Philips BiPAP AVAPS User manual

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Royal Philips Electronics
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
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 
© 2013 Konink lijke Philips E lectronics N .V. All right s are reserved.
    
BiPAP AVAPS
BiPAP S/T
MCI4105612
1106444 R02
JJB 03/20/2013
LCD display
screen
Number settings
Humidifier icon
Control wheel/Push button
In order to activate the Preheat mode, the blower must be off and a
Therapy,
then press and hold down the control wheel for 5 seconds. There
will be a single beep and the device will now be in preheat mode. The
 ) will illuminate during this time.
Guidelines for Ventilation Set-up
Conversion ta ble to set the Inspir ator y Time for controlled breat hs
Set bac k up breath rate
(BPM)
I/E 1/3,
Ti/Ttot 25%
I/E 1/2,
Ti/Ttot 33%
I/E 1/1,
Ti/Ttot 50%
10 1.5 s 2.0 s 3.0 s
11 1.4 s 1.8 s 2.7 s
12 1.3 s 1.7 s 2.5 s
13 1.2 s 1.5 s 2.3 s
14 1.1 s 1.4 s 2.1 s
15 1.0 s 1.3 s 2.0 s
16 0.9 s 1.3 s 1.8 s
17 0.9 s 1.2 s 1.7 s
18 0.8 s 1.1 s 1.6 s
19 0.8 s 1.1 s 1.5 s
20 0.8 s 1.0 s 1.5 s
21 0.7 s 1.0 s 1.4 s
22 0.7 s 0.9 s 1.3 s
23 0.7 s 0.9 s 1.3 s
24 0.6 s 0.8 s 1.2 s
25 0.6 s 0.8 s 1.2 s
Set the Inspirator y Time in seconds: Ti (Second) = 60/Respiratory rate x % Ti
Conversion ta ble to set the target Tidal Volu me in rel ation to the id eal weight
Height Calculated ideal
weight (i f BMI = 23)
Tar ge t Vt e
if 8 ml/kg
Tar ge t Vt e
if 10 ml/kg
1.50 m 52.0 k g 410 ml 520 ml
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 kg 470 m l 590 ml
1.65 m 62.5 kg 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml
1.75 m 70.5 k g 560 ml 700 ml
1.80 m 74.5 kg 600 ml 740 ml
1.85 m 78.5 kg 630 ml 780 ml
1.90 m 83.0 kg 660 ml 830 ml
Calculated with an id eal Body Mass Index of 23 kg /m2(BM I = weight/he ight2)
Important: Guidelines are intende d to ser ve only as a refere nce. They shall be
used onl y in conju nction with t he instructions and/or protocol set forth by the
physician and institution in which t he assi st device is bein g used. T he guidelines are
not inte nded to supersede established medical protocols.
Initial
Settings
IPAP = 8 to 10 cm H2O, EPAP = 4 cmH2O and RR = 10 to 12 BPM
IPAP Increase IPAP if the patient wants more air, targeting patient tidal
volume at 8 ml/kg of ideal weight
EPAP  without OSA S (Obst ructive Sleep Apne a Syndrome): 4 – 5 cmH2O
 with OSAS: in crease EPAP to remove obst ructive apne a events
 with intrinsic PEP (stable chronic COPD): 5 – 6 cmH2O
BPM Set to 2 – 3 BPM under patient’s spontaneous frequency
Rise
Time
Obstr uctive patie nts prefer short rise time:
from 1 to 4 (100 ms to 40 0 ms)
Restrictive patients prefer long ri se time:
from 3 to 6 (300 ms to 600 ms)
Ti Set Ti be tween 25% and 33% for obstr uctive patients
Set Ti be tween 33% and 50% for rest rictive patients
(refer to table opposite)
AVAP S
OHS COPD Other restrictive
diseases (NMD, etc.)
Vt Target 8 to 10 ml/kg of ideal body weight (refer to tab le opposite)
IPAP
Window
(IPAPmin
and
IPAPmax)
Allow a wide range
of pressure variation
to ensure the right
pressure at the right
time.
 IPAPmin = EPAP
 IPAPma x =
25 – 30 cmH
2
O
Allow a more
restrictive pressure
window to combine
   
 IPAPmi n =
comfortable IPAP
 IPAPma x =
IPAPmin + 5 cmH
2
O
Allow a more restrictive
pressure window to
combine comfor t and
safety.
 IPAPmi n =

 IPAPma x =
IPAPmin + 5 cmH
2
O
AVAP S
Rate
AVAPS Rate setting depends on patient needs and clinic al condition:
0.5 cmH
2
O/min to 3 cm H
2
O/min so target tidal volume is reached smoothly
3 cmH
2
O/min to 5 cm H
2
O/min so target tidal volume is reached
more rapidly
Check patient arterial blood gases (PaCO2and PaO2) and oxygen saturat ion (SpO2)

Hold entire unit at each end and slide release latch to the right.

with water.

not force door higher than the locked position.
(b) Grasp front of chamber and slide toward you.
2. (a) Gently push tab located inside round opening
on top of chamber. (b) Separate top and bottom
of chamber.
3. Fill bottom chamber with distilled water.

chamber.
 
