Amplifiers/Stimulators

Xegis G:Neo
Xegis G:Neo EP
User Manual
Document Number: MNG8.EN
Version: 1.02
Date: 04/11/2009

Made by
Micromed S.p.A.
via Giotto 2 31021 -
Mogliano Veneto (TV) -
Italy
for
Compumedics Limited
30-40 Flockhart St.,
Abbotsford 3067 , VIC -
Australia
Xegis G:Neo User Manual

SUMMARY
SUMMARY 2

INTRODUCTION 3

CAUTIONS 4
UNIT MAINTENANCE 6

DEVICE DESCRIPTION 7
MAIN TECHNICAL SPECIFICATION 8
ACCESSORIES 9

Acquisition Electrodes 9

Stimulation Accessories 9

Cables 9
OTHER ASSOCIATED DEVICES 9

Software 9

PC and interface 9
SYMBOLS 10
CONNECTORS 11
PC CONNECTION 13

Radio connection 13

Cable connection 13
INFORMATION AND COMMAND 14

Control Section 14

Information Section (LEDs and display) 15
MENU 16

Electric stimulator settings 16

Acoustic stimulator settings 17

Visual stimulator settings 18

Hardware amplifier parameters 18

Acquisition parameters 19

Trigger management 19

USE OF XEGIS G:NEO DEVICES 20

SYSTEM CONFIGURATION 21
PARAMETERS SETTINGS 23

Modification using the software 23

Modification using the device 23

Choice of the simulator type 23
RECORDING START 24

Radio Communication 24
STIMULATION AND ACQUISITION STOP 25
USE RECOMMENDATIONS 25

Rev. 1.02 pag. 2 di 25

Xegis G:Neo User Manual

INTRODUCTION
The integrated modules for and multi-modality stimulators named Xegis G:Neo and Xegis G:Neo EP
are members of the Xegis series allowing to maintain all the peripherals of a complete EMG system,
including electric stimulators and a 2-channels acquisition section, within a single device able to
communicate with the other medical digital equipment of Xegis series. In the Xegis G:Neo EP model,
also visual and acoustic stimulators are included, allowing performance of EP examinations.
The devices can be controlled using the devices buttons or a PC, endowed of the acquisition
software that allows controlling completely the stimulators and beside provides the visualization,
computation and storage of the traces coming from the acquisition devices. The connection with
the PC is made via the Xegis USB interface or via the included Bluetooth.
The devices are powered from the interface cable or from the batteries: two AA 1.5V alkaline
batteries are used.
The use on board of a microcontroller allows performing the required action respecting precisely the
requested parameter as intensity, duration frequency and synchronization of the stimulation.
Using the Xegis USB interface it is possible to control the device with a portable computer, allowing
the implementation of a real portable electromyography and evoked potential system.

Rev. 1.02 pag. 3 di 25

Xegis G:Neo User Manual

CAUTIONS
• INTENDED USE: the device is designed to perform electromyography or evoked potential
exams using surface electrodes, needles, and proper headphones and goggles.
• Avoid spilling materials on the device and if this were to happen DO NOT USE THE SYSTEM FOR
ANY REASON and contact your zone representative for necessary assistance.
• An authorized qualified technician or doctor must always perform the electrode application for
the recording and the use of the unit.
• The user must have a good knowledge of the set parameters and verify their correctness. Even
though the energy given as light, sound or electric impulses is limited and automatically controlled,
the Xegis family stimulators can create stimuli that provoke patient pain, especially in electrical
stimulation.
• Patients with electronic implanted systems (ex: pacemaker) should not be subjected to electrical
stimulation without having previously consulted a specialist.
• During electrical stimulation, the stimuli distribution electrodes having opposite polarity
should be kept close in order to reduce the current path in the body. In particular it is necessary to
avoid chest stimulation because it could cause a dangerous current flow through the heart.
• Use only Compumedics approved cables for the interconnection of the various components in
order to guarantee electric safety and operating characteristics (refer to ACCESSORIES section on
page 9)
• The patient must be connected to the stimulator via surface or needle EMG electrodes and
accessories; both must be compliant with 93/42/EEC Directive and ISO 10993 standard on
biocompatibility and compatibles with the device.
• The stimulators integrated in the Xegis G:Neo device must be used with surface electrodes
having a contact area suitable for the desired stimulus intensity. Current density higher than 2 mA
r.m.s./cm2 needs for special attention.
• The device is compatible only with Compumedics accessories for visual and acoustic stimulation
(refer to ACCESSORIES section on page 9)
• The DC inputs must be connected only to passive (not powered) or battery-powered devices
compliant with EN 60601-1, with a maximum signal output lower than 4.8V. Consult Compumedics to
verify the compatibility of the desired accessories.
• The serial and communication input connectors have a lock system. Excessive pulling on the
cable is useless and can damage the isolation safety.
• Do not expose the patient signal inputs to high voltage signals. Pay attention during the
connection of the electrodes, the cable for the connection with the PC or the auxiliary devices
(transducers): the inputs are very sensitive to electrostatic discharge. The pin of the connectors
identified with the ESD warning symbol should not be touched with the fingers or metallic tools
without taking proper precautions. Refer further in this section, the SYMBOLS section and the
technical manual.
• Pay attention that accessories and conductive parts, even if connected only to the patient or to
the system, do not get in touch with conductive surfaces, even if protected with protected earth
connection.
• The contemporary connection of a patient with the recorder and with a surgical unit at high
frequency can burn the contact points of the acquisition electrodes and cause possible damage to
the device.

