RAUMEDIC NeuroSmart User manual

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 1 of 61
Instruction manual
RAUMED®NeuroSmart®
REF 095284-001 and
RAUMED®NeuroSmart®logO
095294-001
Edition with GUI Revision g3.22.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 2 of 61
Table of contents
1General information.......................................................................................................................... 5
1.1 Intended use............................................................................................................................ 5
1.2 Operational environment ......................................................................................................... 5
1.3 Indications................................................................................................................................ 5
1.4 Contra-indications.................................................................................................................... 5
2Safety instructions............................................................................................................................ 6
2.1 General safety instructions...................................................................................................... 6
2.2 Instructions for cyber and data security................................................................................... 7
2.3 Safety symbols on the device.................................................................................................. 8
2.4 Safety symbols on the packaging............................................................................................ 9
3Operation.......................................................................................................................................... 9
3.1 Operating functions ................................................................................................................. 9
3.1.1 Main operating functions ..................................................................................................... 9
3.1.2 Important operating functions.............................................................................................. 9
3.2 Start-up.................................................................................................................................. 10
3.2.1 Connection diagram........................................................................................................... 10
3.2.2Accessories ....................................................................................................................... 11
3.3 Operating concept ................................................................................................................. 12
3.3.1 Views in the main display area.......................................................................................... 13
3.3.2 Status area ........................................................................................................................ 16
3.3.3 Menu area.......................................................................................................................... 16
3.3.4 Commonly occurring soft keys .......................................................................................... 17
3.4 Starting a measurement ........................................................................................................ 18
3.4.1 Prepare invasive pressure measurement.......................................................................... 19
3.4.2 Measuring position selection ............................................................................................. 19
3.4.3 Conventional zeroing......................................................................................................... 19
3.4.4 Start telemetric measurement (ICPT)................................................................................ 20
3.5 Adjusting the settings / installing the NeuroSmart................................................................. 22
3.5.1 General adjustment of settings.......................................................................................... 22
3.5.2 Setting the date/time.......................................................................................................... 27
3.5.3 Graphic setting................................................................................................................... 28
3.6 Alarm system......................................................................................................................... 29
3.6.1 Operator settings (Admin) ................................................................................................. 32
3.6.2 Setting physiological alarm limits....................................................................................... 33
3.6.3 Technical alarms................................................................................................................ 37
3.7 Analogue forwarding of measured parameters ..................................................................... 38
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 3 of 61
3.7.1 Making signal connections with follow-on devices ............................................................ 38
3.7.2 Forwarding pressures and temperature ............................................................................ 39
3.8 Expanded parameters ORx, PRx, CPPopt............................................................................ 40
3.8.1 Calculation methodology for PRx, ORx and CPPopt ........................................................ 41
3.8.2 Set the calculation of PRx, ORx, CPPopt.......................................................................... 42
3.8.3 View expanded parameters............................................................................................... 43
4Error messages and troubleshooting ............................................................................................. 44
4.1 Information if an error occurs................................................................................................. 48
5Cleaning and care .......................................................................................................................... 49
5.1 Cleaning the NeuroSmart...................................................................................................... 49
5.2 Cleaning, disinfection and sterilisation of the cables............................................................. 49
5.2.1 Cleaning............................................................................................................................. 49
5.2.2 Disinfection ........................................................................................................................ 50
