Getting first machine

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
salton
Posts: 118
Joined: Tue Feb 12, 2013 10:32 pm

Re: Getting first machine

Post by salton » Fri Feb 15, 2013 11:11 am

Yes, I can get my old laptop out.
I can't find an obvious model number. it says REF 150P, if that helps.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Additional Comments: AHI 58 Pressure 9cm O2 sat 75%

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Fri Feb 15, 2013 11:30 am

salton wrote: I can't find an obvious model number. it says REF 150P, if that helps
It's a 150 model. PR System One Plus CPAP with CFlex is model 250. At least it has CFlex exhale relief. The 150 doesn't even have any exhale relief I don't think.

That model is the most basic model available. No exhale relief. No data except how many hours you use it to satisfy insurance requirements.

If you could get the software to work (and I can get you the work around directions) all you would see is hours of use.
Nothing useful...no leak, no AHI..no nothing.

You might want to read this.
http://maskarrayed.wordpress.com/

When you talked to your insurance company did you find out if they pay by model number or billing code.
If by billing code I would be shopping for a DME that will supply more than the basic model. Some DMEs will...some dispense the cheapest machine they can get by with...and that's you have been given.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
Last edited by Pugsy on Fri Feb 15, 2013 2:00 pm, edited 1 time in total.
I may have to RISE but I refuse to SHINE.

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Fri Feb 15, 2013 11:34 am

SleepyHead installs on Windows 8 I think.

For sure installs on Win 7 or older. I have links for it in my signature line.
Go ahead and install it and you will see no useful data available.
It's easier to install and no sense in going through the extra work for Encore right now.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Fri Feb 15, 2013 11:43 am

If your insurance company offers multiple DMEs that are in their network then I would be calling them and asking them what they routinely dispense. In the PR System One line the lowest model number that offers full data is the 450.
Just because your insurance company only pays for the "basic" needs thing...doesn't mean that a DME has to supply a basic needs machine if your insurance pays by billing code. Some DMEs routinely dispense full data machines.

If you just want to let it go and maybe get a full data machine later then look for another PR S1 machine that will work with your existing humidifier...will save you a little money.
You need to educate yourself on which models do what though. Craigslist is an option but you really have to know your machine because often the seller doesn't (and some of them flat out lie).
Gently used machines can be found from secondwindcpap.com and they can be trusted. You will need a copy of your RX though.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

User avatar
DiverCTHunter
Posts: 484
Joined: Thu Jan 05, 2012 11:48 am
Location: Cleveland, TN

Re: Getting first machine

Post by DiverCTHunter » Fri Feb 15, 2013 12:13 pm

salton wrote: I tried to download the software, but it sid it is incompatible with Windows 8. Does anyone know if there is a new version?
Try one of these links:
http://www.infoworld.com/t/microsoft-wi ... s-7-210685
http://www.pcworld.com/article/2015107/ ... -know.html
http://lifehacker.com/5974318/downgrade ... 7-for-free
When in doubt, open the case. Remember: If you can't open it, you don't own it!

Prescribed APAP range - 6-10 cm/H2O, titrated at 8.
Current range - 9.0-11.5 cm/H2O - still searching for the magic "zero night" but averaging 2.2 AHI

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: Getting first machine

Post by archangle » Fri Feb 15, 2013 1:57 pm

salton wrote:Yes, I can get my old laptop out.
I can't find an obvious model number. it says REF 150P, if that helps.
You got screwed, probably unnecessarily.

It collects no data other than the settings and the hours you use it.

It's actually a step below the Respironics Plus model.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

Dewain
Posts: 30
Joined: Wed Feb 13, 2013 8:22 am

Re: Getting first machine

Post by Dewain » Tue Feb 19, 2013 8:21 pm

AHI 3.17 5.66 8.21 8.21 8.21
Hours per Night 05:41 08:51 09:13 09:13 09:13
Pressure 14.00 14.00 14.00 14.00 14.00
Average Leaks 12.52 16.85 17.32 17.32 17.32
95% Leaks 49.20 52.80 48.00 48.00 48.00
I dont even know what these numbers mean

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My pressure ramps from 5 to 14

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Tue Feb 19, 2013 8:51 pm

Dewain wrote:AHI 3.17 5.66 8.21 8.21 8.21
Hours per Night 05:41 08:51 09:13 09:13 09:13
Pressure 14.00 14.00 14.00 14.00 14.00
Average Leaks 12.52 16.85 17.32 17.32 17.32
95% Leaks 49.20 52.80 48.00 48.00 48.00
I dont even know what these numbers mean
What machine are you using? Respironics PR S1 One machine? the leak rate looks like it.
Where are these numbers coming from...SleepyHead I assume?
Please add your equipment to your profile...it helps us see at a glance what you are using.

Go to the link in my signature line for the SleepyHead glossary.
Also go to the link for the SleepyHead tutorial under construction thread. It will help you understand what you are seeing because a lot of questions were asked and answered in that discussion.

Respironics machines report total leak...that's the 95 % number...total leak is the mask expected vent rate at your pressure plus any excess leak. Large leak territory is up around 80 to 90 L/min when reporting total leak so you are fine in that regard.
95% or 90% on the Encore reports...all that means is for 90/95% of the night your leak was at OR below that number. People tend to forget the OR BELOW part of the definition and panic if the number is a little higher than they want.

Average leak..on SleepyHead...that is sort of an excess leak only average. Mark didn't get that part of the calculations fine tuned so don't know how much faith I would put in that number.

AHI...we like for it to be less than 5.0 but we also like to know the event category breakdown if the AHI is higher than we want.
Looks like yours is coming down which means you are probably sleeping a little better...Assuming the AHI on the left is most recent.

