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 Device Settings 

DreamStar Duo, DuoST 

Device Settings 

The adjustment of the therapeutic pressure must be determined by the prescribing physician for each 
patient individually, with the configuration of the equipment to be used, including the accessories. The 
correct installation and positioning of the patient interface constitute a critical condition for the proper 
operation of the device.  
The most recent compliance data are recorded by session in the device memory within one year and 8 
hours  usage  day,  and  they  can  be  retrieved  for  analysis  using  DreamStar™  Analyze  software.  The 
settings  are  accessible  directly  on  all  the  devices.  You  can  also  adjust  the  settings  of  the  devices 
using the DreamStar™ Analyze software on a computer connected via a RS232 or Mini USB cable, or 
via a wireless connection 

WARNING 

Before  changing  the  device  settings,  confirm  that  the  device  delivers  sufficient  airflow  when  it  is  in  operating 
mode. If it does not, stop immediately and contact the technical support.  

Definitions 

Backup frequency: 

If  the  device  DreamStar™  DuoST  /  DuoST  Evolve  does  not  detect  a 
respiratory  cycle  from  the  patient  or  if  the  frequency  of  the  patient's 
respirations  drops  from  the  prescribed  backup  frequency,  the  device  will 
adjust  the  two  pressure  levels  based  on  the  I/E  ratio  and  the  backup 
frequency set. 

Comfort pressure: 

level of pressure produced by the device when the ramp feature starts up so 
that the patient can go to sleep comfortably. 

Compliance counter: 

total  time  during  which  the  patient  has  effectively  breathed  in  the  mask 
(time subtracted from the time when the mask was removed and the time 
with no respiration). 

Expiratory Positive 
Airway Pressure 
(EPAP): 

low-level pressure prescribed for expiration. 

Expiratory sensitivity: 

sensitivity of detecting the beginning of the expiratory breathing phase. 

Heating time: 

time  needed  for  the  device  to  reach  the  operating  level  required  by  the 
heated humidification feature. 

Hour counter: 

device operating time (ON/OFF). 

I/E ratio: 

ratio  between  the  inspiratory  time  and  the  expiratory  time,  used  by  the 
DreamStar™ DuoST / DuoST Evolve device when operating with the backup 
frequency. 

Inspiratory Positive 
Airway Pressure (IPAP): 

high-level pressure prescribed for inspiration. 

Inspiratory sensitivity: 

sensitivity of detecting the beginning of the inspiratory breathing phase. 

Maximum ramp time: 

this  parameter,  accessible  in  CPAP  mode  by  the  clinician  and  home  care 
provider only, allows a limit to be placed on the maximum ramp time that 
can be set by the patient.  

Prescribed pressure: 

level of pressure prescribed for the patient. 

Pressure rise time: 

set  by  the  physician,  time  the  device  takes  to  rise  from  the  expiratory 
positive airway pressure (EPAP) to the inspiratory positive airway  pressure 
(IPAP). 

Ramp time: 

In CPAP mode, this is the time taken by the device to reach the prescribed 
pressure from the comfort pressure. 
In Bilevel mode, this is the time taken by the device to reach the inspiratory 
positive airway pressure (IPAP) and the expiratory positive airway pressure 
(EPAP) from the comfort pressure. 

Summary of Contents for DreamStar Duo

Page 1: ...DreamStar is a brand registered by SEFAM DreamStar Product Range DreamStar Duo DreamStar Duo Evolve DreamStar DuoST DreamStar DuoST Evolve...

Page 2: ...and technical agency SEFAM 144 AV CHARLES DE GAULLE 92200 NEUILLY SUR SEINE FRANCE SEFAM 10 ALLEE PELLETIER DOISY 54600 VILLERS LES NANCY FRANCE TEL 33 0 3 83 44 85 00 www Sefam medical com Technical...

Page 3: ...e Heat level if water chamber included 27 Reminders about to expire 28 Specific calibration of the pneumatic configuration 29 Using a memory card 29 Cleaning and Maintenance 31 Daily 31 Weekly 31 Mont...

Page 4: ...se of heated humidification feature use the cover must be removed and replaced by a water chamber When the heated humidification feature is enabled on a device equipped with a water chamber the patien...

