Tomed GmbH

1st Line Medical Inc. is a US-based sleep medicine and obstructive sleep apnea (OSA) solutions provider headquartered in Holderness, NH. The company manufactures and distributes FDA-cleared home sleep testing systems and oral appliance therapy devices designed to simplify and accelerate OSA diagnosis and treatment. Primary product lines include the SleepImage NightOwl home sleep testing system (wearable ring-based diagnostic) and SomnoGuard custom oral appliances (AP2 and SPX models), which represent alternatives to CPAP therapy for OSA and snoring management. The company also distributes Airlift hyoid suspension information for surgical candidates. 1st Line Medical serves airway specialist physicians, sleep medicine practitioners, and patients across the United States through a direct-to-provider and patient-facing model. The organization emphasizes rapid diagnostic pathways and treatment initiation, positioning products as time- and cost-effective solutions compared to traditional multi-month OSA diagnostic and therapeutic workflows. Products are FDA cleared for home use and carry regulatory approval for both diagnostic and therapeutic applications. The company provides physician training through the SomnoGuard Academy, practice support tools, prescription programs, and dedicated customer service (9 AM–5 PM EST, Monday–Friday). Distribution includes direct reordering of devices and supplies through their web portal.