Respironics DreamStation Use and care manual

DreamStation
Service & Technical Reference Manual

1117539, VER. 07
CHAPTER 1: INTRODUCTION
1.0 CPAP/BIPAP SYSTEM OVERVIEW................................................................................. 1-2
1.1 HUMIDIFIER SYSTEM OVERVIEW...................................................................................... 1-4
1.2 SERVICE NOTICE............................................................................................................ 1-5
1.3 SERVICE TRAINING......................................................................................................... 1-5
1.4 PRODUCT SUPPORT STATEMENT.................................................................................... 1-5
CHAPTER 2: WARNINGS, CAUTIONS, & NOTES
CHAPTER 3: SPECIFICATIONS & CLASSIFICATIONS
CHAPTER 4: SETUP
4.0 SUPPLYING DC POWER TO THE DEVICE.......................................................................... 4-1
4.1 SUPPLYING AC POWER TO THE DEVICE.......................................................................... 4-2
4.2 CONNECTING THE TUBING TO THE PAP DEVICE.............................................................. 4-3
4.3 CONNECTING THE HUMIDIFIER TO THE PAP DEVICE........................................................ 4-4
4.4 CONNECTING THE TUBING TO THE HUMIDIFIER................................................................ 4-5
4.5 DISCONNECTING THE TUBING ......................................................................................... 4-6
4.6 DISCONNECTING THE DEVICES........................................................................................ 4-6
4.7 CHECKING THE HUMIDIFIER LID SEAL............................................................................. 4-7
4.8 INSTALLING/REPLACING THE AIR FILTERS....................................................................... 4-8
4.9 STARTING THE DEVICE................................................................................................... 4-9
4.10 NAVIGATING THE DEVICE SCREENS ............................................................................ 4-10
4.10.1 User Menu Navigation (Therapy On) and Optional Humidification Settings...............4-11
4.10.2 User Menu Navigation (Therapy Off)...............................................................................4-12
4.10.3 Accessing Provider Mode Screens.................................................................................4-18
4.10.4 Navigating the Provider Mode Screens ..........................................................................4-18
4.11 PERFORMANCE CHECK DEVICE SCREENING TOOL ...................................................... 4-28
4.12 BLUETOOTH WIRELESS TECHNOLOGY ........................................................................ 4-28
4.12.1 Pairing to your Bluetooth enabled Mobile Device .........................................................4-28
4.13 ACCESSORIES............................................................................................................ 4-29
4.13.1 Humidifier with or without Heated Tubing......................................................................4-30
4.13.2 SD Card..............................................................................................................................4-30

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4.13.3 Link Module.......................................................................................................................4-30
CHAPTER 5: TROUBLESHOOTING AND ERROR CODES
5.0 INTRODUCTION................................................................................................................5-1
5.1 BENCH CHECKOUT .........................................................................................................5-1
5.1.1 PAP Device:...........................................................................................................................5-1
5.1.2 Humidifier:.............................................................................................................................5-1
5.2 VERIFYING PRESSURE.....................................................................................................5-2
5.3 SERVICE CENTER TOOLS SUITE ......................................................................................5-3
5.3.1 Service Center Tools Suite Installation and Device Connection Process ......................5-4
5.3.2 Clearing the Error and Device Logs....................................................................................5-6
5.3.3 Clearing Therapy Hours and Blower Hours.......................................................................5-6
5.3.4 Setting the Session ID..........................................................................................................5-6
5.4 DEVICE ERROR CODES ...................................................................................................5-8
5.5 FAILURE MODE TROUBLESHOOTING ..............................................................................5-17
5.6 DEVICE ALERTS............................................................................................................5-23
CHAPTER 6: REPAIR & REPLACEMENT
6.0 REPLACEMENT PART (RP) KITS......................................................................................6-2
6.1 REPLACEMENT INSTRUCTIONS.........................................................................................6-4
6.1.1 Replacing the Accessory Module and SD Flip Doors.......................................................6-4
6.1.2 Replacing the SD Card.........................................................................................................6-5
6.1.3 Replacing the Upper Enclosure/Keypad: ...........................................................................6-5
6.1.4 Replacing the UI Panel.........................................................................................................6-7
6.1.5 Replacing the PCA................................................................................................................6-9
6.1.6 Replacing the Flow and Pressure Sensor Seals..............................................................6-11
6.1.7 Replacing the Blower Upper Cap......................................................................................6-12
6.1.8 Replacing the Blower, Blower Box Assembly, and Rear Panel .....................................6-14
6.1.9 Replacing the Blower Outlet Seal and Blower Isolators.................................................6-22
6.1.10 Replacing the DC Power Cable and DC Jack Color Insert............................................6-24
6.1.11 Replacing the Bottom Enclosure ....................................................................................6-25
6.2 CREATING THE SERIAL/MODEL NUMBER LABEL.............................................................6-26
6.2.1 Equipment (Printer)............................................................................................................6-26
6.2.2 Software...............................................................................................................................6-26
6.2.3 Label Printing Options.......................................................................................................6-27
6.3 CLEANING THE THERAPY DEVICE FOR ONE USER .........................................................6-28

