C-Flex
C-Flex
C-Flex
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C-<strong>Flex</strong> TM was here.<br />
www.respironics.com<br />
PEOPLE. PRODUCTS. PROGRAMS. ®
*Mark S. Aloia, PhD et al., “Treatment Adherence and Outcomes in <strong>Flex</strong>ible vs Standard Continuous Positive Airway Pressure,” Chest /127/ 6 / June 2005; pp. 2085-2093.<br />
Feel and see the C-<strong>Flex</strong> difference.<br />
It’s not hard to discover that C-<strong>Flex</strong> is a more comfortable<br />
treatment for sleep apnea — you can feel the difference<br />
with a quick demonstration. The difference is the C-<strong>Flex</strong><br />
waveform: a better way to deliver sleep therapy that<br />
takes the work out of exhalation. You may also see a<br />
difference in your patients who use C-<strong>Flex</strong>. Patients<br />
simply feel better, and with good reason.<br />
A study published in the June 2005 issue of Chest *<br />
showed that patients using a REMstar Pro with C-<strong>Flex</strong><br />
used their therapy an average of 1.7 hours longer per<br />
night than patients on CPAP after three months, and the<br />
difference in adherence widened over time.<br />
And to help you bring that promise of better results and<br />
more comfortable therapy to more of your patients, we’ve<br />
developed a family of REMstar devices with C-<strong>Flex</strong> so<br />
you can match each of your patients to a device that fits<br />
their needs.<br />
The REMstar family gives you a choice of therapy modes,<br />
reporting modes and humidification options to deliver a truly<br />
tailored therapy solution to your patients. And now you have<br />
even more choices to offer with the new REMstar Auto with<br />
C-<strong>Flex</strong> and the REMstar Pro 2 with C-<strong>Flex</strong>.
How C-<strong>Flex</strong> works.<br />
The difference that patients feel when using C-<strong>Flex</strong> comes, in large part, from Digital Auto-Trak ® . This patented algorithm precisely<br />
identifies the transition between inhalation and exhalation – even in the presence of mask leak and other variables. Digital Auto-Trak<br />
helps therapy feel more natural by matching therapy to the patient’s natural breathing pattern. And by matching the patient’s breathing<br />
pattern, C-<strong>Flex</strong> can reduce pressure at the moment of expiration.<br />
With three C-<strong>Flex</strong> levels, patients have the ability to select the level of pressure relief that’s right for them. The amount of pressure<br />
relief will vary on a breath-by-breath basis depending on the patient’s expiratory flow and the C-<strong>Flex</strong> setting. The device returns to the<br />
prescribed pressure at the end of exhalation to ensure proper therapy.<br />
0<br />
Flow<br />
Pressure<br />
C-<strong>Flex</strong> setting = 1<br />
C-<strong>Flex</strong> setting = 2<br />
C-<strong>Flex</strong> setting = 3<br />
The new REMstar Pro 2 with C-<strong>Flex</strong>, like all REMstar devices with C-<strong>Flex</strong>,<br />
reduces therapy pressure right at the point that a patient begins to exhale.<br />
The level of pressure relief will vary with every breath and can be increased<br />
or decreased with one of three C-<strong>Flex</strong> settings to make therapy more<br />
comfortable. And that can make long-term compliance easier to achieve.<br />
REMstar ® Pro 2 with C-<strong>Flex</strong><br />
and REMstar Auto with C-<strong>Flex</strong>:<br />
Two new ways for patients to<br />
feel the difference.<br />
To complete the family of REMstar devices with C-<strong>Flex</strong>,<br />
we’ve added powerful new reporting features to the<br />
REMstar Pro. Also, we’ve combined auto-titration with<br />
C-<strong>Flex</strong> to introduce the REMstar Auto with C-<strong>Flex</strong> – the<br />
most comfortable smart CPAP we’ve ever produced.<br />
REMstar Pro 2 with C-<strong>Flex</strong> advances the ability of our<br />
top-of-line sleep therapy system by adding the ability to<br />
record apnea/hypopnea index, leak levels and snoring.<br />
This gives you even more insight into a patient’s therapy<br />
regimen – and makes it easier to identify any need to<br />
modify therapy.<br />
The REMstar Auto with C-<strong>Flex</strong> features a “multi-level”<br />
algorithm that measures instances of flow limitation to<br />
make systematic, subtle changes in pressure and assesses<br />
the impact of these changes on the patient’s breathing<br />
patterns. It can also determine how much of a response is<br />
necessary to eliminate events and position the patients with<br />
a more appropriate pressure – as well as compensate for<br />
elevated leak levels and variable breathing.<br />
Combining C-<strong>Flex</strong> and auto-titration makes the REMstar<br />
Auto with C-<strong>Flex</strong> a particularly attractive device in a<br />
sleep lab setting – especially when used in conjunction<br />
with our Analog Output Module and Clinical Remote.
