product list usa

41
Global leaders in sleep and respiratory medicine • Swift FX Nasal Pillows System and Accessories..............................2 • Swift FX for Her and Swift FX Bella Nasal Pillows Systems.............3 • Swift LT and Swift LT for Her Nasal Pillows Systems.....................4,5 • Mirage Swift II Nasal Pillows System and Accessories.....................6 • Mirage FX and Mirage FX for Her Nasal Mask Systems..................7 • Mirage SoftGel Nasal Mask System and Accessories..................8,9 • Mirage Activa LT Nasal Mask System and Accessories.............10,11 • Mirage SoftGel/Activa LT ConvertAble Pack..................................12 • Mirage Activa Nasal Mask System and Accessories......................13 • Mirage Micro and Mirage Micro for Kids Nasal Mask Systems.......14 • Ultra Mirage II Nasal Mask System and Accessories.....................15 • Pixi Pediatric Nasal Mask System..................................................16 • Mirage Vista and Mirage Kidsta Nasal Mask Systems...................17 • Quattro FX and Quattro FX for Her Full Face Mask Systems....18,19 • Mirage Quattro Full Face Mask System and Accessories.........20,21 • Ultra Mirage Full Face Mask System and Accessories..............22,23 • Mirage Liberty Full Face Mask System and Accessories..........24,25 • Mask Spares and Accessories.......................................................26 • S9 APAP and CPAP Flow Generators.......................................27,28 • S9 VPAP Bilevel Flow Generators.................................................29 • S9 Humidifiers and Accessories.....................................................30 • Ventilation Products.......................................................................31 • C-Series Flow Generator ................................................................32 • Software, Modules and Accessories.........................................33,34 • ApneaLink/ApneaLink Plus and Accessories............................35,36 • Flow Generator Accessories and Filters...............................37,38,39 • Heated Humidification Systems and Accessories..........................40 Lasting Results QUALITY SYSTEMS COMPLETE SOLUTIONS RELIABLE PRODUCTS ResMed Corp Product List Effective: January 2012 Contents

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Page 1: Product List Usa

Global leaders in sleep and respiratory medicine

• Swift FX Nasal Pillows System and Accessories..............................2

• Swift FX for Her and Swift FX Bella Nasal Pillows Systems.............3

• Swift LT and Swift LT for Her Nasal Pillows Systems.....................4,5

• Mirage Swift II Nasal Pillows System and Accessories.....................6

• Mirage FX and Mirage FX for Her Nasal Mask Systems..................7

• Mirage SoftGel Nasal Mask System and Accessories..................8,9

• Mirage Activa LT Nasal Mask System and Accessories.............10,11

• Mirage SoftGel/Activa LT ConvertAble Pack..................................12

• Mirage Activa Nasal Mask System and Accessories......................13

• Mirage Micro and Mirage Micro for Kids Nasal Mask Systems.......14

• Ultra Mirage II Nasal Mask System and Accessories.....................15

• Pixi Pediatric Nasal Mask System..................................................16

• Mirage Vista and Mirage Kidsta Nasal Mask Systems...................17

• Quattro FX and Quattro FX for Her Full Face Mask Systems....18,19

• Mirage Quattro Full Face Mask System and Accessories.........20,21

• Ultra Mirage Full Face Mask System and Accessories..............22,23

• Mirage Liberty Full Face Mask System and Accessories..........24,25

• Mask Spares and Accessories.......................................................26

• S9 APAP and CPAP Flow Generators.......................................27,28

• S9 VPAP Bilevel Flow Generators.................................................29

• S9 Humidifiers and Accessories.....................................................30

• Ventilation Products.......................................................................31

• C-Series Flow Generator................................................................32

• Software, Modules and Accessories.........................................33,34

• ApneaLink/ApneaLink Plus and Accessories............................35,36

• Flow Generator Accessories and Filters...............................37,38,39

• Heated Humidification Systems and Accessories..........................40

Lasting Results

QUALITY SYSTEMS

COMPLETE SOLUTIONS

RELIABLE PRODUCTS

ResMed CorpProduct List

Effective: January 2012Contents

Page 2: Product List Usa

2Confidential Home Care Provider Product List

Swift™ FX NasalPillows System

Item # Description HCPCS

61500 Swift™ FX nasal pillows systemIncludes small, medium, and large size dual-wall pillows, and headgear

A7034,+A7035

PILLOWS

61520615216152261523

Extra small dual-wall pillow Small dual-wall pillow Medium dual-wall pillow Large dual-wall pillow

A7033

FRAME

61510615116151261513

Swift FX frame system with extra small dual-wall pillows - no headgearSwift FX frame system with small dual-wall pillows - no headgearSwift FX frame system with medium dual-wall pillows - no headgearSwift FX frame system with large dual-wall pillows - no headgear

A7034

61528 Swift FX frame assembly - no dual-wall pillows, no headgear N/A

HEADGEAR

61529 Headgear assembly A7035

ACCESSORIES

6152861530611216054960550

Short tube assembly - refer to Swift FX frame assembly (Item #61528) Soft wraps - 2 packDistal pressure port attachmentPressure port plug - 1 packPressure port plug - 10 pack

N/AN/AN/AN/AN/A

Page 3: Product List Usa

3Confidential Home Care Provider Product List

Swift™ FX for Her Swift™ FX Bella

Nasal Pillows Systems

Item # Description HCPCS

61540

61560

Swift™ FX for Her nasal pillows systemIncludes extra small, small, and medium size dual-wall pillows, and headgear

Swift™ FX Bella nasal pillows systemIncludes extra small, small, and medium size dual-wall pillows, Bella Loops accessory and Swift FX forHer headgear with soft wraps

A7034,+A7035

PILLOWS

61520615216152261523

Extra small dual-wall pillow Small dual-wall pillow Medium dual-wall pillow Large dual-wall pillow

A7033

FRAME

61510615116151261513

Swift FX frame system with extra small dual-wall pillows - no headgearSwift FX frame system with small dual-wall pillows - no headgearSwift FX frame system with medium dual-wall pillows - no headgearSwift FX frame system with large dual-wall pillows - no headgear

A7034

61528 Swift FX frame assembly - no dual-wall pillows, no headgear N/A

HEADGEAR

61543

61580

Swift FX for Her headgear assembly (headgear, pink and light blue back straps, pink andgray soft wraps)

Swift FX for Her headgear assembly with Bella Loops accessory (headgear, pink andlight blue back straps, pink and gray soft wraps, Bella Loops)

A7035

ACCESSORIES

61528615306154461121605496055061581

Short tube assembly - refer to Swift FX frame assembly (Item #61528) Soft wraps - 2 pack (gray)Soft wraps - 2 pack (pink)Distal pressure port attachmentPressure port plug - 1 packPressure port plug - 10 packSwift FX Bella Loops

N/AN/AN/AN/AN/AN/AN/A

Page 4: Product List Usa

4Confidential Home Care Provider Product List

Swift™ LT NasalPillows System

Item # Description HCPCS

60560 Swift™ LT nasal pillows systemIncludes small, medium, and large size dual-wall pillows, and headgear

A7034,+A7035

PILLOWS

60574605716057260573

Extra small dual-wall pillow Small dual-wall pillow Medium dual-wall pillow Large dual-wall pillow

A7033

FRAME

60585605826058360584

Swift LT frame system with extra small dual-wall pillows - no headgearSwift LT frame system with small dual-wall pillows - no headgearSwift LT frame system with medium dual-wall pillows - no headgearSwift LT frame system with large dual-wall pillows - no headgear

