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ResMed VPAP ST-A User Manual

ResMed VPAP ST-A
55 pages
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Making quality of care easy
Respiratory Care Solutions
VPAP
ST-A with iVAPS
NONINVASIVE VENTILATOR
H5i
HEATED HUMIDIFIER
Clinical Guide
English

Table of Contents

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ResMed VPAP ST-A Specifications

General IconGeneral
HumidificationYes
Heated TubingOptional
Humidifier Water Chamber Capacity380 ml
Humidifier Heater PlateIntegrated with Humidifier
Humidifier SettingsAdjustable

Summary

Welcome and Device Overview

VPAP ST-A Indications for Use

Specifies the intended use of the VPAP ST-A for patients with respiratory insufficiency or OSA.

VPAP ST-A Contraindications

Lists pre-existing conditions where positive airway pressure therapy may be contraindicated.

VPAP ST-A Adverse Effects

Details potential side effects patients may experience during therapy with the device.

H5i Indications for Use

Outlines the intended use of the H5i heated humidifier for air humidification.

H5i Contraindications

States contraindications for using the H5i, particularly for patients with bypassed upper airways.

VPAP ST-A System at a Glance

VPAP ST-A System Elements

Lists the elements comprising the VPAP ST-A system and optional components.

Travelling with the VPAP ST-A

Provides guidance for patients travelling with the VPAP ST-A device.

H5i System at a Glance

H5i System Elements

Details the elements included in the H5i system and optional components.

Travelling with the H5i

Offers advice for moving or travelling with the H5i humidifier.

Operating Modes and Features

Bilevel Pressures Explained

Explains how bilevel pressures (IPAP, EPAP) are used to assist breathing.

Modes of Operation

Describes the different operating modes available on the VPAP ST-A device.

Understanding iVAPS Mode

Discusses the benefits and features of the iVAPS therapy mode.

Target Alveolar Ventilation

Explains how iVAPS targets alveolar ventilation using anatomical deadspace estimation.

Target Patient Rate

Describes the iVAPS intelligent backup rate (iBR) and its adjustable limits.

Min/Max PS Settings

Defines the range of pressure support adjustment for the iVAPS algorithm.

Ramp Functionality

Explains the ramp feature designed to make treatment initiation more comfortable.

Therapy Management and Alarms

Alarms Overview

Describes how the VPAP ST-A monitors therapy and device conditions for alarms.

NIV & Leak Management

Highlights critical factors for NIV success, including triggering and leak management.

Triggering and Cycling

Explains how the device initiates and terminates inspiration based on patient flow.

Rise Time Adjustment

Details how Rise Time affects pressure transition from EPAP to IPAP.

TiControl™ Inspiratory Time Control

Explains TiControl for setting minimum and maximum inspiratory time limits.

Climate Control System

Climate Control Overview

Introduces Climate Control for automatic humidity delivery and rainout protection.

Rainout Protection

Explains rainout and how Climate Control prevents it.

Automatic Constant Humidity

Details the target absolute humidity delivered at various temperature settings.

Automatic Constant Temperature

Describes how air temperature is controlled to the patient's mask.

Climate Control Automatic Adjustment

Explains how Climate Control automatically adjusts to environmental changes.

Advanced Device Features

S9 Essentials Simplified Interface

Simplifies device interaction and menu navigation for patients.

Sleep Quality Indicator

Promotes compliance by allowing patients to track leak, usage, and AHI.

Device Setup Procedures

Device Setup Steps

Provides step-by-step instructions for connecting the H5i, power supply, and tubing.

Mask and Tubing Configuration

Mask Type Settings

Lists settings for different mask types like Full Face, Pillows, Nasal, Pediatric.

Air Tubing Compatibility

Details compatible air tubing types, specifications, and settings.

H5i Humidifier Water Tub

Filling the Water Tub

Provides instructions for filling the H5i water tub with water.

VPAP ST-A Device Interface

Device Controls and Indicators

Explains the function of each key control and LED indicator on the VPAP ST-A device.

Navigating Device Menus

Menu Navigation Steps

Outlines the general steps for navigating through the device menus.

Menu Overview

Describes the purpose of the Home, Info, and Setup menus.

Home Menu Features

Details the features displayed in the Home menu, such as Ramp and Humidity Level.

Home Menu Settings Adjustments

Ramp Adjustment

Explains how to adjust the ramp time for patient comfort.

Humidity Level Adjustment

Allows patients to adjust the humidity level for optimal comfort.

Climate Control Adjustment

Enables patient adjustment of air temperature for comfort.

Mask Fit Feature

Describes the Mask Fit feature to help patients achieve a proper mask seal.

