natus Otometrics ICS Chartr 200 VNG/ENG Installation And Startup Manual Download Page 1

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ICS Chartr 200 VNG/ENG

Installation and Startup Guide

Doc. No. 7-26-3000-EN/11

Part No. 7-26-30000-EN

Summary of Contents for Otometrics ICS Chartr 200 VNG/ENG

Page 1: ...ICS Chartr 200 VNG ENG Installation and Startup Guide Doc No 7 26 3000 EN 11 Part No 7 26 30000 EN...

Page 2: ...trics the Otometrics Icon AURICAL MADSEN Otoscan ICS and HORTMANN are registered trademarks of Natus Medical Denmark ApS in the U S A and or other countries Version release date 2019 05 15 213483 Tech...

Page 3: ...or Testing 15 4 Collect Patient Data 18 5 Review and Analyze Collected Data 28 6 Print a Patient Report 43 7 System Options and Settings 48 8 Maintenance and Troubleshooting 51 9 Safety 55 10 Manufact...

Page 4: ......

Page 5: ...vides information on setting up the hardware This guide is organized as follows Prepare System for Data Collection Prepare Patient for Testing Collect Patient Data Review and Analyze Collected Data Pr...

Page 6: ...g Alternate Click the Start button on the Taskbar Select Programs Otometrics Chartr 200 VNG ENG for Windows C Click New to prepare the system for a new patient record Patient Selection Dialog Box Note...

Page 7: ...uired 4 Type the patient s Address City State Zip Code postal code Country Telephone Number Identification such as a Medical Record Num ber etc 5 Click the q and select the Operator If your name is no...

Page 8: ...ysician If not listed click Info and go to Step 8 Add a Referring Physician 13 3 Click the q and select a Referring Facility If not listed click Info and go to Step 9 Add a Referring Facility 13 4 opt...

Page 9: ...o see another question 3 Click Eye Movement Examination and select an option Click Next to see another question 4 Click Ear Examination and select an option Click Next to see another question 5 Click...

Page 10: ...k New 2 Type your Last Name required First Name required Address City State Zip Code postal code Country Telephone Number Identification such as a work ID etc 3 Click OK C Go to Step 2 Start a New Pat...

Page 11: ...c Save Caloric Countdown Timer x secs Automatic Analysis Automatic Analysis Display Automatic Waveform Filtering Maximum Saccade Latency x Omit GN Logo from Printed Report 4 Select the Operator Specif...

Page 12: ...0 3 Click on a to show the protocols listed under a pro cedure 4 Click on a protocol or procedure to highlight it 5 Click the Insert button to move the highlighted protocol to the selected test protoc...

Page 13: ...record and return to the Patient Information dialog C Go to Step 3 Select a Referring Physician and Facility 8 item A3 Referring Facility 2 9 Step 9 Add a Referring Facility Referring facility records...

Page 14: ...ta A Study each area of the Main Window VNG ENG Main Window with Patient Data A Title bar B Menu bar C Toolbar D Waveform Display Area E Eye image area F Function keys G Status bar H New Test Review t...

Page 15: ...ectrode Placement 4 channels Horizontal both HB red blue Vertical right VR orange white Vertical left VL orange white Horizontal right HR red black Horizontal left HL blue black Note For 2 channel rec...

Page 16: ...n the New Test tab then click F7 Electrode Test B Read the status of each active electrode and channel Electrode Test Dialog Box 1 Check each electrode connection 2 Check mV or K Ohm values 3 Click OK...

Page 17: ...ack of the patient s head below the inion bump on the lower part of the skull Replace worn head straps See the User Manual VNG Video Goggles A Fine focus adjustment knob Turn this knob to fine tune fo...

Page 18: ...Straighten and tighten the top head strap to assist in positioning the goggles on the patient s face and positioning the pupils in the box Video Adjustments Dialog Box Both Eyes 5 Use the goggle horiz...

Page 19: ...pieces that hold the mirror E Click the Auto Adjust button to move the slides automatically until the pupils begin tracking Video Adjustments Dialog Box One Eye F Go to Step 15 VNG Fine Tune the Vide...

Page 20: ...to manually adjust the threshold brightness and contrast to improve the quality of the tracking Video Adjustments Dialog Box 1 Drag the Threshold A slider slightly up or down until the pupil tracks pr...

Page 21: ...e New Test tab on the Main Window and select a protocol B Position the patient in front of the light bar C Click F6 Range to activate the range sensor Range Dialog Box Range Distance in feet inches an...

Page 22: ...n a sign to show the hidden protocols Click on a sign to show only the procedure name B Choose the eye s and the protocol prior to calibrating 1 Choose the eye s to be tested on the toolbar Eye Button...

Page 23: ...without moving his her head The targets are 10 They do not extend to the end of the light bar D If using Monocular VNG click F9 Switch Eye to select the eye to be tested The eye that is grayed out is...