A7034

60581 Swift LT frame assembly - no dual-wall pillows, no headgear N/A

60575 Frame only N/A

HEADGEAR

60578 Headgear assembly A7035

ACCESSORIES

611216055860559605796058060577607426058660557605496055060599

Distal pressure port attachmentHeadgear buckle (back) - 1 packHeadgear buckle (back) - 10 packHeadgear buckle (top) - 1 packHeadgear buckle (top) - 10 packShort tube assembly, includes elbow, short tube and swivel - 1 packShort tube assembly, includes elbow, short tube and swivel - 10 packTube retainer (plastic)Tube retainer (velcro)Pressure port plug - 1 packPressure port plug - 10 packSoft wraps - 2 pack

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 5: Product List Usa

5Confidential Home Care Provider Product List

Swift™ LT for Her NasalPillows System

Item # Description HCPCS

60588 Swift™ LT for Her nasal pillows systemIncludes extra small, small and medium size dual-wall pillows, and headgear

A7034,+A7035

PILLOWS

60574605716057260573

Extra small dual-wall pillow Small dual-wall pillow Medium dual-wall pillow Large dual-wall pillow

A7033

FRAME

60585605826058360584

Swift LT frame system with extra small dual-wall pillows - no headgearSwift LT frame system with small dual-wall pillows - no headgearSwift LT frame system with medium dual-wall pillows - no headgearSwift LT frame system with large dual-wall pillows - no headgear

A7034

60581 Swift LT frame assembly - no dual-wall pillows, no headgear N/A

60575 Frame only N/A

HEADGEAR

60595 Headgear assembly - light blue A7035

ACCESSORIES

6112160740607416059760596605776074260598605496055060599

Distal pressure port attachmentHeadgear buckle (back) - 1 pack - light blueHeadgear buckle (back) - 10 pack - light blueHeadgear buckle (top) - 1 pack - light blueHeadgear buckle (top) - 10 pack - light blueShort tube assembly, includes elbow, short tube and swivel - 1 packShort tube assembly, includes elbow, short tube and swivel - 10 packTube retainer (plastic) - light bluePressure port plug - 1 packPressure port plug - 10 packSoft wraps - 2 pack

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 6: Product List Usa

6Confidential Home Care Provider Product List

Mirage Swift™ II NasalPillows System

Item # Description HCPCS

60512 Mirage Swift™ II nasal pillows systemIncludes small, medium, and large size pillow sleeves, and headgear

A7034,+A7035

PILLOW SLEEVES

605416054260543

Small pillow sleeveMedium pillow sleeveLarge pillow sleeve

A7033

FRAME

605376053860539

Mirage Swift II frame system with small pillows - no headgearMirage Swift II frame system with medium pillows - no headgearMirage Swift II frame system with large pillows - no headgear

A7034

60544 Mirage Swift II frame assembly - no pillows, no headgear N/A

60536 Frame with clip and cap only N/A

HEADGEAR

60526 Headgear A7035

ACCESSORIES

61121605236054060524605256052860529605306054960550

Distal pressure port attachmentHeadgear buckleFrame clipSeal ring - 10 packSeal capShort tube assembly, includes elbow, short tube and swivel - 1 packShort tube assembly, includes elbow, short tube and swivel - 10 packTube retainer - 3 packPressure port plug - 1 packPressure port plug - 10 pack

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 7: Product List Usa

7Confidential Home Care Provider Product List

Mirage™ FX and Mirage™ FX forHer Nasal Mask Systems

Item # Description HCPCS

62103

62118

62128

Mirage™ FX nasal mask complete system Includes cushion and headgearMirage FX nasal mask complete system - wideIncludes cushion and headgearMirage™ FX for Her nasal mask complete system Includes cushion and headgear

A7034,+A7035

CUSHIONS

6211162125

Mirage FX and Mirage FX for Her cushion - standardMirage FX cushion - wide A7032

FRAME SYSTEM

6211262126

Mirage FX and Mirage FX for Her frame system with cushion - standardMirage FX frame system with cushion - wide

A7034

HEADGEAR

6211062129

Mirage FX headgear Mirage FX for Her headgear A7035

Page 8: Product List Usa

8Confidential Home Care Provider Product List

Mirage™ SoftGel Nasal Mask Systems

Item # Description HCPCS

61600

61601

61602

61603

Mirage™ SoftGel nasal mask complete system - smallIncludes cushion and headgearMirage SoftGel nasal mask complete system - mediumIncludes cushion and headgearMirage SoftGel nasal mask complete system - largeIncludes cushion and headgearMirage SoftGel nasal mask complete system - large wideIncludes cushion and headgear

A7034,+A7035

CUSHIONS

61631616326163361634

Small cushion and clipMedium cushion and clipLarge cushion and clipLarge wide cushion and clip

A7032

FRAME

61626

61627

61628

61629

Mirage SoftGel nasal mask frame system with small cushion - no headgear *Mirage SoftGel nasal mask frame system with medium cushion - no headgear *Mirage SoftGel nasal mask frame system with large cushion - no headgear *Mirage SoftGel nasal mask frame system with large wide cushion - no headgear ** includes headgear clips

A7034

60196

60175

Mirage Activa LT/SoftGel nasal mask complete frame assembly - small, no cushion, no headgear, includes headgear clipsMirage Activa LT/SoftGel nasal mask complete frame assembly - standard,no cushion, no headgear, includes headgear clips

N/A

60180 Mask frame only - standard N/A

Page 9: Product List Usa

9Confidential Home Care Provider Product List

Mirage SoftGelNasal Mask Systems (cont.)

Item # HEADGEAR HCPCS

16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, and Quattro -medium

A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT, SoftGel,Ultra Mirage Full Face Mask and Quattro - small

Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra Mirage FullFace Mask and Quattro- large

A7035

ACCESSORIES

16399601766019760123601241639316569167341657016571165656128916387

Elbow assembly - includes elbow and swivelCushion clip - standardCushion clip - smallForehead pad - 1 pack Forehead pad - 10 pack Forehead supportHeadgear clip - 2 packHeadgear clip - 10 packPort cap - 2 pack Port cap - 10 pack Quick release swivelForehead DialElbow

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 10: Product List Usa

10Confidential Home Care Provider Product List

Mirage Activa™ LTNasal Mask Systems

Item # Description HCPCS

60182

60148

60149

60150

Mirage Activa™ LT nasal mask complete system - smallIncludes cushion and headgearMirage Activa LT nasal mask complete system - mediumIncludes cushion and headgearMirage Activa LT nasal mask complete system - largeIncludes cushion and headgearMirage Activa LT nasal mask complete system - large wide Includes cushion and headgear

A7034,+A7035

CUSHIONS

60198601776017860179

Small cushion and clipMedium cushion and clipLarge cushion and clipLarge wide cushion and clip

A7032

FRAME

60195

60172

60173

60174

Mirage Activa LT nasal mask frame system with small cushion - no headgear *Mirage Activa LT nasal mask frame system with medium cushion - no headgear *Mirage Activa LT nasal mask frame system with large cushion - no headgear *Mirage Activa LT nasal mask frame system with large wide cushion - no headgear *

* includes headgear clips

A7034

60196

60175

Mirage Activa LT/SoftGel nasal mask complete frame assembly - small, no cushion, no headgear, includes headgear clipsMirage Activa LT/SoftGel nasal mask complete frame assembly - standard,no cushion, no headgear, includes headgear clips

N/A

6019360180

Mask frame only - smallMask frame only - standard N/A

Page 11: Product List Usa

11Confidential Home Care Provider Product List

Mirage Activa LTNasal Mask Systems (cont.)

