VNG - ENG Otometrics ICS Chart 200

ICS Chart 200 VNG/ENG
Installation and Startup Guide
Doc no. 7-26-3000_06

Part no. 7-26-30000
0459
Copyright notice
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or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written con-
sent of GN Otometrics A/S.
Copyright© 2011, GN Otometrics A/S

Printed in Denmark by GN Otometrics A/S, Denmark
All information, illustrations, and specifications in this manual are based on the latest product information
available at the time of publication. GN Otometrics A/S reserves the right to make changes at any time with-
out notice.
Version release date

8. September 2011
Trademarks
The GN Otometrics logo is a trademark of GN Otometrics
Chartr 200 is a trademark of GN Otometrics
Windows is a registered trademark of Microsoft Corporation
Technical support
Please contact your supplier.
FM template version: 01-02-2010

ICS Chartr 200 VNG/ENG
Installation and Startup Guide
Introduction ................................................................................................................1
Intended Use........................................................................................................2
Prepare System for Data Collection ........................................................................3
Step 1 System Startup .....................................................................................3
Step 2 Start a New Patient Record ..................................................................4
Step 3 Select a Referring Physician and Facility .............................................5
Step 4 Answer Clinical Information Questions.................................................6
Step 5 Add an Operator ...................................................................................7
Step 6 Modify Operator Options ......................................................................8
Step 7 Modify the Test Battery .........................................................................9
Step 8 Add a Referring Physician ..................................................................11
Step 9 Add a Referring Facility ......................................................................12
Step 10 Study the Main Window ......................................................................13
Prepare Patient for Testing.....................................................................................14
Step 11 ENG – Apply Electrodes .....................................................................14
Step 12 ENG – Check Electrodes....................................................................15
Step 13 VNG – Place Goggles on Patient .......................................................16
Collect Patient Data .................................................................................................17
Step 14 VNG – Center and Focus the Video Image ........................................17
Step 15 VNG – Fine Tune the Video Image ....................................................19
Step 16 Check the Range ................................................................................20
Step 17 Select a Protocol ................................................................................21
Step 18 Calibrate the Patient ...........................................................................22
Step 19 Start Data Collection ...........................................................................25
Step 20 VNG – Record Video Image ...............................................................27
Table of Contents i
Review and Analyze Collected Data ......................................................................29
Step 21 Display Collected Data .......................................................................29
Step 22 Reassign Primary Test Status ............................................................30
Step 23 Reposition Waveforms .......................................................................31
Step 24 Review a Calibration ...........................................................................33
Step 25 Analyze Saccade Test Results ...........................................................34
Step 26 Analyze Sinusoidal Tracking ..............................................................37
Step 27 Analyze Slow Phase Velocity (SPV) Measurements .........................40
Step 28 Analyze Caloric Test Results (Pod and Butterfly Views)....................43
Step 29 Interpretation Assistant .......................................................................45
Print a Patient Report ..............................................................................................48
Step 30 Prepare the Patient Report .................................................................48
Step 31 Set Report Options .............................................................................49
Step 32 Print the Report...................................................................................51
Step 33 Print Waveforms .................................................................................52
System Options and Settings.................................................................................53
Step 34 Set Up or Edit the Test Site Facility Information.................................53
Step 35 Modify Workstation and Goggle Settings ...........................................54
Step 36 Peak Frequency/GDT Interface ..........................................................55
Maintenance and Troubleshooting ........................................................................56
Cleaning and Maintenance ................................................................................57
Diagnostic System Test .....................................................................................58
VNG – Check Video Equipment Connections ...................................................59
Database Repair Utility ......................................................................................60
Safety ........................................................................................................................61
Symbols Used....................................................................................................61
Warning Notes ...................................................................................................62
Technical Specifications.........................................................................................66
Installation ................................................................................................................72
ICS Chartr 200 Back Panel................................................................................73
Set Up the ICS Chartr 200 VNG/ENG Hardware ..............................................74
ICS Chartr 200 Remote Control.........................................................................75
ii ICS Chartr 200 VNG/ENG Installation and Startup Guide

Introduction
ICS Chartr 200 VNG/ENG is indicated for videonystagmography and/or
electronystagmography testing for patients with a complaint of dizziness or imbalance.
The ICS Chartr 200 VNG/ENG Installation and Startup Guide is intended for first time
users of the system. It begins with step-by-step instructions for setting up records,
preparing the patient, collecting data, reviewing and analyzing data, and preparing
reports. The Installation Reference section provides information on setting up the
hardware.
This guide is organized as follows:
 Prepare System for Data Collection
 Prepare Patient for Testing
 Collect Patient Data
 Review and Analyze Collected Data
 Print a Patient Report
 System Options and Settings
 Maintenance and Troubleshooting
 Safety
 Technical Specifications
 Installation
Once you are comfortable with the basics, take the time to explore the extensive
capabilities of the ICS Chartr 200 VNG/ENG system.
Introduction 1
Intended Use
The ICS Chartr 200 VNG/ENG is a nystagmograph that is intended to measure,
record, and display involuntary movements (nystagmus) of the eyeball.
2 ICS Chartr 200 VNG/ENG Installation and Startup Guide

Prepare System for Data Collection
Step 1 System Startup

A. Press the Power button on the PC and wait for the Windows® Desktop to display.
B. Double-click (ICS VNG or ENG icon) to display the Patient Selection dialog.
Alternate: Click the Start button on the Taskbar. Select Programs > GN Otometrics
> Chartr 200 VNG/ENG for Windows.
C. Click New to prepare the system for a new patient record.
Click New.
Patient Selection Dialog Box
Note: To comply with HIPAA regulations, the ICS Chartr 200 system relies on Windows XP
password protection.
D. Go to step 2.
Prepare System for Data Collection 3

Step 2 Start a New Patient Record
A. Complete the patient information.
1 Select the Patient Information tab.
2 Type the patient’s

– Last Name [required]
– First Name [required]
– Birth information [required]
3 Select the gender [required]
4 Type the patient’s
– Address
– City
– State, Zip Code (postal code), Country
– Telephone Number
– Identification (such as a Medical Record
Number, etc.)
5 Click the  and select the Operator. If your

name is not on the list go to step 5.
Note: Click New Patient to create another

patient record while an existing patient record
Patient Information Dialog Box, Patient Information Tab is open.
B. Go to step 3.

Step 3 Select a Referring Physician and Facility
A referring physician can be associated with a patient record. This association is called a
Physician Order.
A. Select a Referring Physician and Facility.
1 Click the Physician’s Order tab.
2 Click the  and select the Referring

Physician. If not listed, click Info and go
to step 8.
3 Click the  and select a Referring

Facility. If not listed, click Info and go to
step 9.
4 (optional) Type information about the

referral. This information will appear in the
patient report.
If this patient was tested previously, click

New Order to start a new physician order for
the patient.
Patient Information Dialog Box, Physician’s Order Tab
B. Go to step 4.

Step 4 Answer Clinical Information Questions
The clinical information questions seek information about the patient’s general condition, and
eye and ear examination findings. This information can be included in the patient report.
A. Click the Clinical Information tab.

