ResMed AIR104G Continuous Positive Airway Pressure Device User Manual Manual

ResMed Ltd Continuous Positive Airway Pressure Device Manual

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ResMed Confidential Proprietary Information, not to be reproduced or made available to third parties without prior consent from ResMed and not to be used in any unauthorised way.  ResMed Ltd 2016. DOC NO 378015 PAGE 1 of 35 SPECIFICATION – PRINTED MATERIALS REV 5 Rev Change Note Date document drafted Document prepared by (Name) Document Checked by (Name) 1 C36080 11 Mar 2014 Lisa Oliver Alison Besley (or delegate - refer to change note) 2 C36759 28 May 2014 Lisa Oliver Catherine Macalpine Alison Besley (or delegate – refer to change note) 3 C37528 18 Aug 2014 Verena Pirnbacher Alison Besley (or delegate – refer to change note) 4 mC0362 15 Jan 2016 Priya Varghese Alison Besley (or delegate – refer to change note) 5 mC0484 1 Aug 2016 Melanie Theaker Kristina Poeche or delegate refer to change note AirCurve 10 VAuto S ST User Guide (device with humidifier) AMER Eng Ref Reference for internal use only Not for printing or web publishing 1. DOCUMENT SCOPE This guide has been developed in Author-it. The content is written in AMER Eng in order to make sure that only one language (AmE) is used consistently for all Newport content in the production database. Imperial measurements, metric measurements as well as cm H2O and hPa are included where applicable. Once published from Author-it the following changes are applied to create this AMER Eng Ref: • Instances of hPa deleted with exception of: Environmental conditions, Operating altitude: “Sea level to 8,500’ (2,591 m); air pressure range 1013 hPa to 738 hPa”. This guide includes content which is applicable to: Device: AirCurve 10 VAuto S ST Integrated humidifier (standard water tub): Yes Integrated humidifier (cleanable water tub): No CAM: Yes Images and screens show an AirCurve 10 S device. 2. CHANGE HISTORY This change history provides an overall summary to assess importance of changes when documents are later introduced onto a BOM. Document versions, copyright and release dates are automatic updates and not detailed below.

ResMed Confidential Proprietary Information, not to be reproduced or made available to third parties without prior consent from ResMed and not to be used in any unauthorised way.  ResMed Ltd 2016. DOC NO 378015 PAGE 2 of 35 SPECIFICATION – PRINTED MATERIALS REV 5 REVISION 5 Changes trigger new document numbers for published multis if published multis are already available Section Heading Summary of change Languages/Country variations Update of AMER SPA/POB exception: Technical specifications: Remove FCC ID: 2ACHL-AIR104G, 2ACHL-AIR103G IC: 9103A-AIR104G, 9103A-AIR103G The AirCurve 10 device complies with FCC Rules and Industry Canada rules. The AirCurve 10 device should be used at a minimum distance of 0.8" (2 cm) from the body during operation. Additional information regarding the FCC Rules and IC compliance for this device can be found on www.resmed.com/downloads/devices Therapy data Update paragraph to include ‘if wireless network is available’ Wireless – Notes section Add a new paragraph under the bullet points: Please be aware that within the wireless network the availability and quality of the network may be affected by terrain, buildings and the weather. Wireless communication depends on network availability. Coverage is not available everywhere and varies by service. Technical Specifications classification Update classification table to: IEC 60601-1:2005+A1:2012 Technical Specifications – wireless module Update the technology section with the following: 4G (USA and Canada only) 3G (USA and Canada only) 2G GSM (all regions except USA and Canada) Technical Specifications – FCC rules Update with the following: FCCID: 2ACHL-AIR104G, 2ACHL-AIR103G IC: 9103A-AIR104G, 9103A-AIR103G The AirCurve 10 device complies with FCC Rules and Industry Canada Rules REVISION 4 Backwards compatible change / Changes trigger new document numbers for published multis Section Heading Summary of change All Technical review: >378013-8#1 Data according to D000-0245 Machines Data Rev. 55 Caring for your device The following Legionella warning added after the first paragraph: “Regularly clean your tubing assembly, water tub and mask to receive optimal therapy and to prevent the growth of germs that can adversely affect your health”. The following LMR 880 was added to the list of warnings: “Regularly check the antibacterial filter for signs of moisture or other contaminants, particularly during nebulization or humidification. Failure to do so could result in increased breathing system resistance.”

ResMed Confidential Proprietary Information, not to be reproduced or made available to third parties without prior consent from ResMed and not to be used in any unauthorised way.  ResMed Ltd 2016. DOC NO 378015 PAGE 3 of 35 SPECIFICATION – PRINTED MATERIALS REV 5 At a glance Addition of ‘ClimateLineAir Oxy’ to the Air Tubing (heated and non-heated) bullet, under the range of accessories available for use with the device. Technical Specifications Supplemental Oxygen maximum flow values were modified as follows: “For VAuto device: 4 L/min (CPAP, S, VAuto) For S device: 4L/min (CPAP, S) For ST device: 15 L/min (CPAP, S, ST, T)” REVISION 3 Backwards compatible change / Changes trigger new document numbers for published multis Section Heading Summary of change Cover Included ST on front page. Introduction Updated to include ST. Indications for use 1. Included IFU part for MPMU/humidifier below the AirCurve 10 V Auto and the AirCurve 10 S IFU: The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment. (Object ID 18668; NP_IFU-humidifier). 2. Included IFU for ST: AirCurve 10 ST The AirCurve 10 ST device is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). It is intended for home and hospital use. The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment. At a glance section; explanation of UI icons: Updated to include the “Wireless transfer not enabled” icon. Therapy Data – Wireless section Object 18881 has been updated to change first paragraph to the following: Your <platform> device is equipped with cellular communication. This allows your therapy data to be wirelessly transmitted to your care provider to enhance the quality of your treatment. It also allows therapy settings to be updated in a more timely manner or your device software to be upgraded. The Wireless signal strength icon displayed at the top right of your screen indicates the signal strength. Object 18882 has been updated to change “mains power” to “power outlet” in second paragraph. Therapy Data – SD card Object 16915 has been included before the section “To remove the SD card” (Obj 15515): Do not remove the SD card from the device when the SD light is flashing. Troubleshooting Include Object 18942 after “Device may be in Airplane Mode” under “My therapy data has not been sent to my care provider”: Data transfer is not enabled for your device. Contact your care provider to enable the data transfer service. Warnings Include 2 new warnings: Object ID 18952: The device should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the device should be observed to verify normal operation in the configuration in which it will be used.

