Everest 2 CPAP System User Manual

Manufacturer
and
AEIOMed, Inc.
1313 5th Street SE, Suite 205
Minneapolis, MN 55414 USA
Phone:
Toll Free:
Fax:
612.455.0550
866.722.2507
612.455.0551
Revision Record
Integrated
CPAP System
Patient Manual
Everest® and Everest ®2 Integrated CPAP System
Patient Manual 101011 Rev B
E2PM
Revised: 06-2007
© 2007 AEIOMed, Inc., Minneapolis, MN USA
All rights reserved.
AEIOMed®, Everest® and HeadRest® are registered trademarks
of AEIOMed, Inc.
DataRest™ is a trademark of AEIOMed, Inc.
NOTICE: The information contained in this document is
subject to change without notice.
Contents
Precautions for Use......................................................................1
Inspecting the CPAP Components...............................................5
Standard User Modes ..............................................................7
Buttons .....................................................................................7
Powering the Everest CPAP Device ............................................8
Using AC Line Power...............................................................8
Using the Optional Battery Pack ..............................................9
Using the Optional Battery Pack and AC Line Power............10
Checking the Battery Pack’s Capacity...................................11
Changing Battery Cells ..........................................................12
Using the Optional Mobile Adapter ........................................13
Using the Optional Battery Pack and Mobile Adapter ...........14
Starting Therapy.........................................................................16
Humidifier Preheat (Optional Step)........................................21
Turning on the Blower............................................................22
Stopping Therapy...................................................................25
Adjusting Patient Settings ..........................................................26
Accessing Patient Settings ....................................................26
Therapy Session Information .................................................28
Cleaning Instructions..................................................................30
Specifications .............................................................................32
Manufacturer’s Declaration ........................................................34
Limited Warranty ........................................................................37
Troubleshooting..........................................................................39
Appendix 1: Reorder Numbers...................................................41
Precautions for Use
This section describes the contraindications, warnings, and
cautions associated with use of the Everest® Integrated CPAP
System. The following guidelines apply to this document:
WARNING
CAUTION
NOTE
•
•
•
Indicates the possibility of serious injury or
death to yourself or others.
•
Indicates the possibility of minor injury or
damage to the equipment.
Indicates a tip or feature to aid efficient
operation of the device.
•
•
Indications for Use
The Everest and Everest 2 Integrated CPAP Systems are
intended for the therapy of adults over 66 pounds (30 kg) with
Obstructive Sleep Apnea (OSA). The devices deliver continuous
positive airway pressure (CPAP), which prevents the collapse of
the upper airway, thereby preventing obstructions that can
interfere with spontaneous breathing.
NOTE:
•
•
•
•
Unless otherwise specified, references to
“Everest” throughout this manual refer to both
the Everest and Everest 2 Integrated CPAP
Systems.
•
•
1
2
Warning
Caution: Federal law (United States) restricts this device to sale
by or on the order of a physician.
This device is not intended for life support.
The Everest®2 Integrated CPAP System must be set up and
adjusted by a trained CPAP provider before it can be used for
therapy.
When operating properly, the CPAP system flushes out
exhaled air through the vent in the patient interface. Exhaled
air could be re-breathed if the CPAP blower is off, not
operating properly, or the vent is blocked. Re-breathing
exhaled air for longer than several minutes can, in some
circumstances, lead to suffocation.
The air temperature produced by this device can be as much
as 10ºF higher than the temperature of the room. Exercise
caution if the room temperature is warmer than 90ºF (32ºC).
In ambient temperatures greater than 95ºF (35ºC), the CPAP
unit must be placed at least 5 feet (1.5m) away from the user.
Do not block or otherwise obstruct the exhalation ports of
the patient interface. Follow the Patient Interface
Instructions for your interface.
This equipment is not suitable for use in the presence of a
flammable anesthetic mixture with air or with oxygen or
nitrous oxide.
Emptying and cleaning the humidifier reservoir daily will help
to prevent mold and bacteria growth.
Use of accessories or a humidifier other than defined in this
manual is potentially unsafe.
The CPAP system is only to be used with the supplied and
recommended accessories. Use of accessories not
recommended may result in increased emissions or decreased
immunity of the CPAP system.
The CPAP system should not be used adjacent to or stacked
with other equipment. If adjacent or stacked use is necessary,
the CPAP system should be observed to verify normal
operation.
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Oxygen Use Warnings
If oxygen is used with this device, the oxygen flow must be
turned off when the device is not in operation.
Turn the device on before turning oxygen on. This will prevent
oxygen from accumulating in the device.
