Lifelines neuro R40 User manual

R40 EEG Amplifier
User Manual
Part no. 51262-006
Issue 1.5
Created Checked Approved
Digitally signed by Geoff Salter
Date: 2019.09.13 11:00:11 +01'00'
Digitally signed by David Hulin
DN: cn=David Hulin, o=Lifelines Ltd,
ou=Development, [email protected],
c=GB
Date: 2019.09.13 11:20:13 +01'00'
Digitally signed by Geoff Salter
Date: 2019.09.13 11:23:40
+01'00'

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Version History
V1.0 (4th March 2015)
•Initial release
V1.1 (16th April 2015)
•Added “CAUTION: Federal (USA) law restricts this device to sale by or on the order of a
physician” on page 8.
•Added “FDA cleared for use in USA” to EEG electrode warning on page 8.
•Added “The Amplifier is intended to be connected to a PC which is powered from a medically
approved power supply” on page 8.
•Amended “Indications for Use” statement on page 8 and deleted “Intended Use”.
•Added “Compliance is provided by the recommended PC equipment” to Electromagnetic Im-
munity tables in Appendix 5. Amended Bluetooth and WLAN specifications in Appendix 1.
V1.2 (20th October 2015)
•Changed EN references to IEC.
•Amended sampling rate and bandwidth specifications.
V1.3 (26th October 2015)
•Electromagnetic immunity compliance level amended on pages 39 & 40.
V1.4 (27 February 2018)
•Added disinfection information in section 2.6.
•Added device lifetime in section 2.7.
•Change of N.B. to 0086 (BSI).
V1.5 (20 August 2019)
•EMC warnings and information updated
•Additional cleaning wipes added for US customers.
•Trackit Software instructions updated

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Lifelines Ltd, 7 Clarendon Court,
Over Wallop, near Stockbridge,
Hampshire SO20 8HU, UK
Telephone [phone]
www.LLines.com
[e-mail]
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 R-40 system are the responsibility of the rel-
evant 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 R-40 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.

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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.
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 soft-
ware 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 op-
eration 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
1.5Specifications and safety 11
1.6 Description of the components 12
1.7 Replaceable parts 13
2Installation and Maintenance 14
2.1 Checks for completeness and integrity 14
2.2 Environmental parameters for operation 14
2.3 Power supply connections 14
2.4 Use with other equipment 15
2.5 Interference 15
2.6 Maintenance and cleaning 15
2.7 Disposal of equipment 16
3Connections and usage 17
3.1 Overview 17
3.2 Connecting the R-40 Amplifier 17
3.3 Starting the system 19
3.4 Shutdown of the system 19
4Trackit Software - setup and recording software 20
4.1 Overview 20
4.2 Trackit Control Panel 21
4.3 Defining Input Signals 24
4.4 Setting up the Inputs and Recording channels 26
4.5 Starting a Recording 28
4.6 Recording Control Panel (Amplifier recording) 30
4.7 View EEG Signal Traces 31
4.8 Calibration Check 33
4.9 Impedance Check 33
4.10 Events 34
4.11 Montage Editor 35
4.12 Reading an EEG recording 36
4.13 Advanced Settings 36
Appendix 1: Specifications 41
R-40 Amplifier Specifications 41
Appendix 3: Additional Events Information 45
Appendix 4: PC Setup 48
Appendix 5: Manufacturer’s Declaration 51
EMC Compatibility 51

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Illustrations
Figure 1 Connecting the R-40 Amplifier 17
Figure 2 Connecting the R-40 Amplifier (top face) 18
Figure 3 Connecting the R-40 Amplifier (front face) 18
Figure 4: Trackit Software ‘File’ Toolbar 20
Figure 5: Trackit Software ‘Home’ Toolbar 20
Figure 6: Trackit Software "Settings Toolbar 21
Figure 7: Trackit Software 'Help' Toolbar 21
Figure 8: Trackit Control Panel 22
Figure 9: Connect Dialog Box 22
Figure 10: Trackit Control Panel "Status B" 24
Figure 11: Signal List 25
Figure 12: Signal Editing Tool 25
Figure 21: EEG setup 26
Figure 14: Setup Recording dialog 26
Figure 15: Channel setup 27
Figure 16: Recording Channel editing 28
Figure 25: New Patient dialog 28
Figure 18: New Patient database 29
Figure 19: Recording Control panel 30
Figure 20: EEG Signal trace display 32
Figure 21: Adjust display parameters 32
Figure 22: Impedance check 33
Figure 23: Continuous Impedance Check 34
Figure 24: Event Viewer 34
Figure 25: Montage Editor 36
Figure 26: Defaults Tab 1 38
Figure 27: Defaults | Tab 2 39
Figure 28 User Events 46
Figure 29 Events Template setup 46
Figure 30 Free-text Event 47
Figure 31 Event List 47
Figure 32 Options Tab 1 48
Figure 33 Options Tab 2 49
Figure 34 Options Tab 3 50

