Apex Digital 9S-007202 Manuale utente

iCH Auto CPAP System

Instruction Manual

Table of Content

User’s manual .................................................................P. 1

Manual de Instrucciones

...............................................

P.25

Instruções de Utilização

................................................

P. 54

Instructions d'utilisation................................................P. 82

Gebrauchsanleitung

......................................................

P. 112

Gebruikershandleiding ..................................................P.141

Manuale di istruzioni ....................................................P.170

Model No.: 9S-007201, 9S-007202

Please read the instruction manual before use.

English

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iCH Auto/English 1

IMPORTANT SAFEGUARDS

SAVE THESE INSTRUCTIONS

READ ALL INSTRUCTIONS BEFORE USING

WARNING –

1. THIS DEVICE IS NOT INTENDED FOR LIFE SUPPORT. It may stop operating due to power

interruption without hazard to patient.

2. If oxygen is used with the device, the oxygen flow must be turned off when the device is not in use.

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 and create a risk of fire.

3. Oxygen is inflammable. Oxygen should not be used while smoking or in the presence of an open

flame.

4. Always ensure the device is generating airflow before the oxygen supply is turned on. Always turn

off the oxygen supply before stopping the airflow from the device.

5. This device should not be used in the vicinity of a flammable anaesthetic mixture in combination

with oxygen or air and nitrous oxide.

6. The airflow for breathing generated by this device may be as much as 7°C (12.6°F) higher than

the room temperature. This device should not be used if the room temperature is warmer than

35°C (95°F) to prevent the airflow temperature from exceeding 40°C (104°F) and causing irritation

to your airway.

7. If this device overheats, it will stop operating and show message “Error 002” on the display. After

cooling down to the proper temperature, the device can be restarted.

8. This machine should be used only with masks (and connectors) recommended by the

manufacturer, or by your doctor or respiratory therapist. A mask should not be used unless the

CPAP machine is turned on and operating properly. The vent holes for the mask should never be

blocked, to allow for proper exhaling. If the vent hole is blocked, the CPAP machine will stop and

show message “Error 002”. After the machine cools down, please re-connect the power cord to

reset the machine.

9. At low CPAP pressure, some exhaled gas may remain in the mask and be breathed in again.

CAUTION –

1. Make sure the area around the machine is dry and clean. Dust and foreign particles may affect the

treatment. Keep the air inlet on the back of the machine clear to prevent overheating and damage

of the device. Do not place the machine near a source of hot or cold air. An extremely cold or hot

environment may damage the user's respiratory airway.

2. If there is a possibility of electro-magnetic interference with mobile phones, please increase the

distance between devices or turn off the mobile phone.

3. Do not connect the device to the personal computer for data downloading during the treatment.

This may cause a failure in the CPAP system.

4. To prevent from potential allergic reactions to mask used in the device, This machine shall be

used only with masks (and connectors) recommended by the manufacturer.

5. U.S. Federal law restricts this device to sale by or on the order of a licensed doctor.

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DANGER -To reduce the risk of electrocution:

1. Always unplug this product immediately after using.

2. Do not use while bathing.

3. Do not place or store product where it can fall or be pulled into a tub or sink.

4. Do not place in or drop into water or other liquid.

5. Do not reach for a product that has fallen into water. Unplug immediately.

6. If product falls into water or other liquids do not reach into the water or other liquids. Unplug

immediately.

WARNING -To reduce the risk of burns, electrocution, fire or injury to persons:

1. This product should never be left unattended when plugged in.

2. Close supervision is necessary when this product is used with or near children or invalids.

Choking resulting from a child swallowing a small part that has become detached from the device

or its accessories.

3. Use this product only for its intended use as described in this manual, do not use attachments not

recommended by the manufacturer.

4. Never operate this product if it has a damaged cord or plug, if it is not working properly, if it has

been dropped or damaged, or dropped into water. Return the product to a service centre for

examination and repair.

5. Keep the cord away from heated surfaces.

6. Never block the air openings of this product or place it on a soft surface, such as a bed or couch,

where the air openings may be blocked. Keep the air opening free of lint, hair, and other similar

particles.

