VIASYS Nicolet Endeavor User manual

Nicolet Endeavor and Endeavor CR
Nicolet Endeavor and
Nicolet Endeavor CR
User Guide
January, 2005
Nicolet Endeavor and Nicolet Endeavor CR User Guide
5225 Verona Road, Bldg. 2 • Madison, Wisconsin 53711-4495 USA
Tel: [phone] • Toll Free in U.S.: 1-800-356-0007• FAX: [phone]
E-mail: [e-mail]
Internet: www.nicoletbiomedical.com • www.VIASYS Healthcare.com
Part Number: 269-587904

The CE 0344 mark identifies
compliance with the Medical
Device Directive 93/42/EEC.
EMI by its nature can be a
possible source of distur-
bance to electronic equipment.
This device should be used in an
environment free* of other equip-
ment that could be affected by
interference.
Nicolet Biomedical is an
ISO 9001 and EN 46001-certified
corporation.
* Environment free described in
IEC1000-2-3, Part 2, 1992,
First Edition.
Compliance
!

Additional copies
Additional copies of this manual or other VIASYS NeuroCare literature may be obtained from:
VIASYS NeuroCare
P.O. Box 44451
Madison, WI. USA 53744-4451
Trademarks
Microsoft, MS, MS-DOS, Windows, and Windows NT are registered trademarks of Microsoft
Corporation.
Copyright 2005
VIASYS HealthCare
Printed in USA
All rights reserved.

Attention
The information in this document is subject to change without notice.
VIASYS NeuroCare 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.
VIASYS NeuroCare assumes no responsibility for any errors that may appear in this docu-
ment. VIASYS NeuroCare makes no commitment to update nor to keep current the informa-
tion contained in this document.
No part of this document may be copied or reproduced in any form or by any means without
prior written consent of VIASYS NeuroCare.

Nicolet system warranty
VIASYS NeuroCare warrants that each product we sell you shall conform to its product speci-
fications as defined in the user documentation.
If the product does not function as warranted during the warranty period, we will repair or
replace it without charge. If in our judgment we are unable to do so, you may return it to us and
we will refund your money.
Warranty period
The warranty period is stated in the product user documentation. If you install the product, the
warranty period begins on the date of invoice. If we install the product, the warranty period
begins on the date of installation but will begin no later than 30 days from the date of invoice.
The warranty period for products sold outside the U.S.A. and Canada is 12 months from the
date of installation or 14 months from the date of shipment, whichever is less.
Limit of warranty
Misuse, accident, modification, unsuitable physical or operating environment, improper main-
tenance, or damage caused by a product for which we are not responsible may void the war-
ranty.
Certain components may have separate warranty periods as stated in the product user docu-
mentation. Consumables are not covered under warranty.
THIS WARRANTY REPLACES ALL OTHER WARRANTIES, EXPRESSED OR
IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND
FITNESS FOR A PARTICULAR PURPOSE AND ANY OTHER OBLIGATIONS OR LIA-
BILITIES ON THE PART OF VIASYS NeuroCare WHETHER IN CONTRACT, WAR-
RANTY, NEGLIGENCE OR OTHERWISE. VIASYS NeuroCare SHALL NOT BE LIABLE
FOR AND DISCLAIMS ALL CONSEQUENTIAL, INCIDENTAL AND CONTINGENT
DAMAGES.
Items not covered by warranty
We do not warrant uninterrupted or error-free operation of a product.
We provide certain non-VIASYS NeuroCare products on an ‘as is’ basis.
Non-VIASYS NeuroCare manufacturers or suppliers may provide their own warranties to you.
Separate software warranty is provided with software user documentation.

Nicolet software warranty
VIASYS NeuroCare warrants that the physical media (e.g. diskettes), shall be free of malfunc-
tion in labor and materials for a period of ninety (90) days from the invoice date. If the physical
media containing the software is defective, VIASYS NeuroCare will replace it without charge.
This is your sole remedy for product malfunctions. In no event will VIASYS NeuroCare’s lia-
bility exceed the price paid for the software, regardless of the form of the claim.
VIASYS NeuroCare does not warrant that the software will operate uninterrupted or error-free.
VIASYS NeuroCare MAKES NO OTHER WARRANTIES, EITHER EXPRESS OR
IMPLIED, WITH RESPECT TO THIS SOFTWARE, INCLUDING WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. VIASYS Neuro-
Care MAKES NO WARRANTY, EITHER EXPRESS OR IMPLIED, WITH RESPECT TO
THE QUALITY OR PERFORMANCE OF THIS SOFTWARE. VIASYS NeuroCare SHALL
NOT BE LIABLE FOR CONSEQUENTIAL, INCIDENTAL OR CONTINGENT DAM-
AGES.
Some states do not allow the exclusion or limitation of implied warranties or limitation of lia-
bility for incidental or consequential damages, so the above limitation or exclusion may not
apply to you.