B. Click on a button and answer the questions.
5 Click the Patient 1 Click the Clinical Information tab.
Information tab.
2 Click General and select an option. Click

Next to see another question.
3 Click Eye Movement Examination and

select an option. Click Next to see
another question.
4 Click Ear Examination and select an

option. Click Next to see another
question.
Patient Information Dialog Box, Clinical Information Tab
C. Click Patient Information tab and click OK.

D. Go to step 5 to modify operator information, step 6 to modify operator options, and step
7 to modify the test battery. Go to step 36 to modify the German interface.
E. Go to step 10.

Step 5 Add an Operator
A. Select Edit > Operator Info.
B. Complete the operator information.
1 Click New.
2 Type your:
– Address
– City
– State, Zip Code (postal code),
Country
– Identification (such as a work ID, etc.)
3 Click OK.
Edit Operators
C. Go to step 1 or click F2 New Patient.

Step 6 Modify Operator Options
Each operator may establish collection, review, and report settings. These settings will be in
effect each time the operator’s name is selected.
A. Select Edit > System Options. Select the Operator Settings/Test Battery tab.
B. Customize the Collection, Review, and Report Settings.
1 Click the Operator Settings/Test Battery tab.
4 Select the Operator Specific

2 Select an operator. If your Settings:
name is not on the list, go to - Require Calibration Before
step 5. Collection
- Center Tracings Every
3 Select the Settings Shared by [x] seconds (except gaze,
all Operators: saccade, tracking)
- Beats Averaged in Peak - Footswitch/Irrigator Buttons –
SPV Calc [x] Center waveform during
- Automatic Save collection
- Caloric Countdown Timer - Display Lightbar Center Fixation
[x seconds] Light
- Automatic Analysis - Lightbar Brightness [Low,
- Automatic Analysis Display Medium, High]
- Automatic Waveform - Enable Distance Ranger
Filtering - Show Averaged Saccade
- Maximum Saccade Tracking Values
Latency [x]
- Omit GN Logo from Printed Select Caloric Test Only Settings:
Report - Automatic Fixation Light
System Options, Operator Settings/Test Battery Tab On [x] /Off [x] (secs)
- Show Directional Preponderance
- Show Right Ear Data in Red
C. Click OK and go to step 7.

Step 7 Modify the Test Battery
In addition to establishing collection, review, and report settings, each operator may create a
customized test battery (testing sequence).
A. Select Edit > System Options. Select the Operator Settings/Test Battery tab.
B. Arrange the test protocols in the sequence you want to conduct the tests. The Available
test protocols (on the left) lists all possible tests. The Selected test protocols (on the
right) lists the operator’s test sequence. Note: if the hardware is not turned on, the Test
Battery Lists will be empty because the available protocols are hardware dependant.
1 Click the Operator Settings/Test Battery tab.
2 Select an operator. If
your name is not on
the list, go to step 5. 5 Click the Insert>> button to move the
highlighted protocol to the selected test
protocols (test battery) box.
3 Click on a + to show Click the <<Remove button to delete a
the protocols listed highlighted protocol or procedure from the
under a procedure. test battery.
4 Click on a protocol or Click the Remove All button to delete all
procedure to of the protocols and procedures from the
highlight it. test battery.
Click the Default Battery button to use the
ICS default test battery.
System Options, Operator Settings/Test Battery Tab

Installation Note:
If your facility has a different protocol than what is set up in the default test
battery, it is recommended that when you first install the system, you set up a
facility default operator test battery. Then add all other operators, and they
will inherit the default test battery. If desired, each operator’s test battery can
be further customized.
C. Click OK and go to step 10.

Step 8 Add a Referring Physician
Referring physician records are available to all operators. If the referring physician’s
name is not on the list, create a new record.
A. Click New to start a new record and type the requested information.
3 Click OK.
1 Click New.
2 Type the physician’s:

– Address
– City
– State
– Zip Code (postal code)
– Country
– Identification (work ID, etc.)
– Telephone number (up to 5)
– Fax number
– Email address
Referring Physician Information Dialog Box
B. Click OK to save the record and return to the Patient Information dialog.
C. Go to step 3 (item A3 Referring Facility).

Step 9 Add a Referring Facility
Referring facility records are available to all operators. If the referring facility’s name is
not on the list, create a new record.
A. Click New to start a new record and type the requested information.
3 Click OK.
2 Type the facility information:
– Name [required] 1 Click New.
– Address
– City
– State
– Zip Code (postal code)
– Country
– Contact Person
Referring Facility Information Dialog Box
B. Click OK to save the record and return to the Patient Information dialog.
C. Go to step 3 (item A4 Referring Notes).

Step 10 Study the Main Window
The Main Window is the primary workspace. When a patient record is open, it contains
patient test and analysis data.
A. Study each area of the Main Window.
Title bar
Menu bar Toolbar
New Test & Review tabs
New Test/Review area
Waveform Display Area
Information area
Eye image area

Text comments
Function keys
Status bar
VNG/ENG Main Window with Patient Data
B. ENG: go to step 11.

VNG: go to step 13.

Prepare Patient for Testing
Step 11 ENG – Apply Electrodes

The ENG system records 2 or 4 channels of eye movement information. Channel designations
relate to electrode placement both on the face and in the electrode patient cable.
A. Place electrodes on the patient as needed for 2 or 4 channel collection.

black (ground)
orange green Channel Electrode cable

Connections
Horizontal both (HB) red – blue
Vertical right (VR) orange – white
red blue Vertical left (VL) green – brown
Horizontal right (HR) red – black
brown Horizontal left (HL) blue – black
white
Note: For 2 channel recordings, use the
green and brown openings on the patient
cable for the vertical channel. The green and
brown electrodes can be placed above and
below the right or left eye.
Normal Electrode Placement (4 channels)
B. Connect the electrode leads to the designated color on the patient cable.
C. Go to step 12.

Step 12 ENG – Check Electrodes
Impedance is measured at each skin-electrode interface. A question mark (?) indicates an
unacceptable electrode connection.
A. Select a protocol in the New Test tab, then click F7 Electrode Test.
B. Read the status of each active electrode and channel.
1 Check each electrode

connection.
2 Check mV or
K ohm values.
3 Click OK.
Electrode Test Dialog Box
C. Reapply electrodes or leads as needed.

D. Click OK to close the dialog.
E. Go to step 16.
Prepare Patient for Testing 15

Step 13 VNG – Place Goggles on Patient
The video goggles contain video camera lenses and mirrors. The video image displays
on the monitor.
A. Place the VNG video goggles on the patient. Proper placement of the goggles is very
important. See the VG-40 goggle instructions provided with the goggles for information.
1. Make sure the mirror is clean. Avoid touching the mirror while placing the goggles
on the patient.
2. Place the goggles on the bridge of the patient’s nose. Make sure the back head strap
is over the back of the patient’s head below the inion (bump on the lower part of the
skull.)
Fine focus adjustment knob.

