ResMed VPAP II User manual

VPAP II & II ST
Reorder number: 218038/2 00 03
®

RESMED
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NGLISH
D
EUTSCH
F
RANÇAIS
E
SPAÑOL
I
TALIANO
S
VENSKA
P
ORTUGUÊS
USER’SMANUAL 1
BEDIENUNGSANLEITUNG 25
MANUAL DE L’UTILISATEUR 53
MANUALE DELL’UTENTE 81
MANUAL DEL USUARIO 109
MANUAL DO USUÁRIO 137
BRUKSANVISNING 165
VPAP II & II ST
®

Internet: English http://www.resmed.com Deutsch http://www.resmed.de Français http://www.resmed.ch
Protected by: EP(DE,FR,GB) 0088761, JP 1697822, US 4944310, US 5199424, US 5522382. Other patents pending. Copyright subsists in
ResMed products. “SULLIVAN®”, “VPAP®”, “AutoSet®”, “AutoView™”, “Bubble Cushion®”, “Bubble Mask®”, “HumidAire™”, “Mirage®”,
“ResCap®”, “SCAN™”, “SmartStart®”, and “Ultra Mirage™” are trademarks of ResMed Ltd.
© 2000 ResMed Ltd. All rights reserved.
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VPAP II & II ST
USER’SMANUAL
®
RESMED

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CONTENTS
WARNINGS & CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
UNPACKING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
OTHER REQUIRED COMPONENTS 6
OPTIONAL ACCESSORIES 6
ASSEMBLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
STARTING TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
ALARM CANCEL BUTTON 11
LCD SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
HELPFUL HINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
CLEANING AND MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
SERVICING 18
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
WARNINGS RELATED TO TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

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WARNINGS & CAUTIONS
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WARNINGS & CAUTIONS
This manual contains special terms and icons which appear in the margins to draw
the reader’s attention to specific and important information.
!
WARNING Alerts the user to possible injury.
!
CAUTION Alerts the user to possible equipment problems.
i
NOTE An informative or helpful note.
2NGCUGTGCFVJKUOCPWCNECTGHWNN[DGHQTGWUG
6JKUOCPWCNKUKPVGPFGFHQTVJGWUGTQPN[(QTENKPKECNKPHQTOCVKQPRNGCUGTGHGT
VQVJG%NKPKEKCP U/CPWCNHQTVJKURTQFWEV
USER/OWNER RESPONSIBILITY
The user or owner of this system shall be liable for any injury or property damage
resulting from operation not in accordance with the instructions supplied, or
maintenance/modifications carried out by unauthorized persons.
INDICATIONS
The SULLIVAN®VPAP®II and VPAP II ST are intended to augment the ventilation
of patients who have restrictive or obstructive respiratory disorders and require
non-continuous ventilatory support. Examples of such respiratory disorders are
obstructive sleep apnea, chronic obstructive pulmonary disease, neuromuscular
and chest wall diseases.
CONTRAINDICATIONS
The VPAP II and II ST should PQV be used in cases of severe respiratory failure
where intubation is judged to be immediately necessary.
VPAP therapy should be used with caution in the following cases:
•Existing respiratory failure
•Emphysematous bullae, pneumothorax, pneumomediastinum or past history
of the above (indicating risk of pneumothorax or further baro-trauma)

4
•Decompensated cardiac failure or hypotension, particularly if associated with
intravascular volume depletion
•Massive epistaxis, or risk of recurrence if previous occurrence
•Pneumoencephalus, recent trauma or surgery that may have caused cranio-
nasopharyngeal fistula (risk of entry of air into cranial cavity)
•Acute sinusitis, otitis media or perforated ear drum.
!
WARNINGS •'ZRNQUKQPJC\CTF do not use in the vicinity of flammable anesthetics.
•6*+ + 016#.+(' 722146&'8+%' It may stop operating with
power interruption, or if a fault occurs in the product.
•7UGQPN[OCUMU[UVGOUCUTGEQOOGPFGFCPFUWRRNKGFD[4GU/GF Other
mask systems may not be compatible.
•The mask should be worn only when the machine is turned on and operating
properly. Explanation: exhaled air is flushed out of the vents when the
machine is operating. If the unit is not operating, exhaled air will be
rebreathed. The vent holes on the mask should never be blocked.
•At low pressures, the flow through the exhalation ports may be inadequate to
clear all exhaled gases. Some rebreathing may occur.
•The airflow for breathing may be as much as 6°C (11°F) higher than room
temperature. Caution should be exercised if the room temperature is higher
than 35°C (95°F).
•Do not drop or insert any objects into the air tubing or air outlet.
•Do not open the flow generator case or attempt to adjust the unit.
OXYGEN USE
!
WARNINGS •If oxygen is used with this device, the oxygen flow must be turned off when
the device is not operating. Explanation: When the device is not in operation
and the oxygen flow is left on, oxygen delivered into the ventilator tubing may
accumulate within the device enclosure and create a risk of fire.
•Always turn the flow generator on before the oxygen.
•Always turn the oxygen off before the flow generator.
•Oxygen supports combustion. Oxygen should not be used while smoking or in
the presence of an open flame.
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NOTE At a fixed flow rate of supplemental oxygen flow, the inhaled oxygen
concentration will vary, depending on the pressure settings, patient breathing
pattern, mask selection, and leak rate.

