REMstar Auto C-Flex CPAP / manuals and settings

[billionzz]

Hello,

I have a REMstar Auto C-Flex CPAP machine and I have several different full face mask that I have used and some work better than others.

My mask seal pretty well and I'm really not having a problem with them but I'm still snoring at night and I don't think my treatment is that effective.

I have found the users manual online and I dowloaded it but I guess what I'm looking for is a more detailed manual or instructions of how to set up my machine or how to know what the settings are or should be.

Any help would be appreciated.

Thanks,
Bill

[Wulfman]

Hello,

I have a REMstar Auto C-Flex CPAP machine and I have several different full face mask that I have used and some work better than others.

My mask seal pretty well and I'm really not having a problem with them but I'm still snoring at night and I don't think my treatment is that effective.

I have found the users manual online and I dowloaded it but I guess what I'm looking for is a more detailed manual or instructions of how to set up my machine or how to know what the settings are or should be.

Any help would be appreciated.

Thanks,
Bill

I can assure you that you won't find any manuals from the manufacturer that gives those kind of instructions.

You didn't specify whether you have the software to monitor your therapy or how your machine was configured.

If you have the software, the most effective settings will be to raise your minimum pressure until it takes care of almost all of your events and then, depending on whether you have leaks or snores that continue to drive up your pressures, you can either limit the maximum pressure or leave it wide open at 20.

On the other hand, once you find that ideal minimum pressure, you could switch the machine to CPAP mode (or CFLE - CPAP w/C-Flex) and tweak the pressure from there for optimum results.

Snoring typically indicates that your pressure is not sufficient.....depending on how much you're snoring. If your pressures are taking care of your Apneas and Hypopneas, your snoring may not be that serious. Make sure you do a nasal rinse/cleansing before going to bed because nasal obstructions will naturally affect snoring and your ability to get enough air into your nasal passages.


Den

[billionzz]

Hi,

>>>I can assure you that you won't find any manuals from the manufacturer that gives those kind of instructions.<<<

So doesn't the sleep clinics have these manuals?

>>>You didn't specify whether you have the software to monitor your therapy or how your machine was configured. <<<

I don't have the software but I will buy the software and card reader if that's what I need to do.

What do you mean when by how is your machine configured, how would I be able to tell how it's configured?

>>>If you have the software, the most effective settings will be to raise your minimum pressure until it takes care of almost all of your events<<<<

So is there anyway to raise the minimum pressure without having the software? I thought that the whole idea of getting an APAP machine was that it would automatically adjust the pressure by itself and I wouldn't have to ever worry about any of this.

>>>On the other hand, once you find that ideal minimum pressure, you could switch the machine to CPAP mode (or CFLE - CPAP w/C-Flex) and tweak the pressure from there for optimum results.<<<

Until I get the software could I switch it to CPAP or CFLE mode and set the minimum to 8 and adjust it up every few nights if I still need?

It doesn't seem like it could be that complicated to adjust and set your own setting and you would think if you paid close to $1000 for a machine to you could get a good manual that you could use with it.

Thanks for all of your help,

Bill

[Wulfman]

OK. Let's back up a step. I just discovered that I mis-read one of your sentences to begin with. That being where you said the "users manual". I was thinking you had found the "Setup manual" or the "Setup instructions" which have been posted many, many times on this forum.

I'll post them again below my post here. I would first suggest you go through screens and write down on a piece of paper what the settings are in your machine.

Did you have a sleep study and a titrated (prescribed pressure)?

Here's the Software and card reader package needed to monitor your therapy with the smart card in the machine. (I presume the machine came with a smart card)

https://www.cpap.com/productpage-bundle.php?BundleID=64

If your machine came with the default pressure settings of 4 - 20 cm., a starting pressure of 4 cm may be too low to treat your apneas or hypopneas because it can take too long for the machine to raise the pressure to where it needs to be. They don't "automatically" jump from 4 cm. to 10 cm.

Was your prescribed pressure 8? If so, you could set your machine in CPAP/CFLE mode and use it that way until you get the software.

