VPAP™ ST / VPAP™ S

POSITIVE AIRWAY PRESSURE DEVICE

H5i™
HEATED HUMIDIFIER

Clinical Guide
English
Contents
Welcome ...................................................................................................... 1
VPAP ST indications for use.................................................................. 1
VPAP S indications for use.................................................................... 1
VPAP ST and VPAP S adverse effects.................................................... 1
H5i indications for use........................................................................... 1
H5i contraindications............................................................................. 1
VPAP ST and VPAP S at a glance.................................................................. 2
Travelling with the VPAP........................................................................ 2
H5i at a glance.............................................................................................. 3
Travelling with the H5i........................................................................... 3
Operating information................................................................................... 4
Bilevel pressures................................................................................... 4
Modes of operation............................................................................... 4
Triggering and cycling............................................................................ 5
Leak Management – Vsync .................................................................. 5
Rise time adjustment............................................................................ 5
TiControl™ – Inspiratory Time Control................................................... 5
VPAP ST and VPAP S features....................................................................... 7
Climate Control..................................................................................... 7
S9 Essentials......................................................................................... 8
Sleep quality.......................................................................................... 8
Ramp..................................................................................................... 8
Setup............................................................................................................. 9
Mask and tubing setup........................................................................ 10
Filling the water tub.................................................................................... 11
VPAP basics................................................................................................ 12
Navigating the menus................................................................................. 13
About the menus........................................................................................ 13
Home menu........................................................................................ 13
Changing settings via the Home menu..................................... 14
S9 Essentials....................................................................................... 14
Viewing the treatment screens................................................. 15
Treatment screen parameters................................................... 16
Setup menu......................................................................................... 17
Patient Setup menu.................................................................. 17
Clinical Setup menu.................................................................. 17
Clinical setup menu parameters................................................ 18
Info menu............................................................................................ 21
Standard Info menu.................................................................. 21
Advanced Info menu................................................................. 22
Clinical Info menu..................................................................... 22
Info menu parameters.............................................................. 22
Managing Climate Control.......................................................................... 24

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 Delivering therapy....................................................................................... 25
Adding supplemental oxygen.............................................................. 25
Data management...................................................................................... 26
SD card................................................................................................ 26
Removing the card.............................................................................. 26
Inserting the card................................................................................ 26
Analysing the SD card data................................................................. 27
Data storage........................................................................................ 27
Data transmission adapters................................................................. 27
Cleaning and maintenance.......................................................................... 28
Disassembling the H5i........................................................................ 28
Daily.................................................................................................... 28
Monthly............................................................................................... 28
Reassembling the H5i......................................................................... 29
Maintenance checklist......................................................................... 29
Reprocessing the H5i between patients............................................. 29
Replacing the air filter......................................................................... 29
Antibacterial filters ............................................................................. 30
Technical specifications............................................................................... 31
General technical specifications.......................................................... 31
VPAP ST and VPAP S technical specifications..................................... 32
Air tubing technical specifications....................................................... 33
Humidifier performance...................................................................... 33
Pneumatic flow path........................................................................... 33
Flow (maximum) at set pressures....................................................... 34
Displayed values.................................................................................. 34
Pressure accuracy............................................................................... 35
Warnings and Cautions............................................................................... 36
WARNINGS......................................................................................... 36
CAUTIONS........................................................................................... 37

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Welcome
Thank you for choosing the VPAP ST or VPAP S or H5i.
Before operating these devices, please read the entire Clinical and Information Guides.

VPAP ST indications for use

The S9 VPAP ST is intended to provide non-invasive ventilation for patients weighing more than 13 kg
with respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP ST is intended for home
and hospital use.

VPAP S indications for use

The S9 VPAP S is intended to provide non-invasive ventilation for patients weighing more than 13 kg with
respiratory insufficiency or obstructive sleep apnoea (OSA). The S9 VPAP S is intended for home and
hospital use.
VPAP ST and VPAP S 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.

VPAP ST and VPAP S 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 these devices:
•• drying of the nose, mouth, or throat
•• nosebleed
•• bloating
•• ear or sinus discomfort
•• eye irritation
•• skin rashes.

H5i indications for use

The H5i is indicated for the humidification of the air delivered from a CPAP or bilevel device. The H5i is
for use only as recommended by a physician. The H5i is intended for single patient re-use in the home
environment and re-use in a hospital/institutional environment.

H5i contraindications
The H5i is contraindicated for use with patients whose upper (supraglottic) airway has been bypassed.

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 SD card slot
Module/Adapter port

DC power inlet Air filter

Air outlet

VPAP ST and VPAP S at a glance

The VPAP system comprises the following elements:
•• VPAP device
•• Air tubing
•• 90W power supply unit
•• S9 travel bag
•• SD card
•• S9 SD card protective folder.
Optional components include:
•• H5i heated humidifier
•• Standard air tubing
•• SlimLine™ air tubing
•• 3m air tubing
•• ClimateLine™ heated air tubing
•• ClimateLineMAX ™ heated air tubing
•• 30W power supply unit (does not support H5i)
•• Power Station II battery pack
•• DC/DC Converter 24V/90W
•• S9 Oximeter Adapter.

Travelling with the VPAP

When the patient travels with the VPAP only:
•• Advise the patient to pack the SlimLine or Standard air tubing as the ClimateLine or ClimateLineMAX
heated air tubing is not designed to connect directly to the VPAP device.
•• Advise the patient to purchase and travel with the approved power cord for the region where they will
be using the VPAP device.
•• ResMed confirms that the VPAP ST and VPAP S meets the Federal Aviation Administration (FAA)
requirements (RTCA/DO-160, section 21, category M) for all phases of air travel.
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 Flip lid seal

Flip lid
Air outlet

Release
button
ClimateLine/
ClimateLineMAX
connection port
Latch

H5i
water tub

H5i at a glance
The H5i system comprises the following elements:
•• H5i heated humidifier
•• H5i cleanable water tub
•• ClimateLine heated air tubing (if sold as a Climate Control Kit).
Optional components include:
•• ClimateLineMAX heated air tubing
•• H5i standard water tub.

Travelling with the H5i

When moving or travelling with your H5i:
•• Ensure that the water tub is empty.
•• Disconnect the H5i from the VPAP by pressing the release button.

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 Operating information
The VPAP device uses internal pressure and flow sensors in the air path to respond reliably to patient
flow rates even in the presence of most normal leaks in the patient circuit.

Bilevel pressures
The VPAP device assists spontaneous breathing by cycling between two pressures in response to the
patient flow or a preset fixed time.
The inspiratory positive airway pressure (IPAP, or the sum of EPAP and the pressure support level) assists
inspiration.
The lower expiratory positive airway pressure (EPAP) eliminates exhaled air through the mask exhaust
vent. This facilitates exhalation comfort while providing a splint to maintain an open upper airway.
The difference of the two pressures—pressure support (PS) level—contributes to improved patient
ventilation.

