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SOMNOmedics SOMNOtouch NIBP Instruction Manual

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I
NSTRUCTION MANUAL
SOMNOtouch™ NIBP
SOMNOmedics GmbH – Am Sonnenstuhl 63 – D-97236 Randersacker
Phone: (+49) 931 / 35 90 94-0 – Fax: (+49) 931 / 35 90 94-49
E-Mail: info@somnomedics.de – Internet: www.somnomedics.eu

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Summary of Contents for SOMNOmedics SOMNOtouch NIBP

  • Page 1 NSTRUCTION MANUAL SOMNOtouch™ NIBP SOMNOmedics GmbH – Am Sonnenstuhl 63 – D-97236 Randersacker Phone: (+49) 931 / 35 90 94-0 – Fax: (+49) 931 / 35 90 94-49 E-Mail: info@somnomedics.de – Internet: www.somnomedics.eu...
  • Page 2 SOMNOmedics GmbH – Am Sonnenstuhl 63 – D-97236 Randersacker Phone: (+49) 931 / 35 90 94 - 0 – Fax: (+49) 931 / 35 90 94 - 49 E-Mail: info@somnomedics.de - Internet: www.somnomedics.eu Rev. 8 14.11.2019 All proper names marked with TM are...

  • Page 3: Table Of Contents

    Windows 7 ..........................19 Windows 10 ..........................22 Operating Instructions ........................25 Initialising the SOMNOtouch™ NIBP ..................25 6.1.1 Initialising the SOMNOtouch NIBP at the PC ..............25 6.1.1.1 Easystart ......................... 26 6.1.1.2 Advanced Mode ...................... 28 Starting the SOMNOtouch™ NIBP at the display ............31 6.1.2...
  • Page 4 System Requirements ......................65 DOMINO light Panel ......................... 66 Global Preferences ........................67 Menu – Folders ........................ 67 7.3.1 Menu – Channels ......................68 7.3.2 Menu – Analysis....................... 69 7.3.3 7.3.3.1 Sleep Wake Analysis ....................70 7.3.3.2 Activity Analysis ...................... 71 7.3.3.3 Heart Rate Analysis ....................
  • Page 5 Menu – Recording ......................111 7.9.4 7.9.5 Menu - Summary Picture ....................112 Flowchart of the menu navigation ....................113 Troubleshooting ..........................114 10 Maintenance of the SOMNOtouch™.................... 115 10.1 Maintenance rate ....................... 115 10.2 Cleaning and disinfection ....................115 10.3 Use and Maintenance of the Rechargeable Battery ............

  • Page 6: Introduction

    1 Introduction The SOMNOmedics team would like to thank you for purchasing this product. We are confident that you will enjoy using the SOMNOtouch™ NIBP for many years. The SOMNOtouch™ has been developed by SOMNOmedics to meet the highest quality control standards available.

  • Page 7: Explanation Of Symbols Used In This Manual

    This Warning Symbol indicates potential danger to Patients, Property or Data Loss. 1.4 Patients The SOMNOtouch NIBP and its components may only be used as follows: At patients from the age of five years Excluded are monitored and intensive care patients as well as patients with ventricular heart assist pumps with continual flow 2 About the SOMNOtouch™...

  • Page 8: Model And Device Number

    2.1 Model and Device Number When unpacking the SOMNOtouch™, check to make sure that all items are in good condition and that all accessories correspond to the delivery note. Also compare the Model on the delivery note with the label on the bottom of the SOMNOtouch™. The label shown is an example. Individual icons on the label may differ from country to country.
  • Page 9 Additionally, you receive information on the serial number and current firmware of the device when you press the SOMNOmedics logo in the start display as well as the Bluetooth-Pin (1). To the left of the SOMNOmedics-logo are the left licenses displayed, which are required for the activation of a new software installation: Fig.

  • Page 10: Elements Of Keyboard

    2.2 Elements of keyboard Picture Description Function Green LED Yellow LED Idle Mode Waiting Mode Status LED 1 Recording Mode 1x /s Recording Initialisation / data transfer 2s on Error during initialisation + buzzer When this LED is Yellow, the battery is being charged Status LED 2 When this LED gets off, the battery is...

  • Page 11: Configuration

    2.3 Configuration The configuration includes a SOMNOtouch™ NIBP, a wristband, a SpO sensor, a 3-channel ECG, the Docking Station and Battery Charger, an USB adapter cable, a Carry Bag for housing the SOMNOtouch™, the Instruction Manual, a short guide and the DOMINO light software for Initialisation, Data Transfer and Analysis.

