278074 Astral QSG ROW Eng Ref.indd 1
Quick setup guide
English
31/03/2014 12:58:33 PM
278074 Astral QSG ROW Eng Ref.indd 2 31/03/2014 12:58:33 PM
The Astral device
1
2
3
4 5 6 7 8
1. Adapter port
Can be fitted with single limb adapter, single limb leak adapter or double limb adapter
(Astral 150 only)
2. Handle
3. Inspiratory port (to patient)
4. Ethernet connector
(service use only)
5. USB connector
(for download to ResScan)
6. Mini USB connector
(service use only)
7. DC power inlet
8. Device on/off push button
9. SpO2 Sensor connector
10. Remote alarm five pin connector
11. Low flow oxygen input
(up to 30L/min)
12. Air inlet
(complete with hypoallergenic filter)
12 11 10 9
278074 Astral QSG ROW Eng Ref.indd 1
1
31/03/2014 12:58:39 PM
11
10
The Astral device interface
Touch screen
1 2
5 4
1
3
9 8 7
2
3
1. Touch screen
2. Power source indicators
AC (mains power supply)
DC (external battery or car accessory adapter)
Internal battery
3. Therapy on/off indicator
Device ready
Constant green display when the device is turned on but not ventilating.
Device ventilating
Flashes blue when the device is ventilating and the Ventilation
LED setting is ‘ON’.
Otherwise is ‘OFF’
4. Alarm mute/reset button
Illuminates when an alarm is triggered and flashes when the sound is muted.
5. Alarm bar
4 5 1. Clinical mode access button
Locked Unlocked
6
2. Manual breath button only shown if enabled
3. Information bar
4. Internal battery indicator
5. Lock touch screen button
6. Menu bar
7. Bottom bar
8. button
Start ventilation button
9. Main screen
Stop ventilation
10. Sub menus
11. Pressure bar
2
278074 Astral QSG ROW Eng Ref.indd 2 31/03/2014 12:58:44 PM
Patient circuits
The Astral device supports single and double limb circuits with the use of interchangeable circuit adapters.
Breathing circuits may be of 10, 15 or 22 mm diameter.
There are three circuit adapters:
Adapter
1. Single limb leak
For use with
Single limb circuit with intentional leak
2. Single limb
3. Double limb
(Astral 150 only)
Single limb circuit with expiratory valve (expiratory valve integrated into the circuit)
Double limb circuit
(expiratory valve integrated into the adapter) OR single limb circuit with intentional leak
Fitting the circuit adapter
Before connecting the patient circuit, the adapter specific to the required circuit type must be fitted.
To fit the adapter:
1 2
3 4
1. Turn over the device and place on a soft surface
(to protect the LCD screen).
2. Press and hold the eject button. Pull the cover out towards you.
3. Lift the adapter out of the socket.
4. Replace with the new adapter, ensuring it sits firmly in the socket.
5. Place the cover over the enclosure, ensuring the runners on the device and the cover are aligned.
Slide the cover back into place until the latch clicks.
5
278074 Astral QSG ROW Eng Ref.indd 3
3
31/03/2014 12:59:00 PM
Setting up the circuit
For complete details on setting up the circuit see Assembling patient circuits in the Astral Clinical Guide.
Single limb circuit with intentional leak Single limb circuit with expiratory valve using
ResMed proprietary circuit
Single limb circuit with expiratory valve using standard circuit
Double limb circuit (Astral 150 only)
Performing a Learn Circuit
To patient
Do not connect patient interfaces prior to performing the Learn Circuit.
1. From the Setup menu, select the Circuit sub menu.
2. Press Start and follow the on-screen prompts.
A test result screen is displayed if any of the tests fail, otherwise the Learn Circuit function has been successfully completed and you will be returned to the main settings page.
4
278074 Astral QSG ROW Eng Ref.indd 4 31/03/2014 12:59:20 PM
Powering on the device
To power on the device, simply press the green power on/off switch at the back of the device. The device will perform a system check.
On completion of the system check, the
Patient Home screen and active program is displayed.
If more than one program displays, the active program will be highlighted orange.
Note: Settings configured in the active program will be used when ventilation is started.
Accessing Clinical mode
278074 Astral QSG ROW Eng Ref.indd 5
To access Clinical mode:
Clinical mode can be accessed from any screen, whether or not the Astral device is ventilating.
1. From the patient home screen, press and hold for 3 seconds.
2. Select 20 minutes or Unlimited.
The padlock is unlocked and the Main
Settings screen is displayed.
To exit Clinical mode:
1. Press . The Exit Clinical Mode screen is displayed.
2. Press Confirm . The padlock is locked and the Patient Home screen is displayed.
Note: If you do not make a selection within 7 seconds, the device returns to the previous screen.
5
31/03/2014 12:59:24 PM
Using the Setup assistant
To quickly set up the Astral device and start ventilation for a new patient, use the Setup assistant.
