Mirage Quattro full face review

Sounds like large= med now. or vice versa.

based upon pictures I seen shown in this fitting guide below:
http://www.resmed.com/en-us/products/ma ... de-usa.pdf

I'd say there are quite a few design improvements incorporated into the new Quattro:

1. "Narrow" forehead support (compare to the guys eye width); while it has a new 24 position adjustment, it is much narrower than the forehead support found on the UMFF and other Resmed interfaces.

Being narrow, would make it better for side sleepers, it would be less likely to be pushed out of seal when laying against the pillow. I think anyone that has ever used the UMFF has fought that problem, shows up as Large Leak on a report.

2. Exhaust ports are completely redesigned. You will see that on a lot of the newer masks going forward from several manufacturers including those from Respironics. The new ComfortGel and the newer Comfort2 already have a similar design exhaust port (although I found them more noisy). It seems that tiny exhaust hole grid (vs. 4 or 6 larger holes) allows them to diffuse the exhaust so it doesn't blow so hard on a partner.

3. CO2 retention: This new exhaust grid style masks seem to also retain more CO2 than prior masks. Maybe they were finding that they were previously exhausting way too much CO2 via the masks of the past after that Harvard CSDB study. IF they were (exhausting too much CO2), I wonder how much of that played into patients that ended up having Central Apnea along with CPAP therapy which were then misdiagnosed as having CSDB? Could happen.

I could easily see where a patient could end up with that CSDB misdiagnosis. In reading some of SAG's writings, I think he has been leaning the same way, but I cannot speak for him. I know they tried to put me in that CSDB category, I said no thanks. I found use of the right machine (420e) and mask (Soyala) combo, those Centrals can completely disappear as they did in my case (and are supposed to). I had 4ea PSG's, they could never get rid of them. I know Somnotech's masks seem to retain much more CO2 than other masks, when I first put one of those on, I nearly started to hyperventilate when I first started using that mask, now it is fine, I don't get that feeling any longer.

Before my current machine/mask combo, I used to have 30-40 CA's per night. For the past several weeks I've only had 1-2 for the whole week. That is a huge improvement for me.

I can only attribute that improvement from use of a machine with lower pressure and configurable settings of the 420e so it avoids any response to CA events and use of a mask with higher CO2 retention rate to settle down the CA's. I got that mask because it was silent, the added benefit of greater CO2 retention was a bonus finding.

3. Quattro headgear looks about the same as the UMFF which has always been good quality on Resmed masks, but hard to tell from the pictures seeing any real differences. If they made the Quattro's exhaust 50% quieter as they say they did, that will be a real plus for that mask and a huge improvement over the UMFF.

A quieter mask means you not only sleep better, but the machine is able to better respond to your events like snores. Resmed has always made the best quality masks on the market, so I have no doubts about the quality of this new one.

An improvement in noise, leak, and comfort are always good to see, if the redesign improved "therapy" then they will have a successful mask no matter the price.

I used a UMFF for 3 years. Since going from the UMFF back to a nasal mask where I have much fewer leaks, I notice a major improvement to my sleep quality. I would expect to see something similar going from a UMFF to the Quattro. But as I found with the first Soyala FF, you never know for sure until you use it for a week or two.

I also like to see new masks like this come out, we all know they could improve on nearly every mask on the market (same thing we were saying 6 years ago when I started on CPAP). New masks like this stirs the competition to come out with improvements of their own. It doesn't take years of development to improve a mask and the profit margins are huge. That is the gravy money for these major manufactures.

Based upon what I see of this Quattro, they are going to sell a bunch of them if it is as comfortable as the UMFF. If it is more comfortable and fewer leaks all the better.

50% quiter

My god... that thing mut be dead silient. MY UMFF barly makes nosie as is!!!!!!!!!!!

SleepySandy wrote:Where does the bottom of the mask hit your face?

I'm using a CF2 and the bottom rests against my bottom teeth (that sort of dip below your bottom lip / above your chin). This isn't going to work for me long-term because the pressure on my teeth isn't good for my teeth.

Not to kidnap this thread, but that's the exact issue I had with that mask. My gums were bleeding after one night with it.

Good analysis, Snoredog. I've noticed that I seem to get worse results with masks with a high vent rate (Hybrid, UMFF) compared with ones having a lower vent rate (like the CF2, with which I get the best results of the nine masks I have). There may be other effects like dead space, and I may not have any idea what I'm talking about, but I look forward to trying the Quattro.

My HC432 is really comfortable, but it leaks and gives a higher AHI. The UMFF is much more comfortable than the CF2, but roughly doubles my AHI. The Medium CF2 presses on my lower gum too much, and the Large CF2 won't fit me.

I just hope the pricing is close to reasonable. Has anyone heard when cpap.com is going to stock the Quattro? I had sworn off buying the Latest Greatest Mask every month, but this one looks good.

I called my DME (Praxair) and they do not have either of them. They said that all their masks get ordered and are distributed through their corporate office. I love my DME so I have no desire to change DMEs so I guess I will have to wait a little while.

Now I just have to decide whether to keep my appointment for Wednesday afternoon and get a Hybrid, UMFF or FF431 or to postpone the appointment so I can get a look at the Liberty and the Quattro.

Decisions, decisions.

DME_Guy wrote:
I'm not looking for a debate snoredog. Internet arguing is a complete waste of my time. I find your comments very rude.


That's too damn bad, I asked a very simple question. Now that I've seen your answers, I doubt you ever tried that mask.

Better be careful Snoredog... you are dangerously close to having CollegeGirl express her heart-felt concern for the quality of treatment that you are getting. She seems to believe that dissension (particularly when it is disagreement with her oracular largess) is an artifact of insufficient CPAP treatment.

