SEFAM DreamStar Series User manual

Patient 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 Healthc’Air.

en GB – 2 DreamStar Intro, Info, Auto patient manual
TABLE OF CONTENTS
BEFOREYOUSTART..........................................................................................................................................................4
SAFETYPRECAUTIONS.....................................................................................................................................................................4
RECOMMENDEDUSE......................................................................................................................................................................5
CONTRA‐INDICATIONS....................................................................................................................................................................5
ADVERSEEFFECTS..........................................................................................................................................................................5
VERIFICATIONOFTHEELEMENTSOFTHESYSTEM..................................................................................................................................5
DEVICEDESCRIPTION........................................................................................................................................................6
VIEWSOFTHEDEVICE.....................................................................................................................................................................6
SYMBOLSONTHEDEVICE................................................................................................................................................................7
INSTALLATION..................................................................................................................................................................8
STANDARDINSTALLATIONOFTHEDEVICE............................................................................................................................................8
INSTALLATIONFORUSEWITHBATTERYPOWEROR(OPTIONAL)CIGARETTE‐LIGHTERCABLE............................................................................9
OPERATION....................................................................................................................................................................10
FILLINGTHEWATERCHAMBER(IFINCLUDED)....................................................................................................................................10
STARTINGTREATMENT.................................................................................................................................................................10
STOPPINGTREATMENT.................................................................................................................................................................11
ACCESSINGTHEDEVICEMENU........................................................................................................................................................11
AVAILABLEFEATURES...................................................................................................................................................................13
TRANSPORTINGTHEDEVICE...........................................................................................................................................................13
USINGAMEMORYCARD...............................................................................................................................................................14
HOWTOSETTHEDREAMSTAR™INTROORDREAMSTAR™INTROEVOLVEDEVICE..........................................................15
1)HEATLEVEL(IFTHEWATERCHAMBERISINCLUDED)...................................................................................................................15
2)SETTINGS..........................................................................................................................................................................15
3)SETPARAMETERSDISPLAY....................................................................................................................................................16
4)SETPATIENTREMINDERSDISPLAY..........................................................................................................................................16
5)SETTINGTHECLOCK.............................................................................................................................................................17
6)SETTINGTHEDATE..............................................................................................................................................................17
7)MISCELLANEOUSSETTINGS...................................................................................................................................................17
HOWTOSETTHEDREAMSTAR™INFOORDREAMSTAR™INFOEVOLVEDEVICE...............................................................18
1)HEATLEVEL(IFTHEWATERCHAMBERISINCLUDED)...................................................................................................................18
2)SETTINGS..........................................................................................................................................................................18
3)SETPARAMETERSDISPLAY....................................................................................................................................................19
4)SETPATIENTREMINDERSDISPLAY..........................................................................................................................................19
5)SETTINGTHECLOCK.............................................................................................................................................................20
6)SETTINGTHEDATE..............................................................................................................................................................20
7)MISCELLANEOUSSETTINGS...................................................................................................................................................20
HOWTOSETTHEDREAMSTAR™AUTOORDREAMSTAR™AUTOEVOLVEDEVICE............................................................21
1)HEATLEVEL(IFTHEWATERCHAMBERISINCLUDED)...................................................................................................................21
2)SETTINGS..........................................................................................................................................................................22
3)SETPARAMETERSDISPLAY....................................................................................................................................................23
4)SETPATIENTREMINDERSDISPLAY..........................................................................................................................................24
5)SETTINGTHECLOCK.............................................................................................................................................................24
6)SETTINGTHEDATE..............................................................................................................................................................24
7)MISCELLANEOUSSETTINGS...................................................................................................................................................25
OTHERINFORMATION....................................................................................................................................................26
GENERALINFORMATION...............................................................................................................................................................26
REMINDERSABOUTTOEXPIRE........................................................................................................................................................27
HOWTOUSEWHENADDINGOXYGEN(OPTIONAL).........................................................................................................28
INSTALLINGANOXYGENADAPTER(OPTIONAL)...................................................................................................................................28

