sleep reference guide -...

Sleep reference guide

Spring 2017

DreamStation

DreamStation (DS) Auto CPAP

With flow generator only

DS Auto CPAP

DS Auto CPAP with Cell Modem

DS Auto CPAP with Wi-Fi Modem

With Humidifier and Standard Tube

DS Auto CPAP

DS Auto CPAP with Cellular Modem


With Humidifier and Heated Tube

DS Auto CPAP

DS Auto CPAP with Cellular Modem


Part number

DSX500S11

DSX500S11C05

DSX500S11W05

DSX500H11

DSX500H11C

DSX500H11W

DSX500T11

DSX500T11C

DSX500T11W

DreamStation sleep therapy system

DreamStation is a recipient of the iF Design Award for 2016 in the product design discipline.

Best Sleep – Therapy SystemsPhilips Respironics, DreamStation PAP Therapy System

DreamStation (DS) CPAP


DS CPAP

DS CPAP with Cell Modem

DS CPAP with Wi-Fi Modem


DS CPAP

DS CPAP with Cellular Modem



DS CPAP

DS CPAP with Cellular Modem


Part number

DSX200S11

DSX200S11C05

DSX200S11W05

DSX200H11

DSX200H11C05

DSX200H11W05

DSX200T11

DSX200T11C05

DSX200T11W05


DreamStation (DS) CPAP Pro


DS CPAP Pro

DS CPAP Pro with Cell Modem

DS CPAP Pro with Wi-Fi Modem


DS CPAP Pro

DS CPAP Pro with Cellular Modem



DS CPAP Pro

DS CPAP Pro with Cellular Modem


Part number

DSX400S11

DSX400S11C05

DSX400S11W05

DSX400H11

DSX400H11C

DSX400H11W

DSX400T11

DSX400T11C

DSX400T11W


DreamStation (DS) Auto BiPAP


DS Auto BiPAP

DS Auto BiPAP with Cell Modem

DS Auto BiPAP with Wi-Fi Modem


DS Auto BiPAP

DS Auto BiPAP with Cellular Modem



DS Auto BiPAP

DS Auto BiPAP with Cellular Modem


DreamStation (DS) BiPAP Pro


DS BiPAP Pro

DS BiPAP Pro with Cell Modem

DS BiPAP Pro with Wi-Fi Modem


DS BiPAP Pro

DS BiPAP Pro with Cellular Modem



DS BiPAP Pro

DS BiPAP Pro with Cellular Modem


Part number

DSX700S11

DSX700S11C05

DSX700S11W05

DSX700H11

DSX700H11C

DSX700H11W

DSX700T11

DSX700T11C

DSX700T11W

Part number

DSX600S11

DSX600S11C05

DSX600S11W05

DSX600H11

DSX600H11C

DSX600H11W

DSX600T11

DSX600T11C

DSX600T11W


DreamStation (DS) BiPAP AVAPS


DS BiPAP AVAPS

DS BiPAP AVAPS with Cell Modem

DS BiPAP AVAPS with Wi-Fi Modem


DS BiPAP AVAPS

DS BiPAP AVAPS with Cellular Modem



DS BiPAP AVAPS

DS BiPAP AVAPS with Cellular Modem


DreamStation (DS) BiPAP S/T


DS BiPAP S/T

DS BiPAP S/T with Cell Modem

DS BiPAP S/T with Wi-Fi Modem


DS BiPAP S/T

DS BiPAP S/T with Cellular Modem



DS BiPAP S/T

DS BiPAP S/T with Cellular Modem


Part number

DSX1130S11

DSX1130S11C05

DSX1130S11W05

DSX1130H11

DSX1130H11C

DSX1130H11W

DSX1130T11

DSX1130T11C

DSX1130T11W

Part number

DSX1030S11

DSX1030S11C05

DSX1030S11W05

DSX1030H11

DSX1030H11C

DSX1030H11W

DSX1030T11

DSX1030T11C

DSX1030T11W

DreamStation advanced therapiesDreamStation (DS) BiPAP autoSV


DS BiPAP autoSV

DS BiPAP autoSV with Cell Modem

DS BiPAP autoSV with Wi-Fi Modem


DS BiPAP autoSV

DS BiPAP autoSV with Cellular Modem



DS BiPAP autoSV

DS BiPAP autoSV with Cellular Modem


Part number

DSX900S11

DSX900S11C05

DSX900S11W05

DSX900H11

DSX900H11C

DSX900H11W

DSX900T11

DSX900T11C

DSX900T11W

DreamStation accessories

Part number

DSXH

1122520

1120668

1120617

