1. VPAPTM IV and VPAP IVTM 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

2. What treatment does it provide?
Type of therapy
CPAP and bilevel pressure support.
* 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
Product
Therapy mode
Pressure
VPAP IV
CPAP, S
2 – 25 cmH2O* **
VPAP IV ST
CPAP, S, ST, T
2 – 25 cmH2O*
2 VPAP IV/ST June 08 © ResMed

3. 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
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4. 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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5. 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)
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6. 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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7. 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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8. 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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9. Safer supplemental oxygen
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.
Oxygen
VPAP
Sample from Chris Brunner
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10. 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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11. VPAP keypad and LCD
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12. Delivering therapy Without Smart Start/Stop
Connect the power cord (no power switch on the device)
Fit the mask
Press Start/Stop key
With Smart Start/Stop*
Turn the power on (No power switch on the device)
Fit the mask
Breathe into the mask to start
Remove the mask to stop
The Smart Start/Stop feature on the VPAP IV and VPAP IV ST works as on the ResMed S8 series products.
Selecting Full face mask and Leak Alert on the menus automatically disables the Smart Start/Stop.
This is to avoid a problem when Smart Start does not work properly for a full face mask due to a loss of inhalation flow from the valve. It also avoids the confusion of having a part of the feature (Smart Start) staying on while the other (Smart Stop) gets disabled.
NOTE Selecting Full Face Mask and Leak Alert automatically disables the Smart Start/Stop (see Notes)
12 VPAP IV/ST June 08 © ResMed

13. Ramp and H4i Warm-up
Ramp or Settling time allows VPAP to slowly increase the pressure over the selected time
When selected, Ramp or Settling appears after the Welcome screen
Warm-up feature allows the water in the humidifier to warm up prior to starting treatment
When the H4i is attached and the VPAP is powered, a display of warm up will appear
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14. 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
Achieving 5 stars is extremely difficult, so don’t bother.
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.
Hold down for 3 seconds
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15. 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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16. 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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17. 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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18. 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.
Factory default: Ti Min 0.3 sec, Ti Max 2.0 sec.
Patient can breathe out to EPAP spontaneously anytime between 0.3 and 2.0 second.
When Ti Min and Ti Max are set at very close value, cycling to EPAP is almost like controlled, which becomes Respironics’ PC mode.
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19. 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
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
Very High
Very Low
(Design specification)
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20. 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
Quick to cycle
50 % of peak flow
High
Sensitive
35%
Med
Default
25%
Low
Less sensitive
15%
Very Low
Slow to cycle 8%
Very High
Very Low
(Design specification)
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21. Patient menu simplified Standard menu or Advanced menu
Clinical Option menu has the menu type selection: Standard or Advanced.
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22. Clinical menu Settings and Advanced Settings
Therapy Set-Up
Fine-tuning Therapy
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23. ResScan Data Card Standard accessory for easy two-way data transfer
The ResScan Data Card enables to
gain remote access to the data stored in the VPAP device
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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24. 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 months
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25. 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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26. High res FLOW data
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27. More premium, professional look and feel
New carry bag
More premium, professional look and feel
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