The Smartest CPAP You’ve Never Heard Of.
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- Опубликовано: 14 апр 2025
- 💨 Not all CPAP machines are created equal-and this one plays a very different game.
In this video, I break down the Lowenstein Auto CPAP algorithm using one of my favorite analogies: golf.
We’ll walk through all four quartiles of therapy, from the tee to the green, and show how the algorithm adapts to your breathing with smart, strategic pressure changes-whether you’re in Standard Mode or Dynamic Mode.
✅ Pressure responses for apneas, RERAs, snoring, and flow limitations
✅ Why Dynamic Mode is like going for the green in one shot
✅ How SleepHQ gives you the data to actually see what your machine is doing
If you’ve ever felt like your CPAP was overreacting-or underperforming-this video is for you.
👉 Pair your Lowenstein device with SleepHQ.com for full access to your therapy charts, shareable links, and deep analysis.
🔔 Like, subscribe, and share if you found this helpful-and let me know in the comments what algorithm YOU use! 
Хобби
I start my cpap tonight..I’ve been watching your videos..thanks for your education and humor..from NY USA 🇺🇸
Good luck tonight mate, remember CPAP is a long game so just manage your expectations, work at it, keep learning and you'll be fine. Cheers
It can take a while to get used to CPAP. Don't be scared to change your own pressure. I had to start at 5 to 7cm, and then slowly move up the pressure as I got comfortable with CPAP. I suggest a small range if you are on Auto and you have to find the perfect pressure for you. Within a few months I found that I slept best on CPAP mode with a set pressure of 13.
0:28 ee😅🎉😮😢🎉😮😅😢😢
Man, im cracking up. The lady hit with the golf ball was brilliant. 😂😂
Most of my golf shots end up somewhere off the course
@CPAPReviews 😂😂😂
There's my friend good to see you posting mate keep us up to date if this machine ever comes this way to the USA sounds like a good machine take care legend always good to see you up and running🍻 cheers
Thanks bro, appreciate the message of support. Cheers
I’ve been using it for years and it’s great. Now I also have a module you plug to the right of device for telemetry over mobile network.
Awesome mate, you can also plug that usb port directly into a phone or tablet and upload directly to SleepHQ 👋
@@CPAPReviews Really? I am definitely going to try that. Cheers from 🇨🇭
Love the nipper in your Vlog !
I found turning off the softpap completely eliminated all Flow limitations, I have quite a narrow range (14 - 16), most nights I doesn’t hit the 16, I usually start at 10 for 5 mins to help me adjust and usually sleep before 14 kicks in. (I certainly don’t feel it)
This machine is a life changer, can not recommend it enough. I may widen the range as an experiment, buts it’s already performing very well.
Your vlogs changed my life, can’t thank you enough.
Thanks for the great insights mate! sounds like you're pretty much running the device in CPAP mode and have most of your bases covered at that pressure of 14cm. No need to change if it's working well for you. Cheers
I didn't know you had so many fans!
I did a sleep test a couple of years ago. First, I felt like I was on an assembly line and the whole thing was designed to shove me into a CPAP machine. The first part of the test was with no CPAP and I had a difficult time getting to sleep. Just about the time I felt like I was sleeping real well, they came in and woke me up. They hooked me up to this machine and it felt like it was going to blow the top off my heard. After the test, they gave me a survey to fill out with my thoughts on the test and I wrote that down and how much I hated it. I could hear the techs in the other room reading my survey and laughing about it. Well, I don't have a CPAP machine and I don't think I will get one.
Great to know! I've been using a Prisma 20A for about 3 weeks and have been trying to dial in the pressure settings. I'm going to give it some room to do it's thing tonight and see how it goes. 👍
Nice one bro
pleeeeease can we have flow limitation reported in Sleep HQ on Lowenstein devices when softpap is turned off?
I wish my supplier had this machine...
Just wondering if I go to Germany, can I purchase one over-the-counter I need an ASV?
Click baity title. (Of course we've heard of it, you've spoken of it many times) but it's a damn good machine.
No it's not. i'd say 99% of viewers don't know about this brand. It's not even sold in the U.S. I have over 1000 RUclips videos and maybe 5 of them are on this brand. It's also not 'Click Bait' when i'm holding the very device in my arms in the thumbnail
How does Lowenstein algorythm determine the tine spent in each quarter since each night dleep has different durations?
Great question! 🙌
The quartiles in the Lowenstein algorithm aren’t based on time or percentages of your total sleep duration-they’re based on pressure range.
