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Some Personal Observations on New System One from Respironics
I've been trying out the new System One from Philips-Respironics this past week, and wanted to capture my observations in a thread so that others considering the device have the benefit of some color commentary:
I have the System One Auto-Adjusting CPAP. I am making the transition after years of using the M Series Auto-Adjusting CPAP with A-Flex from Respironics. Unlike a few months back when I tried out the ResMed S8 Autoset II with EPR Auto-Adjusting CPAP, the transition to the System One was a smooth one. It felt familiar and identical therapeutically to my M Series. When I tried the ResMed, it was a very different feeling, and I awoke in the morning feeling cloudy and unrested. I attribute the difference to the different algorithms ResMed and Respironics employ. Going from one manufacturer's machine to the other is a lot more jarring than "marrying up" to the latest device in a given manufacturer's line.
The device looks a lot less intimidating out of the box than do most flow generators. That's because there aren't many buttons on the device -- the user interface has migrated to an iPhone-like dial that lets a user scroll on an LCD screen through various user options.
For those who want to tinker with their own therapy, and adjust their own settings, suffice it to say there is a "secret handshake" that gets you into the clinician's menu. I don't necessarily encourage or discourage this sort of self-therapy -- I leave it up to adults to make intelligent decisions on their own as to what to do here.
The humidifier is one of the biggest advancements over the M Series in my view. No matter how high I cranked it up, i didn't get "rain-out." It also seems to be much more economical in its use of the distilled water I added into the humidifier chamber. I only filled it up ~25%, and it wasn't much lower than that in the morning. I found that the M Series consumed a lot more water, even at low humidifier settings. Furthermore, the humidifier chamber is designed to be spill-proof, which is nice for those of us who have transported a humidifier full of water only to find the water spill into the innards of the machine and cause problems.
Here's the biggest rub about this machine: while it's fully data-capable, and has an SD card that captures every breath you take and the efficacy of your therapy, there is no path for the patient to obtain last night's data on his/her own. Respironics needs to put out patient software for this device, as it has for its predecessor, the M Series. Why keep patient data behind lock and key?
I'll report more as things occur to me, but wanted to report my initial thoughts now.
I have the System One Auto-Adjusting CPAP. I am making the transition after years of using the M Series Auto-Adjusting CPAP with A-Flex from Respironics. Unlike a few months back when I tried out the ResMed S8 Autoset II with EPR Auto-Adjusting CPAP, the transition to the System One was a smooth one. It felt familiar and identical therapeutically to my M Series. When I tried the ResMed, it was a very different feeling, and I awoke in the morning feeling cloudy and unrested. I attribute the difference to the different algorithms ResMed and Respironics employ. Going from one manufacturer's machine to the other is a lot more jarring than "marrying up" to the latest device in a given manufacturer's line.
The device looks a lot less intimidating out of the box than do most flow generators. That's because there aren't many buttons on the device -- the user interface has migrated to an iPhone-like dial that lets a user scroll on an LCD screen through various user options.
For those who want to tinker with their own therapy, and adjust their own settings, suffice it to say there is a "secret handshake" that gets you into the clinician's menu. I don't necessarily encourage or discourage this sort of self-therapy -- I leave it up to adults to make intelligent decisions on their own as to what to do here.
The humidifier is one of the biggest advancements over the M Series in my view. No matter how high I cranked it up, i didn't get "rain-out." It also seems to be much more economical in its use of the distilled water I added into the humidifier chamber. I only filled it up ~25%, and it wasn't much lower than that in the morning. I found that the M Series consumed a lot more water, even at low humidifier settings. Furthermore, the humidifier chamber is designed to be spill-proof, which is nice for those of us who have transported a humidifier full of water only to find the water spill into the innards of the machine and cause problems.
Here's the biggest rub about this machine: while it's fully data-capable, and has an SD card that captures every breath you take and the efficacy of your therapy, there is no path for the patient to obtain last night's data on his/her own. Respironics needs to put out patient software for this device, as it has for its predecessor, the M Series. Why keep patient data behind lock and key?
I'll report more as things occur to me, but wanted to report my initial thoughts now.
Views: 2730
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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I had a chance to see this machine today. Have you tried to spill the water yet? The end user software is coming. The data that can be transmitted to the doc is pretty cool. They actually get respiratory waves somewhat like a PSG. I have the printout, ut I am scanner illiterate (MIKE!). the new algorithm is supposed to be able to differentiate between obstructive events and CSA.
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Permalink Reply by Mike on
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I'd like to post the printout. Do you have a fax? I'll give you my fax number and post it for you.
