RE: Need Help Deciding Which Machine Please...
I found this list:
Resmed
S9 Autoset™ Cpap
S9 Escape Cpap
S9 Escape Cpap with H5i
AirCurve 10 S Bilevel w/ HH
AirCurve 10 VAuto w/ HH
AirSense 10 Elite w/ Humidifier
AirSense 10 Autoset
VPAP™ Auto 25 Cpap
H4i™ Humidifier
H5i™ Humidifier
Airfit N10 Nasal and Full Face
Quattro Air Full Face Mask™
Mirage FX Mask™
Mirage SoftGel Mask™
Swift™ FX Nano
Swift™ FX Nano for her
Swift™ FX Mask
Swift™ FX for her Mask
Mirage Activa™ LT Mask
Mirage Micro™ Mask
Mirage Vista™ Mask
Mirage Quattro™ Mask
Mirage Liberty™ Mask
Respironics
Remstar Plus w/ C-Flex
Remstar Pro w/ C-Flex
Remstar Auto w/ A-Flex
Sleep Easy w/ C-Flex
Wisp Nasal Mask
Nuance Pro Mask
Comfort Classic Mask
Comfort Full 2 Mask
Comfort Fusion Mask
Comfort Gel Mask
Comfort Gel Full Face Mask
Comfort Select Mask
EasyLife Mask
Profile Lite Mask
Gold Seal Mask
Devilbiss
intelliPAP Bilevel S Cpap
intelliPAP AutoAdjust Cpap
intelliPAP Standard Plus Cpap
Fisher & Paykel
Icon Premo Cpap
Icon Novo Cpap
Icon Auto Cpap
Pilairo Q Nasal Mask
Eson Nasal Mask
Flexifit 405 Mask
Flexifit 406 Mask
Forma Full Face Mask
Flexifit 432 Full Face Mask
Flexifit 431 Full Face Mask
Zest Mask
Opus Mask
Somnetics
Transcend II Cpap
AEIOMed
Everest Cpap
Puritan-Bennett
Sandman Intro Cpap
RE: Need Help Deciding Which Machine Please...
(02-08-2015, 03:38 AM)player Wrote: I found this list:
That's a very incomplete list which leaves out lot of machines. It also mixes up machines and masks. It also lists a lot of superseded masks and machines. Apart from demonstrating that there's a lot of confusion out there it's not really very helpful.
Unless you have a pressing reason to do otherwise, you should stick to the market leaders Resmed and Philips. You should avoid the base-model non-data machines, and (unless there is a medical reason) you don't need a bilevel (Bipap, Aircurve, VPAP) machine. This brings you down to a Resmed A10 Airsense Elite or Airsense Autoset, or the Philips equivalents. Don't over-complicate things, they're complicated enough already.
RE: Need Help Deciding Which Machine Please...
Should I delete it?
RE: Need Help Deciding Which Machine Please...
No, if nothing else it's interesting just to demonstrate how confusing this business can be.
RE: Need Help Deciding Which Machine Please...
What it does demonstrate is that you are looking for a machine with "auto" in it in some form. The vanilla form for the Remstar is the Auto with A Flex, for Resmed the A10 autoset which supersedes the very good S9 Autoset. I doubt your prescribing doc will deny an aoutsetting machine for you, unless he is a total berk or OHIP is a total moster with tyrannical rules - it makes his job way easier if your machine autotitrates and ensures better compliance. The only reason to not, IMHO, is if you have a special form of SA that requires bi-level or other forms of machines to deal with complex apnoea or extreme central apnoea. You did not indicate that to be the case. It is no longer practice here to prescribe a fixed pressure, nor should it be, but instead a pressure range. The machinery available is now smart enough to find the right levels and micro-adjust over the night, which was not the case 10 years ago. However, I am aware that OHIP has been put under extreme pressure by the Ontario government to cut as many corners as possible, and that there is more or less a medical crisis in that province, especially in Toronto, which has a shortage of doctors for the patient load.If your doc will not write the script, find one who will or talk to you GP or to your ombudsman.
02-08-2015, 05:21 AM
(This post was last modified: 02-08-2015, 05:22 AM by player.)
RE: Need Help Deciding Which Machine Please...
I will talk to my sleep MD, but I only saw her once on a remote video conference briefly.
I was told before the doctor will offer the auto script they need to be able to show a variance between
6 and 10.5 with side and back in one session. Unfortunately the approved dealers only offer a small number of govt approved units.
The govt pays 75% of the cost, bringing it to $215 out of my pocket. If I don't get the script for auto and I go auto, I get no help.
So I will push for the auto script, but if not I will pick the best unit I can, hopefully with some guidance from this community.
I guess I could sell it new and get a better one on sale...but I have a loaner for another week, and I do not want to go without a machine when the week is up.
RE: Need Help Deciding Which Machine Please...
You machine is data capable - all you need is to show an increase in AHI between back and side sleeping, which you can do easily enough, even without cheating. Insist they review the data and look at individual AHI variance over the night - increase in AHI at various points of the night will indicate a possible position change and will allow for them to write a script for an auto machine. It is, btw, a daft rule if ever I heard of one, the one you mentioned. Should be challenged and struck off the books. Auto machines should the basic script model in Canada, as it is in Switzerland.
RE: Need Help Deciding Which Machine Please...
An update:
I am most likely getting the AirSense 10 Elite w/ Humidifier.
I cannot get an auto machine, so I think this machine is the newest and most feature packed for the money.
RE: Need Help Deciding Which Machine Please...
It's a good machine and will give you good feedback on your treatment. There is a lot of emphasis on the auto machines here, but for a lot of us, the best treatment occurs in a narrow range. The auto helps to find that, but it's still a CPAP. Elite also has a 3 cmH20 exhale pressure relief. Good luck!
RE: Need Help Deciding Which Machine Please...
(02-11-2015, 10:13 PM)player Wrote: An update:
I am most likely getting the AirSense 10 Elite w/ Humidifier.
I cannot get an auto machine, so I think this machine is the newest and most feature packed for the money.
It's fine for a manual CPAP. Check on the right bottom of the front of the machine and it should say AirSense 10 Elite.
It wouldn't be surprising if a DME tried to switch machines on you.
Get the free OSCAR CPAP software
here.
Useful links.
Click
here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.