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S8 Elite Clinical Menu
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Post S8 Elite Clinical Menu 
I have a S8 Elite system with humidifier and Data Recording mode with memory Card.

Reading some of the other comments in the forums I see that many people can access their own sleep data from their machine.  The only way I can see my record is if I download the data from the Elite memory onto a card and then take this to my provider who loads the card data into a program on a PC that displays all the results.  It's a ResMed program I think.  Doing it this way is a real pain and it takes my time and theirs to do this.

Using the Elite Manual, I can access the Clinical Menu but there is no data stored under the Results Option.  There must be data in there as the provider gets it on the data card.  So my questions are:

Is there a "secret" password or something that turns the data collection function off in the Results option?
How do I turn it on?
Is it turned off because the memory card is used for recording and evaluation?
It appears I cannot buy the ResMed program to install on my own PC - correct??

Any ideas anyone?


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Magus, there is an advanced or detailed patient menu that provides most of the data that the software printout does that you can easily access w/o being able to accidentally or intentionally change your therapy settings.

Have you tried pressing the Left and Right buttons for 3-4 seconds to see if Efficacy Data shows up on your LED screen?

How are you accessing the Clinicial Menu? Do you have the Clinicians Manual or just the Users Manuel for your S8 Elite? Askyour local DME supplier to turn the SmartData on so that you can access the advanced patient menu to see your nightly data. Or ask your sleep doctor to script the access to the advanced patient menu SmartData.

Oh yeah, you can buy the software and the cable reader for that Elite. Your doctor can write a script for it so you can get it locally thru your DME supplier - or you don't need a script for it to buy it online. ResScan 3.5 is the newest version and the only one that works if you have Vista on your 'puter. As long as you have the S8 Elite and not the S8 II Elite, AutoScan 5.7 or ResScan 3.3 will work just fine for your S8 Elite. If you have an S8 II you do need ResScan 3.4 or higher. 3.3 can't support the S8 IIs.


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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Thanks for your reply Crohnie:

Quote:
Have you tried pressing the Left and Right buttons for 3-4 seconds to see if Efficacy Data shows up


Ah....!!!  I did not see this in the manual, but yes, although this does bring up the items, it does not show any data.

Now you have given me an idea though.  You mention SmartData.  This is turned off by default on my setup.  Maybe this function reads and records the data.  However I cannot see the option to turn it on when I access this option in the Clinical Menu.  I think this is disabled.

[Deleted.  Although the ASAA advocates being proactive in ones treatment, we can not advocate or encourage making pressure adjustments or other CPAP clinical adjustments without consulting with your physician.  Please do not post instructions or how to guides for making adjustments or entering clinician menus to make adjustments.  We thank you for your understanding.]

I have the User Manual.

As for buying the software (which shows really nice historic data) I am in Canada.  I have heard that ResMed will not sell outside the US - for some reason.

And to allay any fears, I have no intention of treating myself by playing with settings.  This is purely for my own interest as I am having problems finding a mask fit.  (And that is a whole other story!!)


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These xPAPs work on an internal, 24 hour, noon to noon, clock so you need to check your data before noon via the LCD screen for the night's Efficacy data.

Have you tried using the Left button when you are in the Efficacy Data screen to check past the Day to the Week, Month, Six Months, Year data? Of course, that depends on how long you've had your device and been using it. The Week, etc. data will show up regardless of time of day.


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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Post My VPAP Auto looks exactly like the S8 Elite 
I have a VPAP Auto BiPAP machine but it looks identical to the one pictured in:
http://www.resmed.com/en-us/products/flow_generators/s8_elite/s8-elite.html?menu=products

Where does one acquire the ResScan software, and what do you need to be able to interface/read the data from the machine?


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Hey Chronie!!  Genius.

You are right on the button!  I never thought of looking past the Day option!  And you are correct, the data is there for the week and a month.  Who would have thunk?

So, I have been trying 5 different masks over the last 3 months, each one has been a bit better than the last for one reason or another.  My latest (Respironics ComfortFull 2) in my mind, seems to be better than the others.  I have had it 2 weeks now.  The data I retrieved is below.

Week:
Pres   11.2
Leak   0.46
AHI     5.9
AI       0.8
HI       5.3


Month:
Pres   11.2
Leak   0.70
AHI    9.8
AI      2.1
HI      7.3

I know the month is an average of all the masks, but looking at that data I think the week shows that this mask is, on average, working better than the last ones I tried.  The data is likely the average performance of 3 masks, including this one  

This is exactly what I wanted to know, and I thank you for your perseverance.

What do you think?

Thanks a bunch!!


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Magus, me thinks you are heading in the right direction!!! That's what me thinks.

I gotta ask tho. Do you know how to designate the Mask Selection and are you using the proper Mask Selection as you make changes in the mask you use? It can make a difference in your reported Leak rate - and your therapy data.

If you are using a non-Resmed mask you should use the Standard mask selection and the standard mask selection automatically deducts .4 L/s or 24 L/M from the reported Leak rate. You then have to check the allowed leak rate at your set pressure for the non-Resmed mask you are using from the table in the literature that came with that mask and then do your own math to figure out your TRUE leak rate. If you are using a Resmed mask and the proper Mask Selection for it then the reported leak rate is accurate and you don't have to worry about doing any match.

Ron, if you have Vista on your PC then you need ResScan 3.5 and the Resmed cable reader. If you don't have Vista then ResScan 3.4 will also do the job for you. AutoScan 5.7 and ResScan 3.3 do NOT recognize the S8 IIs or the Resmed VPAP Auto (the same device I have). If you have a Mac ..... methinks yer outta luck, unless you can use Windows based software one it. I'm way outta my league on that one.