Do not inject oxygen through the air inlet of the device.
At a fixed flow rate of supplemental oxygen, inhaled oxygen
concentration will vary depending on the pressure settings,
patient breathing patterns, mask selection, and leak rate.
Caution
Do not sterilize the CPAP system.
Power the CPAP system only from the AEIOMed® supplied
power supply, optional battery pack, or mobile power supply.
Reference Appendix 1 for Reorder Numbers.
Reference the Everest® Integrated CPAP Patient Manual only
after receiving appropriate training in the use of the CPAP
system.
At low CPAP pressures, the flow through the exhalation port
may be inadequate to clear all exhaled gas from the airway. Some
re-breathing may occur.
Use patient interface devices with a leak flow rate of at least 12
L/min at 4 cm H2O.
Contact your healthcare provider if you experience redness or
skin irritation.
Discontinue use of the CPAP device or humidifier if respiratory
irritation occurs.
Do not introduce liquids or objects into the CPAP device’s air
inlet/outlet connector.
Inspect the power cord for signs of wear or damage before each
use. Replace the power cord if necessary.
Reduce the humidity level if you observe excessive moisture in
the flexible tubing.
For safe operation, place the humidifier lower than the user.
3
• For proper operation, the humidifier must be level.
• AEIOMed, Inc. recommends replacing the 22 mm 6’ Output
Hose after 6 months use.
• Use the humidifier only for its intended purpose as described in
this manual.
• Use only those accessories provided or recommended by
AEIOMed, Inc.
• Do not operate the humidifier if any of the parts are damaged, if
it is not working properly, or if the humidifier has been dropped
or mishandled.
• Do not use the humidifier if the water reservoir is leaking or is
damaged in any way. Replace damaged parts before continuing
use.
• To protect the environment, some parts and accessories of the
CPAP system must be disposed of in accordance with local
regulations.
• Do not submerge the humidifier in any fluids; damage may
occur.
• The humidifier reservoir must be filled with distilled water to the
MAX fill line (see humidifier lid) at the beginning of each
therapy session.
Contraindications
The Everest® Integrated CPAP System is contraindicated in patients
with the following conditions:
• Bullous lung disease
• Pathologically low blood pressure
• Pneumothorax or pneumomediastinum.
Pneumocephalus has been reported in users using nasal CPAP.
Caution should be used when prescribing CPAP for susceptible
users such as those with cerebral spinal fluid (CSF) leaks;
abnormalities of the cribriform plate; and a prior history of head
trauma; and/or pneumocephalus.
4
Inspecting the CPAP Components
Optional DataRest™ Accessories
When you receive the Everest® CPAP System package, unpack
all items, including the manual, and inspect them to ensure they
were not damaged during shipment.
The DataRest Patient Kit contains the following additional
components:
Report any missing or damaged items to your home healthcare
provider.
• DataRest Docking Station
• DataRest Data Card
Both the Everest and Everest 2 Integrated CPAP Systems
include the following items and an accessory pouch (not
pictured):
Power Supply
Refer to DataRest Docking Station Instructions for Use for
more information.
CPAP Device
Air Inlet Filter
Power
Cord
Patient Manual
22mm 6’ Output Hose
Optional Integrated Components
Heated
Humidifier
Mobile Power
Adapter
Battery Pack
Refer to Appendix 1 for reorder numbers.
5
6
Powering the Everest® CPAP Device
Description of the Everest® and Everest 2
Integrated CPAP Systems
The Everest CPAP System offers several choices for powering
your CPAP device: AC line power (an electrical wall outlet),
optional battery pack, or optional mobile adapter.
The CPAP Systems deliver positive pressure from 4 to 20
cmH2O to the patient, as prescribed by the clinician. The
therapeutic pressure is continuous. The display panel presents
delivered pressure, settings of the device, and the duration of
therapy completed.
Using AC Line Power
Attach the power cord to
the power supply.
Transformer to
CPAP Unit
Standard User Modes
Normal operation consists of 3 states: Off, Standby, and On.
Power Supply
Cord
Off: Not connected to a power source. Display is blank.
Warning! Use only AEIOMed® supplied power cord.
Standby: Connected to a power
source, but the blower is off. The
user can view compliance.
Insert the power cord plug into AC line power.
On: Blower is on. The display
shows the pressure setting. This
example shows the setting for the
optional humidifier is at 3.
To attach the power cord to the CPAP:
Optional Humidifier
operating at Setting 3
Buttons
1. Rotate the power supply’s
connector of the power supply so
the arrow symbol appears on the
left side.
