Interpretation guide for Encore software compliance reports
Contents
1. report Humidifier settings if it is attached to the machine Ventilation mode used 4 Length of compliance per night Nights of insufficient use under the set threshold are indicated in red Note this parameter can be Pressure profile IPAP Inspiratory Pressure EPAP Expiratory Pressure Note AVAPS AE allows for a variation of EPAP over time Pressure Support PS profile PS z IPAP EPAP Note AVAPS allows for a variation of PS over time Apnea hypopnea index AHI Average AHI over the selected period IPAP 90 corresponds to IPAP delivered for 9076 of the night EPAP 90 corresponds to EPAP delivered for 7 of the night INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS customized in the Encore software n 4 Om le Q Q Om 0 c S E 0 Q Bn E n 9 0 U LLI 0 c E Ew R 9 Fe Q Bn 0 Ad E Long term BIPAP AVAPS trends Ventilator Long Term Trends 01 16 2013 01 17 2013 Pressure cmH O IPAP EPAP 55 15 10 5 s Q 0 Bn U S 0 2 2 0 Bn U c 0 c E Ce R ed 0 Fe Q Bn 0 Ad 0 Breaths per minute 52 52 5 D Tidal volume mL Maximum a2. 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 9 9 6 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 6 9 9 9 9 9 9 9 9 6 9 8 9 O 9 6 9 9 9 6 9 9 9 9 9 9 9 5 9 9 6 0 0 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8 9 0 9 6 0 9 9 8 6 9 9 9 9 9 9 9 9 9 9 O 9 0 0 9 9 O0 9 6 0 9 9 9 5 9 9 9 9 9 9 9 6 0 0 9 6 9 9 9 8 6 O 6 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 O 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 8 9 9 9 9 9 9 9 9 8 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 eee 9 8 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 8 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8
3. Average RERA index 0 0 6 Vibratory snoring index Vibratory snoring index 4 5 Prin Encore Pro Version 0 Page RESPIRONICS 19 04 2013 The long term trends show the patient s progression For example an unstable average tidal volume may indicate a changed ventilation quality INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Average clear airway apnea index CA over the period n s Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Al E Average obstructive apnea index OA over the period Average hypopnea H index over the period Average RERA RE index over the period Vibratory snoring VS index over the period Average percentage of the night spent with large leaks during the period Note In this example a large leak occurred one night This large leak is reflected in the analysis of other data from the report INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Daily BIPAP AVAPS details Ventilator Daily Details 07 04 2012 20 14 Pressure cmH O Average IPAP Pressure 19 6 Average EPAP Pressure 70 Ad Bn Q Q Bn U S 0 2 a2 0 0 Bn U c Ga 0 c Ce R Ad 0 Fe Q ia 0 Ad is
4. Interpretation guide for Encore software compliance reports BIPAP AVAPS BIPAP S T BIPAP A30 BIPAP A40 PHILIPS Al SI tt uc RESPIRONICS lable of Contents Philips Home Healthcare Solutions Ventilation p 5 Dernitlols x4 93x 0 4393 KS C OR EE p 7 Interpretation of Encore software compliance reports p 14 Practical cas s so eS KE CRORE EEG G p 40 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Ventilation Commitment to compliance Our goal is to provide the best treatment solutions for your patients thanks to an advanced technology that is easy to use and helps customize follow up Clinically validated treatment solutions The Philips Commitment to Compliance Philips Home Healthcare Solutions Severe Dependant NMD ALS Pediatric day and night Overlap COPD OHS night Trilogy 100 200 CA E70 Digital Auto Irak e Cough Trak Technology BiPAP A40 Oscillations AVARS AE Digital Auto Trak 88 BiPAP 0 AVAPS AE Technology Digital Auto rak BiPAP EES Digital Auto Trak AVAPS Technology BiPAP S T Digital Auto Trak not available in all countries Our Auto Trak and AVAPS technologies clinically validated for several years are In most of our ventilation devices Their purpose is to support the quality and comfort of ventilation in order to ensure patient compliance This is
5. 9 Demi FAT WEY hes 0 wur Compliance statistics he usage profile is regular Days using unit 0 776 EN Ze LLL Bn seng consistent 25496 CENE minae erage uve ryt of use kh Zimmer 41 5 sott sere no Pama Percentage of dart used gt 4 houri H Percenepe of dayi used 4 howa 114 Foldin 7 Settings iir Made Bilevel 5 prenure Dec Wand men imp P 4 0 Bresthing racer TH bpm a Through trends Km The average total leakage is acceptable Average leak x5 But the leakage profile is completely chaotic Mana 11 b Through daily details are much too large Leaks are present throughout Through the daily details the leaks unintentional pa EE nennt ee the night Unintentional Leak LPM Sm Norra Masa Fr 68 not m Lage Lea Recommendation There is no use in continuing the analysis of this report since the level of leaks is too high Before modifying any of the ventilation parameters it is imperative to find the cause of the leaks It is advisable to review the placement and the seal of the interface with the patient INTERPRETATION GUIDE FOR EN
6. Average leakage in litres minute for the day Average ventilation minutes for the day in litres minute Ventilator alarms that occurred during the day INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Daily BIPAP 30 details Daily details from the ventilator 11 26 2012 20 18 Pressure cmH O IPAP EPAP 25 Avg IPAP 20 15 184 1 z Avg EPAP 0 70 0 1 2 3 4 Breaths per minute 42 Bn Q 0 Bn U S Om 2 a n 0 Fe Gen 0 c E Ce R ed 0 Q 0 Ad 19 dengem T ge A SE Average breathing rate 1 5 150 0 1 2 3 3 5 6 7 8 9 Tidal volume mL 496 248 0 0 1 2 3 E 5 6 Respirations triggered by the patient Average of respirations I triggered by the patient 40 45 8 20 0 Sleep therapy flags Nighttime RCS CSR 8 1 CA 03 413 o ud 6 4 1111 me RV E 1 mu 11 Unintentional leak LPM Em Normal Mask Fit EN Breathing not detected Average minute ventilation 0 1 2 3 4 5 6 7 8 9 PD Patient disconnected HBR High breath rate LMV Low per minute ventilation AP Apnea LTV Low tidal volume PB Periodic breathing CA Clear Aiway Apnea OA Obstructed Apnea H Hypopnea RE RERA VS Vibratory snoring PS Press
7. Pac zen ae A wer 1 2 3 4 5 6 7 8 Tidal volume mL Average tidal volume 903 5 Patient Triggered Breaths 100 yey oo Average Pati so ARNA Mir ra Triggered Breaths 40 87 1 20 0 0 1 2 3 5 6 7 8 Sleep therapy flags CA OA Average Minute Vent 15 4 Ventilator alarms 0 1 2 3 5 6 7 8 PD Patient disconnected from the machine HP High Pressure Alarm LP Low Pressure Alarm LMV Low Minute Vent AP Apneas LPS Low Pressure Support LTV Low tidal volume H Hypopneas CA Clear Airway Apnea OA Obstructive Apnea AHI Apnea hypopnea index INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Day involved Profile for the day s inspiratory and expiratory pressures Note Variation in the inspiratory pressure may indicate the activation of the AVAPS function n s Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Al E Average respiratory frequency for the day Average tidal volume for the day Note If the AVAPS is activated this value makes it possible to check whether the set volume is being met Average percentage of breaths triggered by the patient Note The lower the percentage is the more the machine initiates the breaths This makes it possible to know the percentage of time spent in machine initiated cycles
