ResMed Positive AirwAy Pressure Device S8 Series II User manual

S8 Series II
S8 AutoSet Spirit™ II
S8 AutoScore™ II
POSITIVE AIRWAY PRESSURE DEVICES
User Guide
English
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) 96 Milton Park Abingdon Oxfordshire OX14 4RY UK
ResMed Offices Australia, Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia, Mexico,
Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, UK, USA (see www.resmed.com for contact details).
Protected by patents: AU 691200, AU 697652, AU 709279, AU 724589, AU 730844, AU 736723, AU 750095, AU 750761, AU 764761, AU 779327, AU
2002231456, CN 02804930.6, EP 0651971, EP 0661071, EP 0920845, EP 0934723, EP 1028769, EP 1126893, EP 1502618, EP 1144036, JP 3580776, JP
3778797, NZ 504595, US 5199424, US 5245995, US 5522382, US 5704345, US 6029665, US 6138675, US 6240921, US 6363933, US 6367474, US 6425395,
US 6502572, US 6591834, US 6705315, US 6745768, US 6817361, US 6988498, US 7040317, US 7100608. Other patents pending.
Protected by design registrations: AU 302180, AU 302181, AU 302182, AU 302183, AU 302184, AU 302185, AU 302186, CN 200430121212.2, CN
200430121213.7, CN 200430121211.8, CN 200430121214.1, CN 200430121215.6, CN 200430121216.0, CN 200430121217.5, EU 269436, EU 815071, HK
0412901.9, JP 1257662, JP 1257663, JP 1266956, JP 1266957, JP 1267270, JP 1267271, NZ 405614, NZ 406923, NZ 406924, NZ 406925, NZ 406926, NZ
406927, NZ 406928, US D544598, US D553228, US D557406, US D557407, US D560795, US D561891, US D565160. Others pending.
S8, S8 AutoSet, S8 Elite and SmartStart are trademarks of ResMed Ltd and AutoSet and HumidAire are registered in U.S. Patent and Trademark Office.
© 2008 ResMed Ltd. 338575/2 08 10

Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contraindications 1
Adverse Effects 1
Parts of the S8 Series II system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Masks 2
Humidifiers 2
ResScan Data Card 2
Using the S8 Series II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Setting Up 3
How to Use the Control Panel 4
Selecting the Mask Type 4
Using the Mask-fitting Feature 5
Starting Treatment 5
Stopping Treatment 6
Changing the Settings on your S8 II Device . . . . . . . . . . . . . . . . . 6
The Standard Menu 6
The Detailed Menu 7
Messages on the S8 Series II LCD . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Using the Data Card to Collect Data . . . . . . . . . . . . . . . . . . . . . . . . 8
Copying Data onto the Data Card 8
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Daily 9
Weekly 9
Monthly 9
Replacing the Air Filter 10
Servicing 10
Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

1Introduction
Introduction
S8 AutoSet Spirit II
The S8 AutoSet Spirit II self-adjusting sleep apnea system is indicated for the treatment
of obstructive sleep apnoea (OSA) in adult patients. The S8 AutoSet Spirit II self-
adjusting sleep apnoea system has two treatment modes: AutoSet and fixed-pressure
CPAP. The S8 AutoSet Spirit II system is intended for home and hospital use.
S8 AutoScore II
The S8 AutoScore II continuous positive airway pressure (CPAP) system is indicated for
the treatment of obstructive sleep apnoea (OSA) in adult patients. The S8 AutoScore II
CPAP system is intended for home and hospital use.
Contraindications
Your S8 Series II is not a life-support device and may stop operating during power
failure or certain fault conditions. It should not be used by patients who are dependent
on continuous therapy.
Positive airway pressure therapy may be contraindicated in some patients with the
following pre-existing conditions:
•severe bullous lung disease
•pneumothorax
•pathologically low blood pressure
•dehydration
•cerebrospinal fluid leak, recent cranial surgery, or trauma.
Adverse Effects
Patients should report unusual chest pain, severe headache, or increased
breathlessness to their prescribing physician. An acute upper respiratory tract infection
may require temporary discontinuation of treatment.
The following side effects may arise during the course of therapy with the CPAP device:
•drying of the nose, mouth, or throat
•nosebleed
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes
•chest discomfort.

