iNAP Product Review for Obstructive Apnea Treatment. CPAP Alternative if you HATE CPAP.

Monthly basis: / freecpapadvice
As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1
What do you all think of the iNAP (intermittent negative air pressure) for the treatment of obstructive sleep apnea? What did I miss in evaluating this device? Any other thoughts?
iNAP Clinical Evidence Links: www.inapsleep....
My other iNAP videos: (Does iNAP work?) • iNAP vs no-iNAP Sleep...
Speaking with iNAP GM: • No Mask: Negative Pres...
Check out my new Amazon Store: www.amazon.com...
(or....use my Amazon affiliate link every time you shop Amazon. Thanks!)
Join this channel to get access to perks:
/ @freecpapadvice
Links:
1.) As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1
2.) Monthly basis: / freecpapadvice
3.) Tell people that need a sleep study or help with OSCAR or CPAP Therapy about axgsleepdiagnos...
4.) Donate one time at www.paypal.me/...
5.) Support us AND clean your stinky dirty mask. maskbright.com. You can also buy a great mask for CHEAP!
6.) Use our Free Forum. freecpapadvice.... (I swear it's free, and we will never give out your information.
Thank you!!!

[@Freecpapadvice]

I welcome comments on this video. Willing to bet this isn't even close to my last video on the subject. Thanks for watching! 👇🏼 Want to support this channel? Monthly basis: patreon.com/freecpapadvice As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1

[@danieljrgensen133]

As someone who discovered osa is mainly a back-sleeping issue, I wonder if you made sure you tested the device in this position? ;-)

[@Freecpapadvice]

I sure did!

[@patrickhall7884]

@@Freecpapadvice Hi Jason. I bit the bullet and bought the device. I'm getting good suction at the start of the evening, but experiencing seal break as my tongue falls back later in the evening. Cant sleep on my back at all without this happening, and also occurring on my side unless head is facing a bit downwards. Seems like the suction weakens a bit throughout the night which I suspect is due to the saliva pouch filling up. Upping the intensity on the device doesnt increase suction, only the speed at which the motor reacts. Did you only use the standard mouthpiece that came with it, and any seal breaks for you? Promising device but not quite there yet I feel.

[@lorenzoishere]

@@patrickhall7884 Hi Patrick, how are things going with the iNAP? did you improve the seal issue? Did you need a prescription to buy the device? Hope you feel better

[@jpenn727]

I like the idea of having an alternative to CPAP for some patients. I look forward to seeing what this looks like in 5-10 years.

[@Freecpapadvice]

I'm with you. Long term this will be interesting. I still like it better than an oral appliance and Inspire as it sits right now.

[@prasertvalorhealth2725]

I am a long-time CPAP user. I tried iNap because I wanted to try a negative pressure therapy system and I have some concerns re: positive pressure pushing air into my lung. I like that iNap doesn't require a mask which that night was considered my first night of "freedom" from the mask. On the first night, I struggled to place the mouthpiece (also my tongue) in the right position. But the 2nd night onwards, I was able to put the mouthpiece and my tongue in the right position, and that was when the negative pressure worked well. I felt great the next morning due to the long sleep night. I don't think this will replace my CPAP, but it will be an excellent option when I travel. For sure, this will be an excellent system for those who can't comply with the mask.

[@Freecpapadvice]

Thanks for sharing. Great comment.

[@jackiesicilian5720]

Why wouldn't it be a replacement for your cpap??

[@HulkSmash315]

I'm going to try this later on. Maybe in a year. I just started using the resmed airsense 10 three months ago. It's changed my life.

[@Freecpapadvice]

That's awesome to hear!

[@geraldl5221]

Hope it will be available in Canada some time soon, would love to try it out as someone with severe obstructive sleep apnea. I love the CPAP machine, it has literally changed my life, but, as you mentioned, camping is a difficulty, and this would be amazing if it works for me. Also wanted to say thanks for all you do, finding out I had sleep apnea terrified me, and you've made me feel so much better, you've helped me laugh about this illness, and I really appreciate you and your knowledge.

[@lindam6549]

I live in Ontario and was able to purchase the iNap device directly from the company in Taiwan. It cost my $1900 for the device and a year's supply of mouth pieces, tubing, and dry pads. It also came with a case and a travel adapter. I should be able to claim it on my income tax.

[@SajidKhan-kt6rz]

​@@lindam6549 Is it working for you?

[@SajidKhan-kt6rz]

If CPAP is working for you I would say stick with it. I don't have much success with iNap

[@VivekKumar-cb1qo]

@@lindam6549how was your experience with the INAP device, did it worked for you ?

[@MrBLinKY1964]

Excellent information and presentation! I have hated my cpap machine for 13 years and haven't found a legitimate replacement so far. Hopefully, this will be an option for me. Thank you!

[@CPAPReviews]

Congrats on the video series brother! Keen to check out this iNappy Pappy Mc Papface therapy. Lots of love, your sister from another mister Uncle Nicko from down under mwah!

[@Freecpapadvice]

Mr. Nicko! Thank you sir. I'll be in touch. "That guy" contacted me again, and learned how to cc appropriately. 🤣🤣

[@CPAPReviews]

@@Freecpapadvice hahahaha so good!

[@argyle6674]

I used an oral appliance for over 10 years. Then had to go back to CPAP recently. The oral appliance worked but not as well as CPAP. MY AHI was 17 events an hour. The downside of an oral appliance is the cost. My dentist made it. $2000. And it pretty much messes up your jaw because it pushes the lower jaw forward. So it changes your bite. Which in turn affects eating and speech. The nightly problem with an oral appliance is drooling! Lots of drool. And waking up to wipe it off. Also the oral appliance doesn't always stay in position and might slip off the teeth. Well, nothing is perfect. Great video. Thanks.

