HC220 series HUMIDIFIED CPAP SYSTEM User Manual Rev B

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Symbol Definitions

Warm-up

Mode

Type B

ATTENTION

Consult

accompanying

documents

Alternating

Current

Drip Proof

CE Mark

93/42/EEC

Class IIb

Humidity

Control

Double

Insulated

WARNINGS

READ ALL INSTRUCTIONS BEFORE USE

DANGER - To reduce the risk of electrocution:

• Always disconnect the HC220 series immediately after using.

• Do not use the HC220 series while bathing.

• Do not store the HC220 series where it can fall or be pulled

into water.

• Do not place or drop the HC220 series into water or other

liquid.

• Do not reach for an HC220 series that has fallen into the

water. Unplug immediately.

WARNING - To reduce the risk of burns, electrocution, fire or

injury:

• Do not touch the heater plate. The heater plate temperature

may exceed 65° C(149° F)

• The HC220 series should not be left unattended when

plugged in.

• Close supervision is necessary if the HC220 series is used by,

on, or near children or invalids.

• Use the HC220 series only for its intended use as described

in this manual.

• Never operate the HC220 series if it has a damaged power

cord or plug, if it is not working properly, if it has been

dropped or damaged, or any part of the HC220 series has

been dropped into water. Return the HC220 series to an

authorised service center for examination and repair.

• Keep the power cord away from heated surfaces.

• Never drop or insert any object into any opening or tube.

• Do not use outdoors or operate where aerosol (spray)

products are being used.

• Connect the HC220 series to a properly grounded outlet only.

See Grounding Instructions.

• Remove humidification chamber before filling, and fill

humidification chamber with distilled water only. See

Getting Started.

• At low CPAP pressures, the flow through the mask may be

insufficient to clear all exhaled gas from the tubing, and

consequently some rebreathing may occur.

• Adjusting the pressure control can result in ineffective therapy.

The pressure control must only be adjusted by the clinician.

• Equipment not suitable for use in the presence of flammable

anaesthetic, mixed with air or oxygen or nitrous oxide.

•

The HC220 series should only be used with masks and

connectors recommended by Fisher & Paykel Healthcare, or

by your physician or respiratory therapist. A mask should not

be used unless the HC220 series is switched on, and

operating properly. The vent hole(s) associated with the mask

should never be blocked.

CAUTION

• Do not use your HC220 series in close proximity to high

frequency apparatus, shortwave or microwave equipment.

Emissions from such devices may effect the HC220 series'

operation.

• Never block the air openings of the HC220 series or place it

on a soft surface such as a bed or couch, where the

openings may be blocked. Keep the air openings free of lint,

hair or the like.

OXYGEN USE

If supplemental oxygen is used with the HC220 series, the oxygen flow must be turned off when the HC220 series is not operating. This ensures that oxygen will not flow through the tube and

accumulate in the HC220 series enclosure.

• The HC220 series should be located in a position where

ventilation around the device is not restricted.

• It is recommended that supplemental oxygen be administered

at the mask.

• Oxygen should not be used while smoking or in the presence

of an open flame.

• The use of oxygen in therapy requires that special care be

taken to reduce the risk of fire. Any materials which will burn

in air and some that will not are easily ignited and burn rapidly

in high concentrations of oxygen. Accordingly, for safety it is

necessary that all sources of ignition be kept away from the

product and preferably out of the room in which it is being

used. "NO SMOKING" signs should be prominently displayed.

• A spontaneous and violent ignition may occur if oil, grease or

greasy substances come in contact with oxygen under

pressure. These substances must be kept away from oxygen

regulators, cylinder valves, tubing and connections, and all

other oxygen equipment.

• At a fixed flow rate of supplemental oxygen flow, the inhaled

oxygen concentration will vary, depending on the pressure

settings, patient breathing pattern, mask selection and leak

rate.

DO NOT DISCARD

Cleaning & Maintenance

NOTE: The HC220 series should be cleaned as required.

1. Switch off the HC220 series and unplug from the power socket.

2. Wipe the exterior of the HC220 series with a clean, damp (not wet) cloth and mild dishwashing detergent. Note: do not use harsh

abrasives or solvents, or these may damage the HC220 series.

3. Daily - Rinse the water chamber and breathing tube with warm, soapy water.

4. Weekly - Soak the inside of the chamber for 10 minutes in a solution of one part white vinegar to ten parts water.

5. Replace the air filter when it becomes significantly discolored.

WARNING

• Refer all other maintenance to qualified service personnel.