7. Never drop or insert any object into any opening or hose.

8. Follow the national requirementfor disposing of the unit.

9. Do not operate the device before the mask and water chamber have been installed.

10. Disconnect the water chamber from the device when not in use, water entering the device may

result in electric shock hazard or damage.

11. Do not use if water comes in contact with the device or enters the tubing.

12. This device is not for use with patients whose supraglottic airways have been bypassed.

13. Do not cover the device with blankets or clothes .

14. Do not remove water chamber while humidifier is heating. Do not touch the heater plate for 30

minutes after the device is disconnected from the mains.

15. No modification of this equipment is allowed.

16. Do not modify this equipment without authorization of the manufacturer.

17. If this equipment is modified, appropriate inspection and testing must be conducted to ensure

continued safe use of the equipment.

18. Do not leave long lengths of air tubing around the top of your bed. It could twist around your head

or neck while you are sleeping and lead to strangulation.

iCH Auto/English 3

1. Introduction

This manual should be used for initial set up of the system and saved for reference purpose.

1.1 General Information

Obstructive Sleep Apnea (OSA) is a condition that an intermitted and repetitive obstruction of the

upper respiratory tract causes a complete (apnea) or partial (hypopnea) block of breathing airflow

during sleep. The syndrome varies depending on the degree of relaxation of the tongue and soft

palate muscle.

The most common treatment for OSA is Continuous Positive Airway Pressure (CPAP). CPAP

devices can deliver a constant air pressure into your upper airway via a nasal mask. This

constant air pressure can keep your airway open during sleep, therefore prevents the OSA.

This device is a micro-processor controlled continuous positive airway pressure device. It

features the illuminated, menu-driven LCD display, universal power supply and ramp time

adjustment. The ramp time adjustment and ultra quiet operation ensure you to fall asleep

comfortably while air pressure slowly builds up to treatment level. The user compliance meter

records the total system’s operating time for physician’s reference.

The system has been tested and successfully approved to the following standards:

IEC/EN 60601-1

IEC/EN 60601-1-2

IEC/EN 61000-3-2 Class A

IEC/EN 61000-3-3

CISPR 11 Group 1, Class B

For US and CANADA only

The description below is for Canada only

Le produit à été testé avec des équipements médicaux et respecte les normes ANSI/AAMI

ES60601-1 (2005)+AMD 1 (2012) and CAN / CSA C22.2 No. 60601-1 (2014).. prévenant les choc électrique, le

feu et les risques de blessures physiques.

E348970

53DG

Medical Equipment- CPAP with integrated heated humidifier

AS TO ELECTRICAL SHOCK, FIRE AND MECHANICAL

HAZARDS ONLY IN ACCORDANCE WITH ANSI/AAMI

ES60601-1 (2005) , ANSI/AAMI ES60601-1 (2005) + AMD 1

(2012), CAN/CSA-C22.2 No. 60601-1 (2008) and

CAN/CSA-C22.2 No. 60601-1 (2014)

iCH Auto/English 4

EMC Warning Statement

This equipment has been tested and found to comply with the limits for medical devices to the

IEC/EN 60601-1-2. These limits are designed to provide reasonable protection against harmful

interference in a typical medical installation. This equipment generates, uses and can radiate radio

frequency energy and, if not installed and used in accordance with the instructions, may cause

harmful interference to other devices in the vicinity. However, there is no guarantee that

interference will not occur in a particular installation. If this equipment does cause harmful

interference to other devices, which can be determined by turning the equipment off and on, the

user is encouraged to try to correct the interference by one or more of the following measures:

- Reorient or relocate the receiving device.

- Increase the separation between the equipment.

- Connect the equipment to an outlet on a circuit different from that to which the other device(s)

are

connected.

- Consult the manufacturer or field service technician for help.

1.2 Intended Use

This device is intended to provide continuous positive airway pressure (CPAP) for the treatment of

adult Obstructive Sleep Apnea (OSA). The integrated heated humidifier is designed to increase

the humidity of the air from the CPAP thereby relieving the symptoms of a dry nose and throat that

some people may experience.

