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RESMED for sleep apnea? Any comments?

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Old 03-05-2017, 07:26 PM   #241
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Does anyone else here use a ResMed Airfit N10 mask?

Would like to swap cushion sizes if you do. New and unused cushions only please.

I want: XS (preferred) or S
I have: M (2 pieces) and L (1 piece)

Send a PM if we can trade.

(Also looking to trade ResMed Swift FX cushions. I want S; I have M and L to trade)

Last edited by dreant; 03-05-2017 at 07:30 PM..
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Old 15-05-2017, 10:33 AM   #242
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So troublesome to just buy a machine
1. Go Polyclinic get referral to see ENT specialist
2. See specialist and get a sleep test in hospital (longer wait) or at home
3. See specialist for report and medical advice
4. Online buy CPAP

Not that troublesome and short wait (whole process typically less than 2 months)
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Old 07-06-2017, 10:19 PM   #243
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Hi. I have just being diagnosed with OSA and require a CPAP. I realised it is cheaper if I buy from US. Is it possible to purchase from US online and ship to Singapore ? Will there be any issues with the customs since it is counted as a medical device ?

Thanks !
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Old 07-06-2017, 10:51 PM   #244
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Hi. I have just being diagnosed with OSA and require a CPAP. I realised it is cheaper if I buy from US. Is it possible to purchase from US online and ship to Singapore ? Will there be any issues with the customs since it is counted as a medical device ?

Thanks !
The answers to your questions can be found in this thread. Take a moment to read it...
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Old 10-06-2017, 12:28 PM   #245
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I personally know someone with sleep apena who is not overweight but he swear by a product called snoreRX which is very cheap and effective for him (he do not snore anymore and feel very refresh when awake, he even use a sleep noise recording device to compare wearing it and not wearing it). Not sure how serious is his sleep apena that he can solve it with that. He previously also used a cpa.

Also to mention an alternative, you can ask your ENT doctor to recommend you to the Dental center of SG to custom mould a professional MAD (oral sprint) also. It can be a very effective alternative. This alternative oral sprint is listed here in Singhealth website.

https://www.singhealth.com.sg/Patien...Apnea-OSA.aspx
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Old 23-06-2017, 04:38 PM   #246
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Anyone using Resmed Airsense 9/10 ?
Where you all get the filter replacements from ? So far shipping from thecpapshop.com seems to be the cheapest but the shipping costs quite high.
Anyone needs to order as well ?
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Old 23-06-2017, 05:49 PM   #247
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Anyone using Resmed Airsense 9/10 ?
Where you all get the filter replacements from ? So far shipping from thecpapshop.com seems to be the cheapest but the shipping costs quite high.
Anyone needs to order as well ?
I have both an S9 and S10. They use the same filters.

I usually order and stock up extras when I buy items from the US, like a replacement mask or tubings. If you only need new filters, you can find them for a pretty reasonable price on ebay.

The filter isn't rocket science, and I've no issues with using cheap filters from ebay.
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Old 28-06-2017, 12:50 AM   #248
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I took the sleep study at SGH recently, with the result that I have OSA and got prescribed for CPAP.
While currently waitlisted for the CPAP rental from SGH, I'm thinking, if I won't ever want to take the option of doing surgery (and I won't ignore my OSA either), then I will have to use CPAP no matter what. So in that case, why waste a few months' time for waitlisting, and then renting for 1 month, then waiting for consultation to review CPAP trial result, etc. I might as well just buy the CPAP straight away now, with the hope to get result as soon as possible.
Currently I have my eyes set on the ResMed Airsense 10 Autoset. I looked through a few websites like 1800CPAP, SecondWind, etc.. and so far it seems that the cheapest that I can find is actually in Amazon. Like this one:
https://www.amazon.com/Airsense-Auto...ed+airsense+10
So my questions are:
1) Is there any watchout about buying such CPAP devices from Amazon? What's the disadvantages vs buying from the CPAP specialist online stores?
I plan to use forwarder (like ezbuy) to ship it into Singapore.
2) Has anybody recently bought CPAP devices from online stores? Did you still have to do HSA importing license procedure (as described by "Shu" on 10-Jan-2016 in post #45 in this thread)?
3) Which tubing is better? (for use in Singapore). SlimLine or ClimateLine?

