1. BMC Medical Co., Ltd. Nov. 2011 Training Course

2. 1 Table of Contents 1. CATALOGUE 2. INSTALL& DISASSEMBLE 3. SET UP

3. 2 1. CATAOLGUE

4. 3 Resmart BPAP (bilevel)

5. 4 2. INSTALL & DISASSEMBLE

6. Install Install Water tank

7. Component ： Water tank, Humidifier, Device.

8. Disconnect the tubing from the water chamber. Press down on the water chamber and slide it out of the humidifier platform. Open the silica gel cover of water chamber and discard any remaining water. Fill a solution of warm water and a mild dishwashing detergent into the chamber, cover the silica gel cover, rock the chamber a few minutes, then outflow the solution. Rinse the chamber several times with clean water and allow to air dry. Fill the water chamber and close the silica gel cover. Inspect the water chamber for any leaks or damage. Replace the water chamber if any damage is present. Clearing Water tank

9. DISASSEMBLE Open the cover of the filter carefully. And then take it out.

10. DISASSEMBLE Press the button at the bottom of the main machine, then pull the heated humidifier.

11. SET UP 3. SET UP A. USER SET UP B. MAINTENANCE SET UP

12. SET UP Control Button

13. BPAP SETUP Verify/Change the RESmart USER settings. To start the setup menu, press and hold the Ramp button until the setup menu appear (about 5 seconds) when system standby. IMPORTANT! Press the Ramp Button to enter change status and press +/- User Buttons to change the setting. Press Ramp Button again to confirm the setting. Press +/- User Buttons to access the next setting.

14. BPAP SETUP Setting the Humidifier When the optional InH2™ Heated Humidifier is used, this setting can change the temperature and humidity of airflow between level 0 to 5. Default setting is 3.

15. BPAP SETUP Setting the Altitude The altitude setting can be changed between level 0 to 2. Default setting is 0. 0 = less than 2,460 ft. (<750 m) 1 = 2,460 to 4,921 ft. (750 m to 1500 m) 2 = 4,924 to 8,202 ft. (1501 m to 2500 m) *over 8,202 ft. = The airflow pressure may not be accurate. Contact your home care provider to have your pressure setting adjusted.

16. BPAP SETUP Setting Auto ON When the RESmart BPAP is standby and wearing mask, your deep breath will start airflow automatically. Default setting is Enable.

17. BPAP SETUP Setting Auto Off When the mask is removed, the RESmart BPAP will stop airflow automatically. Default setting is Enable. Note: We advice you can set Auto Off to be Disable. Most machine may appear this kind of problem, because apnea and mask off is not to be judged at pressure lower than 7 hpa

18. BPAP SETUP Setting the LCD Light This setting allows you to adjust the LCD light among Auto, On and Off. Default setting is Auto. Auto: LCD light will be turned on when any button pressing and turned off after few seconds. On: LCD light will be turned ON always. Off: LCD light will be turned OFF always.

19. BPAP SETUP Setting the Delay Off When the optional InH2™ Heated Humidifier is used, this setting allows the air flow continue for about 15 minutes at very low pressure (about 2hPa) after RESmart Device is turned off. This will blow off the left vapor and protect the RESmart Device. Default setting is Enable.

20. BPAP SETUP Setting the RiseTime Rise time settings are adjustable by the patient and the provider from 0 (off) to 3. Rise time varies from 150 msec to 400msec dependent on patient setting and the pressure differential from IPAP to EPAP. The rise time setting should be adjusted according to the patient comfort level. Default setting is 2 (disable).

21. BPAP SETUP Setting the Date The current date is displayed and can be modified if needed. Note: Check and confirm this Date Setting frequently to ensure the usage blog is correct.

22. BPAP SETUP Use Days The number of nights that RESmart was used for therapy for more than 4 hours will appear. This screen is only for reference. Your home care provider may periodically ask you for this information.

23. BPAP SETUP I sense This function will adjust trigger’s sensitivity of inspiration. The setting range is from 1 to 8. 8 is highest sensitivity.

