Hoffrichter VECTOR et Bilevel ST20 User Manual

Other manuals for VECTOR et Bilevel ST20: User Manual, User Manual
Manual is about: respiratory therapy device

Summary of VECTOR et Bilevel ST20

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    User‘s manual respiratory therapy device cpap - autocpap - bilevel st20 as of device software 3.300

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    2 info serial number every hoffrichter gmbh device is supplied with a serial number for traceability purposes. Please enter your device‘s serial number here. You will fi nd the serial number on the rating plate on the back of the device. ............................................... Please always ...

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    Contents 3 contents scope of delivery ................................................... 7 general .................................................................. 8 information on this user‘s manual ........................ 8 symbols used in this manual ............................... 9 symbols ...

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    4 contents using the device .................................................. 37 commissioning ................................................. 37 turning on and off in battery mode .................... 39 standby mode .................................................. 39 automatic zero point corr...

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    Contents 5 delay time ........................................................ 65 backup freq ...................................................... 66 p-min ................................................................ 67 p-max ............................................................... 68 p...

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    6 contents error messages ................................................. 92 changing the fi lter, cleaning.................................. 94 cleaning the mask ............................................ 96 cleaning the therapy tube ................................. 96 cleaning the device .......

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    Scope of delivery 7 scope of delivery 1 respiratory therapy device point 2 1 2 mains cable 3 power supply 4 therapy tube (id = 22 mm, length = 1.80 m) 5 ventilation mask (optional) with exhalation valve different sorts of mask systems are available. 6 headgear 7 user‘s manual 8 brief instructions 9 ...

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    8 general general information on this user‘s manual read this user‘s manual through carefully before using your therapy device for the fi rst time. Follow the safety and cleaning instructions in particular. Keep the manual in a safe place close to the device so that you can refer to it immediately i...

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    General 9 symbols used in this manual important information is denoted by symbols in this user‘s manual. Be sure to follow these instructions in order to avoid accidents, personal injury and mate- rial damage. This symbol denotes general safety instructions. Follow these instructions to avoid accide...

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    10 general this symbol denotes situations that may lead to material damage or damage to the device. This symbol denotes information, tips and instruc- tions for effi cient, error-free use of the device. In addition, the local accident prevention regulations and general safety regulations in force in...

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    General 11 symbols on the rating plate observe the warning and safety instruc- tions in the user‘s manual. Bf application part protection class ii (protective insulation) ce conformity declaration manufacturer serial number follow the user‘s manual. Do not dispose of the device in the house- hold wa...

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    12 safety information safety information general safety instructions • only use the device for your own cpap therapy prescribed by the physician. • only use accessories and spare parts approved by us for use with the device. • only use the mask and therapy tube for your own therapy. • observe the ma...

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    Safety information 13 • please see your physician immedi- ately if dryness of the mucous mem- branes in the nose and throat, sinus discomfort, ear ache, runny nose, over sensitive reactions of the skin, irritabilities, loss of voice, orientation or memory impairment occur when using the device..

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    14 safety information electrical safety • do not use the device if its housing, cables or power supply are damaged. • do not open the device housing under any circumstances. Inform your specialist dealer if the device develops a fault. • during therapy, do not connect any other line-powered devices ...

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    Safety information 15 installation requirements and transport • place the device near your bed on a fi rm and level surface. A bedside cabinet is ideally suited for this. • during therapy, the device must not be operated in a drawer, on a closet shelf or behind a partition. • it must be ensured that...

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    16 safety information • make sure you operate the device at a suffi cient distance from other equipment which could emit electro- magnetic waves such as diathermy devices, cell phones, remote-con- trolled toys and microwave appli- ances. • empty the humidifi er (optional acces- sory) before packing ...

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    Safety information 17 before commissioning • do not switch the device on if it has previously been in a very cold environ- ment. Wait for about one hour for the temperature to balance out. • check for proper setup and proper condition of the device. • check the condition of the breathing tube, mask,...

