ResMed Full Face Mask Mirage Liberty User manual

Global leaders in sleep and respiratory medicine www.resmed.com
Mirage Liberty™
FULL FACE MASK
User Guide
English •Deutsch •Français •Italiano •Español •Português •Nederlands
61848/2 07 04
MIRAGE LIBERTY
USER
EUR 1
61848
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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) 65 Milton Park Abingdon Oxfordshire OX14 4RX UK
ResMed Offices Australia, Austria, Brazil, Finland, France, Germany, Hong Kong, Japan, Malaysia, Netherlands,
New Zealand, Norway, Singapore, Spain, Sweden, Switzerland, UK, USA
(see www.resmed.com for contact details).
Mirage Liberty Full Face Mask
Protected by patents: EP 1314445, HK 1057714, US 6412487, US 6581594, US 6796308, US 6823865, US 7021311.
Other patents pending.
Protected by design registrations: AU 312036, AU 312037, AU 312038, AU 312039, AU 312040, AU 312971, AU
312972, AU 312973, AU 312974, AU 312975, AU 312976, AU 312977, AU 312978, AU 312979, AU 312980, AU
312981, AU 312982, AU 312983, AU 312984, AU 313118, AU 313120, AU 313121, AU 313122, AU 313123, AU
313124, AU 313125. Others pending.
Mirage and Mirage Liberty are trademarks of ResMed Ltd and Mirage is registered in U.S. Patent and Trademark
Office.Velcro is a registered trademark of Velcro Industries B.V. STERRAD and CIDEX are trademarks of Johnson &
Johnson. Alconox is a trademark of Alconox Ltd. Neodisher Medizyme is a trademark of Chemische
Fabrik Dr Weigert.
© 2007 ResMed Ltd.
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AMask parts / Maskenteile / Composants du masque / Parti della maschera / Piezas de la
mascarilla / Peças da máscara / Maskeronderdelen
M
i
r
ag
e
L
i
b
e
r
t
y
™
Mask frame / Maskenrahmen /
Entourage rigide / Telaio della maschera /
Armazón de la mascarilla / Armação da
máscara / Maskerframe
Ports cap / Anschlusskappe / Bouchon
d'entrées / Coperchio delle prese /Tapón
de los puertos / Tampa das portas /
Poortafdichting
Valve / Ventil / Valve /
Valvola / Válvula /
Válvula / Klep
Exhaust vents / Luftauslassöffnungen /
Orifices de ventilation / Aperture per
l'esalazione / Orificios de ventilación /
Portas de exalação / Luchtopeningen
Upper straps / Obere Bänder / Sangles supérieures
/ Cinghie superiori / Correas superiores / Correias
superiores / Bovenste banden
Lower straps / Untere Bänder / Sangles
inférieures / Cinghie inferiori / Correas
inferiores / Correias inferiores / Onderste
banden
Lower clip / Unterer Clip / Clip
inférieur / Fermaglio inferiore /
Broche inferior / Clipe inferior /
Onderste klem
BFitting the mask / Anlegen der Maske / Mise en place du masque / Come indossare la maschera / Colocación de la mascarilla / Ajuste da máscara / Het masker opzetten
1
2
1 2 3 4 5
CDisassembling for cleaning / Auseinanderbau zu Reinigungszwecken / Démontage pour le nettoyage / Smontaggio per la pulizia / Desmontaje para la limpieza / Desmontagem para limpeza / Demontage voor reiniging
3 4 5 6 7
© 2007 ResMed Ltd.
© 2007 ResMed Ltd.
