Liberty Home Care Services

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1 Liberty Home Care Services Personal Health Solutions Ostomy PAGES 5-73 PAGES Continuous Positive Air Pressure Urological PAGES Diabetes PAGES FREE SHIPPING and a NO-RISK GUARANTEE see page 3 for details Exceptional support and over 10,000 products to help you manage your health. All delivered directly to you in the comfort of your home! Speak with a Liberty Representative Visit Us Online

2 ResMed Pg 76 Respironics Pg 80 Fisher & Paykel Pg 83 PAP THERAPY Pg 86 A Dream Come True For people with sleep apnea, the difference between sleeping with and without is like night and day. Effective therapy helps you recharge your body so you no longer experience daytime exhaustion and the inability to concentrate. Reintroduce yourself to a better quality of life with more energy to do the things you love. Speak with a Liberty Representative Visit Us Online 75

3 ResMed Full Face Masks Mirage Quattro Full Face Mask MicroFit dial offers 24 positions so the Mirage Quattro truly delivers a personalized fit and comfort for more than 95% of users. Spring air cushion accommodates movement during sleep Streamlined design and quiet performance Fewer parts make it easy to assemble, disassemble and clean Cushions Extra Small Small Medium Large Mirage Liberty Full Face Mask A full face mask that seals individually at the mouth and nose so you have less mask and enjoy more freedom. Less skin contact Open field of vision Mouth cushion & nasal pillows Cushions Small Medium Large Standard HCPCS A7027, A7035 A7027 A7028 A7035 Ultra Mirage Full Face Mask Pressure leaks through your mouth are minimized for full therapy benefits. Forehead support adjusts to 4 positions Excellent seal without tight headgear Set & forget headgear needs to be fitted only once Mask Only Cushions Small Standard Small Shallow Medium Standard Medium Shallow Large Standard Large Shallow Standard DID YOU KNOW? On average over 115,000 breaths pass through your mask and tubing every month. Mirage Liberty Full Face Cushions Small Pillows Medium Pillows Large Pillows Small Large HCPCS A7029 A7029 A7029 Quattro FX Full Face Mask With a lightweight frame and clear field of vision, the mask offers the coverage and stability of a full face mask in an unobtrusive design. The custom-made sizing tool and Swing Seal fitting make it easy to achieve a comfortable, effective seal. Smaller frame creates a clear line of site New contoured crown strap headgear sits snugly at the top of the head Stylish pink headgear for Her Cushions Small Medium Large Standard Quattro FX for Her Full Face Mask Cushions (Light Pink) Small Medium Large Standard No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

4 Cushions Standard Large Shallow Shallow Wide Cushions Small Medium Large Large Wide Extra Large Ultra Mirage II Nasal Mask All of the best features of the Ultra Mirage mask with improved forehead support and flexible pads that conform to the shape of your forehead. Minimizes pressure on the bridge of the nose Quick-release clips allow for easy mask removal 360º elbow rotation provides flexibility of tubing position Mirage Micro Nasal Mask A unique MicroFit dial allows you to fine-tune the fit to 24 positions. Each turn of the dial makes precise adjustments to the forehead support in small increments Proven dual-wall cushion Mask Frame Cushions Standard Wide One Mirage FX Nasal Mask Nasal mask has the perfect balance of lightweight comfort, premium performance and simplicity in use. Hers combines the innovative design of the Mirage FX with a stylish pink headgear and a fit range customized for women. Only four parts make fitting and care easy Flexible butterfly wing forehead support allows a dynamic range of fit and adjustment; the plastic does not contact the skin Flexible headgear, minimal frame width and smaller sizes Mirage FX for Her Nasal Mask Mask Frame Cushions Standard Wide One Mirage SoftGel Nasal Mask The DoubleGel cushion s outer layer provides unparalleled softness while the blue gel layer maintains stability and support. Small, built-in vents diffuse air quietly Choice of two different cushions on one frame Cushions Small Medium Large Large Wide Nasal Masks Q: How do I know if my mask should be replaced? A: As masks age, they may start to feel uncomfortable. Masks may also begin to leak, impacting effectiveness and harbor bacteria. Replacement guidelines suggest changing your mask cushion monthly and mask with headgear every 6 months, for optimal therapy benefit and hygiene. Speak with a Liberty Representative Visit Us Online 77

