ResMed S8 Series II Escape II Auto Positive Airway Pressure Device Owner’s Manual

ResMed S8 Series II Escape II Auto Positive Airway Pressure Device

Introduction

The S8 Escape II Auto self-adjusting sleep apnea system is indicated for the treatment of obstructive sleep apnea (OSA) in adult patients. The S8 Escape II
Auto self-adjusting sleep apnea system has two treatment modes: auto-titrating APAP and fixed-pressure CPAP. The S8 Escape II Auto system is intended for
home and hospital use.

Contraindications
Positive airway pressure therapy may be contraindicated in some patients with the following pre-existing conditions:

• severe bullous lung disease
• pneumothorax
• pathologically low blood pressure
• dehydration
• cerebrospinal fluid leak, recent cranial surgery, or trauma.

Adverse Effects
Patients should report unusual chest pain, severe headache, or increased breathlessness to their prescribing physician. An acute upper respiratory tract infection may require temporary discontinuation of treatment. The following side effects may arise during the course of therapy with the positive airway pressure device:

• drying of the nose, mouth, or throat
• nosebleed
• bloating
• ear or sinus discomfort
• eye irritation
• skin rashes
• chest discomfort.

CAUTION
In the US, Federal law restricts this device to sale by or on the order of a physician.

Parts of the S8 Escape II Auto System

• Your S8 Escape II Auto system comprises:
  • S8 Escape II Auto device
  • 2 m air tubing
  • Power cord
  • Carry bag.
• Optional components include:
  • ResScan™ Data Card
  • 3 m air tubing
  • DC-12 converter.

Masks
For information on using masks, see your mask manual. Recommended masks are available on www.resmed.com on the Products page under Service & Support.!
WARNING
Only ResMed mask systems are compatible for use with the S8 Escape II Auto. Please refer to “General Warnings and Cautions” on page 14.

Humidifiers
A list of humidifiers compatible with ResMed devices can be found on www.resmed.com, on the Products page under Service & Support.
ResScan Data Card
The ResScan Data Card may be used with the S8 Escape II Auto either to help your clinician monitor your treatment or provide you with updates to your device
settings.

Using the S8 Escape II Auto

Setting Up the S8 Escape II Auto

1. Connect the power cord to the socket at the rear of the device.
2. Plug the other end of the power cord into the power outlet.
3. Connect one end of the air tubing firmly onto the air outlet.
4. Connect the assembled mask system to the free end of air tubing. For information on assembling your mask, see your mask manual.

WARNING

• Make sure the power cord and plug or adapter cable are in good condition and the equipment is not damaged.

• Only ResMed air tubing should be used with the device. A different type of air tubing may alter the pressure you actually receive, reducing the effectiveness of your treatment.

• Blocking the hose and/or air inlet of the device while in operation could lead to overheating of the device.!
  CAUTION

• Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord.

• If you put the device on the floor, make sure the area is free from dust and clear of bedding, clothes or other objects that could block the air inlet.

• Make sure the area around the device is dry and clean.

How to Use the Control Panel

The control panel of the S8 Escape II Auto includes an LCD screen which displays the menus and treatment screens as well as a keypad for navigating through the menus and delivering treatment.The S8 Escape II Auto keypad has the following keys:

The keypad and LCD are equipped with backlights that come on when the device is powered. The LCD backlight turns off after two minutes of inactivity, and
comes back on when you press a key. The keypad backlight is always on while the S8 Escape II Auto is on.

Start Treatment

1. Make sure the power is on. The product name is displayed briefly on the LCD screen, then the standby screen displays RAMP/SETTLE. The key and LCD backlights also turn on.

2. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
   CAUTION
   Do not leave long lengths of air tubing around the top of your bed. They could twist around your head or neck while you are sleeping.

3. Alter the ramp/settle time if required.

4. To start treatment, press

5. Fit your mask as described in the mask user instructions.
   WARNING
   A mask should not be used unless the S8 Escape II Auto is turned on and operating properly.

Stop Treatment
To stop treatment at any time, remove your mask and press .

How to Change the Settings on your S8 Escape II Auto

You can change settings (such as Ramp/Settling Time) on the S8 Escape II Auto by using the keypad and LCD. When the S8 Escape II Auto is in standby mode you can display a series of screens (a menu) on the LCD screen in order to view and change the settings for a particular function. Data regarding your therapy such as AHI and pressure can be accessed through this menu when required by your clinician/physician.

