Respironics Tranquility Quest Plus User manual

Brand: Respironics

Model: Tranquility Quest Plus

Type: User manual

Tranquility Quest Plus

Service Manual

Tranquility Quest Plus CPAP System Service Manual

Tranquility Quest® Plus CPAP System is patent pending.

Tranquility Quest Plus CPAP System Service Manual

1003740

Limited Warranty

Respironics warrants that the Tranquility Quest Plus CPAP System shall be free from defects of workmanship and materials and will

perform in accordance with the product specifications for a period of two years from the date of sale by Respironics. If the product fails

to perform in accordance with the product specifications, Respironics will repair or replace—at its option—the defective material or part.

Respironics will pay customary freight charges from Respironics to the dealer location only. This warranty does not cover damage

caused by accident, misuse, abuse, alteration, and other defects not related to materials or workmanship.

Respironics 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 warranty, including any warranty of

merchantability or fitness for the particular purpose, is limited to two years. 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.

The warranty for repairs is 90 days for labor and one year on the part(s) that was replaced.

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

Visit Respironics Home Page on the World Wide Web at:

www.respironics.com

Table of Contents

Tranquility Quest Plus CPAP System Service Manual

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Table of Contents

Chapter 1: Warnings, Cautions,

and Notes

1.1 Warnings ....................................................... 1

1.1.1 Safety ............................................................. 1

1.1.2 Operational ................................................... 1

1.1.3 Service ........................................................... 2

1.1.4 Cleaning ........................................................ 2

1.2 Cautions ........................................................ 2

1.3 Notes ............................................................. 3

Chapter 2: Specifications

2.1 Specifications................................................ 4

Chapter 3: Theory of Operation

3.1 Functional Description ............................... 5

3.2 Block Diagram.............................................. 6

Chapter 4: System Setup

Procedures

4.1 Pressure and Ramp Settings....................... 7

Chapter 5: Routine Maintenance

5.1 Cleaning the System.................................... 8

5.2 Cleaning / Replacing the

Intake Filters................................................. 8

5.3 Preventive Maintenance Schedule

(Factory Recomended)................................ 9

Chapter 6: Troubleshooting

6.3 Troubleshooting Table ................................... 10

Chapter 7: Repair & Replacement

7.1 Service Notice............................................. 16

7.2 Technical Support Statement ................... 16

7.3.1 System Exploded View ............................. 17

7.4 Repair Kits .................................................. 18

7.5 Repair Identification Photo’s ................... 22

Chapter 8: Testing

8.1 System Final Test ....................................... 27

8.2 System Final Test Data Sheet ................... 29

8.3 Clinical Remote Control Testing

(Optional).................................................... 30

8.4 Clinical Remote Control Test Data Sheet

(Optional).................................................... 31

Table of Contents

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Appendix A: Tools and Equipment

A.1 Service Tools and Supplies....................... 32

A.2 Acceptable Test Equipment...................... 32

A.2.1 Digital Manometer .................................... 32

A.2.2 Digital Multimeter ..................................... 33

Appendix B: Schematics

B.1 Schematic Statement ................................. 34

B.2 Main Printed Circuit Assembly

(PCA)........................................................... 35

Table of Contents (Continued)

Chapter 1: Warnings, Cautions, and Notes

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Chapter 1: Warnings, Cautions,

and Notes

WARNING: Indicates the possibility of injury to the patient,

operator, or technician.

CAUTION: Indicates the possibility of damage to the device.

NOTE: Places emphasis on an operating characteristic.

1.1 WARNINGS

1.1.1 Safety

• This device is intended for adult use only.

• This device is not intended for life support or life

sustaining applications.

• The instructions in this manual are not intended to

supersede established medical protocols.

1.1.2 Operational

• This warning applies to most Continuous Positive

Airway Pressure (CPAP) devices. At low CPAP

pressures, the air flow through the exhalation port

may not be enough to clear all of the exhaled gas

(CO2) from the mask. You may breathe in some of

the air that you have exhaled.

• If oxygen is used with this device, the oxygen flow

must be turned off when the device is turned off. If

the device’s air flow is turned off and the oxygen

flow is left on, oxygen may accumulate in the

Tranquility Quest Plus CPAP System enclosure and

may create a risk of fire. This warning applies to

most types of CPAP devices.

• When supplemental oxygen is used at a fixed flow

rate, inhaled oxygen concentrations will vary

depending on pressure settings, patient breathing

patterns, mask selection, and leak rate.

• Oxygen supports combustion. Do not use oxygen

in the presence of open flames, cigarette smoke,

electrical spark, or other sources of ignition.

