Post Reply 
Questions regarding System One BiPAP AutoSV (DS960)
Author Message
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #11
RE: Questions regarding System One BiPAP AutoSV (DS960)
Mark, there is a discussion on ResMed v Philips here: http://www.apneaboard.com/forums/Thread-...ght=holden

I found the ResMed a lot easier to live with than the Philips, but other users have found the opposite. The Philips seems to have a lot more configurable options.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-24-2013 02:26 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
markbking Offline

Members

Posts: 7
Joined: Oct 2013

Machine: ResMed S9 VPAP Adapt
Mask Type: Nasal pillows
Mask Make & Model: RESMED
Humidifier: ResMed
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Fallston, Maryland

Post: #12
RE: Questions regarding System One BiPAP AutoSV (DS960)
Thanks again to everyone for their comments and support!

Well, the DME is dodging me but maybe that turned out for the best. Last night was much better than the previous night and I had no leak alarms. After reading the thread posted by DeepBreathing, and considering Peter_C's advice, I am thinking that I will probably stick with the Respironics after all. I still may press the DME to update the firmware though. Being an IT guy it would seem to me that the best business practice for a DME would be to ensure each system they sell has the latest firmware before giving it to the client.

Wow, getting used to therapy is tricky enough, but making difficult decisions in a short amount of time about complex and expensive equipment that we rely on so heavily is no simple feat. Thanks for helping me make an educated decision.
(This post was last modified: 12-24-2013 08:05 AM by markbking.)
12-24-2013 08:04 AM
Find all posts by this user Post Reply Quote this message in a reply
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #13
RE: Questions regarding System One BiPAP AutoSV (DS960)
As you are discovering, it takes a few days (weeks) to get used to ASV.
After 2 months I sometimes feel I have to check to be sure the machine is on.

On rare occasion it will fight me when I am still awake. I find deep breathing whips it back into shape in a few breaths.
12-24-2013 10:39 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #14
RE: Questions regarding System One BiPAP AutoSV (DS960)
Just a thought? In my many dealings with 'DME's, I've found them to be knowledgeable about many things, but IT type stuff is not one of them. They may not even know what firmware is or what it does. So honestly, good luck with that. Remember, if it was a critical issue being fixed, a recall would happen. I suspect that updated firmware is simply trying to fix small issues while introducing new small issues.

I'm in the if it ain't broke, don't fix it camp myself.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
12-24-2013 05:30 PM
Find all posts by this user Post Reply Quote this message in a reply
vsheline Offline

Advisory Members

Posts: 1,908
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: #15
RE: Questions regarding System One BiPAP AutoSV (DS960)
(12-24-2013 08:04 AM)markbking Wrote:  After reading the thread posted by DeepBreathing, and considering Peter_C's advice, I am thinking that I will probably stick with the Respironics after all. I still may press the DME to update the firmware though. Being an IT guy it would seem to me that the best business practice for a DME would be to ensure each system they sell has the latest firmware before giving it to the client.

The S9 VPAP Adapt is certainly less customizable, with very few settings. It is sort of a "One Size Fits Most" machine.

By the way, I suggest anyone who is getting the S9 VPAP Adapt should insist on the new model manufactured starting Nov 2012. On the older S9 VPAP Adapt (if in USA models 36007, 36017 and 36027), the EPAP pressure setting was fixed and did not auto-adjust; only the IPAP pressure (or Pressure Support) auto-adjusted itself.

The Clinician Manual (available from Apnea Board) will tell you what settings can be adjusted to affect how early or late the machine traditions from inhale to exhale, and from exhale to inhale, and which settings affect how abrupt or smooth the transition will be.

Below are listed a few of the settings available on the 2010 model PRS1 BiPAP autoSV Advanced. The 2013 model (DS960 if in USA) may have additional settings.

• BPM - This screen allows you to modify the Breaths Per Minute setting. You can choose between Off, Auto, or 4 through 30 in 1 BPM increments.
Note: This setting only displays if PS max is greater than zero.

• Ti - This screen allows you to modify the Inspiratory Time setting. You may adjust the setting from 0.5 to 3.0 seconds in 0.1 increments. This setting only displays if PS max is greater than zero and BPM is not set to Off or Auto.

• Flex type - This screen displays the comfort mode setting. You can select None or Bi-Flex.

• Bi-Flex - You can modify the Flex setting (1, 2 or 3) on this screen if you enabled Bi-Flex. The Bi-Flex comfort feature allows you to adjust the level of air pressure relief that the patient feels when exhaling during therapy. The setting of “1” provides a small amount of pressure relief, with higher numbers providing additional relief.

