CPAPtalk.com

Posted: **Sun Apr 15, 2007 6:56 am**

Sleepyred,

I found the aqueous gels got gummy and did not stay smooth.

The lanolin is much thicker, but I find that in the morning there is still a thin layer of stickiness on the pillows.

I cut my pillows apart. I am using two different sizes. I also have one positioned differently to match my nose. Much better fit for me this way. I also have a deviated spetrum.

I use a mouth guard made by a dentist. I clamp my teeth together. Opposite of your problem.

Correction think should have been thin.

Posted: **Sun Apr 15, 2007 7:18 am**

Selfseeker,

With the chin strap - I did clench my teeth so much that some nights it made my whole mouth hurt and I would have marks on the inside of my mouth.

But to say - the activa was the mask that I hardly ever had to adjust during the night - if I did, it was so easy to just pick it off my nose, re-position it and back to sleep. And I tried the UMFF and gobbled so much air I thought I could take off in the a.m.!

I might have to take the bold step and cut my pillows - YIKES!

I like that the hybrid just fits around your mouth and gives it a little room to open, but for me, not enough for the "blowfish" scene.

Posted: **Sun Apr 15, 2007 7:20 am**

Have you tried the rubberband fix

http://tinyurl.com/23jvh4

Photos are about half way thru the page.

Brenda[/quote]

Posted: **Sun Apr 15, 2007 7:26 am**

Brenda -

Thanks for the link! Another idea to try! I'm determined to make this work - the link also had lots of other hints as well - thanks so much!

Sleepyred

Posted: **Sun Apr 15, 2007 7:33 am**

I use the rubberband. It works great and is easy to remove when cleaning the mask. Glad the link helped. Rested Gal has lots of links for the hybrid mask;

viewtopic.php?p=91423

Start reading!!!!!

Brenda

Posted: **Sun Apr 15, 2007 7:41 am**

Regarding a thick layer of lanolin --
I used a very very thin layer of lanolin on the pillows. Just enough to make them sticky, but not enough to see any yellow color. That worked fine, keeping that moist seal against my nose.

Posted: **Sun Apr 15, 2007 7:54 am**

Brenda -

Thanks - the links will keep me busy all day - will be ready for sleep tonight!

For you Brenda and RG and all others who put together these links - a great big thanks!

Sleepyred

Posted: **Sun Apr 15, 2007 8:02 am**

RG did all the work, I just cut and paste! She is the best at getting info together and making it easy to find!

Brenda

Posted: **Sun Apr 15, 2007 9:52 pm**

SelfSeeker wrote:cpapnewby,

I do not know if I am using the Adaptive Flow version. I got my Hybrid last fall. It came with the old headgear. I did get the newer head gear from inommed, what a major improvement they are.

I use he Hybrid in auto mode. I also monitor my readings.

My pressure needs change so it is hard to know if I need more pressure then wearing the NAII, but I think it may have gone up by 1 cm.

The leak rate at my pressures (auto set to 9-15) is in the low 50s. I was told that maybe I would not be able to use the Hybrid in auto mode because of the leak rate. My Remstar M auto, treated it like my NA II, only difference it was higher by 20 L/min.

Tha AHI seems the same. The Encore charts look similar.

I do not think they Hybrid negativley effects my treatment in auto mode.

Actually I did notice a deeper sleep.

Was that what you were wondering or do you have other questions.

cpapnewby wrote:Sleepyred, Jeff and SelfSeeker,

Are you all using the Adaptive Flow version of the Hybrid? Also, is anyone of you using AutoPAP and monitoring the readings?

Jim

Selfseeker,

Thanks. You have answered most of my questions. When I called the customer service number listed on http://www.hybridmask.com, they told me that the adaptive flow version had exhaust flow rate 20-30% lower than the earlier version. Would that make a difference in the auto mode?

Jim

Posted: **Mon Apr 16, 2007 3:55 am**

Here is a comment by DreamStalker on another thread;

Not only that, the Hybrid has a very high CO2 exhaust rate ... makes it harder for machine to ramp up pressure and respond to obstructions quickly enough ... may also affect sensitivity of auto algorithm.

I never noticed a problem with my hybrid, but I have mild OSA and a low pressure.

Brenda

Posted: **Mon Apr 16, 2007 5:08 am**

Jim, Thank you for posting what you found out to be the difference.

My main question if the adaptive flow version has exhaust flow rate 20-30% lower than the earlier version, what does that mean.