Turn this knob to fine tune Horizontal positioning knob. Turn knob
(focus) the eye images in the to adjust the horizontal position of the
Video Adjustments dialog eyes. Adjustment may be needed if
box. Focus adjustment may the patient has wide-set or close-set
be needed if the patient has eyes.
deep-set or protruding eyes.
Vertical positioning knob. Turn

knob to adjust the vertical position
of the eyes.
VNG Video Goggles
C. VNG: Go to step 14 to adjust the video image.

D. Go to step 17.

Collect Patient Data
Step 14 VNG – Center and Focus the Video Image

A. Click the New Test tab on the Main Window and choose the eye(s) to be tested.
B. Click F7 Video Adjust to display the Video Adjustments dialog.
C. Adjust the eye image.
1. Ask the patient to look straight ahead.
2. Move the goggles to center and level the pupils. Make sure the pupils are inside the
boxes, as close to the center as possible.
3. Tighten the back headband until the goggles are snug. The goggles should fit
securely so they will not move during positional testing.
4. Straighten and tighten the top headband to assist in positioning the goggles on the
patient’s face and positioning the pupils in the box.
5 Use the goggle

7 Repeat as needed to
horizontal and
center the pupils and
vertical positioning
focus the eye images.
knobs to center
each pupil image.
6 Use the goggle

focus knobs to
focus each image.
Video Adjustments Dialog Box, Both Eyes
Collect Patient Data 17

Note: For monocular testing, only the selected eye will be visible. If testing both
eyes, make sure both eye images display, both pupils are centered, and both eye
images are in focus.
D. Use the goggle controls (knobs) if needed to align the patient’s eyes and focus the
image while the patient looks straight ahead.
Caution: Do not over tighten the knobs as this may damage the adjustment pieces
that hold the mirror.
E. Click the Auto Adjust button to move the slides automatically until the pupils
begin tracking.
Click Auto Adjust.
Video Adjustments Dialog Box, One Eye
F. Go to step 15.

Step 15 VNG – Fine Tune the Video Image
A. Use the software controls to fine tune the video image for each eye, if needed.
1. Only the pupil should be blue. There should be none or a minimal amount of blue
surrounding the eye (i.e., eyelashes). The crosshair will automatically go where the
blue resides, and this should only be the pupil.
2. If the room is very light, close the goggle cover during these adjustments.
3. If needed, move the sliders to manually adjust the threshold, brightness, and contrast
to improve the quality of the tracking.
1 Drag the Threshold slider

slightly up or down until
the pupil tracks properly.
2 Select Adjust Both Eyes

to change brightness and
contrast for both eyes at
the same time
Video Adjustments Dialog Box 3 Drag the Brightness and Contrast
sliders until the image is clear and good
tracking is obtained.
B. Ask the patient to look left, right, up, and down. Verify that the crosshairs track both eyes.
C. Click OK to accept the video image settings.
D. Go to step 17.

Step 16 Check the Range
A range sensor provides a continuous display of patient-to-light bar distance. The
acceptable range during testing is 3 feet 8 inches to 4 feet 4 inches (111.8 cm to
132.1 cm). If a patient is “out of range” for more than 10% of a test, a message displays
at the end of the test.
A. Click the New Test tab on the Main Window and select a protocol.
B. Position the patient in front of the light bar.
C. Click F6 Range to activate the range sensor.
Range:
 Distance – in feet / inches and
centimeters
 Over Range
 Under Range
During a test, range status updates every
3 seconds and displays in the Information
Area of the Main Window.
Range Dialog Box
D. Click OK to close the dialog.

E. Go to step 17.

Step 17 Select a Protocol
A. Click the New Test tab on the left side of the Main Window.
New Test tab
Procedure
Click on a + sign to
show the hidden Protocol
protocols.
Click on a – sign to
show only the
procedure name.
New Test Tab
B. Choose the eye(s) and the protocol prior to calibrating.

1. Choose the eye(s) to be tested on the toolbar.
Eye Buttons on Toolbar
2. Click on a protocol to select it.

C. Go to step 18.

Step 18 Calibrate the Patient
The horizontal channel should always be calibrated if possible. The vertical channel is
more difficult for patients, and it is acceptable to use F3 Default Calibration. To
perform an individual eyes calibration, select an individual eyes protocol.
A. Make sure the light bar is positioned properly (horizontally or vertically) and the patient
is 4 feet (1.2 m) from the bar.
B. Select a protocol on the New Test tab on the Main Menu.
C. Click F5 Calibrate to access the calibration mode. (Ask the patient to follow the dot of
light on the light bar without moving his/her head.) The targets are ±10°. They do not
extend to the end of the light bar.
D. If using Monocular VNG, click F9 Switch Eye to select the eye to be tested. The eye
that is grayed out is the currently selected eye.
2 View selected protocol

and selected eye.
1 Click F9 Switch Eye to

change the selected eye.
Main Window, Calibration Mode, Monocular VNG

E. Click F12 Start. The system automatically adjusts the gain and offset of the eye signal
to match the target. When the two tracings match (in size), press F12 Accept and allow
2 to 3 more cycles to run to verify the accuracy of the calibration.
VNG Note: The Video Eye

Display dialog will display.
Accept
Calibration
Marker
Calibration Waveforms
F. Click F12 Stop.

Note: The system accepts the calibration or displays this error message:
Click OK to calibrate the Click Use Default Calibration to

system before running the calibrate the system using the
selected test. Then press default calibration (applies only to
F4 Resume and repeat D this test). Then press F4 Resume
through F. and repeat D through F.
Technical Comment

G. Use F5 Enlarge and F6 Shrink to adjust the calibration if you are unable to recalibrate
or recollect data. Enlarge will increase the size of the waveform, and Shrink will reduce
it. These adjustments will apply only to this test. Press F3 Original Calibration to
remove the adjustments.
H. Click F12 Save to save the calibration.
I. Click F10 Next Channel or F11 Previous Channel to calibrate a different channel.
J. Click F9 Done to return to the test mode.
K. Go to step 19.

Step 19 Start Data Collection
The operator may start and stop data collection at any time. A test may be repeated and saved.
The first test is designated as primary, the others are secondary. Primary test results will be
included in the patient report (see step 32) and the primary designation may be reassigned
during a review (see step 22).
The suggested minimum collection time is 1 minute 30 seconds for Saccade and Tracking tests
and approximately 2 minutes for Caloric tests. Other tests should be run for 20 seconds or
longer, if needed.
If your system uses a GN Otometrics caloric stimulator, you may use the caloric handset or
footswitch to start a test. Selecting a caloric test on the New Test tab automatically selects the
cool or warm temperature on the stimulator.
 ENG Note: After a test is started, press the handset or footswitch to remotely
center a tracing.
 VNG Note: After a test is started, press the handset or footswitch to remotely
start or restart the video recording.
A. Click on a protocol on the New Test tab.

B. Click F12 Start to begin data collection.

C. Use the function keys during data collection.
Function Keys, During Data Collection
F2 Event Place an Event (E) marker on the tracing.