Breathing pattern recognition ensures the right therapy.<br />
As impressive as the Proactive Algorithm therapy is, it would be useless without the Breathing Pattern Recognition ability of the<br />
REMstar Auto with C-<strong>Flex</strong>. Breathing Pattern Recognition analyzes the shape curve of a patient’s airflow signal based on four<br />
parameters (roundness, flatness, peak and shape). It can then seek out instances of flow limitation and respond accordingly –<br />
either by cycling through the Pcrit, Popt and Ptherapy modes or by triggering the REMstar Auto’s secondary analysis.<br />
REMstar Auto with C-<strong>Flex</strong> Theory of Operation<br />
Flow Limitation/Primary Analysis<br />
P therapy<br />
This simple mail-in card helps<br />
reduce home visits and eliminates<br />
the need for patients to transport<br />
their device to your facility.<br />
The true database architecture<br />
of the Encore Pro software<br />
gives you the power to create<br />
customized reports based on<br />
your needs, including detailed<br />
daily reports, compliance reports<br />
and long-term therapy trends.<br />
P crit<br />
P opt<br />
Encore ® Pro SmartCard ® Compatible<br />
The secondary analysis determines the occurrence<br />
of breathing problems like apnea, hypopnea, snoring,<br />
variable breathing and elevated leak levels based on<br />
their effects on the patient’s airflow signal. Once it<br />
detects one of these events, the secondary analysis<br />
immediately begins to ramp up the pressure level to<br />
a point that eliminates or compensates for the event.<br />
REMstar Auto with C-<strong>Flex</strong> and the new REMstar Pro 2 with C-<strong>Flex</strong> come complete with Respironics’<br />
Encore Pro SmartCard technology built in. This powerful tool allows you to handle patient files, develop<br />
patient reports and track overall treatment progress of patient populations. Encore Pro’s true database<br />
architecture unleashes its ability to manipulate and manage patient data. You can even compare the<br />
wellness trends of different patients to explore ways to improve overall care based on different criteria<br />
such as insurance provider or sleep lab.<br />
The SmartCard records the date, time, ramp usage and duration of each session. Additionally, both<br />
machines allow the SmartCard to record leak, apnea/hypopnea index and snoring – data previously<br />
only available from the REMstar Auto with C-<strong>Flex</strong>. It can even be programmed to update the patient’s<br />
prescription – when the programmed SmartCard is inserted, the prescription settings are automatically<br />
transferred into the device – so, no in-home visit is required.
