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1800CPAP.com CPAP or BiPAP Download Service

 
1800CPAP.com will download your machine for you and provide you with a detail sheet for your review as well as your next appointment with your sleep physician.  This report will give you vital information for you to review with your doctor to ensure you are receiving proper CPAP therpay as well as ensuring you are receiving maximum benefit.  Reports will vary based on the manufacturer of your CPAP or BiPAP (Bi-Level) machine.  Most of the machine will allow you to review the following:
  • Therapy usage (time used at therpaeutic pressure)
  • Average Daily Usage
  • Days used
  • Days used greater than 4 hours (4 hours of use per night is the benchmark for a patient being compliant)
  • AHI (Apnea Hypopnea Index) which is used to determine whether the machine is working appropriately at the settings.  An AHI of less than 5 on a CPAP machine or BiPAP machine is considered good.
  • Leak (this information allows us to see if your mask is leaking too much which could effect how much you are benfiting from your CPAP machine or BiPAP machine)  Leak rates vary on style of mask.
  • Daily breakdown of usage
  • Daily breakdown of AHI
  • Daily breakdown of Leak
Again, the information provided on your report may have more or less than the above bullets, it truely depends on which CPAP machine or BiPAP machine you are currently using.  All of this information allows you to monitor your therapy on a daily, weekly, monthly, semi annually or annually basis so that you can maximize your effectiveness of the CPAP machine or BiPAP machine.  So many people do not monitor their usage with the machine; therefore they never completely benefit from the use of CPAP.
 
The reporting is great for new CPAP users as well as CPAP users that have been on a machine for years.  The new users benefit by finding out important information at the beginning of use so that they do not struggle with CPAP as much allowing for a smooth transition from not using a CPAP machine to using one.  The existing patients or otherwise known as veteran CPAP users can benefit by the report because as the months or years go by, their needs for certain pressures may change.  The pressures may change due to any of the following, but not limited to:
  • Weight loss
  • Weight gain
  • Age (the older we get, the more our muscle tone decreases, potentially adding the need for more pressure)
  • Lifestyle changes (drinking or use of certain medications can affect how much pressure is needed to keep your airway open)
  • Sex (many post menapausal women will have a need for CPAP when otherwise they would not have used a CPAP)
  • Pregnancy (goes with weight gain/ loss as many pregnant women could benefit from the use of CPAP during their pregnancy and may or may not need it after the birth of the child)
The mode of therapy is a definite difference maker in the need of consistant download reports.  An AutoPAP will adjust with you on a nightly basis the ensure your Obstructive Sleep Apnea is consistantly a non-issue.  The reports are still necessary to potentially shrink your pressures.  Alot of AutoPAP users start at 4cm to 20cm of water pressure when they may need to be at 7cm to 10cm .  This is important because if you should be between 7cm-10cm and you are at 4cm-20cm, you basically have to have events during the beginning of your sleep to get to a pressure that is necessary.  These reports will allow you as a consumer to have an educated conversation with your physician about maximizing your CPAP therapy and possibly decreasing your CPAP or BiPAP pressures.  In Fixed CPAP Pressure machines, the reports will allow you to ensure the pressure setting is where it needs to be on a consistant yearly basis.
 
The following will be a breakdown of what the manufacturers reports will provide you when 1800CPAP.com completes a download for you.  The information will be based on manufacturer as well as model within the manufacturer.
 

