Lowenstein Prisma 20A Clinical Menu Tutorial

[@Great-Scenes-By-BB]

My Lowenstein machine arrived yesterday. I unpacked and set it up this morning. Let’s just say …… without your brilliant video, I would not have set it up properly. Thank you so much. I have used my old Philips machine every night for the past eight years. I was not sleeping well …… and then I watched another of your videos exposing the lamentable Philips algorithm. So I switched the machine to cpap ( on your recommendation) and immediately slept better. Your video analysed the Lowenstein, Resmed and Philips machines and I saw that you were impressed with the Lowenstein. I locked that away in my brain and now many months later, I have become the proud owner of of a Lowenstein Prisma20A. Thank you again. Brenton Adelaide South Australia

[@CroElectroStile]

does your machine make a ticking sounds, like a clock?

[@rasmusstubert7523]

The dynamic mode is awesome. It reacts to snoring and flowlimitation within 1-2 minutes, bumps up the pressure about 1.5 and again by 1, if 1.5 is not enough and decreases slowly again after 5-10 minutes of normal flow. I have really tried to use only cpap on my P95 pressure, but always sleep better running apap from 9-14, no softpap, no ramp. I feel lucky I got this machine from the doctor 😅

[@medwayhospitalprotest]

God love you Nicko, I have just bought one of these machines after 3 years of NHS Phillips cheap **** with poisonous foam. My daughter watched me sleeping whilst we were away on holiday and saw me not breathing and the Phillips machine took ages to kick in. Fair to say I've had enough, I feel no better at all after 3 years of it and have developed low level sinus and chest congestion. Thanks for putting instructions on here, I'm tired (of course) and it is much easier watching you than trundling through the manual. Big thanks from over the pond. 🇬🇧

[@timtamgar4844]

I bought myself a Lowenstein PrismaA due to great reviews of the product. Unfortunately, the instruction manual that was sent was in a different language. Thank you, thank you for this video, which has enabled me to use this fantastic CPAP machine without the hassle of getting an English version of the manual. Well done!!

[@RareSense]

Wow been on a month trial with both Resmed 10 and Lowenstein Prisma 20A .... Wow big difference for me resmed only got me down to AH! 3.2 the Prism 20A got me down to 0, it was whatever it does while your sleeping as my results were magic and I feel fantastic.... The resmed is a great machined but in all honesty the German Engineering and quieter was next level. So will be ordering me a Prisma 20A with bluetooth and 3G for APP connection. Great review would like to hear more about the Prisma 20A .....

[@ivandilov2518]

Each machine is measuring the AHI according to its own algorithm, so the data is not comparable. I'm doing the same comparison between Airsense 10 Autoset and Prisma 20A. What I found using SnoreLab App is that using Prisma 20A I started having some epic snoring epoch. Peisma 20A is accounting the snoring but it's not taking any action accordingly. I never had this problem with ResMed.

[@RareSense]

@@ivandilov2518 l have now done 1757 hours using the Prisma 20A, in a word brilliant. Seriously life changing for me, l travel everywhere with it. My Wife is a light sleeper is happy as I had server sleep apnea and was that loud snoring a colleague in next room heard me snoring on business trip, even loaded with cheese and wine (wife leaves bedroom zone - not one snore or noise as Prisma 20A manages it without me even noticing it on. Now my wife raves about it embarrassingly sledging me as l respond saying l look like lm flying Sealy F18 bed!. Wife happy and l am feeling fantastic. So 5 stars from me. Maybe you set it up wrong as there is some great features on this device. Also seen this pulled down it has better pumps etc…. Just seamless to me…

[@patgreenerides]

I've been using the Lowenstein for 7 months.. its a great piece of kit.. Would love the data to be integrated into your sleep HQ platform 👍🇬🇧

[@CroElectroStile]

does your machine makes a ticking sound like a clock, mine does and I don't know why?

[@patgreenerides]

@@CroElectroStile No.. it's quiet

[@jamesdavis3951]

So, after viewing Nicko's very informative videos, i trialled a Prisma 20A for 4 weeks to compare against my resmed airsense10. The contrast was extraordinary and made me realize how bad the resmed's algorithm is, just as Nicko had informed. I bought a Prisma without hesitation at the end of the trial and am not looking back, my sleep has been soooo much better, thanks Nicko, i am definitely sleeping better thanks to your content and i am enormously appreciative!

