Resmed S8 II

[rested gal]

RG,

No worries, please PM me if you believe there is something that needs sorting out.

Thank you, but no, I don't feel there is anything that needs sorting out via PMs. I have no problem stating what my opinions are in a topic, or what I think of other opinions. Never have felt a need to take a discussion to PMs, which to me would be derailing a thread conversation for sure.

This thread is a very interesting one (sure is to me)

To me, too.

I am sure I won't get it all right

Nor will I.

but I believe with smart folk like we have here at cpaptalk we can improve all our understanding of what these machines can and do do for us.

Well said.

[dsm]

Just did a google 'Resmed Wireless Link' but all it turned up was what appears to be a thesis written by an Aussie Uni Student on how to design a Wireless Link for a Resmed flow generator.

http://comp1.ee.unsw.edu.au/~eet/thesis ... ic_id=NL85


But, I am sure I found the details of one at Resmed just a few months back.

Will have to trawl my own PMs to see if I can find the reference.

DSM

#2 Found it

http://www.resmed.com/en-us/products/cl ... u=products


_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): resmed

[j.a.taylor]

Just did a google 'Resmed Wireless Link' but all it turned up was what appears to be a thesis written by an Aussie Uni Student on how to design a Wireless Link for a Resmed flow generator.

http://comp1.ee.unsw.edu.au/~eet/thesis ... ic_id=NL85


But, I am sure I found the details of one at Resmed just a few months back.

Will have to trawl my own PMs to see if I can find the reference.

DSM

#2 Found it

http://www.resmed.com/en-us/products/cl ... u=products

DSM,

I have to say, while I like the concept of wireless data transfer, I don't like the underlying attitude (see red highlights) that seems to come across in the advertising:

• * Focus your efforts only on those patients who require intervention.

ResTraxx Wireless: unmatched benefits

• * Simplify data capture—no need for phone lines, modems, cards and readers; less reliance on patients for data transfer.
  * Improve staff efficiencies—reduced patient and physician phone calls; no need for reminder calls or home visits to retrieve data.

It seems that ResMed is directing their advertising in a way that suggests that patients can't be a trusted part of the team managing their disease. That really surprises me, because it goes against much of today's patient management theory which stresses a need for the patient to be more involved in the Self-Management of their own chronic illness.

[Slinky]

I am betting (from what I have already seen) that Resmed (and I am sure the other mfgs) are going to offer a real time streaming capability that allows any cpap machine to deliver the data in real time over the Internet.

I have seen somewhere on Resmed's web site (Slinky can you remember the link) where they already have a wireless link that allows the data to be streamed.

Slinky & I both obtained Reslink modules & tried to get a matchinf SpO2 probe (cheap ) but as yet I have to confess to being too busy to have set up my reslink & tried it.

The Probes we bought turned out to be an advanced version that delivers more data than the Reslink can handle so we are still keeing our eyes peeled for a cheap XPOD probe that does fit the Reslink (The Reslink SpO2 probe is in fact a NONIN XPOD with data format #2).

So if Resmed have mentioned a faster data transfer rate, I'll bet the brooklyn bridge that it is a prelude to some near future net transfer of real time data.

Doug,

It is called ResTraxx. One of the URLs is:

http://www.resmed.com/en-us/products/cl ... u=products

Resmed made application for FDA ResTraxx approval on or about 04 May 2006:

http://www.cms.hhs.gov/MedHCPCSGenInfo/ ... 04_sum.pdf

FDA has approved the marketing of ResTraxx:

http://www.fda.gov/cdrh/pdf7/K070746.pdf

For those in the San Francisco Bay area, specifically Alameda, ResTraxx is used the first month of Resmed xPAP use at:

http://www.somnihealth.com/services.html

[dsm]

Slinky

Very nice here is the most relevant info taken from the last link you showed - I highlighted the really important issue for most folk encrypted data (we don't want the Russkies monitoring our very breathing do we )

>>
For those patients who select ResMed devices, SomniHealth is proud to offer ResTraxx, a wireless, web-based patient monitoring system that provides daily data from the device via an encrypted wireless network and the Internet. Patients will receive ResTraxx at no additional cost for a period of one month. This allows SomniHealth and the referring physician to gain insight into compliance, mask leak, and AHI events on a daily basis, without the need for a patient visit or a direct download from the ResMed CPAP/BiLevel. This proactive monitoring allows issues to be addressed as they arise, rather than waiting for a patient complaint.
<<

DSM

[Slinky]

Here is a PubMed article on a ResTraxx clinical trial:

http://www.pubmedcentral.nih.gov/articl ... id=1874716

It is not just an abstract, it is the full article. My only comment: the Usual Care Group got one h*ll of a lot better follow up care than is the norm in real life in the USA!!!

