2 Questions related to getting a new machine

[markrb]

I am going to be getting a new CPAP machine tomorrow. I have searched the forum extensively and can't find what I am looking for. Maybe my word choices for the search were not the best.
For reference I am coming from a F&P Icon and the noise from that didn't bother me too much.

I think I am going to go the refurbished online route, but I am meeting with a DME tomorrow to weigh my options. I think the DME will end up, even with insurance, to be too much or the insurance will force a machine I don't want on me.

1st question. I know this can be touchy as everyone has their preferences, but I am hoping there is a bit of a consensus.

Should I get:
1. Airsense 10 elite
2. Dreamstation Pro


I am not a heavy sleeper and whining or high pitched noises really bother me. Air Whoosh does not so much.

Looks like the Airsense would cost about $130 more for the same 1 year warranty from the sites I looked at.

2nd Question. Could you list reliable honest online refurbished sites?


Thank You,
Mark

[Dog Slobber]

Should I get:
1. Airsense 10 elite
2. Dreamstation Pro

Neither.

Get an Auto adjusting machine.

I know this can be touchy as everyone has their preferences

Not touchy, and not just a matter of personal preference.

Auto machines:

• Help self-titrate
• Deliver the amount of pressure needed at the time
• Accommodate to our changing pressure needs during the night and from night to night. Our needs can change because of position, sleep stage, medication, alcohol, weight
• Adjusting pressure can help reduce Aerophagia
• Can be run in standard CPAP

Now which APAP Machine.
Either the Resmed Airsense 10 AutoSet, or Resmed Airsense 10 AutoSet for Her.

[markrb]

I get the auto is a possible choice, but for now I want to stick with standard.
I had an auto before and in auto mode my AHI was always worse.
A straight 10 with no adjusting has proven better for me.
Plus if I do go auto eventually I figure the choice would slide directly over.
Airsense to airsense auto, etc....
Also cost is a huge issue. I want to keep cost down without loosing too much.
Thanks,
Mark

[metsfan302]

Get the resmed one and from second wind cpap or look at your local craigslist or even facebook marketplace

[markrb]

Been doing some reading. Looks like I can't use a Resmed after all.
I need a 10 foot tube (6 feet is way too short) and humidity and according to what I read Resmed says it can't do both.
My F&P had no issue with both.

Mark

[Pugsy]

Humidity has nothing to do with length of the hose.

All it means is you can't use a heated hose that is longer than 6 ft because nobody makes one.
Respironics doesn't make a heated hose longer than 6 foot either.

You can use a 10 ft hose with a ResMed machine and still use any humidity setting you want or need.
Chances of condensation might increase depending on humidity setting and the ambient bedroom air temp but that's about it.

You don't have to use a heated hose with any machine if you don't want to....no matter what humidity setting you prefer.

[metsfan302]

I have found I no longer like warm air and have turned the humidity and temp off

[BlueDragon]

I get the auto is a possible choice, but for now I want to stick with standard.
I had an auto before and in auto mode my AHI was always worse.
A straight 10 with no adjusting has proven better for me.

The Airsense 10 Autoset can be set in "standard" (fixed pressure) CPAP mode. So if you get an Autoset, you also have "standard" as an option in the settings. Whereas if you get a "standard" CPAP (like the Elite), and you later need adjustable pressure, you will need a new machine instead of just being able to change the setttings.

[markrb12]

I called and asked Resmed about the 10 foot hose situation and they said they do not support 10 foot hoses officially.
They do not make anything and support anything, but 6 foot hoses.
What this means in actual use who knows.

I get what is being said here that it shouldn't matter, but the article I read said the added length interferes with the feedback and the pressure drops.
One person stated they were on 11 and when they tested it with a 10 foot hose it dropped to 8.
They were able to get the 11 they needed by adjusting the machine to 14.
So there is a workaround if this is true.

So maybe my best option is to get a machine through the DME and with them I can return it if it doesn't work.
If it does work I will keep it so long as it isn't much more expensive.

So Resmed has become number one, but if I am unable to prove that a 10 foot hose will work correctly with the machine I will call and ask about the Dreamstations ability.

[realshelby]

I can understand the physics of why a 10 ft hose isn't going to work as well as a shorter hose. Especially with an auto adjusting machine. It would be true that you could make up for loss by increasing pressure on a fixed pressure setup.

