nox A1 User manual

HOBART –PH 1300 731 615 | LAUNCESTON –PH 03 6343 1904 | DEVONPORT –PH 03 6423 2745
www.healthdynamics.com.au
Fax: [phone]
Email: [e-mail]
Patient instructions
How to hook up with Nox
Refer to the video found on our website
(www.healthdynamics.com.au) on the button labelled “Sleep
Study Procedure” on the home page.
If having problems setting yourself up please
call 1300 731 615 and leave a message if no
answer including your name, reason for call
and phone number.
Preparation
IMPORTANT: Maintain your standard routine. Aim to go to bed and sleep at the
usual time & sleep the regular length of time. If you usually drink alcohol in the
evening plan to do so. Have a shower and dry yourself thoroughly & do NOT use
skin creams or lotions on your face, neck or shoulders (so the electrodes will stick
to clean skin)
Attach the sleep device unit (Nox) to your shirt using the clips that are attached to
the device with the screen facing out. NB: PLEASE wear bed clothes, or at least a
T-shirt / singlet.

HOBART –PH 1300 731 615 | LAUNCESTON –PH 03 6343 1904 | DEVONPORT –PH 03 6423 2745
www.healthdynamics.com.au
Fax: [phone]
Email: [e-mail]
Step 2. Attaching the white effort bands
A. Chest: Place a white belt around your
chest (above the breasts and under your
arms) and snap each end to the back
panel of the device.
B. Abdomen: Place a second white belt
around your waist at the level of your
belly button and snap it onto the
connector. NB: Ensure the white belts
aren’t twisted.
Step 3. Skin preparation
Gently abrade all the electrode sites (see below) with the abrasive tape provided,
then rub your skin with the alcohol wipe provided and allow skin to completely
dry.
NB: Be careful using the alcohol wipe around the eyes.
Step 4. Placing the EEG (sleep staging) sensors (Plaited Cable)
A. Use the sticky dots provided to attach the electrodes as instructed below
and illustrated on the right. It’s easiest if you start with the bundled
cables running over your shoulder and behind your head.
B. Attach the GREEN electrode to centre of forehead.
C. Attach the ORANGE electrodes as close to your hairline as possible on the
right-hand and left-hand sides of the forehead as labelled.
D. Attach the two BLACK leads (with the beige snap-on clips), near the
corner of each eye. It doesn’t matter which of the black leads goes to
each eye.
E. Attach the GREY electrodes (with the beige snap-on clips) to the bony
prominence behind each ear as per labels.
NB: It is important that they are behind the correct ears.
Step 5. Placing the EMG (Cheek) sensors
A. Attach two more small sticky electrode pads high on the side of your
cheeks as illustrated.
B. Find the two white cables with white connectors and place one on each
cheek electrode. It doesn’t matter which of these goes on which side.

HOBART –PH 1300 731 615 | LAUNCESTON –PH 03 6343 1904 | DEVONPORT –PH 03 6423 2745
www.healthdynamics.com.au
Fax: [phone]
Email: [e-mail]
Step 6. Placing the ECG (Heart) sensors
A. Attach the 2 large sticky electrode pads as illustrated on your chest (the
electrode cables will go down through the neck of your shirt).
B. Find the orange dual electrode cable and place the long lead on your left
side and the other shorter one on the right side (the best location is
underneath the middle of the collar bone).
Step 6a. Apply Leg Electrodes (only if directed by your
doctor)
A. Attach two more small sticky electrode pads to the muscle on the front of
your shin as illustrated, on the dominant leg (right leg if right-handed etc).
B. Position the dark GREY dual electrode leads (under your clothing) to snap
on to these electrodes.
Step 7. Apply Nasal Cannula (Clear plastic tubing)
A. Position the nasal cannula such that the prongs point up and into the
nostrils (not pointing forward).
B. Hook the tubing behind the ears.
C. Adjust the chin slide adjuster such that the tubes are snug but
comfortable.
D. Secure the tubes in place with a small strip of the supplied tape on each
cheek as illustrated below.
Step 8. Attaching the wrist band oximeter
A. Remove all nail polish or acrylic nails from the selected finger.
B. Place the Nonin oximeter face down and thread the disposable wrist band
through the loops on the device.
C. Place the back of the wrist on the back of the device and peal back the
adhesive and adjust to be comfortably around the wrist then stick.
D. Put the rubber boot sensor probe on the
index, middle or ring finger (whichever fits
best) on either the left or right hand. Find
the small fingernail symbol on the end of
the rubber boot. Ensure this symbol sits on
top of your own fingernail.
E. The white cord should be on run along the
back of your finger and the back of your hand.
F. You MUST tape the white cord to the back of your hand and to the finger
to secure the sensor making sure that there is some slack in the cable.
This will help to keep it intact throughout the night.

HOBART –PH 1300 731 615 | LAUNCESTON –PH 03 6343 1904 | DEVONPORT –PH 03 6423 2745
www.healthdynamics.com.au
Fax: [phone]
Email: [e-mail]
NB: It is important not to put the rubber boot on your finger until you actually go
to bed, but it is vital that the oximeter is worn and that the finger probe is on your
finger or you WILL have to do the study again.
Step 9. Check and sleep
A. Check that you have correctly completed steps 1-
8:
a. 3 sticky electrodes on the forehead (one
more than video see pic right)
b. One sticky electrode for each eye
c. One sticky electrode behind each ear
d. One sticky electrode on each cheek.
e. One sticky electrode on the L and one
on the right chest.
f. Two respiratory bands (1 for chest and 1
stomach)
g. Nasal cannula plugged into PRES port
h. Oximeter on wrist and finger.
B. You are ready for your Sleep Study;
Please Do Not press any buttons.
C. Relax and drift off to sleep.
D. The recording will start automatically.
NB: Regardless of what the device does or doesn’t do,
DO NOT PUSH ANY BUTTONS. The device starts
automatically and finishes automatically. Do not pay any
attention to flashing lights, displayed messages or the
absence of these.
Step 10. The following morning
A. One you have finished sleeping, carefully remove all parts of the
recording unit from your body.
B. Fill out the notes including medications.
C. Place ALL parts back into the box and return the entire system.
D. Don’t remove the sticky dots from the leads but stick them onto the
plastic bag which contained the nasal cannula.
NB: Please return the device by 10.30am (no later).
E. Dispose of the nasal cannula, paper wrist strap, these instructions and
the effort belts.
In case a lead becomes dislodged from the device here is where they are located:
Back (with optional Limb lead in LM1) Front