APRIA ResMed AirSense 10 Sleep Therapy User Guide

ResMed AirSense 10 Sleep Therapy

Use this QR link to our Sleep Apnea page for more information.YOUR APRIA SLEEP THERAPY USER GUIDEFor the ResMed AirSenseTM 10

YOUR APRIA  SLEEP THERAPY  USER GUIDE

For the ResMed AirSense™ 10

WELCOME.

Thank you for choosing Apria Healthcare as your home medical  provider. You are receiving this package because your doctor has  diagnosed you with sleep apnea and prescribed Positive Airway  Pressure therapy. Positive Airway Pressure therapy—also known  as PAP therapy or sleep therapy—helps millions of users feel more  energized and refreshed.

We are excited to accompany you on your journey to a better  night’s sleep!

Responsive. On Time.  

Apria Delivers.

With over 275 branch locations in the U.S., Apria is ready  to support patients every day and in times of need, with  well-established emergency preparedness protocols in place. Apria  has the knowledge, experience, and ability to provide excellent home  health and equipment delivery services in all types of environments.

MOBILIZED EFFORTS: Trained staff members available around  the clock to coordinate urgent and after-hours orders and carry out  emergency services  

 24/7 DELIVERY SERVICES: Deliveries to homes, shelters and other  areas pre- and post-catastrophic events

 275+ LOCATIONS NATIONWIDE: Local branches with teams ready  to serve patients, day or night  

EXTENSIVE INVENTORY: Home oxygen therapy and respiratory  services, sleep therapy and supply refills, non-invasive ventilation therapy, and negative pressure  wound therapy

Care is just around the corner.

Make sure your home address can be easily seen from the street  during both day and night.

If you are expecting a night delivery or visit, turn on the porch light.  Check to see that your address numbers are easy to spot and read  from the street. This will allow all Apria Healthcare and emergency  services to locate your residence easily.

Follow Emergency and Natural Disaster Instructions

In the event of an emergency or natural disaster, follow the radio or  television instructions of your local authorities.

Overview 

Your doctor has prescribed PAP therapy because you have been  diagnosed with sleep apnea. Sleep apnea occurs when a person  repeatedly stops breathing for 10 or more seconds at a time while  sleeping. These events may occur hundreds of times throughout the  night, causing oxygen levels in the blood to drop, putting stress on  the heart. If left untreated, sleep apnea is linked to many other serious  conditions like high blood pressure, diabetes, heart disease and  stroke.

This guide contains easy step-by-step instructions for using your  PAP equipment, and is designed to help you benefit from therapy as  soon as your equipment arrives. Please watch the sleep apnea video  on the enclosed DVD and review the manufacturer’s user guides  along with the other educational materials that were included with  your equipment. The sleep apnea video can also be found on Apria  Healthcare’s website at www.apria.com/resource-center in the  “Video Library” section located at the bottom of the screen. Additional  information is also available at www.apria.com/sleep-apnea.

Your Device and Settings 

A licensed Apria clinician has programmed your PAP machine with  the settings prescribed by your physician. If your doctor recommends  changes to your PAP settings, please notify Apria Healthcare  immediately, so that the clinician can make any necessary adjustments.  

STEP 1

GET STARTED. Start your therapy tonight so you can feel refreshed in the morning.

  1. Open the box and unpack your PAP machine, humidifier chamber, tubing, mask, power  cord and supplies.
  2. Attach the power cord and tubing to the PAP machine.
  3. Fill the humidifier with distilled water and insert the humidifier into the PAP machine. (It is  recommended that you use distilled water. However, if you do not have distilled water  on hand, in order to start your therapy today, bottled water can be used as a substitute  to distilled water as a temporary measure.)
  4. Place the PAP machine on a table next to your bed. The height of the table should be  lower than your head.
  5. Plug the power cord into an electric wall outlet.

Please watch the sleep apnea video on the DVD and review the manufacturer’s user guides and other materials that were included with your equipment. The sleep apnea video can also be found at  www.apria.com/resource-center in the “Video Library” section  located at the bottom of the screen.

 

STEP 1: GETTING STARTED Questions? Call 877.265.2426

STEP 2 GET FAMILIAR  WITH YOUR PAP  EQUIPMENT.

