ResMed | Ventilation Hood 248551/1 | User's Manual | ResMed Ventilation Hood 248551/1 User's Manual

248551/1 2011-09
Stellar 100
Stellar 150
USER
APAC
Stellar™ 100
Stellar™ 150
Invasive and noninvasive
ventilator
User Guide
English
Manufacturer: ResMed Germany Inc. Fraunhoferstr. 16 82152 Martinsried Germany
Distributed by: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.
ResMed Corp 9001 Spectrum Center Blvd. San Diego, CA 92123 USA.
ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK.
See www.resmed.com for other ResMed locations worldwide.
Protected by patents: AU 2002306200, AU 2002325399, AU 2003204620, AU 2004205275, AU 2004216918, AU 2005200987, AU 2006201573, AU 697652, AU 699726,
AU 713679, AU 731800, AU 737302, AU 739753, AU 746101, AU 756622, AU 757163, AU 759703, AU 773651, AU 779072, CA 2235939, CA 2263126, CA 2266454, CA
2298547, CA 2298553, CN 20020814714.6, CN 200480006230.3, EP 0661071, EP 0858352, EP 0929336, EP 0996358, EP 1005829, EP 1005830, EP 1132106, EP 1175239,
EP 1277435, EP 1687052, JP 3558167, JP 3635097, JP 3638613, JP 3645470, JP 3683182, JP 3730089, JP 3902781, JP 4083154, JP 4597959, JP 4643724, JP 4158958,
JP 4162118, NZ 541914, NZ 546457, NZ 563389, NZ 567617, NZ 577484, US 6152129, US 6213119, US 6240921, US 6279569, US 6484719, US 6532957, US 6553992, US
6575163, US 6644312, US 6659101, US 6688307, US 6755193, US 6810876, US 6840240, US 6845773, US 6945248, US 7089937, US 7137389, US 7255103, US 7367337,
US 7520279, US 7628151, US 7644713, US 7661428. Other patents pending. Protected by design registrations: EU 1768045
ResMed, SmartStart, TiCONTROL, SlimLine, and Stellar are trademarks of ResMed Ltd. ResMed, SmartStart and Stellar are registered in U.S. Patent and Trademark
Office. © 2011 ResMed Ltd
Global leaders in sleep and respiratory medicine
www.resmed.com
Respiratory Care Solutions
Making quality of care easy
Respiratory Care Solutions
Making quality of care easy
Respiratory Care Solutions
Making quality of care easy
Stellar™ 100
Stellar™ 150
User Guide
English
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Indications for use
Contraindications
Adverse effects
1
1
1
Stellar at a glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Patient interface
Humidification
Internal battery
ResMed USB stick
Use on an aircraft
Mobile use
3
3
3
3
3
4
Setting up for noninvasive use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Attaching the H4i heated humidifier for noninvasive use
5
Setting up for invasive use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Working with other optional accessories . . . . . . . . . . . . . . . . . . . . . . . 7
Attaching the pulse oximeter
Adding supplemental oxygen
Starting therapy using oxygen
Stopping therapy using oxygen
Using the FiO2 monitoring sensor
Attaching an antibacterial filter
7
7
8
8
8
9
Stellar basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
About the control panel
LCD screen
10
11
Starting therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Performing a functional test
Starting therapy
Stopping therapy
Turning off the power
Working with alarms
Tailoring treatment setup options
Using mask-fit
11
12
12
13
13
14
14
Using the menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Setup menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Setup menu: Clinical Settings (Mask Type)
Setup menu: Alarm Settings (Alarm Volume)
Setup menu: Options
Setup menu: Configuration Menu
Info menu
16
16
16
17
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Event Summary
Used Hours
Device Information
Reminders
18
18
18
18
Data management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
i
Cleaning and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Daily
Weekly
Monthly
Replacing the air filter
Disinfection
Multipatient use
Servicing
19
20
20
20
20
21
21
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Alarm troubleshooting
Other troubleshooting
21
24
Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Guidance and manufacturer’s declaration – electromagnetic emissions
and immunity
Symbols
28
30
General warnings and cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Limited warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ii
Introduction
Indications for use
The Stellar is intended to provide ventilation for non-dependent, spontaneously breathing
adult and paediatric patients (13 kg and above) with respiratory insufficiency, or respiratory
failure, with or without obstructive sleep apnoea. The device is for noninvasive use, or
invasive use with an uncuffed or deflated tracheostomy.
Users of the device include patients and their caregivers, physicians, nurses, respiratory
therapists and other clinical staff. Operation of the device includes both stationary, such as
in hospital or home, or mobile, such as wheelchair usage.
English
Read the entire manual before using the device. This User Guide is for a non-clinician user,
and does not contain all the information provided in the Clinical Guide.
Contraindications
The Stellar is contraindicated in patients who are unable to endure more than brief
interruptions in ventilation. The Stellar is not a life support ventilator.
If you have any of the following conditions, tell your doctor before using this device:
• pneumothorax or pneumomediastinum
• pathologically low blood pressure, particularly if associated with intravascular volume
depletion
• cerebrospinal fluid leak, recent cranial surgery or trauma
• severe bullous lung disease
• dehydration.
The use of the Stellar or pulse oximetry (including XPOD) is contraindicated in an MRI
environment.
Adverse effects
You should report unusual chest pain, severe headache or increased breathlessness to
your prescribing physician.
The following side effects may arise during the course of noninvasive ventilation with the
device:
• drying of the nose, mouth or throat
• nosebleed
• bloating
• ear or sinus discomfort
• eye irritation
• skin rashes.
Introduction
1
Stellar at a glance
Handle
H4i connector
plug and AC
connection
Air outlet
Oxygen inlet
Infrared connection
for humidifier
Air filter cover
XPOD pulse oximeter connection
FiO2 sensor connection
Data port for USB stick
DC power socket
AC power socket
Power-on/standby switch
Data port for direct PC connection
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 Stellar:
• 3 m air tubing • SlimLine™ air tubing • Clear air tubing (disposable) • H4i™ heated
humidifier • Antibacterial filter • Heat moisture exchanger filter (HMEF) • ResMed XPOD
oximeter • Nonin™ pulse oximetry sensors • FiO2 monitoring kit (external cable, T-piece
adapter) • FiO2 monitoring sensor • Stellar Mobility bag • ResMed leak port • Tubing wrap.
WARNING
The Stellar should only be used with air tubing and accessories recommended by
ResMed. Connection of other air tubing or accessories could result in injury or
damage to the device.
2
ResMed regularly releases new products. Please check the catalogue of ventilation
accessories on our website at www.resmed.com.
Both masks and tracheostomy tubes can be used with Stellar. To set the patient interface
type go to the Setup menu, select Clinical Settings, then Advanced Settings.
For information on using masks, see the mask manual. For a full list of compatible masks
for this device, see the Mask/Device Compatibility List on www.resmed.com on the
Products page under Service & Support. If you do not have internet access, please
contact your ResMed representative.
English
Patient interface
Humidification
A humidifier is recommended especially for patients experiencing dryness of the nose,
throat or mouth. For information on using a humidifier as part of:
• noninvasive ventilation, see “Setting up for noninvasive use” on page 4.
• invasive ventilation, see “Setting up for invasive use” on page 5.
Internal battery
CAUTION
The internal battery must be replaced every two years from the manufacturing date
of the Stellar. Replacement of the internal battery should only be performed by an
authorised service agent.
