ResMed S8 Escape II Auto User manual

English
S8 Series II
S8 Escape™ II Auto
POSITIVE AIRWAY PRESSURE DEVICE
User Guide
English
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) 96 Milton Park Abingdon Oxfordshire OX14 4RY UK
ResMed Offices Australia, Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia,
Mexico, Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, UK, USA (see www.resmed.com for
contact details).
Protected by patents: US 5199424, US 5522382, US 6705315. Other patents pending.
Protected by design registrations: AU 302180, AU 302181, AU 302182, AU 302183, AU 302184, AU 302185, AU 302186, CN 200430121212.2, CN
200430121213.7, CN 200430121211.8, CN 200430121214.1, CN 200430121215.6, CN 200430121216.0, CN 200430121217.5, EP 269436, HK
0412901.9, JP 1257662, JP 1257663, JP 1266956, JP 1266957, JP 1267270, JP 1267271, NZ 405614, NZ 406923, NZ 406924, NZ 406925, NZ
406926, NZ 406927, NZ 406928, US D544598, US D553228, US D557406, US D557407, US D560795, US D561891, US D565160. Others pending.
S8, S8 Escape, H4i, ResScan, ResControl, ResLink and ResTraxx are trademarks of ResMed Ltd and Escape and HumidAire are registered in U.S.
Patent and Trademark Office.
© 2008 ResMed Ltd. 338562-Eng/1 08 08

Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contraindications 1
Adverse Effects 1
Parts of the S8 Escape II Auto System . . . . . . . . . . . . . . . . . . . . . . 2
Masks 2
Humidifiers 2
ResScan Data Card 2
Using the S8 Escape II Auto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Setting Up the S8 Escape II Auto 3
How to Use the Control Panel 4
Start Treatment 4
Stop Treatment 5
How to Change the Settings on your S8 Escape II Auto 5
Using the Data Card to Collect data . . . . . . . . . . . . . . . . . . . . . . . . . 7
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Daily 8
Weekly 8
Monthly 8
Replacing the Air Filter 9
Servicing 9
Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Symbols which appear on the device 13
General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

1Introduction
English
Introduction
The S8 Escape II Auto self-adjusting sleep apnea system is indicated for the
treatment of obstructive sleep apnea (OSA) in adult patients. The S8 Escape II
Auto self-adjusting sleep apnea system has two treatment modes: auto-titrating
APAP and fixed-pressure CPAP. The S8 Escape II Auto system is intended for
home and hospital use.
Contraindications
Positive airway pressure therapy may be contraindicated in some patients with
the following pre-existing conditions:
•severe bullous lung disease
•pneumothorax
•pathologically low blood pressure
•dehydration
•cerebrospinal fluid leak, recent cranial surgery, or trauma.
Adverse Effects
Patients should report unusual chest pain, severe headache, or increased
breathlessness to their prescribing physician. 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
positive airway pressure device:
•drying of the nose, mouth, or throat
•nosebleed
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes
•chest discomfort.
!
CAUTION
In the US, Federal law restricts this device to sale by or on the order of a
physician.

2
Parts of the S8 Escape II Auto System
Your S8 Escape II Auto system comprises:
•S8 Escape II Auto device
•2 m air tubing
•Power cord
•Carry bag.
Optional components include:
•ResScan™ Data Card
•3 m air tubing
•DC-12 converter.
Masks
For information on using masks, see your mask manual. Recommended masks
are available on www.resmed.com on the Products page under Service &
Support.
!
WARNING
Only ResMed mask systems are compatible for use with the S8 Escape II
Auto. Please refer to “General Warnings and Cautions” on page 14.
Humidifiers
A list of humidifiers compatible with ResMed devices can be found on
www.resmed.com, on the Products page under Service & Support.
ResScan Data Card
The ResScan Data Card may be used with the S8 Escape II Auto either to help
your clinician monitor your treatment or provide you with updates to your device
settings.
Carry handle
Screen
Keypad
Air outlet
Data
DC
AC
Card slot
Air inlet

