Home sleep testing (HST) is an increasingly popular way to diagnose obstructive sleep apnea and other sleep disorders remotely. As opposed to coming into a sleep lab, the patient is able to self-administer an HST from the comfort of their own home, often at a lower price than in-lab sleep testing. But HSTs also have limitations, including being able to only diagnose sleep apnea and not other sleep disorders, as well as only being clinically appropriate for patients who meet specific pre-test criteria. This comparison guide compares HST devices on parameters including price, rental/leasing options, type, maximum channels, power, chain-of-custody, warranty, dimensions, memory, and recording time.

CompanyAdvanced Brain MonitoringBioSerenity IncBRAEBON Medical CadwellCerebraCleveMedCompumedics USAGeneral Sleep
Corporation		Neurovirtual USA IncNatus Medical IncNox MedicalOnera HealthPhilips RespironicsREMwareResMedSleepImageSleepImageSOMNOmedics America IncSunriseWatermark Medical WesperZOLL ItamarZOLL Itamar
HST:Sleep Profiler & PSG2AccuSomMediByte Jr ApneaTrakCerebra Sleep SystemSleepViewSomtéZmachine SynergyBWMini HST CompassEmbletta MPR-PGNox T3sOnera STSAlice NightOneDreamClearNightOwl
SleepImage Ring (Adult)
SleepImage Ring (Children)		SOMNOtouch RESPSunrise Digital Solution

ARES 620		Wesper LabWatchPAT 300WatchPAT ONE
Website:advancedbrainmonitoring.comus.bioserenity.com/sleepmedicinewww.braebon.com www.cadwell.com/
apneatrak		www.cerebra.health
www.clevemed.com
www.compumedics.comwww.generalsleep.comwww.neurovirtual.comneuro.natus.com/
products-services/
embletta-mpr-sleep-system		www.noxmedical.comwww.onerahealth.comwww.usa.philips.com/
healthcare/product/
HC1109289/alice-nightone-
home-sleep-testing-device		www.dreamclear.comwww.nightowl.carewww.sleepimage.comwww.sleepimage.comwww.
somnomedics-diagnostics.com		www.hellosunrise.comwww.watermarkmedical.comwww.wesper.co/
providers		itamar-medical.comitamar-medical.com
Starting Purchase Price:Contact companyContact company$2,750$3,250Contact company$2,400$3,400 Contact companyContact companyContact companyContact companyContact company$2,474$1,250Contact companyContact companyContact companyConfiguration-dependentContact companyContact company$50Contact companyContact company
Rental/Leasing Option:Contact companyContact companyYesYesYesContact companyContact company YesNoNoNoContact companyYesYesNoYesYesConfiguration-dependentNoContact companyYesContact companyContact company
Starting Price for
Consumables/Study:		$17.50N/A$7<$3; disposable kits: $30Contact company
$20
<$14		Contact company;
configuration dependent		$5$5-$12Contact companyContact company$5$25Contact companyN/A (no consumables)N/A (no consumables)$2Contact companyContact companyN/AContact companyContact company
Type:IIIIIIIIII, III, IVIIIII, IVIII, IVII, III, IVIII, IVII, III, IVIII, IVIIIIIII, III, IVIVIIIIIIII, III, IVIVII, III, IVIIIIIIIII
