Lifelines trackit T4 32 User manual

T4 EEG Amplifier
User Manual
32 channel version: T432
68 channel version: T468
Part no. 51285-006
Issue 1.9
Created Checked Approved

T4 EEG Amplifier User Manual
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Version History
V 1 (23 June 2016)
•Initial release
V 1.1 (09 Aug 2016)
•Amended part numbers in section 1.4.
V 1.2 (28 Sep 2016)
•Various amendments for IEC 60601-1.
V 1.3 (13 Dec 2016)
•Amendments to Nonin and Aux Input specifications in section 1.6.
•Changed ‘Contraindication’ to ‘Warning’ in section 1.2. There are no contraindications for this
device.
V 1.4 (08 February 2017)
•Added to section 1.2 “CONTRAINDICATIONS: There are no known contraindications to the
use of this equipment”.
•Added to section 1.2 and 2.3 “WARNING: To avoid the risk of electric shock, this equipment
must only be connected to a supply mains with protective earth”.
•Removed drawing numbers in section 1.4.
•Amended section 2.4: Internal Li-Ion backup battery operation.
•Added to Section 4.1: “Note: If a Setup that uses greater than 32 channels plus the Nonin is
attempted...”.
•Added to section 3.3 details of battery replacement frequency.
V 1.5 (10 March 2017)
•Amended instructions concerning oximeter and Aux. input sensors.
V 1.6 (13 March 2017)
•Further amendments to instructions concerning oximeter and Aux. input sensors.
V 1.7 (22 March 2017)
•Added to Aux DC Input instructions – “for hospital and clinic use. Not for home use” in
section 1.6 and 3.3.
V1.8 (18 August 2017)
•Photic operation added in Appendix 2.
•Wireless operation added in Appendix 5.
V1.9 (08 November 2017)
•Added disinfection information in section 2.8.
•Change of N.B. to 0086 (BSI).

T4 EEG Amplifier User Manual
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Lifelines Ltd, 7 Clarendon Court,
Over Wallop, near Stockbridge,
Hampshire SO20 8HU, UK
Telephone [phone]
www.LLines.com
[email protected]m
0086

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Disclaimers & Warranties
The information in this section is subject to change without notice.
Except as stated below, Lifelines Ltd makes no warranty of any kind with regard to this material,
including, but not limited to, the implied warranties of merchantability and fitness for a particular
purpose. Lifelines shall not be liable for errors contained herein or for incidental or consequential
damages in connection with the furnishing, performance or use of this material.
Lifelines shall warrant its products against all defects in material and workmanship for one year
from the date of delivery.
Misuse, accident, modification, unsuitable physical or operating environment, improper mainte-
nance or damage caused by a product for which Lifelines is not responsible will void the warranty.
Lifelines do not warrant uninterrupted or error-free operation of its products.
Lifelines or its authorised agents will repair or replace any products that prove to be defective dur-
ing the warranty period, provided that these products are used as prescribed in the operating in-
structions in the user’s and service manuals.
No other party is authorised to make any warranty to assume liability for Lifelines products. Life-
lines will not recognise any other warranty, either implied or in writing. In addition, services per-
formed by someone other than Lifelines or its authorised agents or any technical modification or
changes of products without Lifelines prior, written consent may be cause for voiding this warranty.
Defective products or parts must be returned to Lifelines or its authorised agents, along with an
explanation of the failure. Shipping costs must be prepaid.
Lifelines Ltd. manufactures hardware and software to be used on or with standard PC-compatible
computers and operating software. Lifelines, however, assumes no responsibility for the use or reli-
ability of its software or hardware with equipment that is not furnished by third-party manufactur-
ers accepted by Lifelines at the date of purchase.
All warranties for third-party products used within the T4 system are the responsibility of the rele-
vant manufacturer. Please refer to the relevant documentation on each product for further details.
This document contains proprietary information that is protected by copyright. All rights are re-
served. No part of this document may be photocopied, reproduced in any other form or translated
into another language without the prior written consent of Lifelines.
Trademarks
Microsoft, Windows and Windows NT are registered trademarks of the Microsoft Corporation. All
other trademarks and product names are the property of their relevant owners.
Responsibility of manufacturer
The manufacturer and distributor consider themselves responsible for the equipment’s safety, relia-
bility and performance only if:
any peripheral equipment to be used with the T4 system is supplied by third-party providers
recommended by the manufacturer;
assembly operations, extensions, readjustments, modifications, or repairs are carried out by
persons authorised by the manufacturer;
the electrical installation of the relevant room complies with the appropriate requirements;
the equipment is used by a health-care professional and in accordance with the instructions for
use.
Note: the manufacturer has a policy of continual product improvement; hence the equipment
specifications are subject to change without notice.
Check with Lifelines or your distributor if a software update is available.
Note: Medical electrical equipment needs special precautions regarding EMC and needs to be in-
stalled and put into service according to the EMC information provided in the Appendix.

