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BiPAP A40 Setup Guide
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1. To navigate through the Options S T AVAPS 06 o menu 2 Use _ to scroll on through the menu Engien z mho jah Patent Navigate e Use the left and right buttons to perform the actions specified on the on screen buttons and set according to your preference Under Options you have access to the following parameters Menu access Detailed view Language Pressure units Breath indicator Keypad lock Keypad backlight LCD brightness Screen saver Date and time format Blower hours Therapy hours SpO 2 Full device unlocked Limited device locked On monitored data on the screen Off no monitored data on the screen only time and date You have the choice between 22 different languages cmH O hPa Patient spontaneous breath machine controlled breath On buttons inactive Off buttons active On Off 1 darkest to 10 lightest Dim backlight is decreased Breath black screen but manometer and breath indicator are visible Off no screen saver Date and time settings Number of hours the blower has been active resettable Number of hours the patient receives therapy resettable Date of the last complete SpO session at least 4 hours Battery module To connect the battery module to the BiPAP A40 device and install the detachable battery complete the following steps 1 Remove the
2. 49 7031 463 2254 Latin America 55 11 2125 0744 North America 1 425 487 7000 800 285 5585 toll free US only Philips Respironics 1010 Murry Ridge Lane Murrysville PA 15668 Customer Sevice 1 724 387 4000 800 345 6443 toll free US only Philips Respironics International Headquarters 33 1 47 28 30 82 Philips Respironics Asia Pacific 65 6882 5282 Philips R espironics Australia 61 2 9947 0440 1300 766 488 toll free Australia only Philips Respironics China 86 400 828 6665 86 800 828 6665 Philips Respironics Deutschland 49 8152 93 060 Philips Respironics France 33 2 51 89 36 00 Philips Respironics Italy 39 039 203 1 Philips Respironics Sweden 46 8 120 45 900 Philips Respironics Switzerland 41 6 27 45 17 50 Philips Respironics United Kingdom 44 800 1300 845 www philips com respironics This guide contains abstracted information from the User Manual please refer to the latest version for complete information regarding the BiPAP A40 device PHILIPS 2012 Koninklijke Philips Electronics N V All rights are reserved BiPAP A40 is registered trademark of Philips Philips Healthcare reserves the right to make changes in specifications and or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication Broudy AE 9 5 12 MCI 4104688 PN 1098001
3. 8 ml kg of ideal weight EPAP without OSAS Obstructive Sleep Apnea Syndrome 4 5 cmH O e with OSAS increase EPAP to remove obstructive apnea events e with intrinsic PEP stable chronic COPD 5 6 cmH O Set to 2 3 BPM under patient s spontaneous frequency Obstructive patients prefer short rise time from 1 4 100 ms 400 ms Restrictive patients prefer long rise time from 3 6 300 ms 600 ms Set Ti between 25 and 33 for obstructive patients Set Ti between 33 and 50 for restrictive patients refer to table opposite e o Jp Other restrictive diseases NMD etc 8 10 ml kg of ideal body weight refer to table opposite IPAP Allow a wide range Allow a more Allow a more restrictive lt of pressure variation restrictive pressure pressure window to Haii to ensure the right window to combine combine comfort and and pressure at the right comfort and efficacy safety IZNguredy time IPAPmin IPAPmin e IPAPmin EPAP comfortable IPAP efficient IPAP e IPAPmax IPAPmax e IPAPmax 25 30 cmH O IPAPmin 5cmH O IPAPmin 5 cmH O AVAPS rate setting depends on patient needs and clinical condition 0 5 3 cmH O min so target tidal volume is reached smoothly 3 5 cmH O min so target tidal volume is reached more rapidly Check patient arterial blood gases PaCO and PaO and oxygen saturation SpO Important Guidelines are intended to serve only as a reference They shall be used only
4. BiPAP A40 Set up guide Humidification 6 Connection to oximetry Guidelines for ventilation set up PHILIPS S RESPIRONICS sense and simplicity Getting started Device navigation How to start therapy or aharaas a REE on 2PM 06 1 Fi gl MD va ar Same y Display screen Perform action specified on screen humidifier setting cancel action or exit menu Navigate menus or change settings Perform action specified on screen activate ramp select modify confirm parameters Audio pause button O Start stop button Setup 12 30 2010 06 12 PM Connect the device to AC or DC power source or use detachable battery module Press to switch on the device e Select to start the treatment How to stop therapy How to unlock Press e To keep power on but stop therapy select Standby e Then select e To turn power off select Power Off e Then select To unlock the device e Press and hold amp and v for a few seconds to access Setup page Scroll down and select Options e Modify Menu access from Limited to Full e Press to validate e Press and to come back to the main screen Z W