24. BPAP SETUP E sense This function will adjust trigger’s sensitivity of expiration. The setting range is from 1 to 8. 8 is highest sensitivity.

25. BPAP SETUP

26. Exit the Settings The settings are complete. Press the +/- user button to access the SAVE setting and Ramp Button to save all changes and exit the settings menu.

27. BPAP SETUP BPAP MAINTENANCE SET UP.ENTER MAINTENANCE MENU

28. BPAP SETUP Entering the Menu: Power off the machine Press and hold the Pressure Start/Stop Button and Ramp Button while connecting the power cord into the AC inlet. After several seconds the Maintenance Menu will appear on display screen as below.

29. BPAP SETUP IMPORTANT!Press the Ramp Button to enter change status and press +/- User Buttons to change the setting. Press Ramp Button again to confirm the setting.

30. BPAP SETUP 1.The mode-selection menu. BPAP 25T: “CPAP”, “S Mode”, “S/T Mode”, “T Mode” 2. Navigating the Menu Press +/- User Buttons to access the next setting as below

31. BPAP SETUP CPAP mode: Treat P  Ramp  Init P  Unit  Use Time  Save S mode: EPAP  IPAP  Ramp  InitEPAP  Unit  Use Time  Save S/T mode: EPAP  IPAP  Res.Rate  E/I rate  Ramp  InitEPAP  Unit  Use Time  Save T mode: EPAP  IPAP  Res.Rate  E/I rate  Ramp  InitEPAP  Unit  Use Time  Save

32. BPAP SETUP Treat P(Only CPAP Mode): The prescription pressure after ramp time. Setting range is 4- 20hpa/cm H2O. Adjustment step is 0.5 hpa. Default setting is 8 hpa.

33. BPAP SETUP EPAP: (for S mode & S/T mode & T mode) Expiratory Positive Airway Pressure. this pressure is set as the prescription pressure or less. Setting range is 4-25hPa. Adjustment step is 0.5hPa. Default setting is 6hPa.

34. BPAP SETUP IPAP: (for S mode & S/T mode & T mode) Inspiratory Positive Airway Pressure. This pressure is set as the prescription pressure or less. Setting range is 4-25hPa. Adjustment step is 0.5hPa. Default setting is 8hPa.

35. BPAP SETUP Res Rate: Respiratory Rate. Default setting is 10. Setting range is 3-40. Adjustment step is 1. This function just can work on T and S/T mode.

36. BPAP SETUP E/I Rate: Ratio rate of exhale time to inhale time. Setting range is 1-6. Default setting is 2. This function just can work on T and S/T mode.

37. BPAP SETUP Ramp : This setting is the ramp timer from starting pressure to prescription pressure. The device gives airflow at the relative lower pressure of Init P from start point of Ramp time, and increases the output pressure to the prescribed pressure in the last 5 minutes during Ramp. Setting range is 0-60mins with the adjustment step of 5mins. Default setting is 10mins..

38. BPAP SETUP Ramp Starting Pressure: The starting pressure after blower is turned on. Setting range is 4hPa to BI-LEVEL Treatment Pressure. Adjustment step is 0.5hPa. Default setting is 4hPa. This feature will reduce the pressure and then gradually increase (ramp) the pressure to the prescription pressure setting so you can fall asleep more comfortably.

39. BPAP SETUP Unit: The unit of the output pressure, selectable between hpa and cmH2O.

40. BAPA SETUP Use Time: Total hours this RESmart has been used will appear. This number is only for reference.

41. BPAP SETUP Save and Exit:The settings are complete. Press the +/- user button to access the SAVE setting and Ramp Button to save all changes and exit the Maintenance Menu. IMPORTANT!To make all changes active, press the +/- User Button to access the SAVE setting and Ramp Button to save all changes and exit the Maintenance Menu.

42. Hide function Double click + or – button in succession when the device is working, you can read some information (mode, tidal volume, respiratory. rate, minute ventilator, leak). (1.83 version later) Press + and – button (3 sec) when the device is working, you will enter maintenance menu, you can change setting of menu, then the setting will start when you select “save” of the menu at once.(1.83 version later) 41