3Using the S8 Escape II Auto
English
Using the S8 Escape II Auto
Setting Up the S8 Escape II Auto
1Connect the power cord to the socket at the rear of the device.
2Plug the other end of the power cord into the power outlet.
3Connect one end of the air tubing firmly onto the air outlet.
4Connect the assembled mask system to the free end of air tubing.
For information on assembling your mask, see your mask manual.
!
WARNING
•Make sure the power cord and plug or adapter cable are in good
condition and the equipment is not damaged.
•Only ResMed air tubing should be used with the device. A different type
of air tubing may alter the pressure you actually receive, reducing the
effectiveness of your treatment.
•Blocking the hose and/or air inlet of the device while in operation could
lead to overheating of the device.
!
CAUTION
•Be careful not to place the device where it can be bumped or where
someone is likely to trip over the power cord.
•If you put the device on the floor, make sure the area is free from dust
and clear of bedding, clothes or other objects that could block the air
inlet.
•Make sure the area around the device is dry and clean.
1
2
34

4
How to Use the Control Panel
The control panel of the S8 Escape II Auto includes an LCD screen which displays
the menus and treatment screens as well as a keypad for navigating through the
menus and delivering treatment.
The S8 Escape II Auto keypad has the following keys:
The keypad and LCD are equipped with backlights that come on when the device
is powered. The LCD backlight turns off after two minutes of inactivity, and
comes back on when you press a key. The keypad backlight is always on while
the S8 Escape II Auto is on.
Start Treatment
1Make sure the power is on.
The product name is displayed briefly on the LCD screen, then the standby
screen displays RAMP/SETTLE. The key and LCD backlights also turn on.
2Lie down and arrange the air tubing so that it is free to move if you turn in your
sleep.
!
CAUTION
Do not leave long lengths of air tubing around the top of your bed. They
could twist around your head or neck while you are sleeping.
Key Function
Start/Stop •Starts or stops treatment.
Up •Navigates between items within the menu.
•Allows you to increase settings options.
Down •Navigates between items within the menu.
•Allows you to decrease settings options.
Left •Performs the function indicated by the guiding text
displayed above it on the LCD (eg, change).
Right •Performs the function indicated by the guiding text
displayed above it on the LCD (eg, exit).
LCD screen
Start/Stop key
Keypad

5Using the S8 Escape II Auto
English
3Alter the ramp/settle time if required.
4To start treatment, press .
5Fit your mask as described in the mask user instructions.
!
WARNING
A mask should not be used unless the S8 Escape II Auto is turned on and
operating properly.
Stop Treatment
To stop treatment at any time, remove your mask and press .
How to Change the Settings on your S8 Escape II Auto
You can change settings (such as Ramp/Settling Time) on the S8 Escape II Auto
by using the keypad and LCD. When the S8 Escape II Auto is in standby mode
you can display a series of screens (a menu) on the LCD screen in order to view
and change the settings for a particular function.
Data regarding your therapy such as AHI and pressure can be accessed through
this menu when required by your clinician/physician.
How to change the ramp or settling time
In CPAP mode during ramp time, the pressure increases from a low pressure to
the prescribed treatment pressure.
In APAP mode during settling time the device maintains a minimum pressure
before it starts to adjust pressure in response to respiratory events.
S'affiche uniquement
si l'accès a été activé
par le clinicien
S8 CLASSICRAMP/SETTLE 10
Menu
USED HRS: 960
Exit
USAGE: 120/180
Exit
SW: SX123456789
Exit
LANG: ENGLISH US
Change Exit
EPR LEVEL: 3
Change Exit
S8 CLASSICRAMP/SETTLE 10
Menu
USED HRS: 960
Exit
USAGE: 120/180
Exit
AVG AHI: 4
Exit
DAILY AHI: 4
Exit
EPR LEVEL: 3
Change Exit
PRESSURE: 7.0
Exit
SW: SX123456789
Exit
LANG: ENGLISH US
Change Exit
Only displayed if
clinician enabled