8. SES The 1 number represents the number 6 24 6 24 of real compliance hours the 2 number 5 55 5 55 is that of blower hours ventilation is functioning but without detecting the patient s breathing 10 8 06 15 2010 D 1 Green Blower functioning patient breathing detected Wa ovv 1 White Blower stopped Black Blower functioning but without detecting breaths Note activation of the machine s automatic start stop prevents the blower from functioning without being connected to the patient INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS BIPAP A40 Encore Company CF Patient name and machine Device BIPAP A40 1076473 V057189512997 2 2 Therapeutic compliance detailed report Machine detail Name serial number Patient Patient number EncoreCompany16 Home telephone Date of birth Sleep specialist physician Age Office Patient information Telephone Fax Treating physician Telephone Administrator New Therapeutic compliance 02 19 2013 03 24 2013 Period covered by the Humidifier average setting 2 6 most recent setting 3 0 25 5 30 45 m 5 10 i 7 I 5 0 PAP EPAP Average AHI 43 Patient number EncoreCompany16 IPAP 90 EPAP 90 EL 24 18 12 D D
9. and a progression in compliance can be detected Leak LPM 100 The leaks profile is constantly decreasing There is no problem to report INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 0 0 a U E JU 0 4 Q a H U a ica A 3 Check of the ventilator data a Through trends Patient number Ventilator Long Term Trend 03 01 2013 03 03 2013 Pressure 1 O The average tidal volume does not seem high it would be worth knowing the height of the patient The percentage of patient triggered breaths is 30 176 which means that the patient is triggering but is mostly receiving machine triggered breaths The AHI is too high gt gt S L 25 b Through daily details Ventilator daily details The pressure profile indicates that the maximum inspiratory pressure is reached several times The breathing rate profile confirms that the patient is receiving machine triggered breaths 552 i IA enn S rel 5 1 H 3 4 3 i 7 a 1 18 41 312 13 j 12 3d HF 82 4 FELTA 42 H 1 2 3 H 3 8 i 1 11 12 11 4 35 H The AHI shows a large number of apneas with or without obstructions INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 9 9 9 9 9 0 9 9 9 9
10. 9 9 9 9 9 6 6 9 6 9 6 9 9 9 8 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 6 O 6 9 9 9 9 9 6 9 8 6 9 9 9 9 9 9 6 9 9 9 O 9 0 9 9 6 O0 8 6 9 8 6 9 9 9 9 9 9 9 9 9 9 9 O 9 0 0 9 9 9 8 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 6 0 9 6 9 8 6 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 99 9 9 6 06 9 6 9 9 9 9 9 9 8 9 6 8 6 9 O 6 8 6 9 8 6 9 9 5 0 9 9 9 9 0 6 9 6 0 O0 6 9 9 9 8 9 9 9 9 9 9 9 9 8 9 0 9 9 6 9 9 9 8 0 9 9 9 9 9 9 9 9 9 6 O 9 0 O 9 9 O 8 9 8 6 9 9 0 9 9 9 8 9 9 O 9 0 O0 9 6 9 8 9 8 6 9 9 9 9 9 8 9 9 9 9 0 GO 9 9 0 O 9 O 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 zs 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 9 9 6 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 6 9 9 9 9 9 9 9 9 6 9 8 9
11. 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 98 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 O 9 0 0 0 9 9 0 9 9 9 9 O 0 9 9 9 9 9 9 9 9 GO 9 9 O 9 0 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 6 9 06 9 9 8 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 0 9 O 9 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 98 9 9 9 9 0 9 9 9 9 9 9 9 8 9 0 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 0 9 9 9 9 9 9 99 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 9 9 9 9 9 0 9 9 9 9 9 9 9 0 9 9 98 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O0 9 9 9 9 9 9 0 9 0 O 9 6 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 O 0 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 0 9 O 9 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O O 9 O 9 9 9 9 0 9 9 9 9 O 9 9 9 9 9 9 9 9 O GO 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 995 9 9 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 9 9 9 9 9 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 6 9 06 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 6 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 6 6 9 9 6 6 9 9
12. BiPAP A30 in S T mode He seems very compliant 0 a U dad JU a 0 a U e E U a 4 2 Check for leaks a Through trends 03 22 2012 04 10 2012 pues LPM 1 Average leak 33 7 The leaks total through the trends and unintentional leaks in the daily b Through the daily details through on of the last days of the period details in this example are stable and very acceptable 04 07 2012 22 58 Unintentional leak LPM 9 Normal Mask Fit Breathing not detected Large Leak piii FI 7 min 1 Average leak 60 22 4 0 1 2 3 4 5 3 Check of the ventilator data a Through trends Pressure cmH O There is nothing weg particular to report Average IPAP 14 0 through the trends Average EPAP the parameters are to correct Breaths per minute I Lt The machine is Average breath rate 175 bom properly delivering the set fixed pressures the Tidal volume mL Tidal volume Tidal volume range patient triggers d Average tidal volume the cycles LI KI L E PERPE spontaneously mi MAX MM Cel IK Dm INC the majority of Patient Triggered Breaths 11 the time and Average Patient Sat Triggered Breaths ventilation minutes are correct It was noted
13. FOR ENCORE SOFTWARE COMPLIANCE REPORTS Long term BIPAP A30 1 2 trends Patient number Do Ventilator Long Term Trend 12 19 2011 12 02 2012 Pressure cmH O Average IPAP Pressure 18 2 Average EPAP Pressure s Q 0 Bn U S 0 2 2 0 Bn U c 0 c E Ce R ed 0 Fe Q 0 Ad E eme a LS som p LJ tn N INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Patient name and machine Period involved in the long term trend This period can be modified using the Encore software Average inspiratory and expiratory pressure over the period Note Variation in the inspiratory pressure indicates the activation of the AVAPS function or modification of the parameter Expiratory pressure also varies with an A40 and the AVAPS AE mode n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad E Average respiratory frequency over the period Average tidal volume for the period Note If the AVAPS is activated this value makes it possible to check whether the set volume is being met Average percentage of breaths triggered by the patient Note The lower the percentage the more the machine initiates the breaths This makes it possible
