Quick Start Guide

Table of Contents

Monitoring a Patient .................................................................................................................... 3

Applying a Neonatal Sensor Set ................................................................................................... 4
Applying a Neonatal Sensor Set (cont.)......................................................................................... 5
Start Recording ............................................................................................................................ 6
Checking Signal Quality ............................................................................................................... 7
Troubleshooting ........................................................................................................................... 8
During a Session You Can ............................................................................................................. 9
Pausing and Ending a Session ...................................................................................................... 10
Marking Events ............................................................................................................................ 11
Creating Snapshots ...................................................................................................................... 12
Archiving Sessions ........................................................................................................................ 13
Powering Down the CFM ............................................................................................................. 14
Icons ............................................................................................................................................. 15
Icons ............................................................................................................................................. 16
 Monitoring a Patient
The Olympic Brainz Monitor is an infant Cerebral Function Monitor (CFM). Full operating instructions are available in the
Olympic Brainz Monitor online Help.

1. Set up the CFM close to the patient and check that the connections are correct.
2. Hang the data acquisition box (DAB) from a convenient hook or handle on the incubator or cot.
3. Switch on the power switch and wait for the system to power up to the main display.
4. Touch the record button, enter patient details (optional), and then press Next.
• Select either the 3-electrode or 5-electrode configuration (according to the number of sensors you are using).
• Press Start Recording. The CFM starts live monitoring mode.
5. Apply the neonatal sensor set. Use the Electrode impedance view to check impedance levels of the individual sen-
sors. When using a 5-electrode configuration, check the impedance levels of the first two sensors before applying
the remaining sensors.
6. Enter a marker to indicate when preparations are complete (optional).

3
 Applying a Neonatal Sensor Set

1 2 3 4

Lay out the sensor application ma-
terials, including the sensor set and
positioning aid. Place the wrap hat
under the head, aligning the head
with the body.
Keep the positioning aid vertical and
parallel to the face. Align it so that the
letter at the ear tragus is the same as
the letter at the sagittal suture. The
forward edge of the positioning aid
should touch the tragus.
Mark the two sensor sites, one on Part the hair vertically at the first
each side of the positioning aid, at mark by using a damp gauze pad, so
the ends of the arrow. that a small bald spot is created at
the site.

5 6 7 8

Pat the site and the surrounding
hair dry, keeping the hair parted. DO
NOT RUB.
Note: Keeping a finger next to the
bald spot helps. (Hint: The pen mark
washes off.)
Using a little NuPrep™, clean the Remove the NuPrep™ with a damp Pat the site and the surrounding
exposed scalp, working up and down gauze pad, working outwards from hair dry, as before, maintaining the
the length of the parting. Hold the the center to keep the hair parted. bald spot.
skin taut as you clean.

4
 Applying a Neonatal Sensor Set (cont.)
9 10
Apply the first sensor directly over the
clean bald spot with the sensor wire
upwards. Repeat the previous steps
for all the sensor sites.
12 13
When the contact quality for all the
sensors is OK, fold the wrap hat
around the head and secure with
tape.
11
In a similar way, prepare the site for
the Reference sensor on the shoulder,
neck, or behind the ear. (Choose a site
with no hair so that it is unlikely to be
dislodged.)
14
Prepare the sites and apply the sen-
sors to the second side, as before.
Connect the neonatal sensor set to the
DAB (data acquisition box) and check
the contact quality of the sensors by
starting a new monitoring session.
Check the impedance level of each
sensor by using the Electrode Imped-
ance View. (An impedance reading
under 5 KΩ indicates good contact
quality.)
Note: When applying a 3-lead configu-
ration, you can perform the impedance
level check only after you have applied
all leads. In this case, skip to step 13.
Carefully gather the lead wires emerg-
ing from the wrap hat and guide them
out of the way (securing the amplifier to
the bed sheet using the supplied clip).
5
 Start Recording
To begin live monitoring of the patient:

1. Press the record button.

2. Optionally, enter patient information, and press Next.
3. Select the electrode configuration.

If you select a 3-electrode configuration, do not attach the other two electrodes to the DAB. Otherwise excessive
electrical interference might result.

