ResMed Elisee 150 User manual

Elisée™ 150
Patient Manual
English
Making quality of care easy
ResMed Ventilation solutions

Making quality of care easy
ResMed Ventilation solutions

iii
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 Definitions 1
1.2 User/owner responsibility 1
2 Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.1 Purpose of the Elisée 150 2
2.2 Warnings 2
3 Description of the Elisée 150 . . . . . . . . . . . . . . . . . . . . . . . . . 3
3.1 Components of the Elisée 150 3
3.2 Front of the Elisée 150 4
3.3 Touch screen 4
3.4 Connecting the circuit 5
3.5 On/Off button 6
3.6 Rear view 6
4 Connection Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
4.1 Connecting the circuit 7
4.2 Electrical connection 8
4.3 Connecting an oxygen supply 10
4.4 Connecting the mask 11
4.5 Example of a fully-assembled system 11
5 How to use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
5.1 Starting up the ventilator 12
5.2 Starting ventilation 12
5.3 Stopping ventilation 13
5.4 Shutting down the ventilator 14
5.5 Viewing ventilation settings and measurements 15
5.6 Charging the battery 15
6 Alarms and Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . 16
7 Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . 17
7.1 Maintenance of the dust filter 18
7.2 Maintenance of the exterior of the ventilator 18
7.3 Maintenance of your circuit 18
8 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
8.1 Technical specifications 19
8.2 Description of buttons and symbols 19
8.3 Travelling with your ventilator 21
8.4 Manual test (while ventilation is stopped) 21
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Contents

iv

1Introduction
1 Introduction
This manual is provided with your Elisée™ 150 ventilator (with software version
2.54 NIV+or higher). It is not a substitute for the clinical manual.
1.1 Definitions
This manual contains special terms and icons that appear in the margins to draw
your attention to specific and important information.
WARNING
Alerts you to possible injury.
CAUTION
Explains special measures for the safe and effective use of the ventilator.
Note: Is an informative or helpful note.
1.2 User/owner responsibility
The owner or user of this system shall have sole responsibility and liability for any
injury to persons or damage to property resulting from:
•The device being set up, operated or cleaned in a manner which does not
comply with the instructions provided
•The device being set up, maintained or altered by unauthorised persons and/
or in a manner which does not comply with the instructions.
Please read this manual carefully before use.

2
2 Medical Information
2.1 Purpose of the Elisée 150
The Elisée 150 is a ventilator designed to be used by both adults and children, in
the home or clinical environment. The ventilator is used with either a single or a
double patient circuit.
2.2 Warnings
•This manual is provided with the ventilator you have received. It does not in
any way replace the clinical manual supplied to your physician or clinical care
provider.
•The advice contained in this manual does not replace the instructions given
by your physician (or clinical care provider), who will already be familiar with
the operation of the device through the clinical manual provided.
•The ventilator settings must be made by competent and trained staff under a
doctor's supervision.
•The ventilator must be used with the accessories recommended by the
manufacturer or your prescribing physician. The use of inappropriate
accessories is likely to affect the operation of the ventilator.
•If you have any questions about setting up, operating or maintaining your
ventilator or its accessories, contact your HME provider.
•The ventilator must be transported in its travel bag.
•In the case of externally visible faults, cease using the ventilator.
•In the event of functional problems (e.g. you find it difficult to breathe or
trigger an inspiratory phase), do not hesitate to contact your clinical care
provider.
•To avoid the risk of electrocution, do not open the device casing. Repairs and
internal servicing should only be performed by an authorised service agent.
•If there is interference on the electrical network, operate the ventilator on
battery power.
•Your HME provider must ascertain the electromagnetic characteristics of the
environment in which this ventilator will be used. In particular, your HME
provider must ensure that:
•When the ventilator is operated in proximity to other electrical devices,
including cell phones, there is no interference, and the ventilator performs
correctly
•The ventilator is never placed on or under other devices
•There is an adequate distance between the ventilator and other electrical
devices in your home.
•In accordance with Directive 2002/96/EC concerning waste electrical and
electronic equipment, this ventilator must be sorted and disposed of
separately from other types of rubbish. It must not be disposed of with
ordinary municipal waste. Contact your HME provider for more information.
The above are general warnings. Other specific warnings and notes will be found
throughout the manual.

3Description of the Elisée 150
3 Description of the Elisée 150
3.1 Components of the Elisée 150
The picture below shows the set of components available from your clinical care
provider:
•Travel bag (1)
•Elisée 150 ventilator (2)
•Standard power cord (3)
•Patient circuit (double circuit shown here) (4).
Figure 1: Elisée 150 components.
1
INT.
EXT.
2
3
4

4
3.2 Front of the Elisée 150
The front has:
•a touch screen (1);
•an LED panel and an Alarm Silence button (2);
•a retractable handle (3).
Figure 2: Front view.
3.3 Touch screen
You can use the buttons displayed on the device's touch screen to navigate
through the menus of the Elisée 150.
When you start up your Elisée 150, the start screen appears.
The following information is displayed:
Figure 3: Start screen.
Note: See Section 8.2, “Description of buttons and symbols” on page 19 for
more information on the various screens.
INT.
EXT.
1
2
3
Intern.
Mains
START
VENTIL

1s
PS
Wednesd. February
28
11: 28: 31
P1:
P2: ACV
Ventilation
programs
configured by
your physician.
Start ventilation
button.
Type of
electricalpower
supply.

