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RespironicsRespironics BiPAP- BiPAP-VisionVision
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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
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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.
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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
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Power-on-self-test (POST) Power-on-self-test (POST) initiatesinitiates
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After POST, Start “Test After POST, Start “Test Exhalation Port” Exhalation Port”
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Follow steps on screen, Follow steps on screen, block circuit, “Start Test”.block circuit, “Start Test”.
Exhalation (castle) port
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Exhalation port test in Exhalation port test in progressprogress
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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
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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
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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.
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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
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Monitoring
Parameters
Mode
Alarms
Alarm Silence
Alarm Reset
21%
options
SB
IPAP 8
EPAP 3
Rate 12
Pt DataDisplayArea
Scale Fz/UnFz
Mode/MessagesALARMS
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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
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Can set Parameters while Can set Parameters while in Stand-byin Stand-by
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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.
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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
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2
3
2020
ALARM
Lo MinVen
Alarms displayed in Alarms displayed in Mode/Message Area Mode/Message Area
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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
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Cannot adjust Parameters Cannot adjust Parameters when Monitoring displayedwhen Monitoring displayed
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TimedTimedInspirationInspiration
IPAP Rise TimeIPAP Rise Time
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Can Change Bar Graphs to Can Change Bar Graphs to Waveforms with “Options” soft Waveforms with “Options” soft
keykey
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Mini-heart Nebulizer TxMini-heart Nebulizer Tx