Pugsy wrote:I have never heard of a ResMed S9 Auto
360...maybe AutoSet?? The only cpap item that I know with 360 in the name is the Opus 360 nasal pillow.
Let's proceed on that assumption for how. AutoSet and not Escape Auto.
Here's a link for the provider/clinical manual for the S9 Elite/AutoSet. It's a combination manual but the main difference is just addition of APAP mode available in the AutoSet menu choices. APAP is the auto adjusting pressure mode.
If his machine starts out at 4 cm pressure and increases pressure up to 12 to prevent the events...then that would be auto adjusting mode because you say it goes back down to 4 and waits till it needs to go up again.
If it were cpap mode then that 4 cm starting point would go up as a ramp feature within a set amount of time an stay at 12.
http://www.apneuvereniging.nl/forum/pdf ... manual.pdf
Look at the manual and make sure his machine looks like the one shown.
Figure out how to get into the Clinical setup menu area (instructions are in the manual) and go look for Sleep Quality setting. The factory default setting is for "Usage"...check to see if it is set to Usage or if it just says "On"...we want it to say "On". So if it is set to On...leave it alone. If set to Usage change it to "One"...this affects the data that is made available for review.
SleepyHead software will work with this machine. I think you will find it easier to use than ResMed's ResScan.
I have SleepyHead links in my signature. Be sure to read the User guide also.
A hint for installing SleepyHead. If your computer is Windows Vista or later operating system let's make a little change in the normal installation steps so that you can avoid a minor hassle later with the update you will need.
So download and unzip the Sleepyhead setup files from the link in my signature...Look for the latest build and it is marked as Beta build.
Once you have the setup files unzipped then instead of double clicking mouse to start the install I want you to right click the mouse over the setup files and from the little pop up menu choose "run as administrator" from the choices.
Then let SleepyHead do its install thing.
When doing the import or download from the SD card it will prompt you to navigate to where the SD card sits (the drive letter for the SD card slot) make sure you stop at the drive letter and don't go into the SD card itself to try to do the download. It won't work if you go into the SD card. There is a picture of this in the User Guide if you have questions.
The most common error made with SleepyHead download is that people try to go into the folder. That's too far.
I have my suspicions that the 4 cm minimum pressure is probably not able to do a good job if it has to go to 12...that's too far and takes too long. Besides that 4 cm pressure could very likely be part of the not being able to breathe problem. Most people will feel like they are suffocating with that low of a pressure. Even during my titration study night they started off with 5 cm and I could barely be comfortable with 5 cm. I felt like I was trying to breathe through a straw with a cheese cloth over the end of it.
So let's see if we can get some reports to review to see what is going on.
Also SleepyHead will tell use the exact model name if there is still some doubt.
The S9 models are fairly limited and easy to see. Model names are plainly shown on top of the round on/off button.
EPR (if the machine has it available) is shown just below the on/off button on the right.
So model choices for the S9 in the cpap/apap model line are these...that's all that is available. There is no 360 in any of the S9 names.
Escape
Escape Auto
Elite
AutoSet
Now in the bilevel model line we have models beginning with VPAP right above that round knob. I won't go into that unless you tell me you see VPAP somewhere by that round on/off knob.
Once you get the data downloaded/imported to SleepyHead then can you post the most recent night's detail data?
How to post images of reports is explained in this thread along with some examples.
viewtopic.php?f=1&t=81072&p=737779#p737779
Don't worry about all the graphs that is offered. Some we don't need to see right now.
The left side of the report has the AHI color coded bars for each category...we need to see that.
On the right side we only need to see the Events graph, the Flow Rate graph, the pressure graph and leak graph.
Go to the upper left in SH where it says File and click on File and then Preferences...in preferences click on graphs...remove the check mark from the AHI graph and the mask pressure graph. Those are unneeded and by turning them off the leak graph will move up into viewing area so that you only have to do one screen shot.
Sleep Quality in the S9 has to be set to On to get these graphs.