Post Reply 
Newbie question - should I buy my FIRST machine online or from a local distributor?
Author Message
kowlooner Offline

Preferred Members

Posts: 31
Joined: Apr 2016

Machine: PR Remstar Auto 560
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Advance, Aloha (backup)
Humidifier: Remstar
CPAP Pressure: 13
CPAP Software: SleepyHead

Other Comments: Started CPAP in May 2016. Should have done this 10 or 15 years ago.

Sex: Male
Location: Hong Kong

Post: #1
Newbie question - should I buy my FIRST machine online or from a local distributor?
Actually, two questions.

First, some quick background. Did the sleep study. Follow up in a few months. Prescription says simply “CPAP 13 cm ramp 30 minutes”. Live in Hong Kong where prices are significantly higher for the major brands, have already visited one reseller just to look at the machine and got to try on nasal masks while there. So here are the questions.

I’m obviously new to this and considering buying my first CPAP machine online rather than from the local distributors. Is that a good idea? The reason I ask that is because of the initial setup of the machine and all.

The second question is about durability. I’m also afraid of the machine breaking and needing to take it back in a short period of time. I understand masks last about 6 months (is that right?) and hoses about the same, but how about the machines themselves? How long have your machines lasted before biting the dust?

Thanks!
04-23-2016 08:55 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,851
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
Machines are QC'ed like consumer electronics.
So, you can get one that's got a problem very quickly; or you can get one that will last 5+years.

If the manufacturers would run every machine for 100 hours -- test -- then ship, the early failures would be culled out.

Make contact with Supplier #2 on the list at the top of the page; ask about shipping to HK and what warranty they'll offer.
I think they have an email address... They have some zero hour machines at bargain prices.
Shipping will cost... plus unknown as to any customs duty to be paid in HK.
Supplier #2 can set it up in accord with your Rx.

Mask frames can last quite a while. You'll need to buy mask cushions or pillows on a routine basis -- plus filters.
A hose can last a year or so if treated well.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(This post was last modified: 04-23-2016 11:05 AM by justMongo.)
04-23-2016 11:03 AM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

Posts: 6,446
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
Hi kowlooner,
WELCOME! to the forum.!
Much success to you as you start your CPAP journey and hang in there for more responses to your post.

trish6hundred
04-23-2016 02:31 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
green wings Offline

Advisory Members

Posts: 547
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
Hello, kowlooner. Welcome to the Apnea Board forum.

I got my CPAP machine and first mask from a local supplier a few months ago. A respiratory therapist went through how to use the machine and how to assemble, clean, and put on the mask with me.

In my opinion, changing the settings on the machine is very easy. It's simpler than most of the consumer electronic gadgets we use now.

You can get recommendations from this forum if you need them about settings for the humidifier, ramp time, and exhale pressure comfort settings.

I would feel comfortable buying a CPAP machine from one of the suppliers on this forum's supplier list.

I know that the chances of my getting a machine that didn't work and needed to be exchanged wouldn't be zero, but it wouldn't be like buying a tablet or laptop computer from some of those ebay drop-ship sellers that I've heard about.

I think it's worthwhile to form a relationship with a local supplier of CPAP masks when you're first starting out because that allows you to try on masks before you buy one.

If you do decide to buy a machine from an online supplier, they will tell you what you need to give them in the way of a doctor's prescription and if it needs to say "auto-adjusting CPAP" if that's the type you want to buy.

The machine I have is not auto-adjusting. I got it before I found this forum. If I was planning to buy one right now, though, I would buy an auto-adjusting one if possible.

An APAP machine can be run either in auto-adjusting mode or at a fixed pressure. A plain CPAP machine only gives you the option of running it at a fixed pressure.

I probably should say that one of the reasons I'd be happy to buy a machine online is that I, like many people in the US, deal with an equipment supplier that won't help me even though I got my machine from them.

"Pay lots more, but get terrific customer service for your money" is not an option in the area where I live.

(04-23-2016 08:55 AM)kowlooner Wrote:  Actually, two questions.

First, some quick background. Did the sleep study. Follow up in a few months. Prescription says simply “CPAP 13 cm ramp 30 minutes”. Live in Hong Kong where prices are significantly higher for the major brands, have already visited one reseller just to look at the machine and got to try on nasal masks while there. So here are the questions.

I’m obviously new to this and considering buying my first CPAP machine online rather than from the local distributors. Is that a good idea? The reason I ask that is because of the initial setup of the machine and all.

The second question is about durability. I’m also afraid of the machine breaking and needing to take it back in a short period of time. I understand masks last about 6 months (is that right?) and hoses about the same, but how about the machines themselves? How long have your machines lasted before biting the dust?

