(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.