Pressure

One breath cycle

IPAP

Pressure
Support

EPAP

Rise time
0
Time

Modes of operation
The following table describes the operating modes available on the VPAP ST or VPAP S.

Mode VPAP ST VPAP S

CPAP mode
ü ü
A fixed pressure is delivered.
S (Spontaneous) mode
You may set two treatment pressures-–one for inspiration (IPAP) and
one for expiration (EPAP). The VPAP device senses when the patient ü ü
is inhaling and exhaling and supplies the appropriate pressures
accordingly. The difference between IPAP and EPAP levels helps
determine the tidal volume.
ST (Spontaneous/Timed) mode
The VPAP device augments any breath initiated by the patient, but will ü
also supply additional breaths should the patient breath rate fall below
the clinician’s set “backup” breath rate.
T (Timed) mode
The fixed breath rate and the fixed inspiration/expiration time set by ü
the clinician is supplied regardless of patient effort.

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Triggering and cycling
(S and ST modes) Under normal conditions, the VPAP device triggers (initiates IPAP) and cycles
(terminates IPAP and changes to EPAP) as it senses the change in patient flow. Patient breath detection
is enhanced by the VPAP device’s automatic leak management feature—Vsync.
In addition, the VPAP device has adjustable trigger/cycle sensitivity to optimise the sensing level
according to patient conditions.
Adjustable trigger sensitivity Adjustable cycle sensitivity

Very high

Medium

Very low
Very low
Patient flow
Patient flow
Medium

Very high

Leak Management – Vsync

Vsync monitors and compensates for leak by continuously and automatically adjusting the baseline flow.
This enables reliable triggering and cycling while maintaining the set pressures.

Rise time adjustment

(S, ST and T modes) Rise time sets the time taken for the VPAP device to reach IPAP. The greater the
rise time value, the longer it takes for pressure to increase from EPAP to IPAP.
Patients with a high ventilatory demand may prefer a shorter rise time, while patients who are slow
breathers may prefer a longer rise time.
Note: A prolonged rise time inhibits fast pressurisation, therefore, rise time should not be set longer than
Ti Max or the patient’s normal inspiratory time.

TiControl™ – Inspiratory Time Control

(S and ST modes) Unique to ResMed CPAP and bilevel devices, TiControl allows the clinician to set
minimum and maximum limits on the time the device spends in IPAP. The minimum and maximum time
limits are set at either side of the patient’s ideal spontaneous inspiratory time, providing a ’window of
opportunity’ for the patient to spontaneously cycle to EPAP.
The minimum time limit is set via the Ti Min parameter and the maximum time limit is set via the Ti Max
parameter.
TiControl’s Ti Max and Ti Min parameters play a significant role in maximising synchronisation by
effectively intervening to limit or prolong the inspiratory time when required. This ensures synchronisation
even in the presence of significant mouth and/or mask leak.

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 Ti Max

Ti Min Cycle
Window

Patient flow

Pressure

The following table is a guide to selecting the Ti Max and Ti Min values that best correspond to the
patient’s respiratory rate and inspiration and expiration ratio, depending on the respiratory conditions.
Notes:
•• I:E = 1:1 – Ti Min prevents the premature cycling to EPAP for patients whose inspiratory effort is
extremely weak.
•• I:E = 1:3 – Ti Max limits the inspiration time for patients who require a longer expiration time.

Secure
Sufficient inhalation time exhalation
Patient breath Ttot = 60/BPM I:E = 1:2 I:E = 1:1 time
(BPM) (sec) (Reference) I:E = 1:3
Ti Min Ti Max Ti Max
10 6 2 1.0 2.0 1.5
15 4 1.3 1.0 2.0 1.3
20 3 1.0 0.8 1.5 1.0
25 2.4 0.8 0.7 1.2 0.8
30 2 0.7 0.6 1.0 0.7
35 1.7 0.6 0.5 0.8 0.7
40 1.5 0.5 0.5 0.7 0.7

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VPAP ST and VPAP S features
Climate Control
VPAP devices, when used in conjunction with the H5i and ClimateLine or ClimateLineMAX heated air
tubing, offer a feature called Climate Control.
Climate Control enables the automatic delivery of a constant value of absolute humidity to the patient’s
upper airway while protecting against rainout and allowing patients to select the air temperature that
offers the most comfort for them.

Rainout protection
Rainout refers to the water or condensation that collects in the patient’s tubing or mask. Rainout is a
common side effect of using a humidifier due to the humidified air cooling as it travels down the tubing
and into the mask. Rainout occurs when relative humidity, which is a measure of the air’s capacity to hold
water vapour, exceeds 100%.
Climate Control protects the patient from rainout by maintaining a target relative humidity of 80% as well
as maintaining the temperature of the air delivered to the patient without compromising the amount of
absolute humidity delivered.

Automatic constant humidity delivery

For each temperature setting, the Climate Control system delivers a constant amount of water vapour, or
absolute humidity, to the patient’s upper airway. The following table shows the target absolute humidity
value that will be delivered to the mask for a selection of temperature settings.

Temperature delivered to the mask Target absolute humidity at the mask,

Body Temperature Pressure Saturated (BTPS)
16ºC 10 mg/L
20ºC 12 mg/L
24ºC 16 mg/L
27ºC 19 mg/L
30ºC 22 mg/L

Automatic constant temperature delivery

The temperature sensor located at the mask end of the ClimateLine or ClimateLineMAX heated air
tube enables the system to automatically control the temperature of the air delivered to the patient.
This ensures the temperature of the air delivered to the patient does not fall below the set minimum
temperature, therefore maximising breathing comfort for the patient.

Automatic adjustment
The H5i and ClimateLine or ClimateLineMAX heated tubing are controlled by the Climate Control algorithm
to deliver constant humidity and temperature outputs. The system adjusts automatically to changes in:
•• ambient room temperature and humidity values
•• flow due to pressure changes
•• flow due to mask or mouth leak.

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 S9 Essentials
S9 Essentials is designed to make device interaction and menu navigation easier for patients. If enabled,
S9 Essentials disables the Info and Setup functionality so that patients can simply start and stop therapy
and adjust ramp, humidification and Climate Control. S9 Essentials can be enabled via Clinical Setup >
Options > Access.

Sleep quality
Designed to promote compliance, the Sleep Quality indicator allows the patient to actively engage in
their own therapy by identifying leak, usage and AHI information. This information can be set to:
•• Usage—where only usage hours are displayed
•• On—where usage, mask fit and AHI information are displayed.

Ramp
Ramp is designed to make the beginning of treatment more comfortable.
In CPAP mode during ramp time, the pressure increases from a low pressure to the prescribed
treatment pressure.
In S, ST and T modes, ramp time defines the period during which the pressure gradually increases from a
low start pressure (referred to as Start EPAP) to the prescribed treatment pressure (EPAP).