2. Insert the connector into the
receptacle on the back of the
Everest CPAP device.
3. The CPAP device is ready for use.
Turns the blower
off or on
Manual ramp on or off
when the blower is on; in
Standby mode it is used
to review Patient Settings
Adjusts the optional humidifier’s
heater settings when connected
7
CPAP Device
8
Connector
Arrows
Power
Supply
Cord
Using the Optional Battery Pack
Caution! Use only the AEIOMed® battery pack supplied
by your homecare provider.
Note: Charge the battery pack for at least 5 hours before the
first use.
1. Slide the CPAP device along the
notched track of the battery pack, and
secure it snugly in place. (A)
(A)
Using the Optional Battery Pack and AC Line
Power
Note: If an electrical outlet is available, use it. This will charge
the battery pack and allow maximum use when AC line
power is not available, such as during a power outage.
The CPAP device switches automatically to battery
power in such events.
Note: To charge the battery pack without the CPAP device
attached, connect the power supply to the battery pack.
Complete the steps in the section above, Using the Optional Battery
Pack.
Battery
Pack
1. Rotate the connector of the
CPAP
Connector
power supply so the arrow
symbol appears on the
(D)
bottom. (D)
2. Rotate the connector of the battery
pack so the arrow symbol appears on
the left side. (B)
3. Insert the connector into the
receptacle on the back of the
Everest® CPAP device. (C)
2. Insert the connector into the
receptacle on the back of the
battery pack.
4. The CPAP device is ready for
use.
(B)
(C)
3. Insert the battery pack
connector into the back of
the CPAP.
4. Insert the power cord plug
into AC line power.
9
10
Power Supply
Battery
Pack
Connector
Battery
Pack
Receptacle
Checking the Battery Pack’s Capacity
Changing Battery Cells
1. Locate the Key on the
bottom of the battery pack.
Note: See Appendix 1 to order additional battery packs or
battery cells.
2. Press and hold the Key.
1. Detach the Battery Pack from the CPAP device and
humidifier.
3. Observe the number of
illuminated lights, which
provide an approximate
indication of the capacity.
2. Disconnect any power sources.
3. Locate the battery cell screw located on
the bottom of the battery pack. Loosen
the screw with a flat blade screwdriver.
The battery pack will retain the screw as
you loosen it.
KEY
4. Remove the battery cell from the battery pack.
•
0 – 1 lights – Little or no charge remaining.
•
4 lights – Full or near full charge.
5. Insert the new battery cell into the battery pack.
AEIOMed®
Note: For peak performance,
recommends
keeping the power supply or mobile Adapter connected
to the battery pack even after all 4 lights are illuminated.
Note: Battery life varies depending on the pressure and
humidifier settings. Monitoring charge time vs. usage
time will help you understand how to optimize battery
operation for your system.
6. Tighten the screw.
Note: Occasionally (once per month), allow the battery to
discharge completely followed by fully charging it for at
least 5 hours. This can help keep the battery operating
close to its maximum capacity as it ages. Individual
results may vary.
7. Reattach the CPAP components.
11
8. Reconnect the power connections.
12
Using the Optional Mobile Power Adapter
(A)
Caution! Use only the AEIOMed®
mobile power adapter and
cables available from your
homecare provider.
Your mobile power adapter is supplied with
two cables: one to connect to your CPAP, and
the other to connect to a mobile power
receptacle.
Using the Optional Battery Pack and Mobile Power
Adapter
Note:
If a power receptacle for the mobile power adapter is
available, use it. This will charge the battery pack and
allow maximum use while traveling.
Note:
To charge the battery pack without the CPAP device
attached, use the steps below.
Complete the steps in the section above, Using the Optional Mobile
Power Adapter.
(B)
1. Connect both cables to the mobile power
adapter base.
2. Attach the square connector to the back of
the CPAP device, making sure to line up the
arrows on the left side. (A)
1. Insert the mobile power adapter
square connector into the receptacle
at the back of the battery pack,
making sure to line up the arrow
symbols on the bottom.
3. Connect the oblong cable into the power
adapter. (B)
2. Connect the second cable to the
mobile power receptacle.
4. Plug the assembled adapter into the mobile
power receptacle.
5. Ensure the CPAP display powers on.
Note: If you have any problems, try unplugging the cables and
reconnecting them, to make sure that you have a good
connections.
13
14
Starting Therapy
Using the Everest®2 CPAP with a Power Source
Connected
When a power source is connected to the Everest 2 CPAP
device, the CPAP displays the total number of therapy hours♠
and a flashing hourglass symbol for 3 seconds. Your clinician or
homecare provider may request that you report these hours.
