Zio AT ECG Monitoring System vs Sleepiz One+

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 65/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
by iRhythm Technologies, Inc.
VS
by Sleepiz

AI Verdict

Both tools offer FDA-cleared, AI-powered remote patient monitoring with a focus on cardiac health and vital signs. However, Zio AT is a wearable ECG patch specifically designed for continuous, long-term arrhythmia detection, while Sleepiz One+ is a contactless bedside device that monitors heart rate, respiration rate, and screens for sleep apnea. Therefore, Zio AT is better suited for detailed cardiac event diagnosis, whereas Sleepiz One+ excels in passive, continuous vital sign monitoring, particularly for sleep-related conditions and general senior care.

Choose Zio AT ECG Monitoring System if…

Choose the Zio AT ECG Monitoring System if you need continuous, long-term (up to 14 days) and comprehensive ECG monitoring for arrhythmia detection in patients who can wear a discreet, water-resistant patch during their daily activities. This system is ideal for diagnosing intermittent or asymptomatic cardiac events that might be missed by shorter-term monitoring methods, offering AI-powered analysis and detailed clinician reports.

View Zio AT ECG Monitoring System →

Choose Sleepiz One+ if…

Choose Sleepiz One+ if you require contactless remote patient monitoring for vital signs like respiration and heart rate, particularly for chronic conditions or sleep disorders such as sleep apnea. This device is well-suited for patients in senior care or those who prefer a non-invasive monitoring solution placed at the bedside, providing continuous data for early detection of changes in physiological status.

View Sleepiz One+ →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Zio AT ECG Monitoring System Sleepiz One+
Pricing Contact for pricing Contact for pricing
Deployment Cloud-based (data analytics and clinician portal) Wall-mounted or bedside table placement, Wi-Fi connectivity
FDA Status 1 AI-estimated 1 AI-estimated

Head-to-Head

AI-generated assessment across six dimensions based on each tool's documented features and compliance posture. Grounded in public data — not a substitute for hands-on evaluation.

Usability

Sleepiz One+

Sleepiz One+ offers contactless monitoring, which is a significant advantage for patient comfort and compliance, especially for long-term monitoring or for patients who may have skin sensitivities or prefer not to wear devices. The device is simply placed on a bedside table or mounted on a wall, requiring minimal patient interaction for setup and daily use. In contrast, the Zio AT requires a patch to be applied to the chest, although it is designed for comfort and can be worn during daily activities including showering.

Clinical Value

Zio AT ECG Monitoring System

The Zio AT ECG Monitoring System is specifically designed for comprehensive, long-term arrhythmia detection with continuous ECG recording for up to 14 days, offering a higher diagnostic yield compared to shorter monitoring periods. Its FDA-cleared deep-learned AI algorithm and review by certified cardiographic technicians provide highly accurate and actionable reports for clinicians. Sleepiz One+ provides valuable respiration and heart rate monitoring and sleep apnea screening, but its clinical focus is narrower.

Pricing & Value

Tie

Both tools require contacting the company for specific pricing, indicating a lack of public transparency. However, both mention reimbursement options through CPT codes, suggesting pathways for patients and providers to manage costs. Zio AT's cost can range from $1,000 to $2,500, depending on various factors, and iRhythm offers financial assistance programs. Sleepiz One+ highlights its ability to allow for 16 out of 30 days of measurements for CPT billing purposes, which could be a value proposition for remote patient monitoring. Without detailed pricing structures and typical out-of-pocket costs for various insurance plans, it's difficult to definitively declare a winner in terms of overall pricing and value.

Enterprise Readiness

Zio AT ECG Monitoring System

Zio AT has a more established ecosystem for enterprise use, including a dedicated clinician portal (ZioSuite) and mobile app for patient management and report interpretation, as well as EHR integration capabilities. It also has extensive clinical evidence and studies supporting its use in various healthcare settings. While Sleepiz One+ offers a web application for data access and analysis and is being integrated into clinical trial platforms, its enterprise features and widespread adoption in large healthcare systems appear less extensive at this time.

Innovation

Tie

Both tools demonstrate significant innovation in their respective fields. Zio AT leverages FDA-cleared deep-learned AI for highly accurate arrhythmia detection in a wearable patch, offering continuous, long-term ECG monitoring. Sleepiz One+ stands out with its contactless radar technology for remote patient monitoring, providing a novel and less intrusive way to collect vital signs and screen for sleep apnea. The choice of winner depends on which innovative approach is prioritized (wearable AI for cardiac vs. contactless vital signs).

Support & Docs

Zio AT ECG Monitoring System

iRhythm provides comprehensive support and documentation for the Zio AT system, including clinical reference manuals, instructions for use, and patient education resources. They also offer a MyZio patient app for symptom logging and education, and a ZioSuite clinician portal. Sleepiz offers quick start guides and an instruction manual for Sleepiz One+, along with FAQs and contact information for support. However, the breadth and depth of publicly available support materials appear more extensive for Zio AT.

