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    REMStar BiPAP AutoSV Advanced

    REMStar BiPAP AutoSV Advanced

    Complex Sleep Apnea occurs when a person is identified as having Obstructive Sleep Apnea, but develops Central Sleep Apnea when using a CPAP machine. The REMstar BiPAP AutoSV(automatic Servo Ventilation) Advanced delivers optimal therapy for complicated sleep-disordered breathing cases. The 'Advanced' updates include an improved Digital Auto-Trak Algorithm, auto EPAP capabilities and Bi-Flex technology that enhances patient comfort.

    Please note that the Heated Humidifier is included in the price of this machine.

    Manufactured by Philips Respironics.

    Complex Sleep Apnea occurs when a person is identified as having Obstructive Sleep Apnea, but develops Central Sleep Apnea when using a CPAP machine. The REMstar BiPAP AutoSV(automatic Servo Ventilation) Advanced delivers optimal therapy for complicated sleep-disordered breathing cases. The 'Advanced' updates include an improved Digital Auto-Trak Algorithm, auto EPAP capabilities and Bi-Flex technology that enhances patient comfort.

    Please note that the Heated Humidifier is included in the price of this machine.

    Product Features

    The BiPAP AutoSV Advanced comes standard with carrying case, bag, memory card, manuals and tubing.

    Digital Auto-Trak Algorithm and Bi-Flex Technology

    Digital Auto-Trak Sensitivity is the brains behind Respironics' Flex Technology. A patented algorithm monitors breathing patterns and responds to abnormal pressure changes. The Auto-Trak system measures variable triggers and cycle thresholds, then adjusts pressure automatically to provide effective sleep therapy. The Digital Auto-Trak components are always active and the system reacts to the first component that detects a change in sleep, providing maximum sensitivity.

    Bi-Flex Technology allows the BiPAP AutoSV Advanced to track each breath and helps provide pressure relief during three critical points in the breathing cycle. Pressure is reduced by half centimeter increments during the transition from exhalation to inhalation, inhalation to exhalation and during exhalation. The Bi-Flex setting can be adjusted up to 1.5cm of water pressure for maximum comfort. Bi-Flex comes standard with the PR BiPAP Series and can be turned on when in Auto Bi-Level Mode (also known as Spontaneous Mode).

    The BiPAP AutoSV can be set to support several modes using EPAP, IPAPmin and IPAPmax. The device can be set to deliver CPAP, CPAP with AutoSV, BiPAP and BiPAP with AutoSV. The auto-titrating algorithm allows the AutoSV to treat standard OSA symptoms as well as treating mixed apneas. The AutoSV also supports an (S/T) Mode that allows users to set the machine's Breathe Rate and Rise Time. Setting the Breathe Rate lets the machine know how many breaths per minute the system uses to calculate when to automatically switch from exhalation to inhalation. Unlike the standard BiPAP ST, the AutoSV can automatically calculate your bpm.

    Advanced Event Detection and Response

    The BiPAP AutoSV Advanced is designed to identify and respond to symptoms beyond classic OSA parameters. Detection is expanded to include data on Snoring, Periodic Breathing and Respiratory Effort-Related Arousals (RERAs). The BiPAP AutoSV Advanced can monitor the breathing cycle and deliver comfortable pressures proactively for patients with complex events such as:

    • Restrictive disorders (kyphosis or fibrosis)
    • Periodic breathing such as Cheyne-Stokes Respiration (CSR)
    • Obstructed airway apnea
    • Obesity with hypo-ventilation
    • Complex SDB
    • COPD and OSA
    • Neuro-muscular disorders and SDB


    RERAs differ from a hypopnea or snoring event in that a RERA shows increasing respiratory effort with each breath, culminating in a shift in brain wave activity and not necessarily a result of obstruction. Periodic breathing conditions such as Cheyne-Stokes respiration (CSR) and central apneas are distinguishable from obstructed apnea or snoring events.

    Auto EPAP

    The BiPAP AutoSV Advanced now comes with an Auto-titrating algorithm that allowing the device to operate like an Auto CPAP or Auto Bilevel device. Auto-titration helps address sleep-disordered breathing (SDB) such as obstructed sleep apnea and snoring. The system now recognizes patients who do not respond to pressure increases triggered by apneas or hypopneas. Whereas, other algorithms limit the treatment of apnea events above a fixed pressure level, resulting in under-treated patients. The Auto EPAP feature will automatically adjust the exhalation pressure to prevent airway collapse during an OSA event.

