• By Clay Rollyson
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SoClean and CPAP

We have had no shortage of customer asking this question. So, we want to clear up our stance on whether the SoClean should be used on your CPAP or not. To be as up front as possible, we do carry and sell the SoClean CPAP cleaner. If a customer wants one, we will currently sell it to them. With that being said, there are things that you should consider if you want to use a SoClean on your CPAP. Let’s dive in on the details.

Do ResMed and Respironics recommend using SoClean?

What has ResMed said about SoClean?

It has been made fairly clear by most manufacturers that they do not recommend using integrated ozone CPAP cleaners on their CPAPs. SoClean is an integrated CPAP cleaner and falls into that category of not recommended. ResMed came out against the use of Ozone on their CPAP machine a couple years back. They went as far as telling customers that use of ozone CPAP cleaners on their device may void the warranty. At the time of this announcement, SoClean announced they would pick up that cost for anyone that had a voided warranty. It became a back and forth issue between SoClean and ResMed ever since then.

What has Respironics said about SoClean?

Philips Respironics remained pretty quiet on the use of SoClean for quite a while. That was until Philips announced their major recall last year. At that point Philips Respironics stated that the use of integrated ozone CPAP cleaners was a major contributor to the foam issues on their CPAP. They even went as far as making that a primary question on customers recall forms. So, while Respironics has not made a direct statement about the use of  SoClean or integrated CPAP cleaners on their devices, they have certainly expressed major concerns.

What issues can SoClean cause on a CPAP?

The SoClean is an Ozone (ionized oxygen) CPAP Cleaner. It charges oxygen particles and creates O3. Then runs the Ozone through your CPAP, tubing, and mask to completely sterilize all of your CPAP equipment. It is by far the most “set-it and forget-it” CPAP cleaner that we have carried, because it is integrated into the CPAP. However, that integration presents some potential issues. Ionized Oxygen is corrosive and can cause damage to plastics and metal over time. This means that there is potential for the Ozone to corrode or damage the internal components. This may shorten the lifespan of your CPAP.

What do we think about SoClean on CPAP?

Whether or not to recommend the SoClean is a tough call. It is the easiest CPAP cleaner available on the market, and it works. Additionally, SoClean touts that their cleaner is perfectly safe, and has been tested to be certain. So as far as ease of use and effectiveness, there isn’t a better option. On the other hand, the SoClean could potentially damage your CPAP causing a shorter lifespan of your device. Our recommendation is that you have to use your own judgement. If you are more concerned about ease of use and effectiveness, then the SoClean may be a great option. If you want to be certain that you get the very most mileage out of your CPAP, then you may want to reconsider the choice of SoClean. If you want something in the middle of the road, we do have ozone CPAP cleaners that are not integrated. Such as the Sleep8 CPAP Cleaner. 

What does the FDA say about Ozone CPAP Cleaners like SoClean?

First and foremost, I have not seen anything from the FDA directly targeted at the brand of SoClean. Instead they have made a general statement about the use of Ozone cleaners on CPAP. At the risk of being inaccurate I will simply put the link to the FDA article on Ozone CPAP cleaners here for you to read directly.

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  • By Clay Rollyson
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CPAP Compliance

CPAP compliance is something that many CPAP users have come to hear a lot about. Especially if you are a truck driver or you are using your insurance for the purchase of your CPAP machine. Compliance is just what it sounds like. It is whether or not you are using your CPAP. So why is everyone so concerned about you using your CPAP? Let’s start off by explaining that, then we will go over the metrics of compliance as well as some tips and tricks for becoming compliant.

Why is my insurance concerned about my CPAP Compliance?

If you used your insurance to purcahse your CPAP machine, then you are most likely under a rental program. The insurance company is only going to pay for your CPAP if you are actually using it. And “using it” is defined by the insurance company. For most insurance providers, they will want to see a bare minimum of 70% usage. That usage has to occur within the first 90 days typically. If you do not meet this requirement within their time frame the insurance company will most likely stop paying for your CPAP. In turn, your CPAP supplier may force you to pay for the balance on the CPAP or even repossess the CPAP from you. One nice thing is that the insurance company is typically only concerned during the first few months of you having the CPAP. After you have met the initial compliance standards, they finish paying for your CPAP and leave you alone. In other cases, they may make you prove compliance every time you re-order your CPAP supplies.

Why do Truck Drivers need to be Compliant on CPAP?

For truck drivers we have had a bunch of different compliance experiences. For most truck drivers they are required to show a compliance report every year at their medical card renewal. This report is usually just a 30-day report, but in some cases the DOT clinic will ask for a 90-day report. With either of those the DOT clinic usually wants to see a minimum of 70% compliance usage as well. However, we have seen a bunch of trucking companies that monitor their drivers CPAP compliance daily. And some of those trucking companies want 90% compliance. The reasoning is obvious to most and aggravating to a lot of truckers. That reason is safety. When a driver has sleep apnea the risk for drowsy driving or falling asleep at the wheel can be very high. So, the DOT and employer want to be sure that their drivers get quality sleep. For more information on that visit the FMCSA Sleep Apnea page here.

How is CPAP compliance calculated?

CPAP compliance is a pretty simple formula. In order for a day/night to be considered compliant you must use the CPAP for at least 4 hours in a 24-hour period. Those 4 hours do not need to be consecutive, but it is important to remember that most CPAPs split the day at 12 noon. That is because most people use the CPAP at night. The next metric that is super important is the actual percentage. That is calculated by dividing the number of days you have used it over 4 hours by the total number of days selected. So, if you need to be 70% compliant on a 30-day report, then you need to have a minimum of 21 days with over 4 hours usage.

Tips and Tricks for becoming compliant

When you are trying to become compliant on your CPAP every bit of usage is critical. That means that even while you are practicing on your CPAP you are gaining time. We push new users to practice during the day with their new CPAP. This helps with acclimating to CPAP therapy as well as getting good usage hours on your CPAP for compliance purposes. Another great tip is to avoid procrastination. If your mask isn’t comfortable, then make a change. Do not procrastinate on that change. We give a 30-day guarantee on our masks which allows you to make a mask change for free. Make sure that whoever you are dealing with, that they have a similar program.

How do I get my CPAP Compliance report?

