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SleepView: The Smallest, Lightest, Type III Sleep Monitor

January 28, 2011 by SleepDT Leave a Comment

Imagess2 SleepView: The Smallest, Lightest, Type III Sleep MonitorThe ultra light SleepView type 3 home sleep monitor from CleveMed is designed to be simple for patients, and cost effective for sleep labs.

Just shy of a year on the market, the SleepView from CleveMed has managed to carve a growing niche in the highly competitive world of home sleep monitoring. Sarah Weimer, director of Sleep Products at the Cleveland-based manufacturer, touts the device as the smallest and lightest home sleep monitor within the AASM-recommended Type 3 channel-set guidelines.

At a weight of approximately 2 ounces, the equipment is ergonomically designed for patients to perform a self test at home, while also working hand in hand with CleveMed’s eCrystal PSG Web Portal.

The eCrystal PSG web service is offered at three different service tiers to meet the needs of various customers. We offer a full service with use of our eCrystal PSG web portal, scoring and interpretation for customer who are not affiliated with a sleep center. Our mid tier service includes use of eCrystal PSG and scoring. With this service a registered sleep technologist verifies the scoring and creates a draft of the report to be completed by a sleep physician. We also offer web portal use only. This service is used by centers that have personal for scoring and interpretation but wish to take advantage of easy web access to the data. Sleep studies can be uploaded from the point of patient care.

Easy for Patients

While Medicare approved home sleep testing last year, reimbursement still stands at just over $200. At that rate, Weimer points out that it is not cost effective for sleep labs, especially if sleep professionals must be involved with the setup every step of the way. “With that in mind, the goal with the SleepView was to make a device that fulfilled the channel set asked for by AASM, with the types of sensors that they like to see as well,” says Weimer. “At the same time, we wanted it to be very easy for patients to do a self hook up with minimal instruction.”

Clevemed was uniquely suited to do an incredibly small Type III device due to the company’s long history of producing wireless electrophysiology monitors. Working within the diminutive design parameters, engineers sought to avoid the more complex harness systems used by competitors. “We wanted it to be small and light enough that it could be supported by a traditional respiratory effort belt,” reveals Weimer. “It is easier for patients to hook themselves up. They don’t have to worry about extra mounting straps or the discomfort of having the device worn elsewhere on the body.”

Not surprisingly, patients appreciate how easy it is to put on the SleepView. For patients who think it may be too easy and question the procedure, engineers went an additional step with LED light indicators on the front that let patients know if they have hooked themselves up properly. “If they turn the device on, but they don’t have sensors on, there is a little light on the front of the device by each channel name that will light up red to let them know that they are not hooked up properly,” explains Weimer. “As they get each channel hooked up correctly, those lights will turn green to indicate that it is collecting a good signal. When the patient first turns the device on, those lights will stay on for 90 seconds, and then anytime during the night the patient can hit the ‘on’ button again to get another 30 seconds of feedback about whether the device is collecting good signals or not.”

Image3 SleepView: The Smallest, Lightest, Type III Sleep MonitorFeedback on usability and success rates tabulated from sponsored tests have consistently shown that patients come back with valid data. “Other customers have been using our other product, the Sleep Scout, which is a little bit more traditional and a little bit more complicated for the patient to put on,” says Weimer. “It [the Scout] does not have the feedback, and we would have an increased number of unsuccessful studies with that product compared to this product. The immediate patient feedback on the SleepView lets patients know that they may not have a sensor in place properly, and they can fix it right away.”

Expanding the Market

Weimer agrees that the SleepView, and home testing in general, will likely expand the market for sleep labs by increasing access and awareness to potential patients. The undiagnosed masses will get into the treatment cycle, benefitting all parties throughout the continuum of care.

As more clinicians learn about the importance of sleep, referrals will also increase the flow of patients. “Patients are typically seeing their dentists or primary care physicians, and if those health care professionals are asking the right questions about sleep, it is just going to increase the number of people who are aware and getting tested,” says Weimer.

SleepView at a Glance

Hardware Dimensions: 3” × 2.6” × 0.7” (7.6 cm × 6.6 cm × 1.8 cm) Weight: 2 oz (57 g) (approx.) with batteries Power: 1 AAA battery Memory: 1G internal memory

7 Dedicated Channels

  1. Heart Rate
  2. Pulse Oximetry
  3. Airflow (pressure based)
  4. Airflow (thermistor)
  5. Snore (derived from airflow)
  6. Respiratory Effort Belt (RIP)
  7. Body Position

Software

SleepView works with the eCrystal PSG Web Portal, allowing treating physicians to initiate home sleep tests directly from their practices. Data from the SleepView is uploaded through the web portal to a network of professional technologists and sleep physicians for timely scoring and study interpretation.