Thanks for any information.
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Old 28-06-2017, 03:41 AM   #249
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liemsc,

1) No idea. Have never purchased CPAP equipment from Amazon, but it does look like a *really* good price.
2) Yes. My last shipment was held by customs, and I had to submit the 'license' to DHL to get it released (Jan 2017).
3) I've found the climateline (with a insulating sleeve) helpful in reducing rainouts when I use the humidifer in winter. During the non-winter months, and while I'm in SG, I use a regular (non-climateline) tube without the humidifier.

I'm to understand the S9's humidifier targets 80% relative humidity, and it's usually higher than that in SG (unless you sleep in an air conditioned room); hence I never felt the need to use it. I would guess the Airsense 10's humidifier would be similar. Also, because I really don't want to have to deal with cleaning the water chamber every day - but, that's just me. Perhaps a few other hoseheads here can chime in if you use your humidifier or not.


---

I purchased an Airsense 10 Autoset for Her (*) from 1800cpap in Jan this year, to replace my aging S9. I got it with the climateline tubing, because I use the humidifier in winter. I also got the side cover to use my unit without the humidifier, but you don't actually need it. You can run the unit with the water chamber empty, and the humidifier off.

(*) because I preferred that color. However, 'for her' has an extra algorithm, which the black unit does not have. The Amazon seller you linked to seems to indicate they may have the 'for her' models as well. Might like to send a message to ask if you might prefer that.
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Last edited by dreant; 28-06-2017 at 01:34 PM..
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Old 28-06-2017, 02:09 PM   #250
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I have both an S9 and S10. They use the same filters.

I usually order and stock up extras when I buy items from the US, like a replacement mask or tubings. If you only need new filters, you can find them for a pretty reasonable price on ebay.

The filter isn't rocket science, and I've no issues with using cheap filters from ebay.
I cant seem to find cheap filters on Qoo10/Ebay/Carousell.
The shipping is the killer.

Buying a set of 36 filters works out to about $4 a piece. But then i dont need so many lol.

I think i'm better off buying $15 for a 3 pack from my CPAP retailer.
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Old 28-06-2017, 02:40 PM   #251
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I cant seem to find cheap filters on Qoo10/Ebay/Carousell.
The shipping is the killer.

Buying a set of 36 filters works out to about $4 a piece. But then i dont need so many lol.

I think i'm better off buying $15 for a 3 pack from my CPAP retailer.
First hit with 'S10 filter resmed' on ebay.com:
12Pcs/set Filter Disposable Sponge Hypo Allergenic For ResMed S9/S10 CPAP Sleep; USD8.48 + USD0.99 (shipping)

That works out to about SGD1 a piece, and there are probably a hundred others at a similar price point.
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Old 28-06-2017, 02:43 PM   #252
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1) Is there any watchout about buying such CPAP devices from Amazon? What's the disadvantages vs buying from the CPAP specialist online stores?
I plan to use forwarder (like ezbuy) to ship it into Singapore.
IMHO, there should not be any difference. I bought my machine from Amazon becos its cheaper and they are willing to ship it within the USA without a detailed prescription.

I was in USA for work and I wanted it shipped to my hotel so I can save on shipping. CPAP specialist shops all insist me to send them a detailed prescription before they are willing to ship to a USA address (no issues with overseas address though). They do not accept the prescription from my CGH sleep specialist becos the prescription did not include titration values, min/max pressure. etc

Anyway, my CPAP machine from Amazon arrived in good condition, and within the delivery timeframe.

One thing u need to take note is that, for most CPAPs, certain settings are locked and, by right, only the hospital is authorized to make certain changes (such as min/max pressure, ramp setting, ramp time, humidity, tube temp, mask configuration). For my case, my sleep specialist do not really care about me changing those settings, as long as I feel comfortable, and I am achieving a good AHI.

Do a bit of googling, and you should be able to find out the "cheat-code" to enable you to change those settings. Normally u need to press some of the buttons in a certain sequence etc to unlock the locked menu.

