otometrics ICS Impulse USB User Manual
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otometrics ICS Impulse USB User Manual

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ICS Impulse USB
User Guide
Doc no.7-50-1490-EN/01
Part no. 7-50-14900-EN
0 4 5 9

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Summary of Contents for otometrics ICS Impulse USB

  • Page 1 ICS Impulse USB User Guide Doc no.7-50-1490-EN/01 Part no. 7-50-14900-EN 0 4 5 9...
  • Page 2 All information, illustrations, and specifications in this manual are based on the latest productinformation available at the time of publication. Natus Medical Denmark ApS reserves the right to make changes at any time without notice. Versionrelease date 2019-04-29 Technicalsupport Please contact your supplier. Otometrics - ICS Impulse USB...

  • Page 3: Table Of Contents

    13 How to record and play back video 14 System settings 15 Installation and Setup 16 Accessories 17 Service, cleaning, and maintenance 18 Other references 19 Standards 20 Manufacturer 21 Warning notes 22 Definition of symbols 23 Notes on EMC (Electromagnetic Compatibility) Otometrics - ICS Impulse USB...

  • Page 4: Your New Ics Impulse System

    Indicates that there is risk of death or serious injury to the user or patient. • Caution Indicates that there is a risk of injury to the user or patient or risk of damage to data or the device. • Otometrics - ICS Impulse USB...

  • Page 5: System Startup And Logging In

    For additional information about the OTOsuite Vestibular screen, entering test remarks, report findings, working with patients lists, and logging out refer to the Reference Manual. Patient data entry/lists Current Patient group provides information about the patient currently open. Otometrics - ICS Impulse USB...
  • Page 6 To enter information for a new patient, click and add patient information in the form: • Entries that cannot be left blank are marked with an asterisk (*). • For all entries the maximum number of characters is 45. Otometrics - ICS Impulse USB...
  • Page 7 To select a patient, click the patient name. Open • Click (or double-click) to open the patient to view test results Edit • Click to make changes to the existing patient information Modify patient information in this form: Otometrics - ICS Impulse USB...

  • Page 8: Preparing For Testing

    1. Choose a wall that allows you to position the patient at least one meter in front of the fixation dot. 2. Apply one of the fixation dots supplied with the system to the wall in a location that allows you to position the patient directly in front of the fixation dot. Otometrics - ICS Impulse USB...
  • Page 9 3. Position the goggles on the patient’s face over the bridge of the nose. 4. Bring the strap above the patient’s ears and around to the back of head. 5. Tighten the strap tight enough to ensure that goggles will not shift during testing. Otometrics - ICS Impulse USB...
  • Page 10 Preparing for testing ► 8 3. Position the patient at least one meter in front the wall (refer to for information). Note Center Lateral Impulse Type button is disabled when is the selected • Otometrics - ICS Impulse USB...
  • Page 11 , make additional adjustments to remove any white areas outside • the white circular image of the pupil. 8. Select to accept the ROI position. 9. Continue to ( Calibrate ► 13 Otometrics - ICS Impulse USB...
  • Page 12 Calibration values calculated for the Lateral test remain valid for the LARP/RALP tests. • Collecting Head Impulse data ► 17 8. If a Lateral test was performed prior to starting this test, continue to ( Otometrics - ICS Impulse USB...
  • Page 13 1. Click Lasers On to turn on both lasers. 2. Ask the patient to position the left and right dots equidistant on each side of the fixation dot. Otometrics - ICS Impulse USB...
  • Page 14 5. Click 6. Ask the patient to face the fixation dot and hold the head still. 7. Ask the patient to follow the laser beam dot. Otometrics - ICS Impulse USB...
  • Page 15 1. Ask the patient to stare at the fixation dot and move the head side to side through a small angle (about 10 degrees). 2. Check that the eye and head velocities match. Good calibration - Eye and head velocities match Poor calibration - Eye velocity is too low Otometrics - ICS Impulse USB...
  • Page 16 4. Once the calibration has been checked and you are satisfied with the result, click Collection window opens and the software is ready to begin collecting head impulse data. Caution • Once calibration has been performed, it is recommended not to reposition the goggles on the patient’s head. Otometrics - ICS Impulse USB...

