Manuel d’utilisation ResMed 248551/1

38 pages 4.42 mb
Télécharger

Aller à la page of 38

Summary
  • ResMed 248551/1 - page 1

    Ste lla r ™ 10 0 Ste lla r ™ 15 0 Inv asIve and nonInv asIve ventIla tor User Guide E nglis h Global leaders in sleep and respiratory medicine www .resmed.com 248551/1 20 1 1 -09 Stellar 1 00 Stellar 1 50 USER A PA C Protected by patents: AU 2002306200, AU 2002325399, AU 2003204620, AU 2004205275, AU 2004216918, AU 2005200987, AU 2006201573, AU ...

  • ResMed 248551/1 - page 2

    Respiratory Care Solutions Making quality of care easy Respiratory Care Solutions Making quality of care easy ...

  • ResMed 248551/1 - page 3

    Stellar™ 1 0 0 Stellar™ 1 50 User Guide English ...

  • ResMed 248551/1 - page 4

    i Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Indications for use 1 Contraindications 1 Adv erse eff ects 1 Stellar at a glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 P atient interface 3 Humidification 3 Internal bat ter y 3 ...

  • ResMed 248551/1 - page 5

    ii Cleaning and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Daily 19 W eekly 20 Monthly 20 Replacing the air filter 20 Disinf ection 20 Multipatient use 21 Ser vicing 21 T roubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Alarm troubleshooting 21 Other trou ...

  • ResMed 248551/1 - page 6

    1 Introduction English Introduction Read the entire manual before usin g the device. This User Gui de is for a non-cl inician user, and does not contain all the informat ion provided in t he Clinical Guide. Indications for use The Stellar is intended to pr ovide ventilation for non-dep endent, spontaneously breathing adult and paediatric patients ( ...

  • ResMed 248551/1 - page 7

    2 Stellar at a glance The Stellar comprises: • Stellar device • Hypoallergenic air filter • AC power cord • Carry bag • 2 m air tubing • ResMed USB stick • Low pressure oxygen connector. The following optional components are compatible with S tellar: • 3 m air tubing • SlimLine™ air tubing • Cl ear air tubing (disposable) • ...

  • ResMed 248551/1 - page 8

    3 Stellar at a glance English Patient interf ace Both masks and tracheos tomy tubes can be used with Stella r. To set the pa tient interface type go to the Setup menu, select Clinical Set tings , then A dvanced Set tings . For information on using masks, see the mask manual. For a full list of compatible masks for this device, see the Mask/Device C ...

  • ResMed 248551/1 - page 9

    4 Mobile use The Stellar Mobility bag allows the Stellar to be used in mobile situations, eg, in a wheelchair. For setup and correct use, see the Stellar Mobility Bag User Guide. Fo r extended mobile use, the Re sM ed Power Station II external power supply unit can be used as an additional power source. Limitations apply to the use of oxygen with t ...

  • ResMed 248551/1 - page 10

    5 Setting up for invasive use English Attaching the H4i heated humidifi er for noninvasive use Use of the H4i heated humidifier may be recomm ended by your clinician. For information on using the H4i, see the H4i user guide. WARNING • Always place the H4i on a level surface below the level o f the patient to prevent the mask and tubing from filli ...

  • ResMed 248551/1 - page 11

    6 1 Connect the power cord. 2 Plug the free end of the power cord into a power outlet. 3 Connect the antibacterial fi lter firmly onto the ai r outlet of the device. 4 Connect the external humidifier to the o ther side of the antibacterial filter. *If not using an ex ternal humidifier, the HMEF can be connected to the leak port (at step 9). 5 Conne ...

  • ResMed 248551/1 - page 12

    7 W orking with other optional accessories English Working with other optional accessories Attaching the pulse oximeter Use of a pulse oximeter may be recomm ended by your clinician. Contraindication The pulse oximeter does not meet defibrilla tion-proof requirement per IEC 60601-1: 1990, clause 17.h. 1 Connect the plug of the finger pulse sensor t ...

  • ResMed 248551/1 - page 13

    8 Starting therapy using oxygen 1 Fit the oxygen connector to t he oxyg en inlet of the device. 2 Attach the other end of the oxygen supply tubing to the oxygen supply. 3 Pr ess to start treat ment. 4 Turn on oxygen. Stopping therapy using oxygen 1 Turn off oxygen. 2 Press to stop treatment. Using the FiO 2 monitoring sensor Use of the FiO 2 monito ...

