Somnetics Transcend 3 miniCPAP User manual

Transcend 3 miniCPAP™
User Manual

Transcend 3 miniCPAP User Manual Page ii
Notices
Revised
Transcend 3 miniCPAP User Manual 103940 Rev B
Published February 2019 and supersedes all previous versions.
Notice
The information contained in this document is subject to change without notice.
Trademark
Somnetics®and Transcend®are registered trademarks of Somnetics
International, Inc.; all rights reserved.
Copyright
© Copyright 2019 Somnetics International, Inc.; all rights reserved.
Contact Somnetics International, Inc.
Corporate headquarters
Somnetics International, Inc.
Email
[e-mail]
Web
http://www.mytranscend.com/
Telephone
651.621.1800
Toll-free telephone
877.621.9626
Fax
651.204.0064
Somnetics International, Inc.
33 5th Avenue NW, Suite 500
New Brighton, Minnesota 55112 USA
2797
Authorized Representative (MDD 93/42/EEC)
Atlantico Systems Ltd.
34 Oldfield
Kingston
Galway, Ireland
TEL. [phone]
Rx Only

Transcend 3 miniCPAP User Manual Page iii
About this user manual
Note Training is required for the use of this device. All of the information required to
operate and maintain this device is found within this manual. It is expected that
users will use this manual for their training.
Note For purposes of this manual, some software screen images may differ from the
actual screen display. This is only for clear printing and on-screen display of this
manual.
Precautions when using a computer with
Transcend 3 miniCPAP
The following precautions are cited for the safety of the patient and/or the person
operating the computer as required to meet IEC 60601-1-1 safety regulations.
Definitions A computer compliant with 60950-1 safety standards is one that complies
with UL 60950-1 or IEC 60950-1 safety standards.
•Do not plug any devices into the Transcend 3 miniCPAP USB port other than a computer
that is compliant with 60950-1 safety standards. Attaching any other device to the
Transcend 3 miniCPAP USB port may damage Transcend and may not be safe for the user.
•In order to reduce the risk of leakage currents, use an isolation transformer which is IEC
60601-1 approved to power your computer.
•Do not plug your computer compliant with 60950-1 safety standards or your Transcend into
a multiple portable socket outlet (i.e. power strip).
•When using your computer compliant with 60950-1 safety standards, follow the
manufacturer’s cleaning instructions.
•When using your computer compliant with 60950-1 safety standards, follow the
manufacturer’s instructions for conducting preventative maintenance.
•Do not attach Transcend 3 miniCPAP USB port to your computer compliant with 60950-1
safety standards during preventative maintenance of your computer.
•Do not touch your computer compliant with 60950-1 safety standards and any exposed
metal on Transcend 3 miniCPAP or on Transcend 3 miniCPAP cables at the same time.
•Do not touch exposed metal on your computer compliant with 60950-1 safety standards or
exposed metal on connectors or cables
•For clinicians, do not simultaneously touch the computer compliant with 60950-1 safety
standards and the patient.
•Do not use computers that have internal voltages that are accessible without the use of
tools in order to gain access to such voltages.

Transcend 3 miniCPAP User Manual Page iv
Contents
Introduction .................................................................................................6
Indications for use........................................................................................... 6
Contraindications ............................................................................................ 6
Precautions for use.......................................................................................... 7
Warnings................................................................................................... 7
Cautions.................................................................................................... 8
Symbols .......................................................................................................10
Components of the Transcend 3 miniCPAP ..................................................... 12
What’s not included (all sold separately)........................................................13
Description of Transcend 3 miniCPAP components........................................... 14
Transcend 3 Device ........................................................................................14
Control panel ............................................................................................14
Power connection jack and USB port .............................................................15
Air Inlet Filter............................................................................................16
Assembling the Transcend 3 miniCPAP .......................................................... 17
Powering the Transcend 3 miniCPAP.............................................................. 18
Using the Multi-plug Universal Power Supply.......................................................19
Using the Transcend P4or P8Battery .................................................................20
Using the Transcend P4or P8Battery with AC line power...................................20
Using the Transcend P4or P8Battery with the Transcend Mobile Power Adapter....20
Explanation of the Transcend P4and P8Battery LED lights ................................21
Charging the Transcend P4or P8Battery ........................................................21
Using the Transcend Mobile Power Adapter (MPA1) ..............................................23
Using the Transcend 3 miniCPAP................................................................... 24
Standard user modes......................................................................................24
Starting therapy.............................................................................................25
Using the ramp function ..................................................................................25
Using the EZEX function ..................................................................................26
Ending therapy ..............................................................................................26
Drying mode .................................................................................................26
Replacing the Filter Media ................................................................................27
Caring for your Transcend 3 miniCPAP and components................................... 28
Cleaning the exterior ......................................................................................28
Cleaning of accessories………………………………………………………………………………………...........29
Cleaning for Multiple Users...............................................................................29
Software User Guide
Downloading device software…………………………………………………………………………………………31
Connecting your Transcend 3 miniCPAP………………………………………………………………………..32
Select your preferred language………………………………………………………………………………………32
Configuration for device settings……………………………………………………………………………………33
Compliance manager………………………………………………………………………………………………………34
General functions……………………………………………………………………………………………………….35

