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If the data plate on the CPAP machine shows that it will work from 100-120 and 220-240, there won't be any problem using it anywhere in the Caribbean with nothing but a simple outlet adapter. Any Fisher Paykel, Respironics, Resmed, DeVilbiss, or Puritan Bennett CPAP blower made in the past 5 years will happily take either 120 or 220 volts, 50 or 60 Hz. Humidifiers are a different animal, they will frequently only work on either 120V or 220V and will usually require a converter rather than just an adapter.
Saint Martin power is 220 volts, 60 cycles. This is odd because 220 volt countries normally use 50 Hz power; my guess is that Saint Martin gets power from St Maartin, which is 120 V 60 Hz. 220V 60 Hz will cause problems with motors that are rated at 220V 50 Hz. CPAP machines convert the AC to DC, so 50/60 Hz isn't an issue for CPAP machines. Some CPAPs will even work off of 400 Hz aircraft power.
I can't find any information about St Barts power. As St Barts uses a French outlet, it is probably 220 volts and either 50 or 60 Hz. -- your CPAP will have no problem with this.
What is the brand and model of your CPAP machine and humidifier?
Don't worry about it if you can't find distilled, demineralized, or reverse osmosis treated water in St Barts; it won't hurt your humidifier to use bottled drinking water or tap water (not mineral water) for a week or so. You may want to remove the chlorine if you smell chlorine in the water. Let the water sit in an open container for at least 12 hours, boil it a microwave, or heat it in an electric kettle to remove the chlorine (depending upon the amenities in the room),. Melted ice will also work. After a few days you may find a bit of water deposit in the water tank, it can be removed with vinegar when you get back.
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