• Always switch off the HC220 series and unplug the power cord from the power socket before cleaning.

• Never rinse or place the unit in water or allow water to get into the interior of the unit.

• Ensure that the unit is dry before plugging into the power socket.

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NOTE: Models labeled as Class II (Double Insulated) are marked with the

symbol and do not require grounding. The following applies

to Class I (three wire) models only.

The HC220 series should be grounded. In the event of an electrical short circuit, grounding reduces the risk of electric shock by providing

an escape wire for the electric current. The HC220 series is equipped with a cord having a grounding wire with a grounding plug. The

plug must be plugged into an outlet that is properly installed and grounded.

DANGER - Improper use of the grounding plug can result in a risk of electric shock.

Check with a qualified electrician or serviceman if the grounding instructions are not completely understood, or if in doubt as to whether

the HC220 series is properly grounded.

Extension Cords:

If it is necessary to use an extension cord, use only a 3-wire extension cord that has a three-blade grounding plug, and a 3-slot receptacle

that fits the HC220 series plug. Replace or repair a damaged cord.

In Canada/USA only:

This product is for use on a nominal 120V circuit, and has a grounding plug that looks like the plug illustrated (Figure 1). A temporary

adaptor, may be used to connect this plug to a 2-pole receptacle if a properly grounded outlet is not available. The temporary adaptor

should be used only until a properly grounded outlet (Figure 1) can be installed by a qualified electrician. The green coloured rigid ear, lug,

etc extending from the adaptor, must be connected to a permanent ground such as a properly grounded outlet box cover. Whenever the

adaptor is used, it must be held in place by the screw.

Temporary

Adaptor

Grounded

Outlet

Grounded

Outlet Box

Tab for

grounding

screw

Metal Screw

Grounding Pin

Figure 1: Grounding methods

If repair or replacement of the cord or plug is necessary, do not connect the grounding wire to either flat blade terminal. The wire with

insulation having an outer surface that is green with or without yellow stripes is the grounding wire.

Package Contents

Accessories

1 x HC221 Humidified CPAP system

(includes compliance download option)

or

1 x HC220 Humidified CPAP system

1 x spare water

chamber

1 x tube

1 x spare air filter

1 x water funnel

Important Parts of Your HC220 Series System

900HC221 TUBE

900HC010

CONNECTOR

HEATER PLATE OFF

INLET PORT

OUTLET PORT

WATER FILL LINE

HC345 WATER CHAMBER

AIR FILTER

FILTER HOLDER

HC220 SERIES OUTLET

HEATER PLATE

WARM-UP

INDICATOR

LIGHT

WARM-UP BUTTON

CHAMBER GUARD

HUMIDITY CONTROL

POWER

COMPLIANCE MONITOR

SWITCH

AND PRESSURE

DISPLAY

CONTROL COVER

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POWER CORD

English

Grounding Instructions (for CLASS I models only)

Page 4

Getting Started

1.

2.

Remove your HC220 series from its packaging.

Place the HC220 series on a low shelf or on the floor beside your bed. Warning: Ensure that the HC220 series is

placed at a level lower than head height while sleeping.

3. Remove one water chamber from the packaging.

4. Remove the blue caps and discard. (See Fig. 1)

5. Using the funnel provided, fill the water chamber up to the black line with distilled water. (See Fig. 2)

NOTE: Never fill the water chamber while it is attached to the HC220 series. When moving your HC220 series,

ensure that the water chamber is empty. Machine failure due to water damage is not covered by warranty.

6. To attach the water chamber to the HC220 series, press down the finger guard and slide the chamber on. (See

Fig. 3)

7. When the chamber is fitted correctly, the finger guard will click into place. (See Fig. 4)

8. One end of the tube has a white plastic connector. Push this onto the outlet on top of the chamber. (See Fig. 5)

9. Connect the other end of the tube to the mask.

10. Plug the HC220 series power cord into your household power socket.

11. Set the humidity control on the front of the HC220 series to '2' (or as recommended by your homecare provider

or sleep lab). If heated humidification is not required, set the control to the off region.

NOTE: The HC220 series is equipped with Ambient Tracking™ which automatically

Humidity

Control

adjusts the heaterplate temperature as the room temperature changes overnight.

Off

This minimizes condensation in the breathing tube while maximizing

Region

humidity, giving a more comfortable therapy.

