PR System One REMstar BiPAP Auto with Bi-Flex

The PR BiPAP Auto comes standard with carrying case, bag, memory card, manuals and now packaged with 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 also 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 allows the PR BiPAP Auto to track each breath and 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.

Advanced Event Detection and Response

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, adjusted pressure automatically to provide effective sleep therapy.

The PR BiPAP Auto is designed to identify and respond to symptoms beyond classic OSA parameters such as AHI and flow limitations. With the PR system, detection is expanded 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 Auto can detect the breathing cycle and deliver comfortable pressures proactively.

Advanced event detection and response includes:

• Periodic Breathing
• Clear airway apnea
• Obstructed airway apnea
• Hypopnea
• RERA
• Flow limitation
• Vibratory snore
• Large leak

The PR BiPAP Auto not only detects these events, the REMstar Auto algorithm responds by automatically adjusting pressure levels to clear the apnea. Within a few seconds of recorded flow reduction, the PR BiPAP Auto pulses a series of pressures to determine if the apnea has been cleared. PR BiPAP Auto responses include:

• Proactive Performance manages events in the early stages of flow limitation, which leads up to an actual obstruction or apnea. The Auto algorithm uses two airflow measurements to prevent pressures from becoming too high: ('P'ressure Critical and 'P' Optimal).

• Leak Management is a comparison of average leak rate and the expected leak from a CPAP mask. Encore records significant losses above the expected leak rate as 'Large Leak' events and the BiPAP Auto reduces therapy pressure to re-establish the mask seal, preventing false apneas.

• Obstructive Apnea is defined as events that reduce 80% of airflow for a minimum of 10 seconds.

• Hypopnea is defined as events that reduce 40% of airflow for a minimum of 10 seconds.

• Flow Limitation is measured through four different baselines of the breathing waveform: Roundness, Flatness, Peak, and Shape. Most other BiPAPs only take into account Flatness and Shape.

• Snore or snoring can sometimes imitate a hypopnea event. Advanced detection allows the PR BiPAP Auto to measure vibrations and partial airway occlusions.

• 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 and central apneas are distinguishable from obstructed apnea or snoring events.

• SmartRamp helps manage apnea events while users attempt to fall asleep. Unlike other BiPAPs, the PR BiPAP Auto can react to an event during Ramp Time.

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.

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
• 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.

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 Auto 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).