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should I upgrade?
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technico Offline

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Posts: 2
Joined: Mar 2016

Machine: Respironics Remstar Pro C-Flex
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: none
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Question should I upgrade?
Was diagnosed with OSA in 2002, bought a Respironics Remstar Pro C-Flex with Breeze nasal pillows. Broke the Breeze in 2005 and stopped using it for years. Bought a new strap-on nasal pillow rig 6 months ago and started using system again. Has 4300 hours on it. I never heat the air, using an inline water tank that I sometimes even put chilled water in for comfort.

Should I be getting that cpap serviced in some way? Or, being 14 years old, should I be looking at getting something newer with spiffy new features that have become available in the last 14 years?
03-30-2016 01:05 PM
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DariaVader Offline
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Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #2
RE: should I upgrade?
you should definitely upgrade if you can, to a machine that captures data about your therapy at the very least. Your needs may have changed in 14 years. An auto PAP could serve instead of a new titration, with the only caveat being that it may point to a need for a more sophisticated machine. Still, an APAP is less money than a sleep study Smile depending on your insurance coverage and location.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
03-30-2016 01:25 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #3
RE: should I upgrade?
If it works don't fix it, do you know what your AHI is with it?

If it has problems and you (or your insurance) will cover the cost of a new one, there have been a few improvements since then, so why not?

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
03-30-2016 01:26 PM
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technico Offline

New Members

Posts: 2
Joined: Mar 2016

Machine: Respironics Remstar Pro C-Flex
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: none
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #4
RE: should I upgrade?
(03-30-2016 01:25 PM)DariaVader Wrote:  you should definitely upgrade if you can, to a machine that captures data about your therapy at the very least. Your needs may have changed in 14 years. An auto PAP could serve instead of a new titration, with the only caveat being that it may point to a need for a more sophisticated machine. Still, an APAP is less money than a sleep study Smile depending on your insurance coverage and location.

this system has a smart card - just never had it read.
I've washed / replaced filters and nasal - well, mostly just antibacterial soap every other day and occasionally a H2O2 rinse. I know how to change pressures. It was set it at 7, ramp 3 over 10 min to 12 - when it seemed insufficient, I started moving it up by .4 every couple of nights and settled on 13.2 for now.

Was wondering more if the thing needs to be opened up for more in depth cleaning after x # of hours (not mentioned in the manual).
I'm covered by the VA now and will be asking them as well. Just figured there would be a lot of experience here to learn from as well.
03-30-2016 02:02 PM
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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: #5
RE: should I upgrade?
I would want a newer data capable Auto PAP machine if it were me. After 14 years your favorite uncle should treat you to a new machine.
03-30-2016 03:47 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: should I upgrade?
Hi technico,
WELCOME! to the forum.!
It would probably be better to get a newer machine as the technology has improved.
Good luck on your machine decision, check out this link, it’s a good guide on which machines to buy and which ones to avoid: http://www.apneaboard.com/wiki/index.php...ne_Choices .
Hang in there for more suggestions and much success to you as you continue your CPAP therapy.

trish6hundred
03-30-2016 08:33 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #7
RE: should I upgrade?
(03-30-2016 02:02 PM)technico Wrote:  this system has a smart card - just never had it read.
I've washed / replaced filters and nasal - well, mostly just antibacterial soap every other day and occasionally a H2O2 rinse. I know how to change pressures. It was set it at 7, ramp 3 over 10 min to 12 - when it seemed insufficient, I started moving it up by .4 every couple of nights and settled on 13.2 for now.

Was wondering more if the thing needs to be opened up for more in depth cleaning after x # of hours (not mentioned in the manual).
I'm covered by the VA now and will be asking them as well. Just figured there would be a lot of experience here to learn from as well.

You should not open the machine... cleaning filters, hoses, tanks, masks is sufficient. You do need a mask that wont leak, and you do need to get some treatment efficacy data. If you want to use the old machine, you should probably test it with a manometer to make sure it's putting out what it says it is. An autopap can give you the data you need for less money than a new titration study can and 85% chance it would give you all that you need. Modern machines are more comfortable and quieter, and they don't need a proprietary card reader as your current machine most likely does. That's my opinion Smile

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
03-30-2016 11:18 PM
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Mosquitobait Online

Advisory Members

Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #8
RE: should I upgrade?
(03-30-2016 01:05 PM)technico Wrote:  Was diagnosed with OSA in 2002, bought a Respironics Remstar Pro C-Flex with Breeze nasal pillows. Broke the Breeze in 2005 and stopped using it for years. Bought a new strap-on nasal pillow rig 6 months ago and started using system again. Has 4300 hours on it. I never heat the air, using an inline water tank that I sometimes even put chilled water in for comfort.

Should I be getting that cpap serviced in some way? Or, being 14 years old, should I be looking at getting something newer with spiffy new features that have become available in the last 14 years?

Get a new one and hold on to your old one as a backup. My insurance requires me to take my machine when I travel until I own it (13 months in order to maintain compliance). During that period, my DME will provide a backup on a few hour's notice. After that, I plan to get a backup machine when I go somewhere. It only takes once to forget the danged cord somewhere and while people may be happy to ship it back to you, you are that many days without therapy. Believe me, the headaches come back quickly! That said, many people never bothered with a backup machine in the past. I'm looking for a solid, good used auto machine that does not have to be Sleepyhead compatible since I'm normally using my Airsense For Her.

The advantage of a new auto machine is that they have a lot of data that can help you perfect your therapy. Now that you are older, your needs can change with the seasons. My recommendation is to only get a machine that works with Sleepyhead.

Oh, and a travel tip. Make sure everything, including the cord, has your name and phone number on it. You are more likely to get it back.

Finally, you CAN get your device serviced. There are two who do such work in our Supplier's Listing. I'm not sure it needs it if there are no odd smells though. Simply change the filter. There aren't any moving parts or oiled parts as you would have in say a sewing machine that sat in the closet.
(This post was last modified: 03-31-2016 11:38 AM by Mosquitobait.)
03-31-2016 11:36 AM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #9
RE: should I upgrade?
(03-31-2016 11:36 AM)Mosquitobait Wrote:  There aren't any moving parts or oiled parts as you would have in say a sewing machine that sat in the closet.

I beg to differ. I've taken apart a few of my machines when they died and they all do have at least one moving part - the blower! But like the Mb said there's nothing in them that a user could service.


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.
03-31-2016 08:41 PM
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palerider Online

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Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Dallas(ish)

Post: #10
RE: should I upgrade?
(03-31-2016 08:41 PM)PollCat Wrote:  
(03-31-2016 11:36 AM)Mosquitobait Wrote:  There aren't any moving parts or oiled parts as you would have in say a sewing machine that sat in the closet.

I beg to differ. I've taken apart a few of my machines when they died and they all do have at least one moving part - the blower! But like the Mb said there's nothing in them that a user could service.

wouldn't be the first time I'd heard of someone oiling a bearing....
03-31-2016 09:06 PM
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