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.
Best CPAP, BiPAP, and APAP Hoses in 2021
- Editor’s Pick – SleepDirect Universal CPAP Hose
- Best Lightweight Hose – CPAP Shop Ultra Lightweight CPAP Tubing
- Best Heated Hose – ResMed ClimateLine AirSense Heated Tubing
- Best Collapsible Hose – Innotech Collapsible CPAP Hose
Although sleep apnea has no cure, 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.
Best CPAP/BiPAP/APAP Hoses – Reviewed
Editor’s Pick – SleepDirect Universal CPAP Hose
- 10 ft.
- Fits any device with standard tubing
- Latex- and BPA-free
Get the best price on a SleepDirect Universal CPAP Hose.
Editor’s Pick Overview
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.
Best Lightweight Hose – CPAP Shop Ultra Lightweight Hose
- 6 ft.; 22mm cuffs
- Fits any device with standard tubing
- 90-night warranty
Get the Ultra Lightweight CPAP Tubing at the lowest price.
Best Lightweight Hose Overview
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.
Best Heated Hose – ResMed ClimateLine AirSense Heated Tubing
- 6.5 feet; 15mm cuffs
- Exclusively compatible with ResMed AirSense 10 Series devices
- Latex- and silicone-free
- Climate-control design prevents rainout
Get the best price on ResMed ClimateLine AirSense Tubing.
Best Heated Hose Overview
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 a length of 78 inches (6.5 feet) and features 15mm cuffs that easily attach to devices from the S9 Series. The wider diameter, especially during BiPAP treatment, is designed to handle higher pressure settings. The hose is made of lightweight leather. 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.
Best Collapsible Hose – Innotech Collapsible CPAP Hose
- 6 feet; 22mm cuffs
- Fits any device with standard tubing
- Collapses to a 10.5-in. cylinder
- Durable, puncture-resistant design
Get an Innotech Collapsible CPAP Hose at the best price.
Best Collapsible Hose Overview
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.
Buying Guide – How to Shop for a CPAP, BiPAP, or APAP Hose
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.
Qualities and Characteristics of PAP Hoses
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:
- Length: Six feet is the measurement for most standard PAP hoses, but models measure anywhere from four to 10 feet in length.
- Diameter: In order to be compatible with all PAP face masks, the hose must have a connector cuff with an internal diameter that measures 22 millimeters (mm). Normal versions weigh 19mm for the inner diameter of the hose itself; slimmer hoses with an outer diameter of 15mm have also been introduced in recent years.
- Compatibility: Most CPAP, BiPAP, and APAP machines and face masks would be compliant with PAP hoses with a connector cuff with an internal diameter of 22mm. If smaller machines (such as travel-size CPAP machines) are used, a hose adapter may be required.
- Composition: Standard PAP hoses are typically made from materials like polypropylene or polyethylene. The ends (or cuffs) are often made from rubber, as well.
- Texture: Most PAP hoses are ridged on the outside, which makes them more flexible and easier to contort, but the interior will be smooth for optimal, non-resistance airflow.
- Price: Standard PAP hoses are fairly inexpensive; most models cost $25 or less.
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.
- Heated: Some PAP machine manufacturers offer hoses embedded with copper coils, which are slightly heated to create a warmer temperature for the entire hose. This can improve comfort for users, especially during colder times of the year, and also help minimize ‘rainout’ (see next section for more information about this issue).
- Sensor lines: Certain types of PAP therapy, including BiPAP and APAP, involve variable pressure settings based on the sleeper’s breathing patterns. Sensory lines are built-in adapters that monitor the user’s breathing patterns and, if needed, adjust the pressurization settings.
- Short tubes: Modeled like standard PAP hoses, short tubes connect directly to stand alone humidifiers, not PAP airflow generators.
- Collapsible: Collapsible PAP hoses, which match standard PAP hoses in terms of measurements and functionality, are designed for travelers; some models collapse to 10 or 11 inches.
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||4 to 10 ft. long 22mm connector cuff diameter 19mm (standard) or 15mm (slim) diameter||$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||4 to 10 ft. long 22mm connector cuff diameter 19mm (standard) or 15mm (slim) diameter||$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||4 to 10 ft. long 22mm connector cuff diameter 19mm diameter (most not compatible with 15mm models)||$15 to $30||Limited availability and compatibility|
|Short Tube||Shortened PAP hose used to connect directly with standalone humidifiers||2 ft. or shorter 15mm diameter (most not compatible with 19mm models)||$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||4 to 10 ft. long (when in use) 10 to 12 in. long (when collapsed) 19mm (standard) or 15mm (slim) diameter||$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.
