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Patient Manual
DreamStar™ Product Range
DreamStar™ Intro
DreamStar™ Info
DreamStar™ Auto
DreamStar™ is a brand registered by SEFAM.
Upgradeable Humidifier Option
DreamStar™ Intro Evolve
DreamStar™ Info Evolve
DreamStar™ Auto Evolve
Table of contents
Before you start ........................................... 3
Safety precautions ............................................ 3
Recommended use ........................................... 4
Contra-indications ............................................. 4
Adverse effects ................................................. 4
Verification of the elements of the system....... 5
Device Description ....................................... 6
Views of the device ........................................... 6
Symbols on the device ...................................... 7
Installation .................................................. 8
Standard installation of the device ................... 8
Installation for use with battery power or
(optional) cigarette-lighter cable ...................... 9
Operation ................................................... 10
Filling the water chamber (if included) ........... 10
Starting Treatment .......................................... 10
Stopping Treatment ........................................ 11
Mask unplugged feature ................................. 11
Accessing the device menu ............................. 11
Available features ........................................... 13
Transporting the device .................................. 14
Using a memory card ...................................... 14
How to set the DreamStar™ Intro / Intro Evolve device ......................................................... 15
Accessing the settings menu ........................... 15
Step 1: Heat level (if the water chamber is included) ......................................................... 15
Step 2: Settings ............................................... 16
Step 3: Set Parameters Display ....................... 16
Step 4: Set Patient Reminders display ............ 16
Step 5: Setting the clock.................................. 17
Step 6: Miscellaneous Settings ....................... 17
How to set the DreamStar™ Info / Info Evolve device ......................................................... 18
Accessing the settings menu ........................... 18
Step 1: Heat level (if the water chamber is included) ......................................................... 18
Step 2: Settings ............................................... 19
Step 3: Set Parameters Display ....................... 19
Step 4: Set Patient Reminders display ............ 20 en GB – 2
Step 5: Setting the clock .................................. 20
Step 6: Miscellaneous Settings ........................ 20
How to set the DreamStar™ Auto / Auto Evolve device ........................................................ 22
Accessing the settings menu ........................... 22
Step 1: Heat level (if the water chamber is included) .......................................................... 22
Step 2: Settings ................................................ 23
Step 3: Set Parameters Display ....................... 24
Step 4: Set Patient Reminders display ............. 25
Step 5: Setting the clock .................................. 25
Step 6: Miscellaneous Settings ........................ 26
Other Information ...................................... 27
General Information ........................................ 27
Reminders about to expire .............................. 28
How to use when adding oxygen (optional) 29
Installation with an oxygen adapter (optional)29
Starting and stopping the treatment .............. 29
Use of the swivel outlet elbow (optional) .... 30
Installation ....................................................... 30
Monthly cleaning ............................................. 30
Cleaning and Maintenance ......................... 31
Daily ................................................................. 31
Weekly ............................................................. 31
Monthly ........................................................... 33
Troubleshooting ......................................... 34
Helpful hints .................................................... 34
Device messages ............................................. 36
Technical characteristics ............................. 37
Performance of the device .............................. 37
Integrated Humidifier performance ................ 37
Operating conditions for the device and humidifier ........................................................ 37
Transportation and storage conditions ........... 38
Device electrical characteristics ...................... 38
Physical characteristics .................................... 38
CE marking....................................................... 38
Standards compliance ..................................... 38
Disposing of the device at the end of its life ... 39
DreamStar Intro, Info, Auto patient manual
Before you start
Please read this manual carefully before using your
DreamStar™
device so that you fully understand the limitations of this device.
Safety precautions
WARNING
This indicates in this manual a risk of injury or accident to you or to
others.
•
The DreamStar™ product range devices cannot be used without a medical prescription. Under no circumstances should you attempt to adjust prescribed settings without agreement of the medical team.
•
Use the device only for the recommended use as described in this manual. Advice contained in this manual should not supersede instructions of your health professional.
•
This device is not intended to provide assistance for vital functions.
•
The DreamStar™ product range devices must only be used with the circuits, masks, fittings and accessories recommended by a physician or provided by your health care provider. Make sure the
‘Directions for Use’ instructions for each accessory are in the package and read them carefully.
• If you suspect that the device or one of its accessories is defective or damaged or not working properly, please contact your health care provider.
•
Do not try to open or modify the device (risk of electric shock). Maintenance of this equipment is to be performed by skilled personnel only. Please contact your health care provider.
•
If necessary, the device can be detached from the electrical network by unplugging the power supply cord. Make sure that the power supply cord is accessible.
• If the device is connected to a base of multiple sockets, then an additional base of multiple sockets or an extension wire should not be connected to the system.
•
During treatment, only equipment provided by your health care provider should be connected to the device USB connector.
•
Place the device on a stable horizontal surface in a clean environment. Do not use the device if it has been set next to or on top of another device.
• Be careful not to obstruct the air outlet, or any other opening of the device or respiratory circuit, either accidentally or intentionally. Do not cover the unit or place it too close to a wall. Do not introduce liquids or objects into the air outlet.
• Please hold the device and the power cord away from any water source (electrocution hazard). Use the device and its accessories (power cords) only if they are dry and in working order.
• Keep the cord away from heated surfaces.
• If supplemental oxygen is to be introduced, carefully follow the instructions and safety precautions for using oxygen.
• Do not use this device near flammable vapors and in particular do not use the integrated heated humidifier near flammable anesthetics, whether they are present alone or in combination with other gases (explosion hazard).
• Once the mask is in place, make sure that the device produces an air flow. Never block the mask exhalation vent, which allows air to be expelled continually. When the device is operating, the air produced flushes the exhaled air out through the mask vent hole. When the device is not operating, insufficient fresh air is produced in the mask, presenting a risk of re-breathing exhaled air, which under certain circumstances could risk patient safety within several minutes.
• If the operation of the unit is defective and if the patient uses a nasal mask, the device resistance is low enough that the patient can exhale through the machine or even open his mouth. If a full face mask is used, the mask must have an anti-asphyxia valve.
• In case of power failure or malfunction, remove the mask.
•
Do not leave long lengths of tubing on the bed. They could twist round your head or your neck while you are sleeping.
• Keep the device away from children and pets or pests.
If your device is equipped with a water chamber:
•
When using the water chamber, take precautions to eliminate the risk of introducing water into the device since this can cause irreversible damage. The device must be placed on a stable horizontal surface and must not be tilted.
