Natus Medical Incorporated
Cerebral Function Monitor
CFM Olympic BrainZ Monitor Reference Manual Rev 04 Aug 2019
Reference Manual
41 Pages
Preview
Page 1
Reference Manual
Caution: Federal Law (U.S.) restricts this device to sale or use by or on the order of a physician (or properly licensed practitioner). © 2019 Natus Medical Incorporated. All rights reserved. This manual may not be reprinted or copied in whole or in part without written consent from Natus Medical Incorporated. The content of this manual may change without notice. Natus Medical Incorporated Excel-Tech Ltd. (XLTEK) 2568 Bristol Circle Oakville, Ontario L6H 5S1 Canada Telephone: 1-800-303-0306 (US/CAN) Worldwide: +1-650-802-0400 Technical Service +1 800 303 0306 Technical Service Fax +1 650 802 8680 E-mail: [email protected] Customer Service +1 800 303 0306 Customer Service Fax +1 650 802 6620 E-mail: [email protected] International Support - Please contact your local Distributor. Distributor locations can be found at www.natus.com
EU Representative Natus Manufacturing Limited IDA Business Park Gort, Co. Galway Ireland
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TABLE OF CONTENTS
INTRODUCTION... 3 About This Manual ... 3 Who Should Read This Manual ... 3 Intended Use ... 3 Essential Performance ... 4
SAFETY INFORMATION... 4 Explanation of Terminology ... 4 General Safety Information ... 4 Symbol Definitions ... 8 Terms and Abbreviations... 11
OLYMPIC BRAINZ MONITOR SYSTEM OVERVIEW ... 12 Touch Screen Monitor ... 12 DAB ... 12 Connecting Cables ... 12 Roll Stand ... 13 Other Items ... 13 User Interface Screen ... 13
ASSEMBLY INSTRUCTIONS ... 13 Olympic Brainz Monitor Packaging ... 14 Assembling the Roll Stand ... 14 Attaching and Connecting the Components... 17
PREPARING THE OLYMPIC BRAINZ MONITOR FOR FIRST USE ... 19 Starting and stopping the Olympic Brainz Monitor ... 19 Setting up the Olympic Brainz Monitor... 20 Changing the Language ... 20 Setting System Date and Time ... 20 Activating and Configuring Detectors ... 21 Selecting the Graphs to Display ... 21 Configuring Archive and Export Locations ... 21 Checking for Normal Operation ... 22 Adjusting screen brightness and audio volume ... 22
USING OLYMPIC BRAINZ MONITOR COMPONENTS ... 23 Moving the Olympic Brainz Monitor ... 23 Adjusting the Touch Screen Monitor Position ... 23 Using the Accessory Basket ... 24 Managing Cables ... 24
RESTORING A SESSION AFTER AC POWER INTERRUPTION ... 24 USING THE ONLINE HELP SYSTEM... 25
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THE OLYMPIC BRAINZ VIEWER ... 25 System Requirements... 26
MAINTENANCE ... 27 Checking for Normal Operation ... 27 Cleaning ... 27 Routine Maintenance ... 28 Weekly Maintenance... 28 Quarterly Maintenance ... 28 Annual Maintenance ... 28 Calibrating the Olympic Brainz Monitor... 29 Upgrading software ... 29 Servicing ... 30
SPECIFICATIONS ... 31 General Specifications ... 31 Display... 31 Accessory Basket ... 31 Power Supply (External) ... 31 EEG Specifications ... 31 Computed Parameters... 31 Display Modes ... 32 DAB Specifications ... 32 Environmental Specifications ... 32
STANDARDS COMPLIANCE AND NORMATIVE REFERENCES INFORMATION ... 33 Regulatory Standards of Compliance and Normative References ... 33
DECLARATION OF COMPLIANCE FOR IEC 60601-1-2 EDITION 4.0 ... 34 Electromagnetic Emissions ... 34 Electromagnetic Immunity ... 34
DECLARATION OF COMPLIANCE FOR FCC ... 36 REPLACEMENT PARTS ... 37 AUTHORIZED SERVICE CENTERS ... 38 United States ... 38 Outside U.S... 38
APPENDIX A: ASSEMBLING THE TABLE STAND ... 39
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Introduction About This Manual This manual contains information that you need to assemble, configure, and safely operate the Natus Olympic Brainz Monitor (OBM). For instructions about operating the Olympic Brainz Monitor, applying a neonatal sensor set, and checking for signal quality, see the Quick Start topic in the Olympic Brainz Monitor online Help. Important! It is important that you read the Quick Start section in the Olympic Brainz Monitor Help before you use the neonatal sensor set.
