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Hi everyone,

I am in the process of purchasing my 2nd CPAP machine. My current one (FischerPackel HC234) is getting pretty noisy (after only 2 years).

Medicare covers the Resmed S8 Elite II w/EPR and Respironics M Series Pro w/C-Flex.

Research on the web over the last 3 hours leads me to believe the Elite is the better machine (quieter,more user-available data, etc.) Also, there appears to be (or was) a leak problem with the M Series Pro between the humidifier and the base unit.

My DME is pushing the M Series Pro. He claims that Resmed quality is not as good as it used to be a few years ago. He also claims that the M Series Pro C-Flex is much superior to the Elite II's EPR.

I think the DME likes the M Series Pro because he makes considerably more profit with it, so I've come to this forum to get the real skinny from those more experienced than me.

I would really appreciate any comments about these statements so I can make a more informed decision.

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I believe it all depends on how you are going to use the machine. Do you use an auto-pap or straight CPAP? Both machines are great. Each are top of the line in straight CPAP mode. I do believe that the Resmed auto capabilities have fallen a little behind the Respironics technology. This is based on my own experiments with both units in auto mode. If you practice self titration I believe the Resmed machines have more features and better user software. How doeyou plan on using your machine.
I use straight CPAP. I'm looking for a quieter machine than the one I already have. I plan to use it all night, every night. Its pressure is set to 8. I am not going to practice self titration, but I do like the additional information that the ResMed can display. I believe the software package for this and a lot of other machines is around $140, so I pass on that one.
I am a Respiratory Therapist with a national home care provider and have used both CPAP units, the Resmed with EPR is a much better machine for either straight CPAP or auto titrating. We have done studies internally with overnigth oximetries being done using each unit. Our results were that there were far less oxygen desaturations with the Resmed CPAP. Resmed in our experience is a more user friendly product with far superior product support from the manufacturer than Respironics.
My husband uses the Resmed S8 Elite II w/EPR in straight CPAP mode. It is very quiet. He likes it a lot.He reads his overnight data in the morning or waits until the weekend and downloads the weeks data on the ResScan software.

I use the Resmed S* Autoset II with EPR and like it a lot. I use mine in the autoset mode with the pressure at 9-12.
Were your experiments done in auto mode or straight CPAP mode? My in lab experiments have lead me to believe that the resmed auto capabilities are a little lacking. Not that it is not a great machine, but we are comparing apples to apples here. Are you an RT practicing sleep, or an RT experimenting with the machines? I ask because there is a difference in the way the 2 practices view desats. How many nights did you perform these studies? It would be tough to base any decision for either of these units based on one night using only o2 desaturations. The reason for this is normal respirations during REM are by definition, "irregular." This is due to the respiratory drive switching from "Metabolic Control" to "Behavioral Control" (please see the chapter on Rapid Eye Movement sub topic Respirations in Principles and Practice of Sleep Medicine.) so o2 desats alone might not be a good parameter to base a decision on. My data is based on a week of one person switching back and forth from machine to machine during a psg. What we saw was that the Resmed units were more likely to over titrate. To truly evaluate or compare the efficacy of both machines we would need a much larger control group monitored over say 1-6 months. Without doing this both of our views are just personal opinions I would say that both are a little lacking as far as customer service goes with patients. After all the patients are not who they are selling to. Which is part of the problem.

Debbie Vinjamuri said:
I am a Respiratory Therapist with a national home care provider and have used both CPAP units, the Resmed with EPR is a much better machine for either straight CPAP or auto titrating. We have done studies internally with overnigth oximetries being done using each unit. Our results were that there were far less oxygen desaturations with the Resmed CPAP. Resmed in our experience is a more user friendly product with far superior product support from the manufacturer than Respironics.
Ah, forgive me, Rock Hinkle. But I so agree w/Debbie Vinjamuri regarding the Resmed S8 Elite w/EPR or the Resmed S8 Elite II w/EPR being SUPERIOR to the Respironics M Series Pro w/C-Flex!!!!

You really don't want me to go thru my litany of what I do NOT like about the Respironics M Series. The previous "tank" (I think it was the "Legacy" or "Classic" lovingly called the "tank") was far superior to the M Series which was a definite step backward even amongst the Respironics fans if they had experience w/the both the "tank" and the M Series.

And if data is important to you but the software and cable reader aren't an option for you then DEFINITELY the Resmeds are superior to the Respironics!
Go ahead with the litany. I've received a lot of positive response from users on the ResMed, but practically none (positive or negative) on the Respironics. And I agree with R Hinckle - the manufacturers are selling the stuff to the providers, not to the patients.

Judy said:
Ah, forgive me, Rock Hinkle. But I so agree w/Debbie Vinjamuri regarding the Resmed S8 Elite w/EPR or the Resmed S8 Elite II w/EPR being SUPERIOR to the Respironics M Series Pro w/C-Flex!!!!

You really don't want me to go thru my litany of what I do NOT like about the Respironics M Series. The previous "tank" (I think it was the "Legacy" or "Classic" lovingly called the "tank") was far superior to the M Series which was a definite step backward even amongst the Respironics fans if they had experience w/the both the "tank" and the M Series.

And if data is important to you but the software and cable reader aren't an option for you then DEFINITELY the Resmeds are superior to the Respironics!
Ah, there's no need to go thru my litany of M Series dislikes. Respironics has just introduced their new line of PR SystemOne devices and production of the M Series has stopped so its a rather moot point anyway.
Does anyone know details of the new line?
The APAP was introduced last month, I think it was. But the big major introduction of the entire line is taking place I think this weekend or coming week at some trade fair type of activity. I've forgotten most about it. This new PR SystemOne Auto is supposed to do just about everything but breathe for us. It sounds VERY intriguing - except it also sounds like they will have taken a step backwards as far as patients' access to their data.There is a thread about it here and at cpaptalk.

I apologize, I wasn't thinking about your having to decide between the Elite and the Pro. I've just railed so much against the M Series it seemed like old hat and beating a dead horse.

The M Series consists of the device, a platform or power brick, the integrated humidifier, the humidifier tank, two cords w/a small but heavy box on one cord (I think I read that the latest M Series "might" have only had one cord).. Compare that to the S8 or S8 II device, integrated humidifer, humidifier tank and one cord.

Accessing the data via the LCD screen on the M Series whilst not exactly difficult is a PITA as compared to the ease of access of the Resmeds.
The amount of data via the M Series LCD screen is limited as compared to the Resmeds.
The M Series tends to drop data one or two days a month.
The M Series have some blue lights on the top that can NOT be turned off that are very bothersome to many.
And then there is that "iffy" humidifier. Supposedly they finally came up w/a fix for its tendency to leaks, but you have no real way of knowing if you get one of the earlier or one of the later models.

I think I may have forgotten something but .... you get the drift. None of my dislikes have any thing at all to do w/the quality of the therapy they provide. They do provide excellent therapy. No better therapy in my opinion than the Resmeds but certainly excellent therapy. I would not in anyway criticize them for that.s
Thank you for the info. I had forgotten about the "brick" and lack of a power cord. I think I'll insist on the ResMed.
I AM going to agree w/Rock Hinkle and auto titrating w/the Resmed VPAP Auto which is a bi-level. The VPAP Auto is NOT a particularly good device for auto-titrating - UNLESS it is a matter of "we" (meaning patient and the RPSGTs I've encountered so far) just don't understand or can't wrap our minds around the difference between titration w/the Resmed VPAP Auto and the Respironics Bi-PAP Auto.

But this has NOTHING to do w/the Resmed S8 Elite II which is one heck of a good device. The S8 Elite was my favorite straight CPAP by far.

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