ResMed VPAP Auto User manual

Global leaders in sleep and respiratory medicine www.resmed.com
VPAP™ Auto
VPAP™ ST
VPAP™ S
POSITIVE AIRWAY PRESSURE DEVICE
H5i™
HEATED HUMIDIFIER
Welcome Guide
English
368436/1 2011-02
S9 VPAP Series
H5i
WELCOME
AMER
Manufacturer: 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 Milton Park Abingdon Oxfordshire OX14 4RY UK. See
www.resmed.com for other ResMed locations worldwide.
S9 VPAP Auto: Protected by patents: AU 691200, AU 697652, AU 699726, AU 702820, AU 709279, AU 713679, AU 724589, AU
730844, AU 731800, AU 736723, AU 750095, AU 750761, AU 756622, AU 764761, AU 779327, AU 2002306200, AU 2005200987,
AU 2007252223, CA 2235939, CA 2263126, EP 0651971, EP 0661071, EP 0858352, EP 0920845, EP 0927538, EP 0929336, EP
0934723, EP 1028769, EP 1126893, EP 1502618, JP 3580776, JP 3635097, JP 3638613, JP 3778797, JP 4083154, NZ 504595, NZ
570415, US 5704345, US 6138675, US 6152129, US 6213119, US 6240921, US 6279569, US 6363933, US 6367474, US 6425395,
US 6502572, US 6591834, US 6659101, US 6675797, US 6745768, US 6817361, US 6945248, US 6988498, US 7040317, US
7100608, US 7537010, US 7661428. Other patents pending.
S9 VPAP S/ST: Protected by patents: AU 697652, AU 699726, AU 713679, AU 731800, AU 756622, AU 2002306200, AU
2005200987, AU 2007252223, CA 2235939, CA 2263126, EP 0661071, EP 0858352, EP 0929336, JP 3635097, JP 3638613, JP
4083154, US 6152129, US 6213119, US 6240921, US 6279569, US 6659101, US 6945248, US 7661428. Other patents pending.
Protected by design registrations: AU 329025, AU 330142, AU 331272, AU 332891, AU 333858, CN 200830346524.1, CN
200830346526.0, EU 1067417, JP 1377401, JP 1377402, JP 1377403, NZ 411762, NZ 413090, US D629891, US D629892. Other
design registrations pending.
H5i: Protected by patents: AU 2002233025, CN ZL02804936.5, HK 1065483, JP 4420605, NZ 527088, US 693533, US 7614398.
Other patents pending. Protected by design registrations: AU 331676, AU 331677, CN 200930203243.5, EU 1720582, JP 1402844,
JP 1402845, NZ 413752, NZ 413753, US D626642, US D627044. Other design registrations pending.
S9 VPAP Auto, S9 VPAP, H5i, ClimateLine, ClimateLineMAX, SlimLine and SmartStart are trademarks of ResMed Ltd and S9,
ClimateLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Ofce.
© 2011 ResMed Ltd.

S9 at a glance
The S9 system comprises the following elements:
• S9 device • Air tubing • 90W power supply unit • S9 Travel bag • SD card • S9 SD card protective
folder.
Optional components include:
• H5i heated humidifier • SlimLine air tubing • 3m air tubing • Standard air tubing • ClimateLine
heated air tubing • ClimateLineMAX heated air tubing • 30W power supply unit (does not support H5i)
• DC/DC Converter 24V/90W • Power Station II battery pack.
Traveling with the S9
When traveling you may choose to leave behind your H5i and take your S9 device only. If this is the
case, ensure you pack the SlimLine, Standard or 3m air tubing in your travel bag, as the ClimateLine or
ClimateLineMAX heated air tubing is not designed to connect directly to the S9 device.
Welcome
Thank you for choosing the S9 VPAP Series or H5i. Before operating these devices, please read the entire
Welcome and Information Guides.
Air filter
DC power inlet
SD card slot
Module/Adapter port
Air outlet
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English

