Philips BiPAP A30, Respironics BiPAP A30 Setup Manual

Set-up guide

1

2

3

4

6

5

Getting started

Main screen

Menus

Humidification

Guidelines for ventilation set-up

Connection to oximetry

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Royal Philips Electronics

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www.philips.com/respironics

BiPAP A30

Humidification

4

On the Standby scree n, if a humidifier is con nected, you can selec t

so humidifier prehe ats before therapy is d elivered.

With device turned of f, remove and fill chamb er
with water.

1. (a) Lift humidif ier door until it lock s in place. Do
not force door higher tha n the locked position.
(b) Grasp front of chamb er and slide toward you.

2. (a) Gently push tab locat ed inside round opening
on top of chamber. (b) Separ ate top and bottom
of chamber.

3. Fill bottom chamber with distilled water.

4. Observe maxi mum fill lines locate d on sides
of chamber.

5. Do not overfill.
Reassemble the cha mber by placing the hinge s
on lid over the two tabs on b ack of chamber.
Close lid until it lock s in place with an audible
click. Insert f illed chamber into hu midifier.

Release
latch

Humidication

Withdevice turnedo, removeand fill chamberwith water.

1.(a) Lifthumidifier door untilit locksin place. Donot force

doorhigher thanthe locked position.(b) Graspfront of

chamberand slidetoward you.

2.(a) Gentlypush tab locatedinside roundopening on top

ofchamber.(b) Separate topand bottom ofchamber.

3.Fill bottomchamber with distilledwater.

4.Observe maximumfill lines locatedon sidesof chamber.

5.Do notoverfill.

Reassemblethe chamberby placingthe hingeson lid overthe

twotabs onback of chamber.Close liduntil itlocks in place

withan audibleclick. Insert filledchamber into humidifier.

(bottom
view)

Undocking the
humidifier

Connection to oximetry

5

Nurse call connect or

Accessory slot
(cover shown)

SD card slot

DC power inlet

AC power inlet

Filter area

6

5

4

3

2

1

5

6

4

3

2

1

To plug the oximetry modul e:

A

Remove the cover from the acces sory
slot at the back of the Bi PAP A30.

B

Remove the cover from the oximetry

accessory.

C

Plug the oximetry a ccessory into the

accessory slot.

D

Plug the oximetry s ensor of your choice

to the oximetry module.
When the oximetr y module is connected ,
the SpO2 and heart rate val ues are
monitored on the mai n screen (see below).

Back of device

A

B

C

D

Humidifier

cm
H

2

O

cm
H2O

ml l/min

l/min

BPM

S/T AVAPS: 0.5

0 5 10 15 20 25 30

Menu

Pressure

12.1

Vte

0

Leak

0.0

MinVent

0.0

Heart Rate

79

SpO

2

85

RR

12

I:E Ratio

1:1.0

A

2

Guidelines for ventilation set-up

6

Conversion table to set the inspiratory time for controlled breaths

Set back up breath r ate
(BPM)

I/E 1/3,
Ti/Ttot 25%

I/E 1/2,
Ti/Ttot 33%

I/E 1/1,

Ti/Ttot 50%

10 1.5 s 2.0 s 3.0 s
11 1.4 s 1.8 s 2.7 s
12 1.3 s 1.7 s 2.5 s
13 1.2 s 1.5 s 2.3 s
14 1.1 s 1.4 s 2.1 s
15 1.0 s 1.3 s 2.0 s
16 0.9 s 1.3 s 1.8 s
17 0.9 s 1.2 s 1.7 s
18 0.8 s 1.1 s 1.6 s
19 0.8 s 1.1 s 1.5 s
20 0.8 s 1.0 s 1.5 s
21 0.7 s 1.0 s 1.4 s
22 0.7 s 0.9 s 1.3 s
23 0.7 s 0.9 s 1.3 s
24 0.6 s 0.8 s 1.2 s
25 0.6 s 0.8 s 1.2 s

Set the inspirat ory time in seconds : Ti (Second) = 60/Re spiratory rat e x % Ti

Conversion tabl e to set the target t idal volume in rela tion to the ideal we ight

Height Calculated ideal

weight (if BMI = 23)

Target Vte
if 8 ml/kg

Target Vte
if 10 ml/kg

1.50 m 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 a n ideal Body Mass I ndex of 23 kg/m

2

(BMI = weight/height2)

Important: Guidelines are int ended to serve onl y as a reference. They s hall be

used only in conjunc tion with the inst ructions and/or pr otocol set forth by t he
physician and inst itution in which th e assist device is be ing used. The guide lines are
not intended to supe rsede establi shed medical prot ocols.