Who Should Read This Manual All users of the Olympic Brainz Monitor should read the Olympic Brainz Monitor Reference Manual, particularly Safety Information on page 4.
Intended Use The Olympic Brainz Monitor (OBM) is a three channel electroencephalograph (EEG) acquisition system intended to be used in a hospital environment to record, collect, display and facilitate manual marking of aEEG recordings.
The signals acquired from P3-P4, C3-P3 and C4-P4 channels are intended for use only with neonatal patients (defined as from birth to 28 days post-delivery, and corresponding to a postconceptual age of 24 to 46 weeks) to display aEEG for monitoring the state of the brain.
The signals acquired from P3-P4 channel is intended to assist in the assessment of Hypoxic-Ischemic Encephalopathy severity and long-term outcome, in full term neonates (post-conceptual age of 37-46 weeks) who have suffered a hypoxicischemic event.
The RecogniZe seizure detection algorithm is intended to mark sections of EEG/aEEG that may correspond to electrographic seizures in only the centro-parietal regions of full term neonates (defined as from birth to 28 days post-delivery and corresponding to a postconceptual age of 37 to 46 weeks). EEG recordings should be obtained from centro-parietal electrodes (located at P3, P4, C3 and C4 according to 10/20 system). The output of the Recognize algorithm is intended to assist in post hoc assessment of EEG/aEEG traces by qualified clinical practitioners, who will exercise professional judgment in using the information.
The Background Pattern classification algorithm is intended for neonatal patients, defined as from birth to 28 days post-delivery, and corresponding to a post-conceptual age of 37 to 46 weeks, in clinical environments such as the intensive care unit, operating room, and for clinical research.
To analyze and identify background patterns in aEEG, including continuous and discontinuous activity, burst suppression, low voltage, and inactive patterns. The aEEG must be obtained from a pair of parietal electrodes located at positions corresponding with P3 and P4 of the International 10/20 System. The output of the
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background pattern classification algorithm must be reviewed and interpreted by qualified clinical practitioners. The Olympic Brainz Monitor does not provide any diagnostic conclusion about the patient's condition.
Essential Performance This device is defined as continuous-use EEG equipment. Locating the equipment near a source of electromagnetic interference may result in degradation of recorded EEG data. If EEG data appears noisy, move the device farther from the source of the interference.
Safety Information Explanation of Terminology This manual presents three types of precautionary information. The three types of statements carry equal weight; that is, they are of equal importance to the safe and effective use of the device. Each statement is categorized by using an introductory word in boldface as follows: Warning! Identifies conditions or practices that might present danger or possible injury to the patient and/or user. Important! An instruction provided to help ensure correct clinical results and provide quality assurance to the device’s procedures. Caution: An instruction that, if not followed, can result in a condition that could damage the device. Note: Information in this category is not considered precautionary, it is background information provided to clarify a particular step or procedure.
General Safety Information Before using the Olympic Brainz Monitor, read all sections of this manual carefully. Observe all precautions to ensure the safety of the patient and those near the instrument. In addition, please refer to your hospital policy and procedure for EEG administration. Warnings! Explosion hazard
Do not use the Olympic Brainz Monitor in a flammable atmosphere (for example, where concentrations of flammable anesthetics may be present).
Electrical shock hazard
Do not open the enclosures of the touch screen monitor or DAB, especially when they are connected to the AC supply outlet.
