R

Noninvasive Ventilator
R

Tel：0086-024-31682686
233020021Rev 1.0 2020-02-17

Shenyang RMS Medical Tech Co.,Ltd

 R

Symbols

C ontents

IP21 Ingress protection

RoHS

Warnings

● Before using this instrument, please read the manual carefully.

● Do not use this instrument for life support.
● The instrument produces a positive airway pressure when it outputs the gas, andif positive airway
pressure has side effects to the patients, it must be considered tohandle.
● This instrument must be used and set parameters under guidance of professionaldoctors.
● Do not replace doctor's advice with recommends in the manual.
● This instrument can only use water chamber, Heated breathing tube, nasal cannulasand other
accessories provided by RMS Medical. Use of unapproved accessories may affect the functionality
of the instrument or cause a danger.
● The water chamber, Heated breathing tube,nasal cannula and other accessoriesprovided by our
instrument,it can only be used for this instrument, otherwise it mayaffect the function of other
equipments or cause danger.
● In case of power failure or machine malfunction, remove the nasal cannulas andclose the oxygen
input.
● To ensure its electromagnetic compatibility, this instrument must be installed,debugged and used
according to provisions in attached documents.
● Portable and mobile RF communication equipment may affect this instrument'selectromagnetic
compatibility. In case of such event, please contact our staff forsolutions.
● This instrument can only be connected using cables mentioned in the attacheddocument. Use of
unapproved accessories and cables for connecting theinstrument may result in increased emission
or reduced immunity.

01 02
● Do not place this instrument near to or stacked with other equipment. If it is necessary to place this instrument
Preface
near to or stacked with other equipment, inspection and observation must be conducted to ensure that it can
operate normally in such location.The instrument should be placed in a well-ventilated area and not on the soft
surface. BPAP H series ventilator is a breathing ventilation device that can use both non-invasivemask ventilation
and high-flow humidified airflow. Please read and understand thismanual carefully before use.
● Do not use the instrument when it is surrounded by flammable and/or anesthetic gases.
● Stop using the instrument if it has visible external damage, a liquid has entered into the instrument or the outlet
The non-invasive ventilator must be set and used for treatment parameters under theguidance of a
gas is over-temperature or there is abnormal noise. professional doctor.
● The over-use of Heated breathing tubeand nasal cannula can cause infections and other injuries.
● When the instrument is used under specified ambient temperature and humidity conditions, the temperature of
outlet gas isless than 43℃.。 Medical information
● In ventilation mode, the outlet gas may be harmful to the human body, when the room temperature exceeds 35°C.
● In humidification mode, the temperature and humidity will be affected when the ambient temperature exceeds
the specified temperature range of 18 ° C ~ 28 ° C.
This product's non-invasive positive pressure ventilation mode (Ventilation mode for short) can be used
● When the instrument is used beyond the specified ambient conditions (temperature, humidity etc.), the instrument for adult patients with insufficiency of breathing, such as those who do not rely on invasive ventilation
performance will be affected and even damaged and may cause body injuries. support, to provide ventilation assistance and respiratory support; has a high-flow heating and
● When the atmospheric pressure exceeds the specified range, using the ventilator may cause the set pressure to humidification mode (high flow mode for short) The product can be usedfor humidification and oxygen
therapy in adults with spontaneous breathing.
differ from the actual pressure
● AC input should be within ±10% of the rated voltage. AC input beyond this range may cause damage to the This product is not intended for life support, can be used in home environments, and can also be used in
medical institutions. This product needs to be used under the guidance of a professional doctor.
instrument.
● When exposed in an environment of electrocautery, electrosurgery, defibrillation, X-rays (γ-rays), infrared radiation
andtransient electromagnetic fields, including magnetic resonance (MRI) and radio interference, the instrument
★ Heartbeat or breathing stops;
may be interfered.
★ Weak spontaneous breathing and coma;
● When the instrument is blocking, covering or heating the outlet tube,air inlet port may cause overheating or even ★ High risk of aspiration, inability to remove oropharyngeal and upper respiratory secretions,and poor
damage to the instrument. respiratory protection;
● When the instrument is connected to oxygen,it may cause higher output oxygen concentration if the output tube ★ Combined with other organ failure (unstable hemodynamic indicators, unstable arrhythmia,perforation
/ hemorrhage of digestive tract, severe brain disease, etc.)
is blocked.
● The ventilation holes are at the bottom of the water chamber. When moving the humidifier, do not touch the ★ Undrained pneumothorax;
bottom to prevent body injuries. ★ Neck and facial trauma, burns and deformities;
★ Recent face, neck, oral cavity, pharyngeal cavity, esophagus and stomach surgery;
● Pressure and differential pressure sensors are installed inside the device. Pay attention to prevent water from
★ upper airway obstruction;
flowing backwards and causing damage.
★ Obviously uncooperative or extremely nervous;
● Do not move the instrument, place it upside down or tilt it when there is water in the humidification cup, so as to
★ Severe hypoxemia (PaO2 <45mmHg), severe acidosis (pH ≤7.20);
prevent water from flowing back into the instrument which will cause damages to the instrument. Above the
★ severe infection;
humidification cup, label awarning label “Do not Tilt the Instrument When There is Water!” to have attentions.
★ Airway secretions or sputum disorders;
● When the instrument is not in use, pull the plug.
★ Not recommended by other clinicians.
● Do not open the inside of instrument,should be repaired by the authorized maintainer.
Note: It is a relative contraindication. In such patients, the pros and cons of NPPV (non-invasivepositive
● When the treatment instrument is beyond its service life, please contact your dealer or RMS Medical for pressure ventilation) need to be carefully weighed, then decide whether to apply NPPV;
disposition instead of discarding it arbitrarily.
● Adding other components to the respiratory ventilation system will cause the exhalation pressure at the ->Adverse reactions
connection port of the patient to increase. If the patient has abnormal chest pain, dyspnea or severe headache or other adverse reactions,please
● Do not use antistatic or conductive hoses or tubes. contact the clinician immediately.
● The sensor's raw data collected by the ventilator is anti-interference processed by the median average filtering During the use of the ventilator, the following adverse reactions may occur:
method.
● The high-pressure gas must be connected to medical oxygen, and fresh gas cannot be used.
● It is recommended to measure the oxygen concentration at the patient's delivery end.
● The nasal cannula, Heated breathing tube, water chamber, mask, etc. equipped with the ventilator are products
registered separately by manufacturers with medical device qualifications. When using them, please refer to their
own instructions.
● Note:Above mentioned are general warnings and precautions.Detailed special warnings,notes and remarks are
shown in the manual.

