Respironics BiPAP Plus User Manual
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Respironics BiPAP Plus User Manual

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USER Manual
1016511
JR 7/21/06

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Summary of Contents for Respironics BiPAP Plus

  • Page 1 USER Manual 1016511 JR 7/21/06...
  • Page 2 Fill in the information below when you receive the mportant BiPAP Plus M Series system. Serial No.: _______________________________ (located on the bottom of the device) System Prescribed for: __________________________________________ Date of Purchase or Rental: ______________________________________ Pressure Setting: _____ cm H Mask Type: __________________________________________________ Mask Size: ___________________________________________________ If you have any questions concerning the system, contact: • Home Care Company: _______________________________________ Telephone Number: _________________________________________ • Health Care Professional: _____________________________________ Telephone Number: _________________________________________ • Respironics, Inc. 1001 Murry Ridge Lane Murrysville, Pennsylvania 15668-8550 USA Customer Service Telephone Number: 1-800-345-6443 (US and Canada) or 1-724-387-4000 The BiPAP® Plus M Series with Bi-Flex® system is covered by one or more of the following patents: 5,148,802; 5,313,937; 5,433,193; 5,632,269; 5,803,065; 6,029,664; 6,305,374; 6,539,940; 6,629,527; 6,615,831; 6,427,689. Other patents pending. BiPAP, Whisper Swivel, Encore Pro, and Encore Pro SmartCard are trademarks of Respironics, Inc. © 2006 Respironics, Inc. and its affiliates. All rights reserved.
  • Page 4 Complete the following steps to set up your M Series device. Plug the AC power cord Plug the power supply cord Attach the tubing to the optional connector into the power supply, connector into the device. swivel and attach the swivel to the then plug the power cord into an device’s air outlet.
  • Page 5 Complete the following steps to set up your M Series device and humidifier. Connect the humidifier power Plug the power supply cord Attach the tubing to the optional supply connector to the device connector into the device. swivel and attach the swivel to the power supply.
  • Page 6 Final system setup for the device. Final system setup for the device and humidifier.

  • Page 7: Table Of Contents

    1.4 System Overview ....................... 1-4 1.5 Glossary ......................... 1-5 1.6 Symbol Key ........................1-6 1.7 How to Contact Respironics .................. 1-6 Chapter 2: Device Controls and Displays ................. 2-1 2.1 Controls and Displays ....................2-1 2.1.1 Control Panel Inactivity ................2-2 2.2 Rear Panel ........................
  • Page 8 4.4 Changing the Device Settings ................4-4 4.4.1 Navigating the Display Screens..............4-4 4.4.1.1 Viewing Data on the Patient Data Screens ....... 4-5 4.4.1.2 Viewing and Modifying Patient Setup Screens ...... 4-6 4.5 Patient Reminder Screen ..................4-8 Chapter 5: Device Alerts and Troubleshooting ..............5-1 5.1 Device Alerts .......................

  • Page 9: C Ontents

    1.1 s ystem ontents Your BiPAP® Plus M Series system includes the following items: User Manual Carrying Case Flexible Tubing Power Supply Reusable Gray Foam Filter Disposable Ultra-fine Filter AC Power Cord BiPAP Plus M Series Device 1–1 s Igure ystem ontents Note: If your system includes a humidifier, you will receive additional items with your package. See the instructions included with your humidifier for more information. Note: If any of the above items are missing, contact your home care provider. pap p m s...

  • Page 10: Intended Use

    1.2 I ntended The Respironics BiPAP® Plus with Bi-Flex® M Series system delivers positive airway pressure therapy for the treatment of Obstructive Sleep Apnea (OSA) only in spontaneously breathing patients weighing >66 lbs (30 kg). The device is to be used only on the instruction of a licensed physician. The system can deliver Bi-level therapy with and without Bi-Flex. Your home care provider will make the correct pressure settings according to your health care professional’s prescription. When set in the Bi-level therapy mode, the system will deliver a continuous, set pressure during the night. Several accessories are available to make your OSA treatment with the BiPAP Plus with Bi-Flex M Series system as convenient and comfortable as possible. To ensure that you receive the safe, effective therapy prescribed for you, use only Respironics accessories. 1.3 W arnIngs autIons ontraIndICatIons Caution: U. S. federal law restricts this device to sale by or on the order of a physician. 1.3.1 W arnIngs A warning indicates the possibility of injury to the user or the operator.

