ResMedメーカーIII ST-Aの使用説明書/サービス説明書
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VP AP ™ III S T -A User Manual English Front Cover.qxd 9/11/2005 10:31 AM Page 1.
Global leaders in sleep and respiratory medicine www .r esmed.com 248139/3 05 1 1 VP AP III S T -A USER RO W ENG Front Cover.qxd 9/11/2005 10:31 AM Page 2.
HUMIDIFIERS A B 12 4 Remo vable front cover SETTING UP THE VP AP III S T -A D 1 2 4 LCD screen Handle Control panel Air outlet Air filter cover Serial communications port (9-pin) Power switc h Power soc kets © 2005 ResMed Ltd. © 2005 ResMed Ltd. © 2005 ResMed Ltd.
USING A P ASSO VER HUMIDIFIER H 4 © 2005 ResMed Ltd. 3 USING A HUMIDAIRE HUMIDIFIER G © 2005 ResMed Ltd. 12 4 3 12 (2 m/3 m) (52 cm) (2 m/3 m) (52 cm) REPLACING THE AIR FIL TER I © 2005 ResMed Ltd.
VP AP ™ III S T -A User Manual English 248139/3 05 11.
Protected by patents: A U 697 652, AU 699726, A U 713679, EP 0661 071, EP 0858352, US 494431 0, US 51 99424, US 5522382, US 62131 19, US 6240921, US 670531 5. Other patents pending. Protected by design registrations: A U 1 47283, AU 1 47335, AU 1 47336, CH 1 28.
iii Contents Cont ents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 User/Owner R esponsibility 1 Medical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
iv S ystem Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Limited W a r r anty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Index . . . . . . . . . . . . . . . . . . . .
1 Introduction Introduction The VPAP™ III ST-A is a bilevel pressure support ventilator specifically designe d for non-invasive mask ventilation . This user manual contains the information you need for the correct use of your VP AP III S T -A.
2 • hypotension or significant intra vascular v olume depletion • pneumothorax or pneum omediastinum • recent cranial trauma or surger y . Warnings • The entire manual should be read before using the VP AP III S T -A. • Advice contained in this manual should not supe rsede instr uctions given b y the prescribing physician.
3 Medical Information 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 tre atment.
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5 The VP AP III ST -A Sy stem The VPAP III ST-A System Please ref er to the illustrations in section A of the illustration sheet. Please identify and familiarize yourself with the following components.
6 Notes: • ResMed VP AP III S T -A has been designed and manu f act ured to provide optimum performance using ResMed vented mask systems. While other vented mask sy stems ma y be used, perfo rmance and data outputs ma y be af f ected. • Not all masks are av ailable in all regions.
7 Setting up the VP AP III ST -A Sy stem Setting up the VPAP III ST-A System Please ref er to the illustrations in section D of the illustration sheet. Setting up the VPAP III ST-A 1 Place the VP AP III ST -A on a flat surface near the head of your bed.
8 ! WARNING • Make sure the power cord and plug are in good condition and the equipment is not damaged. • The air filter cover protects the devi ce in the event of accidental liquid spillage onto the device. En sure that the air filter and air filter co ver are fitted at all times.
9 Setting up the VP AP III ST -A Sy stem To set up the VP AP III S T -A with the HumidAire: 1 . Fill the HumidAire with water as described in the humidifier manual.
10 ! WARNING Make sure that the power cord and plug are in good condition and the equipment is not damaged. 7 . Navigate to the humidifier set ting (if available) in the VP AP III S T -A menu and select "P ASSO VER". See “How to Use the Deta iled Menu (if enabled by y our clinician)” on page 20.
11 Setting up the VP AP III ST -A Sy stem Keypad Keys The VP AP III ST -A keypad has the following keys: Keypad and LCD Backlight To assist you in adjusting the VP AP II I S T -A, the keypad and LCD are equipped with a backlight. The LCD backlight comes on when the unit is turned on or when you press a key, and turns off after 2 mi nutes.
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13 Starting T reatment Starting Treatment The VP AP III ST -A should be asse mbled 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 ) .
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 SmartS tart function, simply remove your mask and treatment will end (SmartStop is no t applicable with the "Mir Full" mask setting).
