new auto cpap
new auto cpap
Hi,
Happy circular new year.
I have been on respronic m series auto over 5years. Not particulary fancy or happy about respronics model due to hard breathing of this machine (not smooth like my first experience on loaning the resmed auto for a week 5 years ago). Besides, m series auto also has many problems like, water tank over flood, rusty base metal, rain out from tubing due to no climate control on humidifier, cflex and aflex does not creat a comford to breath, noisy sound, blue light disturbance for sleeping environment, outlet is tangling and drop out when change sleep position, large power adaptor and other issues. Overall, a B graded to me but much cheaper cpap compared to Resmed 5 years ago.
Now, there are two brands I am thinking of 1) Resmed S9 Auto with climate control 2) Philip Respronics Auto with heated tubing. Would be appreciate if any opinio to assist in the decision making.
God bless.
Mckooi
Happy circular new year.
I have been on respronic m series auto over 5years. Not particulary fancy or happy about respronics model due to hard breathing of this machine (not smooth like my first experience on loaning the resmed auto for a week 5 years ago). Besides, m series auto also has many problems like, water tank over flood, rusty base metal, rain out from tubing due to no climate control on humidifier, cflex and aflex does not creat a comford to breath, noisy sound, blue light disturbance for sleeping environment, outlet is tangling and drop out when change sleep position, large power adaptor and other issues. Overall, a B graded to me but much cheaper cpap compared to Resmed 5 years ago.
Now, there are two brands I am thinking of 1) Resmed S9 Auto with climate control 2) Philip Respronics Auto with heated tubing. Would be appreciate if any opinio to assist in the decision making.
God bless.
Mckooi
Re: new auto cpap
Not to long ago, I wrote a lengthy post comparing the Resmed S9 AutoSet and the PR System One Series 60 Auto CPAP. You can find this post at: viewtopic/t94793/viewtopic.php?f=1&t=82 ... 5&#p866535
_________________
Machine: DreamStation BiPAP® Auto Machine |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5 |
- SleepWellCPAP
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Re: new auto cpap
I would recommend the S9 Autoset with H5i and climate control tubing hands down. Since it first came out, ResMed has done nothing but make that unit better and better.
Good luck!
Good luck!
Jim Swearingen
Author of the book Sleep Well & Feel Great with CPAP, a definitive guide
For a free copy inquire with your local county librarian
CPAPtalk featured - Also available through Barnes & Noble Booksellers
Author of the book Sleep Well & Feel Great with CPAP, a definitive guide
For a free copy inquire with your local county librarian
CPAPtalk featured - Also available through Barnes & Noble Booksellers
Re: new auto cpap
I liked my S9 Autoset better than my new PRS 1 ASV.
I VOTE S9.
I VOTE S9.
_________________
Mask: SleepWeaver 3D Soft Cloth Nasal CPAP Mask with Headgear |
Additional Comments: AurCurve 10 ASV Also using Sleaplyhead 1.1, ResScan 6 and CMS50i |
Re: new auto cpap
I just did the same thing... my M series died and had to get a new machine quickly. I chose the new PR system one 60 series with heated hose ...... and I love it, it is so much more quiet and has the ability to be used with either Encore or Sleepyhead. Been using it for a week now and am VERY satisfied. On reading Robysues post on the efficiency of both machines I found them to be pretty much the same.... except when you have to pay out of pocket, the PR wins hands down .
Good luck with your choice.
Nan
Good luck with your choice.
Nan
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Started cpap in 2010.. still at it with great results.
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Re: new auto cpap
It is a question as easy to answer is as what is the better car, Ford or Chevy. Both brands sell cars that have wheels, drive places, and have roughly the same features. Its the little details you may prefer that differ.
Both the S9 and 560+ are effective auto machines (and bipap versions, etc) that effectively do the same thing. The cheapo Chinese auto machine now being sold pretty much does the same as well. It's the little details that are the only real differences between these machines, and because each brand does still have significant flaws, (which from your own experience, you know about) it's hard to claim which machine is 'better'. The current line of machines, even Cadillac machines, are still burdened with problems.
The S9 is slightly smaller than the 560, has a heated hose, advanced humidification, advanced EPR, advanced algorithm technologies, data capability, a nice travel bag, and a nice color screen. It is a very popular, effective machine. The 560 has virtually the same features, sans the color screen. The S9, however, lacks an audible mask leak alarm, has a more abrupt pressure response adjustment system, has a fixed position hose outlet on the back of the machine, and has had more complaints about quality and strange motor noises. Plus it's significantly more expensive.