DreamStar Intro, Info, Auto patient manual en GB – 3
STARTINGANDSTOPPINGTHETREATMENT.......................................................................................................................................28
CLEANINGANDMAINTENANCE.......................................................................................................................................29
DAILY........................................................................................................................................................................................29
WEEKLY.....................................................................................................................................................................................30
MONTHLY..................................................................................................................................................................................30
TROUBLESHOOTING........................................................................................................................................................32
HELPFULHINTS...........................................................................................................................................................................32
DEVICEMESSAGES.......................................................................................................................................................................34
TECHNICALCHARACTERISTICS.........................................................................................................................................35
PERFORMANCEOFTHEDEVICE.......................................................................................................................................................35
INTEGRATEDHUMIDIFIERPERFORMANCE.........................................................................................................................................35
DEVICEELECTRICALCHARACTERISTICS..............................................................................................................................................35
TRANSPORTATIONANDSTORAGECONDITIONS...................................................................................................................................35
OPERATINGCONDITIONSFORTHEDEVICEANDHUMIDIFIER..................................................................................................................36
PHYSICALCHARACTERISTICS...........................................................................................................................................................36
STANDARDSCOMPLIANCE.............................................................................................................................................................36
END‐OF‐LIFEDISPOSALOFDEVICE...................................................................................................................................................36


en GB – 4 DreamStar Intro, Info, Auto patient manual
BEFORE YOU START
Please read this manual carefully before using your DreamStar™ device so that
you fully understand the limitations of this device.
Safety precautions
WARNING This indicates in this manual a risk of injury or accident to
you or to others.
•The DreamStar™ product range devices cannot be used without a medical prescription. Under no
circumstances should you attempt to adjust prescribed settings without agreement of the medical team.
•Use the device only for the recommended use as described in this manual. Advice contained in this manual
should not supersede instructions of your health professional.
•This device is not intended to provide assistance for vital functions.
•The DreamStar™ product range devices must only be used with the circuits, masks, fittings and
accessories recommended by a physician or provided by your health care provider. Make sure the
‘Directions for Use’ instructions for each accessory are in the package and read them carefully.
•If you suspect that the device or one of its accessories is defective or damaged or not working properly,
please contact your health care provider.
•Do not try to open the device (risk of electric shock). Maintenance of this equipment is to be performed by
skilled personnel only. Please contact your health care provider.
•Place the device on a stable horizontal surface in a clean environment. Do not use the device if it has been
set next to or on top of another device.
•Be careful not to obstruct the air outlet, or any other opening of the device or respiratory circuit, either
accidentally or intentionally. Avoid placing the unit too close to a wall. Do not introduce liquids or objects
into the air outlet.
•Please hold the device and the power cord away from any water source (electrocution hazard). Use the
device and its accessories (power cords) only if they are dry and in working order.
•Keep the cord away from heated surfaces.
•If supplemental oxygen is to be introduced, carefully follow the instructions and safety precautions for
using oxygen.
•Do not use this device near flammable vapors and in particular do not use the integrated heated humidifier
near flammable anesthetics, whether they are present alone or in combination with other gases (explosion
hazard).
•Once the mask is in place, make sure that the device produces an air flow. Never block the mask
exhalation vent, which allows air to be expelled continually. When the device is operating, the air produced
flushes the exhaled air out through the mask vent hole. When the device is not operating, insufficient fresh
air is produced in the mask, presenting a risk of re-breathing exhaled air, which under certain
circumstances could risk patient safety within several minutes.
•If the operation of the unit is defective and if the patient uses a nasal mask, the device resistance is low
enough that the patient can exhale through the machine or even open his mouth. If a full face mask is
used, the mask must have an anti-asphyxia valve.
•In case of power failure or malfunction, remove the mask.
•Do not leave long lengths of tubing on the bed. They could twist round your head or your neck while you
are sleeping.
If your device is equipped with a water chamber:
•When using the water chamber, take precautions to eliminate the risk of introducing water into the device
since this can cause irreversible damage. The device must be placed on a stable horizontal surface and
must not be tilted.
•The humidifier has a plate that, like the base of the water chamber, may become hot during normal
operation. Avoid touching them.
•The water chamber must be cleaned before the first use, after any technical intervention, and regularly
thereafter, following the instructions provided under "Cleaning and Maintenance", on page 29.
•Always empty the water chamber before moving or transporting the device.
•Fill the water chamber away from the device to prevent water from flowing over it.
•Do not use the device if leakage is detected in the chamber, due for example to the deterioration of the
gasket.
•The heated humidification feature must not be used where the ambient temperature is higher than 35˚C
(95˚F) because the temperature of the air delivered to the patient could exceed 43˚C (109.4°F), which
could pose a risk of scalding the upper airways.
•There is a risk of air leakage if the water chamber or the cover is not reassembled correctly, which could
cause the applied pressure to deviate from the prescribed pressure.