IPAP

EPAP

Start EPAP

0 Time

Ramp time

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Setup
1. Align your H5i with your VPAP device and push them together until they click into place.
2. Connect the DC plug of the power supply unit to the rear of the VPAP device.
3. Connect the power cord to the power supply unit.
4. Plug the other end of the power cord into the power outlet.
5. Connect one end of the air tubing firmly onto the air outlet.
6. Connect the assembled mask system to the free end of air tubing.
Notes:
•• Always ensure that your VPAP device and H5i are placed on a stable, level surface for proper
operation.
•• Place the power supply unit away from the H5i to allow for adequate ventilation.

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 Mask and tubing setup
•• For more information on assembling the mask see the mask user guide.
•• If your patient is using a full face mask ensure that the “Full Face” setting is selected. If your patient
is using a nasal pillows mask ensure that the “Pillows” setting is selected. If your patient is using a
nasal mask ensure that the “Nasal” setting is selected with the exception of the Ultra Mirage mask
which should use the “Nasal Ultra” setting. If your patient is using a paediatric mask ensure that the
“Pediatric” setting is selected.
•• For a complete list of recommended masks and their settings go to www.resmed.com on the
Products page under Service & Support. If you do not have internet access, please contact your
ResMed representative.
•• The VPAP device is compatible with the following tubing:

Tube Specifications Settings

ClimateLine Heated Automatically detected
Length: 2 m
Inner diameter: 15 mm
ClimateLineMAX Heated Automatically detected
Length: 1.9 m
Inner diameter: 19 mm
SlimLine If using the SlimLine, Standard or 3 m
Length: 1.8 m tubing, adjust the tube setting in the
Inner diameter: 15 mm Patient Setup or Clinical Setup menus.
Standard
Length: 2m
Inner diameter: 19 mm
3m
Length: 3 m
Inner diameter: 19 mm

Notes:
•• When using the SlimLine or ClimateLine above 20 cm H2O, the device optimum performance
may not be reached if used with an antibacterial filter. The device performance must be checked
prior to prescribing the SlimLine for use with an antibacterial filter.
•• The ClimateLine/ClimateLineMAX are designed only for use with the H5i.

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Filling the water tub
1. Slide the latch and lift open the flip lid.
2. Remove the water tub.
3. Fill the water tub (through the centre hole) with water up to the maximum water level mark (380 mL).
4. Return the water tub to the H5i.
5. Close the flip lid ensuring that it clicks into place.

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 VPAP basics
LCD screen*
Displays the menus,
treatment screens and
reminders.

Start/Stop button
Starts or stops
treatment.

Info menu button** Setup menu button**

Key: Allows you to view Allows you to make
your sleep statistics changes to settings
Home or exit from the or exit from the
menu. menu.
Humidity level

Ramp
Push dial
Heated tube Turning the dial
allows you to
Climate Control scroll through the
menu and change settings.
Start/Stop Pushing the
Power Save mode (hold for 3 sec) dial allows you to
enter into a menu and confirm
Push Dial your choice.

Setup menu
* Backlight—When treatment is being delivered, the
Info menu backlight (including the Start/Stop button) automatically
turns off after 30 seconds, otherwise it turns off after 3
minutes.
Advanced Info menu (hold for 3 sec) ** The Info and Setup menus are disabled if S9 Essentials
is enabled.
Clinical Setup menu (hold for 3 sec)

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Navigating the menus
In general, to navigate the menus:

1. Turn until the 2. Press . 3. Turn until you 4. Press to confirm

parameter you The selection is see the setting that your choice. The
require is displayed highlighted in you require. screen returns to
in blue. orange. blue.

About the menus

There are three menus that are designed to help you choose your options. These are:
1. Home menu—for day to day adjustments.
2. Info menu—provides sleep quality information.
3. Setup menu—where settings can be adjusted.

Home menu
The Home menu shows you and your patient what features are currently activated, and the accessories
that are connected to the device.

Ramp—displayed when the Max Ramp function is activated in the

Clinical Setup menu.

Humidity Level—displayed when the H5i is connected.

Climate Control—displayed when both the H5i and the

ClimateLine/ClimateLineMAX heated air tube are connected and
when Climate Control is activated in the Clinical Setup menu.
Humidity Level and Heated Tube—displayed when both the H5i
and the ClimateLine/ClimateLineMAX heated air tube are connected
and when Climate Control is set to Manual in the Clinical Setup
menu.

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 Changing settings via the Home menu
From the Home menu, you can adjust or check the following features:

Ramp
Designed to make the beginning of treatment more comfortable for the
patient, ramp time is the period during which the pressure increases from an
initial pressure to the prescribed treatment pressure or minimum treatment
pressure.

Humidity level
The patient can adjust their humidity level at any time to find the setting that
is most comfortable for them.

Climate Control
When the ClimateLine/ClimateLineMAX heated air tubing is connected and
Climate Control is enabled, the patient can adjust the air temperature to find
the setting that is most comfortable for them.
When set to Auto, Climate Control prevents rainout by maintaining 80%
relative humidity in the delivered air. If Climate Control is set to Manual,
Humidity Level and Heated Tube temperature can be set independently.

Mask-fit
Mask-fit is designed to help patients fit the mask properly.
The mask-fit feature delivers treatment pressure for a three-minute period,
prior to starting treatment. During this time, the mask can be adjusted to
minimise leaks.
To use mask-fit:
1. Fit the mask as described in the mask user guide.
2. Press for at least three seconds.
One of the MASK FIT screens shown is displayed (as shown on the left).
3. If necessary, adjust the mask, mask cushion and headgear until there is
a secure and comfortable fit. After three minutes, the pressure reverts
to the set pressure and treatment will begin. You can end mask-fit at any
time by pressing .

S9 Essentials
When S9 Essentials is enabled, the patient can simply start and stop therapy, access mask fit and adjust
ramp, humidification and Climate Control.

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Viewing the treatment screens
Depending on how the system has been configured, you will see one of the following example screens
(shown in ST mode below) when the device is running:

99 H5i humidifier 99 H5i humidifier 99 H5i humidifier

99 ClimateLine/ClimateLineMAX 99 ClimateLine/ClimateLineMAX
heated air tube heated air tube
99 Climate Control – Auto 99 Climate Control – Manual

99 Standard VPAP without 99 Oximetry data via the

optional accessories oximeter adapter

In S and ST modes, the fixed lines on the pressure bar indicate the expiratory and inspiratory pressures.
In CPAP mode, only a set pressure is shown. While the treatment is ramping (indicated by an orange
ramp icon below the pressure bar), the pressure values appear in orange. When a set pressure is reached
these values are displayed in white.
To toggle between treatment screens 1 and 2, press from your HOME screen.

99 Treatment with device 99 Treatment with spontaneous

trigger (Timed) and cycle trigger and cycled breaths
(Timed, Ti Max or Ti Min)
breath indicators

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 Treatment screen parameters
Parameter Modes Description
CPAP S ST T

CPAP ü Fixed treatment pressure.

S / ST / T ü ü ü Set (EPAP and IPAP) pressures.

