Respironics Tranquility Bilevel 1700 User manual

The Respironics Tranquility Bilevel is a medical device.
It has been prescribed by a physician to assist breathing.
Compact Bilevel System
Model 1700
Compact Bilevel System
Model 1700
Patient Operating Instructions
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Table of Contents
User/Owner Responsibility 3
Scope of this Manual 3
Introduction 3-4
Warnings and Cautions 4-6
Set-up and Use
Unpacking and Inspection 6
Initial Use 7-9
Routine Use 9-10
Humidifier 10
Using Oxygen with this System 10-11
AC Fuse 11
Traveling with your Bilevel System 11
DC Operation 12
Altitude Compensation 12
Maintenance
Changing the Filter 12
Cleaning the System 13
Routine Maintenance 13
Troubleshooting Guide 13-15
Maintenance Record 16
Patient Checklist 17
Annual Inspection 17
Specifications 18
Classification 18
Storage and Transport 19
Operating 19
Electromagnetic Compatibility 19
Accessories 20
Glossary of Terms 21
Limited Warranty 22-23
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Glossary of Symbols
Symbol Description
Attention, consult accompanying documents (such as, manuals). Read and understand this entire
manual before using this bilevel system.
OPower switch Off (Disconnection from the mains)
|Power switch On (Connection to the mains)
~Alternating current
Ramp
Class II equipment (Double insulated)
IPX1 Protected against vertically falling water
Type BF applied part
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User/Owner Responsibility
This Respironics Bilevel system and accessories are designed to work as described in this manual. You should not use parts that are
damaged, broken, worn out, dirty or otherwise ineffective. Read this entire manual before using this Bilevel system.
The user/owner of this system shall have the sole responsibility and liability for any injury to persons or damage to property (including
this equipment) resulting from:
1. Operation not in accordance with supplied operating instructions;
2. Maintenance not in accordance with authorized maintenance instructions;
3. Maintenance by anyone other than a factory-authorized service representative;
4. Modification of the system or accessories; or
5. Use of damaged or unauthorized components or accessories.
The Scope of this Manual
This manual will show you how to use the Respironics Tranquility Bilevel PAP system. This system provides positive pressure to the
breathing passages to assist breathing. Read and understand this entire manual before trying to use this system.
Introduction
Nasal Bilevel PAP devices produce small amounts of air pressure at different levels. You will use a nasal mask to apply these pressures.
This pressure opens the breathing passages to prevent blockages and to assist breathing. The Bilevel system is different from Continuous
Positive Airway Pressure (CPAP). CPAP provides one level of pressure. Bilevel provides two levels of pressure, one during inspiration
and a second lower pressure during expiration.
.
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The Tranquility Bilevel (Model 1700) system from Respironics, is a medical device that uses a blower. The blower is controlled to pro-
vide two levels of pressure. The controller allows for the adjustment of the way the pressure changes from one level to the other. The
ComfortControlª on the front of the unit will allow you to adjust the way pressure is delivered. You can select the setting that you feel
is the most comfortable. Also, this compact unit features a linear ramp, a useful handle, and a filter. You can easily wash or replace the
filter.
Warnings and Cautions
WARNING-indicates a potentially harmful situation
1. This is a non-continuous ventilatory assist device. It is intended to assist you with your breathing. It must not be used as a ventilator
that supports or sustains life. This device is not intended to provide you with total support of your breathing. In all cases you should
expect to have no more than short term effects if the device fails to provide pressure during long periods of time (for example, over
night).
2. Do not use this Bilevel unit in the presence of flammable anesthetics.
3. Do not use the Bilevel unit around water in any way. You may use Bilevel with a Respironics supplied Humidifier.
4. If this unit should come in contact with water, unplug the unit.
5. This unit should never be turned on and left unattended.
6. Never operate this unit if the power cord or plug is damaged.
7. If this unit has been dropped or damaged, contact your dealer or Respironics at once.
8. Adjusting the pressure without a physicianÕs instruction could be harmful.
9. Use only a nasal mask and patient circuit supplied by Respironics. The Tranquility Bilevel must be on and operating properly before
you attempt to use the nasal mask and patient circuit.
10. Do not block or obstruct the vent hole located on the front of the nasal mask.
11. Make sure that all breathing connections are properly secured.
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12. For 12VDC operation, do not use any DC to AC inverter other than that supplied or recommended by Respironics.
13. Check and verify fuse rating before replacement.
14. When using oxygen with this system, make sure that this Bilevel is on before you turn the oxygen source. When you wish to stop
using this Bilevel system, turn off the oxygen flow first before turning this Bilevel unit off.
15. Oxygen quickly accelerates fire. If you are using oxygen, keep this Bilevel system as well as the oxygen source away from heat or
open flame. There must be no smoking in the area near the Bilevel.
16. As with any electrical device, do not use this Bilevel unit during an electrical storm.
17. Do not use this Bilevel unit with a portable electrical generator.
18. At low pressures, the flow through the exhalation port may not be enough to clear all of the exhaled gases from the hose. As a
result, you may breathe in some of the air that you have breathed out or exhaled.
19. Be aware that interference with the operation of this device can occur from external sources. While this device contains methods and
techniques that can provide protection from external sources of interference, you should take the steps listed here to avoid interfer-
ence. Keep the device at least three feet away from all electrical appliances such as TV sets, electric blankets, air conditioners, cord-
less phones and cellular phones.
