VPAP™ III ST-A User Guide English Front Cover.
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 248182/3 1 SYSTEM COMPONENTS 1 HumidAire 2i™ 2 Docking station HumidAire 2iC™ Handle Water chamber © 2010 ResMed Ltd. LCD screen Control panel Removable front cover Air outlet 1 2 HumidAire™ 4 ResMed Passover Air filter cover Power switch Serial communications port (9-pin) Power sockets 2 Auxiliary port (15-pin) C © 2010 ResMed Ltd.
G H USING A HUMIDAIRE HUMIDIFIER I USING A PASSOVER HUMIDIFIER REPLACING THE AIR FILTER (21”) (21”) 1 1 1 2 2 (6’6”/9’10”) (6’6”/9’10”) 2 248182 Illustrations.indd 2 4 3 © 2010 ResMed Ltd. © 2010 ResMed Ltd. 4 © 2010 ResMed Ltd.
VPAP™ III ST-A User Manual English
Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia Distributed by: ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK See www.resmed.com for other ResMed locations worldwide. Protected by patents: AU 697652, AU 699726, AU 713679, AU 2002233025, CA 2235939, CN ZL02804936.5, EP 0661071, EP 0858352, HK 1065483, JP 3638613, JP 4083154, US 5199424, US 5522382, US 6213119, US 6240921, US 7614398.
Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 User/Owner Responsibility 1 Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Indications for Use Contraindications Warnings Cautions 1 1 2 3 The VPAP III ST-A System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Masks Humidifiers Accessories 4 4 5 Setting up the VPAP III ST-A System . . . . . . . . . . . . . . .
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.
conditions predisposing to a risk of aspiration of gastric contents impaired ability to clear secretions • 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.
Explanation of the warning: When the device is not in operation, and the oxygen flow is left on, oxygen delivered into the ventilator tubing may accumulate within the device enclosure. Oxygen accumulated in the device enclosure will create a risk of fire. This warning applies to most types of flow generators. • Oxygen supports combustion. Oxygen should not be used while smoking or in the presence of an open flame.
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) • 6’6" air tubing (A-5). ! WARNING Do not connect any device to the auxiliary port.
• • ! HumidAire™ heated humidifier (B-3) ResMed Passover humidifier (B-4). WARNING Only the HumidAire 2i, HumidAire 2iC, HumidAire heated humidifier and the ResMed Passover are compatible for use with the VPAP III ST-A. Please refer to Warnings on page 2. Accessories Please refer to the illustrations in section C of the illustration sheet.
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 (21") air tubing to the right connector port, and the long air tubing (6’6" or 9’10") 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 18. The VPAP III ST-A is now ready for use with the ResMed Passover. To start treatment, see “Starting Treatment” on page 11.
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 MaskFitting 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.
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 6. 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 12.
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.
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.
! ! WARNING Beware of electric shock. Do not immerse the flow generator or power cord in water. Always unplug the flow generator before cleaning and be sure that it is dry before reconnecting. 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 26.
! 16 CAUTION Inspection and repair should only be performed by an authorized agent. Under no circumstances should you attempt to service or repair the flow generator yourself.
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: 20min 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: 20min 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 Humidifier NONE Selects the type of humidifier to be used with the VPAP III ST-A. NONE (HumidAire 2iC), PASSOVER, HUMIDAIRE If the HumidAire 2i is used, the above setting options do not appear and H2i is displayed. SmartStart™ OFF Turns the SmartStart function on or off. See “SmartStart™” on page 21. ON/OFF Mask Alarm ON Turns the Mask Alarm signal on or off.
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 3: Results Menu Function Function Description Setting Options Mask Fit (Smart Data) Displays a star rating corresponding to the average mask leak from the previous session. See Table 1 on page 13 for Mask-Fit star rating description. View only Usage (Smart Data) Displays usage hours from the previous session.
Servicing Menu Table 5: 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.
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 two minutes, or when power is restored. The flow generator stops delivering air pressure.
28 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 minimize leak. See “Using the Mask-Fitting Feature” on page 12.
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. • Excessive mask leak. 1. Reposition your mask and check it for a source of leaks. 2. If the alarm persists, contact your clinician. Sound: Single intermittent tone LCD: NVENT ALARM LED: Yellow flashing Alarm: Non-vented mask • Connection of a non-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 Possible Cause Solution Breath is not deep enough to trigger SmartStart. Take a deep breath in and out through the mask. 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.
System Specifications Dynamic pressure characteristics IPAP: 3 to 30 cm H2O (measured at the end of standard 6’6” air tubing) EPAP: 3 to 25 cm H2O (measured at the end of standard 6’6” air tubing) CPAP: 4 to 20 cm H2O (measured at the end of standard 6’6” 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 Inspiratory trigger (nominal) characteristics The minimum flow requ
Electromagnetic Compatibility Product complies with all applicable electromagnetic compatibility requirements (EMC) according to IEC60601-1-2, for residential, commercial and light industry environments. For further details, see “Guidance and Manufacturer’s Declaration - Electromagnetic Emissions and Immunity” on page 37.
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 36
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 CISPR 11 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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248182/3 2010-05 VPAP III ST-A User AMER ENG Global leaders in sleep and respiratory medicine www.resmed.com Front Cover.
