™
VPAP III & III ST
User Manual
English
248127/1
VPAP III & III ST
User Manual
ENG
248127/1 05 07
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HUMIDIFIERS
HUMIDAIRE 2i AND VPAP
SETTING UPTHE VPAP
B
E
D
™
VPAP III & III ST
Illustrations
Component of 248127/1
1
SYSTEM COMPONENTS
Docking
station
A
HumidAire 2i™
HumidAire 2iC™
1
2
Handle
Water
chamber
LCD screen
Control panel
Air outlet
Removable
front cover
2
1
HUMIDAIRE 2iC AND VPAP
F
HumidAire™
ResMed Passover
3
4
Air filter cover
Power switch
Serial
communications
port (9-pin)
Power socket
Auxiliary port (15-pin)
OTHER ACCESSORIES
2
C
3
4
Docking
station
Water
chamber
3 m
52 cm
1
2
2 m
3
4
5
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ATTACHING A HUMIDAIRE HUMIDIFIER
ATTACHING A PASSOVER HUMIDIFIER
REPLACINGTHE AIR FILTER
G
H
I
(52 cm)
(52 cm)
1
2
1
2
(2 m/3 m)
1
2
(2 m/3 m)
4
3
4
3
3
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VPAP™ III & III ST
User Manual
English
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Manufactured by:
ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia
Distributed by:
ResMed Corp 14040 Danielson Street Poway CA 92064-6857 USA
Tel: +1 (858) 746-2400 or 1-800-424-0737 (toll free) Fax: +1 (858) 746-2900 Email: [email protected]
ResMed (UK) Limited 65 Milton Park Abingdon Oxfordshire OX14 4RX UK
ResMed Asia Pacific Ltd 97 Waterloo Road North Ryde NSW 2113 Australia
ResMed Austria GmbH Purtscherstraße 18, 9500 Villach Österreich
ResMed BV Nieuwe Parklaan 86, 2587 BV Den Haag Nederland
ResMed Finland Niittykatu 6 FIN 02200 ESPOO Suomi
Puh: +358 9 8676820 Faksi: +358 9 86768222 Sähköposti: [email protected]
ResMed GmbH & Co. KG Fraunhoferstraße 16, 82152 Martinsried Deutschland
ResMed Hong Kong Limited Room 1714, Miramar Tower 132-134 Nathan Road Tsim Sha Tsui Hong Kong
ResMed Japan Nihonbashi Hisamatsu Bldg. 4F, 2-28-1 Nihonbashi-Hamacho, Chuo-Ku, Tokyo 103-0007, Japan
Tel: +81 (3) 3662 5056 Fax: +81 (3) 3662 5040
ResMed Malaysia Sdn Bhd Suite E-10-20, Plaza Mon’t Kiara No. 2 Jalan 1/70C Mon’t Kiara 50480 Kuala Lumpur
ResMed NZ Ltd PO Box 51-048 Pakuranga Auckland New Zealand
ResMed SA Parc de la Bandonnière 2, rue Maurice Audibert 69800 Saint-Priest France
ResMed Singapore Pte Ltd 238A Thomson Road #12-03/04, Novena Square, Tower A Singapore 307684
ResMed Spain SL C/Arturo Soria, 245 28033 Madrid España
ResMed Sweden AB Industrigatan 2 S-461 37 Trollhättan Sverige
Labhardt AG Thannerstrasse 57 CH-4054 Basel Schweiz
US DESIGNATED AGENT: ResMed Corp
EU AUTHORISED REPRESENTATIVE: ResMed (UK) Ltd
Internet: www.resmed.com
Protected by patents: AU 697652, AU 699726, AU 713679, EP 0661071, EP 0858352, US 4944310, US 5199424,
US 5522382, US 6213119, US 6240921, US 6705315. Other patents pending.
Protected by design registrations: AU 147283, AU 147335, AU 147336, CH 128.709, CH 128.710, CH 128.711,
CH 128.712, DE 40201723, DE 40202007, DE 40202008, DE 40202020, ES 153514, ES 153515, ES 153516, ES 153518,
ES 156135, ES 156136, FR 02 1407, GB 3001791, GB 3001819, GB 3001820, GB 3001821, JP 1164087, JP 1164265,
JP 1164266, JP 1164267, JP 3638613, SE 75598, SE 75599, SE 75600, SE 75715, US D467335, US D468011,
US D476077, US D477868, US D487311, US D503796. Other designs pending.
VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Smart Data, Ultra Mirage and Vista are trademarks of
ResMed Ltd, and VPAP, Activa, HumidAire, HumidAire 2i, Mirage, SmartStart, Ultra Mirage and Vista are
registered in U.S. Patent and Trademark Office.
© 2005 ResMed Ltd.
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Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
User/Owner Responsibility
1
Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What the VPAP III and VPAP III ST are Intended for
Contraindications
Warnings
Cautions
Adverse Effects
1
1
2
2
3
The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Masks
Humidifiers
Accessories
5
6
6
Setting up the VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Setting Up The VPAP
Attaching a Humidifier
7
7
Using the LCD Screen and Keypad
10
Starting Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Stopping Treatment
Using the HumidAire 2i Warm-Up Feature
Using the Mask-Fitting Feature
14
14
14
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Daily Cleaning
17
17
17
18
18
Weekly Cleaning
Periodic Cleaning
Replacing the Air Filter
Servicing
How to Use the VPAP Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Ramp Screen
19
19
20
22
26
How to Use the Standard Menu
How to Use the Detailed Menu (if enabled by your clinician)
Menu Functions (Detailed menu only)
Treatment Screens
Helpful Hints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Using a Battery and an Inverter 29
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
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Contents
iii
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
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iv
Introduction
The VPAP™ III and VPAP III ST are bilevel pressure support ventilators
specifically designed for non-invasive mask ventilation.
This user manual contains the information you need for the correct use of
your VPAP.
User/Owner Responsibility
The user or owner of this system shall have sole responsibility and liability
for any injury to persons or damage to property resulting from:
•
operation which is not in accordance with the operating instructions
supplied
•
maintenance or modifications carried out unless in accordance with
authorised instructions and by authorised persons.
Please read this manual carefully before use.
This manual contains special terms and icons that appear in the margins to
draw your attention to specific and important information.
•
•
Warning alerts you to possible injury.
Caution explains special measures for the safe and effective use of the
device.
•
Note is an informative or helpful note.
Medical Information
What the VPAP III and VPAP III ST are Intended for
The VPAP III and VPAP III ST systems are intended to provide non-invasive
ventilation for patients with respiratory insufficiency or obstructive sleep
apnoea (OSA), in the hospital or home.
