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.

CompanyAcurableAdvanced Brain MonitoringBelun TechnologyBRAEBON Medical Corporation Cadwell Industries IncCerebraCleveMedCompumedics USAGeneral Sleep
Corporation
Neurovirtual USA IncNatus Medical IncNox MedicalOnera HealthResMedSleepImageSleepImageSnap DiagnosticsSOMNOmedics America IncSunriseWesperZOLL ItamarZOLL Itamar
HST:AcuPebble Ox100Sleep Profiler & PSG2Belun Ring BLR-100X MediByte Jr ApneaTrakCerebra Sleep SystemSleepViewSomtéZmachine SynergyBWMini HST CompassEmbletta MPR-PGNox T3sOnera STSNightOwlSleepImage FingertipSleepImage RingSnap Model 8SOMNOtouch RESPSunriseWesper LabWatchPAT 300WatchPAT ONE
Website:www.acurable.comadvancedbrainmonitoring.combeluntech.com/uswww.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.nightowl.carewww.sleepimage.comwww.sleepimage.comsnapdiagnostics.comwww.
somnomedics-diagnostics.com
us.hellosunrise.comwww.wesper.coitamar-medical.comitamar-medical.com
Starting Purchase Price:Contact companyContact companyContact company$2,750$3,250Contact company$2,400$3,400 Contact companyContact companyContact companyContact companyContact companyContact companyContact sales@
sleepimage.com
Contact sales@
sleepimage.com
Contact companyConfiguration-dependentContact companyContact companyContact companyContact company
Rental/Leasing Option:YesYesNoYesYesYesContact companyContact company YesNoNoNoContact companyNoNoYesYesConfiguration-dependentNoYesYesNo
Starting Price for
Consumables/Study:
Contact company$17.50Contact company$7<$3; disposable kits: $30Contact company
$20

<$14
Contact company;
configuration dependent
$5$5-$12Contact companyContact companyContact companyN/A (no consumables)N/A (no consumables)Included with some plans$2Contact companyContact companyContact companyContact company
Type:IIIIIIIIIIIII, III, IVIIIII, IVIII, IVII, III, IVIII, IVII, III, IVIII, IVIIIVIIIIIIIIIII, III, IVIIIIII, IVIIIIII
Maximum Channels:8: SPO2, PPG, pulse rate, activity (movement), heart sounds, respiration inhalation and exhalation patterns, airflow, snoringScientifically-validated and
editable autoscored full disclosure signals with forehead-based 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.
5: Plethysmogram, pulse rate, heart rate variability, oximetry, actigraphy8: 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 position8: 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 position13: 2x RIP, pressure
transducer, SpO2, pulse, plethysmography, body position, 2x ExG; 3x DC channels, luminosity sensor

19: 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, abdomen + 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 rate15: 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 leg4: peripheral arterial tonometry, pulse rate, oximetry, actigraphy6: plethysmogram, pulse rate, heart rate variability, respiration, oximetry, actigraphy6: plethysmogram, pulse rate, heart rate
variability, respiration, oximetry, actigraphy
5: airflow, oximetry, heart rate, chest effort, and respiratory sound (snoring)11: respiratory airflow, snore, CPAP pressure, thoracic breathing effort, SpO2, pulse rate, finger plethysmogram, body position, movement, patient marker; optional: abdominal breathing effort7: airflow, heart rate, oximetry, head position, actigraphy, two respiratory effort signals18: position, airflow, pressure, staging, snoring, effort (abd, thx), SpO2, heart rate, HRV, PPG, temperature (abd, thx), temperature deviation (abd, thx), respiratory rate, movement, background noise

