Global leaders in sleep and respiratory medicine 1 VPAP IV/ST June 08 © ResMed VPAP TM IV and VPAP IV TM ST Product Training VPAP is a trademark of ResMed

1 VPAP IV/ST June 08 © ResMed Global leaders in sleep and respiratory medicine

VPAPTM IV and VPAP IVTM ST

Product Training

VPAP is a trademark of ResMed Ltd and registered in U.S. Patent and Trademark Office.

2 VPAP IV/ST June 08 © ResMed

What treatment does it provide?

• Type of therapyCPAP and bilevel pressure support.

* 4 – 20 cmH2O in CPAP mode

** 4 – 25 cmH2O in German VPAP IV 26013

• Type of patients– Respiratory Insufficiency and Obstructive Sleep Apnea– Patients in the hospital and home

• Type of therapyCPAP and bilevel pressure support.

* 4 – 20 cmH2O in CPAP mode

** 4 – 25 cmH2O in German VPAP IV 26013

• Type of patients– Respiratory Insufficiency and Obstructive Sleep Apnea– Patients in the hospital and home

Product Therapy mode Pressure

VPAP IV CPAP, S 2 – 25 cmH2O* **

VPAP IV ST CPAP, S, ST, T 2 – 25 cmH2O*


VPAP IV and VPAP IV STTrusted VPAP performance now in Easy-Breath Technology platform

• Half the size, light and compact• Whisper-quiet performance• Faster rise time, enhanced new Vsync • ResScan data card, Reminders, Review menu


Features

Compact, powerful and comfortable– Popular S8 design

– Powerful: More than 140 L/min flow at 25 cmH2O

– Easy-Breath Technology Whisper-quiet High performance motor

– ResScan data card

– New Vsync algorithm

– Safer with supplemental oxygen

– Fine tuning with TiControl and 5 levels of trigger and cycling sensitivities

Compact, powerful and comfortable– Popular S8 design

– Powerful: More than 140 L/min flow at 25 cmH2O

– Easy-Breath Technology Whisper-quiet High performance motor

– ResScan data card

– New Vsync algorithm

– Safer with supplemental oxygen

– Fine tuning with TiControl and 5 levels of trigger and cycling sensitivities


S8 design - half the sizeof VPAP III series

• From 2.3 kg to 1.3 kg

• Popular and compact S8 form – common look and feel

• Pressure range 2 – 25 cm H2O

• Better pneumatic performance (more flow, faster rise time)

• From 2.3 kg to 1.3 kg

• Popular and compact S8 form – common look and feel

• Pressure range 2 – 25 cm H2O

• Better pneumatic performance (more flow, faster rise time)


Compatible with leading ResMed masks

Nasal Pillows– Mirage Swift™, Mirage Swift™ II

Nasal Pillows– Mirage Swift™, Mirage Swift™ II

Nasal Masks– Mirage Micro™ – Ultra Mirage™, Ultra Mirage™ II– Mirage Activa™– Mirage Vista™

Nasal Masks– Mirage Micro™ – Ultra Mirage™, Ultra Mirage™ II– Mirage Activa™– Mirage Vista™

Full Face Masks– Mirage Liberty™– Mirage Quattro™– Ultra Mirage

Full Face Masks– Mirage Liberty™– Mirage Quattro™– Ultra Mirage


Using humidifiers

• The heated humidifier H4i™ attaches to the front of the VPAP device.

• VPAP automatically detects the H4i, and no menu changes are required.

• The H4i seamlessly integrates with the VPAP for superior humidity

• 30% more humidification (compared with H3i)

• Choices of cleanable water chambers (standard) and disposable (accessory) water chambers

• The heated humidifier H4i™ attaches to the front of the VPAP device.

• VPAP automatically detects the H4i, and no menu changes are required.

• The H4i seamlessly integrates with the VPAP for superior humidity

• 30% more humidification (compared with H3i)

• Choices of cleanable water chambers (standard) and disposable (accessory) water chambers


Adding oxygen

• Oxygen can be added at the ResMed oxygen connector port (26960)

• Validated up to 15 L/min O2

• FiO2 will vary, depending on the pressures, patient breathing pattern, mask (exhaust vent flow) and the leak

• Oxygen can be added at the ResMed oxygen connector port (26960)

• Validated up to 15 L/min O2

• FiO2 will vary, depending on the pressures, patient breathing pattern, mask (exhaust vent flow) and the leak


Safer supplemental oxygen

• Safer therapy with oxygen up to Safer therapy with oxygen up to 15 L/min 15 L/min

• Proprietary design (patent Proprietary design (patent pending) maximises oxygen pending) maximises oxygen flow to the patient and flow to the patient and enhances safety by reducing enhances safety by reducing the chance of oxygen flowing the chance of oxygen flowing back to the device.back to the device.