14. Hours of use Compliance duration for the nights of insufficient use are reported in red Note this parameter can be personalized in the Encore software IPAP EPAP Inspiratory and expiratory pressure during treatment Pressure cmH2O INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS BIPAP A30 n 4 Om le Q Q Om 0 c S 0 0 Bn E n 9 0 U c c Ce 9 Fe Q Bn 0 Al E Encore Company Patient name and machine Device BiPAP A30 1076458 N04713220832E 1 2 Machine detail peutic comp nw F Name serial number Patient Patient number Philips44 Home Date of birth Age Sleep specialist physician Office Telephone Patient information Treating physician bun Telephone Clinician Administrator New Therapeutic compliance 08 26 2012 12 20 2012 Period covered by the report j j average seing 50 most recent seng 5 Humidifier settings if it is attached to the machine BE Ventilation mode used 5 1111111111111111111111111111111111111111111111111111111111111111111111111111111 1 111111111111 Length of compliance per night Nights of insufficient use under the set threshold are indicated in red Note this parameter can be customized in the Encore software Pressure profile Average PS IPAP Inspiratory Pressure E
15. O 9 6 9 9 9 6 9 9 9 9 9 9 9 5 9 9 6 0 0 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8 9 0 9 6 0 9 9 8 6 9 9 9 9 9 9 9 9 9 9 O 9 0 0 9 9 O0 9 6 0 9 9 9 5 9 9 9 9 9 9 9 6 0 0 9 6 9 9 9 8 6 O 6 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 O 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 8 9 9 9 9 9 9 9 9 8 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 eee 9 8 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 8 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 8 9 9 9 8 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 98 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 9 6 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 0 9 9 9 9 9
16. 0 Ad E Statistical data Data can be displayed by day week month opposite and quarter Note I his information makes it possible to observe the evolution of ventilator data and to appraise the patient s stability Real usage meaning the total compliance over the entire treatment period of the report Note In this example the real usage figures and blower usage are identical This indicates that the machine properly detected the patient breathing during the entire treatment period absence of patient disconnection Days of usage over 4 hours Note It is possible to modify the minimum compliance level in Encore softwares Preferences Blower usage Primary parameters settings Note Settings correspond to the last parameters set on the ventilator during downloading Note These settings are displayed by the BIPAP A30 and BiPAP A40 AVAPS air flow represents the variation speed of pressure in cmH O min to reach the target volume INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS a VM T Ce a D mod ck 1 Compliance check Therapeutic 9 08 2011 02042003 The patient is ventilated with a BiPAP A30 in S T mode He appears compliant 7 worn c Ventilation is more fragmented some areas of respiration non detection tint KANT ABE black areas appear more and more
17. 0 mL 59 0 kg 470 mL 590 mL 62 5 kg 500 mL 620 mL 66 5 kg 530 mL 660 mL 70 5 kg 560 mL 700 mL 74 5 kg 600 mL 740 mL 78 5 kg 630 mL 780 mL 83 0 kg 660 mL 830 mL INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS s Se Q 0 Bn U S 0 9 E n 9 U c LLI Ge c E Ew R 9 Q Om 0 Ad Data reading methodology 1 Compliance a 15 overall compliance satisfactory b What is the ratio between the number of therapy hours versus the number of patient sleep hours c What does the usage profile teach us Is compliance continuous and regular Is there napping wv a Is the average of the night spent with large leaks higher than 5 Every night 2 Leaks b Are mouth leaks suspected wv 3 Volume a 15 it normal b If the AVAPS is activated is the average tidal volume close to the set target volume c What is the stability at this volume d How has the tidal volume been set 8 to 10 mL kg depending on the height and the theoretical weight of the patient wv a Are they equal to the prescribed pressures 4 Pressures b If the AVAPS is activated does the average inspiratory pressure vary between the IPAP min and max c Is this the same for the average expiratory pressure in the AVAPS AE mode wv 5 Ventilation minutes a Are they normal b D
18. 6 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 6 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 O 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 zs 6 6 6 6 06 6 6 9 9 9 9 9 9 9 9 9 9 O 6 0 0 9 6 9 0 6 0 O 6 6 O 9 9 9 9 9 9 8 9 9 9 9 0 9 9 9 9 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 0 9 8 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 8 6 9 8 6 0 O 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 O 9 6 9 9 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 9 8 9 9 9 9 9 9 9 0 9 9 9 O 9 0 9 6 9 6 9 8 0 9 9 6 9 9 9 9 9 9 9 9 06 0 9 6 O0 8 0 O 6 9 9 0 9 9 9 9 9 0 9 9 9 0 9 9 6 9 9 O 9 9 9 9 6 9 O 9 9 0 9 9 9 0 O 9 8 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 O 9 O 9 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 O 9 6 9 8 6 9 8 9 9 8 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 6 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 8 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 8 6 9 6 6 9 6 9 9 9 9 9 9
19. 9 9 9 0 9 9 98 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O0 9 9 9 9 9 9 0 9 0 O 9 6 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 O 0 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 0 9 O 9 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O O 9 O 9 9 9 9 0 9 9 9 9 O 9 9 9 9 9 9 9 9 O GO 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 995 9 9 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 9 9 9 9 9 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 6 9 06 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 6 9 6 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 6 6 9 9 6 6 9 9 9 9 9 9 9 6 6 9 6 9 6 9 9 9 8 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 6 O 6 9 9 9 9 9 6 9 8 6 9 9 9 9 9 9 6 9 9 9 O 9 0 9 9 6 O0 8 6 9 8 6 9 9 9 9 9 9 9 9 9 9 9 O 9 0 0 9 9 9 8 6 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 6 0 9 6 9 8 6 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 99 9 9 6 06 9 6 9 9 9 9 9 9 8 9 6 8 6 9 O 6 8 6 9 8 6 9 9 5 0 9 9 9 9 0 6 9 6 0 O0 6 9 9 9 8 9 9 9 9 9 9 9 9 8 9 0 9 9 6 9 9 9 8 0 9 9 9 9 9 9 9 9 9 6 O 9 0 O 9 9 O 8 9 8 6 9 9 0 9 9 9 8 9 9 O 9 0 O0 9 6 9 8 9 8 6 9 9 9 9 9 8 9 9 9 9 0 GO 9 9 0 O 9 O 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 zs 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 8 9 9
20. 9 9 9 8 9 9 9 9 9 8 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 98 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 6 9 6 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 GO 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 0 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 9 0 6 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 O 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 O 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 0 9 9 9 9 9 9 9 9 98 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 9 9 9 9 9 9 9 98 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 98 9 9 9 9 9 9 9 9 8 9 9 9 9 9 98 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 98 9 9 9 9 9 9 9 9 9 9 9 9 9 9 1 9 9 9 9 9 6 9 9 6 9 6
