FRONT OF DEVICE
REAR VIEW - SIDE VIEW
ACCESSORIES
B
D
C
View from above
Rear view
External battery (optional)
VS Ultra™ & VS Integra™
1
1
3
Illustrations
3
Components of the NOT014224-2 System
4
2
2
COMPONENTS
A
(Components available from your HME provider)
2
1
Power socket
1
Control panel
1
Battery
1
5
Fastening clip
2
Circuit connection area
2
Battery support
2
Dust ꢀlter
Socket for external battery
3
4
4
3
Connection cable
3
Circuit connection area
Single circuit
Double circuit
Side view
Coupling for oxygen socket (optional)
1
O2
2
1
2
1
Ventilator
1
3
2
O
Power cord
2
1
Horizontally-ribbed tube (circuit)
Air outlet
3
1
2
3
1
Connection for single circuit support with exhalation
and pressure line connection
Mask
4
Connection for exhalation circuit support with valve
for double circuit conꢀguration
Travel bag
Optional O2 pressure connector
Coupling for connecting a supplemental oxygen supply
1
5
1
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VS Ultra™ & VS Integra™
Patient manual
English
NOT014224-2 07 10
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ResMed Schweiz AG Viaduktstrasse Basel, Switzerland, +41 61 564 70 00 or 0800 00 2500 (toll free).
Saime SAS (Manufacturer), Savigny-le-Temple, France. ResMed Corp Poway, CA, USA +1 858 746 2400 or 1 800 424 0737 (toll
free), ResMed Ltd Bella Vista, NSW, Australia, +61 (2) 8884 1000 or 1 800 658 189 (toll free). Offices in Austria, Brazil, China,
Finland, France, Germany, Hong Kong, India, Japan, Malaysia, Netherlands, New Zealand, Norway, Singapore, Spain, Sweden,
Switzerland, United Kingdom (see website for details). Protected by patents: FR 2839893.
Other design registrations and patents pending. VS Ultra and VS Integra are trademarks of Saime and is registered in U.S.
Patent and Trademark Office. Specifications may change without notice. © 2007 Saime SAS is a subsidiary of ResMed Inc.
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1
10
16
19
26
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
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iii
1 Introduction
This manual is provided with the device you have received, a medical
ventilator in the VS range. It does not in any way replace the clinical
manual supplied to your physician or HME provider.
There are two models:
• the VS Ultra™, which is blue
• the VS Integra™, which is red.
These devices are designed to provide ventilation for dependent and
non-dependent patients, with a mask or tracheotomy. However, the
illustrations and text in this manual refer solely to the use of a mask.
1.1 Definitions
This manual contains special terms and icons that appear in the margins.
Their purpose is to draw your attention to specific or important
information.
CAUTION
!
Explains special measures for the safe and effective use of the
device.
WARNING
Alerts you to possible injury.
!
Note: Is an informative or helpful note.
1.2 User/Owner Responsibility
The user or owner of this system is solely responsible and liable for any
injury to persons or damage to property resulting from:
• Operation which is not in accordance with the operating instructions
supplied
• Maintenance or modifications carried out unless in accordance with
authorised instructions and by authorised persons.
Please read this manual carefully before use.
1.3 Medical Information
Purpose of your ventilation device
VS Ultra and VS Integra devices are designed for both adults and
children, in the home or clinical environment.
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1
Introduction
The VS Integra and VS Ultra can both be used with single circuit, but only
the VS Ultra model can be used with double circuit.
Warnings
• This manual must be read and understood in full before the device is
used.
• The advice contained in this manual does not replace the instructions
given by your physician (or HME provider), who will already be
familiar with the operation of the device through the clinical manual
provided.
• The device settings must be made by competent and trained staff
under a doctor's supervision.
• The device must be used with the accessories recommended by the
manufacturer or your prescribing physician. The use of inappropriate
accessories is likely to affect the operation of the device.
• In the case of externally visible faults, cease using the device.
• In the event of functional problems (e.g. you find it difficult to breathe
or trigger an inspiratory phase), contact your HME provider.
• Do not open the device casing. Repairs and internal servicing should
only be performed by an authorised service agent.
The above are general warnings. Other specific warnings and notes will
be found throughout the text of the manual.
2
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2 Description of the device
2.1 Components
The picture below shows the set of components available from your
HME provider:
• Your device
• The power cable
• The circuit
• An interface (mask or tracheotomy)
• The travel bag
.
5
4
1
3
2
Figure 1: Components available from your HME provider.
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3
Description of the device
2.2 Your device
Front view
The device comprises:
• A control panel
• An area for connecting the circuit
.