• How to change the ramp or settling time
  • In CPAP mode during ramp time, the pressure increases from a low pressure to the prescribed treatment pressure.
  • In APAP mode during settling time the device maintains a minimum pressure before it starts to adjust pressure in response to respiratory events.
  • You can set the ramp/settle time in 5-minute intervals, from 0 minutes (OFF) up to a maximum time set by your clinician.
  • The current ramp or settling time is displayed in the right corner of the standby
  • Press or until the desired ramp or settling time appears.
  • Once a ramp or settling time is selected, begin therapy by pressing . When ramping or settling begins the LCD will display the word “RAMPING or APAP“ depending on the mode, with the current pressure indicated as dashes. Each dash is approximately equivalent to 2 cm H2O. For example, six dashes represents approximately 12 cm H2O pressure.screen.
• How to change the EPR level
  EPR can be used to help ease any discomfort you may experience when breathing out during treatment. If your clinician has allowed access you can change the EPR level. There are four settings: OFF; 1 (lowest EPR); 2; and 3 (highest EPR).

1. 1. On the standby (RAMP/SETTLE) screen, press (Menu).

2. Press until you see EPR LANG , then press (Change).
3. Press or until you see the SETTING that you require.
4. Press (Apply) to save the new SETTING.

• How to change the language setting

1. 1. On the standby (RAMP/SETTLE) screen, press (Menu).

2. Press until you see LANG (Language), then press (Change).
3. Press or until you see the language that you require.
4. Press (Apply) to save the new language.

Messages on the S8 Escape II Auto LCD

Your clinician may have set your S8 Escape II Auto to remind you about important events, such as when to replace your mask, when to insert your Data Card (if your device is Data Card enabled) and so on. The reminder message is displayed on the LCD and is visible if the device is not delivering therapy. The backlight on the LCD flashes when a message is displayed.Your clinician can set any of the following reminders on your LCD:

Using the Data Card to Collect data

If your clinician needs to review your treatment, they will ask you to use the Data Card to copy data from your S8 Escape II Auto, and to return the card to them.

Copying data onto the Data Card

1. Switch on the S8 Escape II Auto and wait until you see the standby
   (RAMP/SETTLE) screen.

2. Hold the Data Card with the arrow facing up and insert it into the Data Card slot until it stops. Data copying starts automatically. The “Card Inserted Please Wait” message is displayed on the LCD screen while data is being copied. Copying takes approximately five seconds. The “Copy Complete Remove Card” message is displayed on the LCD screen when copying has finished.

3. Remove the Data Card by gripping the end of the Data Card and pulling it out.

4. Store the Data Card in its protective folder when not in use.

5. Return the card in its protective folder to your clinician using a postal envelope.

Using the Data Card to Update Settings
If your clinician has provided a Data Card with new device settings:

1. With the device in standby mode, insert the Data Card into the slot on the Data Card module. Updating will start automatically. The “Card Inserted Please Wait” message is displayed on the LCD while updating is in progress. Updating takes approximately five seconds. The “Settings Success Remove Card” message is displayed on the LCD if the settings were updated successfully.
   Note: This message only appears once. If you re-insert the Data Card after you have updated your settings, this message is not displayed.

2. Remove the Data Card from the S8 Escape II Auto.

3. Store the Data Card in its protective folder when not in use.
   WARNING
   If your clinician has told you to use this Data Card to update the settings on your device and the “Settings Success” message does not appear, contact
   your clinician immediately.

Cleaning and Maintenance

• Daily
  • Disconnect the air tubing and hang it in a clean, dry place until next use.
• Weekly
  • 1 Remove the air tubing from the S8 device and the mask.
  • 2 Wash the air tubing in warm water using mild detergent.
  • 3 Rinse thoroughly, hang, and allow to dry.
  • 4 Before next use, reconnect the air tubing to the air outlet and mask. Monthly
  • 1 Clean the exterior of the S8 device with a damp cloth and mild liquid soap.
  • 2 Check the air filter for holes and blockage by dirt or dust.
• WARNING
  • Beware of electric shock. Do not immerse the unit or power cord in water. Always unplug the unit before cleaning and be sure it is dry before plugging back in.
  • The mask system and air tubing are subject to normal wear and tear. Inspect them regularly for damage.
• CAUTION
  • Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.
  • Do not use bleach, chlorine, alcohol, or aromatic-based solutions, moisturising or antibacterial soaps or scented oils to clean the air tubing or the S8 device. These solutions may cause hardening and reduce the life of the product.

