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.
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