Specs for Resmed S10 and PR System Two

[cpapernewbie]

PR and Resmed might be browsing this forum or the may not but who knows?

I just hope they read my wish list

1) all model are auto (no dumb & straight models anymore like the Basic, Plus and Pro in PR family). This will prevent new patients being mislead of given a "cadillac model" while in fact they are receiving plain dumb CPAP

2) all models directly measure & record SpO2 data (the primary objective of sleep apnea treatment is not to reduce AHI but to increase SpO2 to normal level). This will make it easier to know the effectiveness of the treatment without buying additional device.

3) Have its own IP address - directly connect through wifi to patient PC to send data

4) web based report - no need to install any manufacturer's based software

3 and 4 avoid the complexity of the current patients and DMEs

Please feel free to add or delete

[Ziege]

Larger water reservoir or external source.
Re-locate all items & ports on rear of unit to the front, for use UNDER or IN furniture, rather than making it a fashion statement.
WiFi with full access to data and settings.
iPhone applications.
Mask with exhaust hose to reduce bugging the wife.
Software to detect drown-out and adjust appropriately.
Stop cooling down after warming up.

[Lizistired]

A flip up screen so I can read it without getting out of bed.

[Ziege]

A remote control (not IR) with display.
A flash slot which isn't easily bumped.

[GumbyCT]

ALL good ideas. I like the way you think.

Don't forget the heated hose (PR) and alarm clock.

Oh and daily data right on the machine display with a leak line; a graph not just a numba.

[DreamDiver]

PR and Resmed might be browsing this forum or the may not but who knows?

I just hope they read my wish list

1) all model are auto (no dumb & straight models anymore like the Basic, Plus and Pro in PR family). This will prevent new patients being mislead of given a "cadillac model" while in fact they are receiving plain dumb CPAP

2) all models directly measure & record SpO2 data (the primary objective of sleep apnea treatment is not to reduce AHI but to increase SpO2 to normal level). This will make it easier to know the effectiveness of the treatment without buying additional device.

3) Have its own IP address - directly connect through wifi to patient PC to send data

4) web based report - no need to install any manufacturer's based software

3 and 4 avoid the complexity of the current patients and DMEs

Please feel free to add or delete

1. Auto only - a nice idea. Your case will be strengthened by proving definitively that users will be more likely to be compliant if they have a fully-data-capable auto with supplemental education on how to use it. You'll also have to make it required that cpappers attend some sort of class on how to self titrate, etc.

2. Included oximetry would be even better because it would prove graphicly the necessity of CPAP use to users. Unfortunately, the oximetry attachments currently cost more than the machines themselves, so this might have to wait.

3. Here's a better idea - how about bluetooth serial interface to your computer or a phone app. This way, you control who gets what when. With IP's currently in transition from IPV4 to IPV6, we're more likely to see longer usefulness from bluetooth to whatever IP configuration your local intranet has.

4. I like privacy. I want to be able to keep my data on my own computer. HIPAA compliance may be difficult to keep since this is a prescription medical device and still offer the same level of detail to the patient. At most, IP or bluetooth integration will be more likely to hook up to your doctor's future 'ResScan Server' that will keep watch over your progress automatically and alert the doctor when there changes or concerning trends like ostructives suddenly all becoming clear-airway apneas or average apnea duration slowly increasing to dangerous levels over a one month period - or frequent non-compliance.

CPAPpers need to understand what's going on, just like a diabetic needs to understand how much insulin to inject and when. I can see better the usefulness of an app for iPad or Android that will allow users to keep their (encrypted) data on their phone or tablet. DME's should be out of the loop, but RT's should be in the loop, attached to the Doctor's office or local hospital instead of the DME. They should charge just like a physical therapist - not attach it to the cost of the machine.

[chunkyfrog]

I am totally on board with the larger reservoir.
All winter long, I had to get up in the middle of the night to add water.
P.S,: A lot of us expect to have a fairly decent health expense fund when we retire,
and WILL get the best 'bang for our buck'. (hint)

[Lizistired]

Ooh, I like the remote idea. Can I bump the pressure up without turning the machine off, taking the mask off, getting out of bed so I can see it, holding down 2 buttons, scrolling to pressure....

