Sierra

Yes, ResMed likes to keep the Clinical Menu access a secret. Here is a link to the manual that describes all the Clinical Menu options. But, be careful. You can change important settings with this menu!

https://www.respshop.com/manuals/ResMed-AirSense-10-for%20her.pdf

Your machine may be set in a more limited visibility of options mode. To fix:

1. Hold down the rectangular home button and round settings button at the same time for 5 seconds to enter the Clinical Menu mode.
2. In the Clinical Menu rotate the settings button to scroll down to Options, Essentials, and then set it to Plus. This should give you the additional visibility. It also gives you access to an advanced sleep report.
3. Exit out to the User Menu.

Are you really connecting at 5G? You should be able to go into the "My Options" menu, and right at the bottom "About", and at the bottom again "Provider". There it will list who you are connecting to and at what speed.

Here is a link to some information on the Reverse Osmosis self service water jug refill service. This is not the specific brand of equipment at our local store, but is essentially the same. This one appears to be available widely including at Walmart's in the US. I have not seen it in Canada, but have not looked at Walmart either as my local store is closer.

https://primowater.ca/self-service-refill-water/

These are intended to fill the glass or plastic water jugs used for home drinking water dispensers. But, I find the 5 gallon blue plastic jugs made for camping to be more convenient with their spout and carrying handle. I use the large 5 gallon container to refill 1 gallon jugs which are more convenient to fill the humidifier with.

This system does not use ozone and instead uses UV treatment which leaves no residual in the water. Ozone would not be a problem either as it is highly reactive and would be long gone as free ozone by the time you use the water. It would be just dissolved oxygen in the water which would be harmless to you and the CPAP machine.

You should be aware that the humidifier in your CPAP acts as a distillation unit. Essentially only pure water evaporates and increases the humidity of the air you get. I don't think it would make any difference if you used ozonated or non ozonated distilled or demineralized water. When we travel to places like Mexico it is difficult to get demineralized water, so we just use plain bottled water. It does mean that one has to clean the humidifier more often to remove the minerals. Vinegar works best for cleaning where there is a mineral residue.

When you use a CPAP it takes a lot of water. I find it wasteful and not friendly to our environment to keep buying more and more plastic containers of water. That I why I use reverse osmosis bulk water in reusable containers.

You may want to try the AirFit P10 nasal pillow mask. It has no magnets.

I buy reverse osmosis purified water available at hardware stores like Canadian Tire or grocery stores. You bring your own jug and fill 5 gallons for $3. At home I use the large container to fill one gallon containers which I reuse. No consumption of endless plastic water containers. I think the brand name of the machine is UltraPure.

About all I can think of is trying a fixed CPAP pressure mode. I think I would try something like about 8.0 cm with EPR at 3 cm still set for full time to see if that helps any. More pressure, if it does not cause centrals can be helpful in getting enough air. Personally I have my machine in Auto Ramp with a start pressure of 9 cm.

That is helpful. There is no detected or even minor apnea event which has preceded this disruption. I think it may be as simple as you just were aroused by something and started to breathe more deeply and then you fully woke up. Then I presume you removed your mask..

Those numbers would suggest the APAP is not set up as well as potentially could. Just based on those numbers alone, about the only possible quick fix may be to increase the EPR to 3 cm full time, if it is not set that way already. That MAY reduce the hypopnea. The other big issue is the high number of Clear Airway or Central Apnea events. Unfortunately since the airway is already open, more pressure does not help to reduce CA events. In fact especially with new users of the APAP, the pressure may even be making the CA frequency worse. But, without seeing more detail, I would not suggest just reducing pressure. What are your min and max pressures set at?

This said the best way the I could possibly help would be if you could download your data on the SD card to the OSCAR program, and then you could post your detailed daily report here. First you need a SD card in your machine. Some clinics unfortunately remove them. A 4 to 32 GB card is enough if there is none. Then you need a card reader and a PC or Mac to run the OSCAR software.

This software flags all the events you are having, when they are happening, and what the pressures are throughout the night. With your issues the first think to look for would be when the CA events are happening and what the pressure is at the time.

Post back if you need any help getting OSCAR working for you, and when you do post the daily report here. Save it as an image file, left click on it, and then drag it into an open post.