V-COM: Makes CPAP Easier, Decreases Mouthleak, Decreases Aerophagia

[@Freecpapadvice]

Any of you try the V-COM yet? Let me know what happened in the comment section below! Thanks for watching! Interested in purchasing V-COM? Purchase here: bit.ly/38yPlXk and use discount code: 20LANKY Or purchase here: amzn.to/3msrO4j and pay the full amount.....lame. Check out axgsleepdiagnostics.com if you'd like a PAP Therapy Analysis. As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1 Sub to my other channel a REAL cat channel!!! 😂kzbin.info/door/Yt5FWoUiVluAaAY76qZsGw

[@craigr7151]

Is it only for large tube? Not the slim line?

[@carolynlawrence7548]

I purchased one from my doctor. They told me that was the only place I could purchase it. Guess that was a lie. That being said, I was able to up my pressure and now the number of times I quit breathing has dropped to less than 1 time per hour. I’m a newbie to all this.

[@miriamm3780]

Jason, thanks for showing this! I just ordered this to see if it helps keep mask leaks down. I used the discount, so that's a plus! 😍👍🏻😁

[@JDHood]

Question -- should I disable EPR with the VCOM installed? Don't have it yet - just ordered it thru your link & code, Thanks!

[@Freecpapadvice]

Attachments are standard. It will fit on any tube.

[@NotMyActualName_]

35 dollars for 8 cents worth of plastic. This is everything wrong with healthcare in america.

[@yvonnediaz7176]

And the company recommends changing it out every 3 months!

[@NotMyActualName_]

@@yvonnediaz7176 of course they do. Becsuse people will do it

[@garzascreek]

@@yvonnediaz7176 - Yeah, all those _moving parts_ will wear out.

[@miatared]

Probably 50 cents of plastic. Good margin for all. Mind-numbing.

[@dandifusco1868]

I agree. I spent the money and still get chipmunk cheeks just the same and feels very very hard to exhale. I have no clue why these guys are saying this thing is a miracle or whatever. Maybe I'll get used to it but don't know. I use ffm vitara and dreamwear and sucks on both. I don't get it sorry

[@CPAPReviews]

Great vid brother, can't wait to check it out!

[@mshaw290808mi]

Jason you might want to consider taking this video down and having a lawyer review it. I say this because I am not a lawyer, but a mechanical engineer. I see some issues with V-Com; the device looks simple but in engineering it is called a "flow restrictor" so now come answers for a lawyer. If I am promoting a device that significantly changes the behavior (which your data shows) of a critical medical device and someone suffers a critical health issue (like a heart attack) can I be held liable? Another lawyer question; Should I get approval from the manufactures of the CPAP machines before suggesting people use it on their machines? From an engineering view you took data from a standard setup of a CPAP machine and than added a flow restrictor between the machine and the patient and took new data. When you add a flow restrictor into a system it can change a lot of parameters on the other side of the device, the main thing it will change is pressure between the two sides. So in your experiment putting in the flow restrictor you need to have measuring devices after the device to see what parameters it is changing. Since the flow restrictor changes the flow properties on the other side (how much? only way to find out is to run tests) the CPAP machine is now recording parameters in the chamber between the CPAP and the restrictor not what the patient is seeing. The knowledge you have shared in the past has helped me, so I thought I might share some of my knowledge with you that could be helpful.

[@cebruthius]

Very well put. Notice that nowhere it says on the Sleepres site that it is FDA approved. I saved a copy of this video... for posterity ;-)

[@Capt-Intrepid]

An Auto CPAP machine includes several types of sensors including airflow, air pressure, temperature and humidity. This device alters airflow (volume) and is not tested or approved by the manufacturer.

[@cebruthius]

@@Capt-Intrepid Have you found any FDA documentation? An article in SleepReviewMag states that it was cleared by FDA as a comfort accessory, but I can't find any documentation to back that.

[@aeonjoey3d]

No one can be held liable for recommending products regardless of their safety. Just like KZbin can’t be held liable.

[@nomadsolos]

You know if there is anything that lawyers can do; is to shut down anyone with a mind from publishing thoughts and ideas to improve the lives of others. (disclaimer, I am not a doctor, or a phyisist, or a cat guy, and thankfully not a lawyer.)

[@wilcharl]

The revolution of CPAP was my roll of cover-roll tape thanks for shilling it on your channel - My wife loves that my mouth is taped shut and my mouth doesn't go dry

[@embeddedautomation2464]

Cover-Roll is fantastic! I've had great results with it too!

[@dewitubeX1]

I use flat pillow and I haven't seen no more air leak through my mouth in comparison when i used to use 2 pillows to elevate my neck.

