Page 1
Small Fiber Test Technical Reference Manual Proprietary 1 of 188...
Page 2
Q-Sense Technical Reference Manual This User Manual contains proprietary information of Medoc Ltd. and may not be reproduced in any form without prior written consent from Medoc Ltd. DC 00076 Q-Sense Technical Reference Manual 12th Edition, Oct. 2018 Medoc Ltd.
Q-Sense Technical Reference Manual Table of Contents Safety Guidelines and Regulations ..........14 User Manual Icons ..................14 Intended use ....................15 Target Population and Contraindications ............. 15 Safety and Regulatory Summary ..............15 Safety Requirements ..................16 1.5.1 Warnings ....................16 1.5.2 Cautions ....................
Page 4
Q-Sense Technical Reference Manual Installation USB Content ................37 Setup and Installation Main Steps ..............37 Selecting a Location ..................37 Device Connections ..................38 Software Installation ................... 39 Unit Protection ..................... 40 Product Activation ..................40 Operation ................... 42 Power up Q-SENSE System................
Page 5
Q-Sense Technical Reference Manual 7.6.6 Chaining Programs ..................77 7.6.7 Next Sequence Definition ................78 Standard Events ................... 80 7.7.1 Standard Event Configuration ..............80 7.7.2 List of Standard Events according to Program Type ........80 Test Instructions ..................81 Import / Export Program ................
Page 6
Q-Sense Technical Reference Manual Appendix A – Normative Data ........... 136 13.1 Normative Data License Agreement ............136 13.2 Enable Normative Data ................137 13.3 ........................139 13.4 Normative Data Editor ................139 13.4.1 Selecting the Normative Data Source (Built-In Tables) ........139 13.4.2 Normative Data Tables ................
Page 7
Q-Sense Technical Reference Manual Appendix N – fMRI functionality ..........182 26.1 fMRI Thermode ..................182 26.1.1 Q-sense system configuration in fMRI mode: ..........182 26.1.2 Installation –MR Filter ................183 26.2 TTL functionality ..................186 26.2.1 Q-sense fMRI side panel ................186 26.2.2 TTL set up ....................
Page 8
Q-Sense Technical Reference Manual List of Figures Figure 1: Q-Sense Label ....................19 Figure 2: Ramp &Hold Sequence – Return to Baseline ............30 Figure 3: Ramp & Hold Sequence – Return to Next Destination ......... 31 Figure 4: VAS Search – Manual Mode ................31 Figure 5: Power side panel ...................
Page 9
Q-Sense Technical Reference Manual Figure 38: Statistical Analysis of the Results ..............73 Figure 39: Program Menu – Ramp and Hold ..............73 Figure 40: Program Editor – VAS Search ................ 75 Figure 41: Program Chain Editor ................... 77 Figure 42: Program Editor Next Sequence Definition ............79 Figure 43: Manual Next Sequence definition ..............
1 Safety Guidelines and Regulations This manual is written for trained users of Medoc Products. The user includes the body with authority over the equipment and those persons who actually handle the equipment.
Q-Sense Technical Reference Manual Warning: A condition that could cause serious injury or death to a patient and/or operator if instructions are not followed. Caution: A condition that could cause possible damage to equipment or cause the system to function inaccurately. Note: Indicates important user information regarding the use of the system.
To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth Do not use any power supply which not supplied by Medoc (Medoc’s power supply Cat.# DT 00017). Do not use any electrode paste, gel, or other materials on the contact point between the Thermode plate and the skin of the tested subject.
Q-Sense Technical Reference Manual Adverse Reaction: Skin irritation (in addition to pain sensation) beneath the probe has been reported with the use of a stimulator, which was based on similar technology as the Q-Sense device. Be aware of potential risk of skin damage caused by wrong parameter combination.
Q-Sense Technical Reference Manual 1.5.3 Equipment Classification Degree of protection against electric shock: Class I Type of protection against electric shock: BF Type of Operation: Continuous Protection against ingress of liquids: Not protected against ingress of liquids ...
Q-Sense Technical Reference Manual 1.7 Equipment Labels, Symbols, Warning Statements and Abbreviations Figure 1: Q-Sense Label Table 1: Equipment Labels Equipment Label Description Power switch ON/OFF Communications connector. Date of Manufacture (YYYY-MM) Manufacturer Degree of protection against electric shock – Applied Part Type BF. Warning - Connect the power cord to the power outlet, according to the local electrical standards.
Q-Sense Technical Reference Manual Manual edition refers to current version of manufactured system Medoc reserves the right to change specifications without prior notice, in line with the company policy of constant product improvement 1.8 Electromagnetic immunity The Q-Sense is intended for use in the electromagnetic environment specified below. The customer or the user of the Q-Sense should assure that it is used in such an environment.
Page 21
Q-Sense Technical Reference Manual (>95 % dip in (>95 % dip in UT) for 5s for 5s NOTE UT is the a.c. mains voltage prior to application of the test level Proprietary 21 of 188...
Page 22
Q-Sense Technical Reference Manual Immunity test IEC 60601 Compliance Electromagnetic environment – test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the Q-sense, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Page 23
Q-Sense Technical Reference Manual NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
Q-Sense Technical Reference Manual 1.9 Recommended Separation Distance between Portable and Mobile RF Communications Equipment and Q-Sense The Q-Sense is intended for use in an electromagnetic environment in which radiated RF Rated maximum Separation distance according to frequency of transmitter (m) output power of 150 kHz to 80 MHz 150 kHz to 80 MHz...
Q-Sense Technical Reference Manual 1.10 Technical Data Medoc reserves the right to change specifications without prior notice, in line with the company policy of constant product improvement The table below describes the technical specifications and capabilities of the Q-Sense system.
