ResMed VS Ultra User manual

VS Ultra™ & VS Integra™
Patient manual
English
NOT014224-2 07 10

ResMed Schweiz AG Viaduktstrasse Basel, Switzerland, [phone] or 0800 00 2500 (toll free).
Saime SAS (Manufacturer), Savigny-le-Temple, France. ResMed Corp Poway, CA, USA [phone] or 1 800 424 0737 (toll
free), ResMed Ltd Bella Vista, NSW, Australia, [phone] or 1 800 658 189 (toll free). Offices in Austria, Brazil, China,
Finland, France, Germany, Hong Kong, India, Japan, Malaysia, Netherlands, New Zealand, Norway, Singapore, Spain, Sweden,
Switzerland, United Kingdom (see website for details). Protected by patents: FR 2839893.
Other design registrations and patents pending. VS Ultra and VS Integra are trademarks of Saime and is registered in U.S.
Patent and Trademark Office. Specifications may change without notice. © 2007 Saime SAS is a subsidiary of ResMed Inc.

iii
Contents
1 Introduction.......................................1
1.1 Definitions 1
1.2 User/Owner Responsibility 1
1.3 Medical Information 1
2 Descriptionofthedevice............................3
2.1 Components 3
2.2 Your device 4
2.3 Circuit 8
2.4 Accessories 8
2.5 Device control panel 10
3 Connectionprocedures ............................11
3.1 Connecting to a power supply 11
3.2 Connecting the circuit 12
3.3 Connecting the mask 15
3.4 Example of fully-assembled system 16
3.5 Connecting accessories 16
4 Switchingonandshuttingdown.....................19
4.1 Standby 19
4.2 Starting up 19
4.3 Shutting down 19
5 CleaningandMaintenance .........................21
6 Troubleshooting ..................................23
7 TechnicalSpecifications............................25
7.1 Dimensions 25
7. 2 W e i g h t 2 5
7. 3 P o w e r s u p p l y 2 6
7. 4 Tr a n s p o r t 2 6
8 Appendix........................................27
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

1
Introduction
1 Introduction
This manual is provided with the device you have received, a medical
ventilator in the VS range. It does not in any way replace the clinical
manual supplied to your physician or HME provider.
There are two models:
•the VS Ultra™, which is blue
•the VS Integra™, which is red.
These devices are designed to provide ventilation for dependent and
non-dependent patients, with a mask or tracheotomy. However, the
illustrations and text in this manual refer solely to the use of a mask.
1.1 Definitions
This manual contains special terms and icons that appear in the margins.
Their purpose is to draw your attention to specific or important
information.
!
CAUTION
Explains special measures for the safe and effective use of the
device.
!
WARNING
Alerts you to possible injury.
Note: Is an informative or helpful note.
1.2 User/Owner Responsibility
The user or owner of this system is solely responsible and liable 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.
1.3 Medical Information
Purpose of your ventilation device
VS Ultra and VS Integra devices are designed for both adults and
children, in the home or clinical environment.

2
The VS Integra and VS Ultra can both be used with single circuit, but only
the VS Ultra model can be used with double circuit.
Warnings
•This manual must be read and understood in full before the device is
used.
•The advice contained in this manual does not replace the instructions
given by your physician (or HME provider), who will already be
familiar with the operation of the device through the clinical manual
provided.
•The device settings must be made by competent and trained staff
under a doctor's supervision.
•The device must be used with the accessories recommended by the
manufacturer or your prescribing physician. The use of inappropriate
accessories is likely to affect the operation of the device.
•In the case of externally visible faults, cease using the device.
•In the event of functional problems (e.g. you find it difficult to breathe
or trigger an inspiratory phase), contact your HME provider.
•Do not open the device casing. Repairs and internal servicing should
only be performed by an authorised service agent.
The above are general warnings. Other specific warnings and notes will
be found throughout the text of the manual.