    Advanced Back-Up Rate

    Complex sleep apnea is a form of central apnea that occurs as a result of CPAP therapy. In treating such users, care must be taken not to over or under-ventilate while still allowing for natural pauses in breathing. The advanced backup rate for the BiPAP AutoSV Advanced accounts for the user's spontaneous breathing. This system will automatically calculate the backup rate based on a natural respiratory rate.

    Automatic Servo Ventilation (AutoSV) Algorithm

    The AutoSV Advanced uses the SV algorithm to assure that each breath is properly ventilated. The SV algorithm monitors breathing patterns for irregularities and can quickly stabilize the breathing pattern based on a set target peak flow. Digital Auto-Track analyzes the flow signal and automatically sets the target flow on each breath cycle. If the user reaches the flow target, then the system does not offer additional pressure support.

    Encore Data Management and Reporting

    On-board memory has been added to the BiPAP as well as storing information on an Encore SmartCard. Use EncorePro Software to monitor therapy effectiveness through a series of reports. A new Patient Flow and Event report enables users to view a weekly breakdown on per-breath basis. Patient data is used to identify particular conditions and events with specific colors.

    Specifications

    This Product Includes...

    • BiPap AutoSV Advanced Machine
    • 6 Foot Hose
    • Carrying Case
    • Patient Manual
    • Clinical Manual
    • SmartCard
    • 2 Reusable Foam Filters
    • 1 White Disposable Filter
    • Power Supply
    • Filter Cover

    Product Specifications

    Environmental

    • Temperature 41 deg F to 95 deg F (Operating) -4 deg F to 140 deg F (Storage)
    • Relative Humidity 15 to 95% non-condensing (Operating and Storage)
    • Atmospheric Pressure (5600 feet to sea level) 83 to 102kPa (Operating)

    Physical

    • Dimensions 9.75"(L) x 6.625"(W) x 4.4"(H) 24.8 cm(L) x 16.8 cm(W) x 11.2 cm(H)
    • Weight4 lbs (1.8 kg)


    Electrical

    • AC Voltage Source 100 to 240 V, 50/60 Hz
    • DC Voltage Source 12VDC (when operated with the external DC power adapter accessory)
    • AC Current 1.25 A maximum
    • DC Current 3.0 A maximum
    • Protection against electric shock Class II
    • Degree of protection against electric shock Type BF Applied Part
    • Modes of Operation Continuous
    • Electromagnetic Compatibility The device meets the requirements of EN 60601-1-2, second edition (2001)
    • Fuses There are no user-replaceable fuses.


    Pressure

    • Output 4 to 30 cm H2O
    • Sound Pressure Level 30 dB(A)


    Control Accuracy

    • Breath Rate 4 to 30 BPM Greater than +/- 1 BPM or +/- 10% of the setting (when measured over a 4 minute period)
    • Timed Inspiration 0.5 to 3.0 seconds +/- (0.1 +10% of the setting) seconds
    • Ramp Duration (0-45 minutes) +/- 10% of setting
    • Rise Time 1 to 6 (the range of values correspond to tenths of seconds) +/- 25%
    • Miscellaneous:Auto on/off, mask off alert, patient reminders


    Max Exposure Heat for Machine

  • Machine should not be exposed to heat greater than 140 degrees Fahrenheit
  • CPAP.com always offers these services:

    • 8 am to 10 pm CST Toll Free Phone and Email Support
    • 24 hour access to our CPAPtalk.com Support Forum
    • Learning Center for information on sleep apnea and cpap equipment
    • Consumer Purchasing Trends Reports
    • Warranty Services for all items purchased through CPAP.com
    • Insurance Compliant Invoices
    • Free Prescription Request System

    Manufacturer Note

    • A valid prescription is required for the purchase of this product.
    • Philips Respironics products are for sale only to patients within the U.S. and not to other third parties or businesses.
    • All services provided by CPAP.com, including advertisement, ordering, sale, delivery, instruction, and setup of the products are performed solely by CPAP.com and independently of the manufacturer.

    Important Tips

    For help with titration on the AutoSV, review the Protocol for periodic and complex breathing.