Do not attempt to connect or disconnect the Olympic Brainz Monitor’s AC supply cable with wet hands. Make certain your hands are clean and dry before touching the AC supply cable.
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Disconnect the Olympic Brainz Monitor from any AC supply outlet before cleaning. Do not use liquid or spray detergents.
Take care to avoid spilling liquid into any opening in any part of the Olympic Brainz Monitor. Do not submerge any component in liquid. This may cause fire or electrical shock.
AC Supply Outlet
Class 1 Device “WARNING: To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.” If a three-wire, grounded supply outlet is not available, do not operate the Olympic Brainz Monitor. Note: US only: Grounding reliability can be achieved only when the Olympic Brainz Monitor is connected to a supply outlet marked “Hospital Only” or “Hospital Grade.”
User is not to position ME equipment in such a way as to make it difficult to operate the disconnection device.
Supply Voltage
Make sure the supply voltage is correct before connecting the Olympic Brainz Monitor to the AC supply outlet.
Power Cable
Position the AC power cable so that it will not be stepped on or rolled over by wheeled equipment.
Mounting on Roll Stand
The Olympic Brainz Monitor utilizes a certified medical panel PC designed to accommodate the standard VESA 75/100 mm mounting configuration. When assembled as noted in the Technical Reference Manual and attached to the optional roll stand (PN OBM00003) it is tested to meet the standards stated in this manual. It is the customer’s responsibility to correctly assemble and attach the Olympic Brainz Monitor (PN OBM00401) to the roll stand or any other mounting solution that meets the same standards.
Loading of Accessory Basket
The accessory basket attached to the Olympic Brainz Monitor Roll Stand is designed to carry a load of no more than 4-1/2 lbs. (2 kg). Do not apply a load exceeding this amount. To ensure stability, the accessory basket must be mounted within 32” (80 cm) of the floor.
Loading of Roll Stand
The roll stand is designed to carry a load equal to the standard Olympic Brainz Monitor components and any Natus-recommended optional accessories. Do not apply a load exceeding the sum weight of these items.
Transporting the Olympic Brainz Monitor
Before moving the Olympic Brainz Monitor, lower the touch screen monitor to its lowest position on the roll stand and lock it firmly in position.
Use with High Frequency Electrosurgical Equipment
Do no connect the Olympic Brainz Monitor to the patient while using diathermy/electrosurgery or defibrillation equipment on the patient
Use with MRI or CT Scanners
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Do not use the Olympic Brainz Monitor in the vicinity of MRI or CT systems.
Personal Injury Hazard
Ensure that the touch screen monitor is securely mounted on the roll stand to avoid personal injury.
Patient strangulation hazard
To minimize the risk of patient strangulation, position the DAB so as to minimize any risk of the cables becoming wrapped around the patient’s throat.
Use of Accessory Equipment
Use of accessory equipment that is not approved by Natus Medical Incorporated or that does not comply with safety standards equivalent to those met by the Olympic Brainz Monitor may lead to a reduced level of safety of the resulting system or failure of the Olympic Brainz Monitor to operate correctly.
Connection to Accesory Equipment
Accessory equipment connected to any accessory port of the touch screen monitor unit (including USB ports and Ethernet connections) must be certified to applicable IEC standards (IEC 60950 for data processing equipment and IEC 60601-1 for medical equipment). All configurations shall comply with the medical electrical systems standard IEC 60601-1-1. Anyone who connects additional equipment to such an accessory port configures a medical system, and is responsible for ensuring that the system complies with the requirements of the medical electrical systems standard IEC 60601-1-1. If in doubt, contact an Authorized Service Center or Natus Medical Incorporated. Note: Ethernet connections and associated network infrastructure must not exceed levels as defined in 60950-1.
Network cables must be less than 3 meters in length.
Indications for Servicing If any of the following situations occurs, stop using the Olympic Brainz Monitor immediately and have it checked by your healthcare institution’s service personnel.
The AC supply cable or attachment plug is damaged.