If your doctor prescribed a specific mask and size, follow the fitting instructions provided by  the manufacturer, then proceed to Step 3. If you received a mask with multiple cushions,  follow the instructions below and on the next page.

There is a mask cushion currently attached to the frame of your mask. This size fits most patients.  Once you begin therapy, if your mask is leaking or feels uncomfortable, try removing the existing  cushion and replacing it with a different size cushion. If you are between sizes, it is best to  use the larger cushion. Use the Fitting Template (for nasal mask and full face mask) and/or the  manufacturer’s instructions included with your mask for help.

SLP-4193 10/17 Questions? Call 877.265.2426

STEP 1: GETTING STARTED 5 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT 5

  1. Release the lower strap magnets from the frame of the mask. Make sure the logo on the  headgear is facing outward. While holding the mask against your face, pull the headgear  over your head.
  2. Position the lower straps so they both sit below the ears. Bring each of the magnets up to  meet their corresponding clips on the frame.
  3. Adjust the fastening tabs on the upper straps until the mask feels even and stable.  Do not overtighten. Reattach the fastening tabs.
  4. Repeat Step 3 with the lower straps. Reattach the fastening tabs.
  5. Connect the hose to the front of the mask. Ensure that the nasal mask fits securely over your  nose. It is normal to feel some air escaping through the small air vents on the elbow of the hose.

Please refer to the manufacturer’s instructions for additional information on topics, such as:

• How to properly remove your mask

• How to remove and change the mask cushion

• How to adjust the length of the mask straps

STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426

Nasal Pillow Mask
  1. Hold the pillows away from your nose with the left (L) and  right (R) indicators correctly facing towards you.
  2. Guide the nasal pillows into your nostrils.
  3. Pull the headgear over your head by holding the bottom  strap and stretching it around the back of your head.
  4. Adjust the top and bottom straps. The top strap should fit comfortably on the top of your head.
  5. Ensure that the nasal pillows fit securely into your nostrils with both pillows positioned upright.  If not, move the mask away from your face and then place it back again.
  6. To achieve a comfortable fit, adjust the straps. Spread the straps apart to loosen, or draw them  closer together to tighten.

Please refer to the manufacturer’s instructions for additional information on topics, such as:

• How to properly remove your mask

• How to remove and change the mask cushion

• How to adjust the length of the mask straps

Questions? Call 877.265.2426 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT 7

Full Face Mask
  1. Twist and pull both magnetic clips away from the frame. With the logo on the headgear facing outward, hold the mask against your face and pull the headgear over your head.
  2. Bring the lower straps below your ears and attach the magnetic clip to the frame.
  3. Undo the fastening tabs on the upper headgear straps. Pull the straps evenly until the mask is  stable and positioned as shown in the illustrations. Reattach the fastening tabs.
  4. Undo the fastening tabs on the lower headgear straps. Pull the straps evenly until the mask sits  firmly on the chin and reattach the fastening tabs.
  5. Connect the air tubing from your device to the elbow. Attach the elbow to the mask by pressing  the side buttons and pushing the elbow into the mask.
  6. To achieve a comfortable fit, readjust the straps. Evenly, apply only enough tension so that a  seal is achieved.

Please refer to the manufacturer’s instructions for additional information on topics, such as:

• How to properly remove your mask

• How to remove and change the mask cushion

• How to adjust the length of the mask straps

8 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426

How to Attach Oxygen to Your PAP Machine

If you are using non-heated tubing, and you are also using prescribed oxygen,  follow these instructions.

Attach the oxygen tee adapter that was included in the box to your PAP machine.  Next, attach the large-bore PAP tubing to the oxygen tee adapter. Finally, connect the  small-bore oxygen tubing to the oxygen tee adapter.  

For detailed instructions on oxygen use, you should also review the PAP and oxygen  manufacturer’s user guides included in your package.

Oxygen Tee Adapter

ClimateLineAir™ and  ClimateLineAir™ Oxy Tubing

The ClimateLineAir™ heated tube is designed to maintain the temperature of the humidified  air as it passes through the tube. ClimateLineAir™ Oxy comes with a built-in oxygen connector for  patients who require supplemental oxygen.  

