I did two things basically. I extracted the data files from the EDF files and looked at them with Lotus 1-2-3, and played around with the window time frame in the detail graphs in Resscan. Now, I looked in detail at only the first event of the night, a central, so it's possible, but doubtful, that there could be some differences in recording obstructive, hypopnea, and unknown events.
First, the S9 records in the EVE file the onset time of an event as the time after the first real breath after the event has ended. This makes sense because the algorithm needs to analyze data for a period of time to determine whether or not a period of non-flow exceeds the 10 second threshold to be considered an apnea. When this event is graphed in Resscan it looks like it is placed in the timeline right at the end of the non-flow period, i.e., just before the first real breath. You can see this in the charts below.
Second, all of the data I looked at among the various EDF files is consistent, and none of that data corresponds to the wrong timeline shown in Resscan charts.
Third, the correlation of the upper and lower charts jumps around in relation to the time frame being used for those charts. In the first graph below the top chart is shown at 8 hrs, the lower chart at 10 min, and the event and non-flow vary by 40+ minutes. As the time frames of the upper and lower graphs are made shorter and brought closer and closer together the event display comes closer and closer to the end of non-flow period.
The last graph is a graph from Lotus showing flow vs time of day. The time of day on the chart is derived by adding the start time from the header part of the BRF.edf file and the time, in increments of 1/25 sec, listed in the data part of the edf file. The time for onset for the event is recorded in the annotation portion of the EVE.edf file and is exactly the same as the time in the BRF file at the end of the first breath after the non-flow period.
I'm convinced the problems that were first discussed here back in April is a Resscan software problem, not an S9 machine or SD card problem. Why that hasn't been fixed now in version 3.12 is a good question. Resmed has dropped the ball in my opinion.