  • Page 11: Cautions

    • Oxygen supports combustion. Oxygen should not be used while smoking or in the presence of an open flame. • When using oxygen with this system, a Respironics Pressure Valve (Part Number 302418) must be placed in-line with the patient circuit. Failure to use the pressure valve could result in a fire hazard. • Do not use the device in the presence of a flammable anaesthetic mixture in combination with oxygen or air, or in the presence of nitrous oxide. • Do not use this device if the room temperature is warmer than 95°F (35°C). If the device is used at room temperatures warmer than 95°F (35°C), the temperature of the airflow may exceed 106°F (41°C). This could cause irritation or injury to your airway. • Do not operate the device in direct sunlight or near a heating appliance because these conditions can increase the temperature of the air coming out of the device. • Do not attempt to wear your mask without the device turned on. Doing so could result in rebreathing. • Contact your health care professional if symptoms of sleep apnea recur. • If you notice any unexplained changes in the performance of this device, if it is making unusual or harsh sounds, if the device or the power supply are dropped or mishandled, if water is spilled into the enclosure, or if the enclosure is broken, discontinue use and contact your home care provider. • Repairs and adjustments must be performed by Respironics-authorized service personnel only. Unauthorized service could cause injury, invalidate the warranty, or result in costly damage. • Periodically inspect electrical cords, cables, and the power supply for damage or signs of wear. Discontinue use and replace if damaged. • To avoid electric shock, unplug the device before cleaning it. DO NOT immerse the device in any fluids. • Pins of connectors identified with the ESD warning symbol ( )should not be touched.

  • Page 12: Contraindications

    • Do not immerse the device or allow any liquid to enter the enclosure or the inlet filter. • A properly installed, undamaged reusable foam inlet filter is required for proper operation. • Tobacco smoke may cause tar build-up within the device, which may result in the device malfunctioning. Note: Additional warnings, cautions, and notes are located throughout this manual. 1.3.3 C ontraIndICatIons When assessing the relative risks and benefits of using this equipment, the clinician should understand that this device can deliver pressures up to 25 cm H O. In the event of certain fault conditions, a maximum pressure of 35 cm H O is possible. Studies have shown that the following pre-existing conditions may contraindicate the use of CPAP therapy for some patients: • Bullous Lung Disease • Pathologically Low Blood Pressure • Bypassed Upper Airway • Pneumothorax • Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway Pressure. Caution should be used when prescribing CPAP for susceptible patients such as those with: cerebral spinal fluid (CSF) leaks, abnormalities of the cribriform plate, prior history of head trauma, and/or pneumocephalus. (Chest 1989; 96:1425-1426) The use of positive airway pressure therapy may be temporarily contraindicated if you exhibit signs of a sinus or middle ear infection. Not for use with patients whose upper airways are bypassed. Contact your physician if you have any questions concerning your therapy. 1.4 s ystem vervIeW The BiPAP Plus M Series system offers several options in how therapy is delivered, so treatment can be personalized to meet your needs. The system delivers two different positive pressure levels: IPAP (Inspiratory Positive Airway Pressure) and EPAP (Expiratory Positive Airway Pressure). Your home care provider will make the correct pressure settings.

  • Page 13: Glossary

    1.5 g lossary The following terms and acronyms appear throughout this manual: Cronym efInItIon Active State The state of the device when power is applied, the airflow is on, and the device is providing therapy. Auto-Off When this feature is enabled, the device automatically discontinues therapy whenever the mask is removed. Auto-On With this feature, the device automatically initiates therapy when you begin breathing on the device.

  • Page 14: Symbol Key

    European Declaration of Conformity Canadian/US Safety Certification Notified Body Approval for Standards Compliance TUV Safety Standard Compliance UL Recognized for Canada and the United States No User Serviceable Parts 1.7 h ontaCt espIronICs To have your device serviced, contact your home care provider. If you need to contact Respironics directly, call the Respironics Customer Service department at 1-800-345-6443 or 1-724-387-4000. You can also use the following address: Visit the Respironics web site at: www.respironics.com pap p m s erIes anual...

