ResMed VPAP III, VPAP III ST, VPAP II User manual

VPAP™III & III ST
User Manual
English
248127/1 05 07
Global leaders in sleep and respiratory medicine www.resmed.com
248127/1
VPAP III & III ST
User Manual
ENG

VPAP™III & III ST
Illustrations Component of 248127/1
HUMIDIFIERS
A
B
12
4
Removable
front cover
SETTING UP THE VPAP
D
1
2
4
LCD screen
Handle
Control panel
Air outlet
Air filter cover
Serial
communications
port (9-pin)
Power switch
Power socket
© 2005 ResMed Ltd. © 2005 ResMed Ltd. © 2005 ResMed Ltd. © 2005 ResMed Ltd.
OTHER ACCESSORIES
C
3
SYSTEM COMPONENTS
1
2Auxiliary port (15-pin)
34 5
2 m
HumidAire 2i™HumidAire 2iC™
HumidAire™ResMed Passover
13 m 252 cm
3
HUMIDAIRE 2i AND VPAP
E
HUMIDAIRE 2iC AND VPAP
F
© 2005 ResMed Ltd.© 2005 ResMed Ltd.
Docking
station
Water
chamber
Docking
station
Water
chamber
248127r1 illos.qxd 19/07/2005 5:12 PM Page 1

ATTACHING A PASSOVER HUMIDIFIER
H
4
© 2005 ResMed Ltd.
3
ATTACHING A HUMIDAIRE HUMIDIFIER
G
© 2005 ResMed Ltd.
12
4
3
12
(2 m/3 m)
(52 cm)
(2 m/3 m)
(52 cm)
REPLACING THE AIR FILTER
I
© 2005 ResMed Ltd.
1
2
3
248127r1 illos.qxd 20/07/2005 3:28 PM Page 2

VPAP™III & III ST
User Manual
English

Protected by patents: AU 697652, AU 699726, AU 713679, EP 0661071, EP 0858352, US 4944310, US 5199424,
US 5522382, US 6213119, US 6240921, US 6705315. Other patents pending.
Protected by design registrations: AU 147283, AU 147335, AU 147336, CH 128.709, CH 128.710, CH 128.711,
CH 128.712, DE 40201723, DE 40202007, DE 40202008, DE 40202020, ES 153514, ES 153515, ES 153516, ES 153518,
ES 156135, ES 156136, FR 02 1407, GB 3001791, GB 3001819, GB 3001820, GB 3001821, JP 1164087, JP 1164265,
JP 1164266, JP 1164267, JP 3638613, SE 75598, SE 75599, SE 75600, SE 75715, US D467335, US D468011,
US D476077, US D477868, US D487311, US D503796. Other designs pending.
VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Smart Data, Ultra Mirage and Vista are trademarks of
ResMed Ltd, and VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Ultra Mirage and Vista are
registered in U.S. Patent and Trademark Office.
© 2005 ResMed Ltd.
Manufactured by:
ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia
Tel: [phone] or 1 800 658 189 (toll free) Fax: [phone] Email: [email protected]
Distributed by:
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ResMed BV Nieuwe Parklaan 86, 2587 BV Den Haag Nederland
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Tél. : [phone] Fax : [phone] Email: [email protected]
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Tel: [phone] Fax: [phone] Email: [email protected]
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US DESIGNATED AGENT: ResMed Corp
EU AUTHORISED REPRESENTATIVE: ResMed (UK) Ltd
Internet: www.resmed.com

iiiContents
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
User/Owner Responsibility 1
Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What the VPAP III and VPAP III ST are Intended for 1
Contraindications 1
Warnings 2
Cautions 2
Adverse Effects 3
The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Masks 5
Humidifiers 6
Accessories 6
Setting up the VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Setting Up The VPAP 7
Attaching a Humidifier 7
Using the LCD Screen and Keypad 10
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Stopping Treatment 14
Using the HumidAire 2i Warm-Up Feature 14
Using the Mask-Fitting Feature 14
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Daily Cleaning 17
Weekly Cleaning 17
Periodic Cleaning 17
Replacing the Air Filter 18
Servicing 18
How to Use the VPAP Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Ramp Screen 19
How to Use the Standard Menu 19
How to Use the Detailed Menu (if enabled by your clinician) 20
Menu Functions (Detailed menu only) 22
Treatment Screens 26
Helpful Hints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Using a Battery and an Inverter 29
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