The HumidAir humidifier is part of ResMed’s Climate Control solution. It is designed to seamlessly  integrate with the device and offer relief from dryness and congestion. The humidity level can be  adjusted to suit your preference.

When using ClimateLineAir™ and ClimateLineAir™ Oxy tubing, your device will automatically default  to Climate Control Auto when you plug either of these tubes into your machine (unless your doctor  has prescribed a specific heat and humidity setting).

Please review the ClimateLineAir™/ClimateLineAir™ Oxy manufacturer’s user guide for additional  information.

IMPORTANT SAFETY NOTE: If you are using prescribed oxygen with your PAP device, be sure to observe all the fire and safety  rules associated with the use of oxygen. Follow this sequence of steps when turning your oxygen on and off. 1. Always turn  your PAP machine ON before turning ON the oxygen flow from your oxygen source. 2. Always turn OFF the oxygen flow from  your oxygen source before turning OFF the PAP machine.

Questions? Call 877.265.2426 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT 9

If You Have  

ClimateLineAir™  Heated Tubing:

Attach using the illustrations and directions provided here.

  1. Make sure the machine is turned on.
  2. Hold the orange cuff of the air tubing and line up the air tubing connector with the connector port.
  3. Push the cuff until the connector clicks into place.“ClimateLineAir connected” will briefly display  on the device screen.

If You Have ClimateLineAir™ Oxy Heated Tubing:

Attach the oxygen using the illustrations and  directions provided here.

1. Remove the cap from the oxygen connector. 

2. Connect the oxygen supply tubing to the oxygen connector. Make sure it is firmly attached.

10 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426

STEP 3

START YOUR  PAP MACHINE.
  1. First, put on your mask. Next, attach the tubing to the mask.
  2. Lie down and take four deep breaths. The machine should start automatically. If you do not hear the machine start, press  the Start/Stop button. Relax and begin to  take slow breaths through your nose.
  3. Check for air leaks. Small leaks are acceptable. If large leaks occur, try the following:
  • Grasp the mask frame and lift it away from your face. The cushions should also lift off your face. Lightly  place the mask back on your face.
  • If large leaks still exist, adjust the headgear. If the headgear is either too tight or too loose, it can cause leaks.
  • Additional tips for managing mask leaks   are provided on the next page. You should also review the manufacturer’s   user guides provided in your package.

Questions? Call 877.265.2426

STEP 3: START YOUR PAP MACHINE 11 For Nasal and Full Face Masks

Helpful Tips
  • To resolve leaks at the upper part of the mask, adjust the upper headgear straps.  • For leaks at the lower part, adjust the lower headgear straps. 
  • When adjusting straps, loosen or tighten both the left and right straps so that adjustments  are made evenly.
  • Adjust only enough for a comfortable seal.
  • The upper strap adjustment is the key to seal and comfort.
  • Do not overtighten the lower straps. They mainly serve to keep the cushion in position.
For Nasal Pillows Masks
  • Position the pillow cushion tips into your nostrils so they sit comfortably under your  nose without any gaps. Pull the mask away from your face, then place it back to get a  comfortable fit.
  • Adjust the side straps evenly by pulling downwards; the mask should feel secure and  comfortable against your face. Do not overtighten.
  • If leaks persist, try the next larger set of cushions.
  • If the pillow is not staying in place in your nostrils, try the next smaller cushion size.
Handwashing Technique

Thorough handwashing must be done prior to all procedures. Contaminated, dirty hands are  one of the most common sources of infection.

  1. Wet your hands thoroughly with warm water.
  2. Use soap.
  3. Scrub hands for 20 seconds using a rotary motion and friction. Wash:• Back and palm of each hand• Between all fingers• FingernailsNeed a timer? Hum the “Happy Birthday” song from beginning to end twice.
  4. Rinse your hands under the running water.
  5. Dry on clean towel or with a paper towel.

For additional good health habits, visit our patient education section on apria.com.

12 STEP 3: START YOUR PAP MACHINE Questions? Call 877.265.2426 12 HELPFUL TIPS

GET COMFORTABLE  WITH YOUR THERAPY.