03 04
 Instrument Information ->Connect the water bag
Hang sterile water bag onto the instrument's high position whenuse the Water
chamber, insert the inlet needle into the rubber plug of water bag, and open the
->Instrument Components
bag's vents. The Water chamber will be added with water automaticallyaccording
to a fixed level.
Instrument.Water chamber.Heated breathing tube.mask or nasal cannula. The instrument
->Warnings:
Please use a medical treatment and no more than 2000ml of sterilized water.
->Components and Functions
After connecting into the water bag, check whether the water is flowing into the
Water chamberand kept below the water line. In case of any problem, replace
the Water chamber.
Make sure water in the Water chamber and water bag will not run out during
use. Otherwise it will cause the Water chamber to run dry and affect the
humidification effect.
When the Water chamber run dry,please replace Water chamber to avoid
Water chamberdamage.

->Connect the heating tubes

In Ventilation mode: Connect the mask, Heated breathing tube
/ BPAP H and gas outlet of the ventilator.
In High Flow mode: Connect the nasal cannula, Water chamber
and Heated breathing tube to the gas outlet of the ventilator.

->Warnings:
Please check the Heated breathing tube before connection. If it is damaged or bent, please replace the Heated
breathing tube.The human body should not be in contact with the Heated breathing tube for a long time,
/ otherwise it may cause danger or personal injury.
The Heated breathing tube should not be close to any heating body, and should not cover anything,
otherwise it may cause danger or personal injury.
Display screen The Heated breathing tube should be kept away from all kinds of objects with electronic radiation, as
Buttons
well as various wires and wires to prevent interference.

High Pressure Oxygen Inlet

Oxygen Inlet
->Connect to the oxygen source

Water Chamber for dew-poit and

Ventilator can be connected to external oxygen to max flow 80L/min, but not to over current flow.
Power Port
reference point of temperature Connect the outlet of oxygen source tothe inlet port of device, ensure the proper assembly.
Water Chamber

System Assembly

! Warnings: when the Water chamber and Heated breathing tube are not installed well, do not open
the
BPAP HF/BPAP HE/BPAP HO BPAP HP/BPAP H

－＞Fill Water chamber ->Connect to the power

★ Depress the hand guard to insert the Water chamber into the instrument, Connect the power adapter to the power port on the back of the
making it closely connected tothe instrument's interfaces, and then, the instrument and then, insert the AC connector into the AC socket.
hand guardis rebounded back into place. The instrument's screen lights up, which means it is powered properly.