    Manufacturer Warranty
    This machine comes with a 2 Year Manufacturer Warranty. CPAP.com will work with the manufacturer on your behalf if the machine needs repairs. Please follow these steps:

    • Contact us at cpap@cpap.com or 1-800-356-5221 to receive an RMA (Return Merchandise Authorization) Number before returning the equipment
    • Include a note with the machine describing the issue you are experiencing, along with your full contact information to include a return shipping address and the RMA number provided to you
    • Ship only the defective items to CPAP.com at 10101 Stafford Centre Drive, Stafford, TX 77477
    • Do not return accessory items such as the carry bag, hose or power cords
    • Loaner Machines are available for rental during the warranty process
    • Email updates will be sent to keep you informed as the machine moves through the warranty process
    • CPAP.com will contact the manufacturer on your behalf and handle all shipping between us and the manufacturer
    • The repaired or replaced unit will be returned to you. Shipping charges may apply.

    Please note: The manufacturer warranty is voided by water damage or misuse of the machine.



    CPAP Power Options

    Universal Power

    The Respironics Legacy BiPAP machines operate automatically between 110v and 240v AC. When traveling either inside or outside the USA, there are no switches to switch or fuses to change. The machine will automatically sense what voltage is needed and set itself to run on that power.

    The user will need to adapt the plug that goes into the wall to fit the style of outlet socket that is being used. This is simply done with a Power Adapter Plug kit. This is the same type of plug adapter that would be used with a hair dryer or an electric shaver. World Traveler Power Adapter Plugs.

    Respironics RP-DC Power Adapter

    Respironics Legacy BiPAP machines come equipped with a DC plug on the back of the unit. This allows the user to connect the BiPAP to an external DC battery source. This cord is ideal for travel by recreational vehicle, boat, or any external DC battery that is equipped with a cigarette lighter plug.

    CPAP Video & FAQ

    Frequently Asked Questions (FAQs)

    What is CPAP therapy?
    CPAP stands for Continuous Positive Airway Pressure. CPAP therapy is the most commonly recommended, and the most effective, treatment for obstructive sleep apnea.

    A CPAP machine provides air at a constant prescribed pressure. The air is delivered to the person through a tube and a CPAP mask. CPAP therapy provides a constant airflow which keeps the airway open so uninterrupted breathing is maintained during sleep. The air stream eliminates Sleep Apnea events and allows the person to get a restful sleep.

    The level of air pressure required to maintain your airway is determined during your sleep study. Your doctor will write a prescription for a CPAP machine set at that pressure.

    CPAP therapy is delivered through a nasal mask that seals around the nose or nasal pillows which seal at the nasal opening. Full face masks are available for a person who breathes through both the nose and mouth. Many innovative and comfortable options are available and advances in the delivery of CPAP therapy are continually occurring.

    For instance: Some machines offer a comfort feature such as FLEX or EPR technology. It provides exhalation relief, a slight drop in pressure at the time of exhalation to help make therapy more natural. APAP, BiPAP and BiLevel machines offer various levels of pressure throughout the night.
    How can I compare different machines?
    We work very hard to provide many different ways for our customers to compare products. Here are the machine product guides we have created and maintain:
    • CPAP Machine Comparison Guide. This guide stacks up every CPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular CPAPs, or all CPAP machines we sell.

      Compare Most Popular CPAP Machines

      Compare All CPAP Machines

    • Auto Adjusting Machine (APAP) Comparison Guide. This guide stacks up every APAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular APAPs, or all APAP machines we sell.

      Compare Most Popular APAP Machines

      Compare All APAP Machines

    • BiPAP, VPAP and BiLevel Comparison Guide. This guide stacks up every BiPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular BiPAPs, or all BiPAP machines we sell.

      Compare Most Popular BiPAP Machines

      Compare All BiPAP Machines
    How do I choose the machine that is right for me?
    We provide our customers with many tools to make informed decisions about their machine purchases. Options include:
    • Calling a CPAP Expert Toll Free. 800.356.5221.

    • Comparison Charts. These charts compare available machines, feature by feature. If you don't know the meaning of a feature, click on the question mark for a definition. Click on the image or name of the product for more detailed product information, pictures and resources.

      CPAP Comparison Chart

      APAP Comparison Chart

      BiPAP Comparison Chart

    • Help Me Choose Guide. We created a guide to help you select the right machine according to your preferences. The guide asks you a series of questions regarding your preferences and your prescription. Based on your answers we provide you with a comparison chart of the machine that meet your criteria. Get started here:

      Help Me Choose - Machine

    • Browse Our Machine Product Categories. These categories show each machine our company offers, ranked by popularity. Popularity is determined by a mix of sales data and our in house opinion of the quality of the machine based on our experience and customer feedback. The best products float to the top of our categories.