Note: The battery duration depends on the state of charge, the environmental conditions,
the condition and age of battery, the device settings and the patient circuit configuration.
In case of a mains power disruption, the device will operate using the internal battery if
there is no external battery connected to the device. The internal battery will operate for
approximately two hours under normal conditions (see “Technical specifications” on
page 26). The power status of the battery is displayed on top of the LCD screen. Check the
battery status regularly while operating the device with the internal battery and connect the
device in time to mains power or alternatively to the external battery.
Additionally the Internal battery use alarm will be displayed. Press the Alarm mute button
to clear the alarm.
To recharge the internal battery, connect the device to mains power. It can take up to three
hours to fully recharge the internal battery, however this can vary depending on
environmental conditions and if the device is in use.
Storing
The internal battery has to be discharged and recharged every six months.
1
Remove the power cord while the Stellar is providing therapy and let the device operate
with the internal battery to a charge level of 50%.
2
Reconnect the power cord to the mains power while the device is operating. The internal
battery will be recharged.
Note: If the device is stored for a longer period the internal battery should be at the charge
level of approximately 50% to increase the durability.
ResMed USB stick
A ResMed USB stick may be used with the device either to help the clinician to monitor
your treatment or to provide you with updated device settings. For more information, see
“Data management” on page 19.
Use on an aircraft
ResMed confirms that the Stellar can be used during all phases of air travel without further
testing or approval by the airline operator. See “Technical specifications” on page 26.
Stellar at a glance
3
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. For
extended mobile use, the ResMed Power Station II external power supply unit can be used
as an additional power source. Limitations apply to the use of oxygen with the Stellar
Mobility Bag. For more information, contact your local ResMed representative.
Setting up for noninvasive use
WARNING
•
•
•
•
The air filter cover protects the device in the event of accidental liquid spillage
onto the device. Ensure that the air filter and air filter cover are fitted at all times.
Make sure that all the air inlets at the rear of the device and under the device and
vents at the masks or at the leak port are unobstructed. If you put the device on
the floor, make sure the area is free from dust and clear of bedding, clothes or
other objects that could block the air inlets.
Hoses or tubes must be non-conductive and antistatic.
Do not leave long lengths of the air tubing or the cable for the finger pulse sensor
around the top of your bed. It could twist around your head or neck while you are
sleeping.
CAUTION
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.
Notes:
• ResMed recommends using the AC power cord supplied with the unit. If a replacement
power cord is required, contact your ResMed Service Centre.
• Place the device on a flat surface near the head of the bed.
•
2
3
4
5
1
AC power cord
AC locking clip
1
2
3
4
5
6
7
4
Connect the power cord.
Plug the free end of the power cord into a power outlet.
Attach the H4i heated humidifier to the front of the Stellar.
If the H4i is not in use, and if applicable, connect the antibacterial filter firmly onto the air
outlet of the device (see “Attaching an antibacterial filter” on page 9).
Connect one end of the air tubing firmly onto the air outlet of the H4i.
Connect the mask system to the free end of the air tubing.
Select the mask type (select Setup menu, then Clinical Settings, then Advanced Settings).
Perform Learn Circuit (see “Setup menu: Options” on page 16).
Attaching the H4i heated humidifier for noninvasive use
WARNING
•
•
•
•
•
Always place the H4i on a level surface below the level of the patient to prevent
the mask and tubing from filling with water.
Make sure that the water chamber is empty and thoroughly dried before
transporting the humidifier.
The H4i heated humidifier is not intended for mobile use.
Do not overfill the water chamber, as during use this will cause water to spill into
the air circuit.
For optimal accuracy and synchrony, perform Learn Circuit with a change of the
circuit configuration, in particular when adding or removing high impedance
components (eg, antibacterial filter, external humidifier, water trap, nasal pillow
type mask or air tubing). See “Setup menu: Options” on page 16.
English
Use of the H4i heated humidifier may be recommended by your clinician. For information
on using the H4i, see the H4i user guide.
CAUTION
Check the air circuit for water condensation. Use a water trap or a tubing wrap if
humidification is causing water condensation within the tube.
Notes:
• A humidifier increases resistance in the air circuit and may affect triggering and cycling,
and accuracy of display and delivered pressures. Therefore perform the Learn Circuit
function (see “Setup menu: Options” on page 16). The device adjusts the airflow
resistance.
• The heating feature of the H4i is disabled when the device is not mains powered.
Setting up for invasive use
The Stellar can be used invasively only with the ResMed leak port and an uncuffed or
deflated cuff tracheostomy tube.
WARNING
•
•
•
When using a Heated Moisture Exchange Filter (HMEF), replace the HMEF
regularly as specified in the instructions provided with the HMEF.
The H4i is contraindicated for invasive use. An external humidifier approved for
invasive use is recommended according to EN ISO 8185 with an absolute
humidity of > 33 mg/L.
For optimal accuracy and synchrony, perform Learn Circuit with a change of the
circuit configuration, in particular when adding or removing high impedance
components (eg, antibacterial filter, external humidifier, water trap, nasal pillow
type mask or air tubing). See “Setup menu: Options” on page 16.
CAUTION
When using a humidifier check the breathing system regularly for accumulated
water.
Note: When the mask type is set to Trach, the Non-Vented Mask alarm will be
automatically enabled to alert you when the leak port has no vent holes or when the vent
holes are blocked.
Setting up for invasive use
5
Leak Circuit
configuration
Catheter mount**
ResMed leak port
2
HMEF*
Antibacterial filter
10
5
1
3
6
4
Air tubing
External humidifier*
AC power cord
AC locking clip
1
2
3
4
Connect the power cord.
5
6
7
Connect the air tubing to the external humidifier.
8
9
Perform Learn Circuit (see “Setup menu: Options” on page 16).
Plug the free end of the power cord into a power outlet.
Connect the antibacterial filter firmly onto the air outlet of the device.
Connect the external humidifier to the other side of the antibacterial filter.
*If not using an external humidifier, the HMEF can be connected to the leak port (at step 9).
Connect the leak port to the air tubing.
Select the mask type Trach (select Setup menu, then Clinical Settings, then Advanced
Settings).
If an external humidifier is not being used, you can connect the HMEF to the leak port if
necessary.
10 Connect the catheter mount.
** The leak port or the HMEF can be connected to standardised tracheostomy interfaces
including connector pieces like catheter mounts.
The catheter mount and the external humidifier are not part of the ResMed component.
6
Working with other optional accessories
English
Attaching the pulse oximeter
1
2
Use of a pulse oximeter may be recommended by your clinician.
Contraindication
The pulse oximeter does not meet defibrillation-proof requirement per IEC 60601-1: 1990,
clause 17.h.
1
2
Connect the plug of the finger pulse sensor to the plug of the pulse oximeter.
Connect the plug of the pulse oximeter at the rear of the device.
To view the oximetry values, from the Monitoring menu, select Monitoring.
Adding supplemental oxygen
Oxygen may be prescribed by your clinician.
Note: Up to 30 L/min at maximum oxygen pressure of 50 mbar (0.73 psi) can be added.
WARNING
•
•
•
•
•
•
Oxygen flow must be turned off when the device is not operating, so that unused
oxygen does not accumulate within the device and create a risk of fire.
Use only certified, clean oxygen sources.
ResMed strongly recommends adding oxygen into Stellar’s oxygen inlet at the
rear of the device. Entraining oxygen elsewhere, ie into the breathing system via
a side port or at the mask, has potential to impair triggering and accuracy of
therapy/monitoring and alarms (eg, High Leak alarm, Non-vented mask alarm). If
used in this way, therapy and alarm operation must be verified each time oxygen
flow is adjusted.