[@Backwardsman95]

I'm on allergy shots now for severe seasonal allergies. I keep reading comments saying they can't use the device for this reason. Shots are a commitment and more expensive overall than iNap, but I'm 9 months in and basically cured of severe allergies. That combined with my septoplasty and I'm finally at a point I could even test out iNap

[@JDHood]

Super interested, but between the cost of the doc appt plus the device and consumables, and that I'm a self-pay patient, I don't want to spend that chunk for something that seems to me should be about $500 (or less). Regardless, WTF does a doctor have to be involved? I know, I know... *rules*. Or as I like to rephrase it, "mandatory administrative activities of HIGHLY questionable value". This is the biggest aggravation (to me) about treating OSA.

[@Freecpapadvice]

Truth Bomb: "Or as I like to rephrase it, "mandatory administrative activities of HIGHLY questionable value"

[@john99776]

Thanks Jason. Great and timely video. I'm extremely interested in this device and will let you know how it works for me. In the meantime, I offer this pre-evaluation WITHOUT having used the device yet. 1.Small 2.Lightweight 3. Quiet 4. Rechargeable 5.Low power use, only to initiate the seal. 6. Unobtrusive 7.Nothing on your face. 8.Unaffected by head movement, contact with bedding, etc. 9.No need to pressurize the airway or lungs. 10. Allows completely normal breathing. 11. No humidity or heating issues. 12. Non-invasive 13. Directly addresses the problematic tissues instead of trying to drag them around by mouthguards or MMA surgery. 14. If one needs combination therapy, the device doesn't rule that out. There's a lot to like. As an engineer, I think these people are on the right track.

[@lorenzoishere]

Hi John, did you get the device ? how is it going?

[@john99776]

@@lorenzoishere No I haven't. I've been reading a couple of studies about it carefully, and although it pulls on both the tongue and the palate to seal them together forward of the airway, it doesn't increase the space between the tongue base and the back of the throat. In fact it decreases that space slightly, even in people that it helps, due to the way it changes the overall shape of the tongue as it suctions it upward - the base of the tongue ends up a bit further back. I've had several palate surgeries, and a sedated endoscopy that I just had (to see if I qualify for Inspire device) shows that most of my apnea is caused by the tongue base. So the Inap may not help me much, if at all. And unless I take part in a study, there's the downside that if I use it exclusively I won't know how well it's working. I've also had a sort of breakthrough in the last week. My results with APAP have been all over the map - from the 30s AHI down to 2. Now, thanks to Jason, I've tried mouth taping and have been getting consistent results below 5. So even though I'm approved for Inspire, I may cancel the surgery. I'm not happy with the big battery and circuit in one's chest, or further messing about with the nerves in my tongue after already having the tongue suspension surgery (that didn't work). Both the Inspire and the Inap only seem to get people down to the 10 or so range, on average. If I can get 1s and 2s consitently with the APAP, this health improvement, even if subjectively I'm not attentive enough to sense during the day, can be read off the machine each morning and is probably (finally!) making a real difference to my health and longevity, so it's probably worth the hassle of being tied to keeping a machine with me. I'm also interested in the aerSleep, which suctions itself under your jaw and is undergoing testing now. But again, you'd need to be studied somehow to make sure how well it's working. For me, that device, from the animation on the website, looks like it would move the base of the tongue forward better than the Inap, and would be easier, less invasive and more comfortable to use. Even if I continue to use APAP, the aerSleep looks like it could be an ancillary device for clapping on when lying back to take a nap.

[@lorenzoishere]

@@john99776 Thanks for the answer and info. I also improved my results thanks to Jason, taping my mouth and dealing with mouth leaks while i use CPAP, my AHI are all below 1 but i still feel terrible and with brain fog during the day. I really wanna try the iNAP, its thtat kind of devices that you are never sure if it works until you try it and see how you feel. Maybe I´ll start with the rental program to see if it works, if it doesnt just return it. I wasnt aware of the aerSleep, hope it works for you. Let me know if you have new informations. Thanks again

[@john99776]

@@lorenzoishere If you have AHIs less than one, sleep may not be your only problem. Make sure that you don't have too much CO2 buildup in your bedroom. I have a CO2 monitor, and unless I leave the bedroom window open a bit it builds up too high during the night. Also, sleep is part of the equation, but diet is, as well. See Drs. Paul Saladino and Sean O'Mara.

[@niftykaffeine67]

Been on cpap therapy since 2003. I feel that I know way more than my Dr. about my apnea. So, until I can see and access MY data, this device is a no go.

[@Freecpapadvice]

What data would you like to have access to?

[@sathmath8544]

@@Freecpapadvice Probably has a pressure sensor, but it does not create a closed loop system like CPAP. Flow rate curve is the key as most other data points are just derivatives.

[@wellrestedmd4619]

@@sathmath8544 I have a few dozen patients using the device. The "extra" data sleep docs have access to is not much more: total use, percentage of use with seal, days used >4 hours, (negative) pressure. The device can also be paired with 3rd party pulse oximeters, and the app will generate a nightly oxygen desaturation index (ODI). Since the device can't effectively measure airflow or obstruction, the ODI is a proxy for device efficacy, as imperfect as it is

[@sathmath8544]

@@wellrestedmd4619 It did sound from the interview that current data provided even to doctors is not very useful. Some companies are getting very advanced sleep and apnea data from o2ring so somnics can go that route with cheap accessory devices. Using just ODI is being lazy. Data to clinicians only is definitely not the right direction. Do your patients find any dentition discomfort as a result of the device? How do you track their treatment outcome with such limited data?

