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Mirage Quattro Mask- Information Guide Pdf

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Mask Information Guide Welcome to your handy guide to ResMed masks Here you’ll find mask selection information, fitting guides, product codes, product features and benefits for the full range of ResMed mask systems - pillows, nasal, full face, non-vented and disposable. Only from ResMed - world leaders in mask technology. contents SELECTING A MASK NASAL PILLOWS NASAL MASKS FULL FACE MASKS NON-VENTED MASKS DISPOSABLE MASKS TECHNICAL SPECIFICATIONS Mask/Device Compatibility USE AND CARE Mask Type 1 Past nasal / soft palate surgery (e.g. UPPP)? 2 Rhinitus? Sinusitis? Hay Fever? 3 Other nasal symptoms (e.g. Mouth breathes)? 4 Claustrophobic? Skin conditions / allergies? 5 Active sleep? Poor fit in past / present? YES NO Selection • Select the appropriate mask type by following the flow diagram on the right. • Ideally, the patient should choose their preferred mask with clinical guidance. Useful tips • A full face mask is preferable for patients with mouth leak. • If a full face is not required, a nasal system should be first choice. • Pillows should be considered as the nasal mask of choice. NO YES No Humidifier YES With Humidifier YES NO YES SwiftTM LT YES Mirage ActivaTM LT NO NO Mirage QuattroTM OR Swift LT OR Mirage Activa LT OR Mirage MicroTM SELECTING A MASK Mirage LibertyTM Mask Size Selection • Select the appropriate mask size by following the instructions. • The range of sizes ensures that every patient can achieve optimal fit. Useful tips • The 2D sizing templates will help you determine the optimal cushion size. • If the template opening is too close to their nares or nasal perimeter, that size cushion is incorrect and may cause the patient to experience discomfort from pressure on the nasal bridge or cheek bones. • Incorrect cushion size can also lead to leak into the eyes or around the nose. SELECTING A MASK Mask Size Mirage Micro NASAL MASK Mirage Activa LT NASAL MASK Ultra Mirage II TM NASAL MASK Mirage Activa NASAL MASK • Place the fitting template around the nose and align arrow to bottom of the nose. •  Obtain a close fit around the nose allowing some clearance around the nostrils and the nasal bridge. SELECTING A MASK Mask Size Mirage Quattro FULL FACE MASK •  Align the fitting template to chin crease. •  Determine cushion size according to the position of the corner of the eye. Mirage Liberty FULL FACE MASK •  Align the fitting template to bottom of the nose. •  Check the position of the chin crease above or below the dotted line. • If the chin crease is above dotted line, then choose the small cushion. • If the chin crease is below dotted line, then choose the large cushion. SELECTING A MASK Tube retainer (optional) 60586 Complete mask system 1 Top buckle/s 60579 (1) 60580 (10) 60561 Back buckle/s 60558 (1) 60559 (10) Frame 60575 Headgear assembly (headgear, buckles) 60578 Short tube assembly (short tube, elbow and swivel) 60577 Pillows 60574 (XS) 60571 (S) 60572 (M) 60573 (L) 1 NASAL PILLOWS Product packed with S, M and L pillows. XS sold separately. 1 2 3 • Adjust the top straps by pulling them evenly until comfortable. • Do not overtighten. • Repeat Step 2 with the back straps. • Do not overtighten. Quick fitting guide Minimal contact, optimal seal •  The first nasal pillows with ResMed’s proven dual-wall technology. •  The pillows rest on a flexible cushion base maintaining seal. Freedom to move and sleep on the side •  Headgear with flexible stabilising elements gently holds the system in place when user turns or moves during sleep. •  The cushion base enables the dual-wall pillows to move in different directions without compromising seal or creating leaks. Super-quiet and personalised comfort •  Air is dispersed gently through the fine vents. •  The innovative vent design directs air away from the user and their partner. • Holding the pillows at your nose, pull the headgear over your head. • Headgear should sit midway between the ears and eyes. 4 Optional • For alternate tubing positions, use the tube retainer. 