Respironics CPAP machines and BiPAP machines:

Respironics machine collect data on the CPAP machine or BiPAP machine based on the model you have been using.  The data collected is broken down into two categories:
  • Basic Usage Data: devices measure and report patterns of use along with therapy settings, including pressure, pressure relief and humidification.  The device identifies patient therapeutic use when the blower is on and breathing is detected via a flow sensor.  Basically it is going to give you information on how often you are using the CPAP machine or BiPAP machine.  This is very basic information.
  • Advanced Compliance Data: devices monitor and report on patterns of use along with abnormal events that may impact the efficacy of the therapy.  These events include apnea, hypopnea, snore, flow limitation, non-responsive apneas and large leaks.  The device identifies these abnormal breathing events via an advanced algorithm that uses both flow data and pressure data inputs generated by the flow sensor and pressure sensor of the device.  Below is a basic explanation on how these events are calculated and their meanings:
  1. Apnea Detection: Apnea is when you have a full closure of your airway for a minimum of 10 seconds.  You have more than likely heard the term Obstructive Sleep Apnea and the Apnea part is a full closure in your airway.  This is calculated in the Philips Respironics System One CPAP or BiPAP machines by the REMstar algorithm establishes a baseline of patient flow based on a moving flow signal window- it detects an apnea as a 80% reduction in flow lasting a minimum of 10 seconds.
  2. Hypopnea Detection: Hyponea is defined as a a 30% reduction in airflow with a 3-4% or greater reduction in oxygen saturation that last a minimum of 10 seconds.  This is known as a partial closure in the airway and is considered when you hear the terminology AHI (Apnea Hypopnea Index).  The Hypopnea along with the Apnea is calculated by total number of these two divided by the number of hours you were asleep.  This is calculated  by the REMstar algorithm establishes a baseline of patient flow based on a moving flow signal window- it detects a hypopnea as a 40% reduction in flow lasting at least 10 seconds, followed by a recovery breath.  The 30% reduction above is how it is actually defined, but Respironics uses 40% in their machines.
  3. Snore Detection: Snoring needs no introduction, nor does it need to be defined as I am sure the majority of the people reading this have some sort of snoring while they are sleeping.  Respironics states that snoring is a measure of partial occlusion and is a strong indicator of potential respiratory events.  The REMstar algorithm has the capability to detect snoring vibrations and adjust the pressure accordingly.
  4. Flow Limitation/ Upper Airway Resistance: Flow limitation/ Upper Airway Resistance is defined as less than 30% reduction in airflow without a desaturation in oxygen or without an arousal.  The REMstar algorithm analyzes the flatness, roundness, peak and shape of each breath throughout the night and determines a gross change in these characteristicsas a flow limitation.
  5. Non-Responsive Apnea/ Hypopnea: At higher pressures, if a patient does not respond to pressure increases due to apneas or hypopneas, the device will automatically convert to a CPAP for a 15-minute period and an NRAH notification will show on a report.
The following is the breakdown of which machines made by Philips Respironics have either Basic Usage Data or Advanced Compliance Data:
 

Sleep Therapy Systems (CPAP or BiPAP Machine)

Part Number

Basic Usage Data

Advanced Compliance Data

REMstar Basic (no SmartCard) DS100, DS100H, DS150S, DS150HS

X

REMstar Plus with C-Flex (no SmartCard) DS200, DS200H

X

REMstar Plus with C-Flex and SmartCard DS200S, DS200HS, DS250S, DS250HS

X

REMstar Pro with C-Flex DS400S, DS400HS, DS450S, DS450HS, DS450HSIQ

X

REMstar Auto with C-Flex DS500S, DS500HS, DS550S, DS550HS, DS560TS

X

REMstar Auto with A-Flex DS510S, DS510HS

X

BiPAP Plus with Bi-Flex DS600, DS600HS, DS650S, DS650HS

X

BiPAP Auto with Bi-Flex DS700S, DS700HS, DS750S, DS750HS

X

BiPAP Auto SV 1012885, 1014248, DS950S, DS950HS

X

 
The Respironics models before the M-Series or PR System One CPAP and BiPAP machines did not have SmartCards in them except for certain models.  If you have one and feel it could be downloaded, feel free to contact us at 1-800-274-1366 to ensure we have the ability to download your data.
 

