Philips Respironics proves again that advanced thinking can lead to simpler solutions. BiPAP autoSV Advanced blends sophisticated, clinically-proven technologies to help make even the most complicated sleep apnea cases easier to manage and treatment more effective than previously possible. Updated algorithms, enhanced by auto EPAP, continually monitor and adjust to changing patient therapy needs, while proven Bi-Flex technology enhances patient comfort for proven long-term efficacy. Complex challenges simplified; that's the advantage of BiPAP autoSV Advanced.

The Sandman Duo and the Sandman DuoST Bi-Level sleep therapy devices help improve comfort by automatically adjusting to patients' needs. They automatically reduce pressure during exhalation so breathing against incoming flow is more comfortable for the patient. Covidien's FlowSens technology lets clinicians customize insopiratory and expiratory sensitivity according to each user's unique breathing pattern. With Adaptive Pressure Stability, the devices automatically adjust to deliver a smooth and stable flow to the patient. Finally, the Sandman DuoST device has a backup rate feature that delivers a machine-triggered breath during an apnea or hypopnea. By optimizing patient comfort, users are more likely to comply with their treatment and improve their health.

 FEATURES:

Event detection capabilities (apneas, hypopneas, leaks) and AHI index

150 sessions of memory stored with "on time" pressure downloadable via USP port

38 sessions of memory stored on external card

Sandman therapy software provides:
Comprehensive patient efficacy data
Customizable reports
A PDF file converter

PERFORMANCE INFO

Improved flow generation for full face mask capability through a DSP microcontroller

Excellent automatic altitude/barometric compensation

I/E ration DuoST only

Inspiratory/expiratory sensitivity settings and rise time management (1-5 settings)

Back-up rate on Sandman DuoST

Patient comfort enhanced with patented FlowSens technology

EASE OF USE

Front-facing display screen

Large, backlit buttons

Automatic patient reminders

Automatic light dimmer

Only one cord for bi-level and heated humidifier

Ability to run on an external battery

 SPECIFICATIONS:

PERFORMANCE:
IPAP Pressure Output: 3 - 25 cm H2O
EPAP Pressure Output: 3 - 20 cm H2O
Flow Output: 190 LPM @ 20 cm H2O

Noise Level: 26 dB

Operation Mode: Bi-Level, CPAP

Ramp Duration: 0 to 45 min in 5 min increments

Ramp Start Pressure: 3 cm H2O to EPAP Pres.

PHYSICAL CHARACTERISTICS

Size: 6.9" W x 7.5" D x 4.7" H

Weight: 2.64 lbs with humidifier, 2.2 lbs without humidifier

Power Supply: 100-240 VAC, 50-60 Hz

Operating Altitude: 0 to 9,000 feet

$32.50

The new System One Series BiPAP Auto brings together a unique combination: Digital Auto-Trak, Bi-Flex and auto adjusting pressure. And, it's quite possibly the best way to improve sleep therapy Acceptance, Comfort and Results for the most challenging user.

Like the proven REMstar Auto, the BiPAP Auto with Bi-Flex features the same "multi-level" algorithm that uses two different sets of analytical parameters to keep track of a patient's breathing.

Initially, the primary analysis seeks out instances of flow limitation at inhalation by measuring the roundness, flatness, peak and shape of each breath. Based on changes in these measurements, the BiPAP Auto makes systematic, subtle changes on the patient's breathing patterns. It can also determine how much of a response is necessary to eliminates events and position the patient with a more appropriate pressure - as well as compensate for elevated leak levels and variable breathing.

A secondary set of analysis parameters determines the occurrence of breathing problems like apnea, hypopnea, snoring, variable breathing and elevated leak levels based on their effects on the patient's airflow signal. Once it detects one of these events, the secondary analysis immediately begins to ramp up the pressure to a point that eliminates or compensates for the event.

While the multi-level algorithm makes sure you are receiving effective therapy, Bi-Flex makes therapy more comfortable. Bi-Flex technology is a more natural way to deliver bi-level therapy that softens airflow delivery at the end of inhalation and beginning of exhalation. Patient-adjustable settings of "1", "2", and "3" provide progressively increased pressure relief to best meet individual needs.