When you set a minimum and maximum pressure (say, 6-12 cmH₂O), the machine splits that pressure range into four equal sections, or “quartiles.” Each quartile represents a zone within the pressure range, not a part of the night.
So for example:
Quartile 1 = 6-7.5 cm
Quartile 2 = 7.5-9 cm
Quartile 3 = 9-10.5 cm
Quartile 4 = 10.5-12 cm
As you breathe through the night, the machine constantly monitors your events and determines which quartile the current pressure is in, and then applies the pressure response based on that zone.
So it's not tied to time-it's tied to where your pressure is sitting within the range. That’s what makes it so dynamic and adaptive to each night’s needs! 😴💨
I love this video. The beard looks good on you mate.
Hey, thanks!
There is an Easter Egg - Let me know if you find it.
Resmed Air 11 in the window 😅
@@KyleVeatch well played sir!
I can only afford only PrismaSmart (not the white one) how does it perform comparing to 20A or Airsense 10?
Same algorithm mate, stormtrooper is still a great device
Question for you Nick, any chance you can do a video on the Lowenstein Auto Cpap range and the differences other than the blower in the Prisma 20A model. So the Prisma 20A APAP, the Prisma SMART max Auto and the Prisma SMART plus, pretty hard for a layman to work out. As always a big thanks for the expert advice your videos deliver to us novices.
Hey bro, i did that a while back - ruclips.net/video/o01BbOAed0I/видео.html
@@CPAPReviews Didn't think I had missed any of your videos but maybe it had slipped my mind, my worry re the 20A is when we have power outages which are not unusual in this neck of the woods (Victorian Central Highlands) is powering the machine, are those adapters you showed in that other video commercially available otherwise the Prisma SMART might be the better option for me given I'm considering updating my Dreamstation, I also have a Resmed S10 Auto but I don't like the bloody thing compared to the Dreamstation regards comfort and results.
Oi from Poland! A month ago I got meself a 20A and an AirFit F40 after using an Airsense 10 Autoset with a classic F20 mask on my sleep test for a couple of days in early Feb.
Picked the F40 as the F20 hurt my nose bridge. Let's just say the mask seems like a good product, but I will continue exploring. I'm eyeing a Vitera.
As for the machine... I won't compare, as I don't have enough experience, but I will say this: I turned off dynamic mode as I felt like it told me how I'm supposed to breathe. It didn't work with me. It forced me into a constant rhythm. Standard mode didn't do that. BTW I'm considering a UPPP surgery...
Anyway, I don't want to make this post a wall of text, so I'll finish by saying it's been tough with the CPAP so far! I am keeping my hopes up, though.
Appreciate everything you do, Uncle Nicko. All the best to the family. Hope you figured out the iPad!
Hey Filip,
Thanks for sharing your experience with the devices-CPAP can definitely be a challenge, so I completely understand where you're coming from.
I'm not a big fan of the UPPP surgery, to be honest. I've had in-depth chats with quite a few people who’ve gone through it, and while there can be some early improvements after a tough recovery, the snoring and poor breathing often tend to come back over time.
don't let me put you off it but just make sure you do your research. Cheers
I tried expanding my PO pressure range last night and by golly you seem to be correct! I had them too tight before hearing this about my Darth Vader.
Oh, that’s really interesting!
The whole concept behind auto CPAP is to dynamically adjust the pressure throughout the night-raising it when events are detected and lowering it during stable breathing. The goal is to average out the pressure so you’re not stuck with a consistently high fixed setting all night.
By delivering just enough pressure when needed and backing off when it's not, auto CPAPs aim to keep therapy effective and more comfortable. In many cases, this results in a lower overall pressure compared to fixed settings, which can reduce side effects like dryness, bloating, or mask leaks.
Great to hear the feedback. Cheers
I just use CPAP - 14, got used to it, I actually like the pressure, easy to breath.
I'm about to run a study with the SleepHQ members looking at CPAP vs APAP and i have a feeling that the CPAP results are going to win haha
@ I agree.
@@CPAPReviews CPAP mode on my AS11 is much better for me
i'm sold. Now how the hell do I find and get this in the US?
haha, i never quite figured out why they don't sell into the U.S. Feels like a no brainer to me but they must have their reasons. Maybe something to do with medical insurance
@@CPAPReviews It's a class II (2) medical device. The FDA has to approve it. Maybe Lowenstein has not submitted it for approval.
Resmed has a virtual monopoly in the US. Phillips no longer sells CPAPS in the US, Fisher and Paykel now out, Luma is still in but small. Now is the time for Löwenstein-Jensen to get into US Market.
What a cut smile. Hello Jack!