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Software and Virus Protection
Lifelines takes all reasonable steps to ensure that its software is virus-free. In line with modern
computing practice, it is advisable that continual protection against viruses, trojans, malware, ad-
ware etc. is provided on the PC used for installation and the surrounding systems. Please note the
following recommendations which should be supported by your internal IT/Computing department
procedures and practices:
1. Virus protection software should be installed on every computer at risk of infection. This
software should have a resident (online) shield and provide email scanning if appropriate.
2. Virus scanning should be set to manual mode or automatic if desired but at a time when
the system is not being used.
3. All programs offering auto-update features, including Windows, should be set to manual or
automatic if desired but at a time when the system is not being used.
4. Adopt formal departmental or organisational procedures to ensure the integrity and safe
operation of the medical equipment and supporting systems.

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Contents
Version History 2
Disclaimers & Warranties 4
Trademarks 4
Responsibility of manufacturer 4
Software and Virus Protection 5
Contents 6
Illustrations 7
1Overview and Technical Description 8
1.1 General description 8
1.2 Cautions and Warnings 8
1.3 Explanation of symbols 10
1.4 The Amplifier and its parts 11
1.5 Specifications and safety 11
1.6 Description of the components 12
1.7 Replaceable parts 13
2Installation and Maintenance 13
2.1 Checks for completeness and integrity 14
2.2 Environmental parameters for operation 14
2.3 Power supply connections 14
2.4 Battery Operation Time 14
2.5 Use in the home environment 15
2.6 Use with other equipment 15
2.7 Interference 15
2.8 Maintenance and cleaning 16
2.9 Disposal of equipment 16
3Connections and usage 16
3.1 Overview 16
3.2 Laptop installation and operation 17
3.3 Connecting the T4 System 17
3.4 Starting the system 19
3.5 Shutdown of the system 20
3.6 Battery replacement and charging 20
4The setup and recording software 21
4.1 Setting up a recording protocol 21
4.2 Configuring the amplifier 25
4.3 Montage Editor 29
4.4 Reading an EEG recording 30
Appendix 1: Specifications 31
Appendix 2: Photic Stimulation 34
Appendix 3: Additional Events Information 36
Appendix 4: PC Setup 39
Appendix 5: Wireless 41
Introduction 41
System overview 41
Connection and use 41
Appendix 6: Troubleshooting Guide 46
Appendix 7: Manufacturer’s Declaration 47
EMC Compatibility 47

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Illustrations
Figure 1 Connecting the T4 Amplifier – Clinical Use 16
Figure 2 Connecting the T4 Amplifier - Home Use 17
Figure 3 Connecting the T4 Amplifier (front face) 18
Figure 4 Connecting the T4 Amplifier (back face) 18
Figure 5 New Patient dialog 21
Figure 6 New Patient database 22
Figure 7 Signal List 22
Figure 8 Signal Editing Tool 23
Figure 9 EEG setup 23
Figure 10 Setup Recording dialog 24
Figure 11 Channel setup 24
Figure 12 Recording Channel editing 25
Figure 13 Trackit software toolbar 25
Figure 14 Trackit Control Panel 26
Figure 15 Ongoing trace display 27
Figure 16 Adjust display parameters 27
Figure 17 Impedance check 28
Figure 18 Online Event Viewer 28
Figure 19 Montage Editor 29
Figure 20 Photic Stimulation 34
Figure 21 Photic Stimulation control window 34
Figure 22 Photic trigger signal definition 35
Figure 23 User Events 37
Figure 24 Events Template setup 37
Figure 25 Free-text Event 37
Figure 26 Event List 38
Figure 27 Options Tab 1 39
Figure 28 Options Tab 2 39
Figure 29 Options Tab 3 40