The Systems<br />
The REMstar family of devices with C-<strong>Flex</strong> is your choice for designing<br />
customized outcomes-based treatment plans for sleep apnea patients,<br />
while helping you to meet your clinical and business goals. All systems<br />
feature a sleek, updated design that includes backlit controls for the unit<br />
and humidification system.<br />
REMstar Plus with C-<strong>Flex</strong><br />
REMstar Plus with C-<strong>Flex</strong> offers optional integrated humidification,<br />
lighted controls, an easy-to-read display and the revolutionary comfort<br />
of C-<strong>Flex</strong> – all in a sleek design. This is the device that will redefine<br />
the entry-level CPAP market.<br />
REMstar Pro 2 with C-<strong>Flex</strong><br />
REMstar Pro 2 with C-<strong>Flex</strong> combines the amazing comfort of C-<strong>Flex</strong> and<br />
optional integrated humidification with the power of Encore ®<br />
Pro Data<br />
Management Software. And now with the ability to record apnea/hypopnea<br />
index, elevated leak levels and snoring, it’s the most versatile CPAP<br />
we’ve ever offered.<br />
REMstar Auto with C-<strong>Flex</strong><br />
The REMstar Auto with C-<strong>Flex</strong> is an ideal flow-based Smart CPAP for<br />
use in the lab or home. Its Proactive Algorithm looks for and adjusts<br />
to a patient’s needs based on optimal and critical pressure levels. And<br />
the new Encore Pro software allows you to track events like snoring,<br />
elevated leak levels and apnea/hypopnea. Add that to a host of other<br />
great patient features, and it’s easy to see why REMstar Auto with<br />
C-<strong>Flex</strong> is the smartest Smart CPAP we’ve ever made.<br />
REMstar Heated Humidifier<br />
Designed as an integrated addition to our REMstar family, this unique,<br />
tubeless platform brings heated humidification to a new level. Its clear,<br />
two-piece water chamber is easy to fill and is dishwasher safe. The<br />
humidifier controls are on the CPAP unit, and the heated humidifier<br />
plugs directly into the REMstar unit – so there is only one plug going<br />
into the wall.<br />
REMstar Integrated Pass-over Humidifier<br />
This integrated pass-over humidifier’s revised design allows you to<br />
choose unheated humidification without sacrificing the convenience<br />
of the REMstar heated humidifier’s sleek, integrated design.<br />
REMstar Plus with C-<strong>Flex</strong><br />
REMstar Pro 2 with C-<strong>Flex</strong><br />
REMstar Auto with C-<strong>Flex</strong><br />
REMstar Heated Humidifier<br />
REMstar Integrated<br />
Pass-over Humidifier
The Specs<br />
REMstar Plus with C-<strong>Flex</strong> REMstar Pro 2 with C-<strong>Flex</strong> REMstar Auto with C-<strong>Flex</strong><br />
PRESSURE RANGE 4 to 20 cm H2O 4 to 20 cm H2O 4 to 20 cm H2O RAMP TIME 0 to 45 min. (5-min. increments) 0 to 45 min. (5-min. increments) 0 to 45 min. (5-min. increments<br />
– CPAP mode only)<br />
STARTING RAMP PRESSURE 4 to CPAP; patient-adjustable 4 to CPAP; patient-adjustable 4 to CPAP; patient-adjustable<br />
(CPAP mode only)<br />
DIMENSIONS 9.45" (l) x 6.69" (w) x 4.72" (h) 9.45" (l) x 6.69" (w) x 4.72" (h) 9.45" (l) x 6.69" (w) x 4.72" (h)<br />
24 cm (l) x 17 cm (w) x 12 cm (h) 24 cm (l) x 17 cm (w) x 12 cm (h) 24 cm (l) x 17 cm (w) x 12 cm (h)<br />
WEIGHT < 4 lbs (1.8 kg) < 4 lbs (1.8 kg) < 4 lbs (1.8 kg)<br />
FILTERS Pollen and optional ultra-fine Pollen and optional ultra-fine Pollen and optional ultra-fine<br />
DEVICE SET-UP On-board keypad On-board keypad and SmartCard On-board keypad and SmartCard<br />
