Recommend a good CPAP machine

After a long and protracted battle with the insurance company, it turns out they’re not going to cover my boyfriend’s CPAP machine like they were supposed to. So we’ll be buying it out of pocket, as he desperately needs it.

What brands/types/models have people had success with? Anything to stay away from? Who are the good vendors? What should we watch out for or keep in mind while we’re shopping? I’d prefer an inexpensive model, as we’re pretty well broke right now, but quality and reliability are my first priorities.

Any and all advice is welcome, as he needs a CPAP ASAP.

I’ve been using the “respironics” brand and they’ve been very good. The first one lasted maybe 8 years before it wore out. I think that’s pretty good for a machine that runs for 8 hours a day, every day of the year.

For me, the bi-pap variety and the humidifier assemblies weren’t necessary so I can’t comment on these more complex ones.

I didn’t pay directly so I really can’t compare prices, either.

The one I got through insurance was ResMed like this, but the itemized bill seemed to be close to $2K. In browing the web, I’m glad to see there are cheaper alternatives.

I have a Respironics Remstar Pro 2 from Direct Home Medical. They had the best price I could find; it was just under $600 shipped, and that includes the heated humidifier. Locally it was over $1500. From the website, I see that there are some travel CPAP machines that are noticeably less expensive.

My machine is about as big as a man’s shoebox, longer with the humidifier installed. When traveling, sometimes I have problems fitting it on the bedside table. It’s well received, from what I’ve seen on review websites. Except for the size, I like the machine. I’m not impressed with the humidifier, though. It’s not adjustable. Either it’s on or it’s off. I apparently don’t need it, as it’s been over a month since I’ve even seen the humidifier. How do I know? My nose/sinuses aren’t any more dry now than when I was using the humidifier.

When shopping, keep in mind that smaller units tend to be louder than larger ones. A nice feature for beginners is “ramping.” All that means is that the machine starts at a low pressure then builds up to the prescribed pressure. If he’s an outdoorsman, he’d probably want to get a unit that can take a battery pack. If he travels internationally, make sure the machine can be used on worldwide voltages, 2 wire plug ideally. I’ve used my machine from 100V through 240V with no problem.

Also remember to add another hundred bucks or so for the mask. As you can see from the linked site, there are a bunch of types of masks. I’d recommending buying this from a local place so that he can try them on before he buys. I made the mistake of buying my first one from the hospital; I tried on only 2, so the one I got wasn’t really right. I could never really get it comfortable. It was a triangular-shaped over-the-nose and always leaked at the bridge of my nose. Apparently I have high cheekbones. To keep it from leaking, I had to adjust the straps so tightly that the mask left red marks on my face. My next mask, the one I’m currently using, is nasal pillows and I love it. It just rests in my nostrils. Who knew? I didn’t until I did research.

This is going to sound really stupid, but I did this when I bought my last mask. Have your boyfriend lay down when he tries on the mask, preferably with the CPAP machine running. Make him get down on the floor if there’s no bed or cot. The mask fits my face differently when I’m sitting up from when laying down in bed. Likewise, you can’t really see if it’s going to seal properly if there’s no pressure on the mask. It could make a difference if he has a high pressure requirement.

Your boyfriend may want to ask some of the local places if they have rental options. He may be able to try a few out before he buys. It was available through the hospital I did the sleep study with, but I lived too far away for it to be worthwhile. If he pursues this option, make sure he reads the contract carefully for any “rent to own” clauses. The prices they charge for long-term rentals is outrageous; you’d pay for the device two or three times over buying it outright.

One caveat: if you decide on one of Respironics’ M-series machines, ask if they’ve fixed the problem with water from the humidifier reservoir leaking into the machine’s works when the machine is packed for travel. Apparently it wasn’t easy getting all the water out of the reservoir, so people packed it with a little water inside. Early models had this problem and it wasn’t covered under warranty. It was almost 2 years ago when I learned of this; hopefully they fixed it.

I’d like to thank you for this question. I need to order a new hose and probably mask, but keep forgetting. Once I finish this reply, I’ll pop back to the website and order them.

I have this machine also (18 months now.) My insurance paid for it, luckily, but I have been very happy with it. It’s made a HUGE difference in my quality of life (and my wife’s.) I assume he’s seen a sleep doctor since he knows he needs one. Can they recommend one for him, knowing it will be out of pocket? Good luck. There are some good CPAP resources online like http://www.apneasupport.org/ too.

If you watch The Office, it’s also the model Dwight returns to Angela after they break up. :slight_smile:

Dwight and Angela broke up? Dang.

Yep, after Dwight offed Angela’s ailing cat.

“It died, so I put it in the freezer to keep.”

“Dwight, there were claw marks in the bag of Tater Tots.”

/hijack

Here’s another forum http://www.cpaptalk.com you might get better answers on one of the boards dedicated to apnea.

I’ve got the ResMed S8 too and like it ('course I’ve never tried any other one), and the Mirage Swift II mask, once you get the straps adjusted right it’s really comfortable.

If you get a humidifier, get one that heats the water, there’s no way to increase the humidity on a passive one. You can turn the heater off and it will still work as a passive humidifier.

