SEFAM DreamStar Intro User manual

Clinician and Home Care Provider
User Manual
DreamStar™ Product Range
Upgradeable Humidifier Option
DreamStar™ Intro DreamStar™ Intro Evolve
DreamStar™ Info DreamStar™ Info Evolve
DreamStar™ Auto DreamStar™ Auto Evolve
DreamStar™ is a brand registered by SEFAM.

en GB – 2 DreamStar Intro, Info, Auto Clini ian Manual
Manufacturer: Manufacturing plant and technical agency:
SEFAM
144 AV CHARLES DE GAULLE
92200 NEUILLY SUR SEINE
FRANCE
SEFAM
10 ALLEE PELLETIER DOISY
54600 VILLERS-LES-NANCY
FRANCE
TEL: [phone]
www.sefam-medical.com

DreamStar Intro, Info, Auto Clini ian Manual en GB – 3
Table of contents
Before you start ........................................... 4
Safety Pre autions .............................................4
Re ommended use ............................................4
Contra-indi ations .............................................5
List of authorised a essories ............................5
Available Features ........................................
Heated Humidifi ation feature available on Evolve
models ...............................................................6
Pressure Alter ....................................................6
Auto ON feature ................................................6
Mask unplugged feature ....................................6
Patient reminders ..............................................6
Comfort Calibration ...........................................7
Ramp feature .....................................................7
Time ramp ..........................................................7
Device Settings ............................................ 9
Definitions ..........................................................9
Settings Ranges ................................................10
A essing the devi e menus ............................12
How to set DreamStar™ Intro / Intro Evolve
device .........................................................14
A essing the Settings menu ...........................14
Settings menu ..................................................14
Servi e menu ...................................................15
How to set DreamStar™ Info / Info Evolve
device .........................................................18
A essing the Settings menu ...........................18
Settings menu ..................................................18
Servi e menu ...................................................20
How to set DreamStar™ Auto / Auto Evolve
device .........................................................23
A essing the Settings menu ...........................23
Settings menu ..................................................23
Servi e menu ...................................................26
Other settings and information ...................29
General Information menu ............................. 29
Setting the Heat level (if water hamber in luded)
......................................................................... 30
Reminders about key events ........................... 31
Spe ifi alibration of the pneumati
onfiguration ................................................... 32
Using a memory ard ...................................... 32
Cleaning and Maintenance ......................... 34
Daily ................................................................. 34
Weekly............................................................. 34
Monthly ........................................................... 36
Material Disinfection .................................. 37
Surfa e disinfe tion of the devi e ................... 37
Water hamber disinfe tion pro edure (if
in luded).......................................................... 37
What should not be used ................................ 38
Troubleshooting tips .................................. 39
Devi e Messages ............................................. 39
Error Messages ................................................ 39
Technical Specifications .............................. 42
DreamStar™ devi e Performan e ................... 42
Integrated Humidifier performan e ................ 42
Operating onditions for the devi e and
humidifier ........................................................ 42
Transportation and storage onditions ........... 43
Devi e ele tri al hara teristi s ...................... 43
Physi al hara teristi s ................................... 43
CE marking ...................................................... 43
Symbols on the devi e .................................... 44
Standards Complian e ..................................... 44
Disposing of the devi e at the end of its life ... 45
NF EN ISO 17510-1:2007- ompliant features . 46
Fun tional pneumati blo k diagram .............. 49
Essential performan e requirements for
ele tromagneti ompatibility ........................ 50

