TM
VPAP
IV and VPAP
TM
IV
ST
Product Training
VPAP is a trademark of ResMed Ltd and registered in U.S. Patent and Trademark Office.
1 VPAP IV/ST June 08 © ResMed
Global leaders in sleep and respiratory medicine
What treatment does it provide?
• Type of therapy
CPAP and bilevel pressure support.
Product
Therapy mode
Pressure
VPAP IV
CPAP, S
2 – 25 cmH2O* **
VPAP IV ST
CPAP, S, ST, T
2 – 25 cmH2O*
* 4 – 20 cmH2O in CPAP mode
** 4 – 25 cmH2O in German VPAP IV 26013
• Type of patients
– Respiratory Insufficiency and Obstructive Sleep Apnea
– Patients in the hospital and home
2 VPAP IV/ST June 08 © ResMed
VPAP IV and VPAP IV ST
Trusted VPAP performance now in Easy-Breath Technology platform
• Half the size, light and compact
• Whisper-quiet performance
• Faster rise time, enhanced new Vsync
• ResScan data card, Reminders, Review menu
3 VPAP IV/ST June 08 © ResMed
Features
Compact, powerful and comfortable
– Popular S8 design
– Powerful: More than 140 L/min flow at 25 cmH2O
– Easy-Breath Technology
 Whisper-quiet
 High performance motor
– ResScan data card
– New Vsync algorithm
– Safer with supplemental oxygen
– Fine tuning with TiControl and 5 levels of
trigger and cycling sensitivities
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S8 design - half the size
of VPAP III series
• From 2.3 kg to 1.3 kg
• Popular and compact S8 form – common look and feel
• Pressure range 2 – 25 cm H2O
• Better pneumatic performance (more flow, faster rise time)
5 VPAP IV/ST June 08 © ResMed
Compatible with leading ResMed masks
Nasal Masks
–
–
–
–
Mirage Micro™
Ultra Mirage™, Ultra Mirage™ II
Mirage Activa™
Mirage Vista™
Nasal Pillows
– Mirage Swift™, Mirage Swift™ II
Full Face Masks
– Mirage Liberty™
– Mirage Quattro™
– Ultra Mirage
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Using humidifiers
• The heated humidifier H4i™ attaches to
the front of the VPAP device.
• VPAP automatically detects the H4i,
and no menu changes are required.
• The H4i seamlessly integrates with the
VPAP for superior humidity
• 30% more humidification (compared with H3i)
• Choices of cleanable water chambers
(standard) and disposable (accessory) water chambers
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Adding oxygen
• Oxygen can be added at the
ResMed oxygen connector port
(26960)
• Validated up to 15 L/min O2
• FiO2 will vary, depending on the
pressures, patient breathing
pattern, mask (exhaust vent flow)
and the leak
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Safer supplemental oxygen
Oxygen
VPAP
• Safer therapy with oxygen up to
15 L/min
• Proprietary design (patent
pending) maximises oxygen
flow to the patient and
enhances safety by reducing
the chance of oxygen flowing
back to the device.
• VPAP IV and VPAP IV ST have
improved sealing air path.
9 VPAP IV/ST June 08 © ResMed
AB filter and battery
• Antibacterial filters can be used
• Low impedance filters (e.g. less
than 2 cmH2O at 60 L/min) are
recommended
• Triggering and cycling may be
affected due to the increased
resistance in the air circuit
• The VPAP can be powered by
a battery using an inverter or
ResMed DC 24V converter
(26932)
• DC 24V converter should not
be connected to the VPAP
when the it is connected to AC
power supply. This may
generate electrical interference
• If, by accident, AC and DC are
connected simultaneously,
VPAP runs from AC power and
automatically switches to DC
when AC power is lost
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VPAP keypad and LCD
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Delivering therapy
• Without Smart Start/Stop
• With Smart Start/Stop*
1.Connect the power cord
(no power switch on the
device)
1.Turn the power on (No
power switch on the
device)
2.Fit the mask
2.Fit the mask
3.Press Start/Stop key
3.Breathe into the mask to
start
4.Remove the mask to stop
NOTE
Selecting Full Face Mask and
Leak Alert automatically disables
the Smart Start/Stop (see Notes)
12 VPAP IV/ST June 08 © ResMed
Ramp and H4i Warm-up
• Ramp or Settling time allows
VPAP to slowly increase the
pressure over the selected time
• Warm-up feature allows the
water in the humidifier to warm
up prior to starting treatment
• When selected, Ramp or
Settling appears after the
Welcome screen
• When the H4i is attached and
the VPAP is powered, a display
of warm up will appear
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Mask-fitting feature
• The mask-fitting feature helps the patient adjust the mask to
effectively minimise leak
• While checking mask fit, VPAP delivers pressure similar to
therapy pressure (IPAP) for three minutes
Hold down for 3 seconds
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The mask fit has a star rating up to five
stars. Achieving a rating of three stars is
effective.