5. PS AE Auto Trak Flow Trigger Auto Trak sensitive On locked Off unlocked On Off On Off 0 5 5 cmH O min in 0 5 cmH O min increments 200 1500 ml in 10 ml increments IPAPmin 40 cmH O in 0 5 cmH O increments 4 IPAPmax in 0 5 cmH O increments 4 25 cmH O in 0 5 cmH O increments 0 40 BPM 4 40 BPM for T mode 0 5 3 sec in 0 1 sec increments On locked Off unlocked 1 fastest to 6 slowest 0 45 minutes in 5 minute increments 4 cmH O prescribed EPAP in 0 5 cmH O increments On System One Humidity Control Off classic mode 1 coolest to 5 hottest only when AVAPS is enabled Menu Settings and alarms cont Tubing type lock On locked Off unlocked Tubing type 15 mm 22 mm System One resistance lock On locked Off unlocked System One resistance interface type 0 X1 X2 X3 X4 X5 or Invasive Circuit disconnect alarm Off 15 or 60 sec Apnea alarm Off 10 20 or 30 sec Low tidal volume alarm On Off only when AVAPS is enabled Low minute ventilation alarm Off 1 99 LPM High respiratory rate alarm Off 4 60 BPM Menu Settings and alarms AVAPS AE Settings Range AVAPS rate 0 5 5 cmH O min in 0 5 cmH O min increments Tidal volume 200 ml 1500 ml Maximum pressure 6 40 cmH O Pressure support Max 2 36 cmH O Pressure support Min 2 36 cmH O EPAP Max pressure 4 25 cmH O EPAP Min pressure 4 25 cmH O Breath rate Auto 0 40 BPM Menu Options
6. hen CH appears on the main screen the device is unlocked Main screen Mode of ventilation S T AVAPS 0 5 Breath O indicator 0 5 15 patient or Pressure machine settable 325 mi in Options MinVent RR LE Ratio 3 9 Vmin 125 1 3 0 AVAPS activated with a speed rate of 0 5cmH O min Pressure bar graph Real time monitored values when detailed view ON Detachable battery is 20 capacity nearly depleted being charged E Detachable battery in use Device Options settings unlocked Humidifier Detachable connected battery connected setting 1 SD card inserted and in use Symbols and icons A Apnea alarm enabled FLEX FLEX enabled A Audio pause is active FLEX 1 FLEX enabled and FLEX setting PRIN eg 1 2 Circuit disconnect alarm enabled A1 Humidifier connected and Humidifier setting eg 1 if Detachable battery is 80 capacity fe am Bad humidifier state flashing symbol displays Detachable battery is a Ramp activated i M SD Card error fg Detachable battery is bad memory card inserted Menus Mode Trigger type Flex Lock only in S mode Flex only in S mode AVAPS AVAPS rate Tidal volume IPAP max IPAP min EPAP Breath rate Inspiratory time Rise time lock Rise time Ramp length Ramp start pressure System One humidification Humidifier Menu Settings and alarms CPAP S S T PC T AVA
7. in conjunction with the instructions and or protocol set forth by the physician and institution in which the assist device is being used The guidelines are not intended to supersede established medical protocols set up Conversion table to set the inspiratory time for controlled breaths Set back up breath rate VE 1 3 IE 1 2 VE 1 1 BPM Ti Ttot 25 Ti Ttot 33 Ti Ttot 50 10 aos 2 0s 3 0s 11 145s 1 8 s 22s 12 13 s 7s Ds 13 12s 155 2 38 14 is 145s DAs 15 1 0s 1 35 20 s 16 0 9s 135 1 85 17 0 9 s 12s eas 18 0 8 s His 1 6s 19 0 8 s S 15s 20 0 8 s 1 0s 1335 21 0 7 s 1 0 s 14s 22 0 7s 0 9s 1 3 s 23 0 7s 0 9s 4 38 24 0 6s 0 8 s 12s 25 0 6 s 0 8 s 12s Set the inspiratory time in seconds Ti second 60 Respiratory rate x Ti Conversion table to set the target tidal volume in relation to the ideal weight Height Calculated ideal Target Vte Target Vte weight if BMI 23 if 8 ml kg if 10 ml kg 1 50m 52 0 kg 410 ml 520 ml 1 55 m 55 0 kg 440 ml 550 ml 1 60 m 59 0 kg 470 ml 590 ml 1 65 m 62 5 kg 500 ml 620 ml 1 70 m 66 5 kg 530 ml 660 ml 1 75 m 70 5 kg 560 ml 700 ml 1 80 m 74 5 kg 600 ml 740 ml 1 85 m 78 5 kg 630 ml 780 ml 1 90 m 83 0 kg 660 ml 830 ml Calculated with an ideal Body Mass Index of 23 kg m BMI weight height Philips Healthcare is part of Royal Philips Electronics How to reach us www philips com healthcare healthcare philips com Asia 49 7031 463 2254 Europe Middle East Africa
8. side cover on the therapy device 2 Line up the detachable battery module and the therapy device side by side 3 Press the two units together until they snap into place 4 Insert the detachable battery into the battery module and close the lid Humidification Q DD a ee O O 0 0 7 N Bia aa PIINIA EE O e l Undocking the battery module or humidifier Release latch bottom view 6 Connection to oximetry Back of device Nurse call connector Accessory slot cover shown SD card slot Dc power inlet Tat AC power inlet L Filter area To connect the oximetry module Remove the cover from the accessory slot on the back of the BiPAP A40 Remove the cover from the oximetry accessory Plug the oximetry accessory into the accessory slot Plug the oximetry sensor of your choice into the oximetry module When the oximetry module is connected and detailed view ON the SpO and heart rate values are monitored on the main screen see below S T AVAPS 0 5 A O 0 5 10 15 20 25 Pressure Vte Leak 12 1 fo 325 m 0 0 vmin MinVent RR I E Ratio 1 1 0 Heart Rate Menu a Guidelines for ventilation s Initial IPAP 8 10 cmH O EPAP 4 cmH O and RR 10 12 BPM settings IPAP Increase IPAP if the patient wants more air targeting patient tidal volume at
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