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1Overview and Technical Description
1.1 General description
Indications for use
The T4 EEG Amplifier is intended to be used as a front-end amplifier to acquire, store and transmit
electrophysiological signals (wireless or cabled).
CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician.
General description
The Trackit T4 EEG Amplifier is a multi-channel electroencephalograph designed for use in routine
EEG and lab monitoring applications and due to its small size, can be used in ambulatory
applications. In this situation, the EEG electrodes are fitted to the patient by a trained clinician
prior to the patient being sent home. No subsequent intervention is required by the patient. Upon
completion of the recording, the data which is stored on a memory card is reviewed by a clinician
using review and analysis software on a PC.
It is a compact USB amplifier which provides 32 channels (or 68 channels with internal expansion
option) with built-in calibration and electrode impedance measurement. Also provided is a Nonin
pulse oximeter interface, a Patient Event input and an Aux DC input. Optional wireless
communication is available (Bluetooth and WLAN WiFi).
There are two variants of the Trackit T4 EEG Amplifier:
•Trackit T4-32 providing 24 referential + 8 poly channels.
•Trackit T4-68 providing 64 referential + 4 poly channels (using internal expansion board).
Plug-on Patient Connection Units (PCUs) provide 32 channel touchproof inputs (model T4-PCU
24+8) or 68 channels (model T4-PCU 64+4).
The Amplifier is intended to be connected to a USB port on a PC which is powered from a medically
approved power supply. In addition it can be battery powered in ambulatory applications.
This equipment is intended only as an adjunct device in patient assessment; it must be used in
conjunction with other methods of patient diagnosis. The equipment does not sustain or support
life.
Intended User
The intended user of the equipment is a healthcare professional who has the training and
knowledge to undertake EEG examinations and is familiar with EEG equipment and practice.
1.2 Cautions and Warnings
WARNING: Do not use the T4 EEG Amplifier in an MRI environment, in an oxygen rich
environment or during defibrillation.
WARNING: This equipment is intended to be used by a healthcare professional and in accordance
with these instructions for use which must be read in their entirety before the device is used.
WARNING: This equipment in intended only as an adjunct device in patient assessment; it must
be used in conjunction with other methods of patient diagnosis. This equipment is not be used for
the determination of brain death.
WARNING: Only use the PC and the medical-grade power supply as supplied or authorised by
Lifelines.
WARNING: To avoid the risk of electric shock, this equipment must only be connected to a supply
mains with protective earth.
WARNING: Lifelines does not supply EEG electrodes. The unit accepts standard 1.5 mm
touchproof electrodes using DIN 42802-style connectors. To ensure patient safety, the electrodes
used must be approved to the Medical Device Directive 93/42/EEC in Europe or FDA cleared for use
in USA.
CAUTION: The conductive part of electrodes and their connectors, including the Neutral electrode,
should not contact other conductive parts including earth.
WARNING: Do not plug the USB connector into any device other than the PC supplied or
authorised by Lifelines. Do not connect any other equipment to the PC.

T4 EEG Amplifier User Manual
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CAUTION: Do not touch simultaneously any accessible USB or other contacts on the PC and the
patient.
WARNING: Strangulation hazard due to long cables. As with all medical equipment, carefully
route patient cabling to reduce the possibility of patient entanglement or strangulation.
CAUTION: Ensure that carrying bag and straps are worn over clothing to prevent any possibility of
skin irritation.
CAUTION: When in close proximity to the Amplifier, do not use mobile phones, transmitters,
power transformers, motors, or other equipment that generates magnetic fields. Refer to the
Appendix for more information. Medical electrical equipment needs special precautions regarding
EMC and needs to be installed and put into service according to the EMC information provided in
the Appendix.
WARNING: The function or safety of the equipment could be impaired if it has been subjected to
unfavourable conditions in storage or in transit. If at any time function or safety is thought to be
impaired, the instrument should be taken out of operation and secured against unintended use.
WARNING: Do not open or modify the equipment without the authorization of the manufacturer.
CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician.
CONTRAINDICATIONS: There are no known contraindications to the use of this equipment.

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1.3 Explanation of symbols
Type BF applied part Follow operating instructions
Input/output connection Input connection
Special recycling required, do not dispose of in landfill. When this equipment has
reached the end of its useful life, it must be disposed of in an environmentally-
friendly way. Waste electrical and electronic equipment (WEEE) requires special
procedures for recycling or disposal. This includes batteries, printed circuit boards,
electronic components, wiring and other elements of electronic devices. Follow all
of your respective local laws and regulations for the proper disposal of such
equipment. Contact your local distributor for information concerning this.
Consult warnings in User Manual Bluetooth
Pushbutton WLAN WiFi
Manufacturer Nonin Xpod Pulse Oximeter
Memory card read/write Internal battery hazard
- refer to section 1.7
On/Off and patient event switch
Storage and transport symbols
Temperature limits Fragile Keep dry
Relative humidity limits Atmospheric pressure limits
International protection code
Protected against ingress of solid object 12.5 mm diameter.
Protected against access to hazardous parts with finger.
Protected against ingress of water dripping (15° tilted).
-25
+70
°C
0
93
%RH
500
1060
hPa
IP22