Software copyright protection
This software is protected by state, U.S. and international copyright treaty provisions. These
copyright provisions apply to your use of this software regardless of whether or not you agree
to the following terms. Under law, copyright infringers may be liable for actual damages sus-
tained by the copyright owner and for punitive damages of up to $100,000 per infringement.
Unauthorized copying of computer software, and attempts to do so, are also criminal viola-
tions, with penalties that may exceed $100,000 in fines and 10 years in prison.
1.Unless restricted by an agreement with VIASYS NeuroCare, you are permitted to:
a.Use this software on only one computer and by one user at a time.
b.Make one copy of this software, provided that:
(i)the copy is created as an essential step in the utilization of this software in conjunction with
your machine and that it is used in no other manner, or
(ii) that the copy is for archival purposes only and that all archival copies are destroyed in the
event that your continued possession of this software should cease to be rightful.
c.Sell this software, and any archival copy, only as part of the sale of all of your rights in this
software, except that adaptations so prepared may be transferred only with the authorization of
VIASYS NeuroCare.
2.You are not permitted to:
a.Make copies of this soft-ware or documentation except as described above.
b.Alter, modify or adapt this software or documentation except as described above.
c.Distribute, lease, rent or sublicense this software or documentation.

Customer responsibility
This product and its components will perform reliably only when operated and maintained in
accordance with the instructions contained in this manual, accompanying labels, and/or inserts.
A defective product should not be used. Parts which may be broken or missing or are plainly
worn, distorted or contaminated should be replaced immediately with clean, genuine replace-
ment parts manufactured by or available from VIASYS NeuroCare. The responsibility of VIA-
SYS NeuroCare for a malfunctioning product is limited by the warranty set forth in this
manual. Should repair or replacement of this product become necessary after the warranty
period, the customer should seek advice from VIASYS NeuroCare prior to such repair or
replacement. If this product is in need of repair it should not be used until all repairs have been
made and the unit is functioning properly and ready for use. The owner of this product has sole
responsibility for any malfunction resulting from improper use or maintenance, or repair by
anyone other than VIASYS NeuroCare, and from any malfunction caused by parts that are
damaged or modified by anyone other than VIASYS NeuroCare.
Regulatory standards
VIASYS NeuroCare systems meet the following safety standards set by domestic and interna-
tional regulatory agencies for Medical Electrical Equipment.
a. UL 60601-1
General Requirements
b. CSA 22.2 No. 601.1-M90 General Requirements
c. IEC/EN 60601-1
General Requirements
d. IEC/EN 60601-2-26 Particular Requirements for Electro-encephalographs
e. IEC/EN60601-2-40 Particular Requirements for the safety of Electromyographs and Evoked
Response Equipment.

Revised 1/17/05 1
Table of Contents
Table of Contents
Introduction
Introduction 1-3
About Nicolet Endeavor and Nicolet Endeavor CR (Technical description) 1-4
Protective classification 1-4
Intended operator 1-4
Nomenclature 1-4
Pulse width 1-5
Weight and dimensions 1-5
Requirements 1-6
Guides for operating the Nicolet Endeavor and Nicolet Endeavor CR 1-7
Using this guide 1-7
Standard conventions 1-8
System Prompts and Messages 1-8
System connections - Nicolet Endeavor CR Portable 1-9
Repacking the Nicolet Endeavor CR components 1-10
System connections - Nicolet Endeavor 1-11
System connections - Nicolet Endeavor CR Desktop 1-14
Summaries
Main window 2-3
Menus 2-4
Main and Master Toolbars 2-5
New (Select Template Panel) 2-6
Open for review (Select Workspace Panel) 2-7
Review Toolbar 2-8
Save Button 2-9
Save As Template 2-9
Print Button 2-10
Patient Information Panel 2-10
Main Button 2-11

