React Health (formerly 3B Medical) · Nasal pillows mask

React Health Rio II Nasal Pillows Mask

A light nasal pillows mask (about 2.3 ounces) from React Health, formerly 3B Medical, with dual-wall pillows, a split back strap with hook and loop tabs, and a ball and socket swivel. React Health states its masks contain no magnets.

SizesNasal pillows: Small, Nasal pillows: Medium, Nasal pillows: Large, All sizes kit with S, M and L pillows
Works withCPAP and bilevel machines recommended by your physician with a standard 22 mm tube connection

Usually suits

  • Nose breathers who want a light, simple pillows mask
  • People who need a magnet-free mask
  • Active sleepers who want a swivel at the mask

Design

  • Dual-wall nasal pillows
  • Split back strap with hook and loop fasteners
  • Rotating ball and socket swivel
  • Weighs about 2.3 ounces
  • Therapy pressure range 4 to 20 cm H2O
  • Magnet-free (React Health customer letter, September 16, 2022)
  • Headgear back is labeled to help with troubleshooting

Strengths and trade-offs

  • Magnet-free
  • All sizes kit lets you try S, M and L
  • Split back strap helps keep the headgear from riding up
  • Swivel lets the tube move as you turn
  • Rated only up to 20 cm H2O
  • Nasal breathing only
  • Hook and loop tabs need re-fastening after washing the headgear

Finding your size

Pillows come in S, M and L, and the all sizes kit includes all three. The manual says to hold the pillows over your nostrils to check the size, and React Health publishes a printable fitting template for this mask. If you cannot stop a leak by changing the angle of the pillows, the manual says you may need a different size.

How to fit it

  1. Attach the headgear

    Thread the two side straps of the headgear through the gaps in the side panels and fold them back to secure.

  2. Put it on

    Hold the back strap and stretch the headgear around the back of your head. The top strap should sit comfortably on top of your head.

  3. Even out the side straps

    Adjust each side strap evenly until the mask sits just under your nose, then reattach the fastening tabs.

  4. Settle the pillows

    Move the mask away from your face and place it back so both pillows sit upright and secure in your nostrils.

  5. Connect

    Connect the end of the mask's short tube to your machine's air tubing and start therapy.

Common problems and fixes

Air leak at the nostrils

Readjust the angle of the pillows. If the leak will not stop, the manual says you may need a different pillow size.

Nasal irritation

Loosen the straps and check your pillow size. The manual says to stop using the mask and talk to your physician if nasal irritation keeps happening.

Dry mouth

Air escaping through your mouth. A chinstrap is a common fix; ask your clinician about a full face mask if it continues.

Short tube or swivel damage

The short tube assembly cannot be taken apart. Do not pull on the short tube or your machine tubing when removing the mask; lift the headgear off your head instead.

Cleaning and care

After each use, take the mask apart, wash the parts (not the headgear) by gently rubbing them for up to 10 minutes in warm water (about 86 F) with mild, unscented dish soap, clean the vent with a soft brush, rinse with drinking quality water and air dry out of direct sunlight.

Once a week, hand wash the headgear the same way, rinse and air dry. React Health says not to use anything with bleach, chlorine, alcohol, aromatics, moisturizers, antibacterial agents or scented oils, and to keep all parts out of direct sunlight and heat.

How often to replace parts

Mask
1 every 3 months (A7034)
Cushion
Up to 2 per month (Medicare A7033), typical guidance; your plan may differ
Headgear
1 every 6 months (A7035)

Get a free reminder when each part is due →

Supplies that can help

CPAP chinstrap

A soft strap that supports the jaw to help keep the mouth closed, used mainly with nasal and nasal pillow masks to reduce mouth leaks.

Saline nasal spray

Salt water spray that moistens and clears the nose, a simple aid for the congestion and dryness some people get on CPAP.

CPAP mask wipes

Pre-moistened wipes for a quick daily wipe of the mask cushion, mostly to remove skin oils between proper washes.

Mild unscented soap for CPAP cleaning

Plain, mild dish soap is the cleaning agent most CPAP makers and the FDA point to for masks, tubing and humidifier chambers.

Retailer links are affiliate links. We may earn a commission at no cost to you.

Frequently asked questions

Does the React Health Rio II nasal pillows mask have magnets?

No. In a September 16, 2022 customer letter, React Health stated that the Rio II Nasal Pillows Mask and its other masks contain no magnets in the headgear, frame or cushions.

What sizes does the Rio II pillows mask come in?

Small, Medium and Large pillows. The all sizes kit includes the mask, frame, headgear and all three pillow sizes.

What pressure is the Rio II nasal pillows mask rated for?

The user manual lists a therapy pressure range of 4 to 20 cm H2O.

How do I take off the Rio II without loosening the straps?

Pull the pillows away from your nose and lift the headgear off your head. The manual says you do not need to loosen the straps, and not to pull on the short tube.

Sources

Last reviewed October 11, 2026. How we research · Report an error