Post Reply 
ASV people. please help.
Author Message
JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAir™ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #1
Sad ASV people. please help.
My FFM has been denting my face, from my having to tighten it to prevent leaks. I have tried several different mask liners; the homemade fleece or velour leaks a lot, cotton t-shirt material not so much.

The leaks cause the pressure to go way up, and then I get bad aerophagia, and leak reports in sleepyhead. I have asked DME for help, they ignore me, and I have to call them to remind them to send me a replacement cushion for my Simplus.

I've tried many masks, only to have this same problem, and the F10 hurt my nose.

How do you deal with this problem, ASV folks? Please help. Thank you. xo
10-17-2015 11:33 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #2
RE: ASV people. please help.
I can't help with the ASV specific issue, but there are others here that will chime in with that.
I have used the Simplus and have my BiLevel set to higher pressure than your machine.
I changed from the Simplus to the Amara View and will never go back-face digging (bridge of my nose specifically)

Now for adjusting the Simplus: I was forever overtightening that mask to try and control leaks. I always ended up loosening the straps to get it to seal.
Once I start the pressure I would pull the mask "slightly" away from my face and let the silicon seal inflate to fit to my face, then let go and let it "float" there. When it would leak and blow into my eyes near the bridge of my nose, I would pull the mask toward my chin so it would seal better, sometimes pulling down on the back of the bottom straps to keep it from riding back up.

The Amara View can be quite tricky to get set right, at least for me, but when you get it right it is fantastic. It does not even touch my nose bridge Smile. When it's not fitted correctly I know it and just fiddle with it until I hit the sweet spot, no breathing resistance and the air flows directly into my nose-both sides.

Good luck!
10-17-2015 01:22 PM
Find all posts by this user Post Reply Quote this message in a reply
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #3
RE: ASV people. please help.
I also had problems with leaks with numerous masks. My sleep doc suggested I increase the pressure even higher. That lasted half a night.
I lowered my pressure (but not as low as you) and solved my leak problem.

Making the straps too tight is a classic cause of leaks.

If you must wear a full face mask, I would try the Amara View. I will be picking one up this week for my brother in law. That will also allow me to check it out thoroughly. If it works for him I will probably order one for me.
10-17-2015 07:38 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAir™ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #4
RE: ASV people. please help.
(10-17-2015 07:38 PM)bwexler Wrote:  I also had problems with leaks with numerous masks. My sleep doc suggested I increase the pressure even higher. That lasted half a night.
I lowered my pressure (but not as low as you) and solved my leak problem.

Making the straps too tight is a classic cause of leaks.

If you must wear a full face mask, I would try the Amara View. I will be picking one up this week for my brother in law. That will also allow me to check it out thoroughly. If it works for him I will probably order one for me.

Tried the Amara View, and no matter what I did, it would not stop leaking.
10-17-2015 08:36 PM
Find all posts by this user Post Reply Quote this message in a reply
3porpoise Offline

Preferred Members

Posts: 74
Joined: Feb 2013

Machine: S9 VPAP Adapt ASV
Mask Type: Full face mask
Mask Make & Model: Resmed mirage Quattro
Humidifier: H5i
CPAP Pressure: epap 5 PS 3-8
CPAP Software: ResScan

Other Comments: the world hasn't always been flat

Sex: Undisclosed
Location:

Post: #5
RE: ASV people. please help.
Hi JVinNE,
The only one that's worked for me is the Mirage Quattro. I had to go up a size cause of some mouth breathing and bottom lip hanging out then. It took a few days to fine tune the straps and forehead dial. 1 increment at a time.
Finding the best mask sure can be a challenge.
Good luck.

3
10-17-2015 09:33 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: ASV people. please help.
The Simplus should deal with a max of 13 easily. My auto machine is maxed at 16 When i use the simplus and leaks are fine
Thats over a beard. The simplus rides lower than some ffm.
Either you have the wrong size or your over tightening the top straps.
If the cushion on a Simplus is denting your face you definitely are WAY over tightening it.
Too tight the cushion cannot seal as designed and it will leak.
If the forehead support bar is touching your forehead its to tight on the top straps.
(This post was last modified: 10-18-2015 01:04 AM by Ghost1958.)
10-18-2015 12:58 AM
Find all posts by this user Post Reply Quote this message in a reply
JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAir™ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #7
RE: ASV people. please help.
(10-18-2015 12:58 AM)Ghost1958 Wrote:  The Simplus should deal with a max of 13 easily. My auto machine is maxed at 16 When i use the simplus and leaks are fine
Thats over a beard. The simplus rides lower than some ffm.
Either you have the wrong size or your over tightening the top straps.
If the cushion on a Simplus is denting your face you definitely are WAY over tightening it.
Too tight the cushion cannot seal as designed and it will leak.
If the forehead support bar is touching your forehead its to tight on the top straps.

Thank you very much. I will try this. I also purchased a secondary mask; an Airfit F10. Going to try it with a liner again just to see how I do with it. I could go back and forth?
10-29-2015 04:27 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #8
RE: ASV people. please help.
I have some questions about your settings. You list Min EPAP=5,Max IPAP=13, PS=1-2. I am assuming that you are in ASV Auto mode. According to the clinicians manual there is a Max EPAP but no Max IPAP-maybe just a slip of the typing finger. According to the clinician manual the Min PS can be set 0-6. The max PS can be set 5-20. Was your PS=1-2 meant to be PS=1-20.

Best Regards,

PaytonA
10-29-2015 06:33 PM
Find all posts by this user Post Reply Quote this message in a reply
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #9
RE: ASV people. please help.
(10-18-2015 12:58 AM)Ghost1958 Wrote:  The Simplus should deal with a max of 13 easily. My auto machine is maxed at 16 When i use the simplus and leaks are fine
Thats over a beard. The simplus rides lower than some ffm.
Either you have the wrong size or your over tightening the top straps.
If the cushion on a Simplus is denting your face you definitely are WAY over tightening it.
Too tight the cushion cannot seal as designed and it will leak.
If the forehead support bar is touching your forehead its to tight on the top straps.

I agree with what Ghost says with one exception. At my pressure of 20 cm/H2O I had to have the forehead support tightly against my forehead in order to minimize leaks at the bridge of the nose. I tried it loose first and tried to work around it but to no avail. Had to tighten the upper straps up. I think the difference between Ghost and me is our respective pressure. When I was trying the Simplus I was running straight bilevel at 16/20 EPAP/IPAP.

Best Regards,

PaytonA
10-29-2015 06:43 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Statins may lower risk of heart disease in people with sleep apnea DeepBreathing 44 3,079 01-13-2016 07:37 PM
Last Post: eseedhouse
  What Software are people using teagranny 10 1,168 11-06-2015 05:19 PM
Last Post: sonicboom
Ohmy First post..looking for people who share similar symptoms mzdawn74 24 4,062 10-05-2015 02:12 PM
Last Post: cate1898
  Do people respond to apneas differently? novatom 10 1,991 03-06-2015 12:50 AM
Last Post: SailingAway
  [Symptoms] Why do some people desat during... justMongo 2 899 02-03-2014 10:42 PM
Last Post: jgjones1972
  Some People Just Don't "GET" How Important Compliance Is! Schnauzers 5 7 2,447 05-17-2013 11:14 AM
Last Post: PaulaO2
  Thanks to the people here on the apnea board. BarryB 1 923 05-10-2013 12:21 AM
Last Post: Tez62

Forum Jump:

Who's Online (Complete List)