2013 Product Catalogue

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2013Product CatalogueSleep, home respiratory and respiratory drug delivery

Content2Sleep therapyCPAP therapy, bi-level therapy, data management, humidification16Home ventilationNoninvasive ventilation systems, invasive ventilation systems, software33Airway ClearanceCough Assist35Patient interfaceMinimal-contact masks, nasal masks, full-face masks, programs49Sleep diagnosticsIn-lab PSG systems, portable diagnostics, screening devices, actigraphy,sensors, titration systems58OxygenConcentrators, portable concentrators, home oxygen filling system,liquid portable oxygen, oximeters62AsthmaThreshold IMT65NebulizersPeak flow meters, mouthpieces, chambers, masks, spacers, kits, compressornebulizers, ventilation accessories, inspiratory muscle trainers1

Sleep Therapy

One intelligent packageOur enhanced system One Sleep therapy platform brings a number of key intelligent technologiestogether in a single device.Philips Respironics has long offered smarter tools that helpsleep professionals provide better care and achieve betterresults. Now, based on more than a year of customer use andinput, we’re delivering an even higher level of sophistication inan intelligent therapy device that operates exactly the wayyou’ve told us it should.Through advancements in software algorithms and themarriage of proven patient centric technologies. System Onethinks for itself, carefully monitoring your patient andrecognizing when therapy needs are changing. It then armsyou with the intelligent data you need to make informedpatient-care decisions.3

Five components ofIntelligent TherapySystem One Humidity Control and Dry BoxtechnologiesIndustry-best humidification management to preventrainout* and water damage.1System One knows:Ÿ When, why, and how changes should be made toconsistently and continually provide optimumtherapyŸ How to maximize patient comfort for improvedlong-term complianceŸ The essential data you need and how to get it toyou in a useable formatSystem One Humidity Control is a breakthroughtechnology that maintains consistent and optimumhumidity levels — even in changing conditions - byanalyzing ambient temperature, relative humidity andpatient flow.With five settings, using either an improvedhumidity control that minimizes the potential forrainout in the patient circuit, or “classic” mode that letspatients turn off Humidity Control altogether, SystemOne delivers customized comfort. And our Dry Boxtechnology isolates the humidifier's water source fromthe inner workings of the device during normal, andmost uncommon, conditions.System One is a thinking platform that puts all-newlevels of control, compliance and efficiency right atyour fingertips. one more way we're committed toworking with you to arrive at better solutions forbetter living.2System One Resistance ControlOptimized pressure delivery, no matter which mask isused.System One Resistance Control achieves completesystem comfort by enabling the device and mask towork optimally together. Through simple settings, thetechnology instructs the device to compensate forvariable resistance characteristics related to differentmasks.The result is synchronous pressure delivery andthe assurance that patients can enjoy the full benefits ofour Flex comfort technologies no matter which PhilipsRespironics mask is used.3Advanced event detectionIdentification of complicated and changing conditionsthat may indicate alternative therapy.System One addresses advanced sleep assessmentparameters, including AHI, leak, flow limitation andRERAs to provide optimum therapy for obstructivesleep apnea (OSA). Now, in one of our most excitingadvancements, System One's intelligent advanceddetection technology detects when patients areexperiencing symptoms beyond those of classic OSA— including such conditions as clear airway apneas andperiodic breathing - immediately indicating thepotential need for specialized therapy. Clinicians andproviders can verify events by viewing detailed patientflow waveform data captured by the system, which evenfeatures a setting that automatically monitors mask fitand seal in real time.4