Obtaining your CPAP compliance and therapy report is completely dependent on what make and model CPAP that you have. For some models, the CPAP will automatically transmit the data via cell towers back to your provider. For these models your CPAP supplier should be able to pull that data for you any time you need it. We provide that service here at CPAPmyway for free when you buy your CPAP here. Models that automatically transmit data for you would be the DreamStation 2 or the AirSense 11 CPAP. Other CPAP models may require a physical download to a computer via SD card. In these cases, you may need software or web access to retrieve that data. If you are going to have your provider retrieve that information, then you will have to present the card to them physically. Some models like the iBreeze or Luna 2 will allow you to perform your own download at home to obtain the report.

How can I avoid dealing with CPAP Compliance?

The answer to that question is part of what defines us here at CPAPmyway. In short, you can pay cash for your CPAP to avoid the insurance standards. In that scenario you do not have to worry about insurance standards. We have a great selection of CPAP Starter Packages as well as prescription services for those needed help with that as well. For truck drivers on the other hand there is no shortcut. If you have Sleep Apnea and want to continue driving, then you will have to use your CPAP. For most, once they become accustomed to the CPAP, they wouldn’t give it up anyway. The improvement in quality of life is well worth the effort of using CPAP.
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  • By Clay Rollyson
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If you are looking to get started on CPAP, then I am sure that you have some questions. In this blog we hope to help you down that path. For many people they feel like they are being pushed in a singular direction by a doctor or CPAP supplier, and that is why you need to keep a few things in mind. Before we get to those details, we should make sure that we are on the same page. This blog information is designed for those that have been diagnosed with sleep apnea and need to get started on CPAP for the first time. If you need to be Tested for Sleep Apnea or need to Renew a CPAP Prescription, we have great options to help you there as well.  

What is the most important thing about Starting on CPAP?

For many people the first thing that they are going to think about is the make and model of the CPAP machine. While that is an important thing to consider, you may really need to think about the mask first. The truth about CPAP machines is that most of them do about the same thing therapy-wise. Of course, there are pros and cons to consider on the CPAP, but the most important consideration should be the mask. That is the part that will be touching your face, and the most interactive part of your therapy. Whether that mask fits and is comfortable will be the single most influential part of your therapy. We have a full mask selection blog that will guide you along that path. You can click here or the image below to check that out.

How do I select my first CPAP Machine?

So, you have decided the mask that you want to start with. Now your focus has to move to the CPAP machine itself. I like to think of a CPAP in terms of a vehicle. You can buy a giant truck capable of hauling heavy loads, but if you never haul anything, you might should have just bought the fuel-efficient model. The same can be said for your first CPAP machine. There are some that are smaller, some that have really cool apps to track your sleep, and even some that are built for travel. With all of those options the first thing that you have to do is consider your needs. Here are some questions to ask yourself that might help narrow down the choice.

Do you need Compliance Reports?

Maybe you are a truck driver or someone that needs to be able to obtain Compliance and Therapy reports of your CPAP usage? If that is the case connectivity will be a very important function. Many CPAPs like the AirSense 11 or the DreamStation 2 come fully equipped with Cell Modems and Bluetooth. That means that your data can be automatically relayed to you and your provider daily. This allows you to be certain that your data and reports will be readily available for your needs at all times. In these cases, the limited connectivity of some of the basic models like the Luna 2 or the Transcend 3 travel CPAP may not be the best option for you.

Are you a “Tech Person”?

If you really like all the feedback and connectivity that modern technology can provide, then the model you choose is very important? There are only a few options that have high-functioning integrations. Those models would be the AirSense 11 from ResMed or the DreamStation 2 from Philips. Both have very high functioning apps that allow you to see your sleep data in detail. If that connectivity and data is of no concern to you, then you can address more important concerns such as price or other functionalities with your choice.

Do you travel much?

Most CPAP models come with a travel case that will allow you to pack up and take it on the road pretty easily. However, most home CPAP models are not so great for someone that travels frequently. In those cases, you may want to consider a Travel CPAP like the AirMini or DreamStation Go. Those options give you Bluetooth connectivity for transmitting report data as well as really nice apps for tracking you own results. If you don’t need reporting, then you can consider a model like the Z2 or TranScend 3 Travel CPAP. For most CPAP users on a Travel CPAP, they will use an HME (Heat Moisture Exchanger) instead of a Heated Humidifier. If you are someone that will require Heated Humidification on your Travel CPAP then the only options would be the DreamStation Go or the Transcend 365 Travel CPAP. You may also want to check in to the Electrical Specifications of the CPAP you are considering. For instance, the DreamStation 2 will run directly on 12 volts. This makes using it in a camper or vehicle much easier.

What do you want to spend?

The Cost of CPAP machines can vary widely. It can also be very dependent on availability (as we have seen recently). The top tier CPAPs such as ResMed and Philps are usually going to command a higher price. This is because they typically have the most Researched and Developed functionality. R&D can be more costly than manufacturing in many cases. With that being said, there are brands that allow you a very similar therapy at a lower cost. In these models such as Resvent or 3B you can expect to sacrifice some functionalities like connectivity or size. However, in most cases you will get a very similar therapy from the lower cost option as the more expensive version. Here at CPAPmyway we offer great financing options for your new CPAP. Click here to check that out.

Noise level?

Most of the modern CPAPs are pretty darn quiet. There isn’t a massive difference on the sound of the motor in most cases. Where you may notice significant noise differences is in the mask. The exhalation ports on each CPAP mask are very different. Some are diffused to the point that you can’t hear anything. Others could blow dry the hair of the person sleeping next to you. The only major noise level difference in CPAPs in the Travel CPAP arena. Travel CPAPs in general are usually louder than home CPAPs. This is because they have very little insulation to reduce the noise. Additionally, the noise difference between high-end travel CPAPs vs low-end travel CPAPs is definitely noticeable. Check out our blog on the best Auto CPAPs of 2022 for more information on Travel CPAPs. 

Universal Connection to masks?

Almost all of the CPAPs made today are a universal 22mm connection. This allows you to connect standard CPAP tubing. Standard connection means that 99% of all CPAP masks will hook up fine to your CPAP. As we stated above, you need options on the mask front. With that being said there is one Travel CPAP that doesn’t have universal connection. That is the ResMed AirMini. This unit will only allow you to connect the AirMini Tubing as well as specific ResMed AirMini Masks. 

