Philips Respironics REMStar BiPAP AVAPS Machine


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    Product Overview

    The Respironics BiPAP AVAPS machine includes the latest technology when it comes to Noninvasive Ventilatory Support for home use. It includes AVAPS (Average Volume Assured Pressure Support) technology and many other features.

    Manufactured by Philips Respironics.

    Product Features

    Perhaps one of the most versatile machines on the market, the Respironics BiPAP AVAPS machine is designed with flexibility and comfort in mind for those who need Noninvasive Ventilatory Support.

    Average Volume Assured Pressure Support or AVAPS is a new method of delivering a consistent tidal volume through a unique algorithm which evaluates the patient's tidal volume over several breaths and then calculates the amount of pressure needed to reach the ideal tidal volume. The machine then gradually raises or lowers the IPAP pressure to achieve the proper pressure support.

    Since the pressure changes smoothly, it does not compromise patient comfort or safety. Leaks are taken into account so that AVAPS delivers a true averaged patient tidal volume.

    For maximum flexibility this machine may be run in the following modes: CPAP, Spontaneous (S), Spontaneous/Timed (S/T), Timed (T), and Pressure Control (PC).

    The BiPAP AVAPS may benefit COPD and neuromuscular patients, obesity hypoventilation patients, as well as restrictive patients since it delivers the comfort and leak compensation of a pressure mode and the safety of a guaranteed volume. Also, because the algorithm compensates for changes in body position and maintains ventilation the algorithm supplies the right pressure at the right moment.

    Advantages
    • Adjusts to changing variables and needs

    • Improves ventilation effectiveness and comfort

    • Optimizes safety by delivering an average tidal volume

    • Eases the titration process

    In addition to the revolutionary algorithm, the BiPAP AVAPS sleep therapy system also offers other Respironics technologies such as optional integrated heated humidification and built in digital data storage using Respironics Encore SmartCard which may be accessed using the EncoreViewer Data Management software and a Respironics SmartCard Reader.

    Specifications

    This Product Includes...

    • BiPAP AVAPS Machine
    • 6 Foot Hose
    • Carrying Case
    • Manuals
    • 2 Reusable Foam Filters
    • 1 White Disposable Filter
    • Filter Cover
    • Power Supply and Cord
    • AC Extension Cord
    • Smart Card

    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 0 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 8 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

    User Manual:

    The user manual included with this machine can be viewed and downloaded here: BiPAP AVAPS.

    The prescription required for this machine is the same Rx needed for a BiPAP S/T machine. Please see our Answers section for more on prescription formats.

    Manufacturer Warranty
    This machine comes with a 2 Years 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.



    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 batter that is equipped with a cigarette lighter plug.

    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 Respironics RP-DC Power Adapter.

    CPAP Video & FAQ

    Frequently Asked Questions (FAQs)

    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.
    Which CPAP masks work on which machines?

    Any mask will work with any machine, with one important exception. The ResMed AirMini is only compatible with certain ResMed CPAP masks. Compatible masks for the AirMini are as follows:

    • ResMed AirFit™ N20 Nasal Mask
    • ResMed AirFit™ F20 Full Face
    • ResMed AirTouch™ F20 Full Face
    • ResMed AirFit™ P10 Nasal Pillow

    When considering another CPAP, APAP or BiPAP machine from ResMed or any other manufacturer, mask compatibility extends to all brands. The AirMini uses non-standard tubing to connect the machine to the mask, and is the primary reason why other masks won't work with the AirMini. Despite this issue, many of our customers consider the AirMini to be an excellent machine.

    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:
    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.

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

    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
    • Ask your doctor to fill out our prescription form. We have both a standard prescription form and a Provent prescription form.
    For more information on prescriptions, please see our Prescription Section of the Learning Center.
    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.
    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.

    The following are the different types of exhalation relief names by manufacturer.

    • Philips Respironics = C-Flex, C-Flex+, A-Flex and Bi-Flex
    • Resmed = EPR (Expiratory Pressure Relief)
    • 3B Medical = RESlex
    • Apex Medical = PVA (Pressure Variation Algorithm) Pressure Relief
    • Curative Medical = EUT (Expiratory Unloading Technology)
    • DeVilbiss = SmartFlex
    • Fisher & Paykel = SensAwake Technology
    • Human Design Medical = Z-Breathe
    • Somnetics = EZEX

    Here are some machines with an exhalation relief feature:

    Transcend Auto miniCPAP™ Machine with EZEX
    PR System One REMStar 60 Series Auto with Bluetooth
    AirSense™ 10 AutoSet CPAP Machine with HumidAir™ Heated Humidifier
    + See More
    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

    Here are some of our top selling BiPAP machines:

    IntelliPAP BiLevel Machine with SmartCode
    AirCurve™ 10 S BiLevel Machine with HumidAir™ Heated Humidifier
    DreamStation BiPAP Pro Machine
    + See More
    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:

    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.
    What are the CPAP, BiPAP, Sleep Apnea, and Oxygen related HCPCS, CPT or billing codes?

    E1399 is Miscellaneous and is used for other CPAP and Oxygen items.
    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, nasal pillows which seal at the nasal opening, or nasal prong masks that seal inside the nares. 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.
    What maintenance is required on machines?
    The only care a CPAP, APAP 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.
    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.
    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.

    Here are some of our top selling BiPAP Auto machines:

    PR System One REMStar 60 Series BiPAP Auto with Bluetooth
    AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
    IntelliPAP AutoBiLevel Machine with SmartCode
    + See More
    Visit the Learning Center

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