Is this machine obsolete?

Replies to This Discussion

Permalink Reply by Mike on April 1, 2009 at 4:22pm

I don't have central sleep apnea, and will be the first to admit i am no authority on this, but from all that i've read, i would say that the ResMed VPAP Adapt SV machine is NOT an obsolete machine, and is in fact the preferred choice for many to the alternative, Respironics Bipap AutoSV. I believe these are the two top of the line models available in the US at this time.

I will be very interested to hear about your progress/experiences with this machine, as i am trying to get a better grasp of the ASV units.

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Permalink Reply by Mike on April 1, 2009 at 4:50pm

have been researching further: You can access the data if you have the Rescan 5.4 or later software for your computer and a null modem cable (9-pin connector at each end - not any 25-pin connectors) to connect your computer to the Adapt SV.

a caution: apparently, there are 2 models of the Adapt SV which are virtually indistinguishable but for the fact that the first model doesn't provide the same level of data the later model does.

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Permalink Reply by Mike on April 1, 2009 at 4:54pm

the later model gives you ability to read AI, AHI off ResScan reports; the older model does not. So that's a question to interrogate your doc/DME about.

Mike said:

have been researching further: You can access the data if you have the Rescan 5.4 or later software for your computer and a null modem cable (9-pin connector at each end - not any 25-pin connectors) to connect your computer to the Adapt SV.

a caution: apparently, there are 2 models of the Adapt SV which are virtually indistinguishable but for the fact that the first model doesn't provide the same level of data the later model does.

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Permalink Reply by Judy on April 1, 2009 at 4:58pm

The Resmed VPAP Adapt SV is an "older" device. I believe it is in the S7 body and since its inception there are the S8s in 2006 and in 2008 the S8 IIs. HOWEVER, it is a very sophisticated and expensive device.

You can read about it here:

http://www.resmed.com/ja-jp/products/flow_generators/vpap_adapt_sv/...

http://www.talkaboutsleep.com/sleep-disorders/2006/09/apnea-resmed-...

"ResMed's new VPAP Adapt SV is the only device cleared for the treatment of central sleep apnea, mixed sleep apnea and periodic breathing in hospital or homecare environments. The VPAP Adapt SV uses adaptive servo ventilation to learn the patient's breathing pattern and then delivers the pressure they need on a breath-by-breath basis."

Since the Resmed VPAP Adapt SV came on the market Respironics has come out w/their own version the Respironics REMStar Bi-PAP Auto SV. This unit is in pre-M Series body so I assume it must have come out prior to or just prior to 2006 which is when the M Series was introduced.

Do not expect either of these two bi-level SVs to be updated any time soon. There is very little demand and litte need for devices this sophisticated.

http://www.cpap.com/cpap-machine/bipap-auto-sv-cpap.html

I have no experience w/either device so you will have to read the information about them and decide for yourself. My experience and preference has been for the Resmeds - or second choice the pre-M Series Respironics.

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Permalink Reply by Judy on April 1, 2009 at 5:02pm

For some reason, out of the blue, just yesterday and now again today, I can NOT edit my replies. Grrrr. I wanted to say that I believe that Resmed has updated their Adapt SV and the newer model is referred to as the Adapt SV Enhanced. If you go to apneasupport.com and look for posts by WhiteBeard and PM WhiteBeard he can tell you more about the Adapt SV Enhanced as he has one and I'm pretty sure he said that it is fully data capable.

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Permalink Reply by Rock Conner RRT on April 1, 2009 at 5:03pm

ResMed ASV is a high-end, expensive device that I've seen work wonders w/ central apneas when properly applied. It is not outdated by any means. I fear, though, that your DME's tech may be overmatched. Not many of us have much experience w/ ASV. Six months ago, I couldn't even spell it.

Check w/ your ordering physician to make sure ASV is what he/she wants for you, & get someone to berify that it has been programmed as ordered. The orders & settings are not the same as for a REMStar.

ASV is not just an upgraded CPAP, but a very smart non-invasive pressure support ventilator & not appropriate for folks w/ some obstructive or restrictive breathing disorders. Make sure that your physician & your DME company know what they're doing. Make sure that you are using one of the few mask devices approved for use with ResMed ASV. And make sure that your health insurance compoany really has approved this expensive device.