5 ResMed Nasal/Pillow Masks Mirage Activa LT Nasal Mask Designed to ensure a comfortable, hassel-free night. ActiveCell technology seals automatically Stays in place for restless sleepers Cushions Small Medium Large Large Wide Swift LT Nasal Pillow Light and whisper quiet (the quietest on the market!), this nasal pillow system is comfortable, stable and seals securely. No forehead support required Weighs only 2.3 oz (67 g) Ideal for side sleeping Swift LT for Her Nasal Pillow The first mask designed especially for women, it combines the revolutionary design of the Swift LT with personalized features for women's unique preferences. Soft wraps for extra defense against facial marks Backstrap goes over or under hair to accommodate most hairstyles Swift FX Nasal Pillow With super-soft fit and minimal obstruction, you might just forget you re even wearing a mask. Minimal design reinforces sense of freedom Unprecedented softness, simplicity and stability Stable performance, even at high pressures Swift FX for Her Nasal Pillow Drawing on the strengths of the Swift LT for Her, the Swift FX for Her is even lighter, softer and more streamlined than ever, so you can look and feel more like yourself. Its gentle fit and size range is customized to suit women. A choice of pink or light blue and gray backstrap lets you personalize your mask to fit your style Soft wraps enhance comfort at the cheeks. Available in gray and pink to coordinate with backstrap Minimal design creates a feeling of freedom Exceptional softness, simplicity and stability Flexible, fluid design conforms to facial contours and user movement Intuitive, virtually instant fitting Stable performance, even at high pressures Pillows Extra Small Small Medium Large S/M/L XS/S/M For Her HCPCS A7034, A7035 A7034 A7033 A7035 Pillows Extra Small Small Medium Large S/M/L XS/S/M For Her HCPCS A7034, A7035 A7034 A7033 A No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

6 Mirage Swift II Nasal Pillow Ideal for those who want a light, flexible system that provides a clear field of vision. Delivers air quietly and away from bed partner Four interchangeable tube positions Pillows Small Medium Large All HCPCS A7034, A7035 A7034 A7033 A7035 Gecko Nasal Pad The Gecko nasal pad is a comfortable, soft strip placed across the nasal bridge to help: Reduce skin irritation and facial sores Minimize mask leak Improve overall mask comfort Small Large HCPCS A7032 IN THE KNOW TIPS TIPs FOR MAKINg YOUR THERAPY MORE successful Be consistent! Using your machine every night works best the more you use the machine the better you will sleep and feel. Don t be afraid to try something new! A new strap or pillow or even adjusting your tubing can make your therapy easier. The right fit makes a world of difference. Test your new mask or new machine during the day. It will help you work out the adjustments and fit before you re tired. Be your own best advocate. Work with Liberty Medical and your physician to ensure you get the supplies and support you need. Eliminate morning facial lines. should be snug, not tight. Adjust straps to allow mask to be repositioned easily. Avoid getting tangled up in your tubing. Consider looping the machine over the headboard of your bed to reduce pull on the mask. Pillow Masks/Pads You have questions. We have answers. Call Toll Free Talk to one of Liberty Medical s sleep apnea and customer specialists. It s confidential Cold or nasal infection? Keep an extra mask around for when you just can t breathe through your nose. Keep it clean. Cleaning your mask, tubing and headgear every week extends its useful life as well as keeps you healthy. Humidify. Fight dry mouth and uncomfortable breathing by using a humidifier with cool or heated settings. Keep a replacement schedule handy. Use the schedule in this catalog to replace worn out parts on schedule for best results. Speak with a Liberty Representative Visit Us Online 79

7 Respironics Full Face Masks FullLife Full Face Mask The practical, less bulky choice with minimal facial contact, comfort and performance. Smaller, lighter - yet very durable No forehead pad means no more blocked vision Chin support band ensures a secure fit and mask stability Cushion Small Medium Large One FitLife Full Face Mask The perfect solution when facial hair or dentures make other masks hard to fit. Robust seal Less pressure-sensitive perimeter for unrestricted view Snap clips and EZ peel tabs for simple on/off Small Large HCPCS A7030, A7035 A7030 A7035 ComfortGel Full Face Mask The natural comfort features of the most popular nasal masks, in an innovative and practical full face version. Advanced blue gel, plus sure-seal technology (SST ) flap Easy to clean, replaceable cushions Comfortable new forehead cushion Enhanced StabilitySelector adjustment Cushion & Flap Small Medium Large Premium Total Face Full Face Mask A comfortable alternative for those who can t get a good seal with a nasal mask, who experience skin breakdown or who are claustrophobic. No pressure points to cause skin irritation Air pressure inflates a soft, flexible sealing layer Won t obstruct vision One HCPCS A7030, A7035 A7035 IN THE KNOW TIPS Getting ACCUsTOMED TO THERAPY Getting used to therapy can take a little time. It is not unusual for it to take 1-2 weeks to become truly comfortable. Many new patients have found these simple steps key to their success. Adjust the fit of your mask during the day so it s already set when you re tired and ready for sleep. Adjust the temperature setting on the humidifier until you feel comfortable with the warmth and humidity. DON T QUIT! Remember, to get the most out of your PAP therapy and feel your best, be consistent and use your machine and mask at least 4 hours a night every night! 80 No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