2
Parts of the S8 Series II system
Your S8 Series II device comprises:
•S8 Series II device
•Power cord
•Carry bag
•2 m air tubing.
Optional components include:
•Integrated humidifier
•Front cap
•3 m air tubing
•DC-12 converter
•ResMed Tubing Wrap.
Masks
A list of masks (and their settings) compatible with these devices can be found on
www.resmed.com, on the Products page under Service and Support.
Humidifiers
A list of humidifiers compatible with ResMed devices can be found on
www.resmed.com, on the Products page under Service and Support.
ResScan Data Card
The ResScan Data Card may be used with the S8 Series II either to help your clinician
monitor your treatment or provide you with updates to your device settings.
Carry handle
Screen
Keypad
Air outlet DC
AC
Data Card
slot

3Using the S8 Series II
Using the S8 Series II
Setting Up
1Connect the power cord to the socket at the rear of the S8 Series II device.
2Plug the other end of the power cord into the power outlet.
3Connect one end of the air tubing firmly onto the air outlet.
4Connect the assembled mask system to the free end of air tubing.
For information on assembling your mask, see your mask manual.
!
WARNING
•Make sure the power cord and plug are in good condition and the
equipment is not damaged.
•Only ResMed air tubing should be used with the device. A different type
of air tubing may alter the pressure you actually receive, reducing the
effectiveness of your treatment.
•Blocking the hose and/or air inlet of the device while in operation could
lead to overheating of the device.
!
CAUTION
•Be careful not to place the device where it can be bumped or where
someone is likely to trip over the power cord.
•If you put the device on the floor, make sure the area is free from dust
and clear of bedding, clothes or other objects that could block the air
inlet.
•Make sure the area around the device is dry and clean.
1
2
34

4
How to Use the Control Panel
The control panel of the S8 Series II includes an LCD screen which displays the
menus and treatment screens as well as a keypad for navigating through the
menus and delivering treatment.
The S8 Series II keypad has the following keys:
The keypad and LCD are equipped with backlights that come on when the device
is powered. The LCD backlight turns off after two minutes of inactivity, and
comes back on when you press a key. The keypad backlight is always on while
the S8 Series II is on.
Selecting the Mask Type
To ensure your device functions as intended with your selected mask, you need to
select the mask type that you are using.
1With the RAMP or SETTLING screen displayed, press . (In CPAP mode, the
standby screen displays RAMP. In AutoSet mode (S8 AutoSet Spirit II only) the
standby screen displays SETTLING.)
2Press until MASK is displayed.
3Press to change the setting.
Key Function
Start/Stop Starts or stops treatment.
Up Allows you to increase settings options and scroll through
the S8 Series II menu.
Down Allows you to decrease settings options and scroll through
the S8 Series II menu.
Left Performs the function indicated by the guiding text
displayed above it on the LCD screen (eg, change).
Right Performs the function indicated by the guiding text
displayed above it on the LCD screen (eg, exit).
LCD screen
Start/Stop key
Keypad

5Using the S8 Series II
4Press or until you see the setting that you require.
5Press to apply.
Using the Mask-fitting Feature
You can use the S8 Series II mask-fitting feature to help you fit your mask properly. This
feature delivers air pressure for a three-minute period, prior to starting treatment,
during which you can check and adjust your mask fit to minimise leaks.
Note: Make sure that the mask setting on the MASK screen is the same as the mask
you are using.
1Fit your mask as described in the mask user instructions.
2With the RAMP or SETTLING screens displayed, hold down for at least
three seconds until air pressure delivery starts.
Your device will ramp to the mask-fit pressure and will remain at this pressure
for three minutes.
The following displays on the LCD screen indicating that the mask-fitting feature
is operating, where: ***** is an excellent fit;****- is a very good fit; ***-- is a
good fit; while **---, *---- and ----- each require you to adjust your mask.
3Adjust your mask, mask cushion and headgear until you have a secure and
comfortable fit.
After three minutes, the pressure reverts to the set pressure and treatment will
begin. If you do not wish to wait three minutes, hold down for at least
three seconds to start treatment immediately.
If you press for less than three seconds, the unit will return to standby
mode (the RAMP or SETTLING screen).
Starting Treatment
1Make sure the power is on.
The product name is displayed briefly on the screen, then the standby screen
displays RAMP (or SETTLING). The key and LCD backlights also turn on.
2Lie down and arrange the air tubing so that it is free to move if you turn in your
sleep.
!
CAUTION
Do not leave long lengths of air tubing around the top of your bed. They could
twist around your head or neck while you are sleeping.
3Alter the ramp or settling time if required.
MASK FIT: *****
excelnt

