teleute wrote:
So generally the consensus is that the 4xx model should do this, but the 5xx model should be a true APAP? I just found this link on the PR site with comparisons, and it still shows the Auto machine as having the Auto-trial mode.
http://www.healthcare.philips.com/pwc_ ... -guide.pdf
The page that you linked to shows the PR Auto CPAP (model 560/61) as having
four different modes that it can be run in, one of which is Auto-trial, which will do something like 30 days of APAP and then automatically switch to the "optimal" CPAP pressure as determined by the Auto-trial. But the
fourth mode is plain old
Auto which is a real APAP setting that does NOT switch to CPAP after 30 days.
The page you linked to also shows the PR Pro CPAP (model 460/461) as only having
three different modes, and the mode that the PR Pro CPAP is missing is the plain old
Auto mode.
Maybe it doesn't automatically switch out of it like the other one, though? Their site on the System One just lumps them all together and talks about the Auto Trial and CPAP Check modes like they all do it, which I find confusing.
http://www.healthcare.philips.com/us_en ... systemone/
Add that to the machines all being named/numbered so similarly and it's really irritating me.
Yes, it is confusing. But think of it this way:
The PR System One
Plus is the basic model. It doesn't do anything special--i.e. it only has straight CPAP mode and it only records usage data.
The PR System one
Pro does everything the Plus model does AND it also has two additional modes of operation (CPAP-check, and Auto-trial) as well as straight CPAP and it records efficacy data.
The PR System one
Auto does everything the Pro model does AND it also has a fourth mode of operation---namely real APAP mode in addition to the three modes the PR System One Pro has available.
So hopefully the 561 we have (I'll physically double check later, but fairly confident) isn't doing that. That was just my conjecture as to why he was feeling a change in how the machine was responding to him. He said that before, when he'd hold his breath, he could feel the machine basically pushing at him with pressure. As of 2 nights ago, that's abruptly changed - if he holds his breath it just does nothing. I don't think it's a matter of him getting used to it, as it felt like an abrupt change from one night to the next. Which of these is normal, and any thoughts on why it might change? Didn't change any settings that night (and the only setting I've touched is minimum pressure, which I hadn't change for days before this.)
My guess is that the RT who set the machine up (mistakenly) chose
Auto-Trial as the therapy mode instead of the correct
Auto mode.
In that case, the fix is easy: Get into the clinical menu and select
Auto instead of
Auto-Trial for the therapy mode. If you don't have the clinical manual, you can get it from Apnea Board at
http://www.apneaboard.com. You may have to register as a poster over there to request the clinical manual for the 561 machine.
We tried going to a follow up appointment at the DME, but they were closed at the time we were told for the appointment.
If you take it back to the DME ask them to check the therapy settings
in your presence and explain each setting to you. Don't just let them take the machine in the back, run through the menu, and give it back to you saying everything checked out fine. When they're going through the therapy settings, look for
Auto vs.
Auto-Trial for the therapy mode.
