Therapy and application guide - CPAP Supply USA

1 SystemIndication for therapyTargetAlgorithmSettingsOSA patientsOSA patientsOSA patients OSA patients non-responsive or non-tolerant of CPAPP atients with central apnea, periodic breathing, suchas Cheynes-StokesRespiration (CSR), or complex apneaOSA patientsOSA patients non-responsive or non-tolerant of CPAP Flow-based C- flex andC- flex + pressure reliefat beginning ofexhalation Three patient-adjustableFlex settings Fixed CPAP pressure Flow-based proactive andreactive intelligence Delivers lowest mean average pressure levels Flow-based A-Flexpressure relief during inspiratory and expiratory phases Three patient-adjustableFlex settings Fixed IPAP and EPAP pressures Flow-based Bi- flex pressure relief duringinspiratory and

2 Expiratory phases Three patient-adjustableFlex settings Dynamic, breath-by-breath adjustment ofpressure support Peak flow targeted Intra-breath support auto -titrating EPAP toalleviate the obstructivecomponent of SDB Automatically calculated back-up rate in times of apnea Flow-based proactive andreactive intelligence Delivers lowest mean average pressure levels Flow-based Bi- flex pressure relief during inspiratory and expiratory phases Three patient-adjustableFlex settingsFixed CPAP 4-20 cmRamp time 0-45 minFlex settings 1, 2.

3 3 System One Humidity Control 0-5 Min CPAP 4-20 cmMax CPAP 4-20 cmRamp time 0-45 minFlex settings 1, 2, 3 System One Humidity Control 0-5 EPAP 4-25 cmIPAP4-25 cmRamp time 0-45 minFlex settings 1, 2, 3 System One Humidity Control 0-5 EPAPmin4-25 cm EPAPmax4-25 cm PSmin0-26 cm PSmax0-26 cm Max pressure 4-30 cm Breath rate (Off, auto , 4-30 BPM)Rise time1-6 Ramp time 0-45 minFlex settings 1,2,3 EPAPmin4-23 cmIPAPmax4-25 cmMaxPS3-8 cmRamp time0-45 minFlex settings 1, 2, 3 System One Humidity Control 0-5 Therapy systemTherapy and application guidePatients with hypoventilation caused by restrictive thoracic disorders, obesity hypoventilation syndrome, central apnea, and COPDP ediatric and adult useAVAPS, C- flex , and Bi-Flexfeatures are not approvedfor pediatric use Average volume assured pressure support (AVAPS)

4 Maintains targetVt Slow adjustment over time ( 1 cm H2O per min.) Modes: CPAP, S, S/T, T, PC Three patient-adjustableBi- flex settingsEPAP4-25 cmIPAP4-25 rate 0-30 BPMRise time1-3 flex settings 1,2,3 Target Vt 200-1500 mlIPAPmin 4-25 cmIPAPmax 4-25 cm AVAPSREM star Plus* with C-FlexDS250 SDS250 HSREM star Pro*with C- flex +DS450 SDS450 HSREM star auto *with A-FlexDS550 SDS550 HSBiPAP Pro*with Bi-FlexDS650 SDS650 HSBiPAP autoSV Advancedwith Bi-Flex1042906 device1042907 coreBiPAP auto *with Bi-FlexDS750 SDS750 HSBiPAP AVAPS1060485 device1061418 coreBiPAP S/T1061420 device1061422 coreObstructive Sleep Apnea Obstructive Sleep Apnea Obstructive Sleep Apnea Obstructive Sleep ApneaCentral

