VPAP IV ST POSITIVE AIRWAY PRESSURE DEVICE

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1 VPAP IV ST POSITIVE AIRWAY PRESSURE DEVICE Introducing the latest addition to the ResMed VPAP range the total solution in high performance bilevel therapy

2 VPAP IV ST - Comfortable, Compact and Qu Comprehensive features Total solution in bilevel therapy high performance plus comprehensive data management and accessories options Proven and reliable VPAP performance now in the popular super-compact S8 Series II design from ResMed Easy-Breathe technology; whisper-quiet and high performance motor Superior synchronisation Vsync leak management, TiControl and five levels of triggering and cycling sensitivities Advanced setting menu for easier and faster set up. High-resolution flow data for 5 full days with S8 ResLink II Improved safety new oxygen connector Convenient, compact and compatible design VPAP IV ST is almost half the size of traditional VPAP devices, making it less obtrusive at home. It is compact, light and robust with automatic altitude compensation and an in-built, auto-switching power supply for V AC inputs volt DC input. The VPAP IV ST is ideal for travel, including inflight usage*. The VPAP IV ST is compatible with the complete range of ResMed vented nasal and fullface masks and nasal pillows, such as the Swift LT. Easy-Breathe technology With Easy-Breathe technology, VPAP IV ST is even quieter then the VPAP III ST A. Easy-Breathe also offers improved pressure stability. HumidAire 4i The H4i is a fully integrated humidifier that provides relief from the dryness and congestion associated with bilevel therapy. H4i is approximately 30% more effective then H3i! *Please refer to guidelines of specific airlines

3 iet Vsync: unique leak compensation and pressure stability Leak unique to the VPAP series, Vsync offers significant benefits. You can be confident your patients receive stable pressure throughout treatment, in the event of leaks. The Vsync algorithm automatically adjusts baseline flow so that triggering and cycling thresholds are maintained even when air leaks occur. This automatic leak compensation ensures optimum pressure support, synchronisation and patient comfort. Trigger Threshold Baseline Patient Flow Vsync New Baseline Automatic Leak Compensation Automatic Trigger Threshold Adjustment TiControl: optimise patient-machine synchronisation Ti Max The TiControl feature enables you to treat different respiratory conditions and optimise patient machine synchronisation. TiControl provides adjustable minimum and maximum inspiratory time limits for both flow- and time-triggered breaths. An increase in Ti Min time will prolong the inspiration time and therefore increase the tidal volume. Pressure controlled mode can be achieved by setting Ti Min and Ti Max on the same value/time. This adaptability makes the VPAP series a convenient and effective choice for Noninvasive Ventilation. IPAP EPAP 0 TiControl Rise Time Ti Min Cycle Window Breath cycle (BPM) Trigger Very low Low Medium High Very high Patient flow Trigger and cycling sensivities Very High High Medium Low Very low VPAP IV ST with H4i Humidifier

4 Titration has never been more flexible With the VPAP systems clinicians can titrate patients on three different platforms On the device Via ResControl II Via TxControl On the device VPAP IV ST now has two setting menus to make the setup/titration easier and quicker. The less common settings are displayed in the Advanced settings menu. Three screens (four when S8 ResLink II is attached) displaying measurements that are available during ventilation. This provides superior monitoring of the treatment. Via ResControl II ResControl II is a stand-alone unit that can remotely monitor and adjust parameters of all ResMed flow generators, it has a large LCD display that provides clinician with a superior overview of the treatment. All parameters are displayed and can easily be adjusted. It can be used either on the bedside or in the control room when not using a TxControl on a PC. ResControl II has analog outputs that can be connected to a PSG system. The data from the flow generator can therefore be transferred to the PSG system for more diagnostic interpretation, like Flow leak pressure, but also Ventilation minute and tidal volume. Via TxControl TxControl is ResMeds software that replicates the function of ResControl II but uses a computer for its display. When using TxControl, a clinic can monitor and adjust treatment on several patients simultaneously using the same PC. In addition to saving space in the control room, the soft transparency feature allows to have it on the top of other monitoring software such as a PSG. The combination of TxControl and ResControl offers a bedside unit with a large screen and the possibility of PSG output monitored from the control room PC.