Cautions: Some patients might have pre-existing contraindications for CPAP therapy,

or might experience some potential side effects of using a CPAP device.

Please consult your doctor if you have any questions concerning your

therapy.

NOTE: Equipment not suitable for use in the presence of a flammable anaesthetic

mixture with air or with oxygen or nitrous oxide.

1.3 Contraindications

Studies have shown that the following pre-existing conditions may contraindicate the use of CPAP

therapy for some patients. Should you have any of these conditions, your physician will

determine if CPAP therapy is appropriate for you.

Bullous lung disease

Pneumothorax

Pathologically low blood pressure due to or associated with intravascular volume depletion

Severe cardiac arrhythmias or coronary artery disease

Stroke

Seizures

Pneumocephalus has been reported in a patient using nasal Continuous Airway pressure

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iCH Auto/English 6

2. Product Description

2.1 Unpacking the Contents

Components include:

(1) Main CPAP device with integrated heated humidifier

(2) Power supply adapter and AC power cord

(3) User manual

(4) Flexible air tubing, 1.8 m length

(5) Carrying bag

(6) SD card and USB cable

NOTE: Please use a SD card (smaller than 4GB) which complies with SDHC standard.

Before using it, please format it to FAT16 to ensure correct data collection.

CAUTION: Patient should not connect the device to a personal computer for data

downloading. This may cause the CPAP system failure.

To secure contents inside, the device and accessories are bundled in a paper packaged box.

Unpack this box by removing the device and accessories and check for any damage, which may

have occurred during shipping. If there are damages, please contact your dealer immediately.

2.2 System Overview

3. Installation

1. LCD Display

2. Up & Down Button

3. Start/Standby Button

4. Menu Button

5. SD Card Slot/mini-USB Connector

6. Air Filter

7. Heater Platform

8. Heater Indicator

9. Heater Control knob

10. Air Outlet

11. Power Socket

12. Air Outlet of the Water Chamber

13. Protruding tab and groove

14. Fill Line

15. Water Chamber

16. Buckle

5

6

7

8

9

10

11

1

2

3

4

12

15

14

16

13

iCH Auto/English 7

3.1 Disassembling the Water Chamber

1. Turn the device off and allow the heater and water to cool. If necessary, disconnect the

flexible tubing from the water chamber.

2. Place thumb on the top of the water chamber and tip it upward as shown in Figure 3-1.

Remove the water chamber from the system.

3. Unlock the water chamber by pulling the tab as shown in Figure 3-2. Remove the chamber lid

from the base.

3.2 Filling the Water Chamber

1. Fill the chamber to the fill line with distilled

water (approx. 300 ml), as shown in Figure 3-3.

2. Follow the steps to assemble the water chamber:

2.1 Insert the protruding tab into the groove

2.2 Put the top and bottom of the water chamber together

3. If the silicon gasket has been removed, replace it

securely on the top edge of the water chamber base.

Otherwise, the device will not deliver air properly.

4. Follow the steps to install the chamber correctly:

4.1 Position the water chamber on the heater plate

4.2 Tilt the water chamber, align with the air outlet (Figure

3-4, 3-5)

4.3 Push downwards until you hear a click (Figure 3-6)

4.4 Lock on the buckle to secure the chamber (Figure 3-7)

Figure 3-2

Figure 3-1

Figure 3-3

Figure 3-6

Figure 3-5

Figure 3-7

Figure 3-4

iCH Auto/English 8

NOTE: Make sure the silicon connector on the inlet connector fits securely over the

CPAP device air outlet.

CAUTION: Do not overfill the water chamber. Damage to the device may occur.

CAUTION: Use only room temperature water; do not fill the chamber with hot or chilled water.

CAUTION: Do not turn the heater on without the water chamber installed

CAUTION: When installing the water chamber, do not allow water to spill into the device.

CAUTION: Do not move the device when the chamber has water in it.