8 ComfortGel Blue Nasal Mask A whole new level of comfort! ComfortGel Blue raises the bar with minimized pressure points, reduced noise and redirected exhalation air flow so you get a better night's sleep. Soft blue gel adapts to facial features Redesigned forehead cushion reduces pressure points Premium headgear makes fitting & adjustment a snap Cushion & Flap Petite Small Medium Large One ComfortFusion Nasal Mask Comfortable headgear which combines a reliable seal with an easy fit. 360 swivel feature allows tubing to move more freely Easy to clean Tilting stability selector creates an optimal seal Cushion Small Medium One EasyLife Nasal Mask The self-adjusting seal is so extraordinary, it practically fits itself. Eliminates the need for manual adjustments Unique dual-cushion creates an instant seal Cushion Small Medium Medium Wide Large One TruBlue Nasal Mask Gel Nasal Mask with Auto Seal is designed to deliver a higher degree of comfort, stability and freedom of movement with minimal adjustments. Not only does blue gel provide extra stability, it is thinner and lighter than ever before. has inlaid adjustable straps that converge into a single back panel Freeform spring mask seal provides ability to move in any direction for a better night s sleep Cushion Petite Small Medium Medium- Wide Large Standard Nasal Masks quick TIP FREE SHIPPING! NO-RISK GUARANTEE Living with sleep apnea is difficult enough without having to worry about the support you receive from your sleep apnea supply company. At Liberty we are passionately committed to your 100% satisfaction and back it up with our No-Risk Guarantee. Plus, with Liberty we always provide free delivery of your supplies with no minimum order required. Up to 30 days from shipment (a longer period may apply based on law or regulation). Some restrictions apply. Free Shipping and a No-Risk Guarantee The ramping feature is your best friend. The pressure starts low and slowly rises to the prescribed pressure over minutes. By then, you should be restfully sleeping. Speak with a Liberty Representative Visit Us Online 81

9 Nasal Pillow/Masks Respironics GoLife Nasal Pillow For Men/Women The most stable nasal pillow mask available, with a no-nonsense design using facial contour arms that hug the patient s face to maintain a secure seal and stability; even when moving during sleep. Self-adjusting, optimally angles nasal pillows eliminate the need for manual adjustment GoLife for Men is designed specifically to fit the larger contours of the male facial structure, while GoLife for Women is developed with a distinctly smaller frame and headgear to more closely fit feminine facial dimensions GoLife for Women has smaller headgear that sits lower on the back of the head to prevent slippage and help to provide a better fit. Pillow Cushion For Men Includes S, M, & L pillow For Women Includes P, S, & M pillow Petite Small Medium Large Men s One Women s One HCPCS A7034, A7035 A7034 A7033 A7035 IN THE KNOW TIPS OptiLife Nasal Pillow Designed with advanced flexible tubing to create an optimal seal in any sleep position. Two cushion options: traditional pillow & the CradleCushion (sits under the nose) Can be put on with one hand Offers chinstrap for added stability Pillow Petite Small Medium Large One HCPCS A7034, A7035 A7034 A7033 A7035 practical tips FOR TRAvELINg WITH YOUR cpap machine ComfortLite 2 Nasal Pillow A versatile pillow with three interchangeable cushion options and a unique headgear system that leaves no pressure points on the face. Three models to choose from: The Pillow Cushion, The Simple Cushion and The Direct Seal Halo headgear keeps straps off the face Pillow Cushion Simple Cushion Petite Small Medium Large One HCPCS A7033 A7032 A7035 HCPCS Includes S / M pillow & simple cushion M / L pillow & simple cushion pillow cushions - S, M & L simple cushions - S, M & L A7034, A7035 Vacations should be a time for rest, relaxation and rejuvenation. But many therapy patients don t think to travel with their equipment. This can leave them tired and reduce the overall enjoyment of the trip. Remember, even one night without therapy can cause apnea symptoms to return. There s no reason not to take your equipment with you even if you re flying. Even with newer Department of Transportation carry-on bag limits, equipment is considered a medical supply and luggage limits may not apply. It is recommended that you not check your machine, but instead carry it on. Once equipment is checked, it is much more susceptible to getting lost or damaged. Just like medications, your machine and mask are important to your health, so keep them close by. Being tired on vacation is no fun. Making sure you get the same therapy on the road as you do at home will go a long way to making your trip as enjoyable as you planned. 82 No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

