PR System One REMstar Pro CPAP Machine with AutoIQ

[lazer]

I have recently purchased this unit as a "go to" machine once my DME likely needs my current APAP turned in due to my insurance possibly not coming through for me as per my other threads if you've followed them.

Now I'm not trying to say for 100% certainty that my comment(s) in another thread in defense of the machine are in fact 100% accurate regarding the ability to reset the days to 0 after the 30 day APAP mode selection in order to retain APAP as it seems we don't really have solid confirmation on that particular fact yet and no-one has come out as far as I know publicly to verify this without some further digging, although it has been suggested to me that this is true per a couple "word of mouth" conversations by a third party with both a DME and other user.

But anyhoo, without further BS... I just wanted to confirm that it does for certain operate initially as a full APAP if set up properly which can be accomplished in the "clinical menu" and here is the proof from last night: (Min 8 - Max 20)

[Pugsy]

I like the 8 cm minimum. Your snores were markedly reduce. Your AHI is great. Toss out the CA index because we ignore it anyway in your situation and your AHI is less than 1. We can't expect to do better than that.
Do what you have to with the DME provided machine until that time is up to make him happy...just in case insurance might come through...then use 8 cm minimum and I think you are pretty much zeroed in on a good pressure minimum for you.

Should you ever want to reduce the maximum you can but it is a moot point since it is never close to being maxed out.

Good report. I would be totally pleased with it if it were mine.

[lazer]

Thanks Pugsy. Yea, the 8 minimum was even more natural and comfortable feeling to me when getting to sleep and like you noticed to as I, the pressure/events seems much more stable through much of the night until a couple events kicked in the APAP and increase.

I'm going to suggest to the DME that the pressure be raised again on that machine since I'm at 6 with it now and it doesn't seem to be enough. I'll just tell him I'm having trouble breathing and feeling comfortable at 6 and not getting enough air, thus why with this damn sinus infection going on why I didn't use the APAP last night and tonight... hehehehe

Whew, I hope he doesn't read this board or I'm busted! Yep, I'm an official outlaw now.

[Pugsy]

OMG another convert to the dark side.
Push the DME for the official okay on the increase in minimum. There is no reason not to do it. You have an APAP wide open anyway so its not like a major thing and if breathing is more comfortable starting out a bit higher...that makes for better sleep in the long run. Comfort is a huge plus.
If he balks, call your doctor and get him on board. He will listen to the doc I am certain.

[Bigron452]

Lazer/Pugsy .. I'm brand new to this machine, and I'm amazed at the detailed information from the machine! Obviously, I don't have a clue as to what it means, but are there any documents out on the web that will explain it to me? Rep told me to monitor the AHI, if it goes above 5 to send him the card and he'll get with the doc to change settings. As my old unit was bare bones, I never seen any of this before and my last sleep study was in 04. I'd appreciate any help either of you can provide. Question .. is this a regular SD card and is software required to read the data?

[lazer]

Lazer/Pugsy .. I'm brand new to this machine, and I'm amazed at the detailed information from the machine! Obviously, I don't have a clue as to what it means, but are there any documents out on the web that will explain it to me? Rep told me to monitor the AHI, if it goes above 5 to send him the card and he'll get with the doc to change settings. As my old unit was bare bones, I never seen any of this before and my last sleep study was in 04. I'd appreciate any help either of you can provide. Question .. is this a regular SD card and is software required to read the data?

Download SleepyHead via Pugsy's signature. It's real simple to get up and running. Yes, this is a regular SD card of which you can insert into an SD reader if already available on your computer or buy a cheap $10 USB-SD dongle from Walmart. Once you get up and running with SleepyHead - post some screenshots of your data and suggestions can then be made to you regarding your charts and readings.

Pugsy will likely detail to you how to post a screenshot, ect... if you're wondering as she has an excellent tutorial post about that if you can't find it.

Oh and when you go to IMPORT the data from the SDcard to SleepyHead - Just point it at the Drive letter of the SDcard itself... As in E, F, G, H... whatever. Don't try to open to a directory or anything on the card.

[Pugsy]

Lazer/Pugsy .. I'm brand new to this machine, and I'm amazed at the detailed information from the machine! Obviously, I don't have a clue as to what it means, but are there any documents out on the web that will explain it to me? Rep told me to monitor the AHI, if it goes above 5 to send him the card and he'll get with the doc to change settings. As my old unit was bare bones, I never seen any of this before and my last sleep study was in 04. I'd appreciate any help either of you can provide. Question .. is this a regular SD card and is software required to read the data?

Check out my signature line links. Glossary will help a lot with the terminology. I have a half baked tutorial that will explain some things. I just can't find the time to do it right.
It is a regular SD card. Sleepyhead works great with it.
I can get you Encore software that will work but to be honest...SleepyHead runs circles around it.
SleepyHead even has a Mac version. Be sure to read the SH user guide especially the part about importing. Most people want to go to far into the SD card and since SH works with multiple machines it is set up to do a general search instead of a specific file or folder search.

