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 1003121
RAG 6/21/00
BiPAP systems are the subject of one or more of U.S. Patents #5148802, #5239995, #531937, 1
#5433193, Canadian Patent #2, 024, 477, European Patent #EP0425092, German Patent
#69021681.5-08, and other pending U.S. and foreign patents. BiPAP is a registered trademark of
Respironics, Inc.

© 2000 Respironics, Inc. All Rights Reserved

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2
Contents
Contents of the Package .............................................................................................. 5
1 Warnings, Cautions, and Notes ............................................................................. 6
Warnings ................................................................................................................................................................................ 6
Cautions .................................................................................................................................................................................7
Notes ...................................................................................................................................................................................... 7
Intended Use .......................................................................................................................................................................... 8
Contraindications ................................................................................................................................................................... 8
Precautions ............................................................................................................................................................................8
Communication Statements for Optional Modem .................................................................................................................9
Industry Canada Notice ....................................................................................................................................................... 10

2 Introduction to the Synchrony ............................................................................ 11

Definitions ........................................................................................................................................................................... 11
What is Bi-level Ventilation? ............................................................................................................................................... 13
What is the Synchrony? ....................................................................................................................................................... 14
Symbols ............................................................................................................................................................................... 15
How to Contact Respironics ................................................................................................................................................ 15

3 A Tour of the Synchrony ...................................................................................... 16

Overview ............................................................................................................................................................................. 16
Control Panel ....................................................................................................................................................................... 17
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Panel Indicators ................................................................................................................................................................... 18 3
Display Indicators ................................................................................................................................................................ 18
Breathing Circuit Connection .............................................................................................................................................. 20
Rear Panel ............................................................................................................................................................................ 20

4 Using the Synchrony............................................................................................. 21

Installing the Air Filters ....................................................................................................................................................... 21
Where to Place the Synchrony ............................................................................................................................................ 22
Connecting the Breathing Circuit ........................................................................................................................................ 22
Complete Synchrony Setup ................................................................................................................................................. 24
Using DC Power .................................................................................................................................................................. 25
Plugging the Synchrony In (Using AC Power) ................................................................................................................... 25
Starting the Synchrony ........................................................................................................................................................ 26
Using the Optional Ramp Feature ....................................................................................................................................... 26
Operating the Synchrony ..................................................................................................................................................... 27

5 Alarms and What to Do ....................................................................................... 30

High Priority Alarms ........................................................................................................................................................... 32
Medium Priority Alarms ...................................................................................................................................................... 35
Low Priority Alarms ............................................................................................................................................................ 36

6 Troubleshooting .................................................................................................... 37
Mask Discomfort and Corrective Actions ........................................................................................................................... 38

7 Cleaning and Maintenance .................................................................................... 41

Cleaning the Synchrony ...................................................................................................................................................... 41
Cleaning or Replacing the Inlet Filters ................................................................................................................................ 42
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4 8 Using Oxygen with the Synchrony ...................................................................... 44
9 Using the Optional Modem .................................................................................. 46
Sending Data at Startup ....................................................................................................................................................... 46
Sending Data During Therapy ............................................................................................................................................. 49

10 Specifications......................................................................................................... 50

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Contents of the Package 5
The BiPAP Synchrony package contains: R

Package Contents
• BiPAP Synchrony
• reusable circuit tubing
• power cord
Reusable Circuit
• air filter cover BiPAP Synchrony Tubing
• reusable foam filter
• ultra-fine filter
• User Guide

Your home care provider should have pre-assembled the

tubing, exhalation port, and mask into a breathing circuit. Air Filter Cover
Power Cord
If any of the items are missing, please contact your home Optional Modem
care provider. Cable

OPTIONS
• DC power cord Disposable R

• oxygen valve (required for oxygen use) Ultra-fine Filter

• bacteria filter
• humidifier
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• internal modem
• modem cable
• carrying case Reusable Foam
Filter User Guide
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 6 1 Warnings, Cautions, and Notes • Do not use the Synchrony in the presence of flammable
liquids or gases. Do not clean the Synchrony with
Warnings flammable fluids.
Warnings

• If oxygen is used with the Synchrony, the oxygen flow

A Warning indicates the possibility of injury to you or the
must be turned off when the Synchrony is not in use.
operator of the device.
• Do not use the device in ambient temperatures above
• This manual serves as a reference. The instructions in 95 °F. If the device is used at ambient temperatures
this manual are not intended to supersede the above 95 °F, the temperature of the breathing air may
instructions of your care giver. exceed 106 °F, which could cause thermal irritation or
injury to your airway.
• You should read and understand this entire manual
before using the Synchrony. • Do not operate the Synchrony in direct sunlight or near a
heating appliance because these conditions can increase
• The Synchrony is not intended to provide your total
the temperature of the air coming out of the Synchrony.
ventilatory requirement
• When the Synchrony is used with a humidifier, position
• The prescription must only be adjusted by a trained
the humidifier such that the water level in the humidifier
home care provider.
is lower than you, and the humidifier is on the same
• Use only the breathing circuit provided by your home level or lower than the Synchrony.
care provider.
• Repairs and adjustments must be performed by
• When using a breathing circuit that contains a mask with Respironics-authorized service personnel ONLY.
an integrated exhalation port or a circuit with a separate Unauthorized service could cause injury, invalidate the
exhalation device, do not tape, seal, or otherwise block warranty, or result in costly damage.
the vent openings. Doing so could result in suffocation.
• Periodically inspect electrical cords for damage or signs
• Oxygen supports combustion. Oxygen should not be of wear.
used while smoking or in the presence of an open flame.
• To avoid electrical shock, unplug the Synchrony before
cleaning it.
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Warnings continued Notes 7
• Immediately report any unusual chest discomfort, • Throughout this manual, you will see the symbol .
UPGRADE

shortness of breath, or severe headache to When you see this symbol, it means that the feature

Cautions, Notes
your physician. being discussed is only available with the Synchrony
• If you detect any unexplained changes in the perfor- S/T upgrade package. Your Synchrony may or may not
mance of the Synchrony, if the Synchrony is dropped or be provided with this upgrade. Contact your home care
mishandled, if water is spilled into the enclosure, or if provider for details.
the enclosure is broken, seek the assistance of your
home care provider.

Cautions
A Caution indicates the possibility of damage to the
device.

Caution: Federal law restricts this device to sale by or on Additional Warnings, Cautions, and Notes are
the order of a physician. located throughout this manual.
• The Synchrony may only be operated at temperatures
between 41 °F and 95 °F.
• A properly installed, undamaged reusable foam inlet
filter is required for proper operation. NOTE: Illustrations are for reference only. Occasionally,
• Do not immerse the Synchrony or allow any liquid to cosmetic changes may be made to the product
enter the case or the inlet filter. that do not affect the performance or specifica-
• Condensation may damage the Synchrony. Always allow tions of the product. These kinds of changes do
the Synchrony to reach room temperature before use. not warrant a reprinting of this manual.

