Fresca low-flow CPAP. How does it work?

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jnk...
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Re: Fresca low-flow CPAP. How does it work?

Post by jnk... » Wed Jun 27, 2018 12:00 pm

prodigyplace wrote:
Wed Jun 27, 2018 11:57 am
chunkyfrog wrote:
Wed Jun 27, 2018 11:44 am
Whoever owns the Fresca brand of soft drink really should be lighting a fire under their legal team . . .
As far s I know, Coca-Cola does not claim that their Fresca has any medicinal applications. That makes this a different market.
Although I understand it can make for a nice medium for the delivery of certain, uh, higher-proof medicinal applications.

http://bartenderapp.com/ingredients/fre ... ingredient

Either way, I doubt that Coca-Cola has been able to trademark the Spanish language.
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Re: Fresca low-flow CPAP. How does it work?

Post by D.H. » Wed Jun 27, 2018 2:02 pm

Trademark law generally does not apply when there is no ". . . possibility of confusion by a reasonable person." There is a risk here because legal interpretations could change or new technologies or social changes could make confusion likely. In this case, I don't see that happening, but who knows for sure!

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Re: Fresca low-flow CPAP. How does it work?

Post by prodigyplace » Wed Jun 27, 2018 2:14 pm

D.H. wrote:
Wed Jun 27, 2018 2:02 pm
Trademark law generally does not apply when there is no ". . . possibility of confusion by a reasonable person." There is a risk here because legal interpretations could change or new technologies or social changes could make confusion likely. In this case, I don't see that happening, but who knows for sure!
Fresca is owned by Coca-Cola. Coca-Cola was originally designed as a patent medicine. SO, it is possible the trademark could be confusing?

Remember Apple originally agreed with Apple Corps to not go into music to be able to use their trademark. They later bought Apple Corps.

Apple needed to get permission from the Macintosh stereo manufacturer in order to use the Mccintosh name for a computer.

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Re: Fresca low-flow CPAP. How does it work?

Post by palerider » Wed Jun 27, 2018 2:23 pm

jnk... wrote:
Wed Jun 27, 2018 11:23 am
Just my take based partly on guesses.
The quick scan I gave the patent (hard to do it justice on a phone) agrees with your summary. The potential issue I see is the same thing that makes provent worthless... Even if you have adequate pressure to splint open the airway between breaths, as soon as an inhalation starts, there's a pressure drop, a relative negative pressure, and there goes the splint. That's when you need the high flow, to maintain pressure during inhalation. Now, if the valve is clever enough to eliminate the need for the 20-50 lpm vent flow... That'd mean machines could get by with maybe 90lpm (for strong inhalation), and that'd be... lower... flow, but not what I'd call 'low' flow.

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Re: Fresca low-flow CPAP. How does it work?

Post by jnk... » Wed Jun 27, 2018 2:31 pm

palerider wrote:
Wed Jun 27, 2018 2:23 pm
jnk... wrote:
Wed Jun 27, 2018 11:23 am
Just my take based partly on guesses.
The quick scan I gave the patent (hard to do it justice on a phone) agrees with your summary. The potential issue I see is the same thing that makes provent worthless... Even if you have adequate pressure to splint open the airway between breaths, as soon as an inhalation starts, there's a pressure drop, a relative negative pressure, and there goes the splint. That's when you need the high flow, to maintain pressure during inhalation. Now, if the valve is clever enough to eliminate the need for the 20-50 lpm vent flow... That'd mean machines could get by with maybe 90lpm (for strong inhalation), and that'd be... lower... flow, but not what I'd call 'low' flow.
Thanks, PR. I'd be further interested in your take if you later get a chance to glance further into that somewhat early patent. Who knows what they are actually planning, but I assume that patent is at least a glimpse behind the curtain. Do you think there's any chance that thinner tubing could offer some advantage that could make the thing more responsive (quicker) or better able to assess events, down the road?
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Re: Fresca low-flow CPAP. How does it work?

