle
3. Inspiratory port (to patient)
4. Ethernet connector
(service use only)
5. USB connector
(for download to ResScan)
6. Mini USB connector
(service use only)
7. DC power inlet
8. Device on/off push button
9. SpO2 Sensor connector
10. Remote alarm five pin
connector
11. Low flow oxygen input
(up to 30L/min)
12. Air inlet
(complete with hypoallergenic
filter)
4 5 6 7 8
9101112
1
278074 Astral QSG ROW Eng Ref.indd 1 31/03/2014 12:58:39 PM

The Astral device interface
5 4 3
121. Touch screen
2. Power source indicators
AC (mains power
supply)
DC (external battery or
car accessory adapter)
Internal battery
3. Therapy on/off indicator
Device ready
Constant green display
when the device is
turned on but not
ventilating.
Device ventilating
Flashes blue when the
device is ventilating
and the Ventilation
LED setting is ‘ON’.
Otherwise is ‘OFF’
4. Alarm mute/reset button
Illuminates when an alarm is
triggered and flashes when the
sound is muted.
5. Alarm bar
Touch screen
1 2 3 4 5
6
789
11
10
1. Clinical mode access button
Locked Unlocked
2. Manual breath
button only shown if enabled
3. Information bar
4. Internal battery indicator
5. Lock touch screen button
6. Menu bar
7. Bottom bar
8. Start ventilation
button
Stop ventilation
button
9. Main screen
10. Sub menus
11. Pressure bar
2
278074 Astral QSG ROW Eng Ref.indd 2 31/03/2014 12:58:44 PM

Patient circuits
The Astral device supports single and double limb circuits with the use of interchangeable circuit adapters.
Breathing circuits may be of 10, 15 or 22 mm diameter.
There are three circuit adapters:
Adapter For use with
1. Single limb
leak
Single limb circuit with
intentional leak
2. Single limb
Single limb circuit with
expiratory valve (expiratory
valve integrated into the
circuit)
3. Double limb
(Astral 150
only)
Double limb circuit
(expiratory valve integrated
into the adapter) OR single
limb circuit with intentional
leak
Fitting the circuit adapter
Before connecting the patient circuit, the adapter specific to the required circuit type must be fitted.
To fit the adapter:
12
34
5
1. Turn over the device and place on a soft surface
(to protect the LCD screen).
2. Press and hold the eject button. Pull the cover out
towards you.
3. Lift the adapter out of the socket.
4. Replace with the new adapter, ensuring it sits
firmly in the socket.
5. Place the cover over the enclosure, ensuring the
runners on the device and the cover are aligned.
Slide the cover back into place until the latch
clicks.
3
278074 Astral QSG ROW Eng Ref.indd 3 31/03/2014 12:59:00 PM

Setting up the circuit
For complete details on setting up the circuit see Assembling patient circuits in the Astral Clinical Guide.
Single limb circuit with intentional leak Single limb circuit with expiratory valve using
ResMed proprietary circuit
Single limb circuit with expiratory valve using
standard circuit
Double limb circuit (Astral 150 only)
To patient
Performing a Learn Circuit
Do not connect patient interfaces prior to performing
the Learn Circuit.
1. From the Setup menu, select the Circuit sub
menu.
2. Press Start and follow the on-screen prompts.
A test result screen is displayed if any of the tests
fail, otherwise the Learn Circuit function has been
successfully completed and you will be returned to
the main settings page.
4
278074 Astral QSG ROW Eng Ref.indd 4 31/03/2014 12:59:20 PM

