New machine - iVAPS

Hello All!

Recently ResMed came out with a new machine that ventilates at the alveolar level and from what I've read so far, looks like it could be used by any PAP patient. Here's the link,

http://www.resmed.com/us/products/s9_vp ... clinicians

When I watched the video I was amazed at how far these devices have come.

There are a lot of experts here and I would be very interesting in hearing what you all think of this new technology.

Thanks in advance for any input,

Jim

Resmed iVAPS (intelligent Volume-Assured Pressure Support) targets respiratory insufficiency disorders such as neuromuscular disease, COPD, obesity hypoventilation. So iVAPS appears to be Resmed's answer to Respironics AVAPS (Average Volume-Assured Pressure Support).

Good to know. Thanks for posting that link.

Yes but honestly, this is a ventilator for goodness sakes. For most individuals this would be totally inappropriate, costly overkill for those with sleep disordered breathing. Just because ResMed makes it look like an S9 doesn't mean it's anywhere close to the same thing.

If you really need one of those machines, your doctor would well already have you using one. Or you'd possibly have already died.

hyperlexis wrote:Yes but honestly, this is a ventilator for goodness sakes. For most individuals this would be totally inappropriate, costly overkill for those with sleep disordered breathing. Just because ResMed makes it look like an S9 doesn't mean it's anywhere close to the same thing.

If you really need one of those machines, your doctor would well already have you using one. Or you'd possibly have already died.

I'm surprised you think iVAPS information is irrelevant to this board. We have patients on this message board with respiratory insufficiency disorders such as NMD, COPD, obesity hypoventilation. Some are already using AVAPS. They now have an alternative to the algorithmic nuances of AVAPS---namely iVAPS. And overlap apnea patients with COPD, such as Slinky, might find iVAPS/AVAPS discussions with their doctors potentially fruitful as their condition progresses.

SleepWellCPAP wrote:Hello All!

Recently ResMed came out with a new machine that ventilates at the alveolar level and from what I've read so far, looks like it could be used by any PAP patient. Here's the link,

http://www.resmed.com/us/products/s9_vp ... clinicians

When I watched the video I was amazed at how far these devices have come.

There are a lot of experts here and I would be very interesting in hearing what you all think of this new technology.

Thanks in advance for any input,

Jim

Where can we access the information in the clinical proving trials?? Are there any comparative studies? Thanks. Todzo

-SWS wrote:

hyperlexis wrote:Yes but honestly, this is a ventilator for goodness sakes. For most individuals this would be totally inappropriate, costly overkill for those with sleep disordered breathing. Just because ResMed makes it look like an S9 doesn't mean it's anywhere close to the same thing.

If you really need one of those machines, your doctor would well already have you using one. Or you'd possibly have already died.

I'm surprised you think iVAPS information is irrelevant to this board. We have patients on this message board with respiratory insufficiency disorders such as NMD, COPD, obesity hypoventilation. Some are already using AVAPS. They now have an alternative to the algorithmic nuances of AVAPS---namely iVAPS. And overlap apnea patients with COPD, such as Slinky, might find iVAPS/AVAPS discussions with their doctors potentially fruitful as their condition progresses.

I said it would not be an appropriate means of treating OSA when standard CPAP would do. Anymore than using a machete would be appropriate for slicing a tomato.

If there are individuals here dealing with these other grave conditions and comorbidities, that require the use of a ventilator, then yes, by all means it was very nice of the OP to mention the new product.

However implying that buying one of these noninvasive ventilators is somehow better or more appropriate in place of standard cpap, for those patients with simple SDB, is not clinically correct and misleading.

hyperlexis wrote: However implying that buying one of these noninvasive ventilators is somehow better or more appropriate in place of standard cpap, is simply not clinically correct.

EDIT: Okay I found what you're referring to, hyperlexis:

looks like it could be used by any PAP patient.