4Flex Family technologiesImproved patient comfort with proven pressure relief.Our natural and clinically-proven, patentedtechnologies that enhance traditional pressure therapy- C-Flex, Bi-Flex, A-Flex, and now C-Flex in our fixedCPAP mode advanced units - are an excellent way toestablish increased patient comfort and compliance.And since our advanced Digital Auto-Trak algorithmdetects the onset of inspiration and exhalation, ourflow-based Flex technologies deliver just the rightpressure relief for every breath, making it easier forpatients to adapt to therapy. Each Flex-enabled SystemOne device has an on-board Flex Demo mode to allowpatients to feel the difference for themselves at thepush of a button.5Encore data management and reportingIntelligent patient management for improvedcompliance.The best intelligence is only valuable if it's easilyaccessible. That's why we've made sure vital patientinformation is available through multiple options of datatransfer and reporting, including memory cards andmodems.** System One now includes on-board datamemory along with our available wireless modemtechnology, which allows for patient data to beuploaded automatically on a daily basis.EncoreAnywhere data management software enablespatient data to be viewed virtually anywhere through asecure website, accessible from any computer. Puttingmore patient intelligence in your hands is a keycomponent of effective patient therapy and compliancemanagement.System One: the Intelligent ChoiceWith its enhancements and innovations plus unmatched service andsupport, it’s easy to see why the industry’s most intelligent sleep therapysystem is the smart choice for patients and an equally smart businessdecision for providers and clinicians. To learn more about the System One,contact your Philips Respironics representative or visitwww.philips.com/respironics.5

Sleep therapyCPAP therapyREMstar Pro with C-Flex ŸŸŸŸŸŸFixed CPAPSD cardHours/patterns of use; complianceAdvanced event detection and reportingSystem One Humidity ControlSystem One Resistance ControlPart numberPRI Cpap ProIN461SREMstar Pro C-Flex , Sys One, 60 SrsPRI Cpap Pro CoreIN461HSREMstar Pro C-Flex w/Hum,SysOne60SrsIncludes integrated heated humidifier.REMstar Plus with C-FlexŸŸŸŸŸFixed CPAPSD cardHours/patterns of use; complianceAdvanced event detection and reportingSystem One Humidity 3784106378610058941063857Ultra-fine filter kitFoam filter kitSystem One heated humidifierWater chamberReusable patient tubing, 6', grayPerformance tubingDevice side panelPower supplyPower cordCarrying case6

CPAP therapyREMstarŸ Simplified user interfaceŸ Flex pressure relief technology SystemOne humidifier compatibility withŸ Dry Box technology– Water ingress protectionŸ System One noise reductionŸ No SD cardPart numberIN171REMstar (Torch) without SD card.IN171HREMstar (Torch) without SD card.(core pack)Includes integrated heated humidifier.IN221SREMstar SE (Torch) with SD card.IN221HSREMstar SE (Torch) with SD card.(core pack)Includes integrated heated humidifier.REMstar SEŸ Simplified user interfaceŸ Flex pressure relief technology SystemOne humidifier compatibility withŸ Dry Box technology– Water ingress protectionŸ System One noise reductionŸ SD 4106378610058941063857Ultra-fine filter kitFoam filter kitSystem One heated humidifierWater chamberReusable patient tubing, 6', grayPerformance tubingDevice side panelPower supplyPower cordCarrying case7

If it’s a breakthrough in sleep therapy it’s likely our innovation.Our commitment to sleep therapy started in 1985 with the first commercial CPAP machineand grew from there.Through the years, advancement after advancement followed including:BiPAP bi-level systems, Flex pressure relief, and Encore with SmartCard data monitoringtechnologies.After 25 years of innovation, we are still making history in sleep therapy. Ourlatest breakthrough, Philips Respironics System One, continues that tradition. By offering youand your patients the most intelligent, advanced technologyavailable, we’re once again delivering on our promise todevelop innovations that help improve the lives of patientswith sleep apnea.

