For other information about the Philips NightBalance device please review this page or download the NightBalance brochure. For additional inquires please email support.nightbalance@philips.com
NightBalance is a compact, easy-to-use, mask-free treatment for positional OSA. The palm-sized device is worn comfortably across your chest in a soft, adjustable strap. NightBalance delivers gentle vibrations that prompt you to shift to your side without disturbing your sleep. It automatically adjusts the intensity of vibrations to provide the therapy you need.
More than 70% of people using NightBalance reported a long-term improvement in the three most reported positional OSA symptoms, including:2
"Since I’ve been using NightBalance, I wake up more refreshed in the morning."
"NightBalance has been helpful to me, so I would recommend others to try it."
*People featured in videos are paid endorsers.
Positional OSA is different than OSA. With positional OSA, most symptoms, like interrupted breathing, occur when you sleep on your back. If your sleep study reveals you have positional OSA, talk to your doctor about NightBalance.
Getting started
Getting to sleep
Cleaning and care
Getting the most out of your device
For the first 2 nights, the device monitors your sleeping behavior with no therapy.
During nights 3-9, vibrations are gradually introduced over time to allow you to acclimate to the new POSA therapy.
On day 10 and forward, full treatment is delivered when therapy is needed – reducing the time spent sleeping on your back.5
Patient can fall asleep in any position. After 15 minutes, the device activates and begins monitoring.
NightBalance detects when the patient is on their back. It prompts the patient to move off their back without disturbing their sleep.
Vibrations will stop when patient is on their side.
NightBalance is supported by an our medical advisory board, comprised of distinguished world renowned scientists and clinicians.
Berry, R. et al, NightBalance Sleep Position Trainer Device Versus Auto-Adjusting Positive Airway Pressure for treatment of Positional Obstructive Sleep Apnea Journal of Clinical Sleep Medicine, Vol. 5, No.7, 947-956
Van Maanen et al, The sleep position trainer: a new treatment for positional obstructive sleep apnoea Sleep and Breathing (2013) 17:771–779
Van Maanen & de Vries, Long-Term Effectiveness and Compliance of Positional Therapy with the Sleep Position Trainer
SLEEP 2014; Vol. 37, No. 7
Eijsvogel etal, Sleep Position Trainer versus Tennis Ball Technique
Journal of Clinical Sleep Medicine 2015; Vol. 11, No. 2
Dieljtens, A promising concept of combination therapy for positional obstructive sleep apnea
Sleep Breath 2015; 19:637–644
Benoist, Positional therapy in patients with residual positional obstructive sleep apnea after upper airway surgery
Sleep Breath 2016
Benoist, A randomized, controlled trial of positional therapy versus oral appliance therapy
Sleep Medicine 2017; 34:109e117
De Ruiter, Durability of treatment effects of the SPT versus oral appliance therapy in positional OSA: 12-month follow-up
Sleep Breath 2017
Laub, A Sleep Position Trainer for positional sleep apnea: a randomized, controlled trial
Journal of Sleep Research 2017
NightBalance is intended as a therapy for mild to moderate Positional Obstructive Sleep Apnea (POSA) in adults with a non-supine AHI<10. NightBalance is intended to be used by patients during sleep in their home environment without the need for instructions from a physician.
Yes, the NightBalance is prescription use only.
Yes, if you need to get out of bed during the night, you can pause the device. Pause mode can be activated if you get up during the night, or if you turn the Device pocket of the Chest Strap vertical for a second. In pause mode, the Sensor Device will not give vibrations for 5 minutes.
The NightBalance Sensor Device is 6.9 x 4.5 x 1.4 cm (2.7 x 1.8 x 0.6 inches) and weighs just 30 grams (1.1 oz.).