Contraindications
The VPAP should not be used if you have an insufficient respiratory drive to
endure brief interruptions in non-invasive ventilation therapy. The VPAP is
not a life support ventilator and may stop operating with power failure or in
the unlikely event of certain fault conditions.
If you have any of the following conditions, tell your doctor before using the
VPAP:
•
•
acute sinusitis or otitis media
epistaxis causing a risk of pulmonary aspiration
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Introduction
1
•
•
•
•
•
conditions predisposing to a risk of aspiration of gastric contents
impaired ability to clear secretions
hypotension or significant intravascular volume depletion
pneumothorax or pneumomediastinum
recent cranial trauma or surgery.
Warnings
•
The entire manual should be read before using the VPAP.
•
Advice contained in this manual should not supersede instructions given
by the prescribing physician.
•
•
The VPAP should be used with masks and accessories recommended by
ResMed or the prescribing physician. Use of incorrect masks and
accessories may adversely affect the function of the VPAP.
The VPAP is designed for use with masks that allow exhaled gases to be
flushed out through vent holes. Exhaled gases will be rebreathed if the
mask is worn with the machine turned off, or the vent holes are
occluded. If this occurs over prolonged periods, suffocation may occur.
In the event of power failure or machine malfunction, remove the mask.
The VPAP can be set to deliver pressures up to 25 cm H2O. In the
unlikely event of certain fault conditions, pressures up to 40 cm H2O are
possible.
•
•
•
•
•
The VPAP is not suitable for use in the vicinity of flammable
anaesthetics.
The VPAP should not be used with anaesthetised patients, whose
breathing depends on artificial ventilation.
If oxygen is used with the VPAP, the oxygen flow should be stopped
when the device is not operating. If oxygen flow continues when the
device is not operating, oxygen may accumulate within the device and
create a risk of fire.
•
•
Do not use the VPAP if there are obvious external defects, unexplained
changes in performance or unusual noises.
Do not open the VPAP case. There are no user serviceable parts inside.
Repairs and internal servicing should only be performed by an authorised
service agent.
Cautions
•
At low EPAP pressures, the flow through the mask vent holes may be
inadequate to clear all exhaled gases, and some rebreathing may occur.
The air flow for breathing produced by this device can be as much as 6oC
higher than the temperature of the room. Caution should be exercised if
the room temperature is warmer than 32oC.
•
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2
Note: The above are general warnings and cautions. Further specific
warnings, cautions and notes appear next to the relevant instructions in the
manual.
Adverse Effects
You should report unusual chest pain, severe headache or increased
breathlessness to your physician. An acute upper respiratory tract infection
may require temporary discontinuation of treatment.
The following side effects may arise during the course of therapy with the
VPAP:
•
•
•
•
•
•
drying of the nose, mouth or throat
bloating
ear or sinus discomfort
eye irritation
mask-related skin irritations
chest discomfort.
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Medical Information
3
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4
The VPAP System
Please refer to the illustrations in section A of the illustration sheet.
Please identify and familiarise yourself with the following components of the
VPAP unit:
•
•
•
•
•
VPAP front view (A-1)
VPAP rear view (A-2)
Power cord (A-3)
Carry bag (A-4)
2 m air tubing (A-5).
WARNING
!
•
•
•
Do not connect any device to the auxiliary port. Although your
health care provider may connect specially designed devices to the
auxiliary port of the VPAP unit, connection of other devices could
result in injury, or damage to the unit.
In the home environment, the only device that may be connected to
the communications port is a modem that is locally approved.
Locally approved modems may also be connected in the clinical
environment.
In the clinical environment any PC that is used with the VPAP system
must be at least 1.5 m away from, or at least 2.5 m above the patient.
It must also comply with IEC 60950 or equivalent.
Masks
You will also need a ResMed mask system (supplied separately).
The following ResMed mask systems are recommended for use with the
VPAP:
Nasal Masks
•
•
•
•
•
Ultra Mirage™ Nasal Mask
Mirage™ Nasal Mask
Mirage Activa™ Nasal Mask
Mirage Vista™ Nasal Mask
Modular Nasal Mask.
Full Face Masks
•
•
•
Mirage™ Full Face Mask
Mirage™ Full Face Mask Series 2
Ultra Mirage™ Full Face Mask.
To select the appropriate setting for your mask, see “Settings for Mask
Types” on page 23.
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The VPAP System
5
Notes:
•
ResMed VPAP devices have been designed and manufactured to provide
optimum performance using ResMed vented mask systems. While other
vented mask systems may be used, performance and data outputs may
be affected. To select an appropriate setting for another mask system,
find the closest match to a ResMed mask in Table 3 on page 23.
Not all masks are available in all regions.
•
Humidifiers
Please refer to the illustrations in section B of the illustration sheet.
A humidifier may be required if you are experiencing dryness of the nose,
throat or mouth. The VPAP is compatible for use with the following
humidifiers:
•
•
•
•
HumidAire 2i™ heated humidifier (B-1)
HumidAire 2iC™ passover humidifier (B-2)
HumidAire™ heated humidifier (B-3)
ResMed Passover humidifier (B-4).
WARNING
!
Only the HumidAire 2i, HumidAire 2iC, HumidAire heated humidifier
and the ResMed Passover are compatible for use with the VPAP. Please
refer to Warnings on page 2.
Accessories
Please refer to the illustrations in section C of the illustration sheet.
The following accessories may be purchased separately:
•
•
3 m air tubing (C-1)
Medium (52 cm) air tubing for the HumidAire and ResMed Passover
humidifiers (C-2).
Note: ResMed regularly releases new products. Please check our website
at <www.resmed.com>.
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6
Setting up the VPAP System
Please refer to the illustrations in section D of the illustration sheet.
Setting Up The VPAP
1 Place the VPAP unit on a flat surface near the head of your bed. If the unit is
placed on the floor, ensure that the area is free from dust and clear of
bedding, clothes or any other objects that could block the air inlet.
CAUTION
!
Be careful not to place the device where it can be bumped or where
someone is likely to trip over the power cord.
Connect the power cord to the socket at the rear of the flow generator. Plug
the other end of the power cord into a power outlet (D-1).
2
WARNING
!
•
Make sure the power cord and plug are in good condition and the
equipment is not damaged.
•
The air filter cover protects the device in the event of accidental
liquid spillage onto the device. Ensure that the air filter and air filter
cover are fitted at all times.
Connect one end of the air tubing firmly onto the air outlet of the unit (D-2).
3
WARNING
!
Only ResMed air tubing should be used with your flow generator. A
different type of air tubing may alter the pressure you actually receive
and reduce the effectiveness of your treatment.
Assemble your mask system according to the mask user instructions.