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    18 safety information using oxygen • oxygen supports combustion. There- fore, observe the fi re protection regu- lations applicable for using oxygen. • ensure that there is no grease on the oxygen fi ttings. Do not smoke and do not handle naked fl ames. • before using any oxygen equipment for the fi...

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    Safety information 19 intended use the point 2 is a respiratory therapy device designed for the treatment of sleep-related breathing disorders in patients weighing 30 kg or more. With increased demand of pressure and/or forms of respiratory insuf- fi ciency, the point 2 bilevel st20 offers the class...

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    20 safety information therapy pressure is administered via a respiratory mask (nasal, nasal cushion or full-face mask), which must be fi tted with an exhalation valve to ensure that the exhaled air is discharged. The point 2 is designed for use at home, in hospitals and for portable operation. The d...

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    Safety information 21 contraindications respiratory therapy may be contraindicated for certain pre-existing conditions. Therefore, always talk to your treating physician before starting the therapy. Contraindicating pre-existing conditions include: • bullous lung diseases • pneumothorax • very low b...

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    22 safety information side effects there is the possibility of undesirable side effects occur- ring with respiratory therapy. Reasons for side effects occurring could be unsuitable therapy settings, not using the device properly or not following the cleaning instructions. Normally the side effects d...

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    How the device works 23 device description 1 control panel and display 2 humidifi er lock 3 therapy tube connection 4 contact socket for humidifi er 1 5 control panel for humidifi er 1 6 sd card slot 7 rating plate 8 air inlet for baro sensor 9 dc power connection 10 rs232 interface 11 filter or con...

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    24 how the device works how the device works general the point 2 has an electronically controlled blower to create the air pressure. In order to keep impositions to the patient at a minimum, the blower has been fi t- ted with high power reserve capacity and a rapid con- trol response. The point 2 ha...

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    How the device works 25 power supply the point 2‘s power can be supplied from one of three sources: 1 external switched-mode power supply (included in scope of delivery) 2 dc vehicle cable (optional) 3 powerpack point 2 battery pack (optional) external switched-mode power supply for mains operation ...

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    26 how the device works dc vehicle cable for mobile use of the point 2, e.G., in a truck or a car- avan, it is possible to operate it with a 24 v direct cur- rent (dc). For this you will need the optionally available dc vehicle cable. Only use the optional dc vehicle cable to connect the device to a...

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    Therapy modes 27 therapy modes the point 2 is equipped with the following therapy modes depending on the type of device: mode device type cpap apap bilevel s t st point 2 cpap (type 5cpj00) • - - - - point 2 autocpap (type 5cpj10) • • - - - point 2 bilevel st20 (typ 5cpj30) • - • • •.

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    28 therapy modes cpap in cpap mode (continuous positive airway pressure), the point 2 supplies continuous positive pressure. 20 pressure [hpa] i time cpap pressure 4 e e i i = inspiration e = expiration cpap apap (only point 2 autocpap) in apap mode (automatic positive airway pressure), the point 2 ...

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    Therapy modes 29 hypopnea (fl ow reduction, snoring) results in a rise in pressure with a lower speed. Normal respiration results in a slow drop in pressure. The maximum values to which the pressure level may rise or fall are specifi ed by the selection of settings. The device commences therapy once...

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    30 therapy modes flex settings breathing compressed air results in an increased bur- den for the respiratory muscles. Flex controls ease this burden on the respiratory muscles by reducing the effect of the fl ow resistance in the airway. To this end, the therapy pressure needs to be increased during...

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    Therapy modes 31 20 pressure [hpa] i time cpap pressure 4 e e i cpap with i-flex and e-flex 20 pressure [hpa] i time 4 e e i i = inspiration e = expiration p-max p-min apap with i-flex and e-flex e i.

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    32 therapy modes pressure [hpa] flow [l/s] 13 12 11 7 leakage flow 8 9 10 3 hpa/ (l/s) 2 hpa/ (l/s) 1 hpa/ (l/s) 0 b a pressure curve 1 -1 respiration flow curve a b hpa l/s = = flow resistance flex settings.