  • ResMed 248551/1 - page 14

    9 W orking with other optional accessories English Connecting a sensor 1 Connect the air tubing to the T-piece adapter. 2 Connect the FiO 2 monitoring sensor to the T-piece adapter. 3 Connect the adapter to the air outlet of the device. 4 Connect one end of the cable to the FiO 2 monitoring sensor. 5 Connect the other end of the cable to th e rear ...

  • ResMed 248551/1 - page 15

    10 Stellar basics About the control panel Ke y F unction Start/Stop • S tarts or stops treatment. • Extended hold for at least three seco nds st arts the maskfit tin g f eature. Alarm mute • During therapy: P r ess once to mute an alarm. Press a second time to un-m ute an alar m. If the proble m is still present, the alarm will sound again ...

  • ResMed 248551/1 - page 16

    11 Starting therapy English LCD screen The LCD screen displays the menus, m onitoring screens a nd alarm status. Starting therapy Performing a functional test Make sure your device is functioning properly each time before starting therapy. If any problems occur, see “Troubleshooting” on page 21 . Please al so check other provided User Instructi ...

  • ResMed 248551/1 - page 17

    12 You can use the warm-up feature to pre-heat the water in the humidi fier prior to starting treatment. The humidifier will be automatically detected when the device is turned on. The T reatment screen provides the option to start warming the humidifier. If the humidifier is heating, the related symbol is displayed at the top of the LCD screen. Fo ...

  • ResMed 248551/1 - page 18

    13 Starting therapy English Turning off the power 1 Stop the therapy. 2 Press the power switch at the back of the device once and follow the instructions on the display. Note : T o discon nect the device from the mains po wer pull out the power cord from the pow er sock et. Working with alarms WARNING This device is not intended to b e used for vit ...

  • ResMed 248551/1 - page 19

    14 Tailoring treatment setup options Setting Ramp Ramp time is a feature that can be enabled by your clinician by sett ing a maximum ramp time. Designed to make the beginning of treatment more comfortable, ramp tim e is the period during which the pressure increases from a low start pressure to the treatment pressure. See “Setup men u: Options” ...

  • ResMed 248551/1 - page 20

    15 Using the menus English Using the menus The device has three menus ( Monitoring , Setup, Inf o ) accessed by the equivalent buttons on the right of the LCD screen. In each menu there are screens that di splay settings, device or therapy information. Note : iVAPS mode is only a vailable in Stellar 150. MONIT ORING Monitoring Pressure / Flo w Min ...

  • ResMed 248551/1 - page 21

    16 Setup menu Setup menu: Clinical Settings (Mask Type) 1 Press to display the Clinical Se t tings screen. 2 Use the push dial to scroll through the menu and change the Mask T ype in the Advanced Set tings screen. Mask type options: Nasal, Ultra, Pill ow , F ull Face, T rac h, P ediat ric. Note : When Mask T yp e is set to Tr a c h or Ful l Face th ...

  • ResMed 248551/1 - page 22

    17 Setup menu English Setup menu: Configuration Menu P ara meter Description Learn Circuit The de vice is calibra ted according to y our air tubing sy stem. 1 . If in use, turn of f the oxy gen flow . 2. Select the mask type. 3. Set up the air circuit including a ccess ories and patient interf ace. Note: For invasive u se, do not connect a catheter ...

  • ResMed 248551/1 - page 23

    18 Info menu Event Summary Event summary displays the summary of three types of events: changes in se tti ngs, alarms and system events (eg, connection of ResMed USB stick). There are up to 200 events of each type, displayed in chronologica l order, with the most recent event displayed at the top by default. Used Hours Used Hours during the la st s ...

  • ResMed 248551/1 - page 24

    19 Data management English Data management There are two data ports at the rear of the device for connecting a USB stick ( see “Stellar at a glance” on page 2 ). Therapy and device data can be st ored on it or read from it to be used with ResMed software applications. WARNING Do not connect any device to the data ports other th an specially des ...

  • ResMed 248551/1 - page 25

    20 Weekly 1 Remove the air tubi ng from the device and the patient i nterface. 2 Wash the air tubing in warm water using mild detergent. 3 Rinse thoroughly, hang and allow to dry. 4 Reconnect the air tubing to the air outlet and patient inte rface. CAUTION Do not use bleach, chlo rine, alcohol or aromatic-based solution s (including all scented oil ...

