www.respironics.

com

PEOPLE. PRODUCTS. PROGRAMS.

Introducing the REMstar® Auto.

A simply smarter Smart CPAP.
 By combining years of experience in developing and refining Smart CPAP systems with the popular look and feel of our newest

REMstar® family of CPAPs, Respironics brings you what may be the smartest Smart CPAP you’ve ever seen. The

REMstar Auto is a quiet, easy-to-use, flow-based Smart CPAP system that gives you more options than ever to use this

unique treatment mode to improve compliance and outcomes. The REMstar Auto could be an extremely valuable part of any sleep

management solution. You may also find that the greater flexibility of the REMstar Auto fits better with some patients’ lives than

traditional CPAP therapy. That’s because its Auto CPAP therapy mode changes the way

it delivers therapy to match changes in the patients’ lifestyle — such as

weight gain or loss, changing sleep schedule or travel.

In all, we’ve redesigned every inch of the REMstar Auto to help you make the most

of Smart CPAP technology – from its unique session meter all the way down to its

new power supply and cord. It gives you greater treatment flexibility. And a large part of

that flexibility comes from REMstar Auto’s integrated humidification solutions. This gives

you the option to transition patients from no humidification to heated humidification with

one machine. With the REMstar family, you have more flexibility to help your business

grow in today’s healthcare environment.

When we designed the REMstar Heated Humidification System, we set out to create a fully integrated unit that didn’t

sacrifice the aesthetics and operability of the individual CPAP systems. The result: an integrated approach to heated

humidification that’s as easy for you to stock as it is for patients to use. Like all REMstar units, the REMstar Auto uses our easy-

to-use Heated Humidification System. The lighted controls are right on the REMstar Auto, so they’re always easy to find.

And since the platform plugs into the CPAP, there’s only one plug to go into the wall. What’s more, the transparent

water chamber is easy to fill, clean and care for – so your patients get all of the benefits of upgrading to heated

humidification, without any of the hassles.

The tubeless, transparent And it comes apart easily.

water chamber in Since it’s dishwasher
REMstar’s Heated safe, the water chamber
Humidifier is easy for is easy to clean and care
anyone to fill and attach. for, too.
The Science of Finding the Right Pressure.

At the core of the REMstar Auto’s ability to adjust to a patient’s pressure needs is a “multi-level” algorithm.

Working primarily by measuring instances of flow limitation, the REMstar Auto utilizes systematic, subtle

changes in pressure and assesses the impact of these changes on the patient’s breathing patterns. These proactive

changes in pressure and assessment of flow limitation are continually searching for the best possible

pressure level for the patient. Supporting this primary analysis are secondary analysis parameters devoted to

detecting major respiratory events and responding appropriately. These secondary analysis parameters

determine necessary levels of response to eliminate events and position the patient with a more appropriate

pressure level. Additional levels of analysis are devoted to elevated – or “big leak” – levels and variable breathing.

FLOW LIMITATION TESTING

Popt test

P therapy

P therapy
Pressure

Pcrit test

Throughout the night the Proactive Algorithm of the REMstar Auto subtly searches for the best pressure level for a
patient’s needs by cycling through the Pcrit, Popt and Ptherapy modes. Pcrit determines the critical pressure where
the airway begins to collapse. Popt determines the optimal pressure level for a stable airway. Ptherapy provides an
extended period of constant pressure at the ideal level.

The REMstar Auto’s ability to find ideal pressure levels makes it a particularly useful tool in a sleep lab

setting. When used in conjunction with Respironics’ Sleep Diagnostic products like our Analog Output Module

and Clinical Remote, the REMstar Auto makes diagnosing sleep disorders and determining patient

prescription pressure levels easier and more exact.

Breathing Pattern Recognition Ensures the Right Therapy.

As impressive as the Proactive Algorithm therapy is, it is made even more effective with the addition of REMstar Auto’s

Breathing Pattern Recognition ability. Breathing Pattern Recognition proactively analyzes the shape curve

of a patient’s airflow signal based on four parameters (roundness, flatness, peak and shape). Based on these

parameters, Breathing Pattern Recognition can seek out instances of flow limitation – by cycling through

the Pcrit, Popt, and Ptherapy modes – and act accordingly.

The Breathing Pattern Recognition also performs a secondary analysis, based on peak flow, to determine

the occurrence of breathing problems like apnea and hypopnea, and detects snoring based on a

frequency analysis of a pressure signal. Once it detects one of these events, the system immediately

begins to ramp up the pressure level to resume normal breathing. Once breathing returns to normal,

the REMstar Auto returns to the task of delivering optimal therapy.

BREATHING PATTERN RECOGNITION NETWORK

Respiratory events like apneas and snoring can be

recognized by their effects on a patient’s airflow signal.
REMstar Auto’s Breathing Pattern Recognition ability allows
it to identify and take care of these events automatically.

Flow Limitation (primary analysis method)

Secondary Analysis identifies and corrects breathing events such as these:

Snoring Apnea

Elevated Leak Levels Hypopnea

Encore® Pro: Power and Control from Truly Smarter Software.

Respironics has always been committed to offering the newest, most

advanced innovations in sleep technologies and data management

tools to help improve communications between the home healthcare provider,

hospital/sleep lab and payer audience. The addition of the REMstar Auto to

our family of sleep products is further proof that, for us, compliance is more
The Encore Pro
than a word, it’s a way of life. That fact is especially evident in the REMstar SmartCard™ puts the
power of our best
Auto with our new Encore Pro data management software. thinking in your hands.
It’s easier than ever to
record compliance and
The Encore Pro data management system is a totally new way of handling
quality-of-life data with
patient files, developing patient reports and tracking overall treatment progress of this simple mail-in card.

patient populations. The heart of this difference lies in Encore Pro’s new true

database architecture that gives you the power to manipulate and manage

patient data in ways never before possible. In fact, now you can even compare the

wellness trends of different patients to compare treatment effectiveness.