  • Page 15: Chapter 2: Device Controls And Displays

    2: d hapter evICe ontrols Isplays This chapter describes the device’s control buttons and displays, patient circuit connections, and rear panel connections. 2.1 C ontrols Isplays Figure 2–1 shows the three primary control buttons on the BiPAP Plus M Series device. Bi-Flex 2–1 p Igure rImary ontrol uttons These buttons are described below. utton esCrIptIon Ramp – When the airflow is on, this button allows you to activate or restart the ramp function. Ramp lowers the airflow pressure and then gradually increases it, allowing you to fall asleep more easily.

  • Page 16: Control Panel Inactivity

    The device’s display screen shows the set pressure, patient data, instructions, and error messages. See Chapter 4 for instructions on navigating the display screens. Figure 2–3 provides a view of the entire device control panel, with the cover door open. Placement Area for Optional Quick Reference Label Cover Door Previous Next Screen Screen Button Button Decrease Increase Button Button Bi-Flex Ramp Bi-Flex Button Start/Stop Button Button 2–3 d Igure evICe ontrol anel 2.1.1 C ontrol anel naCtIvIty Some screens have time-out periods. The screen’s timer starts when the screen is initially displayed and is restarted whenever a button is pressed. The screen times out after one minute if there is no activity and returns to the Standby screen.

  • Page 17: Chapter 3: Setup

    3: s hapter etup This chapter provides instructions on how to: • Install the air filters • Position the device • Connect the breathing circuit • Supply power to the device 3.1 I nstallIng Ilters Caution: A properly installed, undamaged foam filter is required for proper operation. The device uses a gray foam filter that is washable and reusable, and an optional white ultra-fine filter that is disposable. The reusable filter screens out normal household dust and pollens, while the optional ultra-fine filter provides more complete filtration of very fine particles. The gray reusable filter must be in place at all times when the device is operating. The white ultra-fine filter is recommended for people who are sensitive to tobacco smoke or other small particles. Two reusable gray foam filters and one disposable white ultra-fine filter are supplied with the device. If your filters are not already installed when you receive your device, you must at least install the reusable gray foam filter before using the device. To install the filter(s): 1. If you are using the white disposable ultra-fine filter, insert it into the filter area first, mesh-side facing in, towards the device. 2. Insert the gray foam filter into the filter area as shown in Figure 3–1. Note: If you are not using the white disposable filter, simply insert the gray foam filter into the filter area. 3–1 I Igure nstallIng Ilter Note: See Chapter 7, Cleaning and Maintenance, for information on how to clean or replace the air filters.

  • Page 18: Where To Place The Device

    3.2 W here laCe evICe Place the device on a firm, flat surface somewhere within easy reach of where you will use it. Make sure the filter area on the back of the device is not blocked by bedding, curtains, or other items. Air must flow freely around the device for the system to work properly. Make sure the device is away from any heating or cooling equipment (e.g., forced air vents, radiators, air conditioners). 3.3 C onneCtIng reathIng IrCuIt To use the system, you will need the following accessories in order to assemble the recommended circuit: • Respironics interface (e.g, nasal mask) with integrated exhalation port (or Respironics interface with a separate exhalation device such as the Whisper Swivel® II) • Respironics 6 ft. (1.83 m) flexible tubing (with optional swivel) • Respironics headgear (for the patient interface) Warning: If the device is used by multiple persons (e.g., rental devices), a low-resistance, main flow bacteria filter (shown in figure 3-2) should be installed in-line between the device and the circuit tubing to prevent contamination. 3–2 B Igure aCterIa Ilter hoWn ssemBly To connect your breathing circuit to the device, complete the following steps: 1. Connect the flexible tubing to the air outlet on the back of the device, as shown in Figure 3–3. You can use the optional, detachable swivel that is provided with your device and already attached to the tubing (shown in Figure 3–3), or you can remove the swivel and connect the tubing directly to the air outlet. pap p...
  • Page 19 Detachable Swivel 3–3 C Igure onneCtIng lexIBle uBIng Note: If required, connect a bacteria filter to the device air outlet, and then connect the flexible tubing to the outlet of the bacteria filter. 2. Connect the tubing to the mask: a. If you are using a mask with a built-in exhalation port, connect the mask’s connector to the flexible tubing, as shown in Figure 3–4. b. If you are using a mask with a separate exhalation device, connect the open end of the flexible tubing to the exhalation device as shown in Figure 3–4. Position the exhalation device so that the vented air is blowing away from your face. Connect the mask’s connector to the exhalation device. 3–4 C Igure onneCtIng Warning: The exhalation device (e.g., Whisper Swivel II) or exhalation port (on masks with an integrated exhalation port) is designed to exhaust CO from the patient circuit. Do not block or seal the ports on the exhalation device. Warning: If you are using a full face mask (i.e., a mask covering both your mouth and your nose), the mask must be equipped with a safety (entrainment) valve to minimize the potential for CO rebreathing. 3. Attach the headgear to the mask. See the instructions that came with your headgear. pap p m s erIes anual...

