AirSense10 noise question

[LTen]

I’ve used a ResMed s9 for 6+ years; just got new AirSense10. I use the Respironics Dreamwear nasal mask and didn’t change that. When I turn even slightly to my side, ie, ear on pillow, I hear a motor like sound. Sort of like there is a motor humming in my mattress! Ear plugs no help. I have the hose routed from above, machine on a shelf slightly below head level. Same exact set up as my old machine. Any ideas? Anyone else seen this? Or rather, heard this? I have the machine sitting on a soft microfiber cloth too.

[Pugsy]

Your AirSense 10 machine should be as silent as your old S9 machine.
If you are heating any sort of motor noise.....you shouldn't be. Take it back and get another one.

[chunkyfrog]

+100
While Resmeds machines are generally the quietest, the QC guy sometimes take a nap.

[Okie bipap]

After being in quality assurance for over twenty five years, I can assure you we never nap on the job. We may occasionally check our eye lids for holes or check the inside of our eye lids for defects, but we never nap on the job.

[LTen]

The rep said they may have to replace it. I’m gonna try to see if I can tell where the noise is coming from. But I got another call saying Medicare would not pay for the machine unless I do another at home sleep test. Grrrr. The first one was 2013. It’s such a pain in the fanny and an uncomfortable night, unless the procedure has changed.

[Ejones0310]

The rep said they may have to replace it. I’m gonna try to see if I can tell where the noise is coming from. But I got another call saying Medicare would not pay for the machine unless I do another at home sleep test. Grrrr. The first one was 2013. It’s such a pain in the fanny and an uncomfortable night, unless the procedure has changed.

I recently had a sleep study, which was my third one n 25 years. My previous study was around 2013. The study I did last November was just like the previous two, a split night. The first three tortuous hours were without the CPAP. then at midnight they came in and put me on the machine. The sad part is she said I only needed 30 events to get authorized and she said I had the thirty in the first hour.

I hear that they are starting to do at home studies if your machine records the data. I hope with the COVID madness you would qualify since yours does record data. I don’t know why they need leg movement, snoring, EKG and O2 readings anyway. They seem to decide purely on events.

[Goofproof]

After being in quality assurance for over twenty five years, I can assure you we never nap on the job. We may occasionally check our eye lids for holes or check the inside of our eye lids for defects, but we never nap on the job.

Also the workplace noise makes it hard to sleep, those darn XPAPS keep us awake.
Jim

[Pugsy]

The rep said they may have to replace it. I’m gonna try to see if I can tell where the noise is coming from. But I got another call saying Medicare would not pay for the machine unless I do another at home sleep test. Grrrr. The first one was 2013. It’s such a pain in the fanny and an uncomfortable night, unless the procedure has changed.

Huh? From whom and why? It's not a Medicare problem if the machine is defective. It's a supplier problem and a ResMed problem.

[Centurion]

I have the Air Sense 10 auto set and have used it for a few years with no problem. In the last 6 months I have had intermittent problems with the machine making a loud wheezing sound every time I breath. I have replaced one of the silicone fittings between the unit and the plug it water unit. This unit is not loud every day and seems to do better when the reservoir is full of water. I have checked all accessories but it is obvious the sound is from the unit itself. Has anyone had one of these repaired or have any idea what this would cost? Thanks

[recipefordisaster]

I have had a couple of different noise issues with these machines, and sent one to ACBio thinking I’d get it fixed. The quote was exorbitant. I wish it was more reasonable to get them fixed... so much goes into the landfill as it is, and my machines have been relatively low hour.

[LTen]

The rep said they may have to replace it. I’m gonna try to see if I can tell where the noise is coming from. But I got another call saying Medicare would not pay for the machine unless I do another at home sleep test. Grrrr. The first one was 2013. It’s such a pain in the fanny and an uncomfortable night, unless the procedure has changed.

Huh? From whom and why? It's not a Medicare problem if the machine is defective. It's a supplier problem and a ResMed problem.

Sorry, the requirement about doing another sleep study was because my other one was too old to be accepted by Medicare. (2013).

[Pugsy]

Sorry, the requirement about doing another sleep study was because my other one was too old to be accepted by Medicare. (2013).

Who told you that?

When did you go on Medicare?

Yes Medicare has some requirements as to the kind of sleep study that was done but not necessarily the age of the study.
It's all explained on the Medicare website for people who are new to Medicare but have been on cpap prior to going on Medicare.

If you had a sleep study in 2013 that satisfies Medicare requirements as to the data collected...there's no need for another sleep study.

Often DMEs and doctors take the easy way (and lazy way) out and blame a new sleep study on "Medicare requires it" and maybe Medicare will but maybe Medicare doesn't.

Most in lab sleep studies done in 2013 will have been using the criteria established as needed by Medicare. Heck, I had one on 2009 and it used Medicare criteria. Now if you had the in lab study 20 years ago...then maybe it was different but not in today's climate.

I don't have the link handy to the Medicare website stating which kind of sleep study meets the criteria but heck...even home studies are now acceptable as long as the data collected meet the criteria.

Do some checking....call up Medicare...I think you might be getting the run around and someone is taking the lazy way out.
Now Medicare no longer will automatically say "you get a new machine after 5 years" kind of thing. They want the machine to be having a problem of some sort but that shouldn't have anything to do with a noisy machine that is obviously still under warranty.

[Miss Emerita]

I found this in a PDF prepared by the ResMed people:

Q: If a patient was diagnosed with OSA and received
a PAP device paid for by private insurance, and the
patient is now enrolled in Fee-For-Service (FFS)
Medicare and needs a replacement device,
what is required for coverage?
Prior to FFS Medicare enrollment, the patient must have
a sleep test that meets the FFS Medicare AHI coverage
criteria in effect at the time that the beneficiary seeks a
replacement PAP device and/or accessories. Following
enrollment, the patient must also have a face-to-face
evaluation by their treating physician that documents
a diagnosis of OSA and that the patient continues
to use the PAP device.

I found the same information in several other places, though I haven't been able to find it on the Medicare web site.

Bottom line: If you original sleep study meets current criteria for sleep studies, you DO NOT need another sleep study. You just need documentation by your doctor that you had a diagnosis of apnea and that you have continued to use your PAP machine.

[LTen]

Thanks folks. That’s why I asked the question here. I wondered about that requirement. I will do some investigating.. it’s possible that the test I had in 2013 doesn’t meet Medicare requirements. The dr at the time said it was “moderate” and I believe the number of events per hour was 17. But I immediately felt better after beginning therapy, so if I don’t meet Medicare requirements then I’m on my own?

[Pugsy]

The dr at the time said it was “moderate” and I believe the number of events per hour was 17. But I immediately felt better after beginning therapy, so if I don’t meet Medicare requirements then I’m on my own?

Not necessarily....I think 15 is the line in the sand unless someone has other symptoms like daytime sleepiness or other factors like blood pressure, etc. It's all a bit complicated and it involves not only symptoms but the diagnostic criteria used in the sleep lab to flag the apnea events. Some labs use a 3 % reduction in oxygen and some use a 4 % reduction kind of thing. Medicare wants a 4 % reduction if I remember right.