1. BiPAP A40 Ventilatory Support System BY AHMAD YOUNES PROFESSOR OF THORACIC MEDICINE Mansoura Faculty of Medicine

2. BiPAP S/T SPECIFICATIONS: Modes : CPAP, S, ST Timed inspiration 0.5 to 3.0 seconds IPAP 4 to 25 cm H 2 O EPAP 4 to 25 cm H 2 O CPAP 4 to 20 cm H 2 O Breath rate 0 to 30 BPM Weight 1.36 kg Dimensions 18 cm x 14 cm x 10 cm Alarms Patient Disconnect, Apnea, Low Minute Ventilation

3. Pressure curve when BiPAP = 10/5 cm H2O; The pressure is higher on inspiration than on expiration, but both pressures are above ambient.In this example IPAP is set as 10 cm H2O and EPAP is set as 5 cm H2O.

4. BiPAP AVAPS Clinicians no longer need to choose between pressure or volume ventilation in order to deliver optimum therapy to NIV patients. Now, they can have both. The BiPAP AVAPS (Average Volume Assured Pressure Support) home ventilator enables clinicians to achieve the prescribed target volume pressure without compromising patient comfort. Automatically adapts to patient’s changing needs Designed for clinical ease of use and patient comfort Powered by advanced technologies

5. SPECIFICATIONS: Modes CPAP, S, ST, PC, T AVAPS available on S, ST, PC, and T modes Bi-Flex Available from S mode Target Tidal Volume from 200 to 1500 ml IPAPmin From EPAP to IPAPmax IPAPmax From IPAPmin to 25 cm H2O Timed inspiration 0.5 to 3.0 seconds IPAP 4 to 25 cm H 2 O EPAP 4 to 25 cm H 2 O CPAP 4 to 20 cm H 2 O Breath rate 0 to 30 BPM Weight 1.36 kg Dimensions 18 cm x 14 cm x 10 cm Alarms Patient Disconnect, Apnea, Low Minute Ventilation, Low Tidal Volume (AVAPS modes only)

6. BiPAP AVAPS

7. BiPAP A30 Ventilator For 24 Hours Use BiPAP A30 ventilator has been designed to combine ease of use with technology advancement to deliver enhanced therapy that adapts to patient’s condition. Being at home can work wonders so It delivers a smooth transition from hospital to home for chronic respiratory patients. Compatible with PSG Systems Optional Oximetry Module Intuitive, User Friendly & Colored Interface Integrated Heated Humidifier Graphical & Statistical Data Management on EncorePro & Direct View Softwares

8. SPECIFICATIONS: Modes CPAP, S, ST, PC, T, AVAPS AVAPS available on S, ST, PC, and T modes AVAPS Rate 0.5 to 5 cmH 2 O/min Target Tidal Volume from 200 to 1500 ml IPAP 4 – 30 cmH 2 O EPAP 4 – 25 cmH 2 O Breath Rate 0 – 40 BPM Inspiratory Time 0.5 – 3 sec Rise Time 1 (100 ms) – 6 (600 ms) Monitoring Pressure, Tidal Volume, Minute Ventilation, Respiratory Rate, I/E Ratio Weight 2.1 kg (with Power Supply) Noise Level < 30 dBA at 10 cmH 2 O Humidification System one Humidification & Dry Box technology Alarms Patient Disconnect, Apnea, Low Minute Ventilation, Low Tidal Volume, High Respiratory Rate

9. BiPAP A40 Ventilator BiPAP A40 comes with well-known and clinically proven Philips Respironics technology such as Auto-Trak, AVAPS and a Dry Box humidifier design. The device is capable of non invasive and invasive pressure ventilation, up to 40 cmH 2 O, providing treatment for your chronic insufficiency respiratory patients. The device features AVAPS-AE, the first fully automatic ventilation mode, designed to help clinicians during titration process, while maintaining comfort and therapy optimization at the lowest pressures.