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:RechargableRechargeableRechargeableRechargeable, DisposableRechargeableRechargeableDisposableDisposableRechargeableRechargeable, DisposableDisposableRechargeable, DisposableRechargeableDisposableRechargeableRechargeableDisposable, RechargeableRechargeableDisposable, RechargeableDisposable, RechargeableDisposable, RechargeableDisposable
Chain-of-Custody
Assurance:
YesNoNoYesYesNoYesNoYesNoNoYesNoNoNoNoNoNoNoNoYesNo
Warranty (years):multiple options21112112112N/A (fee-per-service)N/A1132211N/A
Dimensions (cm):2.95 x 1.6 (neck sensor); 3.8 x 3.0 x 3.8 (finger sensor)7 x 4.5 x 1.754.4 x 6 x 1.8 (ring); 3.2 x 10 x 5.9 (cradle)6 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 24
7.62 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 2.12.4 x 1.7 x 0.73.8 x 3 x 3.83.8 x 3.0 x 3.8 (2.7 for
pediatric ring)
13.97 x 10.16 x 3.58.4 x 5.5 x 1.83.96 x 2.22 x 1.2210 x 66.5 x 6 x 1.36 x 5.5 x 1.8
Weight (grams):7 (neck); 15 (finger)7614 (ring); 97 (cradle)90 (including battery)143.5TTU: 280;HMU 56; CMU 8157200869015365 +/- 5g without battery5432815 (pediatric: 12)45064815129.585
Memory (MB):N/A8,0008 (ring); 128 (cradle)25612832,000
1,000
N/A (compact flash card)8,00032,000
2,0004,0004,000N/A (smartphone memory)N/A (smartphone memory)N/A (smartphone memory)16,0005121281,000 (internal)12816
Recording Time (hours):233010 (ring); 120 (cradle)18241310036> 3024242416112~16~1697183 x 10 hours601010
Features:AcuPebble SA100 is a small and noninvasive medical device offering a clinically validated home sleep test equivalent to the ambulatory gold-standard (cardiorespiratory polygraph followed by manual specialist interpretation). The AcuPebble system accurately extracts multi-channel information from 2 wireless devices (a neck and a finger sensor) to provide a complete sleep study report. It has received the CE mark in Europe and FDA 510k clearance in the US.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.
No need for phone pairing or WiFi. The FDA 510(k) cleared ring & artificial intelligence system measures AHI, sleep stages, and autonomic nervous system response. The cradle allows multiple-night testing (~14 nights) & acts as a digital sleep diary. 7 sizes of changeable ring arms. The web portal allows manual scoring and event editing. Optional smartphone application empowers remote data upload to check if a good study is recorded. 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.

Web- based software offers access to studies, scoring, and reports from anywhere facilitating collaboration between sleep labs and physician offices. Services are available for manual scoring and logistics for mail delivery to patient homes.

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;
RemLogic or Natus SleepWorks for HST recordings included.
The Nox T3s has refined Nox RIP technology with
200 Hz 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 contact points, maximizing patient comfort. With their intuitive design, these noninvasive devices 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.
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.The FingerTip is a personalized, single patient use device that comes with three reports generated via the SleepImage software as a medical device (SaMD) cloud based system. Report includes AHI 3% and 4% (OSA and 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 transition. 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.Service includes auto + RPSGT manual scoring, with differentiation of obstructive and central events. Analyzed indices include count. of apneas, hypopneas, AHI, RDI, REI, CI, ODI, acoustical snoring analysis. Raw data provided in an industry standard format. Resumable recording and rechargeable battery allow easy multi-night testing. Results based upon analyzed sleep time. 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.
The device detects respiratory events such as obstructive and central apneas and hypopneas, respiratory event-related arousal and identifies sleep time, stages, micro-arousals, and position. The device generates sleep parameters, eg, apnea hypopnea index, respiratory disturbance index, oxygen desaturation index, REM and NREM sleep stages, total sleep time, arousal index, % of time spent increased respiratory effort and position.With 18 channels (including 8 FDA-cleared channels), Wesper is a comprehensive sleep management system. Generate autoscored reports with full overscoring capabilities with access to raw data. With this cloud-based system, you can now reduce your cost per patient while giving better care.WatchPAT 300 is simple, accurate, and reliable HSAT that has a smart design to streamline the workflow. It may also utilize screening, pre and post sleep questionnaires through a smartphone app, which helps clinics to streamline diagnostic processes. WatchPAT 300 provides a validated autoscored report and raw data for manual review and editing. The report differentiates obstructive and central events and provides AHI, AHIc, RDI, and ODI based upon TST, 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 2023. A version of this guide published in the October 2023 issue.

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 editor[at]sleepreviewmag.com to be considered for the next update.

Read the digital edition of our Annual Product Guide (2023) for more comparison charts.