All in all..quite acceptable numbers for a newbie. Leaks are well within acceptable numbers.
AHI might need to be improved but I would want to know how much of it was clear airways (centrals) before I worried about it.
Often newbies have more clear airway events because they don't sleep so soundly yet and do a lot of tossing and turning and the machine sometimes will flag a clear airway event when we turn over in bed or during sleep stage transition...those are normal so we discount those.
If it stays below 5.0....you are doing good unless you are having some problems..if you think you are having problems then we probably need to look at the full detailed report so we can see what you are seeing to be able to accurately explain things.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

Dewain
Posts: 30
Joined: Wed Feb 13, 2013 8:22 am

Re: Getting first machine

Post by Dewain » Wed Feb 20, 2013 5:58 pm

Resmed S9 Elite CPAP Machine

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My pressure ramps from 5 to 14

Dewain
Posts: 30
Joined: Wed Feb 13, 2013 8:22 am

Re: Getting first machine

Post by Dewain » Wed Feb 20, 2013 6:04 pm

CPAP Statistics as of Tuesday, February 19, 2013
11 days of CPAP Data, between 2/9/2013 and 2/19/2013
Details Most Recent Last 7 Days Last 30 Days Last 6 months Last Year
AHI 4.56 5.36 7.99 7.99 7.99
Hours per Night 05:55 08:45 08:55 08:55 08:55
Pressure 14.00 14.00 14.00 14.00 14.00
Average Leaks 7.02 16.71 16.70 16.70 16.70
95% Leaks 36.00 52.80 46.80 46.80 46.80

Changes to Prescription Settings
First Last Days AHI Machine Mode Pr. Rel. Pressure
2/9/2013 2/19/2013 11 7.99 ResMed CPAP EPR x3 14.00
The above has a threshold which excludes day counts less than 5 from the best/worst highlighting

Machine Information
Brand Model Serial First Use Last Use
ResMed S9 AutoSet 23122162650 2/9/2013 2/19/2013

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My pressure ramps from 5 to 14

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Wed Feb 20, 2013 6:09 pm

Dewain wrote:Resmed S9 Elite CPAP Machine
Uh, Oh....

Those leak numbers are way too high for a S9 Report.
S9 reports only excess leak and in from the machine itself a 95% leak number which means for 95 % of the time you were at or above that number.
ResMed's large leak territory boundary is 24 L/min. Now we can sometimes explain away a number that is around 24 L/min and look at the actual graphs and find out maybe only a short period of time was the leak above the red line at 24 L/min.
Yours push 50 L/min for all nights. Double the allowable max.

You have some work to do on leaks.....Over 40 L/min and the machine can't even record properly.
This makes your AHI almost worthless until we evaluate the leak line itself.

What mask are you using...is your mouth covered...I bet it isn't.

You know if you would add your equipment to your profile I wouldn't have to ask and delay my responses....

See this thread viewtopic/t85680/Really-really-bad-leak-night.html
That was a bad night for me...and I suspect yours is just as ugly or not worse.
The deal with me is that it was a rarity...look like yours is an every night thing.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

Dewain
Posts: 30
Joined: Wed Feb 13, 2013 8:22 am

Re: Getting first machine

Post by Dewain » Wed Feb 20, 2013 6:26 pm

Im using a full mask and do not like it, the doctor said I needed a full mask because of breathing through my mouth. The mask has gotten to where it starts leaking air out around my mouth at night making noisy's and waking me up??

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My pressure ramps from 5 to 14

User avatar
Pugsy
Posts: 65127
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Getting first machine

Post by Pugsy » Wed Feb 20, 2013 8:43 pm

Dewain wrote:Im using a full mask and do not like it, the doctor said I needed a full mask because of breathing through my mouth. The mask has gotten to where it starts leaking air out around my mouth at night making noisy's and waking me up??
How long have you been using the Full face mask?

Could you please add your equipment to your profile in text like I have mine. That way people who use your type of mask may be able to offer some hints.

I also suggest that you start a new thread with your issues..that way we address your problems specifically. You can link back to this thread if you wish. People read brand new threads before that read old threads and you stuff has got all mixed up in this thread with someone else's comments.

Try a different mask....maybe some modifications to this one will help but with that big of a leak...heck it may not even be the correct size.

Is your mouth breathing out of necessity (simply can't get your nose clear enough) or habit?

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

User avatar
RandyJ
Posts: 1673
Joined: Thu Apr 21, 2011 7:22 pm
Location: Connecticut, USA

Re: Getting first machine

Post by RandyJ » Thu Feb 21, 2013 6:37 am

My first machine was the PR System One Remstar model 150, a total brick. Pugsy is right, there is no pressure relief (C flex) of any kind, or data other than compliance.

I got rid of that sucker as soon as I could... it took about almost 4 months and a lot of pressure (by me) on my doctor and DME. They eventually switched it out for a Resmed S9 Autoset.

I wish I had read Janknitz's blog BEFORE I met my DME....

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Backup & Travel Machines: PR System One Bipap Auto, S9 VPAP Auto, S9 Autoset, Oximeter CMS-50E
Diagnosed March 2011, using APAP 14 - 16.5 cm, AFlex+ 2
Alt masks Swift FX pillows, Mirage FX nasal mask, Mirage Quattro full face mask

Dewain
Posts: 30
Joined: Wed Feb 13, 2013 8:22 am

Re: Getting first machine

Post by Dewain » Fri Feb 22, 2013 11:51 am

Ill try to update my profile info this evening

_________________
Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My pressure ramps from 5 to 14