ResMed C-Series Tango User Manual

C-Series Tango TM
User Guide
1. Intended Use
The Tango CPAP system is indicated for the treatment of obstructive sleep apnea (OSA) in patients
weighing more than 66 lb (30 kg). It is intended for use at home.
WARNING
This device is intended for use in the USA only.
CAUTION
Federal law restricts this device to sale by or on the order of a physician.
2. Contraindications
Positive airway pressure therapy may be contraindicated in some patients with the following pre-
existing conditions:
• severe bullous lung disease
• pneumothorax
• pathologically low blood pressure
• dehydration
• cerebrospinal fluid leak, recent cranial surgery or trauma.
3. Adverse Effects
Patients should report unusual chest pain, severe headache or increased breathlessness to their
prescribing physician. An acute upper respiratory tract infection may require temporary
discontinuation of treatment.
The following side effects may arise during the course of therapy with the Tango:
• drying of the nose, mouth or throat
• nosebleed
• bloating
• ear or sinus discomfort
• eye irritation
• skin rashes.
4. Parts of the Tango
Your Tango comprises:
• C-Series Tango flow generator (shown below)
• Power cord
• 6'6" (2 m) air tubing.
1
2
3
4
Signal cable socket (humidifier 3 Air outlet
1
use only)
4
2 Power cord socket Air inlet (contains air filter)
Masks
The ResMed mask systems recommended for use with the Tango are:
TM TM
• Mirage Full Face Mask Series II • Meridian Nasal Mask
TM
• Ultra Mirage Full Face Mask • Mirage Nasal Mask
TM TM
• Mirage Swift Nasal • Mirage Activa Nasal Mask
TM
Pillows System • Mirage Vista Nasal Mask
TM TM
• Papillon Nasal Mask • Ultra Mirage Nasal Mask
TM
• Silent Papillon Nasal Mask
For information on using masks, see your mask manual.
Humidifiers
For information on using the C-Series Heated Humidifier or the ResMed Passover, see your
humidifier manual.
ResMed Ltd (Manufacturer) 1 Elizabeth MacArthur Drive Bella Vista NSW 2153 Australia • ResMed Corp (US Designated Agent) 14040 Danielson
Street Poway CA 92064-6857 USA • ResMed (UK) Ltd (EU Authorized Representative) 65 Milton Park Abingdon Oxfordshire OX14 4RX UK •
ResMed Offices Australia, Austria, Brazil, Finland, France, Germany, Hong Kong, Japan, Malaysia, Netherlands, New Zealand, Singapore, Spain,
Sweden, Switzerland, UK, USA (see www.resmed.com for contact details).
Protected by patents: US 4944310, US 5199424, US 5522382, US 6705315. Patents and designs pending.
Tango, Mirage, Mirage Activa, Mirage Vista, Ultra Mirage, Mirage Swift, and Meridian are trademarks of ResMed Ltd. Mirage, Mirage Activa, Mirage
Vista, Ultra Mirage, Mirage Swift and Meridian are registered in US Patent and Trademark Office. Papillon and Silent Papillon are trademarks of MAP
Medizin-Technologie GmbH.
©2006 ResMed Ltd.
Global leaders in sleep and respiratory medicine www.resmed.com
5. The Tango Interface
Heating
indicator
Power indicator
Standby mode When the Tango is powered, the power indicator is lit and the run hours are
displayed on the LCD. All changes to altitude and ramp settings are made in
standby mode.
Ramp Setting a ramp time enables therapy to start at a low pressure and build up
to full pressure during the ramp time (see "Set ramp time").
Altitude Changes in altitude affect the pressure delivered by the Tango. The altitude
feature compensates for pressure changes related to changes in altitude
(see "Set altitude").
Run hours Run hours are displayed when the Tango is in standby mode.
Humidifier The humidifer buttons are used when using the C-Series Heated Humidifier
and when setting the altitude. The heating indicator lights when the
humidifier is on.
6. Setting up the Tango
CAUTION
• Be careful to place the device where it cannot be bumped, and where no one will trip over
the power cord.
• If you put the device on the floor, make sure the area is free from dust and clear of
bedding, clothes or other objects that could block the air inlet.
• Make sure the area around the device is dry and clean.
WARNING
• Make sure the power cord and plug are in good condition and the equipment is not
damaged.
• Only ResMed air tubing should be used with the device. A different type of air tubing may
alter the pressure you actually receive and reduce the effectiveness of your treatment.
• Blocking the hose and/or air inlet of the device while in operation could lead to
overheating of the device.