05 06
 Operation Panel

Mode Tube off

->Buttons RATE VT

● Press this button to enter or exit the mute status.

● In standby mode, long press to enter the transit mode for 20 minutes
or exit the transit mode.

● The shuttle has three basic operations: confirm(Press down), turn left, turn right.
Mode->S/T
● The shuttle confirm button: In the setting status, press down this button to selector exit
the current function.
● Turn left/right: To realize switching options in the setting mode. To increase ordecrease
data under data-modifying status in the setting mode.

->LCD Display Screen

★ The LCD display screen can display the monitoring interface and the setting interface.
★ The High Flow mode monitoring interface: display the operating mode, monitor oxygen
concentration, flow and temperature.

Setting parameters

-＞Operation method

In the monitoring status, Press this button to enter the setting status.
In the setting interface, when the interface is switched, turn left the
shuttle to exit.

When the mode, alarm, system configuration interface is switched, press

the shuttleto enter the current interface option switching state.
In the setting interface, when the interface is switched, turn left the
shuttle to the exit. When the option is switched to the current interface
icon on the left,press the shuttle to enter the interface switching state
again.
★ Ventilation mode monitoring interface: display working mode, monitoringparameters,
setting parameters, alarm information, SD card status, etc.
After entering a setting interface, turn left or right the shuttle to switch
When the monitoring interface waveform color is white, it is in standby state, green is between various parameter options on this interface.
autonomous triggering state, and red is timing triggering state.

07 08
 Tidal volume ：200~2000ml ；
Press the shuttle confirmation key to enter the state of parameter IPAP Max: 0.4~4.0kPa(BPAP HF) 0.4~3.0kPa (BPAP HE / BPAP HO / BPAP H) ；
modification after switching to a parameter item, and then the MVAPS IPAP Min: 0.4~4.0kPa(BPAP HF) 0.4~3.0kPa (BPAP HE / BPAP HO / BPAP H) ；
anti-display dialog box of the selected parameter item will lighten. Tidal volume control mode EPAP：0.4~2.0 kPa； Risingtime : 0.1~0.6s, auto Frequency:2-40Bpm
Press the shuttle key to modify the parameter, and then press the Insp. Time:0.5-3s I-trigger:1~6,auto E-trigger: 1~6, auto
Ramp time：0~3min Temperature : 29~34 ℃ off ；
s h u t t l e ke y t o r e t u r n t o t h e s t a t e of o p t i o n s w i t c h i n g
FiO2 ：21~100%(BPAP HF / BPAP HE / BPAP HO) ；

Note: when the parameter bit is in gray state, this function is not
available in the current state; when setting clinical parameters such Lflow mode Flow：2~25L/Min ； Temperature:34℃.
as mode, the clinical setting item in the system configuration is (BPAP HF/BPAP HE) FiO2 ：21~100% ；
closed (see the icon in the upper right corner of the mode setting
window), and the clinical parameters such as mode cannot be
changed Hflow mode Flow：10~80L/Min ； Temperature:29-37℃.
(BPAP HF/BPAP HE) FiO2：21~100% ；

When the interface changes state, press the left key of shuttle to
Return to menu the exit icon to return to the monitoring interface. At this time, the
changes made to parameters are automatically stored.
Note: in breathing mode, the inspirator y and respirator y transitions are triggered by time or by
the patient. According to the patient's respirator y velocity and pressure, the inspirator y triggering
sensitivity and expirator y switching sensitivity were set at 1~6 levels. The sensitivity gradually
decreased, which was related to the treatment of diseases and the comfort level of patients, and
must be adjusted by professional doctors according to the specific treatment conditions of