3.3 Setting Up

1. Place the device on a flat surface and at a lower level than your sleeping position.

2. Connect one end of the air tubing firmly to the air outlet on the back of the device, as shown

in Figure 3-8.

3. Connect the other end of the air tubing to the mask system. Put on the mask and headgear

according to the mask instruction manual.

4. Plug the socket end of the AC power cord into the power supply adapter. Plug the pronged

end of the AC power cord into a main electrical outlet.

5. Plug the power supply cord’s adapter connector into the power inlet on the right side of the

device, as shown in Figure 3-9.

6. Once the power supply cord’s adapter connector is plugged into the power inlet, the CPAP

system is in ready to operate position (“STANDBY” sign appears in LCD display)

NOTE: The AC power cord also serves to disconnect the device.

NOTE: Do not position the equipment so that it is difficult to operate the

disconnecting device.

Figure 3-8

Figure 3-9

iCH Auto/English 9

4. Operation

NOTE: Always read the operating instructions before use.

4.1 Control Panel Description

Buttons on control panel and main use of the buttons:

START/STANDBY

To start the treatment, simply press the "START/STANDBY" button. To stop the

treatment, press the "START/STANDBY" button again. The display will switch

between [STANDBY] and Therapy Pressure [ XX.X cmH

2

O] or [ XX.X hPa] in

cmH

2

O or hPa unit.

MENU

Press the "MENU" button to enter the setting mode when device is in standby mode.

The adjustment setting includes ramp time selection, ramp starting pressure, therapy

pressure adjustment, alarm ON/OFF, clock alarm setting, compliance meter, and total

operating meter. When each setting's value has been changed, press "MENU" for

confirmation and press "MENU" again for next setting selection. Please refer to 4.3

Function Description section for detailed information.

UP

Press the "UP" button to increase the selected value.

DOWN

Press the "DOWN" button to decrease the selected value.

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4.2 Function Description

Getting Started – First time use.

For first-time use, follow the steps below:

1. Make sure that your doctor or care provider has initialized and configured the appropriate

treatment values into the unit.

2. Make sure that your package contains a face or nasal mask with headgear. If not, your

doctor or care provider can recommend the type of mask and headgear you must obtain

3. Attach tubing and mask (see Setup section).

4. Attach power cord to the unit and an electrical outlet (see Setup section). Unit will power-on

automatically.

5. Use the “MENU” button to set the Current Time, Ramp Up Time, and Ramp Starting

Pressure, (see “MENU” Button Section for description of these options).

Note that these values may have already been set by your doctor or care provider.

6. Press the “START/STANDBY” button – Airflow to the mask will begin.

7. You can now place the Headgear and Mask over your head and face and begin treatment.

4.3 Menu Button - Option Description

(1) Pressure Unit

The first selection of pressing "MENU" button is to set Pressure Unit [cmH

2

O / hPa] menu,

press "UP" or "DOWN" button to set the preferred pressure unit and press "MENU" for

confirmation. There are two pressure unit, cmH

2

O and hPa.

(2) Ramp Time

Ramp time function allows user to fall into sleep with a lower, comfortable pressure and helps

users gradually get accustomed to increasing treatment pressure. The first selection of

pressing "MENU" is [Ramp XX MIN]. When the "MENU" setting is in [Ramp XX MIN]

mode, press "UP" or "DOWN" button to set the preferred ramp time and press "MENU" for

confirmation. There are 10 adjustable levels, 0, 5, 10, 15, 20, 25, 30, 35, 40 and 45 minutes.

(3) Ramp Starting Pressure (only CPAP mode)

Press "MENU" button to select [Ramp P XX.X] menu, press "UP" or "DOWN" button to

set the preferred ramp starting pressure and press "MENU" for confirmation. The ramp

starting pressure can be changed from 4 cmH

2

O / hPa to “Therapy Pressure – 1” cmH

2

O /

hPa. For example, if your therapy pressure is 10 cmH

2

O / hPa, the maximum ramp starting

pressure you can select is 9 cmH

2

O / hPa.