Treatment Screen Displays

Example Treatment Screens

Shows examples of different treatment screens displayed during therapy.

Pressure Bar Indicator

Explains the pressure bar and how it indicates pressure values during therapy.

Treatment Screen Parameter Details

Parameter Definitions

Defines various parameters displayed on the treatment screens for different modes.

Setup Menu Structure

Patient Setup Menu

Allows patients to optimize comfort settings and mask/tube type.

Clinical Setup Menu

Allows clinicians to set all patient therapy parameters.

Clinical Setup Menu Parameters

Settings Parameters

Details parameters for Mode, Set pressure, Height, Target Pt Rate, Va, IPAP, EPAP, PS.

Respiratory Rate & Timing Parameters

Covers parameters like Respiratory Rate, Ti Max, Ti Min.

Climate Control Management

Climate Control Auto Mode

Enables automatic humidity delivery and rainout protection.

Climate Control Manual Mode

Allows independent patient control of humidity and temperature.

Alarm Handling Procedures

Alarm Settings Configuration

Explains how to set and configure alarms via the Clinical Settings menu.

Clearing and Muting Alarms

Provides methods for clearing and temporarily muting active alarms.

Viewing Alarms List

Describes how to access and view the list of active alarm messages.

Alarm Menu Configuration

Fixed and Adjustable Alarms

Lists pre-set fixed alarms and configurable adjustable alarms.

Adjustable Alarm Settings

Details the default and range for adjustable alarm settings like High Leak, Low SpO2.

Alarm Testing and Troubleshooting

Initial Alarm Test Setup

Steps to prepare the device for alarm testing.

Alarm Test Procedures

Guides on how to test specific alarm conditions like Power Fail, Blocked Tube, High Leak.

Alarm Troubleshooting Guide

Common Alarms and Solutions

Provides solutions for common alarm messages and possible causes.

Therapy Delivery

Therapy Start and Stop

Instructions on how to start and stop therapy sessions.

Adding Supplemental Oxygen

Guidance on compatible supplemental oxygen flow rates and considerations.

Patient Data Management

SD Card Functionality

Explains the role of the SD card in capturing and storing patient data.

SD Card Handling

Provides instructions for removing and inserting the SD card.

SD Card Data Analysis

Data Storage Comparison

Compares data stored on the device versus the SD card.

Oximeter Adapter

Describes the oximeter adapter for collecting oximetry data.

Device Cleaning and Maintenance

Disassembling the H5i

Step-by-step guide to disassemble the H5i humidifier for cleaning.

Daily Cleaning Procedures

Instructions for daily cleaning of the air tubing and disassembled H5i parts.

Monthly Maintenance Procedures

Monthly Cleaning Tasks

Outlines monthly cleaning tasks for the device exterior and air filter.

Reassembling the H5i

Provides steps for reassembling the H5i after cleaning.

Maintenance Checklist Items

Lists key items to inspect for wear and maintenance.

Reprocessing H5i Between Patients

Directs users to resources for cleaning and disinfection between patients.

Air Filter and Antibacterial Filter

Replacing the Air Filter

Instructions on how and when to replace the air filter.

Available Filter Types

Lists the available filter types and their efficiencies.

Antibacterial Filters Information

Discusses the impact of antibacterial filters on device performance.

Technical Specifications Overview

General Specifications

Covers power supply, environmental conditions, EMC, aircraft use, and sensor types.

VPAP ST-A Technical Specifications

Mode Pressure Ranges

Details the pressure ranges for different therapy modes like CPAP, S, ST, T, PAC, iVAPS.

Sound & Physical Specifications

Lists sound pressure/power levels, dimensions, weight, and housing construction.

H5i Technical Specifications

Provides temperature, physical dimensions, weight, water capacity, and material details for the H5i.

Air Tubing and Humidifier Specs

Air Tubing Specifications

Lists length, inner diameter, and material for various air tubing types.

Humidifier Performance Data

Presents tested humidifier performance data for RH output and nominal system output AH.

Pneumatic Flow Path Diagram

Illustrates the pneumatic flow path of the device and its components.

Flow and Display Measurement Specs

Maximum Flow Rates

Shows maximum flow rates at different pressures for various tubing configurations.

Displayed Values & Accuracy

Lists displayed values, their ranges, resolution, and measurement accuracy.

Pressure Accuracy Specifications

Static Pressure Variation

Details static pressure variation at 10 cm H2O according to EN ISO 17510-1:2009.

Dynamic Pressure Variation

Provides dynamic pressure variation data according to EN ISO 17510-1:2009.

Safety Warnings and Cautions

General Warnings

Lists critical warnings regarding device usage, handling, and safety.

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