Resmed VPAP Adapt SV- What Masks Can I use ?

JIMCHI · Post by **JIMCHI** » Tue Jul 24, 2007 7:31 pm

I have just been put on a Resmed VPAP Adapt SV machine. I have tried using both a Resmed Quattro and an Ultra Miraga Full Face Mask and have had major troubles with the fit which my DME has not been able to resolve. He is now having me try a Fisher Paykel 431 full face mask. The mask is fitting better than the Resmeds, but now the "smart stop" feature on the VPAP is not functioning, I suspect because of the mask. I am also going to try a Fisher Paykel 432.

I know the manual for the machine says only Resmed masks should be used, but most producers of any product always say their product is compatible only with their own products. Am I probably creating problems with the functioning of the VPAP (e.g correct pressure, etc) by trying other brands of full face masks? Anyone know for sure about incompatabilities ?

dsm · Post by **dsm** » Tue Jul 24, 2007 9:37 pm

Unfortunately the most informed member here who could answer that (ChristineQuilts) has not been in touch with us much lately.

The only other person SAG, also hasn't been back much. You could try a PM to SAG but you need to search for one of his posts. He is very very helpful and greatly missed.

But the Vpap Adapt SV does have a critical training procedure that it has to go through with each mask & not all will be accepted even if they are also Resmed masks.

Some careful experimenting does seem to make some acceptable though.

Good luck on this but help may be difficult to find.

DSM

Sherri_Baby · Post by **Sherri_Baby** » Fri Jul 27, 2007 9:46 am

The Adapt SHOULD work (according to the user manual) with most ResMed masks (with the exception of the Swift pillows), but they specifically recommend the Ultra Mirage, Activa, and Vista. I haven't heard of anyone yet getting a nasal pillow system to work with it.

I had a Respironics Comfort Gel nasal that would pass the learn circuit, but would not work properly....I always felt like I was suffocating and not getting enough air. So, YES, there are incompatbilities, and you DO have to be careful about what mask you use. I've been told that if you can get a mask to pass the learning circuit ON ITS OWN, without any modifications to it, then you can use it..... however, as with the Comfort Gel (which I no longer use because of that), you have to be careful.

Have you hooked the mask up to the machine and put it through the learning circuit? This is a critical step, and the machine might not work properly with the mask without it.

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CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, mirage, activa

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CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, mirage, activa, nasal pillow, swift

Guest · Post by **Guest** » Fri Jul 27, 2007 10:19 am

The Fisher Paykel full face masks would not learn the circuit. The DME just left the circuit the same as it learned when a Resmed mask was on it.

Sherri_Baby · Post by **Sherri_Baby** » Sat Jul 28, 2007 8:50 pm

Okay, if you run the Fisher Paykel on the Activa or Vista setting, its understandable that it would fail the learn circuit, since those are nasal masks. But did you try setting the Adapt on the Ultra setting?

Try this (please bear with the simple instructions...I'm not sure how well you know your machine): go into the settings menu and scroll down to the mask setting. Select "change", set the mask for Ultra and hit "apply". When it asks if you want to run the learn circuit, choose "yes". Make sure the FP is hooked up and nothing is blocking the airflow, then hit "start". This may sound elementary, and you may know this already, and if so, I apologize.....but you are NOT supposed to be wearing the mask when running the learn circuit!

If the mask does not pass the learn circuit, I would NOT try to use it. The Adapt SV is a very sensitive machine, and I wouldn't mess with it!

JIMCHI · Post by **JIMCHI** » Sat Jul 28, 2007 10:12 pm

Thanks Sherri. I tried that and the machine again said "invalid circuit". Somehow it knows when there is a non-Resmed mask on it ! Neither my DME nor I can figure out how or why. I am resigned to wearing the Resmed Quattro. With a little tweaking by my DME it fits somewhat well and I just hope I'll get used to it and that it won't start cutting into the bridge of my nose again.

Thanks to everyone for all the advice.

Sherri_Baby · Post by **Sherri_Baby** » Sun Jul 29, 2007 5:28 pm

Sorry about the FP's.... did you choose the full face because of mouth-breathing or something? Have you ever tried sleeping with a nasal mask before? I've used the Activa and the Ultra Mirage II nasal, and both of those are good, comfortable masks.... I stuck with the Ultra nasal, and so far have not been able to find anything better.

I'm hoping to try the Liberty with the Adapt here pretty soon, as soon as my DME can get them in stock.

JIMCHI · Post by **JIMCHI** » Sun Jul 29, 2007 6:49 pm

Sherri, I had some problem using nasal pillows with the bipap machine I used previously. For some reason I would periodically blow air out through my mouth. My doctor felt a full face mask would be better now that I started a VPAP machine. The full face mask seems less of a problem for me than the fact that part of the mask is touching the bridge of my nose. From looking at the nasal masks, it appears that problem will still occur.

Sherri_Baby · Post by **Sherri_Baby** » Mon Jul 30, 2007 8:33 am

Well, with the Adapt, I think pretty much the only thing you can do is keep trying different masks until you find one that you like that will work. 'Course, that's a problem that goes along with just about every machine, the Adapt is just a little more finicky.

Sorry I couldn't help any more.... hope you find one that works!

birdshell · Post by **birdshell** » Mon Jul 30, 2007 10:44 am

I just had a very experienced and well-regarded sleep tech tell me that she had NEVER heard of any mask not being able to work on a machine. Interesting, isn't it?

I don't know if she was addressing my situation, with a standard, basic ResMed S8 Compact. I was looking for a mask. I'll do a bit of checking and get back to this thread.

Sherri_Baby · Post by **Sherri_Baby** » Fri Aug 03, 2007 9:50 am

Birdshell...

The VPAP Adapt SV is still a fairly new machine here in the States, and its algorithms are much more sensitive than a standard xPAP. On your S8 machine, you probably CAN use any mask. The problems we have with masks are strictly related to the Adapt and its peculiarities.

Guest · Post by **Guest** » Mon Aug 27, 2007 7:04 am

How does the adapt sv work for you sherri? are you finding relief from it?

Sherri_Baby · Post by **Sherri_Baby** » Wed Aug 29, 2007 7:40 am

I absolutely no-doubt LOVE my Adapt. I can actually get off the bed at 6:30 in the morning the way I'm supposed to, and not feel like I've been hit by a mack truck! I was on a bipap for almost a year, so I know the difference, and I wouldn't go back if they paid me.... lol