1
3
1 Connect power cord to the rear of the Tango.
2 Plug the other end into a power outlet.
3 Connect air tubing to air outlet of Tango.
4 Connect assembled mask system to free end of air tubing.
7. Using the Tango
Start therapy
Press when the Tango is in standby mode. A circulating dash symbol
displays on the LCD.
If ramp is set, the ramp time displays on the LCD. When ramping is
finished, therapy continues at the prescribed pressure.
If no ramp is set, therapy starts immediately at the prescribed pressure.
Stop therapy
Press .
Set ramp time
1. Repeatedly press until the LCD displays the desired time.
2. Press to accept changes and start therapy. (The Tango returns to
standby mode after 5 seconds if no button is pressed.)
The ramp settings are (in minutes):
Off, 10, 20, 45.
Set altitude
1. Hold down for 3 seconds until the current altitude setting is
displayed.
2. Press or to change the altitude setting.
3. Press to accept changes and return to standby mode. (The Tango
returns to standby mode after 10 seconds if no button is pressed.)
The altitude settings are:
34807/1 06 06
1 (0–2000'/0–609 m),
2 (2001–4000'/610–1219 m),
3 (4001–6000'/ 1220–1828 m),
4 (6001–8500'/ 1829–2591 m).
8. Cleaning and Maintenance
WARNING
Beware of electric shock. Do not immerse the flow generator or power cord in water. Always
unplug the flow generator before cleaning and make sure it is dry before reconnecting.
CAUTION
• Do not hang the air tubing in direct sunlight as it may harden over time and eventually
crack.
• Do not use bleach, chlorine, alcohol, or aromatic-based solutions, moisturizing or
antibacterial soaps or scented oils to clean the air tubing or the Tango. These solutions
may cause hardening and reduce the life of the product.
Daily
Disconnect the air tubing and hang it in a clean, dry place until next use.
Weekly
1. Remove the air tubing and wash it in warm water and mild detergent. Rinse thoroughly, hang
and allow to dry.
2. Before next use, reassemble the mask and headgear.
3. Reconnect the air tubing.
Monthly
• Clean the exterior of the Tango with a damp cloth.
• Check the air filter for holes and blockage by dirt. Replace it every six months, or more often in a
dusty environment.
For information on cleaning your mask or humidifier, refer to the manual supplied with your mask or
humidifier.
9. Changing the Air Filter
CAUTION
Do not wash the air filter.
1. With the power cord and air tubing disconnected, turn the Tango upside down so the air inlet is
facing you. The air filter is inside the air inlet.
2. Pull the old air filter out of the air inlet.
3. Put the new air filter into the air inlet in the direction shown by the arrow, with the blue side
facing towards you.
10. Troubleshooting
2
Problem
Tango won't start Power cord not connected properly Check power cord.
Faulty power outlet
No/low air flow Air tubing not connected properly
Air tubing is blocked, pinched or
punctured
Treatment pressure seems either Altitude setting incorrect
low or too high
4
LCD displays an error message Problem with motor
and treatment stops or can't be
started
11. Technical Specifications
Operating pressure range 4 to 20 cm H 2 O
Dimensions (L x W x H) 8.5" x 7 .4" x 4.5" (215 mm x 189 mm x 114 mm)
Weight 2.4 lb (1.1 kg)
Power Supply Input range 110V, 60Hz, 20VA/10W (typical power consumption), 36VA/15W
(maximum power consumption)
Operating Temperature +41°F to +104°F (+5°C to +40°C)
Operating Humidity 10%–95% non-condensing
Storage and Transport Temperature -4°F to +140°F (-20°C to +60°C)
Storage and Transport Humidity 10%–95% non-condensing
Atmospheric Pressure Range 1060 hPa (sea level) to 680 hPa (8500'/ 2591 m)
Electromagnetic Product complies with all applicable electromagnetic compatibility requirements
Compatibility (EMC) according to IEC60601-1-2, for residential, commercial and light industry
environments
Air Filter Two-layered, powder-bonded, polyester non-woven fiber
Air Tubing Flexible plastic, 6'6" (2 m)
Air Outlet The 0.87" (22 mm) conical air outlet complies with EN 1281-1
IEC 60601-1 Classifications Class II (double insulation), Type CF
The manufacturer reserves the right to change these specifications without notice.
12. Symbols Which Appear on the Tango
Attention. Consult
accompanying documents
Type CF equipment
Canadian Standards Association
13. General Warnings and Cautions
A warning alerts you to possible injury.