Replacing the Air Filter

Replace the filter every six months (or more often if necessary).

1. Remove the air filter cover at the back of the S8 device.

2. Remove and discard the old air filter.

3. Insert a new filter with the blue tinted side facing out from the device.

4. Replace the air filter cover.
   WARNING
   • Do not wash the air filter. The air filter is not washable or reusable.
   • The air filter cover protects the device in the event of accidental liquid spillage onto the device. Ensure the air filter and air filter cover are fitted at all times.

Servicing

This product (S8 Escape II Auto) should be inspected by an authorized ResMed Service Center five years from the date of manufacture. Prior to this, the device
is intended to provide safe and reliable operation provided that it is operated and maintained in accordance with the instructions provided by ResMed. Applicable ResMed warranty details are provided with the device at the time of original supply. Of course, as with all electrical devices, if any irregularity becomes apparent, you should exercise caution and have the device inspected by an Authorized ResMed Service Center. If you feel that your device is not performing properly, see “Troubleshooting” on page 11.

CAUTION

• Do not attempt to open the S8 Escape II Auto case. There are no user serviceable parts inside.
• Inspection and repair should only be performed by an authorized agent. Under no circumstances should you attempt to service or repair the S8 Escape II Auto yourself.

Frequently Asked Questions

• How will it feel when I am breathing on the S8 Series II?
  When you first use your S8 Series II, you may feel uncomfortable breathing against the airflow. This is normal. You will continue to breathe normally while
  you sleep. The EPR setting may also improve comfort. Take time to adjust to this new sensation.

• What do I do when I want to get up in the night?
  If you need to get up during the night, remove your mask and stop therapy. Always remember to restart therapy and put your mask on when you return to bed.

• What do I do if I feel air leaking out of the mask?
  The S8 Series II delivers the most effective treatment when the mask is well fitted and comfortable. Treatment can be affected by leaks, so it is important to
  eliminate any leaks that may arise. For example, try repositioning the mask and adjusting the straps. If you are using a nasal mask, try to keep your mouth closed during treatment. Air leaks from your mouth can decrease the effectiveness of your treatment. If mouth leaks are a problem, a full face mask or chin strap may help. Contact your clinician or equipment supplier for further details. If you are using a full face mask and you have problems trying to get a comfortable mask fit, contact your clinician or equipment supplier. You may benefit from a different size or style of mask.

• Anything special I should do before putting the mask on?
  Before wearing your mask, wash your face to remove excess facial oils. This will allow a better fit and prolong the life of the mask cushion. Do not use moisturizer when wearing a mask.

• My mouth feels dry during treatment—what can I do?
  You may experience dryness of the nose, mouth, and/or throat during the course of treatment, especially during winter. In many cases, a humidifier may resolve this discomfort. Contact your clinician for advice.

• My nose is irritated during treatment—what can I do?
  You may experience sneezing and/or a runny or blocked nose during the first few weeks of treatment. In many cases, nasal irritation can be resolved with a humidifier. Consult your clinician or equipment supplier for advice.

• Can I travel with the S8 Series II?
  Your S8 Series II has an internal power supply that enables it to operate in other countries. It will operate on power supplies of 100–240V and 50/60Hz. No special adjustment is necessary, but you will require an approved power cord for the region in which you are using the device. Please consult the medical services department of your carrier if you intend to use your S8 Series II on an aircraft. The S8 Series II complies with US FCC Part 15, Class B requirements.
  Note: Do not use your S8 Series II while the aircraft is taking off or landing.

• Can I use my S8 Series II if mains (AC) power is not available?
  A DC-12 converter is available to connect the S8 Series

CAUTION
The device should not be connected to both AC and DC power sources simultaneously.

Troubleshooting

If there is a problem, try the following suggestions. If the problem cannot be solved, contact your equipment supplier or ResMed. Do not attempt to open the
device.