DreamStar Intro, Info, Auto patient manual en GB – 5
CAUTION This indicates in this manual that there is a possibility of
material damage to this device or any other device.
•If your device is equipped with a cover where the water chamber should be, the heated humidification
feature must be disabled. Otherwise, the heating element of the device could continue to provide heat to
the device, although it would not reach dangerous temperatures. However, if it is enabled, set the heat
level to the minimum value, and alert your home care provider.
•Be sure to position the device in order to prevent anyone stumbling into or tripping over the power cord.
•If the device is placed on the ground, ensure it is in a place free from dust, bedding, clothing or other
objects that could block air intake.
•Like all medical electrical devices, the DreamStar™ product range device is vulnerable to interference from
mobile and portable radiofrequency communication equipment (mobile phones, Wi-Fi…).
Recommended use
The DreamStar™ product range devices are intended to treat patients suffering from Obstructive
Sleep Apnea Syndrome (OSA) in patients over 30 kg (66 lbs.) and breathing spontaneously. They
can be used at home or in a sleep center.
Contra-indications
Studies have shown that the use of positive pressure is contra-indicated in some patients with one
of the following pre-existing conditions:
•Severe bullous emphysema or emphysema previously complicated by pneumothorax.
•Pneumoencephalus, trauma or recent surgery with sequela of cranio-nasopharyngeal fistula.
•Decompensated cardiac insufficiency or hypotension, particularly in case of decreased blood
volume or cardiac arrhythmia.
•Dehydration.
•Massive epistaxis or history of massive epistaxis. Acute sinusitis, otitis media, or perforated
tympanic membrane.
•Derivation of the upper airway.
Adverse effects
Please contact your health care professional if while using this DreamStar™ product range device,
the following symptoms appear: dry airways or nose, skin sensitivity, runny nose, ear pain,
discomfort sinus, daytime sleepiness, mood changes, disorientation, irritability or memory loss.
Verification of the elements of the system
The DreamStar™ product range device is delivered with the following components:
•carrying case •detachable power supply cord
•tubing •memory card
•reusable filter •patient manual
•cover (optional) •water chamber (optional)
The DreamStar™ product range devices can be used with the following optional accessories.
Contact your home care provider for additional information on available accessories. During use,
follow the instructions provided with the accessories.
•battery cable
•filter holder kit
•cigarette-lighter cable
•optional high-efficiency filter (disposable)

en GB – 6 DreamStar Intro, Info, Auto patient manual
DEVICE DESCRIPTION
This DreamStar™ product range device is equipped with custom accessories and includes an
integrated electrical power supply.
Views of the device
Figure 1 – Front view
1ScreenAllowsviewingtheinformation.
2LeftcontrolbuttonThisallowstheselectionofthesymboldisplayedatthelowerleftofthescreen.
3RightcontrolbuttonThisallowstheselectionofthesymboldisplayedatthelowerrightofthescreen.
4RampandselectionbuttonProvidesaccesstorampfunctions.Itisalsousedtoselectthenextparameterin
thedisplayedmenuduringthedevice‐settings.
5On/offbuttonTurnsthedeviceonoroff.Itisusedalsotoexitthedevice‐settingmenus.