Page 24: ...l Comment G Use F5 Enlarge and F6 Shrink to adjust the calibration if you are unable to recalibrate or recollect data Enlarge will increase the size of the waveform and Shrink will reduce it These adj...

Page 25: ...ch to remotely start or restart the video recording A Click on a protocol on the New Test tab B Click F12 Start to begin data collection C Use the function keys during data collection Function Keys Du...

Page 26: ...ocol B Click F12 Start to begin data collection and display the Video Recording Control dialog C Click the Record button to start the video recording Note You may also use the optional footswitch to s...

Page 27: ...r remaining time B Click Restart button to discard any recorded video and to begin video recording Click Stop button to stop recording video E Click the Stop button F Click F12 Save to save the collec...

Page 28: ...Expand a session A 3 Click on a protocol to select it B Click a sign to expand a list Click a sign to collapse a list Bold text indicates primary status res ults will be included in the patient repor...

Page 29: ...ded in the patient report and only the four bolded caloric tests are included in the caloric summary display and the calculations A Select the Review tab and click on a secondary not bold protocol B S...

Page 30: ...dle indicates the channel H Horizontal V Vertical ST Stimulus HR Horizontal Right HL Horizontal Left VR Vertical Right VL Vertical Left A gray handle indicates data was collected for the channel but n...

Page 31: ...ion keys to work with the calibration waveforms Function Keys Calibration Review F3 Original Calib Return to the original calibration F5 Enlarge Increase the gain of the waveform F6 Shrink Reduce the...

Page 32: ...and Analysis F2 Reanalyze Discard the current results F3 Delete Analysis Remove the outlined saccade F5 Enlarge Increase the gain of a tracing in relation to the target F6 Shrink Reduce the gain of a...

Page 33: ...area is the abnormal area Notes The saccade being examined corresponds with the outlined data point in the Velocity Accuracy and Latency win dows Use the waveform handle on the Amplitude chart to move...

Page 34: ...g Review and Analysis F2 Reanalyze Discard the current results F3 Delete Analysis Remove the outlined cycle F5 Enlarge Increase the gain of a tracing in relation to the target F6 Shrink Reduce the gai...

Page 35: ...result The shaded area on the Tracking Gain chart represents normative data Use this information to compare the aver aged responses The shaded area is the abnormal area E Click F12 Save F Go to Step...

Page 36: ...k Computes the average of the highest SPVs in the 10 second window at the current cursor location F7 Delete Delete the SPV beat measurement F8 Insert Accept a new SPV value for the beat F9 Close Close...

Page 37: ...he velocity measuring line to measure the slow phase of a beat Press the arrow keys to raise and lower the line Press Ctrl and Ctrl to change the angle of the line Press F8 Insert to enter the new SPV...

Page 38: ...k values in Information Area E Press F12 Save to save the analysis F Go to Step 28 Analyze Caloric Test Results Pod and Butterfly Views 39 38 Otometrics ICS Chartr 200 VNG ENG 5 Review and Analyze Col...

Page 39: ...s shown if the option is selected in the Operator Settings Test Battery tab Butterfly view two intersecting lines represent cool and warm stimulations Vertical axis slow phase velo city Horizontal axi...

Page 40: ...aseline Up Move the green baseline up on the tracing F6 Move Baseline Down Move the green baseline down on the tracing F7 Set Baseline Accept the new baseline position F9 Close Close this analysis F12...

Page 41: ...ck F4 PODS Butterfly then click F3 Interpret Tests to view the analysis Caloric Test Interpretation Dialog results within normal range 1 Click Paste to Report to copy the results into the patient repo...

Page 42: ...on Test Interpretation Dialog results within normal values 1 Select Horizontal or Ver tical Nystagmus to gen erate results for the selected channel 2 If no technical errors are found click Paste To Re...

Page 43: ...ort to open the word processor B Review the patient report and complete the results section Patient Report in the Word Processor 1 Place the cursor in the report and make changes as needed 2 Click Fil...

Page 44: ...used each time the operator prints a report A Select Setup Report from the Main Window to display the Report Setup dialog Report Setup Dialog Box 1 Click on a procedure 2 Click Edit Saccade Tracking...

Page 45: ...Deselect remove protocol from high lighted box New Page add a new page to the report Clear Page remove all protocols from this page Defaults load the system suggested page layout for this procedure Mo...

Page 46: ...rt Dialog Box 1 Select options to include in the report A A or means an option is selected 2 Select to print Raw Averaged or Raw and Aver aged views of Saccade and Tracking analysis data in the report...

Page 47: ...a temporary waveform report A Click the Review tab select a protocol then select a waveform B Click F9 Copy Waveform to display the Custom Page dialog Custom Page Dialog Box Selected waveform display...