NightBalance B.V. provides a two-year warranty on the Sensor Device and Docking Station. NightBalance or the reseller will repair or replace the device(s) due to faulty materials or operation during the warranty period. Proof of damage must be provided along with the original purchase receipt must be provided to begin any repairs or replacement. This warranty will take precedence over any other local warranties that may apply, as permitted under applicable law. This warranty will not cover:
a. The sensor device and docking station do not contain any parts that can be serviced b. After the in-use life of NightBalance components has expired, replace the component with a new one.
Charging the Sensor Device: Place the sensor device on the docking station and ensure the docking station has power. It is recommended that you charge the Sensor Device every morning after use. Getting in the habit of charging the Sensor Device every day will ensure that the Sensor Device has enough battery level for next use.
Cleaning your Chest Strap, Sensor Device, and Docking Station: The Chest Strap can be washed in a washing machine on a regular basis (e.g. once every week or when visibly soiled) with a mild detergent not containing chlorine (bleach) or fabric softener. After washing, let the strap dry by air. DO NOT place the Sensor Device in a wet Chest Strap. DO NOT dry the strap in a dryer. DO NOT iron the Chest Strap.
It is the user’s responsibility to keep NightBalance equipment dust free. Before cleaning, turn the Sensor Device OFF and unplug the Power Adapter from the Docking Station and the wall outlet. Clean the Sensor Device and Docking Station with a dampened cloth with water or mild cleaning solution (e.g. standard detergent)if they are visibly dirty. DO NOT use bleach or other aggressive cleaning solutions. Ensure that moisture does not penetrate the openings.
The adaptation program of NightBalance is designed to slowly train you to respond to the Sensor Device’s vibrations during sleep. You need to use NightBalance for nine nights before the device will provide full position therapy. 1) Analysis phase No vibrations are given during the first two nights of the therapy. NightBalance gathers baseline data on your sleep patterns during night 1 and 2. This data is used to tailor the therapy to your individual sleeping behavior later on. 2) Build-up phase NightBalance starts to deliver vibrations during night 3 to 9. The vibrations will build up gradually when laying on your back, allowing you to get used to therapy. It is recommended to use NightBalance every night, or as agreed with your physician for best therapy results.
Data transferred to the mobile app and portal is (automatically) removed from the Sensor Device memory.
1. Download the Philips NightBalance App on your smartphone from the Play Store (for Android) or App Store (for iPhone). 2. Open the Philips NightBalance App. Select and confirm your region (Europe). 3. Next, choose “Create new account” and follow the instructions in the app. Complete the registration process by activating your account with the link in your email.
1. Login to the Philips NightBalance app after activating your account. Follow the instructions in the app to complete your account. 2. Once indicated by the app, activate the pairing mode by switching the Sensor Device ON while pressing one of the navigation buttons. Pairing ensures a secure connection between your Sensor Device and your smartphone and is to be performed once. ⚠⚠ Only activate the pairing mode of the Sensor Device on first use.
For NightBalance Lunoa: For NightBalance SPT: For any other questions you might have for either device, please contact customer service at 1-800-345-6443.
If you are using a NightBalance Lunoa device, you can access the portal at https://us.mylunoa.com/p/login.
If you are using a NightBalance SPT device, you can access the portal at https://portal.nightbalance.com.
1. Berry, R. et al, NightBalance sleep position treatment device versus auto-adjusting positive airway pressure for treatment of positional obstructive sleep apnea, J Clin Sleep Medicine,2019 ,Vol. 5, No.7, 947-956 2. NightBalance OSA Symptoms survey: Reimbursement Dossier Netherlands. 3. Heinzer, R. et al, Prevalence and Characteristics of Positional Sleep Apnea in the HypnoLaus Population-based cohort, Sleep Medicine 2018; 48:157-162. 4. Cartwright criteria, Effect of Sleep Position on Sleep Apnea Severity, R. Cartwright, 1984. 5. de Ruiter, M. et al, Durability of treatment effects of the sleep position trainer versus oral appliance therapy in positional OSA: a 12-month follow-up of a randomized controlled trial, Sleep and Breathing 201822:441-450.
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