ResMed Respiratory Product 61836/2 Manuel utilisateur

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

Mirage Quattro™

FULL FACE MASK

User Guide

English • Deutsch • Français • Italiano •

Español • Português • Nederlands

61836/2

07 01

MIRAGE QUATTRO

USER

EUR 1

61836

61836r2 cover.qxp 18/01/2007 2:37 PM Page 1

ResMed Ltd (Manufacturer) 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia

ResMed Corp (US Designated Agent) 14040 Danielson Street Poway CA 92064-6857 USA

ResMed (UK) Ltd (EU Authorized Representative) 65 Milton Park Abingdon Oxfordshire OX14 4RX UK

ResMed Offices Australia, Austria, Brazil, Finland, France, Germany, Hong Kong, Japan, Malaysia, Netherlands,

New Zealand, Norway, Singapore, Spain, Sweden, Switzerland, UK, USA

(see www.resmed.com for contact details).

Mirage Quattro Full Face Mask

Protected by patents: AU 777033, EP 1187649, EP 1314445, HK 1057714, US 6412487, US 6439230, US 6513526,

US 6581594, US 6701927, US 6796308, US 6823865, US 6823869, US 6860269, US 7021311, US 7069933.

Other patents pending.

Protected by design registrations: AU 309495, AU 309789, AU 309800, AU 310242, AU 311114, AU 311132,

AU 311133, AU 311134, AU 311135, AU 311136, AU 311137, AU 311186, AU 311187. Others pending.

Mirage and Mirage Quattro are trademarks of ResMed Ltd and Mirage is registered in U.S. Patent and Trademark

Office.

Velcro is a registered trademark of Velcro Industries B.V. STERRAD and CIDEX are trademarks of

Johnson & Johnson. Alconox is a trademark of Alconox Ltd. Neodisher Medizyme is a trademark of

Chemische Fabrik Dr Weigert. Aniosyme is a trademark of Laboratoires Anios.