The equipment has been exposed to moisture.
The equipment does not work well, or does not work in the way described by this document.
The equipment has been dropped and damaged.
The equipment has obvious signs of breakage.
Care when Touching Patient
Do not touch any exposed metal parts at the rear panel of the touch screen monitor unit (including connectors) while simultaneously touching a patient.
Electrical Stimulator Hazard
Do not use the Olympic Brainz Monitor simultaneously with electrical stimulators.
Electromagnetic Immunity
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Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally.
Use of accessories, transducers and cables other than those specified or provided by the manufacturer of this equipment could result in increased electromagnetic emissions or decreased electromagnetic immunity of this equipment and result in improper operation.
Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the OBM Olympic Brainz Monitor , including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result. Note: The Olympic Brainz Monitor is intended for use in an electromagnetic environment in which radiated Electromagnetic disturbances are controlled; proper precaution should be taken to prevent adverse events to Patient and Operator. Olympic Brainz Monitor can help prevent electromagnetic interference by maintaining a minimum distance of 30 cm (12 inches). Cautions:
Read All Documentation
Read this document, and any other operating instructions or other documentation packed with the Olympic Brainz Monitor, carefully before operating the instrument in a clinical setting. Keep this document for future use.
Do Not Autoclave
Do not autoclave any component of the Olympic Brainz Monitor, as serious and irreversible damage may result.
Ventilation
Do not obstruct the passage of air behind or around the touch screen monitor or block the ventilation inlet holes at its rear.
Indoor Use Only
The Olympic Brainz Monitor is intended for indoor use only.
Conductive Parts
Do not allow the conductive parts of the electrodes and associated connectors, including the Reference (or neutral) electrode, to contact other conductive parts, including ground, while the Olympic Brainz Monitor is being used for a monitoring session.
Electrostatic Discharge
Pins of connectors identified with the ESD warning symbol shall not be touched.
Disconnection of Cables or AC Supply
Do not disconnect any of the cables connecting the Olympic Brainz Monitor’s components, operate the power switch, or disconnect the AC supply, while the Olympic Brainz Monitor is in use. If any of these conditions occurs accidentally,
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reconnect the cables (if necessary) and resume the current recording session. See Restoring a Session after AC Power Interruption on page 24. Cleaning the Olympic Brainz Monitor
Do not clean with concentrated bleach, corrosive chemicals, or abrasive cleaning compounds.
Servicing the Olympic Brainz Monitor
Do not open the enclosures of the touch screen monitor or DAB for any reason. If any component is faulty, contact your healthcare institution’s service personnel or an Authorized Service Center. See Authorized Service Centers on page 38.
Disconnect when not in Use
If the equipment is not to be used for a long time, disconnect it from the AC supply outlet to avoid damage by transient over-voltage.
Electromagnetic Compatibility The Olympic Brainz Monitor complies with the electromagnetic compatibility requirements of IEC 60601-1-2 along with particular standard requirements of IEC 60601-2-26. Operation of the device may affect, or be affected by, nearby equipment, due to the effects of electromagnetic interference. If this happens:
Increase the separation between the Olympic Brainz Monitor and the other device.
Reroute the device cabling.
Plug the devices into AC supply outlets on separate circuit branches.
Operation of the Olympic Brainz Monitor may be affected by mobile and portable RF communications equipment. Refer to the Olympic Brainz Monitor Technical Manual (027051) for further compliance information and advice relating to electromagnetic interference.