  • ResMed 248551/1 - page 26

    21 T roubleshooting English Multipatient use WARNING An antibacterial filter is mandatory if th e device is used on multiple patient s. In a mulitpatient use environment, you must perform the following befo re the device is provided to a new patient: Servicing CAUTION Inspection and repair shou ld only be perf ormed by an authorised agent. Unde r n ...

  • ResMed 248551/1 - page 27

    22 Pr oblem / possible cause Act io n LCD: Internal B a t tery Empt y! The remaining bat ter y c harge is below 1 5%. The device can be po wered b y the internal bat ter y for maximum 2 minutes. Connect the device to mains po wer . Note : In case of a tot al pow er failure, the therapy set tings will be store d and therapy will resume when the de v ...

  • ResMed 248551/1 - page 28

    23 T roubleshooting English LCD: Circuit disconnected! The air t ubing is not connected properly to the humidifier or the device. 1 . Chec k that the air tubing is connected properly to the humidifier or the device. 2. If the alarm is n ot cleared , stop treatment. 3. Re-start treatment. LCD: Low Minute V entilation! Minute ventilation le vel has d ...

  • ResMed 248551/1 - page 29

    24 Other troubleshooting LCD: Low FiO 2 Leve l! FiO 2 has dropped below the pre-set alarm level. • P erform FiO 2 sensor calibration. • If the problem persi sts cont act your clinician. LCD: High FiO 2 Level! FiO 2 has ex ceeded the pre- set alarm level. • P erform FiO 2 sensor calibration. • If the problem persi sts cont act your clinician ...

  • ResMed 248551/1 - page 30

    25 T roubleshooting English Pressure required f or treatment may hav e changed. See your clinician to adjust the pressure. There is a large impedance (eg, antibacterial filter) in the air circuit. P erfom the Learn circuit function. Humidifier control dial set too high, resu lting in ac cumulat ion of water in the air tubing. T urn humidifier contr ...

  • ResMed 248551/1 - page 31

    26 Technical specifications The delivered airflow is not humid/h eated although the H4i humidifier is in use The humidifier is not properly at t ac hed. Correctly at t ac h the humidifier . The humidifier does not heat. The de vice is currently powered b y bat t er y use or not connected to the mains. The humidifier does not work. Ret urn the devic ...

  • ResMed 248551/1 - page 32

    27 T echnical specifications English Therap y pressur e tol era nc e IP AP: ± 0.5 cm H 2 O ± 1 0% of set pressure (end of inspirat ion) EP AP/PEEP: ± 0.5 cm H 2 O ± 4% of set pre ssure CP AP: ± 0.5 cm H 2 O ± 1 0% of set pressure T est condition: T mode, IP AP: 40 cm H 2 O, EP AP: 2 cm H 2 O, Rise Time: MIN, F all Time : MIN, Ti: 4.0 sec, Res ...

  • ResMed 248551/1 - page 33

    28 Note s: • The manufacturer reserves the right to change these spec ification s wi thout notice. • Pressure may be displayed in cm H 2 O or hPa. Guidance and manufacturer’s declaration – electromagnetic emissions and immunity Medical Electrical Equipment needs special precautions re garding EMC and needs to be installed and put into servi ...

  • ResMed 248551/1 - page 34

    29 T echnical specifications English V oltage dips, short interr uptions and voltage variat ions on pow e r supply input lines IEC 61 000-4-1 1 <5% Ut (>95 % dip in Ut) for 0. 5 cycle 40% Ut (60% dip in Ut) for 5 cy cles 70% Ut (30% dip in Ut) for 25 cy cles <5% Ut (>95 % dip in Ut) for 5 sec < 1 2 V (>95% dip in 240V) for 0 .5 cy ...

  • ResMed 248551/1 - page 35

    30 Symbols Follow instructions for use; Class II eq u ipme nt; Type BF equipment; IP31 Device is protected against solid foreign objects of 2.5 mm diameter and greate r and vertically falling water drops; Caution; Standby or preparatory state for a part of equipment; Connection for oxygen supply; max 30 l/min (max 30 L/min); Data port; CE labeling ...

