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Table of Contents
Related Manuals for Respironics BiPAP S/T
Summary of Contents for Respironics BiPAP S/T
- Page 1 BiPAP S/T User Manual...
- Page 2 © 2011 Koninklijke Philips Electronics N.V. All rights reserved.
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Page 3: Table Of Contents
4.2.5 Rear Panel ................. 15 Chapter 5: Setting up the Device ..............17 5.1 Installing the Air Filters ..............17 5.2 Where to Place the BiPAP S/T ............18 5.3 Connecting the Breathing Circuit ..........19 5.4 Complete the Setup ................21 5.5 Plugging It In .................. - Page 4 Chapter 7: Alarms................... 32 7.1 Introduction to Alarms..............32 7.2 What to Do When an Alarm Occurs ..........34 7.3 Alarm Tables ..................35 7.3.1 High Priority Alarms ............. 35 7.3.2 Medium Priority Alarms ............36 7.3.3 Low Priority Alarms .............. 36 Chapter 8: Troubleshooting .................
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Page 5: Chapter 1: Package Contents
Chapter 1: Package Contents Your BiPAP S/T should include the following items. If any of these items are missing, contact your home care provider. BiPAP S/T with Encore Pro SmartCard Carrying Case Gray Foam Filters Ultrafine Filter User Manual Filter Cap... -
Page 6: Chapter 2: Warnings And Cautions
The exhalation port(s) associated with the mask should never be blocked. Explanation of the Warning: The BiPAP S/T is intended to be used with special masks or connectors that have exhalation ports to allow continuous flow of air out of the mask. When the... - Page 7 Doing so could result in CO rebreathing. • If you notice any unexplained changes in the performance of the BiPAP S/T, if it is making unusual or harsh sounds, if it and/ or the power supply has been dropped or mishandled, if the enclosure is broken, or if water has entered the unit, discontinue use and contact your home care provider.
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Page 8: Cautions
NOTE: Additional warnings, cautions, and notes are located throughout this manual. 2.3 Intended Use The BiPAP S/T 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. NOTE: The device is intended for use with nasal masks and full-face masks as recommended by Respironics. -
Page 9: Contraindications
2.4 Contraindications The BiPAP S/T 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 a patent airway or adequately clear secretions •... -
Page 10: Chapter 3: Introduction
Chapter 3: Introduction 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 • Contact information 3.1 Definitions The following terms appear throughout this manual: Apnea A condition marked by the cessation of spontaneous breathing. Breaths Per Minute CPAP Continuous Positive Airway Pressure EPAP... -
Page 11: What Is The Bipap S/T
3.2 What is the BiPAP S/T? The BiPAP S/T, shown in Figure 3–1, supplies air pressure through a breathing circuit. Figure 3–1 The BiPAP S/T Unit User Manual... - Page 12 The circuit, shown in Figure 3–2, consists of: • Circuit tubing to deliver air from the device to your interface (e.g., mask) • A mask or other patient interface device to deliver the prescribed pressure to your nose or nose and mouth, depending on which interface has been prescribed for you • An exhalation device to vent exhaled air from the circuit Patient Interface (Typical) Exhalation Exhalation Mask's Device Port Connector Circuit...
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Page 13: Symbols
TUV Safety Standard Compliance No User Serviceable Parts 3.4 How to Contact Respironics To have your device serviced, contact your home care provider. If you need to contact Respironics directly, call the Respironics Customer Service department at 1-724-387-4000 or 1-800-345-6443. You can also use the following address: Respironics Inc. -
Page 14: Chapter 4: Controls And Display Features
Chapter 4: Controls and Display Features Figure 4–1 shows the location of the device’s alarm power indicators, control panel, Pressure On/Off button, and breathing circuit connection. Alarm and Power Indicators Control Panel Breathing Circuit Connection Pressure On/Off Button Figure 4–1 Front and Top 4.1 Pressure On/Off Button The Pressure On/Off button, located on the side of the unit, starts and stops the unit’s airflow. Press the button in to turn the airflow on. This puts the device in the Operate state. Depress the button to turn the... -
Page 15: Control Panel
4.2 Control Panel The control panel contains the following control buttons and indicators. 4.2.1 Control Buttons The control buttons on the control panel are shown in Figure 4–2. Display Screen Pressure On/Off Button Alarm RESET Reset HEAT Button RAMP SILENCE Heated User Alarm Humidifier Buttons Silence Button Button Ramp Button Figure 4–2 Control Panel HEAT When the optional REMstar heated humidifier is prescribed, this button controls the humidifier’s heater plate setting. Follow the instructions provided with the humidifier. You can also use this button to adjust the settings shown in the user menu screens. RAMP When the airflow is turned on and the ramp function is enabled, this button lowers the airflow pressure,... -
Page 16: Alarm And Power Indicators
4.2.2 Alarm and Power Indicators Figure 4–3 shows the device’s alarm and power indicators. AC Power High Priority Indicator (Green) Alarm LED (Red) Power Alarms DC Power Low/Medium Priority Indicator (Green) Alarm LED (Yellow) Figure 4–3 Alarm and Power Indicators AC Power Indicator This green LED lights up when the device is connected to AC Power. -
Page 17: Display Screen