Not stupid at all, in fact make sure he actually gets into the position he really sleeps in, (something you might know better than he does).

CMC +fnord!

Good CRAP machine?

:smack:

Well, there’s some good news: after raising hell with insurance, doctors, and various vendors, the CPAP is now considered “medically necessary” and fully paid for by insurance! Hooray!

He went over to the local insurance contractor and got a Respironics Remstar. I’m shocked at how quiet it is. It has the humidifier, automatic altitude adjuster, and ramp-up feature. The camping battery will be an OOP expense, but I’m just so relieved to have the machine and mask covered I couldn’t possibly care less.

The bad news is that he tried on all the masks they had (supine, even) and found what he thought was a comfortable one, but he spent all last night fidgeting and trying to get it adjusted correctly. I don’t know if it’s the wrong size or what, but he has a sore nose and pink triangle on the bridge. It fits comfortably otherwise, so we’re thinking maybe a small pad on the nose might fix the problem. Or would that cause leaks?

I have two, or maybe three, CPAP machines that I don’t use. I found, on trial, that they weren’t doing me a bit of good. One of the vagaries of the insurance industry, I suppose, but the only hassle I ever encountered was over returning the things, not getting them in the first place. So now they’re gathering dust at my house, and I don’t know what to do with them. I was going to send them to fuffle, but now it seems as if she’s covered. Anybody else want one? (And will I get in trouble for sending it to someone without a prescription?)

Did he work with a staff person on this? When I got mine, there was someone who explained all the settings and made sure the type of mask sat correctly.

I thought the prescription was used to govern the setting on the machine, which I’m not sure the user can change?

gigi–Yes, he had a “respiratory therapist” (quotes because I don’t know if she was a real therapist or just a sales rep) help him choose between models and masks. She ran him through care and maintenance of everything.

She said it can take a week or more to get used to wearing the mask, but I don’t know if a pink, ouchy nose is just getting used to it or if it’s really an ill-fitting mask. The bf figures he’s going to give it a couple of days and see if maybe the mask just needs breaking in.

Missed the edit window:

One thing I noticed last night is that the hose seems to be pulling down on the mask toward the floor, making the mask slip, so we’re also going to try propping the hose in a higher position to see if that helps.

I used to have a ResMed, but now I use a Goodknight CPAP by Puritan Bennet. (Not sure if the model pictured is the exact one I have, but it looks the same).

The big advantage for me is that I vacation every year in a remote cabin without electricity, and I can run this one off of a 12v marine battery the whole time. It comes with a regular AC adapter also. It’s also very lighweight and extremely quiet. And, it looks like they are priced pretty reasonably.

About the mask - we have a sleigh bed, and I drape my hose over the headboard. It keeps the weight of the hose from pulling on the mask, at keeps it out of my way as I toss and turn. It’s a real pain when we travel and I don’t have a headboard, or have one that’s attached to the wall.

He should not be waking up to marks on his face. That’s a sign that either the mask doesn’t fit correctly, or he is wearing it too tightly. Does his mask have a foam seal or an “air pillow” seal? I’ve found that the air pillows are great, but don’t work if you over tighten the straps.

Keep adjusting the straps until it’s more comfortable. Unless your pressure is very high they don’t have to be super tight to seal sufficiently. You may just have the straps too tight. It take some practice and after a while you learn to sleep and roll over and all that and not knock the thing askew.

As for the camping battery, I have a cord I made from a 100’ home depot extension cord. I cut off both ends of the cord. On one side, I have soldered battery clamps big enough to fit on a standard car battery. On the other side is the right-sized DC adapter plug snipped from an old AC adapter. Solder those and wrap in a lot of electrical tape to act as a strain relief on the thin wire.

Just get the positive and negative terminals right (mine’s marked right by the DC input on the CPAP).

Park your car within 100 feet of your tent, run the cord under the hood to your battery and snake it inside the tent. It makes a huuuge difference on the quality of my sleep while camping.

By the way, I tried, at first, a cigarette adapter connector for the car but it turns out my cig socket is off when the car is off. I had to snip that for the battery clamps.

I don’t use so much power during one night to drain the battery but running the car a bit the next day might be useful. This isn’t usually an issue since we’re avid sight-seers on camping trips.

One time, on a boy scout weekend, I camped so far from the car that I hauled the car’s battery to my tent. I packed an AC battery charger that trip and plugged it in at the bath house for a couple hours the day I was to leave.

Sal, if you get no takers, I’d love to have a spare in case I bust my main one while camping. My email is visible.

Using the car battery while camping is a good idea. Unfortunately our cabin is on a little island, so this is impossible; hence the heavy-duty marine battery (emphasis on heavy - man, that thing weighs a ton). I’ve used it nightly for almost two weeks at a time and it never has failed me.

The mask has gray foam inside with with what I think (maybe?) is an air pillow over it. The part of the mask that touches his face is clear, flexible plastic. It’s entirely possible he has it too tight, but when he tried a looser fit, air was blowing in his eyes or out down by his chin.

The marine battery is a good idea–we have a Prius and I’m not sure how much energy you can drain off that electric battery without the gas motor feeding back into it. And I’d hate to experiment at the top of a mountain…