• This device is not suitable for use in the presence of

a flammable anesthetic mixture with air or with

oxygen or nitrous oxide.

Chapter 1: Warnings, Cautions, and Notes

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• In situations where risk of contamination between

the user and the device is high (e.g.: sleep lab

devices; rental devices; users with respiratory

infections), a low-resistance, main flow bacteria

filter should be placed in-line between this device

and the circuit.

• Most CPAP devices have the potential to induce

rebreathing of exhaled air. To reduce this potential,

use only Respironics circuit accessories, do not

wear the mask and headgear for more than a few

minutes while the unit is not operating, and do not

block or try to seal the vent holes in the exhalation

port.

1.1.3 Service

• Electronic components used in this device are

subject to damage from static electricity. Repairs

made to this device must be performed only in an

antistatic, Electro-Static Discharge (ESD) protected

environment.

• To assure the safety of the service technician and

the specified performance of the device,

Respironics recommends that only technicians

having prior training or experience servicing

ventilatory devices perform any repairs or adjust-

ments to the Tranquility Quest Plus.

• High voltages are present inside this device. To

avoid electrical shock, disconnect the electrical

supply before attempting any repairs on the device.

1.1.4 Cleaning

• To avoid electrical shock, disconnect the electrical

supply before cleaning the Tranquility Quest Plus.

DO NOT immerse this device into any fluids.

1.2 CAUTIONS

• Federal law (U.S.) restricts this device to sale by, or

on the order of, a physician.

• Care should be taken to avoid exposure of the

Tranquility Quest Plus to temperatures at or near

the extremes of those specified in Chapter 2. If

exposure to such temperatures has occurred, the

device should be allowed to return to room tem-

perature before being turned on.

• Always use an intake filter when the Tranquility

Quest Plus is in use.

• Never place liquids on or near the Tranquility

Quest Plus.

Warnings (Continued)

Chapter 1: Warnings, Cautions, and Notes

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• Discontinue using this device if any of the parts are

damaged. Replace any damaged parts before

continuing use.

• The information in this manual is provided for

service personnel reference and is not intended for

system setup or use. System setup should be

performed by appropriate personnel using Home

Care Dealer Instructions.

1.3 NOTES

• Refer to the Tranquility Quest Plus User’s Manual

for product use, additional warnings, cautions, and

notes.

Additional WARNINGS, CAUTIONS, and NOTES are located

throughout this manual.

Cautions (Continued)

Chapter 2: Specifications

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ELECTRICAL:

AC Input Voltage................................... 85 - 260VAC; 47-63Hz

AC Current Consumption .................... 1.0 A maximum

Power Consumption ............................. 75 VA maximum

Class......................................................... IIa

Type ......................................................... Type BF

RAMP:

Minimum Ramp Pressure............. 3.0 - 20.0 cm H2O

Ramp Resolution.............................. 1.0 cm H2O

Ramp Time ....................................... 0 - 30 minutes

Ramp Time Resolution ................... 5 minute increments

PRESSURE:

CPAP Pressure ....................................... 3.0 – 20.0 cm H2O

Readout Resolution ............................... 1.0 cm H20

Accuracy, Static ...................................... +1.0 cm H2O for flows between

-60 to + 120 L/min.

Accuracy, Dynamic ............................... + 1.5 cm H2O for flows between

-60 to + 120 L/min.

Chapter 2: Specifications

2.1 Specifications

ENVIRONMENTAL:

Operating Temperature ........................ 41 to 104°F (5 to 40°C)

Storage Temperature............................. -4 to 140°F (-25 to 60°C)

Humidity ................................................ 10 to 95% non-condensing

Altitude ................................................... 0 - 10,000 ft (0 - 3048 m)

Noise Level ............................................. No specification is given

because various test instru-

ments, test procedures, and unit

operating conditions produce

varying results.

PHYSICAL:

Dimensions ............................................. 9.5” (L) x 7.75” (W) x 5.0”(H)

(24.1 x 19.7 x 5.0cm)

Weight ..................................................... 4.9 lbs (2.2 kg)

FUSE:

Fuse Type ................................................ T1A, 250v, 5 x 20 mm

(Respironics P/N 1004092)

Chapter 3: Theory of Operation

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The ramp feature lets the user reduce the pressure from the unit so

that the patient can fall asleep at a lower, more comfortable pressure

at any time or as many times as needed during the night.

The patient circuit is made up of the flexible tubing, exhalation port,

and nasal mask. The unit applies CPAP to the patient’s upper

airway to keep the airway open during the sleep. Air flow gener-

ated from the unit is directed to the patient via a mask and flexible

tubing that connects to the air outlet port of the unit.

