Fisher & Paykel Pilairo Q Nasal Pillow CPAP Mask
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Fisher & Paykel Pilairo Q Nasal Pillow CPAP Mask

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Pilairo Q Nasal Pillow CPAP Mask by Fisher & Paykel

Designed with user comfort and compatibility in mind, the Fisher & Paykel Pilairo Q Nasal Pillow Mask is one of the lightest and easiest to assemble CPAP masks available. With only three major parts, the Fisher & Paykel Pilairo Q is easy to maintain and even simpler to fit.

AirPillow Seal
The Pilairo Q’s nasal pillow cushion - called the AirPillow Seal - is designed to move with you, allowing you to change positions without worrying about air leaks. The AirPillow Seal inflates with pressure from your CPAP machine and creates a double seal in and around the nose.

Fisher & Paykel designed the AirPillow Seal to be one-size-fits-all. Fitting the Pilairo Q is as easy as spreading the side wings of the nasal pillow cushion and placing the cushion into your nose. Then secure the headgear of your choice and let your CPAP machine inflate the AirPillow Seal for a snug yet gentle fit.

Two Headgear Options
The Pilairo Q Nasal Pillow CPAP Mask is available with two headgear options for maximum comfort. Users can choose from the extremely lightweight Stretchable Headgear or the Adjustable Headgear for a more solid fit.

The Stretchwise Headgear consists of an elastic strap that rests on the back of the head. The Adjustable Headgear consists of three adjustment points - one on the crown of the head and two on the sides of the face. This multipoint design allows for a more stable and customized fit which active sleepers may prefer.

Both types of headgear are designed with minimal straps and an optimal number of adjustment points. Both connect to the same mask frame.

These two headgear options allow the Fisher & Paykel Pilairo Q to fit a wide range of head sizes and facial structures. The absence of multiple headgear and nasal pillow sizes takes the guesswork out of mask fitting so you don’t have to keep going back to the drawing board.

Quiet, Powerful Performance
The Pilairo Q represents an innovation in quiet technology. Fisher & Paykel added a replaceable diffuser to the front of the mask which disperses airflow to reduce noise and draft. The diffuser sits in the front of the mask, under a removable plastic Q Cover.

Anyone who has ever woken up to the sound of their own or their partner's breathing while on CPAP will appreciate the serenity this small yet mighty piece of innovation brings.

The mask can be worn with and without the diffuser. However, the diffuser should be replaced every 2 to 3 months to control bacterial growth. Replacing it regularly also ensures the Pilairo Q continues to operate as quietly as it's designed to.

Keeping with the Pilairo Q's focus on compatibility and ease of use, Fisher & Paykel has made the diffuser replaceable, eliminating another part you'd have to clean regularly. Five replacement diffusers come with the Pilairo Q Nasal Pillow CPAP Mask.

Key Features

  • Hassle-Free Maintenance - Only three parts require cleaning.
  • Full Range of Motion - Flexible short tube with a 360-degree swivel enables a wider range of movement.
  • AirPillow Seal - Molds to the nose for a gentle and consistent seal for leak-free performance.
  • Quiet Performance - Replaceable diffuser reduces noise and draft.
  • Two Headgear Options - Choice of Adjustable and Stretchwise Headgear for maximum comfort.
  • Low-Profile Frame - Lightweight frame is designed for an open field of view.


How do I know what size I need?
The Fisher & Paykel Pilairo Q Nasal Pillow Mask comes in one size that is designed to fit most CPAP users comfortably. Two different types of headgear come with the mask so you can choose the most comfortable style.

Are there a lot of parts that require cleaning and regular maintenance?
The Pilairo Q Nasal Pillow Mask comes with only 3 parts that require cleaning and maintenance: the frame, nasal pillow cushion, and headgear. The mask is easy to disassemble and put back together. Please refer to the user manual for detailed instructions.

Is the mask loud?
The Pilairo Q is designed specifically to ensure that airflow is directed away from the user and bed partner. This reduces noise and minimizes any disturbances. The Q stands for quiet.

I sleep with my mouth open. Is this a good CPAP mask for me?
Yes and no. You can use the Pilairo Q Nasal Pillow Mask even if you breathe through your mouth at night. However, you will need a chin strap to help keep your mouth closed so the pressure from your CPAP machine doesn’t rush out through your open mouth.

That said, some people prefer to sleep without a chin strap. If your mouth tends to fall open at night and you would prefer not to use a chin strap, then the Pilairo Q isn’t for you. We recommend trying one of our full face masks instead.