DreamStar Intro, Info, Auto patient manual en GB – 3
• The humidifier has a plate that, like the base of the water chamber, may become hot during normal operation. Avoid touching them.
• The water chamber must be cleaned before the first use, after any technical intervention, and regularly thereafter, following the instructions provided under "Cleaning and Maintenance", on page
31.
• Always empty the water chamber before moving or transporting the device.
•
Fill the water chamber away from the device to prevent water from flowing over it.
•
Do not use the device if leakage is detected in the chamber, due for example to the deterioration of the gasket.
•
The heated humidification feature must not be used where the ambient temperature is higher than
35˚C (95˚F) because the temperature of the air delivered to the patient could exceed 43˚C
(109.4°F), which could pose a risk of scalding the upper airways.
•
Adding a humidifier may affect the device performance.
•
There is a risk of air leakage if the water chamber or the cover is not reassembled correctly, which could cause the applied pressure to deviate from the prescribed pressure.
CAUTION
This indicates in this manual that there is a possibility of material damage to this device or any other device.
• If your device is equipped with a cover where the water chamber should be, the heated humidification feature must be disabled. Otherwise, the heating element of the device could continue to provide heat to the device, although it would not reach dangerous temperatures. However, if it is enabled, set the heat level to the minimum value, and alert your home care provider.
•
Be sure to position the device in order to prevent anyone stumbling into or tripping over the power cord.
•
If the device is placed on the ground, ensure it is in a place free from dust, bedding, clothing or other objects that could block air intake.
• Like all medical electrical devices, the DreamStar™ product range device is vulnerable to interference from mobile and portable radiofrequency communication equipment (mobile phones, Wi-Fi…).
Recommended use
The DreamStar™ product range devices are intended to treat patients suffering from Obstructive Sleep
Apnea Syndrome (OSA) in patients over 30 kg (66 lbs.) and breathing spontaneously. They can be used at home or in a sleep center.
Contra-indications
Studies have shown that the use of positive pressure is contra-indicated in some patients with one of the following pre-existing conditions:
•
Severe bullous emphysema or emphysema previously complicated by pneumothorax.
•
Pneumoencephalus, trauma or recent surgery with sequela of cranio-nasopharyngeal fistula.
•
Decompensated cardiac insufficiency or hypotension, particularly in case of decreased blood volume or cardiac arrhythmia.
•
Dehydration.
•
Massive epistaxis or history of massive epistaxis. Acute sinusitis, otitis media, or perforated tympanic membrane.
•
Tracheotomy.
Adverse effects
Please contact your health care professional if while using this DreamStar™ product range device, the following symptoms appear: dry airways or nose, skin sensitivity, runny or bleeding nose, ear pain, discomfort sinus, daytime sleepiness, mood changes, disorientation, irritability or memory loss. en GB – 4 DreamStar Intro, Info, Auto patient manual
Verification of the elements of the system
The DreamStar™ product range device is delivered with the following components:
• carrying case
• tubing
• reusable filter
• cover (optional)
•
•
•
• detachable power supply cord memory card patient manual water chamber (optional)
The DreamStar™ product range devices can be used with the following optional accessories. Contact your home care provider for additional information on available accessories. During use, follow the instructions provided with the accessories.
• battery cable
• filter holder kit
• swivel outlet elbow 70° 22 mm diameter
• cigarette-lighter cable
• optional high-efficiency filter (disposable)
DreamStar Intro, Info, Auto patient manual en GB – 5
Device Description
This DreamStar™ product range device is equipped with custom accessories and includes an integrated electrical power supply.
Views of the device
Figure 1 – Front view
1
2
4
3
5
1 Screen
2 Left control button
3 Right control button
4 Ramp and selection button
5 On/Off button
Figure 2 – View of the right side
Allows viewing the information.
This allows the selection of the symbol displayed at the lower left of the screen.
This allows the selection of the symbol displayed at the lower right of the screen.
Provides access to ramp functions. It is also used to select the next parameter in the displayed menu during the device-settings.
Turns the device on or off. It is used also to exit the device-setting menus.
Figure 3 – Rear view without the water chamber
8
11
9
10
7 6
6 Power port This is where the power cord is connected.
7 External battery port This allows the device to be powered by an external battery or a cigarette-lighter power cable.
Prevent dust in the airflow from entering the device. 8 Air intake filters
9 Heating element The base of the heated humidifier is used to heat the water chamber.
10 Serial cable/USB connector Available on DreamStar™ Info and Auto devices, it is used by your physician or home care provider.
11 Memory card connector Connector into which you can slide the memory card. en GB – 6 DreamStar Intro, Info, Auto patient manual
12
14
15
12
13
12
Outlet connector (indicated by )
13 Water chamber (if included)
14 Cover (if included)
15 Air inlet (indicated by ) maximum fill level for water.
Symbol Description Symbol Description
Class II device.
DC power supply.
0459 medical devices. temperature limit”.
(-4 °F to +140 °F) with care. en GB – 7
15
Installation
Standard installation of the device
The device is delivered with either a cover (configuration A) or with a water chamber (configuration B).
1.
Installation of the cover or the water chamber
A.
Device with cover
Snap the cover onto the base at the rear of the device and tilt the cover forward to lock.
B.
Device with water chamber
Attach the water chamber base to the heating element and tip the water chamber forward to lock it in place.
2.
Connecting the patient circuit
A.
Device with cover
Connect one end of the patient circuit to the outlet connector on the back of the rear cover of the device.
B.
Device with water chamber
Connect one end of the patient circuit to the outlet connector on the top of the water chamber cover.
3.
Prepare the mask according to the instructions provided in the operating instructions that came with the mask. Connect the mask to the other end of the patient circuit.
4.
Plug the end of the power cord into the power input of the device and the other end into the power source. en GB – 8 DreamStar Intro, Info, Auto patient manual
5.
At the first power-on, the screen lights up and displays the language setting screen:
Press the right control button or the left control button times as necessary to display the desired language.
as many
After the language is selected, press the On/Off button to return to the page header, then press this button a second time to exit the menu.
6.
The display shows the time and date. The device is ready to operate.
WARNING
There is a risk of air leakage if the water chamber or the cover is not installed correctly, which could cause the applied pressure to deviate from the prescribed pressure.
