Article: Understanding Sleep Apnea and the Power of ResMed's NightOwl

Apr 21, 2025

Understanding Sleep Apnea and the Power of ResMed's NightOwl

Q: Why Buy From US CPAP?

Why Choose Us Over the Competition? We stand out from the competition for several key reasons: Trusted Authorized Dealer: Manufacturer-Backed Warranty: Unbeatable Pricing: Expert Support: We are committed to providing high-quality CPAP equipment and exceptional service. Choose us for a seamless experience from purchase to post-sale care.

Q: Are you an Authorized ResMed Dealer?

Yes, we are an authorized ResMed dealer and have been for over 10 years. We purchase all our products directly from ResMed, guaranteeing that every item you receive is authentic and of the highest quality . Additionally, all ResMed products we sell come with lot numbers and/or serial numbers , providing full traceability and authenticity. Rest assured, every product is backed by the manufacturer’s warranty , giving you peace of mind with every purchase.

Q: Can I buy a CPAP machine without a prescription?

In the United States, under federal law , CPAP machines are classified as Class II medical devices by the FDA. As such, they require a prescription from a licensed healthcare provider for purchase. This classification is in place because CPAP therapy is considered a medical treatment that needs to be customized for each patient's condition and safety. A prescription ensures that your treatment is appropriate and monitored by a healthcare professional. Most suppliers, including USA Medical Supply, will not ship a CPAP machine without first receiving a valid prescription. You can submit your prescription through the following methods: Text : (413) 200-4191 Email : info@usamedicalsupply.com Fax : (413) 732-2238 This requirement ensures compliance with federal regulations and guarantees you receive the correct equipment and pressure settings.

Q: Differences Between CPAP, APAP, and BiLevel?

CPAP (Continuous Positive Airway Pressure) delivers a fixed pressure throughout the night. APAP (Auto-Adjusting Positive Airway Pressure) automatically adjusts pressure based on your breathing patterns. BiPAP (Bi-Level Positive Airway Pressure) provides two different pressure levels — one for inhalation and a lower one for exhalation. BiPAP is typically recommended for users with specific needs or those who find CPAP uncomfortable.

Published: April 21, 2025

Sleep apnea is a common yet often undiagnosed sleep disorder that affects millions of people worldwide. It can lead to serious health complications if left untreated, but advancements in diagnostic and treatment technologies are making it easier to manage. One such breakthrough is ResMed's NightOwl, a revolutionary home sleep apnea test that simplifies diagnosis. In this blog, we'll explore what sleep apnea is, its impact, and how ResMed's innovative products, particularly the NightOwl, are transforming sleep health.

What is Sleep Apnea?

Sleep apnea is a sleep disorder characterized by repeated pauses in breathing during sleep. These pauses, known as apneas, can last from a few seconds to over a minute and may occur dozens or even hundreds of times per night. The most common type, obstructive sleep apnea (OSA), occurs when the muscles in the throat relax excessively, blocking the airway. Another type, central sleep apnea (CSA), happens when the brain fails to send proper signals to the muscles controlling breathing.

Symptoms of Sleep Apnea

The symptoms of sleep apnea can be subtle, making it challenging to diagnose without proper testing. Common signs include:

Loud snoring, often accompanied by gasping or choking sounds
Daytime fatigue and excessive sleepiness
Morning headaches
Difficulty concentrating or memory issues
Mood swings or irritability
High blood pressure

If untreated, sleep apnea can increase the risk of serious health issues, including heart disease, stroke, diabetes, and depression. A 2025 study published in The Lancet Respiratory Medicine found that treating OSA with continuous positive airway pressure (CPAP) therapy can reduce the risk of death by up to 37%, highlighting the importance of early diagnosis and treatment.

The Global Burden of Sleep Apnea

According to research, nearly 1 billion people globally are affected by OSA, with approximately 80% of cases remaining undiagnosed. In the United States alone, an estimated 30 million people suffer from sleep apnea, driven by factors like obesity, aging, and lifestyle changes. The condition not only impacts quality of life but also places a significant burden on healthcare systems due to associated complications.

