Continued use of recalled Philips Dreamstation BiPAP AVAPS machine

robbob2112 wrote: ↑

Mon Mar 04, 2024 5:50 pm

Excellent, that is a couple of steps up from any of the general line of cpap machines.

I might think about an oxygen monitor over time. The cheap finger devices can be off by up to 5% and can cause mis-reads for things like cold hands and por circulation. It is absolutely not required.

True, I did read about them having a that error margin, I also read that people with elevated Co2 levels (of which my mother is one) can have falsely high Spo2 readings on pulse oximeters by up to 1 to 3%, something about the oximeter not being able to tell the difference between oxygen molecules and co2 molecules and the oximeter giving a combined total % in it's reading if I recall correctly.

So follow up blood gas testing will definitely be required also I imagine.

robbob2112 wrote: ↑

Mon Mar 04, 2024 5:50 pm

Excellent, that is a couple of steps up from any of the general line of cpap machines.

I might think about an oxygen monitor over time. The cheap finger devices can be off by up to 5% and can cause mis-reads for things like cold hands and por circulation. It is absolutely not required.

I agree.

Zaiforce wrote: ↑

Mon Mar 04, 2024 4:56 pm

They told me that the machine she needs will be a ResMed Lumis 150 VPAP ST, they said this is the equivalent of the Philips Dreamstation AVAPS.

This is a link to ResMed's online shop for Australia - it will tell you about the machine and its price, but the machine is "unavailable online".

https://shop.resmed.com.au/collections/ ... p-machines

ozij wrote: ↑

Mon Mar 04, 2024 8:54 pm

This is a link to ResMed's online shop for Australia - it will tell you about the machine and its price, but the machine is "unavailable online".

https://shop.resmed.com.au/collections/ ... p-machines

Thank you!

I ended up phoning ResMed's Australian number and spoke with a lovely lady who is helping me to purchase one (estimated turn-around time is 1.5 weeks, so that would be just in time for my mother's respiratory doctor appointment hopefully.

A hurdle I have is that she said a prescription is required to purchase these machines, but the respiratory team at the hospital are going to organise one for me to pass on to her so hopefully I will have that by the end of tomorrow and things will be moving along and I can get her this machine soon!

Everybody here has been so fantastic with the help, we appreciate it greatly.

Sorry to bump the thread up, but just another update to this.

I am happy to say that we have now purchased a new ResMed Lumis 150 VPAP ST device and it is due for delivery next week, which will be in time for my mother's respiratory doctor appointment .

One of the respiratory team members from the major hospital nearby has also offered to come to our house for a home consult once the machine arrives, so we are very appreciative of that.

Things are moving on the right path!

Thanks all.

Many thanks for the update!

May all go well.

Many thanks for the update!

Sorry to bump the thread *again*... But just another quick question in regards to the new ResMed machine.

Do these machines have firmware that should or needs to be updated upon first use or at certain intervals?

I noticed in the description of the Lumis 150 VPAP ST that it has wireless connectivity, so am assuming the only reason it would need to connect to the internet is to update firmware?

Also, if the firmware is updated, does that reset or wipe any of the machine settings?

Also, another member already mentioned that her current Fisher & Paykel Evora full face mask would be compatible with the machine, but would anybody know if that would require an adaptor of any sort for the tubing or should it be compatible straight out of the box?

I checked the compatible mask list on the ResMed website for this machine but I could not see the Evora mask listed, in-fact I think the list was only ResMed brand masks.

If by chance the Evora was not compatible, would anybody know which ResMed full face masks are similar? I am guessing the AirFit F30 or AirFit F30i ? The Evora full face mask is so far the only mask we have gotten that works well for my mother, so if we do need to buy a ResMed mask it would be great to get one as similar to the Evora as possible.

Thanks all

Zaiforce wrote: ↑

Wed Mar 06, 2024 11:49 pm

Sorry to bump the thread *again*... But just another quick question in regards to the new ResMed machine.
Do these machines have firmware that should or needs to be updated upon first use or at certain intervals?
I noticed in the description of the Lumis 150 VPAP ST that it has wireless connectivity, so am assuming the only reason it would need to connect to the internet is to update firmware?
Also, if the firmware is updated, does that reset or wipe any of the machine settings?

The Airsense 11 machine has already been broken and fixed by FW updates. Your machine looks like it's based on the Airsense 10, an older machine (my preference). Typically these machines did not get FW updates over the cellphone. The machines send sleep data to the main server so your provider can get reports. This is cellphone, not wifi IIRC. Not all of us are excited by RM getting into our machines. FW updates are not *supposed* to change settings etc... plenty of folks turn on airplane mode to stop remote access.