en GB – 4 DreamStar Intro, Info, Auto Clini ian Manual
Before you start
This manual is intended for the Clinician and home care Provider. Under no
circumstances should it be provided to the patient.
Safety Precautions
WARNING This signals a risk of injury or accident to the patient.
• Pay attention to the Safety Precautions indicated in the DreamStar™ Patient Manual.
• Refer to the Patient Manual for all information relating to installation, maintenance and storage of the
device.
• Without exception, be sure to supply the patient ith the Patient Manual and accessory use
instructions.
• Use only the accessories that the manufacturer has authorised for use ith this device, as listed in
this manual.
• During treatment, only equipment included in the List of authorised accessories should be connected
to the device USB connector.
• To ensure that maintenance is performed correctly and to avoid any possibility of damage, only
qualified personnel are permitted to perform maintenance on the device and make authorised changes
to it. The user assumes full responsibility for any device malfunction that results from the device being
maintained by personnel other than personnel authorised.
• Never use the device ithout making sure that an air intake filter is installed.
• If you observe any anomaly in the device, do not begin treatment.
• The s ivel outlet elbo , 70° 22 mm diameter, is an accessory intended for single patient use
In the following cases where the device is equipped with a water chamber:
• In case of heated humidification feature use, the cover must be removed and replaced by a ater
chamber.
• When the heated humidification feature is enabled on a device equipped ith a ater chamber, the
patient must take, precautions to eliminate the risk of introducing ater into the device and causing
irreversible damage to it. The device must be positioned on a stable horizontal surface and must not
be tilted.
• The ater chamber should al ays be emptied before moving or transporting the device.
CAUTION
This indicates that there is a possibility of material damage to this
device or any other device.
• If the device is equipped ith a cover here the ater chamber should be, the heated humidification
feature must be disabled. Other ise, the device may apply the heat setting. Ho ever, there ould be
no risk as the device ould not reach high temperatures. If you are unsure, check the Service menu
to confirm that the heated humidification feature is disabled.
• Since DreamStar™ devices are medical electrical devices, instructions concerning electromagnetic
compatibility indicated in this manual should be follo ed during installation.
• Like all medical electrical devices, DreamStar™ devices are vulnerable to interference from mobile and
portable RF communication equipment.
Recommended use
The DreamStar™ produ t range devi es are intended to treat patients suffering from Obstru tive Sleep
Apnea Syndrome (OSA) in patients over 30 kg (66 lbs.) and breathing spontaneously. They an be used at
home or in a sleep enter.

DreamStar Intro, Info, Auto Clini ian Manual en GB – 5
Contra-indications
Studies have shown that the use of positive pressure is ontra-indi ated in some patients affe ted by any of
the following pre-existent pathologies:
•Severe bullous emphysema or emphysema previously ompli ated by pneumothorax.
•Pneumoen ephalus, trauma or re ent surgery with sequela of ranio-nasopharyngeal fistula.
•De ompensated ardia insuffi ien y or hypotension, parti ularly in ase of de reased blood volume or
ardia arrhythmia.
•Dehydration.
•Massive epistaxis or history of massive epistaxis. A ute sinusitis, otitis media, or perforated tympani
membrane.
•Tra heotomy.
In addition, be ause positive pressure is known to affe t ardia output in ertain patients, patient arterial
pressure and heart rate should be losely monitored when starting treatment at an effe tive pressure. The
risks and benefits of treatment by Continuous Positive Airway Pressure (CPAP) must be weighed ase by
ase in su h subje ts. This evaluation should take into a ount the fa t that the DreamStar™ devi e an be
set to deliver pressures up to 20 mH
2
O and, under ertain fault onditions, stati pressures up to 30 mH
2
O
are possible. The DreamStar™ devi e therefore should not be used if su h pressure levels pose a risk to the
patient.
List of authorised accessories
Unless otherwise spe ified, all the DreamStar™ produ t range devi es an be used with the following
optional a essories:
•Battery able with lugs P/N M-214530-00
•RS232/mini USB 2 m able (ex ept for
DreamStar™ Intro) P/N M-214831-11
•Mini USB 2 m able (ex ept for DreamStar™
Intro) P/N M-214831-10
•Air intake filter (foam, reusable)
P/N M-314850-08 (x10);M-414840-06 (x96)
•Filter holder kit P/NM-314820-02
•Water hamber P/N M-315510-14
•Memory ard P/N M-215530-00
•Software DreamStar™ Analyze
P/N M-215630-00
•Patient Tubing, 22 mm diameter
P/N M-261000-04
•Swivel outlet elbow, 70° diameter 22 mm
P/N M-267010-00
•Cigarette-lighter able P/N M-214530-01
•RS 232/mini USB 15 m able (ex ept for
DreamStar™ Intro) P/N M-214831-12
•Power supply ord UK
P/N M-660601-40
•Optional high-effi ien y filter (disposable)
P/N M-314850-09 (x10);M-414841-07 (x100)
•Devi e over P/N M-315530-19
•Clini al kit P/N M-215630-01
•Memory ard reader P/N M-214830-03
•KnightControl remote ontrol (ex ept for
DreamStar™ Intro) P/N M-114700-EU
•Patient Tubing, 15 mm diameter (ex ept for
DreamStar™ Intro/Intro Evolve)
P/N M-261000-00
•Carrying ase P/N M-815505-00
WARNINGS
•Use only the accessories listed above or EN ISO 17510-2:2007-compliant accessories hich are
approved for this device.
•Use only those accessories hich can guarantee the patient’s treatment pressure and reduce re-
breathing of CO
2
. When a facial mask is necessary, al ays use a mask hich is equipped ith an anti-
asphyxia valve.