The PR line of Auto CPAPS and bipaps have roughly the exact same features as the S9, but have black and white screens, not nearly as nice as the S9. You will like that the 560 screen backlight stays totally off and cannot be 'woken up' once the 560 is running. (I consider it a major design flaw, however). They also have a top-mounted, swivel hose outlet, and an audible mask leak alarm. Plus the stock water chamber has a removable lid, unlike the S9. The 560 does have one major feature the S9 lacks -- the OptiStart feature which 'learns' your optimal start pressure over time and adjusts the start pressure every 30 hours based on your needs and prescription. Plus the PR machines are cheaper, and made/assembled in the USA unlike Resmeds. Cons: The screen is boring b&w, and while running the only way to check the instant pressure is with a flashlight because the screen backlight cannot be woken up while running (so stupid). Also the filter has no frame, so can pop out if you sneeze/cough. The machine is a tad bulkier than the S9. Also the 'resistance control' which tweeks the EPR system is keyed to proprietary numbers stamped on PR masks only. For other brand masks you either guess, or shut the option off. No major difference in therapy, but annoying compared to Resmed's simple mask-type setting. And, finally, I think the travel bag that comes with the PR is a tad confusing in its layout, i.e., where to store accessories etc.
If I had it to do over again I would seriously check out the F&P Icon because it has a small footprint, is a good quality brand, and has a clock and an alarm built in. For a nightstand that's awesome, and why not included on other brands, I can't fathom. Also the DeVilbiss auto machines are also excellent, USA made machines, with small footprints, advanced algorythms, and most of features of the S9 and PRs, yet much much more affordable. Plus 5 year warranties. (They do lack heated hoses and waveform data tracking, however).
As you can see there is no such thing, yet, as a machine that 'has it all'.
So you have to balance the features and whatnot that matter to you. But honestly, you could use any auto machine out there and pretty much be fine. In the dark they all look and blow air mostly the same anyway.
Both the S9 and 560+ are effective auto machines (and bipap versions, etc) that effectively do the same thing. The cheapo Chinese auto machine now being sold pretty much does the same as well. It's the little details that are the only real differences between these machines, and because each brand does still have significant flaws, (which from your own experience, you know about) it's hard to claim which machine is 'better'. The current line of machines, even Cadillac machines, are still burdened with problems.
The S9 is slightly smaller than the 560, has a heated hose, advanced humidification, advanced EPR, advanced algorithm technologies, data capability, a nice travel bag, and a nice color screen. It is a very popular, effective machine. The 560 has virtually the same features, sans the color screen. The S9, however, lacks an audible mask leak alarm, has a more abrupt pressure response adjustment system, has a fixed position hose outlet on the back of the machine, and has had more complaints about quality and strange motor noises. Plus it's significantly more expensive.
The PR line of Auto CPAPS and bipaps have roughly the exact same features as the S9, but have black and white screens, not nearly as nice as the S9. You will like that the 560 screen backlight stays totally off and cannot be 'woken up' once the 560 is running. (I consider it a major design flaw, however). They also have a top-mounted, swivel hose outlet, and an audible mask leak alarm. Plus the stock water chamber has a removable lid, unlike the S9. The 560 does have one major feature the S9 lacks -- the OptiStart feature which 'learns' your optimal start pressure over time and adjusts the start pressure every 30 hours based on your needs and prescription. Plus the PR machines are cheaper, and made/assembled in the USA unlike Resmeds. Cons: The screen is boring b&w, and while running the only way to check the instant pressure is with a flashlight because the screen backlight cannot be woken up while running (so stupid). Also the filter has no frame, so can pop out if you sneeze/cough. The machine is a tad bulkier than the S9. Also the 'resistance control' which tweeks the EPR system is keyed to proprietary numbers stamped on PR masks only. For other brand masks you either guess, or shut the option off. No major difference in therapy, but annoying compared to Resmed's simple mask-type setting. And, finally, I think the travel bag that comes with the PR is a tad confusing in its layout, i.e., where to store accessories etc.
If I had it to do over again I would seriously check out the F&P Icon because it has a small footprint, is a good quality brand, and has a clock and an alarm built in. For a nightstand that's awesome, and why not included on other brands, I can't fathom. Also the DeVilbiss auto machines are also excellent, USA made machines, with small footprints, advanced algorythms, and most of features of the S9 and PRs, yet much much more affordable. Plus 5 year warranties. (They do lack heated hoses and waveform data tracking, however).
As you can see there is no such thing, yet, as a machine that 'has it all'.
So you have to balance the features and whatnot that matter to you. But honestly, you could use any auto machine out there and pretty much be fine. In the dark they all look and blow air mostly the same anyway.
