Tips to get the most out of NEPS 2017

The New England Polysomnographic Society (NEPS) meeting has one of the most loyal memberships in the country. This group has been working to educate and empower sleep technicians and technologists since 2003. I believe that it is a great practice to take 2 days a year to network and engage with other members within the sleep community. I am booked to attend NEPS 2017 this year at the Foxwoods Resort CT September 7 and 8. Click Here to Register

I have attended this meeting many times and have always found the meeting to be informative and professional. The speakers are particularly interesting because they always focus on topics that are practical in the day to day diagnosis and treatment of sleep disorders in the clinical setting. It is this focus on tips and techniques that can be implemented immediately after the meeting that makes NEPS 2017 different from other programs.

In the past, I have always been struck by the evidence based nature of the presentations and the commitment of the educational board to stay noncommercial while at the same time providing a forum for discourse on new technologies.

This year there are a couple great looking presentations on home sleep testing, Dr. David Weed will be presenting “The Pros and Cons of Home Sleep Testing” and Dr. Elizabeth Lynch will be presenting  “HSAT: different types, setup and reimbursement (home sleep tests). Home sleep testing has clearly taken hold in the clinical sleep community. I am looking forward to the discussion of how to integrate HSAT in a working sleep diagnostic facility. The balance of using the right tool on the right patient and appropriately managing escalation of acuity is something we all deal with every day.

Pediatric sleep is receiving a great deal of attention these days as studies on the behavioral and academic impact of sleep disorders for children receive more attention in the media. It is great to see that Dr. Carolyn D’Ambrosio will be focusing discussion around the topic “Pediatric Sleep Disordered Breathing-It’s More than OSA”.

Dr. Craig Canapari will be presenting “The Sleepy Teen”. I expect tremendous interest in this presentation in part due to the recent legislative changes in some jurisdictions that are adapting school start times to accommodate the natural sleep patterns of teenagers.

I expect the combination of pediatric sleep and home sleep testing will generate significant buzz at the meeting.

In the exhibit area, where I will be spending most of my time (as usual), you will see a few very interesting products presented by local Vyaire sleep team members including Wendy Krout, Senior Clinical Sales Specialist and Kevin LeKites, Pulmonary & Sleep Diagnostics Sales Rep and myself.

If you stop by the table and ask about any of the four subjects below you will receive 1 or more of the following free gifts.

  1. A hearty handshake and a welcome greeting
  2. Free literature on the product of your choice
  3. A personalized one on one demonstration of the product of your choice


Somnostar is in lab sleep testing technology that provides technical features and ease of use for any sleep lab

Every day, clinicians and researchers use SomnoStar technology as the basis for their sleep laboratory. You can rely on SomnoStar’s many tools to faster diagnose and better treat your patients. For instance, SomnoStar’ s cRIP (QDC-PRO) technology to capture and document Upper Airway Resistance (UARS), or to better ensure optimal CPAP titrations. You can feel confident in your data because our cRIP technology is the only RIP on the market that has a calibrated signal. Your patients will also be more comfortable during the test. Our sleep staged Heart Rate Variability analysis allows you to watch for invariant heart rate control that is often associated with disease processes such as heart failure and diabetes.

  • Software development that strictly adheres to the AASM guidelines.
  • Lab Manager is an integrated sleep/wake tracking and querying database that you can use to help document your clinical and financial outcomes to insurance companies.
  • Others may have RIP technology, but with uncalibrated signals. Only SomnoStar RIP technology is a calibrated signal, making our Flow Volume Loops and Konno-Meade Loops useful tools to make decisions.
  • Our SentryConnect system not only interfaces with you EMR system, but it can also save money for facilities that have other CareFusion/Vyaire PFT instruments in other departments.

