ResMed S9 Elite Clinical Manual
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ResMed S9 Elite Clinical Manual

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See also: Information Manual , User Manual
AutoSet
& Elite
™
™
POSITIVE AIRWAY PRESSURE DEVICES
H5i
™
HEATED HUMIDIFIER
Clinical Guide
English

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Summary of Contents for ResMed S9 Elite

  • Page 1 AutoSet & Elite ™ ™ POSITIVE AIRWAY PRESSURE DEVICES ™ HEATED HUMIDIFIER Clinical Guide English...

  • Page 3: Table Of Contents

    Contents Welcome ..................... 1 S9 AutoSet indications for use ............. 1 S9 Elite indications for use ..............1 S9 contraindications ................1 S9 adverse effects ................1 H5i indications for use ................1 H5i contraindications ................1 S9 at a glance....................2 Travelling with the S9 ................
  • Page 4 Inserting the card ................23 Analysing the SD card data ..............24 Data storage ..................24 Data transmission adapters ..............24 Cleaning and maintenance ................. 25 Disassembling the H5i ............... 25 Daily ....................25 Monthly ....................25 Reassembling the H5i ................ 26 Maintenance checklist ................

  • Page 5: Welcome

    S9 Elite indications for use The S9 Elite CPAP system is indicated for the treatment of obstructive sleep apnoea (OSA) in patients weighing more than 30 kg. The S9 Elite CPAP system is intended for home and hospital use.

  • Page 6: S9 At A Glance

    Advise the patient to purchase and travel with the approved power cord for the region where they will be using the S9 device. • ResMed confirms that the S9 AutoSet and S9 Elite meets the Federal Aviation Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air travel.

  • Page 7: H5I At A Glance

    Flip lid seal Flip lid Air outlet Release button ClimateLine / ClimateLine connection port Latch water tub H5i at a glance The H5i system comprises the following elements: • H5i heated humidifier • H5i cleanable water tub • ClimateLine heated air tubing (if sold as a Climate Control Kit). Optional components include: •...

  • Page 8: Operating Information

    Operating information The following table describes the operating modes available on the S9 AutoSet and S9 Elite. Mode S9 Elite S9 AutoSet CPAP mode A fixed pressure is delivered with optional Expiratory Pressure ü ü Relief (EPR). EPR can help ease any discomfort that your patient experiences when breathing out during treatment.

  • Page 9: Autoset Technology

    AutoSet technology The treatment pressure required by your patient may vary due to changes in sleep state, body position and airway resistance. In AutoSet mode, the device provides only that amount of pressure required to maintain upper airway patency. The device analyses the state of your patient’s upper airway on a breath-by-breath basis and delivers pressure within the allowed range according to the degree of obstruction.

  • Page 10: Apnoea

    Apnoea The enhanced AutoSet algorithm detects both obstructive and central apnoeas. If an apnoea occurs, the device responds appropriately. Obstructive apnoea An obstructive apnoea is when the upper airway becomes severely limited or completely obstructed. AutoSet generally prevents obstructive apnoeas from occurring by responding to flow limitation and snoring.

  • Page 11: New To The S9 Platform

    New to the S9 platform Climate Control S9 devices, when used in conjunction with the H5i and ClimateLine or ClimateLine heated air tubing, offer a feature called Climate Control. Climate Control enables the automatic delivery of a constant value of absolute humidity to the patient’s upper airway while protecting against rainout and allowing patients to select the air temperature that offers the most comfort for them.

  • Page 12: Central Sleep Apnoea

    Central sleep apnoea The S9 Series detects both obstructive and central sleep apnoeas (CSA). CSA detection uses the Forced Oscillation Technique (FOT) to determine the state of the patient’s airway during an apnoea. When an apnoea has been detected, small oscillations in pressure (1 cm H O peak-to-peak at 4 Hz) are added to the current device pressure.

  • Page 13: Ramp

    Ramp Designed to make the beginning of treatment more comfortable, ramp is available in both CPAP and AutoSet modes. Ramp time defines the period during which the pressure gradually increases from a lower more comfortable start pressure to the minimum AutoSet pressure before the auto-adjusting algorithm commences.

  • Page 14: Setup

    Setup 1. Align your H5i with your S9 and push them together until they click into place. 2. Connect the DC plug of the power supply unit to the rear of the S9. 3. Connect the power cord to the power supply unit. 4.

  • Page 15: Mask And Tubing Setup

    “Nasal Ultra” setting. • For a complete list of recommended masks and their settings go to www.resmed.com on the Products page under Service & Support. If you do not have internet access, please contact your ResMed representative.

  • Page 16: Filling The Water Tub

    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 centre hole) with water up to the maximum water level mark (380 mL). 4. Return the water tub to the H5i. 5.

  • Page 17: S9 Basics

    S9 basics LCD screen Home menu Start/Stop button Starts or stops treatment. Setup menu* Allows you to make changes to settings. Info menu* Allows you to view your sleep Push Dial statistics. Turning the dial allows you to scroll through the menu and change settings.

  • Page 18: Navigating The Menus

    Navigating the menus In general, to navigate the menus: 1. Turn until the 2. Press 3. Turn until you 4. Press to confirm parameter you The selection is see the setting that your choice. The require is displayed highlighted in you require.