Item # HEADGEAR HCPCS

16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, and Quattro -medium

A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT, SoftGel,Ultra Mirage Full Face Mask and Quattro - small

Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra Mirage FullFace Mask and Quattro- large

A7035

ACCESSORIES

16399601766019760123601241639316569167341657016571165656128916387

Elbow assembly - includes elbow and swivelCushion clip - standardCushion clip - smallForehead pad - 1 pack Forehead pad - 10 pack Forehead supportHeadgear clip - 2 packHeadgear clip - 10 packPort cap - 2 pack Port cap - 10 pack Quick release swivelForehead DialElbow

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 12: Product List Usa

12Confidential Home Care Provider Product List

Mirage SoftGel/Activa LTConvertAble™ Packs

Item # Description HCPCS

61604

61609

61615

61620

Mirage SoftGel/Activa LT ConvertAble™ Pack - smallIncludes one SoftGel mask, one Activa LT cushion and headgear

Mirage SoftGel/Activa LT ConvertAble Pack - mediumIncludes one SoftGel mask, one Activa LT cushion and headgear

Mirage SoftGel/Activa LT ConvertAble Pack - largeIncludes one SoftGel mask, one Activa LT cushion and headgear

Mirage SoftGel/Activa LT ConvertAble Pack - large wide Includes one SoftGel mask, one Activa LT cushion and headgear

A7032,+A7034,+A7035

Page 13: Product List Usa

13Confidential Home Care Provider Product List

Mirage Activa™Nasal Mask Systems

Item # Description HCPCS

60100

60101

60102

Mirage Activa™ nasal mask complete system - standardIncludes cushion and headgearMirage Activa nasal mask complete system - largeIncludes cushion and headgearMirage Activa nasal mask complete system - shallowIncludes cushion and headgear

A7034,+A7035

CUSHIONS601176011860119

Standard cushionLarge cushionShallow cushion

A7032

FRAME

601116011260113

Mirage Activa nasal mask frame system with standard cushion - no headgear *Mirage Activa nasal mask frame system with large cushion - no headgear *Mirage Activa nasal mask frame system with shallow cushion - no headgear ** includes headgear clips

A7034

60144 Mirage Activa nasal mask complete frame assembly - no cushion, no headgear,includes headgear clips

N/A

60121 Mask frame - one size fits all, mask frame only N/A

HEADGEAR

16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, and Quattro- medium A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT,SoftGel, Ultra Mirage Full Face Mask and Quattro - smallUniversal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra MirageFull Face Mask and Quattro - large

A7035

ACCESSORIES

6012660120601256012360124601226011560116609266092716570165716001461905

Carry bagCushion clipElbow assembly - includes exhaust ventForehead pad - 1 pack Forehead pad - 10 pack Forehead supportHeadgear clips - 2 packHeadgear clips - 10 packInlet tube with swivel assembly - 1 packInlet tube with swivel assembly - 10 packPort cap - 2 pack Port cap - 10 pack Swivel assembly - 10 packMask fitting template

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 14: Product List Usa

14Confidential Home Care Provider Product List

Mirage Micro™ and Micro for KidsNasal Mask Systems

Item # Description HCPCS

61013

16333

16334

16335

Mirage Micro™ for Kids nasal mask complete system - smallIncludes small cushion and small headgearMirage Micro™ nasal mask complete system - smallIncludes small cushion and medium headgearMirage Micro nasal mask complete system - medium and largeIncludes two cushions (medium and large) and medium headgearMirage Micro nasal mask complete system - large wide and x-largeIncludes two cushions (large wide and x-large) and medium headgear

A7034,A7035

CUSHIONS1638816389163901639116392

Small cushionMedium cushionLarge cushionLarge wide cushionX-large cushion

A7032

FRAME16378

16379163801638116382

Mirage Micro and Mirage Micro for Kids nasal mask frame system with smallcushion - no headgearMirage Micro nasal mask frame system with medium cushion - no headgearMirage Micro nasal mask frame system with large cushion - no headgearMirage Micro nasal mask frame system with large wide cushion - no headgearMirage Micro nasal mask frame system with x-large cushion - no headgear

A7034

16383

16384

Mirage Micro and Mirage Micro for Kids nasal mask complete frame assembly,small - no cushion, no headgearMirage Micro nasal mask complete frame assembly,standard - no cushion, no headgear

N/A

1639416395

Mask frame only, standardMask frame only, small N/A

HEADGEAR16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, and

Quattro - mediumA7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT,SoftGel, Ultra Mirage Full Face Mask and Quattro - smallUniversal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, UltraMirage Full Face Mask and Quattro - large

A7035

ACCESSORIES

1639960123601241639316569167341657016571165656128916387

Elbow assembly - includes elbow and swivelForehead pad - 1 pack Forehead pad - 10 pack Forehead supportHeadgear clip - 2 packHeadgear clip - 10 packPort cap - 2 pack Port cap - 10 pack Quick release swivelForehead DialElbow

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 15: Product List Usa

15Confidential Home Care Provider Product List

Ultra Mirage™ II Nasal Mask Systems

Item # Description HCPCS

16548

16549

16550

16577

Ultra MirageTM II nasal mask complete system – standardIncludes cushion and headgearUltra Mirage II nasal mask complete system – largeIncludes cushion and headgearUltra Mirage II nasal mask complete system – shallowIncludes cushion and headgearUltra Mirage II nasal mask complete system – shallow wideIncludes cushion and headgear

A7034,+A7035

CUSHIONS

16556165571655816735

Standard cushionLarge cushionShallow cushionShallow wide cushion

A7032

FRAME

16726167271672816736

Ultra Mirage II nasal mask frame system with standard cushion - no headgearUltra Mirage II nasal mask frame system with shallow cushion - no headgearUltra Mirage II nasal mask frame system with large cushion - no headgearUltra Mirage II nasal mask frame system with shallow wide cushion - no headgear

A7034

16594 Ultra Mirage II nasal mask complete frame assembly -no cushion, no headgear N/A

HEADGEAR

16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, and Quattro -medium

A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT,SoftGel, Ultra Mirage Full Face Mask and Quattro - small

Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra MirageFull Face Mask and Quattro - large

A7035

ACCESSORIES

1656316566165721657360123601241659016569167341657016571165651657561905

Cushion clipElbow assembly - includes elbow, quick release swivel and vent coverElbow clip - 1 packElbow clip - 10 packForehead pad - 1 pack Forehead pad - 10 pack Forehead support with padsHeadgear release clip - 2 packHeadgear release clip - 10 packPort cap - 2 pack Port cap - 10 pack Quick release swivelVent coverMask fitting template

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

Page 16: Product List Usa

16Confidential Home Care Provider Product List

Pixi™ Pediatric Nasal Mask System

Item # Description HCPCS

61030 Pixi™ Pediatric nasal mask complete system Includes cushion and headgear

A7034,+A7035

CUSHIONS

61033 Pixi Pediatric cushion A7032

FRAME SYSTEM

61035 Pixi Pediatric frame system - no headgear A7034

HEADGEAR

61034 Pixi Pediatric headgear A7035

Page 17: Product List Usa

17Confidential Home Care Provider Product List

Mirage Vista™ and Mirage Kidsta™Nasal Mask Systems

Item # Description HCPCS

60000

60001

61010

Mirage Vista™ nasal mask complete system - standardIncludes cushion and headgearMirage Vista nasal mask complete system - deepIncludes cushion and headgear

Mirage Kidsta™ nasal mask complete system - smallIncludes cushion and headgear

A7034,+A7035

CUSHIONS

609216092260013

Mirage Vista Standard cushionMirage Vista Deep cushionMirage Kidsta Small Cushion

