NEW!!!! PR S1 Pro w/Auto IQ !!!!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jnk
Posts: 5781
Joined: Mon Jun 30, 2008 3:03 pm

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by jnk » Thu Jul 28, 2011 9:13 am

Slinky wrote: Goshes, jnk. You don't happen to have any strong feelings about this new PAP, do you???

Who? Me? Opinions? That would be above my pay grade.
Slinky wrote: Actually, I agree w/you but .... had to share the info w/the forum so the newbies could see the reaction and opinions of the "pros" before they buy or before their 30 days window has passed.
Well, as long as it has data and as long as it can run in CPAP mode at a pressure a patient or clinician chooses (which, for this machine, are unknowns to me at this point), I would think it would belong on any "recommended" list, patient to patient.

On the other hand, if it hides data from the patient or is limited in the modes it can run in, those would be deal-breakers for me.

Seems to me the concept may be confusing to patients and docs--kinda like that mode, (what was it called, something like "split-night setting"?) that some Respironics machines had and that some machines would accidentally be put into and handed to patients in. Few understood what it was for and why it was there, if I remember correctly.

Once you start blurring the lines between what is an auto and what is not, there is a potential for a lot of confusion. So I think marketing will be difficult for the concept. Hands-on people usually want to be hands-on the whole way; auto people usually like full-time auto. Creating a hybrid part-auto-part-cpap mode may be useful in some situations, but may suffer from the El-Camino curse of promising both a truck and a car but actually delivering a product that is not quite either one. The people who want that may love it, but it may be a niche product that few others every really understand, or want to understand.

Then again, hey, this AutoIQ may be the next big thing. I've been wrong before. And frankly, I'd enjoy being wrong about this one.
Slinky wrote:Maybe PR developed this PR S1 Pro AutoIQ to compete w/the Resmed S9 Escape Auto, ya think????
Seems to me the Philips Respironics people need a hit of some sort. That ResMed monster company needs some good competition. And ResMed needs to be spanked over that non-data Auto. THAT sure muddied the waters compared to the days when we could simply tell someone to get an auto in order for them to be sure to have data. Again, I see it could have a purpose in some very limited situations. It is just confusing.

Anyway, I am panning the marketing more than the concept. The product needs a name that clarifies what it does. When all autos (as far as I know) can already be manually put into CPAP mode once a 95% or 90% pressure has been determined by a patient or clinician, it just seems lazy for a machine to have to be trusted to do that automatically, if that's all the AutoIQ does.

Enough of my opinions. I'll shut up to read the others. Hopefully they will change my mind. I like having my mind changed. I am an optimistic cynic.

User avatar
GumbyCT
Posts: 5785
Joined: Fri Sep 14, 2007 6:22 pm
Location: CT
Contact:

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by GumbyCT » Thu Jul 28, 2011 10:29 am

jnk wrote: Once you start blurring the lines between what is an auto and what is not, there is a potential for a lot of confusion.
Kinda like "ALL Weather Tires" which are equally bad in ALL weather? Some people swear by these tires, but they usu have new fenders
jnk wrote:Seems to me the Philips Respironics people need a hit of some sort. That ResMed monster company needs some good competition. And ResMed needs to be spanked over that non-data Auto.
Give the Respironics credit for realizing anything plugged into a cigarette lighter (power) outlet in an automobile should be 12V to match the power source of the automobile.
jnk wrote:Philips Respironics, the marketing morons, strike again!
Do they have double-secret operatives (here) who know but "can" tell ? Why they chose this approach?

We are ALL ears!!!

_________________
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand
Additional Comments: New users can't remember they can't remember YET!
BeganCPAP31Jan2007;AHI<0.5
I have no doubt, how I sleep affects every waking moment.
I am making progress-NOW I remember that I can't remember
;)
If this isn’t rocket science why are there so many spaceshots?
Be your own healthcare advocate!