F3 Eyes Open Place an Eyes Open (EO) marker on the tracing.
F4 Vision Denied Place a Vision Denied (VD) marker on the tracing.
F5 Center Move the tracing to the center of the waveform area.
F7 Hide Wave/F8 Show Wave Do not display or display the selected wave.
F9 Cancel Test Stop data collection without saving test results.
F10 Overlap Waves/F11 Spread Waves Stack (overlap) tracings or spread all tracings evenly in the waveform area.
F12 Stop Stop the test.
F12 Save Stop data collection and save the results.
VNG Note: Go to step 20 to record eye images during data collection.
D. Press F12 Stop.

E. Press F12 Save to save the collected data and advance to the next protocol.
F. Repeat A through E for each protocol.
G. VNG: go to step 20. ENG: go to step 21.

Step 20 VNG – Record Video Image
ICS Chartr 200 VNG/ENG records up to 2 minutes of eye movement video for each test and
saves the recording with the patient record. A small camera icon next to a patient name in
the Patient Selection dialog or protocol in the Review tab indicates the existence of a video
recording.
Video recording may be started at any time during data collection. The video controls
are in the Video Recording Control dialog.
A. Click the New Test tab and select a protocol.

B. Click F12 Start to begin data collection and display the Video Recording Control
dialog.
C. Click the Record button to start the video recording.
Note: You may also use the optional footswitch to start or restart a video recording.
1 Click the Record button.

Note: The system puts an event marker (V) on
the tracing at the point video recording begins.
Video Recording Control Dialog Box, Both Eyes 2 Note available recording time.

1 Click the Record button.
Note: The system puts an event marker (V) on
the tracing at the point video recording begins.
Video Recording Control Dialog Box, One Eye 2 Note available recording time.
D. Monitor video collection activity.

1 Monitor right and left eye movement.
Click Restart button to discard any

recorded video and to begin video recording.
Click Stop button to stop recording

video.
Video Recording Control Dialog Box (Recording)

2 Monitor remaining time.
E. Click the Stop button.

F. Click F12 Save to save the collected data and video recording.
G. Go to step 21.

Review and Analyze Collected Data
Step 21 Display Collected Data

A. Click the Review tab.
B. Select a Physician Order date and Session.
1 Click the  and
select a date.
2 Expand a session.
3 Click on a protocol to
Click a + sign to expand select it.
a list.
Click a – sign to collapse
a list.
Bold text indicates

primary status (results
will be included in the
patient report). To
change the status, go to
step 22.
Review Tab
C. Go to step 23.
Review Collected Data 29

Step 22 Reassign Primary Test Status
When a test is run more than once during a test session, the system assigns primary status
to the first test run and secondary status to the others. Only primary test results are included
in the patient report and only the four bolded caloric tests are included in the caloric
summary display and the calculations.
A. Select the Review tab and click on a secondary (not bold) protocol.
B. Select Test > Assign Primary from the Menu bar.
1 Select Test  Assign Primary.
C. Make sure the protocol is now bold text. Repeat A and B, if needed.
D. Go to step 23.

Step 23 Reposition Waveforms
During review, you may view and manipulate collected waveforms.
A. Select and move a waveform.
2 Click on a waveform handle.
3 Click and drag (or press the

1 Use the scroll bar  keys) to move selected
to view the entire waveforms up or down.
waveform.
Waveform Display Area
The letter on Waveform Handle indicates the channel:

H Horizontal V Vertical
ST Stimulus HR Horizontal Right
HL Horizontal Left VR Vertical Right
VL Vertical Left
A gray handle indicates data was collected for the channel but
not displayed.

Displayed Time indicates the time for the section of
waveform displayed on the screen.
Information Area During Collection
B. Go to step 32 to print a waveform or group of waveforms.
C. Go to step 24.

Step 24 Review a Calibration
A. Click on a test on the Review tab.
B. Press F8 Review Calib.
The calibration data is saved with a test and
can be reviewed. Each calibration record
contains the last 10 seconds of the
calibration. The age (calculated from the end
of the calibration to the beginning of the test)
displays in the Main Window Information
Area (ENG only).
Saved Calibration Indicates when operator accepted the calibration.
C. Use the function keys to work with the calibration waveforms.
Function Keys, Calibration Review
F3 Original Calib. Return to the original calibration.

F5 Enlarge/F6 Shrink Increase/reduce the gain of the waveform.
F7 Up/F8 Down Move selected wave up or down.
F9 Close Close any adjustments.
F12 Save Save calibration and return to test data.
D. Go to steps 25, 26, 27, or 28.

Step 25 Analyze Saccade Test Results
A. Click the Review tab and select a Saccade test.
B. Click F12 Analysis.
C. Select Analysis > Averaged, Raw, or Averaged & Raw to see different views of
the data.
Click an option to select it.
Analysis Menu

D. Use the function keys to work with the results.
Function Keys, during Saccade Review and Analysis
F2 Reanalyze Discard the current results.

F3 Delete Analysis Remove the outlined saccade.
F5 Enlarge/F6 Shrink Adjust the gain of a tracing in relation to the target.
F9 Close Close the analysis.
F10 Previous Saccade /F11 Next Saccade Move from one saccade to another.
F12 Save Save analysis and return to Review mode.

Click on a data point to move the tracing to
correspond with the analysis result.
Peak Velocity – maximum

Amplitude – eye
velocity reached in a
movement (in degrees)
saccadic movement.
between the initial position
and the first stop.
Latency – time between

stimulus movement and
Accuracy – amplitude of a the first eye movement
saccade divided by the
amplitude of target
movement; expressed as a
percent. The shaded area is the
abnormal area.
Saccade Analysis, Raw and Averaged Values
Notes:
 The saccade being examined corresponds with the outlined data point ( ) in the
Velocity, Accuracy, and Latency windows.
 Use the waveform handle on the Amplitude chart to move the waveform up or down.
 The shaded areas on the Peak Velocity, Accuracy, and Latency charts represent
normative data. Use this information to compare the averaged responses.
E. Click F12 Save to save the analysis.
F. Go to step 26, 27, or 28.

Step 26 Analyze Sinusoidal Tracking
A. Click the Review tab and select a Tracking test.
C. Select Analysis > Averaged, Raw, or Averaged & Raw to see different views of
the data.
Click an option to
select it.
Analysis Menu

D. Use the function key options to work with the results:
Function Keys during Tracking Review and Analysis
F2 Reanalyze Discard the current results.

F3 Delete Analysis Remove the outlined cycle.
F5 Enlarge/F6 Shrink Adjust the gain of the tracing in relation to the target.
F10 Previous Cycle/F11 Next Cycle Move from one cycle to another.

Click on a data point to move the
tracing to correspond with the
analysis result.
The shaded area on the Tracking

Gain chart represents normative
data. Use this information to
compare the averaged responses.
The shaded area is the abnormal

area.
Sinusoidal Tracking Analysis, Raw and Averaged Values
E. Click F12 Save.

F. Go to step 28.

Step 27 Analyze Slow Phase Velocity (SPV) Measurements
A. Click the Review tab and select a Caloric or other test to analyze nystagmus.
B. Press F12 Begin to measure the slow phases and plot them on the lower chart. The
number of beats analyzed displays in the Information area.
C. Use the function keys to work with the results:
Function Keys, during SPV Analysis
F2 Reanalyze Clear previous analysis and begin a new analysis.