• Rise time - Rise time is the time it takes for the device to change from the expiratory pressure setting to the inspiratory pressure setting. This screen allows you to adjust the rise time so you can find the desired setting. A setting of “0” is the fastest rise time, while “3” is the slowest. This is only available if Flex type is set to None and PS max is greater than zero.

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: 12-26-2013 12:57 AM by vsheline.)
12-26-2013 12:32 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
markbking Offline

Members

Posts: 7
Joined: Oct 2013

Machine: ResMed S9 VPAP Adapt
Mask Type: Nasal pillows
Mask Make & Model: RESMED
Humidifier: ResMed
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Fallston, Maryland

Post: #16
RE: Questions regarding System One BiPAP AutoSV (DS960)
Update:

Well, after a couple of weeks on the Respironics the DME offered to let me try the RESMED VPAP Adapt. It was my lucky day!

From my perspective (and I know everyone is unique) the Respironics seemed to blast me with a startling jet of air to combat my central apneas. My wife told me that it was doing it while I was sleeping when in her opinion I was already breathing normally. I was sleeping very poorly on this device and it just wasn't working for me.

Once I switched to the RESMED I noticed the difference immediately and my sleep improved significantly. In my opinion the RESMED is much more comfortable in the way that it ramps up the pressure to combat central apneas. Rather than an immediate strong jet of air (like the Respironics) it kind of smoothly ramps the air pressure so that it is not startling. I find this works MUCH better for me. Plus I am now able to check my data using Sleepyhead once again!

I think that after three months of struggling with apnea treatment I have finally gotten where I needed to be and it feels like I can check the box and get the worry of all of this off my plate now (except for periodic data checks of course).

I just wanted to pass along the update for anyone else who may be in my position and also to once again thank everyone here for their support.

Mark
01-07-2014 10:43 AM
Find all posts by this user Post Reply Quote this message in a reply
p7staxc Offline

New Members

Posts: 1
Joined: Jan 2014

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: 14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #17
RE: Questions regarding System One BiPAP AutoSV (DS960)
(01-07-2014 10:43 AM)markbking Wrote:  Update:

Well, after a couple of weeks on the Respironics the DME offered to let me try the RESMED VPAP Adapt. It was my lucky day!

From my perspective (and I know everyone is unique) the Respironics seemed to blast me with a startling jet of air to combat my central apneas. My wife told me that it was doing it while I was sleeping when in her opinion I was already breathing normally. I was sleeping very poorly on this device and it just wasn't working for me.

Once I switched to the RESMED I noticed the difference immediately and my sleep improved significantly. In my opinion the RESMED is much more comfortable in the way that it ramps up the pressure to combat central apneas. Rather than an immediate strong jet of air (like the Respironics) it kind of smoothly ramps the air pressure so that it is not startling. I find this works MUCH better for me. Plus I am now able to check my data using Sleepyhead once again!

I think that after three months of struggling with apnea treatment I have finally gotten where I needed to be and it feels like I can check the box and get the worry of all of this off my plate now (except for periodic data checks of course).

I just wanted to pass along the update for anyone else who may be in my position and also to once again thank everyone here for their support.

Mark

Now I am confused. What you are saying seems the opposite of what I read elsewhere on this site that: "The S9's rapid pressure increases disturb some folks and wakes them up. Those rapid pressure increases can also trigger leaks." while "The System One is much slower to respond to clusters of events. Judging from the pressure curves I've seen it appears that the System One will raise the pressure in 1-2 cm increments once a minute in response to snoring, flow limitations, OAs, and Hs. And then it waits to see if things clear up before it increases the pressure again by a 1--2 cm increase."

I am currently trying to decide which one to buy and would prefer the one with the smoother ramp up rather than the sudden burst. I thought that would be Respironics but Mark has experienced the opposite, so maybe its ResMEd???
10-30-2014 05:10 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Whitewabit Offline

Preferred Members-2

Posts: 158
Joined: Sep 2014

Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: Somewhere in the midwest

Post: #18
RE: Questions regarding System One BiPAP AutoSV (DS960)
(01-07-2014 10:43 AM)markbking Wrote:  Update:

Well, after a couple of weeks on the Respironics the DME offered to let me try the RESMED VPAP Adapt. It was my lucky day!

From my perspective (and I know everyone is unique) the Respironics seemed to blast me with a startling jet of air to combat my central apneas. My wife told me that it was doing it while I was sleeping when in her opinion I was already breathing normally. I was sleeping very poorly on this device and it just wasn't working for me.

Once I switched to the RESMED I noticed the difference immediately and my sleep improved significantly. In my opinion the RESMED is much more comfortable in the way that it ramps up the pressure to combat central apneas. Rather than an immediate strong jet of air (like the Respironics) it kind of smoothly ramps the air pressure so that it is not startling. I find this works MUCH better for me. Plus I am now able to check my data using Sleepyhead once again!

