Respironics BiPAP AVAPS User Manual
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Respironics BiPAP AVAPS User Manual

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Summary of Contents for Respironics BiPAP AVAPS

  • Page 1 BiPAP AVAPS ® User Manual...
  • Page 2 6,539,940; Australian Patent Nos. 638054; 661575; 698519; 723681; 734319 and 733655; Canadian Patent Nos. 2,162,981 and 2,259,795; European Patent Pub. No. 0425092B1; and Japanese Patent Nos. 2832812; 2137336 and 2926392. Other U.S. and Foreign Patents Pending. © 2007 Respironics, Inc. and its affiliates. All rights reserved.

  • Page 3: Table Of Contents

    Chapter 3: Introduction to the Device ....................5 3.1 Definitions ..........................5 3.2 What is Bi-level Ventilation? ....................6 3.3 What is the BiPAP AVAPS Device? ................... 7 3.4 Symbols ............................8 3.5 How to Contact Respironics ....................8 Chapter 4: Device Controls and Display Features ................9 4.1 Pressure On/Off Button ......................
  • Page 4 Chapter 7: Alarms ..........................28 7.1 Introduction to Alarms ......................28 7.2 What to Do When an Alarm Occurs ..................29 7.3 Alarm Tables ..........................30 7.3.1 High Priority Alarms ....................30 7.3.2 Medium Priority Alarms ....................31 7.3.3 Low Priority Alarms ..................... 31 Chapter 8: Troubleshooting .......................

  • Page 5: Chapter 1: Package Contents

    1: p hapTer aCkage onTenTs Your BiPAP AVAPS device should include the following items. If any of these items are missing, contact your home care provider. Flexible Tubing 6 ft. (1.83 m) x 22 mm i.d. ® ™ Device with Encore...

  • Page 6: Chapter 2: Warnings And Cautions

    If oxygen is used with the device, the oxygen flow must be turned off when the device is not in use. • If you are using oxygen, the device must be equipped with the Respironics Pressure Valve. Failure to use the Pressure Valve could result in a fire hazard. •...

  • Page 7: Cautions

    2.3 i ntended The BiPAP AVAPS device is intended to provide noninvasive ventilation for pediatric patients 7 years or older > 40 lbs (18.2 kg) and adult patients > 66 lbs (30 kg) with respiratory insufficiency or obstructive sleep apnea. This device may be used in the hospital or home.

  • Page 8: Contraindications

    2.4 C ontraindiCations The device should not be used if you have severe respiratory failure without a spontaneous respiratory drive. If any of the following conditions apply to you, consult your physician before using the device: • Inability to maintain an open airway or adequately clear secretions •...

  • Page 9: Chapter 3: Introduction To The Device

    3: i hapTer nTroduCTion To The eviCe This chapter contains the following information: • Definitions for common terms used throughout this manual • An overview of the device • An explanation of the symbols used on the device and throughout this manual •...

  • Page 10: What Is Bi-Level Ventilation

    Ramp A feature that may increase patient comfort when therapy is started. The ramp feature reduces the pressure and then gradually increases (ramps) the pressure to the prescription setting, so you can fall asleep more comfortably. Respiratory Rate (RR) The patient’s rate of respiration. Rise Time The time it takes for the device to change from EPAP to IPAP.

  • Page 11: What Is The Bipap Avaps Device

    3.3 W PaP avaPs d eviCe The device, shown in Figure 3–2, supplies air pressure through a breathing circuit. Figure – The BiPAP AVAPS Device A breathing circuit, shown in Figure 3–3, consists of: • Circuit tubing to deliver air from the device to your interface (e.g., mask) •...

  • Page 12: Symbols

    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 (USA or Canada only) or 1-724-387-4000. You can also use the following address:...

  • Page 13: Chapter 4: Device Controls And Display Features

    4: d hapTer eviCe onTrols and isplay eaTures Figure 4–1 shows the location of the device’s alarm power indicators, control panel, Pressure On/Off button, and the breathing circuit connection. Alarm and Power Control Indicators Panel Breathing Circuit Connection Pressure On/Off Button Figure – Device Front and Top 4.1 P ressure...

  • Page 14: Control Panel

    4.2 C ontrol anel The control panel contains the following control buttons and indicators. 4.2.1 C ontrol uttons The control buttons on the control panel are shown in Figure 4–3. Display Screen Scroll Pressure On/Off Button Button Alarm RESET Reset HEAT Button RAMP SILENCE Heated...

  • Page 15: Alarm And Power Indicators

    4.2.2 a larm oWer ndiCators Figure 4–4 shows the device’s alarm and power indicators. High Priority AC Power Alarm LED (Red) Indicator (Green) Power Alarms DC Power Low/Medium Priority Indicator (Green) Alarm LED (Yellow) Figure – Alarm and Power Indicators The green AC Power LED lights up when the device is connected to AC AC Power Indicator Power.
  • Page 16 The information shown on the display screen is defined as follows: ALARM Indicates that the device requires user attention as indicated on the screen. APNEA Indicates that an apnea alarm has occurred. AVAPS Indicates that the device is operating with AVAPS therapy. Indicates that a breath rate setting is being displayed.

