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368353/3 2011-09
S9 VPAP Series
H5i
CLINICAL
AMER ENG
Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia. Distributed by: ResMed Corp
9001 Spectrum Center Boulevard San Diego CA 92123 USA.
OX14 4RY UK. See www.resmed.com for other ResMed locations worldwide.
S9 VPAP Auto: Protected by patents: AU 691200, AU 697652, AU 699726, AU 702820, AU 709279, AU 713679, AU 724589,
AU 730844, AU 731800, AU 736723, AU 750095, AU 750761, AU 756622, AU 764761, AU 779327, AU 2002306200, AU 2005200987,
AU 2007252223, CA 2235939, CA 2263126, CN 200780001837.6, EP 0651971, EP 0661071, EP 0858352, EP 0920845, EP 0927538,
EP 0929336, EP 0934723, EP 1028769, EP 1126893, EP 1502618, EP 2032857, JP 3580776, JP 3635097, JP 3638613, JP 3778797,
JP 4083154, JP 4647786, NZ 504595, NZ 570415, NZ 577485, US 5704345, US 6138675, US 6152129, US 6213119, US 6240921,
US 6279569, US 6363933, US 6367474, US 6425395, US 6502572, US 6591834, US 6659101, US 6675797, US 6745768, US 6817361,
US 6945248, US 6988498, US 7040317, US 7100608, US 7537010, US 7661428, US 7866944. Other patents pending. Protected
by design registrations: AU 329025, AU 330142, AU 331272, AU 332891, AU 333858, CN 200830346524.1, CN 200830346526.0,
CN 200830346525.6, CN 201030215797.X, EU 1067417, JP 1377401, JP 1377402, JP 1377403, JP 1415251, JP 1415252, NZ 411762,
NZ 413090, NZ 413091, US D629891, US D629892, US D635232, US D635244, US D635245, US D635654, US D638536, US D638537,
US D638933. Other design registrations pending.
S9 VPAP ST / S9 VPAP S: Protected by patents: AU 697652, AU 699726, AU 713679, AU 731800, AU 756622, AU 2002306200,
AU 2005200987, AU 2007252223, CA 2235939, CA 2263126, EP 0661071, EP 0858352, EP 0929336, EP 2032857, JP 3635097,
JP 3638613, JP 4083154, NZ 577485, US 6152129, US 6213119, US 6240921, US 6279569, US 6659101, US 6945248, US 7661428,
US 7866944. Other patents pending. Protected by design registrations: AU 329025, AU 330142, AU 331272, AU 332891, AU 333858,
CN 200830346524.1, CN 200830346526.0, CN 200830346525.6, CN 201030215797.X, EU 1067417, JP 1377401, JP 1377402,
JP 1377403, JP 1415251, JP 1415252, NZ 411762, NZ 413090, NZ 413091, US D629891, US D629892, US D635232, US D635244,
US D635245, US D635654, US D638536, US D638537, US D638933. Other design registrations pending.
H5i: Protected by patents: AU 2002233025, CN ZL02804936.5, HK 1065483, JP 4420605, NZ 527088, US 693533, US 7614398.
Other patents pending. Protected by design registrations: AU 331676, AU 331677, CN 200930203243.5, EU 1720582, JP 1402844,
JP 1402845, NZ 413752, NZ 413753, US D626642, US D627044. Other design registrations pending.
S9, H5i, ClimateLine, SlimLine, SmartStart, TiControl, VPAP Auto and VPAP are trademarks of ResMed Ltd and S9, ClimateLine,
SlimLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Office.
© 2011 ResMed Ltd.
Global leaders in sleep and respiratory medicine
ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire
www.resmed.com
VPAP
Auto
™
VPAP
ST
™
VPAP
S
™
POSITIVE AIRWAY PRESSURE DEVICE
H5i
™
HEATED HUMIDIFIER
Clinical Guide
English
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Table of Contents
Related Manuals for ResMed S9 VPAP Series
Summary of Contents for ResMed S9 VPAP Series
- Page 1 JP 1402845, NZ 413752, NZ 413753, US D626642, US D627044. Other design registrations pending. S9, H5i, ClimateLine, SlimLine, SmartStart, TiControl, VPAP Auto and VPAP are trademarks of ResMed Ltd and S9, ClimateLine, SlimLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Office.
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Page 3: Table Of Contents
Contents Welcome ..................... 1 VPAP Auto indications for use .............. 1 VPAP ST indications for use ..............1 VPAP S indications for use ..............1 VPAP contraindications ................. 1 VPAP adverse effects ................1 H5i indications for use ................1 H5i contraindications ................ - Page 4 Managing Climate Control ................. 25 Delivering therapy ..................26 Adding supplemental oxygen ............. 26 Data management ..................27 SD card ....................27 Removing the card ................27 Inserting the card ................27 Analyzing the SD card data ..............28 Data storage ..................28 Data transmission adapter ..............