(4) Therapy Pressure (only CPAP mode)

Press "MENU" button to select the [P XX.XcmH

2

O] or [P XX.XhPa] menu. You can

view the current pressure setting displayed in cmH

2

O or hPa unit. Therapy pressure is

adjustable only by the provider, a respiratory therapist or doctor.

NOTE: The therapy pressure is to only be prescribed by a physician.

(5) Maximum Pressure (only APAP mode)

Press "MENU" button to select [Max. XX.XcmH

2

O] or [Max. XX.XhPa] menu, you can

view the current pressure setting displayed in cmH

2

O or hPa unit. Maximum pressure is

adjustable only by the provider, a respiratory therapist or doctor.

NOTE: The maximum pressure is only to be prescribed by a doctor.

(6) Minimum Pressure (only APAP mode)

Press "MENU" button to select [Min. XX.XcmH

2

O] or [Min. XX.XhPa] menu, you can

view the current pressure setting displayed in cmH

2

O or hPa unit. Minimum pressure is

adjustable only by the provider, a respiratory therapist or doctor.

iCH Auto/English 11

NOTE: The minimum pressure is only to be prescribed by a doctor.

(7) Initial Pressure (only APAP mode)

Press "MENU" button to select [Init. XX.XcmH

2

O] or [Init. XX.XhPa] menu. Here you

can view the current pressure setting displayed in cmH

2

O or hPa unit. Initial pressure is

adjustable only by the provider, a respiratory therapist or doctor.

NOTE: The initial pressure is only to be prescribed by a doctor.

(8) PVA (Pressure Variation Algorithm)

Press "MENU" button to select [c on/off] menu, you can view if the PVA function is

enabled by the provider, a respiratory therapist or physician. The PVA function delivers

pressure relief upon exhalation to improve comfort. If the PVA function is enabled, press

"UP" or "DOWN" button to adjust the comfort level. There are 3 adjustable levels of

pressure relief that you feel while exhalation. Level 1 provides small pressure variation; and

level 3 provides higher pressure variation.

(9) Low Pressure Auto Off (only CPAP mode)

Press "MENU" button to select [LOW P on/off] menu, you can view if the Low Pressure Auto

Off setting is enabled and the device will be automatically turned off while detecting a large

leak for 3 minutes. This setting is adjustable only by the provider, a respiratory therapist or

physician.

(10) Compliance Meter

Press "MENU" button to select the [CM XXXX.X hr] menu. The compliance meter records

the total therapy hours for the device. The compliance meter should be re-set only by the

provider, a respiratory therapist or by a doctor.

(11) Alarm

Press "MENU" button to select the [Alarm on/off] menu, and press "UP" or "DOWN" button

to set the alarm on or off. When the alarm is turned on, the audible alarm will activate with

warning messages shown on the LCD display. Set alarm off to mute the audible alarm.

(12) Clock Alarm

Press "MENU" button to select the [Clock Alarm on/off] menu and press "UP" or "DOWN"

button to set the clock alarm on or off. When the clock alarm is set on, the display will show

the time on the left side. Press "UP" or "DOWN" button to set the time to wake you up. Once

the clock alarm is activated, press the start/standby button to mute the audible alarm.

(13) Clock

Press "MENU" button to select the [Clock XX:XX] menu, press "UP" or "DOWN" button to

set the current time.

NOTE: If you set a new time that occurs in the past then the "Invalid Data" which does

not exist for this new period would be erased.

(14) Turning off the Device

Remove the power cord from the electrical outlet, and disconnect power cord from the power

socket on the right side of the device.

NOTE: Once the setting is confirmed, press the “MENU” button. Otherwise, the device

will automatically go back to standby without saving the modification if no action

is taken in 20 seconds.

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(15) Compliance Information

Hold "UP" and "DOWN" button to read compliance information while in the standby screen.

Press “START/STANDBY” button to go back to standby screen

i. Period

When entering the compliance information mode, the LCD screen should start

blinking to allow you to select the period. Press "UP" or "DOWN" button to select the

period from 1 day to 90 days. After selecting the period, press "MENU" to confirm.