Oxygen supports combustion. Oxygen must not be used while smoking or in the
presence of an open flame. Only use oxygen supply in well-ventilated rooms.
The breathing system and the oxygen source must be kept at a minimum
distance of 2 m away from any sources of ignition (eg, electrical devices).
Oxygen must not be used while the device is being operated within the mobility bag.
Working with other optional accessories
7
2
1
Oxygen
supply
1
2
Press spring to release
connection after use
Starting therapy using oxygen
1
2
3
4
Fit the oxygen connector to the oxygen inlet of the device.
Attach the other end of the oxygen supply tubing to the oxygen supply.
Press
to start treatment.
Turn on oxygen.
Stopping therapy using oxygen
1
2
Turn off oxygen.
Press
to stop treatment.
Using the FiO2 monitoring sensor
Use of the FiO2 monitoring sensor may be recommended by your clinician.
CAUTION
Do not use the FiO2 monitoring sensor with the H4i humidifier.
Preparing to use a new sensor
1
2
3
Before use, leave the FiO2 monitoring sensor open to the air for 15 minutes.
Attach a new FiO2 monitoring sensor (as shown below).
Perform the sensor calibration (see “Setup menu” on page 16).
Note: The FiO2 monitoring sensor must be replaced every 12 months.
3
1
8
5
2
4
Connecting a sensor
Connect the air tubing to the T-piece adapter.
Connect the FiO2 monitoring sensor to the T-piece adapter.
Connect the adapter to the air outlet of the device.
Connect one end of the cable to the FiO2 monitoring sensor.
Connect the other end of the cable to the rear of the device.
English
1
2
3
4
5
6
Start calibration (see “Setup menu: Options” on page 16). This should be repeated
periodically at the recommendation of your clinician.
Attaching an antibacterial filter
The use of an antibacterial filter may be recommended by your clinician. One antibacterial
filter—product code 24966—can be purchased separately from ResMed.
Regularly check the filter for entry of moisture or other contaminants. The filter must be
replaced according to the manufacturer‘s specifications.
Note: ResMed recommends using a filter with a low impedance (less than 2 cm H2O at
60 L/min, eg, PALL BB 50 filter).
WARNING
Do not use the antibacterial filter (product code 24966) with the H4i.
1
1
2
3
4
2
Fit the antibacterial filter to the air outlet of the device.
Attach the air tubing to the other side of the filter.
Attach the mask system to the free end of the air tubing.
Perform the Learn Circuit function (see “Setup menu: Options” on page 16). From the
Setup menu, select Options. This enables the device to compensate for the impedance
introduced by the filters.
Working with other optional accessories
9
Stellar basics
About the control panel
Mains Power LED
LCD Screen
On when operating on
mains power.
External power supply
LED
On when external battery is
connected.
Internal battery LED
On when internal battery is in
use. Flashes when device is
turned off and battery is
charging.
Setup menu
Alarm LED
Info menu
Monitoring menu
Red or yellow during an
alarm or during alarm
testing.
Push dial (rotate/
click)
Alarm mute button LED
On when
is pressed.
Therapy LED
On during treatment.
Flashes during maskfitting operation.
Start/stop button
10
Key
Function
Start/Stop
• Starts or stops treatment.
• Extended hold for at least three seconds starts the
mask­fitting feature.
Alarm mute
• During therapy: Press once to mute an alarm. Press a
second time to un-mute an alarm. If the problem is still
present, the alarm will sound again after two minutes.
See “Working with alarms” on page 13.
• In stand-by mode: Extended hold for at least three
seconds starts the alarm LED and alarm buzzer test.
Menu keys
Press the appropriate menu button (Monitoring, Setup, Info)
to enter and scroll through the relevant menu.
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 or confirm your choice.
LCD screen
The LCD screen displays the menus, monitoring screens and alarm status.
ResMed USB stick
Mains power
External power supply
Internal battery
Title bar
Ramp time
Program
Therapy mode
English
Warm-up feature H4i
Patient mode or
Clinical mode
Current screen/number of
screens within the menu
Settings
Scroll bar
Therapy status bar
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 also check other
provided User Instructions for troubleshooting information.
1
2
Turn off the device by pressing the power switch
3
Check the circuit configuration.
Check the integrity of the circuit configuration (device and provided accessories) according
to the setup descriptions in this User Guide and that all connections are secure.
4
Turn on the device and check alarms.
Press the power switch
at the back of the device once to turn on the device.
Check that the alarm sounds a test beep and the LEDs (visual indicator) for the alarm signal
and the Alarm mute button flash. The device is ready for use when the Treatment screen
is displayed. If the display shows the Reminder page, follow the instructions, then press
to display the Treatment screen.
5
Check batteries.
Disconnect the device from the mains and external battery (if in use) so that the device is
powered by the internal battery. Check that the Battery use alarm is displayed and the
battery LED is on.
Note: If the charge state of the internal battery is too low, or if the battery is empty, an
alarm occurs. See the Alarm troubleshooting section on page 21 for further information.
at the back of the device.
Check condition of device and accessories.
Inspect the device and all the provided accessories. If there are any visible defects, the
system should not be used.
Reconnect the external battery (if in use) and check that the LED for the external power
supply is lit. The External DC power use alarm will be displayed and the Alarm LED will light.
Reconnect the device to the mains.
6
Check H4i heated humidifier (if in use).
Check that the warm-up feature is displayed in the Treatment screen. Start the warm-up
feature. Check that the humidifier warm-up symbol is displayed on top of the screen.
Starting therapy
11
Warm-up humidifier
You can use the warm-up feature to pre-heat
the water in the humidifier prior to starting
treatment. The humidifier will be automatically
detected when the device is turned on. The
Treatment 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.
For more information, see the H4i User Guide.
Note: The H4i in heating mode can only be used
when the device is connected to mains supply.
7
Check the FiO2 monitoring sensor (if in use).
Start the FiO2 sensor calibration. Select Setup menu, then Options (see “Setup menu:
Options” on page 16). Follow the instructions on the display.
8
Check pulse oximeter (if in use).
Attach the accessories according to the setup descriptions (see “Attaching the pulse
oximeter” on page 7). From the Monitoring menu page go to the Monitoring screen. Check
that the values for SpO2 and Heart rate are displayed.
9
Check oxygen connection (if in use).
Attach the accessories according to the setup descriptions (see “Adding supplemental
oxygen” on page 7).
Starting therapy
CAUTION
The Clinical mode
is only for clinicians. If the device is operating in clinical mode
press the power switch
to re-start the device in patient mode
.
1
2
Fit your patient interface (mask or catheter mount) as described in the user instructions.
3
To start treatment, press
or if the SmartStart/Stop function is enabled, simply breathe
into your patient interface and treatment will begin.
Lie down and arrange the air tubing so that it is free to move if you turn in your sleep or
arrange the tubing so it is comfortable in your wheelchair.
Stopping therapy
You can stop therapy at any time, simply remove the patient interface and press
to stop
airflow or if SmartStart/Stop is enabled, simply remove the patient interface, and treatment
will stop automatically.
Notes:
• SmartStop may not work if Full face or Trach is selected as mask type; the High Leak
alarm or the Low Min Vent alarm is enabled; “Confirm Therapy Stop“ is enabled; or the
mask-fitting feature is running.