Nicolet Endeavor and Endeavor CR
2Revised 1/17/05
Selection Toolbar 2-11
Acquisition Toolbar 2-12
Display Control Toolbar 2-13
Cursor/Marker Toolbar 2-14
Filters Toolbar 2-14
Signal Processing Toolbar 2-15
Auditory Toolbar 2-15
Visual Toolbar 2-16
Somatosensory Toolbar 2-16
Average/Trigger Toolbar 2-17
Stack Toolbar 2-18
Look Back Toolbar 2-19
Report Toolbar 2-20
Miscellaneous Toolbar 2-20
Design/Edit Toolbar 2-21
Audio Toolbar 2-22
Video Toolbar 2-22
Time Base and Sensitivity 2-23
General Annotations 2-23
Panel Group 2-24
Review Time Search 2-24
Connect Data Sources 2-25
Stimulator Context - Nicolet Endeavor CR only 2-26
Stimulator Context - Nicolet Endeavor only 2-27
Panel Controls 2-28
Annotations Editor 2-29
Marker Table 2-30
History Panel 2-31
Page Setup Panel 2-32
Measurement Table 2-33
Online Measurement Table 2-34
Print 2-35
Printer Setup 2-35

Revised 1/17/05 3
Table of Contents
Getting Started
Log on to the system 3-3
Opening Nicolet Endeavor or Nicolet Endeavor CR 3-4
Using the NicVue application 3-5
Usingthe Nicolet EndeavororNicolet EndeavorCRicons3-6
Using a template icon 3-8
Recording Data
Signal processing while reviewing a recording 4-3
Scanning the data sources 4-3
Open a template or workspace 4-3
Opening a template 4-4
Opening a workspace 4-6
Fill in the patient information 4-7
Fill in the information 4-7
Test the electrode impedances 4-8
EZ disconnecting the electrodes from the system 4-9
Start collecting data 4-10
Setting up the scheduler 4-11
Executing when preview is started 4-11
Record panel 4-13
Average panel 4-13
Print panel 4-13
Export panel 4-13
Preview the data 4-15

Nicolet Endeavor and Endeavor CR
4Revised 1/17/05
Start recording 4-17
Nicolet Endeavor and Nicolet Endeavor CR acquisition and CPU usage 4-17
Performing a Somatosensory exam? 4-18
Begin the recording 4-19
To stop recording 4-19
Placing annotations on the data 4-20
Placing markers on the data 4-21
Placing a marker on the data 4-21
Deleting a marker from the data 4-22
Choosing traces 4-23
Selecting individual traces 4-23
Deselecting individual traces 4-24
Selecting all of the traces 4-24
Deselecting all of the traces 4-24
Controlling the screen display 4-25
Reviewing Data
Signal processing while reviewing a recording5-3
Opening a file for review 5-3
Start reviewing here 5-5
Displaying the Review toolbar 5-7
Playing back the recording 5-8
Start previewing 5-8
Set the page count 5-8
Set the page speed 5-8
Using the cursors 5-9
Moving a cursor to a different signal 5-10
Moving the x cursor to a different signal 5-11
Moving the + cursor to a different signal 5-11
Moving the cursors on a signal 5-12
Moving a cursor on the signal using the mouse 5-14
Tracing a signal using the keyboard 5-14
Reading the cursor values 5-15

Revised 1/17/05 5
Table of Contents
Backing Up Files to a CD / Restoring Files from a CD
Before writing to a CD, perform this procedure 6-2
Turn off the windows XP auto insert notification 6-3
Accept the CD Writer license 6-5
Backing up the data 6-6
Choose which backup procedure to use 6-6
Back up the files 6-7
Restoring files to the hard drive from a CD 6-10
Printing Screen Displays
Previewing before you print 7-3
Previewing a printout 7-3
Zooming the preview 7-3
Printing 7-3
Printer page setup 7-4
Setting the page properties 7-4
Printer setup 7-5
Connecting a networked printer 7-5
Printing a hardcopy 7-6
Quickly printing the active panel 7-6

Nicolet Endeavor and Endeavor CR
6Revised 1/17/05
Blank page.

Revised 1/17/05 1-1
1Introduction
About this chapter
This chapter contains general information about your system. It is
recommended you read through this chapter thoroughly, paying particular
attention to the Safety Summary.

