Nox Medical solutions are validated and trusted worldwide for paediatric sleep diagnostics. Growing evidence suggests paediatric sleep disordered breathing remains significantly underdiagnosed despite its association with behavioural, neurocognitive, cardiovascular and developmental consequences.

By enabling high-quality testing in the child's normal sleeping environment, ambulatory sleep diagnostics have the potential to improve access, reduce waiting lists and facilitate earlier identification of children requiring treatment.

As Australia enters a new era of Medicare-supported paediatric ambulatory sleep testing, clinicians require a platform that combines validated respiratory measurements, signal redundancy and reliable home performance. Nox Medical's paediatric ambulatory solutions have been developed and refined through years of clinical use and published research across leading sleep centres worldwide.

Why Nox Medical for Paediatric Ambulatory Testing?

Compact, child-friendly design

A lightweight ambulatory system helps reduce burden for children and families, supporting better tolerance in the home environment.

Minimise Failed Studies and Repeats

Paediatric sleep testing presents unique challenges, with airflow and oximetry signals often affected by movement, sensor displacement, or limited tolerance. Nox combines multiple respiratory measurements with advanced signal redundancy, helping maintain study quality and diagnostic confidence even when individual signals are compromised, ultimately reducing failed studies and the need for repeat testing.

Unique Nox Calibrate RIP Flow

Nox RIP technology enables respiratory effort and flow-derived analysis, supporting assessment of airflow limitation, flow-volume loops, and degree of obstruction. This feature is particularly valuable in children where nasal cannula displacement can be a common limitation.

Proven for Paediatric Testing

Nox technology has been successfully implemented in paediatric ambulatory sleep testing programs worldwide, enabling the collection of high-quality diagnostic data.

More than 50 peer-reviewed publications support the use of Nox devices in children.

International studies using Nox technology have demonstrated:

• Successful ambulatory PSG and respiratory polygraphy in children as young as 2 years of age
• High rates of study completion and technical acceptability
• Excellent reliability of RIP belt signals, often outperforming airflow and oximetry channels
• Strong diagnostic accuracy when compared with laboratory polysomnography
• Improved access to testing for children who may struggle with traditional laboratory environments

Below is a curated sample across key themes including feasibility, accuracy, mouth-breathing detection, home-based PSG, neurodevelopmental conditions, and sleep-disordered breathing.

Children's Hospital of Philadelphia (CHOP): Home Type II Testing in Youth with Down Syndrome

Researchers from the Children's Hospital of Philadelphia (CHOP), led by Dr Christopher Cielo and Dr Ignacio Tapia, have demonstrated that Level II home sleep apnea testing is both feasible and clinically effective in children and adolescents with Down syndrome.

Their work found that home testing was well tolerated by participants, preferred over traditional laboratory testing, and showed good diagnostic performance for the evaluation of obstructive sleep apnoea.

This research has been featured at major international sleep medicine meetings, highlighting the growing role of ambulatory sleep testing in expanding access to paediatric sleep diagnostics.

Reference:

Cielo CM et al. Feasibility and performance of home sleep apnea testing in youth with Down syndrome. Journal of Clinical Sleep Medicine, 2023.

In addition to paediatric-validated Nox diagnostic solutions, Temple Medical & Scientific also supplies a full range of paediatric sleep study consumables. This includes paediatric-sized RIP belts, electrode dots, nasal cannulas and other accessories designed to support high-quality, child-friendly recordings.

Each range is compatible with all major PSG device brands and can be ordered individually or configured into per-patient packs.

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