ResMed AutoSet CS 2 Clinician Manual
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ResMed AutoSet CS 2 Clinician Manual

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AutoSet CS
2
™
Clinician's Manual
User's Manual
English
268334/2 2015-10

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Summary of Contents for ResMed AutoSet CS 2

  • Page 1 AutoSet CS ™ Clinician’s Manual User’s Manual English 268334/2 2015-10...
  • Page 2 AutoSet CS ™ ’ LINICIAN ANUAL ’ ANUAL...
  • Page 3 See Resmed.com for other ResMed locations worldwide. For patent information, see Resmed.com/ip. SmartMedia is a trademark of Toshiba. Papillon is a trademark of MAP Medezin-Technologie GmbH. Activa, AutoSet CS, HumidAire, HumidAire 2i, HumidAire 2iC, Mirage, ResControl, ResLink, SmartStart, Smart Data, Ultra Mirage and Vista are trademarks of ResMed Ltd. © 2015 ResMed Ltd. 268334/2 2015-10 ResMed.com...
  • Page 4 AutoSet CS ™ CLINICIAN’S MANUAL...

  • Page 5: Table Of Contents

    ONTENTS ..........3 NTRODUCTION EFINITIONS WNER...

  • Page 6: Ntroduction

    NTRODUCTION This booklet is a supplement to the AutoSet CS2 User’s Manual for the clinician. It contains information about the Clinical menus accessible from the A CS™ 2 control panel, and other specific instructions for the clinician. Information about A CS2 interpretative software can be found in the ResScan Clinician’s Manual, and information about the clinical use of the A CS2 can be...
  • Page 7 The A CS2 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 A CS2. The A CS2 is designed for use with masks that allow exhaled gases to be •...

  • Page 8: Delivering Treatment

    ear or sinus discomfort • eye irritation • skin rashes • chest discomfort. • ELIVERING REATMENT WARNING Positive pressure therapy can reduce cardiac output in some patients. Read the Contraindications and Warnings carefully before initiating use. NITIAL REATMENT Before initiating treatment with an A CS2, it is recommended that blood pressure is measured.
  • Page 9 Pressure sensor tube Figure 1: Attaching the air tubing to a mask ResMed recommends the following tubing products for use with the AutoSet CS2: replacement air hose (only) PN 14948; replacement air delivery system (hose, sensor line, clips, proximal cuff) PN 26909.

  • Page 10: Clinical Menus

    gently detach enough of the tube clips to release the mask end of the pressure • sensor tube from the air tubing twist the Luer lock on the pressure sensor tube onto the mask port. • LINICAL ENUS You can adjust the parameter settings in the Clinical menu to determine the therapy delivered to your patient by the A CS2 system.
  • Page 11 ETTINGS SETTINGS enter exit MODE: CPAP change exit MODE: ASV-CS LEAK: 0.40L/s change exit CPAP:10cmH2O change exit EEP: 5.0cmH2O change exit START CPAP:4.0 change exit MASK:FULL FACE change exit RAMP:20min change exit LEARN CIRCUIT? ALARMS enter exit change exit MAX RAMP:20min change exit SMARTSTOP:OFF...
  • Page 12 Increased ventilation in Normal effort resumes Normal effort response to apnoea EEP + MAX PS* Pressure EEP + MIN PS* EEP* Respiratory airflow * default values Figure 4: AutoSet CS2 adjusts pressure to maintain a normal pattern of breathing CPAP In CPAP mode the clinician sets a fixed pressure (not greater than 13 cmH Therapy is delivered at this pressure for the duration of the treatment session.

  • Page 13: Settings Menu

    MART The default setting for S is ON. MART Turn off if the patient is experiencing false S events, or if you want to MART conduct a mask-fitting session that would create high leak between adjustments. EAK ALERT The default setting for Leak Alert is ON. The Leak Alert alarm is triggered when leak rises above the threshold level of 30 L/min for more than 20 seconds.

