Philips Respironics User Manual
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9 Menu Navigation (Therapy ON) and Optional Humidification Settings While the device is delivering therapy, you can adjust Tube Temperature or Humidifier Settings. Rotate the control dial to choose either setting. Press and rotate the dial to change the setting. Note: If you are using the Humidifier without the Heated Tube, simply just rotate the control dial to change the Humidifier setting. Therapy Pressure Screen #FeatureDescription 1Therapy PressureDisplays the current delivered pressure. 2Adjustable Tube Temperature Setting You can change this setting from 0 to 5. Only displays when optional heated tube is connected. 3Adjustable Humidifier SettingYou can change this setting from 0 to 5. Only displays when humidifier is attached. 4Enabled FeaturesDepending on setup, certain enabled therapy features will display here. Ramp Feature The device is equipped with an optional ramp feature that your home care provider can enable or disable. This feature reduces the air pressure when you are trying to fall asleep and \ then gradually increases (ramps) the pressure until your prescription setting is reached, allowing you to fall asleep more comfortably. If ramp is enabled on your device, after you turn on the airflow, press the Ramp ( ) button on the top of the device. You can use the Ramp button as often as you wish during the night. When you click the ramp button, the Therapy screen will change to reflect the Ramp pressure, and the green circle will reflect the gradual increase in pressure. Ramp Pressure Screen Your device has two ramp modes. Your Provider will select the one that is most appropriate for you. The standard ramp mode increases pressure at a steady rate. Alternately, the SmartRamp mode maintains a constant lower pressure until the device detects that you require more pressure. User Manual
10 Menu Navigation (Therapy OFF) From the Home screen, you can scroll between the following four options: My Info Preheat My Provider My Setup My Info: This menu provides summary statistics of your therapy use. Preheat: This function lets you warm up your humidifier for 30 minutes before starting a therapy session. My Provider: This menu contains information that your provider may direct you to read to them so they can better assist you over the phone. My Setup: This menu contains comfort settings that you can adjust as needed. My Info: When you select “My Info”, you will be able to view the following screens. You cannot change settings in the Info menu. These screens are only for reference. Your home care provider may periodically ask you for this information. IconTextDescription Therapy HoursThis screen displays the amount of time the user is actually receiving t\ herapy on the device for the most recent 1 day time frame. It also displays the\ average amount of time the patient is actually receiving therapy over the last 7 days and 30 days. AHIAHIThis screen displays the nightly Apnea/Hypopnea indices (AHI) value fo\ r the most recent 1 day time frame. It also displays the average of these individua\ l nightly AHI values over a 7 day and a 30 day time frame. This screen only displays if your home care provider has enabled it. Only available on CPAP Pro and Auto CPAP devices. Mask FitDisplays the value “100% minus Large Leak”. Large Leak is the percentage of time that the mask leak was so high that it is no longer possible for the device to identify respiratory events with statistical accuracy. Displays the value for the most recent 1 day, as well as the values over last 7 days and 30 days. This screen only displays if your home care provider has enabled it. Only available on CPAP Pro and Auto CPAP devices. Periodic Breathing Periodic Breathing Displays the percentage of time that the user experienced periodic breathing. Displays the value for the most recent 1 day time frame, as well as values for the last 7 days and 30 days. If you observe a large increase in the percent of time in periodic breathing indicated here, contact your home care provider for assistance. This screen only displays if your home care provider has enabled it. Only available on CPAP Pro and Auto CPAP devices. 90% Pressure 90% PressureThis screen displays the nightly value of 90% Pressure for the most recent 1 day time frame. It also displays the average of these individual nightly values of 90% Pressure over a 7 day and a 30 day time frame. Available on the Auto model. User Manual