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 8 Intended Use • epistaxis, causing pulmonary aspiration of blood.
The Synchrony is intended to provide non-invasive • hypotension.
ventilation in adult patients (>30 kg) for the treatment of Precautions
respiratory insufficiency (a condition in which the patient
Immediately report any unusual chest discomfort, short-
Intended Use, Contraindications

can maintain ventilation without mechanical support for

some period of time) or obstructive sleep apnea. This ness of breath, or severe headace to your physician.
device may be used in the hospital or home. If skin irritation or breakdown develops from the mask,
The Synchrony is intended for use with nasal masks and refer to the mask instructions for appropriate action.
full-face masks as recommended by Respironics.
The following are potential side effects of noninvasive
Contraindications positive pressure therapy:
The Synchrony should not be used if you have severe • ear discomfort
respiratory failure without a spontaneous respiratory drive.
• conjunctivitis
If any of the following conditions apply to you, consult • skin abrasions due to noninvasive interfaces
your physician before using the Synchrony ventilator: • gastric distention (aerophagia)
• inability to maintain a patent airway or adequately clear
secretions.
• at risk for aspiration of gastric contents.
• diagnosed with acute sinusitis or otitis media.
• allergic or hypersensitive to the mask materials where
the risk from allergic reaction outweighs the benefit of
ventilatory assistance.

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Communication Statements for Optional items are listed on the equipment label. The sum of all the 9
Modem RENs on your telephone lines should be less than five in
order to assure proper service from the telephone com-
TYPES OF SERVICE

Communications Statements
pany. In some cases, a sum of five may not be useable on a
The Synchrony optional internal modem is designed to be given line.
used on standard device telephone lines. It connects to the
telephone line by means of a standard jack called the IF PROBLEMS ARISE
USOC RJ-11C (or USOC FJ45S). Connection to tele- If any of your telephone equipment is not operating
phone-company-provided coin service (central office properly, you should immediately remove it from your
implemented systems) is prohibited. Connection to party telephone line, as it may cause harm to the telephone
lines service is subject to state tariffs. network. If the telephone company notes a problem, they
may temporarily discontinue service. When practical, they
TELEPHONE COMPANY PROCEDURES will notify you in advance of the disconnection. If advance
The goal of the telephone company is to provide you with notice is not feasible, you will be notified as soon as
the best service it can. In order to do this, it may occasion- possible. When you are notified, you will be given the
ally be necessary for them to make changes in their opportunity to correct the problem and informed of your
equipment, operations or procedures. If these changes right to file a complaint with the FCC. Contact your
might affect your service or the operation of your equip- telephone company if you have questions about your
ment, the telephone company will give you notice, in phone line. In the event repairs are ever needed on the
writing, to allow you to make any changes necessary to Synchrony, they should be performed by Respironics, Inc.
maintain uninterrupted service. In certain circumstances, it or an authorized representative of Respironics, Inc. For
may be necessary for the telephone company to request information contact Respironics at the location shown on
information from you concerning the equipment that you page 13.
have connected to your telephone line. Upon request of the
telephone company, provide the FCC registration number
and the ringer equivalence number (REN); both of these

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 10 Industry Canada Notice Users should ensure for their own protection that the
electrical ground connections of the power utility, tele-
NOTICE: The Industry Canada Label identifies certified phone lines and internal metallic water pipe system, if
equipment. This certification means that the equipment present, are connected together. The precaution may be
Communications Statements

meets telecommunications network protective, operational, particularly important in rural areas.

and safety requirements as prescribed in the appropirate
Terminal Equipment Technical Requirements documents. CAUTION: Users should not attempt to make such
The Department does not guarantee the equipment will connections themselves, but should contact the appropriate
operate to the user’s satisfaction. electric inspection authority, or electrician, as appropriate.
Before installing this equipment, users should ensure that Ringer Equivalence Number (REN): The REN assigned
it is permissible to be connected to the facilities of the to each terminal device provides an indication of the
local telecommunications company. The equipment must maximum number of terminals allowed to be connected to
also be installed using an acceptable method of connec- a telephone interface. The termination on an interface may
tion. The customer should be aware that compliance with consist of any combination of devices subject only to the
the above conditions may not prevent degradation of requirement that the sum of the Ringer Equivalence
service in some situations. Numbers of all the devices does not exceed 5.
Repairs to certified equipment should be coordinated by a
representative designated by the supplier. Any repairs or
alterations made by the user to this equipment, or equip-
ment malfunctions, may give the telecommunications
company cause to request the user to disconnect the
equipment.

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2 Introduction to the Synchrony OSA—Obstructive Sleep Apnea. 11
Definitions Pressure Control (PC)—This is an optional bi-level UPGRADE

mode which responds to your inhalation by increasing the

Apnea—A condition marked by the cessation of
pressure. The length of the inhalation is controlled by the

Introduction
spontaneous breathing.
Synchrony. If you do not start inhaling within a set time,
the Synchrony will automatically start inhalation.
CPAP—Continuous Positive Airway Pressure. The
Synchrony produces a single pressure level.
Ramp—Ventilator Ramp, a feature that may increase
your comfort when therapy is started. The Synchrony
EPAP—Expiratory Positive Airway Pressure
output starts at a low pressure (EPAP) and is increased at
each breath until IPAP is reached.
High Priority Alarm—Alarm signal requiring an
immediate response.
Rise Time—Rise time is the time it takes for the
Synchrony to change from EPAP to IPAP. You can adjust
IPAP—Inspiratory Positive Airway Pressure
this time for your comfort. See Figure 2-1.
Low Priority Alarm—Alarm signal requiring operator
RR—Respiratory Rate
awareness.
Spontaneous (S)—This is a bi-level mode which
Medium Priority Alarm—Alarm signal requiring a
responds to both your inahalation and exhalation by
prompt response.
increasing pressure when you start to inhale and
descreasing pressure when you start to exhale. There is no
Low Minute Ventilation—A condition in which you are
automatic delivery of a breath should you not inhale.
not receiving a specified volume of air on a per minute
basis.

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12 Spontaneous/Timed (S/T)—This is an optional bi-level UPGRADE

mode which responds to both your inahalation and

exhalation by increasing pressure when you start to inhale
and descreasing pressure when you start to exhale. If you
Introduction

do not start inhaling within a set time, the Synchrony will

automatically start inhalation. When the Synchrony starts
inhalation, it controls the time of inhalation and
automatically decreases the pressure for exhalation within
a set time.

Timed (T)—This is an optional bi-level mode in which UPGRADE

the Synchrony controls both inhalation and exhalation

independent of spontaneous breathing.

