Resmed S8 Vantage Software

Treesap · Post by **Treesap** » Sat Nov 10, 2007 5:21 pm

I'm considering purchasing it because I don't think I am getting very good data from my machine.

What more will I see if I purchase the software for my machine?

If anyone has it, I would appreciate hearing how it benefits you getting better data.

RiverDave · Post by **RiverDave** » Sun Nov 11, 2007 8:50 am

Treesap,

With the software (ResScan), you get the following data you don't get from the LCD:
1. median values for pressure and leak rate
2. max values for pressure and leak
3. an hour by hour breakdown of your AHI in graph form
4. a timeline graph of the A and H events, including duration of apneas
5. graphs of pressure and leak rate over the course of the evening
6. % of night in apnea

Additionally, your can save the all the information in pdf format. You can also look at the data (median, 95%tile and max, AHI, AI, HI) over any time span you choose (daily, weekly, every 10 days, etc).

I like the software because I'm a data nerd, but if the software stopped working I could survive just fine without it. I do like the graphs, however.

Good Luck

Slinky · Post by **Slinky** » Sun Nov 11, 2007 9:18 am

Do you know HOW to access the 95th percentile of pressure and leak, your AHI, AI and HI for the night as well as the Usage, compliance data? Were you given access to that via your LED screen? That info is in an advanced patient menu that the DME does not give you access to unless your doctor included an order for access in your script.

If not, then access is simple enough. Just press the Left and Right buttons and hold for 3-4 seconds. You can figure out the button presses to maneuver thru the menu appearing on your LED screen easy enough. You can't accidentally alter your pressure or therapy or data via this Efficacy Data and Usage Data menu so relax and enjoy.

If so, then you're getting pretty good info you can live with. UNLESS, you are like many of us whose curiosity gets the best of us and we just "have" to spend the money to get the software and cable reader.

Treesap · Post by **Treesap** » Sun Nov 11, 2007 9:50 am

Yes, I learned how to access the Efficacy Data and Clinical Menu from you guys. I just see people here posting hour-by-hour data, and I would like to be able to see that. Occasionally I've had weird stuff happening, and I thought more data would help me figure it out.

Lately, my AHI has been closer to 5. This morning it was 4.6. I usually don't see it that high. Plus my pressure has been 11 for the last few nights. It never went over 9.6 before. So I am just wondering.

We are putting in new tile and carpeting, so our living room is non functional right now. The TV is in the bedroom. I fell asleep during a moving and woke myself up snoring. I slept without my mask for almost an hour. I was a little mad at hubby for not waking me up. I told him to wake me up if he heard me snoring of if he heard air blowing during the middle of the night. He related it only to when my mask is on. Now he knows to wake me up if I fall asleep so I don't keep snoring and possible apneas. My heart was racing when I woke up, so I know I had to have had apneas.

I usually practice good sleep hygiene, so this was a first for me. I can't wait to get our living room back in order so I won't be watching TV from the bed.

Slinky · Post by **Slinky** » Sun Nov 11, 2007 10:22 am

Don your mask and turn on your CPAP whilst watching TV. It might skew your data a bit but it will get you your CPAP therapy all night while you are sleeping as well.

DreamStalker · Post by **DreamStalker** » Sun Nov 11, 2007 10:44 am

You made no mention of your leak numbers. Are you certain you are not leaking your treatment from your mouth? Just because your hubby does not hear it does not mean it is not happening.

Treesap · Post by **Treesap** » Sun Nov 11, 2007 11:16 am

My leak rate is almost always 0. At least that's what my machine tells me.

Slinky · Post by **Slinky** » Sun Nov 11, 2007 1:04 pm

Wow! A 0 Leak rate? I can see why you aren't quite trusting the data!!!

Are you working w/a local DME supplier for your supplies? Maybe you could work out a loan of the exact same machine to see if you get the same results. If you don't then you KNOW your machine needs to be looked at by the manufacturer. Is it still under warranty by any chance?

I think I'd try going this route before investing in the software and cable reader.

Treesap · Post by **Treesap** » Sun Nov 11, 2007 5:04 pm

I got my machine in May of this year.

Country4ever · Post by **Country4ever** » Sun Nov 11, 2007 5:34 pm

I've noticed that on nights where I'm really exhausted, my pressure and AHI is always higher.
Are leak rates detected when air comes into the system without coming in through the filter??
(Also.....have you changed your filter lately treesap?)

RiverDave · Post by **RiverDave** » Sun Nov 11, 2007 8:23 pm

Country4ever,

I don't think its possible for air to enter the breathing circuit without passing through the filter in the back of the machine when the machine is running.

Don't know if there is a relationship between degree of tiredness and pressure needs and AHI when using xPAP.

Good Luck,

ozij · Post by **ozij** » Mon Nov 12, 2007 12:37 am

[quote="RiverDave"]<snip>

Don't know if there is a relationship between degree of tiredness and pressure needs and AHI when using xPAP.

Good Luck,

DreamStalker · Post by **DreamStalker** » Mon Nov 12, 2007 6:17 am

The Optilife has a designed leak rate lower than the Swift (which I believe has the lowest leak rate setting for S8 machines ... not Standard). My Breeze also had a lower leak rate design than the Swift (I experiemnted with this issue last year since I always got zero leak rate reported by my Vantage S8 even when I knew I had leaked). Therefore, after the S8 accounts for leak rate setting, some nasal pillow interfaces will show zero leak rate all of the time even with minor leaks. I used to have the Optilife but I never checked it against my Vantage and now I have neither so I cannot verify.

In any case, it is quite possible to have actual leaks with Optilife (or Opus or Breeze) on a ResMed machine and still show zero leaks on the LED ... however, I think the leaks may still be within acceptable limits as long as the LED shows zero. Above zero, maybe not.

billbolton · Post by **billbolton** » Mon Nov 12, 2007 6:57 am

ozij wrote:The Optilife is a Respironics mask, so when you connect it to your machine it should be defined as Standard - that way the machine can report the correct leak rate.

As has been covered here on several occassions by several posters, the "Standard" setting on S8 Elite/Autoscore and S8 Autoset flow generators does have a bias leak rate associated with it.

Cheers,

Bill

Treesap · Post by **Treesap** » Mon Nov 12, 2007 9:46 am

ozij wrote:[The Optilife is a Respironics mask, so when you connect it to your machine it should be defined as Standard - that way the machine can report the correct leak rate. If you give it another definition the reported leak rate may be wrong.

I did check and see you have this mask since July or so; has the leak rate always been 0?

Do you have any allergies, nasal congestion - maybe in reaction to all the materials flying about your home these days? Maybe you need more frequent filter changes because of that?
More humidity as the seasons change?
Weight gain that may make higher pressure necessary?

What is your pressure range?

I've had the Optilife since July. I have always had low leak rates even when I was using other masks. The Optilife almost always shows 0 leaks. A few times it has showed a small number.

I do have occasional nasal congestion. I've changed my filter a few times. My humidity is up high. My humidifier is on pretty high. The maximum setting on the humidifier is 6, and I have it up to 5. I live in Arizona, where it is EXTREMELY dry. My nose has always been sensitive to lack of moisture. I would never set the humidifier higher because I do get rainout if I go above 5. I would never set it lower, or I will suffer in my sinuses.

I haven't gained or lost any weight since starting therapy.

I think DreamStalker explained it. I have the Optilife, and I have my mask setting at "Standard".

Machine	Mask

Additional Comments: Resmed HumidAir 11 for humidifier

Machine	Mask

Additional Comments: Airmini, Medistrom Pilot 24, CMS 60C Pulse Oximeter, ResScan 6