ResMed VPAP III ST-A: инструкция

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BILEVEL • AdAptIVE sErVo VEntILAtor

User Guide

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English

ASV only: Attach the mask to the end of the air tubing with

the proximal cuff (e).

Please ensure that you read any specific references in this user

guide that apply to your product type. Use the following list to

WARNING

identify your product type:

Make sure the power cord and plug are in good condition •

Bilevel – VPAP™ ST-A devices •

and the equipment is not damaged.

Adaptive Servo Ventilator (ASV) – AutoSet CS™ devices. •

Only ResMed air tubing should be used with the device. •

This manual is specific to your device. Do not use with other

A different type of air tubing may alter the pressure you

devices. Information for clinicians is available in the clinical guide.

actually receive and reduce the effectiveness of your

treatment.

Indications for Use

Blocking the tubing and/or air inlet of the device while in •

Your device is intended for home and hospital use.

operation could lead to overheating of the device.

Bilevel

Use care when handling the air tubing. Be particularly •

Your bilevel ventilator device is intended to provide noninvasive

careful when attaching the Luer connector to the device. If

ventilation for patients with respiratory insufficiency or obstructive

you kink or excessively twist the sensor tube, it may affect

sleep apnoea (OSA).

the protection offered by the mask pressure alarm system.

Adaptive Servo Ventilator (ASV)

CAUTION

Your adaptive servo ventilator device is intended to stabilise the

Be careful to place the device where it cannot be bumped, •

ventilation of adult patients exhibiting Cheyne-Stokes Respiration

and where no one will trip over the power cord.

(CSR), or central sleep apnoea (CSA) associated with congestive

If you put the device on the floor, make sure the area is free •

heart failure, with or without upper airway obstruction. It is also

from dust and clear of bedding, clothes or other objects

intended for the treatment of patients with obstructive sleep

that could block the air inlet.

apnoea (OSA).

Make sure the area around the device is dry and clean. Take •

Contraindications

care when using liquids around the device.

Positive airway pressure may be contraindicated in some patients

with the following conditions:

Device Control Panel

Refer to the control panel (illustrations C and D on page 1) that

pneumothorax or pneumomediastinum •

best matches your device.

pathologically low blood pressure, particularly if associated •

Your control panel may have the following items: (1) Start/Stop;

with intravascular volume depletion

(2) LCD screen; (3) Up and Down keys; (4) Enter key; (5) Exit

cerebrospinal fluid leak, recent cranial surgery or trauma •

key; (6) Left key; (7) Right key; (8) Alarm Mute; (9) LEDs;

severe bullous lung disease •

(10) QuickView.

dehydration. •

Starting Treatment

Adverse Effects

Turn the main power switch at the back of the unit to on (1. I).

You should report unusual chest pain, severe headache or

Lie down and arrange the air tubing so that it is free to move if 2.

increased breathlessness to your prescribing physician. An

you turn in your sleep.

acute upper respiratory tract infection may require temporary

ASV only: Select your mask type and run Learn Circuit.

discontinuation of treatment.

To start treatment, press 3.

. (If SmartStart™/Stop is enabled on

The following side effects may arise during the course of therapy

your device, breathing into your mask should start therapy

with the device:

automatically.)

drying of the nose, mouth or throat •

Fit your mask as described in the mask user instructions.4.

bloating •

ear or sinus discomfort •

WARNING

eye irritation •

A mask should not be used unless the device is turned on

skin rashes •

and operating properly.

nosebleed. •

CAUTION

Do not leave long lengths of air tubing around the top of your

Masks and Humidifiers

bed. They could twist around your head or neck while you are

Recommended masks and humidifiers are available from your

sleeping.

place of purchase. For information on using your mask or

humidifier, refer to the user guide supplied with your mask or

Stopping Treatment

humidifier.

To stop treatment at any time, remove your mask and press or,

if your device has SmartStart/Stop enabled, simply remove your

Setting up your Device

mask and treatment will end.

Refer to illustration A on page 1.

There are two sockets at the rear of your device. Insert the 1.

Using the Menus

power cord into the top socket and push the locking clip (a)

Key Functions

down to hold the cord in place.

Up and Down keys: Scrolls through menus and setting options.

Plug the other end into a power outlet.2.

Enter key: Enters menus; changes options; applies settings.

Connect the air tubing to the air outlet of the device. 3.

Exit key: Exits menu or setting.

ASV only: To attach the pressure sensor tube (b) to the device,

Left key: Enters menus; changes options; applies settings.

screw the Luer connector (c) onto the socket (d) on the side

Right key: Exits menu; cancels operation.

of the device. Ensure all components have been correctly

Menu Settings

assembled and check for any split or damaged parts.

Some menu items may not be available on your model.

ASV air tubing is assembled as follows (refer to illustration B

Ramp: Period during which the device increases from a low

on page 1):

pressure to the prescribed treatment pressure.

(1) Proximal cuff; (2) Air tubing; (3) Pressure sensor tube;

(4) Tube clip; (5) Luer connector.

Learn Circuit: Allows the device to ‘learn’ what pressure it needs

to build in to its calculations, based on the components in the

Connect the assembled mask system to the free end of the 2.

system. Select every time you add or remove a component.

air tubing.