ResMed Confidential Proprietary Information, not to be reproduced or made available to third parties without prior consent from ResMed and not to be used in any unauthorised way.  ResMed Ltd 2016. DOC NO 378015 PAGE 5 of 35 SPECIFICATION – PRINTED MATERIALS REV 5 Technical specifications • Not included as not available on D000-0245 for this version. • Updated from FCC ID R17CE910-DUAL to FCC ID 2ACHL-Air10CD Symbols • Added symbols: Operating altitude, Atmospheric pressure limitation and Airplane. • Removed symbols: Disinfectable up to 200C and Not for Use on more than one patient. REVISION 1 Backwards compatible change / Changes trigger new document numbers for published multis Section Heading Summary of change All Technical reviews: 378015-1#1 Covers Latest branding to be applied at next revision. Technical Specifications Not available on D000-0245 Machines Data for this revision of the document. 3. LANGUAGES/COUNTRY VARIATIONS THE FOLLOWING VARIATIONS APPLY TO THE LANGUAGES OR COUNTRIES AS INDICATED WHEN THEY ARE PUBLISHED FOR EXTERNAL USE. Language/Country Description of change from this English AMER Eng Remove instances of “hPA” from guide with exception of: Environmental conditions, Operating altitude: “Sea level to 8,500’ (2,591 m); air pressure range 1013 hPa to 738 hPa”. All translation based on this document Check all instances of “hPa” have been removed with exception of: Environmental conditions, Operating altitude: “Sea level to 8,500’; air pressure range 1013 hPa to 738 hPa”. AMER Spa The following Mexican Regulatory Statement is to be added to the AMER Spa (Mexico only) user guides, as reference document 378432: Este product contiene un <Módulo inalámbrico GSM/GPRS> Marca: <TELIT> Modelo: <GE910-QUAD> IFETEL: RTITEGE13-0729 La operación de este equipo está sujeta a las siguientes dos condiciones: 1. es posible que este equipo o dispositivo no cause interferencia perjudicial y 2. este equipo debe aceptar cualquier interferencia, incluyendo la que pueda causar su propia operación no deseada. AMER Spa Technical specifications: Remove FCC ID: 2ACHL-AIR104G, 2ACHL-AIR103G IC: 9103A-AIR104G, 9103A-AIR103G The AirCurve 10 device complies with FCC Rules and Industry Canada rules. The AirCurve 10 device should be used at a minimum distance of 0.8" (2 cm) from the body during operation. Additional information regarding the FCC Rules and IC compliance for this device can be found on www.resmed.com/downloads/devices

ResMed Confidential Proprietary Information, not to be reproduced or made available to third parties without prior consent from ResMed and not to be used in any unauthorised way.  ResMed Ltd 2016. DOC NO 378015 PAGE 6 of 35 SPECIFICATION – PRINTED MATERIALS REV 5 THIS PAGE IS INTENTIONALLY BLANK

User guide

User guideEnglish User guide378015r5_Covers.indd 2 1/08/2016 1:45:41 PM

378015r5_Covers.indd 3 1/08/2016 1:45:41 PM

English 1 ENGLISH Welcome The AirCurve 10 VAuto, AirCurve 10 S and AirCurve 10 ST are bilevel positive airway pressure devices. WARNING Read this entire guide before using the device. CAUTION In the US, Federal law restricts this device to sale by or on the order of a physician. Indications for use AirCurve 10 VAuto The AirCurve 10 VAuto device is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). It is intended for home and hospital use. The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment. AirCurve 10 S The AirCurve 10 S device is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). It is intended for home and hospital use. The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment. AirCurve 10 ST The AirCurve 10 ST device is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). It is intended for home and hospital use. The humidifier is intended for single patient use in the home environment and re-use in a hospital/institutional environment. Contraindications Positive airway pressure therapy may be contraindicated in some patients with the following pre-existing conditions: • severe bullous lung disease • pneumothorax or pneumomediastinum • pathologically low blood pressure, particularly if associated with intravascular volume depletion • dehydration • cerebrospinal fluid leak, recent cranial surgery, or trauma.

