Front Cover.
Front Cover.qxd 9/11/2005 10:31 AM Page 2 248139/3 05 11 VPAP III ST-A USER ROW ENG Global leaders in sleep and respiratory medicine www.resmed.
248139 illos.qxd 9/11/2005 10:33 AM Page 1 B D HUMIDIFIERS E SETTING UP THE VPAP III ST-A HUMIDAIRE 2i AND VPAP III ST-A VPAP™ III ST-A Illustrations A Component of 248139/3 1 SYSTEM COMPONENTS 1 HumidAire 2i™ 2 Docking station HumidAire 2iC™ Handle Water chamber © 2005 ResMed Ltd.
248139 illos.qxd G 9/11/2005 10:33 AM Page 2 H USING A HUMIDAIRE HUMIDIFIER I USING A PASSOVER HUMIDIFIER REPLACING THE AIR FILTER (52 cm) (52 cm) 1 1 1 2 2 (2 m/3 m) (2 m/3 m) 2 4 4 © 2005 ResMed Ltd. © 2005 ResMed Ltd. 3 © 2005 ResMed Ltd.
VPAP™ III ST-A User Manual English 248139/3 05 11
Manufactured by: ResMed Ltd 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia Tel: +61 (2) 8884 1000 or 1 800 658 189 (toll free) Fax: +61 (2) 8883 3114 Email: reception@resmed.com.au Distributed by: ResMed Corp 14040 Danielson Street Poway CA 92064-6857 USA Tel: +1 (858) 746-2400 or 1-800-424-0737 (toll free) Fax: +1 (858) 746-2900 Email: reception@resmed.
Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 User/Owner Responsibility 1 Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 What the VPAP III ST-A is Intended for Contraindications Warnings Cautions Adverse Effects 1 1 2 2 3 The VPAP III ST-A System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction The VPAP™ III ST-A is a bilevel pressure support ventilator specifically designed for non-invasive mask ventilation. This user manual contains the information you need for the correct use of your VPAP III ST-A.
hypotension or significant intravascular volume depletion pneumothorax or pneumomediastinum • recent cranial trauma or surgery. • • Warnings • • • • • • • • • • • The entire manual should be read before using the VPAP III ST-A. Advice contained in this manual should not supersede instructions given by the prescribing physician. The VPAP III ST-A should be used with masks and accessories recommended by ResMed or the prescribing physician.
Adverse Effects You should report unusual chest pain, severe headache or increased breathlessness to your physician. An acute upper respiratory tract infection may require temporary discontinuation of treatment. The following side effects may arise during the course of therapy with the VPAP III ST-A: • drying of the nose, mouth or throat • bloating • ear or sinus discomfort • eye irritation • mask-related skin irritations • chest discomfort.
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The VPAP III ST-A System Please refer to the illustrations in section A of the illustration sheet. Please identify and familiarize yourself with the following components of the VPAP III ST-A: • VPAP III ST-A front view (A-1) • VPAP III ST-A rear view (A-2) • Power cord (A-3) • Carry bag (A-4) • 2 m air tubing (A-5). ! WARNING Do not connect any device to the auxiliary port.
Notes: • ResMed VPAP III ST-A has been designed and manufactured to provide optimum performance using ResMed vented mask systems. While other vented mask systems may be used, performance and data outputs may be affected. • Not all masks are available in all regions. Humidifiers Please refer to the illustrations in section B of the illustration sheet. A humidifier may be required if you are experiencing dryness of the nose, throat or mouth.
Setting up the VPAP III ST-A System Please refer to the illustrations in section D of the illustration sheet. Setting up the VPAP III ST-A 1 Place the VPAP III ST-A on a flat surface near the head of your bed. If the device is placed on the floor, ensure that the area is free from dust and clear of bedding, clothes or any other objects that could block the air inlet. ! CAUTION Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord.