4
5
Connect your mask system to the free end of the air tubing (D-3).
The VPAP system is now assembled (D-4). To start treatment, see “Starting
Treatment” on page 13.
Attaching a Humidifier
WARNING
!
When using a humidifier, position it lower than you, and at the same
level or lower than the VPAP.
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Setting up the VPAP System
7
Attaching a HumidAire 2i Humidifier
Please refer to the illustrations in section E of the illustration sheet.
The HumidAire 2i attaches to the front of the VPAP to provide heated
humidification. No other accessories are required for its use. The VPAP
automatically detects the presence of the HumidAire 2i. No menu changes
are required. Please refer to the HumidAire 2i User’s Manual for details.
Attaching a HumidAire 2iC Humidifier
Please refer to the illustrations in section F of the illustration sheet.
The HumidAire 2iC attaches to the front of a VPAP unit to provide passover
humidification. No other accessories are required for its use. Please refer to
the HumidAire 2iC User’s Manual for details.
Note: You must activate the humidifier option in the menus if you are using
a HumidAire, HumidAire 2iC or Passover humidifier.
Attaching a HumidAire Humidifier
Please refer to the illustrations in section G of the illustration sheet.
Medium size (52 cm) air tubing is a necessary accessory for connecting the
VPAP unit to the HumidAire humidifier.
To set up the VPAP with the HumidAire:
1. Fill the HumidAire with water as described in the humidifier manual.
2. Place the filled water chamber inside the HumidAire. Connect the
medium (52 cm) air tubing to the right connector port, and the long air
tubing (2 m or 3 m) to the left connector port on the humidifier (G-1).
Close the HumidAire lid.
3. Place the VPAP on top of the HumidAire (G-2). Do not place the VPAP
unit underneath the humidifier. (This is to avoid water spilling into the
unit.)
4. Connect the free end of the medium air tubing to the air outlet of the
VPAP (G-3).
5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure G-4.
6. Plug the HumidAire power cord into a power outlet.
7. If the VPAP is not already plugged in, see Step 2 on page 7.
WARNING
!
Make sure that the power cord and plug are in good condition and the
equipment is not damaged.
8. Navigate to the humidifier setting (if available) in the VPAP menu and
select "HUMIDAIRE". See “How to Use the Detailed Menu (if enabled by
your clinician)” on page 20.
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8
The VPAP is now ready for use with the HumidAire. To start treatment, see
“Starting Treatment” on page 13.
Attaching a Passover Humidifier
Please refer to the illustrations in section H of the illustration sheet.
Medium size (52 cm) air tubing is a necessary accessory for connecting the
VPAP unit to the ResMed Passover humidifier.
To set up the VPAP with the ResMed Passover:
1. Fill the Passover with water as described in the humidifier manual.
2. Connect the medium (52 cm) air tubing to the right connector port, and
the long air tubing (2 m or 3 m) to the left connector port on the
humidifier (H-1).
3. Place the VPAP on top of the Passover (H-2). Do not place the VPAP unit
underneath the humidifier. (This is to avoid water spilling into the unit.)
4. Connect the free end of the medium air tubing to the air outlet of the
VPAP (H-3).
5. Connect the mask system to the free end of the long air tubing. The final
assembly should look like figure H-4.
6. If the VPAP is not already plugged in, see Step 2 on page 7.
WARNING
!
Make sure that the power cord and plug are in good condition and the
equipment is not damaged.
7. Navigate to the humidifier setting (if available) in the VPAP menu and
select "PASSOVER". See “How to Use the Detailed Menu (if enabled by
your clinician)” on page 20.
The VPAP is now ready for use with the ResMed Passover. To start
treatment, see “Starting Treatment” on page 13.
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Setting up the VPAP System
9
Using the LCD Screen and Keypad
The control panel of the VPAP includes an LCD screen and keypad.
LCD screen
Left key
Right key
Front key
Up/down key
LCD Screen
The LCD screen displays the menus and treatment screens.
To assist you in adjusting the VPAP, the keypad and LCD are equipped with
a backlight. The LCD backlight comes on when the unit is turned on or when
you press a key, and turns off after two minutes.
Keypad Keys
The VPAP keypad has the following keys:
Key
Function
• Starts or stops treatment.
Front
• Extended hold for at least three seconds starts the
Mask-Fitting feature.
• Allows you to scroll through the VPAP menus,
submenus and setting options.
Up/Down
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10
Key
Function
• Performs the function indicated by the guiding text
displayed above it on the LCD screen. Guiding text
includes menu, enter, change and apply.
Left (green)
• Performs the function indicated by the guiding text
displayed above it on the LCD screen. Guiding text
includes exit and cancel.
Right (red)
The keypad backlight is on at all times when the VPAP is powered.
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Setting up the VPAP System
11
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12
Starting Treatment
The VPAP unit should be assembled beside your bed with the air tubing and
mask system connected. See “Setting Up The VPAP” on page 7.
1 Turn the main power switch at the back of the unit to on (I).
Main
power
switch
When the VPAP is turned on, a welcome message is displayed on the LCD
screen. The VPAP (or Ramp) screen then appears.
Note: If you have the HumidAire 2i attached, see “Using the HumidAire 2i
Warm-Up Feature” on page 14.
Fit your mask as described in the mask user instructions.
2
Lie down and arrange the air tubing so that it is free to move if you turn in
your sleep.
3
CAUTION
•
!
Do not leave long lengths of air tubing around the top of your bed. It
could twist around your head or neck while you are sleeping.
Make sure the area around the flow generator is dry and clean. It
should also be clear of bedding, clothes and other potential
blockages.
•
To start treatment, press the Front key
or
4
if your clinician has enabled the SmartStart function, simply breathe into the
mask and treatment will begin.
After starting treatment, you can display one of the treatment screens
described in “Treatment Screens” on page 26.
Ramp time
Ramp time is a feature which can be enabled by your clinician. If you have
difficulty falling asleep with full pressure, select a ramp time. The airflow will
start very gently while you fall asleep. The pressure will slowly increase to
full operating pressure over the selected ramp time. The clinician has set a
maximum ramp time; you may select any value up to the maximum.
To select a ramp time, see “Ramp Screen” on page 19.
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Starting Treatment
13
Stopping Treatment
To stop treatment at any time, remove your mask and press the Front key
or
if your clinician has enabled the SmartStart function, simply remove your
mask and treatment will end (SmartStop is not applicable with the "Mir Full"
mask setting).
Using the HumidAire 2i Warm-Up Feature
If using a HumidAire 2i with the VPAP, you can use the Warm-Up feature to
pre-heat the water in the humidifier prior to starting treatment.