[Janknitz]

1. Auto only - a nice idea. Your case will be strengthened by proving definitively that users will be more likely to be compliant if they have a fully-data-capable auto with supplemental education on how to use it. You'll also have to make it required that cpappers attend some sort of class on how to self titrate, etc.

You have to wade through all the segments of this video lecture by Dr. Rappaport, but unfortunately I think he said studies showed the opposite--that there was no increase in compliance with all the bells and whistles. http://www.youtube.com/watch?v=DrxpPJ0_a7s I'm not sure about the parameters of the study, though.

I guess we have to keep in mind that we are a self-selected group of people who all found ourselves here because we WANTED to know and understand more about our therapy. I don't think we're the norm. I think most people get the machine and mask and either take to it like ducks to water or give up very easily and either return their machines or stick them in the closet. They don't even know how to ask the questions that can lead them to better treatment. They don't care about data if they even know it's possible to get data off the machine.

I don't like that DME's regularly foist dataless CPAP bricks on people one bit, but I can sort of see why--because most people just take what they are given and are never heard from again (whether they really use it or not). Reminds me of that line from "Mame"--"Life is a banquet and most poor suckers are starving to death." So why give out more complicated and fancy machines that are just going to be more intimidating to that crowd???

And machine manufacturers just want to please those they percieve as their customers--the DME's who only want better profit margins by making more on cheaper machines. We are NOT their customers (in their minds).

[DreamDiver]

1. Auto only - a nice idea. Your case will be strengthened by proving definitively that users will be more likely to be compliant if they have a fully-data-capable auto with supplemental education on how to use it. You'll also have to make it required that cpappers attend some sort of class on how to self titrate, etc.

You have to wade through all the segments of this video lecture by Dr. Rappaport, but unfortunately I think he said studies showed the opposite--that there was no increase in compliance with all the bells and whistles. http://www.youtube.com/watch?v=DrxpPJ0_a7s I'm not sure about the parameters of the study, though. ...

I was afraid of that. But I wonder how much of it is due to 'applied lethargy' on the part of DME's during the study. They get a bigger return on investment if they don't educate users, so the study may very well have been flawed.

[Ziege]

Will GumbyCT's alarm clock have a "radio/buzzer/hypoxia" switch?

[Ziege]

I think I might err on the side of caution and withdraw my WiFi request.
My childerbeast would love to tap in and adjust the inheritance setting.

[torontoCPAPguy]

Larger top on the humidifier for RVers so we can save space by using it as a slow cooker, washing it up and using it as a humidifier. Hey, this is fun! Think they're listening?

[robysue]

1. Auto only - a nice idea. Your case will be strengthened by proving definitively that users will be more likely to be compliant if they have a fully-data-capable auto with supplemental education on how to use it. You'll also have to make it required that cpappers attend some sort of class on how to self titrate, etc.

You have to wade through all the segments of this video lecture by Dr. Rappaport, but unfortunately I think he said studies showed the opposite--that there was no increase in compliance with all the bells and whistles. http://www.youtube.com/watch?v=DrxpPJ0_a7s I'm not sure about the parameters of the study, though.

I guess we have to keep in mind that we are a self-selected group of people who all found ourselves here because we WANTED to know and understand more about our therapy. I don't think we're the norm. I think most people get the machine and mask and either take to it like ducks to water or give up very easily and either return their machines or stick them in the closet. They don't even know how to ask the questions that can lead them to better treatment. They don't care about data if they even know it's possible to get data off the machine.

And once upon a time, many a type II diabetic was in the same situation: Told "take the medicine as directed and stick with the dietary changes. They will do everything to take care of the diabetes, and so you don't need to worry about anything except dealing with the diet issues and taking the medicine as directed." Things only begain to change when the doctors and nurses started to realize good quality patient education helped tremendously with compliance. And that once the patients knew more about what was really going on in their body and why the medicine and the dietary restrictions were necessary, then it became common place to start asking: Can I do more to better manage my condition? And that's what's lead to self-monitoring of blood glucose levels and authorization (under some some circumstances) to self-adjust doses of those meds.

