ResMed Flow Generator AutoSet CS 2 User manual

AutoSet CS™2
Clinician’s Manual
User’s Manual
English
Front Cover - CLINICAL.qxp 12/05/2006 2:36 PM Page 1
268334/2 2015-10

CLINICIAN’SMANUAL 1
USER’SMANUAL 23
AutoSet CS™2
USER’SCLINICIAN’S
26853r2.book Page 1 Thursday, May 11, 2006 11:05 AM

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 Resmed.com for other ResMed locations worldwide. For patent information, see Resmed.com/ip. SmartMedia is a trademark of
Toshiba. Papillon is a trademark of MAP Medezin-Technologie GmbH. Activa, AutoSet CS, HumidAire, HumidAire 2i, HumidAire 2iC, Mirage,
ResControl, ResLink, SmartStart, Smart Data, Ultra Mirage and Vista are trademarks of ResMed Ltd. © 2015 ResMed Ltd. 268334/2 2015-10
ResMed.com

CLINICIAN’S
1
CLINICIAN’S MANUAL
AutoSet CS™2
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2
CONTENTS
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DEFINITIONS 3
USER/OWNER RESPONSIBILITY 3
MEDICAL INFORMATION 3
INTENDED USE 3
CONTRAINDICATIONS 3
DELIVERING TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
INITIAL TREATMENT 5
STARTING AND STOPPING TREATMENT 5
CONNECTING THE TUBING TO THE MASK 6
CLINICAL MENUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
SETTINGS MENU 8
RANGE OF PARAMETERS 10
ALARMS MENU 11
RESULTS MENU 12
OPTIONS MENU 13
ADVANCED MENU 14
SERVICING MENU 15
FACTORY DEFAULT SETTINGS 16
TREATMENT SCREENS 17
ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
RESLINK 19
RESCONTROL™ II 19
RESSCAN 19
RESVIEW 19
HUMIDIFIERS 19
ANTI-BACTERIAL FILTER 19
SUPPLEMENTAL OXYGEN 20
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
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3
INTRODUCTION
CLINICIAN’S
INTRODUCTION
This booklet is a supplement to the AutoSet CS2 User’s Manual for the clinician. It
contains information about the Clinical menus accessible from the AUTOSET CS™ 2
control panel, and other specific instructions for the clinician.
Information about AUTOSET CS2 interpretative software can be found in the ResScan
Clinician’s Manual, and information about the clinical use of the AUTOSET CS2 can be
found in the AutoSet CS2 Clinical Training Manual.
DEFINITIONS
This manual contains special terms and icons that appear in the margins.
WARNING: Alerts you to possible injury.
CAUTION: Explains special measures for the safe and effective use of the device.
USER/OWNER RESPONSIBILITY
The user or owner of this system shall have sole responsibility and liability for any injury
to persons or damage to property resulting from:
•operation which is not in accordance with the operating instructions supplied
•maintenance or modifications carried out unless in accordance with authorised
instructions and by authorised persons.
Please read this manual and the AutoSet CS2 User’s Manual carefully
before use.
MEDICAL INFORMATION
INTENDED USE
The AUTOSET CS2 system 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.
CONTRAINDICATIONS
The AUTOSET CS2 is not a life support ventilator and may stop operating with power
failure or in the unlikely event of certain fault conditions.
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.
The use of the AUTOSET CS2 may be contraindicated in patients with:
•acute sinusitis or otitis media
•epistaxis causing a risk of pulmonary aspiration
•conditions predisposing to a risk of aspiration of gastric contents
•impaired ability to clear secretions
•hypotension or significant intravascular volume depletion
•pneumothorax or pneumomediastinum
•recent cranial trauma or surgery.
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4
Below are general warnings and cautions. Further specific warnings,
cautions and notes appear next to the relevant instructions in the
manual.
!
WARNINGS
•The AUTOSET CS2 is NOT a life support ventilator.
•Before putting patients on ASV, each patient should be assessed for heart failure.
In case of signs and symptoms of heart failure an objective assessment of LVEF
should be performed.
•Check the patient’s blood pressure before, during and after 10 minutes of therapy.
•The entire manual should be read before using the AUTOSET CS2.
•Advice contained in this manual should not supersede instructions given by the
prescribing physician.
•The AUTOSET CS2 should be used with masks and accessories recommended by
ResMed or the prescribing physician. Use of incorrect masks and accessories may
adversely affect the function of the AUTOSET CS2.