Note: VPAP copes well with leak so please
DO NOT tighten the mask headgear
straps.
VPAP S & ST benefits for patient
• Enhanced comfort, compliance and convenience:
– Compact and convenient S8 form
– Easy-Breathe Technology:
 Whisper-quiet motor
 Fast rise time and quick response
–
–
–
–
–
Reminders (eg., to change mask, air filter)
Better adherence with ResScan data card
Comfort and effective humidification with H4i
Selection of simplified and advanced Patient menu
Synchronization with TiControl and 5 sensitivities
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VPAP S & ST benefits for clinicians
– Data Card for simple efficacy data & settings transfer
– Patient reminders (e.g. change mask) to ensure long term
management
– Easy set-up by two layers of Clinical settings menus
– Treatment screens for real time therapy information
– SpO2 and HR on LCD by Reslink and oximeter
– High resolution Flow data on ResScan
– Adequate humidification by H4i
– Reliable Vsync technology
– Fine tuning by TiControl and 5 sensitivities
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Leak management - Vsync
Essential for successful NPPV therapy
Vsync monitors and compensates for leak by continuously and
automatically adjusting the baseline flow therapy maintaining reliable
triggering and cycling.
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Ti Control
Inspiratory time control (S and ST mode)
• Ti Control provides minimum
and maximum inspiratory time
limits.
• The minimum and maximum
time limits are set at either side
of the patient’s ideal
spontaneous inspiratory time,
providing a ‘window of
opportunity’ for the patient to
spontaneously cycle to EPAP.
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Wide Trigger sensitivity
Breath detection sensitivity to initiate IPAP is broadened from
3 to 5 levels. More fine tuning to suite individuals.
5 Trigger sensitivities
Very High
Very Low
Very High
Quick to trigger
2.4L/min
High
Sensitive
4 L/min
Med
Default
6 L/min
Low
Less sensitive
10 L/min
Very Low
Slow to trigger
15 L/min
(Design specification)
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Wide Cycle sensitivity
Breath detection sensitivity to cycle down to EPAP is broadened
from 3 to 5 levels. More effective cycling for restrictive lungs.
5 Cycle sensitivities
Very High
Very Low
50 % of
Very High
Quick to cycle
High
Sensitive
35%
Med
Default
25%
Low
Less sensitive
15%
Very Low
Slow to cycle
8%
peak flow
(Design specification)
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Patient menu
simplified Standard menu or Advanced menu
Standard Menu
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Advanced Menu
Clinical menu
Settings and Advanced Settings
Therapy Set-Up
Fine-tuning Therapy
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ResScan Data Card
Standard accessory for easy two-way data transfer
The ResScan Data Card enables to
(1)gain remote access to the data
stored in the VPAP device
(2)update therapy settings.
The S8 Data Card stores:
– Device settings
– 180 Summary Sessions of
patient’s data
– 2 Detailed Sessions of
patient’s data
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Patient Reminder
• Recurring reminders allow the clinician to set reminders to
alert the patient to specific event at set time intervals.
• Reminders are;
– Replace mask
– Replace filter
– Service Due
– Call provider
– Insert Card
– Customized message (up to 16 characters)
• In 7-day increments for a recurrence period of 1 - 24
months
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S8 ResLink
Optional detailed monitoring
VPAP on-board data storage:
– 5 detailed sessions
– 365 summary sessions
Increase data storage and get SpO2
with S8 ResLink:
– 30 detailed sessions
– 365 summary session
– High resolution (25Hz) Flow data
SpO2 and HR on VPAP LCD via
ResLink and oximetry
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High res FLOW data
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New carry bag
More premium, professional look and feel
27 VPAP IV/ST June 08 © ResMed