A7032

FRAME

6092960930

Mirage Vista nasal mask frame system with standard cushion - no headgearMirage Vista nasal mask frame system with deep cushion - no headgear A7034

60928 Mirage Vista nasal mask complete frame assembly-no cushion, no headgear N/A

60924 Mirage Vista and Mirage Kidsta Mask frame - one size fits all, mask frame only N/A

HEADGEAR

6091861020

Mirage Vista Headgear assemblyMirage Kidsta Headgear assembly A7035

ACCESSORIES

60919609206102561026609266092716570165716001460940

Mirage Vista Headgear clips - 2 packMirage Vista Headgear clips - 10 packMirage Kidsta Headgear clips - 2 packMirage Kidsta Headgear clips - 10 packInlet tube with swivel assembly - 1 packInlet tube with swivel assembly - 10 packPort caps - 2 packPort caps - 10 pack Swivel assembly - 10 pack2D fitting template

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

The Mirage Kidsta™ nasal mask is intended for multi-patient use for children aged seven and older orweighing more than 40 lbs, prescribed continuous positive airway pressure (CPAP) or bilevel therapyin hospital, clinic and/or home environments. The Mirage Kidsta nasal mask is intended to be usedwith ResMed’s VPAP™ III ST-A.

Page 18: Product List Usa

18Confidential Home Care Provider Product List

Quattro™ FXFull Face Mask Systems

Item # Description HCPCS

61700

61701

61702

Quattro™ FX full face mask complete system - smallIncludes cushion and medium/standard headgearQuattro™ FX full face mask complete system - mediumIncludes cushion and medium/standard headgearQuattro™ FX full face mask complete system - largeIncludes cushion and medium/standard headgear

A7030,+A7035

CUSHIONS

617216172261723

Small cushionMedium cushionLarge cushion A7031

FRAME SYSTEM

617246172561726

Quattro FX full face mask frame system with small cushion - no headgearQuattro FX full face mask frame system with medium cushion - no headgearQuattro FX full face mask frame system with large cushion - no headgear A7030

HEADGEAR

617336173461738

Quattro FX full face mask headgear - medium/standardQuattro FX full face mask headgear - smallQuattro FX full face mask headgear - large A7035

Page 19: Product List Usa

19Confidential Home Care Provider Product List

Quattro™ FX for HerFull Face Mask Systems

Item # Description HCPCS

62501

62502

Quattro™ FX for Her full face mask complete system - smallIncludes cushion and medium/standard headgearQuattro™ FX for Her full face mask complete system - mediumIncludes cushion and medium/standard headgear

A7030,+A7035

CUSHIONS

617216172261723

Small cushionMedium cushionLarge cushion A7031

FRAME SYSTEM

62513

62514

Quattro FX for Her full face mask frame system with small cushion - no headgearQuattro FX for Her full face mask frame system with medium cushion - no headgear

A7030

HEADGEAR

6250662507

Quattro FX for Her full face mask headgear (light pink) - smallQuattro FX for Her full face mask headgear (light pink) - standard A7035

Page 20: Product List Usa

20Confidential Home Care Provider Product List

Mirage Quattro™ Full FaceMask Systems

Item # Description HCPCS

61200

61201

61202

61203

Mirage QuattroTM full face mask complete system - x-smallIncludes cushion and medium headgearMirage Quattro full face mask complete system - smallIncludes cushion and medium headgearMirage Quattro full face mask complete system - mediumIncludes cushion and medium headgearMirage Quattro full face mask complete system - largeIncludes cushion and medium headgear

A7030,+A7035

CUSHIONS

61290612916129261293

X-small cushion with clipSmall cushion with clipMedium cushion with clipLarge cushion with clip

A7031

FRAME

61260612616126261263

Mirage Quattro full face mask frame system with x-small cushion - no headgearMirage Quattro full face mask frame system with small cushion - no headgearMirage Quattro full face mask frame system with medium cushion - no headgearMirage Quattro full face mask frame system with large cushion - no headgear

A7030

61264

61265

61266

61267

Mirage Quattro full face mask complete frame assembly, x-small - no cushion, no headgearMirage Quattro full face mask complete frame assembly, small - no cushion, no headgearMirage Quattro full face mask complete frame assembly, medium - no cushion, no headgearMirage Quattro full face mask complete frame assembly, large - no cushion, no headgear

N/A

61270612716127261273

Mask frame only, x-smallMask frame only, smallMask frame only, mediumMask frame only, large

N/A

Page 21: Product List Usa

21Confidential Home Care Provider Product List

Mirage Quattro Full FaceMask Systems (cont.)

Item # HEADGEAR HCPCS

16117 Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel,and Quattro -medium A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT,SoftGel, Ultra Mirage Full Face Mask and Quattro - small

Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra MirageFull Face Mask and Quattro - large

A7035

ACCESSORIES612866128761274612756127661277612946128260123601246128861289165656011560116612956129661858

Valve and clip assembly - 1 packValve and clip assembly - 10 packCushion clip, x-smallCushion clip, smallCushion clip, mediumCushion clip, largeElbow assembly - includes elbow, valve, clip and swivelElbowForehead pad - 1 pack Forehead pad - 10 pack Forehead supportForehead dialQuick release swivelHeadgear clips - 2 packHeadgear clips - 10 packPorts cap - 2 packPorts cap - 10 packFitting template

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

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22Confidential Home Care Provider Product List

Ultra Mirage™ Full FaceMask Systems

Item # Description HCPCS

60600

60601

60602

60603

60604

60605

Ultra Mirage™ full face mask complete system - small standardIncludes cushion and headgearUltra Mirage full face mask complete system - small shallowIncludes cushion and headgearUltra Mirage full face mask complete system - medium standardIncludes cushion and headgearUltra Mirage full face mask complete system - medium shallowIncludes cushion and headgearUltra Mirage full face mask complete system - large standardIncludes cushion and headgearUltra Mirage full face mask complete system - large shallowIncludes cushion and headgear

A7030,+A7035

CUSHIONS

166041667116605166721660616673

Small standard cushionSmall shallow cushionMedium standard cushionMedium shallow cushionLarge standard cushionLarge shallow cushion

A7031

FRAME

606206062160622606236062460625

Ultra Mirage full face mask frame system with small standard cushion - no headgearUltra Mirage full face mask frame system with small shallow cushion - no headgearUltra Mirage full face mask frame system with medium standard cushion - no headgearUltra Mirage full face mask frame system with medium shallow cushion - no headgearUltra Mirage full face mask frame system with large standard cushion - no headgearUltra Mirage full face mask frame system with large shallow cushion - no headgear

A7030

60666

60667

60668

Ultra Mirage full face mask complete frame assembly, small - no cushion, no headgearUltra Mirage full face mask complete frame assembly, medium - no cushion, no headgearUltra Mirage full face mask complete frame assembly, large - no cushion, no headgear

N/A

606706067160672

Mask frame only, smallMask frame only, mediumMask frame only, large

N/A

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23Confidential Home Care Provider Product List

Ultra Mirage Full FaceMask Systems (cont.)