1117539, VER. 07
6.4 CLEANING FOR MULTIPLE USERS ................................................................................. 6-28
6.5 CLEANING OR REPLACING THE FILTERS........................................................................ 6-29
6.6 CLEANING THE TUBING ................................................................................................ 6-30
6.7 PREVENTIVE MAINTENANCE.......................................................................................... 6-30
CHAPTER 7: HUMIDIFIER REPAIR AND REPLACEMENT
7.0 HUMIDIFIER REPLACEMENT PART (RP) KITS................................................................... 7-1
7.1 REPLACEMENT INSTRUCTIONS........................................................................................ 7-2
7.1.1 Replacing the Water Tank Assembly..................................................................................7-2
7.1.2 Replacing the Flip Lid and Dry Box Inlet Seals..................................................................7-3
7.1.3 Replacing the Dry Box Assembly........................................................................................7-4
7.1.4 Replacing the Wire Guard....................................................................................................7-5
7.1.5 Replacing the Back Panel Assembly..................................................................................7-8
7.1.6 Replacing the Flip Lid Latch................................................................................................7-9
7.1.7 Replacing the Lifting Tray..................................................................................................7-10
7.1.8 Replacing the Bottom Cover..............................................................................................7-13
7.1.9 Replacing the Heat Shield..................................................................................................7-14
7.1.10 Replacing the Heater Plate O-Ring..................................................................................7-15
7.1.11 Replacing the Bottom/Flip Lid Assembly.......................................................................7-16
7.2 CLEANING THE WATER TANK ....................................................................................... 7-21
7.3 CLEANING THE HUMIDIFIER BASE ................................................................................. 7-21
7.4 CLEANING THE HEATED TUBING ................................................................................... 7-22
7.5 HOSPITAL AND INSTITUTION DISINFECTION: WATER TANK, SEAL AND HEATED TUBING.. 7-22
7.5.1 Cleaning Prior to Disinfection ...........................................................................................7-22
7.5.2 Disinfection .........................................................................................................................7-23
7.5.3 After Disinfection................................................................................................................7-23
CHAPTER 8: TESTING AND CALIBRATION
8.1 REQUIRED EQUIPMENT................................................................................................... 8-1
8.2 TESTING PREREQUISITES ............................................................................................... 8-2
8.3 TESTING ENVIRONMENT SPECIFICATIONS........................................................................ 8-2
8.4 FINAL TESTING PROCEDURE........................................................................................... 8-2

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© 2016 Koninklijke Philips N.V. All rights reserved.

