Philips DSX520T11C Respironics DreamStation 2 Automatic Auto CPAP APAP Travel Machine User Manual

DSX520T11C Respironics DreamStation 2 Automatic Auto CPAP APAP Travel Machine

DreamStation 2
CPAP Advanced Auto CPAP Advanced User manual

Contents 1. Safety information……………………………………………………………………………………………………………………………………………….. 1
Intended use…………………………………………………………………………………………………………………………………………………….. 1 Important………………………………………………………………………………………………………………………………………………………….. 1 Contraindications…………………………………………………………………………………………………………………………………………….. 1 Warnings ……………………………………………………………………………………………………………………………………………………………2 Cautions …………………………………………………………………………………………………………………………………………………………….5 Symbols glossary ……………………………………………………………………………………………………………………………………………..8 System contents……………………………………………………………………………………………………………………………………………… 9 How to contact Philips Respironics………………………………………………………………………………………………………………. 9 2. System overview ……………………………………………………………………………………………………………………………………………….. 10 Device with integrated humidifier………………………………………………………………………………………………………………… 10 Humidifier water tank ……………………………………………………………………………………………………………………………………..12 3. Device setup ………………………………………………………………………………………………………………………………………………………. 14 Where to place the device…………………………………………………………………………………………………………………………….. 14 Supplying AC power to the device……………………………………………………………………………………………………………….. 14 Setting up the integrated humidifier ……………………………………………………………………………………………………………. 16 Installing/replacing the air filters…………………………………………………………………………………………………………………..20 Connecting the breathing circuit………………………………………………………………………………………………………………….. 22 Starting the device………………………………………………………………………………………………………………………………………….24 Performance check………………………………………………………………………………………………………………………………………… 25 Bluetooth wireless technology …………………………………………………………………………………………………………………….. 25 Pairing your therapy device to your Bluetooth-enabled mobile device…………………………………………………… 25 Therapy On display ………………………………………………………………………………………………………………………………………..26 Therapy Off display ………………………………………………………………………………………………………………………………………..30 Navigating the settings screens……………………………………………………………………………………………………………………. 32 Settings screens ……………………………………………………………………………………………………………………………………………..33 Modem call ……………………………………………………………………………………………………………………………………………………..35 4. Pop-up messages and troubleshooting………………………………………………………………………………………………………….. 37 Pop-up messages………………………………………………………………………………………………………………………………………….. 37 Status pop-up messages……………………………………………………………………………………………………………………………….39 Reminder pop-up messages …………………………………………………………………………………………………………………………40 Troubleshooting …………………………………………………………………………………………………………………………………………….. 41 5. Connectivity………………………………………………………………………………………………………………………………………………………..43 6. Accessories …………………………………………………………………………………………………………………………………………………………44 SD card…………………………………………………………………………………………………………………………………………………………….44 Oximeter ………………………………………………………………………………………………………………………………………………………….45 Roll stand ………………………………………………………………………………………………………………………………………………………..45 Supplemental oxygen……………………………………………………………………………………………………………………………………………….. 46 DC power………………………………………………………………………………………………………………………………………………………… 47 Carrying case and airline travel ……………………………………………………………………………………………………………………. 47
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7. Cleaning and care……………………………………………………………………………………………………………………………………………….48 Home cleaning: device exterior, heater plate, and humidifier air inlet seal ……………………………………………..48 Home cleaning: humidifier water tank (lid, water tank base, and water tank seal) …………………………………48 Home cleaning: tubing …………………………………………………………………………………………………………………………………..50 Caring for the filters………………………………………………………………………………………………………………………………………..50 Service ………………………………………………………………………………………………………………………………………………………………51
8. Technical specifications ……………………………………………………………………………………………………………………………………..51 Environmental …………………………………………………………………………………………………………………………………………………51 Physical…………………………………………………………………………………………………………………………………………………………….51 Service life………………………………………………………………………………………………………………………………………………………..51 Standards compliance ………………………………………………………………………………………………………………………………….. 52 IEC 60601-1 classification …………………………………………………………………………………………………………………………….. 52 Electrical …………………………………………………………………………………………………………………………………………………………. 52 Water capacity……………………………………………………………………………………………………………………………………………….. 52 Heater plate…………………………………………………………………………………………………………………………………………………….53 Humidity ………………………………………………………………………………………………………………………………………………………….53 Declared dual-number noise emissions values (in accordance with ISO 4871) ……………………………………….53 Pressure accuracy…………………………………………………………………………………………………………………………………………..53 Maximum flow rate (typical)………………………………………………………………………………………………………………………….54 ISO 80601-2-70 Pneumatic Diagram ………………………………………………………………………………………………………….. 54 Wireless notices………………………………………………………………………………………………………………………………………………55 Radio Specifications……………………………………………………………………………………………………………………………………….56 Intake Port Filters…………………………………………………………………………………………………………………………………………… 57 Heated Tubing Specifications……………………………………………………………………………………………………………………….. 57 Disposal ………………………………………………………………………………………………………………………………………………………….. 57
9. EMC information ……………………………………………………………………………………………………………………………………………….. 57 Limited Warranty ……………………………………………………………………………………………………………………………………………………62
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1. Safety information
Intended use The DreamStation 2 CPAP/DreamStation 2 Auto CPAP system delivers positive airway pressure therapy for the treatment of Obstructive Sleep Apnea in spontaneously breathing patients weighing over 30 kg (66 lbs). It is for use in the home or hospital/institutional environment.
Important The device is to be used only on the instruction of a licensed physician. Your home care provider will set the correct pressure settings and will provide accessories according to your health care professional’s prescription. Several accessories are available to make your OSA treatment with the DreamStation 2 system as convenient and comfortable as possible. To ensure that you receive the safe, effective therapy prescribed for you, use only Philips Respironics approved accessories.
Contraindications When assessing the relative risks and benefits of using this equipment, the clinician should understand that this device can deliver pressures up to 20 cmH2O. In the event of certain fault conditions, a maximum pressure of 40 cmH2O is possible. Studies have shown that the following pre-existing conditions may contraindicate the use of CPAP therapy for some patients: · Bullous Lung Disease · Pathologically Low Blood Pressure · Bypassed Upper Airway · Pneumothorax · Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway
Pressure. Caution should be used when prescribing CPAP for susceptible patients such as those with: cerebral spinal fluid (CSF) leaks, abnormalities of the cribriform plate, prior history of head trauma, and/or pneumocephalus. (Chest 1989; 96:1425-1426) The use of positive airway pressure therapy may be temporarily contraindicated if you exhibit signs of a sinus or middle ear infection. Not for use with patients whose upper airways are bypassed. Contact your health care professional if you have any questions concerning your therapy.
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Warnings A warning indicates the possibility of injury to the user or operator.