[@hdhdhshscbxhdh4195]

As a sleep medicine physician, use of this v-com device will likely result in suboptimal treatment of your sleep apnea. (Edited) *** want to emphasize that this device is potentially dangerous for patient working in professions that require effective treatment like pilots and truck drivers***. All this device does is reduce the pressure in the mask, by limiting airflow. It will reduce aerophagia and reduce the pressure felt, but same can be accomplished by reducing the pressure the machine is delivering. And there is usually a reason you are supposed to get that much pressure in the first place

[@kamiharoldbeauty]

I’d be happy to send you data showing the opposite to be true. we can slightly decrease IPAP without affecting p90/p95, decreasing residual AHI and unintentional leak, and increasing usage (time).

[@hdhdhshscbxhdh4195]

@@kamiharoldbeauty if the patient still get "effective treatment" with this v-com device it likely means either the pressure was set too high in first place, or the method of determining "effective treatment" is flawed. This is just physics (I'm an engineer major and physics minor in undergrad). This device clearly generates resistance to airflow, hence will result in a pressure gradient across it. As a result, the effective pressure in the mask is lowered. It can also affect how well the PAP machine is able to detect respiratory events (depends on the pap machine and the amount of resistance) because you have added resistance between the machine and the patient, affecting the residual AHI reported by the machine.

[@wfemp_4730]

@@kamiharoldbeauty Wow, the VP of Sales for SleepRes says so? I'm shocked! Do you have a citation showing an independent, peer-reviewed study of the V-Com apparatus?

[@cebruthius]

@@wfemp_4730 To my knowledge, these don't exist. Even though, according to Kami Harold, the product has been launched already on June 2022.

[@stevecrim4557]

As per my post above: I have been taping each side of my nose with water proof tape (a couple of kinds) with a 4mm hole in each to breathe through. It dropped my AHI for 5 or 6 to 0 to 0.5. I've reduced my pressure from 12+ to 7 and about to go lower. I may be N=1 but I'll never do without taping my nostrils unless V-Com works equally as well. For the record I have been doing this for years and feel far better than without it...

[@coloradodrew]

Jason, based on your recommendation I started using the vcom 2 weeks ago today. My pressure is at 16 and without the Vcom I was a human puffer fish and was blowing out my tape almost nightly. I was also struggling with aerophagia. Since using the Vcom both issues are 95% resolved. Thank you!👊

[@chuckbecker8735]

I want to try it. Anything you wish to give me a heads-up from what you learned from using it??

[@coloradodrew]

@@chuckbecker8735 I am actually testing reducing my pressure and so far so good. Highly recommend it.

[@chuckbecker8735]

@@coloradodrew Thank you, Drew, your kind reply.

[@BobFile]

I tried the VCOM one night and felt like I was having trouble inhaling, did you have any issues with this?

[@margehinkle8346]

Thank you very much for featuring the V-com. I used it one night & I can’t believe the difference. Compliance will be much easier. 😉

[@rquance1]

I bought this V-COM and it has made a great improvement in my leaking mask and helping keep my throat open so much lower numbers from my cpap machine. I have been using it for a few months and the results are great.

[@BobFile]

I tried the VCOM one night and felt like I was having trouble inhaling, did you have any issues with this?

[@rquance1]

At first I thought there was a restriction on the air flow but raised the APAP min pressure by 1 from 11 to 12 and it seems fine. My current settings are 12 to 17 because I have multiple issues since I was a baby and broke my neck.@@BobFile

[@TheArcV]

This flow restrictor completely alters the flow rate on inhalation and also negates the CPAP sensors and programming when it monitors what it thinks the patient is needing. When you look at the data from your device it is mostly falsified since the machine cannot tell what counts as a mouth leak vs. a partially blocked tube which cuts flow rate dramatically. So you look at your charts afterwards and they do not actually represent what is going on. Also the delivered pressure becomes completely inaccurate since the CPAP machine is now only measuring pressures upstream of the device in the tube and not at the mask. TLDR: Basically you are partially plugging your tube and expecting that to work seamlessly with the machines pressure delivery and measuring system.

[@cebruthius]

You're making too much sense ;-)

[@snospmoht3252]

Uh...seriously, I didn't hear much difference. Bring on the nerdy. We're here for it. 🤓

[@23Skadoosh]

If I wasn’t suffocating enough, there’s VCOM……..

[@rickw9008]

If you’re getting too much pressure and need this to restrict it, instead of buying this gadget couldn’t you get the same effect by lowering the pressure setting on the machine?

[@kamiharoldbeauty]

Lowering the pressure compromises therapy. Expiratory pressure at end expiration is vital. The V-Com lowers inspiratory pressure and flow without affecting “therapeutic” pressure. P95/p90 remain the same. Much easier and more safe.

