Do Not Use Tubing Wrap With S9 ClimateLine Heated Hose

[jdm2857]

I don't know what the wrap cost and if it is worth the bother, but it occurs to me that since ResMed now says that the product is not fit for the purpose for which it was sold, you should be able to return it to your supplier who in turn should be able to return it to ResMed.

(Sorry, Johnny, if I am creating a headache for you.)

[DreamOn]

Elena, I could be mistaken, but as I recall you didn't purchase the blue ResMed Tubing Wrap that was made specifically for the SlimLine/ClimateLine hoses. You have a fleece Hose Huggie cover (or something similar) that was made for regular-sized hoses, yes? You could use that with the SlimLine or a regular hose. I've had good results with the S9 machine using a regular hose with a hose cover (Manual Humidity, set to 5.0 or 5.5 -- my room humidity is 55-60%). Just be sure to change the Tube Type to Regular on the machine's menu if you do that.

I wonder if it's not recommended because it interferes with how it works, or because there is some danger to using it.

The SleepZone (Aussie) heated hose doesn't have temperature/humidity sensors like the ClimateLine does. They don't recommend covering their hose either. My guess is that this is for liability reasons due to the remote possibility of overheating, but who knows. You would think that ResMed would have something built inro the ClimateLine system that would shut off heating if the tubing did get too warm!

I had noticed that ResMed's Tubing Wrap is fleece on the outside, lined with nylon. I assume they made it that way so the cover would slip on easier, but I wonder if the nylon is a potential problem? Nylon melts, doesn't it? Perhaps ResMed is simply redesigning the Tubing Wrap?

I've been using the ClimateLine heated tubing for about a week, and I have never felt even a hint of warmth on the tubing. Has anyone else??? The highest I've set the temperature manually so far is 78°F. Maybe I wouldn't feel any warmth in the hose unless it's set quite a bit higher? I'm not even sure if it's working at this point!

[Malibu]

I've been using the ClimateLine heated tubing for about a week, and I have never felt even a hint of warmth on the tubing. Has anyone else??? The highest I've set the temperature manually so far is 78°F. Maybe I wouldn't feel any warmth in the hose unless it's set quite a bit higher? I'm not even sure if it's working at this point!

I too have never felt any warmth from the hose and I have tried the temperature all the way up to 82F. I have two machines with 3 climate line hoses with the same results no matter how I switch them around.

I'm thinking the water tank to achieve the 80 percent humidity in the auto mode probably warms the air to a certain degree. The hose just seems like it's needed if the humidified air doesn't reach the target temperature of what you set by the dial.

I use the old huggie cover I had on my regular size tubing. I think without that cover to protect the thin plastic, especially the way I hang mine from above the head board, I would be replacing mine often from tears and rips.

The Aussie hose I have used definetely gets warm but then it doesn't have any regulation to it short of you physically lowering the 12 volts down to say 9 etc. by using a different transformer.

I would hope that if there were truly a safety recall situation that all of us that have purchased climate line hoses with or without the cover would be notified as such.

Marc

[DreamOn]

I've been using the ClimateLine heated tubing for about a week, and I have never felt even a hint of warmth on the tubing. Has anyone else??? The highest I've set the temperature manually so far is 78°F. Maybe I wouldn't feel any warmth in the hose unless it's set quite a bit higher? I'm not even sure if it's working at this point!

I too have never felt any warmth from the hose and I have tried the temperature all the way up to 82F. I have two machines with 3 climate line hoses with the same results no matter how I switch them around.

I'm thinking the water tank to achieve the 80 percent humidity in the auto mode probably warms the air to a certain degree. The hose just seems like it's needed if the humidified air doesn't reach the target temperature of what you set by the dial.

I use the old huggie cover I had on my regular size tubing. I think without that cover to protect the thin plastic, especially the way I hang mine from above the head board, I would be replacing mine often from tears and rips.

The Aussie hose I have used definetely gets warm but then it doesn't have any regulation to it short of you physically lowering the 12 volts down to say 9 etc. by using a different transformer.

I would hope that if there were truly a safety recall situation that all of us that have purchased climate line hoses with or without the cover would be notified as such.