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1Overview and Technical Description
1.1 General description
Indications for use
The R-40 EEG Amplifier is intended to be used as a front-end amplifier to acquire, store and
transmit electrophysiological signals (wireless or cabled).
General description
The R-40 EEG Amplifier is a multi-channel electroencephalograph designed for use in routine EEG
and lab monitoring applications.
It is a compact USB 40-channel amplifier which incorporates 32 referential channels and 8 poly-
graphic channels with built-in calibration and electrode impedance measurement. A Nonin XPOD
interface is provided, a Patient Event input, 2 Aux DC inputs and an Electrocap connector. Optional
wireless communication is available (Bluetooth and WLAN Wi-Fi).
The Amplifier is intended to be connected to a PC which is powered from a medically approved
power supply.
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
CONTRAINDICATIONS: Do not use the R-40 EEG Amplifier in an MRI environment, in an
explosive atmosphere 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: 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: Lifelines does not supply the Nonin sensor. Only use the ‘PureLight’ sensors specified
by Nonin to be used with their Oximeters.
CAUTION: 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.
CAUTION: 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 R40
EEG Amplifier, including cables specified by Lifelines Ltd. Otherwise, degradation of the
performance of this equipment could result.
CAUTION: When in close proximity to the R40 EEG Amplifier, do not use mobile phones,
transmitters, power transformers, motors, or other equipment that generates magnetic fields.
Refer to the Appendix for more information.
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: Do not touch simultaneously any accessible USB or other contacts on the PC or monitor
and the patient.

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WARNING: Do not plug the USB connector into any device other than the PC supplied or
authorised by Lifelines.
CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician.

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1.3 Explanation of symbols
Type BF equipment 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
Internal radio device WLAN Wi-Fi
Pushbutton Nonin Xpod Pulse Oximeter
Manufacturer DC power
Internal battery hazard Electrocap
refer to section 1.7.
Storage and transport symbols
Temperature limits Fragile
Keep dry Relative humidity limits
Barometric pressure limits
-10
+50
°C
10
95
%RH
500
1060
hPa

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1.4 The Amplifier and its parts
The R-40 EEG Amplifier is a multi-channel electroencephalograph designed for use in routine EEG
and lab monitoring applications.
The Amplifier is a compact USB 40-channel amplifier which incorporates 32 referential channels
and 8 polygraphic channels with built-in calibration and electrode impedance measurement. A
Nonin XPOD interface is provided, a Patient Event input, 2 Aux DC inputs and an Electrocap con-
nector. Optional wireless communication is available (Bluetooth and WLAN Wi-Fi).
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 R-40 EEG Amplifier comprises the following components:
R-40 Amplifier part number 1326
Amplifier USB Cable part number 1277
Xpod Pulse Oximeter Nonin part number 1327
Note: The Oximeter sensor is a consumable and is not supplied by Lifelines. Only use the ‘Pure-
Light’ sensors specified by Nonin for use with their Oximeters.
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.
Classification of system
Degree of protection against electrical shock Class I. Type BF applied parts
Type of protection against electrical shock Optically isolated USB amplifier
Mains isolation transformer for PC
Degree of protection against harmful ingress of water Ordinary (no protection)
Mode of operation Continuous
Degree of safety of application in the presence of a flam-
mable anaesthetic mixture with air or with oxygen or ni-
trous oxide
Not suitable

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1.6 Description of the components
The R-40 Amplifier
The R-40 USB 40-channel amplifier incorporates 32 referential channels and 8 polygraphic channels
with built-in calibration and electrode impedance measurement. A Nonin XPOD interface is pro-
vided, a Patient Event input, 2 Aux DC inputs 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 Wi-Fi).
Applied parts
EEG Electrodes
The amplifier connects to standard 1.5mm touchproof EEG recording electrodes arranged in a
standard 10-20 pattern, attached to the patient’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
An optional oximeter sensor 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 Inputs
The Auxiliary DC inputs are intended for the connection of patient-attached transducers which
are passive or battery-powered such as sleep sensors. They must be insulated with no accessi-
ble conductive parts.
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.
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 sup-
plied 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 R-40/Trackit setup software runs under Microsoft Windows 2000 (with SP2), Windows XP, Win-
dows Vista, Windows 7, Windows 8.1 or Windows 10 on the host PC and is used to setup and re-
view the R-40 Amplifier and to record on to the PC.
Functions of the software:
Setup the input signals. See Section 4.3
Setup and download the recording template. This includes which electrodes are used and the
recording montage. See section 4.4.
Perform a calibration check of the Amplifier. See section 4.8.
Perform an Impedance check on the Amplifier. See Section 4.9.
Perform an EEG recording. See Section 4.5.
View on-going EEG traces. See Section 4.7.
Review an EEG Recording. See Section 4.12.

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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 R-40 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 four screws from underside of instrument and 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.

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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.
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 +10°C to +40°C
Relative humidity 25% to 95% non-condensing
Atmospheric pressure 700mB to 1060mB
WARNING: Do not obstruct any cooling slots. Position the equipment so that air flows
freely.
Storage and transport:
Temperature -10°C to +50°C
Relative humidity 10% to 95% non-condensing
Atmospheric pressure 500mB to 1060mB
2.3 Power supply connections
Power requirements
Standard USB port.
Power consumption
Maximum power from USB port: 2.5W.
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 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.
WARNING: The Amplifier must only be used with the USB cable provided with the unit.