Device usage This device is not intended for life support.

Contact your health care professional if symptoms of sleep apnea recur.

Personnel

This manual serves as a reference. The instructions in this manual are not intended to

qualifications supersede your health care professional’s instructions regarding the use of the device.

The prescription and other device settings should only be changed on the order of the supervising physician.

The operator should read and understand this entire manual before using the device.

Operating

Do not operate the device in direct sunlight or near a heating appliance because these

temperature conditions can increase the temperature of the air coming out of the device.

Bacteria filter If the device is used by multiple persons in a hospital environment (such as rental devices), a low-resistance, main flow bacteria filter should be installed in-line between the device and the circuit tubing to prevent contamination.

Humidification can increase the resistance of the bacteria filter and the operator must monitor the bacteria filter frequently for increased resistance and blockage to ensure the delivery of the therapeutic pressure.

Improperly functioning device

If you notice any unexplained changes in the performance of the device, if it is making unusual sounds, if it has been dropped or mishandled, if water is spilled into the enclosure, or if the enclosure is cracked or broken, discontinue use and contact your home care service provider.

Power cord

Route the power cord to the outlet in a way that will prevent the cord from being tripped over or interfered with by chairs or other furniture.

To avoid strangulation hazards, ensure that all cords connected to the device are properly routed.

