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R E F 1 0 6 4 8 5 8
1 0 7 0 5 6 9 - 0 1
BiPAP S/T
USER MANUAL
N S 0 8 / 2 3 / 1 0

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   Summary of Contents for Philips BiPAP S/T

  • Page 1 R E F 1 0 6 4 8 5 8 1 0 7 0 5 6 9 - 0 1 BiPAP S/T USER MANUAL N S 0 8 / 2 3 / 1 0...
  • Page 2 © 2010 Koninklijke Philips Electronics N.V. All rights reserved.
  • Page 4: Table Of Contents

    System Overview ............................. 8 Control Buttons ............................10 Available Therapy Modes ........................11 Available Therapy Features.......................11 Symbols ................................13 How to Contact Philips Respironics ......................13 Chapter 2. Device Setup ............................15 Installing the Air Filter ..........................15 Where to Place the Device .........................15 Connecting the Breathing Circuit ......................16 Supplying AC Power to the Device ......................17...
  • Page 5 DC Power Cord ...............................41 Carrying Case ..............................41 Chapter 5. Cleaning the Device ........................43 Cleaning or Replacing the Filters......................43 Cleaning the Tubing .............................44 Service ................................44 Chapter 6. Specifications ...........................45 Chapter 7. EMC Information ..........................49 Limited Warranty ..............................53 BiPAP S/T user manual...
  • Page 6: Chapter 1. Introduction

    1. Introduction This chapter provides an overview of the device. Package Contents The BiPAP S/T system may include the following components. Some components (e.g., humidifier) are optional accessories that may not be packaged with the device. AC Power Adapter...
  • Page 7: Intended Use

    Intended Use WARNING The effectiveness of Bi-Flex The BiPAP S/T device is intended to provide non-invasive ventilatory has not been established for support to treat adult patients weighing over 30 kg (66 lbs) and pediatric patients. pediatric patients 7 years or older and weighing over 18 kg (40 lbs) with Obstructive Sleep Apnea (OSA) and Respiratory Insufficiency.
  • Page 8 The device should be used only with masks and connectors recommended Circuits by Philips Respironics or with those recommended by the health care professional or respiratory therapist. A mask should not be used unless the device is turned on and operating properly. The exhalation port(s) associated with the mask should never be blocked.
  • Page 9 Bacteria Filter If the device is used by multiple persons (such as rental devices), Philips Respironics recommends that a low-resistance, main flow bacteria filter (Part Number 342077) be installed in-line between the device and the circuit tubing to prevent device contamination.
  • Page 10 Electrical cords, cables, and the power supply device should be periodically inspected for damage or signs of wear. Replace any damaged parts before using. Repairs and adjustments must be performed by Philips Respironics- authorized service personnel only. Unauthorized service could cause injury, invalidate the warranty, or result in costly device damage.
  • Page 11: Cautions

    Never install a wet filter into the device. You must ensure sufficient drying time for the cleaned filter. Cleaning Do not immerse the device in liquid or allow any liquid to enter the enclosure or inlet filter. BiPAP S/T user manual...
  • Page 12: Notes

    Notes • Additional warnings, cautions and notes are located throughout this manual. • Please see the “Limited Warranty” section of this manual for information on warranty coverage. Contraindications The device is contraindicated on patients without a spontaneous respiratory drive. If any of the following conditions apply to you, consult your physician before using the device: •...
  • Page 13: Patient Precautions

    – Gastric distention (aerophagia) System Overview The BiPAP S/T device is intended to augment patient breathing by supplying pressurized air through a patient circuit. It senses the patient’s breathing effort by monitoring airflow in the patient circuit and adjusts its output to assist in inhalation and exhalation. This therapy is known as Bi-level ventilation.
  • Page 14 Several accessories are also available for use with the device. Contact your home care provider to purchase any accessories not included with your system. The figure below illustrates some of the device features, described in the table below. SD Card (Accessory) Slot Air Outlet Port SD Card Cover Power Inlet...
  • Page 15: Control Buttons

    When the airflow is on, this button allows you to activate or restart the ramp function. This button lights up when therapy is active. Alarm Silence/ Silences the audible portion of the alarm for a period of time and indicates an Indicator Button alarm condition. BiPAP S/T user manual...
  • Page 16: Available Therapy Modes

    Available Therapy Modes The table below describes the therapy modes available on the device: Therapy Modes Description CPAP Continuous Positive Airway Pressure; CPAP maintains a constant level of pressure throughout the breathing cycle. Spontaneous Pressure Support; A Bi-level therapy mode where breaths are patient-triggered and patient-cycled.
  • Page 17 A setting of 1 is the fastest rise time while a setting of 3 is the slowest. Providers should adjust the rise time to find the most comfortable setting for the patient. Rise time cannot be adjusted when Bi-Flex is enabled. BiPAP S/T user manual...
  • Page 18: Symbols