The electrode configuration you select must agree with the number of electrode sensors you applied to the patient.

4. Press Start Recording.

6
 Checking Signal Quality

During live monitoring, ensure the Electrode Impedance View is selected.

Note: Keep an eye on the Electrode Impedance View while securing the wrap hat, making sure contact
quality is maintained.

To start Electrode Impedance View:

• Press the impedance selector button.

The Electrode Impedance View displays the individual impedance values of each electrode measured in kΩ.

• OK (Green) = Values below 10 kΩ.

• Marginal (Amber) = Values above 10-20 kΩ (generating a Signal Quality Alert).
• Extremely Poor (Red) = Values above 20 kΩ (generating a Signal Quality Alert).

Note: You can configure the threshold for signal quality alerts and the snooze time (length of time before
system repeats alert) for these warnings using the system maintenance utility.
7
 Troubleshooting
For information about troubleshooting poor impedance and signal quality, see Diagnosing poor electrode sensor contact in the
online HELP guide.

Sources of noise affect the energy levels of the EEG and are likely to result in an upward shift in the margins of the corresponding
aEEG display, limiting the diagnostic value of the device.
Green < 10 kΩ
Observe these tips when diagnosing and correcting poor electrode sensor contact: Yellow > 10-20 kΩ
Red > 20 kΩ
Periodically check the Electrode Impedance View, taking note of the individual impedance values.
• If the outer ring is no longer green, use the electrode images and their corresponding impedance values to determine which
electrode is at fault. Values that read ‘***’ may indicate an electrode that has fallen off.
• If impedance values rise above 20 kΩ (including the case where a sensor has fallen off), the ‘Signal’ alert is triggered and a
visual cue appears in the Status bar. The Status bar is always visible.
• The contact quality of the reference (common) electrode is not represented on the Electrode Impedance View. If contact quality
deteriorates for this electrode, the CFM becomes more susceptible to electrical and mechanical disturbances. This situation can
lead to an elevation in the aEEG base line, depending on the frequency of such disturbances. Examine the EEG view to observ-
ing electrical or mechanical noise superimposed on brain activity.
• The techniques used to correct poor electrode sensor contact depend on the type of sensors you use (that is, hyrdogels or
needles).
If the P3 or P4 electrodes dislodge in a 5-electrode configuration, the system cannot accurately calculate the impedance for the C3
or C4 counterparts. In this case, both impedance values read ‘***’ in the Electrode Impedance View.
8

General
• Change display modes between
biparietal and bilateral views
• Select supplemental data displays
(Impedance, EEG, IBI)
• Review previously recorded data for
the current session
• Use the live impedance view to moni-
tor sensor contact quality
• Pause or resume session recording
Patient
• Edit patient details
• Review and send stored snapshots to
USB
• End the session
• Open previously recorded session for
Review
During a Session You Can...
Tools
• Manage session archiving
• Import and export sessions
• Configure clinical configuration
settings (for example, customize
one-touch markers)
• Close the current session to launch
the maintenance utility (system con-
figuration tools)
Reports
• Create snapshots
• Send snapshots to a printer
• Send the session to a CSV ASCII file
Maintenance Utility
• Select language preference
• Set system date/time
• Configure storage locations
• Prepare archive media
• Update the CFM software
• Calibrate the screen
• Save and restore system settings to/
from a USB storage device
• Connect the bedside unit to a network
• View the diagnostic event log
• Configure group access to maintenance
utility features
Markers
• Mark and edit marked event
• Navigate through the session using
the marker list
• Use of the manual scoring tools to
mark regions of interest (for back-
ground patterns or suspected seizure
activity)
9
 Pausing and Ending a Session
To pause a session: To end a session:
1. Press the Record button to stop recording. 1. Press the Record button to stop recording, and
2. Press Stop Recording. press Stop Recording.
2. Open the Patient/Close overlay, and press Close
The session is paused (live monitoring and recording of Session.
data is suspended).
The session unloads from system memory and a watermark
appears in the aEEG display.
To resume live monitoring and recording:

1. Press the Record button.

2. Press Resume Recording.

10
 Marking Events
To mark an event:

Open the Markers/Add overlay, and press one of the preset markers. A marker is inserted at the timeline cursor position
(the red vertical line in the aEEG display).
1. To add a marker at a different place in the session, use the navigation controls to move back and forth through the
session, or touch the aEEG display to reposition the timeline cursor at the new location.
2. To add a custom marker, touch the custom marker field on the Markers/Add overlay. Use the on-screen keyboard to
type the custom marker Event name, and press Add.

