Cover for CPAP hose on a Philips Respironics DS400S

[Stevoreno_55]

I've been using a Philips Respironics DS400S CPAP machine with C-Flex for 6 years and really wish my hose was a heated one; it's just a standard one. I spoke to someone at CPAP.com a month ago asking if I could purchase a heated hose for my machine; they said I could not; I could either upgrade to a Philips Respironics DS460S CPAP machine or I could buy a hose cover and cover my hose. They sell several covers on their website; are the covers any good? My pressure is 18cm and to date I have never experienced rainout; if I purchase a hose cover to cover my current hose will covering the hose increase my chances of experiencing rainout or not? My current hose is a standard 6 foot hose and I keep my room temperature pretty cool during the winter; around 70F at night.



Stevoreno_55
MS Gulf Coast
03/31/14

[Pugsy]

You actually could use this stand alone heated hose but if you are really getting a new machine I wouldn't spend the money now.
https://www.cpap.com/productpage/hybern ... -hose.html
It only warms the air...doesn't allow for humidity adjustment like the 60 series heated hose machines do.
I bought one a while back from EBay when my machine was an older machine that didn't have heated hose option like your M series machine. It does work well.

The hose covers..cozies..do help reduce rain out because they insulate the hose so that the air doesn't cool as much and it is the cooling that releases the moisture in the air in the hose.

If you have never experienced rain out...I wouldn't bother with the hose cover because that's the main reason to use one.
Padacheek.com has the best hose cozies though.

If you have never experienced rain out...I don't know why you want a heated hose or hose cozy unless you just want warmer air in general coming to your face.

[Stevoreno_55]

You actually could use this stand alone heated hose but if you are really getting a new machine I wouldn't spend the money now.
https://www.cpap.com/productpage/hybern ... -hose.html
It only warms the air...doesn't allow for humidity adjustment like the 60 series heated hose machines do.
I bought one a while back from EBay when my machine was an older machine that didn't have heated hose option like your M series machine. It does work well.

The hose covers..cozies..do help reduce rain out because they insulate the hose so that the air doesn't cool as much and it is the cooling that releases the moisture in the air in the hose.

If you have never experienced rain out...I wouldn't bother with the hose cover because that's the main reason to use one.
Padacheek.com has the best hose cozies though.

If you have never experienced rain out...I don't know why you want a heated hose or hose cozy unless you just want warmer air in general coming to your face.

I have never experienced rain out before but back in January 2014 when we had crazy cold temps here I didn't want to ramp the heat up in my house so for about a week the air coming through my hose felt like AC cooled air and my nostrils were irritated for a few nights even with my machine's HH set to it's max setting of 5.

[Pugsy]

Ahh...what I called "ice cube nose"...I had that happen and was one of the reasons I bought the Hybernite heated hose when I did. With my preferred bedroom temp even maxing out the humidifier setting didn't warm the air enough and I woke often with the cold nose.
Hose cozies will help but they also add weight to the hose so it sort of tugs on the nasal pillows a bit.
Using the Hybernite allowed me to have the warmth without the weight...plus I was having some rain out issues so I solved 2 problems with it.
Now that I have a machine that offers a heated hose that is integrated ...it's really nice.

[Stevoreno_55]

Ahh...what I called "ice cube nose"...I had that happen and was one of the reasons I bought the Hybernite heated hose when I did. With my preferred bedroom temp even maxing out the humidifier setting didn't warm the air enough and I woke often with the cold nose.
Hose cozies will help but they also add weight to the hose so it sort of tugs on the nasal pillows a bit.
Using the Hybernite allowed me to have the warmth without the weight...plus I was having some rain out issues so I solved 2 problems with it.
Now that I have a machine that offers a heated hose that is integrated ...it's really nice.

I would probably like that feature as well.

O.T. question: My new DME's RT brought some of my new CPAP supplies out last week; the rest are being shipped to me. For years I've been using a standard CPAP hose; I don't know what the diameter of my old hose was but last week the RT brought out a narrower hose which I like much better. Does the diameter of a CPAP hose have an affect on the pressure once it leaves my CPAP machine and makes it to my mask? Both hoses are 6 feet long; my current pressure is 18cm; now that I'm using this new hose that's slightly smaller in diameter; that shouldn't affect the pressure reading once it reaches my mask now should it? I asked the RT that question last week; she said she didn't think so. I'm just curious.

[Pugsy]

Diameter of the hose is important.
That's why there are settings on these new machines to specifically set a hose diameter. Incorrect hose diameter setting will affect pressures delivered.

[Stevoreno_55]

I went to check the bag that my new slim hose came in and it's this one which CPAP.com sells:
https://www.cpap.com/productpage/resmed ... ubing.html

It clearly states on my bag that this hose is to be used "only" with ResMed S9 Series CPAP, BIPAP and VPAP(?) machines; it does not say anywhere on the bag that it can be used on other branded CPAP machines like Philips Respironics. Looking at hoses on CPAP.com my old 6 foot hose must have been a 22mm diameter hose; this slimline hose that I have now; a ResMed part #36810 hose according to CPAP.com is a 15mm diameter hose. Nowhere on my bag does it list the hose's diameter; you think that it would and it should.

[Stevoreno_55]

Diameter of the hose is important.
That's why there are settings on these new machines to specifically set a hose diameter. Incorrect hose diameter setting will affect pressures delivered.