F4 Pods - Butterfly Display pod (summary) and butterfly view of caloric analyses.
F5 Locate Peak Identifies the second in time with the fastest average value.
F6 Set Peak Computes the average of the highest SPVs in the 10-second window at
the current cursor location.
F7 Delete Delete the SPV beat measurement.
F8 Insert Accept a new SPV value for the beat.
F10 Previous Beat/F11 Next Beat Move from one beat to another.

D. (Optional) Measure the slope of a beat manually.
1 Select a beat:
- Click and drag the scroll bar or press the
 arrow keys to move through the
tracing.
- Click F10 Previous Beat and F11 Next
Beat to move through the tracing.
- Click on a beat in the lower chart or click
in the upper chart to move to that section
on the tracing.
2 Click F7 Delete to delete artifactual beats.
SPV Analysis
Note: The vertical cursor represents the same point in time as the vertical cursor in the
lower chart and exactly bisects the slow phase of the nystagmus being measured.
Vertical cursor.
3 Adjust the slope of the velocity measuring

line to measure the slow phase of a beat:
- Press the arrow keys to raise and
lower the line.
- Press Ctrl +  and Ctrl +  to change
the angle of the line.
- Press F8 Insert to enter the new SPV
value.
Vertical cursor.
Measuring SPV

Caloric Peak values are represented as:
RC = Right Cool
LC = Left Cool
RW = Right Warm
LW = Left Warm
FI = Fixation Index
SPV Analysis with Peak Selected
Caloric peak values in Information Area
E. Press F12 Save to save the analysis.

F. Go to step 28.

Step 28 Analyze Caloric Test Results (Pod and Butterfly Views)
When analyzing caloric test results, the system calculates the caloric unilateral weakness
and gain asymmetry. The results are shown in “Pods” and “Butterfly” views.
A. Click the Review tab and select a Caloric test.
C. Click F4 Pods - Butterfly to display the Pods and Butterfly views.
Pods view – displays a

plot of individual beats
(SPV (degrees/second) /
time (seconds)). Caloric
weakness and gain
asymmetry data display
in the Information Area. Normal box.
Gain asymmetry is
shown if the option is
selected in the Operator Butterfly view – two intersecting
Settings/Test Battery lines represent cool and warm
tab. stimulations.
Vertical axis = slow phase velocity
Horizontal axis = percent of caloric
weakness
The lines are connections
between the values of the peak
responses from right ear caloric
Caloric Test Results, Pods and Butterfly Views stimulations plotted on the left
edge and the left ear responses
plotted on the right edge. A normal
response is an intersection point
within the “normal” box.

D. Adjust the baseline in the Pods view, if needed.
1 Press F5 Move
Baseline Up and F6
Move Baseline 2 Press F6 Set
down to move the Baseline
baseline on the Shift to set
tracing. a new
baseline.
Caloric test results, Pods View
Function Keys during Pods review
F1 Help
F3 Interpret Tests Run Interpretation Assistant.
F4 SPV Graph Go to SPV Analysis view
F5 Move Baseline Up Move the green baseline up on the tracing.
F6 Move Baseline Down Move the green baseline down on the tracing
F7 Set Baseline Accept the new baseline position
F9 Close Close this analysis.
F12 Done Save changes.
E. Go to step 29.

Step 29 Interpretation Assistant
The Interpretation Assistant, a software tool provided with some systems, provides
suggestions as to the validity and clinical significance of VNG/ENG test results.
Currently, this tool works with the results from caloric and static position tests.
A. Perform four caloric tests or one or more static position test.

B. Select the Review tab and analyze each test. Save the results.
C. For caloric tests, click F4 Pods-Butterfly, then click F3 Interpret Tests to view the
analysis.
1 Click Paste to
Report to copy
the results into
the patient report. 2 Click OK to close the dialog and
exit the Interpretation Assistant.
Caloric Test Interpretation Dialog; results within normal range

1 Review results
and resolve any
technical errors.
2 If no technical
errors are found,
click Paste to 3 Click OK to close the dialog and
Report to copy the exit the Interpretation Assistant.
results into the
patient report.
Caloric Test Interpretation Dialog; results outside of normal values
D. For static positions tests, click F3 Interpret Tests to view the analysis.
2 Click Paste to
Report to copy the
results into the
patient report.
1 Select Horizontal
or Vertical 3 Click OK to close the dialog and
Nystagmus to exit the Interpretation Assistant.
generate results
for the selected
channel.
Static Position Test Interpretation Dialog; results within normal values

2 If no technical
errors are found,
click Paste to
Report to copy the
results into the
patient report.
1 Select Horizontal
or Vertical 3 Click OK to close the dialog and
Nystagmus to exit the Interpretation Assistant.
generate results
for the selected
channel.
Static Position Test Interpretation Dialog; results outside of normal values
E. Go to step 30.

Print a Patient Report
Step 30 Prepare the Patient Report
Patient reports consist of patient information and graphic representations of test results.
The operator selects test results that will be included in the printed report and may enter
his/her impression of the results in the word processor.
A. Click F6 Report to open the word processor.

B. Review the patient report and complete the results section.
2 Click File and select 1 Place the cursor

Save to save the in the report and
changes and return to make changes as
the Main Window. needed.
The system places the

Facility and Report
Header information in
the patient report. See
step 33.
Patient Report in the Word Processor
C. Select File > Save on the Menu bar.

D. Go to step 31.

Step 31 Set Report Options
Each operator should plan and designate how the test results (waveforms) will appear in
a printed report. The report “template” is saved with the operator information and used
each time the operator prints a report.
A. Select Setup > Report from the Main Window to display the Report Setup dialog.
1 Click on a procedure. 2 Click Edit.
Saccade, Tracking, and

Caloric test result printouts
are fixed and cannot be
modified by the operator.
Report Setup Dialog Box
B. Click Edit to display the Report Page Setup dialog.
Print a Patient Report 49

C. Select the location on the page for each protocol in the report.
Highlight indicates selected position.

2 Click a button.
1 Select a 3 Click OK.

protocol.
Select – move selected protocol
to highlighted box.
Deselect – remove protocol from
highlighted box.
New Page – add a new page to
the report.
Clear Page – remove all protocols
from this page.
Defaults – load the system
suggested page layout for this
procedure.
Report Page Setup Dialog Box
Move from one report

page to another.
D. Click OK to save the report page setup.

E. Go to step 32.

Step 32 Print the Report
Select the items (patient data, test results, and/or clinical information) you want to
include in the printed report. Reports print on Letter or A4 size paper.
A. Select File > Print Report to display the Print Report dialog.
B. Select the items to include in the report.
5 Click Print.
1 Select options to
include in the report.
Click Preview to view the
report online.
A  or ● means an
option is selected.
3 Select to include data
from this session or all
sessions for this patient
2 Select to print Raw, in the report.
Averaged, or Raw
and Averaged views 4 Select to print page
of Saccade and numbers on the report.
Tracking analysis
data in the report.
Print Report Dialog Box
C. Click Print to send the report to the printer.

