Transition M Series Pro to PR System One - Insight?

[Scarlet834]

For insurance reasons I recently had to switch machines. I presumably have the best and brightest Respironics (for straight CPAP), but I was very used to and adapted to my REMStar Pro M series. I don't have software for the PR1, but from imperfect Excel calculations on the LCD averages I know my AHI is in the normal range, but a bit higher than I'd been running before the machine switch. I was in the 1s consistently--right now I'm in the upper 2s. However, I'm not sleeping quite as well and starting to get a bit groggy in the morning. I should note that I had a touch of sniffles over the weekend, but I don't want to descend into the fog zone.

Has anyone else made this switch? If so, did you need to make any changes to Cflex, humidifier, or any other settings or setup?

The rest of you, have you found that you have an adjustment period with each new machine?

Thanks in advance,
Sharon

[josef]

I sent you a personal message explaining things you as a patient aren't susposed to know. if there is anything else I can do just let me know.

[Scarlet834]

Thank you, Josef, that should be helpful.

For the record, I am still looking for additional experiences. If you haven't switched from the M series to the PR 1 I'd also be interested in any switching experiences between machine types. Was it seamless or were there issues.

[SleepingUgly]

I switched from the M Series to the PR System One Auto. However, I was very inexperienced and wasn't on the M Series for very long. I did notice two things when I switched: The pressure changes woke me less with the System One than the M Series, and my AHI was higher on the System One. I chalked up the latter to it being more sensitive, but who knows.

[Scarlet834]

I switched from the M Series to the PR System One Auto. However, I was very inexperienced and wasn't on the M Series for very long. I did notice two things when I switched: The pressure changes woke me less with the System One than the M Series, and my AHI was higher on the System One. I chalked up the latter to it being more sensitive, but who knows.

So you noticed good things, really, in your sleeping experience. It wouldn't surprise me at all if the machines read a little differently. I'm mostly concerned about how I feel in the day right now, which could be from something else. But the pressure and Cflex both feel a little different to me, though neither keep me awake. I'm not sure how to react, really, when the numbers on the screen say I'm OK. I'll be contacting Respironics soon.

Thanks for your reply.

[SleepingUgly]

AND rainout went away when I switched.

[ozij]

The humidification on these machines works very differently -- and there's a difference in the way CFLEX works. + Your sniffles.


O.

[packer]

I recently made that change-
I find the PR1 much quieter- humidifier better- [ I use very rainout prone mask- not so much rain anymore!]

I use aflex mode- on the 3 setting- set 10 to 17 - my ahi is down a little - [ from around 2 to 1.5 or so]

if you need help on settings etc PM me- Packer

[blakepro]

I had the model before the M series. RemStar I think... it was just a Remstar plus... no data... only first generation c-flex.

I used the Resmed Elite II auto for a month to get a new pressure reading... Went back to my RemStar and then it broke like a week later. I then switched to a PR System 1 Pro. (not auto)

I like it soooooo much better than both of the other machines. My ears used to pop if I swallowed or gulped with the remstar hooked up. Also, talking with it on caused problems (not that I actively try to hold conversations while connected to C-Pap... its just... sometimes you have to say something and you don't want to unhook everything.)

Both of the previous machines had problems with rainout. Even with a hose cover on. NOW, I don't even have a hose cover on and I never get rain out. The c-flex+ is much much much better now and I find it very comfortable to breath with it on a setting of 2.

Anyway, the transition was much more difficult to the Resmed. Overall, when I finally hooked up the PR1, it was BETTER than any of the other machines I have used and I had no trouble at all falling asleep. Its quieter, the airflow is more comfortable for me, no rain out. I'm really enjoying it... I just wish I would have gotten an Auto. I didn't find this forum until I had already locked in to the new machine with my DME... didn't know hardly anything about all this until I found this place... I sure know a lot more now thanks to everyone here.

Anyway, I think I'm rambling now..

One more thing: Do you still not have software?? I have seen various people post about finding Encore Pro 2.2 so I know its out there. You should be able to find it if you dig around a bit here.

[Scarlet834]

Very quickly, I'm beginning to suspect allergies and the fact that the PR1 is placed much closer to the floor (per accompanying instructions). Because of snowstorms I can't contact Respironics today, but I will update again if I get interesting insight from their customer service. (I am looking for appropriate furniture to raise my PR1 higher than it is now. The chair my M-series was on is too high, higher than the mattress.)

P.S. think the sniffles were due to that allergy I mentioned, but the symptoms didn't match past experience.

[SleepingUgly]

Hmmm, I don't remember any instructions about keeping the machine down low. Mine is on my nightstand, which is about the same height as the bed. I suppose a test you could do is to put the PR1 on the same chair you used for your M Series, even if you don't intend to keep it there. But really, I wouldn't expect this to impact the performance and how you feel.

Very quickly, I'm beginning to suspect allergies and the fact that the PR1 is placed much closer to the floor (per accompanying instructions).

[Sleepin'jax]

Well, now I'm sorry I didn't search topics further:( sorry!
ANYYYWHOOOOO.....I've just made the same switch this week, and the rainout solution has been astounding to me....as for difference in sleep, haven't noticed.....but that could be that I've been working graveyard shift at the same time(yeah, not smart), so I'll be experiencing the new machine with regular sleep pattern starting tonite. hopefully, will be sleeping as well as I had been.....BTW, was not told to, nor do I read anywhere about the level of the machine.....

Sleep well.

[Scarlet834]

Hmmm, I don't remember any instructions about keeping the machine down low. Mine is on my nightstand, which is about the same height as the bed. I suppose a test you could do is to put the PR1 on the same chair you used for your M Series, even if you don't intend to keep it there. But really, I wouldn't expect this to impact the performance and how you feel.

Very quickly, I'm beginning to suspect allergies and the fact that the PR1 is placed much closer to the floor (per accompanying instructions).

I may very well do what you suggest. I wasn't sure I want the hose to start higher than I am, in case it impacts the join due to downward pressure (but it probably won't). I wasn't having rainout issues with the M Series and wouldn't expect that to change just because I place the new machine higher than the mattress. Plus, I'm on a wedge--more wiggle room, right? I may very well try the old chair.

I was on the run at lunch when I posted. I offered more detail as to why I think my sinuses/allergies are at issue. I don't frequently take allergy medication, but last night I had a very definite event that points to allergy and was alleviated with Claritin and moving my PR1 to higher ground. Once I got back to sleep I had a good night and feel much better today but with lingering earache. I think my new machine stand just was too close to the carpet.

[CiresWrossed]

I used the M Series Pro CPAP and I moved to the PR System One APAP. I quite like the new machine and something about it has improved my therapy slightly. I did have the encore viewer software for the M Series but it did not work very well for me because I use a Mac so I had to use VMWare to run the software; and for some reason VMWare did not work well with the card reader (only worked after rebooting the VM 4-5 times). The humidifier in the PR is much nicer and the machine seems quieter than the M Series. And I have yet to have any rainout in the new machine and I had it every other week with the old one. So overall I would say it's a nice upgrade. I look forward to the software being available to the PR but honestly I check the AHI average every other day.

[Sleepin'jax]

Regular sleep cycle result:
GREAT! Slept solid 8 hours.....AHI 7 day-1.3
I likey.