• When the device is stopped and operating in standby mode with an integrated
humidifier connected, it will continue to blow air gently to assist cooling of the
humidifier’s heater plate.
• Masks with high resistance (eg, paediatric masks) may cause the operation of the
SmartStop feature to be restricted.
• When using with oxygen, turn off oxygen flow before stopping therapy.
12
Turning off the power
Stop the therapy.
Press the power switch
at the back of the device once and follow the instructions on
the display.
Note: To disconnect the device from the mains power pull out the power cord from the
power socket.
English
1
2
Working with alarms
WARNING
This device is not intended to be used for vital signs monitoring. If vital signs
monitoring is required, a dedicated device should be used for this purpose.
This device is fitted with alarms to alert you to changes that will affect your treatment.
Alarm message
Alarm LED
Alarm mute key
Alarm messages are displayed along the top of the screen. High priority alarms are
displayed in red, medium priority alarms in yellow and low priority alarms in light blue. The
Alarm LED lights red during high priority alarms and yellow during medium and low priority
alarms.
The alarm volume can be set Low, Medium or High. From the Setup menu, select Alarm
Settings. After the set value has been confirmed, the alarm will sound and the alarm LED
lights.
Alarm settings, see “Setup menu: Alarm Settings (Alarm Volume)” on page 16.
You can mute an alarm by pressing
once. By pressing the Alarm mute key again, the
alarm sounds again. When an alarm is muted, the Alarm mute key LED will light constantly.
For a high or medium priority alarm, if after two minutes the problem is still present, the
alarm will sound again. Any active low priority alarm will be permanently muted and the
Internal Battery Use alarm will be cleared until the alarm condition is fulfilled again.
Starting therapy
13
Tailoring treatment setup options
Setting Ramp
Ramp time
Ramp time is a feature that can be enabled
by your clinician by setting a maximum ramp
time. Designed to make the beginning of
treatment more comfortable, ramp time is
the period during which the pressure
increases from a low start pressure to the
treatment pressure. See “Setup menu:
Options” on page 16.
Programs
Program
If the Clinician has selected both, ie, dual,
you can choose the program to use on the
Treatment screen. If only a single program is
selected, the option does not display.
Using mask-fit
You can use mask-fit to help you fit your mask properly. This feature delivers constant
treatment pressure for a three-minute period, prior to starting treatment, during which you
can check and adjust your mask-fit to minimise leaks. The mask-fit pressure is the set
CPAP or EPAP pressure or 10 cm H2O, whichever is greater.
1
2
3
14
Put the mask on according to the mask user guide.
Hold down
for at least three seconds until pressure delivery starts.
If necessary adjust the mask, mask cushion and headgear until you have a good mask fit.
After three minutes treatment will begin. Mask-fit can be stopped at any time by pressing .
Notes:
• Press
for at least three seconds during mask-fit to start the treatment immediately.
• The mask-fitting feature is disabled when the mask type Trach is selected.
The device has three menus (Monitoring, Setup, Info) accessed by the equivalent buttons
on the right of the LCD screen. In each menu there are screens that display settings, device
or therapy information.
MONITORING
Treatment
SETUP
INFO
Clinical Settings
Event Summary
Monitoring
Pressure / Flow
English
Using the menus
Leak
Alarm Settings
Min Vent/Resp Rate
or MV/Va (iVAPS
Mode)
Minute Ventilation
Tidal Volume
Options
Respiratory Rate
Leak
I:E Ratio
Tidal Volume
Pressure Support
Synchronisation
AHI
Oximetry
SpO2
Used Hours
Device Information
Reminder
Note: iVAPS mode is only available in Stellar 150.
Using the menus
15
Setup menu
Setup menu: Clinical Settings (Mask Type)
1
2
Press
to display the Clinical Settings screen.
Use the push dial
Settings screen.
to scroll through the menu and change the Mask Type in the Advanced
Mask type options: Nasal, Ultra, Pillow, Full Face, Trach, Pediatric.
Note: When Mask Type is set to Trach or Full Face the Non-Vented Mask alarm
automatically turns on.
For a full list of compatible masks for this device, see the Mask/Device Compatibility List
on www.resmed.com on the Products page under Service & Support. If you do not have
internet access, please contact your ResMed representative.
Setup menu: Alarm Settings (Alarm Volume)
1
2
Press
to display the Alarm Settings screen.
Use the push dial
medium or high.
to scroll through the menu and change the Alarm Volume to low,
Setup menu: Options
1
2
16
Press
to display the Options screen.
Use the push dial
to scroll through the menu and change parameters (see descriptions
in the table below).
Description
Learn Circuit
The device is calibrated according to your air tubing system.
1. If in use, turn off the oxygen flow.
2. Select the mask type.
3. Set up the air circuit including accessories and patient interface.
Note: For invasive use, do not connect a catheter mount,
tracheostomy tube or HMEF, see “Setting up for invasive use”
on page 5).
4. Leave the air circuit unobstructed and open to the air.
5. Press
to start the Learn Circuit.
6. Wait for the device to complete its automated tests (<30 sec).
The results are displayed when complete. If the circuit
displays. If
configuration has been successfully learnt,
unsuccessful,
displays (see “Troubleshooting” on page 21).
FiO2 Sensor
Calibration
The device starts the calibration of the FiO2 monitoring sensor to
measure the oxygen concentration of the breathable air.
1. Press
to start the FiO2 sensor calibration.
2. Wait for the device to complete its calibration.
The results are displayed when complete.
Note: Turn off the oxygen flow.
Ramp Time
If Max Ramp Time has been set by the clinician, you may select any
value up to this time.
Options: 0 min-Max Ramp Time (max 45 minutes, 5 minutes
increments)
English
Parameter
Setup menu: Configuration Menu
Parameter
Description
Language
Sets the display language.
Options: Depending on regional configuration
Brightness
Sets the LCD backlight brightness.
Options: 20-100%, 10% increments
Backlight
Enables the LCD and keypad backlight.
If the AUTO setting is selected the backlight turns dark after five
minutes without any actions and turns on again if any button is
pressed again or an alarm occurs.
Options: On, Auto
Time format
Sets the time format.
Options: 24 hrs,12 hrs
Date format
Sets the date format.
Options: dd/mm/yyyy, mm/dd/yyyy
To return to the Options screen press the Return button
Setup menu
17
Info menu
Event Summary
Event summary displays the summary of three
types of events: changes in settings, alarms and
system events (eg, connection of ResMed USB
stick). There are up to 200 events of each type,
displayed in chronological order, with the most
recent event displayed at the top by default.
Used Hours
Used Hours during the last seven days of
treatment are displayed in a bar graph and can be
compared to the data of the last 365 days.
Device Information
This screen shows the serial number (displayed
as Device SN), software version and other
component versions. Data on this screen may be
requested for servicing or as part of problemsolving by a technician.
Reminders
The Clinician uses the Reminders menu to alert
you to specific events; for example, when to
replace the mask, when to replace the filter and
so on. The reminder appears in yellow as the date
approaches (within 10% of the reminder period).
The reminder also displays on the startup screen.
You can clear a reminder message by selecting
‘Reset’, which clears the current reminder date
to OFF, or displays the next pre-set Reminder
date.
18
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 stored on it or read from it to be
used with ResMed software applications.
WARNING
Do not connect any device to the data ports other than specially designed devices
recommended by ResMed. Connection of other devices could result in injury, or
damage to the Stellar (see “General warnings and cautions” on page 30).