Transcend 3 miniCPAP User Manual Page v
Generate compliance………………………………………………………………………………………………….36
Export report………………………………………………………………………………………………………………36
Day list……………………………………………………………………………………………………………………….37
Trend Graph……………………………………………………………………………………………………………….38
Day graph…………………………………………………………………………………………………………………..39
Fault and alert codes................................................................................... 40
Fault codes....................................................................................................40
Alert codes....................................................................................................41
Troubleshooting.......................................................................................... 42
Appendix: Part numbers .............................................................................. 43
Disposable parts ............................................................................................43
Accessories ...................................................................................................43
Replacement parts .........................................................................................43
Appendix: Specifications.............................................................................. 44
Transcend 3 miniCPAP.....................................................................................44
AC power supply PSA2 ...................................................................................44
Mobile power adapter (optional) —MPA1 ...........................................................44
Batteries (optional) —P4and P8Battery.............................................................44
Transcend 3 miniCPAP performance ..................................................................45
Manufacturer’s declaration ...............................................................................46
Electromagnetic emissions...........................................................................46
Electromagnetic immunity ...........................................................................47
IEC 60601-1 compliance .............................................................................48
Appendix: Limited warranty ......................................................................... 49

Transcend AutoUser Manual Page 6
Introduction
The Transcend 3 miniCPAP provides positive airway pressure to users in the range of 4 to
20 cmH2Oas prescribed by the clinician. The Transcend 3 miniCPAP product family
includes the Transcend 3 miniCPAP and the Transcend 3 miniCPAP Auto. Buttons and LED
lights facilitate control and provide operational feedback. A DC power jack and a USB port
are also incorporated into the Transcend 3 miniCPAP.
Indications for use
The Transcend 3 miniCPAP provides positive airway pressure for treatment of obstructive
sleep apnea (OSA) in adults weighing over 66 pounds (30 kg). The device is intended for
home and hospital/institutional use.
Contraindications
The Transcend 3 is contraindicated in patients with the following conditions:
•Bullous lung disease
•Pathologically low blood pressure
•Pneumothorax or pneumomediastinum.
•Pneumocephalus has been reported in some users using nasal PAP.
Caution should be used when prescribing PAP for susceptible users such as those with any
of these conditions:
•Cerebral spinal fluid (CSF) leaks
•Abnormalities of the cribriform plate
•A prior history of head trauma
•Pneumocephalus
Adverse effects
You should report unusual chest pain, severe headache or increased breathlessness to
your prescribing physician. An acute upper respiratory tract infection may require
temporary discontinuation of treatment.
The following side effects have been reported by users of airway delivery devices during
CPAP therapy.

