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DOMINO Version 2.5.0 additional service manual for new - S-MED

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1. 27 23 2 DAVY OV CIC W sto eesgnectdeeceenencce orr r INERENTE a 27 24 Declaration of compatibility for Windows 7 eerren 30 Medical Devices for Seep Diagnostics and therapy SOMNO medics 1 Selection of TxLink and ADC board for montages For the use of TxLink and the ADC board it is possible to save these external boxes for individual montages Choose the desired montage inside the Montage Editor and activate the checkbox for the corresponding external box that is supposed to be recorded Analysis template a Analsas Profiles ka Raw Data Profiles v LJ V Online Mode ON Cont Impedance Edemal box TADC Me TxLink While preparing an Online recording the selected external box is automatically activated for the corresponding montage Additionally the last used settings of IP address and selected channels for the external box are provided 2 Calibration of external ADC board channels For ease of use of the ADC board the calibration of the external channels recorded by the ADC board can take place during the preparation of online recordings After selection of the corresponding montage with ADC board connection press button Settings to open the window for the settings of the external channels External box aoc Here you can define the number of external channels to be recorded the corresponding channel description the signal type and the sampling rate Medical Devices for Seep Diagnostics and therap
2. o lt Medical Devices for Seep Diagnostics and therapy SOMN O medics 11 New analysis channel RR interval For detailed investigation of cardiac parameters there is the new analysis channel RR interval which indicates the time interval between the R waves of two heartbeats After right click into the analysis frame choose Select channel to open the channel selection menu EL IE Fa wh Sleep Profile 0 7 Schlaf Events APY PSG PTT BiPAP Delta FFT aine Save Profile as Sigma FFT Select channel Behr 55 min Nore AF All 4dd Raw Data Channel Add Ref Gnalysis Channel View Add Calc Analysis Channel Questionable Stage Define Lights OFF Define Lights On Averaging Print Analysis Pressure Snore Pressure Flow Inside the channel selection choose channel RR Interval and confirm your choice with OK Channels Leakage Flow Light Cheyne Stokes Leakage w Spindle frequency Unify channel height Analysis channel RR Interval will now be displayed inside the analysis frame Ay TT TT For further analysis the calculated RR intervals are also available for export as text file via ASCII In order to export the RR interval data choose main menu point File gt Export Analysis Data gt Data ws ID a Medical Devices for Seep Diagnostics and therapy SOMN O medics Mode Tools Reports View Help a N O der Spen 2 30 g
3. Re open Close Fast Stark Online Recording i Save aS i Ti Delete Inter Scorer Variability Export Raw Data d Export recording to DOMINO viewer M Print Exit The frame Export will open where you can define the export path of the exported data and the desired sampling rate ie Export Export Path _ Export to own subfolder Filename ASL Export 2 Com Felts Recordin a r O User Areas Channel name Export rate Manual delta Default RA lnteryal Default Spindle frequency Default 12 Short time masking of EXG channels During movement artefacts or EMG bursts signals often superpose EEG channels and therefore handicap the analysis of EEG signals at these time points see picture below 3 Medical Devices for Seep Diagnostics and therapy SOMN O medics zh Maa pAn RATA at bid AEA I A meha r aeaa aranna MRC nelle MRE EO To guarantee a good view of EEG channels over the whole recording time it is possible to temporarily fade out the superposing channels To do so inactivate the checkbox red dot in picture below inside the channel description As a result the corresponding signal won t be displayed as long as the checkbox is inactivated F w MN i ath j J f i A AY ij C342 a fi j Y A Y h C4 A si F 13 Display of correlative blood pressure and flow events In order to allow the analysis of blood pressure events in regard to res