Installation for use with battery power or (optional) cigarettelighter cable
The DreamStar™ product range device can be powered by a rechargeable 12 volt optional special battery by connecting the battery cable to the inlet of the external battery of the device (item 7 of Figure 2 page 6).
The device can also be powered from a cigarette-lighter socket using an optional cable specially designed for this purpose. For this configuration, replace Step 4 of the standard installation procedure with the following step:
•
Connect the power cable to the input of the external battery of the device (Item 7 of Figure 2 page 6) and the other end of the cable directly to the cigarette lighter socket.
Continue with steps 4 through 6 of the standard installation procedure.
CAUTION
• Do not use a battery power cable other than the one supplied with the battery.
• Do not connect the battery power cable to a 24 volt cigarette-lighter cable.
• Do not use a 24 volt battery.
• Do not connect to the DreamStar™ product range device a 12-volt power supply plugged in the mains.
Note: When the device is battery-powered, the heated humidification feature (if included) cannot be used and the following screen page is displayed after the settings button has been pressed:
Indicates that the humidifier is not functioning because it under battery power.
DreamStar Intro, Info, Auto patient manual en GB – 9
Operation
Filling the water chamber (if included)
1.
Switch off the device and remove the patient tubing. Press with your fingers at the "Push" marking on the top of the unit to separate the water chamber from the device.
"Push" marking
2.
Tip the tank back and remove the tank from the device.
Water Chamber
3.
Fill the water chamber (through the upper orifice) to the maximum level mark.
4.
Reattach the water chamber to the rear of the device.
CAUTION
• Be careful not to exceed the maximum fill level.
• Do not add any other product to the water in the water chamber.
• Do not use alkaline solution (physiological saline solution).
• Use only room temperature water; do not fill the water chamber with hot or chilled water.
Starting Treatment
1.
Put your mask on as described in the user instructions. If the Auto ON feature has been enabled by your health care provider, the device will start during your first breathings in the mask (except with
DreamStar ™ Intro / Intro Evolve).
2.
Otherwise, to start treatment, press the On/Off button pressure.
. The device screen displays the delivered
3.
If the message “MASK UNPLUGGED" displays on the screen, this means that the mask is not connected properly. Reposition your mask correctly to eliminate the leaks, and press the On/Off button or the ramp button will disappear.
. The device will restore the set pressure and the message "MASK UNPLUGGED"
4.
Lie down and place the tubing so that it can follow your movements while you sleep. en GB – 10 DreamStar Intro, Info, Auto patient manual
5.
The symbols that may be displayed on the screen are summarized in the table entitled "Description of symbols displayed on the screen" on page 12.
6.
If your device includes a water chamber and if the humidification function has been activated, the heated humidifier automatically turns on. You can increase or decrease the heat level by moving the arrow at the bargraph with the right or left parameter settings button, as shown hereafter.
WARNING
Following a power supply interruption, the device will resume the same mode it was in (on/off) before the disconnection.
Stopping Treatment
1.
Remove the mask.
2.
Turn off the DreamStar™ product range device by pressing the On/Off button seconds.
for several
Mask unplugged feature
If you remove your mask, the device automatically switches to low power. The machine will restore normal power when you reconnect your mask or if you press the On/Off button or the ramp button .
Otherwise, the device will stop after 30 minutes. This feature can be used at night if you need to get out of bed.
Accessing the device menu
The four buttons on the front of the device allow you to access the device settings menu, scroll through different pages, or possibly modify the value of certain parameters within these pages.
The parameters are accessible when the machine is in standby or operating mode.
The parameters that are accessible are grouped on several screen pages indicating:
• device settings related to prescribed treatment
• general device settings, such as date and time
• recorded compliance data
• reminders
DreamStar Intro, Info, Auto patient manual en GB – 11
Each screen page includes:
• a first line or page header
• up to 4 parameter lines with associated values
• a final line showing the various symbols used for displayed on the screen").
Symbol Description Symbol Description with heat. can be changed.
Feature enabled.
YES.
C
DreamStar™ Auto / Auto Evolve. recorded.
LEAK en GB – 12
A changed.
NO.
DD/MM/YYYY connected.
For settings specific to the DreamStar™ Intro or DreamStar™ Intro Evolve device, see "How to set the
DreamStar™ Intro / Intro Evolve device", on page 15.
For settings specific to the DreamStar™ Info or DreamStar™ Info Evolve device, see "How to set the
DreamStar™ Info / Info Evolve device", on page 18.
For settings specific to the DreamStar™ Auto or DreamStar™ Auto Evolve device, see "How to set the
DreamStar™ Auto / Auto Evolve device ", on page 22.
The General Information menu for the devices is described on page 27.
Available features
The DreamStar™ Intro and DreamStar™ Info devices (and equivalent in Evolve configuration) operate in continuous mode (CPAP), i.e. the device delivers a constant pressure level throughout the night. The
DreamStar™ Auto or DreamStar™ Auto Evolve device operates in either constant mode (CPAP) or in automatic mode (Auto-CPAP), the device monitors your breathing while you sleep and adjusts the pressure to suit your needs.
The device includes an integrated power supply and can be equipped with a humidification function (Evolve configuration), which can be enabled or disabled by the home care provider.
The patient reminder feature can help you remember events, such as filter and mask changes, device inspections, and memory card compliance data downloads on the memory card. This feature, which is identical on all of devices in the product range, is described under “Reminders about to expire”, on page 28.
Ramp feature
If enabled by your home care provider, the Time Ramp feature (T.Ramp) allows for a gradual rise in pressure to help you fall asleep: the treatment begins at a reduced pressure called comfort pressure, then the pressure increases to treatment pressure. In Auto-CPAP mode, the Ramp feature allows you to delay the commands to raise or lower the pressure.
The Indexed Ramp feature (I.Ramp) available on DreamStar ™ Info / Info Evolve and DreamStar™ Auto / Auto
Evolve allows you also to start your treatment at the comfort pressure, then to have a rise in pressure in
CPAP mode or the activation of the Auto-CPAP as soon as the device starts to detect respiratory events indicating that you are asleep.
Pressure Alter
If it is enabled by the physician or home care provider, this feature provides the option to change the prescribed pressure by
±
1 cmH
2
O.
Note: This feature is only available in CPAP mode.
Comfort Calibration +
The Comfort Calibration + feature (C.C.+) available on DreamStar ™ Info / Info Evolve and DreamStar™ Auto /
Auto Evolve, aims to increase the treatment pressure during inspiration and to decrease it during expiration to make the breathing more comfortable during the treatment. It can be enabled during the ramp or continuously by the physician or home care provider.
