How to clean a CPAP machine, mask and tubing

4 min read By HHZ Editorial Next review

The FDA says most CPAP masks, hoses and humidifier tanks can be cleaned with mild soap and water, following your manufacturer's instructions; some manufacturers recommend diluted vinegar. For a ResMed AirSense 11: empty and wipe the tub daily and refill with distilled water (standard tub). Weekly, wash the tubing, tub and outlet connector in warm water with mild dish soap (tub and connector can also go in 1:9 vinegar), and replace the filter every 6 months. The FDA says there are no FDA cleared or approved devices for cleaning, disinfecting or sanitizing CPAP machines, and it warns about ozone and UV cleaners.

The FDA puts it simply: “Most CPAP accessories like masks, hoses and CPAP machine humidifier tanks can be cleaned with mild soap and water as described in the owner’s manual” (FDA consumer update). You don’t need a gadget. You need a routine.

Why it matters

Per the FDA, germs from your lungs, throat or mouth can get into the mask or hose, germs on your skin can transfer to the mask, and dust, mold or other allergens can get in too. Dust and dirt can also make the machine more likely to break (FDA consumer update). ResMed’s mask guide adds that regular cleaning helps “prevent the growth of germs that can adversely affect your health” (ResMed AirFit F20 user guide). The AASM also suggests cleaning the mask daily to help with leaks (AASM PAP troubleshooting FAQ).

The routine: ResMed AirSense 11 with AirFit F20

WhenPartHow
DailyHumidifier tubEmpty, wipe thoroughly with a clean disposable cloth, dry out of direct sunlight, refill: distilled water only in the HumidAir 11 standard tub, or drinking-quality water in the cleanable tub
Daily / after each useMask frame, elbow, cushionRinse under running water and brush clean. Soak up to 10 minutes in warm water with mild liquid detergent, shake, brush the vents and joints, rinse, air dry out of direct sunlight
WeeklyAir tubingWarm water with mild dishwashing liquid. Not in a dishwasher or washing machine
WeeklyHumidifier tub and outlet connectorWarm water with mild dishwashing liquid, or 1 part vinegar to 9 parts water at room temperature. Both may go in a dishwasher
WeeklyMask headgearHand wash in warm water with mild liquid detergent, rinse, squeeze, air dry out of direct sunlight
WeeklyDevice exteriorWipe with a dry cloth
Every 6 months, or sooner if holed or blockedAir filterReplace. It is not washable or reusable

Sources: ResMed AirSense 11 user guide and ResMed AirFit F20 user guide. Components should not be washed above 131°F (55°C) (AirSense 11). Other brands differ, so use your own manuals.

Inspect as you clean

From the AirSense 11 guide:

  • Replace the humidifier tub if it’s leaking, cracked, cloudy or pitted, or if its seal is cracked or torn. Remove white powder deposits with 1 part vinegar to 9 parts water, then rinse.
  • Replace air tubing with holes, tears or cracks.
  • Discard and replace any component with visible deterioration (cracking, discoloration, tears).

ResMed lists a design life of 6 months for the standard humidifier tub and the air tubing, and 2.5 years for the cleanable tub (ResMed AirSense 11 user guide). For replacement intervals and prices, see the CPAP supplies replacement schedule.

What not to do

  • Don’t put the machine in water. The FDA says not to put any machine with an electrical cord into water or other liquids. Wipe the outside with a damp towel, or a dry cloth per ResMed.
  • Don’t use harsh cleaners. ResMed warns that some cleaning products may damage the mask or leave harmful vapors that could be inhaled if not rinsed thoroughly (ResMed AirFit F20 user guide).
  • Be cautious with ozone and UV “CPAP cleaners”. See below.

What the FDA says about ozone and UV cleaners

From the FDA consumer update:

  • “There are currently no FDA cleared or approved devices for cleaning, disinfecting, or sanitizing CPAP machines.”
  • The FDA has authorized one device for add-on bacterial reduction of specific CPAP masks and hoses, to be used after regular cleaning, not instead of it. The FDA names it as SoClean3+ (FDA SoClean communication).
  • “Both UV light and ozone can break down CPAP accessories like hoses and masks.”
  • The FDA has received reports of unexpected asthma attacks, headaches and breathlessness after people used ozone devices. Ozone levels inside CPAP equipment can be above safe limits even several hours after cleaning.

If you own a recalled Philips device, the FDA specifically says not to use ozone or UV light cleaners on it (Philips recall guide).

Verdict

Use soap and water and follow your manuals: wipe the tub daily and refill it with the right water, clean the mask daily, and wash the tubing, tub and headgear weekly. Replace filters and worn parts on schedule. You don’t need an ozone or UV cleaner. The FDA hasn’t cleared any device to clean CPAP machines, and ozone and UV can damage your equipment.

Frequently asked questions

How often should I clean my CPAP?
Follow your manufacturer. ResMed's AirSense 11 guide says to empty and wipe the humidifier tub daily, and to wash the air tubing, tub and outlet connector weekly. The AirFit F20 guide says to clean the frame, elbow and cushion daily or after each use, and the headgear weekly.
Can I clean my CPAP with vinegar?
The FDA notes that some manufacturers recommend diluted vinegar. ResMed's AirSense 11 guide allows a solution of 1 part vinegar to 9 parts water at room temperature for the humidifier tub and outlet connector, and for removing white powder deposits from the tub. Air tubing is washed with mild dishwashing liquid.
Are CPAP cleaners like SoClean safe?
The FDA says there are no FDA cleared or approved devices for cleaning, disinfecting or sanitizing CPAP machines. It has authorized one device, SoClean3+, only as an add-on after regular cleaning to reduce bacteria on certain masks and hoses. The FDA has received reports of asthma attacks, headaches and breathlessness after using ozone cleaners, and says UV and ozone can break down CPAP accessories.
What water should I use in my CPAP humidifier?
For the ResMed HumidAir 11 standard tub, use distilled water only. For the HumidAir 11 cleanable tub, ResMed says drinking-quality (potable) water is fine. Other machines may differ, so check your manual.