Item # HEADGEAR HCPCS

60674 Headgear - includes headgear clips, one size fits all A7035

16118

16119

Universal headgear for Ultra Mirage II, Micro, Micro for Kids, Activa, Activa LT,SoftGel, Ultra Mirage Full Face Mask and Quattro - small

Universal headgear for Ultra Mirage II, Micro, Activa, Activa LT, SoftGel, Ultra MirageFull Face Mask and Quattro - large

A7035

ACCESSORIES

16613

166171661816674166751667616637606836012360124606736011560116606816068216689606801662416981

Anti-asphyxia valve - includes elbow retainer, valve frame, valve membrane, valveelbow, swivel clip and swivelAnti-asphyxia valve membrane - 1 packAnti-asphyxia valve membrane - 10 packCushion clip, smallCushion clip, mediumCushion clip, largeElbow and swivel clip kit - includes five elbow clips and five quick release clipsElbow clipForehead pad - 1 pack Forehead pad - 10 pack Forehead support - 1 packHeadgear clips - 2 packHeadgear clips - 10 packLuer locks - 2 packLuer locks - 10 packSwivel onlySwivel clipValve elbow3D fitting template

N/A

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

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Mirage Liberty™ Full FaceMask Systems

Item # Description HCPCS

61300

61301

Mirage LibertyTM full face mask complete system - smallIncludes cushion, pillows and headgearMirage Liberty full face mask complete system - largeIncludes cushion, pillows and headgear

A7027,+A7035

CUSHIONS

6133061331

Small mouth cushionLarge mouth cushion A7028

PILLOW SLEEVES

613336133461335

Dual-wall nasal pillows - smallDual-wall nasal pillows - mediumDual-wall nasal pillows - large

A7029

FRAME

61318

61319

61320

61321

61322

61323

Mirage Liberty full face mask frame system with smallcushion and small pillows - no headgearMirage Liberty full face mask frame system with smallcushion and medium pillows - no headgearMirage Liberty full face mask frame system with smallcushion and large pillows - no headgearMirage Liberty full face mask frame system with largecushion and small pillows - no headgearMirage Liberty full face mask frame system with largecushion and medium pillows - no headgearMirage Liberty full face mask frame system with largecushion and large pillows - no headgear

A7027

61325

61326

Mirage Liberty full face mask complete frame assembly, small -no cushion, no pillows, no headgearMirage Liberty full face mask complete frame assembly, large -no cushion, no pillows, no headgear

N/A

6133761338

Mask frame only, smallMask frame only, large N/A

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Mirage Liberty Full FaceMask Systems (cont.)

Item # HEADGEAR HCPCS

6134861349

Headgear - smallHeadgear - standard A7035

ACCESSORIES

6134261343613406135261353165701657160926609276190060014

Valve and clip assemby - 1 packValve and clip assemby - 10 packElbow assembly - includes elbow, valve, clip and swivelUpper clips (left & right)Lower clips - 2 packPorts cap - 2 pack Ports cap - 10 pack Inlet tube with swivel assembly - 1 packInlet tube with swivel assembly - 10 packFitting templateSwivel assembly - 10 pack

N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A

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Mask Spares andAccessories

Item # Description HCPCS

16015 Chin Restraint A7036

6191461915

Gecko™ Nasal Pad: Small - 10 pack (case)Gecko™ Nasal Pad: Large - 10 pack (case)

Note: The Gecko Nasal Pad is reimbursed on the individual units: PN 61911 (small) andPN 61910 (large). The Gecko Nasal Pad can only be ordered and shipped by 10 pack(case). The individual item numbers cannot be ordered.

A7032

16120

16121

16122

16123

Camouflage Headgear - Medium - Universal Headgear for Ultra Mirage II, Micro, Activa,Activa LT, SoftGel and Quattro masks

Light Blue Headgear - Medium - Universal Headgear for Ultra Mirage II, Micro, Activa,Activa LT, SoftGel and Quattro masks

Pink Headgear - Medium - Universal Headgear for Ultra Mirage II, Micro, Activa, ActivaLT, SoftGel and Quattro masks

Leopard Headgear - Medium - Universal Headgear for Ultra Mirage II, Micro, Activa,Activa LT, SoftGel and Quattro masks

A7035

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S9™ APAP and CPAP SeriesFlow Generators

Item # Description HCPCS

36005 S9 AutoSet™Features include the new Enhanced AutoSet algorithm with central sleep apnea detection.Superior APAP comfort with whisper quiet operation and dramatically reduced conductednoise levels. Also includes EPR with Easy-Breathe technology; available in AutoSet mode aswell as CPAP mode. Includes usage-based compliance and efficacy downloads for accuratepatient monitoring and a standard data card for easy two-way data transfer. Optional acces-sories support wired and wireless compliance data transfer and integrated pulse oximetrymonitoring.

E0601

36015 S9 AutoSet & H5i™ S9 AutoSet packaged with the H5i humidifier (Item #36900).

E0601,+E0562

36075 S9 AutoSet & H5i for Her (light pink)S9 AutoSet for Her packaged with the H5i for Her humidifier.

E0601,+E0562

36025 S9 AutoSet & Climate Control KitS9 AutoSet packaged with the H5i humidifier and the ClimateLine™ Tubing (Item #36995)

E0601,+E0562,+A4604

36003 S9 Elite™Features include new central sleep apnea detection, whisper quiet operation and dramatical-ly reduced conducted noise levels. Also includes EPR with Easy-Breathe technology;Includes usage-based compliance and efficacy downloads for accurate patient monitoringand a standard data card for easy two-way data transfer. Optional accessories support wiredand wireless compliance data transfer and integrated pulse oximetry monitoring.

E0601

36013 S9 Elite & H5i S9 Elite packaged with the H5i humidifier (Item #36900).

E0601,+E0562

36023 S9 Elite & Climate Control Kit S9 Elite packaged with the H5i humidifier and the ClimateLine Tubing (Item #36995) E0601,

+E0562,+A4604

The S9™ system sets the new industry standard for comfortable sleep apnea treatment. Equipped with sophisticated new fea-tures that showcase ResMed's innovation and dedication to patient compliance, the stylish S9 system delivers everything you andyour patients need - and more.

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S9™ APAP and CPAP SeriesFlow Generators, continued

Item # Description HCPCS

36002 S9 Escape Auto™Features include superior APAP mode based upon the gold-standard AutoSet Algorithm pro-viding comfort with whisper quiet operation and dramatically reduced conducted noise levels.Also includes EPR with Easy-Breathe technology; available in AutoSet mode as well asCPAP mode. Includes usage-based compliance and AHI data for accurate patient monitoring,along with a standard data card for easy two-way data transfer. Optional accessories supportwired and wireless compliance data transfer.

E0601

36012 S9 Escape Auto & H5iS9 Escape Auto packaged with the H5i humidifier (Item #36900).

E0601,+E0562

36022 S9 Escape Auto & Climate Control KitS9 Escape Auto packaged with the H5i humidifier and the ClimateLine Tubing (Item #36995)

E0601,+E0562,+A4604

36001 S9 Escape™Features include whisper quiet operation and dramatically reduced conducted noise levels.Also includes EPR with Easy-Breathe technology; Includes usage-based compliance down-loads for accurate patient monitoring along with a standard data card for easy two-way datatransfer. Optional accessories support wired and wireless compliance data transfer.

E0601

36011 S9 Escape & H5i S9 Escape packaged with the H5i humidifier (Item #36900).

E0601,+E0562

36021 S9 Escape & Climate Control Kit S9 Escape packaged with the H5i humidifier and the ClimateLine Tubing (Item #36995) E0601,

+E0562,+A4604

The S9™ system sets the new industry standard for comfortable sleep apnea treatment. Equipped with sophisticated new fea-tures that showcase ResMed's innovation and dedication to patient compliance, the stylish S9 system delivers everything youand your patients need - and more.

