Respironics REMstar Pro User manual

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RESPIRONICS”
Limited Warranty
Respironics
warrants
that
the
REMstar
Pro,
REMstar
Pro
with
C-Flex,
and
REMstar
C-FLex
CPAP
device
shall be
free
from
defects
of
workmanship
and
materials
and
will
perform
in
accordance
with
the
product
specifications
for
a
period
of
two
years
from
the
date
of
sale
by
Respironics.
If
the
product
fails
to
perform
in
accordance
with
the
product
specifications,
Respironics
will
repair
or
replace
-
at
its
option
-
the
defective
material
or
part.
Respironics
will
pay
customary
freight
charges
from
Respironics
to
the
dealer
location
only.
This
warranty
does
not
cover
damage
caused
by
accident,
misuse,
abuse,
alteration,
and
other
defects
not
related
to
materials
or
workmanship.
Respironics disclaims all liability for economic loss, loss of profits, overhead, or consequential damages which may be claimed to arise from any sale or use
of this product. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not
apply to you.
This warranty is given in lieu of all other express warranties. In addition, any implied warranty, including any warranty of merchantability or fitness for the
particular purpose, is limited to two years. Some states do not allow limitations on how long an implied warranty lasts, so the above limitation may not
apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state.
The warranty for repairs is ninety days for labor and one year on the part(s) that was replaced.
To exercise your rights under this warranty, contact your local authorized Respironics Inc. 1001 Murry Ridge Lane, Murrysville, Pennsylvania 15668,
1-800-345-6443 (US and Canada only) or 1-724-387-4000.
RESPIRONICS INC’ RESPIRONICS° C €
1001 Murry Ridge Lane Deutschland
Murrysville, Pennsylvania Gewerbestrasse 17
15668-8550 USA 82211 Herrsching Germany
REMstar Pro CPAP System

PEŠBŘONICS“ Table of Contents
Table of Contents
Overview: REMstar Pro CPAP System Chapter 3: Specifications, Features, Descriptions,
and Theory of Operation sn 3-1
Chapter 1: Introduction ..oomoonemonssnoracnesinorisiescecionnss 1-1 [3.1 OvervieW siens 3-3
3.2 Specifications................. 3-4
1.1 REMstar Pro CPAP System Overview... 1-3 3.2.1 CPAP Specifications .. 3-4
1.2 Service Notice... -4 13.3 SystemFeatures................ 3-7
1.3 Technical Support Statement ........... in 14 Symbols / MeaningS .Ne 3-8
34 Functionat Description... iii 3-10
3.5 Theory of Operation (Subassemblies) ......................... 3-11
Chapter 2: Warnings, Cautioms and NoteS ee 2-1 3.5.1 Control Pad & Liquid
Crystal Display (LCD) iii 3-11
IN IÓ 3.5.2 Main Printed Circuit
2.1.1 Safety iii Assembly (PCA) eee ee ee eee nenene 3-12
2.1.2 Service.. 3.5.3 EncoreProSmartCard.................................... 3-12
2.1.3 Cleaning emer 2-4
22 Cautions een 2-5
2.3 Notes erener 2-5
1011170 REMstar Pro CPAP System T-1