If you use Vista or Win 7...when you do the install...instead of double click to install do a right click of mouse and install under the "run as administrator" command line. This prevents an annoying problem with the updates.

Check out the stuff I have written. Use your SD card (only thing you might need is a card reader/adapter if your computer doesn't have one)...the post back if something needs clarification.
Main things for someone new to this software...Understand your AHI, event categories, pressure and leak line.
Remember Respironics reports total leak which includes the vent rate so don't try to compare your leak numbers to a ResMed user's numbers. Their machines report leak differently.

The 30 day thing with this machine...we are hoping that after 30 days that we can renew the APAP capabilities like new with a simple reset of the therapy session hours. Make it like a new machine. I have been told it works but haven't done it and not been in direct contact long term with someone who has. In theory it should work.
Lazer is in a position where he needs APAP long term and his AHI is not quite high enough to satisfy insurance and even though his doctor is on board with what we are doing the insurance may bail and leave Lazer without a machine.
So his doctor is cool with what we are doing. He isn't going against his doctors wishes at all.
He of course could just buy a machine online but we got such a good deal on this Auto IQ we had to try it.
He is like the rest of us...money is tight. Should his insurance come through..then this Auto IQ makes a great backup machine. Win win situation.

Anyway, back to your questions about software and understanding what you see. It really isn't difficult with just a little reading and experience.
If you need something explained ...just ask and someone will be happy to do it.

[Bigron452]

Pugsy / Lazer .. thanks to both of you! I've got quite a bit of catching up to do, but I'll get there! I'll down load the software and look at the user guide. Once I get some data in the machine, I'll get back to you about posting. It's amazing .. my old machine, only provided pressure, just a brick .. I guess I'm moving out of the dark ages !!! Thanks again

[retrodave15]

Now I'm not trying to say for 100% certainty that my comment(s) in another thread in defense of the machine are in fact 100% accurate regarding the ability to reset the days to 0 after the 30 day APAP mode selection in order to retain APAP as it seems we don't really have solid confirmation on that particular fact yet and no-one has come out as far as I know publicly to verify this without some further digging, although it has been suggested to me that this is true per a couple "word of mouth" conversations by a third party with both a DME and other user.

I have the same machine - you can do a reset and get your 30 AutoIQ days back. Now after that period it will adjust the pressure every 30 hours as necessary. I have noticed that my pressure changes slightly week to week. I have done the reset on it it once so far, and that was due to a major medication change; as for the first time in over 10 years I have not taken a sleeping pill for 2 months straight.

[lazer]

Now I'm not trying to say for 100% certainty that my comment(s) in another thread in defense of the machine are in fact 100% accurate regarding the ability to reset the days to 0 after the 30 day APAP mode selection in order to retain APAP as it seems we don't really have solid confirmation on that particular fact yet and no-one has come out as far as I know publicly to verify this without some further digging, although it has been suggested to me that this is true per a couple "word of mouth" conversations by a third party with both a DME and other user.

I have the same machine - you can do a reset and get your 30 AutoIQ days back. Now after that period it will adjust the pressure every 30 hours as necessary. I have noticed that my pressure changes slightly week to week. I have done the reset on it it once so far, and that was due to a major medication change; as for the first time in over 10 years I have not taken a sleeping pill for 2 months straight.

Thanks Dave! That is encouraging news

On a side note, I don't have the clinical manual on hand at the moment but isn't there a setting where you can also turn off the "every 30hrs adjustment" if desired?

[Pugsy]

I have the same machine - you can do a reset and get your 30 AutoIQ days back.

So it was you that I read that little tidbit from. I couldn't remember who it was but I knew I had read it.
This eases my mind totally. I was sure hoping I hadn't dreamed it.

[archangle]

I have the same machine - you can do a reset and get your 30 AutoIQ days back.

How do you do a reset? Is it the "Reset Data" in the clinician's menu?

[Pugsy]

How do you do a reset? Is it the "Reset Data" in the clinician's menu?

It is in the "Therapy" section and not the normally thought of clinical settings area. Lower left corner box where AHI averages are shown. There is an option to "reset data". Hold the button down for 5 seconds I think it is.
Therapy session hours of use and all data is reset like it was never there. It does not alter the overall machine hours of use though. It is shown and explained in the provider manual for all machines. We could do this on the older machines as well.
I did it with the M Series I got so I could get a single night data until I got the software.
Obviously not the thing to do if still in process of satisfying any usage requirements for insurance.

[FarmGirl]

I reset my Auto IQ machine about 2.5 months ago and want to do it again. However, it won't let me.

I go to the clinical settings -> info -> reset data -> hold both buttons for about 5 seconds (get double beep). It reset the therapy and blower hours and averages, but it won't let me change the "Min A-Trial Days." Am I doing something wrong??

Thanks

[Pugsy]

I go to the clinical settings -> info -> reset data -> hold both buttons for about 5 seconds (get double beep). It reset the therapy and blower hours and averages, but it won't let me change the "Min A-Trial Days." Am I doing something wrong??

Try it with the SD card being removed.
I have been wondering if the SD card might need to be erased also.