5.2.3 Sterilisation ........................................................................................................................ 50
5.3 Cleaning the adapter ............................................................................................................. 50
6Electromagnetic compatibility......................................................................................................... 51
6.1 Measuring accuracy under the influence of electromagnetic disturbance phenomena ........ 51
6.2 General information about electromagnetic compatibility ..................................................... 51
6.3 Electromagnetic emissions.................................................................................................... 52
6.4 Electromagnetic immunity ..................................................................................................... 53
7Inspections, safety and measurement checks............................................................................... 54
7.1 Safety check (SC).................................................................................................................. 54
7.2 Measurement check (MC) ..................................................................................................... 54
8Technical Parameters (Specification) ............................................................................................ 55
8.1 Technical data ....................................................................................................................... 55
8.2 Ambient conditions ................................................................................................................ 58
8.2.1 Operating conditions.......................................................................................................... 58
8.2.2 Storage conditions............................................................................................................. 58
8.2.3Transport conditions.......................................................................................................... 58
9Environment and disposal.............................................................................................................. 59
10 Liability and warranty................................................................................................................. 59
11 Appendices................................................................................................................................ 60
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 4 of 61
Abbreviations used
Table 1: Abbreviations
Abbrevia-
tion
Explanation
ICP
Intracranial Pressure
ART
Arterial Blood Pressure
CVP
Central Venous Pressure
CPP
Cerebral Perfusion Pressure
CPPopt
Optimal Cerebral Perfusion Pres-
sure
PRx
Pressure Reactivity Index
ORx
Oxygen Reactivity Index
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 5 of 61
1 General information
The RAUMED NeuroSmart (called the NeuroSmart for short) is available in two different hardware ver-
sions (REF 095284-001 and REF 095294-001). An additional feature of hardware version REF 095294-
001 (NeuroSmart logO) is oxygen partial pressure measurement. The hardware version without an ox-
ygen partial pressure measurement function has the item number REF 095284-001 and is referred to
as the NeuroSmart. Both hardware versions are described in the instruction manual when the Neu-
roSmart is referred to.
1.1 Intended use
The NeuroSmart is a diagnostic device and is used for monitoring up to four invasively measured phys-
iological pressures and up to two patient temperatures (with alarm function). In addition to measuring
and monitoring the aforementioned vital parameters, the NeuroSmart offers long-term storage of the
readings. The NeuroSmart may only be used on a single patient at the same time.
The intended use of the NeuroSmart is based on the application part:
•As part of the transdermal telemetric system readP, the NeuroSmart is a monitoring device with an
alarm function for data logging and data storage of physiological invasive pressure. In the process,
pressure is measured by the NEUROVENT-P-tel.
•In conjunction with RAUMEDIC catheters for single-channel ICP measurement or RAUMEDIC multi-
parameter catheters for combined ICP, temperature and oxygen partial pressure measurement, the
NeuroSmart is a diagnostic tool with alarm function for displaying and recording the data of physio-
logical invasive parameters. Display of oxygen partial pressure is only possible with hardware version
REF 095294-001 (NeuroSmart logO). Furthermore, external transducers can also be used for inva-
sive pressure measurement.
Invasive pressure measurement and temperature measurement are essential features of the device.
Optionally, up to two pressure signals can be forwarded via the two analog outputs to a bedside monitor
with limit value monitoring. The Rec, USB, and PC interfaces are available for transferring additional
readings. See Figure 1 and Table 4.
1.2 Operational environment
The NeuroSmart is intended for use by trained medical professionals in a clinical environment. The
device can be either stationary or mobile while being operated during transport in a hospital. For tele-
metric use of the NeuroSmart, its use is limited to stationary area.
It is used by doctors, intensive care nurses and medical engineers. The device is not intended for use
outside a hospital, such as operation in a domestic environment, medical practices, helicopters or am-
bulances.
1.3 Indications
If the doctor considers it necessary, the NeuroSmart can be used to measure and monitor several phys-
iological parameters such as invasive pressure and temperature.
1.4 Contra-indications
Please be aware of the following contra-indications when using the NeuroSmart:
• The NeuroSmart is contra-indicated for use in CT or MRI and must not be operated in a
corresponding environment.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 6 of 61
2 Safety instructions
2.1 General safety instructions
Carefully read the whole instruction manual before using the NeuroSmart and ensure you are familiar
with device operation.
Avoid extended direct skin contact between the patient and the NeuroSmart’s housing.
Do not make changes or modifications to the device.
To guarantee the safety, reliability and performance of the system, the following instructions must
always be strictly observed:
•The NeuroSmart may only be operated by qualified medical personnel.
•Before using the NeuroSmart, you must be thoroughly familiar with the instruction manual.
•The NeuroSmart may only be operated with the specific adapter, see Section 3.2.2 Accessories.
•The NeuroSmart may only be used on a single patient at the same time.
