HELP "UNLOCKING REMSTAR AUTO" CPAP MENU

[Guest]

Mine won't let me do anything to it except change the humidifier some kind of alarm! I would love to unlock this bit@! so I can set my ramp higher, it's to low now and I can't hardly breathe with it on, it automatically goes on 4 so I can't raise it or lower it. I noticed my DME took the machine over to another area of the room to set it so I couldn't see what he was doing, like I knew and understood that crap as a brand new cpap user, not to mention all the expired brain cells, lol Also, in the middle of the night, I feel like I can't get enough air sometimes and it's as if the nasal pillows or hh aren't working properly--------------- HELP! Please put it in laimen's terms, all you guys are just to PRO for alot of us here.. Thanks ya all

[Snoredog]

yours should be similar, you may not have the "mode" field, but the rest should be similar:

Respironics M Series Auto with C-flex/A-Flex:

1. Hold down the <- -> buttons while plugging in the power on the back, wait 2 beeps, release buttons.
2. Press the + key. <- -> buttons move to next field, -/+ keys decrement/increment
3. Check the following field(s):

-Therapy Mode=AFLEX (CFLEX/AFLEX)

-Auto:Max=12 (default=20.0cm)

-Auto:Min=6.0 (default=4.0cm)

-CFlex/AFLEX Setting=2 (options are off, 1, 2 or 3)

-AutoRamp Time=30 (options are 05 to 45 min)

-AutoRamp Pressure=6.0cm (4cm->AutoMin)

-Mask Alert Feature=ON (On/Off)

-Auto Off Feature=Off (On/off)

-Split Night Time = Off (off, 120, 180, 240)

-Show AHI/Leak Feature=ON (On/Off)

Press On/Off button to exit.

[Wulfman]

I believe SleepyNoMore has the Legacy/Classic/Tank version:


REMstar Auto w/C-Flex Setup

When in the Setup Menu, the humidifier ^ and ramp v buttons operate as up and down keys to change the settings, the left/right user buttons < > allow you to go to the previous/next question or setting, and the pressure start/stop button is used to exit the Setup Menu. Holding the humidifier or ramp buttons down will cause the values to change more quickly.

To enter the Therapy Setup Menu, hold the two top user buttons < > down while plugging in the power cord.
Continue holding the buttons down until the REMstar Auto w/C-Flex beeps twice. (about 5 seconds)

Note: The word "setup" will appear on all of the screens indicating that you are in the Therapy Setup Menu.
(If you press the Pressure start/stop button, you will exit the Setup Menu.)

A. Compliance hours/nights: (recommend leaving alone, but CAN be cleared at this point)
Select next setting with >

B. Therapy mode: (CPAP/CFLE/APAP/AFLE) select with ^ or v
Select next setting with >

B1. If CPAP or CFLE select pressure setting: Select with ^ or v
Select next setting with >

B1a. C-Flex mode (if you chose CFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

B2. If APAP or AFLE, select minimum pressure setting: Select with ^ or v
Select next setting with >

B2a. If APAP or AFLE, select maximum pressure setting: Select with ^ or v
Select next setting with >

B2b. C-Flex mode (if you chose AFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

C: Ramp time setting: Select with ^ or v
(ramp time will be turned off with a setting of 0)
(if using APAP or AFLE mode, Ramp Length Setting MUST be set to 0:00)
Select next setting with >

D. Ramp pressure setting: Select with ^ or v (use only in CPAP or CFLE mode)
Select next setting with >

E. Patient disconnect setting: 1 = on 0 = off Select with ^ or v
Select next setting with >

F. Buttons lights setting: 1 = on 0 = off Select with ^ or v

(Last setting. Use On/Off button to exit Setup)

[SleepyNoMore]

Thank You Wolfman and Snoredog, you guys ROCK! I am to chicken to mess with it yet but I have just printed out "SNOREDOGS" directions as I had forgot to log in so you 2 didn't know what cpap machine I had... Amazing Memory Snoredog, looks like you haven't lost many brain cells with this apnea thing I really appreciate the help and when I get the NERVE to check it out, i'll re-post ~ take care guys, ~ Shirley ~ / SleepyNpMore, (yea right I wish)

[SleepyNoMore]

Is an APAP the same as a CPAP or CFLEX? On my Encore pro, I saw something that said both on there? I don't know really what either one means though, DUH!