Would 20-30% less flow rate, mean that 20-30% more CO2 staying in the mask? Since there was a good flush before it may not be an issure.

I wonder for people who have UARS would that cause more wake ups? Or the oxygen contentent is deeper in the throat.

Others have concerns on another post about the Hybrid being used with Auto. So I am wondering, if this new adaptive flow version would be better with an auto.

Do different Autos react differently to the Hybrid and the large exhaust rate?

Just more questions???

cpapnewby wrote:

Selfseeker,

Thanks. You have answered most of my questions. When I called the customer service number listed on http://www.hybridmask.com, they told me that the adaptive flow version had exhaust flow rate 20-30% lower than the earlier version. Would that make a difference in the auto mode?

Jim

Posted: **Mon Apr 16, 2007 5:26 am**

Forgive me for asking this again - but how does one know which mask they have? I have one with the new headgear - but what about the Adaptive Flow. Or am I just misunderstanding something here.

Thanks -

Sleepyred

Posted: **Mon Apr 16, 2007 5:32 am**

Hi Sleepyred,

From what I understand the only difference would be the exhaust holes.

Maybe a picture of both may be enough to know. Hopefully someone can post pictures.

I suggest you contact innomed and ask them which one you have.

Your box has a lot number on it. Hopefully with that info they can tell you which one you have.

Here is a link: http://www.hybridmask.com if they do not know, contact inommed directly.

How many exhaust holes does your Hybrid have? Mine has 6 holes. It may be the diameter or something else so a picture may be difficult to see the difference.

sleepyred wrote:Forgive me for asking this again - but how does one know which mask they have? I have one with the new headgear - but what about the Adaptive Flow. Or am I just misunderstanding something here.

Thanks -

Sleepyred

Posted: **Mon Apr 16, 2007 9:08 am**

SelfSeeker wrote:Jim, Thank you for posting what you found out to be the difference.

My main question if the adaptive flow version has exhaust flow rate 20-30% lower than the earlier version, what does that mean.

Would 20-30% less flow rate, mean that 20-30% more CO2 staying in the mask? Since there was a good flush before it may not be an issure.

I wonder for people who have UARS would that cause more wake ups? Or the oxygen contentent is deeper in the throat.

Others have concerns on another post about the Hybrid being used with Auto. So I am wondering, if this new adaptive flow version would be better with an auto.

Do different Autos react differently to the Hybrid and the large exhaust rate?

Just more questions???

cpapnewby wrote:

Selfseeker,

Thanks. You have answered most of my questions. When I called the customer service number listed on http://www.hybridmask.com, they told me that the adaptive flow version had exhaust flow rate 20-30% lower than the earlier version. Would that make a difference in the auto mode?

Jim

Selfseeker,

I asked most of your questions already. This is what they said:

Regarding exhaust flow, she said that a 20-30% reduction wouldn't cause CO2 retention because the exhaust flow rate was already the highest among all masks. She also said that the Hybrid has less deadspace compared to the other FFMs and that reduces CO2 retention.

She told me that the reduced exhaust flow rate would make the Hybrid work better with some autoPAPs (she specifically mentioned Resmed S8 Vantage) at higher pressures. When I asked her what value she means by "higher pressures", she said anything higher than 13-14 cm.

Visually, she said that the exhaust holes look smaller in the Adaptive Flow design. She also said that all Hybrid masks being sold by DMEs should be the Adaptive Flow version unless they have stock from 2006.

Jim

Posted: **Mon Apr 16, 2007 9:16 am**

Thanks Jim,

So does that mean the older one does not work as well?

Or need a higher pressure?

cpapnewby wrote:

Selfseeker,

I asked most of your questions already. This is what they said:

Regarding exhaust flow, she said that a 20-30% reduction wouldn't cause CO2 retention because the exhaust flow rate was already the highest among all masks. She also said that the Hybrid has less deadspace compared to the other FFMs and that reduces CO2 retention.

She told me that the reduced exhaust flow rate would make the Hybrid work better with some autoPAPs (she specifically mentioned Resmed S8 Vantage) at higher pressures. When I asked her what value she means by "higher pressures", she said anything higher than 13-14 cm.

Visually, she said that the exhaust holes look smaller in the Adaptive Flow design. She also said that all Hybrid masks being sold by DMEs should be the Adaptive Flow version unless they have stock from 2006.

Jim

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Adaptive Flow

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