4. in the upper right corner of the opening dialogue i Open Recording che Reopen PSG Diagnostik Recording from 14 12 4005 Number Last Name First Name DOE Patient ID Stari Duration Sire Anah sed Archived Source 2 PSG Diagnostik 29 10 1952 14 12 2005 2342 DSS ag Online PSG Note the indexing function is only available for folders that are included in the folder list button Add folder to list in the opening dialogue Recordings that are copied manually without using the copy or move to function of the software won t be automatically displayed in the opening dialogue for use of the indexing function Here a refreshing of the opening dialogue is required which can be carried out iO by simply ticking the indexing icon Sh 7 Automatic elimination of ECG signals in EEG channels In the case that leads for EEG recordings are poorly applied ECG signals are present within the EEG and therefore hamper automatic or manual analysis of the EEG signal In order to remove these undesired ECG signals an automatic elimination via wavelet transformation is available There are three different ways to activate the wavelet ECG elimination 1 Open the local preferences of the recording by choosing Preferences inside the main menu point Tools Then choose tab Filter Here checkboxes are available for every recorded EEG channel After activation of the corresponding checkboxes and confirmation
5. L Blood pressure Day Night C Position blood pressure _ Position Report Summary E PESBISPEES SSJI EREA E HEES Preview 16 Medical Devices for Seep Diagnostics and therapy SOMN O medics Inside this report the percentage of recording time for that the blood pressure MAP or pulse is exceeding defined values is displayed in column gt Limit red boxes in picture below Blood pressure Day Night Total re port Day report Day Might report Syst 21 Diast 30 Pulse O00 MAP 12 PP 182 In order to make this report part most flexible the limits for the blood pressure report can be defined be the user Limits for calculation of systolic diastolic blood pressure mean arterial pressure MAP and pulse power PP can be set inside the settings of the PTT analysis Go to tab analyses of the global preferences and select PTT analysis Here the button Limit hypertension is available and opens the equally named window where the limits for the mentioned parameters can be defined Bloodpress Calibration f Fingerclip Site On Finger Right BP mm Hga Max Blood press mm Hg Reference press mm Hg Systolic 298 154 j 250 n Diastol 235 150 a ALAA Events Min Change mmHg Report step an 4 4 m1 Pa La Medical Devices for Seep Diagnostics and therapy SOMN O medics To edit the limits regarding the calculation of the pulse select heart rate analy
6. Global Preferences eT eer Display Online Mode Folders_ Channels Analysis Analysis Channels Fiter Raw Data Profiles Analysis Profies Keys Markers Area de gt SOMNOscreen plus EEG 10 Profile scoring FSG referenziert Profile online FSG Rohdaten Profile Name Default Timebase 30 5 IIC Defaut EEG Hook up C Fhoto Ext EOGLAT EOGrA1 C3 A2 iP SG reference PSG Rohdaten Respiratoriech schlaf referenziert Schlaf Rohdaten EEG 10 20 Deine as defaut poe Sconng Define as defaut profis Onine A A Medical Devices for Seep Diagnostics and therapy SOMN O medics The data profiles defined as default profiles for scoring or online recording are indicated in the upper display of tabs Raw Data Profiles and Analysis Profiles indicated with a red and blue box in the picture 5 Retaining the last display settings After closing recordings are usually re opened in the standard view Additionally it is possible to re open recordings with the last chosen settings selected channels channel settings tool bar To open recordings with the last chosen display settings activate checkbox Use last saved record view within tab Display of the global preferences ni Global Preferences f m fx _ Folders _ Channels Analysis Analysis Channels Filter Faw Data Profiles Analysis Profiles Keys Markers Area definition User Dat
7. Obstructive Central Mixed Undefined Pome ee a Apnoea index o iia a ed 7 ae ae Hypopnoea index 8 1 4 008 0 3 15 25 1525 Enma 50a 18 New channel spindle frequency and new spindle report As it could be shown the occurrence of spindles is learning dependent To allow the analysis of occurrence of spindles during sleep a new analysis channel spindle frequency and a new spindle report was added In analysis channel spindle frequency all automatically and manually scored spindles are displayed The overall averaged spindle frequency is displayed beside the channel name while the average frequency and duration of single spindles is displayed inside the yellow info box of the mouse cursor 4 7 l IL Stadium 2 n 38 7 AV ala dink li i andadi nf adan conid dh ET fl PT 13 2 AY sir nin tin a Lote ee E U ee Spindie frequency 13 1 Hz 0 8 3 Additional to the new analysis channel the spindle report was added This report part is available inside the report selection The spindle report gives a detailed overview of number and index of spindles for the different sleep stages Additionally the average number of spindles per epoch is displayed as well as the calculated average spindle frequency To complete the report the source used for spindle analysis is indicated in the upper right corner of the spindle report 20 Medical Devices for Seep Diagnostics and therapy SOMN O medic
