Positive airway pressure (PAP) is the most commonly prescribed therapy for sleep apnea, a sleep disorder in which breathing repeatedly stops and starts during sleep. It is also referred to as “CPAP,” which more accurately refers to the “continuous” air pressure mode. Other modes include auto-CPAP (also known as APAP) and bilevel, which delivers a higher pressure during inhalation and a lower one during exhalation.
A CPAP device includes a motor that generates the flow of air, a hose to transport the air, and a mask/interface that fits snugly over the nose and/or mouth. By delivering pressurized air into the throat, the CPAP device prevents the airway from collapsing, in many cases alleviating snoring and improving the quality of sleep and symptoms like excessive daytime sleepiness.
Though considered the “gold standard” of obstructive sleep apnea therapy because it works for patients despite the specifics of their obstruction type or location, adhering to CPAP therapy can be challenging for some patients. Common issues include discomfort with the mask, dry mouth, and nasal congestion. Most of these can be managed by adjusting the mask fit, using humidifiers or trying different mask styles. To achieve the full benefits of CPAP therapy, the device should be used every time a person with sleep apnea is sleeping for their full sleep time.
Once a major player in the US CPAP market, Philips Respironics is currently operating under a consent decree that does not allow the company to sell its positive airway pressure devices in the United States.
This guide compares CPAPs currently available to US patients on parameters including dimensions, weight, warranty, noise level, pressure range, data recorded, and features such as altitude compensation.
The CPAP systems compared are:
Breas Medical Z2 Auto CPAP
React Health Luna G3 AutoCPAP
ResVent iBreeze 20A
Transcend Micro Auto CPAP
PAP: | Z2 Auto CPAP | Luna G3 AutoCPAP | iBreeze 20A | Transcend Micro Auto CPAP |
Website: | breas.us | reacthealth.com | resvent.com | mytranscend.com |
Warranty (years): | 2 | 2 | 2 | 2 |
Operating Modes: | CPAP, APAP | CPAP, APAP | CPAP, APAP | CPAP, APAP |
Dimensions (cm): | 16.46 x 8.38 x 5.13 | 26.5 x 14.5 x 11.4 | 23.8 x 17.8 x 12.8 | 9.1 x 9.1 x 6.1 |
Weight (kg): | 0.295 | 1.7 | 1.36 | 0.22 |
Noise Level (dBa): | 26 | <26 | 28 | 27 |
Pressure Range (cm H2O): | 4-20 | 4-20 | 4-20 | 4-20 |
Pressure Adjustment Increment (cm H2O): | 0.5 | 0.5 | 0.1 or 0.5 | 0.1 |
Max Ramp Time (minutes): | 45 | 60 | 60 | 45 |
Adjustable Ramp Settings | 5-45 minutes in 5-minute increments | ramp time, min pressure | 0-60 min, or auto (begins at sleep onset) | 0 – 45 minutes in 5-minute increments |
Pressure Relief Range/Settings | Z-Breathe-1, Z-Breathe-2, Z-Breathe-3. | 0-3 cm H2O in 1 cm increments. | off, 1-3 Level | Four AirRelief Settings: 0 – 3, each equal to 1cm of H2O |
Data Recorded: | Usage hours, leak, AH count, AHI (index) | AHI, Central Apneas, Usage Time, Leak, Pressure, P95 | AHl, Central Apneas, Usage Time, Leak, Pressure, P95 | Usage Hours, AHI, % Time in Apnea, Leak, Pressure Settings, Air Relief Levels |
Data Transmission Options | Wireless connectivity | Cell modem, SD card, QR code, React Health Connect | Cellular communication, WiFi, SD Card, QR code | Bluetooth, USB |
Power Options | 100-240V, DC AC, Optional PowerShell (integrated overnight cord-free battery) | AC power code included | AC input range:100-240 V | AC power supply (110-240v), PowerAway Battery, international travel adapters |
Available Accessories | travel bag, Q-lite inline muffler, optional PowerShell | travel case, integrated heated tubing | travel bag, heated or non-heated tubing, SD Card, tub, filters | travel bags, slimline tubing, filter, solar charger, international travel adapters, PowerAway battery, heat moisture exchanger, WhisperSoft muffler |
Features: | Auto Start/Stop, Leak Compensation, Altitude Compensation, Heated Humidification and/or Heat Moisture Exchanger |
Auto Start/Stop, Leak Compensation, Mask On/Off Alert, Altitude Compensation, Heated Humidification and/or Heat Moisture Exchanger, Remote Programming, Adjustable APAP Algorithm | Auto Start/Stop, Leak Compensation, Altitude Compensation, Heated Humidification and/or Heat Moisture Exchange Device | Auto Start/Stop, Leak Compensation, Mask On/Off Alert, Altitude Compensation, Heated Humidification and/or Heat Moisture Exchanger, Remote Programming |
Patient Data Access: | Nitelog app | React Health PLUS | ResAssist APP | MySleepDash app |
Additional Features: | Display screen for on-device patient comfort programming (as well as the Nitelog app), non-proprietary mask connection. | On-screen accessory reminder, standby screen saver, Smart A, B, C. | Pre-heat function, automatic drying function, auto start & auto stop. | Whisper quiet operation, enhanced with the WhisperSoft muffler. Universal mask compatibility, coupled with Micro PowerAway Battery, therapy is uninterrupted with or without power. PureFresh air filters enable equipment to remain clean. MySleepDash App is easy to use and data can be shared with providers/compliance officers supporting DOT requirements. |
Last updated September 2024.
Information for this guide based on data submitted by PAP system marketers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by marketers. Pricing is subject to change. All PAP marketers get one listing at no charge. Advertisers are offered multiple listings. All PAP systems may not be included. We plan to update this guide once a year. Email editor[at]sleepreviewmag.com to be considered for the next update.
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