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    Therapy modes 33 bilevel s, t and st (only point 2 bilevel st20) general in bilevel s, t and st you can independently set the pressure during inspration (ipap) and expiration (epap). Selecting an an optimal slope can facilitate patients therapy compliance. A precise adjustment may further convey the...

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    34 therapy modes during the expiration phase a negative pressure (vacuum) will not be created. 20 pressure [hpa] i time spontaneous breathing spontaneous breathing backup freq. = 10 s 35% (2.1s) 65% (3.9s) epap ipap 4 e e i e i i e e i i e e i i delay time = 15 s total time lag backup t mode i = ins...

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    Therapy modes 35 bilevel t in contrast to bilevle s, at bilevel t spontanous breating efforts will not be considered. Based on fi xied preset ventilation parameters • ipap, epap, • i-slope, e-slope, • i:e ratio and • frequency the machine performs a periodic timed mandatory pressure transition. The ...

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    36 therapy modes bilevel st as long as the patient is breathing spontaneously the device is operating in the s mode. If the patient stops breathing, the device automatically switches to the t mode. Once a total time lag (expiration time + delay time) has elapsed the device switches into the t mode. ...

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    Using the device 37 using the device commissioning before commissioning the device, read section „safety information“ (starting from page 12). 1. Set up the device according to the installation requirements (see page 15). 2. Connect the power supply to the device. 3. Connect the mains cable to the p...

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    38 using the device 7. Put the mask on. If automatic mode has been selected (see page 76), the device is turned on by the patient‘s breathing. If automatic mode has been set to „off“, the device is started by press- ing the on/off key. 8. The device fi rst of all runs (for the time selected by you f...

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    Using the device 39 turning on and off in battery mode if the device is powered by the optionally available powerpack point 2, press the on/off key to switch it on. To switch the device off, press and hold the on/ off key for more than 3 seconds. In standby mode the device automatically switches its...

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    40 using the device automatic zero point correction of pressure sensor automatic zero point correction ensures the uniformly high precision of the pressure measurements and takes account of aging effects. Therefore the electric and electronic components are maintenance-free. Sensors are normally tem...

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    Using the device 41 we also recommend running the device on standby for a longer period, e.G. For a day, once a month. In order to determine an applicable correction fac- tor, the device requires a certain amount of time in standby mode. We therefore recommend that the device is left in standby mode...

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    42 using the device power failure after a power failure during therapy, the motor re-starts automatically and you will see a message on the dis- play about the power failure and the blower re-start. If you are using the optionally available powerpackpoint 2, the batteries provide the power for the d...

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    Using the device 43 proceed as follows when using oxygen: if the device is in standby mode or switched off, the oxygen supply must always be switched off. 1. Before starting the treatment, check that the tube connections are fi tted correctly. 2. Switch the device on fi rst and then start the oxy- g...

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    44 device functions device functions there are three keys for programming point 2‘s functions: = selection key = selection key = enter key if the enter key is pressed for a prolonged time, you enter the programming mode and the menu appears on the display. The device display has two lines. By pressi...

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    Device functions 45 the point 2 has two different menus: • standard menu • complete menu the standard menu contains the menu items relevant to patients. The complete menu contains all menu items of the standard menu as well as all menu items required for setting the therapy. This menu is primar- ily...

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    46 device functions to access a menu, hold down the enter key for longer than 1 s. You can access the menu items within menus by pressing the selection keys or . To activate a parameter, press the enter key . Some parameters may only be set by physicians or trained medical staff. These parameters ar...

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    Device functions 47 parameters in point 2 cpap parameter point 2 cpap standard menu complete menu language - • p-unit - • power blower filter therapy - • date • • time • • wake time • • press. 1 - • i-flex 1 - • e-flex 1 - • calibration • • ramp p-ramp - • mask test - • auto - • display vt • • bact....

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    48 device functions parameters in point 2 autocpap parameter point 2 autocpap standard menu complete menu cpap apap cpap apap language - - • • p-unit - - • • power blower filter therapy - - • • date • • • • time • • • • wake time • • • • mode 1 - • • press. 1 - - • - p-min 1 p-max p-start - - - • i-...