[@cebruthius]

@@kamiharoldbeauty Can you reference any independent studies that support the statement "more safe" ?

[@diamaunt2782]

@@kamiharoldbeauty No, it's not, otherwise Provent and Theravent wouldn't have gone out of business, hopefully you soon will too.

[@kamiharoldbeauty]

@@cebruthius I was referring to the fact that decreasing overall pressure would increase respiratory events (and obviously less safe than maintaining therapeutic pressure).

[@cebruthius]

@@kamiharoldbeauty Non-published, non-peer reviewed studies perhaps? Nothing prevents you from posting the DOIs here. Your statement on nasal masks is just one of many that are simply not supported by any study. Surely the market leaders ResMed and Philips would like to comment on this...

[@NameyNames]

I'd very much like to hear what a machine manufacturer such as ResMed has to say about this before even *thinking* about trying it. To me, a flow restrictor makes no sense whatsoever. It appears counterproductive.

[@craigpurdie3528]

Thank you for supporting my initial thoughts from 3 days ago. It's BASIC PHYSICS! There WILL be a drop in pressure...DUH! 😀

[@Freecpapadvice]

Brief drop in inspiratory pressure. Expiratory pressure there is no drop.

[@billanderson3346]

I'm going to give this a shot. I'm hoping this reduces my mouth leaks which seem to have gotten worse over time, even with a chin strap.

[@Dan-dg9pi]

Is there any difference for cpap and bipap users?

[@nomadsolos]

I was about to ask that as well. I have aerophagia - reducing the pressure helped some, but AHI increased a little, and mouthleaks, and aerophagia improved byt were not eliminated.

[@gonfishn]

Lefty Lenny, if you take a piece of stretch wrap and double it over, putting on the cpap outlet tube, then cut 5 small 1/4"slits then connect rubber end of hose you'll have a free Vcom effect. Same kind of flow, zero cost. No need to get ripped off of $35.

[@joelhooton2215]

Very cool, for someone on the lower end of pressure, I wonder if it would make sense to jump the pressure up slightly, say from 7-8 up to 10-11 and thrn use this product? My main hesitancy with upping pressure has been the symptoms you mentioned

[@400_billion_suns]

It's a flow rate restrictor. Keep in mind -- that inrush of air is precisely what maintains the *prescribed pressure* in your airway when you start to inhale. With this restrictor limiting the flow rate, you WILL be reducing the pressure in your airway as you start to inhale, which could allow your airway to begin collapsing at the beginning of your breath if the pressure falls too low. Don't get me wrong. I'm not saying this is a bad product. Just want people to understand that what it's doing is creating a more gradual ramp-up when you start to inhale, which means a lower initial pressure in your airway with each breath. You might need to increase your your CPAP's pressure after you put this restrictor in the hose, which could negate some of its benefit.

[@cebruthius]

Page 26 of the Sleepres white paper on their site shows that you are correct.

[@400_billion_suns]

​@@cebruthius Thanks for pointing me toward that article. It at least sheds some light into the premise behind this product and either why it works (?) or their marketing strategy. The notion that exhalation pressure is more important (and should be higher) than inhalation pressure is certainly a claim that goes against all current CPAP designs. I'd like to see some legitimate, well-designed and unbiased study into this before I put too much weight into it. For now, all I can say about VCom is that it will create a more gradual pressure rise at the onset of inhalation, and also create a bit more backpressure during exhalation due to the flow restriction acting in both directions. Whether or not that's a good thing... I don't know. Might vary on a person-to-person basis.

[@cebruthius]

@@400_billion_suns The lack of independent evaluation is a problem, as well as the highly improbable FDA approval "as a comfort accessory." What, like mask liners? Having an implement that modifies the pressure delivery of these devices is on another level, surely the FDA understands that.

[@wfemp_4730]

@@cebruthius A magazine that promotes sleep products says so? Is there a third-party, independent review?

[@jtnoodle]

@@wfemp_4730 Of course not. If there's money to be lost or doesn't benefit the industry financially, it's always a "bad idea".

[@lizardlizarraga5984]

Will definitely give it a go....soon as it's back in stock😂

[@bitsymother49]

Just ordered. Hope it helps me use my EVORA all night! Yes, the blast of air wakes me up and it is overwhelming- and I cannot tolerate the blast.