DreamStar Intro, Info, Auto patient manual en GB – 13
Transporting the device
Unplug the device and disconnect the accessories from the device. Store them in the carrying case.
DreamStar™ or DreamStar™ Evolve device with cover
You must separate the cover from the device. Detach the cover from the machine by pressing on "Push" at the top of the device. Then, lift the cover back and remove it from the device. Place the cover and the device in the separate compartments of the carrying case.
DreamStar™ Evolve device with water chamber
You must remove the water chamber from the device and drain it. Detach the water chamber from the machine by pressing on "Push" at the top of the device. Then, lift the water chamber back and remove it from the device. Disassemble it by following the instructions under "Cleaning and Maintenance", on page 31 and empty the water chamber completely. Place the chamber and the device in the separate compartments of the carrying case.
CAUTION
To eliminate any risk of introducing water into the device and thereby causing irreversible damage, the water chamber must be completely emptied before moving or transporting the device.
Using a memory card
An external storage medium can be used either to store the most recent compliance data stored in the device, or to update your device's setting parameters. Refer to the instructions given by your home care provider to use this card.
If the device is running, turn it off before you insert the memory card into the memory card connector: the symbol appears to the right of the display header. If this symbol flashes, the card is inserted incorrectly, or inserted upside down, or it is not operational. Reinsert it correctly, and if the symbol is still flashing, contact your home care provider.
Updating Settings
If the care provider has configured the memory card to update the settings of the machine, the device will start automatically when inserting the card into it. Once the update is complete, a message appears asking to remove the card. Remove it. This operation can be performed only once.
Data Backup
Data backup starts automatically when inserting the card into the machine. An indicator allows the progress of the data downloaded to be monitored. Once the data has been recorded, a message displays on the device
"DOWNLOAD FINISHED. REMOVE MEMORY CARD." The memory card can then be given to your home care provider.
Notes:
•
The backup data and update settings functions are only accessible if the device is in standby.
•
If the card is left inside the device, the machine cannot be turned on and no feature can be accessed. en GB – 14 DreamStar Intro, Info, Auto patient manual
device
To access the device settings, press the right control button the screen when the device is in standby only
displayed on
•
The symbol at the bottom of the screen indicates that it is impossible to change the parameters displayed.
•
The symbol at the bottom of the screen indicates that the parameters displayed can be changed: o Select the parameter to change by pressing the ramp button as many times as it is necessary
. o Increase
To return to the page header , press the ramp
.
To move from one settings page to another, select the symbol the right control button control button .
To exit the settings menu, press the or wait 30 seconds.
Note: In the following pages, the values displayed are given by way of example.
by pressing the left your home care provider has enabled the device’s heated humidification feature.
Press
in standby mode.
The page displays: Press to select the setting.
The page changes: Increase or decrease
the parameter value with the right or left parameter settings button.
Press to return to the page header.
Press to move to the next page.
Note: When the device is battery powered, the heated humidification feature cannot be used (see
9). en GB – 15
DreamStar™ Intro / Intro Evolve
Step 2: Settings
This page displays only if the ramp feature and (or) the Pressure Alter feature were activated by the home care provider.
The page displays: Press The page changes: as many times as necessary to access the desired parameter setting.
Increase or decrease the parameter value with the right or left parameter settings button.
Then press menu parameter.
to access the next
Press at the bottom of the page or to return to the page header.
Press to move to the next page.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up.
Ramp time: Time the device takes to reach the prescribed pressure when starting from the comfort pressure.
Set pressure: Level of pressure prescribed, which may be altered by
±
1 cmH
2
O if the Pressure Alter feature has been enabled by your home care provider.
Step 3: Set Parameters Display
The page displays:
Prescribed P.: Level of pressure prescribed by your physician.
Pressure Alter: The home care provider.
symbol shows that the feature has been enabled by the
Max ramp time: Maximum ramp time set by the home care provider.
Press to move to the next page.
Step 4: Set Patient Reminders display
This page displays only if the home care provider has activated a reminder to remind you for example to replace the filter or the mask.
The page displays:
The reminder activation date is shown opposite the corresponding reminder.
en GB – 16 DreamStar Intro, Info, Auto patient manual
DreamStar™ Intro / Intro Evolve
Press to move to the next page.
Step 5: Setting the clock
The time can be set when the device is in standby only.
The page displays: Press The page changes: as many times as necessary to access the desired parameter setting.
Increase or decrease the parameter value with the right or left parameter settings button.
Then press menu parameter.
to access the next
Press at the bottom of the page or to return to the page header.
Press to move to the next page.
Step 6: Miscellaneous Settings
The page displays: Press The page changes: as many times as necessary to access the desired parameter setting.
The language can be selected by successive presses on the left or right parameters settings button.
Then press contrast.
to access the
Increase or decrease the contrast with the right or left parameter settings button.
Press
Press
at the bottom of the page or
to exit the menu.
to return to the page header.
DreamStar Intro, Info, Auto patient manual en GB – 17
To access the device settings, press the right control button the screen when the device is in standby only
displayed on
•
The symbol at the bottom of the screen indicates that it is impossible to change the parameters displayed.
•
The symbol at the bottom of the screen indicates that the parameters displayed can be changed: o Select the parameter to change by pressing the ramp button as many times as it is necessary
. o Increase
To return to the page header , press the
.
To move from one settings page to another, select the symbol the right control button control button .
To exit the settings menu, press the or wait 30 seconds.
Note: In the following pages, the values displayed are given by way of example.
by pressing the left
Press displays only your home care provider has enabled the device’s heated humidification feature.
The page displays: Press The page changes: in standby or operating mode. to select the setting.
Increase or decrease
the parameter value with the right or left parameter settings button.
Press to return to the page header.
Press to move to the next page.
Note: When the device is battery feature cannot be used (see en GB – 18
DreamStar™ Info / Info Evolve device
Step 2: Settings
This page displays only if the ramp feature and (or) the Pressure Alter feature and (or) the Comfort
Calibration + feature were activated by the home care provider.
The page displays: Press The page changes: If the Comfort Calibration (C.C.+) is disabled (OFF), you can enable it (ON) by pressing the left or right parameter settings button. as many times as necessary to access the desired parameter setting.