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Permalink Reply by sherry on April 1, 2009 at 5:21pm

Wow, what great info, I can't thank you enough. I guess I was not diligent enough in my web prowling..I am so glad I have this info to discuss with my doctor when she calls. The tech and I didn't see anything in the manual on data capture, so your info is key..after looking at this discussion site, and seeing that everyone is monitoring their progress nightly, I can see where you have to have the daily numbers to be able to see what is going on.

She did show me a disk in the box, but indicated it was more a user's manual than data software, she said her husband used a CPAP and had a disk and had never looked at it. Thank goodness for the insight this site has given me already! It will be much easier to move the machine from the bedroom to my computer, than to the drs office.

I looked at the prices on the internet, they are charging my insurance company $4056 for it, I pay a 10% co-pay, which seems very good to me. They said the retail is @ $10,000. Thank you for the comment about the mask, as that will be another issue, I see..I used the nasal pillows for the second sleep test, due to so much leakage around the bridge of my nose..which kinda renders the Restasis a waste of money, lol..which is why we went to the pillows. They seemed to work fine with the AVP, but I will check to make sure they will work with the machine I have.

My feedback on the machine may not be the best, as I have not used anything else yet, have just done 2 times at the sleep lab (or no-sleep lab, as I call it).

But I will strap up and see how it does! Again, thank you all so much for your help!

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Permalink Reply by Mike on April 1, 2009 at 5:27pm

Sherry- correct that the mask is always the tricky part. very individual choice. i'm looking forward to hearing all about your ASV treatment. in the back on my mind, i'm always thinking that since ASV is the latest/greatest technology, that maybe it's somehow the future for us all, even with plain old garden variety OSA --- and then there's the question of whether there is such a thing as plain old garden variety OSA, or whether we all experience some central apnea events at some point. anyway, yes, i'll be interested to follow your progress.

sherry said:

Wow, what great info, I can't thank you enough. I guess I was not diligent enough in my web prowling..I am so glad I have this info to discuss with my doctor when she calls. The tech and I didn't see anything in the manual on data capture, so your info is key..after looking at this discussion site, and seeing that everyone is monitoring their progress nightly, I can see where you have to have the daily numbers to be able to see what is going on.
She did show me a disk in the box, but indicated it was more a user's manual than data software, she said her husband used a CPAP and had a disk and had never looked at it. Thank goodness for the insight this site has given me already!
My feedback on the machine may not be the best, as I have not used anything yet, just during the 2 times I have been to the sleep lab (or no-sleep lab, as I call it). Both times I had problems with the masks, which seems to be pretty common, from what I have seen on here...

But I will strap up and see how it does! Again, thanks for your help!

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Permalink Reply by j n k on April 1, 2009 at 5:27pm

Now THAT is some seriously good advice, imo.

Rock Conner RRT said:

ResMed ASV is a high-end, expensive device that I've seen work wonders w/ central apneas when properly applied. It is not outdated by any means. I fear, though, that your DME's tech may be overmatched. Not many of us have much experience w/ ASV. Six months ago, I couldn't even spell it.

Check w/ your ordering physician to make sure ASV is what he/she wants for you, & get someone to berify that it has been programmed as ordered. The orders & settings are not the same as for a REMStar.

ASV is not just an upgraded CPAP, but a very smart non-invasive pressure support ventilator & not appropriate for folks w/ some obstructive or restrictive breathing disorders. Make sure that your physician & your DME company know what they're doing. Make sure that you are using one of the few mask devices approved for use with ResMed ASV. And make sure that your health insurance compoany really has approved this expensive device.

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Permalink Reply by Judy on April 1, 2009 at 7:31pm

That price from your local DME supplier "bothers" me. cpap.com sells it for something like $5500 and they are always considerably cheaper than the local DME suppliers, usually their prices are about 2/3 the local suppliers billed price.

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Permalink Reply by Judy on April 1, 2009 at 8:32pm

Mike, I asked WhiteBeard to respond to this thread. This is the reply I got from him:

"Hey Judy what do you know about this web site, or the Social Net work I was getting ready to sign up and I was reading their terms of service, and they were talking about their Ning Plat form, and then a warning popped up on my machine saying that it was trying to close my Windows Browser and ased if I wanted to close it I hit no and then deleted everything in the sign up Box, I thought I would check with you first about this site before signing up. And yes some of those folks have a completely messed up view of the VPAP ASV! Anywya let me know what you think about it, I am just a little leery about signing up, now. You see a month or so ago I sign up to My Space, and after two weeks I canceled it and got out of it. That is to freaky for me, or to high tech or whatever!