Note: The manufacturer reserves the right to change these specifications without notice.
Symbols which appear on the device
Attention, consult accompanying documents; Drip proof; Type CF equipment; Dangerous voltage; Class II equipment; Start/Stop .

General Warnings and Cautions

• WARNINGS

  • Read the entire guide before using the S8 Series II.

  • Advice contained in this guide should not supersede instructions given by the prescribing physician.

  • A patient should not connect a device to the data communication port unless instructed to do so by their health care provider or physician. Only ResMed products are designed to be connected to the data communication port. Connecting other devices could result in injury, or damage to the S8 Series II.

  • The S8 Series II should be used with masks (and connectors) recommended by ResMed, or by a physician or respiratory therapist. A mask should not be used unless the S8 Series II is turned on and operating properly. The vent hole or holes associated with the mask should never be blocked.
    Explanation: The S8 Series II is intended to be used with special masks (or connectors) which have vent holes to allow continuous flow of air out of the mask. When the device is turned on and functioning properly, new air from the device flushes the exhaled air out through the mask vent holes. However, when the device is not operating, insufficient fresh air will be provided through the mask, and the exhaled air may be rebreathed. Rebreathing of exhaled air for longer than several minutes can, in some circumstances, lead to suffocation. This applies to most models of PAP devices.

  • In the event of power failure or machine malfunction, remove the mask.

  • The S8 Series II can be set to deliver pressures up to 20 cm H2O. In the unlikely event of certain fault conditions, pressures up to 30 cm H2O are possible.

  • If oxygen is used with this device, the oxygen flow must be turned off when the device is not operating. If the oxygen has been left on, turn off the device, then wait 30 minutes before turning on the device again. Explanation: When the PAP device is not in operation and the oxygen flow is left on, oxygen delivered into the air delivery tubing may accumulate within the PAP machine enclosure and create a risk of fire. This applies to most
    types of PAP machines.

  • Oxygen supports combustion. Oxygen should not be used while you are smoking or in the presence of an open flame.

  • Always ensure airflow is being generated by the device before the oxygen supply is turned on.

  • Always turn the oxygen supply off before stopping the airflow from the device.

  • Note: At a fixed rate of supplemental oxygen flow, the inhaled oxygen concentration will vary, depending on where the oxygen is introduced, the pressure settings, patient breathing pattern, mask selection, and leak rate.

  • Do not use the S8 Series II if there are obvious external defects or unexplained changes in performance.

  • Do not open the S8 Series II case. There are no user serviceable parts inside. Repairs and internal servicing should only be performed by an authorized service agent.

  • Explosion hazard—do not use in the vicinity of flammable anesthetics.

CAUTIONS

• At low pressures, the flow through the exhalation ports of your mask may not clear all exhaled gas from the tubing. Some rebreathing may occur.
• The airflow for breathing produced by this device can be as much as 11ºF (6ºC) higher than the temperature of the room. Caution should be exercised if the room temperature is warmer than 90ºF (32ºC).
• When AC mains power (100–240V AC) is not available, always use a ResMed DC-12 converter. (The DC-12 converter is available as an optional accessory. It is not supplied with all models.)
  Note: The above are general warnings and cautions. Specific warnings, cautions, and notes appear with the relevant instructions in the manual.

Limited Warranty

ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer. This warranty is not transferable.

Accessories, mask systems (including mask frame, cushion, headgear and tubing). Excludes single-use devices.| 90 Days

Note: Some models are not available in all regions.
If the product fails under conditions of normal use, ResMed will repair or replace,
at its option, the defective product or any of its components. This Limited
Warranty does not cover:

• any damage caused as a result of improper use, abuse, modification or alteration of the product;
• repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs;
• any damage or contamination due to cigarette, pipe, cigar or other smoke;
• any damage caused by water being spilled on or into a flow generator. Warranty is void on product sold, or resold, outside the region of original purchase.
  Warranty claims on defective product must be made by the initial consumer at the point of purchase.
  This warranty is in lieu of all other express or implied warranties, including any implied warranty of merchantability or fitness for a particular purpose. Some regions or states do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply to you. ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale, installation or use of any ResMed product. Some regions or states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from region to region. For further information on your warranty rights, contact your local ResMed dealer or ResMed office.

References

• Sleep apnea and COPD - learn about symptoms and treatment | ResMed

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