  • Page 14: Alarms Menu

    LARMS SETTINGS enter exit ALARMS enter exit SOUND LEVEL:MED change exit LOW PS:ON change exit RESULTS enter exit OPTIONS enter exit ADVANCED enter exit SERVICING enter exit Alarms provided to alert the user to incorrect pressure are measured near the mask. The Insufficient Pressure Support alarm can be turned off in the LOW PS option in the Alarms menu, and the High Leak alert can be turned off in the LEAK ALERT option in the Settings menu.

  • Page 15: Results Menu

    ESULTS SETTINGS enter exit ALARMS enter exit RESULTS enter exit EFFICACY DATA view exit LEAK: xxL/min LEAK: xxL/min LEAK: xxL/min LEAK: xxL/min day... exit wk... exit month... exit 3mths... exit AHI: xx.x AHI: xx.x AHI: xx.x AHI: xx.x day... exit wk...

  • Page 16: Options Menu

    PTIONS SETTINGS enter exit ALARMS enter exit RESULTS enter exit OPTIONS enter exit SMART DATA MASK FIT:ON LEAK: 0.40L/s enter exit change exit AVG PRESS:ON change exit USAGE:ON change exit ADVANCED enter exit AUTO APPEAR:ON FACTORY DEFAULTS change exit reset exit SERVICING enter...

  • Page 17: Advanced Menu

    After resetting the factory defaults check if you need to reset the mask setting and redo the Air Circuit Learn function. Resetting the factory defaults will not erase stored data. RASE DATA The ERASE DATA option allows you to erase all compliance data, ie data relating to the results of a patient’s session in the Results menu.

  • Page 18: Servicing Menu

    CS2 will automatically limit to ensure that: a. MAX PS minus MIN PS is greater than or equal to 5 at all times. b. EEP + MAX PS will not exceed 20 cmH To satisfy these limits: a. Setting EEP automatically adjusts MIN PS then MAX PS. b.

  • Page 19: Factory Default Settings

    ACTORY EFAULT SETTINGS When you choose FACTORY DEFAULTS in the Options menu (see page 13), the following values will be set. Parameter Default SETTINGS MENU MODE ASV-CS 5 cmH CPAP 10 cmH START CPAP 4 cmH RAMP 20 minutes MAX RAMP 30 minutes MASK FULL FACE...

  • Page 20: Treatment Screens

    REATMENT SCREENS The LCD will display the Treatment screens when treatment commences, and during treatment if no key is pressed for 20 minutes. Press the QuickView key to move to the Treatment screens from another screen. Press the QuickView key again within 20 minutes to return to your original screen. If an alarm is triggered while you are in the Treatment screens, the arrow will flash.
  • Page 21 REATMENT CREEN MV:6.2 TARG:5.8 exit Figure 7: Treatment screen 3 Treatment screen 3 shows: top left: minute ventilation in L/min • top right: target ventilation in L/min. • The arrow indicates that you can scroll up to the other screens. The ‘exit’ message shows that you can exit from this screen by pressing the Right key.

  • Page 22: Ccessories

    Any computer connected to an A CS2 must be compliant with IEC 60950 or EN 60950. UMIDIFIERS Humidifiers recommended by ResMed for use with the A CS2 are the C and the H ™. See the AutoSet CS2 User’s 2i™, H...

  • Page 23: Supplemental Oxygen

    An anti-bacterial filter with high impedance can cause safety cutouts in the A if it is in use during the combination of: high peak mask pressure (EEP + Max PS = 20 cmH • high peak patient inspiration (>50 L/min) •...

  • Page 24: Index

    NDEX menus access to menus 7 accessories 19 alarms menu 11 air circuit learn function 9 options menu 13 air pressure results menu 12 monitoring 17 servicing menu 15 alarms 11 settings menu 8 LOW PS 11 minute ventilation 12 sound level 11 mode settings 8 anti-bacterial filter 19...
  • Page 25 tidal volume 12 treatment screens 17 usage data 12 warnings 4...
  • Page 26 ™ USER’S MANUAL English...
  • Page 28 ABLE OF ONTENTS ......... . . 27 NTRODUCTION OWNER RESPONSIBILITY EDICAL...
  • Page 29 IGH LEAK ALARM NSUFFICIENT PRESSURE SUPPORT ALARM LOW BLOCKED ALARM ....... 57 LEANING AND AINTENANCE AILY...