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What is Bi-level Ventilation? 13
The Synchrony Provides
Bi-level ventilation with the Synchrony Ventilatory Two Levels of Ventilation.
Support System helps you to breathe by supplying two
levels of air pressure. The Synchrony provides a higher IPAP

Introduction
pressure—known as IPAP (Inspiratory Positive Airway Pressure
Pressure)—when you inhale, and a lower pressure—
known as EPAP (Expiratory Positive Airway Pressure)—
when you exhale. The higher pressure makes it easier to
inhale and the lower pressure makes it easier for you to EPAP
exhale. Pressure

The Synchrony can also provide a single pressure level, Rise Time
known as CPAP (Continuous Positive Airway Pressure). Time

If you require a higher level of ventilatory support, the

Figure 2-1 BiPAP Breathing Levels
Synchrony can be upgraded to provide modes of
ventilation that reinforce your breathing with machine-
triggered breaths. You can adjust the Rise Time to make the pressure change
more comfortable. See page 27.
NOTE: Throughout this manual, you will see the symbol
. When you see this symbol, it means that
UPGRADE

the feature being discussed is only available with

the Synchrony S/T upgrade package. Your
Synchrony may or may not be provided with this
upgrade. Contact your home care provider for
details.
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14 What is the Synchrony?
The Synchrony, shown in Figure 2-2, supplies air pressure
through a breathing circuit. The circuit, shown in Figure
Introduction

2-3, consists of:

• circuit tubing to deliver the air from the Synchrony to
your interface (e.g., mask)
• a mask or other interface to deliver the prescribed
pressure to your nose or nose and mouth, depending on
which interface has been prescribed for you
• an exhalation port to vent exhaled air from the circuit Figure 2-2 The Synchrony

NOTE: The exhalation port may be part of the mask or Patient Interface
may be part of a separate exhalation device. (Typical) Exhalation Ports
(one port on each
side of elbow)
The system senses your breathing effort and changes Exhalation Device
pressure levels when you inhale and exhale depending on (Typical)
the mode of operation.
Circuit
Tubing
The Synchrony can operate on AC or DC power. The DC
power option is not intended as a battery backup. When
Circuit with Separate Circuit with Mask with
DC power is obtained from a vehicle battery, the Syn- Exhalation Device Integrated Exhalation Ports
chrony should not be used while the engine of the vehicle
is running.
Figure 2-3 Typical Breathing Circuits
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Symbols 15
Symbol Meaning
The symbols shown at right are used on the Synchrony and
throughout this manual. AC Power Indicator

Symbols
DC Power Indicator

How to Contact Respironics Alarm Indicator

To have your unit serviced, contact your home care

Type BF Applied Part
provider. If you need to contact Respironics directly, call
1-800-345-6443 or use the following address:
Class II for Protection Against Electric Shock

Attention, consult accompanying documents

Standby Key (Start/Stop)

Up Key

Down Key

Enter Key

Ramp Start/Alarm Silence Key

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 16 3 A Tour of the Synchrony
Carry
Overview Handle
Tour of the Synchrony

Figure 3-1 shows the location of:

• control panel Control
• breathing circuit connection Panel
• carry handle
• optional oxygen valve R

Breating
Circuit
Connection
Oxygen
Valve
(Optional)

Figure 3-1 The Synchrony Front and Top

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Control Panel Display
Screen
17
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The control panel contains the controls and indicators you AC Power Red
will need when you are using the Synchrony: Indicator Alarm Indicator

Control Panel
Yellow
• AC power indicator Alarm Indicator

• DC power indicator DC Power

Indicator
• Standby key
• Control keys (Down, Up, Enter)
Down
• Ramp/Alarm Silence key Key Enter
Key
• Yellow LED Alarm indicator
Standby
• Red LED Alarm indicator Key
• Display screen Up Ramp/
Key Alarm Silence
Key
The AC and DC power indicators light when the
Synchrony is connected to AC or DC power. Figure 3-2 The Synchrony Control Panel
The Standby key starts and stops the Synchrony.
The Display shows you the current pressure control
The Control keys allow you to display information and set settings and displays alarm messages.
controls.
NOTE: If the display backlight is off, the first press of a
The Ramp/Alarm Silence key starts the ventilation ramp control key ( , , or ) turns the backlight on
(see page 24) and silences an audible alarm for one and does nothing else. When you are instructed to
minute. press a key, this manual assumes that the
The LED Alarm Indicators alert you when a problem backlight is already on. When you are instructed
occurs. See Chapter 5 for an explanation of what to do to press a key, this manual assumes that the
when an alarm is activated. backlight is already on.
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18 Panel Indicators Display Indicators
AC Power indicator—a green LED that lights when AC The display uses indicators to show you the pressure levels
power is connected. and guide you through the screens.
Indicators

Activity Indicator ( )—This indicator shows which

pressure level you are receiving during therapy. It also
shows when the Synchrony starts a timed breath (upgrade
DC Power indicator—a green LED that lights when DC only) and when an alarm is still active for the displayed
power is connected. message.
Indicates the pressure
is at the EPAP level

MODE: S 1/2
IPAP 15 cm H2O
Red Alarm Indicator: EPAP 9 cm H2O
• When flashing indicates a high priority alarm. RR 20 BPM

• When on continuously indicates a loss of power or a

Indicates an active alarm message
silenced high priority alarm.
ALARM: 1/2
Patient Disconnect
Yellow Alarm Indicator:
• When flashing indicates a medium priority alarm.
• When on continuously indicates a low priority alarm or Indicates the current breath
a silenced medium priority alarm. was started by the unit

Red MODE: S/T 1/4

IPAP 15 cm H2O
UPGRADE
EPAP 9 cm H2O
Yellow RR 20 BPM

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Selection Indicator ( )—This indicator appears next to Ramp Indicator ( )—This indicator shows when 19
an item that can be selected with the ENTER ( ) key. The Ventilation Ramp has been started by pressing the RAMP/
indicator is moved by pressing the UP ( ) or DOWN SILENCE ( ) key.
( ) key.

Indicators
Indicates that the
Indicates that Rise Time Ventilation ramp has
will be selected for change been initiated

CONTROLS: 2/2 MODE: S 1/2

Rise Time: 3 IPAP 16 cm H2O
EPAP 9 cm H2O
RR 20 BPM

Navigation Indicator ( )—This indicator, next to a page Progress Indicator ( )—This indicator empties from top
number, shows that the and keys can be used to to bottom to indicate the progress of certain tasks.
change pages. If it appears next to a value, it flashes and
shows that the UP and DOWN keys can be used to change SYSTEM SELF TEST
VER:1.00 10.0 HOURS
the value.
Indicates that the page
is scrolled with the
UP and DOWN keys

MODE: S 1/2
IPAP 16 cm H2O
Page Number—The current page and total number of
EPAP 9 cm H2O pages in a series of screens is indicated in the upper right
RR 20 BPM of the screen.
Indicates that this
Indicates that the Rise Time is page 1 of 2
value can be changed
MODE: S 1/2
CONTROLS: 2/2 IPAP 15 cm H2O
Rise Time: 3 sec EPAP 9 cm H2O
Dial Provider RR 20 BPM

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20 Breathing Circuit Connection R

Breathing Circuit
Connection
Figure 3-3 shows where the circuit tubing connects to
the Synchrony.
Circuit Connections, Rear Panel

Rear Panel
Figure 3-4 shows the rear panel.
The DC inlet is where the DC plug is connected if you are
running the Synchrony from a battery source.
The communications port is used by the home care
provider. Figure 3-3 Breathing Circuit Connection

The DC cord retainer holds the DC cord. Used to keep Telephone

DC Cord Jack
the plug from coming out of the Synchrony. Communications
Retainer (optional internal
Port modem only)
The telephone jack is where the telephone line is plugged
AC
in (if you have the optional modem) when you are asked to Inlet
send the home care provider data from the Synchrony.
The AC inlet is where the AC receptacle is connected if DC
you are running the Synchrony from house voltage. Inlet
Air Filter
The air filter cover retains the air filters and helps to Cover
ensure quiet operation.