6
You can set the ramp/settle time in 5-minute intervals, from 0 minutes (OFF) up
to a maximum time set by your clinician.
The current ramp or settling time is displayed in the right corner of the standby
screen.
1Press or until the desired ramp or settling time appears.
2Once a ramp or settling time is selected, begin therapy by pressing .
When ramping or settling begins the LCD will display the word “RAMPING or
APAP“ depending on the mode, with the current pressure indicated as dashes.
Each dash is approximately equivalent to 2 cm H2O. For example, six dashes
represents approximately 12 cm H2O pressure.
How to change the EPR level
EPR can be used to help ease any discomfort you may experience when
breathing out during treatment. If your clinician has allowed access you can
change the EPR level. There are four settings: OFF; 1 (lowest EPR); 2; and 3
(highest EPR).
1On the standby (RAMP/SETTLE) screen, press (Menu).
2Press until you see EPR LEVEL, then press (Change).
3Press or until you see the setting that you require.
4Press (Apply) to save the setting.
How to change the language setting
1On the standby (RAMP/SETTLE) screen, press (Menu).
2Press until you see LANG (Language), then press (Change).
3Press or until you see the language that you require.
4Press (Apply) to save the new language.
Messages on the S8 Escape II Auto LCD
Your clinician may have set your S8 Escape II Auto to remind you about important
events, such as when to replace your mask, when to insert your Data Card (if
your device is Data Card enabled) and so on.
The reminder message is displayed on the LCD and is visible if the device is not
delivering therapy. The backlight on the LCD flashes when a message is
displayed.

7Using the Data Card to Collect data
English
Your clinician can set any of the following reminders on your LCD:
Using the Data Card to Collect data
If your clinician needs to review your treatment, they will ask you to use the Data
Card to copy data from your S8 Escape II Auto, and to return the card to them.
Copying data onto the Data Card
1Switch on the S8 Escape II Auto and wait until you see the standby
(RAMP/SETTLE) screen.
2Hold the Data Card with the arrow facing up and insert it into the Data Card slot
until it stops. Data copying starts automatically.
The “Card Inserted Please Wait” message is displayed on the LCD screen while
data is being copied. Copying takes approximately five seconds.
The “Copy Complete Remove Card” message is displayed on the LCD screen
when copying has finished.
3Remove the Data Card by gripping the end of the Data Card and pulling it out.
4Store the Data Card in its protective folder when not in use.
5Return the card in its protective folder to your clinician using a postal envelope.
Message Description Action
INSERT
CARD
May appear if your
device is Data Card
enabled.
Insert your Data Card and follow any
instructions that your clinician has given you.
When you have done this, the message will
disappear from the LCD. Pressing (Ok)
will also remove the message.
REPLACE
MASK
May appear when
your mask is due for
replacement.
Press (Ok) to remove the message from
your LCD, and replace your mask with a new
one.
CALL
PROVIDER
May appear as a
reminder to contact
your clinician, eg, to
discuss how your
therapy is going.
Press (Ok) to remove the message from
your LCD, and contact your clinician.
REPLACE
FILTER
May appear as a
reminder to replace
the air filter on your
device.
Press (Ok) to remove the message from
your LCD, and replace the air filter.
SERVICE
DUE
May appear as a
reminder to return
your device for
service.
Press (Ok) to remove the message from
your LCD, and contact your clinician.

8
Using the Data Card to Update Settings
If your clinician has provided a Data Card with new device settings:
1With the device in standby mode, insert the Data Card into the slot on the Data
Card module. Updating will start automatically.
The “Card Inserted Please Wait” message is displayed on the LCD while
updating is in progress. Updating takes approximately five seconds.
The “Settings Success Remove Card” message is displayed on the LCD if the
settings were updated successfully.
Note: This message only appears once. If you re-insert the Data Card after you
have updated your settings, this message is not displayed.
2Remove the Data Card from the S8 Escape II Auto.
3Store the Data Card in its protective folder when not in use.
!
WARNING
If your clinician has told you to use this Data Card to update the settings on
your device and the “Settings Success” message does not appear, contact
your clinician immediately.
Cleaning and Maintenance
Daily
Disconnect the air tubing and hang it in a clean, dry place until next use.
Weekly
1Remove the air tubing from the S8 device and the mask.
2Wash the air tubing in warm water using mild detergent.
3Rinse thoroughly, hang, and allow to dry.
4Before next use, reconnect the air tubing to the air outlet and mask.
Monthly
1Clean the exterior of the S8 device with a damp cloth and mild liquid soap.
2Check the air filter for holes and blockage by dirt or dust.
!
WARNING
•Beware of electric shock. Do not immerse the unit or power cord in
water. Always unplug the unit before cleaning and be sure it is dry
before plugging back in.
•The mask system and air tubing are subject to normal wear and tear.
Inspect them regularly for damage.