5 Monitoring capabilities Data at your fingertips A range of monitoring data that can be viewed in real time on the LCD screen: Real-time therapy screens for instant access to clinical information; for example: Vt, Mv, Ti, leak, rate, triggering and cycling indicator Real-time oxygen saturation and heart rate data is available when the S8 ResLink II is attached Stored usage and efficiancy data can be viewed on the screen Monitoring on demand with ResScan. The single software programme for ResMed s CPAP and VPAP ranges ResScan shows information that is downloaded from the flow generator including: usage, unintentional leaks, volumes, respiratory rate and AHI with customisable statistics for all treatment Detailed monitoring information is available for up to 5 days (sessions) Easy transfer of data is achieved via cable and all data can be downloaded in one step Ability to easily change ventilator settings Reports can be customised and ed Detailed monitoring using S8 ResLink II. Modular patient management tool Clips onto ResMed s VPAP IV series devices Easy transfer of data is achieved via ResScan data card Captures and stores up to 24 hours of detailed monitoring data for 30 full days including: oximetry and pulse rate, unintentional leaks, respiratory rate, tidal volume, minute ventilation, apnea/hypopnea events Options ResControl II and TxControl Remote controller for all ResMed`s VPAP and CPAPs. TxControl is the PC application, ResControl II is a device with large screen ResControl II offers analogue outputs to PSG devices (leaks, flow, pressure) Accessories H4i optimal and integrated active humidifcation system S8 Reslink II, captures and stores detailed data for up to 30 sessions. Possibility for online monitoring of SpO 2 and heart rate. The oxygen connector has a orginial design (patent pending) that maximises oxygen flow to the patient and improves safety by reducing the risk of oxygen backflow DC 24V converter Choice of air tubings Air tubings 2m and 3m, autovlavable Flowdata

6 Product Codes VPAP IV-ST Europe 1, Europe Europe France Germany UK English, French, German, Italian, Spanish, Dutch and Portuguese 2 Norwegian, Swedish, Finnish and Danish 3 English, Czech, Dutch (Belgium), French (Belgium), German (Belgium), Greek, Hungarian, Italian, Polish, Portuguese, Russian, Slovak, Spanish and Turkish TECHNICAL SPECIFICATIONS Mode CPAP, Spontaneous (S), Spontaneous/Timed (ST), Timed (T) Pressure range (measured at the mask) IPAP 4 25 cm H 2 O (hpa) EPAP 2 25 cm H 2 O (hpa) CPAP 4 20 cm H 2 O (hpa) Respiratory rate 5 30 BPM Ti Control (S, ST mode) Ti Max range sec Ti Min range 0.1 Ti Max sec Rise Time range Min, Trigger and Cycle sensitivities 5 levels Maximum flow capacity at 20 cm H 2 O 170 L/min Data display on LCD Treatment screen Mode and pressure, leak, respiratory rate, Vt, trigger and cycle indicators, Ti time, SpO 2 and heart rate when ResLink and oximeter are connected Results screen Usage and efficacy data (leak, Vt, respiratory rate, minute ventilation, spontaneous trigger and cycle %, AHI, pressure) ResScan download data via cable 365 summary and 5 detailed sessions via ResLink 365 summary and 5 detailed sessions via ResScan data card 180 summary and 2 detailed sessions Power supply input range VAC, Hz, 110V AC 400 Hz VDC via ResMed DC 24V/50W converter Size (L x W x H) 112 mm x 164 mm x 145 mm Weight 1.3 kg IEC classification Class II (double insulation), Type CF, Continuous operation Note: This device is not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide entrained in the device airpath. ResMed Europe, Viaduktstrasse 40, 4051 Basel, Switzerland , ResMed Corp Poway, CA, USA OR (toll free), ResMed Ltd Bella Vista, NSW, Australia, 61 (2) or (toll free). Offices in Austria, Belgium, Brazil, China, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, United Kingdom (see website for details). Protected by patents: AU , AU , AU , CA , EP , EP , JP , JP , US , US , US , US , US Other patents pending. Protected by design registrations: AU , AU , AU , AU , AU , AU , AU , CN , CN , CN , CN , CN , CN , CN , EU , HK , JP , JP , JP , JP , JP , JP , JP , NZ , NZ , NZ , NZ , NZ , NZ , NZ , US D544598, US D557406, US D557407, US D560795, US D Other designs pending. ResControl, ResLink, ResScan, S8, Smart Data, TiControl, TxControl, VPAP and Vsync are trademarks of ResMed Ltd and VPAP is registered in U.S. Patent and Trademark Office. Specifications may change without notice ResMed Ltd / Global leaders in sleep and respiratory medicine

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