->Operation mode individuals

Modes Parameter setting

->Alarm
CPAP：0.4~2.0kPa ； Ramp time ：0~60min ； The non-invasive ventilator is equipped with visual alarm signal and sound alarm signal. When
CPAP C-Flex ：1~3 off ； Temperature：29~34 ℃；off the alarm is generated during use, the operator is directly in front of the ventilator, facing the
FiO2 ： 21~100%(BPAP HF / BPAP HE / BPAP HO) ； LCD display screen, and the visual alarm signal can be clearly obser ved. At this time, it should
IPAP ：0.4~4.0kPa(BPAP HF) be handled as soon as possible according to the actual situation to avoid risks.
0.4~3.0kPa(BPAP HE / BPAP HO / BPAP H) ；
S EPAP：0.4~2.0 kPa； Rising time ：0.1~0.6s auto I-trigger : 1~6, auto
Spontaneous mode E-trigger ： 1~6，auto Ramp time ：0~3min
temperature ：29~34 ℃ off ； The visual alarm signal is shown in the right figure.
FiO2 ：21~100%(BPAP HF/BPAP HE/BPAP HO) ；
represents alarm ，
IPAP : 0.4~4.0kPa(BPAP HF)
0.4~3.0kPa(BPAP HE / BPAP HO / BPAP H) ;
T means sound alarm paused
EPAP：0.4~2.0 kPa；Risingtime 0.1~0.6s auto Frequency:2-40Bpm
Timing control mode
Ramp： tine 0~3min lnsp.time : 0.5~3s Temperature : 29~34 ℃ off; The alarm type is described in text beside the icon .
FiO2 ：21~100%(BPAP HF / BPAP HE / BPAP HO) ;

IPAP ：0.4~4.0kPa(BPAP HF)

.
0.4~3.0kPa(BPAP HE/BPAP HO/BPAP H) ；
S/T EPAP：0.4~2.0 kPa； Rising time: 0.1~0.6s auto Frequency : 2-40Bpm
Spontaneous/timing mode I-trigger： 1~6，auto E-trigger：1~6，auto
Ramp time: 0~3min Insp. Time:0.5-3s Temperature ：29~34 ℃ off ；
FiO2 ：21~100%(BPAP HF / BPAP HE / BPAP HO) ；

IPAP ：0.4~4.0kPa(BPAP HF)

0.4~3.0kPa(BPAP HE / BPAP HO / BPAP H) ； .
PC EPAP ：0.4~2.0 kPa； Rising time: 0.1~0.6s auto Frequency : 2-40Bpm.
Pressure control mode I-trigger: 1~6, auto
Ramp time: 0~3min Insp. Time:0.5-3s Temperature ：29~34 ℃ off ；
FiO2 ：21~100%(BPAP HF / BPAP HE / BPAP HO) ；
 After starting up, when the
motor and other internal
components have faults, the
- contact your supplier
Internal fault
fault alarm and sound alarm
shall be displayed within
5 seconds.
S/T、 S、 CPAP、 PC、 MVAPS
When operation in modes of
S/T, S, CPAP, PC, MVAPS,
obvious leakage detected
during equipment operation
will prompt the pipe to fall
off and alarm.
S/T、 S、 CPAP、 PC、 MVAPS
at S/T, S, CPAP, PC, MVAPS
modes, if no breathingaction
is detected within the set
alarm time, the suffocation
alarm will be prompted
When the ventilator detects
that the temperature at the
connection port of the patient
(breathing mode is the end of
the respirator y pipeline, while
Overtemperature - humidification mode is the
alarm endof the nasal plug catheter)
exceeds 43℃, an
overtemperature alarm and an
audible alarm shall be
displayed within 15 seconds.
S/T、S、T、CPAP、PC、MVAPS
at S/T, S, CPAP, PC, MVAPS
modes, the pressure atthe
Highinspirator y
junction of the patient
pressure alarm
(breathing mode is the end
of the tube) is 3kPa higher,
which should show high
inspirator y pressure and
generate sound alarm.
Restart after shutdown.
If alarm still exists,
Middle
or RMS
Check whether the tube
and mask is connected
Middle
correctly
Press the mute button
1.Check the patient's
ventilation status
2. Check whether thepipe
mask is connected
correctly Middle
3. Check whether the
threshold time of the
suffocation alarm is too
small
4. Press the mute button.
1.Check the ventilator
for malfunction
2. Check whether theuse
environment meets the
requirements
Middle
3. Check whether the
breathing line is
damaged
4. Please contact the
supplier or RMS
1.Check whether the
tubeis blocked
2.Check whether the
ventilator is out oforder
Middle
3.Check the patient's
respirator y status
4.Please contact the
supplier or RMS
S/T、S、T、PC、MVAPSIn the
modes of S/T, S, T,PC and
off :
Highrespirator y
1~19bpm MVAPS, if the patient's
frequency alarm
Preset: off respirator y rate is detected to
be higher than the set
threshold, the high respirator y
rate alarm will be prompted.
S/T、S、T、PC、MVAPSIn the
modes of S/T, S, T,PC and
MVAPS, if the patient's
Low respiratory
frequency alarm respirator y rate is detected to
be lower than the set threshold,
the low respirator y rate alarm
will be prompted.
S/T、S、T、PC、MVAPSIn S/T, S,
T, PC and MVAPS modes, if the
detected minute ventilation
volume is lower than the set
threshold, the low ventilation
volume alarm will be prompted.
In low flow mode and high flow
mode, if the ventilator does not
detect the heated breathing
- tube af ter star ting up, the
breathing tube alarm and
sound alarm shall be displayed
within 5 seconds.
In low flow mode and high flow
mode, if the ventilator detects
Leakage alarm abnormal air leakage in the
- breathing circuit is
system, it shall display the air
leakage alarm and generate the
sound alarm within 5 seconds.
In low flow mode and high flow
mode, if the ventilator detects
Obstruction - that the system is blocked, it
alarm shall display the blocking alarm
and generate the sound alarm
within 10 seconds.
1Check the patient's
ventilation status
2.Check whether the
Middle
alarm threshold of high
respiratory rate is too
small
3. Press the mute button
1Check the patient's
ventilation status
2.Check whether the
alarm threshold of low Middle
respiratory rate is too
large
3. Press the mute button
1.Check the patient's
ventilation status
2.Check whether thealarm
threshold ofminute
ventilationvolume is too Middle
low
3.Check whether thetube&
mask is connectedcorrectly
4. Press the mute button
Confirm that the Heated
breathing tube is not
damaged and inser ted
Middle
correctly. If the alarm still
e x i s t s , p l e a s e re p l a c e
t h e H e a te d b re a t h i n g
tube
1.Check whether the water
chamber is installed inplace
2. Check whether the
Middle
damaged and inserted
correctly
1.Check for obstruction
of water tank, respirator y
tube or nasal cannula Middle
2.Check whether the inlet
hood and filter cotton are
blocked
 Check whether the oxygen 1.When the room
When the measured oxygen
source is properly temperature exceeds the
concentration is lower than the In low flow mode and high flow
connected to the oxygen range of 10~30℃, please
limit value, the low oxygen Middle mode, when starting up, when
i n l e t of t h e v e n t i l a t o r do not use the low flow
concentration alarm and sound the pipeline temperature
Adjust the flow of the mode or high flow mode
alarm shall be displayed within Check the exceeds the range of 10~30℃ ,
oxygen source as needed of the ventilator, which
20 seconds ser vice 60 seconds (± 6 seconds) shall Middle
- may not reach the set
situation display the working
temperature
environment alarm and
2.When the use
generate the sound alarm.
environment suddenly
changes, may cause alarm,
When the measured oxygen
1. Adjust the flow of oxygen please start again at room
c o n c e n t r a t i o n e xc e e d s t h e
source as needed temperature for 30 minutes
limit value, a high oxygen Middle
concentration alarm and a 2. Check the oxygen source
sound alarm shall be displayed
within 20 seconds In the startup state, the external 1 Check if power is
power is disconnected and the connected properly
- sound alarm is generated 2 Check whether the Middle
within 10 seconds, lasting for network power supply is
more than 120 seconds. normal