5 ApneaRespiratory insufficiencyObstructive Sleep ApneaObstructive Sleep ApneaRespiratory insufficiencyTherapy typeCPAPAuto CPAPBi-level w/o auto bi-levelServo-ventilationBi-level w/ back-up rateback-up rateMatching the right Therapy to the right patient with the right product just got easier*S = SD card*H = System One humidifierREMstar Plus with C-FlexREMstar Pro with C- flex +REMstar auto with A-FlexBiPAP Pro with Bi-FlexBiPAP autoSV Advancedwith Bi-FlexBiPAP auto with Bi-FlexBiPAP AVAPS BiPAP S/TPhone-inSD cardWired modemWireless modemSD cardWired modemWireless modemSD cardWired modemWireless modemSD cardWired modemWireless modemEncore SmartCardSD cardWired modemWireless modemShows Therapy usage (7 and 30 day average)and session >4 hours (7 and 30 day periods)Compliance VICS hows Therapy usage (7 and 30 day average)and session >4 hours (7 and 30 day periods)Compliance VICS hows Therapy usage (7 and 30 day average)and session >4 hours (7 and 30 day periods)

6 Compliance VICS hows Therapy usage (7 and 30 day average) and session >4 hours (7 and 30 day periods)Compliance VICNot applicableShows Therapy usage (7 and 30 day average) and session >4 hours (7 and 30 day periods)Reports blower hoursand Therapy hours(blower on and breathing detected)Reports blower hoursand Therapy hours(blower on and breathing detected)Reports blower hoursand Therapy hours(blower on and breathing detected)Reports blower hoursand Therapy hours(blower on and breathing detected)Reports blower hoursand Therapy hours(blower on and breathing detected)Reports blower hours Detects and reportsAHI, FL, RERA, snore,leak, CA, OA, HY, PBPatient flow waveforms(Pro model)

7 Detects and reportsAHI, FL, RERA, snore,leak, CA, OA, HY, PBReports 90% pressure,and time at pressuresPatient flow waveformsDetects and reports AHI,FL, RERA, snore, leak, CA,OA, HY, PBPatient flow waveformsDetects and reportsAHI, FL, RERA, snore,leak, CA, OA, HY, PBReports 90% pressure,and time at pressuresPatient flow waveformsDetects and reportsAHI, FL, snore, leak, CA,OA, HY, PBReports AHI, CA, HY,OA, leak, % triggeredbreaths, Vte, MV, RR,pressureE0601E0601 RAD w/o backup rate:E0470 RAD w/o backup rate:E0470 RAD with backup rate:E0471 RAD with backup rate:E0471 Downloadable Usage dataEfficacy dataReimbursementData managementTherapy typeRestrictive disorders BiPAP AVAPS Neuromuscular disorders BiPAP AVAPSCOPDBiPAP S;BiPAP AVAPS Periodic breathingBiPAP autoSVAdvancedComplex SDBBiPAP autoSVAdvancedObesity hypoventilation OSACPAP; auto -CPAP;BiPAP S; BiPAP AutoBiPAP S.

8 BiPAP AVAPSCPAPAuto-CPAPBi-level w/o auto bi-levelServo-ventilationBi-level w/ back-up rateback-up rateTherapy systemApnea Hypopnea IndexClear Airway ApneaFlow LimitationHypopneaObstructed Airway ApneaPeriodic BreathingRespiratory Effort Related ArousalVisual Inspection CheckLegend:AHI:CA:FL:HY:OA:PB:RERA:VIC: 2010 Koninklijke Philips Electronics All rights are Healthcare reserves the right to make changes in specifications and/or todiscontinue any product at any time without notice or obligation and will not be liablefor any consequences resulting from the use of this.

9 US federal law restricts these devices to sale by or on the order of KW 11/30/09 MCI 4103025PN 1071902 Philips Healthcare is part of Royal Philips ElectronicsRespironics Asia Pacific+65 6882 5282 Respironics Australia+61 (2) 9666 4444 Respironics Europe, Middle East, Africa+33 1 47 52 30 00 Respironics United Kingdom+44 800 1300 845 Philips Respironics1010 Murry Ridge LaneMurrysville, PA 15668 Customer Service+1 724 387 4000800 345 6443 (toll free, US only) , BiPAP, REMstar, A- flex , Bi- flex , autoSV, AVAPS, Encore SmartCard, and System One are trademarks of Respironics, Inc.

10 And its affiliates. All rights arereserved. The C- flex mark is used under license.