DATA STORAGE CAPACITY Therapy meter 6 months @ 3 usage sessions/day, 6 months @ 3 usage sessions/day,<br />
(minimum) 7-9 days in-depth data analysis 7-9 days in-depth data analysis<br />
DATA STORAGE CONTENT Total hours Date/time, duration at pressure, Date/time, duration at pressure,<br />
Usage sessions > 4 hours patient event histograms, short-term patient event histograms, short-term<br />
detailed events, long-term trends, detailed events, long-term trends,<br />
FOSQ tests FOSQ tests<br />
COMPLIANCE METER Therapy hours Breathing detection Breathing detection<br />
ALTITUDE COMPENSATION Low, medium or high Automatic Automatic<br />
ELECTRICAL REQUIREMENTS 100 – 240 AC, 12 VDC 100 – 240 AC, 12 VDC 100 – 240 AC, 12 VDC<br />
DC POWER Direct-connect cord Direct-connect cord Direct-connect cord<br />
WARRANTY 2 years 2 years 2 years<br />
MISCELLANEOUS Integrated heated humidification control, Integrated heated humidification Integrated heated humidification<br />
lighted keys on pad, pressure calibration key, control, lighted keys on pad, control, lighted keys on pad,<br />
automatic on/off, mask off alert automatic on/off, mask off alert automatic on/off, mask off alert<br />
The Products<br />
CPAP Systems (North America only) Part #<br />
REMstar Pro 2 with C-<strong>Flex</strong> 1020923<br />
REMstar Pro 2 with C-<strong>Flex</strong> Core Pkg. (Incl. Humidifier) 1020926<br />
REMstar Plus with C-<strong>Flex</strong> 1009586<br />
REMstar Plus with C-<strong>Flex</strong> Core Pkg. (Incl. Humidifier) 1009871<br />
REMstar Auto with C-<strong>Flex</strong> 1017453<br />
REMstar Auto with C-<strong>Flex</strong> Core Pkg. (Incl. Humidifier) 1017476<br />
Encore Pro Software and SmartCard Part #<br />
ENCORE PRO SOFTWARE 1009583<br />
ENCORE SHIELDED COMMUNICATIONS CABLE (6 ft/1.83 m) 1000814<br />
ENCORE 9 TO 25 PIN CABLE ADAPTER 532348<br />
SMARTCARD READER STATION<br />
(Incl. universal supply, 115 VAC cord and interface cable. 220V cord sold separately.) 1003543<br />
PACK OF SMARTCARDS (10 cards) 1003304<br />
FOSQ CLINICAL REPRINT (Sleep, 20(10): 835-843) 1000141<br />
FOSQ QUESTIONNAIRE, ENGLISH<br />
(Call Customer Service for other languages.) 1004550<br />
SM<br />
SLEEP<br />
MANAGEMENT<br />
CHRONIC RESPIRATORY<br />
MANAGEMENT<br />
SM SM<br />
TOTAL VENTILATION<br />
SOLUTIONS<br />
CPAP Accessories Part #<br />
POLLEN FILTERS (Reusable; 2 per pack) 1005964<br />
ULTRA-FINE FILTERS (Disposable; 2 per pack) 1005945<br />
FILTER CAP 1008479<br />
CARRYING CASE 1005965<br />
DC ADAPTER CORD 1001956<br />
SHIELDED DC CORD SYSTEM<br />
(Incl. shielded DC cord and battery adapter cable) 1001979<br />
REUSABLE PATIENT TUBING (6 ft. (1.8 m), GRAY) 622038<br />
Humidifiers Part #<br />
REMstar HEATED HUMIDIFIER 1005792<br />
REMstar HEATED HUMIDIFIER CHAMBER (Replacement) 1008619<br />
REMstar INTEGRATED PASS-OVER HUMIDIFIER 1011785<br />
www.respironics.com<br />
Customer Service: 1-800-345-6443 or 724-387-4000<br />
Respironics Europe: +33-1-55-60-19-80<br />
Respironics Asia Pacific: +81-3-5280-9611<br />
cflex.respironics.com<br />
CAUTION: U.S. federal law restricts these devices to sale by or on the order of a physician.<br />
Respironics, REMstar, Encore, SmartCard and Auto-Trak are trademarks and “People. Products.<br />
Programs.” is a registered service mark of Respironics, Inc. and its affiliates. The C-<strong>Flex</strong> mark is<br />
used under license. Covered by one or more patents. Other patents pending.<br />
©2005 Respironics, Inc. and its affiliates. All rights reserved.<br />
Hoech KW 06/29/05 MCI 4100278 PN 1024560<br />
SM<br />
RESPIRATORY<br />
DRUG DELIVERY<br />
NEONATAL &<br />
INFANT CARE<br />
SM