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    Device functions 49 parameter point 2 autocpap standard menu complete menu cpap apap cpap apap display vt • • • • bact.Filter - - • • brightness - - • • next parameter is displayed by pressing the enter key • present, - not present 1 1 pin code protected.

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    50 device functions parameter in point 2 bilevel st20 parameter point 2 bilevel st20 standard menu complete menu cpap bilevel st bilevel t bilevel s cpap bilevel st bilevel t bilevel s language - • p-unit - • power blower filter therapy - • date • • time • • wake time • • mode 1 - • press. 1 - • - i...

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    Device functions 51 parameter point 2 bilevel st20 standard menu complete menu cpap bilevel st bilevel t bilevel s cpap bilevel st bilevel t bilevel s e-flex 1 - • - calibration • • ramp p-ramp - • mask test - • auto - • display vt • • bact.Filter - • brightness - • next parameter is displayed by pr...

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    52 device functions language the device can display messages in german (deu), english (eng), greek (ell), spanish (spa), french (fra), italian (ita), dutch (nld), turkish (tur), polish (plk), portuguese (por) and czech (cze). Setting the language 1. Select the complete menu (see page 45). 2. Use the...

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    Device functions 53 operating times under this menu item you will fi nd the total operating time including standby mode of the device, the blower running time, the operating time of the fi lter and the therapy time. Checking the device‘s operating times 1. Select the complete menu (see page 45). 2. ...

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    54 device functions date the day (1 - 31), the month (jan. - dec.) and the year (00 - 99) can be set. Setting the date 1. Press the enter key for 1 second. 2. Use the selection keys and to select date . 3. Press the enter key and then use the selec- tion keys and to set the year. Confi rm your setti...

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    Device functions 55 time the device has an internal clock. In the event of a power failure, the clock operates on inbuilt battery power. The hour (00 - 24) and minutes (00 - 59) can be set. Setting the time 1. Press the enter key for 1 second. 2. Use the selection keys and to select time . 3. Press ...

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    56 device functions wake up time to activate the wake up alarm, press . For check- ing purposes, the programmed wake up time is dis- played for a short time. To deactivate the alarm, press . The activated alarm is indicated by a bell symbol on the display. When the wake up alarm sounds, there are tw...

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    Device functions 57 mode (only point 2 autocpap and point 2 bilevel st20) selection of mode by the physician 1. Press the enter key for 1 second. 2. Use the selection keys and to select mode . 3. Press the the enter key and if necessary, input the pin code with the selection keys and . Press the ent...

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    58 device functions pressure (only point 2 cpap and point 2 autocpap and point 2 bilevel st20 in cpap mode) selection of pressure by the physician when the pressure parameter is changed during therapy/titration, the device adapts to the new setting slowly (25 pa/s). This pressure ramp can be deactiv...

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    Device functions 59 point 2 autocpap and point 2 bilevel st20: 1. Select the complete menu (see page 45). 2. Use the selection keys and to select mode . 3. Press the the enter key and if necessary, input the pin code with the selection keys and . Press the enter key after every digit. 4. Use the sel...

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    60 device functions ipap (only point 2 bilevel st20 in modes bilevel s, t and st) selection of inspiration pressure (ipap) by the physician 1. Select the complete menu (see page 45). 2. Use the selection keys and to select ipap. 3. Press the the enter key and if necessary, input the pin code with th...

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    Device functions 61 epap (only point 2 bilevel st20 in modes bilevel s, t and st) selection of expiration pressure (epap) by the physician 1. First set ipap. 2. Use the selection keys and to set the desired value. Confi rm your setting by pressing the enter key . The parameter i-slope is set next. I...

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    62 device functions 2. Use the selection keys and to set the desired value. Confi rm your setting by pressing the enter key . The parameter e-slope is set next. Calculation of the i-slope time: settings: ipap = 10 hpa i-slope = 2 frequency = 12 bpm epap = 6 hpa e-slope = 2 i-slope time = ipap – epap...

