ResMed H5i Clinical Manual

ResMed H5i Clinical Manual

S9 series vpap adapt positive airway pressure device heated humidifier
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VPAP
Adapt
POSITIVE AIRWAY PRESSURE DEVICE
H5i
HEATED HUMIDIFIER
Clinical Guide
English

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Summary of Contents for ResMed H5i

  • Page 1 VPAP Adapt ™ POSITIVE AIRWAY PRESSURE DEVICE ™ HEATED HUMIDIFIER Clinical Guide English...
  • Page 3: Table Of Contents

    VPAP Adapt indications for use ............1 VPAP Adapt contraindications .............. 1 VPAP Adapt adverse effects ..............1 H5i indications for use ................1 H5i contraindications ................1 VPAP Adapt at a glance ................2 Traveling with the VPAP Adapt.............. 2 H5i at a glance .....................
  • Page 4 Antibacterial filters ................27 Technical specifications ................28 General technical specifications ............28 VPAP Adapt technical specifications ..........29 H5i technical specifications ..............30 Air tubing technical specifications ............30 Humidifier performance ..............30 Pneumatic flow path ................31 Flow (maximum) at set pressures ............31 Displayed values .................
  • Page 5: Welcome

    H5i indications for use The H5i is indicated for the humidification of the air delivered from a CPAP or bilevel device. The H5i is for use only as recommended by a physician. The H5i is intended for single patient re-use in the home environment and re-use in a hospital/institutional environment.
  • Page 6: Vpap Adapt 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 Adapt device. • ResMed confirms that the VPAP Adapt meets the Federal Aviation Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air travel.
  • Page 7: H5I At A Glance

    • H5i cleanable water tub. Traveling with the H5i When moving or traveling with the H5i: • Ensure that the water tub is empty. • Disconnect the H5i from the VPAP Adapt by pressing the release button. English...
  • Page 8: Operating Information

    ASV mode automatically adjusts pressure support between Max PS and Min PS to keep the patient’s respiratory flow even. ResMed recommends maximum pressure support to be greater than or equal to 10 cm. Normal effort...
  • Page 9: Vpap Adapt Features

    VPAP Adapt features Climate Control VPAP Adapt devices, when used in conjunction with the H5i and ClimateLine/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 10: Sleep Quality

    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 11: Setup

    Setup 1. Align your H5i with your VPAP Adapt 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 Adapt. 3. Connect the power cord to the power supply unit.
  • Page 12: Mask And Tubing Setup

    “Nasal Ultra” setting. • 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 13: Filling The Water Tub

    3. Fill the water tub (through the center hole) with distilled or deionized water up to the maximum water level mark (12.5 fl oz / 380 mL). 4. Return the water tub to the H5i. 5. Close the flip lid ensuring that it clicks into place.
  • Page 14: Vpap Adapt Basics

    VPAP Adapt basics LCD screen* Displays the menus, treatment screens and reminders. Start/Stop button Starts or stops treatment. Info menu button** Setup menu button** Key: Allows you to view Allows you to make your sleep statistics changes to settings or or exit from the exit from the menu.
  • Page 15: Navigating The Menus

    ClimateLine/ClimateLine heated air tube are connected and when Climate Control is activated in the Clinical Setup menu. Humidity Level and Heated Tube—displayed when both the H5i and the ClimateLine/ClimateLine heated air tube are connected and when Climate Control is set to Manual in the Clinical Setup menu.
  • Page 16: 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 17: Viewing The Treatment Screens

    Viewing the treatment screens Depending on how the system has been configured, you will see one of the following screens when the device is running: ü H5i humidifier ü H5i humidifier ü H5i humidifier ü ClimateLine/ClimateLine ü ClimateLine/ClimateLine heated air tube heated air tube ü...
  • Page 18: Treatment Screen Parameters

    Treatment screen parameters Parameter Modes Description CPAP Treatment screen CPAP Shows the fixed treatment pressure. ü Shows the treatment pressures. ü Ramp Orange icon shows that device is ramping up. ü Oxygen saturation Measure of the saturation of blood hemoglobin with oxygen, ü...
  • Page 19: Setup Menu

    Setup menu The Setup menu consists of: • Patient Setup menu—allows the patient to optimize comfort settings as well as make changes to the mask or tube type. • Clinical Setup menu—allows the clinician 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 20: Clinical Setup Menu Parameters

    Clinical setup menu parameters Parameter Modes Default Range Description CPAP Settings Mode CPAP / ASV Sets the therapy mode available ü ü on the device. EPAP 5 cm H 4–15 cm H Sets the pressure which will be ü 0.2 cm H delivered to the patient when the increments device is cycled into expiration.
  • Page 21 Parameter Modes Default Range Description CPAP Access Full Full / Limited Enables or disables S9 ü ü Essentials—If set to Limited, the Info and Setup menu buttons are disabled. This means that the patient can simply start or stop therapy and adjust ramp, humidification or Climate Control.
  • Page 22: Info Menu