61836r2 cover.qxp 18/01/2007 2:37 PM Page 2

A

Mask parts / Maskenteile / Composants du masque / Parti della maschera

/ Piezas de la mascarilla / Peças da máscara / Maskeronderdelen

Forehead support / Stirnstütze / Support frontal / Supporto frontale /

Apoyo para la frente / Suporte da testa / Voorhoofdsteun

Forehead support pad / Stirnpolster / Tampon frontal /

Imbottitura del supporto frontale / Almohadilla para la frente /

Almofada do suporte da testa / Kussentje van voorhoofdsteun

Mask cushion / Maskenkissen /

Bulle du masque / Cuscinetto della

maschera / Almohadilla de la

mascarilla / Almofada da máscara /

Maskerkussentje

Mask frame / Maskenrahmen / Entourage rigide / Telaio della

maschera / Armazón de la mascarilla / Armação da máscara /

Maskerframe

Ports cap / Anschlusskappe / Bouchon

d'entrées / Coperchio delle porte / Tapón de los

puertos / Tampa das portas / Poortafdichting

Elbow assembly /

Kniestück / Coude /

Complesso del gomito /

Unidad del codo /

Conjunto do cotovelo /

Complete bocht

Vent / Luftauslassöffnung /

Orifices de ventilation /

Foro per l’esalazione /

Ventilación / Respiradouro /

Ventilatieopeningen

Dial / Regler / Molette

de réglage / Selettore di

regolazione / Disco /

Botão / Draaiknop

Valve clip / Ventilclip / Clip de la valve / Fermaglio della valvola

/ Traba de la válvula / Clipe da válvula / Klepklem

Valve hinge / Ventilgelenk / Charnière de la

valve / Cardine della valvola / Bisagra de la

válvula / Articulação da válvula /

Klepscharnier

Valve membrane / Ventilmembran /

Membrane de la valve / Membrana della

valvola / Membrana de la válvula / Membrana

da válvula / Klepmembraan

Valve / Ventil / Valve / Valvola /

Válvula / Válvula / Klep

Elbow / Kniestück / Coude /

Gomito / Codo / Cotovelo /

Bocht

Swivel / Drehadapter / Pièce pivotante

/ Giunto rotante / Pieza giratoria /

Peça giratória / Draaibare kop

Upper straps / Obere Bänder /

Sangles supérieures / Cinghie

superiori / Correas superiores /

Correias superiores / Bovenste

banden

Lower straps / Untere Bänder

/ Sangles inférieures / Cinghie

inferiori / Correas inferiores /

Correias inferiores / Onderste

banden

Headgear clip / Kopfbandclip

/ Clip d'attache du harnais /

Fermaglio del copricapo /

Broche del arnés para la

cabeza / Clipe do arnês /

Hoofdbandklem

B

Fitting the mask / Anlegen der Maske / Mise en place du masque / Come indossare la maschera / Colocación de la mascarilla / Colocação da máscara / Masker opzetten en aanpassen

3

6

9

12

15

18

21

24

1

2

3

4

5

6

7

8

C

Disassembling for cleaning / Auseinanderbau zu Reinigungszwecken / Démontage pour le nettoyage / Smontaggio per la pulizia / Desmontaje para la limpieza / Desmontagem para limpeza / Demontage voor reiniging

1

2

1

7

2 3 4 5 6

8 9 10 11

Elbow assembly / Kniestück / Coude / Complesso del gomito /

Unidad del codo / Conjunto do cotovelo / Complete bocht

Cushion clip / Maskenkissenclip / Clip de la bulle /

Fermaglio del cuscinetto / Traba de la almohadilla /

Clipe da almofada / Kussenklem

61836 illo sheets.qxp 18/01/2007 2:42 PM Page 1

D

Reassembling the mask / Wiederzusammenbau der Maske / Remontage du masque / Riassemblaggio della maschera / Para volver a montar la mascarilla /

Montagem da máscara / Compleet masker in elkaar zetten

Elbow Reassembly / Wiederzusammenbau des Kniestücks / Remontage du coude / Riassemblaggio del gomito /

Volver a montar el codo / Montagem do cotovelo / Bocht in elkaar zetten

Mask Reassembly / Wiederzusammenbau der Maske / Remontage du masque / Riassemblaggio della maschera /

Volver a montar la mascarilla / Montagem da máscara / Masker in elkaar zetten

1 2 3 4 5

1

2

1

2

6 7 8 9

3

6

9

12

15

18

21

24

10 11 12 13

Mirage Quattro

Full Face Mask / Full Face Maske / Masque facial / Maschera ono-nasale /

Mascarilla Facial / Máscara Facial / Volgelaatsmasker

Illustrations Sheet / Illustrationsblatt /

Fiche d'illustrations / Foglio delle illustrazioni / Hoja de

figuras / Folheto de ilustrações / Illustratieblad

Note: For complete instructions, please read the text section

in conjunction with the illustrations on this sheet.

Hinweis: Vollständige Anweisungen finden Sie im

Textabschnitt und in den Illustrationen auf diesem Blatt.

Remarque : pour les instructions complètes, veuillez lire le

texte du guide avec cette fiche d’illustrations.

Nota: Per istruzioni complete, leggere la sezione con il testo

insieme alle illustrazioni su questo foglio.

Nota: para tener instrucciones completas, lea el texto en

conjunto con las figuras de esta hoja.

Nota: para obter instruções completas, leia a secção de texto

acompanhando com as ilustrações neste folheto.

Let op: Raadpleeg voor de volledige instructies s.v.p. de

desbetreffende tekst samen met de illustraties op dit blad.

Component of: 61836/2

61836 illo sheets.qxp 18/01/2007 2:42 PM Page 2

English

1

Mirage Quattro™

FULL FACE MASK

Thank you for choosing ResMed’s Mirage Quattro Full Face Mask.

The Mirage Quattro is a full face mask that covers your nose and mouth. This

means that you can receive effective therapy even if you breathe through your

mouth.

The mask incorporates vent holes and a built-in valve so that you can continue

to breathe fresh air if the airflow to your mask is impeded for any reason.

Intended Use

The Mirage Quattro channels airflow noninvasively to a patient from a positive

airway pressure device such as a continuous positive airway pressure (CPAP)

or bilevel system.

The Mirage Quattro is to be used by adult patients (>30 kg) for whom positive

airway pressure has been prescribed.

