getting defective CPAP machine fixed

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
hen3ry
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Re: getting defective CPAP machine fixed

Post by hen3ry » Wed Jan 13, 2010 11:41 am

timballonguy:

Thanks for your response on this thread:
timbalionguy wrote:Some of the problems with dust that gets inside xPAP machines may happen when water gets mixed with it. This could create conductive goo that shorts out PWA's. Especially modern ones with lots of surface mount parts. But I think manufacturers are starting to 'compartmentalize' their machines so that the PWAs can not easily get exposed to the air flow. I strongly suspect my IntelliPAP machine is like that because it has an internal power supply, and is 'double insulated'. It also has an 'IPX 1' rating, which indicates a certain amount of resistance to water. You might see if your M series is also like this (although double insulation is not needed if it uses an external 'brick' power supply. I bet it is IPX 1 as well.
I'm guessing you are absolutely correct: water+dust --> disaster

My M series uses an external brick power supply. From the outside, it looks fairly well buttoned-up, but that says nothing about the situation inside. Who knows, maybe it is designed so that the incoming air flows directly over the circuit board? Just joking!
timbalionguy wrote: Bearings can fail without an external cause. If they didn't get built with enough lubricant, for instance. I bet though, that more than 80 percent of the mechanical failures in xPAP machines are blower bearing failures. You are right in that properly designed modern electronics are extremely reliable.
Right, they can. I may never find out exactly the cause of my problem, so I'll probably just assume it was due to bearing failure. (If I discover what actually happened, I'll post back.) I'm a little surprised about the issue of bearing failure, though. This technology is fairly well known. We have amazingly accurate fabrication techniques now, at a low cost, and I think nowadays most bearings are sealed. Even the cheapest appliances (say, box fans) are amazingly reliable in this respect.
timbalionguy wrote: The biggest issue I can see here though is a little 'fear' of taking your therapy into your own hands. You should get the clinician's manual for your machine, and learn how to adjust pressure, etc. You should learn how to adjust your mask, if you don't know already. You should also learn how to choose a new mask using the various online fitting guides. You are learning how this therapy works here, and that is an important basic step. With the advice given here about dealing with doctors and DME's, you will soon find that you have mastery over your therapy. You will control your therapy, instead of the therapy controlling you.
Interesting. I agree with your conclusion, but I think each person must establish control according to their particular situation. In my case, I started 30 months ago unable to remember a telephone number long enough to punch it in, and no knowledge that OSA existed. I have years of relevant technical experience, and an unusual amount of medical knowledge for a layperson. Yes, as soon as I was diagnosed AND I recovered enough to think straight, I set about learning about OSA, therapeutic techniques, and the equipment I was using. But there are limits. No matter what I did, there was no one cooperating on the rest of the supposed team and that limits what I can do. I can't write prescriptions for myself. Yes, I have the technical capability of reading the machine, and making adjustments to it. But I don't have the ability to make an informed medical decision about what settings to use.
timbalionguy wrote: Unless you insurance offers you no other options, you should also find yourself a competent sleep doctor. Although managing your own therapy is a very good thing, you should have expert input available when you need it, and to monitor your long-term performance.
Exactly! My insurance, unfortunately, offers no options. At this point, on balance, my condition is clearly improving, so even if my DME vendor is a pain-in-the-butt, it seems extreme to cut loose and pay for an independent sleep doc out of my own pocket.

Thanks,

hen3ry

tommy t

Re: getting defective CPAP machine fixed

Post by tommy t » Wed Jan 13, 2010 12:05 pm

How many hours are on your machine? I have found thast the remstar starts giving problems at the 10000 to 11000 hrs
I am on my third one. whem the machine starts to give me problems I take to my supplier, they give me a loaner and send it in for my. I have yet to have the company reapir on. They send me a new one and bill my insurance. good luck

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BlackSpinner
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Re: getting defective CPAP machine fixed

Post by BlackSpinner » Wed Jan 13, 2010 1:02 pm

I can't write prescriptions for myself. Yes, I have the technical capability of reading the machine, and making adjustments to it. But I don't have the ability to make an informed medical decision about what settings to use.
In the USA you have the right to ask for a copy of your prescription for the cpap machine. Most of the time these just say "CPAP machine presure xx" and that is all cpap.com needs to fill it.