[@jamesdavis3951]

@@aussiejubes I love it, it's changed my life, so much better than resmed! Hope yours goes well for you

[@millymosis]

I just got this model and have been using it the last month! Have been having that suffocating feeling during the night at times but overall it’s made a big difference to my sleep quality! Thanks for the tips on settings to help with that this is awesome

[@CPAPReviews]

try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform. Create a FREE account and download your detailed therapy report today! If team Lowenstein is watching, shoot me a message and lets get your great device integrated with SleepHQ. Features Include - 1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail. 2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results. 3. Custom PDF reports - Detailed therapy reports complete with journal entries. 4. Therapy Trends - Monitor changes to your apnea control over time. 5. Support - Access to the SleepHQ Community Forum 6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course 7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level. 8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear And much more! SleepHQ O2 Ring - www.sleephq.com/o2-ring/ SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/ Thanks for all the love & support! Uncle Nicko #sleepapnea #cpaptherapy #cpap #sleep

[@ridermagician18]

Hi, Uncle Nicko, I'm using a Lowenstein Prisma Smart Max, is it possible to use with sleephq?

[@TheEx1s]

Been in the process to get a CPAP Device my Doc suggestet the AirSense 11 and the shop i was getting more Information suggesting the Prisma 20a so your videos really help me learning more about both devices. After wacthing some of the Airsense 11 Videos, i tend to the Prisma but its hard for a beginner, so im realy happy to found your channel. Keep on the great work!

[@f0t0b0y]

I haven't bought a machine yet. Which one are you going with? Thanks!

[@RebelMagpie]

Signal data is the number of days the machine stores high res breath-by-breath data on the device. Unlike ResMed, the Prisma does not need an SD card to record high res data. If you forget to put the SD card back on the machine, it still records data for up to 14 days.

[@CPAPReviews]

Awesome! Thanks Mike. That's very handy

[@LastTrump7]

@@CPAPReviews I’m retired 68/yrs old pretty normal weight. I has diagnosed with Sleep Apnea in 2020 but it was during Covid and not sure how good the sleep test was or the machine setting. Rarely saw anybody face to face. Getting ready to have a sleep test by somebody else who’s done it 47 years. I think I had a ResMed 10 or whatever was top of the line in 2020. I never could sleep over 2 hours it felt like Un- natural breathing on a ventilator. I couldn’t fall asleep and when I did it wasn’t long. I tried three good mask in three weeks then returned in all back during my trial. I snore some but my sleep apnea suppose to been mild-moderate. He did mention oxygen fell to 88 one time. Again wasn’t sure about the sleep doctor or how the machine was set. I believe it was set to ramp up as I fell asleep but to be it felt ramped up when I was awake. Terrible feeling. What advice can you give me this time far as a machine for someone like me. A lot of anxiety and don’t sleep great anyway. This guy suppose to be good but 47 year history not sure how up to date in equipment and settings he is,

[@rayblack8707]

Thanks for your great vid. I just bought this machine two days ago as my 12 year old Hoffrictor died a noisy death. Your vid was very informative. Thanks again & keep up the great work.

[@CPAPReviews]

Glad you enjoyed it, it's a great machine and will serve you well. Cheers

[@eozen81]

Thank you very much for the detailed review Nicko. Considering price increases of the main devices, I think it's very important to have wide idea about alternative products, so I was always wondering if Lowenstein could be a good replacement.

[@avdmer]

Mine has been delivered today and already I'm in this menu playing around. I bought this mostly because of your recommendation, and already impressed. However, the proof is in the napping.

[@CPAPReviews]

Nice one mate. It's a ripper of a device. Cheers

[@zak6754]

What musk did you end up choosing

[@avdmer]

BMC nasal mask. 3 out 5 stars.

[@j.a.greulix9165]

Thank you very much for your detailed explanations and your calming presentation. I have been a Resmed 10 User for years and still have issues with the Softpap by them, increasing AHI and feeling tired in the morning. Without your amazing videos and your hints I would not known that this is related to the Machine. I am going to meet my doctor for a change. You are doing an amazing job and your the only expert here. Greetings from Germany.

[@CPAPReviews]

You're very welcome!. Greetings from Melbourne

[@yazeedqahtani196]

I love You Nike ❤ . You have helped me so much with your informative videos. Your Fan from Saudi Arabia 🇸🇦.

[@yogus101]

Hi Nicko mike over in Perth here, just got the Prisma 20A two weeks using now and ahi dropping , feel better in the morning , machine is quiet as a mouse wearing cotton wool socks lol , great device and i also purchased it based on your reviews .