  • Page 12: Safety Instructions

    Radio Systems, Cellular Phones, Microwave Ovens, etc. where the electrical field strength exceeds 10 V/m (correlating to IEC 601-1-2). Only sensors designed and supplied by SOMNOmedics may be used with this unit. All sensors are provided unsterile and are not intended to be sterilized.
  • Page 13 Be sure not to store it under frozen condition. Please also avoid places of high humidity. Opening the case, repairing or modifying the SOMNOtouch™ in any way will void the guarantee. Only SOMNOmedics and its authorised distributors may repair the unit. Always use the Docking Station to charge the internal battery.

  • Page 14: Installing The Domino Light Software

    4 Installing the DOMINO light Software Please note the System Requirements for running DOMINO light Software. Please also note that the Software must be activated by entering a Registration Code. You will find the file on the installation CD. Double click this file to start the installation. Choose your language and click on the Next >...
  • Page 15 Accept the selection “New Installation” by clicking the Next > button. Click “Next >”. Start the installation process by clicking “Next >”. Select your device/s and confirm with “OK”. -15-...
  • Page 16 The installation progress will be displayed by a running blue bar. When the installation is complete the software will ask if you want to install the USB driver for the Docking Station. If you choose to “Install SOMNOtouch USB Driver”, the later manual driver installation won’t be necessary (exception: Windows XP).
  • Page 17 For the driver installation a window of the device installation assistant will open. Confirm each with “Next”. If you skipped the driver installation, you can do it later manually. In chapter 5 the way how to do it is explained for windows 7 and windows 10. -17-...
  • Page 18 Updating the Software To update your software version please install the new version in the same directory as the original version. During the installation you will be asked to choose one of the following installation types. New analysis, channels and features of the software are updated. The settings of analysis and analysis templates remain as before.

  • Page 19: Manual Docking Station Driver Installation

    5 Manual Docking Station Driver Installation 5.1 Windows 7 1. Connecting the Docking Station First connect the Docking Station to a free USB-Slot of your Computer and connect the SOMNOtouch (device has to be on). After connecting the SOMNOtouch there are two possible options: Option 1 A dialog window “Update driver software…”...
  • Page 20 In the window “Device Manager” you will find an entry “Other devices”, underneath this entry there is a point “SOMNOtouch NIBP”: NIBP 0012 Right click this entry, then a context menu appears. In this context menu left click on “Update Driver Software”.
  • Page 21 Automatic driver software installation Windows 7 recognized that a new device has been plugged in and will gather the information about the USB device: Next step is to click “Browse my computer for driver software”. In the dialog window “Browse my computer for driver software” left-click on the button “Browse…”, choose the “bin”...

  • Page 22: Windows 10

    5.2 Windows 10 1. Connecting the Docking Station First, connect the Docking Station to a free USB-Slot of your Computer. After connecting the device with the USB-Port there are two possible options: Option 1 A dialog window “Update driver software…” appears. In this case continue at #3, “Automatic driver software installation”.
  • Page 23 In the window “Device Manager” you will find an entry “Other devices”, underneath this entry there is a point “SOMNOtouch RESP”: Right click this entry, then a context menu appears. In this context menu left click on “Update Driver Software”. Move on at #3 “Automatic driver installation”.
  • Page 24 Activate the checkbox labeled “Include subfolders”, then click on the button “Next”. When the installation has finished, a message appears “Windows has successfully updated your driver software”. Now you are able to use the connected SOMNOtouch device. -24-...

  • Page 25: Operating Instructions

    1) or the DOMINO light panel (fig. 7-1). The SOMNOtouch™ NIBP can also be initialised directly via the display (see 6.1.3). 6.1.1 Initialising the SOMNOtouch NIBP at the PC For Initialisation and Transfer the SOMNOtouch can be operated via the virtual docking station or the DOMINO light panel.

  • Page 26: Easystart

    6.1.1.1 Easystart After a successful connection, the serial number, firmware version, type of the device and the battery capacity are shown beneath the initialisation window (see Fig. 6-2). Fig. 6-2: Easystart DOMINO light Patient Data Input: ▪ Enter the data into the corresponding fields. Type carefully as this information will be saved for later use.
  • Page 27 Notes: Add special information to the patient with date and time. The SOMNOtouch NIBP can only be started manually (1) on the device via “Start”. Set the recording time at “Duration”. If you want to change the settings for Bluetooth, LED signal and screen display during the recording please change to the advanced mode.

  • Page 28: Advanced Mode

    6.1.1.2 Advanced Mode After a successful connection, the serial number, firmware version, type of the device and the battery capacity are shown beneath the initialisation window (see Fig. 6-4). Fig. 6-4: Patient Data Input. Patient Data Input: ▪ Enter the data into the corresponding fields. Type carefully as this information will be saved for later use.
  • Page 29 You can add more details to the patient in the database (see ). Fig. 6.5: Add details to the patient. Patient Data: Here you can edit the patient data. Questionnaire: Here you can add a questionnaire on daytime sleepiness (ESS) or Restless Legs Syndrome (RLS).
  • Page 30 Now, click on “Next” or the “Recording” tab. Fig. 6-7: Menu “Recording” The SOMNOtouch NIBP can only be started manually (1) on the device via “Start”. Set the recording time at “Duration”. An observation or comment can be entered in the “Description” field (2). This information appears in the “Open Recording”...