iv
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

1Introduction
Introduction
The VPAP™ III and VPAP III ST are bilevel pressure support ventilators
specifically designed for non-invasive mask ventilation.
This user manual contains the information you need for the correct use of
your VPAP.
User/Owner Responsibility
The user or owner 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.
Medical Information
What the VPAP III and VPAP III ST are Intended for
The VPAP III and VPAP III ST systems are intended to provide non-invasive
ventilation for patients with respiratory insufficiency or obstructive sleep
apnoea (OSA), in the hospital or home.
Contraindications
The VPAP should not be used if you have an insufficient respiratory drive to
endure brief interruptions in non-invasive ventilation therapy. The VPAP is
not a life support ventilator and may stop operating with power failure or in
the unlikely event of certain fault conditions.
If you have any of the following conditions, tell your doctor before using the
VPAP:
•acute sinusitis or otitis media
•epistaxis causing a risk of pulmonary aspiration

2
•conditions predisposing to a risk of aspiration of gastric contents
•impaired ability to clear secretions
•hypotension or significant intravascular volume depletion
•pneumothorax or pneumomediastinum
•recent cranial trauma or surgery.
Warnings
•The entire manual should be read before using the VPAP.
•Advice contained in this manual should not supersede instructions given
by the prescribing physician.
•The VPAP should be used with masks and accessories recommended by
ResMed or the prescribing physician. Use of incorrect masks and
accessories may adversely affect the function of the VPAP.
•The VPAP is designed for use with masks that allow exhaled gases to be
flushed out through vent holes. Exhaled gases will be rebreathed if the
mask is worn with the machine turned off, or the vent holes are
occluded. If this occurs over prolonged periods, suffocation may occur.
•In the event of power failure or machine malfunction, remove the mask.
•The VPAP can be set to deliver pressures up to 25 cm H2O. In the
unlikely event of certain fault conditions, pressures up to 40 cm H2O are
possible.
•The VPAP is not suitable for use in the vicinity of flammable
anaesthetics.
•The VPAP should not be used with anaesthetised patients, whose
breathing depends on artificial ventilation.
•If oxygen is used with the VPAP, the oxygen flow should be stopped
when the device is not operating. If oxygen flow continues when the
device is not operating, oxygen may accumulate within the device and
create a risk of fire.
•Do not use the VPAP if there are obvious external defects, unexplained
changes in performance or unusual noises.
•Do not open the VPAP case. There are no user serviceable parts inside.
Repairs and internal servicing should only be performed by an authorised
service agent.
Cautions
•At low EPAP pressures, the flow through the mask vent holes may be
inadequate to clear all exhaled gases, and some rebreathing may occur.
•The air flow for breathing produced by this device can be as much as 6oC
higher than the temperature of the room. Caution should be exercised if
the room temperature is warmer than 32oC.

3Medical Information
Note: The above are general warnings and cautions. Further specific
warnings, cautions and notes appear next to the relevant instructions in the
manual.
Adverse Effects
You should report unusual chest pain, severe headache or increased
breathlessness to your 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
VPAP:
•drying of the nose, mouth or throat
•bloating
•ear or sinus discomfort
•eye irritation
•mask-related skin irritations
•chest discomfort.

4

5The VPAP System
The VPAP System
Please refer to the illustrations in section Aof the illustration sheet.
Please identify and familiarise yourself with the following components of the
VPAP unit:
•VPAP front view (A-1)
•VPAP rear view (A-2)
•Power cord (A-3)
•Carry bag (A-4)
•2 m air tubing (A-5).
!
WARNING
•Do not connect any device to the auxiliary port. Although your
health care provider may connect specially designed devices to the
auxiliary port of the VPAP unit, connection of other devices could
result in injury, or damage to the unit.
•In the home environment, the only device that may be connected to
the communications port is a modem that is locally approved.
Locally approved modems may also be connected in the clinical
environment.
•In the clinical environment any PC that is used with the VPAP system
must be at least 1.5 m away from, or at least 2.5 m above the patient.
It must also comply with IEC 60950 or equivalent.
Masks
You will also need a ResMed mask system (supplied separately).
The following ResMed mask systems are recommended for use with the
VPAP:
Nasal Masks
•Ultra Mirage™ Nasal Mask
•Mirage™ Nasal Mask
•Mirage Activa™ Nasal Mask
•Mirage Vista™ Nasal Mask
•Modular Nasal Mask.
Full Face Masks
•Mirage™ Full Face Mask
•Mirage™ Full Face Mask Series 2
•Ultra Mirage™ Full Face Mask.
To select the appropriate setting for your mask, see “Settings for Mask
Types” on page 23.