H5i at a glance
The H5i system comprises the following elements:
• H5i heated humidifier • H5i water tub • ClimateLineMAX heated air tubing (if sold as a Climate Control
Kit).
Optional components include:
• ClimateLine heated air tubing • H5i cleanable water tub.
Traveling tips
When moving or traveling with your H5i:
• Ensure that the water tub is empty.
• Disconnect the H5i from the S9 by using the release button.
Latch
Flip lid
Air outlet
H5i water tub
Release
button
Flip lid seal
ClimateLine or
ClimateLineMAX
connection port
2

Setup
1. Align your H5i with your S9 and push them together until they click into place.
2. Connect the DC plug of the power supply unit to the rear of the S9.
3. Connect the power cord to the power supply unit.
4. Plug the other end of the power cord into the power outlet.
5. Connect one end of the air tubing firmly onto the air outlet.
6. Connect the assembled mask system to the free end of the air tubing.
Notes:
•For more information on assembling your mask see your mask user guide.
•Recommended masks are available on www.resmed.com on the Products page under Service &
Support.
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English

1234 5
4
Filling the water tub
1. Slide the latch and lift open the flip lid.
2. Remove the water tub.
3. Fill the water tub (through the center hole) with distilled or deionized water
up to the maximum water level mark (380 mL).
4. Return the water tub to the H5i.
5. Close the flip lid ensuring that it clicks into place.

Info menu
Allows you to
view your sleep
statistics or exit
from the menu.
Setup menu
Allows you to
make changes
to settings or
exit from the
menu.
Push dial
Turning the dial
allows you to
scroll through the
menu and change
settings. Pushing the
dial allows you to
enter into a menu and
confirm your choice.
Start/Stop button
Starts or stops
treatment.
S9 basics
The control panel of your S9 device includes
an LCD screen as well as a Start/Stop button,
Push dial and the Info and Setup menu keys.
Key:
Info menu
Setup menu
Push dial
Start/ Stop
Climate Control
Heated tube
Ramp
Humidity level
Home
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English
LCD screen
Displays the menus,
treatment screens and
reminders.

Adjusting humidity level
Ranging from OFF to 6, you can adjust the humidity level at any time to find the setting that is most
comfortable for you. To adjust your level of humidity:
Warming the H5i
The warm-up feature is used to pre-heat the water before starting
treatment.
To start warming:
1. Navigate to the humidity level icon.
2. Push and hold for three seconds. The Warming Up status
bar is displayed.
You can stop warm-up at any time by pressing for at least three
seconds. You can start treatment at any time by pressing .
Note: In order to assist the heater plate in cooling, your S9 device will
continue to blow air for up to an hour after treatment has stopped.
However, you can unplug the device from the power outlet at any time and
allow the heater plate to cool without air flow.
6
1. From your HOME
screen, turn
until the HUMIDITY
LEVEL screen is
displayed in blue.
2. Press .
The selection is
highlighted in
orange.
3. Turn until
the humidity level
that you require is
displayed.
4. Press to
confirm your choice.

Adjusting ramp time
Designed to make the beginning of treatment more comfortable, ramp time is the period during which
the pressure increases from a low start pressure to the treatment pressure. To adjust your ramp time:
1. From your HOME
screen, turn
until the RAMP
screen is displayed
in blue.
2. Press .
The selection is
highlighted in
orange.
3. Turn until the
ramp time you
require is displayed.
4. Press to
confirm your choice.
Using mask-fit
You can use mask-fit to help you fit your mask properly. This feature delivers treatment pressure for a
three-minute period, prior to starting treatment, during which you can check and adjust your mask-fit to
minimize leaks.
1. Fit your mask as described in the mask user guide.
2. From your HOME screen, push and hold for three seconds.
One of the following MASK FIT screens is displayed:
3. If necessary, adjust your mask, mask cushion and headgear until you have a Good mask-fit.
After three minutes, the pressure reverts to the set pressure and treatment will begin. You can end
mask-fit at any time by pressing .
7
English