[@sheltermutts4185]

Put this on your garden hose and make a video for us. 😂

[@martintech2012]

First, this device is a simple flow restrictor, not any type of flow regulator. It reduces mass air flow in the ENTIRE system, and reduces PRESSURE at every point DOWNSTREAM (your mask) from where it is installed. CPAP machines are pressure regulated devices, their internal control algorithms (likely PID-based) are constantly varying mass air flow in an attempt to maintain a constant PRESSURE in your airway. What happens when you restrict mass flow in a gas circuit? THE PRESSURE DROPS, after the restriction point! The CPAP itself will maintain a constant pressure against the flow restrictor, but if your lungs are taking in air at a higher flow rate than the restrictor can flow, your airway pressure will drop UNTIL your air intake rate drops below the restrictor's flowrate. So at the beginning of your breath, you are experiencing a pressure drop that the machine can't compensate for, but the pressure may recover toward the end of your breath... I don't know what typical breath flow profile looks like. I have an engineering degree, but am certainly no expert in sleep therapy, so I can't comment on the net effects on therapy. While it reduces pressure in your mask at higher flow rates, it's technically not a 1:1 equivalent of lowering your machine pressure settings, since CPAP is a transient flow process. As others have said, I think you'd be wise to collaborate with a mechanical engineer so you can fully understand what is happening in such a system, and after that, use your sleep therapy knowledge to determine exactly how these effects enhance or limit therapy. Note the exact same effect this device produces could also be done algorithmically in the machine - maybe this is kinda how EPR works? I don't know anything about EPR. Also, $35 for a 10 cent piece of injection molded plastic should be criminal.

[@jbsimmons54]

Thank you! I ordered a V-COM device with the discount code after waking up with canker sores after too much CPAP pressure forcing my mouth open.

[@dewitubeX1]

use a flat pillow to greatly minimize mouth leak. see if it works, it works for me.

That's simple to design and 3D print.

[@tinawright1027]

Thank you for info and code. Headed over to order.

[@eddies262]

I only have the heated tubing how can this work with that?

[@kenharrison1]

I've been using the V-COM for a few months now and I've got to tell you. Mouth leaks I was having pre V-COM have disappeared! I agree, this thing is fantastic. Jason, so happy I saw your videos about the V-COM. I left my pressure where it was before the V-COM and the first night or two, it felt a little odd having to breathe in slower, like I was getting slightly air starved. That feeling was gone after a couple of nights. I had previously tried mouth taping using the tape you recommended before I got the V-COM. I didn't really like it. With the V-COM, no tape needed. I started to recommend the V-COM to my sister-in-law but I found out that she uses APAP and you don't really recommend it for APAP. (You don't recommend APAP itself, which caused me to switch over from APAP to CPAP as I had experienced a few "runaway" incidents where whatever I was doing caused the pressure to shoot up to maximum. [My therapist went weak and set it originally to 7 - 20 for APAP.]) I'll leave my sister-in-law to deal with her sleep therapist and won't get involved with having her switch over to CPAP. She doesn't have OSCAR and I don't think that she'd be able to read and interpret the results herself, anyway. I don't want to practice medicine, so we'll leave that right there. Anyway, just wanted to give my two thumbs up for the V-COM. I love it! (EDIT: For the record, I've been on CPAP and more recently APAP, then back to CPAP for over 33 years now!)

[@ToJoMayer]

Thank you. Wish we could get some of these in the lab. I’d love to assess all data relative to its addition to the circuit.

[@Rittleturtle]

Ordered! Thank you so much any info to help my husband is appreciated! Also short to the point video was extremely helpful,

[@losg313]

Well, because of your recommendation when I had to up my pressure to 16 I was having really bad burping and gas in my stomach then you said to try this ...THANK-YOU!! it definitely made a huge difference I will admit it took a couple days to get use to it but now it's made a huge improvement on my ( aerophagia )

[@BobFile]

tried the VCOM one night and felt like I was having trouble inhaling, did you have any issues with this?

[@BLenz-114]

So, It looks to me to just be a flow limiter. Some holes in an otherwise blocked tube. Is there something more to it than that? Little flaps I can't see? So, A) I'd be interested to see what Resp. Dr.s and equip manuf have to say. Not that their opinion is necessarily correct, but I'd like to hear it. I feel like this thing is kinda running roughshod over flow rates, etc. B) Is this making the machine work harder to push the required pressure thru those holes? Is that going to reduce service life? Just some initial thoughts . . .

[@Freecpapadvice]

It is 100% a flow limiter, but not EPAP limiter. Not mentioned in the video, but it is a pulmonologist sleep medicine physician that invented this.

[@cebruthius]

@@Freecpapadvice Can you supply some DOIs for the medical research papers published on this device? Or the name of this person so I can do a search?

[@cebruthius]

Ok, I found it out myself. His name is William H Noah MD and he co-authored one article in 2021 besides the Sleepres white paper.

