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    PR System One REMstar BiPAP Pro with Bi-Flex

    PR System One REMstar BiPAP Pro with Bi-Flex

    Respironics brings "System One" to the new line of REMstar BiPAP machines. The PR BiPAP with Bi-Flex is an intelligent solution that knows when, why, and how changes should occur to consistently and effectively provide optimum sleep therapy. New System One technologies like Humidity Control with Dry Box and Resistance Control for use with any mask, all are helping users achieve effective therapy.

    Manufactured by Philips Respironics.

    Respironics brings "System One" to the new line of REMstar BiPAP machines. The PR BiPAP with Bi-Flex is an intelligent solution that knows when, why, and how changes should occur to consistently and effectively provide optimum sleep therapy. New System One technologies like Humidity Control with Dry Box and Resistance Control for use with any mask, all are helping users achieve effective therapy.

    Product Features

    The PR BiPAP Pro comes standard with carrying case, bag, memory card, manuals and now packaged with the Respironics Performance Tubing.

    System One Humidity Control (Optional)

    The PR CPAP humidifier and water chamber are breakthroughs for managing rain-out and water damage. System One Humidity Control technology analyzes ambient temperature and patient airflow to reach relative humidity at the mask. Sensors inside and outside the BiPAP machine closely monitor changes in humidity and prevents condensation from forming inside the tube.

    Dry Box technology is another advancement in reducing water damage to BiPAPs. The air outlet port has been moved from the side of the humidifier onto the top. The water chamber is outfitted with a one-way valve, between the machine and the humidifier. System One with Dry Box makes it possible for the PR BiPAP machines to be truly spill-free.

    System One Resistance Control

    Respironics wanted a machine to achieve optimal pressure regardless of whether the mask is nasal, pillow, or full face. Resistance Control is the solution. A numbering system on all of Respironics CPAP masks helps define the variable resistance characteristics. Each number programs the BiPAP to compensate for different mask types. The result? A consistent and reliable pressure, enhanced with all the benefits of Bi-Flex Technology no matter which mask is used.

    Bi-Flex Family Technology

    Flex Technology is designed to enhance traditional BiPAP therapy; maintaining effective therapy at comfortable pressures. Users new to BiPAP equipment find that Flex Technology makes adapting to therapy easier than typical BiPAP machines. The natural breath-by-breath patterns enhances traditional therapy and improves compliance.

    Bi-Flex makes the breathing cycle feel natural and comfortable. Flex Technology allows the PR BiPAP Pro to track each breath and provide pressure relief during three critical points in the breathing cycle. Pressure is reduced by .5 increments during the transition from exhalation to inhalation, inhalation to exhalation and during exhalation.The Bi-Flex setting can be adjusted up to 1.5 H20 for maximum comfort.

    Advanced Event Detection

    The PR BiPAP Pro is designed to identify symptoms beyond classic OSA parameters such AHI and flow limitations. With the PR system, detection is expand to include data on Snoring, Periodic Breathing and Respiratory Effort-Related Arousals (RERAs). Along with digital Auto-Trak Sensitivity and Flex Technology, the PR BiPAP Pro can detect the breathing cycle and report any variation in breathing patterns, increasing therapy effectiveness.

    Digital Auto-Trak Sensitivity is the brains behind Respironics' Flex Technology. A patented algorithm monitors breathing patterns and responds to abnormal pressure changes. On the PR BiPAP's, variable triggers and cycle thresholds are adjusted automatically to provide effective sleep therapy.

    Advanced event detection includes:

    • Periodic breathing
    • Clear airway apnea
    • Obstructed airway apnea
    • Hypopnea
    • RERA
    • Flow limitation
    • Vibratory snore
    • Large leak
    RERAs differ from a Hypopnea 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 and central apneas are distinguishable from obstructed apnea or snoring events.

    Encore Data Management and Reporting

    On-board memory has been added to the BiPAP as well as storing information on a generic SD Memory card and reads through any SD card reader. Use EncoreViewer 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...

    Product Specifications


    Pressure Range 4-25 cm H2O (.5 increments)

    Ramp Time: 0 to 45 min. (5-min. increments)

    Starting Ramp Pressure: 4 to EPAP; patient-adjustable

    Dimensions: 7" L x 5.5" W x 4" H 18 cm L x 14 cm W x 10 cm H

    Weight: 3 lbs / 1.36kg

    Altitude compensation: Automatic - Maximum height 7500 feet.