Sorry for the confusion and misinterpretation of your original post.


Den



REMstar Auto w/C-Flex Setup

When in the Setup Menu, the humidifier ^ and ramp v buttons operate as up and down keys to change the settings, the left/right user buttons < > allow you to go to the previous/next question or setting, and the pressure start/stop button is used to exit the Setup Menu. Holding the humidifier or ramp buttons down will cause the values to change more quickly.

To enter the Therapy Setup Menu, hold the two top user buttons < > down while plugging in the power cord.
Continue holding the buttons down until the REMstar Auto w/C-Flex beeps twice.

Note: The word "setup" will appear on all of the screens indicating that you are in the Therapy Setup Menu.
(If you press the Pressure start/stop button, you will exit the Setup Menu.)

A. Compliance hours/nights: (recommend leaving alone, but CAN be cleared at this point)
Select next setting with >

B. Therapy mode: (CPAP/CFLE/APAP/AFLE) select with ^ or v
Select next setting with >

B1. If CPAP or CFLE select pressure setting: Select with ^ or v
Select next setting with >

B1a. C-Flex mode (if you chose CFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

B2. If APAP or AFLE, select minimum pressure setting: Select with ^ or v
Select next setting with >

B2a. If APAP or AFLE, select maximum pressure setting: Select with ^ or v
Select next setting with >

B2b. C-Flex mode (if you chose AFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

C: Ramp time setting: Select with ^ or v
(ramp time will be turned off with a setting of 0:00)
(if using APAP or AFLE mode, Ramp setting MUST be set to 0:00)
Select next setting with >

D. Ramp pressure setting: Select with ^ or v (use only in CPAP or CFLE mode)
Select next setting with >

E. Patient disconnect setting: 1 = on 0 = off Select with ^ or v
Select next setting with >

F. Buttons lights setting: 1 = on 0 = off Select with ^ or v

(Last setting. Use On/Off button to exit Setup)

[billionzz]

I'm using AFLE and increased my minimum to 8.

I also found my ramp pressure set at 3.00, according to your instructions it should have been at 0.00 for use in AFLE.

Do you think that being set at 3.00 instead of 0.00 may have caused the machine not to work right in AFLE?

>>>Did you have a sleep study and a titrated (prescribed pressure)? <<<

Yes, I think it was a 10 but I would have to find it. I didn't give much thought to it because I was under the impression that the APAP machine would handle everyhting.

Thanks,
Bill

[Wulfman]

I'm using AFLE and increased my minimum to 8.

I also found my ramp pressure set at 3.00, according to your instructions it should have been at 0.00 for use in AFLE.

Do you think that being set at 3.00 instead of 0.00 may have caused the machine not to work right in AFLE?

>>>Did you have a sleep study and a titrated (prescribed pressure)? <<<

Yes, I think it was a 10 but I would have to find it. I didn't give much thought to it because I was under the impression that the APAP machine would handle everyhting.

Thanks,
Bill

Bill,

Did you mean Ramp Pressure or Ramp Time. If it was the Ramp Time set to 3.00, that would have meant that your machine would have stayed at the beginning Ramp Pressure for 3 HOURS. If that pressure was set to 4 cm. that would have made for some tough sleeping.......(lack of air).

Anyway, I do have the full "Service manual" for that machine in .pdf format and will send it to you if you PM me with your e-mail address.


Den

[billionzz]

It just said ramp, so I'm guessing that that was the time since I was in the AFLE mode. Taking 3 hours to move up would explain a lot.

I sent you a pm.

Thanks for all of your help, I really appreciate it.
Bill

[Wulfman]

It just said ramp, so I'm guessing that that was the time since I was in the AFLE mode. Taking 3 hours to move up would explain a lot.

I sent you a pm.

Thanks for all of your help, I really appreciate it.
Bill

You should have it.

Den

[billionzz]

I got it and I changed my settings.

Thank you, I'm looking foward to a great night of sleep.

Bill