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2.4 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 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.
WARNING: Non-medical equipment, when used with the system, should comply with IEC/ISO
safety standards relevant to that equipment. IT equipment should comply with IEC 60950.
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 the
isolation transformer, and any other equipment powered from a non-isolated mains supply.
2.5 Interference
The R-40 will continue to operate in the presence of radio frequency magnetic fields (RF) and the
effects of electrostatic discharges (ESD) and other interference, in accordance with the require-
ments of EN60601-1-2. However, the R-40 amplifier records signals of very low amplitude, and
these signals themselves are not immune to the effects of RF, ESD and low-frequency magnetic
field interference. Such interference may cause signal artefacts.
The R-40 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.
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.
2.6 Maintenance and cleaning
The R-40 Amplifier requires no routine testing, calibration or maintenance procedures apart from
occasional cleaning and checking for wear and damage to all parts including the accessories.
Cleaning
All the outer surfaces of the R-40 Amplifier may be cleaned using a soft cloth moistened with water
and a mild detergent solution. A low-pressure air-line or a vacuum cleaner can also be used.
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.), Mikro-Kill disinfectant wipes (Medline Industries, Inc.), Sani-Cloth HB Ger-
micidal Wipes (PD International, Inc).
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.

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2.7 Disposal of equipment
The expected service life of the equipment, parts and accessories is three 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 regulation authority that is typically within the local government office.

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3Connections and usage
3.1 Overview
Mains
power
Medical grade
laptop mains
PSU
Laptop
PC To
USB p ort
Patient
EEG
electrodes
R-40
Amplifier
Patient isolation
zone
Figure 1 Connecting the R-40 Amplifier
Where the entire R-40 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.
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.
3.2 Connecting the R-40 Amplifier
The R-40 Amplifier is plugged into the PC USB port using the cable supplied, part number 1277 as
shown below:

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Figure 2 Connecting the R-40 Amplifier (top face)
The USB Cable is plugged into the bottom housing of the R-40 Amplifier as shown above using the
RJ45 plug and into any USB port on the PC.
The top face of the Amplifier is laid out in a standard 10-20 format, and 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.
Also on the top face of the Amplifier are the electrode impedance check set-level pushbuttons. Ad-
jacent to each electrode is an LED indicating whether the impedance of the individual electrode is
above the set-level.
The top edge of the Amplifier provides for several other connections, as shown below.
Figure 3 Connecting the R-40 Amplifier (front face)
1. Nonin Xpod: the circular connector allows for the connection of a Nonin Xpod pulse oxime-
ter for measuring SpO2.
2. Electro-Cap: the 25-way D-type connector allows for the connection of a standard Electro-
Cap.
3. Aux1 and Aux2: these two 3.5mm jack connectors allow for the connection of standard
transducers like Body Position, Respiration Belts etc.
4. Patient Event: this 3.5mm jack connector allows for the connection of a standard Patient
Event Thumb Switch.
CAUTION: All these connections are 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.

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3.3 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 R-40 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.
3.4 Shutdown of the system
At the completion of a study proceed as follows to shut down the system:
•Stop the recording by pressing the ‘Stop Rec’ button
•Exit the Trackit program.
•Shut down Windows.
•Switch off the PC and disconnect the mains supply.

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4Trackit Software - setup and recording software
4.1 Overview
The Trackit software is available on the included CD/USB disk or on the Lifelines FTP site. A readme
file describes installation. The Trackit Software version 2.8.0.0 (or later) supports the R40 EEG Am-
plifier. Check with your distributor or Lifelines if a newer version of software is available.
The Trackit software is designed to work with both the R40 Amplifier and with the optional Photic
Stimulator.
The software is supported on Microsoft Windows XP, Windows Vista and Windows 7, Windows 8.1
and Windows 10. The USB drivers will be found on the CD. After connecting the Amplifier to the PC
for the first time, at the Windows prompt, browse to the folder CD Drive:\USB Drivers. From there
Windows will find the correct drivers for the version of Windows being used.
The software has the following functions:
Define signal types: create labels to attach to inputs
Attach the desired signal type (label) to the recording input
Create a recording montage and download it to the amplifier
Perform a calibration of the inputs
Perform an impedance check on the inputs
View ongoing signals and adjust display parameters such as chart speed and display sensitivity
Start and stop a recording session
Open and review EEG recordings (EDF and BDF format)
The Trackit software has four menu options: File, Home, Settings and Help. Each option provides a
Microsoft®style “ribbon” toolbar (see Figure 4 - Figure 7). The default view is the ‘Home’ ribbon.
Figure 4: Trackit Software ‘File’ Toolbar
Key
1 Open EEG file
2 Open EEG videos
3 Refresh playback files
4 Close all review files
5 View Events File
6 Measurement Graticule
7 Prints Screen
8 Video Resume
9 Print Keyboard Event Template
10 Exit Software
Figure 5: Trackit Software ‘Home’ Toolbar