Brevida: the new nasal pillow mask from Fisher and Paykel. It looks like a massive improvement on the Pilairo range. More stable, lighter, and a smaller profile than the Pilairo range. In addition it has moved away from the ill-fated ‘one-size-fits-all’ mask cushion.
Through the review, I refer back to Fisher and Paykels previous attempt at a nasal pillow mask; the Pilairo. Although I should be comparing it to other options, or analyzing it in its own right, I couldn’t help myself comparing it to the mask where it has its roots.
A Bit of Backstory:
For those of you familiar with Fisher and Paykel, the New Zealand company has been a mainstay in the sleep apnea industry for some time. Their original nasal pillow mask, the Opus 360 was very popular. In fact, to this day there are still people using this mask. The Pilairo range of masks represented a significant design shift for Fisher and Paykel, opting for a one size fits all nasal pillow design with a single elasticized strap holding the mask in place.
Later on, the Pilairo was relaunched as the Pilairo Q, with an air diffuser and updated headgear. Admittedly, the headgear was a major improvement, and the diffuser made it quieter. However, the one size fits all nasal pillow left still failed to suit many people and the Pilairo Q trial masks were mostly left to gather dust with other hyped up failures such as the Respironics Amara and ResMed Swift Nano.
But, Fisher and Paykel aren’t shy about eating humble pie. It looks like the company has kept the best concepts from the Pilairo mask mistake (don’t get me wrong, there were some good ideas), and have incorporated it into a mask more suited to a wider audience.
Fisher and Paykel have gone out and introduced a new nasal pillow mask; the Brevida, in two sizes, Extra Small-Small and Medium-Large. Yes, they have listened to the feedback from the Pilairo and delivered a more suitable mask for the wider audience.
What’s in the box?
Well, to be honest, I haven’t had the chance to play with the Brevida yet, so this is an initial impressions or preview post.
In the box (or package rather) you will find the pre-assembled mask. There are three versions that can be ordered: the small-extra small version, the medium large version, or the fit pack, which includes both nasal pillow sizes. This means that you can order the fit pack if you are unsure about what size you will be (like other manufacturers do). I think this is a good move from Fisher and Paykel, and it brings them inline with the other nasal pillow mask manufacturers who offer the same option, although as standard.
You will also find a user guide, which contains all of the cleaning and maintenance instructions (among other things).
Fisher and Paykel have modified and updated the AirPillow nasal pillow mask design that was originally on the Pilairo masks. The AirPillow is designed to be worn looser than other nasal pillows. As the CPAP air enters, the AirPillow inflates sealing in and around the bottom of the nose. This is in comparison to other nasal pillows that form a direct seal on the nostrils. You might find the silicone on the Brevida pillows is softer and thinner than other nasal pillow masks, but because it isn’t worn as tight on the nostrils, less pressure is required to seal and the silicone doesn’t need to be as durable.
Fisher and Paykel include a new style air diffuser with the Brevida Nasal Pillow mask. The Brevida’s air diffuser is washable and durable, made of the same material used in the Eson 2 mask.
Fisher and Paykel have improved their headgear considerably with the newest range of masks. It looks to be of the same construction that they have used on the new Eson 2 masks. It is a more lightweight and durable material than previously used, as well as being very breathable. This headgear is adjustable where it needs to be; where it connects to the mask, and the Velcro tabs are easier to find, stick better, and less prone to lifting than the previous headgear. The headgear features the split strap design, similar to that on ResMed’s AirFit P10 nasal pillow mask, but is adjustable using the Velcro straps.
The headgear attaches to the mask frame by looping through the clips, which connect to the mask headgear. I’m not sure why Fisher and Paykel have continued with these mask clips. In my experience they were problematic with the Pilairo mask; prone to popping off during the night. I would have preferred the headgear attach directly to the mask frame itself.
Putting it on and fitting
Putting on the Brevida should be a relatively straight forward affair. If its anything like the Pilairo, it’s a tiny bit more fiddly to put on initially than other nasal pillow masks, but I found it required less fiddling around once its on and going.
Like its predecessor, the first step is to use your thumbs to open up the side supports of the silicone seal to the correct width and place the two openings in your nostrils.
Then grabbing the back strap, pull the headgear over your head until it falls in place with the strap just above your ears.
Then the headgear straps are tightened evenly to get a good fit. You can probably have it a bit looser than other nasal pillow masks.
I like the headgear design. Despite being a little heavier than the P10 mask, you can adjust it as the headgear stretches. Especially important for people who like their dollar to stretch a little bit further.
I’m really glad that they have included two sizes of nasal pillows in this model. It will suit most CPAP users now. Most people will likely need the Medium-Large pillows. If you are unsure, it may be worthwhile ordering the FitPack.
How the mask cushion connects is a major improvement as well. Because it clicks into the mask frame, it will not pop off during the night (like would happen with the Pilairo).
Why they don’t just connect the headgear directly to the mask frame, I don’t know. It seems unnecessary and is just something else to break; or lose.
Would I Recommend It?
Actually, yes I would. Despite having a few wtf’s, it looks like a solid reentry into the nasal pillow mask business from Fisher and Paykel after their previous err….. mistakes. It should actually fit most people with their improved sizing, and might be a winner for people who get sore nostrils from the other nasal pillow masks on the market. Probably not going to suit someone who prefers a nasal pillow mask as they perspires during sleep, simply due to the way it hugs the nose; but otherwise a solid return from Fisher and Paykel.
For many patients, it will be more comfortable than the ResMed AirFit P10 nasal pillow mask. However, I feel the P10 still has it’s number.
It will be interesting to see how it performs in the real world, when I get the chance to try it out.
Over and out, Pete.