Just had my first week with the Philips Respironics Nuance Pro mask. It is so new that I can't find it on the Respironics website, although Supplier #10
is taking pre-orders, and they have the manufacturer's brochure under mask specs. The Nuance has a fabric frame; the Nuance Pro has a gel-padded frame.
(I have been using Swift FX for Her medium pillow for months. I love how minimalist the entire apparatus is. But I am really between the small and medium sizes, so I have been "gluing" the pillows to my nose with a mustache diving mask sealer. That works fine, but I am beginning to worry about putting that stuff in my nostrils every night.)
Description: All the straps are stretchy. The top strap and the straps from the gel-padded frame are adjustable; the back strap is not. There are small, medium, and large pillows. The cones that go into the nostrils are very
short and very small. The pillows are 3/8" to 1/4" thick and are in two layers. The layer closest to your nostrils is blue squishy gel. The layer furthest from your nostrils is solid and rubbery. The diameter of the pillows is actually about the same as the Swift FX, but the Nuance feels like it sits further out of my nostrils. It has a light, stretchy, flexible hose.
Stats: 0 apneas/hypopneas (not unusual), AHI of .52 from phony CAs and OAs vs. average of 1.6. One leak a night, a record. Average leaks 0.03 vs .57. 95% leaks 0.0 vs. 3.6. I am hypersensitive to even small leaks, so the leak numbers are a big deal.
Cons: Nuance Pro is more bulky than the Swift FX. The Nuance Pro frame is stiff and protrudes on the sides of the pillows. I have to hang my nose a little further over the edge of the pillow (I am an almost-stomach sleeper). Back strap sits higher on the back of the head than the Swift FX and initially was easily displaced if I was briefly on my back when I was about to awaken. I adjusted the fit by moving the back strap further down the back of my head and the top strap more at the top of my head.
Pros: The nostril cones are so small I can not tell that I have anything in my nose. The gel pillows do not displace unless I yank the whole mask, which I don't do during sleep. I can wrinkle my nose, scrunch my mouth, or make faces and the pillows do not leak. Much more forgiving fit. With the Swift FX, I must slide my face along the pillow and tighten up the Swift FX, as I usually have puffy eyes in spite of having the Swift FX mask properly loose. No puffy eyes or strap marks with the Nuance.
Conclusion: Mostly because I am between sizes with the Swift FX, this is a keeper. VERY comfortable, VERY stable.