Resmed VPAP Adapt SV - for Central Sleep Apnea

[dsm]

Christine,

Are there any updates in the Adapt SV since you last posted in May? I originally had obstructive apnea, but after 4 years with a bi-pap, now I have centrals mostly. (Over 80 in 2 hours and hardly any obstructive apneas.) All went away with the ASV they tried me on at the clinic.

I will be getting a new ASV machine, but I wondered if you could tell me if there are any new models on the market? I heard there was a new one coming out that did something with indexes or something. Indices??How do you spell that word???

Are there any accessories I should get? Software, smart cards?

Do they have special hoses?

What masks WILL work with the adapt?

I should also tell you that I have narcolepsy too!

Any help would be really appreciated.
Thanks,
Peke

Peke,

Just in case you don't get a reply, I don't think we have heard here from Christine for awhile (months) - (I hope I am wrong).

Good luck

DSM

[rested gal]

While she hasn't posted on cpaptalk since July or thereabouts, Christine posted earlier this month (Oct.) on the apneasupport.org message board.

[Guest]

constant references to a "CS2 machine." What is it? Also what is a "EEP" hose? Every so often there should be a dictionary listing for newcomers. You old timers know all the jargon and lingo, but what about us?

[Lubman]

Guest

constant references to a "CS2 machine." What is it? Also what is a "EEP" hose? Every so often there should be a dictionary listing for newcomers. You old timers know all the jargon and lingo, but what about us?

We would agree some of the terms are confusing. Hopefully some of them are in the lexicon attached to this web site.

ResMed first marketed this machine outside of the USA. In Australia it is known as a CS2 Autoset (DSM please correct me if I am wrong). Once it was approved by the FDA in the US, where it could have undergone some changes to comply with FDA, it is called the Adapt SV for Adaptive Servo Ventilation. This is the technology behind the ResMed machine and is discussed much earlier in this thread.

EEP is the measure of exhilation pressure - akin to one of the setting of a BiPap although that may not be quite a correct technical analogy. The ASV usually is set at at Default value of eep = 6. Some people with centrals find better results after their PSG at a higher value.

Again buried within this long thread is a discussion of some of these terms.

We had to learn them the hard way - I was the first person in my state to
have a test with this machine.

Continue to ask here, you have a wealth of resources to give their personal, non professional opinions based on their own experience.

I'm now halfway around the world - 12 hours off my my own timezone and the ASV is sitting here in the hotel room. It should get frequent flyer miles


We enjoy hearing about your experiences.

Regarding Peke's question:

I will be getting a new ASV machine, but I wondered if you could tell me if there are any new models on the market? I heard there was a new one coming out that did something with indexes or something. Indices??How do you spell that word???

I recall DSM talking about the fact that ResMed was rumored to be working on a software upgrade to the ASV to report results using some type of Indices, so to have a feature similar to AHI in an xPaP.

If this is true, one might expect that either the FDA web site or a press release will be the first indication of such a change. ResMed has a mail list for information on the Assist SV but of course one must be a DME or MD to sign up as none of us know enough about it to be asking them intelligent questions ...


I also wonder where Christinequilts has been. Thanks RG for giving us some updates.
(one very jet lagged) Lubman

[Guest]

Thanks so much for your patient and informative reply. I was able to fig out what EEP was, but not "EEP hose"? But you are right, the answer is there if you dig ardound for it, but perhaps just feeling cranky from lack of sleep.

[Guest]

I know what tubing is, but what is "EERS" tubing? I figured out what UMFF means, but not "NV" UMFF? It's really VRCNFNGF all these jargons and lingos.

[peke]

Thanks, REsted Gal and Lubman,

I have the Adapt SV now, but I am still renting it.

Do you think the new version will be a new machine or will it be new software to update the old version? How will that work? Will we be notified of an upgrade that our insurance will pay for? Will we just be stuck using the older version.

I do not want to purchase the old version if it is possible to get the new one.

Will it download? How does my current Adapt download information? They forgot to give me the book that goes with it.

Wish we could talk directly to the manufacturers!

Thanks,
Peke

[DrowzyDave]

Will it download? How does my current Adapt download information? They forgot to give me the book that goes with it.

