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Home Sleep Testing Company Advanced Brain Monitoring Cadwell Laboratories Inc CleveMed Compumedics USA Inc Grass Technologies Product Name X4/Sleep Profiler MediByte Jr Easy ApneaTrak SleepView Somté SleepTrek3 www.advanced-sleep.com www.braebon.com www.cadwell.com www.clevemed.com www.compumedics.com www.grasstechnologies.com See Web site for introductory and research pricing $2,750 $4,500 $1999.00 $4,050 recorder only; $4,450 with software $3,995 (or rental option) 1 year 1 year 1 year 1 year 1 year 3 years Depends on configuration $7 $2.50 $9 <$4 ~$4 N/A Type III Types III and IV Type III Type III Type III 8 channels: 3 channels frontal EEG, aux EMG or ECG, pulse rate, snoring (dB), head movement, head position. 7 channels: oronasal airflow, snoring (airflow), CPAP flow, CPAP pressure, chest RIP effort, Spo2, pulse rate, body position. 9 channels: airflow (thermal sensor), abdomen respiratory effort belt (RIP sensor), chest respiratory effort belt (RIP sensor), airflow (pressure transducer), snoring microphone, oximeter (Spo2 sensor), pulse rate, snoring signal (pressure transducer), body position. 7 channels: pulse oximetry, heart rate, RIP respiratory effort belt, cannula based airflow, thermistor based airflow, snore (derived from cannula), and body position 13 channels: 2 ECG (EOG, EEG, EMG, or ECG), pressure, airflow, snore, thoracic and abdominal RIP, limb movement, body position, Spo2, pulse rate, pulse waveform, oximeter signal quality. 12 channels: thermistor, pressure transducer, snore (derived), chest effort, abdominal effort, body position, Spo2, pulse rate, 2 spare AC channels, 2 spare DC inputs. 2.1" W x 1.5" H x 0.75" D 2.5" x 2.25" x 0.75" 0.8" x 3.7" x 3.5" 3.0" x 2.6" x 0.7" Main unit: 4.4" W x 2.5" H x 1.0" D; Patient input box: 2.1" W x 3.3" H x 1.0" D 3.5" H x 6.2" W x 1.0" D 2.5 oz 3.2 oz 4.3 oz 2 oz 8.2 oz 10 oz Built-in Li-Poly battery ½ AA lithium battery NiMH battery AAA battery 2 AA batteries, alkaline or rechargeable NiMH 1 rechargeable battery, 3.6 V lithium Memory Storage Description Micro SD 2 GB 128 MB 512 MB, non-volatile internal memory 1 GB internal memory Up to 2 GB on CF card, 512 MB provided Compact flash Recording Time Capacity Up to 16 hours Two 9-hour nights 2 nights 30 nights 36 hours total Up to 3 nights Basic Features Forehead-based fulldisclosure signals autoscored with validated algorithms that are editable. Ideal for multinight pre- and posttreatment assessment of sleep architecture and sleep continuity. Patented oronasal cannula. Full data disclosure autoscoring software with all SDB analysis including RERA, flow limitation, and breath statistics analysis, Spo2 perfusion indicator, carrying case, patient instructional video, USB cable. Event button, LED status for each sensor, color coded sensor connectors and input connectors, patient setup guide, small carrying case. Generates established AHI. Actigraphy based sleep/wake analysis and configurable computer assisted scoring. Flexible options for desktop or Web-based software. Complete scoring and interpretation service is available. Carrying case included; video instruction for patient; 24/7 technical support; automatic respiratory analysis, scoring, and reporting software available. Carrying case and software included, color-coded inputs for ease of use, manual or automatic scoring, patient instructional, 24/7 technical support. Validated EEG-based measures of sleep quality provide superior objective assessment. Real time monitoring and voice messages ensure high quality acquisition with data downloaded in seconds via USB 2.0. CPAP compatible, multiple nights, immediate report access, unlimited custom reports, locking connectors, stainless steel Lemo connector, LED status indicator, all internal biosensors, complies with guidelines. Enterprise features allow data to be sent via the Internet to remote servers. Automated fee per use options eliminates up-front costs. Ergonomically designed for patient to self-administer sleep test. SensorCheck provides feedback to the patient at bedtime to show the sensors are placed properly. SmartCheck is used in the morning to show the recording was successful. No PC required for setup. Review signal quality on built-in LCD display, integrates into other Compumedics diagnostic sleep systems. Color-coded multi-PSG sensor included, improving patient comfort. CPAP compatible. Standard and user-customizable reports. Website Cost Warranty Cost of Consumables per Study Type Total Number of Channels and Channel Description Product Dimensions Weight, including batteries Power Information for this guide based on data submitted by product manufacturers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by manufacturers. BRAEBON Medical Corp Additional Features 24 • sleepreviewmag.com 24_29_HSTMatrix.indd 24 SEPTEMBER 2012 10/8/12 2:50:18 PM HoME SlEEP TESTing Company Itamar Medical MyCardio LLC WatchPAT SleepImage: Sleep Quality Screener www.itamar-medical.com www.sleepimage.com Cost $4,500 $185 per month or less than $20 a test for regular use Warranty 1 year Nihon Kohden America