1. Access Clinical mode.
2. From the Menu bar, press .
3. Select Setup Assistant and press Start.
4. A warning message will display. Select
Continue.
5. Select the patient type to automatically configure alarm and setting ranges.
6. Select the circuit type to be connected.
7. Select Start to run the Learn Circuit.
8. Follow the on-screen prompts to attach and test the circuit.
9. Select your required ventilation mode.
The default settings for the mode are displayed
10. Review and adjust the settings as required.
11. Press to start ventilation.
For further information on adjusting setting parameters and alarm settings, see
Adjusting patient settings and Adjusting alarm settings in the Astral Clinical Guide.
6
278074 Astral QSG ROW Eng Ref.indd 6 31/03/2014 12:59:26 PM
Navigating the menus
Monitors
Setup
Alarms
Information
278074 Astral QSG ROW Eng Ref.indd 7
Waveforms The Waveforms screen displays the last 15 seconds of patient airway pressure and flow in a graph. The graph updates in real-time.
Monitoring The Monitoring screen displays all measured parameters in numerical form.
Trends
Programs*
Setup
Assistant*
Circuit
Settings
Data
Transfer
Device
Config.
Alarms 1
Alarms 2
Alarms 3
Apnoea
Response
Alarm
Volume
Events
Device
Main Settings
Manual Breath
Transfer Data
Import / Export
Display
Date / Time
Units / Option
Reset
Tidal Volume (Vt)
Minute Ventilation (Mv)
Respiratory Rate
Pressure
Low PEEP
Ventilation Stop
Leak
Non-vented Mask (NV Mask)
FiO
2
SpO
2
Pulse
Apnoea Response
Apnoea Definition
Alarm Level
Alarm Test
Alarms
Settings
System
Information
*Available in Clinical mode only
7
31/03/2014 12:59:27 PM
Alarms
When an alarm is activated, the Astral device provides both audible and visual alerts, and displays an alarm message in the Alarm display on the Information bar.
1
2
Indicator
1. Alarm display
Description
Displays either the alarm message for the highest priority active alarm, or the last alarm not yet reset.
Press the Alarm display for further alarm information.
Certain conditions may result in multiple alarms.
indicates that there are multiple active alarms.
5 4 3
Alarm priority Alarm bar
High
Audible alert
Red flashing light 10 beeps every
5 seconds
Medium
Low
Yellow flashing light
Yellow steady
3 beeps every
15 seconds
2 beeps every
25 seconds
2. Active
Alarms screen
Press when displayed to view all active alarms and respond appropriately. Alarms are displayed in order of priority.
Displays the full set of active alarms. Will automatically display upon activation of an alarm in patient mode.
3. Information menu
Some alarms clear automatically. To view a history of alarms, view the alarm log through the Information menu.
4. Alarm mute/reset button
5. Alarm bar
State:
• no light – no active alarms
• steady light – active alarm/s
• flashing light – alarm mute on.
This button also allows you to:
• mute the audible alert
• reset the currently displayed alarm (if permitted).
Indicates the priority of the alarm in the Alarm display.
8
278074 Astral QSG ROW Eng Ref.indd 8 31/03/2014 12:59:31 PM
Attaching a humidifier
Attaching a Heat Moisture Exchange (HME)
1. Connect a length of air tubing to the inspiratory port of the device.
2. Connect the other end of the air tubing to the inlet port of the humidifier.
3. Connect the patient circuit to the outlet port on the humidifier.
Note: Monitor the air tubing for water condensation during initial use. A water trap can help if high humidification is causing water condensation in the tubing.
An HME can be used with the Astral device with a double limb circuit or single limb circuit with integrated valve.
Place the HME between the patient end of the circuit and the patient interface.
Do not connect patient interfaces prior to performing the Learn Circuit.
Attaching an antibacterial filter
1. Fit the antibacterial filter to the inspiratory port of the device.
2. Connect the air tubing to the other side of the filter.
3. Perform the Learn Circuit function.
4. Attach the patient interface to the free end of the air tubing.
For complete details on attaching patient circuit accessories, see Accessories in the Astral Clinical Guide.
For a full list of accessories, see the Ventilation accessories guide on www.resmed.com. If you do not have internet access, please contact your ResMed representative.
278074 Astral QSG ROW Eng Ref.indd 9
9
31/03/2014 12:59:41 PM
ResMed Ltd
ResMed Ltd 1 Elizabeth Macarthur
Drive Bella Vista NSW 2153 Australia
DistRibutoR:
ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA
ResMed (UK) Ltd 96 Jubilee Ave Milton Park Abingdon Oxfordshire OX14 4RW UK
See www.resmed.com for other ResMed locations worldwide. For patent information, see www.resmed.com/ip.
Astral is a trademark of ResMed Paris SAS. © 2013 ResMed Ltd. 278074/6 2014-03
ResMed.com
278074 Astral QSG ROW Eng Ref.indd 10 31/03/2014 12:59:42 PM