•The AUTOSET CS2 is designed for use with masks that allow exhaled gases to be
flushed out through vent holes. Exhaled gases will be rebreathed if the mask is
worn with the machine turned off, or the vent holes are occluded. If this occurs
over prolonged periods, suffocation may occur.
•In the event of power failure or machine malfunction, remove the mask from the
patient.
•The air flow for breathing produced by this device can be as much as 6oC (11oF)
higher than the temperature of the room. Caution should be exercised if the room
temperature is warmer than 32oC (90oF).
•The AUTOSET CS2 can be set to deliver pressures up to 20 cmH2O. In the unlikely
event of certain fault conditions, pressures of up to 40 cmH2O for up to 0.7
seconds are possible.
•The AUTOSET CS2 is not suitable for use in the vicinity of flammable anaesthetics.
•If oxygen is used with the AUTOSET CS2, the oxygen flow should be stopped
when the device is not operating. If oxygen flow continues when the device is not
operating, oxygen may accumulate within the device and create a risk of fire.
•Not for use with flammable anaesthetic mixture with oxygen or nitrous oxide.
•Do not use the AUTOSET CS2 if there are obvious external defects or unexplained
changes in performance.
•Do not open the AUTOSET CS2 case. There are no user serviceable parts inside.
Repairs and internal servicing should only be performed by an authorised service
agent.
!
CAUTIONS
Patients should report unusual chest pain, severe headache or increased
breathlessness. An acute upper respiratory tract infection may require temporary
discontinuation of treatment.
The following side effects may arise during the course of therapy with the AUTOSET CS2 :
•drying of the nose, mouth or throat
•bloating
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5
DELIVERING TREATMENT
CLINICIAN’S
•ear or sinus discomfort
•eye irritation
•skin rashes
•chest discomfort.
DELIVERING TREATMENT
!
WARNING
Positive pressure therapy can reduce cardiac output in some patients. Read the
Contraindications and Warnings carefully before initiating use.
INITIAL TREATMENT
Before initiating treatment with an AUTOSET CS2, it is recommended that blood
pressure is measured. In rare cases, blood pressure may fall on initiating positive air
pressure (PAP) treatment.
Set up the AUTOSET CS2 and set the intended ASV-CS setting (page 8). Fit the mask
to the patient and commence therapy. Check the patient’s blood pressure before,
during and after 10 minutes of therapy.
NOTE The use of a full face mask is highly recommended to minimise mouth leak. Leak can
impair the effectiveness of treatment.
Select the ERASE DATA option (page 14) before starting therapy on a new patient to
ensure the integrity of new patient data.
STARTING AND STOPPING TREATMENT
1. The unit and mask system should be assembled, with the proximal cuff and sensor
tubes connected to the air tubing. Do not put the mask on the patient yet.
2. Turn the power switch at the back of the unit to ON. Allow the unit to warm up
for approximately 30 seconds.
3. If the air circuit has been changed at all since the last time the AUTOSET CS2 was
used (eg adding or removing a humidifier, changing the mask type), run the Air
Circuit Learn function (page 9). If a different mask is being used, you will also need
to change the MASK option in the Settings menu (page 9).
4. Ask the patient to lie down in bed. Arrange the air tubing so that it is free to move
if they turn in their sleep. Have the patient fit the mask to their face.
!
CAUTION
Do not leave long lengths of air tubing around the top of the bed that could twist
around the patient’s head or neck while sleeping.
Make sure the area around the unit is clean (dust free) and clear of bedding,
clothes and any other potential blockages.
5. When the patient has sufficient expiratory flow, the SMARTSTART™function
detects that the mask is on and automatically begins therapy. If necessary, press the
Start/Stop key on the front of the unit. As the pressure increases, you may need
to adjust the mask and headgear so that the mask sits comfortably on the patient
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6
and does not leak. Leak and pressure can be monitored via the Treatment screens
(page 17) to help obtain the best mask fit.
6. If the device stops while the mask is being positioned, breathing into the mask will
restart it, or you can press the Start/Stop key again.
7. If SMARTSTOP is enabled AUTOSET CS2 will run only when the patient is breathing
through the mask. If SMARTSTOP is not enabled, remove the mask and press the
Start/Stop key to stop the device manually.
