BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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carbonman
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by carbonman » Sat Aug 22, 2009 8:01 am

Isn't it amazing all the new PR features that are so similar to Resmed features.

Who is following who?

....and CpapRRT, aren't you afraid of being drummed out of the Corp for
passing such secrets to the rank and file users???
"If your therapy is improving your health but you're not doing anything
to see or feel those changes, you'll never know what you're capable of."
I said that.

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CpapRRT
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by CpapRRT » Sat Aug 22, 2009 8:41 am

carbonman wrote:Isn't it amazing all the new PR features that are so similar to Resmed features.

Who is following who?

....and CpapRRT, aren't you afraid of being drummed out of the Corp for
passing such secrets to the rank and file users???
Should I be
RRT/DME provider

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carbonman
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by carbonman » Sat Aug 22, 2009 8:46 am

CpapRRT wrote:
carbonman wrote: ....and CpapRRT, aren't you afraid of being drummed out of the Corp for
passing such secrets to the rank and file users???
Should I be
I don't know. I'm not in the Corp.
Just curious.
"If your therapy is improving your health but you're not doing anything
to see or feel those changes, you'll never know what you're capable of."
I said that.

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CpapRRT
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by CpapRRT » Sat Aug 22, 2009 9:33 am

carbonman wrote:
CpapRRT wrote:
carbonman wrote: ....and CpapRRT, aren't you afraid of being drummed out of the Corp for
passing such secrets to the rank and file users???
Should I be
I don't know. I'm not in the Corp.
Just curious.
Hey, I don't work for respironics!
The machine is out, we have it on patient's already!
Everything I know is what those patien'ts know too! It's all in the manual!
RRT/DME provider

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marcuss
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by marcuss » Sat Aug 22, 2009 11:14 am

Hey, would this new machine help me? I would really like to know for sure that I have my pressure set correctly. I currently have a REMstar Pro machine w/ CFLEX, but it's a basic CPAP, not automatic.

Since I lost weight, I'm thinking that an auto like this would automatically adjust to my needs, even as I lose weight, correct? In other words, no need for me to go in for another sleep study, right?

This new one sounds intriguing! Time to start saving up for one, maybe. Sure hope like others have said that Respironics allows some sort of Software for the patients, because I think I want to go into that type of thing with my next machine.

By the way, is "Ted the Titrator" still here? He helped me a long time ago when I first got my machine from CPAP.COM. Anyone know him or if he has an extension number at the company, so I could call him if I have questions?

-SWS
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by -SWS » Sat Aug 22, 2009 11:23 am

dsm wrote:Another interesting aspect of the reported data from the new machine (that should help those folk stumbling through what Variable Breathing might have meant on the previous Respironics models. VB is defined as 'erratic' breathing in the Respironics patent an on page 25 of the Auto patent tries to explain how erratic breathing was detected & calculated (My analysis is that the machine compares the 1st half of a breathing cycle with the second & tracks this as apattern looking for 'erratic' patterns - this is different from 'predictatble' patterns such as meant by 'periodic breathing' or PB.

The Variable Breathing title has gone & in its place is Periodic Breathing which is a better understood term.
Periodic Breathing is not the new Respironics name for Variable Breathing. Periodic Breathing and Variable Breathing are not one in the same according to Respironics.
While discussing their proprietary statistical measure called Variable Breathing, Respironics wrote: The Auto-CPAP... relies on the ability to trend the steady rhythmic breath patterns associated with certain stages of sleep. When a patient is awake, in REM sleep, or in distress, breathing breathing tends to be more erratic, and the Auto-CPAP trending becomes unstable. It is, therefore, important to interrupt the Auto-CPAP if the patient's breathing becomes too variable...."
So above, Respironics tells us that Variable Breathing covers a variety of conditions, including wakefulness. Periodic Breathing may be included in that broad VB statistical metric.
While discussing the clinical event known as Periodic Breathing, Respironics wrote: Periodic breathing is defined as alternating periods of hyperventilation with waxing/waning tidal volume and periods of central hypopneas or apneas. There are many forms of periodic breathing, one of which is Cheyne-Stokes Respiration (CSR). CSR is characterized by a cyclic pattern of waxing and waning during periods of apnea, and deep, rapid breathing.
Periodic Breathing is not that somewhat ordinary wakefulness variability measured by VB. Similarly, Periodic Breathing is not rather ordinary REM associated variability also measured by the proprietary VB statistic.