Later reports with recommended treatment or follow-up are retrieved by the treating physician. This patient monitoring system allows physicians to provide a continuum of care.

For more information, visit http://www.clevemed.com

Filed Under: CleveMed, eCrystal, electrophysiology, Medicare, Sleep Lab, sleep physicians, sleep products, sleep scout, sleep technologist, Sleepview, Type III device Tagged With: CleveMed, eCrystal, electrophysiology, Medicare, primary care physicians, sleep labs, sleep physicians, Sleep Products, Sleep Scout, SleepView, Type III device

BRPT members stunned by ABSM announcement to Launch New Exam for Sleep Technologists

January 20, 2011 by SleepDT Leave a Comment

BRPT has been notified that the Board of Directors of the American Academy of Sleep Medicine (AASM) has decided to develop a certification exam for sleep technologists to be administered through the American Board of Sleep Medicine (ABSM). The ABSM has indicated that the exam will be developed over the next six to twelve months.

Read Letter to BRPT President from ABSM announcing AASM Board decision

Read BRPT response to ABSM

Will the new credential be good for the field of polysomnographic technologists or the beginning of a controversial struggle for control.

View BRPT discussion forum

Filed Under: Polysomnographic, sleep diagnostics, sleep disorder center, sleep disorders, sleep labs, sleep physicians, sleep products, sleep technologist Tagged With: AASM, ABSM, BRPT, Polysomnographic, sleep medicine

Scientists Measure the Cost of Missing a Nights Sleep

January 20, 2011 by SleepDT Leave a Comment

Scientists have added up the cost of losing a nights sleep. By measuring the actual number of calories the body expends to fuel an all-nighter versus a good night’s sleep, researchers from the University of Colorado at Boulder calculate that a full night of sleep helps the body conserve as much energy as is in a glass of warm milk.

Missing a night of sleep forces the body to burn about an extra 161 calories than it would have during eight hours of sleep (not counting what’s used in moving around while awake), but it’s no weight-loss miracle: The body tries to make up for the deficit by saving more energy than usual the next day and night, researchers report in the January Journal of Physiology.

Energy Conservation as a Function of Sleep in Human Beings
One of the proposed functions of sleep is to conserve energy. We determined the amount of energy conserved by sleep in humans, how much more energy is expended when missing a night of sleep, and how much energy is conserved during recovery sleep. Findings support the hypothesis that a function of sleep is to conserve energy in humans. Sleep deprivation increased energy expenditure indicating that maintaining wakefulness under bed-rest conditions is energetically costly. Recovery sleep after sleep deprivation reduced energy use compared to baseline sleep suggesting that human metabolic physiology has the capacity to make adjustments to respond to the energetic cost of sleep deprivation. The finding that sleep deprivation increases energy expenditure should not be interpreted that sleep deprivation is a safe or effective strategy for weight loss as other studies have shown that chronic sleep deprivation is associated with impaired cognition and weight gain.

Read Full Article: Energy expenditure during sleep, sleep deprivation and sleep following sleep deprivation in adult humans

Filed Under: chronic sleep deprivation, energy conservation, journal of physiology, sleep apnea, sleep diagnostics, sleep disorder center, sleep disorders, sleep labs, sleep loss, sleep medicine, sleep physicians, sleep products, university of colorado at boulder, weight loss miracle

Sleep Health is one of the New Goals of Healthy People 2020

January 18, 2011 by SleepDT Leave a Comment

The Department of Health and Human Services has launched its Healthy People 2020 goals, and among the objectives set forth in its “ambitious, yet achievable” 10-year agenda for improving the nation’s health are substantial improvements in sleep health, respiratory disease outcomes, and levels of tobacco use.

Read Full Document Healthy People 2020: Department of Health and Human Services

Sleep Health
Sleep health is a new topic in the Healthy People initiative. The main focus is on increasing public knowledge of how adequate sleep and treatment of sleep disorders improves health, productivity, wellness, quality of life, and safety on the roads and in the workplace.

The public health burden is substantial, and awareness of the problem is lacking; thus, Healthy People 2020 seeks to provide a “well-coordinated strategy to improve sleep-related health.”