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1.4 The Amplifier and its parts
The T4 EEG Amplifier is a multi-channel electroencephalograph designed for use in routine EEG and
lab monitoring applications.
It is a compact USB amplifier which provides 32 channels (or 68 channels with internal expansion
option) with built-in calibration and electrode impedance measurement. A Nonin XPOD interface is
provided, a Patient Event input and an Aux DC input. Optional wireless communication is available
(Bluetooth and WLAN WiFi).
The Amplifier is intended to be connected to a specific PC and a medical grade power supply. Refer
section 3.1 for details.
Caution:
Only use the PC supplied or authorised by Lifelines
Only use the medical-grade mains power supply with it as supplied or authorised by Lifelines
The T4 EEG Amplifier comprises the following components:
T4-32 Amplifier part number 1505
T4-68 Amplifier part number 1501
T4-PCU 24+8 part number 1552
T4-PCU 64+4 part number 1553
USB Power Bank battery part number 1560
Battery cable part number 1561
T4 bag and straps part number 1562
Patient event switch part number 1353
Xpod Pulse Oximeter Nonin part number 1327
Trackit tool part number 1115
Amplifier USB cable part number 1277
Lenovo ThinkPad laptop computer part number 1389
Medical grade power supply part number 1390
Mains cable, UK part number 1066
Trackit software CD, standard part number 1009
Part numbers may be preceded by ‘L14’ on labelling or packaging.
1.5 Specifications and safety
Refer to Appendix 1 for specifications.
The Amplifier has been certified and complies with the following standards:
IEC 60601-1 and
IEC 60601-2-26
European standard for medical electrical equipment, general re-
quirements and particular requirements for EEG systems.
ANSI/AAMI ES 60601-1
AAMI Deviations from IEC 60601-1 (USA).
CAN/CSA 22.2 No 601.1 M90 Canadian standard for medical electrical equipment, general re-
quirements.
IEC 60601-1-2 European standard for medical electrical equipment, EMC require-
ments, calling:
*CISPR11
Conducted Emissions, Group 1, Class B
CISPR11
Radiated Emissions, Group 1, Class B
IEC61000-4-2
Electrostatic Discharges
IEC61000-4-3
Immunity - Radiated RF Field
*
IEC61000-4-4
Immunity - Transients Bursts
*
IEC61000-4-5
Immunity – Surges
IEC61000-4-6
Immunity – Conducted
IEC61000-4-8
Immunity – Power frequency fields
*
IEC61000-4-11
Immunity – Voltage dips, interruptions
*
IEC61000-3-2
Harmonic Emissions
*
IEC61000-3-3
Voltage Fluctuations/flicker
*
Note: Compliance is provided by the PC.

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Classification of system
Classification Clinical use Home use
Degree of protection against
electrical shock Internally powered; or it can
be connected to a PC which is
powered by a medical grade
Class I power supply.
Type BF applied parts.
Internally powered.
Type BF applied parts.
If a PC is supplied, it has no
electrical connection to the
Amplifier & has no applied parts.
Degree of protection against
harmful ingress of water Ordinary (no protection) or IP22 (Amplifier in bag) IP22 (Amplifier in bag)
Mode of operation Continuous operation Continuous operation
Suitability for use in an
oxygen rich environment Not suitable Not suitable
1.6 Description of the components
The T4 Amplifier
The T4 USB amplifier provides 32 channels (or 68 channels with internal expansion option) with
built-in calibration and electrode impedance measurement. A Nonin XPOD interface is provided, a
Patient Event input, an Aux DC input and an Electrocap connector. The Amplifier has built in type-
BF patient isolation and has a USB interface to the PC. Optional wireless communication is available
(Bluetooth and WLAN WiFi).
The Patient Connection Unit (PCU) connects the standard 1.5mm touchproof EEG recording elec-
trodes attached to the patient to the T4 unit. It is available either as a T4-PCU 24+8 (32 channel)
unit or a T4 PCU 64+4 (68 channel). The PCU is plugged into the front of the unit and retained with
two screws operated by the supplied special tool.
Applied parts, type BF
EEG Electrodes
The amplifier connects to standard 1.5mm touchproof EEG recording electrodes arranged in a
standard 10-20 pattern (T4 PCU 24+8) or the grid layout (T4 PCU 64+4), attached to the pa-
tient’s head.
WARNING: Lifelines does not supply EEG electrodes. The Amplifier accepts standard 1.5 mm
touchproof electrodes using DIN 42802-style connectors. To ensure patient safety, the elec-
trodes used must be approved to the Medical Device Directive 93/42/EEC in Europe or to the
relevant local standards outside Europe.
CAUTION: The conductive part of electrodes and their connectors, including the Neutral elec-
trode, should not contact other conductive parts including earth.
Oximeter Sensor
The amplifier is approved for use with a Nonin 8000AA sensor which attaches to the patient’s
finger.
Patient Event pushbutton
The Patient Event Pushbutton is used by the patient to record the instance of a significant
event.
Aux DC Input
The amplifier is approved for use with a SleepSense body position sensor, type 1575, for
hospital and clinic use. Not for home use.
CAUTION: Only use approved sensors as specified by Lifelines.
USB Cable
The Amplifier plugs directly into a USB port on the PC.
WARNING: The Amplifier must only be used with the USB cable provided with the unit.
USB Power Bank battery pack for ambulatory applications
The Amplifier plugs directly into the USB port on the Power Bank.
WARNING: The Amplifier must only be used with the USB Power Bank supplied or authorised by
Lifelines.

