ResMed VPAP AUTO 25 Manuel utilisateur

VPAP™ Auto 25

VPAP™ ST

VPAP™ S

Positive AirwAy Pressure device

User Guide

English

VPAP™ Auto 25

VPAP™ ST

VPAP™ S

POSITIVE AIRWAY PRESSURE DEVICE

User Guide

English

ResMed Ltd (Manufacturer) 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia

ResMed Corp (US Designated Agent) 14040 Danielson Street Poway CA 92064-6857 USA

ResMed (UK) Ltd (EU Authorized Representative) 96 Milton Park Abingdon Oxfordshire OX14 4RY UK

ResMed Offices Australia, Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia,

Mexico, Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, UK, USA (see www.resmed.com

for contact details).

Protected by patents: AU 691200, AU 697652, AU 699726, AU 702820, AU 709279, AU 713679, AU 724589, AU 764761, EP 0651971, EP 0661071,

EP 0858352, EP 0920845, EP 0927538, EP 0934723, JP 3638613, US 5199424, US 5245995, US 5522382, US 5704345, US 6138675, US 6213119,

US 6240921, US 6363933, US 6367474, US 6425395, US 6502572, US 6591834, US 6675797, US 6705315, US 6745768, US 6817361, US 6988498,

US 7040317, US 7100608. Other patents pending.

Protected by design registrations: AU 302180, AU 302181, AU 302182, AU 302183, AU 302184, AU 302185, AU 302186, CN 200430121211.8,

CN 200430121212.2, CN 200430121213.7, CN 200430121214.1, CN 200430121215.6, CN 200430121216.0, CN 200430121217.5, EU 269436,

HK 0412901.9, JP 1248040, JP 1257662, JP 1257663, JP 1266956, JP 1266957, JP 1267270, JP 1267271, NZ 405614, NZ 406923, NZ 406924,

NZ 406925, NZ 406926, NZ 406927, NZ 406928, US D544598, US D557406, US D557407, US D560795, US D561891. Other designs pending.

SmartStart, TiCONTROL, VPAP, and Vsync are trademarks of ResMed Ltd and SmartStart and VPAP are registered in U.S. Patent and Trademark

Office.

Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Contraindications 1

Adverse Effects 1

The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Masks 2

Humidifier 2

ResScan Data Card 2

Supplemental Oxygen 3

Using the VPAP Auto 25, VPAP ST & VPAP S . . . . . . . . . . . . . . . . 3

Setting up your VPAP 3

Attaching a H4i Humidifier 4

How to Use the Control Panel 4

Using the Menus 5

How to Select the Mask Type 6

SmartStart™ 6

Starting Treatment 7

Stopping Treatment 7

Using the Mask-Fitting feature 8

Reminders on the VPAP LCD 8

Using the Data Card 9

Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Daily 11

Weekly 11

Monthly 11

Replacing the Air Filter 11

Servicing 12

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Symbols Which Appear On The Device 15

General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

1Introduction

English

Introduction

The VPAPTM Auto 25, VPAPTM ST and the VPAPTM S are indicated for the treatment

of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). They

are intended for home and hospital use.

Contraindications

Positive airway pressure therapy may be contraindicated in some patients with the

following pre-existing conditions:

•severe bullous lung disease

•pneumothorax or pneumomediastinum

•pathologically low blood pressure, particularly if associated with intravascular

volume depletion

•dehydration

•cerebrospinal fluid leak, recent cranial surgery or trauma.

Adverse Effects

Patients should report unusual chest pain, severe headache or increased

breathlessness to their prescribing 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 device:

•drying of the nose, mouth or throat

•nosebleed

•bloating

•ear or sinus discomfort

•eye irritation

•skin rashes.

WARNING

Read the entire manual before using these VPAP devices.

CAUTION (USA ONLY)

Federal law restricts these devices to sale by or on the order of a physician.

The VPAP System

The VPAP Auto 25, VPAP ST and the VPAP S comprise the following elements:

•VPAP device

•6’6” (2 m) air tubing

•Power cord

•Travel bag

•ResScan™ Data Card.