5 • Using the click-fit adjustor, position the nasal pillows at the most suitable angle. • Connect the Swift LT short tube to the device air tubing. • Turn on the device. • The Swift LT is now fitted and ready for use. Do not overtighten headgear straps • To attach, push it into the top headgear buckle. • Clip in either the short tube or device air tubing, depending on flexibility needs. • The tubing can be positioned to either side of your face or centered. • If the pillows pull on your nose, adjust the tubing at the tube retainer. NASAL PILLOWS Complete mask system1 Pillow sleeve 60541 (S) 60542 (M) 60543 (L) 60516 Short tube assembly/ies 60528 (1) 60529 (10) Clip 60540 Frame system (no headgear)1 60537 (S) 60538 (M) 60539 (L) Distal pressure part 61121 (1) 61124 (10) Tube retainer 60530 (3) Headgear 60526 NASAL PILLOWS Seal rings 60524 (10) Frame with clip and cap 60527 Headgear buckles 60523 (4) 1 Product packed with S, M & L pillows. Cap 60525 Dial 61289 Forehead pad/s 60123 (1) 60124 (10) Forehead support 16393 Headgear 16118 (S)3 16733 (Std)2 16119 (L)3 Elbow assembly 16399 Ports cap 16570 (2) 16571 (10) Mask cushion 16388 (S)1 16389 (M) 16390 (L) 16391 (LW) 16392 (XL) Elbow 16387 Headgear clips 16569 (2) 16734 (10) Mask frame 16394 (Std) 16395 (S)1 Swivel 16565 1 Small Medium Large Large-Wide Extra-Large 16338 16339 16340 16341 16342 NASAL MASKS 2 3 Small cushion and frame are only compatible with each other. Standard headgear supplied with all sizes of complete mask assembly. Small (16118) and Large (16119) headgear come without clips. Quick fitting guide Intuitively easy •  Easy removal of cushion and elbow from frame (no cushion or elbow clip). •  Easy one-hand adjustment of the forehead support with the MicroFit dial. 1 2 3 Personalised fit and comfort •  Allows for optimum, accurate fit with a turn of the MicroFit dial. •  Mirage Micro dual-wall cushions now come in five sizes, to fit 95% of patients1. • Turn MicroFit dial to position 24. • Disconnect one headgear clip. • Place mask on face, slide headgear on. • Reconnect lower headgear clip. Quiet, sleek and stylish •  Quieter than a soft whisper. •  Less obtrusive with minimalist forehead support. 1 Based on internal anthropometric database (n=267) 4 • Unfasten upper tabs, pull until comfortable. • Reattach the tabs. 5 6 • Repeat step 4 with lower straps. • Connect tube to mask and flow generator. • Start flow generator. • Turn MicroFit dial to eliminate leaks. Do not overtighten headgear straps NASAL MASKS Forehead support pad/s 60123 (1) 60124 (10) Dial 61289 Forehead support 16393 Mask frame 60180 Mask cushion and clip 60177 (M) 60178 (L) 60179 (LW) Elbow assembly (elbow, swivel): 16399 Elbow 16387 Clip 60176 Swivel 16565 Ports cap 16570 (2) 16571 (10) Headgear 16118 (S)2 60114 (Std)1 16119 (L)2 Headgear clips 16569 (2) 16734 (10) 1 Medium Large Large-Wide 60151 60152 60153 NASAL MASKS Standard headgear supplied with all sizes of complete mask assembly. Small (16118) and Large (16119) headgear come without clips. 2 1 2 3 Quick fitting guide ActiveCell™ Technology •   The unique cushion features an ‘active cell‘ that automatically expands and contracts to suit user movements and varying pressures throughout the night. •  Ideal for active sleepers; ActiveCell Technology provides dynamic defence against leak. • Turn the MicroFit dial to position 24, so that the forehead support is fully extended. A fine-tuned fit •  MicroFit dial provides easy, one-handed forehead support adjustment. •  Less dependant on headgear tension and adjustment to achieve an effective seal (quicker fitting time, less callbacks and improved user compliance). The quiet achiever •  Innovative diffuse vent design, disperses air quietly and softly, at a short distance, away from the bed partner. •  Located on the elbow for easy cleaning and disassembly. • Disconnect the lower headgear clip, hold the mask over the nose and pull the headgear over the head. • Reconnect the lower headgear clip ensuring it clicks into place. • Connect one end of the air tubing to the swivel and the other end to the airflow device. ✓ 4 • Allow room for the cushion’s active cell to inflate. Use two fingers as a guide. 