Resmed VPAP Adapt SV - for Central Sleep Apnea

Banned · Post by **Banned** » Fri Jan 25, 2008 12:38 am

Hi talyn777.

From 1 ingineer to another the difference between the Adapt SV and the Respironics SV is $1,000. The Respironics unit being cheaper money wise, with higher parameters (output) than the Adapt SV, and slightly funkier algorithms. You will survive with the Respironics SV. Respironics has a strangle hold on the US market and DME providers. Sorry you couldn't enjoy the Adapt SV, even for the short time you had it. The good new is you are using the correct mask. Anyone who does not use a Quattro FF mask with a SV unit is foolish. There is no other nicer way to phrase it.. but dude, your breathing problem at the onset is really weird! Try to relax, breath through your nose, and let the machine breath you. I actually try and time my breathing with the machine. Sounds like you are fighting it. Just relax into it and enjoy.

Cheers!

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

talyn777 · Post by **talyn777** » Fri Jan 25, 2008 9:44 am

That's strange, they said the Respironics BiPAP autoSV (BPSV) was more expensive than the ResMed Adapt SV (ASV) and that it had more sophisticated algorithms and further that the ASV couldn't be set to meet the doctor's prescription. I am curious for one thing because I seemed to do much better on the ASV.

Now the last three nights, after a couple of hours, the BPSV has been going into a crazy mode where it starts giving individual high pressure blasts. Rest, blast, rest, BLAST, rest BBBLLLAAAASSTT, until I have to turn it off before my eyes and ears pop out.

It is set to 30 5 5, if that means anything to y'all. I think the 5's are normal ePAP and iPAP.

It has happened while I was awake and thought I was breathing just fine. I took it to my provider yesterday and they checked it out and said it is not the unit or the prescription settings.

I figured out how to get my sinuses cleared with SNI and nasal spray.

I figured out how to get my mask sealing, I actully had it set too tight and a little high on my face.

I am even getting past my mini-panic attacks because there is something covering my face.

I wasn't expecting the machine to act strangely and I'm not sure what to do because it does completely wake me up when it happens.

Does anyone else anthropamorphize their unit . . er I mean their SV?
I feel like it needs a name. A CPAP is just a glorified fan that constantly blows. The adaptive systems seem to have a personality. Now that I'm on my fourth one, I can say that each one even though some were the same model, are different.

Perhaps my SV was just lonely and wanted to wake me up for a chat?
Or perhaps it's been six days since I got good sleep and I'm going looney tunes? Or both.

Thanx for your thoughts. Have a great weekend!

Talyn

Banned · Post by **Banned** » Fri Jan 25, 2008 11:11 am

talyn777 wrote:

"That's strange, they said the Respironics BiPAP autoSV (BPSV) was more expensive than the ResMed Adapt SV (ASV) and that it had more sophisticated algorithms and further that the ASV couldn't be set to meet the doctor's prescription. I am curious for one thing because I seemed to do much better on the ASV."

Hey guy, Truth is you actually did do better on the Adapt SV, and you were still in the, "i'm getting used to it" phase. However, as I stated earlier, you will survive on the cheaper $4,100 Respironics BPSV. Whoever made the comments to you about the Respironics BPSV being a better unit than the Adapt SV needs to change their medication, or at best get unsnarled by the Respironics propaganda machine. Currently, the Respironics BPSV has higher inspiration (cmH2O parameters) that 95% of end users (and probably including you) will never need. The Adapt SV will address higher expiration EEP (which no-one will ever need) and higher cmH20 (which 5% of people may need) in it's firmware upgrade. There are no better algorithms than you will ever find than on the adapt SV. The Respironics BPSV algorithms do not come close. I haven't thought about naming my Adapt SV, but I do think about it occasionally throughout the day.

Cheers

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

Banned · Post by **Banned** » Fri Jan 25, 2008 3:49 pm

Back at ya, talyn777,

Seems like since I came on this forum the rest of the members and guests have left the saloon. Now you and I can get to work. As an inguneer, don't you hate it when a machine has secrets? I think together we can get into your Respironics Auto SV and tweek the iPAP and ePAP, so you can get comfortable and take charge of your BPSV destiny. Besides, why should the docs and RTs hold all the cards and waste a thinking mans' time? Your 30 may mean 30cmH20 which is pretty damn high. That high of pressure may be causing your airway to collapse resulting in the BBBLLLAAAASSTT, and your eyes popping out. In light of them taking away your Resmed Adapt SV, we can tame this beast. Let me know what you think.

