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Mirage FX mask: Wide or Standard

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BreatheHappily +0 points · about 1 month ago Original Poster

Hi, I am choosing between the Wide and Standard version of ResMed Mirage FX Mask.

Can anyone tell me whether the Wide version protrudes as much as the Standard version.

I mean the length of the mask: from the cushion of the mask, to the tip of the mask where the tube attaches.

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Sierra +1 point · about 1 month ago Sleep Patron

There is a sizing template for this mask on line, but it only gives you the width and height, but not the depth of the nose piece. My wife used to use this mask a few years ago, but has since switched to the F&P Brevida and likes it a lot better. It is more comfortable and leaves less of a mark on her face in the morning.

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BreatheHappily +0 points · about 1 month ago Original Poster

Thanks Sierra, Yes, I noticed that sizing template. The vendors seemed to think the depth is probably the same on both versions but couldn't verify the size for some reason. I will try to ask another vendor. Did your wife use the standard or wide version of the Mirage FX? I was considering the ResMed Air Pillow versions too. Not sure if I could get used to have something inserted in my nostrils all night though. By the way, I have tried F&P Eson 2 but it has a grey felt filter over the vent which gets hot and prevents enough air getting out.

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Sierra +0 points · about 1 month ago Sleep Patron

I think the nasal pillow design is much less intrusive than the over the nose design. I recall my wife's FX was the standard size. I tried my wife's Mirage FX and did not like it all. The nasal pillow types typically are sold as a fit pack, which lets you try the different sizes and see which one works best for you. I use the ResMed AirFit P10, and my wife has tried it as well but prefers the F&P Brevida. With a nasal pillow you want the largest size possible so the cone portion does not go significantly into the nostrils. If you go too large it leaks, while if you go too small it is less comfortable and the cone can collapse and seal off the air flow. The Brevida has more substantial headgear than the AirFit P10.

The Brevida also has a grey felt like filter over the air vent. My wife has not had any issues with it besides having it fall out occasionally. It is to suppress noise and noise does go up a bit if it is not there. The only air restriction problems she has had is when she tries to use the smaller cushion which goes too far into her nose and collapses. I think it only comes in two sizes and she uses the larger one. I use the Large version of the P10. I also understand that the newest version of the P10 has an improved headgear adjustment method. The original one was very poor, and I have replaced my headgear with the one from a Swift FX mask that I tried and did not like. It is very noisy and the air flow out of the mask is very high velocity and disturbing. But I liked the headgear from it and now have modified it to work with my P10 mask. I have not tried the new P10 headgear, so can't comment on how good it is.

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BreatheHappily +0 points · about 1 month ago Original Poster

Thanks. I was told by the sleep clinic that the pillow design versions become dislodged for people who rotate in bed frequently, so I was advised against that type. However, I have a partially deviated septum that affects my right side so having air delivered directly into the nostril my help keep the right side of my nose open, I guess.

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Sierra +0 points · about 1 month ago Sleep Patron

What I find is that the smaller the mask the less likely it is to be dislodged from the nose during sleep. I sleep on one side or the other for 95% of the night and roll over several times during my sleep. I find the AirFit P10 generally stays in place, or at least it does with the Swift headgear on it. This is my sleep from last night. You can see that the leak rate basically stays quite reliably under the leak rate redline. My long term average % of time above the redline is 0.33%.

This is a graph of my wife's Brevida mask. Her long term rate is similar to mine but a bit higher. She mainly sleeps on her side too and makes a few changes of sides during the night.

Unfortunately with masks you never really know if they are going to work for you until you try them. Not sure where you get your masks but CPAP.com has a 30 day trial period for a free return on many masks if you are in the US.

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BreatheHappily +0 points · about 1 month ago Original Poster

Interesting to hear that. The ResMed frame on the AirFit N20 hurts my left cheekbone for some reason. I am a bit concerned about that. I asked about the AirFit P10 and the vendor told me some people feel a lot of pressure inside the nose/nasal cavity. What is your experience as far as that goes?

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Sierra +0 points · about 1 month ago Sleep Patron

Yes, when I first started using the P10 I got some nose irritation, and it was particularly bad when I tried using a cushion that was too small and it went too far into my nose. I now use the large version. I bought it as a fit pack so I recall it included three sizes of cushions and I got tempted to try them all... What I also found is that you can minimize the nose irritation with some 1% hydrocortisone cream applied in the morning for a week or two to the external part of your nose until your nose gets used to it. Have not used the cream for years now. If the new headgear adjustment on the P10 is an improvement it may be a good mask. But the headgear on the F&P Brevida is definitely better. The cushion is a little larger and kind of fits more on the bottom of the nose than the P10. My wife and I tried both the P10 and Brevida. I decided on the P10 with an upgrade described here. My wife liked the Brevida better and still uses it.

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BreatheHappily +0 points · about 1 month ago Original Poster

So you had no problems with the air being blown directly into your nose and irritating the nasal passage? What level do you put the humidifier on? It sounds more like your issues were on the outside/entrance to your nose.

