Home Ventilation Workshop

Objectives
-Describe the circuit options, breath types,
modes, alarms, features and troubleshooting.

-Review the unique mouthpiece ventilation

mode.

-Review the unique AVAPS-AE mode.

-Review the unique dynamic parameters.

Trilogy Evo
Invasive and non-invasive positive pressure ventilation for the
care of patients ≥2.5 kg through adults.

Measure, display, record, and alarm SpO2, FiO2, CO2,

respiratory rate, and pulse rate data when integrated with the
appropriate accessories.

Suitable for use in institutional, home, and non-emergency

transport settings; for example: wheelchair, personal vehicle,
or ambulance.
Features Light bar

Large 8” touch
screen

Alarm On/off
indicator/alarm (standby)
silence button button
Weight and power
Less than 13 lbs (5.8kg).
15 hours of battery.*
Hot swappable detachable
battery provides
uninterrupted therapy. * *

*Nominal run time per method in International Electrotechnical Commission (7.5 hr/battery). Detachable battery charge time 0% to 80% is 2.5 hours,
Internal battery charge time 0% to 100% is 3.5 hours. A/C-VC mode ActivePAP circuit, PEEP 3cmH2O and Vt 800ml.
* * When the internal battery is charged, batteries can be replaced without the ventilator pausing therapy.
Adaptable

FiO2 sensor access

on back panel

Up to 30Lpm low flow O2

Oxygen Blending Module

(optional)

AC power connector

DC power connector
Adaptable
Adaptable
Adaptable

Install filter
To install the air-inlet foam filter, pinch the
filter as you press it into the filter cover as
shown. Position it securely behind the top
and bottom restraints.
Available circuit options
Passive circuit
Available circuit options
Active PAP circuit

Active exhalation valve

Proximal pressure port

Available circuit options
Active Flow circuit

Active exhalation valve

Proximal pressure port

Flow sensor
Available circuit options
Dual Limb circuit
 Available circuit options
MPV circuit

A. Fully extend and straighten the circuit

support arm.
B. Feed the circuit tube (15mm) through the
center of the circuit support arm until it exits
the other end.
C. Attach the clamp to a wheelchair if required.
D. Attached the reducer cuff and then the
bacteria filter onto the device-end of the
circuit tube.
E. Connect the bacteria filter on the circuit to
the inspiratory port on the Trilogy Evo.
F. Attach the coupler and miniature flextube
(optional) onto the circuit support arm before
connecting patient interface.
Available circuit options

Passive Active PAP Active Flow Dual Limb MPV

Circuits overview

Adult/ External Flow

Infant Pediatric Pediatric Adult Min Set Tidal Sensor
Circuit (9-13mm) (14-18mm) (19mm) (20-22mm) Volume Required

Passive 50 ml

ActivePAP 50 ml

Active Flow 35 ml

Dual Limb 35 ml

MPV 200 ml
Adaptable
Circuit selection

Trilogy Evo includes a default

calibration providing automatic
tubing compensation for the
recommended circuits in the
accessory guide.
Volume modes with the Passive Circuit

Provide equivalent therapy

- EPAP with Passive and PEEP with Active
remove CO2
- Passive circuit with leak compensation delivers
the prescribed tidal volume
- Noninvasive or invasive ventilation

Benefits
- Simpler circuit
- Ease of set up
- Leak compensation
Comparison

At the machine Leak At the patient

800 cc

Traditional volume 500 cc

mode ventilation Preset Vt Vt = Preset Vt - Leak
Vt
with valve circuit

At the machine
Leak At the patient
Trilogy Evo with
500 cc
Passive Circuit Vt = Preset Vt
Preset Vt Vt
 Volume mode in passive circuit
Leaks are compensated by:
A Estimating the leak at the end of each breath
B Compensating for that leak at the next breath

At the machine At the patient

Leak A
500 cc
Vt = Preset Vt – new leak
Preset Vt
Breath 1 Vt

Leak
B
500 cc

Vt Vt = Preset Vt
Breath 2 Preset Vt
Ventilation types
and modes
Modes
Trilogy to Trilogy Evo
Trilogy Trilogy Evo Description

Assist Control (Volume Control) mode provides volume-controlled mandatory or

AC
assist-control breaths. The set inspiratory time applies to all breaths.
A/C - VC
If you want to replicate CV mode where the ventilator triggers and cycles all breaths then
CV
set the trigger type to OFF.