  • Page 17: Breathing Circuit Connection

    Indicates that the device is in PC therapy mode. Indicates that the Ramp function is in progress or the ramp length setting is being RAMP displayed. RAMP Indicates that the Ramp Starting Pressure is being displayed. START RISE TIME Indicates that a rise time setting is being displayed. Indicates that the Respiratory Rate (RR) is being displayed.

  • Page 18: Rear Panel

    SleepLink interface. All IEC 950 devices must only be connected to the 7-pin connector with the Respironics Isolation cable. The rear panel contains the following: This connector accepts the Respironics Communications cable for computer Communications and external communications or a remote alarm. (Use only with an IEC 60950 Connector approved computer.)

  • Page 19: Chapter 5: Setting Up The Device

    5: s hapTer eTTing up The eviCe This chapter provides instructions on how to: • Install the air filters • Position the device • Connect the breathing circuit • Plug the device in using AC or DC power 5.1 i nstalling ilters A properly installed, undamaged gray foam filter is required for proper operation.

  • Page 20: Where To Place The Device

    NOTE: The filter cap should be installed with the air inlet opening at the bottom. See Chapter 9 for information about cleaning or replacing the filters. 5.2 W here laCe eviCe Place the device on its base somewhere within easy reach of where you will use it. Make sure that the air inlet on the rear of the device is not blocked.
  • Page 21 Exhalation Port Mask's Connector Flexible Tubing Connector Figure – Connecting a Mask with a Built-In Exhalation Port If you are using a mask with a separate exhalation device, connect the open end of the circuit tubing to the exhalation device as shown in Figure 5–5. Position the exhalation device so that the vented air is blowing away from your face.

  • Page 22: Complete Setup

    5.4 C omPlete etuP Figure 5–7 shows the completed breathing circuit setup. Patient Interface Exhalation Port Circuit Tubing Bacteria Breathing Filter Circuit (Optional) Connection Figure – Complete Breathing Circuit 5.5 P lugging eviCe You can use AC or DC power to operate the device. WARNING: The DC power option is not intended as a battery backup when using AC power.

  • Page 23: Using Dc Power

    You can operate the device on DC power by using the Respironics DC power adapter accessory. See the DC power adapter instructions for more information. CAUTION: Use only the Respironics DC power adapter available from your home care provider.

  • Page 24: Chapter 6: Operating The Device

    6: o hapTer peraTing The eviCe This chapter explains how to start the device and change the device settings. 6.1 s tarting eviCe 1. Plug in the device to an AC or DC power source to power up the device. A confirmation alarm sounds, and the control pad buttons light up.
  • Page 25 With the exception of the button, the control pad is inactive during these first three NOTE: screens. Each of these screens appears for approximately 1-3 seconds. d. The next screen that appears is the Standby screen, shown in Figure 6–4. This indicates that the device is in the Standby state (the blower is off).

  • Page 26: Changing The Device Settings

    6.2 C hanging eviCe ettings You can view the following settings and indicators on the display screen: • Measured pressure • Therapy Mode • SmartCard • Patient alarms Additionally, you can view and modify the following settings using the display screens: •...

  • Page 27: Navigating The User Display Screens

    6.2.2 n avigating isPlay Creens You can navigate the rest of the user display screens by pressing the Left and Right User keys. You can change the settings on any of the display screens by pressing the HEAT and RAMP buttons to increase or decrease the setting. You can exit any of the user display screens by pressing the SILENCE button.

  • Page 28: Changing The Flex Setting

    6.2.2.1 C hanging etting The Flex setting allows you to adjust the level of air pressure relief that you feel when you exhale during therapy. WARNING: The effectiveness of Bi-Flex, C-Flex or AVAPS therapy has not been established for pediatric patients at this time. The Flex feature is not prescribed for all users.

  • Page 29: Changing The Ramp Starting Pressure

    Increase or decrease the rise time setting from 1 to 6 by pressing the HEAT or RAMP button until you find the right setting. A setting of 1 is the fastest rise time, while 6 is the slowest. 6.2.2.3 C hanging tarting ressure The device is equipped with an optional ramp feature.

  • Page 30: Monitoring Measured Parameters

    6.3 m onitoring easured arameters You can view four measured parameters—leak, respiratory rate, minute ventilation, and exhaled tidal volume. To access these screens from the Monitoring or Standby screens, press the small circular Scroll button ( ) located near the RESET button. SILENCE SILENCE Figure 6–12 shows how to navigate the measured parameter screens.
  • Page 31 Respiratory Rate Screen This screen, shown in Figure 6–14, shows the average rate of respiration for the previous six breaths. Figure – Respiratory Rate Screen Minute Ventilation Screen This screen, shown in Figure 6–15, shows the estimated Exhaled Minute Ventilation (the volume of air received on a per minute basis) based on the average of the previous six breaths.