Selecting the mask type
To select your type of mask:
1. Press . The SETTINGS
screen is displayed.
2. Turn until Mask is
displayed in blue.
3. Press . The selection is
highlighted in orange.
4. Turn until the mask
setting that you require is
displayed.
5. Press to confirm your
choice.
6. Push to return to the
HOME screen.
8

Getting started
1. Make sure the power is connected.
2. Adjust the ramp time or humidification level if required.
3. Fit your mask as described in your mask user guide.
4. To start therapy, simply breathe into the mask and/or press .
5. Lie down and arrange the air tubing so that it is free to move if you
turn in your sleep.
6. To stop treatment at any time, remove your mask and/or press .
Notes:
•If your clinician has enabled SmartStart your device will start automatically when you
breathe into the mask and stop automatically when you remove your mask.
•If power is interrupted during treatment, the device automatically restarts therapy when
power is restored.
9
English

Viewing the treatment screens
Depending on how the system has been configured, you will see one of the following example screens
once therapy has started:
9H5i humidifier 9H5i humidifier
9ClimateLine or ClimateLineMAX
heated air tube
9Climate Control – Auto
9H5i humidifier
9ClimateLine or ClimateLineMAX
heated air tube
9Climate Control – Manual
9Standard S9 without
optional accessories
9Oximetry data via the
oximeter adapter
In S, ST and VAuto modes, the fixed lines on the pressure bar indicate the expiratory and inspiratory
pressures. In CPAP mode, only a set pressure is shown. While the treatment is ramping (indicated by an
orange ramp icon below the pressure bar), the pressure values appear in orange. When a set pressure is
reached these values are displayed in white.
10

To toggle between treatment screens 1 and 2, press from your HOME screen.
9(ST mode) Treatment with
device trigger (Timed) and
cycle (Timed, Ti Max or Ti
Min) breath indicators
9(ST mode) Treatment with
spontaneous trigger and
cycled breaths
Viewing the Info menu
The Info menu has a series of screens showing your sleep quality, sleep report and service information.
To view the Info menu, push from your HOME screen.
9In the Sleep Quality screen,
you can always view your
usage hours during the last
session and if enabled by
your clinician, data on mask-
fit and AHI is displayed.
9In the Sleep Report, only the
period can be changed—
other values are for display
only.
9In the Service information,
the total device run hours
(includes warm-up/cool-down
times for the humidifier) and
the software identifications
are displayed.
To return to the HOME screen, push .
11
English

Cleaning and maintenance
You should regularly carry out cleaning and maintenance as described in this section.
Daily
1. Remove the air tubing by pulling on the finger grips on the cuff. Hang it in a clean, dry place until next
use.
2. Slide the H5i latch.
3. Lift open the flip lid and remove the water tub.
4. Wash the H5i water tub in warm water using a mild detergent.
5. Rinse thoroughly in clean water and allow it to dry away from direct sunlight.
6. Before next use, fill the water tub, return it to the H5i and close the flip lid.
Note: Do not open the H5i water tub. There are no user serviceable parts inside.
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123
456

Weekly
1. Remove the air tubing from the S9 device and the mask.
2. Wash the air tubing in warm water using mild detergent.
3. Rinse thoroughly, hang, and allow to dry.
4. Before next use, reconnect the air tubing to the air outlet and mask.
Monthly
1. Wipe the exterior of the S9 and H5i with a damp cloth and mild detergent.
2. Check the air filter for holes and blockage by dirt or dust.
3. Peel the flip lid seal from the flip lid and wash it in warm water using a mild detergent.
Maintenance checklist
9Inspect the H5i water tub and flip lid seal for wear and deterioration.
9Replace the water tub if any component is leaking or has become cracked, cloudy or pitted.
9Replace the flip lid seal if cracked or torn.
9Clean white powder deposits in the water tub by using a solution of one part household vinegar to 10
parts water.
Replacing the air filter
Replace the air filter every six months (or more often if necessary).
1. Remove the air filter cover from the back of the S9 device.
2. Remove and discard the old air filter.
3. Insert a new ResMed air filter ensuring that it is
sitting flat in the air filter cover.
4. Replace the air filter cover.
Air filter
Air filter cover
13
English