•For the NeuroSmart’s mains operation, only choose a wall socket that can be reached without diffi-
culty if the adapter has to be disconnected from the wall socket
•The adapter is part of the medical device. To perform an all-pole disconnection of the NeuroSmart
from the supply network, pull the adapter out of the wall socket.
•Everyone who connects an accessory unit to the signal input or signal output configures a medical
system and is thus responsible for this system’s compliance with the requirements of IEC 60601-1.
•Under certain circumstances, when used simultaneously with other devices connected to the pa-
tient, interference can occur between the devices, which can also affect the measurement results.
•If the NeuroSmart is operated along with an electric surgical instrument, a measurement inaccuracy
as described in Section 6.4 can occur.
•Transducers or catheters not equipped with suitable safety measures to prevent the patient from
being burnt must be removed from the device before the use of electric surgical instruments.
•The NeuroSmart is authorised for use in conjunction with an electric surgical instrument. See also
Section 6.2.
•Using a defibrillator can result in temporary disruptions to the signal shape and readings. Normal
operation is continued 10 seconds after the defibrillation.
•Always contact the manufacturer first if questions about servicing arise. The manufacturer will pro-
vide you with a list of authorised service partners.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 7 of 61
•With all securing and installation variants, ensure that the device cannot fall down or cause any
hazard in any other way. Route the cable safely to prevent tilting.
•Do not use the device in an explosive environment. The device must have at least 25 cm clearance
from any anaesthesia devices and gas-filled tubes.
•The accessories must be cleaned, disinfected or sterilised in accordance with the instruction man-
ual. If the accessories have a separate instruction manual, its instructions apply.
•Should the device be moved from a cold environment into a warm environment, it must only be used
once the temperature of the device and the accessories have reached room temperature and there
is no risk of condensation forming or any condensation formed has completely dried out.
•Do not allow any liquid to get into the device. However, if liquid does get in, firstly remove the adapter
from the wall outlet and give the device to Service for checking. Then carry out checks as per the
safety requirements.
•For installation of the system (with laptop or external system –patient monitor), the following instruc-
tions must always be strictly observed:
•Non-stationary universal portable socket outlets must not lie on the ground
•An additional non-stationary universal portable socket outlet or extension cable must not be
connected to the system
•Equipment that is not part of the system must not be connected to this
2.2 Instructions for cyber and data security
•The NeuroSmart is not intended to be operated with the Internet.
•The NeuroSmart is not intended for operation in public networks.
•Only connect the NeuroSmart to a USB stick or virus-free PC.
•Please delete all data before sending the NeuroSmart for routine service checks.
•Please delete all data at the end of the device’s service life if the NeuroSmart is to be perma-
nently shut down.
•Only persons/organisations authorised by RAUMEDIC may perform a software/firmware up-
date.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 8 of 61
2.3 Safety symbols on the device
Table 2: Symbols on the device
The patient connections P1/T1, P2/T2 and pO2are Type CF ones and are classified as
having defibrillation protection.
Note: Please observe the instruction manual or important safety-related information.
For the patient connections, the sign means that only accessory parts approved by the
manufacturer may be connected to the NeuroSmart, because protection of the medical
device against the consequences of a defibrillator’s discharge depends on the use of suit-
able cables.
Inputs and outputs, digital and analogue
Follow the instruction manual
Observe disposal regulations. Do not throw used devices away in landfill waste.
Observe ESD protection measures
It is recommended that the operator instructs all employees involved in using the device
about ESD measures. Training should include:
Contact pins of plugs/sockets, which are provided with an ESD warning label, must not be
touched. Connections between these plugs must not be made without using ESD protec-
tion measures. In particular, the causing of high electrostatic discharges at the labelled
points must be avoided. This is supported through the use of appropriate ESD work cloth-
ing, an appropriate ESD working environment (ESD floors) and ESD packaging.
Manufacturer
Date of manufacture
Article number
Serial number
Device meets the basic requirements of Directives 93/42/EEC and 90/385/EEC
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 9 of 61
2.4 Safety symbols on the packaging
Table 3: Symbols on the packaging
Keep away from sunlight
Keep dry
Consult instruction manual!