4.2.3 Display Screen The display shows you the measured pressure and displays alarm messages. A backlight activates when any of the keys are pressed and remains on until there are no keystrokes for one minute. Figure 4–4 shows the display screen. Figure 4–4 Display Screen The information shown on the display screen is defined as follows: ALARM... - Page 18 INSP. TIME Indicates that the inspiratory time setting is being displayed. IPAP Indicates that an IPAP pressure setting is being displayed. LIGHT Indicates that the keypad LED backlight setting is being displayed or is active. PATIENT Indicates that a Patient Disconnect alarm is active. RAMP Indicates that the Ramp function is in progress. RAMP START Indicates that the Ramp Starting Pressure is being displayed. RISE TIME Indicates that a rise time setting is being displayed.
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Page 19: Breathing Circuit Connection
Figure 4–6 Rear Panel NOTE: The SmartCard Connector is located on the side of the device. WARNING: In order to ensure proper protection against electric shock, only communications accessories with an IEC 60601-1 approved power supply may be connected through the SleepLink interface. All IEC 950 devices must only be connected to the 7-pin connector with the Respironics Isolation cable (Part Number 1012865). User Manual... - Page 20 The rear panel contains the following: Communications Connector This connector accepts the Respironics Communications cable for computer and external communications, or a remote alarm. (Use only with an IEC 60950 approved computer.) Power Inlets There are two power inlets on the rear panel, one for connecting the external AC power supply and another for connecting the external DC power adapter.
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Page 21: Chapter 5: Setting Up The Device
Chapter 5: Setting up the Device This chapter provides instructions on how to: • Install the air filters • Position the unit • Connect the breathing circuit • Plug the device in using AC or DC power 5.1 Installing the Air Filters CAUTION: A properly installed, undamaged foam filter is required for proper operation. The BiPAP S/T uses a gray foam filter that is washable and reusable, and an optional white, ultra-fine filter that is disposable. One filter of each kind is supplied with the unit. If your home care provider did not install the inlet air filters, you must install at least the gray foam filter before using the device. -
Page 22: Where To Place The Bipap S/T
The filter cap should be installed with the air inlet opening at the bottom. See Chapter 9 to clean or replace the filters. 5.2 Where to Place the BiPAP S/T 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 unit is not blocked. Place the unit on a hard, flat surface. If you block the air flow... -
Page 23: Connecting The Breathing Circuit
5.3 Connecting the Breathing Circuit To connect your breathing circuit to the device, complete the following steps: Connect one end of the circuit tubing to the outlet of the bacteria filter (if using one) and connect the inlet of the bacteria filter to the large connector on the device as shown in Figure 5–3. If you are not using a bacteria filter, connect the end of the circuit tubing directly to the outlet connector on the device. NOTE: Follow the recommendations of your home care provider for using the optional bacteria filter. - Page 24 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. Circuit Exhalation Tubing Device Figure 5–5 Connecting an Exhalation Device Connect the mask’s connector to the exhalation device, as shown in Figure 5–6. See the mask instructions for complete setup information.
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Page 25: Complete The Setup
5.4 Complete The Setup Figure 5–7 shows the completed breathing circuit setup. Patient Interface Exhalation Port Circuit Tubing Bacteria Breathing Filter Circuit (Optional) Connection Figure 5–7 Complete Breathing Circuit 5.5 Plugging It In 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. WARNING: For proper use, the power supply must be placed feet down, in the upright position, as shown in Figure 5–7. -
Page 26: Using Ac Power
5.5.1 Using AC Power Complete the following steps to operate the device using AC power: Plug the pronged end of the AC power supply’s cord into an electrical outlet. The external AC power supply features a cord retainer to provide strain relief for the AC power cord. Wrap the cord around the AC power supply’s cord retainer, using the wire tie supplied with your power supply. -
Page 27: Using Dc Power
5.5.2 Using DC Power You can operate the device on DC power by using the Respironics DC power adapter accessory (when available). See the DC power adapter instructions for more information. -
Page 28: Chapter 6: Operating The Bipap S/T
Chapter 6: Operating the Device This chapter explains how to start the device and change the settings. 6.1 Starting the BiPAP S/T Plug in the device to an AC or DC power source to power up the unit. A confirmation alarm sounds, and the control pad buttons light NOTE: If the alarm does not sound or the buttons do not light up, the device requires servicing. Contact your home care provider. Several screens appear initially during this step: a. The first screen that appears is the Self Test screen, shown in... - Page 29 The third screen to appear is the Blower Hours screen, which displays the blower hours time meter: Figure 6–3 Blower Hours Screen NOTE: With the exception of the Pressure On/Off button, the control pad is inactive during these first three 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. Figure 6–4 Standby Screen Press the Pressure On/Off button to put the unit into the Operate state. The Monitoring screen, shown in Figure 6–5, appears.
