ResMed AirCurve 11 Bilevel Devices Owner’s Manual

: July 15, 2024
: ResMed

Table of Contents

ResMed AirCurve 11 Bilevel Devices
Specifications:
Product Usage Instructions:
Frequently Asked Questions
References
Read User Manual Online (PDF format)
Download This Manual (PDF format)

ResMed AirCurve 11 Bilevel Devices

Specifications:

Brand: ResMed
Product Name: AirCurve 11
Therapy Type: Bilevel PAP
Models: VAuto, ASV
HCPC Codes: E0470, E0471

Product Information:
The ResMed AirCurve 11 is a bilevel therapy series designed to provide next- level support for patients with sleep apnea. It offers two models – VAuto for obstructive sleep apnea and ASV for central sleep apnea and other conditions.

Product Usage Instructions:

From the sleep and respiratory care therapy brand most trusted by sleep physicians1 comes ResMed AirCurve™ 11, a new bilevel series that takes therapy to the next level.

For patients who benefit from pressure support
AirCurve 11 VAuto and ASV* enable providers to make informed decisions about care and help drive positive therapy outcomes, and provide trusted algorithms and personalized patient support. Bilevel therapy provides two levels of support, inspiratory positiveairway pressure (IPAP) and expiratory positive airway pressure (EPAP).

AirCurve 11 VAuto:

VAuto Algorithm: AutoEPAP Min EPAP and max IPAP set the pressure ranges in which the AutoSet algorithm operates in response to flow limitation, snore, and obstructive apneas.
Pressure Support: Sets the difference between inspiratory and expiratory pressure, fixed throughout the night.
AirCurve 11 VAuto bilevel PAP devices treat patients with obstructive sleep apnea and help those struggling to adhere to PAP therapy.
AirCurve 11 ASV* offers personalized therapy for patients presenting with central sleep apnea (CSA), obstructive sleep apnea, mixed apneas and periodic breathing.

These new devices combine the trusted algorithms of AirCurve 10 with ResMed Air11 features.

ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF ≤ 45%) and moderate to severe predominant central sleep apnea.

AirCurve 11 ASV:
ASV therapy is suitable for patients with central sleep apnea, obstructive sleep apnea, mixed apneas, and periodic breathing. It provides personalized therapy tailored to individual needs.

Next-level support for patients and providers
With the inclusion of proven Air11 features, AirCurve 11 VAuto and AirCurve 11 ASV* equip patients and care teams with more tools to help them succeed.

Masks:
ResMed masks are optimized for use with AirCurve 11 devices and myAir, ensuring a comfortable and effective therapy experience.

AirCurve 11 VAuto
Some patients find it challenging to adapt to CPAP therapy as they are unable to breathe against a continuous flow of air at a set pressure level. Adjusting becomes even harder when CPAP pressures must be higher to maintain airway patency. As a bilevel PAP device, AirCurve 11 VAuto is designed to improve comfort and help compliance by providing a higher pressure during inhalation and a lower pressure during exhalation. This design allows the device to align more closely with the patient’s natural breathing pattern.

VAuto algorithm
VAuto features the Easy-Breathe waveform and renowned ResMed AutoSet™ algorithm—a widely clinically studied algorithm in the field of sleep- disordered breathing (SDB). VAuto continually monitors each patient’s unique breathing pattern on a breath-by-breath basis. The algorithm makes automatic adjustments to treat patients effectively and in the most comfortable way throughout the night. Working in sync with TiControl™, Vsync ensures patient–device synchrony even in conditions of high leak.
Key elements of the algorithm include:

