S9 VPAP ST-A Welcome Guide Dec 2017

Respiratory Care Solutions

Making quality of care easy

Welcome Thank you for choosing the VPAP ST-A or H5i. Before operating the device, please read the entire Welcome and Information Guides.

DC power inlet Module/Adapter port Air filter Air outlet

SD card slot

VPAP ST-A at a glance The VPAP ST-A system comprises the following elements: • VPAP ST-A device • Air tubing • 90W power supply unit • S9 Travel bag • SD card • S9 SD card protective folder. Optional components include: • H5i heated humidifier • Standard air tubing • SlimLine air tubing • 3 m air tubing • ClimateLine heated air tubing • ClimateLineMAX heated air tubing • 30W power supply unit (does not support H5i) • Power Station II battery pack • DC/DC Converter 24V/90W. Traveling tips When traveling with your VPAP ST-A only: •• Ensure you pack the SlimLine or Standard air tubing as the ClimateLine or ClimateLineMAX heated air tubing is not designed to connect directly to the device. •• Ensure you purchase and travel with the approved power cord for the region where you will be using the device.

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Flip lid seal Flip lid Air outlet

ClimateLine or ClimateLineMAX connection port

H5i at a glance

Release button Latch H5i water tub

The H5i system comprises the following elements: • H5i heated humidifier • H5i standard water tub • ClimateLine heated air tubing (if sold as a Climate Control Kit). Optional components include: • ClimateLineMAX heated air tubing • H5i cleanable water tub. Traveling tips When moving or traveling with your H5i: •• Ensure that the water tub is empty. •• Disconnect the H5i from the device by using the release button. 2

Setting up 1. Align your H5i with the VPAP ST-A and push them together until they click into place. 2. Connect the DC plug of the power supply unit to the rear of the device. 3. Connect the power cord to the power supply unit. 4. Plug the other end of the power cord into the power outlet. 5. Connect one end of the air tubing firmly onto the air outlet. 6. Connect the assembled mask system to the free end of the air tubing. Notes: •• Always ensure that the VPAP ST-A and H5i are placed on a stable, level surface for proper operation. •• Always ensure that the VPAP ST-A is placed in an area where the alarm LED indicators are clearly visible. •• Place the power supply unit away from the H5i to allow for adequate ventilation. •• For more information on assembling your mask see your mask user guide. •• Recommended masks are available on www.resmed.com on the Products page under Service & Support. 3 English

Filling the water tub 1. Slide the latch and lift open the flip lid. 2. Remove the water tub. 3. Fill the water tub (through the center hole) with distilled or deionized water up to the maximum water level mark (12.5 fl oz / 380 mL). 4. Return the water tub to the H5i. 5. Close the flip lid ensuring that it clicks into place.

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VPAP ST-A basics

Key: Home

Setup menu* Allows you to make changes to settings or exit from the menu.

Humidity Level Ramp Heated Tube

Info menu* Allows you to view your sleep statistics or exit from the menu.

Climate Control Start/Stop

LCD screen Displays the menus, treatment screens and reminders.

Push dial Alarm mute

Start/Stop button Starts or stops treatment.

Setup menu Info menu

Alarm mute Press once to mute alarms. Press a second time to unmute.

Push dial Turning the dial allows you to scroll through the menu and change settings. Pushing the dial allows you to enter into a menu and confirm your choice.

Alarm and therapy LEDs Yellow-flashes during an alarm. Blue-on during therapy (if enabled by clinician).

*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician. 5 English

Adjusting humidity level Ranging from OFF to 6, you can adjust the humidity level at any time to find the setting that is most comfortable for you. To adjust the humidity level:

1. From your HOME screen, turn until the HUMIDITY LEVEL screen is displayed in blue.

2. Press . The selection is highlighted in orange.

until 3. Turn the humidity level that you require is displayed.