Post by palerider » Wed Jun 27, 2018 2:38 pm

jnk... wrote:
Wed Jun 27, 2018 2:31 pm
. Do you think there's any chance that thinner tubing could make the thing more responsive (quicker) or better able to assess events, down the road?
I don't see how, the current systems monitor airflow and pressure over a hundred times a second, the time it takes to assess and react is mainly a factor of the 10 second rule...

For instance, the only advantage of Slimline tubes is that they're lighter... They don't provide any better treatment or readings, or results.

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Re: Fresca low-flow CPAP. How does it work?

Post by jnk... » Wed Jun 27, 2018 2:42 pm

Thanks. Interesting.
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Re: Fresca low-flow CPAP. How does it work?

Post by chunkyfrog » Wed Jun 27, 2018 7:50 pm

I am incredibly grateful that current technology works for me.
If cpaps/apaps receive further refinement, I would be happy to give it a try, though.
Whether or not anything completely different is claimed to work,
I am inclined to let others be the guinea pigs.

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Re: Fresca low-flow CPAP. How does it work?

Post by palerider » Wed Jun 27, 2018 8:27 pm

chunkyfrog wrote:
Wed Jun 27, 2018 11:44 am
Whoever owns the Fresca brand of soft drink really should be lighting a fire under their legal team . . .
wellllll, in all fairness, just like when What-A-Burger in virginia sued Whataburger in texas... it's likely to be the same result "it's unlikely that any customer will confuse a burger they bought in texas with one from virginia"...

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Re: Fresca low-flow CPAP. How does it work?

Post by palerider » Wed Jun 27, 2018 10:35 pm

jnk... wrote:
Wed Jun 27, 2018 2:31 pm
palerider wrote:
Wed Jun 27, 2018 2:23 pm
jnk... wrote:
Wed Jun 27, 2018 11:23 am
Just my take based partly on guesses.
The quick scan I gave the patent (hard to do it justice on a phone) agrees with your summary. The potential issue I see is the same thing that makes provent worthless... Even if you have adequate pressure to splint open the airway between breaths, as soon as an inhalation starts, there's a pressure drop, a relative negative pressure, and there goes the splint. That's when you need the high flow, to maintain pressure during inhalation. Now, if the valve is clever enough to eliminate the need for the 20-50 lpm vent flow... That'd mean machines could get by with maybe 90lpm (for strong inhalation), and that'd be... lower... flow, but not what I'd call 'low' flow.
Thanks, PR. I'd be further interested in your take if you later get a chance to glance further into that somewhat early patent. Who knows what they are actually planning, but I assume that patent is at least a glimpse behind the curtain. Do you think there's any chance that thinner tubing could offer some advantage that could make the thing more responsive (quicker) or better able to assess events, down the road?
Well... one dead tree later, my main comment about this patent application is that the USPTO will issue a patent about just about any kind of nonsense, (there are a number of flying saucer patents, for instance) as long as it's perceived to be unique.... (even though they routinely issue patents for things that aren't) and there's no actual requirement that something actually works...

That said.. paragraph 109, (figure 5) "as the user inhales, ... both ambient room air 80 and pressurized blower air 90 enter the cavity 65" ... no, they won't.. if there's pressurized air coming in, it'll slam 45a,b shut, and no room air can come in, or if 45a,b aren't shut, then the pressurized air will just go whooshing out. Do the people that filed this know ANYTHING about fluid dynamics?

Paragraph 113 alleges that when a patient experiences an apnea, then the valves above would close, and the blower air would pressurize the cavity "allowing the users to return back to breathing"... however, anybody with any experience AT ALL knows that current machines don't raise pressures during an apnea, because more pressure won't resolve an obstructive. in some cases, more pressure just forces the throat structure more closed...

Paragraph 115... they point out figure 11, which shows that the mask works *backwards* from what is needed... providing almost no pressure during inhalation, but lots of pressure during exhalation. *scratching head* I don't know about the 'inventors' of this thing, but most people here need pressure while inhaling, less pressure exhaling, and then splint pressure during the pause before another inhalation.

Paragraph 116 "conventional CPAP ... nor do they achieve a low pressure state during inhalation" <- well, DUH, of course they don't, because a low pressure state during inhalation is contraindicated for sleep apnea! *shaking head*

para 117-118, indications that they don't think people with sleep apnea need pressure.

para 119-135 filler about sleep stages.

before 109 and after 135 seem to be just filler twaddle.