21. 9 9 9 9 0 9 9 9 9 9 9 9 9 0 6 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 9 O 9 9 9 9 9 9 9 9 9 9 0 9 9 9 9 9 9 9 O 9 9 O 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 0 9 9 9 9 9 9 9 9 98 9 9 9 9 9 9 9 9 9 9 9 O 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Philips Healthcare a division of Royal Philips Contact information www philips com healthcare healthcare philips com Asia 49 7031 463 2254 Europe Middle East Africa 49 7031 463 2254 Latin America 55 11 2125 0744 North America 1 425 487 7000 800 285 5585 toll free US only Philips Respironics 1010 Murry Ridge Lane Murrysville PA 15668 USA Customer Service 1 724 387 4000 800 345 6443 toll free US and Canada only Philips Respironics France 33 2 51 89 36 00 Philips Respironics Switzerland 41 6 27 45 17 50 www philips com respironics Document meant for professionals Class lla MD TrueBlue ComfortGel Blue Profile Lite EasyLife Amara ComfortGel Blue Full FitLife OptiLife and ComfortLite are meant as a patient interface for the application of a PCP therapy or with bi level pressure for non invasive ventilation as prescribed by a doctor Class Ilb MD PR1 BiPAP S T PR1 BiPAP AVAPS BiPAP A30 and BiPAP A40 are ventilation devices meant to provide ventilation support to treat patients suffering from respirat
22. 9 9 9 9 9 9 9 9 9 9 9 9 9 8 6 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 89 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 GO 9 9 9 6 9 9 9 9 9 9 9 9 9 9 0 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 zs 6 9 6 06 6 9 9 9 9 9 9 9 9 9 9 9 8 9 06 9 9 6 O0 0 6 9 0 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 0 9 9 8 6 9 9 9 9 9 9 9 9 9 9 9 9 9 8 6 9 8 9 O 9 6 O 9 9 9 9 9 9 9 9 9 0 O0 9 0 O 9 8 6 0 O 9 9 8 9 9 9 5 9 9 9 9 0 9 9 0 9 9 9 O 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 6 0 9 9 9 O 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 8 6 9 06 6 9 9 9 9 9 9 9 9 6 9 9 0 O0 9 9 9 6 0 8 6 9 9 9 9 9 9 9 9 9 0 9 6 GO 8 9 O 6 9 9 9 9 9 9 9 9 9 9 9 9 0 GO 8 6 GO 9 O 6 9 9 9 9 9 9 0 9 9 9 9 0 9 9 0 O 9 8 9 9 O 8 9 9 9 9 8 9 9 9 9 0 0 9 9 0 8 9 O 9 0 O 9 6 9 9 9 9 9 9 9 9 9 9 9 0 9 9 O 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 6 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 8 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 8 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 99 6 9 98 9 9 9 9
23. CORE SOFTWARE COMPLIANCE REPORTS Pris 1 Compliance and settings check Compliance statistics Date range Days with device usage Days without device usage Percent of days with device usage Cumulative usage Maximum usage 1 day Average usage all days Average usage days used Minimum usage 1 day Percent of days with usage 2 4 hours Percent of days with usage gt 4 hours Total blower time Settings Mode Bilevel S T pressure Insp P 14 0 Insp P 4 0 Breathing rate 12 bpm Therapeutic compliance 03 22 2012 04 10 2012 Bilevel 5 pressure 5 10 p 5 March 2012 03 22 2012 10 13 10 13 Sunday 03 23 2012 N 10 04 10 04 04 02 2012 Saturday 8 11 8 12 04 03 2012 Sunday 9 09 9 09 04 04 2012 03 26 2012 9 21 9 21 04 05 2012 03 27 2012 7 52 7 52 04 06 2012 03 28 2012 9 19 5 19 Saturday 03 29 2012 9 11 9 11 Sunday 03 30 2012 9 20 9 32 04 09 2012 Saturday 8 29 8 29 04 10 2012 14 16 18 20 22 0 2 4 6 8 10 14 16 1 e 2 H 03 22 2012 04 10 2012 20 days 20 days 0 days 100 096 7 days 8 h 43 minutes 3 s 10 h 13 minutes 24 s 8 h 50 minutes 9 s 7 h 51 minutes 53 s 0 0 7 days 8 h 56 minutes 16 s April 2012 E e 9 14 9 14 8 42 8 42 8 05 8 05 8 30 8 30 8 31 8 31 8 32 8 32 8 02 8 02 62 61 69 e des e INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS The patient is ventilated with a
24. E Oxygen saturation profile for the day concerned SpO saturation curve in 26 Note The Low Saturation LS threshold can be set in Encore software It is 88 by default Desaturation periods are displayed in yellow Desaturations can be correlated with ventilator data and benchmarks from the sleep treatment The oxygen desaturation index represents the number of desaturation events per hour of treatment A desaturation event is defined as a reduction of SpO of 476 or more over a window of less than 2 minutes Note If the patient desaturates several times during a window of 2 minutes all events will be reported each time the reduction of SpO is greater than or equal to 476 However a slow and progressive desaturation that takes more than 2 minutes to reach at least a 4 reduction will not be counted as a desaturation event Average SpO of the night Average heart rate of the night Graphic chart representing the percentages and real time of the night spent in different levels of oxygen saturation Maximum minimum and average values of SpO and heart rate during the night Low saturation LS an oxygen saturation threshold of less than or equal to 88 This low saturation threshold can be customized in the Encore software tab gt calculation parameters INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 5tatistics compliance summary and settings Statistical data on the ventilator by month e e e e e
25. PAP Expiratory Pressure 16 12 e Pressure Support PS i profile PS IPAP EPAP Note use of the AVAPS function 0 allows a variation of PS over time AHI 15 Au yc SVA IS AP Apnea hypopnea index S S 8 S2 Z S Average AHI over the S S gt T gt R D S selected period Average AHI 48 IPAP 90 EPAP 90 F m SER SEN eS e IPAP 90 corresponds to ht IPAP delivered for 9076 of 9 the night 7 s EPAP 90 corresponds to P d d o P sS E EPAP delivered for 90 of las loy x the night the pressure is set here INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Ad Q 0 Bn 0 U S 0 Bn 2 2 9 U c 0 c Ce R 7 Q Om 0 Ad 06 10 2010 06 11 2010 Usage profile dt Profile usage daily compliance Note the profile provides a first idea about the patient s behavior regarding therapy Irregular and insufficient compliance indicates difficulties the patient is encountering and or a lack of motivation The nights in green indicate that compliance time is sufficient those in red indicate that the patient is not sufficiently compliant 42 5 16 5 16 1013336 5 5
26. S 0 Al E Average obstructive airway apnea index OA over the period Average hypopnea H index over the period Average RERA RE index over the period Vibratory snoring VS index over the period Average percentage of the night spent with large leaks during the period Note In this example the percentage during the first nights in February 2012 was too high for the ventilation to be effective The issue was obviously resolved and there were a few episodes of large leakage only during a few nights INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Long term BIPAP 1 2 trends Patient number entilator Long Term Trend 02 19 2013 03 24 2013 Pressure cmH O PAP PAP 25 25 15 10 Ad Bn Q Q Bn U S 0 2 a2 n 0 Bn U c Ga 0 c Ce R ed 0 Q 0 Ad Average tidal volume 539 2 mL y Average Minute Vent 6 Encore Pro Version 2 11 6 0 Page 4 of 14 RESPIRONICS 19 04 2013 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Patient name and machine Period involved in the long term trend This period can be modified using the Encore software Average inspiratory and expiratory pressure over the period Note Activation of the AVAPS AE mode allows a variatio
