Philips Respironics

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Philips Electronics have announced the results of an extensive new scientific study into sleep apnea, conducted over the last two years by Philips in collaboration with University of Twente.The study, which surveyed 4,206 Philips employees in the Netherlands, revealed that 6.4% of them suffered from sleep apnea. A striking finding was that 78% of the people surveyed who reported symptoms of sleep apnea were entirely unaware that they were suffering from this sleep disorder.

Never before has research into sleep apnea been conducted among such a large group of people. 29% of all Philips employees in the Netherlands took part in the study, comprising men and women of different ages and levels of education, with different types of job and different cultural backgrounds. Previous screening studies were based on considerably smaller populations. For example, an often cited study published in 1993 examined a group of 602 people. It was estimated in this study that 2% of women and 4% of men in the middle-aged work force suffer from sleep apnea.

Piet-Heijn van Mechelen, Chair of Dutch patient organization ApneuVereniging and Project Leader for the survey, is pleased that the study has produced clear results. “Hundreds of thousands of people have symptoms but don’t know what the problem is,” he says. “This study provides valuable new insights into how often the condition occurs. And with the new screening method that was developed for this study, sleep apnea can be identified at an earlier stage and the quality of life of patients suffering from the condition can be greatly improved with treatment.”

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I have been using CPAP now for two weeks. I have the Optilife intranasal pillow mask and REMstar Auto A-Flex machine with Humidification. The machine was really easy to use and the mask fitted well. The mask is so easy to fit and adjust, as long as you choose the correct size pillow for your nostrils.

I set it all out and tried it, then left it for later that night. Went to bed, made sure I was fully relaxed, put the mask and machine on and fell off to sleep fairly quickly. The machine is very quiet. Rather than my husband being disturbed by my snoring he said it was too quiet!!

After 4 hours I woke up to go to the bathroom, got back into bed and put on my mask and machine, but had to try 4 or 5 times until I could get comfortable, but unfortunately nothing was helping. I just went into a panic and couldn’t work out how to breathe ‘through’ the machine’s pressure. It was well after 2am by this time so had to give in as my other half (OH) had to be in work before 5 that morning and I was disturbing him too much. My nose seemed really cold too so thought I something must be wrong!

During the following day I went over the instructions/settings etc. and discovered that one of the settings on the machine was set for a different nasal pillow, so altered that and the following night was much better….. apart from the pillow, that made my nose sore!

My first night was a Friday, so when Monday morning came and Philips Respironics (PR) helpline was open I thought I’d call then just to check I was doing things right…but before I phoned them they phoned me and put my mind at rest. They went through a few more settings etc. and I was really impressed with their care towards my condition.

After the scary first night I seemed to adapt to using the CPAP machine. I struggled a bit with the washing of the hose. PR said it only had to be done once a week, but having other health issues I needed some assistance with this. First off I didn’t have enough strength to remove the hose from the machine, so it wouldn’t be something I could do if I were on my own. I’m sure a healthy person would have no trouble. The daily washing of the mask cushion and the humidifier haven’t been a problem…apart from remembering to do them!

My OH has been occasionally watching over me whilst I was sleep and he could see on occasions where I started to snore and the pressure on the machine started to increase, stopping the snore in mid flow so to speak! So I know it’s doing its job there!

My first SD card has been sent off and I am awaiting the results. I’m hoping they will be saying they are as good as I think from reading the settings on the CPAP Machine. It is showing my AHI has come down to around 6 from 62 which was discovered at the initial sleep study. I am just waiting for their confirmation of the readings.

The only negative aspect of the past two weeks has been my own ‘positive mental attitude’…

Although I have been using the machine nightly and for around 7 hrs per night, I actual feel more tired now (I was one of those OSA sufferers who had no idea of the problem as I rarely felt that sleepy). I usually feel fatigued due to Fibromyalgia, but not the feeling of needing to sleep…more like my body is starved of rest, but I had thought after two weeks I may have woken up feeling a little brighter.

I know it’s still very early days and my general health doesn’t really help, but this week I gave in and went to see my GP….. he was actually as surprised at my sleep study results as I was! So he was very understanding as to my coping with it all.