Working with the REMstar Auto, the Encore Pro data in long-term compliance data and the resulting

management system gives you a greater level of changes in the patient’s FOSQ (Functional

power and control. You can generate detailed Outcomes of Sleep Questionnaire) responses.

daily reports that include information on mask leak, 20 90% Pressure

12.2
Pressure (cm H2O)

15
apnea/hypopnea index, flow limitation and snoring.
10

Plus, there’s an unprecedented range of long- 5

term reporting power to give you a better picture 1 2 3 4 5 6 7

Indices
NR: 0.0 OA: 0.4
of a given patient’s improvement – including changes NR
H: 0.7 FL: 1.8
S: 18.1
RemStar Auto Flags

AHI: 1.1
OA

REMstar Auto Daily Events Per Hour H

11/7/2001 11:25 PM TOTAL AHI : 1.1

FL
Pressure (cm H20) 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
S

Minutes at Pressure 24.0 12.0 9.0 57.0 57.0 51.0 56.0 88.0 61.0 7.0 12.0 3.0 0.5 0.0 0.0 0.0 0.0 0
1 2 3 4 5 6 7
% of Night 5.5 2.7 2.1 13.0 13.0 11.7 12.8 20.1 13.9 1.6 2.7 0.7 0.1 0.0 0.0 0.0 0.0
Large Leak
100 0.0 Mins.
Flow Limitation 0.0 0.0 13.3 3.2 3.2 2.1 1.2 2.1 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0% of Night
Average Leak
Leak (LPM)

Snore 5.0 40.0 46.7 8.4 17.9 27.1 23.6 8.9 7.9 197.1 5.0 0.0 0.0 0.0 0.0 0.0 0.0 31.63

Non-Responsive 50

Apnea/Hypopnea 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Obstructive Apnea 2.5 5.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0
Hypopnea 0.0 5.0 0.0 1.1 1.1 1.2 1.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1 2 3 4 5 6 7
Hour of Therapy
AHI 2.5 10.0 0.0 1.1 1.1 1.2 1.1 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
90% Legend: NR - Non-Responsive Apnea/Hypopnea, OA - Obstructive Apnea, H - Hypopnea, FL - Flow Limitation, S - Snore
 specifications

PRESSURE RANGE 4 to 20 cm H2O

RAMP TIME (CPAP MODE ONLY) 0 to 45 min. (5-min. increments)

STARTING RAMP PRESSURE (CPAP MODE ONLY) 4 to CPAP pressure; patient-adjustable

DIMENSIONS 9.45" (l) x 6.69" (w) x 4.72" (h); 24 cm (l) x 17 cm (w) x 12 cm (h)

WEIGHT 3.5 lbs (1.56 kg)

FILTERS Pollen and optional ultra-fine

DEVICE SET-UP On-board keypad and SmartCard

DATA STORAGE CAPACITY(minimum) 6 months @ 3 usage sessions/day; 7-9 days in-depth data analysis

DATA STORAGE CONTENT Date/time, duration at pressure, patient event histograms, short-term detailed events, long-term
trends, FOSQ tests

COMPLIANCE METER Breathing detection; sessions > 4 hours

ALTITUDE COMPENSATION Automatic

ELECTRICAL REQUIREMENTS 100 – 240 AC, 12 VDC

DC POWER Direct-connect cord

WARRANTY 2 years

MISC. Integrated heated humidification control, lighted keys on pad, automatic on/off, mask off alert

products
CPAP Systems Part # CPAP Accessories Part #

REMstar AUTO (NORTH AMERICA) 1007381 POLLEN FILTERS (Reusable; 2 per pack) 1005964

REMstar AUTO (INTERNATIONAL) 1007382 ULTRA-FINE FILTERS (Disposable; 2 per pack) 1005945

Encore Pro Software and SmartCard Part # FILTER CAP 1008479

ENCORE PRO SOFTWARE 1009583 CARRYING CASE 1005965

ENCORE SHIELDED COMMUNICATIONS DC ADAPTER CORD 1001956

CABLE (6 ft./1.83 m) 1000814
SHIELDED DC CORD SYSTEM
ENCORE 9 TO 25 PIN CABLE ADAPTER 532348 (Incl: shielded DC cord and battery adapter cable.) 1001979

SMARTCARD READER STATION REUSABLE PATIENT TUBING (1.8 M (6 FT), GRAY) 622038
(Incl: universal supply, 115 VAC cord, and interface cable. Humidifiers Part #
220V cord sold separately.) 1003543
REMstar HEATED HUMIDIFIER 1005792
PACK OF SMARTCARDS (10 cards) 1003304
REMstar HEATED HUMIDIFIER CHAMBER (Replacement) 1008619
FOSQ CLINICAL REPRINT (Sleep, 20(10): 835-843) 1000141

FOSQ QUESTIONNAIRE, ENGLISH

(Call Customer Service for other languages.) 1004550

Customer Service: 1-800-345-6443 or 724-387-4000

Respironics Europe: +33-(0)1-55-60-19-80
www.respironics.com Respironics Asia Pacific: +852-234-342-18

CAUTION: U.S. federal law restricts these devices to sale by or on the order of a physician.
REMstar, BiPAP, Encore and SmartCard are trademarks of Respironics, Inc.
©2002 Respironics, Inc.
1011151 KW 07/19/02

SM SM SM SM SM

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