Press “DOWN” button to read more compliance information.

ii. Usage Hours / Compliance Hours

The Usage Hours [XXX hrs] records the therapy hours under the set time frame.

Press “MENU” button to reselect the time frame, or press “DOWN” button to read

more compliance information.

iii. Average Compliance Hours per day

The Average Compliance Hours per day [X.X hrs/d] records the average

compliance hours per day over the different time frame. Press "UP" or "DOWN"

button to read last or next compliance information.

iv. Days＞4 Hours

The Days＞4 Hours [

＞

4 X.X d] records the cumulative number of days that

exceeded 4 hours over the different time frame. Press "UP" or "DOWN" button to

read last or next compliance information.

v. AHI

The [AHI XX.X] records the average Apnea Hypopnea Index (AHI) over the

different time frame. Press "UP" or "DOWN" button to read last or next compliance

information.

vi. Average Pressure

The [P XX.XcmH

2

O] or [P XX.XhPa] records the average pressure over the

different time frame. Press "UP" or "DOWN" button to read last or next compliance

information.

vii. Average Leak Rate

The [Leak XX.X lpm] records the average leak over the different time frame.

Press "UP" button to read last or next compliance information or press "MENU" to

come back to the main menu.

(16) Check Value

Press "MENU" button to select [CHXXX] menu, which displays a check value. Your care

provider may ask for this information

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4.4 Flowchart of Menu settings

Enter the user's menu mode by pressing the “MENU” button.

In each setting, when the preferred value has been selected, press "MENU" for confirmation and

press "MENU" again to enter next selection.

NOTE: For doctors, please refer to a separate “Doctor’s Additional Instructions” manual.

APAP

Mode

CPAP

Mode

Clock

< hh:mm >

Clock Alarm <On>

< hh:mm >

CM

(Compliance Meter)

< xxxx.x > hr

Alarm

< on/off >

APAP

Max. P

(Maximum Pressure)

< 5.0 ~ 20.0 > cmH

2

O / hPa

Min. P

(Minimum Pressure)

< 4.0 ~ 19.0 > cmH

2

O / hPa

Init. P

(Initial Pressure)

< 4.0 ~ 19.0 > cmH

2

O / hPa

Pressure Unit

< cmH

2

O / hPa >

C

(PVA Comfort Level)

< on/off >

CPAP

Ramp

(Ramp Time)

< 0 ~ 45 > min

P

(Therapy Pressure)

< 4.0 ~ 20.0 > cmH

2

O / hPa

Ramp P

(Ramp Starting Pressure)

<4.0~19.0>cmH

2

O / hPa

Pressure Unit

< cmH

2

O / hPa >

Low P

(Low Pressure Shut Off)

< on/off >

C

(PVA Comfort Level)

< on/off >

PVA <On>

< 0, 1, 2, 3 >

PVA <On>

< 0, 1, 2, 3 >

Clock Alarm

< on/off >

Ramp

(Ramp Time)

< 0 ~ 45 > min

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4.5 Flowchart of Compliance Information reading

4.6 Using the heated humidifier

1. Turn the control knob on the back of the device to turn on the heater and the heater on

indicator

above the knob will light up (orange light), as shown in Figure 4-1

2. Adjust the control knob to increase the humidity in the range of 1 to 6 (see diagram). 1 is

minimum humidity, 6 is maximum humidity. The optimum setting is dependent on the ambient

temperature and humidity of your room.

NOTE: When the ‘Low P’ sign is displayed on the screen while large air leakage is

Figure 4-1

Period

(Time Frame)

< 1 d /7d / 30 d / 90 d>

Usage Hours

< xxx > hrs

＞4

(Days＞4hrs)

< xx > d

Average Compliance

Hours per day

< x.x > hrs /d

AHI

< xx.x >

P

(Average Pressure)

< xx.x > cmH

2

O/hPa

Leak

(Average Leak Rate)

< xx.x > lpm



CH

(Check Value)

< xxx >



iCH Auto/English 15

detected, heating will automatically stop with the heater indicator lights off. (e.g.

removing the mask will stop the machine from operating.) If the air leakage

problem is eliminated, heater will resume again.