All the S8s and S8 IIs look alike. Just like all the Respironics M Series look alike. 'Cept the Resmeds are all purtier than them black bricks. *wicked grin*


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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Hi Crohnie:

Thanks for your encouragement.  It does seems better, I felt it, but it's still not there yet.  At least the figures look better and they confirm my feeling.  I still have some issues with this mask, I have an odd shaped mug I guess!

I am trying out the new Respironics Comfort Gel (or something like that) next week.

But ya know, the mask setting you refer to, they told me to use the MIR Full setting for all of the tryouts I have had.  I surely will question this next week when I go there for the new mask.  I can understand why it is important to get this right.   My sleep physician will not even consider a 1mm rise in pressure to combat remaining apneas until the leakage problem is resolved.  And I have been at this for weeks now, it's quite a battle.

You seem to be pretty well up on this Crohnie, so can you tell me what the "normal" values (reference ranges) are for Leak, AHI, AI etc,  for a mask that is working well?


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They are WRONG about the mask settings. Look in your Users Manual. Then show it to them.

An AHI BELOW 5.0 is considered "normal". Its more important to get the AI low than the HI. Of course, a reported Leak rate of 0.0 is the ideal. In real life? It almost NEVER happens, and NEVER consistently. IF you are using the correct mask selection than my understanding is that any leak below 24 L/M is tolerable and acceptable.


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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Thanks ChronieToo:

Quote:
They are WRONG about the mask settings.


The new mask still did not arrive.  So when it does, I will get up there and I will be sure to discuss this setting.  I'll post when I have more info for you.

That is also an interesting observation on the leak rate.  From what you say I have it licked, but they don't seem too happy with it.  My problem is that this particular mask is so uncomfortable around my bottom teeth - feels like I have braces for goodness sake.  But that is another thread.  I'll let you know what eventually happens here.


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Post [Commercial link deleted. Please review posting guidelines] 
These guys are great, they have over 30 years experience and it shows. Mike and Neil were very helpful throughout the whole process and I now have a great fitting mask and I love my S8 Elite. I was able to talk to Mike who is a certified sleep therapist before I ever bought anything and it was free of charge. I know that they were doing it to earn me as a customer and well,  it worked. Their prices were right there with everybody else’s and definitely recommend them to anyone who is looking for a cpap, mask, or supplies; they have earned my business for life. Check them out, pretty nice website with a lot of info and a nifty quiz... [Commercial link deleted]


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Magus, not too many sleep doctors seem at all concerned about a high leak rate so it sounds like you have a pretty savvy sleep doctor.

I don't see where you have that leak rate beat at all. You've been using the wrong Mask Selection and that alone negates the reported leak rate.

Even if you've been using the Standard Mask selection for your non-Resmed mask, your Elite is SUBTRACTING .4 L/M or 24 L/s (I've forgotten now whether the Elite reports in L/M or L/s.  All mask literature that I've seen provides the allowed leak rate for that mask in L/M.

You have to ADD the .4 L/M (or 24 L/s) to the reported Leak rate to get your TRUE leak rate and then compare that to the allowed leak rate at your SET pressure in the mask literature.

These CPAP devices are pretty good at compensating for a somewhat high leak rate. But in doing so they end up having to supply greater pressure than you would need at an acceptable leak rate. They can "chase" that high leak by mistake and too high a pressure "can" cause central apneas (the brain doesn't sense too much C02 so doesn't tell you to breathe).

When I was at a pressure of 8 cms w/my Elite and had an exceptionally high leak one night my Reported Pressure actually climbed to 8 cms!! That is SOME compensation. My AHI was also WAY outta sight! So your doctor is right, get your leaks under control. Which is something I'm also still working on. My leak isn't due to the mask, I have air escaping between my lips a good share of the night. I'm not opening my mouth, its just escaping gently thru my llps. Pressure escaping thru your lips is pressure therapy lost. We haven't been able to find a full face mask that fits me altho we have high hopes for the Resmed Mirage Quattro XSmall which I have on order.


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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CrohnieToo:

I now have my new mask and I mentioned the Elite settings may not be correct.  They did not seem worried by it at all.  Told me to keep it on Mir Full for the new Respironics ComfortGel Full.  I was looking through the Respironics manual, which is very sparse, and apart from an Intentional Leak graph showing Exhaust Leak Rate (Y axis) against Pressure (X axis), I cannot see anything here that will help.  Either way, I have questions about the new mask and I am starting a new thread on that.


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Set your Elite to Standard mask selection. Your Elite will SUBTRACT 24 L/M from the leak rate it reports on the LCD screen in the Efficacy Data menu.

Add 24 L/M to the leak rate your Elite reported for the night. That is your TRUE leak rate for the night.

Look at that table graph in your mask literature and see what the allowed vent rate is for your pressure setting. How does that allowed vent rate compare to the Elite's reported leak rate plus 24 L/M???


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

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Set your Elite to Standard mask selection. Your Elite will SUBTRACT 24 L/M from the leak rate it reports on the LCD screen in the Efficacy Data menu.

Add 24 L/M to the leak rate your Elite reported for the night. That is your TRUE leak rate for the night.

Look at that table graph in your mask literature and see what the allowed vent rate is for your pressure setting. How does that allowed vent rate compare to the Elite's reported leak rate plus 24 L/M???

I've used the software so long I've forgotten. The Elite reports the leak rate in L/M or L/s??? All the mask literature I've seen gives the allowed vent rates in L/M so if the Elite is reporting in L/s you will have to convert that L/s to L/M.

Take your manual in and point out the Mask Selection information to your "professionals". *sigh* Read it yourself. What does it say about the Mask Selection option for non-Resmed masks??? Heaven forbid the "pros" should read a manual!!!!


_________________
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.
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