3
Description of the device
2Descriptionofthedevice
2.1 Components
The picture below shows the set of components available from your
HME provider:
•Yo u r d ev i c e
•The power cable
•The circuit
•An interface (mask or tracheotomy)
•The travel bag .
Figure 1: Components available from your HME provider.
1
2
3
4
5

4
2.2 Your device
Front view
The device comprises:
•A control panel
•An area for connecting the circuit .
Figure 2: Front view of the device.
The control panel comprises a screen and a keypad.
Figure 3: Device control panel.
1
2
LCD Screen
Keypad

5
Description of the device
The circuit connection area comprises:
•An air outlet
•Single circuit support with exhalation and pressure line connection.
Figure 4: Detailed view of single circuit support with exhalation and
pressure line connection.
There is a different type of circuit support for double circuit (see next
Figure).
Air outlet
Single circuit support
with exhalation and
pressure line connection

6
Figure 5: Detailed view of connection for a double circuit.
Rear view
On the rear of the device, take particular note of the location of the
following:
•The power supply socket
•The fastening clip for the power connection
•The anti-dust filter . You will have to replace this filter (see
“Cleaning and Maintenance” on page 21).
!
CAUTION
Never block the exhaust vents. Two places on the rear of the
device are marked with the symbol .
Air outlet
Connection for a
double circuit

7
Description of the device
Figure 6: Rear view of device.
Side view
Some device models are fitted with a metal connector for attaching an
oxygen supply (see next Figure).
For instructions on connecting the oxygen source to the device, see
“Connecting supplemental oxygen (optional)” on page 18.
Figure 7: Metal connector for optional O2 pressure.
1
3
2
Anti-dust filter
(Air inlet)
Fastening clip
Power supply socket
Socket for external battery
O
2
O
2
Connector for
oxygen circuit
(Symbol )

8
2.3 Circuit
Depending on the ventilation mode prescribed by your physician, you will
be using one of the following:
•Single circuit
•Single circuit with expiratory valve
•Double circuit
To determine the type of circuit prescribed for you and how to connect
it to the device, see “Connecting the circuit” on page 12.
2.4 Accessories
Other components in your circuit system may include an antibacterial
filter, a humidification system and a water trap. For further details, read
the instructions provided with the individual accessories used in your
system.
Some ResMed accessories are available as optional extras with this
device:
•An external battery
•An oxygen coupling for connecting a supplemental flow of oxygen
to the device
•A remote alarm (accessory not described in this manual).

9
Description of the device
External battery (optional)
An external battery increases the utilisation period away from a mains
power supply, and also provides a back-up supply in the event of a power
outage.
This accessory comprises:
•The external battery , attached to its holder
•The cable connecting the device to the external battery .
Figure 8: External battery in its holder and cable connecting the device to
the external battery.
The external battery allows use of the device at home, outside, in a
vehicle or when sitting in a wheelchair. It comes with a travel bag.
For more details, see “Connection of external battery (optional)” on
page 16.
Coupling for supplemental oxygen flow (optional)
The oxygen coupling is used to connect a supplemental flow of oxygen
to the device.
Figure 9: Oxygen coupling.
For instructions on connecting a supplemental oxygen flow to the
device, see “Connecting supplemental oxygen (optional)” on page 18.
1
2
3
Ventilation device Oxygen supply

10
2.5 Device control panel
The device control panel comprises an LCD screen and a keypad.
Figure 10: Front view.
The buttons on the keypad are listed in the table below.
The keypad consists of buttons and LED indicator lights.
Ta b l e 1 : Bu tt o n s o n d e v i c e co nt r o l p an el .
Button Function
On/Off button Used to switch the device on and off.
Alarm silence button Used to silence the audible alarm.
Either the orange or red LED will start flashing,
depending on the type of alarm.
Menu button Displays your ventilation program settings (button
used by your installation technician).
Adjustment buttons For adjusting your ventilation program settings
(buttons used by your installation technician).
2 min.
Alarm silence button
Navigation panel
Indicator lights (LEDs)
LCD Screen
On/Off button

