Resmed machines...2007 and 2011

Last night I broke out my broken Resmed S8 APAP that has a gazillion SUCCESSFUL hours on it. It wont ramp up anymore, but it will still blow at the minimum its set at. It also stopped recording new data and gives me "service error" messages and beeps now.

I broke out my pressure gauge and my F & P water manometer.

I hooked up the old Resmed S8 APAP set at a minimum of 10. And hit "start." The pressures ramp up like light speed. Water nearly blows out of the water manometer. Obviously the response time is very very fast.

I then do the same with my supposedly "new and improved" Resmed S9 APAP set at the same minimum pressure of 10. The response for the pressure to build up is slooooowwwwwwww and sluggish. A sluggish machine. Maybe a better algorithm (maybe?), quieter (who cares?), and looks cooler (who cares?) but it blows soooooooo slow.

I wonder if it blows that slow in my sleep when it needs to ramp up?

I then did the same with my Phillips Respironics APAP with A-Flex. Hit start and darn near water shoots out of the water manometer like my old S8 APAP. Good, super fast response time. Ramps up fast, I gotta presume it ramps fast like that in my sleep as well.

All this leads me to conclude that the new Resmed S9, with its 15 mm hoses and its sloooooowww, sluggish pressure buildup...is a POS compared to their older gear. BTW, the S8 Autoset II also is sluggish like this as well. Obviously quality control at Resmed has decreased. Maybe they have some engineers and designers who dont have any common sense?

Im glad to see that Phillips Respironics is still making old school style CPAP gear whereas Resmed is now putting out sloowwwwww, sluggish APAPs that blow as slow as an old lady with arthritis walking down the street.

Eric

Eric,

Once that pressure is up to the desired levels, the sluggishness in getting up to your fixed pressure shouldn't be a problem---if you are running in straight CPAP.

Have you tried the obvious: Turn the machine on a few minutes earlier than you want to go to sleep?

Have you made sure the ramp setting is OFF?

As for the 15mm hose: The S9 is quite capable of handling the larger 22mm hose that your S8 uses. All you have to do is change the hose setting. Have you tried measuring the pressure gradient on the S9 with a 22mm hose WITH the correct hose setting?

robysue wrote:Eric,

Once that pressure is up to the desired levels, the sluggishness in getting up to your fixed pressure shouldn't be a problem---if you are running in straight CPAP.

Have you tried the obvious: Turn the machine on a few minutes earlier than you want to go to sleep?

Have you made sure the ramp setting is OFF?

As for the 15mm hose: The S9 is quite capable of handling the larger 22mm hose that your S8 uses. All you have to do is change the hose setting. Have you tried measuring the pressure gradient on the S9 with a 22mm hose WITH the correct hose setting?

Yeah, I never use ramp setting at all. Ever.

I also agree it should not be a problem with straight CPAP. I was talking about the APAP mode. SLOOOOOWWWWWWWW.


I also tried regualar 22 mm hoses and I felt AWFUL even after switching to "standard" hose on the S9 menu. Switched from "slimline" to "standad." Felt like death the next day. That is another sign to me that this S9 thing is a POS. It does not work like it should with the 22 mm hoses.

Face it, these new and improved S9s are POS compared to old school machines. They might be quieter, look more "executive," but they no cut it if you run them on APAP mode.

Phillips Respironics...still old school man I hope they dont change.

Prediction: Resmed will not be in business five years from now.

Eric

EricinNC wrote:
Prediction: Resmed will not be in business five years from now.

Eric

Is your drug of choice crack or do you go straight for the airplane glue?

mcdover wrote:

EricinNC wrote:
Prediction: Resmed will not be in business five years from now.

Eric

Is your drug of choice crack or do you go straight for the airplane glue?

Neither. But Ive read several folks here and elsewhere describe the S9 series "aint the same" as the S8s. Resmed recently had their CEO just up and quit. Resmed may or may not exist five years from now, but I think at the minimum Resmed is going to become the CPAP company for the "CPAP light" crowd. Those with milder to moderate OSA or those who cannot tolerate ugly masks on their face.

I have a hunch those of us with "hardcore" OSA and are truly dependent on this gear will be gravitating towards Phillips Respironics (as long as they dont change either) or possibly some other outfit.

All I like Resmed for anymore is their masks. Their other gear sucks compared to what I used from them that I was given in 2007.

Eric

EricinNC wrote:

mcdover wrote:

EricinNC wrote:
Prediction: Resmed will not be in business five years from now.

Eric

Is your drug of choice crack or do you go straight for the airplane glue?

Neither. But Ive read several folks here and elsewhere describe the S9 series "aint the same" as the S8s. Resmed recently had their CEO just up and quit. Resmed may or may not exist five years from now, but I think at the minimum Resmed is going to become the CPAP company for the "CPAP light" crowd. Those with milder to moderate OSA or those who cannot tolerate ugly masks on their face.

I have a hunch those of us with "hardcore" OSA and are truly dependent on this gear will be gravitating towards Phillips Respironics (as long as they dont change either) or possibly some other outfit.