I guess I just need a little reassurance or something before I sign up!"

I know yesterday and today, as I mentioned earlier, I haven't been able to edit my own posts. I haven't been able to reply to your messages to me. I can hit reply until I'm blue in the face and .... na da, nothing. And I've been getting a "Done, but wtih errors on the page" message when I post to the discussions which I assumed had something to do w/my not being able to edit my own posts.

I had given WhiteBeard the URL direct to this page. I reassurred him this was a good forum or I wouldn't have asked him to respond to this post and suggested maybe if he enters thru http://www.sleepguide.com he won't run into the problem he did again.

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Permalink Reply by White Beard on April 1, 2009 at 10:01pm

Well Judy I am here, and first off I want to Thank YOU for inviting me to this Forum! I don't know what that was when I first started to sing up, but I figured if you were posting here and I see Dr. Parks is also a member, That is good enough for me!

I have been on the ResMed VPAP Adapt SV enhanced since last May. The machine is an absolute GODSEND! If you have Central apneas I am convinced that this is the machine to have! And please believe me, because for 18 months prior to getting my ASV I had 6 sleep studies, I was started off on CPAP then CPAP with supplemental O2 then BiPAP with O2 and numerous titration studies upping my pressure, and all of that just made my condition worse as it encreased my Central apneas. My sleep apnea Doctor was a neurologist and for 18 month I went thru H*** then he got sick and I had to go to a different Sleep Doctor this one a Pulmonary Doctor and a Board Certified Sleep Specialist he immediately said I needed to be on ASV and set up the titration study, I then found out that the sleep center had been recommending that I be put on the ASV for Complex sleep apnea with primarily Central Apneas, since my second sleep study back in Jan 07, but my neurologist sleep Doctor did not believe in the ASV the thought the technology was to new and unproven! so he just kept titrating me and upping the pressure and would not put me on the ASV!

Rock Connor RRT is right this machine is actually a ventilator it is specifically made for people with Central Apnea, and Complex Sleep Apnea, and for people with Cheyne-Stokes breathing pattern. The machine actually samples the persons breathing pattern when it is first used every night, and then it will try and maintain that breathing pattern, The machine monitors your breathing all night long and it will actually detect when you are going to have an apnea and it will do what ever is required to prevent you from having an apnea! It is very successful; at doing that! When I was on BiPAP my pressure was 20/16 my average pressure on the ASV is 12.2 ( it will vary from night to night from 12.0 to 12.8) I rarely have an AI, and my AHI is usually between 0.4 and 1.4, but lately it has been higher, but I have been under some stress and some other medical problems, but still my average AI has been 0.0 even if my AHI is above 5 which is extremely rare, usually my high is 3.8 or something like that.
I also have the ResLInk on my machine with the Card and Card reader, and I also have the Nonnin Pulse-Ox attached to the ResLink! I down load the card to my computer every week to ten days, using the ResScan 3.5 software. The detailed data from my machine also includes my O2 Saturations and Pulse rate, and you can view everything right down to the second it happend if you want. I will sometimes send my Sleep Specialist a PDF file with my detailed data in an E-mail so he can monitor my progress, without mailing in the Card. Every morning I still check the data screen on the machine and write down my daily averages, for Leak Rate, AHI, AI, VT, Avg Pressure, Respiration Rate, MV, and used, usage, and mask fit. I know I wouldn't have to do this everyday, since I get all that and much more when I down load from the card, but I only like doing that weekly, and this gives me my daily averages from that night!

Oh yes I also have the HumidAire 2i on it! and I use the Humidifer every night on high! Sherry I can assure you this machine is state of the art, and right now I don't think there is any machine that will compare to it ! I know that Respironics makes an ASV and I know several people that have used it, and they switched over to the ResMed ASV because they like it better. Remember though this machine is different than the orginal VPAP Adapt SV that machine would only put out 20cm of pressure and would not show AHI or AI on the dat screen, the new enhanced version puts out 25cm of pressure and shows AI and AHI data. Please let me know if I can be of any help to you about this machine. I honestly think that this machine is the absolute BEST and I will sing it praises, I do hope that it works just as well for you! Good Luck to You

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