1120613

Part number

PR15

HT15

1128071

PR12

1128074

1128073

Part number

1122446

1122447

1122518

1122519

Part number

1063859

1065146

1063858

1047300

Humidification

DreamStation humidifier

DreamStation water chamber

RP-DS Humidifier Dry Box Assembly

RP-DS Humidifier Flip Lid Seal

RP-DS Humidifier Dry Box Inlet Seal

Tubes

15mm Std Tube – DreamStation - RP

15mm Heated Tube

DreamStation Micro-Flex PR12 Tube Starter Pk

12mm Tube

PR12 Mask Adaptor, RP

DreamStation, 12mm Tube Adaptor

Filters

Pollen filter, reusable (1 per pack)

Ultra-fine filter, disposable (1 per pack)



Data cards and accessories

SD card (10 pack)

SD card mailer (10 pack)

SD card cover (attached to device)

SD card reader

Part number

1120136

1118499

1005894

1124009

1121736

1127799

1126947

Part number

1120293

1121694

936

953

954A

1062050

1062051

Part number

100600C

100605C

100700W

100705W

Part number

1114784

1121162

1120746

1120747

1120135

1124301

Part number

1122135

1124224

Part number

1131859

DreamStation sleep therapy system accessories

Power management

DreamStation 65W power supply*

DreamStation 80W power supply

Power cord

PAP Lithium Ion Battery Kit**

Li Ion battery, PAP device cable

Li Ion Battery, Cable Adapter (50 seriesadapter, 2/each)

Li Ion Battery Case

Oximetry

Link module

Nonin SpO2, assembly

Reuseable finger sensor (clip)

Oximetry finger sensor, adult, flex

Flexiwrap, sens tape, adult, 25/pk

Reuseable finger sensor (soft), medium

Reuseable finger sensor (soft), small

Connectivity

Cellular modem, oximetry capable

Cellular modem, Non-oximetry

Wi-Fi accessory, oximetry capable

Wi-Fi accessory, Non-oximetry

Travel

Universal PAP/laptop travel briefcase

DreamStation replacement carrying case

Shielded DC cord

Shielded 12V DC power cord system(includes shielded DC cord andbattery adapter cable)

DreamStation Travel case, 65W power supply*** w/ USB port

DreamStation Travel case, 65W power supply*** w/ USB port, 5/case

Mask and tubing bedside organizer

Bedside organizer

Bedside organizer, 10/case

Roll stand

Roll stand

**PAP Lithium Ion Battery Kit for use with the Philips RespironicsDreamStation and System One CPAPs, BiPAPs, autoSV, BiPAP AVAPS,and BiPAP S/T sleep therapy devices. Includes a rechargeable lithiumion battery pack, a PAP device cable, and a battery case.

***DreamStation, mask, and tubing not included. Used with flowgenerator only. Cannot be used with a humidifier.

*Used with flow generator only. Cannot be used with a humidifier.

DreamWear

Available in 4 sizes: S M L MW

Part number

1116700

1116701

Part number

1116685

1116686

1116687

1116688

Part number

1116680

1116681

1116682

1116683

DreamWear fit pack

DreamWear fit pack with headgear,medium frame, all cushion sizes

DreamWear fit pack without headgear, medium frame, all cushion sizes

DreamWear with headgear,small frame

Small

Medium

Large

Medium wide

DreamWear with headgear,medium frame

Small

Medium

Large

Medium wide

DreamWear is a recipient of the iF Design Gold Award 2016 in the product design discipline.