Page 26
Q-Sense Technical Reference Manual Specification Parameter 1366X768 and higher Screen Resolution 2 buttons (Yes / No) Response Unit Patient Response Unit 10 years Product life time 1 year Thermode life time Proprietary 26 of 188...
Information on training is available from your local Medoc representative. 2.2 System Description The Q-Sense is a TSA 2001 model, which enables the user to perform various thermal test paradigms including the method of Limits, Levels, and TSL. These test paradigms can be utilized for a wide range of thermal QST pain measures such as thermal pain threshold and tolerance.
2.5 System Status Online: This is the Q-SENSE system full operating mode and indicates full communication between MEDOC Main Station and Q-Sense System. While on-line the Q-Sense system can operate in several different states as listed in the following section.
Q-Sense Technical Reference Manual Black Box: The system has detected an error and is currently logging data in the internal memory. The log file can be exported later for service use. 2.7 Application Methods Method is the type of the test program. Q-SENSE supports the following methods: ...
Q-Sense Technical Reference Manual thermal sensation is calculated as the difference between means of cold-sensation and warm- sensation. Using the TSL method, allows the Limen or ‘no thermal sensation’ area to be calculated. For detailed information refer to section 7.6.3, page 70. 2.7.4 Ramp &...
Q-Sense Technical Reference Manual “Return to the Next Destination” option The temperature at the End of Duration point goes directly to the Destination Temperature of the next sequence when this option is used. This is available only for sequences consisting of one trial. See definition of each parameter in section 7.6.4, page 73.
Q-Sense Technical Reference Manual In this window the user selects if to increase or decrease the destination temperature of the next trial and by how much (determined by the 'Step Size' value). There is also an option to resume the program if the operator decides that the target pain rating was reached. In Automatic mode the target pain rating and the step size are predetermined during program creation and the temperature of each trial is defined according to these parameters and the subject reported pain rating - increases by the step size value if the reported pain rating is...
Q-Sense Technical Reference Manual 3 System Components Q-SENSE components contain the following receptacles and controls: Table 4: Q-SENSE Connectors side Panel receptacles Description Mate with Q-sense Thermode Main receptacle Blue – power connector Green – Sensor connector Response Unit receptacle Use for recording patient response during test Table 5: Connectors to power side panel Power Supply...
Q-Sense Technical Reference Manual Power switch Communication port Power supply Figure 5: Power side panel 3.2 Connectors side panel Response Unit Q-sense Thermode receptacle Main receptacles Figure 6: Connectors side panel Proprietary 34 of 188...
The following Medoc Main Station updates will no longer support Windows XP. Please avoid using Windows XP operating system if possible. The computer used for Medoc Main Station software should be dedicated for this purpose only. Medoc takes no responsibility for any conflicts which may occur with other programs...
4. The room in which the system will be located should be quiet, allowing the tested subject to concentrate on the examination with minimum distractions. 5. It is possible to hang the Q-Sense system using Medoc Wall Hanger. To hang the system: Connect Medoc Wall Hanger to the specific site on the wall.
Q-Sense Technical Reference Manual Figure 8: Connecting Wall hanger to the wall 4.5 Device Connections 1. Ensure that the laptop meets the requirements set by Medoc (See section 4.1, page 36). 2. Make sure that your Laptop, Q-SENSE unit and printer (optional) are all OFF.
4. Connect the Q-SENSE power supply to an AC outlet and the cable to the DC power port. 4.6 Software Installation The installation procedure of MEDOC Main Station software can only be performed by a user with windows system administrator rights. Without appropriate access rights, the installation procedure may fail.
Product registration and software activation is simple and fast and it will enable you to maintain full use of Medoc Main Station software as well as: Warranty on your newly purchased Medoc systems ...
Q-Sense Technical Reference Manual If at any point during the product activation process you encounter any difficulties please contact Medoc support at support@medoc-web.com for assistance. Figure 11: Home screen product registration link Proprietary 41 of 188...
The purpose of the following chapters is to specify the Q-SENSE applications and to bring in- detail step-by-step instructions for conducting thermal stimuli. This chapter specifies Q-SENSE behavior at start up and MEDOC Main Station basic components. 5.1 Power up Q-SENSE System...
Q-Sense Technical Reference Manual Figure 13: Home Screen 5. To select Q-Sense, click on the Q-Sense image. 6. When the login screen is displayed, enter your user name and password and select "Q- SENSE" in the "connect to" field. Initial login Username and Password are both admin. For more information on user management please refer to section 10.1.5 Figure 14: Login Screen...
Q-Sense Technical Reference Manual 8. When communication is established, the system will enter SAFE MODE and remain in this state until completing the system Self-Test, see section below. Make sure the Thermode is not attached to the Subject and click on OK on the following message: 5.3 System Self-Test Upon system start up, Q-SENSE will automatically enter SAFE MODE state.
Q-Sense Technical Reference Manual Figure 17: Q-Sense in Rest Mode 5.4 Basic Operation As soon as the self-test is successfully completed the TEST screen is displayed: Menu Bar Toolbar Search Row Current Selection Data Display Information Area Status Line Figure 18: Test Navigator – Main Menu Proprietary 45 of 188...
File Results to *.ats file format. The *.ats file format is encoded and can be read only by MEDOC software, enabling simple backup, export and import options while maintaining patient confidentiality. For detailed export and import instructions see relevant sections in Patient, Program and Results Management chapters.
Manual Link to the Q-SENSE Technical Reference Service Manual Service Manual System and software information About … Submit a Service Call via Medoc web site*. Service Call FAQ on Medoc web site*. *internet connection required 5.4.2 Toolbar The Toolbar consists of shortcuts to the different views: ...
The Status bar displays important information about the status of the connected device. If the status line is empty, MEDOC Main Station is not connected to any device. When connected to the PATHWAY system, the status line displays the following information as described in...
