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ffm in mouth
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
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: #1
ffm in mouth
Well, I am approaching the end of my first week with Quatro FX FFM.
Friday and Saturday night I developed a new problem. The mask shifts and the lower side winds up IN my mouth ( like a bit in a horses mouth). My AHI this morning was 11.24, about the worst I have seen in the 2+ years I have been on CPAP.
I have attached some data for those that know how to read and understand it better than I do.
HelpHelpHelp
04-28-2013 01:52 PM
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vsheline Online

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Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #2
RE: ffm in mouth
(04-28-2013 01:52 PM)bwexler Wrote:  Well, I am approaching the end of my first week with Quatro FX FFM.
Friday and Saturday night I developed a new problem. The mask shifts and the lower side winds up IN my mouth ( like a bit in a horses mouth). My AHI this morning was 11.24, about the worst I have seen in the 2+ years I have been on CPAP.
I have attached some data for those that know how to read and understand it better than I do.
HelpHelpHelp

Hi bwexler, welcome to the forum!

There is a fitting guide you can use to check whether your mask is too small. Fitting guide is here:

http://www.resmed.com/us/products/quattr...c=patients

Be sure that when you print out the fitting guide that the printer is told to print original size, and then check with a ruler that the printout is correctly scaled.

Sorry, do not see the data you attached. Maybe file size was too large?

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-28-2013 03:51 PM by vsheline.)
04-28-2013 03:51 PM
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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 √Član
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: ffm in mouth
I insisted that the RT measure me before I received the FX mask.
He did not know what the official measuring device looked like, but when he pulled it out of the file (junk) drawer, I recognized it. We measured me as a perfect medium. I had watched the fitting video at Supplier #1, so I actully knew more about the proper process than the RT in this case.
The mask slowly slides up on the bridge of my nose over time, allowing the bottom of the mask to be in my mouth.
Perhaps i am not adjusting the head gear properly or my head just isn't the right shape.
04-28-2013 08:26 PM
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vsheline Online

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #4
RE: ffm in mouth
(04-28-2013 08:26 PM)bwexler Wrote:  Perhaps i am not adjusting the head gear properly or my head just isn't the right shape.

I suppose you have already tried loosening the top straps very slightly, or tightening the bottom straps a little.

One thing I've found very important is to use soap to wash all oil from the mask daily, and to wash all oil from my face right before bed.

Also, I use RemZzzs mask liners, which help control leaks and I think would probably help keep the mask from sliding up, because you might not need to have the top straps as tight.

By the way, I don't like the design of the headgear for the Mirage Quattro FX, on me it tends to slip back and bother my ears, so on my to-do list is to try to modify a generic headgear to fit my Mirage Quattro FX.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-28-2013 10:44 PM by vsheline.)
04-28-2013 10:37 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #5
RE: ffm in mouth
Sounds like you suffer from WOMS. (Wide Open Mouth Syndrome)
I don't think that eating your mask in your sleep is covered under warranty. Smile
Ok, enough jokes. Smile

Did you get that sealing surface totally squeaky clean and clear of grease/oils?
Then washing the area in the face that seals to the mask with Dawn dish soap usually works.
The mask should stay stuck to your face better that way.

If that doesn't work then maybe a change of mask model will help. Everyone does not have a standard face.

Cheers & good luck!

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

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04-29-2013 05:57 AM
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imfletch Offline

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Posts: 22
Joined: Apr 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Swift LT
Humidifier: ResMed 5i
CPAP Pressure: 16
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Pensacola, FL

Post: #6
RE: ffm in mouth
Shastzi may have hit the nail on the head. I had problems at first with my mouth dropping open when I reached deep sleep. (Two weeks of a chin strap solved that.)
It would interesting to see your ResScan or Sleepyhead graphs. I bet your leaks were sky-high. This would explain the high number of events and the general poor quality of your sleep.
You don't say...do you sleep on your back, side or stomach? (I suspect stomach would be a bit difficult with the full face mask), but that or side sleeping could gently push the mask upwards as you sleep.
I was a life-long stomach sleeper, but realized early on that if I wanted optimum results from the therapy, I would probably have to learn to sleep on my back. That was darned difficult, but I've just about done it. I now sleep about six to seven hours without waking - on my back. It keeps the leaks to a minimum.
I would suggest nasal pillows (because I love 'em), but doubt that will work for you because it sounds like you sleep with your mouth open.
04-29-2013 02:40 PM
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robertbuckley Offline

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Posts: 99
Joined: Mar 2013

Machine: Resprionics BiPAP Auto SV Advanced
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F-10 Full Face
Humidifier: Resprionics System One
CPAP Pressure: EEP 15; PS 4 - 10
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: New York, NY

Post: #7
RE: ffm in mouth
wash well - a leeetle tighter on the bottom straps - a teensy bit looser on the top strap.
FYI - there is a plastic sizing gauge that comes attached in the plastic pack with the mask.
04-29-2013 04:32 PM
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Shastzi Offline

Advisory Members

Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #8
RE: ffm in mouth
(04-29-2013 02:40 PM)imfletch Wrote:  Shastzi may have hit the nail on the head. I had problems at first with my mouth dropping open when I reached deep sleep. (Two weeks of a chin strap solved that.)
It would interesting to see your ResScan or Sleepyhead graphs. I bet your leaks were sky-high. This would explain the high number of events and the general poor quality of your sleep.
You don't say...do you sleep on your back, side or stomach? (I suspect stomach would be a bit difficult with the full face mask), but that or side sleeping could gently push the mask upwards as you sleep.
I was a life-long stomach sleeper, but realized early on that if I wanted optimum results from the therapy, I would probably have to learn to sleep on my back. That was darned difficult, but I've just about done it. I now sleep about six to seven hours without waking - on my back. It keeps the leaks to a minimum.
I would suggest nasal pillows (because I love 'em), but doubt that will work for you because it sounds like you sleep with your mouth open.


Yup. I got the open mouth issues big time.
I sleep ok on my side but sometimes would roll on my back and my AHI goes through the roof when I do that.
So I made a back pack I stuffed with 3 tubes of tennis balls. (still in the tubes) That way I have to sleep on one side or the other.
Smile
AHI is floating around 0.8 to 0.9 with a lot of trips down to 0.14
My leaks are near zero these days since I spend the extra time cleaning the sealing area daily. (what a drag...but it works!)
When I was getting a bad leak, it usually made so much noise it would wake me up with the THHLLLPPPP sound.
So...
The only leaks I get now are when I unseat the mask to scratch the nose or chase down some lint bouncing around inside the thing.
If I know I need to get up for a pit stop or something I just shut the system down. That helps the numbers a bit too.
***
Can't tolerate the nose thingie since my soft palate slams shut on the exhale phase and the drop open mouth looses pressure for me. ..Not cool at all.

I'm getting pretty good results of late though after all said and done.

Smile

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

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04-29-2013 09:39 PM
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