ResMed and Respironics have always loomed large as the big boys of the Sleep Apnea industry. Bad news for us, the patients, because that kind of duopoly can’t be good for competition and innovation, the two forces we see as critical to moving these devices forward in terms of ease of use and comfort for patients. So we were delighted to see that Fisher & Paykel, a longtime participant in the Sleep Apnea device market, but, in our view, something of an ugly stepchild to Respironics and ResMed, has quietly and without much fanfare brought to market a device that might very well embody the most innovative steps forward yet. The Fisher & Paykel Sleepstyle 200 Auto Series HC254 was cleared by the FDA to go to market in September 2008. The machine has many nice bells and whistles, with two standing out as particularly innovative: SensAwake Technology