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ificandream

(10,610 posts)
Mon Mar 18, 2024, 03:52 PM Mar 2024

If you are using or considering sterilization for your CPAP equipment

Last edited Tue Mar 19, 2024, 08:39 PM - Edit history (2)

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FDA Press release: FDA Reminds Patients that Devices Claiming to Clean, Disinfect or Sanitize CPAP Machines Using Ozone Gas or UV Light Have Not Been FDA Authorized

For Immediate Release:
February 27, 2020

Today, the U.S. Food and Drug Administration is issuing a Safety Communication to inform patients and health care providers that devices claiming to clean, disinfect or sanitize continuous positive airway pressure (CPAP) devices or accessories (such as masks, tubing, headgear) using ozone gas or ultraviolet (UV) light are not legally marketed for this use by the FDA in the U.S., and as such, their safety and effectiveness for use with CPAP devices and accessories is unknown. CPAP devices are often prescribed for home use to patients with obstructive sleep apnea, a condition where an individual’s airway becomes blocked during sleep causing breathing to intermittently stop and start. CPAP devices use air pressure to keep airways open during sleep.

To ensure the safe and effective cleaning of CPAP devices and accessories, the FDA is recommending that consumers and health care providers follow the cleaning instructions provided by the CPAP’s manufacturer, which normally include regular cleaning with soap and water.

“The FDA has identified several manufacturers that are marketing ozone gas or UV light-based products claiming to clean, disinfect or sanitize CPAP devices and accessories in the home,” said William H. Maisel, M.D., M.P.H, director of the Office of Product Evaluation and Quality in the FDA’s Center for Devices and Radiological Health. “Exposure to high levels of ozone gas may worsen a patients’ existing chronic respiratory diseases or increase the chance of a respiratory infection. UV light-based products could cause burns, eye damage or increase the risk of skin cancer due to over exposure. The FDA has contacted manufacturers of products making these claims and asked them to submit data demonstrating their safety and effectiveness.”

The FDA has received 11 reports from 2017-2019 from patients experiencing cough, difficult breathing, nasal irritation, headaches, asthma attacks and other breathing complaints when ozone gas-based products were used to clean, sanitize or disinfect CPAP devices and accessories. The FDA has not received any adverse event reports for UV light products claiming to clean, disinfect or sanitize CPAP devices and accessories.

Ozone is a gas that can be used to kill harmful bacteria. However, for ozone to be effective in killing harmful bacteria, it must be present at a concentration far greater than what is considered safe for humans. Although products claiming to clean, disinfect or sanitize CPAP devices that use ozone gas claim that they are designed to keep ozone gas inside the machine and its accessories, leaks can occur at tubing connections, filters or through containers used to house CPAP accessories. When leaks occur, ozone gas in the room where the devices are used may temporarily rise to unsafe levels especially if the room is small or not well ventilated.

Additionally, if the CPAP machine or accessories are used without first allowing fresh air to circulate through the entire CPAP system to remove any remaining ozone gas, this could lead to someone inhaling ozone gas, which could cause breathing problems.

Direct exposure to UV light may cause injury depending on its wavelength, intensity and exposure time. Additionally, the UV light may not be able to penetrate all components of CPAP devices and accessories, like the plastic tubing, masks and connectors, which could lead to inadequately disinfected components that may be unsafe for people to reuse.

While these devices claiming to clean, sanitize or disinfect CPAP machines and accessories have not been FDA cleared or approved for marketing in the U.S., the FDA conducted its own preliminary lab testing on several of those illegally marketed products. The testing demonstrated ozone-using disinfection devices generated ambient levels of ozone above limits considered safe for human exposure. Ozone levels were also high in CPAP machines and tubing even after waiting the amount of time recommended by the ozone-based device manufacturer after a cleaning cycle. The FDA’s studies also showed the power of the UV light and time during which CPAP masks and accessories were exposed to this light varied considerably among UV cleaners. If CPAP components are exposed to insufficiently strong UV light or processed for an insufficient amount of time, the CPAP components could be inadequately disinfected leading to safety and performance issues.

The FDA has contacted manufacturers of the ozone gas and UV light products that claim to clean, sanitize or disinfect CPAP devices and accessories. Each manufacturer was informed that based on their product’s intended use and technological characteristics, FDA review and clearance or approval is needed and that data would need to be provided to demonstrate safety and effectiveness.

The FDA will continue to monitor reports of adverse events associated with the use of ozone gas or UV-based CPAP devices that claim to clean, sanitize or disinfect CPAP devices and accessories and update the public should new information become available.

The FDA encourages individuals to report adverse events related to the use these devices to the FDA.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.

12 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
If you are using or considering sterilization for your CPAP equipment (Original Post) ificandream Mar 2024 OP
CPAP cleaning vishnura Mar 2024 #1
Sigh whathehell Mar 2024 #2
My daughter just has hers run for awhile after using the Respify. phylny Mar 2024 #3
Thanks for responding.. whathehell Mar 2024 #4
Sure! phylny Mar 2024 #5
Oh, I see, yes.. whathehell Mar 2024 #6
I just ordered one for my husband. phylny Mar 2024 #7
Oh gee..That's lousy..I've had mine for awhile.. whathehell Mar 2024 #8
Thanks phylny! whathehell Apr 2024 #11
Some people sterilize their CPAP equipment. ificandream Apr 2024 #10
They do that by washing it out, afaik whathehell Apr 2024 #12
Just added an FDA press release on the issue. ificandream Mar 2024 #9

vishnura

(293 posts)
1. CPAP cleaning
Mon Mar 18, 2024, 04:19 PM
Mar 2024

I clean my mask every day with a mild detergent (Dawn) and the hose and tank once per month with the same solution.

whathehell

(29,840 posts)
2. Sigh
Tue Mar 19, 2024, 02:37 PM
Mar 2024

I wish this info had been readily available before I bought my So Clean...One more thing to worry about.

whathehell

(29,840 posts)
4. Thanks for responding..
Tue Mar 19, 2024, 02:55 PM
Mar 2024

but I'm afraid I don't, in the context of the subject, understand what you're saying..Could you explain a little more? Thanks.

phylny

(8,598 posts)
5. Sure!
Tue Mar 19, 2024, 02:59 PM
Mar 2024

Our daughter has a cpap and uses an ozone cleaner, Respify. She said that she cleans the system every one to two weeks. After it sits in the Respify, she runs her cpap before putting it on her face. She said she turns it on and puts her hand in front of her mask so it doesn't detect a leak and lets it run a few minutes like that.

whathehell

(29,840 posts)
6. Oh, I see, yes..
Tue Mar 19, 2024, 03:05 PM
Mar 2024

I pretty much do the same thing, especially waiting for the thing to "air out"..The only thing that worries me is that the vid seemed to say that airing it out wouldn't do much to counteract the negative possibilities of oxygen..Maybe I need to watch it again, I could be wrong.

whathehell

(29,840 posts)
8. Oh gee..That's lousy..I've had mine for awhile..
Tue Mar 19, 2024, 04:05 PM
Mar 2024

Maybe you get more information (a second opinion?) before you send it back...I'm going to check out more info myself.

ificandream

(10,610 posts)
10. Some people sterilize their CPAP equipment.
Tue Apr 9, 2024, 08:24 PM
Apr 2024

The FDA hasn't approved using UV or ozone equipment to sterilize them.

whathehell

(29,840 posts)
12. They do that by washing it out, afaik
Tue Apr 9, 2024, 08:57 PM
Apr 2024

and, yes, I do know about the fda not authorizing it for sterilization. Thanks for the link.

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