27. alculated from the patient s breathing If the patient triggers the cycle that is spontaneous ventilation S mode If the patient does not trigger the back up rate automatically takes over checked cycle with a set Ti Conversion tables Conversion table to set the inspiratory time for controlled breaths Set back up rate BPM 25 Ti Ttot 33 Ti Ttot 50 10 1 5 sec 2 0 sec 3 0 sec 11 1 4 sec 1 8 sec 2 7 sec 12 1 3 sec 1 7 sec 2 5 sec 13 1 2 sec 1 5 sec 2 3 sec 14 1 1 sec 1 4 sec 2 1 sec 15 1 0 sec 1 3 sec 2 0 sec 16 0 9 sec 1 3 sec 1 8 sec 17 0 9 sec 1 2 sec 1 7 sec 18 0 8 sec 1 1 sec 1 6 sec 19 0 8 sec 1 1 sec 1 5 sec 20 0 8 sec 1 0 sec 1 5 sec 21 0 7 sec 1 0 sec 1 4 sec 22 0 7 sec 0 9 sec 1 3 sec 23 0 7 sec 0 9 sec 1 3 sec 24 0 6 sec 0 8 sec 1 2 sec 25 0 6 sec 0 8 sec 1 2 sec Set the inspiratory time in seconds Ti sec 60 breathing rate x Ti VE 1 3 Ti Ttot VE 1 2 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS VE 1 1 Conversion tables cont 0 2 ur Conversion table to set the target tidal volume in relation to the ideal weight 1 50 m 1 55 m 1 60 m 1 65 m 1 70 m 1 75 m 1 80 m 1 85 m 1 90 m Calculated with an ideal body mass index of 23 kg m BMI weight height Calculated ideal Target Vte Target Vte weight if 8 ml kg if 10 ml kg when BMI 23 52 0 kg 410 mL 520 mL 55 0 kg 440 mL 55
28. anging ventilation needs of patients Improves ventilation efficacy and comfort AVAPS Increased safety guaranteed average volume alarms for Vte and minute ventilation New AVAPS AE ventilation mode This new mode combines the efficacy of the AVAPS function with Adjustment of expiratory pressure based on an algorithm for measuring the resistances of upper airways Automatic setting of the target respiratory frequency night after night The purpose of this mode is to ensure effective and comfortable ventilation for the patient Reason ANVAPS AE 295 to 40 of COPD patients have an OSA 90 of those with OHS have an OSA AVAPS Average Volume Assured Pressure Support mode 1 Contal Chest 2011 Monitoring of NIV by built in software of home bilevel ventilators a bench study 2 Battisti Chest 2005 Performance Characteristics of 10 Home Mechanical Ventilators in Pressure Support Mode 3 Murphy Thorax 2012 Volume targeted versus pressure support non invasive ventilation in patients with super obesity and chronic respiratory failure a randomised controlled trial 4 Storre et al Chest 2006 130 815 821 5 Jelic International Journal of COPD 2008 3 2 269 275 6 Mohklesi Chest 2007 131 1624 1626 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Definitions Definitions INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 2 9 ur Definitions of de
29. eaks Ventilation is fragmented and ineffective interruptions in the trace are due to leaks the machine is no longer detecting or recording The machine is unable to compensate for these large leaks The seal problem seems to have been resolved since the leaks during the second night are acceptable on the whole INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Q 0 a U E U a 68 3 Check of the ventilator data a Through daily details 12 11 2012 21 52 Pressure cmH O IPAP EPAP The pressure profile resembles Average IPAP a fixed pressures profile while 14 9 the AVAPS function is activated Average EPAP 4 9 The inspiratory pressure does not vary in the set range 15 20 the machine is delivering a set pressure of 15 cmH O Average tidal volume E23 In effect the Vte caused by the min Inspiratory P of 15 cmH O 582 1 mL on average is quite Average Patient a bit higher than the target Vt Triggered Breaths 59 6 setting 420 mL Therefore the machine remains CA 13 7 OA 28 at the minimum Insp P for the AC 1 NI AO xp nom H 152 entire night and the average 11 WR a 1 mow AHI 19 3 tidal volume 582 1 mL is Average leak 0 8 7 5 higher than the target set 420 mL The benefit of
30. fort Related Arousal A sequence of breaths that exhibit both a subtle reduction in airlfow during a 10 second period and a progressive increase in flow limitation If a breath sequence is terminated by a sudden increase in airlfow along with elimination of flow limitation a RERA is indicated lt 10 Sec Cheyne Stokes Respiration CSR Period lasting 30 to 100 seconds of successive hypoventilation and hyperventilation cycles that repeat The reduction of air flow during hypoventilation must be at least 4076 and this event must last several minutes before being qualified as periodic respiration Vibratory Snoring VS Pressure sensor identifies pressure fluctuations that occur in airway during inspiration INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS How to read and interpret leak information It Is essential to detect and resolve unintentional leaks caused by a poor mask seal or mouth leak These leaks if large and regular can affect treatment efficacy and lead to significant discomfort for the patient Definition of leaks Unintentional Intentional leaks leaks caused by the mask exhalation port Intentional leaks vary according to the level of pressure applied 3 Unintentional leaks leaks around the mask resulting from A a poor mask seal or mouth leak due to the patients mouth or voluntary leaks opening while sleeping Total leaks intentional leaks unin
31. g met Average percentage of respirations triggered by the patient Note A percentage close to zero indicates that the patient is resting over the set back up rate Index for sleep events Note Indices can be correlated with ventilator data Unintentional leak profile during the course of the day Note Here we can choose to have the total leaks displayed instead of unintentional leaks can be configured in Encore software The color code and legend make it possible to verify the masks seal in the blink of an eye Average minute ventilation for the day in litres minute Ventilator alarms that occurred during the day INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Oximetry data Ad Q Q Bn 0 U S 0 U 0 Om 2 a n 0 Bn c 0 c E Ce R ed 0 Bn Q 0 Ad Daily details from the ventilator 12 20 2012 21 51 SpO 55 pO2 L Desaturation Menrmin 2 ve T Mnt _ SS het pa gg ee Al T ig E Heart rate beats per minute INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad
32. ir flow litres minute 49 SEET VEE 55 0 Leak 505 55 t Minute Vent 10 Average Minute Vent 4 6 0 H 0 AHI 200 Average AHI Loo 13 2 or 207 0 KH INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Period involved in the long term trend This period can be modified using the Encore software Average inspiratory and expiratory pressure over the period Note Variation in the inspiratory pressure may indicate the activation of the AVAPS function or modification of the parameter n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad E Average respiratory frequency over the period Average tidal volume for the period Note If the AVAPS is activated this value makes it possible to check whether the set volume is being met Average percentage of breaths triggered by the patient Note The lower the percentage the more the machine initiates the breaths This makes it possible to know the percentage of time spent in machine initiated cycles Average maximum flow over the period in litres minute Average leakage over the period in litres minute Average minute ventilation over the period in litres minute Average Apnea Hypopnea Indices over the period Note AHI counts the number of Apneas with and without obstruction and the Hypopneas per hour INTERPRETATION GUIDE