Re: new auto cpap
EDITED TO INCLUDE UPDATED INFORMATION ABOUT THE ICONS (2/23/2014)
Important Information About the Four Most Commonly Used Brands of CPAP/APAP Machines in the US
NOTE: The information about the DeVilbiss IntelliPAPs is VERY INCOMPLETE since I have not had a chance to fully edit this since adding them to the lists in the first part of the post. I have not yet had a chance to write anything about their on-board data, their software (including the SmartCode), or their data card (and the need for an add-on "module". If there are any DeVilbiss users out there who can add this information to this thread, please write a response so I can add it to this post.
For the four most common brands of xPAP equipment here's what you need to know about their most RECENT lines of machines:
Important Notes:
1) It is best to hold out for a full efficacy data machine right from the start. As soon as you accept a brick that records only compliance data, you will have a mess on your hands if you later try to upgrade it to a full efficacy data machine. So if a DME contacts you (because the sleep doctor's office sent the script) and makes an appointment to set up the equipment and then shows up with a compliance-only brick of a CPAP, REFUSE delivery of the machine. Yes, they will tell you, "This is exactly what the doctor ordered." But YOU are paying for the machine (through your co-pay and your insurance company's money) and you are under NO obligation to "accept" a machine that you believe will be detrimental to your health in the long run. Politely inform them that you will only accept <fill in list of machines that you find acceptable> and that if they are unwilling or unable to provide you with such a machine, you will take your business to a different DME.
2) The naming of two of the Resprionics System One straight CPAPs is particularly confusing:
4) On-board Data: Each brand of machine has its own select set of data can be viewed directly off the machine's LCD.
5) Official Software: Each of the major brands has its own proprietary software for analyzing the data the machine records. For the most part, these software packages are aimed at DMEs and doctor's offices.
6) SleepyHead Software: SleepyHead can be used with the following machines:
7) Data cards: The Resmed S9 and the Respironics System One both use standard SD cards for the data that are inserted directly into the back of the blower unit. The F&P Icon uses a SmartStick. The Devilbiss IntelliPAP uses a standard SD card, but it also appears that you also need an optional data module attached to its back before the IntelliPAP can write the data to the SD card.
8) Prices in the US: If you are purchasing the CPAP with insurance dollars, the contract between the DME and the insurance company will determine the price. And your share of the cost will likely be exactly the same regardless of which brand and model you wind up purchasing. If you are buying new equipment totally out-of-pocket, the cost of the machine will vary considerably from brand to brand and from model to model. In general, compliance-data bricks cost less than full efficacy data machines from the same manufacturer. And APAPs tend to cost more than full efficacy data CPAPs do. Supplier #1's prices currently seem to be the lowest (sometimes by far) of the on-line suppliers on the apneaboard supplier list at http://www.apneaboard.com/forums/Thread ... plier-List. And on 12/30/2013, at Supplier #1, the prices for both the blower unit and the heated humidifier for the current models from the four most commonly used brands are:
2) Supplier #1 currently has the Devilbiss heated humidifiers on sale. The prices quoted above use the non-sale price of the humidifer unit.
That reminded me of a post that I put together for another forum recently for a newbie who was asking about other, non-Resmed, non-PR machines.hyperlexis wrote: If I had it to do over again I would seriously check out the F&P Icon because it has a small footprint, is a good quality brand, and has a clock and an alarm built in. For a nightstand that's awesome, and why not included on other brands, I can't fathom. Also the DeVilbiss auto machines are also excellent, USA made machines, with small footprints, advanced algorythms, and most of features of the S9 and PRs, yet much much more affordable. Plus 5 year warranties. (They do lack heated hoses and waveform data tracking, however).
As you can see there is no such thing, yet, as a machine that 'has it all'. :(
So you have to balance the features and whatnot that matter to you. But honestly, you could use any auto machine out there and pretty much be fine. In the dark they all look and blow air mostly the same anyway.
Important Information About the Four Most Commonly Used Brands of CPAP/APAP Machines in the US
NOTE: The information about the DeVilbiss IntelliPAPs is VERY INCOMPLETE since I have not had a chance to fully edit this since adding them to the lists in the first part of the post. I have not yet had a chance to write anything about their on-board data, their software (including the SmartCode), or their data card (and the need for an add-on "module". If there are any DeVilbiss users out there who can add this information to this thread, please write a response so I can add it to this post.