Warming the H5i The warm-up feature is used to pre-heat the water before starting treatment. To start warming: 1. Navigate to the humidity level icon. 2. Push and hold for three seconds. The Warming Up status bar is displayed. You can stop warm-up at any time by pressing for at least three seconds. You can start treatment at any time by pressing . Note: In order to assist the heater plate in cooling, your device will continue to blow air for up to an hour after treatment has stopped. However, you can unplug the device from the power outlet at any time and allow the heater plate to cool without air flow.

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4. Press to confirm your choice.

Adjusting ramp time Designed to make the beginning of treatment more comfortable, ramp time is the period during which the pressure increases from a low start pressure to the treatment pressure. To adjust your ramp time:

1. From your HOME screen, turn until the RAMP screen is displayed in blue.

2. Press . The selection is highlighted in orange.

to 4. Press until the 3. Turn confirm your choice. ramp time you require is displayed.

Using Mask Fit You can use Mask Fit to help you fit your mask properly. This feature delivers CPAP pressure for a three-minute period, prior to starting treatment, during which you can check and adjust your Mask Fit to minimize leaks. 1. Fit your mask as described in the mask user guide. 2. From your HOME screen, push and hold for three seconds. One of the following MASK FIT screens is displayed:

3. If necessary, adjust your mask, mask cushion and headgear until Mask Fit indicates Good. After three minutes, the pressure reverts to the set pressure and treatment will begin. You can end Mask Fit at any time by pressing . 7 English

S9 Essentials S9 Essentials is designed to make device interaction and menu navigation easier for you. If enabled by the clinician, S9 Essentials disables the Info and Setup functionality so that you can simply start and stop therapy and adjust ramp, humidification and Climate Control.

Selecting the mask type To select your type of mask:

1. Press . The SETTINGS screen is displayed.

2. Turn until Mask is displayed in blue.

. The selection 3. Press is highlighted in orange.

until the mask 4. Turn setting that you require is displayed.

5. Press to confirm your choice.

6. Push to return to the HOME screen.

Note: Selecting the mask type is not possible if S9 Essentials has been enabled by your clinician. 8

Getting started 1. Make sure the power is connected. 2. Adjust the ramp time or humidification level if required. 3. Fit your mask as described in your mask user guide. 4. To start therapy, simply breathe into the mask and/or press . 5. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep. 6. To stop treatment at any time, remove your mask and/or press .

Notes: •• If your clinician has enabled SmartStart your device will start automatically when you breathe into the mask and stop automatically when you remove your mask. •• If power is interrupted during treatment, the device automatically restarts therapy when power is restored. 9 English

Viewing the treatment screens Depending on how the system has been configured, you will see one of the following example screens (shown in ST mode) once therapy has started:

99 H5i humidifier

99 H5i humidifier 99 ClimateLine or ClimateLineMAX 99 Climate Control – Auto

99 Therapy data-without optional accessories

99 Oximetry data-via the oximeter adapter

99 H5i humidifier 99 ClimateLine or ClimateLineMAX 99 Climate Control – Manual

Pressure bar: In bilevel modes, the fixed vertical lines on the pressure bar indicate the expiratory and inspiratory pressures. While the treatment is ramping (indicated by an orange ramp icon) or variable, the pressure values appear in orange. When a set pressure is reached these values are displayed in white. In CPAP mode, only a set pressure is shown.

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To toggle between the treatment screens, press

99 Treatment with device trigger (Timed) and cycle (Timed, Ti Max or Ti Min) breath indicators

from your HOME screen.

99 Treatment with spontaneous trigger and cycled breaths

99 Treatment with alarm functionality

Viewing the Info menu The Info menu has a series of screens showing your sleep quality, sleep report and service information. To view the Info menu, push

from your HOME screen.

In the Sleep Quality screen, you can always view your usage hours during the last session and if enabled by your clinician, data on Mask Fit and AHI is displayed. To return to the HOME screen, push

In the Sleep Report, only the period can be changed-other values are for display only.

In the Service information, the total device run hours (includes warm-up/cool-down times for the humidifier) and the software identifications are displayed.

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Viewing alarms The VPAP ST-A is fitted with an alarm module that continuously monitors both therapy and device conditions. Alarms are only activated when therapy is running. An alarm condition is indicated by an audible sound, a flashing yellow alarm LED and a message on the screen. When the device is turned on, the yellow alarm LED will flash, and the alarm will sound to confirm that the alarm is working.