Figure 3-4 Rear Panel

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4 Using the Synchrony 21

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Installing the Air Filters
CAUTION: A properly installed, undamaged foam Reusable Gray

Installing the Air Filters

Foam Filter
filter is required for proper operation.
Air Filter
Cover
The Synchrony uses a gray foam filter that is
washable and reusable, and an optional white ultra-fine
filter that is disposable. One filter of each kind is supplied Disposable Ultra-fine
Filter
with the Synchrony.
If your home care provider did not install the inlet air
filters, you must install at least the gray foam filter before Figure 4-1 Filters Installed
using the Synchrony.

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STEP 1 Place the foam filter on top of the

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ultra-fine filter (if using the ultra-fine filter).
STEP 2 Push the filters down into the air inlet recess at
the rear of the Synchrony as shown in Figure 4-1.
STEP 3 Place the bottom of the air filter cover into the
bottom of the air inlet opening, making sure that
the catches engage the lip of the opening.
Figure 4-2 Filter Cover Installed
STEP 4 As shown in Figure 4-2, swing the top of the
cover into place and press down on it to engage
the cover catches in the air inlet opening. See Chapter 7 to clean or replace the filters.

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22 Where to Place the Synchrony
Place the Synchrony on its base somewhere within easy
reach of where you will be using it. Make sure that the air
inlet on the rear of the unit is not blocked. Place the unit R
Placing the Synchrony for Use

on a hard, flat surface. If you block the air flow around the
unit, the unit may not work properly.
If you are using a humidifier, be sure to place the
humidifier and unit on a placemat or other waterproof
material to protect your furniture from moisture. Position
Bacteria
the humidifier such that the water level in the humidifier is
Circuit Filter
lower than you, and the humidifier is on the same level or (Optional)
Tubing
lower than the ventilator. See the humidifier instructions
for the complete setup.
Figure 4-3 Connect the Tubing to the Outlet

Connecting the Breathing Circuit

STEP 1 Connect one end of the circuit tubing to the NOTE: Follow the recommendations of your home care
outlet of the bacteria filter (if using one) and
provider for using the optional bacteria filter.
connect the inlet of the bacteria filter to the
large connector on the Synchrony as shown in
Figure 4-3.

If you are not using a bacteria filter, connect the

end of the circuit tubing directly to the outlet
connector on the Synchrony.
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STEP 2 Connect the open end of the circuit tubing to the 23
exhalation port as shown in Figure 4-4. If you
are using a mask that has the exhalation port Circuit
built into the mask, connect the tubing directly Exhalation Tubing
to the mask and skip to Step 4. Port

Connecting the Breathing Circuit

STEP 3 Connect the exhalation port to the mask
connector as shown in Figure 4-5.
Figure 4-4 Connect the tubing to the Exhalation Port
STEP 4 Attach the headgear to the mask—see the
instructions that came with your headgear. Mask or
Other
Interface

Mask
Connector

Exhalation
Port

Figure 4-5 Connect the Mask

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 24 Complete Synchrony Setup Patient Interface
(Typical)

Figure 4-6 shows the completed breathing circuit setup for

Exhalation Port
Complete Setup

the Synchrony. (Typical)

Circuit
Tubing

Bacteria
Filter
(Optional)
Figure 4-6 Synchrony Complete Breathing Circuit

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Plugging the Synchrony In (Using AC 25
Power)

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STEP 1 Plug the receptacle end of the AC cord into the
AC inlet of the Synchrony as shown in Figure

Plugging the Syn-

4-7.

STEP 2 Insert the plug end of the AC cord into the

wall outlet as shown in Figure 4-7.

chrony In
WARNING: Never plug the Synchrony AC cord into
an outlet that is controlled by a
wall switch.
Figure 4-7 Plugging in the AC
Using DC Power
DC Cord

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STEP 1 Plug the receptacle end of the DC cord into the Retainer

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DC inlet of the Synchrony as shown in Figure
4-8.

STEP 2 Leaving some slack in the DC cord, push the

DC cord into the DC cord retainer.

STEP 3 Insert the adaptor end of the DC cord into the

appropriate DC outlet. See the instructions that
came with the DC cord for proper DC
Figure 4-8 Plugging in the DC
connections.
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26 Starting the Synchrony NOTE: A small amount of mask leak is normal and
STEP 1 Press the STANDBY ( ) key. The Synchrony acceptable. Large mask leaks or eye irritation
will sound two beeps, briefly light the alarm from an air leak should be corrected as soon as
possible.
Starting the Synchrony

indicators, and display the startup screen

followed by the self-test screen. This is the
internal test performed by the Synchrony. STEP 5 Relax. Take normal, relaxed breaths through
your nose.
STEP 2 Put on your mask assembly when the air starts
to flow. NOTE: If you are having trouble with your mask, see
Chapter 6 for some suggestions.
NOTE: If the Synchrony does not sound the two beeps or
illuminate the alarm indicators, do not try to use Using the Optional Ramp Feature
the Synchrony. Contact your home care provider. The Synchrony is equipped with an optional ramp feature
that your home care provider can turn on or off. The Ramp
STEP 3 Make sure that no air is leaking from your mask feature starts the pressure at the EPAP level. The pressure
into your eyes. If it is, adjust the mask and
is increased at each breath until IPAP is reached.
Softcap or headgear until air stops leaking into
your eyes. See the instructions that came with To start the Ramp feature, follow Steps 1 to 5 above, then
your mask. press . The Ramp indicator will be shown at the top
of the display. The diagram below illustrates how the ramp
STEP 4 If you are using the Synchrony while sleeping, changes the pressure levels:
IPAP
try placing the tubing from the Synchrony over LEVEL

your headboard. This may reduce tension on the

mask. EPAP
LEVEL
Ramp
Increment 1 Breath
(Set by
Home Care
Provider)

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The ramp feature can provide more comfort for you The S, S/T, PC, and T mode Monitoring screen is shown in 27
because of the gradual increase to full pressure. Figure 4-10.