  • ResMed 248551/1 - page 36

    31 General warnings and cautions English • The de vice must only be u sed with masks (and connectors 1 ) recommended by ResMed, or b y a clinician or resp iratory ther apist. A mask should not be used unless the device is t urned on and op erating proper ly . The vent hole or holes associated with the mask should nev er be block ed. Explanation: ...

  • ResMed 248551/1 - page 37

    32 Limited warranty ResMed Ltd (hereafter ’ResMed’) warrants that your ResMed produc t shall be free from defects in material and work manship from the date of pu rc hase for the period specified below. This warranty is only avail ab le to the initial consum er . It is not transferable. If the product fails under conditions of n ormal use, ResM ...

  • ResMed 248551/1 - page 38

    Ste lla r ™ 10 0 Ste lla r ™ 15 0 Inv asIve and nonInv asIve ventIla tor User Guide E nglis h • 简 体中文 • 繁 體中文 Global leaders in sleep and respiratory medicine www .resmed.com 248551/1 20 1 1 -09 Stellar 1 00 Stellar 1 50 USER A PA C Protected by patents: AU 2002306200, AU 2002325399, AU 2003204620, AU 2004205275, AU 20042169 ...

Fabricant ResMed Catégorie Ventilation Hood

Les documents que nous recevons du fabricant de l'appareilResMed 248551/1 peuvent être divisés en plusieurs groupes. Ceux-ci sont, entre autres:
- dessins techniques ResMed
- manuels d’utilisations 248551/1
- fiches produit ResMed
- dépliants
- ou étiquettes-énergie ResMed 248551/1
Tous sont importants, mais les informations les plus importantes du point de vue de l'utilisation de l'appareil se trouvent dans le manuel d’utilisation ResMed 248551/1.

Un groupe de documents appelé manuels d’utilisation est également divisé en types plus spécifiques, tels que: Manuels d’installation ResMed 248551/1, manuels d’entretien, brefs manuels ou manuels de l’utilisateur ResMed 248551/1. Selon vos besoins, vous devriez chercher le document dont vous avez besoin. Sur notre site, vous pouvez voir le manuel le plus populaire d’utilisation du produit ResMed 248551/1.

Manuels d’utilsiation similaires

Manuel d’utilisation complet de l’appareil ResMed 248551/1, quelle devrait-elle être?
Le manuel d’utilisation, également appelé le mode d’emploi, ou tout simplement le manuel, est un document technique destiné à aider à utiliser ResMed 248551/1 par les utilisateurs. Des manuels sont généralement écrits par un rédacteur technique, mais dans un langage accessible à tous les utilisateurs ResMed 248551/1.

Le manuel d’utilisation complet ResMed, devrait inclure plusieurs éléments de base. Certains d'entre eux sont moins importants, tels que: la couverture / page de titre ou pages d'auteur. Cependant, la partie restante, devrait nous fournir des informations importantes du point de vue de l'utilisateur.

1. Introduction et des conseils sur la façon d'utiliser le manuel ResMed 248551/1 - Au début de chaque manuel, nous devrions trouver des indices sur la façon d'utiliser le document. Il doit contenir des informations sur l'emplacement de la table des matières ResMed 248551/1, FAQ ou des problèmes les plus fréquents - les points qui sont les plus souvent recherchés par les utilisateurs de chaque manuel
2. Table des matières - index de tous les conseils pour lResMed 248551/1 qui peuvent être trouvés dans le document courant
3. Conseils sur la façon d'utiliser les fonctions de base de l’appareil ResMed 248551/1 - qui devraient nous aider dans les premières étapes lors de l'utilisation ResMed 248551/1
4. Troubleshooting - séquence systématique des activités qui nous aideront à diagnostiquer et ensuite résoudre les principaux problèmes de ResMed 248551/1
5. FAQ - questions fréquemment posées
6. Détails du contact Informations sur l'endroit où chercher le contact avec le fabricant / service ResMed 248551/1 dans un pays donné, si le problème ne peut être résolu par nous-mêmes.

Avez-vous une question à propos de ResMed 248551/1?

Utiliser le formulaire ci-dessous

Si vous n’avez pas résolu votre problème avec ResMed 248551/1, avec l'aide du manuel que vous avez trouvé, posez une question en utilisant le formulaire ci-dessous. Si un utilisateur a eu un problème similaire avec ResMed 248551/1 il est probable qu’il a envie de partager la façon de le résoudre.

Réécrire le texte de l'image

Commentaires (0)