You might want to contact her for a consult -she is very wise in the ways of treating OSA and loves to be of help!

WillSucceed wrote:

DME_Guy wrote:
I'm not looking for a debate snoredog. Internet arguing is a complete waste of my time. I find your comments very rude.


That's too damn bad, I asked a very simple question. Now that I've seen your answers, I doubt you ever tried that mask.

Better be careful Snoredog... you are dangerously close to having CollegeGirl express her heart-felt concern for the quality of treatment that you are getting. She seems to believe that dissension (particularly when it is disagreement with her oracular largess) is an artifact of insufficient CPAP treatment.

You might want to contact her for a consult -she is very wise in the ways of treating OSA and loves to be of help!

Per the response I got from an email to resmed they started selling the mask today 5/1/07 but have been shipping to DME already so I would guess cpap SHOULD have soon also while not in the email one group said the price was around $249.99 so who knows what street price will be

[quote="ddpelp"]Per the response I got from an email to resmed they started selling the mask today 5/1/07 but have been shipping to DME already so I would guess cpap SHOULD have soon also while not in the email one group said the price was around $249.99 so who knows what street price will be

Resmed rep says he will mail me a fitting guide but has anyone seen one online yet? I am talking about the cut out type you can place onto your face in position to determine which is best size.. thanks

snoredog.. thanks for the url they seem to be quicker and many times cheaper on many items good url

My dme is going to bring one is for me to try so I will post whatever I learn. Hopefully it will be soon!

Snoredog!! That was brilliant... I'm still laughing!
Thanks!

[quote="Snoredog"]based upon pictures I seen shown in this fitting guide below:
http://www.resmed.com/en-us/products/ma ... de-usa.pdf

I'd say there are quite a few design improvements incorporated into the new Quattro:

1. "Narrow" forehead support (compare to the guys eye width); while it has a new 24 position adjustment, it is much narrower than the forehead support found on the UMFF and other Resmed interfaces.

Being narrow, would make it better for side sleepers, it would be less likely to be pushed out of seal when laying against the pillow. I think anyone that has ever used the UMFF has fought that problem, shows up as Large Leak on a report.

2. Exhaust ports are completely redesigned. You will see that on a lot of the newer masks going forward from several manufacturers including those from Respironics. The new ComfortGel and the newer Comfort2 already have a similar design exhaust port (although I found them more noisy). It seems that tiny exhaust hole grid (vs. 4 or 6 larger holes) allows them to diffuse the exhaust so it doesn't blow so hard on a partner.

3. CO2 retention: This new exhaust grid style masks seem to also retain more CO2 than prior masks. Maybe they were finding that they were previously exhausting way too much CO2 via the masks of the past after that Harvard CSDB study. IF they were (exhausting too much CO2), I wonder how much of that played into patients that ended up having Central Apnea along with CPAP therapy which were then misdiagnosed as having CSDB? Could happen.

I could easily see where a patient could end up with that CSDB misdiagnosis. In reading some of SAG's writings, I think he has been leaning the same way, but I cannot speak for him. I know they tried to put me in that CSDB category, I said no thanks. I found use of the right machine (420e) and mask (Soyala) combo, those Centrals can completely disappear as they did in my case (and are supposed to). I had 4ea PSG's, they could never get rid of them. I know Somnotech's masks seem to retain much more CO2 than other masks, when I first put one of those on, I nearly started to hyperventilate when I first started using that mask, now it is fine, I don't get that feeling any longer.

Before my current machine/mask combo, I used to have 30-40 CA's per night. For the past several weeks I've only had 1-2 for the whole week. That is a huge improvement for me.

I can only attribute that improvement from use of a machine with lower pressure and configurable settings of the 420e so it avoids any response to CA events and use of a mask with higher CO2 retention rate to settle down the CA's. I got that mask because it was silent, the added benefit of greater CO2 retention was a bonus finding.

3. Quattro headgear looks about the same as the UMFF which has always been good quality on Resmed masks, but hard to tell from the pictures seeing any real differences. If they made the Quattro's exhaust 50% quieter as they say they did, that will be a real plus for that mask and a huge improvement over the UMFF.

A quieter mask means you not only sleep better, but the machine is able to better respond to your events like snores. Resmed has always made the best quality masks on the market, so I have no doubts about the quality of this new one.

An improvement in noise, leak, and comfort are always good to see, if the redesign improved "therapy" then they will have a successful mask no matter the price.

I used a UMFF for 3 years. Since going from the UMFF back to a nasal mask where I have much fewer leaks, I notice a major improvement to my sleep quality. I would expect to see something similar going from a UMFF to the Quattro. But as I found with the first Soyala FF, you never know for sure until you use it for a week or two.

I also like to see new masks like this come out, we all know they could improve on nearly every mask on the market (same thing we were saying 6 years ago when I started on CPAP). New masks like this stirs the competition to come out with improvements of their own. It doesn't take years of development to improve a mask and the profit margins are huge. That is the gravy money for these major manufactures.

Based upon what I see of this Quattro, they are going to sell a bunch of them if it is as comfortable as the UMFF. If it is more comfortable and fewer leaks all the better.

I am a new owner of the Quattro as of this morning.(Wednesday)

DME called me yesterday to tell me they had a mask for me that they thought I would like.

I feel that they think that I am picky.

First impression is that I am going to like it. Hits me just above the chin and seems like it makes a easy seal.

Tonight will be the test.

I have been very unhappy with the Respironics Full Face mask as the the one I have, broke so easily (twice) on the clip on fore-head piece. I finally gave up on it.