[@garethv7815]

I’ve been using the prisma for about 2 years now and much prefer it to the resmed 10 that I also have. I Find the APAP a lot more responsive. I use 2 on the soft pap but there’s no 3 on the older version so I might upgrade for that soft pap 3 setting. Great review. One con is the humidifier is tricky to clean because of its shape but it’s a small con.

[@patgreenerides]

Use distilled water to reduce scale and unscrew the heater element to ease access

[@RareSense]

Mate it is very easy to clean as you can pull out the rubber part that enables simple and fast cleaning. I also found filling it by two ways fantastic compared to others and no spill. Typical great engineering by Germans:).

[@dianedutrisac5829]

Love your videos! In Ontario Canada, the ResMed is subsidized at approximately 70% if you have a prescription; however, I understand that the Lowenstein is not approved because of the lack of heated tubing. 🙁

[@cjking451]

Mine arrived this week and it has heated tubing

[@_Trakman]

@@cjking451 where'd you get yours from

[@sheldons231]

Lowenstein does have heated tubing available. On the Prisma 20A you just plug in the wire, but on the Prisma Smart and Prisma Soft you have to use a little power bar for the heated tube. Grizz in Alberta.

[@milanlaska3262]

Hello, I want to give you advice, I have central apnea, the Prisma 20A device for central apnea is working well

[@damian2079]

The maintenance counter is for Germany originally. They have a requirement that ALL medical devices undergo a 2 yearly 'STK' (safety check protocoll). Australia has AS3551, interval is 1 year, or 'depending on manufacturer reccomendation'.

[@GerryHarris-b7t]

Love the latest video on the prisma. Is there plans to include this machine on sleep ha?

[@kimborzelli3101]

Y U P , Nick your at it again ...😂 Beautiful is all I can say. . . Well funny your showing me about my new Lowenstein cpap I have on order, Should get it hopefully in w weeks on Vancouver Island , Canada. Your reviews help very much with detailed info. Funny the Fisher & Paykel I was told not sold in Canada, Thats ok at least I get what I want , the Lowenstein. I went to 5 places and all know about you Uncle Nick lol. When you educate yourself with info thanks to you Nick. Keep up the super work , Cheers to Uncle Nick

[@CPAPReviews]

Hi Kim, that's very sweet of you to say. Made my day! Thank you

[@sheldons231]

Which Lowenstien did you get? I can o ly find Prisma Smart Max or Soft in Canada. If you found a distributor of Prisma 20A please advise soonest, as it looks like I have to go to Netherlands or Australia to get one.

[@edstarmd]

Hi. I got this machine as it you got good data from your "Best Machines" review. But, how do I get the data like you did? So I can adjust the settings. Please help.

[@KenNielsen-p9o]

I was curious. How does the device on your face allow you to respirate. Is there a check valve or one way valve that allows air out but not in? When you breathe in the pressure fills your airway but where does the used air go when you exhale is what I mean. Thank you 😊

[@roofishighcorp.associates2020]

Hi, I've watched your video "The Best Auto CPAP - It's NOT ResMed! " and i wanted to buy the Prisma20A, but i can only find the Prisma Smart Max, is it as good ? BTW I'm new to CPAP and I find your work to be very helpfull (doctors treat us like pigs in a factory they have no time to speak with their patients nowadays...). Thanks !

[@damian2079]

They are different.

[@ptaweston]

Does anyone know where to buy this Prisma20A if you live in the United States? Can't find it anywhere.

[@medwayhospitalprotest]

I am in the UK and I contacted Lowenstein and they found me a UK retailer@@ptaweston

[@chanchal400]

I am using Lowenstein smart Prisma.Would love the data to be integrated into your sleep platform. Thanks

[@bindasmail1234]

Hi Please share review on this machine 20A

[@suzyparker5739]

Hi Nicko, I have to buy one of these tomorrow or a Resmed . I know that you haven’t done your full review yet of this machine? Hopefully I can get some information before I need to buy 😊

[@damian2079]

He has covered their algorithms in a seperate video.

[@briancoleman5324]

I got the prisma smart model, which this one seems like an upgrade. The smart has a interface on it like a 1970 digital alarm clock. Not nice at all. I find it a good machine though… it’s pretty quiet and it’s very well engineered, I wouldn’t any expect anything less from the Germans. Most of all it has helped me sleep better. I do find it’s bulky though and it doesn’t fit in my lumin uv sterilizer like the resmed did. I also have the white model and found the lumin made the humidifier top kinda yellow so I stopped doing that. I got the battery back up from polit too for it but haven’t used it but it’s good because we get a lot of winter storms in Newfoundland. I have the F and P mask because I have an ICD as well, so while the ICD is rated to go through an MRI, I’d rather not have that magnetic field around my ICD all night, I do want to try the Lowenstine mask though after seeing your video on it.