Operating the Synchrony MODE: S 1/2

Monitoring Screens
When the Synchrony is operating, you can use two IPAP 10 cm H2O
screens: the Monitoring screen and the Control screen. EPAP 5 cm H2O
MONITORING SCREENS RR 20 BPM
The screen that you see normally is called the Monitoring Figure 4-10 S, S/T, PC, and T Mode Monitoring Screen
screen. It shows you the current pressure measurements
and breathing rate.
For the S/T, PC and T modes, “S” is replaced with “S/T,”
The CPAP mode Monitoring screen is shown in “PC,” or “T.”
Figure 4-9. If your Synchrony is not using the optional
modem, the screen will show “1/1” in the upper right. Note the indicator next to IPAP. It indicates the pressure
is currently at the IPAP level. It will move from IPAP to
EPAP as the pressure changes. Another indicator will
MODE: CPAP 1/2 appear next to the RR if the Synchrony starts a breath (The
unit will start a breath only in the optional S/T, PC, and T
CPAP 10 cm H2O modes).
RR 20 BPM
The upper right of the screen indicates that this is Page 1
of 2, and the indicator shows that the or key will
Figure 4-9 CPAP Monitoring Screen move to Page 2 of 2.

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28 CONTROL SCREENS In the S, S/T, PC, and T modes, the Control screen
contains two options (one if the modem is not being
If the modem is being used, you can press the key while used), as shown in Figure 4-12.
in the Monitoring screen. The Synchrony displays Page 2
Control Screens

of 2, called the Control screen. In the CPAP mode, the

Control screen contains one option as shown in
CONTROLS: 2/2
Figure 4-11. Rise Time: 3
Dial Provider
CONTROLS: 2/2

Dial Provider Figure 4-12 S, S/T, PC, and T Mode Control Screen

The selected control is the Rise Time parameter. With this

command selected, when you press , the parameter is
Figure 4-11 CPAP Control Screen. available for change. See Page 10 for a description of
Rise Time.
The selected control is the Dial Provider command. With
this command selected, when you press , the Synchrony
The next page shows you how to change the Rise Time.
automatically dials your home care provider to send
information about the Synchrony.
NOTE: If the display backlight is off, the first press of a
NOTE: The word “Provider” may be replaced with the control key ( , , or ) turns the backlight on
name of your provider or the provider’s phone and does nothing else. When you are instructed to
number. press a key, this manual assumes that the
backlight is already on. When you are instructed
The modem settings have been preset by your home care to press a key, this manual assumes that the
provider. See Chapter 9 for instructions on installing the backlight is already on.
telephone line into the rear panel of the Synchrony.
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To change the Rise Time: STEP 4 Press when complete. 29
STEP 1 Use or to select the Rise Time parameter.
CONTROLS: 2/2

Rise Time
CONTROLS: 2/2 Rise Time: 6
Rise Time: 3
Dial Provider

STEP 2 Press . The result is shown below.

CONTROLS: 2/2
Rise Time: 3

STEP 3 Press or to change the value. The range is

1 to 6; a setting of 1 is the fastest rise time, 6 is
the slowest.

CONTROLS: 2/2
Rise Time: 6
Dial Provider

Allow the Synchrony to run several cycles to see if it feels

more comfortable.

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30 5 Alarms and What to Do
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This chapter describes the Synchrony alarms and what you

should do if you get an alarm.
Alarms

High Priority
Alarm LED
The Synchrony provides three alarm levels: high, medium,
and low priority.
Low/Medium Priority
High priority alarms require immediate response. The Alarm LED
alarm signal consists of a flashing red alarm indicator and
a sound that is either continuous, beeps, or repeats a
pattern of three beeps followed by two beeps. The display
has the message “ALARM” at the top of the screen.

Medium priority alarms require prompt response. The

alarm signal consists of a flashing yellow alarm indicator
and a sound that repeats a pattern of three beeps. The
display has the message “WARNING” at the top of Figure 5-1 Alarm Indicator Locations
the screen.

Low priority alarm require your awareness. The alarm

signal consists of a continuous yellow alarm indicator and
a sound that repeats a pattern of two beeps. The display
has the message “INFO” at the top of the screen.

The alarms indicators are LEDs located on the right side of

the front panel, as shown in Figure 5-1.
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The following example applies to most alarm conditions. ALARM 1/1 Alarm CLEAR 31
Patient Disconnect
You should follow these steps unless otherwise directed by Screen is dis-
the alarm tables. CLEAR played
Alarm LED is

Alarms
STEP 1 Look at the alarm indicators and listen to the solid
alarm sound.
STEP 4 Look up the alarm in the alarm tables and
(Note color and whether LED is perform Your Action. For High and Medium
flashing or solid) Priority Alarms, the indicator will go off
when the alarm condition is corrected.
STEP 2 Look at the display for text.
ALARM 1/1 indicator is off
Patient Disconnect
ALARM 1/1 Alarm LED is
Patient Disconnect indicator shows what alarm
CLEAR solid
is activated.

If more than one alarm is listed, the indicator shows STEP 5 Press the Enter key to clear the alarm.
which alarm is still active.

STEP 3 Press the RAMP/SILENCE key.

MODE: S 1/4 Alarm is reset

IPAP 15 cm H2O
EPAP 6 cm H2O Display returns to
RR 20 BPM screen that was
showing at time of
alarm
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32 High Priority Alarms

Alarm Alarm Display What the Possible

LED Sound Message Unit Does Cause Your Action
Alarms

Red Flash Blank Screen Shuts down Synchrony Failure Cannot be silenced;
remove power from
unit and contact
home care provider.

Red Solid Blank Screen Shuts down Power was lost Press to silence,
while the unit was restore power.
providing therapy.

Red Flash Apnea Operates An apnea event Report alarm to

occurred during home care provider.
therapy.

Red Flash Low Pressure Operates Malfunctioning Check for the

Support unit. following: dirty inlet
filters, blocked air
intake, excessive
leak in circuit. If
alarm continues, call
your home care
provider.
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Alarm Alarm Display What the Possible 33
LED Sound Message Unit Does Cause Your Action

Alarms
Red Flash High Pressure Operates Malfunctioning Nothing. If alarm
unit. continues call your
home care provider.
Red Flash Invalid Shuts down The prescription Do not use the unit,
Prescription data is corrupted. call your home care
Call provider.
Provider
Red Flash Low Minute Operates Decreased breathing If you are having
Ventilation pattern or breathing respiratory distress
rate. or breathing
difficulties, call
your home care
provider.
Excessive leak or Check for the
blockage. following: dirty
inlet filters, blocked
air intake, excessive
leak in circuit. If
alarm continues,
call your home care
provider.

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34 Alarm Alarm Display What the Possible
LED Sound Message Unit Does Cause Your Action
Red Flash
Alarms

Low Pressure Operates Excessive leak or Check for the

blockage. following: dirty inlet
filters, blocked air
intake, excessive
leak in circuit. If
alarm continues, call
your home care
provider.
Red Flash Patient Operates Breathing circuit is Reconnect the
Disconnect disconnected or has circuit or fix the
a large leak. leak.
Red Flash Ventilator Shuts down Internal device Remove power
Inoperative failure. from the unit. Call
(Displays your provider.
Codes)
Red Flash Ventilator Shuts down Battery is Remove DC power
Inoperative discharged. source from the
Battery unit, replace the
Failure battery, restore
power to the unit;
or seek reliable AC
power source.
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Medium Priority Alarms 35

Alarm Alarm Display What the Possible

Alarms
LED Sound Message Unit Does Cause Your Action
Yellow Battery Operates Wrong or Remove DC power
Flash Voltage Too malfunctioning from the unit, use
High battery or charger. on AC or call home
care provider.

