ResMed Sleep Apnea Machine AutoSet CS User Guide

VPAPST  
VPAPS  
AutoSet CS™  
S9Auto 25  
POSITIVE AIRWAY PRESSURE DEVICES  
User Guide  
English  
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S9 VPAP ST indications for use  
The S9 VPAP ST is intended to provide non-invasive ventilation for patients weighing more than 13 kg  
with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP ST is intended for home  
and hospital use.  
S9 VPAP S indications for use  
The S9 VPAP S is intended to provide non-invasive ventilation for patients weighing more than 13 kg  
with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP S is intended for home  
and hospital use.  
S9 AutoSet CS indications for use  
The S9 AutoSet CS is intended to provide non-invasive ventilatory support to patients weighing more  
than 30kg with central and/or mixed apnoeas, periodic breathing and Cheyne-Stokes respiration, with  
or without obstructive sleep apnoea (OSA). The S9 AutoSet CS is intended for home and hospital use.  
S9 Auto 25 indications for use  
The S9 Auto 25 is indicated for the treatment of obstructive sleep apnoea (OSA) in patients weighing  
more than 30 kg. The S9 Auto 25 is intended for home and hospital use.  
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.  
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 these devices:  
drying of the nose, mouth, or throat  
nosebleed  
bloating  
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ear or sinus discomfort  
eye irritation  
skin rashes.  
Masks and humidifiers  
Service & Support. For information on using your mask or humidifier, refer to the manual supplied with  
your mask or humidifier.  
Setup  
Refer to illustration A.  
1. Connect the DC plug of the power supply unit to the rear of the device.  
2. Connect the power cord to the power supply unit.  
3. Plug the other end of the power cord into the power outlet.  
4. Connect one end of the air tubing firmly onto the air outlet.  
5. Connect the assembled mask system to the free end of the air tubing.  
Control panel  
Refer to illustration B.  
The control panel of your device includes the following items:  
1. Start/Stop button: Starts or stops treatment  
2. Home menu  
3. LCD screen  
4. Info menu*: Allows you to view your sleep statistics  
5. Setup menu*: Allows you to make changes to settings  
6. Push dial: Turning the dial allows you to scroll through the menu and change settings. Pushing the  
dial allows you to enter into a menu and confirm your choice.  
*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.  
Navigating the menus  
Refer to illustration C.  
In general, to navigate the menus:  
1. Turn  
2. Press  
3. Turn  
4. Press  
until the parameter you require is displayed in blue.  
. The selection is highlighted in orange.  
until you see the setting that you require.  
to confirm your choice. The screen returns to blue.  
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Getting started  
1. Make sure the power is connected.  
2. Adjust the ramp time if required.  
3. Fit your mask as described in your mask user guide.  
4. To start therapy, simply breathe into the mask and/or press  
.
5. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.  
6. To stop treatment at any time, remove your mask and/or press  
.
Notes:  
If your clinician has enabled SmartStart your device will start automatically when you breathe into  
the mask and stop automatically when you remove the mask.  
If power is interrupted during treatment, the device automatically restarts therapy when power is  
restored.  
Cleaning and maintenance  
Daily:  
Remove the air tubing by pulling on the finger grips on the cuff. Hang it in a clean, dry place until next  
use.  
Notes:  
Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.  
Do not wash the air tubing in a washing machine or dishwasher.  
Weekly:  
1. Remove the air tubing from the device and the mask.  
2. Wash the air tubing in warm water using mild detergent.  
3. Rinse thoroughly, hang, and allow to dry.  
4. Before next use, reconnect the air tubing to the air outlet and mask.  
Monthly:  
1. Wipe the exterior of the device with a damp cloth and mild detergent.  
2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary.  
Replacing the air filter:  
Replace the air filter every six months (or more often if necessary).  
1. Remove the air filter cover from the back of the device.  
2. Remove and discard the old air filter.  
3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover.  
4. Replace the air filter cover.  
Notes:  
Ensure the air filter and air filter cover are fitted at all times.  
Do not wash the air filter. The air filter is not washable or reusable.  
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Troubleshooting  
If there is a problem, try the following suggestions. If the problem cannot be solved, contact your  
equipment supplier or ResMed. Do not attempt to open these devices.  
Problem/Possible cause  
Solution  
No display  
Power is not connected.  
Ensure the power cable is connected and the power outlet  
(if available) is on.  
The DC plug is partially inserted into the Fully insert the DC plug.  
back of the device or inserted too  
slowly.  
Insufficient air delivered from the device  
Ramp time is in use.  
Wait for air pressure to build up or change ramp time.  
Air filter is dirty.  
Replace air filter.  
Air tubing is not connected properly.  
Air tubing is blocked, pinched or  
punctured.  
Check air tubing.  