[@wellrestedmd4619]

@@sathmath8544 Even limited data can be extremely useful, we don't need every option to be a perfect solution. The biggest problem in the management of sleep apnea is that around 90% of sufferers have never been formally diagnosed. The 2nd biggest problem is that among those who've been diagnosed, long term adherence to treatment is not much better than 30%. So as a clinician, two foundational pieces of information to guide care going forward is 1: has a diagnosis been established, and 2: is the most effective treatment being utilized. The limited data provided by the iNAP by the very mechanism of the device include whether it's turned on or not, and second whether a seal is achieved or not; there's not much else that can be derived from such a simple mechanism. An unused or underused treatment is not going to be effective, and if the iNAP isn't maintaining a seal during the vast majority of the use, it can't be helpful. So these two pieces of information from iNAP about use time and seal time are of prime importance. I would also be skeptical of consumer-grade data from something like the O2Ring - being required by law to "register" with the FDA has nothing to do with FDA authorization or approval, and Wellue has yet to publish any validation of their claims. As far as the mouthpiece, I've yet to hear from any of my patients that dental discomfort is an issue, and it hasn't been reported in the literature either.

[@DougFNJ]

Thank you for doing this video! I’m losing faith in CPAP, after the Philips recall with the possibility of my device causing me cancer, or issues with my Resmed finding mold in the tank no matter how much I clean it. I’m researching alternatives to CPAP and this looks like something worth exploring. Liked and subscribed, your videos are awesome, you have the best way of explaining while inserting humor. Thank you.

[@joedyck5700]

I don’t have a problem with mould but vinegar is usually the best way to deal with mould… FWIW

[@clicknstack1398]

Great video. It is a huge leap in treatment like you said. Finally someone came out with something that can advance the issue without being a stupid gimmick. Good on INAP for that. If the G word would stay out of peoples lives, we could probably figure apnea out. But, we know those losers ain't gonna do that. Thanks, Lanky

[@Freecpapadvice]

Your comment got marked as spam. ???? FIX THIS KZbin!!!

[@clicknstack1398]

See what I mean about the G word? thanks for what you do, sir.

[@iseeyou1312]

I can see this becoming the default treatment. CPAP discontinuation rate is far too high for it to be considered the "gold standard", and those of us left using it are seldom satisfied. The main cons for iNAP seem to be the lack of viability for patients with congestion issues, the absence of information on patient viability and being difficult to ascertain the device's efficacy without a follow-up polysomnography. Another potential benefit would be, given that the device is only being used for a few minutes each night, it should theoretically last for a very long time. Yet it's being sold with a paltry 2-year warranty, compared to my CPAP that came with a 5 year one. Thus the question remains, whether it has been built to last, or built to fleece patients? It would also be good if it's possible to test this on a more severe patient, to compare nothing with iNAP with CPAP. No offense, but your OSA doesn't seem bad enough to make meaningful comparisons.

[@Freecpapadvice]

All great points. The only one that I really would disagree with is the CPAP discontinuation rate. With proper education and follow up it can be much higher. (what this channel is trying to improve) No offense taken. This sounds odd....but I am disappointed that my AHI was a low as it was without. I know it's higher than that. I'm using nothing right now because I strongly believe I had a "residual CPAP effect" from using iNAP. With nothing I felt REALLY clear on the night of testing....which just doesn't happen normally. The good news is that in 10 days with no therapy I'm starting to feel like/and sleep like shit again. So I'll retest myself and compare again. That said, I'd still like to see this on a moderate and severe OSA patient.

[@cheripaul4645]

@@Freecpapadvice Maybe this will be answered further along in the video, but there was mention of using the Device for only minutes a night? I just assumed I would have to wear it while I sleep. Assuming that I do sleep since I have insomnia as well as sleep apnea🥸

[@Freecpapadvice]

@@cheripaul4645 device is used all night, but once oropharynx suction is achieved the iNAP turns “off”. The suction remains. If suction is lost, the iNAP starts up again.

[@mrg7858]

Lanky - thanks for this video. It's the first I've heard of the device and it looks like a good fit for me. I'm going to try it and Ireport back.

[@GilbertGTV]

I have a dental device that pulls my lower jaw forward and it was a huge waste of money for me. I’m so glad you explained how this wasn’t the same thing and so I’m really interested in trying this out!

[@SmallSpoonBrigade]

This is why there are various options out there. I deeply regret being tricked into the CPAP as I was never able to fall asleep using it. This device is something that intrigues me as it actually addresses the things I feel falling into my airway when I'm tired enough. I'll be trying again soon, but I'm still pretty angry that even the other options that were available at the time weren't offered.

[@volkansonmez9945]

Sorry it didnt work for you but probably l am guessing you but from online one of those mouth pieces not made for you because l have one and works great for me l dont even need to use cpap,it made for me only l went to orthodonic clinic and they made exaclty fits my mouth and pull bottom jar forward and l couldnt believe it really worked great,l did order from online in the past but first day l threw them in trash waste of money!!

[@jaystannard]

I don't understand how this guy doesn't have a million subscribers. There are 12% of Americans with Obstructive Sleep Apnea.

[@Freecpapadvice]

KZbin comment of the day. 🏆

[@jaystannard]

@@Freecpapadvice Well you're kind of homely, maybe you should get some work done. 😆 But seriously, given how big an improvement people get from improving Sleep Apnea, and how big a problem it is, I don't understand why there aren't a ton of educational resources.