I played around the different settings across several weeks and I found a setting combo that allows me to achieve AHI <1. (Compared to 2.5 when I was using the default 4-20 settings)

2) Has anybody recently bought CPAP devices from online stores? Did you still have to do HSA importing license procedure (as described by "Shu" on 10-Jan-2016 in post #45 in this thread)?
Yes. U still need to go through the HSA import process. I recently bought new masks and these need HSA's approval. Only smaller items like filters and replacement tubes are excepted

3) Which tubing is better? (for use in Singapore). SlimLine or ClimateLine?
I dun use Resmed CPAPs, but, IMHO, for Singapore's climate, there is no need for a heated tube/ humidifier, even if u sleep in an aircon room. I personally cannot get used to the humidifier too. but, YMMV
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Last edited by hawthorne; 28-06-2017 at 02:54 PM..
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Old 29-06-2017, 12:16 AM   #253
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Thanks dreant and hawthorne for your inputs.
Sadly, the Amazon posting has now disappeared As a matter of fact, I was monitoring this item for the last few days, and the price somehow fluctuated at the range of USD 460 - 575. And today it's no longer there.
I guess I'll have to keep checking again and quickly grab if it ever gets listed again.

Dreant - you mentioned that the "for her" version has "extra algorithm". Any clue what's the extra algorithm supposed to do in real life? I searched in Resmed's website, and it says: "The pioneering new algorithm used in the AirSense 10 AutoSet for Her works by increasing sensitivity to flow limitation and optimizing the response to these events. By responding to each flow-limited breath, the algorithm helps provide comfortable therapy for women".
Well, I'm a male, and I wonder if this would be suitable for me
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Old 29-06-2017, 12:46 AM   #254
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Dreant - you mentioned that the "for her" version has "extra algorithm". Any clue what's the extra algorithm supposed to do in real life? I searched in Resmed's website, and it says: "The pioneering new algorithm used in the AirSense 10 AutoSet for Her works by increasing sensitivity to flow limitation and optimizing the response to these events. By responding to each flow-limited breath, the algorithm helps provide comfortable therapy for women".
Well, I'm a male, and I wonder if this would be suitable for me
The (black) Airsense 10 Autoset has 2 modes.
a) CPAP (fixed pressure) mode
b) Autoset mode

The (grey) Airsense 10 Autoset for her has 3.
a) CPAP (fixed pressure) mode
b) Autoset mode
c) Autoset for her mode

In addition, the 'for her' model logs and reports RERAs, but the standard model does not.

If it's the same price, wouldn't getting more be better? Especially since you can always use it in the regular autoset mode too. (Some places do charge a little more however...)

From the Airsense 10 clinical guide:
AutoSet for Her mode
AutoSet for Her mode is based on key aspects of ResMed’s AutoSet algorithm and delivers therapeutic responses tailored to the characteristics of female OSA patients.

The AutoSet for Her is similar to ResMed’s AutoSet algorithm with the following modifications:
* Reduced rate of pressure increments designed to help prevent arousals.
* Slower pressure decays.
* Treats apneas up to 12 cm H2O and continues to respond to flow limitation and snore up to 20 cm H2O.
* Minimum pressure (Min. Pressure) that adjusts according to the frequency of apneas: If two apneas occur within a minute, the pressure reached in response to the second apnea will become the new minimum treatment pressure until the next treatment session.

Patients who use AutoSet for Her will still get the benefits of ResMed's AutoSet technology including improved sensitivity to flow-limitation and Central Sleep Apnoea Detection with Forced Oscillation Technique.
...
Respiratory effort related arousals reporting
Respiratory Effort Related Arousals (RERA) reporting is available on the AirSense 10 AutoSet for Her in all modes.

RERAs are periods of increasing respiratory effort which are terminated by an arousal. Increasing respiratory effort will be seen as airflow limitation.These flow-based RERA events are logged and stored as summary and/or detailed data and can then be viewed in one of ResMed's patient management systems.


Also, from various places around the internet (these may not be accurate):
cpap.com
One of the most innovative features of the AirSense™ 10 AutoSet for Her is the algorithm developed for women and the manner in which OSA affects them. A standard algorithm responds after 3 flow limited breaths and will move up by as much as 3 cmwp. The For Her algorithm responds after just 1 flow limited breath and will move up by as much as 2.5 cmwp. If needed the algorithm setting can be changed to the standard AutoSetAutoSet™ algorithm version.

apneaboard forum post:
...
2. "AutoSet for Her" mode, which still has all benefits of S9 Enhanced AutoSet algorithm (central versus obstructive apnea detection, etc) plus extra features and benefits, such as RERA detection not offered in normal AutoSet mode.
...

