DreamStation 2
Auto CPAP Advanced

Information for patients and caregivers who have received a DreamStation 2 as a replacement for your existing CPAP device

Ozone and UV light cleaning products are not currently approved cleaning methods for sleep apnea devices or masks and should not be used.

A note about the foam used in your DreamStation 2

While affected devices contained a polyester-based polyurethane (PE-PUR) sound abatement foam component, the sound abatement foam in all new and recertified devices is a silicone foam that has met all applicable industry testing standards, including particulate and Volatile Organic Compounds (VOCs) emissions testing, and is authorized as part of our remediation.

November 2023 update: Philips statement on recent FDA safety notification related to DreamStation 2

While the DreamStation 2 was not affected by the PE-PUR recall, patients may have received one as a replacement for an affected sleep therapy device. If you have questions about the recent FDA notice, please contact customer service at 833-262-1871.

Links and downloadables

DreamStation 2 Auto CPAP Advanced user manual (2.26MB)

DreamStation 2 Auto CPAP Advanced quick start guide (3.29MB)

DreamStation 2 Setup & Return Instructions (591.0KB)

Full product details

Download Cleaning and Inspection Instructions (63.0KB)

Troubleshooting

Philips DreamStation 2 Auto CPAP Advanced Setup and Use

Do not discard any of the packaging material. You will use it to return your recalled device.

Additionally, please keep the following device components and accessories from your current device, you will need them to set-up your replacement device.

Tubing

Mask

SD Card*

* Save your SD card (if applicable) as your Doctor or DME may ask for it, but do not insert it into your DreamStation 2 as the encryption is incompatible.

1 Disassemble your old machine

Disconnect the power supply, power cord, tubing, and mask.
If applicable, please ensure the humidifier does not contain any water.
Remove SD card (if applicable) and save for later as your Doctor or DME may ask for it, but do not insert it into your DreamStation 2 as the encryption is incompatible.

2 Assemble the replacement sleep apnea therapy machine

Unpackage your replacement DreamStation 2 device and clean the humidifier water tank per cleaning instructions in the user manual.
For device components and accessories you have kept, clean per the cleaning instructions in the user manual.
Connect the power supply and power cord to the bottom of the device and plug in the power cord to an outlet not controlled by a light switch.
Save your SD card (if applicable) as your Doctor or DME may ask for it, but do not insert it into your DreamStation 2 as the encryption is incompatible.
Reattach the humidifier water tank by sliding it onto the device.
Attach tube.
Attach mask.

3 Allow for device settings to upload before starting therapy

Once the device is plugged in wait five minutes to allow the device settings to upload via the integrated cell modem. In some instances you may see an on-screen pop appear informing you of a prescription update/change.
Press the therapy button to initiate air flow and ensure proper operation.

Mapping of Device Settings

DreamStation Setting	DreamStation 2 Setting
Tube Size	Matches DreamStation setting (if heated tube attached, device will automatically detect)
Ramp Pressure	Ramp Plus pressure set to off (patient to select desired starting pressure)

NOTE: If you had a Ramp pressure set on your device, you will need to reset on the DreamStation 2 device using the replacement Ramp Plus feature. This can be adjusted by tapping the Ramp Plus icon while therapy is running and tapping the +/- icons until the desired and comfortable start pressure is achieved. After Ramp Plus is set, the device will automatically deliver this pressure during the therapy session and future therapy sessions without additional activation.

Please reference the Patient Quick Start Guide and User Manual for more detailed information about the device and operation.
Your device is now ready to use.
Update your device serial number information in DreamMapper. It is important to wait until after you have completed the previous steps to do this. (Note: if applicable, verify that your new device serial number is now active in DreamMapper by checking your DreamMapper account/app.)

Troubleshooting

Return Instructions for affected device

1 Package your old machine for return shipment

Using the packaging material that came with your replacement device, place your affected device in the shipping box provided. If applicable, please ensure your humidifier is empty of water.

Tape the box after packaging is complete. The tape should be centered so equal amounts of tape extend down the sides of the shipping box as shown here.

Peel the pre-paid label from its backing and attach it to the shipping box making sure you completely cover the original shipping label.