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    Device functions 63 selection of e-slope by the physician 1. First set ipap, epap and i-slope. 2. Use the selection keys and to set the desired value. Confi rm your setting by pressing the enter key . 10 pressure [hpa] ipap epap e-slope i-slope time 2 1 2 3 4 5 6 4 0 6 8 the e-slope time is calculat...

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    64 device functions frequency (only point 2 bilevel st20 in modes bilevel t and st) selection of frequency by the physician 1. Select the complete menu (see page 45). 2. Use the selection keys and to select frequency . 3. Press the the enter key and if necessary, input the pin code with the selectio...

  • Page 65

    Device functions 65 i:e (only point 2 bilevel st20 in modes bilevel t and st) selection of i:e by the physician 1. First set frequency. 2. Use the selection keys and to set the desired value. Confi rm your setting by pressing the enter key . The parameter delay time is set next (only point 2 bilevel...

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    66 device functions backup freq (only point 2 bilevel st20 in bilevel s mode) by activating the backup frequency ventilation will be automatically restored if patient suffers from a persis- tent apnea (> 15 s). Evolving mandatory ventilation is characterized by following fi xed parameters: • f = 10 ...

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    Device functions 67 p-min (only point 2 autocpap in apap mode) selection of p-min by the physician 1. Select the complete menu (see page 45). 2. Use the selection keys and to select mode . 3. Press the the enter key and if necessary, input the pin code with the selection keys and . Press the enter k...

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    68 device functions p-max (only point 2 autocpap in apap mode) selection of p-max by the physician 1. First set p-min. 2. Use the selection keys and to set the desired value. Confi rm your setting by pressing the enter key . The parameter p-start is set next. P-start (only point 2 autocpap in apap m...

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    Device functions 69 i-flex (only in modes cpap and apap) inhaling under therapy pressure is always more diffi - cult as the lungs are already partly fi lled and thus also pre stressed. Such additional stress from therapy can be reduced by means of a personalized i-flex setting. Flex settings will on...

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    70 device functions e-flex (only in modes cpap and apap) although the point 2 is equipped with an excellent pres- sure control system, an e-flex setting can help make expiration easier. This should however be adjusted indi- vidually for each patient. Once again, flex settings will only work if actua...

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    Device functions 71 calibration calibration guarantees optimum performance of the automatic function and mask test. It must be performed when: • the device is used initially, • the mask has changed, • there is a change from operation without a bacterial fi lter to with a bacterial fi lter, or vice v...

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    72 device functions 2. Press the enter key for 1 second. 3. Use the selection keys and to select calibration . 4. Press the enter key . 5. Start appears on the display. Press the enter key . If you do not press the key within 5 s, the display jumps back (see point 3). 6. The blower starts and calibr...

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    Device functions 73 ramp after every blower start, the device‘s microcontroller checks whether a soft start ramp has been programmed. The soft start function slowly increases the pressure over the time programmed by you, starting with a pro- grammable initial ramp pressure (p-ramp) up to the prescri...

  • Page 74

    74 device functions setting the ramp 1. Select the complete menu (see page 45). 2. Use the selection keys and to select ramp . 3. Press the enter key and then use the selec- tion keys and to set the minutes (ramp). Confi rm your setting by pressing the enter key . 4. Use the selection keys and to se...

  • Page 75

    Device functions 75 mask test this ensures that the mask is airtight, not only during the slow pressure increase during the soft start ramp, but also at higher pressures. The mask test can be programmed to last from 5 to 90 seconds in 5 sec- ond increments. The mask test is performed before the ramp...

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    76 device functions automatic the automatic mode has three settings: off, start/stop, start 1. Auto off (with mask alarm) with the „auto off“ setting, you must switch the device on with the on/off key when therapy starts and off with the same key when therapy ends. Should the mask slip from your fac...

  • Page 77

    Device functions 77 not switch off but you receive an acoustic and visual warning. The blower can only be switched off by pressing the on/off key. Setting automatic mode 1. Select the complete menu (see page 45). 2. Use the selection keys and to select auto . 3. Press the enter key to set the desire...

  • Page 78

    78 device functions activating/deactivating the display of the tidal volume 1. Press the enter key for 1 second. 2. Use the selection keys and to select display vt . 3. Press the enter key to set „on“ or „off“. During the therapy the display of the tidal volume replaces the display of the date. Poss...

