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VPAP™ IV
VPAP™ IV ST
Positive Airw Ay Pressure device
User Guide
English
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VPAP™ IV VPAP™ IV ST POSITIVE AIRWAY PRESSURE DEVICE User Guide English ResMed Ltd (Manufacturer) 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia ResMed Corp (US Designated Agent) 14040 Danielson Street Poway CA 92064-6857 USA ResMed (UK) Ltd (EU Authorised Representative) 96 Milton Park Abingdon Oxfordshire OX14 4RY UK ResMed Offices Australia, Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia, Mexico, Netherland
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Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Contraindications 1 Adverse Effects 1 The VPAP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Masks 2 Humidifier 2 ResScan Data Card 2 Supplemental Oxygen 2 Using the VPAP IV and VPAP IV ST . . . . . . . . . . . . . . . . . . . . . . . . . 3 Setting up your VPAP 3 Attaching a H4i Humidifier 4 How to Use the Control Panel
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Introduction TM TM The VPAP IV and the VPAP IV ST are intended to provide non-invasive ventilation for patients with respiratory insufficiency or obstructive sleep apnoea (OSA), in the hospital or home. Contraindications Positive airway pressure therapy may be contraindicated in some patients with the following pre-existing conditions: • severe bullous lung disease • pneumothorax or pneumomediastinum • pathologically low blood pressure, particularly if associated with intravascular volume de
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Carry handle Data Card module Screen Keypad Air inlet DC Air outlet AC Masks The following ResMed mask systems are recommended for use with these devices: Mask Type Name Nasal Masks • Mirage Vista™ Nasal Mask • Ultra Mirage™ Nasal Mask • Ultra Mirage™ II Nasal Mask • Mirage Activa™ Nasal Mask • Mirage Micro™ Nasal Mask Nasal Pillows Systems • Mirage Swift™ Nasal Pillows System • Mirage Swift™ II Nasal Pillows System Full Face Masks • Mirage™ Liberty Full Face Mask • Mirage™ Quattro Full Face Ma
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Using the VPAP IV and VPAP IV ST Setting up your VPAP 1 Connect the power cord to the socket at the rear of your VPAP. 2 Plug the other end of the power cord into the power outlet. 3 Connect one end of the air tubing firmly onto the air outlet. 4 Connect the assembled mask system to the free end of air tubing. For information on assembling your mask, see your mask manual. 2 1 3 4 WARNING ! • Make sure the power cord and plug are in good condition and the equipment is not damaged. • Only ResMed
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Attaching a H4i Humidifier The H4i humidifier attaches to the front of a VPAP IV or VPAP IV ST device to provide heated humidification. These devices automatically detect the presence of the H4i and no other accessories are required for its use. For more information on using your H4i, please refer to the H4i user guide. WARNING ! • Make sure that the water chamber is empty and thoroughly dried before transporting the H4i. • When using the travel bag, always separate the VPAP unit and the H4
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Using the Menus The VPAP IV and VPAP IV ST provide a set of functions which are 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. To navigate and make selections: 1 Press or to scroll through items within a level. 2 Press to enter a submenu and to apply an option choice. 3 Press to navigate out of a menu or submenu and to exit without changing options. Your clinician has preset the menu to either
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How to Select the Mask Type Scroll to MASK and select . Press or until you see the setting you require. The following table shows the setting that should be selected for each mask: Settings Mask ULTRA Ultra Mirage Nasal Mask Ultra Mirage II Nasal Mask MIR FULL Mirage Liberty Full Face Mask Mirage Quattro Full Face Mask Ultra Mirage Full Face Mask ACTIVA Mirage Activa Nasal Mask SWIFT Mirage Swift Nasal Pillows System Mirage Swift II Nasal Pillows System STANDARD Mirage Vista Nasal Mask Mirag
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6 After starting therapy, an introductory treatment screen will display: Mode and pressure display S mode S:RAMP 4.0-10.0 >>>> PS 6.0 example LK: 10L/min RR: 15 Leak and breath information MV: 10.2 VT: 680 S**TiMn TiMx 2.0 Inspiration information Ti 1.5s 1: 1.6 SpO2: 98% This screen only displays if ResLink and HR : 60 exit an oximeter are connected Stopping Treatment To stop treatment at any time, remove your mask and press . If
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Reminders on the VPAP LCD Your clinician may have set your VPAP device to remind you about important events, such as when to replace your mask, when to insert your Data Card (if your device is Data Card enabled) and so on. The reminder message is displayed on the LCD and is visible if the device is not delivering therapy. The backlight on the LCD flashes when a message is displayed. Your clinician can set any of the following reminders on your LCD: Message Description Action INSERT May appea