! WARNING Make sure the power cord and plug are in good condition and the equipment is not damaged. • The air filter cover protects the device in the event of accidental liquid spillage onto the device. Ensure that the air filter and air filter cover are fitted at all times. • 3 Connect one end of the air tubing firmly onto the air outlet of the VPAP III ST-A (D-2). ! WARNING Only ResMed air tubing should be used with your flow generator.
To set up the VPAP III ST-A with the HumidAire: 1. Fill the HumidAire with water as described in the humidifier manual. 2. Place the filled water chamber inside the HumidAire. Connect the medium (52 cm) air tubing to the right connector port, and the long air tubing (2 m or 3 m) to the left connector port on the humidifier (G-1). Close the HumidAire lid. 3. Place the VPAP III ST-A on top of the HumidAire (G-2). Do not place the VPAP III ST-A underneath the humidifier.
! WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged. 7. Navigate to the humidifier setting (if available) in the VPAP III ST-A menu and select "PASSOVER". See “How to Use the Detailed Menu (if enabled by your clinician)” on page 20. The VPAP III ST-A is now ready for use with the ResMed Passover. To start treatment, see “Starting Treatment” on page 13.
Keypad Keys The VPAP III ST-A keypad has the following keys: Key Function Start/Stop • Starts or stops treatment. • Extended hold for at least three seconds starts the Mask-Fitting feature. Up/Down • Allows you to scroll through the VPAP III ST-A menus, submenus and setting options. Left (green) • Performs the function indicated by the guiding text displayed above it on the LCD screen. Guiding text includes menu, enter, change and apply.
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Starting Treatment The VPAP III ST-A should be assembled beside your bed with the air tubing and mask system connected. See “Setting up the VPAP III ST-A” on page 7. 1 Turn the main power switch at the back of the device to on (I). Main power switch When the VPAP III ST-A is turned on, a welcome message is displayed on the LCD screen. The VPAP (or Ramp) screen then appears. Note: If you have the HumidAire 2i attached, see “Using the HumidAire 2i Warm-up Feature” on page 14.
Stopping Treatment To stop treatment at any time, remove your mask and press the Start/Stop key or if your clinician has enabled the SmartStart function, simply remove your mask and treatment will end (SmartStop is not applicable with the "Mir Full" mask setting). Using the HumidAire 2i Warm-up Feature If using a HumidAire 2i with the VPAP III ST-A, you can use the Warm-up feature to pre-heat the water in the humidifier prior to starting treatment.
Once you have a secure and comfortable fit, check your Mask-Fit star rating on the LCD screen. Definitions of the Mask-Fit star ratings are presented in Table 1. Note: If there is another person nearby to check your Mask-Fit star rating, you can adjust your mask, mask cushion and headgear while lying down. 4. After three minutes, treatment will begin. • If you do not wish to wait three minutes, hold down the Start/Stop key for at least three seconds and treatment will begin immediately.
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Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section. Daily Cleaning Mask Clean the mask according to the instructions supplied with the mask. Air tubing Disconnect the air tubing from the VPAP III ST-A (and humidifier, if used) and hang the tubing and mask in a clean, dry place until next use. ! CAUTION Do not hang the air tubing in direct sunlight as the tubing may harden over time and eventually crack.
! CAUTION Do not attempt to open the VPAP III ST-A. There are no user serviceable parts inside. Repairs and internal servicing should only be performed by an authorized service agent. Testing the Alarm Test the alarm weekly. See “Testing the Alarm” on page 29. Replacing the Air Filter Please refer to the illustrations in section I of the illustration sheet. Inspect the air filter every month to check if it is blocked by dirt or contains holes.
How to Use the VPAP III ST-A Menus The VPAP III ST-A provides a set of functions arranged in menus and submenus. Via the LCD screen, the menus and submenus allow you to view and change the settings for a particular function. You can access the menus regardless of whether the VPAP III ST-A is in standby mode or delivering therapy. Your clinician has preset the menu to either a standard view or a detailed view. Both of these menus are explained below.
