I have read with some interest very opposing opinions on the need to clean parts of these machines. I'd like to add my findings to the issue, and hope that this may benefit some members. I need to say up front that I am a retired dentist, and am current on sterilization protocol.
Attached are two photos: one of my Dream Station reservoir, and the other of two cotton swabs. The reservoir shows water beading because I had just emptied it to show the visually clear/clean appearance. Note that this reservoir is only filled with distilled water, and this photo shows the appearance at 1 week after the last "cleaning". The swabs show obvious orange/red mold that was obtained from the sharp internal angles and corners of the reservoir.
When the distilled water was emptied from the reservoir, this reservoir showed no obvious discoloration that might be concerning...IOW, it looked perfectly clear and clean. However, once the cotton swabs were rubbed into the internal corners and sharper angles, the presence of mold was noted.
The ideal environment for mold is heat and moisture, and that perfectly describes a PAP reservoir. The argument that all parts of a PAP machine are ''closed" and do not need cleaned is not valid. You have to open the machine to refill the reservoir, mold spores are commonly found in the air, and unless you are gloved up and in a sterile gown, simply touching the reservoir to fill it may introduce some spores to that surface. Then, you put the reservoir back into the machine and any mold spores are now in a perfect culture medium for growth.
My experience is purely anecdotal, and your machine or experience may be different. If you are comfortable with what you are doing, then disregard everything that I have written. If you are not sure , then try this "swab test" on your own reservoir.
Zack