Q-Sense Technical Reference Manual 6 Test Procedure and Management Starting a test procedure is only possible from the Test Navigator screen Test tab highlighted Test Navigator Figure 19: Test Management Main Screen The stimulation procedure (test) consists of the following main steps: ...
Q-Sense Technical Reference Manual The Patient List can be sorted according to any of the displayed fields. Click the relevant column header to sort the list. Search Show/Hide Details Button Figure 20: Patient Selection Menu 3. Click the patient entry to select (or double-click to select and move on to the next step). The selected entry will be displayed in the current selection details in the left panel.
Q-Sense Technical Reference Manual The Program List can be sorted according to any of the displayed fields. Click the relevant column header to sort the list. Search Show/Hide Details Button Figure 21: Program Selection Menu 3. Click the program entry to select (or double-click to select and move on to the next step). The selected entry will be displayed in the current selection details in the left panel.
Q-Sense Technical Reference Manual 8. Proceed to the Selecting Body Site section if you want to select site for the specific test, or click Go to Test in order to run the test without specific body site selection. It is not possible to run a test before you select the tested subject and program.
Q-Sense Technical Reference Manual Figure 23: Select Body Site – Specific site selection 3. Use the Zoom In/Out controls for a more precise selection 4. Use the Flip Image control to switch between Anterior / Posterior view 5. Complete the site selection by selecting one of the Specific Sites. The selected site will be displayed in the current test details in the left side bar.
Q-Sense Technical Reference Manual Figure 24: Pre-Test Screen 2. Click the Start Pre-test button ( The system performs a short pre-test, and stabilizes on the Baseline temperature. 3. After a successful pre-test, the Pre-test button is replaced by a Test Run button ( At this point attach the Thermode to the tested subject.
Q-Sense Technical Reference Manual After concluding a stimulation session, always clean the Thermode contact plate. For further details, refer to section 18, page 151. Do NOT immerse the Thermode in any kind of liquid. 6.4.1 Test and Post-Test Options Table 8: Test Run options Print test results as a report.
Q-Sense Technical Reference Manual 6.4.2 Temperature Graph Display During the test, the test graph is generated and displayed on the screen. Following is an example: Baseline Statistic Temperature s tab Baseline Temperature Baseline Temperature Figure 25: Real-Time Test The+ following information is displayed: 9.
Page 57
Q-Sense Technical Reference Manual Button Action Spacebar Can be used instead of the following buttons in sequence: pre-test / run test / pause / resume test. Can be used instead of the YES button. Not available in Search method. Can be used instead of the NO button. Not available in Search method.
Q-Sense Technical Reference Manual 7 Program Management This chapter describes how to manage your stimulation programs. Programs can be created, duplicated or removed from the database. Following are the detailed individual parameters for program. 7.1 Program List The Program screen enables you to manage programs (add, remove, edit etc.). 1.
Q-Sense Technical Reference Manual Show or Hide program preview Current Selection control - displays the selected program information. Current Thermode control - displays the Thermode that is used for the selected program. When you open the Program Preview bar, the following screen is displayed: Figure 27: Program Management –...
Q-Sense Technical Reference Manual Figure 28: Program graph preview 7.2 Creating a New Program To create a new program, perform the following procedure: 1. From the Programs screen, click the Create New Program ( ) icon. The following dialog is displayed: Figure 29: New Program Screen 2.
Q-Sense Technical Reference Manual 5. Click OK. The Program Details screen is displayed (see below). 7.3 Removing a Program To remove a program from the program list: 9. Click the Remove icon ( 10. Click Yes to the prompt. The selected program is deleted. 7.4 Duplicate A Program To duplicate a program from the program list: 1.
Q-Sense Technical Reference Manual Displays the Test Instructions Editor for editing test instructions. Refer to section 7.8, page Returns to the previous menu. Copies the selected record (sequence). Not available in Levels, TSL and Chaining programs. Pastes the copied record to the right of the selected record.
Q-Sense Technical Reference Manual Figure 30: Program Menu – Limits When adding or editing programs, follow these rules: Enter meaningful information in the Program Description section of the screen. Define all the parameters of a sequence for that sequence to be valid.
Q-Sense Technical Reference Manual Parameter Description The date on which the latest changes were made and saved. Update on Defines if these events are indicated by sound. Start test/End test Table 12: Program Parameters Parameter Description Four different types of sensation can be delivered to the Modality subject: Warm sensation;...
Q-Sense Technical Reference Manual The following screen shows a test consisting of 2 sequences, each comprising of 4 trials: Statistics Baseline Temperature Figure 31: A Limits Method Test Test statistics are hidden by default. The bottom of the screen displays the total records (sequences) in the current program.
Q-Sense Technical Reference Manual Modality – WS (warm sensation); CS (cold sensation); HP (hot pain). Number of recorded trials. Averaged temperature – In each of the sequence trials, the subject stops the temperature change once perceiving a predefined sensation. The temperatures at which the subject stopped the stimulations are averaged to yield the value of the threshold.
Q-Sense Technical Reference Manual Missing or incorrect parameters are identified by an icon that flashes next to the relevant field. A short description of the malfunction can be displayed by holding the cursor over the relevant icon. The program menu varies according to the probe and the method of stimuli in use, as shown at the left side of the screen.
Page 68
Q-Sense Technical Reference Manual Defines the temperature rate of increase or decrease per Return Rate second, from the destination temperature, down to the (°C/sec) baseline. Type an acceptable value: ........... 0.1 to 2°C/Sec for Q-sense thermode Increasing temperature or 0.1 to 1°C/Sec for Q-sense thermode Decreasing temperature Defines the maximum duration in seconds, between the time Max.
Q-Sense Technical Reference Manual The following screen shows a sequence of Levels Method Test: Statistics tab Baseline Temperature Figure 34: A Levels Method Test Test statistics are hidden by default. The bottom of the screen displays the total records (sequences) in the current program.
