The P10. I Actually Need To Keep This One.
Kirby Apodaca
My very first CPAP mask about 5 years ago was the ResMed AirFit P10 Nasal Pillow type. I really liked that it was so quiet and minimal in shape. However, I found the headgear was terrible. It would not stay on my head. It was hard to adjust. And it leaked a lot. After trying different masks I could not find one as good, and I finally modified my P10 by fitting it with a Swift FX Headgear as described here. That worked much better and it served me well for nearly 5 years. But, my original P10 mask was starting to get tired, and it even plugged up as described here. So, I decided it was finally time to get a new mask. I bought the new complete P10 with the new improved QuickFit headgear. While it was tempting to modify it to be used with my Swift FX headgear, I decided to try it as is first to see how good the new headgear was.
I have used it just as it came out of the box for two nights now, and so far this is a major improvement over the original headgear. It stays on my head, and my leaks so far have been lower than I was getting with my modified headgear. See the OSCAR screenshot from last night below. The hose did pull apart once at the connection to the heated hose. I had that issue before with the old mask, and had put a few wraps of Scotch Magic tape to build up the diameter of the hose fitting. If this keeps happening I will have to do that with the new one.
In any case I can now fully recommend this mask. In the past I have always said it was a great mask but had terrible headgear. Now they have improved the headgear it is a complete all around good mask. You do have to keep the vent screen clean though. I have retired my P10-Swift combo mask now but will keep it as a spare just in case....
Well now that I have used the mask for a month or so, and the honeymoon period is over, I can report that the headgear is not perfect. After, the initial trial with it just the way it came, I found the need to adjust the headgear a bit tighter. The problem is that the adjustment buckle thing does not stay put. You can adjust it tighter, but it does not stay put and just slips looser again. If anyone has had that issue and found a good solution, I wouldn't mind hearing about it. I think I may just tape it in place.
Chin Straps - Basically I have tried them all including a homemade one. The best was the Breathewear Halo you mentioned. However I found it was just too much with the mask straps and the chin strap to be comfortable. I have also found that using a satin pillow cover makes the pillow slippery enough to help keep the straps on my head, rather than having them "dragged" off by the standard pillow cover.
As I said in the beginning I think everyone has to experiment to see what they like and can tolerate for a mask. I also think one has to "make friends" with the mask and learn how to live with it. The new P10 does it for me.
The best mask I have found so far has been the ResMed P10. I really like it except for one thing. The headgear is really flimsy and of a poor design. It has no adjustment feature, and seems to stretch quickly. Yes, they include some goofy little clips that you are supposed to use to tighten the straps, but the biggest issue I have with this mask is that it will not stay on my head. I find that when I use the clips they catch on the pillow and make it even easier for the headgear to move and let the mask come loose.
Has anyone found any solutions to this? I would be really nice if someone developed a generic headgear that would fit on the funny attachment system that the P10 uses. I also have a Brevida nasal pillow mask which has a much better and adjustable headgear. However I can't see any easy way of adapting it to the P10. Unfortunately the nasal pillow part of the Brevida does not seem to agree with my nose. That part works much better on the P10.
Thought I would throw it out there in case someone is aware of a good solution. The best one I have come up with so far is to use a Breathewear Halo chin strap. It helps somewhat in keeping your mouth shut, and in keeping the P10 headstraps in place.
You might have better success with a combination of the ResMed Swift FX nasal pillows system. Make sure you get the right size pillows and use a dab AYR nasal gel to enhance your seal (and for comfort). The flat of the tongue against the roof of your mouth, with the tip of the tongue resting against the backs of your upper front teeth really works. It's a comfortable position. I think the air pressure from the CPAP exerts a seal (kind of like suction) that helps keep the tongue where it needs to be. My jaw actually falls open during the night and my lips part, yet I don't record any leaks at all, ever. Husband disturbs his seal whenever he turns over and the leaks don't wake him up a lot of the time. So, he wakes up in the morning with a dry mouth, but not always. I don't think he has tried the tongue trick. I'll suggest it again and maybe I'll get through. I'm not much help because I sleep through most anything, including earthquakes.
