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Millions of adults in the U.S. live with sleep apnea, a chronic condition characterized by temporary loss of breath during the night. Sleep apnea can also cause excessive snoring. Sleep apnea may occur due to a physical obstruction blocking the sleeper’s airway and/or their brain’s inability to properly control muscles associated with breathing.
Although there is no cure for sleep apnea, many people find relief through CPAP, BiPAP, and APAP therapy. These forms of therapy involve machines that humidify and pressurize air, then deliver it to users through a breathing mask. This treated air can help open up the airway and reduce sleep apnea episodes. The connective hose is an indispensable component of CPAP, BiPAP, and APAP therapy because it links the machine to the breathing mask.
Connective hoses tend to wear out faster than other CPAP, BiPAP, and APAP components. As a result, many users must purchase replacement hoses in order to receive their therapy. Unlike machines, humidifiers, and breathing masks, the hoses do not require a prescription. Many replacement hoses are designed to be compatible with any standard CPAP, BiPAP, or APAP machine. Additionally, some hoses are heated to reduce condensation, which can negatively affect breathing. Others are collapsible for easier transportation.
Read on to learn more about how CPAP, BiPAP, and APAP hoses are made and designed to function, as well as some helpful tips for first-time buyers. Below, we’ll go over our top 4 picks for replacement hoses sold today. Our selections are based on verified customer and owner experiences, as well as our own product research and analysis.
SleepDirect Universal CPAP Hose
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Best Lightweight Hose
CPAP Shop Ultra Lightweight Hose
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Best Heated Hose
ResMed ClimateLine AirSense Heated Tubing
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Best Collapsible Hose
Innotech Collapsible CPAP Hose
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Most hoses for CPAP, BiPAP, and APAP machines are fairly affordable and designed for compatibility with most machines. We’ve selected this model from SleepDirect as our Editor’s Pick for several reasons. For one, it measures 10 feet in length. By comparison, most replacement hoses measure 6 feet. However, the SleepDirect Universal CPAP Hose does not have an excessive price-point. Most sellers offer this product for less than $20.
Universal compatibility is another benefit. The hose should fit the vast majority of CPAP, BiPAP, and APAP machines sold today. The tubing is made from plastic that does not contain any latex or BPA, both of which have been linked to health issues. Its low-memory design helps prevent kinks that block or compromise air delivery.
The SleepDirect Universal CPAP Hose is not heated. Amazon Prime members who purchase the hose on Amazon.com qualify for free one-day shipping, along with other potential discounts for account-holders.
CPAP, BiPAP, and APAP hoses can be somewhat bulky and difficult to transport, particularly for travelers. For our Best Lightweight Hose pick, we’ve selected the CPAP Shop Ultra Lightweight CPAP Tubing. Made from durable and latex-free materials, the tubing weighs 3.2 ounces, which equates to roughly 0.2 pounds. This makes it lighter than many competing hoses.
The tubing measures 6 feet in length and has cuffs designed to fit 22mm male ends, making it compatible with any CPAP, BiPAP, or APAP device with standard tubing. The tubing is constructed with helical walls to prevent kinking and preserve its lifespan.
The tubing is available for less than $5, making it highly affordable, as well. The CPAP Shop also offers a 90-day warranty with repairs and replacements for any defect.
Heated tubes for CPAP, BiPAP, and APAP machines are popular because warmer air ensures more comfortable delivery, especially during exhalation. We’ve chosen the ResMed ClimateLine AirSense Tubing as our Best Heated Hose because it is engineered with a climate-control system that prevents rainout, or condensation in the hose that can negatively affect breathing for device users.
This tubing is exclusively compatible with AirSense 10 Series machines. It measures 78 inches (6.5 feet) in length and features 15mm cuffs that easily connect to S9 Series devices. The wider diameter is designed to accommodate higher pressure settings, especially during BiPAP therapy. The hose is made from lightweight polyethylene material that does not contain any latex or silicone.
The price-point for the ResMed ClimateLine AirSense Tubing is fairly high, making it a good option for shoppers with bigger budgets. For more information about compatible devices, please check out our ResMed CPAP Machine Reviews.
Collapsible hoses are a great option for frequent travelers and other CPAP, BiPAP, and APAP users who constantly transport their therapy machines and accessories. For our Best Collapsible Hose pick, we’ve chosen the Innotech Collapsible CPAP Hose, a 6-foot tube that can be compressed into a cylinder measuring less than 11 inches thick. The tubing is also lightweight, weighing only 3.2 ounces (or 0.2 pounds).