Then press menu parameter.
to access the next
Increase or decrease the parameter value with the right or left parameter settings button.
Press at the bottom of the page or to return to the page header.
Press to move to the next page.
C.C. + : Comfort Calibration +.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up.
Ramp time: Time the device takes to reach the prescribed pressure from the comfort pressure when the time ramp (T.Ramp) is selected, otherwise this parameter is not displayed.
Pressure: set pressure, level of pressure prescribed, which may be altered by
±
1 cmH
2
O if the Pressure Alter feature has been enabled by your home care provider.
Step 3: Set Parameters Display
The page displays: Prescribed P.: Level of pressure prescribed by your physician.
Ramp type: type of the ramp selected, T.Ramp (time ramp) or I.Ramp (indexed ramp).
Max ramp time: Maximum ramp time set by the home care provider.
C.C. + : Comfort Calibration +. The and has been enabled by the home care provider.
symbols show that the feature
Press to move to the next page.
The page displays:
Pressure Alter: The home care provider.
Press to move to the next page.
DreamStar Intro, Info, Auto patient manual
symbol shows that the feature has been enabled by the en GB – 19
replace the filter or the mask.
The page displays:
The reminder activation date is shown opposite the corresponding reminder.
Press to move to the next page.
The page displays: The page changes:
Increase or decrease the
to access the next
Press
Press to move to the next page.
to return to the page header.
The page displays: The page changes: the feasibility , the language can be
Increase
to access the contrast.
or decrease the
indicates that the Auto en GB – 20
DreamStar™ Info / Info Evolve device
Auto ON : functionality allowing to automatically start the treatment without pressing the On/Off button.
Press
Press
at the bottom of the page or
to exit the menu.
to return to the page header.
DreamStar Intro, Info, Auto patient manual en GB – 21
device
To access the device settings, press the right control button the screen when the device is in standby only
displayed on
•
The symbol at the bottom of the screen indicates that it is impossible to change the parameters displayed.
•
The symbol at the bottom of the screen indicates that the parameters displayed can be changed: o Select the parameter to c the ramp button as many times as it is necessary
. o Increase
To return to the page header , press the ramp
.
To move from one settings page to another, select the symbol the right control button control button .
To exit the settings menu, press the or wait 30 seconds.
Note: In the following pages, the values displayed are given by way of example.
by pressing the left humidification feature.
Press in standby or operating mode.
Press
The page displays: Press to select the setting.
The page changes:
to return to the page header.
Increase or decrease
the parameter value with the right or left parameter settings button.
Press to move to the next page.
Note: When the device is battery powered, the heated humidification feature cannot be used (see en GB – 22
DreamStar™ Auto / Auto Evolve
Step 2: Settings
In CPAP mode
This page displays only if the ramp feature and (or) the Pressure Alter feature and (or) the Comfort
Calibration + feature were activated by the home care provider.
The page displays: Press as many times as necessary to access the desired parameter setting.
The page changes: If the Comfort Calibration (C.C.+) is disabled (OFF), you can enable it (ON).by pressing the left or right parameter settings button.
Press parameter.
to access the next menu
Increase or decrease the parameter value with the right or left parameter settings button.
Press at the bottom of the page or to return to the page header.
Press to move to the next page.
C.C. + : Comfort Calibration +.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up.
Ramp time: Time the device takes to reach the prescribed pressure from the comfort pressure when the time ramp (T.Ramp) is selected, otherwise this parameter is not displayed.
Pressure: set pressure, level of pressure prescribed, which may be altered by
±
1 cmH
2
O if the Pressure Alter feature has been enabled by your home care provider.
In Auto-CPAP mode
This page displays only if the ramp feature and (or) the calibration feature were activated by the home care provider.
The page displays: Press The page changes: If the Comfort Calibration (C.C.+) is disabled (OFF), you can enable it (ON) by pressing the left or right parameter settings button. as many times as necessary to access the desired parameter setting.
Press parameter.
to access the next menu
Increase or decrease the parameter value with the right or left parameter settings button.
Press at the bottom of the page or to return to the page header.
Press to move to the next page.
DreamStar Intro, Info, Auto patient manual en GB – 23
DreamStar™ Auto / Auto Evolve
C.C. + : Comfort Calibration +.
Comfort pressure: Level of pressure produced by the device when the ramp feature starts up or when the device detects that there has been no respiratory cycle for more than 2 minutes.
Ramp time: Time the device takes to enable the Auto-CPAP feature when the time ramp (T.Ramp) is activated, otherwise this parameter is not displayed..
Step 3: Set Parameters Display
In CPAP mode
The page displays: Prescribed P.: Level of pressure prescribed by your physician.
Ramp type: type of the ramp selected, T.Ramp (time ramp) or I.Ramp (indexed ramp).
Max ramp time: Maximum ramp time set by the home care provider.
C.C. + : Comfort Calibration +. The and has been enabled by the home care provider.
symbols show that the feature
Press to move to the next page.
The page displays:
Pressure Alter: The home care provider.
symbol shows that the feature has been enabled by the
Press to move to the next page.
In Auto-CPAP mode
The page displays:
Ramp type: type of the ramp selected, T.Ramp (time ramp) or I.Ramp (indexed ramp).
Max ramp time: Maximum ramp time set by the home care provider.
Min. Pressure: minimum pressure level.
Max. Pressure: maximum pressure level.
Press to move to the next page.
en GB – 24 DreamStar Intro, Info, Auto patient manual
The page displays:
DreamStar™ Auto / Auto Evolve
C.C. + : Comfort Calibration +. The and has been enabled by the home care provider.
symbols show that the feature
Command on IFL: this command raises the pressure if the flow is restricted. The
symbol shows that the the feature has been enabled by the home care provider.
Max. P on apnea: maximum pressure on apnea command.
Pres. decrease: decrease in pressure, either Fast or Slow, set by the home care provider.
Press to move to the next page.
Step 4: Set Patient Reminders display
This page displays only if the home care provider has activated a reminder to remind you for example to replace the filter or the mask.
The page displays:
The reminder activation date is shown opposite the corresponding reminder.
Press to move to the next page.
Step 5: Setting the clock
The time can be set when the device is in standby only.
The page displays: Press The page changes:
Press
Press as many times as necessary to access the desired parameter setting.
at the bottom of the page or
to move to the next page.
Increase or decrease the parameter value with the right or left parameter settings button.
Then press menu parameter.
to access the next
to return to the page header.
