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Transcend EZEX CPAP
#1
4

I recently purchased the Transcend EZEX CPAP and having used it for a few nights and I would like to offer my thoughts and opinion. Overall I am very happy with my decision to have purchased this machine. The size and transportability make this an ideal machine for camping and overall traveling. Having taken it on a camping trip this past weekend proves the point a smaller size makes for easy transportability. Granted the Transcend is Spartan in its user features but it capabilities is equivalent to my full size CPAP machine. I also purchased the multi-night battery and for my setting of 12 cmh2o and breathing pattern I got two full nights of use. That battery option is what really sold me on this unit in the first place. For my full size unit I have a Respironics System One (460) CPAP machine and I use a 12 volt 22ah lead acid battery for camping which gives me three full nights of use (humidifier off). But the size and weight of all of that hardware makes travel a real pain. The Transcend EZEX relief does work but it seems not as effective as my System One unit. I find that for my pressure setting I really don’t need that relief function for the Transcend and I leave it turned it off.

Nothing is ever perfect and the Transcend CPAP is no different and it does have its negative aspects. I think the most negative of the Transcend EZEX is the sound transmission of the air movement. I use a Resmed Activa LT nasal mask and the dead space within the mask acts like a speaker. The “Darth Vader” breathing sound seems amplified to the user since those sound waves are hitting your face. This is probably due to the direct air path from the machine to your face. To someone listening externally, they may not find it very loud, but to the user it might not be at a tolerable level. As an experiment I plugged the Transcend EZEX into my System One humidifier and that breathing sound was reduced to almost nothing at my face. I then tried running my System One 460P CPAP machine without the humidifier and the sound level was almost as loud as the Transcend machine by itself. This would indicate that by disrupting the sound path (in the humidifier chamber) to the dead space of your mask the breathing sound is reduced. Looking for a simple fix I purchased some viral/bacteria filters, which plugs into the air path, to see if that would help. The filter actually cut that sound level in half. The other benefit of having the plug-in viral/bacteria filter is cleaner air for us allergy sufferers. I would recommend that Transcend users buy these filters not just for sound reduction but because the machine’s foam filters is only a coarse level filter.

Wanting to improve on the sound reduction I created a muffler for my Transcend. Going on the assumption of dead space and disrupted sound path I used a 4 oz plastic jar, which created a dead space with the air inlet and outlet ports offset as to disrupt the direct air path. The result is a muffler that now makes my Transcend EZEX as quiet as my System One 460 with the humidifier. And it even fits in the Transcend carrying case. I plan to do some more experimentation to reduce the size of the muffler. I think a sound muffler is something Somnetics should offer as an accessory for those who have problems tolerating the noise level.

Overall, the Transcend unit is something that I will not regret buying and would recommend to others. This is a great second CPAP machine for home and especially for travel. I think Somnetics has a winner, if they can come up with a way to reduce the air path sound level they could silence the naysayers. And I also would like to see the price of the battery packs come down, having more than one pack would be a real plus. I think my next add-on purchase will be the solar charging unit. If I am to use CPAP for the rest of my life, I am going to do it well equipped.
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#2
G'day Eelong2. Thanks for the detailed report.

I was interested in your use of a muffler. I would have thought the system was calibrated for a particular hose length / diameter and mask type, and adding extra volume in the air path would affect the machine's ability to maintain the correct pressure/flow rate and measure apneas. Did you experience any problems in this regard?
DeepBreathing
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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.
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#3
I can't tell for sure if the pressure has changed, I'll need to either buy or make a gauge to check. As far as I can tell the pressure feels the same with or without my little muffler. The big difference is the sound level I sense at my mask. When it comes to the system measuring Apneas, I think it would be the same as a system using a humidifier. The muffler is inserted between the Transcend and the cpap hose. The system is tight with no leaks, other than the intended leak. Will be doing more experimentation. I can try to post a picture of what I made if any one is interested.
(09-21-2014, 06:22 AM)DeepBreathing Wrote: G'day Eelong2. Thanks for the detailed report.