8. The AUTOSET CS2 restarts in the mode in which it stopped.
CONNECTING THE TUBING TO THE MASK
The proximal cuff is designed so that there is a single fitting between the mask and the
air tubing. Twist the Luer lock fitting on the pressure sensor tube onto the connector
on the proximal cuff, and attach the cuff to the mask.
NOTE The pressure sensor tube is placed as close as possible to the mask as part of the alarm
sensing mechanism.
Figure 1: Attaching the air tubing to a mask
NOTE ResMed recommends the following tubing products for use with the AutoSet CS2:
replacement air hose (only) PN 14948; replacement air delivery system (hose, sensor line,
clips, proximal cuff) PN 26909.
On some masks, the pressure sensor tube may also be directly connected to the mask
port.
Figure 2: Attaching the pressure sensor tube directly to a mask
To attach the pressure sensor tube directly to the mask:
•untwist the mask port cap
Pressure sensor tube
Proximal cuff
Mask
Pressure sensor tube
Mask port
Luer lock
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7
CLINICAL MENUS
CLINICIAN’S
•gently detach enough of the tube clips to release the mask end of the pressure
sensor tube from the air tubing
•twist the Luer lock on the pressure sensor tube onto the mask port.
CLINICAL MENUS
You can adjust the parameter settings in the Clinical menu to determine the therapy
delivered to your patient by the AUTOSET CS2 system. In ASV-CS mode, the
AUTOSET CS2 also makes automatic adjustments to the therapeutic pressure
(magnitude and respiratory rate) in response to the patient’s breathing pattern.
The Clinical menus provide access to all Patient menu functions, plus additional
settings, results and options.
You can enter the Clinical menus at any time from any other point in another menu.
To gain access to the Clinical menus, press the Right and Up/Down keys
simultaneously for 3 or more seconds.
At start up, the LCD displays the last menu used in the previous session.
!
WARNING
Before giving an AUTOSET CS2 to a patient, press ‘exit’ on the standby screen when
leaving the Clinical menu to ensure that only the Patient menu is available.
Figure 3: Clinical menu standby screen
The AutoSet CS2 User’s Manual contains a full description of key functions.
CLINICAL
menu exit
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8
SETTINGS MENU
MODES
There are two mode settings available in the AUTOSET CS2 — ASV-CS mode and
CPAP. ASV-CS is the default mode, 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.. CPAP mode is for the treatment of obstructive sleep apnoea (OSA).
ASV-CS
In ASV-CS mode, adjust EEP (end expiratory pressure) to maintain upper airway
patency. Most patients will be adequately treated with an EEP of 5 cmH2O, but those
with coexisting OSA may require higher pressures (eg 8 cmH2O). In the vast majority
of cases the default settings will be correct and should not need to be adjusted.
Pressure Support is defined as the difference between the peak pressure at the end of
inspiration, and the minimum pressure at the end of expiration ie the amplitude of the
pressure waveform delivered.
The AUTOSET CS2 pressure support (Inspiration: Expiration and Expiration:
Inspiration) trigger points are set by the AUTOSET CS2 based on measurement of the
patient respiratory flow. The AUTOSET CS2 algorithm will automatically adjust pressure
delivery to keep the patient’s respiratory flow even (Figure 4). See “Advanced Menu”
on page 14 to set MIN PS and MAX PS.
enter exit
enter exit
enter exit
SETTINGS
OPTIONS
enter exit
enter exit
ALARMS
ADVANCED
RESULTS
LEAK: 0.40L/s
change exit
MAX RAMP:20min
MODE: ASV-CS
EEP: 5.0cmH2O
MASK:FULL FACE
SMARTSTOP:OFF
START CPAP:4.0
RAMP:20min
MASK:FULL FACE
SMARTSTOP:OFF
LEAK ALERT:OFF
MODE: CPAP
change exit
CPAP:10cmH2O
change exit
change exit
change exit
change exit
change exit
change exit
change exit
change exit
change exit
change exit
change exit
LEARN CIRCUIT?
LEARN CIRCUIT?
yes exit
enter exit
SERVICING
LEAK ALERT:OFF
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9
CLINICAL MENUS
CLINICIAN’S
Figure 4: AutoSet CS2 adjusts pressure to maintain a normal pattern of breathing
CPAP
In CPAP mode the clinician sets a fixed pressure (not greater than 13 cmH2O).
Therapy is delivered at this pressure for the duration of the treatment session.
•CPAP: Set the pressure required for treatment.
•Start CPAP: Set the pressure at which CPAP will commence.