Reassemble the chamber by placing the hinges on
lid over the t wo tabs on back of chamber. Close lid
until it locks in place with an audible click. Insert


setting will light up on the device. This icon lights up (different colors)

is being applied.
 
 
 Orange - the heated tube is attached.

setting (0 to 5) and press. The settings represent relative humidity
levels that will remain consistent throughout the night even if room
temperature changes.
Quickstart Guide
 Set-up Device
 Start Therapy
 StopTherapy
 View Information
 Comfort Settings
 Menus
 
 
 Guidelines forVentilation Set-up

Release latch
Bacteria filter*
Heated Tubing
(optional)
Air outlet port
Release latch
(bottom view)
Preheat Mode
*Note:
at end of tube when using the
optional heated tube.

View Information Menus
Provider Setup Menu
Therapy settings
Mode CPAP, S, S/T, T, PC
CPAP 4-20
AVAP S
(not available on BiPAP S/T)
Off (0), On (1)
Tidal Volume
(only when AVAPS is enabled)
200-1500
IPAP Max
(only when AVAPS is enabled)
4-30
IPAP Min
(only when AVAPS is enabled)
4-30
IPAP 4-30
EPAP 4 to IPAP
BPM 0-30
Inspiratory Time 0.5-3.0
Set-up Device
1. From the main menu, highlight Setup.
2. Press and hold ramp button and
control wheel simultaneously for 4-5
seconds until beep.
3. Provider Setup screen then appears.
How to start
To program device:
To access provider settings:
1. Press and hold the control wheel for
2 seconds to turn the device off.
Note: You must be on the Main Menu
screen or in Therapy mode to turn
off the device.
How to stop
1. From the main menu, turn the control
wheel to Therapy and press.
2. The monitoring screen will be
displayed and the device will star t.
Note: You can select the measured
parameter to display on the Monitor
Pressure screen. Choose from Leak,
RR (Respiratory Rate), MinVent, or Vte
(Tidal Volume).
Provider Setup Menu (cont.)
Provider Setup Menu (cont.)
Comfort settings
Flex Lock Off (0), On (1)
Flex Off (0), 1, 2, 3
Rise Time Lock Off (0), On (1)
Rise Time 1 (fastest) to 6 (slowest)
Ramp Time Off (0) to 45 minutes
Ramp Start Pressure 4 to CPAP or EPAP setting
(depending on therapy mode)

(only when using heated tube)
Disable (0), Enable (1)
Humidity Level
(only when using heated tube)
1, 2, 3
Tube Temperature
(only when using heated tube)
Off (0), 1, 2, 3, 4, 5
 Off (0) (classic mode),
On (1) (System One humidity control)
 Off (0), 1 (coolest) to 5 (warmest)
Tubing Type Lock Off (0) (patient can adjust tubing size
diameter), On (1) (patient cannot
adjust tubing size diameter)
Tubing Type 15 mm / 22 mm
System One Resistance Lock Off (0) (patient can set mask type),
On (1) (patient cannot set mask type)
System One Resistance (mask type) 0, X1, X2, X3, X4, X5
1. Setup Parameter Display
You can select which measured parameters will display on the Monitor
Pressure screen. Choose from Leak, RR (Respiratory Rate), MinVent,
or Vte (Tidal Volume). See the Measured Parameter section of the User
Manual for more information.
2. Provider Mode
You can choose “on” or “off” to enable or disable provider mode.
Selecting “on” will put the device in provider mode (and the device will not
automatically return to user mode when the screen times out or you select
the Back option). Selecting “off” keeps the device in user mode.

and press.
2. Turn control wheel to desired option
and press control wheel to select.
3. Turn control wheel to next setting
and repeat.
4. To exit, turn control wheel to Back
and press.
Start Therapy
In provider screen:
1. Turn the control wheel to Info
and press.
2. Turn the control wheel to desired
option and press to view the

3. To exit out of any option, turn the
control wheel to Back and press.
1. From the main menu, highlight
Comfort.
The Flex, Ramp Time, and Rise
Time comfort features will be shown
in this menu selection, if enabled.

setting and press.
3. Turn control wheel to desired
option and press to select.
4. To exit, turn control wheel to
Back and press.
Comfort Settings
Alarm settings
Patient Disconnect Alarm Off (0), 15 or 60 seconds
Apnea Alarm Off (0), 10, 20 or 30 seconds
Low Minute Ventilation Alarm Off (0), 1 to 99 lpm
Low Tidal Volume Alarm
(only when AVAPS is enabled)
Off (0), On (1)
System settings
Backlight Off, On
Language Display language or Icon mode
hPa/cm H2O hPa, cm H2O
Setup Parameter Display1Leak, RR, MinVent, Vte
Reset Blower Hours Yes, No
Provider Mode2Off, On
Clear Patient Data Yes, No
Stop Therapy