[Wulfman...]

See the words in blue near the bottom of your post.....APAP, CPAP and C-Flex?
Click on them and they'll take you to the CPAPopedia definitions for those words.

Den

[SleepyNoMore]

Thanks Snoredog & Wolfman, You showed me the way to unlock my setup menu and up my ramp, wow, what a relief, it was orginally on 4 so I upped it to 4.5 night before last, awwww better, then lastnight I upped it to 5 and YES YES YES, wat better, I might even up it to 5.5 tomorrow night to see how that is! THANK YOU, THANK YOU, THANK YOU ! What are your ramps set on? Oh when I unplugged the machine, held the 2 buttons down and plugged back in it didn't say SETUP, it said something like AFLK, know what that means??? No setup whats so ever, hmmm I don't knowwwwwwww

[GumbyCT]

Oh when I unplugged the machine, held the 2 buttons down and plugged back in it didn't say SETUP, it said something like AFLK, know what that means??? No setup whats so ever, hmmm I don't knowwwwwwww

I think what you saw (like I know huh?) was AFLE for the A-Flex therapy mode.

I'm also willing to bet the word "Setup" appeared there somewhere? It may be a little smaller but if it's not there you're NOT in Setup. Did you hear 2 beeps?

[SleepyNoMore]

Oh when I unplugged the machine, held the 2 buttons down and plugged back in it didn't say SETUP, it said something like AFLK, know what that means??? No setup whats so ever, hmmm I don't knowwwwwwww

I think what you saw (like I know huh?) was AFLE for the A-Flex therapy mode.

I'm also willing to bet the word "Setup" appeared there somewhere? It may be a little smaller but if it's not there you're NOT in Setup. Did you hear 2 beeps?

Yes Gumby, as a matter of fact I did hear 2 beeps, them a few more after that What is your ramp set to and what is your cpap pressure set at? Do you think 5 is to high for me as my cpap pressure is set on 9 , and my auto cpap is set up to 20 but my reports say I have gotten as high as 12 so far! ?

[GumbyCT]

I found I was having events at the lower pressures so I would bump it up until those were gone. I adjust my low press. to what is comfortable breathing but the events are gone. My problem is I also have centrals at the higher pressures, well that what my sleep study said. So when I see any events now at the higher press. I just assume they are centrals.

Bottom line: Since we are all different, I would encourage you to read your reports and adjust for YOU not for what others have theirs set to.

Good Luck,
GumbyCT

[rested gal]

Shirley, 12 is not a particularly "high" pressure. I'd call 9, 10, 11, 12, 13, and 14 moderate pressures. Of course it's all relative. A pressure of 15 might not feel like much to some people. A pressure of 5 might feel like a hurricane to someone else.

With a prescribed minimum pressure of 9 like you have, the autopap going occasionally to 12 is no big deal. Nothing to be alarmed about at all. It's still just using moderate pressures for you.

You could turn ramp off, if you wanted to. The first few breaths breathing in "9" might seem like a lot when you first turn the machine on each night. But I bet after you breathed in and out less than a dozen times (don't take big deep breaths...just breathe normally while thinking about something else) that "9" would feel quite normal and comfortable in just a minute or two.

Shirley, the next time you go into the therapy setup menu via the unplugging/two-buttons-held-down-while-plugging-in bit, have a pen and paper handy. As you go through the menu, write down every menu item you see in the little window. Every word, every number, every symbol. Draw a little box around each item so that you have a picture of what each "window" looks like all the way to the end of the menu.

That way, if you make more changes and find you don't like the change, you'll have notes of the original settings to put in again if you wish.

The only setting on your machine that you absolutely should not change is the setting (on a non-M REMstar Auto) that says "Start" and doesn't have the word "Ramp" included in the same window with the word "Start."

"Ramp Start" in the window is ok to change.
The single word "Start" in the window should be left at 0:00.

Never set "Start" for 2:00, 3:00, or 4:00. Keep that setting at 0:00.

All the other settings, including the pressures, are ok to change IF you want to.