Rev. 1.02 pag. 4 di 25

Xegis G:Neo User Manual
• The device is not protected from electrical discharges coming from cardiac defibrillators.
• The use of the stimulator close (1 meter or less) to short waves or microwave therapeutic device
could produce errors in the acquired data and instability in the stimulator output.
• Do not use almost exhausted batteries. Verify the battery status before starting a new exam and
eventually replace them. Use only 1.5V AA batteries to reach the specified working condition. For
battery use and disposal, follow the instructions given by the battery manufacturer. Pay attention to
the insertion polarity.
• The device is endowed with a low power radiofrequency transmission system; nevertheless in
some particularly sensitive environment, the emitted radio signal could induce electromagnetic
disturbances. In these cases, the radio transmit function should be disabled via the proper menu and
the cable should be used for the communication with the PC.
• The device need special care in relation to the electromagnetic framework and must be installed
and used according to the EMC information contained in the ELECTROMAGNETIC COMPATIBILITY
session.
• Portable and mobile radio communication devices could affect device operation.
• Never place the device over or in close proximity of other medical devices. Take care to maintain
the recommended distances reported into the Technical Manual.
• When using the radio transmission feature, the device should not be placed directly on the
patient chest if a cardiac pacemaker is implanted or used in the patient. If examination of such a
patient is needed, it is suggested to use cable communication.
• Do not activate the radio transmission features in shielded environments; take care of the
environmental condition (presence of EMI-sensitive or life-supporting devices) before starting the
radio transmission. If possible, it is suggested to perform a preliminary test (without patients
connected to the other devices) to verify the compatibility of the radio transmission with the
existing devices.
• Device for continuous functioning, not protected against water or dust penetration and not
suitable for use in presence of flammable anaesthetic mixtures with air, oxygen or nitrous oxide.
• The PC must be compliant with standards IEC 60950 and must not be introduced in the patient
area. Alternatively the device can be connected to a Xegis acquisition system, already configured for
the usage in a patient area.
• The electrostatic discharges can damage the electronics components connected to the device
inputs, block the acquisition and compromise the acquired signal quality. Hence:
o The pins of the connectors marked with the ESD warning symbol should not be touched
with the fingers or metallic tools unless proper precautions has been taken:
o Before touching the connectors, static electricity should be discharged by touching an
extended metallic plane connected to protective earth;
o Static charge accumulation can be reduced by maintaining a minimum level of air
humidity (e.g. by humidification, air conditioning) and avoiding their formation (e.g. by
using conductive floors and non-synthetic garments).
These precautions should be known by all people that can be in contact with the device, with an
introduction on the phenomenon physics and the methods to prevent these events.
• Pay attention to avoid rough crash. In case this was to happen, before re-using the device,
check the functionality in particular, the integrity of the cover and the fixing of the connectors. In
presence of irregularity DO NOT OPEN the device to verify or repair damages but immediately
contact your zone representative for the necessary assistance.

Rev. 1.02 pag. 5 di 25

Xegis G:Neo User Manual
UNIT MAINTENANCE
• Inspect the container, the accessories and the recording cables to verify the presence of
eventual damage caused by transport. Such problems should be verified and reported to your
Compumedics zone representative before using the unit.
• Do not open the device case or expose it to abnormal conditions (high temperatures or
excessive humidity)
• Avoid spilling any materials, in particular liquids, on the system components and if this were to
happen do not use the system for any reason and contact your zone representative for necessary
assistance.
• Do not repair or substitute autonomously any parts of the units. For any problems please refer
to qualified personnel. In case of potentially dangerous events, have the device checked even if it
seems to work well.
• In case the unit falls from heights inferior to 1m make sure of the regular functionality of the
device, by means of the IMPEDANCE CHECK test and the calibrating resistors, before using on
patient. For drops of superior heights Compumedics personnel must control the device.
• Before cleaning the system make sure that it is turned off.
• Do not use abrasives or solvents of any type. Clean the device using a “humid” cloth (not wet)
on the external part of the cover. Clean the connection cables, the goggles, the headphones and the
electrode cables with a humid cloth. Substitute electrodes and contact pads even after any
application whenever needed for hygienic reasons. Use only sterile needle electrodes compliant
with the specific standards.
• Contact your zone representative to organize a periodic maintenance check (at least every two
years).
• Do not dismiss the device and the exhausted batteries together with common waste. Verify the
local rules for the electronic equipment waste dismissal.
Micromed S.p.A. reserves the right to modify products, specifications or manuals whenever
deemed necessary without prior notice.