8. count db dd Rows count Column width mm Row height mm ili FF ail i Column offset mm db lab Row offset mm After confirming with OK define the position of the table inside the report via a click with your mouse 19 2 Editing of text fields In order to write into text fields the corresponding text field has to be activated by ticking it with the mouse cursor As soon as the text field is activated the text can be edited To provide a user friendly way of editing text fields inside the custom report options for mark ups of text fields are available inside the menu bar Here the font can be edited as well as the justification of b 19 the text field and the mark up options bold italic or underline are available i Create custom report Iel eal sae Se Be a ae Ago ad Be oe Pe 7 ne Ee u es 19 3 Taking parts of the standard report as custom report For the case that only few points of the standard report should be added or edited it is possible to transfer the whole standard report to a custom report template For that tick icon Standard report inside the window Create custom report and select the desired report parts that should be use as custom report Medical Devices for Seep Diagnostics and therapy i Create custom report ME Select Report User Data Patient Data Sleep Report Arousal Report Delta Progression Function S
9. is displayed Additionally the values of blood pressure pulse and SpO2 are indicated in table format for every one minute interval Tilting table report systolic Diastol MAP Ce ee eee noo cas Teg oo pe aaz O ee oe aia iai mm Hg 100 n ET a SRM a cate a l 5 G0 14 00 EEE 13 40 58 148 186 73 g2 13 42 58 150 186 75 g3 43 44 58 154 187 70 g2 13 46 58 154 188 70 q3 17 Indication of obstructive central hypopnoeas in the report It is possible to distinguish between obstructive and central hypopnoeas events during manual scoring In order to make this information available for the report too the respiratory report was extended with report part Respiratory Type This report part can be selected for the respiratory report inside the report selection 19 Medical Devices for Seep Diagnostics and therapy SOMN O medics Ware coy O it N Select Report We User Data Patient Data Sleep Repot Deta Progression Function E Respiratory Report H Respiratory short C Respiratory full C Respiratory distribution For the report Respiratory type the number and index of obstructive central and undefined hypopnoeas is displayed as well as the number and index of obstructive central mixed and undefined apnoeas to give an excellent overview of the different types of occurring respiratory events
10. recording pleth signal with 16 Bit resolution choose PlethHi as signal type for the corresponding montage inside the montage editor and confirm the montage by ticking the save button Medical Devices for Seep Diagnostics and therapy SOMN O medics Description Signal Type Sampling A SpO0 Finger sensor E SP02 SP02 4Hz x Puls Pulse 4He Y Pleth 128Hz2 Lage 4 Hz X Licht PlethHi i Akku Accu 4He v ke Hardware ID Firmware HE per Hour 15 1 Compression Analysis template Raw Data Profiles a Online Mode ON Cont Impedance Notice For recording of 16 Bit pleth signal the latest firmware E07 and brazing of a new resistance within the hardware is required for devices with a SN before SSP2573 If you like to use the 16 Bit recording of pleth signal please contact our Service support to arrange the required firm and hardware updates 4 Providing separated raw and analysis data profiles In the case that separated profiles of analysis data and raw data are required for recording and scoring data profiles can be defined as default profiles both for scoring and recording Select your desired profile within the tabs Raw Data Profiles and Analysis Profiles of the global preferences and tick button Define as default profile Scoring to define the selected profile as default profile for scoring For defining a chosen profile as default profile for recording tick button Define default profile Online
11. the desired analysis and editing of the analysis parameters confirm with OK to use the new settings for online analysis _24 Medical Devices for deep Diagnostics and therapy SOMN O medics 21 Defining camera positions for the High End camera For the use of the High End camera with optical zoom different camera positions can be created inside the camera set up of the AXIS Module Open the AXIS module and open the setup menu by ticking button Setup in the upper menu bar AXIS 214 PTZ Network Camera Live View Setup Help Next choose PTZ Configuration in the left menu column Basic Configuration Video amp Image Audio Live View Config PTZ Configuration Preset Positions 30 TOU eit L Advanced Control Queue Event Config System Options About Here you can define 1 different camera positions and add 2 these positions to the list of available camera positions 3 AXIS 214 PTZ Network Camera Live View Setup Help Preset Positions O Preset Position Setup Current position 1 C use current position as Home 2 Available positions 3 total H v total H e Return te home when inactive 0 300 seconds 0 disabled ec Playing Motion JPEG m ga Enn Oo PAN Left Koll T i l i gt Right Home SE P tele cerlpanal zoom wide 25 Medical Devices for Seep Diagnostics and