Initial
settings

IPAP = 8 to 10 cmH2O, EPAP = 4 cmH2O and RR = 10 to 12 BPM

IPAP Increase IPAP if the p atient wants more a ir, targeting patien t tidal

volume at 8 ml/Kg of ide al weight

EPAP •without SAS: 4 – 5 cmH

2

O

•with S AS: increase EPAP to r emove obstructi ve apnea events

•with in trinsic PEP (stab le chronic COPD): 5 – 6 cmH

2

O

BPM Set to 2 – 3 BPM under patient ’s spontaneous fre quency

Rise
time

Obstructive pat ients prefer shor t rise time:
from 1 to 4 (100 ms to 400 ms)
Restrictive pati ents prefer long ri se time: from 3 to 6
(300 ms to 600 ms)

Ti Set Ti between 25% an d 33% for obstructive p atients

Set Ti between 33% and 5 0% for restricti ve patients
(refer to table oppos ite)

AVAPS

OHS COPD Other restrictive

diseases (NMD, etc.)

Vt target 8 to 10 ml/kg of ideal bo dy weight (refer to ta ble opposite)

IPAP
window
(IPAPmin
and
IPAPmax )

Allow a wide range
of pressure variati on
to ensure the right
pressure at the right
time.

•IPA Pmin = E PAP

•IPA Pmax =

25 – 30 cmH

2

O

Allow a more
restrictive pressure
window to combine
comfort and eff icacy.

•IPAPmi n =
comfortable IPAP

•IPA Pmax =
IPAPmin + 5

Allow a more restric tive
pressure window to
combine comfort an d
safety.

•IPAPmin =
efficient IPAP

•IPA Pmax =
IPAPmin + 5

AVAPS
rate

AVAPS rate setting dep ends on patient ne eds and clinical c ondition:

0.5 cmH

2

O/min to 3 cmH2O/min so target tidal vo lume is reached sm oothly

3 cmH

2

O/min to 5 cmH2O/min so target tidal vo lume is reached

more rapidly

Check patient ar terial blood gas es (PaCO2 and PaO2) and oxygen satura tion (SpO2)

© 2011 Koninklijke Philips E lectronics N .V. All rights are reser ved.

Philips Healthcar e reserves the r ight to make chan ges in specifi cations and/or t o
discontinue any produ ct at any time with out notice or obli gation and will n ot be
liable for any conseque nces resultin g from the use of thi s publication .

Broudy NA 9/26/11 12NC 4522962765 61 MCI 4104424 PN 1093370

Please visit w ww.philips.co m/respironic s to find out mor e

BiPAP A30 is registere d trademark of P hilips.

Main screen Menus

2 3

Menu: Settings and alar ms

Mode CPAP, S, S/T, PC, T
Flex Lock (only in S mode) On (patient cannot adju st Flex level)

Off (patient can a djust Flex level)

Flex (only in S mode) Off/1/2/3
AVAPS On/off
AVAPS rate From 0.5 cmH

2

O/min up to

5 cmH2O/min per 0.5 cmH2O/min step

Tidal volume
(only when AVAPS is enabled)

200 - 1500 ml
per 10 ml step

IPAP max
(only when AVAPS is enabled)

IPAPmin - 30 cmH

2

O

per 0.5 cmH2O step

IPAP min
(only when AVAPS is enabled)

4 - IPAPmax
per 0.5 cmH

2

O step

EPAP 4 - 25 cmH

2

O per 0.5 cmH2O step
Breath rate 0 to 40 bpm (4-40 bp m for T mode)
Inspiratory time 0.5 to 3 sec. per 0.1 sec. s tep
Rise time lock On (patient cannot a djust rise time)

/Off (patient can a djust rise time)

Rise time 1 (fastest) to 6 (slowest)
Ramp length 0 to 45 minutes per 5 minutes s tep
Ramp start pres sure From 4 cmH

2

O to prescribed EPAP per

1 cmH2O step

System One humidification On (System One humidi ty control)/

Off (classic mode)

Humidifier 1 (coo lest) to 5 (hottest)

Humidifier Ramp

cm
H

2

O

cm
H2O

ml l/min

l/min

BPM

S/T AVAPS: 0.5

0 5 10 15 20 25 30

Menu

Pressure

12.1

Vte

325

Leak

30.0

MinVent

3.9RR 12

I:E Ratio

1:3.0

A

1

AVAPS activated
with a speed rate
of 0.5 cmH

2

O/min.