Step 33 Print Waveforms
When reviewing or analyzing results, an individual waveform may be printed or several
waveforms may be formed into a temporary report and printed. Note: This report will
not be saved with the patient record.
To print a selected waveform, select File > Print Waveform or File > Print Analysis
on the menu bar.
To create and print a temporary waveform report:

A. Click the Review tab, select a protocol, then select a waveform.
B. Click F9 Copy Waveform to display the Custom Page dialog.
Selected waveform 3 Click Done.

displays here.
1 Click on a Display
2 Click Paste to copy the Area to select it.
waveform to the
selected display area.
Custom Page Dialog Box
C. Repeat B to include additional waveforms.

D. Click Print to print the waveforms, then click Done to close the dialog.
E. Go to step 23.

System Options and Settings
Step 34 Set Up or Edit the Test Site Facility Information

Add the test site facility information to the database. The name of the practice or clinic and the
title of the report are included on the word processor report page.
A. Select Edit > System Options / Workstation Settings Tab.
B. Type the test site facility information.
1 Select the Workstation Settings Tab
2 Type the requested information:

- Practice Name
- Street Address
- City
- State, Zip Code (postal code),
Country
- Telephone Number
- Fax number
- Email address
4 Click OK
3 Report Header. Type the information
that will appear at the top of the report.
System Options, Workstation Settings Tab / Facility Information
C. Click OK to save the information.

D. Go to step 30.

Step 35 Modify Workstation and Goggle Settings
Use this procedure to modify workstation settings or change the goggle settings. These
changes are not operator specific.
A. Select Edit > System Options / Workstation Settings Tab.

B. Select the Workstation Settings.
1 Select the Workstation Settings Tab
2 Type the Workstation Name. 6 Select Goggle Settings:

- Goggle Model (See goggle
3 Select the Window Size. label for #)
- Fixation Light: Left Eye /
4 Select Show Database Size Right Eye
Warning at Startup option. - Type the maximum video
5 Select Order Tests in Review recording time in seconds
Tab by Test Date/Time. (from 10 to 300 seconds)
A • means an option is selected.
7 Select Startup and Warning

Options:
- Normal 8 Click OK.
- Suppress
- Diagnostic Mode
System Options, Workstation Settings Tab
C. Go to step 36 to select Peak Frequency/GDT Interface.

Go to step 10.

Step 36 Peak Frequency/GDT Interface
A. Select the Peak Frequency/GDT Interface Tab if you are using an International
version of VNG/ENG.
1 Select the Peak Frequency/GDT Interface Tab
2 Select Program Language
3 Select Peak Frequency Calculations:

- Peak Frequency Calculation
- Caloric Frequency Butterfly A  or a • means an
option is selected.
4 Select the German GDT Interface
Settings
5 Select the GDT Local File Transfer

Directories for Incoming and
Outgoing Messages.
6 Click OK.
System Options, Peak Frequency / GDT Interface Tab
Go to step 10.

Maintenance and Troubleshooting
The maintenance and troubleshooting information in this section includes:
 Cleaning and Maintenance
 Diagnostic System Test
 Database Repair Utility
A method for attempting to fix a corrupt database.
Special Notice: Service and repair of electro-medical equipment should be done by

the equipment manufacturer or authorized representatives. The
manufacturer reserves the right to disclaim all responsibility for the
operating, safety, reliability, and performance of equipment serviced
or repaired by other parties.

Cleaning and Maintenance
Although ICS Chartr 200 VNG/ENG equipment does not require preventive maintenance, please
observe these guidelines:
 Disposable articles (such as electrodes) should be disposed of according to local regulations.
 Proper care and maintenance of the video goggles involves disinfecting the goggle parts that
make contact with the patient’s skin and cleaning the goggle components. Cleaning and
disinfecting should be done before placing the goggles on the next patient.
To clean the face cushion:

A. Use a pre-moistened, non-alcohol-based pad (i.e., AudioWipe) or apply the solution to a soft
cloth.
B. Wipe the face cushion, and all areas of the goggles that come in contact with the patient, gently
with the pad or cloth until clean. This is done to remove dirt and disinfect the goggles.
C. Dispose of the pad or cloth properly after each use.
To clean the video camera lenses and dichroic mirrors:

A. Use the lens cleaning cloth.
B. Wipe the surface gently with cloth using a rotary motion until the surface is clean.
To clean the goggle housing:

A. Moisten a cloth with a mild detergent and water solution until damp.
B. Wipe the soiled surfaces gently with the damp cloth until clean.
C. Wipe the goggles with a clean damp cloth moistened with plain water. Dry with a dry cloth.
Maintenance and Troubleshooting 57

Diagnostic System Test
This diagnostic test verifies the status of system components.
A. Place the electrode lead input end of the patient electrode cable into the test fixture.
Plug the test fixture cable into the loopback test fixture port ( ) at the back of the
ICS Chartr 200.
B. Open a patient record, select a protocol, and press F5 Calibrate.
C. Press F12 Start. Target and signal waveforms should overlap.
Spread the waveforms to

make sure both signals are
displayed.
Contact your supplier if the
target and signal waveforms
do not mirror each other.
System Test
D. Repeat for each channel.

E. Press F9 Cancel to exit the calibration mode and end the test.
Note: If the self-test passes, the problem may reside with the electrodes, the leads, or
the patient-electrode junction.

VNG – Check Video Equipment Connections
This error message displays if there is a video equipment problem (i.e., loose cable
connection between the goggles or the PC).
Video Connection Error Message
A. Click File > Exit.

B. Close all open applications.
C. Click the Start button, select the Shut Down option, and click OK.
D. Power up the computer and double-click the ICS VNG/ENG icon on the
Windows XP desktop to restart the application.
E. Make sure cable connections between the goggles and video goggles port on the
Chartr 200 box are firmly in place. See the diagrams in the Installation Reference
section.
F. Contact your supplier if problems persist.
Maintenance and Troubleshooting 59

Database Repair Utility
A Database Repair utility provided by GN Otometrics can be used to attempt to fix a
corrupt database. Use this utility only if a message prompt, indicating the database is
corrupt, displays when an operator is trying to access or save information.
GN Otometrics recommends running the Windows ScanDisk utility before using the
Database repair utility. Close all open programs, then click Start on Taskbar and
select Accessories > System Tools > Disk Cleanup. If this does not solve the problem,
it may be necessary to use the Database Repair Utility.
Warning! Running the Database Repair utility on a database that is not experiencing
problems may damage the database. Do not use this utility unless
necessary.
A. Make sure ICS Chartr 200 VNG/ENG is closed.

B. Click Start on the Taskbar and select GN Otometrics > Database Repair to
display this prompt.
1 Click Yes to repair the database.
The utility will close automatically when

the process is done.
If you click No, the utility will not start.
Database Repair Utility Prompt
C. Double-click an ICS VNG/ENG icon to restart the application. If database problems

continue, contact your supplier.