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UNPACKING
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UNPACKING
Check that you have the following items
VPAP II or II ST flow generator Air tube
Power cordUser’s manual
Carry bag
RESMED
USER’SMANUA L
VPAP II AND II ST

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OTHER REQUIRED COMPONENTS
You will also need a ResMed mask system that is supplied separately. VPAP flow
generators are compatible with the following mask systems:
!
WARNING Use only mask systems as recommended and supplied by ResMed. Other mask
systems may not be compatible.
OPTIONAL ACCESSORIES
!
WARNING Only ResMed humidifiers are compatible for use with VPAP flow generators. Do not
use any other humidifier systems.
Mirage®Mask Mirage®Ultra Mirage®Modular Mask
Full Face Mask
Mask
HumidAire™heated
humidifier
Passover humidifier

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ASSEMBLY
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ASSEMBLY
1Place the flow generator on a table near the head of your bed.
!
CAUTION Be careful not to place it where it can be bumped over, or where someone may
trip over the power cord.
2Plug the power cord into the power socket at the back of the flow generator.
3Plug the other end of the power cord into a mains power outlet.
4Assemble your ResMed mask system according to the user instructions supplied
with the mask.
If you are using a humidifier, please refer to the connection instructions in the
user’s manual supplied with the humidifier.

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5Connect one end of the air tube to the outlet on the flow generator. Connect the
other end to your mask system.
6Turn the power switch on (+).
Your VPAP system is now assembled.
To start treatment, see “Starting Treatment”on page 9.

9
STARTING TREATMENT
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STARTING TREATMENT
1You should have assembled the flow generator and connected the air tubing (see
“Assembly”on page 7).
2Assemble your mask as described in the mask system user instructions and put it
on.
3Lie down and arrange the air tubing so that it is free to move if you turn in your
sleep.
Figure 1 : Arranging the air tubing
!
CAUTION •Do not leave long lengths of air tubing around the top of your bed that could
twist around your head or neck while sleeping.
•Make sure the area around the flow generator is clean (dust free) and clear of
bedding, clothes, and any other potential blockages.
* this configuration not
possible with original
Mirage mask

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4Start the flow generator in one of the following ways:
Figure 2 : VPAP II front panel
START/STOP Press the VCTV VQR button to start the air flow. The air will begin flowing slowly
and build up to pressure in 10–15 seconds.
OR
DELAY TIMER If you have difficulty falling asleep with full pressure, you can use the Delay Timer.
The airflow will start very gently while you fall asleep, and slowly increase to full
operating pressure over a selected time period. You can select a delay time of 5, 10
or 20 minutes.
Choose a delay time and press the corresponding button. The air will start to flow
automatically. There is no need to push the VCTV VQR button. If you have not yet
fallen asleep after the delay period, you may press one of the &GNC[6KOGT buttons
again.
OR
S MART S TART
®
This feature is set by your clinician. If SmartStart is enabled, the hand icon will
appear on the LCD screen (see “LCD Screen”on page 13) and the flow generator
will automatically start when you breathe into the mask, and stop when you remove
it. If you want to use the Delay Timer, you will need to press a &GNC[6KOGT button
to start treatment. However, the flow generator will still stop automatically.
Start/Stop
button Delay Timer buttons
5 10 20
MODE
IPAP
EPAP
IPAP max
S
10.0
8.0
2.0
MIN
VPAPIIST
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Alarm Cancel
button

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STARTING TREATMENT
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5To stop treatment, simply press the VCTV VQR button and remove your mask. If
SmartStart is enabled, the flow generator will stop automatically when you remove
your mask.
i
NOTES If the Mask Alarm is enabled (the “M”icon appears on the LCD screen)
SmartStart will not stop the flow generator automatically when you remove
your mask. The Mask Alarm will activate. Use the VCTV VQR button to turn
the flow generator off before removing your mask.
Some masks or mask/valve combinations may affect the operation of the
SmartStart feature. If SmartStart does not trigger the operation of the flow
generator, start or stop the flow generator by pressing the VCTV VQR button.
ALARM CANCEL BUTTON
The VPAP is equipped with an alarm to warn you when you are not receiving
correct treatment. The alarm will activate:
•if the VPAP detects a high mask leak and if the Mask Alarm option has been
enabled by your clinician;
•when excessively high temperatures cause the VPAP to overheat and switch
from your prescribed treatment pressures to a single, constant pressure.
MASK ALARM
If your clinician has activated the Mask Alarm feature, the Mask Alarm will activate
if it detects a high mask leak or if your mask has become totally dislodged from
your face. The VPAP will illuminate an indicator light, sound a buzzer and display
“MASK OFF ALARM”on the LCD screen.
To stop the alarm, press the #NCTO%CPEGN button or eliminate the cause of the
leak. To eliminate the leak, reposition the mask on your face and/or check that
the air tubing is connected properly to the mask and the flow generator.
OVERHEATING
In rare circumstances when the room temperature is above 35°C (95°F) and you
have been breathing rapidly and there are large pressure changes, the air pump in
the flow generator may overheat. The alarm will activate and display
“O’HEAT ALARM”on the LCD screen. You can cancel the alarm by pressing the
#NCTO%CPEGN button.
If the air pump does overheat, the VPAP will deliver a single, constant pressure for
about 15 minutes to allow the pump to cool. When cool, the pump will
automatically return to normal operation. If you prefer, press the VCTV VQR
button and remove your mask. Allow the flow generator to cool for about 15
minutes then resume your normal treatment.