Yellow Low Battery Operates Battery nearly If on battery, find

Flash discharged. another; if on AC,
exchange the battery
and charge.

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36 Low Priority Alarms
Alarm Alarm Display What the Possible
LED Sound Message Unit Does Cause Your Action
Alarms

Yellow Battery in Operates On start-up, Press to confirm

Solid Use information that you wish to
message that battery operate on battery
is being used to power.
provide power.

Yellow Call for Operates Minor internal error. Continue to use,

Solid Service write down error
(Codes are code, call your
displayed) home care provider.

Yellow Momentary Operates Power was lost for Press to clear the
Solid Loss of less than 30 seconds information
Power while the unit was message.
providing therapy.

Yellow Power Operates Line (AC) power Check AC power,

Solid Failure, was lost, the unit is seek reliable power
Battery in now operating on source.
Use battery (DC) power.

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6 Troubleshooting 37

This chapter lists problems you could experience with

Troubleshooting
your Synchrony or mask, and presents possible solutions.

Problem Why it Happened What You Can Do

Does not operate when you press . If the power LED is off—no power at Check the outlet power and verify
the outlet or the Synchrony is that the Synchrony is plugged in.
unplugged.

If the power LED is on—problems in Contact your home care provider for
the Synchrony. service.

The air out of the mask is much Inlet filters may be dirty. Clean or replace the inlet air filters as
warmer than usual. described in Chapter 7. If the Syn-
The Synchrony may be operating chrony is in direct sunlight or near a
direct sunlight or near a heater. heater, move it. If the problem
persists, contact your home care
provider.

The room temperature may be Lower the room temperature. If the

too high. problem persists, contact your home
care provider.
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38 Mask Discomfort and Corrective Actions

Problem Why it Happened What You Can Do

Mask Problems

Mask feels uncomfortable to wear. 1. Improper headgear adjustment. Check the headgear adjustment as
described in the headgear
instructions.

2. Improper mask fitting. Contact your home care provider for

a refitting or a different size of mask.

Significant air leakage around the 1. Improper headgear adjustment. Check the headgear adjustment as
mask. described in the headgear
instructions.

2. Improper mask fitting. Contact your home care provider for

a refitting or a different size of mask.

Redness occurs when the mask 1. Improper mask fitting. Contact your home care provider for
cushion comes in contact with a refitting or a different size of mask.
the skin.
2. Improper mask cleaning. Be sure to thoroughly rinse after
cleaning to remove residue. See the
mask cleaning instructions.

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 39

Problem Why it Happened What You Can Do

Mask Problems
Redness occurs when the mask 3. Irritation or allergic reaction to Use a barrier between your skin and
cushion mask accessory comes in mask material. the mask, such as 3M’s Microfoam®
contact with the skin. or Squibb’s Duoderm®.

Sore or dry eyes.

1. Mask not positioned properly. Check the headgear adjustment as
described in the headgear
instructions.

2. Improper mask fitting. Contact your home care provider for

a refitting or a different size of mask.

Runny nose. Nasal reaction to air flow. Call your doctor.

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40
Problem Why it Happened What You Can Do

Throat or nose dryness. 1. Air is too dry. 1. Increase the room humidity.
Mask Problems

2. Consult with your doctor or home

2. Improper mask fitting. care provider about using a
Respironics humidifier with the
Synchrony.

Nasal, sinus or ear pain. Sinus or middle ear infection Stop using the Synchrony and
contact your doctor.

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7 Cleaning and Maintenance 41

Cleaning the Synchrony

Cleaning and Maintenance

Before cleaning or performing any routine maintenance,
always be sure the Synchrony is not operating and
disconnect the Synchrony from the power source.
NOTE: The following cleaning instructions are for the
Synchrony only. To clean the accessories, refer to
each accessory’s instruction sheet.

CAUTION: Do not immerse the Synchrony or allow

any liquid to enter the enclosure, inlet
filter, or any openings.

Clean the front panel and exterior of the enclosure as

needed using a cloth dampened with water and a mild
detergent. Allow the Synchrony to dry completely before
plugging in the power cord.

Gently wash the reusable circuit tubing in a solution of

warm water and a mild detergent. Rinse thoroughly and
allow to air dry.

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 42 Cleaning or Replacing the Inlet Filters

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The Synchrony has two removable filters at the air inlet.
The gray foam filter is washable and reusable. The
Inlet Filters

optional white ultra-fine filter is disposable.

NOTE: Dirty inlet filters may cause high operating

temperatures and may affect Synchrony perfor-
mance. Regularly examine the inlet filters as
needed for integrity and cleanliness.
Figure 7-1 Removing the Air Filter Cover
Step 1 Verify that the Synchrony is not operating, and
disconnect the power cord from the wall outlet.

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Step 2 As shown in Figure 7-1, remove the filter panel

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by pressing down on the top of the panel to
release the tabs, then swinging the panel out
from the Synchrony’s body.
Reusable Foam
Filter
Step 3 Remove the filters from the enclosure as shown
in Figure 7-2. The top filter is the reusable gray
foam filter. The bottom filter is the optional
disposable white ultra-fine filter. Disposable Ultra-fine
Filter

Step 4 Check the filters to see if they are dirty or torn.

Figure 7-2 Removing the Air Filters

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Step 5 If needed, wash the foam filter in warm water 43
and a mild detergent. Rinse the filter thoroughly
to remove all detergent residue. Allow the filter
to completely dry before reinstalling it. If the

Inlet Filters
foam filter is torn, replace it.

Step 6 If the ultra-fine filter is dirty or torn, replace it.

Step 7 Reinstall the filters, with the ultra-fine filter on
the bottom. Slide the filters into the air inlet at
the rear of the Synchrony and push them down
into the recess.

Step 8 Replace the filter panel.

Contact your home care provider to order filters.

NOTE: To clean the breathing circuit accessories, refer to

each accessory’s instruction sheet.

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44 8 Using Oxygen with the
Synchrony
Using Oxygen

If your doctor has prescribed oxygen to be used with your

Synchrony, follow these instructions to connect oxygen to
the breathing circuit.
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WARNING: If you are using oxygen, your

Synchrony must be equipped with the
optional oxygen valve, shown in Figure
8-1. Failure to use the oxygen valve could
result in a fire hazard. Contact your home
care provider if you require an oxygen
valve. Oxygen
Valve
WARNING: Oxygen supports combustion. Oxygen
should not be used while smoking or in (Optional)
the presence of an open flame.
Figure 8-1 Optional Oxygen Valve
WARNING: Turn off the oxygen supply when the
Synchrony is not in use.