Without humidifier:
1. Make sure that the CPAP device is connected to a power
source. (If necessary, refer to Powering the Everest® CPAP
Device.)
2. Ensure the display is in Standby mode.
3. Attach the patient interface 22 mm airway
connector to the 6’ flexible tubing.
4. Position the patient interface (mask),
according to the instructions
accompanying the patient interface
selected by your care provider.
Following the initial display of the therapy hours, the CPAP
device is in Standby mode—the CPAP is ready, the blower is
off, and the display shows the following:
Example of the
HeadRest® with
Nasal Seal
5. Press the on/off button.
Warning! Turn on the CPAP blower as quickly as possible
after positioning the patient interface. Exhaled
air could be re-breathed if the CPAP blower is
off. Re-breathing exhaled air for longer than
several minutes can, in some circumstances,
lead to suffocation.
Note: If the CPAP loses power while delivering therapy, it will
immediately resume delivering therapy as soon as power
is restored (the CPAP will skip the initial therapy hours
and Standby screens)
6. The blower is on, and the display shows the therapeutic
pressure setting.
7. Check that the hose and patient interface have a tight seal and
that there is no excessive air leak.
♠
Therapy hours = operating time at therapy pressure, as monitored by the device.
15
16
With humidifier:
Note: If you remove or do not securely position the patient
interface, the device will automatically reduce the
pressure in approximately 60 seconds. This is called
Interface Interrupt. It occurs when your patient interface
(mask) is not securely positioned on your face and the
air leak is excessive. Secure the interface and the
pressure will increase to the prescribed level when you
resume breathing.
Warning! The humidifier reservoir must be filled to the
MAX fill line (see humidifier lid) with distilled
water at the start of each therapy session.
Caution! Do not submerge the humidifier in any type
of liquid; damage may occur.
The optional heated humidifier relieves nasal dryness and
irritation in patients by adding moisture to the airflow.
Note: If you do not breathe with a correctly positioned patient
interface within one hour, the device will shut off the
blower and enter Standby mode.
Warning! If moisture collects in the hose (sometimes
referred to as rainout), stop therapy and adjust
the humidity setting. Reducing the humidity
setting usually stops the collection of
moisture.
Warning! Do not spill water into the CPAP air outlet
connector.
Humidifier Lid
Humidifier
Reservoir
Humidifier
Base
Humidifier
Reservoir Bottom
1. Remove the humidifier reservoir from the humidifier base.
2. Attach the humidifier base to the bottom of the CPAP
device.
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10. Connect one end of the 6’ 22 mm flexible
tubing to the humidifier connector.
CPAP
11. Attach the patient interface airway
connector to the 6’ flexible tubing.
PUSH
HERE
Humidifier Base
3. Ensure the humidifier lid is securely seated on the reservoir
bottom. The clear lid has slots that fit tightly over the tabs,
protruding from the rear of the reservoir bottom.
4. Ensure that the clear lid is securely
attached to the humidifier reservoir
bottom. Push the front of the latch
as shown below, to fully engage the
humidifier lid with the reservoir
bottom.
12. Check the lower right-hand
corner of the CPAP display for
the humidifier symbol:
13. Pressing the humidifier button adjusts the heat settings for
the humidifier.
PUSH
HERE
5. Turn the humidifier so that the hose connector
is facing up.
6. Fill the humidifier reservoir with distilled water
to the MAX line.
7. Wipe off excess water from the outside of
the humidifier reservoir. Take care to wipe
off any moisture that may be on the
electrical connector on the reservoir
bottom.
Note: The humidifier symbol without a number above it
indicates that the humidifier is connected, but the heat
setting is off.
Note: Pressing the humidifier button when the humidifier is
not connected does not change the humidifier setting.
Note: The humidifier can be used with the mobile power
adapter or the battery. If the battery is used to power
the CPAP and the humidifier, without AC line power or
mobile power sources, the battery run-time will be
significantly reduced to less than 50% of the expected
battery run-time. Two battery packs may be used
together to increase battery run-time.
8. Place the reservoir in the humidifier
base, and slide it into position.
9. Check that the silicone seal is connected
to the clear lid tightly at the CPAP air
outlet.
Note: The overheating sensor shuts off the heating element of
the humidifier if there is no water.
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20
Humidifier Preheat (Optional Step)
Turning on the Blower
Preheating the humidifier provides immediate humidification of
the air when the blower is turned on.