2 Adverse effects You should report unusual chest pain, severe headache, or increased breathlessness to your 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 device: • drying of the nose, mouth, or throat • nosebleed • bloating • ear or sinus discomfort • eye irritation • skin rashes. At a glance The AirCurve 10 includes the following: • Device with HumidAir™ integrated humidifier • Water tub • Air tubing • Power supply unit • Travel bag • SD card (not available in all devices). Contact your care provider for a range of accessories available for use with the device including: • Air tubing (heated and non-heated): ClimateLineAir™, SlimLine™, ClimateLineAir Oxy, Standard • Water tub: Standard water tub, cleanable water tub (can be disinfected) • Side cover for use without the humidifier • Filter: Hypoallergenic filter, standard filter • Air10™ DC/DC converter • SD card reader • Air10 oximeter adapter • Air10 USB adapter • Power Station II • Air10 tubing elbow.

English 3 About your device 1 Air outlet 5 Water tub 2 Air filter cover 6 Screen 3 Power inlet 7 Adapter cover 4 Serial number and device number 8 SD card cover About the control panel Start/Stop button Press to start/stop therapy. Press and hold for three seconds to enter power save mode. Dial Turn to navigate the menu and press to select an option. Turn to adjust a selected option and press to save your change. Home button Press to return to the Home screen. Different icons may be displayed on the screen at different times including: Ramp Time Wireless signal strength (green) Humidity Wireless transfer not enabled (gray) Humidifier warming No wireless connection Humidifier cooling Airplane Mode

4 Setup CAUTION Do not overfill the water tub as water may enter the device and air tubing. 1. Place the device on a stable level surface. 2. Plug the power connector into the rear of the device. Connect one end of the power cord into the power supply unit and the other end into the power outlet. 3. Connect the air tubing firmly to the air outlet located on the rear of the device. 4. Open the water tub and fill it with distilled water up to the maximum water level mark. Do not fill the water tub with hot water. 5. Close the water tub and insert it into the side of the device. 6. Connect the free end of the air tubing firmly onto the assembled mask. See the mask user guide for detailed information. Recommended masks are available on www.resmed.com.

English 5 Starting therapy 1. Fit your mask. 2. Press Start/Stop or breathe normally if SmartStart™ is enabled. You will know that therapy is on when the Sleep Report screen is displayed. The pressure bar shows the inspiratory and expiratory pressures in green. The green bar will expand and contract as you breathe in and out. The screen will go black automatically after a short period of time. You can press Home or the dial to turn it back on. If power is interrupted during therapy, the device will automatically restart therapy when power is restored. The AirCurve 10 device has a light sensor that adjusts the screen brightness based on the light in the room. Stopping therapy 1. Remove your mask. 2. Press Start/Stop or if SmartStart is enabled, therapy will stop automatically after a few seconds. The Sleep Report now gives you a summary of your therapy session. Usage hours–Indicates the number of hours of therapy you received last session. Mask Seal–Indicates how well your mask sealed: Good mask seal. Needs adjusting, see Mask Fit. Humidifier–Indicates if your humidifier is working properly: Humidifier working. Humidifier might be faulty, contact your care provider. If set by your care provider, you will also see: Events per hour–Indicates the number of apneas and hypopneas experienced per hour. More Info–Turn the dial to scroll down to view more detailed usage data.

6 Power save mode Your AirCurve 10 device records your therapy data. In order to allow it to transmit the data to your care provider, you should not unplug the device. However, you can put it into power save mode to save electricity. To enter power save mode: • Press and hold Start/Stop for three seconds. The screen goes black. To exit power save mode: • Press Start/Stop once. The Home screen is displayed. My Options Your AirCurve 10 device has been set up for your needs by your care provider, but you may find you want to make small adjustments to make your therapy more comfortable. Highlight My Options and press the dial to see your current settings. From here, you can personalize your options. Ramp Time Designed to make the beginning of therapy more comfortable, Ramp Time is the period during which the pressure increases from a low start pressure to the prescribed treatment pressure. You can set your Ramp Time to Off or between 5 to 45 minutes. To adjust Ramp Time: 1. In My Options, turn the dial to highlight Ramp Time and then press the dial. 2. Turn the dial to adjust the ramp time to your preferred setting and press the dial to save the change.

English 7 Humidity Level The humidifier moistens the air and is designed to make therapy more comfortable. If you are getting a dry nose or mouth, turn up the humidity. If you are getting any moisture in your mask, turn down the humidity. You can set the Humidity Level to Off or between 1 and 8, where 1 is the lowest humidity setting and 8 is the highest humidity setting. To adjust the Humidity Level: 1. In My Options, turn the dial to highlight Humidity Level and then press the dial. 2. Turn the dial to adjust the humidity level and press the dial to save the change. If you continue to get a dry nose or mouth, or moisture in your mask, consider using ClimateLineAir heated air tubing. ClimateLineAir together with Climate Control delivers more comfortable therapy. Mask Fit Mask Fit is designed to help you assess and identify possible air leaks around your mask. To check Mask Fit: 1. Fit the mask as described in the mask user guide. 2. In My Options, turn the dial to highlight Run Mask Fit and then press the dial. The device starts blowing air. 3. Adjust the mask, mask cushion and headgear until you get a Good result. To stop Mask Fit, press the dial or Start/Stop. If you are unable to get a good mask seal, talk to your care provider. More options There are some more options on your device which you can personalize. Leak Alert* When Leak Alert is enabled, the device beeps if the mask leaks too much air or if you remove the mask during therapy. SmartStart* When SmartStart is enabled, therapy starts automatically when you breathe into your mask. When you remove your mask, it stops automatically after a few seconds. *When enabled by your care provider.

