ResMed VPAP Adapt Technical manual

English 1
VPAP™Adapt
POSITIVE AIRWAY PRESSURE DEVICE
H5i™
HEATED HUMIDIFIER
ClimateLine™/ ClimateLineMAX™ / SlimLine™/ Standard
AIR TUBING
Information Guide
English
Please read the entire Information and Welcome Guides before using your device.
CAUTION
In the US, Federal law restricts this device to sale by or on the order of a physician.
VPAP Adapt indications for use
The VPAP Adapt is indicated for the treatment of patients weighing more than 66 lb (30 kg) with
obstructive sleep apnea (OSA), central and/or mixed apneas, or periodic breathing. The VPAP Adapt is
intended for home and hospital use.
VPAP Adapt 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.

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VPAP Adapt 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.
H5i indications for use
The H5i is indicated for the humidification of the air delivered from a CPAP or bilevel device. The H5i
is for use only as recommended by a physician. The H5i is intended for single patient re-use in the
home environment and re-use in a hospital/institutional environment.
H5i contraindications
The H5i is contraindicated for use with patients whose upper (supraglottic) airway has been
bypassed.
Troubleshooting
If there is a problem, try the following suggestions. If the problem cannot be solved, contact your
equipment supplier or ResMed. Do not attempt to open the device or the H5i enclosure.
Problem/Possible cause Solution
No display
Power is not connected. Ensure the power cord is connected and the power outlet (if
available) is on.
The DC plug is partially inserted
into the back of the device or
inserted too slowly.
Fully insert the DC plug.
The VPAP Adapt and H5i are not
connected correctly.
Ensure that the VPAP Adapt and H5i are securely attached.

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Problem/Possible cause Solution
Insufficient air delivered from the device
Ramp time is in use. Wait for air pressure to build up or change ramp time.
Air filter is dirty. Replace air filter.
Air tubing is not connected
properly.
Check air tubing.
Air tubing is blocked, pinched or
punctured.
Unblock or free the air tubing. Check the air tubing for punctures.
Mask and headgear are not
positioned correctly.
Adjust position of mask and headgear.
Incorrect air tubing selected. If you are using the SlimLine, Standard or 3 m air tubing ensure
that you have the correct air tubing selected via the menu.
The H5i flip lid is not latched
correctly.
Close the flip lid ensuring that it clicks into place.
The H5i flip lid seal is not fitted
correctly.
Make sure the flip lid seal is facing the right way up and fitted
securely.
Non-vented mask is used. Only use a vented mask.
Mask vents might be blocked. Check if you have sufficient venting. Unblock mask vents if
necessary.
EPAP may be set too low. Talk to your clinician about your settings.
Device does not start when you breathe into the mask
Breath is not deep enough to
trigger SmartStart/Stop.
Take a deep breath in and out through the mask.
SmartStart/Stop is disabled
because Leak Alert is enabled.
Press Start/Stop to start therapy.
SmartStart/Stop is disabled. Talk to your clinician about enabling the SmartStart/Stop feature.
There is excessive leak. Adjust position of mask and headgear.
Connect the air tubing firmly at both ends.

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Problem/Possible cause Solution
Device does not stop when you remove your mask
SmartStart/Stop is disabled
because Leak Alert is enabled.
Press Start/Stop to stop therapy.
SmartStart/Stop is disabled. Talk to your clinician about enabling the SmartStart/Stop feature.
SmartStart/Stop is enabled but the device does not stop automatically when you remove your
mask
Incompatible mask system
being used.
Only use equipment recommended by ResMed.
Incorrect mask setting being
used.
Check the selected mask type in the Setup menu. Change it if
necessary.
The patient is using a nasal
pillows mask with a set
pressure less than 6 cm H2O.
Disable SmartStart/Stop.
Pressure rises inappropriately
Talking, coughing or breathing in
an unusual manner.
Avoid talking with a nasal mask on, and breathe as normally as
possible.
Mask cushion is buzzing against
the skin.
Adjust the headgear.
Cushion seated incorrectly
causing excessive leak.
Adjust headgear or re-fit cushion.
Displays message: Heated tube fault, replace tube
Device has been left in a hot
environment.
Allow to cool before re-use. Disconnect the power cord and then
reconnect it to restart the device.
There is a fault in your
ClimateLine or ClimateLineMAX
heated air tubing.
Discontinue using your ClimateLine or ClimateLineMAX heated air
tubing and contact your clinician/service provider. Use SlimLine,
Standard or 3 m air tubing in the interim.