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S9 VPAP™ Series Flow Generators

Item # Description HCPCS

36004 S9 VPAP™ SA fully-integrated bilevel device, including EPR with Easy-Breathe technology, simple menusettings and color LCD. Features whisper quiet operation and dramatically reduced noiselevels. AHI with Central sleep apnea (CSA) detection. Optional oximetry monitoring, wirelessdata compliance transfer.

E0470

36014 S9 VPAP S & H5iS9 VPAP S packaged with the H5i humidifier (Item #36900).

E0470,+E0562

36024 S9 VPAP S & Climate Control KitS9 VPAP S with the H5i humidifier and the ClimateLine tubing (Item #36995).

E0470,+E0562+A4604

36006 S9 VPAP™ AutoA fully-integrated auto-adjusting bilevel device with enhanced AutoSet algorithm continuallymonitors breathing. Simple menu settings and color LCD display. It also features a sleepquality indicator, which allows patients to view their therapy progress. Enhanced Vsync™technology compensates for leak and provides superior patient-ventilator synchrony.TiControl™ (Ti Max/Min) feature accommodates individual respiratory conditions. AHI withcentral sleep apnea (CSA) detection. Optional oximetry monitoring and wireless compliancedata transfer.

E0470

36016 S9 VPAP Auto & H5iS9 VPAP Auto packaged with the H5i humidifier (Item #36900).

E0470,+E0562

36026 S9 VPAP Auto & Climate Control Kit S9 VPAP Auto with the H5i humidifier and the ClimateLine Tubing (Item #36995)

E0470,+E0562+A4604

36008 S9 VPAP™ STA full-integrated bilevel device that delivers comfortable and effective therapy with exceptionalpatient-ventilator synchrony to patients requiring backup rate. It also features optional inte-grated oximetry and a sleep quality indicator, which allows patients to view their therapyprogress on a daily basis.

E0471

36018 S9 VPAP ST & H5iS9 VPAP ST packaged with the H5i humidifier (Item #36900).

E0471+E0562

36028 S9 VPAP ST & Climate Control KitS9 VPAP ST with the H5i humidifier and the ClimateLine tubing (Item #36995).

E0471+E0562+A4604

36007 VPAP™ AdaptAn adaptive servo-ventilator specifically designed to treat central sleep apnea (CSA) in all itsforms, including mixed events. It also features optional integrated oximetry and a sleep quali-ty indicator, which allows patients to view their therapy progress on a daily basis.

E0471

36017 VPAP Adapt & H5i™VPAP Adapt packaged with the H5i humidifier (Item #36900).

E0471+E0562

36027 VPAP Adapt & Climate Control KitVPAP Adapt with the H5i humidifier and the ClimateLine tubing (Item#36995).

E0471+E0562+A4604

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S9 Humidifiers and Accessories

Item # HUMIDIFIERS HCPCS

3690036901

H5i - for use with S9 Flow GeneratorsH5i with cleanable water tub - for use with S9 Flow Generators

E0562E0562

H5i HUMIDIFIER ACCESSORIES

3699536997368023680036891368953689236894

H5i ClimateLine Tubing - 1 packH5i ClimateLineMAX™ Tubing - 1 packH5i Water TubH5i Cleanable Water TubH5i Flip LidH5i for Her Flip LidH5i Flip Lid SealH5i Air Outlet and Outlet Clip

A4604A4604A7046A7046

N/AN/AN/AN/A

S9 FLOW GENERATOR ACCESSORIES

36810368112494736821

369203686036861368593697036955

SlimLine™ TubingSlimLine Tubing WrapResMed Power Station II Battery - requires S9 90W Power Supply to chargeS9 90W Power Supply Unit Plus Power Cord - can be used with or withouthumidifier - for use with S9 and ResMed Power Station Station II BatteryS9 30W Power Supply UnitS9 Travel BagS9 for Her Travel BagS9 Filter CoverDC/DC Converter - 24V/90W outputS9 Embletta Adapter

A7037N/AN/AN/AN/AN/AN/AN/AN/AN/A

S9 FILTERS

36850368513685236853

36855368563685736858

S9 Standard Filter - 1 packS9 Standard Filter - 2 packS9 Standard Filter - 12 packS9 Standard Filter - 50 pack

S9 Hypo-allergenic Filter - 1 packS9 Hypo-allergenic Filter - 2 packS9 Hypo-allergenic Filter - 12 packS9 Hypo-allergenic Filter - 50 pack

A7038A7038A7038A7038

A7038A7038A7038A7038

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Ventilation Products

Item # Description HCPCS

24157 Stellar™ 100 Adult and Pediatric VentilatorUltra-premium non-invasive ventilator with invasive option for adult and pediatric (13 kg)ventilation. Pressure from 3–40 cm H2O, PS to 37 cm H2O, andinternal battery. FiO2 and SpO2 monitoring (optional)

E0471

Item # Stellar Humidifier and Accessories HCPCS

24927 H4i Heated Humidifier for Stellar E0562

36810 SlimLine tube - for use with S9 and Stellar A7037

24977 Stellar Mobility bag N/A

22305 XPOD Oximeter N/A

16936 Oximeter Sensor Cable N/A

24955 FiO2 Monitoring Kit N/A

CAP008617 FiO2 Monitoring Sensor N/A

24976 ResMed Leak Port N/A

24934 Stellar Filter - hypoallergen - 12 pack A7038

2490524913249172491924920

Standard stand (without top plate)VPAP Series top platePremium circuit support armTube clip–doubleTube clip–single

N/AN/AN/AN/AN/A

Item # Description HCPCS

24116 S7 VPAP™ III ST-APremium non-invasive ventilator with expanded pressure range from 3–30 cm H2O and acomprehensive suite of alarms.

E0471

36008 S9 VPAP™ STA full-integrated bilevel device that delivers comfortable and effective therapy with excep-tional patient-ventilator synchrony to patients requiring backup rate. It also featuresoptional integrated oximetry and a sleep quality indicator, which allows patients to viewtheir therapy progress on a daily basis.

E0471

36018 S9 VPAP ST & H5iS9 VPAP ST packaged with the H5i humidifier (Item #36900).

E0471+E0562

36028 S9 VPAP ST & Climate Control KitS9 VPAP ST with the H5i humidifier and the ClimateLine tubing (Item #36995).

E0471+E0562+A4604

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C-Series Flow Generator

Item # C-SERIES FLOW GENERATOR HCPCS

34000 C-Series Tango™Features include classic CPAP functionality with ResMed superior quality and reliability.Optional humidification and disposable water chamber.

E0601

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Software, Modules andAccessories

Item # COMPLIANCE SOFTWARE HCPCS

31313 ResScan software - clinical management software for use with all ResMed flow generatorproducts.

N/A

S9 DATA ACCESSORIES

368403684536931

Protective Folder with SD card - 10 pack Protective Folder without SD card - 10 packSD Card Reader

A9279N/AN/A

S8 DATA ACCESSORIES

22903229062220722212309423094722201222032291517952

ResScan data cards with protective folder - 10 packProtective Folder (no data card) - 10 packResScan card readerSmartMedia card reader II - USBSmartMedia card - 2 packSmartMedia card spare labels - 10 packSerial port adapterResScan USB serial adapterData module coverNull modem cable - for use with VPAP III, AutoSet Spirit™, AutoSet RespondTM, S7TM

Elite CPAP, S8 CPAP and AutoSet T flow generators

A9279N/AN/AN/A

A9279N/AN/AN/AN/AN/A

S9 MODULE AND OXIMETRY

369303695036940

369100

S9 Wireless ModuleS9 USB AdapterS9 Oximeter AdapterS9 Complete Oximetry Kit (includes Item #36940 and Item #36942)

A9279N/AN/AN/A

S8 MODULE AND OXIMETRY

22206

22230

222102

S8 ResLink™Includes 32 MB SmartMedia card, user’s manual and mailing bag.