Comparison: Old vs New

While the Fisher & Paykel Pilairo Q Nasal Pillow Mask is true to the original Pilairo design, it has two new features that offer upgraded user functionality. The Pilairo Q includes two lightweight and flexible headgear options to make finding the right fit easier. The Pilairo Q CPAP mask also comes with a diffuser for a quieter night's rest.

Note: The original Fisher & Paykel Pilairo Nasal Pillow Mask has been discontinued.

  • Fisher & Paykel Pilairo Q Nasal Pillow CPAP Mask BrochureDownload
  • Mask componentsDownload
Model 400421
HCPCS Code A7034, A7035
Warranty 90 days
Extra Features Pressure range - 4-25 cm H20

The Pilairo Q Nasal Pillow Mask includes:

  • Mask Frame with Short Tube and 360-Degree Swivel
  • One-Size-Fits-All Nasal Pillow Cushion/AirPillow Seal (400HC125)
  • Two Headgear Options: Adjustable (400HC326) & Stretchwise (400HC322)
  • Five Replacement Diffusers
  • User Manual
4.4rating Based on 23 reviews
charles c 06/11/2021
5 of 5 Stars!

I used the old Pilairo for a few years and it worked fine. It started showing some aging though and I figured I would just start anew instead of having to replace every component eventually. Decided to stick with FP and try the new Pilairo, especially since I saw other positive reviews from old Pialiro users. Well I’ve had this for a few weeks now and I’m inclined to agree, it’s a great upgrade/progeny of the original.

The hybrid pillow/cushion of the old Pilairo was great and the new one continues that trend. It disitributes the pressure well so it feels light and comfortable. Also really quiet, substantial improvement from the old version in that regard. It uses a little diffuser filter to do that. They do seem like they should be replaced intermittently however, but you can also just choose to do without them. Like the old Pilairo, the cushion is one singular size and inflates around your nose when you turn on the air. I’m on the bigger size but I find that it fits excellently, so I think the one size fits all thing might actually hold up.

Also the headgear is comfortable. Not a huge improvement in this area but that’s because the old Pilairo was already really comfortable. It’s light and fits well, plus the package comes with two frame types. One of them you just adjust like normal, the other stretches itself. I use the normal adjustable one and it’s good.

Edwin L 05/06/2021
5 of 5 Stars!

I’ve been around the block, used nasal pillows, nasal cushions, and full face cushions. Pillows have been the most comfortable for me and I’ve been using a pillow mask for the past year, but I had some issues with slippage. As such I wanted to look for something that had the basic design of a pillow but with a little extra support to hold on. The Plairo fit that bill and it’s definitely lived up to my lofty expectations.

What’s so good about it? Well for one, it’s comfortable. Doesn’t feel heavy at all and cradles my noggin well, which is what I ask of a mask. But the real star of the show is the cushion. Instead of being your standard bar with two prongs that normal pillows are, this mask has a kind of winged frame around it that grips your nose. It really does hold on well and I haven’t had the slipping issues I had with my old pillow. Interestingly, there’s no sizing for the pillow as it’s supposedly one size fits all. I didn’t have any issues with the sizing but I can’t speak for other people, so that might be something to watch out for. The seal of the cushion is to par too, no problems with leaks. Very good mask, I think any nasal cushion or nasal pillows users will enjoy and feel familiar with the design.

Cara A 05/09/2021
4 of 5 Stars!

Subject: Wish it was comfortable from the beginning, but definitely a good mask overall
First off I want to say Respshop is a great company. I've ordered a lot from Respshop and every single time I have any problems, the customer service is always very nice and helpful.
Anyway, I've tried a lot of masks (nasal, nasal pillow, full face, hybrid, total face) and this one is pretty good!! For starters, it's been about 3 months since I started using this and I think it really fits me well now When I breathe, I can feel it "breathing" with me. Breathing with this mask on feels very natural. It's also definitely one of, if not THE most quiet mask I've tried.
The only problem is that when I first started to use this mask, I had some problems with the fit. For about a week, I had very bad problems with a sore (sometimes bloody) nose in the morning. After a week of trying it I just couldn't handle it anymore so I switched back to my old mask for a bit and then alternated between my masks for a while. Eventually, I started using this one more and more (Vaseline does wonders!) and now it fits me perfectly well with no pain in the morning. I'm VERY glad this fixed itself over time but if you plan on getting this mask, it's best to keep in mind that it might not be comfortable from the get-go.

