ResMed S8 Elite II User manual

S8 Elite™ II System
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) 65 Milton Park Abingdon Oxfordshire OX14 4RX UK • ResMed Offices Australia, Austria, Brazil, China,
Finland, France, Germany, Hong Kong, India, Japan, Malaysia, Netherlands, New Zealand, Norway, Singapore, Spain,
Sweden, Switzerland, UK, USA (see www.resmed.com for contact details).
Protected by patents: AU 697652, EP 0661071, US 4944310, US 5199424, US 5522382, 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 200430121212.2, CN 200430121213.7, CN 200430121211.8, CN 200430121214.1, CN 200430121215.6, CN
200430121216.0, CN 200430121217.5, EP 269436, HK 0412901.9, JP 1257662, JP 1257663, JP 1266956, JP 1266957, JP
1267270, JP 1267271, NZ 405614, NZ 406923, NZ 406924, NZ 406926, NZ 406927. Others pending.
S8, S8 Elite, Mirage, HumidAire, HumidAire 3i, ResScan, Mirage Vista, Ultra Mirage, Mirage Activa, Mirage Swift,
Mirage Liberty, Mirage Quattro, Papillon and SmartStart are trademarks of ResMed Ltd and HumidAire is
registered in U.S. Patent and Trademark Office.
© 2007 ResMed Ltd. 338425/1 07 08

1
S8 Elite™II System
ILLUSTRATIONSComponent of 338425/1
A
Keypad
Carry handle
Air filter cover
Module
DC input
AC input
LCD screen
Air outlet
SYSTEM COMPONENTS
Air inlet
2 m
2
34 5
OTHER ACCESSORIES
C
1
5
SETTING UPTHE S8TM
D
2
3
4
BINTEGRATED HUMIDIFIER
32
3 m
1
4
© 2007 ResMed Ltd.
© 2007 ResMed Ltd.
© 2007 ResMed Ltd.
© 2007 ResMed Ltd.
HumidAire 3i™
Note: Some products not available in all regions.
338425 Illustrations.qxp 21/08/2007 1:03 PM Page 1

DATA CARD MODULE
G
12
© 2007 ResMed Ltd.
HUSINGTHE DATA CARD
1
3
2
© 2007 ResMed Ltd.
Note: Some products not available in all regions.
HumidAire 3i
EHUMIDAIRE 3i AND S8
© 2007 ResMed Ltd.
BLANK MODULE
F
12
© 2007 ResMed Ltd.
DDaattaa
ccoommmmuunniiccaattiioonnss
ppoorrtt
338425 Illustrations.qxp 21/08/2007 1:03 PM Page 2

iContents
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Your Responsibility 1
Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
About the S8 Elite II 2
Contraindications 2
Warnings 2
Cautions 3
Adverse Effects 4
The S8 Elite II System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
S8 Elite II 5
Masks 5
Humidifier 6
ResScan Data Card Module 6
Accessories 6
How to Use the S8 Elite II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Set Up the S8 Elite II 7
Assemble the Mask 7
Start Treatment 8
Stopping Treatment 8
Using the Mask-Fitting Feature 9
How to Attach a Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Attach a HumidAire 3i Humidifier 11
How to use the Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
How to Change the Settings 13
How to Use the Standard Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
How to Use the Detailed Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Settings Menu 17
Results Menu 18
Options Menu 18
Servicing Menu 18
Messages on the S8 Elite II LCD 18
S8 Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Using a Blank Module 20
Using a ResScan Data Card Module 20
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Daily Cleaning 23
Weekly Cleaning 23
Periodic Cleaning 23

iiContents
Replacing the Air Filter 24
Servicing 24
Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
S8 Elite II (no Accessories) 31
Accessories 32
All Devices (where applicable) 32
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

1Introduction
Introduction
Thank you for choosing the S8 Elite™ II flow generator. The S8 Elite II is a
compact, all-in-one package with an inbuilt power supply and the option of
integrated data management and humidification.
This user manual contains the information you need for the correct use of your
S8 Elite II.
Your Responsibility
The owner or user of this system shall have sole responsibility and liability 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.
This manual contains special terms and icons that appear in the margins to draw
your attention to specific and important information.
•Warning alerts you to possible injury.
•Caution explains special measures for the safe and effective use of the
device.
•Note is an informative or helpful note.