  • Page 30: Introduction

    NTRODUCTION The A CS™2 flow generator has been designed to be reliable, comfortable and easy to use. You can observe your treatment and make adjustments to settings using a keypad and LCD screen. WNER ESPONSIBILITY 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 •...

  • Page 31: Warnings

    The A CS2 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 A CS2. The A CS2 is designed for use with masks that allow exhaled gases to be •...

  • Page 32: Quick Setup Guide

    UICK ETUP UIDE Attach the air tubing and pressure sensor tube to the A CS2 and mask (page 33). Attach a humidifier if required (page 35). Switch on the A CS2. Make sure the mask is unblocked. Select the mask setting (page 48). Perform the Air Circuit Learn function (page 48) at first-time use, or if you are adding or removing a component of the system (eg a humidifier or anti- bacterial filter).

  • Page 34: He Uto Et Cs2 System

    CS2 S YSTEM CS2 C OMPONENTS The A CS2 flow generator is supplied with air tubing and a power cord. Masks are supplied separately, as you and your clinician have to decide which mask is best for you. Masks that can be used with A CS2 are listed on page 32.

  • Page 35: Masks

    Luer connectors together at the Proximal cuff. Make sure the pressure sensor tube is not kinked, obstructed or twisted. ResMed recommends the following tubing products for use with the AutoSet CS2: replacement air hose (only) PN 14948; replacement air delivery system (hose, sensor line, clips, proximal cuff) PN 26909.

  • Page 36: Assembling The Auto Set Cs2 System

    (standard mains electricity) and the lower one for a DC (backup) power cord (see page 40). ResMed recommends using the AC power cord supplied with the unit. In the absence of this cord, a standard AC power cord may be used.
  • Page 37 Connect air tubing Connect the air tube firmly onto the air outlet at the front of the unit. Air tubing connector Pressure sensor tube connector Figure 4: Front view of AutoSet CS2 To attach the pressure sensor tube to the unit, screw the Luer connector onto the socket on the side of the unit.

  • Page 38: Humidifiers

    Connect the mask system to the free end of the air tubing. Proximal cuff Figure 6: Assembling the AutoSet CS2 system UMIDIFIERS A humidifier may be required if you are experiencing dryness of the nose, throat or mouth. The following ResMed humidifiers are compatible with the A CS2: ™ 2i™ 2iC™...

  • Page 39: Connecting A Humidifier

    ONNECTING A HUMIDIFIER After connecting or removing a humidifier, always perform the Air Circuit Learn function (see page 48). WARNING When using a humidifier, position it so that it is lower than your head will be during sleep, and at the same level or lower than the A CS2.

  • Page 40: Humid Aire

    UMID You will need a Medium size (52cm) air tube to connect the A CS2 unit to the ™ (see Figure 7). UMID Make sure both the H and the A CS2 are turned off. UMID Fill the H with water as described in the humidifier manual. Place the filled UMID water chamber inside the H UMID...
  • Page 41 Connect the free end of the medium air tubing to the A CS2. Connect the pressure sensor tube by twisting the Luer lock onto the A (see page 34). Connect the mask system to the free end of the long air tubing. The final assembly should look like this: and the A CS2.

  • Page 42: Res Link

    CAUTION Be very careful not to allow water to enter the A CS2 as this • could affect therapy and/or damage the device. Do not tip the H while it is connected to the A CS2. • UMID If water enters the A CS2 device, turn off the main power switch at the back of the unit and unplug it from the power outlet.

  • Page 43: Using Dc Power To Run The Auto Set Cs2

    The A CS2 can be run on DC current in case of power failure or for portable use. ResMed supplies a convertor that allows a 12V battery to be connected to the DC input of the A CS2. The converter can also be plugged in to a power source in a car or plane.

  • Page 44: Using Supplemental Oxygen

    SING UPPLEMENTAL XYGEN If oxygen is being added at the mask, the oxygen tube is attached to the mask port. Refer to your mask manual for full instructions. Up to 15 L/min of oxygen can be added at the mask when using an A system.