I do wonder why you are set on a 10" hose? I assume it is due to something physically making the machine too far away.

Good used Resmed Airsense 10 Autoset machines are around for under $450 here on occasion. I personally would rather have one in case I found I might do better on variable pressure. After all, the Autoset will work on fixed pressure just fine too.

[Pugsy]

I think Palerider uses a 10 foot hose but I could be wrong with this ResMed machine and I think he has tested the pressure delivered if I remember correctly and the slight drop with the 10 ft hose wasn't a big deal.

He will probably be around later tonight and comment on it.

My understanding is that 10 ft is about as long as most people will push it unless they really need more and then if they do they verify the pressure at the end of the hose with a manometer.

[palerider]

I called and asked Resmed about the 10 foot hose situation and they said they do not support 10 foot hoses officially.
They do not make anything and support anything, but 6 foot hoses.

And yet, Resmed bilevel machines machines have "3 meter" hose settings.

It doesn't really matter for non-bilevel machines.

I get what is being said here that it shouldn't matter, but the article I read said the added length interferes with the feedback and the pressure drops/
One person stated they were on 11 and when they tested it with a 10 foot hose it dropped to 8.
They were able to get the 11 they needed by adjusting the machine to 14.

Yoiu can find just about anything on the internet, they probably had EPR turned on.

[markrb12]

My machine and forced routing around the bed makes a 6 foot tube too short.
I once found an 8 foot that just about made it and I could make that work if the hose attachment on the machine lines up.
I wish they put the hose attachment on the front that would help a bit in my situation.

That is great if Palerider uses a 10 foot hose with a humidifier. That would be solid confirmation that it can work.
I did know about the 3 meter setting, but was told (probably wrongly) that if the humidifier is attached you cannot select it.

I am taking my own mask to the DME tomorrow as it took me a long time to find the one that worked for me.
Maybe I should take a 10 foot hose too and have them do the setup with it.

My Doctor is not a big fan of these latest generation systems. He likes the ones from a few years ago. He says the new ones are too complicated and too many bells and whistles to break.
I think he just likes simple. Me, I can handle a bit of complicated, but I like to know all I can before making a purchase like this and at times my concerns may seem trivial, but they are important to me.
My financial situation forces me to research and ask to be as sure as I can that I am making the best most financially sound choice for me. $3000 in surprise repairs (house and car) and now to replace a dead machine. I have to get this right or get one I can return.
Things like autoset would be great, except I can't justify the cost given in 5 years I never had success using it. I also want a machine that will help me sleep and work to my potential. I have missed so much of life over the years due to exhaustion. It's time ti find a way forward.

I think I am getting there from some answers being seemingly grumpy, but probably more the old intent doesn't come across the written word as good as it does face to face situation.

One last note the first place I saw the restriction noted was on secondwindcpap.com.

I know this has taken some unexpected twists, but back to question 2 please.
What are some good reliable honest online refurb Cpap sites you could share.

Thank You,
Mark

[Pugsy]

I have never bought anything from a site that just sells refurbished machines nor have I ever seen it talked about much here.
Sorry...I am zero help with that question. No history nor do I know of any history to report on.

[palerider]

That is great if Palerider uses a 10 foot hose with a humidifier. That would be solid confirmation that it can work.
I did know about the 3 meter setting, but was told (probably wrongly) that if the humidifier is attached you cannot select it.

You were told wrong, I've been using a 3m hose for several years, with my bilevel set to 3m. With a 6 foot wide bed, a 6 foot hose is just too short for me to be able to roam.

My Doctor is not a big fan of these latest generation systems. He likes the ones from a few years ago. He says the new ones are too complicated and too many bells and whistles to break.

Your doctor is named Wulfman...?

I think he just likes simple.

Dinosaurs like dinosaurs. new machines are demonstrably better, they're quieter, lighter, smaller, and give better data.

Things like autoset would be great, except I can't justify the cost given in 5 years I never had success using it.

Almost new airsense 10 autoset, 435$ viewtopic/t174781/New-Almost-Airsense-1 ... -Sale.html

I also want a machine that will help me sleep and work to my potential. I have missed so much of life over the years due to exhaustion. It's time ti find a way forward.

Hobbling yourself to prevent progressive options doesn't sound like 'the way forward'.

I know this has taken some unexpected twists, but back to question 2 please.
What are some good reliable honest online refurb Cpap sites you could share.

See note above.