Manufacturer
Date of manufacture
Observe disposal regulations. Do not throw used devices away in landfill waste.
Temperature limit
Humidity, limitation
Article number
Serial number
Device meets the basic requirements of Directives 93/42/EEC and 90/385/EEC
3 Operation
3.1 Operating functions
3.1.1 Main operating functions
The NeuroSmart’s main operating functions are:
•Installation of the device
•Charging the chargeable battery
•Measurement in stand-alone mode
•Saving measured data
•Monitoring the physiological parameters
3.1.2 Important operating functions
•Forwarding readings to a patient monitor
•Exporting data to the USB stick
•Download data to the PC
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 10 of 61
3.2 Start-up
The device (housing, foil keyboard, cable insulation, plug, label) must be visually inspected for in-
tactness every time before being started up. The device must not be used if defects are detected. It
must be returned to the manufacturer immediately.
Visual inspection
•Front foil undamaged (watertight, buttons OK)?
•Name plate fitted and legible?
•Housing and display undamaged (no cracks or sharp edges)?
•Cable connection and Redel coupling visually free from damage?
•Are there any loose parts within the device (shake the device gently)?
•Are the device or accessories dirty?
3.2.1 Connection diagram
The connection diagram with peripheral devices is shown in Figure 1. RAUMEDIC neurosurgical cath-
eters or blood pressure transducers can be connected to the inputs P1/T1 and P2/T2. The pO2input
and thus the oxygen measurement function is not available with REF 095284-001. See Figure 1 and
Table 4.
The measured pressures can be forwarded to a follow-up patient monitor via the Out1 and Out2 outputs.
Monitor-specific Cable DATALOGGER are used for this.
Other peripheral devices and associated connection cables are shown in Figure 1 and listed in Section
3.2.2 Accessories.
Table 4: NeuroSmart connectors
Inputs (application part)
Inputs/outputs (SIP/SOP)
Designation
Number
Designation
Number
P1/T1 and P2/T2
Invasive pressure
2
Power (for adapter)
1
P1/T1 and P2/T2
Invasive temperature
2
Out1/2
(Analogue output)
2
P-tel
Telemetry channel pressure
1
Rec output
(Analogue output)
1
pO2
Oxygen partial pressure
Invasive (REF 095294-001)
1
USB stick interface
(USB-A)
1
PC interface
(USB-B)
1
Ethernet interface
1 (for servicing only)
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 11 of 61
Figure 1: NeuroSmart connection diagram
3.2.2 Accessories
Table 5: Accessory as defined in Directives 93/42/EEC and 90/385/EEC
Article No.
Designation
284037-001
Power Adapter NeuroSmart length 2 m (included in delivery)
See instruction manual
with print number zwo-
013
RAUMEDIC neurosurgical catheters (application parts)
096504-001
NEUROVENT-P-tel, length 35 mm (application part), Directive 90/385/EEC
094328-001
ICP-TEMP-Cable, length 2 m
095624-001
Cable PTO, length 2 m
095657-001
Cable LWL, length 2 m
See instruction manu-
als with print numbers
zwo-253, zwo-315,
zwo-320, zwo-340,
zwo-341
Transducercable, length 2 m
See zwo-288
Cable DATALOGGER, length 2 m
096524-001
Reader TDT1 readP, length 2.3 m, Directive 90/385/EEC
Table 6 Accessory not as defined in Directive 93/42/EEC and 90/385/EEC
Article No.
Designation
283949-001
USB Cable, length 3 m
096096-001
NeuroSmart Rec-BNC Cable, length 2 m
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 12 of 61
3.3 Operating concept
The NeuroSmart can be operated with hard keys (buttons) and soft keys. The hard keys are located
beneath the display and are shown in Figure 2. Most functions can be handled with the soft keys on the
touch display. Only a few functions are handled with hard keys.
Figure 2: NeuroSmart hard keys
[1] On/Off button
[2] Light-emitting diodes (LED)
[3] Alarm button
[4] Keylock
The touch display is divided into three areas. See Figure 3
Figure 3: Operating concept/screen layout
[1] Main display area
[2] Status area (the device cannot be operated in this area)
[3] Menu area
[4] View button; Selectable: Reading View, Live Graph View, Trend View, CPPopt View
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 13 of 61
[1] Various views can be displayed in the main display area (see Section 3.3.1). Readings, alarm sta-
tuses, curve progressions or the trend can be displayed as well.