DreamWear under the nose nasal

DreamWear with headgear,large frame

Small

Medium

Large

Medium wide

DreamWear without headgear,small frame

Small

Medium

Large

Medium wide

DreamWear without headgear,medium frame

Small

Medium

Large

Medium wide

DreamWear without headgear,large frame

Small

Medium

Large

Medium wide

DreamWear replacement parts

Small nasal cushion

Medium nasal cushion

Large nasal cushion

Medium wide nasal cushion

Headgear

Small frame

Medium frame

Large frame

Fabric wraps

Sizing gauge

Elbow with quick release

Part number

1116690

1116691

1116692

1116693

Part number

1116710

1116711

1116712

1116713

Part number

1116705

1116706

1116707

1116708

Part number

1116715

1116716

1116717

1116718

Part number

1116740

1116741

1116742

1116743

1116750

1116745

1116746

1116747

1116754

1116752

1136748

S/M XLL3 sizes in 1 package:

Wisp

Wisp, fabric frame

Wisp mask with fabric frame, with headgear

Wisp mask with fabric frame, without headgear

Wisp, clear frame

Wisp mask with clear frame, with headgear

Wisp mask with clear frame, without headgear

Wisp youth

Wisp youth fabric, P, S/M, L cushions with reduced size headgear

Wisp replacement parts

Petite cushion

Small/medium cushion

Large cushion

Extra large cushion

Clear frame

Fabric frame

Wisp headgear

Wisp headgear, large size

Wisp headgear, reduced size

Wisp headgear clips

Wisp magnetic headgear clips

Part number

1094051

1094056

Part number

1094050

1094055

Part number

1109298

Part number

1094086

1094087

1094088

1112031

1094080

1094081

1094082

1094078

1109307

1094083

1120434

Wisp nasal

Wisp Pediatric

3 small child sizes in 1 package: S M L

Best Sleep – Resupply Items and Related Sleep ProductsPhilips Respironics, Wisp Pediatric Mask

Wisp Pediatric replacement parts

Small child, small cushion

Small child, medium cushion

Small child, large cushion

Fabric frame

Headgear

Headgear clips

Sizing gauge

Tubing with cover subassemly

Part number

1104969

1104970

1104971

1104972

1104973

1104974

1104975

1104977

Wisp Pediatric nasal

Wisp Pediatric nasal mask

Fit pack with headgear

Part number

1104953

TrueBlue

TrueBlue with headgear

Petite

Small

Medium

Medium wide

Large

Available in 5 sizes: P S M MW L

Part number

1071800

1071801

1071803

1071804

1071805

TrueBlue without headgear

Petite

Small

Medium

Medium wide

Large

TrueBlue with headgear DuoPack (includes two same-size cushion sets)

Petite

Small

Medium

Medium wide

Large

TrueBlue with headgear FitPack (includes cushions in two sizes)

Small and medium

Medium wide and large

TrueBlue replacement parts

Petite cushion and flap

Small cushion and flap

Medium cushion and flap

Medium wide cushion and flap

Large cushion and flap

TrueBlue headgear

TrueBlue headgear, reduced size

TrueBlue gel forehead pad

TrueBlue talon clips (pack of 2)

Part number

1071806

1071807

1071808

1071809

1071810

Part number

1071818

1071819

1071820

1071821

1071822

Part number

1071816

1071817

Part number

1071861

1071862

1071863

1071864

1071865

1071875

1071874

1071888

1071877

TrueBlue nasal

Pico

Available in fitpack and 3 sizes: S/M XLL

Pico

Pico nasal mask fitpack, small/medium, large, extra large, with headgear

Pico nasal mask, small/medium, with headgear

Pico nasal mask, large, with headgear

Pico nasal mask, extra large, with headgear

Pico nasal mask, small/medium, without headgear

Pico nasal mask, large, without headgear

Pico nasal mask, extra large, without headgear

Replacement parts

Pico headgear

Pico headgear, reduced size

Small/medium nasal cushion

Large nasal cushion

Extra large nasal cushion

Pico sizing gauge

Pico headgear clips

Pico quick release swivel

Part number

1104940

1104915

1104916

1104917

1104918

1104919

1104920

Part number

1104934

1104935

1104936

1104937

1104938

1104939

1104933

1104931

Pico nasal

EasyLife

EasyLife with headgear

Petite

Small

Medium

Medium wide

Large

Part number

1050000

1050001

1050002

1050003

1050004

Available in 5 sizes: P S M MW L

EasyLife without headgear

Petite

Small

Medium

Medium wide

Large

EasyLife with headgear DuoPack (includes two same-size cushion sets*)