1. Ensure that the CPAP device has power, the blower is off,
and the preheated humidifier is active.
Warning! Do not wear the patient interface while using
preheat, since the blower is off. Exhaled air
could be re-breathed. Re-breathing exhaled air
for longer than several minutes can, in some
circumstances, lead to suffocation.
2. Position the patient interface (mask), according to the
instructions accompanying the patient interface
selected by your care provider.
3. Press the on/off button.
1. Ensure that the CPAP has power and the blower is off.
2. Check the display for the humidifier icon in the lower righthand corner.
Warning! Turn on the blower as quickly as possible after
positioning the patient interface. Exhaled air
could be re-breathed if the CPAP blower is
off. Re-breathing exhaled air for longer than
several minutes can, in some circumstances,
lead to suffocation.
3. Press the humidifier button for the number display.
The blower is on, and the display shows the prescribed pressure
setting. Check that the hose and patient interface have a tight
seal and that there is no excessive air leak.
The display shows the humidifier setting.
4. Allow the humidifier to preheat for 15-20 minutes. The heat
will remain on until the blower is turned off.
21
Note:
22
If you remove or do not securely position the patient
interface, the CPAP will automatically reduce the
pressure in approximately 60 seconds. This is called
Interface Interrupt. It occurs when your patient
interface (mask) is not securely positioned on your face
and the air leak is excessive. Secure the interface and
the pressure will increase to the prescribed level when
you resume breathing.
Note: The actual pressure delivered during ramp is not shown
on the CPAP display.
If you do not breathe with a correctly positioned
patient interface within one hour, the device will shut
off the blower and enter Standby mode.
Note:
The CPAP device recalls the humidity setting during
therapy. The next time you begin therapy, the CPAP
will use this same humidifier setting.
After the ramp time is complete, the ramp icon will disappear
from the display screen.
Using the Ramp Function
The ramp gradually increases the pressure setting allowing you
to become accustomed to the positive pressure, so that you may
ease into the therapy while falling asleep.
NOTE If your clinician has instructed you to adjust your ramp
staring pressure, refer to Adjusting Patient Settings.
Note: Pressing the ramp button during pressure delivery will
not affect the pressure delivered. If you wish to stop the
gradual pressure increase of the ramp function you must
turn off the device. The next time the blower is turned
on it will deliver the prescribed therapy pressure.
Note: Interface Interrupt is not active during ramp.
Note: In the event of power loss during ramp, the CPAP will
resume at the full prescribed pressure as soon as power
is restored. To restart the ramp, press the ramp button.
1. The CPAP’s blower is on:
Note: You must start the blower before selecting the ramp
function. You should adjust your patient interface at the
full therapy pressure setting.
2. Press the ramp button.
The pressure drops to a reduced level and the display shows
the ramp symbol. During ramp, the pressure gradually
increases to the prescribed pressure level.
23
24
Adjusting Patient Settings
Stopping Therapy
The blower is on and the display shows the prescribed pressure
setting:
You will typically use the settings configured by your clinician,
and will not need to adjust them. You may access patient
settings to report therapy session information to your clinician.
Note: When adjusting patient settings, ignore the symbols on
the buttons. Instead, the symbol above the button
reflects what will occur when you push the button.
Note: Patient Settings consist of viewing therapy session
information and ramp settings.
1. Remove the patient interface (mask).
2. Press the on/off button.
Accessing Patient Settings
1. Make sure the device is in Standby mode. The CPAP device
must have power, and the blower must be off.
3. The blower is off, and the device is in Standby mode (shown
below).
2. Press the middle button.
4. Empty any remaining water from the humidifier reservoir.
5. Rinse the humidifier reservoir thoroughly, and allow it to air
dry.
The display shows the duration in minutes for the pressure
to ramp from the starting pressure to the prescribed
pressure setting.
Note: The humidifier shuts off when the blower is stopped.
However, the CPAP remembers your humidity setting
and will use that value the next time you start therapy.
3. Press the next button.
25
26
Therapy Session Information
1. The display shows the number of therapy sessions equal to
or longer than 8 hours. You cannot adjust the value on this
screen.
The display shows the starting pressure for the ramp
4. Adjust the starting pressure using the buttons under the up
and down symbols.
2. Press the NEXT button.
NOTE: If the up and down arrows are not visible on the
display your clinician has not allowed you to
change the starting ramp pressure.
3. The display shows the number of therapy sessions equal to
or longer than 6 hours (but less than 8 hours). You cannot
adjust the value on this screen.