For the four most common brands of xPAP equipment here's what you need to know about their most RECENT lines of machines:
- Full Efficacy Data Machines:
- Resmed: The S9 Elite CPAP with EPR and the S9 AutoSet CPAP
- Resprionics: The System One Series 60 REMstar Pro CPAP with C-Flex Plus (model 460) and the System One Series 60 REMstar Auto CPAP with A-Flex (model 560)
- Fisher & Paykel: The Icon Premo CPAP and the Icon Auto CPAP
- DeVilbiss: The IntelliPAP Standard Plus with SmartFlex and the IntelliPAP AutoAdjust with SmartFlex
- Only Compliance Data Machines:
- Resmed: The S9 Escape CPAP with EPR and the S9 Escape Auto CPAP
- Resprionics: The System One Series 60 REMstar Plus CPAP with C-Flex (model 260) and the System One REMStar 60 Series SE CPAP Machine (model 220)
- Fisher & Paykel: The Icon Novo
- DeVilbiss: The IntelliPAP Standard
Important Notes:
1) It is best to hold out for a full efficacy data machine right from the start. As soon as you accept a brick that records only compliance data, you will have a mess on your hands if you later try to upgrade it to a full efficacy data machine. So if a DME contacts you (because the sleep doctor's office sent the script) and makes an appointment to set up the equipment and then shows up with a compliance-only brick of a CPAP, REFUSE delivery of the machine. Yes, they will tell you, "This is exactly what the doctor ordered." But YOU are paying for the machine (through your co-pay and your insurance company's money) and you are under NO obligation to "accept" a machine that you believe will be detrimental to your health in the long run. Politely inform them that you will only accept <fill in list of machines that you find acceptable> and that if they are unwilling or unable to provide you with such a machine, you will take your business to a different DME.
2) The naming of two of the Resprionics System One straight CPAPs is particularly confusing:
- The System One REMstar Pro CPAP with C-Flex Plus (model 460) IS a full data machine, but
- The System One REMstar Plus CPAP with C-Flex (model 260) IS NOT a full data machine.
4) On-board Data: Each brand of machine has its own select set of data can be viewed directly off the machine's LCD.
- The Resmed S9 AutoSet and Elite have by far the best on-board LCD data of any of these machines since their LCDs will let you see all of the following: AHI, AI, CAI (from which you can easily compute OAI and HI); 95% Unintentional Leak rate; 95% Pressure Setting (AutoSet only); and hours used (of course). You can also easily change the reporting period from 1 day to 1 week to 1 month to 3 months to 6 months to one year.
- The newest full data Resprionics Series 60 System One machines is limited to 1, 7, and 30 averages for AHI that are not broken down by type and 1, 7, and 30 averages for "Percentage time spent in Large Leak." That Large Leak data is useless in my humble opinion----in part because Resprionics leaves the definition of Large Leak undefined and in part because a Large Leak has to last an awfully long time to show up in a 7-day average (let alone a 30-day average).
- s near as I can tell (based on information in other apnea forums that I read), the full data F&P Icons have the following data available through the LCD: 1, 7, and 30 day figures for AHI that are not broken down into type), leak rate, and the 90% pressure level and SenseAwake stats for the Icon Auto.
- The full data DeVilbiss IntelliPAPs use some kind of web-based "code" that you enter into an appropriate site every morning to look at your data---if I understand correctly from what I've read about these machines. Because of this web-based "code", it's not clear to me what data is immediately available from the machine's LCD itself.
5) Official Software: Each of the major brands has its own proprietary software for analyzing the data the machine records. For the most part, these software packages are aimed at DMEs and doctor's offices.
- The Resmed S9 needs ResScan, which can be downloaded for free once you know where to find it.
- The PR System One needs Encore Basic or Encore Pro, which can be downloaded for free once you know where to find it.
- The F&P Icon uses InfoSmart, which appears to be aimed at clinics and sleep doctor offices. I'm told the software can be purchased for $89, but you have to register it within 30 days as a company; there's apparently no verification however, and you can call yourself a company with one employee, namely you. I have no information about how a user might find and install the InfoSmart software for their Icon machine, however. I've also heard, but cannot verify, that InfoSmart does not work with the newer Icon+ machines. The full data Icons record less data than either the Resmed S9 or the PR System One machines.
- I am not sure I fully understand how the DeVilbiss IntelliPAP records data to be analyzed on a computer rather than through its web-based code. As I understand it, you have to purchase an additional module with an SD card slot to hook onto the back of the DeVilbiss IntelliPAP to order to record the data so that you can look at it in the official DeVilbiss SmartLink Version 2 Software. You can buy the data module bundled with the SmartLink Software from our host cpap.com
6) SleepyHead Software: SleepyHead can be used with the following machines:
- The full data ResMed S9 machines
- The full data Philips Respironics System One machines (both current Series 60 and the older Series 50 machines). The Series 60 System One machines require SleepyHead 0.9.3 (or higher) on a PC. On a mac you have to install SleepyHead 0.9.2 and then you have to install a patch that provides support for the Series 60 System One machines.