10 Fisher & Paykel FlexiFit 432 Full Face Mask New soft foam cushion for a more comfortable fit. Contoured silicone seal Easy-release strap Under-chin design Seal & Cushion Small HC432S 400HC HC113 Medium HC432M 400HC HC114 Large HC432L 400HC HC115 Extra Large HC432XL 400HC HC119 One- 400HC309 Forma Full Face Mask Superior seal provides even more comfort and greater range of movement. New active contouring FlexiFoam cushion Added stability T-Piece Under-chin design which mask TO Use? Full Face Mask People who breathe through their mouths during the night will find full-face masks more effective than the smaller nasal masks. Full-face masks seal over both nose and mouth, allowing a consistent positive pressure. Nasal Mask Many first-time patients can use nasal masks. These masks seal around the nose, leaving the mouth free. Often smaller and lighter than full-face masks, they can provide a comfortable night s sleep. Nasal Pillow Pillow systems and cushion masks do not seal over the entire nose, or nose and mouth in the way full- face or nasal masks do. Instead, these masks fit under or around the nostrils. They can be better for people who sleep on their sides, or for people whose facial hair prevent a good seal. Opus 360 Nasal Pillow Small, quiet and superbly comfortable, the slim-line design allows for almost any sleeping position without mask displacement. 360 pivoting elbow Off-the-Lip pillows Hidden strap release Full Face/Pillow Masks Seal & Cushion Small HC HC121 Medium HC HC122 Large HC HC123 Extra Large HC HC124 One- 400HC315 Pillow Small 400HC116 Medium 400HC117 Large 400HC118 All- HC HC HC310 HCPCS A7034, A7035 A7034 A7033 A7035 IN THE KNOW TIPS SuccessFUL sleep UsINg NasAL PILLOWs If you sleep on your side or on your stomach, the nasal pillows should be sized to fit the nostrils. You ll be able to change positions easier and keep the pillow system in place. Use a bit of nasal lubricant if your nose gets irritated. It will lessen air leaks and soften the nostril s surface. Wash your face with a mild cleanser before putting on the pillow system. Facial oils can impair the pillow system s seal and lead to skin irritations. Speak with a Liberty Representative Visit Us Online 83

11 Fisher & Paykel Nasal Masks Aclaim 2 Nasal Mask A classic nasal mask that provides comfort using both foam and silicon seals. Lockable forehead T-piece reduces leaks Bias flow diffuser reduces draft & noise Glider technology allows free movement Cushion & Foam Small HC HC HC HC403 Large HC HC HC HC403 Zest Nasal Mask Compact, quiet, and effortless to use, the Zest automatically adjusts to a wide range of nasal and facial contours for superb comfort. FlexiFoam cushion provides optimal comfort No complicated adjustments Seal & Cushion Petite HC HC HC316 Standard HC HC HC314 Plus HC HC HC314 FlexiFit 406 and 407 Nasal Mask A lightweight, over the nose mask that offers great fit and is easy to use. Glider strap anti-leak system provides freedom of movement Advanced air diffuser prevents air from blowing on your partner IN THE KNOW TIPS plan to call LIbERTY AND REPLACE YOUR MAsk Cushion & Foam Petite HC HC HC HC307 Standard HC HC HC HC301 Oracle 452 Oral Mask Proven to be as effective as a nasal mask, the Oracle delivers air pressure through the mouth not the nose. Perfect for mouth breathers Single strap headgear Rotating adjustment dial Cushion Standard HC HC HC300 Small HC HC HC300 HCPCS A7044, A7035 A7028 A7035 At the first sign of wear and tear If you start to experience leaks When age, skin oils and cleansers have made the cushions less pliable Every 3 months Call a Liberty Specialist at to work out the right parts replacement schedule for you. Most health plans consider the reasonable, useful lifetime of a machine to be at least 5 years. However, if you think your therapy isn t as effective as it should be, ask your doctor if your machine should be replaced. 84 No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