    Do not disassemble How to Contact Philips Respironics To have your device serviced, contact your home care provider. If you need to contact Philips Respironics directly, call the Customer Service department at 1-724-387-4000 or 1-800-345-6443. You can also use the following address: Respironics Inc.
  • Page 19 BiPAP S/T user manual...
  • Page 20: Chapter 2. Device Setup

    BiPAP S/T user manual 2. Device Setup Installing the Air Filter The device uses a gray foam filter that is washable and reusable. CAUTION The reusable filter screens out normal household dust and pollen. A properly installed, undamaged It must be in place at all times when the device is operating. One gray foam filter is required for reusable gray foam filter is supplied with your device.
  • Page 21: Connecting The Breathing Circuit

    (such as the Whisper Swivel II) WARNING • Philips Respironics 1.83 m (6 ft.) 22 mm flexible tubing or The exhalation device (Whisper the optional 15 mm flexible tubing Swivel II) or exhalation port •...
  • Page 22: Supplying Ac Power To The Device

    Supplying AC Power to the Device WARNING This device is activated when the Complete the following steps to supply AC power to the device: power cord is connected. 1. Plug the socket end of the power cord (included) into the power supply (also included).
  • Page 23 Language Leak Machine Hours Min Vent Minute Ventilation Mode No Settings Available Off (disabled) On (enabled) Patient Disconnect Provider Mode Ramp Time Ramp Start Pressure Reinsert SD Card Reset Blower Hours Reset Therapy Hours Respiratory Rate BiPAP S/T user manual...
  • Page 24 Symbol Description Rise Time Rise Time Control SD Card Corrupted SD Card Full SD Card Inserted SD Card Inserted: Prescription Accepted SD Card Inserted: Prescription Rejected SD Card is Write-Protected SD Card Removed Setup Setup Parameter Display Therapy (Blower Off ) Therapy (Blower On) Therapy Hours Timed Inspiration...
  • Page 25: Navigating The Device Screens

    This may reduce tension on the mask. 8. From the Monitor Pressure screen, press and hold the Wheel for approximately 2 seconds to turn off therapy and return to the Main Menu. BiPAP S/T user manual...
  • Page 26: Monitor Pressure Screen

    9. Verify that the device beeps when therapy is stopped. If the device does not operate accordingly, contact your home care provider, as the alarm system may not be fully functional. Monitor Pressure Screen From the Main Menu, if you select Therapy and then press the Wheel, the following Monitor Pressure screen appears.
  • Page 27: Changing The Comfort Settings

    Flex, a level will already be set for you on the device. If this is not comfortable, you can increase or decrease the setting from 1 to 3. A setting of 1 provides a small amount of pressure relief, with higher numbers providing additional relief. BiPAP S/T user manual...
  • Page 28 You can choose either “22” for Philips Respironics 15 mm any Philips Respironics 22 mm tubing, or “15” for the optional Philips tubing, the device tubing type Respironics 15 mm tubing. This selection allows you to control the setting must be set to 15.
  • Page 29: Changing And Viewing The Setup Options

    Machine Hours 902.0 902.0 Icon View Text View Note: If an accessory is attached to the therapy device, additional items may appear on the Information screen. Refer to the instructions provided with the accessory for more information. BiPAP S/T user manual...
  • Page 30: Viewing The Monitoring Parameters Screen

    The following items appear on the Information screen: • Monitor Parameters - Displays the available parameters. • Therapy Hours - Displays the average amount of time therapy is received over a 7 day and 30 day period. • Blower Hours - Displays the total number of hours that the blower has been on.
  • Page 31: Viewing Measured Parameters

    The display is updated at the end of each breath. Exhaled Tidal The estimated Exhaled Tidal Volume is obtained by the integration of patient flow. Volume (Vte) The display is updated at the end of each breath. BiPAP S/T user manual...
  • Page 32: Chapter 3. Device Alarms

    BiPAP S/T user manual 3. Device Alarms This chapter describes the ventilator alarms and what you should do Note: If multiple alarms occur at the same time, only the if an alarm occurs. highest priority alarm will be There are three types of alarms: active.
  • Page 33: Alarm Led Indicators

    This indicator continues until the cause of the alarm is corrected or the audible alarm is silenced. The alarm descriptions later in this chapter display this indicator as: • • • • • • • • • • BiPAP S/T user manual...
  • Page 34: Silencing An Alarm

    • Medium Priority – When a medium priority alarm is active, a series of beeps sounds in a 3-beep pattern. This pattern repeats until the cause of the alarm is corrected or the audible alarm is silenced. The alarm descriptions •...
  • Page 35: Alarm Message Screens