Assist Control (Pressure Control) mode provides pressure-controlled mandatory or

PC
assist-control breaths. The set inspiratory time applies to all breaths. Optional AVAPS.
A/C - PC
If you want to replicate T mode where the ventilator triggers and cycles all breaths then set
T
the trigger type to OFF.

Pressure Support Ventilation mode is patient-triggered, pressure-limited, and flow-cycled.

S PSV The patient determines the breath rate and timing so it is recommended to set back-up
ventilation. Optional: AVAPS and Ti min/max.
Modes
Trilogy to Trilogy Evo
Trilogy Trilogy Evo Description
Synchronized Intermittent Mandatory Ventilation (Pressure Control) mode is a pressure
control mode that provides a mixture of mandatory, assist-control and spontaneous breaths
PC-SIMV SIMV-PC with optional pressure support. It guarantees one mandatory breath in each cycle. The
breath rate determines the length of the cycle. Optional: Inspiratory Time min/max.
for the spontaneous breaths.

Synchronized Intermittent Mandatory Ventilation (Volume Control) mode is similar to

SIMV SIMV-VC
SIMV-PC, but with volume control.

Mouthpiece Ventilation (Volume Control) provides on-demand volume-control ventilation

AC (MPV on) MPV-VC using a Kiss trigger® that detects when the patient engages with the mouthpiece. No
exhalation valve is required.

PC (MPV on) MPV-PC Mouthpiece Ventilation (Pressure Control) is similar to MPV-VC, but with pressure control.
Modes
Trilogy to Trilogy Evo
Trilogy Trilogy Evo Description

Spontaneous/Timed is a bi-level therapy mode where each breath is patient-triggered and

S/T S/T
patient-cycled, or ventilator-triggered and ventilator-cycled.

In Continuous Positive Airway Pressure mode, all breaths are spontaneous with the CPAP
CPAP CPAP
set pressure delivered in both inhalation and exhalation.

AVAPS-Auto EPAP mode automatically adjusts pressure support, to maintain the target
tidal volume, and EPAP, to maintain a patent airway, within the set min/max ranges; and
AVAPS-AE AVAPS-AE
simplifies the set-up of the backup breath rate when set to auto.
Note: auto back-up rate maximum is 20bpm. Optional: Inspiratory Time min/max.
Modes
Trilogy to Trilogy Evo
Trilogy Trilogy Evo Description
Once enabled, this setting treats inspiration time as a variable value for patient-initiated,
Inspiratory patient-cycled breaths.
- Time
Min/Max It is available in S/T, PSV, SIMV-PC, SIMV-VC, and AVAPS-AE modes, under Advanced in the
Prescription Settings window.
This sets the maximum rate of change in pressure between the min and max values while
AVAPS Rate AVAPS Speed
AVAPS is seeking a volume target.
PC Breath Available in AVAPS-AE mode. When PC Breath is on, the set inspiratory time applies to
-
(AVAPS-AE) all breaths.
In Trilogy Evo, available in A/C-VC mode under Advanced in the Prescription window. Sigh
Sigh Sigh volume can be set between 1.5 – 2.5 times the set volume and the frequency between 50 –
250 breaths. While in Trilogy, sigh was fixed at 1.5 times the set volume every 100 breaths.
Available under Advanced in the Prescription window. When turned on an Apnea interval
Back-up needs to be set in the alarm settings tab. Within the apnea interval; if no breaths are
-
Ventilation triggered by the patient, the vent delivers breaths at the set pressure of volume based on
the Backup Rate and Backup Insp Time.
Waveform patterns