en GB – 6 DreamStar Intro, Info, Auto Clini ian Manual
Available Features
The DreamStar™ Intro and DreamStar™ Info devi es operate in ontinuous mode (CPAP), i.e. the devi e
delivers a onstant pressure level.
The DreamStar™ Auto devi e operates in either onstant mode (CPAP) or in automati mode (Auto-CPAP),
i.e. the pressure flu tuates between a minimum pressure and a maximum pressure as a fun tion of
respiratory events dete ted.
The first 5 minutes of operation of the devi e are not in luded in the ramp time or laten y time. During this
time, depending on the devi e in question, omplian e and AutoCPAP features are unavailable.
Heated Humidification feature available on Evolve models
The DreamStar™ Intro Evolve, DreamStar™ Info Evolve and DreamStar™ Auto Evolve devi es an be
delivered either with a over or with a water hamber. These devi es are equipped with a heated
humidifi ation feature whi h you an enable or disable.
The heated humidifi ation fun tion is enabled on the devi es delivered with a water hamber and it is
disabled on the devi es delivered with a over.
If the devi e is equipped with a over and if you want to use the heated humidifi ation feature, it is
ne essary to order a water hamber and to pro eed as follows:
1. Remove the over from the devi e and repla e it with the water hamber by referring to the Patient
Manual.
2. Enable the heated humidifi ation fun tion by referring to Item 4 of the Servi e menu in the settings
pro edure of the devi e on erned page 17, 21 or 27.
Pressure Alter
You an enable this feature whi h provides the option to the patient to hange the pres ribed pressure by ±
1 mH
2
O.
Note: This feature is only available in CPAP mode.
Auto O feature
Fun tionality allowing to automati ally start the treatment without pressing the devi e On/Off button.
Mask unplugged feature
If the patient removes his mask, the devi e automati ally swit hes to low power. The ma hine will restore
normal power when the mask is re onne ted or if the On/Off button or the ramp button is
pressed. Otherwise, the devi e will stop after 30 minutes.
Note: If the patient uses a resistive interfa e (full fa e mask with anti-asphyxia valve), a spe ifi
alibration of the pneumati onfiguration must be arried out so that the DreamStar ™ unit
dete ts that the mask is unplugged.
Patient reminders
The DreamStar™ devi e has a patient reminder feature to help the patient remember key events su h as
filter and mask hanges, devi e inspe tions, and memory ard omplian e data downloads on the memory
ard. This feature is des ribed under “Reminders about key events”, on page 31.

DreamStar Intro, Info, Auto Clini ian Manual
Comfort Calibration
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve , the (C.C.+) Comfort
Calibration feature is intended to in rease the treatment pressure during inspiration and to de rease it
during expiration to make the patient's breathing more omfortable during the treatment. It an be enabled
ontinuously or during the ramp.
Ramp feature
Whatever the type of ramp used, the ramp feature an be stopped during devi e operation by pressing the
ramp button for 2 se onds. It an be rea tivated by stopping and restarting the devi e.
The omfort pressure, the ramp time (only if the time ramp is sele ted and if omfort pressure < pres ribed
pressure) and the maximum ramp time an be adjusted.
Time ramp
The Time Ramp feature (T.Ramp) allows
it is programmed (ramp time ≠
0), it will be automati ally a tivated at the beginning of the session at
omfort pressure.
In CPAP mode, the tre
atment begins at a
in reases to treatment pressure.
In Auto-CPAP mode,
the Ramp feature delays the ommands
pressure is lower than the minimum pressure, the
pressure to the minimum pressure
Ramp feature in CPAP mode
DreamStar Intro, Info, Auto Clini ian Manual
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve , the (C.C.+) Comfort
Calibration feature is intended to in rease the treatment pressure during inspiration and to de rease it
during expiration to make the patient's breathing more omfortable during the treatment. It an be enabled
Whatever the type of ramp used, the ramp feature an be stopped during devi e operation by pressing the
ramp button for 2 se onds. It an be rea tivated by stopping and restarting the devi e.
The omfort pressure, the ramp time (only if the time ramp is sele ted and if omfort pressure < pres ribed
pressure) and the maximum ramp time an be adjusted.
The Time Ramp feature (T.Ramp) allows
for a gradual rise in pressure to help the patient go to sleep.
0), it will be automati ally a tivated at the beginning of the session at
atment begins at a
redu ed pressure alled omfort pressure
the Ramp feature delays the ommands
to raise or lower the pressure.
pressure is lower than the minimum pressure, the
gradual
rise in pressure will be made from the omfort
pressure to the minimum pressure
during the ramp time.
Ramp feature in CPAP mode
Ramp feature in AutoCPAP mode
en GB – 7
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve , the (C.C.+) Comfort
Calibration feature is intended to in rease the treatment pressure during inspiration and to de rease it
during expiration to make the patient's breathing more omfortable during the treatment. It an be enabled
Whatever the type of ramp used, the ramp feature an be stopped during devi e operation by pressing the
ramp button for 2 se onds. It an be rea tivated by stopping and restarting the devi e.
The omfort pressure, the ramp time (only if the time ramp is sele ted and if omfort pressure < pres ribed
for a gradual rise in pressure to help the patient go to sleep.
When
0), it will be automati ally a tivated at the beginning of the session at
redu ed pressure alled omfort pressure
, then the pressure
to raise or lower the pressure.
If the omfort
rise in pressure will be made from the omfort
Ramp feature in AutoCPAP mode