8 Caring for your device It is important that you regularly clean your AirCurve 10 device to make sure you receive optimal therapy. The following sections will help you with disassembling, cleaning, checking and reassembling your device. WARNING Regularly clean your tubing assembly, water tub and mask to receive optimal therapy and to prevent the growth of germs that can adversely affect your health. Disassembling 1. Hold the water tub at the top and bottom, press it gently and pull it away from the device. 2. Open the water tub and discard any remaining water. 3. Hold the cuff of the air tubing and gently pull it away from the device. 4. Hold both the cuff of the air tubing and the swivel of the mask, then gently pull apart. Cleaning You should clean the device weekly as described. Refer to the mask user guide for detailed instructions on cleaning your mask. 1. Wash the water tub and air tubing in warm water using mild detergent. Do not wash in a dishwasher or washing machine. 2. Rinse the water tub and air tubing thoroughly and allow to dry out of direct sunlight and/or heat. 3. Wipe the exterior of the device with a dry cloth.

English 9 Checking You should regularly check the water tub, air tubing and the air filter for any damage. 1. Check the water tub: • Replace it if it is leaking or has become cracked, cloudy or pitted. • Replace it if the seal is cracked or torn. • Remove any white powder deposits using a solution of one part household vinegar to 10 parts water. 2. Check the air tubing and replace it if there are any holes, tears or cracks. 3. Check the air filter and replace it at least every six months. Replace it more often if there are any holes or blockages by dirt or dust. To replace the air filter: 1. Open the air filter cover and remove the old air filter. The air filter is not washable or reusable. 2. Place a new air filter onto the air filter cover and then close it. Make sure the air filter is fitted at all times to prevent water and dust from entering the device. Reassembling When the water tub and air tubing are dry, you can reassemble the parts. 1. Connect the air tubing firmly to the air outlet located on the rear of the device. 2. Open the water tub and fill it with distilled room temperature water up to the maximum water level mark. 3. Close the water tub and insert it into the side of the device. 4. Connect the free end of the air tubing firmly onto the assembled mask. Therapy data Your AirCurve 10 device records your therapy data for you and your care provider so they can view and make changes to your therapy if required. The data is recorded and then transferred to your care provider wirelessly, if wireless network is available, or via an SD card.

10 Wireless Your AirCurve 10 device is equipped with cellular communication. This allows your therapy data to be wirelessly transmitted to your care provider to enhance the quality of your treatment. It also allows therapy settings to be updated in a more timely manner or your device software to be upgraded. The Wireless signal strength icon displayed at the top right of your screen indicates the signal strength. The data is usually transmitted after therapy has stopped. In order to make sure that your data is transferred, leave your device connected to the power outlet at all times and make sure that it is not in Airplane Mode. Notes: • Therapy data might not be transmitted if you use it outside of the country or region of purchase. • Devices with cellular communication might not be available in all regions. Please be aware that within the wireless network the availability and quality of the network may be affected by terrain, buildings and the weather. Wireless communication depends on network availability. Coverage is not available everywhere and varies by service. SD card An alternative way for your therapy data to be transferred to your care provider is via the SD card. Your care provider may ask you to send the SD card by mail or to bring it in. When instructed by your care provider, remove the SD card. Do not remove the SD card from the device when the SD light is flashing, because data is being written to the card. To remove the SD card: 1. Open the SD card cover. 2. Push in the SD card to release it. Remove the SD card from the device. Place the SD card in the protective folder and send it back to your care provider. For more information on the SD card refer to the SD card protective folder provided with your device. Note: The SD card should not be used for any other purpose.

English 11 Traveling You can take your AirCurve 10 device with you wherever you go. Just keep the following in mind: • Use the travel bag provided to prevent damage to the device. • Empty the water tub and pack it separately in the travel bag. • Make sure you have the appropriate power cord for the region you are traveling to. For information on purchasing, contact your care provider. • If you are using an external battery, you should turn off the humidifier in order to maximize the life of your battery. Do this by turning the Humidity Level to Off. Traveling by plane Your AirCurve 10 device may be taken on board as carry-on luggage. Medical devices do not count toward your carry-on luggage limit. You can use your AirCurve 10 device on a plane as it meets the Federal Aviation Administration (FAA) requirements. Air travel compliance letters can be downloaded and printed from www.resmed.com. When using the device on a plane: • Make sure the water tub is completely empty and inserted into your device. The device will not work without the water tub inserted. • Turn on Airplane Mode. To turn on Airplane Mode: 1. In My Options, turn the dial to highlight Airplane Mode and then press the dial. 2. Turn the dial to select On and then press the dial to save the change. The Airplane Mode icon is displayed at the top right of the screen. CAUTION Do not use the device with water in the water tub on a plane due to the risk of inhalation of water during turbulence.

12 Troubleshooting If you have any problems, have a look at the following troubleshooting topics. If you are not able to fix the problem, contact your care provider or ResMed. Do not try to open the device. General troubleshooting Problem/possible cause Solution Air is leaking from around my mask Mask may be fitted incorrectly. Make sure your mask is fitted correctly. See your mask user guide for fitting instructions or use the Mask Fit function to check your mask fit and seal. I am getting a dry or blocked nose Humidity level may be set too low. Adjust the Humidity Level. If you have ClimateLineAir heated air tubing, see the ClimateLineAir user guide. I am getting droplets of water on my nose, in the mask and air tubing Humidity level may be set too high. Adjust the Humidity Level. If you have ClimateLineAir heated air tubing, see the ClimateLineAir user guide. My mouth is very dry and uncomfortable Air may be escaping through your mouth. Increase the Humidity Level. You may need a chin strap to keep your mouth closed or a full face mask. Air pressure in my mask seems too high (it feels like I am getting too much air) Ramp may be turned off. Use the Ramp Time option. Air pressure in my mask seems too low (it feels like I am not getting enough air) Ramp may be in progress. Wait for air pressure to build up or turn Ramp Time off. My screen is black Backlight on the screen may have turned off. It turns off automatically after a short period of time. Press Home or the dial to turn it back on. Power may not be connected. Connect the power supply and make sure the plug is fully inserted. I have stopped therapy, but the device is still blowing air Device is cooling down. Device blows a small amount of air in order to avoid condensation in the air tubing. It will stop automatically after 30 minutes.