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Sierra +0 points · about 1 month ago Sleep Patron

No I have no issues with irritation inside the nose due to the air flow going directly in. Both myself and my wife have ResMed AutoSet A10 machines. They have an auto humidity control mode when you use a heated hose. The humidity is set on auto and the temperature set to 27 C (81 F). We both use pretty much the full reservoir of water over a 7-8 hour sleep.

My initial issues were irritation of the entrance to the nasal passages by the prongs on the mask. The Brevida has less of a prong design, and you might find it more comfortable, and the harness is better on it. This is what the Brevida cushion looks like.

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BreatheHappily +0 points · about 1 month ago Original Poster

OK thanks for the clarification. At the moment, I have a ResMed full mask, F&P Eson 2 Nasal Mask, and ResMed N20 Nasal mask. I will try using both nasal masks. Then I will decide about trying the Mirage FX and/or P10 and Brevida.

I don't get claustrophobic with masks, and I read on the sofa before going to bed so wearing glasses is not an issue. I just want comfort.

What are the main reasons you and your wife prefer the P10 and Brevida to the Mirage FX?

Do you know anything about the ResMed Airfit N30 Nasal Mask, which seems similar to the AirFit P10 but doesn't have nasal prongs?

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Sierra +0 points · about 1 month ago Sleep Patron

My wife started CPAP a couple of years before me, and had always used the Mirage FX as it was selected by the sleep clinic. When I started out on CPAP I was given a ResMed P10, and it did not work so well for me. I could not keep it on my head due to the flimsy headgear. So I started out on a search for a better mask. I tried the Mirage Quattro and could not make it through the night due to leaks blowing in my eyes. I tried my wife's Mirage FX, and perhaps it was too small but it felt constricting. I tried the ResMed AirFit F20, and like the Quattro I could not make it stop leaking. At some point I tried the Swift FX to get better headgear and could not tolerate the high velocity and noisy vent air flow. And I eventually used the headgear from the Swift and adapted it to my P10. Somewhere along the line I also tried the Brevida. I found it OK but preferred the P10. My wife's only complaint about the Mirage FX was that it left heavy strap marks on her face that took some time to go away. That and the little prong things on the mask kept breaking. I offered her my Brevida and she has used it ever since. So we have a good collection of masks sitting in boxes somewhere!!

The AirFit N30i has come along since all my trials, and seems like a good idea. Not sure I would like the hose connection at the top of my head. I have gotten used to the hose coming down by my body. I recall some have had issues with it being noisy due to the air vent at the top, and the side tubes can restrict air flow if you sleep on them. But, in short all I know is what I read about it in posts. There is similar offering from Phillips and I think they were first with this design. You could try a search here for comments. CPAP.com keeps a long list of customer comments about each mask too.

In the end the P10 and Brevida are minimalist masks, and I think that is the main reason we like them. The P10 is exceptionally quiet, and the Brevida has better headgear. If I had to gamble on one, I would try the Brevida before the P10, as I am not so sure how good the headgear is even with the new adjustment method...

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BreatheHappily +0 points · about 1 month ago Original Poster

Sorry if this post appears more than once on this page. I have tried posting twice but nothing appears. I had added links to ResMed and F&P pages. Perhaps that was the problem, so I removed them.

When you say headgear, am I right in thinking you mean the straps but none of the plastic/silicon part that fits on your nose?

Just trying to visualize things. As I understand it, the mask part of the F&P Brevida Air Pillow covers your nose, while the ResMed P10 rests on the outside rim of your nostrils, with prongs as you mentioned. If I went for a nasal mask, I might prefer the Brevida design of the nose piece, as shown in your photo above.

I wish I had more opportunity to try different masks. I currently live in Japan. I went to an ENT doctor who made me do an at-home test and then sent me the ResMed AirSense 10 Auto plus a full-face ResMed mask and F&P Eson 2 nasal to try. I then did a PSG overnight test at a larger hospital and was supposed to do a mask fitting there, but the technician/nurse just asked me what I had already and gave me the ResMed N20 mask, without letting me try on others.

I don't want to go back to the overnight hospital because they are not flexible as far as letting me try and choose my own mask. The ENT doctor is helpful but has no expertise on fitting masks and doesn't have them on hand to try out. However, I can call up the supplier directly and they will provide me with various masks, as long as I phone the ENT doctor and get his approval. This is all covered by the Japanese national health insurance system. However, I imagine I cannot keep asking the supplier for alternative masks indefinitely, so I think I will try what I have, then ask for one more from the supplier, and if that doesn't work, I will buy another one out of my own pocket.

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BreatheHappily +0 points · about 1 month ago Original Poster

When you say headgear, am I right in thinking you mean the straps but none of the plastic/silicon part that fits on your nose?

As I understand it, the mask part of the F&P Brevida Air Pillow covers your nose, while the ResMed P10 rests on the outside rim of your nostrils, with prongs as you mentioned. If I went for a nasal mask, I might prefer the Brevida design of the nose piece, as shown in your photo above.

