S9 Escape™
POSITIVE AIRWAY PRESSURE DEVICES
User Guide
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S9 Escape indications for use
The S9 Escape CPAP system is indicated for the treatment of obstructive sleep apnoea (OSA) in patients
weighing more than 30 kg. The S9 Escape CPAP system is intended for home and hospital use.
Contraindications
Positive airway pressure therapy may be contraindicated in some patients with the following pre-
existing conditions:
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severe bullous lung disease
pneumothorax
pathologically low blood pressure
dehydration
cerebrospinal fluid leak, recent cranial surgery, or trauma.
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 the device:
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drying of the nose, mouth, or throat
nosebleed
bloating
ear or sinus discomfort
eye irritation
skin rashes.
Masks and humidifiers
Service & Support. For information on using your mask or humidifier, refer to the manual supplied with
your mask or humidifier.
Setup
Refer to illustration A.
1. Connect the DC plug of the power supply unit to the rear of the S9.
2. Connect the power cord to the power supply unit.
3. Plug the other end of the power cord into the power outlet.
4. Connect one end of the air tubing firmly onto the air outlet.
5. Connect the assembled mask system to the free end of the air tubing.
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Control panel
Refer to illustration B.
The control panel of your S9 device includes the following items:
1. Start/Stop button: Starts or stops treatment
2. Home menu
3. LCD screen
4. Info menu*: Allows you to view your sleep statistics
5. Setup menu*: Allows you to make changes to settings
6. Push dial: Turning the dial allows you to scroll through the menu and change settings. Pushing the
dial allows you to enter into a menu and confirm your choice.
*The Info and Setup menus are disabled if S9 Essentials has been enabled by your clinician.
Navigating the menus
Refer to illustration C.
In general, to navigate the menus:
1. Turn
2. Press
3. Turn
4. Press
until the parameter you require is displayed in blue.
. The selection is highlighted in orange.
until you see the setting that you require.
to confirm your choice. The screen returns to blue.
Getting started
1. Make sure the power is connected.
2. Adjust the ramp time if required.
3. Fit your mask as described in your mask user guide.
4. To start therapy, simply press
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5. Lie down and arrange the air tubing so that it is free to move if you turn in your sleep.
6. To stop treatment at any time, press
.
Cleaning and maintenance
Daily:
Remove the air tubing by pulling on the finger grips on the cuff. Hang it in a clean, dry place until next
use.
Notes:
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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.
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Weekly:
1. Remove the air tubing from the S9 device and the mask.
2. Wash the air tubing in warm water using mild detergent.
3. Rinse thoroughly, hang, and allow to dry.
4. Before next use, reconnect the air tubing to the air outlet and mask.
Monthly:
1. Wipe the exterior of the S9 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.
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 S9 device.
2. Remove and discard the old air 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:
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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.
Troubleshooting
If there is a problem, try the following suggestions. If the problem cannot be solved, contact your
equipment supplier or ResMed. Do not attempt to open the device.
Problem/Possible cause
Solution
No display
Power is not connected.
Ensure the power cable is connected and the power outlet
(if available) is on.
The DC plug is partially inserted into the Fully insert the DC plug.
back of the device.
Insufficient air delivered from the device
Ramp time is in use.
Wait for air pressure to build up or change ramp time.
Air filter is dirty.
Replace air filter.
Air tubing is not connected properly.
Air tubing is blocked, pinched or
punctured.
Check air tubing.
Unblock or free the air tubing. Check the air tubing for
punctures.
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Problem/Possible cause
Solution
Mask and headgear are not positioned Adjust position of mask and headgear.
correctly.
Incorrect air tubing selected.
If you are using the SlimLine or Standard air tubing ensure
that you have the correct air tubing selected via the menu.
Pressure rises inappropriately
Talking, coughing or breathing in an
unusual manner.
Avoid talking with a nasal mask on, and breathe as normally
as possible.
Mask cushion is buzzing against the
skin.
Adjust the headgear.
Displays error message: High temperature fault, refer to user manual
Device has been left in a hot
environment.
Air filter is blocked.
Allow to cool before re-use. Disconnect the power cord
and then reconnect it to restart the device.
Replace your air filter. Disconnect the power cord and then
reconnect it to restart the device.
Air tubing is blocked.
Check your air tubing and remove any blockages.
Disconnect the power cord and then reconnect it to restart
the device.
