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Breas | From Hospital to Home
A global leader in Home Mechanical Ventilation, Airway Clearance and Sleep Therapy
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Products
Z2 CPAP
Z2 Auto
Nitelog 2.0 Mobile App
Distribute the Z2
PowerShell with Extended Life Battery
Vivo 45 LS
Vivo 65
EveryWare
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Find a Medical Equipment Supplier
Buy Online
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Stories
Committed to better home ventilation to make a difference in people’s lives
Ellie’s Story – Going Home in Comfort
Eli’s Story – Getting A Good Night’s Sleep with the Vivo 65
More Comfortable Ventilation with the Vivo 65
Continuous Improvement
Danielle Gets Her Voice Back
Hospital to Home: NAVA Liberation
Noah’s Journey – From Sickest Kid in the PICU to Active Toddler
SMA type 1 – Vivo 45 LS Clinical Case
Living Life to the Fullest at Autumn Lake at Bridgepark
Vivo 45 LS Person-Centered Ventilation
20 Years Experience with Breas Ventilators
Company
Events
News
Education by Breas
Education by Breas
Other Education Links
Mouthpiece Ventilation (MPV)
Webinars
Research
Z1 / Z2 FAQ’s
Support
Distributor Support Portal
Z1 & Z2 Resources
Travel CPAP FAQ’s
CPAP User Guides and Software
CPAP Videos
Patient Support Portal
Register a Device
Powershell Upgrade Program
Z1/Z2 Firmware Upgrade for iPhone 11 Users Only
Vivo Resources
Product and Clinical Bulletins
Warranty Policy
White Papers
Vivo Media
Vivo Videos
Vivo Tech Support
EveryWare Support
Service Training
MAP Policy
Terms and Conditions for Sales
Warranty Policy
Z1 CPAP, Z1 Auto DISCOUNTINUED
Home
Products
Z2 CPAP
Z2 Auto
Nitelog 2.0 Mobile App
Distribute the Z2
PowerShell with Extended Life Battery
Vivo 45 LS
Vivo 65
EveryWare
Accessories
Shop
Find a Medical Equipment Supplier
Buy Online
International Sales
Stories
Committed to better home ventilation to make a difference in people’s lives
Ellie’s Story – Going Home in Comfort
Eli’s Story – Getting A Good Night’s Sleep with the Vivo 65
More Comfortable Ventilation with the Vivo 65
Continuous Improvement
Danielle Gets Her Voice Back
Hospital to Home: NAVA Liberation
Noah’s Journey – From Sickest Kid in the PICU to Active Toddler
SMA type 1 – Vivo 45 LS Clinical Case
Living Life to the Fullest at Autumn Lake at Bridgepark
Vivo 45 LS Person-Centered Ventilation
20 Years Experience with Breas Ventilators
Company
Events
News
Education by Breas
Education by Breas
Other Education Links
Mouthpiece Ventilation (MPV)
Webinars
Research
Z1 / Z2 FAQ’s
Support
Distributor Support Portal
Z1 & Z2 Resources
Travel CPAP FAQ’s
CPAP User Guides and Software
CPAP Videos
Patient Support Portal
Register a Device
Powershell Upgrade Program
Z1/Z2 Firmware Upgrade for iPhone 11 Users Only
Vivo Resources
Product and Clinical Bulletins
Warranty Policy
White Papers
Vivo Media
Vivo Videos
Vivo Tech Support
EveryWare Support
Service Training
MAP Policy
Terms and Conditions for Sales
Warranty Policy
Z1 CPAP, Z1 Auto DISCOUNTINUED
Breas Contact Form (Vivo and iSleep)
Date of Report
*
MM slash DD slash YYYY
Serial number:
*
Machine type:
*
--
Z1 Auto Canada (218175)
Z1 CPAP Canada (217175)
Z1 PowerShell Canada (005769)
Vivo 65
Vivo 50
Vivo 40
Vivo 30
iSleep 20
iSleep 20+
iSleep 20i
iOxy Sensor (005428)
other
If "Other" please describe:
Firmware version:
Sender contact person:
*
First
Last
Sender contact email:
*
Company (e.g. Hospital, Caregiver, etc.):
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Date of purchase:
MM slash DD slash YYYY
Date of the event:
*
MM slash DD slash YYYY
Description of the fault/problem (in English):
*
When was the failure first detected?
*
Incoming inspection/Bench test
During maintenance
Prior to treatment
During active treatment
How did the device react on the event (please check all that apply)?
*
Audible alarm
Visible alarm
Error code
Alert/information on the display
Device not possible to power up
Alarm not expected during this event
Visible damage on the device
Accessories used:
Are the device or log files available?
*
yes
no
Did death or serious injury occur as a result of the event?
*
yes
no
If yes, please provide detailed information on the patient/user injury:
Was a care-giver or qualified attendant present?
*
yes
no
Has service been preformed according to the manual?
*
yes
no
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