1 A-flex technology for best possible compliance2 Proactive Algorithm - adjust pressure toresolve an event before it occurs.3 Advanced Event detection – like Periodicbreathing, CA, RERA etc.4 System one Resistance Control – Optimizedpressure delivery by overcoming Maskresistance.5 Opti Start technology – Starts with minrequired pressure.6 Advanced leak-sensing technology7 System one Humidity control and Dry boxtechnology.r AutotaREMs

Sleep therapyCPAP therapyREMstar Auto with A-FlexPart number PRI Cpap AutoIN561SREMstar Auto A-Flex, Sys One, 60 SrsPRI Cpap Auto CoreIN561HSREMstar AutoA-Flex w/Hum,SysOne60SrsAuto CPAPSD cardHours/patterns of use; complianceAdvanced event detection and reportingAdvanced event responseSystem One Humidity ControlSystem One Resistance ControlIncludes integrated heated humidifier.AccessoriesFilters1063096Ultra-fine filter kit1063091Foam filter kitHumidifiers1056209System One heated humidifier1063785Water chamberTubing622038Reusable patient tubing, 6', gray1032907Performance tubingMiscellaneous1063784Device side panel1063786Power supply1005894Power cord1063857Carrying case9

BiPAP system specifications guideSystem One sleep therapy platformPhilips Respironics revolutionized sleep therapyadvancements continue with remote switchingby introducing bi-level positive airway pressurebetween bi-level and CPAP modes, increasedtechnology to treat obstructive sleep apnea.humidity output and control, and dramaticallyEmulating natural breathing with pressurereduced noise levels.relief at inhalation and exhalation, this proventechnology does more than provide highlyeffective therapy; it delivers a level of comfortthat can mean the difference between complianceand noncompliance for patients having difficultyadapting to traditional CPAP therapy.As part of the System One sleep therapyplatform, the bi-level technology in our BiPAPAuto and BiPAP Pro devices adds an additionallevel of intelligence to the industry’s mostadvanced system. And the System OneComfort featuresSystem OneModesFlex comfortFlex demo modesSystem Onehumidity controlSystem OneresistancecontrolRamp(5-45 minutes)AltitudeadjustmentBiPAP ProCPAPFixed bleAutomaticBiPAP AutoCPAPFixed bi-levelAuto bleAutomaticEncore patient managementData transfer modesData captureSystem OnePhone-inEncorePro 2SD cardEncorePro 2Patternsof useAdvancedevent detectionand reportingBiPAP ProHours of useStandardStandardAHI, FL, RERA,snore, leak,CA, OA,HY, PBN/AStandardBiPAP AutoHours of useStandardStandardAHI, FL, RERA,snore, leak,CA, OA,HY, PBFL, RERA,snore, leak,OA, HYStandardLegendAHI:CA:FL:HY:OA:Apnea Hypopnea IndexClear Airway ApneaFlow LimitationHypopneaObstructed Airway ApneaAdvancedeventresponseFlowwaveformsPeriodic BreathingPB:RERA: Respiratory Effort Related Arousal10

Sleep therapyBi-level therapyBiPAP Pro with Bi-FlexPart number Fixed bi-levelPRI Bilevel ProPRI Bilevel Pro CoreIN661SBiPAP Pro BiFlex, Sys One 60 Srs SD cardIN661HSBiPAP Pro BiFlex w/Hum Sys One 60Srs Includes integrated heated humidifier.Hours/patterns of use; complianceAdvanced event detection and reportingSystem One Humidity ControlSystem One Resistance 3784106378610058941063857Ultra-fine filter kitFoam filter kitSystem One heated humidifierWater chamberReusable patient tubing, 6', grayPerformance tubingDevice side panelPower supplyPower cordCarrying case11

Bi-level therapyBiPAP Auto with Bi-Flex Auto bi-level SD card Hours/patterns of use; compliance Advanced event detection and reporting Advanced event response System One Humidity Control System One Resistance ControlPart numberPRI Bilevel AutoIN761SBiPAP Auto BiFlex, Sys One 60 SrsPRI Bilevel AutoCoreIN761HSBiPAP Auto BiFlex w/HumSys One 60SrsIncludes integrated heated ��ersUltra-fine filter kitFoam filter kit10562091063785TubingSystem One heated humidifierWater chamber622038Reusable patient tubing, 6', gray1032907Performance tubingMiscellaneous1063784Device side panel106385810637861005894SD card cover, attached to devicePower supplyPower cord1063857Carrying case12

