ResMed VPAP ST Clinical Manual
Positive airway pressure device,
heated humidifier
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Also See for VPAP ST:
- Information manual (119 pages) ,
- Welcome manual (82 pages) ,
- User manual (17 pages)
Related Manuals for ResMed VPAP ST
Summary of Contents for ResMed VPAP ST
- Page 1 VPAP ST / VPAP ™ ™ POSITIVE AIRWAY PRESSURE DEVICE ™ HEATED HUMIDIFIER Clinical Guide English...
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Page 2: Table Of Contents
VPAP ST and VPAP S adverse effects ........... 1 H5i indications for use ................1 H5i contraindications ................1 VPAP ST and VPAP S at a glance ..............2 Travelling with the VPAP ............... 2 H5i at a glance ..................... 3 Travelling with the H5i ................ - Page 3 Replacing the air filter................. 29 Antibacterial filters ................30 Technical specifications ................31 General technical specifications ............31 VPAP ST and VPAP S technical specifications ........32 Air tubing technical specifications ............33 Humidifier performance ..............33 Pneumatic flow path ................33 Flow (maximum) at set pressures ............
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Page 4: Welcome
Before operating these devices, please read the entire Clinical and Information Guides. VPAP ST indications for use The S9 VPAP ST is intended to provide non-invasive ventilation for patients weighing more than 13 kg with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP ST is intended for home and hospital use. -
Page 5: Vpap St And Vpap S At A Glance
Advise the patient to purchase and travel with the approved power cord for the region where they will be using the VPAP device. • ResMed confirms that the VPAP ST and VPAP S meets the Federal Aviation Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air travel. -
Page 6: H5I At A Glance
Flip lid seal Flip lid Air outlet Release button ClimateLine/ ClimateLine connection port Latch water tub H5i at a glance The H5i system comprises the following elements: • H5i heated humidifier • H5i cleanable water tub • ClimateLine heated air tubing (if sold as a Climate Control Kit). Optional components include: •... -
Page 7: Operating Information
One breath cycle IPAP Pressure Support EPAP Rise time Time Modes of operation The following table describes the operating modes available on the VPAP ST or VPAP S. Mode VPAP ST VPAP S CPAP mode ü ü A fixed pressure is delivered. -
Page 8: Triggering And Cycling
TiControl™ – Inspiratory Time Control (S and ST modes) Unique to ResMed CPAP and bilevel devices, TiControl allows the clinician to set minimum and maximum limits on the time the device spends in IPAP . The minimum and maximum time limits are set at either side of the patient’s ideal spontaneous inspiratory time, providing a ’window of... - Page 9 Ti Max Ti Min Cycle Window Patient flow Pressure The following table is a guide to selecting the Ti Max and Ti Min values that best correspond to the patient’s respiratory rate and inspiration and expiration ratio, depending on the respiratory conditions. Notes: •...
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Page 10: Vpap St And Vpap S Features
VPAP ST and VPAP S features Climate Control VPAP devices, when used in conjunction with the H5i and ClimateLine or ClimateLine heated air tubing, offer a feature called Climate Control. Climate Control enables the automatic delivery of a constant value of absolute humidity to the patient’s upper airway while protecting against rainout and allowing patients to select the air temperature that offers the most comfort for them. -
Page 11: S9 Essentials
S9 Essentials S9 Essentials is designed to make device interaction and menu navigation easier for patients. If enabled, S9 Essentials disables the Info and Setup functionality so that patients can simply start and stop therapy and adjust ramp, humidification and Climate Control. S9 Essentials can be enabled via Clinical Setup > Options >... -
Page 12: Setup
Setup 1. Align your H5i with your VPAP device and push them together until they click into place. 2. Connect the DC plug of the power supply unit to the rear of the VPAP device. 3. Connect the power cord to the power supply unit. 4. -
Page 13: Mask And Tubing Setup