Inc NorthEast Monitoring Trex Nomad OxyHolter with LX Sleep www.natus.com www.nkusa.com www.NEMon.com Contact Natus for cost information $4,675 includes sensors, software, and training video $3,795 1 year 1 year 1 year 3 years (option for additional 2 years for a total of 5 years) Depends on package $0 (included in monthly fee) Contact Natus for cost information Depends on recording parameters $4 (approximately) Type III Not classified Type II Type III Type III (OxyHolter/A) 6 channels: EKG 1, airflow (OxyHolter/A) or EKG 2 (OxyHolter), Spo2, HR1 from Spo2, HR2 from EKG, respiration via eDRS (EKG-derived respiratory signal) Product Name Website Cost of Consumables per Study Type Total Number of Channels and Channel Description 7 channels: PAT respiratory analysis (signal & amplitude), oxygen saturation, pulse rate, actigraphy, snoring (in decibels), body position, sleep time, sleep stages. 4 channels: cardiopulmonary coupling spectrogram, ECG, actigraphy, body position, snore 24 referential channels: 4 DC, 4 differential, pulse oximetry 12 channels: thermistor, pressure transducer, snore (derived from pressure transducer), body position (internal), Spo2, pleth, pulse, chest effort, abdominal effort, 2 limb channels, and 1 DC input. Product Dimensions 3.1" x 1.9" x 0.8" 3.1" H x 1.9 W" x 0.4 D" 6.1" x 4" x 1.0" 4.625" x 2.85" x 1.0" 4.7" x 2.7" x 1.0" 4.5 oz 0.9 oz 11 oz 17 oz 7 oz 1 rechargeable lithium ion 250 mAh; ~17 hours 2 x CR2016 coin batteries 2 AA batteries 2 AA batteries 2 AA batteries; lithium— 72 hrs; alkaline—48 hrs; rechargeable—24 hrs Memory Storage Description MicroSD RAM 512 MB Flash memory 2 GB (internal) 32 MB to 1 GB compact flash Recording Time Capacity 3 consecutive nights Battery: 120 hours (15 x 8 hour studies); memory: 50 hours (6 x 8 hour studies) Up to 96 hrs 24 hours Memory requirement is ~25 MB/24 hour Basic Features AASM/CMS-compliant, oneclick upload via USB port, patient video instruction, analytical software w/ immediate manual edit capability (no extra charge) reporting AHI & RDI using clinically validated sleep time, 24/7 technical support, less than 2% failure rate. Records 4 channels to yield a Sleep Quality Index based on Cardio Pulmonary Coupling (CPC). Quick and easy patient setup; Web based so studies can be uploaded or reviewed from any PC with Internet access; multiple easy to read/ interpret reports that include a sleep quality index bar and sleep quality data. Reports can be e-mailed, faxed, saved, or printed. Carrying case included, connects to computers via USB port, 24/7 technical support, analytical software. AASM compliant. Auto start upon valid pulse signal, colorcoded sensors and connectors, neoprene pouch, built-in body position sensor, built-in pressure transducer, 2 GB of internal storage. Connects to computer via USB or Bluetooth. Carrying case included, data card reader connects to computer via USB port, will deliver results while patient is on CPAP, 24/7 technical support included, analytical software included. A compact and lightweight amplifier, suitable for both adults and children. Trex supports both EEG and PSG studies and is capable of recording up to 96 hours of data, taking less than 5 minutes to upload 24 hours of data. The integrated Microsoft SQL Server database enables quick and efficient data retrieval. With Polysmith Software Package, schedule OCST patients on DMS calendar, initialize recorder from Polysmith interface, auto configure Polysmith for analysis by the type of recording being used (Type II or Type III) when recording is loaded, store with Polysmith Software Package, store recorder type (I, II, and III) with each study for easy query, view live data on Polysmith acquisition screen, standard or custom reporting for any type (I, II, and III) of recording, social history questionnaires to correlate sleep habits with outcomes and aid with scheduling. Auto-score recordings upon download. Highly automated, repeatable, consistent AHI measurement; ideal for pre- and post-treatment efficacy assessments; 95+% sensitivity & specificity for OSA vs concurrent PSG studies; system includes recorder, cable, analysis software, training, installation assistance, 3-year warranty. Additional DR180+recorders+OxyHolter cables from $2,695. Weight, including batteries Power Information for this guide based on data submitted by product manufacturers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by manufacturers. Natus Medical Inc Additional Features Options include: HIPAAcompliant, cloud-based upload, national coverage via board certified sleep physician interpretation service, tamper-proof bracelet with chain of custody for trucker testing, theft/breakage warranty. 