I'm not saying it's smart to change one's own settings...that's up to you to decide and/or talk to your doctor about. I change my own pressure range to whatever I think best. But each person has to make that decision for himself/herself...."Should I mess with my pressure, or not?" "Should I ask the doctor, or just do it myself?"

Ramp's a whole different ballgame. Ramp time and (I think) ramp starting pressure can be chosen and changed by the patient. A starting ramp pressure of 5 is not "too high" for you. 6 wouldn't be too high either. Or 7, or 8, etc. There's no such thing as "too high" for ramp starting pressure. Ramp is all about whatever pressure you feel comfortable breathing at to start with each night. I personally would want at least 6 or 7 as my ramp pressure. But each person is different.

Actually, I don't even use ramp. I keep ramp turned off. It's fine with me to start out breathing the "low" pressure of the auto range I've set for my machine. When I use an autopap machine, I have the range set at 9 - 20. It starts out using 9.

When I use the bipap auto, I have the exhale pressure set at 9 and the maximum range for inhale pressure at 20. Of course the bipap auto doesn't actually USE 20 for me. It starts out using 9 for exhale and 11 for inhale. Either or both can go up during the night as needed.

Good luck. You're taking your first tentative steps toward becoming a tweaker...LOL. You've fiddled with the ramp. Good start!

[SleepyNoMore]

Shirley, 12 is not a particularly "high" pressure. I'd call 9, 10, 11, 12, 13, and 14 moderate pressures. Of course it's all relative. A pressure of 15 might not feel like much to some people. A pressure of 5 might feel like a hurricane to someone else.

With a prescribed minimum pressure of 9 like you have, the autopap going occasionally to 12 is no big deal. Nothing to be alarmed about at all. It's still just using moderate pressures for you.

You could turn ramp off, if you wanted to. The first few breaths breathing in "9" might seem like a lot when you first turn the machine on each night. But I bet after you breathed in and out less than a dozen times (don't take big deep breaths...just breathe normally while thinking about something else) that "9" would feel quite normal and comfortable in just a minute or two.

Shirley, the next time you go into the therapy setup menu via the unplugging/two-buttons-held-down-while-plugging-in bit, have a pen and paper handy. As you go through the menu, write down every menu item you see in the little window. Every word, every number, every symbol. Draw a little box around each item so that you have a picture of what each "window" looks like all the way to the end of the menu.

That way, if you make more changes and find you don't like the change, you'll have notes of the original settings to put in again if you wish.

The only setting on your machine that you absolutely should not change is the setting (on a non-M REMstar Auto) that says "Start" and doesn't have the word "Ramp" included in the same window with the word "Start."

"Ramp Start" in the window is ok to change.
The single word "Start" in the window should be left at 0:00.

Never set "Start" for 2:00, 3:00, or 4:00. Keep that setting at 0:00.

All the other settings, including the pressures, are ok to change IF you want to.

I'm not saying it's smart to change one's own settings...that's up to you to decide and/or talk to your doctor about. I change my own pressure range to whatever I think best. But each person has to make that decision for himself/herself...."Should I mess with my pressure, or not?" "Should I ask the doctor, or just do it myself?"

Ramp's a whole different ballgame. Ramp time and (I think) ramp starting pressure can be chosen and changed by the patient. A starting ramp pressure of 5 is not "too high" for you. 6 wouldn't be too high either. Or 7, or 8, etc. There's no such thing as "too high" for ramp starting pressure. Ramp is all about whatever pressure you feel comfortable breathing at to start with each night. I personally would want at least 6 or 7 as my ramp pressure. But each person is different.

Actually, I don't even use ramp. I keep ramp turned off. It's fine with me to start out breathing the "low" pressure of the auto range I've set for my machine. When I use an autopap machine, I have the range set at 9 - 20. It starts out using 9.

When I use the bipap auto, I have the exhale pressure set at 9 and the maximum range for inhale pressure at 20. Of course the bipap auto doesn't actually USE 20 for me. It starts out using 9 for exhale and 11 for inhale. Either or both can go up during the night as needed.

Good luck. You're taking your first tentative steps toward becoming a tweaker...LOL. You've fiddled with the ramp. Good start!

RestedGal, thanks for the Welcome to The new CPAP Tweaker area of the forum, lol that's just to funny! Also, thank you all for all of the instructions & advice