Ramp Square
Best practice
Using an active circuit, pressure and flow are
moved proximal to the patient, limiting or
eliminating several of the full features of the
signal analysis.
Triggering and cycling

Flow Trigger Auto-Trak Sensitive Auto-Trak

-Passive, Active PAP, Active Flow, -Passive circuits only -Passive circuits only
or Dual Limb circuits -Volume and Pressure modes -Volume and Pressure modes
-Volume and Pressure modes -Invasive and noninvasive -Invasive and noninvasive
-Invasive and noninvasive -No Trigger adjustments required -No Trigger adjustments required
-Range: 0.5 – 9 L/min -Suitable for patients with weaker
-Cycle sensitivity: 10% – 90% of *Monitors breathing patterns to inspiratory effort (pediatrics,
peak flow accurately recognize when the neuromuscular)
ventilator should trigger
inspiratory support or cycle to
expiration.
 What is Auto-Trak?
Auto-Trak signal analysis simplifies
set-up, with a repeating automatic
cycle that:
Detects • Detects;
• Responds and;
• Tracks patient synchrony

Tracks Responds

29
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Triggering
Volume trigger
The primary trigger for Auto-Trak measures inspired volume
on positive flow. Once it detects an accumulated 6 ml volume
above baseline flow, it will trigger inspiratory pressure.
1 Volume Trigger = 6 ml

30

15

0 1

-15

-30
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Triggering
Shape signal trigger
The Shape Signal functions dually to both trigger IPAP and
cycle EPAP. It appears as a slightly delayed shadow image of
the patient’s actual flow rate, which helps compensate for
flow direction changes. When patient flow and the Shape
Signal cross, trigger will occur automatically. When
triggering inspiratory pressure, patient flow naturally
increases.
Details of how the shape signal is calculated are covered in
more detail within the cycling section.
1 Estimated patient flow
2 Shape Signal
30
3 Trigger to IPAP crossover point

15 2 1

0
3

-15

-30
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Triggering
Sensitive Auto-Trak
This works as per Volume trigger but provides an enhanced
triggering response for patients with minimal respiratory
effort. Auto-Trak requires 6 ml of volume change to initiate
a breath, whereas Sensitive Auto-Trak only requires 3 ml.
1 Sensitive Volume Trigger = 3 ml
2 Standard Volume Trigger = 6 ml

30

15

0
2

-15
1

-30
Sensitive Auto-Trak
• Provides an enhanced triggering response for patients with minimal
respiratory effort
• Digital Auto-Trak requires 6 ml of volume change to initiate a breath
• Sensitive Auto-Trak requires 3 ml

Inhale

Exhale
TIME
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Cycling
Spontaneous Expiratory Threshold (SET)
An electronic signal rises in proportion to the tidal volume
of each breath. Once SET and actual patient flow are equal,
expiration begins.
1 Spontaneous Expiratory Threshold
2 6 ml accumulated to start SET
3 Cycle to Expiration
4 SET
The SET signal automatically adjusts based on the speed on
the patient’s inspiratory flow.
4 5 6 ml accumulated to start SET
30
6 Patient flow increases
7 8 1 7 Adjusted SET when patient flow increases
15 6 3 8 Cycle to Expiration

-15
52

-30
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Cycling
Shape Signal expiratory cycle
The Shape Signal functions dually to both trigger IPAP
and cycle EPAP. It appears as a slightly delayed shadow
image of the patient’s actual flow rate, which helps
compensate for flow direction changes. When patient
flow and the Shape Signal cross, cycle will occur
automatically. When cycling to expiratory pressure,
patient flow naturally decreases.
1 A Shape signal is created based on the
breathing pattern of the patient.
2 This Shape Signal is then fractionally delayed
and shifted to help compensate for flow
30
direction changes.
3 When patient flow and the Shape Signal cross,
15 3 trigger and cycle will occur automatically.
2
1

-15
3

-30
 Auto-Trak

What is Auto-Trak? How does Auto-Trak work? The components of Auto-Trak

The components of Auto-Trak

Cycling
Safety feature
If the patient remains in the inspiratory phase of the
breathing cycle for three seconds, Digital Auto-Trak will
cycle the device to the expiratory phase of pressure
delivery.
1 Max inspiratory time of 3 seconds.