The Mirage Quattro is intended for single-patient re-use in the home

environment and multipatient re-use in the hospital/institutional environment.

Before Using the Mask

WARNINGS

• The Mirage Quattro must be used under qualified supervision with

patients who are unable to remove the mask by themselves. The mask

may not be suitable for those predisposed to aspiration.

• The elbow and valve assembly are intended to be used with the

Mirage Quattro and have specific safety functions. The mask should

not be worn if the valve is damaged as it will not be able to perform its

safety function. The valve should be replaced if it is damaged,

distorted or torn.

• The vent holes must be kept clear.

• Follow all precautions when using supplemental oxygen.

61836r2.book Page 1 Thursday, January 25, 2007 1:57 PM

2

•

Any oxygen flow must be turned off when the flow generator is not

operating, so that unused oxygen does not accumulate within the flow

generator enclosure and create a risk of fire.

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

concentration will vary, depending on the pressure settings, patient

breathing pattern, mask, point of application and leak rate.

• The technical specifications of the mask and flow generator are

provided for your clinician to check that they are compatible. If used

outside specification or if used with incompatible devices, the seal and

comfort of the mask may not be effective, optimum therapy may not

be achieved, and leak, or variation in the rate of leak, may affect the

flow generator function.

• Discontinue using the Mirage Quattro if you have ANY adverse

reaction to any part of the mask system, and consult your physician or

sleep therapist.

• Refer to your flow generator manual for details on settings and

operational information.

Using the Mask

Select ‘Mir Full’ or ‘Full Face’ as the mask option when using the Mirage

Quattro with ResMed flow generators that have mask setting options.

Fitting the Mask

The diagrams in section A on the illustrations sheet show how the parts of the

mask fit together.

The diagrams in section B show the sequence for obtaining the best fit and

comfort in using your mask. Please follow these instructions carefully.

1 Twist the forehead support dial to Position 24, where the forehead support

is fully extended (Fig. B-1).

2 Hold the mask steadily on your face (Fig. B-2) and pull the headgear over

your head.

3 Bringing the lower straps below your ears, clip the headgear to the lower

part of the mask frame (Fig. B-3).

4 Unfasten the Velcro

®

, pull the upper headgear straps evenly until they are

comfortable and firm, and reattach the Velcro (Fig. B-4).

5 Repeat step 4 with the lower headgear straps (Fig. B-5).

6 Test the functioning of the valve by sealing the swivel with your hand and

ensuring that you can still breathe freely.

7 Connect the main air tubing to the swivel (Fig. B-6). Then connect the free

end of the air tubing to your flow generator and turn the flow generator on.

61836r2.book Page 2 Thursday, January 25, 2007 1:57 PM

3

English

8 Lie down in your sleeping position. Twist the forehead support dial

(Fig. B-7) until you feel that the mask is evenly positioned on your face. It

should be comfortable, with a satisfactory seal. Gently tighten the lower

headgear straps if necessary.

9 The fitted mask is shown in Fig. B-8.

Optimising Mask Seal and Comfort

To receive effective therapy it is important to have the best seal possible

between your mask and your face. If you are experiencing leaks, please ensure

that you have followed the fitting instructions carefully. Carry out a quick check

after fitting your mask:

• Is the mask cushion creased? Creases can allow air to leak out of the mask.

• Have you cleaned your mask cushion recently? Oils on the cushion can

affect the seal.

• Are your headgear straps overtightened? Try not to alter the upper headgear

straps once they have been tightened by your clinician.

• You may need to slightly adjust the dial. Note the dial setting when

comfortable.

• Does the mask seem too close to your eyes? You may need a smaller mask.

If you cannot resolve any problems, look at the Troubleshooting section, or talk

to your clinician. You may require another mask size.

Removing the Mask

To remove the Mirage Quattro, disconnect one of the lower headgear clips and

pull the mask and headgear up over your head.

Disassembling the Mask

See section C on the illustrations sheet.

1 Detach the air tubing.

2 Unclip the lower headgear clips (Fig. C-1) and unhook the upper headgear

straps (Fig. C-2). It is not necessary to remove the headgear clips from the

headgear.