  • Page 31: Starting The Somnotouch™ Nibp At The Display

    6.1.2 Starting the SOMNOtouch™ NIBP at the display Apply the sensors to the patient (see 0) and start the SOMNOtouch NIBP by pressing the On/Off button . The start menu will appear on the display. Press “Start”. Fig. 6-8: Start display SOMNOtouch An information screen will appear.
  • Page 32 Fig. 6-10: Sensor application Use the arrow to the right to start the recording and proceed to the calibration menu (chapter 6.3). Press the icon at the top right to go to the signal control before. There you can see the signals of the sensors and you can check on the quality of the ECG and the Plethysmogramm (for Application see 0).

  • Page 33: Initialisation Of The Somnotouch™ Nibp At The Display

    6.1.3 Initialisation of the SOMNOtouch™ NIBP at the Display Apply the sensors to the patient (see 0) and start the SOMNOtouch NIBP by pressing the On/Off button . The start menu will appear on the display. Press on “Start”. Fig. 6-13: Start Display SOMNOtouch You can start a measurement without initialisation at the computer.
  • Page 34 The height is important for the PTT determination. Pay attention to the right input of this parameter. Fig. 6-15: Start menu To de- / activate the display during the recording press the display symbol (1). Pressing the Bluetooth- Symbol (2) will de- / activate the Bluetooth module of the SOMNOtouch. Please note that activating Bluetooth will decrease the maximum recording duration.

  • Page 35: Application Of The Sensors

    Single channels can be displayed by pressing on the trace in the left to middle part of the display. Fig. 6-18: Signal To get back to the signal control press the return arrow. Via the arrow to the right the SOMNOtouch NIBP will proceed to the calibration mode (see 6.3).
  • Page 36 c) Connect the ECG to the SOMNOtouch™ NIBP. d) Apply the SpO2 Sensor on a finger of the left hand and connect it to the SOMNOtouch NIBP. Fix the cable with a tape for strain relief. Please take care that the patient is not wearing nailpolisch, artificial nails, gel nails or similar.

  • Page 37: Initial Blood Pressure Calibration

    6.3 Initial Blood Pressure Calibration Please note that the accuracy of the blood pressure depends from a valid calibration. Furthermore it is in the responsibility of the physician to assess the absolute blood pressure values. The prior attention of this method is the determination of the relative blood pressure changes caused by other sleep related events.
  • Page 38 Please note that if the calibration is skipped, the validity of the blood pressure values in the analysis is not guaranteed. The time of calibration has to be selected by the user independently calibration measurement performed appropriate point of time during the recording. Please use an appropriate marker to note the calibration in the later analysis.
  • Page 39 78.. Fig. 6-22: Display during recording On the upper left the total recording duration as well as the passed duration is displayed. If you can’t calibrate at the chosen point (error in PTT) or the calibration was aborted via you can repeat the calibration measurement (1) or abort it and proceed without a calibration (2).

  • Page 40: Display During The Measurement

    6.4 Display during the measurement To activate the display during recording please press the On/off button 78.. Fig. 6-25: Display during recording You receive information about the blood pressure (1), the oxygen saturation (3) and the heart rate (2). The status of the integrated data transmission (4), the battery status (5) and the current time (6) are displayed.
  • Page 41 Single channels can be displayed by pressing on the trace in the left to middle part of the display. Fig. 6-28: Signal The display will be switched off after 15 seconds. Please note: If one or more sensors are unplugged during the recording, a peep resounds, the display lights up and the missing sensor is highlighted by a green blinking arrow.

  • Page 42: Settings

    6.5 Settings To change the settings, e.g. language, tap on the gearwheel symbol in the start display. Fig. 6-30: Start- display SOMNOtouch All settings which can be changed manually on the device will appear. Fig. 6-31: Settings Bluetooth In the Bluetooth menu the Bluetooth transmitter can be switched on or off for the whole recording or it can be activated for the first 20 minutes (30s on, 30s off) of the recording only.
  • Page 43 Sound In the sound menu you can activate or deactivate the sound. Fig. 6-33: Sound Display In the display menu you can change the brightness of the display and the background colour for the menus. During the recording the background is black. Fig.
  • Page 44 The “Options” button is also for the optional blood pressure option. If you subsequently purchase an option, you have to activate it by entering a special code. Please get in contact with the SOMNOmedics Support team. If you received the option together with your SOMNOtouch , it will already be activated.