      CPAP Machine Category

      APAP (Auto Adjusting) Machine Category

      BiPAP (Two Pressure) Machine Category
    What comes with my machine?
    Machines come with a six foot hose, power cord, at least one filter, and manuals. Most manufacturers include a carrying case which is designed specifically for their equipment. CPAP, APAP, and BiPAP machines do not come with a delivery system or mask. CPAP masks must be purchased separately.

    To see the list of what specifically comes with each machine, you can browse for a machine. Then on the product page, click the "Specs" tab to see a full list of what comes with the machine.

    Are prescriptions required for mask, machine and/or humidifier purchases?
    Yes. Federal law requires we have a valid prescription on file before we ship your mask, machine and/or humidifier.

    We provide many easy ways to get your prescription:
    • We can request your prescription for you! When you checkout, just let us know you would like us to request your prescription, or you can log into your account to have us request your prescription.
    • Fax your prescription to our toll free fax number: 866.353.2727, or our international fax number: 713.541.7370
    • Email your prescription to cpap@cpap.com
    • Upload your prescription in your account, under the Prescriptions Section
    For more information on prescriptions, please see our Prescription Section of the Learning Center.
    Which CPAP masks work on which machines?
    All CPAP masks work with all machines.
    What are the CPAP, BiPAP and Sleep Apnea related CPT or billing codes?
    • A7034 is Nasal Mask
    • A7034 is Nasal Pillow Mask
    • A7030 is Full Face Mask
    • A7027 is Hybrid Mask
    • A7044 is Oral Interface Mask (Oracle)
    • A7035 is Headgear for Mask - Any Style
    • A7036 is Chinstrap - Any Style
    • A7032 is Replacement Nasal Mask Cushion
    • A7033 is Replacement Nasal pillows
    • A7031 is Replacement Full Face Mask Cushion
    • A7028 is Replacement Hybrid Mask Cushion
    • A7029 is Replacement Hybrid Mask Nasal Pillow
    • A7046 is Replacement Humidifier Chamber
    • A7037 is Tubing / Hose - Long & Short Tubes
    • A4604 is Heated Tubing
    • A7038 is Disposable Filter (White / Paper)
    • A7039 is Washable Filter (Gross Particle / Foam/ Black)
    • E0601 NU is CPAP Purchase
    • E0601 NU is APAP Purchase
    • E0470 NU is BiPAP Purchase
    • E0470 NU is BiPAP Auto Purchase
    • E0471 NU is BiPAP ST Purchase
    • E0471 NU is BiPAP Auto SV Purchase
    • E0562 NU is Heated CPAP Humidifier
    • E0561 NU is Passover or Cool CPAP Humidifier
    • E0601 RR is CPAP Rental
    • E0601 NU is APAP Rental
    • E0470 RR is BiPAP Rental
    • E0470 RR is BiPAP Auto Rental
    • E0471 RR is BiPAP ST Rental
    • E0471 RR is BiPAP Auto SV Rental

    E1399 is Miscellaneous and is used for other CPAP items.
    Do all CPAPs use filters?
    Yes, all CPAPs use at least one filter that is usually a type of foam material and washable. Some CPAPs offer finer filtration with the addition of a disposable paper filter.

    Cleaning and changing filters is the only maintenance required for a CPAP machine.

    The filters are located at the back of the machine at the air intake. The image below shows the black foam filter at the back of the Everest 3 CPAP Machine.

    Why might I prefer an APAP machine?
    Some CPAP users find it more pleasant to breathe with an APAP than with CPAP. The pressure delivered by an APAP machine automatically changes as needed to deliver the minimal pressure required to maintain the airway. The pressure delivered by a CPAP machine is set to a single pressure, the highest necessary to keep the airway open as determined during the sleep study. This is the case even when the higher pressure is needed only a fraction of the time.
    What data capable machines are available?
    CPAP machines which record full data (such as AHI and leak info):


    AutoPAP ("Autotitrating CPAP" or "APAP") machines which record full data:


    BiLevel ("BiPAP") machines which record full data:


    CPAP Machines that only record compliance data (hours used) are:

    What is ramp?
    The ramp button on a machine is a feature that allows for a gradual pressure build-up to your prescribed pressure. The feature is enjoyed by those with high pressures because they ease up to their pressure.
    How do I use a battery to operate my CPAP?
    All machines can connect to DC power. Some machines are configured to operate on DC Power and have a DC power outlet. Other machines require AC power and will need an inverter that turns DC power to AC power.

