1. 1 Respironics BiPAP-Vision

2. 2Classification Electrically powered – internal battery powers Vent Inoperative & audible alarms if AC power lost. Error code 205 if internal low battery condition. Electrically powered – internal battery powers Vent Inoperative & audible alarms if AC power lost. Error code 205 if internal low battery condition. 2 modes 2 modes CPAP CPAP S/T S/T Set Rate Set Rate IT in seconds IT in seconds IPAP IPAP EPAP EPAP

3. 3 Circuit BiPAP circuit (with exhalation port or Whisper Swivel) BiPAP circuit (with exhalation port or Whisper Swivel) Humidifier or HME Humidifier or HME With heated humidifier need circuit with water traps. Cannot cut into regular BiPAP circuit to add traps. With heated humidifier need circuit with water traps. Cannot cut into regular BiPAP circuit to add traps.

4. 4 Plug into AC mains & Connect to 50 psi gas source Plug into AC mains & Connect to 50 psi gas source Connect Connect BiPAP circuit BiPAP circuit - don’t cap - don’t cap Power switch Power switch RU corner RU corner on back on back panel – panel – ON ON Start Up Dispos- able inlet filter Fuses O 2 module

5. 5

6. 6 Power-on-self-test (POST) initiates

7. 7 After POST, Start “Test Exhalation Port”

8. 8 Follow steps on screen, block circuit, “Start Test”. Exhalation (castle) port

9. 9 Exhalation port test in progress

10. 10 Exhalation Port Test Analyzes leak rate of exhalation port Analyzes leak rate of exhalation port If successful – the value of “Pt. Leak” will be displayed If successful – the value of “Pt. Leak” will be displayed If unsuccessful – “Tot. Leak” will be displayed If unsuccessful – “Tot. Leak” will be displayed EPT must be performed when using the Plateau Exhalation Valve because the leak is significantly different than the port or swivel. EPT must be performed when using the Plateau Exhalation Valve because the leak is significantly different than the port or swivel.

11. 11 Test Complete, press Monitoring to exit. Monitoring

12. 12 Trigger Criteria in S/T Time Trigger (Rate) Time Trigger (Rate) Flow Trigger Flow Trigger 6 ml inspired volume detected 6 ml inspired volume detected Patient flow exceeds the shape signal (a shadow of the flow signal delayed by 300 ms) Patient flow exceeds the shape signal (a shadow of the flow signal delayed by 300 ms) Flow Pressure

13. 13 In S/T mode Only patient (flow) triggered breaths are flow cycled (PS). Only patient (flow) triggered breaths are flow cycled (PS). Time triggered breaths are time cycled according to the set Inspiratory Time. Time triggered breaths are time cycled according to the set Inspiratory Time.

14. 14 Cycle Criteria in S/T Time cycled Time cycled Set Inspiratory Time Set Inspiratory Time A 3 sec maximum IPAP time has occurred A 3 sec maximum IPAP time has occurred Flow cycled Flow cycled Flow reversal detected Flow reversal detected Patient flow is less than signal flow Patient flow is less than signal flow Spontaneous Expiratory Threshold achieved – another way to flow cycle Spontaneous Expiratory Threshold achieved – another way to flow cycle Flow Pressure SET

15. 15 Monitoring Parameters Mode Alarms Alarm Silence Alarm Reset 21% options SB IPAP 8 EPAP 3 Rate 12 Pt Data Display Area Scale Fz/ UnFz Mode/Messages ALARMS

16. 16 To change settings, press Parameters – then soft key next to parameter and adjust with knob. Soft keys Knob

17. 17 Can set Parameters while in Stand-by

18. 18 Stand-by Mode Can set parameters and alarms while in SB Can set parameters and alarms while in SB Bumping the circuit may simulate pt inspiration, in which case Vision exits SB automatically and goes into ventilation mode. Bumping the circuit may simulate pt inspiration, in which case Vision exits SB automatically and goes into ventilation mode.

19. 19 To change Mode, press Mode, then parameter soft key to adjust, and then “Activate New Mode” soft key 1 2 3

20. 20 ALARM Lo MinVen Alarms displayed in Mode/Message Area

21. 21Alarms Hi Press Hi Press Lo Press Lo Press Delay Delay Apnea Apnea Learn Learn Base Base Flow Flow Lo Min Lo Min Vent Vent Hi Rate Hi Rate Lo Rate Lo Rate

22. 22 Cannot adjust Parameters when Monitoring displayed

23. 23 TimedInspiration IPAP Rise Time

24. 24 Can Change Bar Graphs to Waveforms with “Options” soft key

25. 25 Mini-heart Nebulizer Tx