Help with Hybred mask Headgear

Guest · Post by **Guest** » Mon Dec 18, 2006 12:23 pm

Help. Last night I slept with my new Hybrid mask. After finally getting the leaks managed and the fitting done. Then three times in the night the headgear came off. And they are a bear to get back on in the middle of the night.
I normally use a swift nasal pillows and have had wonderful success with them, unless I am very stuffed up, and on those day I was hoping to find a full face mask.
I like the fact that the hybrid allows me to wear my reading glassed, as i often fall asleep to a good book.

I have two question;

1) has anyone had any success using other headgear with the hybrid.
2) Anyone have any idea what mask setting my Resmed S8 APAP should be on.

Any other suggestion would be greatly appreciated.

Thanks, Josh

Josh S · Post by **Josh S** » Mon Dec 18, 2006 12:26 pm

The above post is me Josh S, sorry didn't meen to post as anonomous GUEST - forgot to log in.

GoofyUT · Post by **GoofyUT** » Mon Dec 18, 2006 1:02 pm

Josh-

Others have reported success using the Hybrid with the Fisher& Paykel HC 431 headgear. Try corresponding with Tooly125 about this. Many have complained about the Hybrid's headgear, and I'm told that the manufacturer is working on releasing an upgraded headgear for that mask, something which i think that they should have done BEFORE releasing the mask to market.

The more serious problem however, is getting your Hybrid to play nicely with your ResMede S8 Auto. I don't believe that they are compatible (just my opinion). I certainly could not get the Hybrid to work with mine, since the considerable bias rate (exhaust) exceeds the design parameters of the S8 and compromises the ability of the S8 AutoSet algorithm to work effectively (leaks+bias excesses >0.40L/s).Now, this is just my opinion, but I believe therefore, that the Hybrid is incxompatible with the ResMed S8 Vantage. I'm told that the manufacturer has recognized this as well and is working on a Gen II Hybrid with smaller bias rates to accomodate use with ResMed Autos, but I have no proof of this.

Hope this helps.

Chuck

oldgearhead · Post by **oldgearhead** » Mon Dec 18, 2006 1:18 pm

The HC431 headgear has helped some people with the Hybrid. Try the UMFF
setting. Its almost enough leak, but not quite.

http://www.internetage.com/cpapinfo/leak-rates-1.html

I'm not a medical prosessional, but it's not too hard to cut the Hybrid's
passive exhalation exhaust flow by 1/6 th..look at the mask, and think about it (hummm..6 exhaust ports...)

.

oldgearhead · Post by **oldgearhead** » Mon Dec 18, 2006 1:37 pm

I'm told that the manufacturer is working on releasing an upgraded headgear for that mask, something which i think that they should have done BEFORE releasing the mask to market.

I am one of the lucky ones who was sent the trial headgear, when we complained. So, don't forget to give them a call and complain.

I received the trial headgear in late August, and it is just fine. It's
very similar to the HC431. However, the angles are a bit different. I
really don't understand why they haven't replaced all of them. They certainly
had the answer in mid August. How can they get away with replacing some,
but not all, of the clearly defective headgear sets?

neverbetter · Post by **neverbetter** » Mon Dec 18, 2006 1:49 pm

I'm going to give teleflex a call and see if I can't get my new headgear. I've been using the headgear from my flexfit mask but they should have the new stuff by now. If not, I'll try my luck with Innomed.

Josh S · Post by **Josh S** » Mon Dec 18, 2006 2:22 pm

[quote="GoofyUT"]Josh-

Others have reported success using the Hybrid with the Fisher& Paykel HC 431 headgear. Try corresponding with Tooly125 about this. Many have complained about the Hybrid's headgear, and I'm told that the manufacturer is working on releasing an upgraded headgear for that mask, something which i think that they should have done BEFORE releasing the mask to market.

The more serious problem however, is getting your Hybrid to play nicely with your ResMede S8 Auto. I don't believe that they are compatible (just my opinion). I certainly could not get the Hybrid to work with mine, since the considerable bias rate (exhaust) exceeds the design parameters of the S8 and compromises the ability of the S8 AutoSet algorithm to work effectively (leaks+bias excesses >0.40L/s).Now, this is just my opinion, but I believe therefore, that the Hybrid is incxompatible with the ResMed S8 Vantage. I'm told that the manufacturer has recognized this as well and is working on a Gen II Hybrid with smaller bias rates to accomodate use with ResMed Autos, but I have no proof of this.

Hope this helps.

Chuck

GoofyUT · Post by **GoofyUT** » Mon Dec 18, 2006 3:28 pm

My speculations about the incompatability betwen the Hybrid and the ResMed APAPs are just that; MY SPECULATIONS. Neither the manufacturer nor the FDA have inssued any warnings or contra-indications about the use of the Hybrid with ResMed APAPs. So, it seems to me that CPAP.com did nothing wrong by selling you the gear.

In the end, CAVEAT EMPTOR.

Chuck

Josh S · Post by **Josh S** » Mon Dec 18, 2006 3:41 pm

Yes I agree, until they know one way or the other at CPAP.COM, they can't be expected to know. I have calls out to both Resmed and Hudson RCI (makers of Hybrid) to try and sort it.

