Contains your IPAP Min and Max or Minimum and Maximum Inspiration Pressure (breathing in pressure) or the settings can be provided to us
- Example: IPAP Min 5 cm/H20 - IPAP Max 15 cm/H20
- Example: IPAP Min 5 cmwp - Max 15 cmwp
- Example: IPAP Min 5 - IPAP Max 15
Contains your EPAP or Expiration (breathing out Pressure) or the setting can be provided to us. This may be called the EEP (End Expiratory Pressure)
- Example: EPAP 5 cm/H2O
- Example: EPAP 5 cmwp
- Example: EPAP 5
Sample of wording for a complete prescription for a BiPAP Auto SV to include Back Up Rate:
BiPAP SV
IPAP Min 5 cmH2O
IPAP Max 15 cm H2O
EPAP 5 cmH2O
12 BMP
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Mask
- Contains one of the following words or phrases "CPAP Mask", "CPAP Supplies", "CPAP", "Continuous Positive Airway Pressure", "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "BiPAP", "BiLevel", "VPAP", "BiPAP Auto", "BiPAP ST", "Synchrony ST", "VPAP ST"
- Contains physician's contact information
- Contains physician's signature
- Contains the patient's full name
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Humidifiers
- Contains one of the following words or phrases "CPAP Humidifier", "Humidifier", "HH", "CPAP Supplies", "CPAP", "Continuous Positive Airway Pressure", "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "BiPAP", "BiLevel", "VPAP", "BiPAP Auto", "BiPAP ST", "Synchrony ST", "VPAP ST"
- Contains your physician's contact information
- Contains your physician's signature
- Contains the patient's full name
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Will you accept a prescription from a doctor in my country?
Yes. If you have an international prescription, we will ship your order to any US state but Texas or to your country of residence on receipt of a valid prescription.
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How quickly can you ship my order?
When you order from us, you can expect your order to ship same day when placed before 4 PM CST Monday through Friday provided it is in stock. We publish stock status on each product page. You can also expect your package to arrive within 1-5 business days in most cases. A tracking number link will be provided with each order via email.
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How do you ship and what does it cost?
Note: Our checkout page will quote all of this for you, simply type your shipping address in, scroll down to the shipping section, pick your method and look at the price in the box to the right. Using this tool, you can shop multiple methods and obtain a final price.
We ship primarily via UPS and US Mail.
We offer free ground shipping to all 50 US States and US Territories for orders over $99. We reserve the right to decide which carrier will ship orders qualifying for free shipping.
Here are the shipping costs for the contiguous United States:
- $35.00 - Next Business day by the end of the day (Saturday)
- $25.00 - Next Business day by the end of the day (Mon - Fri)
- $18.00 – Second Business day by the end of the day
- $12.00 – Third Business day by the end of the day
- $ 7.00 – Ground shipping on orders under $99.00
- $ Free – Ground shipping on orders over $99.00
If your order includes a machine, the extra weight will add $10.00 to your shipping charges. UPS Next Day Air Early AM is offered to qualifying zip codes and will be quoted accordingly
Shipping options that are available for Puerto Rico, Hawaii & Alaska:
Dependent on location, Next Day Air service (delivery by end of business) may be available for HI, AK and PR
- The cost of NDA service is custom quoted based on the weight of the parcel and the exact address
- The actual cost can only be determined by creating a complete order
- Alaska locations may offer Next Day Air Early AM (delivery by Noon) and is custom quoted
- Puerto Rico and Hawaii locations do not offer Next Day Air Early AM (delivery by Noon )
- UPS 3 Day Select is not available to Puerto Rico, Alaska or Hawaii
- $18 2 Day Air
- $ 7 Ground
Add $10 for a machine for Next Day Air, Next Day Air Early AM and 2 Day Air.
If you choose Next Day shipping for an order placed on Friday, it will be delivered on Monday unless you specify Saturday delivery in the Comments section of your order.
If you wish an order placed on Friday to be delivered on Saturday, the charge increases by $10.00. For example, if you order a mask on Friday for Saturday delivery, the cost will be $35.00. If your order includes a machine for Saturday delivery, the cost will be $45.00.
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How long does Ground shipping take?
Ground shipping times vary depending on the distance from our warehouse in Houston, Texas, but the longest distances usually take only five business days.
Transit time for Ground shipping is not guaranteed.
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Will you ship to an APO address?
Yes, we will do so at the same rates for ground shipping in the contiguous US.
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Will you ship to a post office box?
Yes. Orders to PO Boxes are shipped via US Mail, include standard tracking services and qualify for our standard same day shipping policies.
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How do you ship to Canada?
We offer shipping to Canada via a private carrier who transfers the packages to Canadian Post at the border. Depending on the delivery address in Canada, transit time is 2-3 weeks. All Canada orders are tracked through Canadian Post, insured and tax exempt.
If you have a UPS or FedEx account, we can ship via those carriers and have the charges applied to your account. Also, if you have a broker set up in the United States who can handle the transit from that point, we can ship via UPS to an address in the United States.
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How much are the taxes and duties of shipping to Canada? Who pays?
Packages shipped through our Canada shipping partner, Landmark, are tax exempt and marked prominently as medical supplies.
If you choose to ship on your account to Canada, you are responsible for determining, managing and paying all taxes and duties associated with our transaction. We will not pay and cannot quote taxes and duties for non-Landmark orders. However, we can work with you to package and properly label international shipments as medical supplies.
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Do you ship internationally?
Yes. We will ship to any country in the world with the exception of the following countries:
- Cuba
- Iran
- Syria
- North Korea
- Spain (Customs Restrictions)
International shipping costs will be quoted upon the receipt of an order with a complete address.
We ship with UPS International. International packages arrive within two weeks.
Spain does not allow the direct import of medical equipment to patients. Portugal does permit such shipments.
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Why are your prices so low?
We do not accept insurance and pass that cost savings onto our customers.
Additionally, we are a high volume business positioned in a very competitive online CPAP market.
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Is your equipment new?
Every product sold on CPAP.com is new and has never been used.
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Will you match the competition's price?
Yes, we will match our competition's documented price in most cases. Please send us a link to the website you found the lower price on, the name of the product, and its price.
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Do you accept private insurance?
No, our website is a self pay website that does not deal directly with insurance companies. We do provide insurance compliant invoices that allow you to seek reimbursement from your insurance company.
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Will my insurance company reimburse my online cash purchase?
Yes, in most cases. However, reimbursement is an agreement between you and your insurance company. If you are planning on attempting to collect reimbursement, be sure to check with your insurance company first!
www.cpap.com is a cash based, high volume, direct to patient business model. We avoid dealing directly with insurance companies and pass the resulting savings to our customers.
However, we do provide our customers with an insurance compliant, itemized invoice that contains applicable insurance billing code(s) for each item purchased.
Additionally, cpaptalk.com is a good resource for those with questions about reimbursement as many cpaptalk.com users regularly purchase from cpap.com and obtain reimbursement from their private insurance companies.
cpaptalk.com
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Do you accept Medicare?
No, we do not accept Medicare assignment and have no relationship with them.
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Do you accept Medicaid?
No, we do not accept Medicaid and have no relationship with them.
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What are the CPAP, BiPAP and Sleep Apnea related billing codes?
- EO601 RR is CPAP rental.
- E0601 NU is CPAP purchase.
- A7034 is CPAP nasal mask, including all nasal masks, Nasal Aire, Breeze, Spiritus.
- A7034 is CPAP Nasal mask cushion.
- A7030 is CPAP Full Face mask.
- A7031 is CPAP Full Face mask cushion.
- A7044 is CPAP Oral Interface.
- A7027 is Hybrid brand
- A7028 is Hybrid cushion
- A7029 is Hybrid nasal pillow
- A7027 is Liberty Brand
- A7028 is Liberty cushion
- A7029 is Liberty nasal Pillow
- A7046 is CPAP Humidifier Chamber.
- A7037 is CPAP tubing, long and short hoses.
- A7038 is CPAP disposable filter.
- A7039 is CPAP gross particle (foam) filter.
- A7035 is CPAP headgear.
- A7033 is CPAP nasal pillows.
- A7036 is CPAP chinstrap.
- E0561 NU is CPAP Passover Humidifier
- E0562 NU is CPAP Heated Humidifier
- E0470 RR is BiPAP rental.