English 13 Problem/possible cause Solution My water tub is leaking Water tub may not be assembled correctly. Check for damage and reassemble the water tub correctly. Water tub may be damaged or cracked. Contact your care provider for a replacement. My therapy data has not been sent to my care provider Wireless coverage may be poor. Make sure that the device is placed where there is coverage (ie, on your bedside table, not in a drawer or on the floor). The Wireless signal strength icon indicates good coverage when all bars are displayed, and poor coverage when fewer bars are displayed. The No wireless connection icon is displayed on the top right of the screen. no wireless network available. Make sure that the device is placed where there is coverage (ie, on your bedside table, not in a drawer or on the floor). If instructed to do so, send the SD card to your care provider. The SD card also contains your therapy data. Device may be in Airplane Mode. Turn off Airplane Mode, see Traveling by plane. Data transfer is not enabled for your device. Talk to your care provider about your settings. My screen and buttons are flashing Software upgrade is in progress. Software upgrade takes approximately 10 minutes to complete. Device messages Device message/possible cause Solution High leak detected, check your water tub, tub seal or side cover Water tub may not be inserted properly. Make sure the water tub is correctly inserted. Water tub seal may not be inserted properly. Open the water tub and make sure that the seal is correctly inserted. High leak detected, connect your tubing Air tubing may not be connected properly. Make sure the air tubing is firmly connected at both ends. Mask may be fitted incorrectly. Make sure your mask is fitted correctly. See your mask user guide for fitting instructions or use the Mask Fit function to check your mask fit and seal. Tubing blocked, check your tubing Air tubing may be blocked. Check the air tubing and remove any blockages. Press the dial to clear the message and then press Start/Stop to restart the device.

14 Device message/possible cause Solution SD card error, remove your card and press Start to begin therapy SD card may not be inserted correctly. Remove and reinsert the SD card. Read only card, please remove, unlock and re-insert SD card SD card switch may be in the lock (read-only) position. Move the switch on the SD Card from the lock position to the unlock position and then re-insert it. System fault, refer to user guide, Error 004 Device may have been left in a hot environment. Allow to cool before re-use. Disconnect the power supply and then reconnect it to restart the device. Air filter may be blocked. Check the air filter and replace it if there are any blockages. Disconnect the power supply and then reconnect it to restart the device. Air tubing may be blocked. Check the air tubing and remove any blockages. Press the dial to clear the message and then press Start/Stop to restart the device. There may be water in the air tubing. Empty the water from the air tubing. Disconnect the power supply and then reconnect it to restart the device. All other error messages, for example, System fault, refer to user guide, Error 0XX An unrecoverable error has occurred on the device. Contact your care provider. Do not open the device.

English 15 Reassembling parts Some parts of your device are designed to easily come off in order to avoid damage to the parts or the device. You can easily reassemble them as described below. To insert the water tub seal: 1. Place the seal into the lid. 2. Press down along all edges of the seal until it is firmly in place. To reassemble the water tub lid: 1. Insert one side of the lid into the pivot hole of the base. 2. Slide the other side down the ridge until it clicks into place.

16 General warnings and cautions WARNING • Make sure that you arrange the air tubing so that it will not twist around the head or neck. • Make sure the power cord and plug are in good condition and the equipment is not damaged. • Keep the power cord away from hot surfaces. • If you notice any unexplained changes in the performance of the device, if it is making unusual sounds, if the device or the power supply are dropped or mishandled, or if the enclosure is broken, discontinue use and contact your care provider or your ResMed Service Center. • Do not open or modify the device. There are no user serviceable parts inside. Repairs and servicing should only be performed by an authorized ResMed service agent. • Beware of electrocution. Do not immerse the device, power supply or power cord in water. If liquids are spilled into or onto the device, unplug the device and let the parts dry. Always unplug the device before cleaning and make sure that all parts are dry before plugging it back in. • Supplemental oxygen must not be used while smoking or in the presence of an open flame. • Always make sure that the device is turned on and airflow generated before the oxygen supply is turned on. Always turn the oxygen supply off before the device is turned off, so that unused oxygen does not accumulate within the device enclosure and create a risk of fire. • Do not perform any maintenance tasks while the device is in operation. • The device should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the device should be observed to verify normal operation in the configuration in which it will be used. • The use of accessories other than those specified for the device is not recommended. They may result in increased emissions or decreased immunity of the device. • Regularly check the antibacterial filter for signs of moisture or other contaminants, particularly during nebulization or humidification. Failure to do so could result in increased breathing system resistance. CAUTION • Use only ResMed parts and accessories with the device. Non-ResMed parts may reduce the effectiveness of the treatment and/or damage the device. • Use only vented masks recommended by ResMed or by the prescribing doctor with this device. Fitting the mask without the device blowing air can result in rebreathing of exhaled air. Make sure that the mask vent holes are kept clear and unblocked to maintain the flow of the fresh air into the mask. • Be careful not to place the device where it can be bumped or where someone is likely to trip over the power cord. • Blocking the air tubing and/or air inlet of the device while in operation could lead to overheating of the device. • Keep the area around the device dry, clean and clear of anything (eg, clothes or bedding) that could block the air inlet or cover the power supply unit. • Do not place the device on its side as water might get into the device. • Incorrect system setup may result in incorrect mask pressure reading. Ensure the system is correctly set up.