Unblock or free the air tubing. Check the air tubing for  
punctures.  
Mask and headgear are not positioned Adjust position of mask and headgear.  
correctly.  
Incorrect air tubing selected.  
If you are using the SlimLine, Standard or 3m air tubing  
ensure that you have the correct air tubing selected via the  
menu.  
Device does not start when you breathe into the mask  
Breath is not deep enough to trigger  
SmartStart/Stop.  
Take a deep breath in and out through the mask.  
There is excessive leak.  
Adjust position of mask and headgear.  
Note: If Leak Alert is enabled, an  
Air tubing not connected properly. Connect firmly at both  
audible alert is activated and a high leak ends.  
message is displayed.  
SmartStart/Stop is disabled.  
Note: SmartStart/Stop is not available if  
Leak Alert is enabled.  
Enable SmartStart/Stop.  
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Problem/Possible cause  
Solution  
Device does not stop when you remove your mask  
SmartStart/Stop is disabled.  
Note: SmartStart/Stop is not available if  
Leak Alert is enabled.  
Enable SmartStart/Stop.  
SmartStart/Stop is enabled but the device does not stop automatically when you remove your  
mask  
Incompatible mask system being used. Only use equipment recommended by ResMed.  
The patient is using a nasal pillows  
mask or pediatric mask with a set  
Disable SmartStart/Stop.  
pressure less than 7 cm H O.  
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Pressure rises inappropriately  
Talking, coughing or breathing in an  
unusual manner.  
Avoid talking with a nasal mask on, and breathe as normally  
as possible.  
Mask cushion is buzzing against the  
skin.  
Adjust the headgear.  
Cushion seated incorrectly causing  
excessive leak.  
Adjust headgear or re-fit cushion.  
Displays error message: High temperature fault, refer to user manual  
Device has been left in a hot  
environment.  
Air filter is blocked.  
Allow to cool before re-use. Disconnect the power cord  
and then reconnect it to restart the device.  
Replace your air filter. Disconnect the power cord and then  
reconnect it to restart the device.  
Air tubing is blocked.  
Check your air tubing and remove any blockages.  
Disconnect the power cord and then reconnect it to restart  
the device.  
Humidifier setting is too high, resulting Turn the humidifier setting down and empty the water from  
in accumulation of water in the air  
tubing.  
the air tubing.  
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Problem/Possible cause  
Solution  
Displays error message: Check ResMed 30/90W Power Supply Unit and fully insert the  
connector  
The DC plug is partially inserted into the Fully insert the DC plug.  
back of the device or inserted too  
slowly.  
A non-ResMed power supply unit is  
connected to the device.  
Remove the power supply unit and replace with a ResMed  
power supply unit.  
The power supply unit is being covered Make sure that the power supply unit is free from bedding,  
by bedding. clothes or other objects that could cover it.  
Displays error message: Tube blocked, please check your tube  
Air tubing is blocked. Check your air tubing and remove any blockages.  
Disconnect the power cord and then reconnect it to restart  
the device.  
Displays error message: High leak, please check system setup and all connections  
There is excessive leak.  
Adjust position of mask and headgear.  
Air tubing is not connected properly. Connect firmly at both  
ends.  
The following message is displayed on the LCD after you try to update settings or copy data to  
the SD card: Card error, please remove SD card and contact service provider  
SD card is not inserted correctly.  
You may have removed the SD card  
before settings were copied to the  
device.  
Ensure that the SD card is inserted correctly.  
Reinsert the SD card and wait for the home screen or the  
Settings updated successfully, press any key”  
message to appear on the LCD.  
Note: This message only appears once. If you re-insert the  
SD card after you have updated your settings, the message  
will not be re-displayed.  
The following message is NOT displayed on the LCD after you try to update the settings using  
the SD card: Settings updated successfully, press any key  
The settings were not updated.  
Contact your clinician/service provider immediately.  
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SD card  
An SD card has been supplied to gather therapy data from your device and provide settings updates  
from your clinician. When instructed to do so, disconnect the device from the power outlet, remove your  
SD card, insert it in the protective folder and send it to your clinician. For more information on removing  
and inserting your card refer to the S9 SD Card Protective Folder provided with your device. Please  
retain the S9 SD Card Protective Folder for future use.  