After stopping treatment, the VPAP will continue to blow air gently to assist
cooling of the heater plate.
See the HumidAire 2i User’s Manual for further details.
Using the Mask-Fitting Feature
The VPAP Mask-Fitting feature can be used to help you fit your mask
properly. The mask-fitting feature delivers air pressure for a three-minute
period, prior to starting treatment, for checking and adjusting your mask fit
to minimise leaks. If a Ramp time is selected, the mask can be adjusted at a
pressure closer to the prescribed pressure. To use the mask-fitting feature:
1. Fit your mask as described in the user instructions.
2. Hold down the Front key for at least three seconds until air pressure
delivery starts.
The following display will appear on the LCD screen indicating that the
Mask-Fitting feature is in operation. The flow generator will ramp to the
Mask-Fit pressure and will remain at this pressure for three minutes. A
Mask-Fit star rating is also displayed. See “Definitions of Mask-Fit Star
Rating” on page 15.
Mask-Fit Star rating
Mask Fit
excelnt
*****
Notes:
•
The Mask-Fit star rating display disappears after three minutes.
The Mask-Fitting feature can only be started from the VPAP (or Ramp)
screen.
•
•
The Mask-Fit pressure is the set treatment pressure or 10 cm H20,
whichever is greater.
3. Adjust your mask, mask cushion and headgear until you have a secure
and comfortable fit.
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14
Once you have a secure and comfortable fit, check your Mask-Fit star
rating on the LCD screen. Definitions of the Mask-Fit star ratings are
presented in Table 1.
Note: If there is another person nearby to check your Mask-Fit star rating,
you can adjust your mask, mask cushion and headgear while lying down.
4. After three minutes, treatment will begin.
•
If you do not wish to wait three minutes, hold down the Front key for
at least three seconds and treatment will begin immediately.
•
If you press the Front key for less than three seconds, the unit will
return to standby mode (the VPAP or Ramp screen is displayed).
Table 1: Definitions of Mask-Fit Star Rating
Star rating
Definition
*****
****-
***--
Excellent
Very good
Good
**---
Adjust mask
Adjust mask
Adjust mask
*----
HIGH LEAK
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Starting Treatment
15
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16
Cleaning and Maintenance
You should regularly carry out the cleaning and maintenance described in
this section.
Daily Cleaning
Mask
Clean the mask according to the instructions supplied with the mask.
Air tubing
Disconnect the air tubing from the VPAP unit (and humidifier, if used) and
hang the tubing and mask in a clean, dry place until next use.
CAUTION
!
Do not hang the air tubing in direct sunlight as the tubing may harden
over time and eventually crack.
Humidifier
If you are using a humidifier, clean it according to the instructions in the
humidifier user manual.
Weekly Cleaning
1. Remove the air tubing from the VPAP unit and the mask.
2. Wash the air tubing in warm water using mild detergent. Rinse
thoroughly, hang and allow to dry.
3. Before next use, assemble the mask and headgear according to the user
instructions.
4. Reconnect the air tubing to the air outlet and mask.
CAUTION
•
!
Do not use bleach, chlorine-, alcohol- or aromatic-based solutions
(including all scented oils), moisturising or antibacterial soaps to
clean the air tubing or the VPAP. These solutions may cause
hardening and reduce the life of the product.
•
Do not hang the air tubing in direct sunlight as the tubing may
harden over time and eventually crack.
Periodic Cleaning
1. Clean the exterior of the VPAP unit with a damp cloth and mild liquid
soap.
2. Inspect the air filter to check if it is blocked by dirt or contains holes. See
“Replacing the Air Filter” on page 18.
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Cleaning and Maintenance
17
WARNING
!
!
Beware of electric shock. Do not immerse the flow generator or power
cord in water. Always unplug the flow generator before cleaning and be
sure that it is dry before reconnecting.
CAUTION
Do not attempt to open the VPAP. There are no user serviceable parts
inside. Repairs and internal servicing should only be performed by an
authorised service agent.
Replacing the Air Filter
Please refer to the illustrations in section A of the illustration sheet.
Inspect the air filter every month to check if it is blocked by dirt or contains
holes. With normal use of a VPAP unit, the air filter needs to be replaced
every six months (or more often if your unit is in a dusty environment). To
replace the air filter:
1. Remove the air filter cover at the back of the VPAP (I-1).
2. Remove and discard the old air filter.
3. Insert a new filter with the blue tinted side facing out (I-2).
4. Replace the air filter cover (I-3).
WARNING
!
Do not wash the air filter. The air filter is not washable or reusable.
Note: The air filter should be inspected once a month.
Servicing
This product (VPAP III/VPAP III ST) should be inspected by an authorised
ResMed service centre 5 years from the date of manufacture. Prior to this,
the device is intended to provide safe and reliable operation provided that it
is operated and maintained in accordance with the instructions provided by
ResMed. Applicable ResMed warranty details are provided with the device
at the time of original supply. Of course, as with all electrical devices, if any
irregularity becomes apparent, you should exercise caution and have the
device inspected by an authorised ResMed service centre.
If you feel that your unit is not performing properly, see “Troubleshooting”
on page 31.
CAUTION
!
Inspection and repair should only be performed by an authorised agent.
Under no circumstances should you attempt to service or repair the
flow generator yourself.
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18
How to Use the VPAP Menus
The VPAP unit provides a set of functions arranged in menus and submenus.
Via the LCD screen, the menus and submenus allow you to view and change
the settings for a particular function. You can access the menus regardless
of whether the VPAP is in standby mode or delivering therapy.
Your clinician has preset the menu to either a standard view or a detailed
view. Both of these menus are explained below.
When the VPAP is turned on, a Welcome screen is displayed. After the
device self-checks are complete, the VPAP (or Ramp) screen appears.
Ramp Screen
If your clinician has set a maximum ramp time, the Ramp screen is displayed
after the Welcome screen. On the Ramp screen, you can immediately set a
ramp time. Ramp time is the period during which the pressure increases
from a low pressure to the prescribed treatment pressure. See “Ramp time”
on page 13.
Ramp time can be altered in five minute increments (from OFF to a
maximum ramp time set by your clinician) by using the Up/Down key.
How to Use the Standard Menu
The standard menu allows you to view details about the time used and the
current software version of your VPAP. The Used (time) screen displays the
total number of hours for which the device has been used. It also displays
the number of days the VPAP was used out of the total number of days
available for use.
Figure 1 summarises the VPAP standard menu series.
