ResMed Mirage Quattro User manual

Global leaders in sleep and respiratory medicine www.resmed.com
Mirage Quattro™
FULL FACE MASK
User Guide
English • Svenska • Dansk • Norsk • Suomi
618339/1 2020-06
MIRAGE QUATTRO
USER
EUR 2
618339
618238r3 cover.indd 1618238r3 cover.indd 1 29/05/2020 5:55:18 PM29/05/2020 5:55:18 PM

Manufacturer:
ResMed Pty 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
Mirage and Mirage Quattro are trademarks of ResMed Pty 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. Aniosyme is a trademark of Laboratoires Anios.
© 2020 ResMed.
618238r3 cover.indd 2618238r3 cover.indd 2 29/05/2020 5:55:20 PM29/05/2020 5:55:20 PM

AMask parts / Maskdelar / Maskedele / Maskedeler / Maskin osat
Forehead support / Pandestøtte / Pandestøtte / Pannestøtte / Otsatuki
Forehead support pad / Pannstödsdyna / Pandepude /
Pannestøttepute / Otsatuen pehmike
Mask cushion / Maskens mjukdel
/ Ansigtspude / Maskecushion /
Maskin pehmike
Mask frame / Maskram / Maskeramme / Maskeramme /
Maskin runko
Ports cap / Portlock / Porthætte / Ports cap / Liitännän
korkki
Elbow assembly
/ Bågmontering /
Albuesæt / Kneleddsrør /
Kulmakappalerakenne
Vent / Ventil / Udåndingshuller /
Ventilasjonsåpning / Ilma-aukko
Dial / Justeringsratt
/ Reguleringsknap /
Skivebryter / Säädin
Valve clip / Klaffclips / Ventilklemme / Ventilklips / Venttiilin
kiinnike
Valve hinge / Klaffled / Ventilhængsel /
Ventilhengsel / Venttiilin nivel
Valve membrane / Klaffmembran /
Ventilmembran / Ventilmembran / Venttiilin
kalvo
Valve / Klaff / Ventil / Ventil /
Venttiili
Elbow / Båge / Albue /
Kneleddsrør / Kulmakappale
Swivel / Svängtapp / Drejetap /
Svivel / Pyörivä liitin
Upper straps / Övre remmar /
Øvrestropper / Øvre stropper /
Ylähihnat
Lower straps / Nedre remmar
/ Nedere stropper / Nedre
stropper / Alahihnat
Headgear clip / Clips på
hubudbanden / Hovedbåndsclips
/ Hodestroppklips / Pääremmien
kiinnikkeet
BFitting the mask / Mask inpassning / At tagen masken på / Tilpasse masken / Maskin sovittaminen
3
6
9
12
15
18
21
24
12345678
CDisassembling for cleaning / Ta isär masken för rengörning / Adskillelse før rengøring / Demontering av masken før rengjøring / Maskin purkaminen puhdistusta varten
1
2
1
7
2 3 4 5 6
8 9 10 11
© 2020 ResMed.
© 2020 ResMed.
© 2020 ResMed.
Elbow assembly / Bågmontering / Albuesæt / Kneleddsrør / Kulmakappalerakenne
Cushion clip / Mjukdelsclips / Låsering / Cushionklips /
Pehmikkeen kiinnike
618238R3 illo sheets.indd 1 6/12/2017 4:03:24 PM

DReassembling the mask / Montering/ihopsättning av masken / Genmontering af masken / Sette masken sammen igjen / Maskin kokoaminen
Elbow Reassembly / Montera bågen / Genmontering af albuen / Sette kneleddet sammen igjen / Kulmakappaleen kiinnittäminen
Mask Reassembly / Montera masken / Genmontering af masken / Sette masken sammen igjen / Maskin kokoaminen
12345
1
2
12
6 7 8 9
3
6
9
12
15
18
21
24
10 11 12 13
Mirage Quattro
Full Face Mask / Full Face mask / Full Face maske / Helmaske /
Kokokasvomaski
Illustrations Sheet / Illustrationsblad / Illustrationsark /
Illustrasjonsark / Kuvasivu
Note: For complete instructions, please read the text section
in conjunction with the illustrations on this sheet.
Obs! Läs textavsnittet tillsammans med illustrationerna på
detta blad för fullständiga anvisningar.
Bemærk: For fuldstændige anvisninger bedes du læse
tekstafsnittene i sammenhæng med illustrationerne på dette ark.
Merk! Fullstendige anvisninger får du ved å lese tekstavsnittet
sammen med illustrasjonene på dette arket.
Huomautus: Jotta saisit ohjeista parhaan hyödyn, lue teksti
katsoen samalla tällä sivulla olevia kuvia.
Component of: 618339/1
© 2020 ResMed.
618238R3 illo sheets.indd 2 6/12/2017 4:03:27 PM