6
4To start treatment, press .
5Fit your mask as described in the mask user instructions.
!
WARNING
A mask should not be used unless the S8 Series II device is powered and
operating properly.
Stopping Treatment
To stop treatment at any time, remove your mask and press .
If your clinician has enabled SmartStart, simply remove your mask and treatment will
end.
Changing the Settings on your S8 II Device
You can change settings (such as Ramp Time, EPR Level) on S8 II devices by using the
keypad and LCD. When the device is in standby mode you can display a series of
screens (a menu) on the LCD screen in order to view and change the settings for a
particular function.
The Standard Menu
Your clinician will have enabled a standard menu on your S8 Series II device. The figure
below shows the standard menu in each mode.
Toenter the standard menu from the standby (RAMP or SETTLING) screen,
press .
Note: The AutoSet menu is available on the S8 AutoSet Spirit II only.
S8 CLASSICRAMP: 10min
menu
S8 CLASSIC
WELCOME
>>>>>>
S8 CLASSICSETTLING: 10min
menu
S8 CLASSIC
WELCOME
>>>>>>
EPR LEVEL: 1
change exit
CPAP AUTOSET
MASK: ULTRA
change exit
exit
SW: SX4800100
USED HRS: 08000
exit
USAGE: 1000/1068
exit
MASK: ULTRA
change exit
exit
SW: SX4800100
USED HRS: 08000
exit
USAGE: 1000/1068
exit
EPR LEVEL: 1
change exit
* Only displayed if access set by clinician.
**

7Changing the Settings on your S8 II Device
The Detailed Menu
Your clinician may have enabled a detailed menu on your S8 Series II device. The figure
below shows the detailed menu in each mode.
Toenter the detailed menu from the standby (RAMP or SETTLING) screen, press .
Note: The AutoSet menu is available on the S8 AutoSet Spirit II only.
RAMP: 10min
menu
WELCOME
>>>>>>
SETTINGS
enter exit
SETTLING: 10min
menu
WELCOME
>>>>>>
EPR LEVEL: 1
change exit
MASK: ULTRA
change exit
TUBE LENGTH: 2m
change exit
HUMID: NONE
change exit
SMARTSTART: ON
change exit
LEAK ALERT: OFF
change exit
CPAP AUTOSET
MASK: ULTRA
change exit
TUBE LENGTH: 2m
change exit
HUMID: NONE
change exit
SMARTSTART: ON
change exit
LEAK ALERT: OFF
change exit
AUTOSETCPAP
USED HRS: 08000
exit
USAGE: 1000/1068
exit
RESULTS
enter exit
SERVICING
enter exit
OPTIONS
enter exit
LANG: ENGLISH
change exit
SN: 12345678912
exit
PCB: 123456789123
4567 exit
SW: SX4800100
exit
SMART DATA
enter exit
SMART DATA
enter exit
AUTO APPEAR: OFF
change cancel
EPR LEVEL: 1
change exit
**
* Only displayed if access set by clinician.
*
*
*

8
Messages on the S8 Series II LCD
Your clinician may have set your S8 Series II device to remind you about important
events, such as when to replace your mask, when to insert your Data Card (if your
device is Data Card enabled) and so on.
The reminder message is displayed on the LCD and is visible if the device is not
delivering therapy. The backlight on the LCD flashes when a message is displayed.
Your clinician can set any of the following reminders on your LCD:
Using the Data Card to Collect Data
If your clinician needs to review your treatment, they will ask you to use the Data Card
to copy data from your S8 Series II, and to return the card to them.
Copying Data onto the Data Card
1Switch on the S8 Series II and wait until you see the standby (Ramp or Settling)
screen.
2Hold the Data Card with the arrow facing up and insert it into the Data Card slot
until it stops. Data copying starts automatically.
The “Card Inserted Please Wait” message is displayed on the S8 Series II LCD
while data is being copied. Copying takes approximately five seconds.
The “Copy Complete Remove Card” message is displayed on the LCD when
copying has finished.
Message Description Action
INSERT
CARD
May appear if your device is
Data Card enabled.
Insert your Data Card and follow any
instructions that your clinician has given you.
When you have done this, the message will
disappear from the LCD. Pressing (Ok)
will also remove the message.
REPLACE
MASK
May appear when your mask
is due for replacement.
Press (Ok) to remove the message
from your LCD, and replace your mask with a
new one.
CALL
PROVIDER
May appear as a reminder to
contact your clinician, eg, to
discuss how your therapy is
going.
Press (Ok) to remove the message
from your LCD, and contact your clinician.
REPLACE
FILTER
May appear as a reminder to
replace the air filter on your
device.
Press (Ok) to remove the message
from your LCD, and replace the air filter.
SERVICE
DUE
May appear as a reminder to
return your device for service.
Press (Ok) to remove the message
from your LCD, and contact your clinician.