IntelliPAP Auto 19, M Series Auto A-Flex 11

charliemack wrote:IF ANYONE THINKS FOR ONE MINUTE THAT 30 POEPLE MAKE UP A STUDY YOU GOT ROCKS IN YOUR HEAD!

If you'd read previous posts about these "challenges", you'd find that the stated purpose is not to be a scientifically designed study. Instead it's an opportunity for real-world people in real-world situations to simply give their *opinions* about two products and also have the opportunity to try a product they might not have been able to try otherwise. I think that most of us take them as intended.

Mindy

Why are we looking to people on the internet for advice on adjusting pressure so that there are no apeneas or whatever and someone responding techinically.

Most of us do not have any training in the field of sleep apnea.
All of us have been diagnosed by medical professionals
All of us have been diagnosed on commercial cpap equipment and results that have sent to a computer that monitors event happenings.

Why is anyone trying to accomplish anymore (without consulting your medical professional) with just the results from their home machine.

This is treatment with AIR. HEY! LISTEN UP! AIR! There are no chemicals to put in your body or subtances to rub on your body. Basically just put a mask on and let air give you a good nights sleep. What can be so simple and yet seems some are making it complicated.

-SWS wrote:It appears to support Nonin's data protocol. Here are two quotes I found on the Internet:

There is also an optional oximetry port, allowing the module to record up to 72 hours of oximetry data from a Nonin Oximeter.

source: https://www.cpap.com/productpage/devilb ... ystem.html

In addition, the SmartLink Therapy Module includes a port for an optional Nonin® oximeter. Collected oximetry data can be exported to Nonin nVision® software.

source: http://www.talkaboutsleep.com/sleep-dis ... System.htm

I'm not sure if the Nonin nVision® software is required in addition to the DeVilbiss SmartLink Desktop software. Best to email or call DeVelbiss to find out which Nonin or Nonin-compatible model(s) are supported, and whether the Nonin software is required. Please post here if anyone finds the answers.

OK... Devilbiss response:
Presently you can use any Nonin sensor (finger probe most common) for Smartlink. Problem is data collected is raw data and we still need to put info through Nonin software to score desaturations. If you can find a low cost pulse oximeter that records at least 8 hours of data and you can match up the time from the Smartlink data to the pulse oximetry data, that could be done. I have heard of other folks doing that. We are aware of the need but do not have a solution right at this point.

charliemack wrote:Why are we looking to people on the internet for advice on adjusting pressure so that there are no apeneas or whatever and someone responding techinically.

Most of us do not have any training in the field of sleep apnea.
All of us have been diagnosed by medical professionals
All of us have been diagnosed on commercial cpap equipment and results that have sent to a computer that monitors event happenings.

Why is anyone trying to accomplish anymore (without consulting your medical professional) with just the results from their home machine.

This is treatment with AIR. HEY! LISTEN UP! AIR! There are no chemicals to put in your body or subtances to rub on your body. Basically just put a mask on and let air give you a good nights sleep. What can be so simple and yet seems some are making it complicated.

uhhhh.... yeah.... let me see if I can find that box of clues... I know they're around here somewhere... and I think you could use one. And maybe some decaf.



c'mon, charliemack. Lighten up a little. You're entitled to your opinion of course, but your credibility would be much higher if you weren't quite so ..... energetic.

For many, the sleep study, done by trained professionals, was inadequate. Because of the situation, many do not sleep well during the study and the pressure is often, at best, a close guess.

Being able to adjust your pressure and using a data capable machine, in many cases, gives some people much better sleep.

I consider the people who use these machines night after night, to be the real experts in how effective the machines are.

Some doctors and some DMEs, are very good and do a good job but the fact that this forum exists and has so many members, suggests to me, that those good doctors and DMEs are relatively few.

Sounds like you are one of the fortunate ones for whom the system worked well. Many of us were not that fortunate.

Charliemack, as rank beginners go---specifically the kind who just know they have it all figured out better than the CPAP veterans----you really haven't come even close to accurately characterizing common CPAP treatment patterns and rampant medical-establishment woes that many people here have observed for years.

As to your condescending statement alluding to people around here having rocks in their head, your own argumentative illogic doesn't support your forceful position very well. Here CPAP therapy is so darn simple that it's implicitly foolish to view it as anything more complicated than just blowing air:

Charliemack wrote:This is treatment with AIR. HEY! LISTEN UP! AIR! There are no chemicals to put in your body or subtances to rub on your body. Basically just put a mask on and let air give you a good nights sleep. What can be so simple and yet seems some are making it complicated.

And here patients are also implicit fools unless they leave every complex nuance of that same air treatment to the health care professionals who saddled them with suboptimal therapy:

Charliemack wrote:Why is anyone trying to accomplish anymore (without consulting your medical professional)

I see the geologists among us sizing up a new cranial geological survey alright, Charliemack... If you would truly like to debate this topic rather than just make brash generalizations, I'll be more than happy to go back and analytically step through each one of your statements. In the meantime I hope your new CPAP therapy serves you well. Good luck.

My latest response from DevilBiss:

"Always a chance unit is not working correctly but I don’t think this is the case. There is a vast difference with how these units work. There is a term called mean airway pressure which is average pressure the unit was during the night. The Respironics algorithm looks for a pressure (called critical pressure) at the beginning of the night and then works plus and minus that pressure for the rest of the night. The DeVilbiss algorithm is always seeking the lower pressure limit when respiratory events are eliminated so the mean airway pressure is lower with the DeVilbiss unit versus other competitive units. This is a Dave Henry theory so take that for what it’s worth. I appreciate your correspondence and willingness to give the AutoAdjust a try. Thanks DAVE"

I'm afraid that I'm giving it up on the Intellipap, although I gave it my all. The last time I used it for one night, it has taken several days to recover from. Thank you cpap.com for the opportunity to participate in the challenge.

