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Revision C 

GoodKnight 425 / GoodKnight 425ST Patient Manual  

23 

TROUBLESHOOTING 

Problem Probable 

Cause 

 

Recommended Action

 

Discomfort due to 
a feeling of 
excessive 
pressure. 

Air flow pressure of the

 

GoodKnight

 

425. 

 

Adapting to the nasal pressure takes a while. Try to use the 
ramp feature when you go to sleep 

(see the section titled 

Using the Ramp Feature

” on page 14). 

  Relax and breathe slowly through your nose. 

Device is not 
delivering correct 
pressures 
(display). 

 Pressure  port  hose 

disconnected. 

 Moisture 

entering 

pressure port tube. 

 Ramp 

enabled. 

 

Check that the pressure tube is properly connected to the 
device.

 

 

Dry the pressure tube. To do this, connect the breathing 
circuit to the device, leaving the pressure tube 
disconnected. Block the breathing circuit outlet with your 
hand and turn the device on so that air is forced out 
through the pressure tube. Repeat if necessary.

 

  Check whether the ramp indicator is displayed. Press the 

Ramp button to cancel the function 
(Figure 2, item 3 on page 5). 

NOTE:

 The pressure levels were prescribed by your 

doctor and can be modified only under medical 
prescription. 

Dry or irritated 
nose or throat. 

Air is too dry. 

Humidify  the  delivered air using a humidifier. Ask the 
medical team to obtain a humidifier.

 

Cold nose. 

Room temperature is too 
low. 

  Increase the temperature of the room  

  Place the breathing circuit under blankets to reduce heat 

loss. 

Runny nose. 

Reaction to  air flow and 
pressures. 

  Stop treatment.  

  Try high efficiency filter if problem persists. 

  Contact your physician. 

Device air tempe-
rature too hot. 

  Air inlet filters dirty.  

  Air inlet clogged. 

 Room temperature too 

high. 

  Clean or replace filters (refer to the chapter titled 

“Maintenance and cleaning instructions” on 
page 21).  

  Move any linen, bedding or clothing away from the GK425. 

  Lower the thermostat for the room.  

 Ensure that the device is away from any 

heat source. 

  Remove the breathing circuit from under the blankets. 

Pain in  nose, 
sinuses, or ears. 

Sinus infection or nasal 
congestion. 

Stop treatment and contact your physician or home care 
provider immediately. 

Dryness or 
irritation of the 
eyes. 

Air leak around interface. 

  Reposition the interface.  

  Ask the attending doctor or the service provider to try 

different sized masks. 

Redness of skin in 
contact with 
interface. 

  Headgear too tight or too 

small.  

 Allergic  reaction  to 

interface components  

  Adjust the harness. Contact the attending physician or the 

service provider to try on harnesses or masks of different 
sizes. 

  Stop using the interface. Contact your physician or home 

care provider.  

Summary of Contents for Puritan Bennett GoodKnight 425

Page 1: ...Ref M 145DFU00 40 Revision C GoodKnight 425 GoodKnight 425ST Patient Manual...

Page 2: ...uction B 1 2 4 5 12 15 17 18 21 22 24 A 8 26 B 3 7 9 11 16 19 20 23 25 C Reference or Revision Description Date M 145DFU00 40 Revision A Creation of the manual July 2004 Revision B Implementation of C...

Page 3: ...the limitations on the use of this device Therefore please read this manual carefully before using the GoodKnight 425 GoodKnight 425ST device This manual provides information on the safe and effectiv...

Page 4: ...iv GoodKnight 425 GoodKnight 425ST Patient Manual This page is left blank intentionally...

Page 5: ...12 STOPPING TREATMENT 13 USING THE RAMP FEATURE 14 USING THE DEVICE TO ACCESS INFORMATION 16 SETTING THE TIME 18 LIST OF AUTHORIZED ACCESSORIES 19 INTERFACES 19 TUBING 19 OTHER ACCESSORIES 19 MAINTENA...

Page 6: ...vi GoodKnight 425 GoodKnight 425ST Patient Manual This page is left blank intentionally...

Page 7: ...by your home care provider Check that you have all the instructions for using these accessories and read them carefully 4 Use only the specific power supply module provided with the device 5 Do not u...

Page 8: ...previously complicated by pneumothorax Massive epistaxis or previous massive epistaxis Pneumoencephalus traumatism or recent surgery with the after effect of a cranio nasopharyngeal fistula Acute sinu...

Page 9: ...h the face Carefully check the device and the specific power supply module and verify that there is no obvious fault Plug the device into the power outlet using the power supply module referring to st...

Page 10: ...ameters when changing device settings 4 ON OFF button Used for switching the device on or off It is also used to increase the value of the parameters during the device settings 5 Pressure port This is...

