Positional Sleep Apnea Therapy

The Night Shift is a patented, clinically-proven therapy for patients with positional obstructive sleep apnea (POSA) that can be worn around the neck or chest.

After allowing the user time to fall asleep in any position, it begins to gently vibrate when the user attempts to back-sleep. The vibration then gradually increases in intensity until the user changes position.

Night Shift is an intelligent, interactive monitor that also allows patients and clinicians to track sleep quality and therapeutic effectiveness via the Night Shift application on iOS & Android devices or a web-based portal.

Night Shift can also be combined with a wrist oximeter to screen for POSA and/or assess the benefits of combination therapy.  

Supine sleep impacts over 70% of patients diagnosed with mild, moderate or severe OSA

55% of PAP-intolerant patients would benefit from supine avoidance alone or in combination with oral appliance therapy

Pick Your Placement


Comprehensive reports provide an in-depth look at your patient’s sleep quality and behavioral adaptation:
  • Monitor how efficiently the user slept and the degree of sleep fragmentation
  • Assess the association between loud snoring and sleep quality
  • Determine if snoring and poor sleep quality is limited to back-sleeping
  • Track behavioral adaptation to position therapy
  • Compare the effectiveness of other OSA or snoring therapies with and without position therapy

Stay Connected

Use the Portal or the Mobile App to:
  • Enter warranty information
  • Download or view reports
  • Adjust device settings
Connect to your computer to use the portal
Use the App on your iOS or Android Device to:
15min Feedback Delay
Patients can fall asleep in any position
Long-Lasting Charge
A single charge last for up to 3 nights
Weighs just 1.6 ounces with Neck Strap

Sample Report

U.S. and International Patents and Patents Pending

Clinical Evidence

Criteria for oral appliance and/or supine avoidance therapy selection based on outcome optimization and cost-effectiveness.
Levendowski DJ, Olmstead R, Sall E, et al.  J Med Econ, 2021; 24(1) 757-763.
Assessment of a neck-based treatment and monitoring device for positional obstructive sleep apnea. Levendowski DJ, Seagraves S, Popovic, D, et al. J Clin SleepMed, 2014; 10(8):863-871.
User compliance and behavioral adaptation associated with supine avoidance therapy. Levendowski DJ, Cunnington D, Swieca J, et al. Behav Sleep Med, 2016; 9:1-11.
Sleep and sleep position: potential implications for patients with neurodegenerative disease. Levendowski DJ, Gamaldo C, St. Louis E, et al. J Alzheimers Dis 2019;67(2):631-638.
Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea. Levendowski DJ, SeagravesS, Veljkovic, B, et al. J Clin Monit Comput, 2015; 29:53-64.
A systematic comparison of factors that could impact treatment recommendations for patients with Positional Obstructive Sleep Apnea (POSA). Levendowski DJ,Oksenberg A, Vicini C et al. Sleep Med 2018; 50:145-151.
Short-term effects of vibrotactile neck-based treatment device for positional obstructive sleep apnea: preliminary data on tolerability and efficacy. Scarlata S, BertoliI R, Santangelo S, et al. J Thoracic Dis, 2016; 8(7):1820-4.
A comparison between auto-scored apnea-hypopnea index and oxygen desaturation index in the characterization of positional obstructive sleep apnea. Levendowski DJ, Hamilton GS, St. Louis EK, et al. Nat Sci Sleep 2019; 11;69-78.
Dramatic improvement in OSA severity when oral appliance and positional therapies are combined – a case study. Barr DP. Dental Sleep Practice Spring 2016.

Prescribe Electronically

Make it easy on yourself and your patients.
Prescribe using the eRx system and your patients can quickly purchase online, making time-to-treatment fast and painless. Signing up is free and fast.

Sign Up

Carry Night Shift

Dispense Night Shift directly to your patients.
Inquire now to learn more about the benefits of our reseller program. Ideal for dentists, sleep clinics and DMEs.

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5.6cm x 3.8cm x 1.3cm
45.4g (1.6oz)
Rechargeable Battery
200mAh lithium polymer
Warranty - Workmanship
2 years
Warranty - Battery & Vibration Motors
1 year
Warranty - Neck Strap
6 months
30-day money-back guarantee to prevent supine sleep


Night Shift Manuals and Support

Learn more about our Personalized OSA Treatment Protocol

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