Optional components include:

•9’9” (3 m ) air tubing

•DC/DC converter 24V/50W

•ResMed Oxygen Connector Port.

Masks

The following ResMed mask systems are recommended for use with these devices:

For information on using masks, see your mask manual. For the latest available

masks, see www.resmed.com.

Humidifier

If you are experiencing dryness of the nose, throat or mouth, the H4i heated

humidifier is recommended for use with these VPAP devices.

WARNING

•Only ResMed mask systems have been validated for use with these VPAP

devices.

•Only the H4i is compatible for use with these VPAP devices.

ResScan Data Card

The ResScan Data Card may be used with these VPAP devices either to help your

clinician to monitor your treatment or to provide you with updates to your device

settings.

Screen

Keypad

Air outlet DC

Air inlet

Data Card

Module

Carry handle

Mask Type Name

Nasal Masks • Mirage Vista™ Nasal Mask

• Ultra Mirage™ Nasal Mask

• Ultra Mirage™ II Nasal Mask

• Mirage Activa™ Nasal Mask

• Mirage Micro™ Nasal Mask

Nasal Pillows Systems • Mirage Swift™ Nasal Pillows System

• Mirage Swift™ II Nasal Pillows System

• Swift™ LT Nasal Pillows System

Full Face Masks • Mirage™ Liberty Full Face Mask

• Mirage™ Quattro Full Face Mask

• Ultra Mirage™ Full Face Mask

3Using the VPAP Auto 25, VPAP ST & VPAP S

English

Supplemental Oxygen

The VPAP Auto 25, VPAP ST and VPAP S are designed to be compatible with the

following levels of supplemental oxygen usage:

•Up to 4 L/min in VAuto mode

•Up to 15 L/min in CPAP, S, ST and T modes.

At a fixed flow rate of supplemental oxygen flow, the inhaled oxygen concentration

will vary, depending on the pressure settings, patient breathing pattern, mask

selection, and the leak rate.

WARNING

Always use the ResMed Oxygen Connector Port when adding supplemental

oxygen at the flow generator outlet.

Using the VPAP Auto 25, VPAP ST & VPAP S

Setting up your VPAP

1Connect the power cord to the socket at the rear of your VPAP.

2Plug the other end of the power cord into the power outlet.

3Connect one end of the air tubing firmly onto the air outlet.

4Connect the assembled mask system to the free end of air tubing.

For information on assembling your mask, see your mask manual.

WARNING

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

equipment is not damaged.

•Only ResMed air tubing should be used with the device. A different type of

air tubing may alter the pressure you actually receive, reducing the

effectiveness of your treatment.

•Blocking the hose and/or air inlet of the device while in operation could lead

to overheating of the device.

CAUTION

•Be careful not to place the device where it can be bumped or where

someone is likely to trip over the power cord.

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

clear of bedding, clothes or other objects that could block the air inlet.

Attaching a H4i Humidifier

The H4i humidifier attaches to the front of a VPAP Auto 25, VPAP ST or VPAP S device

to provide heated humidification. These devices automatically detect the presence of

the H4i and no other accessories are required for its use. For more information on

using your H4i, please refer to the H4i user guide.

WARNING

•Make sure that the water chamber is empty and thoroughly dried before

transporting the H4i.

•When using the travel bag, always separate the VPAP unit and the H4i and

place the H4i in its pouch.

How to Use the Control Panel

The control panel of your VPAP device includes an LCD screen which displays the

menus and treatment screens as well as a keypad for navigating through the menus

and delivering treatment. The keypad has the following keys:

LCD screen

Keypad

Start/Stop Key

Key Function

Start/Stop Starts or stops treatment. Extended hold for at least three

seconds starts the mask-fit feature.

Up Allows you to increase settings options and scroll through the

menu.

Down Allows you to decrease settings options and scroll through the

menu.

Left Performs the function indicated by the guiding text displayed

above it on the LCD screen. Guiding text includes menu, change,

and apply.

Right Performs the function indicated by the guiding text displayed

above it on the LCD screen. Guiding text includes exit and cancel.