33. ith large leaks is indicated in the reports It is recommended to resolve the problem of mask leaks if there are more than 5 of large leaks during the night Interpretation of the report should take into consideration that the patient is not being treated properly by the machine during these periods of large leaks Detecting mouthpiece leaks There is a suspicion of mouthpiece leaks when the unintentional or unplanned leak profile is shaded and unstable and when there are no large leaks as below Unintentional leak LPM Normal mask fit EN Breathing not detected Large leak Unintentional leak Large leak 0 0 minutes E of the night with 120 1 400 1 a large leak 80 0 per night 604 40 0 1 2 3 4 5 6 7 8 E 10 Machine management of leaks Digital Auto Trak Philips Respironics machines use an advanced algorithm regarding leak tolerability and compensation Digital Auto Trak This technology allows at all times for the machine to save a reliable and precise reading of patient air flow for unintentional and variable air flow during the night This guarantees delivery of the set pressures and AVAPS by the machine as well as the efficacy of detection algorithms for respiratory events Leak L min Pressure cmH O Philips Respironics machines tolerate up to 2 times the intentional leaks They compensate for these leaks by adjusting the blower speed Beyond the level
34. m usage 1 day Percent of days with usage 2 4 hours Percent of days with usage gt 4 hours Total blower time Average usage days used 5h 42 minutes 245 h 42 minutes 24 s 12 10 2012 12 11 2012 2 days 2 days 0 days 100 0 11 h 24 minutes 49 s 6 h 51 minutes 48 s 5 h 42 minutes 24 s 4 h 33 minutes 1 s 100 0 0 0 14 h 35 minutes 45 s The settings are as follows Insp P Max 20 Insp P Min 15 Exp P 5 Vt 420 mL Fr 13 Usage profile December 2012 12 10 2012 4 33 7 43 12 11 2012 6 52 6 53 EEE 10 The usage profile shows us that the first night is broken seal issues with the interface that affect the entire night up by black areas It can be speculated that there are If the black area was in a block at the end of the patient s night this may have indicated that the patient took off his mask upon waking up without turning off the machine INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 0 0 a U E JU 0 4 2 Check for leaks a Through daily details Leak LPM Unintentional leak 100 8 20 e J 4 0 1 2 3 A 5 7 Leak LPM Unintentional leak Ave leak 1 9 rage 3 0 8 4 20 0 0 1 2 3 4 5 D 7 2 9 The leaks graph unintentional leaks here confirms what could have been guessed from the black areas seen on the patient s compliance graph The first night was a catastrophe in terms of l
35. n of inspiratory and expiratory pressure n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad E Average respiratory frequency over the period Note Automatic respiratory frequency allows a safety frequency closer to the spontaneous respiration of the patient Average tidal volume for the period Note This value makes it possible to check whether the set volume is being met Average percentage of breaths triggered by the patient Note The lower the percentage the more the machine initiates the breaths This makes it possible to know the percentage of time spent in machine initiated cycles Average leakage in litres minute Average minute ventilation over the period in litres minute Average Apnea Hypopnea Indices over the period Note AHI counts the number of apneas with and without obstruction and the hypopneas per hour INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Long term BIPAP A40 2 2 trends Clear airway apnea index CA L B Rr em Obstructive airway apnea index OA s Q 0 Bn U S 0 2 2 9 U c 0 c E Ce R 7 Q 0 Ad 15 B 4 2 Hypopnea 11 index 12 Average hypopnea H index 36 E 2 RERA index
36. o they correspond to the patient s needs adjusted volume and frequency INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS o i Q 0 Se R ESI ii 3 625 5 39 5 4 25 07 70 8 Q 2 56 2 55 5 29 5 2 E 5 24 5 24 3 00 2 00 6 08 J amp 08 0 4 52 4 52 c 5 15 5 5 INL 5 55 5 55 S 547 a 5 25 2 8 5 55 5 55 0 Q Se 0 4 Tidal volume mL 952 Average tidal volume bs M Asp tem e Ie 7 PA EE bia 0 bn pe SE ren en A 0 1 2 3 4 5 6 7 8 9 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Patient compliance and pressure profile BIPAP AVAPS Patient name and machine Machine detail Device BIPAP AVAPS C Series C0273444670A7 Name serial number 9 Therapeutic compliance full report Ad Bn Q 0 Bn 0 U S 0 n 2 2 9 U c LLI Ga 0 c E Ce R Q ia 0 Ad Patient Patient number Home telephone Age Patient information Prescribing physician Office Period covered by Telephone Fax the report 2 E mail Treating physician Telephone Clinician Therapeutic compliance 11 28 2011 12 07 2011 E Ventilation mode with the AVAPS function
37. of tolerability the machine indicates that its detection is no longer reliable because of the high level unintentional leaks period of large leaks During periods of large leaks ventilation is ensured thanks to the back up rate Period of large leaks Total leak tolerability threshold Leak compensation tolerability area Philips Respironics average intentional leak profile 1 Contal Chest 201 1 Monitoring of NI V by built in software of home bilevel ventilators a bench study INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS The ventilation modes In BIPAP S T BIPAP AVAPS BIPAP A30 and BIPAP A40 pressure ventilation modes are used What differentiates these modes is the autonomy given to the patient on whether or not to trigger the respiratory cycles or stop them Pressure modes S Spontaneous the respiration cycles are triggered and checked by the patient S T Spontaneous Timed similar to the spontaneous mode with the ability for cycles triggered and controlled by the unit starting from a defined rate and inspiratory time PE Pressure Control the breaths are triggered by the patient or by the device and controlled by the device The length of the breath is determined by the inspiratory time setting T Timed the respiration cycles are triggered and controlled by the device breathing rate of the patient has no effect on the device s breath rate ANAPS AE AVAPS AE breaths can be triggered and c