    Having the proper equipment is the biggest key to successfully operating the machine from a battery. For example, if your machine does have a DC outlet and you want to run your machine from a marine battery, be sure to get the correct DC cable for the machine, as well as an adapter cable with alligator clips that fits over the cigarette lighter plug.

    CPAP.com sells complete battery kits with everything you need for many machines including the correct cables for those machines and batteries. You can see if there is a battery kit available for your machine here. If you have questions about the specific power needs of your machine, review the 'Power' tab found on the machine's product page, or give us a call at 1-800-356-5221.
    How do I prepare for power outages with CPAP?
    There are a lot of back up battery choices out there that can give you peace of mind in case of a power outage. The Transcend Travel CPAP Machine has Battery Options available that can set up as a fail-over, back up battery. Review the 'Power' Tab on the machine page.

    CPAP.com sells battery packs to accompany your machine if an integrated battery is not available. Visit CPAPtalk for more advice specific to your needs, or view this past thread on the topic here.
    How do I change the pressure setting of my machine?
    When a physician orders a pressure change, or a patient moves to an area with a very different altitude and does not have an altitude compensating machine, there are a number of ways to ensure you are receiving CPAP therapy at the correct pressure.

    Sleep laboratories and sleep disorder centers may be willing to make this pressure change. Just call a local hospital or ask your physician to recommend a sleep lab. Be sure to take your prescription.

    A second way is to do it yourself. We sell manometers that are very portable, accurate, and simple to use. All the machines we sell come with instructions on how to set pressure to physician orders. Most patients have little trouble doing this themselves. If you need help we can talk you through the procedure. Contact us by phone at 1-800-356-5221.

    Gauge Manometer (for pressure measurements)

    Fisher and Paykel Water Column CPAP Manometer with HC325 Chamber

    A third option is to ship the machine to us with the new prescription. We will set it and ship it back.

    It is the law and good common sense to run all sleep disorder devices at the prescribed pressure. If you think your prescribed pressure is wrong, talk to your physician.
    What does an APAP prescription need to say?
    An APAP prescription must contain all of the following information:
    • One of the following words or phrases: "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "CPAP" or "Continuous Positive Airway Pressure" or similar term.
    • Your physician's contact information
    • Your physician's signature
    • The patient's full name

    An APAP prescription may contain the following information:

    • Your pressure range (Optional, Not Required)
      • Example: 4-20 CM/H20
      • Example: 4-20
      • Example: 6-18 CM/H2O
      • Example: 6-18

    CPAP prescriptions are accepted for Auto Adjusting (APAP) Machines.
    What does a BiPAP Auto prescription need to say?
    A BiPAP Auto prescription must contain all of the following information:
    • One of the following words or phrases: "BiPAP", "BiLevel", "VPAP", "BiPAP Auto"
    • Your physician's contact information
    • Your physician's signature
    • The patient's full name

    Inspiration pressure (IPAP) and expiration pressure (EPAP) are not required for a BiPAP Auto prescription.
    What does a BiPAP Auto SV prescription need to say?
    A BiPAP Auto SV prescription must contain all of the following information:
    • One of the following words or phrases: "BiPAP SV", "BiPAP Servo Ventilation"
    • Your physician's contact information
    • Your physician's signature
    • The patient's full name
    • Either an IPAP pressure range and a single EPAP pressure setting OR a single IPAP pressure setting and an EPAP pressure range.
    • Your IPAP Minimum and Maximum Inspiration Pressure (breathing in pressure) or the settings can be provided to us.
      • Example: IPAP Min 5 cm/H20 - IPAP Max 15 cm/H20
      • Example: IPAP Min 5 cmwp - Max 15 cmwp
      • Example: IPAP Min 5 - IPAP Max 15
    • Your EPAP or expiration (breathing out pressure) or the setting can be provided to us. This may be called the EEP (End Expiratory Pressure).
      • Example: EPAP 5 cm/H2O
      • Example: EPAP 5 cmwp
      • Example: EPAP 5

    It may contain a backup rate or "Breath Per Minute BPM" setting.

    Sample of wording for a complete prescription for a BiPAP Auto SV including Back Up Rate:

    • BiPAP SV
    • IPAP Min 5 cmH2O
    • IPAP Max 15 cm H2O
    • EPAP 5 cmH2O
    • 12 BMP
    Visit the Learning Center