Check for obstruction of

In low flow mode and high flow
mode, when the ventilator fails
to reach the set flow rate in 10
minutes (±1 minute), it should
- display the failure to reach the
target flow rate alarm and
generate sound alarm.
water chamber tube or
After the alarm limit is set and stored normally, it will still be stored in the device after power
nasal cannula
failure
Check whether the inlet
hood and filter cotton are When the noninvasive ventilator is used for the first time, monthly or after storage, it shall checkwhether
Middle the alarm system functions normally according to the alarm description
blocked
Check whether the setting
flow is too highReplace the For example, in humidification mode, remove the Heated breathing tube, and you should beable to see
the "breathing tube" alarm signal and hear the sound alarm. If neither occurs, pleasedo not continue to
large nasal cannula
use the ventilator, and please contact the supplier or RMS

When the water in the
humidifying tank is used up, the
check water volume alarm and
sound alarm shall be displayed
- within 20 minutes (flow rate
higher than 20 l/min) or within
40 minutes (flow rate lower
than 20 l/min)
When the breathing mode and the humidification mode switch each other, the "check patient
interface" is prompted to remind the correct use of the mask or nasal cannulathe mode switch
Check whether the water
in the chamber is boiled
up, which may damage
t h e c h a m b e r. P l e a s e Middle
ensure that the water in
the chamber will not be
used up