I wish I had more opportunity to try different masks. I currently live in Japan. I went to an ENT doctor who made me do an at-home test and then sent me the ResMed AirSense 10 Auto plus a full-face ResMed mask and F&P Eson 2 nasal to try. I then did a PSG overnight test at a larger hospital and was supposed to do a mask fitting there, but the technician/nurse just asked me what I had already and gave me the ResMed N20 mask, without letting me try on others.

I don't want to go back to the overnight hospital because they are not flexible as far as letting me try and choose my own mask. The ENT doctor is helpful but has no expertise on fitting masks and doesn't have them on hand to try out. However, I can call up the supplier directly and they will provide me with various masks, as long as I phone the ENT doctor and get his approval. This is all covered by the Japanese national health insurance system. However, I imagine I cannot keep asking the supplier for alternative masks indefinitely, so I think I will try what I have, then ask for one more from the supplier, and if that doesn't work, I will buy another one out of my own pocket.

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BreatheHappily +0 points · about 1 month ago Original Poster

Thanks.

When you say headgear, am I right thinking you mean the straps but none of the plastic/silicon part that fits on your nose?

Just trying to visualize things. Based on the links below, the mask part of the F&P Brevida Air Pillow covers your nose, while the ResMed P10 rests on the outside rim of your nostrils, with prongs as you mentioned. If I went for a nasal mask, I might prefer the Brevida design of the nose piece, as shown in your photo above. https://www.fphcare.com/us/homecare/sleep-apnea/masks/brevida/ https://www.resmed.com/en-us/sleep-apnea/cpap-parts-support/sleep-apnea-full-products-list/cpap-masks/airfit-p10/

I wish I had more opportunity to try different masks. I currently live in Japan. I went to an ENT doctor who made me do an at-home test and then sent me the ResMed AirSense 10 Auto plus a full-face ResMed mask and F&P Eson 2 nasal to try. I then did a PSG overnight test at a larger hospital and was supposed to do a mask fitting there, but the technician/nurse just asked me what I had already and gave me the ResMed N20 mask, without letting me try on others.

I don't want to go back to the overnight hospital because they are not flexible as far as letting me try and choose my own mask. The ENT doctor is helpful but has no expertise on fitting masks and doesn't have them on hand to try out. However, I can call up the supplier directly and they will provide me with various masks, as long as I phone the ENT doctor and get his approval. This is all covered by the Japanese national health insurance system. However, I imagine I cannot keep asking the supplier for alternative masks indefinitely, so I think I will try what I have, then ask for one more from the supplier, and if that doesn't work, I will buy another one out of my own pocket.

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Sierra +1 point · about 1 month ago Sleep Patron

This post seems to have been delayed. No idea why. Sometimes multiple graphics can do it.

Yes, by headgear I mean the part that goes over your head and holds the mask in place. For most masks it can be bought separately, but there is no uniform standard to let you switch headgear independent of the mask frame and cushions. That is why I had to modify the P10 to use the Swift headgear.

Getting a good mask does tend to be a trial and error process.

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BreatheHappily +0 points · about 1 month ago Original Poster

Thanks. I found out the post was withheld because I posted urls before my account had been approved.

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Sierra +1 point · about 1 month ago Sleep Patron

Yes, they seem to have a very active spam filter here. Seems to be working though as I have not seen any real spam for a while now. It seems to get bad on long weekends when they guess that nobody is going to moderate them out.

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BreatheHappily +0 points · about 1 month ago Original Poster

Sorry if this is posted twice. I thought I had posted it but it didn't show after I hit "comment". Perhaps the system is vetting my URL links?

When you say headgear, am I right thinking you mean the straps but none of the plastic/silicon part that fits on your nose?

Just trying to visualize things. Based on the links below, the mask part of the F&P Brevida Air Pillow covers your nose, while the ResMed P10 rests on the outside rim of your nostrils, with prongs as you mentioned. If I went for a nasal mask, I might prefer the Brevida design of the nose piece, as shown in your photo above. https://www.fphcare.com/us/homecare/sleep-apnea/masks/brevida/ https://www.resmed.com/en-us/sleep-apnea/cpap-parts-support/sleep-apnea-full-products-list/cpap-masks/airfit-p10/

I wish I had more opportunity to try different masks. I currently live in Japan. I went to an ENT doctor who made me do an at-home test and then sent me the ResMed AirSense 10 Auto plus a full-face ResMed mask and F&P Eson 2 nasal to try. I then did a PSG overnight test at a larger hospital and was supposed to do a mask fitting there, but the technician/nurse just asked me what I had already and gave me the ResMed N20 mask, without letting me try on others.

I don't want to go back to the overnight hospital because they are not flexible as far as letting me try and choose my own mask. The ENT doctor is helpful but has no expertise on fitting masks and doesn't have them on hand to try out. However, I can call up the supplier directly and they will provide me with various masks, as long as I phone the ENT doctor and get his approval. This is all covered by the Japanese national health insurance system. However, I imagine I cannot keep asking the supplier for alternative masks indefinitely, so I think I will try what I have, then ask for one more from the supplier, and if that doesn't work, I will buy another one out of my own pocket.

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