PAGE 1-2 1117539, VER. 07
CHAPTER 1: INTRODUCTION
1.0 CPAP/BIPAP SYSTEM OVERVIEW
The DreamStation CPAP is a Continuous Positive Airway Pressure therapy device designed for the treatment
of Obstructive Sleep Apnea (OSA). The DreamStation CPAP Pro can also deliver CPAP-check therapy, and
the DreamStation Auto CPAP can also deliver CPAP-Check and Auto-CPAP therapy.
The DreamStation BiPAP Pro can be set up as a Bi-level device, which delivers two different positive pressure
levels: IPAP (Inspiratory Positive Airway Pressure) and EPAP (Expiratory Positive Airway Pressure). The
DreamStation BiPAP Auto can also be set up as an Auto Bi-level device. Both BiPAP systems can also be set
up as a CPAP (Continuous Positive Airway Pressure) device.
CAUTION
U.S. federal law restricts this device to sale by or on
the order of a physician.
DEVICE DESCRIPTION MODEL NUMBER SERIES*
DreamStation CPAP yyX200Szz
DreamStation CPAP w/ Humidifier and Standard Tube yyX200Hzz
DreamStation CPAP w/ Humidifier and Heated Tube yyX200Tzz
DreamStation CPAP Pro yyX400Szz
DreamStation CPAP Pro w/ Humidifier and Standard Tube yyX400Hzz
DreamStation CPAP Pro w/ Humidifier and Heated Tube yyX400Tzz
DreamStation Auto CPAP yyX500Szz
DreamStation Auto CPAP w/ Humidifier and Standard Tube yyX500Hzz
DreamStation Auto CPAP w/ Humidifier and Heated Tube yyX500Tzz
DreamStation BiPAP Pro yyX600Szz
DreamStation BiPAP Pro w/ Humidifier and Standard Tube yyX600Hzz
DreamStation BiPAP Pro w/ Humidifier and Heated Tube yyX600Tzz
DreamStation Auto BiPAP yyX700Szz
DreamStation Auto BiPAP w/ Humidifier and Standard Tube yyX700Hzz
DreamStation Auto BiPAP w/ Humidifier and Heated Tube yyX700Tzz
DreamStation Humidifier yyXH
DreamStation Humidifier, Core Pack yyXHCP
*yy and zz are variables that represent regional configurations, i.e. DOM or INTL models.
X is fixed and represents the DreamStation platform.

PAGE 1-31117539, VER. 07
The devices provide several special features to help make therapy more comfortable. The ramp function
allows the user to lower the pressure when they are trying to fall asleep. The air pressure will gradually
increase until their prescription pressure is reached. Also, the Flex comfort feature provides the user with
pressure relief when they exhale during therapy.
Several accessories are also available for use with the devices.
FIGURE 1-1: DEVICE OVERVIEW AS DESCRIBED IN THE BELOW TABLE

PAGE 1-4 1117539, VER. 07
1.1 HUMIDIFIER SYSTEM OVERVIEW
The DreamStation Heated Humidifier attaches to the therapy device and provides an air outlet port to connect
a breathing circuit. The breathing circuit is comprised of patient tubing, a mask, and in some instances a
separate exhalation device. The patient tubing can be Respironics heated tubing, 22 mm (non-heated)
performance tubing or 15 mm (non-heated) performance tubing.
The DreamStation Heated Humidifier with Heated Tubing is designed to deliver humidification to provide added
comfort during therapy. This humidification level is controlled through the output of the heated humidifier as
well as the temperature of the optional heated tubing. Use of these two accessories allows for a comfortable
level of humidity to be maintained at the mask.
The DreamStation Heated Humidifier is comprised of the following components:
•Heated Humidifier - The heated humidifier is the primary source of humidification. Humidification
is controlled by adjusting the temperature of the heater plate. The heater plate is then used to heat
water found in the water tank. This manual includes instructions that explain how to set up and
take care of the heated humidifier. For instructions on how to adjust the heated humidifier settings,
refer to the instructions for use that accompanied the therapy device.
•Water Tank - The water tank stores the water that will be used by the heated humidifier. This man-
ual includes instructions that cover how to use and take care of the water tank.
•Heated Tubing - The heated tubing is an optional accessory that is used, along with the heated
humidifier, to control the provided humidification. This is accomplished by controlling the tempera-
ture of the air in order to ensure that it does not cool down prior to reaching the mask. This manual
includes instructions that cover how to connect and take care of the heated tubing. For instructions
on how to adjust the temperature of the heated tubing, refer to the instructions for use that accom-
panied the therapy device.
FIGURE 1-2: HUMIDIFIER OVERVIEW AS DESCRIBED IN THE FOLLOWING TABLE