Will I need Heated Tubing?

There are only a couple CPAPs that have available Heated Tubing options. Heating tubing is really only necessary when you need to add an inordinate amount of extra humidity to the air you are breathing on the CPAP. This is usually only an issue in dry climates. If you live in a dry area, then those models may need to be in your consideration. The current models that have heated tubing are the AirSense 11, DreamStation 2, and SleepStyle CPAPs. All of these have excellent humidification systems that include a heated tubing option. Most people do not start off with a heated tube, even when they are purchasing one of the models above. However, it may be something needed in the future.

How do I maintain my New CPAP?

Maintenance on your new CPAP Machine is pretty standard across the board. According to most manufacturers, your CPAP Mask, humidifier chamber, and tubing should all be cleaned daily with soap and water. That means disassembling everything daily, soaking in warm soapy water, rinsing and air-drying everything daily. From our perspective you may be able to get away with doing that as little as twice per week. If you are more of a dishwasher style person, then you may want to consider an Automatic CPAP Cleaner. We have some great options on that front to reduce your CPAP to-do list.

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  • By Clay Rollyson
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I cannot count the number of times that someone has called to ask why there is always air leaking from their CPAP mask. In many cases that leak is an issue, but in just as many cases it is no issue at all. Let’s take a look at the different reasons for mask leak.

CPAP Mask Exhalation Port

No matter which CPAP mask you own, there will be air constantly blowing out of the designated exhalation port. This “leak” is essential in the performance of your CPAP mask. The air escaping from your CPAP masks exhalation port is designed to flush CO2. That is obviously essential to your breathing, so it is important that your exhalation port remain open and free of obstruction. The port is usually on the front of the mask. It may make some noise or may be difficult to notice at all.

General Mask Leak

If the air leaking from your CPAP mask is not coming from an obvious exhalation port, then it may be a problem. In most cases the leak is coming from a gap between your skin and the CPAP mask. The most common area is around the nose. For others the leak may be on the cheeks at the side of the mask or below the lip. All of these leaks are usually corrected with very little issue. So, let’s break it down in more detail.
  • Mask Leak around the bridge of your nose– This is usually when a standard nasal mask or full-face mask doesn’t match up to the users nose well. In these cases, you should start by tightening the mask slightly until the leak goes away. If the tightening becomes uncomfortable or painful, then you will need to check out a different style mask that avoids this problem area. Typically, a low-profile mask like the DreamWear line or ResMed versions does a good job. They will provide a seal without any contact to the bridge of the nose at all.
  • Mask leak on the side of the nose– This leak is usually caused by the exact opposite reason as the previous mask. If you start with a low-profile mask like the DreamWear or N30i, then you may have an issue with leak at the side of the nose. The first step to resolve this is to size down one cushion size and slightly tighten the mask. If that doesn’t work, and you like the fit of the mask then you may want to consider ordering the pillow version of that mask, such as the DreamWear Pillows or P30i. The pillows will stay in place much better than the cradle design. If all those steps fail, then it is time for a more traditional style CPAP mask like an Eson 2 nasal mask or the Vitera full face mask.
  • Mask leak to the sides or below the lip- This is another very common leak. In most cases you can slightly tighten the mask incrementally to account for the leak. If it gets to the point where the tightening is causing discomfort, then you may need a mask change. The more surface area that you have to seal the better the chance of a leak. That means the larger the mask the better chance it will have an issue. When you are in this scenario the best bet is to go to a smaller style mask. If you are on a minimal contact full face like the Amara View or the DreamWear Full, then you may want to consider something smaller like the DreamWisp or N30i Nasal Mask. If you are on a more traditional style full face like the Simplus, then you may want to consider a traditional nasal like the Eson 2 or maybe even a nasal pillow mask.

What if the leak isn’t from the mask?

In many cases you may hear air escaping, notifying you of a leak, but the noise isn’t coming from the mask. This can occur for a few different reasons. These are the main leaks that we have encountered outside of the mask leak:
  • Bad Tubing– It is very common that tubing will tear or pull loose from a connection point. Start at the junction of the mask and work your way down to the connection at the back of the CPAP. As you inspect the length of the tube look for any stretched areas or tears. It may also be a good idea to disconnect and reconnect the tubing to make sure that it has a solid connection.
  • Humidifier Chamber Leak– You humidifier chamber on the CPAP typically has silicone seals that keep it airtight. If one of those seals is torn, or bent, you may experience air leaking from that point. To inspect the humidifier chamber, you should remove it from the CPAP, open it up and take a look at all the seals to make sure that there is no damage. Then reinsert the chamber, making sure it is snapped in place securely.
  • Internal CPAP issues– Inside of the CPAP are seals and a blower motor. Over time these parts can go bad. If the noise is coming distinctly from the CPAP itself, then the only troubleshooting method is to inspect the filter. If the filter is clean, then you will have to contact your provider or a repair facility. For more information on CPAP repairs, click here. 
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  • By Clay Rollyson
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Modern CPAP machines provide a myriad of information that can help you and your physician determine how well your CPAP is working for you. So much of this information is abbreviated or is shown as an acronym. This can make it really difficult to understand what in the world you are looking at. That is why we have taken the time to lay out a full explanation of all the things you see on those reports.

What are the categories on the CPAP report?

The first thing that you need to understand is what all the categories mean on your CPAP Report. Then, we can take a deeper dive below on what those categories represent. So, let’s start out by defining all those abbreviations and acronyms.
  • AHI– Apnea Hypopnea Index.
  • HI– Hypopnea Index
  • AI– Apnea Index
  • CAI– Central Apnea Index
  • RERA– Respiratory Effort Related Arousal
  • Cheyne Stokes– abnormal pattern of breathing
  • Leak– Air escaping above normal thresholds
  • Pressure– Amount of pressure created by the CPAP
  • Compliance percentage– percentage of nights greater than 4 hours of usage
Now, let’s dive in a little deeper on each subject.