Maximum Channels:13: EEG, LEOG, REOG, EMG or ECG, forehead pulse, snoring (dB), head movement,
head position; PSG2 adds wireless finger SpO2, pulse, nasal pressure airflow,
optional thorax and abdomen
piezo or RIP belts		5: airflow, respiratory effort, pulse rate, oxygen saturation, snore8: airflow, snore, SpO2, pulse rate, chest effort,
body position, CPAP pressure, PPG		13: thoracic/abdominal effort, pressure, pressure-based
snore, snore sensor, thermistor, SpO2, pulse rate, plethysmography, body position, 3
channels ExG		16: 2x frontal EEG, 2x EOG chin, EMG, nasal cannula, chest and abdomen effort (RIP belt), SpO2, 2-lead ECG (heart rate), pulse 2x, leg EMG, audio, body position
8: heart rate, pulse oximetry, respiratory airflow (CPAP compatible), RIP belt, snore, body position, auxiliary (second RIP, thermal airflow, or IDcheck), actigraphy
13: nasal pressure, snoring, CPAP mask pressure, thoracic and abdominal effort, body position, SpO2, pulse rate, plethysmography waveform, signal quality, limb movement (or optional nasal thermistor), 2xEXG (EEG, EOG, EMG, ECG, or off)		9: EEG sleep staging, airflow (cannula or Bi/CPAP interface),
Bi/CPAP pressure, respiratory effort (RIP), snore, SpO2, pulse
rate, plethysmography, tri-axis body position		13: 2x RIP, pressure transducer, SpO2, pulse pleth, body position, 2x ExG; ExG; 3x DC channels, luminosity sensor19: pressure, sound, gravity (x/y/z), bipolar
ExG, thermistor, thoracic effort (RIP), abdominal
effort (RIP), DC (0-1V) battery, event buttom, SpO2,
SpO2B-B, SpO2 quality, pulse rate, plesthymography, RD quality, PPG; +
multiple derived channels. Optional proxies add up
to 8 EEG, 2 EOG, 3 chin EMG, 2 channels leg EMG and 1 ECG channel		24: (15 recorded channels, 9 derived channels) 2x bipolar channels: RIP, abdo-
men + thorax breathing effort, respiratory sound,
audio volume, gravity, activity, position, flow, snore, PWA; pulse, SpO2; 9 derived: heart rate; calibrated
RIP flow, calibrated RIP sum, RIP flow, RIP sum, RIP phase, PTT, respiratory rate		15: EEG right, EEG left, EOG right, EOG left, EMG right, EMG left, SpO2, respiratory effort (via bioimpedance), respiratory flow (via bioimpedance), respiratory flow (via nasal cannula), ECG, activity, body position, sound pressure level, EMG leg7: flow, snoring, thoracic effort, SpO2, heart rate, body position, pleth8: body position, SPO2, chest belt, nasal cannula, snore, heart rate, EEG (O1,M2), EOG4: peripheral arterial tonometry, pulse rate, oximetry, actigraphy6: plethysmogram, pulse rate, heart rate
variability, respiration, oximetry, actigraphy
6: plethysmogram, pulse rate, heart rate
variability, respiration, oximetry, actigraphy		11: respiratory airflow, snore,
CPAP pressure, thoracic breathing
effort, SpO2, pulse rate, finger plethysmogram, body position,
movement, patient marker; optional: abdominal breathing effort
3: mandibular movement (accelerometer and gyroscope), position