PAGE 1-51117539, VER. 07
1.2 SERVICE NOTICE
The service technician should have a good working knowledge and understanding of the principles of
operation and repair of electro-mechanical sleep therapy devices. By using the most current version of the
service manual (found on my.respironics.com) and the latest testing software, all repairs and testing can be
performed. If service training is desired, contact the Philips Respironics service location in your area to
schedule training.
1.3 SERVICE TRAINING
Philips Respironics offers service training for the devices. Training includes complete disassembly of the
device, troubleshooting sub-assemblies and components, and necessary safety testing. For more information,
log onto my.respironics.com, and download the Service Training Schedule brochure from the Service Software
and Documentation link.
1.4 PRODUCT SUPPORT STATEMENT
For product support, please contact Philips Respironics Customer Satisfaction.
U.S.A. and Canada
Phone:[phone]
Fax: [phone]
International
Phone: [phone]
Fax: [phone]

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PAGE 2-11117539, VER. 07
CHAPTER 2: WARNINGS, CAUTIONS, & NOTES
Warnings, cautions, and notes are used throughout this manual to identify possible safety hazards, conditions
that may result in equipment or property damage, and important information that must be considered when
performing service and testing procedures on the device.
Refer to the devices’ User and Provider Manuals for warnings, cautions and notes.
WARNING
Warnings indicate the possibility of injury to people.
CAUTION
Cautions indicate the possibility of damage to equipment.
NOTE
Notes are used to emphasize a characteristic or
important consideration.
TABLE 2-1: USER & PROVIDER MANUALS
DESCRIPTION PART NUMBER
DreamStation CPAP, User Manual, EN-INTL CE 1121981
DreamStation BiPAP, User Manual, EN-INTL CE 1121982
DreamStation Humid, User Manual, EN-INTL CE 1121984
DreamStation, Provider Guide, EN-INTL CE 1121983

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PAGE 3-11117539, VER. 07
CHAPTER 3: SPECIFICATIONS & CLASSIFICATIONS
Refer to the devices’ User and Provider Manuals for specifications and classifications.
TABLE 3-1: USER & PROVIDER MANUALS
DESCRIPTION PART NUMBER
DreamStation CPAP, User Manual, EN-INTL CE 1121981
DreamStation BiPAP, User Manual, EN-INTL CE 1121982
DreamStation Humid, User Manual, EN-INTL CE 1121984
DreamStation, Provider Guide, EN-INTL CE 1121983

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PAGE 4-11117539, VER. 07
CHAPTER 4: SETUP
This chapter provides an overview of the system setup including introductory information on the User and
Provider modes and menus. Please refer to the device’s User Manual for further information.
4.0 SUPPLYING DC POWER TO THE DEVICE
A Philips Respironics DC power cord can be used to operate this device in a stationary recreational vehicle,
boat, or motor home. In addition, a Philips Respironics DC battery adapter cable, when used with a DC power
cord, allows the device to be operated from a 12 VDC free-standing battery.
WARNING
•Inspect the power cord often for any signs of damage.
Replace a damaged power cord immediately.
•Be sure to route the power cord to the outlet in a way that
will prevent the cord from being tripped over or interfered
with by chairs or other furniture.
•This device is activated when the power cord is connected.
CAUTION
•If the device has been exposed to either very hot or very
cold temperatures, allow it to adjust to room temperature
(approximately two hours) before beginning setup.
•Do not use extension cords with this device.
NOTE
•Please refer to the Clinical Manual for additional information.
CAUTION
•Always ensure that the DC power cord securely fits into the therapy device prior to use.
•When DC power is obtained from a vehicle battery, the device should not be used while the
vehicle’s engine is running. Damage to the device may occur.
•Only use a Philips Respironics DC Power Cord and Battery Adapter Cable. Use of any
other system may cause damage to the device.