DreamStar Intro, Info, Auto patient manual en GB – 25
The page displays: The page changes: the feasibility , the language can be
Increase
to access the contrast.
or decrease the
indicates that the Auto
Auto ON : functionality allowing to automatically start the tre atment without pressing the On/Off button.
Press
Press to exit the menu.
to return to the page header. en GB – 26
General Information
symbol on the screen: the General Information menu appears.
The page displays:
Hour counter: Device operating time.
Total use during which the patient was actually breathing in the
Tot. Session Nbr.
sessions in the device memory.
Press to move to the next page.
The last session is displayed: Date: Date of the last On/Off session.
Total duration: Total duration of the last session.
Usage during which the patient was actually breathing in the
Average pressure: Average pressure delivered during the last session.
Press the On/Off button
Note: The Session page is only available if the device is in standby and if at least one session was recorded.
symbol on the screen: the General Information menu appears.
The page displays:
Hour counter: Device operating time.
Total use during which the patient was actually breathing in the
Press
Tot. Session Nbr.
sessions in the device memory.
to move to the next page.
en GB – 27
The last session is displayed:
Date: Date and start hour of the last On/Off session.
Usage during which the patient was actually breathing in the
Average pressure: Average pressure delivered during the session.
Average leak: Indicates the average leak, displaying OK, +, ++, +++, or ++++.
A.H. index of obstructive apneas and hypopnoeas.
The session date and time are displayed in the upper right of the screen.
The pages for the last 5 sessions can be displayed, from the most current to the oldest.
Press the right control button to access the next page.
Press the On/Off button
Note: The Session page is only available if at least one session was recorded.
in the lower left
.
Pressing the button located opposite the symbol brings up a window with a list o f the reminders involved, as the following example shows.
Press The page displays: Press The page changes:
or NO
with the right or left as many times as necessary to access the desired reminder.
to access the
to return to the page header. Press
Press to exit the menu. en GB – 28
How to use when adding oxygen (optional)
WARNINGS
•
When using oxygen, always follow the instructions of the medical team or home care provider. The source of oxygen should be placed at over one meter of the device.
• Do not smoke in the presence of oxygen.
•
Do not inject oxygen into the device’s air intake.
•
Carefully follow the instructions for starting and stopping treatment.
• If you use an oxygen concentrator or liquid oxygen unit, stop the flow of oxygen when the device is not operating. If the oxygen concentrator remains on when the device is turned off, the oxygen delivered into the patient circuit could accumulate inside the device, creating a fire hazard.
• The maximum flow rate of oxygen must not exceed 12 l/min.
CAUTION
For a given oxygen flow, the concentration of oxygen inhaled varies as a feature of the pressure settings, your breathing, the type of mask used and the leak rate. This precaution applies to most Continuous
Positive Airway Pressure devices.
Installation with an oxygen adapter (optional)
When using an additional oxygen supply, you must use a valve designed to prevent the accumulation of oxygen in the device.
This valve must be installed between the device and the patient circuit.
Refer to manufacturer's instructions for installation, cleaning and maintenance of the valve.
Starting and stopping the treatment
1.
It is essential that the DreamStar™ device be turned on and generate air flow before the oxygen flow is started so that oxygen does not accumulate in the device.
2.
Likewise, you must stop the oxygen flow before turning off the device so that oxygen does not accumulate in the device.
DreamStar Intro, Info, Auto patient manual en GB – 29
Use of the swivel outlet elbow (optional)
The swivel outlet elbow, 70° 22 mm diameter, is an accessory of the DreamStar™ devices, designed to improve the comfort of use of the device to which it is connected.
It consists of a bent tube fitted on a base, and it can swivel around a vertical axis ( ).
Installation
CAUTION
The swivel outlet elbow must be cleaned before the first use by following the instructions of the paragraph hereafter.
To install it, connect the base to the outlet connector of the device and the swivelling bent tube to the end of the patient circuit ( ).
End of the patient circuit
Bent tube
Swivel outlet elbow
Outlet connector
Base
Monthly cleaning
CAUTION
• Do not use strong detergent.
• Do not sterilize.
Detach the swivel outlet elbow from the device and the patient circuit.
Clean the outside of the swivel outlet elbow using a damp tissue (cloth, paper towel) with a little water and one drop of mild detergent.
Eliminate any trace of detergent by repeating this operation with a new tissue (cloth, paper towel) moistened with water only.
Wipe the swivel outlet elbow thoroughly using a dried tissue (cloth, paper towel). en GB – 30 DreamStar Intro, Info, Auto patient manual
Cleaning and Maintenance
WARNING from the device before cleaning them.
CAUTION
• Use for the cleaning material intended for this purpose.
• Do not use strong detergent, abrasive sponge or st
Daily
Water chamber (if included)
1.
Empty the water chamber and rinse it with clean water.
2.
Leave to drip dry out of direct sunlight.
Weekly
Water chamber (if included)
Disassemble the water chamber.
o Remove the water chamber from the device.
o Unlock the cover by pressing the centre tab and rotating it backwards . o Separate the upper part o Empty any water remaining in the chamber.
o To remove the inner tubing
1 : Gently press the clip ( from the locking system ( B ).
2 : Keep the clip held down while gently pulling the tubing towards you upper part.
Grip zone
Upper part
Gasket
Base
A
B
DreamStar Intro, Info, Auto patient manual en GB – 31
Clean the various parts of the water chamber water).
Rinse well with water to eliminate any trace of detergent.
Allow to dry naturally.
Once dry, reassemble the water chamber o Insert the inner tubing into the holes and ensure it is clipped. o Place the upper part on the water chamber base o Fill the water chamber befo
Notes:
•
The different parts of the water chamber may also be washed in a dishwasher (at 60°C maximum for 2 hours).
• organisms, do not allow water in the chamber to stagnate.
Washable filter:
•
Pull the filter holder towards you to remove it
•
Remove the filter from the filter holder
Filter holder Filter holder Filter
Filter holder
•
Wash the filter and the filter holder with warm water and mild detergent (for example one drop of
•
Rinse well to eliminate any trace of detergent.
•
Allow to dry : o Pad the filter dry using a clean absorbent towel, then allow it to dry thoroughly naturally. o Allow the filter holder to dry naturally.