9 (standard): SpO2 (dual sensors), heart rate, snoring, airflow, movement, position, EEG, EOG, EMG; 10 (effort belt): SpO2, heart rate, snoring, airflow, movement, position, RIP, EEG, EOG, EMG		13: ABD, THX, air flow, pressure, SpO2, heart rate, audio (separated to snoring and background noise), body position, movement, skin temperature (ABD +THX), sleep phases

7: PAT signal, pulse rate, oximetry, actigraphy, snoring, body position, chest motion

7: PAT signal, pulse rate, oximetry, actigraphy, snoring, body position, chest motion
Power Options:RechargeableRechargeableRechargeable, DisposableRechargeableRechargeableDisposableDisposableRechargeableRechargeable, DisposableDisposableRechargeable, DisposableRechargeableRechargeable, DisposableN/ADisposableRechargeableRechargeableRechargeableDisposableRechargeableDisposable, RechargeableDisposable, RechargeableDisposable
Chain-of-Custody
Assurance:		NoYesYesYesNoYesNoYesNoNoYesNoNoYesNoNoNoNoNoYesNoYesNo
Warranty (years):2For service period112112112N/A21N/A112N/A111N/A
Dimensions (cm):7 x 4.5 x 1.755 x 3 x 16 x 6 x 27.3 x 11.5 x 2.5Table top unit: 21 x 12 x 0.7; head-mounted unit: 63 x 38 x 28; chest-mounted unit: 140 x 36 x 247.62 x 6.60 x 1.7811.43 x 6.35 x 3.05; sen- sor interface: 7.62 x 4.45 x 2.2910.2 x 6.1 x 2.410.8 x 7.7 x 2.8
10.7 x 7.9 x 1.96.8 x 6.2 x 2.68.2 x 6.3 x 2.110.34 x 2.51 x 6.7813.2 x 9.4 x 2.72.4 x 1.7 x 0.73.8 x 3.0 x 3.83.8 x 3.0 x 2.78.4 x 5.5 x 1.84.7 x 2.0 x 0.612.0 x 5.1 X 3.116  x 19 x 56.5 x 6 x 1.36 x 5.5 x 1.8
Weight (grams):7635090 (incl battery)143.5TTU: 280;HMU 56; CMU 8157200869015365 +/- 5g without battery5484 + battery175 (with sensors: 275)3151264393.5298.6129.585
Memory (MB):8,00064,00025612832,000
1,000		N/A (compact flash card)8,00032,000
2,0004,0004,0004,000N/A (smartphone memory)N/A (smartphone memory)N/A (smartphone memory)N/A (smartphone memory)512100 (internal)N/Aup to 50 hours12816
Recording Time (hours):303218241310036300242424810/study20 (+12 standby)112~16~16181072121010
Features:Scientifically-validated and
editable autoscored full disclosure signals with foreheadbased self-application. For multinight evaluation of sleep
architecture and sleep continuity in home or hospital,
with auto-detection of sleep
biomarkers associated with
neurodegeneration. PSG2 upgrade enables auto-detection of apneas, hypopneas and RERAs, and REM-related SDB severity.		The AccuSom home sleep
testing device is part
of BioSerenity’s Directto-Patient Home Sleep Testing offering. The level III device and single use
sensors are shipped to
patients and can be used
for up to three nights. Data
transmits directly to be
reviewed and interpreted
by a board-certified sleep
physician.		Local PC software or the
BridgeBuilder Cloud Portal. SDB analysis including RERA, flow limitation, breath
statistics, SpO2 perfusion.
Carrying case, patient instructional video, USB cable. CPAP compatible, multiple nights, immediate report
access, unlimited custom
reports, locking connectors, stainless steel connector, LED study status indicator, all internal biosensors.

Add Sleep Time to HSAT testing with ApneaTrak:TST or EnsoData integration. Three versions available: Core (Type III), Legacy (AASM-recommended parameters), TST (3xExG channels). Use the same sensors recommended for in-lab studies. Connection to the PC (zero-click) automatically downloads the recording, clears, recharges, and prepares ApneaTrak for the next patient.		Remote upload, autoscoring, Odds Ratio Product sleep depth algorithm.
AASM-compliant HST with “Smart Check” green/red light to indicate if a good study was recorded. Uses a RIP belt, is CPAP compatible, and can collect multinight studies. HIPAA- compliant web portal offers access to studies, scoring, and reports, while facilitating collaboration between local sleep labs and office-based physicians, including IT management and data archival.
Carrying case included, will deliver results while patient is on CPAP, includes video instruction for patient, 24/7 technical support, and analysis, scoring, and reporting software. Designed for basic HST workflow with automated respiratory event analysis and customized reporting. Supports both nasal pressure and thermistor airflow signal.		A chest worn device that combines single-channel EEG
sleep staging technology with
traditional respiratory channels to report an AHI based
on EEG-derived sleep time and body position (not just recording time). With one touch controls, multi-night
recordings, and a full-color LED interface, the Synergy is now PAP compatible and
backed by a HIPAA-compliant cloud portal.


A compact polysomnography type III and IV device powered by one AA battery, the HST Compass contains 2x AC bipolar channels, pressure transducer, integrated RIP interfaces, oximeter, integrated body position and DC channels—all embedded into a single module that will comfortably fit on the chest. Capability to see the traces and study information right on the screen.		Scalable multi-night recorder with auto or
timed start options; high
resolution screen with signal display; signal test
features (including impedance measurement),
signal quality/status
information; disposable
and reusable sensors
available; sound recording with optional snap-on
cannula microphone;
RemLogic or Natus SleepWorks for HST recordings included.		The Nox T3s has refined Nox RIP technology with
200Hz sampling frequency, which can be used as a primary flow measurement;
built-in sensors for snoring, EKG, EMG, and EEG, Bluetooth BLE 5.0 technology extending the battery
life for multinight studies, analysis in Noxturnal Software with artificial intel-
ligence. Indicated for use in patients >2 years old.

