Hey Uncle Nicko, I got the Prisma 20 A based on your advice and wow what a machine it is. The sleep quality is on a totally different level as compared to the Resmed 10 that was given to me for a 4 week trial. There is a slight wheezing sound from the blower which most people can't hear. I met the technician for Lowenstein at their Brisbane service center to get it fixed. The wheezing was present in his own machine too but he hadn't noticed it till I made him switch off the room ac and listen carefully as I breathed. He finally said that there is nothing to fix in it, that's the blower revving up between breaths to provide the Soft Pap Amongst other things, what he very clearly told me was that there is no Bluetooth in the modem that is attached. I tried arguing with him that Uncle Nicko said there is and he said he works with these machines and neither my 3G modem, nor the 4G one he already had, has any Bluetooth chip in it. Another piece of news that he gave was that he was expecting a batch of the 4G modems pretty soon (possibly in a week or so). He said that as soon as he gets them, he'll send it out to all the Sleep Clinics and it is up to them regarding how to contact their Lowenstein customers and provide it to them. Waiting eagerly for Prisma 20A support on Sleep HQ. But if you are waiting for Bluetooth, then as far as the technician was concerned, the 20A has no Bluetooth.
In this video, I discuss the significant differences between the Lowenstein Prisma20A and the more affordable Prisma Smart. The significant differences can be summarised as follows. 1. Prisma20A has more advanced humidification with higher levels 2. Prisma20A heated tube is powered from the CPAP and not from an external power supply 3. Prisma20A has a Swiss Micronel Blower. The Smart has a German-made EBM Papst blower. Both are very good but the Micronel is a lot more expensive. 4. Prisma20A has a big color touch screen (physical) and is a highlight for me. The Smart screen and menu system is not nearly as nice 5. Prisma20A has SoftPap level 3 which reduces pressure on exhalation and provides a burst of inhalation pressure. Smart only has 1&2, which reduces the pressure on exhalation but no increase on inhalation. 6. The Smart has Bluetooth as standard (the module is internal). The Prisma20A requires an external cellular modem + Bluetooth module 7. Prisma20A is a 37V device, the Smart is a 24V Other differences i left out so not bore you to death. - Prisma Smart firmware updates are done OTA (over the air), and Prisma20A are done via SD card. - Prisma20A has an alarm clock & dimmable screen - Prisma20A has different language options - Prisma20A has a setting option for bacterial filter - Prisma20A has breathing displayed during operation - Prisma20A has micro-usb cable - Prisma20A has extra detailed clinical information on the device menu after operation. Our SleepHQ iOS app was available for pre-release on September 30, 2023. SleepHQ Pro Members with Magic Uploaders registered to their accounts have been invited by email to download & test our new app, with full release available to free & pro members shortly after. SleepHQ Memberships - home.sleephq.com Magic Uploader Link - www.sleephq.com/magic-uploader/ SleepHQ O2 Ring - www.sleephq.com/o2-ring/ Wholesale Enquiries - www.sleephq.com/wholesale/ We are also on the lookout for an Android dev so if you're a gun, fill in the form and we will be in touch - cpap.review/android-dev try.sleephq.com/ is my online cpap support community and 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! 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 9. Apple Health Sleep Stage Integration With Body Measurements Coming Very Soon! And much more! SleepHQ Pro Community - community.sleephq.com Join My Facebook Community - cpap.review/facebook My Monthly Newsletter - cpap.review/newsletter Thanks for the support Cheers Nicko
Great additional differences Nick !! Finally i bought the 20A ! The softpap 3 gives an excepcional performance, goes 1 cm h2O up in inhale and goes 3 down in exhalation without any leap, very soft. I experienced leaps in the smart max model in level 2, i asked here in chile and only one another person made complaints about this. I think as i am an old cpap user and tried many machines, i can have a more fine perception. So for me , the 20a should be the nirvana cpap.