•
Once dry, place the filter into the filter holder, then the assembly at the back of the device. Do not use
•
Reinstall the cover or the water chamber.
en GB – 32
Monthly
Device
•
Clean the outside of the unit using a damp tissue (cloth, paper towel) with a little water and one drop of mild detergent.
•
Eliminate any trace of detergent in repeating this operation with a new tissue (cloth, paper towel) moistened with water only.
•
Wipe the device thoroughly using a dry tissue (cloth, paper towel).
Air intake filters:
•
The high-efficiency filter, which is offered as an option, cannot be washed. It must be changed once a month or more frequently if visibly dirty.
•
Change the filters systematically, as soon as they are torn or soiled or when the device displays a reminder to do so.
Water chamber (if included):
•
After the water chamber has been disassembled and cleaned, you can let it soak for 15 minutes in a solution of 1 part white vinegar to 9 parts water.
•
Rinse well with water to eliminate any trace of vinegar.
•
Allow to dry naturally.
WARNINGS
• Do not use spray detergent. Harmful product residue could enter the air outlet, the air intake filter, or the device interior, causing airway irritation.
• Never use bleach at a concentration higher than 0.1%. For example: pour 200 ml of 2,6 % bleach into
5 liters of cold water.
• Never use the device without making sure that an air intake filter is installed.
• Check that the heating element is completely dry before reconnecting the device to the power supply.
DreamStar Intro, Info, Auto patient manual en GB – 33
Troubleshooting
Helpful hints
Problem Possible cause Suggestion
Your nose is cold.
Runny nose.
Nose or throat is dry or irritated.
Nose, sinus or ear pain. Sinus infection or nasal congestion.
Redness of skin in contact with the mask.
Possible pressure sores indicating the headgear is too tight or the size is too small.
Allergic reaction to mask components.
Dry or irritated eyes.
The air delivered by the device is too hot.
Air leakage around the mask.
Air intake filters may be dirty. Air intake is clogged.
Room temperature is too high.
Discomfort from feeling that the pressure is too high.
The room temperature is too low.
The delivered air is too cold.
Reaction to air flow and to pressure levels.
The air is too dry.
There is no water in the water chamber (if included).
Device pressure.
The DreamStar™ Auto /
Auto Evolve device is set to Auto-CPAP mode.
Raise the room temperature.
Place patient circuit under a cover and run next to your body to reduce heat loss.
Contact your medical technical team or your attending physician.
Use the humidification feature if your device is equipped with a water chamber. Increase the heat level by following the instructions in the parameter settings procedure of the corresponding device.
Check the water level in the water chamber. If necessary, raise the water level following the instructions under “Filling the water chamber (if included)”, on page 10.
Contact the attending physician immediately.
Adjust the headgear. Contact the attending physician or home care provider to try another size mask.
Stop using the mask. Contact the attending physician or home care provider.
Reposition the mask. Ask the attending physician or home care provider to try another size mask.
Clean or replace filters as necessary (see “Cleaning and Maintenance”, on page 31). Move away from all bedclothes and clothing.
Lower the room temperature. Make sure that the
DreamStar product range device is well away from any source of heat. Remove patient circuit from under the cover.
Getting use to the nasal pressure takes some time.
Use the pressure ramp when you go to sleep (see
"Ramp feature”, on page 10). Relax and breathe slowly through the nose.
If the pressure delivered by the device seems to have changed, contact the home care provider to have the device pressure checked.
The pressure may vary during use. If you are dissatisfied with the pressure, ask your home care provider to check the device. en GB – 34 DreamStar Intro, Info, Auto patient manual
Problem Possible cause Suggestion
The device does not display the correct pressure.
The ramp is enabled.
The Pressure Alter feature is enabled in
CPAP mode.
Symptoms of sleep apnea syndrome recur.
The DreamStar™ product range device does not turn on (no display).
The DreamStar™ product range device appears to be experiencing interference and does not work correctly.
Humidifier does not seem to heat water.
The device is not set to the correct pressure or is not operating properly.
Your physical condition or pressure needs may have changed.
The power supply cord is not correctly plugged into the power port.
No power.
The device's internal fuse is defective.
Very high electromagnetic interference.
The heat level is set at 0.
The heating element is defective.
Water spilled into the device.
Excessive droplets of water appear in the patient circuit or in the mask.
The water level in the water chamber (if included) is too high.
A small amount of water droplets are normal, especially during winter months.
Excessive condensation of water vapor.
Confirm that the ramp indicator is displayed. Disable the ramp feature referring to the setting procedure for the device concerned.
Disable the Pressure Alter feature referring to the setting procedure for the device concerned.
Ask your home care provider to check the device operation.
Contact your attending physician.
Check the connections between the device, the power cord, and the power source.
Plug another device (e.g., lamp, radio, etc.) into the power source to confirm that current is available at the source.
Contact your home care provider.
Move the device away from sources of interference, such as halogen lamps, cordless phones, etc.
When the device is battery-powered, the heated humidification feature cannot be used.
Set the heat level between 1 and 10, by following the instructions in the parameter settings procedure of the corresponding device.
Confirm that the heated humidifier indicator is displayed on the screen and is not blinking.
If the indicator is blinking or is not present, contact your home care provider.
Unplug the device and allow it to dry at least 24 hours. Re-apply power and then check for proper operation.
Check that the water level is not above the water chamber maximum fill level; if it is, pour out the excess water.
Adjust the heating power to a lower level by following the instructions of the procedure for setting the corresponding device.
Route the patient circuit under your blanket.
DreamStar Intro, Info, Auto patient manual en GB – 35
Problem
White, powdery deposits appear in the water chamber.
Possible cause
Traces of scale from the tap water.
Suggestion
Rub the traces with a sponge and mild detergent.
Soak the water chamber in a solution of 1 part white vinegar to 9 parts water as described under
“Cleaning and Maintenance”, on page 31. Rinse well with tap water. Dry the exterior with a clean cloth.
Device messages
Code Possible cause Suggestion
MASK UNPLUGGED is displayed on the screen.
The mask is disconnected. Check the connections between the mask, the patient circuit, and the device. This message disappears when you breathe in your mask well reconnected or when the On/Off button or
LEAK : ++ (or +++ or ++++ ) is displayed on the screen.
The device detects a high level of leak. the ramp button is pressed. Otherwise, the device will stop after 30 minutes.
Adjust your mask, mask cushion and/or harness until you have a good mask-fit. The leak level must decrease until the screen displays LEAK : OK .
The symbol blinks alternately with the error code at the center of the display.