Hose_Head
Posts: 804
Joined: Wed Mar 12, 2008 6:43 pm
Location: Ontario Canada

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by Hose_Head » Thu Jul 28, 2011 6:34 pm

From the cpap.com site:

"AutoIQ technology takes the PR System One REMstar Pro CPAP Machine with C-Flex Plus to a smarter level. This feature offers 30 nights of auto adjusting capability, during which time the system works as an Auto CPAP delivering an adaptive pressure on a breath by breath basis. After the initial 30 days in auto adjusting mode, the system switches to Auto-Check Phase and functions as a CPAP delivering the pressure that the patient was at or below 90% of the time. The Auto-Check Phase continuously verifies pressure requirements and makes adjustments every 30 hours providing the user with more effective pressure levels over time.

Please note this is not an Auto CPAP Machine. It functions as an Auto CPAP during Auto-Trial Phase and switches to CPAP mode during Auto-Check Phase. "


I'm not sure what all the hub-bub is about this from previous posters. Personally, I see the AutoIQ as a positive move forward in machine technology. Yes, I know, it's not an apap. But it IS a step up from a straight cpap.

I see that this new machine will be a benefit for all of those who have posted here who have complained about getting a poor lab-titration. It's also a simpler solution to those who use an apap to check their optimum pressure and then set their apap to straight cpap mode (the IQ will do this for them automatically!).

I agree, it's NOT a replacement for an apap. Those of who want to use apaps will still be able to do so. Those on straight cpap will benefit from this machine.

The only downsides to the AutoIQ that I see are whether the machine can detect and take into account central apneas. Hopefully, it will be restricted to operate within a controlled range of pressures, and can be set to operate in straight cpap mode (without the auto function).

2 cents.
I'm workin' on it.

User avatar
chunkyfrog
Posts: 34544
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nowhere special--this year in particular.

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by chunkyfrog » Thu Jul 28, 2011 7:46 pm

This sounds like it was designed for abuse--primarily by insurance companies and 'care givers'.
However the price point might work for people who have no insurance and no medical connection save one for the initial RX.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her

User avatar
Otter
Posts: 1063
Joined: Sat Mar 19, 2011 5:02 pm

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by Otter » Sat Jul 30, 2011 4:10 am

I'd rather have a real truck, but I do see a niche for the new machine. If you can't tolerate APAP, you could benefit from having the machine adjust your pressure every 30 hours, assuming the algorithm makes reasonable choices.

As for the doctors who do not like auto machines, I don't know. Some of the complaints seem to be related to running auto with a ridiculously wide range. But I suspect that the core of it is John Henry not wanting to be replaced by the steam drill. APAP does not replace polysomnography for diagnosis, but I think in most cases it is superior for titration. People really need to be titrated in the environment they'll be sleeping in. And a night or two in the lab just doesn't provide enough data anyway.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Software: SleepyHead 0.9 beta

KenS
Posts: 27
Joined: Sat Jun 10, 2006 10:10 am
Location: UK

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by KenS » Sat Jul 30, 2011 9:11 am

Alshain wrote:
jedimark wrote:This has confirmed my theory that these machines are basically the same apart from firmware..
Oh, I think that is more than theory. They have to be the same hardware or they wouldn't be able to do their base function. No additional hardware is needed to record more data to a SD card. No additional hardware is needed to run calculations on that data for titration. The phrase is 'intellectual property'. My company does the same thing, we have one hardware platform for half a dozen controllers.

Alshain, your avatar is great!

User avatar
Slinky
Posts: 11372
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by Slinky » Wed Aug 03, 2011 11:48 pm

... After the initial 30 days in auto adjusting mode, the system switches to Auto-Check Phase and functions as a CPAP delivering the pressure that the patient was at or below 90% of the time. The Auto-Check Phase continuously verifies pressure requirements and makes adjustments every 30 hours providing the user with more effective pressure levels over time. ...

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

Guest

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by Guest » Thu Aug 04, 2011 9:18 am

Hose_Head wrote:I'm not sure what all the hub-bub is about this from previous posters. Personally, I see the AutoIQ as a positive move forward in machine technology.
I'm just wondering if there is any way other than the 30 hour adjustment to set it to a new setting at all.

Tell me about the second hand market for these machines.....you think anyone is going to want to buy one that has been used? This benefits PR only. Patients can't sell these machines used, which makes it the manufacturer's dream machine.