[@briancoleman5324]

Oh, and I do not like the carry bag. It’s like something a third grader would bring their lunch to school in. I plan on getting the trianglular carry case for it on Amazon when I do any traveing.

[@westphone]

Thank you very much I just got a loaner Prisma20A

[@f0t0b0y]

Hello all and anyone that wants to respond. I just finished my sleep study and should have my script this week! Since I'm brand new to the game should I just start with this machine or another? Thanks!

[@yogeshpakhale6238]

Hey. After connecting the modem the device is still showing airplane mode and not able to connect to Prisma App, any guidance will be good. Thanks

[@RK-bl8uv]

Mate, Does SleepHQ work with this yet? Holding off on joining until it does Cheers

[@CPAPReviews]

I think about 4-6 weeks mate. Cheers

[@RK-bl8uv]

@@CPAPReviews Nice one - cheers mate

[@davidlorimer3189]

Hi Nicko any idea when I will be able to use my Lowenstein on Sleep HQ

[@CPAPReviews]

2 weeks i’d say bro

[@ivandilov2518]

Prisma 20A is a great piece of hardware, also the software is very good too, but their Therapy algorithm doesn't work for me. I'm using ResMed AirSense 10 AutoSet and I'm pretty happy with it. Now I'm Testing Prisma 20A. The reason I'm doing this is the SoftPAP 3 mode that is boosting the pressure just before the inspiration starts so that you can have the right pressure when you start the inspiration. But then started the problems. The clinician set the machine on Standard APAP control and SoftPAP to 2, Min Pressure 4cm H2O and Max Pressure 13.5cm H2O. So, the Ramp was OK, and the comfort was OK, but I started snoring a lot (which I didn't have as a problem with ResMed). Then I changed the APAP control to Dynamic and SoftPAP to 3 (what was the reason to test the Prisma 20A). So, I stopped snoring but stared having problems with the Ramp. The expiration pressure was 4cm H2O, but the inspiration pressure was jumping to 8cm H2O, which I felt as a blow in my nose. Changing SoftPAP to 2 resolved the issue but I lost the benefit of SoftPAP 3. So, I don't think that during Ramp period SoftPAP 3 should increase the pressure before inspiration as it's not comfortable and it's reasonless as the APAP software didn't detect any Apnea/Hypopnea incidents and the pressure levels should stay at MIN .

[@malikerg11]

Thanks a lot for the review 👍

[@probuildman]

I’d really like to be able to purchase one of these,, but can’t locate one in the US

[@rodrigoretamal3301]

Hi Nick, the softpap level 3 in prisma 20A is noticeabily better than level 2 ? I tried with a prisma smart but only has 2 levels, level 2 is not enough for me in exhalation performance. I assume level 2 in smart is the same as in 20a

[@MentorMoments]

Not available in Canada. Confirmed by Loewenstein. 😢

[@ozisike]

I just got prescribed for an apap via sleep care online, any suggestions on an affordable apap machine?

[@CPAPReviews]

Yes mate, in the SleepHQ Pro Community you can pick up an AirSense10 Autoset for $499USD. It's also compatible with sleephq . Please note you will need to be a member to access the exclusive deals - Here's the link - community.sleephq.com/c/discounts-offers/airsense-10-autoset-card-to-cloud-us499

[@ozisike]

@@CPAPReviews I was looking at the airsense10, I wonder if my insurance would let me submit this to them to go towards my deductible

[@CPAPReviews]

@@ozisike Yes Sleeplay deals with Medical Insurance providers mate

[@honklertheconkler155]

Thanks for this, helped heaps

[@denniss1211]

Just how does a person in N Ohio get the Prisma? How about a Bipap and supplies?

[@amandavandemeulengraaf]

Do you know how to turn off the airplane mode with this device?

[@abupu69]

Did you find out how to do this?

[@jojopuppyfish]

I live in the USA. Any suggestions on where I can buy this (I would be willing to import it if necessary)

[@damian2079]

PrismaSmarts are available in Canada I believe. The 20A, maybe get from EU or Australia

[@garryveber6378]

Thank you 🎉

[@lslabs]

how you can talk with the cpap working?

[@CPAPReviews]

i just shut off the airflow inside my nose

[@logarttreiton2569]

There is no option to tell the machine if you are using full nouse/mouth mask or just nose mask???