Thanks for the great comparison, Nicko! Currently I'm renting Prisma Smart Plus (white) and considering 20A for purchasing. You've mentioned that Prisma 20A has extra detailed clinical information on the device menu after operation. Would you pls advise what exactly extra clinical info is available on 20A menu but missing on the Prisma Smart menu, and vice versa? I'm especially interested whether Cheyne-Stokes respiration duration is displayed DIRECTLY on 20A menu (without modem), as well as deep sleep duration. In the Smart Max, for instance, deep sleep is not displayed directly on the device menu, but is shown only in Prisma App after replication via bluetooth. Any other points of extra detailed clinical information on the 20A device menu would be of great interest as well. Thank you in advance )
Hey Nicko, We are delighted that you are so enthusiastic about our products! Thank you for your great and detailed content, we really appreciate your feedback. Greetings from Bad Ems in Germany to Melbourne, Your Löwenstein Marketing Team
Hey team! That's very nice of you to reach out and say thanks. Really appreciate it. Cheers from Phillip Island, Melbourne. Home of the MotoGP and the penguin parade Keep up the great work with your awesome machines! Let me know when you're going to take on the USA
Great review nicko. I have the Storm trooper version and love it 😍. I use the blue tooth connection to my smart phone to control the unit there by I don’t need to use the screen (albeit push button I don’t find a problem if I need to). Great to hear that it will soooon be compatible with sleep HQ🎉🎉 looking forward to the release date
Love my Lowenstein! I’ve used them all, Philips, F&P, Resmed… the Lowenstein is the best on the market. I just can’t wait until you add it to your platform!
I have the White one. But not the attachment left of the air pipe I've just adjusted the hour because in the United Kingdom two times change in a year. Also linked my Android phone to the CPAP machine using Bluetooth. I have a complete rundown of my sleep pattern. This device of the White Lowensteinn device is supplied free by the NHS after a sleep test by the GP and the hospital.
Could you please tell us how to turn off flight mode on the Prisma 20A? I have a little green plane that is on the screen and don't know how to turn it off. Could you also tell us when the G3 is turned off and where to get a new updated modem for the Prisma 20A? Thank you.
The 20A is the best I've ever owned. The downside is that its data is very limited. As for price, it's not that far off the AS11. Also, great about the adapter. Was one of things I was looking for. Hopefully you'll put links for where to buy it from soonish. Hopefully you'll add this to Sleep HQ soon. Thanks.
Hey mate, we've done it. Got a few meetings to discuss bluetooth but it won't be long now until you have full Prisma20A data charting on SleepHQ. Cheers buddy. Nicko
My prisma 20a came with 3G modem but not Bluetooth 🤔🤔 Props to Damo also. Spoke to me personally and helped me out. Great customer service from Lowenatein Aus 🙏🙏
Hello and thank you for that very complete comparison guide. Could you say anything about noise ? Are they really that much quieter than all other CIPAPs on the market ? Also, is there a (big) difference in that regard between the two ? Thank you
Hey, no problem. in the dead of night the noise can make a difference especially at higher pressures however at lower pressure perhaps not as important. Whenever i make a purchase i always consider how often i will be using the product. If it something i'm using every day then i'm happy to spend a little more and i think the same is true with a cpap. I think it's worth it personally. Cheers
@CPAPReviews Hey Uncle Nicko! Can you please tell me, is it possible to use these Lowenstien machines to blow air back into the hoses after washing and cleaning the hoses to help dry them like you can with the resmed machine that you did a cleaning video on? New subscriber here. I've learnt more about CPAP from your channel than from anywhere else. It's been very helpful. Thank you for all your efforts.
Hmmmmm it's a great question! I don't know to be honest. I'll have to think about it. They both have different strengths so it probably depends on the end user and what they are looking for in a device.
I rented for 3 weeks the airsense 10 and my conclusión is: 20a is by far better, you feel better, resmed pressure release is very tight, resmed is more noisy and lowenstein looks better build. The cons for the lowenstein is only the weight. Airsense 11 is the same and even more noisy
Löwenstein comes from Hamburg my city in germany. I am not a friend of this CPAP. As I remember- the only pressure constant is the Resmed Airsence Group.
Lowenstein Prisma SMART PLUS (With Bluetooth) I have just spoken the help line of Lowenstein in the England, I told them I am switching from my ResMed to Prisma SMART PLUS. I asked if I could take out the SD card and upload it from my Windows11 computer like I do with ResMed. He said no problem, but I should check with the receiver if they can use the file I upload. He said I should also download the “prisma APP” and ask if it can be used, as the SMART PLUS has Bluetooth and it is uploaded to the prima APP automatically. My question: Can my weekly or daily report be uploaded through my Microsoft computer the same way as Resmed 10 Ashley
I bought this in Haifa Israel, on Sunday the 8th of October it was made in Hamburg sometime in July 2023. I will remain using my ResMed10 until I find away to upload my daily report from the Prisma APP or if not available, if possible using the Prisma SD card. I also hope with long history on the ResMed that I have uploaded, and that I joined the Pro club to learn how improve to my leakage and other settings.
G'day Mate, any update when you will be adding the Prisma 20A to Sleep HQ, joined up hoping I could manually upload data, but no go. Also cant wait for the release of the USB power adapter it will make traveling as a FIFO a lot easier.