    Parameter Modes Default Range Description CPAP Configuration Language English English / Français Sets the display language. ü ü / Español / Note: Not all languages are Português available in all regions. 简体中文 / 繁體中文 Restore factory Yes / No Resets machine default settings ü...
  • Page 23: Advanced Info Menu

    Sleep Quality—Usage When Sleep Quality is set to Usage, only the data on previous usage is displayed. Sleep Report For Sleep Report, only the period can be changed—other values are for display only. Service For Service information, the device run hours and software identifications are displayed Advanced Info menu To access the Advanced Info menu, press and hold the Info and Setup buttons for three seconds.
  • Page 24: Info Menu Parameters

    Info menu parameters Parameter Description Displays the following information on last night’s usage, mask fit and AHI Sleep Quality data. Period Time period displayed as Last night (last session). Usage Number of hours the device has been used during the last session. Mask Fit Indicates ‘Good’...
  • Page 25: Managing Climate Control

    Parameter Description Displays parameter settings depending on therapy mode. View settings Note: This screen displays the settings and options from the Clinical Setup menu. Service Displays the device run hours, software version and other component versions. Run hours Displays the total number of hours the device has been used including warm-up and cool-down times for the humidifier.
  • Page 26: Delivering Therapy

    Delivering therapy Before initiating treatment with a VPAP Adapt, it is recommended that blood pressure is measured in all heart failure patients. In rare cases, blood pressure may fall on initiating positive air pressure treatment. Check the patient’s blood pressure before, during and after 10 minutes of therapy. 1.
  • Page 27: Data Management

    SD card. VPAP Adapt 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 28: Analyzing The Sd Card Data

    Analyzing the SD card data To analyze the data, use a ResMed PC application to transfer data and settings between a VPAP Adapt or an SD card and your personal computer. Refer to your PC application guide for more information about analyzing the information on returned SD cards.
  • Page 29: Cleaning And Maintenance

    Cleaning and maintenance You should regularly clean and maintain your device as described in this section. Disassembling the water tub 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 30: Monthly

    Monthly 1. Wipe the exterior of the VPAP Adapt and H5i with a damp cloth and mild detergent. 2. Check the air filter for holes and blockage by dirt or dust. 3. Peel the flip lid seal from the flip lid and wash it in warm water using a mild detergent.
  • Page 31: Replacing The Air Filter

    1. Remove the air filter cover from the back of the VPAP Adapt 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 32: Technical Specifications

    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. ResMed confirms that the VPAP Adapt meets the Federal Aviation Administration...
  • Page 33: Vpap Adapt Technical Specifications

    28 dBA with uncertainty of 2 dBA as measured with either SlimLine tube or ISO 4871:1996 Standard tube and H5i: according to ISO 17510-1:2007 Sound power level (CPAP mode) with SlimLine tube: 34 dBA with uncertainty of 2 dBA as measured according to ISO 17510-1:2007...
  • Page 34: H5I Technical Specifications

    Check with the service provider before using the SlimLine air tubing with devices other than the S9 or H5i. • The electrical connector end of the heated air tubing is only compatible with the H5i air outlet and should not be fitted to the device or mask. Humidifier performance The following settings have been tested at 71.6°F (22°C) ambient temperature:...
  • Page 35: Pneumatic Flow Path

    Tube Flow (maximum) at set pressures The following are measured at the end of the specified tubing: Pressure VPAP and VPAP , H5i and VPAP and VPAP , H5i and cm H Standard air tube Standard air SlimLine air tube,...
  • Page 36: Displayed Values

    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 ISO 10651-6:2004 for Home Care Ventilatory Support Devices (Figure 101 and Table 101) using nominal ResMed mask vent flows.
  • Page 37: Warnings And Cautions

    Always turn the oxygen supply off before the device is turned off, so that unused oxygen does not accumulate within the device enclosure and create a risk of fire. • Do not operate the H5i if it is not working properly or if any part of the device or H5i has been dropped or damaged. •...
  • Page 38 Do not operate the H5i on an aircraft as water may enter the device and air tubing during turbulence. • Always place the H5i on a level surface below the level of the user to prevent the mask and tubing from filling with water.
  • Page 40 Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia. See www.resmed.com for other ResMed locations worldwide. S9, H5i, ClimateLine, SlimLine, SmartStart, TiControl and VPAP are trademarks of ResMed Ltd. S9, ClimateLine, SlimLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Office.

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