Ensure the shipping box is securely taped and sealed to prevent it from breaking open during shipment.

Do not return: SD card, tubing, or mask

2 Contact FedEx

Find the closest drop off location or schedule a pickup.

You may also give the package to any FedEx driver making regular pick ups or deliveries.
Alternatively, you can take the package to an authorized FedEx shipping outlet.

This return shipment is pre-paid, so there is no charge to you.

Call FedEx (800) 463-3339

Go to fedex.com

Troubleshooting your DreamStation 2 Auto CPAP Advanced

The guidance below is intended to address some of the more common questions we receive about replacement devices. If you cannot find what you are looking for, please contact your Durable Medical Equipment provider (DME) for additional support. To find a DME in your area, please reach out to your physician or insurance provider.

What is the difference between the DreamStation and DreamStation 2 humidification system?

What is the difference between the DreamStation and DreamStation 2 humidification system?

If you are accustomed to using a first-generation DreamStation device with humidification, you may notice that you may be using less water and that the humidifier plate is occasionally less warm than with your original device. The Dreamstation 2 utilizes adaptive humidification when a standard tube is being used. This means that the device automatically adjusts the heater plate temperature to maintain a constant level of relative humidity at the mask and adapts to the ambient conditions in the room.
My DreamStation 2 humidifier will not heat. What should I do?

My DreamStation 2 humidifier will not heat. What should I do?

In order to troubleshoot this issue, you may try the following steps:

1. Ensure that the humidifier is attached to the device correctly and there is distilled water in the chamber.

2. Make sure that the humidifier is turned on and that your mask and tubing are attached correctly.

3. Ensure that the device and humidifier are turned on and that you are wearing the mask on your face. You may need to test this by wearing the device for about 5 minutes. Please note that the humidifier plate will not begin to heat without you wearing the mask.
Can I use my DreamStation 2 device without the humidifier attached?

Can I use my DreamStation 2 device without the humidifier attached?

No- the DreamStation 2 requires that the humidifier is attached, even if you are not using humidification. If you are using your DreamStation 2 device without humidification, please ensure that the humidifier is in place, but turned off.

If you continue to experience this issue, please contact your Durable Medical Equipment provider (DME) for additional support. To find a DME in your area, please reach out to your physician or insurance provider.
My humidifier is leaking. What should I do?

My humidifier is leaking. What should I do?

1. Please be sure that you have removed the humidification chamber from the device prior to filling it with water as this may cause water to splash or spill.
2. Do not fill past the max fill line.
3. Inspect the chamber and lid to make sure that there are no cracks or damage to the chamber that may cause leaking.

If you continue to experience this issue, please contact your Durable Medical Equipment provider (DME) for additional support. To find a DME in your area, please reach out to your physician or insurance provider.
My DreamStation 2 device will not power on. What should I do?

My DreamStation 2 device will not power on. What should I do?

1. Ensure that the power supply is plugged securely into the device and that power supply and power brick have a good connection.
2. Plug the power cord directly into wall power and NOT into a surge protector or power strip.
3. Ensure that the power outlet is a good, working outlet and not governed by a wall switch or dimmer.

If you continue to experience this issue, please contact your Durable Medical Equipment provider (DME) for additional support. To find a DME in your area, please reach out to your physician or insurance provider.
My DreamStation 2 device is turning off during the night. What should I do?

My DreamStation 2 device is turning off during the night. What should I do?

There are several reasons that your DreamStation 2 device may be automatically shutting off, including excessive leak or if it cannot sense your breathing. Sometimes, the Auto-Off feature on the device may be turned on. We recommend contacting your DME provider to confirm that this feature is off.
The screen on my DreamStation 2 device says “Service Required.”

The screen on my DreamStation 2 device says “Service Required.”

In order to troubleshoot, please do the following:

1. Remove the water chamber and empty.
2. Unplug the device from the wall and power brick.
3. Remove your SD card if applicable.
4. Reconnect your power brick into the bottom of your device and plug directly into the outlet (not a power strip).
5. Power on device.
6. If excess water caused the error, water may spray from the silicone inlet/outer seal of the device.
7. If your device is still displaying “Service Required,” please unplug the device and try a different outlet. Ensure that the power outlet is a good, working outlet and not governed by a wall switch or dimmer.

