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A complete bilevel setup built around a pre-owned DreamStation BiPAP AVAPS in its humidified configuration, supplied with a new DreamWear mask starter pack, a new HT15 heated tube, a new water chamber and a CPAP cleaner. Everything needed to begin therapy is in the box except the prescription and the titration, which come from the responsible clinician.
The device is a non-invasive ventilator rather than a sleep apnoea machine. It runs CPAP, S, S/T, T and PC modes from 4 to 30 cm H2O in 0.5 cm steps, and adds Average Volume Assured Pressure Support, which moves the inspiratory pressure breath by breath to hold a target tidal volume between 200 and 1500 ml. A CPAP device holds one pressure to splint an airway open; AVAPS measures the volume actually achieved and adjusts to reach the target the prescriber set. It is the therapy used where ventilation is failing rather than where an airway is collapsing, which in practice means obesity hypoventilation, chronic obstructive pulmonary disease with carbon dioxide retention, neuromuscular disease and chest wall disease.
The three accessories are chosen to work together rather than gathered at random. The humidified version of the device is supplied, so the heated tube has something to do: the HT15 is a 15 mm heated tube about 1.8 m long that holds the air above its dew point from machine to mask, which is what lets humidity be run at the level the airway needs instead of the level at which the hose starts raining water into the face. The water chamber is the consumable that makes the humidifier work and is supplied new. The CPAP cleaner covers the routine the mask and chamber need between uses.
The DreamWear mask is worth a word of its own. Its frame carries the air over the top of the head and the tube connects at the crown, so there is no hose lying across the face and nothing in the line of sight. For anyone who sleeps on their side, turns during the night, or finds a conventional mask closed in, that single design decision is usually the difference between tolerating therapy and abandoning it. The starter pack supplies the frame, headgear, elbow swivel, fabric wraps and a full set of cushion sizes, so the fit is worked out at home rather than through a second order.
| Device brand | Philips Respironics |
| Device range | DreamStation |
| Device model | BiPAP AVAPS, humidified configuration |
| Device type | Non-invasive ventilator |
| Heated tube | Philips Respironics HT15, 15 mm |
| Mask | Philips DreamWear starter pack, variant selected at order |
| Device condition | Pre-owned |
| Mask, tube, chamber and cleaner condition | New |
| Supply basis | Against a prescription or to a healthcare provider |
Points to note before ordering
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