Q-Sense Technical Reference Manual Following are the statistic details: Figure 35: Statistical Analysis of the Results The following information is displayed: Sequence index. Used modality – WS (warm sensation); CS (cold sensation). Number of recorded stimuli and number of turns. ...
Q-Sense Technical Reference Manual When adding or editing programs, follow these rules: Enter meaningful information in the Program Description section of the screen. Define all the parameters of a sequence for that sequence to be valid. If not all the sequences are displayed, use the horizontal scroll bar to display the ones that are out of sight.
Q-Sense Technical Reference Manual Defines the temperature rate of increase per second, from the Increase Rate destination temperature down to the baseline. (°C/sec) Type an acceptable value: . 0.1- 2°C/sec for Q-sense thermode. Defines the temperature rate of decrease per second, from the Decrease Rate baseline until a response is recognized.
Q-Sense Technical Reference Manual Following are the statistic details: Figure 38: Statistical Analysis of the Results The following information is displayed: Sequence index. WS (warm sensation) – Threshold CS (cold sensation) – Threshold D – the absolute difference between WS and CS ...
Q-Sense Technical Reference Manual Table 17: Program Parameters Parameter Description Baseline (°C) Temperature from which each new stimulation sequence begins. – Between 28°C to 40°C for Q-sense thermode. Time before The time interval before the first trial. Valid range: 0 to 600 (sec). sequence (sec) Trigger Trigger mode:...
Q-Sense Technical Reference Manual Parameter Description ISI Max (sec) Maximum Inter-Stimulus-Interval (ISI). Valid range: 0 to 600 (sec). Actual ISI will be randomized between min and max values. Standard events Enables the system to alert you when stimulation procedure arrives at specific standard events.
Page 76
Q-Sense Technical Reference Manual Manual – The operator will initiate the onset of the stimulus after the defined ISI. First destination Defines the destination temperature for the first trial. Valid range is temperature (°C) limited by safety limitations and depends on the duration time. Destination Rate Defines the temperature change rate from the baseline to destination (°C/sec)
Q-Sense Technical Reference Manual 7.6.6 Chaining Programs The purpose of the Chain Method is to chain several programs one after the other. The result is a master program which runs the selected programs continuously, each program repeated by the number of cycles defined and in order according to the indexed list. For a method explanation, refer to section 2.7.6, Page 32.
Q-Sense Technical Reference Manual Column Description The probes used with this program. Probe Under Description, click the arrow ; then type free text Description to describe the program. The Description icon is indicated as active ( The date on which the latest changes were made and saved. Update on Table 21: Program Table Parameter...
Q-Sense Technical Reference Manual Figure 42: Program Editor Next Sequence Definition Two checkboxes are available and unchecked by default: Randomize Sequences: If this checkbox is checked the sequences order during program run will be randomized Manually define the next sequence: If this option is selected, the operator will receive the following dialog window at the end of the sequence, allowing him to specify the next sequence he would like to perform: Figure 43: Manual Next Sequence definition...
Q-Sense Technical Reference Manual 7.7 Standard Events Standard Events are pre-defined events that occur during the test such as the onset of a stimulus or reaching the destination temperature. Events are marked by a sound. Every event is also marked on the screen during the test by an asterisk (*). 7.7.1 Standard Event Configuration To configure standard events in the required program, follow the steps detailed below:...
14.3. Replace the instructions file, as described in section 10.3.2.2, page 7.9 Import / Export Program Program details can be imported to and exported from MEDOC Main Station using a secure and unique format which is readable from MEDOC software only. The file extension is ats.
Page 82
3. Click on the Open button. The imported programs are added to your program list. MEDOC Main Station identifies and allows you to manually solve any conflicts that may arise when importing programs. For example, programs with the same name.
Q-Sense Technical Reference Manual 8 Patient Management 8.1 Patients List The Patients screen enables you to manage patients (add, remove, edits etc.) and department information. 1. To access the patient database, click the Patients button at the toolbar. The following screen is displayed: Figure 46: Patients List 2.
Q-Sense Technical Reference Manual The following options are available in the Patient Management screen: New Patient Delete Patient Edit Patient details Show or Hide Patient preview Current Selection control - displays the selected program information. When you open the Patient Preview bar, the following screen is displayed: Figure 47: Patient Management –...
Q-Sense Technical Reference Manual Patient details cannot be edited from the preview control screen 8.2 Add New Patient To add a patient to the patients list: 15. Click the Add icon ( The Patient details screen is displayed: Figure 48: Patients Editor Screen 16.
6. The selected patient parameters screen is open and can be edited. 8.5 Department Management MEDOC Main Station enables you to mange (Add, Edit, Remove) your patient department. Department management is enabled according to the authorization level of the current user. For further information, refer to section 10.1.5, Page 116.
Q-Sense Technical Reference Manual Figure 49: Edit Department Menu 2. To define a new department, click the New button; then, type the department name. 3. To rename a department, select the required department; then click the Rename button. (Available only for System Administrators and Medical Supervisors) 4.
To close the dialog, click the Close button. 8.7 Import / Export Patient Lists Patient details can be imported to and exported from MEDOC Main Station using a secure and unique format which is readable from MEDOC software only. The file extension is ats.
Page 89
3. Click on the Open button. The imported patients are added to your patients list. MEDOC Main Station software identifies and allows you to manually solve any conflicts that may arise when importing patients. For example, patients with the same unique field.
Q-Sense Technical Reference Manual 9 Results Management The Results List screen lists the results of the recent test. 9.1 Results List The Results screen enables you to manage Results (view, print, delete, etc.). 1. To access the results database, click the Results button at the toolbar. The following screen is displayed: Figure 51: Results List 2.