Table of Contents
RESPIRONICS”
e
Chapter
4:
System
Setup
Procedures
ms
4-1
|
Chapter
6:
Troubleshooting
and
Diagnostics
sc
6-1
4.1
Overview
AA
6.1
Overview
iii
42
REMstar
Pro
CPAP
System
Setup...
-
6.2
Common
System
Level
Problems
..
4.2.1
Display
Screens
eee
6.3
Trouble
Shooting
Flow
Chaft
нение
ee.
4.3
Recommended
Circuit
Accessories
ee
6.4
Troubjeshootng
Table
.ee
4.3.1
Recommended
Accessories
..........
.
6.5
REMstar
Pro
Error
Code
Retrieval
4.3.2
Alternate
and
Optional
Accessories.
4-10
6.5.1
Error
Code
Retrieval...
4.3.3
DC
Power
Accessories..................
…4-11
|
6.6
Error
Code
Chart
..................
n
4.3.4
Adding
OxygentotheSystem.........................
4-12
|
6.7
SmartCard
Error
Code
Chatt................
n
Chapter
5:
Routine
Maintenance
nn
5-1
|
Chapter
7:
Repair
&
Replacement
ss
ee
74
51
OvervieW
rrer
ener
trernes
5-3
1
7.1
OvervieW
een
7-3
5.2
CleaningiheSystem........................
„5-3
17.2
REMSstar
Pro
CPAP
System
Repair
Kits
7-4
5.3
Cleaning/Replacingthehmtekefilter........................
5-3
|
7.3.
Warnings
and
Cautions......
.
7-8
5.3.1
Removing,
Cleaning,
and
7.4
Replacement
Instructions
.....
.
7-8
Replacingthefile
.....................................
5-3
7.41
Filter
Cap
Replacement
ee
7-11
5.4
REMstar
Pro
CPAP
System
7.4.2.
Main
Printed
Circuit
Assembly
Preventive
Maintenance
Schedule..............................
5-5
(Main
PCA)
Replacement.............................
5.4.1
REMstar
Pro
CPAP
System
Preventive
7.4.3
Key
Pad
Replacement...
Maintenance
Schedule
.00
이
이
나
아 아 아
아
아 나
아
아 아
아 어
아 아
아
이
5-6
744
Outlet
Port
Replacement
.
.
7.4.5
FlowSensorReplacement.............................
7.4.6
Silicone
Tube
Replacement
..............
74.7
Blower
Assembly
Replacement..
7.4.8
Bottom
Enclosure
Replacement
1011170
REMstar
Pro
CPAP
System
T-2

RESPIRÓNICS" Table of Contents
Chapter 8:Testing sense 8-1 International W/SmartCard Display and SmartCard .B-12
International W/SmartCard Power Supply ................ B-13
8.1 Testing Process ii 8-3 International W/SmartCard Motor Driver ................. B-14
8.2 Run-in Procedure... eee een 8-4
8.3 REMstar Pro CPAP System
PressurecandFlowCalibration .............................. 8-
8.4 REMstar Pro CPAP System Final Test
8.5 Respironics Heated Humidifier Test ...
8.6 Current Draw Test ee
Appendix A: Tools and Equipment eve А-1
A.1 Service Tools and Supplies..... .
A.2 Acceptable Test Equipment
A.2.1 Digital Manometer...
A.2.2 Digital Multimeter ...
Appendix B: Schematics nsc
BI Schematics Statement iii
Domestic W/SmartCard Microprocessor ....................
Domestic W/SmartCard Analog Circuit..
Domestic W/SmartCard to CPU .......................
Domestic W/SmartCard Display and SmartCard
Domestic W/SmartCard Power Supply ............
Domestic W/SmartCard MotorDriver........................
İnternational W/SmartCard Microprocessor .. ..
International W/SmartCard Analog Circuit ...............
International W/SmartCard to CPU........... ui
1011170 REMstar Pro CPAP System T-3

es
|
Table
of
Contents
(This
page
intentionally
left
blank.)
1011170
REMstar
Pro
CPAP
System
T-4

Overview
RESPIRONICS* .
Overview: REMstar Pro CPAP System
Warranty Details the Respironics warranty.
Chapter 1: Introduction Introduces the REMstar Pro CPAP System.
Chapter 2: Warnings, Cautions, and Notes Lists the Warnings, Cautions, and Notes.
Chapter 3: Specifications, Features, Descriptions, | Describes the theory of operation for the REMstar Pro CPAP System
and Theory of Operation including basic operations of the subsystems.
Chapter 4: System Setup Procedures Details system setup, including instructions on the Therapy Menu Display Screens and
Required, Alternate, and Optional Patient Accessories.
Chapter 5: Routine Maintenance Provides cleaning and routine maintenance instructions.
Chapter 6: Troubleshooting and Diagnostics Provides troubleshooting flow charts and error code definitions.
Chapter 7: Repair and Replacement Describes detailed procedures of removing and installing all major components within the
unit, including graphics and photographs for visual identification.
Chapter 8: Testing Includes Run-In, Pressure and Flow Calibration, CPAP Final Test,
Heated Humidifier Test, Current Draw Test and Data Sheet.
Appendix A:Tools and Equipment Details the necessary tools and test equipment required for servicing.
Appendix B:Schematics Provides Printed Circuit Assembly (PCA) schematics.
(NOTE: Schematics are proprietary and are used for reference only. )
1011170 REMstar Pro CPAP System O-1