[@cuisinartOH1]

Jason, great video series. Time will tell if the product works well for those of us without severe OSA, but it's good to see there is some development in this space. The lack of data access is a big drawback and hopefully the manufacturer comes around. I have a few questions for you. 1. How is data sent to the physicians? Is it wireless, SD card, or a USB port on the device you have to bring with you? 2. If physicians are supposedly the only ones with access to the data, how will you be able to perform an analysis for patients who use this device? Thanks!

[@Freecpapadvice]

Thank you Ed. 1. It's cloud based. When it syncs with your phone app I believe the data is made available to your "provider". 2. Me personally provide analysis? I'd have to run a sleep study on them with the device in place. If increased negative pressures were to be tested a 2 night series could be run with comparison. $150 now, a 2 night test would be 4 times that. I could try to get creative to bring the price down, but it would still be much more expensive.

[@jmpattillo]

Wow with that battery life this would be so great for camping.

[@marting.8205]

Well, there also portable CPAP device with LiIon batteries on the market.

[@jmpattillo]

@@marting.8205 I think those are overpriced. Better to get something like a Bluetti or Jackery. Then you could use it other stuff as well.

[@jbeargrr]

This is the best alternative to CPAP I've ever heard of. I want to try this. It's so small, and portable, I could take it in the living room with me, and if I felt sleepy in my recliner, I could use it to nap. And traveling, it would be perfect. I'm a nose breather anyway, so I think I could get used to it pretty easily. I can't stop thinking about it, since I watched the video earlier.

[@tedmotter1285]

Love to see a third page added to the comparision, (nothing worn, iNap worn, CPAP worn) for you or someone else with Moderate Sleep Apnea, as for sure could see benifit versus nothing but hard to tell how it compares to CPAP which if tolerable is likely still the gold standard. I would be interested in this for travel and camping, as I do not like lugging around my CPAP and extra power ect....

[@Freecpapadvice]

I'd like to test this on someone with moderate and severe OSA as well.

[@kathyprince1608]

I am so, so excited to have a doctor to prescribe this soon and the device on it's way. I will give my thoughts when I try it.

[@tonycarey1735]

Thanks for this. Looks like we'll have to wait until local suppliers (in Australia) get on to it. I'm due for an annual 'checkup' next month, I see if they've heard of it and, better still, if they think it's worth a try.

[@dansmalley5415]

I have tried the unit for 2 months. It does improve O2 levels but was not as good as cpap. I am still testing because I believe it has better advantages. I will try with v-neck brace and with full face shin straps. This is comfortable device.

[@sathmath8544]

So your chin drops despite INAP vacuum?

[@lorenzoishere]

Do you still have the chin drop problem?

[@davidrengifo6770]

Thanks for the info. I ordered my inap today. I’m hoping this will work as I have inspire and UPPP surgery with no success.

[@NecroBanana]

Combination therapy may be good for those people that need a pressure of 16 or more because those people also feel they need FFM because they can't "breathe through their nose" though I think in some cases they're just afraid of learning how to breathe through their nose.

[@veryberry39]

The whole saliva collection thing makes me gag just thinking about, so even if money and "only doctors get the info" weren't an issue, I'd never be able to use this. 😂 But it makes me really happy to see that people are trying to come up with new options for sleep apnea!

[@Mrbigbooty52]

Yeah I feel the same way. Cleaning the spit bucket every morning would be kinda gross.

[@CarlosGarcia-ij4yg]

Yup. Nasty and inconvenient. But i agree about it being good that there are people looking to make better treatment.

[@mattcat83]

I'll happily clean a bucket of my own spit each morning if it alleviates sleep apnea when I can't use my CPAP for whatever reason. For me, the price and the lack of health insurance coverage is the only real concern.

[@tobywinter1]

There is another mask with no headgear. It’s called the Tap Pap. It goes in your mouth and is held in place by your teeth. But if you have implants or crowns it can loosen them or even pull them out. Because of this I could not keep using it but it was the most comfortable “mask” I ever tried.

[@marting.8205]

That is from your own body!

[@ceebee9166]

Hey buddy! I just wanted you to know I enjoyed your video. Very informative... You definitely know your stuff. Thanks for what you do. My only suggestion is slow down with the acronyms. You clearly know them well but some of us need to hear what they mean every now and then...

[@Freecpapadvice]

Fair criticism.

[@grudarts]

There are generic oral appliances that don't require custom fitting less than 100 bucks. All that is required is a Bite Fit and the jaw is shifted forward. Stop sleeping on your back and spend your money on an adjustable bed. What bothers me more than severe Sleep Apnea is companies and so called experts that push for costly solutions that don't really work that well. I have been on sleep study after sleep study and my resolve has come from one expert. ME!

[@ivanmeredith1712]

When I started CPAP they gave me a F20 full face mask, which I just hated, but once I bought a P10 nasal I had no more issues with CPAP. I now run 17cmH20 constant without EPR or ramp and I struggle to tell that its on most of the time it feels so normal. I basically had to figure this all out myself, and by watching this channel and CPAP reviews. The place I got it from was pretty useless

[@veryberry39]

My problem has not yet been solved (I need either a chin strap or a cervical collar, both if which I'm dragging my feet on because I already have trouble falling/staying asleep), but I WILL say that changing to a nasal mask has been an amazing difference. Yes, I have mouth leak, even with taping my mouth, but it's so much more comfortable. Even having my mouth taped doesn't bother me. I've gotten to the point where it almost feels like not wearing anything, and that alone is HUGE!

[@Freecpapadvice]

TWSS!!! (only because that's what YOU would have said veryberry) Let me know if you need another recheck.