Q-Sense Technical Reference Manual Show or Hide Results preview Print Selected Results file / files Delete selected Results file from Q- SENSE Data Base Current Selection control - displays the selected program information. When you open the Results preview bar, the following screen is displayed: Figure 52: Result preview display The following options are available: View Patient details...
Show / Hide Normative Data display. 9.2 Import / Export Results Test Results can be imported to and exported from MEDOC Main Station using a secure and unique format which is readable from MEDOC software only. The file extension is ats.
Q-Sense Technical Reference Manual Description: containing general patient and test data: Figure 53: Export Result File Opened In Excel – Description Tab Sample Data: containing the detailed information of the test: Figure 54: Export Result File Opened In Excel – Data Tab Sample In order to import Q-SENSE results, follow the procedure below: 1.
Page 94
Q-Sense Technical Reference Manual MEDOC Main Station identifies and allows you to manually solve any conflicts that may rise when importing results. For example, results with same patient name date and time. Saved Results cannot be edited or modified. Proprietary...
Q-Sense Technical Reference Manual 9.3 Print Results and Reports MEDOC Main Station has a powerful Analysis and Results Report Generator that can be customized for user needs. Follow these steps to print your results: 1. Select the relevant results file or files from the list in the results screen.
Q-Sense Technical Reference Manual Figure 56: Analysis Report 9.3.1.1 Analysis Report Type Report type defines the template and content of the report and analysis to be displayed. Report template can be edited and customized according to specific needs. Refer to section 10.1.3, page for details The following templates are available: Table 23: Report Analysis Configuration...
Page 97
2. Selection of 2 result files or more 3. Identical Test Subject 4. Identical Test Program 5. Identical Body Site Custom Custom report with custom Vary according to report analysis analysis and restrictions. Contact Medoc Service for Details. Proprietary 97 of 188...
Q-Sense Technical Reference Manual Figure 63: Bilateral Results Report 9.3.1.2 Reports Configuration Report configurations allow defining basic reports settings and display options. The following configurations are available: Table 24: Report Analysis Configuration Parameter Description Displays report preview before sending to print. Display Preview Send report to print without a preview.
Page 102
Q-Sense Technical Reference Manual Determine the display of test graph end time for time based End Time (Manual tests. Mode) Available for TSL. Determine display of the test graph minimum temperature. Min. Value. (Manual Available for TSL. Mode) Determine display of the test graph maximum temperature. Max.
Q-Sense Technical Reference Manual 9.3.1.3 Custom Reports Configuration 1. Save the custom report you would like to use 2. Go to Settings --> Software Settings --> Report Options tab 3. Select the required template from the left column and click Copy Template Figure 64: Custom Report Configuration 4.
Q-Sense Technical Reference Manual Figure 65: Custom Report Configuration 6. The report designer window will open. Go to the file menu and select “open report”. Select the report template saved in step 1. 7. After the report template opens, close the report designer window with the X on the right corner.
Q-Sense Technical Reference Manual 10 System Configuration Q-SENSE system configuration is performed via three different setting menus: 1. Software Settings see section , Page 10.1 105. 2. Hardware Settings see section , Page 10.2 123. 3. Test Settings see section , Page 10.3 125.
Set the COM port to which the Q-SENSE system is connected to the computer: Auto Detect – Automatically scan all available ports. Simulator – Work in Demo Mode (MEDOC Main Station will not connect to Q-SENSE system. COM X – Set the specific port the Q-SENSE is connected to.
Q-Sense Technical Reference Manual Figure 70: Software Settings - Patient Fields Patient Fields consist of the following types: Unique Fields – The selected fields are used for conclusive patient identification (more than one can be used). Any other field can be repeated in various patients (for example, John can appear as first name for more than one patient).
Page 108
Q-Sense Technical Reference Manual 2. Click the button to add field to Patient Table Fields. 3. Click the Apply button. To remove Patient Fields from Patient Table: 1. Select field to be removed from the Patient Table Fields list. 2. Click the button to remove field from Patient Table Fields.
Page 109
Q-Sense Technical Reference Manual Proprietary 109 of 188...
1. Click the Restore button to restore Results Fields defaults. 2. Click the Apply button. 10.1.4 Report Options MEDOC Main Station enables to generate test reports, which contain the test results and data according to the system definitions when the test was saved. Proprietary 110 of 188...
Every test method may have more than one template in the Q-SENSE data base, but only one template is used each time when printing a report. The template type is selected by MEDOC Main Station according to the selected test method.
Q-Sense Technical Reference Manual Q-SENSE user may select the active template for each method from the templates data base. Templates can be edited and modified according to custom needs. Figure 73: Detailed Report example Proprietary 112 of 188...
Q-Sense Technical Reference Manual Figure 74: Detailed Report Options The following actions are available in the Detailed Report: Table 28: Report Options Parameter Description Show Body Site When Show Body Site option is checked, the name of the body site that was used during a test (Main Site, Side and Specific Site) will be displayed in the final report.
Q-Sense Technical Reference Manual 10.1.4.1.1 Data Base Templates The data base templates option displays the available templates from the Q-SENSE data base. Each test method can have several templates according to the user needs. Data base templates are characterized by the following parameters: 1.
10. Use the Remove button in order to delete a template from the Q-SENSE data base (only custom templates can be deleted). A special report design can be prepared upon request by Medoc. Setting Active Template: 1. Select the template you want to use as Active template.
Q-Sense Technical Reference Manual 10.1.5 User Management User management enables you manage and restrict the access of specific users to certain features of the software. For example, restrict a test operator from accidently deleting patient records. There are four available authorization levels: Software Administrator, Biomedical Engineer, Medical Supervisor and Operator.
2. Enter the following information: 2.1. User Name – this will the name the user will use when logging in to Medoc Main Station. 2.2. Last Name and First Name – these will be used for display and to identify actions performed by this user 2.3.
