need advice on a new machine

[kcarlee]

It's been 5 years and i can get a new machine. but what do i get?

[kcarlee]

Right now I have a resmed elite II.

[Hosehead4ever]

I certainly don't have the expertise of others on this forum, but I just changed machines and chose a Resmed Airsense 10 Autoset over the PRS1 60 series Auto machine. The PRS1 has better data in my opinion and I miss having some of the more detailed data, but the Resmed machine has a far better form factor and after using it for almost a week, I have no regrets. However, the basic Airsense CPAP is apparently a brick as far as data is concerned, so if you have just a straight CPAP, then I would go with the PRS1 machine to get the data.

[Pugsy]

Be careful as there are brick no data PR S1 machines also...need model 450/460 or higher for full data Respironics machine.

Actually for someone who has been using a ResMed machine for 5 years....unless that person likes to experiment and test out different brands...I would suggest staying with ResMed and go with the latest model.
Assuming your S8 machine is regular cpap/apap and not the other high end machines I would look at these
These are all full data.
AirSense 10 Elite
AirSense 10 AutoSet
AirSense 10 AutoSet for Her

I would avoid the AirSense 10 CPAP because the only piece of data it gathers is AHI only...nothing else and especially not leaks which I feel is a critical data point.

The reason I say stay with the brand a person has used for a long time...they are used to the way it does things and there is a difference, though small, in how things feel and for some people they don't like difference.
Now I have used both brands and I do well with both brands but then I like to change things around and change doesn't bother me.

[palerider]

The PRS1 has better data in my opinion... then I would go with the PRS1 machine to get the data.

what data do you think you're missing with the airsense 10 autoset?

the as10 provides better data on flow limitations than the prs1, (chart vs flags)

[hyperlexis]

That's like asking "what's the best car" or "what are the best shoes"?

No one here can take the place of your doctor, frankly, and he's the one you should be talking to about choices.

That said, you could be more specific -- is price most important? Data tracking? Do you obsess over data every night or do you just want a good quality machine to turn on and have it do its job without really thinking about it? Do you have insurance that will cover the machine or will you pay cash?

The only thing one can accurately say here is that the Resmed Airsense10 series is the newest Auto machine released in the U.S., and it comes in multiple versions -- straight, basic CPAP all the way up to a non-invasive respirator style. Respironics should, hopefully soon, have a new replacement for the System One series. Who knows when DeVilbiss and Fisher Paykel will ever release something new this decade....

All the existing machines have some really good things and really lousy things as well. It all depends how much you want to pay for something, what features you want, and what flaws you are willing to tolerate....

(Frankly, almost any modern machine out there will do the job just fine! One or the other may take more tweaking of settings or more titration studies, etc. to set right, but chances are you will be just fine no matter what brand you buy...)

--Also see what Pugsy said for more detailed info.

[Pugsy]

the as10 provides better data on flow limitations than the prs1, (chart vs flags)

And I have always preferred flags to the graph chart because I like counting things versus trying to figure out how high is bad.
With the flags I can simply look at exactly how much reduction and how long it lasted in one easy step.
Just a minor personal preference of mine..not a make it or break it deal in general though.

[kcarlee]

I went to the DME and they gave me an airsense 10 autoset. I had my Resmed 8 elite II set at about 6.6 because any higher causes problems with my ears. My script says to set it at 8 which is what they did. She said I wasn't supposed to change the setting and she wanted to know how I found out how to change it. LOL She has it set to communicate with her? Can I change settings on this myself? I suppose I can get a script to change it but I thought I could play with it. Thanks for all the advice.

[OkyDoky]

Since they have it set to communicate with them, they can remotely change your settings. So if you change them, I believe they will know and can change them back. Here is from the clinical manual.
Remote monitoring
The AirSense 10 device has cellular communication which has the ability to automatically transmit
summary and night profile data on a regular basis. It also allows you to change settings remotely.
The Wireless signal strength icon displayed at the top right of the screen indicates the signal
strength. Advise the patient to check the signal strength on their device.
Notes:
 Therapy data might not be transmitted if used outside of the country or region of purchase.
 Devices with cellular communication might not be available in all regions.
Here is a link to the clinical manual. https://sleep.tnet.com/home/files/resme ... -guide.pdf
So I think if you want your settings changed you might have to go through your doctor, turn off the monitoring, or if you change them check your machine frequently for your pressures to see if they have been changed back.

[TangledHose]

You could leave the wireless modem turned off (Airplane Mode "On") and tell them there is no cell phone signal where you live

[grayghost4]

Just don't tell them that from your cell phone

[Tatooed Lady]

Just don't tell them that from your cell phone

Lol...tell them the only way to get cellular signal at home is to wear foil rabbit ears and stand on one foot at the peak of the roof...

So...there are ways to "fix" the coding on the new Keurig coffee makers so they use any coffee. Isn't there a wire to detach or something to disable the internal modem?

[kcarlee]

First night ok but too much pressure in ears. My new Air Fit F10 full face mask didn't work, could hear inhalation and exhalation , went back to my fx quattro, will change settings tonight from 6-10 on autoset instead of straight CPAP. The wifi is embedded in so it doesn't matter if you have wifi in your house or not. So I guess they will know i changed it. Love the heated hose. Can't get info on machine . Have to go to Resmed .com my air and sign up to get it. Also was sent some compliance info from Umbian, I didn't remember them telling me about that so will ignore for now.
Thanks for all the comments and humor.

[Pugsy]

Can't get info on machine .

A small quick and easy setting change in the clinical setup menu can fix that...or just use SleepyHead software which will show you a lot more than what you will see on the website anyway.

Do you have the provider/clinical manual for your machine? It explains a lot of the ultra secret stuff along with how to turn the data on so the patient has access to the data on the LCD screen.

It's available here if you don't have it...but you have to request it. Instructions down near the bottom of the page.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

[Tatooed Lady]

Can't get info on machine .

A small quick and easy setting change in the clinical setup menu can fix that...or just use SleepyHead software which will show you a lot more than what you will see on the website anyway.

Do you have the provider/clinical manual for your machine? It explains a lot of the ultra secret stuff along with how to turn the data on so the patient has access to the data on the LCD screen.

It's available here if you don't have it...but you have to request it. Instructions down near the bottom of the page.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

Just one more reason to love Pugsy...she gets around the Super Secret stuff that DMEs refuse to tell you, supposedly under penalty of some Federal Whipping Law or something...No reason to treat us all like kindergartners with ADHD and a box of dynamite nearby.