5 • Turn on the airflow device. ✓ 6 ✓ • While lying down, adjust the dial for comfort and seal. ✘ Do not overtighten headgear straps • If the mask is fitted correctly, the cushion should be smooth and the active cell (highlighted) fully inflated. • If fitted incorrectly, the cushion will be creased and the active cell underinflated. NASAL MASKS Forehead support with pads 16590 Frame assembly (no cushion and headgear) 16595 Frame 16560 Headgear 16118 (S)3 16733 (Std)1 16119 (L)3 Forehead pad/s 60123 (1) 60124 (10) Elbow clip 16572 16573 (10) Cushion 16556 (Std) 16557 (L) 16558 (Sh) 16735 (Sh-W) Vent cover 16575 Elbow assembly2 16566 Headgear clips 16569 (2) 16734 (10) Ports cap 16570 (2) 16571 (10) Swivel 16565 3 Large Shallow Shallow-Wide 16321 16322 16323 16324 NASAL MASKS Complete mask system comes with standard sized headgear. Elbow assembly includes elbow clip, vent cover, elbow and swivel. Small (16118) and Large (16119) headgear come without clips. 1 2 Standard Cushion clip 16563 1 2 3 Quick fitting guide Seal and comfort •  Mirage dual-wall cushion reduces pressure on nasal bridge and optimises seal and comfort. •  Forehead support provides seal and stability with a choice of four clearly numbered positions. Easy to use •  Headgear clips allow quick attachment/ detachment of headgear - no further adjustments required after initial fitting. • Disconnect one headgear clip. • Ensure that forehead support tab is in position 1. Place mask on face and pull headgear over head. Make sure upper straps pass across forehead and lower straps below ears. • Reattach headgear clip to mask frame. • Gently tighten upper headgear straps. The forehead support pads should lightly touch the forehead. • Do not overtighten straps. • Gently tighten lower headgear straps. • Do not overtighten straps. Ultra-quiet •  Vent design minimises airflow intensity and noise. •  Specially designed to direct air away from user and partner, and provide optimum CO2 washout. 1 Based on internal anthropometric database (n=267) 4 • Connect one end of air tubing to mask swivel and other end to flow generator. • Turn flow generator on. • If air leaks around cushion you may need to make some adjustments. In this case, proceed to step 5. 5 • Loosen upper headgear straps and move forehead support tab to another position (eg, position 2). • Gently tighten upper headgear straps. 6 • T  est all four positions of forehead support tab and adjust headgear straps until you achieve a secure and comfortable fit. Do not overtighten headgear straps NASAL MASKS Forehead pad/s 60123 (1) 60124 (10) Mask frame 60121 Forehead support 60122 Cushion 60117 (Std) 60118 (L) 60119 (Sh) Elbow assembly (including exhaust vent) 60125 Cushion clip 60120 Inlet tube and swivel assembly 60926 (1) 60927 (10) Ports caps 16570 (2) 16571 (10) Headgear clip/s 60115 (2) 60116 (10) 1 2 Standard Large Shallow 60132 60133 60134 NASAL MASKS Headgear (Including headgear clips) 16118 (S)1 60114 (Std)2 16119 (L)1 Swivel assembly 60014 (10) Small (16118) and Large (16119) headgear come without clips. Standard headgear supplied with all sizes of complete mask assembly. Unobtrusive design Age 7 or over Headgear Headgear clips Cushion Elbow assembly1 Frame1 Crossover buckle Cushion2 Headgear2 Headgear clips 60918 (Std) 60919 (2), 60920 (10) 60921 (Std), 60922 (Dp) 60925 60924 60023 (1), 60024 (10) 60013 (S) 61020 (S) 61025 (2), 61026 (10) Standard Deep Small 60003 60004 61011 These parts are common with the Kidsta. The cushion and headgear on the Kidsta can be used with the Vista. 1 2 NASAL MASKS Ultra Mirage NV 1 Ultra Mirage NV FULL FACE MASK NASAL MASK Effective and comfortable A more unobtrusive option for NIV Frame 60675 (S) 60676 (M) 60677 (L) Elbow assembly 60916 Forehead pad/s 16561 (2) 16574 (10) Elbow 60678 Frame 60915 Tube connector/s 60913 (1) 60914 (10) Headgear2 60917 Forehead support 16562 3 S-Std M-Std L-Std Standard Large Shallow 60648 60650 60652 60401 60402 60403 S-Sh M-Sh L-Sh 1 60653 2 60649 60651 Common parts with Ultra Mirage Full Face Mask: forehead pads, headgear clips, cushion & clips,elbow retainer, forhead support and ports caps. This part is common with Ultra Mirage Nasal Mask NV. 3 Common parts with Ultra Mirage II: cushion & clip, elbow clip, headgear clips & ports cap. NON-VENTED MASKS Disposable Disposable NASAL MASK FULL FACE MASK A more unobtrusive option for NIV Easy to seal Headgear 60710 (10) Medium Large Small Medium Large 61104 61105 60700 60701 60702 Disposable NV FULL FACE MASK For use with a leak circuit Headgear 60711 (10) Small Medium Large 60720 60721 60722 