Figure 2 – View of the right side Figure 3 – Rear view without the water chamber
6PowerportThisiswherethepowercordisconnected.
7ExternalbatteryportThisallowsthedevicetobepoweredbyanexternalbatteryoracigarette‐lighter
powercable.
8AirintakefiltersPreventdustintheairflowfromenteringthedevice.
9HeatingelementThebaseoftheheatedhumidifierisusedtoheatthewaterchamber.
10Serialcable/USBconnectorAvailableonInfoandAutodevices,itisusedbyyourphysicianorhomecare
provider.Donotconnectanythingtoit.
11MemorycardconnectorConnectorintowhichyoucanslidethememorycard.
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en GB – 8 DreamStar Intro, Info, Auto patient manual
INSTALLATION
Standard installation of the device
The device is delivered with either a cover (configuration A) or with a water chamber (configuration
B).
1. Installation of the cover or the water chamber
A. Device with cover
Snap the cover onto the base at the rear of
the device and tilt the cover forward to
lock.
B. Device with water chamber
Attach the water chamber base to the
heating element and tip the water chamber
forward to lock it in place.
2. Connecting the patient circuit
A. Device with cover
Connect one end of the patient circuit to
the outlet connector on the back of the
rear cover of the device.
B. Device with water chamber
Connect one end of the patient circuit to
the outlet connector on the top of the
water chamber cover.
3. Prepare the mask according to the instructions provided in the operating instructions that
came with the mask. Connect the mask to the other end of the patient circuit.
4. Plug the end of the power cord into the power input of the device and the other end into the
power source.

DreamStar Intro, Info, Auto patient manual en GB – 9
5. At the first power-on, the screen lights up and displays the language setting screen:
Press the right control button or the left control button
as many times as necessary to display the desired language.
After the language is selected, press the on/off button to
return to the page header, then press this button a second time to
exit the menu.
6. The display shows the time and date. The device is ready to operate.
WARNING
There is a risk of air leakage if the water chamber or the cover is not installed correctly, which could cause the
applied pressure to deviate from the prescribed pressure.
Installation for use with battery power or (optional) cigarette-
lighter cable
The DreamStar™ product range device can be powered by a rechargeable 12 volt optional special
battery by connecting the battery cable to the inlet of the external battery of the device (item 7 of
Figure 2 page 6).
The device can also be powered from a cigarette-lighter socket using an optional cable specially
designed for this purpose. For this configuration, replace Step 4 of the standard installation
procedure with the following step:
•Connect the power cable to the input of the external battery of the device (Item 7 of Figure 2
page 6) and the other end of the cable directly to the cigarette lighter socket.
Continue with steps 4 through 6 of the standard installation procedure.
CAUTION
•Do not use a battery power cable other than the one supplied with the battery.
•Do not connect the battery power cable to a 24 volt cigarette-lighter cable.
•Do not use a 24 volt battery.
•Do not connect to the DreamStar™ product range device a 12-volt power supply plugged in the mains.
Note: When the device is battery-powered, the heated humidification feature (if included)
cannot be used and the following screen page is displayed after the settings button has
been pressed:
Indicates that the humidifier is
not functioning because it under
battery power.

en GB – 10 DreamStar Intro, Info, Auto patient manual
OPERATION
Filling the water chamber (if included)
1. Switch off the device and remove the
patient tubing. Press with your fingers at
the "Push" marking on the top of the
unit to separate the water chamber from
the device.
2. Tip the tank back and remove the tank
from the device.
3. Fill the water chamber (through the upper orifice) to the maximum level mark.
4. Reattach the water chamber to the rear
of the device.
CAUTION
•Be careful not to exceed the maximum fill level.
•Do not add any other product to the water in the water chamber.
•Do not use alkaline solution (physiological saline solution).
•Use only room temperature water; do not fill the water chamber with hot or chilled water.
Starting Treatment
1. Put your mask on as described in the user instructions.
2. To start treatment, press the on/off button . The device screen displays the delivered
pressure.
3. If the message “MASK UNPLUGGED" displays on the screen, this means that the mask is not
connected properly. Reposition your mask correctly to eliminate the leaks, and press any of the
four buttons on the front of the device. The device will restore the pressure set and the
message "MASK UNPLUGGED" will disappear. Otherwise, the device will stop after 30 minutes.
4. Lie down and place the tubing so that it can follow your movements while you sleep.
5. The symbols that may be displayed on the screen are summarized in the table entitled
"Description of symbols displayed on the screen" on page 12.
6. In the event that the humidification function has been activated on your device, the heated
humidifier turns on automatically.
Note: Following a power supply interruption, the device is in the same mode it was in (on/off)
when it was disconnected.
"Push" marking
Water
Chamber