This more comfortable approach to bi-level therapy has been shown to deliver a higher level of therapy success for your most difficult patients. One study* showed that 54% of non-compliant CPAP patients could adhere to their therapy when introduced to Bi-Flex. The BiPAP Auto gives you your best chances of repeating these results with you by giving you superior technology without additional to you.

$225.00

$11.85

$14.22

Designed specifically for most popular CPAP machines, the Super CPAP battery backup system allows people with Sleep Apnea to rest easy anywhere in the world. Stop searching for an AC wall outlet and rearranging the hotel furniture to position the bed within reach of a wall plug. Super CPAP's newest external power solution opens up a world of travel possibilities.

AIR TRAVEL: The lightweight Super CPAP battery is small enough to take on a red-eye flight and powerful enough to keep CPAP machines running throughout long flights. The leather travel case and international AC charger makes an ideal travel companion.

Looking for a small, sleek, ultra-portable, and affordable way to power your CPAP or BiPAP? Need a backup for your CPAP or BiPAP in case of power failure? Look no further than the new Super Battery Pack from Super CPAP. This CPAP battery is sure to work with your device and provide a full night's sleep without recharging.

VPAP™ Auto 25 is a compact bilevel device designed to deliver effective therapy as naturally and comfortably as possible. VPAP™ Auto 25 combines the clinically proven AutoSet™ algorithm with the supreme comfort of ResMed's Easy-Breathe technology to make breathing easier for patients with obstructive sleep apnea (OSA), noncompliant CPAP users, and those who require additional ventilatory support.

BIG PERFORMANCE IN A SMALL PACKAGE
The system is exceptionally compact and convenient, and out-performs bulky products offered by competitors. VPAP™ Auto 25 is ideal for travel or home use.

 Quiet Comfort with Easy-Breathe Technology
Featuring Easy-Breathe, ResMed's new comfort technology, VPAP™ Auto 25 offers nearly silent therapy and greather pressure stability so patients sleep comfortably throughout the night. VPAP™ Auto 25 uses Easy-Breathe pressure delivery and synchronizes with the patient's normal respiration so that breathing feels more natural and comfortable.

Simple Setup
The carefully selected default settings and auto-adjusting VAuto mode provide a one-touch setup that is appropriate for many patients.

Traditional spontaneous bilevel therapy is also available along with ResMed's Vsync and

 TiControl breath synchronization features for proven, reliable bilevel therapy treatment.

Proven Technology, Effective Treatment
VAuto mode uses AutoSet™ Technology to automatically adjust to a patient's pressure needs as they vary throughout the night. With ResMed's clinically proven AutoSet™ algorithm, VPAP™ Auto 25 is able to detect flow limitations and act preemptively to prevent apneic and snoring events.

Equipped with three modes (VAuto, S and CPAP), VPAP™ Auto 25 is the most versatile device available and is compatible with the S8 ResLink, H4i™, ResScan and S8 ResTraxx.

Unlike traditional bilevel, VPAP™ Auto's smooth pressure profile feels more natural so that breathing is more comfortble. The smooth pressure waveform featured in ResMed's VPAP™ Adapt SV is ideally suited for noncompliant CPAP patients as well.

In addition to the new Easy-Breath technology, VPAP™ Auto sychronizes with patients' breathing patterns using ResMed's trusted Vsync and TiControl technologies to deliver naturally comfortable bilevel therapy.

 Gold Standard AutoSet™ Technology

ResMed's gold standard AutoSet™ algorithm makes the VPAP™ Auto a truly versatile auto-adjusting bilevel designed to meet the unique needs of noncompliant CPAP users. OSA patients and those who require additional pressure support. VAuto, the VPAP™ Auto's algorithm, always ensures the lowest pressure necessary to treat apneic events, resulting in the most comfortable therapy for patients so that they remain compliant with their treatment. Unlike competitive technologies, VAuto responds to inspiratory flow limitation and the patient's pressure needs on a breath-by-breath basis and responds preemptively to prevent most apneic and snoring events.