The Tranquility Quest Plus is intended to deliver CPAP therapy

only. It is not intended for life support or life sustaining applica-

tions.

Chapter 3: Theory of Operation

3.1 Functional Description

The Tranquility Quest Plus is a microprocessor-controlled Continu-

ous Positive Airway Pressure (CPAP) device that produces positive

pressure. The unit operates only in the CPAP Mode. CPAP Mode

pressure range: 3.0 – 20.0 cm H2O.

Integral to the generation of air flow is the blower assembly. Ambi-

ent air is drawn through the air intake filter by the energized blower

and is then pressurized. Ultimately, therapeutic pressure is pro-

vided to the patient via the patient circuit. The microprocessor

regulates the motor speed, which in turn adjusts and controls the

pressure.

The Tranquility Quest Plus’s control pad, which includes three push

buttons and an LCD display is the primary means by which the

patient therapy is controlled. Patients have limited access to unit

parameters.

The unit may be powered from AC voltage (100-240 VAC). AC

power enters the unit via an AC inlet and appropriate power cord.

The two system filters, the pollen and the ultra-fine, ensure opti-

mum operation for the user. An air outlet port allows for connec-

tion to the patient circuit.

Chapter 3: Theory of Operation

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Tranquility Quest Plus

Main PCA

Control Pad

(3 Pushbuttons)

Air Outlet

Optical

Connection

Tranquility Quest Plus

3.2 Block Diagram

Chapter 4: System Setup Procedures

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Chapter 4: System Setup

Procedures

NOTE: This section provides directions for accessing the

Therapy Menu. Prescribed therapy settings can

only be set using the Therapy Menu. (To prevent

patients from tampering with the settings, the

directions to access the Therapy Menu should not

be revealed to the patient.)

CAUTION: If the Tranquility Quest Plus CPAP System has

been exposed to either very hot or very cold

temperatures, allow it to adjust to room

temperature (approximately one hour) before

beginning setup.

4.1 Pressure and Ramp Settings

The pressure and ramp settings for the unit are set using the

Control Panel on the bottom of the unit. When not in use the

Control Panel display will show the current compliance meter

reading for the unit. This reading will reflect the total number of

hours that the patient has been breathing on the unit.

With the unit turned on and looking at the bottom, press the up

and down arrow button simultaneously for three seconds and the

pressure and ramp setting will be displayed. The Minimum

Pressure setting will now be flashing. Press the up or down arrow

button to change the setting. Press the mode button to move to the

ramp setting. Press the up or down arrow button to change the

setting. The setting is implemented immediately when the up or

down button is pressed. Press the mode button for three seconds

to lock the controls.

The display will revert to the compliance meter display 60 seconds

after the last time a button has been pushed. The settings can only

be changed if they are flashing, otherwise they are locked.

Chapter 5: Routine Maintenance

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Chapter 5: Routine Maintenance

5.1 Cleaning the System

WARNING: To avoid electrical shock, disconnect the electrical

supply before attempting to clean the Tranquility

Quest Plus. DO NOT immerse the unit in water or

allow any liquid to enter the cabinet or the filter

intake.

Wipe the outside of the unit with a cloth slightly

dampened with water and a mild detergent. Let the

unit dry before reconnecting the electrical supply.

5.2 Cleaning / Replacing the

Intake Filters

The gray pollen filter is a reusable filter that screens out pollens and

some household dust. This filter should be cleaned at least once

every two weeks under normal usage, or as required, and replaced

with a new one every six months. The pollen filter must be in place

at all times when the unit is operating.

The disposable white ultra-fine filter increases filtration of pollens,

dust, some tobacco smoke, and small particles. The ultra-fine filter

is included with the system, but is optional and should be used in

addition to the pollen filter. The ultra-fine filter should never be

used without the pollen filter. Replace the ultra-fine filter after 30

nights of use or sooner if it appears dirty. DO NOT clean the ultra-

fine filter.

CAUTION: Failure to replace a dirty filter may cause the device

to operate at higher then normal temperatures and

damage the device.

CAUTION: The pollen filter must be completely dry before

use. Never place a wet filter into the device.

Respironics recommends that you clean the filter in

the morning and alternate using the two pollen

filters provided with the system to ensure enough

drying time for the cleaned filter.