This device is activated when the power cord is connected.

Use only power cords supplied by Philips Respironics for this device. Use of power cords not supplied by Philips Respironics may cause overheating or damage to the device.

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Patient circuits and tubing
Accessories Pulse oximeter

The device should only be used with compatible patient interfaces (e.g., masks, circuits and exhalation ports). Proper operation of the device with other circuits has not been verified by Philips Respironics and is the responsibility of the health care professional. A mask should not be used unless the device is turned on and operating properly. The exhalation port(s) associated with the mask should never be blocked. Explanation of warning: The device is intended to be used with special masks or connectors that have exhalation ports to allow continuous flow of air out of the mask. When the device is turned on and functioning properly, new air from the device flushes the exhaled air out through the mask exhalation port. However, when the device is not operating, enough fresh air will not be provided through the mask, and exhaled air may be rebreathed. Rebreathing of exhaled air can, in some circumstances, lead to suffocation.
If you are using a full face mask (a mask covering both your mouth and your nose), the mask must be equipped with a safety (entrainment) valve.
An exhalation port is required. Do not block the exhalation port. This can reduce airflow and result in rebreathing of exhaled air.
At low expiratory pressures, the flow through the exhalation port may be inadequate to clear all exhaled gas from the tubing some rebreathing may occur.
Do not pull or stretch the tubing. This could result in circuit leaks.
Do not cover the tubing with a blanket or heat it in an incubator or with an overhead heater. This can affect the quality of the therapy or injure the patient.
The device should only be used with a compatible Philips Respironics mask, as prescribed by your Healthcare Provider.
To ensure that you receive the safe, effective therapy prescribed for you, use only Philips Respironics accessories. The use of accessories, transducers, and cables other than those specified by Philips Respironics may result in increased emissions or decreased immunity of the device.
Use only Philips Respironics recommended pulse oximeter and sensors. Use of incompatible sensors can result in inaccurate pulse oximeter performance.
Do not use a damaged pulse oximeter or sensor.
Before use, carefully read these instructions and the instructions for use provided with the pulse oximeter and sensor.
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Integrated humidifier
Cleaning
Oxygen

For safe operation when using the integrated humidifier, the device must always be positioned below the breathing circuit connection at the mask. The device must be level for proper operation.
Allow the heater plate and water to cool down for approximately 15 minutes before removing the humidifier water tank. A burn may result from: touching the heater plate, coming in contact with the heated water, or touching the humidifier water tank pan.
To avoid electrical shock, always unplug the power cord from the wall outlet before cleaning the device.
Do not immerse the device in any fluids or spray the device with water or cleaners. Clean the device with a cloth dampened with an approved cleaner.
Empty and clean the humidifier water tank daily to prevent mold and bacteria growth.
When using oxygen with this system, the oxygen supply must comply with local regulations for medical oxygen.
Do not connect the device to an unregulated or high pressure oxygen source.
When using oxygen with this system, a Philips Respironics pressure valve must be placed in-line with the patient circuit between the device and the oxygen source. The pressure valve helps to prevent the back flow of oxygen from the patient circuit into the device when the unit is off. Failure to use the pressure valve could result in a fire hazard.
Oxygen supports combustion. Oxygen should not be used while smoking or in the presence of an open flame.
Do not use the device in the presence of a flammable anaesthetic mixture in combination with oxygen or air, or in the presence of nitrous oxide..
Do not use the device near a source of toxic or harmful vapors.
When using oxygen with this system, turn the device on before turning on the oxygen. Turn the oxygen off before turning the device off. This will prevent oxygen accumulation in the device. Explanation of the Warning: When the device is not in operation and the oxygen flow is left on, oxygen delivered into the tubing may accumulate within the device’s enclosure. Oxygen accumulated in the device enclosure will create a risk of fire.