Micromed S.p.A. declines every responsibility regarding the security, reliability and services if the
device is mishandled or however repaired by non-authorized personnel. For all modifications
regarding cables and accessories please contact Compumedics in order to guarantee the device
compatibility.

Rev. 1.02 pag. 6 di 25

Xegis G:Neo User Manual

DEVICE DESCRIPTION

Rev. 1.02 pag. 7 di 25

Xegis G:Neo User Manual

MAIN TECHNICAL SPECIFICATION

• Graphic display for menu visualization
• Double power supply: battery operated, up to 15 our duration with Bluetooth® interface active,
or powered from Xegis USB interface.
• Isolation up to 3000 Vac by means of optocouplers on the communication lines and isolation by
means of DC/DC converter on the power supply lines towards PC for patient safety.
• Small size and light weight for best easiness of use
Acquisition Section
• 2 differential channels suitable for EP acquisition, with lower band limit 0.15 or 16 Hz and upper
band limit 10 KHz. Full-scale can be set to 51.2 mV or 6.4 mV.
• 1 auxiliary DC channel
• 1 isolated serial channel for communication with other devices
• channel labels, gain and filters can be set via software
• Analog-to-digital data conversion with 1 A/D converter per channel. Sampling frequency from
256 Hz to 64 KHz. 24-bit equivalent resolution (with 256 Hz sampling rate)
Electrical stimulator
• Intensity: from 0.2 mA to 100 mA with selectable step
• Duration: positive phase from 25 to 1000 µs, negative phase from 0 to 300 µs
• Continuous electric stimulation (repetition frequency min. 0.25 Hz max. 300 Hz); single pulse or
train pulse electric stimulation from 0 up to 200 stimuli per single train.
• Type of stimulus: single phase with positive, negative or alternate phase, biphasic with positive
and negative phase duration independently adjustable.
• Trigger delayed: from 0 to 12 ms
Acoustic stimulator (in the Xegis G:Neo EP model)
• Headphone Sound level: from 0 to 110 dB in 5 dB steps.
• Frequency: min 0.25 Hz max 100 Hz adjustable (step 0.25 Hz / 0.5 Hz)
• Stimulation side: right ear, left ear, bilateral
• Stimulus Sound: positive or negative symmetric click, positive, negative and alternate
asymmetric click, positive, negative and alternate double click, beep, boop, beep/boop. Custom
programmable sound, side independent generate from two 16 bit ADC
• Noise: adjustable from 60 to 110 dB in 5 dB steps.
• Trigger delayed: from 0 to 12 ms.
Visual stimulator (in the Xegis G:Neo EP model)
• Stimulus intensity: with goggle (9+9 LED per ocular): from 0 to 300 mW (1 to 8 Lm)
• Frequency: min 0.25 Hz max 50 Hz
• Stimulus duration: from 1 to 10 ms adjustable in 1 ms steps
• Stimulation side: right eye, left eye, bilateral
• Stimulus area: hemifield right, hemifield left, full field.
• Trigger delayed: from 0 to 12 ms.

Rev. 1.02 pag. 8 di 25

Xegis G:Neo User Manual
ACCESSORIES

Acquisition Electrodes

The Xegis G:Neo and Xegis G:Neo EP devices do not include specific acquisition electrodes; they are
endowed of connectors for the use of commercially available surface or needle electrodes. Use only
electrodes compliant with current standards for biocompatibility, safety and sterility. The electrode
cables must be compliant with the pin-out of the device connector, described in the Technical
manual.

Stimulation Accessories

The stimulator can be used with headphone, goggles and electrodes for acoustic, visual and electric
stimulation respectively.
The electrodes must be used only for surface electric stimulation, the contact between electrodes
and skin must be made using a sponge or felt wet with physiological solution.
According to the desired type of stimulation connect the accessory to the proper output. For
electric stimulation it is possible to use accessories made by other brand as long as they are CE
marked and are compatible with the connector pins.
For acoustic and visual stimulation only the specific accessories are usable because they are design
to properly manage the signal output from the device.
Description Code
LED Google for visual stimulation EP GOGGLES
Calibrated headphone for acoustic stimulation EP CAP MINI
Calibrated tubal insert EP INSERT

Cables

The cable connections are:

Description Code
Connection of Xegis G:Neo or Xegis G:Neo EP to the USB interface HBC INT MATRIX

OTHER ASSOCIATED DEVICES

Software

The device is fully controllable from Xegis software. The Xegis G:Neo device is supported starting
from software version 1.02.2001.

PC and interface

The communication interface is the Xegis USB interface.

