S9 AUTOSET/H5i/Climateline - NO HEATED AIR

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CROWPAT
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S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by CROWPAT » Thu Sep 29, 2011 2:06 pm

I just received a new S9 AutoSet with the H5i humidifier and the Climateline tubing. I have been on Respironics machines for over 10 years and used an Aussie hose on them to prevent rainout in the winter. This S9 setup has me baffled. The first night I used it and woke up several times with a very dry mouth (not enough heat/humidity even though it was set at the default 80 degrees). Last night I raised it to 82 degrees and had the same result. Last night I preheated it, watched the preheat progress bar move along and physically checked to find that the humidifier warming plate was heating up fine. Next, I went to sleep. In the morning I checked the humidifier plate again and it was cold (room temperature - 68 degrees).

Something isn't right here and I don't have a clue what to change in the settings to get the heat and humidification that I should be getting throughout the night.

Any ideas will sure be appreciated.

Pat
Pat

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jabman
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by jabman » Thu Sep 29, 2011 2:28 pm

the dry mouth could be caused from mouth breathing.

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CROWPAT
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by CROWPAT » Thu Sep 29, 2011 2:48 pm

Not the problem. I forgot to say that I use a Quattro FFM every night.
Pat

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Pugsy
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by Pugsy » Thu Sep 29, 2011 2:55 pm

I am thinking the new heated hose humidification system isn't meeting your needs if you are used to the Aussie heated hose. New system uses ambient room humidity and room air temps with the idea to reduce rain out and may not be heating things as much as you are used to. It probably meets the sensory settings needs for the settings but does not meet your needs compared to what you are used to.

The Aussie hose is the Cadillac of heated hoses and hard for the others to match it especially when the design is for rain out control and not heated air only.

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msradar65
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by msradar65 » Thu Sep 29, 2011 2:56 pm

I have S9 autoset with climate line and I have never noticed the warming plate gets warm. I know the water disappears...no issues with dryness either.

Did you check to make sure the two halfs are snapped together tight? checked the hose to make sure is attached correctly?

Is the water disappearing?
Diagnosed 08/31/10. Titration 9/02/10. Started CPAP 11/01/10. Auto mode 10-15cm. Alternate mask GoLife for her. Back up mask Full-life full face w/Pad-a-cheek mask liner. Comtec CMS F50 wrist pulse oximeter. Sobakawa Cloud Pillow, Sleepyhead software

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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by CROWPAT » Thu Sep 29, 2011 3:19 pm

I only used the Aussie in the colder days of winter. My BiPap SV with heated humidifier did the job fine the rest of the time.

All of the H5i connections appear fine and it does use water. I just don't get the humidification that I got with the Respironics heated humidifier.

What setting son the H5i would help solve the problem?
Pat

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Pugsy
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by Pugsy » Thu Sep 29, 2011 3:31 pm

I don't use ReMed machine so I am no help but I think that the new humidification system can be turned off and simply go back to straight heat for adding moisture.

The PR System One machines also have this new sensory method for humidification but we don't have a heated hose.
I can switch it back to the old way with simple heat. It uses a lot more water and air is much warmer than the new way.
Already I see that the "new" way doesn't add enough heat to the air. I have been having ice cube nose with the cooler weather. So I either have ice cube nose or snort water from rain out... Always something.

If you need more heat and more moisture and turning up the new humidification settings to max doesn't do it... might try turning it off and going to the old fashioned way with heat only. Not sure if you need a different standard hose or not.

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msradar65
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by msradar65 » Thu Sep 29, 2011 3:42 pm

you can into the settings and turn off the auto and go manual. Then you can set temp and humidity separate
Diagnosed 08/31/10. Titration 9/02/10. Started CPAP 11/01/10. Auto mode 10-15cm. Alternate mask GoLife for her. Back up mask Full-life full face w/Pad-a-cheek mask liner. Comtec CMS F50 wrist pulse oximeter. Sobakawa Cloud Pillow, Sleepyhead software

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Uncle_Bob
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by Uncle_Bob » Thu Sep 29, 2011 4:02 pm

There are two modes for climateline, Auto and Manual. In both modes you can select the desired temperature for the air delivered at the end of the hose.
However in the Auto mode that temperature is not guaranteed, humidity level and rainout protection take priority.
In Manual mode air temperature and humidity can be set independently, this provides greater flexibility but without the rainout protection guaranteed in Auto mode.
I would try changing the mode to manual, temperature to 86 and doing a warm up cycle to confirm that the hose is able to generate the temperature you select.
Alternatively you could turn up the humidity to 6, do a warm up and then see if the heated plate gets hot.
I use mine in Auto mode and never notice any heat regardless of temperate setting.

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apneawho
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by apneawho » Thu Sep 29, 2011 4:21 pm

Yes, I agree with Uncle Bob. One more thing, before you attach the climate line you can change the humidity setting "numbers" up to 5 or 6. I have mine at 4. Then attach climate line and when you go into the humidity menu you will be able to dial temperatures. I have mine all the way up to 86 degrees. I think the lowest is 60 degrees. My humidifier plate does get hot. It cools down quickly in the morning. I fill water to in just above the minimum line and most of my water is gone in the morning. Put both the humidifier and climate line settings up and see if that is better for you tonight.

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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by Guest » Fri Sep 30, 2011 3:24 am

Uncle_Bob wrote: However in the Auto mode that temperature is not guaranteed,
Where does that information come from Bob?
I would try changing the mode to manual, temperature to 86 and doing a warm up cycle to confirm that the hose is able to generate the temperature you select.
The warm up cycle only pre warms the plate, not the hose so this wouldn't do anything.
Alternatively you could turn up the humidity to 6, do a warm up and then see if the heated plate gets hot.
That's a good test to check the humidifier is working.

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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by Guest » Fri Sep 30, 2011 3:27 am

apneawho wrote: One more thing, before you attach the climate line you can change the humidity setting "numbers" up to 5 or 6.
That will make no difference as, once set to Auto mode, the manual setting is ignored and the humidity is adjusted automatically.

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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by greg-g » Fri Sep 30, 2011 4:00 am

The first thing is to make sure the hose is attached correctly. Push it on and rotate so the contacts makes contact.
I haven't read this but to me it makes sense.
The air is actually heated in the hose, depending on the settings the hose is normally just warm to touch.
The S9 looks at the incoming temperature and humidity and adjusts the tank temperature to regulate the humidity to 80%. The temperature is measured at the user end of the hose.
I find that without leaks that I use about 150 ml of water per night.
For me the system works very well, the humidity is adequate and the hose is always dry.

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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by CROWPAT » Fri Sep 30, 2011 7:41 am

My thanks to all who tried to sort this out. I looked at some other posts on this issue too.

Findings.
1. The Climateline does its own thing in Auto mode depending on the room temp and humidity.
2. Manual mode (last night) worked fine for me with Humidity at 4.5 and temp at 78. Heat was in the hose coils and the heating plate was warm in the morning. I DID hit the button to preheat the heating plate before going to bed.

I consider this issue closed for me, but hope some others with similar problems gained the info they needed just like I did.

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LittleRedTruck
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Re: S9 AUTOSET/H5i/Climateline - NO HEATED AIR

Post by LittleRedTruck » Fri Sep 30, 2011 3:28 pm

Hi, I use the climateline hose at default setting. I guess being from Minnesota and cold temperatures. I really enjoy pulling that nice cool but moist air into my lungs. I usually take in 5 or 6 deep breaths quickly, then in few minutes Im hard asleep. Im usually good for 8 hours . I hope you find the setting which works best for you ! Dan

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