English
1
Mirage Quattro™
FULL FACE MASK
Thank you for choosing ResMed’s Mirage Quattro Full Face Mask.
The Mirage Quattro is a full face mask that covers your nose and mouth. This
means that you can receive effective therapy even if you breathe through your
mouth.
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 Quattro 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 Quattro is to be used by adult patients (>30 kg) for whom positive
airway pressure has been prescribed.
The Mirage Quattro is intended for single-patient re-use in the home
environment and multipatient re-use in the hospital/institutional environment.
Before Using the Mask
WARNINGS
•The Mirage Quattro 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 are intended to be used with the
Mirage Quattro and have specific safety functions. 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.
618238.book Page 1 Thursday, December 22, 2011 2:09 PM

2
•Any 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 Quattro if you have ANY adverse
reaction to any part of the mask system, and consult your physician or
sleep therapist.
•Refer to your flow generator manual for details on settings and
operational information.
•Using a mask may cause tooth, gum or jaw soreness or aggravate an
existing dental condition. If symptoms occur, consult your physician or
dentist.
Using the Mask
Select ‘Mir Full’ or ‘Full Face’ as the mask option when using the Mirage
Quattro 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 sequence for obtaining the best fit and
comfort in using your mask. Please follow these instructions carefully.
1Twist the forehead support dial to Position 24, where the forehead support
is fully extended (Fig. B-1).
2Hold the mask steadily on your face (Fig. B-2) and pull the headgear over
your head.
3Bringing the lower straps below your ears, clip the headgear to the lower
part of the mask frame (Fig. B-3).
4Unfasten the Velcro®, pull the upper headgear straps evenly until they are
comfortable and firm, and reattach the Velcro (Fig. B-4).
5Repeat step 4 with the lower headgear straps (Fig. B-5).
618238.book Page 2 Thursday, December 22, 2011 2:09 PM

3
English
6Test the functioning of the valve by sealing the swivel with your hand and
ensuring that you can still breathe freely.
7Connect the main air tubing to the swivel (Fig. B-6). Then connect the free
end of the air tubing to your flow generator and turn the flow generator on.
8Lie down in your sleeping position. Twist the forehead support dial
(Fig. B-7) until you feel that the mask is evenly positioned on your face. It
should be comfortable, with a satisfactory seal. Gently tighten the lower
headgear straps if necessary.
9The fitted mask is shown in Fig. B-8.
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 mask cushion creased? Creases can allow air to leak out of the mask.
•Have you cleaned your mask cushion recently? Oils on the cushion can
affect the seal.
•Are your headgear straps overtightened? Try not to alter the upper headgear
straps once they have been tightened by your clinician.
•You may need to slightly adjust the dial. Note the dial setting when
comfortable.
•Does the mask seem too close to your eyes? You may need a smaller mask.
If you cannot resolve any problems, look at the Troubleshooting section, or talk
to your clinician. You may require another mask size.
Removing the Mask
To remove the Mirage Quattro, disconnect one of the lower headgear clips and
pull the mask and headgear up over your head.
Disassembling the Mask
See section Con the illustrations sheet.
1Detach the air tubing.
2Unclip the lower headgear clips (Fig. C-1) and unhook the upper headgear
straps (Fig. C-2). It is not necessary to remove the headgear clips from the
headgear.
3Remove the elbow assembly from the mask frame (Fig. C-3). It’s easier to
pivot the bottom of the elbow away from the mask frame than to pull the
elbow straight off.
4Remove the valve clip from the elbow (Fig. C-4).
618238.book Page 3 Thursday, December 22, 2011 2:09 PM