Peke,

You can download data from the Adapt SV with the ResScan software and a serial cable.

Chances are they didn't "forget" to give you the book that goes with it, they remembered to take all of the books with them.

Dave

[peke]

Thanks Dave!

I agree with you! They didn't want me to have the book! Funny thing is the DME RT is newer than I am with the ASV! I at least learned something about it from the sleep clinic. The DME RT had never seen one before.

I really hate buying twice....regretting a purchase....you know? I just know that when I pay for this ASV, the new one will come out and I will have to pay again. My DME billed my insurance $13,000.00 for it. Yikes!

I thought I was renting the ASV, but my DME has pushed my insurance company to purchase it outright. I hate to pay that much if it does not work for me. I thought I would get to rent it for a while.

?? Does anyone have a list of non-Res-Med masks that work with the ASV? My FP 407 works, but it is too large for my face. I already tried all of the Res-MEd masks that work with the ASV. Are there any other brands that work?

Thanks,
Peke

[jammin]

Hi Peke,

I tried all the Resmed masks and the only one I could stand was the Liberty, but it keeps breaking because it's extremely fragile. I'm using the Universal Hybrid right now and I think I'll eventually be able to adjust to it. It and the Liberty look the same but feel quite different on the face. Both are still better to me than getting a bruised and infected nose bridge. If the Liberty ever gets updated and made a little more sturdy I'll probably switch back.

[peke]

Jammin,

Thanks, but I felt so claustrophobic with the Liberty so the Hybrid would be in the same boat!

Not very many masks work with the Adapt SV.

Thanks,
Peke

[Lubman]

EERS + Enhanced Expiratory Rebreathing Space
e.g. Dead space

Lubman

[talyn777]

I r an Inguneer, but some of this got over my head. I have recently been on a ResMed VPAP SV and then due to a paperwork SNAFU they realized that I was supposed to be on a different unit and after two weeksof adjustment, I just got a Respironics BiPAP SV.
Can someone explain in layman's term the difference?

I would also appreciate someone directing me to some good information on how to quit having a two hour battle, which I sometimes lose completely, trying to keep from ripping the mask off my face because I feel like it will smother me in my sleep? Once the air flow starts, it feels like I have to swallow or I will choke, but it's hard to swallow in the mask and especially against air pressure. It's like a have a ridge of mucus just past the event horizon of my uvula, on the top of my tongue at the front of my throat. That won't go away even if I harshly clear my throat. So I either try to clear my throat and fail or fight off the urge. If I open my mouth, I can easily breath, but not while asleep, because I can't convince the guy that runs my ship at night to open my throat muscles while breathing. <sigh>

Once I'm exhausted and asleep, I seem to do fine for three or four hours, but then my face gets tired, cheek cramps like I have been blowing up balloons for a couple of hours, and I have to wake up and take it off.

Right now four hours is considered a success.

Thanx for the helpful advice,

Talyn

[talyn777]

I should say that I tried the Liberty, which was nice for the view, but it felt like I had to keep my mouth in an awkward grin the whole time. Not closed, not open, so my mouth started cramping fairly soon. The nose plugs worked well though once I realized that my nostrils are two different sizes.

Now I use a Quattro and it seems to seal really well especially given that I have a beard ( <= see left). It's pretty comfortable and airy, especially if I am sitting up, so I don't think my problems are mask related.

Thanx,

Talyn

[Banned]

After using a ResMed (CPAP) S8 Vantage for several years and still waking up most nights gasping for air, I knew it was time to take charge of my life and my health. Six months ago I thought, to hell with the insurance, and paid $5,100 out of pocket for a Resmed Adapt SV. I can't remember ever sleeping more soundly or better in my life, And no more gasping attacks! i set the machine at 9/5 and it just chugs away, saving my life every night. The 'improved' Adapt SV will be a firmware upgrade only. The firmware is due to be released by ResMed in the next 2 months. But for 95% of us, our existing machines are just fine. I'm just happy to be one of the 12,000 ResMed Adapt SV users on the planet. Have you hugged your Adapt SV, today?

Cheers,

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None