- E0470 NU is BiPAP purchase.
- E0471 RR is BiPAP-ST rental.
- E0471 NU is BiPAP-ST purchase.
Other CPAP items are listed under E1399, which is miscellaneous.
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Why is air leaking from my mouth?
Air leaks from the mouth whenever the mouth is opened during CPAP therapy. This occurs for many reasons, but a very common one is due to nasal irritation from the CPAP airflow.
The correlation to a lack of humidification and mouth leaks is a topic being heavily researched. Studies are now being conducted on the hypothesis that a large amount of mouth leakage is caused by the following cycle:
- CPAP therapy is used with ineffective or no humidification.
- The nasal membranes are unable to adequately condition the increased airflow and after a few minutes the airway and nasal passages become dry.
- To remedy the dryness and obtain moisture, the body uses the mouth to breathe.
- CPAP air follows the path of least resistance and leaks out of the open mouth.
- The air leaking through the mouth causes more dryness.
- Patient wakes up feeling tired with significant dryness in mouth and dry, swollen nasal passages.
The answer to this cycle is humidification. If the mouth continues to open during sleep, a chinstrap may be needed to hold the jaw up so that the mouth can close.
If mouth breathing continues, a full face mask that covers the nose and mouth is indicated.
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Why am I congested from CPAP use?
The primary reason why congestion sometimes develops from CPAP use is lack of adequate humidification.
CPAP air is an irritant - to one degree or another - to everyone. The irritation may cause the nasal passages to dry out and bleed, or the mucous membranes may try to protect the nasal passages by producing excess mucous and so congestion results. And the irritation can be cumulative; the problem may develop over time.
Add a heated humidifier to add moisture to the CPAP air and reduce or eliminate the irritation. A passover humidifier may not offer enough moisture. If you are already using a heated humidifier, try turning it up to a higher setting. If that produces condensation in the six foot hose, you should try an insulating cover for the hose.
www.cpap.com FAQ: Humidifiers
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Why do I wake up with dry eyes?
Air leaking from the mask at the bridge of the nose and over the eyes during sleep will cause the eyes to dry out. The most common reason for air leaking at the nose bridge is that the mask is too big or too long for the nose.
We would suggest you try our measurements for sizing your mask to be sure you have the best size. A mask that has an adjustment at the bridge may also be helpful in getting a good fit. Nasal pillow or nose cushion devices which do not rest on the nose are also an option.
It is not advisable to tighten the headgear to eliminate the air leak. Pressure from a mask that is too tight will cause bruises and even open sores if applied long enough.
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Why is my face breaking out around my nose?
An allergic reaction to the mask usually appears as redness or a rash all around the nose and on the forehead.
Most masks are made of silicone, which is an inert substance. But silicone is manufactured in chemicals to which some people are allergic. The chemicals normally degrade and disperse over time, but may cause a reaction when first used. The solution is to remove the chemicals and gasses before using the mask.
Washing the mask will reduce or eliminate the problem. This process can be accelerated by long soaks in warm soapy water. This is true with all masks and other types of nasal prongs and cushions.
Replacement items should be bought well before they are needed, washed and soaked at once and stored. This process may reduce the life of the silicone.
Allergic reactions are often confused with the pressure bruises, bumps and open sores that can result from tightening headgear straps too tightly. If the problems are only at the bridge of the nose or beneath the nose, it is probably a pressure issue and a new size or new mask is needed.
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Why is the bridge of my nose sore?
Sores at the bridge of the nose or below the nose are usually due to tightening the headgear straps too much. The pressure will create soreness, then a bruise, and may eventually create an open sore if left untreated.
Headgear is usually tightened too much to reduce or eliminate air leaks. A small degree of this may be necessary, but too much is an indication that the mask is too large, too old or just the wrong style.
To see if you have the best size mask, please visit our mask sizing guide:
Mask Sizing Guide
If your mask is six to nine months old and the silicone is becoming too soft to hold a seal, try replacing it.
It is usually necessary to stop wearing a mask to allow these sores to heal. Nasal pillows are an option in the meantime.
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How do I stop mask leak?
Air leaks are caused by masks that are too big or too old or just the wrong style.
Air leaking into the eyes is usually an indication that the mask is too big (long) as are leaks at the base of the nose.
Leaks may also occur under the nose due to facial hair. As the silicone in the mask cushion ages, it deteriorates and becomes too soft to hold a seal. You may be able to tighten it enough to stop the leaking when you go to sleep, but during the night it will loosen and leak.
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Why do I have a headache when I wake up?
CPAP does not normally cause headaches unless there is a sinus related problem or some pressure from the machine acting where it should not be.
Sinus systems are extensive, even going behind your ears. When a CPAP is used and part of the sinus cavities are blocked, a situation is created where there is a pressure differential between the sinus cavities affected. These pressure differences can sometimes be felt as sinus headaches or just plain headaches, even though they are caused by sinus blockages. These can be treated using over the counter medications to open the sinus. CPAP heated humidifiers can also open and maintain sinus systems. If you do not use a heated humidifier, we strongly suggest using one. If this does not correct the problem, visit your ENT.
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Why do I wake up to find my mask is off?
People remove their mask during sleep because they are not getting enough air.
The CPAP pressure may be reduced if your mask is leaking. Your mask may be too big or too old. Take our mask sizing measurements to see if you have the best size. If your mask fits you but is six to nine months old, it should be replaced. In time, the silicone cushion deteriorates and becomes too soft to hold a seal.
If the CPAP air is being delivered effectively, it may be that it is set too low. Pressure settings may require change due to weight gain or loss. The type of sleep study you had and the duration of sleep may indicate that your pressure could be adjusted. You should speak to your doctor if you think your pressure may need to be adjusted.
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Why is my mouth dry in the morning?
Dry mouth is a sign that you are opening your mouth while you sleep. If you use nasal mask, breathing through your mouth bypasses any humidification you may be using so increasing the heat will not be effective. Breathing through your mouth while using a nasal mask reduces the benefit of the CPAP therapy.
First be sure the mask is not leaking. If it is six to nine months old and leaking, try replacing it. If it is new and leaking, we can help you get a better size.
If your mask is new and NOT leaking, try a chinstrap to keep your jaw up and mouth closed. If a chinstrap doesn't solve the problem, try a full face mask that covers your nose and mouth.
If you use a full face mask and have a dry mouth, try adding a heated humidifier to add moisture.
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Why do I wake up with air in my stomach and intestines?
Bloating is a sign that you are swallowing the CPAP air. There is no real medical solution, but we have found that sleeping position may be a factor. Try sleeping as flat as possible first, even without a pillow. If that position doesn't help, try sleeping on your side or elevated, whichever one you don't sleep in now.
If changing your position doesn't resolve the problem, talk to your doctor about the possibility of lowering your pressure a bit. It may let a few apneas through, but the trade-off might be worth it.
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Why is there water in the six foot CPAP hose?
Water collects in the six foot hose when the ambient room air is much colder than the heated CPAP air, or when there is too much moisture being produced by the humidifier.
First be sure that no vents or fans blow directly onto the CPAP hose.
Next, try turning down the temperature on the heated humidifier. If that alleviates the problem but causes irritation to the nasal passages, return the humidifier to the previous setting and add an insulating sleeve to the hose.
If neither response works, try using a heated CPAP hose.
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Why am I getting sores inside my nose?
Sores inside the nose may be caused by nasal pillow or nasal prong devices that are too big or the wrong shape for your nose.
If you use nasal pillows, try the smallest size available that seals around your nares. You may also want to watch our video about nasal pillows:
Introduction to the Breeze Nasal Pillow System
Nasal prongs must be inserted into the nostrils and seal tightly, so they may cause irritation or sores. It may be just a matter of your nose "toughening up" over time, so try switching back and forth between the nasal prong device and a nasal mask. If the sores do not heal, we suggest you discontinue using the nasal prongs.
Sores inside the nose may also be caused by the CPAP air drying out the mucous membrane. Adding moisture with a heated humidifier will help alleviate the problem.
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Why is my nose so dried out?
The primary reason why nasal passages sometimes dry out from CPAP use is lack of adequate humidification.
CPAP air is an irritant - to one degree or another - to everyone. The irritation may cause the nasal passages to dry out and bleed, or the mucous membranes may try to protect the nasal passages by producing excess mucous and so congestion results. And the irritation can be cumulative; the problem may develop over time. Furthermore, dry, cracked or bleeding nasal passages are a breeding ground for infection.