[dsm]

Just did a google 'Resmed Wireless Link' but all it turned up was what appears to be a thesis written by an Aussie Uni Student on how to design a Wireless Link for a Resmed flow generator.

http://comp1.ee.unsw.edu.au/~eet/thesis ... ic_id=NL85


But, I am sure I found the details of one at Resmed just a few months back.

Will have to trawl my own PMs to see if I can find the reference.

DSM

#2 Found it

http://www.resmed.com/en-us/products/cl ... u=products

DSM,

I have to say, while I like the concept of wireless data transfer, I don't like the underlying attitude (see red highlights) that seems to come across in the advertising:

• * Focus your efforts only on those patients who require intervention.

ResTraxx Wireless: unmatched benefits

• * Simplify data capture—no need for phone lines, modems, cards and readers; less reliance on patients for data transfer.
  * Improve staff efficiencies—reduced patient and physician phone calls; no need for reminder calls or home visits to retrieve data.

It seems that ResMed is directing their advertising in a way that suggests that patients can't be a trusted part of the team managing their disease. That really surprises me, because it goes against much of today's patient management theory which stresses a need for the patient to be more involved in the Self-Management of their own chronic illness.

[Slinky]

I took those quotes differently, JATaylor. The way it struck me was instead of following up w/each and every patient at set intervals, say once a month, or waiting for patients to contact them w/their problems, the ResTraxx allowed clinicians to see which patients were doing well and not in obvious need of assistance and those who were having problems so that the clincian's time could be concentrated on those who were obviously having problems AND a good indication of what those problems might be before they even contacted the patient. The clincian could then have some possible solutions ready when they make contact w/those patients.

Remember the conversations where many patients don't appear to express any interest in understanding their therapy and don't approach their clinician for assistance but just decide xPAP therapy wasn't working for them. The many who have no idea which brand and model xPAP and mask they have and no idea of their pressure. I think every sleep professional who has posted in this forum has at one time or another mentioned how many of this type of patient they encounter in their practice and how discouraging that can be for the sleep professional after a while and how refreshing it is for them to encounter a patient who actually takes an interest in their own xPAP therapy.

[Weezer]

All debate aside, when will this be available in the U.S. and can we order from overseas?

[j.a.taylor]

Just did a google 'Resmed Wireless Link' but all it turned up was what appears to be a thesis written by an Aussie Uni Student on how to design a Wireless Link for a Resmed flow generator.

http://comp1.ee.unsw.edu.au/~eet/thesis ... ic_id=NL85


But, I am sure I found the details of one at Resmed just a few months back.

Will have to trawl my own PMs to see if I can find the reference.

DSM

#2 Found it

http://www.resmed.com/en-us/products/cl ... u=products

DSM,

I have to say, while I like the concept of wireless data transfer, I don't like the underlying attitude (see red highlights) that seems to come across in the advertising:

• * Focus your efforts only on those patients who require intervention.

ResTraxx Wireless: unmatched benefits

• * Simplify data capture—no need for phone lines, modems, cards and readers; less reliance on patients for data transfer.
  * Improve staff efficiencies—reduced patient and physician phone calls; no need for reminder calls or home visits to retrieve data.

It seems that ResMed is directing their advertising in a way that suggests that patients can't be a trusted part of the team managing their disease. That really surprises me, because it goes against much of today's patient management theory which stresses a need for the patient to be more involved in the Self-Management of their own chronic illness.

[Slinky]

Watch out, JA, that's an invitation for someone to kick that soap box out from under you!!! Some might even take it for a challenge to do so.

I do see the point you are trying to make, tho. However, I'm sure if we poured thru the Respironics clinical information we'd find similar.

Remember, even when Respironics belatedly made access to more info available via the LCD screen they didn't make it any easier to access and they didn't include it as an advanced patient menu the doctor could script access to for the patient as Resmed did.

[j.a.taylor]

I took those quotes differently, JATaylor. The way it struck me was instead of following up w/each and every patient at set intervals, say once a month, or waiting for patients to contact them w/their problems, the ResTraxx allowed clinicians to see which patients were doing well and not in obvious need of assistance and those who were having problems so that the clincian's time could be concentrated on those who were obviously having problems AND a good indication of what those problems might be before they even contacted the patient. The clincian could then have some possible solutions ready when they make contact w/those patients.

Remember the conversations where many patients don't appear to express any interest in understanding their therapy and don't approach their clinician for assistance but just decide xPAP therapy wasn't working for them. The many who have no idea which brand and model xPAP and mask they have and no idea of their pressure. I think every sleep professional who has posted in this forum has at one time or another mentioned how many of this type of patient they encounter in their practice and how discouraging that can be for the sleep professional after a while and how refreshing it is for them to encounter a patient who actually takes an interest in their own xPAP therapy.