The PC must comply with the IEC 60950 and must not be taken inside the patient area. If necessary
it can be connected to a Xegis acquisition system configured for the use in patient area.
The PC must be able to run the Xegis software provided.
To use the wireless communication, the PC must be endowed of a Bluetooth® module and of the
associated software.

Rev. 1.02 pag. 9 di 25

Xegis G:Neo User Manual
SYMBOLS

Degree of protection from electrical direct or indirect contact: class II equipment

Degree of protection from electrical direct or indirect contact: type BF equipment

Information: “WARNING! Read the attached documents”

CE marking according to 93/42/EEC – notified body IMQ

2005/96/EC Directive (Waste of electrical and electronic equipment): at the end of its use life
the device must be disposed separately from domestic waste to allow components recycling.

ESD warning symbol: The pins of the connectors marked with this symbol should not
be touched with the fingers or metallic tools unless proper precautions have been taken. Read the
information in the specific section of technical manual.

RF symbol: The device contains a radiofrequency transmitter. Read the information

in the technical manual about possible interference with other devices.

Rev. 1.02 pag. 10 di 25

Xegis G:Neo User Manual

CONNECTORS
On Xegis devices there are the following connectors

Figure 1 – Front panel for Xegis G:Neo and Xegis G:Neo EP

• On front panel
o CH1, CH2 groups: for the input to channels 1 and 2, the user can connect alternatively to
the 5-pin DIN connector, the 3-pin plastic mini connector and the touch-proof
connectors. To select the desired input connectors, use the specific configuration
window in the Xegis software.
o GND: additional connection to the internal reference of the acquisition channels, usually
for the use with the touch-proof pair inputs.
o DC: 4-pin connector for the input of signals on the DC channel
o AUX 4 poles for auxiliary medical devices connection with serial communication (i.e.
oximeter, temperature probe with digital output). Currently not enabled.

• On the side panel

Figure 2 – side panel for Xegis G:Neo EP

o Electric Electric stimulator electrodes connectors. The stimuli are available both on the
couple of touch proof connectors and in the 3 pole DIN connector.
o Acoustic: Acoustic stimulator output. 4 poles connector for EP CAP MINI or EP INSERT
headphones connection.
o Visual: Visual stimulator output. 4 poles connector for LED EP GOGGLES connection
The Xegis G:Neo version is not provided of the acoustic and visual stimulator.

Rev. 1.02 pag. 11 di 25

Xegis G:Neo User Manual
• On the rear panel,

Figure 3 –XXegis G:Neo and Xegis G:Neo EP rear panel

o INTERFACE: 5 poles connector for HBC INT MATRIX cable to connect with the PC
o EXPANSION: 4 poles connector to connect an acquisition device to perform
synchronized acquisition and stimulation.
o IN/OUT trigger: RCA connector for connection of other devices that send or receive
trigger. The trigger specification is adjustable as shown in the menu description. When
used with the USB interface, trigger signals from other devices must be connected to
this input (those connected on the interface are not recognized).
Further information on the connectors is given in the Technical manual.

Rev. 1.02 pag. 12 di 25

Xegis G:Neo User Manual

PC CONNECTION
The connection with the PC is achieved via cable link towards the Xegis USB interface card or
through radio link to the Bluetooth® receiver on the PC.

Radio connection

Bluetooth® radio module is integrated in all Xegis series amplifiers. Such feature is not used at the
moment by Xegis software. Refer to SYSTEM CONFIGURATION chapter.

Cable connection

The cable is an electrical link transferring power supply and control signals to the device and the
acquired data to the PC. The cable must be connected to the 5 pin connector marked as
“INTERFACE”

The cable is an electric link and care should be taken that the isolation is maintained. The cables
and devices before the interface card cannot enter the patient area because they could not be
compliant with the requirements concerning leakage currents. When using BQ PCI PLUS interface
card, such card must be inserted in a properly isolated system

5 mt.

Xegis USB G:Neo cable Xegis G:Neo

interface
Cable powered

KEEP OUT OF
PATIENT AREA
PATIENT AREA

Figure 4 – cable connection to Xegis USB interface

Rev. 1.02 pag. 13 di 25

Xegis G:Neo User Manual

INFORMATION AND COMMAND

The user interface is made of an INFORMATION SECTION, made of a two line display (Figure 6)and
some LEDs(Figure 1, Figure 6) and from a CONTROL SECTION that contains the knob on the front
panel (Figure 1), the keyboard with 8 buttons (Figure 5) and the switch in the rear panel.

Control Section

Figure 5 – control panel of Xegis G:Neo EP stimulator

The buttons functions can change but usually:

• The four arrow buttons are used to move between menu to select the parameters ( , )

or change menu ( , );

• The buttons and are used to modify the values of the selected parameter;

• The button is used to start and stop the acquisition of traces,

• The (or Bluetooth) button is used the first time to switch on the device and the second time
to switch on the Bluetooth module. The third time it switches off the device and the Bluetooth
module.