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How to Use the VPAP Menus
19
VPAP screen
Ramp screen
Options:
OFF, 5, 10, 15, 20, 25,
30, 35, 40, 45 min
RESMED VPAP III
menu
RAMP: 20min
menu
USED:
00000/00000days
00000hrs
View only
View only
SW: SX3650201
exit
Figure 1: VPAP Standard Menu Series
•
•
•
To access the VPAP menus:
Press the Left key (menu) while the VPAP (or Ramp) screen is displayed.
To scroll through items within the menu:
Press the Up/Down key
To exit out of the menu:
Press the Right key (exit)
How to Use the Detailed Menu (if enabled by your
clinician)
The detailed menu allows you to view and change settings such as mask
type, tube length and the humidifier used. You can also view the serial
number and current software version of your VPAP.
Figure 2 summarises the VPAP detailed menu series.
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20
VPAP screen
Ramp screen
OFF, 5, 10, 15, 20, 25,
30, 35, 40, 45 min
RESMED VPAP III
menu
RAMP: 20min
menu
SETTINGS
enter
exit
MIRAGE, MIR FULL,
STANDARD, ULTRA
MASK: ULTRA
change
exit
TUBE LENGTH: 2m
2m, 3m
change
exit
NONE, PASSOVER, HUMIDAIRE.
If the HumidAire 2i is used, the above
options do not appear and H2i is
displayed.
HUMID: NONE
change
exit
SMARTSTART: OFF
ON, OFF
change
exit
MASK ALARM: OFF
ON, OFF
change
exit
RESULTS
enter
exit
MASK FIT: ∗∗∗ − −
These menus appear
only if at least one
Smart Data option has
been enabled by the
clinician
good
exit
USAGE: 4.34hrs
exit
OPTIONS
enter
exit
SMART DATA
enter
exit
AUTO APPEAR: OFF
change
exit
ENGLISH, GERMAN, FRENCH,
ITALIAN, SPANISH, PORTUGUESE,
SWEDISH, DUTCH
LANGUAGE:ENGLISH
change exit
SERVICING
enter
exit
SN:123456789123
View only
View only
456789
exit
PCB: NONE
represents a menu item
exit
exit
represents a submenu item
SW: SX3650201
View only
function
setting option
MASK: MIRAGE
change exit
Setting options—bold text
indicates default setting
2m, 3m
Figure 2: VPAP Detailed Menu Series (if enabled by your clinician)
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How to Use the VPAP Menus
21
•
•
•
•
To access the VPAP menus:
Press the Left key (menu) while the VPAP (or Ramp) screen is displayed.
To scroll through items within a menu or submenu:
Press the Up/Down key
To enter a submenu:
Press the Left key (enter).
To change a setting option for a function:
1. Press the Left key (change)
2. Press the Up/Down key until the desired setting option appears.
3. Press the Left key (apply) to select the setting option.
•
•
To exit without changing options:
Press the Right key (cancel)
To exit out of a menu or submenu:
Press the Right key (exit)
Note: You can return to the VPAP (or Ramp) screen at any time by holding
the Right key for at least three seconds.
Menu Functions (Detailed menu only)
The VPAP menu functions are summarised in Tables 2–6 below with a brief
description of what each function does and the available setting options. To
access these functions, see “How to Use the Detailed Menu (if enabled by
your clinician)” on page 20.
Settings Menu
The Settings Menu allows you to view and change certain operating features
of the VPAP unit.
Table 2: Settings Menu Functions
Function
Default
Function Description
Setting Options
Mask
ULTRA
Selects your mask type.
See “Settings for
Mask Types” on
page 23 for details.
Tube Length
2m
Selects the length of air tubing
connecting your mask to the
VPAP.
2m / 3m
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22
Function
Default
Function Description
Setting Options
Humidifier
NONE
Selects the type of humidifier to
be used with the VPAP.
NONE, PASSOVER,
HUMIDAIRE
If the HumidAire 2i
is used, the above
setting options do
not appear and H2i
is displayed.
™
SmartStart
OFF
Turns the SmartStart function on
or off.
ON/OFF
See “SmartStart™” on page 23.
Mask Alarm
ON
(VPAP III ST);
OFF
Turns the Mask Alarm signal on
or off.
ON/OFF
If enabled, the Mask Alarm
feature will alert you when a
high mask leak is detected. An
audible tone will sound and a
high leak message will appear
on the LCD screen.
(VPAP III)
SmartStart™
The VPAP has a function called SmartStart which can be enabled by your
clinician. If SmartStart is enabled, VPAP will start automatically when you
breathe into the mask and will stop automatically when you take your mask
off. This means you do not have to press the Front key to begin or end
treatment.
Note: If you select “Mir Full” as the mask option, SmartStop is
automatically disabled. SmartStart may not work with an Ultra Mirage Full
Face Mask due to safety features of the mask.
When Mask Alarm is set to ON, SmartStart/Stop automatically reverts to
OFF. SmartStop cannot be used with Mask Alarm because if a high leak
occurs, SmartStop will stop treatment before the Mask Alarm signal is
activated.
Settings for Mask Types
The following table shows the setting that should be selected for each mask
type.
Table 3: Settings for mask types
Settings
Mask
MIRAGE
ULTRA
Mirage Nasal Mask
Ultra Mirage Nasal Mask
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How to Use the VPAP Menus
23
Settings
Mask
STANDARD Mirage Activa Nasal Mask
Mirage Vista Nasal Mask
Modular Nasal Mask
MIR FULL
Mirage Full Face Mask
Mirage Full Face Mask Series 2
Ultra Mirage Full Face Mask
Results Menu
Note: This menu appears only if at least one Smart Data™ option has been
enabled by the clinician. See the VPAP III Smart Data Diary for further
details.
Table 4: Results Menu
Function
Function Description
Setting Options
Mask Fit
(Smart Data)
Displays a star rating corresponding to
the mask leak from the previous
session.
View only
See Table 1 on page 15 for mask-fit star
rating description.
Usage
(Smart Data)
Displays usage hours from the previous
session.
View only
See Table 1 on page 15 for mask-fit star
rating description.
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24
Options Menu
Table 5: Options Menu
Function
Default
Function Description
Setting Options
Smart Data
–Auto
Appear
OFF
The Smart Data menu is
displayed only if one or more
of the options have been set
to ON by the clinician.
ON/OFF
If Auto Appear is set to ON,
the Smart Data screens are
displayed upon powering up
of the device. If Auto Appear
is set to OFF, Smart Data is
displayed in the Results
menu only.
Language
English
Selects the language the
VPAP uses for all its display
text. English is the default
language.
English, German,
French, Italian,
Spanish,
Portuguese,
Swedish, Dutch.
Servicing Menu
Table 6: Servicing Menu
Function
Function Description
Setting Options
Serial
Displays the serial number for the VPAP.
