Apocalypse Rebreather

Hi Paul,

I removed that part.

grts

Ivan

And that Ivan is the crux of JUST some of the problems i have with are best m8, and others , Just cos we see a nice web page with lots of photos / pdt,s / cad stuf ,

dont make something true or real ,

Enjoy your diving be safe ,

ps
appolo uk DT11 9JE stick that in google maps ,( adw first link with apollo when he was flogging ladders and boots,) apollothis, apollothat, apollo austrailia pyt ltd, deepife ltd, deeplife Nassau deeplife bollox , ist all just fudge
 
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Good to know ..... the End Tidal stuff is unchanged.

Matt,

I just cannot believe that he has emphatically written this. It is an absolute crock as proved by even a cursory read of the material he has put in the public domain himself.

I just had another read of the end tidal monitoring thread on RBW where the relevant action starts here:

http://www.rebreatherworld.com/dive...sion-co2-monitoring-split-another-apoc-7.html

It is much more of a comedy than I remember it... easily at the level of the calibration thread that Mr fish linked to, but you need to know a bit of respiratory physiology to see through the rubbish that was posted. Actually, in retrospect, just like in the calibration thread you can see the point where the lights go on and the back-peddling starts, and then it dies. That will be when they went off and started work on the new method which was rolled out a couple of years later.

That thread, in combination with other information appearing in various places provides clear proof of a change in the method. For example, after I (and others) pointed out that the attempt to measure end tidal CO2 directly at the end of the exhale hose could be confounded by mixing of dead space gas and alveolar gas in the exhale hose there are pages of posts by Alex telling me that I didn't understand dead space, and suggesting that dead space was not an issue in what he was trying to do (go and have a look for yourselves). Here is one of many potential examples:

Alex Deas on RBW said:
even the plots that Paul published show that the this gas that comes from the deadspace in the mouthpiece is concentrated around the start of exhale and there is little average of that gas over the cycle - the minima in his plots are nice and sharp. The temporal spreading of that (dead space) gas in a short rebreather hose is well under 0.5s, so does not have any significant effect on the peak CO2

Several years later in his fault study report he described a completely new technique for estimating end tidal CO2 from his end-of-hose sensor readings. That description was preceded by this statement:

Alex Deas in the Fault Study Report said:
The Deep Life CO2 monitor in the OR rebreather is controversial and currently unique because it measures Volume Weighted Average Exhaled CO2 and then applies a correction for the effect of the dead space, which is done by determining a tidal volume using a novel method

Hang on, in the first statement he said that dead space didn't "have any significant effect on the peak CO2", and now two years later they are correcting for it. How can these two statements be reconciled against the claim that nothing has changed? Not to mention the fact that (as I have pointed out before) he provided descriptions of two completely different techniques two years apart. I see they are now trying to sell that difference as one being a more detailed version of the other, but apart from it being obvious that they are completely different, there is a mass of evidence that this is just a fabrication... such as the fact that Alex stridently argued dead space didn't affect his technique, but then he corrected for it (see above).

The end tidal CO2 measurement algorithm has changed all right. The only thing that hasn't changed is the hubris that prevents admission of an oversight and the fact that an attempt has been made to fix it. I personally think that of itself is a big concern.

I will finish by reiterating what I have always said: I hope that accurate end tidal CO2 monitoring has been nailed.... it absolutely has to be if you are going to base autobailout on it. So far we have seen no proof of that. I will be looking forward to thoroughly testing the system if and when it is released.

Simon M
 
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The end tidal CO2 measurement algorithm has changed all right. The only thing that hasn't changed is the hubris that prevents admission of an oversight and the fact that an attempt has been made to fix it. I personally think that of itself is a big concern.

I will finish by reiterating what I have always said: I hope that accurate end tidal CO2 monitoring has been nailed.... it absolutely has to be if you are going to base autobailout on it. So far we have seen no proof of that. I will be looking forward to thoroughly testing the system if and when it is released.

Simon M

Hello Simon,

Totally agree - the problem with being "open" is that everything is documented contemporaneously and for perpetuity.

As I see it absolutely nothing has really changed. There was no iCCR then, or later, or now. Nor is there any proper plan for there to be one in the future. That's a little bit sad. I also hope that this gizzmo works as described, but doubt I'd ever dive such an intrusive unit myself. However the spin-off opportunity for a standalone device is compelling.

What I don't understand is why (other than being banned, which is unfortunate as I enjoy his banter!) that the graph showing the values requested years ago cannot be published. Even just the one line graph - the difference between the iCCR measured at distal-end and calibrated for end-tidal PCO2 value minus the actual end-tidal (as measured by the anaesthetic machine) for a tidal-volume of 750ml. According to Alex it is a near straight line at 0. If necessary the axis values can be excluded so we just see the variation. No secrets needs to be disclosed. So why not post it?

I'm almost at the point of finding the debate on who invented Bluetooth more interesting!

Cheers
Matt.
 
I hope that accurate end tidal CO2 monitoring has been nailed....

I've been wondering about this... Maybe somebody with a clue can help...

It seems to me that, ultimately, PetCO2 as such is irrelevant. It's just a proxy for PaCO2. And that's not What We Want To Know either. What is, is [CO2] (and derivatives) in the tissues (although the point of some of these is to - indirectly - measure PaCO2 and drive respiration). So PetCO2, that's really multiple proxying. Hyperbaric oxygen has many effects affecting the dynamics of gas exchange and transport. So if this came out, I'd be wondering how relevant it actually is?

I'm almost at the point of finding the debate on who invented Bluetooth more interesting!