    Filters: Foam and optional ultra-fine

    Device Set-Up: LCD/Control Wheel or Encore Software

    Data Storage Capacity:

  • Display: Compliance VIC. 7-Day and 30-Day averages
  • SD Card > 1 year (daily details with flow waveforms)
  • On-board: up to 6 months

    Compliance Meter: Breathing detection

    Electrical Requirements: 100 - 240 VAC, 50/60 Hz (An adapter may be needed to plug the CPAP into a wall outlet outside the US.) 12volt DC

    Warranty: Two years; replace with new

    Max Exposure Heat for Machine: Machine should not be exposed to heat greater than 140 degrees Fahrenheit

    Unless directed otherwise, CPAP.com will leave the PR System One REMstar BiPAP Pro with Bi-Flex at the following default settings:

    • Bi-flex: 2
    • Ramp Time: 5 mins
    • Ramp Start: 4 cm H2O
    • Auto-On: On
    • Auto-Off: Off
  • 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

    Respironics has removed the "blue light" LED and the new power light is barely visible. No more insomnia from excess system lights; the light can even be turned off within the system settings. The only common part shared with the M series is a brick-style Power Supply. The PR system comes with a separate, external power supply that allows the machine to stay compact.

    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 13235 N Promenade Blvd 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.

    Humidifier Modes PR System One Heated Humidifiers Version 1.22 or higher have two modes:

    • Classic
    • System One Humidification

    NOTE: The version of software installed on a machine is displayed on the screen when the unit is plugged into an outlet. The Humidification settings are displayed only when a PR System One Heated Humidifier is attached to the machine.

    Classic Mode
    The CPAP user who wants to control the heat setting on the humidifier should select "Classic" mode settings C1,C2, C3, C4 or C5. The "C" in front of the humidification setting indicates "Classic". This allows you to set the level of humidification.

    System One Humidification Mode
    The CPAP User who wants to allow the technology of the System One Humidification to set the level of humidification delivered based on the humidity present in the room air should select "System One Humidification". The humidification setting will show 1 - 5 but WITHOUT a "C" preceding the number.

    Heating Off
    If set to zero “0”, the humidifier will act as a Passover Humidifier.

    Accessing Humidification Settings:

    1. Humidifier must be attached to the machine
    2. Access the Set Up menu
    3. Scroll down the menu offerings to locate: "System One Humidification"
    4. If set to "On", the technology will set the amount of humidification delivered to the system based on the setting of 1 -5 with 1 being the least and 5 being the most
    5. If set to "Off", the user controls the heat setting based on C1-C5 with C1 being the lowest heat and C5 being the highest heat.


    CPAP Power Options

    Universal Power

    This system operates 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.

    Universal 12 Volt DC Power Cord

    This machine come equipped with a DC plug on the back of the unit. This allows the user to connect the CPAP to an external DC battery source. The machine can be powered by plugging the 12volt DC Power Cord into a cigarette lighter plug. This is ideal for traveling by car, boat, or recreational vehicle that is equipped with a cigarette lighter plug.

    C-100 Travel Battery Pack for CPAP Machines

    Weighing in at only 1.16 pounds the C-100 Battery is a terrific option for travel. Plus, the C-100 comes with a DC cable and connector peg suitable for use with the PR System One REMstar BiPAP Pro with Bi-Flex PR System One REMstar BiPAP Pro with Bi-Flex so no need to purchase a separate DC cable. This lithium ion battery meets UN Manual Test and Criteria requirements for travel. The C-100 Pack includes many accessories and a handy carry case designed to allow the the cords to be attached with the battery inside the case.

    Respironics Battery Kit with Universal 12 Volt DC Cable

    This portable battery pack is an external lead acid battery that is the ultimate in power, portability and convenience. This battery kit comes with the Respironics battery and the 12 Volt DC Power Cord (connects CPAP to cigarette lighter socket).

    CPAP Video & FAQ

    Frequently Asked Questions (FAQs)

    What is the difference BiPAP and BiPAP ST?
    A BiPAP (also referred to as a BiLevel or VPAP) delivers two set pressures, a higher pressure for inhalation and a lower pressure for exhalation.

