This product was extremely comfortable to wear, but the air flow was significantly "disrupted". The air in the nosepiece was like a screaming tornado, yet without any leakage whatsoever. Although there was appropriate pressure, I couldn't seem to get enough air to breathe comfortably - thus I could hardly attain/maintain sleep (whenever I did manage to get to sleep, it would only last an hour or two max). I am thinking the problem may have had to do with my prescribed pressure setting (max 18"). Possibly the device just wasn't designed to push that much air? Others who use higher pressure settings on their machines might wish to avoid this mask for this reason. Such a shame as this mask is the most comfortable I've ever worn (and I've worn scores of them since 1997).

I have been using an Activa LT for many years, and if I'm not mistaken, they stopped making the cushion size I use. A co-worker told me about this mask and I called and talked to Andrew about it and it seemed like it would be a good fit for me to try and I really like it. I travel for work, and I couldn't tolerate nasal pillows when I tried those, so this mask makes a lot of sense. Pros: + For travel, much more compact, nothing to break in transit and easier to clean. + It seals well. The first couple of weeks I was getting used to it, I didn't tighten it too much because it felt like it would put too much pressure and start hurting my nostrils as the night went on, but it didn't. I struggled with sleeping on my side a bit because it would lose the seal, but I could press and reposition it slightly and seal it again. Now that I've tightened the straps more, it's still comfortable and keeps the seal while laying on my side too. + Wide open unobstructed view of clock, watch, etc, while wearing it. This is so much better! + Seems quieter than my Activa LT. Not much, just kind of different. + Hose position is so much better from the top of the head. It's never pulling or in an awkward position and I don't needs as much slack (which I usually stuff at the top of the pillow to hold it in place). This mask doesn't really need to have any extra slack in the hose, it just works without pulling. Cons: - There are two vents (one on top of the head where it connects to the hose and one on the front of the nose cushion, so there are two potential sources of wind blowing on my wife. However, she hasn't mentioned if it's any worse than the other mask. - The under the nose style cushion is still not quite as comfortable as the over the nose type for me, but getting more used to it. It's enough to negate all of the pros. Of course the service here from Andrew has always been top notch. This is the only place I buy CPAP supplies because it's easier, better and actually less expensive than going through my insurance.

This is my favorite mask in 20 years of CPAP use Thanks Tom

I have been a CPAO user for 15 years. I have used a mirage aptiva for most of that time. I am scheduled for surgery on my nose and the doctor suggested the aptiva may not be satisfactory so he suggested I try a nasal pillow mask. This mask was difficult to get a secure leak free fit. To make it fit, it had to be very tight and that made it too uncomfortable and kept me awake. I went back to my old mask and will see if that works after my surgery.