- All right guys, Nick here again, part three of three
of the BMC Luna G2 Auto tutorial
videos that I've been doing.
So now we're gonna go into the
more advanced clinical settings.
We did patient settings in number two,
so this is clinical settings. So this is what
the sleep scientists or the doctors,
how they sort of change things on the machine.
What I'm also going to talk about the iCodes,
or the data retrieval from this machine.
Okay, so just in terms of data retrieval,
what you can do, if you want to,
is look at the data on this lovely 3.5 inch color screen
and to do that we just click this button,
so just tap it and let go,
and it will give you data on the screen itself.
So by data I mean you know what the pressure is doing,
the average pressure, which is the P mean,
The apnea hypopnea index, or how many times per hour
you stop breathing, you really want that under five,
ideally under 10 is not too bad,
but once you're going over 10, you probably need to
make some adjustments to your therapy.
SNI is the snore index, don't know too much about that,
although snoring is, snoring through the mask and
it's affecting your partner or something like,
that you might need to have a look
at adjusting the therapy as well.
So what you can do here in this snore, in this screen here,
is if you click the button down, and then click it again,
you can actually change the period.
So you can do it if you want to
have a look at last night's therapy,
one week so this is going to average it out
the data over one week, or one month.
I normally suggest do it over about one week or one month
is a good indication of, you know, the therapy.
One day, you know you can have ups and downs over the day
but you want to have a look at the averages,
is the main thing so, one week,
and then you can have a look just on the screen
if you just want to have a quick,
a quick looksie at the data.
Another thing you can do is if you
tap this button over here, this is to
like, export the data, So if you, you know,
if you don't want to look at it on the screen,
you want to get, print off a report,
or something like that, or you know,
you need to report into a physician,
or you just want it for your own
med records or something like that.
These machines use a system called iCode,
and you can do it a few different ways,
in terms of getting the data off the screen
onto your computer, so that you can print it off,
share it, PDF it, that sort of stuff.
So we're going to do is, if you just press this button here.
It's gonna bring up this, what we call a QR code.
Now, I'll put a link to an app you can download
for your Apple phone or Android phone
in the description of this video so you can download a link.
And basically, you can just hold
your smartphone over that QR code,
and the actual scanner will scan that code,
and you'll be able to then just on your phone
look at the data and print it, and share it
and do whatever you want from your phone there.
So that's really cool using this QR scanner
that you can download the app for,
and I'll put a link into the description of this video
so you can check out that link
and download it onto your iPhone.
You can also go here to these, what we call iCodes.
So these iCodes are just a string of numbers here,
and if I rotate the dial here, you can see
it's going iCode one, and then I rotate
it goes iCode seven and iCode 30,
so this is basically data for seven days,
data for 30 days averaged out like it was before,
at the start when I showed you.
Now all you do is you take these numbers,
and I'll put a link into where you can put those numbers in.
It's just a link, like a URL that
you put into your internet browser,
you can put those numbers in,
and then just click Generate Report,
you put in the serial number of the machine,
you know your physician, whatever blah blah blah blah blah,
and generate a report so, once again
iCode seven or iCode 30 is probably the days,
but you can go up further, iCode 90, iCode 182,
iCode 365 if you really want to
have a look at your yearly averages. Okay.
So we'll just go back to back there.
So that's how you can do that,
once again click the description of this video
if you want to get those links to those,
to those bits of software.
So let's go into the clinical settings.
So to get in the patient settings, if you watched part two,
you just press and hold down this button for three seconds,
that gets you into the patient settings. Again,
the clinical settings, you've got to hold down,
both buttons simultaneously for a bit more, a bit longer.
So there you go. It's about five, six seconds.
Now we're in the back end of the machine.
So this enables us to change things to do
with the actual therapy itself.
So you can see there's a few different things down here.
You've got mode, so that's the mode of the machine.
To change anything, all you do is
just click it and then highlight it,
click it again, it turns to the color,
and then you can rotate these, these dials.
So if you're getting an automatic machine,
you probably really wouldn't run it
in anything other than auto, because
that's otherwise you'd just get
a fixed pressure machine.