Inlet tube / Einlassschlauch / Tuyau d'entrée /
Tubo d'ingresso / Tubo de entrada /
Tubo de entrada / Inlaatslang
Swivel / Drehadapter / Pièce pivotante / Giunto rotante /
Pieza giratoria / Peça giratória / Draaibare kop
Nasal pillows / Nasenpolster /
Coussins narinaires / Cuscinetti nasali /
Almohadillas nasales / Almofadas
nasais / Neuskussentjes
Valve clip / Ventilclip / Clip de la
valve / Fermaglio della valvola /
Traba de la válvula / Clipe da
válvula / Klepklem
Right upper clip / Rechter oberer Clip / Clip
supérieur droit / Fermaglio superiore destro /
Broche superior derecho / Clipe superior
direito / Rechter bovenste klem
Lower clip / Unterer Clip / Clip
inférieur / Fermaglio inferiore / Broche
inferior / Clipe inferior / Onderste
klem
Headgear parts / Kopfbandteile / Composants du harnais / Parti del copricapo / Piezas del
arnés / Peças do arnês / Onderdelen hoofdband
Left upper clip / Linker oberer
Clip / Clip supérieur gauche /
Fermaglio superiore sinistro /
Broche superior izquierdo /
Clipe superior esquerdo /
Linker bovenste klem
Valve flap / Ventillasche /
Clapet de la valve / Aletta
della valvola / Aleta de la
válvula / Aba da válvula /
Klepflap
Valve hinge / Ventilgelenk
/ Charnière de la valve /
Cardine della valvola /
Bisagra de la válvula /
Articulação da válvula /
Klepscharnier
1 8
Cushion alignment guide / Anleitung zur Ausrichtung des
Maskenkissens / Repère d'alignement de la bulle / Guida di
allineamento del cuscinetto / Guía para alineación de la
almohadilla / Guia de alinhamento da almofada /
Kussen uitlijngeleider
© 2007 ResMed Ltd.
2
Mask cushion / Maskenkissen / Bulle du masque / Cuscinetto
della maschera /
Almohadilla bucal /
Almofada da máscara /
Maskerkussen
Elbow / Kniestück /
Coude / Gomito /
Codo / Cotovelo /
Bocht
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DReassembling the mask / Wiederzusammenbau der Maske / Remontage du masque / Riassemblaggio della maschera / Montaje de la mascarilla / Montagem da máscara / Het masker in elkaar zetten
1234
7 8
Mirage Liberty
Full Face Mask / Full Face Maske / Masque facial / Maschera oro-nasale / Mascarilla Facial /
Máscara Facial / Volgelaatsmasker
Illustrations Sheet / Illustrationsblatt /
Fiche d'illustrations / Foglio delle illustrazioni /
Hoja de figuras / Folheto de ilustrações / Illustratieblad
Note: For complete instructions, please read the text section
in conjunction with the illustrations on this sheet.
Hinweis: Vollständige Anweisungen finden Sie im
Textabschnitt und auf diesem Illustrationsblatt.
Remarque : pour les instructions complètes, veuillez lire le
texte du guide avec cette fiche d’illustrations.
Nota: Per istruzioni complete, leggere la sezione con il testo
insieme alle illustrazioni su questo foglio.
Nota: Para entender bien las instrucciones, lea el texto junto
con las figuras de esta hoja.
Nota: para obter instruções exaustivas, leia a secção de texto
em conjunto com as ilustrações constantes deste folheto.
NB: Raadpleeg voor de volledige instructies de
desbetreffende tekst samen met de illustraties op dit blad.
Component of: 61848/2
5
EReassembling the headgear / Wiederzusammenbau des Kopfbandes / Remontage du
harnais / Riassemblaggio del copricapo / Montaje del arnés / Montagem do arnês /
De hoofdband weer in elkaar zetten
1
© 2007 ResMed Ltd.
96
© 2007 ResMed Ltd.
2
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English
1
Mirage Liberty™
FULL FACE MASK
Thank you for choosing ResMed’s Mirage Liberty. The Mirage Liberty is a full
face mask that combines nasal pillows and a mouth cushion, creating a mask
that is both unobtrusive and easy to use without compromising seal, stability
and comfort.
The mask incorporates vent holes and a built-in valve so that you can continue
to breathe fresh air if the airflow to your mask is impeded for any reason.
Intended Use
The Mirage Liberty channels airflow noninvasively to a patient from a positive
airway pressure device such as a continuous positive airway pressure (CPAP)
or bilevel system.
The Mirage Liberty is to be used by adult patients (>30 kg) for whom positive
airway pressure has been prescribed.
The Mirage Liberty is intended for single-patient re-use in the home
environment and multipatient re-use in the hospital/institutional environment.
Before Using the Mask
WARNING
•The Mirage Liberty must be used under qualified supervision with
patients who are unable to remove the mask by themselves. The mask
may not be suitable for those predisposed to aspiration.
•The elbow and valve assembly have specific safety functions. They
allow you to breathe fresh air if the airflow from your flow generator
to your mask is impeded. The mask should not be worn if the valve is
damaged as it will not be able to perform its safety function. The valve
should be replaced if it is damaged, distorted or torn.