12 Rediscover Restful Sleep Through Exercise & Weight Loss There are many reasons you might have sleep apnea. Large tonsils, gender, age and smoking all may contribute to the condition. However, a common characteristic shared by people with sleep apnea is a struggle with weight. Additional fat deposits around the neck can constrict the airway, making obstruction more likely to occur. Sleep apnea is not always related to weight, but doctors tell us that losing as little as 10 percent of our body weight can reduce moderate apnea occurrences by 14 to 26 percent. Losing weight through exercise when you have sleep apnea can be difficult. When you don t get enough sleep, you may be too tired to exert yourself. So start slow and build. Try yawning or simple deep breathing repeatedly for a few minutes to really stretch the muscles. A recent study showed that even blowing up balloons can strengthen the underlying muscles important to sleep breathing. The point is that people who regularly engage in exercise, sleep better. DID YOU KNOW? The American Academy of Sleep Medicine recently reported that a modest jog or other moderate-intensity aerobic exercise taken 4-8 hours before bedtime also improves overall sleep quality. EXERCISE Reduces stress and eases muscular tension Sharpens the brain Strengthens and stimulates the heart and lungs Vitalizes the nervous system Creates a sense of happiness and well-being Speak with a Liberty Representative Visit Us Online 85

13 PAP Therapy Machines Your machine is the heart and soul of your effective PAP therapy. Liberty carries a large range of only the top industry brands with features to fit your specific needs. PAP Therapy ResMed PAP Therapy Machine Equipped with new features that showcase ResMed's innovation and dedication to patient compliance Easy-Breathe technology motor is exceptionally quiet and reduces mask noise Maintains ideal humidification in any environment Push and turn dial improves ease of use Respironics PAP Therapy Machine System One brings key intelligent technologies together in one device Enhanced pressure delivery with C-flex settings for improved patient comfort Optimal humidity management analyzing room temperature and relative humidity to reduce rainout and water damage Optimized pressure delivery, no matter which mask you use ResMed S9 Three types of therapy available: Auto- Bilevel Pressure Therapy Respironics System One Three types of therapy available: Auto- Bilevel Pressure Therapy BILEVEL pap THERAPY MACHINE Q: What is the difference between and Bilevel PAP? VPAP Bilevel Therapy Machine A: maintains the same pressure for both inhaling and exhaling. With bilevel PAP systems, however, the pressure setting for exhalation is typically lower, making it easier to breathe out. You have questions. We have answers. Call Toll Free Talk to one of Liberty Medical s sleep apnea and customer specialists. It s confidential. Keep Your Machine Running Like New for Years to Come Remembering to change the filters as your manufacturer suggests will prevent dust and allergens from getting into the system and into the air you breathe. Change the foam filter every 6 months Change the ultra-fine filter every 2 weeks 86 No Up-Front Costs * Liberty Accepts Medicare and Most Commercial Health Plans

14 HUMIDIFIERS, WATER CHAMBERS AND TUBING H4i Humidifier Creates warm, moist air to relieve symptoms of dryness and other upper airway side effects H5i Humidifier Just set the simple Dial Control to the desired temperature and let the (optional) ClimateLine TM tubing provide a new level of control. System One Heated Humidifier Virtually spill-free. Delivers consistent humidity without compromising water management System One Water Chamber H4i Water Chamber An integrated unit for use with ResMed S8 and S8 II series machines H5i Water Chamber Fits ResMed S9 Series machines H5i Climate Control Tubing M Series Heated Humidifier Easy-turn dial can easily be set to one of 5 levels, even in the dark M Series Water Chamber Tubing Wrap S9 SlimLine Tubing 40% lighter, 20% thinner and takes up 35% less space than traditional tubing Tubing (6 Feet) Tubing Insulator Humidifiers, Water Chambers & Tubing ThermoSmart Heated Breathing Tube SleepStyle 200 Water Chamber Balances humidity to compensate for changes in room temperature. HC385S SleepStyle 600 Water Chamber Unique heated breathing tube technology allows for optimal levels of humidity independent of ambient temperature. HC365S SleepStyle 600 Heated Breathing Circuit Heated breathing tube that allows the constant delivery of higher optimal levels of humidity and the prevention of condensation. 900HC522 ICON Humidifier & Tubing Stylish on the outside, smart on the inside. Water Chamber is one-piece chamber, holds 420 ml of water and is dishwashable. Water Chamber 900ICON200 Tubing 900ICON208 FREE SHIPPING! NO-RISK GUARANTEE Living with sleep apnea is difficult enough without having to worry about the support you receive from your sleep apnea supply company. At Liberty we are passionately committed to your 100% satisfaction and back it up with our No-Risk Guarantee. Plus, with Liberty we always provide free delivery of your supplies with no minimum order required. Up to 30 days from shipment (a longer period may apply based on law or regulation). Some restrictions apply. Free Shipping and a No-Risk Guarantee Speak with a Liberty Representative Visit Us Online 87

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