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EMC Maintenance

Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally
Portable and Mobile RF Communications Equipment can affect Medical Electrical Equipment. See the EMC section of this manual for distances to observe between RF Generators and the ventilator to avoid interference.
Do not use this device near active high frequency surgical equipment and the Radio Frequency shielded room of a Medical Electrical system for magnetic resonance imaging, where the intensity of electromagnetic disturbances is high.
The Health Industry Manufacturers Association recommends that a minimum separation of six inches be maintained between a wireless phone and a pacemaker to avoid potential interference with the pacemaker. The DreamStation 2 on-board Bluetooth communication should be considered a wireless phone in this regard.
Never operate the device if any parts are damaged or if it is not working properly. Replace damaged parts before continuing use.

Periodically inspect electrical cords, cables, tubing, and accessories for damage or signs of wear. Discontinue use and replace if damaged.
Repairs and adjustments must be performed by Philips Respironics-authorized service personnel only. Unauthorized service could cause injury, invalidate the warranty, or result in costly device damage. Contact your home care service provider for maintenance.
Do not use the device if the humidifier water tank is leaking or damaged. Replace any damaged parts before continuing use.

Cautions A caution indicates the possibility of damage to the device.

US federal law

Caution! US federal law restricts this device to use by or on the order of a physician

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Electrostatic Discharge (ESD)

Do not use antistatic or conductive hoses or conductive patient tubing with the device.
Pins of connectors marked with the ESD warning symbol shall not be touched and connections shall not be made without special precautions. Precautionary procedures include methods to prevent build-up of electrostatic charge (e.g., air conditioning, humidification, conductive floor coverings, non-synthetic clothing), discharging one’s body to the frame of the equipment or system or to earth. It is recommended that all individuals that will handle this device understand these precautionary procedures at a minimum as part of their training.

Condensation

Condensation may damage the device. If the device has been exposed to either very hot or very cold temperatures, allow it to adjust to room temperature (operating temperature) for 24 hours before starting therapy. Do not operate the device outside of the environmental operating ranges listed in the “Technical specifications” section later in this manual.

Filters

A properly installed, undamaged Philips Respironics reusable pollen filter is required for proper operation.

Dirty inlet filters may cause high operating temperatures that may affect device performance. Regularly examine the inlet filters as needed for integrity and cleanliness.

Never install a wet filter into the device. You must ensure sufficient drying time for the cleaned filter.

Make sure the air inlet (slotted) area on the side of the device is not blocked by bedding, curtains, or other items. Air must flow freely around the device for the system to work properly.

Extension cords

Do not use extension cords with this device.

DC power

Always ensure that the DC power cord securely fits into your therapy device prior to use. Contact your home care service provider to determine if you have the appropriate DC cord for your specific therapy device.

When DC power is obtained from a vehicle battery, the device should not be used while the vehicle’s engine is running. Damage to the device may occur.

Only use a Philips Respironics DC power cord and battery adapter cable. Use of any other system may cause damage to the device.
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Tobacco use Device placement
Humidifier water tank
Cleaning

Tobacco smoke may cause tar build up within the device.
Do not place the device in or on any container that can collect or hold water. Take precautions to protect furniture from water damage.
Do not place the device directly onto carpet, fabric, or other flammable materials.
Do not plug the device into an outlet controlled by a wall switch.
Do not move the device while the humidifier water tank has water in it.
Remove the humidifier water tank, empty all water, and replace the empty humidifier water tank before transporting the device.
Do not fill the humidifier water tank above the maximum fill line. If the humidifier water tank is overfilled, water may leak into the therapy device, humidifier, or onto your furniture. Damage to the humidifier or therapy device may occur.
Use only room temperature distilled water in the humidifier water tank. Do not put any chemicals or additives into the water. Possible airway irritation or damage to the humidifier water tank may result.
If using the integrated humidifier, do not start therapy without the humidifier water tank installed.
Do not attempt to fill the humidifier water tank while it is still connected to the device.
Do not immerse the device or allow any liquid to enter the enclosure or the inlet filter.
Do not steam autoclave the device. Doing so will destroy the device.
Do not use harsh detergents, abrasive cleaners, or brushes to clean the system.
Only the cleaning procedures listed in this manual are recommended by Philips Respironics. Use of other cleaning processes, not specified by Philips Respironics, may affect the performance of the product.