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13
LCD SCREEN
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LCD SCREEN
The LCD screen will show the settings made by your clinician. You cannot modify
any of the items shown on the display.
If an alarm has been activated, the VPAP will indicate which kind of alarm is
sounding, Mask Alarm or Overheating Alarm, in the message panel of the LCD
screen.
Figure 3 : Example of settings shown on the LCD screen
i
NOTE The items appearing on the LCD screen will vary depending upon the settings
made by your clinician.
MODE
IPAP
EPAP
IPAP max
S
10.0
8.0
2.0
MIN
SmartStart
enabled
Setting lock. This
means the settings
cannot be changed.
Treatment
settings
Humidifier option
Pressure indicator
RESMED
VPAPII
Mask Alarm enabled
M
Message panel

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HELPFUL HINTS
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HELPFUL HINTS
FIRST USE
When you use your VPAP flow generator for the first time, you may feel an
unusual sense of pressure when breathing. Even though the flow generator
reduces the pressure when you breathe out, you may still need to consciously
push out when breathing. This is normal, and will occur automatically while you
sleep. Take your time to adjust to this new sensation. Taking a few deep breaths
may help.
MOUTH LEAKS
Try to keep your mouth closed during treatment, as air leaks from your mouth can
be unpleasant. If you wake up during the night, the sensation of a mouth leak can
be alarming. You should close your mouth and try to go back to sleep. Using the
Delay Timer may also help. See “Delay Timer”on page 10.
If mouth leaks continue to be a problem for you, talk to your clinician about
ResMed’s Mirage Full Face Mask which is designed to prevent mouth leaks.
GETTING UP
If you get up during the night, remember toTGOQXG[QWTOCUM. Always
remember to replace the mask when you return to bed and turn the flow generator
on again, see “Starting Treatment”on page 9.
DRYNESS
Some people experience dryness of the nose, mouth and throat during the course
of VPAP treatment, especially during winter. A humidifier may be the best solution.
ResMed produces a range of humidifiers that will humidify the air flow to relieve
the symptoms. Contact your clinician for advice.
MASK FITTING
The mask does not need to be tightly fastened. The VPAP delivers the most
effective treatment when the mask is well balanced and comfortable, without
being pulled tight. A minor leak around the lower part of the face is preferable to
overtightening the mask. However, any air leaks blowing near the eyes should be
eliminated as they may cause eye irritation. If you have continuing problems trying

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to get a comfortable mask fit, do not hesitate to contact your sleep clinic or
equipment supplier. They may be able to modify the cushion or mask, or suggest
an alternative size or style from the wide range available.
RUNNY/BLOCKED NOSE
You may experience sneezing and a runny or blocked nose during the first few
weeks of VPAP treatment. This may need treatment with a humidifier or nasal spray.
Consult your clinician for advice.
INTERNATIONAL USE
Your VPAP flow generator is equipped with a universal input power supply
enabling it to operate in other countries. It will run on 110–240 V and 50–60 Hz. No
special adjustment is necessary, but you may need an adaptor for the power outlet.
Always remember to pack the detachable power cord.
For more information, contact your equipment supplier.

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CLEANING AND MAINTENANCE
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CLEANING AND MAINTENANCE
DAILY
Disconnect the air tubing and mask. Wipe the inside and outside of the mask and
cushion with a clean damp cloth.
Hang them up to dry in the shade—not in the sun, as the tubing may harden and
crack over time.
WEEKLY
Handwash the mask and air tubing with mild detergent. Refer to the instructions
supplied with your mask system for complete instructions.
Handwash the headgear with mild detergent and drip dry out of direct sunlight.
Check the mask outlets for blockages.
PERIODICALLY
The exterior of the flow generator should be cleaned with a slightly damp cloth
and mild detergent.
!
WARNINGS Beware of electric shock. Do not immerse the flow generator or power cord in
water. Always unplug the flow generator before cleaning and be sure that it is dry
before plugging it back in.
Do not use bleach-, chlorine-, alcohol- or aromatic-based solutions (including
scented oils) to clean the cushion, mask or air tubing. These solutions may cause
damage that is not visible.
The mask and air tubing are subject to normal wear and tear. Inspect them
regularly for damage.