• VPAP IV and VPAP IV ST have VPAP IV and VPAP IV ST have improved sealing air path. improved sealing air path.

• Safer therapy with oxygen up to Safer therapy with oxygen up to 15 L/min 15 L/min

• Proprietary design (patent Proprietary design (patent pending) maximises oxygen pending) maximises oxygen flow to the patient and flow to the patient and enhances safety by reducing enhances safety by reducing the chance of oxygen flowing the chance of oxygen flowing back to the device.back to the device.

• VPAP IV and VPAP IV ST have VPAP IV and VPAP IV ST have improved sealing air path. improved sealing air path.

VPAPVPAP

OxygenOxygen


AB filter and battery

• Antibacterial filters can be used

• Low impedance filters (e.g. less than 2 cmH2O at 60 L/min) are recommended

• Triggering and cycling may be affected due to the increased resistance in the air circuit

• Antibacterial filters can be used

• Low impedance filters (e.g. less than 2 cmH2O at 60 L/min) are recommended

• Triggering and cycling may be affected due to the increased resistance in the air circuit

• The VPAP can be powered by a battery using an inverter or ResMed DC 24V converter (26932)

• DC 24V converter should not be connected to the VPAP when the it is connected to AC power supply. This may generate electrical interference

• If, by accident, AC and DC are connected simultaneously, VPAP runs from AC power and automatically switches to DC when AC power is lost

• The VPAP can be powered by a battery using an inverter or ResMed DC 24V converter (26932)

• DC 24V converter should not be connected to the VPAP when the it is connected to AC power supply. This may generate electrical interference

• If, by accident, AC and DC are connected simultaneously, VPAP runs from AC power and automatically switches to DC when AC power is lost


VPAP keypad and LCD


Delivering therapy

• With Smart Start/Stop*

1.Turn the power on (No power switch on the device)

2.Fit the mask

3.Breathe into the mask to start

4.Remove the mask to stop

• With Smart Start/Stop*

1.Turn the power on (No power switch on the device)

2.Fit the mask

3.Breathe into the mask to start

4.Remove the mask to stop

• Without Smart Start/Stop

1.Connect the power cord (no power switch on the device)

2.Fit the mask

3.Press Start/Stop key

• Without Smart Start/Stop

1.Connect the power cord (no power switch on the device)

2.Fit the mask

3.Press Start/Stop key

NOTE Selecting Full Face Mask and Leak Alert automatically disables the Smart Start/Stop (see Notes)

NOTE Selecting Full Face Mask and Leak Alert automatically disables the Smart Start/Stop (see Notes)


Ramp and H4i Warm-up

• Ramp or Settling time allows VPAP to slowly increase the pressure over the selected time

• When selected, Ramp or Settling appears after the Welcome screen

• Ramp or Settling time allows VPAP to slowly increase the pressure over the selected time

• When selected, Ramp or Settling appears after the Welcome screen

• Warm-up feature allows the water in the humidifier to warm up prior to starting treatment

• When the H4i is attached and the VPAP is powered, a display of warm up will appear

• Warm-up feature allows the water in the humidifier to warm up prior to starting treatment

• When the H4i is attached and the VPAP is powered, a display of warm up will appear


Mask-fitting feature

• The mask-fitting feature helps the patient adjust the mask to effectively minimise leak

• While checking mask fit, VPAP delivers pressure similar to therapy pressure (IPAP) for three minutes

• The mask-fitting feature helps the patient adjust the mask to effectively minimise leak

• While checking mask fit, VPAP delivers pressure similar to therapy pressure (IPAP) for three minutes

Hold down for 3 secondsHold down for 3 seconds

The mask fit has a star rating up to five stars. Achieving a rating of three stars is effective. Note: VPAP copes well with leak so please DO NOT tighten the mask headgear straps.

The mask fit has a star rating up to five stars. Achieving a rating of three stars is effective. Note: VPAP copes well with leak so please DO NOT tighten the mask headgear straps.


