ResMed Flow Generator AutoSet CS 2 User manual

AutoSet CS™2
User’s Manual
English • Français
Front Cover - User.qxp 03/11/2006 8:44 AM Page 1

Global leaders in sleep and respiratory medicine www.resmed.com
26861/5 06 11
AutoSet CS 2
User
EUR 1
Bleed this panel onto spine (if applicable) but NOT onto Front Cover
Front Cover - User.qxp 03/11/2006 8:44 AM Page 2

USER’SMANUAL 1
MANUEL UTILISATEUR 55
AutoSet CS™2
FRANÇAIS ENGLISH
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ResMed Ltd (Manufacturer) 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia
ResMed Corp (US Designated Agent) 14040 Danielson Street Poway CA 92064-6857 USA
ResMed (UK) Ltd (EU Authorized Representative) 65 Milton Park Abingdon Oxfordshire OX14 4RX UK
ResMed Offices Australia, Austria, Brazil, Finland, France, Germany, Hong Kong, Japan, Malaysia, Netherlands, New Zealand,
Singapore, Spain, Sweden, Switzerland, UK, USA (see www.resmed.com for contact details).
Protected by patents: AU 691200, AU 697652, AU 702820, AU 709279, AU 724589, AU 730844, AU 731800, AU 736723, AU
734771, AU 750095, AU 750761, AU 756622, AU 761189, AU 2002306200, CA 2263126, EP 0661071, JP 3635097, JP 3737698, NZ
527088, US 4944310, US 5199424, US 5245995, US 5522382, US 5704345, US 6029665, US 6138675, US 6152129, US 6240921, US
6279569, US 6363933, US 6367474, US 6398739, US 6425395, US 6502572, US 6532959, US 6591834, US 6659101, US 6945248, US
6951217, US 7004908. Other patents pending.
Protected by design registrations: AU 147283, AU 147335, AU 147336, AU 157903, AU 157904, AU 157905, CH 128.709, CH
128.710, CH 128.711, CN 200330123689.X, CN 200330123691.7, CN 200330123690.2, EP 000111190, DE 40202007, DE 40202008,
DE 40201723, DE 40202020, ES 153514, ES 153515, ES 153516, ES 153518, FR 02 1407, GB 3001791, GB 3001819, GB 3001820, GB
3001821, JP 1164087, JP 1164265, JP 1164266, JP 1164267, SE 75598, SE 75599, SE 75600, SE 75715, US D467335, US D468011, US
D476077, US D477868, US D493520, US D493884, US D497203, US D498527. Other designs pending
AutoSet CS is a trademark of ResMed Ltd and registered in U.S. Patent and Trademark Office.
© 2006 ResMed Ltd.
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1
USER’S MANUAL
English
AUTOSET CS™2
ENGLISH
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2
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TABLE OF CONTENTS
ENGLISH
TABLE OF CONTENTS
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
AUTOSET CS2 5
USER/OWNER RESPONSIBILITY 5
MEDICAL INFORMATION 5
INTENDED USE 5
CONTRAINDICATIONS 5
WARNINGS 6
CAUTIONS 6
QUICK SETUP GUIDE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
THE AUTOSET CS2 SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
AUTOSET CS2 COMPONENTS 9
MASKS 10
ASSEMBLING THE AUTOSET CS2 SYSTEM 11
HUMIDIFIERS 13
CONNECTING AHUMIDIFIER 14
HUMIDAIRE 2I™ AND HUMIDAIRE 2IC™ 14
HUMIDAIRE 15
RESLINK™ 17
ANTI-BACTERIAL FILTER 17
USING DC POWER TO RUN THE AUTOSET CS2 18
USING SUPPLEMENTAL OXYGEN 19
USING THE AUTOSET CS2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
STARTING TREATMENT 21
STOPPING TREATMENT 21
STANDBY MODE 21
CONTROL PANEL FUNCTIONS 22
ADJUSTING SETTINGS 23
MENUS 25
SETTINGS MENU 26
ALARMS MENU 27
RESULTS MENU 27
OPTIONS MENU 28
SERVICING MENU 29
TREATMENT SCREENS 29
THE ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
LOW MASK PRESSURE ALARM 31
POWER FAIL ALARM 32
HIGH PRESSURE ALARM 32
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HIGH LEAK ALARM 32
INSUFFICIENT PRESSURE SUPPORT ALARM 33
FLOW BLOCKED ALARM 33
CLEANING AND MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
DAILY 35
WEEKLY 35
PERIODICALLY 36
AIR FILTER 36
HYPOALLERGENIC AIR FILTER 37
SERVICING 37
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
TECHNICAL SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
LIMITED WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
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5
INTRODUCTION
ENGLISH
INTRODUCTION
AUTOSET CS2
The AUTOSET CS 2™flow generator has been designed to be reliable, comfortable
and easy to use. You can observe your treatment and make adjustments to settings
using a keypad and LCD screen.