Page 5: ...ent List of authorised accessories Unless otherwise specified all the DreamStar product range devices can be used with the following optional accessories Battery cable with lugs P N M 214530 00 RS232...

Page 6: ...it is disabled on the devices delivered with a cover If the device is equipped with a cover and if you want to use the heated humidification feature it is necessary to order a water chamber and to pro...

Page 7: ...led comfort pressure then the pressure increases to treatment pressure In Bilevel mode the pressure is reduced to the comfort pressure and then raised to the inspiratory positive airway pressure IPAP...

Page 8: ...t can go to sleep comfortably Compliance counter total time during which the patient has effectively breathed in the mask time subtracted from the time when the mask was removed and the time with no r...

Page 9: ...cmH2O 0 5 cmH2O Ramp time 0 min Maximum ramp time 0 min 5 min Maximum ramp time 0 min 45 min 0 min 5 min Heat level if water chamber included 0 10 1 1 Parameters that can be set on the devices in Bi L...

Page 10: ...r evaporation depends on several factors such as environment leak rate patient s breathing pattern etc Features available on all devices Feature Feature enabled Feature disabled Default Humidifier Evo...

Page 11: ...ccess the device settings menu scroll through different pages or possibly modify the value of certain parameters within these pages The parameters are accessible only when the machine is in standby or...

Page 12: ...recorded C CPAP operating mode B Bilevel operating mode two pressure levels Vt Estimated tidal volume The values displayed are estimates They are provided for purposes of determining trends only Pati...

Page 13: ...s the values displayed are given by way of example The symbol indicates that the Pressure Alter feature is enabled and the symbol indicates that it is disabled Settings menu To access the Settings men...

Page 14: ...m of the page or to return to the page header Press to move to the next page In Bilevel mode The page displays Press as many times as necessary to access the desired parameter setting The page changes...

Page 15: ...of the page or to return to the page header Press to move to the next page The page displays Press as many times as necessary to access the desired parameter setting The page changes Increase or decr...

Page 16: ...page header Press to exit the menu Service menu To access the Service menu press the left control button to select the symbol displayed at the bottom right of the screen 1 Selecting the language and s...

Page 17: ...age displays Press as many times as necessary to access the desired parameter setting The page changes With the right or left parameter settings button lock or unlock the access to the parameter setti...

Page 18: ...t the bottom of the page or to return to the page header Press to move to the next page 5 Patient reminders The page displays Press as many times as necessary to access the desired parameter setting T...

Page 19: ...The page changes Increase or decrease the parameter value with the right or left parameter settings button Then press to access the next menu parameter Pressure offset offset of the pressure sensor Pr...

Page 20: ...creens the values displayed are given by way of example The symbol indicates that the Pressure Alter feature is enabled and the symbol indicates that it is disabled Settings menu To access the Setting...

Page 21: ...ottom of the page or to return to the page header Press to move to the next page In Bilevel mode The page displays Press as many times as necessary to access the desired parameter setting The page cha...

Page 22: ...e backup frequency the inspiratory positive airway pressure IPAP the expiratory positive airway pressure EPAP and the I E ratio Press at the bottom of the page or to return to the page header Press to...

Page 23: ...water chamber 22mm 22mm in diameter patient tubing 22mm HH 22mm in diameter patient tubing with water chamber and SPECIFIC other configuration Note If the SPECIFIC patient circuit option is selected...

Page 24: ...left parameter settings button Then press to access the next menu parameter Note The date can be set only when the device is in standby Press at the bottom of the page or to return to the page header...

Page 25: ...d humidification feature the pneumatic configuration is automatically reset to the default value If a specific calibration of the pneumatic configuration was in use it will be replaced with a default...

Page 26: ...s The page displays Press as many times as necessary to access the desired parameter setting The page changes Increase or decrease the parameter value with the right or left parameter settings button...

Page 27: ...ing in the mask Average Freq Average frequency measured during the session Average leak Indicates the average leak displaying OK or The session date and time are displayed in the upper right of the sc...

Page 28: ...ar product range When one or several reminders are about to expire the information access symbol in the lower left of the screen changes to the blinking envelope symbol the device being in standby hou...

