This is a complete review of the Nox T3 distributed by Carefusion. This level 3 home sleep diagnostic system is a best in class device which also qualifies as a medical grade sleep bruxism monitor.
3. Overview
• Built by Nox Medical
• Started a new era in home sleep testing
• Embraced by thousands of users world wide
• Delivers improved clinical efficiency
• Comfortable for all patient groups Pediatric thru
Adult
4. Nox Medical‘s
Vision & Mission
Advancing sleep diagnostics
through simplification,
increased efficiency, and
comfort for all patients
Our mission is Sleep for All
6. Before the Nox T3
*Photo Credit: http://lesterjacobson.com/2014/07/13/writer-
sleeps-tight-at-clinic/
The sleep world was a
messy place
• Patients could not sleep
in their own homes
• Wires kept patients
tethered to the bed
• home sleep testing was
considered inaccurate
• Clinicians had to learn
complex technical
systems
• Patients were
uncomfortable
7. After the Nox T3
*Cairns, A., Wickwire, E., Schaefer, E., & Nyanjom, D. (2014).
A pilot validation study for the NOX T3™ portable monitor for
the detection of OSA. Sleep and Breathing, 18(3), 609-614.
Unsurpassed Ergonomics
• Patients could sleep in
their own homes
• Wireless capabilities for
more comfort
• Proven level of clinical
accuracy*
• Easy to use for clinicians
and patients alike
• Created an industry
standard for Home Sleep
Testing
9. The Nox T3 Recorder –
Specifications
18 Channels
• Thorax Breathing
Effort (RIP)
• Abdomen
Breathing Effort
(RIP)
• Respiratory Sound
(Mic)
• Audio Volume
(Mic)
• Gravity (3D axis,
x, y, z)
• Oxygen saturation
levels (wireless
oximeter)
• Pulse (wireless
oximeter)
• Plethysmograph
(wirelss oximeter,
necessary for PTT)
• ExG 1 (general
purpose bipolar
input channel)
• ExG 2 (general
purpose bipolar
input channel)
• Nasal or mask
pressure
(pressure
transducer)
• Calibrated RIP
Sum (the sum of
the RIP belts)
• Calibrated RIP
Phase (the phase
difference
between the
abdomen and
thorax belts)
• Calibrated RIP
flow (derived from
the sum of the
RIP belts and is a
good substitute
for nasal flow)
• Activity
(accelerometer)
• Position
(accelerometer)
• Flow (nasal
pressure)
• Snore (nasal
pressure)
10. The Noxturnal Software – Key
Features
• Immediate
recording results
with automatic
analysis
• Full featured raw
data analysis and
scoring
• Advanced automatic
analysis algorithms
• Powerful reporting
capabilities
• Intuitive recording
management
capabilities
11. The Nox T3
System –
Ergonomics
Matter!
• Reduces likelihood
of failed studies
• Increases patient acceptance
• Reduces work for clinicians
• Easy for patients
12. The Nox T3 System - Ergonomics
• Very small size – 65g
and smaller than a
deck of cards
• Wireless capabilities for
system extensions
• Onboard microphone
• Simple snap-on sensors
• Intuitive user interface
with great flexibility
• Comfortable for the
patient to wear
• Increases patient
comfort and system
flexibility
• No need for extra audio
sensors
• Makes patient hook-up
easy
• Get work done faster
while having access to
all information
13. The Nox T3 System –
Advanced Technology
Matters!
• Reduces likelihood of failed
recordings
• Ensures clinical effectiveness
• Offers flexibility
• Lowers cost of ownership
14. The Nox T3 System – Advanced
Technology
• Bluetooth® technology
• Integrated high quality
audio microphone
• Calibrated RIP technology
• Integrated actigraph and
position sensor
• Only 1 AA battery
required
• High-speed USB
connections
• Easily replaceable parts
• Reduces mess from wires
• Technology to measure
snoring
• Reliable additional flow
signal which reduces
failed recordings
• Allows an accurate
measurement of rest time
• Low cost of operation
• Download in a matter of
seconds
• No maintenance required
16. • Identify the right
patients
• Determine the severity
of their disorders
• Crucial for determining
proper, patient-specific
treatment paths
• Increases compliance
• Important to be able to
address a wide range of
patients
Clinical Quality
Is Key!
17. The Nox T3 System – Clinical
Quality
• Integrated high quality
audio microphone
• Calibrated RIP technology
• Integrated actigraph and
position sensor
• Full plethysmography
from SpO2
• Flow Volume Loops and
Konno Mead Loops
• Auxiliary Inputs
• Technology to measure
snoring
• Reliable additional flow
signal which reduces
failed recordings
• Allows an accurate
measurement of rest time
• Allows for PTT
measurements
• Intuitive way to
accurately determine
reduction in flow
• Measure any ExG signal
to address more patient
groups (bruxism etc.)
18. The Nox T3 System – 3
Differentiators
Ergonomics
Advanced Technology
Clinical Quality
It is important to understand why the Nox Medical team built the Nox T3 Sleep Monitor.
The reason lies in the foundation of the company and why it was founded in the beginning. It was founded to address a gap in the market of sleep diagnostic solutions for pediatric patients. This important patient group was the driver behind many of the developers‘ design decisions for the Nox T3.
Even though the Nox T3 is primarily used for the adult patient population today – the design elements used make it very comfortable for a various patient groups, which othewise would be left unaddressed.
This is all governed by the company‘s Mission: Sleep for All. This mission drives our employees to advance sleep diagnostics through simplification, increased efficiency and comfort in all patient groups.
The world of sleep diagnostics has adopted the Nox T3 from inception. Since its launch in 2009, we have seen more than 12.000 units sold, world wide.
The general feedback from our users has been extremely positive. Our users have been graceful enough to share with one another their positive experiences with the product.
This positive feedback is important fuel for Nox Medical‘s employees.
The polysomnography study still remains the gold standard for sleep studies. This slide cites the obvious and well documented limitations of in lab sleep studies.
Before the Nox T3 was introduced in 2009, home sleep testing was just beginning. The devices available at that time were designed to address clinical needs while addressing shortcomings of PSG.
Nox t3 was the first system to become widely accepted as something that addressed the main limitations of PSG recordings while maintaining a high clinical value, especially for patients suffering from sleep disordered breathing.
Let‘s look at the system in more detail. Starting with the Nox T3 recorder itself.
The Noxturnal software allows users to download directly from the Nox T3 recorder. The recording takes only a few seconds to download and the analysis algorithms in the Noxturnal software automatically analyze the recording during download. This will gives the clinician an overview of the recording results. Using the reporting capabilities of the Noxturnal system, clinicians can ensure they see the results of every recording according to their own preference. Using the recording manager, clinicians are always guaranteed to find their patients‘ data.
Ergonomics are a key differentiator for the Nox T3. The simple interfaces of the recorder and software minimize the likelihood of user errors. Increases patient acceptance and allows them to sleep better. This all results in fewer failed studies which not only has an immediate payback for the clinic but results in happier patients.
Some of the key ergonomic features of the Nox T3 are listed here along with their main benefits.