what is the best bipap machine

What Is The Best BiPAP Machine?

Key Takeaways

  • Bilevel positive airway pressure machines, also known as BiPAP machines, are a common treatment method for those who have severe sleep apnea. 
  • These machines deliver pressurized air during both inhalation and exhalation as a user sleeps to help keep their airways open so they can breathe better.
  • BiPAP machines vary in a number of factors. Sleep apnea patients should do their research to help them find the best BiPAP machine for them. 

Which BiPAP Machine Is Right For You?

A BiPAP BiLevel, BPAP or VPAP machine (all common nominees) is for a patient with sleep apnea who needs two separate pressure settings - a higher pressure for inhalation and a lower pressure for exhalation. In cases where the inhalation pressure is very high, many patients find it too difficult to breath out against what seems like a gale force wind. If you have a BiPAP prescription, you may want to learn more about BiPAP machines by doing a BiPAP comparison to determine which BiPAP machine is right for you.

Currently, Philips Respironics, one of the most popular names in CPAP equipment, offers three BiPAP machines. The most popular Respironics BiPAP is the Philips Respironics DreamStation Auto BiPAP Machine with Bi-Flex & C-Flex . This machine won 2016 iF design award because it was developed after significant research and patient engagement. The machine has an easy-to-use the front-facing display menu. It also weighs less than 4 pounds, making it travel-friendly. Some of the things that make it unique include:

  • A hose swivel that connects to a tube
  • A humidifier that detaches but is small and light enough for travel
  • Different modes make it very versatile for therapy because it can be used as a standard CPAP, Bi-level or Auto Bi-level device, delivering different pressure levels during inhalation and exhalation.
  • Mask check feature to identify leaks
  • Easy to track therapy progress using the DreamMapper therapy tracker
  • C-Flex and Bi-Flex functions improve breathing transitions
  • A pressure ranging from 4-25cm H²O.
  • Integrated Bluetooth® allows for remote data review and troubleshooting.
  • EZ-Start - this automatic, personalized pressure adjustment helps acclimate users to their prescribed pressure.
  • Advanced event detection
  • Mask fit check and resistance control
  • Oximetry capable
  • DreamMapper patient self-management system compatibility

Additionally, this small, lightweight machine looks sleek and stylish on any bedside table, is easy to use, and also meets the requirements of BiPAP users.

This machine is also available as a standard BiPap as the Dreamstation BiPAP Pro:  It has all the same state-of-the-art features as the DreamStation Auto BiPAP Machine except that it is a fixed pressure machine with only one “mode”.

Philips Respironics is one of the most popular names in BiLevel machines, coining the phrase BiPAP. Respironics has a great track record with positive user feedback. Their Auto BiPAP machines automatically adjust to the user’s needs on a breath-to-breathe basis. Additionally, the Auto BiPAP features a proactive, multi-level algorithm that analyzes several parameters to monitor and respond to a patient’s breathing. These machines reduce airflow at exhalation. They also allow patients to refine their IPAP and EPAP pressures. All Philips machines have an optional heated humidifier.  The goal of the Philips Respironics BiPAP machine is to make for an extremely natural and stress-free experience for any BiPAP user.

There are three very popular ResMed BiPAP machines that work well to enable PAP therapy for those who have trouble tolerating CPAP therapy due to their pressure settings.

The AirCurve 10 S BiLevel machine is a fixed pressure PAP device designed to make therapy more comfortable for non-compliant CPAP users.

The AirCurve 10 VAuto is an auto pressure PAP device for added comfort. It includes features like the ultra-quiet Easy-Breath motor and Waveform that is necessary for patients who have higher-pressure settings. Its sleek design and intuitive LCD screen make it easy to use and also customize, including setting time limits. The algorithm adjusts the baseline pressure to always keep the airway open while also maintaining a fixed pressure. This automatically adjusts pressure levels to deliver the lowest pressure necessary. Built-in wireless communication helps patients stay connected to their sleep apnea care team.  This machine is also travel-friendly and comes with an integrated humidifier. Additionally, some of the other unique features of this machine include AutoRamp and Advanced Event Detection.