38. ontrolled by the patient with the ability for breaths to be triggered and controlled by the device from a breath rate and inspiratory time defined automatically by the unit S mode S T mode Patient cycle Machine cycle If the patient is not breathing the machine does not trigger If the patient triggers the cycle that is spontaneous GE Leger Biere the cycle the back When it detects an effort by the patient inspiratory trigger patient does not trigger e up rate the cycle is started 9 takes over checked cycle with a set Ti configured PC mode mode The patient cannot trigger or end the cycles E Ka eg The patient can trigger a cycle bul then itis the configured set The machine will trigger with the rhythm of the configured Ti that applies breathing rate the patient is nat involved this is a completely If the patient does not trigger the cycle the back up rate takes over checked ventilation checked cycle with a set Ti configured INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 0 ur AVAPS AE mode Patient cycle Machine cycle 2 2 ur The patient cannot end the cycle even if he she is trying to exhale The AVAPS AE mode is the only mode combining a guaranteed tidal volume a variation of exhalation pressure to overcome the resistance of the upper airways and a back up rate c
39. or Daily Details 03 18 2013 21 03 v 4 i 9 Q Jg c m 9 v i a 2 Ge Ki c LLI Pressure cmH O 2 a 4 O i Q Average tidal volume Average of respirations triggered by the patient Unintentional leak LPM Normal Mask Fit BH Breathing not detected Large Leak 2 3 4 5 7 8 M E Average min vent 6 5 2 3 5 6 7 8 0 1 2 3 5 6 7 PD Patient disconnected HBR High breath rate LMV Low Minute Vent AP Apnea LTV Low tidal volume PB Periodic breathing CA Clear Airway Apnea OA Obstructed apnea H Hypopnea RE RERA VS Vibratory snoring PS Pressure support AHI Apnea hypopnea index INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Day involved and treatment start time Profiles for the day s inspiratory and expiratory pressures Note Here we see that the AVAPS AE mode has been activated because the inspiratory pressure varies to maintain the target volume and the expiratory pressure to raise resistances n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad E Average respiratory frequency for the day Average and tidal volume for the day Note This value makes it possible to check whether the set volume is bein
40. ory impairment or respiratory failure These MDs are subject to reimbursement by health insurance organizations in certain situations consult the terms at the ameli fr website These MDs are regulated health products and have the CE mark for this regulation and the evaluation of their compliance was performed by T V Please carefully read the user manual that accompanies each medical device for any information related to its intended use and operation The practical cases of this guide are presented for illustrative purposes the recommendations of these cases do not replace good clinical judgment Please visit www philips com 2014 Koninklijke Philips DH LI DS All rights reserved Philips Healthcare reserves the right to make any change to the specifications and or to stop production of any product at any time and without prior notice and cannot be held responsible for any consequence of using this publication Broudy JA 1 30 14 MCI 4105828 PN 1112802
41. our commitment to compliance INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS c 2 dad i E 3 gt L 0 4 o d 2 8 0 I z L 0 2 a Validated Digital Auto Irak and AVAPS Digital Auto Trak The estimation of unintentional leaks is of major importance when monitoring NIV this also involves optimal synchronization of the patient machine interface It is with this commitment to quality that Digital Auto Trak meets these criteria 9 X is E 3 gt L 0 9 4 o 2 8 Q I 35 0 Je a e Simplified settings since there are no trigger settings Mechanical ventilation synchronized with the patient and not affected by leaks Clinically validated algorithm Effective ventilation A precise estimate of leaks and of Vte at 15 Compensation of leaks above 60 LPM e Digital Auto Trak is available on all machines in the Philips non invasive ventilation range AVAPS Average Volume Assured Pressure Support It has been demonstrated during Bi level ventilation with a leaking mask that by providing a target volume it is possible to improve the quality of ventilation This is the reason for the AVAPS function which adjusts assisted pressure automatically depending on the needs of patients Facilitates titration no adjustment of IPAP Tracks the progression of the disease and the ch
42. q q o lt eo o S Q a S Q e 5 5 5 5 e 65 e v AHI Expiratory pressure achieved Inspiratory pressure achieved Ad Q Q Bn 0 U S 0 U 9 E n 9 U c LLI Ga 0 c E Ce R 9 Q Om 0 Ad Back up rate Expired tidal volume Unintentional Leak Percentage of patient triggered breaths Minute Ventilation Patient number Philips48 Chart 4 of 4 BiPAP A30 Compliance summary full Compliance statistics Date range 12 19 2011 12 02 2012 350 days Days with device usage 298 days Days without device usage 52 days Percent of days with device usage 85 1 Cumulative usage 96 days 12 5 minutes 47 s Maximum usage 1 day 10 h 30 minutes 31 s Average usage all days 6 h 37 minutes 2 s Average usage days used 7 h 46 minutes 19 s Minimum usage 1 day 34s Percent of days with usage 2 4 hours 82 676 Percent of days with usage gt 4 hours 17 476 Total blower time 96 days 14 h 18 minutes 42 s Settings Mode Bilevel S T AVAPS pressure Insp P Max 20 0 Insp P Min 14 0 Exp P 7 0 AVAPS rate 4 0 Target tidal volume 800 0 Breathing rate 14 cycles min INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S
43. r time because his respiratory mechanics compliance and resistance varies along with his position and his sleep stages For this patient the doctor will probably want to perform a check on O saturation to make sure that these variations in tidal volume are not leading to periods of desaturation Also the activation of the AVAPS function has made it possible to stabilize the volume setting of the target tidal volume based on the patient s theoretical weight certainly 700 mL according to the ratio since the ventilator can be made to vary the inspiratory pressure in a pressure window to be determined in order to guarantee the target tidal volume INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 0 0 a U E E JU 0 4 0 a U E U a 4 Practical case 3 1 Compliance and settings check The patient is ventilated with a BiPAP AVAPS in S T AVAPS mode information read on the 1st page of the report This mode was chosen to facilitate titration and the start up of the treatment Data was collected after the first two nights of use PAP EPAP Therapeutic compliance _12 102012 12 112012 2 10 2012 2 Compliance statistics Date range Days with device usage Days without device usage Percent of days with device usage Cumulative usage Maximum usage 1 day Average usage all days Minimu