- The full data DeVilbiss IntelliPAP machines. DeVilbiss IntelliPAPs require SleepyHead 0.9.3 (or higher) on a PC. I don't know if the Mac patch for SleepyHead 0.9.2 allows a Mac-based SleepyHead to read the data from the DeVilbiss IntelliPAPs. I also don't know if you have to have the data module installed before you can use SleepyHead to analyze the IntelliPAPs data.
- One Icon user says that SleepyHead now works with full data F&P Icons, but the data is limited compared to that displayed for Resmed S9's and PR System Ones. It's not clear if SH is compatible with the newer Icon+ machines however.
7) Data cards: The Resmed S9 and the Respironics System One both use standard SD cards for the data that are inserted directly into the back of the blower unit. The F&P Icon uses a SmartStick. The Devilbiss IntelliPAP uses a standard SD card, but it also appears that you also need an optional data module attached to its back before the IntelliPAP can write the data to the SD card.
8) Prices in the US: If you are purchasing the CPAP with insurance dollars, the contract between the DME and the insurance company will determine the price. And your share of the cost will likely be exactly the same regardless of which brand and model you wind up purchasing. If you are buying new equipment totally out-of-pocket, the cost of the machine will vary considerably from brand to brand and from model to model. In general, compliance-data bricks cost less than full efficacy data machines from the same manufacturer. And APAPs tend to cost more than full efficacy data CPAPs do. Supplier #1's prices currently seem to be the lowest (sometimes by far) of the on-line suppliers on the apneaboard supplier list at http://www.apneaboard.com/forums/Thread ... plier-List. And on 12/30/2013, at Supplier #1, the prices for both the blower unit and the heated humidifier for the current models from the four most commonly used brands are:
- Resmed: Prices range from $758 for the bare bones, compliance data S9 Escape brick to $833 for top of the line, full efficacy data S9 AutoSet.
- Respironics: Prices range from $482.80 for the bare bones, compliance data System One REMStar 60 Series SE CPAP (model 220) brick to $737.80 for the top of the line, full efficacy data System One REMStar 60 Series Auto CPAP
- F & P: Prices range from $549 for the middle of the line, full efficacy data fixed pressure ICON Premo CPAP to $595 for the top of the line, full efficacy data ICON Auto CPAP.
- DeVilbiss: Prices range from $475 for the bare bones, compliance data IntelliPAP Standard CPAP brick to $640 for the top of the line, full efficacy data IntelliPAP AutoAdjust machine.
2) Supplier #1 currently has the Devilbiss heated humidifiers on sale. The prices quoted above use the non-sale price of the humidifer unit.
_________________
Machine: DreamStation BiPAP® Auto Machine |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5 |
Last edited by robysue on Sun Feb 23, 2014 10:09 am, edited 2 times in total.
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Re: new auto cpap
Kudos on this very, very extensive explanation of the different systems and comparisons.robysue wrote:Not to long ago, I wrote a lengthy post comparing the Resmed S9 AutoSet and the PR System One Series 60 Auto CPAP. You can find this post at: viewtopic/t94793/viewtopic.php?f=1&t=82 ... 5&#p866535
- chunkyfrog
- Posts: 34545
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- Location: Nowhere special--this year in particular.
Re: new auto cpap
If you are likely to be off the power grid, you might want to consider direct DC operation.
The lack of this feature is the only thing I do not like on my S9 Autoset.
The lack of this feature is the only thing I do not like on my S9 Autoset.
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
- sleeplessinaz
- Posts: 1067
- Joined: Mon Oct 29, 2007 10:49 am
- Location: Mesa, Arizona
Re: new auto cpap
I would recommend the S9 Autoset with H5i and climate control tubing since that's what I have and it has been a great machine! Never had any problems.
Good luck!
Good luck!
Start Date 08/30/07
APAP setting is 6 to 12
HH 2.5
Side Sleeper
HypoThyroidism & Diabetes
New Airsense autoset 12/08/14
APAP setting is 6 to 12
HH 2.5
Side Sleeper
HypoThyroidism & Diabetes
New Airsense autoset 12/08/14
Re: new auto cpap
Belatedly want to add that the Intellipap does have the feature of using code #'s from the screen that can be entered into a window each a.m. in Cpap.com or DeVilbiss site and will give you a fair amount of good basic info., but you can buy the 'module' and software as well for the machine and get even more info on your computer just as you do with the S9 or PR S1... it's just that with the code feature, many of us don't have to bother with software as we get enough info for our needs... if you normally have quite varied results, a lot of one-off nights with odd results, extremes of any kind, you can choose to get the module, but if not, and unless you're a tech geek, you should be fine without it.
