How does my rate? Phillip Respironics REMstar Pro C-Flex+

Just found this board and have been reading a bit about different machines.

What do people know about my machine? It's a Phillip Respironics REMstar Pro C-Flex+

I know that it is in single pressure mode right now at 13. It seems to have a couple other modes but I can't tell if it allows automatic or not.

It does provide some data, though I'm wondering if it's helpful or useful.

Thanks in advance!

Look on the bottom of the blower for a 3 digit model number. If you just got the machine recently from a DME then most likely it is a PR System One 60 Series Pro CPAP 460 model and it does offer additional modes other than cpap mode. These modes have limitations but auto adjusting mode is one.
Once you determine which model exactly you have you can go here to this website and request the provider/clinical manual that explains the features in more detail.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

The model 460 is a full efficacy data machine if that's what you have and you can use SleepyHead software to see what it shows.
Links to software information in my signature line.

Hi Dave,

That is the same machine I use. I have both the older version (model 450) and the most recent (460). Model numbers are on the bottom (don't turn it over with water in the humidifier!). There is a temporary Auto mode available on the 460 and on many of the more recent (above firmware version 2.25?) model 450 machines.

With SleepyHead or Encore software you can see all the important data readings, even the breath-by-breath waveforms. Yes, this can be helpful.

Go ahead and register on the forum and fill in the machine and mask descriptions so as others read your posts they can see (and help with questions you might have).

--SleepyCPAP

Pugsy wrote:Look on the bottom of the blower for a 3 digit model number.

Thanks - I turned it over and a tag reads:

REMstar pro, DOM
REF 460P

Then there is a serial number.

So I guess 460p is the the model number?

Yes, 460 is the model number.
So you have a PR System One 60 Series Pro CPAP model 460. You can disregard the Remstar part of the name for the most part because Respironics has used the term "Remstar" on all their models of machine for 10 plus years now.
It's good machine. I used it's big brother model that has full time auto adjusting mode (commonly referred to as APAP) instead of a limited time frame for a couple of years until I moved up to bilevel machine.
You got a good machine and it should serve you well. Did you get the optional heated hose with it? May not be important now if you didn't but it might be useful this winter when bedrooms are typically a lot cooler and condensation in the hose or mask is more likely to occur. If you didn't get the heated hose it isn't a big deal. You may not even need it and it is easily added with a little adapter kit at a later date.

Pugsy wrote:Yes, 460 is the model number.
So you have a PR System One 60 Series Pro CPAP model 460. You can disregard the Remstar part of the name for the most part because Respironics has used the term "Remstar" on all their models of machine for 10 plus years now.
It's good machine. I used it's big brother model that has full time auto adjusting mode (commonly referred to as APAP) instead of a limited time frame for a couple of years until I moved up to bilevel machine.
You got a good machine and it should serve you well. Did you get the optional heated hose with it? May not be important now if you didn't but it might be useful this winter when bedrooms are typically a lot cooler and condensation in the hose or mask is more likely to occur. If you didn't get the heated hose it isn't a big deal. You may not even need it and it is easily added with a little adapter kit at a later date.

Thanks for the feedback.

Wow, good to know I got a good machine. I didn't have any idea that I should request a certain type of machine or that I could get a bad one when I first initiated contact with the sleep clinic. And they never said anything about a DME so either they are their own DME or they didn't tell me about that part of it. I went back to the same sleep clinic to get the machine and pick the mask.

Yes, it has the heating tube as well and the therapist set it up that way for me initially. I went back complaining of dry mouth and nose and the doctor's answer was to lower the pressure just slightly. Then I met with the respiratory therapist and she suggested a different mask and trying it without the heated tubes and cranking up the humidity. That made me less dry but I got the condensation problem in the tube (could hear the gurgling) so now I turned the humidity down some. The gurgling is gone but some of the dryness has come back

What is the advantage of having the heated tubes?

SleepyCPAP wrote:Hi Dave,

That is the same machine I use. I have both the older version (model 450) and the most recent (460). Model numbers are on the bottom (don't turn it over with water in the humidifier!). There is a temporary Auto mode available on the 460 and on many of the more recent (above firmware version 2.25?) model 450 machines.

With SleepyHead or Encore software you can see all the important data readings, even the breath-by-breath waveforms. Yes, this can be helpful.

Go ahead and register on the forum and fill in the machine and mask descriptions so as others read your posts they can see (and help with questions you might have).

--SleepyCPAP

Thanks for the info. Looks like my model number is 460P. Yes I think I read about the temporary Auto Mode. I wonder why they make it temporary and if I should ask for it. The previous machine I had was very old, but it had what I think is auto mode -- it was set up with a range of pressures.

I will register for the forum and enter the info on my equipment. Do you know who sponsors this forum? Thanks.

Dave Cruz wrote:What is the advantage of having the heated tubes?

no condensation in the tube.

Dave Cruz wrote:What is the advantage of having the heated tubes?

Actually the heated hoses are supposed to help with rain out (condensation in the mask or hose).
Did they show you how to change the temperature setting on the machine as well as the humidity setting?
Did you know that there are 5 settings (1 through 5) for temperature and 3 settings (1 through 3) for humidity?
Normally higher temperature setting will alleviate rain out even at max humidity setting. I have a 60 series machine with the heated hose and even last winter with my max humidity set to 3 and my cold bedroom (like 50 degrees) I didn't have any rain out issues.

Now sometimes people have rain out at the mask level brought on by a combination of moisture in our own exhaled breath and cooler bedroom temps. When that happens we sometimes have to resort to additional ways of prevention.
So if your condensation was only in the mask and you were using the heated hose (has a black end at the humidifier connection) then maybe the warmer air in the hose was cooling to quickly.

See this page with information on the settings I was talking about. You should be able to have it deliver enough humidity so your nasal passages are happy and not have rain out issues.
"This humidifier offers three levels of humidification (70, 80 or 90 percent) and the heated tube has five levels of temperature available, ranging from 4 to 16 degrees above the room temperature. These two features work together to deliver the optimum humidification level at the mask. "
https://www.cpap.com/productpage/pr-sys ... ifier.html

If your condensation issues were in your mask only then if we knew which mask you used we might be able to offer more ideas.

Hi Dave,

I talked with my Doctor about doing Auto mode for a short time (a few days or a week) when I switched to the TAP PAP mask a while back. That process helped show that the previously prescribed pressure was a little too high when used with this mask. I like straight pressure, so I've reset it to CPAP mode (for a while we let it "float" in the check-mode, where it could set a new straight pressure every four days or so, but my Doctor and I like knowing it is staying where we want it to stay so it is back to plain CPAP mode). For people who don't have a Doctor willing to be in frequent consultation, or who are "set and forget" patients themselves, the Check mode would be great over the years (the machine would shift CPAP pressure over time as the patient's body and apnea changed).

CPAP.com is the host of the forum. They are also the company I used to buy my equipment (based on good recommendations). If I'd been lucky enough (like you) to have had a DME who was willing to provide me with a Philips Respironics Pro back when CPAP was prescribed to me, I wouldn't have been looking for an online supplier to get one.

--SleepyCPAP