Thanks!
04-24-2016 08:46 AM
Find all posts by this user Post Reply Quote this message in a reply
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #5
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
Spend some time thinking about what machine you want. Many people find out that they need to change machines for various reasons and if you get the low end machine you may wish you had gotten a different one. Your prescription is for a generic CPAP, you could also get an APAP or a BiLevel (Resmed VPAP) and all of these I am pretty sure can be set for basic CPAP and also more advanced settings if you need it. There is also the ASV level machines that are much more expensive and for treating Central Apneas, if you get a copy of your test report you can find out if you have centrals or not.

Make very sure you at least know which models have sleep data available and if at all possible get one that does.
04-24-2016 12:22 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #6
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
CPAP and APAP machines run in the $800 to $900 range
BiPAP machines run in the $1500 to $1900 range
ASV machines run in the $5000 to $6000 range.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
04-24-2016 02:10 PM
Find all posts by this user Post Reply Quote this message in a reply
justMongo Offline

Monitors

Posts: 3,851
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #7
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
(04-24-2016 02:10 PM)FrankNichols Wrote:  CPAP and APAP machines run in the $800 to $900 range
BiPAP machines run in the $1500 to $1900 range
ASV machines run in the $5000 to $6000 range.

That would be US Dollars. I don't know what that would be in HK$.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-24-2016 03:00 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #8
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
(04-24-2016 03:00 PM)justMongo Wrote:  
(04-24-2016 02:10 PM)FrankNichols Wrote:  CPAP and APAP machines run in the $800 to $900 range
BiPAP machines run in the $1500 to $1900 range
ASV machines run in the $5000 to $6000 range.

That would be US Dollars. I don't know what that would be in HK$.

Oops! Thanks, my bad, I keep forgetting some people don't live here Smile

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
04-24-2016 04:49 PM
Find all posts by this user Post Reply Quote this message in a reply
vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #9
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
(04-24-2016 08:46 AM)green wings Wrote:  The machine I have is not auto-adjusting. I got it before I found this forum. If I was planning to buy one right now, though, I would buy an auto-adjusting one if possible.

An APAP machine can be run either in auto-adjusting mode or at a fixed pressure. A plain CPAP machine only gives you the option of running it at a fixed pressure.

Hi kowlooner,

Whether you buy at a local store or online, I encourage you to not settle for less than an APAP, rather than a machine which is not able to auto-titrate its pressure to prevent obstructive events.

Our pressure needs change daily and even hourly, and it is helpful to be able to change to APAP mode for a while to see what pressures your machine adjusts itself to in order to avoid obstructive events.

An APAP can be set in "CPAP" therapy mode and manually adjusted to your exact prescription. But with an APAP, whenever your doctor or you want, the machine's therapy mode could be changed to APAP in order to conveniently re-check your prescription.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
04-24-2016 11:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
kowlooner Offline

Preferred Members

Posts: 31
Joined: Apr 2016

Machine: PR Remstar Auto 560
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Advance, Aloha (backup)
Humidifier: Remstar
CPAP Pressure: 13
CPAP Software: SleepyHead

Other Comments: Started CPAP in May 2016. Should have done this 10 or 15 years ago.

Sex: Male
Location: Hong Kong

Post: #10
RE: Newbie question - should I buy my FIRST machine online or from a local distributor?
Thanks everybody. I appreciate your comments. In terms of machine types, I’ve done a whole bunch of research and so don’t feel confused about CPAP, APAP, Bi-PAP or their capabilities and limitations. Same for bricks, software etc. As for prices, just for fun, 1 US$ = 7.8 HK$ (I round it up to 8 for quick calcs), been pegged to the USD at this rate for decades now.

My main original concern was whether I needed help with the setup, basically having a little hand-holding right at the beginning, but from the sound of it this is really not an issue. Does that sound right? Online manuals will do, and the online supplier should also start us off with the right basic settings if required.

As for machine longevity, I guess it’s a bit of a crap shoot. Does that sound about right Mongo? Hopefully whatever I get lasts a long time. Or a really short time if I turn out to hate it. It looks like they really make their money on the refills. The old Gillette model with replacing filters, cushions etc on a fairly frequent basis.

Again, thanks for the comments and the time you all took to help a newbie.
04-25-2016 12:18 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Newbie - need advice on settings and machine tmc712 18 346 Yesterday 09:04 PM
Last Post: tmc712
  Question before ordering machine bamappc 3 148 11-29-2016 06:37 PM
Last Post: bamappc
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 2 6,116 10-12-2016 11:37 AM
Last Post: DariaVader
  DME or Online? EnigmaGrey 6 388 10-09-2016 10:31 AM
Last Post: TonyJ
  newbie yossarian 14 734 09-01-2016 02:01 PM
Last Post: Maskup Sleepwell
  From a Newbie to a newbie PappinLikeABoss 11 1,053 08-22-2016 05:38 PM
Last Post: chill
  Newbie question somnia16 3 259 08-19-2016 04:14 PM
Last Post: Sleeprider

Forum Jump:

Who's Online (Complete List)