Semi-permanently disabling modem in ResMed Airsense 10

smm3cpap wrote: ↑

Thu Jul 11, 2019 6:14 pm

Just wanted to say THANK YOU for this post!

You are most welcome. I'm delighted that some people are getting use out of it.

I was referred to this post from my original , as you are one who has taken the machine apart. See my following questions on getting to the motor.


Fixing AirSense10 Air Noise

I have read through multiple pages of responses and have not seen anything about taking the bottom of the machine off and investigating. Does anyone know of a site that contains an EXPLODED VIEW of all the parts like you see on other things like motors, etc... I am not buying the fact that some machines make more noise than others, even brand new, as ResMed could not stay in business with that type of quality control. I can take things apart and put them back usually without ruining them and often am able to make them work even better.

I bought my Airsense 10 off craigslist as my EliteII seemed outdated and I wanted more options and features. MY airsense 10 definitely now [with 6000 hrs] makes noise at the air intake area when inhaling. With mask on, and placing finger over the blue intake hole, I can make the noise louder or softer, but never eliminating it entirely. I am wondering if I can get to the motor, a small squirt of silicone spray may quiet the moving parts or wheels. When all of us are sending these machines back, there has to be some technicians doing something to them during the refurbishing process. Can ANYONE in the business comment on this please? Thank you.

Do you have any manuals or knowledge of what I would get into when attempting to lubricate the motor?

I have had this machine for over a year and never once cranked it up. My provider got quietly mad and quit communicating with me. I absolutely will not use this with the modem active. Today machines can be hacked. What is frightening is if for instance a pilot's machine that's hacked and if he was a new user and he was not 100% compliant it is possible that the hacker could cause a plane accident, or a cop to have a wreck or just harm a regular everyday person. Our information is not safe. I been 100% compliant for over 33 years and I don't take no junk from nobody. I've never had any real problems until about 2 years ago I knew was something was wrong I could tell I wasn't sleeping well. my automatic setting part of it would wrap up during the night and it would blow my mask loose and it wouldn't seal after that and the pressure was just too high. They were no help I figured it out myself I've been doing this a long time so I don't use the automatic part anymore it's fine to troubleshoot to check your pressure.

So I ordered some phone tools like they break open cell phones with and I'm going to get a t10 screwdriver and disable my modem. I found this post last year and I'm just now getting around to it but I really appreciate the information and I'll look forward to disabling it and using this new machine and telling them I disconnected it, I waited until Medicare paid it off. I've got at least one backup and got one that I travel with. I'll give one away to one of the free clinics after I settle in. I might make a video but the information you've given us is awesome. Thanks again.

Of course, ResMed is covered by HIPAA.

If you believe ResMed is violating HIPAA as a "business associate" report them immediately. Begin here to file your suspected HIPAA violation: https://www.hhs.gov/hipa/filing-a-complaint/index.html

As a business associate (which ResMed is) because they perform functions or activities on behalf of, or provides certain services to, a covered entity that involve access by the business associate to protected health information.

A “business associate” creates, receives, maintains, or transmits protected health information on behalf of another business associate.

The HIPAA Rules generally require that covered entities and business associates enter into contracts with their business associates to ensure that the business associates will appropriately safeguard protected health information.

It appears to me that some distributors, such as Lincare, are getting around HIPAA's Privacy Rule by obtaining a prior authorization for use or disclosure of PHI for marketing purposes. I have sent a written revocation for the use of any of my information related to marketing. I completely doubt this will be respected. No information which is monitored in exchange for remuneration can be shared. If you believe it is, if you suspect it is FILE A HIPAA COMPLAINT.

Lincare, a German company, has been sanctioned repeatedly for HIPAA and criminal violations:

Lincare Inc. paid $239,800 for violations of the HIPAA Privacy Rule in 2016.

Lincare within the last year agreed to pay the United States $5.25 million to settle claims that it violated the federal False Claims Act.

Lincare has also entered into a corporate integrity agreement with the Office of Inspector General, the Department of Justice announced last week.

Lincare billing supervisor Brian Thomas, who worked for nearly a decade at the Florida-based company sued Lincare regarding a co-pay scheme in 2015 and was joined by federal prosecutors. The government alleged Lincare continued the scheme through 2017.

