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Danmeter CSM 2, User Manual

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Summary of Contents for CSM 2

Page 1: ...Cerebral State Monitor Model CSM 2 User Manual Rx only Danmeter A S Kildemosevej 13 DK 5000 Odense C Denmark Tel 45 63 11 29 30 Fax 45 63 11 29 31 e mail info danmeter com www danmeter com...

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Page 3: ...11 4 9 CSM Parameters 12 5 Principle of Operation 14 5 1 High Quality Amplifier 14 5 2 Measurement Principle 14 5 3 CSI Scale 15 5 4 EMG 16 5 5 Burst Suppression Indicator 16 5 6 Artifact and Noise C...

Page 4: ...I are trademarks of Danmeter A S Products manufactured by Danmeter A S Kildemosevej 13 DK 5000 Odense C Denmark US English PN 561105003 04 Declaration of Conformity Danmeter A S hereby declares that t...

Page 5: ...of consciousness LOC in all areas of the hospital Based on EEG an index CSI is calculated which is used in the estimation of LOC The CSM displays the CSI but does not perform any data interpretation...

Page 6: ...itor CSM Wireless Link Patient Cable CSM Software CD Rechargeable 9V Battery User manual this document Power Adapter 2 pieces Power Cable 2 pieces RS 232 Cable USB Cable Carrying case Velcro strip 1 7...

Page 7: ...sensors up to 2 cm 0 78 in has no significant influence on the index However it is recommended to place the sensors on an area of the skull where only a few muscle fibers are present in order to achi...

Page 8: ...Cerebral State Monitor CSM DFU Page 4 4 Description of the Device 4 1 General Overview Battery lid Battery compartment Patient cable connection CSM power charge connection On Off...

Page 9: ...or CSM DFU Page 5 4 2 Keys and Controls Overview 2 RED Error light Error Charge Mute Set Display Event 3 GREEN Power adapter 5 Mute key 7 Display key 1 On Off 4 Display area 6 Set Event key 8 Event Ty...

Page 10: ...ess Link connection disconnection or reconnection Press twice within 1 second 5 Mute key Mutes alarms 6 Set Event key Set link 7 Display key Changes between graphical and information screen 7a For imm...

Page 11: ...in the right panel Operation time and numeric value of the actual CSI and BS The time scale for the trend curve is 5 27 minutes and each tag is 60 seconds Display Mode B Displays 3 seconds of EEG wave...

Page 12: ...CG might be detectable in the EEG waveform EMG is shown in the display as a bar in the right hand side Operating time and numerical value for current CSI and BS The time scale for the histogram graph...

Page 13: ...elect menu 2 Press the Control key 9b to enter submenu 3 Press the Control key 9a to select parameter 4 Press the Control key 9b to highlight parameter value 5 Press the Control key 9a to select param...

Page 14: ...ck Config Sets clock Date Format Year Month Date Hours Minutes Seconds Back light Config Sets display light and light brightness 0 Off 1 Normal 1 2 Bright AutoLNK Config Automatically establishes a wi...

Page 15: ...d event with no description displayed Pressing the Event Type key brings up the following selection menu BS 0 47 CSI Event types 1 Induction Intubation Maintenance The following options event descript...

Page 16: ...QI to fall to 50 Sensor Impedance The impedance of the white and black sensors is continuously measured and displayed in Display Mode E Low sensor impedance values typically between 1 and 3 k are esse...

Page 17: ...ing when icon animates Battery fully charged if not animated LINK Signal Symbol An icon labelled LNK in Display Mode E indicates the state of the data transfer connection via the CSM Link For further...

Page 18: ...are used to define two energy ratios called alpha and beta Both of these show a shift in energy content from the higher to the lower frequencies during anesthesia The relationship between these quant...

Page 19: ...wsy 4 60 80 Light anesthesia or sedation 3 40 60 Range considered as adequate for surgical anesthesia 2 1 10 40 Deep anesthesia in most cases accompanied by burst suppression 1 0 10 Close to coma BS b...

Page 20: ...erence When this happens attention must be paid to the stimuli received by the patient during surgery In the presence of hypnotically unrelated EMG administration of a neuromuscular blocking agent wil...

Page 21: ...serted the monitor is switched off when the external CSM Power is removed There is no internal back up battery in the monitor Note The clock is powered by an internal battery with a limited life minim...

Page 22: ...erated while the CSM battery is charged If power is disconnected the CSM will continue running on the CSM battery Electrical Operation Only The CSM can be operated on mains with the CSM Power with or...

Page 23: ...he CSM Link The following data is recorded CSI BS EMG Sensor impedance SQI EEG CSM automatically saves the last 18 hours of data and a maximum of 10 cases independent of the state of the wireless link...

Page 24: ...er On key twice within one second 2 Highlight release using Event key 8 3 Press Set Event key 6 to disconnect CSM radio is inactive The radio is reactivated by pressing the Power On key 1 twice or the...

Page 25: ...urrent 0 01 A Battery Rechargeable NiMH or 9V Alkaline 6AM6 IEC 6LR61 ANSI 1604A Supply current 30mA typical Max battery lifetime Alkaline 30h stand alone 18h transmitting wireless Max battery lifetim...

Page 26: ...ing condition it is important to keep it clean and carry out the routine maintenance procedures described below There are no serviceable parts in this instrument and all service is to be carried out b...

Page 27: ...ure and if available use the original packaging for protection Fuses Disposal The monitor should be disposed of taking into consideration environmental factors local laws and regulations All component...

Page 28: ...nsor impedance too high If sensor impedance is 5k the CSI BS and EMG will be blanked displayed Check that neuro sensors are not dry Check that the skin has been cleaned properly Clean and prep skin as...

Page 29: ...by some opioids analgesics In the presence of hypnotically unrelated EMG administration of a neuromuscular blocking agent may cause the CSI to decrease Communication POWER indicator on CSM Link does...

Page 30: ...neuro sensor Pay attention if the monitor is connected to a patient connected to other equipment The total of leakage current may exceed the allowable limit and cause a possible hazard to the patient...

Page 31: ...se and service for a period of ninety 90 days from the date of delivery by Danmeter to the first purchaser If any product requires service during the applicable warranty period the purchaser should co...

Page 32: ...Service and Contacts For service please contact Danmeter or the appropriate service or distribution center to obtain a unique Service ID number for the CSM Before returning the device for service plea...

Page 33: ...Cerebral State Monitor CSM DFU Page 29 Notes...

Page 34: ...s including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Guidance and manufacturer s declarati...

Page 35: ...d IEC EN 61000 4 8 3 A m Not Applicable Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE UT is the a c powe...

Page 36: ...smitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compl...

Page 37: ...iated RF disturbances are controlled The customer or the user of the CSM can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications e...

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