Ramp ü ü ü ü Orange icon shows that device is ramping up.
Oxygen saturation ü ü ü ü Measure of the saturation of blood haemoglobin with
(SpO2)* oxygen, expressed as a percentage (sampled every
second).
Leak ü ü ü ü Estimate of the total rate of air escaping due to mouth
and unintentional mask leaks, expressed in L/min
(5-breath moving average).
Minute Ventilation (MV) ü ü ü ü Volume of air breathed in, or out within any 60-second
period, expressed in L/min (5-breath moving average).
Pulse* ü ü ü ü Number of heart beats in a 60-second time frame
(sampled every second).
Respiratory rate (RR) ü ü ü ü Frequency of breathing, expressed as the number of
breaths per minute (5-breath moving average).
Tidal volume (Vt) ü ü ü ü Volume of air inspired or expired in one respiratory cycle
(breath), expressed in mL (5-breath moving average).
Pressure support (PS) ü ü ü Difference between IPAP and EPAP.
Ti ü ü ü ü Duration of inspiration (ie, the respiratory flow into the
lungs), expressed in seconds (5-breath moving average).
I:E ü ü ü ü Inspiration to expiration ratio measured by the device
(5-breath moving average).
Ti Max ü ü ü Maximum inspiration time in seconds
Ti Min ü ü ü Minimum inspiration time in seconds.
% Spontaneous ü ü Percentage of breaths that are spontaneously triggered
Triggering or Cycling or cycled (average of the last 20 breaths).
(%Spont Trig or %Spont
Cyc)
Trigger/Cycle indicators ü ü Indicates a patient or device triggered/cycled breath.
(Timed, Ti Max or Ti In ST mode, Timed is left blank if it is a spontaneous
Min) breath.
* Only available via the oximeter adapter.

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Setup menu
The Setup menu consists of:
•• Patient Setup menu—allows the patient to optimise comfort settings as well as make changes to
the mask or tube type.
•• Clinical Setup menu—allows you to set all parameters pertaining to the patient’s therapy.

Patient Setup menu

Only settings relevant to the patient are displayed in the Patient Setup menu. Depending on how the
device has been customised via the Clinical Setup menu, the following screens can be viewed:

Tube—only displayed if ClimateLine/ClimateLineMAX is not connected. If

ClimateLine/ClimateLineMAX is attached, no setting is required.
Climate Ctrl—only displayed if ClimateLine/ClimateLineMAX is connected and
also set to PATIENT in the Clinical Setup menu.
Mask—always available.
Mask Fit—always available.
Leak Alert—only displayed if set to PATIENT in the Clinical Setup menu.
SmartStart—only displayed if set to PATIENT in the Clinical Setup menu.

+ Clinical Setup menu

To access the Clinical Setup menu, press and hold the Setup button and push dial for three seconds.
There are four screens available from the Clinical Setup menu as shown in ST mode below:

Settings

Displays parameters directly affecting the patient’s therapy.

Note: Clinical menus are identified by the yellow open lock shown in the
top right corner. Where further options exist on a screen, the blue scroll bar
down the right of the screen indicates your position within these options.

Options
Displays parameters affecting the patient’s comfort, therapy feedback and
compliance reporting.

Reminders
Displays parameters for accessories requiring replacement.

Configuration
Displays general device setting and resetting options.

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 Clinical setup menu parameters
Parameter Modes Default Range Description
CPAP S ST T

Settings
Mode ü ü ü ü ST/S CPAP / S / ST / T Sets the therapy mode
available on the device.
Set pressure ü 8 cm H2O 4–20 cm H2O, Sets the fixed treatment
0.2 cm H2O pressure.
increments
IPAP ü ü ü 10 cm H2O 4–25 cm H2O, Sets the pressure which will
0.2 cm H2O be delivered to the patient
increments when the device is triggered
into inspiration.
EPAP ü ü ü 4 cm H2O 2–[IPAP] cm H2O, Sets the pressure which will
0.2 cm H2O be delivered to the patient
increments when the device is cycled into
expiration.
Backup rate* ü Off [10]† Off / 10 Sets the breaths per minute
(10 BPM fixed backup rate).
Respiratory ü ü 10 [12]† BPM 5–50 BPM Sets the breaths per minute
Rate** (BPM) or ‘backup’ rate.
Ti Max ü ü 2.0 [1.5]† sec 0.3–4.0 sec, 0.1 Sets the maximum limit on the
sec increments time the device spends in IPAP.
Ti Min ü ü 0.3 [0.5]‡ sec 0.1–[Ti Max] Sets the minimum limit on the
sec, 0.1 sec time the device spends in IPAP.
increments
Ti** ü 2.0 [1.5]† sec 0.3–4.0 sec, 0.1 Sets the duration of inspiration
sec increments in timed breath.
Rise Time ü ü ü 150 [300]‡ Min / 150–900 The Rise Time scale can
ms ms, 50 ms be approximately read as
increments ‘milliseconds’ (eg, 200 is
approximately 200 ms).
Trigger ü ü Med Very Low / Low / Sets the level of inspiratory
Med / High / Very flow above which the device
High changes from EPAP to IPAP.
Cycle ü ü Med Very Low / Low / Sets the level of inspiratory
Med / High / Very flow below which the device
High changes from IPAP to EPAP.
Max Ramp ü ü ü ü Off–45 minutes, Limits the ramp time the
VPAP S 0 [30]† [45]‡ 5-min increments patient may select.
VPAP ST 30 [Off]† [45]‡
Start pressure ü 4 cm H2O 4–Set pressure, Sets the pressure at the start
0.2 cm H2O of ramp, up to fixed treatment
increments pressure
Start EPAP ü ü ü 4 cm H2O 2–Min pressure, Sets the pressure at the start
0.2 cm H2O of ramp, up to minimum
increments treatment pressure.
* Available in VPAP S only. ** Available in VPAP ST only.
†
[France only]. ‡ [Germany only].

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Parameter Modes Default Range Description
CPAP S ST T

Circuit
Mask type ü ü ü ü Full Face Full Face / Selects the type of mask used
Nasal / Pillows by the patient.
/ Nasal Ultra /
Pediatric
Tube type ü ü ü ü SlimLine SlimLine / Shows the type of air tubing
Standard / 3m used by the patient.
AB filter ü ü ü ü No No / Yes Enables or disables
antibacterial filter.
Options
Climate ü ü ü ü Auto Auto / Manual / Sets the type of Climate
Control Patient Control.
Sleep quality ü ü ü ü Usage On / Usage Sets Sleep Quality to Usage
or On.
SmartStart ü ü ü ü Off [On]‡ On / Off / Enables or disables the
Patient SmartStart feature.
Access ü ü ü ü Full Full / Limited Enables or disables
S9 Essentials—If set to
Limited, the Info and Setup
menu buttons are disabled.
This means that the patient
can simply start or stop
therapy and adjust ramp,
humidification or Climate
Control. Combined button
presses remain enabled.
Leak Alert ü ü ü ü Off Off / On Enables or disables the Leak
Alert feature; when enabled,
leaks >40L/min (0.7 L/s) for
>20 sec result in an audible
alert and a high leak message
on the LCD. Also functions as
a mask-off alert.
Date ü ü ü ü DD Mmm YYYY Sets the current date or time.
If you set a new date or time
that occurs in the past then an
‘Invalid date/time, data exists
Time ü ü ü ü 00:00 (24 hr) for this period’ message is
displayed.
Before this change can be
made, erase the compliance
data – available under the
Configuration menu.
‡
[Germany only].