“Nasal Ultra” setting. If your patient is using a paediatric mask ensure that the “Pediatric” setting is selected. • For a complete list of recommended masks and their settings go to www.resmed.com on the Products page under Service & Support. If you do not have internet access, please contact your ResMed representative. -
Page 14: Filling The Water Tub
Filling the water tub 1. Slide the latch and lift open the flip lid. 2. Remove the water tub. 3. Fill the water tub (through the centre hole) with water up to the maximum water level mark (380 mL). 4. Return the water tub to the H5i. 5. -
Page 15: Vpap Basics
VPAP basics LCD screen* Displays the menus, treatment screens and reminders. Start/Stop button Starts or stops treatment. Setup menu button** Info menu button** Key: Allows you to view Allows you to make your sleep statistics changes to settings or exit from the or exit from the Home menu. -
Page 16: Navigating The Menus
Navigating the menus In general, to navigate the menus: 1. Turn until the 2. Press 3. Turn until you 4. Press to confirm parameter you The selection is see the setting that your choice. The require is displayed highlighted in you require. -
Page 17: Changing Settings Via The Home Menu
Changing settings via the Home menu From the Home menu, you can adjust or check the following features: Ramp Designed to make the beginning of treatment more comfortable for the patient, ramp time is the period during which the pressure increases from an initial pressure to the prescribed treatment pressure or minimum treatment pressure. -
Page 18: Viewing The Treatment Screens
Viewing the treatment screens Depending on how the system has been configured, you will see one of the following example screens (shown in ST mode below) when the device is running: ü H5i humidifier ü H5i humidifier ü H5i humidifier ü... -
Page 19: Treatment Screen Parameters
Treatment screen parameters Parameter Modes Description CPAP CPAP Fixed treatment pressure. ü S / ST / T Set (EPAP and IPAP) pressures. ü ü ü Ramp Orange icon shows that device is ramping up. ü ü ü ü Oxygen saturation Measure of the saturation of blood haemoglobin with ü... -
Page 20: Setup Menu
Setup menu The Setup menu consists of: • Patient Setup menu—allows the patient to optimise comfort settings as well as make changes to the mask or tube type. • Clinical Setup menu—allows you to set all parameters pertaining to the patient’s therapy. Patient Setup menu Only settings relevant to the patient are displayed in the Patient Setup menu. -
Page 21: Clinical Setup Menu Parameters
2–Min pressure, Sets the pressure at the start ü ü ü 0.2 cm H of ramp, up to minimum increments treatment pressure. * Available in VPAP S only. ** Available in VPAP ST only. † ‡ [France only]. [Germany only]. - Page 22 Parameter Modes Default Range Description CPAP Circuit Mask type Full Face Full Face / Selects the type of mask used ü ü ü ü Nasal / Pillows by the patient. / Nasal Ultra / Pediatric Tube type SlimLine SlimLine / Shows the type of air tubing ü...
- Page 23 Parameter Modes Default Range Description CPAP Reminders Mask 6 mths Seven-day A timed reminder to remind ü ü ü ü increments a patient when they need to (starting from the replace their mask. current set date) Water tub 6 mths A timed reminder to remind ü...
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Page 24: Info Menu
Reminder menu You can access reminders from the Clinical Menu > Options. From the REMINDERS screen, scroll down to the submenus to set a number of different types of messages. You can use the Reminder menu to alert a patient to specific events, such as when to replace their mask (shown on the left) or when to insert an SD card. -
Page 25: Advanced Info Menu
Advanced Info menu To access the Advanced Info menu, press and hold the Info and Setup buttons for three seconds. This menu provides additional settings and sleep report information. Usage, Mask Fit and AHI are always displayed even when Sleep Quality is set to Usage. Clinical Info menu Accessed from the Clinical Setup menu, the Clinical Info menu provides the same screens as shown on the Advanced Info menu on the previous page but with lighter green background and with the unlock... - Page 26 Parameter Description Avg. usage Average number of hours per day the device has been used during the selected period. Used Hrs Number of hours the device has been used during the selected period or since the last compliance data reset. Insp.