• Read the entire guide before using the Tango.
• The advice in this guide should not supersede instructions given by the prescribing physician.
• The Tango should only be used with masks (and connectors*) recommended by ResMed, or by a
physician or respiratory therapist. A mask should not be used unless the Tango is turned on and
operating properly. The vent hole or holes associated with the mask should never be blocked.
Explanation: The Tango is intended for use with special masks (or connectors*) with vent holes
allowing a 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 vent holes. If the device is not operating, insufficient fresh air is
provided through the mask, and the exhaled air may be rebreathed. Rebreathing exhaled air for
longer than several minutes can sometimes lead to suffocation. If there is a power failure or the
device machine malfunctions, remove the mask.
• The Tango can be set to deliver pressures up to 20 cm H
conditions, pressures up to 30 cm H
• If oxygen is used with this device, the oxygen flow must be turned off when the device is not
operating. If oxygen has been left on while the device is not operating, disconnect the oxygen
and wait 30 minutes before turning on the flow generator again.
Explanation: When the CPAP device is not in operation and the oxygen flow is left on, oxygen
delivered into the air delivery tubing may accumulate within the CPAP machine enclosure and
create a risk of fire.
• Oxygen supports combustion. Do not use oxygen while you are smoking or in the presence of an
open flame.
• Always ensure air is flowing from the device before turning on the oxygen supply.
• Always turn the oxygen supply off before stopping the airflow from the device.
Note: At a fixed rate of supplemental oxygen flow, the inhaled oxygen concentration will vary,
depending on where the oxygen is introduced, pressure settings, patient breathing pattern, mask
selection and leak rate.
• Do not use the Tango if there are obvious external defects or unexplained changes in
performance.
• Do not open the Tango case. There are no user serviceable parts inside. Repairs and internal
servicing should only be performed by an authorized service agent.
A caution explains special measures for safe and effective use of the device.
Air inlet • At low pressures, the flow through the exhalation ports of your mask may not clear all exhaled
gas from the tubing. Some rebreathing may occur.
• The airflow for breathing produced by this device can be as much as 11°F (6°C) higher than the
Air filter
temperature of the room. Be careful if the room temperature is warmer than 90°F (32°C).
* Ports may be incorporated into the mask or in connectors that are near the mask.
14. Servicing
The Tango should be inspected by an authorized ResMed service center 5 years from the date of
Possible Cause Solution
manufacture. Before this, the device is intended to provide safe and reliable operation if it is
operated and maintained according to the instructions provided by ResMed. Warranty details are
provided with the device at the time of original supply. As with all electrical devices, if any
Try another power outlet.
irregularity becomes apparent, you should have the device inspected by an authorized ResMed
Adjust air tubing connection.
service center.
Unblock or free air tubing. Check air
15. Limited Warranty
tubing for punctures.
ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the
Adjust altitude setting.
period specified below from the date of purchase by the initial consumer. This warranty is not transferable.
Product
Contact your supplier.
ResMed humidifiers, ResControl™, ResLink™, ResTraxx™
ResMed flow generators
Accessories, water chambers and mask systems (including mask frame, cushion, headgear and tubing).
Excludes single-use devices.
Note: Some models are not available in all regions.
If the product fails under conditions of normal use, ResMed will repair or replace, at its option, the defective
product or any of its components. This Limited Warranty does not cover:
a) any damage caused as a result of improper use, abuse, modification or alteration of the product;
b) repairs carried out by any service organization that has not been expressly authorized by ResMed to perform
such repairs;
c) any damage or contamination due to cigarette, pipe, cigar or other smoke;
d) any damage caused by water being spilled on or into a flow generator.
Warranty is void on product sold, or resold, outside the region of original purchase. Warranty claims on defective
product must be made by the initial consumer at the point of purchase.
This warranty is in lieu of all other express or implied warranties, including any implied warranty of
merchantability or fitness for a particular purpose. Some regions or states do not allow limitations on how long
an implied warranty lasts, so the above limitation may not apply to you.
ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a
result of the sale, installation or use of any ResMed product. Some regions or states do not allow the exclusion
or limitation of incidental or consequential damages, so the above limitation may not apply to you. This warranty
gives you specific legal rights, and you may also have other rights which vary from region to region.
For further information on your warranty rights, contact your local ResMed dealer or ResMed office.
Drip proof
Class II equipment
O. In the unlikely event of certain fault
2
O are possible.
2
Warranty Period
1 Year
2 Years
90 Days