I agree it makes absolutely no sense to replace standard CPAP with iVAPS, short of having a respiratory insufficiency disorder. Here's the target patient population according to Resmed: http://www.resmed.com/epn/products/s9_v ... c=patients

This NIV ventilator helps treat non-dependent patients with Chronic Obstructive Pulmonary Disease (COPD), Obesity Hypoventilation Syndrome (OHS), Neuromuscular Disease (NMD), and other conditions.

iVAPS technology makes the VPAP ST suitable for hypercapnic patients with changing respiratory needs.

Thanks to everyone for commenting!

Regarding clinical trials, a quick search shows two studies underway. One specifically for ALS patients and another comparing APAP to iVAPS.

http://clinicaltrials.gov/show/NCT01746381



Will be interesting to see the outcome of both.

I admit I haven't read all this information, but I am curious if Resmed's iVAPS is basically the same as Respironics AVAPS. Same, similar or different?

And I'm assuming that the iVAPS machine is essentially what Respironics did with their AVAPS machine (not the Trilogy that I use). Looks like the other machines (PRS1 & S9) but has the AVAPS technology....

Obviously this is of interest to me since I use AVAPS on the Trilogy.

AVAPS and the like aren't really for apnea patients: the response is too slow, compared to ASV. Conversely, ASV isn't for COPD and other patients with degenerative disease, since ASV will follow their lead as they slowly decline.

See pages 66-67 of this Respironics comparison of ASV and AVAPS.

sawinglogz wrote:AVAPS and the like aren't really for apnea patients: the response is too slow, compared to ASV. Conversely, ASV isn't for COPD and other patients with degenerative disease, since ASV will follow their lead as they slowly decline.

See pages 66-67 of this Respironics comparison of ASV and AVAPS.

Apnea is not contraindicated for AVAPS, making it suitable for apnea patients with those concomitant disorders targeted by AVAPS.

madalot wrote: I am curious if Resmed's iVAPS is basically the same as Respironics AVAPS. Same, similar or different?

And I'm assuming that the iVAPS machine is essentially what Respironics did with their AVAPS machine (not the Trilogy that I use). Looks like the other machines (PRS1 & S9) but has the AVAPS technology....

So far that's my take, Madalot. Respironics added AVAPS modality to their BiPAP S/T machine. Now Resmed is adding iVAPS modality to their VPAP S/T machine. Both AVAPS and iVAPS target the same patient populations. And both iVAPS and AVAPS deliver a "Volume-Assured Pressure Support".

-SWS wrote:

madalot wrote: I am curious if Resmed's iVAPS is basically the same as Respironics AVAPS. Same, similar or different?

And I'm assuming that the iVAPS machine is essentially what Respironics did with their AVAPS machine (not the Trilogy that I use). Looks like the other machines (PRS1 & S9) but has the AVAPS technology....

So far that's my take, Madalot. Respironics added AVAPS modality to their BiPAP S/T machine. Now Resmed is adding iVAPS modality to their VPAP S/T machine. Both AVAPS and iVAPS target the same patient populations. And both iVAPS and AVAPS deliver a "Volume-Assured Pressure Support".

Thanks, -SWS. I wasn't sure, but it seemed to me to be basically the same. I that time will tell if the two technologies work the same.

I have to think that putting it in the same cabinet as the cpap models was a bit irresponsible on Re$Med's part.
They could have at least made it a different color.

Madalot wrote: ...time will tell if the two technologies work the same.

I agree... So far we know that Resmed's iVAPS and Respironics AVAPS target the same patients using the same high-level treatment objective: to assure that patient flow volume stays above a predetermined threshold. Those two volume-assurance type machines can probably be prescribed as alternatives to each other based on that two-fold similarity alone. No doubt patent protection ensures low-level design differences---similar to Resmed ASV versus Respironics ASV.

As a user of AVAPS, I'd love to give iVAPS a test drive but I doubt I'll get the opportunity.