AutoRamp delivers a low pressure to help patients fall asleep easily. When it detects that the patient is sleeping, it gradually ramps or increases the pressure to the prescribed setting.
Advanced event detection: This BiPAP is very effective for people who also suffer from central apneas because it can differentiate between obstructive and central apneas and deliver the appropriate therapy

The AirCurve 10 ASV machine is not only a BiLevel PAP machine but it also provides ventilation, in order to reduce the work of breathing. This makes it a very cost-effective and also reliable alternative when ventilation without alarms is required. Additionally, it delivers therapy for central breathing disorders, such as Cheyne-Stokes respiration and central sleep apnea (including complex sleep apnea) and associated obstructive events. By automatically adjusting pressure support this BiLevel machine quickly stabilizes respiration to improve oxygen content in the blood.

What is the cost of a BiPAP Machine?

A BiPAP or VPAP machine is generally more expensive than a standard CPAP machine due to the technology within the machine.  Secondly, the BiPAP machine is a more complex machine which, in severe OSA cases, can actually breathe assist.  A BiPAP or VPAP machine typically are over $1000 and can rise as high as $4000 for the most sophisticated and essential machines.

Which BiPAP Machines come with humidifiers?

All new CPAP and BiPAP machines have optional humidifiers which are quite complex.  Humidifiers deliver the optimal temperature and humidification for CPAP users to provide additional comfort during therapy.  Humidifiers typically have a few settings which increase the warmth of the air.  It also does not need to be on, so the air can be at room temperature.  More recently, manufacturers have added a heated CPAP tube to their humidification systems.  These heated CPAP tubes also help to reduce rainout which is caused by the buildup of condensation within the tube itself.  Rainout can become a nuisance as it typically runs into the face of the CPAP user.  Humidification also significantly reduces dryness and soreness in the nasal passages.

Chris Vasta is the president of The CPAP Shop and an expert in sleep and respiratory therapy. He often provides insights on product design and functionality on various manufacturers’ prototypes.

BiPAP machines offer an alternative approach to sleep apnea therapy. For those who struggle with traditional CPAP, BiPAP machines are often another option. There are a variety of BiPAP machines on the market with many features and at different prices. Choosing the right BiPAP takes a little research, and a personal evaluation of your therapy needs.

Which BiPAP Machine Is the Best for You?

A BiPAP Bilevel, BPAP, or VPAP machine (all common nominees) is for a patient with sleep apnea who needs two separate pressure settings - a higher pressure for inhalation and a lower pressure for exhalation. In cases where the inhalation pressure is very high, many patients find it too difficult to breathe out against what seems like a gale-force wind. If you have a BiPAP prescription, you may want to learn more about BiPAP machines by doing a BiPAP comparison to determine which BiPAP machine is right for you.

Factors to Consider When Choosing a BiPAP Machine

Pressure Settings

Your healthcare provider will provide you with the proper pressure settings for inhalation and exhalation. Since BiPAPs can vary in pressure settings, make sure the ones you are researching and potentially purchasing accommodate your prescription requirements.

Humidifier

A common side effect of using BiPAP therapy is dryness in the airway passages. If you experience dry nose and throat after therapy, you may want to consider a machine with a built-in humidifier. A humidifier adds moisture to therapy air, ultimately reducing or elimination irrtiation and dryness. 

Noise Level 

Machines can also vary in sound level. Nosier machines can be a disturbance to both you and your bed partner. Compare decibel levels to find a machine that operates quietly, especially if you have a bed partner who may also be affected by the noise.

Data Tracking and Connectivity

Maintaining records of your sleep patterns can be helpful for you and our doctor. Data tracking features and wireless connectivity help you effortlessly track your sleep patterns to determine progress from therapy and see where your sleep deviates from the norm.

Portability

If you are a frequent traveler, for both business or pleasure, a portable BiPAP can come in handy for staying compliant on the road. These machines are usually quieter and more lightweight to help you easily use and transport them while away from home. 

Comfort and Usability

A BiPAP machine that provides a comfortable experience is also important because better comfort means better compliance. Easy to use features, like a user-friendly screen, large buttons, and many others, make it simple to adjust your therapy as needed to help you find the most success.

Insurance and Cost Considerations

BiPAP machines may or may not be covered by insurance. You must weigh the cost with the extra features you may need. 

Brand and Model Reviews

Most website have customer reviews posted from other patients who have used the particular product you are viewing. They will be the first to tell you about positive or negative experiences with different brands and models.

