Those leaks are "Ok" and the AHI is great.
BUT, those leaks are way more than you SHOULD be experiencing.
For comparison: Last night my leaks with the Airfit P10 were WORSE than usual, in fact it woke me up halfway a couple of times until I roused enough to just FIX IT.
My leaks were 0-median 12-95% 19.2 Max
My median is almost always 0, and even my 95% is frequently AT or VERY near 0. My max almost never crosses the 24l limit (for Resmed).
This comparison is more useful with a Nasal Pillow mask since there is VERY LITTLE to adjust. It's not like a FFM where everyone's face is SO different, and there are so many things to adjust on complex headgear.
With the P10, there are only 3 things to get right:
1) Correct pillow size (and this may not be OBVIOUS)
2) Correct pillow placement -- a LITTLE more complicated than most people think
3) Headgear fit
Also, make TRIPLE sure you are putting the pillow on COMPLETELY (snap it down) and you are putting it on in the RIGHT DIRECTION -- the angles should be close away from you and far near you upper lip. Pretty obvious but people have made this mistake far more than one would expect.
Put the mask on in front of a mirror. Put the pillows in. Pull the headgear into place. If it is too tight, you need to stretch it. You might try strap padding (Pad-a-cheek or something) if it is SLIGHTLY too loose.
The fit of the headgear should likely be NOT QUITE SNUG -- I would have tightened my headgear significantly more if it were adjustable -- turns out that is was (accidentally) perfect for me.
I try to put the strap RIGHT ABOVE my ears, and into the depression at the back of my head above the base of my skull and below the curve of my cranium.
IF I feel that the strap is too loose, then I pull the top band up at an angle (away from the bottom band) to make an angle up to 90 degrees but usually somewhat smaller, maybe about 40-60 degrees up near the BACK OF THE CROWN or my head.
Pillows must be "in" but not so large as to "fold".
Press the mask body gently FLAT against your upper lift. It should feel fairly comfortable and not dislodge the pillows or cause them to shift around much.
That is the PRIMARY CHECK I make during the night -- almost any other fiddling with the mask will move the pillows, especially if you do it AFTER they are inflated under pressure.
NOW: Don't mess with it again. (As much as possible.)
Go to the machine, PLUG IN THE HOSE BEFORE you turn on the machine.
Turn on and bring the machine up to FULL therapeutic pressure. NO RAMP!
Check the leak.
Go to bed and avoid "bumping" or moving the mask around as much as feasible.
It is almost impossible to replace the correctly size pillows while under pressure IF you get them moved. Just get up and go back to the bathroom until you learn to avoid this.
Turn off the machine (ALWAYS) before removing the mask.
Last night, when I "fixed" the pillow position, I did an 'extra maneuver' which works but may not be pleasant.
Basically, I just made a loose fist and brought it up to my nose as if covering a cough and TAPPED the darn thing back in.
I seldom dislodge the mask but it happened last night and this "tap" basically just FORCED the pillows deep into my nose. This is not the most comfortable position but it works and since I was barely awake, it was no problem to just go to sleep and leave them that way.
Note: It's not terrible uncomfortable but it isn't the IDEAL position -- however it is VERY tight against leaks
No, I didn't really bop myself in the nose, but that was ALMOST what I did.