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Symbols glossary
The following symbols may appear on the device, power supply, and accessories. For a full list and description of the symbols used on the device and its packaging, see www.symbols. philips.com.

Symbol Title and Meaning Consult instructions for use.

Symbol

Prescription device Caution: U.S. federal law restricts this device to sale by or on the order of a physician.
For indoor use only Equipment is designed primarily for indoor use.
MR unsafe Do not use device in a Magnetic Resonance (MR) environment.
Bluetooth® symbol Indicates the device has Bluetooth capabilities.
Unique Device Identifier Indicates the Unique Device Identifier information.
AC power (Alternating current)

IP22

Title and Meaning Type BF applied part To identify a type BF applied part complying with IEC 60601-1. DC power (Direct current)
Drip proof equipment
Approved for airline use.
Maximum fill line
Warning: Hot surface
Packaging unit To indicate the number of pieces in the package.

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Symbol

Title and Meaning
Caution, consult accompanying documents.

Symbol

Single patient use Indicates that the tubing is for single patient use only.
Importer Indicates the entity importing the medical device into the EU.

Title and Meaning Class II equipment (Double Insulated) To identify equipment meeting the safety requirements specified for Class II equipment. Do not disassemble.
Keep away from sunlight Indicates the medical device needs protection from light sources.

System contents Your system may include the following items:

· Device

· Carrying case

· Flexible Tubing

· Humidifier water tank · SD Card

· 6 ft. (1.83 m) power cord

· User manual

· Reusable filter

· Power supply

· Quick start guide

· Disposable ultra-fine filter (optional)

How to contact Philips Respironics
Should you experience trouble with this equipment or require assistance setting up, using, or maintaining the device or accessories, please contact your home care provider. If you need to contact Philips Respironics directly, call the Philips Respironics Customer Service department at 1-800-345-6443 or 1-724-387-4000. You can also use the following address:
Respironics, Inc. 1001 Murry Ridge Lane Murrysville, PA 15668

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2. System overview
The DreamStation 2 CPAP Advanced/DreamStation 2 Auto CPAP Advanced is a Continuous Positive Airway Pressure therapy device designed for the treatment of Obstructive Sleep Apnea (OSA).
The integrated humidifier and optional heated tubing is designed to deliver humidification to provide added comfort during therapy. This humidification level is controlled through the output of the heated humidifier as well as the temperature of the optional heated tubing. Use of the integrated humidifier with the heated tubing allows for a comfortable level of humidity to be maintained at the mask.
Several accessories are also available for use with your device. Contact your home care provider to purchase any accessories not included with your system.

Device with integrated humidifier

8 11

4 6

10 7 12 9 9

2
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# Feature

Description

1 Air outlet port Connect the flexible tubing here

2 Heated tubing Line up and connect the pin connector heated tubing connector here

3 Therapy on/off Starts and stops the

button

airflow for therapy.

4 Display screen This is the User Interface for the therapy device.

5 Humidifier water tank
6 Air inlet

Removable water tank that holds the water for humidification (shown installed)
Delivers air to the device

# Feature 7 Filter access

Description Access the filter here.

8 SD card access

Access the SD card here.

9 Air inlet for

Connects to the

the humidifier humidifier water tank

10 Humidifier air inlet/outlet seal

Provides a seal between the device and the humidifier water tank.

11 Heater plate Warms the water in the water tank

12 Power inlet

Connect the power cord here

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Humidifier water tank

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# Feature

Description

Lid

Removable to fill the water tank.