1
2
Figure 2: Front view of the device.
The control panel comprises a screen and a keypad.
LCD Screen
Keypad
Figure 3: Device control panel.
4
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The circuit connection area comprises:
• An air outlet
• Single circuit support with exhalation and pressure line connection.
Air outlet
Single circuit support
with exhalation and
pressure line connection
Figure 4: Detailed view of single circuit support with exhalation and
pressure line connection.
There is a different type of circuit support for double circuit (see next
Figure).
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5
Description of the device
Air outlet
Connection for a
double circuit
Figure 5: Detailed view of connection for a double circuit.
Rear view
On the rear of the device, take particular note of the location of the
following:
• The power supply socket
• The fastening clip for the power connection
“Cleaning and Maintenance” on page 21).
CAUTION
!
Never block the exhaust vents. Two places on the rear of the
device are marked with the symbol
.
6
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Socket for external battery
Anti-dust filter
(Air inlet)
3
2
Fastening clip
Power supply socket
1
Figure 6: Rear view of device.
Side view
Some device models are fitted with a metal connector for attaching an
oxygen supply (see next Figure).
“Connecting supplemental oxygen (optional)” on page 18.
O2
2
O
Connector for
oxygen circuit
(Symbol
)
Figure 7: Metal connector for optional O2 pressure.
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7
Description of the device
2.3 Circuit
Depending on the ventilation mode prescribed by your physician, you will
be using one of the following:
• Single circuit
• Single circuit with expiratory valve
• Double circuit
it to the device, see “Connecting the circuit” on page 12.
2.4 Accessories
Other components in your circuit system may include an antibacterial
filter, a humidification system and a water trap. For further details, read
the instructions provided with the individual accessories used in your
system.
Some ResMed accessories are available as optional extras with this
device:
• An external battery
• An oxygen coupling for connecting a supplemental flow of oxygen
to the device
• A remote alarm (accessory not described in this manual).
8
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External battery (optional)
An external battery increases the utilisation period away from a mains
power supply, and also provides a back-up supply in the event of a power
outage.
This accessory comprises:
• The external battery
, attached to its holder
• The cable connecting the device to the external battery
.
1
3
2
Figure 8: External battery in its holder and cable connecting the device to
the external battery.
The external battery allows use of the device at home, outside, in a
vehicle or when sitting in a wheelchair. It comes with a travel bag.
page 16.
Coupling for supplemental oxygen flow (optional)
The oxygen coupling is used to connect a supplemental flow of oxygen
to the device.
Ventilation device
Oxygen supply
Figure 9: Oxygen coupling.
For instructions on connecting a supplemental oxygen flow to the
device, see “Connecting supplemental oxygen (optional)” on page 18.
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9
Description of the device
2.5 Device control panel
The device control panel comprises an LCD screen and a keypad.
LCD Screen
Navigation panel
Indicator lights (LEDs)
Alarm silence button
2 min.
On/Off button
Figure 10: Front view.
The buttons on the keypad are listed in the table below.
The keypad consists of buttons and LED indicator lights.
Table 1: Buttons on device control panel.
Button
Function
On/Off button
Used to switch the device on and off.
Alarm silence button
Used to silence the audible alarm.
Either the orange or red LED will start flashing,
depending on the type of alarm.
Menu button
Displays your ventilation program settings (button
used by your installation technician).
Adjustment buttons
For adjusting your ventilation program settings
(buttons used by your installation technician).
10
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3 Connection procedures
Place the device on a flat surface. Ensure the area is dust-free, and
cleared of any objects that could block the dust filter.
CAUTION
!
Be careful not to place the device where it could be knocked over or
where someone is likely to trip over the power cord.
3.1 Connecting to a power supply
1. Plug the power cable into the rear of the device
(see Figure below).
2. Remember to push down the fastening clip to hold the power cord
in place. This will prevent accident disconnection of the power
supply
.
3. Plug the cable into the mains power supply
.
2
1
3
Figure 11: Connection to mains power supply.
Your device is now in standby mode.
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11
Connection procedures
Notes:
• If your device is fitted with a rechargeable built-in battery (available
as an optional extra with the VS Integra), it can be used without a
mains power supply, with the battery lasting 2 – 4 hours,
depending on your settings.
• The battery recharges automatically when the device is connected
to the mains supply.
CAUTION
!
Ask your HME provider whether your device has a built-in
battery.
3.2 Connecting the circuit
Connect the single circuit to the air outlet at the front of the unit:
Single circuit”.
valve, see “Option 2 – Single circuit with expiratory valve and
pressure line” on page 13.