PAP Hose Care and Maintenance Tips
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.
Problem #1: Cold Water Has Accumulated in the Hose
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:
- Do not let any electric fans and/or air vents blow directly onto the hose at any part.
- Reduce the temperature of the humidifier.
- A lower humidifier temperature may resolve the moisture buildup, but some users complain of irritation in their breathing passages. If this occurs, consider investing in an insulating cover for the hose; these are usually sold for $20 or less.
- Alternatively, you may be able to resolve this problem by using a heated PAP hose, rather than standard tubing.
Problem #2: ‘Rainout’ Has Occurred in the Hose
‘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:
- Increase the bedroom temperature.
- Adjust the PAP machine so that it is level with your bed.
- Consider investing in an insulating cover for the hose.
- Decrease the humidifier temperature.
- Consider purchasing either a PAP machine with a ‘rainout reduction’ modification or a heated PAP hose.
Problem #3: Bacterial Growth Has Developed Inside the Hose
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:
- Use connector cuffs to detach the hose from the machine, rather than pulling the hose itself.
- Hang the hose in a place where it will not come into contact with excessive moisture.
- Keep the hose away from pets and small children.
- Wash the hose every week; allow to air dry. Hose brushes are also available.
- If you are unable to detach and hang-dry the hose each day, you’ll need to replace the hose more often (multiple times per year in some cases).
Problem #4: The Hose Shows Signs of Wear and Tear
PAP hoses generally last one year with proper maintenance, but users should replace them if they develop one or more of the following problems:
- Cracked exterior lining or rubber ends
- Marks on the tubing near the rubber that indicate excessive stretching
- Punctures or tears in the hose material
Problem #5: The Hose Becomes Tangled During the Night
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:
- Invest in a CPAP bed pillow. Unlike standard pillows, these models come with recessed sides where the face mask and the hose can rest without bunching up or piling on the sleeper’s body. Some pillows have built-in hose clips, as well.
- Run the hose behind or underneath the bed. If the machine is close to the bed, the hose may be long enough to place in areas around the bed where it won’t have too much slack. However, make sure there is not too much tension; this can result in discomfort, and may also affect or interrupt the airflow.
- Invest in a hose suspension system. As the name implies, hose suspension systems elevate the hose off of the ground and hold it in a fixed position. These products are generally available for $50 or less.
Important Considerations for PAP Hose Shoppers
When shopping for a new PAP hose and comparing different brands and models, here are a few key factors to consider:
- Budget: While all PAP hoses are generally affordable, the price-point for individual models may range from less than $8 to more than $70. Standard, non-modified hoses typically cost $25 or less.
- Hose diameter: The interior of a standard PAP hose will measure 19mm in diameter. A significant number of ‘slim’ models measure 15mm in diameter; these can only be used with machines that are compatible with this measurement, as not all machines are.
- Hose length: Hoses may measure anywhere from four to 10 feet in length. The distance between the machine and your bed is an important consideration, as well as the location of fans and/or air vents in your room (the hose should not be placed near these air generators).
- Hose weight: Keep in mind that heavier hoses can be more unwieldy than lighter hoses. That being said, most weigh six ounces or less.
- Heated or non-heated: A heated PAP hose can be beneficial because it improves comfort for CPAP users (low temperatures can make hoses feel excessively cold) and helps prevent rainout and water buildup. However, these models are slightly more expensive than standard hoses; the average price range for a heated hose is $35 to $60.
- CPAP, BiPAP, or APAP: A hose with a sensor line might be a worthwhile investment for BiPAP or APAP users. These hoses help adjust pressure settings based on the user’s breathing patterns. However, it’s important to note that most sensor line hoses are only compatible with select machines (typically, the same manufacturer makes the machine and the sensor line hose).
- Return policy: Due to their personal nature, most hoses cannot be returned for a refund after they have been used; some manufacturers allow unopened hoses to be returned. Warranties for PAP hoses are fairly rare; in most cases, warranties for these products will not extend beyond one year.
For more information about CPAP, BiPAP, and APAP machines and accessories, please visit the following guides on Sleepation.com.