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 Parameter Modes Default Range Description
CPAP S ST T

Reminders
Mask ü ü ü ü 6 mths Seven-day A timed reminder to remind
increments a patient when they need to
(starting from the replace their mask.
current set date)
Water tub ü ü ü ü 6 mths A timed reminder to remind
with a recurrence
a patient when they need to
period of one to
replace their water tub.
24 months.
Tube ü ü ü ü 6 mths A timed reminder to remind
a patient when they need to
replace their tubing.
Filter ü ü ü ü 6 mths A timed reminder to remind
a patient when to replace the
air filter.
SD card ü ü ü ü Off A timed reminder to remind
a patient that they need to
remove their SD card and
return it to you, enabling you to
establish compliance.
Service ü ü ü ü Off A timed reminder to remind
a patient when to return the
device for service.
Customised ü ü ü ü Off Customised reminders, eg, to
messages return equipment or to phone a
(Custom 1, particular person or number.
Custom 2) Custom reminder text can be
up to 32 characters long, via
a PC application. See your PC
application manual for more
information.
Configuration
Language ü ü ü ü English English / Français Sets the display language.
/ Español /
Português Note: Not all languages are
/ Deutsch / available in all regions.
Svenska / Norsk
/ Dansk / Suomi
/ Polski / Türkçe /
Русский / 简体中
文 / 繁體中文
Restore ü ü ü ü Yes / No Resets machine default
factory settings (except for language,
defaults date and time).
Erase data ü ü ü ü Yes / No Allows you to erase all data
stored in the unit and SD card
(except for device run hours).
Settings, date and time are not
affected.
Pressure units ü ü ü ü cm H2O cm H2O / hPa Sets pressure units
Temperature ü ü ü ü °C °C / °F Sets temperature units
units
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Reminder menu
You can access reminders from the Clinical Menu > Options. From the REMINDERS screen, scroll down
to the submenus to set a number of different types of messages.

You can use the Reminder menu to alert a patient to specific events, such as
when to replace their mask (shown on the left) or when to insert an SD card.
When a reminder is due, a message is displayed on the LCD and remains
while the device is not delivering therapy. The backlight on the LCD flashes
when a message is displayed.
If more than one reminder for a patient is scheduled for the same date, all
scheduled reminders will be displayed.
Patients can clear each message by pressing any key (except the Start/Stop
button).
For a list of each of the reminders available and their default settings, see the table on the previous page.

Info menu
The Info menu consists of:
•• Standard Info menu—provides patients with information about compliance, therapy and settings.
•• Advanced Info menu—provides you with additional therapy settings and compliance information.

Standard Info menu

From the Standard Info menu, patients can check their sleep quality, sleep report and service information.

Sleep Quality—On
When Sleep Quality is set to On (via Setup > Clinical Setup > Options), data
on previous usage (up to 365 days of data), mask-fit and AHI can be viewed.

Sleep Quality—Usage
When Sleep Quality is set to Usage, only the data on previous usage is
displayed.

Sleep Report
For Sleep Report, only the period can be changed—other values are for
display only.

Service
For Service information, the device run hours and software identifications
are displayed

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 + Advanced Info menu
To access the Advanced Info menu, press and hold the Info and Setup buttons for three seconds. This
menu provides additional settings and sleep report information. Usage, Mask Fit and AHI are always
displayed even when Sleep Quality is set to Usage.

Clinical Info menu

Accessed from the Clinical Setup menu, the Clinical Info menu provides the same screens as shown on
the Advanced Info menu on the previous page but with lighter green background and with the unlock
symbol.

Info menu parameters

Parameter Description
Sleep Quality Displays the following information on last night’s usage, mask fit and AHI
data.
Period Time period displayed as Last night (last session).
Usage Number of hours the device has been used during the last session.
Mask Fit Indicates ‘Good’ if the 70th percentile leak is less than 24 L/min.
AHI Apnoeas and hypopnoeas measured per hour for one day. An apnoea is
when the respiratory flow decreases by more than 75% for at least 10
sec. A hypopnoea is when the respiratory flow decreases to 50% for at
least 10 sec. The Apnoea Index (AI) and Apnoea Hypopnoea Index (AHI) are
calculated by dividing the total number of events that occurred by the total
mask-on therapy period in hours.
Sleep Report Displays additional therapy settings and compliance information (eg, Days
used, Used Hrs).
Period Sets time periods to a day, week, month (1, 3 or 6) and year to display
available data.
This period is the only parameter you can change in the Sleep Report—other
parameters are for display only.
Days Used Number of days the device has been used during the selected period or
since the last compliance data was reset.
Days>4hrs Number of days the device has been used for more than 4 hours during the
selected period or since the last compliance data was reset.

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Parameter Description
Avg. usage Average number of hours per day the device has been used during the
selected period.
Used Hrs Number of hours the device has been used during the selected period or
since the last compliance data reset.
Insp. pressure Average inpiratory pressure during the selected period (95th percentile for
each day for periods >1 day is the average of the 95th percentiles).
Exp. pressure Average expiratory pressure during the selected period (95th percentile for
each day for periods >1 day is the average of the 95th percentiles).
Leak Average leak during the selected period.
Vt Average tidal volume during the selected period (median value for a 1-day
period).
RR Average respiratory rate during the selected period (median value for a 1-day
period).
MV Average minute ventilation during the selected period (median value for a
1-day period).
%Spont T or Percentage of breaths that are spontaneously triggered or cycled, measured
%Spont C from the last 20 breaths.
AHI Apnoea-Hypopnoea Index—average AHI during the selected period. AHI and
AI are calculated for times of low leak only.
Total AI Apnoea Index—average total AI during the selected period.
View settings Displays parameter settings depending on therapy mode.
Note: This screen provides the same options as shown on the Clinical Info
menu.
Service Displays the device run hours, software version and other component
versions.
Run hours Displays the total number of hours the device has been used including
warm-up and cool-down times for the humidifier. It is not affected by the
Period selected. This is the only data item that is not reset when data is
erased.
SW Displays the current software version.
BID Displays the boot loader ID.
VID Displays the variant ID.
RID Displays the regional variant ID.
HID Displays the humidifier software ID.

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 Managing Climate Control
Designed to be ideal for most patients, Climate Control Auto enables the automatic delivery of a constant
value of absolute humidity while protecting against rainout.
To allow for increased flexibility, Climate Control can be turned to Manual in either the Patient Setup
(when enabled) or the Clinical Setup menus. Setting Climate Control to Manual disables the automatic
control of humidity and allows the patient to set humidity and temperature levels independently.
However, rainout protection is not provided when Climate Control is set to Manual.