All I like Resmed for anymore is their masks. Their other gear sucks compared to what I used from them that I was given in 2007.

Eric

Better hope you get a tremendous warranty with that PR machine. Odds are, you are going to need it.

I wonder if it blows that slow in my sleep when it needs to ramp up?

You know I would almost wonder if that is not the question to look at? When you first start up the machine and are settling in, there normally is not a high chance of having sleep related apena's for the machine to guard against. Either in CPAP or APAP mode. And perhaps they felt that a gentle startup curve would help someone adjust from going from no mask with no added preasure to a mask with added preasure. I use the Ramp feature on my bi-level for just that reason. I find that having my ramp set at 15, and allowing a curve from 4 -> 15 eases me in. And when I don't use the ramp, it takes more adjustment and is harder to get to sleep. Now I am assuming the idea being that this it takes a min or so for the adjustment that you list. And I am also suspecting that after it's adjusted it reacts to changes in your breathing fast.. But thats something you would have to test, and really only way to test would be during a sleep cycle.

If they indeed do take a little time at first to spin up to full working speed (i.e min or two) and during normal nighttime operation show fast adjustment to the breathing cycle. Then I dare say that they are just diffrent than what you are used to. Not a POS. However if they cannot adjust quickly to breathing demands.. Well then either they are not performing the job they are set to do. Or someone misunderstood the function of that tool, and you have the wrong device to treat your apnea's.

So any chance you can check and see if your unit is able to adjust quickly during a sleep cycle?

mcdover wrote:

EricinNC wrote:

mcdover wrote:

EricinNC wrote:
Prediction: Resmed will not be in business five years from now.

Eric

Is your drug of choice crack or do you go straight for the airplane glue?

Neither. But Ive read several folks here and elsewhere describe the S9 series "aint the same" as the S8s. Resmed recently had their CEO just up and quit. Resmed may or may not exist five years from now, but I think at the minimum Resmed is going to become the CPAP company for the "CPAP light" crowd. Those with milder to moderate OSA or those who cannot tolerate ugly masks on their face.

I have a hunch those of us with "hardcore" OSA and are truly dependent on this gear will be gravitating towards Phillips Respironics (as long as they dont change either) or possibly some other outfit.

All I like Resmed for anymore is their masks. Their other gear sucks compared to what I used from them that I was given in 2007.

Eric

Better hope you get a tremendous warranty with that PR machine. Odds are, you are going to need it.

Oh dont worry about me. I will be getting a backup PR APAP, maybe three of them. I aint ever going thru what Ive been thru in the last couple months again, this has been pure hell. Once its resolved, its backup APAP city, babe.

Of course, I wont be buying them from you. LMAO.

Eric

Jordy wrote:

I wonder if it blows that slow in my sleep when it needs to ramp up?

You know I would almost wonder if that is not the question to look at?

Duh. It was the first thing I thought of after making sure the minimum pressures were the same.

So any chance you can check and see if your unit is able to adjust quickly during a sleep cycle?

Not without sophisticated industry equipment and technician knowledge, that I dont have access to. All I know is when I compare and contrast my 2007 Resmed S8 APAP to my 2011 Resmed S9 APAP, the 2007 Resmed S8 about blows the water out of the water manometer when I hit "start." The S9, takes forever....wait wait wait....will it ever get there? kind of speed to reach my minimum. If it is doing that in my sleep, no wonder I aint feeling so hot.

Phillips Respironics APAP about blows the water out of the water manometer when I hit "start." Same as the oldtime Resmed S8. They are making them the same...FAST.

Eric

Duh. It was the first thing I thought of after making sure the minimum pressures were the same.

ok I will give you that.

But then you jumped to conclusions about the machine being a POS, and that there new stuff is crap, and how they will be out of business in 5 years.

All I know is when I compare and contrast my 2007 Resmed S8 APAP to my 2011 Resmed S9 APAP, the 2007 Resmed S8 about blows the water out of the water manometer when I hit "start." The S9, takes forever....wait wait wait....will it ever get there? kind of speed to reach my minimum. If it is doing that in my sleep, no wonder I aint feeling so hot.

But you don't know if it is, or is not adjusting, like it needs to. And you are baseing your argument against the resmed machine on the principle is not adjusting like it needs to during the night. So DUH, ok without the facts you are just jumping to conclusions. Again.

The only fact you have is that you feel like crap. OK, great. (And this machine starts up diffrently than your broken older machine) Thats a fine place to start. Perhaps it's the machine, perhaps set at the wrong range, perhaps you have monkeyed with the settings and it does not FIT your profile. You probbly need to conduct a sleep study with this machine. More so if you are getting the destats that you listed in your other thread. And for that you will most likly have to involve a sleep DR, and Sleep Center. But from you other posts it suggests you have a chip on your shoulder against the DME's and the Sleep Dr's.

ok, fine. You have a chip on your should against Resmed that plan engouth. So umm, why don't you get a APAP from another manfacture than Resmed? Since you are going to slap their machines as POS just because your data in my opion is flawed. Fine. But why do you not get a new Phillips Respironics APAP to use and see if you start feeling better?

Anybody else getting a sense of Déjà vu from this thread??