Feature-by-Feature

Detail beyond the Quick Comparison summary. For pricing, deployment, BAA, FDA, and HIPAA see the Overview tab.

Feature Zio AT ECG Monitoring System Sleepiz One+
Monitoring Type Wearable mobile cardiac telemetry (MCT) for ECG monitoring Contactless remote patient monitoring (radar technology) for biometric data and vital signs
Key Measurements Continuous ECG recording, detection of symptomatic and asymptomatic cardiac events Respiration rate, heart rate, sleep apnea screening, bed presence, body movements
Monitoring Duration Up to 14 days of continuous, uninterrupted ECG recording Continuous monitoring (not specified for a maximum duration, but allows for 16 out of 30 days of measurements for CPT billing purposes)
AI-Powered Analysis FDA-cleared deep-learned AI algorithm (ZEUS System) for arrhythmia detection AI-powered data analysis
Patient Interaction Patient applies and activates patch, can press a button to log symptoms, MyZiou00ae patient mobile app for symptom logging and education No patches, no wearables, no disruption to routine. Once set up, no further interactions between the device and the patient.
Clinician Interface ZioSuiteu00ae clinician portal and mobile app for patient management and report interpretation Web application for data access and analysis
Specialties Cardiology Geriatrics, Pulmonology, Sleep Medicine

Videos

Demos, reviews, and walkthroughs featuring Zio AT ECG Monitoring System and Sleepiz One+.

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Frequently Asked Questions

The Zio AT ECG Monitoring System offers EHR integration, including a seamless and secure transmission of orders and results through Epic's Aura network, and integration with other EHR systems like Cerner, Athenahealth, Meditech, and eClinicalWorks via HL7/Aura. This integration aims to streamline cardiac monitoring workflows by allowing physicians to order and register Zio monitors and interpret reports directly within their EHR. Sleepiz One+ provides a web application for healthcare professionals to access and analyze overnight vital sign data and presence logs for retrospective review and patient management. The device is designed for easy setup, typically wall-mounted and operational within 5 minutes, without requiring IT team involvement.
The Zio AT ECG Monitoring System utilizes an FDA-cleared deep-learned AI algorithm for arrhythmia detection, with end-of-wear reports reviewed and validated by certified cardiographic technicians, achieving 99% physician agreement. It has demonstrated a higher diagnostic yield for specified arrhythmias and a lower likelihood of retesting compared to other monitoring services. Sleepiz One+ has shown 99% accuracy in breathing rate and 96% accuracy in heart rate measurements when compared to gold-standard methods. For sleep apnea screening, studies indicate a correlation between Sleepiz-AHI and PSG-AHI of 0.94 with an SpO2 sensor and 0.87 without, with sensitivity and specificity for moderate to severe OSA reaching 88% and 98% respectively with an SpO2 sensor.
The Zio AT system is designed for ease of use, with the patch applied by the patient and recording ECG without further interaction. iRhythm offers a ZioSuite clinician portal and mobile app for patient management and report interpretation, along with a MyZio patient app for symptom logging and education. iRhythm also provides professional education, including expert-guided tutorials and content on arrhythmia detection. Sleepiz One+ is designed for easy installation and use, with a setup time of less than 3 minutes, and data transmission is automatically ensured through a cellular module. The Sleepiz web application provides data access for healthcare professionals.
The Zio AT system's continuous, long-term monitoring for up to 14 days increases the probability of detecting transient arrhythmias, leading to a higher diagnostic yield and potentially faster time to diagnosis compared to shorter-term monitoring. This can reduce the need for repeat testing and may lead to earlier interventions. Studies have shown that Zio use can reduce outpatient appointments for monitor fitting and follow-up, and decrease the need for implantable loop recorders. Sleepiz One+ offers contactless, continuous monitoring of respiration and heart rate, which can assist with early detection of deterioration in patients with chronic conditions, allowing for timely interventions.
Sleepiz One+ includes audit trail features as part of its data security measures. For the Zio AT system, while specific audit trail features are not detailed, the ZioSuite clinician portal allows for patient management and report interpretation, and reports are delivered electronically to the EHR, which typically includes auditing capabilities.
For the Zio AT system, EHR integration with platforms like Epic via Aura simplifies implementation across health systems by streamlining ordering and results workflows, potentially reducing data errors and improving satisfaction. iRhythm works with IT teams to design workflows and provide go-live support, suggesting a structured approach for multi-site rollouts. Sleepiz One+ is designed for easy setup and deployment, with devices being wall-mounted and operational within 5 minutes using standard Wi-Fi connectivity, which can facilitate multi-site rollouts without extensive IT involvement. Its contactless nature and ease of use may also contribute to high patient compliance in various settings.

Backers

Who funded each tool's parent company.

Sleepiz One+

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