Page 29: ...libration 5 Allow the device to calibrate itself taking care not to touch the pneumatic circuit 6 If calibration completes correctly the message CALIBRATION CORRECT will appear on the screen Press the...

Page 30: ...for the first time Service card A memory card can be configured using DreamStar Analyze software as a service card to set a number of devices to the same default values for example language time zone...

Page 31: ...if included Empty the water chamber and rinse it with clean water Leave to drip dry out of direct sunlight Weekly Water chamber if included Disassemble the water chamber o Remove the water chamber fr...

Page 32: ...in a dishwasher at 60 C maximum for 2 hours To prevent growth of micro organisms do not allow water in the chamber to stagnate Washable filter Pull the filter holder towards you to remove it Remove th...

Page 33: ...y are torn or soiled or when the device displays a reminder to do so Water chamber if included After the water chamber has been disassembled and cleaned you can let it soak for 15 minutes in a solutio...

Page 34: ...cording to the instructions recommended by the pre disinfecting product manufacturer o Also follow the recommended soaking time and if necessary brush using a soft brush o Rinse all the parts of the c...

Page 35: ...sponge with scraper or stiff brush Never use any pre disinfecting or disinfecting product containing aldehydes and or its derivatives formaldehyde glutaraldehyde etc Do not use any pre disinfecting or...

Page 36: ...ys LEAK OK If the error persists contact Technical Support The symbol blinks alternately with the error code at the centre of the display The device has detected an operating error See table entitled...

Page 37: ...or Unplug the machine from all electrical power Plug it in again If the error recurs return the machine to a technical service centre Er 10 Machine settings problem Unplug the machine from all electri...

Page 38: ...all sources of electrical power Plug it in again and turn on If the error persists contact Technical Support Er 104 Lack of communi cation from the humidifier to the device The device is operating wit...

Page 39: ...years System resistance for an air flow of 60 l min at the patient side connection aperture in power supply fault condition 1 6 cm H2O without humidifier 1 9 cm H2O with humidifier Patient side connec...

Page 40: ...Input voltage auto ranging 100 240 VAC 15 10 at 50 or 60Hz Maximum power consumption 100 VA at maximum setting Current consumed at 20cmH2O with a 4mm leak 130 mA eff at 230 VAC DC power supply 13 V V...

Page 41: ...Class II device Type BF device DC power supply Recording and play back Refer to the user manual Specific warning Device complies with the requirements of European Directive 93 42 EC on medical device...

Page 42: ...ded use of non invasive ventilation with non dependent patients EN ISO 8185 2009 Respiratory tract humidifiers for medical use Particular requirements for respiratory humidification systems Directive...

Page 43: ...0 13 0 15 0 23 0 18 0 22 0 28 0 25 0 28 0 30 0 35 0 38 0 41 0 44 0 46 0 41 Delta relative to dynamic pressure cmH2O 0 06 0 06 0 08 0 14 0 17 0 19 0 19 0 24 0 23 0 28 0 30 0 35 0 34 0 41 0 32 Tubing 1...

Page 44: ...to lowest pressure cmH2O 0 12 0 16 0 21 0 04 0 05 0 04 0 20 0 15 0 13 0 14 0 03 0 06 0 14 0 01 0 02 Delta relative to dynamic pressure cmH2O 0 06 0 09 0 09 0 09 0 19 0 17 0 20 0 22 0 30 0 38 0 39 0 4...

Page 45: ...DreamStar Duo DuoST Technical characteristics 45 Functional pneumatic block diagram...

Page 46: ...for use in the electromagnetic environment specified below The customer or the user of a device from DreamStar product range should assure that it is used in such an environment Immunity test Test le...

Page 47: ...W according to the transmitter manufacturer and d is the recommended separation distance in meters m Fields strengths from fixed RF transmitters as determined by an electromagnetic site survey a shoul...

Page 48: ...d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended se...

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Page 50: ...Manufacturer Manufacturing plant SEFAM 144 AV CHARLES DE GAULLE 92200 NEUILLY SUR SEINE FRANCE SEFAM 10 ALLEE PELLETIER DOISY 54600 VILLERS LES NANCY FRANCE M 155DFU00 70 Version 10 2020 02...

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