DISPOSABLE MASKS Technical Specifications Ultra Mirage II Nasal Mirage Quattro, Mirage Liberty, Ultra Mirage, Hospital Full Face Mask Mirage Swift II Nasal Pillows Swift LT Nasal Pillows TECHNICAL SPECIFICATIONS Mask–Device Compatibility The table below specifies the masks compatible with ResMed’s positive airway pressure devices and the mask setting, if one is required. For full details regarding the correct use of these devices, please refer to the specific User Guides. Nasal Pillows S7 AutoSet Spirit™ S8 AutoSet Spirit™ II S8 Escape™ II Mirage Swift II Swift LT MIRAGE MIRAGE SWIFT SWIFT No setting required. Consult your clinician before changing to a different mask type. VPAP™ III Series MIRAGE MIRAGE AutoSet CS™ 2 N/V N/V N/V = The mask has not been validated for this device. Mask–Device Compatibility Mask–Device Compatibility The table below specifies the masks compatible with ResMed’s positive airway pressure devices and the mask setting, if one is required. For full details regarding the correct use of these devices, please refer to the specific User Guides. Nasal Masks Mirage Micro Ultra Mirage II Activa LT Mirage Activa Mirage Vista Mirage Kidsta S7 AutoSet Spirit STANDARD ULTRA STANDARD STANDARD STANDARD STANDARD S8 AutoSet Spirit II STANDARD ULTRA ACTIVA ACTIVA STANDARD STANDARD S8 Escape II No setting required. Consult your clinician before changing to a different mask type. VPAP III Series STANDARD ULTRA STANDARD STANDARD STANDARD STANDARD AutoSet CS 2 VISTA ULTRA ACTIVA ACTIVA VISTA N/V N/V = The mask has not been validated for this device. Mask–Device Compatibility Mask–Device Compatibility The table below specifies the masks compatible with ResMed’s positive airway pressure devices and the mask setting, if one is required. For full details regarding the correct use of these devices, please refer to the specific User Guides. Full Face Masks Mirage Quattro Mirage Liberty Ultra Mirage S7 AutoSet Spirit MIR FULL MIR FULL MIR FULL S8 AutoSet Spirit II MIR FULL MIR FULL MIR FULL S8 Escape II No setting required. Consult your clinician before changing to a different mask type. VPAP III Series MIR FULL MIR FULL MIR FULL AutoSet CS 2 FULL FACE FULL FACE FULL FACE Mask–Device Compatibility Mask–Device Compatibility The table below specifies the masks compatible with ResMed’s positive airway pressure devices and the mask setting, if one is required. For full details regarding the correct use of these devices, please refer to the specific User Guides. Disposable Masks Hospital Nasal Hospital Full Face S7 AutoSet Spirit STANDARD MIR FULL S8 AutoSet Spirit II STANDARD MIR FULL S8 Escape II No setting required. Consult your clinician before changing to a different mask type. VPAP III Series N/V MIR FULL AutoSet CS 2 VISTA FULL FACE N/V = The mask has not been validated for this device. Mask–Device Compatibility Use and Care GUIDE CLEANING DISINFECTION Daily • The cushion and frame should be wiped daily with a damp cloth. Validated disinfection / sterilisation procedures • High level thermal disinfection. • High level chemical disinfection. • STERRAD sterilisation. Weekly • The mask system should be washed a minimum of once per week. • Separate and hand wash mask components (including tubing) in lukewarm, soapy water (original washing up liquid is recommended). • Rinse well and allow to air dry out of direct sunlight, not on a radiator. • Hand-wash headgear separately. Caution • Do not use solutions containing bleach, chlorine, alcohol, aromatics, moisturisers, antibacterial agents or scented oils to clean the mask or tubing. These solutions may reduce the life of the mask (life expectancy is 1 year). • If any visible deterioration of a mask component is apparent (cracking, crazing, tears, etc), the mask component should be discarded and replaced. USE AND CARE Parts that cannot be disinfected / sterilised • Swivel, short tubing – Mirage (vented & non-vented) Nasal Mask. • Swivel, inlet tube – Mirage Activa, Kidsta, Vista Nasal Masks & Liberty Full Face Mask. • Valve membrane – Mirage Nasal Mask, Mirage S2 & Ultra Mirage Full Face Mask. • All components, excluding the above, can be recycled over 15 times. The Mirage Quattro, Mirage Liberty and Mirage Micro can be recycled over 20 times. • Further detailed information can be found on www.resmed.co.uk