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Read your entire Astral™ User Guide or Clinical Guide before use.
Note: Some accessories may not be available in all regions.
The Astral device supports single and double limb circuits with the use of interchangeable circuit adapters.
Breathing circuits may be of 10, 15 or 22 mm diameter. For recommended patient circuit components and compatible accessories, refer to www.resmed.com/astral/circuits.
There are three circuit adapters:
Adapter | For use with | |
| Single limb circuit with intentional leak | |
or Mouthpiece circuit | ||
| Single limb circuit with expiratory valve (expiratory valve integrated into the circuit) | |
| Double limb circuit (expiratory valve integrated into the adapter) OR single limb circuit with intentional leak | |
or Mouthpiece circuit |
Before connecting the patient circuit, the adapter specific to the required circuit type must be fitted. To fit the adapter:
For complete details on setting up the circuit see Assembling patient circuits in the Astral Clinical Guide.
Single limb circuit with intentional leak or Mouthpiece circuit
Single limb circuit with expiratory valve using ResMed proprietary circuit
Single limb circuit with expiratory valve using standard circuit
Double limb circuit (Astral 150 only) or single limb circuit with intentional leak and Mouthpiece circuit
Do not connect patient interfaces prior to performing the Learn Circuit.
A Results screen is displayed once Learn Circuit is complete. Error codes are provided if Learn Circuit fails and can be found in the Clinical Guide for help with troubleshooting. The previous test results can be accessed by selecting the Results button in the Circuit sub menu.
To power on the device, simply press the green power on/off switch at the back of the device. The device will perform a system check.
On completion of the system check, the Patient Home screen and active program is displayed.
If more than one program displays, the active program will be highlighted orange.
Note: Settings configured in the active program will be used when ventilation is started.
To access Clinical mode:
Clinical mode can be accessed from any screen, whether or not the Astral device is ventilating.
To exit Clinical mode:
Note: If you do not make a selection within 7 seconds, the device returns to the previous screen.
To quickly set up the Astral device and start ventilation for a new patient, use the Setup Assistant.
For further information on adjusting setting parameters and alarm settings, see Adjusting patient settings and Adjusting alarm settings in the Astral Clinical Guide.
Waveforms | Displays the last 15 seconds of patient airway pressure and flow in a graph. The graph updates in real-time. | |
Monitoring | Displays all measured parameters in numerical form. | |
Trends | Displays trending of various parameters for the last 30 days. | |
Programs* | ||
Setup Assistant* | ||
Circuit | ||
Settings | Main Settings Manual Breath Sigh Breath | |
USB | Patient Data Settings Upgrade** | |
Device Config. | Device Date / Time Units Patient access | |
Alarm 1 & 2 | Tidal Volume (Vt) Minute Ventilation (Mv) Respiratory Rate Pressure Low PEEP Ventilation Stop Leak NV mask / Rebreathing | |
Alarm 3 | FiO2 SpO2 Pulse | |
Apnoea Response | Apnoea Response Apnoea Detection | |
Alarm Volume | Alarm Level Alarm Minimum Volume Alarm Test | |
Disconnection Alarm | Disconnection Alarm | |
Events | Alarms Settings System Delete* | |
Device | Basic Advanced | |
Battery | Charge Maintenance |
*Available in Clinical mode only.
**Software upgrades can only be performed by an authorised service representative. Astral has the ability to be upgraded with a USB stick containing the appropriate software. Please contact your authorised agent for further information.
The Astral device comes factory preset with one active program. Additional programs can be enabled.
The Astral device offers an enhanced access feature ('Big buttons' mode) to provide easier usability and accessibility for starting and stopping ventilation as well as Alarm mute.
The 'Big buttons' mode can be switched on and off as required in either Clinical or Patient mode.
When an alarm is activated, the Astral device provides both audible and visual alerts, and displays an alarm message in the Alarm display on the Information bar.
Indicator | Description |
| Displays either the alarm message for the highest priority active alarm, or the last alarm not yet reset. Press the Alarm display for further alarm information. Certain conditions may result in multiple alarms. indicates that there are multiple active alarms. Press when displayed to view all active alarms and respond appropriately. Alarms are displayed in order of priority. |
| Displays the full set of active alarms. Will automatically display upon activation of an alarm in patient mode. |
| Some alarms clear automatically. To view a history of alarms, view the alarm log through the Information menu. |
| State:
This button also allows you to:
|
| Indicates the priority of the alarm in the Alarm display. |
Alarm priority | Alarm bar | Audible alert | |
High | Red flashing light | 10 beeps every 5 seconds | |
Medium | Yellow flashing light | 3 beeps every 15 seconds | |
Low | Yellow steady | 2 beeps every 25 seconds |
An HME can be used with the Astral device with a double limb circuit or single limb circuit with integrated valve.
Place the HME between the patient end of the circuit and the patient interface.
Do not connect patient interfaces prior to performing the Learn Circuit.
For complete details on attaching patient circuit accessories, see Accessories in the Astral Clinical Guide.
For a full list of accessories, see the Ventilation accessories guide on www.resmed.com. If you do not have internet access, please contact your ResMed representative.
ResMed Pty Ltd
1 Elizabeth Macarthur Drive, Bella Vista NSW 2153 Australia
See ResMed.com for other ResMed locations worldwide. Astral is a trademark and/or registered trademark of the ResMed family of companies. For patent and other intellectual property information, see ResMed.com/ip.
© 2018 ResMed. 278119/3 2018-07
Here you can download full pdf version of manual, it may contain additional safety instructions, warranty information, FCC rules, etc.
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