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NightWare

by NightWare β€’ nightware.com
VISIT OFFICIAL WEBSITE β†’

OVERVIEW

FDA-cleared prescription digital therapeutic system using an Apple Watch and AI to reduce sleep disturbance from nightmares related to Nightmare Disorder or PTSD.

NightWare is the first and only FDA-cleared, prescription-only digital therapeutic system indicated for the temporary reduction of sleep disturbance related to nightmares in adults 22 years or older who suffer from Nightmare Disorder or have nightmares from Post-Traumatic Stress Disorder (PTSD). It is classified as a Class II medical device.

The system utilizes a proprietary, patented artificial intelligence (AI) algorithm running on a dedicated, closed-system kit that includes a preprogrammed Apple Watch and iPhone. The Apple Watch monitors the user’s body movement (accelerometer, gyroscope) and heart rate in real-time. The AI analyzes this biometric data to create a unique sleep profile and calculate a "stress index." When the system detects the onset of a nightmare, it delivers a gentle, vibrotactile intervention (vibration) through the Apple Watch to interrupt the nightmare without fully waking the user.

NightWare is intended for home use and should be used in conjunction with prescribed medications and other recommended therapies for PTSD, as it is not a standalone treatment. Clinical trial data has demonstrated that NightWare can help patients with Nightmare Disorder improve their sleep quality, with improvements seen in as little as two weeks. The company primarily targets healthcare providers and payers, including the VA and DoD, to provide access to patients, especially veterans and active-duty service members.

RATING & STATS

User Rating
4.0/5.0
Customers
100+
Founded
2015

KEY FEATURES

  • βœ“FDA-cleared Class II Medical Device
  • βœ“AI-powered personalized therapy (Machine Learning)
  • βœ“Vibrotactile feedback to interrupt nightmares without waking the user
  • βœ“Real-time heart rate and movement monitoring
  • βœ“Dedicated closed-system Apple Watch and iPhone kit
  • βœ“Non-pharmacological treatment option
  • βœ“Improves sleep quality in as little as two weeks

PRICING

Model: subscription
Starting at: USD 7000.00
Prescription-only, all-inclusive kit (preprogrammed Apple Watch and iPhone) is required. The estimated out-of-pocket cost is approximately $7,000, though the company is actively seeking insurance coverage and has coverage with Highmark Health BCBS, VA, and DoD.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: ios, apple-watch
πŸ“± Mobile Apps

USE CASES

Reduction of sleep disturbance related to Nightmare DisorderReduction of sleep disturbance related to nightmares from Post-Traumatic Stress Disorder (PTSD)

INTEGRATIONS

Apple WatchiPhoneGoogle Cloud Platform

COMPLIANCE & SECURITY

Compliance:
FDA Class II Medical DeviceFDA Breakthrough Device Designation
Security Features:
  • πŸ”’Secure data storage (Google Cloud Datastore)
  • πŸ”’Security logging and anomaly detection (Google Cloud Platform)
  • πŸ”’App Engine Authentication/Authorization
  • πŸ”’Secure iOS configuration

SUPPORT & IMPLEMENTATION

Support: email, phone
Target Company Size: enterprise
TRAINING AVAILABLE

PROS & CONS

βœ“ Pros:
  • +First and only FDA-cleared digital therapeutic for nightmares
  • +Non-pharmacological, low-risk treatment option with no known drug interactions
  • +Clinically proven to improve sleep quality (PSQI improvement)
  • +Personalized therapy that learns and optimizes over time
βœ— Cons:
  • -Requires a prescription from a clinician
  • -High out-of-pocket cost (~$7,000) with limited initial insurance coverage
  • -Closed system requires dedicated, locked Apple Watch/iPhone kit
  • -Contraindicated for patients who act out nightmares (e.g., sleepwalking)
  • -Reported issues with customer support and documentation clarity

ABOUT NIGHTWARE