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Problem/Possible cause Solution
Displays message: Humidifier fault, replace humidifier
Device has been left in a hot
environment.
Allow to cool before re-use. Disconnect the power cord and then
reconnect it to restart the device.
There is a fault in your
humidifier.
Discontinue using your humidifier and contact your clinician/service
provider.
Refilling the humidifier with cold
water while humidifier is still hot
after therapy.
Allow to cool before re-use. Ensure the humidifier is filled with
water before the start of therapy to avoid running out of water
during therapy.
Filling the humidifier with ice
cold water on a warm day or
with hot water.
Use room temperature water.
Displays message: High temperature fault, refer to user manual
Device has been left in a hot
environment.
Allow to cool before re-use. Disconnect the power cord and then
reconnect it to restart the device.
Air filter is blocked. Replace your air filter. Disconnect the power cord and then
reconnect it to restart the device.
Air tubing is blocked. Check your air tubing and remove any blockages. Disconnect the
power cord and then reconnect it to restart the device.
Humidity level setting is too
high, resulting in accumulation
of water in the air tubing.
Turn the humidity level setting down and empty the water from
the air tubing.
Displays message: Check ResMed 30/90W Power Supply Unit and fully insert the connector
The DC plug is partially inserted
into the back of the device or
inserted too slowly.
Fully insert the DC plug.
A non-ResMed power supply
unit is connected to the device.
Remove the power supply unit and replace with a ResMed power
supply unit.
The power supply unit is being
covered by bedding.
Make sure that the power supply unit is free from bedding, clothes
or other objects that could cover it.

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Problem/Possible cause Solution
Displays message: No tube, please check your tube is connected
Flow is high because air tubing
is not connected properly.
Note: The tube disconnection
check may not operate when an
antibacterial filter is used.
Connect the air tubing firmly at both ends.
Displays message: Tube blocked, please check your tube
Air tubing is blocked. Check your air tubing and remove any blockages. Disconnect the
power cord and then reconnect it to restart the device.
Displays message: High leak, please check system setup and all connections
There is excessive leak.
Note: If Leak Alert is enabled,
an audible alert is activated and
a high leak message is
displayed.
Adjust position of mask and headgear.
Connect the air tubing firmly at both ends.
The H5i flip lid is not latched
correctly.
Close the flip lid ensuring that it clicks into place.
Displays message: Please close H5i flip lid, attach tube and press any key.
H5i flip lid is not closed. Close the flip lid ensuring that it clicks into place.
Air tubing is not connected
properly.
Connect firmly at both ends.
The following message is displayed on the LCD after you try to update settings or copy data to
the SD card: Card error, please remove SD card and contact service provider
SD card is not inserted correctly. Ensure that the SD card is inserted correctly.

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Problem/Possible cause Solution
You may have removed the
SD card before settings were
copied to the device.
Reinsert the SD card and wait for the Home screen or the
"Settings updated successfully, press any key"message to
appear on the LCD.
Note: This message only appears once. If you re-insert the SD card
after you have updated your settings, the message will not be re-
displayed.
The following message is NOT displayed on the LCD after you try to update the settings using
the SD card: Settings updated successfully, press any key
The settings were not updated. Contact your clinician/service provider immediately.
Water splashing on your face from the H5i
The water tub is overfilled. Check that the water level is below the maximum water level
mark.
Condensation is forming in the
air tubing and mask.
Turn the humidity level setting down via the menu.
Leaking water tub
The water tub may be damaged
or cracked.
Contact your service provider for a replacement.
The cleanable water tub is not
assembled correctly.
Check for damage and reassemble the cleanable water tub
correctly.
Air feels too warm/cold in the mask
The temperature of the
ClimateLine or ClimateLineMAX
heated air tubing is set too
high/low.
Turn up/down the heated air tubing temperature via the menu.

