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[Equipment] Had it with lip leaks - going FFM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #31
RE: Had it with lip leaks - going FFM
Thanks for that PaytonA, That's close to my measurement so perhaps I will try a small size next time but it appears that I can probably get by with a medium until then.

Best regards,
Dude

ps. Send the bill to ResMed since they should be providing the mask measurements instead of you. :grin:
(This post was last modified: 11-17-2014 10:49 PM by surferdude2.)
11-17-2014 10:46 PM
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Peter_C Offline

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Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #32
RE: Had it with lip leaks - going FFM
I'm using a MED myself, and am also wondering if I would do better or worse with a small? I've got some 90 days before my next free mask.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-19-2014 04:30 PM
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PaytonA Offline
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Posts: 3,015
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: #33
RE: Had it with lip leaks - going FFM
Peter,

I am guessing because I can not find a mask fit template for the Quattro Air that you use. If it is the same as the Mirage Quattro then you could measure your face from the horizontal crease between your chin and lower lip to the bridge of your nose adjacent to the corner of your eye. If it is 3.5" it would be a small Mirage Quattro. If it is 3.75" it would be a medium. Resmed says, if the measurement is in the middle, go to the smaller size.

Best Regards,

PaytonA
11-19-2014 11:03 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #34
RE: Had it with lip leaks - going FFM
Here ya go.

[Image: measure_zpsdf6dba4e.jpg]

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-20-2014 06:06 AM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #35
RE: Had it with lip leaks - going FFM
Thanks a bunch Paula! That's what I needed. I have compiled a list of the various sizes of the Quattro Mirage mask with the corresponding cushion measurements from top center to bottom center of the cushion surface, as shown on the graphic below. The fit range is +- 5 mm except for the large which has a range of +- 7 mm..

Xsmall = 75 mm. (3")
Small = 85 mm. (3 3/8")
Med. = 95 mm. (3 3/4")
Large = 107 mm. (4 1/2")

That may help folks to decide which size would suit them best without having to resort to printing out the template. Given the high cost of the mask and the fact that each size cushion requires a matching housing size, it's important to get it right the first time.

[Image: 10fntdh.jpg]
(This post was last modified: 11-20-2014 10:09 AM by surferdude2.)
11-20-2014 10:04 AM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #36
RE: Had it with lip leaks - going FFM
(11-19-2014 11:03 PM)PaytonA Wrote:  Peter,

I am guessing because I can not find a mask fit template for the Quattro Air that you use. If it is the same as the Mirage Quattro then you could measure your face from the horizontal crease between your chin and lower lip to the bridge of your nose adjacent to the corner of your eye. If it is 3.5" it would be a small Mirage Quattro. If it is 3.75" it would be a medium. Resmed says, if the measurement is in the middle, go to the smaller size.

Best Regards,

PaytonA

Am sorry - I rotate between the F-10 (small), Quattro Air (small), Mirage Quattro (med) - It seems that the F-10 is too small and perhaps a MED in it would be better? The Mirage Quattro seems a bit too big (in MED) and perhaps a small would be better?

And the Quattro Air is my favorite (small), but I randomly wake up with the lower edge in my mouth - again, perhaps a MED might be better?

/sigh

These are all so damn spendy, I just don't know which way to punt next? I have *one* free mask choice coming up in 3 months (am told one new mask every six months).

I do find the Mirage Quattro to be the best "bolt-on", won't move mask. But in the current (MED) size, it feels so close to my eyes - which is why I am wondering if trying it in a small might be better? Or will I then randomly wake up with the bottom edge in my mouth? (Forget chin-straps for me, can't do them and have tried!)

Like Paula states above, I'd love to go nasal or pillows but the 'hissing' (see her description) leaks lower the effectiveness of my treatment.

Last week on FFM = AHI of '2' or less

Last week long use of the 'Wisp' = AHI of 10-25...

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-20-2014 04:40 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #37
RE: Had it with lip leaks - going FFM
Pete, The single biggest problem I find with the Mirage Quattro mask is that ResMed insists that for a proper fit it should land right on the nose bridge between the eyes and that just doesn't work for all noses.

Some noses do not run straight in a single plane and the best place for a mask to seal properly may require a size smaller (maybe even two sizes smaller) mask than would be selected using their template. In those instances, the mask will need to be installed lower on the face to prevent leakage around the nose and into the eyes.

I consider it cruel of them to design this item so that a different size cushion requires a different mask frame. Greed may have played a part in that.
(This post was last modified: 11-20-2014 04:56 PM by surferdude2.)
11-20-2014 04:55 PM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #38
RE: Had it with lip leaks - going FFM
Good point there~! Like I said, am running out of ideas personally...

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-20-2014 05:05 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #39
RE: Had it with lip leaks - going FFM
This picture will illustrate what I was talking about above:

[Image: 2evexr8.jpg]
11-20-2014 05:11 PM
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Itsadryheat Offline

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Posts: 55
Joined: May 2012

Machine: S9 autoset
Mask Type: Full face mask
Mask Make & Model: Quattro ffm
Humidifier: H1
CPAP Pressure: 6-10.5
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #40
RE: Had it with lip leaks - going FFM
I also use the mirage Quattro. I found I was having the dry mouth problem using that mask. My solution has been to use a Pad-a-cheek cover on the mask. I do not trim the padacheek to fit. What happens is that the extra material just covers my lips. Keeps my mouth shut for the most part.
11-20-2014 06:04 PM
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