The problem with CPAP compliance (and the lack thereof) is p*ss poor patient education in my humble opion. The dataless bricks thrown at unsuspecting newbies are just the icing on the cake. As I recall there has been at least one study that has shown quality patient education and support during the first two weeks in particular and the first month in general is the critical piece of getting patient compliance up.

Think of all those people who don't take to CPAP like a duck to water and who are given minimal patient education and support when they hit some real, substantial problems with adjuting to the mask. The ones who are told not much more than: You stop breathing n times a hour at night all night long and that's bad. And it doesn't matter how much better you think you sleep without the mask. So just be patient and try harder. Eventually you'll start feeling better as long as you use the mask at least 4 hours every night. How the heck is such a patient (who is NOT on-line) supposed to figure out that they even might benefit from a full data machine---or even that such a machine might exist? Or if they've been given a full data machine by a generous DME, how are they supposed to figure out that their full data machine just might help them solve some of their adjustment problems when all the doc ever seems to say is "Try harder" (if the compliance hours are deemed "lacking") and "Be patient" (if the patient is compliant, but still not adjusting very well)? The real wonder of it all is that so many people DO manage to make it---certainly 40% of newbies are not taking to CPAP like ducks to water, but the long term compliance is at least 40%. And not all of those 40% who make it discover sites like this one either.

I don't like that DME's regularly foist dataless CPAP bricks on people one bit, but I can sort of see why--because most people just take what they are given and are never heard from again (whether they really use it or not). Reminds me of that line from "Mame"--"Life is a banquet and most poor suckers are starving to death." So why give out more complicated and fancy machines that are just going to be more intimidating to that crowd???

If the sleep docs and sleep labs were doing proper and high quality patient education, then these nameless folks would stand a better chance of coming back to begin with. And personally I don't see how a full data APAP/CPAP is somehow "more intimidating" than a brick CPAP. CPAP in and by itself is intimidating in part because of the very negative stereotyping that's done. How many of us have heard from one or more friends, family members, or colleagues who have symptoms of OSA say, and sometimes repeatedly say, "I could never sleep with a mask, so I won't go in for the test. Best not to know."

And machine manufacturers just want to please those they percieve as their customers--the DME's who only want better profit margins by making more on cheaper machines. We are NOT their customers (in their minds).

I'm not sure I buy this 100%. I think the truth is much more complicated. If the manufacturers were only interested in pleasing the DMEs, then there would be NO full data machines at all. And there would be no links to patient information so prominently displayed on their websites.

It's a radical thing to suggest, but I'll do it anyway: I think that treatment of OSA will only change (hopefully for the better) once the makers of CPAP start doing what the drug manufacturers and manufacturers of stair lifts and scooter chairs already routinely do: Market directly to future customers/patients with clever advertising that makes it clear how much better most OSA patients feel once their therapy is optmized by lots of sweet pictures of active, energetic OSA patients with a voice over along the lines of "I can't believe how much of a difference the XXX YYY cpap machine has made in my life. Before my diagnosis I was exhausted and all I wanted to do was sleep. But now? Wow, I enjoy my life again since I now have energy to do <blah, blah, blah>" along with quality pictures showing the patients engaged in life (again). And some compelling visuals that take some of the mystery out of sleeping with a machine while the voiceover touts all the bells and whistles their brand of machine offers for making sure that your therapy is quickly (and painlessly) optimized so that you too will soon have all the energy you need and DESERVE to have. So be sure to ask your doctor about being tested for OSA and the advantages of using the XXX YYY machine to treat it TODAY!

[Ziege]

You should try buying a cpap in Australia.
The price is nearly double US.
By the time you get a good one and add all the optional accessories, it's cheaper to fly over and pick it up.
Thank God for online shopping.