VPAP screen Ramp screen RESMED VPAP III RAMP: OFF menu menu Options: OFF, 5, 10, 15, 20, 25, 30, 35, 40, 45 min 00000hrs USED: 00000/00000days View only ST 4.0–10.0 RR10 2.0–0.1 1:2 Settings summary screen 1 M–M 150 UM No VMLP -3 HP30LV 2 Settings summary screen 2 SW: SX384-0204 exit View only Figure 1: VPAP III ST-A Standard Menu Series To access the VPAP III ST-A menus: Press the Left key (menu) while the VPAP (or Ramp) screen is displayed.
VPAP screen Ramp screen RESMED VPAP III RAMP: OFF menu menu OFF, 5, 10, 15, 20, 25, 30, 35, 40, 45 min SETTINGS enter exit MASK: ULTRA change exit TUBE LENGTH: 2m 2M change exit HUMID: NONE change exit SMARTSTART: OFF change exit MASK ALARM: ON change exit MIRAGE, MIR FULL, STANDARD, ULTRA 2m, 3m NONE, PASSOVER, HUMIDAIRE. If the HumidAire 2i is used, the above options do not appear and H2i is displayed. ON, OFF ON, OFF RESULTS enter exit MASK FIT: ∗∗∗ − − good exit USAGE: 4.
• • • • • • To access the VPAP III ST-A menus: Press the Left key (menu) while the VPAP (or Ramp) screen is displayed. To scroll through items within a menu or submenu: Press the Up/Down key. To enter a submenu: Press the Left key (enter). To change a setting option for a function: 1. Press the Left key (change). 2. Press the Up/Down key until the desired setting option appears. 3. Press the Left key (apply) to select the setting option. To exit without changing options: Press the Right key (cancel).
Function Default Function Description Setting Options SmartStart™ OFF Turns the SmartStart function on or off. See “SmartStart™” on page 23. ON/OFF Mask Alarm ON Turns the Mask Alarm signal on or off. If enabled, the Mask Alarm feature will alert you when a high mask leak is detected. An audible tone will sound and a high leak message will appear on the LCD screen. ON/OFF SmartStart™ The VPAP III ST-A has a function called SmartStart which can be enabled by your clinician.
Results Menu Note: This menu appears only if at least one Smart Data™ option has been enabled by the clinician. See the VPAP III Smart Data Diary for further details. Table 4: Results Menu Function Function Description Setting Options Mask Fit (Smart Data) Displays a star rating corresponding to the mask leak from the previous session. See Table 1 on page 15 for mask-fit star rating description. View only Usage (Smart Data) Displays usage hours from the previous session.
Servicing Menu Table 6: Servicing Menu Function Function Description Setting Options Serial Number (SN) Displays the serial number for the VPAP III ST-A. View only Settings Summary Screens* Displays your VPAP III ST-A settings for your clinician. View only Printed Circuit Board (PCB) Displays the printed circuit board number. View only Software* Displays the current software version installed in the VPAP III ST-A. View only * These items also appear in the Standard Menu.
Oxygen saturation level Pulse rate SpO2: 98% HR: 75 exit (This screen only appears if ResLink™ and oximeter are attached.) Figure 6: Treatment screen 4 (only if ResLink and pulse oximeter are attached) The treatment screens contain the following information: Treatment mode: Mode of treatment set by your clinician. Options include: CPAP, Spontaneous, Spontaneous/Timed and Timed. Ramping indicator: Appears if the VPAP III ST-A is in ramp mode. This disappears once the ramp time has elapsed.
Non-vented Mask Alarm Screen If the non-vented mask alarm has been disabled by your clinician, the following screen is displayed after starting therapy. To exit this screen, press any key to display the treatment screens, or stop treatment.
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The Alarms The VPAP III ST-A unit is fitted with alarms to alert you to changes that will affect your treatment. Alarm Mute Key You can mute an alarm by pressing the Alarm Mute key once. If the problem is still present, the alarm will sound again after two minutes. An alarm LED will remain lit for as long as the problem is present. Testing the Alarm To test the alarm, hold down the Alarm Mute key for three seconds.