en GB – 8
Indexed Ramp
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve, the Indexed Ramp feature
(I.Ramp) allows to start the
treatment
CPAP mode or the a tivation of
the
whi h indi ate
that the patient is asleep.
If the end of the indexed ramp is not dete ted before the value of the set maximum ramp time, it will
automati ally stop.
The table below lists the diffe
rent ases of the
End of ramp /
detection of events
CPAP mode
Auto-CPAP mode
Com
fort
P.
<
min
P
.
Comfort P.
≥
min P.
DreamStar Intro, Info, Auto Clini ian Manual
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve, the Indexed Ramp feature
treatment
at the adjustable omfort pressure, then
to have a
the
Auto-CPAP as soon as the devi e
starts to dete t
that the patient is asleep.
If the end of the indexed ramp is not dete ted before the value of the set maximum ramp time, it will
rent ases of the
indexed ramp operation in CPAP
or Auto
detection of events
End of ramp
/
DreamStar Intro, Info, Auto Clini ian Manual
Available on DreamStar™ Info / Info Evolve and DreamStar™ Auto / Auto Evolve, the Indexed Ramp feature
to have a
rise in pressure in
starts to dete t
respiratory events
If the end of the indexed ramp is not dete ted before the value of the set maximum ramp time, it will
or Auto
-CPAP mode.
/
Max ramp time

DreamStar Intro, Info, Auto Clini ian Manual en GB – 9
Device Settings
The adjustment of the therapeuti pressure must be determined by the pres ribing physi ian for ea h
patient individually, with the onfiguration of the equipment to be used, in luding the a essories. The
orre t installation and positioning of the patient interfa e onstitute a riti al ondition for the proper
operation of the devi e.
The most re ent omplian e data are re orded by session in the devi e memory within one year and 8
hours usage day, and they an be retrieved for analysis using DreamStar™ Analyze software.
The settings are a essible dire tly on all the devi es. You an also adjust the settings of the DreamStar™
Info, DreamStar™ Info Evolve, DreamStar™ Auto and DreamStar™ Auto Evolve using the DreamStar™
Analyze software on a omputer onne ted via a RS232 or Mini USB able, or via a wireless connection
WARNING
Before changing the device settings, confirm that the device delivers sufficient airflo hen it is in
operating mode. If it does not, stop immediately and contact the technical support.
Definitions
Comfort pressure: level of pressure produ ed by the devi e when the time ramp (T.Ramp) or the indexed
ramp (I.Ramp) starts up so that the patient an go to sleep omfortably.
When the DreamStar™ Auto / Auto Evolve devi e is in Auto-CPAP mode, the pressure
is adjusted to the omfort pressure or to the minimum pressure (if omfort pressure <
minimum pressure) when the devi e dete ts that there has been no respiratory y le
for more than 2 minutes or when it dete ts a high pressure.
Compliance counter: total time during whi h the patient has effe tively breathed in the mask (time
subtra ted from the time when the mask was removed and the time with no
respiration).
Heating time: time needed for the devi e to rea h the operating level required by the heated
humidifi ation feature.
Hour counter: devi e operating time (ON/OFF).
IFL: Inspiratory Flow Limit.
Maximum pressure: maximum pressure that the DreamStar™ Auto / Auto Evolve an deliver in Auto-CPAP
mode.
Maximum pressure
on apnoea command:
maximum pressure on the DreamStar™ Auto / Auto Evolve in Auto-CPAP mode beyond
whi h no rise in pressure an be applied on e a respiratory pause has been dete ted.
Maximum ramp
time:
Whatever the type of ramp used, this parameter a essible by the lini ian and home
are provider only, allows a limit to be pla ed on the maximum value of ramp time
whi h an be set by the patient.
Minimum pressure: minimum pressure that the DreamStar™ Auto / Auto Evolve an deliver in Auto-CPAP
mode.
Prescribed pressure: level of pressure pres ribed for the patient.
Ramp time: This is the time taken by the devi e in CPAP mode to rea h the pres ribed pressure
from the omfort pressure or to a tivate the Auto-CPAP feature when the time ramp is
enabled.
Session: period during whi h data is re orded to memory between the time the devi e starts
operation and the time the devi e goes into standby. A session is started after the
devi e has been on for at least 5 minutes without interruption.
Water chamber: hamber ontaining the water ne essary for humidifi ation.