Marc

Thanks for that info regarding the ClimateLine, Marc! I've really struggled with the humidifier settings on the S9. When using a regular hose with the S9, I had to turn the humidifier up to Manual setting of 5.0 or 5.5 (out of a maximum of 6.0) to feel any moisture at all. With the humidifier on my S8 machine, I couldn't go above 1.5 or 2.0 without getting rainout!

I'm still trying to figure out the ClimateLine tubing. When the air is too dry I tend to mouth-breathe more, so I like to feel a bit of humidity. I get no noticeable humidity at all when it's set to Auto. When set on Manual at 76°F and 5.5 (almost the maximum!), I only feel slight moisture. Perhaps it's my climate? Room temp at night is probably about 70°F, and my room humidity is a tad on the high side, at 55-60%. Maybe I'll try increasing the temperature in Manual mode and see if that makes any difference.

I also have used the Aussie heated hose (with my S8 Elite II machine). As you said, it definitely got warm! I expected that the ClimateLine would do the same and it hasn't.

I'm curious....does anyone feel warmth on the ClimateLine tubing itself? If so, at what setting?

[AndrewB]

My hose cover has been on back-order from my supplier for months - it was intended to cover the slim-line hose on my S9.

I suppose I'll have to get out my old spool knitter before winter comes back to Canada.

[DreamOn]

My hose cover has been on back-order from my supplier for months - it was intended to cover the slim-line hose on my S9.

I suppose I'll have to get out my old spool knitter before winter comes back to Canada.

I would think that any hose cover would be fine on the SlimLine hose, as long as it isn't too heavy. In fact, from that same email from cpap.com that I referred to earlier:

"If you intended to use the Tubing Wrap for S9 Series with the SlimLine Tubing, we would like to offer you the option of receiving a SnuggleHose which is compatible with the SlimLine Tubing."

The SnuggleHose is a fleece cover, similar to ones found elsewhere: https://www.cpap.com/productpage/snuggl ... cover.html.

I knitted the hose cover for my regular hose (which I have used with my S9 machine) using a Knifty Knitter, which is a spool-type knitter. I used very thick yarn (with a tight knit), so it is quite heavy, but it's very effective! It's too heavy for my SlimLine, though.

[Malibu]

There is a complete topic on this forum under something like "My H5i is not working" which I visited (when I find the link I will post it) as I was having the same things happen to me as you are such as the humidifier didn't start working until 5.0

If I wouldn't have had 2 machines to compare side by side, I would have to say one of my S9's was defective. However they both did the same thing when it came to the humidifier, as was brought up in that discussion on H5i's not working.

I did a test of all the settings starting at 1.0 going up. Each time was a 10 minute warm up period. The plate didn't start getting warm until 5.0...both machines. I do know from testing that room humidity has allot to do with the plate temperature. At 6.0 and 40 percent room humidity, 74F temperature, the plate temperature was 112F. Since it was a humid summer day a few weeks ago, I opened the bedroom windows (wife didn't like my idea!) and flooded the room to 68 percent humidity and 74F temperature. The plate was 88F. Both machines exhibited the same result.

So to that conclusion, it appears that humidity does play a part in how the machine heats the plate. Not sure what it takes to make 1.0 to 2.0 warm? Maybe 10 percent humidty like in winter?

It's totally backwards compared to my Remstar Auto Tank (5 year old version). At 2 on the humidifier you felt like you were in Southern Florida on a summers day!

However I will say this is the best sleep I have had in a long time. Constant temp/humidity and it is almost totally silent!

Marc

[Uncle_Bob]

I've been using the ClimateLine heated tubing for about a week, and I have never felt even a hint of warmth on the tubing. Has anyone else???

Nope

My fleece cover is going back on tonight.

[Uncle_Bob]

I couldnt get my hose cover on that slimline hose anyway...

Why not?

If like most people you have trouble getting the cover over the rubber connectors then try putting a plastic grocery bag over the connector to help the cover slide over it easier.

[DreamOn]

Yes, Marc, I have read that thread (and all the others regarding the ClimateLine/H5i). I was aware of the humidity "issues" with the S9 from the reports of others before I bought my machine, so I was prepared to make some adjustments. I have had pretty good results using my regular hose with humidity set at Manual (not Auto), but I also didn't get any moisture/warmth until it was set to 5.0. It seems like a very strange design to me.