Petite

Small

Medium

Medium wide

Large

EasyLife with headgear FitPack (includes cushion sets* in two sizes)

Small and medium

Medium wide and large

EasyLife replacement parts

Petite cushion set*

Small cushion set*

Medium cushion set*

Medium wide cushion set*

Large cushion set*

EasyLife headgear

EasyLife headgear, reduced size

EasyLife Quick Clips (pack of 2)

Part number

1050010

1050011

1050012

1050013

1050014

Part number

1050005

1050006

1050007

1050008

1050009

Part number

1050078

1050079

Part number

1050090

1050091

1050092

1050093

1050094

1050087

1050086

1050097

EasyLife nasal

*A cushion set includes one inner seal cushion and one outer

support cushion.

ComfortGel Blue with headgear

Petite

Small

Medium

Large

Part number

1070040

1070039

1070038

1070037

ComfortGel Blue

Available in 4 sizes: P S M L

ComfortGel Blue without headgear

Petite

Small

Medium

Large

ComfortGel Blue with headgear DuoPack (includes two same-size cushion sets)

Petite

Small

Medium

Large

ComfortGel Blue with headgear FitPack (includes cushions in two sizes)

Small and medium

ComfortGel Blue replacement parts

Petite cushion and flap




Petite cushion

Small cushion

Medium cushion

Large cushion

Premium headgear

RS Premium headgear (smaller)

Forehead pad

ComfortGel Blue Quick Clips (2 per pack)

Part number

1070044

1070043

1070042

1070041

Part number

1070052

1070051

1070050

1070049

Part number

1070053

Part number

1070108

1070107

1070106

1070105

1070104

1070103

1070102

1070101

1033678

1059236

1040114

1009723

ComfortGel Blue nasal

Nuance

All 3 size cushions in 1 package: S M L

Nuance

Nuance gel pillows mask, with headgear

Nuance gel pillows mask, without headgear

Nuance replacement parts

Nuance headgear

Nuance RS fabric frame

Nuance fabric frame

Nuance small gel cushion

Nuance medium gel cushion

Nuance large gel cushion

Nuance swivel tube with exhalation

Part number

1105160

1106194

Part number

1105176

1105405

1105177

1105173

1105174

1105175

1105180

Nuance and Nuance Pro nasal pillows

Nuance Pro

All 3 size cushions in 1 package: S M L

Nuance Pro

Nuance Pro gel pillows mask, with headgear

Nuance Pro gel pillows mask without headgear

Nuance Pro replacement parts

Nuance Pro headgear

Nuance Pro frame

Nuance Pro small gel cushion

Nuance Pro medium gel cushion

Nuance Pro large gel cushion

Nuance Pro swivel tube with exhalation

Part number

1105167

1106195

Part number

1105178

1105179

1105173

1105174

1105175

1105180

OptiLife

Pillows cushions available in 4 sizes:

CradleCushions available in 4 sizes:

S

S

P M

M LN

L

L

OptiLife nasal pillows

OptiLife with headgear

FitPack: petite, small, medium, large pillows cushions

OptiLife without headgear

FitPack: petite, small, medium, large pillows cushions

OptiLife with headgear FitPack/DuoPack

Petite, small, medium pillows cushions, small, medium CradleCushions

Medium, large pillows cushions, medium, large, large narrow CradleCushions

OptiLife subassembly

With headgear, no cushions

Subassembly only

OptiLife replacement parts

Petite pillows cushion

Small pillows cushion

Medium pillows cushion

Large pillows cushion

Small CradleCushion

Medium CradleCushion

Large narrow CradleCushion

Large CradleCushion

OptiLife headgear

Tube management clip (2 per pack)