Danger: In order to avoid the destruction or damage to the device or even the

hazard of electric shock, when the water chamber is attached, DO NOT fill

water from the outlet port of the water chamber. Users must fill water no

more than the maximum mark after the water chamber is removed from the

device.

4.7 Using the SD card

If doctors need to review the usage data, they may ask you to use the SD card to copy data from

the device, and to return the card to them. Data that is copied to the SD Card is still stored and

available on the device.

1. Insert the SD Card when the device is in standby mode.

2. Data copying starts automatically when the SD Card is inserted into the slot.

3. The [COPY] & [Card] message is displayed on the LCD while data is being copied.

4. The [End] & [OK] message is displayed on the LCD when copying has finished.

5. Remove the SD Card and mail it to the clinician.

6. The SD Card should be stored in the plastic card case when not in use. The SD card

does not need to be uninstalled for the device to work properly.

CAUTION: Do not remove the SD card until [End] & [OK] message is displayed on the LCD,

or data copied to the card may be corrupted or missing.

5. Cleaning & Maintenance

5.1 Device

The device should be checked and dusted regularly (at least every 30 days). Wipe with a damp

cloth and a mild detergent and keep it free from dust. If other detergent is used, choose one that

will have no chemical effects on the surface of the plastic case. All parts should be air-dried

thoroughly before use. Inspect the device and all circuit parts for any damage after cleaning and

replace if necessary.

WARNING: Don’t try to open this device. Repairs and internal servicing should only performed by

an authorized service agent. Do not drop any object into the air tube or air outlet.

5.2 Tubing and Mask

The tubing and mask should be checked and cleaned regularly. Please refer to the cleaning

instruction s that come with the accessories.

1. Disconnect the air tubing from the air outlet of the device.

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2. Remove the air tubing and headgear straps from the mask.

3. Wash the mask system according to the instructions supplied with it.

4. Wash the air tubing in warm water using mild detergent. Rinse thoroughly, hang and allow to

dry.

5. Before next use, assemble the mask and headgear according to the mask user instructions.

6. All items of the mask and air tubing are subject to normal wear and tear and may eventually

be

replaced. Replace the mask and the air tubing if they are damaged.

CAUTION: Do not use bleach, chlorine-, alcohol-, or aromatic-based (including all scented oils),

moisturizing or antibacterial soaps to clean the cushion, mask or air tubing. These solutions

may cause hardening and reduce the life of the product.

CAUTION: Do not wash or dry the mask or air tubing at a temperature above 70°C

(158°F)

WARNING: Do not use any cleaner containing fragrance or conditioners as they will leave a

residue.

WARNING: The mask must not be re-used by another person. This is to avoid the risk of

cross-infection.

5.3 Air Filter

For an optimum operation of the device, the air filter can be cleaned by the user at least once

every two weeks or more often if this device is operated in a dusty environment. It is

recommended that the filter be replaced with a new one after 6 months of use; however,

depending on the air quality, the replacement time may vary.

N

OTE: Please follow national requirements to dispose of the unit

properly.

5.4 Water Chamber

1. Turn the heater off and allow the heater and water to cool.

2. Disconnect the flexible tubing from the water chamber. Place thumb on the top of the water

chamber and lift it to separate it from the system. Open the chamber and empty the

remaining water.

CAUTION: Dirty air filter may cause high operating temperatures

that affect device performance. Ensure the air filter is

cleaned and fitted at all times

1. Remove the dirty filter from the enclosure on the rear of the device.

2. Wash the filter in warm water with a mild detergent, and rinse with

water. Allow the filter to air dry completely before reinstalling. Do not

use a filter that is not completely dry. If the filter is torn, replace it.

3. Reinstall the filter.

iCH Auto/English 17

3. Use a mild detergent to wash all the chamber parts. Rinse all the parts with clear water and

allow them to air dry.

4. All items of the chamber are subject to normal wear and tear and may eventually be replaced.

Replace the chamber parts if any damage is present.

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