À
RESPIRONICS
Overview
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page
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left
blank.)
1011170
REMstar
Pro
CPAP
System
0-2

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Chapter
I:
Introduction
RESPIRONICS"
Notes
1011170
REMstar
Pro
CPAP
System
1-2

RESPIRONICS"
Chapter 1: Introduction
1.1 REMstar Pro CPAP System Overview
The REMstar Pro, REMstar Pro with C-Flex, and REMstar C-Flex CPAP
system shown in Figure 1-1, is a microprocessor-controlled device that
delivers Continious Positive Airway Pressure (CPAP) therapy only for the
treatment of adult Obstructive Sleep Apnea (OSA). CPAP provides a
constant level of positive pressure throughout the breathing cycle to
pneumatically splint the airway open. C-Flex therapy is also available on
some models of the device. In these devices, CPAP therapy is improved by
providing pressure relief when the patient exhales. The pressure relief
lowers the device pressure slightly during the patient’s exhalation to
improve the comfort of the device.
The unit incorporates a user interface made up of a Liquid Crystal Display
(LCD), five tactile feedback user control keys and three Light-Emitting
Diodes (LED’s). The LED’s may be used as either system alert/alarm
indicators and as back lighting for the user interface control keys. The unit
may be operated using either AC (100 - 240 VAC) or DC (11.5 - 14.5 VDC)
power,
Warning: DC power can be used only when the REMstar Pro is used
independently of the Heated Humidifier.
Chapter I Introduction
Figure 1-1
REMstar Pro CPAP System
1011170 REMstar Pro CPAP System

RESPIRONICS”
1.2 Service Notice
This service manual was prepared by Respironics primarily for use by
technicians to service the REMstar Pro CPAP System with the following
Model No.
1005961 1006169
1010220 1010924
1011079 1006171
1012257 JP1006171
AU1006171 LA1006171
The individuals using this manual to service the REMstar Pro CPAP
System should have prior training or experience servicing ventilatory
devices.
1.3 Technical Support Statement
Respironics is committed to customer satisfaction and may be contacted
with any questions or for technical support. For technical assistance or
replacement part ordering information contact Respironics Customer
Satisfaction.
U.S. and Canada
Phone:[phone]
Fax [phone]
Chapter 1: Introduction
International
Phone [phone]
Fax: [phone]
Visit Respironics Home Page on the World Wide Web at:
www.respironics.com
[email protected]
1011170 REMstar Pro CPAP System 1-4

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Chapter
2:
Warnings,
Cautions,
and
Notes
RESPIRONICS"
Notes
1011170
REMstar
Pro
CPAP
System
2-2

RESPIRONICS*
Chapter 2: Warnings, Cautions,
and Notes
WARNING: Indicates the possibility of injury to the patient,
operator, or technician.
CAUTION: Indicates the possibility of damage to the device.
NOTE: Places emphasis on an operating characteristic.
2.1 WARNINGS
2.1.1 Safety
» This device is intended for adult use only.
* This device is not intended for life support or life
sustaining applications.
+ The instructions in this manual are not intended to
supersede established medical protocols.
Chapter 2: Warnings, Cautions, and Notes
2.1.2 Operational
* This warning applies to most Continuous Positive
Airway Pressure (CPAP) devices, At low CPAP
pressures, the air flow through the exhalation port
may not be enough to clear all of the exhaled gas
(CO,) from the mask. You may breathe in some of
the air that you have exhaled.
* If oxygen is used with this device, the oxygen flow
must be turned off when the device is turned off. If
the device’s air flow is turned off and the oxygen
flow is left on, oxygen may accumulate in the
REMstar Pro CPAP System enclosure and may create
arisk of fire. This warning applies to most
types of CPAP devices.
+ When supplemental oxygen is used at a fixed flow
rate, inhaled oxygen concentrations will vary depending
on pressure settings, patient breathing patterns, mask
selection and leak rate.
1011170 REMStar Pro CPAP System 2-3