1. Administrator – can perform all actions. Administrators have full control over the patients, programs and results, as well as software and hardware configuration (within the capabilities of Medoc Main Station). 2. Biomedical Engineer – intended for a user who may handle the technical operations such as Thermode calibration and certain hardware and software configurations.
Q-Sense Technical Reference Manual 10.2 Hardware Settings This menu enables you to set up and test the parts of the system hardware. This can include setting up parameters such as, pulse duration and polarity; timeout limitations; detection delay, etc. 19. From the Settings menu, select the Hardware Settings option. The following screen is displayed: Figure 82: Hardware settings –...
Q-Sense Technical Reference Manual Parameter Description Ramp timeout (% of If Ramp temperature continues to be detected beyond this duration) setting, an error message is displayed. The test is not aborted. Thermode enabled If the use of probe type is not possible (for example, because it is broken) its usage can be disabled by deselecting the checkbox.
Q-Sense Technical Reference Manual Figure 84: Hardware settings – Thermode tab 10.3 Test Settings The Test Settings menu includes settings and preferences which affect how the tests are performed and displayed. To access the test settings options, from the top menu bar, select Settings and then Test Settings.
Q-Sense Technical Reference Manual Figure 85: Test Configuration Settings The following options are available: 10.3.1.1 Pre-test settings Table 32: Pre-test parameters Parameter Description Low temperature The bottom margin for a stabilized temperature allowed for a margin successful pre-test. High temperature The top margin for a stabilized temperature allowed for a margin successful pre-test.
Q-Sense Technical Reference Manual 10.3.1.3 Post Test Configuration Table 34: Post-test parameters Parameter Description Post-test time Post-test temperature stabilization is required by safety standards. This setup is used to add time for post-test monitoring. Add comments When the Add Comments option is checked, a dialog box for adding comments to the test open when a test ends.
Q-Sense Technical Reference Manual 10.3.1.6 Temperature Limits Table 37: Temperature Limits Parameter Description Temperature Limits Sets the minimum and maximum temperature that is allowed during a tes. This parameter does not replace the safety limitation of the Q-Sense; it allows limiting the stimulus temperature to a specific range, according to unique requirements.
Q-Sense Technical Reference Manual 10.3.2 Instructions Configuration The Instructions Configuration option sets the default files that will be available to provide information concerning the various test methods. Figure 86: Instructions Configuration Two formats are available: Text – a text (written) description. ...
Q-Sense Technical Reference Manual Figure 87: Test Instructions Editor 22. Enter the required text. 23. Click the Save button. 24. Close the window. For editing Text instructions use the text editor. 10.3.2.2 Audio To enter vocal instructions for a test method: 1.
Q-Sense Technical Reference Manual Pause – Pauses playback. Play will continue from paused place. Change – Reopens browser to allow replacing the current file with another one. 10.3.3 Body Site Editor The Body Site Editor option displays the complete Body Sites list as set by the Manufacturer, and enables the user to create a personal list of tested body sites.
Page 132
Q-Sense Technical Reference Manual To narrow down the displayed list use the filter row. The following actions are available in the Manufacturer Body Sites Editor: 1. Export Body Site list to an excel file. 2. Import .ats binary Body Site list. 3.
MEDOC contact information. In order to see the system information: 1. From the Help menu, select the About Medoc Main Station option. The following screen is displayed: Figure 90: System Information In order to send full system information to Medoc: 1.
Q-Sense Technical Reference Manual Figure 91: Sysinfo File Sample 2. Save the file and send it by mail to your Medoc Service contact. Proprietary 134 of 188...
12 The Black box (Logger) MEDOC Main Station is installed with a “black box” or logger that records and documents software and system information in case of error or failure. The files can be exported to excel and sent to Medoc support in order to identify the nature and cause of any technical malfunction.
1. Medoc is not responsible or liable for, and does not guarantee or underwrite, the accuracy, completeness or applicability of the information contained in the Normative Data. 2. Medoc is not responsible or liable for the use you make of the ND Feature, nor is it liable for your conclusions from such use.
Q-Sense Technical Reference Manual 13.2 Enable Normative Data Normative Data is automatically enabled if you agreed to the terms and conditions during Medoc Main Station installation (see section 4.6). However, even if you decided not to enable Normative Data during installation, you can always enable later.
Q-Sense Technical Reference Manual Figure 94: Normative Data License Agreement 3. Read the license agreement and click Apply to accept. 4. Normative Data is now enabled. Proprietary 138 of 188...
Q-Sense Technical Reference Manual 13.3 Figure 95: Normative Data Editor - Learn More 13.4 Normative Data Editor The Normative Data editor allows you to change the Normative Data source, view and export the available built-in normative data, to import, add or modify your own normative data. 13.4.1 Selecting the Normative Data Source (Built-In Tables) The built-in Normative Data includes several normative data tables from different sources.
Q-Sense Technical Reference Manual Figure 96: Normative Data screen select source 3. Click on one of the sources in list to select. Note that changing the normative data source will affect the display of normative data in results and in the reports. Confirm your selection.
Q-Sense Technical Reference Manual Figure 97: Normative Data Editor Normative data tables include the following parameters: Table 38: Normative Data Fields Parameter Description Mandatory Method The test method (Limits, Levels, …) Modality The test modality (Cold Detection Threshold, Warm Detection, ...
Page 142
Q-Sense Technical Reference Manual Parameter Description Mandatory Baseline The Baseline Temperature Rate The temperature change rate The number of subjects which the normative data statistics is based on. The average threshold of the subjects that were tested to See note collect the specified normative data.
Q-Sense Technical Reference Manual 7. Open the exported file, delete the existing data except for the column headers and add your own data in exactly the same format. Save the file as .xlsx or .xls. 8. To import the file into the User Normative Data table, click the Import button below the User Normative Data table and select the file you want to import.
