Differences

This shows you the differences between two versions of the page.

--- esada_instructions:sas_participant_instructions [2023/05/15 16:28] – katrinhera
+++ esada_instructions:sas_participant_instructions [2023/07/10 10:26] (current) – katrinhera
@@ Line 4: / Line 4: @@
 <WRAP half tablewidth>
-| **a. 1x Nox A1s recorder** \\ The Nox A1s gathers information that is recorded from the applied sensors.\\ Clips are attached to the Nox A1s for fastening the device to the Neck band. | {{:esada_instructions:a1s.png?100 |A1s}} |
+| **a. 1x Nox A1s recorder** \\ The Nox A1s gathers information that is recorded from the applied sensors.\\ Clips are attached to the Nox A1s for fastening the device to the Neck band. | {{:esada_instructions:a1s.png?200 |A1s}} |
-| **b. Neck band ** \\ The Nox A1s recorder is fastened with clips to the neck band for securing\\ the placement of the device on the participant chest.| {{:esada_instructions:neckband.png?100 |Neck band}} |
+| **b. Neck band ** \\ The Nox A1s recorder is fastened with clips to the neck band for securing\\ the placement of the device on the participant chest.| {{:esada_instructions:neckband.png?200 |Neck band}} |
-| **c. 1x Head cable ** \\ The Head cable is plugged into the proxy of the Nox A1s recorder and\\ will be attached to the electrodes placed on the forehead.\\ The blue (R) and red (L) connector of the head cable connects to\\ the blue and red body cables. | {{:esada_instructions:eeg.png?100 |Head cable}} |
+| **c. 1x Head cable ** \\ The Head cable is plugged into the proxy of the Nox A1s recorder and\\ will be attached to the electrodes placed on the forehead.\\ The blue (R) and red (L) connector of the head cable connects to\\ the blue and red body cables. | {{:esada_instructions:eeg.png?200 |Head cable}} |
-| ** d. 1x Red body cable ** \\ Connects to the red (L) part of the head cable and is attached to the electrodes \\ placed on the left side of the body and leg to monitor \\activity from heart and leg movements. | {{:esada_instructions:leftleg.png?100 |Left cable}} |
+| ** d. 1x Red body cable ** \\ Connects to the red (L) part of the head cable and is attached to the electrodes \\ placed on the left side of the body and leg to monitor \\activity from heart and leg movements. | {{:esada_instructions:leftleg.png?200 |Left cable}} |
-| **e. 1x Blue body cable** \\ Connects to the blue (R) part of the head cable and is attached to the electrodes placed\\ on the right side of the body and leg to monitor activity from heart and leg movements. | {{:esada_instructions:rightleg.png?100 |Right cable}} |
+| **e. 1x Blue body cable** \\ Connects to the blue (R) part of the head cable and is attached to the electrodes placed\\ on the right side of the body and leg to monitor activity from heart and leg movements. | {{:esada_instructions:rightleg.png?200 |Right cable}} |
-| **f. 1x Nox Abdomen Cable ** \\ Connects to the Nox A1s recorder. The lower part attaches the abdomen RIP belt. | {{:esada_instructions:abcable.png?100 |Abdomen cable}} |
+| **f. 1x Nox Abdomen Cable ** \\ Connects to the Nox A1s recorder. The lower part attaches the abdomen RIP belt. | {{:esada_instructions:abcable.png?200 |Abdomen cable}} |
-| **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?200 |Nasal cannula}} |
 | **h. 2x RIP belts** \\ **(Respiratory inductance plethysmography)** \\ The RIP belts are made from super stretchable elastics and are used for measuring the effort of breathing. \\ One belt is used for measuring thorax breathing movements and one belt is used for measuring abdomen breathing movements. | {{:esada_instructions:belts.png?100 |RIP belts}} |
 | **i. 1x Oximeter** \\ The Oximeter is an advanced wrist-worn pulse oximeter and provides pulse rate and blood oxygen saturation signals. | {{:esada_instructions:oximeter.png?100 |Oximeter}} |
@@ Line 26: / Line 26: @@
 Incorrect setup may lead to exclusion of the data from the study.
-Step by step video instructions are available:  [[www.noxmedical.com/sas]]
+Step by step video instructions are available:  [[https://www.youtube.com/watch?v=zPnyxmfWPfA]]
 Things to consider before starting
@@ Line 49: / Line 49: @@
 **Night 1:** Use the **Nox SAS Electrode Bag**, labelled First Night for steps 1-3. See Image 0 (SAS sleep system) for reference.
  * With an alcohol pad, firmly clean the skin, left and right side:
    * Below the collarbones
@@ Line 152: / Line 153: @@
 {{ :esada_instructions:sas8.png?400 |Step 8}}
+The head cable in the green circle pocket for ensuring that the electrical activity of the brain is measured.
+  * Take the head cable from the green circle pocket
+  * Connect the cable to all the double electrodes on the forehead.
+    * Start with the cable on your right and move to the left side
+    * Make sure that each snap is securely fastened.
+    * If needed, use extra tape from the band-aid roll provided in the bag to secure the fastening of the electrodes.
