ResMed Positive Airway Pressure Device VPAP IV User manual

VPAP™ IV
VPAP™ IV ST
Positive AirwAy Pressure device
User Guide
English

VPAP™ IV
VPAP™ IV ST
POSITIVE AIRWAY PRESSURE DEVICE
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 Authorised 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 697652, AU 699726, AU 713679, CA 2235939, EP 0661071, EP 0858352, JP 3638613, US 5199424, US 5522382,
US 6213119, US 6240921, US 6705315. Other patents pending.
Protected by design registrations: AU 302180, AU 302181, AU 302182, AU 302183, AU 302184, AU 302185, AU 302186, CN 200430121211.8,
CN 200430121212.2, CN 200430121213.7, CN 200430121214.1, CN 200430121215.6, CN 200430121216.0, CN 200430121217.5, EU 269436,
HK 0412901.9, JP 1248040, 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 D557406, US D557407, US D560795, US D561891. Other designs pending.
SmartStart, TiCONTROL, VPAP, and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U.S. Patent and Trademark
Office.
© 2008 ResMed Ltd. 268192-Eng/2 08 10

Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contraindications 1
Adverse Effects 1
The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Masks 2
Humidifier 2
ResScan Data Card 2
Supplemental Oxygen 2
Using the VPAP IV and VPAP IV ST . . . . . . . . . . . . . . . . . . . . . . . . . 3
Setting up your VPAP 3
Attaching a H4i Humidifier 4
How to Use the Control Panel 4
Using the Menus 5
How to Select the Mask Type 6
SmartStart™ 6
Starting Treatment 6
Stopping Treatment 7
Using the Mask-Fitting feature 7
Reminders on the VPAP LCD 8
Smart Data™ 8
Using the Data Card 9
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Daily 11
Weekly 11
Monthly 11
Replacing the Air Filter 11
Servicing 12
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Symbols Which Appear On The Device 15
General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

1Introduction
English
Introduction
The VPAPTM IV and the VPAPTM IV ST are intended to provide non-invasive ventilation
for patients with respiratory insufficiency or obstructive sleep apnoea (OSA), in the
hospital or home.
Contraindications
Positive airway pressure therapy may be contraindicated in some patients with the
following pre-existing conditions:
•severe bullous lung disease
•pneumothorax or pneumomediastinum
•pathologically low blood pressure, particularly if associated with intravascular
volume depletion
•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 device:
•drying of the nose, mouth or throat
•nosebleed
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes.
!
WARNING
Read the entire manual before using these VPAP devices.
The VPAP System
Both the VPAP IV and the VPAP IV ST systems comprise the following elements:
•VPAP device
•2 m air tubing
•Power cord
•Travel bag
•ResScan™ Data Card
•ResMed Oxygen Connector Port.
Optional components include:
•3 m air tubing
•DC/DC Converter 24V/50W.

2
Masks
The following ResMed mask systems are recommended for use with these devices:
For information on using masks, see your mask manual. For the latest available
masks, see www.resmed.com.
Humidifier
If you are experiencing dryness of the nose, throat or mouth, the H4i heated
humidifier is recommended for use with these VPAP devices.
!
WARNING
•Only ResMed mask systems are compatible for use with these VPAP devices.
•Only the H4i is compatible for use with these VPAP devices.
ResScan Data Card
The ResScan Data Card may be used with these VPAP devices either to help your
clinician to monitor your treatment or to provide you with updates to your device
settings.
Supplemental Oxygen
The VPAP IV and VPAP IV ST are designed to be compatible with up to 15 L/min of
supplemental oxygen. 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 the leak rate.
!
WARNING
Always use the ResMed Oxygen Connector Port when adding supplemental
oxygen at the flow generator outlet.
Screen
Keypad
Air outlet DC
AC
Air inlet
Data Card
module
Carry handle
Mask Type Name
Nasal Masks • Mirage Vista™ Nasal Mask
• Ultra Mirage™ Nasal Mask
• Ultra Mirage™ II Nasal Mask
• Mirage Activa™ Nasal Mask
• Mirage Micro™ Nasal Mask
Nasal Pillows Systems • Mirage Swift™ Nasal Pillows System
• Mirage Swift™ II Nasal Pillows System
Full Face Masks • Mirage™ Liberty Full Face Mask
• Mirage™ Quattro Full Face Mask
• Ultra Mirage™ Full Face Mask

3Using the VPAP IV and VPAP IV ST
English
Using the VPAP IV and VPAP IV ST
Setting up your VPAP
1Connect the power cord to the socket at the rear of your VPAP.
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 and accessories should be used with the device. Do
not use electrically conductive or antistatic hoses. A different type of air
tubing or accessory may alter the pressure the patient receives, reducing the
effectiveness of the 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.
1
2
34