  • Page 17: Adding Remarks/Adding Video Recording

    (Impulses will be rejected if the head impulse is not performed properly or if the frame rate drops below 219 frames/second.) To change the number of suggested minimum head impulses for the current testing session, click the up or down Otometrics - ICS Impulse USB...
  • Page 18 (data is saved if at least one good impulse has been collected) or (data collected is NOT saved). The data is automatically analyzed and displayed in the 2D Analysis window. The elapsed time (D) displays along with test date and test time. Otometrics - ICS Impulse USB...

  • Page 19: Monitoring Eye And Head Movement

    The actual head and eye traces are superimposed on top of the gray training lines. The eye trace is represented in green. White dots display along the Y axis to indicate the velocities of impulses collected. Otometrics - ICS Impulse USB...

  • Page 20: Analyzing Data For A Single Test

    For pic- tures showing good and poor goggles placement, refer to Place goggles on patient ► 9 Otometrics - ICS Impulse USB...
  • Page 21 (1) Manzari et al. Rapid fluctuations in dynamic semicircular canal function in early Meniere’s disease. Eur Arch Otorhinolaryngol 14 Dec 2010. (2) MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS (2009) The video head impulse test: Diagnostic accuracy in peripheral vestibulopathy. Neurology 73 (14): 1134-1141. Otometrics - ICS Impulse USB...
  • Page 22 (1) Newman-Toker DE, Saber-Tehrani AS, Mantokoudis G, Pula JH, Guede CI, Kerber KA, Blitz A, Ying SH, Hsieh YH, Rothman RE, Hanley DF, Zee DS, Kattah JC. Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: toward an ECG for the eyes . Stroke.2013;STROKEAHA.111.000033. Otometrics - ICS Impulse USB...
  • Page 23 For information about the Test window, including how to select a test, refer to the Reference Manual. Caution If you choose to delete a selected test and click at the prompt, the test data is permanently deleted. • There is no possibility to retrieve the test. Otometrics - ICS Impulse USB...
  • Page 24 Data is shown with velocity plotted on the Y axis and impulse milliseconds or samples along the X axis. For data that was converted from an earlier version of software, the X axis will display in samples if the average frame rate was below 219. Otometrics - ICS Impulse USB...
  • Page 25 The head data shows very well performed head impulses and the eye data shows an inadequate vestibular ocular reflex (A) that does not mirror the head velocities. There are overt catch-up saccades present (B). Catch-up saccades are easier to visualize in the 3D analysis. Otometrics - ICS Impulse USB...
  • Page 26 (A) that does not mir- ror the head velocities. There are covert catch-up saccades present (B). Catch-up saccades are easier to visualize in the 3D analysis. Otometrics - ICS Impulse USB...
  • Page 27 To remove a test(s), click the button next to the test name in the column. To add a test(s), click the button next to the test name in the Show column. Only one test for each test type may be selected to display on the hex plot. Otometrics - ICS Impulse USB...
  • Page 28 (1) Newman-Toker DE, Saber-Tehrani AS, Mantokoudis G, Pula JH, Guede CI, Kerber KA, Blitz A, Ying SH, Hsieh YH, Rothman RE, Hanley DF, Zee DS, Kattah JC. Quantitative video-oculography to help diagnose stroke in acute vertigo and dizziness: toward an ECG for the eyes . Stroke.2013;STROKEAHA.111.000033. Otometrics - ICS Impulse USB...
  • Page 29 (in the white area). The head data shows very well performed head impulses and the eye data shows a vestibular ocular reflex (A) that mirrors the head velocities. There may be a few catch-up saccades. Otometrics - ICS Impulse USB...
  • Page 30 The head data shows very well performed head impulses and the eye data shows an inadequate vestibular ocular reflex (A) that does not mirror the head velocities. There are overt catch-up saccades present (B). On the right side, the downward spikes are due to spontaneous nystagmus. Otometrics - ICS Impulse USB...
  • Page 31 There are covert catch-up saccades present (B). Notice how the covert catch-up saccades are closer to the head data whereas the overt catch-up saccades were further to the right of the head data. Otometrics - ICS Impulse USB...