English
Data management
CAUTION
Do not disconnect the ResMed USB stick while data transfer is in progress. Otherwise
loss of data or incorrect data may result. The download time depends on the data
volume.
Notes:
• You cannot connect two ResMed USB sticks simultaneously for data communication.
• If data transfer is not possible or failed please read the troubleshooting section.
• Do not store files on the USB stick other than those created by the device or
application. Unknown files may be lost during data transfer.
1
Plug the ResMed USB stick to one of the two USB connections on the rear side of the
device.
The first dialogue for the USB data transfer is displayed automatically on the LCD. The device
checks if there is enough memory capacity on the USB stick and if readable data is available.
2
Select one of the available options
• Read settings
The settings will be transfered from the connected ResMed USB stick to the Stellar.
• Write settings
Settings of the device will be stored on the ResMed USB stick.
• Write settings and loggings
Settings and loggings of the device will be stored on the ResMed USB stick.
• Cancel
3
Confirm the data transfer.
Cleaning and maintenance
The cleaning and maintenance described in this section should be carried out regularly.
This also helps to prevent the risk of cross contamination. Refer to the mask, humidifier
and other accessories user guide for detailed instructions for care and maintenance.
WARNING
•
•
Beware of electric shock. Do not immerse the device, pulse oximeter or power
cord in water. Turn off the device, unplug the power cord from the power socket
and the device before cleaning and be sure that it is dry before reconnecting.
The mask system and air tubing are subject to normal wear and tear. Inspect
them regularly for damage.
CAUTION
The device cannot be sterilised.
Daily
Disconnect the air tubing from the device (and humidifier, if used) and hang it in a clean,
dry place until next use.
CAUTION
Do not hang the air tubing in direct sunlight as the tubing may harden over time and
eventually crack.
Data management
19
Weekly
1
2
3
4
Remove the air tubing from the device and the patient interface.
Wash the air tubing in warm water using mild detergent.
Rinse thoroughly, hang and allow to dry.
Reconnect the air tubing to the air outlet and patient interface.
CAUTION
Do not use bleach, chlorine, alcohol or aromatic-based solutions (including all
scented oils), moisturising or antibacterial soaps to clean the air tubing or the device.
These solutions may cause hardening and reduce the life of the product.
Monthly
1
Wipe the exterior of the device and the pulse oximeter (if used) with a damp cloth and mild
detergent.
2
Check the air filter to check if it is blocked by dirt or contains holes.
Replacing the air filter
Replace the air filter every six months (or more often if necessary).
WARNING
Do not wash the air filter. The air filter is not washable or reusable
1
2
3
4
Remove the air filter cover from the back of the device.
Remove and discard the old air filter.
Insert a new air filter.
Refit the air filter cover.
.
Air filter
Air filter cover
Disinfection
Disinfection of your device helps to prevent the risk of cross contamination.
Disinfect the exterior of the device, and especially the air outlet, with a damp cloth and a
disinfection solution (eg, Microzid).
20
Multipatient use
An antibacterial filter is mandatory if the device is used on multiple patients.
In a mulitpatient use environment, you must perform the following before the device is
provided to a new patient:
Air filter and the
antibacterial filter
Replace.
Mask
Reprocess; Cleaning, disinfection and sterilisation
instructions are available from the ResMed website,
www.resmed.com/masks/sterilization. If you do not have
Internet access, please contact your ResMed representative.
Air tubing
Replace the air tubing. Alternatively, consult the air tubing
instructions for cleaning and disinfection information.
Device
Disinfect the Stellar as follows:
1. Apply undiluted mikrozid® AF or CaviCide® liquid to a
clean non-dyed disposable cloth.
2. Wipe all surfaces of the device, including the air outlet;
avoid liquid entering any openings in the device.
3. Leave the disinfectant to work for five minutes.
4. Wipe residual disinfectant from the device with a clean,
dry non-dyed disposable cloth.
Humidifier
As instructions for humidifiers vary, see the user guide for
the humidifier in use.
English
WARNING
Servicing
CAUTION
Inspection and repair should only be performed by an authorised agent. Under no
circumstances should you attempt to open, service or repair the device yourself.
This product should be inspected by an authorised ResMed service centre five years from
the date of manufacture, except for the internal battery which must be replaced every two
years from the manufacturing date of the device. Prior to this, the device is intended to
provide safe and reliable operation provided that it is operated and maintained in
accordance with the instructions provided by ResMed. Applicable ResMed warranty
details are provided with the device at the time of original supply. Of course, as with all
electrical devices, if any irregularity becomes apparent, you should exercise caution and
have the device inspected by an authorised ResMed service centre.
Troubleshooting
If there is a problem, try the following suggestions. If a problem cannot be solved, contact
ResMed.
Alarm troubleshooting
The most common reason for an alarm to sound is because the system has not been
properly assembled. Check that the air tubing has been properly attached to the device and
patient interface (and humidifier if used).
Notes:
• The alarm log and alarm settings are maintained when the device is powered down and
in the event of a power loss.
• If multiple alarms are active simultaneously, the alarm with the highest priority will be
displayed first.
• If an alarm activates repeatedly, discontinue use and return the device for servicing.
Troubleshooting
21
Problem / possible cause
Action
LCD: Internal Battery Empty!
The remaining battery charge is below
15%.The device can be powered by the
internal battery for maximum 2 minutes.
Connect the device to mains power.
Note: In case of a total power failure, the
therapy settings will be stored and therapy
will resume when the device is powered
again.
LCD: System Failure!
Component failure.
The device stops delivering air pressure
(system failure 6, 7, 9, 22, 38). Therapy
cannot be started (system failure 21).
1. Power-off the device.
2. Power-on the device again.
Component failure (system failure 8, 25).
1. Power-off the device.
2. Power-on the device again.
LCD: Over Pressure!
The device generates a pressure that is
greater than 60 cm H2O. Treatment will
be stopped.
1. Power-off the device.
2. Check that the air tubing is connected
properly.
3. Power-on the device again.
4. Start Learn Circuit function.
Note: If the alarm activates repeatedly
internal components may be defective.
Discontinue use and return the device for
servicing.
LCD: Blocked Tube!
Air path is blocked.
1. Check the air path for any blockages.
2. Remove the blockages.
3. If the alarm is not cleared, stop
treatment.
4. Re-start treatment.
LCD: High Temperature [10, 11, 12, 13]!
The temperature inside the device is too
high. Treatment may lead to stop.
Ensure the ambient temperature is within
the specified operating range. If the
problem persists within the specified
operating conditions please return the
device for servicing.
Contact your clinician.
LCD: High Pressure!
Therapy pressure exceeds pre-set alarm
level.
1. Stop treatment.
2. Re-start treatment.
If the problem persists contact your
clinician.
LCD: Low Pressure!
The air tubing is not connected properly.
22
1. Check the air circuit integrity and
reconnect.
2. If the alarm doesn‘t get cleared, stop
treatment.
3. Re-start treatment.
Problem / possible cause
Action
The air tubing is not connected properly
to the humidifier or the device.
1. Check that the air tubing is connected
properly to the humidifier or the
device.
2. If the alarm is not cleared, stop
treatment.
3. Re-start treatment.
English
LCD: Circuit disconnected!
LCD: Low Minute Ventilation!
Minute ventilation level has dropped
below the alarm setting level.
Contact your clinician.
LCD: Low Respiratory Rate!, High Respiratory Rate!
The respiratory rate level has dropped
below or has exceeded the alarm setting
level.
Contact your clinician.
LCD: High Leak!