[@diamaunt2782]

Ask yourself why Resmed has an Anti-Bacterial (AB) filter setting in their machines, AB filters provide a *little* flow limitation... Yet Resmed feels it's important to *compensate* for that by having a setting in their machines (All their bilevel machines have that setting, some of the CPAP/APAP machines do too, but it's more important for a bilevel.)

[@cebruthius]

@@diamaunt2782 And it's going to distort (make meaningless) the graphs in OSCAR right?

[@gilrose12345]

Doesn't it restrict airflow and give the CPAP machine wrong information?

[@bryman31]

thats what i was thinking too

[@Freecpapadvice]

It does restrict airflow, but not EPAP. Hard to wrap my head around it until I actually tried it. Makes breathing silky smooth. I don't understand what you mean by wrong information though.

[@michaelcohen5557]

@@Freecpapadvice It doesn't effect your sleep data if that is what he is asking.

[@400_billion_suns]

Yes. It's a flow rate restrictor, which will have the effect of creating a more gradual pressure ramp-up in your airway and lungs as you begin to inhale. But the CPAP machine won't be able to see/measure that -- it will only report the measured pressure ahead of the restrictor (on the machine side). In fact, it will cause the CPAP to deliver even less air overall, because the pressure in the tube ahead of the restrictor will rise more quickly due to the restrictor, and the CPAP will back off the flow rate to maintain the prescribed pressure *in the hose* . I honestly can't see any way this device won't cause a pressure drop in the airway for a portion of each inhaled breath vs. the same CPAP without it. It *will* reduce the airway pressure below the prescribed pressure as you begin to inhale. Air flow physics are akin to electricity - you have pressure (analogous to voltage), mass flow rate (analogous to current), and flow resistance (analogous to electrical resistance). Just like an electric circuit, you can't change one without affecting the others. If you increase flow resistance, you decrease flow rate, unless you increase pressure. A CPAP machine is designed to maintain a stable and consistent pressure in the hose, so this device will reduce flow rate, and cause a pressure reduction in the airway. (I am an engineer by day and have a background in fluid dynamics, FWIW.)

[@cebruthius]

@@Freecpapadvice Of course it restricts airflow. It literally occludes a part of the cross section of the circuit (facepalm)

[@kirby8538]

Must be popular as it is out of stock with Amazon and CPAP supplies. Will get one as soon as back in stock.

[@craigpurdie3528]

POPULAR and SAFE are 2 different things.

[@JohnEllis-wt1ij]

I placed an order for the V-COM and I use the F30i mask. I do not like the idea of going without the heated hose since I have significant nasal congestion. I'll see what happens.

[@jbsimmons54]

Interesting. I run at 9.6 - 12. My new doc w/o asking me bumped it up to 30. Hell NO!!! Blew my mouth open and filled my GI tract with air! I made him change it back to 12. He says not much diff between 9.6 and 12. There certainly is. Above 10 I get dry mouth and blown lips, even with chin strap. But it does keep my sinuses open. Side sleeper here and when I do, the sinus closest to the pillow stops up. CPAP eradicated that problem. I can't use heated tuning and I hate it because it dries out my sinuses. So I use reg tubing. Getting the V-COM hoping my lips will stay closed... When it senses open mouth leaks, it likes to ramp up pressure quickly and won't back down. Have to reset it via power cycle. Main complaint is sinuses, not apnea. I think we may be alike in symptoms. A friend of mine who has BIPAP says I should ask for that instead of CPAP. I use a ResMed N20 nose piece. Adding a nose/mouth piece negates opening sinuses.

[@JohnMutch]

Offer still works ❤ thanks for all you do

[@azjack827]

I’m on a biPAP ResMed airCurve 10 ASV pressure 14.4 exp 6.8 So how do u think this will work O btw I use tape and air fit p10 pillow Thanks 🙏 😊

[@Freecpapadvice]

No, don't use with ASV.

[@TheVirtualFuture-By-WB]

Thanks.. High Altitude Colorado Springs here.. -Order placed , will try out this expensive simple decice.. Cheers.

[@techshabby0001]

I woke up 3 times last night with my mouth fused together, just in time to prevent my throat from also fusing together, for a total of 4 1/2 hours of sleep.

[@ac27934]

Would this undermine the effectiveness of ASV?

[@danyelle6525]

I’d like to know too!!

[@TheSummerDriven]

I wouldn't use this with ASV, that flow limitation could trigger some interesting things with the dynamic IPAP trigger.

[@cebruthius]

@@TheSummerDriven This is going to mess up waveform recording (OSCAR) on normal CPAP too but that won't be noticed as fast

[@danyelle6525]

@@TheSummerDriven I’d think it would have trouble when you are having a central event, like it wouldn’t be able to rush/push in enough air to make a breath. I’ve been trying to get on his freecpapadvice now, for weeks now I just keep getting errors and not getting on, anyone else having any issues getting that freecpapadvice??