  • Page 32: Analyzing Data For Multiple-Tests

    To add a test(s) to the display, click the button next to each test name in the Show column. Note • The viewing mode functions the same as the 2D and 3D Analysis. Refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 33 Refer to the Reference Manual. Progress Data Gain window ► 20 The gain graph displays as described in except that the legend to identify the colors used for each test is shown in the test selection window. Otometrics - ICS Impulse USB...

  • Page 34: Working With Reports

    (A) opens with the default report displayed. Default colors for data shown in the graphs allow those who are color blind to easily distinguish the different colors. The default layout of the graphs places the Otometrics - ICS Impulse USB...
  • Page 35 Reference Manual. Report toolbar buttons These toolbar buttons can be used to print the report, make a copy of selected text, and change how the report is dis- played: Otometrics - ICS Impulse USB...
  • Page 36 Include Results From To add a test to the report, click the check box at the left of the test name in the list. Clicking the check box again removes the test from the report. Otometrics - ICS Impulse USB...
  • Page 37 Gain Graph gain graph displayed in the 2D/3D window 2D Impulse graphs eye (saccade and VOR) and head traces displayed in the 2D window Otometrics - ICS Impulse USB...

  • Page 38: How To Record And Play Back Video

    (saccade and VOR) and head traces and hex plot displayed in the Hex Plot window How to record and play back video Record Full Image Region of Interest (ROI) When recording an eye video, there are 2 image size options: Otometrics - ICS Impulse USB...
  • Page 39 User Guide Full Image Region of Interest (ROI) Otometrics - ICS Impulse USB...
  • Page 40 Reconnect Goggles Reconnect goggles (software-to-hardware connection) as instructed by this error message: Reconnect Webcam Reconnect synchronized room video as instructed by this error message: Otometrics - ICS Impulse USB...
  • Page 41 File Size eye video • - File size of the . If the synchronized room video was used during recording, the file size is a com- bination of the eye and room video. Otometrics - ICS Impulse USB...
  • Page 42 Stops the video Delete Video Deletes the video. Note After a video has been deleted it cannot be recovered. It is • recommended to delete videos that are not needed in order to save disk drive space Otometrics - ICS Impulse USB...

  • Page 43: System Settings

    (A). This setting gives the user the ability to • add, edit, or delete users, • specify the network locations for shared files (video, reports (PDF), import, and export), • update application license and firmware, and • change system settings. Otometrics - ICS Impulse USB...
  • Page 44 1. Select the user from the list. 2. Click Edit 3. Edit the changes making sure all required fields marked with an asterisk (*) are completed. Save Cancel 4. Click to save the changes. Click to discard the changes. Otometrics - ICS Impulse USB...