•Ramp: Ramp time is the time the device takes to increase pressure from a set Start
CPAP pressure up to the treatment pressure, eg if you set CPAP of 12 cmH2O
and Ramp of 20 minutes, the AUTOSET CS2 will gradually ramp up the pressure
from the Start CPAP level over the 20-minute period. This gives the patient time
to relax and fall asleep before the set pressure is reached.
•Max Ramp: Set the maximum Ramp time available in the Patient menu.
MASK SETTINGS
There are five mask settings available under the Settings menu. The default setting is
FULL FACE.
LEARN CIRCUIT
The Air Circuit Learn function (LEARN CIRCUIT) provides a way of factoring the
impedance of the air tubing assembly into the delivered pressure. The Air Circuit Learn
function must be run every time impedance in the air circuit is altered (eg addition or
removal of an anti-bacterial filter; addition or removal of a humidifier), or the flow
generator is moved to a significantly different altitude. Set up the whole system (flow
generator, air tubing, mask and any other components) before running LEARN
CIRCUIT. Do not cover the mask.
If LEARN CIRCUIT fails, AUTOSET CS2 reverts to the last successful impedance value.
EEP*
EEP + MIN PS*
EEP + MAX PS*
Pressure
Respiratory
cmH2O
airflow
Normal effort Increased ventilation in Normal effort resumes
response to apnoea
* default values
Option in Settings menu Mask type
Vista VISTA™
Ultra ULTRA MIRAGE™
Full Face MIRAGE™ FULL FACE MASK SERIES II,
ULTRA MIRAGE FULL FACE MASK
Activa ACTIVA™
Papillon Papillon
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10
SMARTSTOP
The default setting for SMARTSTOP is ON.
Turn off if the patient is experiencing false SMARTSTOP events, or if you want to
conduct a mask-fitting session that would create high leak between adjustments.
LEAK ALERT
The default setting for Leak Alert is ON. The Leak Alert alarm is triggered when leak
rises above the threshold level of 30 L/min for more than 20 seconds.
Turn off if you want to conduct a mask-fitting session, or if the patient is experiencing
high leak yet wants to continue their treatment.
RANGE OF PARAMETERS
The following table sets out the ranges of the parameters that can be adjusted in the
Settings menu.
* Advanced menu
AUTOSET CS2 will automatically limit to ensure that:
•MAX PS minus MIN PS is greater than or equal to 5 at all times.
•EEP + MAX PS will not exceed 20 cmH2O.
To satisfy these limits:
1. Setting EEP automatically adjusts MIN PS then MAX PS.
2. Setting MIN PS automatically adjusts MAX PS.
Parameter Minimum Maximum Default
ASV-CS mode
EEP (cmH2O) 4 10 5
MIN PS (cmH2O)* 3 6 3
MAX PS (cmH2O)* 8 16 10
CPAP mode
CPAP (cmH2O) 4 13 10
Start CPAP (cmH2O) 4 13 4
Ramp (minutes) 0 45 20
Max ramp (minutes) 0 45 30
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CLINICAL MENUS
CLINICIAN’S
ALARMS MENU
Alarms provided to alert the user to incorrect pressure are measured near the mask.
The Insufficient Pressure Support alarm can be turned off in the LOW PS option in the
Alarms menu, and the High Leak alert can be turned off in the LEAK ALERT option in
the Settings menu. All other alarms are permanently enabled. See the AutoSet CS User’s
Manual for a full description of the alarms.
LOW PS
The LOW PS option turns the Insufficient Pressure Support alarm on or off (default
setting is ON). The Insufficient Pressure Support alarm will be triggered if the pressure
support fails to reach an expected level.
If the Insufficient Pressure Support alarm sounds:
1. Stop treatment.
2. Check that the pressure sensor line is not kinked or split.
3. Run the Air Circuit Learn function.
4. Change the circuit to lower the impedance.
It may be necessary to disable the LOW PS alarm if the patient’s treatment requires
the use of elements that create a cumulative impedance higher than that
recommended.
SOUND LEVEL
The loudest setting (HIGH — approximately 85 dBA) is recommended for home use.
The medium setting (MED — 70–85 dBA) is the default setting. LOW setting is
45–60 dBA.
SERVICING
enter exit
SETTINGS
RESULTS
ALARMS
ADVANCED
enter exit
enter exit
enter exit
enter exit
OPTIONS
enter exit
SOUND LEVEL:MED
change exit
LOW PS:ON
change exit
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RESULTS MENU
The Results menu lists clinical results under EFFICACY DATA and USAGE DATA.