Add a heated humidifier to add moisture to the CPAP air and reduce or eliminate the irritation. A passover humidifier may not offer enough moisture. If you are already using a heated humidifier, try turning it up to a higher setting. If that produces condensation in the six foot hose, you should try an insulating cover for the hose.
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What can I do for sinus and congestion relief?
A lot of new CPAP users report having an increase in sinus congestion after starting CPAP therapy. When treating your Obstructive Sleep Apnea, sinus congestion present a roadblock to healthy breathing. Safe ways to reduce sinus congestion during CPAP therapy include:
1. Wait and See
2. Visiting the ear/nose/throat doctor
3. Vicks inhaler
4. Vicks steam inhaler
5.Vicks shower tablets
6. Flonase
7. Claritin
As a general rule, persons with Obstructive Sleep Apnea should avoid using sedating medicines. Sedating medicines relax the muscles of the air passage even more, making apnea and hypopnea levels worse.
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How do I avoid red marks?
Most red marks on the face are caused by over tightening the CPAP mask. CPAP masks should only be tightened down enough to create a seal. By cleaning your mask cushion, nasal pillows, and nasal prongs on a daily basis, you ensure a better seal each time you put on your mask. If you know you have the best mask for you, and are cleaning it daily, and still have red marks, consider using mask straps pads which can be found in the comfort and cleaning section of CPAP.com.
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Philips Respironics
Philips Respironics is the market leader in the CPAP Therapy market and trades publicly under the ticker symbol RESP.
They are known for their high end CPAP, BiPAP and APAP Machines. In particular, the Respironics REMstar Auto with C-Flex is commonly referred to by many CPAPtalk users as "the Cadillac of CPAP Machines".
Additionally, Respironics invented and introduced BiPAP machines to the market with its BiPAP S. Other Respironics innovations of note in include C-Flex, Bi-Flex and the recent invention of the world's first Nasal Cushion style CPAP Mask, the ComfortCurve.
respironics.com
comfortcurve.respironics.com
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ResMed
ResMed is traded publicly under the ticker symbol RMD. Its Mirage Nasal Mask was a breakthrough in Nasal Masks and it continues to be known for its Nasal and Full Face Mask offerings.
resmed.com
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Covidien (Formerly, Puritan Bennett)
Covidien was spun off from Tyco Healthcare Puritan Bennett in 2008 and now trades on the NYSE as ticker symbol COV.
They were the first to bring to market a truly effective alternative to traditional Nasal and Full Face Masks, the Breeze Nasal Pillow System.
They also produced the first Travel CPAP line, which has gained a wide following from CPAP patients paying in cash due to its incredibly small size and very reasonable prices.
Covidien Healthcare
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Fisher & Paykel
Fisher & Paykel is traded on the NZSX and ASX under ticker symbol FPH.
They pioneered heated humidification in CPAP Therapy with their HC100 Heated Humidifier and continue to lead the industry in heated humidification innovation. They are also well known for the quality their Full Face Mask offerings.
Fisher and Paykel
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AEIOmed
A start up funded by venture capital, AEIOmed is privately held. They are watched closely by the industry as they will soon be introducing a travel sized CPAP with optional integrated battery and humidification.
AEIOmed.com
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Will you ship to my country?
Yes. We will ship to any country in the world with the exception of the following countries:
- Cuba
- Iran
- Syria
- North Korea
- Spain (Customs Restrictions)
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How much are the taxes and duties of shipping to my country? Who pays?
The buyer is responsible for determining, managing and paying all taxes and duties associated with our transaction. We will not pay and can not quote taxes and duties. However, we can work with you to package and properly label international shipments as medical supplies.
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Will you accept a prescription from a doctor in my country?
Yes.
If you and your doctor are residents of the same country and the prescription given to you meets the guidelines set down by your country, we will accept your prescription.
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Does my prescription have to be in English?
No. We accept prescriptions written in any language.
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What needs to be written on my prescription?
Prescription requirements vary by the type of machine you wish to purchase. For answers to this question, visit the Prescription section of this FAQ:
www.cpap.com FAQ, Prescription Section
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What is a traditional Sleep Study?
We have created a video that explains the entire traditional Sleep Study process. You have the choice of downloading it or requesting it by mail through cpaptalk.com.
Download "Introduction To The Sleep Lab"
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Do sleep tests require prescriptions?
Yes. Both CPAP.com and Traditional Sleep Labs work closely with doctors to make the transition of paperwork seamless for the patient.
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What terms should I be familiar with before my Sleep Study?
We provide CPAP Wiki, a place to learn and contribute to the body of knowledge on CPAP and Obstructive Sleep Apnea. Click this link to find terms that will be used during your sleep study.
PSG Terms
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What questions should I ask at my Sleep Study?
1. Did I have any central apneas? How many?
2. Were there any comorbidities? What were they?
3. Did I breathe or leak through my mouth? How often? What do you recommend to prevent it?
3. Did I exhibit Positional Sleep Apnea (PSA)? Was my apnea more severe in one sleeping position as compared to others? Is my pressure requirement higher in one position as compared to others? (Often sleep apnea is more severe when sleeping on the back.)
4. Is there anything else unusual about the results?
5. How will I know my therapy is preventing apneas?
6. I would like to own a data-capable machine and software to monitor apneas, hypopneas and mask leak. Will you help me with the appropriate prescription?
In addition to the questions:
1. Get a copy of your PSG. It is your legal right to have one.
2. Get a copy of your CPAP prescription.
3. Make sure the prescription calls for a humidifier with the machine.
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What is titration?
If a sleep study determines you have Obstructive Sleep Apnea, you will need a "titration study." A titration study can take place on the same night as your diagnosing sleep study or scheduled for a later date.
Titration is a scientific lab term, meaning to slowly add a little bit more of something until you reach a desired effect. During your study a skilled technician will monitor your sleep and slowly increase the air pressure on a CPAP until you are able to sleep without or with few sleep events (apneas and hypopneas). Your pressure needs vary throughout the night, so an overnight sleep study is required to prescribe you the correct pressure.
Your prescribed CPAP pressure setting will be what your sleep technician determines as the highest you will need during the night. By prescribing the highest pressure, your doctor hopes to prevent as many sleep events as possible. The downside of this approach is that you will have the highest pressure at all times even when it's only necessary for part of the night.
APAPs, BiPAPs and BiLevels offer the newer technologies of exhalation relief which you may find helps your therapy.
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Aerophagia
The word "phage" in Greek means "to eat." Aerophagia is literally to eat air. In the modern context, it means swallowing too much air, a common cause of gas in the stomach and belching.
This is sometimes a result of CPAP Therapy. Unfortunately, the best solutions for this problem are not a catch all but instead an attempt to find the middle ground between needed CPAP pressures.
Here's what you can do:
- Tell your CPAP prescribing physician. It may be better to decrease the CPAP level a bit and put up with some minor airway problems if we can significantly decrease the bloating. Sometimes this works great, sometimes not at all. An auto adjusting CPAP should also be considered as these machines reduce the average pressure the user receives. Get help settings the maximum pressure on the auto as the highest pressures can make things much worse.
- As the chin of a CPAP user nears the chest, air has a greater change of entering the digestive tract. Where possible, keep chin up in relation to torso.
- Sleeping in a position different than normal helps keep the air out of the stomach. Try different sleeping positions. Left side, right side, inclined with pillows, or flat.
If these fail, It may be that you should consider a surgical alternative to CPAP. Many have tried all sorts of other solutions to this bloating problem with little success.
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AHI (Apnea Hypopnea Index)
Apnea Hypopnea Index is the number of apneas and hypopneas per hour. This index, as well as oxygen saturation levels (O2 Sat), is used to determine how severe a case of Sleep Apnea a patient has.
To determine AHI add the total number of apnea events, plus hypopnea events and divide by the total number of minutes of actual sleep time, then multiply by 60.
Example:
Apnea + Hypopnea divided by actual sleep time, then multiply by 60
200 Apneas, 200 Hypopnea (400 Total Events)
420 Minutes Actual Sleep time (7 hours * 60)
Divide 400 by 420 =.95 x 60 = 57 AHI (Severe OSA)
The Severity of OSAHS as defined by the American Academy of Sleep Medicine Task Force (1999) is:
AHI < 5 Normal
5 =< AHI <15 Mild
15 =< AHI <30 Moderate
30 =< AHI Severe
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Automatic Altitude Adjustment
Auto Altitude Adjustment is the CPAP machine's ability to compensate for changes in altitude automatically.