1 Therapy for non compliant non tolerantCPAP patients2 Bi-Flex technology - for maximum pressurerelief during :ü Beginning of Inhalationü Near the end of inhalationü The beginning of exhalation3 Proactive Algorithm - adjust pressure toresolve an event before it occurs.4 Advanced Event detection – like Periodicbreathing, CA, RERA etc.5 System one Resistance Control –Optimized pressure delivery.6 System one Humidity controland Dry box technology.utoABiPAP

1 For treatment of CSA (Complex SleepApnea)& CSR (Cheyne Stoke Respiration)2 Auto backup frequency - Triggermandatory breath & avoid central apnea.3 Auto EPAP for patients changing need toprovide Efficient Pneumatic Splint.4 Stabilise the unstable flow pattern5 Deliver Pressure Support only when needed :avoid hyperventilation6 Bi-Flex technology - for maximum pressurerelief.Vuto SABiPAP

Servo-ventilation therapyPart numberPRI Bilevel AutoSVIN951SBiPAP AUTOSV ADVANCEDPR SYSTEM ONEPRI Bilevel AutoSVCoreIN951HSBiPAP AUTOSV ADVANCEDSYSTEM ONE ous10129751005965Ultra-fine filters, disposable, 2 per pk.Pollen filters, reusable, 2 per pk.Filter capBiPAP autoSV Advanced withEncore SmartCardThe BiPAP autoSV Advanced–SystemOne incorporates more deviceintelligence so that you can make themost informed and timely decisions foryour patients. By combining the provenautoSV Advanced algorithm with theSystem One platform, the BiPAP autoSVAdvanced–System OneThe BiPAP autoSV Advanced–SystemOne puts timely, accurate patientinformation at your fingertips, allowingyou to instantly change prescriptions orcommunicate as necessar y. Theintelligence is easily accessible and can becollected through wireless modems forremote access, helping to link a team ofclinicians in separate locations together.Heated humidifierHeated humidifier chamber (replacement)Performance tubingReusable patient tubing, 6', grayDC power adapterCarrying case13

Sleep therapyData managementPart number1054785EncorePro2EncorePro2 softwareWith increased intelligence yet lesscomplexity, EncorePro2 enhances your abilityto manage patients and your business.AccessoriesData management accessories1063859SD cards, 10 per pk.1065146SD card mailers, 10 per pk.1063858SD card cover, attached to device1047300SD card reader1014352USB SmartCard reader/writer1014353PCMCIA SmartCard reader/writer1003304Encore SmartCards, 10 per pk.Miscellaneous1004550FOSQ questionnaire1058362Epworth Sleepiness Scale, 50 sheets per pk.Popular features such as the Encore data card,data downloading capability, compliancereporting, and prescription managementcontinue to be in demand and make anencore appearance in this new generationmore intuitive and more secure functionality.It’s the best of the old along with the verybest of the new.14

Bi-level therapyPAP AccessoriesPart numberSleep AccessSleep Ext WarrantySleep FiltersSleep Humidification1003303ENCORE SMARTCARD (SINGLE)1003304ENCORE SMARTCARD, 10 PACK1006102CLINICAL REMOTE SERIAL ADAPTER1007492SLEEPLINK INTERFACE KIT FOR AOM1012975RP-DC POWER ADAPTER KIT1014352ENCORE USB,SMARTCARD READER/WRITER1028869PORTABLE BATTERY PACK (14.4AH)1059963SLEEPLINK CARD1063859Philips RI SD Cards 10 Pk1070659PR SYST1 HTD HUMID 2YR STD NC INTL WAR1080571BIPAP (S/T AND AVAPS) 2YR STD WARRANTY1093807BIPAP A30 STANDARD WARRANTY1097012PR BIPAP PRO/AUTO 2 YR STD WARRANTY1097013PR REMSTAR AUTO A-FLEX 2YR STD WARRANTY1097014PR REMSTAR PRO 2 YR STD WARRANTY1097015PR REMSTAR PLUS 2 YR STD WARRANTY1097016PR REMSTAR 2 YR STD WARRANTY1005945REMSTAR PRO/PLUS/AUTO/LITE ULTRA FINE(2)1005964REMSTAR PRO/PLUS/AUTO/LITE POLLEN (2)1029330RP Pollen Filters - 2PK1029331RP Ultrafine Filters - 6pk1035442RP Ultrafine Filters - 2pk1056210SYSTEM ONE REMstar HEATED HUMID, INT22176Humidifier,F-P,Mr410,230v-CeIN6HSystem One Heated Humidifier, INTIN6TSystem One HT Humid, INTSleep Raw Materials1022895ADAPTER, USB TO SERIALSleep Service1061644APhilips Respironics Link Module15