11 Preheat: Preheat On Screen Preheat Off Screen When using a humidifier, the device can preheat the water tank for up to 30 minutes prior to starting therapy. In order to activate the preheat mode, the blower must be “off ” and a humidifier must be attached. When “Preheat” is selected, you will be able to turn the control dial to choose between “on” or “off ”. Press the control dial again to make your selection. During the 30 minute preheat, you will still be able to use the control dial to select other menu options from the Home screen. Note: This screen only displays when a humidifier is attached. My Provider: When you select “My Provider”, you will be able to view the following screens. You cannot change settings in the Provider menu. These screens are only for reference. Your home care provider may periodically ask you for this information. IconTextDescription Device InfoThis screen displays your therapy device information: serial number, model and software version. Provider Contact Info This screen will display the contact information for your provider if it has been uploaded to your device. Phone-InThis screen displays the total therapy hours for the device, the total blower hours, the total number of days used when the sessions were greater than 4 hours, and a compliance check number used by your home care provider to validate that the data provided by you is the data taken from this scree\ n. ComplianceThis screen displays your start date, the total number of days used when the sessions were greater than 4 hours, and a check code number used by your home care provider. VIC90VIC90This Visual Inspection Check screen will display a check code number created from information gathered over the most recent 90 day period. This 15 digit number will display as: xxx.xxxx.xxxx.xxxx. Your home care provider may periodically ask you for this information. A-TRIALA-TrialIf Auto-Trial mode is available, this screen displays Days: xx/xx (where xx/xx is the number of accumulated trial days / number of selected trial days). \ Available on the Pro, Auto, BiPAP Pro, and BiPAP Auto models. User Manual
12 IconTextDescription UploadAllows user to initiate a modem call when an optional Cellular Modem or Wi-Fi Accessory is installed. Signal strength is indicated at the top right of this screen. After the modem upload has finished, the screen will either display a green checkmark with the text “Completed” to indicate a successful upload, or a red X with the text “Failed” to indicate an unsuccessful upload. If the upload fails, initiate an upload a second time, or contact your home care provider if the issue persists. This screen is locked if modem is off. Performance Check Your device is equipped with a self-diagnostic tool called “Performance Check.” This tool can evaluate your device for certain errors. It also allows you to share key device settings with your home care provider. Use Performance Check when directed to by your home care provider. At conclusion of the scan, the screen displays a green checkmark if no issue is detected. If device displays a red “X,” please contact your home care provider for assistance. My Setup: When you select “My Setup”, you will be able to view the following screens. You can change the settings in the Setup menu. These screens will only display if they are available and enabled on your device. IconTextDescription RampThis displays the ramp starting pressure. You can increase or decrease t\ he ramp starting pressure in 0.5 cm H2O increments. Ramp TimeWhen you set the Ramp time, the device increases the pressure from the value set on the Ramp screen to the therapy pressure setting over the length o\ f time specified here. FlexThis allows you to adjust the level of air pressure relief that you feel when you exhale during therapy. Your home care provider can enable or disable thi\ s feature. When your provider enables Flex, a level will already be set for you on the device. You can increase or decrease the setting from 1 to 3. The se\ tting of “1” provides a small amount of pressure relief, with higher numbers providing additional relief. Note: If a lock icon is displayed on this screen, it indicates that your provider has locked this setting and you cannot change it. HumidificationThis displays the Humidification Mode being used. You can choose between Fixed or Adaptive Humidification. If a heated tube is being used, the device will automatically switch to Heated Tube Humidification Mode. A “lock” symbol will appear next to the mode setting indicating that so long as the heated tu\ be is attached to the device, this mode cannot be changed. However, the heater plate and tube temperature settings can still be adjusted on the device Therapy screen as normal. User Manual
13 IconTextDescription Mask TypeThis setting allows you to adjust the level of air pressure relief based on the specific Philips Respironics mask. Each Philips Respironics mask may have a “System One” resistance control setting. Contact your home care provider if you cannot find this resistance setting for your mask. Note: If a lock icon is displayed on this screen, it indicates that your provider has locked this setting and you cannot change it. Tube TypeThis setting allows you to select the correct size diameter tubing that you are using with the device. You can choose either (22) for the Philips Resp\ ironics 22 mm tubing, (15) for the Philips Respironics 15 mm tubing, or (12) for the optional Philips Respironics 12 mm tubing. When using Heated Tubing, the device will automatically change this setting to the appropriate tubing type (15H) and you will not be able to change it. Note: Tubing is identified on the cuff with the tubing identifier symbol: “12”, “15”, “22” or “15H”. Note: If a lock icon is displayed on this screen, it indicates that your provider has locked this