Page 48: ...pe the test site facility information System Options Workstation Settings Tab Facility Information 1 Select the Workstation Settings Tab 2 Type the requested information Practice Name Street Address C...

Page 49: ...w Size 4 Select Show Database Size Warn ing at Startup option 5 Select Order Tests in Review Tab by Test Date Time 6 Select Video Settings Goggle Model See goggle label for Fixation Light Left Eye Rig...

Page 50: ...DT Inter face Tab 2 Select Program Language 3 Select Peak Frequency Calculation Peak Frequency Calculation Caloric Frequency Butterfly 4 Select the German GDT Interface Set tings 5 Select the GDT Loca...

Page 51: ...omponents Cleaning and disinfecting should be done before placing the goggles on the patient Note Follow all of the cleaning procedures in this section to avoid damaging the goggles Face cushion Clean...

Page 52: ...Goggles housing The housing is made of molded PVC material Never spray or immerse the goggles components with the cleaning solu tions This could contaminate the electronics and or optics To clean 1 Mo...

Page 53: ...ed Contact your supplier if the target and signal wave forms do not mirror each other D Repeat for each channel E Press F9 Cancel to exit the calibration mode and end the test Note If the self test pa...

Page 54: ...the Database repair utility Close all open pro grams then click Start on Taskbar and select Accessories System Tools Disk Cleanup If this does not solve the problem it may be necessary to use the Dat...

Page 55: ...ICS Chartr 200 VNG ENG is CE marked according to the Medical Devices Directive 93 42 EEC The switch alternates between On and Stand by mode Green the switch is On pushed in and the USB connection uni...

Page 56: ...trument Note 3 Do not use the instrument in the presence of flammable anesthetics gases Note 4 Unwanted noise may occur if ICS Chartr 200 VNG ENG is exposed to a strong radio field Such noise may inte...

Page 57: ...k to be exposed to power surges or electrical shock Note 18 Otometrics ICS Chartr products are not designed to be used in conjunction with any devices not approved by Otometrics Summation of combined...

Page 58: ...ustments modifications or repairs are carried out by the equipment man ufacturer or personnel authorized by the manufacturer The electrical installation to which the equipment is connected complies wi...

Page 59: ...surement of eye movement as small as 10 V can be observed on the PC display Typical voltage measurement from a human eye is typically between 100 and 400 V A gain of 500 is used to amplify the input s...

Page 60: ...erformance Analysis Software Data base Storage of Test Data Sophisticated Patient and Test Data Management Additional Capabilities See through for External Targets Vision denied for Testing in Complet...

Page 61: ...goggles 0 4 kg 14 5 oz Operating Mode Warm up time 2 min Mode of operation Continuous Operating Environment Temperature 15 C to 35 C 59 F to 95 F Rel Humidity 30 to 90 non condensing Air Pressure 600...

Page 62: ...EN 60601 1 Class II Type BF IPXO Power Supply EN 60601 1 Class II IPXO System EN 60601 1 1 EMC EN 60601 1 2 Accessories and Cables Chartr 200 Starter Kit Nuprep 4 oz tubes pkg 3 1 tube sup plied in s...

Page 63: ...straight 7 08 07503 CD Mains Cord HO5VV CHI 7 08 07504 Power cable standard w Schuko plug 8 71 240 Power cord DK w plug 8 71 290 Power cord UK w plug 8 71 80200 Power cord AUS w plug 8 71 82700 Power...

Page 64: ...ied below The user of ICS Chartr 200 VNG ENG should ensure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 ICS Chart...

Page 65: ...to earth 1 kV line s to line s 2 kV line s to earth Mains power quality should be that of a typical commercial or hospital envir onment Voltage dips short inter ruptions and voltage variations on pow...

Page 66: ...ufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF trans mitters as determined by an elec tromagnetic site survey a should be less than the compliance lev...

Page 67: ...a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum out...

Page 68: ...oting 51 sec tion in this guide Warning Connection of parts other than those supplied for this instrument by Otometrics can degrade the per formance and safety of the system 12 1 ICS Chartr 200 Back P...

Page 69: ...tient cable 10 Cable to loopback test fixture 11 ICS Chartr 200 power cord to DC power supply AC DC converter 12 DC power supply Friwo FW7362M 15 cable to hospital grade outlet 13 Powertronix isolatio...

Page 70: ...collection 9 OK 10 New Test tab Review tab 11 Next test 12 Previous test 13 Electrode impedance video adjust auto adjust 14 Event marker 15 Eyes open marker 16 Vision denied marker Note Refer to the...

Page 71: ...ts Step23Dummy numberusedforsteps inotherprojects Step24Dummy numberusedforsteps inotherprojects Step25Dummy numberusedforsteps inotherprojects Step26Dummy numberusedforsteps inotherprojects Step27Dum...

Page 72: ...12 Installation 72 Otometrics ICS Chartr 200 VNG ENG...

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