- [Instructor] G'day guys.
Welcome to Part 3 on our three part series
on the BMC Luna IQ.
This is the best machine in Australia
for under a thousand dollars.
In fact, you can pick up a whole package
with mask heated tube upgrade kit for $849 delivered.
And you can also pay for this with afterpay,
which enables you to pay it off
via four fortnightly interest free installments.
Now, in Part 2, we looked at the patient settings.
That's if you wanna change things like the humidifier,
you might wanna change the brightness of the screen,
just basic sort of stuff.
Clinical settings are a little bit more in depth.
This is where you can change things
like the mode of the machine
or things like relating to the pressure of the machine.
So it's a little bit more advanced,
but for some of you, it might be very handy,
it just enables you to make the therapy
a bit more tailored to your specific needs. All right.
So in order to get into clinical settings as little trick,
we need to hold down the main knob and the ramp button
simultaneously for about five seconds and then boom,
we're into the clinical settings.
Now we just need to press this button,
the main knob one more time.
And now we can rotate the dial
down through the clinical settings
and change anything that we require
right down to home when we're finished.
So let's go up the top and we'll start
from the top and go down from there.
So currently the mode is set to auto.
If we click the button down and highlight it,
we can rotate the knob and change it
to fixed pressure or CPAP mode.
But 99% of you are going to want it to be in automatic mode
as you bought yourself an auto machine to begin with.
So I'm gonna click that down again.
Now, the next four things down from there,
we have the minimum auto pressure or the min APAP,
the maximum ramp setting, the ramp P or ramp pressure,
and then the max auto or the max APAP pressure.
Now it's probably easiest if I'll just explain
how these four menu items relate to each other,
basically just going through how they're set as the mode.
So currently the way it's set,
we have a ramp pressure of five.
So this means that the machine is going to ramp up for five
set from five centimeters, that's the bottom level.
It's gonna ramp up over a set period of time,
whatever you've set this time period to
it's gonna ramp up.
So it's gonna go 5, 5.1, 5.2,
up to whatever the minimum pressure is.
So over 30 minutes,
the machine will go
from 5, 5.1, 5.2, 5.3, 5.4
all the way up to seven,
over that 30 minutes.
Once that 30 minutes is up,
the machine will then operate the pressure between seven,
which is the min
and the max, which is 20.
All right, it won't go below the seven
and it won't go above the 20.
And the auto algorithm,
this machine will adjust right between there,
depending on what's required.
So between seven, the min and the max,
depending on what's required,
depending on how you're breathing.
If you're snoring and you're having a lot of apnea,
the machine's pressure will increase.
If you're not having much apnea and your breathing is good,
the pressure will decrease.
It will change over time,
minute-by-minute throughout the night.
Now most of you are probably going to have
or I can recommend starting with
probably a min auto pressure of five,
a ramp pressure of four,
and you can leave the max auto at 20.
Now in the patient settings,
you'll be able to change the ramp time,
depending on what you want, okay?
Now you can change the max ramp value here to 45.
If you think you need a little bit more time
to get off to sleep, okay?
Now, coming down,
as it stands at the moment over 45 minutes,
it will go from four up to five.
And then after that 45 minutes,
it will go between five and 20,
the algorithm will adjust between five and 20.
Now coming down sensitivity,
I recommend you leave it on four.
This how sensitive the machine is to your apnea
and how fast it's going to make the changes, okay?
If you start to go down to three or two,
the pressure is going to change over a longer lag period.
Okay? You want it nice and sensitive to your apnea.
If you find the pressure fluctuations are a bit too quick,
you might want to bring that down to three.
That means it's going to be a bit more gradual
with the pressure changes.
Coming up now we've got automatic on.
That means you can put your machine on,
your mask on,
start breathing,
and then it's just going to kick on automatically.
It's going to automatically start the pressure.
Vice versa, we've got automatic off.
We can turn that on,
which means that we can just take our mask off
and we don't actually have to press the off button
and the machine will turn off.
It will realize that you don't have the mask on.
We have leak alert.
I don't know if you can leave leak alert it off.
Unless you're someone who's taking your mask off
in the middle of the night,
you might want to switch that on.
But majority of you just leave leak alert off.
Your tube type, which we looked at previously in Part 2.
Reslex, we've got that set to patient
because that means you can adjust it yourself.
I have the ability to lock you out of that
by just turning it off.
But we've got it here, set the patient,
which means you have the ability
in the patient's settings to change that.
And then we've got back and home.
So if we just go back,
we can come down here
and we've also got another spanner here.
Now this is other things we can change if we want to.
Look, you really don't need to change
any of this sort of stuff,
but it's just there.
You can restore defaults,
you can erase the data,
that sort of a thing from here.
All right, but we're going to go back to home now
and that's the clinical settings.
So it's pretty straight forward.
As you see here at the moment that ramp time is 10 minutes.
So that means it's gonna go
from four to five over 10 minutes,
and then it's going to go between five and 20,
depending on what's required from there.
Now, if we're finding
that the pressure is getting a little bit too high
for us of a nighttime,
what we can do is we can click this button
and then here with, it's got the little pad of paper.
That's your data here.
If we click the button down
and go to period and change that to one week.
So it's gonna give you the averages based on one week.
If we come down here, it'll show you P95.
We can use whatever that number there,
that P95 number is
whatever that number is
as a guide as to where we should set our maximum pressure.
So we can then go.
So I said that P95 pressure after a week,
this machine hasn't been used, that's why it's 0.0
is 10 centimeters.
We can go back
and I'll just get out of this.
So we can go back into the clinical settings now,
we've seen that the P95 was 10 over a week.
We can click in here in the clinical settings,
go back to the max, the max pressure,
click that and bring that down to 10.
Lock that in.
Go back down to the bottom and go back home.
So what that means now is
the machine only has the ability to go above 10,
but we know from the data that
in order to treat 95% of your sleep apnea,
the machine was at 10 or under.
By having the maximum pressure at 10,
we're still able to treat 95%
of the sleep apnea you are having
without the pressure going too high
and waking you up and disturbing your sleep.
Anyway, that's Part 3.
I hope you've enjoyed it.
If you've got any questions,
you can put them in the comments section.
I'll also put a link in the detail description of the video
as to where you can pick up this machine,
if you wanna get a great deal.
It's a small business and it's a great company.
All right, thank you. Bye.