To add oxygen to the circuit, the oxygen source must

comply with the local regulations for medical oxygen. The
oxygen flow into the oxygen valve cannot exceed 15 lpm
and the pressure cannot exceed 50 psi.
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Oxygen tubing from the oxygen valve can be connected 45
either to the mask or to an oxygen enrichment adaptor. If
using the adaptor, you must place it in the breathing circuit
between the air outlet of the Synchrony and the breathing

Using Oxygen
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circuit tubing. R

Circuit
From Oxygen
Tubing
Step 1 As shown in Figure 8-2, attach oxygen tubing Source
to the rear oxygen valve port. The oxygen
valve prevents oxygen from entering the Oxygen
Oxygen
Synchrony enclosure when the Synchrony Enrichment Valve
is stopped. Attachment

Step 2 Connect another section of oxygen tubing to Figure 8-2 Attaching oxygen tubing to the
the front valve port, then to the oxygen Synchrony
enrichment adaptor in the breathing circuit or
to one of the sample ports on the mask.

Step 3 Turn the Synchrony on before turning on the

oxygen supply.
Exhalation
Port
Step 4 Turn the oxygen flow on.
Oxygen Tubing
from Oxygen
Valve

Figure 8-3 Attaching oxygen tubing to mask port

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46 9 Using the Optional Modem

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If the optional modem has been installed in your
Synchrony, you may be asked to dial your home care 2
Using Optional Modem

provider and have the Synchrony send information using

your telephone line. You can send the data when the 1
machine is starting up or during therapy.

Sending Data at Startup

STEP 1 Plug a telephone line from the rear of the Figure 9-1 Connecting the Telephone Line
Synchrony to a convenient telephone outlet. See
Figure 9-1. SYSTEM SELF TEST
VER:1.00 10.0 HOURS
STEP 2 Connect the Synchrony to a power source and
press .

STEP 3 When the Self-Test screen appears (See Figure

9-2), press . Figure 9-2 Self-Test Screen

STEP 4 When the Dial Provider screen appears (Figure Dial Provider
9-3), press to select the Dial Provider
command, then press to contact the provider
and download information.
EXIT
(Continued on next page) Figure 9-3 Dial Provider Screen
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STEP 5 The SENDING REPORT screen appears as 47
shown in Figure 9-4. SENDING REPORT

The STATUS changes from “Dialing” to STATUS:Dialing

Using Optional Modem

“Connected” to “Complete” under normal ABORT
circumstances.
Figure 9-4 Sending Report Screen
If you press when ABORT is displayed in the
SENDING REPORT screen, the call will stop
and the STATUS line will go to
SENDING REPORT
STATUS: Complete.

STEP 6 When the data has been sent, the STATUS line STATUS:Complete
will change to Complete, and the ABORT line EXIT
will change to EXIT as shown in Figure 9-5.
Figure 9-5 Call Complete
STEP 7 Press to EXIT the SENDING REPORT
screen and return to the Dial Provider screen
(Figure 9-3). Press again to return to the self-
test screen.

If a problem occurs while attempting to send the data, the NOTE: If it is convenient, you may leave the Synchrony
STATUS line will tell you what the problem is. See the connected to the telephone outlet. It will not
following table for a list of the possible STATUS messages interfere with your telephone.
and what you can do.

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48 STATUS Possible
Message Cause What to Do
Using Optional Modem

No Modem Modem is not installed Call your home care provider.

properly.

No Dial Tone A phone is off the hook Press to exit, check the telephone line connection. Lift the receiver of
or telephone line is your telephone to make sure that you have a dial tone.
not working.

Line Busy The caregiver’s line is The unit will try to make the connection again after a slight delay. Press
in use. if you wish to stop the redialing. Your home care provider has set the
modem to try several times before stopping.

Send Failed 1. If occurs shortly after 1. Press to exit, contact your home care provider.
first try, the Synchrony
unit does not have a phone
number entered into it.

2. If occurs after many 2. Press to exit; try again later.

“Line Busy” and “Retry”
messages, the Synchrony
unit tried too many times,
with the line busy.

Table 9-1 Problems with Calling the Home Care Provider

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Sending Data During Therapy 49
CONTROLS: 2/2
STEP 1 Connect a telephone line to the Synchrony as
shown in Figure 9-1.

Using Optional Modem

Dial Provider
STEP 2 Press . The Synchrony displays the
CONTROLS screen, as shown in Figure 9-6. CPAP Controls

STEP 3 If the Dial Provider command is already CONTROLS: 2/2

selected (as shown by the indicator, press . Rise Time: 3
Otherwise, press to select the command, then
Dial Provider
press .

STEP 4 Follow Steps 5 to 7 on the page 45. S, S/T, T, PC Controls

Figure 9-6 Controls Screens

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50 10 Specifications

ENVIRONMENTAL
Specifications

Operating Storage

Temperature 41 °F to 95 °F -4 °F to 140 °F
Humidity 15 to 95% Relative 15 to 95% Relative
(non-condensing) (non-condensing)
Atmospheric Pressure 83 kPa to 102 kPa 50 kPa to 106 kPa
(5600 feet to sea level (20000 feet to sea level
at standard pressure) at standard pressure)

PHYSICAL
Dimensions: 12" L x 7" W x 6" H

Weight: Approximately 6 lb

ELECTRICAL
AC Voltage: 100 to 240 V , 50/60 Hz

DC Voltage: 12 V

AC Current: 1.25 A maximum

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 DC Current: 5.5 A maximum 51
Protection against electric shock: Class II

Specifications
Degree of protection against
electric shock: Type BF Applied Part

Degree of protection against

harmful ingress of water: Ordinary Equipment, IPX0

Modes of Operation: Continuous

Electromagnetic
Compatibility: The BiPAP Synchrony Ventilatory Support System meets the requirements of
EN 60601-1-2.

Fuses: There are no user-replaceable fuses.

PRESSURE
Outlet: 4 to 30 cm H2O

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52 CONTROL
ACCURACY
Specifications

Parameter Range Accuracy

IPAP 4 to 30 cm H2O ± 2 cm H2O*

EPAP 4 to 15 cm H2O ± 2 cm H2O*
CPAP 4 to 20 cm H2O ± 2 cm H2O*
Rate 0 to 30 BPM (PC and S/T); Greater of 1 BPM or ± 10% of setting when
4 to 30 BPM (T) measured over a four minute period.
UPGRADE
Timed Inspiration 0.5 to 3.0 sec ± 10% of setting + 0.1 sec
Rise Time 1 to 6, corresponding to 100 to 600 msec ± 25%*
Ventilation Ramp Disabled, 0.5, 1.0, 2.0, 3.0 cm H2O per breath ± (0.1 + 0.25 of setting) cm H2O/breath.
Measured over the full duration of the
programmed ramp.

*Measured at the patient end of circuit with a Whisper Swivel II exhalation port and no flow. Dynamic pressure
accuracy is ± 5 cm H2O measured at the patient end of the circuit with a Whisper Swivel II and varying flow conditions.