Humidifier setting is too high, resulting Turn the humidifier setting down and empty the water from
in accumulation of water in the air
tubing.
the air tubing.
Displays error message: Check ResMed 30/90W Power Supply Unit and fully insert the
connector
The DC plug is partially inserted into the Fully insert the DC plug.
back of the device or inserted too
slowly.
A non-ResMed power supply unit is
connected to the device.
Remove the power supply unit and replace with a ResMed
power supply unit.
The power supply unit is being covered Make sure that the power supply unit is free from bedding,
by bedding. clothes or other objects that could cover it.
Displays error message: Tube blocked, please check your tube
Air tubing is blocked. Check your air tubing and remove any blockages.
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Problem/Possible cause
Solution
Displays error message: High leak, please check system setup and all connections
There is excessive leak.
Adjust position of mask and headgear.
Air tubing is not connected properly. Connect firmly at both
ends.
The following message is displayed on the LCD after you try to update settings or copy data to
the SD card: Card error, please remove SD card and contact service provider
SD card is not inserted correctly.
You may have removed the SD card
before settings were copied to the
CPAP device.
Ensure that the SD card is inserted correctly.
Reinsert the SD card and wait for the home screen or the
Settings updated successfully, press any key message
to appear on the LCD.
Note: This message only appears once. If you re-insert the
SD card after you have updated your settings, the message
will not be re-displayed.
The following message is NOT displayed on the LCD after you try to update the settings using
the SD card: Settings updated successfully, press any key
The settings were not updated.
Contact your clinician/service provider immediately.
SD card
An SD card has been supplied to gather therapy data from your S9 device and provide settings updates
from your clinician. When instructed to do so, disconnect the S9 device from the power outlet, remove
your SD card, insert it in the protective folder and send it to your clinician. For more information on
removing and inserting your card refer to the S9 SD Card Protective Folder provided with your device.
Please retain the S9 SD Card Protective Folder for future use.
Technical specifications
Operating pressure range
Maximum single fault steady state
pressure
4 to 20 cm H O
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30 cm H O
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Pressure measurement tolerance
Flow measurement tolerance
0.5 cm H O 4% of the measured reading
6 L/min or 10% of reading, whichever is greater
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DECLARED DUAL-NUMBER NOISE EMISSION VALUES in accordance with ISO 4871:
Sound pressure level
24 dBA as measured according to ISO 17510-1:2002
26 dBA with uncertainty of 2 dBA as measured according to
EN ISO 17510-1:2009
Sound power level
34 dBA with uncertainty of 2 dBA as measured according to
EN ISO 17510-1:2009
Nominal dimensions (L x W x H)
Weight
153 mm x 140 mm x 86 mm
835 g
90W power supply unit
Input range 100–240V, 50–60Hz,
Nominal for aircraft use 115V, 400Hz
Typical power consumption 70W (80VA)
Maximum power consumption 110W (120VA)
Input range 100–240V, 50–60Hz,
Nominal for aircraft use 115V, 400Hz
Typical power consumption 20W (40VA)
Maximum power consumption 36W (75VA)
+5ºC to +35ºC
30W power supply unit
Operating temperature
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
Storage and transport humidity
Housing construction
-20ºC to +60ºC
10–95% non-condensing
Flame retardant engineering thermoplastic
Recommended maximum supplemental oxygen flow:
4 L/min
Supplemental oxygen
Hypoallergenic air filter
Non-woven acrylic and polypropylene fibers with
polypropylene carrier
Standard air filter
SlimLine air tubing
Standard air tubing
Polyester fiber
Flexible plastic, 1.8 m, 15 mm inner diameter
Flexible plastic, 2 m, 19 mm inner diameter
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ClimateLine heated air tubing
Flexible plastic and electrical components,
2 m, 15 mm inner diameter
Flexible plastic and electrical components,
1.9 m, 19 mm inner diameter
MAX™
ClimateLine
heated air tubing
Air outlet
Electromagnetic compatibility
The 22 mm conical air outlet complies with ISO 5356-1
Product complies with all applicable electromagnetic
compatibility requirements (EMC) according to
IEC60601-1-2, 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
and Support. Click on the PDF file for your language.
Medical-Portable Electronic Devices (M-PED) that meet the
Federal Aviation Administration (FAA) requirements of
RTCA/DO-160 can be used during all phases of air travel
without further testing or approval by the airline operator.
ResMed confirms that the S9 meets RTCA/DO-160
requirements.