  • Page 20: Supplying Power To The Device

    3.4 s upplyIng oWer evICe You can power the device using AC or DC power. Caution: If this device has been exposed to either very hot or very cold temperatures, allow it to adjust to room temperature before beginning the following setup procedures. Warning: This device is activated when the power cord is connected. Pressing the button turns the airflow on or off. Important! If you are using your device with a humidifier, refer to the Quickstart Guide included with your device or the instructions included with your humidifier for details on how to power the device and humidifier. 3.4.1 u aC p sIng oWer Complete the following steps to operate the device using AC power. 1. Plug the socket end of the AC power cord into the power supply, as shown in Figure 3–5. 3–5 C Igure onneCtIng oWer oWer upply 2. Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch. pap p m s erIes anual...

  • Page 21: Using Dc Power

    Igure onneCtIng oWer upply evICe 4. Ensure that all connections are secure. Warning: Route all AC power cables to avoid tripping. Important! To remove AC power, disconnect the power supply cord from the electrical outlet. Warning: Inspect the power cord often for any signs of damage. Replace a damaged power cord immediately. 3.4.2 u dC p sIng oWer The Respironics DC Power Cord or the Respironics Portable Battery Pack can be used to operate this device in a stationary recreational vehicle, boat, or motor home. The Respironics DC Battery Adapter Cable, when used with the DC Power Cord, enables the device to be operated from a 12 VDC free-standing battery. Caution: When DC power is obtained from a vehicle battery, the device should not be used while the vehicle’s engine is running. Damage to the vehicle or the device may occur. Caution: Only use a Respironics DC Power Cord, Portable Battery Pack, and Battery Adapter Cable. Use of any other system may cause damage to the device or vehicle. Refer to the instructions supplied with the DC Power Cord, Portable Battery Pack, and adapter cable for information on how to operate the device using DC power. Warning: Route all AC power cables to avoid tripping. pap p m s erIes anual...

  • Page 22: Complete Assembly Example

    3.5 C omplete ssemBly xample Figure 3–7 shows an example of how a complete assembly will look, with breathing circuit con- nected and power applied to the device. 3–7 f Igure Inal ssemBly xample hoWn WIth ptIonal CCessory odule pap p m s erIes anual...