15 Starting T reatment Once you ha ve a secure and comfortable fit, c hec k y our Mask-Fit star rating on the LCD screen. Definitions of the Mask-Fit st ar ratings are presented in T able 1. Not e: If there is anot her person nearby to c hec k your Mask-Fit star rating, you can adjust y our mask, mask cush ion and headgear while lying down.
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17 Cleaning and Maintenance Cleaning and Maintenance You should regularl y carry out the clea ning and maintenance described in this section. Daily Cleaning Mask Clean the mask according to the ins tructions supplied with the mask.
18 ! CAUTION Do not attempt to open the VPAP III ST-A. There are no user serviceable parts inside. Repairs and in ternal serv icing should on ly be performed by an authorized service agent. Testing the Alarm Test the alarm weekly. See “Testing the Alarm ” on page 29.
19 How to Use the VP AP III ST -A Menus How to Use the VPAP III ST-A Menus The VP AP III ST -A provides a set of functions arranged in menus and submenus. Via the LCD screen, the menus and sub menu s allow you to view and change the settings for a particular function.
20 Figure 1: V PAP III ST-A Standard M enu Series • T o access the VP AP III ST -A menus: Pr ess the Lef t k ey (menu) while the VP AP (or Ramp) screen is displa yed.
21 How to Use the VP AP III ST -A Menus Figure 2: V PAP III ST-A Detailed M enu Series (if enable d by your clinician) SETTINGS OPTIONS enter exit enter exit SER VICING enter exit 456789 exit SN:12345.
22 • T o access the VP AP III ST -A menus: Pr ess the Lef t k ey (menu) while the VP AP (or Ramp) screen is displa yed. • T o scroll through items within a menu or su bmenu: Pr ess the Up/Do wn key . • T o enter a submenu: Pr ess the Lef t k ey (enter).
23 How to Use the VP AP III ST -A Menus SmartStart™ The VP AP III ST -A has a function called SmartStart which can be enabled by your clinician. If SmartStart is enabled, VP AP III S T -A will start automatically when you breathe into the mask and will stop automa tically when you take your mask off.
24 Results Menu Not e: 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.
25 How to Use the VP AP III ST -A Menus Servicing Menu T able 6: Servi cing Menu * These items also appear in the Standard Menu. Treatment Screens After starting treatment, you can display one of the treatment screens below. Press the Up /Down key to switch between views.
26 Figure 6: Treatment scree n 4 (only if Re sLink an d pulse oximeter are attached) The treatment screens contain the following information: T reatment mode: Mode of tre atment set by your clinician. Options include: CPAP, Spontaneous, Spontaneous/Time d and Timed.
27 How to Use the VP AP III ST -A Menus Non-vented Mask Alarm Screen If the non-vented mask alarm has been disa bled by your clinician, the followi ng screen is displayed after sta rting therapy. To exit th is screen, press any key to display the tre a tment screens, o r stop treatment.
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29 The Alarms The Alarms The VP AP III ST -A unit is fitted with alarms to alert you to changes that w ill affect your treatment. Alarm Mute Key You can mute an alarm by pressing the Alar m Mute key once. If the problem is still present, the alarm will sound again after two minutes.
30 W a rning Signal Cause Action The flo w generator stops delivering air pressure. Sound: T wo alternating continuous tones LCD: LCD turns of f LED: Red flashing Alar m: Po we r f a il • Po we r fa i l u r e .
31 The Alarms The flo w generator stops delivering air pressure. Sound: Single intermit tent tone LCD: SYSTEM ERROR Call service! LED: Y ellow flas hing Alar m: Sys tem Err or Component failure. • Return the VP AP III ST -A for ser vici ng. • DO NO T USE TH E VP AP III ST -A DEVICE.
32 Sound: Single intermit tent tone LCD: LOW MV ALARM LED: Ye l l o w f l a s h i n g Alar m: Lo w minute ventil ation Minute ventilation lev el has dropped below the alarm set ting level.
33 Helpful Hints 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 ch in strap may help.
34 Please refer to the VP AP III Series B at ter y P o wer Guide for the recommended battery type and capacity, or contact ResM ed's Technical Servic es 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.
35 T roubleshooting 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 VP AP III S T -A. Pro blem Possible Cause Solu tio n No display .
