 The primary objective of this study was to compare the performance i.e., patient self-reported Comfort score of the V60 device and a conventional noninvasive ventilator patients current ventilator. For the User Needs Assessment, the primary objective of the study was to validate the V60 to user needs. All patients were volunteers from the Respiratory Section of the Health Sciences Centre at the University of Manitoba. The study utilized a randomized 2-period cross-over study design to compare the V60 System to the patients existing conventional noninvasive ventilator in different ventilation modes. 