Pillows cushion sizing gauge (5 per pack)

Pillows cushion sizing gauge (20 per pack)

Part number

1036800

Part number

1036804

Part number

1036801

1036802

Part number

1036818

1036819

Part number

1036838

1036839

1036840

1036841

1036846

1036847

1036848

1036849

1036850

1039967

1032007

1031154

Amara View

Available in 3 sizes: S M L

Amara View with headgear

Amara View small mask with headgear

Amara View medium mask with headgear

Amara View large mask with headgear

Amara View small mask without headgear

Amara View medium mask without headgear

Amara View large mask without headgear

Amara View replacement parts

Amara View quick-release tube

Amara View small cushion

Amara View medium cushion

Amara View large cushion

Amara View headgear, large

Amara View headgear, standard

Amara View headgear clip, 2pk

Amara View sizing gauge

Part number

1090622

1090623

1090624

1090632

1090633

1090634

Part number

1090689

1090692

1090693

1090694

1090696

1090697

1090698

1090699

Amara View full

Amara

Amara with headgear

Petite (reduced size frame and headgear)

Small (reduced size frame and headgear)

Medium (reduced size frame)

Large (reduced size frame)

Amara silicone fit pack (includes all four silicone cushions, reduced size frame and headgear)

Part number

1090200

1090201

1090226

1090227

1090267

Available in 4 sizes: SP M L

Amara without headgear

Petite (reduced size frame)

Small (reduced size frame)



Amara starter kits (includes gel mask with same size silicone cushion)

Petite

Small

Medium

Large

Amara replacement parts

Petite cushion

Small cushion

Medium cushion

Large cushion

Amara headgear, reduced size

Amara headgear, standard

Forehead pad

Talon headgear clips

Entrainment valve swivel

Part number

1090210

1090211

1090215

1090216

Part number

1106618

1106619

1106620

1106621

Part number

1090290

1090292

1090293

1090294

1090296

1090297

1040114

1071877

1081899

Amara full and Amara Gel

Amara Gel

Amara gel with headgear

Petite (reduced size frame and headgear)

Small (reduced size frame and headgear)



Amara gel fit pack (includes all four gel cushions, reduced size frame and headgear)

Part number

1090400

1090401

1090405

1090406

1090467

Available in 4 sizes: SP M L

Amara gel without headgear

Petite (reduced size frame)

Small (reduced size frame)



Amara starter kits (includes gel mask with same size silicone cushion)

Petite

Small

Medium

Large

Amara gel replacement parts

Petite cushion

Small cushion

Medium cushion

Large cushion

Amara headgear, reduced size

Amara headgear, standard

Forehead pad

Talon headgear clips


Part number

1090410

1090411

1090415

1090416

Part number

1106618

1106619

1106620

1106621

Part number

1090490

1090492

1090493

1090494

1090296

1090297

1040114

1071877

1081899

ComfortGel Blue Full

ComfortGel Blue Full with headgear

Small

Medium

Large

Extra large

Part number

1081800

1081801

1081802

1081803

Available in 4 sizes: S M L XL

ComfortGel Blue Full without headgear

Small

Medium

Large

Extra large

ComfortGel Blue Full with headgear DuoPack (includes two same-size cushions)

Small

Medium

Large

Extra large

ComfortGel Blue Full without headgear DuoPack (includes two same-size cushions)

Small

Medium

Large

Extra large

ComfortGel Blue Full replacement parts




Extra large cushion and flap

Small cushion

Medium cushion

Large cushion

Extra large cushion

ComfortGel Blue Full headgear

RS premium headgear (smaller)

Forehead pad


ComfortGel Blue Full Quick Clips (2 per pack)

Port cap (5 per pack)