The Importance of Diagnosis

Diagnosing sleep apnea traditionally required an overnight stay in a sleep lab for polysomnography (PSG), a comprehensive test that monitors brain activity, heart rate, breathing, and oxygen levels. While effective, PSG can be costly, inconvenient, and inaccessible for many. This is where home sleep apnea tests (HSATs) like ResMed's NightOwl come in, offering a convenient and accurate alternative.

The apnea-hypopnea index (AHI) is a key metric used to diagnose sleep apnea. It measures the number of apnea and hypopnea (shallow breathing) events per hour of sleep. An AHI score of 5–15 indicates mild sleep apnea, 15–30 moderate, and over 30 severe. Accurate diagnosis is critical to determining the appropriate treatment, such as CPAP therapy, lifestyle changes, or surgical interventions.

ResMed: A Leader in Sleep Health

ResMed is a global leader in health technology, specializing in sleep, breathing, and home-based care. With a mission to help people achieve better sleep and improved health, ResMed has developed a range of innovative products, from CPAP machines to diagnostic tools. Their commitment to user-friendly, cutting-edge technology has made them a trusted name in sleep medicine.

ResMed’s Product Lineup

ResMed offers a comprehensive portfolio of sleep apnea solutions, including:

AirSense 11 CPAP Machine: The latest in ResMed’s AirSense series, this device features a sleek touchscreen, advanced algorithms, and integration with the myAir app for personalized therapy tracking. It’s lightweight, quiet, and designed to enhance user comfort.
AirFit F40 Mask: An ultra-compact, full-face mask that combines comfort with high performance. Its lower-profile design improves therapy adherence by allowing users to sleep in any position.
AirMini: A compact CPAP device ideal for travelers, ensuring therapy continuity on the go.
ApneaLink Air: Another home sleep apnea test that tracks up to five metrics, including respiratory effort and oxygen saturation, to aid in diagnosis.

These products are designed with patient comfort and convenience in mind, incorporating features like auto-adjusting pressure, cloud-based data monitoring, and quiet operation. ResMed’s focus on innovation has driven significant market growth, with the U.S. sleep apnea device market projected to reach $4.02 billion by 2033.

Spotlight on NightOwl: Revolutionizing Sleep Apnea Diagnosis

ResMed’s NightOwl is a game-changer in the world of sleep apnea testing. Launched across the United States in April 2025, this FDA-cleared home sleep apnea test (HSAT) offers a simplified, accurate, and efficient way to diagnose OSA from the comfort of home. Acquired from Ectosense in 2021, NightOwl has been scaled up to meet growing demand, reflecting ResMed’s commitment to accessible diagnostics.

How NightOwl Works

The NightOwl is a compact, disposable fingertip sensor, roughly the size of a quarter, that records sleep data for up to 10 nights. It uses peripheral arterial tonometry (PAT), a non-invasive method that measures changes in blood flow, oxygen saturation (SpO2), and pulse rate to detect respiratory events. Here’s a breakdown of its operation:

Setup: A healthcare provider configures the test via the NightOwl Portal, a web-based interface. The patient receives the device and an activation code for the NightOwl Companion app (available on iOS and Android).
Testing: The patient attaches the sensor to their fingertip using an adhesive patch and follows app instructions to start recording. No wires or complex calibration are needed, and setup takes minutes.
Data Collection: The sensor captures data on PAT, SpO2, pulse rate, and actigraphy (body movement) to calculate the patient’s pAHI (portable apnea-hypopnea index). Respiratory events are detected when there’s a combination of arterial tone changes, oxygen desaturation, and pulse rate increases.
Analysis: Data is securely transmitted to a cloud-based platform, where an AI-driven, auto-scoring algorithm—clinically validated against PSG—generates a report. Physicians review the results via the NightOwl Portal or ResMed’s Somnoware sleep lab management software.