Transcend 3 miniCPAP User Manual Page 7
•congestion or mucus in the throat
•sneezing or cough
•bloating
•nocturnal wakening
•feelings of claustrophobia
•burn
•Irritation/dryness of the mouth, nose or throat
Precautions for use
This section describes the warnings and cautions associated with use of the Transcend 3
miniCPAP. The following guidelines apply to this document:
Warning Indicates the possibility of serious injury or death to yourself or others.
Caution Indicates the possibility of minor injury or damage to the equipment.
Note Indicates a tip, explanation or feature to aid in understanding, or efficient operation
of the device.
Warnings
•Do not allow water to enter this device. Transcend 3 miniCPAP should not be
exposed to environmental conditions where the system may get wet.
•This device is not intended for life support.
•The Transcend 3 miniCPAP must be set up and adjusted by a trained provider
before being used for therapy ramp and pressure.
•The air temperature produced by this device can be as much as 10ºF higher than
the temperature of the room. Exercise caution if the room temperature is warmer
than 90ºF (32ºC).
•Do not block or otherwise obstruct the exhalation ports of the mask. Follow the
manufacturer’s instructions included with your mask.
•This equipment is not suitable for use with oxygen or in the presence of a
flammable anesthetic mixture with air or oxygen, or with nitrous oxide. Sources of
oxygen must be located more than 1 meter from the equipment to avoid the risk of
fire and burns.
•The Transcend 3 miniCPAP is only to be used with the supplied or recommended
accessories. Use of accessories not recommended may result in increased
electromagnetic emissions or decreased electromagnetic immunity of the PAP
system and may be potentially unsafe.

Transcend 3 miniCPAP User Manual Page 8
•The Transcend 3 miniCPAP is not defibrillation proof.
•Do not attempt to sterilize Transcend 3 miniCPAP.
•If the device is to be used by multiple patients a main flow bacteria filter should be
installed in-line between the device and the breathing circuit tubing to prevent
contamination.
•The device should be used only with masks and connectors recommended by
Somnetics or a health care professional. A mask should not be used unless the
device is turned on and is properly delivering ramp or therapy pressure. The
exhalation port(s) associated with the mask should never be blocked. Explanation
of the Warning: The device is intended to be used with masks or connectors
specifically designed to have exhalation ports to allow continuous flow of air out of
the mask. When the device is in operation, air flow from the device flushes exhaled
air out through the mask exhalation port. When the device is not operating,
however, fresh air will not be provided through the mask and exhaled air may be
rebreathed.
•Failure to use a mask or accessory that minimizes rebreathing of carbon dioxide or
permits spontaneous breathing can cause asphyxiation.
•Do not position the equipment in bed. Covering breathing tubes with a blanket or
heating them can affect the quality of therapy or injure the user.
•To prevent disconnection of the tubing during use, only tubes in compliance with
ISO 5367 or ISO 80601-2-74 should be used.
•Strangulation hazard from power cord and air tube. These can become wrapped
around a neck and STRANGLE. Keep power cord and air tube more than 3 feet from
a baby’s crib and out of baby’s reach. Keep cord and tube out of children’s reach.
•Small parts are unlikely to be expelled from the Transcend 3 miniCPAP enclosure,
but in case of severe damage internal components may fragment and create a
swallowing or choking hazard if they get out of the enclosure.
Cautions
•Federal law (United States) restricts this device to sale by, or on the order of, a
physician.
•Power the Transcend 3 miniCPAP only with the Somnetics-supplied power supplies,
mobile power adapter, or batteries. See Appendix: Part Numbers.
•Discontinue use of the Transcend 3 miniCPAP and contact your physician if
respiratory or skin irritations occur.
•Do not introduce objects into the Transcend 3 miniCPAP air inlet or air outlet.
•Inspect the power supply for signs of wear or damage before each use. Replace the
power cord if necessary.

Transcend 3 miniCPAP User Manual Page 9
•Somnetics recommends replacing the air delivery tubing (hose) after every three
months of use.
•To protect the environment, some parts and accessories of the Transcend 3
miniCPAP, including optional batteries, must be disposed of in accordance with local
regulations.
•The equipment must not be covered or positioned in such a way that adversely
affects the performance of the equipment, as it may also create a safety issue.
Examples of this would include:
oThe equipment must not be positioned in a bed.
oThe equipment should not be placed anywhere other than on a firm, flat
surface.
oDo not position in a location where pets or children can access equipment.
oDo not position near an open window or other location where dust, or pests
(insects) can affect equipment safety and/or performance.
oDo not position next to a curtain that blocks the flow of cooling air, thereby
causing the equipment to overheat.
oDo not block the air intake port, thereby interfering with therapy.
DBP
Device contains DBP (a phthalate). Significant exposure to DBP may interfere
with the normal development of the male reproductive tract. Testing has
demonstrated that DBP exposure levels are well below established limits.
Women who are pregnant or nursing may wish to discuss the benefits and risks
of this device with a physician.