  • Page 45: Manual Abortion Of The Recording

    6.6 Manual abortion of the recording To abort the recording, you have to press the on/off button and then the patient marker simultaneously for about 2 seconds. The following screen will appear: Fig. 6-38: Abort measurement Press the tick to confirm the abortion or the back arrow to proceed with the recording. 6.7 Data Transfer from SOMNOtouch to PC Once there is a measurement on the SOMNOtouch™...

  • Page 46: Firmware Update

    Fig. 6-39: Transfer window (1) It is possible to instruct the software to automatically execute an analysis, to display a report, to print and export a report, to close the recording, and to move the recorded data to the Archive Folder set in the “Global Preferences”.

  • Page 47: Open A Recorded Measurement

    6.9 Open a Recorded Measurement To open a recording, click on the Analysis symbol of the DOMINO light panel. The following window will open (Fig. 6-40): Click on Name or Start to sort measurements alphabetically Processing Status or chronologically Saved measure -ments Search...
  • Page 48 If you open a measurement, which has not previously been analysed, the Preferences Window will open. Please choose the “ECG/Blood pressure” template in the tab “Analysis”. The measurement is automatically analysed according to the predefined parameters in the “Global Preferences” (see Chapter 7.3.3). The DOMINO light software marks analysed events in the Raw Data window by placing a coloured frame around each event.
  • Page 49 Parameter Indicates position of the data in the Raw Data Window Time Bar Index/h Marker Analysis Time-base of Analysis (Change with right mouse button) Epoch number of all epochs Raw Data Cursor Interactive Signal Scaling Scroll Bar Automatically marked events Selection Information Time base of Raw Data...

  • Page 50: Analysis

    6.10 Analysis 6.10.1 Blood Pressure Calibration Right click on the raw data next to the patient marker (set during the manual Blood Pressure Measurement → chapter 6.3) and select “BP calibration”. Enter the Blood Pressure values, and confirm with . The Systolic and Diastolic Blood Pressure will be calculated and displayed in the Analysis Window.

  • Page 51: Poincaré-Plot

    6.10.4 Poincaré-Plot You can open the Poincaré-Plot of the heart frequency analysis via Tools → Poincaré-Plot. Fig. 6-43: Open the Poincaré-Plot Each data point of the Poincaré-Plot equates a pair of values of associated heartbeats. The x-axis shows the current RR interval while the y-axis shows the subsequent RR interval. The chart is linked to the raw data enabling the user to view interesting RR- intervals directly in the raw data.

  • Page 52: Enter The Findings And The Diagnosis

    6.10.5 Enter the Findings and the Diagnosis Select Patient Info in the Tools menu → left click on the tab sheet Diagnosis → enter the Findings and the Diagnosis in the corresponding text fields The Choose Finding and Choose Diagnosis buttons offer lists of selectable predefined findings and diagnosis.
  • Page 53 User Data / Patient Data It is possible to edit this data by clicking on Patient Info in the Report Preview window. Recorded Time Complete recording time. Time in Bed (TIB) Period of time between the Lights off and Lights on markers. Sleep Report Total Sleep Time (TST) Period of time between the Lights off and Lights on markers...
  • Page 54 Report Number of Desaturations Number of Desaturations during TST (index: per hour of sleep). Minimal SpO2 (%) Indication of minimum SpO value during TST. Average value of the SpO curve without considering the Baseline SpO2 Saturation events. Average SpO2 Average value of the complete SpO curve.
  • Page 55 Pulse Transit Time The diagram indicates the sleep fragmentation of a patient’s sleep caused by PTT changes. It shows the patient Disturbed and Undisturbed sleep. Disturbed: Sleep fragmentation mainly in the intervals 0-1 min and 1-5 min Undisturbed: sleep fragmentation mainly in the intervals 10-30 min, >30 min The bars show the percentage of Sleep that was disturbed by two PTT events within an interval of e.g.
  • Page 56 Heart Rate Report Number of Increases in the Heart Rate during TST (index: per hour of Acc. (Index) sleep). Number of Decreases in the Heart Rate during TST (index: per h of Dec. (Index) sleep). Arrhythmia (Index) Number of Arrhythmia occurring during TST (index: per h of sleep). Maximum Heart Rate during TST with indication of the moment of the Maximum HR (bpm) event.
  • Page 57 Systolic Blood Pressure Number of all Increases of the Systolic Blood Pressure during TST Inc. (Index) (index: per hour of sleep). Maximum Increases of the Systolic Blood Pressure and indication of Maximal Increase (mm Hg) the exact moment. Average Increase (mm Hg) Average value of all Increases of the Systolic Blood Pressure.
  • Page 58 Advanced Blood Pressure Report In order to correlate our Blood Pressure Reports to conventional 24-hour Blood Pressure Recording devices, we have included the “Blood Pressure Day/Night (advanced)” report in the PTT report selection item. The advanced blood pressure report day/night displays all relevant blood pressure parameters of the whole recording.
  • Page 59 Blood pressure For the completion of the blood pressure analysis, the PTT report was upgraded with the “Blood pressure statistic” which contains additional information on median- and percentile values. In the advanced blood pressure report the percentage of recording time that the Blood Pressure, MAP or Pulse exceeds a defined value is displayed in the column “>...
  • Page 60 To edit the limits for the calculation of the Pulse, select “Heart Rate Analysis” or “Heart Rate Analysis AASM” from the “Analysis” tab of the “Global Preferences”. Select the button “Limit Tachycardia” to open the window for editing the Pulse Rate limits. -60-...
  • Page 61 To have an overview of the respective limits set by the user, the defined values will be displayed in the footer of the Blood pressure Day/Night (advanced) report. The limits of the blood pressure-report of course also can be defined within the local “Preferences” of the respective measurement.
  • Page 62 Summary The Summary provides an indication of the severity of the analysed parameters. Green = Normal, Yellow = Mild, Orange = Medium and Red = Severe. The calculations are based on all the parameters in relation to all the relevant bibliographical references. It is possible to enter this information by clicking on Patient Info button.
  • Page 63 Tilting table report In order to analyse the occurrence of a syncope in regard to dysfunction of the circulatory system, tilting table check-ups are performed. To have a complete overview of all important parameters recorded during tilting table check-ups, the separated Tilting table report can be accessed. For this purpose, the new report-part “Tilting table report”...
  • Page 64 Stress Report/ HRV-Report The stress report shows the spectral analysis of the RR-Interval. Using this analysis the High Frequency (HF) Band (0,15-0,4 Hz) and the Low Frequency (LF) band (0,04-0-15 Hz) can be determined and be used for the stress/regeneration plot. It is based on the sympatho-vagale balance (LF/HF).

