I recently switched from the ResMed AirFit F20 (Large) to the AirFit F30 (Medium). So I will include a few comparisons of the two mask systems along with the F30 review. This is all based on my personal experience. Your mileage may vary.
Overall I give the F30 5 Stars. I am very pleased with the comfort and efficacy of this PAP mask. The only downside is the initial cost for a guy like me who is 100% out-of-pocket. But I worked around the high price. I reused my F20’s QuietAir Elbow and purchased a replacement cushion, frame, and headgear.
Interchangeable parts with the F20…
There are no parts that are interchangeable with the F20 other than the QuietAir Elbow.
The Weight of AirFit [AirTouch] Cushions and Frames…
F30 Cushion, Medium 29.0 grams
F30 Frame 17.9 grams
F20 Cushion, Large 43.1 grams
F20 Cushion, Medium 39.5 grams
AirTouch F20 Cushion, Medium 38.7 grams
F20 Frame 33.4 grams
How to Adjust the Headgear…
This isn’t necessarily the “right” way for everybody, but it worked for me.
- I adjusted the top-of-head adjustment so that the lower straps would ride comfortably under my earlobes so as to place the converging back piece of the headgear as high up as possible. I am trying to get that converging spot off of my neck, (cervical spine area) and higher onto my skull. Not quite there, but closer than the F20 headgear and much improved feel overall.
- The lower side adjustments should be just tight enough to keep the cushion from leaking. I was able to drop my max pressure 3cm to help minimize leakage too. Results were amazingly good.
- I kept the upper side adjustments fairly loose when initially fitted - disconnected from the PAP machine. They pull the cushion upward to align and seal your nostrils to the cushion. When the PAP machine is attached and running, the mask “inflates" and the nostril-seal area puffs up and does its job very well in providing a leak-free seal without undue pressure against my nostrils.
- Detach the magnetic headgear clips.
- Grasp the mask with right hand - middle of back of headgear with left hand.
- Loosely locate the side wings of the nostril seal with the Alar-facial Crease. It should comfortably fit the Alar-facial Crease with little to no compression.
- Roll the mouth seal down and around your mouth.
- Snap the magnetic clips onto the frame.
- Connect the QuietAir Elbow.
How to Remove the Cushion form the Frame…
The cushion locks onto the frame with two tiny lugs that are molded into the frame. They are at the 3 O’Clock and 9 O’Clock positions. The problem is, is that there are no hard plastic bits anywhere to grab onto to separate the two pieces from one another. And mine was super tight when snapped together properly. So here’s how you do it without damaging any of the delicate parts of the cushion.
- Cradle the assembly underneath and upright and with your left hand - cushion to the left, frame to the right.
- Place your left thumb-tip on top of the cushion at the frame - not on top of the frame.
- Place your right index finger into the vent hole of the frame and grab the flange inside - the flange is part of the frame.
- Place your right thumb on top of your left thumb.
- Pinch with your right thumb as you slightly hook your index finger on the frame’s flange.
- The cushion and frame should detach easily and fall into your hands undamaged.
How to Attach the Cushion to the the Frame…
- Loosely align the cushion and frame.
- Thumbs go inside the cushion on the hard plastic on either side of the vent hole.
- Fingers go on the outside of the frame on either side of the vent hole.
- Align the parts and squeeze together firmly.
- If you don’t hear and feel them snap together, then the parts are not aligned. If the cushion rotates more than “just a little” in the frame, then they are not aligned. Try again until they snap firmly together.
I use CPAP wipes daily. Be careful with the cushion, or wash in a clean tub with baby shampoo and warm water. I also use an ultrasonic cleaner about once-a-month. SoClean is fine to sterilize PAP equipment, but it does nothing to remove skin oils and other particulate matter.
Seal Area and Headgear Tension…
As compared to the AirFit F20 and many other FFM’s, the surface area of the seal is markedly smaller - in other terms, the seal’s footprint. Just eyeballing it, I would say the F20 has half or less of the footprint as compared to the medium and large F20 cushions. This being the case, the tension needed on the headgear to maintain a good seal can be much less than that of the F20 and other FFM’s.
F20 Medium; F30 Medium; F20 Large
My Observations and Experience…
First impressions were mixed. I liked the fact that the F30 cushion and frame were small and lightweight. However I was apprehensive of the feeling of having something pressed up under my nostrils. I was comfortable with the fit and feel on night two.
With the AirFit F20, I developed a chronic headache. I had to maintain a relatively high headgear tension to maintain a good cushion seal. My headache has all been resolved with the lesser tension that the F30 requires. Further helping this situation, I was able to lower my max pressure 3 cm resulting in a better seal, improved comfort, and maintaining efficacy.
The QuietAir Elbow defuses expiratory air under the translucent ring, under the retention clips, and around its periphery. The design is amazingly effective in keeping noise to a minimum. The F30 locates the QuietAir Elbow lower (directly in front of the mouth) with respect to the F20 medium and large masks. The F20 would frequently blow expiratory air into my eyes due to the higher Elbow placement. And it seemed to “hug” the upper nose-part of the F20 cushion causing it to be directed into my eyes. The F30’s design resolved this problem completely.
AirTouch Medium nose-to-nose with AirFit F30
Also improved are my sleep sessions. Pre-PAP, I would average about 1 hour per sleep session. With my ResMed AirCurve 10 ASV and ResMed AirFit F20, I averaged 2 hour sleep sessions with 2-1/2 hours frequented. With the AirFit F30, I regularly have sleep sessions of 3-3/4 to 4-1/2 hour sleep sessions. Needless to say, I feel much, much better.
I am a side sleeper. The F30 is quite comfortable and I have had little to no leakage or other problems when parts of the F30 get buried into my pillow. And the QuietAir Elbow is completely inaudible at 17 cmH2O or less.
Lastly, I have a tendency to open my mouth occasionally when sleeping on my side as my jaw muscles relax. It frequently opens if I roll onto my back. For unknown reasons, my mouth seems to stay shut with the F30 in both sleep positions.
Pros/Likes…
Lightweight / minimal bulk.
Easy to disassemble and clean.
Comfortable / easy to get used to the feel.
F30 has a top-of-head headgear adjustment. The F20 does not.
Lesser tension required on the headgear to maintain a good seal.
Like the F20 - quick to put on and take off with the QuietAir Elbow side pinch-clips.
Can wear eyeglasses comfortably with the F30 if you want to read or watch TV as you drift off to sleep.
Replacement parts may be found at a reasonable price.
Cons/Dislikes…
Only two cushion sizes available.
Complete system is expensive.
Takes some experimentation to find the best headgear adjustments.
Reference Material…
ResMed AirFit Fitting Template - Imperial Units:
https://www.resmed.com/au/dam/documents/...ch_eng.pdf
ResMed AirFit Fitting Template - Metric Units:
https://www.resmed.com/epn/dam/documents...mm_eng.pdf
AirFit F30 Product Information Page:
https://www.resmed.com/us/en/consumer/pr...t-f30.html
~ Self-Treatment - via ApneaBoard experts.
~ Self-Pay - no help from Kaiser other than getting my script, then a pat on the butt and out the door.
~ Self-Educated - via ApneaBoard experts, its many users, and posted reference material.
~ Complex Apnea - All Night AHI=34.2/h, Supine AHI=45.5/h
~ Using a 2021 16" MacBook Pro M1 Max, 32 GB, 1 TB, macOS Monterey V12.6.2.
~ Pay no attention to the dog behind the cup, he ain't a docta, and does not give medical advise.
~ Woof, woof.