ResMed VPAP III Series User guide

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VPAP III Series*
Data Management Guide
English
The following table shows where data from the VPAP III Series flow generators* can be viewed. Data displayed in ResScan can be
downloaded via:
cable directly from the flow generator
the SmartMedia card in the ResLink.
Note: Please refer to your flow generator clinical guide for further details.
VPAP III Series
* Includes VPAP III ST-A with QuickNav.
1. L/sec on VPAP III ST-A with QuickNav only.
2. Only available if ResLink is attached to the flow generator.
3. Only available if ResLink is attached to the flow generator and an oximeter is attached.
4. Not available in the VPAP III ST-A USA version.
5. The VPAP results screen displays the average pressure while the ResControl II displays the instantaneous pressure.
6. VPAP III ST-A with QuickNav only.
7. Instantaneous mask pressure VPAP III ST-A with QuickNav only.
8. Except for VPAP III ST-A with QuickNav.
9. Not available for the US.
Note: The exact name of the parameter may vary according to the device and where the parameter is displayed.
Parameter VPAP ResScan ResControl II
Treatment screens Results screen View tab PSG tab
Type of Data LIVE STORED STORED LIVE LIVE
VPAP III Series
IPAP (cm H2O or hPa6) P P P P
EPAP (cm H2O or hPa6) P P P P
Leak (L/min or L/sec1)PP PPP
Respiratory Rate (breaths/
min) P P P P P
Minute Ventilation (L/min) P P P P
Tidal Volume (mL) PP PPP
Inspiration Time (sec) P
I:E Ratio P
SpO2 (%)2P P P
Pulse Rate (beats/min)2P P P
% Spontaneous Triggered
Breaths P P
% Spontaneous Cycled
Breaths P
Pressure5 (cm H2O or hPa6)P7P8P P
AHI/AI9P4P
Event History9P6P
Usage P P
Flow (L/sec) P
Alarm Messages P P6
Viewing Data
Via cable Via ResLink
VPAP III Series P
(365 summary sessions; 5 detailed sessions)
P
(365 summary sessions; 30 detailed sessions)
ResScan Downloaded Data
Note: ResLink detailed data is at a higher resolution than data available via cable.
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Statistics Summary Graphs Detailed Graphs Oximetry Statistics
(via ResLink)
VPAP III Series PPPP
ResScan Review Screens
Statistics Summary Graphs Detailed Graphs Oximetry Statistics
(via ResLink)
AHI/AI P
Median value of the hourly
measurements from the
selected sessions in the Data
Browser.
P
Shows a vertical bar graph
where the lower segment is
the median AI per hour, and the
upper segment is the median
AHI per hour.
P
Shows a cumulative total of
the number of apneas and
hypopneas that have occurred.
The cumulative total is reset
every hour, on the hour.
EPAP (cm H2O) P
Note: This is a setting—not a
measured quantity.
P
Shows the prescribed EPAP for
single sessions.
Events P
events are shown at the time
they started. Apneas are
shown as a red symbol where
the height is proportional to
the duration of the apnea.
The number at the top of the
symbol is the duration of the
apnea in seconds.
Hypopneas are recorded
and made available after ten
seconds. Hypopneas are shown
as blue rectangles.
IPAP (cm H2O) P
Note: This is a setting—not a
measured quantity.
P
Shows the prescribed
IPAP for single sessions.
Leak (L/min) P
Shows the maximum, 95th
percentile and median statistics
for the selected sessions in the
Data Browser.
P
Shows the maximum, 95th
percentile, and median statistics
for single sessions.
P
Shown as a blue trace. A red
line provides a reference level
of the recommended maximum
acceptable leak.
Minute Ventilation (L/min) P
Shows the maximum, 95th
percentile and median statistics
for the selected sessions in the
Data Browser.
P
Shows the maximum, 95th
percentile, and median statistics
for single sessions.
P
Shown as a blue trace.
Pulse Rate (beats/min) P
Shown as a blue trace.
P
Respiratory Rate (breaths/
min)
P
Maximum, 95th percentile
and median statistics for the
selected sessions in the Data
Browser.
P
Shows the maximum, 95th
percentile, and median statistics
for single sessions.
P
Shown as a blue trace. A red
line provides the backup breath
rate reference level.
SpO2 (%) P
Shown as a blue trace. A red
line provides the 90% reference
level to assist identification of
desaturations.
P
Tidal Volume (mL) P
Maximum, 95th percentile
and median statistics for the
selected sessions in the Data
Browser.
P
Maximum, 95th percentile,
and median statistics for single
sessions.
Usage P
Total hours used, Daily usage,
Used Days X:YY hours, Used
Days < X:YY hours, Total days
and % Used Days. Calculated
for the selected sessions in the
Data Browser.
P
Each period is shown as a solid
bar. A hollow bar indicates a
period of usage where the end-
time is unknown.
There is a limit on the maximum
number of separate bars that
are shown for a single session.
ResScan Review Screen Display Descriptions
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Statistics Summary Graphs Detailed Graphs Oximetry Statistics
(via ResLink)
% Spontaneous
(Triggered) Breaths
P
Shows percentage of breaths
that are spontaneously
triggered.
P
Shows percentage of breaths
that are spontaneously triggered
for single sessions.
% Spontaneous (Cycled)
Breaths
P
Shows percentage of breaths
that are spontaneously cycled.
P
Shows percentage of breaths
that are spontaneously cycled
for single sessions.