[@kamiatou]

Not recommended for use with ASV. That is also spelled out on the SleepRes website

[@KevinLanting]

Just bought the V-Com based on your recommendation. With the discount code and applying rewards points, my total cost was $15.44. I really look forward to trying this out since I'm a huge mouth leaker. Looking at the before and after Oscar data should be interesting.

[@DazzlingDanaOfficial]

How'd it go? 😊

[@KevinLanting]

@@DazzlingDanaOfficial Using the V-Com has been beneficial. I've been using the device for about 30 days now. Waking up with Aerophagia has been pretty well eliminated. Unfortunately, mouth leaking does still occur but does seem to have decreased in frequency. I have yet to review the data, but I do expect to see improvements. It took a few nights to acclimate to using the device and some settings changes to get to a level where I could sleep comfortably.

[@miryanacolton5674]

Thanks - just got one to try it and the coupon still works and big saving - great. I also just got the Bleep Eclipse halos to try Going to be a bit of an experiment coming up. Kinda dreading it though - wish me luck.

[@timoleary313]

?? Restrict the air flow??

[@wallyfirkins1664]

Lefty, will the V-COM be appropriate for b-level therapy? I have COPD and my settings are 14/10. Thanks.

[@Freecpapadvice]

Very good question........that is going to be included in a future video. So sorry to do that to you Wally!

[@Freecpapadvice]

But no. 😉

[@samstinkeringaround8961]

I'll give some feed back

[@picturemethis]

I use a full mask and have been noticing my machine will ramp the pressure and wake me up because it never goes back down and I have to shut the machine off. Will this work with a full face?

[@jTempVids]

Very Interesting. At the moment, $26 is still a little high for me to pull the trigger on something that may not help.

[@K7SJA]

It's SOLD OUT of both Amazon and CPAP Supplies. Waiting. . .

[@canuckchris5733]

I’ve seen this on the Aussie Nicks channel too I’m in those pressure ranges at 15 Do you think it might help with mask leaks on Epson 2

[@Knards]

On sale for $30.00, with the skinny guys discount I paid $24.93

[@Gebomartin215]

Does not work for me. Made it hard to breathe in and out. My max pressure runs around 9. I felt like someone was trying to suffocate me.

[@Freecpapadvice]

So on APAP? I wouldn't count on APAP getting you to the correct pressure. Also wouldn't use VCOM for pressures less than 10 without EPR on.

[@Gebomartin215]

@@Freecpapadvice I run on auto 7-11 no ramp and full time EPR. I use the tape you recommended to seal my mouth. I burp all day. LOL. My max is around 9. To give it a fair shake, what you recommend?

[@donnakidd6163]

I just ordered it, thanks LL! Hopefully it will help keep my mouth closed!🤤

[@colt10mmsecurity68]

Is the v-com like the ResMed AirFit F20 CPAP Mask QuietAir Elbow? I see that it too like the v-com diffuses air. Should I use the v-com in conjunction with the ResMed elbow or would it just cause me problems with using both?

[@deje7086]

Totally a rip off, i was given 2 and it made no difference. I gave one to my neighbor on cpap and he said the same thing.

[@giselec.7806]

Could you test an AB filter? Maybe it will have the same effect 🤔

[@cebruthius]

Yep, you're on to something.

[@kamiharoldbeauty]

A viral/bacterial filter is an unknown amount of uncompensated resistance. Definitely not the same thing.

[@diamaunt2782]

@@kamiharoldbeauty So, is everything you're babbling such utter nonsense, oh, wait, it IS! AB filters are a *KNOWN* amount of resistance, Resmed bilevels have an AB filter setting *TO COMPENSATE FOR THE EXTRA FLOW RESISTANCE*. They don't have a setting to compensate for your scam, therefore, people will suffer lower pressures during inhalation.

[@denkn]

I run my Dreamstation 2 at 12 right now. No tape because of a mustache that's older than I am. Main problem I'm having is dry mouth, I guess you call it Aerophagia? Anyway, I ordered the V-Com just now and am anxious to see how it works. Thanks Jason! ! !

[@colingrant4690]

Got V-com ordered, have Dreamwear nasal mask, and ordered a regular hose to use instead of my Climate Line Air Tubing so I can install the V-com on the machine side to reduce noise as you showed in your video. On V-com site they say if you are using a heated tube, you may need a tube extension(Resmed 60926 Inlet Tube with Swivel Assembly) So..... If you used the heated tube and put the V-com at the mask end of the heated tube and then used the 60926 inlet tube from the V-com going to your mask would that also solve the noise issue?? Or would it still be so close to the mask to not make a difference? Thank you for your videos, switched from apap to cpap yesterday after watching one, and OMG what a positive difference in so many areas!!