Ray S(Verified Purchase) 01/16/2014
5 of 5 Stars!

Having used a Swift FX nasal mask for several years as the "best fit for me" solution at the time, I decided to have a try of the new Pilairo Q and WHAT a difference it has made to my sleep!! The fit is almost leak proof and I don NOT wake up when rolling over with this mask! With the other, I was constantly waking to refit the mask and stop the leakages with every turn, NOT ANY MORE!! Aside from the slight pressure on the tip of my nose, which I am becoming more used to each night, the feel of the snugness when the surrounding nasal pillow inflates and firmly but gently seals the air passage and at the same time, causes the nasal tips to position themselves in my nostrils, but they are so soft, I hardly notice any, but slight intrusion into the nasal passages. A BRILLIANT design! One mask that is almost perfect and that is from someone who has a script for 18psi! I have never dreamt so vividly and now feel twice as energetic during the day! Well done Fisher & Paykel! And for you who maybe thinking of changing over, don't hesitate! Sleep well everyone! Regards, Ray

Kayla 09/07/2021
4 of 5 Stars!

Subject: review
The Good:
-Quiet and doesn't blow tons of air on my boyfriend as we're sleeping. He's complained about this for every other mask I've tried in the past.
-Took about a week to get used to the mask, but it fits very well and feels very comfortable now.
-Easy to put on
-I haven't experienced leaks because of the inflation around the nose piece
-Mask arrived quickly and in perfect condition

The Bad:
-The week it took me to get used to the mask was uncomfortable. I used vaseline to prevent my nose from getting too irritated, but it still hurt.
-The silicone piece where your nose fits is a little flimsy. Without being careful, I'm worried I will tear it accidentally.

Alan L 05/09/2021
5 of 5 Stars!

Subject: Better than the old one. Definitely worth upgrading.
I used to use the old version of this but I can say with confidence that this one's better if you're looking to upgrade. The old one used to blow a lot of cold air onto my wife, which she hated. Glad I'm not having that problem anymore after getting this new version.
F&P really outdid themselves because they knew exactly what to fix. The comfort of this mask is just like my old mask. Also, it's very quiet too. Not to mention easy to clean and reliable as always. My old mask lasted me about 10 years. I think this one will be sticking with me for just as long. The frame is sturdy even though it's light.

andrew f(Verified Purchase) 10/14/2016
5 of 5 Stars!

I started with a full nose mask by Fisher and Paykel. Loved the mask as it had the filters and was very quiet. Hated the head gear that came with it. It was clumbersome and not easy to put on or take off.
I then found the Pilairo Q nasel pillow. It was fitted with the filter and I knew it would be quiet like my old mask. It came with the 2 types of head gear which I also liked to put on and take off easily.
Once I got it I knew I did the right thing. Haven't looked back since. It's very comfotable easy to clean and put on and take off. Its not intrusive and doesnt leak. Best purchase ever.

Lois O 03/27/2021
1 of 5 Stars!

This was comfortable for the first 9 nights of use. Then the extremely thin nasal covering ripped and became worthless. The $25 replacement cost is outrageous! Now I have to decide if I want to keep replacing it or pay for a more expensive mask and hope it lasts longer than nine days. NOT HAPPY

Hi Lois,

I'm very sorry to hear that the mask broke on you. We do have a 90 day warranty for these masks so please, don't hesitate to contact us via email or on the phone ( - 1-866-936-3754) and we can get this sorted out for you!

sheila d 01/27/2014
2 of 5 Stars!

I bought my cpap nasal pillow about a year ago and it has been sitting in my night table for about 9 months now . the mask itself is great but the strap it was a total wast of money as the clip broke almost immediately and my husband had to drill a hole in it and fashion something so i could wear it ,then very shortly after the strap was so stretched it was useless not happy and as much as I loved it I would not likely get another one, nor would I bother getting the replacement. strap is the pits

Ilya A 09/14/2019
1 of 5 Stars!

I really don't understand how anybody can tell that this mask is comfortable. Nose tip and nostrils begin to hurt after 20 minutes of using this mask. I am forcing myself to sleep with the mask, but I awake every hour because of the pain. I gave it 5 night try, and not going to use it anymore. Totally waste of money for me.

Ilya, I am so sorry that mask did not work for you! Please return that mask to us so we can get you one that fits better.

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