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 carefully before use.
DEFINITIONS
The WARNING heading alerts you to possible injury.
The CAUTION heading explains special measures for the safe and effective use of the
device.
MEDICAL INFORMATION
INTENDED USE
The AUTOSET CS2 system is intended to stabilise the ventilation of adult patients
exhibiting Cheyne-Stokes Respiration (CSR), or central sleep apnoea (CSA) associated
with congestive heart failure, with or without upper airway obstruction. It is also
intended for the use of patients with obstructive sleep apnoea (OSA).
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.
Before using the AUTOSET CS2, tell your doctor if you have any of the following
conditions:
•acute sinusitis or otitis media
•epistaxis (severe nose bleeds) causing a risk of pulmonary aspiration
•conditions predisposing to a risk of vomiting into mask
•impaired ability to clear secretions
•hypotension or significant intravascular volume depletion
•pneumothorax or pneumomediastinum
•recent cranial trauma or surgery.
Below are general warnings and cautions. Further specific warnings,
cautions and notes appear next to the relevant instructions in the
manual.
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6
!
WARNINGS
•The AUTOSET CS2 is NOT a life support ventilator.
•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.
•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.
•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
You should report unusual chest pain, severe headache or increased breathlessness to
your physician. An acute upper respiratory tract infection may require temporary
discontinuation of treatment.
The following side effects may arise during a course of therapy with the AUTOSET CS2:
•drying of the nose, mouth or throat
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes
•chest discomfort.
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QUICK SETUP GUIDE
ENGLISH
QUICK SETUP GUIDE
1 Attach the air tubing and pressure sensor tube to the AUTOSET CS2 and
mask (page 11).
2
Attach a humidifier if required (page 13).
3
Switch on the AUTOSET CS2 . Make sure the mask is unblocked.
4
Select the mask setting (page 26).
5
Perform the Air Circuit Learn function (page 26) at first-time use, or if you
are adding or removing a component of the system (eg a humidifier or anti-
bacterial filter).
6
Fit the mask and commence breathing into it. The S MART S TART function
should trigger treatment to commence within the first couple of breaths. If
not, press the
Start/Stop key once to commence treatment (page 21).
NOTE You can observe treatment progress (eg mask leak) via the Treatment screens (page 29).
7
Remove your mask to stop treatment. If S MART S TOP is enabled, treatment
will stop automatically. If the
S MART S TOP function has been disabled, press
the
Start/Stop key once.
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9
THE AUTOSET CS2 SYSTEM
ENGLISH
THE AUTOSET CS2 SYSTEM
AUTOSET CS2 COMPONENTS
The AUTOSET CS2 flow generator is supplied with air tubing and a power cord.
Masks are supplied separately, as you and your clinician have to decide which mask is
best for you. Masks that can be used with AUTOSET CS2 are listed on page 10.
Some people experience dryness of the nose, mouth and throat while using the
AUTOSET CS2 system, especially during winter. Others may experience sneezing and/
or a runny or blocked nose during the first few weeks of AUTOSET CS2 treatment. In
many cases, these symptoms of nasal irritation can be resolved with a humidifier. See
page 14 to connect a humidifier to the AUTOSET CS2.