Re: new auto cpap
Those of us that have gone camping and used the S9 know about the ResMed voltage converter for their cpap's that converts 12VDC to the 24VDC the machines need. I do wish that they had made the S9 run off of 12VDC directly, but then they couldn't sell a voltage converter *smile*. It is a one-time cost, but annoying none the less.chunkyfrog wrote:If you are likely to be off the power grid, you might want to consider direct DC operation.
The lack of this feature is the only thing I do not like on my S9 Autoset.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit N30 Nasal CPAP Mask with Headgear |
Re: new auto cpap
Unfortunately, the converter weighs in at 1 lb 10 oz, which offsets the wight advantage of the S9 over the 560.RogerSC wrote:Those of us that have gone camping and used the S9 know about the ResMed voltage converter for their cpap's that converts 12VDC to the 24VDC the machines need. I do wish that they had made the S9 run off of 12VDC directly, but then they couldn't sell a voltage converter *smile*. It is a one-time cost, but annoying none the less.chunkyfrog wrote:If you are likely to be off the power grid, you might want to consider direct DC operation.
The lack of this feature is the only thing I do not like on my S9 Autoset.
_________________
Machine: DreamStation Auto CPAP Machine |
Mask: Quattro™ Air Full Face Mask with Headgear |
Humidifier: DreamStation Heated Humidifier |
Additional Comments: Pressure 9-20, average ~9.5; often use battery power while off-grid |
Hark, how hard he fetches breath . . . Act II, Scene IV, King Henry IV Part I, William Shakespeare
Choosing a Battery thread: http://www.cpaptalk.com/viewtopic/t1140 ... ttery.html
Choosing a Battery thread: http://www.cpaptalk.com/viewtopic/t1140 ... ttery.html
Re: new auto cpap
There is a way to purchase InfoSmart the software for the F&P Icon. I mention this for current users only, I personally would not recommend the purchasing an Icon. However for $89 you can purchase InfoSmart. Before the 30 day 'trial' period is up, you will need to register with F&P as a 'sleep lab' (I registered myself as a company of one employee). Also the amount of data monitored is minimal. As I said I only mentioned this for those who have the Icon & want to get their data. A cheaper method is to use SleepyHead for free, but I think the data provided is still only that which the machine records, is; less than RedMed or PR.robysue wrote:That reminded me of a post that I put together for another forum recently for a newbie who was asking about other, non-Resmed, non-PR machines.hyperlexis wrote: If I had it to do over again I would seriously check out the F&P Icon because it has a small footprint, is a good quality brand, and has a clock and an alarm built in. For a nightstand that's awesome, and why not included on other brands, I can't fathom. Also the DeVilbiss auto machines are also excellent, USA made machines, with small footprints, advanced algorythms, and most of features of the S9 and PRs, yet much much more affordable. Plus 5 year warranties. (They do lack heated hoses and waveform data tracking, however).
As you can see there is no such thing, yet, as a machine that 'has it all'.
So you have to balance the features and whatnot that matter to you. But honestly, you could use any auto machine out there and pretty much be fine. In the dark they all look and blow air mostly the same anyway.
Important Information About the Four Most Commonly Used Brands of CPAP/APAP Machines in the US
NOTE: The information about the DeVilbiss IntelliPAPs is VERY INCOMPLETE since I have not had a chance to fully edit this since adding them to the lists in the first part of the post. I have not yet had a chance to write anything about their on-board data, their software (including the SmartCode), or their data card (and the need for an add-on "module". If there are any DeVilbiss users out there who can add this information to this thread, please write a response so I can add it to this post.