Objectives are to:

  • Increase the proportion of persons with symptoms of obstructive sleep apnea who seek medical care (from 25.5% to 28%).
  • Reduce the rate of vehicular crashes per 100 million miles traveled that are due to drowsy driving (from 2.7 to 2.1).
  • Increase the proportion of students in grades 9-12 who get sufficient sleep, defined as 8 hours or more on an average school night (from 30.9% to 33.2%).
  • Increase the proportion of adults who get sufficient sleep, defined as 8 or more hours for those aged 18-21 years, and 7 or more hours for those aged 22 years and older (from 69.6% to 70.9%).

Sleep is one of the three pillars to good health, along with exercise and balanced diet.

Source: HHS

Filed Under: Drowsy Driving, obstructive sleep apnea, respiratory disease, sleep apnea, sleep diagnostics, sleep disorder center, sleep disorders, sleep medicine, sleep physicians, tobacco, vehicular crashes Tagged With: tobacco

New Study: Reducing the Risk of Pulmonary Complications Among Patients with Sleep Apnea Undergoing Surgery

January 11, 2011 by SleepDT Leave a Comment

In patients with sleep apnea, perioperative pulmonary complications after orthopaedic and general surgery are significantly more frequent vs matched samples without sleep apnea, according to new research.

Stavros Memtsoudis, MD, with the Weill Medical College of Cornell University, in New York, NY, and colleagues reported their findings in the January 2011 issue of Anesthesia & Analgesia.

The current study of data from the National Inpatient Sample database was designed to compare perioperative pulmonary outcomes in patients with sleep apnea vs matched control participants and included 3,441,262 general surgery entries and 2,610,441 orthopaedic surgery entries collected between 1998 and 2007. Sleep apnea was diagnosed at a frequency of 2.52% and 1.40% for the 2 surgery types, respectively.

Read Abstract: Perioperative Pulmonary Outcomes in Patients with Sleep Apnea After Noncardiac Surgery2011 Jan;112(1):113-21

Filed Under: pulmonary complications, pulmonary outcomes, sleep apnea, sleep appliances, sleep diagnostics, Sleep Lab, sleep loss, sleep medicine, sleep physicians, stavros, treatment of insomnia, weill medical college of cornell university Tagged With: Stavros

Benchmarking Improves the Sleep Business

January 11, 2011 by SleepDT Leave a Comment

Sweeping reimbursement cuts and a depressed economy have created a perfect storm where payors are now applying more rigorous requirements and heightened scrutiny to billing claims, and referral sources are more discriminating than ever. Fortunately, benchmarking can identify emerging trends in the industry while helping you gain an advantage.

There are many organizations dedicated to providing information and resources to businesses. Many business associations provide market research, industry benchmarks and statistics, as well as training and educational resources. Do an internet search for business associations in your region, or consult your local Chamber of Commerce or phone book.

Have a frank conversation with your competition about what changes they have seen. There is no need for either party to divulge business secrets, and a general dialogue can benefit both of you, as well as your customers. You might even find ways to partner together to address customers’ unmet needs.

Reach out to businesses in your area that have been successful and arrange to tour and meet with their management to see how they’ve solved business challenges. Many organizational difficulties transcend industries, and you may learn valuable lessons in unexpected places.

Whether your business has well-established benchmarking practices or you’re just beginning to gather data, ResMed’s Sleep Market Panel is a valuable, low-maintenance data source. The Sleep Market Panel was designed to provide you with objective industry data in a simple report.

To join the Sleep Market Panel, email sleepmarketpanel@resmed.com, visit www.resmed.com/smp or call our Sleep Market Panel team at (800) 424-0737, ext. 306101. There are no fees associated with membership.

Filed Under: depressed economy, ResMed, sleep apnea, sleep buisness, sleep diagnostics, Sleep Market Panel, sleep medicine, sleep physicians, sleep products, sleep therapy

1-800-SLEEPLAB Ramping Up

January 11, 2011 by SleepDT Leave a Comment

A renewed commitment to a nationwide phone reference (1-800-SLEEPLAB) is just one of many projects on the Sleep Group Solutions (SGS) docket. Rani Ben-David, president of SGS, North Miami Beach, Fla, has an ambitious goal in the form of 1-800-SLEEPLAB, a work in progress that seeks to be the largest directory in the ever-growing sleep world that includes neurology, cardiology, ENTs, dentists, and sleep physicians.

With lessons learned from 1-800-SNORING, a pilot project dedicated solely to the dental end, Ben-David hopes to be a first-call for consumers who need help. Depending on the zip code from where the call originates, inquiries would go straight to participating sleep professionals.