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Micro-SD Memory Card
The micro-SD card is used to store the EEG data recorded by T4. Storage cards of varying capacity
are available in the micro-SD format.
Bags and Straps for ambulatory applications
The Bag houses the Amplifier and battery.
Medical grade AC/DC mains power supply module for Laptop PC
Where EEG studies are conducted within the patient environment the leakage current must be con-
trolled. The laptop PC mains power supply must be a special medical-grade type with appropriate
safety standards, supplied or authorised by Lifelines.
WARNING: The laptop must only be connected to the medical-grade laptop power supply
supplied or authorised by Lifelines. Do not use a standard laptop power supply.
Only use the laptop supplied or authorised by Lifelines.
The Setup and Recording Software
The T4/Trackit setup software runs under Microsoft Windows 2000 (with SP2), Windows XP, Win-
dows Vista, Windows 7, 8 or 10 on the host PC and is used to setup and review the T4 Amplifier
and to record on to the PC.
Functions of the software:
Download the recording template. This includes which electrodes are used and the recording
montage. See section 4.2, step 2.
Perform a calibration check of the Amplifier. See section 4.2, step 8.
Perform an EEG recording. See section 4.2, step 8.
View on-going EEG traces. See section 4.2, step 9.
1.7 Replaceable parts
Lifelines Ltd. will make available on request circuit diagrams, component part lists, descriptions,
calibration instructions, or other information that will assist service personnel to repair those parts
that are designated by Lifelines Ltd. as repairable by service personnel.
Internal battery replacement – service personnel only
The T4 amplifier contains a replaceable lithium ion rechargeable coin cell, type LIR2450.
WARNING: Battery replacement by inadequately trained personnel could result in a haz-
ard. It must be replaced only with the correct type and it must be installed correctly with
+ve uppermost.
1. Remove PCU and the four screws from underside of instrument, two from the front and two
from the rear mouldings. Remove bottom of case.
2. Un-clip the wrap-around screen to expose the battery beneath.
3. Grasp battery between thumb and forefinger and pull it from the socket.
4. Push replacement battery into the socket ensuring +ve is uppermost.
5. Re-clip the wrap-around screen and reassemble the case.
Battery safety instructions
Do not attempt to open, puncture, disassemble or modify the battery in any way.
Do not subject the battery to sudden shock or heat.
Do not dispose of battery in fire.
2Installation and Maintenance
WARNING: The following section must be read and understood before the equipment is switched ON.
Note: Medical electrical equipment needs special precautions regarding EMC and needs to be in-
stalled and put into service according to the EMC information provided in the Appendix.
The function or safety of the equipment could be impaired if it has been subjected to unfavourable
conditions in storage or in transit. If at any time function or safety is thought to be impaired, the
instrument should be taken out of operation and secured against unintended use.
The manufacturer should be contacted (details on page 3) for assistance, if needed, in setting up,
using or maintaining the equipment; or to report unexpected operation or events.

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The assembly of the system and any modifications during its service life require evaluation to the
requirements of IEC 60601-1.
2.1 Checks for completeness and integrity
1 Remove the equipment from the packaging case(s).
2 Use the parts list to check that all ordered items have been received.
3 Check for signs of damage that may have occurred during transit or storage. If any damage is
found, do not use the instrument; contact your distributor.
2.2 Environmental parameters for operation
The operational and storage/transportation environmental conditions are as follows:
Operational:
Temperature +5°C to +40°C
Relative humidity 15% to 93% non-condensing
Atmospheric pressure 700 hPa to 1060 hPa
WARNING: Do not obstruct any cooling slots. Position the equipment so that air flows freely.
Storage and transport:
Temperature -25°C to +70°C
Relative humidity Up to 93% non-condensing at +70°C
Atmospheric pressure 500 hPa to 1060 hPa
2.3 Power supply connections
Power requirements
Standard USB port.
Power consumption
Maximum power from USB port: 2.5W.
Medical grade AC mains power supply module for Laptop PC
Where EEG studies are conducted within the patient environment the leakage current must be con-
trolled. The mains power supply must be a special medical-grade type with appropriate safety
standards, as supplied or authorised by Lifelines.
Mains power input: 100–240 Vac, 47–63 Hz, 1.4 A @ 115 Vac, 0.7 A @ 230 Vac.
Output: 20 Vdc, 5.25 A.
WARNING: The laptop must only be connected to the medical-grade laptop power supply
supplied or authorised by Lifelines. Do not use a standard laptop power supply.
Only use the laptop supplied or authorised by Lifelines.
WARNING: To avoid the risk of electric shock, this equipment must only be connected to
a supply mains with protective earth.
WARNING: The Amplifier must only be used with the USB cable provided with the unit.
2.4 Battery Operation Time
USB Powerbank Li-Polymer battery pack
When fully charged the battery pack will typically power the unit for 36 hours depending on the
number of channels, sample rate and wireless usage.
The typical service life is 2 years.
Internal Li-Ion backup battery
The internal backup battery will enable the unit to continue operating for a short period of time (15
mins approx.) to allow the main battery pack to be replaced. It is recharged automatically, when-
ever the main battery pack is connected, with acquire off. The state of charge is displayed, as de-
scribed in section 3.4, whenever the unit is internally powered from the backup battery. To charge
manually, operate the pushbutton several times to activate the backlight and if the reading drops
below approximately 70%, charge the battery for about 10 minutes by connecting the main battery
pack or connecting to a USB port.
The typical service life is 500 charge-discharge cycles.