• The knob is used to change the parameter values with the same function of and
buttons. In particular it is helpful to adjust stimulation intensity, frequency and duration. Pressing
the knob will start the stimulation
The switch on the rear panel is used to select the power supply source when the device is connected
via cable to the PC interface. See the related chapter in the Technical manual.

Rev. 1.02 pag. 14 di 25

Xegis G:Neo User Manual

Information Section (LEDs and display)

Green LED

Yellow LED

Figure 6 – display on Xegis G:Neo stimulator

On the display several menus are shown allowing the settings of different parameters groups: see
below for the description.
The devices are provided of some LEDs with the following meaning:
Color Position Meanings
LED green On display side The device is battery powered even if connected to the PC
interface
LED yellow On display side The device is powered by the interface cable
LED red on front panel (stim) (Flashing) the electric stimulator is running.

LED yellow on front panel (warn)

LED green on front panel (acq) (Flashing) the acquisition is running.

LED yellow On the side panel near the electric (Flashing) the electric stimulator is running. The LED flashes with
stimulator connector intensity and frequency proportional to the delivered stimulus.

Rev. 1.02 pag. 15 di 25

Xegis G:Neo User Manual

MENU
On the display are shown several menus that allow the settings of different parameters groups: in
the bottom line there is the name or the unit measure of the parameter, in the top line there is the
parameter value.
The tables represent the device display. On the value row the parameter option are shown; the
numeric values are represented with # the limits are defined in the following description.

Electric stimulator settings

Start

Selection of
Intensity step

Active output
Initial phase
Stimulation
frequency

Opposite
intensity
Stimulus

Stimulus
duration

duration
phase

Trace
delay
Parameter

Available # # # + # 0.2 # #
values
- 1.0
Symbols Hz mA us Fa In St Dl Nu
shown

The stimulator deliver electric stimulus as constant amplitude current pulses.

The following stimulation parameter can be set.
• Stimulus intensity (mA): from 0.2 to 100 mA in step of 1 or 0.2 mA
The maximum stimulus intensity is 100 mA in normal condition on a 1kΩ impedance. Small changing
in the patient impedance does not affect the stimulator precision. Refer to technical manual for
information.
NOTE: impedance greater of 3.6KΩ can cause a reduction of the stimulus intensity in relation to the
set value.
• Stimulus duration in µs: from 25 µs to 1000µs in step of 25µs
• Stimulus repetition frequency: from 0.25 to 20 Hz in step of 0.25 Hz, from 20 Hz to 100 Hz in step
of 0.5 Hz; from 100 Hz to 300 Hz in step of 10 Hz, a single stimulus is obtained pressing the knob with
the frequency set to 0 Hz.
• Initial phase: initial stimulus direction, positive (from + output to – output) or negative
(vice versa).
• Reversed phase duration: reversed phase duration in µs (from 0 µs to 300 µs). Set to 0 to obtain
a single phase stimulus
• Intensity variation step: represent the variation value of the electric stimulus intensity that is
obtained pressing once the and or rotating the knob of one step. The default setting is
1 mA, but it can be set to 0.2 mA for fine adjustment.
• Delay: represents the delay between stimulus delivery and beginning of signal acquisition. Values
from 0 to 12 ms in step of 0.1 ms.
• Number of stimulus in a train: Setting this value it is possible to obtain a sequence of pulses
(train) made of a finite number of stimulus. If the value is set to 0 the stimulation is continuous.

Rev. 1.02 pag. 16 di 25

Xegis G:Neo User Manual

Acoustic stimulator settings

Delay from
Parameter

Stimulation

Stimulation

Stimulation

of stimulus

acquisition
frequency

intensity

intensity
Masking
noise

Noise
Type
side
Value # # LEFT sound YES # #
RIGHT parameters NO
BILA
symbol Hz DbH Sd * Ns DbH Dl
* It is shown the description of the stimulus
The stimuli are delivered using EP CAP MINI headphone; the following parameters can be set:
• Simulation frequency: from 0.25 Hz to 20 Hz in step of 0.25 Hz, from 20 Hz to 100 Hz in step of
0.5 Hz, a single stimulus is obtained pressing the knob with the frequency set to 0 Hz.
• Stimulation intensity: measured in dBHL, it is estimated on click stimulus. It goes from 0 to 110
dBHL in step of 5 dB
• Stimulation side: the headphone side to which the stimulus is delivered (left, right or bilateral)
• Type of stimulus: the device can deliver stimulus based on different waveform produced with an
internal signal generator or transferred from PC. The waveform internally generated are:
o 'POSIT SYM. CLICK' symmetric click starting with compression phase
o 'NEGAT SYM. CLICK' symmetric click starting with rarefaction phase
o 'ALTER SYM. CLICK' symmetric click starting with both compression and
rarefaction phase
o 'POSI ASYM. CLICK' asymmetric click starting with compression phase
o 'NEGA ASYM. CLICK' asymmetric click starting with rarefaction phase
o 'ALTE ASYM. CLICK' asymmetric click starting with both compression and
rarefaction phase
o 'POS DOUBLE CLICK' couple of click with compression phase
o 'NEG DOUBLE CLICK' couple of click with rarefaction phase
o 'ALT DOUBLE CLICK' couple of click with alternate phase
o 'SINGLE BEEP' brief sinusoidal signal with constant amplitude and fixed high
frequency
o 'SINGLE BOOP' brief sinusoidal signal with constant amplitude and fixed low
frequency
o 'ALTE BEEP & BOOP' sequence of beep and boop signal
o 'EXTERNAL SOUND x' with x = A, B, C reproduce the sound sent from PC
o ' FREQUENCY x ' with x = A, B, C make a continuous sound (sinusoid with
frequency A, B, C with adjustable edges). The sound parameters are set from PC.
o 'ALTERNATE EXT. S' alternate two external sound A and B.
• Masking noise: enable or disable the masking noise on the side opposite to stimulation side.
• Noise intensity: measured in dBHL as the stimulation, goes from 0 to 110 dB in 5 dB step.
• Delay: represents the delay between stimulus delivery and beginning of signal acquisition. Values
from 0 to 12 ms in step of 0.1 ms.