Lid front tab

Remove lid from here

Water tank release

Unlatches water tank from the device when pressed

indent

Lid hooks

Connect over water tank base tabs

Water tank latch

Latches the water tank to the device

Water tank base tabs Connect water tank lid hooks here to attach the water tank lid

Maximum fill lines

Water tank seal

Grip indent (not

shown)

Indicate the maximum water level for safe operation. The fill lines also appear on the sides of the water tank base.
Provides a seal between the water tank lid and base. Removable for ease of cleaning.
Grip indent, located on the bottom of the water tank base, for tank removal

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3. Device setup
Where to place the device Place the device on a firm, flat surface somewhere within easy reach of where you will use it at a level lower than your sleeping position. Make sure the device is away from any heating or cooling equipment (e.g., forced air vents, radiators, air conditioners). Note: When positioning the device, make sure that the power cable is accessible
because removing power is the only way to turn off the device.
Cautions · Make sure the air inlet (slotted) area on the side of the device is not blocked by bedding,
curtains, or other items. Air must flow freely around the device for the system to work properly. · Do not place the device directly onto carpet, fabric, or other flammable materials. · Do not place the device in or on any container that can collect or hold water.
Supplying AC power to the device Warning: Periodically inspect electrical cords and cables for damage or signs of
wear. Discontinue use and replace if damaged. Caution: Do not use extension cords with this device. Complete the following steps to operate the device using AC power and refer to the following images for guidance:
1. Ensure that the humidifier tank is empty. 2. Plug the power supply cord’s connector into the power inlet on the bottom of the
device 1 or 2 . For convenience, the power connection allows for the cord to connect and route in the direction that works best for your setup. An inset area on the bottom of the device allows the cord to be routed under the device 3 .
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1
OR
2 3
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3. Plug the socket end of the AC power cord into the power supply 4 .

4. Plug the pronged end of the AC power cord

into an electrical outlet that is not controlled

by a wall switch 5 .

5. Verify that the connections on the bottom of the device, at the power supply, and at the electrical outlet are fully inserted. This will help to ensure that a secure, reliable electrical connection has been made.

5
Important: To remove AC power, disconnect the power supply cord from the electrical outlet.
Setting up the integrated humidifier Warning: Allow the heater plate and water to cool down for approximately 15
minutes before removing the water tank. A burn may result from: touching the heater plate, coming in contact with the heated water, or touching the tank pan.
Cautions · Do not attempt to fill the humidifier water tank while it is still attached to the device. · Use only room temperature distilled water in the tank. Do not put any chemicals or
additives into the water. Possible airway irritation or damage to the water tank may result. · Do not fill the humidifier water tank above the maximum fill line. If the humidifier water tank is overfilled, water may leak into the therapy device, humidifier, or onto your furniture. Damage to the therapy device may occur. Note: Clean the humidifier water tank before first use. Refer to the “Home cleaning:
humidifier water tank” section in this manual.
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Removing the humidifier water tank 1. Gently press down on the indented area
on the top of the humidifier water tank to unlatch the tank from the device.
2. Grip the top and bottom of the humidifier water tank and slide it out away from the device.
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3. Remove the lid by pulling up on the lid tab while holding the water tank base.

4. Pour out any remaining water and rinse the water tank base.

Filling and connecting the water tank

1. Place the water tank base on a firm, flat

surface. Fill the water tank with distilled

water no higher than the maximum fill

lines

, which are located on the back

and sides of the water tank base.

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2. Reattach the lid. Place the hooks on the lid 1 over the small tabs on the water tank base 2 .

