1
G Ú„Ó†ÒÂÙ„ G Ú„Ó†ÒÂÙ„ ÏÈ‚¯†ÍÙ‰˙ӆ؆ßÁȆµ∞∞†Ø¯ÂÁ˘·Â‰ˆÌ„‡ÏÂÁΆ≥±Æ∏Æ∞∏††ØOM2198620†Ë˜ÙÒ¯نϘȄӆ¯Ó˙ȇ Interpretation of the Watch-PAT100/200 Sleep Report This document describes the Watch-PAT100/200 study report and provides guidelines for its interpretation. The Watch-PAT100/200 Sleep study report consists of three pages. The first page gives the patient information, referring physician, and brief medical evaluation. The second page gives the patient’s sleep study indices and a graphic report of the sleep study. The third page shows chart representation of sleep states and respiratory indices. First page: Patient information, referring physician and medical evaluation Itamar Medical Ltd. 2 Ha’eshel St., P.O. Box 3579 Caesarea 38900, Israel Tel + 972 4 617 7000 Itamar Medical, Inc. 160 Speen Street, Ste. 201 Framingham, MA, 01701 USA Tel 888 748 2627 Fax 888 748 2628 www.itamar-medical.com [email protected] P/N OM2198620 Third page: Graphical summary of Sleep/Wake states, Sleep stages and Respiratory Indices. Medical Information: Medical history and medication information can be added to the “Clinical Data” field, while preparing the flash card for a new study. Another option is to update the information at the “Clinical Diagnosis” screen after the study has been performed. Summary & Diagnosis and Recommendations: Can be inserted at the “Clinical Diagnosis” screen. Note: Some titles, when information is not inserted, may not be displayed. Second page: PAT RDI: The PAT Respiratory Disturbance Index, expresses the number of PAT respiratory events per hour of actual sleep which has been shown to be an accurate estimate of RDI. The RDI is the recommended measurement for the severity of Obstructive Sleep Apnea (OSA), by the American Academy of Sleep Medicine (ASSM). The index includes the following respiratory events as measured by polysomnography: Apnea: Cessation of respiration, during sleep for 10 seconds or more. Hypopnea: Reduction of respiration followed by a desaturation of at least 3% or an arousal. RERA: Obstructive event that does not meet the criteria for apnea or hypopnea but causes arousal from sleep (typically seen as flow limitation terminated by an arousal). PAT AHI This Index includes the number of Apnea and Hypopnea events per hour of actual sleep. The AHI provides additional information about the severity of OSA, the characteristics of the respiratory events and can contribute to the treatment decision. ODI This index expresses the number of oxygen desaturation events during an hour of sleep. A desaturation event is determined as reduction of 4% or more of the oxygen saturation baseline level. The index includes the events that occurred during sleep time and does not include events that occurred during wake periods. Patient’s sleep study indices Sleep Study summary: Wake/REM/Light Sleep/Deep Sleep stages Sleep architecture during the study. From top to bottom the stages are: Wake, REM, Light Sleep and Deep Sleep. Mean, minimum and maximum pulse rate during sleep time. Total time of oxygen saturation below 90, 85, 80 and 70%. Percentage of Sleep Time with oxygen saturation below 90, 85, 80, and 70% Total oxygen desaturation events by degree of severity. Mean, minimum and maximum oxygen saturation values. Average of the minimum saturation values. pRDI: PAT Respiratory Disturbance index during REM, non REM and All Night pAHI: PAT Apnea and Hypopnea index during REM, non REM and All Night ODI: Oxygen Desaturation index during REM, non REM and All Night Recording start time - device ON button activated Recording end time - device removed from arm Total recording time Total sleep time Oxygen/ Pulse Rate Graphic presentation chart Upper trace - oxygen saturation Lower trace - pulse rate Respiratory Events Time scale presentation of the Respiratory events Snore/Body Position Graphic presentation chart (for Snore & Body position option) Black trace - 5 body positions levels (supine, right, left, prone and sit) Orange trace - the snoring volume level (40 - 80 dB range) Itamar Medical Ltd. 9 Halamish St. , P .O. Box 3579 Caesarea 38900, Israel Tel + 972 4 617 7000 Itamar Medical, Inc. 160 Speen Street, Ste. 201 Framingham, MA, 01701 USA Tel 888 748 2627 Fax 888 748 2628 www.itamar-medical.com [email protected]

The Interpretation of the Watch-PAT100/200 Sleep Report...Interpretation of the Watch-PAT100/200 Sleep Report This document describes the Watch-PAT100/200 study report and provides

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Page 1: The Interpretation of the Watch-PAT100/200 Sleep Report...Interpretation of the Watch-PAT100/200 Sleep Report This document describes the Watch-PAT100/200 study report and provides

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ÏÈ‚¯†ÍÙ‰˙ӆ؆ßÁȆµ∞∞†Ø¯ÂÁ˘†·Â‰ˆ†Ì„‡†ÏÂÁΆ≥±Æ∏Æ∞∏††ØOM2198620†Ë˜ÙÒ¯نϘȄӆ¯Ó˙ȇ

Inte

rpre

tatio

n of

the

Wat

ch-P

AT10

0/20

0Sl

eep

Repo

rtTh

is do

cum

ent

desc

ribes

the

Wat

ch-P

AT10

0/20

0 st

udy

repo

rt a

nd p

rovi

des

guid

elin

es fo

r its

inte

rpre

tatio

n.

The

Wat

ch-P

AT10

0/20

0 Sl

eep

stud

y re

port

con

sist

s of

thre

e pa

ges.