Safety
This Installation and Startup Guide contains information and warnings, which must be
followed to ensure the safe performance of ICS Chartr 200 VNG/ENG. Local
government rules and regulations, if applicable, should also be followed at all times.
Symbols Used
ICS Chartr 200 Symbols
ICS Chartr 200 VNG/ENG is marked with this symbol to indicate compliance with Type BF of
the safety standard EN 60601-1.
ICS Chartr 200 VNG/ENG is marked with this symbol when it is important that the user
refers to associated information given in this manual.
ICS Chartr 200 VNG/ENG is CE-marked according to the Medical Devices Directive
93/42/EEC.
xxxx
The switch alternates between On and Stand-by mode. Green – the switch is On (pushed in)
and the USB connection unit is ready. Blue – the switch is in Stand-by mode (pushed in)
with no USB connection. Clear – the switch is Off (pushed out).
The instrument is marked with this symbol to indicate that it is electronic equipment covered
by the Directive 200296/EC on waste electrical and electronic equipment (WEEE).
ICS Chartr 200 VNG/ENG is marked with this symbol to indicate it is suitable for direct
current.
Symbols on the ICS Chartr 200 VNG/ENG back panel, see section ICS Chartr 200 Back
Panel on page 74.
Safety 61
Warning Notes
ICS Chartr 200 VNG/ENG Warning Notes
Equipment connected to the displayed connectors must be certified to

relevant EN/IEC safety standards, e.g., EN/IEC 60950. Mains connected
equipment – except EN/IEC 60601-1 certified equipment – must be
powered from the Powertronix Isolation Station.
Equipment connected to the displayed connectors must be certified to
relevant EN/IEC safety standards, e.g., EN/IEC 60950. Mains connected
equipment – except EN/IEC 60601-1 certified equipment – must be
powered from the Powertronix Isolation Station.
The Chartr 200 should only be connected to power adapter type
FW73623M/15 from Friwo. For continued protection against fire hazard,
replace fuse with the same type and rating only.
Note 1: There are no user-serviceable parts inside the ICS Chartr 200 cabinet. For the
sake of safety, and in order not to void the warranty, the cabinets should only
be opened and serviced by authorized service personnel. In case of defects,
please make a detailed description of the defect(s) and contact your supplier.
Do not use a defective instrument.
Note 2: Keep ICS Chartr 200 VNG/ENG away from liquids. Do not allow moisture
inside the instrument.

Note 3: Do not use the instrument in the presence of flammable anesthetics (gases).
Note 4: Unwanted noise may occur if ICS Chartr 200 VNG/ENG is exposed to a
strong radio field. Such noise may interfere with the process of recording
correct measurements. Many types of electrical devices, e.g. mobile
telephones, may generate radio fields. We recommend that the use of such
devices in the vicinity of ICS Chartr 200 VNG/ENG is restricted as much as
possible.
Note 5: No parts may be eaten, burnt, or in any way used for purposes other than
videonystagmography and electronystagmography testing.
Note 6: ICS Chartr 200 VNG/ENG can be disposed of as normal electronic waste,
according to local regulations.
Note 7: For safety reasons, accessories connected to the equipment's outlet fittings
must be identical to the type supplied with the system.
Note 8: To comply with EN 60601-1-1, the computer, printer, etc. must be connected
to the Powertronix Isolation Station.
Note 9: Conductive parts with patient connection must not be in contact with other
conductive parts at any time. No defibrillators or HF surgical equipment
should be applied to the patient when connected to ICS Chartr 200 VNG/ENG
at any time.
Note 10: Connection to network or modem components may compromise the safety or
effectiveness of this system. Use fiber-optic network connections to install the
computer on a network.
Safety 63
Note 11: Installation of any third party software (applications, programs, or utilities)
other than those specified by GN Otometrics can compromise the safety or
effectiveness of this system.
Note 12: The device is disconnected from the mains by pulling the plug from the
wall outlet.
Note 13: Avoid accidental contact between connected but unapplied parts (G-40 video
goggle and electrodes including connections) and other conductive parts.

Manufacturer
GN Otometrics A/S
9 Hoerskaetten, DK-2630 Taastrup, Denmark
Phone: +45 45 75 55 55, Fax: +45 45 75 55 59
www.otometrics.com
Responsibility of the Manufacturer

The manufacturer is to be considered responsible for effects on safety, reliability, and
performance of the equipment ONLY IF:
 All assembly operations, extensions, re-adjustments, modifications, or repairs are

carried out by the equipment manufacturer or personnel authorized by the
manufacturer.
 The electrical installation to which the equipment is connected complies with
EN/IEC requirements.
 The equipment is used in accordance with the instructions for use.
The manufacturer reserves the right to disclaim all responsibility for the operating
safety, reliability, and performance of equipment serviced or repaired by other parties.
Safety 65
Technical Specifications
ICS Chartr ENG
CMR Ratio
>100 dB at 50/60 Hz
Channel Frequency Response

12 dB/octave low-pass filter with a cutoff frequency of 35 Hz
Input Impedance
Channel 1: > 5.5 Mohms
Channel 2, 3, 4: > 8.0 Mohms
Note: Channel 1 electrode input is actually shared between two of the channels
and has a reference to isolated ground, which lowers its input impedance.
Input Sensitivity
A measurement of eye movement as small as 10 µV can be observed on the PC display.
Typical voltage measurement from a human eye is typically between 100 and 400 µV.
A gain of 500 is used to amplify the input signal. Hence, the eye movement seen on the
PC screen is usually between 40 mV and 200 mV.

ICS Chartr 200
Interface
USB to PC
Type Identification
ICS Chartr 200 is Type 1068 from GN Otometrics A/S
Power Supply
AC/DC Adapter: Type: FW7362M/15 from Friwo
Input: 100-240 VAC / 50-60 Hz / 700 mA
Output: 15V DC / 2A
Isolation Transformer
Powertronix Isolation Station from GN Otometrics A/S.
Technical Specifications 67
System Capabilities
Inputs: 2 Eyes/4 Channels; Full Binocular Testing (Simultaneous
Collection of Both Left and Right Eye Signals)
Coupling: DC Response
Resolution: 0.1° Typical (Horizontal and Vertical)
Linearity: 1% Full Scale Horizontal; 1.2% Full Scale Vertical
Sampling Rate: Full 60 Hz for All Tests
Eye Range Tracked: ± 30° Horizontal; ± 20° Vertical
Software: Windows Graphical User Interface; High Performance Analysis

Software; Database Storage of Test Data; Sophisticated Patient
and Test Data Management Additional Capabilities: See-through
for External Targets; Vision-denied for Testing in Complete
Darkness; Database Storage of Test Data
Optimal Stimulus
(Including Light Bar) Patient-To-Bar Distance: 4 feet (1.2 m) Ultrasonic Range Sensing
Target Position: Gaze Targets ± 30°
Pursuit and Saccades: ± 16° Computer Controlled
Target Size: Less than 1/2° of Arc
Brightness: Software Controlled
Optokinetic: 6 Targets
Rotation: 90° (Horizontal or Vertical)

Other stimulators: Designed for connection to caloric stimulators.
Weights: Chartr 200 Unit: 2.7 kg (5 lbs 7 oz)