5Description of the Elisée 150
3.4 Connecting the circuit
Your ventilator will be fitted with a circuit support to connect a single or double
circuit to, as prescribed by your physician.
Figure 4: Single circuit support.
Figure 5: Double circuit support.
Air outlet
Exhalation and proximal pressure line
connections
Air outlet
Exhalation circuit support with valve

6
3.5 On/Off button
The On/Off button, along with several electrical connection ports, is on the right
side of your Elisée 150.
Figure 6: Right side.
3.6 Rear view
At the rear of the ventilator you will see:
•The oxygen connection (if prescribed by your physician)
•The air inlet.
Figure 7: Rear view.
WARNING
•Do not block the air inlet, or the performance of your ventilator may be
compromised.
•Use of oxygen can lead to a risk of explosion. Consult your clinical care
provider on the necessary precautions.
12-28 V
15A max
On/Off button
Oxygen connection
Air inlet
Oxygen sensor

7Connection Procedures
4 Connection Procedures
4.1 Connecting the circuit
Your system may be configured for either a single circuit or double circuit. For
connection instructions, refer to the appropriate section for your air tubing
configuration.
WARNING
Only the circuit supplied by your HME provider may be used with your device.
Using a different type of circuit may reduce the effectiveness of your treatment.
Connecting a single circuit
1. Connect the expiratory valve tube which has a connector on one end by
pushing it firmly over the longer of the two pressure connectors on the
ventilator (a).
2. Then push the tube without a connector firmly onto the shorter pressure
connector (b).
CAUTION
Take great care not to confuse the two tubes.
3. Then fasten the patient circuit firmly to the air outlet.
Figure 8: Connection of a single circuit.
ab
Depending on the type of
patient circuit you are using,
it may be necessary to cut
off the tip of the proximal
pressure line.

8
Connecting a double circuit
1. Connect one limb of your double circuit to the air outlet.
2. Secure the other limb of your circuit to the other connector.
Note: Other components in your patient circuit may include a humidification
system, an antibacterial filter, a mask or cannulae, and water traps. Contact your
clinical care provider if you have any concerns about connecting your patient
circuit or accessories. Read the instructions provided with any accessories you
are using (humidifier, filters, etc.).
Figure 9: Connection of a double circuit.
4.2 Electrical connection
Your ventilation may have one of two electrical connection configurations:
•Standard electrical connection
or
•External electrical connection (on the right side of the ventilator).
CAUTION
Be careful not to place the ventilator where it could be knocked over or
where someone may trip over the power cord.

9Connection Procedures
Standard electrical connection
If you are using the standard electrical connection located under your
Elisée 150 (See Figure 11):
Figure 10: Standard power cord.
1. Insert one end of the cord into the connector underneath the ventilator.
2. Push down the fastening clip on the connector.
3. Insert the mains plug into the power supply.
Figure 11: Standard mains power connection.
CAUTION
Remember to push down the fastening clip to hold the power cord in place.
This will prevent accidental disconnection from the power supply.

10
External electrical connection
If you are using an external electrical connection as shown below:
Figure 12: External electrical connection.
1. On the right side of the device, insert the cord into the connector in the
socket marked “ .”
2. Insert the other end of the cord into a power outlet.
Figure 13: External mains power cable connection.
4.3 Connecting an oxygen supply
Your Elisée 150 will be equipped with an oxygen connector should your
prescribed treatment require oxygen.
Connect the oxygen supply tube to the oxygen connector on the rear of the
ventilator.
CAUTION
Ensure that the oxygen supply is switched off whenever oxygen is being
connected or disconnected.
12-28 V
15A max
1
2

11Connection Procedures
Figure 14: Connection of oxygen supply.
4.4 Connecting the mask
Refer to the instructions given by your physician or HME provider.
CAUTION
It is essential to use only the mask supplied by your physician or HME provider.
4.5 Example of a fully-assembled system
Figure 15: Example of a fully-assembled system (single circuit with expiratory
valve and proximal pressure line)
Oxygen supply:
Max. pressure: 400 kPa
Max. flow: 15 L/min

12
5 How to use
This ventilator and its accessories must be operated in a dust-free environment
and kept away from direct sunlight.
The ventilator is a medical device. To ensure smooth operation, keep the
ventilator out of reach of pets, and ensure children do not have unsupervised
access to it.
5.1 Starting up the ventilator
After making all the required connections (patient circuit, accessories,
tracheotomy tube or mask, electrical connections, etc.), press the On/Off button
on the right-hand side of the ventilator.
Figure 16: Switch the ventilator on.
5.2 Starting ventilation
When the ventilator starts up, the start screen is displayed. Press and hold the
"START VENTIL" button for one second to start treatment.
Figure 17: Starting ventilation.
12-28 V
15A max
Intern.
Mains
START
VENTIL

1s
PS
Wednesd. February
28
11: 28: 31
INT.
EXT.