He has his moments
I went and got tested and my AHI was 65.5 I’ve been watching your videos to get some knowledge and info before I get set up. I have an appointment Friday to get set up with a machine but I have no idea which one to get or if they will set me up with the whatever machine works. My benifits cover most of it so just wondering if you got recommendations on what I should stay away from or which ones I should try to get if they are available. Thanks
Lowenstein Prisma 20A, I just bought one 2 days ago. Had Philips Resporonic initially then for 16 yrs on various ResMed models. Time for a change, I figured.
Everyone is different. I like the Prisma flexibility to function as an APAP or as a fixed pressure CPAP. It’s the Algorithm I’m most fascinated with. Nicko have quite a few video on this.
@ I’ve never had one so it’s all new to me but I’ll definitely check this one out if they have it and see what they recommend
Is there a way to look at a more granular report from a Luna G3?
Wondering this too. My react health app is starting to mess up. Reading my ahi as double the number vs what the machine itself says
There's a link to some P.C software on this site if you want to check it out. It's for BMC but that's the same device just rebranded under React Health. - www.remsleep.com.au/blog/data-downloads/
Hey uncle Nicko. I need CPAP + oxygen to treat my complex apnea. Does this have the ability to have oxygen feed into the tube?
Hey bro, you can add O2 to any cpap device with a simple O2 port adapter
I'm trialing this machine now. My min is set to 4, median is 6 and 95 percentile is showing 11. What would be a good range?
Since your pressure requirements are only mild-mod i'd probably just leave the range 4-20cm if you're comfortable breathing at the low end and you don't feel like you're suffocating.
Thanks Mum...the real hero 😂
life saver!
In an older video, you compared the algorithms of different cpap machines, can't remember if lowenstien was on there but it would be dandy if you made an updated video on that which included the two lowenstien modes
Yes, Lowenstein came out on top.
Wow, really dedatiled information about the algoritm, where do you find it? Is there similar information about how Resmed 11 works? it would be interesting to compare.
Just curious if you felt any differences from Prisma SMART (Plus or Max, the white one with german blwoer) vs Prisma 20A that has a different Blower. (From my experience they work the same, and feel the same, even if they are different inside). Also I do not know how many people use a heated tube (Prisma 20A has an integrated connection for the heated tube, I never felt the need to use it, But I do not use it with water, maybe I should try it a few nights).
Also 20A has an extra setting for SoftPap level 3 (works almous as a Bipap in this setting)
Thank you! You find it right here in the video lol. I've unpacked a few of the ResMed algorithms over the years but not in the same detail. Some patients feel that SoftPAP is different between the two devices even level 1 and 2. I haven't looked into it much though
Great video and loved the humor 😂. What’s the exact model name of this beauty? Thanks much in advance for your help! 🎉
I have a prismaLAB which is CPAP GOD MODE but most people would have the Prisma 20A (Darth Vader). Apparently the auto algorithm is also the same for the Prisma Smart (Stormtrooper). Cheers
It ignores flow limitatíons? This explains why my flow limitaton numbers are always high.
In standard mode after quartile one yes. I think this is strategic though to balance comfort.
Does Löwenstein BiLevel and ASV have the same Smart algorithm?
it's different mate but still very impressive.
How accurate is the AHI scoring?
It's very good mate, i've done a video on this before. It's a slight negative bias (slightly under-reporting of the AHI) - ruclips.net/video/J6cQht-V58A/видео.html
This all dandy, but they're not available from any DME or online store in the US that I'm aware of. Question is why?
Needs to be approved by the FDA. It's a class 2 medical device. Lowenstein has to submit it for approval. It will be pricey with Diaper Don's tariffs.
Sorry if I missed it - what model Löwenstein cpap machine is this
I have a PrismaLAB which is a very special device but most people will have a Prisma 20A or a Prisma Smart
@ so do they use that same algorithms?
Does SmartMax (storm trooper) has the same algorithm?
It does my friend
Wow such a sweet shy handsome little guy.
haha, his looks are deceiving
Do you think CPAP machine's learning Artificial Intelligence will make CPAP treatment better? Instead of a set parameters, the machine will learn your sleep breathing patterns and provides breaths and pressure accordingly? Kind of like a Sleep Apnea Therapist in a machine.
Great question!
To be honest, I don't think it will improve pressure delivery itself. That part of the therapy likely won't change. However, it can definitely help in other areas of treatment-things like comfort, tracking, or overall effectiveness depending on the context.
My events are 49 a minute. What is a normal event number that I should be working for
Under 5 is considered treated
Under 5
Hello friend with you and your sleep doctor work on shooting to the lowest number you can.