Rev. 1.02 pag. 17 di 25

Xegis G:Neo User Manual

Visual stimulator settings

from
Stimulation

Stimulation

acquisition
frequency

hemifield
intensity

Stimulus
duration

Delay
side
Parameter
Value # # 1-10 LEFT EMIL #
RIGH EMIR
BILA FULL
symbol Hz Lm Dr SD Ty Rt
The device deliver light stimulus through the LED EP GOGGLES. The following parameters are
settable.
• Simulation frequency: from 0.25 Hz to 20 Hz in step of 0.25 Hz, from 20 Hz to 50 Hz in step of
0.5 Hz, a single stimulus is obtained pressing the knob with the frequency set to 0 Hz.
• Stimulation intensity: measured in lumen (candle/steradian). It goes from 1 to 8 Lm in step of
1 Lm.
• Stimulus duration: it is possible to set 10 different duration of the flashes made with the goggle.
• Stimulation side: the eye to which the stimulus is delivered (left, right or bilateral)
• Hemifield: the LEDs in each lens are divided in 2 circuits so it is possible to deliver the stimulus in
each hemifield. The choices are EMIL (hemifield left), EMIR (hemifield right), and FULL (full eye).
• Delay: represents the delay between stimulus delivery and beginning of signal acquisition. Values
from 0 to 12 ms in step of 0.1 ms.

Hardware amplifier parameters

High-pass filter Max signal channel 1 High-pass filter Max signal channel 1
Parameter channel 1 channel 2
Available values 0.15Hz 6.4mV 0.15Hz 6.4mV
16Hz 51.2mV 16Hz 51.2mV
Symbols shown lowb1 max s1 low b2 max s2

The full scale (maximum signal in input) and the lower band limit can be set independently for each
channel, while the upper band limit is fixed and the low pass filtering is performed through digital
filtering on the acquired signal.

Rev. 1.02 pag. 18 di 25

Xegis G:Neo User Manual

Acquisition parameters

Parameter sampling frequency trace length enable channels select channels

Available values 0.5 KHz count ADC off 3+1ch
1 KHz 512 sp only DC only1
2 KHz 1024 sp 2ch AC only2
4 KHz 2048 sp 2ch AC+DC 1&2ch
8 KHz 4096sp
16 KHz 8192sp
32 KHz
64 KHz
Symbols shown sample trace conve trans
The following parameters manage the analogic-to-digital conversion hardware and the data
transmission.
• sample: the overall sampling frequency of the acquired signal
• trace: the user can choose the continuous acquisition (count) or the trace acquisition by
selecting the length of each trace, expressed as number of samples (from 512 to 8192).
• Conve: enable the A/D converter of the specific acquisition channels and hence the working of
the channels. The user can choose to acquire only the DC channel (only DC), only the EMG/EP
channels (2ch AC), all the channels (2ch AC + DC) or to disable them all (ADC off).
• trans: allow the user to select which data will be transmitted to the PC. It is possible to send all
the acquired data (3+1ch, transmission of the EMG/EP channels, the DC channel and the serial port
data), of a single EMG/EP channel (only1 e only2, useful for radio transmission when using high
sampling rates) or both the EMG/EP channels (1&2ch)

Trigger management

Parameter Trigger direction

Trigger delay
Frequency

Value # # OUT
EXT
AUTO
Symbol hz dl Trig

The device can synchronize acquisition and stimulation using trigger signal.
Trig: the trigger enable field. If OUT is selected a trigger is output at any stimulus, select EXT to
receive the trigger from other devices or select AUTO to generate a trigger signal with adjustable
frequency without enabling the stimulation.
• Dl: Set the delay of the stimulus in relation to the trigger. The delay varies from 0 to 12 ms in
step of 0.1 ms.
• Hz: set the frequency of autonomous trigger from 0.1 to 0.5 Hz in step of 0.05 Hz, from 0.5 Hz
to 20 Hz in step of 0.25 Hz, from 20 Hz to 100 Hz in step of 0.5 Hz, from 100 Hz to 300 Hz in step of
10 Hz.

