New Product Trends Masks Flow generators

Masks Small Quiet Lightweight Clear Comfortable Easy to fit Easy to clean Cost effective Compatible with a wide range of flow generators

Masks Effective mask design Cutting edge technology Consideration of various face types Dedicated research and development Responsiveness to patient and clinician needs Innovative design Excellence in engineering

Masks Study of the face and head –Length and width of nose, nose bridge, forehead angle, nose tip angle Simulated air flow dynamics –Noise, CO 2 performance, minimise flow impedance CO 2 rebreathing testing Forehead Angle Nose Length Nose Tip Angle Nose Protrusion

Masks Head/torso simulator used for noise testing

Mirage Vista A mask that meets the needs of the patient and the clinician Unobtrusive and compact –Forehead support assembly eliminated –Does not sit on nose bridge Long term comfort and performance Enhanced user friendliness

Mirage Vista Clear field of view One snap elbow Set and forget headgear Easy lock parts Mask angle selector Superior cushion technology

Mirage Vista Suitable for OSA patients Can be used for bi-level ventilation if the delta P (pressure swing) is <7cmH 2 O Larger noses may need the Ultra Mirage Mouth breathers may need the Mirage Full Face Mask S2

Auto-titration Use of an intelligent device that automatically detects and responds to respiratory events Devices vary greatly in their ability to provide adequate therapy The most widely accepted and clinically validated devices respond to apnea, inspiratory flow limitation and snoring

Autotitration Clinical application Sleep laboratories – under supervision of technologists Home titrations PAP clinics Follow-up or troubleshooting studies

AutoSet Spirit

AutoSet Spirit is ResMed’s latest automatic positive airway pressure (PAP) device for the treatment of OSA The first auto-titration device that offers fully integrated humidification for your patient Designed and manufactured in Australia by ResMed Latest technology hardware –Motor –Flow sensor - pneumotach

AutoSet Spirit Contains the same trusted and clinically validated software algorithm as in the AutoSet T Monitors the status of the upper airway on a breath by breath basis and assesses the shape of the inspiratory flow time curve The device responds to flow limitation, snoring and apnea Ensures that your patient receives optimal therapy at all times

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AutoSet Spirit Comfort Lower mean overnight pressures because the device responds to first signs of upper airway collapse Fewer pressure related side effects Less mask leak More compliant patient Better outcomes for patient

AutoSet Spirit Comfort Integrated humidification with the HumidAire 2i –Reduces nasal airway resistance –Reduces minor mouth leaks –Prevents drying of the airway Use it to prevent side effects Use it to treat side effects

AutoSet Spirit Confidence and assurance Uses the clinically validated AutoSet algorithm New state-of-the-art flow sensor, motor and airflow path –The clinical response to flow limitation is equivalent to the highly successful AutoSet T

AutoSet Spirit Patient motivation Smart Data and Diary engages and encourages active involvement in therapy –Daily feedback on progress –Assists with minor troubleshooting Clinician motivation Smart diary provides quick and valuable information on patient progress and compliance Quick and simple access to data –Apnea hypopnea index, apnea index, hypopnea index, pressure leak, usage can be viewed on the LCD screen –Download into AutoScan 3.4 for detailed information

Autotitration AutoSet devices collect comprehensive graphical and statistical data to facilitate patient management –Apnea hypopnea index –Apnea index –Maximum, median and 95 th centile leak –Maximum, median and 95 th centile pressure –Compliance/usage data

Usage Profile AutoSet Spirit TM AutoSet Spirit Treatment Profile AutoSet Spirit Night Profile

AutoSet Spirit ResLink Module The future in data collection, storage and transfer Enables the clinician to collect detailed clinical data Conduct synchronous oximetry Upgrade software Choice of data transfer methods –Memory stick (store detailed data) –Modem –Direct to PC Move the ResLink between patients as required - lighter and easier to transport than the flow generator

Summary New product trends Products are becoming smaller, lighter, simple to use and clean The Mirage Vista offers superior performance and comfort, in addition to being user-friendly The AutoSet Spirit offers clinicians a clinically validated way of ensuring that their patients receive optimal and comfortable PAP therapy on a short and long term basis