26 • sleepreviewmag.com 24_29_HSTMatrix.indd 26 Monitors sleep quality not just sleep apnea. Low cost and ease of use for monitoring health through sleep. Employ as a screener for sleep labs to use in conjunction with PCP to increase referrals. Ideal for all physicians to track sleep therapy effectiveness (not only CPAP) and measure sleep quality over multiple studies or periods of time. SEPTEMBER 2012 HoME SlEEP TESTing Company Philips Respironics ResMed SOMNOmedics GmbH Watermark Medical AccuSom Alice PDx ApneaLink Plus SOMNOscreen plus ARES www.watermarkmedical.com Product Name Website Cost www.novasom.com www.respironics.com www.resmed.com www.somnomedicsdiagnostics.com Full-service offering; complete data acquisition, scoring of data, and reporting on a fee for service basis Call your Respironics representative $2,490 (includes accessories for 3 studies) Depending on channel configuration $299/unlimited use monthly rental (device, technical edits, and studies consumables included) N/A 2 years 2 years 2 years Lifetime of rental Included in rental Warranty No charge Call your local Respironics representative $7-$10 Depending on channel configuration, ranging from $1.60 to $2.10 Type III Type II, III, IV Type III Types I-IV Type III Total Number of Channels and Channel Description 5 channels measured directly: airflow (linear correlation to pneumotach, oral and nasal airflow), respiratory effort, oxygen saturation, heart rate, and snoring dB 20 channels: airflow/pressure, snore, thoracic/abdominal respiratory effort, Spo2, pulse rate, body position/activity/EMG, EEG, event, EKG/ECG, pressure, flow, leak, pulse transit time, heart rate 4 channels: nasal flow (and snore), pulse, oxygen saturation, respiratory effort 1-58: naso/oral flow (thermistor and nasal cannula), snoring, 2x RIP-Efforts (chest and abdomen), body position, Spo2, pulse rate, pulse waveform, pulse plethysmography, movement, motor activity, ambient light, patient marker, 2x PLM, EEG, EMG, EOG, ECG, Aux for external devices. 10 available channels (airflow, respiratory effort, heart rate, head position, head movement, snoring, Spo2, EEG, EOG, EMG) Product Dimensions 5.0" x 3.0" x 1.0" 5.0" x 3.0" x 2.0" 4.6" x 2.4" x 1.2" 5.5" x 2.8" x 1.1" 2.5" x 2.0" x 1.0" 8.8 oz 7.7 oz 4.5 oz, includes batteries and oximetry 9.1 oz 3.4 oz Power Battery (DC) with AC charger 3 1.5-V AA or 3 1.5-V, AA NiMH rechargeable batteries; ~24 hrs 2 AA batteries, single use or rechargeable Li-ion battery, rechargeable 2 x lithium polymer rechargeable 250 mAh, >21 hrs Memory Storage Description SDRAM: 1 Meg Bits x 16 Bits x 4 Banks = 64-MBIT, with a clock frequency of 143 Hz SD Flash Card; 1 GB SD provided (up to 4 GB available) 15 MB internal RAM High Speed Compact Flash Card (up to 2 GB) SD Flash Memory Card Recording Time Capacity 25.5 hours 18-20 hrs Minimum 8 hrs, up to 15 hrs Up to 55 hrs 3 days Basic Features Direct measurement of AASM-recommended parameters; order entry and test interpretation available through cloud-based platform; test shipped directly to patient; device programmable in 10 languages for patient setup; wireless transmission of data each morning after testing for same-day interpretation; toll-free 24/7 clinical support provided for patients; infection control and biomedical inspection performed after every test. Carrying case included, will deliver results while patient is on CPAP, 24/7 technical support included Automatic analysis, AASM definitions as default, configurable parameters; comprehensive, customizable report with easy to understand graphic AHI indicator and ability to add business logo; customizable flow signal view with manual editing; proprietary respiratory effort sensor; Cheyne-Stokes probability detection; e-mail report and/or complete study; exportable to EDF, EDF+, and CSV. Miniaturized, portable and flexible, 24/7 technical support, 2 rechargeable Li ion batteries, continuous impedance check, 2 software licenses included, interchangeable head boxes from 4 to 33 channels. Carrying case included, connects to computer via USB port, includes video instruction for patient, reports retrieval and raw data access and editing via cloud based portal. Test samples sensor data at 0.1 second intervals; firmware identifies and records apnea and hypopnea events. Patent-pending “Good Study Indicator” to evaluate test quality in the home. Patient Event Marker, sets an event marker during recording. Optional equipment: ECG yoke, ExG yoke, ECG and neurological electrodes (for ExG), Alice PDx Sleeplink cable, Alice PDx RS232 Sleep Therapy cable. Extended report includes event graphic page; five measures of oxygen saturation; carrying case included; connects to computers via USB port; video instruction for patients and clinicians; 24/7 technical support included; program software, backwards compatible to all versions. No license fees. CPAP compatible, software with Easy-Start-Function, blood pressure software PTT, ambulatory and online (real time wireless data transfer), flexible for any configuration from screener to a full PSG. Technical edit on every study by sleep technologist, auto detection of sleep/wake and REM/nREM, voice prompted instructions and alerts, six validation study versus in-lab PSG, chain of custody mode available. Cost of Consumables per Study Type Weight, including batteries Information for this guide based on data submitted by product manufacturers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by manufacturers. NovaSom Inc Additional Features 28 • sleepreviewmag.com 24_29_HSTMatrix.indd 28 SEPTEMBER 2012