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Advice reg. New CPap machine.
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Sharat Offline


Posts: 4
Joined: Feb 2016

Machine: ResMed S9 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage Softgel
Humidifier: ResMed H5i
CPAP Pressure: 15.0
CPAP Software: Not using software

Other Comments:

Sex: Male

Post: #11
RE: Advice reg. New CPap machine.
I have been using a Sine wave inverter( during power breakdowns) and a Stabiliser( for voltage fluctuation) with my machine. The problem is that after a couple of hours of therapy, the machine shuts off & a notice saying' Tube blocked. Check tube' appears. Now I have checked the tube as well as used another new one, but the same thing happens. The technician says that the pcb board & sensors may be at fault & replacing them would cost me almost as much as a new machine.
02-19-2016 01:05 AM
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DariaVader Offline
Apnea Board Facebook Editor

Posts: 1,812
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #12
RE: Advice reg. New CPap machine.
The Escape Auto if I recall correctly, has what is called and "auto trial" mode. It is very limited in that you can only use it for 30 days - ever. In addition, it will only do auto at lower pressures than you need. The Elite is a data capable cpap, between the 2 it is your better choice. The S9 line is deprecated and Resmed has a newer line --- You should use that information to negotiate the best deal on an Autoset, but if you must choose between the other 2, then select the Elite.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
02-19-2016 07:27 PM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #13
RE: Advice reg. New CPap machine.
(02-18-2016 10:03 PM)Sharat Wrote:  While I am aware that the ResMed S9 Escape Auto is not fully data capable, it seemed to be a mid way compromise between the Elite( fixed pressure) & the Autoset( much too expensive). Importing an old Autoset from Supplier No. 2 is not an option, since the time taken for custom clearance and the duties levied are high. Add to that the freight & it becomes prohibitive.
Page 5 of the Clinical guide to the S9 says that the Escape Auto runs on the APAP MODE, which treats Apneas upto 10 cms. H2O & does not differentiate between different types of Apneas. Since my prescribed pressure is 15 cms. H2O, the APAP mode would not help, will it? I will have to use it in the CPAP mode. In that case, why not just go in for the Elite, which is much cheaper? I need some clarity & advice on this aspect.

Hi Sharat,

If you have requested by email the setup manual (Clinician Guide) for the S9 Escape Auto, then you know that there is no time limit to how long it will operate in Auto mode. The setup manual covers the S9 Escape, S9 Escape Auto, S9 Elite and S9 AutoSet, and is available for free by following instructions in section three of this webpage:

It reports nightly AHI and hours used, which is hardly anything at all compared to a fully data-capable machine.

If the pressure is below 10, the machine will take apneas into account when deciding whether the pressure should be raised, but since it cannot distinguish between central versus obstructive apneas, and since higher pressure often makes central apneas worse or more prevalent, the machine does not raise the pressure above 10 based only on the fact that an apnea has just occurred.

In its Auto mode, if Min Pressure is set to 15 and Max Pressure is set to 20, having an apnea will not cause the pressure to increase, but snoring and "Flow Limitation" (which are signs of partial obstruction of the airway) can still cause the pressure to be raised, up to 20.

Since your prescribed pressure is 15, the S9 AutoSet or the Philips Respironics APAP with heated tube would likely provide better therapy, and much, much better data.

The difference in cost should not be as great as you have been led to believe. The cost increase to buy an S9 AutoSet versus an S9 Escape Auto is not large.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 02-20-2016 01:54 AM by vsheline.)
02-20-2016 01:29 AM
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