The Swift FX is better quality and stretches out slowly. Husband and I can go without changing masks about 6 months. The mask does eventually stretch out, but there is a lot of room in the straps for adjustment and this compensates. We change to new masks every 6 months just to keep our therapy fresh. The pillows get changed out every 3 months. Thank you for all your very helpful posts. I was inspired by your bio to update mine to something more useful.
Thank you for the suggestions. I will consider the Swift FX mask. On a quick look, the mask part seems quite similar to the P10 with the dual wall nasal extensions. It has the air exhaust on the hose like the Brevida, while it is built into the mask on the P10. I suspect I could tolerate it, and the headgear does look to be better. What I would like to do is just buy the headgear and fit it to the P10, but that looks pretty difficult. Perhaps when it is time for a mask change I will buy the whole thing. It is a shame that the mask manufacturers at least within their own brand would not standardize on how they attach the headgear to the mask. Each mask seems to have a unique attachment method.
I am a bit burned out on trying new masks at this point, and I think I will take a break from the new mask merry go round for a while. So far I have tried the Mirage Quattro, and even with the help of a good blog titled something like Taming the Mirage Quattro, I couldn't make it stop leaking. It just seemed to walk around on my face. I tried my wife's Mirage FX, and while it was better I couldn't stop the leaks and the rude noises the leaks make. They wake me up. Next I tried the AirFit F20 full face. It is probably better than the Quattro and Mirage FX, but still leaks, and when I finally gave up, it was causing a blister on the bridge of my nose. My sleep quality was bad, because I kept waking up. The latest purchase was the F&P Brevida, and while I think I could get to the point of tolerating it, the batwings part seem to stick out and make it easier to push out of place when side sleeping. I get more leaks with it than I do with the P10. The Brevida also irritates my nose more, but that I suspect would go away over time. I will keep it as a spare, but doubt I will ever use it regularly.
I have looked at trying to adapt headgear from another mask to the P10 mask, but nothing looks easy. The manufacturers seem to go out of their way to ensure nothing is interchangeable. It it amazing that they agreed on a hose connection that is virtually universal...
The headgear that seems to have some potential to being adapted is the F&P Brevida, and the Nuance Pro Gel. But, it would still take some garage mechanics to make them work. If you go the cut and attach Velcro route, you may also want to consider including a fabric hose like those used to hang eyeglasses around your neck and then slip it down over the Velcro section after you have adjusted it for length. That Velcro stuff can have sharp edges which could end up bugging you at night. Another thought I had was to just double (triple actually) up a section of the fabric strap without cutting it and then stitching it with a sewing machine. Kind of one shot adjustable, but should work.
I'm asking this question because I faced this scenario: with two nodes, on the primary PAN the profiling service was enabled and there was a yellow triangle. On the secondary PAN, such a feature could not be enabled.
There many folds of this topic (including the fact when going for an upgrade I don't want to start from spurious conditions) but if somebody could share his/her experience/knowledge, I would realluy appreciate it.
If indeed, the abnormal situation (profiling enable with no license) is an advantage, how to enable it again? And if it is not possible, why we ended up into that situation? (I know I should find the answer in my company by know ing the history)
Hi Gio, as you can see from the screenshot, the plus features licenses are disabled. You can try to check the tickbox next to plus and then click enable. That should then allow you to turn on profiling.
In ISE 2.x you would need at least 100 Plus licenses (which have a limited lifespan) or in ISE 3.x you must have at least 100 Advantage licenses, which are also subscription based (i.e. limited life span). Without these licenses you should not enable profiling on a node. You can do it technically, but then you are in violation of Cisco licensing (yellow license icon).
If you then want to also use the profiled data in your RADIUS Authorization Policies, you will need one of these rather expense licenses PER endpoint that successfully matched one of these rules. If you have 10,000 active endpoints that rely on profiling, then you need at least 10,000 of these licenses. But if you're only using profiling for endpoint visibility, then 100 is all you need.
we speak about version 2.7. All about licenses is rather clear.
I' would like to understand the following:
1) after disabling the profiling, I don't seem to find a way to enable it again the option in Administration -> System -> Deployment is grayed-out, hence even if I wanted to violate, I cannot;