  • Page 79

    Device functions 79 bact.Filter as pressure measurement is infl uenced by the connec- tion of a bacterial fi lter, it must be specifi ed on the device whether or not a bacterial fi lter has been connected. Select whether a bacterial fi lter is connected (by the physician) 1. Select the complete menu...

  • Page 80

    80 device functions brightness you can set the brightness of the display from 0 % to 100 %. This value determines the brightness of the display 30 seconds after the last key was pressed. When a key is pressed, the display brightness is always 100 % (50% during battery operation). Setting the brightn...

  • Page 81

    Device functions 81 parameter settings parameter settings range dependency setting steps language deu, eng, ell, spa, fra, ita, nld, tur, plk, por, cze - - p-unit hpa, mbar, cmh 2 o - - press. 1 4 – 20 hpa - 0.5 hpa ipap 2 epap – 20 hpa  epap,  20 hpa 0.5 hpa epap 2 4 hpa – ipap  4 hpa,  ipap 0....

  • Page 82

    82 device functions parameter settings range dependency setting steps ramp 0 – 45 min - 5 min p-ramp 4 hpa – 20 hpa cpap:  press. Apap 6 :  p-start 0.5 hpa mask test 0 – 90 s - 5 s auto off, start/stop, start - - display vt on, off - - bact.Filter yes, no - - brightness 0 – 100 % - 10 % 1 only poi...

  • Page 83

    Alarm functions of the device 83 alarm functions of the device mask alarm if the mask slips off your face, the tube is pulled out or any other leak occurs that cannot be compensated for, the device does not switch off automatically but emits an acoustic and visual alarm. The mask alarm is only activ...

  • Page 84

    84 alarm functions of the device wake up alarm the device has an integrated alarm clock. You can activate or deactivate it at any time with the selec- tion keys and . Pressing the on/off key once mutes the alarm for the next 5 minutes and pressing it twice stops it completely. '!(.);bl;; @ ;$.

  • Page 85

    Important display messages 85 important display messages the most important display messages are listed below. All further messages will be clarifi ed from the given context. The values shown here are examples. You still have 15 seconds to ensure that the mask is fi tted correctly. When the time is ...

  • Page 86

    86 important display messages the wake alarm has been triggered. Press the on/off key once to initiate the slumber phase. Press the key once again to turn off the alarm completely. You still have 1 min and 18 s until the alarm clock will sound again. You have pressed the on/off key and ended the slu...

  • Page 87

    Using an sd card 87 using an sd card general information the use of an sd card during therapy enables the most important therapy data to be saved long-term and detailed. The physician can readout and evalu- ate this data via the trendset pc software. Further- more, the physician may set up new thera...

  • Page 88

    88 using an sd card inserting the sd card 1. Ensure that the device is in standby mode (see page 39. 2. Insert the sd card into the sd card slot (see pic- ture). 3. The device starts initializing while the message “do not remove the sd card” is displayed. Finally the symbol is shown at the display. ...

  • Page 89

    Using an sd card 89 after the takeover of the parameters enter the info- menu and validate the displayed parameters with the values of your prescription. Removing the sd card only remove the sd card in standby mode. Oth- erwise data may be lost or the sd card might be damaged. 1. Ensure that the dev...

  • Page 90

    90 using an sd card what is saved on the sd card the last 100 device events are saved on the sd card. Events are changes of parameters such as therapy settings, resetting counters (e.G., fi lter counters) etc. The parameters changes are saved with the date and time they were changed, as well as the ...

  • Page 91

    Using an sd card 91 therapy data internally of the device sd card cpap apap cpap apap central sleep apnea • • obstruktive sleep apnea • • mixed sleep apnea • • hypopnea • • airway constriction • • snoring • • mode • • adjustment • • leakage • • hyperventilation • • average system flow • • base press...

  • Page 92

    92 using an sd card error messages two different types of error can be distinguished: errors with data loss and errors without data loss. The display “exx” denotes errors in which data may have been lost. The display “wxx” denotes errors in which data has not been lost. To hide an error message, pre...