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Page 30: Changing The Device Settings
3. Put on your mask assembly when the air starts to flow. Make sure that no air is leaking from your mask into your eyes. If it is, adjust the mask and headgear until the air leak stops. See the instructions that came with your mask for more information. NOTE: A small amount of mask leak is normal and acceptable. -
Page 31: Changing The Humidifier Setting
6.2.1 Changing the Humidifier Setting If you are using the REMstar Heated Humidifier with your BiPAP S/T, you can adjust the humidifier heat setting by completing the following steps: From either the Standby or Monitoring screen, press and hold the Heat button for approximately 4 seconds. The Humidifier Setting screen appears, as shown in Figure 6–6. Figure 6–6 Humidifier Setting Screen Press the Heat button to increase the humidifier setting, or press the Ramp button to decrease the setting. You can adjust the setting from 1 to 5. The change takes effect immediately as you adjust the setting. You can exit this screen by pressing the Left or Right User buttons or the Silence button. -
Page 32: Changing The Flex Setting
Figure 6–7 shows how to navigate the user display screens. Flex Setting Screen Only displayed if the Flex feature is prescribed for you. Right User Left User Button Button Rise Time Setting Screen Only displayed if the rise time feature is prescribed for you. Right User Left User Button Button Ramp Start Pressure Setting Screen Only displayed if the ramp feature... -
Page 33: Changing The Rise Time Setting
To change the Flex setting, complete the following steps: From either the Monitoring or Standby screens, press the Right User button. The Flex Setting screen appears, as shown in Figure 6–8. Figure 6–8 Flex Setting Screen 2. To increase or decrease the Flex setting, press the Heat or Ramp button until the correct setting appears. You can choose from 1 to 3. NOTE: It is recommended that you start with the minimum setting of 1, which provides the least relief. Levels 2 and 3 progressively increase the pressure relief. 6.2.2.2 Changing the Rise Time Setting Rise time is the time it takes for the device to change from EPAP to IPAP. -
Page 34: Changing The Ramp Starting Pressure
To change the rise time setting, complete the following steps: From either the Monitoring or Standby screens, press the Right User button until you reach this screen. The Rise Time Setting screen is shown in Figure 6–9. Figure 6–9 Rise Time Setting Screen 2. 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 Changing the Ramp Starting Pressure The device is equipped with an optional ramp feature. -
Page 35: Changing The Led Backlight Setting
6.2.2.4 Changing the LED Backlight Setting When airflow is turned on and the device is in the Operate state, you can turn the control pad lighting behind the buttons on or off using the LED backlight setting. NOTE: The lights are always on when the airflow is off and the unit is in Standby. To change the LED backlight setting, complete the following steps: From either the Monitoring or Standby screens, press the Right User button until the LED Backlight Setting screen appears, as shown in Figure 6–11. Figure 6–11 LED Backlight Setting Screen Press the Heat or Ramp button to select a new setting. A setting of 1 means the light is on, while 0 means the light is off. User Manual... -
Page 36: Chapter 7: Alarms
Chapter 7: Alarms This chapter describes the BiPAP S/T alarms and what you should do if an alarm occurs. 7.1 Introduction to Alarms The device provides three alarm levels: high, medium, and low priority. High Priority These alarms require immediate response. -
Page 37: Alarm Silence
The alarm LED indicators are located on the right side of the control pad, as shown in Figure 7–1. High Priority Alarm LED (RED) Power Alarms Low/Medium Priority Alarm LED (Yellow) Figure 7–1 Alarm LED Indicators In addition to the alarm LED indicators, the control pad also contains Alarm Reset and Alarm Silence buttons, as shown in Figure 7–2. Alarm RESET Reset HEAT Button RAMP SILENCE Alarm Silence Button Figure 7–2 Alarm Buttons User Manual... -
Page 38: What To Do When An Alarm Occurs
7.2 What to Do When an Alarm Occurs 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 Power Alarms... -
Page 39: Alarm Tables
7.3 Alarm Tables The following tables summarize the high priority, medium priority, and low priority alarms. 7.3.1 High Priority Alarms Alarm Alarm Display Possible Your Sound Message Cause Action Action • • • • • ALARM and Red Flash Operates Breathing circuit is Reconnect the circuit PATIENT disconnected or has or fix the leak. -