36 There is e xcessiv e leak. Plugs may be missing from ports on mask. Air tubing not connected properly . Air tubing kink ed or punctured. There is a large impedance (eg, antibacterial filter , oxy gen connector) in the air circuit. Adjust position of mask and headgear .
37 Sy stem Specifications System Specifications Dynamic pr essure char acter istics IPAP: 2 cm H 2 O to 30 cm H 2 O (measured at the end o f standard 2 m air tubing) EPAP: 2 cm H 2 O to 25 cm H 2 O (m.
38 IEC 6060 1 -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 oxyg en or nitrous oxide entrained in the flow generator airpath.
39 Sy stem Specifications Pressure Variation Pressure Volume Curve Not e: The manufacturer reserves the right to change these specificatio ns without notice.
40 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 Envi ro nmental inf or mation WEEE 2002/96/EC is a European Di re ctive that requires the proper disposal of electrical and electronic equipment.
41 Sy stem Specifications Guidance and Manufacturer’s De claration - Electromagnetic Emissions and Immunity Guidance and manufact urer’ s declaration – electromagnetic emissions The VP AP III ST -A is in tended for use in the electrom agnetic environment specified below .
42 (Continued next page) Guidance and manufact urer’ s declaration – electromagnetic immunity The VP AP III ST -A is intended f or use in the electromagnetic enviro nment specified below . The customer or the user of the VP AP III ST -A should assure that it is used in suc h an environm ent.
43 Sy stem Specifications Guidance and manufact urer’ s declaration – electromagnetic immunity (Continue d) The VP AP III ST -A is intended for use in the electrom agnetic environ ment specified below . The customer or the user of th e VP AP III ST -A shou ld assure that it is used in su c h an environm ent.
44 Recommended separation distances between portable and mobile RF communications equipment and the VP AP III ST -A The VP AP III ST -A is intended f or use in an environmen t in whic h radiated RF disturbances are contr olled.
45 Limited W arranty Limited Warranty ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specifie d below from the date of purchase by th e initial consum er. This warranty is not transferable.
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47 Index Index A AC l o ck i n g c l i p 7 Accesso ries 6 Air filter 18, 37 air t ubing 37 cleaning 1 7 B Bac k-light, LCD and Ke ypad 1 0, 1 1 bat ter y pow er 33 C Cautions 2 cleaning periodic 1 7 w.
48 Pow e r c o r d AC 7 connection 7 DC 7 loc king cli p 7 P ower Su pply 37 R Ramp Screen 1 9 Ramp time 1 9 Repl acing the Air Filter 1 8 Respon sibility , user/owner 1 Resul ts Menu 24 Right Ke y 1 .
デバイスResMed III ST-Aの購入後に（又は購入する前であっても）重要なポイントは、説明書をよく読むことです。その単純な理由はいくつかあります：
ResMed III ST-Aをまだ購入していないなら、この製品の基本情報を理解する良い機会です。まずは上にある説明書の最初のページをご覧ください。そこにはResMed III ST-Aの技術情報の概要が記載されているはずです。デバイスがあなたのニーズを満たすかどうかは、ここで確認しましょう。ResMed III ST-Aの取扱説明書の次のページをよく読むことにより、製品の全機能やその取り扱いに関する情報を知ることができます。ResMed III ST-Aで得られた情報は、きっとあなたの購入の決断を手助けしてくれることでしょう。
ResMed III ST-Aを既にお持ちだが、まだ読んでいない場合は、上記の理由によりそれを行うべきです。そうすることにより機能を適切に使用しているか、又はResMed III ST-Aの不適切な取り扱いによりその寿命を短くする危険を犯していないかどうかを知ることができます。
ですが、ユーザガイドが果たす重要な役割の一つは、ResMed III ST-Aに関する問題の解決を支援することです。そこにはほとんどの場合、トラブルシューティング、すなわちResMed III ST-Aデバイスで最もよく起こりうる故障・不良とそれらの対処法についてのアドバイスを見つけることができるはずです。たとえ問題を解決できなかった場合でも、説明書にはカスタマー・サービスセンター又は最寄りのサービスセンターへの問い合わせ先等、次の対処法についての指示があるはずです。
