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| esada_instructions:nox_devices_and_noxturnal_instructions [2023/03/07 15:14] – katrinhera | esada_instructions:nox_devices_and_noxturnal_instructions [2023/11/27 12:12] (current) – benedikt |
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| {{:esada_instructions:nox_logo.png?400|}} {{ :esada_instructions:sr_logo_oneline_2_.png?400|}} | {{:esada_instructions:funding_logos.jpg?400|}} |
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| ====== Training: Use of Nox Medical Devices and Noxturnal Software ====== | ====== Training: Use of Nox Medical Devices and Noxturnal Software ====== |
| | **g. 1x Nasal Cannula ** \\ The cannula is used to measure air flow pressure through the nose. \\ It fits into the pressure connector on the Nox A1s. | {{:esada_instructions:cannula.png?100 |Nasal cannula}} | | | **g. 1x Nasal Cannula ** \\ The cannula is used to measure air flow pressure through the nose. \\ It fits into the pressure connector on the Nox A1s. | {{:esada_instructions:cannula.png?100 |Nasal cannula}} | |
| | **o. 3x single use wristband ** | {{:esada_instructions:wristband.png?100 |Single use wristband}} | | | **o. 3x single use wristband ** | {{:esada_instructions:wristband.png?100 |Single use wristband}} | |
| | **p. Batteries 2x single use AA (Energizer ultimate lithium) and 2x rechargeable AAA (eneloop pro) ** | {{:esada_instructions:batteries.png?100 |Batteries}} | | | **p. Batteries 1x single use AA (Energizer ultimate lithium) and 2x rechargeable AAA (eneloop pro) ** | {{:esada_instructions:batteries.png?100 |Batteries}} | |
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| ==== 3.4. Preparing the cardboard backing sheet ==== | ==== 3.4. Preparing the cardboard backing sheet ==== |
| * 1x Neck band fixed to the Nox A1s recorder with the 2 clamps on the recorder | * 1x Neck band fixed to the Nox A1s recorder with the 2 clamps on the recorder |
| </WRAP> | | </WRAP> | |
| | {{:esada_instructions:bag4.png?200 |Step 4}} | Roll up the chest RIP belt. \\ Place the rolled-up chest RIP belt in the pocket labelled with the Red triangle. | | | {{:esada_instructions:bag4.png?200 |Step 4}} | Place a pulse oximeter in the bag. \\ The oximeter should be correctly configured to run with the Nox A1s recorder.\\ The oximeter should be clean and contain 2x fully charged eneloop pro AAA batteries.| |
| | {{:esada_instructions:bag5.png?200 |Step 5}} | Make a small hole on the bag with the nasal cannula. \\ Pull the connector piece of the nasal cannula through the hole of the bag and connect it to the Nox A1s recorder. | | | {{:esada_instructions:bag5.png?200 |Step 5}} | Place the 1x red body cable and 1x blue body cable in the bag. \\ The body cables should be clean. | |
| | {{:esada_instructions:bag6.png?200 |Step 6}} | Place the cannula bag in the pocket labelled with the Blue square. | | | {{:esada_instructions:bag6.png?200 |Step 6}} | Place the laminated instructions: picture and the QR code information paper regarding the setup in the bag. | |
| | {{:esada_instructions:bag7.png?200 |Step 7}} | Fix the neck band to the 2 clamps on top of the Nox A1s recorder. \\ Now the preparation of the SAS setup on the cardboard backing sheet is finished. | | | {{:esada_instructions:bag7.png?200 |Step 7}} | Place three Nox SAS Electrode bag, marked individually night1, night2 and night3 containing all the electrodes and adhesive strips.| |
| | {{:esada_instructions:tape.png?200 |Step 8}} | Place one bandaid roll in. This is for use to secure electrodes and \\ nasal cannula on the face and for those that have sensitive skin overall.\\ This should be used instead of the tape in the Nox SAS electrode Bag. | | | {{:esada_instructions:tape.jpg|Step 8}} | Place one bandaid roll in. This is for use to secure electrodes and \\ nasal cannula on the face and for those that have sensitive skin overall.\\ This should be used instead of the tape in the Nox SAS electrode Bag. | |
| | {{:esada_instructions:wristband.png?200 |Step 9}} | Place 3 x wristbands in. | | | {{:esada_instructions:wristband.png?200 |Step 9}} | Place 3 x wristbands in. | |
| | {{:esada_instructions:alcohol.png?200 |Step 10}} | Place 2x Alcohol pads to clean skin, only to be used for the first night. | | | {{:esada_instructions:alcohol.png?200 |Step 10}} | Place 2x Alcohol pads to clean skin, only to be used for the first night. | |
| * The top option Data Location will allow user/clinician to browse and choose the preferred data location (See Figure 8) | * The top option Data Location will allow user/clinician to browse and choose the preferred data location (See Figure 8) |