4
5Peel the valve away from the valve clip (Fig. C-5). Do not pull on the
membrane to remove the valve.
6Detach the swivel from the elbow (Fig. C-6).
7Note the position on the dial for the next time you use the mask.
8Fully unscrew and remove the dial then pull the forehead support out of the
mask frame (Fig. C-7).
9Remove the forehead support pads from the forehead support (Fig. C-8).
10 Squeeze and push the upper side tabs on the cushion clip out of the mask
frame. Pivot away from the mask, and gently pull out (Fig. C-9).
11 Separate the cushion from the cushion clip (Fig. C-10).
12 Remove the ports cap from the mask frame (Fig. C-11).
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.
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
before use.
Handwash the mask by gently rubbing in warm (30°C) water using mild soap
or diluted dishwashing detergent.
Do not twist the valve during cleaning as this may damage or tear the valve
membrane or hinge. Take care when handling the valve.
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. Do not soak the mask.
Weekly
Handwash the headgear in warm (30°C) water using mild soap or diluted
dishwashing detergent. Rinse well and allow it to air dry out of direct sunlight.
618238.book Page 4 Thursday, December 22, 2011 2:09 PM

5
English
Cleaning the Mask between Patients
The Mirage Quattro should be disinfected or sterilised when used between
patients. All components, except the headgear, are validated for up to 20
disinfection or sterilisation cycles using one of the following processes:
•Thermal disinfection at a maximum temperature–time combination of 93°C
for 10 minutes
•Chemical disinfection (eg, Cidex™ OPA or Cidex Plus™)
•The STERRAD™ Sterilization System (eg, 100S or NX).
The headgear should be thoroughly washed between patients, as described in
“Cleaning the Mask in the Home”.
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 Don 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.
Elbow Reassembly
1Insert the valve into the valve clip (Fig. D-1).
2Push the valve clip onto the elbow (Fig. D-2). Make sure both sides click into
place (Fig. D-3).
3Insert the swivel into the end of the elbow (Fig. D-4).
4Insert the assembled elbow (Fig. D-5) into the mask frame.
Mask Reassembly
1Fit the cushion clip into the grooved edge of the mask cushion. Fit the top
section first, then work your way around, pushing the clip into the cushion
(Fig. D-6). Ensure that the cushion is not twisted or distorted around the
clip.
2Align the cushion clip with the mask frame. Push the cushion clip into the
mask frame, ensuring that all three clips click into place (Fig. D-7).
3Push the forehead pads firmly into the forehead support (Fig. D-8).
618238.book Page 5 Thursday, December 22, 2011 2:09 PM

6
4Insert the forehead support into the mask frame and screw the dial
clockwise onto the pole (Fig. D-9). Turn the dial until it clicks (Fig. D-10).
Ensure the dial sits flush against the frame.
5Insert the ports cap (Fig. D-11).
6Reattach the top headgear by threading it through the loop (Fig. D-12).
7Turn the dial until you reach the setting that gives you good comfort and seal
(Fig. D-13).
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 Quattro does not contain any hazardous substances and may be
disposed of with your normal household refuse.
Troubleshooting
Problem Possible reason Possible solution
Mask won’t seal properly
or is uncomfortable Mask cushion may be dirty. Clean cushion according to instructions in “Cleaning the
Mask in the Home”.
Mask may have been fitted
incorrectly or is incorrectly
adjusted.
Carefully follow instructions in
“Fitting the Mask”. Check
headgear and dial are not over-
tightened. Extend dial to apply
more force to chin. Contract dial
to increase force at nose bridge.
Mask cushion is skewed in
cushion clip. Check insertion of cushion and reinsert correctly.
Mask cushion is misaligned or
creased on face. Ensure cushion is properly aligned and that there are no
creases in it: undo headgear clip,
check cushion and reposition the
mask on your face.
Mask is wrong size. Talk to your clinician.
Mask is too noisy Vents are blocked or partially
blocked. Clean vents according to instructions in “Cleaning the
Mask in the Home”.
Valve is misassembled. Reassemble valve.
Cushion is not fully clipped in. Check insertion of cushion.
Mask is assembled incorrectly. Reassemble mask.
Valve is torn or distorted and is
not sealing. Replace valve.
Dial inserted into mask
frame before forehead support Misassembly. Push dial base onto a hard surface until the dial comes out
of the frame.
618238.book Page 6 Thursday, December 22, 2011 2:09 PM