4
Attaching a H4i Humidifier
The H4i humidifier attaches to the front of a VPAP IV or VPAP IV ST device to provide
heated humidification. These devices automatically detect the presence of the H4i
and no other accessories are required for its use. For more information on using your
H4i, please refer to the H4i user guide.
!
WARNING
•Make sure that the water chamber is empty and thoroughly dried before
transporting the H4i.
•When using the travel bag, always separate the VPAP unit and the H4i and
place the H4i in its pouch.
How to Use the Control Panel
The control panel of your VPAP device 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 keypad has the following keys:
LCD screen
Keypad
Start/Stop Key
Key Function
Start/Stop Starts or stops treatment. Extended hold for at least three seconds
starts the mask-fit feature.
Up
Allows you to increase settings options and scroll through the
menu.
Down Allows you to decrease settings options and scroll through the
menu.
Left
Performs the function indicated by the guiding text displayed above
it on the LCD screen. Guiding text includes menu, change, and
apply.
Right Performs the function indicated by the guiding text displayed above
it on the LCD screen. Guiding text includes exit and cancel.

5Using the VPAP IV and VPAP IV ST
English
Using the Menus
The VPAP IV and VPAP IV ST provide a set of functions which are arranged in menus
and submenus. Via the LCD screen, the menus and submenus allow you to view and
change the settings for a particular function. To navigate and make selections:
1Press or to scroll through items within a level.
2Press to enter a submenu and to apply an option choice.
3Press to navigate out of a menu or submenu and to exit without changing
options.
Your clinician has preset the menu to either a standard menu or an advanced menu.
The following illustration summarises these views:
RAMP: 10min
menu
WELCOME
>>>>>>
00006/00012 days
USED: 00090hrs
SW: SX459-0200
exit
MASK: ULTRA
change exit SETTINGS enter exit
RESULTS
enter exit
enter exit
OPTIONS
TUBE LENGTH: 2m
change exit
SMARTSTART: OFF
exit
MASK: ULTRA
change exit
LEAK ALERT: ON
change exit
LANGUAGE:ENGLISH
change exit
SMART DATA
enter exit
enter exit
SERVICING
SW: SX459-0200
exit
SN: 20080102356
exit
AUTO APPEAR: ON
change exit
SMART DATA
enter exit
USED: 00090hrs
00003/00122days
MASK FIT: *****
excelnt exit
PRESSURE: 8.0
exit
USAGE: 4.00hrs
exit
Standard Menu Advanced Menu
These menus only
appear if your clinician
has enabled Smart Data.

6
How to Select the Mask Type
Scroll to MASK and select . Press or until you see the setting
you require. The following table shows the setting that should be selected for each
mask:
SmartStart™
If your clinician has enabled SmartStart/Stop, your device will start automatically
when you breathe into your mask and stop automatically when you take your mask
off.
Starting Treatment
1Make sure the power is on.
The product name is displayed briefly on the LCD screen, then the standby (Ramp)
screen appears. The key and LCD backlights also turn on.
2Fit your mask as described in the mask user instructions.
!
WARNING
A mask should not be used unless your VPAP device is turned on and operating
properly.
3Alter the ramp time if required.
4To start therapy, simply breathe into the mask or press .
5Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
Settings Mask
ULTRA Ultra Mirage Nasal Mask
Ultra Mirage II Nasal Mask
MIR FULL Mirage Liberty Full Face Mask
Mirage Quattro Full Face Mask
Ultra Mirage Full Face Mask
ACTIVA Mirage Activa Nasal Mask
SWIFT Mirage Swift Nasal Pillows System
Mirage Swift II Nasal Pillows System
STANDARD Mirage Vista Nasal Mask
Mirage Micro Nasal Mask
MIRAGE Mirage Nasal Mask

7Using the VPAP IV and VPAP IV ST
English
6After starting therapy, an introductory treatment screen will display:
Stopping Treatment
To stop treatment at any time, remove your mask and press . If your clinician
has enabled SmartStart/Stop, simply remove your mask and treatment will end.
Note: SmartStart/Stop does not operate if:
•you have a Full Face Mask; or
•Leak Alert is enabled.
Using the Mask-Fitting feature
The VPAP IV and VPAP IV ST include a mask-fitting feature to help you fit your mask
properly. The mask-fitting feature delivers air pressure for a three-minute period, prior
to starting treatment, for checking and adjusting your mask fit to minimise leaks.
To use the mask-fitting feature:
1Fit your mask as described in the mask user instructions.
2Hold down for at least three seconds until air pressure delivery starts and
the following screen appears:
The LCD displays a mask-fit star rating from zero to five stars. Three to five stars
indicates a good fit or better. Zero to two stars indicates that the mask needs to be
adjusted.
LK: 10L/min RR: 15
MV: 10.2 VT: 680
S:RAMP 4.0-10.0
>>>> PS 6.0
S**TiMn TiMx 2.0
Ti 1.5s 1: 1.6
SpO2: 98%
HR : 60 exit
This screen only displays if ResLink and
an oximeter are connected
Inspiration information
Leak and breath information
Mode and pressure display
S mode
example
Mask-fit star rating
MASK FIT:
excelnt
*****