Aircraft use
IEC 60601-1 classification
Class II (double insulation), Type BF
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The manufacturer reserves the right to change these specifications without notice.
The temperature and relative humidity settings displayed for ClimateLine or ClimateLine
measured values.
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are not
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Check with your clinician/service provider before using the SlimLine air tubing with devices other
than the S9.
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Pneumatic flow path
S9 Escape
Blower
H5i
Mask
Inlet filter
Tube
Symbols
The following symbols may appear on your S9, power supply unit, air tubing or packaging.
Caution;
Read instructions before use;
Protection against insertion of fingers and
IP21
against vertically dripping water;
Not drip proof;
Type BF equipment;
European Authorised Representative;
Class II equipment;
European
IP20
Start/Stop;
RoHS; Batch code;
Lock/unlock;
Manufacturer;
Catalogue number;
Remove tub to fill;
Serial number;
Direct current;
Keep Dry; China pollution control logo 1;
China pollution control logo 2;
Environmental information
WEEE 2002/96/EC is a European Directive that requires the proper disposal of electrical and electronic
equipment. These devices should be disposed of separately, not as unsorted municipal waste. To
dispose of your device, you should use appropriate collection, reuse and recycling systems available in
your region. The use of these collection, reuse and recycling systems is designed to reduce pressure
on natural resources and prevent hazardous substances from damaging the environment.
If you need information on these disposal systems, please contact your local waste administration. The
crossed-bin symbol invites you to use these disposal systems. If you require information on collection
and disposal of your ResMed device please contact your ResMed office, local distributor or go to
Servicing
The S9 device is intended to provide safe and reliable operation when operated in accordance with the
instructions provided by ResMed. ResMed recommends that the S9 be inspected and serviced by an
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authorised ResMed Service Centre if there is any sign of wear or concern with device function.
Otherwise, service and inspection of the devices generally should not be required during the five year
design life of the device.
Limited warranty
ResMed Ltd (hereafter ’ResMed’) warrants that your ResMed product shall be free from defects in
material and workmanship from the date of purchase for the period specified below.
Product
Warranty period
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Mask systems (including mask frame, cushion, headgear and tubing) –
90 days
excluding single-use devices
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Accessories – excluding single-use devices
Flex-type finger pulse sensors
Humidifier water tubs
Batteries for use in ResMed internal and external battery systems
Clip-type finger pulse sensors
CPAP and bilevel device data modules
Oximeters and CPAP and bilevel device oximeter adapters
Humidifiers and humidifier cleanable water tubs
Titration control devices
CPAP, bilevel and ventilation devices (including external power supply units)
Battery accessories
6 months
1 year
2 years
Portable diagnostic/screening devices
This warranty is only available to the initial consumer. It is not transferable.
If the product fails under conditions of normal use, ResMed will repair or replace, at its option, the
defective product or any of its components.
This limited warranty does not cover: a) any damage caused as a result of improper use, abuse,
modification or alteration of the product; b) repairs carried out by any service organisation that has not
been expressly authorised by ResMed to perform such repairs; c) any damage or contamination due to
cigarette, pipe, cigar or other smoke; and d) any damage caused by water being spilled on or into an
electronic device. Warranty is void on product sold, or resold, outside the region of original purchase.
Warranty claims on defective product must be made by the initial consumer at the point of purchase.
This warranty replaces all other expressed or implied warranties, including any implied warranty of
merchantability or fitness for a particular purpose. Some regions or states do not allow limitations on
how long an implied warranty lasts, so the above limitation may not apply to you.
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ResMed shall not be responsible for any incidental or consequential damages claimed to have resulted
from the sale, installation or use of any ResMed product. Some regions or states do not allow the
exclusion or limitation of incidental or consequential damages, so the above limitation may not apply to
you. This warranty gives you specific legal rights, and you may also have other rights which vary from
region to region. For further information on your warranty rights, contact your local ResMed dealer or
ResMed office.
WARNINGS
Read the entire manual before using the device.
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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.
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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.
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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.
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The device should only be used with masks (and connectors ) 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.
1. Ports may be incorporated into the mask or in connectors that are near the mask.
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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 leave long lengths of air tubing around the top of your bed. It could twist around your head or
neck while you are sleeping.
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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.
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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.
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Blocking the air tubing and/or air inlet of the device while in operation could lead to overheating of
the device.
CAUTIONS
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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.
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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.
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