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Using the Data Card If your clinician needs to review your treatment, they will ask you to use the Data Card to copy data from your VPAP device and return the card to them. Copying Data onto a Data Card 1 Switch on your VPAP and wait until you see the standby (Ramp) screen. 2 Hold the Data Card with the arrow facing up and insert it into the Data Card slot until it stops. Data copying starts automatically. The “Card Inserted Please Wait” message is displayed on the LCD while data is being cop
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Traveling with the VPAP IV and VPAP IV ST International Use Your VPAP flow generator has an internal power adapter that enables it to operate in other countries. It will operate on power supplies of 100–240V and 50–60Hz. No special adjustment is necessary, but you will require an approved power cord for that country. Use on an Aircraft Please consult the medical services department of your carrier if you intend to use your VPAP device on an aircraft. Note: You should not use your VPAP devic
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Cleaning and Maintenance You should regularly carry out the cleaning and maintenance described in this section. Refer to your mask and humidifier manuals for detailed instructions regarding the care of those devices. Daily Disconnect the air tubing and hang it in a clean, dry place until next use. Weekly 1 Remove the air tubing from the VPAP device and the mask. 2 Wash the air tubing in warm water using mild detergent. 3 Rinse thoroughly, hang, and allow to dry. 4 Before the next use, reconnec
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Servicing This device is intended to provide safe and reliable operation when operated and maintained in accordance with the instructions provided by ResMed. To ensure that your device continues to provide optimum performance it is recommended that this product be inspected by an authorised ResMed Service Centre five years from the date of purchase. Applicable ResMed warranty details are provided with the device at the time of original supply. Of course, as with all electrical devices, if a
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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 device. Problem/Possible Cause Solution No display Power is not connected. Ensure the power cable is connected and the power switch (if available) is on. Insufficient air delivered from the VPAP device Ramp time is in use. Wait for air pressure to build up or change ramp time. Air filter is dirty. Replace air filter. Air t
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Problem/Possible Cause Solution Displays error message: Exxxx Call Service (where xxxx defines an error) Component failure. Record error number and contact your ResMed service centre. Displays error message: HIGH LEAK!!! Adjust Mask You have experienced excessively Check that your air tubing is connected properly. high leak levels for more than 20 Adjust headgear. seconds. The following message is displayed on the LCD after you try to update settings or copy data to the Data Card: Card Error R
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Technical Specifications Operating pressure range 2 to 25 cm H O 2 Maximum single fault steady 40 cm H O 2 state pressure Pressure measurement ±0.5 cm H O ± 4% of the measured reading 2 tolerance Flow measurement tolerance ±0.1 or 20% of reading, whichever is greater S, ST and T modes IPAP: 4 to 25 cm H O (measured at the mask); EPAP: 2 to 25 cm H O 2 2 (measured at the mask); Pressure Support: 0 to 23 cm H O 2 CPAP mode 4 to 20 cm H O (measured at the mask) 2 DECLARED DUAL-NUMBER NOISE EMISSIO
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General Warnings and Cautions Warnings ! • Advice contained in this manual should not supersede instructions given by the prescribing physician. • A patient should not connect a device to the data communication port unless instructed to do so by their health care provider or physician. Only ResMed products are designed to be connected to the data communication port. Connecting other devices could result in injury, or damage to the VPAP device. 1 • These VPAP devices should only be used with
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Guidance and Manufacturer’s Declaration – Electromagnetic Emissions and Immunity Guidance and manufacturer’s declaration – electromagnetic emissions The VPAP IV and VPAP IV ST devices are intended for use in the electromagnetic environment specified below. The customer or the user of the VPAP device should assure that the device is used in such an environment. Emissions test Compliance Electromagnetic environment – guidance RF emissions CISPR11 Group 1 The VPAP device uses RF energy only for it