Nicolet Endeavor and Nicolet Endeavor CR
1-2 Revised 1/17/05
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Revised 1/17/05 1-3
Introduction
Introduction
The Nicolet Endeavor and Nicolet Endeavor CR software is a flexible Windows
XP based application which processes and displays sampled or simulated data in
your chosen format.
The term System in this guide .....
NOTE: This guide is for both the Nicolet Endeavor and Nicolet Endeavor CR
systems. Unless otherwise noted, all descriptions in this guide refer to both
systems. Also, the term system in this guide refers to both the Nicolet Endeavor
and Nicolet Endeavor CR.
The data can also be stored on the hard drive or read/write CD drive in raw
format, which can then be reviewed exactly as it was displayed during
acquisition or in a totally different format.
A single channel data stream can be viewed in several different manners during
acquisition. For example, a signal coming from the Cz electrode can be used in
an EEG and/or AEP display. This lets you take full advantage of a given
montage.

Nicolet Endeavor and Nicolet Endeavor CR
1-4 Revised 1/26/05
About the Nicolet Endeavor and Nicolet
Endeavor CR (Technical description)
Nicolet Endeavor and Nicolet Endeavor CR systems provide all the functionality
you need to perform the exams shown in Table 1.
Data collected from the patient can be reviewed using the easy-to-use Windows
NT™ (Nicolet Endeavor) or Windows XP™ (Nicolet Endeavor CR) interface.
Protective classification
This system is intended for continuous operation and has a protective classifica-
tion of Class I, Type BF and Type B applied parts, ordinary equipment, not suit-
able for use in the presence of flammable anesthetics.
Intended operator
The system is intended as an aid for users trained and skilled in EMG, EEG, and/
or EP monitoring.
Nomenclature
The terms Nicolet Endeavor and Nicolet Endeavor CR in this guide applies to the
Nicolet Endeavor (with or without the optional cart), Nicolet Endeavor Portable,
Nicolet Endeavor CR (with or without the optional cart) and the Nicolet Endeavor
CR Portable systems unless otherwise noted.
Table 1: Available modalities.
Modalities Modalities Standard Data Stack Bar Indicator Anatomic Sweep Line
EEG Raw EEG
CSA
CDSA
Yes
Yes
Yes
Yes Yes Yes
EMG Free-run EMG
Triggered EMG
Averaged Triggered EMG
Stimulated EMG
Averaged Stimulated EMG
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes Yes Yes
Evoked AEP (Auditory)
SEP (Somatosensory)
VEP (Visual)
MEP (Motor)
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Revised 1/17/05 1-5
Introduction
Pulse width
The term pulse width is the length of time from when the pulse starts (a) and
when the maximum pulse ends (b) as shown below.
Weight and dimensions
The following applies to the Nicolet Endeavor portable:
Weight: 32 lbs (14.54 kg)
Dimensions
Width: 20 in (50.80 cm)
Depth: 9.5 in (24.13 cm)
Height: 14 in (35.56 cm)
The following applies to the Nicolet Endeavor CR portable:
Weight: 21.5 lbs (9.75 kg)
Dimensions
Width: 19 in (48.26 cm)
Depth: 8.5 in (21.59 cm)
Height: 14 in (35.56 cm)

Nicolet Endeavor and Nicolet Endeavor CR
1-6 Revised 1/17/05
Requirements
The Nicolet Endeavor and Nicolet Endeavor CR packages require the Nicolet En-
deavor and Nicolet Endeavor CR hardware platforms in order to operate.
Input requirements - Nicolet Endeavor
Desktop system (Isolation box)
System Power: 1150VA
Frequency Range: 50-60Hz
AC Voltage/Current:
100V-120V/11.5A-9.6A/250V
220V-240V/5.3A-4,8A/250V
Fuse: 5x20mm
100V-120V: T10AL
220V-240V: T5AL
Portable system (Isolation box)
System Power: 200VA
Frequency Range: 50-60Hz
AC Voltage/Current:
100V-120V/T2AL/250V
220V-240V/T2AL/250V
Fuse: Internal (Replaceable by a qualified, trained technician or VIASYS
NeuroCare service/representative only).
Input requirements - Nicolet Endeavor CR
System Power: 200VA
Frequency Range: 50-60Hz
AC Voltage/Current:
100V-120V/T2.0AL/250V
220V-240V/T2.0AL/250V
Fuse: Internal (Replaceable by a qualified, trained technician or
VIASYS NeuroCare service/representative only).