2Medical Information
Medical Information
About the S8 Elite II
The S8 Elite II continuous positive airway pressure (CPAP) system is indicated
for the treatment of obstructive sleep apnoea (OSA) in adult patients.
The S8 Elite II CPAP system is intended for home and hospital use.
Contraindications
The S8 Elite 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.
Warnings
•The entire manual should be read before using the S8 Elite II.
•Advice contained in this manual should not supersede instructions given by
the prescribing physician.
•A patient should not connect a device to the data communication port unless
instructed to do so by their health care provider or physician. Only ResMed
products are designed to be connected to the data communication port.
Connecting other devices could result in injury, or damage to the S8 Elite II
device.
•The S8 Elite II should be used with masks (and connectors)1recommended
by ResMed, or by a physician or respiratory therapist. A mask should not be
used unless the S8 Elite II device is turned on and operating properly. The
vent hole or holes associated with the mask should never be blocked.
Explanation: The S8 Elite II is intended to be used with special masks (or
connectors)1which have vent holes to allow continuous flow of air out of the
mask.
When the device is turned on and functioning properly, new air from the
device flushes the exhaled air out through the mask vent holes. However,
when the device is not operating, insufficient fresh air will be provided
1 Ports may be incorporated into the mask or in connectors that are near the mask.

3Medical Information
through the mask, and the exhaled air may be rebreathed. Rebreathing of
exhaled air for longer than several minutes can, in some circumstances, lead
to suffocation. This applies to most models of CPAP devices.
•In the event of power failure or machine malfunction, remove the mask.
•The S8 Elite II can be set to deliver pressures up to 20 cm H2O. In the
unlikely event of certain fault conditions, pressures up to 30 cm H2O are
possible.
•If oxygen is used with this device, the oxygen flow must be turned off when
the device is not operating. If oxygen has been left on while the device is not
operating, disconnect the oxygen and wait 30 minutes before turning on the
device.
Explanation: When the CPAP device is not in operation and the oxygen flow
is left on, oxygen delivered into the air delivery tubing may accumulate within
the CPAP machine enclosure and create a risk of fire. This applies to most
types of CPAP machines.
•Oxygen supports combustion. Oxygen should not be used while you are
smoking or in the presence of an open flame.
•Always ensure airflow is being generated by the device before the oxygen
supply is turned on.
•Always turn the oxygen supply off before stopping the airflow from the
device.
Note: At a fixed rate of supplemental oxygen flow, the inhaled oxygen
concentration will vary, depending on where the oxygen is introduced, the
pressure settings, patient breathing pattern, mask selection and leak rate.
•Do not use the S8 Elite II if there are obvious external defects or unexplained
changes in performance.
•Do not open the S8 Elite II case. There are no user serviceable parts inside.
Repairs and internal servicing should only be performed by an authorised
service agent.
•Explosion hazard—do not use in the vicinity of flammable anesthetics.
Cautions
•At low pressures, the flow through the exhalation ports of your mask may not
clear all exhaled gas from the tubing. Some rebreathing may occur.
•The airflow for breathing produced by this device can be as much as 6°C
higher than the temperature of the room. Caution should be exercised if the
room temperature is warmer than 32°C.
•When AC mains power (100–240V AC) is not available, always use a ResMed
DC-12 converter. (The DC-12 converter is available as an optional accessory.)
•If supplied, the ResScan™ Data Card module is designed for use with
specific ResMed devices.
•Only use the ResScan Data Card module (if supplied) as specified in this
manual.

4Medical Information
Note: The above are general warnings and cautions. Specific warnings, cautions
and notes appear with the relevant instructions in the manual.
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 S8
device:
•drying of the nose, mouth or throat
•nosebleed
•bloating
•ear or sinus discomfort
•eye irritation
•skin rashes
•chest discomfort.