changing pressure settings on my machine

[crossfit]

Can someone tell me what is the key code sequence to get in to change my settings? I don't really wish to at this point but am annoyed that I can't get in to at least see them and such.

[Snoredog]

1. Hold down both the left and right (<-) (->) buttons while simultaneously plugging the power supply into the back of the device. Once the device beeps twice, it is in the setup mode and you can release the buttons.

Navigation:
-Press the plus (+) key to enter setup OR left and right (<-) (->) buttons to enter Data Menu.
-Use the left and right (<-) (->) buttons to navigate to the next/previous screen.
-Use the (+) and (-) buttons to adjust settings or change values.
-When you have finished modifying the settings, press the On/Off button to exit setup mode and return to User mode.

Additional Settings Info/Descriptions:
Mask Alert: This alert will indicate when the device has detected a mask leak. You can enable or disable the alert (default=disabled).
Split Night Time: This setting indicates the amount of time spent in CPAP therapy before transitioning to Auto-CPAP therapy (default=Off, 120, 180, or 240 minutes).
Show AHI/Leak: You can select weather or not the Apnea/Hypopnea Index and System Leak averages display on the LCD data screens (default=disabled, enable this).
Patient Reminder: Using the EncorePro software, you can set a customized text message that will periodically display to the User. The Reminder screen lets you specifiy how often the reminder will appear (every 90 days, 180 days, etc.).

Settings:
Therapy Mode=AUTO (CPAP or AUTO)
CPAP Pressure=10.0 (Only appears if in CPAP mode)
Auto:Max=20 (default=20, Only appears in AUTO mode)
Auto:Min=4 (default=4, Only appears in AUTO mode, set to 6.5 or higher)
Flex Setting=2 (default=1, Off, 1, 2, or 3)
Ramp Time=30 (default=0:05-45 minutes)
Ramp Start Pressure=6.5 (default=4 to Auto:Min, only appears if Auto:Min >4 cm)
Mask Alert Feature=Off (default=off)
Auto Off Feature=Off (default=off, should be off doesn't work that well)
Show AHI/Leak Feature=ON (default=On, you want this on to get LCD data)
Patient Reminder=Off (Off, 90, 180, 270,365 days)

To view data:
1. Hold down both the left and right (<-) (->) buttons while simultaneously plugging the power supply into the back of the device. Once the device beeps twice, it is in the setup mode and you can release the buttons.

2. Press the left and right (<-) (->) buttons to navigate to the Therapy Usage screen to observe data, should give you AHI information for 7 and 30 days averages, should also display number of days used >4hrs per night, 90% pressure, leak etc.

To REST LCD Data to zero, while at the Therapy Usage screen hold down the minus (-) button for 5 seconds.

[crossfit]

excellent. Thank you very much snore dog. Now I have to wait until tomorrow because hubby is asleep and I can't go play making beeps and noises and generally being a nighttime nuisance. Patience is a virtue. I shall repeat that all night.

[mark0680]

[quote="Snoredog"]1. Hold down both the left and right (<-) (->) buttons while simultaneously plugging the power supply into the back of the device. Once the device beeps twice, it is in the setup mode and you can release the buttons.

Navigation:
-Press the plus (+) key to enter setup OR left and right (<-) (->) buttons to enter Data Menu.
-Use the left and right (<-) (->) buttons to navigate to the next/previous screen.
-Use the (+) and (-) buttons to adjust settings or change values.
-When you have finished modifying the settings, press the On/Off button to exit setup mode and return to User mode.

Additional Settings Info/Descriptions:
Mask Alert: This alert will indicate when the device has detected a mask leak. You can enable or disable the alert (default=disabled).
Split Night Time: This setting indicates the amount of time spent in CPAP therapy before transitioning to Auto-CPAP therapy (default=Off, 120, 180, or 240 minutes).
Show AHI/Leak: You can select weather or not the Apnea/Hypopnea Index and System Leak averages display on the LCD data screens (default=disabled, enable this).
Patient Reminder: Using the EncorePro software, you can set a customized text message that will periodically display to the User. The Reminder screen lets you specifiy how often the reminder will appear (every 90 days, 180 days, etc.).

Settings:
Therapy Mode=AUTO (CPAP or AUTO)
CPAP Pressure=10.0 (Only appears if in CPAP mode)
Auto:Max=20 (default=20, Only appears in AUTO mode)
Auto:Min=4 (default=4, Only appears in AUTO mode, set to 6.5 or higher)
Flex Setting=2 (default=1, Off, 1, 2, or 3)
Ramp Time=30 (default=0:05-45 minutes)
Ramp Start Pressure=6.5 (default=4 to Auto:Min, only appears if Auto:Min >4 cm)
Mask Alert Feature=Off (default=off)
Auto Off Feature=Off (default=off, should be off doesn't work that well)
Show AHI/Leak Feature=ON (default=On, you want this on to get LCD data)
Patient Reminder=Off (Off, 90, 180, 270,365 days)

To view data:
1. Hold down both the left and right (<-) (->) buttons while simultaneously plugging the power supply into the back of the device. Once the device beeps twice, it is in the setup mode and you can release the buttons.

2. Press the left and right (<-) (->) buttons to navigate to the Therapy Usage screen to observe data, should give you AHI information for 7 and 30 days averages, should also display number of days used >4hrs per night, 90% pressure, leak etc.

To REST LCD Data to zero, while at the Therapy Usage screen hold down the minus (-) button for 5 seconds.