My best impression of this is that Fresca medical inc took a look at the Provent(tm) and decided "WE CAN MAKE THIS A LOT MORE EXPENSIVE!!!" without any more understanding of the mechanics of sleep apnea than the Provent(tm) people have.

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Re: Fresca low-flow CPAP. How does it work?

Post by chunkyfrog » Wed Jun 27, 2018 10:49 pm

Sounds a lot like the song and dance immediately preceding a bogus crowd funding drive.
Scientists will not buy into it, but desperate souls, seeking to avoid the dreaded "breathing machine"
will happily plunk down their life savings . . .

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Re: Fresca low-flow CPAP. How does it work?

Post by jnk... » Thu Jun 28, 2018 6:45 am

It may be easier to think of it as being the "fluid dynamics" of Provent, just with (1) a tube added to the system in order to make sure pressure is maintained during inspiration and (2) a specialized vent to allow for more comfortable expiration flow out of the system while maintaining pressure. In their system, pressure in one portion of the mask may not match pressure in the user's airway, which makes it counter-intuitive when thinking of it in terms of pure CPAP masks.

Another way to come at it like a thought experiment is to imagine a patient using Provent and CPAP at the same time but adding a system of valves and sensors to allow the two systems a way to interact moment-to-moment for comfort and monitoring purposes.

It seems to be a marriage of two systems/approaches with a little added technology to keep the marriage as happy as possible during both inspiration and expiration. Like you say, it is the transition from breathing in and breathing out that will likely be the key to accuracy/efficacy/comfort/x-factors. It's hard to see whether it will result in a marriage of the best of both worlds or a marriage of the worst of both worlds, though.

All in all, to me, it looks more like they are using some CPAP-ish principles to improve Provent rather than using Provent-ish principles to improve CPAP. And to me, there is a big difference between those two concepts of marrying technologies.

Then again, what I just said may be really dumb, since I don't have the education to understand the full details of any of it.

In harmony with the frog's comments, the proof of the bug-pudding may be in the tasting.
Last edited by jnk... on Thu Jun 28, 2018 7:04 am, edited 2 times in total.
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Re: Fresca low-flow CPAP. How does it work?

Post by prodigyplace » Thu Jun 28, 2018 7:01 am

jnk... wrote:
Thu Jun 28, 2018 6:45 am

In harmony with the frog's comments, the proof of the bug-pudding may be in the tasting.
We know these days any new product is destined to have bugs. As for taste, I defer to the frog. ;)

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Re: Fresca low-flow CPAP. How does it work?

Post by palerider » Thu Jun 28, 2018 3:10 pm

jnk... wrote:
Thu Jun 28, 2018 6:45 am
It may be easier to think of it as being the "fluid dynamics" of Provent, just with (1) a tube added to the system in order to make sure pressure is maintained during inspiration
However, as i mentioned,
palerider wrote:
Wed Jun 27, 2018 10:35 pm
Paragraph 115... they point out figure 11, which shows that the mask works *backwards* from what is needed... providing almost no pressure during inhalation, but lots of pressure during exhalation. *scratching head* I don't know about the 'inventors' of this thing, but most people here need pressure while inhaling, less pressure exhaling, and then splint pressure during the pause before another inhalation.

Paragraph 116 "conventional CPAP ... nor do they achieve a low pressure state during inhalation" <- well, DUH, of course they don't, because a low pressure state during inhalation is contraindicated for sleep apnea! *shaking head*
The design seems to have almost no pressure during inspiration, where it's actually needed for most people.

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Re: Fresca low-flow CPAP. How does it work?

Post by chunkyfrog » Tue Jul 03, 2018 11:36 pm

I find added pressure most helpful while I am inhaling.
While exhaling, it is no problem, but was a little in the beginning.
To take away pressure when I benefit from it the most--
and add it back in only when it might be an obstacle sounds like TORTURE.
Thank you, but I am perfectly happy with my Airsense working as designed.

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