Key Benefits of NightOwl

NightOwl stands out for its simplicity, accuracy, and patient-centric design. Its key advantages include:

Minimalist Design: At just 1 ounce, NightOwl is the smallest HSAT available, ensuring comfort and minimal sleep disruption. It requires only a single fingertip sensor, unlike bulkier devices with chest straps or nasal cannulas.
Multi-Night Testing: By capturing data over multiple nights (up to 10), NightOwl accounts for night-to-night variability, reducing the risk of misdiagnosis and providing a comprehensive view of sleep patterns.
Clinical Accuracy: A multicenter validation study showed that NightOwl’s PAT-based results closely align with expert-scored PSG, with a correlation of 0.77 to lab-based AHI scores. This accuracy has been further validated by FDA-reviewed studies.
Disposable and Hygienic: As a single-patient-use device, NightOwl eliminates the need for disinfection, reducing infection risks (e.g., COVID-19) and simplifying device management for providers.
Seamless Integration: NightOwl integrates with ResMed’s myAir app for patient guidance and Somnoware for streamlined diagnostic workflows, making it easy for providers to manage tests and generate reports.
Cost-Effective: Priced at around $139.99, NightOwl is more affordable than traditional sleep studies, which can cost thousands. It’s an accessible option for patients and providers alike.

Who Should Use NightOwl?

NightOwl is ideal for adults with symptoms of moderate to severe OSA, such as loud snoring, gasping, or daytime fatigue, who don’t have complex medical conditions. It’s particularly suited for:

Patients seeking convenience: Those who prefer testing at home over a sleep lab visit.
Healthcare providers: Looking to streamline diagnostics and improve patient access.
Travelers or remote patients: Who need a portable, easy-to-use solution.
Cost-conscious individuals: Seeking an affordable alternative to PSG.

However, NightOwl is designed to detect OSA and may not be suitable for diagnosing CSA or other sleep disorders, which may require in-lab testing. Patients should consult their healthcare provider to determine if NightOwl is appropriate.

Why ResMed’s NightOwl is a Game-Changer

The launch of NightOwl reflects a broader trend in sleep medicine toward accessible, patient-centered solutions. With 80% of OSA cases undiagnosed, tools like NightOwl are critical to closing the diagnostic gap. Its ease of use, combined with ResMed’s robust ecosystem of CPAP devices and masks, empowers patients to take control of their sleep health.

Transforming Lives Through Better Sleep

ResMed’s mission is to help people achieve their full potential through better sleep and breathing. NightOwl supports this vision by making diagnosis more convenient and less intimidating. As Carlos M. Nunez, M.D., ResMed’s Chief Medical Officer, stated, “With NightOwl, people can easily complete a sleep apnea test from the comfort of home using just a fingertip sensor and a smartphone. It also simplifies the process for providers.”

For patients, this means faster diagnoses, earlier interventions, and a reduced risk of complications. For providers, it streamlines workflows and enhances patient care. The integration with the myAir app also encourages patient engagement, allowing users to track their progress and stay motivated throughout their treatment journey.

The Future of Sleep Health

As sleep apnea awareness grows, so does the demand for innovative solutions. ResMed is at the forefront of this movement, with products like NightOwl and AirSense 11 setting new standards in diagnostics and therapy. The company’s focus on digital health, AI-driven algorithms, and cloud-based platforms positions it to meet the evolving needs of patients and providers.

Moreover, advancements in wearable technology, such as FDA-approved sleep apnea detection features in devices like Samsung Galaxy and Apple Watches, complement ResMed’s offerings, further increasing access to screening tools. However, NightOwl’s multi-night testing and clinical accuracy make it a standout choice for definitive diagnosis.

Conclusion

Sleep apnea is a serious condition that demands attention, but with the right tools, it’s manageable. ResMed’s NightOwl is revolutionizing how we diagnose OSA, offering a simple, accurate, and affordable solution that brings testing into the home. Combined with ResMed’s industry-leading CPAP machines and masks, NightOwl is part of a holistic approach to sleep health that prioritizes patient comfort and outcomes.

If you suspect you have sleep apnea, talk to your healthcare provider about whether NightOwl is right for you. With ResMed’s innovative technology, better sleep—and a healthier life—are within reach. Visit ResMed.com for more information on NightOwl and other life-changing sleep solutions.

Disclaimer: Always consult a healthcare professional before starting any diagnostic or treatment process for sleep apnea.

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Frequently Asked Questions

Order

Do you have a Retail Location?

Yes, you can absolutely walk in and buy CPAP supplies from us! USA Medical Supply, located at 1779 Riverdale Street, West Springfield, MA 01089, offers one of the largest DME & CPAP retail locations around. Our licensed respiratory therapists are available on-site to assist you, and our walk-in hours are:

Monday - Friday: 9 AM - 6 PM
Saturday: 9 AM - 2 PM
Sunday: Closed

Feel free to stop by anytime during these hours for your CPAP and medical supply needs!