•The vent holes must be kept clear.
•Follow all precautions when using supplemental oxygen.
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•Any supplemental oxygen flow must be turned off when the flow
generator is not operating, so that unused oxygen does not
accumulate within the flow generator enclosure and create a risk of
fire.
•At a fixed flow rate of supplemental oxygen flow, the inhaled oxygen
concentration will vary, depending on the pressure settings, patient
breathing pattern, mask, point of application and leak rate.
•The technical specifications of the mask and flow generator are
provided for your clinician to check that they are compatible. If used
outside specification or if used with incompatible devices, the seal and
comfort of the mask may not be effective, optimum therapy may not
be achieved, and leak, or variation in the rate of leak, may affect the
flow generator function.
•Discontinue using the Mirage Liberty if you have ANY adverse
reaction to the mask system, and consult your physician or sleep
therapist.
•Discontinue using the Mirage Liberty if you experience nasal irritation,
and consult your physician or sleep therapist.
•Refer to your flow generator manual for details on settings and
operational information.
Using the Mask
Select ‘Mir Full’ or ‘Full Face’ as the mask option when using the Mirage
Liberty with ResMed flow generators that have mask setting options.
Fitting the mask
The diagrams in section Aon the illustrations sheet show how the parts of the
mask fit together.
The diagrams in section Bshow the suggested sequence for obtaining the
best fit and comfort in using your mask. Please follow these instructions
carefully.
1Wash your face thoroughly before fitting the mask. It is recommended that
you do not apply moisturiser where the mask contacts your face as it can
affect the mask seal.
2Place the headgear on your head, like you would a cap, and pull the mask
forward onto your face (B-1). Make sure that the headgear fits evenly on the
top of your head.
3Fit the mask over your mouth. Insert the pillows so that they sit gently just
inside the entrance to your nostrils.
4Push the lower headgear clips into the slots on the mask frame until they
click into place (B-2).
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English
5To tighten or loosen the headgear straps, peel the Velcro®tab off the
headgear and reposition it. Gently and evenly adjust the upper headgear
straps (B-3), then the lower straps (B-4). Alternate the adjustment of each
set of straps until they are comfortable and firm and so that the upper
headgear clips rest between your eye and your ear. The mask should gently
‘float’ on your face. Do not overtighten the headgear straps.
6Connect one end of the main air tubing to your flow generator and the other
end to the swivel.
7Connect the elbow to the mask frame, holding the sides of the elbow then
firmly pushing it onto the frame until it clicks into place (B-5). Rotate the
elbow to check that it rotates freely and does not separate from the frame.
8Turn your flow generator on.
9If you feel air leaks, you may need to adjust your headgear. Return to step 5
or check through the suggestions in “Optimising mask seal and comfort”
below.
Optimising mask seal and comfort
To receive effective therapy it is important to have the best seal possible
between your mask and your face. If you are experiencing leaks, please ensure
that you have followed the fitting instructions carefully. Carry out a quick check
after fitting your mask:
•Is the mouth cushion creased? Creases can allow air to leak out of the
mask.
•Have you cleaned your mask recently? Oils on the cushion and pillows can
affect the seal.
•Are the pillows correctly seated in your nostrils? Re-seat or adjust the
pillows to obtain a proper seal.
•Are your headgear straps overtightened? Try not to alter the upper headgear
straps once they have been tightened by your clinician.
•If you cannot establish a comfortable seal, do not overtighten the headgear.
Consult your clinician.
•Try another nasal pillow size.
If you cannot resolve any problems, look at the Troubleshooting section, or talk
to your clinician.
Removing the Mask
To remove the Mirage Liberty:
1Detach the elbow by squeezing the elbow on both sides (C-1).
2Unclip both of the lower headgear clips (C-2) and remove the mask.
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Note: You can detach the elbow from the mask frame and leave the mask on
your face. You may prefer to do this when briefly stopping therapy, for
example to go to the bathroom.
Disassembling the Mask
See section C on the illustrations sheet.
1Unclip the upper headgear clips from the frame (C-3).
2Carefully pull the mouth cushion away from the frame (C-4).
3Push the two nasal pillows down through the mouth cushion (C-5).
4Remove the ports cap (C-6).
5Detach the inlet tube assembly from the elbow.