The feature allows the patient to travel to different altitudes without having the pressure setting adjusted. Because atmospheric pressure changes with altitude, most machines need adjustment in order to provide the correct pressure at a different altitudes.
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Arousal
An Arousal is an abrupt change from a "deeper" stage of non-REM sleep to a "lighter" stage (Normally to stage 1).
This is distinct from an awakening, which is an arousal that lasts for more than 15 seconds.
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Awakening
An awakening is an arousal that lasts for more than 15 seconds.
An arousal is an abrupt change from a "deeper" stage of non-REM sleep to a "lighter" stage (Normally to stage 1).
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Bruxism (Teeth Grinding)
This is a habit observed in a large number of people occasionally, and in a smaller number, habitually. The mechanism of causation is tension and spasm of the muscles used for mastication. The term also refers to clenching of the teeth, which causes similar problems.
Often, it occurs during sleep; even a short nap may induce it. In a typical case, the canines and incisors are commonly moved against each other laterally, i.e. a side to side action, which erodes tooth enamel, removing the sharp biting surfaces and flattening the edges of the teeth. Sometimes, there is a tendency to grind the molars together, which can be loud enough to wake a sleeping partner.
Over time, bruxing shortens and blunts the teeth being ground, and may lead to pain in the joint of the jaw, the temporomandibular joint, or headache. Teeth hollowed by previous decay (caries) may collapse; the pressure exerted by bruxism on the teeth is extraordinarily high.
The cause, or causes, of bruxism remains unclear. Some dentists believe it is due to a lack of symmetry in the teeth; others, that it reflects anxiety, digestive disturbances or a disturbed sleep pattern.
The effects of the condition may be quite advanced before sufferers are aware they brux. Eroded teeth may be brought to the sufferer's attention during a routine dental examination. If enough enamel is eroded, the softer dentine will be exposed, and erosion will accelerate. This opens the possibility of dental decay and tooth fracture, so early intervention by a dentist makes sense.
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CSA (Central Sleep Apnea)
CSA affects only 5-10% of the sleep apnea population. CSA occurs when both airflow and respiratory effort cease. This cessation of breathing results from a loss of the autonomic drive to breathe, due to a host of issues including, brain injury, and too much pressure delivered by a flow generator.
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DME (Durable Medical Equipment Provider)
The purest definition of DME is a provider who accepts payment in exchange for CPAP Equipment and Service. Traditional DMEs and Online Providers fall into this category.
As referenced in cpaptalk.com culture, DME usually refers exclusively to traditional, local providers that accept insurance in exchange for CPAP Equipment and Services. Many who recount their experience with these local providers complain of poor service and high prices. Thus the use of "DME" or "evil DME" is prominent on the sleep apnea forum CPAPtalk.com.
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Hypopnea
A hypopnea is a decrease in airflow by at least 50% for ten seconds or more, with a 3% desaturation of blood oxygen level.
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Sleep Study (Polysomnogram)
The Sleep Study (Polysomnogram) is the gold standard for the diagnosis or several sleep disorders including, sleep apnea, restless leg syndrome, and narcolepsy.
Polysomnograms are conducted in a sleep center, hospital or in a patient's home. The test usually performed at night to record the patient's normal sleep pattern. Electrodes are placed on the scalp, the outer edge of the eyelids, and to the skin on the chin in preparation for the test.
Characteristic patterns from the electrodes are recorded while you are awake with your eyes closed and during sleep. The time taken to fall asleep, time to enter REM sleep, movement, breathing pattern, and sleep architecture are all recorded using a computer.
The person gathering and scoring the data is called a Polysomnographic Technician.
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TAP Implant (Pillar Procedure)
The Pillar system is different from other treatments. It is specifically designed to produce a lasting reduction in snoring after a single office procedure. Unlike other procedures, the Pillar procedure does not require heating or removing tissue, or the use of any sclerosing agents, which means the procedure causes minimal discomfort and recovery time is short. In fact, most patients resume a normal diet and activities the same day.
During the Pillar procedure, no tissue is removed. Instead, three tiny inserts are placed in your soft palate during a brief office visit using local anesthetic. The inserts support and stiffen the palate, which has been shown to reduce snoring in individuals with very moderate sleep apnea. In addition, the inserts are made of a polyester material that causes a stiffening response in the palate tissue itself. This supporting and stiffening of the soft palate will last as long as the inserts are in place.
Unfortunately, this is not a solution for those with more than mild sleep apnea. If the obstruction occurs in a place other than the site of the implants, this procedure will be ineffective.
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RDI (Respiratory Disturbance Index)
Includes apneas and hypopneas, and may also include other respiratory disturbances such as snoring arousals, hypoventilation episodes, desaturation events, etc. They are often identical, but depending upon what is scored, the RDI may be larger than the AHI.
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Titration
Titration is a scientific lab term, meaning to slowly add a little bit more of something until you reach a desired effect.
In chem lab 101, your titration was the process by which you slowly added drops (one at a time) of acid to a base until the indicator chemical (I forget the name of it) changed color, at which point, knowing the pH of the acid, you could calculate what the pH of the original base had been.
So titration is the process they use in the sleep lab, slowly increasing the pressure (one drop at a time) until you stop having apneic events (or at least, until they lower to a reasonable threshold), at which point they add two more drops and call that your pressure.
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TRT (Total Recording Time)
TRT is the amount of time that is recorded during a Polysomnogram. This statistic can be used to compare how long it takes a patient to fall asleep, and Total Sleep Time (TST).
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TST (Total Sleep Time)
TST is the actual time a patient spends asleep during a Polysomnogram. This statistic can be used to determine sleep architecture.
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Manual Altitude Adjustment
The feature allows the patient to travel to different altitudes without having the pressure setting adjusted. Because atmospheric pressure changes with altitude, most machines need adjustment in order to provide the correct pressure at a different altitude. When this feature is manual it means you must adjust the altitude setting on your CPAP machine yourself. Most CPAP machines have automatic altitude adjustment, meaning if you travel above sea level, the machine will adjust automatically to compensate for atmospheric pressure loss.
The maximum altitude on a CPAP at this time is 11,000 feet. Therefore if you live above 11,000 feet, you will need to increase your CPAP pressure setting.
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Supine
Supine is a sleep position: Sleeping on back. Non-supine means to sleep in a position not on your back.
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Stages of Sleep
- Stage 1: The lightest stage of sleep. Transitional stage from wake. Stage 1 shifts: The number of times the sleep stage changed to stage 1.
- Stage 2: The first true stage of sleep.
- Stages 3-4: The deepest, most restorative sleep.
- Stage REM: The dreaming stage; Normally occurs every 60-90 minutes.
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Apnea
Apnea is the cessation of airflow for 10 seconds or more.
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AHI/RAI Scale
AHI/RAI Scale is a measurement of both the Apnea/Hypopnea Index (QHI) and the Respiratory Arousal Index. If a person has less than 5 events per hour then that person's AHI/RAI would be 0 and that person would not have apnea. 5 -15 events/hour = (mild); 15-30 events/hour = (moderate); >30 events/hour = (severe).
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BR Arousal index
BR Arousal index is the number of breathing related arousals (apnea, hypopnea, snoring & RERAs)multiplied by the # hours of sleep.
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PLM arousal index
PLM arousal index: The number of periodic limb movements that cause arousals multiplied by the number of hours of sleep.
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RERAs
Respiratory effort related arousals. Episodes that are not apneas or hypopneas, often related to loud snoring, that generally do not cause a decrease in oxygen saturation.
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Respiratory Disturbance Index (RDI)
Respiratory Disturbance Index (RDI) includes apneas and hypopneas, and may also include other respiratory disturbances such as snoring arousals, hypoventilation episodes, desaturation events, etc. They are often identical, but depending upon what is scored, the RDI may be larger than the AHI. 5 to 20 events per hour is Mild SDB 20 to 40 events is Moderate SDB More than 40 events is Severe SDB (from Barry Krakow, MD, Sound Sleep,Sound Mind, page 245).