High mask leak for more than 20
seconds.
• Adjust the mask to minimise leak (see
“Using mask-fit” on page 14).
• Check the air circuit integrity and
reconnect.
• If the problem persists contact your
clinician.
LCD: Non-Vented Mask!
• Connection of a non-vented mask.
• Mask vents may be blocked.
• ResMed leak port is missing or vent is
blocked.
• Ensure the mask has vents.
• Ensure the mask vents are not
blocked.
• Ensure the leak port is installed and
that the vent is not blocked.
• Ensure oxygen (if in use) has only been
connected at the rear of the device.
• If the problem persists contact your
clinician.
LCD: Apnoea!
The device detects an apnoea that has
exceeded the pre-set alarm level.
• Breathe normally to disable the alarm.
• If the problem persists contact your
clinician.
LCD: Internal Battery Low!
The internal battery capacity is below
30%.
Connect the device to mains power.
LCD: Low SpO2!
SpO2 has dropped below pre-set alarm
level.
• Check the attachment of the sensor.
• If the problem persists contact your
clinician.
LCD: SpO2 finger sensor failure!
The finger sensor is not connected
properly or delivers faulty values.
Check if the finger sensor is attached
properly to the finger and connection to
the pulse oximeter.
LCD: Xpod oximeter disconnected!
The pulse oximeter is disconnected.
Check if the pulse oximeter is connected
properly to the device.
Troubleshooting
23
Problem / possible cause
Action
LCD: Low FiO2 Level!
FiO2 has dropped below the pre-set
alarm level.
• Perform FiO2 sensor calibration.
• If the problem persists contact your
clinician.
LCD: High FiO2 Level!
FiO2 has exceeded the pre-set alarm
level.
• Perform FiO2 sensor calibration.
• If the problem persists contact your
clinician.
LCD: Keypad Failure!
One of the keys was held down for more
than 10 seconds or got stuck.
Remove any blockages from the keypad.
LCD: Attention High Temp [42, 43, 44, 45]!
The temperature inside the device is
high.
Ensure the ambient temperature
conditions are within the specified
operating range.
LCD: Internal Battery Use!
The device is using the internal battery.
Check if the power cord is properly
connected to the device if you want to
run from mains power.
Press the Alarm mute button
to cancel
the alarm.
LCD: External DC Power Use!
The device is powered by an external
battery.
Check if the AC power cord is properly
connected to the device if you want to
run from mains power.
Note: The alarm will be cleared
automatically after one minute.
Other troubleshooting
Problem / possible cause
Solution
No display
Power failure. The device stops delivering
air pressure.
Remove the mask or the catheter mount
from the tracheostomy tube until power
is restored.
Power not connected or device is not
switched on.
Ensure the power cord is connected and
press the switch at the back of the device
once.
Treatment pressure seems low
24
Ramp time is in use.
Wait for air pressure to build up.
Air filter is dirty.
Replace air filter.
Air tubing is kinked or punctured.
Straighten or replace tubing.
Air tubing is not connected properly.
Connect the air tubing firmly at both
ends.
Mask and headgear not positioned
correctly.
Adjust position of mask and headgear.
Plug(s) missing from access port(s) on
mask.
Replace plug(s).
Solution
Pressure required for treatment may
have changed.
See your clinician to adjust the pressure.
There is a large impedance (eg,
antibacterial filter) in the air circuit.
Perfom the Learn circuit function.
Humidifier control dial set too high,
resulting in accumulation of water in the
air tubing.
Turn humidifier control down and empty
the water from the air tubing.
English
Problem / possible cause
Treatment pressure seems high
Pressure required for treatment may
have changed.
Consult your clinician.
There is a change in the impedance in the
circuit configurations.
Perform the Learn Circuit function.
The device does not start when you breathe into the mask
SmartStart/Stop not on.
Consult your clinician.
Breath is not deep enough to trigger
SmartStart.
Take a deep breath in and out through the
mask.
There is excessive leak.
Adjust position of mask and headgear.
Plug(s) missing from port(s) on mask.
Replace plug(s).
Air tubing is not connected properly.
Connect firmly at both ends.
Air tubing is kinked or punctured.
Straighten or replace tubing.
There is a large impedance (eg,
antibacterial filter) in the air circuit.
Perform the Learn circuit function.
The device does not stop when you remove your mask
SmartStart/Stop is disabled.
Consult your clinician.
Use of a full face mask or tracheostomy
tube.
SmartStart is disabled if Full face mask or
Trach is selected as interface.
Incompatible accessories (eg, humidifier
or mask system) with high resistance
being used.
Use only equipment as recommended
and supplied by ResMed.
High Leak Alarm or Low Min Vent alarms
are set to ON.
Consult your clinician.
“Confirm Stop” is enabled.
Consult your clinician.
High Leak Alarm is enabled, but alarm does not activate when the mask
is removed during treatment
Incompatible air delivery system being
used.
Use only equipment as recommended
and supplied by ResMed.
Pressure settings are too low for the air
delivery components being used.
Perform the Learn circuit function to
adjust the therapy pressure according to
your air tubing system.
Learn Circuit failed
• The circuit configuration is
inappropriate as the impedance
detected is too high.
• Too many components have been
included or the impedance of
accessories in use is above ResMed’s
recommendation, eg, type of filter,
external humidifier, air tubing.
Review the components included in the
circuit configuration and adjust as
appropriate, then rerun Learn Circuit (see
“Setup menu” on page 16).
Troubleshooting
25
Problem / possible cause
Solution
The delivered airflow is not humid/heated although the H4i humidifier is
in use
The humidifier is not properly attached.
Correctly attach the humidifier.
The humidifier does not heat.
The device is currently powered by
battery use or not connected to the
mains.
The humidifier does not work.
Return the device and the humidifier for
servicing.
The water chamber is empty.
Fill the water chamber of the humidifier.
USB stick is not readable or writeable
The USB stick contains unreadable data,
does not have enough space available, is
not compatible with the device.
Consult your clinician.
USB stick is defective.
Replace the USB stick after consulting
your clinician.
FiO2 sensor calibration failure
FiO2 sensor is not attached properly.
For the correct attachment of the FiO2
sensor, see “Using the FiO2 monitoring
sensor” on page 8.
FiO2 sensor is used or defective.
If the lifetime of the FiO2 sensor has
exceeded one year please replace the
FiO2 sensor and start calibration again.
LCD:
is displayed in the header
Battery is not charging.
• Ensure the ambient temperature
conditions are within the specified
operating range. If the problem persists
within the specified operating conditions
please return the device for servicing.
• Power-off the device. Power-on the
device again.
Technical specifications
26
Operating pressure
range
• IPAP: 2 cm H2O to 40 cm H2O (in S, ST, T, PAC mode)
• PS: 0 cm H2O to 38 cm H2O (in S, ST, T, PAC mode)
• EPAP: 2 cm H2O to 25 cm H2O (in S, ST, T, iVAPS, PAC
mode)
• CPAP: 4 cm H2O to 20 cm H2O (in CPAP mode only)
• Min PS: 0 cm H2O to 20 cm H2O (in iVAPS mode)
• Max PS: 0 cm H2O to 30 cm H2O (in iVAPS mode)
Note: iVAPS mode is only available in Stellar 150.
