BiPAP – or BiLevel Positive Airway Pressure- is an oxygen therapy device that is quite similar in form and function with a CPAP. However, the CPAP delivers a fixed pressure while the BiLevel machine has two different pressures. The BiPAP device delivers one type of pressure setting upon the inhalation phase and this is called […]

BiPAP – or BiLevel Positive Airway Pressure- is an oxygen therapy device that is quite similar in form and function with a CPAP. However, the CPAP delivers a fixed pressure while the BiLevel machine has two different pressures. The BiPAP device delivers one type of pressure setting upon the inhalation phase and this is called IPAP and a different pressure for the exhalation phase which is called EPAP.

So how does a BiPAP actually work to deliver compliant oxygen therapy? Upon exhalation, the pressure will be lowered so that the patient can breathe out against a gentle pressure. However, the device will increase pressure to prescribed levels upon the inhalation phase to ensure compliance. So let’s check out the top 5 BiPAP machines 2019:

1.Philips Respironics DreamStation Auto BiPAP

Philips Dreamstation

This is a fully automatic BiPAP machine, rated as excellent by the greatest majority of users. The device is set up with a user friendly menu, colorful display and comes with an extra stylish and compact design. This BiPAP can be used both as a standalone Bi-Level device (as a fixed CPAP) or as an Auto Bi-level device. When set on Auto, it will deliver different pressures during inhale and exhale phases.

DreamStation with C-Flex & Bi-Flex features is a premium category device fulfilling the needs and requirements of each patient. The C-Flex helps ensuring a smooth transition between pressure changes from inhalation to exhalation, so that users can enjoy a restful night of sleep without abrupt interruptions because of the pressure change.

  • Easy connect with the care team for patient management purposes
  • DreamMapper app – providing professional feedback with text and patient video tutorials
  • EZ-Start- for easy acclimation
  • Advanced event detection
  • Mask Fit check / Humidification/ Heated Tube

2.ResMed S9 VPAP Auto BiLevel Device + Heated Humidifier

Resmed S9

The ResMed S9 Auto BiLEVEL device is definitely among the top 5 BiPAP machines 2019. One of the main features of the device is that it has a whisper quiet operation, for maximum patient comfort during therapy. Thus, patients become compliant much easier and they can enjoy efficient therapy at prescribed levels from the very first few days of use.

Climate Control with H5i ensures that the patients enjoy air therapy at comfortable humidification and temperature levels. Thanks to the EasyBreathe motor technology, patients can get a quiet and restful night of sleep, without being disturbed by the loud operation of the device. Thanks to the V-Auto mode, the delivery of the pressure synchronizes perfectly with the natural breathing waveform of the patient.

  • Data management solutions incorporated
  • 3 modes of operation: fixed CPAP, Fixed Bi-Level and Automatic Bi-Level
  • Easy Breathe + VSync
  • Automatic leak management

3.ResMed AirCurve 10S + Heated Humidifier

Resmed Aircurve BiPAP

When making up a list with the top 5 BiPAP Machines 2019, one cannot leave aside the premium category ResMed Aircurve 10S. Firstly, it is a compact and highly travel friendly BiPAP device with inbuilt humidifier for maximum therapy comfort and compliance. What brings AirCurve 10S to a premium level is the multitude of features the device is equipped with:

  • AutoRamp- the device will automatically deliver a lower pressure at the beginning of the therapy, so that the patient can fall asleep on a comfortable and gentle pressure setting. When the ramp time is up, the device will return to higher, prescribed levels of pressure
  • Advanced event detection- patients receive efficient therapy at all times, since the device is capable of making a difference between Central and Obstructive sleep apnea events.
  • Connected Care: in-built wireless technology facilitates the connection to the AirView cloud-based platform. Thus, patients can troubleshoot remotely, change device settings or receive answers to important therapy related questions.

4. DeVilbiss IntelliPAP Auto BiLevel + Heated Humidifier

DevillBiss BiPAP

This is a truly intelligent AutoBilevel device, incorporating the comfort of BiLevel technology and Auto Adjust technology to deliver maximum comfort and therapy compliance to the patient. With the help of the outstanding Auto Adjust algorithm, the device will adjust automatically the pressure requirements of the patient on inhalation and exhalation phase.

