Old school REMstar Plus

Hello everyone!

A long story short.. I have had multiple sleep studies, been diagnosed, and issued a CPAP.. except insurance won’t help. Luckily I have inherited an old REMstar Plus. It is set at 7 CFM. The sleep doctor I’m working with has prescribed me to be at 13 CFM.

The question: how to change the pressure settings - increasing the overall pressure from 7 to 13. My dad had this until he upgraded to a Dreamstation.. he heard of my struggles and gave me this to tithe me over until insurance can work things out.

I explained the issue to my doctor and she states 7 is better than nothing - and walked me through the change by holding the Ramp button - alas this REMstar Plus does not have the left/right buttons under the LCD screen.. so holding the RAMP button did not open a settings menu.

Is it even possible to change the settings? Again, this REMstar Plus does NOT have left/right directional arrows under the LCD screen. My father is confident it has to be hooked up to a computer to change the CFM pressure.

Any thoughts? And again, my doctor is on board changing the setting and attempted walking me through it. I’m not changing anything or doing anything other than following my doctors guidance.

Holding the Ramp button while hose/mask is connected and unit is off does not open or access a settings menu. This is NOT a REMstar Plus with C-Flex. It’s a unit without C-Flex.

Sorry for the verbosity and kindest regards.
- sleepycoffee

There were 2 of those old Remstar models and the way to tell the difference was the number of buttons....I think.
Anyway go here and figure out which model you have and then request the manual via email.
It will explain whatever it is you need to do to change the pressure.

https://www.apneaboard.com/adjust-cpap- ... tup-manual

REMstar Plus wo/C-Flex Setup

IMPORTANT!
When the device is in the Therapy Setup Menu, the humidifier and ramp buttons operate as up and down keys to change the settings and the pressure on/off button will take you to the next screen.

Therapy Setup Menu
1. Plug the pronged end of the power cord into an electrical outlet. To enter the Therapy Setup Menu hold the ramp and pressure on/off buttons down while plugging the power cord into the device. The airflow will automatically turn ON and the display screen will show the current elevation setting and the unlock symbol.

IMPORTANT!
Prescribed therapy settings can be set only using the Therapy Setup Menu.
To prevent patients from tampering with the settings, the directions to access the Therapy Setup Menu should not be revealed to the patient.

Elevation Setting
a. The elevation setting and symbol will be displayed.
The patient also has access to this setting in the Patient Setup Menu.
Lo = less than 2,500 ft. (<762 m.)
M = 2,500 to 5,000 ft. (762 m. to 1524 m.)
Hi = 5,000 to 7,500 ft. (1525 m. to 2286 m.)

Note: Altitudes of 7,500 ft. (2,286 m.) may affect the accuracy of the pressure. Verify the pressure settings with a water column manometer.

To change the elevation setting, press and release the ramp or humidifier button until the correct setting is displayed.
Press and release the pressure on/off button to go to the next setting.

Pressure Setting
b. The CPAP pressure setting will appear.
To change the setting, press and release the ramp or humidifier button.
Range: 4 to 20 cm H2O (in 1 cm. H2O increments)
Press and release the pressure on/off button to go to the next setting.

Fine Adjustment Setting
c. The CPAP fine adjustment setting will appear. This setting allows you to calibrate the device so that the pressure setting can be verified with a manometer.

If you DO NOT want to calibrate the device, press and release the pressure on/off button to go to the next setting.

If you DO want to calibrate the device, follow the directions below:
1. Connect the patient circuit to the REMstar Plus. Make sure there is an exhalation leak in the circuit.

2. Zero the manometer and connect the manometer at the patient mask. Make sure the pressure has stabilized (let the manometer sit for at least 60 seconds).

3. If the pressure setting is not the same as the manometer reading, press and release the ramp or humidifier button to change the setting.
Range: -0.9 to 0.9 H2O (in 0.1 cm H2O increments)
Press and release the pressure on/off buton to go to the next setting.

Ramp Time Setting
d. The Ramp Time symbol and setting will appear. The patient also has access to this setting in the Patient Setup Menu.
To change the setting, press and release the ramp or humidifier button.
Range: 0 to 45 minutes (in 5 minute increments)
Press and release the pressure on/off button to go to the next setting.
Note: If the ramp time is set to "0" minutes, or if the CPAP pressure setting is 4 cm. H2O, the following ramp setting will not be displayed. Go to Step f.

Ramp Starting Pressure Setting
e. The Ramp Starting Pressure symbol and setting will appear. To change the setting, press and release the ramp or humidifier button.
Range: 4 to Prescription Setting (in 1 cm. H2O increments)
Press and release the pressure on/off button to go to the next setting.

>4 Setting
f. The number of times this device has been used for more than four consecutive hours (>4) will appear. To erase the total and go back to zero, press and release the ramp or humidifier button.
An "X" will appear in the upper left corner and the total will change to "0000". (Pressing the button again will restore the original count)
Press and release the pressure on/off button to go to the next setting.

LED Setting
g. The LED on/off symbol and setting will appear. This setting allows you to have the lights behind the button turned on or off.
The patient also has access to this setting in the Patient Setup Menu.
1 = ON
0 = OFF
To change the setting, press and release the ramp or humidifier button.

Exit Settings
h. To go back to the beginning of the settings, press and release the pressure on/off button.

To exit the Therapy Setup Menu, hold the pressure on/off button down and press the ramp button one time. Release the on/off button. The airflow will turn off.


Den

.

Also found in this link:

https://www.cpaptalk.com/viewtopic.php? ... a&start=30


Den

.

Hey everyone -

Thank you for all of your replies and input.
I have successfully turned the pressure up to 13.

I cannot thank you all enough.