Chapter 5: Routine Maintenance

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Tranquility Quest Plus CPAP System Preventive Maintenance Schedule (Continued)

5.3 Tranquility Quest Plus Preventive Maintenance Schedule (Factory Recommended)

Model No. _____________ Serial No. ______________________ Date____________ Service Technician ________________

Maintenance Item Verification Reference Service Interval Date

Record hours of Display As desired

compliance

Replace Pollen filter Section 5.2 Clean every two weeks, or as

required;

Change every six months

Replace Ultra-fine filter Section 5.2 Replace after 30 nights of

(if used) use (sooner if it appears dirty)

Perform Testing Process Section 8.1 After service is performed

Cleaning Section 5.1 As required

Chapter 6: Troubleshooting

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6.1 Troubleshooting Table

Symptom Cause Verification Corrective Action

Indicator -

LED or other indicator not

working. LED / Main PCA Visual Replace Main PCA

Replace in order until

solved:

• Display PCA

• Main PCA

 Ribbon Cable

Intermittent Power Supply

Problem -

An intermittent on / off

condition exists, unit operates

randomly, or indicator

lights blink sporadically.

• Power cord, AC inlet,

Main PCA, loose

connections.

• Power Supply PCA.

Inspect power cord. Inspect

all connectors on

the PCAs.

• Power Cord

• Power Supply PCA

Display -

Display is blank or contains

erroneous information. Unit

delivers therapy pressure.

• Display assembly

• Main PCA

Inspect the cable between

the display and the main

control board for loose

connection.

Chapter 6: Troubleshooting

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Odor -

Noise - Turn unit over and inspect

the bottom for missing or

damaged rubber feet.

Troubleshooting Table (Continued)

Symptom Cause Verification Corrective Action

Missing or damaged rubber

foot on bottom of unit,

blower malfunctioning.

Replace Blower.

Tubing smells new, unit

smells new, airborne residue

buildup.

Visually inspect patient

tubing for contamination. Run unit in a clean environ-

ment for a few hours to

eliminate new smell. Wash

tubing with soap and water.

To clear residue build-up,

replace all subassemblies in

the patient air stream

(blower, filters, patient

circuit).

Chapter 6: Troubleshooting

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Troubleshooting Table (Continued)

Outlet air temperature -

The outlet air temperature is

too warm.

Filters dirty, blower, Main

PCA. Ensure the filter is clean

and not restricting air flow.

Monitor the outlet air tem-

perature at the end of the

six foot tubing. A rise in

temperature can be expected.

Ensure the unit is not next to

any heat source.

Symptom Cause Verification Corrective Action

Replace in order until solved:

• Filter(s)

• Blower

• Main PCA

Pressure Related Problems -

The outlet pressure does not

change or properly adjust.

Pressure tubing has been

blocked, disconnected, or

kinked. Main PCA or

blower malfunction.

Inspect pressure tubing for

secure connections and

kinks. Check blower for air

leaks.

• Secure pressure tubing

connections.

• Replace blower, pressure

tubing, or Main PCA as

required.

Chapter 6: Troubleshooting

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Pressure Offset -

Static pressure fluctuates

Troubleshooting Table (Continued)

The delivered pressure is

higher or lower than the set

value by more than the

specification

Perform power up process

and check again. • Check tubing for kinks.

• Replace the Main PCA.

Symptom Cause Verification Corrective Action

Ramp LED Flashing Device not calibrated Unable to turn unit on. Replace the Main PCA.

Chapter 6: Troubleshooting

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Ramp Pressure -

The pressure does not ramp

correctly.

Troubleshooting Table (Continued)

• No ramp time prescribed.

• Main PCA.

• Ramp button not

functioning.

Make sure the patient's

prescription specified

ramp. Make sure unit was

set for ramp.

 Set unit for ramp.

 Replace Main PCA.

Pressure Variation - The

pressure varies around the

set value, pressure fluctuates

greater than 1 cm H2O.

• Internal air leak

• Filters dirty

• Main PCA, Blower

• Air path blocked

 Replace filters

 Perform Testing Process

(see Section 8.1)

 Replace Blower.

 Replace Main PCA

Symptom Cause Verification Corrective Action

Compliance Meter Not

Updating Main PCA Time not updating. Replace Main PCA

Chapter 7: Repair & Replacement

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Chapter 7: Repair

Information

7.1 Service Notice............................................ 16

7.2 Technical Support ..................................... 16

7.3 Tranquility Quest Plus CPAP System

Exploded View.......................................... 17

7.4 Tranquility Quest Plus CPAP System

Repair Kits ................................................. 18

7.5 Repair Identification Photo’s .................. 22

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Respironics Tranquility Quest Plus User manual

Respironics Tranquility Quest Plus User manual

Respironics Tranquility Quest Plus User manual

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