ResMed CPAP Machines and Bi-Level Machines:

ResMed CPAP machines and/ or Bi-Level Machines offer the ability to retrieve important usage and compliance information via the use of a ResScan Data Card.  The machine holds all of the information internally and will upload to the ResScan Data Card once the card is inserted into the machine.  The information can then be uploaded by 1800CPAP.com by using ResMed's software to provide you with all of the pertinant information you need.
 
The extent of the information is determined by which model you own.  Certain ResMed models offer basic usage information while others will provide you with extensive information in regards to AHI, leak, flow, flow limitations, snoring detection, first 30 days reporting, etc.  The reports will be provided with a outlook on your therapy by the day, week, month or year.  The report can be completed for you with different parameters based on what your needs are for the report.  Each report will come with a Summary page outlining how you are doing based on set parameters as well as a detailed information page that uses graphs to show all the vital information.
 
  • Basic Usage Data:  Defined as information provided to you based solely on usage.  The information provided will be days of use and average daily use.
  • Basic Compliance Data:  The information received within this category is AHI, Pressure and Usage.
  • Advanced Compliance Data:  The information received within this category is AHI, AI, CAI, OAI, UAI, Events (seconds), Flow Limitation (round to flat), Flow (L/min), Leak (L/min), Minute Ventilation (L/min), Pressure (cm of water pressure), Pulse Rate (beats/ min), Snore (quiet to loud), Oxygen Saturation and Usage
  • VPAP Compliance Data:  The information received within this category is Oxygen Saturation, Leak, Pulse Rate, I:E ratio, Flow, Flow Limitation, Events, Usage, Snore, Days used, Days > 4hrs, Avg usage, Used Hours, Ins. Pressure, Exp. Pressure, Tidal Volume, Respiratory Rate, Minute Ventilation, AHI, Total AI
  • VPAP Advanced Compliance Data: All of the items from VPAP Compliance Data including: Central AI, Obstructive AI/ Unknown AI, ODI, % Spontaneous Triggering or Cycling
  • S8 VPAP Compliance Data: The information received within this category is Leak, Respiratory Rate, Minute Ventilation, Tidal Volume, Pressure, AHI, AI, HI, Events and Usage
Definitions and explanations of terms are:
  1. Apnea: ResMed scores an Apnea on their machines when there is a 75% reduction in breathing for a minimum of 10 seconds.  ResScan shows three different types of Apnea, Central Apnea, Obstructive Apnea and Unknown Apnea.
  2. Central Apnea (CAI): Central Sleep Apnea is when an Apnea occurs and the airway remains open.  Meaning, you're not making the effort to breath when there is a loss of breath.  This is usually treated with a VPAP™ Adapt, not a CPAP machine.  The Central Apnea Index is scored by taking total number of events divided by sleep time.
  3. Obstructive Sleep Apnea (AI), (OAI): Physical closure of the airway.  Apnea Index is scored by taking the total number of events divided by total sleep time.
  4. Unknown Apnea (UAI):  Apnea which a leak higher than 30L/min occurs, precluding accurate determination of whether the apnea is obstructive or central.  Index is found by taking total number of events and dividing by total sleep time.
  5. Flow: Flow is an estimate of the airflow entering the lungs.  It is found by taking the total flow and then removing the leak and mask vent flow components.
  6. Leak: Leak is an estimate of the total rate of air escaping due to mouth and mask leaks.
  7. Minute Ventilation: Volume of air breathed in (or out) within any 60 second period.
  8. Pulse Rate: Number of heart beats in a 60-second time frame.  Only way to calculate this is by attaching an oximeter.
The First 30 Days Report is great for newer CPAP users so that you as the consumer can see how the first 30 days went and to find out if any fine tuning needs to happen to better enhance your usage with CPAP.
 
