U.S. Range PS-4-20 Spécifications

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Page 1 - Sleep Lab Titration Guide

Sleep Lab Titration Guide

Page 2

Setting Up the S9 VPAP Tx1 Align the H5i with the S9 VPAP Tx and push them together until they click into place.2 Connect the DC plug of the power

Page 3 - Introduction

Navigating the MenusTurn until the parameter you require is displayed in blue.Press . The selection is highlighted in orange.Turn until you see

Page 4 - Tx Lab System

Mask FitMask Fit is designed to help fit the mask properly to the patient. The Mask Fit feature delivers CPAP pressure for a three-minute period, prio

Page 5

In the Control RoomIn the Control Room

Page 6 - ResMed Therapy Modes and

Starting a SessionBefore you start titrating a patient, you need to start EasyCare Tx and then start a titration session.To start a titration session

Page 7 - Getting Started

EasyCare Tx Toolbar OverviewEasyCare Tx is designed as a user-friendly toolbar and allows remote control of a therapy device while displaying current

Page 8 - Tx Control Panel

Configuring Mask and Humidifier SettingsConfiguring circuit settingsBefore starting therapy, select the mask type used by the patient and review the hum

Page 9 - At the Bedside

1 Record the session prior to starting therapya. From the Menu drop-down, select Session > Recordb. Populate the patient details in the pop-up w

Page 10 - Filling the H5i Water Tub

1 From the Menu drop-down, select Reports > Prescription Report.This will open a separate window for the report.2 Use the print, or save, report bu

Page 11 - Navigating the Menus

TechnologiesTechnologies

Page 12 - Viewing the Treatment Screens

Introduction 1S9 VPAP Tx Lab System ...2-3ResMed Therapy Modes and Algorithms, Spec

Page 13 - In the Control Room

NotesResMed.com18 S9 VPAP Tx Lab System | Sleep Lab Titration GuideTechnologies

Page 14 - Starting a Session

CPAP and AutoSet™ TechnologyResMed’s AutoSet technologyUsing a multiple-breath moving average, the AutoSet algorithm continuously monitors breathing

Page 15 - EasyCare Tx Toolbar Overview

Notes:The numeric value (1, 2 or 3 cm H2O) for each EPR setting represents the maximum pressure drop during CPAP therapy expiration. Therapy pressure

Page 16 - Therapy Settings

TiControl™A number of sophisticated features provide easy access to quality therapy•Accommodate patients’ unique needs with TiControl. Ti Max enable

Page 17 - Detailed Settings Report

Patient SetupsThese settings are provided as a guideline for initial settings. Individual patients may require further adjustments based on their own

Page 18 - Running and Printing

1 Ti settings based on an observed respiratory rate of 20 bpm.2 The rise time milliseconds scale is approximate.Recommended SettingsObesity Hypoventil

Page 19 - Technologies

Setting Ti Max and Ti Min using the respiratory rate table: 1. Instruct the patient to breathe normally while comfortably sitting or lying down.2. Cou

Page 20

iVAPS Technology (intelligent Volume-Assured Pressure Support)For hypercapnic, hypoventilating patientsiVAPS is intelligent airiVAPS is ResMed’s intel

Page 21 - Technology

TimePressurePressureTarget alveolar ventilationActual alveolar ventilationTime lapsePressure increases to meet target alveolar ventilationPressure de

Page 22 - CPAP and AutoSet Technology

ASV TechnologyFor normo/hypocapnic, hyperventilating patientsResMed’s ASV is the most clinically studied adaptive servo-ventilation therapy and has be

Page 23 - TiControl

IntroductionIntroduction

Page 24 - VPAP Technology

PatientFlowAPNEA APNEA APNEAAPNEAA decrease in ventilation is rapidly treated byincreasing Pressure SupportThe minimal Pressure Support during normalb

Page 25 - Normal lungs

Patient comfort through synchronyAdvanced, predictive technology maximizes comfort and synchrony over a wide range of breath rates The ASV algorithm c