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Spontaneous arousal index
Spontaneous arousal index: The number of spontaneous arousals (e.g. arousals not related to respiratory events, limb movements, snoring, etc) multiplied by the number of hours of sleep.
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Total arousal index
Total arousal index: Total number of all arousals multiplied by the number of hours of sleep.
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Total # of PLMs
Total # of PLMs: The number of leg movements in sleep that last greater than 0.5 seconds.
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What kinds of people are best suited for BreatheX?
Any CPAP user whose pressure is between 5 cmH2O and 12 cmH2O can use BreatheX. This represents a majority of all CPAP users not on bi-level. Some will use BreatheX as their only CPAP; others will purchase it as a second CPAP to use when they travel.
People who will find BreatheX especially convenient include:
- Business and leisure travelers
- Over the road truck divers
- Campers
- Boaters
- Airline personnel
- Military personnel in remote or international locations
- People who move around a lot in their sleep
- People who get up often in the night
- People who like to take naps in their recliner or sofa
- People who are bothered by the sight of medical looking equipment sitting on their nightstand
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How do I position my BreatheX?
The BreatheX CPAP is ergonomically designed for use in multiple configurations. Many find BreatheX to be comfortable positioned just off their shoulders and/or above their pillow. Others prefer to wear it around their neck and over their shoulders like an airline pillow. If you have to get up in the middle of the night you can just slip it over your shoulders without having to remove your mask. If it's comfortable, it's fine.
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How long does the battery last?
The lithium ion battery lasts 12 hours at 10 cmH2O and 10 hours at 12 cmH2O. People can get one to two nights sleep on one battery charge, depending on how long they sleep each night.
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How do I charge the battery?
With the BreatheX battery charger included with your CPAP. The charger is similar to a cell phone charger. Simply plug it into its charger and plug the charger into an electrical socket.
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How long does it take to charge the battery?
It takes about one hour to recharge a completely depleted battery to 70% of its capacity and about 4 hours for a full charge. If you forget to charge your BreatheX in the morning, you can do it before you go to bed and still get a good night's sleep.
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Can I have BreatheX plugged in and operate it?
No. BreatheX is designed, for safety purposes, only to run on battery power. It will not run if it's connected to the charger.
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What kind of mask systems can I use with my BreatheX?
Almost every mask system on the market today can be used with BreatheX. There are various sizes of tubing available with connectors that allow you to use your BreatheX with your favorite mask system in a variety of positions.
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Why was BreatheX designed in a pillow?
Leslie Hoffman, creator of the BreatheX, wanted to design a CPAP machine that addressed some of the common shortcomings of traditional hard shell box machines. He wanted to design a CPAP that could go anywhere without requiring converters, external batteries, or long tubes. Ultimately, he wanted to design a CPAP that was more in line with the lifestyle of the user and one that blended in with the sleeping environment.
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How quiet is BreatheX compared to traditional CPAPS?
BreatheX is extremely quiet compared to box-type machines because of the state-of-the-art integrated motor/blower. This revolutionary design allows for superior balance and efficiency, which results in an ultra quiet motor output. Noise is closely linked to vibration – we are able to balance the motor-blower assembly much better than the state-of-the-art CPAP motors currently being offered.
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Is BreatheX warm to the touch?
No. The flow generator inside the BreatheX operates at only 4°-6°F higher than ambient temperature. This allows the BreatheX to lie comfortably on or near you while sleeping without compromising comfort. Some CPAP motors run at close to 70° F higher than ambient temperature, making them unsuitable for a wearable device.
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Does BreatheX have a ramp function?
Yes, the BreatheX has a fixed ramp function that can easily be turned on or off by the user.
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Does BreatheX adjust pressure for changes in altitude?
Yes, like the ramp function, users can easily turn this feature on or off as needed.
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How much does BreatheX weigh?
The BreatheX weighs just a few pounds including the battery. Its light weight and compact size makes it easy to put into checked luggage or move from room to room.
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What is the pressure range?
5 cmH2O to 12 cmH2O. This represents the majority of CPAP users.
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How do I clean the cover on the BreatheX?
The BreatheX zippered soft cover can easily be removed for hand washing. Another option is to purchase a BreatheX pillow case accessory. See the accessories section of the website for information on how to purchase. The pillow case will make it easier to keep the soft cover clean in addition to having it blend in with your bedding when not in use.
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How long is the CPAP warranty?
BreatheX CPAP has a two-year warranty. A copy of the warranty is included with each BreatheX.
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How long is the BreatheX battery warranty?
The battery pack has a one year warranty.
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How long has Hoffman Laboratories been making CPAP devices?
Over the last 15 years, Leslie Hoffman, CEO and founder of Hoffman Laboratories, has designed and manufactured over 800,000 CPAP motors. His motors can be found in devices sold by many CPAP manufacturers, including ResMed, Respironics and Puritan Bennett. In 2002, Mr. Hoffman sold his company, Servo Magnetics Inc, to ResMed. In 2004, Mr. Hoffman started up Hoffman Laboratories and used his expertise in engineering motors to lead the design of the BreatheX with the revolutionary Hoffman 1300 motor.
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What is the difference between the S8 Elite and S8 Elite II machines?
Both Machines have Adjustable EPR settings. The S8 Elite II also includes Easy-Breath technology.
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What is unique about the ComfortLite 2?
ComfortLite 2 has a unique headgear system that minimizes facial contact and reduces pressure points. The Halo headgear only touches the face at the forehead, at the brow line. The strap goes around the circumference of the head, and does not sit on the cheeks.
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What interface options can I choose from if I purchase the ComfortLite 2?
The three choices are the Pillows cushion, the Simple Cushion and the Direct Seal cushion.
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How do the Pillows Cushion work?
The pillows cushion inserts slightly into the nostrils for a robust seal.
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How many Pillow Cushion sizes are there?
There are 4 sizes: petite, small, medium and large. That is a broader size range than other pillows masks on the market; fitting a larger proportion of patients interested in using pillows.
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How does the Simple Cushion work?
The Simple Cushion is a small tip-of-the-nose, more traditional dual flap nasal cushion with less pressure points because it does not sit on the bridge of the nose. The cushion attaches to a ball socket which includes an exhalation port.
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What sizes does the Simple Cushion come in?
The Simple Cushion comes in 4 sizes also – petite, small, medium and large to fit a broad range of patients.
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How does the Direct Seal cushion work?
The Direct Seal is a "pillow-like" cushion with pillows or bulbs that sit just outside the nostrils vs. slightly inside them. It comes in sizes 1-6, with most adults using sizes 3-5.
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Do the three cushions options all work with the same headgear?
Yes, all use the same un-intrusive Halo headgear and straps. You can switch from one style cushion to another in less than 5 seconds with just a simple twist and turn motion!
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Is the headgear one-size-fits all?
Yes.
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Do I have to buy three whole masks to try the different pillow sizes?
No, the ComfortLite 2 has several 'combo packs' that include two types of cushions in one. Also, you can order all cushions separately if you'd like to try all three!
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Are the pillows two pieces or one?
The ComfortLite 2 Pillows and Direct Seal cushions are single pieces. They both include an integrated exhalation port in their plastic housing.
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Do the Pillows expand in the nostrils like some ‘prongs’ style cushions?
No.
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How does ComfortLite 2 affect nostrils?
One unique feature of these two cushions is that they include a metal band on the bottom side of them. The metal band is pliable and allows you to change the angle of the pillows or bulbs; a squeeze brings the bulbs closer together, helping you to direct the airflow to a more comfortable direction.
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Can the metal band on the Pillows and Direct Seal cushions be shaped for comfort
Yes, the band can also be used to spread the pillows apart, so you have the ability to find a comfortable angle for the airflow on a daily basis, as desired.
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When should someone pick a minimal contact mask like the ComfortLite 2?
There are several reasons why someone might want to use a minimal contact mask like the ComfortLite 2. Some patients have trouble being compliant because of feelings of claustrophobia when wearing a mask, or they have skin sensitivities that are irritated by using larger masks on their face. Some seek improved visibility or are dissatisfied with aspects of their traditional nasal mask. Others just have a personal preference for less bulk on their face. The ComfortLite 2 helps meet all these patient needs.
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Which of the three cushion options is the better cushion for me?
You are the only one who can make that determination. The goal of this CPAP mask is to give you three chances to find a cushion you will like and use.
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How does the Halo headgear work?
