New S9 Elite - A couple of queries?

[BigBad64]

Hi all,

new member and 1st post. I've been having a bit of a read and it seems like there's a lot of knowledge to tap into here.

I was recently diagnosed with severe sleep apnoea and have been trialling some machines supplied from the local health centre attached to the hospital.

First off I had a ResMed S8 CPAP machine with a humidifier and was doing quite well, except for occasional moisture in the tube.

After the months trial period expired I then tried a friend's old S7 Auto machine for a couple of nights (properly programmed for me) and woke up feeling rotten. This put me off the Auto, and the clinician said that as I had been going well on the S8 CPAP we should stick with that. As luck would have it the S8 I brought back had since gone out on trial with another patient.

I'm now trialling an S9 Elite with the humidifier and climate control slimline tube and have only used it for 2 nights.
I have 2 weeks to decide whether to get it or an S8, if one can still be located at that time.

I haven't woken up feeling "great" the last 2 mornings with the S9 but my mouth hasn't been dry and there's no moisture issues with the climateline tube. The AHI for last night said "5.6", good or bad I'm not sure.

What I have noticed with the current S9 setup is a faint but noticeable whistling sound when I breathe out. Not loud but annoying when trying to settle to sleep.

Would this slight breathing out whistle be coming from within the mask (Mirage Quattro Full Face), or be in the tube or somewhere else?

I hadn't been aware of this noise with the S8. Maybe this noise has been there all along but the S9 is quieter so I can now hear it?

Do others experience this issue?

[KatieW]

Does it sound like this?

viewtopic.php?f=1&t=49987&p=458848&hili ... er#p458848

[BigBad64]

That's it exactly.

Many thanks.

[BigBad64]

I've been trying out the S9 Elite now for over a week and have been waking up feeling "average". There have been no problems with rainout due to the climateline hose.

When I previously trialled the S8 CPAP machine I recall at the end of the trial waking up 4-5 days running feeling "good", better than with the S9 to date. However I also remember the issues with moisture in the tube.

I can purchase either machine for the same money and have to make a decision soon.

Is it possible that the S8 was providing better therapy for me, or will the S9 in the long run do just as good or better?

[Slinky]

The S9 is a newer series of PAPs w/some new EasyBreathe technology. I haven't had the opportunity to try one.

I was started w/a Resmed S8 Elite w/EPR and I loved it. Unfortunately, I have COPD and had to be switched to a bi-level. I liked the Resmed S8 Elite so well tho that I insisted on my bi-level being a Resmed VPAP Auto. My Resmed VPAP Auto does have the EasyBreathe technology in auto mode.

The moisture you experienced w/the S8 Elite is easily overcome by having your PAP below the level of your mattress, adjusting the humidifier setting, taking the hose under the covers w/you or hanging the hose above your head.

In 3 1/2 years I've not had a problem w/"rain out" (condensation and moisture in the hose) w/the Resmed S8 Elite, Resmed S8 AutoSet Vantage, or the Resmed VPAP Auto and I'm now trialing a PR SystemOne BPAP Auto w/Bi-Flex and still not having any problems w/"rain out". I usually take my hose under the covers w/me and I adjust the humidifier up or down as feels comfortable to me. I don't like having a cold nose but neither do I enjoy breathing warm air.

[KatieW]

I've been trying out the S9 Elite now for over a week and have been waking up feeling "average". There have been no problems with rainout due to the climateline hose.

When I previously trialled the S8 CPAP machine I recall at the end of the trial waking up 4-5 days running feeling "good", better than with the S9 to date. However I also remember the issues with moisture in the tube.

I can purchase either machine for the same money and have to make a decision soon.

Is it possible that the S8 was providing better therapy for me, or will the S9 in the long run do just as good or better?

Which S8 did you have? The Elite II (fixed pressure) or AutoSet II (range of pressure). With the AutoSet II, you can set it on either fixed or range of pressure, so it's more versatile.

With the S9 Elite, you only have fixed pressure. If you like the Climate Line, and want the option of using a range of pressure, then ask how much a S9 AutoSet will be. It may only be a little more?

[BigBad64]

Which S8 did you have?