Lincare paid $875,000 to settle a class action lawsuit from employers who had their information stolen during a data breach in the last couple of years.

Originally filed in 2009 and 2010 as two separate suits by two pairs of Lincare insiders, the filings were consolidated into one in March 2014.

According to the text of the consolidated and amended lawsuit, “Lincare falsely and fraudulently billed the government for services and equipment that were non-reimbursable, were not medically necessary, were never provided, or were provided in direct violation of the applicable standards and regulations governing Lincare’s provision of oxygen equipment and services. As a result of these knowingly false and fraudulent claims, Lincare received payments from the United States of America that were inflated, excessive, unearned, and improper.”

Since 2003, Lincare allegedly billed Medicare and other government health programs for oxygen equipment when patients did not need them, forged oxygen orders, improperly waived deductibles, and paid kickbacks to physicians and their families.

In 2017 Lincare agreed to pay $20 million to resolve allegations that it fraudulently billed the government for oxygen and respiratory equipment.According to the whistleblowers’ detailed allegations, the defendants´ violations of the False Claims Act. Lincare referring to the violations as “billing errors” and emphasizing the fact that the matter had been resolved without any admission of liability because when you are not guilty you agree to pay $20 million.

THESE ARE THEY GUYS YOU TRUST? Lincare gets this data as well if they are your DME.

If you even half way believe your HIPAA rights are being violated ... go to the website and file a claim.

And one more thing, the absolute fact of the matter, the indisputable FACT is that these companies pay people to post on these Boards. I KNOW THIS FOR A FACT.

It is naive to believe they don't. Look at Lincare's history enumerated above.

This is how it works:

1. Discredit Negative Posters: One person opens up several accounts. This creates a 'chorus.' When someone posts something that is potentially damaging the to the company or companies the poster is being paid to post for an attempt is made to discredit that person. This is where the 'chorus' chimes in (really the one poster).

2. Encourage Positive Posters: The poster (who is one person with several accounts) encourages those persons who support their represented companies in addition to posting positive reviews themselves.

3. Post positive experiences with the company product.

Look through this thread and see if you can identify the posters paid to post who might actually be the same person. Go through other threads and determine how these posters support one another. (Actually the same poster.) Once you read a few of their posts they become easier to recognize.

They are typically high volume and long term posters but you can readily recognize the pattern.

Review the activity Lincare was engaged in, most of it violative of U.S. law and ask yourself, would they not hire posters? You bet they would and do.

LAT wrote: ↑

Sat Aug 10, 2019 5:11 pm

And one more thing, the absolute fact of the matter, the indisputable FACT is that these companies pay people to post on these Boards. I KNOW THIS FOR A FACT.

It is naive to believe they don't. Look at Lincare's history enumerated above.

This is how it works:

1. Discredit Negative Posters: One person opens up several accounts. This creates a 'chorus.' When someone posts something that is potentially damaging the to the company or companies the poster is being paid to post for an attempt is made to discredit that person. This is where the 'chorus' chimes in (really the one poster).

2. Encourage Positive Posters: The poster (who is one person with several accounts) encourages those persons who support their represented companies in addition to posting positive reviews themselves.

3. Post positive experiences with the company product.

Look through this thread and see if you can identify the posters paid to post who might actually be the same person. Go through other threads and determine how these posters support one another. (Actually the same poster.) Once you read a few of their posts they become easier to recognize.

They are typically high volume and long term posters but you can readily recognize the pattern.

Review the activity Lincare was engaged in, most of it violative of U.S. law and ask yourself, would they not hire posters? You bet they would and do.

So far, I have JayDee, ChicagoGranny, Dog Slobber, Goofproof and palerider. Strong suspects.
They all have means, motive and opportunity.
Did I miss any?

JPB

From Resmed’s site for AirView(the cloud based data storage and access platform for these machines)

A secure system. AirView is secured by password protection, role-based access and data encryption. All data collected is in compliance with privacy legislation including HIPAA, and is stored in ResMed’s own data center.