S8 ResTraxx GSM device - Includes a carry bag and Quick Reference Guide Card. A pro-prietary system comprised of both hardware and software that facilitates the wireless trans-fer of patient compliance data via cellular technology to an internet-accessed portal knownas ResTraxx™ Online. There is also a monthly subscription fee.

S8 Complete Oximetry Kit (includes Item #22206 and Item #1430050)

A9279

A9279

A9279

S7 MODULE AND OXIMETRY

30924

309100

S7 ResLink PMM - patient management module Includes 32 MB SmartMedia card, user’s manual and mailing bag.

S7 Complete Oximetry Kit (includes Item #30924 and Item #1430050)

A9279

A9279

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Software, Modulesand Accessories, continued

Item # OXIMETRY ACCESSORIES HCPCS

1430050 Oximeter Spirit PMM kitResLink cable and XPod for S7& S8

N/A

36942 S9 Oximetry Accessory Kit (includes reusable soft sensor, 3M cable, sensor clip, Xpod) N/A

7075601431002

Reusable soft sensor - 3MDisposable flex sensor - 3M - includes sensor and item #70276 (adhesive strips, single use -25 pk)

N/AN/A

22961 ResLink converter cable - This converter cable is for use with ApneaLink™ XPOD to connectthe oximeter port for either the S7 ResLink or S8 ResLink modules.

N/A

36941 S9 Oximeter converter cable - This converter cable is for use with existing ResLink XPOD toconnect with the S9 Oximeter module.

N/A

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ApneaLink™ApneaLink™ Plus

Item # Description HCPCS

22328 ApneaLink™ Plus Complete Kit A portable home sleep test diagnostic device that records up to four channels of informa-tion: respiratory effort, pulse, oxygen saturation and nasal flow. Kit includes ApneaLink Plusrecorder, software CD, quick software setup guide, carry bag, EasySense respiratory effortsensor, 2 reusable belts, USB download cable, 2 AA batteries, 3 nasal cannulas, XPODoximeter, 3 single use oximetry sensors and sensor clip.

N/A

22319 ApneaLink Plus Basic Kit A portable home sleep test diagnostic device that records up to four channels of informa-tion: respiratory effort, pulse, oxygen saturation and nasal flow. Kit includes ApneaLink Plusrecorder, software CD, quick software setup guide, carry bag, EasySense respiratory effortsensor, 2 reusable belts, USB download cable, 2 AA batteries and 1 nasal cannula.

N/A

22302 ApneaLink™A sleep screening device withi up to three channels (with oximetry) used to objectivelyassist in identifying the risk for sleep-disordered breathing. Includes ApneaLink softwareCD, operating instructions, carry bag, 3 nasal cannulas, single use belt, USB downloadcable and 2 AA batteries.

N/A

22304 ApneaLink Oximetry KitProvides oximetry and pulse information to the ApneaLink/ApneaLink Plus recorderdevices. Uses single-use or reusable probes. Must be used in conjunction with ApneaLinkand ApneaLink Plus only. Kit includes oximeter (XPOD), oximeter sensor clip and 3 singleuse sensors.

N/A

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ApneaLink/ApneaLink PlusAccessories

Item # ACCESSORIES AND CONSUMMABLES HCPCS

2233622333

ApneaLink Plus and ApneaLink Software CD 9.2 (compatible with all devices)ApneaLink Plus EasySense Respiratory Effort Sensor (for use with ApneaLink Plus ONLY)

N/AN/A

NASAL CANNULAS

7038870319

ApneaLink standard cannula - 25 packApneaLink nasal/oxygen cannula - 25 pack

N/AN/A

BELTS

62905270406

Reusable belt - for use with ApneaLink and ApneaLink PlusSingle use belt - 10 pack (for use with ApneaLink ONLY)

N/AN/A

MISCELLANEOUS

62905122309

USB download cableRechargeable battery kit - includes battery charger and 4 AA rechargeable batteries

N/AN/A

OXIMETRY COMPONENTS

223067041370567707267027622338

22337

Oximeter sensor clipReusable soft sensor - largeReusable soft sensor - smallReusable flex sensor kit, 36” includes sensor and Item #70276 Adhesive strips, single use - for use with Item #1431002 or Item #70726 - 25 packSingle use sensor, adult, 36” (1 meter) (ResMed Standard) - 24 pack. Replaces Item#22316Single use sensor, 36” (1 meter) (value line) - 24 pack. Replaces Item #70412

N/AN/AN/AN/AN/AN/A

N/A

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Flow Generator Accessories andReplacement Parts

Item # POWER SUPPLIES HCPCS

70253701992693222015339423393814951

2690533948

110V inverter for SullivanTM CPAP and VPAP systemsBattery adapter, 12 voltDC converter - for VPAP ST, VPAP Auto 25 and VPAP SDC converter - for VPAP III ST-ADC-12 converter - for S8 CPAP unit and VPAP AutoPower cord - for S8 CPAP and C-Series Tango unitsPower cord - for Sullivan V and ResMed S6 CPAP units, S7 Elite CPAP, VPAP, AutoSet T,AutoSet Spirit and AutoSet Respond unitsPower cord - for VPAP Adapt SV and VPAP III ST-AS8 connector plug - 10 pack

N/AN/AN/AN/AN/AN/AN/A

N/AN/A

Item # RESMED POWER STATION II HCPCS

2494724923249592498124961249602494636821

24964249652495224943

ResMed Power Station II Battery - requires S9 90W Power Supply to chargeResMed Power Station II - Battery and bagDC cable, StellarDC cable, Stellar, 0.5mDC cable, S9 SeriesDC cable, S8 VPAPPSU adaptor, ResMed Power Station II90W Power Supply Unit Plus Power Cord - can be used with or withouthumidifier - for use with S9 and ResMed Power Station II BatteryBattery coupler kit, ResMed Power Station IIBattery coupler, ResMed Power Station IICarry bag, ResMed Power Station IIVelcro strap, ResMed Power Station II

N/AN/AN/AN/AN/AN/AN/AN/A

N/AN/AN/AN/A

TUBINGS AND AIR DELIVERY SYSTEMS

26923

149111499414999

1498614922149872696014915269312692426925

Air delivery system - for VPAP Adapt SVIncludes sensor tubing, tube clips, proximal cuff and standard 2 meter air hoseAir tubing connector - 5 packAir tubing, standard - light gray, ribbed (6’)Air tubing, clear gray ribbed (9’, 2.75 meter)- for use with all S7, S8 products and S9VPAP onlyAir tubing, autoclave - dark gray (6’6”, 2 meter)Air tubing, gray (9’9”, 3 meter)Air tubing, standard - light gray, cuffed (6’6”, 2 meter)Oxygen adapter port - for VPAP ST, VPAP Auto 25 and VPAP SOxygen sideport connectorProximal cuff - for VPAP Adapt SVSensor tubing with Luer lock - for VPAP Adapt SVTube clips - 9 pack - for VPAP Adapt SV

N/A

N/AA7037A7037

A7037A7037A7037

N/AN/AN/AN/AN/A

CARRY / TRAVEL BAGS

3392534902339723395630923

Carry pouch for S8C-Series Tango carry bagS8 Series II premium travel bag (black)S8 standard travel bag (blue)VPAP Adapt SV carry bag

N/AN/AN/AN/AN/A

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Flow Generator Accessories andReplacement Parts, continued