Transcend 3 miniCPAP User Manual Page 10
Symbols
IP22
Attention: Consult accompanying documents
Protected against finger-sized objects and against dripping water
when tilted 15 degrees from specified orientation
Type BF Applied Part
UL Seal of Approval demonstrating quality, safety and professional
manufacturing of medical product
Upper and lower temperature limits
Separate collection for electrical and electronic equipment per EC
Directive 2002/96/EC. –Waste Electrical and Electronic Equipment
(WEEE)
Consult instructions for use
Non-Condensing
Upper and lower humidity limits
Rx Only
Prescription only. U.S. federal law restricts this device to sale by or
on the order of a physician or properly licensed practitioner.
Precedes reference or item number

Transcend 3 miniCPAP User Manual Page 11
Batch code
Date of Manufacture
Authorized Representative in the European Community
Manufacturer
Fragile, handle with care
Keep dry
Serial Number

Transcend 3 miniCPAP User Manual Page 12
Components of the Transcend 3
miniCPAP
Begin by unpacking all items from the Transcend travel bag and inspect them to ensure
they were not damaged during shipment. Report any missing or damaged items to the
home healthcare provider that provided the product to you.
1Transcend 3 miniCPAP Auto or
Transcend 3 miniCPAP
2Air Supply Tube (Compatible with
standard 22 mm connector)
3Multi-plug universal power supply
(PSA2)
4Changeable plug pack
5Transcend Travel bag
6Transcend 3 miniCPAP Quick Guide
7USB Cable
1
2
4
3
7
5
6

Transcend 3 miniCPAP User Manual Page 13
What’s not included (all sold separately)
•Transcend Mobile Power Adapter
•Transcend P4Battery
•Transcend P8Battery
•Transcend Portable Solar Battery Charger (to be used as an alternative charging
source for Transcend P4and P8batteries)
•Patient Mask

Transcend 3 miniCPAP User Manual Page 14
Description of Transcend 3 miniCPAP components
Transcend 3 miniCPAP Device
The Transcend 3 miniCPAP comes ready to generate and regulate continuous positive
airway pressure therapy for delivery to the interface (mask). An external power source
connects to the Transcend 3 miniCPAP to supply power to the device.
Control panel
The Transcend 3 miniCPAP control
panel has two pushbuttons used to
activate the blower and the pressure
ramp feature. There are also two LED
lights, including a green LED for
indicating normal operational modes
and a yellow LED that indicates fault
conditions.
Yellow LED
Ramp button
Green LED
Power button

Transcend 3 miniCPAP User Manual Page 15
Power connection jack and USB port
The power jack accepts the barrel plug of
the output cable from a DC power source
to operate the Transcend 3 miniCPAP.
A variety of power sources may be used to
power the Transcend 3 miniCPAP. An AC to
DC converting power supply is provided
with your device and should be used when
powering the device by line (wall outlet)
power.
An optional mobile power adapter connects
to a DC power outlet, such as that found in
an Automobile, truck, RV, boat, or similar
vehicle.
Optional Transcend battery packs are also
available to power the Transcend 3
miniCPAP.
USB port
A mini-AB USB port is provided for direct
data exchange between the Transcend 3
miniCPAP and a computer via a USB data
cable. This interface allows the clinician to
configure the Transcend 3 miniCPAP for
prescription pressure, ramp settings and
Auto settings and provides access to
therapy compliance information that can
be viewed by the user and emailed to the
clinician.
USB port
Power jack

Transcend 3 miniCPAP User Manual Page 16
Air Inlet Filter
During therapy operation ambient air is
drawn into the Transcend 3 miniCPAP
through an Air Inlet Filter. The Filter
Assembly should be replaced minimally
after 6 months of use. Replace more
frequently as desired.
Filter
Assembly

Transcend 3 miniCPAP User Manual Page 17
Assembling the Transcend 3 miniCPAP
1. Attach the air supply tube to the air outlet on the Transcend 3 miniCPAP device.
2. Connect the mask to the opposite end of the air supply tube.
3. Plug the power supply barrel connector into the Transcend 3 miniCPAP power jack
on the rear of the device.
4. Connect power supply to a wall outlet.

