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Löwenstein prisma25ST
The prisma25ST by Löwenstein Medical is the therapy device of choice at obstructive, mixed or complex sleep apnea with comorbidities. It offers its users maximum flexibility in BiLevel settings. Various automatic functions and comfort-enhancing features enable safe, effective and whisper-quiet BiLevel-ST therapy made in Germany.
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prisma25ST
BiLevel-ST therapy with maximum flexibility.
Whether it is maximum flexibility in settings or indication-specific pre-setting (SCOPES) - the prisma25ST by Löwenstein Medical offers you the right solution for your individual needs. The optionally adjustable automatic back-up frequency provides additional security.
Highlights:
BiLevel flexibility at its best:
Additional pressure relief (Bi soft 1/2), automatically regulated pressure difference (autoPDIFF) and autoTriLevel ensure maximum adaptability of the therapy to the patient's needs and provide additional, secure breathing comfort.
Features that impress:
The prisma25ST therapy device impresses with its intelligent BiLevel pressure profiles, the automatic or permanently set backup frequency and the integrated respiratory stability indicator prisma RECOVER. prisma RECOVER continuously evaluates the breathing pattern during therapy and identifies phases of very stable breathing that indicate deep sleep, a particularly restful phase of sleep. Even in BiLevel modes, phases of particularly stable respiration are recognized and identified. This means that, for the first time, successful therapy can also be evaluated in terms of sleep quality in prisma JOURNAL, prisma APP, prismaTS or in telemonitoring with prisma CLOUD.
Intelligent menu navigation:
The menu navigation of the prisma25ST sleep therapy device is identical to the other devices in the prismaLINE. This ensures quick, easy and intuitive handling and operation.
Features:
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Modern connectivity
Compatible and future-proof. Various interfaces such as SD, PSG, LAN and external modem offer various options for data transfer. Our software solutions (e.g. prismaTS, prisma APP and prisma CLOUD) are available for simple, flexible and secure therapy support. -
Sensor less intelligent humidification
When using the prismaAQUA humidifier, smartAQUAcontrol can optionally be switched on: to quickly warm up the applied flow at the start of therapy and to ensure humidifier performance during periods of increased leakage. prismaAQUA can optionally be operated with a heated circuit. -
Fall asleep comfortably - softSTART
The softSTART function can be activated to help you fall asleep and slowly acclimate to therapy pressure during the sleep phase. This ensures a slow increase in pressure over a set period until therapy pressure is reached. This is particularly useful for patients who find high pressure uncomfortable while awake and cannot fall asleep. -
Pressure relief softPAP
For comfortable expiration during therapy, the pressure in CPAP and autoCPAP mode is reduced at the start of expiration and increased to therapy pressure in time for the start of the inhalation phase to facilitate exhalation as much as possible and effectively prevent events. -
Pressure reaction fits patient’s needs
Patients react with varying sensitivity to pressure adjustments. For effective therapy and breathing comfort, two options for pressure adjustments are available in APAP mode. In addition, a pressure increases at closed central events is avoided. -
Precise event recognition
With the help of “Forced Oscillation Technique” (FOT) in modes without back-up frequency or with “Forced Breath Technology” (FBT) in modes with backup frequency, reliably precise differentiation is made between central and obstructive apnea. Hypopnea too is reliably differentiated and recognized, as are other events such as Cheyne-Stokes respiration, flow limitations, snoring and RERA.
Technical Specification:
Product class as per Directive 93 / 42/EEC | II a |
Dimensions (W x H x D) | 170 x 135 x 180 mm |
Weight | about 1.4 kg |
Temperature range | • Operation: +5 °C to +40 °C • Storage: -25 °C to +70 °C |
Permitted humidity, operation and storage | rel. humidity 10% to 95%, no condensation |
Air pressure range | 700 – 1060 hPa coresponds to altitude of 3000 meters |
Electric rating | max. 40 VA |
System interface | 12 V DC max. 10 VA |
Power consumption in | 240 V 115 V |
• Operation (therapy): 0.11 A 0.25 A • Standby: 0.035 A 0.022 A |
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Classification as per EN 60601-1-11 • Type of protection from electric shock: protection class II • Level of protection from electric shock: type BF • Protection from damaging ingress of water and solids: IP21 |
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Alarms | leak and disconnection |
Modes | CPAP, APAP, BILevel S, auto S, BILevel S/T, autoS/T, BILevel T |
Mean sound pressure/ Operation as per ISO 80601-2-70 |
about 26.5 dB(A) at 10 hPa |
CPAP operating pressure range | 4 to 20 hPa |
BiLevel operating pressure range | 4 to 25 hPa |
Relative inspiration time: Ti/Tset | 25% to 67% |
Trigger | auto or can be set at three levels |
Pressure increase speed | can be set at three levels |
Backup frequency | 0 bpm, 5 to 35 bpm, auto |
Pressure accuracy | <20 hPa ± 0.6 hPa, ≥20 hPa ±0.8 hPa |
Peak flow as per ISO 80601-2-70, BiLevel mode, without humidifier 4.0 hPa 235 l/min 10.5 hPa 225 l/min 17.0 hPa 215 l/min 23.5 hPa 200 l/min 25.0 hPa 195 l/min |
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Stability of the dynamic pressure (short-term accuracy) for 10 breaths/min as per ISO 17510-1:2007 with use of the 19-mm tube. 7.0 hPa Δp≤0.24 hPa 10.0 hPa Δp≤0.28 hPa 13.5 hPa Δp≤0.3 hPa 20.0 hPa Δp≤0.4 hPa |