I have used both the H4i and Fisher & Paykel HC150 humidifiers (with my S8 Elite II) and I got oodles of moisture at low settings. The H5i produces nothing at all below 5.0 for me. And I haven't been able to get any noticeable humidity using the Auto setting (yet, anyway). Experiments will continue, though. It'll be interesting to see if there's any difference during wintertime.

I've had excellent results "by the numbers" with the S9, but I actually have felt more tired during the day than I did with the S8 Elite II, using the same pressure setting. My sleep quality isn't as good (yet), as I am awakening more often. But I think the humidifier challenges have had a lot to do with that. I'll get there! I haven't tried APAP mode yet, but that's on my list after I nail down the humidity.

I'm glad that I purchased the S9. Just having the ability to discern whether an apnea is central or obstructive has helped me to figure out some things that were mysteries with the S8. Turns out that the few apneas that I do have are centrals (which pressure can't clear).

[KC5cychris]

I'm still amazed that I saw some posts here where folks take heat-tape to their hoses...

roman search cheap heated hose, cool alternative to climate line

[Malibu]

I had the same problem initially getting a worse night sleep compared to my Remstar Auto.

What I did find, which is also totally backwards from my Remstar Auto is how the exhale pressure system works.

I put my pressure tube (water column pressure guage bought from cpap.com) to check for accuracy on the S9 which I had set to 9cm, and noticed it said 8.0

I thought what the heck?

Second machine same thing...

I had EPR set to 1. 1cm less but in Resmed, your static pressure while not breathing in for example if you set it to 9cm, is actually 8cm and goes up to 9cm either medium or fast to 9cm when you inhale.

Setting EPR to 2 and 3 netted a static pressure of 7 and 6cm on the guage.

Remstar Auto measures 9 if you set it to 9 and then decreases the pressure on exhale depending on how hard you breath out and which C-Flex number you have it set at.

I noticed on the data that I had more snores and flow limitations on the S9 at 9 than on the Respironics at 9 (I realize the S9 and Remstar auto are 2 different things with 2 different ways of reporting data)

Just for experimenting sake...I raised the S9 to 10cm and EPR of 1 and of course the static pressure was 9cm.

After several days of looking at the data, raising the S9 1cm netted the same good data I had with the Remstar and I felt a ton better.

Just my two cents worth here...

Marc

[DreamOn]

That's interesting, Marc. I don't use EPR on my S9 Autoset. I didn't use it on my S8 Elite II either, except at the very beginning. Set pressure is/was 8 on both machines.

My AHI numbers are better overall with the S9, probably due to the different way that the S9 scores hypopneas vs. the S8. I've used the S9 for 16 nights now. Two of those nights I had AHI of 0. All the other nights with the S9 have been AHI < 1.0. With the S8, my AHI was usually between 1.0 and 2.0, almost all hypopneas.

Interestingly, my AI is actually a bit higher on the S9 than the S8. I had many zero-AI nights with the S8. So far, all apneas have been centrals with the S9 -- no obstructive apneas. They seem to be sleep-stage or arousal-related, and only a few each night, so they're of no concern. The S8 couldn't differentiate between central and obstructive apneas, but I suspect they were almost all centrals as well since increasing the pressure wasn't eliminating the few I was having.

After I get the humidity just right, I'm expecting that I'll sleep a little better. Once things settle down, then I'll try out the APAP mode, setting the pressure 6-9 to start. I suspect I'm going to find that my titrated pressure of 6 was probably correct after all. If so, I may go back to that for a while.

I've kept good notes during my 8 months of CPAP use, so it'll be interesting to compare everything. I feel like I've been backsliding lately, with some return of daytime/early evening fatigue that had been eliminated, but I'll get back to where I was. Life always has ups and downs. I love a good challenge!

[Dennisla]

I used my new S9 CilmateLine hose for the first time last night. It was rainout city!
It woke up three different times hearing the gurgling in my hose and had to empty it out.
It was set to Auto and on 80 Degs f. For the first night I was not impressed with a $50+ usd hose!

Dennis

[roncron]

In case anybody's wondering:

Cpap.com customer support says it's okay to use snugglehose covers with S9 ClimateLine hoses.