20. The air flow for breathing produced by the Bilevel can be as much as 1.8¡F (1.0¡C) higher than the temperature of the room. Use
caution if the room temperature is warmer than 90¡F (32¡C).
CAUTION: FEDERAL USA LAW RESTRICTS THIS DEVICE TO SALE BY, OR ON THE ORDER OF, A LICENSED
PHYSICIAN. THIS BILEVEL UNIT SHOULD BE USED ONLY UNDER THE SUPERVISION OF A
LICENSED PHYSICIAN.
CAUTION-indicates a condition that may lead to equipment damage, malfunction, or inaccurate operation.
1. Do not use a room humidifier within six feet of this unit. Dampness may affect device parts.
2. Do not use attachments that are not recommended by Respironics.
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3. This Bilevel system is to be used in the manner described in this manual.
4. Never drop or insert any objects into the connecting hose or air outlets or inlets.
5. Operating the unit with a dirty filter may keep the Bilevel from working properly.
6. Do not use extension cords or electrical adapters.
7. Do not sterilize this unit.
Note: At a fixed flow rate of oxygen flow, the inhaled oxygen concentration will vary, depending on the pressure
settings, your breathing pattern, mask selection, and leak rate. This warning applies to most types of CPAP or Bilevel devices.
Set-up and Use
Unpacking and Inspection
When you get your Bilevel system, carefully open the box and unpack the system. Make sure that you have all the parts listed below and
that nothing looks damaged. This basic package does not include accessories. Accessories can be ordered separately.
Included with this system are the following:
1. Tranquility Bilevel (Model 1700) nasal PAP unit
2. AC Power Cord
3. Six-foot Hose and Tubing Adapter
4. Carry Case
5. User Instruction Manual
You will need a Nasal Mask and Headgear in order to use this system.
IF ANY OF THESE COMPONENTS ARE FOUND TO BE
MISSING OR DAMAGED CONTACT RESPIRONICS AT ONCE.
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Initial Use
1. Prior to each use, inspect this unit for any signs of damage, failure or worn parts. Call Respironics or your Home Care Dealer
immediately to replace these parts. Check to see if there is any moisture in the area of this Bilevel unit. Also check the air inlets
and outlets for any blockage or the presence of any dust or dirt. If you notice any moisture, dry the area completely before use.
Remove any blockage and/or dust or dirt from the air inlets or outlets before each use. Do not use a room humidifier within six feet
of this Bilevel unit.
2. Place the Bilevel unit in a clean, dry place. Place the Bilevel near an electrical outlet not controlled by a wall switch. Do not use
extension cords or electrical adapters. Place this unit in an upright position on a night stand or other suitable surface. Make sure
that the front facing you and that nothing is blocking the vents. Never place the Bilevel on a table or night stand that cannot safely
support the Bilevel unit.
3. Connect the power cord to the AC power inlet on the rear of the unit.
Check to be sure that the Power switch is in the OFF position. Plug the
other end of the power cord into the unswitched outlet.
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4. Attach the Bilevel Hose to the Air Outlet Port on the front of the Bilevel unit.
5. Attach the Nasal Mask to the other end of the Hose.
6. Refer to the Nasal Mask Instructions for information on using the mask and
headgear and on adjusting the fit. Do not block the hole (bias flow port) locat-
ed at the base of the Mask.
7. Turn the Bilevel unit on using the Power switch located on the front of the unit.
The unit will deliver the set pressure once the mask is in place. Air flow will
begin to move through the hose.
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Power Ramp Comfort
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8. Place the Nasal Mask on. Adjust the straps to get rid of any leaks. Do not overtighten the straps.
The mask and headgear should fit comfortably.
9. As you breathe in, you will find that the pressure rises slightly. As you exhale, it will fall. This
will make your therapy more comfortable.
10. The ComfortControlª can be used to make the change in pressure even more comfortable. This
control can be set to 1, 2 or 3 based on your preference. This control will alter the rate of change
between the two pressures. You may change this setting at any time.
11. The Ramp button may be used to decrease the pressure to a lower level. The pressure will then increase to the set pressure over a
set period of time. Your Home Care Dealer has already set the ramp time. The ramp indicator will remain lit during the ramp period.
The ramp makes the Bilevel more comfortable as you fall asleep.
12. In the morning or whenever you wish to stop using the unit, you can switch the unit off. Switch the Power Switch to the OFF posi-
tion and remove the Nasal Mask.
Routine Use
Regular use of the Tranquility Bilevel System involves a simple brief, routine that is detailed here.
1. Switch the Power switch to the ON position. The Power indicator light will come on. You will feel air coming out of the hose. The
pressure will rise to the level set by the Home Care Dealer once the mask is in place.
2. Place the Nasal Mask, with the Headgear and Hose attached, on and adjust the Headgear straps as needed. Check the mask for any
leaks and adjust as needed.
3. Press the ramp button to begin the ramp period. The ramp light will come on and the pressure will be reduced.
4. If the Hose becomes disconnected at either the Nasal Mask or the Bilevel unit, the unit may go into a Flow Limit mode. In this
mode the pressure will be reduced to prevent any damage to the unit. When there is no longer a leak, the pressure will return to the
proper level.
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