99 Alarm activated

99 Alarm cleared

99 Multiple alarms

When an alarm activates, a corresponding alarm message is displayed. If multiple alarms are active, the latest alarm message is displayed and as these are cleared each message can be read.

To clear an alarm message, . This allows you press to return to the previously displayed screen. If the alarm condition remains, the alarm will re-occur. Note: Power Fail and Alarm Fail alarms are cleared by . pressing

To view the list of alarm messages, go to the Treatment screen and press until Treatment screen 3 is displayed.

Muting the alarm To mute an alarm for two minutes, press once. If the condition remains, the alarm will sound again after two minutes. To turn on the alarm again, press a second time. The alarm LED will remain lit for as long as the condition remains.

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Cleaning and maintenance You should regularly carry out cleaning and maintenance as described in this section. Disassembling the H5i water tub 1. Slide the latch. 2. Lift open the flip lid. 3. Remove the water tub. 4. Discard any excess water from the water tub. 5. Unclip all four side latches. 6. Pull apart the tub lid and base.

Daily cleaning 1. Wash the disassembled tub lid and base in warm water using a mild detergent. 2. Rinse thoroughly in clean water and allow them to dry away from direct sunlight. Notes: •• Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack. •• Do not wash the air tubing in a washing machine or dishwasher. Weekly 1. Remove the air tubing from the device and the mask. 2. Wash the air tubing in warm water using mild detergent. 3. Rinse thoroughly, hang, and allow to dry. 4. Before next use, reconnect the air tubing to the air outlet and mask. Monthly 1. Wipe the exterior of the device and H5i with a damp cloth and mild detergent. 2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary. 3. Peel the flip lid seal from the flip lid and wash it in warm water using a mild detergent.

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Maintenance checklist 99 Inspect the H5i water tub and flip lid seal for wear and deterioration. 99 Replace the water tub if any component is leaking or has become cracked, cloudy or pitted. 99 Replace the flip lid seal if cracked or torn. 99 Clean white powder deposits in the water tub by using a solution of one part household vinegar to 10 parts water. Reassembling and filling the H5i water tub 1. Place the tub lid back onto the base. 2. Clip all four side latches. 3. Fill the water tub with distilled or deionized water up to the maximum water level mark. 4. Return the water tub to the H5i. 5. Close the flip lid ensuring that it clicks into place. Replacing the air filter Replace the air filter every six months (or more often if necessary). 1. Remove the air filter cover from the back of the device. 2. Remove and discard the old air filter. 3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover. 4. Replace the air filter cover. Notes: •• Ensure the air filter and air filter cover are fitted at all times. •• Do not wash the air filter. The air filter is not washable or reusable. Air filter cover

Air filter

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•S•D card An SD card has been supplied to gather therapy data from your device and provide settings updates from your clinician. When instructed to do so, disconnect the device from the power outlet, remove your SD card, insert it in the protective folder and send it to your clinician. Removing the card 1. Push in the SD card to release it. 2. Remove the card. 3. Insert the card into the protective folder. 4. Send the protective folder back to your clinician as instructed. For more information on removing and inserting your card refer to your S9 SD Card Protective Folder provided with your device. Please retain the S9 SD Card Protective Folder for future use.

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Notes: •• For Troubleshooting information refer to the Information Guide. •• For more product information see www.resmed.com. 15 English

Respiratory Care Solutions

Making quality of care easy

368810/4 2017-12 VPAP ST-A H5i WELCOME AMER

Manufacturer: ResMed Pty Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia. See www.resmed.com for other ResMed locations worldwide. For patent information, see www.resmed.com/ip. S9, H5i, ClimateLine, SlimLine, SmartStart and VPAP are trademarks of ResMed. S9, ClimateLine, SlimLine, SmartStart and VPAP are registered in U.S. Patent and Trademark Office. © 2017 ResMed. Global leaders in sleep and respiratory medicine

www.resmed.com