5Using the VPAP Auto 25, VPAP ST & VPAP S

English

Using the Menus

The VPAP Auto 25, VPAP ST and VPAP S provide a set of functions which are

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. To navigate and

make selections within the Patient Menu:

1Press or to scroll through items within a level.

2Press to enter a submenu and to apply an option choice.

3Press to navigate out of a menu or submenu and to exit without changing

options.

The following illustration summarizes the VPAP standard menu series:

Notes:

•The Ramp or Settling screens are only available if Max Ramp/Max Settle has been

set by the clinician.

•The Exhalation screen will only appear if patient access is enabled by a clinician in

VAuto mode.

•The EPR Level screen will only appear if patient access is enabled by a clinician in

CPAP mode.

MASK: ULTRA

change exit

MASK: ULTRA

change exit

EPR LEVEL: 1

change exit

USED: 0090hrs

006/002 days exit

SW: SX3650201

exit

SW: SX3650201

exit

USED: 0090hrs

006/002 days exit

EXHALATION

change exit

RAMP: 10min

menu 

SETTLE: 20min

menu 

WELCOME

>>>>>>

CPAP, S, ST & T modes

VAuto mode

How to Select the Mask Type

Scroll to MASK and select . Press or until you see the setting you

require. The following table shows the setting that should be selected for each mask:

How to change the EPR level (CPAP mode)

Expiratory Pressure Relief (EPR) can be used to improve your comfort level when

breathing out during treatment. If patient access is enabled by the clinician you can

change the EPR level. There are four settings: OFF; 1 (lowest EPR); 2; and 3 (highest

EPR).

1On the standby (RAMP) screen, press .

2Press until you see EPR LEVEL, then press .

3Press or until you see the setting that you require.

4Press to save the setting.

How to change the Exhalation rate (VAuto mode)

If patient access is enabled by the clinician, you can adjust the Exhalation rate so that

the rate of pressure drop is at a level that is most comfortable for you. There are three

settings: Fast; Medium; and Slow.

1On the standby (SETTLE) screen, press .

2Press until you see EXHALATION, then press .

3Press or until you see the setting that you require.

4Press to save the setting.

SmartStart™

If your clinician has enabled SmartStart/Stop, your device will start automatically

when you breathe into your mask and stop automatically when you take your mask

off.

Settings Mask

ULTRA Ultra Mirage Nasal Mask

Ultra Mirage II Nasal Mask

MIR FULL Mirage Liberty Full Face Mask

Mirage Quattro Full Face Mask

Ultra Mirage Full Face Mask

ACTIVA Mirage Activa Nasal Mask

SWIFT Mirage Swift Nasal Pillows System

Mirage Swift II Nasal Pillows System

Swift LT Nasal Pillows System

STANDARD Mirage Vista Nasal Mask

Mirage Micro Nasal Mask

MIRAGE Mirage Nasal Mask

7Using the VPAP Auto 25, VPAP ST & VPAP S

English

Starting Treatment

1Make sure the power is on.

The product name is displayed briefly on the LCD screen, then the standby (Ramp/

Settle) screen appears. The key and LCD backlights also turn on.

2Fit your mask as described in the mask user instructions.

WARNING

A mask should not be used unless your VPAP device is turned on and operating

properly.

3Alter the ramping/settling time if required.

4To start therapy, simply breathe into the mask or press .

5Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.

6After starting therapy an introductory screen will display:

Stopping Treatment

To stop treatment at any time, remove your mask and press . If your clinician

has enabled SmartStart/Stop, simply remove your mask and treatment will end.

Note: SmartStart/Stop will not work if:

•you have a Full Face Mask; or

•your clinician has enabled Leak Alert.

LK: 10L/min RR: 15

MV: 10.2 VT: 680

S:RAMP 4.0-10.0

>>>> PS 6.0

S**TiMn TiMx 2.0

Ti 1.5s 1: 1.6

SpO2: 98%

HR : 60 exit

This screen only displays if

ResLink and an oximeter are

connected

Inspiration information

Leak and breath information

Mode and pressure display

S mode

example

Ce manuel convient aux modèles suivants

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