Powering on the device
To power on the device, simply press the
green power on/off switch at the back
of the device. The device will perform a
system check.
On completion of the system check, the
Patient Home screen and active program is
displayed.
If more than one program displays, the
active program will be highlighted orange.
Note: Settings configured in the active
program will be used when ventilation is
started.
Accessing Clinical mode
To access Clinical mode:
Clinical mode can be accessed from any
screen, whether or not the Astral device is
ventilating.
1. From the patient home screen, press
and hold for 3 seconds.
2. Select 20 minutes or Unlimited.
The padlock is unlocked and the Main
Settings screen is displayed.
To exit Clinical mode:
1. Press . The Exit Clinical Mode
screen is displayed.
2. Press Confirm. The padlock is locked and
the Patient Home screen is displayed.
Note: If you do not make a selection
within 7 seconds, the device returns to the
previous screen.
5
278074 Astral QSG ROW Eng Ref.indd 5 31/03/2014 12:59:24 PM

Using the Setup assistant
To quickly set up the Astral device and start
ventilation for a new patient, use the Setup
assistant.
1. Access Clinical mode.
2. From the Menu bar, press .
3. Select SetupAssistant and press Start.
4. A warning message will display. Select
Continue.
5. Select the patient type to automatically
configure alarm and setting ranges.
6. Select the circuit type to be connected.
7. Select Start to run the Learn Circuit.
8. Follow the on-screen prompts to attach
and test the circuit.
9. Select your required ventilation mode.
The default settings for the mode are
displayed
10. Review and adjust the settings as
required.
11. Press to start ventilation.
For further information on adjusting
setting parameters and alarm settings, see
Adjusting patient settings and Adjusting
alarm settings in the Astral Clinical Guide.
6
278074 Astral QSG ROW Eng Ref.indd 6 31/03/2014 12:59:26 PM

Navigating the menus
Monitors
Waveforms The Waveforms screen
displays the last 15 seconds
of patient airway pressure
and flow in a graph. The
graph updates in real-time.
Monitoring The Monitoring screen
displays all measured
parameters in numerical
form.
Trends
Setup
Programs*
Setup
Assistant*
Circuit
Settings Main Settings
Manual Breath
Data
Transfer
Transfer Data
Import / Export
Device
Config.
Display
Date / Time
Units / Option
Reset
Alarms
Alarms 1 Tidal Volume (Vt)
Minute Ventilation (Mv)
Respiratory Rate
Pressure
Low PEEP
Alarms 2 Ventilation Stop
Leak
Non-vented Mask (NV Mask)
Alarms 3 FiO2
SpO2
Pulse
Apnoea
Response
Apnoea Response
Apnoea Definition
Alarm
Volume
Alarm Level
Alarm Test
Information
Events Alarms
Settings
System
Device Information
*Available in Clinical mode only
7
278074 Astral QSG ROW Eng Ref.indd 7 31/03/2014 12:59:27 PM

Alarms
When an alarm is activated, the Astral device provides both audible and visual alerts, and displays an alarm
message in the Alarm display on the Information bar.
1
2
4
5 3
Alarm priority Alarm bar Audible alert
High Red flashing light 10 beeps every
5 seconds
Medium Yellow flashing
light
3 beeps every
15 seconds
Low Yellow steady 2 beeps every
25 seconds
Indicator Description
1. Alarm
display
Displays either the alarm
message for the highest
priority active alarm, or the last
alarm not yet reset.
Press the Alarm display for
further alarm information.
Certain conditions may
result in multiple alarms.
indicates that there are
multiple active alarms.
Press when displayed
to view all active alarms and
respond appropriately. Alarms
are displayed in order of
priority.
2. Active
Alarms
screen
Displays the full set of active
alarms. Will automatically
display upon activation of an
alarm in patient mode.
3. Information
menu
Some alarms clear
automatically. To view a history
of alarms, view the alarm log
through the Information menu.
4. Alarm
mute/reset
button
State:
• no light – no active alarms
• steady light – active alarm/s
• flashing light – alarm mute
on.
This button also allows you to:
• mute the audible alert
• reset the currently displayed
alarm (if permitted).
5. Alarm bar Indicates the priority of the
alarm in the Alarm display.
8
278074 Astral QSG ROW Eng Ref.indd 8 31/03/2014 12:59:31 PM