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15
2.5 Use in the home environment
Where the equipment is intended to be used in the home, the unit and its battery should be oper-
ated in its bag where it is protected against ingress of solid objects and water to a degree of IP22.
The laptop PC is optional in the home environment and may be used for video recordings. There is
no connection between the PC and the T4 Amplifier unit, as all communication is accomplished
wirelessly.
Keep the equipment away from sources of heat.
Do not use mobile phones.
Do not allow pets or children to interfere with the sensor cables.
When the equipment is operated with or without its Bluetooth or WiFi on, other devices in the vicin-
ity should be moved away or turned off to reduce the likelihood of interference to the equipment or
by the equipment.
The T4 may have internal radios fitted. These are approved industry-standard Bluetooth and Wi-Fi
types which present minimal risk of reciprocal interference with other equipment.
2.6 Use with other equipment
Defibrillators and HF surgical equipment
The equipment is not defibrillator proof and should not be used in situations where a defibrillator is
likely to be used.
The equipment should not be used with, or in the presence of, high frequency surgical equipment.
Other patient-connected equipment
When used simultaneously with other patient-connected equipment, for example a cardiac pace-
maker or other electrical stimulator, it is unlikely that a safety hazard will arise. However always
consult the documentation supplied with the other patient-connected equipment to ensure that all
hazards, warnings and cautions are considered before the equipment is used together.
Leakage current
This system is designed to comply with IEC 60601-1, the international standard for medical elec-
tronic equipment, which specifies the permissible levels of leakage current. A potential hazard ex-
ists in the summation of leakage currents caused by connecting several pieces of equipment to-
gether. Because this system can be used in conjunction with standard electronic devices, the total
leakage current should be tested whenever the system is modified.
There should be no electrical connections between the system equipment, which is powered via a
medical grade power supply, and any other equipment powered from another mains supply.
2.7 Interference
The T4 will continue to operate in the presence of radio frequency magnetic fields (RF) and the ef-
fects of electrostatic discharges (ESD) and other interference, in accordance with the requirements
of EN60601-1-2. However, the T4 amplifier records signals of very low amplitude, and these sig-
nals themselves are not immune to the effects of RF, ESD and low-frequency magnetic field inter-
ference. Such interference may cause signal artefacts.
The T4 may have internal radios fitted. These are approved industry-standard Bluetooth and Wi-Fi
types which present minimal risk of reciprocal interference with other equipment.
However, when the equipment is operated with or without its Bluetooth or WiFi on, other devices in
the vicinity should be moved away or turned off to reduce the likelihood of interference to the
equipment or by the equipment
Caution: When in close proximity to the amplifier, do not use mobile phones, transmitters, power
transformers, motors, or other equipment that generates magnetic fields. Refer to the Appendix for
more information.
Note: Medical electrical equipment needs special precautions regarding EMC and needs to be in-
stalled and put into service according to the EMC information provided in the Appendix.

T4 EEG Amplifier User Manual
16
2.8 Maintenance and cleaning
The T4 Amplifier and its accessories require no routine testing, calibration or maintenance proce-
dures apart from occasional cleaning and checking for wear and damage to all parts including the
accessories.
No servicing or maintenance of the equipment should take place while in use with a patient, except
for replacement of the external battery.
Cleaning
Prior to each re-use of the system, all the outer surfaces of the T4 Amplifier, bag and power pack
may be cleaned, as required, with a cloth moistened with a mild detergent solution.
Disinfection of the equipment can be carried out by the use of QAC-based disinfectants. Wipes are
recommended in order to prevent the ingress of any liquid into the equipment. Suitable products
include Mikrozid Sensitive Wipes (Schülke & Mayr GmbH), Microbac forte (Paul Hartmann AG), Dis-
tel Wipes (Tristel Ltd.).
For cleaning instructions for the laptop refer to the manufacturer’s documentation.
Caution: Do not allow any liquid to enter the case of any instrument or connector. Do not use ace-
tone on any of the instruments.
2.9 Disposal of equipment
The expected service life of the equipment, parts and accessories is three years, except for the
USB Powerbank battery pack which is two years. When the device and its parts and accessories has
reached the end of its operating life, it should be disposed of in accordance with local waste regula-
tion authority that is typically within the local government office.
Caution: Do not dispose of batteries by incineration.
3Connections and usage
3.1 Overview
Mains
power
Medical grade
laptop mains
PSU Laptop PC
Patient
EEG
electrodes
T4 Amplifier
Battery pack & bag
optional
Patient
isolation
zone
To USB
port Clinical use:
Wireless or USB cable connection
Type BF
AUX
SpO
2
Pushbutton
Figure 1 Connecting the T4 Amplifier – Clinical Use
Where the entire T4 system including the PC is used within the patient environment, the mains
leakage currents and safety and regulatory requirements are met by the use of the special medi-
cal-grade laptop power supply.