Maximum single fault
pressure
60 cm H2O (in all modes)
Breathing resistance
under single fault
2 cm H2O at 30 L/min;
7.2 cm H2O at 60 L/min
Maximum flow
> 200 L/min at 20 cm H2O
Flow accuracy
± 6 L/min or 20% measured value, whichever is greater
Test condition: T mode, IPAP: 40 cm H2O, EPAP:
2 cm H2O, Rise Time: MIN, Fall Time: MIN, Ti: 4.0 sec,
Respiratory Rate: 10 bpm, with ResMed calibration cap.
IPAP: ± 0.5 cm H2O ± 10% of set pressure (end of
inspiration)
EPAP/PEEP: ± 0.5 cm H2O ± 4% of set pressure
CPAP: ± 0.5 cm H2O ± 10% of set pressure
Test condition: T mode, IPAP: 40 cm H2O, EPAP: 2 cm
H2O, Rise Time: MIN, Fall Time: MIN, Ti: 4.0 sec,
Respiratory Rate: 10 bpm, with ResMed calibration cap.
Sound pressure level
29 dBA as measured according to ISO 17510 – 1:2002.
32 dBA with uncertainty of 3 dBA as measured according
to ISO 17510 – 1:2007.
Alarm Volume Range
> 45 dBA - < 85 dBA at 1 meter (3 steps: low, medium, high)
Dimensions (L x W x H)
230 mm x 170 mm x 120 mm
Weight
2.1 kg
Air outlet
22 mm taper, compatible with ISO 5356-1:2004
Anaesthetic & Respiratory Equipment - Conical
Connectors
Pressure measurement
Internally mounted pressure transducer
Flow measurement
Internally mounted flow transducer
Power supply
AC 100–240V, 50–60Hz, 2.2 A, max. 65 W
External DC Power
Supply
24 V, 3 A
Internal Battery
Lithium-Ion battery, 14.4 V, 1.6 Ah, 23 Wh
Operating hours: 2 h with a new battery under normal
conditions (see below).
Patient type: home chronic; pressure: IPAP/EPAP 15/5
cm H2O; mask type: Ultra Mirage; air tubing: 2 m; leak:
0; respiratory rate: 20 bpm; battery capacity: 100%
Patient type: hospital acute; pressure: IPAP/EPAP 20/5
cm H2O; mask type: Ultra Mirage; air tubing: 2 m; leak:
0; respiratory rate: 45 bpm; battery capacity: 100%
Housing construction
Flame retardant engineering thermoplastic
Environmental
conditions
• Operating temperature: 0°C to 35°C
• Operating humidity: 10%–95% non-condensing
• Storage and transport temperature: -20°C to 60°C
(+50°C*)
• Storage and transport humidity: 10%–95% noncondensing
• Air pressure: 1,100hPa to 680hPa; Altitude: 3,500 m
*NONIN XPOD
Electromagnetic
compatibility
Product complies with all applicable electromagnetic
compatibility requirements (EMC) according to
IEC60601-1-2, for residential, commercial, and light
industry environments. For further details see “Guidance
and manufacturer’s declaration – electromagnetic
emissions and immunity” on page 28.
Air filter
Electro static fibre mesh with TPE frame structure. Bacterial
filtration efficiency of 99.540% on area weight 100g/m².
Air tubing
Flexible plastic, 2 m or 3 m length (22 mm diameter)
SlimLine air tubing
Flexible plastic, 1.83 m length (15 mm diameter)
Technical specifications
English
Therapy pressure
tolerance
27
IEC 60601-1
classifications
• Class II (Clause 3.14—double insulation). This
adherence means the need for an protective earthing
(ie, an earthed plug) is not necessary.
• Type BF
• Continuous operation
Air travel requirements
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 Stellar meets RTCA/
DO-160 requirements.
This device is not suitable for use in the presence of a flammable anesthetic mixture.
Notes:
• The manufacturer reserves the right to change these specifications without notice.
• Pressure may be displayed in cm H2O or hPa.
Guidance and manufacturer’s declaration – electromagnetic
emissions and immunity
Medical Electrical Equipment needs special precautions regarding EMC and needs to be
installed and put into service according to EMC information provided in this document.
Guidance and manufacturer’s declaration – electromagnetic emissions
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the
device should assure that it is used in such an environment.
Emissions test
Compliance
Electromagnetic environment - guidance
RF emissions CISPR11
Group 1
The device uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not
likely to cause any interference in nearby electronic
equipment.
RF emissions CISPR 11
Class B
Harmonic Emissions
IEC 61000-3-2
Class A
The device is suitable for use in all establishments,
including domestic establishments and those directly
connected to the public low-voltage network that
supplies buildings used for domestic purposes.
Voltage Fluctuations/Flicker
Emissions IEC 61000-3-3
Complies
Warnings: The device should not be used adjacent to or stacked with other equipment.
If adjacent or stacked use is necessary, the device should be observed to verify normal operation in the
configuration in which it will be used.
The use of accessories (eg, humidifiers) other than those specified in this manual is not recommended. They may
result in increased emissions or decreased immunity of the device.
Guidance and manufacturer’s declaration – electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the
device should assure that it is used in such an environment.
IEC60601-1-2 test
level
Compliance level
Electromagnetic environment –guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete or ceramic tile.
If floors are covered with synthetic material, the
relative humidity should be at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±2 kV
Mains power quality should be that of a typical
commercial or hospital environment.
±1 kV for input/output
lines
±1 kV
±1 kV differential
mode
±1 kV differential
mode
±2 kV common mode
±2 kV common
mode
Immunity test
Surge IEC
61000-4-5
28
Mains power quality should be that of a typical
commercial or hospital environment.
Power
frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
<5% Ut (>95% dip in
Ut) for 0.5 cycle
< 12 V (>95% dip in
240V) for 0.5 cycle
40% Ut (60% dip in
Ut) for 5 cycles
96 V (60% dip in
240 V) for 5 cycles
70% Ut (30% dip in
Ut) for 25 cycles
168 V (30% dip in
240 V) for 25 cycles
<5% Ut (>95% dip in
Ut) for 5 sec
<12 V (>95% dip in
240 V) for 5 sec
3 A/m
3 A/m
Mains power quality should be that of a typical
commercial or hospital environment.
If the user of the device requires continued
operation during power mains interruptions, it is
recommended that the device be powered from
an uninterruptible power source.
English
Voltage dips,
short
interruptions
and voltage
variations on
power supply
input lines
IEC 61000-4-11
Power frequency magnetic fields should be at
levels characteristic of a typical location in a
typical commercial or hospital environment.
Portable and mobile RF communications
equipment should be used no closer to any part
of the device, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance:
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
3 Vrms
d = 1.17 √P
Radiated RF
IEC 61000-4-3
10 V/m
80 MHz to 2.5 GHz
3 V/m
d = 0.35 √P 80 MHz to 800 MHz
d = 0.70 √P 800 MHz to 2.5 GHz
where P is the maximum output power rating of
the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of
equipment marked with the following symbol:
NOTE 1: Ut is the AC mains voltage prior to application of the test level.
NOTE 2: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 3: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the device is used exceeds the applicable RF compliance level above, the device
should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the device.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m.
