ResMed VPAP COPD Operating and safety instructions

Making quality of care easy
Respiratory Care Solutions
Welcome Guide
English
VPAP™COPD
NONINVASIVE VENTILATOR
H5i™
HEATED HUMIDIFIER

Making quality of care easy
Respiratory Care Solutions

Welcome
Thank you for choosing the VPAP COPD or H5i™. Before operating the device, please read the entire
Welcome and Information Guides.
VPAP COPD at a glance
The VPAP COPD system comprises the following elements:
• VPAP COPD device • Air tubing • 90W power supply unit • S9 Travel bag • SD card • S9 SD card
protective folder.
Optional components include:
• H5i heated humidifier • Standard air tubing • SlimLine™ air tubing • 3 m air tubing • ClimateLine™
heated air tubing • ClimateLineMAX heated air tubing • ClimateLineMAX Oxy heated air tubing
•30Wpower supply unit (does not support H5i) • Power Station II battery pack
•DC/DC Converter 24V/90W.
Traveling tips
When traveling with your VPAP COPD only:
• Ensure you pack the SlimLine or Standard air tubing as the ClimateLine, ClimateLineMAX and
ClimateLineMAX Oxy heated air tubing are not designed to connect directly to the device.
• Ensure you purchase and travel with the approved power cord for the region where you will be using
the device.
Air filter
DC power inlet
SD card slot
Module/Adapter port
Air outlet
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H5i at a glance
The H5i system comprises the following elements:
• H5i heated humidifier • H5i standard water tub
•ClimateLineMAX Oxy heated air tubing (if sold as a Climate Control Kit).
Optional components include:
• ClimateLineMAX heated air tubing • 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 device by using the release button.
Latch
Flip lid
Air outlet
H5i water tub
Release
button
Flip lid seal
ClimateLine, ClimateLineMAX
or ClimateLineMAX Oxy
connection port
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Setting up
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Setting up with supplemental oxygen
If oxygen is prescribed by your clinician, set up the VPAP COPD with the H5i and the ClimateLineMAXOxy
as follows:
1. Align your H5i with the VPAP COPD and push them together until they click into place.
2. Connect the DC plug of the power supply unit to the rear of the device.
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.
7. Connect the oxygen supply tubing to the oxygen connector of the ClimateLineMAXOxy. Ensure that it
is attached firmly.
Note: Before adding oxygen, familiarize yourself with the specific warnings relating to the use of
supplemental oxygen. These can be found at the end of the Information Guide.
Setting up without supplemental oxygen
If you use the VPAP COPD with the ClimateLineMAXOxy but without supplemental oxygen, perform
steps1-6 above. Ensure that the cap of the oxygen connector is attached firmly.
Notes:
•Always ensure that the VPAP COPD and H5i are placed on a stable, level surface for proper operation.
•Always ensure that the VPAP COPD is placed in an area where the alarm LED indicators are clearly
visible.
•Place the power supply unit away from the H5i to allow for adequate ventilation.
•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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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 (12.5 fl oz / 380 mL).
4. Return the water tub to the H5i.
5. Close the flip lid ensuring that it clicks into place.
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VPAP COPD basics
Info menu*
Allows you to view your sleep statistics or exit
from the menu.
Start/Stop button
Starts or stops
treatment.
LCD screen
Displays the menus, treatment
screens and reminders.
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.
Alarm mute
Press once to mute
alarms. Press a second
time to unmute.
Alarm and therapy LEDs
Yellow—flashes during an alarm.
Blue—on during therapy (if enabled
by clinician).
Key:
Home
Humidity Level
Ramp
Heated Tube
Climate Control
Start/Stop
Push dial
Alarm mute
Setup menu
Info menu
Setup menu*
Allows you to make changes to settings or exit from
the menu.
*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.
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 the humidity level:
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 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.
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.
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VPAP COPD basics
Info menu*
Allows you to view your sleep statistics or exit
from the menu.
Start/Stop button
Starts or stops
treatment.
LCD screen
Displays the menus, treatment
screens and reminders.
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.
Alarm mute
Press once to mute
alarms. Press a second
time to unmute.
Alarm and therapy LEDs
Yellow—flashes during an alarm.
Blue—on during therapy (if enabled
by clinician).
Key:
Home
Humidity Level
Ramp
Heated Tube
Climate Control
Start/Stop
Push dial
Alarm mute
Setup menu
Info menu
Setup menu*
Allows you to make changes to settings or exit from
the menu.
*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.
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 the humidity level:
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 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.
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.
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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:
Using Mask Fit
You can use Mask Fit to help you fit your mask properly. This feature delivers CPAP 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 Mask Fit indicates Good.
After three minutes, the pressure reverts to the set pressure and treatment will begin. You can end
Mask Fit at any time by pressing .
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.
S9 Essentials
S9 Essentials is designed to make device interaction and menu navigation easier for you. If enabled by
the clinician, S9 Essentials disables the Info and Setup functionality so that you can simply start and stop
therapy and adjust ramp, humidification and Climate Control.
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.
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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:
Using Mask Fit
You can use Mask Fit to help you fit your mask properly. This feature delivers CPAP 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 Mask Fit indicates Good.