 FEATURES:

Modes of operation:
VAuto
S ( Spontaneous)
CPAP (with EPR)

Product features:
Simplified standard setting menu
Vsync automatic leak management
TiControl
Adjustable breath trigger/cycle
Adjustable exhalation comfort
12 VDC input (via converter)
Auto-adjusting bilevel pressures
Compact S8 design
AutoSet™ technology
Easy-Breathe pressure delivery
Optional, fully integrated heated humidification

Data storage:
Usage and treatment summary (day, week, month, six months, year)
Usage profile
Summary data storage
Detailed data storage
Remote settings adjustment

Data transfer:
Direct download to PC
ResLink via Smart Media Card
ResScan Data Card
Live oximetry with ResLink

 SPECIFICATIONS:

Performance:
Operating pressure range: 3 to 25 cm H2O
Maximum single fault pressure: 30 cm H2O

Dynamic pressure characteristics:
VAuto mode: 4 to 25 cm H2O (Pressure support 0 to 10 cm H2O)
S mode: IPAP: 4 to 25 cm H2O; EPAP 3 to 25 cm H2O
CPAP Mode: 4 to 25 cm H2O

Sound pressure level:
<26 dB (tested in accordance with the requirements of ISO

Data Storage:
Data includes usage, leak, pressure, AHI, AI, tidal volume, respiratory rate and minute ventilation.

Via LCD Menu: 365 sessions of summary data, 30 session of detail data
Via ResLink: 365 sessions of summary data, 30 sessions of detail data
Via ResScan Data Card: 180 sessions of summary data, two sessions of detailed data

Dimensions (L x W x H): 4.4" x 6.5" x 5.7"

Weight: 2.9 lbs

Power Supply: Input range 100-240 VAC, 50/60 Hz, 60VA (typical power consumption), <350 VA (maximum power consumption)

Now with 30% more humidity, ResMed's latest technology ensures the H4i™ heated humidifier delivers the most humidity output of an integrated device. The H4i™ clicks easily into place and supports ResMed's full S8 platform---from entry-level CPAP to premium VPAP™ bilevels. The compact design is unobtrusive in the bedroom and easily packed for travel.

It is designed to offer relief from the symptoms of dryness and congestion associated with CPAP therapy without compromising therapy effectiveness or ease of use. The flip-top lid design eliminates the need to remove the tube for refilling. The seamlessly integrated unit simply snaps into place whenever required and is powered by ResMed's S8 devices--no additional power cords or cables required. The easy-to-use dial control and power-on light plus heating indicator are other user-friendly features of the H4i™.

Up to 40% of nasal CPAP users experience nasal congestion and dryness of the nose and throat. Research proves that the warm, moist air that humidification provides can relieve symptoms of dryness and make therapy more comfortable. In fact, compliance gains may be realized sooner if patients start with heated humidity at CPAP initiation.

Studies show that ResMed's HumidAire 4i and H4i™ humidifiers outperform competitive products, making ResMed's devices more effective not only with humidification, but al;so further enhancing therapy comfort and compliance

The H4i™ is specifically designed to produce greater humidification outputs to support the higher pressure delivered during bilevel therapy. However, bot the H4i™ and H4i™ are more than adequate for CPAP and APAP.

 
© ResMed 2010 Used with Permission

1 Richards et al. Am J Respir Crit Care Med 1996
2 Massie et al. Chest 1999
3 Rakotonanahary et al. Chest 2001
4 Neill et al. Eur Respir J 2003

Tested to ISO 8185, at 10 cm H2O bias flow and maximum device output

$232.00

 Integrated Humidification

The high flow of air during positive pressure application may cause dryness in the nasal and upper airway and Nasal Airway Resistance (NAR). This discomfort may increase in the presence of leak and may even result in non-compliance with the therapy.

VPAP™ III offers a convenient and effective solution - an optional, integrated humidifier -- the HumidAire 2i. Humidification helps to alleviate discomfort and relieves symptoms such as nasal stuffiness, mouth dryness, and thick nasal secretions.

The Optional HumidAire 2I module is small and portable. It is designed for easy attachment and detachment to suit therapy requirements for varying symptoms and seasons.

 HumidAire™ 2i Integrated Heated Humidifier

HumidAire 2iC Integrated Passover Humidifier

HumidAire Standalone Heated Humidifier

HumidAire Upgradeable Passover Humidifier

AutoScan Software

$1,865.00

$232.00
$12.71
$5.60
$6.78

$56.94

$260.00

$8.67

$38.05

 OBSTRUCTIVE SLEEP APNEA

OSA is the absence of airflow due to an occlusion in the upper airway that lasts at least 10 seconds in spite of continual effort to breathe. Severity is measured by the Apnea/Hypopnea Index (AHI) -- the number of episodes per hour of sleep.