Cheers

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

Lubman · Post by **Lubman** » Sat Jan 26, 2008 9:58 pm

Gentlemen,
I also like my ResMed ASV and am awaiting info on that firmware upgrade,
although it wasn't clear that the upgrade was simply going to be firmware.

Anyway, buried in this discussion is the fact that the Respironics and ResMed machines do operate differently - and one versus the other may work better for a given individual.

The ability to change multiple parameters as in the Respironics can be quite effective in the hands of a sleep tech that has considerable experience with the machine, in my opinion. However, if they haven't much experience with it - then how they set it for optimal results has potential to be a problem.

The MD's at the hospital which supports the Harvard Medical School, feel that adding some CO2 deadspace for rebreathing can help along some of these type of machines - for certain cases. I elected to fly to Boston for an appointment (last year)and PSG and would suggest that if either machine doesn't quite help that this is an interesting option.

But having more ability to change more parameters may not necessarily mean one is better than the other for a given patient.

Lubman

Banned · Post by **Banned** » Sun Jan 27, 2008 1:29 am

Hi Lubman,

Glad you stepped back into the saloon. I thought everyone cleared out when I walked in, but no one has been here except me and talyn777 for the last two months!

Question for you: I'm assuming you are using a Remed Adapt SV (Your Equipment list says ResMed Assist SV, which confuses me a little). I would like to get a H/H. You list that you use the F&C HC 150 with your ResMed Adapt SV. Does the 'Learn Circuit' of the ResMed Adapt SV accept the F&C HC 150 in the circuit? In other words, does it work with no error message? I'm counting on hearing about your real world experience with this combination before shelling out $450 for the humidifier. Your input would be very much appreciated.

Your points are well taken and indeed the Respironics and Resmed machines do vary. In my experience most CPAP and VPAP users don't pay full price, out-of-pocket, and have little interest in accessing their machines so they can make their own cmH2O adjustments, so I'm somewhat of a rouge. I have never been titrated on the Adapt SV, but with a good CPAP sleep study, reviewing some case studies with the Adapt SV, reading the manual, a small learning curve, and a little trial and error, I sleep beautifully with my 9(EEP)/5.4 settings (10/6 would max for the Adapt SV). The firmware upgrade for the Adapt SV may also include a software upgrade although I do not enjoy the details of date collection. The Adapt SV firmware upgrade will more than likely increase the EEP (which will correspondingly increase the Inspiration cmH2O) to be in line with the Respironics BiPAP Auto SV.

Cheers!

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

rested gal · Post by **rested gal** » Sun Jan 27, 2008 10:52 am

Banned wrote:I'm counting on hearing about your real world experience with this combination before shelling out $450 for the humidifier.

What humidifier are you looking at for $450?

Where do you live that either of these would cost that much more?

$155.00
https://www.cpap.com/productpage/fisher ... ifier.html

$259.00
https://www.cpap.com/productpage/resmed ... -CPAP.html

Banned · Post by **Banned** » Sun Jan 27, 2008 1:51 pm

Hi Rested Gal!

Wow, I like $155 for the F&C HC 150! I was looking at the F&C Website and somehow got the $450 price. I'll see if my DME provider can snag one. I could probably afford that to try out with my Adapt SV, in case I don't hear from Lubman. Thanks!

Cheers

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

-SWS · Post by **-SWS** » Sun Jan 27, 2008 3:50 pm

Banned wrote:Glad you stepped back into the saloon. I thought everyone cleared out when I walked in, but no one has been here except me and talyn777 for the last two months!

Banned, I really don't think this saloon's lack of patronage is because of your presence. Back when this thread was going strong there was plenty of speculation and zealous head-scratching as we tried to figure out some of the details of this new category of machines---not to mention the relevant etiology(s)/pathophysiology(s) that just might benefit from this category of machine.

I am of the opinion that what this thread needs most right now is for actual users and clinicians to post their experiences. Unfortunately, there doesn't seem to be an abundance of adaptive-servo pioneers posting on the Internet right now.

Best of luck to you and talyn777, and I truly hope more adaptive-servo pioneers come to this saloon to help you, talyn777, and others.

.

Banned · Post by **Banned** » Sun Jan 27, 2008 7:29 pm

All this talk about the ResMed Adapt SV has me looking through the manual, again.

It says here in the ResMed Adapt SV Manual that there are four mask settings available under the settings menu. The default setting is FULL FACE. Options in the setting menu include 'Vista' (Mask type; Mirage Vista Nasal Mask), 'Ultra' (Ultra Mirage Nasal Mask), 'Full Face' (Mirage FF Mask Series 2, Ultra Mirage FF Mask, and Quattro FF Mask), 'Activa' (Mirage Activa Nasal Mask).