AutoEPAP
Min EPAP and max IPAP set the pressure ranges in which the AutoSet algorithm can operate in response to flow limitation, snore, and obstructive apneas. This ensures a patient only receives the amount of pressure they need to optimize therapy.
Pressure support
Pressure support sets the difference between inspiratory and expiratory pressure and is fixed throughout the night.
Cycle sensitivity
The default cycle sensitivity setting is appropriate for most patients. However, for patients who might exhibit discomfort and synchrony challenges, trigger sensitivity can be adjusted to support initiation of IPAP with less patient effort. For patients who experience excessive or unintentional leak, cycle sensitivity enables fine-tuned sensing of the completion of the breath or patient exhalation.
TiControls
The default TiControls settings are appropriate for most patients. However, adjustments allow the clinician to set the Ti minimum and Ti maximum limits. These can play a significant role in maximizing synchronization by effectively intervening to limit or prolong the inspiratory time when required.

myAir Features:

Personal Therapy Assistant: Offers voice-guided instructions and videos for equipment setup and therapy acclimation.
Care Check-In: Specific questions to help patients achieve therapy goals and provide insights to healthcare providers.

**AirCurve 11 ASV**
Standard therapies are often unable to fully normalize breathing for patients with pauses in breathing due to the absence of respiratory effort. These patients may present with central sleep apnea, obstructive sleep apnea, mixed apneas or periodic breathing, leading to discomfort and arousals. ResMed’s adaptive servo-ventilation (ASV) device offers personalized therapy for these patients.

ASVAuto algorithm
Tracking 13 points on every breath cycle 50 times per second, the ASVAuto algorithm is designed to use each patient’s unique minute ventilation target and respiratory rate to deliver therapy that stabilizes ventilation. Continuously monitoring the shape of the patient’s breath informs the algorithm at what points trigger and cycle are occurring, and the length of inspiration, making therapy feel like the patient’s own breath.

Key elements of the algorithm include:

Auto-adjusting inspiratory pressure support
Designed to counterbalance ventilatory instability, pressure support auto- adjusts to maintain each patient’s unique minute ventilation target (tidal volume and respiratory rate) while maintaining patient-device synchrony and comfort.
AutoEPAP
Generated by ResMed’s proven AutoSet algorithm that responds to flow limitation, snoring and obstructive apneas, AirCurve ASV auto-adjusts expiratory positive airway pressure (EPAP) to maintain upper airway patency.
Auto backup rate
Uses breath phase mapping to provide a timed backup rate synchronized with the patient’s own breathing to maintain the target minute ventilation in the case of apneas.

AirCurve 11 highlights
AirCurve 11 bilevel devices are designed to help improve the patient therapy experience while also helping you achieve your business goals through a powerful combination of features and settings.

Online Support Programs:
Utilize myAir and AirView for coaching, tracking sleep data, improving compliance, and supporting bilevel therapy patients.

Sleep disordered breathing therapy matrix

Sleep disordered breathing therapy matrix

| Obstructive sleep apnea (OSA)| Central sleep apnea (CSA)

Description

|

OSA involves a decrease or complete halt in airflow despite an ongoing effort to breathe. It occurs when the upper airway collapses during sleep, usually due to muscle and soft

tissue relaxation.

| CSA occurs when the neurological control of breathing is impaired. The upper airway is not necessarily blocked. Instead, pauses in breathing occur due to the absence of respiratory effort. CSA can also be associated with periodic irregular breathing. The most common type of periodic breathing is Cheyne- Stokes Respiration or CSR, in which central apneas alternate with periods of overbreathing or hypopneas.

Therapy goals

| Maintain airway patency and reliable breath synchronization even in the face of variable mask and mouth leaks. Bilevel therapy can improve comfort and help compliance by more naturally mimicking normal breathing where inhalation requires more effort than exhalation.| Counterbalance ventilator instability by automatically adjusting inspiratory pressure support, reduce respiratory events, and address upper airway collapse. Standard therapies are often unable to fully normalize breathing, which leads to discomfort and arousals.

