03-05-2013, 12:45 PM
(This post was last modified: 03-05-2013, 12:48 PM by zimlich.)
Pete, I had the older model about three years ago. It was a monster and was prescribed for me because it could reach the pressure of 30. This one did not give AHI data, it only had a alarms (this was the US model) and supported ventilation. Not sure if that's the right term. Zonk, because of the expense an ASV is generally not prescribed unless you have failed other therapies and have been in close communication with your doctor. I'm sure not everyone has this experience. I did not have much central apnea, but many hypopneas, we could not get my average below 18.6 for six months. The previous six months it was over 25. My doctor believed it was due to medicines I take.To get back to your question, Pete, I don't know how long ago it was dc'd, but I had one three years ago. You will like the new one. When I started ASV I figured I'd give it six months to a year until I achieved oiptimum therapy. At the six month mark I was good to go.
I have the respironics and I love it. My ahi is now 4-8 after 13 months.
Hope you have much success with the new machine.
That doesn't seem fair, the premium machines prescribed for noncompliant patients. It should be the other way around. You get a brick (none should be without data capability) until you prove compliance, then you get to choose among available models. My former DME tech told me I wouldn't believe how many machines end up in the closet. But, then maybe they've got a point. If they gave everyone an AUTO, a comfortable machine to use, maybe more folks would use them. If Bilevel and AUTO were not more comfortable why did they include EPR or flex models? I had a VPAP Auto 25 which was quite a versatile machine, it would operate in CPAP, Bilevel and AUTO modes. I used to consider CPAP the most comfortable for me and the pressure changes bothered me, but that is until I got my ASV. The ASV has been a life changer for me. For the first time the past year has been a joy. It took a little while, but my stubborn depression resolved and for the first time I am consistently awake and alert throughout the day.
Pete, will you give us progress reports as you use the new machine?
03-06-2013, 05:17 PM
(This post was last modified: 03-06-2013, 05:21 PM by vsheline.)
(03-04-2013, 08:26 PM)Pete Wrote: Hi Folks
I'm supposed to be getting a new ResMed S9 VPAP Adapt SV tomorrow and I was wondering how long has the older ResMed VPAP Adapt SV been discontinued. (not the S9 version)
I think the first S9 VPAP Adapt SV was introduced early 2011, but in November 2012 a newer model started being manufactured which is enhanced to have one of the features of the Respironics PR System One BiPap Auto SV Advanced, which can automatically adjust not only the the Pressure Support but can also automatically adjust the bottom pressure (EPAP = Exhalation Positive Airway Pressure).
Unlike the ResMed S9 AutoSet and other APAP machines, the older S9 VPAP Adapt SV was not capable of automatically adjusting the EPAP. The ability (of the S9 VPAP Adapt SV machines manufactured starting November 2012 and the Respironics PR System One BiPap Auto SV Advanced machines) to automatically adjust the EPAP means they may treat obstructive apneas better than the older model S9 VPAP Adapt SV. During Sleep Lab titrations, the EPAP should have been adjusted to eliminate Obstructive events, but if you happen not to have had any severe obstructive events during the titration study, then your EPAP may not have been adjusted high enough.
The top pressure (IPAP = Inhalation Positive Airway Pressure) is always the sum of the bottom pressure plus the automatically self-adjusting Pressure Support.
If your machine is the newer model then on the back of the machine under the serial number it will show 36037. The Older model S9 VPAP Adapt SV will show 36007. (The *model number* changed but the *model name* did not.)
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.