[@damian2079]

not needed. just the tube size.

[@zoran68]

Please explain! If i use nasal mask 15 and mouth 19-22?

[@dreadedtred]

How is the water reservoir for adding water? It looks like a small hole to fill.

[@CPAPReviews]

that lid comes right off mate. You'd only fill it through the hole if you had arthritis or very weak hands. Cheers

[@dreadedtred]

@@CPAPReviews I’m still using Dream Station. I bought no foam reservoir on Amazon and installed it. Works fine. My insurance supply company only has Air Sense 10 or 11. They don’t carry Lowenstein. Which one do you recommend Air Sense 10 or 11?

[@dreadedtred]

The Dream Station water reservoir is incredibly the best. The hot plate may be defective. It seems like when heat setting is on 1 it gets just as hot as 5. Have you heard of this happening on other Dream Stations? What’s the fix?

[@jamesdavis3951]

Is there any way to trial/rent one of these machines in Australia. I currently use resmed 10 and i feel like it's Apap standard response is too full on and the soft response is not enough, however before outlaying $2k to see if the Prisma would make a difference for me, I'd really like to try it... Any ideas? Thanks

[@CPAPReviews]

Most companies will let you do a trial mate

[@jamesdavis3951]

@@CPAPReviews thanks for this Nicko... do you mean the manufacturer or the retailer? Most retailers seem to have a no returns policy on their websites

[@rod750]

@@jamesdavis3951 The retailer *should* allow you to trial machines. They don't often advertise the fact that they do have trial machines. I had one last month for trial. I'm in Victoria.

[@rodrigoretamal3301]

Here in chile you can rent a machine by 1 or 2 weeks for trial

[@sjtipene]

Cpap direct and cpap victoria do trials.

[@gavinhandley-vien40]

Thanks mate

[@CPAPReviews]

Welcome 🍻

[@gavinhandley-vien40]

Hi. Just bought a Prisma 20A with 800 hours on it, second hand. If I restore it to factory settings can I start therapy straight away like the BMC Luna, and adjust settings later? Thanks mate.

[@CPAPReviews]

@@gavinhandley-vien40 yes you can

[@gavinhandley-vien40]

you're a legend mate thanks heaps for the reply

[@alexandergreat8364]

Is this device compatible with SleepHQ?

[@felicityc8070]

Is it compatible with Oscar?

[@ridermagician18]

not yet

[@Milford64]

Now it is

[@Tantemify]

i dont know if the AHI data shown on the machine is reliable or not. dont forget they want to sell us the machine

[@prenomnom8608]

Hello, are you from Family de Löwenstein ? I was invited in 2022 to the wedding of Amelie, it's was great, really. Astrid Van der Barnevelt

[@jesso8522]

Anyone else also used the prisma smart and found he 20A to be a lot noisier?

[@felicityc8070]

Of no. Do you still find it very noisy?

[@minemine7902]

I just bought one of these 10 days ago. Thank you for this tutorial. I find it difficult to fall asleep with it as the air pressure prevents me from going to sleep. It's too strong for me.

[@probuildman]

Where are you located? I’m in he USA. Can’t locate one to purchase here so far.

[@minemine7902]

​@@probuildman Hi, I'm in Australia.

[@probuildman]

@@minemine7902 okay,,, that’s an awesome place..

[@minemine7902]

Yes, it is. I like it here. USA has pretty nice places too from what I've seen on TV. Hope you have a nice day. 🙂

[@damian2079]

Try using the soft-start / ramp mode while falling asleep, set a pressure thats comfortable for 15-30 min.

[@frankpohl4377]

Lowenstein is from my city in Hamburg. I do know the company. NO GOOD SERVICE the CPAP is not pressure stabil.

[@mghh448]

Oh can you explain more?

[@frankpohl4377]

@@mghh448 the pressure stability is importend,. A professor createt a mechanic lunge and testet the pressure stability. Only Resmed products where stabile and some of the "world famous" brands had dangerous instabibiliys of the pressure. If the pressure is not constant you reach not the needet pressure to keep it OPEN...thats dangerous in long therm..

[@johncostigan6160]

Living in the US and getting CPAP supplied through Medicare, I am stuck with the ResMed AS 10 Typhoon model for a period of 5 years before replacement. I would love to try the Lowenstein or the comparable Fisher and Paykel but $2500.00 US is a bit of a jolt. It does seem to be stupidly frugal not to invest in my own health , however. Now if it were on Sleep HQ...