3. Press down 3 until the lid snaps securely over the lid front tab 4 on the front of the water tank base.
3

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4. Slide the humidifier water tank back into the device, using the tracks on the bottom of the water tank base for proper alignment and connection. Ensure that it is latched into place before proceeding.
Installing/replacing the air filters Caution: A properly installed, undamaged Philips Respironics reusable pollen filter
is required for proper operation. The device uses a grey reusable pollen filter that can be rinsed and a blue disposable ultrafine filter. The reusable filter screens out normal household dust and pollens, while the ultrafine filter provides more complete filtration of very fine particles. The reusable filter must be in place at all times when the device is operating. The ultra-fine filter is recommended for people who are sensitive to tobacco smoke or other small particles. The grey reusable filter is supplied with the device. A disposable blue ultra-fine filter may also be included. If a filter is not installed when you receive your device, you must at least install the reusable filter before using the device. 1. Remove the humidifier water tank from the device. See the “Removing the humidifier
water tank” section later in this manual.
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2. To remove an existing filter, pull the white tab on the end of the filter and pull the filter out of the device
3. If applicable, place a dry, grey reusable pollen filter on top of a new, optional blue disposable ultra-fine filter, align the arrows on both filters, and firmly snap them together.
4. Place the filter into the therapy device.
5. Reinstall the humidifier water tank.
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Connecting the breathing circuit To use the system, you will need the following accessories in order to assemble the recommended breathing circuit: · Philips Respironics interface (nasal mask or full face mask) with integrated exhalation
port, or Philips Respironics interface with a separate exhalation device (such as the Whisper Swivel II) · Philips Respironics flexible tubing (12, 15, or 22 mm standard tubing or 12 or 15 mm heated tubing), 1.83 m (6 ft.) · Philips Respironics headgear (for the mask) Warnings · Do not pull or stretch the tubing. This could result in circuit leaks. · Inspect the tubing for damage or wear. Discard and replace the tubing as necessary. · If you are using a full face mask (a mask covering both your mouth and your nose), the mask must be equipped with a safety (entrainment) valve. · If the device is used by multiple persons (such as rental devices), a low-resistance, main flow bacteria filter should be installed in-line between the device and the circuit tubing to prevent contamination.
To connect your breathing circuit to the device, complete the following steps. Note: If you are using the optional 12 mm (non-heated) performance tubing, an
adapter is required to connect to the therapy device. Note: Tubing is identified on the cuff with the tubing identifier symbol: “12”, “15”,
“HT12”, or “HT15”. 22 mm tubing contains no symbol.
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1. To connect heated tubing (shown), line up the pin connectors on the heated tube with the bottom of the air outlet port on the device. The clips at the end of the tubing should be aligned to the sides of the port and will click into place. If you are using standard tubing (not shown), simply slide the tubing over the air outlet port on the device.
2. If you are using the optional 12 mm heated tubing or 12 mm performance tubing, connect the provided mask adapter to the mask connection end of the tubing. The 12mm performance tubing also requires a device adapter. When connecting the adapter to the CPAP, the clips should be aligned to the sides with the slight bump facing straight down.
3. Connect the tubing to the mask. For proper placement and positioning, refer to the instructions that came with your mask.
4. Attach the headgear to the mask if necessary. Refer to the instructions that came with your headgear.
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Starting the device 1. Ensure power is supplied to the device as indicated by a white ring around the therapy
button. The first screen to display will be the Philips logo, followed by the device model screen, and then a screen that contains a summary of your therapy. See the “Therapy off display” section later in this manual for a description of the User Interface (UI) screens. Note: The device may prompt you to set the language and time. These settings
can always be adjusted from the device settings screen. 2. Put on your mask assembly. Refer to the instructions supplied with the mask.
A small amount of mask leak is normal and acceptable. Correct large amount of mask leaks or eye irritation by adjusting your mask headgear. Note: If you are using the device in a bed with a headboard, try placing the
tubing over the headboard. This may reduce tension on the mask. 3. Press the Therapy button on top of the device to turn on airflow and begin therapy. The
Therapy button ring will illuminate blue. Note: If your home care provider has enabled the Automatic On feature, the
device will automatically turn the airflow on when you put on your mask and breathe.
4. Press the Therapy button again to turn off the therapy. The Therapy button ring will illuminate white. Note: If your home care provider has enabled the Automatic Off feature, the device will automatically turn the airflow off when you take off your mask and the device recognizes inactivity.
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Performance check To initiate a performance check, unplug the device and plug it back in. An error will appear on the screen if a performance issue is detected.
Bluetooth wireless technology Bluetooth wireless technology is one method by which you can transfer your therapy device’s data to DreamMapper. DreamMapper is a mobile 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: The blower must be off to allow Bluetooth pairing. 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 the
same room. Note: The current version of DreamMapper will guide you through these instructions. Note: After initiating pairing in DreamMapper, 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, initiate Bluetooth Setup from the DreamMapper
mobile app. Note: From DreamMapper you may 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). 2. The pairing code will display on the device. 3. In DreamMapper, confirm the 6-digit pairing code displayed on the therapy device. Note: When pairing from certain mobile devices you may need to enter the 6-digit pairing code in DreamMapper. Once entered, pairing will automatically begin. 4. Tap “Pair” to complete pairing. The therapy device displays “Pairing to Device” and then “Success Bluetooth Device is now Paired”.
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Therapy On display
The UI on this device allows you to adjust the device settings and view information about your therapy. The UI consists of the display screen with touch capability.
While the device is delivering therapy, the pressure setting is displayed. You can also view and adjust humidification, heated tube temperature, and RAMP PLUS settings.