12. with OK the EEG signals will be re calculated resulting in ECG free signals Medical Devices for Seep Diagnostics and therapy SOMN O medics i Preferences Analysis Channels Analysis Channels Faw Data Profiles Analysis Profiles Keys Markers Default Template yl Highpass Lowpass Motch ECG Elimination oszen a3 hoo 7 CEG W 1 3 Si wv 300 3 E AVEXG6 pa a mM ao 2 J F3 EXG 10 oja al m lao j E Right click onto the channel description to open the channel menu and choose Display filter settings rp A Channel settings 01 Hide Channel Display Filter settings w Clear signal Differential view mn DI The menu for the display filter settings will be opened Activate checkbox ECG elimination and confirm by ticking the green check mark in the upper right corner Filter Al xIx Highpass Lowpass Motch ECG Elimination wt Accept Displayed Filter Settings for all EEG channels Use these values for the analysis Open the raw data menu by right click onto the raw data frame and select menu point Change reference source Inside tab ECG Elimination all recorded EEG channels are available and can be selected for ECG elimination Medical Devices for Seep Diagnostics and therapy SOMN O medics rat Change Reference Source ECG Elimination Analysis Source Cancel Illustration of EEG signals before and after use of the ECG wavelet transformatio
13. Medical Devices for Seep Diagnostics and therapy SOMN O medics DOMINO Version 2 5 0 additional service manual for new features Medical Devices for Seep Diagnostics and therapy SOMNO medics Table of contents 1 Selection of TxLink and ADC board for montages 0 oo ceeeeeeeeeees 3 2 Calibration of external ADC board channels ccccccccccccceessseeeeeeeeeees 3 3 16 Bit solution for Pleth Signall 00000 oc ccceecsccecceceecessssssseeeeeeeeseseeaaes 4 4 Providing separated raw and analysis data profiles ee 5 5 Retaining the last display SettingS 0 0 0000 ec ccccccecceeeeeeeeeeeseststtssseeees 6 6 Accelerated opening of files in the opening dialogue 6 7 Automatic elimination of ECG signals in EEG channels 000000 0 7 8 Acoustic replay of EEG signals 0 0 0 0 ccccccccsssssceeeeceececesessessseeeeeeeeens 10 9 Colour coding for classified arousal eeeeeerrrreeserrrrrrrrrsssrrrrrn 10 10 Selection Edit Mode for Thorax Abdome0 ccccccccccccceesseceeeeeeetnneeees 11 11 New analysis channel RR interval eerrrrssrsssssssssrerrrrrrrrerrsrssssssss 12 12 Short time masking of EXG channels 000000000 0 ccccecssccceccecesesessnnsees 13 13 Display of correlative blood pressure and flow events 14 14 Display of the sleep profile reliability after manual scor
14. a Report Display Online Mode l M Always use default settings for measurement Display the Min Max limits for Raw Data Analysis Channel Display Fiter Settings for Raw Data o gt fy Jee last saved record view 6 Accelerated opening of files in the opening dialogue In order to accelerate the opening of record folders in the opening dialogue the so called indexing of measurements can be used When using this function an additional SomnoSearch ini file will be generated for every folder that is added to the folder list The SomnoSearch ini file contains all parameters that are displayed in the opening dialogue like patient name patient ID date of birth and so on During opening of the corresponding record folder the parameters saved in the somnosearch ini file will be read at a first step resulting in an accelerated way of opening folders in the opening dialogue To make use of the indexing function activate checkbox Use indexing of measurements in tab Folders of the global preferences m Global Preferences Report Display Filter Raw Data Frotiles Il Folders Analysis Protiles Channels Analysis pi Analysis Channels n Medical Devices for Seep Diagnostics and therapy SOMN O medics M Use indexing of measurements C SOMNOmedics Somno Screen measurement FE CASOMNO OmedicsSomno Screen archives bF Use of the indexing function is indicated with the indexing icon