ResScan Detailed Graphs Specifications
Parameter Resolution Range Sampling period (sec)
via flow generator via ResLink
Events (sec) 1 (apnea duration) 10–250 (apnea duration) Aperiodic1Aperiodic2
Leak (L/min or L/sec4)1.2 0–300 60 2
Minute Ventilation (L/min) 0.1 0–180 2 2
Pulse Rate (beats/min)31 18–300 n/a 5
Respiratory Rate (breaths/
min) 0.5 0–127 n/a 2
SpO2 (%)31 0–100 n/a 1
1. The flow generator stores the first 500 events/session.
2. The ResLink stores the first 2000 events/session.
3. Only available if an oximeter is used with the ResLink.
4. L/sec on the VPAP III ST-A with QuickNav only.
Parameter ResScan via cable ResControl II
Mode P P
Set Pressure (CPAP) P P
IPAP P P
EPAP P P
Respiratory Rate/BPM P P
Rise Time P P
IPAP Max (Ti Max) P P
IPAP Time (Ti) P P
IPAP Min (Ti Min) P P
Trigger (sensitivity) P P
Cycle (sensitivity) P P
Mask Alarm P P
SmartStart/Stop P P
Mask P P
Humidifier P P
Tube Length P
AB Filter2P
Ramp Time P P
Maximum Ramp (Delay Time) P P
Start CPAP
(SET START PRESSURE) P P
Start EPAP
(SET START PRESSURE) P P
Alarms2,3 P P
Local Date & Time P
Menu Type1P
Smart Data1P
Language P
Updating Settings
1. VPAP III Series (except for VPAP III ST-A with QuickNav).
2. VPAP III ST-A and VPAP III ST-A with QuickNav only.
3. Alarms include: mask/leak alarm, non-vented mask, low minute ventilation, low pressure and high pressure.
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AHI (Apnea–Hypopnea Index)
The Apnea–Hypopnea Index (AHI) is
calculated by adding together the total
number of apnea and hypopnea events
over a period of time.
For statistics, it is the total number of
events divided by total daily usage. For
graphs, the AHI count is incremented at
the occurrence of every event and reset
every hour.
Apnea
An apnea is the temporary absence
or cessation of breathing. An apnea
is scored when there is reduction
in breathing by 75% of the baseline
breathing for at least 10 seconds.
Daily Usage
Daily usage is total usage in a single
session (a session starts at midday and
finishes 24 hours later).
EPAP (Expiratory Positive Airway
Pressure)
EPAP is the pressure delivered to the
patient during the patient’s expiratory
phase.
Events
An event is the occurrence of a residual
apnea or hypopnea.
Events are recorded as they occur. The
maximum number of events stored per
session is 500 (including alarm events).
Up to 2000 events may be stored if a
ResLink is used.
Flow
Flow is an estimate of the airflow
entering the lungs.
It is derived by taking the total flow and
then removing the leak and mask vent
flow components.
Hypopnea
A hypopnea is an episode of shallow
breathing during treatment. A hypopnea
is scored when there is a reduction in
breathing by 50% of baseline breathing
for 10 seconds or more. The event is
scored after 10 seconds of the hypopnea.
I:E Ratio
The ratio of inspiratory time to expiratory
time.
Inspiration Time
Inspiration time is the duration of
inspiration (ie, the respiratory flow into
the lungs).
It is calculated by averaging the
inspiration time for the last five breaths.
IPAP (Inspiratory Positive Airway
Pressure)
IPAP is the pressure delivered to the
patient during the patient’s inspiratory
phase.
Leak
Leak is an estimate of the total rate of air
escaping due to mouth and mask leaks.
It is derived by analyzing the inspiratory
and expiratory airflows, together with the
expected mask vent flows.
High or changing leak rates may affect
the accuracy of other measurements.
Minute Ventilation
Minute ventilation is the volume of air
breathed in (or out) within any 60-second
period.
Pressure (ResControl II)
Pressure is an estimate of the pressure
delivered at the mask.
Pressure (Results Screen)
The pressure is an average that includes
the IPAP and EPAP excursions. As such,
the measured value for pressure lies
between these levels.
Pressure (Treatment Screen)
Instantaneous mask pressure (estimated).
Pulse Rate
The number of heart beats in a 60-second
time frame. The pulse rate is calculated
by an attached oximeter.
Respiratory Rate
Respiratory rate is the frequency of
breathing, expressed as the number of
breaths per minute.
SpO2
The saturation of blood hemoglobin with
oxygen, expressed as a percentage. The
oxygen saturation is calculated by an
attached oximeter.
Tidal Volume
Tidal volume is the volume of air inspired
or expired in one respiratory cycle
(breath).
Total Hours Used
Total hours used is the total patient usage
since the hourmeter was last reset.
Usage
Usage is the length of time that a patient
receives therapy from the device.
The start and end times of the first ten
individual periods of usage are available
for each session when using ResScan.
% Spontaneous Cycled Breaths
% spontaneous cycled breaths is the
percentage of patient breaths that were
spontaneously cycled (termination of
IPAP and changing to EPAP).
% Spontaneous Triggered Breaths
% spontaneous triggered breaths is the
percentage of patient breaths that were
spontaneously triggered (initiation of
IPAP).
Glossary of Terms
Manufacturer: ResMed Pty Ltd 1 Elizabeth Macarthur Drive Bella Vista NSW 2153 Australia. Distributed by: ResMed Corp 9001 Spectrum Center Boulevard San Diego CA 92123 USA. ResMed
(UK) Ltd 96 Milton Park Abingdon Oxfordshire OX14 4RY UK. See www.resmed.com for other Resmed locations worldwide.
Protected by patents and design registrations. Others pending. IPAP Max, IPAP Min, ResControl II, ResLink, ResScan, SmartStart and VPAP are trademarks of ResMed Pty Ltd and IPAP Max,
SmartStart and VPAP are registered in U.S. Patent and Trademark Office. SmartMedia is a trademark of Toshiba.
©2011 ResMed. 248235/3 2011-03
Global leaders in sleep and respiratory medicine www.resmed.com
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