Is this machine obsolete?

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Permalink Reply by White Beard on April 4, 2009 at 2:13pm

sherry I use the ResMed Mirage Liberty mask it has nasal pillows and it also covers your mouth it, I am a mouth breather of sorts, when I sleep my facial muscles relax so much that even with a chin strap air escapes out my mouth, so I found the Liberty a good answer to tha! I also can't stand anything pressing on the bridge of my nose and I can't stand air blowing into my eyes! Anyway I have found the Liberty mask passes the learning circuit just fine! you just set it on full face mask and yourt all set! You might ask your DME about checking that mask out if you think you would be interested.

Also do you have the humidifier with your machine? If not I would ask your Doctor to write the script for it, I have the HumidAire 2I it fits right onto the front of the machine. Anyway if if I can help you in anyway just let me know!
Good Luck to You!

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Permalink Reply by sherry on April 5, 2009 at 5:32pm

Good to hear, I will try the nasal pillows, 10-4 good buddy on the air in the eyes!

They did have a 2i humidifier ready to go with the machine, but because I was not too confident that was the machine I should have, as well as the humidifer being a non returnable purchase of $365, I decided not to purchase at that time.
I have since seen them for $150 at online suppliers, so I plan to either get one there and save my insurance company $200, or find a local DME, in any event I won't return to the one where I picked the machine up, as my experience there was not a good one.

I'm glad you mentioned the humidifier, as I saw there is a 2i, 3i and 4i, and couldn't really tell the difference except apparently the 4i has a larger capacity?

Thanks
Sherry

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Permalink Reply by White Beard on April 5, 2009 at 5:54pm

I think the ASV will only take the HumidAir2i as the add on that fits right onto the machine. Unless they have changed it. Anyway I hope you have as good of luck with it as I have had. I tell you it has made such a difference, for me. That year and a half I spent on CPAP and BiBAP was completely wasted time not to mention that those treatments were making me worse! And I had such high pressures with those machines all the time. This machine will often go up to 25cm to prevent an apnea but it will go right back down to a reasonable pressure afterwards. I also have a rather high leak rate with my mask because of my beard, ( I have a santa beard) pictures on my page! anyway this machine seems to compensate for that really well and my average pressure stays around 12.2 or so! Which is allot better than the 20 on the CPAP and BiPAP!
Good Luck
White Beard

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Permalink Reply by Ron Sowell on July 11, 2009 at 4:37am

wow - you are really up on this machine. I don't even know what Al and AHl are! Have been on BiPAP for years and have just recently gotten the news that I had central sleep apnea. I recently took the card and mailed it to my tech who downloaded and sent to my neurologist. She sent me a copy and, like I said, I don't know what all this stuff means ! Mike asked me to send the report to him and he is working on getting some answers. Have a leak problem right now. Have tried two different masks and tech sent me a different one yesterday - a large. I at least wear a medium- that we determined with last visit- so of course have to send it back and wait for a medium and try that out. We live in a small town in NC and have to travel to GA to get the sophisticated help we need. My ENT here is wonderful though, and he is the one who suggested I go to a neurologist. I think, though, like you I may need to see a pulmonolist instead as they probably know more about apneas - although this neuro had sleep disorders as a sub-specialty. I am interested to hear what Sherry has to say in future posts. Maybe with the help of everyone on here I can start to understand my own condition a little better and will be better able to monitor it.

White Beard said:

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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Permalink Reply by Jodi Gardiner on November 5, 2009 at 10:29pm

This is my third week on the ResMed VPAP Adapt SV. It was so good to find this forum. I have never put my personal info on the net before, but this is such a unique condition, and others simply do not get it. Even the tech was "put off" by the need for this "fancy" machine.

I am struggling with many of the same issues that you all have mentioned here, brusing on my nose especially. But the machine does help me so much with feeling more alert mentally. I am determined to overcome all the obstacles and day by day it is sure to improve.

Thanks for listening for now, and I will post again next week.

White Beard said:

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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