[2] Information such as date, time, patient clinic ID, battery level, storage capacity, screen lock, and
alarm status is displayed in the status area. The device cannot be operated in the status area.
[3] The soft keys in the menu area can be used to toggle between views. Other functions such as for-
warding, brightness adjustment, setting, and message displays are also in the menu pane.
3.3.1 Views in the main display area
There are four different views that can be shown in the main display area. The views have a fixed
sequence that revolves around the Reading View (see Figure 4).
Figure 4: Arrangement of views in the main display area
The Reading View is regarded as the main view. Use the Home Button to go directly to the Reading
View from any other view display.
Table 7: Views in the main display area
Reading View:
The readings are the focus of the Reading View and are displayed in a large size. Alarm
statuses are also displayed in the Reading View. If an alarm status exists and the Reading
View is not open in the main display area, the main display area switches to the Reading
View. Depending on the number of parameters to be measured, the number of measure-
ment fields and their display size can vary so that the display elements can be shown in
as large a size as possible. In this way, 1-6 display fields may be shown in the Reading
View.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 14 of 61
Live Graph View:
The current curve values (up to 100 Hz) are the focus of the Live Graph View, with the
curve progressions being displayed in the foreground. The averages are displayed on the
right next to the curve progressions. Depending on the number of parameters to be meas-
ured, the number of curves and their display size can vary so that the curves are shown
in as large a size as possible. In this way, up to 3 curves may be displayed in the Live
Graph View.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 15 of 61
Trend Graph View:
The mean values already measured and calculated (1 Hz) are the focus of this view.
You can look at the trends (mean values).
CPPopt View:
CPPopt and PRx can be calculated if the ART and ICP are measured at the same time.
ORx can be calculated if the ART, ICP and pO2 are measured at the same time.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 16 of 61
3.3.2 Status area
The device status is displayed in the status area. This is only used to display information. The device
cannot be operated in the status area.
Figure 5: Status area
[1] Date and time
[2] Patient No.: Patient No. is a number assigned internally by the NeuroSmart. The Patient No. in-
creases continuously when a new patient is created.
[3] Clinic ID: The Clinic ID is user-assigned when a new patient is created. Alphanumeric characters can
be entered for the Clinic ID.
[4] Battery charging capacity and charging status: The battery’s remaining charging capacity is displayed
as a percentage. A crossed-out plug symbol appears if the Power adapter is not plugged in.
[5] Storage capacity: The remaining storage capacity is displayed as a percentage.
[6] Keylock symbol: A closed blue padlock appears if the keylock is activated.
[7] Alarm status: The device’s alarm status is displayed in this area. If there are two alarms with different
priorities, the alarm with the higher priority is always displayed. (See Section 3.6)
[8] Remaining time for audible alarm pausing: Indicates the time when audible alarm pausing expires.
3.3.3 Menu area
The soft keys in the menu area are dynamically arranged depending on the views (see Section 3.3.1).
The menu pane may include the following symbols.
Table 8: Symbols in the menu pane
Symbols/soft keys
Meaning
Reading View: See Section 3.3.1
Live Graph View, Trend View, CPPopt View. See Section 3.3.1
Forward button. See Section 3.7
Global AUDIO PAUSED: Pressing this button disables audible alarms
for the selected interval.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 17 of 61
Marker button: An incident can be highlighted in the Live Graph View.
This is synchronously saved with the data.
Settings button: This button opens the settings for the device.
Dialogue button: If messages with different priorities exist, the symbol
flashes in yellow or red. The message with the higher priority determines
the symbol’s colour. The figure in the speech bubble shows the number
of messages. See Section 4. Clicking the Dialogue button displays the
messages. The message in the menu pane applies to the entire device.
The message displayed in the separate measurement fields only applies
to this measuring position (see Figure 3).