  • Page 23: Chapter 4: Device Operation

    4: d hapter evICe peratIon This chapter explains the therapies available with the BiPAP Plus M Series device, how to start the device, and how to change the settings. 4.1 a vaIlaBle herapIes The device delivers the following therapies: • Bi-level – Provides one level of output pressure during EPAP (Expiratory Positive Airway Pressure) and a second higher level during IPAP (Inspiratory Positive Airway Pressure). If your health care professional prescribed ramp for you, you can press the Ramp button to reduce the pressure and then gradually increase the pressure to the therapeutic pressure setting so that you can fall asleep more comfortably. • Bi-level with Bi-Flex – Bi-level therapy with pressure relief upon exhalation to improve patient comfort based on patient needs. 4.2 s tartIng evICe 1. Plug the device in to an AC or DC power source. The three primary buttons light up and the Software Version screen momentarily appears, shown in Figure 4–1. V 1.0 4–1 s Igure oftWare ersIon Creen Note: Version 1.0 shown in Figure 4–1 is an example. Your device may have a different software version installed. 2. The next screen to appear is the Standby (or Inactive) screen, shown in Figure 4–2. You can access the patient settings and data from this screen. See Section 4.3 for instructions on how to navigate the display screens.
  • Page 24 Press the button to turn on the airflow. The Active Display screen appears, shown in Figure 4–3. 20.0 cmH 2 O cmH 2 O Active Screen During Exhalation (EPAP) Active Screen During Inhalation (IPAP) 4–3 a Igure CtIve Isplay The Active Display screen shows the set pressure. Some symbols indicating when certain conditions are turned on or detected will also appear on the Active Display screen or on the Standby screen. These symbols are described below: ymBol esCrIptIon Ramp – You can initiate the ramp feature by pressing the Ramp button. The ramp symbol displays on the Active Display screen when the ramp function is active.

  • Page 25: Using The Ramp And Bi-Flex Features

    4.3 u sIng eatures You can press the (Ramp) button to activate the Ramp feature, or the Bi-Flex button to change the Bi-Flex setting, if your provider has enabled these features. 4.3.1 r eature The device is equipped with an optional ramp feature that your home care provider can enable or disable. This feature reduces the air pressure when you are trying to fall asleep and then gradually increases (ramps) the pressure until your prescription setting is reached, allowing you to fall asleep more comfortably. If ramp is enabled on your device, after you turn on the airflow, press the button on the top of the device. You can use the Ramp button as often as you wish during the night. Note: If the ramp feature is disabled, nothing will happen when you press the button. 4.3.2 B omfort eature The Bi-Flex comfort feature allows you to adjust the level of air pressure relief that you feel when you exhale during therapy. Your home care provider can enable or disable this feature. 4.3.2.1 naBled When your provider enables Bi-Flex, a Bi-Flex level will already be set for you on the device. If this is not comfortable for you, you can increase or decrease the setting. To change the Bi-Flex setting, press the Bi-Flex button. The screen shown in Figure 4–4 appears, with an arrow above the current Bi-Flex setting. Bi-Flex Setting 1 2 3 4–4 B Igure ettIng Creen The setting of 1 provides a small amount of pressure relief, with higher numbers providing additional relief. To change the pressure relief, press the + or – buttons to increase or decrease the...

  • Page 26: Changing The Device Settings

    4.3.2.2 IsaBled If Bi-Flex has not been prescribed for you and your provider has disabled the Bi-Flex feature, the following screen appears when you press the Bi-Flex button, and you cannot enable or adjust the setting. 4–5 B Igure IsaBled Creen 4.4 C hangIng evICe ettIngs You can view the set pressure on the Active Display screen, and you can view the following settings on the Patient Data screens: • Therapy usage hours • Number of sessions greater than 4 hours • Compliance check value • Summary Data Additionally, you can view and modify the following settings on the Patient Setup screens: • Bi-Flex (if enabled by your home care provider) • Rise Time (if Bi-flex is disabled) • Ramp starting pressure (if enabled by your home care provider) • Mask alert (enable/disable) • Auto off (enable/disable) 4.4.1 n avIgatIng Isplay Creens Use the button to navigate to the next screen and the button to navigate to the previous screen. Use the and — buttons to adjust the settings on the Patient Setup screens.
  • Page 27 4.4.1.1 IeWIng atIent Creens Figure 4–6 shows how to navigate the Patient Data screens. Setup 4–6 n Igure avIgatIng atIent Creens Press the button to scroll forward through the data screens, or press the button to scroll through the screens in the reverse order. The Patient Data screens are described below. Standby Screen The Standby screen appears when you first apply power to the device. You can access the Patient Data menu from this screen by pressing the buttons.
  • Page 28 Compliance Check Value Screen This screen displays a number used by your home care provider to validate that the data from you is the data taken from the Summary Data Screen. This is a “read-only” screen and you cannot not change the number on the screen.
  • Page 29 Bi-Flex Setting Screen Bi-Flex Setting This screen displays the Bi-Flex level set by your home care provider. This setting allows you to adjust the level of air pressure 1 2 3 relief that you feel when you exhale during therapy. Your home care provider will either enable or disable Bi-Flex.

