ResMed Nox T3s Operating instructions

How to use
your Nox T3s™
With Noxturnal version 6
ResMed.com/NoxT3s

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Contents
Nox T3s system ……………………………………………………………… page 3
Configure a recording ……………………………………………………… page 4
Patient hook-up …………………………………………………………… page 13
Interpret a recording
Download data …………………………………………………………… page 22
Analyse data ……………………………………………………………… page 23
Generate a report ………………………………………………………… page 31
Open an existing recording ……………………………………………… page 33
Go further
Create a new device profile ……………………………………………… page 35
Create a new recording type …………………………………………… page 36
Cleaning and disinfection ………………………………………………… page 37
Troubleshooting …………………………………………………………… page 41
Consumables and accessories …………………………………………… page 50
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Nox T3s system
1. Display
2. Battery lid – Covers the battery and the USB connector
3. Push button
4. Indicator light for device status
Light sensor located under the shaded transparent button
5. Clip strap loops
6. Microphone – For recording of respiratory sounds
7. Pressure lock (labeled with “PRES”) – Connects to external nasal
cannula/mask pressure tube
8. Channels 1 & 2 (labeled with “1” and “2”) – Bipolar touch proof inputs
9. Reference ground input for channels 1 and 2 (labeled with “PGND”)
– Unipolar touch proof input
10. 2 Metal snaps – Connect to abdomen cable
11. 2 Metal snaps – Connect to thorax RIP belt
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Configure a recording

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• Connect the Nox T3s
Open Noxturnal software on your computer.
Open the battery lid of the Nox T3s using the opening tool
provided and connect the device to the USB port of the computer.
Congure a recording
In Noxturnal software, click on Recording >
Configure device to open the configuration
wizard.

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• Step 1: Select a recording type and pair the oximeter
Choose a suitable recording type from the drop-down list.
Enter the BDA
number shown
on the back of
your oximeter.
Insert batteries into the oximeter (see page
11) and turn it on by pressing the grey activation
button on top of the device. You will see the
display turn on.
Congure a recording
Click on Pair with Oximeter.

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Congure a recording
When the pairing is successful, a green checkmark will appear.
The oximeter will now switch to wake up mode and will turn
on again when the Nox T3s recorder starts a study (either
manual start or scheduled start).
Click Next to continue.
When the pairing is unsuccessful, a red X-mark appears.
If failing, follow the instructions below:
• Check the BDA number of the device and make sure it matches the
number on the oximeter.
• Restart the oximeter by removing the batteries and inserting
batteries again to the oximeter. Then press the grey activation button
to turn on the device. Resume the pairing process.
• Restart the Nox T3s by unplugging the Nox T3s from the computer
and plugging it back in again. Resume the pairing process.
Once the pairing is successful, click Next to continue.

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• Step 2: Schedule recording
“Start Recording At” option is recommended.
Select
1The number of nights
2The start time
3The date
4The duration
Congure a recording
Click on Next to continue.
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• Step 3: Enter patient information
Add information on the patient’s identity and physical characteristics.
Add at least patient’s First and Last names
or patient ID before finishing.
The Tags fields can be used to link keywords to
the patient in order to easily find him later in the
recordings library.
Use the Edit... button to enter more detailed
information about your patient before the hookup.
Click on Finish.
Congure a recording

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• End configuration
Click here to print hookup instructions for patient.
You can now disconnect the Nox T3s and insert a
new or fully recharged AA battery into the device.
Click on Finish to close this window and disconnect
the device.
Congure a recording

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BATTERIES
Congure a recording
FOR THE NOX T3sDEVICE: 1 AA BATTERY
• Alkaline batteries last for up to 16h of recording. It is recommended to
change them after each recording.
• If you are using rechargeable batteries, recharge them before every
recording.
• The rechargeable battery should have a capacity of 2500mAh or more.
It is recommended to replace it every year.
FOR THE NONIN 3150 OXIMETER: 2 AAA BATTERIES
• Alkaline batteries last for up to 48h. It is recommended to replace them
every 2 or 3 recordings.
• If you are using rechargeable batteries, recharge them before every
recording.
• The rechargeable batteries should have a capacity of 900mAh or more.