12. Switch on the HC220 series by pressing the power switch on the right hand side. (See Fig. 6)

Fig 1

Fig 2

Fig 4

Fig 5

Fig 3

Fig 6

The HC220 series is now ready for use.

Making The Most Of Your HC220 Series System

Some users, when first using CPAP therapy, find the airflow uncomfortable. To help you fall asleep comfortably, the HC220 series provides a gradual increase in pressure and humidity if required. We call this feature warm-up. Warm-up can be used with or without heated

humidification. To use warm-up, follow these simple steps:

USING THE HC220 SERIES WARM UP MODE

1. When the HC220 series is switched on (See 'Getting Started'), it will automatically deliver your set pressure (the green warm-up

light will be off).

To activate warm-up mode simply press the warm-up button on the front of the HC220 series (the green warm-up light will turn on).

When warm-up mode is activated, it will allow you to fall asleep as the HC220 series gradually increases the pressure and humidity

to your personal settings. This will take approximately 20 minutes.

Note: To deactivate warm-up mode, simply switch off the HC220 series (See 'Getting Started'), pause for a few seconds, then switch

it back on.

WARM-UP

BUTTON

WARM-UP

LIGHT

2. Activating warm-up mode during the night:

If you want to activate warm-up mode during the night, simply press the warm-up button on the front of the HC220 series.

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CPAP therapy often dries out the nasal passages, sometimes causing discomfort for the user. Clinical studies have shown that heated

humidification helps to reduce this discomfort and can help the user to benefit more from CPAP therapy.

You are able to adjust the amount of humidity that the HC220 series generates by adjusting the humidity control on the front of the unit.

Humidity

Control

Occasionally, some users prefer not to use heated humidification. Heated humidity can be

disabled by setting the humidity control to the 'off' region.

Off Region

Ambient Tracking™

The HC220 series is equipped with Ambient Tracking™, the next generation in CPAP humidification. During the night, room

temperatures often drop. When this occurs, heated humidification users commonly notice excess condensation gathering in the tubing.

To overcome this, Fisher & Paykel Healthcare

has developed Ambient Tracking™.

Through advanced electronics, Ambient

Tracking ™ automatically adjusts the heater

plate temperature as the room temperature

changes. Condensation is minimized while

humidity is maximized.

Compliance Monitoring

Sometimes CPAP users find that when they wake in the morning, they have taken their

CPAP mask off while they were sleeping. CPAP therapy is only effective while the user is

wearing the mask.

Clinical studies have shown that the use of heated humidification increases the amount of

time that CPAP is used overnight, which is why Fisher & Paykel Healthcare have designed

the HC220 Series.

Compliance monitoring provides you and your medical practitioner with the information you

need to assess your progress with CPAP therapy.

When the HC220 Series is first turned on, the compliance display will show the following

pieces of infomation for 8 seconds each before returning to the default display - set pressure.

Compliance Display

1. Machine on time (identified by the hr symbol)

This is the total number of hours that the HC220 Series has been switched on (this includes hours with the mask on and hours with

the mask off).

Example:

634 hr

This means that the HC220 Series has been switched on for a total of 634 hours.

2. Average hours of use per night (identified by the hr/

symbol) (HC221 only)

This is the average number of hours that the HC220 Series has been used with the mask on each night.

Example:

7.4 hr/

This means that the HC220 Series has been used with the mask on for an average of 7.4 hours per night.

3. Check sum (identified by the

symbol) (HC221 only)

This is a number which can help your medical practitioner to check that the other values are correct.

Example:

564

Your medical practitioner or homecare provider may ask you to give them this number for reporting

purposes.

4. Set pressure (identified by the cm H2O symbol)

This is the pressure which the HC220 Series is set to in cm of H2O – for pressure measurement.

Example:

This means that the HC220 Series has been set to a pressure of 9.5 cm H2O. Note: The display will con9.5 cm H2O

tinue to show only set pressure. To see the other information, simply turn the HC220 Series off, pause for

3 seconds, then turn it back on.

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English

Controlling Humidity

Page 6

Frequently Asked Questions

When I wake up in the morning, my nose and throat feel dry. What can I do?

Try increasing the setting on your humidity control. If this does not help, please contact your clinician for advice.

How do I prevent condensation in the tubing?

