31-NOX company T3 and Noxturnal general overview use
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Transcript 31-NOX company T3 and Noxturnal general overview use
Overview
The Nox Team – a leader in Sleep Diagnostics
NOX T3 – Starting a new era in home sleep testing
Easy, quick and comfortable
Wireless extendibility and accessibility
Advanced technology for better diagnostics
Respiratory Inductance Plethysmography (RIP) technology at it’s best
True audio recording and reliable snoring detection
Designed as the next generation of Sleep Diagnostics
The ease of using Noxturnal
The next generation
It‘s been more than a decade that ...
Market leading sleep diagnostics was driven by “Icelanders”
Sleep diagnostic hardware developed in Iceland got to a
standard in Polygraphy (Embletta®) and Polysomnography
(A10, N/S Series)
Single use RIP technology was introduced to Sleep
Diagnostics – designed at Flaga, Iceland
A still well known software platform (Somnologica™ Studio
and Somnologica™ Science) was engineered by a team of
software developers in Iceland
Here we are ... (again): Nox Medical
Company setup
Main Office Reykjavik, Iceland
Sales via worldwide distribution network
Very effective structure for R&D,
Support, Sales and Marketing
International clinical advisors
Nox ???
“Nox in Roman mythology is the
goddess of the night.
A shadowy figure, Nox stood at or
near the beginning of creation, and
was the mother of personified gods
such as Hypnos (sleep) and Thánatos
(death).
Her appearances in mythology are
sparse, but reveal her as a figure of
exceptional power and beauty.”
Sleep Diagnostics
How much do we really need (and want)?
(Astronaut John Glenn,
Thesis_RCS_Methods.pdf, Internet: http://theses.ulb.ac.be/ETD-db/collection/available/ULBetd-06112008-210149/unrestricted/Thesis_RCS_Methods.pdf)
PG – Speed, Ergonomics and Reliable Data
Ergonomics
How small can a recorder be?
How many belts and straps around the patient are needed?
How can we maximize patient comfort?
Reliable Data
AHI – is there a reliable backup signal for the flow available?
Snore – how reliable is the snore analysis?
What additional information is available (e.g. flow limitation)?
Cost efficiency – from a user’s point of view
How much time do I need to hook up a patient?
How can I ensure best the success of the study?
How quickly can I get my data analyzed and reported?
Our Answer: NOX T3
NOX T3 - The smallest and most lightweight polygraph recorder
Ease of use
Quick setup
Diagnostic statistics instantly available after download
Latest technology to minimize cabling and patient impact
Built-in data streaming capabilities via Bluetooth
NOX T3 Overview
“Standard” PG Requirements
Nasal cannula flow (and mask pressure)
Abdomen and Thorax respiratory effort
derived flow from RIP technology
Activity and Body position
SpO2, Pulse (and Plethysmography)
The Plus of NOX T3
1 GB Internal memory providing multiple night recordings
Interface with up to 7 auxiliary devices via Bluetooth (e.g. EtCO2)
2 x bipolar channels (ExG or others)
Audio from a built-in microphone
and
Easy, quick and comfortable
The most simple hook up
The minimum of straps and wires
The maximum of freedom for the patient
An ideal solution for pediatrics
?
!!!
Moving into a Wireless World
NOX T3 receives signals wirelessly:
General: up to seven auxiliary Bluetooth devices
Nonin Bluetooth oximeter: eliminating the longest sensor wire in PG
Nonin end tidal CO2 (EtCO2): wireless data transfer minimizing cabling
Future: more and more new device generations will offer data
streaming via Bluetooth to be connected to T3
Emerging feature - NOX T3 transmitting signals wirelessly:
Online recordings via Bluetooth or Bluetooth / LAN / WLAN
Remote access via Bluetooth or Bluetooth / LAN / WLAN
Advanced Technology - RIP
Years of experience
Single use RIP technology in Sleep Diagnostic for more than a decade
2007: AASM clear recommendation for RIP (superior to Piezo)
Nox 2008: New and patented type of disposable RIP belts
No cutting or crimping: 4 different sizes
Super stretchable elastics
comfortable for patient and clinician
24k Gold plated Snap-ons
highest signal quality and proper connection
Quick setup
50% time saving in preparing/training the patient
Advanced Technology – True Audio
The first Sleep Diagnostic Device with built-in microphone
Full audio recording – 8 kHz sampling
No additional sensors and sensor fixation required
Record the sound signal with or without possible audio playback
Listen to your patient
Playback the true audio recording
Analyze the sound
Add information to snoring data from a neck piezoelectric vibration
sensor and / or cannula
Compare snoring data from different sources
Analyze peak and average frequencies of the snoring sound
differentiate snoring in a new manner
Snoring
What is snoring?
“Symptom that is observed in the ear of another
individual.”
NOISE best assessed by audio
Why does it occur?
Partial obstruction of
the upper airway with
increased respiratory
effort causing tissue
vibration.
The assessment of snoring
No "gold standard" available for subjective or objective
measurement of snoring
A wish …
The assessment of snoring
The reality …
NOX T3 and Bruxism
The Nox T3 can be used to reliably assess bruxism
Measure 1-2 channel of EMG activity (chin and/or masseter muscle)
Exclude other orofacial activity such as sighing and coughing by listening
to audio
Listening for two teeth grinding episodes in audio to confirm diagnosis
Confirms with all the channels described in the AASM2007 manual to
assess bruxism, even if is not a full polysomnography recording.
NOX T3 – Additional insights
Nasal Cannula
Filter patient safety and proper long-term device functionality
Safety connection to the device prevents strangulation risk
Soft material ensures highest signal quality ( flow limitation)
High-Speed standard USB connection
Study download within less than a minute (including analysis)
No proprietary cables required for recorder preparation / download
Long term convenience
No rechargeable battery lifetime limitations
Easy battery door exchange
The Ease of Use: Noxturnal Overview
Immediate recording results (automatic analysis)
The Ease of Use: Noxturnal Signal View
The Ease of Use: Noxturnal Reports
Standard reports fully
implemented
Export capabilities to Word,
Excel, pdf (one click open to
MS-Word)
Report customization based
on existing report templates
Easy workflow to design
completely new reports
The Ease of Use: Nox Recording Library
More to come …
Does the traditional sleep diagnostics change ?
… Ambulatory sleep testing to increase
… Small systems for the ease of use
… Polysomnography to become as convenient as possible
Will it be a wireless future ?
Remote access to device information
Sleep recordings transfer via the “Cloud”
Understanding sleep diagnostics as a network
A new generation of Sleep Diagnostics
Thank you for your attention !
Backup ...
BT – Example NOX EtCO2 Interface
Fits with the Nonin RespSense™ Capnography
Monitor
Adds full end tidal CO2 (EtCO2) signal interface to
the T3 system
Does not occupy any other channels of the T3
recorder
No cables between recorder and EtCO2 monitor,
only nasal cannula connected to the patient
WristOx2TM, Model 3150
Oximeter optimized for NOX T3 developed
in co-operation with Nox Medical
Designed to support the NOX T3
system.
Smaller and lighter, supports
pediatric usage.
Simple - Elegant - Reliable