After three minutes, the pressure reverts to the set pressure and treatment will begin. You can end
Mask Fit at any time by pressing .
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.
S9 Essentials
S9 Essentials is designed to make device interaction and menu navigation easier for you. If enabled by
the clinician, S9 Essentials disables the Info and Setup functionality so that you can simply start and stop
therapy and adjust ramp, humidification and Climate Control.
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.
Note: Selecting the mask type is not possible if S9 Essentials has been enabled by your clinician.
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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. If you use supplemental oxygen, turn on oxygen.
6. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
7. If you use supplemental oxygen and want to stop treatment at any time, turn off
oxygen first.
8. 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.
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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
9Climate Control – Auto
9H5i humidifier
9ClimateLine or ClimateLineMAX
9Climate Control – Manual
9Therapy data—without
optional accessories
9Oximetry data—via the
oximeter adapter
Pressure bar: In S mode, the fixed vertical lines on the pressure bar indicate the expiratory and
inspiratory pressures. While the treatment is ramping (indicated by an orange ramp icon) or variable, the
pressure values appear in orange. When a set pressure is reached these values are displayed in white.
In CPAP mode, only a set pressure is shown.
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. If you use supplemental oxygen, turn on oxygen.
6. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
7. If you use supplemental oxygen and want to stop treatment at any time, turn off
oxygen first.
8. 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.
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To toggle between the treatment screens, press from your HOME screen.
9Treatment with cycle
(TiMax or Ti Min) breath
indicators
9Treatment with spontaneous
cycled breaths
9Treatment with alarm
functionality
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.
In 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.
In the Sleep Report, only the
period can be changed—other
values are for display only.
In 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 .
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Viewing alarms
The VPAP COPD is fitted with an alarm module that continuously monitors both therapy and device
conditions. Alarms are only activated when therapy is running. An alarm condition is indicated by an
audible sound, a flashing yellow alarm LED and a message on the screen. When the device is turned on,
the yellow alarm LED will flash, and the alarm will sound to confirm that the alarm is working.
9Alarm activated 9Alarm cleared 9Multiple alarms
When an alarm activates, a
corresponding alarm message is
displayed. If multiple alarms are
active, the latest alarm message
is displayed and as these are
cleared each message can be
read.
To clear an alarm message,
press . This allows you
to return to the previously
displayed screen. If the alarm
condition remains, the alarm will
re-occur.
Note: Power Fail and Alarm Fail
alarms are cleared by
pressing .
To view the list of alarm
messages, go to the Treatment
screen and press until
Treatment screen 3 is displayed.
Muting the alarm
To mute an alarm for two minutes, press once. If the condition remains, the alarm will sound again
after two minutes. To turn on the alarm again, press a second time. The alarm LED will remain lit for as
long as the condition remains.
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Cleaning and maintenance
You should regularly carry out cleaning and maintenance as described in this section.
Disassembling the H5i water tub
1. Slide the latch.
2. Lift open the flip lid.
3. Remove the water tub.
4. Discard any excess water from the water tub.
5. Unclip all four side latches.
6. Pull apart the tub lid and base.
Daily cleaning
1. Remove the air tubing by pulling on the finger grips on the cuff. Hang the air tubing in a clean, dry
place until next use.
2. Wash the disassembled tub lid and base in warm water using a mild detergent.
3. Rinse thoroughly in clean water and allow them to dry away from direct sunlight.
Notes:
•Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.
•Do not wash the air tubing in a washing machine or dishwasher.
Weekly
1. Remove the air tubing from the 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 device and H5i with a damp cloth and mild detergent.
2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary.
3. Peel the flip lid seal from the flip lid and wash it in warm water using a mild detergent.
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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.
Reassembling and filling the H5i water tub
1. Place the tub lid back onto the base.
2. Clip all four side latches.
3. Fill the water tub with distilled or deionized water up to the maximum water level mark.
4. Return the water tub to the H5i.
5. Close the flip lid ensuring that it clicks into place.
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 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.
Notes:
•Ensure the air filter and air filter cover are
fitted at all times.
•Do not wash the air filter. The air filter
is not washable or reusable.
Air filter
Air filter cover
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•
SD card
An SD card has been supplied
to gather therapy data from
your device and provide settings
updates from your clinician.
When instructed to do so,
disconnect the 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.
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Making quality of care easy
Respiratory Care Solutions

Global leaders in sleep and respiratory medicine www.resmed.com
Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.
See www.resmed.com for other ResMed locations worldwide.
For patent information, see www.resmed.com/ip.
S9, H5i, ClimateLine, SlimLine, SmartStart and VPAP are trademarks of ResMed Ltd. S9, ClimateLine, SlimLine, SmartStart and
VPAP are registered in U.S. Patent and Trademark Office.
© 2017ResMed Ltd.
368841/22017-11
VPAP COPD
H5i
WELCOME
AMER ENG