For the four most common brands of xPAP equipment here's what you need to know about their most RECENT lines of machines:
- Full Efficacy Data Machines:
- Resmed: The S9 Elite CPAP with EPR and the S9 AutoSet CPAP
- Resprionics: The System One Series 60 REMstar Pro CPAP with C-Flex Plus (model 460) and the System One Series 60 REMstar Auto CPAP with A-Flex (model 560)
- Fisher & Paykel: The Icon Premo CPAP and the Icon Auto CPAP
- DeVilbiss: The IntelliPAP Standard Plus with SmartFlex and the IntelliPAP AutoAdjust with SmartFlex
- Only Compliance Data Machines:
- Resmed: The S9 Escape CPAP with EPR and the S9 Escape Auto CPAP
- Resprionics: The System One Series 60 REMstar Plus CPAP with C-Flex (model 260) and the System One REMStar 60 Series SE CPAP Machine (model 220)
- Fisher & Paykel: The Icon Novo
- DeVilbiss: The IntelliPAP Standard
Important Notes:
1) It is best to hold out for a full efficacy data machine right from the start. As soon as you accept a brick that records only compliance data, you will have a mess on your hands if you later try to upgrade it to a full efficacy data machine. So if a DME contacts you (because the sleep doctor's office sent the script) and makes an appointment to set up the equipment and then shows up with a compliance-only brick of a CPAP, REFUSE delivery of the machine. Yes, they will tell you, "This is exactly what the doctor ordered." But YOU are paying for the machine (through your co-pay and your insurance company's money) and you are under NO obligation to "accept" a machine that you believe will be detrimental to your health in the long run. Politely inform them that you will only accept <fill in list of machines that you find acceptable> and that if they are unwilling or unable to provide you with such a machine, you will take your business to a different DME.
2) The naming of two of the Resprionics System One straight CPAPs is particularly confusing:3) Technically the Resmed Escape Auto is not quite a "only compliance data" machine because it does give a minimum amount of data beyond the number of hours used. But not enough additional data for it to be considered a full data machine. If the choice is between the S9 Elite and the S9 Escape Auto, you're better off with the Elite in my humble opinion.
- The System One REMstar Pro CPAP with C-Flex Plus (model 460) IS a full data machine, but
- The System One REMstar Plus CPAP with C-Flex (model 260) IS NOT a full data machine.
4) On-board Data: Each brand of machine has its own select set of data can be viewed directly off the machine's LCD.NOTE: I've used both an S9 AutoSet and a System One BiPAP Auto so I know those machines really well and speak from direct experience. I am not directly experienced with the F&P Icons or the DeVilbass IntelliPAPs, so the information about those machines is based on what I've read both hear and on other forums. If you use one of these machines and can provide me with more accurate information, I'd appreciate it.
- The Resmed S9 AutoSet and Elite have by far the best on-board LCD data of any of these machines since their LCDs will let you see all of the following: AHI, AI, CAI (from which you can easily compute OAI and HI); 95% Unintentional Leak rate; 95% Pressure Setting (AutoSet only); and hours used (of course). You can also easily change the reporting period from 1 day to 1 week to 1 month to 3 months to 6 months to one year.
- The newest full data Resprionics Series 60 System One machines is limited to 1, 7, and 30 averages for AHI that are not broken down by type and 1, 7, and 30 averages for "Percentage time spent in Large Leak." That Large Leak data is useless in my humble opinion----in part because Resprionics leaves the definition of Large Leak undefined and in part because a Large Leak has to last an awfully long time to show up in a 7-day average (let alone a 30-day average).
- s near as I can tell (based on information in other apnea forums that I read), the full data F&P Icons have the following data available through the LCD: 1, 7, and 30 day figures for AHI that are not broken down into type), leak rate, and the 90% pressure level and SenseAwake stats for the Icon Auto.
- The full data DeVilbiss IntelliPAPs use some kind of web-based "code" that you enter into an appropriate site every morning to look at your data---if I understand correctly from what I've read about these machines. Because of this web-based "code", it's not clear to me what data is immediately available from the machine's LCD itself.
5) Official Software: Each of the major brands has its own proprietary software for analyzing the data the machine records. For the most part, these software packages are aimed at DMEs and doctor's offices.
- The Resmed S9 needs ResScan, which can be downloaded for free once you know where to find it.
- The PR System One needs Encore Basic or Encore Pro, which can be downloaded for free once you know where to find it.
- The F&P Icon uses InfoSmart, which appears to be aimed at clinics and sleep doctor offices. I have no information about how a user might find and install the InfoSmart software for their Icon machine. From what I've read here and elsewhere, no-one has been able to find a version of InfoSmart to install on their own computer and the software does not seem to be sold to patients.
- I am not sure I fully understand how the DeVilbiss IntelliPAP records data to be analyzed on a computer rather than through its web-based code. As I understand it, you have to purchase an additional module with an SD card slot to hook onto the back of the DeVilbiss IntelliPAP to order to record the data so that you can look at it in the official DeVilbiss SmartLink Version 2 Software. You can buy the data module bundled with the SmartLink Software from Supplier #1 on the apneaboard on-line supplier's list.