The

first

pag

e gi

ves

the

patie

nt in

form

atio

n,re

ferr

ing

phys

icia

n, a

nd b

rief m

edic

al e

valu

atio

n. T

hese

cond

pag

e gi

ves

the

patie

nt’s

sleep

stu

dy in

dice

s an

da

grap

hic

repo

rt o

f the

sle

ep s

tudy

. The

third

pag

e sh

ows

char

t rep

rese

ntat

ion

of sl

eep

stat

es a

nd re

spira

tory

indi

ces.

Firs

t pa

ge:

Patie

nt in

form

atio

n, re

ferr

ing

phys

icia

n an

dm

edic

al e

valu

atio

n

Itam

ar M

edic

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td.

2 H

a’es

hel

St.

, P.

O.

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x 3

57

9C

aesa

rea

38

90

0,

Isra

el

Tel

+ 9

72

4 6

17

70

00

Itam

ar M

edic

al, I

nc.

160

Spee

n St

reet

, Ste

. 201

Fram

ingh

am, M

A, 0

1701

USA

Tel

888

748

2627

Fax

888

748

2628

ww

w.it

amar

-med

ical

.co

min

fous

a@it

amar

-med

ical

.co

m

P/N OM2198620

Thir

d pa

ge:

Gra

phic

al s

umm

ary

of S

leep

/Wak

e st

ates

, Sle

ep s

tage

s an

dRe

spir

ator

y In

dice

s.

Med

ical

Info

rmat

ion:

Med

ical

his

tory

and

med

icat

ion

info

rmat

ion

can

be a

dded

to

the

“Clin

ical

Dat

a” fi

eld,

whi

le p

rep

arin

g th

e fla

sh c

ard

for

ane

w s

tudy

. Ano

ther

op

tion

is t

o up

date

the

info

rmat

ion

at t

he“C

linic

al D

iagn

osis

” sc

reen

aft

er t

he s

tudy

has

bee

n pe

rfor

med

.

Sum

mar

y &

Dia

gnos

is a

nd R

ecom

men

dati

ons:

Can

be

inse

rted

at

the

“Clin

ical

Dia

gnos

is”

scre

en.

Not

e: S

ome

titl

es, w

hen

info

rmat

ion

is n

ot in

sert

ed, m

ay n

ot b

edi

spla

yed.

Second page:

PAT RDI:

The PAT Respiratory Disturbance

Index, expresses the number of PAT

respiratory events per hour of actualsleep w

hich has been shown to be an

accurate estimate of RD

I.

The RDI is the recom

mended

measurem

ent for the severity ofO

bstructive Sleep Apnea (OSA), by

the American Academ

y of SleepM

edicine (ASSM). The index includes

the following respiratory events as

measured by polysom

nography:

Apnea: Cessation of respiration, duringsleep for 10 seconds or m

ore.

Hypopnea: Reduction of respirationfollow

ed by a desaturation of at least3%

or an arousal.

RERA: Obstructive event that does not

meet the criteria for apnea or

hypopnea but causes arousal fromsleep (typically seen as flow

limitation

terminated by an arousal).

PAT AHI

This Index includes the number of

Apnea and Hypopnea events per hourof actual sleep.

The AHI provides additional

information about the severity of O

SA,the characteristics of the respiratoryevents and can contribute to thetreatm

ent decision.

OD

I

This index expresses the number of

oxygen desaturation events duringan hour of sleep. A desaturation eventis determ

ined as reduction of 4% or

more of the oxygen saturation baseline

level.

The index includes the events thatoccurred during sleep tim

e and doesnot include events that occurredduring w

ake periods.

Patient’s sleep study indices

Sleep Study summ

ary:

Wake/REM

/Light Sleep/Deep SleepstagesSleep architecture during the study.From

top to bottom the stages are:

Wake, REM

, Light Sleep and Deep Sleep.

Mean, m

inimum

and maxim

um pulse rate

during sleep time.

Total time of oxygen saturation below

90, 85,80 and 70%

.Percentage of Sleep Tim

e with oxygen

saturation below 90, 85, 80, and 70%

Total oxygen desaturation events by degree ofseverity.

Mean, m

inimum

and maxim

um oxygen

saturation values.Average of the m

inimum

saturation values.

pRDI: PAT Respiratory Disturbance index

during REM, non REM

and All Night

pAHI:PAT Apnea and Hypopnea indexduring REM

, non REM and All N

ightO

DI:

Oxygen Desaturation index

during REM, non REM

and All Night

Recording start time - device O

N button activated

Recording end time - device rem

oved from arm

Total recording time

Total sleep time

Oxygen/ Pulse Rate Graphicpresentation chartUpper trace - oxygen saturationLow

er trace - pulse rate

Respiratory EventsTim

e scale presentation of the Respiratoryevents

Snore/Body Position Graphic presentation chart(for Snore &

Body position option)Black trace - 5 body positions levels(supine, right, left, prone and sit)O

range trace - the snoring volume level

(40 - 80 dB range)

Itam

ar M

edic

al L

td.

9 H

alam

ish

St. ,

P.O

. Box

357

9Ca

esar

ea 3

8900

, Isr

ael

Tel

+ 9

72 4

617

700

0

Itam

ar M

edic

al, I

nc.

160

Spee

n St

reet

, Ste

. 201

Fram

ingh

am, M

A, 0

1701

USA

Tel

888

748

2627

Fax

888

748

2628

ww

w.it

amar

-med

ical

.com

info

usa@

itam

ar-m

edic

al.c

om