That's what I thought and apparently this RT who I'm dealing with doesn't know that. I'll be contacting them tomorrow about it. A smaller diameter hose would affect my machine's pressure how? By reducing it? If the old 22mm diameter 6 foot hose was delivering 18cm of pressure a smaller diameter hose could be delivering 16cm of pressure? If it clearly states on the ResMed bag not to use this hose except with ResMed S9 machines the RT should have brought me a standard non-heated 22mm diameter hose. I've never played with any of the settings on my Philips Respironics DS400S machine but before I stir things up with my new DME should I first check my owner's manual to see if my DS400S machine can use a 15mm slim line hose vs a 22mm standard sized hose? I tried to contact Philips Respironics once; they were not patient friendly; the lady in customer service told me they only speak to DMEs; she told me to call my DME who at the time I called Philips Respironics I did not have a DME.

[robysue]

Stevoreno_55,

Your old standard hose is indeed a 22mm hose. And the older machine that you are using does not allow one to chose between hose sizes. (The newer Series 60 System Ones do allow you to choose the hose size.) As pugsy said, using the smaller hose will affect the pressure the machine delivers at the mask end of the tube. So it's not a good idea to use the smaller hose on a machine that does not have a hose setting.

The DME that sent you a 15mm hose for an older machine should be told that your machine cannot use this hose. And they should replace the hose with one of the correct size.

Finally another idea for dealing with the occasional rainout when the bedroom is cold: Run the hose under the covers next to your warm body. That can also help keep rain out at a minimum.

[Stevoreno_55]

Stevoreno_55,

Your old standard hose is indeed a 22mm hose. And the older machine that you are using does not allow one to chose between hose sizes. (The newer Series 60 System Ones do allow you to choose the hose size.) As pugsy said, using the smaller hose will affect the pressure the machine delivers at the mask end of the tube. So it's not a good idea to use the smaller hose on a machine that does not have a hose setting.

The DME that sent you a 15mm hose for an older machine should be told that your machine cannot use this hose. And they should replace the hose with one of the correct size.

Finally another idea for dealing with the occasional rainout when the bedroom is cold: Run the hose under the covers next to your warm body. That can also help keep rain out at a minimum.

I will deal with this tomorrow but why would that RT bring out the wrong type of hose? I just looked at the connectors and it says "Slimline" and I'm sure this hose if I had to pay for it cost more than a standard 22mm diameter 6 foot hose because I compared prices on CPAP.com. I had to speak to the DME yesterday about a bill I received for 2 disposable filters for my machine; the bill was for $15.60 for a pack of 2; I just received those filters last week and a claim hasn't been filed with my insurance company yet. The DME's office told me to ignore the bill; I told them I planned to ignore the bill. First a bill and now the wrong size of CPAP hose; I'm now trying to get use to a ResMed Quattro Air FF mask which I don't know if that FF mask will work with the larger 22mm diameter hose. I'm glad this board is here with the wealth of resources available because how would some of us know what's right and what's not right without coming here and asking first.

[Guest]

I will deal with this tomorrow but why would that RT bring out the wrong type of hose?

seriously
so you think you have a collection of mind readers at your disposal
how convenient

[Stevoreno_55]

I will deal with this tomorrow but why would that RT bring out the wrong type of hose?

seriously
so you think you have a collection of mind readers at your disposal
how convenient

What is your problem Guest or should I say Troll?

[Stevoreno_55]

I contacted my DME yesterday morning about the slimline hose; their RT brought a 22mm diameter one out late yesterday to replace the 15mm slimline one I received from them last week. While the RT was here yesterday she checked the pressure on my machine; it's supposed to be 18cm; her device recorded a reading of 13cm so she's coming back next week to bring me a loaner to use; she plans to take my machine and ship it off to Philips Respironics to have them check my machine's pressure reading and to also check my machine's heated humidifier to see if it's still working properly. If Philips Respironics's estimate to repair my machine is more than $200.00 my RT recommended yesterday to try and get a new machine to replace my old one. The RT has recommended a ResMed S9 Elite Autoset with a heated humidifier and heated hose; if I can't get that one I'd settle for a ResMed S9 Elite regular CPAP machine with a heated humidifier and heated hose and the new machine set to a pressure reading of 18cm. I have an appointment with the doctor next week and I plan to discuss this with him then.



Stevoreno_55
MS Gulf Coast
04/02/14

[Stevoreno_55]

My RT came back out to the house yesterday with a CPAP machine loaner; a ResMed S9 Elite; no autoset but a straight CPAP with a heated humidifier; no heated hose; just a standard slimline hose and a new nasal mask for me to try out. This ResMed S9 Elite looks nice although it runs much quieter than my Philips Respironics DS400S machine which the RT took away yesterday and planned to contact Philips Respironics tomorrow or early next week to find out from them what they; Philips Respironics; will charge to check my machine out. I tried to do that myself last month but Philips Respironics quickly told me they don't deal with patients; only DME's. What would be a declared value on a 6 year old Philips Respironics DS400S CPAP machine if I shipped it to another company myself to have it checked out? Around $250.00 to $350.00 for a declared value so I can insure it before shipping it?



Stevoreno_55
MS Gulf Coast
04/03/14

[Bama Rambler]

Unfortunately a six year old machine isn't worth nearly $250. My guess would be in the neighborhood of $100.
SecondWindCPAP has the DS400S listed for retail at $199.

I regularly see latest model machines on Craigslist for $200 to $300.