Why Buy From US CPAP?

Why Choose Us Over the Competition?

We stand out from the competition for several key reasons:

Trusted Authorized Dealer:
Manufacturer-Backed Warranty:
Unbeatable Pricing:
Expert Support:

We are committed to providing high-quality CPAP equipment and exceptional service. Choose us for a seamless experience from purchase to post-sale care.

Are you an Authorized ResMed Dealer?

Yes, we are an authorized ResMed dealer and have been for over 10 years. We purchase all our products directly from ResMed, guaranteeing that every item you receive is authentic and of the highest quality. Additionally, all ResMed products we sell come with lot numbers and/or serial numbers, providing full traceability and authenticity.

Rest assured, every product is backed by the manufacturer’s warranty, giving you peace of mind with every purchase.

Do you use Licensed Respiratory Therapists?

Our team is available Monday through Friday from 9 a.m. to 6 p.m., and Saturdays from 9 a.m. to 2 p.m. We also offer walk-in consultations for a fee, perfect for those seeking consultation services only. Our Licensed Respiratory Therapists—Monica, Richard, and Natalia—each bring over 12 years of experience setting up CPAP patients. Their extensive backgrounds include working in hospital settings such as the ICU and emergency room, making us a standout choice for your PAP needs.

Can I buy a CPAP machine without a prescription?

In the United States, under federal law, CPAP machines are classified as Class II medical devices by the FDA. As such, they require a prescription from a licensed healthcare provider for purchase. This classification is in place because CPAP therapy is considered a medical treatment that needs to be customized for each patient's condition and safety.

A prescription ensures that your treatment is appropriate and monitored by a healthcare professional. Most suppliers, including USA Medical Supply, will not ship a CPAP machine without first receiving a valid prescription. You can submit your prescription through the following methods:

Text: (413) 200-4191
Email: info@usamedicalsupply.com
Fax: (413) 732-2238

This requirement ensures compliance with federal regulations and guarantees you receive the correct equipment and pressure settings.

Do you accept insurance?

No, and we are not contracted with any provider. We do provide a Universal Claim Form that you can download [here] if you wish to try and get reimbursed yourself.

Insurance billing using a Universal Claim Form (UCF) involves submitting a standardized document to your insurance provider to request reimbursement for medical expenses. However, it is not guaranteed that you will be reimbursed, and we are not implying that you will be. It is important to check with your insurance provider to understand your coverage and eligibility for reimbursement, especially for durable medical equipment (DME) like CPAP machines and supplies.

Here’s how the process typically works:

1. Obtain a Universal Claim Form

The UCF is usually provided by your insurance company or available on their website. The form includes sections to detail the medical services or products you've received, such as CPAP supplies, and what you're seeking reimbursement for.

2. Complete the Form

Personal Information: Enter your personal details, including your name, insurance policy number, and contact information.
Provider Information: Include details of the healthcare provider or supplier (such as USA Medical Supply), like their name, address, and tax identification number (TIN).
Service Details: Provide specific information about the medical service or product. For CPAP equipment, this might include the model number, date of purchase, and a description of the equipment (e.g., CPAP machine, mask, tubing).
Cost and Charges: Indicate the total cost, including what you've already paid out-of-pocket.

3. Attach Supporting Documentation

Receipts: Attach copies of receipts for the medical service or product you've purchased.
Prescription: If required, include a copy of the prescription from your healthcare provider for the CPAP equipment.
Explanation of Benefits (EOB): If your insurance company has already processed part of the claim, include any EOB documents that detail what they have paid and what remains your responsibility.

4. Submit the Claim Form

Send the completed form and all supporting documentation to the address provided by your insurance company. Some insurers may allow you to submit the form electronically, while others may require it to be mailed.

5. Review and Processing

Once submitted, your insurance company will review the claim and determine the amount of reimbursement based on your policy’s coverage for durable medical equipment (DME), such as CPAP machines and supplies. The insurer may contact you or the supplier if more information is needed.

6. Receive Reimbursement

After approval, the insurance company will send you a reimbursement check or direct deposit for the amount they cover, minus any deductibles or co-payments.