Symbol Definitions Symbol
Standard Reference IEC 604175009 IEC 604175031
Standard Title Graphical symbols for use on equipment Graphical symbols for use on equipment
Symbol Title
Explanatory Text
Stand-by
Standby (power on/off)
Direct current
Direct current
IEC 604175334
Graphical symbols for use on equipment
Defibrillationproof type BF applied part
Defibrillation-proof type BF applied part equipment
ISO 7010M002
Graphical symbols - Safety colours and safety signs Registered safety signs
Refer to instruction manual/booklet
Refer to operating instructions manual
Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols
Operator's manual; operating instructions
Operating instructions
Caution
Caution
ISO 70001641 ISO 70000434A
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Symbol
Standard Reference ISO 7010W001
21 CFR 801
EN 50419
Standard Title Graphical symbols - Safety colours and safety signs Registered safety signs Title 21 – Food and Drugs – Chapter 1 – Food and Drug Administration, Department of Health and Human Services (Continued) – Subchapter H – Medical Devices – Part 801 – Labeling Marking of electrical and electronic equipment in accordance with Article 11(2) of Directive 2022/96/EC (WEEE)
Symbol Title
Explanatory Text
General warning sign
Warning
Rx Only
US only: Caution: US federal law restricts this device to sale by or on the order of a physician
WEEE markings
EU only: Do not dispose of the Olympic Brainz Monitor as unsorted municipal waste
IEC 604175021
Graphical symbols for use on equipment
Equipotentiality
Equipotentiality
ISO 70003650
Graphical symbols for use on equipment - Registered symbols
Universal Serial Bus (USB), port/plug
USB (e.g., connection to the DAB, USB flash drive, etc.)
Manufacturer
Manufacturer
Authorized representative in the European Community
Authorized representative in the European Community
Date of manufacture
Date of manufacture
Use by date
Use-By-Date
Batch code
Batch code
Catalogue number
Catalogue number
Serial number
Serial number
Negation symbol
Product was not made with natural rubber latex
ISO 70003082
ISO 152231 Clause 5.1.2
ISO 70002497 ISO 70002607 ISO 70002492 ISO 70002493 ISO 70002498
ISO 152231 Annex B.2
Graphical symbols for use on equipment - Registered symbols Medical devices - Symbols to be used with medical device labels, labelling and information to be supplied Part 1: General requirements Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Medical devices - Symbols to be used with medical device labels, labelling and information to be supplied Part 1: General requirements
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Symbol
Standard Reference ISO 70001051 ISO 70002606 ISO 70000624 ISO 70000626 ISO 70000623 ISO 70002620 ISO 70002621 ASTM F2503 Table 1 Symbol 3
Standard Title Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Graphical symbols for use on equipment - Registered symbols Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment
Symbol Title
Explanatory Text
Do not re-use
Do no re-use
Do not use if package is damaged
Do not use if package is damaged
Keep away from sunlight
Keep away from sunlight
Keep away from rain
Keep dry
Temperature limit
Temperature limit
Humidity limitation
Relative humidity limit
Atmospheric pressure limitation
Atmospheric pressure limitation
MR Unsafe
Not safe to use in an MR environment
Disposal of Equipment: When the equipment comes to the end of its operating life, it should be disposed of in accordance with local waste regulation authority, which is typically within the local government office.
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Terms and Abbreviations The following table describes the terms and abbreviations used on the Olympic Brainz Monitor and its packaging, or in this manual and other documentation. Term or Meaning Abbreviation AmplitudeA time-compression technique for presenting long EEG integrated recordings, using an asymmetrical filter, peak detector, rectifier, electroencephalogr and semi-logarithmic amplifier. aph (aEEG) Any electrical signal from an extra- cerebral source (for example, Artifact electrode or cable movement, AC supply noise, ventilator noise). In this document, the term session refers to an examination of a Session patient’s EEG activity using the Olympic Brainz Monitor. A complete system for the amplification and conditioning of Channel electrical signals from two or more electrodes. The DAB contains the interface between the low-level analog signals detected by the neonatal sensor set and the digital processing software of the Olympic Brainz Monitor. The DAB also Data acquisition contains the medical isolation circuitry used to protect both the box (DAB) patient and the instrument in the unlikely event of an electrical fault. The DAB is normally positioned close to the patient, often hung at the side of an incubator or cot. Conductor applied over, or inserted into, a region of the scalp to Electrode detect electrical activity of the brain. Electroencephalogr Medical electrical equipment used to produce graphical recordings aph (EEG) and/or a visual display of electrical activity of the brain. The number of complete cycles of repetitive waves in one second, Frequency measured in Hertz (Hz). The opposition to the flow of an electric current through a conductor, which gives a measurement of the quality of contact Impedance between the electrode and scalp. Impedance is measured in kOhms (kΩ). Neonatal sensor A proprietary, non-invasive, self-adhesive sensor array used to set collect EEG signals from a neonate’s brain. Reference An electrode used as a reference point for the suppression of electrode interfering signals detected by other electrodes or their cables. A serrated line at the top of the skull that is the junction of the two Sagittal suture parietal bones. Tragus The prominence in front of the external opening of the ear. Electro Static Discharge – Electro static discharge is defined as ESD the transfer of electro static charges between bodies at different potential caused by direct contact or induced by electro static field.