    BiPAP and BiPAP ST machines are similar, as they are both designed to provide the same airway pressure. The difference between a BiPAP and a BiPAP ST is the Spontaneous Timed feature. The ST responds to the user when the minimum number of breaths per minute has not been met. This machine ensures all breaths occur by triggering the user to take another breath within the minute.

    For example, a BiPAP might be set at the following:
    • Inhalation Pressure - 10
    • Exhalation Pressure - 5
    In this case, a BiPAP will provide an IPAP of 10 and EPAP of 5.

    A BiPAP ST might be set at the following:
    • Inhalation Pressure - 10
    • Exhalation Pressure - 5
    • 12 BPM (Breath Per Minute)
    Similarly to the regular BiPAP, the BiPAP ST will provide an IPAP of 10 and EPAP of 5, and will additionally monitor if you inhale 12 times within the minute. Please Note: The ST will not breathe for you, rather it will prompt the user to take a breath.
    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 machines 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
    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
    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.

    Which CPAP masks work on which machines?
    All CPAP masks work with all CPAP, APAP, and BiPAP machines.
    What does a BiPAP prescription need to say?
    A BiPAP prescription must contain all of the following information:
    • One of the following words or phrases: "BiPAP", "BiLevel", "VPAP"
    • Your physician's contact information
    • Your physician's signature
    • The patient's full name
    • Your inspiration pressure (Also called IPAP or breathing in pressure)
      • Example: IPAP 13 CM/H20
      • Example: IPAP 13
      • Example: IPAP 4 CM/H20
      • Example: IPAP 4
    • Your expiration pressure (Also called EPAP or breathing out pressure)
      • Example: EPAP 13 CM/H20
      • Example: EPAP 13
      • Example: EPAP 18 CM/H2O
      • Example: EPAP 18
    What is exhalation relief?
    Exhalation relief is a comfort feature which reduces the air flow at the time of exhalation, making the breathing process more natural. Philips Respironics and ResMed are the two manufacturers who offer exhalation relief features.
    • Philips Respironics = C-Flex, C-Flex+, A-Flex and Bi-Flex
    • Resmed = EPR (Expiratory Pressure Relief)
    What is Bi-Flex?
    Bi-Flex is a feature that makes breathing back against CPAP pressure easier to do. Bi-Flex pressure relief technology offers pressure relief at the transition from exhalation to inhalation, at the transition from inhalation to exhalation, and during exhalation to make BiPAP therapy more like natural breathing.

    Bi-Flex Easy Breathing Technology Visual Graph Bi-Flex Easy Breathing Technology Visual Graph
    What is the difference between Bi-Flex and C-flex?
    C-Flex only works at the start of an exhale. Bi-Flex works during the transition from exhalation to inhalation, the transition from inhalation to exhalation and during exhalation.
    What maintenance is required on machines?
    The only care a CPAP or BiPAP machine requires is to clean or change the filters at the air intake. This keeps the internal parts from accumulating dust. Fine paper filters should be changed out every 30 days, or when they appear soiled. Foam washable filters should be rinsed with clear running water once a week, allowed to air dry, and reinserted.

    Here are some other suggested actions to care for your machine:
    • Keep the area around your machine clean by removing any dust from the area to improve the air quality delivered to your machine and to you.
    • Keep the air intake of the machine unblocked. Curtains, bedding, and papers can easily block the air intake of your machine, reducing the airflow.
    • If a humidifier is used with your therapy, do not pick up the machine with the humidifier attached. With most machines it is easy to spill water from the humidifier chamber into the machine causing damage. Manufacturer warranties are voided by water damage to the machine. To avoid this, remove the chamber from the humidifier and then remove the humidifier from the machine rather than transporting them together.
    • If a humidifier is used, empty the water from the chamber every morning. Accidents happen. If a family pet or family member moves the machine and humidifier with water in the chamber it is more likely that water could be spilled into your machine. Water damage to a machine voids the manufacturer warranty.
    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 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.
    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.
    What does CPAP therapy do?
    CPAP therapy provides a constant airflow which holds the airway open so that uninterrupted breathing is maintained during sleep. It is traditionally provided through a nasal mask that seals around the nose to maintain the pressure level.
    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.

    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 it eases up to their pressure.
    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.
    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.
    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 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.
    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.
    Visit the Learning Center