[@wetrock2766]

@@veryberry39 I fixed my mouth leaks with three layers of 3M Micropore tape. Skin must not be oily and cover wide enough to seal the mouth edges. A roll of 2 inch tape is a cheap way to fix a problem and no big loss if it doesn't work, good luck.

[@blakemoore666]

@@wetrock2766 If you’re using a nasal mask, taping your mouth, when u relax don’t your teeth open up this making air blow your cheeks out even though your mouth is taped completely shut? If it does, seems like that would wake me up?

[@jonjon3829]

I use both a MAD and a bipap with a full face mask. I designed the MAD myself based on 3d scanned teeth data. After all soft tissue issues were resolved, it turned out I have a larynx disorder, I get laryngospasms at night. No amount of pressure can resolve that. I was considering tracheotomy, but then decided to pay a questionable plastic surgeon instead to do a custom cricothyrotomy. Long term it is considered controversial, but so much less invasive than tracheotomy. I'm currently designing vents, sockets, magnetic connectors and what not. Hopefully I'll be able to make it work permanently.

[@missbeaussie]

Umm. Wow? Can you so a video on everything you just said please 😅

[@jonjon3829]

@@missbeaussie Are you interested in making your own MAD?

[@missbeaussie]

@@jonjon3829 I highly doubt I have the skills to do that but I'm interested in the process.

[@jonjon3829]

@@missbeaussie You are correct in your assumption. The way I did it was very complex and it took me 3-4 months until I arrived at the final 3d model. Total cost was $500 give or take for all the prototypes and failures. Still I heard some MADs can go into thousands so price wise it was worth it.

[@marting.8205]

You may want to ask your ENT doctor to do a DICE to find out the real cause.

[@smokingtarheel3003]

Great video as usual. I'm back to using my dreamstation sans foam. This product seems like a great solution and I have enjoyed your testing and review. My tech made some pressure recommendations to me that have helped. The clinic is much more responsive since I've pushed them for information and shared Oscar with them. I'm still planning on doing another session with you guys at some point.

[@DennisMathias]

Oscar..what's that?

[@smokingtarheel3003]

@@DennisMathias An open source software application for mac or pc that reads the data from your machine's SD card and displays the data with graphs. It goes into much detail. Lanky has quite a few videos showing how to interpret the data. I now have a ResMed Airsense 11, which is a great machine. I hope all is well with your CPAP journey.

[@lindac94]

very keen to learn more and to have a system that is less uncomfortable than CPap

[@jbeargrr]

This is interesting to me. I'd like to try it. I'm guessing that the reason they don't want patients to be able to access their data, is because the more we know, the more pissed off we get with the broken system. Also, the docs don't like it when we question them, especially if we know more about cpap machines than they do.

[@lightning9279]

So they have created this product to generate positive revenue flow for them with the need for special filters and rental. That said along with the lack of access to data makes this a no go.

[@Freecpapadvice]

Thank you for your comments! Questions for you: What data would you like access to? What channels would you like to see? With regard to other flow generation: Do you think this differs from CPAP needing monthly/quarterly filter changes and mask/mask cushion/headgear/tubing replacements?

[@lightning9279]

@@Freecpapadvice The data answer is... what data do you need to see.? As you stated follow up from docs will be slim if at all. Similar to the c-pap. That means 3rd party analyst such as yourself will be needed to ensure the device is meeting our needs. Frankly, I don't need to see any data. But psychological since I put the $ down to own it, I at least want access to it. Makes me feel warm and fuzzy inside even though I lack the brain power to understand it. Yeah you are right. The replacements are needed and are actually less than the c-pap needs. I was just being butt hurt.😫 Great review by the way.

[@suzannehartmann946]

I gave up on CPAP. I have blockage in my nose. But more importantly it seemed most of the air got forced into my stomach causing horrible reflux that backed into my trachea and small amounts into upper lungs. It took a while to heal from that. My son gave up also.

[@riknbkr330]

I'm tempted to try this out. I sleep with a mouthguard due to Bruxism. I've had a septoplasty. I've had LAUP. I now have my AHI down from 41 three years ago to under 0.6 for at least the last 6-7 months, thanks to your videos, and the CPAP forums. I like the idea of not having to wear a chin strap, Knightsbridge, and cover roll tape. The only thing stopping me is getting the doctor to go along with it. If I'm already successful with CPAP, how is he going to buy into it....other than the old $$$ calling? Great video, and if PSG biz gets boring, you need to get into stand up comedy.

[@Freecpapadvice]

Thanks! If you're doing that well with CPAP, I'd just keep on doing that. There are definitely benefits to a device like the iNAP. The problem is the lack of meaningful data to REALLY see if your sleep is optimized. I don't even think the doctor will be able to do that. It'll take a PSG with iNAP on (like I did in the video) to measure effectiveness.

[@Backwardsman95]

I too have bruxism and actually just ordered the iNap today. I'm not sure how it will effect that. That AHI sounds pretty awful, but as annoying as the CPAP is, it providing oxygen as part of the positive air is a benefit my polsysomograph operater really wanted to stress. I just couldn't tolerate cpap no matter what I did and I didn't quit after just one night, that's for sure.