15. ady existing test sites can be deleted or renamed by doing a right click onto the corresponding test site Add test site Rename testing site Delete testing site In order to assign patients to a test site the patient s entry can be moved to the desired test site using Drag n Drop In order do edit and prepare entries for recording do a right click on the corresponding entry to open the entry menue and choose edit entry Add test site room 2 Edit entry mom 3 Start online recording Initialise Flash Card Now the frame Edit entry opens providing an overview of the pateint s data in the upper half of the window and the oppurtunity to prepare the PSG recording in the lower window part 28 Medical Devices for Seep Diagnostics and therapy SOMN O medics Sy olf Edit entry P E Patient ID First Name Mat Male 18 08 1965 fl Age 46 Yearis 0 Female Weight ka 30 3 BMifkg m4 24 7 Visiting time Note 31 10 2011 08 00 Arranged meeting V Prepare recording Test site room Montage SSC Plus PSG Thennistor lt 10 jh Video Bet ADC template enema Here you can insert or edit the data for the visiting time choose the test site and select a desired montage from the Drop Down menu Additionally you can define the recording time and if video recording is planned In the case that external channels are recorded using the ADC Boar
16. d predefined ADC templates can be selected from the drop down menu If there are important factors to which attention should be paid e g patient is having a pace maker there is the opportunity to write a note After completion of editing the entry all the filled data are available inside the daily overview 29 Medical Devices for Seep Diagnostics and therapy SOMN O o medics U Somno scheduler Update Filter Auto processing 31 Oktober 2011 Month Month Week Week Daily overview ee bai a To provide a detailed overview of all patients with prepared recordings for the current day all the relevant data like test site patient name arranged time montage ADC template Video recording and note can be printed in a list using the button Print in the upper right corner of the Daily overview Finally all prepared recordings can be directly started from the scheduler s entry menu by a right click on the corresponding entry and ticking Start online recording The recording will then start with the selected montage using the last set video and device IP according to the test site Add test site Print eens ie 3 Edit entry Start online recording Initialise Flash Card 24 Declaration of compatibility for Windows 7 Functionality of DOMINO software version 2 5 0 was tested and verified for operation system Windows XP and Windows 7 Professional 64 Bit We hope you enjoy using these n
17. e the raw dat with your mouse cursor and tick the loop button F Playback a8 Source CAA x Speed Es x J Play iff 9 Colour coding for classified arousals For optimal visualization and differentiation of events of channel arousal classification a colour coding key was added inside the channel name A Arousal R Respiratory Arousal P PLM Arousal D Desaturation Arousal C Cardiac Arousal Snore Arousal 10 Medical Devices for Seep Diagnostics and therapy SOMN O medics we Class 1 2 AT ARPDCS Classfication Arousals Score Max 10 Min 0 i 10 Selection Edit Mode for Thorax Abdomen For the use of the selection edit mode both the channels effort thorax and effort abdomen are available for scoring of flow events Choose the Selection Edit Mode inside the main menu point Mode After marking the corresponding area inside channel effort thorax or channel effort abdomen a list with possible flow events will be displayed After selection of one event type from the list the corresponding flow event will be displayed for the accordant analysis source Flow Analysis Hypopnoea Flow Analysis Obstructive Apnoea Flow Analysis Central Apnoea Flow Analysis Mixed Apnoea Puls AY Flow Analysis Flow Limitation Flow Analysis Obstructive Hypopnoea Flow Analysis Central Hypopnoea Flow Analysis RERA Flow Analysis Apnoea si Tmin HAA
18. ent k Time 22 04 16 2 06 53 22 08 56 ee led 2216 47 zalea 22957 2220 57 eee lie CENEGA IE ee 24 08 22 31 40 2233 09 22 arD 22 40 13 2240 43 lt Description Hypopnoea 13 Flow Limitation 12 Flow Limitation 13 Flow Limitation 9 3 Flow Limitation 16 Hypopnoea 75 s Flow Limitation 117 Flow Limitation 13 Flow Limitation 18 Flow Limitation 34 Flow Limitation 38 Flow Limitation 14 Flow Limitation 26 Flow Limitation 23 Flow Limitation 10 Flow Limitation 9 3 By ticking the list icon mak Desaturation 4 2 71 0s Spontaneous Systolic 12 mm Ha 12 0 PTT Drop 21 ms 12 0 Spontaneous Systolic 12 mmHg 5 4 PTT Drop 20 ms 5 43 PTT Rise 26 ms 3 53 PTT Drop 22 ms 6 33 Snore Systolic 12 mm Hg 3 9 Acceleration 20 bpm 13 6 Ss Snore Systolic 16 mm Hg 4 12 Limitation Systolic 13 mm Hg 6 3 Arrhythmia 58 bpm 0 6 Desaturation 4 870s Limitation Systolic 19 mm Ha 4 18 PIT Crop 24 ms 4 13 Spontaneous Systolic 15 mmHg 6 PIT Rise 23 ms 6 2 Arrhythmia 49 bpm 0 7 Desaturation 5 32 3 PTT Rize 20 ms 6 93 Spontaneous Systolic 22 mm Hg 3 92 PTT Drop 20 ms 43 PTT Drop 26 ms 3 92 Spontaneous Systolic 13 mm Ha 3 42 s 4 in the upper right corner of the opened frame Analysis Events the event list can be displayed at the very right side of the main window in a discrete wa
19. ew features and welcome your comments 230
