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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.
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    							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.
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    							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.
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    							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.
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    							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.
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    							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  
    						
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