I was interested in your use of a muffler. I would have thought the system was calibrated for a particular hose length / diameter and mask type, and adding extra volume in the air path would affect the machine's ability to maintain the correct pressure/flow rate and measure apneas. Did you experience any problems in this regard?

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#4
[attachment=1046]I attached a image of my muffler
   
(09-21-2014, 09:53 PM)Eleong2 Wrote: I can't tell for sure if the pressure has changed, I'll need to either buy or make a gauge to check. As far as I can tell the pressure feels the same with or without my little muffler. The big difference is the sound level I sense at my mask. When it comes to the system measuring Apneas, I think it would be the same as a system using a humidifier. The muffler is inserted between the Transcend and the cpap hose. The system is tight with no leaks, other than the intended leak. Will be doing more experimentation. I can try to post a picture of what I made if any one is interested.
(09-21-2014, 06:22 AM)DeepBreathing Wrote: G'day Eelong2. Thanks for the detailed report.

I was interested in your use of a muffler. I would have thought the system was calibrated for a particular hose length / diameter and mask type, and adding extra volume in the air path would affect the machine's ability to maintain the correct pressure/flow rate and measure apneas. Did you experience any problems in this regard?

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#5
Very neat job.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
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#6
+ 1 on the transcend Ezex. Just took it on a camping trip. the multi-night battery works very well, though I haven't used on more than one night. I tried to charge with the solar panel, with limited success (this being Ireland and really sunny days are rare).

The night was a bit cold and the jet of cold air into my face was not pleasant.I can now attest that the Transcend works just fine from inside the sleeping bag if you can fit it in and don't mind the thing being very very close to your chin/head/chest.

Will try the baffle idea with a fisher paykell passover humidifier. Used earplugs before this.

? what did you use to connect the tubing to your muffler please ?
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#7
Thank you for the compliment. I hope others try to confirm my results.
Ed

(09-23-2014, 04:48 AM)DeepBreathing Wrote: Very neat job.

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#8
I used two standard cpap tubing couplers (inexpensive) and for one end I cut the female side of a used viral/bacteria filter and glued that on. That is the side to be attached to the Transcend unit. What I could have done was cut the viral/bacteria filter in half and gluing the halves to the jar for the couplings.

I agree with you about the Transcend in the sleeping bag. The first night at camp I was breathing cold air, did the sleeping bag thing on the second. Ever since the camping trip my Transcend smells like the camp fire. I plan on purchasing the solar panel, we here get quite a bit more direct sunlight than you folks.
Ed


(09-23-2014, 08:49 AM)Xali1971 Wrote: + 1 on the transcend Ezex. Just took it on a camping trip. the multi-night battery works very well, though I haven't used on more than one night. I tried to charge with the solar panel, with limited success (this being Ireland and really sunny days are rare).

The night was a bit cold and the jet of cold air into my face was not pleasant.I can now attest that the Transcend works just fine from inside the sleeping bag if you can fit it in and don't mind the thing being very very close to your chin/head/chest.

Will try the baffle idea with a fisher paykell passover humidifier. Used earplugs before this.

? what did you use to connect the tubing to your muffler please ?

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#9
        Attached are more pictures of my cpap muffler
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#10
(09-21-2014, 06:22 AM)DeepBreathing Wrote: G'day Eelong2. Thanks for the detailed report.

I was interested in your use of a muffler. I would have thought the system was calibrated for a particular hose length / diameter and mask type, and adding extra volume in the air path would affect the machine's ability to maintain the correct pressure/flow rate and measure apneas. Did you experience any problems in this regard?

DeepBreathing,
I bought a pocket CPAP manometer and verified that the pressure is the same with and without my little muffler. I did the same test for both the Transcend and my Respironics System One CPAP machines.
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