  • Page 30: Patient Reminder Screen

    Auto Off Screen Auto Off You can enable this feature if you want the device to automatically turn the airflow off whenever you remove the interface (e.g., Feature: ON mask) from your airway. Press the + or – buttons to select off or on. If this feature is enabled, the text Auto Off appears on the Standby screen if the device detects that you have removed your mask.

  • Page 31: Chapter 5: Device Alerts And Troubleshooting

    5: d hapter evICe lerts rouBleshootIng This chapter describes the device alerts and also provides troubleshooting information for issues you may run into when using the device. 5.1 d evICe lerts The device provides two alert levels, high and medium priority. • High Priority – These alerts require operator response. The alert signal consists of a high priority sound, which is a continuous two-beep pattern (indicated in the following table as: • • • •). Additionally, the backlights on the buttons will provide a high priority flashing pattern consisting of a continuous, bright-to-off, two-flash pattern (indicated in the following table as: ◊◊ ◊◊ ◊◊). • Medium Priority – These alerts require operator response. The alert signal consists of a medium priority sound, which is a continuous one-beep pattern (indicated in the following table as: • •). Additionally, the backlights on the buttons will provide a medium priority flashing pattern consisting of a continuous, bright-to-dim, one-flash pattern (indicated in the following table as: ◊ ◊ ◊). pap p m s erIes anual...
  • Page 32 lert ummary aBle The following table summarizes the high and medium priority alerts. lert udIBle Isual evICe ossIBle atIent CtIon ndICator ndICator CtIon ause System Error • • • • Backlights: The device Device failure Press any of the display screen buttons ◊◊ ◊◊ ◊◊ enters the to silence the alert. Remove the power “Safe state”...
  • Page 33 5.2 t rouBleshootIng The table below lists some of the problems you may experience with your device or mask and possible solutions to those problems. roBlem appened Nothing happens when you There’s no power at the If you are using AC power, check the outlet power and verify apply power to the device. outlet or the device is that the device is properly plugged in. Make sure the AC The audible indicator does not unplugged.

  • Page 34: Troubleshooting

    roBlem appened Device Resets/Reboots: The device comes Such a reset poses no danger to the patient and assures installed with that the patient receives prescribed therapy throughout the The device shuts down and troubleshooting night. If there is a possibility of damage to the device, the restarts automatically during software that device will shut down permanently.
  • Page 35 roBlem appened You are having problems You have lost the If you are not using a humidifier, you cannot connect your connecting the tubing to the air outlet port or are tubing to the device without the detachable air outlet port, device.
  • Page 36 The air is too dry. Increase the room humidity. Consult with your health care dryness. professional about using a Respironics humidifier with the device. If you have a humidifier, refer to the instructions included with your humidifier to make sure it is working properly.

  • Page 37: Chapter 6: Accessories

    6: a hapter CCessorIes Contact your home care provider for additional information on the accessories available for your BiPAP Plus M Series system. When using optional accessories, always follow the instructions enclosed with the accessories. 6.1 a ddIng umIdIfIer You can use the M Series Heated humidifier or the M Series Pass-over humidifier with your device. They are available from your home care provider. A humidifier may reduce nasal dryness and irritation by adding moisture (and heat, if applicable) to the airflow. Figure 6–1 shows the humidifier by itself and attached to the BiPAP Plus M Series device. Caution: For safe operation, the humidifier must always be positioned below the breathing circuit connection at the mask and the air outlet on the device. The humidifier must be level for proper operation. Humidifer without Device Humidifer Device Attached 6–1 h Igure umIdIfIer lone ttaChed evICe Refer to the humidifier’s instructions for complete setup information. pap p m s erIes anual...