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Page 5: Welcome
Welcome Thank you for choosing the VPAP Series or H5i. Before operating these devices, please read the entire Clinical and Information Guides. CAUTION In the US, Federal law restricts this device to sale by or on the order of a physician. VPAP Auto indications for use The S9 VPAP Auto is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). -
Page 6: Vpap 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 S9 VPAP Series meets the Federal Aviation Administration (FAA) requirements (RTCA/DO-160G, section 21, category M) for all phases of air travel. -
Page 7: 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 water tub • ClimateLine heated air tubing (if sold as a Climate Control Kit). Optional components include: •... -
Page 8: Operating Information
Pressure One breath cycle IPAP Pressure Support EPAP Rise time Time Modes of operation The following table describes the operating modes available on the S9 VPAP Series. Mode VPAP Auto VPAP ST VPAP S CPAP mode ü ü ü A fixed pressure is delivered. -
Page 9: Epr Technology
Mode VPAP Auto VPAP ST VPAP S VAuto mode The AutoSet algorithm automatically adjusts pressure in response to flow limitation, snore and apneas. Pressure ü support (PS) can be set and is fixed throughout the night. Min EPAP and Max IPAP restricts the delivered pressure range. -
Page 10: Ticontrol - Inspiratory Time Control
– Inspiratory time control ™ (S, ST and VAuto modes) Unique to ResMed CPAP and bilevel devices, TiControl allows you 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 ’controlled... -
Page 11: Min Epap , Max Ipap And Pressure Support
Min EPAP , Max IPAP and pressure support (VAuto mode) Pressure support allows you to set the difference between inspiratory and expiratory pressure. Min EPAP and Max IPAP settings allow you to restrict the range of pressures in which the AutoSet algorithm can operate. -
Page 12: Vpap Features
VPAP 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 13: Central Sleep Apnea
Central sleep apnea In VAuto or CPAP mode, these VPAP devices detect both obstructive and central sleep apneas (CSA). CSA detection uses the Forced Oscillation Technique (FOT) to determine the state of the patient’s airway during an apnea. When an apnea has been detected, small oscillations in pressure (1 cm H O peak-to- peak at 4 Hz) are added to the current device pressure. -
Page 14: Setup
Setup 1. Align your H5i with your VPAP 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 . 3. Connect the power cord to the power supply unit. 4. -
Page 15: 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 16: 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 center hole) with distilled or deionized water up to the maximum water level mark (12.5 fl oz / 380 mL). 4. -
Page 17: Vpap Basics
VPAP 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 exit from the or exit from the Home menu. -
Page 18: 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 19: 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 20: 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 S mode below) once therapy has started: ü H5i humidifier ü H5i humidifier ü H5i humidifier ü ClimateLine or ClimateLine ü... -
Page 21: Treatment Screen Parameters
Treatment screen parameters Parameter Modes Description CPAP VAuto CPAP Fixed treatment pressure. ü S / ST / T / VAuto Set (EPAP and IPAP) pressures. ü ü ü ü Ramp Orange icon shows that device is ramping up. ü ü ü... -
Page 22: 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 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 23: Clinical Setup Menu Parameters
Clinical setup menu parameters Parameter Modes Default Range Description CPAP VAuto Settings Mode CPAP / S / ST / T / Sets the therapy mode ü ü ü ü ü VAuto available on the device. Set pressure 8 cm H 4–20 cm H Sets the fixed treatment ü... - Page 24 Parameter Modes Default Range Description CPAP VAuto Max Ramp 45 min Off–45 minutes, Limits the ramp time the ü ü ü ü ü 5-minute patient may select. increments Start pressure 4 cm H 4–Set pressure, Sets the pressure at the ü...
- Page 25 Parameter Modes Default Range Description CPAP VAuto Reminders Mask 6 mths Seven-day A timed reminder to remind ü ü ü ü ü increments a patient when they need to (starting from replace their mask. the current Water tub 6 mths A timed reminder to remind ü...
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Page 26: 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 27: 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 but with lighter green background and with the unlock symbol. - Page 28 Parameter Description Days>4hrs Number of days the device has been used for more than 4 hours during the selected period or since the last compliance data was reset. Avg. usage Average number of hours per day the device has been used during the selected period.
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Page 29: 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 30: 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 31: 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 32: 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 an VPAP 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 33: Cleaning And Maintenance
Cleaning and maintenance You should regularly clean and maintain your device as described in this section. Daily 1. Remove the air tubing by pulling on the finger grips on the cuff. Hang the air tubing in a clean, dry place until next use. 2. -
Page 34: Maintenance Checklist
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 35: Technical Specifications
It is recommended that mobile communication devices are kept at least 1 m away from the VPAP 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 36: Vpap Technical Specifications
VPAP technical specifications Pressure and Operating pressure range (measured at the mask): 4–20 cm H O (CPAP); flow state 3–25 cm H O (VPAP) Maximum single fault steady state pressure: 30 cm H O - if pressure exceeded for > 6 sec; 40 cm H O - if pressure exceeded for >1 sec Pressure measurement tolerance: ±0.5 cm H O ±... -
Page 37: H5I Technical Specifications
H5i technical specifications Temperature Maximum heater plate temperature: 150°F (65°C) Temperature cut-out (heater): 165°F (74°C) Maximum gas temperature at mask: ≤ 106°F (≤ 41°C) Physical Dimensions (L x W x H): 6.0” x 5.7” x 3.4” (153 mm x 145 mm x 86 mm) Weight (water tub): Docking station and unfilled water tub 1.5 lb (670 g) Weight (cleanable water tub): Docking station and unfilled water tub 1.7 lb (770 g) Water capacity: To maximum fill line 380 mL... -
Page 38: Pneumatic Flow Path
Pneumatic flow path VPAP Series Mask Inlet Blower filter 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 39: Warnings And Cautions
Explosion hazard—do not use in the vicinity of flammable anesthetics. • Only use the ResMed 90W or 30W power supply unit. Use the 90W power supply unit to power the S9 system comprising the S9 VPAP Auto/S9 VPAP ST/S9 VPAP S, H5i, ClimateLine or ClimateLine DC/DC converter and Power Station II battery pack The 30W power supply unit is designed to power the S9 VPAP Auto/S9 VPAP ST/S9 VPAP S device only and recommended for traveling. -
Page 40: Device Cautions
Do not operate the H5i if it is not working properly or if any part of the bilevel device or H5i has been dropped or damaged. • 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. •...