ResMed Astral Series User manual

Quick start guide
English

Read your entire Astral™User Guide or Clinical Guide before use.
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
and connection of
approved accessories)
6. Mini USB connector for
ResMed Connectivity
Module (RCM) or ResMed
Connectivity Module
Hospital (RCMH)
7. DC power inlet
8. Device on/off push button
9. SpO2Sensor connector
10.Remote alarm five pin
connector
11. Low flow oxygen input
(up to 30L/min)
12.Air inlet
(complete with
hypoallergenic filter)
Note: Some accessories may
not be available in all regions.
4 5 6 7 8
9101112
1

The Astral device interface
5 4 3
121. Touch screen
2. Power source indicators
AC (mains power supply)
DC (external battery, car
accessory adapter or
ResMed Power Station II)
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
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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

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. For recommended patient circuit
components and compatible accessories, refer to www.resmed.com/astral/circuits.
There are three circuit adapters:
Adapter For use with
1. Single limb
leak
Single limb circuit with intentional
leak
or Mouthpiece circuit
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
or Mouthpiece circuit
Fitting the circuit adapter
Before connecting the patient circuit, the adapter specific to the required circuit type must be fitted.
To fit the adapter:
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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

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 or
Mouthpiece circuit
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) or
single limb circuit with intentional leak and
Mouthpiece circuit
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 Results screen is displayed once Learn
Circuit is complete. Error codes are provided
if Learn Circuit fails and can be found in the
Clinical Guide for help with troubleshooting.
The previous test results can be accessed by
selecting the Results button in the Circuit sub
menu.
4

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

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 main menu, 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

Navigating the menus
Monitors
Waveforms Displays the last 15 seconds of patient
airway pressure and flow in a graph. The
graph updates in real-time.
Monitoring Displays all measured parameters in
numerical form.
Trends Displays trending of various parameters
for the last 30 days.
Setup
Programs*
Setup Assistant*
Circuit
Settings Main Settings
Manual Breath
Sigh Breath
USB Patient Data
Settings
Upgrade**
Device Config. Device
Date / Time
Units
Patient access
Alarms
Alarm 1 & 2 Tidal Volume (Vt)
Minute Ventilation (Mv)
Respiratory Rate
Pressure
Low PEEP
Ventilation Stop
Leak
NV mask / Rebreathing
Alarm 3 FiO2
SpO2
Pulse
Apnoea
Response
Apnoea Response
Apnoea Detection
Alarm Volume Alarm Level
Alarm Minimum Volume
Alarm Test
Disconnection
Alarm
Disconnection Alarm
Information
Events Alarms
Settings
System
Delete*
Device Basic
Advanced
Battery Charge
Maintenance
*Available in Clinical mode only. **Software upgrades can only be performed by an authorised service representative. Astral has the ability to
be upgraded with a USB stick containing the appropriate software. Please contact your authorised agent for further information.
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Enabling additional programs
The Astral device comes factory preset
with one active program. Additional
programs can be enabled.
1. Access Clinical mode.
2. From the Setup main menu, select
Programs.
3. Enable additional programs by pressing
the slider.
Note: The current active program is
highlighted in orange and cannot be
disabled.
4. Rename the program by pressing the
Rename button.
Within the Rename window, a name
for the current active program can be
chosen from the list provided (eg, DAY).
Note: A selected name can be removed
by pressing the delete button .
5. When selected, the program name is
displayed on the program label and on
the information bar when that program
is active.
8

Enabling additional programs
The Astral device comes factory preset
with one active program. Additional
programs can be enabled.
1. Access Clinical mode.
2. From the Setup main menu, select
Programs.
3. Enable additional programs by pressing
the slider.
Note: The current active program is
highlighted in orange and cannot be
disabled.
4. Rename the program by pressing the
Rename button.
Within the Rename window, a name
for the current active program can be
chosen from the list provided (eg, DAY).
Note: A selected name can be removed
by pressing the delete button .
5. When selected, the program name is
displayed on the program label and on
the information bar when that program
is active.
Enabling the ‘Big buttons’ mode
The Astral device offers an enhanced
access feature (‘Big buttons’ mode) to
provide easier usability and accessibility for
starting and stopping ventilation as well as
Alarm mute.
The ‘Big buttons’ mode can be switched
on and off as required in either Clinical or
Patient mode.
1. From the main menu, press .
2. Select the Patient Access tab from the
Device Config. menu.
3. Move the Big buttons slider to On.
Your enhanced access feature is now
enabled.
9

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.
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.
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
10

Attaching a humidifier
1. Connect a length of air tubing
to the inspiratory port of the
device.
2. Connect the other end of the
air tubing to the inlet port of the
humidifier.
3. Connect the patient circuit
to the outlet port on the
humidifier.
Attaching a Heat Moisture Exchange (HME)
An HME can be used with the
Astral device with a double limb
circuit or single limb circuit with
integrated valve.
Place the HME between the
patient end of the circuit and the
patient interface.
Do not connect patient interfaces
prior to performing the Learn
Circuit.
Attaching an antibacterial filter
1. Fit the antibacterial filter to the
inspiratory port of the device.
2. Connect the air tubing to the
other side of the filter.
3. Perform the Learn Circuit
function.
4. Attach the patient interface to
the free end of the air tubing.
For complete details on attaching
patient circuit accessories, see
Accessories in the Astral Clinical
Guide.
For a full list of accessories, see the Ventilation accessories guide on www.resmed.com.
If you do not have internet access, please contact your ResMed representative.
To patient
To patient
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ResMed.com
ResMed Pty Ltd
1 Elizabeth Macarthur Drive, Bella Vista NSW 2153 Australia
See ResMed.com for other ResMed locations worldwide. Astral is a trademark and/or registered trademark of the
ResMed family of companies. For patent and other intellectual property information, see ResMed.com/ip.
© 2018 ResMed. 278119/3 2018-07