3 Remove the elbow assembly from the mask frame (Fig. C-3). It’s easier to

pivot the bottom of the elbow away from the mask frame than to pull the

elbow straight off.

4 Remove the valve clip from the elbow (Fig. C-4).

5 Peel the valve away from the valve clip (Fig. C-5). Do not pull on the

membrane to remove the valve.

6 Detach the swivel from the elbow (Fig. C-6).

7 Note the position on the dial for the next time you use the mask.

61836r2.book Page 3 Thursday, January 25, 2007 1:57 PM

4

8 Fully unscrew and remove the dial then pull the forehead support out of the

mask frame (Fig. C-7).

9 Remove the forehead support pads from the forehead support (Fig. C-8).

10 Squeeze and push the upper side tabs on the cushion clip out of the mask

frame. Pivot away from the mask, and gently pull out (Fig. C-9).

11 Separate the cushion from the cushion clip (Fig. C-10).

12 Remove the ports cap from the mask frame (Fig. C-11).

Cleaning the Mask in the Home

Notes:

• The mask and headgear can only be cleaned by handwashing.

• The headgear may be washed without removing the headgear clips.

WARNING

• Do not use aromatic-based solutions or scented oils (eg, eucalyptus or

essential oils), bleach, alcohol or products that smell strongly (eg,

citrus) to clean any of the mask components. Residual vapours from

these solutions can be inhaled if not rinsed thoroughly. They may also

damage the mask, causing cracks.

• Do not iron the headgear as the material is heat sensitive and will be

damaged.

Daily/After Each Use

To optimize the mask seal, facial oils should be removed from the cushion

before use.

Handwash the mask by gently rubbing in warm (30°C) water using mild soap

or diluted dishwashing detergent.

Do not twist the valve during cleaning as this may damage or tear the valve

membrane or hinge. Take care when handling the valve.

If the vent requires cleaning use a soft bristle brush.

Rinse all components well with drinking quality water and allow them to air dry

out of direct sunlight. Do not soak the mask.

Weekly

Handwash the headgear in warm (30°C) water using mild soap or diluted

dishwashing detergent. Rinse well and allow it to air dry out of direct sunlight.

61836r2.book Page 4 Thursday, January 25, 2007 1:57 PM

5

English

Cleaning the Mask between Patients

The Mirage Quattro should be disinfected or sterilised when used between

patients. All components, except the headgear, are validated for up to 20

disinfection or sterilisation cycles using one of the following processes:

• Thermal disinfection at a maximum temperature–time combination of 93°C

for 10 minutes

• Chemical disinfection (eg, Cidex™ OPA or Cidex Plus™)

• The STERRAD™ Sterilization System (eg, 100S or NX).

The headgear should be thoroughly washed between patients, as described in

“Cleaning the Mask in the Home”.

Detailed disinfection and sterilisation instructions are available from the

ResMed website, www.resmed.com/masks/sterilization, and must be

consulted before multipatient use.

Reassembling the Mask

See section D on the illustrations sheet.

Before reassembling the mask, check that all components are clean and dry.

Check that the valve is not damaged, distorted or torn, and that none of the

other components are broken or cracked. Replace any parts that are damaged.

Flexible PVC contains elements that can be detrimental to the materials of the

mask. If flexible PVC tubing is used continuously, the attachment port should

be inspected for cracking. Replace any parts that are damaged.

Elbow Reassembly

1 Insert the valve into the valve clip (Fig. D-1).

2 Push the valve clip onto the elbow (Fig. D-2). Make sure both sides click into

place (Fig. D-3).

3 Insert the swivel into the end of the elbow (Fig. D-4).

4 Insert the assembled elbow (Fig. D-5) into the mask frame.

Mask Reassembly

1 Fit the cushion clip into the grooved edge of the mask cushion. Fit the top

section first, then work your way around, pushing the clip into the cushion

(Fig. D-6). Ensure that the cushion is not twisted or distorted around the

clip.

2 Align the cushion clip with the mask frame. Push the cushion clip into the

mask frame, ensuring that all three clips click into place (Fig. D-7).

