No. A spare phone works well, but it is not required — and not knowing this is, we think, why some people install the app and never start a night. Here is the honest answer: what the phone does all night, which old phones work, and what happens to your calls and texts if the phone on the stand is your only one.
MaskAlarm is a camera. It sits on a stand at the head of the bed, pointed at the pillow, and about once a minute it takes a small picture and checks one thing: is the mask still on? If it is not, the phone sounds an alarm, usually within one to two minutes, and keeps sounding until the mask is back on — for as long as you set it to.
That means the phone has to stay on the stand, plugged in, for the whole night. It is not an app you glance at. It is a thing you set down at bedtime and pick up in the morning. If you installed MaskAlarm expecting something you could keep in your hand, that is the surprise, and it is why some people never start a session.
Most households have one. The phone you replaced, the one with the cracked corner, the one a family member upgraded from. If it turns on and the camera works, it is very likely enough.
Charge it, put it on a stand, connect it to Wi-Fi, install the app, and it becomes a device with one purpose. Turn off its other notifications and nothing else on it needs to bother you at 3am.
That works too. The phone on the stand is still your phone.
The trade-off is simple. Your only phone means one fewer thing to buy or charge, and the occasional restart after a call. A spare phone means no calls to interrupt it, and your own phone stays in your hand.
MaskAlarm is a consumer aid, not a medical device. It does not diagnose or treat anything, it does not replace a clinician, and it will not catch every event. It needs a reasonably clear view of the bed, and detached-hose detection in particular is best-effort and works better against light-coloured bedding.
MaskAlarm (CPAP Mask-Off Alarm) is a consumer convenience aid and is not a medical device. It does not diagnose, treat, cure, or prevent any disease, and it is not a substitute for medical care or caregiver supervision. Always follow the guidance of the treating clinician.