In low flow mode and high flow

mode, when the ventilator fails Ventilator flow is too
to reach the set temperature high, and the ambient
within 30 minutes (±3 minutes), Middle
- temperature is too low,
it shall display the failure to reduce the target flow
reach the temperature alarm or target temperature
and generate the sound alarm.
 start using
->Device connection
. requirements of the mask instructions. Wear the nasal cannula in the humidification
->Parameter setup
. ★ In case of power failure or machine failure, please remove the mask to avoid repeated
->Notice
In High Flow mode, when the trigger fails to reach the target flow alarm, it may be that the model
of the nasal cannula is not suitable and the large-size nasal cannula needs to be replaced. It is
recommended that the flow of the NAC-1S nasal cannula should be less than 50L/min, and that of
the NAC-1M nasal cannula should be less than 60L/min.
.
. should turn off the oxygen source, remove the mask or nasal plug catheter and check
When Ventilation mode and High Flow mode exchanges each other, the "exchange of patient
interface" is prompted to remind the correct use of the mask or nasal cannula after the mode
exchange .
->Start to operation
Press the start/stop button for 3 seconds to start the ventilator .
Note: when using the humidification mode, the ventilator starts to
preheat first, then the flow rate and dew point temperature will
fluctuate and rise. After reaching the preset value, the value will
remain unchanged. After preheating working word appears.
->Oxygen adjustment
. minutes
.
. ->Warning
.
★ Make sure the ventilator is switched on when oxygen is used.
★ Oxygen can only be delivered through the ventilator's own oxygen inlet.
★ Ensure proper installation of oxygen tube, air inlet hood and filter cotton, and secureinstallation
of power connection.
★ After use, be sure to turn off the oxygen source first, unplug the oxygen tube, wait forthe
ventilator oxygen concentration has been completely reduced to air oxygenconcentration before
turning off the ventilator.
★ Make sure to turn off the oxygen when the ventilator is not working to prevent theaccumulation
of oxygen in the ventilator.
★ Special attention should be paid to reducing the fire risk when using oxygen therapy.It should be
used away from the source of the fire.
★ T he ventilator should be kept in a well-ventilated place.
★ For safety reasons, all igniters should be kept away from the ventilator, preferably not in the same
room as the ventilator. The sign forbidding fireworks should be conspicuous.
★ A void creating sparks near medical oxygen equipment, including electrostatic sparks fromfriction.
★ It must be kept away from oil, grease or oily substances, which are prone to spontaneous
combustion when exposed to oxygen under pressure.
Check the working mode. Wear the mask in the respirator y mode according to the
mode according to the requirements of the nasal cannula instructions.
->Notice
inhalation of your exhalation.
★ The outlet of the device should always be lower than the height of the patient tube and
the mask/nasal cannula to prevent water from entering the tube.
★ In the monitoring interface, when alarm is generated by the device, press the mute
button to temporarily turn off the sound. If the alarm still exists, the alarm will sound
again two minutes later.
★ During the treatment, the machine will generate an alarm when the external power
supply is interrupted (press the start/stop button to turn off the sound). The user
the power supply. After the external power is restored, press the start/stop button on
the panel to continue using.
->Transport function (High Flow mode)
When using the High Flow mode, press the mute button for 3 seconds in the standby,
preheat or ready state to start the ventilator to enter the transfer function. ventilator
works in low consumption, no Heated breathing tube and water chamber ; After 20
minutes, enter the preheating state, and the tube and water chamber start heating.
->End of operation
At the end of use, first remove the mask or nasal plug catheter, turn off the oxygen
source, pull out the oxygen tube, and press the start/stop button for 3 seconds.
The device enters the dr y mode, dr y the pipeline, and the dr y mode will run for 99
If you want to force dr y mode off, press the start/stop button for another 3 seconds,
but the stored wet gas in the tube may affect the next operation.
★ After usage, be sure to turn off the oxygen to avoid the accumulation of oxygen in the ventilator.
★ In the drying process, do not wear a nasal cannula, so as not to cause damage to the body.
Cleaning and maintenance
Noninvasive ventilators use water humidification, such as irregular cleaning,
disinfection and replacement of parts, which may carr y a risk of bacterial growth
and infection in the patient
The noninvasive ventilator must be cleaned after first use, after each use, or after
storage for next operation.
Noninvasive ventilators must be cleaned and disinfected between patients or after
two weeks of use.
->cleaning
Daily cleaning: Heated breathing tube, nasal cannula, full face/nasal mask After use,
remove the nasal cannula and clean it with clean water, then connect the Heated
breathing tube, run the dr ying mode, and dr y the Heated breathing tubeand nasal
cannula.
Full face/nasal mask: cleaning as per attached instruction.
Weekly cleaning: noninvasive ventilator, nasal cannula, respirator y line, filter cotton
Disconnect the ventilator, remove the nasal cannula, and wash the cannula with warm
water and neutral detergent.
 Use a clean, non-fuzz disposable wet cloth dipped in neutral detergent from both ends of the In order to ensure the long-term use of the ventilator, the user must follow the ventilator
elbow to ensure that all dirt is removed. safety and cleaning instructions.
Wipe elbows and adjacent areas with alcohol cotton to ensure that all dirt is removed.Breathing When the ventilator is out of use, do not throw it away, please contact RMS or supplier.
tube: clean the air line with mild detergent in warm water. Rinse thoroughly and The life of the ventilator is 10 years.
hang dr y. The date of production of the ventilator is shown on the label.
Filter cotton cleaning: filter cotton is placed in the intake hood on the side of the ventilator, Warranty specification: see warranty card.
which can be taken out directly. Wash with neutral washing fluid. After washing, put it in the
Troubleshooting
shade to dr y.
Filter cotton should be replaced after 1 month of use.