Use your PAP therapy during all hours of sleep, including during naps. Some people may  need up to one or two weeks to adjust to PAP therapy, but the benefits are well worth it.

Ways to help you adjust:

  • Try watching TV or reading while wearing your mask and headgear. Turn on the PAP device  for short periods of time while wearing your mask to get used to the pressure.
  • Use your equipment every night.
  • Keep the device turned on for as long as you can tolerate, building up each night until you  have reached at least 4 hours per night.
  • Keep practicing until you are using PAP therapy during all hours of sleep, including during naps.

Questions? Call 877.265.2426 GET COMFORTABLE WITH YOUR THERAPY STEP 3: START YOUR PAP MACHINE 13

TRACK YOUR  PROGRESS.

You can track your progress by registering for ResMed’s myAir™ application at  www.resmed.com/myAir or by downloading the myAir™ by ResMed app from the  App Store on your smartphone. You can view your daily sleep score and previous night’s  results. You can also access other helpful information, like videos and guides designed  to help you stay motivated in adhering to your PAP therapy.  

Note: Data will be available following the first night using the machine after you register.

14 STEP 3: START YOUR PAP MACHINE Questions? Call 877.265.2426 14 TRACK YOUR PROGRESS

GET SUPPORT.

If you are having difficulties getting used to therapy, try using your machine’s “comfort  features” to help.

Do you have a dry nose or throat, or a runny nose? Increase the humidity level.

Are there droplets of water or condensation inside your nose, mask, or tubing?  Decrease the humidity level.

How to Change the Humidity Level:

Is the air pressure making it difficult for you to fall asleep? Turn on the Auto Ramp or increase the Ramp Time.

Do you feel bloated? You may be swallowing air. Turn on the Auto Ramp or increase the Ramp Time.

Do you feel like you are not getting enough air? Turn the Ramp Time to “off.”

How to Change the Ramp Time:

Do you have sore or dry eyes? Adjust your mask or headgear. It may need to be repositioned. Refer to the instructions provided in  the manufacturer’s user guide for your mask. Also review Steps 2 and 3 in this guide.

Are you experiencing redness on your face where the mask touches the skin?  Your mask may be too tight. Try adjusting your headgear. If redness persists, contact Apria Healthcare.

Do you have nasal, sinus or ear pain? You may have a sinus or ear infection. Stop using your machine and contact your doctor.

This information is intended for your general knowledge only and is not a substitute for medical advice or treatment  for a specific medical condition. Should you have any healthcare-related questions, please consult your doctor.

Questions? Call 877.265.2426 STEP 3: START YOUR PAP MACHINE GET SUPPORT 15

CLEANING, MAINTENANCE  AND REPLACEMENT

1. Oil from your face and ingredients in facial products can cause the  PAP mask cushions to wear down and decrease the useful life of the  mask. Get in the habit of wiping down your mask each day, especially  the areas that come in contact with your skin. Clean your mask and  headgear weekly according to the instructions in the mask user guide.

2. Wash the water chamber and air tubing in warm water, using a mild  detergent. Hand wash only. Do not wash in a dishwasher, as it can  deteriorate the plastic.

3. When needed, wipe the exterior of the machine with a dry cloth.

4. Your device has an automatic air filter reminder. Refer to the  manufacturers’s instructions for information on how to replace the filter.  

1616 CLEANING, MAINTENANCE AND REPLACEMENT STEP 3: START YOUR PAP MACHINE Questions? Call 877.265.2426

REPLACE  

SUPPLIES  

REGULARLY

Replace your sleep supplies regularly. This helps to ensure a good mask seal and reduce buildup  of bacteria, viruses, and allergens.1 Ordering fresh, clean supplies to replace your old items helps  improve the comfort of your mask and maintains the overall effectiveness of your therapy.

Recommended Replacement Schedule 

Twice MonthlyOnce Monthly Every 3 Months Every 6 Months

  • Nasal mask cushions and
  • Full-face mask cushions nasal pillows
  • Disposable filters
  • Mask frame
  • Tubing (standard or heated)
  • Headgear and chin straps
  • Humidifier water chamber
  • Non-disposable filters

Please note that the frequency of resupply and your insurance’s coverage of supplies will be governed by  your insurance plan and may differ from the schedule provided above.