The device has detected an operating error.
The symbol blinks alternately with the error code at the center of the humidifier heat level page.
The device has detected a humidifier operating error.
If the error persists, contact your home care provider.
Unplug the device from all sources of electrical power. Plug it in again and turn on.
If the error persists, contact your home care provider.
Unplug the device from all sources of electrical power. Plug it in again and turn on.
If the error persists, contact your home care provider. en GB – 36 DreamStar Intro, Info, Auto patient manual
Technical characteristics
Performance of the device
Device pressure range:
Maximum steady limiting pressure at the patient connection port under single fault condition:
Maximum pressure that can be set:
Ramp duration:
Sound pressure level measured in accordance with
NF EN ISO 17510-1 : 2002:
Sound pressure level measured in accordance with NF EN ISO 17510-1:2009:
Patient-side connection aperture:
Lifetime planned for the device:
Air intake filter efficiency:
4 cmH
2
O to 20 cmH
2
O
Device adjustable in increments of 0.5 cmH
2
O
30 cmH
2
O
20 cmH
2
O
0 to 45 minutes
±
1 minute
Device adjustable in increments of 5 minutes.
26 dBA with humidifier
30 dBA without humidifier
30 dBA with humidifier
33 dBA without humidifier
Conical connector 22 mm diameter
5 years (8 hours per day)
Optional high-efficiency filter.
Disposable fabric HEPA paper, which is 90% effective for particles > 3 microns.
High Density Foam (reusable) and is 90% effective with particles > 20 microns.
Values determined under ATPD (Ambient Temperature and Pressure, Dry) conditions.
Integrated Humidifier performance
Humidification rate:
Heating time:
Pressure loss as a function of flow:
Compliance of the water chamber :
Maximum service pressure:
Maximum gas temperature delivered from patient tubing:
> 10 mg H
2
O/l at the maximum setting for a leak flow < 60 l/min
< 45 minutes
0.59 cmH
2
O at 1 l/sec
0.73 cmH
2
O at 1 l/sec with swivel outlet elbow
14.2 ml/kPa (chamber empty)
12.2 ml/kPa (chamber full)
20 cmH
2
O
43°C (109.4°F)
Values determined under ATPD (Ambient Temperature and Pressure, Dry) conditions.
Operating conditions for the device and humidifier
Pressure range:
Temperature:
Relative humidity:
Altitude range:
730 hPa to 1060 hPa
+5 °C to + 40 °C (41 ºF to 104 ºF) without humidifier
+5° C to + 35 °C (41 ºF to 95 ºF) with humidifier between 10% and 95% without condensation
0
−
2 700 m (0
−
9.000 ft) approximately
DreamStar Intro, Info, Auto patient manual en GB – 37
Transportation and storage conditions
Pressure range:
Temperature:
Relative humidity:
500 hPa to 1060 hPa
-20°C to +60°C (-4 °F to +140 °F)
Up to 95% without condensation
Device electrical characteristics
Universal internal electrical power with the detachable electrical power cord (which varies by country).
Input voltage (auto-ranging):
Maximum power consumption:
100 - 240 VAC (-15%, +10%), at 50 or 60Hz
100VA at maximum setting.*
Current consumed at 20cmH
2
O with a 4mm leak:
DC power supply (13 V)
130 mA eff. at 230 VAC
Voltage range allowed: 13V (-15%, +25%).
*Power consumption is based on the type of model. The DreamStar™ Auto™ Evolve with heated humidification enabled is the highest-consumption device.
Physical characteristics
Dimensions (D x W x H):
Carrying case Dimensions (D x W x H):
Weight:
Operational volume (minimal gas volume in water chamber):
Useful volume of water chamber:
Maximum liquid fill level:
200 x 230 x 120 mm (7.8 x 9.0 x 4.7 in) approximately with water chamber
260 x 350 x 150 mm (10.2 x 13.7 x 5.9 in) approximately
1.5 kg (3.3 lbs) approximately with water chamber
1.4 kg (3.1 lbs) approximately with cover
811 ml
300 ml
Indicated on water chamber
CE marking
DreamStar™ Intro, DreamStar™ Intro Evolve : 2011
DreamStar™ Info, DreamStar™ Info Evolve : 2011
DreamStar™ Auto, DreamStar™ Auto Evolve : 2011.
Standards compliance
Risks pertaining to this medical equipment were assessed in accordance with the ISO 14971:2007 standard, specifically with reference to global residual risk.
The DreamStar™ product range device complies with the following standards.
•
CEI 60601-1:2005 + AC1:2006 + AC2:2007 + Amd1:2012: Medical electrical equipment. Part 1: General requirements for basic safety and essential performance.
•
CEI 60 601-1-2:2007: Medical electrical equipment. Part 1: General requirements for safety. Collateral standard: Electromagnetic compatibility – Requirements and tests.
•
EN ISO 17510-1:2009: Sleep Apnea Breathing Therapy Devices.
•
EN ISO 8185:2009: Respiratory tract humidifiers for medical use -- Particular requirements for respiratory humidification systems.
•
Directive 93/42/EC of the Council concerning medical devices.
•
Directive 2011/65/EU of the European Parliament and of the Council on the restriction of the use of certain hazardous substances in electrical and electronic equipment (RoHS). en GB – 38 DreamStar Intro, Info, Auto patient manual
•
Directive 2012/19/ EU of the European Parliament and of the Council on waste electrical and electronic equipment (WEEE).
Disposing of the device at the end of its life
In European Union this device has to be considered as an electrical and electronic piece of equipment as defined in Directive 2012/19/EU, and must be collected and processed separately from household waste for disposal as indicated by the symbol of the crossed out garbage bin (see "Symbols on the device" page 7).
In other countries, this device must be processed following local regulation.
Unsuitable disposal of the device at the end of its life could harm the environment.
Contact your home care provider.
DreamStar Intro, Info, Auto patient manual en GB – 39
en GB – 40 DreamStar Intro, Info, Auto patient manual
Homecare Provider Information
0459
Manufacturer:
SEFAM
144 AV CHARLES DE GAULLE
92200 NEUILLY SUR SEINE
FRANCE
Manufacturing plant:
SEFAM
10 ALLEE PELLETIER DOISY
54600 VILLERS-LES-NANCY
FRANCE
: M-155DFU00-20 Revision 7
2015-11
Public link updated
The public link to your chat has been updated.
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