  • Page 65: Domino Light Software

    New releases of the DOMINO light Software are issued once or twice a year, as a result of our continued commitment to improving the system. These manuals are available free of charge for SOMNOmedics customers. The DOMINO light Software is intended for use exclusively with the SOMNOtouch™.

  • Page 66: Domino Light Panel

    Before starting to use the Analysis Section of the software, it is necessary to activate it with a Registration Code. Please contact SOMNOmedics by fax, e-mail or telephone to obtain this. Please refer to fig. 7-2 for instructions on how to obtain and enter the Registration Code.

  • Page 67: Global Preferences

    Preferences imported: will be saved to a file. Computer-ID – phone SOMNOmedics support. Quote this number and you will be given the Registration Code to enter here. fig. 7-2: Global Preferences – Menu - Folders The default folder can be chosen from the Recordings Directory using the symbol.

  • Page 68: Menu - Channels

    Menu – Channels 7.3.2 In the Channels Menu the characteristics of the Raw Data Signal can be adjusted. Colour, Signal Scaling, Signal Direction and Channel Order can all be configured. The Channel Order can be changed by using the Drag & Drop function. Limit values for Signal Auto size of Invert signals...

  • Page 69: Menu - Analysis

    Menu – Analysis 7.3.3 In this menu, all variables of the built-in algorithms can be changed. It is also possible to set the display colour for each analysis trace and set the colour of the classification box for each event. See red box marked on fig.

  • Page 70: Sleep Wake Analysis

    7.3.3.1 Sleep Wake Analysis The determination result from the Activity Analysis and if applicable the Body Position Analysis (Body Position = upright → epoch is rated as WAKE). fig. 7-5: Sleep Wake Analysis 1) Ø Activity Threshold (Units) You can define the limit (threshold) a signal must exceed in relation to the baseline to be detected as activity.

  • Page 71: Activity Analysis

    7.3.3.2 Activity Analysis fig. 7-7: Activity Analysis Time-frame [s] Size of the Analysis-Timeframe in detection of Activity. Max. value: Activity is equal to the maximal value within the timeframe. Average value: Activity is equal to the value composed of the average value within the timeframe. Illustration Line: Bar:...

  • Page 72: Heart Rate Analysis

    7.3.3.3 Heart Rate Analysis Fig. 7.8: Heart Rate Analysis 1) “Artefact Variation [bpm]” Maximum change in consecutive heart beats. An artefact will be detected if the difference is larger than this value. 2) “Body Artefact [s]” An artefact is determined when there is a body change for the given duration. Therefore, no HR-Event is determined in this area.
  • Page 73 11) “Arrhythmia Variation [%]” If the beat-to beat variation (distance between two R-waves) is larger than this defined value, an arrhythmia is detected. 13) “Min. Duration [s]” Minimum duration of a continuous period of heart rate increase or decrease. 14) “Min. Charge [1/min]” Minimum increase or decrease in the number of heart beats for an event to be detected.