[@victorurbina2944]

So with V Com should you shut EPR off? Should you engage EPR between 1 to 3 depending on higher cmH20?

[@adamfilip]

not helpful is your pressure is less than 10. especially if your start ramp is like 6.. it feels like its not enough air..

[@marcus_ohreallyus]

I felt like absolute garbage after using that thing. Taking it out.

[@miatared]

I'm going to wait for a 3D printed version.... Medical grade plastic obviously 😊

[@GuntherSnaps]

bought it. hope it helps

[@stevecrim4557]

After using it for about a year I finally removed it and my sleep is back to normal. I had no clue I was having little awakenings throughout the night. Not blaming the V-COM but they are gone now. If you are having issues and using it, you might want to consider going without it for a few days and see how you feel

[@Freecpapadvice]

Did you increase the pressure by 1 or 2 when you put vcom in?

[@stevecrim4557]

@@Freecpapadvice Only after you recommend that due to lots of RERAs. V-COM reduced my AHI and looked like it was going to be wonderful. However my sleep got worse and worse but I just assumed it was just me. Then recently you did a video on the little bumps in the chart that don't show as anything but are awakenings. In Sleepy Head I went back to before and after V-COM. The bumps started then. I removed it several days ago and they are gone. It may just be me, others may do great but I think I am better off without it.

[@Freecpapadvice]

@@stevecrim4557 Gotcha. You could also leave VCOM in (if it was being used to assist in another aspect of your therapy) and increase the pressure in that situation.

[@stevecrim4557]

@@Freecpapadvice Thank you - I think I better stay with what's working (for me) for now. I had a full year of feeling like I did before CPAP (about 8 months of that was with a pressure increase of 1) Because it reduced my AHI, I was impressed. I would still be using it if you hadn't done the video on the little bumps on the chart actually being awakenings. That set my alarm off to go look. There are not enough thanks yous to thank you but thank you...

[@NateHarrisCreations]

So you suppose to cut off the EPR setting on your cpap if you use this device?

[@lynneanilsonthibodaux9220]

Fascinated by this thing. I have a Resmed S10 Auto, usually only pressure of about 7 or 8. I do wake up with dry mouth, so prob mouth breathing (I should use tape). I like the p30i with the top connector but don’t want to give up my heated hose in order to install the device at the back of the machine with el cheapo hose (is there another way?). Also (heard you mention) would I feel starved for air with this? I don’t even use ramp for that reason. My AHI - always under 5, usually less than 2. CPAP therapy for almost 2 decades, never miss a night. Always looking for improved sleep! Appreciate your channel here! Subscriber here! If I take the leap for this, I’ll use your link. It’s a reasonable price! Thanks!

[@deje7086]

Run, this piece of junk might KILL YOU

[@SajidKhan-kt6rz]

Does it work on BIPAP?

[@msendowski]

dumb question but which side goes into the mask . thanks

[@Petioptrv]

Hey Jason, that looks awesome. Is it good for BiPAP?

[@jeffcoombes3598]

I'd like to know that too

[@cebruthius]

I can guarantee that it is going to screw with trigger/cycle timing on BiPAP.

[@Petioptrv]

Their website says it’s good for BiPAP

[@cebruthius]

@@Petioptrv They say a lot of other dubious stuff on their site so there's that

[@mscar1987]

I heard you say, on one of your videos ( I can’t remember which one ) that you would review our SleeepHQ info and do a consult. I could really use some help.

[@cebruthius]

Jason, Kami Harold said that this product hasb een on the market since June of 2022. I noticed this video was marked "exclusive access." That doesn't make sense to me, to get exclusive access to a product that has launched almost a year ago.

[@Freecpapadvice]

I have no idea what you're talking about. The video is set to public. I don't know what you mean by "exclusive access". EXPLAIN YOURSELF!!!! 😂

[@cebruthius]

@@Freecpapadvice Nevermind. The "exclusive access" label was applied to the video by the SponsorBlock community. (i.e. the entire video is an ad)

[@williamheitl8941]

If the device changes the airflow between it and the mask, how do you know that the data collected by the CPAP machine and analyzed via Oscar is accurate. I would think a device that modifies flow with no way to tell the CPAP machine what change was made will make the data inaccurate.

[@gonfishn]

I don't have a problem with a business making a profit however I do have an issue when a business bends over consumers and totally rips them off. Vcom is that company. They could easily sell that for $4.95 and still make a killing on it. I will never support a company like that.

