Interesting Study on an Israeli Oral Mask

I thought it said there was no need to exceed a pressure of 6 in the subjects they studied. I'll have to read it again. I remember thinking, "How can this be? And what does this mean for converting lab titration prescriptions to this...?"

SleepingUgly wrote:I thought it said there was no need to exceed a pressure of 6 in the subjects they studied. I'll have to read it again. I remember thinking, "How can this be? And what does this mean for converting lab titration prescriptions to this...?"

I think they chose people who didn't need a pressure higher than 6. So, it would work for people who didn't need more than 6, but nobody else.

Glad to see more competition in the oral mask arena. An oral mask obviously has advantages--colds and sinus infections don't matter, and no "mouth breathing" problems. However, I have not been able to do very well with the Oracle. Cinching it down tight enough to stay in place makes it uncomfortable. And, it's very difficult to control air leaking out the nose. If any manufacturer reps are reading, for the latter, I would suggest a "hybrid" approach, that is, using nasal prongs. That's how I had the most success--Oracle as the main mask, and nasal prong mask with blocked hose to plug nose. The nose plugs Oracle supplied just did not work.

Curious2 wrote:Glad to see more competition in the oral mask arena. An oral mask obviously has advantages--colds and sinus infections don't matter, and no "mouth breathing" problems. However, I have not been able to do very well with the Oracle. Cinching it down tight enough to stay in place makes it uncomfortable. And, it's very difficult to control air leaking out the nose. If any manufacturer reps are reading, for the latter, I would suggest a "hybrid" approach, that is, using nasal prongs. That's how I had the most success--Oracle as the main mask, and nasal prong mask with blocked hose to plug nose. The nose plugs Oracle supplied just did not work.

I had no problem with a seal, and I don't breathe through my nose while lying down anyway, so that was fine for me. But I am used to breathing with my mouth slightly open, and my teeth only open a few mm. I haven't tried in a while, but the mouthpiece holds my teeth open so far that my jaw is tense, wanting to close. So, while I could breath just fine, and it was mostly comfortable, I had trouble sleeping with it. If the "tube" in the center of the mouth piece were smaller, I would like it much better.

zoocrewphoto wrote:

JDS74 wrote:I, too, have inquired about availability but no answer yet.
As soon as they become available, I'll get one to try.
It's always good to have a second source.
Patent issues for this mask will be interesting.

I tried to get photos as the only problem I have with the oracle is that it holds my jaw open further than I like. I didn't find a photo, but it did say it can't exceed a pressure of 6. Since most people feel suffocated at 4 and 5, it has some rather limited usage. My pressure is 11-17.

Mr. Lavi, the CEO of the company that makes the mask, said it would work at all pressures. Whether that turns out to be true in reality is another issue.

49er

49er wrote: By the way, I was trying to figure out how this would be better than the oracle mask such as wondering if nasal plugs were needed. Couldn't tell from the article.
Looks like a fascinating study. With compliance so low, more of these studies are definitely needed.
49er

I read this in the study where they described the mouthpiece:
"The interface is held in place by engagement of the central part with the lingual side of the lips. A nasal peg was not needed. After fitting the mask to a patient, it was connected to an AutoPAP machine (Winemann WM 27460/S)."

I assume a nasal peg is a plug.