6
Notes:
•ResMed VPAP devices have been designed and manufactured to provide
optimum performance using ResMed vented mask systems. While other
vented mask systems may be used, performance and data outputs may
be affected. To select an appropriate setting for another mask system,
find the closest match to a ResMed mask in Table 3 on page 23.
•Not all masks are available in all regions.
Humidifiers
Please refer to the illustrations in section Bof the illustration sheet.
A humidifier may be required if you are experiencing dryness of the nose,
throat or mouth. The VPAP is compatible for use with the following
humidifiers:
•HumidAire 2i™ heated humidifier (B-1)
•HumidAire 2iC™ passover humidifier (B-2)
•HumidAire™ heated humidifier (B-3)
•ResMed Passover humidifier (B-4).
!
WARNING
Only the HumidAire 2i, HumidAire 2iC, HumidAire heated humidifier
and the ResMed Passover are compatible for use with the VPAP. Please
refer to Warnings on page 2.
Accessories
Please refer to the illustrations in section Cof the illustration sheet.
The following accessories may be purchased separately:
•3 m air tubing (C-1)
•Medium (52 cm) air tubing for the HumidAire and ResMed Passover
humidifiers (C-2).
Note: ResMed regularly releases new products. Please check our website
at <www.resmed.com>.

7Setting up the VPAP System
Setting up the VPAP System
Please refer to the illustrations in section Dof the illustration sheet.
Setting Up The VPAP
1Place the VPAP unit on a flat surface near the head of your bed. If the unit is
placed on the floor, ensure that the area is free from dust and clear of
bedding, clothes or any other objects that could block the air inlet.
!
CAUTION
Be careful not to place the device where it can be bumped or where
someone is likely to trip over the power cord.
2Connect the power cord to the socket at the rear of the flow generator. Plug
the other end of the power cord into a power outlet (D-1).
!
WARNING
•Make sure the power cord and plug are in good condition and the
equipment is not damaged.
•The air filter cover protects the device in the event of accidental
liquid spillage onto the device. Ensure that the air filter and air filter
cover are fitted at all times.
3Connect one end of the air tubing firmly onto the air outlet of the unit (D-2).
!
WARNING
Only ResMed air tubing should be used with your flow generator. A
different type of air tubing may alter the pressure you actually receive
and reduce the effectiveness of your treatment.
4Assemble your mask system according to the mask user instructions.
5Connect your mask system to the free end of the air tubing (D-3).
The VPAP system is now assembled (D-4). To start treatment, see “Starting
Treatment” on page 13.
Attaching a Humidifier
!
WARNING
When using a humidifier, position it lower than you, and at the same
level or lower than the VPAP.

8
Attaching a HumidAire 2i Humidifier
Please refer to the illustrations in section Eof the illustration sheet.
The HumidAire 2i attaches to the front of the VPAP to provide heated
humidification. No other accessories are required for its use. The VPAP
automatically detects the presence of the HumidAire 2i. No menu changes
are required. Please refer to the HumidAire 2i User’s Manual for details.
Attaching a HumidAire 2iC Humidifier
Please refer to the illustrations in section Fof the illustration sheet.
The HumidAire 2iC attaches to the front of a VPAP unit to provide passover
humidification. No other accessories are required for its use. Please refer to
the HumidAire 2iC User’s Manual for details.
Note: You must activate the humidifier option in the menus if you are using
a HumidAire, HumidAire 2iC or Passover humidifier.
Attaching a HumidAire Humidifier
Please refer to the illustrations in section Gof the illustration sheet.
Medium size (52 cm) air tubing is a necessary accessory for connecting the
VPAP unit to the HumidAire humidifier.
To set up the VPAP with the HumidAire:
1. Fill the HumidAire with water as described in the humidifier manual.
2. Place the filled water chamber inside the HumidAire. Connect the
medium (52 cm) air tubing to the right connector port, and the long air
tubing (2 m or 3 m) to the left connector port on the humidifier (G-1).
Close the HumidAire lid.
3. Place the VPAP on top of the HumidAire (G-2). Do not place the VPAP
unit underneath the humidifier. (This is to avoid water spilling into the
unit.)
4. Connect the free end of the medium air tubing to the air outlet of the
VPAP (G-3).
5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure G-4.
6. Plug the HumidAire power cord into a power outlet.
7. If the VPAP is not already plugged in, see Step 2 on page 7.
!
WARNING
Make sure that the power cord and plug are in good condition and the
equipment is not damaged.
8. Navigate to the humidifier setting (if available) in the VPAP menu and
select "HUMIDAIRE". See “How to Use the Detailed Menu (if enabled by
your clinician)” on page 20.