DreamStar Intro, Info, Auto patient manual en GB – 11
Stopping Treatment
1. Remove the mask.
2. Turn off the DreamStar™ product range device by pressing the on/off button for several
seconds.
Accessing the device menu
The four buttons on the front of the device allow you to access the device settings menu, scroll
through different pages, or possibly modify the value of certain parameters within these pages.
The parameters are accessible when the machine is in standby or operating mode.
The parameters that are accessible are grouped on several screen pages indicating:
•device settings related to prescribed treatment
•general device settings, such as date and time
•recorded compliance data
•reminders
Description of a screen page
Each screen page includes:
•a first line or page header
•up to 4 parameter lines with associated
values
•a final line showing the various symbols
used for such features as changing a
parameter value, moving about a page, or
moving from page to page (see table
entitled “Description of symbols displayed
on the screen").

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DreamStar Intro, Info, Auto patient manual en GB – 13
Available features
The DreamStar™ Intro and DreamStar™ Info devices (and equivalent in Evolve configuration)
operate in continuous mode (CPAP), i.e. the device delivers a constant pressure level throughout
the night. The DreamStar™ Auto or DreamStar™ Auto Evolve device operates in either constant
mode (CPAP) or in automatic mode (Auto-CPAP), the device monitors your breathing while you
sleep and adjusts the pressure to suit your needs.
The device includes an integrated power supply and can be equipped with a humidification
function (Evolve configuration), which can be enabled or disabled by the home care provider.
The patient reminder feature can help you remember events, such as filter and mask changes,
device inspections, and memory card compliance data downloads on the memory card. This
feature, which is identical on all of devices in the product range, is described under “Reminders
about to expire”, on page 27.
Ramp feature
If enabled by your home care provider, the Ramp feature allows for a gradual rise in pressure to
help you go to sleep: the treatment begins at a reduced pressure called comfort pressure, then the
pressure increases to treatment pressure. In Auto-CPAP mode, the Ramp feature allows you to
delay the commands to raise or lower the pressure.
Pressure Alter
If it is enabled by the physician or home care provider, this feature provides the option to change
the prescribed pressure by ±1 cmH2O.
Note: This feature is only available in CPAP mode.
Comfort Calibration +
If enabled by the physician or home care provider, the Comfort Calibration + feature (C.C.+)
available on DreamStar™ Info and DreamStar™ Auto (and equivalent in Evolve configuration),
aims to increase the treatment pressure during inspiration and to decrease it during expiration to
make the breathing more comfortable during the treatment.
Transporting the device
Unplug the device and disconnect the accessories from the device. Store them in the carrying case.
DreamStar™ or DreamStar™ Evolve device with cover
You must separate the cover from the device. Detach the cover from the machine by pressing on
"Push" at the top of the device. Then, lift the cover back and remove it from the device. Place the
cover and the device in the separate compartments of the carrying case.
DreamStar™ Evolve device with water chamber
You must remove the water chamber from the device and drain it. Detach the water chamber
from the machine by pressing on "Push" at the top of the device. Then, lift the water chamber
back and remove it from the device. Disassemble it by following the instructions under "Cleaning
and Maintenance", on page 29 and empty the water chamber completely. Place the chamber and
the device in the separate compartments of the carrying case.
CAUTION
To eliminate any risk of introducing water into the device and thereby causing irreversible damage, the water
chamber must be completely emptied before moving or transporting the device.

en GB – 14 DreamStar Intro, Info, Auto patient manual
Using a memory card
An external storage medium can be used either to store the most recent compliance data stored in
the device, or to update your device's setting parameters. Refer to the instructions given by your
home care provider to use this card.
If the device is running, turn it off before you insert the memory card into the memory card
connector: the symbol appears to the right of the display header. If this symbol flashes, the
card is inserted incorrectly, or inserted upside down, or it is not operational. Reinsert it correctly,
and if the symbol is still flashing, contact your home care provider.
Updating Settings
If the care provider has configured the memory card to update the settings of the machine, the
device will start automatically when inserting the card into it. Once the update is complete, a
message appears asking to remove the card. Remove it. This operation can be performed only
once.
Data Backup
Data backup starts automatically when inserting the card into the machine. An indicator allows the
progress of the data downloaded to be monitored. Once the data has been recorded, a message
displays on the device "DOWNLOAD FINISHED. REMOVE MEMORY CARD." The memory card can
then be given to your home care provider.
Notes:
•The backup data and update settings functions are only accessible if the device is in standby.
•If the card is left inside the device, the machine cannot be turned on and no feature can be accessed.