Database The Data Base Utility enables Back-up and restore system date base. During installation of MEDOC Main Station, a default data base is created. It is called: "Computer name/ATS". This data base allows backup and reconstruction of the data base.
Q-Sense Technical Reference Manual 15 Appendix C - Accessories The following list of accessories can be purchased from Medoc, and are listed with their Catalogue numbers, which should be quoted when ordering a specific accessory. Table 39: Accessories Description Cat. No.
Page 146
Q-Sense Technical Reference Manual Description Cat. No. Response Unit AS 00403 This unit enables the tested subject to respond to the stimuli by pressing one of two buttons. Depending on the selected test, the tested subject feedback signal terminates any process or causes the test to continue following a Yes/No response.
Page 147
Q-Sense Technical Reference Manual Description Cat. No. Wall Mount MP 00501 Used to hang the system on a wall. Power Supply DT 00017 Power supply is used to connect electricity port and to the power port in the Q-sense system. USB Cable WA 00278 This cable is used to connect the Q-...
Q-Sense Technical Reference Manual 16 Appendix D – System and Module Description 16.1 System Description The Q-SENSE modular design makes it easy to troubleshoot and replace parts. The system consists of main module: Q-SENSE Accessories For a detailed description of the accessories, refer to section Thermode (to be attached to the tested subject’s skin).
2. Install all available Thermode types (Q-sense type), according to your license type, to the Q- SENSE system. 3. Connect all available Q-Sense accessories (Response Unit) to the Q-SENSE system. 4. Connect the communication cable from the Q-Sense system to the computer running MEDOC Main Station. 5. Power ON the Q-SENSE system.
1. Inspect Thermode to confirm mechanical integrity and no visual damage before use on patient. 2. Replacing Thermode once a year is needed to keep System integrity. Please contact Medoc representative in your Area for more information on Thermode replacement and warranty extended plan.
Q-Sense Technical Reference Manual 18 Appendix F – Cleaning and Disinfecting Perform this procedure before initially using the Thermode and after each use, to minimize the spread of pathogens between tested subjects. 1. Thoroughly clean the Thermode contact surface using alcohol wipes. 2.
Q-Sense Technical Reference Manual 19 Appendix G - Thermode straps assembly instructions 1. The Q-sense Thermode strap is made out of two part – short and long 2. Insert the round end of the long strap into the slot on the Thermode side (when the hook side is facing to you) and fold it on the loop side.
Q-Sense Technical Reference Manual Appendix I – Transportation and Storage conditions The environment conditions for Q-SENSE system transportation and storage are as follows: An ambient temperature range of 0 °C to +70 °C. A relative humidity range of 10% to 95%, including condensation. ...
Q-Sense Technical Reference Manual 22 Appendix J – Environmental Conditions The environment conditions for Q-SENSE system during standard use are as follows: An ambient temperature range of +18 °C to +24 °C A relative humidity range of 30% to 75%, including condensation ...
23 Appendix K – Upgrading procedure This section regards installation for users having older version of Medoc Main Station. 1. Users having previous version of Medoc Main Station on the laptop will have the following screen displayed: Figure 100: Previous version message 2.
Q-Sense Technical Reference Manual Figure 103: MMS Uninstall 5. When uninstall is complete the following screen will be displayed: Figure 104: Uninstall Completed 6. Click finish. The following screen will be displayed: Figure 105: MMS successfully removed Click OK. To continue installation refer to Section 4.6, Page 39. Proprietary 157 of 188...
Q-Sense Technical Reference Manual 24 Appendix L – Troubleshooting – Operator Level The troubleshooting section describes some of the Q-SENSE most frequent Error messages and Warnings; it helps you resolve them at operator level. There are two types of malfunctions: Software and Hardware. 1.
Page 159
Q-Sense Technical Reference Manual № Warning Explanation Q-SENSE is in Safe Mode, and must The Q-SENSE system is in Safe Mode perform Self Test before resuming and must perform Self Test before it operation. continues with normal operation. Click YES to perform Self Test, and resume 1.
Page 160
Q-Sense Technical Reference Manual № Warning Explanation Program violates safety limitations, and The program you have designed violates cannot be saved. the Q-SENSE safety limitations and Modify program settings, and retry saving. therefore can not be saved to the data Violations: base.
Page 161
10, but least 10 entries are required, although less than the recommended 20. 20 are recommended by Medoc. 1. Click YES if you want Q-SENSE to This message states that you have perform interpolation and fill out the calibrated less than the recommended missing values.
Q-Sense Technical Reference Manual № Warning Explanation Destination rate is out of range: When performing a Cold EP test there Sequence 1 - For a destination are restrictions that must be followed: temperature of 23°C, the range must be Temperature change rate must be [0.1…1].
Page 163
1.3 Turn ON the device and start Medoc 2.3 Turn ON the device and start Main Station. Medoc Main Station. 2. If steps 1 & 2 fail, contact Medoc 3. If steps 1 & 2 fail, contact Medoc support support for further assistance.
Page 164
2. Continue working. If the problem persists, contact Medoc service. MEDOC Main Station can’t locate Q-sense MEDOC Main Station failed to connect to device. Please check the following: the Q-Sense system. 1. Verify that the correct port is selected. 1. Verify that the correct port is selected.
Page 165
1. Write the command name or number. 2. Restart the Q-SENSE system and program. 3. Continue working. If the problem persists, contact Medoc service and state the Acknowledge Code number or name. The command failed as a result of the Command: ### failed ###.
Page 166
Q-SENSE system is enabled to continue work. 3. Run Thermode calibration. If the problem persists, stop using the Q- SENSE system and contact Medoc service. Static sensor mismatch. Mismatch The Q-SENSE system has detected a (difference) temperature 4 (°C). Error...