en GB – 10 DreamStar Intro, Info, Auto Clini ian Manual
Settings Ranges
For ea h parameter, the following table indi ates the default value, the minimum and maximum values that
an be set on the devi es.
Operating mode on the DreamStar™ Auto or DreamStar™ Auto Evolve:
Parameter Display Default
Operating mode CPAP AUTO AUTO
Parameters that can be set on the devices in CPAP mode:
Parameter Minimum value
Maximum value
Default value Increment
Set pressure 4 mH
2
O 20 mH
2
O 8 mH
2
O 0.5 mH
2
O
Comfort pressure 4 mH
2
O Pres ribed
pressure
4 mH
2
O 0.5 mH
2
O
Ramp time 0 min Maximum ramp
time
15 min 5 min
Maximum ramp time 0 min 45 min 45 min 5 min
Heat level (if water hamber
in luded)
0 10 1 1
Device parameters that can be set on the DreamStar™ Auto or DreamStar™ Auto Evolve in Auto-CPAP
mode:
Parameter Minimum value
Maximum value
Default value Increment
Comfort pressure 4 mH
2
O Maximum set
pressure
4 mH
2
O 0.5 mH
2
O
Maximum pressure on apnea
ommand.
Minimum pressure
Maximum pressure
10 mH
2
O 0.5 mH
2
O
Maximum pressure 4 mH
2
O or
minimum pressure
20 mH
2
O 20 mH
2
O 0.5 mH
2
O
Minimum pressure 4 mH
2
O 20 mH
2
O or
maximum pressure
4 mH
2
O 0.5 mH
2
O
Ramp time (if time ramp sele ted) 0 min Maximum ramp
time
15 min 5 min
Maximum ramp time 0 min 45 min 45 min 5 min
Heat level (if water hamber
in luded)
0 10 1 1
Parameter Display Default
Pressure de rease: SLOW FAST SLOW
The devi e is started by pressing the On/Off button . If the heated humidifi ation feature is enabled on
a devi e with a water hamber (Evolve onfiguration) and the heat level is set from 1 to 10, the heated
humidifier begins operating automati ally. The heated humidifier indi ator then displays on the
s reen. When the heat level is set at 0, the humidifier symbol is displayed without steam .

DreamStar Intro, Info, Auto Clini ian Manual
Note: Whe
n the heat level is set at 10,
hours use
. The rate of water evaporation depends on several fa tors su h as environment, leak
rate, patient's
breathing pattern, et .
Features available on all
the devices:
Feature
Humidifier
Evolve onfiguration with water hamber
*The Humidifier feature is ina tive on a devi e
equipped with a over ).
Pressure Alter
(in CPAP mode)
Mask reminder
Filter reminder
Servi e reminder
Memory ard reminder
Features available on DreamStar™ Info / Info Evolve and Auto /Auto Evolve:
Comfort Calibration +
EXT. (for an external module
onne tion)
Command on Inspiratory Flow Limit
Auto/Auto Evolve in Auto-
CPAP mode)
Auto ON
A ess to setting of ramp time
for the
A ess to setting of omfort pressure for the
patient
A ess to setting of language for the patient
Ramp feature
DreamStar Intro, Info, Auto Clini ian Manual
n the heat level is set at 10,
the water hamber
filled to the maximum fill line allows
. The rate of water evaporation depends on several fa tors su h as environment, leak
breathing pattern, et .
the devices:
Feature
enabled
Feature
disabled
Evolve onfiguration with water hamber
*
*The Humidifier feature is ina tive on a devi e
Frequen y
(in rement of 1)
Frequen y
(in rement of 1)
Frequen y
(in rement of 1)
Frequen y
(in rement of 1)
Features available on DreamStar™ Info / Info Evolve and Auto /Auto Evolve:
( ontinuously)
(during the ramp)
onne tion)
Command on Inspiratory Flow Limit
(on DreamStar™
CPAP mode)
for the
patient
(autorised)
(
lo ked
A ess to setting of omfort pressure for the
(autorised)
(
lo ked)
A ess to setting of language for the patient
(autorised)
(lo ked)
Ramp type
Time ramp
(T.Ramp)
Indexed ramp
(I.Ramp)
en GB – 11
filled to the maximum fill line allows
at least 8
. The rate of water evaporation depends on several fa tors su h as environment, leak
Feature
disabled
Default
0 0
0 0
0 0
0 0
lo ked
)
lo ked)
(lo ked)
Default
Indexed ramp
(I.Ramp)
Indexed ramp
(I.Ramp)