Transcend 3 miniCPAP User Manual Page 18
Powering the Transcend 3 miniCPAP
There are three choices for powering your Transcend 3 miniCPAP device:
•Using the Multi-Plug Universal Power Supply (PSA2)
•Using the optional Transcend (P4or P8) Battery
•Using the optional Transcend Mobile Power Adapter (MPA1)

Transcend 3 miniCPAP User Manual Page 19
Using the Multi-plug Universal Power Supply
(PSA2)
The Multi-plug Universal Power Supply (PSA2) and Changeable Plug Pack containing three
(3) exchangeable plugs are contained with each Transcend 3 miniCPAP. The changeable
plug packs are suitable for use in most countries around the world.
1. Determine which plug is required to power the device based upon the outlet style.
2. If the correct plug is not already attached to the Power Supply remove the
attached plug by depressing the button on the detachable plug and turning the
plug in a counterclockwise motion until it releases from the power supply.
3. Attach the desired plug by lining up the protruding tabs on the back of the plug
with the gaps on the Power Supply and gently pushing the plug into the slot. Turn
the plug clockwise until it clicks into place. You should hear an audible click.
4. Insert the barrel connector of power supply into power jack on the back of the
Transcend 3 miniCPAP device.
5. Insert the other end of the power supply into an AC line power outlet.
6. The Transcend 3 miniCPAP power-up LED flash sequence should initiate. Once the
power-up LED flash sequence is complete the LED lights will turn off. This
sequence indicates that power is being supplied to the Transcend 3 miniCPAP and
that it has successfully entered Standby Mode.
Note Use only the Somnetics-supplied Universal Power Supplies. Do not use a power
converter or voltage transformer with the PSA2 Universal Power Supply.
Note Make certain that the plug attachment is fully secured to the Power Supply before
inserting the power supply into the wall outlet.
Reattach: Insert
plug and turn
Remove
Plug
Remove:
Depress button
and turn

Transcend 3 miniCPAP User Manual Page 20
Using the Transcend P4or P8 Battery
The Transcend P4and P8Batteries are optional power sources for Transcend 3 miniCPAP.
To use, connect the P4or P8battery outlet cable to the Transcend 3 miniCPAP by inserting
the barrel connector into the power jack on the Transcend 3 miniCPAP. Be sure the
power-up LED flash sequence completes indicating that power is being supplied to the
Transcend 3 miniCPAP and that it has successfully entered Standby Mode.
Note Fully charge the battery before the first use. Follow the battery charging
instructions provided in this User Manual. Do not connect the battery to the
Transcend 3 miniCPAP during initial charge.
Note Use the battery in-line with the AC power supply when possible. Connecting the
battery in-line with the AC power supply allows the battery to charge during
therapy and provides backup power to provide uninterrupted therapy in the case of
a power outage.
Using the Transcend P4or P8Battery in conjunction with AC line power
1. Insert the barrel connector from the Universal AC Power Supply into the battery.
2. Insert the barrel connector of the battery into the Transcend 3 miniCPAP power
jack so that the plug and cord face upward.
3. Plug the Universal AC Power Supply plug into AC line power.
4. The Transcend 3 miniCPAP power-up LED flash sequence should initiate. Once the
power-up LED flash sequence is complete the LED lights will turn off. This
sequence indicates that power is being supplied to the Transcend 3 miniCPAP and
that it has successfully entered Standby Mode.
Using the Transcend P4or P8Battery in conjunction with the Transcend
Mobile Power Adapter
Note Use the battery in-line with the Mobile Power Adapter when possible. Connecting
the battery in-line with the Mobile Power Adapter allows the battery to charge
during therapy and provides backup power to provide uninterrupted therapy in the
case of a power outage.
1. Insert the barrel plug of the Mobile Power Adapter into the battery.
2. Insert the barrel connector of the battery into the Transcend 3 miniCPAP power
jack so that the plug and cord face upward.
3. Plug the Mobile Power Adapter into the mobile power receptacle.
4. The Transcend 3 miniCPAP power-up LED flash sequence should initiate. Once the
power-up LED flash sequence is complete the LED lights will turn off. This
sequence indicates that power is being supplied to the Transcend 3 miniCPAP and
that it has successfully entered Standby Mode.