3.3.4 Commonly occurring soft keys
Soft keys
Meaning
Select button
Plus/Minus button
Cancel button
Confirm button
Confirm Continue button
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 18 of 61
3.4 Starting a measurement
The battery symbol at the top of the display shows the battery’s state of charge. A full bar
means that the battery is fully charged. With a fully charged battery, the NeuroSmart can be operated
without connection to a mains outlet for up to 4 hours (e.g. when transporting a patient) In this case, the
green Power On LED flashes (on the bottom left of the operating foil, see Figure 2 No. [2]).
If the NeuroSmart is operated with the supplied Power Adapter, it must be connected to the mains
voltage. Now connect the red plug of the adapter cable to the NeuroSmart's red socket. Please note
that the adapter may only be connected to an approved electrical installation.
Switch on the NeuroSmart by pressing the button. The device is ready for operation after a brief
self-test. This button also switches the device off. To prevent accidental shutdown, you must confirm
this on the touch display.
After the NeuroSmart has been switched on, the Start screen appears (see Figure 6).
Figure 6: Start the measurement
[1] Measurement function select keys. Selection: “New Patient”, “Continue Measurement” or “View
Measurement”
[2] Alarm limits select keys. Selection: “Default”, “Clinic” or “Keep”
[3] Entry field for Clinic ID: Clicking on this soft key makes a keyboard appear. You can then enter the
patient’s clinic ID.
[4] Delete data button: This button can be used to delete all the data on the NeuroSmart.
[5] Start Measurement button
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 19 of 61
3.4.1 Prepare invasive pressure measurement
•Invasive pressure measurement with neurosurgical pressure catheter by RAUMEDIC
oConnect the ICP-TEMP-Cable or Cable PTO to the catheter, insert plug with yellow mark into
the P1/T1 or P2/T2 socket of the NeuroSmart. See Figure 1.
•Invasive pressure measurement with external blood pressure transducer
oPrepare monitoring set in accordance with the manufacturer's specifications. Connect the
Transducercable DATALOGGER to the blood pressure transducer, insert the plug with yellow
marking into the P1/T1 or P2/T2 socket of the NeuroSmart. See Figure 1.
3.4.2 Measuring position selection
It is not necessary to assign a measuring position for catheters with an internal storage. The measuring
positions are automatically detected and assigned by the NeuroSmart. Measuring positions do need to
be assigned for catheters (without an internal storage) and blood pressure transducers.
Figure 7: Select measuring position
[1] Measuring position select keys. Selectable: ICP1/ICP2, ART, CVP
[2] Zero calibration select keys. Selectable: RAUMEDIC, conventional, Keep
[3] Confirm measuring position and zero calibration option.
After the measuring position and zero calibration option have been confirmed, the measurement is
started.
3.4.3 Conventional zeroing
You can perform conventional zeroing while performing pressure measurement using a blood pressure
transducer if the ART or CVP pressure channel is set.
To performconventional zeroing: <1> Press thezeroingbutton, thenopen the blood pressure transducer
to atmosphere, then <2> press the confirmation button in the “Conventional zeroing” dialog box, see
Figure 8.
The “Conventional zeroing” dialog box closes and a pressure of 0 mmHg is displayed. To continue the
measurement, close the valve on the blood pressure transducer.
This document is for information only

RAUMED NeuroSmart Instruction Manual
Manufacturer: RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany
zwo-541EN Rev 3 / 2022-05-03
Page 20 of 61
Figure 8: Performing conventional zeroing
3.4.4 Start telemetric measurement (ICPT)
For atelemetric measurement, the necessary accessories (Reader TDT1 readP and NEUROVENT-P-
tel) must be used.
•Please observe the instructions in the manuals for the accessories.
•Connect the Reader TDT1 readP to the NeuroSmart by inserting the plug with the black mark into
the black P-tel socket of the NeuroSmart. See Figure 1.
•Adjust the ring antenna on the NEUROVENT-P-tel as shown in Figure 9. The bridgeable distance
is limited to 17 mm.
Figure 9: Adjust ring antenna on telemetric catheter
The NEUROVENT-P-tel is automatically assigned the measurement location label ICPT. See Figure 10,
Field [1].
This document is for information only