9000 Series CPAP
• How do I clear out the compliance hours on the 9000 series CPAP?
• Explain the delay (ramp) and the delay pressure?
• What does Altitude Compensation do?
• What is Fine Tuning, and does competitors’ units also have this?
• What accessories do I need for the 9001 model, and the AutoAdjust?

Smart Track
• How many days will the memory store in the Smart Track?
• How long will the batteries last in the Smart Track?
• Why is the Smart Track so expensive?

eCompliance/Internet IPS Software
• When I try to log on, or my new customer tries to log on, we’re having trouble getting connected. What is the problem?
• When I set up a viewer, how does that viewer receive their User ID and Password?
• Are there limits to the number of Authorized Viewers that I can set up?
• How long to patients remain on the server after the compliance period has ended?
• Does the new Smart Track work with the 8001-RD CPAP?

9000 Series CPAP

Question:
How do I clear out the compliance hours on the 9000 series CPAP?
Answer:
Simply:
1. Go into the provider setting mode by holding down the "Down" button and the "Ramp" button, while turning on the unit.
2. Go to the compliance hours by depressing the "Next" button repeatedly.
3. Clear the compliance hours by holding down the "Up" & "Down" buttons simultaneously until the hours clear (about 6-8 seconds).

Question:
Explain the delay (ramp) and the delay pressure?
Answer:
The delay is designed to allow patients to fall asleep without having full prescription pressure blowing in their nose. There are two parts:

• The Delay:
We offer 10, 20, 30, & 45 minutes. Our system goes to the delay pressure and stays there until the last 5 minutes. Then it ramps linearly to the prescription pressure.
• The Delay Pressure:
We allow the low pressure to be adjusted. Many units go to 3, or 4 cm pressure when the ramp button is hit. In some cases, the patients feel air starved and need a higher pressure. The ramp, in this case, actually is uncomfortable to the patient and will not allow them to go to sleep.
Example:
A patient is on 12 cm of pressure, and we set the delay to 30 minutes, with a delay pressure of 5 cm.
For this example:
When the Delay button is hit, the unit will go to 5 cm for 25 minutes and then ramp up from 5 to 12 cm over the next 5 minutes. This is 30 minutes total.

Question:
What does Altitude Compensation do?
Answer:
This adjusts the blower RPM’s for the air density at various altitudes. Air is thinner at 5,000 ft than it is at sea level. Because of this, the unit will give different pressures at these two without some adjustment, or compensation. The altitude compensation is set up to provide this tweak.

Question:
What is Fine Tuning, and does competitors’ units also have this?
Answer:
Because the model 9000 does not have a pressure transducer, we rely on the blower speed to give the pressure. Because of variances from one blower to another, there is a tolerance allowed, and a setting of 8 cm, for example, will not always be exactly at 8 cm. The fine tuning allows a provider to set this exactly if they so desire, by putting a manometer on the product and adjusting it in to the desired pressure.

The range of adjustment is + 5 cm H2O. There are 255 settings, 127 in the up direction, and 127 in the down direction. If you take the 5 cm H2O and divide it by the 127 adjustments, you will find that each adjustment will vary the pressure by 0.04 cm H2O (this is very fine).

Note that our tolerance on specification is + 2 cm H2O, so the fine adjustment is clearly more than needed, and no one should have to go beyond 50 to cover the full tolerance that the pressure could be off. NO OTHER COMPETITOR (with std CPAP) HAS THIS FEATURE. Also note that all of the units without pressure transducers have this same tolerance. It basically says that a setting of 8 could result in pressure anywhere from 6 – 10 cm H2O. This was the argument that we’d made when we had the 8000 and the adjustment tool, but the market told us that this was acceptable.

Question:
What accessories do I need for the 9001 model, and the AutoAdjust?
Answer:
The AutoAdjust remote has been discontinued. Instead, we have moved to a Palm OS application to set up the 8054. This same Palm OS application will allow users to set up the 9001 CPAP as well. The ordering number is: 9000A-650, Provider price: $25.
This includes an adapter cable to plug between the PDA cable and the CPAP,
& a CD-Rom with the application, user’s manual, and an easy to use menu program.
The 9000A-650 is used only to set the equipment up, the other product that is needed is the LT Software, which allows you to set the equipment up using a computer, but also allows the data to be downloaded and analyzed. The part number for this is 8054D-620. This includes the PC software and the cable to hook the unit to the computer through the serial port.