Technical specifications  
Operating pressure range  
4 to 20 cm H O (CPAP); 4 to 25 cm H O (VAuto, ASV);  
2
2
2 to 25 cm H O (S, ST)  
2
Maximum single fault steady state  
pressure  
30 cmH O – if pressure exceeded for > 6 secs;   
2
40 cmH O – if pressure exceeded for > 1 sec  
2
Pressure measurement tolerance  
Flow measurement tolerance  
0.5 cm H O 4% of the measured reading  
6 L/min or 10% of reading, whichever is greater  
2
DECLARED DUAL-NUMBER NOISE EMISSION VALUES in accordance with ISO 4871:  
Sound pressure level  
24 dBA as measured according to ISO 17510-1:2002  
26 dBA with uncertainty of 2 dBA as measured according to   
EN ISO 17510-1:2009  
Sound power level  
34 dBA with uncertainty of 2 dBA as measured according to  
EN ISO 17510-1:2009  
Nominal dimensions (L x W x H)  
Weight  
153 mm x 140 mm x 86 mm  
835 g  
90W power supply unit  
Input range 100–240V, 50–60Hz,   
Nominal for aircraft use 115V, 400Hz  
Typical power consumption 70W (80VA)  
Maximum power consumption 110W (120VA)  
Input range 100–240V, 50–60Hz,   
Nominal for aircraft use 115V, 400Hz  
Typical power consumption 20W (40VA)  
Maximum power consumption 36W (75VA)  
Nominal inputs 12V, 24V  
30W power supply unit  
90W DC/DC converter  
Typical power consumption 70W  
Maximum power consumption 110W  
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Operating temperature  
+5ºC to +35ºC  
Note: The air flow for breathing produced by this therapy  
device can be higher than the temperature of the room.  
Under extreme ambient temperature conditions (40ºC) the  
device remains safe.  
Operating humidity  
10–95% non-condensing  
Operating altitude  
Sea level to 2,591 m  
Storage and transport temperature  
Storage and transport humidity  
Housing construction  
-20ºC to +60ºC  
10–95% non-condensing  
Flame retardant engineering thermoplastic  
Recommended maximum supplemental oxygen flow:   
4 L/min (VAuto or ASV mode); 15 L/min (S, ST or T mode)  
Non-woven acrylic and polypropylene fibers with  
polypropylene carrier  
Supplemental oxygen  
Hypoallergenic air filter  
Standard air filter  
Polyester fiber  
TM  
SlimLine air tubing  
Flexible plastic, 1.8 m, 15 mm inner diameter  
Flexible plastic, 2 m, 19 mm inner diameter  
Flexible plastic and electrical components, 2 m, 15 mm  
inner diameter  
Flexible plastic and electrical components, 1.9 m, 19 mm  
inner diameter  
The 22 mm conical air outlet complies with ISO 5356-1  
Product complies with all applicable electromagnetic  
compatibility requirements (EMC) according to   
IEC60601-1-2, for residential, commercial, and light industry  
environments.  
Standard air tubing  
ClimateLine heated air tubing  
MAX  
ClimateLine  
Air outlet  
heated air tubing  
Electromagnetic compatibility  
It is recommended that mobile communication devices are  
kept at least 1 m away from the device.  
Information regarding the electromagnetic emissions and  
immunity of these ResMed devices can be found on  
and Support. Click on the PDF file for your language.  
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Aircraft use  
Medical-Portable Electronic Devices (M-PED) that meet the  
Federal Aviation Administration (FAA) requirements of  
RTCA/DO-160 can be used during all phases of air travel  
without further testing or approval by the airline operator.  
ResMed confirms that the S9 meets RTCA/DO-160  
requirements.  
IEC 60601-1 classification  
Class II (double insulation), Type BF  
Notes:  
The manufacturer reserves the right to change these specifications without notice.  
The temperature and relative humidity settings displayed for Climate Control are not measured  
values.  
Check with your clinician/service provider before using the SlimLine or ClimateLine air tubing with  
devices other than the S9 or H5i.  
Pneumatic flow path  
S9  
H5i  
Blower  
Mask  
Inlet filter  
Tube  
Symbols  
The following symbols may appear on your S9, power supply unit, air tubing or packaging.   
Caution;  
Read instructions before use;  
Protection against insertion of fingers and  
IP21  
against vertically dripping water;  
Not drip proof;  
Type BF equipment;  
European RoHS; Batch Code;  
Direct current;  
Class II  
IP20  
equipment;  
Catalogue number;  
Remove tub to fill;  
control logo 2; European Authorised Representative;  
Start/Stop;  
Manufacturer;  
Serial number;  
Lock/unlock;   
China pollution control logo 1;  
China pollution   
Keep Dry;  
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Environmental information  
WEEE 2002/96/EC is a European Directive that requires the proper disposal of electrical and electronic  
equipment. These devices should be disposed of separately, not as unsorted municipal waste. To  
dispose of your device, you should use appropriate collection, reuse and recycling systems available in  
your region. The use of these collection, reuse and recycling systems is designed to reduce pressure  
on natural resources and prevent hazardous substances from damaging the environment.  