Warning Signal Cause Action The flow generator stops delivering air pressure. Sound: Two alternating continuous tones LCD: LCD turns off LED: Red flashing Alarm: Power fail • Power failure. • Power cord is disconnected or VPAP III ST-A switched off while delivering treatment (without pressing the Start/ Stop key). Alarm will stop: when the Alarm Mute key is pressed, or after 2 minutes, or when power is restored. The flow generator stops delivering air pressure.
Warning Signal Cause Action The flow generator stops delivering air pressure. Sound: Single intermittent tone LCD: SYSTEM ERROR Call service! LED: Yellow flashing Alarm: System Error Component failure. • Return the VPAP III ST-A for servicing. • DO NOT USE THE VPAP III ST-A DEVICE. Sound: Single intermittent tone LCD: HIGH LEAK!!! LED: Yellow flashing Alarm: Mask off High mask leak for more than 20 seconds. Adjust the mask to minimise leak. See “Using the Mask-Fitting Feature” on page 14.
32 Warning Signal Cause Action Sound: Single intermittent tone LCD: LOW MV ALARM LED: Yellow flashing Alarm: Low minute ventilation Minute ventilation level has dropped below the alarm setting level. Contact your clinician. Sound: Single intermittent tone LCD: NVENT ALARM LED: Yellow flashing Alarm: Non-vented mask • Connection of a non-vented mask. • Mask expiratory flow port (vent) may be blocked. • Use of supplemental oxygen with a vented mask.
Helpful Hints Starting out Mouth Leaks If using a nasal mask, try to keep your mouth closed during treatment. Air leaks from your mouth can decrease the effectiveness of your treatment. If mouth leaks are a problem, a full face mask or chin strap may help. Contact your clinician or equipment supplier for further details. Mask Fitting The flow generator delivers the most effective treatment when the mask is well fitted and comfortable.
Please refer to the VPAP III Series Battery Power Guide for the recommended battery type and capacity, or contact ResMed's Technical Services division for your specific application. ResMed DC-24/30 Converter ResMed supplies the DC-24/30 Converter (product code: 22015) which is compatible with the DC input of the VPAP III ST-A. This is an accessory that may be purchased separately through your ResMed distributor.
Troubleshooting If there is a problem, try the following suggestions. If the problem cannot be solved, contact your equipment supplier or ResMed. Do not attempt to open the VPAP III ST-A. Problem Possible Cause Solution No display. Power not connected or switch at back is not on. Ensure the power cable is connected and that the switch at the back of the device is in the ON position. Insufficient air delivered from the VPAP III ST-A. Ramp Time is in use. Wait for air pressure to build up.
Problem VPAP III ST-A does not stop when you remove your mask. Possible Cause Solution There is excessive leak. Adjust position of mask and headgear. Plugs may be missing from ports on mask. Replace them. Air tubing not connected properly. Connect firmly at both ends. Air tubing kinked or punctured. Straighten or replace. There is a large impedance (eg, antibacterial filter, oxygen connector) in the air circuit. Press the Start/Stop key. SmartStart/Stop is disabled. Enable SmartStart/Stop.
System Specifications Dynamic pressure characteristics IPAP: 2 cm H2O to 30 cm H2O (measured at the end of standard 2 m air tubing) EPAP: 2 cm H2O to 25 cm H2O (measured at the end of standard 2 m air tubing) CPAP: 4 cm H2O to 20 cm H2O (measured at the end of standard 2 m air tubing) Maximum single fault pressure: 40 cm H2O Maximum flow (CPAP mode, measured at the end of standard 2 m air tubing) Pressure (cm H2O) Flow (L/min) 10 >220 15 >220 20 >220 Sound pressure level: <30 dB (tested in accordanc
IEC 60601-1 Classifications Class II (double insulation) Type CF Continuous operation This flow generator is not suitable for use in the presence of a flammable anesthetic mixture with air, or with oxygen or nitrous oxide entrained in the flow generator airpath. Table 7: Displayed values Value Range Accuracy Display Resolution ±0.5 cm H2O 0.