Page 11: ...Revision A GoodKnight 425 GoodKnight 425ST Patient Manual 5 The items in the Figures below are described on page 4 Figure 2 Top View Figure 3 General View Figure 4 Rear View 1 2 3 4 6 5 8 9 7...

Page 12: ...6 GoodKnight 425 GoodKnight 425ST Patient Manual This page is left blank intentionally...

Page 13: ...breathing circuit to the outlet connector of the device Figure 3 item 6 on page 5 Figure 5 Breathing Circuit Connection WARNING Take care that the pressure tube is not kinked or blocked 2 Prepare the...

Page 14: ...nstructions of your physician or home care provider Never smoke in the presence of oxygen Never inject oxygen through the air inlet of the device Carefully follow all instructions contained in the cha...

Page 15: ...ber with water through the outlet connector opening refer to the Installation section of the GoodKnight H2O user s manual Do not fill past the maximum water level mark 3 Place the GoodKnight H2O heate...

Page 16: ...sure tube from the breathing circuit to the GoodKnight 425 pressure port 8 Connect the breathing circuit to the outlet connector of the humidifier located on the water chamber Perform steps 2 to 6 of...

Page 17: ...e standard installation by the following steps 1 Connect the battery power cable onto the supply connector located at the back of the device see Figure 4 page 5 2 Connect the other end of the battery...

Page 18: ...patient interface nasal mask in place according to its instructions for use If an interface with an exhalation vent is used it includes a hole by which the exhaled gases will be flushed out preventing...

Page 19: ...he instructions below to stop the treatment 1 Stop the oxygen flow if oxygen is used 2 Remove the interface nasal mask 3 If you are using a heated humidifier turn it off as described in its instructio...

Page 20: ...ovided by your medical team In this case the ramp function is disabled and pressing the Ramp button on the front panel of the machine has no effect Figure 2 item 3 on page 5 The initial ramp pressure...

Page 21: ...ssure will fall to a low value then increase progressively up to the prescribed pressure levels so as not to wake you The device will run normally delivering treatment pressures throughout the night 2...

Page 22: ...itive Airway Pressure level set on your device high pressure level for the inspiration Press Information Access button 5 0 cmH2O P EPAP Expiratory Positive Airway Pressure level set on your device low...

Page 23: ...re gradually increases from the EPAP to the IPAP pressure levels 540 h Press Information Access button 46 Hour meter value device operating time The hourglass symbol stands for time The value displaye...

Page 24: ...continuing to hold the Ramp button down press the ON OFF button Figure 2 item 4 on page 5 Release the buttons and the adjustment symbol appears under the hour shown below 14 47 h NOTE The time will on...

Page 25: ...System P N s S 133335 00 S 133336 00 S 133337 00 S 133338 00 S 133339 00 S 133340 00 SoftFit Ultra Interface System P N s Y 233335 00 Y 233336 00 Y 233337 00 Y 233338 00 Y 233339 00 Y 233340 00 Nasal...

Page 26: ...r P N M 413950 02 Thin optional filter P N M 413950 04 Serial connection cable P N M 213930 04 Battery cable P N M 214530 00 Battery cable cigarette lighter plug P N M 214530 01 Carrying case P N M 21...

Page 27: ...or drip into any of its openings Never use the GoodKnight 425 without verifying that the filter has been installed Contact your service provider to have the device output pressure checked at least on...

Page 28: ...Please refer to the instructions for use that were supplied with your nasal interface Humidifier Please refer to the instructions for use that were supplied with your humidifier Oxygen Adapter Please...

Page 29: ...vered air using a humidifier Ask the medical team to obtain a humidifier Cold nose Room temperature is too low Increase the temperature of the room Place the breathing circuit under blankets to reduce...

Page 30: ...of interference such as halogen lamps and cell telephones etc In 1 displayed Major leak disconnection detected in patient circuit for over 30 seconds This message disappears as soon as the interface i...

Page 31: ...cteristics Dimensions W x H x L 5 6 in x 2 9 in x 7 7 in without power supply Weight 1 55 lb without power supply module Environmental Conditions Transport and Storage Temperature 20 C to 60 C 4 F to...

Page 32: ...1 1 A Direct current 13 V power supply battery connector Symbols ON OFF Information access Ramp PC connection Increases setting values Reduces setting values Output connector Drip proof Type B device...

Page 33: ......

Page 34: ...da Drive Pleasanton CA 94588 USA Toll Free 1 800 635 5267 Tel 1 800 255 6774 Manufacturer Mallinckrodt D veloppement France Parc d activit s du bois St Julien 10 All e Pelletier Doisy F 54601 VILLERS...

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