6) SleepyHead Software: SleepyHead can be used with the following machines:SleepyHead will not yet work with the full data F&P Icons, but JediMark is working on providing support for those models.
- The full data ResMed S9 machines
- The full data Philips Respironics System One machines (both current Series 60 and the older Series 50 machines). The Series 60 System One machines require SleepyHead 0.9.3 (or higher) on a PC. On a mac you have to install SleepyHead 0.9.2 and then you have to install a patch that provides support for the Series 60 System One machines.
- The full data DeVilbiss IntelliPAP machines. DeVilbiss IntelliPAPs require SleepyHead 0.9.3 (or higher) on a PC. I don't know if the Mac patch for SleepyHead 0.9.2 allows a Mac-based SleepyHead to read the data from the DeVilbiss IntelliPAPs. I also don't know if you have to have the data module installed before you can use SleepyHead to analyze the IntelliPAPs data.
7) Data cards: The Resmed S9 and the Respironics System One both use standard SD cards for the data that are inserted directly into the back of the blower unit. The F&P Icon uses a SmartStick. The Devilbiss IntelliPAP uses a standard SD card, but it also appears that you also need an optional data module attached to its back before the IntelliPAP can write the data to the SD card.
Prices in the US: If you are purchasing the CPAP with insurance dollars, the contract between the DME and the insurance company will determine the price. And your share of the cost will likely be exactly the same regardless of which brand and model you wind up purchasing. If you are buying new equipment totally out-of-pocket, the cost of the machine will vary considerably from brand to brand and from model to model. In general, compliance-data bricks cost less than full efficacy data machines from the same manufacturer. And APAPs tend to cost more than full efficacy data CPAPs do. Supplier #1's prices currently seem to be the lowest (sometimes by far) of the on-line suppliers on the apneaboard supplier list at http://www.apneaboard.com/forums/Thread ... plier-List. And on 12/30/2013, at Supplier #1, the prices for both the blower unit and the heated humidifier for the current models from the four most commonly used brands are:NOTES: 1) Supplier #1 does not sell the ICON Novo right now.
- Resmed: Prices range from $758 for the bare bones, compliance data S9 Escape brick to $833 for top of the line, full efficacy data S9 AutoSet.
- Respironics: Prices range from $482.80 for the bare bones, compliance data System One REMStar 60 Series SE CPAP (model 220) brick to $737.80 for the top of the line, full efficacy data System One REMStar 60 Series Auto CPAP
- F & P: Prices range from $549 for the middle of the line, full efficacy data fixed pressure ICON Premo CPAP to $595 for the top of the line, full efficacy data ICON Auto CPAP.
- DeVilbiss: Prices range from $475 for the bare bones, compliance data IntelliPAP Standard CPAP brick to $640 for the top of the line, full efficacy data IntelliPAP AutoAdjust machine.
2) Supplier #1 currently has the Devilbiss heated humidifiers on sale. The prices quoted above use the non-sale price of the humidifer unit.
Jen
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Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Pressure Auto 12-20cm CPAP compliant since 2000 |
Other masks I've tried: *=liked, #= no way
Piliaro, SleepWeaver Elan*, Swift FX w&w/o Bella Loops#, OpitLife#,Simplicity*, Mirage Vista*, Go Life for Her#, IQ (original hg only)*, Quattro FX (barely)###, Wisp*, Nuance#, Swift LT for her**
Piliaro, SleepWeaver Elan*, Swift FX w&w/o Bella Loops#, OpitLife#,Simplicity*, Mirage Vista*, Go Life for Her#, IQ (original hg only)*, Quattro FX (barely)###, Wisp*, Nuance#, Swift LT for her**
Re: new auto cpap
Jen,jencat824 wrote: There is a way to purchase InfoSmart the software for the F&P Icon. I mention this for current users only, I personally would not recommend the purchasing an Icon. However for $89 you can purchase InfoSmart. Before the 30 day 'trial' period is up, you will need to register with F&P as a 'sleep lab' (I registered myself as a company of one employee).
Thanks for the information. I'll edit my long post accordingly.
But I have two questions:
(1) Where does one purchase InfoSmart? On-line from F&P???
(2) Does InfoSmart work with the Icon+ (Icon Plus) line of machines?
Obviously SleepyHead can only display data that is recorded by the machine.Also the amount of data monitored is minimal. As I said I only mentioned this for those who have the Icon & want to get their data. A cheaper method is to use SleepyHead for free, but I think the data provided is still only that which the machine records, is; less than RedMed or PR.
But what data is (or is not) recorded? Is there no wave flow data???
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Machine: DreamStation BiPAP® Auto Machine |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5 |