10. BiPAP A40 Ventilator This new innovative ventilation mode helps in providing long term therapy compliance regardless of changes to the body position, sleep stages and respiratory mechanics. Detachable Battery with up to 5 Hours Backup AVAPS-AE Automatically Adjust Ventilation to the Patients Need Compatible with PSG Systems Optional Oximetry Module Intuitive, User Friendly & Colored Interface Integrated Heated Humidifier Graphical & Statistical Data Management on EncorePro & DirectView Softwares

11. SPECIFICATIONS: Ventilation modes : CPAP, S, S/T, PC, T, AVAPS-AE Hybrid ventilation AVAPS (Average Volume Assured Pressure Support) AVAPS-AE IPAP 4 – 40 cm H 2 O EPAP 4 – 25 cm H 2 O Target tidal volume (when AVAPS enabled) 200 – 1500 ml Breath rate 0 – 40 bpm (4 – 40 bpm in T mode) Inspiratory time 0.5 – 3 sec. Triggering and cycling Auto-Trak,Sensitive Auto-Trak, Flow triggering. Rise time 1 (100 ms) – 6 (600 ms) Size 21.6 cm W x 19 cm L x 11.5 cm H Weight 2.1 Kgs (with power supply) Noise level < 30 dBA at 10 cm H 2 O

12. SPECIFICATIONS: Humidification System One humidity control and ‘Dry Box’ technology Alarms Patient disconnection Apnea,Low minute ventilation,Low tidal volume (with AVAPS/AVAPS-AE only),High respiratory rate Monitoring Pressure, tidal volume, minute ventilation, respiratory rate, leak, I/E ratio Battery back up Detachable battery module: 5 hours at IPAP 12 cm H 2 O / EPAP 7 cm H 2 O and 12 bpm DC power source 12 VDC, 5.0 A (external battery), 24 VDC, 4.2 A (power supply) Data management Encore Pro 2 and Direct View software Compatible with oximetry module Advanced detection of residual respiratory events (Apnea/Hypopnea Index, Obstructed Airway Apnea, Clear Airway Apnea, Hypopnea, Periodic Breathing, RERA, Large Leak and Snore)

13. Intended Use of BiPAP A40 Home Ventilator Bilevel ventilator providing invasive and non invasive ventilation, up to 40 cmH2O AVAPS-AE mode Auto EPAP Auto Pressure support Auto Backup rate Easy-to-use interface and compatible with a detachable battery module to offer increased patient freedom and support Unique integrated heated humidifier to minimize water ingress and rainout for patient comfort

14. Device Description The device augments patient breathing by supplying pressurized air through a patient circuit. It senses the patients breathing effort by monitoring airflow in the patient circuit and adjusts its output to assist in inhalation and exhalation. The higher pressure makes it easier for you to inhale, and the lower pressure makes it easier for you to exhale. This device can also provide a single pressure level, known as CPAP (Continuous Positive Airway Pressure). The BiPAP A40 Ventilator is compatible with the System One Heated Humidifier.

15. Device Description The BiPAP A40 ventilator introduces a new therapy mode called AVAPS-AE. This therapy mode combines an improved AVAPS algorithm with an auto-back up to treat hypoventilation. An auto-EPAP algorithm runs simultaneously with the bi- level therapy to deliver the pressure support at the optimal PEEP. Similar to the Trilogy 200, the BiPAP A40 can provide pressure up to 40cm, provide invasive support if prescribed, be used in mobile applications such as wheelchairs, and provides an optional detachable battery. Additionally the ventilator can be operated using AC power, a detachable battery, or an external battery.

18. The new device, the BiPAP A40, was announced on World COPD Day 2012. According to a press release by the company, the BiPAP A40 is a new bi-level, multi-modality ventilator with an automation ventilation system. The automated ventilation mode is designed to assist patients during the transition from a managed healthcare facility or hospital to a private residence. The new ventilation mode is called the AVAPS-AE. Its automated mode can be used to guide physicians during the first stages of therapy. In addition, the system is designed to improve efficacy and comfort for a patient

19. The new device, the BiPAP A40, was announced on World COPD Day 2012. By maintaining airway patency and delivering an accurate amount of air for a patient, the device can help stabilize a patient’s blood oxygen levels quickly and easily. In addition, the BiPAP A40 comes with a specialized battery module for portability. In addition to portability, the battery mode can be a valuable lifeline for a patient during a power outage. “Philips is proud to be able to provide access to new and innovative solutions that improve quality of care for respiratory patients – both in hospital and at home.”