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ResMed AirCurve 11 Models Compared: VAuto, ASV & ST Explained

ResMed AirCurve 11 Models Compared: VAuto, ASV & ST Explained


ResMed AirCurve 11 BiPAP Models Explained

S vs VAuto vs ASV

If your doctor has prescribed a ResMed AirCurve 11 BiLevel device, you're looking at some of the most advanced sleep apnea technology available. This guide clarifies the differences between the S, VAuto and ASV models so your device matches your prescription perfectly.

BiLevel therapy guide Prescription-based 6 min read
In this guide

Three AirCurve 11 BiLevel models, one platform. Here's exactly how the S, VAuto and ASV differ — and which one matches your prescription.

  1. 1 What Is BiLevel Therapy?
  2. 2 AirCurve 11 S
  3. 3 AirCurve 11 VAuto
  4. 4 AirCurve 11 ASV (PaceWave)
  5. 5 Side-by-Side Comparison
  6. 6 Shared Platform Features
  7. 7 Making the Right Choice
  8. 8 FAQ

What Is BiLevel Therapy and the AirCurve 11 Series?

Unlike standard CPAP machines that deliver a single continuous pressure, BiLevel devices (often called BiPAP) deliver two distinct pressure levels:

IPAP

Inspiratory Pressure

A higher pressure delivered when you inhale, helping to hold the airway open and support each breath in.

EPAP

Expiratory Pressure

A lower pressure delivered when you exhale, making it easier and more natural to breathe out against the airflow.

This dual-pressure system can make breathing feel more comfortable and natural — especially for users who need higher pressures or have specific respiratory conditions. The AirCurve 11 series builds on ResMed's legacy with enhanced digital health features, a user-friendly design and sophisticated therapy algorithms.

1. ResMed AirCurve 11 S

Spontaneous (S) Mode

The AirCurve 11 S operates in Spontaneous (S) mode: the device senses your natural breathing rhythm, delivering the higher IPAP as you begin to inhale and switching to the lower EPAP as you start to exhale. Every breath is triggered by your own effort, and the IPAP and EPAP levels are fixed to your prescription.

Who is it for?

  • Patients who can reliably initiate every breath but find it hard to exhale against the high, constant pressure of a standard CPAP.
  • Individuals needing higher overall pressures for Obstructive Sleep Apnea (OSA), where BiLevel therapy offers greater comfort.
  • Some patients with conditions such as certain forms of COPD or neuromuscular disorders who need pressure support but have a consistent respiratory drive.
Mode
Spontaneous (S)
Pressure
Fixed IPAP / EPAP
Breath Trigger
Patient-triggered
Backup Rate
None
Best For
OSA needing BiLevel comfort
See Product

2. ResMed AirCurve 11 VAuto

Auto-Adjusting BiLevel (VAuto)

The AirCurve 11 VAuto is an auto-adjusting BiLevel device powered by ResMed's proven AutoSet™ algorithm. It automatically adjusts the EPAP to keep your airway open, then provides a consistent level of Pressure Support (the difference between IPAP and EPAP) — or automatically adjusts IPAP to meet your needs. Vsync technology manages mask leaks effectively throughout the night.

Who is it for?

  • Patients with OSA who benefit from BiLevel therapy and require or prefer automatic pressure adjustments through the night.
  • Individuals whose pressure needs vary — for example with sleep stage, body position or mask leak.
  • Those who want the comfort of BiLevel therapy combined with the intelligent titration of an auto-adjusting device.
Mode
Auto-Adjusting (VAuto)
Pressure
Auto EPAP + Pressure Support
Algorithm
ResMed AutoSet™
Leak Management
Vsync
Best For
OSA needing auto titration
See Product

3. ResMed AirCurve 11 ASV

Adaptive Servo-Ventilation · PaceWave™

The AirCurve 11 ASV is the most sophisticated device in the lineup, using ResMed's Adaptive Servo-Ventilation (ASV) with PaceWave™ technology. It monitors your breathing on a breath-by-breath basis, targeting your recent minute ventilation and automatically adjusting pressure support to stabilise your breathing. If you stop breathing or your breathing becomes too shallow, it delivers precisely calculated pressure support to normalise your pattern — and can provide a backup breath rate.

Who is it for? Specifically designed for more complex sleep-disordered breathing, including:

  • Central Sleep Apnea (CSA), including treatment-emergent CSA or CSA related to certain medications.
  • Complex Sleep Apnea (CompSA), where central apneas emerge or persist after OSA is treated with CPAP or standard BiLevel.
  • Periodic breathing such as Cheyne-Stokes Respiration (CSR), often associated with congestive heart failure or stroke.
  • Opioid-induced central apneas, under medical supervision.
Mode
Adaptive Servo-Ventilation
Algorithm
PaceWave™ ASV
Targets
Recent minute ventilation
Backup Rate
Mandatory
Best For
CSA · CompSA · CSR
See Product