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en GB – 16 DreamStar Intro, Info, Auto patient manual
DreamStar™IntroorDreamStar™IntroEvolve
cde f
The page displays: Press
as many times
as necessary
to access the
desired
parameter
setting.
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Increase or decrease the
parameter value with the right or
left parameter settings button.
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menu parameter.
gPress at the bottom of the page or to return to the page header.
hPress to move to the next page.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up.
Ramp time: Time the device takes to reach the prescribed pressure when starting from the
comfort pressure.
Set pressure: Level of pressure prescribed, which may be altered by ±1 cmH2O.
Note: Adjusting the ramp time is also accessible by pressing the ramp button when the device
is in standby only.
3) Set Parameters Display
c
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Prescribed P.: Level of pressure prescribed by your physician.
Pressure Alter: The symbol shows that the feature has been
enabled by the home care provider.
Max ramp time: Maximum ramp time set by the home care provider.
dPress to move to the next page.
4) Set Patient Reminders display
This page displays only if the home care provider has activated a reminder to remind you for
example to replace the filter or the mask.
c
The page displays:
The reminder activation date is shown opposite the corresponding
reminder.
dPress to move to the next page.

DreamStar Intro, Info, Auto patient manual en GB – 17
DreamStar™IntroorDreamStar™IntroEvolve
5) Setting the clock
The time can be set when the device is in standby only.
cde f
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cde f
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7) Miscellaneous Settings
cde f
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contrast.
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gPress at the bottom of the page or to return to the page header.
hPress to exit the menu.

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DreamStar Intro, Info, Auto patient manual en GB – 19
DreamStar™InfoorDreamStar™InfoEvolvedevice
cde f
The page displays: Press
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as necessary to
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parameter settings button.
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menu parameter.
Increase or decrease the
parameter value with the right or
left parameter settings button.
gPress at the bottom of the page or to return to the page header.
hPress to move to the next page.
C.C. +: Comfort Calibration +.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up.
Ramp time: Time the device takes to reach the prescribed pressure when starting from the
comfort pressure.
Pressure: set pressure, level of pressure prescribed, which may be altered by ±1 cmH2O.
Note: Adjusting the ramp time is also accessible by pressing the ramp button when the device
is in standby only.
3) Set Parameters Display
c
The page displays: Prescribed P.: Level of pressure prescribed by your physician.
Pressure Alter: The symbol shows that the feature has been
enabled by the home care provider.
C.C. +: Comfort Calibration +. The symbol shows that the feature
has been enabled by the home care provider.
Max ramp time: Maximum ramp time set by the home care provider.
dPress to move to the next page.
4) Set Patient Reminders display
This page displays only if the home care provider has activated a reminder to remind you for
example to replace the filter or the mask.
c
The page displays:
The reminder activation date is shown opposite the corresponding
reminder.
dPress to move to the next page.
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en GB – 20 DreamStar Intro, Info, Auto patient manual
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5) Setting the clock
The time can be set when the device is in standby only.
cde f
The page displays: Press
as many times
as necessary to
access the
desired
parameter
setting.
The page changes:
Increase or decrease
the parameter value with the right
or left parameter settings button.
Then press to access the
next menu parameter.
gPress at the bottom of the page or to return to the page header.
hPress to move to the next page.
6) Setting the date
The date can be set when the device is in standby only.
cde f
The page displays: Press
as many times
as necessary to
access the
desired
parameter
setting.
The page changes:
Increase or decrease
the parameter value with the right
or left parameter settings button.
Then press to access the
next menu parameter.
gPress at the bottom of the page or to return to the page header.
hPress to move to the next page.
7) Miscellaneous Settings
cde f
The page displays: Press
as many
times as
necessary to
access the
desired
parameter
setting.
The page changes: The language can be selected by
successive presses on the left or
right parameters settings button.
Then press to access the
contrast.
Increase or decrease the
contrast with the right or left
parameter settings button.
gPress at the bottom of the page or to return to the page header.
hPress to exit the menu.