ResMed AirCurve 11: A New Bilevel Therapy Experience
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.
Visit: ResMed.com
Image: The ResMed AirCurve 11 device with a white, modern design, featuring a color touchscreen display showing 'Home', 'My Options', 'My Sleep View', and '+ More'. The device has a clear water tub for humidification.
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 positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP).
AirCurve 11 VAuto
AirCurve 11 VAuto bilevel PAP devices treat patients with obstructive sleep apnea and help those struggling to adhere to PAP therapy.
AirCurve 11 ASV*
AirCurve 11 ASV* offers personalized therapy for patients presenting with central sleep apnea (CSA), obstructive sleep apnea, mixed apneas, and periodic breathing.
HCPC: E0470 (VAuto), E0471 (ASV)
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.
Image: Side-by-side images of the ResMed AirCurve 11 VAuto and AirCurve 11 ASV devices.
Image: A diverse couple smiling and looking upwards, representing patients benefiting from therapy.
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.
Using coaching and the ability to track and view nightly sleep data, myAir™ and AirView™ together have been found to improve patient compliance from 70% to 87%.²
myAir™
The online coaching and support program and app for patients, acting like a personal sleep coach, enhanced with support for bilevel patients.*
AirView™
A secure, cloud-based system that helps providers manage patients, enabling an informed pathway to optimal care.
Masks
ResMed masks are designed to provide an optimized therapy experience with Air11 devices and myAir.
AirCurve 11 VAuto and ASV* bilevel devices feature the trusted algorithms used in AirCurve 10 devices.
Personal Therapy Assistant
One of the many features in myAir that offers interactive, voice-guided instructions and videos to help guide patients through equipment setup and get comfortable with therapy.**
The majority of surveyed patients who use Personal Therapy Assistant with their AirSense 11, part of the Air11 platform, reported that the feature helped them get started on PAP therapy.³
Care Check-In
Care Check-In questions specific to bilevel therapy goals and acclimation obstacles, providing support to patients and insights to providers.**
91% of CPAP patients who completed all Care Check-In checks achieved compliance for AirSense™ 11.⁴
Graphic: Transition from 70% to 87% with an arrow. A circular callout with text about Personal Therapy Assistant. A graphic showing 91% with a checkmark.
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:
- 1. 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.
- 2. Pressure support: Pressure support sets the difference between inspiratory and expiratory pressure and is fixed throughout the night.
- 3. 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.
- 4. 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.
The VAuto algorithm is proven to have a positive effect on sleep quality and daytime sleepiness for patients switching from continuous pressure to ResMed VAuto bilevel therapy.⁵
Diagram: Line graph showing pressure over time, illustrating 'Pressure support' between 'MIN EPAP' and 'MAX IPAP'.
Graphic: Circular graphic with text stating 'The VAuto algorithm is proven to have a positive effect on sleep quality and daytime sleepiness for patients switching from continuous pressure to ResMed VAuto bilevel therapy.⁵'
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:
- 1. 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.
- 2. 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.
- 3. 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.
Research indicates patients with complex sleep apnea attained an almost 90% reduction of apnea hypopnea index (AHI) when treated with ASV vs. a 65% AHI reduction when treated with CPAP.⁶
A majority of sleep physicians say they trust ResMed AirCurve 10 ASV the most for treating central sleep apnea.⁷
* 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.
Diagram: Diagram illustrating 'Breath phase mapping' with numbered points from 1 to 13, showing a waveform.
Graphic: Graphic showing '90%' with a checkmark and text about ASV vs. CPAP effectiveness for complex sleep apnea.
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.
- Sleek, modern design: Helps reduce the stigma of having a PAP device on the nightstand.
- Start/Stop button: Simple turning on/off with a single tap.
- Over-the-air updates: Delivers software and new digital features directly to the device.
- Removable water tub: Easy to fill and clean for active heated humidification.
- Touchscreen: Makes navigating settings simple and intuitive.
- Integrated cellular and Bluetooth communication: Enables secure and automated data transmission to the cloud for access in AirView and myAir.
- Integrated heated humidifier: Can be automatically controlled through the Climate Control feature or manually set by the user.
- Heated or non-heated tubing option: Heated tubing, such as ClimateLineAir 11, offers integrated heat to prevent condensation inside the tube.
- Disposable air filters: Made of fine mesh to filter out environmental particulates and provide cleaner air to patients.
Studies show that PAP patients with heated humidification systems spend significantly more time in REM sleep and use therapy for longer.⁸, ⁹
Image: The ResMed AirCurve 11 device with callouts pointing to its features: Sleek, modern design; Start/Stop button; Over-the-air updates; Removable water tub; Touchscreen; Integrated cellular and Bluetooth communication; Integrated heated humidifier; Heated or non-heated tubing option; Disposable air filters.
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: 1) 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: 1) Diagnosis of CSA or CompSA and 2) 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 | AirCurve 11 ASV* | |
---|---|---|
HCPC | E0470 | E0471 |
IFU | 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 | ||
CSA detection | ✔️ | |
Vsync automatic leak management | ✔️ | |
Adjustable trigger and cycle sensitivity | ✔️ | |
Adjustable TiControls (Ti Max/Ti Min) | ✔️ | |
Auto-adjustment of pressure for OSA events | ✔️ |
Device ordering information
Device | Model number | HCPC |
---|---|---|
AirCurve 11 VAuto USA CO | 39018 | E0470 + E0562 + A7037 + A9279 |
AirCurve 11 VAuto USA TRI | 39019 | E0470 + E0562 + A4604 + A9279 |
AirCurve 11 VAuto CAN TRI | 39020 | E0470 + E0562 + A4604 + A9279 |
AirCurve 11 ASV USA CO | 39012 | E0471 + E0562 + A7037 + A9279 |
AirCurve 11 ASV USA TRI | 39013 | E0471 + E0562 + A4604 + A9279 |
AirCurve 11 ASV CAN TRI | 39023 | E0471 + E0562 + A4604 + A9279 |
AirCurve 11 accessory ordering information
Accessory | 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 WristOx2® 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 |