[@marybowman6500]

Thanks

[@mtherlihy]

I have mild sleep apnea, although terrible insomnia because of it and will wake up about every 90 minutes when not using cpap. I have had cpap for 5 years and use for a period of a few months before I stop again. The problem I have with cpap is that while I will wake up less during the night, and my AHI reduces, I wake up feeling very tired. Even when I have leaks well controlled. I find that I get a deeper sleep without cpap even with waking up constantly. I think that my brain won't relax fully while the pressure is going. Recently I have tried an otc MAD to test before I buy an expensive one. I had some improvement but way too much TMJ and tooth pain. I actually have had good success with an otc tongue sleeve. The tongue hurts a little after but no significant jaw pain and I slept better than in a long time. This is why I think the iNAP may work for me, and I scheduled an appointment with my doctor to talk about a Rx.

[@wordscrafter]

I think this idea is very interesting. It's most likely a nope for me. My ent said I have a 'fallen' septum. Don't know why he called it that, I've found no info abut 'fallen.' Deviated, yea, but... Maybe with some feedback, from sources like you, there will be better and more forthcoming information. Your numbers were impressive. So were your sound effects 😉.

[@jeanettegreenfield7039]

Question: How does this work for a mouth breather? Do you have to wear a jaw strap? I was diagnosed with 31 "wake ups" per hour.

[@user-wb1qo3cx9l]

I want to try this, I hope my insurance will cover it. I can comply with CPAP, but after 15 years of using one every night and traveling, I am sick of it.

[@TriggerTravels]

Tried the mandibular advancement device....They had me pulled almost all the way forward and the thing did nothing for me...luckily I didn't spend the 3800 they wanted and tried a temporary one first.

[@Backwardsman95]

I didn't know there was a temporary option for those

[@TriggerTravels]

@@Backwardsman95 it's called the mytap... But you have to have a Rx from your sleep doctor

[@en2oh]

It sounds like the price point is based on the alternative rather than the actual cost. $1000usd seems like a heck of an ROI.

[@jeff-73]

no data access??? Not interested. Wont watch another inap vid at this point. thanks for the review.

[@beltycat5490]

Big question : why no data access?

[@niftykaffeine67]

Maybe it was just assumed by these developers that all Drs know all about apnea. In my opinion, they don’t. Weird that they don’t allow the user to see their own data. They’ve got to know that most Drs aren’t gonna look at the numbers.

[@Freecpapadvice]

I asked this of another commenter: what data channels would you want access to? Thanks JJ!

[@beltycat5490]

@@Freecpapadvice In my case I have struggled so long with cpap I would want all possible information in order to determine what conditions make for better sleep. I have used cpap for 30 years

[@jeff-73]

@@Freecpapadvice I want Oscar level access to my data because my sleep doctor is useless and have to do my own research in the community. I was armed with a ton of information during my last annual sleep doctor followup where as the doctor only looked at the last few days of data. Basically, i want the ability to help myself and not rely on a lazy doctor that tells me nothing.

[@mrlolzot]

I would love to buy this device but I don't know how to get it. I live in Belgium. Anyone have an idea?

[@marting.8205]

Maybe U make a vacation in Taiwan?

[@symplybeingme]

Great review I will discuss with my Doctor

[@Andyzzzz501]

My first question about this is if I can combine with a nasal cpap, just like you were saying. I would really like my airway to stay open better with less pressure. I have a lot of awakenings during REM and tried many different pressure settings, epr, automatic vs fixed pressure etc. My next step is probably bipap.

[@SajidKhan-kt6rz]

I'm in the same boat. Will be trying bipap soon

[@shahboy68]

You totally reminded me of a college buddy taking a bong hit.

[@rich91710]

This looks interesting. We are going on 6 years on our Resmed AS10 units, and I am noticing a black residue appearing on the filters on the cover for my Bleep unit, causing me some concern over whether "foamgate" is an issue for Resmed as well, but also with the unit being over 5 years, I was hoping for a replacement to the new AS11 soon. The biggest positive that I see is that it continues running through power outages. That is one of my biggest issues and concerns with CPAP, as I am completely unable to sleep without it, so if the power goes out, I just end up sitting in a dark room trying to rest.

[@marting.8205]

Have U heard about devices called UPS? (Why connect your CPAP to one of those?) Dark room is rather positive for finding sleep.

[@ThePhilcam]

So so good to be seeing research and new device types for this debilitating illness! So are you converted? Are you going back to cpap? Or are you sold never going back?

[@Freecpapadvice]

I'll continue to use both. Right now I'm using nothing so that I can retest my baseline. It was artificially low for the comparison. For this channel I'll continue to use and try whatever I need to in order to have a worthwhile opinion on these products.

[@peepers4763]

Did it work for you ? Would love to eliminate the CPAP headgear and tubes.

[@florencegirl97]

Great video. I want to try this! In another video, can you talk about where the inap is when you sleep? Next to you? On your chest? Is it awkward when you want to roll over?

[@Drewy62]

But where did they hide the foam?

[@Freecpapadvice]

😂

[@jackieellison4596]

How do you find out if you have central apnea

[@user-vt1fx1ox7u]

What if you suffer from post nasal drip?

[@LilysLife-ns4qs]

Why would you even test the INAP when your AHI without anything is 0.9. You don’t have OSA. 0-5 is normal. So using a INAP you got 0.0. Try using it on something with severe OSA. Then see the results

[@ojrivas6843]

Interesting. Have any of you being cared for at a Veterans hospital gotten this device from them?

[@boobtubeakatv1296]

Thanks Lanky... I would never use it as I have Central Ap... Even if I didn't, I still would never use it... Thanks for your video and care to ''us'' pappers 🤩

[@dunnkenny]

Does it dry out your mouth at all? So the advantage of inap is no headgear...or? I have no problem using my bpap , no " learning curves" with it, just put it on and slept 🤷‍♂️.

[@davidsacoransky9247]

What about people with esophageal reflux (GERD)? Could the INAP suction exacerbate the problem or even create a new reflux problem?