Maintenance and Support

Maintaining your BiPAP machine should be easy, and proper maintenance will allow your machine to work at its best for alonger period of time. Look for low-maintenance models and those that come with engaged support for when you run into problems.

ResMed AirCurve 11 VAuto with HumidAir Humidifier & ClimateLineAir

ResMed AirCruve 11 BiPAPResMed AirCruve 11 BiPAP

The ResMed AirCurve 11 provides a smart therapy experience. It measures your respiration on a breath-by-breath basis and makes automatic adjustments as your breathing patterns change. The built-in humidification helps with air dryness, and the sophisticated touchscreen makes the ResMed AirCurve easy to use.

PROS CONS
Includes ClimateAir Heated Tubing for a more comfortable treatment More expensive than other devices
Offers wireless connectivity for tracking therapy data and myAir online support Old filters and tubing may not be compatible if you are upgrading from an older ResMed machine
Features Ticontrols that allow your care provider to set minimum and maximum inspiratory time limits Some patients reported problems with the auto-off feature

ResMed AirCurve BiPAP 10 VAuto with Heated Humidifier

ResMed AirCurve BiPAP 10 VAuto with Heated HumidifierResMed AirCurve BiPAP 10 VAuto with Heated Humidifier

The ResMed AirCurve BiPAP 10 VAuto offers a lighter more portable BiPAP machine for those who need to travel with therapy. The unique feature of this BiPAP is the heated humidifier, which is especially helpful for patients managing allergies or dry nose and throat from BiPAP. The built humidification maintains a moistened air flow that soothes the nose and throat.

PROS CONS
Includes ClimateAir Heated Tubing for a more comfortable treatment More expensive than other devices
Offers wireless connectivity for tracking therapy data and myAir online support Some patients reported condensation in the tubing and mask
Features Ticontrols that allow your care provider to set minimum and maximum inspiratory time limits Some patients reported problems adjusting humidity levels

ResMed AirCurve 10 VAuto BiLevel Machine - Card-to-Cloud

ResMed AirCurve 10 Card to CloudResMed AirCurve 10 Card to Cloud

The ResMed AirCurve 10V Auto Card to Cloud offers the best in data storage for CPAP patients. The SD card stores sleep data that can be uploaded to the cloud to share with sleep doctors or as a record of personal sleep patterns. This machine is ideal for those interested in monitoring the progress of their sleep apnea treatment.

PROS CONS
Offers ultra-quiet therapy with all of the popular features of the AirCurve 10 Does not have cellular connectivity
Includes an SD card that stores sleep data that can be shared and uploaded to the cloud Patients must manually upload their sleep data
Features HumidAir, Climate Control, a built-in humidifier and more Some patients reported the humidifier uses a lot of water and needs to be replaced more frequently

React Health Luna G3 BPAP 25A BiPAP Machine

React Health Luna G3 BIPAPReact Health Luna G3 BIPAP

The React Health Luna G3 BPAP 25A BiPAP Machine is one of the quietest BiPAP machines available, with a decibel level of only 26. Other features include a preheat tube warming to prevent rainout and at-a-glance sleep reports. An auto ramp feature also helps new patients ease into therapy for the first time.

PROS CONS
Whisper-quiet design that includes multi-stage noise reduction technology More expensive than other devices
Includes a pre-heat function for those who want to warm their humidifier before therapy Heavier than other devices, potentially not ideal for travel for some users
Features heated tubing, an integrated modem, and several comfort features Does not offer the option to use battery power

What is the Cost of a BiPAP Machine?

A BiPAP or VPAP machine typically costs over $500 and can be as high as $4,000 for the most sophisticated and essential machines. Due to the technology within the machine, a BiPAP or VPAP machine is generally more expensive than a standard CPAP machine. Additionally, the BiPAP machine is more complex and can provide breathing assistance in severe OSA cases. 

Where Can I Buy the Best BiPAP Machines?

The CPAP Shop offers all the models featured plus other BiPAP machines with diverse features. The CPAP Shop also offers CPAP machines, CPAP supplies and more to help you successfully manage your sleep apnea.

Chris Vasta

Chris Vasta is the president of The CPAP Shop and an expert in sleep and respiratory therapy. He often provides insights on product design and functionality on various manufacturers’ prototypes and is frequently tapped to provide reviews on new releases.