Apnea Hypopnea Index (AHI)

The AHI is the total number of Apnea and Hypopnea events that occur divided by the total numbers of hours that you slept on the CPAP. This metric shows you the number of times per hour that you stopped or partially stopped breathing. It is important to monitor this metric because it is the main method for determining how well the CPAP is working for you. Generally, it is considered “normal” if your AHI is under 5. Of course, that is different for everyone and only your doctor can tell you what a healthy AHI is for you. For CPAP users that are on an Auto CPAP the AHI may take time to reduce. This is because the Auto CPAP takes time to adjust to the most suitable therapeutic pressure for you.

Apnea Index (AI)

The Apnea Index is a further breakdown of the AHI. The AI is the number of times per hour that you had an apnea divided by the total hours that you were using the CPAP. The Apnea Index is typically broken down by: Obstructive Apnea, Central Apnea, and Unknown Apnea. All Apnea is defined as a stoppage of breathing for at least 10 seconds. Obviously, breathing is pretty important. Usually as you stop breathing for that length of time, your blood oxygen level falls as well. Enough Apnea events over time can cause all sorts of health concerns. Because the AI is part of your AHI score you should refer to the AHI metric for what should be determined as a “normal” score for this metric.

Hypopnea Index (HI)

A Hypopnea is very similar to the Apnea in how it is determined. The hypopnea index is the total number of hypopneas divided by the total hours of sleep. By definition a Hypopnea is when your breathing shallows to at least a 30% from your normal airflow, in addition to at least a 4% in your blood oxygen level. To boil that down, a hypopnea is when your breathing is partially blocked, and that partial blockage causes a reduction in blood oxygen. The hypopnea index is usually added to your apnea index and totals as your Apnea Hypopnea Index. That “normal’ range is cited above.

Central Apnea Index (CAI)

Central Apnea is another form of apnea that is added into the overall AI score. The Central Apnea Index is again the total number of Central Apneas divided by the total number of hours you slept. A Central Apnea is when you stop breathing, but your brain doesn’t tell you to breathe like it normally should. It is more a neurologic issue and, in most cases, requires a different therapy than standard CPAP. In many cases you may be prescribed an ASV (Auto Servo Ventilator). This total score is a part of your total AHI score, and the goal is typically to be under a total of 5 AHI. Of course, only your doctor could determine that for you. If your CAI is high even on your CPAP, you should certainly speak to your doctor about this to see if a more appropriate therapy should be prescribed.

Respiratory Effort Related Arousal (RERA)

The RERA is when your brain causes your breathing to become labored, and you are aroused from your sleep. Usually, it is represented by limitations in breathing, occurring for more than 10 seconds continuously. It is not classified as Apnea or Hypopnea but can cause some of the same symptoms if untreated. If you are seeing a significant amount of RERA on your CPAP Report, then it would be smart to consult your doctor. In most cases CPAP will resolve this issue, but if it continues on CPAP an alternative therapy may be necessary.

Cheyne Stokes Respirations

Cheyne Stokes are when you go into an abnormal breathing pattern. It is usually a progressive deeper breathing pattern than can become more rapid at first and then decreases resulting in complete stoppage of breathing (Apnea). This pattern can be repetitive for 1-2 minutes at a time in many cases. It also may repeat over and over throughout the night. In most cases your CPAP should resolve the Cheyne Stokes breathing, but in some rare cases it may not. If you have continued Cheyne Stokes on your CPAP Report, you should speak with your doctor about changing therapy or switching to a better alternative therapy.

Leak

Leak is classified in liters per minute of air escaping from your mask or tubing. It can also be from a poorly attached humidifier. On the CPAP report the leak may be shown at multiple points such as: Median Pressure leak, Maximum Pressure leak and 95th Percentile leak. This is because a leak at the maximum pressure is not nearly as concerning as a leak at your 95th percentile pressure. By most opinions the leak should not be over 24 lpm. If it is over that threshold, you should do a close inspection of all connections to make sure that everything is together correctly. If everything is tightly attached, then you should work to adjust your mask for a more secure fit. With that being said there are a couple things to keep in mind about leak
  1. There is a good chance that you will have some leak. Very rarely does anyone have a perfect mask fit throughout the entire night. Adjusting your mask to keep your leak in a proper range is good, but do not make yourself miserable over a minimal leak.
  2. Your mask will have air escaping at all times. I can’t count the times customers have come in with a mask that had tape over an exhalation port. You do not want to do that. All CPAP masks have an exhalation port that allows you to properly exhale CO2. Usually, it is in an obvious area with small holes.

Pressure

Pressure is the measurement of force that the CPAP is pushing to keep your airways open. It is classified in Centimeters of water pressure, typically abbreviated as “cm”. If you are on a fixed pressure CPAP this will most likely be one pressure without much else on the CPAP Report. If you are on an Auto CPAP, then you may see a few different pressures. I will detail those below:
  • Median Pressure– This is the average pressure that your CPAP is at from start of therapy to end.
  • 95th percentile– This is the pressure that is providing the most effective therapy. In other words, this is the pressure that is working best to resolve your apnea. This may change from time to time.
  • Maximum Pressure– This is the highest amount of pressure that your CPAP is reaching during your CPAP therapy.

Compliance Percentage

For a real detailed look at compliance percentages, I would refer you to our compliance video that lays CPAP compliance out in detail. In summary, the report will typically show nights greater than 4 hours of usage as compliant nights. The number of nights with 4+ hours of usage divided by the total number of nights used will give you that percentage on your CPAP Report. For Instance: if you had 21 nights of 4+ hours usage out of a total of 30 nights, then your compliance percentage will be at 70%.
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  • By Clay Rollyson
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  If you need a new CPAP then you need to learn from our experience. We deal with thousands of CPAP users. From first timers to 10 years plus CPAP veterans. We have taken all that feedback and combined it with our years of industry experience to give you the right advise on your next CPAP.

Why should I buy an Auto CPAP?

The first thing that you need to know is that there is NO REASON to buy a fixed pressure CPAP. In fact, most manufacturers seem to be moving away from selling them. If you need to understand the difference between fixed pressure CPAP and Auto CPAP, then click here to check out the blog on that subject. Even if you are prescribed a fixed pressure setting you are doing yourself a disservice to buy a CPAP that can only do a fixed pressure.

Our Top 4 Auto CPAP Picks

There are quite a few options in the CPAP world these days. For the sake of this article, we are going to focus in on the top 4 Auto CPAPs for home use. We have some great info on Travel CPAPs as well in another blog.