Lightbar: 7 kg (15 lbs)
Video Goggles: 0.4 kg (14.5 oz)
Operating Mode
Warm-up time: <2 min
Mode of operation: Continuous
Operating Environment
Temperature: +15° C to +35° C (59° F to +95° F)
Rel. Humidity: 30 to 90%, non-condensing
Air Pressure: 600 hPa to 1060 hPa
Operations at temperatures below –20° C or above +60° C may cause permanent damage.
Storing and Handling
Temperature: -20° C to +60° C (-4° F to +140° F)
Rel. Humidity: <90%, non-condensing
Air Pressure: 500 hPa to 1060 hPa
Dimensions
ICS Chartr 200 (HxWxD): 4.9 cm x 34.2 cm x 28.7 cm (2” x 13.6” x 11.3”)
Weight
2.7 kg (5 lbs 7 oz)
Calibration
None Required
Standards
Safety: EN 60601-1, UL2601-1, CAN/CSA-C22.2 NO 601.1-90
ICS Chartr 200: EN 60601-1, Class II, Type BF, IPXO
Power Supply: EN 60601-1, Class II, IPXO
System: EN 60601-1-1
EMC: EN 60601-1-2

Accessories
Chartr 200 Starter Kit: Nuprep, 4 oz tubes, pkg/3 (1 tube supplied in starter kit) 7590030-3
Five-snap lead package, 24” length (2 ch ENG) 7590318-24-5
Seven-snap lead package, 24” length (4 ch ENG) 7590318-24-7
Snap disposable electrodes, qty 20 8-64-21602
VNG optical cleaning cloth 7590527
Audiowipes 8-62-43002
Installation
The Installation section provides equipment setup information for checking the cable
connections for the ICS Chartr 200 VNG/ENG system.
Note: When ICS Chartr 200 VNG/ENG starts the first time, a Workstation name dialog
box displays. Type a name that identifies the workstation and click OK.
If you need additional information or are experiencing problems, refer to the Maintenance
and Troubleshooting section in this guide.

ICS Chartr 200 Back Panel
The components on the ICS Chartr 200 back panel are shown on the following diagram.
1 2 3 4 5 6 7 10
8 9 11 12 13 14
ICS Chartr 200 VNG/ENG Back Panel
1 Audio input 8 PC (laptop)

2 Audio output 9 USB
3 Video output, left 10 Light bar
4 Video output, right 11 Patient cable
5 Video goggles 12 Loopback test fixture
6 Caloric stimulator 13 Power input fuse
7 USB 14 DC power input
Installation 73
Set Up the ICS Chartr 200 VNG/ENG Hardware
The ICS Chartr 200 VNG/ENG hardware cable connections are shown on this diagram.
Video Monitors
Light Bar
20
8
Hardware Interconnection List
Caloric
Printer 3 Laptop Stimulator 1 Cable to microphone (optional)
Computer
18 2 Cable to speaker (optional)
7
16
3 Monitor cable to left video monitor
Chartr 200 11 15 (optional)
1
4 Monitor cable to right video monitor
2 10
4 6 14 (optional)
17 9 Footswitch
5 Video goggle cable to video goggles
5 DC power 12 6 GN Otometrics caloric stimulator cable

Video supply to ICS Chartr 200 or footswitch
19 Goggles
Medical grade AC outlet 7 USB cable to ICS Chartr 200
Powertronix Isolation Station 8 Light bar cable to port on Chartr 200
13
9 Patient cable
ICS Chartr 200 VNG/ENG System Connections
10 Cable to loopback test fixture
11 ICS Chartr 200 power cord to DC
15 Footswitch cable to remote connector on caloric stimulator power supply (AC/DC converter)
16 Printer cable to printer port on laptop 12 DC power supply cable to hospital

grade outlet
17 Printer power cable to Powertronix isolation station
13 Powertronix isolation station cable to
18 Laptop power cable to Powertronix isolation station hospital grade outlet
19 Video monitor power cable to Powertronix isolation station 14 Caloric stimulator power cable to
hospital grade outlet
20 Video monitor power cable to Powertronix isolation station

ICS Chartr 200 Remote Control
The wireless remote control consists of a transmitter and a keypad. The keypad allows
the operator to remotely operate many of the VNG/ENG data collection and video
recording activities without using the software function keys.
Description / Function
1 Stop video recording
2 Start / restart video recording
14
15 3 Turn fixation light on or off
16 4 Start data collection
5 Save the results
6 Center / calibrate
7 Accept results
8 Stop data collection
9 OK
10 New Test tab / Review tab
11 Next test
12 Previous test
13 Electrode impedance / video adjust / auto adjust
14 Event marker
Remote Control Keypad
15 Eyes open marker
16 Vision denied marker
Installation 75

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ICS Chart 200 VNG/ENG

Installation and Startup Guide

Doc no. 7-26-3000_06

Copyright© 2011, GN Otometrics A/S

Version release date

FM template version: 01-02-2010

ii ICS Chartr 200 VNG/ENG Installation and Startup Guide

2 ICS Chartr 200 VNG/ENG Installation and Startup Guide

Step 1 System Startup

Patient Selection Dialog Box

Prepare System for Data Collection 3

2 Type the patient’s

5 Click the  and select the Operator. If your

Note: Click New Patient to create another

4 ICS Chartr 200 VNG/ENG Installation and Startup Guide

1 Click the Physician’s Order tab.

2 Click the  and select the Referring

3 Click the  and select a Referring

4 (optional) Type information about the

If this patient was tested previously, click

Patient Information Dialog Box, Physician’s Order Tab

Prepare System for Data Collection 5

A. Click the Clinical Information tab.

2 Click General and select an option. Click

3 Click Eye Movement Examination and

4 Click Ear Examination and select an

Patient Information Dialog Box, Clinical Information Tab

C. Click Patient Information tab and click OK.

6 ICS Chartr 200 VNG/ENG Installation and Startup Guide

C. Go to step 1 or click F2 New Patient.

Prepare System for Data Collection 7

4 Select the Operator Specific

C. Click OK and go to step 7.

8 ICS Chartr 200 VNG/ENG Installation and Startup Guide

System Options, Operator Settings/Test Battery Tab

Prepare System for Data Collection 9

C. Click OK and go to step 10.

10 ICS Chartr 200 VNG/ENG Installation and Startup Guide

2 Type the physician’s:

Referring Physician Information Dialog Box

Prepare System for Data Collection 11

Referring Facility Information Dialog Box

12 ICS Chartr 200 VNG/ENG Installation and Startup Guide

A. Study each area of the Main Window.

New Test & Review tabs

New Test/Review area

Waveform Display Area

Eye image area

B. ENG: go to step 11.

Prepare System for Data Collection 13

Step 11 ENG – Apply Electrodes

A. Place electrodes on the patient as needed for 2 or 4 channel collection.

orange green Channel Electrode cable

Normal Electrode Placement (4 channels)

14 ICS Chartr 200 VNG/ENG Installation and Startup Guide

1 Check each electrode

Electrode Test Dialog Box

C. Reapply electrodes or leads as needed.

Prepare Patient for Testing 15

Fine focus adjustment knob.

Vertical positioning knob. Turn

VNG Video Goggles

C. VNG: Go to step 14 to adjust the video image.