setting and you cannot change it. LanguageThis feature allows you to choose which language to display on the inter\ face. You can choose English or Spanish. Check Mask FitThis feature allows you to check the fit of your mask prior to starting therapy. This is done by measuring the amount of leak. ModemAllows you to turn modem off temporarily or turn it back on. When modem is turned off, it will automatically turn on again after 3 days. Only displays when modem is installed. BluetoothAllows you to turn Bluetooth off and on. Also, it allows you to clear the pairing with a compatible Bluetooth device. TimeAllows you to adjust the time. The default setting is Greenwich Mean Time, but you may adjust the time in 30 minute increments to match your local time zone. Note: This time setting is not displayed as a clock function on the device. It is only used to align your therapy data for your Provider’s data reports. User Manual
14 Bluetooth Wireless Technology Your device has Bluetooth wireless technology. which is one method by which you can transfer your therapy device’s data to DreamMapper. DreamMapper is a mobile and web-based system designed to help Obstructive Sleep Apnea (OSA) patients enhance their sleep therapy experience. Pairing your therapy device to your Bluetooth enabled Mobile Device Note: You can only pair your therapy device to one mobile device at any given\ time. Note: Pairing works best when your therapy device and mobile device are in th\ e same room. Note: The current version of DreamMapper will guide you through these instructions. Note: After initiating pairing, you will have 30 seconds to complete the setup. After this time, it will be cancelled automatically. Follow the steps below to manually pair to your mobile phone or tablet. 1. With your therapy device powered up and the blower off, initiate Bluetooth Setup from the DreamMapper mobile app. 2. If you need to select from a list of available Bluetooth devices, the therapy device will appear as “PR BT XXXX” (XXXX will be the last four digits of the serial number listed on your therapy device). 3. You will be required to confirm pairing via one of these two methods: • Your mobile device may ask you to enter a PIN code The following icon will appear on your therapy device screen with “Pair?”: Rotate the therapy device’s Control Dial to select “yes,” and press the Control Dial. Your therapy device will display a 6 digit PIN. Enter this PIN on your mobile device to complete pairing. • Your mobile device may ask you to confirm a PIN code The following icon will appear on your therapy device screen with a 6 digit PIN and “Pair?”: Verify that the PIN is the same on both the therapy device and the mobile device. If so, rotate the therapy device’s Control Dial to select “yes” and press the Control Dial. Then, accept on the mobile device to complete pairing. User Manual
15 Check Mask Fit The optional check mask fit feature can be enabled or disabled by your home care provider. This feature allows you to check the fit of your mask prior to starting therapy. This is done by measuring the amount of leak. Put on your mask assembly. Refer to your mask instructions if needed. Navigate to the Check Mask Fit screen under “My Setup” and press the control dial to initiate the check. The device will deliver a test pressure while the screen counts down 40 seconds. A green bar indicates good fit, while a red bar indicates improvement is needed. After the test, normal therapy will start and the screen will either display a green checkmark or a red “X”. The green checkmark indicates that the leak found allows for optimal performance of the device. The red “X” indicates that the leak may affect device performance, however, the device will remain functional and deliver therapy. Check Mask Fit Screen Note: If you choose to try to improve your mask fit, you can stop therapy, adjust the fit of your mask, and rerun the check mask fit. Please refer to the instructions that came with your mask and headgear for the proper fitting procedure. Sleep Progress Your device provides summary information about your therapy use each time the therapy is turned off. The first screen displays your “Three Night Summary.” It shows your nightly usage for the last 3 sleep sessions (measured in 24 hour periods, ending at noon each day). The most recent session is displayed in the right hand bar, labeled with the number of hours slept. A green bar indicates that you slept more than 4 hours, and a yellow bar indicates less than 4 hours of use. The second screen shows the total number of 4+ hour nights that you have slept in the last 30 days. It provides a goal of sleeping at least 4 hours per night for 70% of the last 30 nights. Therefore the goal is 21 “good nights” of use. This screen provides a simple way to track your progress. The screen will stop displaying when you reach the goal, or after the first 90 days of use has passed, whichever comes first. Three Night Summary Screen Goal Progress Screen Altitude Compensation This device automatically compensates for altitude up to 7,500 feet. No manual adjustment is necessary. User Manual