The humidity control enables adjustment of humidity, so that there should be fine misting in the six inches of the breathing tube closest to

your face. If the humidity control is set too high for the conditions, condensation may occur in the breathing tube. Note: Using greater

than 6' (183 cm) of tubing will increase condensation.

There are several ways of reducing condensation in the tube:

1. Ensure the HC220 series is not positioned in a cool draft.

2. Insulate the tubing by positioning it under the bedcovers, by using the 900HC003 rainout reduction kit, wrapping it with flexible bubble

wrap, cut the toes out of tube socks and bunch them around the tubing.

3. Warm the air in the room.

4. Turn the temperature control on your HC220 series down slightly. Gradually decrease the setting until the condensation no longer

occurs.

Do I have to use distilled water with my HC220 series?

The use of distilled water will maximize the life of the HC345 water chamber. Water from the faucet will often contain minerals which can

damage the chamber, causing pitting in the base, even if the water is passed through a filter.

Can I use my HC220 series in other countries?

Yes. Simply use the appropriate electrical socket adaptor and the HC220 series will automatically adapt to any voltage supply.

Note: When moving your HC220 series, ensure that the water chamber is empty. Machine failure due to water damage is not covered by

warranty.

Squeeze the filter

holder to remove.

How do I replace the air filter?

Remove the filter from the holder as shown:

Note: When inserting the new filter, ensure that the black dot is facing towards the machine.

Removing the Filter

Can I use oxygen with my HC220 series?

Yes, oxygen can be administered at the mask. Turn the HC220 series on before turning on the oxygen. Ensure that the oxygen source is

turned off before turning off the HC220 series to avoid oxygen accumulating in the machine.

When do I replace my HC345 water chamber?

Replace the chamber if the plastic walls of the chamber become cracked or cloudy or the chamber base becomes pitted. (Note: If the

chamber leaks at all, it should be replaced immediately).

Product Specifications

Dimensions:

5.3" x 6.5" x 11.6"

(135mm x 165mm x 295mm )

Weight:

5 lbs (2.3kg)

Temperature Control

Settings of 1 – 4

Heater Plate Temperature operating maximum of 149°F (65°C)

Performance

Delivered pressure:

Max. delivered gas temperature:

Delivered Humidity:

Warm-up time:

Storage/transport temperature: 14°F to 140°F (-10°C to 60°C)

Electrical Ratings

Supply Frequency:

Supply Voltage and Current:

50-400 Hz

100V-115V~, 1.05A

220V-240V~, 0.60A

Note: These values represent

avarage current

Suitable for use with

a DC to AC inverter:

200W minimum

Heater Plate:

85W

Standards Compliance

Designed to conform to the

requirements of:

3-18cmH2O

90°F (32°C)

0-23mg/L

20 minutes

IEC 60601-1

UL1431

CSA C22.2/No. 68

AS3200.1.0

EN60601-1

Troubleshooting

In the unlikely event that you tip water into the blower outlet:

Remove air filter and chamber

Turn unit on and run at prescribed pressure for 5 minutes

Re-assemble and use as directed

If you feel that your HC220 series is not operating correctly, consult your homecare dealer. Do not attempt to repair the HC220 series

yourself.

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Fisher & Paykel Healthcare Offices:

INTERNATIONAL:

PO Box 14-348, Panmure, Auckland 6, New Zealand Email: info@fphcare.com Web Site: www.fphcare.com Tel: +64-9-574-0100 Fax: +64-9-574-0158

USA:

Suite 101, 22982 Alcalde Drive, Laguna Hills, California 92653, USA Tel: +949-470-3900 Fax: +949-470-3933 Toll Free: +1-800-446-3908

AUSTRALIA:

36-40 New Street, Ringwood, Victoria 3134, Australia, Tel: +61-3-9879-5022 Fax: +61-3-9879-5232

*UK AND IRELAND: Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, SL6 7BU, United Kingdom Tel: +44-1628-626-136 Fax: +44-1628-626-146

FRANCE/BENELUX: 10 Avenue du Quebec, SILIC S12 - Villebon, 91946, COURTABOEUF CEDEX, France Tel: +33-164-46-5201 Fax: +33-164-46-5221

GERMANY/AUSTRIA: Hundsbergerstrasse 45, 73642 Welzheim, Postfach 1103, 73636 Welzheim Tel: +49-(0)7182-93777-0 Fax: +49-(0)7182-93777-99

*European Authorised Representative

Part Number : 185042468 Rev B 2002-08