The Halo headgear has two soft, comfortable straps that extend from the center of the forehead and merging into a single, wide strap at the back of the head. It sits low at the neck. The ‘halo’ itself is a flexible oval shaped piece worn up the center of the head to just below the crown.
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What is the function of the Halo headgear?
Most headgears are a means to attach and stabilize the mask to the face or nose. The Halo headgear sits low at the center of the forehead and has the Vertical and Angle adjusters suspended from it there. A Crown Swivel is at the upper end of the Halo.
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What is the proper fit of the new ComfortLite 2 headgear?
The Halo headgear sits low at the eyebrow and the straps should fit just above the ear for the best stability. The lower headgear strap in the front should be snug but comfortable. The back strap should be worn are close to the neck as possible. Don’t over tighten the upper front strap as that could cause the back of the headgear to rise.
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Why are there 6 eyelets to attach the four ends of the 2 front straps?
You will always use the lowest of the eyelets for the lower strap. This is for stability. The upper strap can be attached in any of the 4 remaining eyelets – adjust for comfort.
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I don't have a very pronounced skull bone at the back of my head; will the H
Our trials have shown that patients with flatter heads do best with the upper headgear straps attached to the two upper eyelets. This provides a slightly different angle to the back strap.
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Does the ComfortLite 2 present problems to those with long, silky hair?
Some Respironics ComfortLite 2 trial participants found good results when they wore the back strap underneath their hair.
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Does any of the headgear touch my face or cheeks?
No, the headgear only touches the forehead. The cushions only touch either under the nose (Pillows and Direct Seal) or gently around the tip of the nose (Simple Cushion).
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How do you adjust the mask to properly fit it to avoid leaks?
There are two key adjustments you can make regardless of the cushion option you choose. Once the headgear is in place, you use an Angle Adjuster and a Vertical Adjuster for optimizing fit.
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What do these adjusters do?
The Angle Adjuster controls the tilt of the cushion to the face and the twist Vertical Adjuster helps position the cushions relative to the length of your face and nose.
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Can you explain the Angle Adjuster in more detail?
If you have seen a picture of the ComfortLite 2, you will notice that the cushions connect to a tube. The tube is suspended from the center of the headgear where the Angle Adjuster is. By squeezing the blue tabs on each side of the Angle Adjuster, you are able to change the angle of the tube (and cushion) either closer to or away from the face.
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Once I have the correct angle for one cushion, will it be the same for all?
You will have slightly different angular adjustments when using the Simple Cushion vs. the Pillows or Direct Seal cushions.
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What does the Vertical Adjuster do?
As you look at the mask picture, you’ll see a circular blue knob at the top of the tube connected to the ComfortLite 2 cushion. By twisting the knob, you either extend or retract the length of the tube.
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Why is the Vertical Adjuster important?
There are many varieties of faces in the population and we want to accommodate both short and longer faces by extending or shortening the length of the tube for proper cushion fit. Again, depending on the cushion you use, the Vertical adjustment will be slightly different for each.
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Are there any fine tuning adjustments available for the Simple cushion ?
Yes. The Simple Cushion sits on a ball joint fitting. The cushion rotates freely on the ball, allowing you to change the tilt of the nasal cushion to adjust for leaks or for optimal comfort.
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Are there tuning options for the Pillows or Direct Seal cushion?
Yes, there are small metal band on the underside of those cushions which allow you to adjust the distance between the pillows or bulbs to optimize your comfort and seal.
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What is the function of this Halo headgear Crown Swivel at the top of the head?
The swivel helps to manager your longer 6 foot hose with a 180 degree swivel which moves from one side to the other in an arch above your crown. The sleeve your hose attaches to swivels 360 degrees also.
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Why is the Crown Swivel attached to the Halo headgear?
Respironics trials found that the short and long hose easily get wrapped up around the active sleeper if not anchored. Also, the anchored swivel helps to absorb the movement of the long hose as you move. Masks often lose their seal because the weight of the long hose tugs at the mask or cushion, which is prevented by the Crown Swivel design.
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Can I use the ComfortLite 2 headgear with other products?
No, the unique headgear on the ComfortLite 2 can only be used with this product.
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Does the ComfortLite 2 contain any latex?
There is no Latex in any Respironics mask or their packaging.
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Does the ComfortLite 2 work for people who sleep on their sides?
Yes, the ComfortLite 2 is designed to accommodate side sleeping by providing an assembly and interface that is centered over the nose and up the center of the head.
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Is it easy to take the ComfortLite 2 mask on and off?
Yes, it is very easy. To take the ComfortLite 2 off, simply grasp the angular adjustment area and pull the mask forward then lift upward. This way, the mask can be placed on and taken off without changing any of the adjustments.
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What direction does the exhaled air of the ComfortLite 2 mask go?
The exhalation feature of the ComfortLite 2 has been placed on the elbows of the Pillow, Simple Cushion and Direct Seal cushions using a series of small holes. When using ComfortLite 2, the exhaled air is diffused through these holes for a less-direct and quiet stream of air.
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There is air coming out of the elbow on the cushion – is this OK?
Yes, this is air coming from the exhalation valve. This leak is intentional and removes CO2 from the mask. Never cover or attempt to block these holes. Your CPAP unit is designed to still provide your therapy pressure.
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Can I wear a chin strap with the ComfortLite 2?
Yes, a chin strap can be worn underneath the ComfortLite 2 headgear.
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How should I clean the ComfortLite 2?
Hand wash any Respironics mask using a mild dishwashing liquid, free of alcohol, bleach, conditioners or moisturizers. For optimal outcomes, clean the mask and cushion daily. Headgear and tubing should be cleaned at least once a week.
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When cleaning, can I take apart the cushions of the ComfortLite 2?
The Simple Cushion can be separated from the exhalation (ball-and-socket) elbow for cleaning. The Pillows Direct Seal cushions are not designed to be disassembled from their cradle or housing.
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Are Essential Oils Safe?
Essential oils are derived from botanical elements (citrus, leaves, flowers, herbs, etc.) through a simple distillation technique. Pur-Sleep only uses therapeutic-grade highest quality 100% pure essential oils. All of the essential oils used in the Pur-Sleep are disclosed on the label. Pur-Sleep uses only those essential oils that are listed on the “Generally Recognized as Safe” for human consumption (“GRAS”) list maintained by the FDA.
Please do not use this product if you have concerns about possible allergic reactions or other effects from exposure to essential oils. While the essential oils are safe for human consumption, they are pure and undiluted and might cause irritation when applied directly to the skin or mucous membranes. It is strongly advised to keep essential oils out of the reach of children and please avoid all direct contact with eyes and mucous membranes. You should wash off essential oils with warm, soapy water.
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Can aromatherapy work with my APAP, VPAP, BiLevel?
This product is compatible with all CPAP and BIPAP machines. The Pur-Sleep System releases a minute amount of fragrance into the air prior to being taken into your CPAP/BIPAP machine. Place the diffuser near the air-intake and turn your machine on.
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Is It Safe To Use Essential Oils All Night?
Indeed. People quickly become acclimated to the scents and research has shown that the olfactory sense basically turns off while you are asleep. You will smell the pleasant aroma when you need it the most; while relaxing and falling asleep and also again when you awaken. Remember, we are talking about extremely small quantities of aromatics (a little goes a long way) and all of the essential oils used in the Pur-Sleep are considered safe for human consumption by the FDA.
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Can I Re-Use the Diffusion Pads?
The Pur-Sleep Diffusion Pads are made of durable fabrics and may be hand-washed and re-used. Simply wash with a mild detergent, rinse well, and air dry.
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Can I Use Cotton Balls?
It is highly advised that you do not use any other materials besides the Pur-Sleep Diffusion Pads, which are specifically engineered for use in the diffuser. There is a risk that any other materials may become dislodged or cause problems and the rates of diffusion could also differ if other materials are used.
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Can I Use Other Essential Oils?
No. Since the carefully formulated Pur-Sleep line of 100% pure essential oils have been selected from the FDA GRAS list and are known or believed to have properties and qualities that support relaxation and sleep and have complementary aromatic qualities it is highly recommend that you use only Pur-Sleep essential oils in the Passive Diffuser.
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How Much Essential Oil Should I Use?
The perception of smells varies widely among various people. It is strongly advised starting with simply one drop of the essential oil and then adding a few more if needed to suit your personal preferences. With these essential oils, the rule "less is more" is applicable. Do not use more than 5 drops.