3 Push the forehead pads firmly into the forehead support (Fig. D-8).

61836r2.book Page 5 Thursday, January 25, 2007 1:57 PM

6

4 Insert the forehead support into the mask frame and screw the dial

clockwise onto the pole (Fig. D-9). Turn the dial until it clicks (Fig. D-10).

Ensure the dial sits flush against the frame.

5 Insert the ports cap (Fig. D-11).

6 Reattach the top headgear by threading it through the loop (Fig. D-12).

7 Turn the dial until you reach the setting that gives you good comfort and seal

(Fig. D-13).

Storage

Ensure that the mask is thoroughly clean and dry before storing it for any

length of time. Store the mask in a cool dry place out of direct sunlight.

Disposal

The Mirage Quattro does not contain any hazardous substances and may be

disposed of with your normal household refuse.

Troubleshooting

Problem Possible reason Possible solution

Mask won’t seal properly

or is uncomfortable

Mask cushion may be dirty. Clean cushion according to

instructions in “Cleaning the

Mask in the Home”.

Mask may have been fitted

incorrectly or is incorrectly

adjusted.

Carefully follow instructions in

“Fitting the Mask”. Check

headgear and dial are not over-

tightened. Extend dial to apply

more force to chin. Contract dial

to increase force at nose bridge.

Mask cushion is skewed in

cushion clip.

Check insertion of cushion and

reinsert correctly.

Mask cushion is misaligned or

creased on face.

Ensure cushion is properly

aligned and that there are no

creases in it: undo headgear clip,

check cushion and reposition the

mask on your face.

Mask is wrong size. Talk to your clinician.

Mask is too noisy Vents are blocked or partially

blocked.

Clean vents according to

instructions in “Cleaning the

Mask in the Home”.

Valve is misassembled. Reassemble valve.

Cushion is not fully clipped in. Check insertion of cushion.

Mask is assembled incorrectly. Reassemble mask.

Valve is torn or distorted and is

not sealing.

Replace valve.

Dial inserted into mask

frame before forehead support

Misassembly. Push dial base onto a hard

surface until the dial comes out

of the frame.

61836r2.book Page 6 Thursday, January 25, 2007 1:57 PM

7

English

Technical Specifications

Note: The mask system does not contain latex, PVC or DEHP materials.

Pressure–Flow Curve

Note: As a result of manufacturing variations, the vent flow rate may vary.

Dead Space Information

Dead space: the empty volume of the mask up to the swivel.

The dead space of the mask varies according to cushion size. It is 242 mL for the large

size.

Standards

CE designation in accordance with EC directive 93/42/EEC, class IIa.

ISO 14971, ISO 13485, ISO 10993-1 and ISO 17510-2.

Therapy Pressure

4 to 20 cm H

2

O

Resistance

Drop in pressure measured (nominal)

at 50 L/min: 0.5 cm H

2

O

at 100 L/min: 1.6 cm H

2

O

Sound

The A-weighted sound power of the mask is 28 dBA.

Environmental Conditions

Operating temperature: +5°C to +40°C

Operating humidity: 10%–95% relative humidity non-condensing

Storage and transport: -20°C to +60°C

Storage and transport humidity: 10%–95% relative humidity non-condensing

Vent Flow Rate (L/min)

Pressure

(cm H

2

O)

Flow

(± 6.0 L/min)

422

832

12 41

16 48

20 54

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2 4 6 8 10 12 14 16 18 20 22 24 26 28 30

Mask Pressure (cm H

2

O)

61836r2.book Page 7 Thursday, January 25, 2007 1:57 PM

8

Mask sizes

(Mask fully assembled with elbow assembly - no headgear)

Note: The manufacturer reserves the right to change these specifications

without notice.

Symbols

System and Packaging

User Guide

size height (mm) width (mm) depth (mm)

extra small 176 109 108

small 186 109 108

medium 196 109 108

large 206 109 108

Caution, consult accompanying documents.

Lot number

Part number/Product code

No latex

Humidity limitation

Temperature limitation

Indicates a warning or caution and alerts you to a possible injury or explains

special measures for the safe and effective use of the device.

LOT

REF

61836r2.book Page 8 Thursday, January 25, 2007 1:57 PM

9

English

Ordering Information

Ref. Item

Complete System

61204