en GB – 12 DreamStar Intro, Info, Auto Clini ian Manual
Configuration of the devices depending on the accessories used:
Accessory used Patient circuit Pneumatic calibration
(Settings menu) Humidifier feature (Service menu)
Cover
L. 1.80 m diam. 15 mm Ø15mm
L. 1.80 m diam. 22 mm Ø22mm
Other SPECIFIC
Water hamber
L. 1.80 m diam. 15 mm Ø15mm+HH
L. 1.80 m diam. 22 mm Ø22mm+HH
Other SPECIFIC
Note: As all DreamStar™ produ t range devi es are equipped with a differential pressure sensor,
pressure ompensation for altitude is automati .
Accessing the device menus
The four buttons on the front of the devi e allow one to a ess the devi e settings menu, s roll through
different pages, or possibly modify the value of ertain parameters within these pages.
The parameters are a essible when the ma hine is in standby or operating mode.
The parameters that are a essible are grouped on several s reen pages indi ating:
•devi e settings related to pres ribed treatment
•general devi e settings, su h as date and time
•Information about devi e servi ing,
•patient reminders.
Description of a screen page
Ea h s reen page in ludes:
•a first line or page header
•up to 4 parameter lines with asso iated values
•a final line showing the various symbols used for
su h features as hanging a parameter value,
moving about a page, or moving from page to page
(see table entitled “Des ription of symbols
displayed on the s reen“).

DreamStar Intro, Info, Auto Clini ian Manual
Description of symbols displayed on the screen
Symbol
Description
A ess to devi e information.
Provides a ess to the next page
available for display on the s reen.
Allows the value of the parameter
displayed on the s reen to be raised.
The heated humidifi ation feature is
enabled w
ithout heat or on a devi e
onne ted to a battery.
Parameters displayed on the s reen
an be hanged.
Feature enabled.
YES.
Time Ramp feature (T.Ramp).
C
CPAP operating mode, on the
DreamStar
™ Auto or DreamStar Auto
Evolve devi e.
Indi ates that omplian e is being
re orded.
Comfort alibration + feature enabled
on DreamStar™ Info / Auto (and
equivalent in Evolve onfiguration).
LEAK
Indi ates the leak level (ex ept on
DreamStar™ Intro / Intro Evolve).
Displays OK,
+, ++, +++, ++++.
Memory ard present.
The symbol blinks if the memory ard
is not operational.
The devi e has
dete ted an operating
error.
The symbol displays alternately
with the error ode.
For settings spe ifi to the
DreamStar™
DreamStar™ Intro / Intro Evolve
devi
For settings spe ifi to the
DreamStar™
DreamStar™ Info / Info Evolve
devi e
For settings spe ifi to the
DreamStar™
DreamStar™ Auto / Auto Evolve
devi e
The "General Information"
menu for the devi es is des ribed on page
DreamStar Intro, Info, Auto Clini ian Manual
Description of symbols displayed on the screen
Description
Symbol
A ess to devi e information.
A ess to devi e settings.
Provides a ess to the next page
available for display on the s reen.
Provides a ess to the
displayed on the s reen.
Allows the value of the parameter
displayed on the s reen to be raised.
Allows the value of the parameter
displayed on the s reen to be lowered.
The heated humidifi ation feature is
ithout heat or on a devi e
onne ted to a battery.
Heated humidifi ation feature enabled
with heat.
The symbol blinks if the heated
humidifier has a problem.
Parameters displayed on the s reen
Parameters displayed on the s reen
are
for information and annot be
hanged.
Feature disabled.
NO.
Time Ramp feature (T.Ramp).
Indexed Ramp feature (I.Ramp).
CPAP operating mode, on the
™ Auto or DreamStar Auto
A
Auto-
CPAP operating mode, on the
DreamStar™ Auto or DreamStar Auto
Evolve devi e.
Indi ates that omplian e is being
The symbol blinks when one or several
patient reminders are about
Comfort alibration + feature enabled
on DreamStar™ Info / Auto (and
equivalent in Evolve onfiguration).
Sele tion of Settings menu or Servi e
menu.
Indi ates the leak level (ex ept on
DreamStar™ Intro / Intro Evolve).
+, ++, +++, ++++.
DD/MM/YYYY
The dates displayed by the devi e are
in the format day/month/year.
Memory ard present.
The symbol blinks if the memory ard
Indi ates that a battery is onne ted.
dete ted an operating
The symbol displays alternately
with the error ode.
Indi ates that a remote ontrol is
onne ted.
DreamStar™
Intro or DreamStar™ Intro Evolve
devi e, see "
devi
e", on page 14.
DreamStar™
Info or DreamStar™ Info Evolve
devi e
devi e
", on page 17.
DreamStar™
Auto or DreamStar™ Auto Evolve
devi e
devi e
", on page 22.
menu for the devi es is des ribed on page
29.
en GB – 13
Description
A ess to devi e settings.
Provides a ess to the
pre eding page
displayed on the s reen.
Allows the value of the parameter
displayed on the s reen to be lowered.
Heated humidifi ation feature enabled
The symbol blinks if the heated
humidifier has a problem.
Parameters displayed on the s reen
for information and annot be
Feature disabled.
Indexed Ramp feature (I.Ramp).
CPAP operating mode, on the
DreamStar™ Auto or DreamStar Auto
Evolve devi e.
The symbol blinks when one or several
patient reminders are about
to expire.
Sele tion of Settings menu or Servi e
The dates displayed by the devi e are
in the format day/month/year.
Indi ates that a battery is onne ted.
Indi ates that a remote ontrol is
onne ted.
devi e, see "
How to set
devi e
, see "How to set
devi e
, see "How to set

