Subject Characteristics

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BiPAP A40 Ventilatory Support System BYAHMAD
YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura
Faculty of Medicine
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BiPAP S/T

• SPECIFICATIONS
• Modes CPAP, S, ST
• Timed inspiration 0.5 to 3.0 seconds
• IPAP 4 to 25 cm H2O
• EPAP 4 to 25 cm H2O
• CPAP 4 to 20 cm H2O
• Breath rate 0 to 30 BPM
• Weight 1.36 kg Dimensions 18 cm x 14 cm x 10 cm
  
• Alarms Patient Disconnect, Apnea, Low Minute
  Ventilation

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Pressure curve when BiPAP 10/5 cm H2O The
pressure is higher on inspiration than on
expiration, but both pressures are above ambient
.In this example IPAP is set as 10 cm H2O and
EPAP is set as 5 cm H2O.
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BiPAP AVAPS

• Clinicians no longer need to choose between
  pressure or volume ventilation in order to
  deliver optimum therapy to NIV patients.
• Now, they can have both. The BiPAP AVAPS (Average
  Volume Assured Pressure Support) home ventilator
  enables clinicians to achieve the prescribed
  target volume pressure without compromising
  patient comfort.
• Automatically adapts to patients changing needs
• Designed for clinical ease of use and patient
  comfort
• Powered by advanced technologies 

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SPECIFICATIONS

• Modes CPAP, S, ST, PC, T
• AVAPS available on S, ST, PC, and T modes
• Bi-Flex Available from S mode
• Target Tidal Volume from 200 to 1500 ml
• IPAPmin From EPAP to IPAPmax
• IPAPmax From IPAPmin to 25 cm H2O
• Timed inspiration 0.5 to 3.0 seconds
• IPAP 4 to 25 cm H2O
• EPAP 4 to 25 cm H2O
• CPAP 4 to 20 cm H2O
• Breath rate 0 to 30 BPM
• Weight 1.36 kg Dimensions 18 cm x 14 cm x 10 cm
• Alarms Patient Disconnect, Apnea, Low Minute
  Ventilation, Low Tidal Volume (AVAPS modes only)

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BiPAP AVAPS
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BiPAP A30 Ventilator

• For 24 Hours Use
• BiPAP A30 ventilator has been designed to combine
  ease of use with technology advancement to
  deliver enhanced therapy that adapts to patients
  condition.
• Being at home can work wonders so It delivers a
  smooth transition from hospital to home for
  chronic respiratory patients.
• Compatible with PSG Systems
• Optional Oximetry Module
• Intuitive, User Friendly Colored Interface
• Integrated Heated Humidifier
• Graphical Statistical Data Management on
  EncorePro Direct View Softwares

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SPECIFICATIONS

• Modes CPAP, S, ST, PC, T , AVAPS
• AVAPS available on S, ST, PC, and T modes
• AVAPS Rate 0.5 to 5 cmH2O/min
• Target Tidal Volume from 200 to 1500 ml
• IPAP 4 30 cmH2O
• EPAP 4 25 cmH2O
• Breath Rate 0 40 BPM
• Inspiratory Time 0.5 3 sec
• Rise Time 1 (100 ms) 6 (600 ms)
• Monitoring Pressure, Tidal Volume, Minute
  Ventilation, Respiratory Rate, I/E Ratio
• Weight 2.1 kg (with Power Supply) Noise Level lt
  30 dBA at 10 cmH2O
• Humidification System one Humidification Dry
  Box technology
• Alarms Patient Disconnect, Apnea, Low Minute
  Ventilation, Low Tidal Volume, High Respiratory
  Rate

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BiPAP A40 Ventilator

• BiPAP A40 comes with well-known and clinically
  proven Philips Respironics technology such as
  Auto-Trak, AVAPS and a Dry Box humidifier design.
• The device is capable of non invasive and
  invasive pressure ventilation, up to 40 cmH2O,
  providing treatment for your chronic
  insufficiency respiratory patients.
• The device features AVAPS-AE, the first fully
  automatic ventilation mode, designed to help
  clinicians during titration process, while
  maintaining comfort and therapy optimization at
  the lowest pressures.