Home Ventilation

1. What is NIV?NIV Definition Non-invasive ventilation refers to the delivery of mechanical ventilation to thelungs using techniques that do not require an artificial airwayInvasive Definition Invasive ventilation refers to a life support system designed to replace orsupport normal ventilatory function utilizing an artificial airway2. Benefits of NIV?– Improves patient comfort– Reduces the need for sedationOral patency Avoids the complications of endotracheal intubation– Local trauma and injury– Nosocomial Infection3. Reasons for low use of NIV in acute hospitals : US surveyNo. ofresponses20100Physicians lack Equipmentof experiencenotappropriateOtherPoor previous Hospital stallexperience inadequatelytrainedMaheshwari vetal Chest 2006:129: 1226 - 33Patient- Machine Synchronization(Patient - Machine Synchronization is the critical factor in instituting successful non invasive ventilation.)What is Patient/machine synchronization?Ÿ Ability of the ventilator to follow patient breathing rhythm.What is Digital Auto Trak?Digital auto trak algorithm detects the onset of inspiration and exhalation. It automatically its variable trigger andcycle threshold to maintain optimum performance in presence of leaks. No manual adjustments are required. Thevarious algorithms are working concurrently and the device reacts to the first component that detects a change,providing maximum sensitivity.Automatic adjustment of triggering and cycling sensitivity whatever the leakage and patient respiratory mechanics .Ÿ 2 mechanisms to trigger inspirationŸ 4 mechanism to trigger exhalation17

Digital Auto-Trak AlgorithmHome ventilationCycle to EPAPCrossover PointŸ Device triggers to IPAP based on patient inspiratory effortŸ Device cycles to EPAP when patient tries to exhaleShapeSignalFlow Shape signal:Delayed waveform crossing patient flow in case of flow direction changesDetects an accumulated 6ml volume above the base lineEstimatedpatient flowTrigger to IPAPCross over PointVolume Trigger 6 mlabove baselineFlow curveSpontaneous Expiratory Threshold:Electronic signal that rises in proportion of the inspiratory flow rate.Flow curveSponta neousExpiratoryThresholdSET adapts to flow pattern and therefore to patient respiratory mechanics.Flow Reversal:Allows detection of excessive mouth leak. If the flow increases by more than 10% ofthe peak flow in a short period of time then switch to EPAPCycle to EpapFlow curveSafety Feature:Inspiratory time cannot exceed 3 secMOUTH LEAK during inspirationflow suddenly increasesBenefits of Digital Auto-Trak1. No need to set trigger sensitivity and cycle threshold2. Automatic adjustment of triggering and cycling sensitivity whatever the leakage and patient respiratorymechanics3. Flexibility in adjusting the maskResponseTime(The time taken by the machine to deliver desired flow is known as response time.)The combination of lowest pressurization time (100 milliseconds) and blower & valve technology makes thePR devices respond to changing patient needs efficiently. It makes the fastest response time to patient demandof flow/pressure needs.The fastest response time is attributed to blower & valve technology and fast rise time.18 page

REMstar SE Ÿ Simplified user interface . PRI Cpap Auto IN561S REMstar Auto A-Flex, Sys One, 60 Srs PRI Cpap Auto Core IN561HS REMstar AutoA-Flex w/Hum,SysOne60Srs Sleep therapy 9 Includes integrated heated humidifier. CPAP therapy. BiPAP system specifications guide

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