en GB – 14 DreamStar Intro, Info, Auto Clini ian Manual
How to set DreamStar™ Intro / Intro Evolve device
Accessing the Settings menu
Refer to the "DreamStar™ Intro settings" se tion in the Patient Manual to know how to use the buttons and
symbols displayed during the devi e setting pro edure.
A ess of some settings is limited to the medi al team only. For that, press the left control button and
the right control button lo ated on the front of the devi e simultaneously for 2 seconds.
A page appears on the s reen and allows you to hoose the SETTINGS menu or the SERVICE menu.
Press the left ontrol button to sele t the settings menu or the right ontrol button to sele t the servi e
menu.
Notes:
•In the following s reens, the values displayed are given by way of example.
•The symbol indi ates that the Pressure Alter feature is enabled, and the symbol indi ates that it is
disabled.
Settings menu
To a ess the Settings menu, press the left ontrol button to sele t the symbol displayed at
the bottom left of the s reen:




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Prescribed P.: level of pressure pres ribed for the patient.
Pressure Alter: feature that an be enabled to allow the patient to adjust the pres ribed pressure ±1
mH
2
O.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.

DreamStar Intro, Info, Auto Clini ian Manual en GB – 15
DreamStar™ Intro or DreamStar™ Intro Evolve




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Comfort pressure: level of pressure produ ed by the devi e when the ramp feature starts up.
Max ramp time: maximum ramp time, set at a value from 0 to 45 minutes.
Ramp time: time the devi e takes to rea h the pres ribed pressure when starting from the omfort
pressure.
 Press at the bottom of the page or to return to the page header.
 Press to exit the menu.
Note : The DreamStar™ Intro devi e was alibrated at the fa tory for a 22 mm in diameter tubing and
annot be used with a 15 mm in diameter tubing.
Service menu
To a ess the Servi e menu, press the left ontrol button to sele t the symbol displayed at
the bottom right of the s reen:
1) Selecting the language and setting the clock




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
The language an be sele ted by
su essive presses on the left or right
parameters settings button.
Then press to a ess the next
parameter. In rease or de rease
the parameter value with the
right or left parameter settings button.
Then press to a ess the next
menu parameter.
Software version: Version of the integrated devi e software. The version of the integrated devi e software
an be viewed but not modified.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.

en GB – 16 DreamStar Intro, Info, Auto Clini ian Manual
DreamStar™ Intro or DreamStar™ Intro Evolve
2) Setting the date




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.
3) Patient reminders




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
For ea h type of reminder, you an set the frequen y with whi h the devi e will set a reminder a tivation
date for the patient. The date will appear in the relevant menu (see Patient Manual for further information).
Filter: reminder how often the filter should be hanged
Mask: reminder how often the mask should be hanged.
Service: reminder how often the devi e pressure should be he ked.
Memory card: reminder how often the patient should download data to the memory ard and return the
ard to the home are provider or physi ian.
CAUTION
The reminder expiration date is recalculated hen you change the frequency.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.

