natus Otometrics ICS Chartr 200 VNG/ENG Скачать руководство пользователя

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Collect Patient Data

4.1

Step 14

VNG – Center and Focus the Video Image

A. Click the

New Test

tab on the Main Window and choose the eye(s) to be tested.

B. Click

F7 Video Adjust

to display the Video Adjustments dialog.

C. Adjust the eye image.

1. Ask the patient to look straight ahead.

2. Move the goggles to center and level the pupils. Make sure the pupils are inside the boxes, as close to the center

as possible.

3. Tighten the back head strap until the goggles are snug. The goggles should fit securely so they will not move dur-

ing positional testing.

4. 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 horizontal

and vertical positioning
knobs to center each pupil
image.

6. Use the goggle focus knobs

to focus each image.

7. Repeat as needed to center

the pupils and focus the eye
images.

Note

•

For monocular testing, only the selected eye will be visible. If testing both eyes, make sure both eye images dis-

play, both pupils are centered, and both eye images are in focus.

D. Use the goggle controls (knobs) if needed to align the patient’s eyes and focus the image while the patient looks

straight ahead.

Otometrics - ICS Chartr 200 VNG/ENG

4 Collect Patient Data

Содержание Otometrics ICS Chartr 200 VNG/ENG

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

Страница 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...

Страница 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...

Страница 4: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

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

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