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| <figure> {{:esada_instructions:fig7.png?400 |Figure 7}} <caption> Storage location of downloaded recordings can be changed by clicking in Tools, then Settings... and last General. </caption></figure> | <figure> {{:esada_instructions:fig7.png?600 |Figure 7}} <caption> Storage location of downloaded recordings can be changed by clicking in Tools, then Settings... and last General. </caption></figure> |
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| <figure> {{:esada_instructions:fig8.png?400 |Figure 8}} <caption> By clicking the three dots (...) you can browse and find your preferred location for storing your data. </caption></figure> | <figure> {{:esada_instructions:fig8.png?600 |Figure 8}} <caption> By clicking the three dots (...) you can browse and find your preferred location for storing your data. </caption></figure> |
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| ==== 4.2. Downloading a recording ==== | ==== 4.2. Downloading a recording ==== |
| Downloaded recordings are automatically added to the recording library and can be reviewed and edited any time by going to the recording library and clicking on them. (See Figure 10) | Downloaded recordings are automatically added to the recording library and can be reviewed and edited any time by going to the recording library and clicking on them. (See Figure 10) |
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| <figure> {{:esada_instructions:fig10.png?400 |Figure 10}} <caption> Recording Result page in Noxturnal showing the workspace that appears for Nox SAS configured recordings. The panel to the right, indicated by the red arrow, shows the main results from the Nox SAS automatic analysis. </caption></figure> | <figure> {{:esada_instructions:fig10.png?600 |Figure 10}} <caption> Recording Result page in Noxturnal showing the workspace that appears for Nox SAS configured recordings. The panel to the right, indicated by the red arrow, shows the main results from the Nox SAS automatic analysis. </caption></figure> |
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| ==== 4.3. Opening and Viewing studies in Noxturnal ==== | ==== 4.3. Opening and Viewing studies in Noxturnal ==== |
| When the recording is opened in Noxturnal the Recording Result page shows an overview of the study. If a study has been configured with the Nox SAS Recording Type, this workspace will appear as shown in Figure 11. | When the recording is opened in Noxturnal the Recording Result page shows an overview of the study. If a study has been configured with the Nox SAS Recording Type, this workspace will appear as shown in Figure 11. |
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| <figure> {{:esada_instructions:fig11.png?400 |Figure 11}} <caption> Recording Result page in Noxturnal showing the workspace that appears for Nox SAS configured recordings. The panel to the right, indicated by the red arrow, shows the main results from the Nox SAS automatic analysis. </caption></figure> | <figure> {{:esada_instructions:fig11.png?600 |Figure 11}} <caption> Recording Result page in Noxturnal showing the workspace that appears for Nox SAS configured recordings. The panel to the right, indicated by the red arrow, shows the main results from the Nox SAS automatic analysis. </caption></figure> |
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| If an analysis has been run (the Nox SAS automatic analysis is included in the SAS Recording Type), the main results are shown to the right on the recording results page (See Figure 11). | If an analysis has been run (the Nox SAS automatic analysis is included in the SAS Recording Type), the main results are shown to the right on the recording results page (See Figure 11). |
| You should already have imported the SleepRevolution workspace (SR scoring layout). To select the correct layout you click on the icon as seen in Figure 12 and select **SR ESADA scoring layout**. | You should already have imported the SleepRevolution workspace (SR scoring layout). To select the correct layout you click on the icon as seen in Figure 12 and select **SR ESADA scoring layout**. |
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| <figure> {{:esada_instructions:fig12.png?400 |Figure 12}} <caption> The SR ESADA scoring layout is selected in the top left of the sheet tab. The blue arrow shows where to select the layout. </caption></figure> | <figure> {{:esada_instructions:fig12.png?600 |Figure 12}} <caption> The SR ESADA scoring layout is selected in the top left of the sheet tab. The blue arrow shows where to select the layout. </caption></figure> |