30

15

1
-15

-30
AVAPS-AE

AVAPS-AE is a auto-titration mode of noninvasive ventilation designed to

better treat respiratory insufficiency patients (OHS, COPD and NMD) in the
hospital and homecare environments

Achieving a targeted volume is completely automatic

• Auto Pressure Support
• Auto EPAP
• Auto backup rate
Adjustable AVAPS

- Adjustable AVAPS allows

you to adjust the maximum rate at which the
pressure support automatically changes to achieve the target tidal volume

- It can be set from 1 cm H2O per minute to 5 cm H2O per minute

- Allows clinician to customize the setting to the patient’s needs

AVAPS-AE
Auto EPAP maintains patent upper airway at a comfortable pressure
- Auto adjusting EPAP to meet changing patient needs
- Maintains a patent airway
Auto Back-up rate
AVAPS-AE

Auto backup rate provides

comfortable assistance when
needed
- Auto backup rate is near resting rate
- No manual adjustments (auto-default setting)
Mouthpiece Ventilation (MPV)
Expanding ventilatory support
MPV

MPV is a form of ventilation

whereby the patient’s normal state
is disconnected from the ventilator
and the patient initiates a breath,
as needed, through an oral
interface
Patient selection
Respiratory muscle dysfunction

-Muscular dystrophies
-ALS
-Other myopathies: acide maltase deficiency,
polymyositis, mitochondrial disorders
-Neurological disorders: spinal muscular
atrophies (SMA I, II, III)
-Neuropathies: Guillain-Barre syndrome, multiple
sclerosis
-Skeletal pathologies such as kyphoscoliosis, rigid
spine syndrome
Is there a risk to using MPV?

• The MPV feature represents no more

risk than any other form of NIV
• MPV may be used an entire lifetime by
some neuromuscular patients and
may extend the quality of life for
patients who will eventually need
invasive ventilation
 “NIV via 15-mm angled mouthpiece
is the most important method of
daytime ventilatory support”

Bach,JR., Respiratory management of high level spinal cord injury, The Journal of Spinal Cord Medicine.2012 (35) 72-80.
Kiss trigger and MPV support system

• The ‘kiss’ trigger with signal flow technology

detects when the patient engages and
disengages from the mouthpiece to deliver
on-demand ventilation

• This feature combines with a mouthpiece

ventilation (MPV) support system to
enhance ease of use
MPV history

• MPV technique originated in 1950’s as a

therapeutic adjunct for dyspnea in polio
patients
• John E. Affeldt of Rancho Los Amigos
Hospital
– IPPV with a mouthpiece could relieve dyspnea
in ventilator-dependent polio patients
– Used when negative pressure was interrupted
by transfers, nursing care, physical therapy
Evolution of MPV

• Traditionally performed on volume

ventilators that were adapted and modified
to allow for “sip breathing”.
– Resistance added to the circuit
– Prevented nuisance low pressure alarms
• In 1980’s the introduction of masks and
pressure ventilators which allowed for
compensation of leaks resulted in a shift in
methods. (Ease of use etc.)