  • Page 38: Adding Supplemental Oxygen

    6.2 a ddIng upplemental xygen Oxygen may be added at the mask connection. Please note the warnings listed below when using oxygen with the device. arnIngs • When using oxygen with this system, the oxygen supply must comply with local regulations for medical oxygen. • When using oxygen with this system, a Respironics Pressure Valve (Part number 302418) must be placed in-line with the patient circuit. Failure to use the pressure valve could result in a fire hazard. • Oxygen accelerates fires. Keep the device and the oxygen container away from heat, open flames, any oily substance, or other sources of ignition. Do not smoke in the area near the device or the oxygen. • When using oxygen with this system, turn the device on before turning on the oxygen. Turn the oxygen off before turning the device off. This will prevent oxygen accumulation in the device. • If administering fixed-flow supplemental oxygen, the oxygen concentration may not be constant. The inspired oxygen concentration will vary, depending on the IPAP and EPAP settings, patient breathing pattern, and leak rate. Substantial leaks around the mask may reduce the inspired oxygen concentration to less than the expected concentrations. Appropriate patient monitoring should be implemented. pap p m s erIes anual...

  • Page 39: Chapter 7: Cleaning And Maintenance

    7: C hapter leanIng aIntenanCe This chapter describes how to clean the device and its filters and provides tips on traveling with your BiPAP Plus M Series system. 7.1 C leanIng evICe Warning: To avoid electrical shock, always unplug the power cord from the wall outlet or DC power source before cleaning the device. Caution: Do not immerse the device in liquid or allow any liquid to enter the enclosure, inlet filter, or any opening. 1. Unplug the device, and wipe the outside of the device with a cloth slightly dampened with water and a mild detergent. Let the device dry completely before plugging in the power cord. 2. Inspect the device and all circuit parts for damage after cleaning. Replace any damaged parts. 7.2 C leanIng eplaCIng Ilters Caution: Operating the device with a dirty filter may keep the system from working properly and may damage the device. Under normal usage, you should clean the gray foam filter at least once every two weeks and replace it with a new one every six months. The white ultra-fine filter is disposable and should be replaced after 30 nights of use or sooner if it appears dirty. DO NOT clean the ultra-fine filter. Caution: Dirty inlet filters may cause high operating temperatures that may affect device performance. Regularly examine the inlet filters as needed for integrity and cleanliness. 1. If the device is operating, stop the airflow by pressing the button. Disconnect the device from the power source. pap p m s erIes...
  • Page 40 2. Remove the filter(s) from the enclosure by gently squeezing the filter in the center and pulling it away from the device, as shown in Figure 7–1. 7–1 r Igure emovIng Ilters 3. Examine the filter(s) for cleanliness and integrity. 4. Wash the gray foam filter in warm water with a mild detergent. Rinse thoroughly to remove all detergent residue. Allow the filter to air dry completely before reinstalling it. If the foam filter is torn, replace it. (Only Respironics-supplied filters should be used as replacement filters.) 5. If the white ultra-fine filter is dirty or torn, replace it. 6. Reinstall the filters, inserting the white ultra-fine filter first if applicable, as shown in Figure 7–2. Filter Area Reusable Gray Disposable Ultra-Fine Foam Filter Filter (optional) (required) 7–2 r Igure eInstallIng Ilters Caution: Never install a wet filter into the device. It is recommended that you clean the filter in the morning and alternate using the two foam filters provided with the system to ensure sufficient drying time for the cleaned filter. pap p m s...

  • Page 41: Cleaning The Tubing

    7.3 C leanIng uBIng Clean the tubing daily. Disconnect the flexible tubing from the device. Gently wash the tubing in a solution of warm water and a mild detergent. Rinse thoroughly. Air dry. 7.4 s ervICe The BiPAP Plus M Series device does not require routine servicing. Warning: If you notice unexplained changes in the performance of this device, if it is making unusual or harsh sounds, if the device or power supply have been dropped or mishandled, if the enclosure is broken, or if water has entered the device, discontinue use, and contact your home care provider. 7.5 t ravelIng WIth ystem When traveling, the carrying case is for carry-on luggage only. The carrying case will not protect the system if it is put through checked baggage. For your convenience at security stations, there is a note on the bottom of the device stating that it is medical equipment. It may be helpful to bring this manual along with you to help security personnel understand the BiPAP Plus M Series device. If you typically use a humidifier with your device, but leave the humidifier home when traveling, make sure you attach the air outlet port to your device when you remove the humidifier from the device. You need the port to connect the tubing directly to your device. Figure 7–3 illustrates how to remove the humidifier from the device and attach the air outlet port. pap p m s erIes anual...

