Neural Function Measuring System MEE-1000A 16/32 ch. Intraoperative Monitoring System

Transcription

1 Neural Function Measuring System MEE-1000A 16/32 ch. Intraoperative Monitoring System

2 Neural function monitoring during operation for safer surgery For more than 60 years, healthcare providers worldwide have relied on the quality and reliability of Nihon Kohden s comprehensive and innovative line of neuro-diagnostic and neuro-monitoring instruments. Nihon Kohden uses its half century experience in neurology to develop dedicated instruments for intraoperative monitoring which offer the most flexible and comprehensive recording. 2

3 Multi-modality Monitoring In addition to various stimulation such as electrical, audio, and photic stimulus, high voltage stimulation equipment with remote control is optionally available. Flexible multi-modality monitoring is required for intraoperative monitoring for example, multiple monitoring of SEP/efferent pathway and tcmep/efferent pathway, and ABR/auditory nerve function and facial nerve mapping and spontaneous EMG. Spinal Cord Function Motor and Sensory Function Cranial Nerve Function Ischemia Optic Nerve Function Frexible programming with combination of monitoring protocols 3

4 Intraoperative Mo 16 and 32 channel amplifiers You can select from 16 or 32 channel amplifiers to acquire waveforms. 64 inputs breakout boxes The Neuromaster utilizes small and compact breakout boxes for waveform acquisition and stimulation. These individual breakout boxes can be placed either at the head or foot of the OR bed to help eliminate extension cords and long electrode wires. The 16-channel amplifier can use either 1 or 2 breakout boxes for a total of 32, 40 or 48 inputs. The 32-channel amplifier uses up to three breakout boxes for a total of 64 inputs Breakout Box Up to 22 sites stimulation pods The JS-101B stimulation pod has 5 stimulation outputs (0 ma-100 ma). Four stimulation pods can be connected to provide up to 20 stimulators. The JS-102B stimulation pod is designed for low level stimulation (0 ma- 10 ma in 0.1 steps). Up to 2 low level pods can be connected x2 Stimulation Pod Up to 22 stimulation sites are freely controlled with an optional extension unit MS-110B. Flexible layout of recording and stimulation electrodes Breakout box A Left upper limb stimulation SSEP C3-Fz Right upper limb stimulation SSEP C4-Fz Left lower limb stimulation SSEP Cz-Fz Right lower limb stimulation SSEP Cz-Fz Left Right Stimulation pod A Left Median nerve stimulation Right Median nerve stimulation Breakout box B Left Thenar muscles EMG Left Tibialis anterior muscles EMG Breakout box B Right Thenar muscles EMG Right Tibialis anterior muscles EMG Stimulation pod B Left Tibialis posterior nerve stimulation Right Tibialis posterior nerve stimulation Breakout Boxes and Stimulation Pods 4

5 nitoring Solution Options Extension Unit, MS-120BK When connect to the Neuromaster, the extension unit can output high or low current pulses to measure evoked potentials. Camera Capture Unit, QI-120A Images during operation can be attached to the waveforms. Microscope images can be displayed using a QI-120A camera capture unit. By capturing images synchronized with measurements, the images of operation in stimulation can be stored simultaneously. This is especially useful in functional mapping. Extension Unit MS-120BK Internal Control You can check the progress status of operations in real time. 5m Amp Unit JB-132B Extension Unit MS-110B 5

6 Flexible Workflow Solutions NeuroWorkbench is the core integrator of Nihon Kohden s neurology product portfolio. This common interface allows for examination scheduling, protocol administration and data management that improve workflow. NeuroWorkbench provides HIPAA compliant access to clinical data and records with passwords and three levels of administrative rights, as well as audit trails. A flexible NeuroWorkbench option includes an HL7 interface. The NeuroWorkbench SQL Database integrates all of Nihon Kohden s neurology devices to provide a complete database across all neuro-diagnostic and monitoring modalities. Menu Window for IOM Examination Open IOM examination screens using the examination protocol menu. Menu Tabs Up to 8 catagory tabs with 10 programs per tab for a total of 80 preset examination programs Data Manager Tab Database files Copy, move and delete files Patient database with search and query function Workbench Tab Scheduler Remote access Review patient files Waterfall/ Trendgraph Window Waterfall window DSA graph Baseline, current and previous EP and TcMEP waveforms Graph of measurement data EEG data in CSA or DSA graphs Current display or look-back mode Ability to hide unwanted waveforms Linear graph of measurement data (latency, amplitudes, frequency, etc.) Event page Numeric values of measurement data Trendgraph window Event Window Displays time and comments 50 preprogrammed events Free text on the fly Capture patient image with inputting events Editing events Event window 6