Also, another member already mentioned that her current Fisher & Paykel Evora full face mask would be compatible with the machine, but would anybody know if that would require an adaptor of any sort for the tubing or should it be compatible straight out of the box?
(snip)

All masks fit all machines except for just a few travel machines... it is an industry standard coupling.

With a new machine of that type you won't need to mess with the firmware. The wifi is so it can phone home so to speak and give usage data back to the Dr so they can see how your mother is doing and send settings changes back to the machine. It does more that any of the standard cpaps and it has a top pressure of 30 verse the 25 for bi-level machines and 20 for the airsense machines. And of course resmed can send firmware updates down to it. It is all behind the scenes and doesn't wipe settings or anything else. Firmware updates are rare because of all the testing and approvals required.

Cpap masks all use a 19mm hose connection so they are all interchangeable. Resmed doesn't list other brands of masks because they don't test competitors masks. Naturally they want you to buy their products. The only thing that matters is if they can make a seal and keep it without leaks. The typical cpap mask vendor doesnt test more than 25 because they don't expect the vast majority of users to exceed 20.

robbob2112 wrote: ↑

Thu Mar 07, 2024 8:35 am

The wifi is so it can phone home so to speak and give usage data back to the Dr so they can see how your mother is doing and send settings changes back to the machine. I

No...the machine doesn't use wifi to phone home to report data. It uses the cellular modem in the machine.
WiFi is local...like so you can use your cell phone to view MyAir data that it has sent to MyAir via the cell phone modem.
Your wifi connection stuff only applies to your household connections. It doesn't reach to the internet.

People need to understand the differences between what wifi does and what a cellular modem does and not go posting incorrect replies.

Pugsy wrote: ↑

Thu Mar 07, 2024 8:49 am

robbob2112 wrote: ↑

Thu Mar 07, 2024 8:35 am

The wifi is so it can phone home so to speak and give usage data back to the Dr so they can see how your mother is doing and send settings changes back to the machine. I

No...the machine doesn't use wifi to phone home to report data. It uses the cellular modem in the machine.
WiFi is local...like so you can use your cell phone to view MyAir data that it has sent to MyAir via the cell phone modem.
Your wifi connection stuff only applies to your household connections. It doesn't reach to the internet.

People need to understand the differences between what wifi does and what a cellular modem does and not go posting incorrect replies.

Is that for all countries? She is in Australia.

robbob2112 wrote: ↑

Thu Mar 07, 2024 10:08 am

Pugsy wrote: ↑

Thu Mar 07, 2024 8:49 am

robbob2112 wrote: ↑

Thu Mar 07, 2024 8:35 am

The wifi is so it can phone home so to speak and give usage data back to the Dr so they can see how your mother is doing and send settings changes back to the machine. I

No...the machine doesn't use wifi to phone home to report data. It uses the cellular modem in the machine.
WiFi is local...like so you can use your cell phone to view MyAir data that it has sent to MyAir via the cell phone modem.
Your wifi connection stuff only applies to your household connections. It doesn't reach to the internet.

People need to understand the differences between what wifi does and what a cellular modem does and not go posting incorrect replies.

Is that for all countries? She is in Australia.

Yes. All machines no matter where they are located, sold or used.
WiFi is local and is used only for connections within the household when talking about how cpap, or whatever pap, machines are used.

Cellular signals are dependent on the locations of cell towers, as seen outdoors.
--big, tall constructions, with large-ish dish antennae hanging off the side.
Wi-fi requires a compatible device within a few FEET, like in McD's or at home.
The hardware is very small, as is the signal strength.
Linkage is wireless in both systems, but each signal is proprietary to its system.

So what is the wifi actually used for then? I can't imagne they put the hardware in and didn't use it for anything

Pugsy wrote: ↑

Thu Mar 07, 2024 8:49 am

No...the machine doesn't use wifi to phone home to report data. It uses the cellular modem in the machine.
WiFi is local...like so you can use your cell phone to view MyAir data that it has sent to MyAir via the cell phone modem.
Your wifi connection stuff only applies to your household connections. It doesn't reach to the internet.

People need to understand the differences between what wifi does and what a cellular modem does and not go posting incorrect replies.

I know Resmed machines are not equipped with it, but the two Philips DreamStations I have had have BlueTooth along with the cellular modem (have no clue if other manufacturers may use BT in some way). When the DreamStation's were accessed with a tablet using BT the data does find its way to the internet based DreamMapper app pretty much at the time the tablet grabbed it. The tablet does have a WiFi connection back to the internet, so I've presumed the data went DreamStation BT>tablet>WiFi Router>cable modem>Philips DreamMapper. Bluetooth on both the DreamStation's sucked for reliable connection access and I only used it when the cellular system wasn't updating.