Recommended separation distances between portable and mobile RF communications equipment and the
device
The device is intended for use in an environment in which radiated RF disturbances are controlled. The customer or
the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the device as recommended below, according
to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter (m)
Rated maximum output
power of transmitter (W)
150 kHz to 80 MHz
d = 1.17 √P
80 MHz to 800 MHz
d = 0.35 √P
800 MHz to 2.5 GHz
d = 0.7 √P
0.01
0.17
0.04
0.07
0.1
0.37
0.11
0.22
1
1.17
0.35
0.7
Technical specifications
29
10
3.69
1.11
2.21
100
11.70
3.50
7.0
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Symbols
Follow instructions for use;
Class II equipment;
Type BF equipment;
IP31 Device is protected against solid foreign objects of 2.5 mm diameter and greater and
vertically falling water drops;
Caution;
Standby or preparatory state for a part of
Connection for oxygen supply; max 30 l/min (max 30 L/min);
equipment;
Data
CE labeling in accordance with EC directive 93/42/EEC, class II b;
port;
+ 60 °C
+ 140 °F
- 20 °C
- 4 °F
Temperature limitation for storage and transport;
humidity;
Keep dry;
Serial number;
away from sunlight;
Manufacturer;
Batch code;
Handle with care;
Upside;
Catalogue number;
Do not re-use;
Do not use if package is damaged;
Maximum
Use by date;
LATEX
Keep
Latex-free
Environmental information This device must be disposed of in accordance with the laws
and regulations of the country in which disposal occurs.
The crossed-out wheeled bin symbol
indicates that the product bearing this symbol
may not be disposed of together with general household waste, but instead requires
separate disposal. This requirement for separate disposal is based on the European
Directive 2002/96/EC for electrical and electronic equipment, and the European Directive
2006/66/EC for batteries. You can hand in the product at a municipal collection point, for
example. This reduces the impact on natural resources and prevents contamination of the
environment through the release of hazardous substances.
Batteries containing more than 0.0005 percent of mercury by mass, more than 0.002
percent of cadmium by mass or more than 0.004 percent of lead by mass are marked
below the crossed-bin symbol with the chemical symbols (Hg, Cd, Pb) of the metals for
which the limit is exceeded.
For further information regarding product disposal, please contact your local ResMed office
or your specialist distributor, or visit our website at www.resmed.com.
Dispose of used air filters and air tubings according to the directives in your country.
General warnings and cautions
WARNINGS
A warning alerts you to possible injury.
• Read the entire manual before using the device.
• This device should only be used with air tubing and accessories recommended by
ResMed or the prescribing clinician. Use of incorrect air tubing and accessories may
affect the functioning of this device.
• The device and the accessories are to be used for the specified intended use only.
30
•
•
•
•
•
•
•
The device must only be used with masks (and connectors1) recommended by
ResMed, or by a clinician or respiratory therapist. A mask should not be used unless
the device is turned on and operating properly. The vent hole or holes associated with
the mask should never be blocked.
Explanation: The Stellar is intended to be used with special masks (or connectors1)
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 Positive Airway Pressure devices.
In the event of power failure2 or machine malfunction, remove the mask or the
catheter mount from the tracheostomy tube.
Explosion hazard – do not use in the vicinity of flammable anesthetics.
Do not use the device if there are obvious external defects, unexplained changes in
performance.
Only use orignal and approved ResMed accessories and parts.
Use only accessories from the original package. If the packaging is damaged, the
respective product must not be used, and should be disposed along with the packaging.
Before using the device and the accessories for the first time, ensure that all
components are in a proper condition and that their operational safety is guaranteed. If
there are any defects, the system should not be used.
Additional equipment connected to medical electrical equipment must comply with the
respective IEC or ISO standards (eg, IEC 60950 for data processing equipment).
Furthermore all configurations shall comply with the requirements for medical electrical
systems (see IEC 60601-1-1 or clause 16 of the 3Ed. of IEC 60601-1, respectively).
Anybody connecting additional equipment to medical electrical equipment configures a
medical system and is therefore responsible that the system complies with the
requirements for medical electrical systems. Attention is drawn to the fact that local
laws take priority over the above mentioned requirements. If in doubt, consult your local
representative or the technical service department.
English
•
CAUTIONS
A caution explains special measures for the safe and effective use of the device.
• When using accessories, read the manufacturer’s User Manual. For consumables
important information can be provided on the packaging, see also symbols on page 30.
• At low pressures, the flow through the mask vent holes may be inadequate to clear all
exhaled gas, and some rebreathing may occur.
• The device may not be exposed to excessive force.
• If the device should fall accidentally on the ground, please contact your authorised
service agent.
• Pay attention to leaks and other unusual sounds. If there is a problem, contact an
authorised service agent.
Notes:
A note advises to special product features.
• The above are general warnings and cautions. Further specific warnings, cautions and
notes appear next to the relevant instructions in the user guide.
• Only trained and authorised personnel are allowed to make clinical setting changes.
1 Ports may be incorporated into the mask or in connectors that are near the mask.
2 During partial (below rated minimum voltage) or total power failure, therapy pressures will not be
delivered. When power is restored, operation can be proceeded with no change to settings.
General warnings and cautions
31
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)—excluding single-use devices
• Accessories—excluding single-use devices
• Flex-type finger pulse sensors
• Humidifier water tubs
90 days
• Batteries for use in ResMed internal and external battery
systems
6 months
•
•
•
•
•
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
• CPAP, bilevel and ventilation devices (including external
power supply units)
• Battery accessories
• Portable diagnostic/screening devices
1 year
2 years
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
organization that has not been expressly authorized by ResMed to perform such repairs;
c) any damage or contamination due to cigarette, pipe, cigar or other smoke; 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.
R001-325/2 09 09
32
248551/1 2011-09
Stellar 100
Stellar 150
USER
APAC
Stellar™ 100
Stellar™ 150
Invasive and noninvasive
ventilator
User Guide
English • 简体中文 • 繁體中文
Manufacturer: ResMed Germany Inc. Fraunhoferstr. 16 82152 Martinsried Germany
Distributed by: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.
ResMed Corp 9001 Spectrum Center Blvd. San Diego, CA 92123 USA.
ResMed (UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK.
See www.resmed.com for other ResMed locations worldwide.
Protected by patents: AU 2002306200, AU 2002325399, AU 2003204620, AU 2004205275, AU 2004216918, AU 2005200987, AU 2006201573, AU 697652, AU 699726,
AU 713679, AU 731800, AU 737302, AU 739753, AU 746101, AU 756622, AU 757163, AU 759703, AU 773651, AU 779072, CA 2235939, CA 2263126, CA 2266454, CA
2298547, CA 2298553, CN 20020814714.6, CN 200480006230.3, EP 0661071, EP 0858352, EP 0929336, EP 0996358, EP 1005829, EP 1005830, EP 1132106, EP 1175239,
EP 1277435, EP 1687052, JP 3558167, JP 3635097, JP 3638613, JP 3645470, JP 3683182, JP 3730089, JP 3902781, JP 4083154, JP 4597959, JP 4643724, JP 4158958,
JP 4162118, NZ 541914, NZ 546457, NZ 563389, NZ 567617, NZ 577484, US 6152129, US 6213119, US 6240921, US 6279569, US 6484719, US 6532957, US 6553992, US
6575163, US 6644312, US 6659101, US 6688307, US 6755193, US 6810876, US 6840240, US 6845773, US 6945248, US 7089937, US 7137389, US 7255103, US 7367337,
US 7520279, US 7628151, US 7644713, US 7661428. Other patents pending. Protected by design registrations: EU 1768045
ResMed, SmartStart, TiCONTROL, SlimLine, and Stellar are trademarks of ResMed Ltd. ResMed, SmartStart and Stellar are registered in U.S. Patent and Trademark
Office. © 2011 ResMed Ltd
Global leaders in sleep and respiratory medicine
www.resmed.com
Respiratory Care Solutions
Making quality of care easy
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