2

Mask: Selects your mask type.

Using a Battery to Power the Device

Tube Length: Selects the length of air tubing.

Information regarding suitable DC and battery power supplies for

Humidifier: Selects the type of humidifier used with your device.

your device can be found on www.resmed.com on the Products

SmartStart/Stop: Turns the SmartStart/Stop function on or off.

page under Service & Support > Ventilation Accessories.

Leak Alert/Mask Alarm: If enabled, sounds an alarm when a high

Adding Supplemental Oxygen

mask leak is detected.

Up to 15 L/min of oxygen can be added at the mask or at an

Alarm Vol/Test: Sets the alarm volume and tests the alarm.

oxygen connector between the device (or integrated humidifer)

Backlight: Sets LCD backlight to permanently on (ON) or to turn

and the air tubing while still providing safe and effective therapy.

off after two minutes if no key is pressed (AUTO).

Clock: Sets the time and date.

WARNING

Language: Selects the LCD display language.

When oxygen is added, always ensure that you verify the

Low PS: LOW PS is displayed if your clinician has enabled the

correct operation of triggering and cycling, and activation of

Insufficient Pressure Support alarm.

mask alarm when enabled.

Alarms

Using an Antibacterial Filter

To mute an alarm, press the Alarm Mute key once.

If supplied by your clinician, antibacterial filters can be used

Power failure is indicated by the LCD turning off and:

with your device. Fit the antibacterial filter to the air outlet of

two alternating continuous tones and a red flashing LED, or •

the device (or integrated humidifer). Follow the manufacturers

a single intermittent tone and yellow flashing LED. •

recommendation on the replacement schedule.

The alarm will stop if you press the Alarm Mute key or after

Cleaning and Maintenance

two minutes or when power is restored.

Daily:

A single intermittent tone and yellow flashing LED will alert you to

Disconnect the air tubing and hang it in a clean, dry place until

the following alarm conditions. Follow the steps below to resolve.

next use.

If any of the following messages appear on your LCD screen: •

Weekly:

PRESSURE ERROR

Remove the air tubing and wash it in warm water and mild 1.

IPAP LOWER ALARM

detergent. Rinse thoroughly, hang and allow to dry.

SENSOR ERROR

Before next use, reassemble the mask and headgear.2.

SYSTEM ERROR

Reconnect the air tubing.3.

return your device to your place of purchase.

Monthly:

If any of the following messages appear on your LCD screen: •

CHECK TUBE

Clean the exterior of the device with a damp cloth.1.

LOW PRES ALARM

Check the air filter for holes and blockage by dirt. Replace it 2.

LOW PRESSURE

every six months, or more often in a dusty environment.

(1) check that the air tubing and pressure sensor tube (ASV

Check for any split or damaged components.3.

only) are connected properly; (2) turn the device off and on

For information on cleaning your mask or humidifier, refer to the

again at the power switch and, if the alarm persists, return to

user guide supplied with your mask or humidifier.

your place of purchase.

WARNING

If any of the following messages appear on your LCD screen: •

Beware of electric shock. Do not immerse the device or power

HIGH PRES ALARM

cord in water. Always unplug the device before cleaning and

HIGH PRESSURE

make sure it is dry before reconnecting.

HIGH AVG PRESS

LOW PS

CAUTION

LOW MV

Do not hang the air tubing in direct sunlight as it may •

(1) treatment stops; (2) turn power off; (3) check that the air

harden over time and eventually crack.

tubing and pressure sensor tube (ASV only) are connected

Do not use bleach, chlorine, alcohol, or aromatic-based •

properly and not obstructed; (4) turn the device on again; (5)

solutions, moisturising or antibacterial soaps or scented

(ASV only) perform Air Circuit Learn functions; (6) try using

oils to clean the air tubing or the device. These solutions

the device one more time and, if the alarm persists, return to

may cause hardening and reduce the life of the product.

your place of purchase.

If the following message appears on your LCD screen: •

Changing the Air Filter

FLOW BLOCKED

Disconnect the power cord and air tubing.1.

(1) treatment stops; (2) turn power off; (3) check and remove

Remove the air filter from the air inlet at the back of the device.2.

any blockage in the air circuit; (4) turn the device on again; (5)

Put the new air filter into the air inlet with the blue side facing 3.

try using the device one more time and, if the alarm persists,

out from the device.

return to your place of purchase.

If the following message appears on your LCD screen: •

CAUTION

HIGH LEAK

Do not wash the air filter.

adjust the mask to minimise leak.

If the following message appears on your LCD screen: •

Technical Specifications

NVENT ALARM

Operating pressure range 2 to 30 cm H

2

O (Bilevel)

NO MASK VENT

4 to 20 cm H

2

O (ASV)

ensure your mask vent holes are not blocked and, if the alarm

Power supply Input range 100–240V, 50/60Hz;

persists, contact your place of purchase.

100V, 400Hz (VPAP ST-A with

QuickNav only)

ResLink™

ASV: 60VA

The ResLink is an optional accessory that records data during

VPAP: 2.2A

your therapy so your clinician can observe your progress and

Operating temperature +5°C to +35°C

adjust settings if necessary. For full details on using the ResLink,

refer to the ResLink user guide.

Operating humidity 10–95% non-condensing

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