Like me if I didn’t use my machine I would have 60 events an hour but by working with my sleep doctor and staying busy to lose weight I have gotten down to 2 events an hour
And you should be getting it pretty much straight away because therapy starts pretty much straight away.
If you are 49 ON a machine get in touch with your sleep doc as you may need asv or bilevel. If haven’t used machine yet, you prob be under 5 treated on a machine,
The $65,000 question is how does this outstanding German/Swiss engineering compare to the RESMED’s top o’the line, ASV? Any opinions you can share?
I've used both. This leaves it for dead.
Great question, they’re a bit different
ResMed:
• Simpler interface, but fewer customization options.
• You can’t adjust the backup rate or breath-trigger sensitivity.
• Limited to a narrower clinical application spectrum, but incredibly easy for most patients.
Lowenstein:
• Much more tunable: trigger/cycle sensitivity, rise time, backup rate, volume targets, etc.
• Better for complex or difficult-to-treat patients like those with Cheyne-Stokes respiration or a mix of CSA/OSA.
• Bit of a learning curve for clinicians due to the extra settings.
Will this work for central apnea?
not really mate
@@CPAPReviewsThanks for the answer.
Yep old Darth vader has done me well for over a year. For some reason my Resmed S10s for some reason just didn't cut it for me in early january last year - I figure my body must have just not likes the resmed algos anymore. Old Darth vader sorted that crap out straight away. Only issue is that some mornings I wake up with an intent to jump on a tank and roll into poland.
Appreciate the insights mate, glad it's working well for you. If i didn't call him Darth my second choice was the Panzer . She is built like a frickin tank! Another reason i love it.
@@CPAPReviews One trivial thing I appreciate is it actually has a damned clock and a kind of alarm feature. I never understood why cpap machines didn't have this. Btw - what is the softpap feature?
Does iBreeze copy Lowenstein's algorithm?
likely ResMed mate
I just wish tte Lowenstein app worked in the USA.
That's interesting, can you download the app? The Prisma Smart should work if you can download it as the bluetooth is internal on that device. If you have Darth (The PrismaLine series) then the bluetooth module/modem is external - It bolts on to the side
@@CPAPReviewsApp stores say that the app is not available for our region (US). That was disappointing for me too.
@CPAPReviews I contacted Lowenstein and asked why I couldn't get their app to work in the USA. They told me sorry it's a no go in the US.
They said this app isn't available on Google Play in your region.
@@mews1950it is possible to get the APK and side load it on android.
I have heard of it. It actually is my third bed partner. 😉 and it's silent. Controllable by my phone and it sends my "anonimised" sleeping data over it's own cellular connection to my doctor. Combined with a philips dreamwisp mask (hose connection on top of my head) it works like a charm. I'm sleeping well. It's a well thought out machine.
Appreciate the great feedback and insights mate. Cheers
@Nick i've ordered the Prisma 20A here in the UK on your research and recommendation. I got my diagnosis from a private test about 12 days ago. The only problem is being from the UK i've told the NHS but it's along wait to get an actual care provider hence buying my own machine. What settings do you recommend starting with? I'll be buying Sleep HQ Pro and I expect lots of tweaking and changing i'm just not sure where to begin - I had an AHI of 25 and AHIc of 10 on my test, should I start with between 6 and 12 on the Prisma 20A?
Hey mate, i highly recommend these devices for a number of reasons. The build quality is elite, the durability is elite and the algorithm is elite. It's a good choice. i'd probably just start at 4-20cm dude and then just play around with the SoftPAP pressure relief and see how you feel. Of course i'd love you to become a pro member but you're welcome to use it for free also. Good luck man, i'm in the pro community every week so i'll keep an eye out for you. Cheers
@@CPAPReviews Thanks Nicko! It arrived today - however I don't have a mask yet. I was looking around at something in the UK I could get quick but I ordered an AirTouch N30i from Australia of all places, small world eh! It's not out in Europe or the UK yet and I really like the look of it.
I'm definitely signing up to pro and hopefully get this dialled in. So if i'm right in thinking on APAP you put it to the maximum of 20cm but it'll only go there if it feels you're not getting results lower right? So it doesn't make much sense to cap it as such as it'll only go there if you need it?
Also did I see you say in another comment somewhere that we can somehow link the USB port an iPad or a phone and and upload direct to SleepHQ to save moving the SD card?
“She may not be the prettiest in the pub…”😂
Haha, personally i don't mind someone with a bit of shape
Sorry, I kept watching the level of your drink. Jealous!
i probably had a few top ups during the vid too! Hang in there buddy
Pretty child❤
So cute
Thank you mate