Humidity Temperature
Mode
Setting range Default settings Setting range Default settings
Climate Control – Auto Climate Control
Constant – Off*, 16ºC–30ºC 27ºC
absolute humidity
(depending on
temperature
setting)

Climate Control – Humidity level Heated tube

Manual
Off–6.0 3 Off, 16ºC–30ºC 27ºC
(0.5 increments)

* When the temperature setting is set to Off the tube will not heat the air, nor will the humidifier heat the water to
add humidity to the air.

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Delivering therapy

1. Make sure the power is connected.

2. Ensure patient settings are correct. Adjust the ramp time
or humidification level if required.
3. Instruct the patient to fit their mask as described in the
mask user guide.
4. To start therapy, instruct the patient to breathe into the
mask and/or press .
5. Instruct the patient to lie down and arrange the air tubing
so that it is free to move if they turn in their sleep.
6. To stop treatment at any time, instruct the patient to
remove the mask and/or press .

If you enable SmartStart, the patient’s device will start automatically when the patient breathes into the
mask and stop automatically when they remove their mask.
Once therapy has started a treatment screen is displayed.
In order to assist the heater plate in cooling, the VPAP device will continue to blow air for up to an hour
after treatment has stopped. However, you can unplug the device from the power outlet at any time and
allow the heater plate to cool without air flow, or press to enable Power Save mode.
Note: If power is interrupted during treatment, the device automatically restarts therapy when power is
restored.

Adding supplemental oxygen

The VPAP device is designed to be compatible with up to 15 L/min of supplemental oxygen.
At a fixed rate of supplemental oxygen flow, the inhaled oxygen concentration will vary, depending on the
pressure settings, patient breathing pattern, mask selection, and the leak rate.
Notes:
•• Adding oxygen may affect the delivered pressure, and the accuracy of the displayed leak and minute
ventilation.
•• Before adding oxygen, familiarise yourself and your patient with the specific warnings relating to the
use of supplemental oxygen. These can be found at the end of this guide.

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 Data management
The SD card may be used to monitor patient usage as well as treatment pressure, mask leak, and
incidence of apnoeas and hypopnoeas. To assess the patient’s progress, data for the last session may be
compared to values for the last week, the last month, the last three months, the last six months, and the
last year. The device stores usage and summary data for up to 365 sessions.

SD card
The SD card allows VPAP devices
to capture data. The VPAP Series
comes with the SD card already
inserted and ready to be used.
Compliance data is also stored
on the device, so if the card is
lost, the data is not. You can also
create new treatment settings
and transfer them to the patient’s
device via the SD card.
VPAP device settings are written
to the SD card. This allows a
ResMed PC application to display
actual device settings from the
SD card instead of the default
values.

Removing the card

Before removing the card, instruct the patient to
disconnect the VPAP device from the power outlet.
To remove the card, instruct the patient to:

1. Push in the SD 2. Remove the 3. Insert the 4. Send the

card to release card. card into the protective folder
it. protective back to you as
folder. instructed.

Inserting the card

1. Remove the card from the protective folder.
2. Push the card into the VPAP device until it clicks.
3. The following message is briefly displayed: Reading SD card
Notes:
•• For more information on removing and inserting the card refer to the S9 SD Card Protective Folder
provided with the device.
•• Ask the patient to retain the S9 SD Card Protective Folder for future use.

26
Analysing the SD card data
To analyse the data, use a ResMed PC application to transfer data and settings between an S9 or an SD
card and your personal computer. Refer to your PC application guide for more information about analysing
the information on returned SD cards.

Data storage
The amount of data stored on the SD card varies compared to the data stored on the device.

Type of data VPAP device SD card Sampling rate

Compliance and therapy summary and statistic 365 nights 365 nights
data*
Detailed data – 30 nights
Apnoea or hypopnoea events (sec) Aperiodic
Flow limitation (flat to round) 1/2 Hz
Leak (L/min) 1/2 Hz
Minute ventilation (L/min) 1/2 Hz
Pressure (cm H2O) 1/2 Hz
Pulse rate (beats/min)** 1 Hz
Snore (quiet to loud) 1/2 Hz
Oxygen saturation (SpO2) (%) ** 1 Hz
High resolution flow and pressure data – 7 nights 25 Hz

* The pressure and leak samples used to calculate the statistics data are averages over a one minute period.
** Information only available via the oximeter adapter.

Data transmission adapters

The following data transmission adapters are designed for use with VPAP devices.

Device Method Description Type of data transfered

Oximeter Enables collection of Oximetry data (oxygen
adapter oximetry data from an saturation and pulse rate)
oximeter for storing data on
the SD card inserted into
the device.

Note: For more information on setting up your S9 adapter refer to the relevant S9 adapter user guide.

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 Cleaning and maintenance
You should regularly clean and maintain your device as described in this section.

Disassembling the H5i

1. Slide the latch.
2. Lift open the flip lid.
3. Remove the water tub.
4. Discard any excess water from the water tub.
5. Unclip all four side latches.
6. Pull apart the tub lid, plate and base.

Daily
1. Remove the air tubing by pulling on the finger grips on the cuff. Hang the air tubing in a clean, dry
place until next use.
2. Wash the disassembled tub lid, plate and base in warm water using a mild detergent.
3. Rinse thoroughly in clean water and allow them to dry away from direct sunlight.
Notes:
•• The disassembled tub lid, plate and base may also be washed in a dishwasher on the delicate or
glassware cycle (top shelf only).
•• Do not hang the air tubing in direct sunlight as it may harden over time and eventually crack.
•• Do not wash the air tubing in a washing machine or dishwasher.

Monthly
1. Wipe the exterior of the VPAP and H5i with a damp cloth and mild detergent.
2. Check the air filter for holes and blockage by dirt or dust. Replace the air filter if necessary.
3. Peel the flip lid seal from the flip lid and wash it in warm water using a mild detergent.
28
Reassembling the H5i
1. Place the plate back onto the base ensuring that the maximum water level mark faces up.
2. Place the tub lid back onto the plate/base ensuring that the centre holes are aligned.
3. Clip all four side latches.
4. Fill the water tub and return the water tub to the H5i.
5. Close the flip lid ensuring that it clicks into place.

Maintenance checklist
99 Inspect the H5i water tub and flip lid seal for wear and deterioration.
99 Replace the water tub if any component is leaking or has become cracked, cloudy or pitted.
99 Replace the flip lid seal if cracked or torn.
99 Clean white powder deposits in the water tub by using a solution of one part household vinegar to 10
parts water.
99 Inspect the maximum water level mark. If cleaning is required, remove by pinching and pushing out
the locks from the plate. Wash in warm water using a mild detergent.

Reprocessing the H5i between patients

The H5i should be reprocessed when used between patients. Cleaning and disinfection instructions are
available from the ResMed website, www.resmed.com under Products and Service & Support. If you
do not have internet access, please contact your ResMed representative.