Bointano, Benditt; An Evaluation of Home volume Ventilators that Support Open-Circuit, Mouthpiece Ventilation, Respiratory Care, Nov 2005.
Disease state targets
• Neuromuscular disease
• Polio Myelitis
• Duchene Muscular Dystrophy (DMD)
• Quadriplegia (SCI)
• Amyotrophic Lateral Sclerosis (ALS)
• Multiple Sclerosis (MS)
• NIV dependent patients – breaks for activities of daily living
Daytime Ventilation via Mouthpiece:
Clinical evidence

Objectives Methods Results

Assess the impact of - 45 normocapnic patients at - Daytime MPV provided
daytime MPV as an night on NIPPV a 50% survival
extension of nocturnal - Monitored TcCO2 during - Stabilized lung function
NIPPV night and day for 5 years
- Assessed every 6 months

Conclusion
- Daytime MPV as an extension to nocturnal NIPPV is safe
- Provides reliable survival
- Recommended use of cough assisting devices
Toussaint et al, Diurnal ventilations via mouthpiece: survival in end-stage Duchenne patients, ERJ, 2006.
Trilogy Evo
MPV

Optional time-based patient reminder

-MPV circuit disconnect alarm

Multiple prescription function

-Facilitates independent day and nighttime settings (i.e. MPV
during day, mask ventilation at night)

Kiss trigger
-Unique algorithm for a normally disconnected state
-Eliminates issues with a traditional flow trigger:
-no sensitivity to adjust (mitigates auto triggering)
-does not require patient effort to generate a breath
-important for progressively weaker respiratory muscles
Circuit configuration
MPV

MPV circuit support arm

-adjustable to fit most powered wheelchairs
-adjustable to optimize position of mouthpiece to patient
-no need to ‘engineer’ circuit and connection/support

Disposable MPV circuit

-includes small angled and dental straw-style mouthpieces
Research evidence
Mouthpiece ventilation

Evaluation of ventilators for mouthpiece ventilation in neuromuscular disease.

Khirani S, et al. Respir Care. 2014 ;59(9):1329-37.
Evaluation of ventilators for mouthpiece ventilation in
neuromuscular disease
Aim Methods Results
The aims of the study Questionnaire: n =30, mean age 33 ± 11 y, using NIV for 12 ± 7
were to analyze the Subject-reported y. Fifteen subjects used NIV for > 20 h/day, and
practice of mouthpiece benefits 11 were totally ventilator-dependent
ventilation and to Bench test:
evaluate the Performance of 6 home Questionnaire of subject-reported benefits:
performance of ventilators with -Reduction in dyspnea (73%) and fatigue (93%)
ventilators for mouthpiece ventilation. -Improvement in speech (43%) and eating (27%)
mouthpiece ventilation.
Bench test:
Alarms were common with home ventilators,
although less common in those with mouthpiece
ventilation software.

Conclusion:
Subjects are satisfied with MPV
Khirani S, et al. Respir Care. 2014 ;59(9):1329-37.
Understanding the Trilogy Evo
Simple

User-friendly platform
Patient-friendly
performance
8” touchscreen

Note that the background images

are only visible on screen while in
limited access.
Simple

To prevent accidental
therapy changes, use
the touchscreen lock.

This is a temporary touchscreen lock,

which can be changed back by
tapping anywhere on the screen and
following the onscreen instruction.
For automatic touchscreen lock, go
to the Options screen then Device
Options and select Automatic
Touchscreen Lock On.
Simple
Onscreen help

Entering a new prescription or

placing a new circuit on the
ventilator is simple thanks to
the addition of onscreen help.

Simply tap the help icon for more

information regarding that prescription
setting or alarm situation.
Simple
Onscreen battery
indicator
During ventilation you can check how
much time remains on each battery,
which is an estimate based on the
current usage. This is done in one of
two ways.

Option 1.
Tap the battery icons in the toolbar to
see the time remaining on each battery.