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| To view and score the recording, click on the SR SAS EEG scoring sheet, SR Respiratory, SR PLM sheet and SR Arousal signal sheets as appropriate: Please make sure that you have at least two nights with minimum of 4 hours of good quality (See Figure 13). Refer to the scoring manual for further instructions on scoring in Noxturnal. | To view and score the recording, click on the SR SAS EEG scoring sheet, SR Respiratory, SR PLM sheet and SR Arousal signal sheets as appropriate: Please make sure that you have at least two nights with minimum of 4 hours of good quality (See Figure 13). Refer to the scoring manual for further instructions on scoring in Noxturnal. |
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| <figure> {{:esada_instructions:fig13.png?400 |Figure 13}} <caption> To view and score an uploaded recording you can click on and thereby change between the view panels as indicated by the red arrows in the figure (here Nox SAS, Respiratory and Pulse Oximeter panels). </caption></figure> | <figure> {{:esada_instructions:fig13.png?600 |Figure 13}} <caption> To view and score an uploaded recording you can click on and thereby change between the view panels as indicated by the red arrows in the figure (here Nox SAS, Respiratory and Pulse Oximeter panels). </caption></figure> |
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| ===== 5. Receiving Nox A1s SAS equipment after home sleep testing ===== | ===== 5. Receiving Nox A1s SAS equipment after home sleep testing ===== |
| | {{ :esada_instructions:legcables.png?400 |Body cables}} | {{ :esada_instructions:abcable.png?400 |Abdominal cable}} | {{ :esada_instructions:rec1.png?400 |Recorder}} | | | {{ :esada_instructions:legcables.png?400 |Body cables}} | {{ :esada_instructions:abcable.png?400 |Abdominal cable}} | {{ :esada_instructions:rec1.png?400 |Recorder}} | |
| | Disconnect the body cables from the Nox A1s recorder. | Disconnect the ATC cable from the Nox A1s recorder. | Do not disconnect the head cable. | | | Disconnect the body cables from the Nox A1s recorder. | Disconnect the ATC cable from the Nox A1s recorder. | Do not disconnect the head cable. | |
| | {{ :esada_instructions:rec2.png?400 |Recorder}} | {{ :esada_instructions:rec3.png?200 |Recorder}} || | |
| | Open the battery lid with the key pen. Remove the battery. | Connect the device to the computer with a USB-C cable. || | |
| | Open the battery lid with the key pen, remove the battery, and connect the device to the computer with a USB-C cable. |
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| | | {{ :esada_instructions:rec2.png?200 |Recorder}} | {{ :esada_instructions:rec3.png?200 |Recorder}} | |
| | | Open the battery lid with the key pen. Remove the battery. | Connect the device to the computer with a USB-C cable. | |
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| | ==== 5.2. Using sanitizing wipes to clean the Nox A1s recorder, cables, oximeters and the carry bag ==== |
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| | All cables provided by Nox Medical for the SAS setup are reusable. Clean the Nox A1s, the oximeter with probe, the cables and the carry case with a soft cloth dampened with hospital grade cleaner. |
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| | - Do not immerse the cables in liquid and avoid contact of the cleaning solution with the connectors. |
| | - Do not pour or spray any liquids onto the devices, and do not allow any liquids to enter any openings on the devices. |
| | - Allow the unit to dry thoroughly before use. |
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| | Recommended disinfection material is: **Super Sani-Cloth Plus disinfection wipes (from PDI)** or other material including **Sodium hypochlorite diluted with water at 1:500** (bleach) or **70-90% isopropanol**. |
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| | | {{ :esada_instructions:sanicloth.png?200 |Sanicloth}} | {{ :esada_instructions:a1s.png?200 |A1s Recorder}} | {{ :esada_instructions:legcables.png?200 |Body cables}} | |
| | | Use sanitizing wipes with hospital grade cleaner\\ to clean the reusable parts of the SAS setup. | Clean the Nox A1s recorder. | Clean the body cables. | |
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| | | {{ :esada_instructions:oxi.png?200 |Oximeter}} | {{ :esada_instructions:eeg.png?200 |Head cable}} | {{ :esada_instructions:carrybag.png?200 |Carry bag}} | {{ :esada_instructions:abcable.png?200 |Abdominal cable}} | |
| | | Clean the oximeter, particularly \\ on the inside of the finger probe.\\ Leave the Sanicloth in the \\probe until it is used next time. | Clean the head cable | Clean the bag. | Clean the ATC cable | |
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