Usage data is stored and viewable on the LCD for up to 365 days. Efficacy data is
logged for up to 12 months and can be viewed on the LCD for the previous day,
week, month and 3 months. More information is available in RESSCAN.
The following table shows how each parameter is displayed.
NOTE Statistics are calculated regardless of mode.
SETTINGS
OPTIONS
RESULTS
view exit
EFFICACY DATA
day... exit
AHI: xx.x
wk... exit
LEAK: xxL/min
AI: xx.x
AHI: xx.x
month... exit
LEAK: xxL/min
AHI: xx.x
3mths... exit
LEAK: xxL/min
enter exit
SERVICING
enter exit
enter exit
enter exit
day... exit
day... exit
wk... exit
wk... exit
3mths... exit
3mths... exit
AVG PRESS: xx
day... exit wk... exit 3mths... exit
ALARMS
enter exit
LEAK: xxL/min
AHI: xx.x
wk... exit 3mths... exit
wk... exit 3mths... exit
VT: xxxx-xxxx
day... exit
RESP RATE: xx-xx
day... exit
AI: xx.x AI: xx.x AI: xx.x
USAGE DATA:
view exit
USED: 12000hrs
102/106 days exit
USAGE: 5:45hrs
day... exit USAGE: xx:xxhrs USAGE: xx:xxhrs USAGE: xx:xxhrs
wk... exit month... exit 3mths... exit
wk... exit 3mths... exit
MV: xx.x-xx.x
day... exit
AVG PRESS: xx AVG PRESS: xx
VT: xxxx-xxxx VT: xxxx-xxxx VT: xxxx-xxxx
RESP RATE: xx-xx RESP RATE: xx-xx RESP RATE: xx-xx
MV: xx.x-xx.x MV: xx.x-xx.x MV: xx.x-xx.x
month... exit
month... exit
month... exit
month... exit
month... exit
month... exit
ADVANCED
enter exit
AVG PRESS: xx
Parameter Measurement
Leak (L/min) 95th percentile
AHI (Apnoea-hypopnoea index) median
AI (Apnoea index) median
Average Pressure (cmH2O) ASV-CS: Median mask pressure
CPAP: CPAP pressure
VT (Tidal Volume in millilitres) 5th and 95th percentiles
Respiratory rate (BPM) 5th and 95th percentiles
MV (Minute ventilation in L/min) 5th and 95th percentiles
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13
CLINICAL MENUS
CLINICIAN’S
OPTIONS MENU
SMART DATA
This function allows the clinician to turn on or off the patient’s access to information
on Mask Fit, Average Pressure and Usage. The enabled parameters will appear in the
patient’s Results menu. Additionally, if the AUTO APPEAR option is set to ’On’, the
enabled screens will be displayed automatically on the LCD for 30 minutes after the
session is completed.
NOTE AVG PRESS displays the same value in the Smart Data and Efficacy Data menus.
FACTORY DEFAULTS
To return settings to their defaults, press the Left key (’reset’) on the FACTORY
DEFAULTS screen. A message will ask you to confirm the command. To continue,
press the Left key again. A confirmation message is displayed for 3 seconds, then you
are returned to the Clinical menu standby screen. The settings will then be configured
as shown in the table “Factory Default settings” on page 16. As units are customised
according to region, these settings will override those initially received.
enter exit
SETTINGS
LEAK: 0.40L/s
enter exit
FACTORY DEFAULTS
SMART DATA
ERASE DATA?
USAGE:ON
AUTO APPEAR:ON
BACKLIGHT:AUTO
DATE:20JAN2002
MASK FIT:ON
change exit
AVG PRESS:ON
reset exit
change exit
change exit
change exit
change exit
change exit
change exit
change exit
TIME:16:54hrs
LANGUAGE:ENGLISH
enter exit
enter exit
OPTIONS
enter exit
enter exit
ALARMS
SERVICING
RESULTS
yes exit
ADVANCED
enter exit
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14
NOTE After resetting the factory defaults check if you need to reset the mask setting and redo
the Air Circuit Learn function. Resetting the factory defaults will not erase stored data.
ERASE DATA
The ERASE DATA option allows you to erase all compliance data, ie data relating to
the results of a patient’s session in the Results menu. It will not erase other data, eg
settings. Select the ERASE DATA option before starting therapy on a new patient to
ensure the integrity of new patient data.
