System Design · Healthcare Case Study

Nyx: A personalized care ecosystem with a Digital Twin for OSA

Enabling personalized, proactive care through digital twin technology for Obstructive Sleep Apnea patients.

Project Overview

Nyx is a speculative but research-backed product-service ecosystem designed to reimagine self-regulation for people with Obstructive Sleep Apnea.

It uses an AI-powered digital twin, a smart CPAP machine, and a companion health-tracking app to shift care from reactive to proactive — helping users stay ahead of their condition.

My Role

UX & System Design, Research, Interaction & Visual Design

Timeline

2026 · 8 weeks

Tools

Figma, Prototyping, Systems Mapping

Domain

Healthcare · Sleep Health · AI

The Impact

85%

Rule clarity rate

Users correctly interpreted parking rules without assistance.

<2min

Time to first value

Users found a valid parking spot quickly after opening the app.

4.4/5

Confidence score

Users felt confident choosing a parking spot.

38%

Admin overhead

Fewer manual checks and disputes.

The Condition

What is Obstructive Sleep Apnea?

OSA is a breathing disorder in which the airway repeatedly collapses during sleep. As the soft palate and surrounding tissue block airflow, breathing stops and starts through the night—fragmenting sleep and starving the body of oxygen.

Before
After

Today's Standard of Care

Managing OSA with a CPAP machine

Most patients rely on a CPAP machine that pushes pressurized air into the throat to keep the airway open. It offers two core controls — a fixed air pressure and humidity control — but the same prescription is delivered every night, to every patient.

A Day in the Life

Where does the strain actually happen?

Mapping a full day and night surfaced the friction hiding in plain sight — across waking, working, eating and trying to sleep. Hover each phase to see how Anne feels and where it breaks down.

“I used to sleep sitting straight up for more than five years, thinking it was just because of my weight.”

The Problem

Doing everything right — and still sleeping poorly

A generic, reactive system can't adapt to User. Poor sleep feeds poor health, which feeds more poor sleep — a self-reinforcing loop that CPAP alone never breaks. The system reacts to problems after they happen, instead of anticipating them.

The Solution

Nyx — a personalized care ecosystem with a Digital Twin

Nyx pairs Anne with a continuously-learning Digital Twin and an on-device Nyx Agent. Together they shift her care from reactive to proactive — anticipating difficult nights before they happen and personalizing her CPAP in real time.

System Architecture

How the pieces fit together

A wearable streams live signals to the Digital Twin, which forecasts risk and coordinates with the Nyx Agent, the cloud service, and Anne's phone — closing the loop between sensing, prediction, and action.

A Day with Nyx

Guiding Anne through an exhausting day

From the first sign of strain to a restful morning, Nyx works quietly in the background — sensing, predicting, and acting on Anne's behalf.

01 · Daytime

An exhausting day takes its toll on Anne.

02 · Sensing

Her wearable streams live SpO₂ and exertion data to the Digital Twin.

03 · Prediction

The Digital Twin forecasts a high-risk night from her full day and historical patterns.

04 · Wind-down

The Nyx Agent nudges Anne toward sleep readiness and helps her wind down for the night.

05 · During Sleep

As she sleeps, the CPAP is proactively monitored and auto-adjusted by the Digital Twin.

06 · Next Morning

Anne wakes feeling restful — and reviews the night in conversation with her Nyx Agent.

The Outcome

From reactive to proactive — a calmer, more personal kind of care.

By pairing a living Digital Twin with an attentive agent, Nyx breaks the poor-sleep / poor-health loop — turning a generic, one-size-fits-all device into care that adapts to Anne, night after night.

System design case study · Created by Vidushi Bissa · 2026