CONNECTORS
Respironics circuit connectors comply with ISO 5356-1.
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TRIGGERING 53
Respironics BiPAP® AutoTrak Sensitivity™

Specifications
ACCURACY OF MEASURED AND CALCULATED PARAMETERS

PARAMETER ACCURACY

Respiratory Rate Greater of ±1 BPM or ±10% of reading when measured over a four
minute period

Exhaled Tidal Volume ± (25 + 0.15 of reading) ml

Exhaled Minute Ventilation 15% of reading + 1 L/min

Leak Rate 15% of reading + 5 L/min

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54
Index
Index

A B
AC Indicator 17, 18 Bacteria Filter 22
AC Power Bi-Level Ventilation 13
Inlet 20 Breathing Circuit
Plugging 25 Complete 24
Accuracy Specifications 52 Connection 16, 22
Activity Indicator 18
Air Filter C
Cover 20 Carry Handle 16
Air Filters Cautions 7
Installing 21 Circuit Tubing 14
Alarm Indicators Cleaning and Maintenance 41
High Priority Alarm 18 Cleaning The Synchrony 41
Medium/Low Priority Alarm 18 Cleaning/Replacing the Inlet Filters 42–43
Alarms Comfort control 17
General Instructions 31 Communication Statement 9
High Priority Defined 11 Communications Port 20
Low Priority Defined 11 Connections
Apnea AC Inlet 20
Defined 11 Breathing Circuit 20, 22
Communications Port 20
DC Inlet 20

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 Rear Panel 20 D 55
Telephone Jack 20
Data
Contacting Respironics 15
Sending to Care Giver 46
Contents 5

Index
DC cord retainer 20
Contraindications 8
DC Indicator 17, 18
Control Keys 17
DC Inlet 20
Control Panel 16
DC Power 25
Controls and Indicators 17
Definitions
Details 17
Apnea 11
Control Screens
CPAP 11
S, S/T, PC, T Mode 28
EPAP 11
Controls
High Priority Alarm 11
Control Keys 17
IPAP 11
Down Key 17
Low Minute Ventilation 11
Enter Key 17
Low Priority Alarm 11
Ramp/Silence Key 17
OSA 11
Standby Key 17
Pressure Control Mode 11
Up Key 17
Ramp 11
Corrective Actions
Rise Time 11
Mask 38
Spontaneous Mode 11
Synchrony 37
Spontaneous/Timed Mode 12
CPAP
Timed Mode 12
Defined 11
Dialing with Modem 28
Monitoring Screen 27
Display 17
Display Indicators 18
Activity 18
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56 Navigation 19 H
Progress 19
Handle 16
Ramp 19
High Priority Alarm Defined 11
Selection 19
Index

Humidifier
Down Key 17
Placement 22
E I
Electrical Specifications 50
Indicators 18
Enter Key 17
AC 17, 18
Environmental Specifications 50
Activity 18
EPAP 13
DC 17, 18
Defined 11
Display 18
Exhalation Port 23
Medium/Low Priority Alarm 18
Expiratory Positive Airway Pressure 13
Navigation 19
F Progress 19
Ramp 19
Filters Selection 19
Air Filter Cover 20 Inlet Filters
Bacteria (Optional) 22 Cleaning/Replacing 42–43
Cleaning/Replacing 42–43 Inspiratory Positive Airway Pressure 13
Gray Pollen 21 Installing the Air Filters 21
Installing 21 Intended Use 8
Ultra-Fine 21 Interface 14
G Introduction 11
IPAP 13
Gray Pollen Filter 21 Defined 11
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L O 57
Limited Warranty 60 Operating 27
Location 22 Optional Oxygen Valve 16

Index
Low Minute Ventilation OSA, Defined 11
Defined 11 Oxygen
Low Priority Alarm Connecting 44
Defined 11 Optional Valve 16, 44
Valve 45
M
Maintenance 41 P
Mask 14 Package Contents 5
Mask Discomfort Physical Specifications 50
Corrective Action 38 Plugging the Unit In 25
Medium/Low Priority Alarm Indicator 18 Pressure Assist Mode Defined 11
Modem 46 Pressure Specifications 51
Communication Statement 9 Problems 37
Sending Data 46 Progress Indicator 19
Monitoring Screen Provider
CPAP 27 Dialing with Modem 28
S, S/T, PC, T Mode 27
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N Ramp
Navigation Indicator 19 Using 26
Ramp Defined 11
Ramp Indicator 19
Ramp/Silence Key 17
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58 Rear Panel 20 Standby Key 17
Respironics, How to Contact Us 15 Starting the Synchrony 26
Rise Time Symbols 15
Controlling 28 Synchrony
Index

Defined 11 Breathing Circuit 14

Cleaning 41
S Introduction 11
S, S/T, PC, T Mode Operating 27
Control Screens 28 Starting 26
Monitoring Screen 27 Touring 16
Screens Using 21
CPAP Monitoring 27 What it is 14
Monitoring 27 Where to Locate 22
S, S/T, PC, T Mode Monitoring 27
Selection Indicator 19 T
Sending Data 46 Telephone
Specifications Connecting the Modem 46
Accuracy 52 Telephone Jack 20
Electrical 50 Timed Defined 12
Environmental 50 Touring 16
Physical 50 Trigger Sensitivity 53
Pressure 51 Troubleshooting 37
Spontaneous Mode Tubing 14
Defined 11 Breathing Circuit 20, 22
Spontaneous/Timed Mode
Defined 12

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U 59
Ultra-Fine Filter 21
Up Key 17

Index
Using the Synchrony 21

V
Ventilation, Bi-Level 13

W
Warnings 6–7
Warnings, Cautions, and Notes 6–7
Warranty 60

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60 Limited Warranty
Respironics, Inc. warrants that the BiPAP Synchrony System shall be free from defects of workmanship and materials
and will perform in accordance with the product specifications for a period of one (1) year from the date of sale by
Respironics, Inc. to the dealer. If the product fails to perform in accordance with the product specifications, Respironics,
Inc. will repair or replace – at its option – the defective material or part. Respironics, Inc. will pay customary freight
charges from Respironics, Inc. to the dealer location only. This warranty does not cover damage caused by accident,
misuse, abuse, alteration, and other defects not related to material or workmanship.

Respironics, Inc. disclaims all liability for economic loss, loss of profits, overhead or consequential damages which may
be claimed to arise from any sale or use of this product. Some states do not allow the exclusion or limitation of
incidental or consequential damages, so the above limitation or exclusion may not apply to you.

This warranty is given in lieu of all other express warranties. In addition, any implied warranties—including any
warranty of merchantability or fitness for the particular purpose—are limited to one year. Some states do not allow
limitations on how long an implied warranty lasts, 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 state to state.

To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contact Respironics,
Inc. at:

1001 Murry Ridge Lane

Murrysville, Pennsylvania 15668-8550
1-412-731-2100