Figure 1: AutoSet CS2 flow generator
The control panel allows you to adjust settings on the flow generator, and the LCD
screen displays information about your treatment. See “Control Panel Functions” on
page 22.
Figure 2: Rear of AutoSet CS2
The AUTOSET CS2 can run on AC or DC power. See page 11 to see how to connect
the power cords and use the locking device. See page 17 to connect a RESLINK™. See
page 36 to replace the air filter.
Air tubing connector
Pressure sensor
Control panel
LCD screen
Removable
front cover
tube connector
Carry handle
Air filter
Power cord
ResLink attachment point
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Figure 3: Air tubing fully assembled
All necessary air tubing components are packed with the AUTOSET CS2:
•a 2-metre length of air tubing
•a pressure sensor tube (to measure pressure at the mask) with Luer connectors
•tube clips (to hold the pressure sensor tube onto the air tubing)
•a Proximal cuff (a special connector that attaches the pressure sensor tube into
the main air tubing so that you only need to make one attachment to the mask).
The air tubing is supplied with the Proximal cuff connected. Attach the tube clips
evenly along the air tubing. Press the pressure sensor tube into the tube clips, and
screw the Luer connectors together at the Proximal cuff. Make sure the pressure
sensor tube is not kinked, obstructed or twisted.
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.
MASKS
The following mask systems (supplied separately) are recommended for use with the
AUTOSET CS2 system. Please refer to the table on page 26 to set up your mask
correctly for use with the AUTOSET CS2.
Your clinician can explain the features of the masks available, and will discuss the mask
that best suits your needs.
Proximal cuff Pressure sensor tube
Tube clip
Connect this end
to the mask
Connect this end
to the flow generator
Luer connector
Air tubing
MIRAGE™ FULL FACE
MASK SERIES 2
ULTRA MIRAGE™
MIRAGE VISTA™
MIRAGE ACTIVA™
ULTRA MIRAGE™
FULL FACE MASK
PAPILLON
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11
THE AUTOSET CS2 SYSTEM
ENGLISH
ASSEMBLING THE AUTOSET CS2 SYSTEM
Complete the following steps to assemble the AUTOSET CS2 system. Make sure the
area around the unit is clean (dust free) and clear of bedding, clothes and any other
potential blockages.
To add a humidifier see page 14.
!
WARNING
Use only the air tubing system supplied with the AUTOSET CS2 system.
1 Connect the power cord
Place the flow generator on a table near the head of your bed.
There are two sockets at the rear of the flow generator — the top one for an AC
(standard mains electricity) and the lower one for a DC (backup) power cord (see
page 18). ResMed recommends using the AC power cord supplied with the unit. In
the absence of this cord, a standard AC power cord may be used.
The customised ResMed power cord can be held in place with the locking clips.
To insert the locking clip, pinch the free ends together and fit the pins into the holes
on both sides of the socket. Insert the power cord into the socket. Push the locking
clip down so that the groove holds the power cord in place.
Plug the free end of the power cord into a power outlet.
!
CAUTION
Be careful not to place the device where it can be bumped or where someone is
likely to trip over the power cord.
NOTE The AUTOSET CS2 can also function when mounted on a wall (unless the HumidAire 2i or
HumidAire 2iC is attached). The preferred position is with the air tubing at the bottom, so
that there are no bends in the tubing.
Power switch
AC locking clip
DC locking clip
AC power cord
DC power cord
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2Connect air tubing
Connect the air tube firmly onto the air outlet at the front of the unit.
Figure 4: Front view of AutoSet CS2
To attach the pressure sensor tube to the unit, screw the Luer connector onto the
socket on the side of the unit.
Figure 5: Twisting the Luer lock connectors together
!
WARNING
Use care when handling the air tubing. Be particularly careful when attaching the
Luer connector to the AUTOSET CS2. If you kink or excessively twist the sensor
tube, it may affect the protection offered by the mask pressure alarm system.