Therapy modality

| Automatic bilevel therapy provides two levels of support, an inspiratory positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP) based on the recognition

of obstructive events such as flow limitation, snoring and obstructive apneas, automatically adjust to provide effective treatment.

| Bilevel servo-ventilation (ASV*) offers a backup rate. In addition to bilevel pressure settings, an inspiratory positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP), the servo-ventilation algorithm is capable of leaning a patient’s ventilatory pattern and adjusting pressure delivery to maintain stable ventilation.

CMS requirements

|

One of the following:

AHI or RDI >= 15 events /hr; min of 30 events; or,

2) AHI or RDI >= 5 and <=14 events/hr with min of 10 events and documentation of excessive daytime sleepiness, impaired cognition, mood disorders, or insomnia; or, hypertension, ischemic heart disease or history of stroke

| Prior to initiating therapy, a complete facility-based,attended PSG was performed documenting both of the following:

Diagnosis of CSA or CompSA and
Significant improvement of the sleep-associated hypoventilation with use of an E0470 or E0471 on the settings the physician prescribed for initial use at home while breathing the usual FiO2

**AirCurve 11 VAuto and ASV***

AirCurve 11 VAuto and ASV *****

Obstructive sleep apnea (OSA)

| Central sleep apnea (CSA), obstructive sleep apnea, mixed apneas and periodic breathing
Operating pressure range (cm H2O)| 3-25| 4-25
ResMed device therapy modes| CPAP, S, VAuto| CPAP, ASV*, ASVAuto
Features| VAuto mode| ASVAuto mode
CSA detection| X|
Vsync automatic leak management| X|
Adjustable trigger and cycle sensitivity| X|
Adjustable TiControls (Ti Max/Ti Min)| X|
Auto-adjustment of pressure for OSA events| X| X

Device ordering information

Device ordering information

| Model number| HCPC
AirCurve 11 VAuto USA CO| 39018 – Includes HumidAir™ 11 standard water tub and tubing| E0470 + E0562 + A7037 + A9279
AirCurve 11 VAuto USA TRI| 39019 – Includes HumidAir™ 11 standard water tub and ClimateLineAir 11 tubing|

E0470 + E0562 + A4604 + A9279

AirCurve 11 VAuto CAN TRI| 39020 – Includes HumidAir™ 11 standard water tub and ClimateLineAir 11 tubing|

—

AirCurve 11 ASV USA CO| 39012 – Includes HumidAir™ 11 standard water tub and tubing| E0471 + E0562 + A7037 + A9279
AirCurve 11 ASV USA TRI| 39013 – Includes HumidAir™ 11 standard water tub and ClimateLineAir 11 tubing|

E0471 + E0562 + A4604 + A9279

AirCurve 11 ASV CAN TRI| 39023 – Includes HumidAir™ 11 standard water tub and ClimateLineAir 11 tubing|

—

AirCurve 11 accessory ordering information

AirCurve 11 accessory ordering information

| Model number| HCPC
HumidAir 11 standard tub| 39100| A7046
HumidAir 11 cleanable tub| 39101| A7046
ClimateLineAir™ 11 heated tubing| 39102| A4604
SlimLine™ tubing| 36810| A7037
Air11 DC-DC converter| 39231| A9279
Air11 filters, 1 pack| 39300| A7038
Air11 filters, 2 pack| 39301| A7038
Air11 filters, 12 pack| 39302| A7038
Air11 filters, 50 pack| 39303| A7038
Air11 filters, hypoallergenic, 1 pack| 39304| A7038
Air11 filters, hypoallergenic, 2 pack| 39305| A7038
Air11 filters, hypoallergenic, 12 pack| 39306| A7038
Air11 filters, hypoallergenic, 50 pack| 39307| A7038
Filter door replacement| 29108| —
Air 11 SD card pack ENV, 1 pack| 39228| —
Air 11 SD card pack ENV, 10 pack| 39229| —
AirCurve 11 SD card door| 39233| —
Air11 side cover| 39226| —
Air11 Air outlet| 39220| —
Air11 PSU 90W USA| 39206| —
AirCurve 11 user guide AMER Multi| 398195| —
Air11 quick start guide| 398122| —
Air 11 travel bag| 39221| —
NONIN WristOx 2 Oximeter Model 3150 with BLE