Page 26 - ResMed.com

Which patients is ASV suitable for?This extensively studied therapy provides demonstrated results across the spectrum of central breathing disorders

Page 27 - The iVAPS advantage

Titration ProtocolsTitration Protocols

Page 28

©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O

Page 29 - ASV Technology

CPAP and AutoSet Therapy Titration ProtocolIndications for CPAP therapy•Obstructive Sleep Apnea•Upper Airway Resistance SyndromeEPR comfort setting

Page 30 - The Most Responsive Algorithm

©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O

Page 31 - Ease of titration

Indications for S therapy•CPAP intolerance•Continued obstructive events at higher pressures•Hypoventilation with SpO2 < 90%•COPDAre events cen

Page 32 - ASV Technology Q&A

©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O

Page 33 - Titration Protocols

Note: SpO2, VT and backup rate should be reviewed/monitored throughout the night.Indications for ST therapy•Neuromuscular/restrictive disorders•CO

Page 34 - DEFAULTS

S9 VPAP™ Tx Lab SystemResMed’s award-winning sleep lab titration system is designed with the patient’s comfort in mind. A truly all-in-one lab system

Page 35

©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O

Page 36

iVAPS Therapy Titration ProtocolIndications for iVAPS therapy•Neuromuscular/restrictive disorders•COPD•Obesity hypoventilationOnce a patient is fitt

Page 37

©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O

Page 38 - VPAP ST Sample Prescription

ASV default settings Only three therapy parameters to setEPAP 5 cm H2OMin PS 3 cm H2OMax PS 15 cm H2ORamp OFFASVAuto default settings Only four th

Page 39

Notes42 S9 VPAP Tx Lab System | Sleep Lab Titration GuideResMed.comTitration Notes

Page 40

ReimbursementReimbursement

Page 41

Notes44 S9 VPAP Tx Lab System | Sleep Lab Titration GuideResMed.comReimbursement

Page 42

S9 VPAP Adapt Reimbursement CodingMD – sleep specialistICD-9 Codes327.21 Primary CSA*327.22 CSA due to high altitude periodic breathing327.26 Sleep-

Page 43

Medicare Policy for Treatment of OSA(Effective 2/4/11)Medicare Policy for Treatment of OSA(Effective 2/4/2011)CPAP Qualifi cations (E0601)Patient must

Page 44 - Titration Notes

Document criteria for ineffective CPAP therapyDocument criteria for ineffective CPAP therapyDocument criteria for ineffective CPAP therapyRx for E0470

Page 45 - Reimbursement

Delivering Efficient, Consistent ResultsDetailed Settings ReportPrescription ReportPatient comfort featuresClimate Control humidification technology int

Page 46

Respiratory Assist Device (RAD) Qualifying GuidelinesCMS guidelines February 2011I. Restrictive Thoracic DisordersRespiratory Assist Device (RAD) Qua

Page 47 - MD – Primary care physician

Improvement of sleep-associated hypoventilation with use of E0470 or E0471 device on:• Settings that will be prescribed for initial use at home•

Page 48 - (Effective 2/4/11)

ResMed Corp San Diego, CA, USA +1 858 836 5000 or 1 800 424 0737 (toll free). ResMed Ltd Bella Vista, NSW, Australia +61 (2) 8884 1000 or 1 800 658 18

Page 49 - Bilevel Conversion Pathways

1 EPR available in CPAP and AutoSet modesResMed Therapy Modes and Clinically Superior AlgorithmsTechnical SpecificationsPressure RangesCPAP 4–20 cm H

Page 50 - II. COPD

Getting StartedGetting Started

Page 51 - Hypoventilation

S9 VPAP™ Tx Control PanelSetup menu button Push dialAlarm mute buttonInfo menu buttonLCD screenStart/Stop button Alarm and therapy LEDsKey FunctionSt

Page 52

At the BedsideAt the Bedside

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