    High Red solid button; Shuts down Remove your mask. Press the Alarm Silence/Indicator button Inoperative to silence the alarm. Contact Ventilator Inoperative your home care provider for service. - or - (if Icon option is selected) BiPAP S/T user manual...
  • Page 36 Alarm Priority Audible Visual Indicators Device User Action Indicator Action • • • • • Low Pressure High Red flashing button; Operates This could be caused by an excessive leak or blockage or Alarm a device malfunction. Press the Alarm Silence/Indicator Low Pressure button to silence the alarm.
  • Page 37 Corrupted SD card. The data may be corrupted. Press the Alarm Silence/Indicator button to SD card corrupted silence the alarm. Contact your home care provider with any - or - (if Icon option is questions. selected) BiPAP S/T user manual...
  • Page 38 Alarm Priority Audible Visual Indicators Device User Action Indicator Action • • SD Card Full Solid yellow button Operates This alarm occurs when the SD card is full. Press the Alarm Silence/Indicator button to silence the alarm. Remove the SD card full SD card and replace it.
  • Page 39 Failure icon Humidifier Turn off airflow and reconnect shuts down the humidifier to the device according to the humidifier instructions. If the alert continues to occur, contact your home care provider. BiPAP S/T user manual...
  • Page 40: Troubleshooting

    Troubleshooting The table below lists some of the problems you may experience with your device and possible solutions to those problems. Problem Why It Happened What To Do Nothing happens when There is no power at the If you are using AC power, check the you apply power to the outlet or the device is outlet and verify that the device is...
  • Page 41 Make sure the device is away from direct sunlight and heating equipment. If using the humidifier with the device, check the humidifier settings. Refer to the humidifier instructions to make sure the humidifier is working properly. BiPAP S/T user manual...
  • Page 42 Problem Why It Happened What To Do The mask feels This could be due to Make sure you are properly fitted with uncomfortable to wear, improper headgear the correct size mask. If the problem there is significant air adjustment or improper continues, contact your home care leakage around the mask fitting.
  • Page 43 BiPAP S/T user manual...
  • Page 44: Chapter 4. Accessories

    BiPAP S/T user manual 4. Accessories There are several accessories available for your BiPAP S/T system such as a humidifier. Contact your home care provider for additional infor- mation on the available accessories. When using the optional acces- sories, always follow the instructions enclosed with the accessories.
  • Page 45: Supplemental Oxygen

    Oxygen accumulated in the device enclosure will create a risk of fire. • When using oxygen with this system, a Philips Respironics Pressure Valve (REF 302418) must be placed at the air outlet port. Failure to use the pressure valve could result in a fire hazard.
  • Page 46: Dc Power Cord

    DC Power Cord CAUTION When DC power is obtained from The Philips Respironics DC power cord can be used to operate this a vehicle battery, the device should device in a stationary recreational vehicle, boat, or motor home. The not be used while the vehicle’s Philips Respironics DC Battery Adapter Cable, when used with the engine is running.
  • Page 47 BiPAP S/T user manual...
  • Page 48: Chapter 5. Cleaning The Device

    Rinse thoroughly to remove all detergent residue. Allow the filter CAUTION to air dry completely before reinstalling it. If the foam filter is torn, replace it. (Only Philips Respironics-supplied filters should Never install a wet filter into the device. You must ensure be used as replacement filters.)
  • Page 49: Cleaning The Tubing

    The device does not require routine servicing. unusual or harsh sounds, if the enclosure is broken, or if water has entered the device, discontinue use, and contact your home care provider. BiPAP S/T user manual...
  • Page 50: Chapter 6. Specifications

    BiPAP S/T user manual 6. Specifications Environmental Operating Storage Temperature 5° C to 35° C (41° F to 95° F) -20° C to 60° C (-4° F to 140° F) Relative Humidity 15 to 95% (non-condensing) 15 to 95% (non-condensing)
  • Page 51: Control Accuracy

    ±(25+0.15 of reading) ml 5 ml 0 to 2000 ml Respiratory Rate Greater of ±1 BPM or 1 BPM 0 to 60 BPM ±10% of reading Exhaled Minute Ventilation ±(1+0.15 of reading) LPM 1 LPM 0 to 99 LPM BiPAP S/T user manual...
  • Page 52 Noise Minimum Alarm Sound Level: 45 dB(A) Disposal Dispose of the device in accordance with local regulations. Chapter 6 Specifications...
  • Page 53 BiPAP S/T user manual...
  • Page 54: Chapter 7. Emc Information

    BiPAP S/T user manual 7. EMC Information Guidance and Manufacturer’s Declaration - Electromagnetic Emissions – 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.
  • Page 55 Power frequency magnetic fields should be magnetic field at levels characteristic of a typical location in a typical hospital or home environment. IEC 61000-4-8 NOTE: U is the a.c. mains voltage prior to application of the test level. BiPAP S/T user manual...
  • Page 56: Chapter 7 Emc Information

    Guidance and Manufacturer’s Declaration - Electromagnetic Immunity – 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. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment -Guidance Portable and mobile RF communications equipment should be...
  • Page 57 Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. BiPAP S/T user manual...
  • Page 58: Limited Warranty

    BiPAP S/T user manual Limited Warranty 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.
  • Page 59 BiPAP S/T user manual...

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