16 Device Alerts Device alerts are pop-ups that show up on the UI screen. There are 5 types of alerts described here: • Status: These alerts are just the pop-up screen. • Notification: These alerts consist of the pop-up screen in addition to a blinking Power LED on top of the device. • Alert 1: These alerts consist of the pop-up screen, a blinking Power LED and an audible beep when displayed. This alert will not occur during therapy. • Alert 2: These alerts consist of the pop-up screen, a blinking Power LED and an audible beep when displayed. This alert can occur during therapy. • Safe State: These alerts consist of the pop-up screen, a blinking Power LED and a repeating audible beep. Note: Status alerts automatically time out after 30 seconds and their pop up s\ creens disappear. All other alerts must be acknowledged to clear. Alert Summary Table: The following table summarizes the alerts. AlertIconTypeDescriptionPossible CauseAction Data Activity: Do not remove SD card. StatusSD card read/write underway. n/aNo action needed. Change AcceptedStatusConfirms acceptance of prescription change or device upgrade. n/aNo action needed. EZ-Start Pressure Incremented to xx.x StatusDisplays when EZ-Start mode is enabled and device is increasing therapy pressure setting for the next session. n/aNo action needed. Oximetry: Good Connection (icon only) StatusDisplays on the therapy screen when the blower is on and 3 seconds of good connection is detected. Appears at the beginning of therapy. This screen will not display again if the finger probe is removed and reapplied unless therapy is stopped and restarted. n/aNo action needed. Pair?: 123456 Yes/No StatusPrompts to accept or decline pairing to a Bluetooth compatible device. This device can be identified by the digits displayed. n/aRotate control dial to accept pairing (Yes), or decline (No), then press control dial to confirm selection. User Manual
17 AlertIconTypeDescriptionPossible CauseAction SD Card Removed. Notification or Alert 2 Indicates SD card has been removed from therapy device and not reinserted before the start of the current therapy session. SD card was not reinserted into device. Reinsert SD card, or click to clear alert. Oximetry: Good Study (icon only) NotificationNotifies that user has a achieved at least 4 hours of therapy and oximetry use. Appears at the end of therapy. n/aPress Control Dial to acknowledge and clear the message. SD Card Error: Remove and Reinsert NotificationSD card error detected Device cannot read the SD card. A problem may exist with the SD card or it was ejected during a writing activity, or it was inserted incorrectly. Remove SD card and reinsert. If alert continues to occur, replace with another card or contact your provider. SD Card Full.NotificationSD card is full.SD card is full.Remove SD card and replace with a new card, or contact your provider for a new SD card. Patient Message (Refer to section) NotificationMessage from your Provider. n/aPress Control Dial to acknowledge and clear the message. Change RejectedAlert 1A prescription or settings change was rejected. Change missing or incorrect. Contact your provider. Humidification Error. Contact support if the problem persists. StatusHumidifier error (only when humidifier is present) Humidifier heater plate error or humidifier not properly connected to therapy device Turn off device and disconnect from power. Detach the humidifier, visually check that electrical contacts are clear, then reconnect humidifier and power cord. If alert continues, contact your provider. User Manual
18 AlertIconTypeDescriptionPossible CauseAction Heated Tube Error. Contact support if the problem persists. StatusHeated tube error (only when heated tube is present) Heated tube may be overheated or damaged. Turn off device. Detach heated tube from humidifier, make sure that tube is not covered or obstructed, and then reattach to humidifier. If alert continues, contact your provider. The attached power supply does not support humidification. Alert 2Indicates that the attached power supply is not capable of supporting humidification or heated tube. Incorrect power supply. Switch to a Philips Respironics DreamStation power supply that is capable of supporting humidification. Or operate therapy device without humidifier. Service RequiredSafe StateIndicates an error which enters device into “Safe State.” This allows power to remain on but airflow is disabled. Device error.Press Control Dial to silence alert. Disconnect device from power. Reattach power cord to restore power. If the alert continues to occur, contact your home care provider. Check PowerNotificationIndicates an incompatible power supply is attached. Incompatible power supply, or power cord is not fully inserted into device’s power inlet. Confirm power cord is fully inserted into device’s power inlet. Confirm a compatible Philips Respironics power supply is attached. Switch to compatible power supply if needed. Low VoltageNotificationLow voltage.Incompatible power supply is attached. Confirm a compatible Philips Respironics power supply is attached. Switch to compatible power supply if needed. If battery is being used, ensure battery is adequately charged. User Manual