"AutoSet for Her" mode may be helpful for all patients, not just women. The pressure rises more gradually and drops back to the Min Pressure setting more gradually, and the Min Pressure (the target toward which the pressure slowly drops back between obstructive events) automatically adjusts higher when apneas occur within one minute of each other. This could be really helpful for lots of men and women who are bothered by the repetitive sawtooth pattern of steep pressure rises followed by gradual pressure drops repeating all night long.


Also this post there seems to talk a bit about it too.
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Last edited by dreant; 29-06-2017 at 01:14 AM..
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Old 29-06-2017, 07:00 AM   #255
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The (black) Airsense 10 Autoset has 2 modes.
a) CPAP (fixed pressure) mode
b) Autoset mode

The (grey) Airsense 10 Autoset for her has 3.
a) CPAP (fixed pressure) mode
b) Autoset mode
c) Autoset for her mode

In addition, the 'for her' model logs and reports RERAs, but the standard model does not.

If it's the same price, wouldn't getting more be better? Especially since you can always use it in the regular autoset mode too. (Some places do charge a little more however...)

From the Airsense 10 clinical guide:
AutoSet for Her mode
AutoSet for Her mode is based on key aspects of ResMed’s AutoSet algorithm and delivers therapeutic responses tailored to the characteristics of female OSA patients.

The AutoSet for Her is similar to ResMed’s AutoSet algorithm with the following modifications:
* Reduced rate of pressure increments designed to help prevent arousals.
* Slower pressure decays.
* Treats apneas up to 12 cm H2O and continues to respond to flow limitation and snore up to 20 cm H2O.
* Minimum pressure (Min. Pressure) that adjusts according to the frequency of apneas: If two apneas occur within a minute, the pressure reached in response to the second apnea will become the new minimum treatment pressure until the next treatment session.

Patients who use AutoSet for Her will still get the benefits of ResMed's AutoSet technology including improved sensitivity to flow-limitation and Central Sleep Apnoea Detection with Forced Oscillation Technique.
...
Respiratory effort related arousals reporting
Respiratory Effort Related Arousals (RERA) reporting is available on the AirSense 10 AutoSet for Her in all modes.

RERAs are periods of increasing respiratory effort which are terminated by an arousal. Increasing respiratory effort will be seen as airflow limitation.These flow-based RERA events are logged and stored as summary and/or detailed data and can then be viewed in one of ResMed's patient management systems.


Also, from various places around the internet (these may not be accurate):
cpap.com
One of the most innovative features of the AirSense™ 10 AutoSet for Her is the algorithm developed for women and the manner in which OSA affects them. A standard algorithm responds after 3 flow limited breaths and will move up by as much as 3 cmwp. The For Her algorithm responds after just 1 flow limited breath and will move up by as much as 2.5 cmwp. If needed the algorithm setting can be changed to the standard AutoSetAutoSet™ algorithm version.

apneaboard forum post:
...
2. "AutoSet for Her" mode, which still has all benefits of S9 Enhanced AutoSet algorithm (central versus obstructive apnea detection, etc) plus extra features and benefits, such as RERA detection not offered in normal AutoSet mode.
...

"AutoSet for Her" mode may be helpful for all patients, not just women. The pressure rises more gradually and drops back to the Min Pressure setting more gradually, and the Min Pressure (the target toward which the pressure slowly drops back between obstructive events) automatically adjusts higher when apneas occur within one minute of each other. This could be really helpful for lots of men and women who are bothered by the repetitive sawtooth pattern of steep pressure rises followed by gradual pressure drops repeating all night long.


Also this post there seems to talk a bit about it too.
There are a few CPAP related forums out there. This question has been asked and answered quite extensively. Apparently, male CPAP users has been buying those models because it has more features for the same price. The special algo specially aimed at females can be turned off if u like, so, there is nothing wrong with buying that version

Actually, I was considering that model too during my search for a CPAP machine last time

U can try asking your questions on CPAP specific forums. There should be more people who can answer your questions
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