Reviews for the new ResMed Swift FX Nano

[Pugsy]

Hey pugs looking at your leak graph from 5-6 is that mouth leaking?

Last night? I don't know. I don't think it was all mouth breathing.... I made a tiny adjustment to one of the loops last night (from the prior night) and I shouldn't have and I woke often with the loop pinching the ear which in turn means the cushion was too loose. I had more ear pinches than I cared for and that's why I finally gave up and put the Tap Pap on.
I think I messed with the Bella Loops and had a less than stellar night because of it. For me there is a fine line with the loops and I think I crossed that line.
It's wasn't a good night..multiple wake ups from the ear getting pinched and when that happens the cushion was much looser and thus a greater chance for simple leak at cushion level too. So I don't know how much was mask being loose or how much might have been mouth breathing...doesn't look like my typical mouth breathing though. Looks more like a crappy seal in general.
Not enough to wake me until the ear hurt though but then I have been known to sleep through some big leaks.
Woke up once with a nasal pillow in my ear and from the looks of the report it had been there for at least 30 minutes.

I might revisit the cushion and the loops later. My main thing was to see if it was a doable combination and it is...just takes a bit of tweaking with the loops just like with the nasal pillows.
Tonight I will just do the Nasal Pillows and the new short hose with traditional headgear. I can't afford another crappy night tonight due to some family obligations tomorrow and in the near future.
So I am not going to do anything way out there until things settle down at home.

[Pugsy]

Report on last night's experiment using the Swift FX nasal pillows and its traditional headgear along with the new Nano short hose.
The new short hose seems to fit just fine in the nasal pillows. Seems to seal just fine. It's been a long time since I have used the Swift FX nasal pillow mask and traditional headgear...I started the Tap Pap on March 3 I think it was and never went back to the Swift FX pillows. So I can't really offer any comparisons as to functionality of the short hose or if it seems hugely different. I thought the older hose worked just fine. Remember I choose to not use any sort of hose routing system anyway. I just drap the long hose around the top of my bed pillow so it is laying on the mattress and I am done. Always start out the night on my left side which makes my back to the machine. I turn to my right side or on my back easily and never really notice the hose anyway.
The few times I have tried routing the hose sort of overhead...my headboard is old wrought iron headboard with scroll work so easy to route it upwards....I found it more of an annoyance than a help. It's just my personal preference and in no way do I think that routing overhead is problematic. Hey, if it works for you I am all for it. I just don't personally care for it so never wanted to add more stuff like the hose buddy or whatever.

I did fine last night. Slept well. Woke a few times for unknown reasons...back strap slid up at least once and I had to pull it back down.
Remember I am known to wake up some from back pain itself...still out of my amitryptilline so I know that's a possible issue.
It wasn't a big deal though. Wakeups were minimal and went right back to sleep. Mostly I think it was just the fact that I had headgear on and haven't been used to it and I probably didn't have the fit just quite perfect. It was brand new Swift FX pillow headgear and that always took me a few nights of tweaking to get the back strap and top strap to fit just right when using brand new.

A few leaks..some might have been nasal pillow sliding around (used the XSmall last night) a bit when the back strap moved and some were likely a little mouth breathing. None were huge and none woke me up to a blast of air or anything like that.
Is the new Nano hose a HUGE improvement over the Swift FX pillow hose? Not HUGE IMHO but it is an improvement and for someone still having issues with flexibility or hose tugging issues...worth a shot to try it to fix those issues. Sometimes the least little thing makes a huge improvement in results.

Below are my reports from last night and I include SleepyHead leak graph just to show it. It looks more exciting than it really is due to the scale involved. The highest the leak ever got to was 48 L/min. My large leak territory number to avoid is around 90 L/min with my machine at my pressure. So I was well below that number and these leaks didn't wake me up that I remember. No air blowing where it shouldn't be blowing.
The vent holes on the new hose are in the same place as the old hose and for some people they aren't going to like it. I am used to the placement of the vent holes and the direction (not all that different from placement of Tap Pap vent holes) and I just keep the bed covers away from the vent holes. It's something I have done for years so it is just second nature to me. I also keep my arm away either by moving it or simply putting it under the covers. Again just second nature or habit from the years with the Swift FX pillows.

I am going to put further Nano gear related experiments on hold for a while because I have some family issues that require me to have best sleep possible so no more experimenting for a bit.

In general I think the Nano cushion and its new hose are keepers for sure. I had much better luck with the Nano than I did with the Wisp which caused nasal congestion to the point I simply couldn't sleep with it. I plan to keep both the cushion and the Nano short hose...never know when it might come in handy if I can't use the Tap Pap. The Tap Pap remains firmly seated as my number one go to mask. I really, really like the no headgear part of it and the nasal pillows never ever move. So any leak I see I always know is mouth opening leak. Doesn't wake me up though and not huge or prolonged...so I just don't care to worry about it.

The Nano cushion with the Bella Loops is doable..probably would take a few nights of tweaking to get the loops just right but it is for sure doable which was a big surprise to me. I thought for sure the added weight would be a big problem bit it really wasn't.

As with any mask...one man's treasure is another man's trash. Not everyone is going to like any mask...we all have our own preferences and needs and things that are the most important features in a mask. Minimalistic headgear happens to be extremely important to me. Less on my face...as in nasal pillows vs over the nose mask..is also important to me.
Some people don't like the force of the air when using nasal pillows..I happen to like it. So the new Nano comes with the usual YMMV sticker and to know for sure if you will trash it or treasure it you will need to try it.

[2kittymom]

I've now used the Nano 4 nights. I still like it, but I'm getting a very sore spot right under my nose. I also seemed to have more leaks last night than the other 3, and my adjustable pressure was way higher. I need to find out how to avoid the pressure sore under my nose.