There is your hub-bub for the day.

jnk
Posts: 5781
Joined: Mon Jun 30, 2008 3:03 pm

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by jnk » Thu Aug 04, 2011 9:36 am

Guest wrote:. . . wondering if there is any way other than the 30 hour adjustment to set it to a new setting at all.
"•Auto-Check Phase may be bypassed. CPAP mode can be entered directly."-- https://www.cpap.com/productpage/respir ... utoiq.html (under "Important Tips")

User avatar
Slinky
Posts: 11372
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by Slinky » Thu Aug 04, 2011 9:39 am

Eh, people sell used CPAPs all the time. Heck, if you can buy illegal drugs so easily in this country what makes you think you can't buy a used CPAP??

You can't believe everything you read and less than half of what you hear. And heaven only knows how much of what you see you can believe!!!!

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by archangle » Thu Aug 04, 2011 2:04 pm

Slinky wrote:Eh, people sell used CPAPs all the time. Heck, if you can buy illegal drugs so easily in this country what makes you think you can't buy a used CPAP??

You can't believe everything you read and less than half of what you hear. And heaven only knows how much of what you see you can believe!!!!
I think the point is that the machine cripples itself after 30 days of autotitration and (Maybe?) can't be reset. If you sell it to another user, they can't do the AutoIQ stuff.

You could resell it to an uninformed buyer or to an informed buyer who knows and is willing to use it as a manual CPAP.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

ThomasMcKean
Posts: 252
Joined: Thu Jan 29, 2009 1:14 am
Location: Heart of the Blue Ridge
Contact:

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by ThomasMcKean » Thu Aug 04, 2011 2:08 pm

archangle wrote: I think the point is that the machine cripples itself after 30 days of autotitration and (Maybe?) can't be reset. If you sell it to another user, they can't do the AutoIQ stuff.

You could resell it to an uninformed buyer or to an informed buyer who knows and is willing to use it as a manual CPAP.
That link provided a bit ago seemed to indicate that it COULD be reset? But it looks also like it will not function as reg'lar APAP. At least that's how *I* read it... Mind yew, I am sure any reset would be in clinical menu only.
The Honorable Thomas A. McKean, HOKC
Author, Soon Will Come the Light: A View From Inside the Autism Puzzle
http://www.thomasamckean.com http://www.gallery.thomasamckean.com

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by archangle » Thu Aug 04, 2011 2:36 pm

ThomasMcKean wrote:
archangle wrote: I think the point is that the machine cripples itself after 30 days of autotitration and (Maybe?) can't be reset. If you sell it to another user, they can't do the AutoIQ stuff.

You could resell it to an uninformed buyer or to an informed buyer who knows and is willing to use it as a manual CPAP.
That link provided a bit ago seemed to indicate that it COULD be reset? But it looks also like it will not function as reg'lar APAP. At least that's how *I* read it... Mind yew, I am sure any reset would be in clinical menu only.
What link is that?

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by archangle » Thu Aug 04, 2011 2:43 pm

jedimark wrote:This has confirmed my theory that these machines are basically the same apart from firmware..
The schematics in the service manual are apparently the same for all the models higher than the Plus. That was from before the AutoIQ came out though.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

ThomasMcKean
Posts: 252
Joined: Thu Jan 29, 2009 1:14 am
Location: Heart of the Blue Ridge
Contact:

Re: NEW!!!! PR S1 Pro w/Auto IQ !!!!

Post by ThomasMcKean » Thu Aug 04, 2011 2:51 pm

archangle wrote:
ThomasMcKean wrote:
archangle wrote: I think the point is that the machine cripples itself after 30 days of autotitration and (Maybe?) can't be reset. If you sell it to another user, they can't do the AutoIQ stuff.

You could resell it to an uninformed buyer or to an informed buyer who knows and is willing to use it as a manual CPAP.
That link provided a bit ago seemed to indicate that it COULD be reset? But it looks also like it will not function as reg'lar APAP. At least that's how *I* read it... Mind yew, I am sure any reset would be in clinical menu only.
What link is that?
This one here:

https://www.cpap.com/productpage/respir ... utoiq.html

The Honorable Thomas A. McKean, HOKC
Author, Soon Will Come the Light: A View From Inside the Autism Puzzle
http://www.thomasamckean.com http://www.gallery.thomasamckean.com