I wish I had looked at this a few months ago. Anyhoooow. That big power unit you used to run.. pure sine you said.. What is that ?( not the sine but the battery unit ? and how long will it run for ?) I want something that will give me a good sleep despite being in a blackout. I also never use heated hoses.. hate them.
Only Resmed, Philips and Lowenstein have ASV. None of the Chinese brands have it, including the supplier that SleepHQ are using. I'm not sure if they are working on it, maybe Nicko knows something?
Cheeky bugger! Pipebomb indeed.. . Maybe I should trademark the name for all my prototypes. PVC pipe & heatshrink for the win though when roughing out a concept.
I don't get why these are so expensive when all they are are vacuum cleaners in reverse. I was given my smart for free. I would never pay £600 for one!
Hey Uncle Nicko,
I got the Prisma 20 A based on your advice and wow what a machine it is. The sleep quality is on a totally different level as compared to the Resmed 10 that was given to me for a 4 week trial. There is a slight wheezing sound from the blower which most people can't hear. I met the technician for Lowenstein at their Brisbane service center to get it fixed. The wheezing was present in his own machine too but he hadn't noticed it till I made him switch off the room ac and listen carefully as I breathed. He finally said that there is nothing to fix in it, that's the blower revving up between breaths to provide the Soft Pap
Amongst other things, what he very clearly told me was that there is no Bluetooth in the modem that is attached. I tried arguing with him that Uncle Nicko said there is and he said he works with these machines and neither my 3G modem, nor the 4G one he already had, has any Bluetooth chip in it.
Another piece of news that he gave was that he was expecting a batch of the 4G modems pretty soon (possibly in a week or so). He said that as soon as he gets them, he'll send it out to all the Sleep Clinics and it is up to them regarding how to contact their Lowenstein customers and provide it to them.
Waiting eagerly for Prisma 20A support on Sleep HQ. But if you are waiting for Bluetooth, then as far as the technician was concerned, the 20A has no Bluetooth.
In this video, I discuss the significant differences between the Lowenstein Prisma20A and the more affordable Prisma Smart.
The significant differences can be summarised as follows.
1. Prisma20A has more advanced humidification with higher levels
2. Prisma20A heated tube is powered from the CPAP and not from an external power supply
3. Prisma20A has a Swiss Micronel Blower. The Smart has a German-made EBM Papst blower. Both are very good but the Micronel is a lot more expensive.
4. Prisma20A has a big color touch screen (physical) and is a highlight for me. The Smart screen and menu system is not nearly as nice
5. Prisma20A has SoftPap level 3 which reduces pressure on exhalation and provides a burst of inhalation pressure. Smart only has 1&2, which reduces the pressure on exhalation but no increase on inhalation.
6. The Smart has Bluetooth as standard (the module is internal). The Prisma20A requires an external cellular modem + Bluetooth module
7. Prisma20A is a 37V device, the Smart is a 24V
Other differences i left out so not bore you to death.
- Prisma Smart firmware updates are done OTA (over the air), and Prisma20A are done via SD card.
- Prisma20A has an alarm clock & dimmable screen
- Prisma20A has different language options
- Prisma20A has a setting option for bacterial filter
- Prisma20A has breathing displayed during operation
- Prisma20A has micro-usb cable
- Prisma20A has extra detailed clinical information on the device menu after operation.
Our SleepHQ iOS app was available for pre-release on September 30, 2023.
SleepHQ Pro Members with Magic Uploaders registered to their accounts have been invited by email to download & test our new app, with full release available to free & pro members shortly after.
SleepHQ Memberships - home.sleephq.com
Magic Uploader Link - www.sleephq.com/magic-uploader/
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
Wholesale Enquiries - www.sleephq.com/wholesale/
We are also on the lookout for an Android dev so if you're a gun, fill in the form and we will be in touch - cpap.review/android-dev
try.sleephq.com/ is my online cpap support community and 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!
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
9. Apple Health Sleep Stage Integration With Body Measurements Coming Very Soon!
And much more!
SleepHQ Pro Community - community.sleephq.com
Join My Facebook Community - cpap.review/facebook
My Monthly Newsletter - cpap.review/newsletter
Thanks for the support
Cheers
Nicko
Great additional differences Nick !!
Finally i bought the 20A ! The softpap 3 gives an excepcional performance, goes 1 cm h2O up in inhale and goes 3 down in exhalation without any leap, very soft. I experienced leaps in the smart max model in level 2, i asked here in chile and only one another person made complaints about this. I think as i am an old cpap user and tried many machines, i can have a more fine perception. So for me , the 20a should be the nirvana cpap.
Thanks for the great comparison, Nicko!