[@roberthoover8807]

I have tried inap for 3 months. I wanted data because I didn't feel any more rested. I used it with an oximeter and my cpap set to 4 and see the same or better results with mouth taping (You can create the oral vaccum by swallowing with mouth tape). When I just use the inap I have o2 dips below 81% and more obstructive events compared to cpap and tape. Its too bad, because I tolerated it very well. I"m going to return it. The trial period for the supply lease is now 3 months at $89.00 a month. Only after 90 days can you return it with this option.

[@marls00]

If the tissue is being physically pulled with the vacuum, is there a risk of stretching out or otherwise altering the tissue in the back of the throat in a way that would make the problem worse or cause unintended consequences?

[@littlepookie7976]

9:31 volume ! for headset users

[@Freecpapadvice]

Sorry man! I edit these with the sound all the way up so as not to blast you folks. My apologies.

[@mikoabz]

am i candidate for this? my AHI is 49 and im currently using full mask AirFit F30 for almost 3 yrs now.

[@MrStoshb]

Have been on CPAP for years now and hate it now almost as much as when I started. But, my wife says I can live somewhere else if I stop using it, so I keep on. I have to use a face mask due to sinus/hay fever issues. There are a number of nights a year when breathing through my nose is a lost cause. Would this issue make it unadvisable to try iNAP? Thanks

[@user-bv4ei9pq9t]

How do I get in touch to purchase

[@langgalyn]

How does it stay in place when ur napping?

[@liamhughes5535]

Can inap be charged in Ireland/Europe… I am a faithful user of cpap and taping of my mouth but was considering inspire. I am very interested in inap and will be trying the 60 day trial period. I’m so sick of headgear and horrible dry mouth in the morning….

[@cannon440]

CPAP requires a sleep study. Does inap? Is the vacuum adjustable? If not, what vacuum level does it work at -1 to -15psi? How does a doctor write a script if you don't know if it will work?

[@Freecpapadvice]

This is a great point that I overlooked speaking about directly. This will have to be worked out before any insurance will cover it. The vacuum level was discussed in my interview video with them. I don't remember it from memory. Do remember that it was the equivalent of sucking liquid through a straw.

[@ShowMeWhatINeedToKnow]

Do you feel that the iNAP would stretch any of the soft tissues in the mouth? For example: You might subconsciously be pulling back on your tongue as it is pulling it forward -- thereby stretching it over time?

[@speaknup8009]

I would like to hear your thoughts about use of the mouthpiece, with a plug in the outlet for the hose, as a method of controlling mouth leaks by CPAP users. It seems to me that the shape of this mouthpiece should allow an easy solution to this common problem.

[@Freecpapadvice]

I think that you'd need the negative pressure to create a good enough seal. Like where you're coming from though! I'd think that a setup like the Fisher Paykel Oracle mask would work in the way that you describe. (Just they way that in seals in the mouth)

[@MrWhiskybreath]

What did you mean by "the follow-up is crap"? (At 6:32)

[@altapia54]

$84 X 24 months equals $2000. If you purchase, it costs $1000 and if you return within the trial period, you only lose $100. I’m ordering one this week. INAP said, in the US, it may not be approved for reimbursement for two years. So, I’m paying full price

[@marting.8205]

Your calculation is not correct. You are leaving out both interests and inflation.

[@johnbauman4005]

It's PAL-uh-təl, not puh-LAY-shəl. The first refers to the palate, the second pronunciation refers to something huge and lavish like a palace - palatial.

[@LisaF_]

As someone who had braces as an adult, I’d be really afraid long term use would affect the teeth and bite. But I am someone who is extremely happy using my Bleep “mask” and CPAP, so this isn’t really for me anyway.

[@Freecpapadvice]

The Bleep "interface" rocks!

[@missbeaussie]

If the device doesn't have to be "bitten down on" I don't think it would cause much of an issue for adult teeth.

[@missbeaussie]

Bleep looks interesting. Worried I'd have a reaction to the adhesive though. I'm curious, are the ports easy enough to connect/disconnect if you need to use the bathroom in the middle of the night?

[@LisaF_]

@@missbeaussie I can’t wear bandaids or most medical tape because my skin is sensitive to them (gets red and itchy), but I can actually wear these ports. I bought a box of them before I bought the whole set up to make sure I could use them. So if you’re interested, I’d say it’s definitely worth a try. When I get up to use the bathroom in the middle of the night, I disconnect the small Bleep hose from my big hose and keep the rest attached to my face. Super easy and quick. Honestly the Bleep was a game changer for me. I love it.

[@missbeaussie]

@@LisaF_ thanks Lisa! That's fantastic to hear.

[@joedyck5700]

You don’t say how you get the sleep data that you showed for comparison. I use an SPO2 Watch, where I can compare using my CPAP to not using it. If this inap machine records data, does it use a cellular modem to send data to a server somewhere out there like my RESMED 10 does? (I disabled that, it is none of their damn business.) In Communist British Columbia, Canada, where I live, if you are prescribed a CPAP our socialist ICBC car insurance corporation can yank your license for Non Compliance. I bought my CPAP privately and use the Oscar software and my SPO2 data to monitor how I am doing… Unfortunately I am afraid to use a doctor because of the compliance thing. I use it voluntarily and it is none of their business.

[@Freecpapadvice]

My own home sleep diagnostic equipment was used with and without the iNAP.

[@AndyK.23]

Thorough and well done demo! I'm thinking for those who have to use a full facemask (easier to breathe via mouth and nose, allergies block nose breathing, etc), this INAP will not work - right?