Option 2.
Change the ventilation monitoring view
to the large timer view for a constant
reference to the remaining battery time.
Connected
Connected
Care Orchestrator

Cloud monitoring.
Proactive, targeted
intervention.
Connected
Care Orchestrator
New possibilities for efficient
resource management
Compliance Identify and efficiently manage
Rules compliance issues

Prioritize which patients require

home visits – and which do not
Health Usage
Rules Rules Potential to avoid wasted labor,
time, and spending
Connected
Care Orchestrator
Example: Pediatric Neuromuscular Patient

When Then
The % change between (n) 7 day baseline
Minute Ventilation • Add a task to follow up with the patient
average and 3 day evaluation period average
– Gross Change • With a priority of Medium
exceeds 25% or is below 25%

Respiratory Rate The average respiratory rate is greater than 28 • Add a task to follow up with the patient
– Threshold BPM or less than 18 BPM for the past 2 days • With a priority of Medium

% Patient Triggered The % change between (n) 7 day baseline

• Add a task to follow up with the patient
Breaths – Gross average and 3 day evaluation period average
• With a priority of High
Change exceeds 40% or is below 20%
Portable
Portable
Ultimate Portability
15 hours of battery.*
Hot swappable detachable
battery provides
uninterrupted therapy. * *

*Nominal run time per method in International Electrotechnical Commission (7.5 hr/battery). Detachable battery charge time 0% to 80% is 2.5 hours,
Internal battery charge time 0% to 100% is 3.5 hours. A/C-VC mode ActivePAP circuit, PEEP 3cmH2O and Vt 800ml.
* * When the internal battery is charged, batteries can be replaced without the ventilator pausing therapy.
Reliable
Reliable
Low Total Cost of Ownership

Trilogy Evo Trilogy

Trilogy Evo Service Solution Trilogy Service Solution

Avg. <20 mins Avg. 1 hour 40 mins
FSA Test Station
Service

1,200 cycles 475 cycles

Battery cycles

4 years 10,000 hours / 2 years

Blower hours
Adaptable
Adaptable
Seamlessly transition across care environments
utilizing the same clinical technology

Different care
settings
Same clinical
technology
Adaptable
Evolution of ventilator technology

Oxygen and FiO2 cell Flow Trigger 0.5

5 prescriptions Rise Time 0
4 circuits: single and dual limb Dynamic Parameters
Circuit Calibration AVAPS updates
Tubing Compliance Compensation AVAPS-AE updates
Ti min/max
Adaptable
Five prescriptions

Program up to 5 Prescriptions
(presets) and select a name
from the list of available
prescription names.
Adaptable
Tubing compliance
compensation
Trilogy Evo excludes any
losses in tidal volume due to
the circuit.

Trilogy Evo includes a default

calibration providing automatic
tubing compensation for the
recommended circuits in the
accessory guide.
Adaptable
Circuit calibration

Volume losses in circuit

tubing can be calculated and
programmed into the Trilogy
Evo using the calibration
method.
Adaptable
Ti min/max

Available in S/T, PSV,

SIMV-PC, SIMV-VC, and
AVAPS-AE modes

Access under Advanced

Applicable to spontaneous
breaths only
Adaptable
Flow trigger

Flow trigger can be set to

0.5 L/min to offer increased
sensitivity for your weakest
patients.
Adaptable
Rise Time

Rise Time is now even

faster than Trilogy, and can
be set to 0 to adapt to the
needs of your patients.

Note: You can tap on the Help icon

whenever it is visible and a screen
will appear for information
concerning that section.
Adaptable
AVAPS
Available in A/C-PC, S/T, and PSV modes

AVAPS Speed
• Replaced AVAPS Rate
(of change) on Trilogy
AVAPS Startup
• First minute not limited by
Speed setting
• Next session starts with
the previous sessions final
inspiratory pressure
Adaptable
AVAPS
Available in A/C-PC, S/T, and PSV modes

Algorithm resets to pressure

midpoint when:
• AVAPS restart icon is tapped
• Changing to another pre-set
prescription, then changing back

Algorithm does not reset to

pressure midpoint when:
• Changing the target tidal volume
• Changing the insp. pressure ranges
Adaptable
AVAPS-AE additional
flexibility
PC Breath – On/Off
Adaptable
AVAPS-AE additional
flexibility
PS Min/Max can go to 0

Please note that PS Min/Max will

change to PC Min/Max when PC
Breath is set to On.
Adaptable
AVAPS-AE additional
flexibility