7 Software EP Window Up to 32 EP waveforms in 16 display areas Baseline, current and previous waveforms Latency and amplitude measurements All channel or individual channel control Auto sequence: automatically start, stop, and restart Displays montage, time, average/reject counts, intensity Step back feature allows removal of noisy average Live video display from microscope and slave monitor or camera Snapshot saves one frame of patient image as a JPEG file EP window Live video display EEG Window Displays up to 32 channels of EEG Store continuously or periodically Span can be adjusted in window Layout in monitoring, stack or side by side for easy comparison Stimulation is available Turn waveforms on or off from window EEG window Free-run (EMG) Window Displays up to 32 waveforms Turn on or off waveforms from window Store continuously or periodically Layout in monitoring, stack or side by side for easy comparison Stimulation is available Printouts Print hardcopy/screen copy Print event list, trendgraphs, EEG, EMG or waterfall waveforms and numeric data Make a PDF file and save with the patient data file, and eliminate the need for paper 7

8 Specifications Amplifiers Number of channels: JB-116B: 16, JB-132B: 32 Sensitivity Low-cut filter High-cut filter Maximum number of connectable breakout boxes (Maximum total number of input jacks): Input impedance: Noise: Common mode rejection ratio: EP/free-run waveform: EEG waveform EP/free-run waveform: EEG waveform: EP/free-run waveform: JB-116B: 2 (48 channels), JB-132B: 3 (64 channels) >100 MΩ (Differential mode), 1000 MΩ (Common mode) 3 μvpp or less at 1 Hz to 3 khz with input shorted 106 db (Balanced mode), 112 db (Isolation mode) 0.05, 0.1, 0.2, 0.5, 1, 2, 5, 10, 20, 50, 100, 200, 500 μv/div, 1, 2, 5, 10, 20, 50 mv/div ±5% 5, 7, 10, 15, 20, 30, 50, 70, 100, 150, 200, 300, 500, 750, 1000, 1500, 2000, 3000, 5000, μv/div ±5% 0.08, 0.1, 0.2, 0.5, 1, 2, 5, 10, 20, 30, 50, 100, 200, 500 Hz, 1, 2, 3 khz 6 db/oct (±20%) 0.08, 0.16, 0.27, 0.53, 1.6, 5.3, 53, 159 Hz at 6 db/oct (±20%) Time constant: 0.001, 0.003, 0.03, 0.1, 0.3, 0.6, 1, 2 s 10, 20, 50, 100, 200, 500 Hz, 1, 1.5, 2, 3 khz at 12 db/oct (±20%), off EEG waveform: 15, 30, 35, 60, 70, 120, 300 Hz at 12 db/oct (±20%) AC interference notch filter: 50 or 60 Hz (Rejection ratio: < 1/20) Amplitude calibration: 1 div (within ±5%) Skin-electrode contact impedance check: 2, 5, 10, 20, 50, 100, 200 kω indication (within ±20%) System Composition PC unit (laptop or desktop), QP-100BK System Program installed Main unit, DC-110BA Amp unit, either JB-116B (16 channels) or JB-132B (32 channels) Breakout boxes, JB-101B (16 electrode jacks) and/or JB-102B (24 electrode jacks) Stimulation pods, JS-101B (5 stimulation outputs) and/or JS-102B (low stimulation output) Options Camera Capture Unit, QI-120A Consumables Extension Unit, MS-110B Extension Unit, MS-120BK NCS Disposable Electrodes, 0.2 m H694A NM-317YS 1.8 m H694B NM-314YL NCS Disposable Electrodes, 1.8 m H693 NM-310Y Electric Stimulator, SEN-4100 Headphones, Y849A DR-531B-14 LED Goggles, LS-102J Earphones, YE-103J NCS Disposable Electrodes, 1.0 m (single) NE-110B 1.5 m (single) NE-115B 2.0 m (single) NE-120B 2.5 m (single) NE-125B 1.5 m (twisted pair) NE-215B 2.0 m (twisted pair) NE-220B Disposable Spinal Electrodes, 2 pole H902B NM-212B 3 pole H903B NM-213B NeuroWorkbench is a registered trademark of Nihon Kohden Corporation Citrix is a registered trademark of Citrix Systems, Inc. LogMeIn is a registered trademark of LogMeIn, Inc. Windows is a registered trademark of Microsoft Corporation This brochure may be revised or replaced by Nihon Kohden at any time without notice CAT.No CLB. A Printed in Japan