Double circuit” on page 15.
CAUTION
!
Only the air circuit supplied by your HME provider may be used
with your device. A different type of air circuit may reduce the
effectiveness of your treatment.
12
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Option 1 – Single circuit
1. Connect one end of the horizontally-ribbed tube firmly to the air
outlet, as shown in the Figure below
:
1
Horizontally-ribbed
tube
Figure 12: Connection of single circuit to the device.
Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
Option 2 – Single circuit with expiratory valve and pressure
line
(see illustrations overleaf)
1. Connect the air outlet firmly to one branch of the horizontally-
ribbed tube
.
2. Then connect the expiratory valve tube (the only one fitted with
a white connector) into the valve control , then turn the
connector slightly to the right to make the connection secure.
3. Finally, connect the other tube (with no connector fitted) to the
pressure line
.
Note: Your circuit configuration may not include a pressure tap
tube, so this third step will not apply in your case.
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13
Connection procedures
2
1
3
Expiratory valve tube
Pressure line tube
Figure 13: Connection of single circuit with expiratory valve and pressure
line. See the next Figure for a detailed view of the connection panel.
Expiratory valve
control
2
Pressure line
P
3
Figure 14: Detailed view of circuit connections to the single circuit support.
14
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Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
Option 3 – Double circuit
1. Firmly connect one limb of the circuit to the
air outlet
.
2. Then connect the other limb
.
Symbol
identifying air
outlet
1
Symbol
identifying
air return
2
Figure 15: Connection of a double circuit.
Note: In most cases, your circuit configuration will not be exactly as
shown in this illustration. It may also include a humidification system,
antibacterial filter or water trap. Contact your HME provider if you have
any doubts about connecting your circuit.
Now that your circuit is connected to the device, you can connect
the mask to the other end of the circuit.
3.3 Connecting the mask
Refer to the instructions given by your physician or HME provider.
CAUTION
!
It is essential to use only the mask supplied by your physician or
HME provider.
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15
Connection procedures
3.4 Example of fully-assembled system
Figure 16: Example of fully-assembled system (single circuit with
expiratory valve and pressure line).
If your system does not have any accessories (external battery,
“Switching on and shutting down” on page 19.
3.5 Connecting accessories
Any accessories must be attached before the device is switched on.
Connection of external battery (optional)
To connect the external battery:
1. Connect the black plug to the battery holder
.
2. Connect the other end to the socket on the rear of the device
.
2
1
Figure 17: Connection of the external battery to the device.
16
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This Figure is a detailed view of the connection of the cable to the
device
.
2
Figure 18: Detailed view of connection to the device.
CAUTION
!
To remove the connection cable (see next Figure):
Press on the black retention pin on the cable connector
.
Still holding it down, pull the cable towards you
.
1
2
Figure 19: Removing the cable from the external battery.
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17
Connection procedures
Connecting supplemental oxygen (optional)
The instructions in this section apply only to the connection of
supplemental oxygen to your device. Refer to the instructions given by
your HME provider or installation technician for starting up the
supplemental oxygen flow.
CAUTION
!
Before connecting the oxygen flow, always ensure that the
oxygen supply has been turned off.
If your oxygen flow becomes disconnected by accident:
• Connect the end of the oxygen coupling to the metal connector on
the device.
• When you hear it click into place, the coupling is correctly
connected to the device.
Oxygen supply
Figure 20: Oxygen coupling for connection to the metal connector on the
device.
18
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4 Switching on and shutting down
4.1 Standby
When your device is connected to the mains power supply, it goes into
standby mode. The screen display shows:
• The date
• The time
• The types of power supply: mains power supply
and built-in
battery
. The arrow points to the type of power supply
currently in use.
Mains power
Date
Built-in battery
Time
Figure 21: Standby screen.
4.2 Starting up
To start up the device:
1. Press and hold the On/Off button
2 seconds.
for
2. The device will start up, then run its self-test.
3. On completion of the self-test, the device will start delivering
therapy.
4.3 Shutting down
To shut down the device, press the
The device will go into standby mode.
button for 2 seconds.
Note: If you disconnect the device from the mains power supply a
continuous alarm will sound. Press the Alarm silence
to confirm that you wish to shut down the device.
button
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19
Switching on and shutting down
20
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5 Cleaning and Maintenance
We recommend that you maintain your device and accessories regularly.
CAUTION
If you use the following accessories:
!
• Mask
• Humidifier
• Antibacterial filter
• Water trap,
follow the instructions provided in the manuals for each
accessory, and the instructions of your physician or HME
provider.
CAUTION
!