SD card
An SD card has been supplied
to gather therapy data from
your S9 device and provide
settings updates from your
clinician. When instructed to do
so, disconnect the S9 device
from the power outlet, remove
your SD card, insert it in the
protective folder and send it to
your clinician.
Removing the card
1. Push in the SD card to
release it.
2. Remove the card.
3. Insert the card into the
protective folder.
4. Send the protective folder
back to your clinician as
instructed.
For more information on
removing and inserting your
card refer to your S9 SD Card
Protective Folder provided with
your device. Please retain the
S9 SD Card Protective Folder
for future use.
Notes:
•For Troubleshooting information
refer to the Information Guide.
•For more product information see
www.resmed.com.
12 3 4
14

Global leaders in sleep and respiratory medicine www.resmed.com
VPAP™ Auto
VPAP™ ST
VPAP™ S
POSITIVE AIRWAY PRESSURE DEVICE
H5i™
HEATED HUMIDIFIER
Welcome Guide
English • Français • Español • Português
368436-Eng/1 2011-02
S9 VPAP Series
H5i
WELCOME
AMER
Manufacturer: 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 Milton Park Abingdon Oxfordshire OX14 4RY UK. See
www.resmed.com for other ResMed locations worldwide.
S9 VPAP Auto: Protected by patents: AU 691200, AU 697652, AU 699726, AU 702820, AU 709279, AU 713679, AU 724589, AU
730844, AU 731800, AU 736723, AU 750095, AU 750761, AU 756622, AU 764761, AU 779327, AU 2002306200, AU 2005200987,
AU 2007252223, CA 2235939, CA 2263126, EP 0651971, EP 0661071, EP 0858352, EP 0920845, EP 0927538, EP 0929336, EP
0934723, EP 1028769, EP 1126893, EP 1502618, JP 3580776, JP 3635097, JP 3638613, JP 3778797, JP 4083154, NZ 504595, NZ
570415, US 5704345, US 6138675, US 6152129, US 6213119, US 6240921, US 6279569, US 6363933, US 6367474, US 6425395,
US 6502572, US 6591834, US 6659101, US 6675797, US 6745768, US 6817361, US 6945248, US 6988498, US 7040317, US
7100608, US 7537010, US 7661428. Other patents pending.
S9 VPAP S/ST: Protected by patents: AU 697652, AU 699726, AU 713679, AU 731800, AU 756622, AU 2002306200, AU
2005200987, AU 2007252223, CA 2235939, CA 2263126, EP 0661071, EP 0858352, EP 0929336, JP 3635097, JP 3638613, JP
4083154, US 6152129, US 6213119, US 6240921, US 6279569, US 6659101, US 6945248, US 7661428. Other patents pending.
Protected by design registrations: AU 329025, AU 330142, AU 331272, AU 332891, AU 333858, CN 200830346524.1, CN
200830346526.0, EU 1067417, JP 1377401, JP 1377402, JP 1377403, NZ 411762, NZ 413090, US D629891, US D629892. Other
design registrations pending.
H5i: Protected by patents: AU 2002233025, CN ZL02804936.5, HK 1065483, JP 4420605, NZ 527088, US 693533, US 7614398.
Other patents pending. Protected by design registrations: AU 331676, AU 331677, CN 200930203243.5, EU 1720582, JP 1402844,
JP 1402845, NZ 413752, NZ 413753, US D626642, US D627044. Other design registrations pending.
S9 VPAP Auto, S9 VPAP, H5i, ClimateLine, ClimateLineMAX, SlimLine and SmartStart are trademarks of ResMed Ltd and S9,
ClimateLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Ofce.
© 2011 ResMed Ltd.