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General technical specifications
Power supply 90W power supply unit
Input range: 100–240V, 50–60Hz, 115V, 400Hz nominal for aircraft use
Typical power consumption: 70W (80VA)
Maximum power consumption: 110W (120VA)
30W power supply unit
Input range: 100–240V, 50–60Hz, 115V, 400Hz nominal for aircraft use
Typical power consumption: 20W (40VA)
Maximum power consumption: 36W (75VA)
90W DC/DC converter
Nominal inputs: 12V, 24V
Typical power consumption: 70W
Maximum power consumption: 110W
Environmental
conditions
Operating temperature: 41°F to 95°F (+5°C to +35°C)
Note: The air flow for breathing produced by this therapy device can be higher
than the temperature of the room. Under extreme ambient temperature
conditions (104ºF / 40ºC) the device remains safe.
Operating humidity: 10 to 95% non-condensing
Operating altitude: Sea level to 8,500' (2,591 m); air pressure range 1013 hPa to
738 hPa
Storage and transport temperature: -4°F to 140°F (-20°C to +60°C)
Storage and transport humidity: 10 to 95% non-condensing
Aircraft use ResMed confirms that the device/s meets the Federal Aviation Administration
(FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air
travel.
Electromagnetic
compatibility
Product complies with all applicable electromagnetic compatibility requirements
(EMC) according to IEC60601-1-2, for residential, commercial and light industry
environments.
It is recommended that mobile communication devices are kept at least 1 m
away from the device.
Information regarding the electromagnetic emissions and immunity of this
ResMed device can be found on www.resmed.com, on the Products page
under Service and Support. Click on the PDF file for your language.
IEC 60601-1
classification
Class II (double insulation), Type BF, Ingress protection IP21

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VPAP Adapt technical specifications
Mode pressure
ranges
CPAP mode
Set Pressure: 4–20 cm H2O
ASV and ASVAuto mode
EPAP: 4–15 cm H2O; PS: 0–20 cm H2O
Maximum single
fault pressure
Maximum single fault steady state pressure: 30 cm H2O—if pressure exceeded
for > 6 sec; 40 cm H2O—if pressure exceeded for >1 sec
Physical Nominal dimensions (L x W x H): 6.0" x 5.5" x 3.4" (153 mm x 140 mm x 86 mm)
Weight: 1.84 lb (835 g)
Housing construction: Flame retardant engineering thermoplastic
Air outlet: 22 mm conical air outlet (complies with ISO 5356-1:2004)
Air filter
Hypoallergenic air filter: Acrylic and polypropylene fibers in a polypropylene
carrier
Standard air filter: Polyester non-woven fiber
Sound
DECLARED
DUAL-NUMBER
NOISE EMISSION
VALUES in
accordance with
ISO 4871:1996
Pressure level (CPAP mode)
With SlimLine air
tubing:
26 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
With Standard air
tubing:
27 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
With either SlimLine
or Standard air
tubing and H5i:
28 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
Power level (CPAP mode)
With SlimLine air
tubing:
34 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
With Standard air
tubing:
35 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
With either SlimLine
or Standard air
tubing and H5i:
36 dBA with uncertainty of 2 dBA as measured according
to ISO 17510 1:2007
Supplemental
oxygen
Recommended maximum supplemental oxygen flow:
15 L/min (CPAP, ASV modes); 4 L/min (ASVAuto mode)

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H5i technical specifications
Temperature Maximum heater plate temperature: 150°F (65°C)
Temperature cut-out: 165°F (74°C)
Maximum gas temperature: ≤106°F (≤41°C)
Physical Dimensions (L x W x H): 6.0" x 5.7" x 3.4" (153 mm x 145 mm x 86 mm)
Weight (water tub): Docking station and unfilled water tub 1.5 lb (0.67 kg)
Weight (cleanable water tub): Docking station and unfilled water tub 1.7 lb (0.77
kg)
Water capacity: To maximum fill line 380 mL
Materials Docking station: Flame retardant engineering thermoplastic, aluminium
Water tub: Injection molded plastic, aluminium and thermoplastic elastomer
Cleanable water tub: Injection molded plastic, stainless steel and silicone seal
Air tubing technical specifications
Air tubing Material Length Inner diameter
ClimateLine heated air tubing Flexible plastic and electrical
components
6'6" (2 m) 0.6" (15 mm)
ClimateLine
MAX
heated air
tubing
Flexible plastic and electrical
components
6'3" (1.9 m) 0.75" (19 mm)
SlimLine air tubing Flexible plastic 6' (1.8 m) 0.6" (15 mm)
Standard air tubing Flexible plastic 6'6" (2.0 m) 0.75" (19 mm)
3 m air tubing Flexible plastic 9'10" (3.0 m) 0.75" (19 mm)
Heated air tubing temperature cut-out:
≤
106°F (
≤
41°C)
Notes:
•The manufacturer reserves the right to change these specifications without notice.
•The temperature and relative humidity settings displayed for Climate Control are not measured
values.
•Check with your clinician/service provider before using the SlimLine air tubing with devices other
than the S9 or H5i.
•The electrical connector end of the heated air tubing is only compatible with the H5i air outlet
and should not be fitted to the device or mask.