[Snoredog]

You know what is really funny is having to set up two separate appointments to get this done. I would have to go to the Dr for a prescription, then set another appointment with Blue Mountain medical who are the people who adjust the machines. All for something that takes less than 2 minutes to do. That is nuts, specially since all we are doing is adjusting the flow of air until we are comfortable. Its sad to see some people get charged for this once you see what they are really doing.

I would encourage people who need to adjust their machines to find their code so they can adjust it themselves. Anyone can adjust the pressure once you have the code. It saves lots of time and appointments.

I have a Remstar Pro M series with C-Flex and the above mentioned code is the same as the machine with the A-Flex.

yep, its not like you are going to overdose on pressure, who wants to use a higher pressure than needed? Most harm it can do is wake you up or cause your sleep to become worse at which point you go back the other direction.

[JayC]

Other than Hours Used, Usage, and Software type, I have no current ability to see any other data. Instructions show lots of info possible.

I want to be able to relate how I feel when I get up to what the results say for that night. Not seeing Doc for a few months, and the RT is... let's say nonattentive to detail, and I don't trust he is telling me correct info. (I tend to feel that way often....and have learned that that feeling is correct at least 90% of the time.) He didn't set my mask type correctly before he left...I figured that out and corrected it.

Not so much interested in messing with range....I use it as APAP at range 5-12. Sleep study showed almost all hypopnea, and not much improvement betwween a 7 and 8. If I look fast, I see that it has been at 8 just before I turn it off on arising.

Any hints?

J

[mark0680]

[quote="JayC"]Other than Hours Used, Usage, and Software type, I have no current ability to see any other data. Instructions show lots of info possible.

I want to be able to relate how I feel when I get up to what the results say for that night. Not seeing Doc for a few months, and the RT is... let's say nonattentive to detail, and I don't trust he is telling me correct info. (I tend to feel that way often....and have learned that that feeling is correct at least 90% of the time.) He didn't set my mask type correctly before he left...I figured that out and corrected it.

Not so much interested in messing with range....I use it as APAP at range 5-12. Sleep study showed almost all hypopnea, and not much improvement betwween a 7 and 8. If I look fast, I see that it has been at 8 just before I turn it off on arising.

Any hints?

J

[mark0680]

[quote="Snoredog"]

yep, its not like you are going to overdose on pressure

[echo]

Crossfit, here is the URL to the Clinical Guide for the Remstar M series Auto: http://www.cpap-supply.com/v/cpap-machi ... 0guide.pdf

It's from 2006 so there might be a more recent one?

[Guest]

Snoredog - what do you know? How can YOU make such irresponsible random statements about how adjusting pressure "couldn't possibly" affect you? Do YOU know the medical history of every patient you, again, irresponsibly encourage to set their own pressure by providing instructions? What if this guy is a COPD patient that can't tolerate certain pressures? What about a Cheyne-Stokes patient? Yeah, great, change your pressure but don't facilitate it with others you don't know!

[jnk]

Do YOU know the medical history of every patient you, again, irresponsibly encourage to set their own pressure by providing instructions?

snoredog,

And if a guy on the street asks you the recipe for a long-island iced tea, be very careful--it could be an alcoholic who may be driving later that day.

Oh, and if someone asks you directions to the drugstore, please don't do it. The person may be going there to buy cigarettes. Or sleeping pills to OD on.

PAP saves lives. People who give up on PAP because no one will help them make their therapy more comfortable, or help them find out how to see their own numbers, are the real victims and much more common, in my opinion.

In a perfect world, DME techs would have a 24/7 toll-free number and a 10-minute response time for showing up to help OSA patients whenever they need to know something or have a change made. Until that happens, many, if not most, of us have to find ways for ourselves to make the therapy work.

But like the dean says, if you have something more serious than OSA and are thinking of making an adjustment to a PAP machine yourself, but don't know what you are doing and aren't comfortable doing it, please don't do it.

And I tell you what, the next time I read about someone dying overnight from a misadjusted PAP machine, instead of from congestive heart failure from failing to use a PAP machine for their OSA, I will post that link all over this forum.

Wait, did I just accidentally defend snoredog? AS if snoredog needs that from the newbie likes of me!

jnk

[azdj]

Some people do need to be careful about pressure changes. For example, in my sleep studies, a lower pressure actually caused central episodes to appear and my oxygen saturation and index were actually worse on cpap and bipap than without them - so using the machine at the wrong pressure was actually worsening my sleep apnea! at a pressure of 14 over 10, it cleared up both obstructive and central apneas. Even a change to 12 over 8 started causing more problems with the central apneas!

So I am all for people taking control of their health - just don't do yourself more harm if you are not positive of what the changes might do.

[jnk]

Excellent point azdj. Safety first. Always. In everything.

And I absolutely agree that an OSA patient making adjustments, to pressures especially, needs to be able to read the numbers in order to know that a lower AHI is resulting from the adjustment, rather than a higher one, in order to know that central apneas aren't being triggered and flow limitations aren't increasing that might lower saturation.

In my case, my DME tech brought my machine to me set up contrary to my prescription and has shown a complete lack of understanding of what a PAP machine is even for. If I hadn't found in a forum how to "hack in" to the clinician's menu in order to change some so-called "comfort adjustments," after trying for hours to use the machine as received, I would have given up on PAP, since no one at my DME returns phone calls or is very bright.

But in the interest of safety, I let my sleep doc know over the phone exactly what I had done the very morning after I did it. He couldn't officially give me the stamp of approval, but he gave me some guidelines to work in.

[Guest]

But snoredog is telling the world that there's no harm in changing your pressure...go aheaaaad.....most it will do is wake you up!

[DreamStalker]

I think the "average" person is more likely to get hurt adding air to their car's tire than changing pressure on their CPAP