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 Replacing the air filter
Replace the air filter every six months (or more often if necessary).
1. Remove the air filter cover from the back of the VPAP device.
2. Remove and discard the old filter.
3. Insert a new ResMed air filter ensuring that it is sitting flat in the air filter cover.
4. Replace the air filter cover.
Notes:
•• Ensure the air filter and air filter cover are fitted at all times.
•• Do not wash the air filter. The air filter is not washable or reusable.

Air filter cover

Air filter

The following filters are available for use with VPAP devices:

Filter Efficiency
Standard (ASMB 160) 88% at 7 micron
Hypo-allergenic (Air Safety Electret100 – electrostatic filter) 89.8% at 0.5 micron, bacterial
efficiency of 99.54%.

Antibacterial filters
Antibacterial filters increase resistance in the air circuit and may affect accuracy of displayed and
delivered pressure, particularly at high flows. ResMed recommends using a filter with a low impedance
(eg, less than 2 cm H2O at 60 L/min).

30
Technical specifications
General technical specifications
Power supply 90W power supply unit
Input range: 100–240V; 50–60Hz; 115V, 400Hz nominal for aircraft use
Typical power consumption: 70W (80VA)
Maximum power consumption: 110W (120VA)
30W power supply unit
Input range: 100–240V; 50–60Hz; 115V, 400Hz nominal for aircraft use
Typical power consumption: 20W (40VA)
Maximum power consumption: 36W (75VA)
90W DC/DC converter
Nominal inputs: 12V, 24V
Typical power consumption: 70W
Maximum power consumption: 110W
Environmental Operating temperature: +5ºC to +35ºC
conditions
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
(40ºC) the device remains safe.
Operating humidity:10–95% non-condensing
Operating altitude: Sea level to 2,591 m
Storage and transport temperature: -20ºC to +60ºC
Storage and transport humidity: 10–95% non-condensing
Electromagnetic Product complies with all applicable electromagnetic compatibility requirements
compatibility (EMC) according to IEC60601-1-2:2007, 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 these
ResMed devices can be found on www.resmed.com, on the Products page under
Service and Support. Click on the PDF file for your language.
Aircraft use ResMed confirms that these VPAP devices meet the Federal Aviation
Administration (FAA) requirements (RTCA/DO-160, section 21, category M) for all
phases of air travel.
IEC 60601-1 Class II (double insulation), Type BF
classification
Measuring and Pressure sensor: Internally located at device outlet, analog gauge pressure type,
display devices -5 to +45 cm H2O
Flow sensor: Internally located at device inlet, digital mass flow type,
-70 to +200 L/min

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 VPAP ST and VPAP S technical specifications
Pressure and Operating pressure range (measured at the mask): 4–20 cm H2O (CPAP);
flow state 2–25 cm H2O (VPAP)
Maximum single fault steady state pressure: 30 cm H2O - if pressure exceeded
for > 6 sec; 40 cm H2O - if pressure exceeded for >1 sec
Mode reading CPAP mode
Set pressure: 4 to 20 cm H2O
ST and T modes
IPAP: 4 to 25 cm H2O; EPAP: 2 to 25 cm H2O
Sound: Sound pressure level (CPAP mode)
DECLARED
with SlimLine tube: 26 dBA with uncertainty of 2 dBA as measured
DUAL-NUMBER
according to EN ISO 17510-1:2009
NOISE
EMISSION with Standard tube: 27 dBA with uncertainty of 2 dBA as measured
VALUES in according to EN ISO 17510-1:2009
accordance with
ISO 4871:1996 with either SlimLine tube or 28 dBA with uncertainty of 2 dBA as measured
Standard tube and H5i: according to EN ISO 17510-1:2009
Sound power level (CPAP mode)
with SlimLine tube: 34 dBA with uncertainty of 2 dBA as measured
according to EN ISO 17510-1:2009
with Standard tube: 35 dBA with uncertainty of 2 dBA as measured
according to EN ISO 17510-1:2009
with either SlimLine tube or 36 dBA with uncertainty of 2 dBA as measured
Standard tube and H5i: according to EN ISO 17510-1:2009
Physical Dimensions (L x W x H): 153 mm x 140 mm x 86 mm
Weight: 835 g
Housing construction: Flame retardant engineering thermoplastic
Air outlet: 22 mm conical air outlet (complies with ISO 5356-1:2004)
Air filter Standard: Polyester non-woven fiber
Hypoallergenic: Acrylic and polypropylene fibers in a polypropylene carrier
Supplemental Recommended maximum supplemental oxygen: 15 L/min
oxygen

H5i technical specifications

Temperature Maximum heater plate temperature: 65°C
Temperature cut-out: 74°C
Maximum gas temperature at mask: ≤ 41°C
Physical Dimensions (L x W x H): 153 mm x 145 mm x 86 mm
Weight (standard water tub): Docking station and unfilled water tub 690 g
Weight (cleanable water tub): Docking station and unfilled water tub 790 g
Water capacity: To maximum fill line 380 mL
Material Docking station: Flame retardant engineering thermoplastic, aluminium
Cleanable water tub: Injection molded plastic, stainless steel and silicone seal
Standard water tub: Injection molded plastic, aluminium and elastomer seal

32
 Air tubing technical specifications
Air tubing Length Inner Material
diameter
ClimateLine 2m 15 mm Flexible plastic and electrical components
ClimateLineMAX 1.9 m 19 mm Flexible plastic and electrical components
SlimLine 1.8 m 15 mm Flexible plastic
Standard 2m 19 mm Flexible plastic
3m 3m 19 mm Flexible plastic
Heated tubing temperature cut-out: ≤ 41°C
Notes:
•• The manufacturer reserves the right to change these specifications without notice.
•• The temperature and relative humidity settings displayed for Climate Control are not measured
values.
•• Check the user guide before using the SlimLine air tubing with other devices.
•• The electrical connector end of the heated air tubing is only compatible with the H5i air outlet and
should not be fitted to the device or the mask.

Humidifier performance
The following settings have been tested at 22°C ambient temperature:

CPAP mask RH output % Nominal system output AH1, BTPS2

pressure cm H2O Setting 3 Setting 6 Setting 3 Setting 6
3 90 100 10 18
10 95 100 11.5 21
20 95 100 11 18
25 100 100 12 13.5
1
AH - Absolute Humidity in mg/L.
2
BTPS - Body Temperature Pressure Saturated.

Pneumatic flow path

VPAP ST/VPAP S H5i Mask

Inlet
filter Blower
Tube

33
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 Flow (maximum) at set pressures
The following are measured at the end of the specified tubing:

Pressure VPAP and VPAP, H5i and VPAP and VPAP, H5i and
cm H2O Standard air tube Standard air SlimLine air tube, ClimateLine
L/min tube, L/min heated air tube,
L/min L/min
4 200 170 195 170
8 200 170 190 170
12 200 170 184 170
16 200 170 175 170
20 190 170 168 161
25 180 161 144 125

Displayed values
Value Range Display resolution
Pressure sensor at air outlet
Mask pressure 2–25 cm H2O 0.1 cm H2O
Flow derived values
Leak 0–200 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 1:50–2:1 0.1
Value Accuracy1
Pressure measurement1
Mask pressure ±0.5 cm H2O (+ 4% of measured value)
Flow measurements 1

Leak2 ±12 L/min or 20% of reading, whichever is greater, at 0 to 60 L/min

Tidal volume 2,3
±20%
Respiratory rate2,3 ±1.0 BPM
Minute ventilation2,3 ±20%
1
Results are expressed at ATPD (Ambient 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 EN ISO 10651-6:2009 for Home Care Ventilatory Support Devices (Figure 101
and Table 101) using nominal ResMed mask vent flows.