If your device is still displaying “Service Required,” please contact your Durable Medical Equipment provider (DME) for additional support. To find a DME in your area, please reach out to your physician or insurance provider.
How does the Ramp feature work on my new DreamStation 2 vs. the first-generation DreamStation?

How does the Ramp feature work on my new DreamStation 2 vs. the first-generation DreamStation?

Unlike the DreamStation CPAP device, the DreamStation 2 CPAP Advanced device features the Ramp Plus feature where a user can select a comfortable start pressure. Once set, the device will automatically start at the selected Ramp Plus pressure with all future therapy sessions. You no longer need to tap a Ramp button every night to start at the desired pressure. This means you can set the Ramp Plus pressure once and there is no need to restart/activate it each night. Even Auto ON is enabled so that all you have to do it is put your mask on and start breathing.
My DreamStation 2 device delivers a different pressure than the device it replaced.

My DreamStation 2 device delivers a different pressure than the device it replaced.

We understand that any change to your therapy device can cause concern. We are working with your homecare provider/DME to ensure proper and smooth replacement device setup.

We have a patient management software solution that in many cases allows your homecare provider to access the prescription settings from your previous device. This means your replacement device may have comparable settings to your previous device. If, however, you chose to receive a device with Auto-adjusting CPAP settings, it will be set to factory default.

Your current CPAP device may be set to deliver one level of pressure throughout the night. However, pressure from a CPAP device can either be fixed by setting it manually (conventional CPAP device) or setting it to automatically adjust based on the characteristics of your airway during sleep (auto-titrating CPAP, or Auto- adjusting CPAP).

CPAP
Continuous positive airway pressure

CPAP provides one level of pressure to your upper airway throughout the night.

Auto-adjusting CPAP
Automatically-adjusting airway pressure

Auto-adjusting provides a variable pressure throughout the night based on your needs and sleep stage.

It can take a few hours for your device, when set to the auto-adjusting mode, to adjust to the characteristics of your airway. As the device adjusts your therapy it may feel different than your previously-prescribed fixed-pressure settings. The Auto CPAP device can change your pressures between the designated range during each night depending on your current situation or need for more or less pressure. It may take a few nights to become acclimated.

You can learn more about the differences between CPAP and Auto-adjusting CPAP here.

Cleaning your DreamStation 2 Auto CPAP Advanced*

Before resuming therapy on your new or replacement machine, you or your equipment provider must visually inspect the following accessories for evidence of particulate contamination:

Tubing
Mask components (mask, cushions and integrated tubing)
Humidifier tank and seals (if applicable)

If there is no evidence of particles on any of these components: 

clean each component per their respective instructions for use
reassemble and resume therapy on your new device

If visible particles are evident on any of these components:

Contact your equipment provider for replacement options (prior to restarting therapy)

Before you begin cleaning:

Unplug your device before cleaning

Do not submerge device in water

Always use distilled water in your humidifier tank

* Refer to your specific device manual for further details on the cleaning process

Thank you for your cooperation and assistance in connection with Philips’ efforts to remediate the recalled Respironics Sleep and Respiratory Care devices (each, an “Affected Device”). To expedite these efforts, Philips in many cases is (or will be) providing a replacement device (an “Advanced Exchange”) in advance of the return of an Affected Device. By accepting the Advanced Exchange, you are agreeing to return your Affected Device to Philips so that, in many cases, Philips can expeditiously refurbish the returned Affected Device to help ensure another user receives a replacement device sooner. This is consistent with the FDA’s direction for a prompt remediation.

Upon receipt of Advanced Exchange, please follow the instructions that you receive regarding the return of your Affected Device to Philips. Specifically, it is important that you promptly return your Affected Device. Your returned Affected Device will either be repaired to replace the foam insulation with an approved insulation, or will be destroyed.

Please note that in order to effectuate the Recall Plan it is necessary that you return your Affected device promptly, consistent with FDA regulations. By participating in the Advanced Exchange or receiving a remediated device, you acknowledge and agree that the foam insulation will be removed and may be discarded, and that your Affected Device may be destroyed or refurbished. Thank you again for your assistance in this matter.