Pressure Variation 25.00 Max Pressure Pressure (cm H2O) 20.00 15.00 2/3 Max Pressure 10.00 1/3 Max Pressure 5.00 10 BPM 15 BPM 20 BPM 0.00 0 1 2 3 Breaths Pressure Volume Curve 1/3 Max Pressure 2/3 Max Pressure 600 Volume (mL) Volume (mL) 600 500 400 300 200 100 0 500 400 300 200 100 0 6.4 6.45 6.5 6.55 6.6 6.65 6.7 6.75 Pressure (cm H2O) 13.25 13.3 13.35 13.4 13.45 13.5 13.55 13.6 Pressure (cm H2O) Volume (mL) Max Pressure 600 500 400 300 200 100 0 19.
Symbols which may Appear on the Product Attention, consult accompanying documents Class II equipment Type CF equipment Drip proof Start/Stop Mask-Fit Alarm LEDs Alarm Mute QuickView AC switch only Environmental information WEEE 2002/96/EC is a European Directive that requires the proper disposal of electrical and electronic equipment. This device should be disposed of separately, not as unsorted municipal waste.
Guidance and Manufacturer’s Declaration - Electromagnetic Emissions and Immunity Guidance and manufacturer’s declaration – electromagnetic emissions The VPAP III ST-A is intended for use in the electromagnetic environment specified below. The customer or the user of the VPAP III ST-A should assure that it is used in such an environment. Electromagnetic environment guidance Emissions test Compliance RF emissions CISPR11 Group 1 The VPAP III ST-A uses RF energy only for its internal function.
Guidance and manufacturer’s declaration – electromagnetic immunity The VPAP III ST-A is intended for use in the electromagnetic environment specified below. The customer or the user of the VPAP III ST-A should assure that it is used in such an environment.
Guidance and manufacturer’s declaration – electromagnetic immunity (Continued) The VPAP III ST-A is intended for use in the electromagnetic environment specified below. The customer or the user of the VPAP III ST-A should assure that it is used in such an environment.
Recommended separation distances between portable and mobile RF communications equipment and the VPAP III ST-A The VPAP III ST-A is intended for use in an environment in which radiated RF disturbances are controlled.
Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer. This warranty is not transferable. Product Warranty Period ResMed humidifiers, ResControl™, ResLink™, ResTraxx™ 1 Year ResMed flow generators 2 Years Accessories, mask systems (including mask frame, cushion, headgear and tubing). Excludes single-use devices.
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Index A AC locking clip 7 Accessories 6 Air filter 18, 37 air tubing 37 cleaning 17 HumidAire 2i 8 HumidAire 2iC 8 Humidifier 6 cleaning 17 Humidifier Use 8 I Back-light, LCD and Keypad 10, 11 battery power 33 IEC 60601-1 Classifications 38 International Use 33 inverter 34 C K B Cautions 2 cleaning periodic 17 weekly 17 Cleaning and Maintenance 17 cleaning mask 17 Cleaning Periodically 17 converter 34 D Daily Cleaning 17 DC converter 34 locking clip 7 power 34 definitions 1 Detailed Menu 20, 21 Dim
Power cord AC 7 connection 7 DC 7 locking clip 7 Power Supply 37 R Ramp Screen 19 Ramp time 19 Replacing the Air Filter 18 Responsibility, user/owner 1 Results Menu 24 Right Key 11 Runny or Blocked Nose 33 S Servicing 18 Servicing Menu 25 setting up 7 Settings Menu 22 settings summary screens 20 SmartStart 23 Standard Menu 20 Start/Stop Key 11 Starting Treatment 13 Stopping Treatment 14 System Specifications 37 T Travelling 33 treatment screen 25 Troubleshooting 35 U Up/Down Key 11 UPS (uninterruptible