20. ing 16 15 Advanced Blood Pressure Report neerrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrsrs 16 16 Tilting table report aseticcescarasserteeccocaniecoisvntscsasat etacsteassiewe acatsaennmnensetiatanrtensosrontiacsad 18 17 Indication of obstructive central hypopnoeas in the report 000 19 18 New channel spindle frequency and new spindle repott 0 0 0 20 19 New Features for the Custom Repotlt 0 0 0 cc cccccececceseseeessesseneeees 21 19 1 Creating tableS 0 0 ccc ccc cece eee eee e cece eee n eee e ee ee eases eeeaaaeeeeeegaeeeeeeas 21 19 2 Editing of text fieldS 0 cece cece cece cece eee e eee eeeeeee teen eeeenaneees 22 19 3 Taking parts of the standard report as custom report cece eee ees 22 20 Online FROG OF CUNO ic scpce ere poet dee sere nse era seem edd sata nese emaeeneercbheedee 24 20 1 Display of the Camera IP cccc cc cce eee e cece ee enna eee eeenaeeeeeeesaeeeeeees 24 20 2 Editing analysis parameters during online recording ccceeeee ee eens 24 21 Defining camera positions for the High End camera 25 22 Defining video areas for the HD Camera 00ccccccccccccccccceesssssteeeeeeeeeeens 26 23 Advance d lave od g 16 0 gape e ne eee ene ee ee ee eee 27 23 1 Differentiation between scheduled and non scheduled patients
21. lready scheduled patients displayed in pink and non scheduled patients displayed in green together To distinguish between scheduled and non scheduled patients function Non scheduled entries can be ticked with the result that only patients without an arranged check up date will be displayed U Somno scheduler Update Filter Auto processing All entries ps vonn h Enn PEELED entries F eee Mittwoch 26 09 201 1 27 09 2011 26 09 2011 05 10 2011 12 10 2011 19 10 4011 26 10 2011 01 11 2011 02 11 2011 23 2 Daily overview To provide an optimal overview of patients planned for the current day the scheduler provides tab Daily overview All entries for the current day are displayed in the left part of tab daily overview At the right part of tab daily overview the available test sites are present In order to create and add test sites tick Button Add test site 1 SIT a Medical Devices for Seep Diagnostics and therapy SOMN O medics i U Somno scheduler Update Filter Auto processing lt lt 31 Oktober 2011 Month Week Daily overview Another window will open where you can define the name of the different test sites for example room 1 After confirming with OK the created test site will be present inside the daily overview 2 Add test site Insert the name of the test site Cancel Alre
22. n EEG signal after removing ECG signal from channel A1 using wavelet transformation Medical Devices for Seep Diagnostics and therapy SOMNO medics 8 Acoustic replay of EEG signals In order to make the detection of special EEG patterns like spike bursts easier the software provides the possibility of an acoustic replay and analysis of signals The acoustic replay is available with function Playback of the raw data s pop up menu Define Lights Off Define Lights On BP calibration FFT Module Averaging Print raw data Change Reference Source inseam aero ene He The window Playback opens where the rawdata can be displayed with a defined velocity In the drop down menus Source and Speed the requested channel as well the desired speed for replay can be 4 indicated by an activated loud speaker 4 Note that the replay velocity needs to be at least 5x for acoustic replay of EEG signals with a sampling frequency of 128 Hz In General the product of the signal s sampling rate multiplied with the set velocity should be at least 512 Hz With the scroll bar on the right side of the frame the sound volume can be tuned After pressing the Play button the reply starts selected For an acoustic replay push the loud speaker button Acitivated acoustic replay will be In order to have an repeated replay of interesting areas the loop button can be used Tu use this function mark areas insid
23. pike Report Spindle report LILI s m m Es Es After opening the preview of the selected report parts click button Use as new custom template that is present in the upper menu bar of the window to transfer the selected report to a custom template Mi Standard report After transfer of the standard report the generated custom template can be individually modified and edited Additionally to the transfer of the whole standard report individual parts of the standard report can be selected for the custom template For this mark the desired report parts inside the preview of the standard report using your mouse cursor Marked fields will be indicated by grey squares Total Sleep Time TST chourtimetar Seformula Sleep Stage Duration a TIB Sleep sleep Efficiency Sustained Sleep Eff 2 lt formula gt H Artefact t4RTEFAL formular 0 sleep Latency Stage 1 S SLEEPL Movement e hourtimetor F cfomulas E i 0 Ee bleep Latency Stage Z SLEEPLA wake hourtimetor lt forrnula gt lt formula gt oei Peep Sleep Latency am REM j lt hourtimetor P efomula eformula gt MEM latency SREM_LAT Btage 1 hourtimetor lt forrmnula gt lt formula gt formula Fg i otal Sleep Period SFT 5LEEF_ a Stage 2 e hourtimefor P efomula eformula gt Sleep Stage Change Index STAGE A tage 3 hourtimetar fo