#4: Luna 2 Auto CPAP

The Luna 2 Auto CPAP is a great CPAP option overall. If you need a cost-effective Auto CPAP that will work great for years, then this is definitely in the consideration. It has a comfortable algorithm that works very well. It has universal connections so that you can use any standard mask or tubing. The Luna 2 is definitely durable. We have had very few issues. In fact, the only issue of significance has been humidifier failures. They have been few and far between, but we have had a handful of those. Let’s take a look at the major pros and cons for the Luna 2.

Luna 2 Pros:

  • Simple and effective– While there aren’t many bells and whistles on the Luna 2 that isn’t a bad thing. You have all the standard features that you would expect and need without any fluff.
  • Durable– We have had so few issues with the Luna 2 that we can confidently say it is very durable. The only issue we can site is humidifier issues. They have been very few and far between (less than 1%), and the CPAP will still operate just fine without humidity if you happen to be that unlucky.
  • Cost effective– The Luna 2 CPAP is priced affordably. You can save 30% plus on the cost of Auto CPAP therapy without sacrificing quality or effectiveness.
  • Universal connection– This CPAP features the standard 22mm tubing connection. This means that you can use any mask or standard CPAP tubing on the Luna 2.

Luna 2 Cons:

  • Larger and heavier than others– It is definitely bigger and heavier than the other options. If you don’t plan on traveling with it, then that may not be an issue.
  • Compliance reports aren’t as easy– You can use the i-code or SD card to obtain a compliance report from the Luna 2 without any additional accessories, but both of those options are manual. We have a detailed blog on the Luna 2 compliance reporting.
  • Poor heated tubing option– 3B did try a heated tubing that has a cord for the Luna 2, but it was not good. Now the only tubing option we carry for the Luna 2 is standard tubing. If you need significant humidity while on CPAP you may have issues.
  • Poor warranty process– On the rare occasion that we have had to work through warranty repair of replacement for a Luna 2 it has been very slow. In most cases it took weeks to get a broken device resolved.

#3 iBreeze Auto CPAP

The iBreeze Auto CPAP is a fairly new CPAP to the market here in the U.S. It has been in foreign markets like Asia and Europe for years and has a great track record there. We have been carrying it now for about 8 months and it has been a great option. It is quiet and simple. Plus, the iBreeze is as small as the larger brands. So, finding space on your nightstand or traveling with it is a “breeze” ;). We have had very few repair issues so far which is great. It is a fairly cost-effective option and it works well.

iBreeze Pros:

  • Small footprint on the nightstand– Whether you have limited nightstand space or you plan to travel often with your CPAP the iBreeze is sized right.
  • Simple to use– There is nothing complicated on the iBreeze. Simple on/off button, and easy to navigate the patient menu.
  • Wi-Fi connectivity option– The iBreeze now has an optional integrated Wi-Fi modem. This allows you to connect your CPAP to your home Wi-Fi network for automated uploads. This makes compliance reporting much easier. Check out our iBreeze compliance blog.
  • Universal Connection– Use any mask or tubing on the iBreeze. It has the standard 22mm connection which allows for any standard CPAP tubing.

iBreeze Cons:

  • No heated tubing option– If you need high humidity while using CPAP then you need to consider the limitations of standard tubing.
  • Poor SmartPhone App– Resvent has launched an app for the iBreeze, but to date, it does not work at all.
  • Exhalation relief setting is overly sensitive– We have found through feedback and experience that the IPR setting can be a little tricky. At the higher IPR setting many users have told us that they feel a very dramatic pressure decline. The IPR setting of 1 seems to do the trick in most cases.

#2: DreamStation 2 Auto CPAP

The DreamStation 2 from Philips Respironics is an awesome Auto CPAP. It is very small and lightweight. Additionally, it has awesome connectivity options, a great app to follow your sleep, as well as great durability. The unfortunate thing about the DreamStation 2 is it’s current availability. At the time of this blog writing the DreamStation 2 is unavailable for purchase due to the Philips Respironics recall. It has a great algorithm that has been time-tested for comfort and effectiveness. The DreamStation 2 features a touchscreen menu for easy navigation as well as a fully integrated heated humidifier. Let’s take a look at some detailed Pros and Cons:

DreamStation 2 Pros:

  • Very Small and lightweight– The DreamStation 2 is extremely lightweight and takes up very little room on your nightstand. It makes a great option for travel.
  • Great DreamMapper smartphone app– The DreamMapper app offers daily insights into how well the DreamStation 2 is working for you. It does this easily through bluetooth connectivity.
  • Easy compliance reporting– The DreamStation 2 has Bluetooth connectivity as well as cellular connectivity. This means that we can access your data remotely and provide great compliance reporting easily. If you need reports for your job or for follow up with your Physician, this is a great option.
  • Best heated tubing option– The heated tubing that was designed for the DreamStation 2 is the smallest and lightest available. Most times adding in heated tubing means bulkier and heavier tubing, but not in this case.

DreamStation 2 Cons:

  • Touchscreen can be a little wonky– The touchscreen is not exactly the most responsive. It may take an extra swipe or press from time to time to get where you need to in the patient menu.
  • Availability– Currently it is completely unavailable. We anticipate having them again soon and you can click here to see current availability.
  • Filter location– You have to completely remove the humidifier chamber to access the filters. Adding an extra step to your normal filter maintenance.

#1: AirSense 11 AutoSet

For our top pick of 2022 we have chosen the AirSense 11. It is the latest CPAP from ResMed. It has a ton of great features and is a real user-friendly CPAP option. The main thing that makes this CPAP great is the same thing that has made ResMed CPAPs great for decades. It is the algorithm. The algorithm in this CPAP is tried and true for comfort and effectiveness. That means that when the AirSense 11 is adjusting to your most suitable pressure it is doing so in the most comfortable manner. Every manufacturer has their own proprietary algorithm, and ResMed leads the pack for sure. Let’s check out some of the Pros and Cons on the ResMed AirSense 11 AutoSet:

AirSense 11 Pros:

  • Very small and lightweight– The AirSense 11 is one of the smallest and lightest options available. You can travel with ease using the slim travel case that is included.
  • User friendly menu and touchscreen– The touchscreen is very nice and very responsive on the AirSense 11. It allows you to navigate your patient level menu easily.
  • Great MyAir app– The ResMed MyAir app is a great way to follow your sleep therapy results. It provides a daily score as well as great input and instructions for your AirSense 11 CPAP.
  • The best Auto Algorithm available– For decades now ResMed has made a top tier Auto-titrating algorithm. This means that it will adjust to the best pressure in a comfortable way. Instead of making abrupt changes that will interrupt your sleep.