As far as informed medical decisions - you are blowing air down your throat - it either works and keeps it open or it doesn't. If you have a machine where you get that information you can decide quite intelligently whether you should increase the pressure or not. Just like when you inflate your tires you use a gauge - you don't need a mechanic to tell you that the gauge has to match what is written on your tires.

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hen3ry
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Re: getting defective CPAP machine fixed

Post by hen3ry » Wed Jan 13, 2010 4:55 pm

tommy t:

Thanks for your post on this thread:
tommy t wrote:How many hours are on your machine? I have found thast the remstar starts giving problems at the 10000 to 11000 hrs I am on my third one. whem the machine starts to give me problems I take to my supplier, they give me a loaner and send it in for my. I have yet to have the company reapir on. They send me a new one and bill my insurance. good luck
Thanks! I figure between 5000 and 7500 hours for this one. That's an estimate. Is there a cumulative hour counter on these machines that's accessible to the user?

henr3ry

hen3ry
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Re: getting defective CPAP machine fixed

Post by hen3ry » Wed Jan 13, 2010 5:02 pm

BlackSpinner:

Thanks for your response:
BlackSpinner wrote: In the USA you have the right to ask for a copy of your prescription for the cpap machine. Most of the time these just say "CPAP machine presure xx" and that is all cpap.com needs to fill it.
I may have that right, but when I tried this with respect to my HMO's optometry department, they refused.
BlackSpinner wrote:As far as informed medical decisions - you are blowing air down your throat - it either works and keeps it open or it doesn't. If you have a machine where you get that information you can decide quite intelligently whether you should increase the pressure or not. Just like when you inflate your tires you use a gauge - you don't need a mechanic to tell you that the gauge has to match what is written on your tires.
The RT I saw today seemed to agree. All that data... isn't very important at all, as long as you are sleeping well, she says.

Well, she also read the smart card, gave me a summary printout, and spent 3 minutes explaining the most important results. The numbers are "good" -- very reassuring.

Thanks,

hen3ry

hen3ry
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Re: getting defective CPAP machine fixed: FIXED!!!

Post by hen3ry » Wed Jan 13, 2010 5:27 pm

Folks:

I went to my HMO today. Since my last interaction, they suddenly have established a modest-sized outpatient respiratory therapy clinic. The RT checked my machine, heard the high-pitched whine, read my data, and gave me a thumbs up. She told me that the numbers are helpful, but what really matters is I'm sleeping well. I am, so that's that. With respect to my machine she referred me to same DME vendor I have detested for 30 months. There's no choice; they have the machines.

Luckily, the DME was having open clinic hours at the time, and they were only a short drive away.

When I arrived, I found the same office but a completely changed organization: crisp, efficient, and patient-centered. The RT gave me more information in 5 minutes than in all my previous visits put together. She quietly admitted that her predecessors didn't provide good service. (She said it more pungently.) Although she felt my machine wasn't really all that noisy, she arranged for me to get a new one. That required all of 10 minutes. Meanwhile I chatted with another new employee who told me that the company had realized they had a problem and now it is fixed. Someone got the word. Apparently I wasn't the only unhappy patient.

So... machine problem solved! Apparently --I hope-- I don't have to avoid my DME vendor any more -- that problem is solved too! <huge sigh of relief> No more sofa for me! <bigger sigh of relief>

About the noise: I just checked the new machine. No high-pitched whine, just a whirring noise that changes pitch and volume with respiration -- not very loud and easily covered by masking noise like the fan we use.

By the way, I think the best way to check is to wear the mask, breathe normally while holding the machine up to an ear. That's not normal operation, obviously, but I think it is best for comparisons.

Everyone should have such luck! Best wishes to all for a sleep-healthy and successful 2010!

Thanks,

hen3ry

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Muse-Inc
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Re: getting defective CPAP machine fixed

Post by Muse-Inc » Wed Jan 13, 2010 10:10 pm

Great resolution! Thanks for posting your story.
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Never, never, never, never say never.

Vance9

Re: getting defective CPAP machine fixed

Post by Vance9 » Mon Mar 26, 2012 10:07 am

OK, Maybe the loud noise from my CPAP is a bad bearing in the blower. Where can I buy a replacement blower or bearing. I can fix this thing if I just get the right part. The place that I bought it from says it takes weeeks to fix. Noway, a bearing should take at most 3 hours. Vance