Breath
indicator
(patient or
machine settable
in Option s)

Device
unlocked

Humidifier
connected,
setting 1

Pressure bar graph

Real-time
monitored values
when detailed
view ON (Options
setting s)

Mode of ventilation

External batt ery
connected and
in use

SD Card
inserted

Symbols and icons

FLEX enabled

FLEX enabled and FLEX setting
(eg. 1)

Humidifier connected and
Humidifier setting (eg. 1)

Bad humidifier state
(flashing symbol displays)

Ramp activated

SD Card error
(bad memory card inserted)

AVAPS

A

AVAPS

AVAPS: 1

AVAPS

AVAPS: 1

FLEX

FLEX: 1

1

AVAPS

AVAPS: 1

FLEX

A

AVAPS

AVAPS: 1

FLEX

FLEX: 1

A

1

AVAPS

AVAPS: 1

A

AVAPS

AVAPS: 1

FLEX

FLEX: 1

A

AVAPS

AVAPS: 1

FLEX

FLEX: 1

1

AVAPS

AVAPS: 1

FLEX

FLEX: 1

1

AVAPS

AVAPS: 1

FLEX

FLEX: 1

AVAPS

AVAPS: 1

FLEX

FLEX: 1

A

1

AVAPS

AVAPS: 1

FLEX

A

AVAPS

AVAPS: 1

FLEX

AVAPS

AVAPS: 1

FLEX

FLEX: 1

Apnea alarm enabled

Audio pause is active

Circuit disconnect
alarm enabled

External battery is 80% capacity

External battery is 20% capacity

External battery has less than
20 minutes left

External battery has less than
10 minutes left

External battery is empty

Getting started

1

Display screen

Perform action spe cified on screen

(humidifier setting, cancel action

or exit menu)

Navigate menus or ch ange settings

Perform action spe cified on screen

(activate ramp, sel ect/modify/

confirm parameters)

Audio pause button

Start/stop button

6

5

4

3

2

1

Humidifier Ramp

cm
H

2

O

S/T AVAPS: 0.5

0 5 10 15 20 25 30

Menu

12/30/2010

06:12 PM

A

1

1

2 3

4

5

6

How to stopHow to start therapyDevice navigation

•Connect the
device to AC
or DC power
source

•Press

to
switch on the
device

•Select

to start

the treatment

Navigate

OK

Cancel

cm
H

2

O

cm
H

2

O

ml l/min

S/T

0 5 10 15 20 25 30

Pressure

3.5

Vte

0

ml

RR

20

Leak

0.0

Standby

Power Off

S/T AVAPS: 0.5

Menu

Setup

Therapy

A

12/30/2010

06:12 PM

•Press

•To keep power on but stop

the blower, select ‘Sta ndby’

•Then select

•To turn power off, sele ct

‘Power Off’

•Then select

How to unlock

To unlock the device

•Press and hold

and
for a few seconds to access
Setup page

•Scroll down and se lect ‘Options’

•Modify ‘M enu access’ from

‘Limited’ to ‘Full’

•Press

to validate

•Press

and

to come back to

the main screen

When

appears on the main

screen, the device is u nlocked.

cm
H

2

O

cm
H

2

O

ml l/min

l/min

BPM

S/T AVAPS: 5.0

0 5 10 15 20 25 30

Menu

Pressure

12.6

Vte

0

Leak

0.0

MinVent

0.0RR 11

I:E Ratio

1:1.0

To navigate through the Opti ons
menu:

•Use

to scroll

through the menu.

•Usetheleftandright
buttons to perf orm the actions
specified on the o n-screen buttons
and set according to your pre ference.

Menu: Options

Menu: Alarm and Event Logs

Menu: Settings and alar ms (cont.)

Tubing type lock On (patient cannot ad just tubing size

diameter)/Off (patient can adjust
tubing size diamete r)

Tubing type 15 mm/22 mm
System One resistance lock On (patient cannot s et mask type)/

Off (patient can s et mask type)

System One resista nce (mask type) 0, X1, X2, X3, X4 or X5
Circuit disconnect alarm Off ; 15 or 60 sec.
Apnea alarm Off; 10, 20 or 30 sec .
Low tidal volume alarm
(only when AVAPS is enabled)

On/off

Low minute ventilation alarm Off; 1 to 9 9 lpm
High respirator y rate alarm Off; 4 to 60 BPM

Menu access Full (device unlocked)/Limited (device locked)
Detailed view O n (monitored data appea r on the main screen)/Off

(no monitored data on sc reen, but time and date)
Language You have the choice between 22 diffe rent languages
Pressure units cmH

2

O/hPa

Breath indicator Patient (spontaneous breath)

/machine (controlled breath)
Keypad lock On (buttons a re inactive)/off (butto ns are active)
Keypad backlight On/off
LCD brightness 1 (darkest) to 10 (lighte st)
Screen saver Dim (backlight is decreased)/Breath (black screen,

but manometer and breath indicator are visible)/

Off (no screen saver)
Date & time format Da te and time settings
Blower hours Number of hours the blowe r has been active
(resett able)
Therapy hours Nu mber of hours the patie nt receives therapy
(resett able)

Menu access Full

Detailed view ON

Language English

Pressure units cmH20

Breath Indicator Patient

Menu

Options

S/T AVAPS: 0.6

1/18

Navigate

Setup

Modify

Finish

A

Under ‘Options’, you have acce ss to the following para meters:

Alarm Log

The alarm log lists the 20 most recent al arms or messages that
appeared on the device display.

Event Log

The event log displays a lis t of all events that have occur red,
in chronological order.