★ -Filter foam or outlet blockage -Clean or replace the filter,

★ -The Heated breathing tube is clean the outlet
damaged and leaks air -Replace nasal cannula or
-water chamber installation is not Heated breathing tube
Do not use acetone, chlorides or frosted cleaners. -Check that the connection
in place or damaged
Do not use a solution above 50 ℃. is correct and reliable
-The Heated breathing tube
Please do not load the wet filter cotton onto the equipment, other wise it will damage the -Use only the equipment
connected improperly
equipment.Filter cotton is used to filter dust, but if it is not cleaned and replaced in time, recommended and provided
-Incompatible tube is used
it will affect by RMS
your health or cause equipment failure due to blocked air intake. There is a warning sticker -contact with RMS or supplier
with the words "filter cotton is cleaned and replaced regularly" at the air intake to remind
you.If the external dust, smoke is larger, the time to replace the filter cotton should be
shortened according to the specific situation. -The Heated breathing tube is not
connected or improperly connected -Check whether the device is
->Disinfecting -leakage in nasal cannula or connected to the power supply
Heated breathing tube correctly
Cut off the ventilator, Connect the ozonator Insert the gas resistor Press the ozonator Remove the resistore -Equipment motor failure or -contact with RMS or supplier
pull out the chamber, interface to the nasal as shown. button to start and ozonator, install connection problem
and clean the cannula side of the disinfection. After the chamber, turn on
ventilator. respirator y tube. about 35 minutes, the power supply,
the ozonator will dr y the tube, cut off -Raise the humidifying
be shut down and the power supply
-temperature, or consult your
let stand for 1 hour after dr ying.
to complete doctor
disinfection.

-The device falls into the water, or

the water enters the device

★
★ Heated breathing tube make sure that the instrument is powered off.
-Clean or replace filter cotton
★ Heated breathing tube is unblocked.
and clean vent
★
-Change mask or Heated
->Replacement of parts breathing tube
-Please Water chamber
-Check that the connection is
correct and reliable
-Use only the equipment
recommended and provided
by RMS
Service and Repair -Wait for the pressure to rise or
cancel, shorten the pressure
ramp time
When the warranty ser vice is required, if necessar y, the product circuit diagram and repairable
component information can be provided to the qualified technicians identified by us.

-The Heated breathing tube is not
connected or improperly connected
-Mask or Heated breathing tube
leakage
-The water chamber is not well
connected to the main device
Pain in the nose
-Inflammation
or ears
Device technical indicators
->High flow mode
2~80 L/min；
Lflow mode：2~25 L/min，34℃；
Hflow mode：10~80L/min，29℃~37℃
Maximum oxygen input
>33mg/L( 2~80L/min、37°C ) (Available for patients with upper
Humidity Output
respirator y tract bypassed)>12mg/L( 2~80L/min、29°C~36°C )
Maximum temperature
of deliver yed gas
10 minutes to 31℃ , 30 minutes to 37℃
(water chamber( HC-B1 )，flow35L/min initial temperature 23±2℃）
10L/min,<20dB（A） (Hflow mode)
->Ventilation mode
-Check if the Heated breathing
tube is connected properly
-Check the Heated breathing
tube for leaks
-Check whether the water
chamber is connected to the
main machine properly
100-2500ml BTPS, ±20% RS/±100ml
1-30L BTPS,±20% RS/± 1L
<30dB(A) (CPAP,1.0 kPa)
Humidity Output ≥12mg/L
175 SLPM
-Consult a doctor
≥90mL(HC-B1)
>45dB(A)(1m distance)
230V~, 50Hz
350VA
29.1x18.6x16.2cm
2.0Kg(BPAP H/BPAP HP); 2.5Kg(BPAP HF/ BPAP HE/ BPAP HO)
Classification of equipment : II BF Grade of waterproof : IP21
Running mode : continuous operationIn the case of Flammable
anesthetic gas mixed with air or with oxygen or nitrous oxide,
the device do not use .
Air pressure 70~106kPa
Operating temperature in high flow mode 18℃~28℃
Operating temperature in respiratory mode 5℃~35℃
service temperature 10~95%、 No condensation
Storage temperature -20~60℃
Storage humidity 10~95%、 No condensation
Air Circuit Diagram
Appendix A: Electromagnetic Compatibility
Fresh air / medical oxygen
Inlet filtration Fan
Guidelines and manufacturer's declaration - electromagnetic emissions:
The Noninvasive ventilator is intended for use in the electromagnetic environment s pecified as below and
User the purchasers and users should ensure that it is used in such an electromagnetic environment.