  • Page 46: Using The Auto Set Cs2

    SING THE WARNING Before starting therapy with a new mask, select the correct mask type in the Settings menu (page 48). When adding or removing a new component such as a mask, humidifier or anti-bacterial filter, perform the Air Circuit Learn function (page 48).

  • Page 47: Control Panel Functions

    ONTROL ANEL UNCTIONS The control panel of the A CS2 has a keypad that allows you to: start or stop treatment • adjust settings on the flow generator • mute or stop alarms • view treatment data. • LCD display QuickView key Alarm LEDs Alarm mute key...

  • Page 48: Adjusting Settings

    EFT KEY GREEN Enters a menu. • Confirms and applies settings. • Performs the function indicated by the text above it in the LCD (eg ’enter’, ’change’). • IGHT KEY Performs the function indicated by the text above it in the LCD (eg ’exit’). •...
  • Page 49 Once you find the option you require, press the Left key to select the function • that is displayed in the bottom left of the screen eg ’change’, ’yes’. Use the Up/Down key to alter the parameters, and press the Left key when you •...

  • Page 50: Menus

    ENUS The options available in the Settings menu will depend on the therapy you are receiving, set by your clinician. LOW PS:ON These menus appear only if at least one Smart Data option has been enabled by AVG PRESS: 10.4 the clinician.

  • Page 51: Settings Menu

    ETTINGS MENU You will only see the options relevant to your therapy. In CPAP (Continuous Positive Airway Pressure) mode, the clinician sets a pressure that will be constant throughout treatment. In ASV-CS mode, A CS2 continually measures your breathing and regulates the air pressure accordingly.

  • Page 52: Alarms Menu

    7. When the function is complete, a screen will appear saying that the circuit has been learned successfully. The next menu item is then displayed. Commence treatment as described in “Starting Treatment” on page 43. If there is a problem with the circuit, a screen saying ’Invalid circuit’ will be displayed instead of the progress screen.

  • Page 53: Options Menu

    ASK FIT Gives a rating of how well the mask was fitting during your last session on the CS2. The stars indicate how good the fit was (more stars = better fit). Star rating Definition ***** Excellent ∗∗∗∗− Very good ∗∗∗−−...

  • Page 54: Servicing Menu

    ERVICING MENU This menu displays the following information: SN – the flow generator’s serial number • PCB – the flow generator’s PCB number (PCB — printed circuit board) • SW – the version of software currently installed on the flow generator. •...

  • Page 56: He Larms

    F A LOW PRESSURE ALARM SOUNDS 1. Check that the air tube and sensor tube are connected properly. 2. Turn the A CS2 off and on again at the power switch. If the alarm persists, return the unit to ResMed for servicing. LARMS...

  • Page 57: Power Fail Alarm

    7. If the high pressure alarm activates repeatedly, discontinue use and return to ResMed for servicing. If the alarm does not recur, then continue to use as normal. The alarm system is designed to ignore coughing. However, if a cough is especially intense and prolonged, it may trigger the high pressure alarm.

  • Page 58: Insufficient Pressure Support Alarm

    4. Remove blockage. 5. Turn power back on. 6. If the Flow blocked alarm activates repeatedly, discontinue use and return to ResMed for servicing. If the alarm does not recur, then continue to use as normal. ILL STOP WHEN blockage is removed.

  • Page 60: Cleaning And Maintenance

    LEANING AND AINTENANCE You should regularly carry out the cleaning and maintenance described in this manual. CAUTION Do not wash the pressure sensor tube. If fluid enters the pressure sensor tube allow it to dry completely by hanging it in a clean place out of direct sunlight. If the pressure sensor tube cannot be dried completely it should be replaced.

  • Page 61: Periodically

    CAUTION Do not use bleach, chlorine-, alcohol- or aromatic-based solutions (including all • scented oils), moisturising or antibacterial soaps to clean the cushion, mask, air tubing or the A CS2. These solutions may cause hardening and reduce the life of the product. Do not wash or dry the mask frame at a temperature above 80 C (176 •...