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• Verify the configuration and the status of the device
You can see information on the recording and the signals by pushing the button on the device.
Verify the battery charge indicator, the Bluetooth connection with the oximeter and check that the start time of the recording is
consistent with your configuration.
Once checks are complete, the patient can go home.
No action from the patient is required, the device will automatically turn on and off.
Check signals
Bluetooth connection status
Place your finger in the oximeter
sensor to check the connection.
Battery indicator
Time remaining before
recording starts

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Patient hook-up

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1 - Clip the abdomen cable to the back
of the device and snap the clips
onto the patient’s pyjamas.
2 - Wrap the RIP belt around the patient’s
thorax and snap it at the back of the
device.
3 - Repeat this for the abdomen belt and
snap it to the cable.
Patient hook-up
Video instructions on Nox T3s hook-up can also be found on
www.resmed.co.uk/healthcare-professional/diagnostics/support-nox-t3s/
•Attach the device and the belts

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•Attach the nasal cannula
1 - Gently place the nasal cannula
into the nostrils with the nasal
prongs facing inwards.
2 - Pull the cannula tubing
over the ears.
3 - Slide the bolo up under
the chin so it is snug but
not too tight.
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Patient hook-up

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•Attach the oximeter
1 - Place the oximeter on the patient’s left wrist
if they are right-handed or on their right wrist
if they are left-handed.
2 - Then place the probe on the index finger.
The fingertip should reach the end of the probe
but should not go past it.
3 - Wrap tape around the finger to
secure the sensor cable.
Patient hook-up
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Patient hook-up
• EKG option: recording with electrocardiogram
Make sure you use an appropriate recording type.
Equipment needed:
- 1 double EKG electrode cable - 50/100 cm (PN 7072172)
- 1 ground electrode cable - 100 cm (PN 7073446)
- 3 single use, snap-on electrodes (PN 7075209)
Set-up:
- EKG electrode cable plugged into the bipolar channel selected in your device profile.
- 1 electrode on the 7th rib.
- 1 electrode above the right clavicle.
- Ground electrode cable plugged into the PGND input of the Nox T3s and the electrode
on a neutral zone of the body (like the hip bone).

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Patient hook-up
• PLM option: recording with leg movements
Make sure you use an appropriate recording type.
Equipment needed:
- 2 double PLM electrode cables - 148/150 cm (PN 7073438)
- 1 ground electrode cable - 100 cm (PN 7073446)
- 5 single use, snap-on electrodes (PN 631526)
- NuPrep abrasive gel (PN 7073511)
Set-up:
- Scrub the patient’s skin with NuPrep
before placing the adhesive electrodes.
- 1 electrode cable plugged into input 1 of
the Nox T3s, 2 electrodes on the left tibia
muscle
- 1 electrode cable plugged into input 2 of
the Nox T3s, 2 electrodes on the right tibia
muscle
- Ground electrode cable plugged into
the PGND input of the Nox T3s and the
electrode on a neutral zone of the body
(like the hip bone)

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Patient hook-up
• Therapy device option: pressure tubing installation
Make sure you use an appropriate recording type.
Equipment needed:
- Pressure tubing (PN 7072092)
- Nasal cannula filter (PN 7072097)
- Mask adapter (PN 26915)
Connect the pressure tubing to the mask and the Nox device
1 - Insert a filter into the pressure input of the Nox T3s, where you would usually insert the nasal cannula.
2 - Screw the male luer-lock connector of the pressure tubing into the filter.
3 - Connect the female luer-lock connector of the tubing to the pressure port of the mask adapter.
Set-up picture:
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• Therapy device option: Braebon differential pressure sensor installation
Make sure you use an appropriate recording type.
Equipment needed:
- Differential pressure sensor kit (PN PN 7078820)
- 2 hydrophobic filters for each recording (PN 7073746)
- 2 AAA batteries for the differential pressure sensor (last for 30 to 50 recordings of 8 hours)
Install the differential pressure sensor
Make sure that 2 fresh AAA batteries are inserted and that you are using 2 new filters.
1 - Connect the green part of the pneumoflow sensor to the therapy device output.
2 - Connect the transparent part of the pneumoflow sensor to the patient tubing.
3 - Connect the red cable to input 1 or 2 of the Nox T3s.
4 - Connect the white cable to the black and red cable and plug it into the Airflow input
of the differential pressure sensor.
5 - Put the gain of the differential pressure sensor on LOW.
6 - Switch the differential pressure sensor ON just before the recording. It will automatically stop after
10 hours of recording.
Set-up picture:
Patient hook-up