Philips Respironics just unveiled the Alice NightOne, an at home sleep testing (HST) device. Fully compatible with the Philips Somnolyzer scoring solution, sleep technicians can read the results from the Alice NightOne HST and determine a sleep study score in 50% to 85% less time and with great accuracy, according to a Phlips’ internal study.
“Conventional laboratory-based sleep testing or polysomnography can pose challenges for sleep clinicians and patients, including limited availability and cost,” say Teofilo Lee-Chiong, MD, chief medical liaison of Philips, in a release. “This latest, intuitive testing option allows reliable and accurate diagnosis of sleep disordered breathing that is more accessible and efficient. More importantly, it gives patients the option of having a sleep test in the comfort of their own home, which may improve overall patient experience and drive better outcomes.”
With minimal sensors and intuitive icons, Alice NightOne is easy for patients to set up themselves and limits discomfort while they sleep, Philips states. It includes Smart Guide technology that provides step-by-step instructions and feedback to ensure all functions are working properly, reducing the chance of patient error. The device indicates if additional testing may be required before the patient returns the equipment, further streamlining logistics. Alice NightOne also provides the data necessary to differentiate between obstructive, central, and positional sleep apnea.
Had mine for about two week now and used it for multiple studies. Best device on the market in my opinion. Studies integrate into Alice and the data looks just like it was recorded in the lab. About time someone listen to the end users and Respironics got it.
Which “End users” are you referring to?
Making signals to look like laboratory signals is not really that hard of a stretch. If Alice is able to open EDF files, then it should have the ability to view any EDF file as good as the signals from the laboratory. I had Compumedics Profusion displaying the Sompte’ HSAT units back in the 2009. No big deal.
I still laugh that all the companies striving to be as good as gold standard lab signals, but when anyone wants to obtain those signals IN A LAB…oh no, that is verboten.
Everyone should understand that the patient is coming to the clinician COMPLAINING about their sleeping environment, so again WHY is it so good to test them in a non-controlled home environment again? Is the dog/cat on the bed, how about their RLS/PLMS wife, is she there too? How about the kids, or the noisy neighbors? Are they all present and accounted for?
It is ridiculous that this field has allowed the bamboozling of the public to the degree that it has. Science is about controlling the experimental construct. In-situ is not always best, ESPECIALLY when the “situ” part is the part being complained about.
Yes, welcome to the 21st Century Philips. Though your case looks like one is going into a battle zone.
I was reading this post which was obviously a physician upset about why wouldn’t you want to control the sleep test for better results and could help but to laugh and comment. He’s answered his own question. A normal person sleeps in their own bed every night with all the potential issues he or she brings up so why wouldn’t you want a patients results from their regular sleep environment. It’s actually less controlled in a lab because it’s abnormal to the patient. Higher reimbursement for the sleep lab physician and keeping their patients, hmmm?
I can hear the sound of the poor professional rattling his collection box.
There are several issues with Night One but potential reduction in lab staff income is not one of them.
@Somnonaut, heaven forbid anyone want to do a sleep study in the place they normally sleep! Or in a comfortable situation rather than with 12 electrodes hooked up to them and purple watching them. Some people won’t sleep outside of their homes. I don’t really care what the results look like as long as they can determine my problem. I’m not a science experiment. I’m a person who’s exhausted all the time who wants to know why. Please tell me how my cat or dog being in the room contributes to my pulseox dropping to 74 at one point? Was my cat smothering me? Did she cause all 121 apnea events I had too? My husband waited over weeks for his sleep study results. I had mine with minutes of returning the unit. And by the way, the scientific methods/standards of testing being used today are long overdue for an upgrade, but since it took over a hundred years to get to those being readily accepted, I won’t hold my breath for an update in the near future.
very good points JJ. I would add that if the patient’s sleep environment was the only source of issues an in-lab test would only be successful at ruling out something like sleep apnea, which is very easy to diagnose with a home test.
Glad you were able to get some answers with your test. Certainly there are times when in-lab testing is necessary, but home testing definitely is a valid route for many people. I also agree that the old NPSG is in need of an upgrade to a hook-up that is easier for technicians to connect and patients to endure!
Trying to access editing time of the automatic scoring system of the Alice NightOne. Is there a significant difference in the use of scoring with the automated G3 software VS the automated G3 software with Somnolyzer that constitutes the added charge to using the Somnolyzer software? (Tech time to manual edit vs tech time to manual edit with Somnolyzer ) What is the more efficient way?
How can you tell if the patient is even alseep without EEG? false negatives and positives are bound to cause misdiagnoses. How many patients with central apnea are going to be diagnosed with OSA and put on CPAP? Yikes
I’ve taken the Alice Night One home sleep apnea test two nights in a row. The 1st night I didn’t have it hooked up right and didn’t really know what I was doing. So took it the 2nd night and never could fall into a deep sleep. Will I be able to try it once again tonight which will be the 3rd time?
The sleep center I used substituted a 7 foot line for the nasal thermistor cannula to the receiver rather than the recommended 16 inch one. Besides being very uncomfortable with all that plastic tubing in bed, it seems that it would have nearly 6 times the resistance and mess up the calculations on airflow? Also, I had one “apnea” while upright, most likely when I stepped on tubing while going to the bathroom!
Does Philips Alice NightOne Home Sleep Testing Device measure EEG?