4. Press the NEXT button.
5. The display shows the number of therapy sessions equal to
or longer than 4 hours (but less than 6 hours). You cannot
adjust the value on this screen.
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Cleaning Instructions
6. Press the NEXT button.
The cases of the Everest® and Everest 2 Integrated CPAP
devices are durable and do not require special cleaning or
maintenance.
If the case becomes dirty:
7. The device is back in Standby mode and ready for operation.
(1) Disconnect power from the unit,
(2) Use a soft cloth dampened with warm water and mild
liquid dish washing soap to clean it.
(3) Dry the device thoroughly before reconnecting the
power source.
•
•
•
•
•
•
Warning
Unplug the CPAP device before cleaning it.
Do not submerge the CPAP device, heated humidifier
assembly, battery pack, or battery charger in liquid.
Prevent water from entering any of the device’s openings.
Do not use harsh or abrasive cleaning agents to clean any
CPAP components.
Do not sterilize the CPAP device.
Do not place cleaning materials, such as a cloth or liquid,
into the CPAP air inlet or air outlet connector.
Replace the foam air inlet filter periodically. In addition,
periodically remove the air inlet filter and rinse it with warm
running water. Dry the filter thoroughly before reinstalling it in
CPAP device.
Clean the flexible tubing weekly by washing it in warm water
with mild liquid dishwashing soap. Allow the tubing to air dry
thoroughly before use.
29
30
To clean the humidifier reservoir, separate
the plastic lid from the reservoir bottom,
and rinse with warm water and mild liquid
dishwashing soap.
Specifications
CPAP Physical Characteristics
Do not immerse the reservoir bottom in
liquid. Clean daily, and fill with distilled
water.
CPAP Device Weight:
CPAP Device Dimensions:
Clean the humidifier base by using a soft cloth dampened with
warm water and mild liquid dishwashing soap. Dry with a cloth,
or allow to air dry.
CAUTION: Do not clean the humidifier components in the
dishwasher.
CAUTION: Do not submerge the heated humidifier base or
garage assembly in liquid.
Air Outlet Connector Port
Dimensions:
2.2 lbs (1.00 kg)
4.8 in X 5.0 in X 5.0 in (11.4 cm X 12.7
cm X 12.7 cm)
22-mm diameter
Humidifier Physical Characteristics
Humidifier Weight:
Humidifier Dimensions:
Humidifier Operating
Volume:
Humidifier Output:
0.97 lb (0.44 kg)
6.14 in X 3.45 in X 5.25 in (15.6 cm X 8.8
cm X 13.3 cm)
0 to 240 ml
> 10 mg/L
At H5 setting, 4 - 20 cmH2O
Battery Physical Characteristics
Battery Weight:
Battery Life:
Charging Requirement:
Battery Dimensions:
1.58 lbs (0.73 kg)
11 hours @ 10 cm H2O without humidifier
Use only AEIOMed-supplied charger,
reference Appendix 1
7.9 in X 2.0 in X 5.44 in (20.1 cm X 5.08
cm X 13.8 cm)
Mobile Power Adapter Characteristics
Mobile Power Adapter Input:
19.4 Vdc nominal.
12 to 15.5 Vdc
Power Supply Characteristics
100-240 VAC, 50-60Hz, 19Vdc
31
32
Manufacturer’s Declaration
CPAP Performance
Working pressure range:
4 to 20 cmH2O
Accuracy of Set Pressure
Display:
+1 cmH2O or +10%, whichever is
greater
Accuracy of Time Display:
+ 1 second
Maximum system shutdown
pressure:
30 cmH2O
Operating Atmospheric
Pressure Range:
700 to 1060 mbar
(525 to 795 mmHg)
up to 11,000 feet
Operating Temperature Range:
40 to 104ºF (5º to 40ºC)
Storage Temperature Range:
-30 to 150ºF (-34 to 66ºC)
Operating Humidity Range:
10% to 95% relative humidity, noncondensing
Storage Humidity Range:
10% to 95% relative humidity, noncondensing
Sound level:
31 dbA
Sound pressure measured in
compliance with Clause 26 of EN
17510-1:2002
Table 201: Electromagnetic Emissions
The CPAP System is intended for use in the electromagnetic environment specified below. The
customer or the user of the CPAP System should ensure that it is used in such an environment.
Emissions Test
Compliance
Electromagnetic Environment—
Guidance
RF Radiated
Emissions
CISPR 11
Group 1
The CPAP System 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 Conducted
Emissions
CISPR 11
Class B
Harmonic
Emissions
IEC 61000-3-2
Class A
The CPAP System is suitable for use in all
establishments, including domestic
establishments and those directly connected
to the public low-voltage power supply
network that supplies buildings used for
domestic purposes.