  • Page 62: Hypoallergenic Air Filter

    • YPOALLERGENIC AIR FILTER The ResMed hypo-allergenic filter is a standard filter to which an electrostatic filter has been bonded to capture very small particles. The filter is intended for those users of ResMed flow generators who will benefit from enhanced filtering of the air delivered during treatment.

  • Page 64: Troubleshooting

    ROUBLESHOOTING 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 flow generator. Problem Possible cause Solution Insufficient air delivered from Air filter is dirty.

  • Page 66: Glossary

    LOSSARY Alarms: When more than one alarm is activated at the one time, the highest priority alarm will be displayed. Backlight: The backlight turns off if no button has been pressed for two minutes. It can also be kept permanently on by selecting On in the Backlight screen of the Options menu.

  • Page 68: Technical Specifications

    22mm taper, compatible with EN 1281-1:1997 Anaesthetic & Respiratory Equipment - Conical Connectors OWER SUPPLY AC Input range: 110–120 V and 220–240 V; 50–60 Hz; 60 VA DC: 30V (via ResMed DC/DC converter) ERFORMANCE Operating pressure range: 4–20 cmH OUND PRESSURE LEVEL <30 dB (tested in accordance with the requirements of ISO 17510-1)
  • Page 69 • NSUFFICIENT PRESSURE SUPPORT ALARM Is triggered if for 3 breaths in a row the maximum mask pressure achieved at inspiratory to expiratory transition is either <87.5% of the absolute mask pressure targetted at that point, or < absolute mask pressure targetted minus 1 cmH whichever is the lower.
  • Page 70 RESSURE ARIATION Max Pressure 2/3 Max Pressure 1/3 Max Pressure 10BPM 15BPM 20BPM Breaths RESSURE OLUME URVE 1/3 Max Pressure 2/3 Max Pressure Pressure (cmH Pressure (cmH Max Pressure 10 BPM 15 BPM 20 BPM 13.1 13.2 13.3 13.4 Pressure (cmH The manufacturer reserves the right to change these specifications without notice.
  • Page 71 Type CF equipment/Appareil de classe CF AC switch Class II...
  • Page 72 ’ — E UIDANCE AND ANUFACTURER ECLARATION LECTROMAGNETIC MISSIONS AND MMUNITY Guidance and manufacturer’s declaration – electromagnetic emissions The AutoSet CS2 is intended for use in the electromagnetic environment specified below. The customer or the user of the AutoSet CS2 should assure that it is used in such an environment. Electromagnetic environment - Emissions test Compliance...
  • Page 73 Guidance and manufacturer’s declaration – electromagnetic immunity The AutoSet CS2 is intended for use in the electromagnetic environment specified below. The customer or the user of the AutoSet CS2 should assure that it is used in such an environment. IEC60601-1-2 Electromagnetic Immunity test Compliance level...
  • Page 74 Guidance and manufacturer’s declaration – electromagnetic immunity (continued) The AutoSet CS2 is intended for use in the electromagnetic environment specified below. The customer or the user of the AutoSet CS2 should assure that it is used in such an environment. IEC60601-1-2 Compliance Immunity test...
  • Page 75 Recommended separation distances between portable and mobile RF communications equipment and the AutoSet CS2 The AutoSet CS2 is intended for use in an environment in which radiated RF disturbances are controlled. The customer or the user of the AutoSet CS2 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the AutoSet CS2 as recommended below, according to the maximum output power of the communications equipment.

  • Page 76: Limited Warranty

    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;...

  • Page 78: Index

    NDEX air circuit learn function 48 air filter 58 alarm mute 45 hypoallergenic 59 left 45 air pressure right 45 monitoring 50 start/stop 44 air tubing up/down 44 attaching to mask 35 cleaning 57 language connecting 34 change setting 50 air tubing system 31 LCD display 61 alarm...
  • Page 79 SmartStop 49 sound level 49 standby mode 43 starting treatment 43 stopping treatment 43 supplemental oxygen 41 System Error 7 message 61 treatment screens 51 user/owner responsibility 27...

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