View only
Number (SN)
Printed
Circuit Board
(PCB)
Displays the printed circuit board
number.
View only
View only
*
Software
Displays the current software version
installed in the VPAP.
* This item also appears in the Standard Menu.
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How to Use the VPAP Menus
25
Treatment Screens
After starting treatment, you can display one of the treatment screens
below. Press the Up/Down key to switch between views.
Ramping indicator
Set pressure(s)
Treatment mode
Trigger indicator
S:RAMP
S>>>>>
8.0–16.6
exit
Pressure bar graph
Figure 3: Treatment screen 1
Respiratory rate
Leak
Minute
ventilation
LK: 24L/min RR: 12
Tidal volume
MV: 12.0
VT:1000
Figure 4: Treatment screen 2
Cycle indicator
(TiMn / C / TiMx)
Trigger indicator
Set IPAP Max
S∗ ∗ C
Ti 1.5s
TiMx 2.0
1:2.5
Measured
inspiration time
Measured I:E ratio
Figure 5: Treatment screen 3
The treatment screens contain the following information:
Treatment mode: Mode of treatment set by your clinician. Options include:
CPAP, Spontaneous, Spontaneous/Timed (VPAP III ST) and Timed
(VPAP III ST).
Ramping indicator: Appears if the VPAP is in ramp mode. This disappears
once the ramp time has elapsed.
Set pressure(s): In CPAP mode, this displays the set treatment pressure
(units: centimetres of water). In other modes, it is exhalation and inhalation
pressures (units: centimetres of water).
Trigger indicator: How the VPAP changes the pressure when you are
inhaling. "S" (Spontaneous) indicates a patient triggered change and "T"
(Timed) indicates a device triggered change.
Pressure bar graph: Graphical display of the changing pressure.
Leak: Current mask leak (units: litres per minute).
Respiratory rate: Number of breaths per minute.
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26
Minute ventilation: Volume of air inhaled per minute (units: litres per
minute). It is the product of respiratory rate and tidal volume.
Tidal volume: Volume of air inhaled per breath (units: millilitres per breath).
Cycle indicator: How the VPAP changes the pressure when you are
exhaling. "C" indicates a patient cycled change; "TiMn" and "TiMx" indicates a
device cycled change.
Measured inspiration time: The average inhalation time measured by the
VPAP.
Set IPAP Max: The maximum inhalation time set by your clinician.
Measured I:E ratio: The inhalation to exhalation ratio measured by the
VPAP.
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How to Use the VPAP Menus
27
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28
Helpful Hints
Starting out
Mouth Leaks
If using a nasal mask, try to keep your mouth closed during treatment. Air
leaks from your mouth can decrease the effectiveness of your treatment. If
mouth leaks are a problem, a full face mask or chin strap may help. Contact
your clinician or equipment supplier for further details.
Mask Fitting
The flow generator delivers the most effective treatment when the mask is
well fitted and comfortable. Treatment can be affected by leaks, so it is
important to eliminate any leaks that may arise.
If you have problems trying to get a comfortable mask fit, contact your sleep
clinic or equipment supplier. You may benefit from a different size or style of
mask.
You can also use the Mask-Fitting feature to help you fit your mask properly.
See “Using the Mask-Fitting Feature” on page 14.
Before wearing your mask, wash your face to remove excess facial oils. This
will allow a better fit and prolong the life of the mask cushion.
Nasal Irritation
Dryness
You may experience dryness of the nose, mouth and/or throat during the
course of treatment, especially during winter. In many cases, a humidifier
may resolve this discomfort. Contact your clinician for advice.
Runny or Blocked Nose
You may experience sneezing and/or a runny or blocked nose during the first
few weeks of treatment. In many cases, nasal irritation can be resolved with
a humidifier. Consult your clinican for advice.
Travelling with the VPAP
International Use
Your VPAP flow generator has an internal power adapter that enables it to
operate in other countries. It will operate on power supplies of 100–240V
and 50–60Hz. No special adjustment is necessary, but you may need a plug
adapter for the power outlet.
Using a Battery and an Inverter
Your VPAP can be powered by a battery using an inverter. We recommend
a 12V or 24V deep-cycle battery, and any CE or UL marked inverter with a
minimum continuous output power rating of 200W.
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Helpful Hints
29
Note: When using the VPAP with a HumidAire 2i, use a pure sine wave
inverter not a modified sine wave inverter.
Please refer to the VPAP III battery power guide for battery capacities and
further details.
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30
Troubleshooting
If there is a problem, try the following suggestions. If the problem cannot be
solved, contact your equipment supplier or ResMed. Do not attempt to open
the unit.
Problem
Possible Cause
Solution
No display.
Power not connected or
switch at back is not on.
Ensure the power cable is
connected and that the
switch at the back of the
unit is in the ON position.
Insufficient air
delivered from the
VPAP.
Ramp Time is in use.
Air filter is dirty.
Wait for air pressure to
build up.
Replace air filter.
Air tubing is kinked or
punctured.
Straighten or replace
tubing.
Air tubing not connected
properly.
Check air tubing.
Mask and headgear not
positioned correctly.
Adjust position of mask
and headgear.
Plug(s) missing from
Replace plug(s).
access port(s) on mask.
Pressure required for
treatment may have
changed.
See your clinician to
adjust the pressure.
The VPAP does not
start when you
breathe into the
mask.
Power cord not connected
properly.
Connect power cord
firmly at both ends.
Power outlet may be
faulty.
Try another power outlet.
The VPAP unit not
switched on.
Switch power switch at
rear of the VPAP to ON.
SmartStart not on.
Enable SmartStart.
Mask Alarm has been
enabled; SmartStart has
automatically been
disabled.
Disable Mask Alarm to
enable SmartStart.
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Troubleshooting
31
Problem
Possible Cause
Solution
Breath is not deep
enough to trigger
SmartStart.
Take a deep breath in and
out through the mask.
There is excessive leak.
Adjust position of mask
and headgear.
Plugs may be missing
from ports on mask.
Replace them.
Air tubing not connected
properly. Connect firmly at
both ends.
Air tubing kinked or
punctured. Straighten or
replace.
VPAP unit does not
stop when you
SmartStart/Stop is
disabled.
Enable SmartStart/Stop.
remove your mask.
Use of an Ultra Mirage
Full Face Mask.
SmartStop does not work
with a full face mask.
SmartStart is enabled
but the flow
Incompatible humidifier or
mask system being used.
Use only equipment as
recommended and
generator does not
stop automatically
when you remove
your mask.
supplied by ResMed.
Display error
message:
Check tube!!
The air tubing is loose.
Check that the air tubing
is connected securely to
your mask and the air
outlet on the front of the
VPAP.