PAGE 4-2 1117539, VER. 07
4.1 SUPPLYING AC POWER TO THE DEVICE
Complete the following steps to operate the device using AC power:
1. Plug the socket end of the AC power cord (included) into the power supply (also included).
2. Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall
switch.
.
FIGURE 4-1: CONNECTING THE AC POWER CORD AND POWER SUPPLY
3. Plug the power supply cord’s connector into the power inlet on the side of the device.
FIGURE 4-2: SUPPLYING POWER TO THE DEVICE
4. Verify that the plug at the side of the device, at the power supply, and at the electrical outlet are
fully inserted. This will help to ensure that a secure, reliable electrical connection has been made.
NOTE
If the following Incorrect Power Supply icon appears on the screen, please
repeat step 4.

PAGE 4-31117539, VER. 07
4.2 CONNECTING THE TUBING TO THE PAP DEVICE
To connect the Tubing to the device, complete the following steps:
1. Connect the flexible tubing to the air outlet on the back of the therapy device. Line up the connec-
tor (1) at the top of the heated tube to the top of the air outlet port on the back of the device.
FIGURE 4-3: CONNECTING THE TUBING TO THE PAP DEVICE
2. Press the tubing into place over the air outlet port until the tabs on the side of the tube click into
place in the slots on the sides of the outlet port.
FIGURE 4-4: TUBING CONNECTED TO THE PAP DEVICE
NOTE
If you are using a standard tube (not shown) instead of a heated tube,
simply slide the tubing over the air outlet port on the therapy device.

PAGE 4-4 1117539, VER. 07
4.3 CONNECTING THE HUMIDIFIER TO THE PAP DEVICE
1. Place the therapy device and heated humidifier (with an empty water tank) on a firm, flat surface.
2. Line up the back of the therapy device to the front (top lid release latch side) of the heated humidi-
fier.
3. Make sure the air outlet port on the therapy device lines up with the air inlet port on the humidifier
(not shown).
4. Slide the two units together until they snap into place.
FIGURE 4-5: CONNECTING THE HUMIDIFIER
5. Make sure that the therapy device and the humidifier are completely seated against each other.
FIGURE 4-6: HUMIDIFIER CONNECTED
WARNINGS
•Do not pull or stretch the tubing. This could result in circuit leaks.
•Inspect the tubing for damage or wear. Discard and replace the tubing as
necessary.
•If the device is used by multiple persons (such as rental devices), a low-
resistance, main flow bacteria filter should be installed in-line between the
device and the circuit tubing to prevent contamination.
CAUTION
Do not move the humidifier while the water tank has water in it.

PAGE 4-51117539, VER. 07
4.4 CONNECTING THE TUBING TO THE HUMIDIFIER
1. To attach the heated tube to the heated humidifier, line up the connector (1) at the top of the
heated tube to the top of the air outlet port (2) on the humidifier.
FIGURE 4-7: CONNECTING THE TUBING TO THE HUMIDIFIER
2. Press the tubing into place over the air outlet port until the tabs on the side of the tube click into
place in the slots on the sides of the outlet port.
FIGURE 4-8: TUBING CONNECTED TOTHE HUMIDIFIER
3. If you are using a standard tube (not shown) instead of a heated tube, simply slide the tubing over
the air outlet port on the heated humidifier.