VPAP S & ST benefits for patient

• Enhanced comfort, compliance and convenience:– Compact and convenient S8 form– Easy-Breathe Technology:

Whisper-quiet motor Fast rise time and quick response

– Reminders (eg., to change mask, air filter)– Better adherence with ResScan data card– Comfort and effective humidification with H4i– Selection of simplified and advanced Patient menu– Synchronization with TiControl and 5 sensitivities

• Enhanced comfort, compliance and convenience:– Compact and convenient S8 form– Easy-Breathe Technology:

Whisper-quiet motor Fast rise time and quick response

– Reminders (eg., to change mask, air filter)– Better adherence with ResScan data card– Comfort and effective humidification with H4i– Selection of simplified and advanced Patient menu– Synchronization with TiControl and 5 sensitivities


VPAP S & ST benefits for clinicians

– Data Card for simple efficacy data & settings transfer

– Patient reminders (e.g. change mask) to ensure long term management

– Easy set-up by two layers of Clinical settings menus

– Treatment screens for real time therapy information

– SpO2 and HR on LCD by Reslink and oximeter

– High resolution Flow data on ResScan

– Adequate humidification by H4i

– Reliable Vsync technology

– Fine tuning by TiControl and 5 sensitivities

– Data Card for simple efficacy data & settings transfer

– Patient reminders (e.g. change mask) to ensure long term management

– Easy set-up by two layers of Clinical settings menus

– Treatment screens for real time therapy information

– SpO2 and HR on LCD by Reslink and oximeter

– High resolution Flow data on ResScan

– Adequate humidification by H4i

– Reliable Vsync technology

– Fine tuning by TiControl and 5 sensitivities


Leak management - Vsync Essential for successful NPPV therapy

Vsync monitors and compensates for leak by continuously and automatically adjusting the baseline flow therapy maintaining reliable triggering and cycling.


Ti ControlInspiratory time control (S and ST mode)

• Ti Control provides minimum and maximum inspiratory time limits.

• The minimum and maximum time limits are set at either side of the patient’s ideal spontaneous inspiratory time, providing a ‘window of opportunity’ for the patient to spontaneously cycle to EPAP.

• Ti Control provides minimum and maximum inspiratory time limits.

• The minimum and maximum time limits are set at either side of the patient’s ideal spontaneous inspiratory time, providing a ‘window of opportunity’ for the patient to spontaneously cycle to EPAP.


Wide Trigger sensitivity

5 Trigger sensitivities5 Trigger sensitivities

Breath detection sensitivity to initiate IPAP is broadened from 3 to 5 levels. More fine tuning to suite individuals.Breath detection sensitivity to initiate IPAP is broadened from 3 to 5 levels. More fine tuning to suite individuals.

Very High Quick to trigger 2.4L/min

High Sensitive 4 L/min

Med Default 6 L/min

Low Less sensitive 10 L/min

Very Low Slow to trigger 15 L/min

(Design specification)(Design specification)

Very HighVery High

Very LowVery Low


5 Cycle sensitivities5 Cycle sensitivitiesVery High Quick to cycle 50 % of

peak flow

High Sensitive 35%

Med Default 25%

Low Less sensitive 15%

Very Low Slow to cycle 8%

Wide Cycle sensitivity

Breath detection sensitivity to cycle down to EPAP is broadened from 3 to 5 levels. More effective cycling for restrictive lungs.Breath detection sensitivity to cycle down to EPAP is broadened from 3 to 5 levels. More effective cycling for restrictive lungs.

(Design specification)(Design specification)

Very HighVery High

Very Low

Very Low


Patient menusimplified Standard menu or Advanced menu

Standard Menu Advanced Menu


Clinical menuSettings and Advanced Settings

Therapy Set-Up

Fine-tuning Therapy


ResScan Data CardStandard accessory for easy two-way data transfer

The ResScan Data Card enables to

(1)gain remote access to the data stored in the VPAP device

(2)update therapy settings.

The S8 Data Card stores:– Device settings– 180 Summary Sessions of

patient’s data– 2 Detailed Sessions of

patient’s data

The ResScan Data Card enables to

(1)gain remote access to the data stored in the VPAP device

(2)update therapy settings.

The S8 Data Card stores:– Device settings– 180 Summary Sessions of

patient’s data– 2 Detailed Sessions of

patient’s data


Patient Reminder

• Recurring reminders allow the clinician to set reminders to alert the patient to specific event at set time intervals.

• Reminders are;– Replace mask– Replace filter– Service Due– Call provider– Insert Card– Customized message (up to 16 characters)

• In 7-day increments for a recurrence period of 1 - 24 months


S8 ResLinkOptional detailed monitoring

VPAP on-board data storage:– 5 detailed sessions– 365 summary sessions

Increase data storage and get SpO2 with S8 ResLink:

– 30 detailed sessions– 365 summary session– High resolution (25Hz) Flow data

SpO2 and HR on VPAP LCD via ResLink and oximetry


High res FLOW data


New carry bag

More premium, professional look and feelMore premium, professional look and feel

Documents

Global leaders in sleep and respiratory medicine 1 VPAP IV/ST June 08 © ResMed VPAP TM IV and VPAP IV TM ST Product Training VPAP is a trademark of ResMed