11

RespironicsRespironics BiPAP- BiPAP-VisionVision

22

ClassificationClassification

Electrically poweredElectrically powered – – internal battery internal battery powers Vent Inoperative & audible alarms if AC power powers Vent Inoperative & audible alarms if AC power lost. Error code 205 if internal low battery condition. lost. Error code 205 if internal low battery condition.

2 modes2 modes CPAPCPAP S/T S/T

Set Rate Set Rate IT in secondsIT in seconds IPAPIPAP EPAPEPAP

33

CircuitCircuit BiPAP circuit (with BiPAP circuit (with

exhalation port or exhalation port or Whisper Swivel)Whisper Swivel)

Humidifier or HMEHumidifier or HME With heated With heated

humidifier need humidifier need circuit with water circuit with water traps. traps. Cannot cut into Cannot cut into regular BiPAP circuit to add regular BiPAP circuit to add traps.traps.

44

Plug into AC mains & Connect to 50 psi gas Plug into AC mains & Connect to 50 psi gas sourcesource

Connect Connect BiPAP circuitBiPAP circuit - don’t cap- don’t cap Power switch Power switch RU corner RU corner on back on back panel – panel – ONON

Start UpStart Up

Dispos-able inlet filter

Fuses

O2

module

55

66

Power-on-self-test (POST) Power-on-self-test (POST) initiatesinitiates

77

After POST, Start “Test After POST, Start “Test Exhalation Port” Exhalation Port”

88

Follow steps on screen, Follow steps on screen, block circuit, “Start Test”.block circuit, “Start Test”.

Exhalation (castle) port

99

Exhalation port test in Exhalation port test in progressprogress

1010

Exhalation Port TestExhalation Port Test Analyzes leak rate of exhalation portAnalyzes leak rate of exhalation port If successful – the value of “Pt. Leak” If successful – the value of “Pt. Leak”

will be displayedwill be displayed If unsuccessful – “Tot. Leak” will be If unsuccessful – “Tot. Leak” will be

displayeddisplayed EPT must be performed when using EPT must be performed when using

the Plateau Exhalation Valve because the Plateau Exhalation Valve because the leak is significantly different than the leak is significantly different than the port or swivel.the port or swivel.

1111

Test Complete, press Test Complete, press Monitoring to exit. Monitoring to exit.

Monitoring

1212

Trigger Criteria in S/TTrigger Criteria in S/T Time Trigger (Rate)Time Trigger (Rate) Flow TriggerFlow Trigger

6 ml inspired volume detected6 ml inspired volume detected Patient flow Patient flow exceedsexceeds the shape the shape signalsignal (a (a

shadow of the flow signal delayed by 300 shadow of the flow signal delayed by 300 ms)ms)

Flow

Pressure

1313

In S/T modeIn S/T mode

Only patient (flow) triggered breaths Only patient (flow) triggered breaths are flow cycled (PS).are flow cycled (PS).

Time triggered breaths are time Time triggered breaths are time cycled according to the set cycled according to the set Inspiratory Time.Inspiratory Time.

1414

Cycle Criteria in S/TCycle Criteria in S/T Time cycledTime cycled

Set Inspiratory TimeSet Inspiratory Time A 3 sec maximum IPAP time has A 3 sec maximum IPAP time has

occurredoccurred Flow cycled Flow cycled

Flow reversal detectedFlow reversal detected Patient flow is Patient flow is less thanless than signal flowsignal flow SSpontaneouspontaneous E Expiratoryxpiratory T Thresholdhreshold

achieved – another way to flow cycle achieved – another way to flow cycle

Flow

Pressure

SETSET

1515

Monitoring

Parameters

Mode

Alarms

Alarm Silence

Alarm Reset

21%

options

SB

IPAP 8

EPAP 3

Rate 12

Pt DataDisplayArea

Scale Fz/UnFz

Mode/MessagesALARMS

1616

To change settings, press To change settings, press Parameters – then soft key next to Parameters – then soft key next to parameter and adjust with knob.parameter and adjust with knob.

Soft keysSoft keys

KnobKnob

1717

Can set Parameters while Can set Parameters while in Stand-byin Stand-by

1818

Stand-by ModeStand-by Mode

Can set parameters and alarms while Can set parameters and alarms while in SBin SB

Bumping the circuit may simulate pt Bumping the circuit may simulate pt inspiration, in which case Vision exits inspiration, in which case Vision exits SB automatically and goes into SB automatically and goes into ventilation mode.ventilation mode.

1919

To change Mode, press Mode, then To change Mode, press Mode, then parameter soft key to adjust, and parameter soft key to adjust, and

then “Activate New Mode” soft keythen “Activate New Mode” soft key

1

2

3

2020

ALARM

Lo MinVen

Alarms displayed in Alarms displayed in Mode/Message Area Mode/Message Area

2121

AlarmsAlarms Hi PressHi Press Lo PressLo Press Lo PressLo Press

DelayDelay ApneaApnea LearnLearn

BaseBase

FlowFlow

Lo Min Lo Min

VentVent Hi RateHi Rate Lo RateLo Rate

2222

Cannot adjust Parameters Cannot adjust Parameters when Monitoring displayedwhen Monitoring displayed

2323

TimedTimedInspirationInspiration

IPAP Rise TimeIPAP Rise Time

2424

Can Change Bar Graphs to Can Change Bar Graphs to Waveforms with “Options” soft Waveforms with “Options” soft

keykey

2525

Mini-heart Nebulizer TxMini-heart Nebulizer Tx