Do not use bleach, chlorine, alcohol, or aromatic-based solutions
(including all scented oils), or moisturising or antibacterial soaps.
These solutions may cause hardening and reduce the life of the
plastic components.
Table 2: Frequency of maintenance.
Component
Frequency
Maintenance
Circuit
Weekly.
Follow specific
recommendations from
your HME provider.
Mask
Before first use, then
weekly.
Clean the mask in warm
soapy water, rinse well
and dry thoroughly.
Mask headgear
Monthly.
Wash the headgear in
warm soapy water.
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21
Cleaning and Maintenance
Component
Frequency
Maintenance
Exterior of the
device
Monthly.
Wipe with a damp cloth
and soapy water
Caution: Never place
the device in contact
with liquid.
Anti-dust filter
Monthly.
Pull the filter out of its
housing and replace with
a new filter.
WARNING
!
!
To avoid any risk of electric shock, never immerse the device or
power cable in water. Always unplug the device before cleaning
and be sure that it is dry before plugging it back in.
CAUTION
Do not attempt to open the device casing. Repairs and internal
servicing should only be performed by an authorised service
agent.
22
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6 Troubleshooting
Alarms will alert you to any problems with your device. The instructions
in this section will help you to identify the cause of the problem. If the
fault persists or cannot be identified, do not try to open the device, and
contact your HME provider.
An alarm will activate an audible signal. If you know which alarm has
been triggered, consult the table below, otherwise contact your HME
provider.
Table 3: Table of alarms (not an exhaustive list).
Alarm
Cause
Solution
The mains power cable
has been disconnected.
Reconnect the mains
power cord.
Mains alarm
The external power
supply cable has been
disconnected. This alarm
can only be triggered if
an external battery is
connected to your
device.
Reconnect the external
power supply cable.
External power
supply alarm
The charge level of the
built-in battery is low
(15% or less).
Connect the device to a
mains power supply
without delay to
recharge the built-in
battery.
Low battery alarm
Flat Battery alarm
The built-in battery is flat
(charge level less than
5%).
Recharge the built-in
battery immediately by
connecting the device to
the mains supply.
A component in your
circuit is wrongly
connected or
Reconnect the circuit.
Disconnection
alarm
disconnected.
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23
Troubleshooting
Alarm
Cause
Solution
This alarm also indicates
a wrongly connected or
disconnected circuit.
Reconnect the circuit.
P
Low pressure
alarm (LP)
A component in your
circuit is blocked.
Clean, empty or replace
the components of your
circuit. Contact your
HME if this alarm is
activated too often.
P
High pressure
alarm (HP)
24
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7 Technical Specifications
CE-marked device:
0197
7.1 Dimensions
L = 285 mm
H = 135 mm
D = 204 mm
L: Length
H: Height
D: Depth
7.2 Weight
VS Integra model (red) without battery option
3 kg
VS Ultra model (blue) or VS Integra (battery option)
3.5 kg
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25
Technical Specifications
7.3 Power supply
Mains power
230/100 VAC; 50-60 Hz; 52 VA, 630 mA.
External power supply
26 VDC; 3 A maximum.
Built-in battery (option for VS Integra)
NiMh 24 V; 2.2-2.7 Ah
Battery life of built-in battery (option for VS Integra)
2 – 4 hours, depending on settings.
Extra battery life with external battery (optional accessory)
1.5 – 4 hours, depending on settings.
7.4 Transport
Transport temperature
-10°C to +50°C
Relative humidity
10% to 90%
CAUTION
This device is fragile and must be kept dry.
!
26
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8 Appendix
Travelling with your ventilator
For long journeys it is advisable to carry your device in its travel bag, with
the following accessories:
• The power cable
• The circuit and its accessories
• The mask
• The oxygen coupling (if you use the supplemental oxygen option).
If you use an external battery, place in its travel bag:
• The battery in its holder, and
• The connection cable.
If you intend to travel by air with the device, ask your HME provider about
the required formalities.
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27
Appendix
28
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Index
A
O
alarm silence button 10, 19
oxygen 7, 18
oxygen coupling 9, 18
B
P
battery 12
battery holder 9, 16
battery life 26
built-in battery 12, 19
pressure line 13, 14
S
C
circuit 21
control panel 4, 10
starting up 19
D
date 19
dust filter 11
T
time 19
E
troubleshooting 23
external battery 9, 16
V
F
fastening clip 6, 11
VS Ultra 1, 25
H
W
horizontally-ribbed tube 13
warnings 2
K
keypad 4, 10
L
LED 10
M
mains power 19
maintenance
medical information 1
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Index
29
HME provider references
*N0T014224*
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