AirCurve 11 Models Compared

Feature AirCurve 11 S AirCurve 11 VAuto AirCurve 11 ASV
Mode Spontaneous (S) Auto-adjusting BiLevel Adaptive Servo-Ventilation
Pressure delivery Fixed IPAP / EPAP Auto EPAP + Pressure Support Dynamic, breath-by-breath support
Algorithm AutoSet™ PaceWave™ ASV
Breath trigger Patient only Patient (auto pressures) Patient + device
Backup rate None Optional Mandatory
Leak management Standard Vsync Vsync
Prescribed for OSA needing BiLevel comfort OSA needing auto titration CSA, CompSA, Cheyne-Stokes

Shared Features Across the AirCurve 11 Platform

Whichever model your prescription calls for, every AirCurve 11 device benefits from ResMed's latest platform advancements:

myAir™ App Integration

Daily sleep scores, coaching and educational resources on your smartphone.

Personal Therapy Assistant

Voice-guided setup and troubleshooting through the myAir app.

Care Check-In

Answer simple questions that can be shared with your healthcare provider.

Integrated Heated Humidifier

ClimateLineAir™ heated-tube compatibility for optimal temperature and humidity.

Quiet Easy-Breathe Motor

Keeps the bedroom peaceful for you and your partner.

Intuitive Touchscreen

Easy-to-navigate menus and settings.

Over-the-Air Updates

Keeps your device current with the latest features and improvements, where supported.

ResMed Reliability

Built on a proven platform trusted by clinicians and patients worldwide.

Making the Right Choice: Your Prescription Comes First

The single most important factor in selecting an AirCurve 11 BiLevel device is your doctor's prescription. Your sleep specialist diagnoses your specific condition and prescribes the appropriate mode (S, VAuto or ASV) and pressure settings. These devices are not interchangeable — each mode is engineered for a different clinical need.

If your prescription is for
BiLevel S
Choose the AirCurve 11 S →
If you need
Auto-adjusting BiLevel for OSA
Choose the AirCurve 11 VAuto →
If you're diagnosed with
CSA, CompSA or Cheyne-Stokes
Choose the AirCurve 11 ASV →

⚠️ Prescription required: BiLevel devices are prescription medical equipment. The mode and pressure settings must match your prescription, and ASV in particular is reserved for specific diagnoses. Always confirm your device and settings with your doctor or sleep specialist before purchase and use.

Frequently Asked Questions

What's the difference between the AirCurve 11 S, VAuto and ASV?
All three are BiLevel devices delivering two pressures (IPAP and EPAP). The S delivers fixed pressures triggered by your own breathing; the VAuto auto-adjusts pressures through the night using the AutoSet™ algorithm; and the ASV uses PaceWave™ adaptive servo-ventilation to stabilise breathing breath-by-breath for complex conditions like central and Cheyne-Stokes breathing. Your prescription determines which one you need.
Do I need a prescription to choose a model?
Yes. The AirCurve 11 devices are prescription medical equipment, and the correct mode and settings depend on your diagnosis. Use this guide to understand the options, but your sleep specialist's prescription is what determines the right model and pressures.
Can the AirCurve 11 ASV treat obstructive sleep apnea?
ASV is specifically engineered for complex sleep-disordered breathing — central sleep apnea, complex sleep apnea and Cheyne-Stokes respiration — rather than as a first-line OSA device. For straightforward OSA that needs BiLevel therapy, the S or VAuto is typically prescribed. ASV is reserved for specific diagnoses and should only be used when your doctor prescribes it.
What's the difference between BiLevel (BiPAP) and CPAP?
CPAP delivers one constant pressure, while BiLevel delivers two — a higher IPAP on inhalation and a lower EPAP on exhalation. The lower exhalation pressure makes breathing out easier, which is why BiLevel is often prescribed at higher pressures, for CPAP intolerance, or when specific respiratory support is needed.
What is a "backup rate", and which model has one?
A backup rate delivers a breath if you don't initiate one within a set time. The AirCurve 11 S has no backup rate (every breath is patient-triggered), the VAuto can offer one, and the ASV has a mandatory backup rate to ensure support even if your own respiratory effort diminishes significantly.
Do all AirCurve 11 models include a humidifier and myAir?
Yes. Every AirCurve 11 model shares the same platform features, including integrated heated humidification with ClimateLineAir™ tube compatibility, the quiet Easy-Breathe motor, an intuitive touchscreen, and myAir™ app integration with the Personal Therapy Assistant and Care Check-In.

At CPAPeuropa.com we're dedicated to making sure you get the right therapy equipment. If you have your prescription and are still unsure which AirCurve 11 model fits — or have questions about their features — consult the detailed product pages linked above, or contact our expert customer support team. We're here to help you understand your options and make an informed decision based on your prescription. Explore the advanced ResMed AirCurve 11 BiLevel devices and take a significant step towards better, more comfortable sleep.

Please note: This guide is for educational purposes and is not medical advice. The AirCurve 11 S, VAuto and ASV are prescription devices intended for different clinical conditions. Always follow your doctor's or sleep specialist's prescription when choosing and configuring your BiLevel device.

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