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Olympic Brainz Monitor System Overview The Olympic Brainz Monitor, a Cerebral Function Monitor (CFM), is a three-channel electroencephalograph (EEG) that detects and records small electrical signals from both hemispheres of the patient’s brain.
Figure 1: Olympic Brainz Monitor System
Touch Screen Monitor The touch screen monitor processes the digital signal from the data acquisition box (DAB) and displays the results on a touch-screen unit that allows you to control the Olympic Brainz Monitor. The touch screen monitor is equipped with a medical-grade power supply.
DAB The DAB converts the EEG signals from the sensors to digital form for processing. The DAB also contains circuitry that protects both patient and equipment in the unlikely event of an electrical fault.
Connecting Cables The DAB is equipped with a permanently affixed USB 2.0 cable that provides a data circuit between the DAB and the touch screen monitor. The USB 2.0 cable also provides the DAB with DC power.
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Roll Stand The roll stand provides an adjustable mounting platform for Olympic Brainz Monitor components and accessories. The roll stand features an adjustable pole, lockable wheels, and an accessory basket.
Other Items Other items supplied with the Olympic Brainz Monitor include the following:
Data transfer accessories for transferring files to removable media.
Literature and software that describe how to assemble and use the Olympic Brainz Monitor.
Disposable starter materials to help you learn how to apply a neonatal sensor set.
Other items that can be used as optional accessories include the following:
Printer (recommended: network printer).
User Interface Screen The main user interface screen appears when you turn on the Olympic Brainz Monitor. This screen displays the graphs, including aEEG, EEG, and Impedance. For more information about these graphs, see online Help. By touching the buttons displayed at the bottom of the screen, you can access the major functions of the Olympic Brainz Monitor. The functions you can control from the main user interface screen are:
Patient - Examine previously recorded sessions, create a new session, and update patient information for the current session.
Markers - Add markers, navigate through a session to specific markers, and use manual scoring tools to mark regions of the session for background patterns and suspected seizure activity.
Reports - Create snapshots of a session, print snapshots, and export session data in comma-separated value (CSV) or European Data Format (EDF+) format so that it can be imported into various data analysis tools.
Tools - Manage session data, import sessions from and export sessions to external media such as USB flash drives and network locations, manage session archiving, configure various display settings, exit to the maintenance utility, and shut down the Olympic Brainz Monitor.
Help - View the Help system for conceptual and procedural information.
Start and stop session recording.
Assembly Instructions Note: Read this section as you unpack the Olympic Brainz Monitor from its shipping packaging and before you begin to assemble the device.
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Olympic Brainz Monitor Packaging Depending on final configuration the Olympic Brainz Monitor is supplied in the following separate packages:
A large, narrow box that contains the roll stand components (extendable pole, base with casters, power adapter/cable cleat, accessory basket assembly, and tilt mounting bracket).
A wide box that contains the touch screen monitor.
A small box that contains the DAB with integrated USB 2.0 cable.
A package that contains the AC power cable.
A package that contains the RecogniZe Seizure Detection Software Kit,
A small box that contains Olympic Brainz Monitor documentation, the Olympic Brainz Viewer CD, a box of sensors, and a sensor application kit.