 Questions for the Team

  1. What is the difference between cRIP and standard RIP belt technology?
  2. Has your system adopted any of the new pediatric scoring rules that the AASM has recommended in their new Scoring Rules Update?
  3. Are there any cardiac features built into the SomnoStar system that will help me market our sleep labs to the cardiologists in our area?



sleep apnea, OSA, MAD, Oral appliance therapy

Many clinicians have been reluctant to prescribe a costly custom fabricated oral appliance due to concerns about effectiveness of oral appliance therapy, in treating snoring, sleep apnea and partial airway obstruction. The true barrier to oral appliances has been the difficulty to predict a successful outcome.

Today we have ApneaRx®, The Predictor Device® which for a low cost can accurately predict a patient’s success with an oral appliance. ApneaRx is a prefabricated oral appliance that can be boiled, cooled and custom fit in less than 5 minutes. Once fit, the device can be micro adjusted in 1mm increments, which meets prescribed AASM criteria. I find this product particularly interesting because the ApneaRx is designed as a temporary device for predicting success with a custom oral appliance however it is robust and durable enough to be worn every night. The importance of this last feature is that oral appliance therapy is critically affected by the condition of the patient’s muscles and ligaments which can relax and adapt over time. It is suggested that the patient wear the appliance for 2 weeks before a titration study is undertaken in order for this adapted condition to occur. ApneaRx is light comfortable and predictive of success with a more expensive custom fabricated oral appliance.

Other sleep appliances include the Silent Nite, EMA, Oasys,and the DreamTAP.

Questions for the team

  1. 1. How do I know if my patient is indicated for Oral Appliance therapy?
  2. 2. If my patient has severe OSA is this a contra indication for treatment with ApneaRx?
  3. Do I need to work with a Dentist to provide the ApneaRx?


The Use of ApneaRx in a Diagnostic Setting

Nox T3

Nox T3, Pediatric sleep testing, With the introduction of the NOX-T3 portable sleep monitor, Vyaire has broken years of silence in the portable sleep diagnostics market. In the past you could only view the snoring signal. Today—with the audio playback feature—you can also listen to it! The NOX-T3 portable sleep monitor was designed from a clean slate. Woven into our revolutionary design are decades of clinical and engineering excellence. Through its simple, small and light design, this wireless sleep monitor will provide a uniquely positive experience for both the patient and clinician.

Questions for the Team

  1. How does Nox T3 distinguish between obstructive sleep apnea and central sleep apnea
  2. Homes sleep testing often fails due to leads falling off. How does Nox T3 assure quality sleep studies in the home
  3. Home many channels does a Nox T3 have and how does it compare to in lab sleep studies?


Nox T3 Portable Sleep Monitor – Product Review

Vyaire Medical

A global medical device company with more than a half-century record of excellence and innovation, Vyaire Medical is also a unified “breathing company,” supporting life with a laser-focus on improving outcomes and increasing value for customers.

A recognized leader in the Respiratory Diagnostics, Sleep diagnostics, Ventilation, and Anesthesia Delivery & Patient Monitoring market segments; Vyaire Medical is also the largest pure-play company of its kind.

Vyaire partners with healthcare providers and hospitals to create value in our relationships and ensure doing business with us is easy and rewarding. Aligned with healthcare providers, we work tirelessly to improve the lives of those treated with our devices, and improving outcomes through our products and services is at the core of all we do.

We offer innovative technology; improved access and application of clinical data; and differentiated service and support through a customer friendly platform. Our products and service, backed by our talented and motivated team is why Vyaire is our customers’ first choice in the markets in which we compete.

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Randy Clare

Randy Clare

Randy Clare brings to The Sleep and Respiratory Scholar more than 25 years of extensive knowledge and experience in the sleep and pulmonary function field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. He is considered by many an expert in the use of oral appliances like Silent Nite, EMA and TAP to treat snoring and sleep apnea in the dental office. Mr. Clare's extensive sleep industry experience assists Sleepandrespiratoryscholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders. Mr Clare is director of business development for Glidewell a dental solutions company his focus is on dental treatment for sleep disordered breathing.

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