THE INTELLIPAP AUTOADJUST BUNDLED PACKAGE IS FOR SALE ON CPAPAUCTION.COM. http://www.cpapauction.com/auction-list ... chine.html I plan to use the proceeds from the sale to purchase a back-up M-Series.

Georgio

Thanks so much for sharing with us what you already have regarding your DeVilbiss AutoAdjust experience, Georgio! Good luck with that auction!

And thank you for this answer, Yardbird:

yardbird wrote: OK... Devilbiss response:
Presently you can use any Nonin sensor (finger probe most common) for Smartlink. Problem is data collected is raw data and we still need to put info through Nonin software to score desaturations. If you can find a low cost pulse oximeter that records at least 8 hours of data and you can match up the time from the Smartlink data to the pulse oximetry data, that could be done. I have heard of other folks doing that. We are aware of the need but do not have a solution right at this point.

charliemack wrote:Why are we looking to people on the internet for advice on adjusting pressure so that there are no apeneas or whatever and someone responding techinically.

Most of us do not have any training in the field of sleep apnea.
All of us have been diagnosed by medical professionals
All of us have been diagnosed on commercial cpap equipment and results that have sent to a computer that monitors event happenings.

Why is anyone trying to accomplish anymore (without consulting your medical professional) with just the results from their home machine.

This is treatment with AIR. HEY! LISTEN UP! AIR! There are no chemicals to put in your body or subtances to rub on your body. Basically just put a mask on and let air give you a good nights sleep. What can be so simple and yet seems some are making it complicated.

Since Charlie obviously feels the views and opinions of other people are not important I am surprised he has registered and joined this board. Most people actually sign up here to get opinions and experiences others have had.

continuing saga...

Got my AHI down to 2.1 last night. No apneas. It's all hypopneas. Last night I raised the lower limit of my pressure range from 7 to 8. This puts the lower limit at my titrated pressure. My pressure line is much flatter with only a few bumps where the machine was apparently reacting to hypopneas (they seem to be in small clusters rather than spread out nearly evenly all night long). My leak line looks much better. My original sleep study and titration was probably over 15 years ago. I'm sure some things have changed over time. I'm going to leave the low limit at 8 for about a week and see if this improvement stays. If the numbers are consistent for a week, then I may try bumping the low limit up to 9 and see what affect that change has. I know I've put on a few pounds over the last 15 years and several other factors could be responsible for any change in my baseline pressure needs.

I think I need to look at the data from the beginning (I've only had this machine a little over a week) and see what my average pressure and 90th percentile pressure looks like. If these pressure are consistently over 8cm, wouldn't that suggest that I may need more pressure now than the 8cm I was titrated at 15 years ago?

Yardbird, the Rx for my glasses has chaged tremedously in 15 years. 15 years ago, I didn't ever have multifocals...
Our bodies change - I honestly don't think you can look at the results from 15 years ago, and say the were wrong becuase you need something else now.

O.

ozij wrote:Yardbird, the Rx for my glasses has chaged tremedously in 15 years. 15 years ago, I didn't ever have multifocals...
Our bodies change - I honestly don't think you can look at the results from 15 years ago, and say the were wrong becuase you need something else now.

O.

Oh my goodness, I'm not meaning to suggest those results were wrong 15 years ago. I'm just suggesting that I may need to make adjustments from that original number. It does seem likely. My body has changed. I died once between then and now. Lots has happened. I've just been rather of a slacker in keeping up with it all... hehehe

On re-reading it looks like my mis-read....
O.

I'm a newbie and am still trying to get used to CPAP therapy, and determining my best pressure setting with the IntelliPAP Auto.

My request would be to add a "delay pressure" setting in APAP mode.

In APAP mode the lower pressure of the range is substituted for delay pressure. I would prefer to see a separate delay pressure setting in APAP mode. For instance, if I determine my APAP range to be 10 to 15, I would still like a pleasant delay pressure of 4. In essence, the delay pressure feature is not really available for APAP; The delay just forces it not to respond to events for the delay time period, but the initial pressure is the same with or without the delay.

Does that make sense?

SleeplessInNyack wrote:I'm a newbie and am still trying to get used to CPAP therapy, and determining my best pressure setting with the IntelliPAP Auto.

My request would be to add a "delay pressure" setting in APAP mode.

In APAP mode the lower pressure of the range is substituted for delay pressure. I would prefer to see a separate delay pressure setting in APAP mode. For instance, if I determine my APAP range to be 10 to 15, I would still like a pleasant delay pressure of 4. In essence, the delay pressure feature is not really available for APAP; The delay just forces it not to respond to events for the delay time period, but the initial pressure is the same with or without the delay.

Does that make sense?

I'm not familiar with the Intellipap... but every other machine I've seen has a "ramp" feature which can be set to a lower range. As I understand it, this simply starts you at a lower pressure. Whether or not it "responds" to events during that time period is a good question for one of our most experienced folks. Keep in mind that if you had straight CPAP, the machine wouldn't "respond" to events either and yet CPAP can provide excellent therapy.

Mindy