[@Freecpapadvice]

Devils advocate: you don't know what the costs were to bring it to market. I don't know what line of work you're in, but if you told me your prices I (or anyone) would probably have a similar reaction.

[@bobhawkins2997]

Glad to be the first like on this video. It looks very interesting!

[@en2oh]

What, if any impact does this have on machine algorithms?

[@SomeStuff9]

how do i search Cpap supplies for cheap fucker tubing?

[@buster7659]

Cpap supplies ran out of the product after your video aired. I’m still waiting on mine

[@theschoolpsych]

Crap so we can't use it with a climate line? I should have watched the whole video before ordering. I use the Respironics mask too.

[@Freecpapadvice]

You can use it with climate line.

[@theschoolpsych]

@@Freecpapadvice But at the top of the head where it’s still louder correct? I thought that’s what I gathered from your example. Thanks for the response! Appreciate it!

[@theschoolpsych]

So I used it last night. I like it! I used your discount code as well. Thanks! Should EPR be turned off? I like EPR without it but wasn’t sure if EPR had to be turned off on the Autoset since it doesn’t work with bipap.

[@BritinCanada]

Why not just place a suit button in the End of the tubing it has 4 holes in it .

[@RodneyThomasII]

My pressure is set to 8, is this something that would work for me?

[@skytripa]

Curious as well. Recently got bumped up to this pressure and have Aerophagia more often

[@veryberry39]

I was real excited but uh, I wouldn't pay more than like $10 for a little piece of plastic. (I get it, I know someone had to come up with the idea, and all the testing, etc but man, that's really steep. Although I'm also poor, so.)

[@jellybeansi]

The piece itself looks very simple (I could model it myself), so I imagine someone could 3D-print this and sell it at a super cheap price point. That would be awesome.

[@wfemp_4730]

I'd think it could be duplicated pretty cheaply with a 3-D printer. $30 seems outrageous to me.

[@dandifusco1868]

I still get puffy cheeks on 13 and feels very hard to exhale. I may have wasted 30 bucks. I dont know. Does nothing for me

[@jmf6000]

For low pressure 6 and under its not so useful?

[@loumenotti9038]

Sheep what kind of tubing?

[@karenchapmam5641]

I have a F 20 mask will the Vcom Work with it what do you think?

[@deje7086]

Dont waste your time and mostly money. If he really cares why not give it for free !!!

[@rickadkinson6539]

The links to purchase VCOM do NOT work

[@blazejp0601]

What about the crazy flow limitations you got in your graphs Jason?

[@aguycalledshane]

Well now it's out of stock everywhere.

[@gonfishn]

I can't believe you would endorse a 20 cent piece of plastic for $35!! Come on now. Every last piece of CPAP stuff is so inflated price wise it's a Flippin rip off. I wouldn't sleep at night ripping people off like that. This needs to end!

[@Freecpapadvice]

I still use it. It’s great. I don’t set the prices, so can’t comment on that, but vcom has really improved my sleep with CPAP. Make your own for 20 cents.

[@gonfishn]

I will make one and try it, I'm a mechanical engineer. Child's play even for a chimp lol!

[@Freecpapadvice]

Well.....I AM a chimp!!!! 😂 No doubt this could be easily made on a 3D printer.

[@LisaF_]

I’m ordering this today! I’ll report back.

[@patrickradcliffe3837]

0:01 that's Papr-Punk to you Lefty!

[@GlennHanna8]

I might try that for $8

[@picturemethis]

Just ordered one. ❤

[@garrettmineo]

This thing is priced way too high, no excuse for that. It is a orfice plate and must affect the flow and probably adjustment would need to be made to have the same pressure/flow at the mask, by the time that is corrected the sound and other effects will likely be similar, in addition the CPAP machine certainly must work harder to push through the obstructed line. This is not to say that some improvements can’t be made, for example some way to improve laminar flow through the tubing and mask, but such changes need to be made with consideration of the entire system. I think flow, pressure, motor amperage and sound level measurements would be a much more precise way to evaluate devices such as this.

[@managingmarlys]

What is the tape for

[@bleednate]

How does this fair with a BIPAP? (I haven't watched the whole video yet, so I may edit this after I actually finish this video.)

[@captainamerica6182]

I got to say it, you remind me of George Clooney.

[@aeonjoey3d]

Dammit it’s sold out, we too live at 5000 ft elevation (5280 to be exact) and both my partner and I use CPAPs, and both have mouth leak and difficulties, I’m desperate - but it’s SOLD OUT everywhere!!!!!

[@bethharwo]

I am having a really tough time with aerophagia. So much so, I was switched to a bipap. But, I'm still having experiencing aerophagia. Can I use this with the bipap?

[@janicemilina8194]

36$ on Amazon! Ridiculous!