Key if done
To clear the error
message, press any key
on the VPAP keypad.
Displays error
message:
Component failure.
Return your VPAP for
servicing.
SYSTEM ERROR
Call service!
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Problem
Possible Cause
Solution
Excessive motor
noise.
Component failure.
Return your unit for
servicing.
Display error
message: High leak
in last session.
You have experienced
excessively high leak
levels during the night.
Check that your air tubing
is connected properly and
that your mask does not
leak excessively.
Use the mask-fitting
feature to help you to fit
your mask properly.
If this message appears
again, contact your
clinician.
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Troubleshooting
33
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34
System Specifications
Dynamic pressure characteristics
IPAP: 2 cm H2O to 25 cm H2O (measured at the end of standard 2 m air
tubing)
EPAP: 2 cm H2O to 25 cm H2O (measured at the end of standard 2 m air
tubing)
CPAP: 4 to 20 cm H2O (measured at the end of standard 2 m air tubing)
Maximum single fault pressure: 40 cm H2O
Maximum flow (CPAP mode, measured at the end of standard 2 m air
tubing)
Pressure
Flow
(L/min)
(cm H O)
2
10
15
20
200
170
150
Sound pressure level: <30 dB (tested in accordance with the requirements
of ISO 17510-1:2002)
Dimensions (L x W x H): 270 mm x 230 mm x 141 mm
Weight: 2.3 kg
Air outlet: 22 mm taper, compatible with EN 1281-1:1997 Anaesthetic &
Respiratory Equipment - Conical Connectors
Pressure measurement: Internally mounted pressure transducer
Flow measurement: Internally mounted flow transducer
Power Supply: Input range 100–240V, 50–60Hz, 40VA (typical power
consumption), < 100VA (maximum power consumption)
Housing Construction: Flame retardant engineering thermoplastic
Environmental Conditions
Operating Temperature: +5°C to +40°C
Operating Humidity: 10%–95% non-condensing
Storage and Transport Temperature: -20°C to +60°C
Storage and Transport Humidity: 10–95% non-condensing
Electromagnetic Compatibility
Product complies with all applicable electromagnetic compatibility
requirements (EMC) according to IEC60601-1-2, for residential, commercial
and light industry environments. For further details, see “Guidance and
Manufacturer’s Declaration - Electromagnetic Emissions and Immunity” on
page 39.
Air Filter: Two-layered, powder-bonded, polyester non-woven fibre
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System Specifications
35
Air Tubing: Flexible plastic, 2 m or 3 m length
IEC 60601-1 Classifications
Class II (double insulation)
Type CF
Table 7: Displayed values
Display
Resolution
Value
Range
Accuracy
Pressure sensor at air outlet
Pressure
-5 to 30 cm H O
±0.5 cm H O
0.1 cm H O
2
2
2
Flow sensor in flow generator*
Leak
0–120 L/min
**
**
1 L/min
1 mL
Tidal volume
Respiratory rate
Minute ventilation
100–3000 mL
6–60 BPM
±0.5 BPM
**
0.1 BPM
0.25 L/min
0.6–60 L/min
*
Results may be inaccurate in the presence of leaks.
** The displayed values are estimates. They are provided for trending purposes only.
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36
Pressure Variation
25.00
Max Pressure
20.00
15.00
10.00
5.00
2/3 Max Pressure
1/3 Max Pressure
10 BPM
15 BPM
20 BPM
0.00
0
1
2
3
Breaths
Pressure Volume curve
1/3 Max Pressure
2/3 Max Pressure
600
500
400
300
200
100
0
600
500
400
300
200
100
0
6.3
6.4
6.5
6.6
6.7
6.8
13.1
13.2
13.3
13.4
13.5
13.6
Pressure (cm H2O)
Pressure (cm H2O)
Max Pressure
600
10 BPM
15 BPM
20 BPM
500
400
300
200
100
0
19.7
19.8
19.9
20.0
20.1
20.2
Pressure (cm H2O)
Note: The manufacturer reserves the right to change these specifications
without notice.
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System Specifications
37
Symbols which appear on the product
Attention, consult accompanying documents
Class II equipment
Type CF equipment
Drip Proof
Start/Stop or Mask-Fit
Environmental information
WEEE 2002/96/EC is a European Directive that requires the
proper disposal of electrical and electronic equipment. This
device should be disposed of separately, not as unsorted
municipal waste. To dispose of your device, you should use
appropriate collection, reuse and recycling systems available in
your region. The use of these collection, reuse and recycling
systems is designed to reduce pressure on natural resources
and prevent hazardous substances from damaging the
environment.
If you need information on these disposal systems, please
contact your local waste administration. The crossed-bin symbol
invites you to use these disposal systems. If you require
information on collection and disposal of your ResMed device
please contact your ResMed office, local distributor or go to
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38
Guidance and Manufacturer’s Declaration -
Electromagnetic Emissions and Immunity
Guidance and manufacturer’s declaration – electromagnetic emissions
The VPAP is intended for use in the electromagnetic environment specified below. The customer or
the user of the VPAP should assure that it is used in such an environment.
Electromagnetic environment -
guidance
Emissions test
Compliance
RF emissions CISPR11
Group 1
The VPAP uses RF energy only for its
internal function. Therefore, its RF
emissions are very low and are not
likely to cause any interference in
nearby electronic equipment.
RF emissions CISPR 11
Class B
Class A
The VPAP is suitable for use in all
establishments, including domestic
establishments and those directly
connected to the public low-voltage
network that supplies buildings used
for domestic purposes.
Harmonic Emissions
IEC 61000-3-2
Voltage Fluctuations/Flicker
Emissions IEC 61000-3-3
Complies
Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed
and put into service according to EMC information provided in this document.
Warnings: The VPAP should not be used adjacent to or stacked with other equipment.
If adjacent or stacked use is necessary, the VPAP should be observed to verify normal operation in
the configuration in which it will be used.
The use of accessories (eg humidifiers) other than those specified in this manual is not
recommended. They may result in increased emissions or decreased immunity of the VPAP.
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System Specifications
39
Guidance and manufacturer’s declaration – electromagnetic immunity
The VPAP is intended for use in the electromagnetic environment specified below. The customer
or the user of the VPAP should assure that it is used in such an environment.
Electromagnetic
environment –
guidance
IEC60601-1-2
test level
Compliance
level
Immunity test
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood,
concrete or ceramic tile. If
floors are covered with
synthetic material, the
relative humidity should be
at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±2 kV
Mains power quality should
be that of a typical
commercial or hospital
environment.
±1 kV for input/
output lines
Not Applicable
Surge
IEC 61000-4-5
±1 kV differential
mode
±1 kV differential
mode
Mains power quality should
be that of a typical
commercial or hospital
environment.