9Setting up the VPAP System
The VPAP is now ready for use with the HumidAire. To start treatment, see
“Starting Treatment” on page 13.
Attaching a Passover Humidifier
Please refer to the illustrations in section Hof the illustration sheet.
Medium size (52 cm) air tubing is a necessary accessory for connecting the
VPAP unit to the ResMed Passover humidifier.
To set up the VPAP with the ResMed Passover:
1. Fill the Passover with water as described in the humidifier manual.
2. Connect the medium (52 cm) air tubing to the right connector port, and
the long air tubing (2 m or 3 m) to the left connector port on the
humidifier (H-1).
3. Place the VPAP on top of the Passover (H-2). Do not place the VPAP unit
underneath the humidifier. (This is to avoid water spilling into the unit.)
4. Connect the free end of the medium air tubing to the air outlet of the
VPAP (H-3).
5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure H-4.
6. If the VPAP is not already plugged in, see Step 2 on page 7.
!
WARNING
Make sure that the power cord and plug are in good condition and the
equipment is not damaged.
7. Navigate to the humidifier setting (if available) in the VPAP menu and
select "PASSOVER". See “How to Use the Detailed Menu (if enabled by
your clinician)” on page 20.
The VPAP is now ready for use with the ResMed Passover. To start
treatment, see “Starting Treatment” on page 13.

10
Using the LCD Screen and Keypad
The control panel of the VPAP includes an LCD screen and keypad.
LCD Screen
The LCD screen displays the menus and treatment screens.
To assist you in adjusting the VPAP, the keypad and LCD are equipped with
a backlight. The LCD backlight comes on when the unit is turned on or when
you press a key, and turns off after two minutes.
Keypad Keys
The VPAP keypad has the following keys:
Start/Stop
Mask-fit
LCD screen
Left key
Up/down key
Right key
Front key
Key Function
Front • Starts or stops treatment.
• Extended hold for at least three seconds starts the
Mask-Fitting feature.
Up/Down • Allows you to scroll through the VPAP menus,
submenus and setting options.
Start/Stop
Mask-fit

11Setting up the VPAP System
The keypad backlight is on at all times when the VPAP is powered.
Left (green) • Performs the function indicated by the guiding text
displayed above it on the LCD screen. Guiding text
includes menu, enter, change and apply.
Right (red) • Performs the function indicated by the guiding text
displayed above it on the LCD screen. Guiding text
includes exit and cancel.
Key Function

12

13Starting Treatment
Starting Treatment
The VPAP unit should be assembled beside your bed with the air tubing and
mask system connected. See “Setting Up The VPAP” on page 7.
1Turn the main power switch at the back of the unit to on (I).
When the VPAP is turned on, a welcome message is displayed on the LCD
screen. The VPAP (or Ramp) screen then appears.
Note: If you have the HumidAire 2i attached, see “Using the HumidAire 2i
Warm-Up Feature” on page 14.
2Fit your mask as described in the mask user instructions.
3Lie 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. It
could twist around your head or neck while you are sleeping.
•Make sure the area around the flow generator is dry and clean. It
should also be clear of bedding, clothes and other potential
blockages.
4To start treatment, press the Front key
or
if your clinician has enabled the SmartStart function, simply breathe into the
mask and treatment will begin.
After starting treatment, you can display one of the treatment screens
described in “Treatment Screens” on page 26.
Ramp time
Ramp time is a feature which can be enabled by your clinician. If you have
difficulty falling asleep with full pressure, select a ramp time. The airflow will
start very gently while you fall asleep. The pressure will slowly increase to
full operating pressure over the selected ramp time. The clinician has set a
maximum ramp time; you may select any value up to the maximum.
To select a ramp time, see “Ramp Screen” on page 19.
Main
power
switch