Page 167
Empty command buffer. Error Code: 400C An error has occurred in the Q-SENSE processor during run time. 1. Click OK and continue working as usual. If the problem persists, send the corresponding error code to the Medoc service team. Proprietary 167 of 188...
Page 168
1. Click OK and continue working as usual. 2. Restart the Q-SENSE system and software. If the problem persists, send the corresponding error code to the Medoc service team. Sample buffer full. Error Code: 2001 An error occurred in the Q-SENSE processor during run time.
Page 169
Can not open thermometer serial The selected calibration COM port is in communication port, because it is used by use by the Q-SENSE system. Medoc Main Station 1. Select the appropriate calibration COM port through SettingsSoftware SettingsGeneral. 2. Retry calibration.
Page 170
Test Run mode. Error Code: system and the PC has been lost. 800C 1. Restart the Q-SENSE system and program. 2. Run Self Test. 3. Continue working with the system. If the problem persists, contact Medoc service. Proprietary 170 of 188...
Make sure that the driver is installed properly according to Q-SENSE installation instructions. 5. Turn ON the Q-SENSE system. 6. Start MEDOC Main Station. If the problem persists, contact Medoc service. 24.2 Faulty System Responses Table 43: Faulty System Responses Malfunction...
Page 172
Perform power-switch check. 2. Turn ON the main power switch of the Q-SENSE system. A green LED indicates it is ON. * If the problem persists, contact Medoc service for support. Constant Communication 1. Perform COM port check. problems a. Check that MEDOC Main Station is set for automatic COM port detection (SettingsSoftware...
Page 173
2. Thermode connection check. a. Make sure that the enabled Thermode is connected properly to the Q-Sense system. 3. Restart MEDOC Main Station and Q-Sense system. 4. TEC temperatures refresh check. a. Check that the TEC temperature in the software status bar is not freezing i.e., see that the...
Q-Sense Technical Reference Manual 25 Appendix M – Licensed Options 25.1 FTP Support Enables to upload test results to FTP location for collaboration, multi-center studies or backup. There is an option to automatically save and upload test results immediately after test completion (requires internet connection).
Q-Sense Technical Reference Manual Figure 109: Software Settings Export Tab 25.1.1.1 Configure the FTP Upload Server To configure the server enter the following details: 1. Server URL – the FTP address. Use a specific address including the folder to which you want the results to be uploaded to.
Q-Sense Technical Reference Manual 25.2 CoVAS Enables continues pain rating using the USB CoVAS device. 25.2.1 CoVAS Calibration Calibrating the CoVAS ensures the CoVAS range 0 to 100 corresponds with the left most and right most point of the slider, respectively. The CoVAS should be calibrated when: ...
Q-Sense Technical Reference Manual 7. Click the Finish button to complete the calibrating process; then click OK. 25.3 Patient Record Control Allows full customization of patient fields including the options to add, remove, rename and control input. 25.3.1 Control Patient Field Entry Format with Input Masks When you have several users entering patient data, you can control how the data must be entered in specific fields in order to maintain consistency.
Q-Sense Technical Reference Manual Used to separate months, days and years in dates. The character used depends on the regional settings of the computer Used to separate hours, minutes and seconds in time values. The character used depends on the regional settings of the computer Currency symbol.
Q-Sense Technical Reference Manual Unique field Fields available for entering patient data Input masks Figure 111: Patient Fields with Input Masks Figure 112: Patient Card with Selected Patient Fields To add Patient Fields to the Patient Table: 4. Select fields to add from the Patient Card Fields list and click the Move Right button 5.
Q-Sense Technical Reference Manual 25.4 Pain Rating Enables advanced options for monitoring Patient Response: customized range for numerical pain rating scale, multiple ratings per trial. 25.4.1 Pain Rating Parameters Configuration Pain rating is available only for Ramp & Hold program. Advanced parameters available with pain rating license can be configured while creating or editing any Ramp &...
Q-Sense Technical Reference Manual 26 Appendix N – fMRI functionality 26.1 fMRI Thermode Q-sense fMRI Thermode and accessories are defined and marked as MR Conditional equipment according to the ASTM F2503–08. Q-sense MR filters are defined and marked as MR Unsafe equipment according to the ASTM F2503–08.
Q-Sense Technical Reference Manual The Q-sense fMRI thermode incorporates an EMI filter designed to reduce and prevent electromagnetic interference noise from penetrating into the scanner room. The fMRI filter includes: Minimal insertion loss : 10MHz/13dB, 100MHz/50dB, and 1GHz/70dB. Capacitance: 4000pF ...
Q-Sense Technical Reference Manual Control Room MRI Room Shielded Room Penetration Panel D type Panel D type Panel filter connector Thermode filter connector cable 3m Figure 115- fMRI room setup 2.1. Connect the Q-sense system so it would be placed in the MRI control room, while the Thermode itself is placed in the MRI room, as shown in the diagram: 2.2.
Q-Sense Technical Reference Manual 26.2 TTL functionality Q-sense systems with FMRI thermode functionality support TTL functionality which can be used for synchronization with external systems. 26.2.1 Q-sense fMRI side panel Figure 118: Q-sense fMRI side panel 26.2.2 TTL set up Q-sense can send 1-bit TTL from the side panel TTL OUT BNC connector (see Figure 118) Figure 119: HW settings for Q-sense fMRI The polarity of the TTL can be configured in Q-sense hardware settings.
Q-Sense Technical Reference Manual 1. TTL Polarity: 1.1. TTL OUT: Configure the Polarity of TTL OUT pulse: 5V or (-)5V. For 5V: The TTL is 0V when Idle and 5V when triggered. For (-)5V: The TTL is 5V when Idle and 0V when triggered.
Need help?
Do you have a question about the TSA 2001 and is the answer not in the manual?
Questions and answers