If I can't make it work, then I like so many have discovered how expensive the search for a mask can be.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, cpap.com

Maryb · Post by **Maryb** » Mon Dec 18, 2006 4:47 pm

I use the hybrid with ResMed's S8 Vantage.
1) headgear--yes it's bad. I'm waiting for the new version. Meanwhile I've strengthened the velcro on the top, covered it all with PAC's and added an extra pantyhose strap to stabilize everything as well as rubber bands to angle the nasal pillows better. If they don't come out with the new version in the next couple of months, I'm going to get the FP 431 headgear ala Tooly.

2) compatability of hybrid & Resmed--I use the fullface mask setting on the S8 which is the closest to the vent rate of the hybrid. I can often (but not always) get the leak rate to be below 0.4 l/s. I love the high CO2 flush and the air blowing around across my lips. The air seems fresher. And I get good AHI's (consistently below 5 and last night 1.4!). And best of all I feel better with the hybrid than with any other mask I've tried (probably the high CO2 flush).
I'll be getting a Respironics auto bipap in January and it will be interesting to see how the hybrid works with that machine.

Maryb

Josh S · Post by **Josh S** » Mon Dec 18, 2006 5:07 pm

[quote="Maryb"]I use the hybrid with ResMed's S8 Vantage.
1) headgear--yes it's bad. I'm waiting for the new version. Meanwhile I've strengthened the velcro on the top, covered it all with PAC's and added an extra pantyhose strap to stabilize everything as well as rubber bands to angle the nasal pillows better. If they don't come out with the new version in the next couple of months, I'm going to get the FP 431 headgear ala Tooly.

2) compatability of hybrid & Resmed--I use the fullface mask setting on the S8 which is the closest to the vent rate of the hybrid. I can often (but not always) get the leak rate to be below 0.4 l/s. I love the high CO2 flush and the air blowing around across my lips. The air seems fresher. And I get good AHI's (consistently below 5 and last night 1.4!). And best of all I feel better with the hybrid than with any other mask I've tried (probably the high CO2 flush).
I'll be getting a Respironics auto bipap in January and it will be interesting to see how the hybrid works with that machine.

Maryb

SelfSeeker · Post by **SelfSeeker** » Mon Dec 18, 2006 5:15 pm

Josh

I agree, call the company for new headgear. I love the mask the headgear, well no. I got new headgear sent to me, but it is not the newer headgear.

Mary,

I found the Respironics M Auto works well with the Hybrid. The leak rate is in the low 60L/Min. Respironics does not take into accont the exhaust flow.

0.4L/s = 24L/Min so 60L/Min is not to bad.

[quote="Maryb"]I use the hybrid with ResMed's S8 Vantage.
1) headgear--yes it's bad. I'm waiting for the new version. Meanwhile I've strengthened the velcro on the top, covered it all with PAC's and added an extra pantyhose strap to stabilize everything as well as rubber bands to angle the nasal pillows better. If they don't come out with the new version in the next couple of months, I'm going to get the FP 431 headgear ala Tooly.

2) compatability of hybrid & Resmed--I use the fullface mask setting on the S8 which is the closest to the vent rate of the hybrid. I can often (but not always) get the leak rate to be below 0.4 l/s. I love the high CO2 flush and the air blowing around across my lips. The air seems fresher. And I get good AHI's (consistently below 5 and last night 1.4!). And best of all I feel better with the hybrid than with any other mask I've tried (probably the high CO2 flush).
I'll be getting a Respironics auto bipap in January and it will be interesting to see how the hybrid works with that machine.

Maryb

krousseau · Post by **krousseau** » Mon Dec 18, 2006 6:12 pm

If the problem is the clips that snap onto the mask-make sure the angle and the direction of the force you are using to clip them into place is right-watch the video a couple times-after you get the hang of it the process is easily done. Just takes a little practice. The clips are the same regardless of the fabric part of the headgear.

There are a couple design features that I don't like-the clips seem to be angled oddly to me-and the elbow/swivel hose connection area is way too long for me.

bdp522 · Post by **bdp522** » Mon Dec 18, 2006 8:41 pm

The top clips to the mask were digging into my face. So I stuck them in a pot of boiling water for a few minutes and used pliers to bend them. Works great now!

Brenda

dataq1 · Post by **dataq1** » Mon Dec 18, 2006 9:43 pm

I've been using the hybrid mask (yes the headgear is awful... seems very cheap and flimsy), but love the mask as it controls my mouth breathing and is much much more comfortable than the FP 431. It the chin support that makes the difference for me! I'll try the "tooley" fix tonight for the headgear.

As to use with Respironics machines: I'm using a auto titrating BiPap with max setting of 25 (my 90% Ipap is 12 cm). My recorded leaks range anywhere from 30l/min to 80 l/min depending on the IPAP pressure. My actual leaks are almost always near zero. In the past month, I've had no problem (that I know of) for my auto machine keeping up with the relativley large hybrid exhaust.

None of the respironics machines I've used (cpap, auto, bipap, auto bipap) have had the ability to program the mask in use. Is that peculiar to respironics?

What would happen if I plugged one of the exhaust ports on my hybrid. I'd expect my leak rate to fall (at the same pressures) but would there be any other unexpected results?

Help with Hybred mask Headgear

Help with Hybred mask Headgear

Hybrid and ResMed

Re: Hybrid and ResMed

Incompatbility