Air tubing connector
Pressure sensor tube
connector
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13
THE AUTOSET CS2 SYSTEM
ENGLISH
3Attach the mask to the air tubing.
The mask system should already be assembled. If it is not, please refer to the user
instructions supplied with the mask.
Connect the mask system to the free end of the air tubing.
Figure 6: Assembling the AutoSet CS2 system
HUMIDIFIERS
A humidifier may be required if you are experiencing dryness of the nose, throat or
mouth. The following ResMed humidifiers are compatible with the AUTOSET CS2:
Figure 7: Humidifiers compatible with the AutoSet CS2
When using a humidifier, stop the AUTOSET CS2 by using the Start/Stop key or by
removing the mask to trigger the S
MART S TOP function. Do not switch the AUTOSET CS2
off at the power switch or the power source while it is running, as this could result in
condensation in the motor.
Proximal cuff
HUMIDAIRE 2i™ HUMIDAIRE 2iC™
heated humidifier passover humidifier
Medium air tubing
(52cm)
HUMIDIFIER ACCESSORY (HUMIDAIRE ONLY)
HUMIDAIRE™
heated humidifier
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CONNECTING AHUMIDIFIER
NOTE After connecting or removing a humidifier, always perform the Air Circuit Learn function
(see page 26).
!
WARNING
When using a humidifier, position it so that it is lower than your head will be during
sleep, and at the same level or lower than the AUTOSET CS2.
HUMIDAIRE 2i™ AND HUMIDAIRE 2iC™
The HUMIDAIRE 2i™ provides heated humidification, and the HUMIDAIRE 2iC™
provides passover humidification.
To attach the HUMIDAIRE 2i or HUMIDAIRE 2iC, remove the AUTOSET CS2 front cover
and attach the humidifier docking station and water chamber. Please refer to the
HUMIDAIRE 2i or HUMIDAIRE 2iC User’s Manual for details. No other accessories are
required for use. Once you have performed the Air Circuit Learn function the
AUTOSET CS2 is ready for use. See “Starting Treatment” on page 21.
Figure 8: HumidAire 2i and Humidaire 2iC attached to the AutoSet CS2
Figure 9: HumidAire 2i attached to AutoSet CS2 and mask
AutoSet CS2
HumidAire 2i
water chamber
docking station
HumidAire 2i
HumidAire 2iC
docking station
water chamber
HumidAire 2iC
AutoSet CS2
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THE AUTOSET CS2 SYSTEM
ENGLISH
HUMIDAIRE
You will need a Medium size (52cm) air tube to connect the AUTOSET CS2 unit to the
HUMIDAIRE™(see Figure 7).
1Make sure both the HUMIDAIRE and the AUTOSET CS2 are turned off.
Fill the HUMIDAIRE with water as described in the humidifier manual. Place the filled
water chamber inside the HUMIDAIRE.
2Gently detach enough of the tube clips to release the end of the pressure sensor tube
from the AUTOSET CS2 air tubing.
Connect the AUTOSET CS2 air tubing to the left connector port on the humidifier, and
the medium (52cm) air tubing to the right connector port. Close the HUMIDAIRE lid.
3Place the AUTOSET CS2 on top of the HUMIDAIRE. Do not place the AUTOSET CS2
unit underneath the humidifier. (This is to avoid water spilling into the unit.)
HumidAire
Medium air tubing
AutoSet CS2 air tubing Pressure sensor tube
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4Connect the free end of the medium air tubing to the AUTOSET CS2.
Connect the pressure sensor tube by twisting the Luer lock onto the AUTOSET CS2
(see page 12).
5Connect the mask system to the free end of the long air tubing. The final assembly
should look like this:
6Switch on the HUMIDAIRE and the AUTOSET CS2.
!
WARNING
Make sure that the power cords and plugs are in good condition and the equipment
is not damaged.
7Perform the Air Circuit Learn function (see page 26).
For information about filling and maintaining your humidifier, refer to the HumidAire
User’s Manual.
The AUTOSET CS2 is now ready for use with the HUMIDAIRE. See “Starting Treatment”
on page 21.
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