Note: The swivel does not need to be disconnected from the inlet tube.
6Detach the valve clip from the elbow (C-7).
7Peel the valve from the valve clip (C-8).
Note: Do not pull on the valve flap, as this may cause it to tear.
Cleaning the Mask in the Home
Notes:
•The mask and headgear can only be cleaned by handwashing.
•The headgear may be washed without removing the headgear clips.
•Do not soak any components of the mask.
WARNING
•Do not use aromatic-based solutions or scented oils (eg, eucalyptus or
essential oils), bleach, alcohol or products that smell strongly (eg,
citrus) to clean any of the mask components. Residual vapours from
these solutions can be inhaled if not rinsed thoroughly. They may also
damage the mask, causing cracks.
•Do not iron the headgear as the material is heat sensitive and will be
damaged.
Daily/After Each Use
To optimise the mask seal, facial oils should be removed from the cushion and
pillows before use.
Handwash the mask by gently rubbing in warm (30°C) water using mild soap
or diluted dishwashing detergent.
Clean the walls of the nasal pillows, including the space between the walls, of
any debris using a small brush.
Do not twist the valve during cleaning as this may damage or tear the valve
membrane or hinge. Take care when handling the valve.
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English
If the vent requires cleaning, use a soft bristle brush.
Rinse all components well with drinking quality water and allow them to air dry
out of direct sunlight.
Weekly
Handwash the headgear by gently rubbing in warm (30°C) water using mild
soap or diluted dishwashing detergent. Rinse the headgear well and allow it to
air dry out of direct sunlight.
Cleaning the Mask between Patients
The Mirage Liberty should be disinfected or sterilised when used between
patients.
Detailed disinfection and sterilisation instructions are available from the
ResMed website, www.resmed.com/masks/sterilization, and must be
consulted before multipatient use.
Reassembling the Mask
See section D on the illustrations sheet.
Before reassembling the mask, check that all components are clean and dry.
Check that the valve is not damaged, distorted or torn, and that none of the
other components are broken or cracked. Replace any parts that are damaged.
Flexible PVC contains elements that can be detrimental to the materials of the
mask. If flexible PVC tubing is used continuously, the attachment port should
be inspected for cracking. Replace any parts that are damaged.
Refer to “Ordering Information” for re-order numbers.
1Attach the nasal pillows to the mouth cushion:
aPush the nasal pillows through the holes in the mouth cushion (D-1).
bPull the nasal pillows up until the grooves at their base fully engage
around the mouth cushion holes (D-2).
cCheck that the tabs on each pillow fit into the corresponding notches on
the cushion (D-3). Check that the seal between the pillows and cushion
is complete.
2Attach the mouth cushion to the frame:
aPosition the cushion alignment guide between the two nasal pillows and
line up the triangle symbols on the bottom of the mask frame with
those on the mouth cushion.
bPress the mouth cushion into the groove in the frame (D-4).
cCheck that the mouth cushion is fully seated in the groove.
3Insert the ports cap (D-5).
4Clip the upper headgear clips onto the mask (D-6).
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5Assemble the elbow assembly:
aPush the tab of the valve up through the slot in the valve clip (D-7).
Ensure that the valve locks into the slot.
bFeed the flap of the valve through the slot in the elbow (D-8).
cPress the valve clip onto the elbow until you hear both sides click into
place (D-9).
6Push the inlet tube assembly onto the elbow assembly.
Reassembling the Headgear
If taken apart, the headgear has five parts: headgear straps, left and right upper
headgear clips, and two lower clips.
1Attach the upper headgear clips to the mask frame (D-6). The mask
incorporates lock-out features to ensure that each upper clip attaches to the
correct side of the mask frame.
2Clip the lower headgear clips into the mask frame.
3Lay out the headgear straps, label side down. The label is on the outer side
of the headgear. The internal side is smooth, to be comfortable against your
face.
4Thread the top (short) straps through the upper headgear clips (E-1, E-2).
5Thread the bottom (long) straps through the lower clips (E-1, E-2).
6Check that the headgear is not twisted.
Storage
Ensure that the mask is thoroughly clean and dry before storing it for any
length of time. Store the mask in a cool dry place out of direct sunlight.
Disposal
The Mirage Liberty does not contain any hazardous substances and may be
disposed of with your normal household refuse.
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