  • Page 74: Spo 2 Analysis

    7.3.3.4 SpO Analysis fig. 7-11: SpO Analysis 1) Max. Desaturation Time [s] Maximum duration of a desaturation event. 2) Min. Desaturation Time [s] Minimum duration of a desaturation event. 3) Desaturation [% SpO The minimum decrease in SpO for a desaturation event to be detected. 4) Max.

  • Page 75: Ptt Analysis / Blood Pressure

    . As shown below, PTT is the Time it takes for the Arterial Pulse to travel from the heart to the Pulse Oximeter Site (Finger or Toe). SOMNOmedics has developed an algorithm to calculate the blood pressure based on the PTT.
  • Page 76 If the PTT curve exceeds the maximum or falls below minimum level, an artefact will be detected. Adjust both values to each individual patient (child, adult) and to the measurement site (finger, toe). max. PTT min. PTT fig. 7-15: Determining Artefact Limits 3) Min.
  • Page 77 The stored values are shown in the advanced BP report. -77-...

  • Page 78: Menu - Analysis Channels

    7.3.4 Menu - Analysis Channels Within the Menu Analysis Channels the presentation of the analysis window can be formatted. The Channel Order can be changed by using the Drag & Drop function. Full Chart: Upon activating this option the respective curve will be displayed in full chart mode.

  • Page 79: Menu - Filter

    Menu – Filter 7.3.5 Mark the respective checkboxes to filter a specific signal. Settings (in Hz) for Highpass, Lowpass and Notch can be individually selected. fig. 7-18: Menu Filter -79-...

  • Page 80: Menu - Keys

    7.3.6 Menu - Keys The Keys menu allows you set the keyboard keys to be used during manual editing. name of keys the event fig. 7-19: Menu Keys Define and add events: Within the Keys Menu, predefined events can be associated to the programmed keys. These defined keys are available in the Edit mode of the Raw Data display to edit, add or delete events.

  • Page 81: Menu - Markers

    7.3.7 Menu - Markers Markers can be set to indicate predefined events within a measurement. Adding markers: Enter the name of the marker in the field and click the button “Add Marker”. marked Renaming markers: Please select an existing marker from the list and click the button Edit Marker.

  • Page 82: Menu - User Data

    Menu – User Data 7.3.9 Enter the information you require to be printed as a heading for all reports. Should you wish to include your own logo on the report: Click on the Remove Image to clear the screen. Now activate the button Load Image and select the path where the logo is stored.

  • Page 83: Menu - Report

    Menu – Report 7.3.10 7.3.10.1 Standard Report In the Reports Menu, it is possible to configure Standard Report Templates to your specific needs. You can set the contents, the format and the order of the report items. As many reports as are required can be created by clicking on the symbol A template may be renamed by clicking on the symbol...

  • Page 84: User Defined Report

    7.3.10.2 User defined Report Click on Symbol (1) to create a User defined Report. Fig. 7-24: Create User Defined Report Type in the name for the report template and click on the symbol (2) on the right side. Now choose if the draft should be displayed in portrait or landscape format. At the top of the draft you will find the following symbols: Fig.
  • Page 85 Functions in the Label Editor: Here the background-colour of the label can be selected. A certain type and seize of font can be selected. Selection of alignment (left, centred, right). Selection: background transparent. If activated the text will be wrapped automatically at the end of each line. The label can be rotated in pre-defined steps.
  • Page 86 Fig. 7-28: Analysis Channels selection Additional functions: full → short → only legend → without → Activates/Deactivates the timeline. The graphic can be rotated in pre-defined steps. Select if the analysis channel(s) are displayed showing the whole night, or only during TIB. Zoom In / Zoom Out -86-...
  • Page 87 A new page can be added or an existing page can be deleted by right clicking on the Page tab. It is also possible to change the orientation of the page. Fig. 7-29: Tab functions By Right clicking on an object, the following selection menu will appear: Fig.
  • Page 88 Creating Tables The function “Add table” provides the possibility to display analysis results in a table in the report. Tables can only be generated in the Custom Report. To start the Custom Report Designer, open the “Report” tab in the “Global Preferences” and then click the button “New Custom Template”. After defining a name for the new Custom Template, generate or edit the new custom report using the “Edit”...
  • Page 89 After confirming with OK, define the position of the table inside the report by clicking on the start position where you want the table to appear. Editing of Text Fields In order to write into text fields, the corresponding text field just must be activated by selecting it with the mouse cursor.
  • Page 90 Now, select the Preview Button and click on the item “Use as new custom template” (upper right of menu bar) to transfer the selected items to the Custom Template. After transferring the Standard Report items, the generated Custom Template can be modified and edited.