English 17 • Do not use bleach, chlorine, alcohol, or aromatic-based solutions, moisturizing or antibacterial soaps or scented oils to clean the device, the water tub or air tubing. These solutions may cause damage or affect the humidifier performance and reduce the life of the products. • If you use the humidifier, always place the device on a level surface lower than your head to prevent the mask and air tubing from filling with water. • Leave the water tub to cool for ten minutes before handling to allow the water to cool and to make sure that the water tub is not too hot to touch. • Make sure that the water tub is empty before transporting the device. Technical specifications 90W power supply unit AC input range: 100–240V, 50–60Hz 1.0–1.5A, Class II 115V, 400Hz 1.5A, Class II (nominal for aircraft use) DC output: 24V 3.75A Typical power consumption: 53W (57VA) Peak power consumption: 104W (108VA) Environmental conditions Operating temperature: +41°F to +95°F (+5°C to +35°C) Note: The air flow for breathing produced by this therapy device can be higher than the temperature of the room. Under extreme ambient temperature conditions (104°F/40°C) the device remains safe. Operating humidity: 10 to 95% relative humidity, non-condensing Operating altitude: Sea level to 8,500' (2,591 m); air pressure range 1013 hPa to 738 hPa Storage and transport temperature: -4°F to +140°F (-20°C to +60°C) Storage and transport humidity: 5 to 95% relative humidity, non-condensing Electromagnetic compatibility The AirCurve 10 complies with all applicable electromagnetic compatibility requirements (EMC) according to IEC 60601-1-2:2014, for residential, commercial and light industry environments. It is recommended that mobile communication devices are kept at least 1 m away from the device. Information regarding the electromagnetic emissions and immunity of this ResMed device can be found on www.resmed.com/downloads/devices Classification: IEC 60601-1:2005+A1:2012 Class II (double insulation), Type BF, Ingress protection IP22. Sensors Pressure sensor: Internally located at device outlet, analog gauge pressure type, -5 to +45 cm H2O (-5 to +45 hPa) Flow sensor: Internally located at device inlet, digital mass flow type, -70 to +180 L/min Maximum single fault steady pressure Device will shut down in the presence of a single fault if the steady state pressure exceeds: 30 cm H2O (30 hPa) for more than 6 sec or 40 cm H2O (40 hPa) for more than 1 sec.

18 Sound Pressure level measured according to ISO 80601-2-70:2015 (CPAP mode): SlimLine: 25 dBA with uncertainty of 2 dBA Standard: 25 dBA with uncertainty of 2 dBA SlimLine or Standard and humidification: 27 dBA with uncertainty of 2 dBA Power level measured according to ISO 80601-2-70:2015 (CPAP mode): SlimLine: 33 dBA with uncertainty of 2 dBA Standard: 33 dBA with uncertainty of 2 dBA SlimLine or Standard and humidification: 35 dBA with uncertainty of 2 dBA Declared dual-number noise emission values in accordance with ISO 4871:1996. Physical - device and water tub Dimensions (H x W x D): 4.57" x 10.04" x 5.91" (116 mm x 255 mm x 150 mm) Air outlet (complies with ISO 5356-1:2004): 22 mm Weight (device and standard water tub): 44 oz (1248 g) Weight (device and cleanable water tub): 44 oz (1248 g) Housing construction: Flame retardant engineering thermoplastic Water capacity: To maximum fill line 380 mL Standard water tub - material: Injection molded plastic, stainless steel and silicone seal Cleanable water tub - material: Injection molded plastic, stainless steel and silicone seal Temperature Maximum heater plate: 154°F (68°C) Cut-out: 165°F (74°C) Maximum gas temperature: ≤ 106°F (≤ 41°C) Air filter Standard: Material: Polyester non woven fiber Average arrestance: >75% for ~7 micron dust Hypoallergenic: Material: Acrylic and polypropylene fibers in a polypropylene carrier Efficiency: >98% for ~7-8 micron dust; >80% for ~0.5 micron dust Aircraft use ResMed confirms that device meets the Federal Aviation Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all phases of air travel. Wireless module Technology used: 4G (USA and Canada only) 3G (USA and Canada only) 2G GSM (all regions except USA and Canada) FCC ID: 2ACHL-AIR104G, 2ACHL-AIR103G IC: 9103A-AIR104G, 9103A-AIR103G The AirCurve 10 device complies with FCC Rules and Industry Canada rules. The AirCurve 10 device should be used at a minimum distance of 0.8" (2 cm) from the body during operation. Additional information regarding the FCC Rules and IC compliance for this device can be found on www.resmed.com/downloads/devices