AirSense 11 Cons:

  • Availability– Much like other CPAPs currently, the AirSense 11 is super-hard to find right now. Most of that due to its popularity and industry wide CPAP shortages. Click here to check current supply. We do receive them regularly and they go in and out of stock frequently.
  • Not cheap– Because it is a very high-quality Auto CPAP, and industry wide shortages the AirSense 11 is not the cheapest option. It is a premium price for the premium product.
  • Filter door is brittle– The only quality issue we have encountered so far is a brittle filter door. On inspection we accidentally broke it. They are available separately if you encounter the same issue.
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  • By Clay Rollyson
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After my wife asked me last week, “why isn’t my CPAP using water anymore?”, I finally thought to write a blog on the topic. She would wake up and pull her humidifier chamber in the morning, only to find that the water level had not changed at all. This happens from time to time, usually as seasons change, and most likely is not an issue at all. So, what is going on?

Why isn’t my CPAP using water?

Most modern CPAP machines are built with a hydrometer and thermometer that constantly monitor your room’s ambient conditions. The CPAP is doing this because it is trying to avoid excess condensation. Better known as “rainout”. That happens when the CPAP adds more humidity than the air in your room can hold. When that happens you literally end up with rain inside your tubing. By monitoring the humidity and the temperature the CPAP tries to minimize the chances of adding too much humidity. That means that if your CPAP is detecting that the room is too cold or that the room already has too much humidity, then it will not add any additional humidity. In turn, your water chamber will still be full in the morning.

How can I tell if the Humidifier is actually working?

The first thing to determine if the humidifier is actually doing its job or not is to ask yourself a simple question: “Do I feel dried out?”. If your answer is no, then you don’t have a problem. Just because there is no change in water level, doesn’t mean that there is an issue. If your answer to that question is yes, then the first thing that you should do is increase the humidity setting. This setting should be located in your patient menu. If you have increased the humidity to the max and there is still no change, then we need to bypass the check system. We detail how to do that below. Additionally, on some newer CPAP models like the ResMed AirSense 11, you can see on the sleep report whether or not the humidifier is working correctly.

How can I add more humidity without rainout?

So maybe you are dried out because the CPAP will not add enough humidity. In that case there is a pretty simple solution. You can add heated tubing to your humidification system. Almost all of the newer CPAP models have an available heated tube. ResMed has one called ClimateLine and Respironics has heated tubing for theirs as well. These heated tubes will keep a controlled environment from the outlet of the CPAP all the way to your CPAP mask. This means that the ambient humidity and temperature conditions in your room will not matter. Once the heated tube is added you can increase humidity level to a comfortable setting without the risk of rainout or the CPAP capping your humidity. We also have a great Blog on the rainout issue as well.

Things to consider about your CPAP Humidifier:

  • Empty the water chamber daily– Regardless of whether or not your CPAP used any water, you still need to empty it and allow it to dry out daily. This will prevent mold, mildew, and bacteria from growing in the stagnant water.
  • Stick to distilled water– As the water evaporates it leaves behind the minerals that were in the water. These minerals can be harmful to the CPAP parts. Causing corrosion as well as a breeding ground for all sort of nasty things.
  • Clean the water chamber at least weekly– If there is one, most-important thing, on your CPAP that can make you sick, it is the water chamber. You wouldn’t fill your chamber with pond water so don’t let the water chamber turn in to a pond. Clean it at least once per week with mild soap and water.

When do I change my Water Chamber?

Changing out your Humidifier Water Chamber is completely dependent on how well you are maintaining your water chamber. If you are emptying it daily and washing it at least once per week, then you may get as much as a full year out of the tank. If you are using tap water, well water, or aren’t cleaning the water chamber then you may get as little as 3 months. On average it is best to change out your water chamber about every 6 months.

Signs that it is time to change out your CPAP water chamber:

  • Leaking water tank and/or water on your nightstand.
  • Mineral buildup inside the tank
  • Mold or mildew growing inside
  • Air leaking from the silicone seals
  • Significant discolration
 
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  • By Clay Rollyson
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There are a few Travel CPAP options available these days. Many of which are limited in availability due to nationwide CPAP shortages. However, there are options and it is important to make a good decision. Below is a breakdown of our top 4 Travel CPAP picks for 2022.

 

AirMini Travel CPAP

The AirMini has been around for about 5 years now and I can think of maybe 2 or three units that have ever had an issue over that period of time. We can confidently say that it is a VERY reliable Travel CPAP. Additionally, it is the smallest and the lightest available today. Weighing in at just 0.66 lbs you probably will not even recognize that you packed it in your bag. It is 5.4″ x 3.3″ x 2″ dimensionally, so it literally can fit in the palm of your hand. You are restricted to ResMed brand masks on this Travel CPAP. While that is a limiting factor, ResMed does make some of the best masks on the market. Meaning that quality will not be an issue in your mask selection. It operates at just 25 dBa which is very quiet for a Travel CPAP.

AirMini Pros:

  • Very Small and lightweight– You really cannot get any smaller and lighter for a Travel CPAP
  • Quieter than some of the cheaper models– We have heard some negative feedback on cheaper Travel CPAP models. Many of those customers chose to upgrade later to the AirMini and noticed much improvement.
  • Great AirMini app and connectivity for reporting– You can download the “AirMini App” in iTunes or the google store. It connects via Bluetooth to the AirMini and works really well.
  • Very Reliable– We have had so few issues with the AirMini that we would score it a perfect 10 on durability. We even have customers that use it as their primary device. This Travel CPAP is genuinely tried and true.

AirMini Cons:

  • You can only use AirMini Masks and accessories– You are restricted to the AirMini Humidx HMEs, the ResMed compatible masks (F20, F30, N20, P10, N30). Additionally, you must use the AirMini Tubing designed to attach to the AirMini.
  • HME can be a little loud– While the AirMini itself is very quiet, we have had some complaints on the sound of your breathing in the HME. It still is one of the quietest options but keep that in mind.
  • Can be a little pricier– If you are looking for the cheapest option, then this one may not be for you. ResMed is known for quality and durability. So naturally, they are usually a bit more expensive.