  • Page 91: Analysis

    7.4 Analysis 7.4.1 Setting Analysis and Channels The Analysis Channels parameters can be set in the Global Preferences menu (see chapter 7.3.4) or they can be set directly in the current display. Double-click on the corresponding channel name in either the Analysis or Raw Data Window. All settings made in a specific patients recording will only be changed for that recording.

  • Page 92: Functions Of The Pop-Up Window

    7.4.2 Functions of the Pop-up Window To open pop-up windows use the right mouse button and click on either the Analysis or Raw Data Window. 7.4.2.1 Functions of the Analysis Pop-up Window fig. 7-33: Pop-up Window Analysis (1) Select channel… offers a comfortable method to manually select analysis channels to be displayed.

  • Page 93: Function Of The Raw Data Pop-Up Window

    (6) Remove artefact will delete the Artefact in the marked selection. (7) Zoom selection will display the marked area across the whole analysis window. (8) Show in bottom chart will display all correlating Raw Data for the section selected in the bottom chart.
  • Page 94 (1) Select channel… offers a comfortable method to manually select analysis channels to be (1) displayed. Select all channels Delete all channels Invert selection All Raw Data channels will have the same height fig. 7-36: Selecting Channels for Raw Data Display (2) None or All will remove either all analysis channels or none of them.

  • Page 95: Layouts For Data Display In Analysis Mode

    7.4.3 Layouts for Data Display in Analysis Mode Several different display layouts are selectable for efficient data processing by clicking on tab View: A) The Analysis mode displays the Analysis curves only. B) The Raw Data mode displays the Raw Data curves only. C) The Standard mode splits the screen and displays both the Analysis window on the top and the Raw Data in the bottom window.

  • Page 96: Deleting, Editing, Adding Markers

    7.4.5 Deleting, Editing, Adding Markers From the Tools menu, select the sub menu Edit Markers. The list containing all set markers will be displayed. You may add additional User defined Markers 2), edit existing Markers (3) delete existing Markers (4) or hide Markers (remove check marks from the check boxes 5).

  • Page 97: The Event List

    fig. 7-39: Save Sample Delete samples: To delete saved samples, select Edit Samples from the Tools menu. The window shows the complete list of all saved samples. Mark all the samples to be deleted (click on the corresponding text line) and click on the Delete button. Print samples: To print the saved Samples, select Edit Samples from the Tools menu.

  • Page 98: Edit Modes

    fig. 7-40: Event List Choose e.g. the PTT Analysis to get a list with all the systolic blood pressure events. Double-Click on an event to jump directly to the corresponding position in the raw data window. → Displays the event list at the right side of the DOMINO light window. 7.4.8 Edit Modes It is possible to edit Events manually.

  • Page 99: Quick Edit Mode

    To edit and classify the marked event in the Raw Data window, select the event by dragging over it with mouse. Once selected, enter the Key or Key Combination to score the event. An event box will appear and frame your marked event. An information box can be turned on (View → Show info window) which will show the Parameters associated with the marked event.

  • Page 100: Repeat Mode

    7.4.8.4 Repeat Mode In Repeat Mode, the event last marked will be repeated irrespective of the position of the cursor. If the Edit Mode is active and you wish to edit only Desaturations on the SpO2 Channel, first mark an event.

  • Page 101: Creating A Form Letter

    7.6.1 Creating a Form letter To create a new Form Letter, first open the required Patients Study. Select Create New Form Letter from the Report menu. Select all the fields required for the Form Letter. Use the button to add all relevant fields.

  • Page 102: Opening A Form Letter

    Additionally, it is also possible to use the Insert Word Field to request information from the operator. 7.6.2 Opening a Form Letter To create a new Form Letter, first open the required Patients Study. Now select Open Form Letter from the Reports menu. Double-click on the required Form Letter and it will be opened in MS Word automatically.

  • Page 103: Edf+ Export

    7.7.2 EDF+ Export EDF+ Export and EDF Import make it possible to exchange data between different Sleep Labs and/or different manufacturers devices. This feature is useful for international studies and clinical trials. The DOMINO light software exports Filtered and Referenced Raw Data channels. Open the requested measurement and click on File →...
  • Page 104 In the upper section of the window, Patient Name, Date of Birth, Starting Time of Recording as well as the Number of Channels to be exported will be displayed. In the lower section of the window, add all required channels by activating the corresponding checkbox. Clicking on Settings next to each channel will open the following window (see fig.

  • Page 105: Export To External Ecg Analysis Program

    The export-folder for the .scp files can be chosen in the “Folders” tab of the global preferences. 7.8 Archiving SOMNOmedics recommends archiving all successfully analysed recordings on a regular basis. We also recommend deleting the records from your hard drive once the data is archived. This process should be done regularly to ensure that there is sufficient storage space on the hard drive and that the data is protected from any damage.