T4 EEG Amplifier User Manual
17
Mains
power
Medical grade
laptop mains
PSU
Laptop PC
optional for
home use Patient
EEG
electrodes
T4 Amplifier
With battery pack
in bag
Patient
isolation
zone
Home use:
Wireless only (no electrical
connection to PC)
Type BF
AUX
SpO2
Pushbutton
Figure 2 Connecting the T4 Amplifier - Home Use
The laptop PC is optional for home use where it may be used for video recordings. There is no con-
nection between the PC and the T4 Amplifier unit, as all communication is accomplished wirelessly.
3.2 Laptop installation and operation
WARNING: The laptop must only be connected to the medical-grade laptop power supply
supplied or authorised by Lifelines. Do not use a standard laptop power supply.
Only use the laptop supplied or authorised by Lifelines.
1. Connect the power cord to the medical-grade power supply.
2. Connect the power supply output to the power input connector on the laptop.
3. Connect the power cord to mains power outlet.
4. Note that the mains power cord serves as a power disconnect device. It should be installed
near the equipment and be easily accessible.
5. For laptop installation and operation refer to the manufacturer’s instructions supplied with it.
3.3 Connecting the T4 System
Clinical Use
The T4 Amplifier is optionally housed inside its bag with battery or used standalone. It is plugged
into the PC USB port using the cable supplied, part number 1277 as shown below, or a wireless
connection can be used instead. The USB Cable is plugged into the rear housing of the T4 Amplifier
using the RJ45 plug and into any USB port on the laptop PC.
Warning: Do not plug the cable into any other equipment other than the laptop PC provided with
the system.
Note: In transportable, i.e. body-worn situations within the clinic, the Amplifier must be housed in-
side its bag after being disconnected from the PC, for protection against spillage of liquids.

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18
Home Use
The T4 Amplifier is battery powered and is housed inside its bag where it is protected against in-
gress of solid objects and water to a degree of IP22. The laptop PC is optional and may be used for
video recordings. There is no connection between the PC and the T4 Amplifier unit, as all communi-
cation is accomplished wirelessly.
Note that for Home Use applications, the patient should be given a Patient Instruction Sheet, which
details essential usage and safety instructions concerning the equipment and battery replacement.
Refer to the Patient Instruction Sheet for details.
Estimating the precise recording time of the battery is difficult as it depends on the number of
channels, whether Bluetooth or Wi-Fi are enabled, oximeter use, etc. For recordings over 24 hours
in length it is recommended that the patient is given instructions to replace the battery every 24
hours.
Connecting the T4 Amplifier
The top face of the T4 houses the display and the patient event pushbutton. For display details re-
fer to section 3.3 below. Pressing the pushbutton records a patient event and illuminates the back-
light of the display.
Above the pushbutton is a circular aperture which houses a light level sensor.
Figure 3 Connecting the T4 Amplifier (front face)
The front face of the Amplifier’s PCU is laid out in a standard 10-20 format (T4 PCU 24+8) or a grid
layout (T4 PCU 64+4). It accommodates standard touchproof electrode leads fitted with DIN 42802
connectors.
WARNING: The Amplifier accepts standard 1.5 mm touchproof electrodes using DIN 42802-style
connectors. To ensure patient safety, the electrodes used must be approved to the Medical Device
Directive 93/42/EEC in Europe or to the relevant local standards outside Europe.
CAUTION: The conductive part of electrodes and their connectors, including the Neutral electrode,
should not contact other conductive parts including earth.
WARNING: Carefully route patient cabling to reduce the possibility of patient entanglement or
strangulation.
The top edge of the Amplifier provides for several other connections, as shown below.
Figure 4 Connecting the T4 Amplifier (back face)