24. piratory events correlative blood pressure and flow events can be displayed in an opened recording To show correlatingassociated flow and blood pressure events go to Tools within the main menu and select Show Analysis Events Reports View Help Ss TAL Preferences r Patient Info GS Edit Markers The window Analysis Events opens Here select Correlating Flow Events in the Drop Down Menu File Mode Tools Edit Samples User areas Raster view Show Analysis Events i Import Patient Picture 14 Medical Devices for Seep SOMNO medics Diagnostics and therapy il Analysis Events All Analysis wt ri Analysis Time 2 23 03 36 22 03 36 22 03 39 22 03 42 I 2203 45 22 03 48 22 03 51 2203 54 22 03 56 22 03 57 27 04 00 27 04 03 22 04 03 22 04 05 2204 06 22 04 09 eaf Ba kn All Analysis Multiple Selection correlating flow event EUG Analysis Spindle Analysis Sleep FFT Analysis EM 140 pV REM 169 pi REM 52 p REM 77 puw Obstructive Apnoea 13 REM 55 p REM 74 p REM 30 pv Hypopnoea 10 Hypopnoea 10 REM 56 p REM 140 p lirak Fim OTT A enn Now the window Analysis Events opens showing all occurring respiratory events together with blood pressure and cardiac events that occur in a time frame of 40 seconds after the respiratory event i Analysis Events Analysis correlating flaw ev
25. rmula v formula gt formula it Wake Index echeck s Stage 4 ehourtimefar T ciama g formula Light Sleep hourtimetor formulas v lt formula gt formula Deep Sleep lt hourtimefot P eformula gt g lt formula gt The marked parts can then be moved to the custom template either by using the copy and paste function after right click or simply via drag n drop 93 Medical Devices for Seep Diagnostics and therapy SOMN O medics 20 Online Recording 20 1 Display of the camera IP For a quick overview of set IP addresses the camera IP will be displayed beside the SOMNOscreen device This provides best control of set IP addresses while starting an online recording and prevents the use of invalid IPs ius New Recording Patient Montage Recording Stat Duration Maximum Recording Time approx 37 Hours H Lhe i aj min Monitoring Descnption W Auto processing Analyse f I a F l 20 2 Editing analysis parameters during online recording In order to correct analysis settings without the need of cancelling and restarting the running recording the preferences are available during online recording and can also be edited E g this allows editing parameters of the PTT analysis and avoids marking of artefact areas due to poor blood circulation of the patient For editing of analysis parameters choose Tools inside the main menu and then tab Analysis After selection of
26. s Spindle report Spindle source 4 41 BE le L ii Fi ss Pea Sheep Total EEN aea ara LS nOA EE BERA wunbe epee a a rE AA a A A A S E EE 19 New Features for the Custom Report 19 1 Creating tables The function Add table provides the possibility to display analysis results in an custom form inside the report Tables can only be generated inside the custom report For this open the tab Report within the global preferences and click the button New Custom Template Global Preferences Folders Channels Analysis Analysis Channels Filter Raw Data Profiles Analysis Profiles User Data Report Display gt SOMNOscreen plus EEG 10 v Display Options Template Standard vi D e m it MSLT Default Standard After defining a name for the new custom template generate or edit the new custom report using the Edit button which is available in the lower menu bar Preview AE Wf Save and Ea Import Settings The window Create Custom Report will appear ap Create custom report Font MS Sans Sent 8 a Ee Medical Devices for Seep Diagnostics and therapy SOMN O medics Click icon Add table and the window Add table will be opened in which the desired number width and height of columns and rows can be defined as well as the offset between columns and rows Columns