  • Page 45: Installation And Setup

    32- bit: Windows 8 Pro, Windows 7 Professional, and Windows XP Professional (SP3 or higher) Intel i5 processor Memory 64-bit (Windows 8 or Windows 7): 6 GB 32-bit (Windows 8, Windows 7, or Windows XP): 4 GB Otometrics - ICS Impulse USB...
  • Page 46 - Log in to computer. The installation continues automatically. 6. The Welcome screen appears. Click Next 7. Select I accept the terms in the license and click Next Next 8. The Anonymous Usage Statistics screen displays. Click Otometrics - ICS Impulse USB...
  • Page 47 Both (Server and Client) Server Both Next 1. Select and click Note • Although it is possible to change the port number (used by the SQL server), we recommended you use the one supplied on the screen. Otometrics - ICS Impulse USB...
  • Page 48 (OTOsuiteV icon found on the desktop) to open the application. 15.4 Installing the synchronized room video Note To use the synchronized room video with OTOsuite Vestibular, the software license with synchronized • room video must be purchased from Natus Medical Denmark. Otometrics - ICS Impulse USB...
  • Page 49 (OTOsuiteV icon found on the desktop) to open the application. 15.5 Importing sample report lists These sample report lists can be imported: Symptoms, Impressions, and Macros. Head Impulse 1. Click tab. Report 2. Click 3. Click Symptoms... Impressions... , or Macros... Otometrics - ICS Impulse USB...
  • Page 50 Refer to System settings ► 43 . Continue to set up additional users. Workstation Settings 3. Click and select the desired program language from the list. Otometrics - ICS Impulse USB...
  • Page 51 Default locations for export and import files are set up on each individual client station. System Settings Administrator 1. Click and click Browse... 2. Click to browse to the desired folder. Otometrics - ICS Impulse USB...

  • Page 52: Accessories

    8-49-82700-FR 8-49-82700-IT 8-49-82700-US Software OTOsuite Vestibular 8-49-90300 Goggles Face cushion 120/pkg 8-62-50200 Strap assembly 8-35-34200 Optical cleaning cloth 7590527 ***Qty min 3*** Fixation dot 1-26-44000 (2 sheets/pkg) Synchronized Room Video Microsoft Life Cam USB Camera 2-25-08805 Otometrics - ICS Impulse USB...

  • Page 53: Service, Cleaning, And Maintenance

    A small cooling fan is inside the goggles housing. Keep the fan blades free from any obstruction. Replacing the strap 1. Remove the face cushion. 2. Use a pen to push the plastic clip down and pull out the strap clip attached to the goggle. Otometrics - ICS Impulse USB...

  • Page 54: Other References

    Other references For more information, see the online Reference Manual in OTOsuite Vestibular, which contains detailed reference inform- www.ic- ation about ICS Impulse USB . Also you can find more information in the ICS Impulse training video or at simpulse.com Standards...
  • Page 55 7.25 in (18.4 cm) Width 0.5 in (1.3 cm) to 1.75 in (4.4 cm) Height 1.75 in (4.4 cm) Weight Goggles 2.1 oz (60 g) Calibration Calibration of the system is not required Classification Class II Type B Otometrics - ICS Impulse USB...

  • Page 56: Manufacturer

    This manual contains information and warnings, which must be followed to ensure the safe performance of the devices and software covered by this manual. Local government rules and regulations, if applicable, should also be followed at all times. Otometrics - ICS Impulse USB...
  • Page 57 12. No defibrillators or high-frequency surgical equipment should be applied to the patient when connected to the ICS Impulse System at any time. 13. Immediately discontinue use of the equipment if skin irritation or discomfort occurs. Otometrics - ICS Impulse USB...

  • Page 58: Definition Of Symbols

    1.5 meters/5 ft. Definition of symbols ICS Impulse System CAUTION: Laser radiation. Do not stare into beam. Class 2 laser product. Consult user manual for warnings and cautions. Follow instructions for use. Otometrics - ICS Impulse USB...

  • Page 59: Notes On Emc (Electromagnetic Compatibility)

    Notes on EMC (Electromagnetic Compatibility) • ICS Impulse USB is part of a medical electrical system and is thus subject to special safety precautions. For this reason, the installation and operating instructions provided in this document should be followed closely.
  • Page 60 User Guide Guidanceand manufacturer's declaration - electromagnetic emissions for all equipment and systems ICS Impulse USB is intended for use in the electromagnetic environment specified below. The user of ICS Impulse USB should ensure that it is used in such an environment.

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