The following is a breakdown of what information is provided on a report based on the S9 CPAP models:
 

CPAP Machine:

Part Number(s):

Basic Usage Data:

Basic Compliance Data:

Advanced Compliance Data:

S9 Escape with H5i 36001, 36011

X

S9 Elite with H5i 36003, 36013, 36023

 

X

S9 Escape Auto with H5i 36002, 36012

X

S9 AutoSet with H5i 36005, 36015, 36025

X

S9 AutoSet for Her with H5i 36075

X

 
The following is a breakdown of what information is provided on a report based on the S8 CPAP models:
 

CPAP Machine:

Part Number(s):

Basic Compliance Data:

Advanced Compliance Data:

S8 Escape™ II with H4i 33051, 33061

X

S8 Elite™ with H4i 33039, 33062

X

S8 Escape™ II Auto with H4i 33064, 33077

X

S8 AutoSet™ II with H4i 33129, 33150

X

 
The following is a breakdown of what information is provided on a report based on the S9 Bi-Level (VPAP) models:
 
BiLevel (VPAP) Machine:
Part Number(s)
VPAP Compliance Data
VPAP Advanced Compliance Data
S9 VPAP Adapt with H5i
 
 
X
S9 VPAP Auto with H5i
 
 
X
S9 VPAP S with H5i
 
 
X
S9 VPAP ST with H5i
 
X
 
 
 
 
 
 
The following is a breakdown of what information is provided on a report based on the S8 Bi-Level (VPAP) models:
 

Bi-Level (VPAP) Machines:

Part Number(s):

S8 VPAP Compliance Data:

S8 VPAP Auto 25 with H4i 26101, 26121

X

S8 VPAP ST with H4i

X

S8 VPAP S with H4i 26119, 26120

X

 
If you feel you have a machine other than what is listed and it has the abilities to develop a report (via a Data Card), please feel free to contact us at 1-800-274-1366 and we will let you know if we have the capability to provide you with a report.
 

Fisher & Paykel CPAP Machines

Fisher & Paykel CPAP machines have the capability of retrieving information via the use of their InfoSmart™ Technology.  Depending on the style of machine you have, the reports will provide you with a level of communication that will assist you in making your CPAP therapy a success.  The technology has been designed to work with the F&P ICON™ family.  The InfoSmart™ technology will also allow us to provide you with a report for your older style of F&P CPAP Machine such as the SleepStyle 200 and 600 series machines.  The information is retrieved by the use of the Fisher & Paykel SmartStick™ and the SmartStick™ would need to be mailed to 1800CPAP.com for the data to be downloaded. 
 
The reports will provide you with 30 days detailed efficacy data (including AHI, Pressure and Leak) on certain machines.  365 days of summary efficacy data and cummulative summary of data from first use.
 
The data collected is broken down into 3 different categories:
  • Basic Usage Data:  Information provided on these reports are Compliance Statistics, Compliance Metric, Pressure, Usage, Humidity, Patterns of use and overall Compliance Data.
  • Basic Compliance Data:  Information provided on these reports are All of the Basic Usage Data including Efficacy Statistics, AHI, Leak, Hypopnea, Apnea, Flow Limitations, Pressure, System Leak, Run Time and Efficacy Data
  • Advanced Compliance Data: All of the information from the above two categories including SensAwake™  Statistics
The following is a breakdown of which category of information can be retrieved based on your current Fisher & Paykel CPAP Machine model:
 
CPAP Machine:
Part Number(s):
Basic Usage Data:
Basic Compliance Data:
Advanced Compliance Data:
F&P ICON™ Novo
ICON
X
 
 
F&P ICON™ Premo
ICONPBN
 
X
 
F&P ICON™ Auto
ICONAAN
 
 
X
SleepStyle™ Model 242
HC242JHU
X
 
 
SleepStyle™ Model 244
HC244JHU
 
X
 
SleepStyle™ Model 254
HC254JHU
 
 
X
SleepStyle™ Model 600
HC600JHU
 
 
 

If you have a different model than what is listed and feel it can be downloaded for your information, please contact us at 1-800-274-1366 to ensure we have the capabilities of retrieving your information.