Philips Respironics System One BiPAP AutoSV 60 Series w/ Heated Humidifier DS960HS Philips Respironics

Advanced Comfort BiPAP for Exceptional Performance

System Overview

The BiPAP autoSV Advanced System One with heated humidifier device is intended to augment your breathing by supplying pressurized air through a circuit. It senses the your breathing effort by monitoring airflow in the circuit and adjusts its output to assist in inhalation and exhalation. This therapy is known as Bi-level ventilation. Bi-level ventilation provides a higher pressure, known as IPAP (Inspiratory Positive Airway Pressure), when you inhale, and a lower pressure, known as EPAP (Expiratory Positive Airway Pressure), when you exhale. The higher pressure makes it easier for you to inhale, and the lower pressure makes it easier for you to exhale.

When prescribed, the device can also provide features to help make your therapy more comfortable. The ramp function allows you to lower the pressure when trying to fall asleep. The air pressure will gradually increase until the prescription pressure is reached. Additionally, the Bi-Flex comfort feature provides increased pressure relief during the expiratory phase of breathing.

Available Therapy Features

Bi-Flex Comfort Feature

If enabled, the device provides a comfort feature called Bi-Flex. The Bi-Flex attribute adjusts therapy by inserting a small amount of pressure relief during the latter stages of inspiration and during active exhalation (the beginning part of exhalation). Bi-Flex levels of 1, 2, or 3 progressively reflect increased pressure relief that will take place at the end of inspiration and at the beginning of expiration.

Auto EPAP Technology

EPAP will distinguish your breathing patterns and determine the differences between obstructed apneas and apneas where your airway is clear. The Respironics PR System One 960DS has an auto titrating algorithm which allows for the device to operate like a typical Auto CPAP or an Auto BiPAP, adjusting to your breathing when needed to help maintain a clear airway.

Ramp

If enabled, the device is equipped with a linear ramp function. The Ramp feature will reduce the pressure and then gradually increase (ramp) the pressure to the prescription pressure setting so patients can fall asleep more comfortably.

Rise Time Comfort Feature

If enabled, the device provides a comfort feature called Rise Time. Rise time is the amount of time it takes the device to change from the expiratory pressure setting to the inspiratory pressure setting. Rise time levels of 0, 1, 2, or 3 progressively reflect slowed response of the pressure increase that will take place at the beginning of inspiration. A setting of 0 is the fastest rise time while a setting of 3 is the slowest. Providers should adjust the rise time to find the most comfortable setting for the patient. Rise time cannot be adjusted when Bi-Flex is enabled.

SV Algorithm

Servo Ventilation will provide a smooth breathing pattern by changing pressure when needed on a breath by breath basis. Your peak flow will be monitored throughout BiPAP use, and the SV Algorithm will support a stable breathing cycle.

Philips Respironics System One Resistance Control

Designed to attain your optimal pressure in the mask, resistance control will monitor the resistance on the mask and will automatically change the pressure settings at the mask that you receive a consistent pressure from the tube on the mask end.

Humidifier

Helping to increase your comfort during BiPAP therapy, a humidifier will help manage the rainout in your tube and mask. Consistent humidity will be delivered into the tube providing relieve at the mask. Rainout can cause irritation after sleep apnea therapy by allowing for excess moisture into the mouth or nose during use, resulting in side effects such as a sore throat or dry nose after undergoing BiPAP or CPAP therapy. There are three different levels of humidity available that you can choose from, allowing you to raise or lower your humidity dependent upon your daily needs due to the inclement weather in your room.

Recommended Replacement Schedule

Full Face Mask	1 every 3 months	The mask is the plastic portion of the interface. That part should be replaced every 3 months. The cushion part is different. The cushion inserts have to be replaced more often because of the contact with the face. They can be separated from the frame work and should be replaced once a month.
Nasal or Pillow Mask	1 every 3 months	The mask is the plastic portion of the interface. That part should be replaced every 3 months. The cushion part is different. The cushion inserts or pillows have to be replaced more often because they touch the face. They can be separated from the frame work and should be replaced once a month.
Headgear	1 every 6 months	CPAP mask headgear and chin straps may become stretched and lose their elasticity, leading to over-tightening and discomfort. They can also trap bacteria from sweat and moisture.
Tubing	1 every 3 months	CPAP mask tubing may develop small holes or tears, which can cause air leaks. If your tube is leaking, you may not be receiving your prescribed therapy setting from your CPAP. This can cause you to feel like you’re not sleeping as well.
Chinstrap	1 every 6 months	Chinstraps may become stretched and lose their elasticity, leading to over-tightening and discomfort. They can also trap bacteria from sweat and moisture.
Full Face Mask Cushion	1 every month	Full face mask cushions cover more of your face and may deteriorate over time through regular wear and tear and cause leaks throughout treatment. Regular replacement is recommended for hygienic purposes and to ensure the best fit and most effective treatment.
Nasal Mask Cushion	2 every month	Nasal mask cushions are in constant contact with your face and should be replaced consistently. Regular replacement is recommended for hygienic purposes and to ensure the best fit and most effective treatment.
Pillow Mask Pillows	2 every month	Pillow masks are in constant contact with your face and the pillows sit inside your nose throughout the night. Regular replacement is recommended for hygienic purposes and to ensure the best fit and most effective treatment.
Heated Tubing	1 every 3 months	CPAP mask tubing may develop small holes or tears, which can cause air leaks. If your tube is leaking, you may not be receiving your prescribed therapy setting from your CPAP. This can cause you to feel like you’re not sleeping as well.
Disposable Filters	2 every month	CPAP device filters can wear out or become clogged over time, potentially exposing you to airborne particles, mold and bacteria.
Non-disposable Filters	1 every 6 months	CPAP device filters can wear out or become clogged over time, potentially exposing you to airborne particles, mold and bacteria.
Humidifier Water Chamber	1 every 6 months	CPAP humidifier water chambers may become discolored, cracked, cloudy or even pitted due to the mineral levels found in most tap and drinking water. As the material deteriorates, cracks may trap bacteria from moisture.
Mask Frame System	1 every 3 months	The frame system is comprised of the mask frame and cushion. Due to being in close proximity to the face during treatment, frames should be regularly replaced. However, since not in direct contact, the frame system is only eligible for replacement every three months.
CPAP/BiPAP Machine	1 every 5 years	A CPAP machine’s life span is typically 5 years. We recommend getting a backup CPAP machine, especially if your current machine is more than two years old. That way you’ll never be without your therapy, even if one of your devices requires maintenance.