Onera’s patch-based no-wire STS system records data from up to four points of contact, maximizing patient comfort. These noninvasive devices, with their intuitive design, are attached within minutes, are easy for patients to use, and save time during hook-up and removal. The user-centric technology offers new opportunities for sleep clinics to expand their programs, and for hospitals that have limited or no access to a sleep clinic to implement sleep diagnostic testing within their institution.		The “auto-on” feature turns on the device as soon as the RIP belt is clicked in place; no need for patients
to push a ‘start’ button. The integrated connection
eliminates the need for an external effort wire set. The “smart guide” sequence guides patients through the setup process and provides
feedback to the patient along the way.		Company provides HST service that includes device shipment, returns, patient support, AI
scoring platform, scoring/inter-
pretation signoff via cloud portal and more. A smartphone app records, measures, and transmits sleep staging, eye movements, oxygen levels, heart rate,
breathing, snoring, EEG, and body position.		A fully disposable device based on peripheral arterial tonometry that provides pAHI and TST estimate. Autoscored reports available in the free NightOwl Portal. Smartphone connected. Device in line with AASM guideline requirements. Reimbursable for qualified physicians. Good for up to 14 nights on 1 patient.SleepImage generates a report that is ready for interpretation in minutes after a sleep study. Report includes AHI 3% and 4% (OSA & CSA), RDI, and ODI based on TST and sleep staging, as well as sleep efficiency, latency, onset, duration, fragmentation, periodicity, NREM and REM sleep, WASO, and wake transitions. FDA-cleared for children and adults.SleepImage generates a report that is ready for interpretation in minutes after a sleep study. Report includes AHI 3% and 4% (OSA & CSA), RDI, and ODI based on TST and sleep staging, as well as sleep efficiency, latency, onset, duration, fragmentation, periodicity, NREM and REM sleep, WASO, and wake transitions. FDA-cleared for children and adults.Plug and play with Intelligent
Connect sensors for easy application by the patient at home—programmed or manual start. Extensive
analysis and reporting software (1 license). Charging and data transfer simultaneously via USB. CPAP-compatible recordings. Auto
detection of sleep/wake. Additional
abdomen belt available. Also available: SOMNOtouch RESP eco, a Type III and IV home sleep test.		Version 2 (type III with 8 channels) is pending FDA review and clearance. The Sunrise Digital Solution is a disposable, single point of contact HSAT consisting of a sensor, smartphone app, and a cloud-based algorithm. Upon completion of the Sunrise sleep study, both mandibular movement (MM) data, anthropometric data, and responses to sleep questionnaires are transferred via wireless connection to the cloud where the Sunrise software, using a dedicated machine learning algorithm, analyzes the data and generates a report available through the Sunrise platform. The MM signal reflects both the respiratory drive and variations in upper airway resistances occurring during SDB.Compact forehead worn unit with up to 3 nights/single report. Voice-prompted alerts. Patient app allows for secure transfer to cloud for real-time quality check and reduced study processing time (optional). Validated automated analysis. AHI/RDI data quantified across state, stage, and body position in both 3% and 4% desaturations using sleep time. Secure cloud storage and processing. Registered tech quality review option. Automated text generation. Integrated validated pre-test OSA risk questionnaire. Bluetooth RIP effort belt (optional)Wesper Lab offers sleep expert support via video consultations and chat. Wesper Lab also offers longitudinal data analysis, HST +, a care plan, sleep diaries, and
subjective data.

A wrist worn device that provides an automated analysis based upon 3 points of contact. Within 1-minute post study, raw data is downloaded and autoscored differentiating obstructive and central events, providing an AHI, AHIc, RDI, and ODI based upon true sleep time and sleep staging

WatchPAT ONE is a fully disposable HSAT that also utilizes screening, pre and post sleep questionnaires through a smartphone app, which helps clinics to streamline diagnostic processes. As soon as the study is completed, sleep data is available for interpretation. It provides a validated autoscored report and raw data for manual review and editing. The report differentiates obstructive and central events and provides an AHI, AHIc, RDI, and ODI based upon TST, and sleep staging
Last updated October 2022. A version of this guide published in the October 2022 issue.
Download a printable PDF of this HST guide here.Download

Information for this guide based on data submitted by HST marketers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by marketers. Pricing is subject to change. All HST marketers get one listing at no charge. Advertisers are offered multiple listings. All HST options may not be included. We plan to update this guide once a year. Email sroy[at]medqor.com to be considered for the next update.