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.
Company | General Sleep Corporation | Advanced Brain Monitoring | BioSerenity Inc | BRAEBON Medical | Cadwell | CleveMed | Compumedics USA | Ectosense | Itamar Medical Inc | Itamar Medical Inc | Natus Medical Inc | Nihon Kohden America Inc | Nox Medical | Philips Respironics | REMware | ResMed | Sleepvirtual | Snap Diagnostics | SOMNOmedics America Inc | Zephyr Sleep Technologies | |||||||||||||||
HST: | Zmachine Synergy | Sleep Profiler & PSG2 | AccuSom | MediByte Jr | ApneaTrak | SleepView | Somté | NightOwl (Mini) | WatchPAT 300 | WatchPAT ONE | Embletta MPR-PG | Nomad | Nox T3 | Alice NightOne | DreamClear | ApneaLink Air | BWMini HST Compass | Snap Diagnostics Model 8 | SOMNOtouch RESP | MATRx plus | |||||||||||||||
Website: | www.generalsleep.com | advancedbrainmonitoring.com | us.bioserenity.com/sleepmedicine | www.braebon.com | www.cadwell.com/ apneatrak | www.clevemed.com | www.compumedics.com | www.nightowl.care | itamar-medical.com | itamar-medical.com | neuro.natus.com/ products-services/ embletta-mpr-sleepsystem | us.nihonkohden.com | www.noxmedical.com | www.usa.philips.com/ healthcare/product/ HC1109289/alice-nightone- home-sleep-testing-device | www.dreamclear.com | www.resmed.com/ apnealinkair | www.neurovirtual.com | www.snapdiagnostics.com | www. somnomedics-diagnostics.com | www.zephyrsleep.com | |||||||||||||||
Starting Purchase Price: | Contact company | Contact company | Contact company | $2,750 | $3,250 | $2,400 | $3,400 | $80 | Contact company | Contact company | Contact company | $3,500 | Contact company | $2,474 | $1,250 | $1,999 | $3,490 | Contact company | Configuration-dependent | Contact company | |||||||||||||||
Rental/Leasing Option: | Yes | Contact company | Contact company | Yes | Yes | Contact company | Contact company | Yes, pay-per-test | Contact company | Contact company | No | Yes (leasing & subscription) | No | Yes | Yes | Yes | Yes | Yes | Configuration-dependent | No | |||||||||||||||
Starting Price for Consumables/Study: | Contact company; configuration dependent | $17.50 | N/A | $7 | <$3; disposable kits: $30 | $18.40 | <$14 | $80 | Contact company | Contact company | $5-$12 | ~$14 | Contact company | $5 | $25 | $4 | $5 | Contact company | $2 | $50 | |||||||||||||||
Type: | II, III, IV | II | III | III | Type II, depending on local requirements, III, IV | III, IV | III, IV | IV | III | III | II, III, IV | III | III, IV | III | II, III, IV | III | II, III, IV | III | II, III, IV | III | |||||||||||||||
Maximum Channels: | 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: 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, snore | 8: 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 | 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) | 4 (US version): arterial tonometry, pulse rate, oximetry, actigraphy | 7: PAT signal, pulse rate, oximetry, actigraphy, snoring, body position, chest motion | 7: PAT signal, pulse rate, oximetry, actigraphy, snoring, body position, chest motion | 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 | 12: thermocouple, pressure transducer, snore, SpO2, pleth wave, heart rate, chest effort, abdominal effort, 2 – limb movement channels, DC input, and body position | 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 | 7: flow, snoring, thoracic effort, SpO2, heart rate, body position, pleth | 8: body position, SPO2, chest belt, nasal cannula, snore, heart rate, EEG (O1,M2), EOG | 5: respiratory effort, pulse, oxygen saturation, nasal flow, snoring; plus body position | 13: 2x RIP, pressure transducer, SpO2, pulse, plethysmogra- phy, body position, 2x ExG; 3x DC chan- nels, luminosity sensor | 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 effort | 7: mandibular titration position, oxygen saturation, 2-channel nasal flow, pulse, respiratory effort, snoring, body position, head position | |||||||||||||||