AIR FILTER COVERS

21937309093392333959

ResMed S6 air filter coverS7 Series and VPAP III air filter coverFilter cover for S8Blue filter cover for S8

N/AN/AN/AN/A

MANOMETERS AND PRESSURE SENSOR ADAPTERS

14535

30901

1794730916

Manometer, gauge type and portable kitIncludes carrying case, tubing and stand. Range: 0–25 cm H2O, 0.5 incrementsPressure sensor adapter - clear plastic adapter for external humidifier connec-tion with the AutoSet Spirit, AutoSet Respond and S7 ElitePressure sensor adapter - for use with AutoSet TPressure sensor adapter - rubber adapter for AutoSet Spirit, AutoSet Respondand S7 Elite CPAP

N/A

N/A

N/AN/A

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Flow Generator Filters

Item # Description HCPCS

33915339733397433918

33919339753397633922

309193090730908

219442193521936

2194621926219471795717937179381498514907149081490914910

2692626927

S8, S8 II and C-Series Tango filters - 1 packS8, S8 II and C-Series Tango filters - 2 packS8, S8 II and C-Series Tango filters - 12 packS8, S8 II and C-Series Tango filters - 50 pack

S8, S8 II and C-Series Tango hypo filters - 1 packS8, S8 II and C-Series Tango hypo filters - 2 packS8, S8 II and C-Series Tango hypo filters - 12 packS8, S8 II and C-Series Tango hypo filters - 50 pack

S7 Series and VPAP III filters - 1 packS7 Series and VPAP III filters - 3 packS7 Series and VPAP III filters - 50 pack

ResMed S6 air filter strips - 1 packResMed S6 air filter strips - 3 packResMed S6 air filter strips - 50 pack

Air filter strips - fine, hypoallergenic - 1 packAir filter strips - fine, hypoallergenic, fits all Sullivan V CPAP and VPAP III units - 5 packAir filter strips - fine, hypoallergenic, fits all ResMed S6 units - 10 packAutoSet T filter - 1 packAutoSet T filter - 3 packAutoSet T filter - 50 packAir filter strips fits all Sullivan V, CPAP and VPAP II units - 1 packAir filter strips fits all Sullivan V, CPAP and VPAP II units - 50 packAir filter strips fits all Sullivan V, CPAP and VPAP II units - 3 packAir filter assembly - fits all Sullivan V, CPAP and VPAP II unitsAir filter assembly - fine, hypoallergenic, fits all Sullivan V, CPAP and VPAP II units - 1packVPAP Adapt SV air inlet filter, standard - 3 packVPAP Adapt SV air inlet filter, hypoallergenic - 3 pack

A7038A7038A7038A7038

A7038A7038A7038A7038

A7038A7038A7038

A7038A7038A7038

A7038A7038A7038A7038A7038A7038A7038A7038A7038

N/AN/A

N/AN/A

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40Confidential Home Care Provider Product List

Heated HumidificationSystems and Accessories

Item # Description HCPCS

26940 H4i - for use with all S8, S8 II and VPAP bilevel products. E0562

26950 H4i with optional cleanable water chamber - for use with all S8, S8 II and VPAP bilevelproducts.

E0562

30902 HumidAire 2i™ - for use with S7™ Lightweight CPAP, S7 Elite CPAP, AutoSet Spirit, AutoSetRespond, VPAP III and VPAP Adapt SV E0562

34900 C-Series heated humidifierFeatures disposable water chamber E0562

Item # Description HCPCS

26952269582695926953269542695526963

33926339273393533947

309513091530914309383096130939309553095630912

3490134903

1892018913189111891218910

189193396318916

H4i water chamber (standard) H4i water chamber (cleanable)H4i water chamber upgrade kitH4i top cover and sealH4i tub plate sealH4i cleaning plugH4i spill guard

HumidAire 3i top cover and sealHumidAire 3i top cover sealHumidAire 3i carry pouchHumidAire 3i cleaning plug pack

HumidAire 2i tub assemblyHumidAire 2i water chamber o-ringHumidAire 2i water chamber tub plateHumidAire 2i water chamber cross member, PCHumidAire 2i base PC-side catchHumidAire 2i latch, PCHumidAire 2i side catches, PCHumidAire 2iC tub assemblyHumidAire 2i and 2iC water chamber seal

C-Series water chamberC-Series adapter seal - 10 pack

HumidAire water chamberHumidAire water chamber baseHumidAire water chamber lidHumidAire water chamber sealPassover humidifier connector

Short air tubing - 19 cm/7.5 inch and white adapterTubing wrap (6’ 6”) - reduces rainout in tubing caused by heated humidificationTubing (20 inch) - use with HumidAire humidifier

A7046A7046A7046

N/AN/AN/AN/A

N/AN/AN/AN/A

A7046N/AN/AN/AN/AN/AN/A

A7046N/A

A7046N/A

A7046N/AN/AN/AN/A

N/AN/A

A7037

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41

This Home Care Provider Product List has been prepared solely for the use of ResMed’scustomers.

ResMed reserves the right to modify any of the information contained herein at any time withoutnotice, including pricing, product descriptions and configurations, and warranty terms.

All information contained in this Product List is confidential. You agree not to disclose suchinformation to any third party without the prior written approval of ResMed. While ResMed hastaken reasonable precautions to ensure the accuracy of the pricing and information presented inthis document as of the date of publication, ResMed strongly recommends that you contactcustomer service and/or a sales representative to confirm the accuracy of the information or to seeif other discounts, promotions, or specials may apply.

All purchases of ResMed products by Customer will be governed by Resmed’s Standard Termsand Conditions of Sales located on the back of each invoice, unless otherwise agreed upon inseparate writing by ResMed.

Please contact ResMed’s Customer Service Department at (800) 424-0737 if you have anyquestions or need information about ResMed’s standard terms and conditions.

Global leaders in sleep and respiratory medicine www.resmed.com

ResMed Corp San Diego, CA, USA +1 858 836 5000 or 1 800 424 0737 (toll free), ResMed Ltd Bella Vista, NSW, Australia +61 (2) 8884 1000 or 1 800 658 189 (toll free). Offices inAustria, Brazil, Finland, France, Germany, Hong Kong, Japan, Malaysia, Mexico, Netherlands, New Zealand, Norway, Singapore, Spain, Sweden, Switzerland, United Kingdom (seewebsite for details). Protected

Activa, AutoScan, AutoSet, AutoSet Respond, AutoSet Spirit, ClimateLine, ConvertAble, EPR, Gecko, H4i, HumidAire, Kidsta, Liberty, Mirage, Mirage Activa, Mirage FX, MirageKidsta, Mirage Liberty, Mirage Micro, Mirage Quattro, Mirage Swift, Mirage Vista, Pixi, Quattro, Rescontrol, ResLink, ResScan, ResTraxx, SmartStart, S7 Elite, S7 Lightweight, S8,S8 Compact, S8 Elite, S8 Escape, S9, S9 AutoSet, S9 Elite, S9 Escape, S9 Escape Auto, SlimLine, Stellar, Sullivan, Swift, Tango, Ultra Mirage, Vista, VPAP, VPAP Adapt SV, VPAPAuto, VPAP Malibu and VSet are trademarks of ResMed Ltd.

Activa, ApneaLink, AutoSet, Escape, HumidAire, Kidsta, Mirage, Mirage Quattro, SmartStart, Sullivan, Vista and VPAP are registered in U.S. Patent and Trademark Office.

ApneaLink is a trademark of MAP Medizin Technologie GmbH and Breath-O-Prene™ is a trademark of AccuMed. ©2007 ResMed Ltd.