34
Pressure accuracy
Maximum static pressure variation at 10 cm H2O according to EN ISO 17510-1:2009:
Standard tube SlimLine tube
Without humidifier 9.89 cm H2O to 9.97 cm H2O 9.76 cm H2O to 9.87 cm H2O
With H5i humidifier 9.82 cm H2O to 9.98 cm H2O 9.78 cm H2O to 9.88 cm H2O
Maximum dynamic pressure variation according to EN ISO 17510-1:2009:
10 BPM 15 BPM 20 BPM
Pressure (cm H2O)
VPAP and Standard tube without H5i / VPAP and Standard tube with H5i
4 0.18 / 0.18 0.30 / 0.30 0.51 / 0.51
8 0.21 / 0.20 0.26 / 0.24 0.38 / 0.36
12 0.21 / 0.20 0.26 / 0.23 0.34 / 0.31
16 0.22 / 0.21 0.27 / 0.26 0.36 / 0.33
20 0.23 / 0.22 0.26 / 0.28 0.38 / 0.35
25 0.30 / 0.31 0.54 / 0.50 0.74 / 0.71
10 BPM 15 BPM 20 BPM
Pressure (cm H2O)
VPAP and SlimLine tube without H5i / VPAP and SlimLine tube with H5i
4 0.22 / 0.20 0.28 / 0.29 0.47 / 0.53
8 0.23 / 0.19 0.32 / 0.29 0.41 / 0.42
12 0.22 / 0.21 0.35 / 0.29 0.41 / 0.45
16 0.22 / 0.23 0.41 / 0.33 0.44 / 0.50
20 0.24 / 0.27 0.37 / 0.34 0.48 / 0.50
25 0.31 / 0.31 0.50 / 0.54 0.78 / 0.84

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 Warnings and Cautions

WARNINGS
•• Read the entire manual before using the device.
•• Use the device only as directed by your physician or healthcare provider.
•• Use the device only for the intended use as described in this manual. Advice contained in this manual
should not supersede instructions given by the prescribing physician.
•• If you notice any unexplained changes in the performance of the device, if it is making unusual or
harsh sounds, if the device or the power supply are dropped or mishandled, if water is spilled into the
enclosure, or if the enclosure is broken, discontinue use and contact your ResMed Service Center.
•• Beware of electrocution. Do not immerse the device, humidifier, power supply or power cord in
water. In the event of a spill, disconnect the device from the power supply and let the parts dry.
Always unplug the device before cleaning and make sure that all parts are dry before plugging in the
device.
•• Explosion hazard—do not use in the vicinity of flammable anesthetics.
•• 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.
•• The device should only be used with masks (and connectors1) recommended by ResMed, or by a
physician or respiratory therapist. A mask should not be used unless the device is turned on. Once
the mask is fitted, ensure that the device is blowing air. The vent hole or holes associated with the
mask should never be blocked.
Explanation: The device 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 CPAP or bilevel devices.
•• Oxygen supports combustion. Oxygen must not be used while smoking or in the presence of an
open flame.
•• Always ensure 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 operate the H5i if it is not working properly or if any part of the device or H5i has been
dropped or damaged.
•• Do not leave long lengths of air tubing around the top of the patient’s bed. It could twist around the
patient’s head or neck while they are sleeping.
•• Do not use electrically conductive or antistatic air tubings.
•• Do not use the air tubing if there are any visible signs of damage.
•• Only ResMed air tubing and accessories should be used with the device. A different type of air tubing
or accessory may alter the pressure you actually receive, reducing the effectiveness of the treatment.
•• Only use the ResMed 90W or 30W power supply unit. Use the 90W power supply unit to power the
system comprising the device, H5i, air tubing, DC/DC converter and battery pack. The 30W power
supply unit is designed to power the device only and recommended for traveling.
•• Only ResMed products are designed to be connected to the module connector port. Connecting
other devices could damage the device.
•• Blocking the air tubing and/or air inlet of the device while in operation could lead to overheating of the
device.

1 Ports may be incorporated into the mask or in connectors that are near the mask.
36
 CAUTIONS
•• Do not open the device enclosure. There are no user serviceable parts inside. Repairs and servicing
should only be performed by an authorised ResMed service agent.
•• Do not use bleach, chlorine, alcohol, or aromatic-based solutions, moisturising or antibacterial soaps
or scented oils to clean the device, humidifier or air tubing. These solutions may cause damage and
reduce the life of these products.
•• Incorrect system setup may result in incorrect mask pressure reading. Ensure the system is correctly
set up.
•• Be careful not to place the device where it can be bumped or where someone is likely to trip over the
power cord.
•• Make sure the area around the device is dry and clean and clear of bedding, clothes or other objects
that could block the air inlet or cover the power supply unit.
•• Ensure that the device is protected against water if used outdoors. Enclose the device in the
S9 travel bag for transport.
•• The H5i should only be used with tubing or accessories recommended by ResMed. Connection of
other delivery tubes or accessories could result in injury, or damage to the device.
•• Do not open the H5i enclosure. There are no user serviceable parts inside. Repairs and servicing
should only be performed by an authorised ResMed service agent.
•• Do not overfill the water tub as water may enter the device and air tubing.
•• Do not use any additives (eg, scented oils and perfumes). These may reduce the humidification
output of the H5i and/or cause deterioration of the water tub materials.
•• Take care when handling the H5i as the water/water tub may be hot. Allow 10 minutes for the heater
plate and any excess water to cool.
•• The H5i should only be connected or disconnected when the water tub is empty.
•• Make sure that the water tub is empty before transporting the H5i.
•• Do not operate the H5i on an aircraft as water may enter the device and air tubing during turbulence.
•• Always place the H5i on a level surface below the level of the user to prevent the mask and tubing
from filling with water.
•• If liquids are inadvertently spilled into or on the H5i, unplug the device from the power outlet.
Disconnect the H5i from the device and allow it to drain and dry before re-using.

37
English
 368363/7 2018-05
S9 VPAP ST / S9 VPAP S
H5i
CLINICAL
ROW ENG

Manufacturer: ResMed Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia.

See www.resmed.com for other ResMed locations worldwide.

For patent information, see www.resmed.com/ip.
S9, H5i, ClimateLine, SlimLine, SmartStart, TiControl and VPAP are trademarks of ResMed Ltd and S9, ClimateLine, SmartStart and
VPAP are registered in U.S. Patent and Trademark Office.
© 2018 ResMed Ltd.

Global leaders in sleep and respiratory medicine www.resmed.com