Rev. 1.02 pag. 19 di 25

Xegis G:Neo User Manual

USE OF Xegis G:Neo DEVICES

Rev. 1.02 pag. 20 di 25

Xegis G:Neo User Manual

SYSTEM CONFIGURATION
• Using the batteries supply
o Insert two AA alkaline batteries respecting polarity. Refer also to technical manual.
o Verify that the batteries are properly inserted.
o Close the battery holder
o Set the rear panel switch to BATT
• If the Bluetooth connection is not active, connect the interface cable to the INTERFACE
connector on the device
• Set the Xegis software for acquisition with the Xegis G:Neo: from the acquisition protocol
window select the protocol setup window, select the tab HEADBOX and set the model to Xegis
G:Neo or Xegis G:Neo EP according to the hardware used and the interface to the interface model in
use. To enable the radio transmission function it is necessary to select the “BLUETOOTH” interface
and set the communication port number to the serial COM port made available when the Bluetooth®
device was recognized by the system (COM PORT).
NOTE: to use the Bluetooth® connection it is necessary to install the Bluetooth® in the PC and
configure the Bluetooth® to work as a serial port. Follow the instruction of the Bluetooth® adapter
manufacturer. The device must be recognize from the system as Xegis G:Neo; select the device, set
the Bluetooth® connection with passkey “0000” and remember the number of the associated serial
ports (IN and OUT) available for the communication.

The Bluetooth® radio communication may interfere with other close or linked devices if these are
not properly shielded or immune to electromagnetic interference.
It is recommended to check to the sensors working condition before starting any acquisition,
possibly using a know input signal and verifying the acquisition with the Bluetooth®
communication enabled and disabled. Errors due to electromagnetic interference can results in
irregular/intermittent functioning and noise in the acquired signal. See the Electromagnetic
compatibility chapter in the Technical Manual.

Rev. 1.02 pag. 21 di 25

Xegis G:Neo User Manual

Figure 7– the software setting window

The device switches on automatically at Xegis acquisition start up.
If the switch on procedure complete correctly, the frequency, duration and intensity values for the
chosen setup will appear on the program acquisition window otherwise the message bad status
response or headbox not connected” ore “the headbox doesn’t correspond to
the one set up in the settings” will be prompted. In fact the PC connected to the device
for the power supply also provide a device recognition function and a check for the device
fundamental function. In case of error it is necessary to check the device, the battery status and the
connection. Eventually it could be necessary to close the acquisition program and start once again.

The device can be switched on also pressing the button . The device is provided of an auto switch
off system when working in autonomous mode that switches off the device after 1 minute of
inactivity if the device is not stimulating or acquiring. The device emits three beeps before switching
off and it is possible to avoid the switch off by pressing any button.
This mode should be used only when the device is not connected to the computer via cable.

Rev. 1.02 pag. 22 di 25

Xegis G:Neo User Manual

PARAMETERS SETTINGS
The control signals and the functional parameters of the device are transmitted through the
connector and the cable connection from and toward the PC. A double way communication is
present to allow the parameters adjustment both from the PC and from the keyboard or knob.
All the functions can be selected from the PC keyboard or mouse via the Xegis software or with the
buttons and knob on the device. The parameters settings are shown on the device display and on
the acquisition program window on the PC monitor.
The setup parameters are loaded at the exam start up with Xegis software so in this case the default
parameters are not considered during an acquisition.
The setting of the basic parameters for the stimulation is similar in all the three stimulators.

Modification using the software

The parameter setup for the stimulators and the acquisition section is performed in the acquisition
program setup window, respectively in the sections STIMULATORS and CHANNELS, or directly on
the parameters bar in the acquisition window during the acquisition. To set the value it is possible
either to enter the number in the textbox or to use the up/down arrows on the side of the textbox.
Refer to the software on-line help for further reference.

Modification using the device

All the parameter settings are accessible on the stimulator and their variation is communicated to
the acquisition program.

The choice of the type of stimulator is performed with and selecting the specific settings
menu. Once the desired stimulator menu appears on the display it is possible to set its parameters.

o Select the desired parameter on the display with the or : the selected
parameter will be included between brackets like >dB<

o Using the and or the knob (only for the intensity) set the parameter values.

The stimulator menus are similar but they can be easily distinguished from the name of the intensity
measurement unit: mA for the electric stimulator, dBH for the acoustic stimulator and Lm for the
visual stimulator.
The trigger parameter (direction, delay and frequency) and the acquisition channels hardware
characteristic and the acquisition settings can be adjusted in the same mode.
During the stimulation only the parameters of the running stimulator and the one of the hardware
characteristic of the acquisition channels can be modified; during high frequency stimulation the
parameter changing can be set we some delay.
For a description of the parameters see the charter MENU on page 14.

