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.

1. Nox T3 Complete Review
Randy Clare
Respiratory Diagnostics
2016

2. Nox T3 Distributed by CareFusion, For
Sleep Disordered Breathing (SDB)
© 2016 CareFusion Corporation or one of its subsidiaries. All rights reserved.

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

5. More than 10.000 Nox T3 Units
In Use Globally

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

8. The Nox T3
System
FEATURES AND BENEFITS

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

15. Medical Grade Sleep Bruxism
Monitor
• EMG leads test
electrical activity in the
muscles of mastication
• Auto Score Bruxism
events
• Provides Apnea to
Bruxism Index (ABI)
• Provides Arousal to
Bruxism Index
• Meets in lab standards
for Bruxism testing
during sleep
• Scoring using AASM
guidelines
• ABI links SDB to
Bruxism events
• Arousal index is a key
indicator of Sleep
Quality
© 2015 CareFusion Corporation or one of its subsidiaries. All rights reserved.

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

19. References
www.carefusion.com
estore.carefusion.com

20. Questions

21. Thank you