  • Page 93

    Using an sd card 93 error code meaning remedy e00 writing data has failed. Possible causes are power failure, removal of card during writing or a faulty sd card. The sd card is probably faulty. Remove the sd card and then insert it into the device again. If the error contin- ues to occur, send the c...

  • Page 94

    94 changing the filter, cleaning changing the filter, cleaning the fi lter prevents dust, insects and airborne particles from entering the device. Over time such substances would cause heavy soiling of the ducts inside the device and the blower parts. As a result, the device would no longer satisfy ...

  • Page 95

    Changing the filter, cleaning 95 changing the fi lter pull out the fi lter on the back of the device and replace it with a new or cleaned one. Always use the device with the fi lter element inserted and clean the fi lter element regularly. If the fi lter element is heavily soiled or not inserted, th...

  • Page 96

    96 changing the filter, cleaning resetting the display message 1. Disconnect the dc power supply plug from the device. 2. Hold the enter key down and, while you are doing this, reconnect the dc power supply plug to the device‘s dc power connection. 3. Filter counter reset appears on the display. Pre...

  • Page 97

    Changing the filter, cleaning 97 1. Disconnect the therapy tube from the mask and the device. 2. Clean the therapy tube with mild soapy water. Do not use any other agents! 3. Rinse the therapy tube thoroughly with clear water. 4. Let the vertically suspended therapy tube dry completely. Cleaning the...

  • Page 98

    98 changing the filter, cleaning cleaning the headgear you only need to clean the headgear if it is necessary. To do this, proceed as follows: 1. Remove the headgear from the mask. 2. Clean the headgear according to the manufac- turer‘s instructions. Cleaning the humidifier when using a humidifi er,...

  • Page 99

    Preparing the device for a patient change 99 preparing the device for a patient change if the device is to be used by another patient, it must prior be prepared hygienically. When being given to another patient, the device must be prepared hygienically by the specialist dealer or the manufacturer. I...

  • Page 100

    100 using bacterial filters using bacterial filters if the device is intended for use by more than one patient (e.G., operation in clinics), a suitable bacterial fi lter (e.G., medisize barr-vent s) must continuously be used to protect the device from contamination by human pathogens. Change the bac...

  • Page 101

    Troubleshooting 101 troubleshooting problem possible cause remedy pain in the nose, the paranasal sinuses or the ears infl ammation of the para- nasal sinuses or the middle ear stop the treatment and contact your physician unpleasant feeling because of the high pressure malaise with prescribed high ...

  • Page 102

    102 troubleshooting problem possible cause remedy runny nose, sneezing reaction to the air fl ow either increase the humidity in the room or the temperature of the humidifi er normal cold contact your physician reddening of the skin in the mask area, skin swelling incorrect mask size inform your phy...

  • Page 103

    Maintenance 103 maintenance do not try to open the device. Maintenance and repairs may only be performed by personnel autho- rized by us. Do not try to open the power supply. Maintenance and repairs may only be performed by personnel authorized by us. You yourself can help to increase the service li...

  • Page 104

    104 disposal disposal proper disposal saves natural resources and prevents harmful substances being released into the environment. Device the device must not be disposed of with the household waste. Please contact the relevant customer services department to fi nd out how to dispose of the device pr...

  • Page 105

    Accessories 105 accessories for ordering of accessories, please contact a hoffrichter service partner. Scope of delivery article number carrying case 0000 2080 power supply 0000 2133 mains cable 3110 0029 filter 0000 2110 spare fi lter (2 pack) 0000 7801 therapy tube (inner diameter = 22 mm, length ...

  • Page 106

    106 accessories optional article number cirri comfort masks cirri comfort nasal mask, size s 0000 3486 cirri comfort nasal mask, size m 0000 3487 cirri comfort nasal mask, size l 0000 3488 cirri comfort full face mask, size s 0000 3483 cirri comfort full face mask, size m 0000 3484 cirri comfort ful...