Automatic
algorithm restart
• AVAPS restarts at
pressure midpoint
• EPAP returns to EPAPmin
for 100 breaths
• AutoBUR (if enabled)
restarts
 Adaptable
Dynamic parameters

Dyn C Dyn R Dyn Pplat AutoPEEP

Static Compliance of respiratory Airway Resistance Plateau pressure is the Estimate of the pressure
system (lungs + chest wall), Estimate of the change maximum pressure applied (above PEEP) that exists in
measured dynamically. Ratio in pressure divided by to small airways and alveoli the patient airway at the
between the change in volume the air flow through during positive-pressure end of exhalation.
to the change in pressure. the airways. mechanical ventilation.
Adaptable
Dynamic parameters

Available with:
Passive, Active Flow, and Dual Limb
NOT available in ActivePAP

Available in modes:
A/C-PC, A/C-VC, SIMV-PC, SIMV-VC
on Mandatory and Assist Control breaths
(VIM and PIM breaths)
Adaptable
Pediatric Trached Patient Example:
Pediatric patient with tracheostomy tube on Trilogy Evo
had an increase in resistance noted over a 300 second
period that was resolved after suctioning.
 Trilogy Evo Trilogy
>2.5 kg patient intended use
Intended Use (weight) >5 kg patient intended use
(15 mL pressure modes / 35 mL volume modes)

Battery ~7.5 internal + ~7.5 detachable ~3 internal + ~3 detachable

Circuits Passive, Active PAP, Active Flow, Dual Limb, (MPV) Passive, Active PAP, Active Flow, (MPV)

Pre-sets 5 pre-set prescriptions 2 pre-set prescriptions

Prescription #, Nighttime, Mouthpiece, Transport, Primary

Prescription naming
Exacerbation, Daytime, Exercise, Weaning, Emergency, Other Secondary

Standby

Pressure - CPAP, S/T, PSV, A/C-PC, SIMV-PC, AVAPS-AE

Pressure - CPAP, S, S/T, T, PC, PC-SIMV, AVAPS-AE, PC-MPV
Modes Volume - A/C-VC, SIMV-VC
Volume - AC, CV, SMIV, AC-MPV
MPV settings - MPV-PC, MPV-VC

AVAPS First minute not limited by speed setting Always limited by rate of change setting

Spont. breaths
Ti Min/Max Only set Ti
(S/T, PSV, SIMV-PC, SIMV-VC, and AVAPS-AE modes)
Flow Trigger 0.5 – 9 Lpm 1 – 9 Lpm
 Trilogy Evo Trilogy
Rise Time 0-6 1-6

Backup Ventilation

Dynamic lung parameters with no

Dyn C, Dyn R, Pplat, autoPEEP
insp/exp hold

FiO2 sensor and EtCO2 monitoring

Enhanced monitoring Waveforms Waveforms

Internal Memory (2GB) No internal memory

Memory/Data transfer
Data Transfer via Bluetooth or USB Data Transfer via Bluetooth or SD card

Circuit and humidifier selection

Circuit compensation
Circuit calibration (optional)

Touch Screen GUI Touch Screen GUI Non-touch screen GUI

On screen Alarm Guidance

Service/Maintenance 4 year interval 10,000; 17,500; (alternating every 10K and 7.5K blower hrs)
Simple
Easy-to-learn user interface, configurable to
the care environment

Connected
Providing timely care information to the people who need it

Portable
15 hours of battery life, easily mounts on wheelchairs,
and has a convenient carrying bag that lets you see
the screen and alarms

Reliable
The most robust and durable device we’ve ever created

Adaptable
Stays with patients as their care settings and needs change
CEU certificate
• To obtain your CEU certificate log on to
– https://www.ganesco.com/philips-attendee/login.php
– Log in or create a log in if you are a new user
– Complete the evaluation and print out your certificate.

• If you are claiming AARC credits, you must compete

the evaluation within 30 days or you will
not receive credit for the program.