  • Page 42: International Travel

    Remove the Device From the Humidifier Attach Air Outlet Port to the Device 7–3 a Igure ttaChIng utlet evICe 7.5.1 I nternatIonal ravel If you are traveling to a country with a line voltage different than the one you are currently using, a different power cord or an international plug adaptor may be required to make your power cord compatible with the power outlets of the country to which you are traveling. Contact your home care provider for additional information. pap p m s erIes anual...

  • Page 43: Chapter 8: Specifications

    8: s hapter peCIfICatIons nvIronmental peratIng torage 41 to 95°F (5 to 35°C) -4 to 140°F (-20 to 60°C) emperature 15 to 95% (non-condensing) 15 to 95% (non-condensing) elatIve umIdIty 77 to 101kPa (0 to 7500 ft) tmospherIC ressure hysICal Dimensions (L x W x H): 7.5 x 5.0 x 3.125 inches (19 x 12.7 x 7.9 cm) Weight: Approximately 2.2 lbs (1 kg) - without a humidifier...
  • Page 44 ressure Pressure Increments: 4.0 to 25.0 cm H O (in 0.5 cm H O increments) Pressure Stability: <10.0 cm H O (±0.5 cm H ≥10.0 cm H O (±1.0 cm H Measured in accordance with EN ISO 17510-1 @ 1/3, 2/3, and Pmax with BPM set to 10, 15, and 20 BPM @ 20°C (±5°C), 50% RH (±5%), and an atmospheric pressure of 101.54 kPascals. Maximum Flow: 35 LPM Measured in accordance with EN ISO 17510-1 @ 1/3, 2/3, and Pmax with BPM set to 10, 15, and 20 BPM @ 23°C (±2°C), 50% RH (±5%), and an atmospheric pressure of 101.54 kPascals. ontrol CCuraCy arameter ange CCuraCy IPAP 4 to 25 cm H ± 1.5 cm H O from static setpoint*/**** EPAP 4 to 25 cm H ±...
  • Page 45 a: emC I ppendIx nformatIon ’ - e This device is intended for use in the uIdanCe anufaCturer eClaratIon leCtromagnetIC mIssIons electrmagnetic environment specified below. The user of this device should make sure it is used in such an environment. - g mIssIons omplIanCe leCtromagnetIC nvIronment uIdanCe RF emissions Group 1 The device uses RF energy only for its internal function. Therefore, its CISPR 11 RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
  • Page 46 ’ - e This device is intended for use in the uIdanCe anufaCturer eClaratIon leCtromagnetIC mmunIty electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. IeC 60601 t - g mmunIty evel omplIanCe evel leCtromagnetIC nvIronment uIdanCe Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
  • Page 47 ImIted arranty Respironics, Inc. warrants that the system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of two (2) years from the date of sale by Respironics, Inc. to the dealer. If the product fails to perform in accordance with the product specifications, Respironics, Inc. will repair or replace – at its option – the defective material or part. Respironics, Inc. will pay customary freight charges from Respironics, Inc. to the dealer location only. This warranty does not cover damage caused by accident, misuse, abuse, alteration, and other defects not related to material or workmanship. Respironics, Inc. disclaims all liability for economic loss, loss of profits, overhead, or consequential damages which may be claimed to arise from any sale or use of this product. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty is given in lieu of all other express warranties. In addition, any implied warranties – including any warranty of merchantability or fitness for the particular purpose – are limited to two years. Some states do not allow limitations on how long an implied warranty lasts, 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 state to state. To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contact Respironics, Inc. at: 1001 Murry Ridge Lane Murrysville, Pennsylvania 15668-8550 1-724-387-4000...

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