And get this! It also says compatible humidifiers include the ResMed HumidAire and the ResMed HumidAire 2i. Great stuff because the HumidAire is an off unit H/H just like the F7P HC 150. In fact, the Adapt SV sits on top of the HumidAire! I gotta check this out tomorrow.

Cheers!

I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: None

talyn777 · Post by **talyn777** » Mon Jan 28, 2008 7:55 am

I talked to a tech at Respironics directly, not easy to do, about the problem.
He said that this is a problem with some of the units and that I should return it for servicing. Not a common problem, so don't let me start a stampede.

I also notice that it is a little disconcerting to wake up during what seems to be a CO2 cycle. It feels like dead air, which I suppose it is, but waking up during one feels like not getting enough air, so I suck in a big lungful.
A little disconcerting.

They really should have a tutorial about being on any of these systems, so we know what to expect, what would be a malfunction (how to recognize the different cycles or machine responses), etc.

Not just the care and feeding, how to keep the machine clean etc., but actually how to live with it. Understanding.

What I got was simply how to turn it on. How to keep it clean. To make sure my mask doesn't leak and just breath normally. Oh and how to adjust the humidity on the humifier. BFD

How about some hints about how to get used to it?

That kind of stuff. It that too much to ask for something this important, this expensive, and a piece of equipment that could potentially save my life, if I happen to be hooked up to it . . proprerly . . . and it happens to be running . . properly???? <smile>

Thanx,

Talyn

PS: Can anyone tell me how much to expect to pay if I want a card reader and the software? I would like to be able to check my own data. It's that Engineering / Mad Scientist thing again.
Is there an outside market for these or do I have to buy it through my provider from Respironics?

Lubman · Post by **Lubman** » Wed Jan 30, 2008 8:32 pm

Banned

Question for you: I'm assuming you are using a Remed Adapt SV (Your Equipment list says ResMed Assist SV, which confuses me a little). I would like to get a H/H. You list that you use the F&C HC 150 with your ResMed Adapt SV. Does the 'Learn Circuit' of the ResMed Adapt SV accept the F&C HC 150 in the circuit? In other words, does it work with no error message? I'm counting on hearing about your real world experience with this combination before shelling out $450 for the humidifier. Your input would be very much appreciated.

Banned, the F&P humidifier does pass learn circuit. As a matter of fact, every lab where i have had PSG's (3 different labs - and twice that many tests) have used F&P.

sorry about the typo in my signature, yes I use the Adapt SV.

I think that the F&P is a better humidifier than the ResMed unit.
I actually have both; use F&P at home and the ResMed unit on travel.

It is also great to hear from SWS and RG.

Regarding smart cards: the ResMed uses ResLink, which contains an SD card. This will maintain a considerable amount of data on the smartcard.
The ResLink can be used by itself - it does not need to use the optional pulse ox sensor (which can be expensive). In the days before the widespread internet restrictions by ResMed I found it for less than $200.

The ResMed data is read by the ResScan software, that is available for sleep labs and DME's. Perhaps a sympathetic MD or DME would provide it for you, because ResMed won't sell it to patients as far as I know.
Or a doctor or DME would download your data regularly for their use, and you could get results in that manner.

The older respironics machines used a smart card that resembles the card in a DirecTV or Dish Network receiver. The readers for these can be found on the web and the Respironics software is a bit more available.

talyn777

[/quote]They really should have a tutorial about being on any of these systems, so we know what to expect, what would be a malfunction (how to recognize the different cycles or machine responses), etc.

It is my opinion that few techs really understand the respironics machine well. That will change over time. There are many options to change the large amount of settings. In experienced hands, this is wonderful -- in techs that have minimal experience or DME's that only know how to turn it on, that may do a patient a dis-service.
However, the 2 machines offer features that may be better suited to a given person, in my opinion, and one should be open to the one that performs best during a PSG for that specific patient.

Lubman

Guest · Post by **Guest** » Mon Feb 04, 2008 5:17 pm

What is "F & C" ?

Guest · Post by **Guest** » Mon Feb 04, 2008 5:29 pm

what is "date collection"?

Banned · Post by **Banned** » Mon Feb 04, 2008 10:57 pm

Typos'

Resmed VPAP Adapt SV - for Central Sleep Apnea

talyn777

ResMed vs Respironics

talyn777

talyn777

Lubman question about the F&C HC 150

Re: Lubman question about the F&C HC 150

Rested Gal

ReMed Adapt SV Masks and H/Hs

respironics issue