  • Page 106: Archiving Database

    Archives, Form Letters and SOMNODB (Default Location: C:\SOMNOmedics\Somnowatch). Now select the files and copy them to a local directory (for example, C:\Backup\...). Save this directory to a CD using the CD burning programme that was supplied with your CD drive.

  • Page 107: Patient Database (Option)

    In order to use the Database, a registration code is required. Please contact SOMNOmedics Support to obtain this code. Please contact SOMNOmedics by fax, e-mail or telephone to obtain this. Please refer to fig. 7-50 for instructions on how to obtain and enter the Registration Code.

  • Page 108: Search Function

    7.9.2 Search Function When opening the database, the following window appears: fig. 7.51: Search in database You can search for patients or records using different criteria, e.g. name. When searching for recordings you can also search by means of results (1). The search result will be shown at the bottom.
  • Page 109 After selecting the required patient or recording, the data and parameters of the patients’ recording or recordings will be displayed in the bottom part of the window. Multiple recordings can be sorted by clicking the columns’ heading name and select the required parameter using the left mouse button.
  • Page 110 Click on Tools→Results to display all results that were selected in the default template. To add results to the list click on Tools→Select Results and use Drag & Drop. From this window, results can be Sleep Staging for the recorded added to the list using Drag &...

  • Page 111: Menu - Recording

    Menu – Recording 7.9.4 Click on this button to display the Report Display of the Patients’ Sleep Profile Display of the Results fig. 7-55: Menu - Recording This menu displays the Sleep Profile for a selected Patient as well as all Analysed Results and all edited entries including Anamnesis, Findings, Diagnosis and Comments.

  • Page 112: Menu - Summary Picture

    7.9.5 Menu - Summary Picture fig. 7-56: Menu - Summary Picture This Menu shows the Summary Graphics from the Patients’ Analyses Curves. -112-...

  • Page 113: Flowchart Of The Menu Navigation

    8 Flowchart of the menu navigation Pat.ID Start menu Montage Body height Duration Settings menu Sensor application Signal control Language Blood Pressure Bluetooth calibration Time/Date Measurement is running Display Sound -113-...

  • Page 114: Troubleshooting

    Possible Reason What to do? Analysis Unable to start Registration code Contact SOMNOmedics Support and request the Analysis. not entered. registration code. Enter the registration code into the Global Preferences in the Folders menu. After entering the code, click on the Save and Exit button.

  • Page 115: Maintenance Of The Somnotouch

    10 Maintenance of the SOMNOtouch™ 10.1 Maintenance rate Return the SOMNOtouch™ to SOMNOmedics after 3 years of usage for inspection. The inspection includes Calibration of all the Recording Channels and visual inspection for any external damage. 10.2 Cleaning and disinfection Clean the device regularly to ensure trouble free operation.

  • Page 116: Use And Maintenance Of The Rechargeable Battery

    10.3 Use and Maintenance of the Rechargeable Battery The internal battery is a Lithium-Ion (Li ION) rechargeable battery. The battery offers a long life (approximately 500 charges), is not susceptible to memory effects and is ecologically friendly. It takes approximately 3 h to charge a fully flat battery. The battery is fully charged when the yellow Charging LED on the SOMNOtouch turns off.

  • Page 117: Transport

    The device is not working correctly (poor measurements) Components are loose or fit poorly Connectors are damaged (crushed or cut cables) Please contact your local distributor for a fast response or contact SOMNOmedics for a fast and efficient response. Please see chapter 11.11. 11.7 Warranty SOMNOmedics will only guarantee the Safety, Reliability and Operation of the SOMNOtouch™...

  • Page 118: Accessories And Spare Parts

    11.10 Accessories and Spare Parts Please request our latest catalogue from your local Distributor or contact SOMNOmedics. APPLICATION PARTS (*), SENSORS, ACCESSORY SOT NIBP Article description Art.-No. ● 3-Channel ECG-Sensor (*) TOS010 ● Adhesive electrodes ECG (30 pcs.) (*) SEN004 ●...
  • Page 119 ○ Schiller Darwin OEM, ECG-Arrhythmia Analysis for DOMINO light SW010 ○ 4-channel analogue Optocoupler TOS121 ○ 3-Channel ECG + IC-EMG sensor with position information (*) TOS015 ● included in delivery ○ optionally available -119-...

  • Page 120: Contact

    +49 (0) 9 31 / 35 90 94 49 We also provide service and support via e-mail on: service@somnomedics.de Unfortunately it is sometimes possible that our hotline may be busy when you call and you will be redirected to our mailbox. When this happens, please leave your name and telephone number so that we can call you back promptly.

  • Page 121: Notes

    11.12 Notes -121-...

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