As I had done with my appt. with Mr Oko I decided to type out all what i wanted to say to the GP, mainly about how I felt… unfortunately it went into 4 pages, so I had to just leave the copy there for him. He could see I wasn’t coping so well mentally and has given me some assistance with that.

Its still very early days. I’m not going to give in.

Adapting to using the machine was much easier than I thought it would be, but when you have so many other things going on -I think what you feel inside- it can take a little longer.

Next week I am off to have a Mandibular Advancement Device made up. This was something that had been recommended by Mr Oko for me to use alongside the CPAP Therapy as it would help bring my ‘recessed’ jaw forward a little giving me that extra help at night. Usually only the CPAP or the MAD would be used, but as it seems the bone structure of my jaw doesn’t really suit my breathing pattern!! So that will be another thing to update you on soon.

Although I am struggling coming to terms with all this, I aim to stay positive about using the machine, even if it takes a little extra help from friends and my GP to get grips with it all. It would be great to hear of other people’s experiences, esp. ones who see Mr Oko. I am sure that I am not alone.

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Philips joined with the World Association of Sleep Medicine (WASM) as an official sponsor of World Sleep Day 2012, held on Friday, March 16. This year’s theme– ‘Breathe Easily, Sleep Well’ – centered on raising awareness of sleep disorders that affect a person’s breathing, such as obstructive sleep apnea (OSA).

“Philips is pleased to partner with the World Association of Sleep Medicine for World Sleep Day 2012 to build awareness and understanding around disorders that affect the quality of sleep, including obstructive sleep apnea,” said Dr. David White, chief medical officer for Philips Home Healthcare Solutions and a professor of sleep medicine at Harvard Medical School. “Philips offers a wide range of sleep-related products and solutions, from diagnostic tools through to patient-centered sleep therapy devices, to enhance the quality of sleep and improve the health and well-being of our customers and patients around the world.”

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According to a new report by iData Research, the leading global authority in medical device market research, the European anesthesia, respiratory and sleep-management device market was valued at over $1.4 billion in 2011. By 2017, this market is expected to reach almost $2 billion, fueled by the rapidly growing telehealth/homecare therapeutic sleep-apnea and ventilator segments. Philips Respironics, ResMed and CareFusion are leading these markets, despite growing competition.

“Sleep disorders are becoming much more widely diagnosed in Europe, which is driving the demand for more advanced devices that can diagnose, treat and monitor in the home,” says Dr. Kamran Zamanian, CEO of iData. “Philips, ResMed and CareFusion are leaders in this space, however many other companies have released products in a bid to gain share in this lucrative market.”

The report states that the market for automatic positive airway-pressure (APAP) devices, which automatically detect apneic events, are expected to be the fastest-growing segment. The U.K. and France are leading in sales growth, however there is expected to be a dramatic increase in demand in Germany, Spain and Austria.

Additionally, the ventilator segment is expected to see strong growth fueled by increased sub-acute and homecare usage as well as new remote-monitoring ventilators. Philips narrowly leads this market with their non-invasive homecare ventilators, but faces strong competition from ResMed.

 

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Philips Respironics has released the first issue of Philips Respironics Clinical Newsletter, Philips Respironics – The Clinical Advantage.

The Clinical Advantage is designed to bring you up to date clinical information on a current topic of interest. Each issue will cover a specific theme and include an editorial by Dr David White, and externally written feature articles, case studies and reviews of ongoing research by leading physicians. Dr White writes:

“Welcome to the first edition of Philips Respironics’ newsletter The Clinical Advanage. This is a newsletter dedicated to keeping you up to date with clinical information and new clinical literature regarding sleep apnea. Obstructive sleep apnea (OSA) has been the engine that has driven the remarkable growth of the sleep field over the last 25 years. Although the medical community and the general public have been interested in the performance and quality-of-life problems that result from sleep apnea, the real concern has been the potential relationship between OSA and the cardiovascular system.

“The theme of the first issue is SDB and Cardiovascular disease and includes a feature article by Dr Michael Arzt (Germany). Michael Arzt summarizes the current state of the literature regarding the association between OSA and cardiovascular disease and points out many of the areas where controversy still remains. Case studies are also presented which develop several of these themes further. However, this controversy will not end until adequately powered, randomized, controlled, clinical trials are conducted addressing this issue. At last, several such studies are underway.”

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