  • Page 32: Chapter 7: Alarms

    7: a hapTer larms This chapter describes the alarms and what you should do if an alarm occurs. 7.1 i ntroduCtion larms The device provides three alarm levels: high, medium, and low priority. These alarms require immediate response. The alarm signal consists of a red LED High Priority indicator and a sound that is either a periodic pattern consisting of a two-second beep followed by two seconds of silence or a pattern of three beeps, a pause,...

  • Page 33: What To Do When An Alarm Occurs

    Alarm RESET Reset HEAT Button RAMP SILENCE Alarm Silence Button Figure – Alarm Buttons 7.2 W larm CCurs The following example applies to most alarm conditions. Follow these steps unless otherwise directed by the alarm tables that follow. Look at the alarm indicators and listen to the alarm sound. Alarm LED Lights Up Alarms...

  • Page 34: Alarm Tables

    7.3 a larm aBles The following tables summarize the high priority, medium priority, and low priority alarms. 7.3.1 h riority larms Alarm Alarm Display Device Possible Your Sound Message Action Cause Action • • • • • ALARM and Red Flash Operates Breathing circuit is Reconnect the circuit...

  • Page 35: Medium Priority Alarms

    7.3.2 m edium riority larms Your Alarm Alarm Display Device Possible Action Sound Message Action Cause • • • Operates Battery is nearly Yellow Flash Press the RESET discharged. button to reset the DC Power alarm. Replace the LED Flashes battery. If the alarm continues, contact your home care provider.

  • Page 36: Chapter 8: Troubleshooting

    8: T hapTer roubleshooTing This chapter describes problems that you may experience with your device or mask and provides possible solutions. Problem Why It Happened What To Do The device does not If the power LED is off, Check the outlet power and verify that the operate when you press there’s no power at the outlet device is plugged in.
  • Page 37 Contact your home care provider or performance of mishandled, or water has Respironics for directions on how to have the device. been spilled onto or into the your device serviced. Please have the serial device or the power supply.
  • Page 38 If the error message appears again, contact your home care provider or Respironics for directions on having your device serviced. Please have your serial number ready when you call.

  • Page 39: Chapter 9: Cleaning And Maintenance

    9: C hapTer leaning and ainTenanCe This chapter provides information on how to clean and maintain your system. 9.1 C leaning eviCe Before cleaning or performing any routine maintenance, always make sure the device is not operating and disconnect the device from the power source. NOTE: The following cleaning instructions are for the device only.
  • Page 40 3. Remove the filters from the enclosure as shown in Figure 9–2. The top filter is the reusable gray foam filter. The bottom filter is the optional disposable, white, ultra-fine filter. Reusable Gray Foam Filter Disposable Ultra-fine Filter Figure – Removing the Air Filters 4. Check the filters to see if they are dirty or torn. 5.

  • Page 41: Chapter 10: Accessories

    Oxygen may be added to the mask connection. Please note the warnings listed below when using oxygen with the device. WARNING: If you are using oxygen, your device must be equipped with the Respironics Pressure Valve. Failure to use the Pressure Valve could result in a fire hazard. WARNING: Oxygen accelerates fires.

  • Page 42: Chapter 11: Specifications

    Ordinary Equipment, IPX0 AC Power Supply: Drip Proof, IPX1 DC Power Adapter: Drip Proof, IPX1 Modes of Operation: Continuous Electromagnetic Compatibility: The BiPAP AVAPS device meets the requirements of EN 60601-1-2, second edition (2001). Fuses: There are no user-replaceable fuses. 11.4 P ressure Output: 4 to 30 cm H...

  • Page 43: Control Accuracy

    11.5 C ontrol CCuraCy Parameter Range Accuracy IPAP 4 to 30 cm ± 5 cm H EPAP 4 to 25 cm ± 5 cm H CPAP 4 to 20 cm ± 5 cm H Breath Rate 0 to 30 BPM Greater of ±...

  • Page 44: Appendix A: Emc Information

    a: emC i ppendix nformaTion ’ uidanCe and anufaCTurer eClaraTion leCTromagneTiC missions This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. missions omplianCe leCTromagneTiC nvironmenT...
  • Page 45 ’ This device is intended for use in the uidanCe and 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 mmuniTy evel omplianCe evel leCTromagneTiC nvironmenT...
  • Page 46 rf C eCommended eparaTion isTanCes beTWeen orTable and obile ommuniCaTions quipmenT and eviCe The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this device as recommended below, according to the maximum output power of the communications equipment.
  • Page 47 (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.
  • Page 48 1048888 JR 9/20/07...

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