However, the hose is also quite resilient. The durable material withstands punctures, tears, and other forms of wear and tear that can compromise air delivery. Stainless steel coils reinforce the interior for added stability. Thanks to its 22mm cuffs, the Innotech Collapsible CPAP Hose is compatible with any CPAP, BiPAP, or APAP device with standard tubing.
Although price-points vary, most sellers offer this hose for less than $25. Amazon Prime members may qualify for additional discounts when purchasing the hose from Amazon.com.
Positive air pressure therapy, or PAP therapy, is used to treat sleep apnea, a condition that causes sleepers to temporarily lose breath during the night; sleep apnea is also associated with heavy snoring. Common types of PAP therapy include continuous positive air pressure (CPAP), bi-level positive air pressure (BiPAP), and automatic positive air pressure (or AutoPAP or APAP).
PAP therapy involves delivering pressurized air to users. A portable generator (also known as the PAP machine) sucks in outside air using an electric fan, then pressurizes and humidifies the air before delivering it to the sleeper through a breathing mask.
PAP hoses, or PAP tubing, are essential to PAP therapy because they link the airflow generator to the face mask (which may be nasal or full face). Most PAP hoses are at least six feet in length, and are made from polyethylene and/or rubber.
In addition to standard PAP hoses, some models come equipped with certain modifications, such as heated climate control and sensory lines. And unlike other PAP therapy components — such as the airflow generators, humidifiers, and face masks — PAP hoses do not require a doctor’s prescription.
This guide will explore common designs for PAP tubing, discuss cleaning and replacement procedures, share some tips for first-time buyers, and list our picks for the top PAP hoses sold today.
PAP hoses attach to the airflow generator and user’s face mask using detachable ends known as ‘connector cuffs.’ While models vary somewhat, standard PAP hoses generally share the following characteristics:
In addition to standard PAP hoses, shoppers may opt for models with the following customizations; please note that some tubing options may feature more than one of these customizations.
The table below illustrates the differences and similarities between these PAP hose types.
|Hose Type||Description||Dimensions||Average Price Range||Poduct Notes|
|Standard||Connects CPAP, BiPAP, and APAP machines with face masks||$10 to $25||Widely available and compatible with most face masks|
|Heated||Standard PAP hose embedded with heating copper wires that increase the overall temperature||$35 to $60||Moderately available and compatible with most face masks|
|Sensor Line||Standard PAP hose with built-in adaptor to adjust pressurization settings based on user’s breathing activity||$15 to $30||Limited availability and compatibility|
|Short Tube||Shortened PAP hose used to connect directly with standalone humidifiers||$5 to $20||Limited availability and compatible with some (but not all) masks|
|Collapsible||Standard PAP hoses that can be broken down and easily stored for travel||$30 to $45||Limited availability, but compatible with most face masks|
Please note: many PAP hoses are sold as ‘CPAP hoses’ or ‘CPAP tubing.’ However, most are also compatible with BiPAP and APAP machines. Check the product information for any restrictions.
Properly caring for and maintaining a PAP hose can significantly extend the product’s overall lifespan. To ensure maximum durability, be sure to address the following issues.
Water may accumulate in the PAP hose if the user’s bedroom is excessively cold compared to the interior of the hose. This problem may also occur due to defects with the humidifier that generate too much moisture.
Address this problem with the following steps:
‘Rainout’ refers to the buildup of water in the hose when warm, moist air condenses between the generator and the face mask. Rainout may be due to a defective humidifier and/or excessively low bedroom temperatures. In either case, the air in the tube releases moisture as the tube itself cools down; this results in condensation.
To reduce or prevent rainout, please follow these steps:
For best results, detach and hang the PAP hose the morning after every use. Hang-drying the hose will reduce the spread of bacteria that can cause health issues for users. The best-practice method for daily detaching and hang-drying is as follows:
PAP hoses generally last one year with proper maintenance, but users should replace them if they develop one or more of the following problems:
Tangles are usually due to hose and/or PAP machine placement in relation to the sleeper’s position. The hose can become tangles if it wraps around certain areas of the bed, as well. Tangling can cause early wear and tear, and also poses safety risks for sleepers. The following workarounds may help reduce hose tangling:
When shopping for a new PAP hose and comparing different brands and models, here are a few key factors to consider:
For more information about CPAP, BiPAP, and APAP machines and accessories, please visit the following guides on Tuck.com.