Currently I'm renting Prisma Smart Plus (white) and considering 20A for purchasing.
You've mentioned that Prisma 20A has extra detailed clinical information on the device menu after operation.
Would you pls advise what exactly extra clinical info is available on 20A menu but missing on the Prisma Smart menu, and vice versa?
I'm especially interested whether Cheyne-Stokes respiration duration is displayed DIRECTLY on 20A menu (without modem), as well as deep sleep duration.
In the Smart Max, for instance, deep sleep is not displayed directly on the device menu, but is shown only in Prisma App after replication via bluetooth.
Any other points of extra detailed clinical information on the 20A device menu would be of great interest as well.
Thank you in advance )
Hey Nicko,
We are delighted that you are so enthusiastic about our products! Thank you for your great and detailed content, we really appreciate your feedback.
Greetings from Bad Ems in Germany to Melbourne,
Your Löwenstein Marketing Team
Hey team! That's very nice of you to reach out and say thanks. Really appreciate it.
Cheers from Phillip Island, Melbourne. Home of the MotoGP and the penguin parade
Keep up the great work with your awesome machines! Let me know when you're going to take on the USA
Great review nicko. I have the Storm trooper version and love it 😍. I use the blue tooth connection to my smart phone to control the unit there by I don’t need to use the screen (albeit push button I don’t find a problem if I need to). Great to hear that it will soooon be compatible with sleep HQ🎉🎉 looking forward to the release date
Awesome! Thank you for sharing your experience with the device. I haven't fully checked out the app yet but heard mixed reviews. All the best. Nicko
Damian is a bloody brilliant guy! Hoping for Bluetooth streaming from these machine to SleepHQ. That would be fantastic!!
keep your fingers crossed Kath
Where can I purchase a Battery Cable Kit for the Prisma 20A that you showed in your comparison video?
Greetings Uncle Nicko. You are a wonderful teacher. I love watching your videos. i learn a lot each time. Kudos
Love my Lowenstein! I’ve used them all, Philips, F&P, Resmed… the Lowenstein is the best on the market. I just can’t wait until you add it to your platform!
I have the White one. But not the attachment left of the air pipe I've just adjusted the hour because in the United Kingdom two times change in a year. Also linked my Android phone to the CPAP machine using Bluetooth. I have a complete rundown of my sleep pattern. This device of the White Lowensteinn device is supplied free by the NHS after a sleep test by the GP and the hospital.
where can i buy the 37v power usb-c power adaptor i can't find the link anywhere below
I also want to know.
I am sure almost everyone who has the 20A would love to get their hands on one of these!
Could you please tell us how to turn off flight mode on the Prisma 20A?
I have a little green plane that is on the screen and don't know how to turn it off.
Could you also tell us when the G3 is turned off and where to get a new updated modem for the Prisma 20A?
Thank you.
hi yah where can you buy the cable your mate damo makes charge with the battery on the 37 volt A20 machine
The 20A is the best I've ever owned. The downside is that its data is very limited. As for price, it's not that far off the AS11.
Also, great about the adapter. Was one of things I was looking for. Hopefully you'll put links for where to buy it from soonish.
Hopefully you'll add this to Sleep HQ soon.
Thanks.
Hey mate, we've done it. Got a few meetings to discuss bluetooth but it won't be long now until you have full Prisma20A data charting on SleepHQ. Cheers buddy. Nicko
@@CPAPReviewsLooking forward to it. I'll check back for those links to the adapters, etc, from time to time.
I’m REALLY looking forward to hooking up my Löwenstein Prisma SmartMAX to SleepHQ and with Apple Health biometric data.
Won't be long mate! Cheers
My prisma 20a came with 3G modem but not Bluetooth 🤔🤔
Props to Damo also. Spoke to me personally and helped me out. Great customer service from Lowenatein Aus 🙏🙏
That's awesome mate, Damo is a legend. Cheers
The comparison was very useful. Thanks
Hello and thank you for that very complete comparison guide. Could you say anything about noise ? Are they really that much quieter than all other CIPAPs on the market ? Also, is there a (big) difference in that regard between the two ? Thank you
Hey, no problem. in the dead of night the noise can make a difference especially at higher pressures however at lower pressure perhaps not as important. Whenever i make a purchase i always consider how often i will be using the product. If it something i'm using every day then i'm happy to spend a little more and i think the same is true with a cpap. I think it's worth it personally. Cheers
The lowenstein are by far the most quiet cpaps i ever used. For me no difference in noise between the 20A and smart plus.
Interesting and useful video, but why is there no explanation of the differences between the different algorithms between the devices?
thanks. Because they have same algoirthm
Where can I buy the 37v to 24v adapter?
