FusionHealth Sleep SMART Nox T3 User manual

Introduction
This instruction manual explains how to configure a Nox T3 sleep apnea testing device in KOEO
for Sleep SMART.
KOEO Support Phone Number
888-505-0280 extension 4006
KOEO Support E-mail
[email protected]
KOEO Login
app.koeo.com (Please Use Google Chrome)
Connecting the T3 Device to a Computer
To connect a T3 device to a computer you will need to access the USB connector on the device.
The USB connector is located under the battery lid making it inaccessible and tamper proof for
children.
To open the battery lid, press on the battery lid pin with the device provided in the kit, a pen, or
a similar tool. Then slide the battery lid down and towards the bottom of the device. The T3
device connects to the computer with a mini USB cable. The battery does not need to be
inserted while the device is connected to the computer.
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When the T3 device is connected to the computer the device display lights up and shows a
message indicating that the device is connected to the computer.
To configure a T3 device or to download a recording you will now need to start the KOEO Sleep
SMART Process.
When you are done working with the T3 device, unplug the mini USB cable, insert the battery,
and close the battery compartment by gently pressing  the lid towards the device, and then
sliding it back into position, towards the top of the device.
Inserting a Battery into the T3 Device
Before you start a recording you should make sure that the device has a new, fully charged AA
battery. To insert a new battery do the following:
1. Open the battery compartment by pressing down on the battery lid pin with the tool
provided, a pen, or similar tool and then slide the lid toward the bottom of the device (left
image).
2. Place one AA battery into the compartment aligning the battery poles as illustrated on
the back of the device (the positive (+) pole is toward the battery lid).
3. Close the battery compartment by gently pressing  the lid toward the device while sliding
it up and back into position towards the top of the device. Make sure the lid is securely
closed.
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Starting a Nox T3 Sleep Apnea Test for in KOEO
Step 1: Launch the SleepSMART Process
 ↴
Step 2: Create a New Patient (New Subject)
Do not enter the subject’s name or Date of Birth. Instead enter the following fields:
First: Sleep SMART (Box #1)
Last: Subject ID Number (Box #2)
Date of Birth: 1/1/1900 (Box #3)
Identification: Subject ID Number pasted in from WebDCU (Box #4) - this is identical to Box 2
Click Save in the upper right hand corner (Box #5)
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Step 3: T3 Setup Task in KOEO
Click on Tasks at the Left of the screen (Arrow #1)
Click on T3 Setup Task in KOEO (Arrow #2)
● Click on underlined T3 Setup (Arrow #3)
● Click on Open KOEO Interactive Tool (Arrow #4)
The KOEO Interactive Tool (KIT) is an application to help with the management of the Nox T3
device, and to assist with uploading testing data, and must be already installed on the computer
you use for the set-up.
The two main functions of KIT are as follows:
● Set up a T3 device
● Upload test data from a T3 device
KIT operations require unrestricted access to the local computer file system. Access cannot be
obtained inside a browser-only application. That is why the KIT application is a stand-alone
desktop application available for Apple OS X, MS Windows, and Linux.
Installation of the KOEO Interactive Tool is described in a separate document
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Step 4: Login and Locate the T3 Setup Task in KIT
The T3 Device must be connected via a mini USB cable to the computer at this point. The next
step configures the T3 Device.
Step 5: T3 Setup Task in KIT
● Select the appropriate Time Zone from the drop down menu for the T3 test.
● Click on “Prepare” in the upper right hand corner.
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The T3 device is now configured for recording and the device and sensors may be applied to
the subject. Next:
● Remove the USB Cable from the T3 device
● Insert a new AA battery into the T3 device
● Close the battery lid
● Follow the instructions on “How to apply the sensors and the T3 device to the subject”
Following the acquisition of testing data using the T3 device, you will now proceed to Upload T3
Data (Step 6). This task is to be completed only after the T3 test is complete.
Upon completion of the T3 test in Sleep SMART, the data must be uploaded to the scoring
teams for analysis. To do this:
● Open the battery door of the T3 Device
● Remove the AA battery and discard appropriately
● Connect the mini USB cable to the T3 device
Step 6: Upload T3 Task in KOEO
Click on Tasks at the Left of the screen (Arrow #1)
Click on Upload T3 Data task in KOEO (Arrow #2)
● Click on underlined Upload T3 Data (Arrow #3)
● Click on Open KOEO Interactive Tool (KIT) (Arrow #4)
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Step 7: Login and Locate T3 Upload Task in KIT
KOEO will recognize the Subject ID and the serial number of the T3 device and automatically
load correct subject data.
● Click on Upload in the upper right hand corner
Potential Next Tasks in KOEO
The Sleep SMART Protocol has provisions for repeated attempts, under appropriate
circumstances, to collect data from the subject using the Nox T3 device. A number of different
task options may appear based upon the analysis of the study data. Some options may appear
only after an interval of several hours, during which FusionHealth staff inspect or oversee
scoring of the Nox T3 data that has been uploaded.
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●Redo Upload T3 Data: A systems issue has arisen with the data transfer, and testing
data need to be uploaded with another attempt.
●Repeat T3 Setup: This is a “repeat testing task”, indicating that a scorer has invalidated
the test due to signal quality issues, and the test will need to be repeated, if possible.
●T3 Test Inadequate: This task appears after there have been three (3) attempts to
render a valid T3 Test result. The Sleep SMART protocol allows for up to 3 T3 tests. If
none render a valid outcome, the subject is to be excluded from further participation.
●Subject Eligible: The test is scored and the subject IS eligible for the Run-In Night.
● Excluded - Print Report: The test is scored and the subject IS NOT eligible for the
Run-In Night. If there are extenuating circumstances that by protocol allow you to repeat
the study, you may do so by starting from page 1 instructions “Connecting the T3 device
to the computer”.
If the “Repeat T3 Setup” task appears in KOEO, the study has been deemed invalid, but the
subject is eligible for a repeat study. The same steps are required to retest the subject, outlined
above in Steps 3-6. You do NOT need to relaunch the Sleep SMART Process. You will NOT
need to create a new subject again in KOEO.
If the “T3 Test Inadequate” task appears, the subject is NOT eligible to continue in Sleep
SMART. There is an acknowledgement task that follows:
Click on the T3 Test Inadequate task in KOEO, and the following appears:
● Click on Patient Contact. Select “Yes” (Arrow #1)
● Type Note, “Subject was Excluded due to...” [enter reason for exclusion] (Arrow #2)
● Click on the check mark in the upper right hand corner (Arrow #3)
This will end the Sleep SMART Process for this subject in KOEO.
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If the “Excluded - Print Report” task appears, this means the T3 test data is valid and the
subject is NOT eligible for the Run-In Night in Sleep SMART.
Click on the Excluded - Print Report task in KOEO, and the following appears:
There are two options available (see red arrows at the top right of the above image):
● Click on the printer icon in the upper right hand corner to print out a physical copy of the
Sleep SMART Sleep Apnea Test Report
● When printing is complete or if printing is not necessary (e.g. subject is deceased), click
the check mark and this will close out the task.
If the “Subject Eligible” task appears, this means the subject IS eligible for the Run-In Night in
Sleep SMART. The Subject Eligible task is the first step in the Sleep SMART KOEO Process
that applies to the Run-In Night.
Please see instructions for Run-In Night in a separate document.
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