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Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
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retired_guy Offline

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Posts: 2,744
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Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #1
Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
I'm helping a friend who has a brand new PR-System-One-60-Series-REMstar-Auto-A-Flex. Her Doc's prescription is for straight CPAP at 11, so we pretty much have to stay there until her "compliance" thingy is done. I'm a Resmed guy, so this machine is new to me.

But I do think we're going to have to increase her pressure a little bit because 11 isn't quite doing the thing, so "compliance" or not, we'll probably do that.

In reviewing the manual for this thing, I see a feature called "Split Session," or some such thing. What it does is start the night CPAP at a specific pressure, then sometime during the night switch to APAP at a range of pressure.

That sounds intriguingly interesting to me. So my question is: Is anyone using this feature? What do you think about it?
11-01-2014 03:07 PM
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archangle Offline
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Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

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Location: USA

Post: #2
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
Nobody seems to use split night much. I think it's mainly intended for some sort of minimal sleep test type of function.

Do you have the provider manual? Split night IS a CPAP then APAP mode.

To insurance, "compliance" usually seems to be 4 hours a night, and they don't care about pressure. The chances of the doctor or DME actually looking at the data enough to notice the change is small, but it is possible. Most of them seem to only bother checking to see if you're getting your 4 hours so they can ring the cash resgister.

You might want to leave it alone in order to give the doctor a chance to do his job right.

Get the free SleepyHead software here.
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If it's midnight and a DME tells you it's dark outside, go and check it yourself.
11-01-2014 03:36 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #3
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
Thanks Archangle. I would prefer to leave the pressure alone, but her ahi for the last 3 nights is averaging about 14. Her doctor doesn't want to see her for 90 days. Right now I'm just waiting to make sure the CA's go away, then I think we'll increase the pressure a little.
11-01-2014 06:42 PM
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Galactus Offline

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Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #4
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
Well since it isn't broke I have a suggestion to break it..... You could use the split session so that she is "in compliance" at the listed pressure for the four hours, and then go to apap at the higher pressure after she has complied, so she can get real results Big Grin

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
11-02-2014 12:18 AM
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #5
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
I just looked at the clinician manual that came with mine. Its the same machine. You could skip auto trial mode and directly enable cpap check mode with the drs preset pressure intact.

In that mode the machine will only increase or decrease the pressure one CmH20 every thirty hours based on events. It will only increase or decrease the pressure a max of 3 CMH20. In her case it would probably up the pressure over 90 hrs to what she needs or a max of 3 CMh20. You could then set the pressure at what the machine chose based on what its recorded and go back to straight cpap mode since you seem stuck to stay in cpap mode for now. If Cflex is turned on during the cpap check itll set pressure using that and carry that setting over if you reset the pressure unless you change it manually.

Otherwise you could enable opti start in auto mode which would calculate the best starting auto pressure every thirty hours until you disabled it.

Just a thought but the first few days I used my machine my AHI was considerably higher then dropped overnight to the .5 to 3 ahi i run now. She may just need a bit of time to get used to the machine. Also it is running cflex? Takes a bit of time to get used to Aflex or Cflex or it did for me at least
(This post was last modified: 11-02-2014 01:21 AM by Ghost1958.)
11-02-2014 01:14 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #6
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
Thanks guys... I'm going to just watch her for a couple more days... Last night her ahi was still high, but virtually all Hypop vs: the CA and OA's she's been experiencing. So I'm going to see if she can't stabilize a little before we do anything. Also I found out she's sleeping mostly, if not always, on her back. So that will need to be changed for now.
11-02-2014 01:34 AM
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Galactus Offline

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Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #7
RE: Question about: PR-System-One-60-Series-Remstar-Auto-A-Flex
We're here for you if you need more help, of course Smile

Sometimes watching and waiting is very helpful indeed.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
11-02-2014 01:09 PM
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