@CPAPReviews Hey Uncle Nicko!
Can you please tell me, is it possible to use these Lowenstien machines to blow air back into the hoses after washing and cleaning the hoses to help dry them like you can with the resmed machine that you did a cleaning video on?
New subscriber here. I've learnt more about CPAP from your channel than from anywhere else. It's been very helpful. Thank you for all your efforts.
Hi Nicko What is your opinion between the Smart and the Airseense 11
Hmmmmm it's a great question! I don't know to be honest. I'll have to think about it. They both have different strengths so it probably depends on the end user and what they are looking for in a device.
@@CPAPReviews Does the 20A and the smart have the same algorithm? If yes it’s a great point to consider the smart over the airssense 11
it does@@Marcos-SB
I rented for 3 weeks the airsense 10 and my conclusión is: 20a is by far better, you feel better, resmed pressure release is very tight, resmed is more noisy and lowenstein looks better build. The cons for the lowenstein is only the weight. Airsense 11 is the same and even more noisy
Is it compatitble now with sleepHQ?
When will the sleephq support for Lowenstein CPAP devices be available? We are awaiting it.
i’ve got the storm trouper! ❤️ i don’t have the heated tube but it works for me! 😀
Unfortunately it does not seem to be available in the US.
Air Liquide Healthcare rebadged them under their own name. Try visiting their website to see if they import them into the US.
Or Sleep Institute California
I still have heart palpitations, please, your explosion stunt got me baad!
Löwenstein comes from Hamburg my city in germany. I am not a friend of this CPAP. As I remember- the only pressure constant is the Resmed Airsence Group.
Lowenstein Prisma SMART PLUS (With Bluetooth)
I have just spoken the help line of Lowenstein in the England, I told them I am switching from my ResMed to Prisma SMART PLUS.
I asked if I could take out the SD card and upload it from my Windows11 computer like I do with ResMed.
He said no problem, but I should check with the receiver if they can use the file I upload. He said I should also download the “prisma APP” and ask if it can be used, as the SMART PLUS has Bluetooth and it is uploaded to the prima APP automatically.
My question:
Can my weekly or daily report be uploaded through my Microsoft computer the same way as Resmed 10
Ashley
I bought this in Haifa Israel, on Sunday the 8th of October it was made in Hamburg sometime in July 2023.
I will remain using my ResMed10 until I find away to upload my daily report from the Prisma APP or if not available, if possible using the Prisma SD card. I also hope with long history on the ResMed that I have uploaded, and that I joined the Pro club to learn how improve to my leakage and other settings.
Great Video. How would you compare Airsence 11 vs Prisma 20A?
G'day Mate, any update when you will be adding the Prisma 20A to Sleep HQ, joined up hoping I could manually upload data, but no go. Also cant wait for the release of the USB power adapter it will make traveling as a FIFO a lot easier.
I hope Prisma Smart will be added to sleepHQ soon.
I wish I had looked at this a few months ago. Anyhoooow. That big power unit you used to run.. pure sine you said.. What is that ?( not the sine but the battery unit ? and how long will it run for ?) I want something that will give me a good sleep despite being in a blackout. I also never use heated hoses.. hate them.
Do they use the same power supply?
Can't find this in the US.
Do they allow for oxygen?
Hey, you can add O2 to any CPAP device via a little adapter
Looking to buy a ASV machine with SleepHQ branding that you teased us about a few weeks ago .. what's the word on that ?
Only Resmed, Philips and Lowenstein have ASV. None of the Chinese brands have it, including the supplier that SleepHQ are using. I'm not sure if they are working on it, maybe Nicko knows something?
Purchased smart max today from Air Liquide $1443 incl. Philips mask and plain hose.
Are you in Canada as well? Do you buy it online or in the store? Do you have insurance covered?
@@YongfangZhang Australia. AUD. No insurance. In store but available online (but not at that price in Aust).
Dont know why, but we dont have this machine in Brasil
Where can I get one from?
Cheeky bugger! Pipebomb indeed.. . Maybe I should trademark the name for all my prototypes.
PVC pipe & heatshrink for the win though when roughing out a concept.
Hahaha, is this the first time you've seen this?
Is there a vendor that ships to the US?
Would really love to purchase this machine 🙁
Sleep institute California
Can you buy a Prisma 20A in the US?
Sleep institute California
Where can I buy one in the US?
Sleep Institute California
Bipap?
Good information
Thanks
I don't get why these are so expensive when all they are are vacuum cleaners in reverse. I was given my smart for free. I would never pay £600 for one!
Are you seriously trying to teach german people how to make things simple??? Good luck, mate! 😊