English 19 Operating pressure range S, ST, T: 3 to 25 cm H2O (3 to 25 hPa) VAuto: 4 to 25 cm H2O (4 to 25 hPa) CPAP: 4 to 20 cm H2O (4 to 20 hPa) Supplemental oxygen Maximum flow: For VAuto device: 4 L/min (CPAP, S, VAuto) For S device: 4L/min (CPAP, S) For ST device: 15 L/min (CPAP, S, ST, T) Pneumatic flow path 1. Flow sensor 2. Blower 3. Pressure sensor 4. Mask 5. Air tubing 6. Water tub 7. Device 8. Inlet filter Design life Device, power supply unit: 5 years Cleanable water tub: 2.5 years Standard water tub, air tubing: 6 months General The patient is an intended operator. Humidifier performance Mask Pressure cm H2O (hPa) RH output % at 63°F (17°C) ambient temperature RH output % at 72°F (22°C) ambient temperature Nominal system output AH1, BTPS2 Setting 4 Setting 8 Setting 4 Setting 8 3 85 100 6 >10 4 85 100 6 >10 10 85 100 6 >10 20 85 90 6 >10 25 85 90 6 >10 1 AH - Absolute Humidity in mg/L 2 BTPS - Body Temperature Pressure Saturated

20 Air tubing Air tubing Material Length Inner diameter ClimateLineAir Flexible plastic and electrical components 6'6" (2 m) 0.6" (15 mm) ClimateLineAir Oxy Flexible plastic and electrical components 6'4" (1.9 m) 0.75" (19 mm) SlimLine Flexible plastic 6' (1.8 m) 0.6" (15 mm) Standard Flexible plastic 6'6" (2 m) 0.75" (19 mm) Heated air tubing temperature cut-out: ≤ 106°F (≤ 41°C) Notes: • The manufacturer reserves the right to change these specifications without notice. • The electrical connector end of the heated air tubing is only compatible with the air outlet at the device end and should not be fitted to the mask. • Do not use electrically conductive or antistatic air tubing. • The temperature and relative humidity settings displayed are not measured values. Displayed values Value Range Display resolution Pressure sensor at air outlet: Mask pressure 3–25 cm H2O (3–25 hPa) 0.1 cm H2O (0.1 hPa) Flow derived values: Leak 0–120 L/min 1 L/min Tidal volume 0–4000 mL 1 mL Respiratory rate 0–50 bpm 1 bpm Minute ventilation 0–30 L/min 0.1 L/min Ti 0.1–4.0 sec 0.1 sec I:E ratio 1:100–2:1 0.1 Value Accuracy1 Pressure measurement1: Mask pressure2 ±[0.5 cm H2O (0.5 hPa) + 4% of measured value] Flow and flow derived values1: Flow ±6 L/min or 10% of reading, whichever is greater, at 0 to 150 L/min positive flow Leak2 ±12 L/min or 20% of reading, whichever is greater, 0 to 60 L/min Tidal volume2,3 ± 20% Respiratory rate2,3 ± 1.0 bpm Minute ventilation2,3 ± 20% 1 Results are expressed as STPD (Standard Temperature and Pressure, Dry). 2 Accuracy may be reduced by the presence of leaks, supplemental oxygen, tidal volumes <100 mL or minute ventilation <3 L/min. 3 Measurement accuracy verified as per ISO 10651-1:2004 for Home Care Ventilatory Support Devices (Figure 101 and Table 101) using nominal ResMed mask vent flows. Measurement system uncertainties In accordance with ISO 80601-2-70:2015 the measurement uncertainty of the manufacturer's test equipment is: For measures of flow ± 1.5 L/min or ± 2.7% of reading (whichever is greater) For measures of volume (< 100 mL) ± 5 mL or 6% of reading (whichever is greater) For measures of volume (≥ 100 mL) ± 20 mL or 3% of reading (whichever is greater) For measures of pressure ± 0.15 cm H2O (0.15 hPa) For measures of time ± 10 ms

English 21 Pressure accuracy Maximum static pressure variation at 10 cm H2O (10 hPa) according to ISO 80601-2-70:2015 Standard air tubing SlimLine air tubing Without humidification ± 0.5 cm H2O (± 0.5 hPa) ± 0.5 cm H2O (± 0.5 hPa) With humidification ± 0.5 cm H2O (± 0.5 hPa) ± 0.5 cm H2O (± 0.5 hPa) Maximum dynamic pressure variation according to ISO 80601-2-70:2015 Device without humidification and Standard air tubing / Device with humidification and Standard air tubing Pressure [cm H2O (hPa)] 10 BPM 15 BPM 20 BPM 4 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 8 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 12 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 16 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 20 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 25 0.3 / 0.3 0.5 / 0.4 0.7 / 0.7 Device without humidification and SlimLine air tubing / Device with humidification and SlimLine air tubing Pressure [cm H2O (hPa)] 10 BPM 15 BPM 20 BPM 4 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 8 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 12 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 16 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 20 0.5 / 0.5 0.5 / 0.5 0.8 / 0.8 25 0.4 / 0.3 0.6 / 0.5 0.8 / 0.8 Pressure accuracy - bilevel Maximum dynamic pressure variation according to ISO 80601-2-70:2015. Device without humidification and Standard air tubing / Device with humidification and Standard air tubing Breath rate Inspiratory pressure (cm H2O [hPa]) (Means, Standard Deviations) 6 10 16 21 25 10 BPM -0.09, 0.01 / -0.22, 0.01 -0.01, 0.07 / -0.22, 0.01 0.07, 0.05 / -0.24, 0.01 -0.03, 0.09 / -0.29, 0.03 0.12, 0.01 / -0.26, 0.02 15 BPM 0.02, 0.08 / -0.22, 0.01 0.12, 0.01 / -0.22, 0.01 0.15, 0.01 / -0.26, 0.01 0.15, 0.01 / -0.31, 0.02 0.16, 0.12 / -0.30, 0.02 20 BPM 0.17, 0.01 / -0.23, 0.01 0.21, 0.01 / -0.28, 0.01 0.25, 0.01 / -0.34, 0.01 0.21, 0.17 / -0.38, 0.02 0.32, 0.02 / -0.40, 0.03 Breath rate Expiratory pressure (cm H2O [hPa]) (Means, Standard Deviations) 2 6 12 17 21 10 BPM -0.14, 0.01 / -0.27, 0.01 -0.16, 0.01 / -0.29, 0.02 -0.11, 0.10 / -0.34, 0.02 -0.16, 0.05 / -0.33, 0.01 -0.17, 0.05 / -0.33, 0.02 15 BPM -0.16, 0.01 / -0.25, 0.01 -0.20, 0.01 / -0.33, 0.02 -0.20, 0.05 / -0.35, 0.01 -0.21, 0.05 / -0.38, 0.02 -0.23, 0.08 / -0.38, 0.02 20 BPM -0.27, 0.01 / -0.37, 0.01 -0.26, 0.02 / -0.34, 0.01 -0.25, 0.01 / -0.38, 0.01 -0.29, 0.01 / -0.43, 0.02 -0.31, 0.01 / -0.45, 0.03