Sure looks like Resmed thinks the data is protected by HIPAA regulations. On the other hand, from reading the rest of the description of the platform, it also looks like they only provide access to a care provider, and only the summary data - I could be wrong about the summary data, but the clinician manual for the Autosense says that only summary data is sent to the AirView storage.

As a manufacturer, Resmed might not be subject to HIPAA, but as a data storage facility, they are.

I need to go read the rest of this thread, but I don’t really understand what the fuss is about, other than that one person’s machine may be malfunctioning and sending data in airplane mode. Sounds like they need a repair or replacement, but the rest of this seems alarmist at best.

NoOnesPerfect wrote: ↑

Sat Aug 10, 2019 6:56 pm

Sounds like they need a repair or replacement, but the rest of this seems alarmist at best.

please note, poster has two posts and this is what s/he chooses to post.

whatever.

LAT wrote: ↑

Sat Aug 10, 2019 5:11 pm

And one more thing, the absolute fact of the matter, the indisputable FACT is that these companies pay people to post on these Boards. I KNOW THIS FOR A FACT.

It is naive to believe they don't. Look at Lincare's history enumerated above.
<ravenings of a loon deleted>

Well, you WOULD make a compelling case, only I can't actually remember anybody coming to linDON'Tcare's aid .... most everybody is talking about how horrible they are.

Also... I *WISH* Resmed paid me.

NoOnesPerfect wrote: ↑

Sat Aug 10, 2019 6:56 pm

I need to go read the rest of this thread, but I don’t really understand what the fuss is about, ... alarmist at best.

Some people can manufacture problems in virtually anything.

I decided to look at my doctor’s privacy policy, since that’s the form that I guarantee every person with a prescription for CPAP in the US has signed. The bold sentence is their emphasis, not mine. I had no idea they could simply ignore your written request to limit their access to protected health information if they decide they (or others) need it for your treatment.


You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. If you restrict or limit information to those responsible for payment, you may be billed directly for services provided. If elements of your PHI are legally required to be reported, you may not restrict or limit the disclosure of that information. We are not required to agree to your request.

NoOnesPerfect wrote: ↑

Sat Aug 10, 2019 8:24 pm

I decided to look at my doctor’s privacy policy, since that’s the form that I guarantee every person with a prescription for CPAP in the US has signed. The bold sentence is their emphasis, not mine. I had no idea they could simply ignore your written request to limit their access to protected health information if they decide they (or others) need it for your treatment.


You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. If you restrict or limit information to those responsible for payment, you may be billed directly for services provided. If elements of your PHI are legally required to be reported, you may not restrict or limit the disclosure of that information. We are not required to agree to your request.

Kinda makes me think no one really cares what we want or don't want. Nothing much has changed.
Just another reason to make me happy I am doing my own thing.

One point I was making is that, while the person may not have signed anything specifically related to the xPAP machine, by signing the doctor’s privacy policy (which you are required to re-do every year), they did in fact agree to give the doctor access to whatever medical information, including the machine data, that the doctor felt was needed.

I've got far too much other "life-crap" to worry about than to waste a single cycle agonizing & worrying that a CPAP vendor may be either making bank off my anonymized data -or- using that data to improve the next generation of machines -or- selling it to the North Koreans so they can somehow use it to target me specifically with one of their shiny new bottle rockets (Oh please, *DO* me a favor, will ya?).

And as far as those companies planting "moles" in the forum, that's assigning far more importance to this tiny corner of the internet than is believable. What? Do you think folks could confront their DME based on info from this forum and *DEMAND* they issue them the ResMed AirSense 10 AutoSet, the industry leading, premium auto-adjusting pressure device with integrated humidifier, cellular connectivity and advanced event detection making it the most effective auto-adjusting machine available to sleep apnea patients? Available from ResMed, one of the most trusted brands in CPAP therapy?

I find accusing forum members of being industry plants appalling!

-JD

ps. ResMed AirSense 10 AutoSet is available from all major CPAP suppliers and vendors. Remember, for the best sleep apnea therapy, be sure to "ResMed" when you go to bed!!

I found this whole thread to be anything from very informative (the original how-to portion) to downright silly (the accusatory, conspiratorial part). I don’t spend any cycles worrying about what Resmed or Lincare are doing with my data either.

Now, if I could just figure out how to actually sleep through the whole night.