  • Page 107

    Technical data 107 technical data point 2 point 2 with aquapoint 2 dimensions (w x d x h) 170 x 220 x 95 mm 180 x 350 x 110 mm weight 1.5 kg approx. 1.9 kg (without water) power supply mains power 100 … 240 v ac, 50 ... 60 hz dc power 24 v dc / 2.01 a battery power (per battery) 11.1 v / 2200 mah - ...

  • Page 108

    108 technical data point 2 point 2 with aquapoint 2 operation at 20 hpa operation at 12 hpa operation at 6 hpa short term pressure variation 4 hpa 8 hpa 12 hpa 16 hpa 20 hpa 4 hpa 8 hpa 12 hpa 16 hpa 20 hpa 10 bpm 15 bpm 20 bpm long term pressure variation pressure reading accuracy 0.5 hpa average s...

  • Page 109

    Technical data 109 point 2 point 2 with aquapoint 2 therapy air heating at air outlet at end of tube 0.3 k/ hpa via compression 0.2 k/ hpa via friction relative humidity 10 % ... 95 % for operation and storage operating range 1060 hpa ... 700 hpa (approx. - 400 m ... 3500 m) 1 filter polyurethane fo...

  • Page 110

    110 technical data factory settings parameter point 2 cpap point 2 autocpap point 2 bilevel st20 i-slope - 2 e-slope - 2 frequenz - 12 bpm i:e - 35:65 % delay time - 15 s backup freq - off p-min - 4 hpa - p-max - 10 hpa - p-start - 6 hpa - i-flex 2 - e-flex 2 - ramp 0 min mask test 0 s auto off disp...

  • Page 111

    Manufacturer’s declaration on electromagnetic compatibility 111 manufacturer’s declaration on electromagnetic compatibility guidance and manufacturer‘s declaration – electromagnetic emissions the point 2 is intended for use in the electromagnetic environment specifi ed below. The user of the point 2...

  • Page 112

    112 manufacturer’s declaration on electromagnetic compatibility guidance and manufacturer‘s declaration – electromagnetic immunity the point 2 is intended for use in the electromagnetic environment specifi ed below. The user of the point 2 should assure that it is used in such an environment. Immuni...

  • Page 113

    Manufacturer’s declaration on electromagnetic compatibility 113 guidance and manufacturer‘s declaration – electromagnetic immunity voltage dips, short interruptions and volt- age variations on power supply input lines iec 61000-4-11 > 95 % clip in u t / 0.5 cycles 60 % clip in u t / 5 cycles 30 % cl...

  • Page 114

    114 manufacturer’s declaration on electromagnetic compatibility guidance and manufacturer‘s declaration – electromagnetic immunity radiated rf iec 61000-4-3 e 1 = 3 v/m 80 mhz – 2.5 ghz 3 v/m d = 1,17 √p 80 mhz - 800 mhz d = 2,33 √p 800 mhz - 2.5 ghz field strengths from fi xed rf transmitters, as d...

  • Page 115

    Manufacturer’s declaration on electromagnetic compatibility 115 recommended separation distances between portable and mobile rf communication equipment and the point 2 the point 2 is intended for use in an electromagnetic environment in which radiated rf disturbances are controlled. The user of the ...

  • Page 116

    116 disclaimer disclaimer hoffrichter gmbh is not liable for consequences in terms of safety, reliability and performance of the product where: • interventions, modifi cations, extensions, adjust- ments, repairs and maintenance are carried out by persons not authorized by us, • other manufacturers‘ ...

  • Page 117

    Notes 117 notes ............................................................................................................................ ............................................................................................................................ .....................................

  • Page 118

    118 notes notes ............................................................................................................................ ............................................................................................................................ .....................................

  • Page 119

    Notes 119 notes ............................................................................................................................ ............................................................................................................................ .....................................

  • Page 120

    Point 2 eng_2012-12-17_03 article no.: 5000 0510 hoffrichter gmbh mettenheimer straße 12 / 14 19061 schwerin germany phone: +49 385 39925 - 0 fax: +49 385 39925 - 25 e-mail: info@hoffrichter.De web: www.Hoffrichter.De.