Choice of the simulator type

The selection of the stimulator type (acoustic, visual, electric) can be performed on the stimulator or
it is made automatically from the PC choosing the acquisition program for the desired type of exam.
For acoustic and visual potential the acoustic and visual stimulation is selected, while for
somesthesic potential and for the electromyography exams the electric stimulation is active.
The stimulation is performed according to the settings shown on the device display.

Rev. 1.02 pag. 23 di 25

Xegis G:Neo User Manual

RECORDING START
• Create a new EMG exam in Xegis software.
• Select the desired exam protocol (refer to the software on-line help)
• Connect electrodes and stimulation accessories to the patient
Be aware to apply the stimulation electrodes close to each other. The connection of two
stimulation electrodes on opposite side of the patient must be avoid because it could cause current
flow through the hart.
• Verify the connection with the patient using the IMPEDANCE CHECK software function.
A low impedance of the patient-electrode connection and the correct positioning of GND electrode
are the key factors to obtain a good recording.
This function allows also checking whether the acquisition channels work properly, since the signal
internally generated to check the impedance is processed like the acquired signal. If the impedance
of a channel not connected to the patient is low or null, or on the contrary the impedance remains
high even if the electrode is put in contact with reference electrode (G2 or the negative input for
the differential channel), do not use the device and have it checked by Compumedics technical
assistance.
• Verify that the software settings are related to the patient electrodes connection and to the
desired type of stimulus

• Start the acquisition with the command in Xegis software or pressing the button.
When the acquisition program EMG or PE is started, the PC begins the communication with the
device, switches it on and sets it according to the parameter settings. If communication problems
occur between the device and the PC, an error message appears on the monitor. If the message
does not disappear it is necessary to verify the cable connections and eventually disconnect it wait
for about 10 seconds and reconnect it once again.
• Start the stimulation from Xegis software or by pressing the knob in the device.
In the Xegis software window an error is prompted if it is selected a stimulator not compatible with
the chosen exam.
Changing in the stimulation parameters should be made when the stimulation is not active.
During electric stimulation the yellow led close to the stimulation output will blink with intensity and
frequency proportional to the stimulation current delivered to the patient. The red LED indicates the
enabling of this stimulation mode.

Radio Communication

In the Xegis software settings, select the Bluetooth® interface. The radio link is enabled by pressing
the button. After enabling the radio module, the device will show on the display the messages:
PREPARING FOR RADIO CONNECTION and RADIO LINK NOT ACTIVE.
When the acquisition is started from the software, the first phase of the connection procedure
consists in establishing the link between the device ready for the radio communication and the
receiver in the PC. When the connection is completed (the icon near the device in the status window
becomes green) the Xegis G:Neo start receiving commands and sending data.
When the radio module is switched on, the Bluetooth® stays active for 3 minutes.
If the PC does not establish a connection, the Bluetooth® switches off and can be switched on only
by pressing the button.

Rev. 1.02 pag. 24 di 25

Xegis G:Neo User Manual

STIMULATION AND ACQUISITION STOP

The stimulation and the acquisition can be stopped using the specific functions in Xegis (see the
software manual).
The stimulation can be stopped also by pressing the stimulator knob when the stimulator setting
menu is displayed (that is, to stop the electric stimulation, on the display the voice
“Hz mA us” must appear).

The acquisition can be stopped also by pressing the key.

The device switches off by pressing the key for a long time. It also switches off automatically if it
is not connected to the PC and not active (no stimulation or acquisition active) for more than a
minute.

USE RECOMMENDATIONS
The Xegis G:Neo amplifier is a BF system, with floating applied part (isolated respect ground
potential).
Link between patient and input plugs has to be performed by means of surface or needle electrode.
Touch-proof plugs are normally used in combination with surface electrodes (black colour for
inverting input, red colour for not-inverting input). Needle electrode does normally carry a multi-pin
plug (3 or 5 pin).
As a good practice, always check input impedance levels and keep it to the lower possible values, in
particular checking ground connection (green touch-proof).
EMG and EP recordings are greatly influenced by accessory quality: the better the accessory, the
higher the acquired signal quality. Use shielded and short cables in case of high electromagnetic
disturbances. Keep the device and cables far from PC and display in order to avoid electromagnetic
interferences caused by such devices.
Electromagnetic noise level is proportional to the distance between the electrodes; so take care
when placing patient electrodes, afferent to the same amplifier, far each other. Common Mode
Rejection Ratio (CMRR) also decays in case the same electrode is connected to different amplifiers.
Take care to use this option only when clinically required.
EMG and EP examinations are worldwide widely know technique; refer to EMG and EP application
note for basic information about how to perform an examination. Advanced information can be
found in commercially available professional EMG EP manuals.

Rev. 1.02 pag. 25 di 25