Voltage
Fluctuations/
Flicker Emissions
IEC 61000-3-3
Complies
EN 60601-1 Compliance
Protection against electric shock:
Class II
Type BF
Degree of Protection against
ingress of water:
IPX1
Equipment not suitable for use
in the presence of a
flammable anesthetic mixture
with air or with oxygen or
nitrous oxide.
33
34
Table 202: Electromagnetic Immunity
Table 204: Electromagnetic Immunity
The CPAP System is intended for use in the electromagnetic environment specified below. The
customer or the user of the CPAP System should ensure that it is used in such an environment.
The CPAP System is intended for use in the electromagnetic environment specified below. The customer
or the user of the CPAP System should ensure that it is used in such an environment.
Immunity Test
IEC 60601
Test Level
Compliance
Level
Electromagnetic
Environment—Guidance
Immunity
Test
Electrostatic
Discharge (ESD)
±2, 4, 6 kV
contact
N/A. The CPAP
System does not
have conductive
surfaces.
±8 kV air
±2, 4, 6, 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
±2 kV for power
supply lines
±2 kV for power
supply lines
IEC 61000-4-4
±1 kV for
input/output
lines
±1 kV for
input/output lines
Surge
±1 kV differential
mode
±0.5*, 1 kV
differential mode
IEC 61000-4-5
±2 kV common
mode
IEC 61000-4-2
Voltage dips, short
interruptions, and
voltage variations
on power supply
input lines
IEC 61000-4-11
Power Frequency
(50/60 Hz)
Magnetic Field
Mains power quality should be
that of a typical commercial or
hospital environment.
Mains power quality should be
that of a typical commercial or
hospital environment.
IEC 60601 Test
Level
Compliance
Level
Portable and mobile RF communications equipment should be used no closer to any part of the CPAP
System, including cables, than the recommended separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended Separation
Distance
Conducted RF
3 Vrms
3 Vrms
IEC 61000-4-6
150 kHz to 80 MHz
10 KHz to 100 MHz*
Radiated RF
3 V/m
10 V/m*
d = 0.35 P 80 MHz to 800MHz
IEC 61000-4-3
80 MHz to 2.5 GHz
26 MHz to 2.5 GHz*
d = 0.70 P 800MHz to 2.5 GHz
<5% UT
(>95% dip in UT)
for 0.5 cycle
40% UT
(60% dip in UT)
for 5 cycles
40% UT
(60% dip in UT)
for 5 cycles
70% UT
(30% dip in UT)
for 25 cycles
70% UT
(30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT
for 5 sec)
<5% UT
(>95% dip in UT
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 CPAP System
requires continued operation
during power mains
interruptions, it is
recommended that the CPAP
System be powered from the
battery.
Power frequency magnetic
fields should be at levels
characteristic of a typical
commercial or hospital
environment.
IEC 61000-4-8
NOTE: UT is the A.C. mains voltage before application of the test level.
* Compliance level adjusted to meet FDA limits.
35
d = 1.17
P
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 meters (m).
±2 kV common
mode
<5% UT
(>95% dip in UT)
for 0.5 cycle
Electromagnetic
Environment—Guidance
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey,1 should
be less than the compliance level in
each frequency range.2
* Compliance level
adjusted to meet FDA
limits.
Interference may occur in the
vicinity of equipment marked with
the following symbol:
NOTE 1: At 80 MHz and 800 MHz, 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.
1 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 CPAP System is used exceeds the applicable RF compliance level above,
the CPAP System should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as reorienting or relocating the CPAP System.
2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
36
Limited Warranty
AEIOMed, Inc. warrants the Everest® and/or Everest 2
Integrated CPAP units to be free of defects in materials and
workmanship and will perform in accordance with the
product specifications for a period of 2 years from the date of
sales by AEIOMed, Inc. to the dealer. The battery pack is
similarly warranted for a period of 1 year, and the mobile
power adapter is warranted for 3 years from the date of sales
by AEIOMed, Inc. to the dealer.
If the product fails to perform in accordance with the product
specifications, AEIOMed, Inc. will repair or replace, at its
option, any materials or parts of the Everest Integrated CPAP
system, which, upon AEIOMed’s examination appear
defective. This does not cover damages caused by accident,
misuse, abuse, alteration, and other defects not related to
material or workmanship. AEIOMed, Inc. will pay customary
freight charges from AEIOMed, Inc. to dealer location only.