DreamStation Go Travel CPAP

This has been one of our favorites for a very long time now. Unfortunately, at the time we are writing this blog it is unavailable. We hope to have it as an option again very soon. The DreamStation Go Travel CPAP is our “Go To” for CPAP users that want a travel CPAP for everyday use. That is because it is quiet, durable, and can be paired with a Heated Humidifier. Many other Travel CPAPs can only use an HME. While an HME can work well it is not the best option for everyday use. It has a really nice touchscreen, and a very simple operation. While it is a little larger than some other options you have to keep in mind that the converter brick is built in to the DreamStation go. That means that you don’t have to have that bulky power cord. It weighs 1.86 lbs and is 5.94″L x 5.94″W x 2.32″H dimensionally. Another great feature on this Travel CPAP option is that you can pair it with a home DreamStation CPAP in the software. This means that your compliance information can be combined into one report on both devices. This is great for truck drivers, and users that require compliance reporting.

DreamStation Go Pros:

  • Reliability– This travel CPAP is also extremely reliable. We have had very few issues over the years.
  • Very quiet– The DreamStation Go is very quiet and does not have any noisy HME. Probably the quietest Travel CPAP option that we carry.
  • Use any CPAP mask or HME– It has a standard 22mm tubing connection. This means that you can use any standard CPAP tubing, any CPAP mask, and any HME with 22mm connection. That is pretty much everything.
  • Great Compliance reporting– Whether you are using the DreamStation Go alone or in conjunction with a home DreamStation CPAP, you can get great compliance reporting. It connects easily to the DreamMapper app via Bluetooth and relays great reporting directly to your smart phone.
  • Smallest and lightest tubing available– The DreamStation go comes with a 12mm tubing that is so thin and lightweight you probably won’t feel tube drag at all. This tubing only fits the DreamStation Go so you can only use it with this Travel CPAP.
  • Heated Humidifier Option- You can connect the Heated humidifier when at home and leave it when you hit the road. This gives you a lot of versatility.
  • Integrated Battery Option- The battery option for the DreamStation Go is super easy and works great.

DreamStation Go Cons:

  • It is a little heavy– While it isn’t heavy in comparison to a home CPAP it is to other Travel options. At 1.86 lbs it is almost 3 times heavier than the AirMini Travel CPAP.
  • Currently unavailable– After an issue with the foam Philips has decided to replace or repair all of these unit. Until they have completed the recall this unit will be unavailable. You can click here to check current stock any time. We hope to have them back in stock in the months to come.
  • Not the smallest option– In addition to the weight it is also a little larger than other options. We think the versatility outweighs the size difference, but it is something to consider.

Transcend 3 Travel CPAP:

The Transend 3 Travel CPAP is made by Somnetics. Somnetics was the original Travel CPAP maker. They have a great track record of durability and longevity. They even have the longest warranty of any Travel CPAP made. The Transcend 3 is a very simple design without a whole lot of bells and whistles. For those needing a good CPAP for an affordable price this model is worth considering. It weighs just over 1 pound and is 7.5″ x 3.7″ x 3.7″, so it packs away with ease. Additionally, the Transcend 3 comes with universal power adapter for the entire world. No need to source adapters and connectors.

Transcend 3 Pros:

  • Less costly than high end models– The Transcend 3 gives you the ability to travel much easier than with a home CPAP at a very affordable price.
  • Simple use and design– There are no special bells, whistles, settings or buttons. This Travel CPAP is as simple as on and off.
  • Universal power supplies– The adapters for all mainstream areas in the world are included. Hit the road to the UK, or to India without having to purchase extra electrical adapters.
  • Universal connection– It incorporates a standard 22mm connection. This means that you can use any standard CPAP tubing as well as any CPAP mask. No Special parts needed.

Transcend 3 Cons;

  • No reporting ability– There is no special app or easy to use compliance software. If you need compliance reporting, this may not be the model for you.
  • A bit more audible– I can’t say that the transcend 3 is loud, it just isn’t as quiet as the higher end models. If you are a very light sleeper or sleep next to one, you should consider the noise level.
  • No humidifier option– Somnetics no longer makes a heated humidifier for this model. This means that you can only use an HME (heat moisture exchanger) for humidification on this Travel CPAP.

Z2 Travel CPAP

The Z2 Travel CPAP is another very lightweight and small device. It weighs just .5 lbs and is just 6.3″ X 3.5″ X 2″ dimensionally. You would probably have an easier time losing it in your travel bag than noticing that it was there. It does have Bluetooth for connection to the nitelog app where you can track your results. It also has a universal 22 mm connection so that you can use any mask on the market with your Z2.

Z2 Pros:

  • Very small and lightweight– You really can’t get much smaller or lighter in the CPAP world. This is a great option for those with limited space or weight restriction while traveling.
  • Affordable pricing– The Z2 is a great mid-level priced Travel CPAP. It is affordable and still has some great features that make it very modern.
  • Universal connection– With the universal adapter the Z2 Travel CPAP can connect to any standard tubing and CPAP mask.
  • Great battery setup– The Z2 power shell integrates really well with the Z2 and will run the CPAP up to two nights without power.

Z2 Cons:

  • Can be a little loud– The Q-tube adapter (included with Z2) helps, but we have had enough noise complaints on this model to mention that for sure.
  • Different algorithm– In the auto mode we have had a few customers that did not like the way that it adjusted to their breathing. You do have the option of setting your algorithm to be more or less aggressive, but many have had trouble navigating that setting.
  • Not a great primary unit– We have not had a very good track record on this unit when used as a primary unit. Great for travel, but not so great if you work it too hard.
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  • By Clay Rollyson
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AirSense 11 CPAP

ResMed has officially introduced the new AirSense 11 CPAP. Luckily, here are CPAPmyway we were able to participate in the limited early release of the AirSense 11. This has allowed us to get feedback and experience with hundreds of customers on this new CPAP. Some of these customers were first time users, and many of them are long-time users that have upgraded. Reviews so far have been great, and we expect that feedback to continue. This new CPAP is much smaller than the previous model which means that it gives you a bit more space on the nightstand. It has a much more modern design and features a great new touchscreen.