Power Options: | Rechargeable | Rechargeable | Rechargeable | Rechargeable, Disposable | Rechargeable | Disposable | Disposable | Rechargeable, Disposable | Rechargeable, Disposable | Disposable | Disposable | Disposable | Rechargeable, Disposable | Rechargeable, Disposable | N/A | Disposable | Rechargeable, Disposable | Rechargeable | Rechargeable | Rechargeable | |||||||||||||||
Chain-of-Custody Assurance: | Yes | No | Yes | Yes | Yes | Yes | No | No | Yes | No | No | No | Yes | No | Yes | No | No | No | No | No | |||||||||||||||
Warranty (years): | 2 | 2 | For service period | 1 | 1 | 1 | 1 | N/A | 1 | N/A | 1 | 1 | 2 | 2 | 1 | 2 | 1 | 3 | 2 | 1 (3 with connected program enrollment) | |||||||||||||||
Dimensions (cm): | 10.2 x 6.1 x 2.4 | 7 x 4.5 x 1.75 | 5 x 3 x 1 | 6 x 6 x 2 | 7.3 x 11.5 x 2.5 | 7.62 x 6.60 x 1.78 | 11.43 x 6.35 x 3.05; sen- sor interface: 7.62 x 4.45 x 2.29 | 2.4 x 1.7 x 0.7 | 6.5 x 6 x 1.3 | 6 x 5.5 x 1.8 | 10.7 x 7.9 x 1.9 | 11.77 x 7.24 x 2.54 | 6.8 x 6.2 x 2.6 | 10.34 x 2.51 x 6.78 | 13.2 x 9.4 x 2.7 | 6.2 x 10.2 x 3 | 10.8 x 7.7 x 2.8 | 13.97 x 10.16 x 3.5 | 8.4 x 5.5 x 1.8 | 11 x 8 x 3.5 | |||||||||||||||
Weight (grams): | 86 | 76 | 350 | 90 (incl battery) | 143.5 | 57 | 200 | 3 | 129.5 | 85 | 153 | 481.94 | 65 +/- 5g without battery | 84 + battery | 175 (with sensors: 275) | 66 | 90 | 269 | 64 | 166 | |||||||||||||||
Memory (MB): | 8,000 | 8,000 | 64,000 | 256 | 128 | 1,000 | N/A (compact flash card) | N/A (smartphone memory) | 128 | 16 | 2,000 | 2,000 | 4,000 | 4,000 | N/A (smartphone memory) | 512 | 32,000 | 16,000 | 512 | 16,000 | |||||||||||||||
Recording Time (hours): | 300 | 30 | 32 | 18 | 24 | 100 | 36 | 112 | 10 | 10 | 24 | 24 | 24 | 10/study | 20 (+12 standby) | 48 | 12 | 97 | 18 | 8 | |||||||||||||||
Features: | 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. | 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. | Available in three versions: Core (Type 3) and Legacy (AASM-recommended parameters), TST (3 x ExG channels). Both devices 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. Uses Easy III PSG software for the scoring and review process. | 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 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. | 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 does not require return shipment. 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. | 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. | DVD included. Connects to computers via USB. Three options for starting a recording: immediate, timed, and Smart Start (when patient applies SpO2 probe). Interfaces with Polysmith software or Portable Nomad software (included). Nomad can use disposable or reusable sensors and probes. | The new Nox T3 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. | 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. | Start/stop button, test complete light, signal indicators. Diagnostic features include Cheyne-Stokes probability detection and the ability to differentiate between obstructive and central sleep apnea. Data available via ResMed’s AirView cloud-based portal to help manage diagnostic reports, interpretations, and prescriptions. | A compact polysomnography type 3 and 4 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. | 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 record- ing and rechargeable battery allow easy multinight 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 first (de novo clearance Aug 2019) at-home sleep theragnostic that evaluates and auto- titrates for oral appliance (OA) therapy. Includes a temporary OA that auto-adjusts in response to real-time respiratory information. Using AI, the data predicts OA therapy response and target therapeutic position. Tablet-based, cloud-connected, and operates as a standard HSAT. |
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.