Smart Track

Question:
How many days will the memory store in the Smart Track?
Answer:
We cannot specify this in this way. Asking this is like asking, "how many files can I store on a hard drive?" The answer is, "it depends on the size of the files." Because each start/stop cycle takes up a block of memory, a night with 10 start/stop cycles will take up more space than a night with less start/stop cycles. One thing is clear…there is enough memory to hold at least 6 months of data under normal conditions. We have not seen examples of patients filling up the memory prior to that.

Another thing to consider is that the memory is always first in, first out (FIFO). By doing this, we always keep the most recent information and purge (if this ever occurs) the oldest information. As an example, if a patient were to be on the unit and fill up the memory on the 200th night, new information would come in on the 201st night and the first night of data would be purged, leaving day 2 through day 201. This always leaves the most recent information in the system.

Question:
How long will the batteries last in the Smart Track?
A. A new set of batteries will last for approximately 3 years in the unit. In the event that the batteries are low, a notification is sent via email to the provider. The Smart Track module will have approximately 3 months of useful battery life after this notification.

Question:
Why is the Smart Track so expensive?
Answer:
It is much more than a modem. The device actually is a processing module that has processing power, memory, firmware to analyze the information, and just happens to have a modem for transmitting all of this information to the server. If we call it a modem, we minimize its value. We put all of this in the module to keep the CPAP price low.

eCompliance/Internet IPS Software

Question:
When I try to log on, or my new customer tries to log on, we’re having trouble getting connected. What is the problem?
Answer:
It could be a couple of things. Here is what to check, in this order:
ÿ Do you have an Internet connection running in the background? The easiest way to check this is to open up the web browser and see if you’re connected (you can minimize this to ensure that you stay connected).
ÿ Make sure that you are typing in the correct User ID and Password. As a check, you can use "demo" and "demo" respectively for a test.
ÿ There may be a firewall on the provider’s network. Their IT personnel can open a port for this (reference document "Firewall Port for IPS"). Currently, you have been experiencing this problem if you’ve tried to show the software and are dialed into the Longmont server. We expect to have this corrected by 11/15/01.

Question:
When I set up a viewer, how does that viewer receive their User ID and Password?
Answer:
The person setting up the viewer must inform the viewer (doctor or lab tech) of what these are (email is convenient). The viewer (doctor) can change his password after they log on. When they are in the IPS software, just go to IPS>Change Password to open a dialog box to complete this task. This will ensure that the provider does not have access to the doctor’s account after the first log on.

Please note that a doctor who is using two providers will currently have two accounts with separate User ID’s and Passwords for each provider. The next revision will allow a viewer to have one account to source all of their patients, but will still be able to select the provider within the account after they have logged in.

In general, the process should be:
• Set up the viewer on your system. Be cautious with the Authorization that you give them. Typically, viewers outside of your dealership should only have "view reports" authorization.
• Communicate the User ID and Password for the viewer, and direct them to the www.sleepcompliance.com site to download the software (reference document "Sample viewer notification").
• Remember that the doctor, lab tech, etc., will see an empty screen until you set up the first patient and authorize them to view the patient’s information.

Question:
Are there limits to the number of Authorized Viewers that I can set up?
Answer:
No. You can set up as many as you would like.

Question:
How long to patients remain on the server after the compliance period has ended?
Answer:
We will purge patients out after 1 year. We are considering an archival service for future releases that will allow us to serve this for longer periods of time. The initial thoughts are to keep the records on, and visible for 1 full year, and then archive them. Providers would still be able to get the information upon request, for a modest fee. Their other option is to print out the report and attach it to their patient records.

Question:
Does the new Smart Track work with the 8001-RD CPAP?
Answer:
Yes, you can use the older 8001-RD CPAP with the new modems, however, the old modems must be reworked if they are to be used on the new eCompliance system. We have set up a rebuild program to allow providers to send these in and have them updated for $75 per modem. The part number is SMLINK-200-RE.