  • Page 19: Changing Settings Via The Home Menu

    In the S9 AutoSet, the mask-fit pressure is based on the 95th percentile of the previous session or 10 cm H O whichever is greater. In the S9 Elite, the mask-fit feature delivers 10 cm H O or set CPAP pressure (whichever is greater) for a three-minute period, prior to starting treatment.

  • Page 20: Treatment Screens

    Treatment screens Depending on how the system has been configured, you will see one of the following screens when the device is running: ü Standard S9 without optional ü Oximetry data via oximeter accessories adapter ü H5i humidifier ü H5i humidifier ü...

  • Page 21: Setup Menu

    Setup menu The Setup menu consists of: • Patient Setup menu—allows the patient to optimise comfort settings as well as make changes to the mask or tube type. • Clinical Setup menu—allows the clinician to set all parameters and options pertaining to the patient’s therapy.

  • Page 22: Reminder Menu

    Reminder menu You can use the Reminder menu to alert a patient to specific events, such as when to replace their mask (shown below) or when to insert an SD card. When a reminder is due, a message is displayed on the LCD and remains while the device is not delivering therapy.

  • Page 23: Treatment Screen And Clinical Setup Menus

    Treatment screen and clinical setup menus Parameter Modes Default Range Description CPAP AutoSet Treatment screen CPAP Shows the set pressure. ü ü AutoSet Shows the treatment pressure. ü 4 cm H 20 cm H Ramp – – Orange icon shows that device is ü...
  • Page 24 Parameter Modes Default Range Description CPAP AutoSet Options Climate Auto Auto / Manual / Sets the type of Climate Control. ü ü Control Patient Sleep quality On / Usage Sets Sleep Quality to Usage or On. ü ü SmartStart On / Off / Enables or disables the SmartStart ü...
  • Page 25 Parameter Modes Default Range Description CPAP AutoSet Reminders Replace mask Seven-day A timed reminder to remind a ü ü increments (starting patient when they need to replace from the current their mask. set date) with a Replace water A timed reminder to remind a ü...

  • Page 26: Delivering Therapy

    Delivering therapy 1. Make sure the power is connected. 2. Adjust the ramp time or humidification level if required. 3. Instruct the patient to fit their mask as described in the mask user guide. 4. To start therapy, instruct the patient to breathe into the mask and/ or press 5.

  • Page 27: Data Management

    Data management The SD card may be used to monitor patient usage as well as treatment pressure, mask leak, and incidence of apnoeas and hypopnoeas. To assess the patient’s progress, data for the last session may be compared to values for the last week, the last month, the last three months, the last six months, and the last year.

  • Page 28: Analysing The Sd Card Data

    Analysing the SD card data To analyse the data, use a ResMed PC application to transfer data and settings between an S9 or an SD card and your personal computer. Refer to your PC application guide for more information about analysing the information on returned SD cards.

  • Page 29: Cleaning And Maintenance

    Cleaning and maintenance You should regularly carry out cleaning and maintenance as described in this section. Disassembling the H5i 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.

  • Page 30: Reassembling The H5I

    Reprocessing the H5i between patients The H5i should be reprocessed when used between patients. Cleaning and disinfection instructions are available from the ResMed website, www.resmed.com under Products and Service & Support. If you do not have internet access, please contact your ResMed representative.

  • Page 31: Replacing The Air Filter

    1. Remove the air filter cover from the back of the S9 device. 2. Remove and discard the old 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.

  • Page 32: Technical Specifications

    ResMed devices can be found on www.resmed.com, on the Products page under Service & Support. Click on the PDF file for your language. ResMed confirms that the S9 AutoSet and S9 Elite meets the Federal Aircraft use Aviation Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air travel.
  • Page 33 S9 technical specifications Operating pressure range 4 to 20 cm H Maximum single fault steady 30 cm H O if pressure exceeded for >6 sec state pressure 40 cm H O if pressure exceeded for >1 sec Pressure measurement ±0.5 cm H O ±...
  • Page 34 RH output % Nominal system output AH , BTPS pressure cm H Setting 3 Setting 6 Setting 3 Setting 6 11.5 AH- Absolute Humidity in mg/L. BTPS- Body Temperature Pressure Saturated. Pneumatic flow path Mask S9 AutoSet/S9 Elite Inlet filter Blower Tube...
  • Page 35 Flow (maximum) at set pressures The following are measured at the end of the specified tubing: Pressure S9 and S9 and S9, H5i and cm H Standard air tube SlimLine air tube ClimateLine heated air tube L/min L/min L/min Displayed values Value Range Accuracy...

  • Page 36: Warnings

    • Only use the ResMed 90W or 30W power supply unit. Use the 90W power supply unit to power the system comprising the device, H5i, air tubing, DC/DC converter and battery pack. The 30W power supply unit is designed to power the device only and recommended for traveling.
  • Page 37 Ensure that the device is protected against water if used outdoors. Enclose the device in the S9 travel bag for transport. • The H5i should only be used with tubing or accessories recommended by ResMed. Connection of other delivery tubes or accessories could result in injury, or damage to the device. •...
  • Page 39 See www.resmed.com for other ResMed locations worldwide. For patent information, see www.resmed.com/ip. S9, AutoSet, S9 Elite, H5i, SlimLine, ClimateLine, SmartStart are trademarks of ResMed Ltd. S9, H5i, AutoSet, SlimLine, ClimateLine and SmartStart are registered in U.S. Patent and Trademark Office.

This manual is also suitable for:

S9 autosetS9 h5i

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