PARTICULAR PURPOSE ARE LIMITED TO TWO
YEARS. SOME STATES DO NOT ALLOW THE
EXECLUSION OR LIMITATION OF INCIDENTAL OR
CONSEQUENTIAL DAMAGES, SO THE ABOVE
LIMITATION OR EXCLUSION MAY NOT APPLY TO
YOU. THIS WARRANTY GIVES YOU SPECIFIC
LEGAL RIGHTS, AND YOU MAY ALSO HAVE
RIGHTS WHICH VARY FROM STATE TO STATE.
To qualify for repair, replacement, or refund, the defective
device must be returned to AEIOMed, Inc. within 30 days
after the discovery of the defect. Any repair, replacement, or
refund obligation would not apply if the device has been
repaired or otherwise altered in a facility not authorized in
writing by AEIOMed, Inc. To exercise our rights under this
warranty, contact your local, authorized AEIOMed, Inc.
dealer or AEIOMed, Inc. at 1313 5th Street SE, Minneapolis,
MN 55414, 1-866-722-2507 or 1-612-455-0550.
AEIOMED, INC. DISCLAIMS ALL LIABILITY FOR
ECONOMIC LOSS, LOSS OF PROFITS, OVERHEAD,
OR CONSEQUENTIAL DAMAGES WHICH MAY BE
CLAIMED TO ARISE FROM ANY SALE OR USE OF
THIS PRODUCT. SOME STATES DO NOT ALLOW
THE EXECLUSION OR LIMITATION OF
INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO
THE ABOVE LIMITATION OR EXCLUSION MAY
NOT APPLY TO YOU.
THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER
EXPRESS WARRANTIES. IN ADDITION, ANY
IMPLIED WARRANTIES, INCLUDING WARRANTY
OF MERCHANTABILITY OR FITNESS FOR THE
37
38
Troubleshooting
Problem
Probable
Cause
Discomfort due to a
feeling of high
pressure.
CPAP device pressure
may be set too high.
Pneumatic Functional Diagram
Solution
Input
Air
1. Breathe slowly through
your nose with your
mouth closed.
2. Use the ramp pressure,
if available.
3. If the pressure remains
problematic, contact
your homecare provider.
Nose or throat
irritation.
CPAP device
display is blank
when connected to
power.
Dry air.
“LBAT” appears on
the display.
No airflow from the
CPAP system.
”UNIT SHUT
DOWN” appears on
the display.
Pressure Sensor
CPAP
Output Port
Controller
Symbols
Dirty air filter.
Change and/or clean the air
inlet filter.
CPAP Output Port
Power source is not
properly connected.
Check all power
connections.
Attention: Consult Accompanying Documents
AC power may not be
active.
Use another power outlet.
Battery is depleted.
CPAP shuts off.
Connect a humidifier to the
CPAP device, or add
humidity to the room.
Contact your provider.
Blower
Test another device with
this outlet.
Type BF Applied Part
Check the battery pack’s
capacity. Charge if
necessary.
IPX1
Hose disconnected
from the device.
Battery is depleted.
Reconnect the hose.
Device motor failure;
or, electronics failure.
Contact the provider’s
technical service
department.
Device detects an
operating error.
Note code on display.
Unplug and reconnect the
power source. If error
message continues, contact
provider’s technical service
department.
Ingress of Water. Protection provided against
vertical dripping.
Charge the battery.
39
CAUTION: Federal Law (USA) restricts this
device to sale by or on the order of a physician.
Manufacturer Catalog (Model) Number
40
Appendix 1: Reorder Numbers
Item
®
Everest CPAP
Everest 2 CPAP
Power Supply Assembly
Everest Heated Humidifier
Humidifier Lid Replacement
Everest Battery
Battery Cell Replacement
22mm 6’ Output Hose
Mobile Power Adapter
Filter Media 2 Pack Assembly
®
HeadRest with Nasal Seal
Patient Manual
Medium Nasal Seal
Large Nasal Seal
Extra-Large Nasal Seal
EV1
EV2
PSA
HH1
LID1
BAT1
CELL1
6FH
MPA
FP2
HRML
E2PM
MNS
LNS
XLNS
41
AEIOMed® Everest® and Everest 2
Integrated CPAP Systems
Patient Manual
Part Number 101011 Rev B
E2PM
Revised: 06-2007
AEIOMed, Inc.
1313 5th Street SE, Suite 205
Minneapolis, MN 55414 USA
Web Site:
Phone:
Toll Free:
Fax:
www.aeiomed.com
612.455.0550
866.722.2507
612.455.0551
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