What’s new on the AirSense 11 CPAP:

When ResMed was designing the AirSense 11 they had a problem. The AirSense 10 has been one of the most loved CPAP machines of all time. So how can you improve something without throwing out all the things that everyone loved about the original. Well, ResMed figured it out. The AirSense 11 has some striking upgrades as well as some really nice similarities to what we loved about the AirSense 10. ResMed kept the front-facing screen which is very popular, the integrated humidifier system, and simple operation.

AirSense 11 Upgrades:

  • Full color touchscreen allows you to navigate the patient level menu with ease. Touchscreen is a must on pretty much all devices today. My kids don’t even understand what is happening when they can’t navigate a menu with touchscreen.
  • Over the air communication allows the AirSense 11 not only to communicate compliance and therapy data with ease, but also low allows for software upgrades wirelessly as well.
  • Smaller footprint on the nightstand– The Air11 is about 25% smaller than the previous model. Meaning you have more space for all those other things you keep on the nightstand. Additionally the smaller footprint allows for a smaller travel case. Saving you room and effort when traveling.
  • 3 CPAPs in one– The Auto version of the AirSense 11 features not only the ResMed Auto Titrating CPAP algorithm, but also can be run in fixed CPAP mode and AutoSet for her Auto Titrating mode.

How to change the settings on my AirSense 11:

There are a few settings that allow you to personalize your AirSense. Some of these functions may not be available if they have been restricted by the provider. In order to make the changes you must first access the menu by tapping the “My Options” selection on the Home screen. Next you would tap the parameter that you wish to change. Then tap the setting you wish to change to and then tap OK to confirm the change. You can also tap Cancel to go back to the previous screen.
  • Ramp Time: Period during which the pressure increases from a low start pressure to the prescribed treatment pressure. Ramp Time can be set to Off, 5 to 45 minutes (in 5-minute increments), or Auto.
  • Pressure Relief: When EPR (Expiratory Pressure Relief) is enabled, you may find it easier to breathe out. This setting can help you get used to therapy.
  • SmartStart: When SmartStart is enabled, therapy starts automatically when you breathe into your mask.
  • SmartStop: When SmartStop is enabled, therapy stops automatically after a few seconds when you remove your mask.
  • Mask Fit: This function helps you assess and identify possible air leaks around your mask.

How to Set Up your AirSense 11 CPAP:

  1. Place the Air11 on a stable and level surface
  2. Connect the power cord into the power inlet at the rear of the device. Connect one end of the power cord into the AC adaptor and the other end into the power outlet. Ensure the device is set up and connected to power to enable settings to be applied wirelessly to the device if required.
  3. Connect the air tubing firmly to the outlet connector at the rear of the device.
  4. Open the humidifier tub and fill it with water.
    • The humidifier tub must be removed from the device before adding water.
    • If using the HumidAir 11 Cleanable water tub, use drinking quality water (potable).
    • Fill the water tub up to the maximum water level mark. The humidifier tub has a maximum capacity of 380 mL.
  5. Close the humidifier tub and insert it into the side of the device.
  6. Connect the free end of the air tubing firmly onto the assembled mask.

How to Clean and Maintain your AirSense 11:

Many CPAP users have their own methods and habits for maintaining their CPAP machines. Our opinion is that if you have had no issues with your current methods for cleaning and maintaining your CPAP, then you can apply those same methods to the new AirSense 11 without concern. However, there is a “right way” to Clean and Maintain your CPAP according to ResMed. Below is the ResMed recommendation. All of this can be found in the ResMed AirSense 11 User Manual as well.

Daily: 

  1. Empty the humidifier tub and wipe it thoroughly with a clean disposable cloth. Allow it to dry out of direct sunlight.
  2. Refill the humidifier tub.
  • If using the HumidAir 11 Standard water tub, use distilled water only
  • If using the HumidAir 11 Cleanable water tub, use drinking quality water (potable).

Weekly:

  1. Wash the components as described:
    • Air tubing – in warm water using a mild dishwashing liquid.
    • Humidifier tub – in warm water using a mild dishwashing liquid OR in a solution with a ratio of 1 part vinegar and 9 parts water at room temperature.
    • Outlet connector – in warm water using a mild dishwashing liquid OR in a solution with a ratio of 1 part vinegar and 9 parts water at room temperature.
    • Components should not be washed in temperatures higher than 131ºF (55ºC).
  2. Rinse each component thoroughly in water.
  3. Allow to dry out of direct sunlight or heat
  4. Wipe the exterior of the device with a dry cloth.

Notes:

  • The humidifier tub and outlet connector may be washed in a dishwasher.
  • Do not wash the air tubing in a dishwasher or washing machine.
  • The air filter is not washable or reusable.

Click here to learn about AirSense 11 Humidifier System

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  • By Clay Rollyson
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Luna 2 CPAP Download:

For many CPAP users downloading the data from your CPAP is very important. So, whether you need a compliance report for your DOT medical card, your doctor follow-up, or just to see for yourself, we can help. The Luna 2 CPAP has a really nice web-based platform that will allow you to download the clinical and usage details from the CPAP. From there you can create summary reports that will provide everything that you need.

How to Download the Luna 2 CPAP:

Step 1:

Remove your SD card from the back of the Luna 2 CPAP. It is located directly behind the screen at the top of the machine.

Step 2:

Insert the SD card into your computer. You may need an adapter if your computer does not have a SD card slot. The computer must also be connected to the internet so that you can access the website.

Step 3:

Open a web browser (edge or chrome work well) and go to www.icodeconnect.com. There you can click on the “quick report” button.

Step 4:

Enter your information in the “Patient information” section. Then enter the start date. This date would be the date that you originally began using the Luna 2. If you don’t know the exact date and it has been longer than the date span that you need for the report. Then it is ok to estimate the date.

Step 5:

Click SD card radio button and then press the next button. This will bring you to a page to select the file where your SD card is located.

Step 6:

Navigate to the location of the data card and double click the file to upload the data. After that you simply click “next” to import the data to the cloud.

Step 7:

You should now see a summary page showing you the data from the download. To create the report from this data you will select your date range and click the “generate report” button. You will now see a PDF compliance and therapy report from your usage on the Luna 2 CPAP.  
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