11
Connection procedures
3Connectionprocedures
Place the device on a flat surface. Ensure the area is dust-free, and
cleared of any objects that could block the dust filter.
!
CAUTION
Be careful not to place the device where it could be knocked over or
where someone is likely to trip over the power cord.
3.1 Connecting to a power supply
1. P l u g t h e p o we r c a b l e i n t o t h e r e a r o f t h e d e v i c e
(see Figure below).
2. Remember to push down the fastening clip to hold the power cord
in place. This will prevent accident disconnection of the power
supply .
3. Plug the cable into the mains power supply .
Figure 11: Connection to mains power supply.
Your device is now in standby mode.
13
2

12
Notes:
•If your device is fitted with a rechargeable built-in battery (available
as an optional extra with the VS Integra), it can be used without a
mains power supply, with the battery lasting 2 – 4 hours,
depending on your settings.
•The battery recharges automatically when the device is connected
to the mains supply.
!
CAUTION
Ask your HME provider whether your device has a built-in
battery.
3.2 Connecting the circuit
Connect the single circuit to the air outlet at the front of the unit:
•For instructions on connecting a single circuit, see “Option 1 –
Single circuit”.
•For instructions on connecting a single circuit with expiratory
valve, see “Option 2 – Single circuit with expiratory valve and
pressure line” on page 13.
•For instructions on connecting a double circuit, see “Option 3 –
Double circuit” on page 15.
!
CAUTION
Only the air circuit supplied by your HME provider may be used
with your device. A different type of air circuit may reduce the
effectiveness of your treatment.

13
Connection procedures
Option 1 – Single circuit
1. Connect one end of the horizontally-ribbed tube firmly to the air
outlet, as shown in the Figure below :
Figure 12: Connection of single circuit to the device.
Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
Option 2 – Single circuit with expiratory valve and pressure
line
(see illustrations overleaf)
1. Connect the air outlet firmly to one branch of the horizontally-
ribbed tube .
2. Then connect the expiratory valve tube (the only one fitted with
a white connector) into the valve control , then turn the
connector slightly to the right to make the connection secure.
3. Finally, connect the other tube (with no connector fitted) to the
pressure line .
Note: Your circuit configuration may not include a pressure tap
tube, so this third step will not apply in your case.
1
Horizontally-ribbed
tube

14
Figure 13: Connection of single circuit with expiratory valve and pressure
line. See the next Figure for a detailed view of the connection panel.
Figure 14: Detailed view of circuit connections to the single circuit support.
1
2
3
Pressure line tube
Expiratory valve tube
2
3
Expiratory valve
control
Pressure line
P

15
Connection procedures
Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
Option 3 – Double circuit
1. Firmly connect one limb of the circuit to the
air outlet .
2. Then connect the other limb .
Figure 15: Connection of a double circuit.
Note: In most cases, your circuit configuration will not be exactly as
shown in this illustration. It may also include a humidification system,
antibacterial filter or water trap. Contact your HME provider if you have
any doubts about connecting your circuit.
Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
3.3 Connecting the mask
Refer to the instructions given by your physician or HME provider.
!
CAUTION
It is essential to use only the mask supplied by your physician or
HME provider.
1
2
Symbol
identifying air
outlet
Symbol
identifying
air return

16
3.4 Example of fully-assembled system
Figure 16: Example of fully-assembled system (single circuit with
expiratory valve and pressure line).
If your system does not have any accessories (external battery,
supplemental oxygen), you can now switch your device on, see
“Switching on and shutting down” on page 19.
3.5 Connecting accessories
Any accessories must be attached before the device is switched on.
Connection of external battery (optional)
To connect the external battery:
1. C o n n e c t t h e b l a c k p l u g t o t h e b a t t e r y h o l d e r .
2. Connect the other end to the socket on the rear of the device .
Figure 17: Connection of the external battery to the device.
26V 3A
1
2

17
Connection procedures
This Figure is a detailed view of the connection of the cable to the
device .
Figure 18: Detailed view of connection to the device.
!
CAUTION
To remove the connection cable (see next Figure):
Press on the black retention pin on the cable connector .
Still holding it down, pull the cable towards you .
Figure 19: Removing the cable from the external battery.
2
1
2