 COMPLEX SLEEP APNEA

Complex sleep apnea is a condition tht occurs when a patient is identified as having OSA, but with the application of Continuous Positive Airway Pressure (CPAP) to eliminate the OSA, the patient develops Central Sleep Apnea. The cause of complex sleep apnea is not known at this time.

 CENTRAL SLEEP APNEA

Central Sleep Apnea is a pattern of breathing characterized by deep inspiratory cycle interchanged with complete cessation of breathing. It is typically caused by problems with how the brain controls breathing rather than an occlusion of the airway.

 PERIODIC BREATHING

Periodic breathing is defined as alternating periods of hyperventilation with waxing/waning tidal volume and periods of central hypopneas or apneas. There are many forms of periodic breathing, one of which is Cheyne-Stokes Respiration (CSR) CSR is characterized by a cyclic pattern of waxing and waning during periods of apnea, and deep rapid breathing.

  HOW THE BiPAP autoSV WORKS

The BiPAP autoSV sleep therapy system delivers optimal therapy for complicated sleep-disorderd breathing patients utilizing a multilevel algorithm. On a breath-by-breath basis, the revolutionary algorithm uses Digital Auto-Trak Sensitivity to change pressure support, when necessary, to maintain a stable breathing pattern. In addition to this breath-by-breath adjustment of pressure support, the BiPAP autoSV algorithm also calculates the patient's spontaneous breathing rate and will automatically trigger a breath should the patient have an apnic event. This algorithm rapidly helps normalize respiration and return the pressure to the minimum required therapy pressure once ventilation has been normalized

In addition to the revolutionary algorithm, the BiPAP autoSV sleep therapy system also offers other proven Respironics technologies such as optional integrated heated humidification and built-in digital data storage using Respironics Encore SmartCard and Encore Pro Data Management Software.

 SPECIFICATIONS:

Press. Range: IPAP Max 4cm H2O to 30 cm H2O
IPAP Min 4cm H2O to 30 cm H2O
EPAP 4cm H20 to 25 cm H2O

Breath Rate: Auto, 4-30 BPM, Off

Dimensions: 9.75" (l) x 6.63" (w) x 4.40" (h)

Weight: 4 lbs

Filters:

$5,250.00

$5,367.00

The BiPAP® AVAPS™ is a compact and lightweight noninvasive ventilator that is simple to operate, offering a straightforward user interface and an integrated heated humidifier that allows for easier set-up and management

Average Volume Assured Pressure Support — AVAPS™ — is a revolutionary method of ensuring the delivery of a consistent tidal volume to patients requiring ventilatory support. AVAPS uses an algorithm that estimates the patient's tidal volume over several breaths. The algorithm calculates the change in pressure needed to achieve the target tidal volume then slowly increases or decreases the IPAP pressure to achieve the proper pressure support. AVAPS™, therefore, adapts to disease progression and changes to meet the patient's specific needs while achieving patient comfort and safety.

 Features:

With Average Volume Assured Pressure Support (AVAPS™), inspiratory pressure automatically changes to ensure the set tidal volume.

AVAPS™
Adapts to changing patient needs
Improves patient's ventilation efficacy and comfort
Increases safety by delivering an average tidal volume
Makes the titration process easier
Who potentially benefits from AVAPS™ technology?
Restrictive patients benefit because AVAPS™ provides the comfort and leak compensation of a pressure mode and the safety of a guaranteed volume.
Obese hypoventilation patients benefit because the algorithm compensates for changes in body position and maintains ventilation.
COPD patients benefit because AVAPS™ achieves a combination of ventilation comfort and efficiency without compromise. The algorithm applies the right pressure at the right time.

AVAPS that automatically adapts to a patient's changing needs
Digital AutoTrak™ Sensitivity
Respironics' proven BiPAP® bi-level technology
Respironics Encore® SmartCard® for use with Encore®Pro Data Management Software
Integrated alarms

$5,350.00

$5,467.00

It's the newest addition to Respironics home noninvasive ventilator fleet. The compact and lightweight unit is simple to operate offering a straight forward user interface and an integrated heated humidifier for easier set-up and management. The unit also is the first noninvasive device to combine Respironics' proven BiPAP® technology with SmartCard® Sensitivity, adjustable riseTime, and integrated alarms.

$3,733.00

$3,850.00