Part number

1081810

1081811

1081812

1081813

Part number

1081805

1081806

1081807

1081808

Part number

1081815

1081816

1081817

1081818

Part number

1081895

1081896

1081897

1081898

1081890

1081891

1081892

1081893

1040138

1059236

1040114

1081899

1040139

1061825

ComfortGel Blue Full

FitLife

Available in 3 sizes: S L XL

FitLife full

FitLife with headgear

Small

Large

Extra large

FitLife without headgear

Small

Large

Extra large

FitLife replacement parts

FitLife headgear, small

FitLife headgear, large

FitLife headgear, extra large

FitLife snap clips (2 per pack)

Mask swivel

Entrainment elbow

Part number

1060801

1060802

1089991

Part number

1072530

1072531

1089992

Part number

1060807

1060808

1089990

1060913

7041

1060809

Accessories

Chin strap

Premium chin strap

Deluxe chin strap

Lightweight CPAP tubing (6 ft.)

Standard CPAP tubing (10 ft.)

Sizing gauge ring

LiquiCell Nasal CPAP cushion

Codes for nasal masks

Nasal mask only

Headgear

Nasal cushion replacement

Codes for full face masks

Full face mask only

Headgear

Full face cushion replacement

Codes for nasal pillows masks

Nasal mask only

Headgear

Nasal pillow replacement

Nasal cushion replacement(OptiLife CradleCushion)

Exhalation port with swivel (GoLife PN 1078407)

U.S. HCPCS codes

A7034

A7035

A7032

U.S. HCPCS codes

A7030

A7035

A7031

U.S. HCPCS codes

A7034

A7035

A7033

A7032

A7045

Mask accessories/U.S. HCPCS codes

Mask accessories/ U.S. HCPCS codes

Part number

302175

1012911

302425

1032907

7212

1036425

1109097

System One

REMstar SE

REMstar SE (flow generator only - no modem)

REMstar SE (flow generator only) with Cell Modem

REMstar SE with Humidifier and Standard Tube (no modem)

REMstar SE with Humidifier and Standard Tube with Cell Modem

REMstar SE with Humidifier and Heated Tube (no modem)

REMstar SE with Humidifier and Heated Tube with Cell Modem

Part number

DS220S

DS220S04C

DS220HS

DS220HS04C

DS220TS

DS220TS04C

System One devices

System One and System One accessories

System One accessories

Humidification

System One 60 Series humidifier

System One 60 Series Heated Tube humidifier (includes 80-watt power supply and Heated Tube)

Water chamber (includes 50 and 60 Series lids)

Heated Tube humidifier upgrade kit

Power supplies

60-watt power supply (for H and HS models)

80-watt power supply (for TS model only)

Power cord

Tubing

System One Heated Tube

System One Performance Tube 15 (15mm)

Performance Tube (22mm)

Filters

Pollen (foam) filter, reusable (1 per pack)

Pollen (foam) filter, reusable (2 per pack)




Accessories

Device side panel

Carrying case

Part number

DS6H

DS6T

1063785

6T-CONVKIT

Part number

1091398

1091399

1005894

Part number

SYS1HT15

1074400

1032907

Part number

1035443

1029330

1063096

1035442

1029331

Part number

1099592

1063857

Data cards and accessories

SD card (10 pack)

SD card mailer (10 pack)

SD card cover (attached to device)

SD card reader

Modems

Wireless flow modem

Wireless flow modem monthly service

Broadband modem

Modem oximetry accessories

Oximetry accessory

Masimo HPLP oximetry module

Masimo oximetry sensor

Travel accessories

Universal PAP/laptop travel briefcase

Shielded DC cord

DC battery adapter cable

Shielded 12VDC power cord system (includes shielded DC cord and battery adapter cable)

Part number

1063859

1065146

1063858

1047300

Part number

100200C

100201C

100200E

Part number

100205E

1075383

Various part numbers

Part number

1114784

1097568

532209

1099011

Data Management accessories

©2017 Koninklijke Philips N.V. All rights reserved. Specifications are subject to change without notice.

Caution: US federal law restricts these devices to

sale by or on the order of a physician.

www.philips.com/respironics

RRDPGH EB 1/18/17 MCI 4107845 PN 10263461010 Murry Ridge Lane, Murrysville, PA 15668 800-345-6443 • 724-387-4000

sleep reference guide -...

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