Symbol Feature

Description

cmH2O Therapy

Displays the prescription pressure setting. If RAMP PLUS is running,

pressure

the current delivered pressure is displayed.

– 26 –

Symbol Feature

Description

Adjustable The icon only displays when humidification is enabled by

humidifier your home care provider. To change the setting, tap the

setting (if humidification icon. A settings screen displays your current

available) setting.

Continue to tap the humidification icon until the desired setting is displayed. The available settings are Off or 1-5, with 1 as the lowest humidity and 5 as the highest humidity. Once humidification is set, the device will return to the therapy screen after a few seconds and automatically activate the new setting for current and future therapy settings.

– 27 –

Symbol Feature

Description

Heated tube The icon only displays if enabled by your home care provider

temperature when a heated tube is being used. To change the setting, tap

(if available) the heated tube icon. A settings screen displays your current

setting.

4
– 28 –

RAMP PLUS (Ramp+)

Continue to tap the heated tube icon until the desired setting is displayed. The available settings are Off or 1-5, with 1 as the lowest temperature and 5 as the highest temperature. Once a temperature is set, the device will return to the therapy screen after a few seconds and automatically activate the new setting for current and future therapy settings.

The device is equipped with a RAMP PLUS feature that allows you to adjust your starting pressure for a set period of time (default of 30 minutes) for added comfort when you are trying to fall asleep. During that set time, the air pressure will remain at your set starting pressure unless the device detects an event and identifies the need to increase your pressure. When RAMP PLUS has concluded, your prescribed therapy pressure will resume.

To activate the RAMP PLUS setting, tap

. Tapping will also

simultaneously allow you to adjust the settings.

# 4
5 and 6

Symbol Feature
RAMP PLUS (Ramp+)

N/A

Ramp

indicator

Description
The first time RAMP PLUS is activated, the setting will default to 4. To change the setting, tap the – or + icons until the desired starting pressure is displayed. For faster scrolling, hold the – or + icon instead of tapping.
The RAMP PLUS pressures range from 4 cmH2O to 10 cmH2O in 1 cmH2O increments. Tap confirm or wait 3 seconds to save your setting. The display will then return to the therapy screen. Every therapy session thereafter will automatically start RAMP PLUS with the start of therapy.
Note: There is no need to tap the RAMP PLUS symbol again unless you want to make a change to the RAMP PLUS pressure or restart RAMP PLUS.
Note: RAMP PLUS pressure and time can also be adjusted in the Settings Menu on your main screen if enabled by your home care provider.
Note: The device goes dark after 60 seconds of inactivity. To wake up the device, tap anywhere on the display. This will simultaneously reactivate your RAMP PLUS pressure (if set), or it will take you to your prescribed minimum pressure level and continue to automatically adjust your delivered pressure as needed (if in Auto CPAP mode). Once the display appears, you can continue to adjust settings as desired.
The therapy on display indicates when ramp is active. The circle around the therapy display is dotted blue (5) when ramp is active and solid blue (6) when ramp is not active or therapy pressure is achieved.

– 29 –

# 7
Not shown

Symbol

Feature
Oximetry connection
Therapy button ring

Not shown
Not shown

Cell modem signal strength
Bluetooth

Not shown

Airplane mode

Therapy Off display

Description
This symbol displays during therapy when a pulse oximeter is connected to the th

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Philips DSX520T11C Respironics DreamStation 2 Automatic Auto CPAP APAP Travel Machine User Manual

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