DreamStar Intro, Info, Auto Clini ian Manual en GB – 17
DreamStar™ Intro or DreamStar™ Intro Evolve
4) Other features




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Pressure offset: offset of the pressure sensor.
Pressure unit: the unit of measurement used for the displayed pressure an be hanged from mH
2
O to hPa,
and vi e versa.
Humidifier: the heated humidifi ation feature an be enabled or disabled (if water hamber
in luded).
Note : If you have hanged the value of the pressure offset or the status of the heated humidifi ation
feature, a onfirmation message appears when you press the On/Off button. Press the right
ontrol button to onfirm the hange or the left ontrol button to an el.
 Press at the bottom of the page or to return to the page header.
 Press to exit the menu.

en GB – 18 DreamStar Intro, Info, Auto Clini ian Manual
How to set DreamStar™ Info / Info Evolve device
Accessing the Settings menu
Refer to the "DreamStar™ Info settings" se tion in the Patient Manual to know how to use the buttons and
symbols displayed during the devi e setting pro edure.
A ess of some settings is limited to the medi al team only. For that, press the left control button and
the right control button lo ated on the front of the devi e simultaneously for 2 seconds.
A page appears on the s reen and allows you to hoose the SETTINGS menu or the SERVICE menu.
Press the left ontrol button to sele t the settings menu or the right ontrol button to sele t the servi e
menu.
Notes:
•In the following s reens, the values displayed are given by way of example.
•The symbol indi ates that the Pressure Alter feature is enabled, and the symbol indi ates that it is
disabled.
Settings menu
To a ess the Settings menu, press the left ontrol button to sele t the symbol displayed at
the bottom left of the s reen:




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Prescribed P.: Level of pressure pres ribed.
Pressure Alter: Feature that an be enabled to allow the patient to adjust the pres ribed pressure ± 1
mH
2
O.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.

DreamStar Intro, Info, Auto Clini ian Manual en GB – 19
DreamStar™ Info or DreamStar™ Info Evolve




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Sele t the ramp type with the right or
left parameter settings button.
Comfort pressure: level of pressure produ ed by the devi e when the ramp feature starts up.
Ramp type : Time Ramp (T.Ramp) or Indexed Ramp (I.Ramp).
Max ramp time: maximum ramp time of from 0 to 45 minutes.
Ramp time: time the devi e takes to rea h the pres ribed pressure when starting from the omfort
pressure. This parameter is displayed only when the time ramp (T.Ramp) is sele ted.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.
Calibrating the device




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
With the right or left parameter settings
button, you an sele t the a tivation or
disa tivation status of the Comfort
Calibration + feature.
The and symbols show that
it is enabled during the ramp.
Then press to a ess the next
menu parameter.
C.C.+ : Comfort Calibration + feature. This feature an be enabled either ontinuously or during the ramp
only, or it an be disabled.
Patient circuit options are: Ø15mm (15 mm in diameter patient tubing), Ø15mm+HH (15mm in diameter
patient tubing with water hamber), Ø22mm (22mm in diameter patient tubing), Ø22mm+HH (22mm in
diameter patient tubing with water hamber) and SPECIFIC (other onfiguration).
Note: If the SPECIFIC patient ir uit option is sele ted, alibration must be laun hed. Press the ramp
button to enable alibration. If no alibration is PRESENT, the alibration goes ba k to the default
alibration. See "Spe ifi alibration of the pneumati onfiguration" paragraph, on page 32.
 Press at the bottom of the page or to return to the page header.
 Press to exit the menu.

en GB – 20 DreamStar Intro, Info, Auto Clini ian Manual
DreamStar™ Info or DreamStar™ Info Evolve
Service menu
To a ess the Servi e menu, press the left ontrol button to sele t the symbol displayed at
the bottom right of the s reen:
1) Selecting the language and setting the clock




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
The language an be sele ted by
su essive presses on the left or right
parameters settings button.
Then press to a ess the next
parameter. In rease or de rease
the parameter value with the
right or left parameter settings button.
Then press to a ess the next
menu parameter.
Software version: version of the integrated devi e software. The version of the integrated devi e software
an be viewed but not modified.
Note: The time an be set only when the devi e is in standby.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.
2) Setting the date




The page displays:
Press
as many times as
ne essary to
a ess the
desired
parameter
setting.
The page hanges:
In rease or de rease the
parameter value with the right or left
parameter settings button.
Then press to a ess the next
menu parameter.
Note: The date an be set only when the devi e is in standby.
 Press at the bottom of the page or to return to the page header.
 Press to move to the next page.