If you need information on these disposal systems, please contact your local waste administration. The  
crossed-bin symbol invites you to use these disposal systems. If you require information on collection  
and disposal of your ResMed device please contact your ResMed office, local distributor or go to  
Servicing  
The device is intended to provide safe and reliable operation when operated in accordance with the  
instructions provided by ResMed. ResMed recommends that the device be inspected and serviced by  
an authorised ResMed Service Centre if there is any sign of wear or concern with device function.  
Otherwise, service and inspection of the devices generally should not be required during the five year  
design life of the device.  
Limited warranty  
ResMed Ltd (hereafter ’ResMed’) warrants that your ResMed product shall be free from defects in  
material and workmanship from the date of purchase for the period specified below.  
Product  
Warranty period  
Mask systems (including mask frame, cushion, headgear and tubing) –  
90 days  
excluding single-use devices  
Accessories – excluding single-use devices  
Flex-type finger pulse sensors  
Humidifier water tubs  
Batteries for use in ResMed internal and external battery systems  
Clip-type finger pulse sensors  
CPAP and bilevel device data modules  
Oximeters and CPAP and bilevel device oximeter adapters  
Humidifiers and humidifier cleanable water tubs  
Titration control devices  
6 months  
1 year  
CPAP, bilevel and ventilation devices (including external power supply units)  
Battery accessories  
Portable diagnostic/screening devices  
2 years  
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This warranty is only available to the initial consumer. It is not transferable.  
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 organisation that has not  
been expressly authorised by ResMed to perform such repairs; c) any damage or contamination due to  
cigarette, pipe, cigar or other smoke; and d) any damage caused by water being spilled on or into an  
electronic device.  
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 replaces all other expressed 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 resulted  
from 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.  
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WARNINGS  
Read the entire manual before using the device.  
Use the device only as directed by your physician or healthcare provider.  
Use the device only for the intended use as described in this manual. Advice contained in this  
manual should not supersede instructions given by the prescribing physician.  
If you notice any unexplained changes in the performance of the device, if it is making unusual or  
harsh sounds, if the device or the power supply are dropped or mishandled, if water is spilled into  
the enclosure, or if the enclosure is broken, discontinue use and contact your ResMed Service  
Center.  
Beware of electrocution. Do not immerse the device, humidifier, power supply or power cord in  
water. In the event of a spill, disconnect the device from the power supply and let the parts dry.  
Always unplug the device before cleaning and make sure that all parts are dry before plugging in the  
device.  
Explosion hazard—do not use in the vicinity of flammable anesthetics.  
Make sure the power cord and plug are in good condition and the equipment is not damaged.  
Keep the power cord away from hot surfaces.  
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The device 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 device is turned on. Once  
the mask is fitted, ensure that the device is blowing air. The vent hole or holes associated with the  
mask should never be blocked.  
Explanation: The device is intended to be used with special masks (or connectors) which have vent  
holes to allow 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. However,  
when the device is not operating, insufficient fresh air will be provided through the mask, and the  
exhaled air may be rebreathed. Rebreathing of exhaled air for longer than several minutes can, in  
some circumstances, lead to suffocation. This applies to most models of CPAP or bilevel devices.  
Oxygen supports combustion. Oxygen must not be used while smoking or in the presence of an  
open flame.  
Always ensure that the device is turned on and airflow generated before the oxygen supply is  
turned on. Always turn the oxygen supply off before the device is turned off, so that unused oxygen  
does not accumulate within the device enclosure and create a risk of fire.  
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.  
1. Ports may be incorporated into the mask or in connectors that are near the mask.  
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Do not use electrically conductive or antistatic air tubings.  
Do not use the air tubing if there are any visible signs of damage.  
Only ResMed air tubing and accessories should be used with the device. A different type of air  
tubing or accessory may alter the pressure you actually receive, reducing the effectiveness of the  
treatment.  
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.  
Only ResMed products are designed to be connected to the module connector port. Connecting  
other devices could damage the device.  
Blocking the air tubing and/or air inlet of the device while in operation could lead to overheating of  
the device.  
CAUTIONS  
Do not open the device enclosure. There are no user serviceable parts inside. Repairs and servicing  
should only be performed by an authorised ResMed service agent.  
Do not use bleach, chlorine, alcohol, or aromatic-based solutions, moisturising or antibacterial soaps  
or scented oils to clean the device, humidifier or air tubing. These solutions may cause damage and  
reduce the life of these products.  
Incorrect system setup may result in incorrect mask pressure reading. Ensure the system is  
correctly set up.  
Be careful not to place the device where it can be bumped or where someone is likely to trip over  
the power cord.  
Make sure the area around the device is dry and clean and clear of bedding, clothes or other objects  
that could block the air inlet or cover the power supply unit.  
Ensure that the device is protected against water if used outdoors. Enclose the device in the S9  
travel bag for transport.  
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