I think that after three months of struggling with apnea treatment I have finally gotten where I needed to be and it feels like I can check the box and get the worry of all of this off my plate now (except for periodic data checks of course).

I just wanted to pass along the update for anyone else who may be in my position and also to once again thank everyone here for their support.

Mark

what was the mode and settings for the Adapt that your using ??

I am using the Resmed Adapt in the ASV Mode and after getting the setting adjusted from the max down to a usable 4-3-8 and finding a comfortable mask for me I find it to be it to be comfortable after getting use to it which took several weeks .. but am now using it for over 7 hours a night ..

haven't used the other brand ..
10-31-2014 12:46 AM
Find all posts by this user Post Reply Quote this message in a reply
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #19
RE: Questions regarding System One BiPAP AutoSV (DS960)
(10-30-2014 05:10 PM)p7staxc Wrote:  
(01-07-2014 10:43 AM)markbking Wrote:  Update:

Well, after a couple of weeks on the Respironics the DME offered to let me try the RESMED VPAP Adapt. It was my lucky day!

From my perspective (and I know everyone is unique) the Respironics seemed to blast me with a startling jet of air to combat my central apneas. My wife told me that it was doing it while I was sleeping when in her opinion I was already breathing normally. I was sleeping very poorly on this device and it just wasn't working for me.

Once I switched to the RESMED I noticed the difference immediately and my sleep improved significantly. In my opinion the RESMED is much more comfortable in the way that it ramps up the pressure to combat central apneas. Rather than an immediate strong jet of air (like the Respironics) it kind of smoothly ramps the air pressure so that it is not startling. I find this works MUCH better for me. Plus I am now able to check my data using Sleepyhead once again!

I think that after three months of struggling with apnea treatment I have finally gotten where I needed to be and it feels like I can check the box and get the worry of all of this off my plate now (except for periodic data checks of course).

I just wanted to pass along the update for anyone else who may be in my position and also to once again thank everyone here for their support.

Mark

Now I am confused. What you are saying seems the opposite of what I read elsewhere on this site that: "The S9's rapid pressure increases disturb some folks and wakes them up. Those rapid pressure increases can also trigger leaks." while "The System One is much slower to respond to clusters of events. Judging from the pressure curves I've seen it appears that the System One will raise the pressure in 1-2 cm increments once a minute in response to snoring, flow limitations, OAs, and Hs. And then it waits to see if things clear up before it increases the pressure again by a 1--2 cm increase."

I am currently trying to decide which one to buy and would prefer the one with the smoother ramp up rather than the sudden burst. I thought that would be Respironics but Mark has experienced the opposite, so maybe its ResMEd???

Actually, what I think you are referring to is the pressure increase for APAPs, not necessarily SVs. With an SV it would be more important to incerease the pressure rapidly than for an APAP. In fact, for pressures over 12 the Resmed Autoset does not respond to apneas but the servo ventilators need to do so. I suspect that Resmed has found a pressure curve that makes the rapid pressure rise time less bothersome to us human beings. As an example when I have "Easy Breathe" turned on my bilevel Resmed machine, it is difficult for me to detect when the machine has changes from EPAP pressure to IPAP pressure and I think that it has to do with the pressure rise curve.

Best Regards,

PaytonA
10-31-2014 11:48 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #20
RE: Questions regarding System One BiPAP AutoSV (DS960)
After a year with the 960 and reasonably good numbers I still can't decide if I would have been happier with the Resmed. My DME just replied my noisy 960 with a new one. They refused to even consider a Resmed.
10-31-2014 03:09 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  [Equipment] respironics bipap error code hanasdaddy 6 130 12-07-2016 01:48 AM
Last Post: hanasdaddy
  PR System One: C-Check vs Auto? Ailu 8 3,023 11-29-2016 02:04 PM
Last Post: TonyJ
  New User Problem with BiPAP AVAPS - Part 1 jmayer180 35 1,336 11-27-2016 09:50 AM
Last Post: jmayer180
  First time Bipap User, years of suffering SleepyMersim 18 669 11-16-2016 11:46 PM
Last Post: Galactus
Question BiPAP vs EPR/Flex etc? SleepyBee 7 276 11-13-2016 08:52 PM
Last Post: Galactus
  [Equipment] Annoying on/off beep on Respironics BIPAP S/T C series rcattell 8 351 11-06-2016 12:07 PM
Last Post: rcattell
  Philips system one noisy jpsantell 2 266 10-29-2016 10:54 AM
Last Post: robysue

Forum Jump:

Who's Online (Complete List)