 ==== STEP 9 ====
+{{ :esada_instructions:sas9_new.png?400 |Step 9}}
-{{ :esada_instructions:sas9.png?400 |Step 9}}
+  * Take the nasal cannula from the blue square pocket.
+  * Identify the end with the prongs and make sure they face downwards.
+  * Place the prongs facing downwards into your nostrils.
+  * Pull the cannula tubing over your ears and then position it under your chin.
+    * Make sure the cannula is not tangled in the head cable.
+    * Slide the fastener under the chin to hold the cannula securely in place.
+    * Place a piece of tape from a band aid roll provided in the case on the cannula to hold it securely. **DO NOT** use tape from **Nox SAS Electrode Bag** on your face.
 ==== STEP 10 ====
 {{ :esada_instructions:sas10.png?400 |Step 10}}
+  * Remove the disposable carton from the device.
+    * Pull it off by holding on to the device with one hand and pull at the same time the carton in a downward direction.
+    * Dispose of the carton for paper recycling.
+  * Make sure that the black cable on the back of the sleep monitor has not snapped off from the device.
 ==== STEP 11 ====
 {{ :esada_instructions:sas11.png?400 |Step 11}}
+  * Take the oximeter from the carry case and place it on the wrist of either hand.
+  * Secure the wristband strap around the wrist.
+  * Insert a finger into the probe. Choose the hand and finger that is most convenient and feels most comfortable.
+  * Make sure that the finger reaches the end of the probe.
+  * Do not push the finger out of the probe.
+  * Secure the finger probe with tape from **Nox SAS Electrode Bag**. Avoid tightening it too much.
+<color #ed1c24>**__CAUTION:__**</color>
+  * Do not fasten the pulse oximeter too tightly around the patient’s wrist. Inaccurate readings and patient discomfort could result.
+  * When using the oximeter in the home, take care of where it is stored in between uses. Avoid exposing it to lint and dust by storing it in the carry case between nights.
+  * The pulse oximeter may not work when circulation is reduced. Warm or rub the finger or reposition the sensor.
 ==== STEP 12 ====
 {{ :esada_instructions:sas12.png?400 |Step 12}}
+  * •	You have successfully finished attaching the Self-Applied-Somnography (SAS) system.
+  * •	It’s ok to put on shorts or pyjama pants at this point.
+  * •	Recording type as directed by your site should be:
+    * o	A1s – Scheduled start: The recording will start automatically at a pre-scheduled time. You do not have to do anything to start or end the recording. This applies for all the nights.
+  * •	Go to bed as you would usually do.
+  * •	If you need to get up during the night for any reason (for example going to the bathroom), leave all the sensors and electrodes in place.
+  * •	Take care that the oximeter on the wrist and the sensor on the finger do not get exposed to water.
+  * •	The recording will stop automatically after a pre-determined number of hours of recording.
+The morning after each sleep study, please:
+  * Remove all the tape, electrodes and cables carefully.
+    * <color #ed1c24>**CAUTION:**</color>
+      * Tape and electrodes may damage the skin if removed carelessly.
+      * Electrodes should be properly disposed of after use.
+**If assistance is needed, please contact your study site (see information on cover).**
+==== Second and third night ====
+Please follow the same instructions for the second and third nights but remember to only clean the skin with water and do <color #ed1c24>**NOT use alcohol pads to clean on the second and the third night.**</color>
+Belts and nasal cannula are reused for second and third night.
+The morning after the last sleep study please carefully pack everything back into the carry case before returning it to your sleep center.
+===== Cautions and Precautions for Nox SAS Electrodes and Nox SAS Cable =====
+==== Nox SAS Electrodes - CAUTION: ====
+  * Electrodes should only be used by or in consultation with a health care provider familiar with their proper placement and use
+  * Electrodes may damage the skin if removed carelessly
+  * For single use only. Reuse of the product may cause contamination, leading to infections.
+  * Electrodes should be applied only to intact, clean skin (e.g., not over open wounds, lesions, infected, or inflamed areas
+  * Electrodes should be properly disposed of after use
+  * Minor skin irritation can occur with electrode use. If skin irritation occurs, please contact your prescribing clinical site.
+== PRECAUTION: ==
+  * Self-adhesive electrodes should be replaced if they no longer stick firmly to the skin
+==== Nox SAS Cables – WARNINGS: ====
+  * Do not use damaged equipment. Use of damaged equipment may result in patient harm, such as burn or electrical shock or lead to incorrect patient diagnosis.
+  * Carefully route cables and connections to reduce the possibility of entanglement or strangulation.
+  * Make sure the conductive parts of electrodes and associated connectors, including the neutral electrode, do not contact other conductive parts including earth to prevent potential serious harm to the operator/patient.
+  * Avoid accidental contact between connected but unused patient applied parts and other conductive parts including those connected to protective earth to prevent potential serious harm to the operator/patient.
+  * No modification of this equipment is allowed. Unauthorized modifications may result in patient harm, such as burn or electrical shock or lead to incorrect patient diagnosis