Tip10 wrote:Anybody else getting a sense of Déjà vu from this thread??

He's wanting to file suit against Resmed now. Am I on CPAPTalk.com or PsychiatryPatientToday.com? I'm really starting to wonder.

Jordy wrote:

Duh. It was the first thing I thought of after making sure the minimum pressures were the same.

ok I will give you that.

But then you jumped to conclusions about the machine being a POS, and that there new stuff is crap, and how they will be out of business in 5 years.

All I know is when I compare and contrast my 2007 Resmed S8 APAP to my 2011 Resmed S9 APAP, the 2007 Resmed S8 about blows the water out of the water manometer when I hit "start." The S9, takes forever....wait wait wait....will it ever get there? kind of speed to reach my minimum. If it is doing that in my sleep, no wonder I aint feeling so hot.

But you don't know if it is, or is not adjusting, like it needs to. And you are baseing your argument against the resmed machine on the principle is not adjusting like it needs to during the night. So DUH, ok without the facts you are just jumping to conclusions. Again.

The only fact you have is that you feel like crap. OK, great. (And this machine starts up diffrently than your broken older machine) Thats a fine place to start. Perhaps it's the machine, perhaps set at the wrong range, perhaps you have monkeyed with the settings and it does not FIT your profile. You probbly need to conduct a sleep study with this machine. More so if you are getting the destats that you listed in your other thread. And for that you will most likly have to involve a sleep DR, and Sleep Center. But from you other posts it suggests you have a chip on your shoulder against the DME's and the Sleep Dr's.

ok, fine. You have a chip on your should against Resmed that plan engouth. So umm, why don't you get a APAP from another manfacture than Resmed? Since you are going to slap their machines as POS just because your data in my opion is flawed. Fine. But why do you not get a new Phillips Respironics APAP to use and see if you start feeling better?

I already have a PR with A-Flex as a backup. I just keep wanting to give Resmed and their vaunted S9 APAP the benefit of the doubt. I already know the PR with A-Flex gives me more normal sleep, Im just hard headed as hell. I will probably be selling my Resmed S9 APAP with 569 hours on it and I DONT GIVE A FLIP ABOUT THEIR RESALE POLICIES AFTER WHAT THEY HAVE PUT ME THRU IN THE LAST THREE MONTHS. I DONT LIKE RESMED ANYMORE.

mcdover wrote:

Tip10 wrote:Anybody else getting a sense of Déjà vu from this thread??

He's wanting to file suit against Resmed now. Am I on CPAPTalk.com or PsychiatryPatientToday.com? I'm really starting to wonder.

What if a bunch of people who switch to the S9 APAPs start complaining it aint the same? My sleep doctor already told me Resmed found a glitch in the S9 already. Why is it sooooooooo slooooooowwwwwwwwwwwww compared to their older gear and to PR gear?

Eric

Eric,

You've posted numerous times how you blame Resmed (in a most personal way) for your current predicament. But who or what destroyed your trusty old S8 that you loved so much?

As for taking some responsibility for making the best you can out of your current bad situation: You've written that the PR APAP (System One APAP?) with A-Flex satisfies your need for instant pressure. So why not be a good American and vote with your $$: Return the S9 if possible. If not, then in good American style pass it on to some other sucker; there are plenty of folks here who might be willing to take your hated S9 APAP off your hands for a reasonable price. And then go with the PR machine instead.

And then work on figuring out what ELSE might need to be changed to get your therapy optimized once again.

You are dealing with at least one other serious additional medical problem as I recall: You've on SSRIs or some other psychological drug and that therapy is also NOT going well. As crazy as it sounds, it could be that some of your other medical issues or your medications are causing repeated arousals that are not respiratory related but are just as disrupting to your sleep and your daytime functioning as the untreated OSA was before you started using the S8. Or maybe the meds or the change in that medical condition has somehow caused a change in your pressure needs. And that your original pressure or pressure range (regardless of what machine it's on) is simply no longer an appropriate range for you.

And even though you are skeptical that your AHI as reported on the S9 correct because of the changes in the scoring algorithm for hypopneas, chances are the S9 is treating the obstructive events just fine. And that means that there's something else that's messing with your sleep. Maybe the new algorithm is causing other kinds of arousals because you are noticing a qualitative difference in how the algorithm feels. Maybe there are more "near hypopneas" that may or may not have been scored on the S8, but are not scored on the S9, but you feel them anyway. [Any mention of UARS on your diagnostic sleep study?]

In the end, you may need to start looking at things you can address right now yourself instead of simply blaming Resmed for your current situation. Address the issues with the SSRIs. Address other possible causes of your daytime symptoms: Even if the physical was recent, get the thyroid checked (again) and the vitamin D checked (again). And a total blood count to rule out anemia. Make sure the current mask is still working for you. Clean up the sleep hygiene if possible. (Irregular sleep habits beget irregular and nonrefreshing sleep for many people.)

And out of curiosity: Do you have serious problems handling transitions in general in your life? Are you sensitive to other changes in your routine? In other words, did breaking the S8 cause problems with whatever condition you are taking the SSRIs for?