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Page 27: Managing Climate Control
Managing Climate Control Designed to be ideal for most patients, Climate Control Auto enables the automatic delivery of a constant value of absolute humidity while protecting against rainout. To allow for increased flexibility, Climate Control can be turned to Manual in either the Patient Setup (when enabled) or the Clinical Setup menus. -
Page 28: Delivering Therapy
Delivering therapy 1. Make sure the power is connected. 2. Ensure patient settings are correct. Adjust the ramp time or humidification level if required. 3. Instruct the patient to fit their mask as described in the mask user guide. 4. To start therapy, instruct the patient to breathe into the mask and/or press 5. -
Page 29: Data Management
SD card. VPAP device settings are written to the SD card. This allows a ResMed PC application to display actual device settings from the SD card instead of the default values. -
Page 30: Analysing The Sd Card Data
Analysing the SD card data To analyse the data, use a ResMed PC application to transfer data and settings between an S9 or an SD card and your personal computer. Refer to your PC application guide for more information about analysing the information on returned SD cards. -
Page 31: Cleaning And Maintenance
Cleaning and maintenance You should regularly clean and maintain your device as described in this section. Disassembling the H5i 1. Slide the latch. 2. Lift open the flip lid. 3. Remove the water tub. 4. Discard any excess water from the water tub. 5. -
Page 32: Reassembling The H5I
Reprocessing the H5i between patients The H5i should be reprocessed when used between patients. Cleaning and disinfection instructions are available from the ResMed website, www.resmed.com under Products and Service & Support. If you do not have internet access, please contact your ResMed representative. -
Page 33: Replacing The Air Filter
1. Remove the air filter cover from the back of the VPAP device. 2. Remove and discard the old filter. 3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover. 4. Replace the air filter cover. -
Page 34: Technical Specifications
It is recommended that mobile communication devices are kept at least 1 m away from the device. Information regarding the electromagnetic emissions and immunity of these ResMed devices can be found on www.resmed.com, on the Products page under Service and Support. Click on the PDF file for your language. Aircraft use... -
Page 35: Vpap St And Vpap S Technical Specifications
VPAP ST and VPAP S technical specifications Pressure and Operating pressure range (measured at the mask): 4–20 cm H O (CPAP); flow state 2–25 cm H O (VPAP) Maximum single fault steady state pressure: 30 cm H O - if pressure exceeded for >... -
Page 36: Air Tubing Technical Specifications
Nominal system output AH , BTPS pressure cm H Setting 3 Setting 6 Setting 3 Setting 6 11.5 13.5 AH - Absolute Humidity in mg/L. BTPS - Body Temperature Pressure Saturated. Pneumatic flow path VPAP ST/VPAP S Mask Inlet filter Blower Tube English... -
Page 37: Flow (Maximum) At Set Pressures
Accuracy may be reduced by the presence of leaks, supplemental oxygen, tidal volumes <100 mL or minute ventilation <3 L/min. Measurement accuracy verified as per EN ISO 10651-6:2009 for Home Care Ventilatory Support Devices (Figure 101 and Table 101) using nominal ResMed mask vent flows. -
Page 38: Pressure Accuracy
Pressure accuracy Maximum static pressure variation at 10 cm H O according to EN ISO 17510-1:2009: Standard tube SlimLine tube Without humidifier 9.89 cm H O to 9.97 cm H 9.76 cm H O to 9.87 cm H With H5i humidifier 9.82 cm H O to 9.98 cm H 9.78 cm H... -
Page 39: Warnings And Cautions
• Only use the ResMed 90W or 30W power supply unit. Use the 90W power supply unit to power the system comprising the device, H5i, air tubing, DC/DC converter and battery pack. The 30W power supply unit is designed to power the device only and recommended for traveling. -
Page 40: Cautions
Ensure that the device is protected against water if used outdoors. Enclose the device in the S9 travel bag for transport. • The H5i should only be used with tubing or accessories recommended by ResMed. Connection of other delivery tubes or accessories could result in injury, or damage to the device. •... - Page 41 4RY UK. See www.resmed.com for other ResMed locations worldwide. For patent information, see www.resmed.com/ip. S9, H5i, ClimateLine, SlimLine, SmartStart, TiControl and VPAP are trademarks of ResMed Ltd and S9, ClimateLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Office.