27. sis or heart rate AASM analysis inside tab analyses of the global preferences Artefact Variation bpm Body Artefact s Asyvstole ms Arrhythmia Variation Tachycardia bpm Bradycardia bpm Min beaks count WidelNarrow complex tachycardia Tachycardia bpm Min beats count Wide complex ORS min ms Narrow complex QRS max ms 120 l 120 a Here the button Limit Tachycardia is available and opens the window for editing the pulse limits Limit tachycardia To have an overview over the respective limits set by the user the defined values will be displayed in the footer of the Blood pressure Day Night advanced report 16 Tilting table report In order to analyse the occurrence of syncopes in regard to dysfunction of the circulatory system tilting table check ups are performed To have a complete overview of all important parameters recorded during tilting table check ups the separated Tilting table report can be accessed Therefore the new report part Tilting table report can be selected inside the report selection 18 Medical Devices for Seep Diagnostics and therapy SOMN O medics fo Select Report Template z Samples Markers Tilting table report If you like to add the tilting table report tick the corresponding checkbox Inside the tilting table report a graphic overview of systolic diastolic and mean arterial pressure regarding to the recording time
28. therapy SOMN O medics These defined positions are now available during online recording and can be selected from the pop up menu after right click into the video window HE Video total zoom patent Show area window zoom In zoom Out intercom Mute Playing Recording MPEG 4 zoom F eo Stop Video Rec fe intercom fi k Video Recording Runnin 4 w 22 Defining video areas for the HD camera During the use of the HD camera with best digital zoom it is possible to display different areas in a second video stream during recording or video replay This allows a precise monitoring of the patient during PSG To open the second stream tick button Area inside the video frame Here in the camera s setup pre defined areas can be selected inside the scroll down menu and can be displayed in a second video stream pe Video OX Area window 26 Medical Devices for Seep Diagnostics and therapy SOMN O medics 23 Advanced Scheduler 23 1 Differentiation between scheduled and non scheduled patients For sleep labs with a high number of daily patients for PSG check ups the scheduler was extended with the function Filter which provides a possibility to distinguish between patients with an arranged check up date and patients who have no arranged date so far Ticking Button Filter opens the short menu where you can choose function All entries to get an overview of a
29. y By clicking single events with the mouse cursor the events will automatically be displayed inside the raw data frame _15 Medical Devices for Seep Diagnostics and therapy SOMN O medics 14 Display of the sleep profile reliability after manual scoring The sleep profile reliability of epochs with a high reliability after automatic analysis is indicated in green In contrast the reliability of the sleep profile of manually edited epochs after manual scoring or use of the advanced sleep editing mode will be indicated in pink This allows an improved determination of manually edited epochs in contrast to the automatic analysis by the software File Mode Tools Reports View Help Fal FFT AT 20 30 00 1 00 00 21 30 00 22 00 00 2230 00 l oP Reliability 31 al Qc Sleep Profile 19 5 i E K i masala I Snore 0 1 F i In the same way the info box surrounding the sleep stage of epochs in the upper menu of the raw data is coloured in pink if the current epoch was manually edited Wae Wa Woe 23 44 00 23 44 10 15 Advanced Blood Pressure Report To adjust to reports of conventional 24 hour blood pressure recording devices there is the Blood pressure Day Night advanced report which can be chosen for the PTT report inside the report selection window Select Report Template Standard m PTT Report C PTT short C PTT full C Systolic Report C Blood pressure statistic
30. y SOMN O medics Template ade template BP ae kal settings for external channels Description Signal Type Sampling Fi syst BP Exit 256 A v diast BP Ext 56 Po maker Ext3 4 J OOOOO COM Port 192168 100 200 10001 l y OK M Cancel For entering the IP of the external device tick the cl icon By ticking the tool icon ys the frame for channel calibration will be opened Here the calibration of the external channels can take place Confirm your calibration by using the Ok button In order to save all parameters defined inside the channel settings as well as the calibration of the selected channels press the disc icon A You will now be requested to enter a template name Confirm the template with OK All created templates are available in the drop down menu in the upper bar of the frame Settings for external channels and can be selected for recording Existing templates can be deleted by using the trash can icon With the use of different templates different configurations of external channels and devices can be saved which makes the use of the ADC board very user friendly 3 16 Bit resolution for Pleth Signal Alternatively to the conventional pleth signal with 8 Bit resolution the pleth signal can be recorded with 16 Bit resolution Recording of a 16 Bit pleth signal provides an enlarged measuring range and avoids poor pleth signals due to weak or high blood circulation For

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