44. tected events Understanding how the machine functions Advanced detection of events Nocturnal breathing disorders such as apneas hypopneas RERA snoring and Cheyne Stokes respiration are detected depending on the devices Devices can also distinguish between open or closed airway sleep apneas Apnea OSA or CSA Absence or reduction by at least 80 of patient air flow for at least 10 seconds When the machine detects an event it tests the patient s airway during the tested breathing cycle 1 If no air flow is generated by the ventilation the airways are obstructed 2 If air flow is generated by the ventilation the airways are open Obstructed airway apnea 10 Sec m 1 Checked cycle Open airway apnea If the test cycle leads to a flow greater than 8076 the apnea has been effectively treated and no event is reported 10 Sec rei Checked cycle The machine can test the airways several times during apnea until the patient starts breathing again spontaneously In the case of mixed apnea started by a central apnea then finishing with efforts again the apnea will be qualified as OSA Obstructive Sleep Apnea Comment In Spontaneous mode or PPC detection of events is the same as that for sleep therapy devices Hypopnea H Defined by a 4076 reduction in airflow for at least 10 seconds 40 reduction over 10 sec RERA Respiratory Ef
45. tentional leaks Leaks are expressed in litres minute Total leaks Data available on leaks Display of total leaks unintentional leaks The Encore software Entity parameter tab parameter worksheet allows you to choose between displaying total leaks or unintentional leaks excluding intentional mask leaks for each pressure point The unintentional leak display allows for fast identification of a problem with mask seal or mouth leak Total Leak LPM Large leak 7 Normal mask fit oi Large Leak Total Leak 5 0 minutes of the night with 100 a large leak 0 8 per night 50 Per P Average leak 35 0 0 1 2 3 5 6 7 8 9 10 11 12 13 14 15 Unintentional leak LPM Large leak Normal Mask Fit mi Breathing not detected Unintentional leak 5 0 minutes ooo A of the night with a large leak 0 8 per night Average leak 8 9 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS 0 i en 2 2 ur Large leak alert during the night This algorithm was developed to tolerate leaks and to compensate for them up to a certain level Beyond that level the analysis of the respiration may no longer be accurate and that is why the algorithm indicates the area of large leaks These periods are indicated by black or light green bars depending on the machine model and version of the Encore software The percentage of the night spent w
46. that the leaks may be causing the pressure delivered Minute ventilation to the patient to 14 fall slightly 12 Average minute ventilation 11 3 Average AHI 3 1 INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS b Through daily details 4 06 2012 22 24 Pressure cmH O IPAP EPAP Breaths per minute 24 18 Average breath rare E 04 16 5 1 2 3 4 5 e 7 8 Tidal volume mL 360 675 Average tidal volume 225 719 1 6 1 z 3 4 5 amp Patient Triggered Breaths 5 100 Sp 60 40 20 0 1 2 3 4 5 e Unintentional leak LPM EH Normal Mask Fit EN Breathing not detected m Large Leak FI 10 Sp 20 1 2 3 4 5 Tidal volume mL 738 Average tidal volume 246 689 2 0 6 1 4 3 4 5 amp 7 Tidal volume mL 1700 1275 Average tidal volume 850 425 TES 2 1 2 3 4 5 T amp Tidal volume mL 21 Average tidal volume 494 247 735 9 1 z 3 4 5 7 8 Recommendation e Through the daily details we can see that the volume curve is extremely variable the tidal volume taken by the patient often varies from one to two times in a few hours while the average tidal volume over the entire night is correct The same significant variations in tidal volume on the following nights When the fixed pressures are set it is normal to detect that the volume exhaled by the patient varies ove
47. the ANAPS function is wasted D 1 2 3 4 5 6 7 8 9 Recommendation The patient appears well ventilated Based on blood gases and feedback from the patient we could Re evaluate whether the target Vt of 420 mL for this patient is sufficient e Re evaluate the minimum Inspiratory Pressure so that the AVAPS can function if the target Vt is left at 420 mL then 15 as a Min Insp P is too high INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Practical case 4 1 Compliance and settings check Therapeutic compliance 03 01 2013 03 03 2013 Bileve AT AVAPS pressure FAP lt EPAP Compliance statistics Date range Days with device usage Days without device usage Percent of days with device usage Cumulative usage Maximum usage 1 day Average usage all days Average usage days used Minimum usage 1 day Percent of days with usage 2 4 hours Percent of days with usage gt 4 hours Total blower time Date range 08 01 2013 03 03 2013 3 days 1 day 3 minutes 29 s 3 days 0 days 100 0 23h8s 11 h 14 minutes 36 s 7 h 40 minutes 2 s 7 40 minutes 2 s 1 h 35 minutes 19 s 66 7 33 3 March 2013 03 01 2013 i 1 1 35 1 45 10 10 10 47 11 15 11 31 2 Check for leaks This patient is treated with a BiPAP AVAPS in S T mode and benefits from the AVAPS function The patient is starting ventilation
48. to know the percentage of time spent in machine initiated cycles Average leakage in litres minute Average minute ventilation over the period in litres minute Average Apnea Hypopnea Indices over the period Note AHI counts the number of apneas with and without obstruction and the hypopneas per hour INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Long term BIPAP A30 2 2 trends Clear airway apnea index CA 1 gx Cp a CH ER Obstructive airway apnea index OA 18 ed Q Q U 8 E 6 E 2 e 9 6 U TT Ge 6 lt 2 E A E E Average OA index 0 0 t 4 Average AHI 3 49 Average hypopnea H index Average RERA index 0 2 Vibratory snoring index led e Vibratory snoring index s 1 MI ET 382 Lua PAURA P WC MS TRA ER Average of the night with large leaks 13 2 E og The long term trends show the patient s progression For example an unstable average tidal volume may indicate a changed ventilation quality INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Average clear airway apnea index CA over the period n s Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q
49. ure support AHI Apnea hypopnea index INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Day involved and treatment start time Profile for the day s inspiratory and expiratory pressures Note Here we see that the AVAPS function has been activated because the inspiratory pressure varies widely to maintain the target volume n 4 Om le Q Q Om 0 U c S 0 Bn E 9 0 d c LLI 0 c Ew D Fe Q S 0 Ad E Average respiratory frequency for the day Average and tidal volume for the day Note If the AVAPS is activated this value makes it possible to check whether the set volume is being met Average percentage of respirations triggered by the patient Note A percentage close to zero indicates that the patient is resting over the set safety frequency or that this frequency is set too high Index for sleep events Note Indices can be correlated with ventilator data Unintentional leak profile during the course of the day Note Here we can choose to have the total leaks displayed instead of unintentional leaks can be configured in Encore software The color code and legend make it possible to verify the masks seal in the blink of an eye Average ventilation minutes for the day in litres minute Ventilator alarms that occurred during the day INTERPRETATION GUIDE FOR ENCORE SOFTWARE COMPLIANCE REPORTS Daily BIPAP 40 details Ventilat
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