T4 EEG Amplifier User Manual
19
1. Nonin Xpod: the circular connector allows for the connection of a Nonin Xpod pulse oxime-
ter for measuring SpO2. This is plugged into the circular connector and the appropriate sen-
sor plugged into the Xpod device. Note that Lifelines does not supply sensors and these will
need to be sourced separately.
Note: the Nonin Xpod should not be used if more than 32 channels are on.
Refer to the manufacturer’s instructions supplied with the sensor when fitting it to the pa-
tient.
The appropriate recording setup will need to be used as described in section 4.1.
2. Aux1: a 3.5mm mono jack connector allows for the connection of the Sleepsense body po-
sition sensor, type 1575, for hospital and clinic use. Not for home use.
3. Patient Event: this 3.5mm jack connector allows for the connection of a standard Patient
Event Thumb Switch.
CAUTION: All these connections are type BF isolated. The conductive part of connectors
and transducers should not contact other conductive parts including earth. Always ensure
that the transducer fitted is suitable for a connection of this type.
4. Micro-SD memory card slot.
5. Host connection RJ45 socket.
WARNING: Cables must be routed carefully to avoid risk to the patient of entanglement and
strangulation.
3.4 Starting the system
To start the system proceed as follows:
•Plug the PC into the mains supply.
•Switch on the PC and wait for Windows to load.
•Ensure T4 Amplifier is connected via the USB lead.
•Launch Trackit application and continue as detailed in section 4.
•These procedures also apply following a mains interruption.
Indicators
The following indicators are shown on the display on the top face of the T4:


0
8
:
1
7
L/
R


1
2
:
0
7


7
2
%
B
ψ
W


1
0
1
3
M
Where the symbols indicate the fields to the right to have the following meanings:
Current time, hh:mm
Elapsed recording time, hh:mm (‘--:--‘ if not recording)
Battery capacity, % or ‘USB’ if external power applied
Micro-SD card storage capacity in Mbytes, xxxxM (remaining capacity if recording)
B If the internal Bluetooth option is fitted, this indicates that it is on. Pressing the pushbutton 4
times within 4 seconds toggles the setting to off, indicated with a b. If the Bluetooth option is
not fitted, nothing is displayed.
W If the internal WiFi option is fitted, this indicates that it is on. Pressing the pushbutton 5
times within 4 seconds toggles the setting to off, indicated with a w. If the WiFi option is not
fitted, nothing is displayed.
ΨWhenever a wireless connection is made the ψ symbol is displayed.
L/R Recording in progress
R Recording in progress
L Recording and Low memory card capacity remaining (< 8 minutes) during recording
(accompanied by auditory beep every 30 seconds)
* When the battery is low, there is an auditory beep at 1Hz rate. There is no additional
information displayed.

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20
3.5 Shutdown of the system
At the completion of a study proceed as follows to shut down the system:
•Stop the recording by pressing the ‘PC Record Off’ button
•Exit the Trackit program.
•Shut down Windows.
•Switch off the PC and disconnect the mains supply.
After the recording is finished, the Micro-SD memory card is removed for reading in a PC.
3.6 Battery replacement and charging
For ambulatory, body-worn applications the T4 is powered from a USB Power Bank. The T4 plugs
directly into the USB port on the Power Bank. Ensure that this uses the 1A socket on the Power
Bank. After connection, press the green ‘ON’ pushbutton on the side of the battery.
1 2
Open zip at bottom of bag to access battery Insert charged battery into bag
Unplug cable from battery Plug cable into battery
Withdraw discharged battery from bag Turn battery on using button on side
Do not connect cable to any other equipment Close zip
WARNING: The Amplifier must only be used with the USB Power Bank supplied or au-
thorised by Lifelines.
•Do not short circuit this device. To avoid short circuit, keep the device away from any metal
objects (e.g., hair clips and keys).
•This device may get hot during use, and this is normal. Hold carefully.
•This unit is not user repairable.
•Do not heat this device or throw it into a fire.
•Do not drop or place the unit under a heavy object.
•Keep this device away from high temperature, wet, or dusty environments.
•During charging keep the device out in the open to allow excess heat to dissipate.
•Charge M5 for 4 hours / M10 for 8 hours before initial use.
•Keep the USB output port and micro-USB input port clean and free of obstruction.
•For additional instructions, consult the documentation supplied with the battery.
To replace the battery in the Bag, unzip the bottom of the Bag to gain access to the battery con-
nection. Unplug the USB connection to the battery and replace with a fully charged unit.
When not connected to the T4 unit, the battery is charged by using the micro-USB socket and con-
necting to a standard USB port, using the supplied cable.
Battery Charging
Connect the micro-USB charging cable supplied to the Battery and use a USB connection for charg-
ing. The battery capacity display will illuminate to show how much of the battery is charged. Once
all the LEDs are lit, the battery is fully charged and is ready for use.
For additional instructions, consult the documentation supplied with the battery.
Do not charge the battery when used in the Home Environment.
WARNING: Do not charge the battery whilst it is connected to the T4 unit.
WARNING: Do not charge the battery when the equipment is in use.