To erase data, press the Left key on the ERASE DATA screen. A message will ask you
to confirm that you wish to erase data. If you are sure, press the Left key again. A
confirmation message is displayed for 3 seconds, then the next menu item is displayed.
!
CAUTION
If you select the ERASE DATA function while a SmartMedia™card is in the
RESLINK™ (see page 19), any compliance data on the SmartMedia card will be erased
along with the compliance data in the flow generator. The RESLINK must remain
attached to the AUTOSET CS2 for 60 seconds after the ERASE DATA function has
been selected to ensure that the data on the SmartMedia card has been correctly
erased. See the ResLink Clinician’s Guide for further information on managing data via
the RESLINK and SmartMedia card.
DATE AND TIME
The Time and Date settings cannot be altered during therapy, or backwards to a time
prior to the end of the last therapy session.
ADVANCED MENU
The default settings for maximum (MAX PS) and minimum (MIN PS) pressure support
will suit most patients. However, the clinician can adjust the upper limits for MAX PS
and MIN PS in the Advanced menu.
enter exit
ALARMS
MIN PS: 3.0 cmH2O
MAX PS: 10 cmH2O
change exit
enter exit
enter exit
ADVANCED
enter exit
enter exit
RESULTS
SERVICING
OPTIONS
change exit
SETTINGS
enter exit
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15
CLINICAL MENUS
CLINICIAN’S
NOTE AUTOSET CS2 will automatically limit to ensure that:
a. MAX PS minus MIN PS is greater than or equal to 5 at all times.
b. EEP + MAX PS will not exceed 20 cmH2O.
To satisfy these limits:
a. Setting EEP automatically adjusts MIN PS then MAX PS.
b. Setting MIN PS automatically adjusts MAX PS.
SERVICING MENU
enter exit
ALARMS
RUN HRS: 88888
SN:00000000000000
PCB:0000000000000
enter exit
exit
exit
enter exit
enter exit
ADVANCED
enter exit
enter exit
RESULTS
SERVICING
OPTIONS
0000 exit
SW:SX245-0xxx
SETTINGS
enter exit
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16
FACTORY DEFAULT SETTINGS
When you choose FACTORY DEFAULTS in the Options menu (see page 13), the
following values will be set.
Parameter Default
SETTINGS MENU
MODE ASV-CS
EEP 5 cmH2O
CPAP 10 cmH2O
START CPAP 4 cmH2O
RAMP 20 minutes
MAX RAMP 30 minutes
MASK FULL FACE
SMARTSTOP ON
LEAK ALERT ON
ALARMS MENU
SOUND LEVEL MED
LOW PS ON
OPTIONS MENU
MASK FIT ON
AVERAGE PRESSURE ON
USAGE ON
AUTO APPEAR ON
BACKLIGHT AUTO
LANGUAGE ENGLISH
ADVANCED MENU
MIN PS 3 cmH2O
MAX PS 10 cmH2O
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17
CLINICAL MENUS
CLINICIAN’S
TREATMENT SCREENS
The LCD will display the Treatment screens when treatment commences, and during
treatment if no key is pressed for 20 minutes.
Press the QuickView key to move to the Treatment screens from another screen.
Press the QuickView key again within 20 minutes to return to your original screen.
If an alarm is triggered while you are in the Treatment screens, the arrow will flash.
Press the Down key until you reach the alarm message.
TREATMENT SCREEN 1
Figure 5: Treatment screen 1
Treatment screen 1 shows:
•top left: mode
•top right: delivered pressure for most recent breath (cmH2O)
ASV-CS mode: Minimum pressure — Maximum pressure
CPAP mode: the set pressure
•bottom left: graphical indication of instantanteous delivered pressure.
The arrow indicates that you can scroll down to the next screens. The ‘exit’ message
shows that you can exit from this screen by pressing the Right key.
TREATMENT SCREEN 2
Figure 6: Treatment screen 2
Treatment screen 2 shows:
•top left: leak in litres per minute (L/min)
•top right: respiratory rate in breaths per minute (bpm)
•bottom left: apnoea/hypopnoea indicator (blank if no apnoeas or hypopnoeas
present)
•bottom right: tidal volume in millilitres (mL).
The arrow indicates that you can scroll up or down from this screen.
ASV-CS 5.0--15.0
exit
LK:18L/min RR:12
APNEA VT: 428
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