[@Freecpapadvice]

Thank you! Correct, any chronic nasal obstructions preventing nasal breathing would be a no go.

[@CaroleLaRochelle]

So I have tried the iNap, I really wanted it to work, and I worked at it. I was not very successful. When I tried the CPAP I was successful right away, and with how I was crashing due to sleep deprivation I had to go with what worked for me. For more detail about my apnea numbers, and experience it would be easier to have a conversation than write about all of it here.

[@patrickhall7884]

Hi. Would you be interested in selling the device?

[@strand-type-name]

Seconding this - if you're looking to sell the device I'd be interested!

[@vuinh8464]

Hi Jason! I'll keep it nice and short. Does it make your throat dry by the time you wake up? It doesn't seem to come with a built-in humidifier. Thank you so much for reading and answering my question!

[@josephorso]

Jason, I was wondering if you read or have any feeling on how well the iNap will work for those of us that have had UPPP surgery. I had UPPP surgery about 20 years ago and it controlled my sleep apnea for about 10 years. About 10 years ago I needed to start CPAP and have been using it since that time. Given that I am still having obstructive sleep apnea, is that an indication that I have enough soft tissue to create the required iNap seal. Any thoughts would be greatly appreciated.

[@Freecpapadvice]

I don't think it would hurt at all. It all comes does to where the obstruction is. Hopefully it's still soft tissue. The purpose of the UPPP is to make soft tissue more firm via scarring.

[@MisterTooz]

First thing I noticed, is the tubing is short and afraid I'd roll on the device at night. Second thing I wondered about is side or stomach sleepers. The tubing looks soft and flimsy and will probably get pinched off if you bury your head in the pillow like I do. Third thing I thought about and you mentioned it happened, but drooling and that sound like a suction machine. If you have allergies, or you have nose drainage it might be a little too much to suction and the device will be clogged. Fourth...can you see people cleaning out their spit, especially if it's all green and nasty?

[@jeffreylylemason]

Hey Jason, great video. I want to try combination (iNAP + bipap) and see how that goes.

[@Freecpapadvice]

I'm planning on doing this.

[@bobsponge1877]

Doesn't that make you feel like you're suffocating?

[@mediaprof6328]

You posted this a year ago, but I just came across it. I am 73, female, and need to lose weight, and have been on the bipap for two decades. So, I am not a quitter. But, I am troubled with frequently waking up after three or four hours of sleep. I will fall back asleep, and then wake up. I know this is a sleep cycle associated with apnea, but I am using a mask. It makes me wonder if the mask is effective or if the noise from it wakes me up. I think maybe the iNAP might be preferable to the mask.

[@tobywinter1]

I have a sleep apnea appliance that has no headgear. It’s called Tap Pap. It works great but you can’t use it if you have implants or crowns in your mouth. I have it….but I can’t use it. Aka colorlady

[@wmerinoh]

Hi Jason, you blast my big bubble thinking I could use something else beside my cpap machine, the thing is that I can't really breath well through my nostrils so the Inap is no good for me and then you said that those devices like guard pieces to forward your jaws is only good for people with light apnea .... I guess I have no choice but to stick to the cpap machine ah...?? ...still I want to thank you for taking your time in explaining these things. By the way I love the way you do your evaluations. Keep it up. Thank you

[@Freecpapadvice]

Thanks Wil, I appreciate that!

[@churchhymnsandpsalms]

Give us the data, iNap! ALL the data!

[@chancellorism]

Seems interesting! Has anyone used it for snoring and if so how did it work? Thanks!

[@flynn37]

Still don't see any answers to whether this is a problem for clenchers/grinders. I think I'd bite right through the device or hose! Thoughts?

[@gregblank247]

Please Jason, why are you no longer using INAP as of this date, if it worked for you?

[@jennettebaez7988]

I'm still not too convince.

[@snoopdoggydog5640]

Hi, thanks for the video--lots of helpful information. How do you sleep with the device? Meaning, does it lay beside you in the bed? Did you roll on top of it, and if so, does that create a problem with the device?

[@davidrobertson6371]

My brother falls asleep on a dime, and he stops breathing for maybe 20 seconds then gasps and either yells or moans for about 10-15 seconds then quits breaking for 15-20 seconds. He does this for the whole night. He doesn’t seem to want to take it seriously but it’s highly disturbing.

[@marting.8205]

Maybe you want to make a video of him sleeping and show it to him the morning after?

[@tomgregory5814]

I’m a mouth breather, using an F30 full face mask. I continue to use it even though it dries me out completely and wakes me up after 4 hours max each night. My events range from .9 to 2.1 most nights to 4. + on bad nights. I’ve been on CPAP for more than 3 years and struggle with each night. The device would seem to be a much better option for me and only today heard of it. Given how it works it might work for me. As you say the system in general sucks relative to follow up. I suppose some of it is my fault. Couple of questions. Do you know if the cost is covered by Medicare/supplemental coverage? Also I assume I’d have to get the RX from my sleep center doctor. Not covered by Medicare per their website. PIA!

[@Mate2Frio]

This looks smaller\lighter and less power.... Thinking camping this would be a great solution.

[@teresamcg431]

I failed the pillow mask & cannot wear a full mask. I am a mouth breather when I sleep. Do you think this would be beneficial for me?

[@Liz-bn8fw]

I tried both the cpap and the dental device and neither significantly reduced my apnea. Feel like I've wasted alot of time and money to have nothing to show for it.

[@gnrands50]

Thanks for the informative review. To maintain my DOT medical certification, I need to demonstrate compliance of 4+ hours a night. Does the iNAP compile data like my ResMed CPAP?