Page 40: Medium Priority Alarms
7.3.2 Medium Priority Alarms Your Display Alarm Alarm Device Possible Action Sound Message Action Cause • • • Operates Battery nearly Yellow Flash Press the RESET button to discharged. reset the alarm. Replace DC Power the battery. If the alarm LED Flashes continues, contact your home care provider. -
Page 41: Chapter 8: Troubleshooting
Chapter 8: Troubleshooting This chapter describes problems that you may experience with your BiPAP S/T or mask and provides possible solutions. Problem Why It Happened What To Do The device does If the power LED is off, Check the outlet not operate there’s no power at the... - Page 42 Problem Why It Happened What To Do There is Check the headgear This could be due to significant adjustment as improper headgear air leakage described in the adjustment or around headgear instructions. improper the mask. Refer to your mask mask fitting. instructions to make sure the mask is properly fitted. If the...
- Page 43 On/Off button to restart the airflow. If the airflow does not restart, the device may not be operating correctly. Contact your home care provider or Respironics for directions on having the unit serviced. Please have your serial number ready when you call. Runny nose. Nasal reaction to the Call your health care air flow.
- Page 44 Respironics for directions on having your unit serviced. Please have your serial number ready when you call. User Manual...
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Page 45: Chapter 9: Cleaning And Maintenance
Before cleaning or performing any routine maintenance, always make sure the unit is not operating and disconnect the device from the power source. NOTE: The following cleaning instructions are for the BiPAP S/T unit only. To clean the accessories, refer to each accessory’s instruction sheet. CAUTION: Do not immerse the unit or allow any liquid to enter the enclosure, inlet filter, or any openings. - Page 46 Make sure the device is not operating, and disconnect the power cord from the wall outlet or DC source. 2. As shown in Figure 9–1, remove the filter cap by gently pressing down on the top panel and pulling the cap out, away from the device. Figure 9–1 Removing the Filter 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.
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Page 47: Carrying Case
NOTE: To clean the breathing circuit accessories, refer to each accessory’s instruction sheet. 9.3 Carrying Case A carrying case is now included with your BiPAP S/T system (reorder number: 1005965). The case is designed to hold your BiPAP S/T system, along with your breathing circuit accessories and humidifier. When you are traveling, the carrying case can be used for carry-on luggage only. The carrying case will not protect the device if it is put through checked baggage. -
Page 48: 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 BiPAP S/T must be equipped with the Respironics Pressure Valve (Part number 302418). Failure to use the Pressure Valve could result in a fire hazard. -
Page 49: Chapter 11: Specifications
Degree of protection against harmful ingress of water: S/T unit: Ordinary Equipment, IPX0 AC Power Supply (Reorder number 1012832): Drip Proof, IPX1 DC Power Adapter (Reorder number 1012975): Drip Proof, IPX1 Modes of Operation: Continuous Electromagnetic Compatibility: The BiPAP S/T meets the requirements of EN 60601-1-2, second edition (2001). Fuses: There are no user-replaceable fuses. User Manual... -
Page 50: Pressure
Pressure Output: 4 to 30 cm H Control Accuracy Parameter Range Accuracy IPAP 4 to 30 cm H ±5 cm H EPAP 4 to 25 cm H O* ±5 cm H CPAP 4 to 20 cm H O ±5 cm H Breath Rate 0 to 30 BPM Greater of ±... -
Page 51: Appendix A: Emc Information
Appendix A: 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. Emissions Test Compliance Electromagnetic Environment - Guidance RF emissions... -
Page 52: User Manual
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 Compliance Level Electromagnetic Level Environment - Guidance... - Page 53 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 IEC 60601 Test Compliance Electromagnetic Environment - Guidance Test Level Level...
- Page 54 Recommended Separation Distances between Portable and Mobile RF Communications Equipment and This Device: 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.
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Page 55: Limited Warranty
(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. - Page 56 R E F 1 0 1 2 8 9 0 1 0 0 6 7 7 6 R 0 1 J J B 1 0 / 3 1 / 2 0 1 1...