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Are these Products Approved by the FDA?
The Pur-Sleep products are not medications nor are they medical devices. They are considered "cosmetics" under the US Federal Food and Drug Act and related regulations. While there is certainly evidence that some essential oils might have a therapeutic value (for instance lavender oil potentially improving deep sleep), essential oils used for their aromatic qualities are regulated by the FDA as cosmetics. The Pur-Sleep products and are in full compliance with FDA laws and regulations pertaining to cosmetics.
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What does "Clear" smell like?
“Clear” is made with pure peppermint, lemon, lime, and clary sage essential oils. It has a remarkably pleasant and familiar aromatic quality and can be characterized as minty-fresh, sweet, clear, and penetrating. People have reported success using this blend to help clear up mild congestion and also waking up with a particularly invigorating feeling.
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What does "Comfort" smell like?
Well-known for its comforting and sleep-enhancing qualities with sweet marjoram essential oil this scent is warm, herbaceous, nutty, and highly comforting. Also, it is quite rare and expensive. Combined with pure lavender essential oil it creates a unique and pleasant aroma that is designed to help promote a deep and comfortable sleep.
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What does "Deep" smell like?
Cool, relaxing, and calming are how many people describe this blend of lime, sweet basil, and clary sage. Lime essential oil is well-known for its sedating and relaxing qualities. The aroma can be described as herbaceous, crisp, pleasant, warm, and sweet, with a hint of black licorice and spice.
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What does "Paradise" smell like?
Distilled from ylang ylang flowers, “Paradise” has an pleasant, creamy, and delicate floral aroma that is not overpowering or overly sweet. Authentic ylang ylang essential oil is quite rare and is one of the most prized natural aromatics in the world. Pur-Sleep uses the most expensive and prized of all with first distillation ylang ylang oil (also known as "ylang ylang extra). Many describe this scent as evoking feelings of a relaxing peace or calm joy.
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What does "Peace" smell like?
A blend of pure French lavender, first distillation sweet orange, sweet marjoram, and clary sage essential oils, “Peace” predominantly has a scent of lavender with undertones of crisp and sweet orange with a hint of warm, spicy herbs.
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What does "Rosa" smell like?
Pleasant and relaxing, there is nothing like the delicate smell of roses. Rosa is a blend of palmarosa and geranium essential oils created with aromatic qualities similar to the smell of roses.
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What does "Spice" smell like?
A combination made from pure essential oils of sweet orange, real cloves, and Bay Rum; clove-like oil from the East Indies. It presents a fantastic sweet orange and spice aroma that is quite nice in the CPAP machine. “Spice” is their best-selling essential oil.
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What does "Crème" smell like?
Vanilla, one of the most highly prized and expensive aromatics in the world, is derived from the only fruiting variety of the orchid flower. The deep trumpet-shaped flowers must be pollinated by hand, dried, and cured, to become a beautifully fragrant brown vanilla bean which is then carefully distilled, resulting in the 100% all natural vanilla essential oil used in “Crème”. A few drops go a long way. It also blends very well with many of the other scents, including “Spice”, “Fresh”, and “Clear”.
This all-natural vanilla is an extremely complicated formula made with several hundred different compounds and includes a small amount of food-grade alcohol as a solvent. Synthetic vanillin typically used in cooking, which is derived from phenol, should not to be confused with “Crème”.
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What does "Fresh" smell like?
Described as soothing, sweet, warming, and comforting, this blend of 100% pure Italian tangerine essential oil blended with a hint of lime essential oil is lighter and more candy-like than sweet orange botanicals. You will appreciate this scent if you enjoy the tangy, yet sweet, aroma of tangerines or mandarin oranges.
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What does "Calm" smell like?
The Calm scent is made from a blend of eucalyptus, French lavender and rosemary. A natural menthol cooling sensation helps soothe and relax users. Calm has no camphor, but provides a mild natural menthol cooling sensation.
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What are the differences between Essential Oils and Air Candy Oils?
All of the AirCandy line are high-quality synthetic fragrances. These scents are different from the natural form; for example, the Essential Oils "Creme" is 100% authentic vanilla aromatic derived from real vanilla beans (that's why it's black in color) while the AirCandy "French Vanilla" is a high-quality artificial vanilla. The artificial vanilla is much more common in everyday life. AirCandy products are NOT essential oils; rather, they are very high quality, common fragrances that most people seem to enjoy quite a bit.
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What does "Strawberry" smell like?
This fragrance carries a long lasting smell of a strawberry patch! The scent is light and every breath fills with persistent strawberry smell. Enjoy dreams about springtime, deserts, and your childhood. Great for any kid, young or old.
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What does "French Vanilla" smell like?
French Vanilla sets itself apart from the Creme scent. French Vanilla is lighter with a strong presence of the vanilla bean. CPAP users will find Vanilla promotes a calm, relaxing state of mind ideal for therapy effectiveness.
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What does "Black Cherry" smell like?
Drenched in sweet cherry fragrances, the Black Cherry provides a soothing feeling that captures the essence of home baked pies and cherry coke. Use only a small amount to provide hours of refreshment.
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What does "Bubblegum" smell like?
The child in everyone can enjoy the Banana Berry Bubblegum. A candy covered delight, Bubblegum puts a smile on every user without causing cavities. The sweet smell of bananas and cherry are reminiscent of cotton candy at the fair.
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What does "Peaches" smell like?
One of the leading choices when customers participate in trials, the Peach fragrance wins. The scent is very calming and pleasant to the olfactory senses. Experience a true peach smell that is light, but not as strong as some of the other fragrances and essential oils from Pur-Sleep. Blend with a drop of French Vanilla for a Peaches 'N Cream CPAP bedtime treat!
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What does "Dark Chocolate" smell like?
If chocolate is your love, then the Pur-Sleep Dark Chocolate fragrance will satisfy your chocolate urges. Like all Pur-Sleep fragrances, mix and match for an olfactory bonanza! Use Dark Chocolate with Bubblegum to make your very own Banana Split.
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What is Control III Disinfectant Germicide?
This is a hospital grade germicide and disinfectant. It contains an extremely effective formula that has two unique quaternary compounds that act as a broad-spectrum disinfectant.
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Is Control III used extensively for respiratory therapy home care?
Nationally, Control III is the trusted product of choice for disinfecting home care respiratory supplies and equipment.
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Is Control III environmentally friendly?
Yes, it is. Control III breaks down quickly when released in septic or sewer systems and does not cause harm to human, plant or animal life.
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Is it effective against spores?
No, it does not kill any spores
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How does Control III kill bacteria without being highly toxic?
Toxicity does not determine bactericidal effectiveness. The active ingredients in Control III attack the core structure of the bacterium by a chemical method of action while simultaneously having a low toxicity level.
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Is it effective in killing Tuberculosis?
No, it does not kill Mycobacterium tuberculosis. However, it is effective against many other common bacterium.
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Does it irritate the eyes and skin?
The concentrated form of Control III, as it comes straight out of the bottle, is a primary irritant to the eyes and skin. Direct contact of the eyes or skin with the concentrated form of Control III Disinfectant should be avoided.
However, once mixed with water per the instructions, the diluted solution is not an irritant to the skin or eyes.
If you do get it in your eyes, rinse thoroughly for 15 minutes with water. If redness or irritation continues, please contact a doctor.
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Does the equipment need to be pre-cleaned prior to disinfecting?
The most vital step in the disinfection of your equipment is proper pre-cleaning. It removes the initial dirt and grime or other matter which may have caused contamination of the equipment. Once pre-cleaned, all items should be rinsed thoroughly with fresh water before disinfection.
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What should be used as a pre-cleaning agent?
A mild detergent such as regular baby shampoo or a liquid dishwashing detergent without moisturizers or anti-bacterial ingredients should be used to pre-clean the equipment. Do not use bar or liquid hand soap. After the pre-cleanse, rinse all of the items to be disinfected with fresh water and then immerse in the diluted Control III solution. The proper dilution ratio for disinfecting home care respiratory equipment or supplies is one ounce of Control III concentrate per one gallon of water.
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What kind of container should be used to soak the equipment?