Instrument

The Noninvasive ventilator uses RF energy only for its internal

Heated Oxygen function. Therefore, it has a very low RF emission, and has a very
Nasal cannulas breathing Water chamber concentration
tube detection small possibility of interference with nearby electronic equipment.

Electric Circuit Diagram operation panel The Noninvasive ventilator is suitable for use in all facilities,
(display and buttons)
including residential facilities and direct connection to public
low-voltage power supply network for residential buildings.

230L
Turn on/off Main control Flow and oxygen
power supply panel concentration detection Guidelines and manufacturer's declaration - electromagnetic immunity:
The Noninvasive ventilator is intended for use in the electromagnetic environment specified as below and
230N the purchasers and users should ensure that it is used in such an electromagnetic environment.

Fan
Packing list

Networks power supply should be qualified

(AIRT-B4)Heated Breathing Circuits
for being used in typical commercial or
hospital environment. If the user needs
(optional) continuous operation of the Noninvasive
ventilatorduring
power interruption, it is recommended to
utilize an uninterruptible power supply or
batteries.

Guidelines and manufacturer's declaration - electromagnetic immunity:

The Noninvasive ventilator is intended for use in the electromagneticenvironment specified as below and
the purchasers and users should ensure that it is used in suchan electromagnetic environment.
User manual
->Where
P — the max rated output power of transmitter, provided by the manufacturer, unit: W;
d — the recommended separation distance, unit: m;
The field strength of Fixed RF transmitters is to be determined by measurement “a” of the electromagnetic field
and for each frequency range, should be lower than the coincident detection level.
Note 1: at the 80MHz and 800MHz frequencies, formula of the higher frequency band will be used.
Note 2: these guidelines may not apply in all cases. Electromagnetic propagation will be affected by absorption
and reflection of buildings, objects, and human bodies.
a.For fixed transmitters, such as: the base stations of wireless (cellular / cordless) telephones and ground mobile
radio, the amateur radio, the AM and FM radio broadcast and TV broadcast, the field strength cannot be
accurately predicted in theory. To assess electromagnetic environment of fixed RF transmitters, measurement
of electromagnetic field should be considered. If the measured field strength of Noninvasive ventilator is higher
than the above applicable RF coincident Detection level, observation should be conducted to the Noninvasive
ventilator to verify its normal operation. If normal performance cannot be observed, additional measures may
be necessary, for example, re-adjusting the direction or location of the respiratory humidification therapeutic
instrument.
b.Within the entire frequency range of 150 kHz ~ 80MHz, field strengths should be less than 3V/m.

Recommended separation distance between the portable and mobile RF communication equipment and the
Noninvasive ventilator:
The Noninvasive ventilator is intended for use in an electromagnetic environment with a controlled radio
frequency radiation disturbance. According to the maximum rated output power of communication equipment,
the purchaser or the user can prevent electromagnetic interference by adopting the following recommended
minimum distance between the portable and mobile RF (transmitters) communication devices and the
Noninvasive ventilator.
For maximum rated output power of transmitters not listed in the above table, the recommended separation
distance d, in meters (m), can be determined by use of the formula in corresponding transmitter frequency
column, where P is the max rated output power in watts (w) of transmitter, provided by the manufacturer.

Note 1: at the 80MHz and 800MHz frequencies, formula of the higher frequency band will be used.
Note 2: these guidelines may not apply in all cases. Electromagnetic propagation will be affected
by absorption and reflection of buildings, objects, and human bodies.