±2 kV common
mode
±2 kV common
mode
Voltage dips, short
interruptions and
voltage variations on
power supply input
lines.
<5% Ut
(>95% dip in Ut)
for 0.5 cycle
< 12V
(>95% dip in 240V)
for 0.5 cycle
Mains power quality should
be that of a typical
commercial or hospital
environment.
If the user of the VPAP
requires continued
operation during power
mains interruptions, it is
recommended that the
VPAP be powered from an
uninterruptible power
source
40% Ut
(60% dip in Ut)
for 5 cycles
96V
IEC 61000-4-11
(60% dip in 240V)
for 5 cycles
70% Ut
(30% dip in Ut)
for 25 cycles
168V
(30% dip in 240V)
for 25 cycles
<5% Ut
<12V
(>95% dip in Ut)
for 5 sec
(>95% dip in 240V)
for 5 sec
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
3 A/m
3 A/m
Power frequency magnetic
fields should be at levels
characteristic of a typical
location in a typical
commercial or hospital
environment
NOTE: Ut is the a.c. mains voltage prior to application of the test level.
(Continued next page)
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40
Guidance and manufacturer’s declaration – electromagnetic immunity (Continued)
The VPAP is intended for use in the electromagnetic environment specified below. The customer or the
user of the VPAP should assure that it is used in such an environment.
Immunity
test
IEC60601-1-2
test level
Compliance
level
Electromagnetic environment –
guidance
Portable and mobile RF communications
equipment should be used no closer to any
part of the VPAP, including cables, than the
recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
3 Vrms
10 V/m
d = 1.17 √P
Radiated RF
IEC 61000-4-3
10 V/m
80 MHz to 2.5 GHz
d = 0.35 √P 80 MHz to 800 MHz
d = 0.70 √P 800 MHz to 2.5 GHz
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site
a
survey, should be less than the compliance
b
level in each frequency range.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
the VPAP is used exceeds the applicable RF compliance level above, the VPAP should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the VPAP.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m.
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System Specifications
41
Recommended separation distances between portable and mobile RF communications
equipment and the VPAP
The VPAP is intended for use in an environment in which radiated RF disturbances are controlled. The
customer or the user of the VPAP can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the VPAP as
recommended below, according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter
m
Rated maximum output
power of transmitter
W
150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = 1.17 √P
0.17
d = 0.35 √P
0.04
d = 0.35 √P
0.04
0.01
0.1
1
0.37
0.11
0.11
1.17
0.35
0.35
10
3.69
1.11
1.11
100
11.70
3.50
3.50
For transmitters rated at a maximum output power not listed above, the recommended separation distance
d in metres (m) can be determined using the equation applicable to the frequency of the transmitter, where
P is the maximum output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
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42
Limited Warranty
ResMed warrants that your ResMed product shall be free from defects in
material and workmanship for the period specified below from the date of
purchase by the initial consumer. This warranty is not transferable.
Product
Warranty Period
ResMed humidifiers, ResControl™, ResLink™, ResTraxx™ 1 Year
ResMed flow generators
2 Years
Accessories, mask systems (including mask frame,
cushion, headgear and tubing). Excludes single-use
devices.
90 Days
Note: Some models are not available in all regions.
If the product fails under conditions of normal use, ResMed will repair or
replace, at its option, the defective product or any of its components. This
Limited Warranty does not cover:
a) any damage caused as a result of improper use, abuse, modification or
alteration of the product;
b) repairs carried out by any service organization that has not been expressly
authorized by ResMed to perform such repairs;
c) any damage or contamination due to cigarette, pipe, cigar or other smoke;
d) any damage caused by water being spilled on or into a flow generator.
Warranty is void on product sold, or resold, outside the region of original
purchase. Warranty claims on defective product must be made by the initial
consumer at the point of purchase.
This warranty is in lieu of all other express or implied warranties, including
any implied warranty of merchantability or fitness for a particular purpose.
Some regions or states do not allow limitations on how long an implied
warranty lasts, so the above limitation may not apply to you.
ResMed shall not be responsible for any incidental or consequential
damages claimed to have occurred as a result of the sale, installation or use
of any ResMed product. Some regions or states do not allow the exclusion
or limitation of incidental or consequential damages, so the above limitation
may not apply to you. This warranty gives you specific legal rights, and you
may also have other rights which vary from region to region.
For further information on your warranty rights, contact your local ResMed
dealer or ResMed office.
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Limited Warranty
43
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44
Index
A
I
Accessories 6
Air filter 18, 35
air tubing 36
cleaning 17
IEC 60601-1 Classifications 36
International Use 29
K
keypad 10
B
Keys, functions 10
Back-light, LCD and Keypad 10
L
C
LCD screen 10
Left Key 11
Cautions 2
cleaning
periodic 17
M
weekly 17
Mask Alarm 23
Mask Fitting 29
mask settings 23
mask types 23
Cleaning and Maintenance 17
cleaning mask 17
Cleaning Periodically 17
Mask-Fit Star Rating, definitions 15
Mask-Fitting Feature 14
Masks 5
maximum flow 35
Medical Information 1
Menu Functions 22
menu type 19
D
Daily Cleaning 17
definitions 1
Detailed Menu 20, 21
Dimensions 35
Dryness 29
Dynamic pressure characteristics 35
Menus, using the VPAP 19
Mouth Leaks 29
E
N
Electromagnetic Compatibility 35
Environmental Conditions 35
Error Messages 32
Nasal Irritation 29
O
F
Operating Instructions 13
Options Menu 25
Front Key 10
G
P
Glossary of Symbols 38
Passover 9
periodic cleaning 17
Power Supply 35
H
Helpful Hints 29
High Leak Message 23
Housing Construction 35
how to use the VPAP 7
HumidAire 8
HumidAire 2i 8
HumidAire 2iC 8
Humidifier 6
R
Ramp Screen 19
Ramp time 19
Replacing the Air Filter 18
Responsibility, user/owner 1
Results Menu 24
Right Key 11
cleaning 17
Humidifier Use 7
Runny or Blocked Nose 29
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Index
45
S
Servicing 18
Servicing Menu 25
setting up 7
Settings Menu 22
SmartStart 23
Standard Menu 20
Starting Treatment 13
Stopping Treatment 14
System Specifications 35
T
Travelling 29
treatment screen 26
Troubleshooting 31
U
Up/Down Key 10
Used (time) screen 19
User/Owner Responsibility 1
Using the Mask-Fitting feature 14
Using the Menus 19
W
Weekly Cleaning 17
weekly cleaning 17
Weight 35
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46
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