Things to Note:

Coverage Varies: Insurance policies differ in their coverage for DME, so check with your provider to understand your benefits.
Out-of-Network Providers: If your supplier is out-of-network, you might receive partial or no reimbursement.
Time Limit: Ensure you submit the claim within the time frame allowed by your insurance provider, as delays can result in denial.

Please remember, reimbursement is not guaranteed. You need to verify all details with your insurance provider.

Additionally, we do accept HSA/FSA payments, which you may be able to use to cover the cost of CPAP equipment and supplies.

Replacement Schedule for CPAP Supplies?

To maintain effective therapy, it’s essential to replace certain CPAP components regularly:

Mask Cushions: Every 1-3 months
Tubing: Every 6-12 months
Filters: Every 1-3 months
Headgear: Every 6 months These recommendations ensure your equipment stays in optimal condition and your therapy remains effective.

How to Clean and Maintain CPAP Equipment?

Cleaning your CPAP equipment regularly is crucial for effective therapy and hygiene:

CPAP Mask and Tubing: Wash weekly with warm water and mild detergent. Let it air dry completely before use.
Humidifier Chamber: Clean once a week with mild soap and warm water, and replace it every 6 months.
CPAP Machine Exterior: Wipe down weekly with a dry, non-abrasive cloth. Avoid using ozone-based cleaning devices as they may damage your machine and void warranties.

Differences Between CPAP, APAP, and BiLevel?

CPAP (Continuous Positive Airway Pressure) delivers a fixed pressure throughout the night.
APAP (Auto-Adjusting Positive Airway Pressure) automatically adjusts pressure based on your breathing patterns.
BiPAP (Bi-Level Positive Airway Pressure) provides two different pressure levels — one for inhalation and a lower one for exhalation. BiPAP is typically recommended for users with specific needs or those who find CPAP uncomfortable.

How to Choose a CPAP Mask?

Choosing the right mask is key for comfort and therapy compliance:

Full Face Mask: Best for mouth breathers or those with nasal congestion.
Nasal Mask: Ideal for those who breathe through their nose and move around during sleep.
Nasal Pillow Mask: Great for users who prefer minimal contact with their face. If unsure, our customer support can guide you through finding the best option based on your preferences.

Traveling with a CPAP Machine?

CPAP machines are FAA-approved and can be carried as a medical device during air travel. We do Sell Travel Models.Our Travel Models are compact enough to use during flights. Consider investing in a portable battery for convenience if you frequently travel.

How Do Heated and Non-Heated Tubing Differ?

Heated Tubing: Helps prevent condensation buildup by maintaining consistent temperature from the humidifier to your airway. Also they have an anti-microbial effect by preventing condensation from building in the tubing.
Non-Heated Tubing: More affordable, lighter, and suitable if you don’t experience condensation issues. It’s compatible with most CPAP machines and masks.

What are the Signs of Sleep Apnea?

Common signs of sleep apnea include:

Loud snoring
Gasping or choking during sleep
Daytime fatigue
Morning headaches If you experience these symptoms, consult a healthcare provider for a sleep study to diagnose sleep apnea.

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How Do I Prevent Bloating or Excess Gas When Using CPAP?

If you experience bloating, elevate your head while sleeping to help reduce the swallowing of air. Persistent issues should be discussed with your doctor, who may recommend adjusting the pressure settings or trying a BiLevel machine.

What is Your Return Policy?

Return Policy

At USA Medical Supply, your satisfaction is our priority. Please read our return policy carefully to ensure a smooth return process.

Eligibility for Returns:

Products must be returned within 30 days of the purchase date.
Items must be unused, in the same condition you received them, and in the original packaging.
Certain products, including opened medical devices or personal care items, are non-returnable for health and safety reasons.

Return Process:

To initiate a return, please contact our customer service at (413) 733-7843 or email us at info@usamedicalsupply.com.
Once your return request is approved, we will provide a return shipping label if applicable.
Please package the item securely and include your proof of purchase.

Refunds:

Refunds will be processed within 7-10 business days after receiving and inspecting the returned item.
If approved, the refund will be applied to your original method of payment.
Shipping costs are non-refundable unless the return is due to our error (e.g., wrong or defective item).

Exchanges:

We only replace items if they are defective or damaged. If you need an exchange, please contact us at (413) 733-7843.