Haven't tried very hard to spill water yet.
Rock Hinkle said:I had a chance to see this machine today. Have you tried to spill the water yet? The end user software is coming. The data that can be transmitted to the doc is pretty cool. They actually get respiratory waves somewhat like a PSG. I have the printout, ut I am scanner illiterate (MIKE!). the new algorithm is supposed to be able to differentiate between obstructive events and CSA.
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Permalink Reply by Socal on
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Congratulations Mike! I am glad the switch has been smooth for you.
After two months on mine... I am still completely happy and feel like I'm getting better, improved, more comfortable therapy.
I agree with you on the software. With all this great new data the machine captures... it's nuts that there is no way to access it. My doctor, my DME, and my local sleep lab don't have Encore Pro 2.1 - so I can't even take the SD card anywhere to be read. In time, I am sure this will be solved. But a patient version of the software would make this most awesome complete system ever.
I reset my machine everyday, and record and chart it on a spread sheet. At least that is something for now.
Rock, you mentioned the software is coming. Is that any kind of official word from PR? Because my inquires to that question have been met with mixed answers.
For me, this machine has really improved my therapy. I look forward to hearing more about your progress and observations.
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It has to be coming. That is the way things like this work. Either the manufacturer will make it, or some independent will (hint, hint, wink, wink). There is too much of a demand for it not to get done.
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Today I got confirmation from a reliable source at PR, that a patient version of the software is coming. He said they're working on it now, but did not have an anticipated release date. This came from someone higher up... not the normal rep you can reach by phone. I now believe it really is coming. I repeated back to him several times, and got a firm confirmation that "there will be patient viewer software".
So that is good news. I also think the fact that they still have Encore Viewer software listed on the web site... and didn't remove it when the PR launch happened, is also a good sign.
I do want to encourage one and all to keep asking for it... so they will know demand is still there.
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In recent days, I've started using a room humidifier because my newborn is sleeping in a bassinet in our bedroom and the pediatrician recommended using it. But it has had an unexpected side effect: rain out in my CPAP mask. But wait, you might say, isn't the new Respironics System One supposed to compensate for and prevent rain out? Exactly. That's why I'm wondering myself what's going on.
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Permalink Reply by Jan on
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Does anyone know if the end user software is out yet...and whether the System One Bipap is out or when it might be coming to market?
Mike, also wondering if you figured out the humidification problem you talked about in your post above.
Thanks
Jan
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DADADA
Mike said:In recent days, I've started using a room humidifier because my newborn is sleeping in a bassinet in our bedroom and the pediatrician recommended using it. But it has had an unexpected side effect: rain out in my CPAP mask. But wait, you might say, isn't the new Respironics System One supposed to compensate for and prevent rain out? Exactly. That's why I'm wondering myself what's going on.
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I don't know about the first 2 questions, but no, I never did figure out the humidification problem -- but I think I know of someone who can shed some light on it for me -- a guy I know who works for Respironics. I'll reach out to him and let you know what he says.
Jan said:Does anyone know if the end user software is out yet...and whether the System One Bipap is out or when it might be coming to market?
Mike, also wondering if you figured out the humidification problem you talked about in your post above.
Thanks
Jan
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I'll also ask about your other questions.
Mike said:I don't know about the first 2 questions, but no, I never did figure out the humidification problem -- but I think I know of someone who can shed some light on it for me -- a guy I know who works for Respironics. I'll reach out to him and let you know what he says.
Jan said:Does anyone know if the end user software is out yet...and whether the System One Bipap is out or when it might be coming to market?
Mike, also wondering if you figured out the humidification problem you talked about in your post above.
Thanks
Jan
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The System One Bipap is out. http://bipaps.respironics.com/
The software is coming. They are suppose to be working on it now.
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Got word back from the Respironics rep I'm in touch with, with the following answers:
1. RE HUMIDIFICATION PROBLEM: Occasionally you may get mask condensation from the warm air you are exhaling through the mask. It is very difficult to control this. You shouldn't get rain out in the tubing though.
2. RE PATIENT ORIENTED SOFTWARE FOR SYSTEM ONE; Just asked that the other day. They are working on it with no expected release date.
3. RE SYSTEM ONE BIPAP RELEASE: System 1 BiPAP and System 1 BiPAP Auto are both out as of about a week or so.
Jan said:Does anyone know if the end user software is out yet...and whether the System One Bipap is out or when it might be coming to market?
Mike, also wondering if you figured out the humidification problem you talked about in your post above.
Thanks
Jan
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