But the new Respironics algorithm does: 1) employ Forced Oscillation Technique (FOT) to differentiate an open-airway or central apnea, and 2) track and score the highly patterned waxing and waning of Periodic Breathing, to notify clinicians that yet other SDB issues besides ordinary OSA require attention.

What I am very surprised to read is that Respironics claims to be able to somehow differentiate and score Respiratory Effort Related Arousals (RERAS). They can somehow discern brain arousals from a flow signal?

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socalmonkey
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by socalmonkey » Sat Aug 22, 2009 11:46 am

Are CPAP machines approved by the FDA (or some government agency) before they release new models?

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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by wabmorgan » Sat Aug 22, 2009 12:35 pm

^^^^YES
¡sʎɐʍǝpıs pǝuɹnʇ pɐǝɥ ɹnoʎ ɥʇıʍ pǝpɹɐʇǝɹ ʞool ʎlqɐqoɹd noʎ 'sıɥʇ pɐǝɹ uɐɔ noʎ ɟı
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socalmonkey
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by socalmonkey » Sat Aug 22, 2009 5:31 pm

How Philips Respironics is positioning there new System One equipment...

Image

What is WRONG with this picture?

Padlock... what?

PADLOCK!

What are they doing... using a padlock on the graphic? This just looks strange to me.

Unless this is there way of saying were locking the patient out of the data!

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Maple Leaf
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by Maple Leaf » Sat Aug 22, 2009 5:34 pm

socalmonkey wrote: What are they doing... using a padlock on the graphic? This just looks strange to me.

Unless this is there way of saying were locking the patient out of the data!

Perhaps..... but there is a KEY in that there lock!

Rick

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Lou Cypher
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by Lou Cypher » Sat Aug 22, 2009 5:54 pm

socalmonkey wrote:How Philips Respironics is positioning there new System One equipment...

Image

What is WRONG with this picture?

Padlock... what?

PADLOCK!

What are they doing... using a padlock on the graphic? This just looks strange to me.

Unless this is there way of saying were locking the patient out of the data!
Looks to me like they are saying designed together to open up a new level of performance.... I take it as it was designed for them and the patients to open up a new level of performance... hence the key in the lock... together we will open new levels of performance..

guess it is like the glass is half full or half empty << shrugs>> ??

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socalmonkey
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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by socalmonkey » Sat Aug 22, 2009 8:42 pm

CpapRRT wrote: We have switched over to only using Encore Anywhere (modems and smart card reading) per recomendations from our respironics rep, so we no longer use Pro, so unfortunately can't help you there.
That is interesting that they are pushing that. So do they charge a fee for Encore Anywhere? I doubt they provide that to doctors and sleep labs for free.

So I assume Anywhere provides the same data from the PR System One as the Pro software does?

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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by TheDreamer » Sat Aug 22, 2009 9:07 pm

Wonder if at least this new machine has the proper approval for in-flight use?

The Dreamer

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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by Roeschti » Sun Aug 23, 2009 3:09 am

TheDreamer wrote:Wonder if at least this new machine has the proper approval for in-flight use?

The Dreamer
Can you help a newby out? What do you mean by "proper approval for in-flight use"?
Does that come from Respironics or has it something to do with the airline? TIA

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Re: BIG UPDATE: NEW RESPIRONICS PR Series Auto CPAP Released!

Post by Slinky » Sun Aug 23, 2009 7:36 am

According to our local Respironics Rep the PR System One would require EncorePro 2.1 and he knows of no immediate plans to update EncoreViewer tho it has been discussed. There are more xPAPs in the series due out shortly, w/in the next 6 weeks most likely.

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