The IntelliPAP comes with a compact design, and a large LCD screen that is backlit, ensuring patients can easily read the data and make the necessary adjustments. Patients can also easily remove/replace the humidifier reservoir, which also includes an overfull protection. The device allows for a truly simplified operation, being equipped with 3 large buttons that basically control all major settings and operations of the device. This BiLevel unit also features the delay pressure function which allows the user to fall asleep on a much gentler pressure, while the device will ramp up to prescribed pressure within 0 to 45 minutes. Patients can easily set the ramp time in 5 minute increments, up to 45 minutes.

5.Respironics BiPAP Auto SV Advanced System One

Respironic BiPAP

Last but not least on our top 5 BiPAP machines 2019 list, you can find the BiPAP Auto SV Advanced System One by Philips Respironics. This device is capable of delivering efficient treatment even to the most complex sleep disordered patients. Care teams can stay in constant connection with their patients and change treatment settings whenever necessary. The machine can monitor sleep related important parameters such as flow limitation or AHI leaks.

BiPAP Auto SV Advanced System One offers extremely detailed waveform data and actually recognizes critical indicators beyond the regular OSA signs and symptoms. Patient management becomes extremely efficient and even simple with the use of this device. Patients with difficulty to adjust to the new therapy can now get the peace of mind they need thanks to the Bi-Flex pressure relief system. Upon inhalation, the device will lower the pressure and then return to prescribed levels by the time inhalation starts. This device makes oxygen therapy extremely natural, comfortable and compliant for the patient.

  • Automatic Altitude compensation
  • System One Heated Humidifier for maximum comfort & compliance
  • Lighted LED controls – user friendly operation system
  • 0 to 45 min ramp time option
  • Bi-Flex pressure relief system
  • Breathing detection

These are the best BiPAP machines up to date, we will keep you informed on the new machines that come out later this year.


Default user avatar
Carol Lawson
November 30, 2017 3:00 pm

Can these machines be used without humidifier?

Default user avatar
Charles Goldberg
December 1, 2017 6:41 am

Absolutely. Any BiPAP or CPA can be used with or without humidification as it is not a part of the sleep therapy but a comfort feature to assist in keeper the user from waking up with a dry throat or mouth. I have been on CPAP therapy for about 10 years now and I have never used heated humidification. If you are lucky enough to not need the extra humidity your CPAP machine or BiPAP machine becomes a lot smaller is size making it easier to travel with and taking up less room on your night stand. If you need additional information please call Sleep Restfully toll free at (866) 923-272 and we will gladly talk to you about this.

Default user avatar
June 21, 2018 4:43 pm

Hi Charles,
Thanks for the information and tip, I do have a statement question as follows;
Sorry in my area phone calls require 10 numbers, is this a special number: 866-923-272 that works?

Default user avatar
Charles Goldberg
June 22, 2018 5:47 am

My bad, The number is (866) 923-2727. Please call us as we are here to help.

Default user avatar
August 25, 2017 10:13 am


Default user avatar
Charles Goldberg
August 29, 2017 5:38 am

Thank you, it’s fixed now.

Default user avatar
Pat lynch
May 1, 2017 7:44 pm

Image Is there a machine that provides a cooling feature? I reside in a very hot climate!

Default user avatar
Charles Goldberg
June 15, 2017 10:57 am

With the ResMed VPAP (a bilevel machine like the BiPAP) you can attache a ClimateLine that will allow you to adjust the temp of the air from the 60’s to 80’s fahrenheit.

Default user avatar
Anita Patterson
October 23, 2017 4:55 pm

You can fill up the tiny silicone ice cube trays with your recommended liquid and freeze it and drop 3or so cubes in first then pour the water to the fill line which cool down the humidification.

Default user avatar
Troy Miller
July 9, 2019 11:06 am

A thought for you would be to freeze some distilled water in to ice cubes and put a 50/50 mixture into your water tank. You may need to set a paper towel underneath the tank for condensation.

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