Assembling the Roll Stand Stage 1: Unpacking the components
1. Unpack the components of the roll stand onto a large flat work surface. Keep the contents of each carton separate.
2. Check the cartons carefully for fastenings and accessories (normally packed in small plastic bags). Stage 2: Attaching the accessory basket Warning! To ensure stability, the accessory basket must be mounted within 32” (80 cm) of the floor.
1. Clip one of the plastic mounting brackets onto the long side of the accessory basket with the extra horizontal reinforcing. See Figure 2 on page 15.
2. Slide the mounting bracket up the vertical ribs of the accessory basket. 3. Clip the other mounting bracket directly underneath the first one and slide into position.
4. Locate the extendable pole. 5. Slide the accessory basket onto the bottom of the extendable pole, positioning it on the lower part of the pole, within 32” (80 cm) of the floor.
6. Tighten the two Phillips screws to fasten the accessory basket to the extendable pole.
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Figure 2: Assembling the accessory basket Stage 3: Attaching the base to the extendable pole
1. Insert the bottom end of the pole in the base, ensuring that the locator pin is seated in the slot provided.
2. Lay the roll stand on its side on an empty, flat work surface. 3. Align the two mounting holes in the foot pedal assembly with the two threaded mounting holes in the bottom of the pole, ensuring that the foot pedal is positioned between two legs of the base. See Figure 3 on page 15.
4. Using the 3/16” hex key, fasten the pedal assembly to the pole with the two 1/4-20 x 3/4” socket head cap screws.
5. Turn the roll pole upright and check that the roll stand is steady. If it is unsteady, retighten the socket head cap screws.
Figure 3: Assembling the base Stage 4: Attaching the AC power and adapter cable cleat Attach the two parts of the power adapter/cable mounting bracket to the extendable pole and tighten the two Phillips screws. See Figure 4 on page 16.
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Figure 4: Attaching the power adapter/cable mounting bracket Stage 5: Attaching the handle Attach the two parts of the handle assembly to the extendable pole and tighten the two Phillips screws. See Figure 5 on page 16.
Figure 5: Attaching the AC handle Stage 6: Attaching the tilt mounting bracket
1. Place the tilt mounting bracket on top of the extendable pole and position it on the side facing the basket. Tighten the three Phillips screws. See Figure 6 on page 17.
2. Affix the adhesive plastic screw cover to the top of the tilt mounting bracket. 3. Tighten the tilt adjustment lever.
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Figure 6: Attaching the tilt mounting bracket
Attaching and Connecting the Components Stage 1: Attaching the touch screen monitor Warning! Before attaching the touch screen monitor, ensure that the height adjustment knob and the tilt adjustment lever are firmly tightened. The touch screen monitor is packaged in a separate carton.
1. Unpack the touch screen monitor and remove the plastic wrapping. Place the touch screen monitor face down on a clean, smooth work surface.
2. Locate the four M4 x 16mm screws packaged with the tilt mounting bracket. 3. Attach the VESA mounting adapter to the back of the touch screen monitor using the four M4 x 16mm screws. See Figure 7 on page 17.
Figure 7: Attaching VESA mounting adapter to the touch screen monitor
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4. Thread two M4 x 8mm screws into the two top threaded holes of the VESA mounting plate, leaving 4mm of thread exposed. See Figure 8 on page 18.
5. Slide the tilt mounting bracket on the roll stand such that the slots slide under the screw heads. Note the roll stand is not shown to simplify the Figure. Thread the two screws through the two holes on the bracket into the monitor. See Figure 8 on page 18.
Figure 8: Attaching VESA mounting adapter to the touch screen monitor
6. Fully tighten all the screws. Stage 2: Connecting the components Using the Figure 9 on page 19 as a guide, connect the:
DAB to the touch screen monitor using the DAB’s integrated USB 2.0 cable (by using one of the four USB 2.0 ports on the back of the touch screen monitor or one of the two USB ports located under the side panel).
Power adapter to the touch screen monitor.
Note: An equipotentiality terminal is provided to optionally connect to a hospital ground/earth system.
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