[chunkyfrog]

I bought the small nano (for Her); and here are my impressions:

--face side view of s/m Wisp and small Nano---
I love the ball joint on the elbow--I may get one later to use with my Swift FX.
Sadly, the cushion was not designed with my face in mind.
(note the concave curve under the nose--it caused uncontrolled leaking all night, as the stiff "tails" pushed that part away from my face.)
I tried the mask on 3 nights, and was only able to leave it on most of one night.
I may have been able to use the mask if the back strap were able to be attached about an inch lower.
This design is not as big a problem with the FX nasal pillows, but I would suggest a small short version of the headgear.
(not that Resmed is listening, anyway) I appear to have a Wisp-compatible face.

[msla]

...part was the bran being in hyper mode ...

Pugsy, too much fiber in the diet??? I just couldn't resist.

[Pugsy]

Pugsy, too much fiber in the diet??? I just couldn't resist.

Brain and fingers just don't work well together sometimes and spell check doesn't work so great when the typo makes a real word.
I have several keys on the keyboard that stick and don't engage and I don't always catch the typo...I guess this was one of those.
The d also sticks...the z came completely off and the r sometimes sticks. Getting close to time for a new laptop I guess...this one is starting to fall apart.

[msla]

I ordered one on Friday and got it today. I will try it tonight. I use the Opus 360 most of the time. Once and a while the nares will get a little sore and I would bring out the old Mirage Vista. The last time it leaked big time. So I want to try the Nano and see how it fits. Going on a short trip next week and I want to have an alternate to use if the Opus gives me a sore nose.

[Stormynights]

Pugsy, too much fiber in the diet??? I just couldn't resist.

Brain and fingers just don't work well together sometimes and spell check doesn't work so great when the typo makes a real word.
I have several keys on the keyboard that stick and don't engage and I don't always catch the typo...I guess this was one of those.
The d also sticks...the z came completely off and the r sometimes sticks. Getting close to time for a new laptop I guess...this one is starting to fall apart.

I bought a new keyboard for my old laptop on ebay for about $15 it was easy to install.

[RogerSC]

Tried it for about a week and have sent it back. Used Ambien so that I could sleep with it, which seems to help me with new masks, and it worked okay for the first part of the night. But as the night went on, leaks got worse, and it got noisy. Definitely not an improvement over the Swift FX for me, neither in comfort or in the leaks area. So I'm back to the Swift FX yet again.

[msla]

There seemed to be a few leaks. Mostly, I am a little sore where it seals at the bottom. I may have had it too tight. I will fiddle a little more. AHI was 2.2 double of my normal readings.

[chunkyfrog]

I think my problem is that even though the smallest Nano and the s/m Wisp look like the same size,
they are very different, and the Wisp offers more stability along a greater part of the perimeter.
The Nano appears to only have added stiffness along the bottom and along the "tails",
which may work fine for someone whose nose fills the cushion better than my little beak.
The Swift FX is still my #2 mask, right after the Wisp; but I am planning to give the Anew a try, too.

[msla]

Last night I loosened the top strap I notch. This let the mask sit a little lower on my face resulting in leaks from the top of the mask into my eyes. Then I tightened the back Velcro strap and stopped the leaks. This morning the septum above the lip is not sore. For me, the mask may be a keeper. I will use it several more days and decide. It is lite wt. and does not seem to be easily disturbed when side sleeping. The wt. of the hose can tug on it and cause a leak, so hose management is necessary.

[ems]

I just ordered the Nano - my DME has to order it so I probably won't get it for a few weeks. I reread this thread and I'm really looking forward to giving it a try. Thanks for all the reviews!

[fallout]

I've had mine for about a week and I'm sending it back. It feels great when I first put it on but after a few hours the pressure on the bottom of my nose gets annoying. It also starts to ride up so much that it can block my airways and wake me up. To me it seems like a bad strap design that pulls up too much.

[DJD52]

I tried the FX Nano mask last night.
Very good first night with it!! I am hoping that I have the same results a few nights in a row because right now I'd say THIS is the FIRST mask I've had no discomfort, no leaks, no strap marks in the morning and I tend to move around a LOT during the night due to headaches, stuffy sinus/nose, and back/neck/leg pain.
I was able to use my old favorite soft pillow, (latex) adjust my sleep no bed to be a bit softer and spent a more comfortable night! I actually set things to accommodate ME instead of me in a mask.
I read everything I could find on google that anyone said about the Nano. So much negative that I was afraid to buy it, but knowing Pugsy half liked it even tho she is a nasal pillow, less on your face lady I decided to try it. (and thanks to Cpap.com's incredible insurance!)

I called cpap.com before buying. I had printed out the sizing guide and had questions about the fit. The girl at Cpap told me if the paper was right against the side of my nose she wouldn't recommend buying that size so I went for the standard versus the "for her" small. Right out of the bag, all I did was adjust the top strap enough to lower the cushion so it was far enough below my nose not to rub and still be in a good place below the bridge. I barely tightened the bottom strap, then hooked up/turned on the machine. No leaks? I was worried about that back strap because it was so loose, but it didn't move. The fit of this cushion is diff than the Wisp s/m so there was more room around the bottom of my nose so I woke up a few times thinking it was leaking but it was just air around my nose inside the cushion that I never felt with the Wisp.
I can't imagine it wouldn't be as comfortable each time, so right now I'd say the Nano is a keeper for me!
I can see now that if I had ordered the small for her, if it had moved up at all during the night it would have been uncomfortable. The girl at Cpap.com knew what she was talking about as usual.