Editing markers
You can edit markers by adding a description or changing the event name.

To add a marker description:

1. Press the marker in the area above the aEEG display to open the Markers/Edit overlay.
2. Press the Description field to display the on-screen keyboard.
3. Enter the description and press Apply.

To edit the marker event name (identity):

1. Press the marker in the area above the aEEG display to open the Markers/Edit overlay.
2. Press the Event field to display the on-screen keyboard.
3. Enter the identity (Event name) and press Apply.
11
 Creating Snapshots
To create a snapshot:
In the Reports/Snapshots overlay, press the elements that you want to include in the snapshot. You can see which com-
ponents you selected and a preview of the resulting snapshot in the lower part of the overlay.
1. Add a description (recommended) by pressing the description field. In the on-screen keyboard, type the description.
2. Press the snapshot configuration somewhere outside the description field to return the snapshot preview.
3. Press Save to store a copy of the snapshot as part of the session data. You can view or copy the snapshot to a stor-
age location later.

To copy the snapshot:

1. Press Copy to open the Copy snapshots dialog.
2. Select a copy destination in the Location pane, and select Deidentify to remove patient identifying information.
3. Press Copy. The snapshot is copied to the specified destination in a folder called CfmSnapshots.

For more information, see Reports/Snapshots in the online HELP.

To view snapshots saved as session data:

1. Open the Patient/Info/Snapshots overlay.
2. Select one of the snapshots in the list, and press Preview.

You can also print reports to a network printer. See Reports/Print in the online HELP.

12
 Archiving Sessions
To archive a previously recorded session:

1. Open the Tools/Files/Active overlay to display a list of sessions.

2. Press the multi-selection mode button to select multiple sessions to archive or select single session.
3. Press one or more sessions in the list, and then press Archive. The selected sessions are added to the archive
queue to be processed in the background while you continue to use the CFM for other tasks.

Archiving is complete when the Tools/Archive/Queue overlay is empty.

To check the status of an archive job:

• Open the Tools/Archive/Progress overlay.

To view a list of sessions stored in the archive location:

• Open the Tools/Archive/Content overlay.

To remove sessions from the archive queue:

1. Open the Tools/Archive/Queue overlay.

2. Press the sessions you want to remove and press Remove.

You configure the archive location (the destination for archived sessions) by using the system maintenance utility.
13
 Powering Down the CFM

Before you power down the CFM, you must stop recording and close the current session.

To power down the CFM:

• In the Tools/System/Exit overlay, press Shutdown.

• Confirm Shutdown.

The system powers down within 15-20 seconds.

14
 Icons

Open sessions,
Create new sessions Create Snapshots Online help

Home Add markers, Manage data,

Score regions Configure display

Navigation Controls

Timeline cursor Scroll through session Auto-scroll

Marker paging Switch to live

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 Icons
Archive State aEEG selector (1 channel) Impedance Scoring view active
New Session aEEG selector (2 channel) Impedance selected Scoring view inactive
Session copy pending Alert dismissed Inactive Session filter disabled
Session copying Alert snoozed Initializing Session filter enabled
Session modified Live monitoring
Audible alert-mute/unmute Session filter settings
Session successfully
EEG amplitude Live playback Signal alert
archived
EEG selector Marker mode active Signal alert
Connection State
EEG time based Marker mode inactive Standby
Archive connection
File multi-select Marker navigation Success
Disconnected
File single-select Play Time mark
Export connection
No medium Go to previous Recording off Type BF, defibrillator-proof

Prohibited combination Go to top Recording on USB

Review connection Home Refresh Viewer location selector
Writer connection Home Review mode Warning
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www.natus.com P/N OBM00200B