The S8 Elite II (Fixed Pressure)

I suppose I'm wondering if the S9 is going to do anything more for me in the long run (treatment wise) than the S8, given that the trial with the S8 seemed to go better than my current experiences with the S9.

[Big Daddy RRT,RPSGT]

The s9 will ignore central apneas and has the climate line tubing which can be great if you like lots of humidity and sleep in a cool room. I have also noticed the wheeze of the S9 but otherwise it has been very quiet. The S8 has also been said to be very quiet also. The Auto can be used when needed and then set to a fixed pressure if you prefer so it is more versatile.

[Mycopsycho]

What I have noticed with the current S9 setup is a faint but noticeable whistling sound when I breathe out. Not loud but annoying when trying to settle to sleep.

Would this slight breathing out whistle be coming from within the mask (Mirage Quattro Full Face), or be in the tube or somewhere else?

I hadn't been aware of this noise with the S8. Maybe this noise has been there all along but the S9 is quieter so I can now hear it?

Do others experience this issue?

I've had four nights with my S9. I initially set the humidity level to 3.5. Then on the third night I set the humidity level to 5.0. As it happened, we had heavy rain and the ambient humidity level was in the 90s. That night I experienced the whistling you refer to. It was very annoying. I thought it was coming from my Swift FX mask because when I put my finger over the "exhaust" grid, the noise would go away. The next night I reduced the humidity level to 3.0 and no whistling. My thought is that with high ambient humidity and a high setting for humidity on my S9, condensation might have collected in the mask. But the truth is, I haven't a clue.

[Mebake]

The s9 will ignore central apneas and has the climate line tubing which can be great if you like lots of humidity and sleep in a cool room. I have also noticed the wheeze of the S9 but otherwise it has been very quiet. The S8 has also been said to be very quiet also. The Auto can be used when needed and then set to a fixed pressure if you prefer so it is more versatile.

Can you elaborate on the S9 ignoring central apneas. Thanks Marty

[Biggie_D]

The s9 will ignore central apneas and has the climate line tubing which can be great if you like lots of humidity and sleep in a cool room. I have also noticed the wheeze of the S9 but otherwise it has been very quiet. The S8 has also been said to be very quiet also. The Auto can be used when needed and then set to a fixed pressure if you prefer so it is more versatile.

Can you elaborate on the S9 ignoring central apneas. Thanks Marty

I too would like to know about this.

Many Thanks
Duane

[BigBad64]

Hi Biggie_D,

you seem to be one of the few people on this forum who have an S9 Elite instead of the S9 Autoset.

(The S9 Autoset is $2000 AUD and the S9 Elite is $1000 AUD for me to buy here, so I'm trying to work out if it's twice as good.)

I note in my settings on the S9 Elite that the clinician has set my maximum pressure (that it ramps up to) as "9.0" and the EPR is "Off".

Can you tell me what your max. pressure is set to and if you have this "EPR" setting on/off?

Cheers.

[bigk]

(The S9 Autoset is $2000 AUD and the S9 Elite is $1000 AUD for me to buy here, so I'm trying to work out if it's twice as good.)

Say what? Twice as expensive? I think you aren't comparing apples with apples. Does one have the humidifier included? Pretty sure when I checked there was around $200 difference, not $1000....

[BigBad64]

Say what? Twice as expensive? I think you aren't comparing apples with apples. Does one have the humidifier included? Pretty sure when I checked there was around $200 difference, not $1000....

Both have the humidifier. The S9 Elite should be about $1500 but as I was quoted $999 on an S8 and then they ran out of them they said I could have the S9 Elite for the same price.

Seems like a good deal and I'm tempted, but I'm conscious of the fact that 90% of people on this forum seem to have the S9 Autoset so I'm thinking I should just bite the bullet and buy that to give me total flexibility in the future.

[Big Daddy RRT,RPSGT]

Central apneas, are apneas that occur from a lack or respiratory effort rather than an obstructed airway. When you have an obstructed apnea more pressure is needed to open the airway. When you have a central apnea the airway is open, more pressure will not help and may even cause more central apneas. The newer Autos (Resperonics System One, Resmed S9) check for and ignore these open airway central apneas by delivering a puff of airway to determine if the airway is open or closed during an apnea. The older autos increase the pressure for all apneas and then ignore all apneas above a certain pressure.