22 Device without humidification and SlimLine air tubing / Device with humidification and SlimLine air tubing Breath rate Inspiratory pressure (cm H2O [hPa]) (Means, Standard Deviations) 6 10 16 21 25 10 BPM -0.26, 0.01 / -0.52, 0.01 -0.25, 0.02 / -0.53, 0.02 -0.24, 0.02 / -0.53, 0.01 -0.25, 0.02 / -0.54, 0.02 -0.20, 0.02 / -0.51, 0.02 15 BPM -0.26, 0.01 / -0.51, 0.01 -0.25, 0.01 / -0.54, 0.01 -0.26, 0.01 / -0.56, 0.01 -0.31, 0.03 / -0.58, 0.02 -0.30, 0.05 / -0.60, 0.03 20 BPM -0.25, 0.02 / -0.52, 0.01 -0.29, 0.02 / -0.58, 0.01 -0.34, 0.02 / -0.62, 0.01 -0.36, 0.02 / -0.67, 0.02 -0.36, 0.03 / -0.69, 0.02 Breath rate Expiratory pressure (cm H2O [hPa]) (Means, Standard Deviations) 2 6 12 17 21 10 BPM -0.28, 0.01 / -0.43, 0.01 -0.30, 0.03 / -0.50, 0.01 -0.30, 0.01 / -0.54, 0.01 -0.33, 0.01 / -0.58, 0.01 -0.34, 0.01 / -0.60, 0.02 15 BPM -0.24, 0.02 / -0.37, 0.01 -0.29, 0.02 / -0.47, 0.01 -0.35, 0.01 / -0.55, 0.01 -0.38, 0.01 / -0.62, 0.02 -0.42, 0.02 / -0.66, 0.01 20 BPM 0.05, 0.21 / -0.38, 0.01 -0.31, 0.02 / -0.50, 0.02 -0.37, 0.02 / -0.57, 0.02 -0.43, 0.02 / -0.65, 0.02 -0.48, 0.02 / -0.68, 0.02 Note: The table above is based on data that covers between 60.1 and 88.8% of the inspiratory phase and 66.1 and 93.4% of the expiratory phase durations. These data time slots start immediately after the initial transient overshoot/undershoot periods and end at the point that flow diminishes to an equivalent absolute value of its starting point, towards the end of the breath phases (this corresponds to the % ranges of values given immediately above). Flow (maximum) at set pressures The following are measured accordingly to ISO 80601-2-70:2015 at the end of the specified air tubing: Pressure cm H2O (hPa) AirCurve 10 and Standard L/min AirCurve 10, humidification and Standard L/min AirCurve 10 and SlimLine L/min AirCurve 10, humidification and ClimateLineAir L/min 4 180 143 162 151 8 168 135 151 142 12 157 136 140 135 16 144 134 128 121 20 131 123 117 109 25 120 115 96 84

24 Product Warranty period • CPAP and bilevel device data modules • Oximeters and CPAP and bilevel device oximeter adapters • Humidifier cleanable water tubs • Titration control devices • CPAP, bilevel and ventilation devices (including external power supply units) • Humidifiers • Battery accessories • Portable diagnostic/screening devices 2 years This warranty is only available to the initial consumer. It is not transferable. If the product fails under conditions of normal use, ResMed will repair or replace, at its option, the defective product or any of its components. This Limited Warranty does not cover: a) any damage caused as a result of improper use, abuse, modification or alteration of the product; b) repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs; and c) any damage or contamination due to cigarette, pipe, cigar or other smoke. Warranty is void on product sold, or resold, outside the region of original purchase. Warranty claims on defective product must be made by the initial consumer at the point of purchase. This warranty replaces all other expressed or implied warranties, including any implied warranty of merchantability or fitness for a particular purpose. Some regions or states do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply to you. ResMed shall not be responsible for any incidental or consequential damages claimed to have resulted from the sale, installation or use of any ResMed product. Some regions or states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from region to region. For further information on your warranty rights, contact your local ResMed dealer or ResMed office. Further information If you have any questions or require additional information on how to use the device, contact your care provider.

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