13How to use
Selecting a ventilation program
Your physician may configure two different ventilation programs on your
Elisée 150.
To switch from one ventilation program to the other, simply press and hold the
appropriate button. The selected program will turn black.
Figure 18: Selecting the ventilation mode.
5.3 Stopping ventilation
1. Press the On/Off button on the right-hand side of the ventilator.
2. Press to stop ventilation.
Figure 19: Stopping ventilation.
Intern.
Secteur
ACV
PS
P1:
P2:
Wednesd. February
28
11: 28: 31
INT.
EXT.
< Ai
0
10
2 0
30
40
50
60
70
80
90
< PE
33.6 H 2 O
cm
INT.
EXT.
Retour
< Ai
0
10
2 0
30
40
50
60
70
80
90
< PE
33.6 H 2 O
cm
Pause (stop ventilation)
Stop machine

14
5.4 Shutting down the ventilator
1. Press the On/Off button on the right-hand side of the ventilator.
2. Depending on whether or not your ventilator is delivering ventilation:
•During ventilation, press to turn off the ventilator:
Figure 20: Shutting down the ventilator during ventilation.
•When ventilation is not being delivered, press YES to turn off the ventilator:
Figure 21: Shutting down the ventilator when ventilation is not being delivered.
INT.
EXT.
Back
< Ai
0
10
2 0
30
40
50
60
70
80
90
< PE
33.6 H 2 O
cm
Pause (stop ventilation)
Stop machine
EXT.
Do you want to switch off?
YESYES NONO
INT .
Last test the 06/12/10
Double circuit : PASS
TESTTEST
Date displayed as
Day/ Month/ Year

15How to use
5.5 Viewing ventilation settings and measurements
To view the ventilation measurements and the settings programmed by your
clinical care provider, press the ventilation program button. The following screen
will appear:
Figure 22: A typical ventilation measurements and settings screen (while
ventilation is being delivered).
5.6 Charging the battery
The battery of your Elisée 150 charges whenever your mains power cord is
connected (See Section 4.2, “Electrical connection” on page 8), whether or not
the ventilator is switched on.
The table below explains the various battery LED displays.
Table 1: Battery LED on the LED panel.
0
10
2 0
30
40
50
60
70
80
90
< PE
┘HP
26 H 2 O
cm
PEEP
PEEP
4.2 H 2 O
cm
26 H 2 O
cm
V
TI
TI
I/E
I/E
500 ml
V
TE
TE
500 ml
Ppeak
Ppeak
V T
500 ml
PEEP
PEEP
F
Flowshape
Flowshape
Trigger
Trigger
3
1
Patient meter : 00000163H
15 bmp 1/2.0
4 H
2 O
cm
Symbol and LED status Meaning
Steady green light Battery charged.
Green light, flashing slowly Battery discharging.
Orange light, flashing slowly Battery discharging (battery low).
Red light, flashing slowly Battery discharging (battery flat).
Orange light, flashing rapidly Battery charging interrupted (battery
temperature too high or too low).
Green light, flashing rapidly Battery charging.

16
6 Alarms and Troubleshooting
The Elisée 150 is fitted with alarms to alert you to changes that will affect your
treatment. Check that the patient circuit is correctly connected to your ventilator.
Some alarms can be deactivated temporarily (for 2 minutes) by pressing
the button.
The alarm will be reactivated if the problem persists.
CAUTION
Service and repairs should only be performed by an authorised service
agent. Do not attempt to service or repair the ventilator yourself.
The table below will help you identify the cause of the problem. If the fault
persists or cannot be identified, do not try to open the device. Instead, contact
your HME provider.
Table 2: Alarm, cause and solution.
Alarm icon Cause Solution
Internal battery power low. Connect ventilator to mains supply.
External battery power low. Connect ventilator to mains supply.
A component in your patient
circuit is wrongly connected.
Check that your patient circuit is set
up correctly as demonstrated by
your clinical care provider, or replace
it. Contact your clinical care provider
if the alarm persists.
A technical fault has occurred
in your ventilator.
Contact your clinical care provider.
HP A component in your patient
circuit (tubing, mask,
tracheotomy tube, etc.) may
be blocked.
Clean, empty or replace the
components of your patient circuit.
Contact your clinical care provider if
the alarm persists.
LP A component in your patient
circuit (tubing, mask,
tracheotomy tube, etc.) may
be wrongly connected.
Check that your patient circuit is set
up correctly as demonstrated by
your clinical care provider, or replace
it. Contact your clinical care provider
if the alarm persists.
INT.
EXT.