RESPIRONICS®
Warnings (Continued)
Oxygen supports combustion. Do not use oxygen in
the presence ofopen flames, cigarette smoke,
electrical spark, or other sources of ignition.
Device is not suitable for use in the presence of a
flammable anesthetic mixture with air or with
oxygen or nitrous oxide.
In situations where risk of contamination between
the user and the device is high (e.g.: sleep lab
devices; rental devices; users with respiratory
infections), a low-resistance, main flow bacteria
filter should be placed in-line between this device
and the circuit.
Most CPAP devices have the potential to induce
rebreathing of exhaled air. To reduce this potential,
use only Respironics circuit accessories, do not wear
the mask and headgear for more than a few minutes
while the unit is not operating, and do not block or
try to seal the vent holes in the exhalation port.
Chapter 2: Warnings, Cautions, and Notes
2.1.3 Service
Electronic components used in this device are
subject to damage from static electricity. Repairs
made to this device must be performed only in an
antistatic, Electro-Static Discharge (ESD) protected
environment.
To assure the safety of the service technician and the
specified performance of the device, Respironics
recommends that only technicians having prior
training or experience servicing ventilatory devices
perform any repairs or adjustments to the REMstar Pro
CPAP System.
High voltages are present inside this device. To
avoid electrical shock, disconnect the electrical
supply before attempting any repairs on the device.
2.1.4 Cleaning
To avoid electrical shock, disconnect the electrical
supply before cleaning the REMstar Pro CPAP System.
DO NOT immerse this device into any fluids.
1011170 REMstar Pro CPAP System
2-4

RESPIRONICS"
2.2 CAUTIONS
Federal law (U.S.) restricts this device to sale by, or on
the order of a physician.
Care should be taken to avoid exposure of the REMstar
Pro CPAP System to temperatures at or near the extremes
of those specified in Chapter 3. If exposure to such
temperatures has occurred, the device should be
allowed to return to room temperature before being
turned on.
Always use an intake filter when the REMstar Pro CPAP
System is in use.
Never place liquids on or near the REMstar Pro CPAP
System.
Discontinue using this device if any of the parts are
damaged. Replace any damaged parts before continuing
use.
The information in this manual is provided for
service personnel reference and is not intended for
system setup or use. System setup should be
performed by appropriate personnel using Home
Care Dealer Instructions.
Chapter 2: Warnings, Cautions, and Notes
2.3 NOTES
‧ Refer to the REMstar Pro CPAP System Manuals
for product use additional warnings, cautions,
and notes.
Additional WARNINGS, CAUTIONS, and NOTES are located
throughout this manual.
1011170
REMStar Pro CPAP System 2-5

46
Chapter
2:
Warnings,
Cautions,
and
Notes
RESPIRONICS”
(This
page
left
intentionally blank)
1011170
REMstar
Pro
CPAP
System
2-6

RESPIRÓNICS" Chapter 3: Specifications, Features, Descriptions and Theory of Operation
Chapter 3: Specifications
Features,
Description,
and Theory of
Operation
3.1 Overview Ου μμ 3-3
3.2 SpecificatioWS «once 3-4
3.3 System Features ee 3-8
3.4 Functional Description me 3-10
3.5 Theory of Operation sn 3-11
3.6 Auto-off and Mask Alert
Description and Testing... 3-13
1011170 REMstar Pro CPAP System 3-1

Be
Chapter
3:
Specifications,
Features,
Descriptions
and
Theory
of
Operation
Notes:
1011170
REMstar
Pro
CPAP
System
3-2