Slinky,

I agree one-hundred percent, and I didn't take the quotes any differently than you.

I know that clinicians were their intended audience, and I understand that patient compliance is a major issue.

I spend most of my time training people to help patients become more compliant.

However, having said that, I still think we can send subtle messages that can affect a professional culture (I do the same myself many times).

I was looking with a critical eye at the subtle message that can be conveyed, and ultimately affect patient care.

That's part of what I do in my professional capacity, and as I explained to DSM, my personal soapbox.

Most of us can read that brochure without making such assumptions, but why not improve it if we can. It could be a matter of subtle adjustments with wording such as:

• Focus your efforts on those patients who require immediate intervention.
  
  
  
  ResTraxx Wireless: unmatched benefits
  
  * Simplify data capture—no need for phone lines, modems, cards and readers; ease the burden on patients for data transfer.
  * Improve staff efficiencies—reduced patient and physician phone calls; no need for reminder calls or home visits to retrieve data.

[j.a.taylor]

Watch out, JA, that's an invitation for someone to kick that soap box out from under you!!! Some might even take it for a challenge to do so.

I do see the point you are trying to make, tho. However, I'm sure if we poured thru the Respironics clinical information we'd find similar.

Remember, even when Respironics belatedly made access to more info available via the LCD screen they didn't make it any easier to access and they didn't include it as an advanced patient menu the doctor could script access to for the patient as Resmed did.

True! I am being a bit of a trouble maker , but that's why I enjoy this forum. I can stir up some things, just as others do, in order to help clarify our thinking (or muck it up a little more).

That makes us better patient-advocates in the long run, and will only strengthen the treatment in this area.

In fact, I'm convinced that Respironics and ResMed listen to patient input far more than we give them credit (and all docs and DMEs aren't evil either).

And I never take it too seriously if someone kicks me off my soapbox (I definitely have bruises from that having happened before).

[rested gal]

I took those quotes differently, JATaylor. The way it struck me was instead of following up w/each and every patient at set intervals --- <snipped>

Interesting, the different takes on the advertising blurb.

My take is that even if a few DMEs buy it, I doubt that it will ever be used by any of them for much more than documenting "hours of use." And even then, only if an insurance company asks for "proof." I doubt if many DMEs would really, really use it the way it's being marketed. It would still take up time that they are not going to put in on each individual cpap customer.

In the busy time-is-money world, to expect most DMEs to use that to take the time to really look at treatment details on a regular basis...I don't think that's gonna happen. Most DMEs have far more profitable ways to spend their time than sifting through treatment details data from each of their cpap customers on any kind of regular basis at all.

I realize it talked about focusing efforts only on those who need "intervention", but if you are not looking at the details from all of them, how would you know who needed "intervention" and who didn't? So unless it were used at least initially to look at detailed data from every person issued CPAP (which I don't think would happen) it's not going to be of much use. At least not from the patient's standpoint.

In my opinion it will end up being used as no more than just another way to take a glance at compliance. And maybe glancing at the 95th centile pressure when an autopap titration trial was ordered.

Patient calling in by phone with a complaint or problem will still be the attention-getter...insofar as either of those things happen -- patient calling, or getting their attention -- imho.

[Slinky]

Ahhh, but I'm not so sure that DME's are the primary market that they were trying to reach. You've painted a vivid picture of my sheister CPAP DME, RestedGal. - BUT - my sleep lab is an entirely different matter. I "can" see my sleep lab eventually employing the use of ResTraxx.

My sleep lab manager/owner came up thru the ranks at our local hospital, from somewhere in the "nursing" staff ranks to sleep tech, RT and RPSGT to .... and she's always cared deeply about the patients. I met her some 10 years ago when she worked scoring the PSGs are our local hospital's sleep lab. She (and I believe her husband) only recently opened this sleep lab along w/two other doctors she worked closely w/at the hospital's sleep lab. They have their own Respironics and Resmed software, they don't rely on the local DME suppliers to do their downloads. I'd have tossed this CPAP out the door 30 days after getting it if it hadn't been for this sleep lab staff.

We also have a new local DME supplier owned by 3 RTs/RPSGTs who handle only CPAP and respiratory equipment. Unfortunately, my secondary insurance isn't contracted w/them. But from all I am hearing from patients AND sleep professionals alike this is a DME supplier like DME suppliers are SUPPOSED to be - and beyond. And, yes, I can see THEM using ResTraxx as well.

Resmed wouldn't have spent the money developing and producing ResTraxx if they weren't convinced there was a viable market for it. Even in the USA. Why else would they have also sought FDA approval??