Sleep physicians who use SGS sleep interpretation and scoring services will also automatically be a part of the 1-800 directory. “Right now there is no one directory for everybody,” says Ben-David. “This one reference is designed to be the heart for everyone.” While the listing is for FREE the sleep labs and Physicians have the option to lease the 1-800 Sleep Lab number for the ZIP code they practice at for a very low fee.

Plans for 2010/2011 are simple: keep it going, spread the news, and take on even more projects. One such project is a partnership with Newport Beach, Calif-based Glidewell Dental Lab, which offers SGS an opportunity to double its number of educational seminars to about 80 per year.

Glidewell provides a lot of dental appliances in the vast metropolis of Southern California and throughout the world. “It’s a huge partnership because they do more than 3,000 sleep appliances per month,” enthuses Ben-David. “Those Doctors need the education, and it’s a perfect opportunity for two companies with integrity to come together for mutual benefit. Glidewell is one of the most reputable dental labs in the world.”

Source: 1-800-SLEEPLAB

Filed Under: Dental, dental appliances, dental labs, dentists, educational seminars, glidewell dental lab, Home Sleep, insomnia, neurology, Rani Ben-David, sleep apnea, sleep appliances, sleep diagnostics, Sleep Lab, sleep labs, sleep physicians, Snoring

1-800-SLEEPLAB Ramping Up

January 4, 2011 by SleepDT Leave a Comment

A renewed commitment to a nationwide phone reference (1-800-SLEEPLAB) is just one of many projects on the Sleep Group Solutions (SGS) docket. Rani Ben-David, president of SGS, North Miami Beach, Fla, has an ambitious goal in the form of 1-800-SLEEPLAB, a work in progress that seeks to be the largest directory in the ever-growing sleep world that includes neurology, cardiology, ENTs, dentists, and sleep physicians.

With lessons learned from 1-800-SNORING, a pilot project dedicated solely to the dental end, Ben-David hopes to be a first-call for consumers who need help. Depending on the zip code from where the call originates, inquiries would go straight to participating sleep professionals.

Sleep physicians who use SGS sleep interpretation and scoring services will also automatically be a part of the 1-800 directory. “Right now there is no one directory for everybody,” says Ben-David. “This one reference is designed to be the heart for everyone.” While the listing is for FREE the sleep labs and Physicians have the option to lease the 1-800 Sleep Lab number for the ZIP code they practice at for a very low fee.

Plans for 2010/2011 are simple: keep it going, spread the news, and take on even more projects. One such project is a partnership with Newport Beach, Calif-based Glidewell Dental Lab, which offers SGS an opportunity to double its number of educational seminars to about 80 per year.

Glidewell provides a lot of dental appliances in the vast metropolis of Southern California and throughout the world. “It’s a huge partnership because they do more than 3,000 sleep appliances per month,” enthuses Ben-David. “Those Doctors need the education, and it’s a perfect opportunity for two companies with integrity to come together for mutual benefit. Glidewell is one of the most reputable dental labs in the world.”


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Filed Under: dental appliances, dental labs, dentists, neurology, sleep appliances, Sleep Lab, sleep physicians Tagged With: cardiology, neurology

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Editorial Board

Randy Clare
Managing Editor of SleepScholar and RespiratoryScholar
Dr. Steve Carstensen
Pankey Institute for Advanced Dental Education, American Academy of Dental Sleep Medicine.
Ruchir Patel MD
Founder & Medical Director at the Insomnia and Sleep Institute of Arizona.
Dr. John S. Viviano
AADSM Diplomate and member of various sleep organizations. Has lectured internationally on the treatment of Sleep-Disordered Breathing and the use of Acoustic Reflection.
Jeffroy Wyscarver
President, DDME Online, Sleep Lab Technology and Services for the Dental Community.
Claude Albertario
RPSGT, speaker, author and mentor in the field of sleep diagnostics with 25 yrs of management experience in one of New York's premier sleep centers.
Joseph Anderson
Co-Founder and Director of Education for Priority Health Education and Priority Scoring.
Todd Austin
Managed sleep labs and has 15 experience in sleep diagnostics and therapeutic systems. .
Marietta Bibbs
Sleep specialist and manager of Sleep and Neurodiagnostics at Morton Plant Mease Healthcare.
Bradley Eli DMD, MS
Director, San Diego Headache and Facial Pain Center / Sleep Treatment and Research Institute
Edward Grandi
Executive Director of the American Sleep Apnea Association.
Edward Michaelson MD
Board Certified in Pulmonary Medicine, Internal Medicine and Sleep Medicine
Ashley Truitt
Founder & Director of Dental Sleep Medicine Worldwide, Co-Founder of TPT Dental.

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