It is recommended to use a polyethylene plastic container for the soaking required for disinfection. This type of bucket is available in the Control III Home Care Kit. When not in use, the solution should be kept in an air tight container to reduce the chance of evaporation and contamination. PVC containers are not recommended because after extended exposure to the Control III solution they may become tacky feeling.
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How long is it advised to soak the items for proper disinfection?
The soak time required by the EPA (Environmental Protection Agency) is 10 minutes. Soaking the items longer will not provide any greater levels of disinfection but will also not cause harm to the equipment. If natural rubber or PVC materials are soaked longer than 20 minutes undesirable results may occur such as a tacky feeling to the items. This is not harmful in and of itself but is probably something that would be displeasing.
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Is it necessary to rinse the items after disinfecting?
After a 10 minute immersion in the Control III solution the equipment should be rinsed with hot tap water and allowed to air dry. If not using the disinfected equipment shortly afterwards, it should be covered with a clean towel until use or stored in a sealed container or a plastic bag.
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Is Control III concentrate harmed by temperature extremes?
No, exposure to excessive heat or cold will not harm the Control III Disinfectant. If such exposure occurs, then naturally allow the concentrate to return to room temperature and then shake vigorously before use.
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How long will Control III last?
The concentrated form, in the original container, has a 5 year shelf life.
However, once the diluted solution of one ounce of Control III to one gallon of water has been mixed, it can be used for up to 14 days. If the diluted solution becomes noticeably dirty then it should be changed sooner, even if 14 days has not passed. The Home Care Kit comes with Control III Test Strips which once immersed in the diluted solution will change color to indicate if the solution is still active and effective.
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How will The Bedfan stop my night sweats?
Night Sweats generate significant heat that causes extreme sweating while you sleep. The Bedfan helps to cool down your body with a constant, gentle flow of air that lowers the temperature of your body and reduces unnecessary sweating.
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Will my bed work with The Bedfan?
The Bedfan is designed with a thin main body that will fit most beds. The unit has been successfully tested on tall and short, with or without foot boards, sleigh and bunk beds. Mattresses sitting flat on the floor or R.V. beds that sit flat on a pedestal are difficult to install. If for any reason you are not satisfied with The Bedfan, contact CPAP.com for a return authorization and we will refund your purchase.
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Will the Bedfan make my partner cold?
The Bedfan is designed to deliver a zone of cool air directly in front of the unit. Users trying to share the unit between partners will find the air flow cooling inefficiently. If your partner becomes cold, use a second set of sheets installed on top. The Bedfan will only provide air through the first set of sheets, allowing for individual zones for each partner.
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Will my feet get cold?
The Bedfan is intended to both cool down your body and allow users to raise the ambient temperature of your household. First time users should raise your nightly temperature a few degrees. Monitor your comfort each night to find the ideal temperature for everyone.
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Does the Bedfan have a built-in Air Conditioner?
No, The Bedfan uses two energy efficient fans located at the base of the unit. At 100% speed, the unit can move 100 Cubic Feet of air each minute. Even without an air conditioner unit, users find The Bedfan is effective in preventing night sweats and helps raise the average ambient temperature for those who would normally keep the air conditioner very cold to prevent sweating.
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Can I still use a comforter with The Bedfan?
The Bedfan does work with a comforter, but heavier covers will reduce the overall efficiency of the unit. Lighter sheets and covers allow the air to flow easier around your body.
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How noisy is the Bedfan?
Installed, the unit is barely audible and the fan motors are no louder than a small desk fan. Once you are in bed, the sounds become inaudible among the other background noises of your home.
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What type of sheets do I use with The Bedfan?
Use a quality sheet to get the best results from The Bedfan. Sheets with a thread count of 400 or more are recommended. Sheets with a lower thread count will allow air to pass through before reaching your shoulders. A high thread count is woven tighter and therefore less able to allow air to escape from under the sheet. Thread counts lower than 400 will allow air to escape and the user will experience airflow only around his/her legs or the user will have the controller set higher than it needs to be.
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How do I acheive the best seal with the Mirage SoftGel nasal mask?
This mask is designed to seal best when it makes contact with your skin.
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Can I buy the Mirage SoftGel cushion for my Activa LT headgear?
Yes, the a is now available to be purchased separately. The SoftGel cushion was designed to fit the Activa LT headgear giving you the option to use one headgear for two popular masks.
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Is the Fitlife good for side sleepers?
Side sleepers have reported getting effective treatment with this mask. Remember each person is different and experiences vary. In general, sleeping on your side will put added pressure on the area of the seal, and then on your skin.
Marks on the skin, from the Fitlife and other masks can be lessened by using moleskin.
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Where is the Velcro tube retainer on the Swift LT? It wasn't with my mask.
The Velcro tube retainer doesn't come with the mask. It's listed on the website as an optional item.
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Are the Comfort Classic nasal cushion sizes interchangeable on the mask frame?
All Comfort Classic nasal cushions and mask frames are interchangeable
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Are the Mirage SoftGel nasal cushion sizes interchangeable on the mask frame?
- Small Activa LT and Small SoftGel masks only accept Small size cushions - there currently is not a SoftGel size small
- Size Medium/Large/Large Wide Masks will fit either DoubleCell or ActiveCell cushion in any size other than Small
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Are the ComfortFusion nasal cushion sizes interchangeable on the mask frame?
Either cushion is interchangeable with the ComfortFusion mask frame.
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Are the Breeze Dreamseal and DreamFit nasal cusions interchangeable on the mask frame?
This cushion works both the Dreamseal and the DreamFit. While the Dreamseal attachment shell is one size, the Large, Shallow, and Standard cushions will both fit on it and can be interchanged as the user requires. The Shallow is designed for users who have a modest nose bridge and is otherwise of a Standard size. The Standard and Large have a greater cutout at the top to allow for a large bridge.
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Are the Swift LT nasal pillow sizes interchangeable on the mask frame?
All Swift LT nasal pillows and mask frames are interchangeable.
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Are the Mirage Swift II nasal pillow sizes interchangeable on the mask frame?
All Swift II nasal pillows and mask frames are interchangeable.
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Are the Ultra Mirage and Ultra Mirage II cushion sizes interchangeable on the mask frame?
The same cushion is used for the Ultra Mirage and the Ultra Mirage II mask frame. The cushions and mask frames are interchangeable.
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Are the Mirage Micro nasal mask cushion sizes interchangeable on the mask frame?
- The Small size mask, cushion and frame will not accommodate any other size. Sizes M, L, LW, and XL are interchangeable.
- The Small size mask, cushion and frame will not accommodate any other size. Sizes M, L, LW, and XL are interchangeable.
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Are the FullLife cushion sizes interchangeable on the mask frame?
All FullLife cushions and mask frames are interchangeable
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Are the Mirage Quattro cushion sizes interchangeable on the mask frame?
Mirage Quattro cushions are not interchangeable. Each sized cushion has a corresponding mask frame.
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Are the FlexiFit HC431 and HC432 cushion sizes interchangeable on the mask frame?
All FlexiFit HC431 and HC432 cushions and mask frames are interchangeable. The silicone cushions are interchangeable, but the foams will not work with the 431.
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Are the ComfortGel nasal cushion sizes interchangeable on the mask frame?
ComfortGel mask frames and cushions are NOT interchangeable. For a detailed list of which cushions work, see the ComfortGel Nasal Replacement Cushion.
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Are the Activa Nasal Mask cushion sizes interchangeable on the mask frame?
All Activa nasal cushion sizes are interchangeable on the mask frame.
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Are the Breeze nasal pillow sizes interchangeable on the mask frame?
All Breeze Pillows are interchangeable with the Breeze pillow frame
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Are the ComfortGel Full face mask cushion sizes interchangeable on the mask frame?
There are three (3) different Frame sizes for the ComfortGel Full. Only purchase the cushion size that matches your mask.
- Large frame = Large cushion and flap
- Medium frame = Medium cushion and flap
- Small frame = Small cushion and flap
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Are the Nasal Aire and Nasal Aire II prong sizes interchangeable on the mask frame?
All size prongs will work with both original and Nasal Aire II tubing, but only the Nasal Aire II Petite prongs will work with the Nasal Aire II Petite tubing.
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What is the difference between the M Series Pro and the M Series Plus?
The difference deals in data collection ability. The Plus lets you track compliance only data. The Pro lets you track efficacy data (e.g. Leak and AHI). The Pro has the EncoreCard Reader to help you track your therapy.
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