Let me cure you :)

Google turns up some wired device that was basically an earset you can connect to a computer (for call centers, things like that). Apparently, a wireless version was made. Not terribly useful, you're tied to the computer on the desk anyway, but quite the technological achievement for the time. I can see why that would be described as the "original bluetooth"; for one thing "bluetooth" was at some point vernacular for "wireless headset"; for another it's probably the simplest way to describe what was done.

Having said that, simplifying into "invented Bluetooth" is more than a bit of a stretch. It's not like the idea was new. Back then visionaries imagined entire phones in you ear (instead we got iPhones with big screens to browse the internet, which goes on to show just how wrong visionaries can get :) ). More importantly, there's a hell of a lot more to Bluetooth than a small radio. For those who don't remember, back then (say, 1997-1998), computer peripherals each had they own dedicated cable and port, if not an entire expansion card, "Plug-and-Play" was still dubbed "Plug-and-Pray", USB was just out but nobody was making anything with it. GSM was taking off, but nobody was considering connecting one to a computer. And in the middle of this, you get those crazy Swedes explaining that with their thing you could get a bunch of devices, computer, phone, keyboard, headset, printer, they'd discover each other, you'd pair them up, and everything would Just Work. That's where the real innovation was. That's what took so long. Not the "look, no wire" aspect - and Ericsson, Nokia and the others had loads of engineers would could do that. So "invented Bluetooth"... Might as well say that the first to wire up a typewriter to a computer invented the Internet.

Bored enough yet ? :)

Cheers,

Matthieu
 
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I've been wondering about this... Maybe somebody with a clue can help...

It seems to me that, ultimately, PetCO2 as such is irrelevant. It's just a proxy for PaCO2. And that's not What We Want To Know either. What is, is [CO2] (and derivatives) in the tissues (although the point of some of these is to - indirectly - measure PaCO2 and drive respiration). So PetCO2, that's really multiple proxying. Hyperbaric oxygen has many effects affecting the dynamics of gas exchange and transport. So if this came out, I'd be wondering how relevant it actually is?

Actually, PaCO2 is exactly "What We Want To Know". If PaCO2 is within the normal range, you can forget about [CO2] in the tissues. And since PetCO2 usually correlates quite well with PaCO2 in people with normal lungs, it's not at all irrelevant. In fact, it is so relevant that it is used in anesthesia and critical care every single day. In almost all patients requiring mechanical ventilation during anesthesia, PetCO2 is used directly to guide ventilator settings.

Simon of course knows this, along with every other anesthesiologist in the world, which is why he is such an advocate of capnometry (CO2 measurement) at the mouth. It enables measurement of inspired CO2 as well as estimating PaCO2. From a respiratory physiology standpoint, that is all you need to know about the diver as far as CO2 is concerned.

Andy
 
Simon of course knows this, along with every other anesthesiologist in the world, which is why he is such an advocate of capnometry (CO2 measurement) at the mouth. It enables measurement of inspired CO2 as well as estimating PaCO2. From a respiratory physiology standpoint, that is all you need to know about the diver as far as CO2 is concerned.

Hi,

I do so apologise. I realise now that it might be read that way, but I certainly didn't mean to question anyone's competence or knowledge. Only mine.

I was merely hoping that someone who knows could clarify the matter. I mean, it's not like I'm the only one who's wondering e.g.:

Monitoring carbon dioxide in mechanically ventilated patients during hyperbaric treatment (2012).

During hyperbaric conditions we found that P(ET)CO(2) as opposed to P(TC)CO(2) offered the greater precision, but there was great variability among patients. Care must be taken when using P(ET)CO(2) or P(TC)CO(2) as an estimate of P(a)CO(2).

END-TIDAL COMPARED TO ARTERIAL CARBON DIOXIDE TENSION DURING HYPERBARIC OXYGEN THERAPY (2005).

With the Capnogard monitor, the EtCO2 can be used to follow trends, but did not correlate with the PaCO2, including at atmospheric pressure.

Cheers,

Matthieu
 
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Well all I know is I got a very nice O2 rebreather for just over $1k, plus the opportunity cost of my money for 2+ years and some aggravation. As far as the after marked monitoring, what ever...My other rebreather has cooper hoses and a Shearwater hud and computer, because the electonics that can with it were a pain in the butt, in my opinion.
At the current advertised price I'm not sure I would buy it but for the price I paid it is wonderful--as capable or better than my other rebeather that cost me about 6K, all in the apoc was $2k and they are close in capability etc.

YMMV, but I am quite happy.
 
Kinda like above but slightly different...

Well all I know is I got a nice O2 rebreather for just over $1k, plus the opportunity cost of my money for 2+ years and some aggravation. As far as the after market monitoring, what ever... I have a Narked@90 pod and can run HH and or Shearwater stuff...

At the current advertised price I would not buy it... but for the price I paid it is a nice toy....

For real stuff I use my HH....
 
Personaly I have always beleived the safest way to dive a CCR was with a FFM but I could not bring my self to take that extra step.


GOOD NEWS PEOPLE




I have been offered the oportunity to do a try dive on an APOC

Ill do a full write up on it

I was just about to hit the "pay now" button on a APOC BOV as an aftermarket item for my JJ but I have run into a gas flow issue which i am trying to resolve.

Hopfulley no one will consider me a bias Alex or APOC fan

ATB

Mark

How was the flight to Uzbekistan , did you get to fine Noah's Ark on the Apox test dive , :lol::lol:
 
This March? Next March? Are you sure you have the right March :lol:

id say stick it out till March , then on bang 16 weeks and take the twin scrubber out for a splash , lol

mark can i ask this test dive , is it on a apox sent from DL to you , or is it more a test of a m8,s modified unit ,
 
I happily scrubbed ;) thus from my consciousness sometime ago but returning to thus post is just sad beyond words. The same posts and PDFs repeated verbatim for years on end. Brad seems to have only one post to make the rest is word salad.
 
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