You wouldn't spend more money buying an automatic machine.
So I'd probably just leave that in automatic mode.
Your min APAP is your base level.
So that's your starting pressure or your,
your low, how low the machine,
so that you have your min APAP and max APAP,
and the pressure just alternates in between those
depending on your breathing.
So, you know, you can start that, you know, four or five,
six, some people like to start at a higher pressure.
Yeah. Ramp there. You probably don't really need a ramp
if you're running it in automatic.
But what you can do with this machine is
let's just have a look.
So let's put the max ramp at 20,
and then the ram pressure at four.
So what this actually means is the pressure is going to go
from four, which is the ramp pressure up to the min APAP,
the min pressure, over 20 minutes.
So I'll go 4.1 4.2, 4.3, up to six, over 20 minutes.
And then once it gets to six,
it will then go between six and the max APAP, which is 15,
depending on how your breathing is.
So if having lots of apnea, it'll probably go up,
you know, to 10, 11, whatever, to treat that apnea.
If you're not having much apnea, it'll come down.
So the automatic algorithm will then
work between six and 15.
The sensitivity, so you can adjust these values
like you can bring, like if you think six is, you know,
you want it a bit lower to start with.
You could have it at five,
or if you feel like the pressure is getting too high over
nighttime and it's waking you up all the time,
you could bring that max down a bit, just so that you know,
that it's not getting too high,
but just remember that if you do bring that maximum level
down and cap it at a lower level,
it might mean that your actual breathing
isn't controlled in that, you know,
you might actually require 14 to have a stable airway.
And the machine being at 12 will only be able to reach 12 or
won't be able to reach any higher.
Sensitivity is basically how sensitive
the algorithm is to your apnea.
So by that it means how fast
the machine's pressure will change,
to treat the apnea. So if you've got a low sensitivity,
it means it'll require a number of apneas in a row to
actually increase the pressure.
Whereas if you've got a high sensitive, like a four or five,
it means that, you know, the pressure
is basically going to change with every sort of apnea.
So if you're someone who's sensitive to pressure changes,
like, you know, you'd rather just be
slow and gradual changes over, you know, you'd not,
then you'd have a lower sensitivity.
I recommend sensitivity of four or five
is probably where you wanted to have it,
that you kind of want that machine,
you know, treating apnea as fast as possible,
but just be aware that you can change that if you want to,
if you feel like those pressure changes
are waking you up and, and causing you disturbance.
Automatic on machine just means
you put your mask on, start breathing in and
the machine will turn on automatically
and start delivering the of the air.
Automatic off. Same thing again,
we can turn that on means that you take the mask off and the
machine will turn off automatically.
You don't have to press the buttons. Leak alert,
if you, if you want the machine to start beeping at you,
if your mask isn't sealing well, then turn that on.
But I recommend keep that off.
Reslex is what we call pressure relief.
So it's exhalation pressure relief. As you're breathing out,
the machine reduces the pressure to make it easier to
breathe against the CPAP pressure.
If you're someone who struggles breathing out against the
pressure, you want to put that up high, okay?
The maximum you can do is three.
But if you're a, you know, if you find,
and you don't mind the pressure that you can have it at one
or two, so you can just play around with that.
But basically the higher you go in the number,
the more the machine will drop the pressure
as you breathe out. Okay?
So as you breathe in, you will get the full pressure.
As you breathe out, the machine will drop the pressure.
Be aware. It tends to make the machines
a little bit more noisier, because
that motor is changing speed. Okay.
It is going from high level of pressure,
low level of pressure, high level pressure,
low level pressure, and so on.
And then you got back.
So you just click back and it takes you back
to the, the home. Okay.
So I'll just go ahead and back up to home there.
And we're home. All right. So what you can do is-
oh, I've just accidentally turned it on,
so let me just turn it off.
So what you can basically do is, over a week,
you know, you just check your,
you check your data here just by clicking that button.
And you look at your period one week and you have all the
apnea hypopnea index. If it's getting high,
you probably need to make some adjustments.