®

| 7079666| —
NONIN expandable wrist band| 7079667| —
NONIN single use wrist band, 15 pack| 7079668| —
NONIN small soft sensor, WO2 connector| 7079814| —
NONIN medium soft sensor, WO2 connector| 7079815| —
NONIN large soft sensor, WO2 connector| 7079816| —
NONIN single use sensor and wrist band, 15 pack| 70710011| —

Take bilevel therapy to the next level with the AirCurve 11 bilevel series. With trusted algorithms, insights and robust patient support tools, you can make informed decisions about patient care to help improve therapy outcomes and encourage compliance.

Speak with your sales representative to learn more about AirCurve 11 VAuto and ASV*.

ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF ≤ 45%) and moderate to severe predominant central sleep apnea.
Coaching entails personalized feedback to encourage continuation of therapy. This is not a healthcare service and is not performed by licensed healthcare providers. Patients are encouraged to speak with their treating clinicians for any clinical symptoms or medical conditions.
The myAir by ResMed app is available in English and Spanish in the US. The myAir for Canada by ResMed app is available in English and French in Canada.
Some features of myAir are only available in the myAir app and with Air11 devices.
Patient consent required for Care Check-In.

ResMed study of board certified sleep physicians in the U.S. Study conducted August 12 – September 6, 2022. n=200.
Malhotra et al, “Patient engagement using new technology to improve adherence to positive airway pressure therapy: A retrospective analysis,” CHEST 153, no. 4 (Apr 2018): 843–850.
ResMed market research survey results of US AirSense 11 PAP device users. AirSense 11 is part of the Air11 platform. Survey conducted July 2021. n=78.
ResMed analysis of Care Check-In data of patients using a ResMed AirSense 11 device and who have at least 90 days of therapy data. Data collected April 16, 2021 – May 12, 2022. n=12,409. Actual results may vary.
Palot A et al, “Effect of switching from…in patients with OSA,” J Thorac Dis. 2023 Feb 28;15(2):918-927.
Morgen-Thaler et al. Randomized controlled trial: The Complex Sleep Apnea Resolution Study: CPAP vs. ASV. Sleep 1999 (Abstract).
ResMed study of board certified sleep physicians in the U.S. Study conducted August 12 – September 6, 2022. n=200.
Kline LR et al. Compared with cold passover humidification. NCPAP Acceptance and Compliance is altered by humidification. Sleep 1999 (Abstract).
Nilius et al. Impact of a controlled heated tube humidifier on sleep quality during CPAP therapy in a cool sleeping environment. Eur Respir J 2008; 31: 830-836

Distributed by ResMed Corp, 9001 Spectrum Center Boulevard, San Diego, CA 92123 USA. 858-836-5000 or 800-424-0737 (toll-free). See ResMed.com for other ResMed locations worldwide. Air10, Air11, AirCurve, AirSense, AirView, AutoRamp, AutoSet, ClimateLineAir, Easy-Breathe, EPR, HumidAir, myAir, SlimLine and SmartStart are trademarks and/or registered trademarks of the ResMed family of companies. Bluetooth is a trademark of Bluetooth SIG, Inc., registered in the US and other countries. Specifications may change without notice. For patent and other intellectual property information, see ResMed.com/ip. © 2024 ResMed. 10113730/2 2024-02

ResMed.com/AirCurve11

Frequently Asked Questions

Q: Can ASV therapy be used for patients with heart failure?
A: ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF < 45%) and moderate to severe predominant central sleep apnea.

Q: How do the VAuto and ASV devices differ in their therapy approach?
A: VAuto is suitable for obstructive sleep apnea patients, while ASV provides personalized therapy for central sleep apnea, mixed apneas, and periodic breathing.