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BiPAP A40 Ventilator

• This new innovative ventilation mode helps in
  providing long term therapy compliance regardless
  of changes to the body position, sleep stages and
  respiratory mechanics.
• Detachable Battery with up to 5 Hours Backup
• AVAPS-AE Automatically Adjust Ventilation to the
  Patients Need
• Compatible with PSG Systems
• Optional Oximetry Module
• Intuitive, User Friendly Colored Interface
• Integrated Heated Humidifier
• Graphical Statistical Data Management on
  EncorePro DirectView Softwares

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SPECIFICATIONS

• Ventilation modes CPAP, S, S/T, PC, T, AVAPS-AE
• Hybrid ventilation AVAPS (Average Volume Assured
  Pressure Support) AVAPS-AE
• IPAP 4 40 cm H2O
• EPAP 4 25 cm H2O
• Target tidal volume (when AVAPS enabled) 200
  1500 ml
• Breath rate 0 40 bpm (4 40 bpm in T mode)
• Inspiratory time 0.5 3 sec.
• Triggering and cycling Auto-Trak ,Sensitive
  Auto-Trak, Flow triggering.
• Rise time 1 (100 ms) 6 (600 ms)
• Size 21.6 cm W x 19 cm L x 11.5 cm H
• Weight 2.1 Kgs (with power supply)
• Noise level lt 30 dBA at 10 cm H2O

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SPECIFICATIONS

• Humidification System One humidity control and
  Dry Box technology
• Alarms Patient disconnection Apnea ,Low minute
  ventilation ,Low tidal volume (with
  AVAPS/AVAPS-AE only) ,High respiratory rate
• Monitoring Pressure, tidal volume, minute
  ventilation, respiratory rate, leak, I/E ratio
• Battery back up Detachable battery module 5
  hours at IPAP 12 cm H2O / EPAP 7 cm H2O and 12
  bpm
• DC power source 12 VDC, 5.0 A (external
  battery),24 VDC, 4.2 A (power supply)
• Data management Encore Pro 2 and Direct View
  software
• Compatible with oximetry module
• Advanced detection of residual respiratory events
  (Apnea/Hypopnea Index, Obstructed Airway Apnea,
  Clear Airway Apnea, Hypopnea, Periodic Breathing,
  RERA, Large Leak and Snore)

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Intended Use of BiPAP A40 Home Ventilator

• Bilevel ventilator providing invasive and non
  invasive ventilation, up to 40 cmH2O
• AVAPS-AE mode
• Auto EPAP
• Auto Pressure support
• Auto Backup rate
• Easy-to-use interface and compatible with a
  detachable battery module to offer increased
  patient freedom and support
• Unique integrated heated humidifier to minimize
  water ingress and rainout for patient comfort

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Device Description

• The device augments patient breathing by
  supplying pressurized air through a patient
  circuit.
• It senses the patients breathing effort by
  monitoring airflow in the patient circuit and
  adjusts its output to assist in inhalation and
  exhalation.
• The higher pressure makes it easier for you to
  inhale, and the lower pressure makes it easier
  for you to exhale.
• This device can also provide a single pressure
  level, known as CPAP (Continuous Positive Airway
  Pressure).
• The BiPAP A40 Ventilator is compatible with the
  System One Heated Humidifier.

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Device Description

• The BiPAP A40 ventilator introduces a new therapy
  mode called AVAPS-AE.
• This therapy mode combines an improved AVAPS
  algorithm with an auto-back up to treat
  hypoventilation.
• An auto-EPAP algorithm runs simultaneously with
  the bi-level therapy to deliver the pressure
  support at the optimal PEEP.
• Similar to the Trilogy 200, the BiPAP A40 can
  provide pressure up to 40cm, provide invasive
  support if prescribed, be used in mobile
  applications such as wheelchairs, and provides an
  optional detachable battery.
• Additionally the ventilator can be operated using
  AC power, a detachable battery, or an external
  battery.

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The new device, the BiPAP A40, was announced on
World COPD Day 2012.

• According to a press release by the company, the
  BiPAP A40 is a new bi-level, multi-modality
  ventilator with an automation ventilation system.
  
• The automated ventilation mode is designed to
  assist patients during the transition from a
  managed healthcare facility or hospital to a
  private residence.
• The new ventilation mode is called the AVAPS-AE.
• Its automated mode can be used to guide
  physicians during the first stages of therapy. In
  addition, the system is designed to improve
  efficacy and comfort for a patient

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The new device, the BiPAP A40, was announced on
World COPD Day 2012.

• By maintaining airway patency and delivering an
  accurate amount of air for a patient, the device
  can help stabilize a patients blood oxygen
  levels quickly and easily.
• In addition, the BiPAP A40 comes with a
  specialized battery module for portability. In
  addition to portability, the battery mode can be
  a valuable lifeline for a patient during a power
  outage.
• Philips is proud to be able to provide access to
  new and innovative solutions that improve quality
  of care for respiratory patients both in
  hospital and at home.

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