Source:

1. Horowitz A, Horowitz S, Chun C. CPAP Masks are Sources of Microbial Contamination. SleepHealth Centers, Div. of Sleep  Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston. APSS Poster; 2009.

To order supplies, call 877.265.2426 Select Option 2

STEP 3: START YOUR PAP MACHINE REPLACE SUPPLIES REGULARLY 1717

CONVENIENT ORDERING OPTIONS

When ordering fresh supplies through Apria, shipping is always free, and we verify and bill your  insurance for you.

Enroll in Apria’s Continuous Sleep Resupply Program*

Determine if you want fresh PAP supplies shipped to your front door every three or six months,  and let Apria do the rest. Visit apria.com/papresupply to access the online form or call a Sleep  Resupply Expert at 877.265.2426 and select option 2.

Order Online

Apria.com/PAPResupply — Register for the PAP Patient Portal with your Apria Patient ID, and  place an order when you need new supplies.

ApriaDirect.com — Order supplies anytime on the retail (non-insurance) website. Call Our Automated System

Dial 800.436.5657 to use Apria’s automated phone system available 24/7 to place your order. Speak with an Apria Sleep Resupply Expert

Dial 877.265.2426 and select option 2 to order supplies with an Apria Sleep Resupply Expert.  Monday-Friday: 8 a.m. to 9 p.m. EST or Saturday: 8 a.m. to 7 p.m. EST

Note: If you decide not to participate in the PAP Resupply Program, you will receive convenient,  automated calls from Apria to remind you that it is time to order replacement sleep supplies.  

* This Continuous Sleep Resupply Program is not available to all Sleep patients. Patients with certain payors, such as  Medicare, Medicaid, Managed Medicaid or TRICARE, are not eligible.

1818 CONVENIENT ORDERING OPTIONS STEP 3: START YOUR PAP MACHINE To order supplies, call 877.265.2426 Questions? Call Select Option 2 877.265.2426 

We are here for you! With Apria’s Premium Care Sleep™ program, you can rest assured that you will  receive the support you need to achieve a better night’s sleep. It’s not uncommon to experience  discomfort for the first several days. The goal of therapy is to minimize the impact of your sleep apnea.  

Remember that regular use will help improve your overall quality of life, so you can look forward to:

  • Increased energy and alertness
  • Improved blood pressure
  • Improved glucose tolerance

Data from your PAP machine is securely communicated to Apria Healthcare using cloud-based  software. You will receive feedback on your therapy results either by phone call, text message, and/ or email. Your feedback is also shared with Apria Healthcare to ensure your therapy is working.  

If you are struggling to adapt to therapy, one of Apria’s dedicated Patient Health Advocate team  members and/or an Apria respiratory therapist will reach out to you. If you have questions about  your equipment, please call us right away. We are here to assist you.

Remember to use your PAP therapy anytime you sleep, including during naps. Compliant use is defined as at least 4 hours per night for at least 70% of the days.  

You may receive email notifications from: Phone and text notifications will be sent from: 201.420.8904If you have questions about the notifications you will receive or general questions about the  sleep monitoring program, please contact Apria’s Patient Help Advocate Team.  

877.265.2426

Monday – Friday: 8 a.m. – 10 p.m. ESTSaturday and Sunday: 11 a.m. – 7:30 p.m. EST

Questions? Call 877.265.2426 STEP 3: START YOUR PAP MACHINE 19 APRIA’S PREMIUM CARE SLEEP PROGRAM 19

If you have any questions, or need help setting up  your device and getting started, please call a member  of Apria’s Premium Care Sleep Expert team. Dial the  number below and select option 4.

877.265.2426

Monday – Friday: 8 a.m. – 10 p.m. ESTSaturday and Sunday: 11 a.m. – 7:30 p.m. EST

Apria is committed to safe, quality patient care. We encourage you to report any concerns to your  local Apria Healthcare branch. If your concern  is not resolved, please contact the Patient Satisfaction  team at the number listed below.

800.260.8808

ClimateLineAir and myAir are trademarks and/or registered trademarks  of the ResMed family of companies.  

©2021 Apria Healthcare Group LLC SLP-4193 Rev. 05/21_v14

References

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